PMID- 18127707 TI - Anuria. PMID- 18127708 TI - Air travel for the incapacitated. PMID- 18127709 TI - Alberta's tuberculosis program. PMID- 18127710 TI - A review of trachoma. PMID- 18127711 TI - Primary resection of the colon in ulcerative colitis. PMID- 18127712 TI - A diagram illustrating the results given by the copper sulphate method of Phillips, Van Slyke et al. PMID- 18127713 TI - Traumatic rupture of the thoracic aorta. PMID- 18127714 TI - Surgical treatment of patent ductus arteriosus. PMID- 18127715 TI - Protein-bound plasma iodine as an aid in the diagnosis of thyroid disease. PMID- 18127716 TI - The production of viseral lesions following attempted chronic irritation of the central nervous system. PMID- 18127717 TI - Death following the ingestion of alcohol in an antabuse treated patient. PMID- 18127718 TI - Cold auto-haemagglutination. PMID- 18127719 TI - Heterologous bio-cytoculture for tumour identification; preliminary report. PMID- 18127720 TI - Paediatrics and medical practice. PMID- 18127721 TI - Alveolectomy. PMID- 18127723 TI - [Not Available]. PMID- 18127722 TI - Hyperplastic illeo-cecal tuberculosis with involvement of regional lymph nodes. PMID- 18127724 TI - [Not Available]. PMID- 18127725 TI - [Not Available]. PMID- 18127726 TI - [Not Available]. PMID- 18127727 TI - Rheumatic heart disease in seventh and eighth grade Connecticut school children; a study in differential prevalence. PMID- 18127728 TI - Loss of consciousness and convulsions in middle-aged patients. PMID- 18127729 TI - Treatment and management of congestive heart failure. PMID- 18127730 TI - The licensing of foreign medical graduates in the United States. PMID- 18127731 TI - History taking. PMID- 18127732 TI - [Not Available]. PMID- 18127733 TI - [Not Available]. PMID- 18127734 TI - [Not Available]. PMID- 18127735 TI - [Not Available]. PMID- 18127736 TI - [Not Available]. PMID- 18127737 TI - [Not Available]. PMID- 18127738 TI - [Not Available]. PMID- 18127739 TI - [Not Available]. PMID- 18127740 TI - [Not Available]. PMID- 18127741 TI - Vagotomy. PMID- 18127742 TI - Environmental variations in the Arneth count. PMID- 18127743 TI - Three cases of cancer of the stomach cured by resection. PMID- 18127744 TI - Essential hypertension; laboratory studies in human beings with drugs recently introduced. PMID- 18127745 TI - Personality factors in arterial hypertension. PMID- 18127747 TI - Rupture of the intervertebral disk; a short history of this evolution as a syndrome of importance to the surgeon. PMID- 18127746 TI - Location of brain tumors by means of radioactive phosphorus. PMID- 18127748 TI - Combined (one stage) splenectomy and portacaval shunts in portal hypertension; with observations on venous shunts in the postsplenectomy patient with recurring hemorrhage. PMID- 18127749 TI - Rehabilitation. PMID- 18127750 TI - Intussusception in adults; a report of four cases. PMID- 18127751 TI - Obstetrical hemorrhage. PMID- 18127752 TI - Tetraethyl ammonium chloride and its use in the peripheral vascular diseases. PMID- 18127753 TI - Complications in treatment of incarcerated hernia with vasodilatant drug; case report. PMID- 18127754 TI - Management of omphalocele, or exomphalos; report of a case. PMID- 18127755 TI - Pioneer medicine in Indiana. PMID- 18127756 TI - The determination of prognosis. PMID- 18127757 TI - Psychiatry and intuition; a consideration of morbid apprehension as a factor in prognosis. PMID- 18127758 TI - Extrasensory perception and prognosis. PMID- 18127759 TI - Spontaneous hypoglycemia; its diagnosis, prognosis and treatment. PMID- 18127761 TI - The prognosis in bronchiectasis. PMID- 18127760 TI - Prognosis of allergic conditions. PMID- 18127762 TI - Gout; a review of diagnosis, management and prognosis. PMID- 18127763 TI - Functional murmurs. PMID- 18127764 TI - Significance of hoarseness. PMID- 18127765 TI - The uptake of radioactive phosphorus by malignant brain tumors. PMID- 18127766 TI - Tissue responses to physical forces; the response of connective tissue to piezoelectrically active crystals. PMID- 18127767 TI - Tissue responses to physical forces; the ability of galvanic current flow to stimulate fibrogenesis. PMID- 18127768 TI - Quantitative spectrographic analysis of blood and tissue fluids. PMID- 18127769 TI - The use of the emission spectrograph for the quantitative determination of Na, K. Ca, Mg, and Fe in Plasma and urine. PMID- 18127770 TI - Antithrombin and heparin in human blood. PMID- 18127771 TI - Bone marrow studies in the polycythemia of high altitudes. PMID- 18127772 TI - Plasma tocopherol levels in various pathologic conditions. PMID- 18127773 TI - Effects of pantothenic acid deficiency on the mandibular joints and periodontal structures of mice. PMID- 18127774 TI - [Oral hygiene]. PMID- 18127775 TI - [Technical requirements of the bridges around furniture]. PMID- 18127776 TI - [Not Available]. PMID- 18127777 TI - [Not Available]. PMID- 18127778 TI - [Not Available]. PMID- 18127779 TI - The colloidal red test as an index of liver dysfunction. PMID- 18127781 TI - Estimation of the portal circulation time in man. PMID- 18127780 TI - The influence of dibenamine upon circulatory reactions to ephedrine and neosynephrine in normal man. PMID- 18127782 TI - Deuterium oxide and thiocyanate spaces in protein depletion. PMID- 18127783 TI - Parenteral nutrition; the vasodepressor activity of soybean phosphatide preparations. PMID- 18127784 TI - Parenteral nutrition; fat emulsions for intravenous nutrition in man. PMID- 18127785 TI - The determination of true glucose in blood by reduction of ferricyanide; the production of a linear, reproducible color without the use of a stabilizing agent in macro- and microtechniques suitable for visual and photoelectric colorimetry. PMID- 18127786 TI - Simple test for the approximate estimation of blood creatinine and glucose in one procedure. PMID- 18127787 TI - A quantitative spinal fluid glucose micromethod for the pediatric ward laboratory. PMID- 18127788 TI - Acid phosphatase test for identification of seminal stains. PMID- 18127789 TI - Psychiatry in general medical practice. PMID- 18127790 TI - Role of the clinician in modern dermatology. PMID- 18127791 TI - Right extraperitoneal femoral hernia of the urinary tract; report of a case. PMID- 18127792 TI - Scout film of the abdomen in appendicitis. PMID- 18127793 TI - Dietary habits of a group of severe preeclamptics in Alabama. PMID- 18127794 TI - Modern management of prenatal syphilis and prevention of congenital syphilis. PMID- 18127795 TI - The radiology of rheumatic heart disease. PMID- 18127796 TI - Spontaneous pneumomediastinum in pregnancy. PMID- 18127797 TI - Fatal human case of canicola fever. PMID- 18127798 TI - Surgery in Parkinson's disease; division of lateral pyramidal tract for tremor; report on 48 operations. PMID- 18127799 TI - Para-amino-salicylic acid in pulmonary tuberculosis. PMID- 18127800 TI - Speech therapy. PMID- 18127801 TI - A rural outbreak of scarlet fever due to a non-notifiable carrier. PMID- 18127802 TI - [Not Available]. PMID- 18127803 TI - [Not Available]. PMID- 18127805 TI - [Not Available]. PMID- 18127804 TI - [Not Available]. PMID- 18127806 TI - [Not Available]. PMID- 18127807 TI - [Not Available]. PMID- 18127808 TI - [Not Available]. PMID- 18127809 TI - [Not Available]. PMID- 18127810 TI - [Not Available]. PMID- 18127811 TI - [Not Available]. PMID- 18127812 TI - [Not Available]. PMID- 18127813 TI - [Not Available]. PMID- 18127815 TI - [Not Available]. PMID- 18127814 TI - [Not Available]. PMID- 18127816 TI - [Not Available]. PMID- 18127817 TI - [Not Available]. PMID- 18127818 TI - [Not Available]. PMID- 18127819 TI - [Not Available]. PMID- 18127820 TI - [Not Available]. PMID- 18127821 TI - [Not Available]. PMID- 18127822 TI - [Introduction to the pathology of cerebrovascular disease]. PMID- 18127823 TI - [The purpose of 19 prefrontal lobotomies]. PMID- 18127824 TI - Primary atypical pneumonia; a report on 14 cases observed at the Royal Adelaide Hospital. PMID- 18127825 TI - A preliminary survey of the incidence of fibrinogen B in normal and diseased states. PMID- 18127826 TI - A case of acute haemorrhagic leucoencephalitis (Hurst) following atypical pneumonia, with a description of cultural and virus studies. PMID- 18127827 TI - An unusual dislocation. PMID- 18127828 TI - [Not Available]. PMID- 18127829 TI - [Not Available]. PMID- 18127831 TI - [Not Available]. PMID- 18127830 TI - [Not Available]. PMID- 18127832 TI - [Not Available]. PMID- 18127833 TI - [Not Available]. PMID- 18127834 TI - [Not Available]. PMID- 18127835 TI - [Not Available]. PMID- 18127836 TI - [Not Available]. PMID- 18127837 TI - [Not Available]. PMID- 18127838 TI - [Not Available]. PMID- 18127839 TI - [Not Available]. PMID- 18127840 TI - [Not Available]. PMID- 18127841 TI - [Not Available]. PMID- 18127842 TI - [Not Available]. PMID- 18127843 TI - [Not Available]. PMID- 18127844 TI - [Not Available]. PMID- 18127845 TI - [Not Available]. PMID- 18127846 TI - [Not Available]. PMID- 18127847 TI - [Not Available]. PMID- 18127848 TI - [Not Available]. PMID- 18127849 TI - [Not Available]. PMID- 18127850 TI - [Not Available]. PMID- 18127851 TI - [Not Available]. PMID- 18127852 TI - [Not Available]. PMID- 18127853 TI - [Not Available]. PMID- 18127854 TI - [Not Available]. PMID- 18127855 TI - Proposals for the extension of medical care. PMID- 18127856 TI - Skeletal traction in the treatment of traumatic anterior thoracic instability. PMID- 18127858 TI - Factors in the diagnosis of squint. PMID- 18127857 TI - Detection of early cancer of the cervix uteri by the Papanicolaou method; an analysis of 1,000 consecutive cases. PMID- 18127859 TI - [Not Available]. PMID- 18127860 TI - Treatment and prophylaxis of pulmonary embolism by vein interruption. PMID- 18127861 TI - Obstetrics in the Winchester Hospital, 1928-1947. PMID- 18127862 TI - Abdominal surgery. PMID- 18127863 TI - Oat-cell carcinoma of left main bronchus, with metastases to brain, liver, adrenal gland and lymph nodes. PMID- 18127864 TI - Adeno-carcinoma, left-upper-lobe bronchus. PMID- 18127865 TI - Histamine iontophoresis in the therapy of multiple sclerosis. PMID- 18127866 TI - Friedlander bacillus pneumonia treated with streptomycin. PMID- 18127867 TI - Spa therapy in diseases of the skin. PMID- 18127868 TI - The clinical import of blood cholinesterase determinations in cholinergic episodes and states in the human. PMID- 18127869 TI - Elusive mental cases; indecision. PMID- 18127870 TI - The role of bronchoscopy in the preoperative diagnosis of carcinoma of the lung. PMID- 18127871 TI - Treatment of menopause by estradiol pellet implantation. PMID- 18127872 TI - Treatment of itching dermatoses with an ointment containing 2% diphenhydramine (benadryl hydrochloride). PMID- 18127873 TI - Dissecting aortic aneurysms. PMID- 18127874 TI - The toxicity of sodium fluoride in man. PMID- 18127875 TI - Platelet response to vitamin B complex in the newborn period. PMID- 18127876 TI - Carcinoma of the extrahepatic bile ducts. PMID- 18127878 TI - Myocardial infarction in a 25 year-old male. PMID- 18127877 TI - Afibrinogenemia occurring in a case of malignancy of the prostate with bone metastases. PMID- 18127879 TI - Giant cell tumor of the patella encountered during treatment for patellar fracture. PMID- 18127880 TI - Subacute bacterial endocarditis. PMID- 18127881 TI - [Biologically active iron compounds]. PMID- 18127882 TI - [Non-haematogenous osteitis pubis]. PMID- 18127883 TI - [Tissue reaction (foreign-body reaction) to mucus and urine]. PMID- 18127884 TI - [Leiomyosarcoma of the stomach and the small intestine]. PMID- 18127885 TI - [Not Available]. PMID- 18127886 TI - [Not Available]. PMID- 18127887 TI - [Not Available]. PMID- 18127888 TI - [Not Available]. PMID- 18127889 TI - [Heart disease and pregnancy]. PMID- 18127890 TI - [Spinal anaesthesia in gynaecology and obstetrics]. PMID- 18127891 TI - [Pethidine in labour]. PMID- 18127892 TI - [Glycresin as muscle relaxant in combined anaesthesia]. PMID- 18127893 TI - [Examination of the spinal fluid in feebleminded]. PMID- 18127894 TI - [Treatment of cystic ovaries with stilbestrol]. PMID- 18127895 TI - [Nailing-treatment of pertrochanteric fractures]. PMID- 18127896 TI - [Post-operative course of collum nail]. PMID- 18127897 TI - [Not Available]. PMID- 18127898 TI - Cases illustrating some causes for failure in the management of patients with allergy. PMID- 18127899 TI - The use of histamine in Bell's palsy. PMID- 18127900 TI - Acute dermatitis and pneumonitis in beryllium workers; review of 406 cases in 8 year period with follow-up on recoveries. PMID- 18127901 TI - Trichinosis; a preventable disease. PMID- 18127902 TI - Ionizing radiations. PMID- 18127903 TI - The progress of anesthesiology in Ohio. PMID- 18127904 TI - [Not Available]. PMID- 18127905 TI - [Not Available]. PMID- 18127906 TI - [Not Available]. PMID- 18127907 TI - [Not Available]. PMID- 18127908 TI - Liver damage of metabolic origin. PMID- 18127909 TI - Discussion on the prevention of accidents. PMID- 18127910 TI - Discussion on Hirschsprung's disease. PMID- 18127911 TI - The place of the experimental method in medicine. PMID- 18127912 TI - Discussion on chronic diarrhoea, excluding tropical causes. PMID- 18127913 TI - Discussion on the place of artificial pneumothorax in the treatment of pulmonary tuberculosis. PMID- 18127914 TI - Dental caries in Norwegian children during and after the last World War; a preliminary report. AB - A preliminary report is submitted on the occurrence of dental caries in Norwegian children, during and after the World War.Dental examinations of 8,000 to 9,000 school children from different parts of Norway have been carried out each year from 1940 to 1948. It is concluded from the statistical results of the investigation that the caries frequency decreased steadily from year to year during the war. The reduction in the number of carious tooth surfaces per child from the beginning of the war to the lowest number some time after the war ended amounts to 50 to 75%.A study has also been undertaken on 600 to 700 children, 2(1/2) to 7 years old. The results in this younger group show even a greater reduction.In both groups the decrease is statistically significant.From 1946 the caries frequency has increased again in the school children as well as in the pre school children. In both groups the increase is statistically significant.The turn of the caries curve after the war differs according to the age-group.The cause of the decrease in caries frequency during the war and the cause of the increase after the war is discussed. Based on the rationing of the various food articles our tentative conclusion is that the decrease may be attributed to the lowering in consumption of refined carbohydrates and the increase in consumption of more natural foods, i.e. protective foods. This may have resulted in an increased resistance of the teeth and a reduction in the local factors which produce decay.More detailed studies of the change in caries frequency as well as of the change in food consumption and habit of living during and after the war are necessary before a definite conclusion can be drawn. Such studies are being continued. PMID- 18127915 TI - Addison's disease. PMID- 18127916 TI - Simmonds' disease following haematemesis; gastric ulcer. PMID- 18127917 TI - Post-traumatic pan-hypopituitarism. PMID- 18127918 TI - The use of adrenocorticotrophin in testing for adrenal insufficiency. PMID- 18127919 TI - Engelmann's disease. PMID- 18127920 TI - Fractured lunate bone replaced by plastic cast. PMID- 18127921 TI - Rupture of tuberculous paravertebral abscess into pleural cavity. PMID- 18127922 TI - Osteochondritis right talus. PMID- 18127923 TI - Elephantiasis nervorum. PMID- 18127924 TI - [Not Available]. PMID- 18127925 TI - [Not Available]. PMID- 18127926 TI - [Not Available]. PMID- 18127927 TI - [Not Available]. PMID- 18127928 TI - [Not Available]. PMID- 18127929 TI - [Not Available]. PMID- 18127930 TI - [Not Available]. PMID- 18127931 TI - [Not Available]. PMID- 18127932 TI - [Not Available]. PMID- 18127933 TI - [Not Available]. PMID- 18127934 TI - [Not Available]. PMID- 18127935 TI - [Not Available]. PMID- 18127936 TI - [Not Available]. PMID- 18127937 TI - [Not Available]. PMID- 18127938 TI - Gaza [illust]. PMID- 18127939 TI - [Not Available]. PMID- 18127940 TI - [Not Available]. PMID- 18127941 TI - [Not Available]. PMID- 18127942 TI - [Not Available]. PMID- 18127943 TI - [Not Available]. PMID- 18127944 TI - [Not Available]. PMID- 18127946 TI - [Prolapse of the remnant uterine cervix; transvaginal surgical technique]. PMID- 18127945 TI - [Contribution to the radiological diagnosis of herniated nucleus pulposus]. PMID- 18127947 TI - [Differential diagnosis between the eclamptic seizures and convulsions produced by arsenical encephalopathy in pregnant women]. PMID- 18127948 TI - [What is a man psychically normal?]. PMID- 18127949 TI - [Comparative anatomy of testicular localiza2cao: testaculos animals with intra abdominal (testiconda) testaculos animals with extra-abdominal (temporary and permanent) cryptorchidism in animals]. PMID- 18127950 TI - [Interpretation of test sediment duodenal juices]. PMID- 18127951 TI - [Not Available]. PMID- 18127952 TI - [Not Available]. PMID- 18127954 TI - [Not Available]. PMID- 18127953 TI - [Not Available]. PMID- 18127955 TI - [Not Available]. PMID- 18127956 TI - [Not Available]. PMID- 18127957 TI - [Not Available]. PMID- 18127958 TI - [Not Available]. PMID- 18127959 TI - [Not Available]. PMID- 18127961 TI - [Not Available]. PMID- 18127960 TI - [Not Available]. PMID- 18127962 TI - [Not Available]. PMID- 18127963 TI - [Not Available]. PMID- 18127964 TI - [Not Available]. PMID- 18127965 TI - [Not Available]. PMID- 18127966 TI - [Not Available]. PMID- 18127967 TI - [Not Available]. PMID- 18127968 TI - [Not Available]. PMID- 18127969 TI - [Not Available]. PMID- 18127970 TI - [Not Available]. PMID- 18127971 TI - [Not Available]. PMID- 18127972 TI - [Not Available]. PMID- 18127973 TI - [Not Available]. PMID- 18127974 TI - [Not Available]. PMID- 18127975 TI - A case of Kaposi's varicelliform eruption (systemic herpes simplex) with dendritic ulceration of the cornea. PMID- 18127976 TI - A simple method of staining urinary sediment; preliminary report. PMID- 18127977 TI - Improved technique for flotation of tissue sections. PMID- 18127978 TI - The nocturnal gastric secretion in patients with gastric carcinoma; a comparison with normal individuals and patients with duodenal ulcer and with gastric ulcer. PMID- 18127979 TI - [Not Available]. PMID- 18127980 TI - Anthracosilicosis and its symptomatic treatment. PMID- 18127981 TI - The approach to the X-ray film. PMID- 18127982 TI - Pathologic conscious states. PMID- 18127983 TI - Some clinical expressions of sarcoidosis (Boeck). PMID- 18127984 TI - Primary hyperparathyroidism with parathyroid adenoma; report of a case. PMID- 18127985 TI - Research progress on the common cold. PMID- 18127986 TI - Etiology of congenital malformations. PMID- 18127987 TI - Recommended terms and definitions for cells of the erythrocytic series. PMID- 18127988 TI - An experimental study on the influence of different vehicles on the generalized and topical effect of penicillin G. PMID- 18127989 TI - Status of the field factor in biology. PMID- 18127990 TI - Gross efficiency of growth of the rat as a simple mathematical function of time. PMID- 18127991 TI - Digitoxin; a critical review. PMID- 18127992 TI - Elevated environmental temperature; its possible influence on the action of spreading factor. PMID- 18127993 TI - The establishment of a child guidance clinic in an Army general hospital. PMID- 18127994 TI - Medical public speaking. PMID- 18127995 TI - Tropical eosinophilia. PMID- 18127996 TI - Differential diagnostic problems with bronchogenic carcinoma. PMID- 18127997 TI - Infected pilonidal cysts and sinuses. PMID- 18127998 TI - Aeromedical aspects of jet propelled aircraft. PMID- 18127999 TI - Congenital eventration in a premature infant. PMID- 18128000 TI - RECOMMENDED invalidings for a selected group. PMID- 18128001 TI - HODGKIN'S DISEASE. PMID- 18128002 TI - Treatment of shock and soft tissue wounds. PMID- 18128003 TI - Abdominal trauma. PMID- 18128005 TI - Factors in hospital staff planning; education and research. PMID- 18128004 TI - Routine care of decubitus ulcers in paraplegia. PMID- 18128006 TI - [Not Available]. PMID- 18128007 TI - [Not Available]. PMID- 18128008 TI - [Not Available]. PMID- 18128009 TI - [Not Available]. PMID- 18128010 TI - A psychophysical interpretation of instinct action. PMID- 18128011 TI - [Not Available]. PMID- 18128012 TI - [Not Available]. PMID- 18128013 TI - Evaluation of progress in established physicochemical treatments in neuropsychiatry; the use of insulin in mental illness. PMID- 18128015 TI - Grief reactions and their treatment. PMID- 18128014 TI - Electroencephalography in the diagnosis of hearing loss in the very young child. PMID- 18128016 TI - Studies of depression, repression and inhibition. PMID- 18128017 TI - Neurotic patterns of competition. PMID- 18128018 TI - Intrathecal alcohol in the treatment of spastic paraplegia. PMID- 18128019 TI - Unilateral hydrocephalus resulting from occlusion of foramen of Monro; complication of radical removal of brain abscess. PMID- 18128020 TI - Further studies on the treatment of experimental hydrocephalus; attempts to drain the cerebrospinal fluid into the pleural cavity and the thoracic duct. PMID- 18128021 TI - Intracranial aneurysms; some clinical observations concerning their development. PMID- 18128022 TI - The role of complete cerebral angiography in neurosurgery. PMID- 18128023 TI - A new operation for the treatment of communicating hydrocephalus; report of a case secondary to generalized meningitis. PMID- 18128024 TI - Spinal extradural cyst. PMID- 18128025 TI - Spinal extradural cyst; case report and tabulation of previously reported cases. PMID- 18128026 TI - Actinomycotic brain abscess; complete excision with recovery. PMID- 18128027 TI - Extradural spinal cyst; a case report. PMID- 18128028 TI - Varieties of psychotherapeutic competence. PMID- 18128029 TI - Neurotic sleep disturbances in children. PMID- 18128030 TI - Sleep disorders in institutionalized disturbed children and delinquent boys. PMID- 18128031 TI - The relation of epilepsy to pathologic sleep. PMID- 18128032 TI - Mental hygiene of sleep in children. PMID- 18128033 TI - The school child. PMID- 18128035 TI - Chronic lumbo-sacral pain in women. PMID- 18128034 TI - UNANIMOUS second reading of the Nurses Bill. PMID- 18128036 TI - The energy expenditure of boys and girls 9 to 11 years of age, sitting listening to the radio, sitting singing, and standing singing. PMID- 18128037 TI - Pteroylglutamic acid and reproduction in the rat. PMID- 18128038 TI - The effects of thiouracil on metabolism. PMID- 18128039 TI - Simultaneous surveys of food consumption in various camps in the United States Army. PMID- 18128040 TI - The production of biotin deficiency in the mouse. PMID- 18128041 TI - The wrist stiffness syndrome in guinea pigs. PMID- 18128042 TI - Ovulation, fertilization, and transport of ova in old, vitamin E deficient rats. PMID- 18128043 TI - Persistence and hyperplasia of primary vitreous; retrolental fibroplasia; two entities. PMID- 18128044 TI - Histopathologic aspects of retrolental fibroplasia. PMID- 18128045 TI - Divergence insufficiency as a practical problem. PMID- 18128046 TI - Production of cataract in rats by beta-tetralol and other derivatives of naphthalene. PMID- 18128047 TI - Use of antihistaminic drugs in control of atropine dermatitis and conjunctivitis. PMID- 18128048 TI - Voluntary dissociation of the accommodation and the convergence faculty; two observations. PMID- 18128049 TI - A surgical approach to the inferior oblique muscle. PMID- 18128051 TI - Treatment of pediculosis ciliaris with anticholinesterase agents; report of a case. PMID- 18128050 TI - Studies of the eye with radiosodium autographs. PMID- 18128052 TI - Intravitreal use of streptomycin. PMID- 18128053 TI - Death from eye disease and occurrences of death in ophthalmological practice. PMID- 18128054 TI - [Not Available]. PMID- 18128055 TI - On ocular symptoms in arterial hypertension. PMID- 18128056 TI - [Not Available]. PMID- 18128057 TI - [Not Available]. PMID- 18128058 TI - [Not Available]. PMID- 18128059 TI - [Not Available]. PMID- 18128061 TI - [Not Available]. PMID- 18128060 TI - [Not Available]. PMID- 18128062 TI - Antibiotics in the treatment of diseases of the ear, nose and throat. PMID- 18128063 TI - Diagnosis of malignancy of the nasopharynx; cytological studies by the smear technic. PMID- 18128064 TI - The relation between hearing loss for specific frequencies and the distance at which speech can be identified. PMID- 18128065 TI - Tantalum in rhinoplastic surgery. PMID- 18128066 TI - Anesthesia in fenestration surgery. PMID- 18128067 TI - Chondroma and chondrosarcoma of the larynx. PMID- 18128068 TI - Some physical problems in conduction deafness. PMID- 18128069 TI - Amyloid tumors of the larynx, trachea or bronchi; a report of 15 cases. PMID- 18128070 TI - Cancellous bone grafts in nasal repair. PMID- 18128071 TI - Angiosarcoma; a review of the literature. PMID- 18128072 TI - Carcinoma of the antrum; report of nine cases with a 10-year survey of literature. PMID- 18128073 TI - Penicillin aerosol therapy in sinusitis. PMID- 18128074 TI - Nasoalveolar cysts. PMID- 18128075 TI - Neurinoma of the facial nerve in the parotid gland. PMID- 18128076 TI - Congenital posterior choanal occlusion. PMID- 18128077 TI - Factors causing delay in the diagnosis of lymphoblastoma. PMID- 18128078 TI - Histoplasmosis of the larynx. PMID- 18128079 TI - Nontraumatic aneurysm of the first portion of the right vertebral artery associated with vocal cord paralysis. PMID- 18128080 TI - Location and removal of broken needle in tonsillar fossa. PMID- 18128081 TI - Otitic hydrocephalus. PMID- 18128082 TI - Foreign body (twig) in the nose. PMID- 18128083 TI - A new self-retaining retractor for use in endaural surgery. PMID- 18128084 TI - Food allergy as a cause of myalgia of the posterior cervical muscles. PMID- 18128085 TI - The superior and recurrent laryngeal nerves; clinical considerations. PMID- 18128086 TI - Methods of audiometry in a modern deafness clinic. PMID- 18128088 TI - The turning test with small regulable stimuli; is Ewald's law valid in men? PMID- 18128087 TI - A clinical survey into the effects of turbo-jet engine noise on service personnel. PMID- 18128089 TI - The turning test with small regulable stimuli; deviations in the cupulogram; preliminary note on the pathology of cupulometry. PMID- 18128090 TI - An unusual case of Meniere's disease. PMID- 18128091 TI - Rift Valley fever; the neurotropic adaptation of the virus and the experimental use of this modified virus as a vaccine. PMID- 18128092 TI - Hyperplasia of the parathyroids associated with osteitis fibrosa in rats treated with thiouracil and related compounds. PMID- 18128093 TI - Thyrotropic hormone in thyrotoxicosis, malignant exophthalmos and myxoedema. PMID- 18128094 TI - The effect of acridine compounds on mitosis and oxygen consumption in the isolated brain of the embryonic chick. PMID- 18128095 TI - Rift Valley fever; transmission of the virus by mosquitoes. PMID- 18128096 TI - The effect of heat upon diphtheria toxoid-antitoxin floccules. PMID- 18128097 TI - The Lewis blood groups of 79 families. PMID- 18128098 TI - Vitamin B12 therapy in megaloblastic anemia of infancy. PMID- 18128099 TI - Glycogen disease of the liver; with report of a case. PMID- 18128100 TI - The influence of acute infection upon the course of allergy in children; some clinical observations. PMID- 18128101 TI - Hyaluronidase in pediatrics. PMID- 18128102 TI - [Not Available]. PMID- 18128103 TI - Studies on antibiotics in the cerebrospinal fluid; the inhibitory effect of normal cerebrospinal fluid on the antibacterial action of streptomycin. PMID- 18128104 TI - Congenital sarcoma. PMID- 18128105 TI - Cirrhosis of the liver in children; a clinical and pathologic study of 40 cases. PMID- 18128106 TI - Thephorin; clinical results in allergic children. PMID- 18128107 TI - Congenital cystic disease of lung in infancy; report of a case with necropsy findings. PMID- 18128108 TI - Tetanus of the newborn infant; report of a case with recovery. PMID- 18128109 TI - A case of hemolytic anemia in a premature infant. PMID- 18128110 TI - Chronic pyuria (congenital defect) presacral sympathectomy. PMID- 18128111 TI - Cortical carcinoma of the adrenal gland. PMID- 18128112 TI - The home care of the premature infant. PMID- 18128113 TI - Trend of infant mortality and measures for further reduction. PMID- 18128114 TI - [Not Available]. PMID- 18128115 TI - [Not Available]. PMID- 18128116 TI - [Not Available]. PMID- 18128117 TI - [Not Available]. PMID- 18128118 TI - [Not Available]. PMID- 18128119 TI - [Not Available]. PMID- 18128120 TI - [Not Available]. PMID- 18128121 TI - [Not Available]. PMID- 18128122 TI - [Not Available]. PMID- 18128123 TI - [Not Available]. PMID- 18128124 TI - [Not Available]. PMID- 18128125 TI - [Not Available]. PMID- 18128126 TI - [Not Available]. PMID- 18128128 TI - Official standards for containers for injection. PMID- 18128127 TI - Chemical durability of glass and glass containers. PMID- 18128129 TI - Glass durability tests; effect of shape and size of containers for injections. PMID- 18128130 TI - Proposed method for the measurement of pH with the glass electrode. PMID- 18128131 TI - Notes on levigating agents and incorporation procedures for compounding ointments. PMID- 18128132 TI - Trends in pharmacology. PMID- 18128133 TI - [Not Available]. PMID- 18128134 TI - [Not Available]. PMID- 18128135 TI - Phosphatase in dogs following bile obstruction and removal of the small intestine. PMID- 18128136 TI - Serum and bile phosphatase in biliary fistula dogs. PMID- 18128137 TI - Serum phosphatase after nephrectomy and bile obstruction in dogs. PMID- 18128138 TI - Effect on blood pressure of enzymatic casein digest. PMID- 18128139 TI - Phosphorylation and adenine nucleotide uptake of actomyosin and actin-free myosin. PMID- 18128140 TI - The effect of DFP on respiration, blood pressure and muscular function in the rabbit. PMID- 18128141 TI - Effects of adrenaline and ergotamine on the oxygen consumption. PMID- 18128142 TI - The effect of adrenochrome on sympathetic nerve stimulation. PMID- 18128143 TI - New method for measuring the arterio-venous oxygen difference by means of photoelectrical colorimeter. PMID- 18128144 TI - A simplified method for the determination of circulating red-cell volume with radioactive phosphorus. PMID- 18128145 TI - The effects of glucose on the action of the rat diaphragm. PMID- 18128146 TI - The measurement of the temperature at the eardrum during the caloric test of the labyrinth. PMID- 18128147 TI - The effect of sodium ions on the electrical activity of giant axon of the squid. PMID- 18128148 TI - Intensity of discrimination of the central fovea measured with small fields. PMID- 18128149 TI - The effects of a vitaminosis and hypervitaminosis A upon the incisor teeth and incisal alveolar bone of rats. PMID- 18128150 TI - An apparatus for recording the output and coronary flow in the heart-lung preparation. PMID- 18128151 TI - The relation between the motor and inhibitor actions of acetylcholine. PMID- 18128152 TI - An artificial circulation. PMID- 18128153 TI - A method of measuring biological outflows using a simple siphon and electronic recording. PMID- 18128154 TI - Double action of acetylcholine on cardiac and vascular tissue. PMID- 18128155 TI - Relationship between force and speed in the human muscle. PMID- 18128156 TI - Effect of increasing plasma levels on tubular excretion of diodone. PMID- 18128157 TI - Some actions of calcium and potassium in the rat diaphragm. PMID- 18128158 TI - The inhibitory effect of fluoroacetate and the tricarboxylic cycle. PMID- 18128159 TI - Some features of the response of the heart rate to exercise in patients with auricular fibrillation. PMID- 18128160 TI - Effect of surface-active substances on the liberation of enzymes from rabbit polymorphonuclear leucocytes. PMID- 18128161 TI - 1-Adrenaline and 1-noradrenaline. PMID- 18128162 TI - Production of ulcerative colitis in dogs by the prolonged administration of mecholyl. PMID- 18128163 TI - The antidiuretic hormone in the urine in experimental and clinical hypertension. PMID- 18128164 TI - Broncho-constriction in isolated perfused dog lungs in response to inhalation of ammonia. PMID- 18128165 TI - Coronary vein catheterization in man. PMID- 18128166 TI - Changes in the liver during pregnancy and lactation. PMID- 18128167 TI - Elastic properties of normal and rachitic rat femora. PMID- 18128168 TI - Histamine test for gastric secretory function in cats. PMID- 18128169 TI - An oxygenator for use with closed circuit for measurement of oxygen consumption. PMID- 18128170 TI - Haemolysis with paludrine and its acceleration in the haemocytometer chamber. PMID- 18128171 TI - The role of carbon dioxide in the secretion of hydrogen and bicarbonate ions. PMID- 18128172 TI - Pathways of afferent impulses from the chemoceptors of the aortic body in the cat. PMID- 18128173 TI - A method for the explanation of the right kidney in the dog. PMID- 18128174 TI - Arrangement for obtaining X-ray diffraction patterns of irrigated mammalian tissues at controlled temperatures. PMID- 18128175 TI - Cytological changes in the columnar epithelial cells of the rat's small intestine during fat absorption. PMID- 18128176 TI - The induction of the deficiency pattern in intestinal radiographs of normal human subjects. PMID- 18128177 TI - An instrument for accurate reading of an improved Meyerstein haematocrit tube. PMID- 18128178 TI - Blood flow in the circle of Willis. PMID- 18128179 TI - Problems of psychometric scatter analysis. PMID- 18128180 TI - Historical beginnings of child psychology. PMID- 18128181 TI - The appraisal of child personality. PMID- 18128182 TI - There is more than one kind of learning. PMID- 18128183 TI - Superstitious behavior in animals. PMID- 18128184 TI - Administrative practice. PMID- 18128185 TI - Professional education. PMID- 18128186 TI - The control of typhoid carriers. PMID- 18128187 TI - Standard methods for the examination of dairy products. PMID- 18128188 TI - Public health significance, distribution and control of air-borne pollens. PMID- 18128189 TI - Municipal public health engineering. PMID- 18128190 TI - Rural sanitation. PMID- 18128191 TI - Water supply. PMID- 18128192 TI - Camps and camping. PMID- 18128193 TI - The virus of poliomyelitis; its distribution and methods of spread. PMID- 18128195 TI - Poliomyelitis; epidemiology and preventive measures. PMID- 18128194 TI - Poliomyelitis in Johannesburg. PMID- 18128196 TI - Public health developments in South Africa. PMID- 18128197 TI - Malnutrition in South Africa. PMID- 18128198 TI - Field control of a municipal milk supply. PMID- 18128199 TI - The problems connected with houseboats as these concern a seaside resort. PMID- 18128200 TI - The purification and control of swimming bath water. PMID- 18128201 TI - The present housing problem; is new legislation necessary? PMID- 18128202 TI - Occupational health; its place within the framework of a public health department. PMID- 18128204 TI - Doctorate theses reported by graduate departments of health, physical education and recreation, 1930-1946, inclusively. PMID- 18128203 TI - Q fever studies in Southern California; effects of pasteurization on survival of C. burneti in naturally infected milk. PMID- 18128205 TI - Study of a series of physical education tests by factor analysis. PMID- 18128206 TI - Medical research in physical education in South Africa. PMID- 18128207 TI - Simulanten. PMID- 18128208 TI - Testosterone propionate in the treatment of breast cancer. PMID- 18128209 TI - The relation of the cardiac volume to the weight and surface area of the body, the blood volume and the physical capacity for work. PMID- 18128210 TI - The condition of the cardiac volume during pregnancy. PMID- 18128211 TI - The roentgen examination of the larynx of children suffering from false croup. PMID- 18128212 TI - Hidrosadenitis axillaris and its roentgen treatment; optimum total dose and intenseness. PMID- 18128213 TI - On the roentgen aspect of prostatic atrophy. PMID- 18128214 TI - An arteriographic demonstration of collaterals between internal and external carotid arteries. PMID- 18128215 TI - Some aspects on the technique of encephalography. PMID- 18128216 TI - The vascularisation of the human stomach; a preliminary note on the shunting effect of trauma. PMID- 18128217 TI - The diagnosis of chronic subdural haematoma in children and adolescents. PMID- 18128218 TI - An aluminium filter for use in localisation of the placental site. PMID- 18128219 TI - Cysticerocosis; discussion and presentation of a case. PMID- 18128220 TI - The influence of tumour histology, duration of symptoms and age of patient on the radiocurability of cervix tumours. PMID- 18128221 TI - The integral dose received from a uniformly distributed radioactive isotope. PMID- 18128222 TI - Some experiments with a 14 Mev. betasynchrotron. PMID- 18128223 TI - A method of estimating the time at which a counting rate changes, using a Geiger Muller counter. PMID- 18128224 TI - The value of streptomycin in the treatment of tuberculosis. PMID- 18128225 TI - Surgical treatment of emphysematous blebs and bullae. PMID- 18128226 TI - Tetralogy of Fallot; surgical treatment. PMID- 18128227 TI - The importance of various mechanical and circulatory postoperative pulmonary complications. PMID- 18128228 TI - Abstract of replies to a questionnaire on intrapleural artificial pneumothorax. PMID- 18128229 TI - Treatment of aortic aneurysms by wrapping with foreign body. PMID- 18128230 TI - Nutrition in far advanced tuberculosis; a preliminary study. PMID- 18128231 TI - Cervical vagus; sympathetic block in pulmonary embolism. PMID- 18128232 TI - [Not Available]. PMID- 18128233 TI - [Not Available]. PMID- 18128234 TI - [Not Available]. PMID- 18128235 TI - [Not Available]. PMID- 18128237 TI - [Not Available]. PMID- 18128236 TI - [Not Available]. PMID- 18128238 TI - [Not Available]. PMID- 18128239 TI - [Not Available]. PMID- 18128240 TI - [Not Available]. PMID- 18128241 TI - [Not Available]. PMID- 18128242 TI - [Not Available]. PMID- 18128243 TI - [Not Available]. PMID- 18128244 TI - Spinal injuries; their recognition and management. PMID- 18128245 TI - Extraperitoneal cesarean section; supravesical and paravesical approach; report on 22 consecutive cases. PMID- 18128246 TI - Gallbladder disease among Filipinos with a report on ascariasis of the biliary tract. PMID- 18128247 TI - Subcutaneous injuries of the abdominal viscera. PMID- 18128248 TI - Factors influencing selection of operation for carcinoma of the lower portion of colon and the rectum. PMID- 18128249 TI - Tumors of the neck. PMID- 18128250 TI - Plastic procedures for the general surgeon. PMID- 18128251 TI - Cancer of the cervix as seen in a rural community. PMID- 18128252 TI - Management of cranial cerebral injuries. PMID- 18128253 TI - Incorrect knot-tying, cause for broken sutures. PMID- 18128254 TI - Progressive resistance exercises in cup arthroplasties of the hip. PMID- 18128255 TI - Potassium in denervated, treated and nontreated muscle. PMID- 18128256 TI - Instrumentation in relation to electromyography; a discussion of instrumentation requirements for high fidelity electromyographic recording using skin electrodes. PMID- 18128257 TI - Some implications of atomic energy in physical medicine. PMID- 18128258 TI - [Not Available]. PMID- 18128259 TI - [Not Available]. PMID- 18128260 TI - [Not Available]. PMID- 18128261 TI - The treatment of amoebic liver abscess with chloroquine. PMID- 18128262 TI - [Not Available]. PMID- 18128263 TI - [Not Available]. PMID- 18128264 TI - [Not Available]. PMID- 18128265 TI - [Not Available]. PMID- 18128267 TI - [Not Available]. PMID- 18128266 TI - [Not Available]. PMID- 18128268 TI - [Not Available]. PMID- 18128269 TI - [Not Available]. PMID- 18128270 TI - [Not Available]. PMID- 18128271 TI - Stimulating venereal disease morbidity reporting by private physicians; follow-up of positive serologic test reports. PMID- 18128272 TI - Syphilis contact investigation in a rural county in Mississippi. PMID- 18128273 TI - A stable control serum for standardizing the sensitivity of tests used in the diagnosis and control of syphilis. PMID- 18128274 TI - An outbreak of pseudomonas infection in poults. PMID- 18128275 TI - Encephalomyelitis in possible allergic etiology in mice injected with rabies vaccine. PMID- 18128276 TI - Initial observations on the incidence of Johne's disease in Barbados, B.W.I. PMID- 18128277 TI - Rumenotomy for the removal of placental membranes. PMID- 18128278 TI - The penicillin concentration in milk following insertion of penicillin bougies into the bovine udder. PMID- 18128279 TI - [Not Available]. PMID- 18128280 TI - [Not Available]. PMID- 18128281 TI - [Not Available]. PMID- 18128283 TI - [Not Available]. PMID- 18128282 TI - [Not Available]. PMID- 18128284 TI - Transplantation of pacinian bodies in the brain and thigh of the cat; an experimental study. PMID- 18128285 TI - [Not Available]. PMID- 18128286 TI - [Not Available]. PMID- 18128287 TI - Apparatus for measuring radioactivity in histological preparations. PMID- 18128288 TI - [Not Available]. PMID- 18128289 TI - [Not Available]. PMID- 18128290 TI - Effect of oenethyl on respiration and on blood pressure in anesthetized dogs. PMID- 18128292 TI - Anesthesia in dental surgery for the cardiac patient. PMID- 18128291 TI - Use of a new curarizing drug; dimethyl ether of d-tubocurarine iodide as an adjunct to anesthesia. PMID- 18128293 TI - Prolonged spinal analgesia with epinephrine, pontocaine and dextrose. PMID- 18128295 TI - Anesthesia for cancerous patients. PMID- 18128294 TI - Antagonism of pyruvic acid polymers to pentobarbital anesthesia. PMID- 18128296 TI - Xylocaine for conduction anesthesia. PMID- 18128297 TI - Respiratory arrest with cyanosis caused by intracranial injection of nupercaine. PMID- 18128298 TI - [Not Available]. PMID- 18128299 TI - The responses of amblystoma larvae with the midbrain replaced by a supernumerary medulla. PMID- 18128300 TI - Production of the silvery smolt stage in rainbow trout by intramuscular injection of mammalian thyroid extract and thyrotropic hormone. PMID- 18128301 TI - Some physiological after-effects of X-radiation. PMID- 18128302 TI - Experiments on the hair slope and hair pattern in rats. PMID- 18128303 TI - Relation between ion action and osmotic pressure on a ciliated protozoan. PMID- 18128304 TI - The alkaline phosphatase of the developing grasshopper egg. PMID- 18128305 TI - [I. M. Sechenov's theory on the central summation of stimulation]. PMID- 18128306 TI - [Regulation of the development of the breast]. PMID- 18128307 TI - [Embryonal development of the autonomic nervous system in vertebrates]. PMID- 18128309 TI - [Effects of pain stimulations]. PMID- 18128308 TI - [Microorganisms as biological indicators for vitamins]. PMID- 18128310 TI - [Alloxan diabetes]. PMID- 18128311 TI - [Problems of the origin and evolution of freshwater fauna]. PMID- 18128312 TI - [Thyroid gland and reaction to hormones]. PMID- 18128313 TI - [Defensive ferments as repressors of cancerous tumors]. PMID- 18128314 TI - [Problems of evolutive histology]. PMID- 18128315 TI - The mortality from cancer of the skin and lip in certain occupations. PMID- 18128316 TI - The treatment of retinal glioma. PMID- 18128317 TI - Further observations on the protection effect in radiation chemistry. PMID- 18128318 TI - Urinary cholesterol in cancer; urinary cholesterol excretion in cancer patients and control subjects. PMID- 18128319 TI - Urinary cholesterol in cancer; chemical state of urinary cholesterol and methods of estimation. PMID- 18128320 TI - A qualitative study of urinary 17-ketosteroids in normal males and in men with prostatic disease. PMID- 18128321 TI - The cultivation of tumours in the fertile egg, with special reference to associated ectodermal lesions of the chorioallantoic membrane. PMID- 18128322 TI - Intranasal administration of mammary tumour milk factor. PMID- 18128323 TI - Inhibition of the carcinogenic properties of urethane by pentose nucleotides. PMID- 18128324 TI - The induction of mutations by a carcinogen. PMID- 18128325 TI - An experimental study of the initiating state of carcinogenesis, and a re examination of the somatic cell mutation theory of cancer. PMID- 18128326 TI - The induction of tumours with nitrogen mustards. PMID- 18128327 TI - Investigations on the serum proteins in rats during the development of hepatic tumours due to feeding p-dimethylaminoazobenzene. PMID- 18128328 TI - The effect of 1:2:5:6-dibenzanthracene on the ascorbic acid content of the liver of rats maintained on high and low protein diets. PMID- 18128329 TI - Experiments on the identification of 3:4-benzpyrene in domestic soot by means of the fluorescence spectrum. PMID- 18128330 TI - Light scattering as a measure of particle size in aerosols; the production of monodisperse aerosols. PMID- 18128331 TI - Nuclei in evaporation and condensation. PMID- 18128332 TI - The formation of ice crystals in the laboratory and the atmosphere. PMID- 18128333 TI - On the nature and size of particles in haze, fog, and stratus of the Los Angeles region. PMID- 18128334 TI - The laws of deposition and the effectiveness of insecticidal aerosols. PMID- 18128335 TI - The dispersion and deposition of aerosols. PMID- 18128336 TI - [Not Available]. PMID- 18128337 TI - [Not Available]. PMID- 18128338 TI - [Not Available]. PMID- 18128339 TI - Electronic methods of counting aerosol particles. PMID- 18128341 TI - Report of Committee on Atomic Weights. PMID- 18128340 TI - The preparation and measurement of the concentration of dilute bacterial aerosols. PMID- 18128342 TI - The electrophoretic properties of plakalbumin. PMID- 18128343 TI - Stereoisomeric substituted 11-keto-20-hydroxypregnanes. PMID- 18128344 TI - Senecio alkaloids: alpha- and beta-longilobine from Senecio longilobus. PMID- 18128345 TI - The synthesis and microbiological properties of beta-3-thienylalanine, a new antiphenylalanine. PMID- 18128346 TI - Esters of nitrogen-substituted p-aminobenzoic acid. PMID- 18128347 TI - The separation of choline esterase, mucoprotein, and metal-combining protein into subfractions of human plasma. PMID- 18128348 TI - Preparation and properties of serum and plasma proteins; interactions with bilirubin. PMID- 18128349 TI - The photochemical iodine-sensitized cis-trans isomerization of dichloroethylene. PMID- 18128351 TI - The Gattermann-Koch reaction; the formylation of isopropylbenzene under pressure. PMID- 18128350 TI - Furan and tetrahydrofuran derivatives; the synthesis of the sulfonic acid analogs of oxybiotin and homooxybiotin. PMID- 18128352 TI - The analgesic activity of some benzoxazolone derivatives. PMID- 18128353 TI - Streptomycin; streptamine isomers form meso-inositol. PMID- 18128354 TI - The preparation of the six n-octynoic acids. PMID- 18128355 TI - Native aspen lignin. PMID- 18128356 TI - A family of long-acting depressors. PMID- 18128357 TI - Antihistaminics; some ethylene diamines and an aminoether. PMID- 18128358 TI - Raman frequencies of n-paraffin molecules. PMID- 18128359 TI - Sodium triisopropyl benzenesulfonate as a colloidal electrolyte. PMID- 18128360 TI - The distillation of mixtures containing diborane and the identification of two azeotropes. PMID- 18128361 TI - Ultraviolet absorption spectra of nicotine, nornicotine and some of their derivatives. PMID- 18128362 TI - Morphine studies; the synthesis of a tetralin-piperidine fused-ring system. PMID- 18128363 TI - Biophysical studies of blood plasma proteins; separation and properties of the immune globulins of the sera of hyperimmunized cows. PMID- 18128364 TI - Derived steroids; 5-androsten-17-ol-3-carboxylic acid. PMID- 18128365 TI - The structure of neoprene; determination of end-groups by means of radiosulfur. PMID- 18128366 TI - The synthesis of triazole analogs of histamine and related compounds. PMID- 18128368 TI - The liquidus curve for aluminum in mercury. PMID- 18128367 TI - Streptomyces antibiotics; configuration of streptose and streptobiosamine. PMID- 18128369 TI - The ultraviolet absorption spectra of some pyrimidines; chemical structure and the effect of pH on the position of lambda max. PMID- 18128370 TI - Aldehydo-D-galactose heptaacetate and aldehydo-D-xylose hexaacetate form acetolysis of guaran and xylan. PMID- 18128372 TI - Concerning the structure of D-glucosone. PMID- 18128371 TI - Sulfate esters as intermediates in the formation of 7-dehydrocholesterol and dicholesteryl ether. PMID- 18128373 TI - N-substituted 2,4:3,5-dimethylene-D-gluconamides. PMID- 18128374 TI - The structure of khellin. PMID- 18128375 TI - The configuration at the 20-position in certain steroids. PMID- 18128376 TI - Methylation of guar polysaccharide. PMID- 18128377 TI - The nucleotide composition of ribonucleic acids. PMID- 18128378 TI - Identification of crystalline vitamin B12a. PMID- 18128379 TI - Polarographic determination of the molecular weight of serum albumin by its effect on the diffusion current of methyl orange. PMID- 18128380 TI - Low temperature radiation pyrometry in industry. PMID- 18128381 TI - Out of focus diffraction patterns. PMID- 18128382 TI - The effect of finite aperture on the fringe intensity distribution of Fabry Perot interferometers. PMID- 18128383 TI - The color perceptions of deuteranopic and protanopic observers. PMID- 18128384 TI - Spectrographic analysis of high cobalt (vitallium) alloys. PMID- 18128385 TI - Optical and electrical alterations to a Michigan microphotometer. PMID- 18128386 TI - [Not Available]. PMID- 18128387 TI - [Not Available]. PMID- 18128388 TI - [Not Available]. PMID- 18128389 TI - [Not Available]. PMID- 18128390 TI - [Not Available]. PMID- 18128391 TI - [Not Available]. PMID- 18128392 TI - [Not Available]. PMID- 18128393 TI - The effect of methylthiouracyl on food intake and selection. PMID- 18128394 TI - [Not Available]. PMID- 18128395 TI - [Not Available]. PMID- 18128396 TI - Twenty-five easy ways of keeping out of trouble in oral surgery. PMID- 18128397 TI - A bacteriological survey of dental impression materials. PMID- 18128399 TI - Glossodynia. PMID- 18128398 TI - [Not Available]. PMID- 18128400 TI - Charcoal impregnation. PMID- 18128401 TI - [Not Available]. PMID- 18128402 TI - [Not Available]. PMID- 18128403 TI - [Not Available]. PMID- 18128404 TI - [Not Available]. PMID- 18128405 TI - [Not Available]. PMID- 18128406 TI - [Not Available]. PMID- 18128407 TI - [Not Available]. PMID- 18128408 TI - [Not Available]. PMID- 18128409 TI - [Not Available]. PMID- 18128410 TI - [Not Available]. PMID- 18128412 TI - [Not Available]. PMID- 18128411 TI - [Not Available]. PMID- 18128413 TI - [Not Available]. PMID- 18128414 TI - [Not Available]. PMID- 18128415 TI - [Not Available]. PMID- 18128416 TI - Report of a recent medical journey through Europe. PMID- 18128417 TI - Recurrence of peptic ulcer in man as affected by treatment with an enterogastrone preparation. PMID- 18128418 TI - Gastric surgery; a review of the literature. PMID- 18128419 TI - The quantity and composition of human colonic flatus. PMID- 18128420 TI - Digestion and absorption after massive resection of the small intestine; utilization of food from a natural versus a synthetic diet and a comparison of intestinal absorption tests with nutritional balance studies in a patient with only 45 cm. of small intestine. PMID- 18128421 TI - A histophysiological study of the effect of intraarterial injection of acetylcholine upon the gastric mucosa of the dog. PMID- 18128422 TI - The three main components of the human gastric mucin; dissolved mucoproteose, dissolved mucoprotein, and mucoid of the gastric visible mucus; differentiation; some physical and chemical characteristics; classification. PMID- 18128423 TI - The three main components of the human gastric mucin; dissolved mucoproteose, dissolved mucoprotein, and mucoid of the gastric visible mucus; method for separation and quantitative determination of each mucous component of the gastric content. PMID- 18128424 TI - The three main components of the human gastric mucin; dissolved mucoproteose, dissolved mucoprotein, and mucoid of the gastric visible mucus; preliminary data on physiological and clinical significance of separate quantitative determination of the dissolved mucoproteose and dissolved mucoprotein in the gastric juice of man. PMID- 18128425 TI - Acute corrosive gastritis; observations on the gastric mucosa following ingestion of concentrated hydrochloric acid. PMID- 18128426 TI - Acute phlegmonous gastritis. PMID- 18128427 TI - Perforation of duodenal ulcer following vagus resection. PMID- 18128428 TI - Addison's disease and diabetes mellitus in three patients. PMID- 18128429 TI - Thyroid collection of radioactive iodide and serum protein-bound iodine concentration in senescence, in hypothyroidism and in hypopituitarism. PMID- 18128430 TI - Decreases in blood eosinophilic leukocytes after electrically induced convulsions in man. PMID- 18128431 TI - Thiocyanate goiter with myxedema; report of two cases. PMID- 18128432 TI - Adrenal cortical carcinoma in a male with excess gonadotropin in the urine. PMID- 18128433 TI - Gynecomastia in paraplegic males; report of seven cases. PMID- 18128434 TI - The use of bismuth salts in the treatment of sporadic goiters. PMID- 18128435 TI - HIGH altitude research. PMID- 18128436 TI - An accurate determination of the absorption/relative-humidity relationships of silica gel and alumina. PMID- 18128437 TI - The paper chromatography of inorganic anions. PMID- 18128438 TI - Dietetic hepatic lesions and protein deficiency. PMID- 18128439 TI - Some aspects of tuberculosis in India and measures for its control. PMID- 18128440 TI - The place of physiology amongst the modern sciences and the importance of its study to the nation. PMID- 18128441 TI - On the investigation of pi and mu mesons. PMID- 18128442 TI - Crude common salt as a fairly good source of dietary calcium in the case of South Indians. PMID- 18128443 TI - Commercial D. D. T. as an insecticide on sugarcane crop. PMID- 18128444 TI - An unrecorded insect pest of the cashew tree (Anacardium occidentale, L.) in South India. PMID- 18128446 TI - Refractive temperature. PMID- 18128447 TI - The phase-contrast microscope with particular reference to vertical incident illumination. PMID- 18128445 TI - Effect of sodium sulfamerazine on Salmonella pullorum. PMID- 18128448 TI - The technique of cine-photo-micrography of living cells. PMID- 18128449 TI - The sudan black B technique in cytology. PMID- 18128450 TI - Comments regarding the McArthur inverted microscope. PMID- 18128451 TI - The measurement of radioactivity in solution. PMID- 18128452 TI - A visit to Laos, French Indochina. PMID- 18128453 TI - Seven new species of Lobelioideae (Campanulaceae). PMID- 18128454 TI - Combined chemical and biological control of insects by means of a systemic insecticide. PMID- 18128455 TI - Role of formaldehyde in the oxidation of ethylene. PMID- 18128456 TI - Extraction of pantothenic acid from natural materials. PMID- 18128457 TI - Use of L-thyroxine by mouth for stimulating milk secretion in lactating cows. PMID- 18128458 TI - Metabolism of the oestrogen triphenylbromoethylene. PMID- 18128459 TI - Mode of action of basic antibacterial substances. PMID- 18128460 TI - Colour vision of heterozygotes for sex-linked red-green defects. PMID- 18128461 TI - Trichinosis in Arctic animals. PMID- 18128462 TI - Spontaneous and induced triploidy in pre-implantation mouse eggs. PMID- 18128463 TI - Aedes (Stegomyia) pseudoafricanus sp. nov., a new species of Aedes from the coast of Nigeria, British West Africa. PMID- 18128464 TI - Overlapping of dust particles on a sampling plate. PMID- 18128465 TI - lambda-Mesons in air showers. PMID- 18128466 TI - A mountain centre of genetics in the Appennines. PMID- 18128467 TI - [Not Available]. PMID- 18128468 TI - [Not Available]. PMID- 18128470 TI - [Not Available]. PMID- 18128469 TI - [Not Available]. PMID- 18128471 TI - The influence of a gonadotrophin on the seasonal changes in the testis and deferent duct of the chaffinch (Fringilla coelebs). PMID- 18128472 TI - The structure of whale blubber, and a discussion of its thermal properties. PMID- 18128473 TI - Heliospora n.g. and Rotundula n.g., gragarines of Gammarus pulex. PMID- 18128474 TI - Studies on abnormal metosis induced in chick tissue cultures by mustard gas (beta beta'-dichlordiethyl sulphide). PMID- 18128476 TI - A critical study of techniques for the cytochemical demonstration of aldehydes. PMID- 18128475 TI - A dye phosphate for the histo- and cytochemical demonstration of alkaline phosphatase, with some observations on the differential behaviour of nuclear and extranuclear enzymes. PMID- 18128477 TI - On the significance of the plasmal reaction. PMID- 18128478 TI - The cell-theory; a restatement, history, and critique. PMID- 18128479 TI - The medical approach to the problems of aging. PMID- 18128480 TI - Age changes in the salivary glands of Wistar Institute rats with particular reference to the submandibular glands. PMID- 18128481 TI - The direct effect of steroids on the senile human skin. PMID- 18128482 TI - Constipation in the aged, attempts at therapy. PMID- 18128483 TI - Serum protein-bound iodine and age. PMID- 18128484 TI - Attitudes of the older population groups towards activity and inactivity. PMID- 18128485 TI - Supportive therapy in geriatric casework. PMID- 18128486 TI - The period of gestation. PMID- 18128487 TI - Traumatic neuritis of the puerperium. PMID- 18128488 TI - A nutritional survey in pregnancy with particular reference to certain haematological and biochemical findings. PMID- 18128489 TI - Excision of the round ligaments in corporeal and ovarian carcinoma. PMID- 18128490 TI - Roentgenography of vaginal cysts. PMID- 18128491 TI - Ruptured pyometra as a surgical emergency. PMID- 18128492 TI - Unilateral acute hydramnios in uniovulvar twin pregnancy. PMID- 18128493 TI - Fibroadenoma of the cervix with adenomyosis of the uterine body. PMID- 18128495 TI - A rotating disc calculator. PMID- 18128494 TI - The significance of Clostridium welchii in the cervical swab and blood-stream in postpartum and postabortum sepsis. PMID- 18128496 TI - Treatment of secondary amenorrhoea with low dosage irradiation of ovaries and pituitary gland. PMID- 18128497 TI - [Not Available]. PMID- 18128498 TI - [Not Available]. PMID- 18128499 TI - [Not Available]. PMID- 18128500 TI - [Not Available]. PMID- 18128501 TI - [Not Available]. PMID- 18128502 TI - [Not Available]. PMID- 18128503 TI - [Not Available]. PMID- 18128504 TI - NECESSITY for closer relationships between small and large hospitals. PMID- 18128505 TI - Difference between morphine and synthetic analgesics in their actions on ganglionic transmission. PMID- 18128506 TI - Radar observation of heavy rain. PMID- 18128507 TI - Persistence of pyrethrins and gamma isomer of benzene hexachloride. PMID- 18128508 TI - Action of suramin on enzymes. PMID- 18128509 TI - Fire prevention in hospital design. PMID- 18128510 TI - Hospitals and health insurance. PMID- 18128511 TI - Twenty-four hour administrative coverage in a large general hospital. PMID- 18128512 TI - FIELD instrument for the determination of low concentrations of methyl bromide and other halogenated hydrocarbons. PMID- 18128513 TI - Group detection of lead absorption among exposed workers. PMID- 18128514 TI - DUST analysis service of the Industrial Health Laboratory, Ottawa. PMID- 18128515 TI - PROPOSED uniform industrial hygiene code. PMID- 18128516 TI - Carbon monoxide in garages. PMID- 18128517 TI - The influence of American occupation on the life span of the Filipino and on the incidence of degenerative diseases. PMID- 18128518 TI - The influence of chorionic gonadotropin on the release of spermatozoa by the common male Philippine Rana vittigera. PMID- 18128519 TI - The modern role of vitamin D2 in cutaneous tuberculosis with a preliminary report on five cases. PMID- 18128520 TI - Anemia in pregnancy in the Philippines. PMID- 18128521 TI - A study of caronamide as a penicillin booster. PMID- 18128522 TI - Perforation of the infracted interventricular septum diagnosed ante mortem. PMID- 18128523 TI - Detoxification of benzoic acid by glycuronic acid under normal conditions and in liver disease. PMID- 18128524 TI - Gallstone formation and gall-stone disease. PMID- 18128525 TI - Does urine stasis have any influence on the development of arterial hypertension? PMID- 18128526 TI - Arterial orthostatic anemia; some aspects of clinical forms and electrocardiographic changes. PMID- 18128527 TI - Loffler's syndrome; periarteritis nodosa. PMID- 18128528 TI - Diagnosis of carcinoma of the pancreas and the ampulla of Vater. PMID- 18128529 TI - Management of the surgical chest. PMID- 18128530 TI - The problem of weakness and fatigue. PMID- 18128531 TI - Folic acid and the neurologic manifestations of pernicious anemia. PMID- 18128532 TI - Report on Hemophilus influenzae meningitis. PMID- 18128533 TI - The triad of urethritis, conjunctivitis and arthritis. PMID- 18128534 TI - Infectious mononucleosis; report of an unusual case with hepatitis studied by serial liver biopsies and complicated by hemolytic anemia. PMID- 18128535 TI - The shoulder-hand syndrome. PMID- 18128536 TI - Ulcer. PMID- 18128537 TI - [Not Available]. PMID- 18128539 TI - [Not Available]. PMID- 18128538 TI - [Not Available]. PMID- 18128540 TI - [Not Available]. PMID- 18128541 TI - [Not Available]. PMID- 18128542 TI - [Not Available]. PMID- 18128543 TI - [Not Available]. PMID- 18128544 TI - [Not Available]. PMID- 18128545 TI - [Not Available]. PMID- 18128546 TI - [Not Available]. PMID- 18128547 TI - [Not Available]. PMID- 18128548 TI - [Not Available]. PMID- 18128550 TI - [Not Available]. PMID- 18128549 TI - [Not Available]. PMID- 18128551 TI - [Leishmanides; considerations upon the generalized form of American tegumentary leishmanides]. PMID- 18128552 TI - [Leukemoid reactions and deferential diagnosed with leukemia]. PMID- 18128553 TI - [Accidents of transfusion and morbid disorders coincident with the transfusions]. PMID- 18128554 TI - [A case of nasal prosthesis]. PMID- 18128555 TI - Tuberculosis in industry; an epidemiological study; preliminary report. PMID- 18128556 TI - Perforation of the rectum. PMID- 18128557 TI - Treatment of perforations of the oesophagus; report of three cases. PMID- 18128558 TI - An unusual case of chronic myeloid leukaemia. PMID- 18128559 TI - Rupture of the liver associated with parturition. PMID- 18128560 TI - Treatment of a chronic typhoid carrier with chloromycetin. PMID- 18128561 TI - Perspex oxygen tents. PMID- 18128562 TI - [Not Available]. PMID- 18128563 TI - [Not Available]. PMID- 18128564 TI - [Not Available]. PMID- 18128565 TI - [Not Available]. PMID- 18128566 TI - [Not Available]. PMID- 18128567 TI - [Not Available]. PMID- 18128568 TI - [Not Available]. PMID- 18128569 TI - [Not Available]. PMID- 18128570 TI - Control of human epiphyseal growth. PMID- 18128572 TI - Modern developments in fly control. PMID- 18128571 TI - A short review of DDT residual house spraying for malaria control in Trinidad, 1945-1948. PMID- 18128573 TI - Accidents during treatment by pneumothorax. PMID- 18128574 TI - Pentothal anesthesia; its uses in hospital, office, home. PMID- 18128575 TI - Comparative therapeutic results with allantoin preparations for various gastrointestinal disorders. PMID- 18128576 TI - [Not Available]. PMID- 18128577 TI - [Not Available]. PMID- 18128578 TI - Diabetes mellitus and arteriosclerosis. PMID- 18128579 TI - Gastrojejnocolic fistula; a case report. PMID- 18128580 TI - [Not Available]. PMID- 18128581 TI - [Not Available]. PMID- 18128582 TI - [Not Available]. PMID- 18128583 TI - [Not Available]. PMID- 18128584 TI - [Not Available]. PMID- 18128586 TI - [Not Available]. PMID- 18128585 TI - [Not Available]. PMID- 18128587 TI - [Not Available]. PMID- 18128588 TI - [Not Available]. PMID- 18128589 TI - [Not Available]. PMID- 18128590 TI - [Not Available]. PMID- 18128591 TI - Leprosy in Kenya. PMID- 18128592 TI - Diet and dental health. PMID- 18128593 TI - The experimental and clinical use of antihistamine drugs. PMID- 18128594 TI - Judgment in cardiology. PMID- 18128595 TI - [The fight against malaria in Brazil by the National Malaria Service]. PMID- 18128596 TI - [Contributions to the specialty surgical instruments]. PMID- 18128597 TI - [Not Available]. PMID- 18128598 TI - [Not Available]. PMID- 18128599 TI - [Not Available]. PMID- 18128600 TI - [Not Available]. PMID- 18128601 TI - [Not Available]. PMID- 18128602 TI - The Levinson test in tuberculous meningitis. PMID- 18128603 TI - Microstomia due to atresia of the free margins of the lips; a new technique for its correction. PMID- 18128604 TI - Face presentation; report of a case. PMID- 18128605 TI - A present day concept of allergy. PMID- 18128607 TI - Prevention and treatment of syphilis in childhood. PMID- 18128606 TI - Congenital atresia of the duodenum. PMID- 18128608 TI - Public health practices for veterinarians. PMID- 18128609 TI - Observation on prophylaxis of puerperal infection. PMID- 18128610 TI - Detection of various chest lesions by mass X-ray survey. PMID- 18128611 TI - Preliminary report of proposed program for visual screening for school children in Illinois. PMID- 18128612 TI - Extrarenal azotemia and lower nephron syndrome. PMID- 18128613 TI - The incidence of intestinal parasitic infections in a Chicago dispensary. PMID- 18128614 TI - Acute pneumococcal epididymitis. PMID- 18128615 TI - Multiple sclerosis and pregnancy. PMID- 18128616 TI - Cortical adenomas of arteriosclerotic kidneys. PMID- 18128617 TI - Pathogenesis, diagnosis and treatment of human toxoplasmosis. PMID- 18128618 TI - Culdoscopy; its diagnostic value in pelvic disease. PMID- 18128619 TI - Needle biopsy of the liver. PMID- 18128620 TI - D-tubocurarine in oil-wax suspension in rheumatoid spondylitis; its use as an adjuvant. PMID- 18128621 TI - Antibacterial action of commercial nitromersol preparations. PMID- 18128622 TI - The action of blood on germs presumably killed by antiseptics. PMID- 18128623 TI - Mycobacterial forms observed in tumors; their culture and pathogenicity. PMID- 18128624 TI - Treatment of cancer of the cervix; irradiation or surgery. PMID- 18128625 TI - Bacterium paratyphosum A and tetrathionate broth. PMID- 18128626 TI - On the application and sensitivity of the methods of assay of the sulpha compounds for toxicological analysis. PMID- 18128627 TI - The combined use of sulfasuccidine and diodoquin in the treatment of amoebic infections of the intestine. PMID- 18128628 TI - Miracil D; effect on B. mansoni in vitro and in the treatment of urinary bilharziasis. PMID- 18128629 TI - Treatment of cestodes with chloroquine as compared with other known vermifuges. PMID- 18128630 TI - Coronary and cerebral atheroma. PMID- 18128631 TI - A case of recurrent mixed tumour of the cheek in a girl aged 1 1/2 years. PMID- 18128632 TI - Absence of the gall-bladder (agenesis) a case with interesting features. PMID- 18128633 TI - Perandren therapy with tablet implants and crystals in aqueous suspension in ten cases of male hypogonadism and impotence. PMID- 18128634 TI - Cancer of the vagina with report of one case. PMID- 18128635 TI - [Chronic fibrous congestive splenomegaly]. PMID- 18128636 TI - [Not Available]. PMID- 18128637 TI - Diphtheria in the city of Detroit. PMID- 18128638 TI - Why insanity hearings are voided by the court; suggestions regarding physicians' certificates of insanity. PMID- 18128639 TI - Ovarian pregnancy. PMID- 18128640 TI - Bronchiectasis; report of 100 cases. PMID- 18128641 TI - Postoperative ileostomy management; a simplified technique. PMID- 18128642 TI - Histoplasmosis. PMID- 18128643 TI - Nodular diseases of the extremities. PMID- 18128644 TI - The causes and general nature of transverse presentation of the human fetus in the last 10 weeks of pregnancy. PMID- 18128645 TI - Concentration of Ac-globulin in various species. PMID- 18128646 TI - Juvenile diabetes. PMID- 18128647 TI - Diagnosis and care of pyloric stenosis by the pediatrician. PMID- 18128648 TI - Leukemoid reaction in tuberculosis with report on two cases. PMID- 18128649 TI - Surgery of the biliary tract. PMID- 18128650 TI - The so-called allergic intestinal bleeding syndrome in infants; case report. PMID- 18128651 TI - The danger to the mother of a full term hydrocephalic fetus. PMID- 18128652 TI - Malaria simulating acute appendicitis. PMID- 18128653 TI - [Not Available]. PMID- 18128654 TI - [Not Available]. PMID- 18128655 TI - [Not Available]. PMID- 18128656 TI - Studies on the so-called X-factor common to Proteus OX19, Rickettsia prowazeki and Rickettsia mooseri, especially on the relation of the factor to blood group B specific substance. PMID- 18128657 TI - The hemolysin obtained from the nucleic acid added broth culture of hemolytic streptococci. PMID- 18128659 TI - Studies on the active principle of Shwartzman filtrate. PMID- 18128658 TI - [Not Available]. PMID- 18128660 TI - On the isolation of antigenic substances from Pseudomonas aeruginosa. PMID- 18128661 TI - The natural history of poliomyelitis. PMID- 18128662 TI - Antipeptic and antacid therapy with special reference to adsorbent complexes of calcium and magnesium phosphates. PMID- 18128663 TI - Procaine penicillin. PMID- 18128664 TI - Chloromycetin in typhoid fever. PMID- 18128665 TI - Some factors affecting the results of treatment of peripheral nerve injuries. PMID- 18128666 TI - [Not Available]. PMID- 18128667 TI - [Not Available]. PMID- 18128668 TI - [Not Available]. PMID- 18128669 TI - [Not Available]. PMID- 18128670 TI - [Not Available]. PMID- 18128671 TI - [Not Available]. PMID- 18128672 TI - [Not Available]. PMID- 18128673 TI - [Not Available]. PMID- 18128675 TI - [Not Available]. PMID- 18128674 TI - [Not Available]. PMID- 18128676 TI - [Not Available]. PMID- 18128677 TI - [Not Available]. PMID- 18128678 TI - [Not Available]. PMID- 18128679 TI - [Not Available]. PMID- 18128680 TI - [Not Available]. PMID- 18128681 TI - [Not Available]. PMID- 18128682 TI - The nervous and chemical control of the uterus. PMID- 18128683 TI - A brief summary of the indications for and methods of induction of labour. PMID- 18128684 TI - Tumour registry. PMID- 18128685 TI - Vaginal hysterectomy-colporrhaphy. PMID- 18128686 TI - A brief survey of the treatment of osteoarthritis of the hip. PMID- 18128687 TI - The treatment of ankylosing spondylitis and osteoarthritis. PMID- 18128688 TI - B.C.G. vaccine. PMID- 18128689 TI - Ocular prosthesis, with special reference to the conjunctival sac. PMID- 18128690 TI - Some clinical aspects of water balance. PMID- 18128691 TI - Improving the response characteristic of graphic recorders. PMID- 18128692 TI - The surgical treatment of vesicovaginal fistula following hysterectomy and radium treatment for carcinoma of the cervix uteri; case report and comment. PMID- 18128693 TI - [Not Available]. PMID- 18128694 TI - [Not Available]. PMID- 18128695 TI - [Not Available]. PMID- 18128696 TI - [Not Available]. PMID- 18128697 TI - Chronic valvular disease of the heart. PMID- 18128698 TI - Acute poliomyelitis; early diagnosis. PMID- 18128699 TI - The management of the diabetic in general practice. PMID- 18128700 TI - An unusual case of intussusception. PMID- 18128701 TI - Scope and possibilities of a mobile eye clinic in a state hospital. PMID- 18128702 TI - Medicine in China. PMID- 18128703 TI - [Not Available]. PMID- 18128704 TI - [Not Available]. PMID- 18128705 TI - [Not Available]. PMID- 18128706 TI - [Not Available]. PMID- 18128707 TI - [Not Available]. PMID- 18128708 TI - [Not Available]. PMID- 18128709 TI - [Not Available]. PMID- 18128710 TI - Recent advances in ophthalmology. PMID- 18128711 TI - Asthma in children; certain diagnostic problems. PMID- 18128712 TI - Alzheimer's disease with case report. PMID- 18128713 TI - Scopolamine in vertigo. PMID- 18128714 TI - Radiologic study of mastoid bone in infants in conjunction with anatomic and pathologic investigations. PMID- 18128715 TI - Combined resection of the lung and parietal pleura in the treatment of pulmonary suppuration and empyema. PMID- 18128716 TI - Complications of peritoneal button operation for ascites. PMID- 18128717 TI - Habitus in tuberculosis. PMID- 18128718 TI - Relative value of the standard and unipolar leads in the diagnosis of myocardial damage. PMID- 18128719 TI - Protamine edema in diabetes mellitus; preliminary report. PMID- 18128720 TI - Acute generalized peritonitis due to spontaneous rupture of pyosalpinx. PMID- 18128721 TI - The medical treatment of pilonidal disease. PMID- 18128722 TI - The addition of niacin to procaine hydrochloride for intravenous administration; preliminary report. PMID- 18128723 TI - Cardiac neurosis. PMID- 18128724 TI - Subepicranial hydroma (false meningocele). PMID- 18128725 TI - Unusual sites of endometriosis. PMID- 18128726 TI - Suggested studies of poliomyelitis. PMID- 18128727 TI - [Pneumoperitoneum treatment]. PMID- 18128728 TI - [Surgical treatment of tuberculous empyema]. PMID- 18128729 TI - [Cultural methods for demonstrating the presence of tubercle bacilli in tissue]. PMID- 18128730 TI - [Desoxycholate-citrate medium, Leifsons medium, in the diagnosis of Salmonella and Shigella]. PMID- 18128731 TI - [Coincident gonorrhoeal and syphilitic infections]. PMID- 18128732 TI - [Treatment of whooping-cough by means of height-flying and low-pressure]. PMID- 18128733 TI - [The epidemic of cholera in Egypt, 1947-1948]. PMID- 18128734 TI - [Occlusion of a cavern in connection with lobar pneumonia]. PMID- 18128735 TI - [BCT-vaccination by means of Birkhaug's fork]. PMID- 18128736 TI - [Recent trends in the Danish public health services]. PMID- 18128737 TI - Selected neuro-opthalmologic disorders. PMID- 18128738 TI - Cancer of the large intestine; diagnosis and management. PMID- 18128739 TI - Psychosomatic history taking. PMID- 18128740 TI - Sickle cell anemia complicated by valvular heart disease. PMID- 18128741 TI - Three common orthopedic problems. PMID- 18128742 TI - Abdominal pregnancy with premature separation of the placenta and multiple complications; a case report. PMID- 18128743 TI - Studies on gastric cancer. PMID- 18128744 TI - On graduate medical education in the United States. PMID- 18128745 TI - X-ray findings in tetralogy of Fallot; report of a case. PMID- 18128746 TI - [Not Available]. PMID- 18128747 TI - [Not Available]. PMID- 18128748 TI - [Not Available]. PMID- 18128749 TI - [Not Available]. PMID- 18128750 TI - Food poisoning. PMID- 18128751 TI - Food preservation in relation to food poisoning. PMID- 18128752 TI - Food hygiene in shops and restaurants. PMID- 18128753 TI - The treatment of food poisoning. PMID- 18128754 TI - Headache. PMID- 18128755 TI - Cricketing injuries. PMID- 18128756 TI - Penicillin by the subcutaneous route. PMID- 18128757 TI - Androgens. PMID- 18128758 TI - [Not Available]. PMID- 18128760 TI - [Not Available]. PMID- 18128759 TI - [Not Available]. PMID- 18128761 TI - [Not Available]. PMID- 18128762 TI - [Not Available]. PMID- 18128763 TI - [Not Available]. PMID- 18128764 TI - [Not Available]. PMID- 18128765 TI - [Not Available]. PMID- 18128766 TI - [Not Available]. PMID- 18128767 TI - [Not Available]. PMID- 18128768 TI - [Not Available]. PMID- 18128769 TI - [Not Available]. PMID- 18128770 TI - [Not Available]. PMID- 18128771 TI - [Not Available]. PMID- 18128772 TI - Cytologic diagnosis of carcinoma of the esophagus and cardia of the stomach. PMID- 18128773 TI - Myocardial infarction and sudden deaths following the administration of pitressin; additional electrocardiographic study of 100 patients given pitressin for cholecystography. PMID- 18128774 TI - Evaluation of the hyperemia test for pregnancy as a routine clinical laboratory procedure; comparison of results with those of 1,000 consecutive Friedman tests. PMID- 18128775 TI - Lymphoblastoma with signs of renal involvement improved by roentgen therapy. PMID- 18128776 TI - The effect of gonadectomy on the growth of hair in mice. PMID- 18128777 TI - [Not Available]. PMID- 18128778 TI - [Not Available]. PMID- 18128779 TI - [Not Available]. PMID- 18128780 TI - [Not Available]. PMID- 18128781 TI - [Not Available]. PMID- 18128782 TI - [Not Available]. PMID- 18128783 TI - [Not Available]. PMID- 18128784 TI - Health outlook for older people. PMID- 18128785 TI - Problems in gastrointestinal surgery as affected by advanced age. PMID- 18128786 TI - [Not Available]. PMID- 18128787 TI - Capillary permeability, serum proteins and haematocrit values in normal pregnancy. PMID- 18128788 TI - [Not Available]. PMID- 18128789 TI - [Not Available]. PMID- 18128790 TI - Scurvy at Fort Atkinson, 1819-1820. PMID- 18128791 TI - A physiological and pharmacological appreciation of Hamlet, act I, scene 5, lines 59-73. PMID- 18128792 TI - A practical applicator for dressing the various body appendages. PMID- 18128793 TI - A new treatment for superficial mycoses. PMID- 18128794 TI - The influence of alcohol on ketone metabolism. PMID- 18128795 TI - [Tetanus, clinical and therapeutic study of 136 cases]. PMID- 18128796 TI - Early diagnosis of carcinoma of the stomach. PMID- 18128797 TI - Periarteritis nodosa; possible relation to the increased usage of sulfonamides. PMID- 18128798 TI - Neurocirculatory asthenia. PMID- 18128799 TI - Streptomycin treatment of bacterial endocarditis due to Streptococcus viridans; report of two cases. PMID- 18128800 TI - [Not Available]. PMID- 18128801 TI - Cardiovascular epistaxis. PMID- 18128802 TI - [Emphysema, chronic bronchitis, bronchopneumonia, syphilitis aortitis; Clinic pathological session]. PMID- 18128803 TI - [The Tysiology]. PMID- 18128804 TI - Disseminated sclerosis in South Africa; its relationship to swayback disease and suggested treatment. PMID- 18128805 TI - Retained placenta and postpartum haemorrhage. PMID- 18128806 TI - [Not Available]. PMID- 18128807 TI - Sporadic salmonella infections in Shanghai during the summer of 1948. PMID- 18128808 TI - [Not Available]. PMID- 18128809 TI - [Not Available]. PMID- 18128810 TI - [A case of early carcinoma of the liver]. PMID- 18128811 TI - Multiple primary malignancies. PMID- 18128812 TI - Acute obstruction of the small bowel. PMID- 18128813 TI - Continuous suction drainage; a historical evaluation of intestinal obstruction. PMID- 18128814 TI - BCG vaccination. PMID- 18128815 TI - Six histamine antagonists in hay fever, with a review of the literature. PMID- 18128816 TI - Vitamin C in the nutrition of infants, pregnant, and lactating women. PMID- 18128817 TI - Hypospadias and its surgical treatment. PMID- 18128818 TI - The cutaneous manifestations of the lymphoblastomas. PMID- 18128819 TI - Oral aureomycin therapy for chancroid; report of case. PMID- 18128820 TI - Should we adopt compulsory medical care insurance? PMID- 18128821 TI - Phrenic nerve paralysis associates with Erb's palsy in the newborn; a clinical and anatomicopathologic study. PMID- 18128822 TI - [Not Available]. PMID- 18128823 TI - The Rh factor. PMID- 18128824 TI - Psychosomatic medicine; a critique. PMID- 18128825 TI - [Not Available]. PMID- 18128826 TI - [Not Available]. PMID- 18128827 TI - Hyperthyroidism associated with myasthenia gravis. PMID- 18128828 TI - Tantalum mesh in recurrent hernias. PMID- 18128829 TI - [Not Available]. PMID- 18128830 TI - [Changes in the results of the test after Dart frontal lobotomy]. PMID- 18128831 TI - [Cerebromeningeal hydrodynamic disturbances and psychosurgery]. PMID- 18128833 TI - Present concepts in ulcerative colitis. PMID- 18128832 TI - [Limitation of indications for use of leucotomy]. PMID- 18128834 TI - The indications for tonsillectomy. PMID- 18128835 TI - Present trends in psychotherapy. PMID- 18128836 TI - [Not Available]. PMID- 18128837 TI - [Not Available]. PMID- 18128838 TI - [Not Available]. PMID- 18128839 TI - [Not Available]. PMID- 18128841 TI - [Not Available]. PMID- 18128840 TI - [Not Available]. PMID- 18128842 TI - Regional ileitis. PMID- 18128843 TI - Pulmonary resection for metastatic sarcoma. PMID- 18128844 TI - [Not Available]. PMID- 18128845 TI - Persistent omphalomesenteric duct, with focal ulceration, probably peptic. PMID- 18128846 TI - Hypertension treated by irradiation of the adrenals; with report of 23 cases. PMID- 18128847 TI - Subtaloid dislocation of the foot; case report of the outward type. PMID- 18128848 TI - Experimental production of megaloblastic anemia in relation to megaloblastic anemia in infants. PMID- 18128849 TI - The metabolic and clinical effects of pituitary adrenocorticotropic hormone (ACTH) in spontaneous hypoglycemosis. AB - The effects of ACTH on the fasting blood sugar level and glucose tolerance test; on the potassium and inorganic phosphorus content of the serum; on the nitrogen, phosphorus, chloride, sodium and potassium balances; on the urinary excretion of uric acid, creatinine and adrenal corticosteroids and on the blood eosinophil counts were determined in five young children with non-Addisonian (familial) hypoglycemia. The type of response to ACTH was similar in all respects of the normal adult. However, under the conditions of our experiment, instead of producing a transient state of diabetes mellitus, as it does in the normal subject, the ACTH appeared merely to reverse the hypoglycemic tendency, with return of the fasting blood sugar levels and the glucose tolerance curve to normal. While the eosinophil count returned to normal promptly upon withdrawal of ACTH, the blood sugar remained above the threshold for hypoglycemic reactions for at least 10 days without ACTH in the most severe case in the series. (Figure 2) The same tendency was seen in the other four cases as well. In all instances, however, the original degree of hypoglycemia recurred at varying periods following withdrawal of the ACTH. After this had occurred in B.G., the hormone was again given intensively for two days, again raising the blood sugar to normal values. Administration of between 10 and 18 mg. of ACTH in one dose every forty eight hours since that time (five months) has served to maintain this one-year old patient in an essentially non-hypoglycemic state. Results of the study suggest, therefore, that ACTH may prove to be as effective in the control of chronic non-Addisonian hypoglycemosis as insulin is in the control of diabetes mellitus. PMID- 18128850 TI - The contribution of social workers to the interviewing skills psychologists. PMID- 18128851 TI - Proctologic examination and diagnosis. PMID- 18128852 TI - Appendicitis in the Louisville General Hospital. PMID- 18128853 TI - Carcinoma of esophagus. A report of seventeen cases. AB - This report deals with 17 cases of carcinoma of the esophagus, the total number that have been treated at the Veterans Hospital, Louisville, Kentucky, since its opening in April, 1946. It is much too early to judge end results on the living cases; however, the series is representative and, we think, should be added to the growing literature. Several authors have already very well summarized the evolution of surgical management of this disease since Adams and Phemister in the 1938 reported the first successful transthoracic resection and esophagogastrostomy for carcinoma to be performed in this country. The pertinent data in these cases are set forth in Tables I and II. PMID- 18128854 TI - The surgical relief of vesical neck obstruction in children. PMID- 18128855 TI - The nature of and treatment of tendinitis of the musculotendinous cuff of the shoulder and subacromial bursitis. AB - The nature of tendinitis and bursitis of the shoulder cuff is poorly understood by many practitioners which results in inadequate therapy and a number of disabled shoulders. Repeated traumas play a large part in etiology and appear to account for the pathology. Statistically the condition affects females more than males. Three stages of tendinitis and bursitis are described with variations. A number of primary forms of treatment are described which should almost always be followed by sedation, abduction of the arm, warm moist packs, and the proper exercises. Abduction and exercises usually prevent the disabling frozen shoulder. Addiction is frequent in chronic cases. The physician must see the patient almost daily to rehearse the exercises and to impress the patient with the necessity of this. Surgery is beneficial in some acute and chronic cases. Superior lung lobe tumors in older patients produce at times shoulder pain simulating bursitis and are confusing when the calcium deposit is present in the shoulder region. PMID- 18128856 TI - Obstruction of the gastrointestinal tract in infants. AB - An attempt has been made in the foregoing to mention some of the gastrointestinal anomalies that are occasionally met, even thought many of the congenital defects are relatively uncommon in their occurrence. Any or all of them should be kept in mind in the newborn when it does not follow the usual course of events in regard to intake of formula, or other unusual developments within the first few days of life. There has been no effort made to set out the actual surgical management of the situation that presents itself. Rather an effort has been made to stress prodromal symptoms, physical and roentgenologic findings. Careful preoperative preparation of these infants must be stressed time and again. Actually, the preoperative preparation is of much greater importance than the mechanical management of the defect present from a surgical standpoint. A newborn with an obstructive lesion and in whom the blood chemistry and protein values are unbalanced is a poor surgical risk. After careful restoration of these values, the infants tolerate major surgery remarkably well. PMID- 18128857 TI - The surgical treatment of peptic ulcer comparing vagotomy and gastric resection. AB - 1. Forty-nine patients who had vagotomy and 33 who had gastric resection, which constitute all of the cases since the opening of this hospital, have been reviewed and compared. 2. There have been no hospital deaths in either series with the exception of one case moribund from acute hemorrhage, who was explored only as a last resort. 3. Surprisingly enough, the number and severity of complications have been higher following vagotomy than following gastrectomy. 4. Results thus far are somewhat in favor of vagotomy with drainage over subtotal gastrectomy. The apparent advantage of vagotomy over gastrectomy will be further enhanced when we consider the following three factors: a. Although in our small series there has been no mortality following either procedure in elective cases, the literature shows a definitely greater number of fatalities following gastrectomy than following vagotomy. b. The great majority of patients who have undergone gastrectomy remain gastric cripples, whereas the only limitation in diet, tobacco and alcohol imposed upon our postvagotomy patient has been "everything in moderation." c. In this particular comparative study, 50 per cent of the gastrectomy series were for gastric ulcer which are notorious for their favorable response to any type of surgery. PMID- 18128859 TI - The late symptoms of carcinoma of the pancreas. AB - The early, curable malignant lesion of the pancreas is silent. The initial symptoms are mild, indefinite, and not disturbing. Jaundice, pain, weight loss, and anemia, are all evidence of the growth's extension beyond the gland. Even when a presumptive diagnosis of such a lesion is made on a basis of the history in the absence of any demonstrable finding, the lesion proves to be inoperable. Magnificent advances have been made in the surgical management of pancreatic disease. Until similar advances can be made in diagnosis, the fruits to be enjoyed by pancreatoduodenectomy cannot be touched. PMID- 18128858 TI - Abdominal aortography. AB - A technic of abdominal aortography has been presented. The procedure is simple, and very little special equipment is necessary. It is relatively harmless, and in our series we have had no fatalities or untoward reactions. Five cases have been presented. In the case of acute aortic occlusion due to a saddle thrombus, we feel that little additional information was obtained by aortography. The procedure in an already desperately ill patient was harmful. In fact, the mere administration of an anesthetic was dangerous. Such cases in nearly all instances are easily recognized, and if seen early enough, aortic embolectomy should be done without loss time. Two cases of aneurysm of the abdominal aorta were presented. One of these was explored and treated, while in the other case, the aortogram revealed that both renal vessels took their origin from the portion of the aorta involved, and the patient was not subjected to surgery which was contraindicated. Aortograms in suspected abdominal aortic aneurysms are of distinct value. Not only do they corroborate the clinical impression, but they also reveal the exact level of the lesion and in most cases its extent as well. Useless exploration is avoided when major branches, such as the renal arteries, are involved. In Figure 4 the aneurysm failed to fill. We do not know whether this was a technical error, but are inclined to believe it was due to abnormal currents in the aneurysm. We hope to gain further knowledge of this type of filling defect as more aneurysms are studied with serial x-rays. In the last two cases presented, we feel that aortography was of decided value. Chronic occlusion of the aortic bifurcation is rare, and although it may be suspected clinically, the exact diagnosis can only be made by aortogram or exploration. Further, the cephalad extension of the thrombosis can be accurately seen. In a case such as the last presented, a partial occlusion can be visualized, and repeated aortography will be of value in studying the progress of the disease. I feel it is worthwhile to mention in closing that in the two cases of chronic aortic occlusion, no large, collaterals to the affected extremities were visualized. However, both of the patients improved following resection of the occluded segments and lumbar sympathectomy. We do not feel that the failure to visualize collateral arterial channels should be a contraindication to the surgical therapy of this disease. PMID- 18128860 TI - The incidence of peptic ulcer following sympathectomy for hypertension. A presentation of a case. AB - 1. A case of bleeding duodenal ulcer making its first appearance two years after thoracolumbar sympathectomy for hypertension has been presented. 2. Gastric studies showed that this ulcer was of the vagal "cephalic" type. 3. Vagotomy and gastroenterostomy were performed. 4. Was this ulcer the result of sympathetic parasympathetic imbalance? If so, was this imbalance due to the sympathectomy or was it a psychosomatic manifestation of his emotional tension? PMID- 18128861 TI - Frontal lobotomy for the relief of intractable pain. AB - 1. Frontal lobotomy is an effective procedure for the relief of intractable pain. 2. Unilateral frontal lobotomy for the relief of pain is less successful than the bilateral (standard) operation. 3. Unwanted changes in personality and intellect are apt to be severe after the bilateral procedure. These changes, though of less degree, also occur with the unilateral operation performed by standard technic. 4. To broaden the use of this type of operation for intractable pain of noncancerous origin a less disabling procedure is necessary. This may possibly be accomplished by limiting the size of the bilateral operation or by selective bilateral destruction of certain areas of the frontal lobes. 5. A new procedure in which a small symmetrical destructive lesion is produced in the lower medial quadrant each hemisphere has been successful in relieving pain. PMID- 18128862 TI - Treatment of lung abscess. PMID- 18128863 TI - Acquired megacolon. Report of a case in a seventy-four year old male. PMID- 18128864 TI - Tumors of the rectum. PMID- 18128865 TI - Pathologic pictures of anesthetic complications. AB - An attempt has been made to discuss, briefly, some of the pathologic pictures and processes peculiar to anesthetic agents and technics. As surgical procedures increase in length and complexity, and as the poorer risk patients are now considered suitable for many major surgical procedures, anesthesia has of necessity become more of a problem, and anesthetic complications should be borne in mind during the preoperative study of these patients, and should be watched for during the operative postoperative course. PMID- 18128866 TI - Cholelithiasis - a surgical disease. PMID- 18128867 TI - [Not Available]. PMID- 18128868 TI - [Not Available]. PMID- 18128869 TI - [Not Available]. PMID- 18128870 TI - [Not Available]. PMID- 18128871 TI - [Not Available]. PMID- 18128872 TI - [Not Available]. PMID- 18128873 TI - [Not Available]. PMID- 18128874 TI - [Not Available]. PMID- 18128875 TI - [Not Available]. PMID- 18128876 TI - [Not Available]. PMID- 18128877 TI - [Not Available]. PMID- 18128878 TI - [Not Available]. PMID- 18128879 TI - [Not Available]. PMID- 18128880 TI - [Not Available]. PMID- 18128882 TI - An examination of problems basic to acculturation in the Rio Grande pueblos. PMID- 18128881 TI - Anthropology and the humanities. PMID- 18128883 TI - The cultural setting of the Twana secret society. PMID- 18128884 TI - Individual motivation in the diffusion of the Wind River Shoshone Sundance to the Crow Indians. PMID- 18128885 TI - Remarks on tree-ring analysis techniques in the Southwest. PMID- 18128886 TI - Anthropology in Germany. PMID- 18128887 TI - The role of the cements in pedodontics. PMID- 18128888 TI - Tumors of the hard tissues of the oral cavity with special reference to children. PMID- 18128889 TI - At what age do you stop caring for the primary molars? PMID- 18128890 TI - Studies on prolonged suppurative infection in man. PMID- 18128892 TI - [Not Available]. PMID- 18128891 TI - Effect of antifolic acid derivatives on patients with far-advanced carcinomatosis. PMID- 18128893 TI - [Not Available]. PMID- 18128894 TI - [Not Available]. PMID- 18128895 TI - [Not Available]. PMID- 18128896 TI - [Not Available]. PMID- 18128897 TI - [Not Available]. PMID- 18128898 TI - [Not Available]. PMID- 18128899 TI - [Not Available]. PMID- 18128900 TI - [Not Available]. PMID- 18128901 TI - [Dental service for students in Switzerland]. PMID- 18128902 TI - [Dr. Ramazzini's research on industrial diseases]. PMID- 18128903 TI - [Not Available]. PMID- 18128904 TI - [Not Available]. PMID- 18128905 TI - [Not Available]. PMID- 18128907 TI - [Not Available]. PMID- 18128906 TI - [Not Available]. PMID- 18128908 TI - Inhibition of brain respiration by ethyl alcohol at varied temperature levels. PMID- 18128909 TI - [Not Available]. PMID- 18128910 TI - [Not Available]. PMID- 18128911 TI - [Neither transition, nor confusion; evolution]. PMID- 18128912 TI - [Not Available]. PMID- 18128913 TI - [Not Available]. PMID- 18128914 TI - [Not Available]. PMID- 18128915 TI - [Not Available]. PMID- 18128916 TI - [Not Available]. PMID- 18128917 TI - [Not Available]. PMID- 18128918 TI - [Not Available]. PMID- 18128919 TI - [Not Available]. PMID- 18128920 TI - [Not Available]. PMID- 18128921 TI - [Not Available]. PMID- 18128922 TI - Clinical mask for breathing and rebreathing mixtures of gases. No. 2,452,722. PMID- 18128923 TI - Rheumatoid arthritis. PMID- 18128924 TI - [Not Available]. PMID- 18128925 TI - [Not Available]. PMID- 18128926 TI - [Not Available]. PMID- 18128927 TI - Bilateral non-simultaneous femoral arterial embolic occlusion. PMID- 18128928 TI - [Not Available]. PMID- 18128929 TI - [Not Available]. PMID- 18128930 TI - [Not Available]. PMID- 18128931 TI - [Not Available]. PMID- 18128932 TI - [Not Available]. PMID- 18128933 TI - Cervical sympathetic and stellate ganglion block in apoplexy. PMID- 18128934 TI - [Not Available]. PMID- 18128935 TI - [Not Available]. PMID- 18128936 TI - [Not Available]. PMID- 18128937 TI - [Not Available]. PMID- 18128938 TI - [Not Available]. PMID- 18128939 TI - [Not Available]. PMID- 18128940 TI - [Not Available]. PMID- 18128941 TI - [Not Available]. PMID- 18128942 TI - [Not Available]. PMID- 18128943 TI - [Not Available]. PMID- 18128944 TI - [Not Available]. PMID- 18128945 TI - [Not Available]. PMID- 18128946 TI - [Not Available]. PMID- 18128947 TI - [Not Available]. PMID- 18128948 TI - [Not Available]. PMID- 18128949 TI - [Not Available]. PMID- 18128950 TI - [Not Available]. PMID- 18128951 TI - [Not Available]. PMID- 18128952 TI - The surgical treatment of obstructive lesions of the esophagus. PMID- 18128953 TI - Requirements for oxygen in commercial aviation; some aspects of its use. PMID- 18128954 TI - [Not Available]. PMID- 18128956 TI - [Not Available]. PMID- 18128955 TI - [Not Available]. PMID- 18128957 TI - Fibrous dysplasia; report of a case. PMID- 18128958 TI - [Not Available]. PMID- 18128959 TI - [Not Available]. PMID- 18128960 TI - [Not Available]. PMID- 18128961 TI - Indications for various ophthalmic operations. PMID- 18128962 TI - The pathogenesis of arterial hypertension. PMID- 18128963 TI - [Not Available]. PMID- 18128964 TI - [Not Available]. PMID- 18128965 TI - [Not Available]. PMID- 18128966 TI - [Not Available]. PMID- 18128967 TI - [Not Available]. PMID- 18128969 TI - [Not Available]. PMID- 18128968 TI - [Not Available]. PMID- 18128970 TI - Teaching of mental hygiene. PMID- 18128971 TI - First memories of normal and of delinquent girls. PMID- 18128972 TI - Geriatrics and gerontology in every day practice. PMID- 18128974 TI - Substitured sulfaquinoxalines; extension of the glyoxalate synthesis of 2 aminoquinoxaline. PMID- 18128975 TI - Tomorrow's hospital; will it be a production line? PMID- 18128976 TI - Portal hypertension. PMID- 18128977 TI - Streptococcal pharyngitis. PMID- 18128978 TI - Hereditary myoclonus epilepsy; two cases with pathological findings. PMID- 18128979 TI - Resection of clavicle for surgical exposure; a case report. PMID- 18128980 TI - Thrombocytopenic purpura hemorrhagica after use of sedormid; report of a case. PMID- 18128981 TI - Lithium chloride as a substitute for sodium chloride in the diet; observations on its toxicity. PMID- 18128982 TI - [Not Available]. PMID- 18128983 TI - Tissue-culture evaluation of the viability of blood vessels stored by refrigeration. PMID- 18128984 TI - Physical properties of some organic insect repellents. PMID- 18128985 TI - [Not Available]. PMID- 18128986 TI - [Photometric dose provisions for the rectum in the radium treatment of uterine carcinoma]. PMID- 18128988 TI - Modification of virus receptors by metaperiodate, infection through modified receptors. PMID- 18128987 TI - Modification of virus receptors by metaperiodate; the properties of IO4-treated red-cells. PMID- 18128989 TI - Cervical sympathetic and stellate ganglion block in apoplexy; preliminary note on indications and technique. PMID- 18128990 TI - Acute occlusion by ligature of the portal vein in the Macacus rhesus monkey. PMID- 18128991 TI - [Not Available]. PMID- 18128993 TI - The synthesis of DL-threonine; interconversion of DL-threonine and DL allothreonine. PMID- 18128992 TI - The synthesis of DL-threonine; from alpha-bromo-beta-methoxy-n-butyric acid and derivatives. PMID- 18128995 TI - New developments in the management of leprosy. PMID- 18128994 TI - Cellular reactions in haemobartonella infected rats with anemia produced by antiblood immune serum. PMID- 18128997 TI - The dismal science of functionalism. PMID- 18128996 TI - Circulating anticoagulants; a technique for their detection and clinical studies. PMID- 18128998 TI - The puzzle of hula. PMID- 18128999 TI - Anthropology in Indochina since 1940. PMID- 18129000 TI - [Not Available]. PMID- 18129001 TI - [Not Available]. PMID- 18129003 TI - [Not Available]. PMID- 18129005 TI - Thumb-sucking. PMID- 18129002 TI - [Not Available]. PMID- 18129006 TI - Nutrition and human occlusion. PMID- 18129007 TI - Child management in dental radiography. PMID- 18129008 TI - The lingually locked maxillary incisor; a rapid technic for the construction of a plastic bite-plane. PMID- 18129009 TI - A cytological basis for a map of the nucleolar chromosome in man. PMID- 18129010 TI - [Not Available]. PMID- 18129011 TI - [Not Available]. PMID- 18129012 TI - [Not Available]. PMID- 18129013 TI - [Not Available]. PMID- 18129014 TI - [Not Available]. PMID- 18129015 TI - [Not Available]. PMID- 18129016 TI - Sympathectomy; its role in the treatment of vascular disease. PMID- 18129017 TI - [Not Available]. PMID- 18129018 TI - [Not Available]. PMID- 18129019 TI - [Not Available]. PMID- 18129020 TI - [Not Available]. PMID- 18129022 TI - [Not Available]. PMID- 18129021 TI - [Not Available]. PMID- 18129024 TI - [Not Available]. PMID- 18129023 TI - [Not Available]. PMID- 18129026 TI - The surgical significance of dissecting aortic aneurysms. PMID- 18129025 TI - [Not Available]. PMID- 18129027 TI - The needs of the Army medical service. PMID- 18129028 TI - [Not Available]. PMID- 18129029 TI - The molluscan intermediate host and schistosomiasis japonica; observations on the conditions governing the hatching of the eggs of Schistosoma japonicum. PMID- 18129031 TI - [Not Available]. PMID- 18129030 TI - [Not Available]. PMID- 18129032 TI - [Not Available]. PMID- 18129033 TI - [Not Available]. PMID- 18129034 TI - [Not Available]. PMID- 18129035 TI - [Not Available]. PMID- 18129036 TI - Moist heat in the treatment of poliomyelitis. PMID- 18129037 TI - [Not Available]. PMID- 18129038 TI - [Not Available]. PMID- 18129040 TI - [Not Available]. PMID- 18129039 TI - [Not Available]. PMID- 18129041 TI - [Not Available]. PMID- 18129042 TI - [Not Available]. PMID- 18129043 TI - [Not Available]. PMID- 18129044 TI - [Not Available]. PMID- 18129045 TI - [Not Available]. PMID- 18129046 TI - The effect of oral therapy with cobaltous chloride on the blood of patients suffering with chronic suppurative infection. PMID- 18129047 TI - Experience with vagotomy in the treatment of peptic ulcer. PMID- 18129048 TI - [Not Available]. PMID- 18129049 TI - [Not Available]. PMID- 18129050 TI - [Not Available]. PMID- 18129051 TI - [Not Available]. PMID- 18129052 TI - [Not Available]. PMID- 18129053 TI - The personality of library service. PMID- 18129054 TI - [Not Available]. PMID- 18129055 TI - [Not Available]. PMID- 18129057 TI - [Not Available]. PMID- 18129056 TI - [Not Available]. PMID- 18129058 TI - How one hospital coped with a major emergency. PMID- 18129060 TI - [Not Available]. PMID- 18129059 TI - [Not Available]. PMID- 18129061 TI - [Not Available]. PMID- 18129062 TI - [Not Available]. PMID- 18129063 TI - [Not Available]. PMID- 18129064 TI - [Not Available]. PMID- 18129065 TI - [Not Available]. PMID- 18129066 TI - [Not Available]. PMID- 18129068 TI - [Not Available]. PMID- 18129067 TI - [Not Available]. PMID- 18129069 TI - [Not Available]. PMID- 18129070 TI - [Not Available]. PMID- 18129071 TI - [Not Available]. PMID- 18129072 TI - [Not Available]. PMID- 18129073 TI - [Not Available]. PMID- 18129074 TI - [Not Available]. PMID- 18129076 TI - The common sense of sex education. PMID- 18129075 TI - [Not Available]. PMID- 18129077 TI - Individual psychology in Germany. PMID- 18129078 TI - Acute edema and prolapse of the cervix in pregnancy. PMID- 18129079 TI - The mechanism of speech; anatomical and clinical considerations. PMID- 18129080 TI - Perforations of the esophagus. PMID- 18129081 TI - Diagnosis and treatment of malignant tumors of ovary. PMID- 18129082 TI - Prothrombin deficiency of the newborn. PMID- 18129083 TI - Local anesthetics; aminoalkoxyisoquinoline derivatives. PMID- 18129084 TI - [Not Available]. PMID- 18129085 TI - Papillary cystadenocarcinoma of the ovary treated with large doses of testosterone propionate; report of a case. PMID- 18129086 TI - Partial excision of the inferior vena cava in the removal of tumors. PMID- 18129087 TI - The use of vinethene in dentistry for children. PMID- 18129088 TI - Anesthesia for the child patient. PMID- 18129089 TI - [Not Available]. PMID- 18129090 TI - [Not Available]. PMID- 18129091 TI - [Not Available]. PMID- 18129092 TI - [Not Available]. PMID- 18129093 TI - [Not Available]. PMID- 18129094 TI - [Not Available]. PMID- 18129095 TI - [Not Available]. PMID- 18129096 TI - [Not Available]. PMID- 18129097 TI - [Not Available]. PMID- 18129098 TI - [Not Available]. PMID- 18129099 TI - [Not Available]. PMID- 18129100 TI - [Not Available]. PMID- 18129101 TI - [Not Available]. PMID- 18129102 TI - The zinc content of whole blood, plasma, leukocytes and erythrocytes in the anemias. PMID- 18129103 TI - Vitamin D poisoning. PMID- 18129104 TI - Toxicity of caronamide; report of a case. PMID- 18129105 TI - Pharyngo-esophageal diverticulectomy; advantages of the two-stage operation for large pulsion diverticula. PMID- 18129107 TI - The needs of the Army medical service. PMID- 18129106 TI - Canicola fever in Germany; report of six cases. PMID- 18129108 TI - The duration of immunity to tetanus. PMID- 18129109 TI - A case of malignant exophthalmos. PMID- 18129110 TI - [Not Available]. PMID- 18129111 TI - [Not Available]. PMID- 18129112 TI - [Not Available]. PMID- 18129113 TI - [Not Available]. PMID- 18129114 TI - [Not Available]. PMID- 18129116 TI - [Not Available]. PMID- 18129115 TI - [Not Available]. PMID- 18129117 TI - [Not Available]. PMID- 18129118 TI - [Not Available]. PMID- 18129119 TI - Acute diverticulitis of the cecum; report of six cases. PMID- 18129120 TI - Some aspects of aviation medicine. PMID- 18129121 TI - [Not Available]. PMID- 18129122 TI - [Not Available]. PMID- 18129123 TI - [Not Available]. PMID- 18129124 TI - [Not Available]. PMID- 18129125 TI - [Not Available]. PMID- 18129126 TI - [Not Available]. PMID- 18129127 TI - [Not Available]. PMID- 18129128 TI - [Not Available]. PMID- 18129129 TI - [Not Available]. PMID- 18129130 TI - [Traumatic injuries of peripheral nerves; Electrodiagnostic; surgical treatment]. PMID- 18129131 TI - [Cranial-brain trauma]. PMID- 18129132 TI - [Not Available]. PMID- 18129133 TI - [Not Available]. PMID- 18129134 TI - [Not Available]. PMID- 18129135 TI - [Not Available]. PMID- 18129136 TI - Ectopic pregnancy. PMID- 18129137 TI - Essential hypertension; a clinical report on 12 cases. PMID- 18129138 TI - Sex behavior and sex attitudes in relation to emotional health. PMID- 18129139 TI - A solderless electrode for electroencephalography. PMID- 18129140 TI - Methionine and 2,3-dimercaptopropanol in acute toxicity of gold sodium thiosulfate. PMID- 18129141 TI - The validity of clinical estimates of diastolic arterial pressure. PMID- 18129142 TI - Tuberose sclerosis or epiloia. PMID- 18129143 TI - [Not Available]. PMID- 18129144 TI - Suggestions for further improvement of tuberculosis control in nursing and medical students; BCG vaccination. PMID- 18129146 TI - [Not Available]. PMID- 18129147 TI - [Not Available]. PMID- 18129145 TI - Studies of acid base equilibrium with oxygen, hemoglobin and hematocrit levels in premature infants. PMID- 18129148 TI - [Not Available]. PMID- 18129149 TI - [Not Available]. PMID- 18129151 TI - OTITIS media, acute. PMID- 18129150 TI - INCIDENCE of anemia in the Navy and Marine Corps. PMID- 18129152 TI - Sarcoidosis; report of six cases. PMID- 18129153 TI - Vagus neurectomy in peptic ulcer; analyses of 60 cases. PMID- 18129154 TI - Chronic nonspecific jejunitis. PMID- 18129155 TI - Recurrent acute pancreatitis; review of the literature and report of a case. PMID- 18129156 TI - Psychiatric uses of sodium pentothal; experiences in a forward area. PMID- 18129157 TI - Hypertrophy of the heart of unknown cause in young adults; report of two additional cases. PMID- 18129158 TI - Syphilitic osteoperiostitis; skull, ribs, and phalanges; report of a case. PMID- 18129159 TI - Oro-laryngeal tuberculosis; report of a case. PMID- 18129160 TI - Repositioning of the mandible by adjustment of occlusion. PMID- 18129161 TI - Malignant neoplasms at autopsy. PMID- 18129162 TI - Craniopharyngioma; report of a case. PMID- 18129163 TI - Urachal cysts and sinuses; discussion and report of a case. PMID- 18129164 TI - Angioid streals of the retina; case report. PMID- 18129166 TI - Spontaneous mediastinal emphysema; report of a case. PMID- 18129165 TI - Methanol and formaldehyde in normal body tissues and fluids. PMID- 18129168 TI - The relation of structure to function as seen in the joint of the foot. PMID- 18129167 TI - Medical care on wartime operating submarines. PMID- 18129169 TI - Morton's toe or Morton's meta-tarsalgia. PMID- 18129170 TI - [Not Available]. PMID- 18129171 TI - [Not Available]. PMID- 18129172 TI - Thymectomy in treatment of myasthenia gravis; report based on 32 cases. PMID- 18129173 TI - Cysticercosis cerebri and its operative treatment. PMID- 18129174 TI - Destruction of nerve cells by rickettsial organisms of tsutsugamushi fever. PMID- 18129175 TI - Pial-medullary angiomas; clinicopathologic features and treatment. PMID- 18129176 TI - Relation of changes in carbohydrate metabolism to psychotic states. PMID- 18129178 TI - Epileptic manifestations of cortical and supracortical discharge. PMID- 18129177 TI - Capillaroscopic observations in cases of multiple sclerosis. PMID- 18129179 TI - Electrical signs of epileptic discharge. PMID- 18129180 TI - Mechanisms for the spread of epileptic activation of the brain. PMID- 18129181 TI - Biochemical approaches in the study of epilepsy. PMID- 18129182 TI - Influence of drugs on the human electroencephalogram. PMID- 18129183 TI - The central effects of rhythmic sensory stimulation. PMID- 18129184 TI - [Not Available]. PMID- 18129185 TI - A new nasopharyngeal lead. PMID- 18129186 TI - A tympanic lead. PMID- 18129187 TI - [Not Available]. PMID- 18129188 TI - [Not Available]. PMID- 18129189 TI - [Not Available]. PMID- 18129190 TI - [Not Available]. PMID- 18129191 TI - [Not Available]. PMID- 18129192 TI - [Not Available]. PMID- 18129193 TI - [Not Available]. PMID- 18129194 TI - [Not Available]. PMID- 18129196 TI - Viruses and virus diseases. PMID- 18129195 TI - [Not Available]. PMID- 18129197 TI - NEW York's floating hospital. PMID- 18129198 TI - Nursing in Alaska. PMID- 18129199 TI - Rh factor incompatibility. PMID- 18129200 TI - Advances in dietetics from the hospital viewpoint. PMID- 18129201 TI - Development of positive food therapy. PMID- 18129202 TI - The changing pattern in community nutrition. PMID- 18129203 TI - [Not Available]. PMID- 18129204 TI - [Not Available]. PMID- 18129205 TI - [Not Available]. PMID- 18129207 TI - [Not Available]. PMID- 18129206 TI - [Not Available]. PMID- 18129208 TI - [Not Available]. PMID- 18129209 TI - [Not Available]. PMID- 18129210 TI - [Not Available]. PMID- 18129211 TI - [Not Available]. PMID- 18129212 TI - [Not Available]. PMID- 18129213 TI - [Not Available]. PMID- 18129214 TI - [Not Available]. PMID- 18129215 TI - Clinical studies with parenteral vitamin A therapy in deafness; preliminary report. PMID- 18129216 TI - The significance of viruses as seen in nose and throat practice. PMID- 18129217 TI - Nasopharyngeal irradiation in the prevention and treatment of deafness. PMID- 18129218 TI - The evolutionary process of methods of teaching language to the deaf with a survey of the methods now employed. PMID- 18129220 TI - [Not Available]. PMID- 18129219 TI - [Not Available]. PMID- 18129221 TI - [Not Available]. PMID- 18129223 TI - [Not Available]. PMID- 18129222 TI - [Not Available]. PMID- 18129224 TI - [Not Available]. PMID- 18129225 TI - [Not Available]. PMID- 18129226 TI - [Not Available]. PMID- 18129228 TI - [Not Available]. PMID- 18129227 TI - [Not Available]. PMID- 18129229 TI - [Not Available]. PMID- 18129230 TI - [Not Available]. PMID- 18129231 TI - [Not Available]. PMID- 18129232 TI - [Not Available]. PMID- 18129233 TI - [Not Available]. PMID- 18129234 TI - Cytologic changes in bronchogenic carcinoma following treatment with nitrogen mustard (methyl-bis [beta-chloroethyl] amine). PMID- 18129235 TI - Effect of nitrogen mustard in mycosis fungoides. PMID- 18129236 TI - Bronchial adenoma producing an alveolar cell carcinoma pattern. PMID- 18129237 TI - Experimental atherosclerosis; the effect of desoxycorticosterone acetate on the cholesterol content of the blood, the aorta and the liver of the rabbit. PMID- 18129238 TI - Silvering of lepra bacilli in tissues. PMID- 18129239 TI - Splenic cysts. PMID- 18129240 TI - Spontaneous demyelinating diseases of animals; a study in comparative pathology. PMID- 18129241 TI - [Not Available]. PMID- 18129242 TI - [Not Available]. PMID- 18129243 TI - [Not Available]. PMID- 18129244 TI - [Not Available]. PMID- 18129245 TI - [Not Available]. PMID- 18129246 TI - [Not Available]. PMID- 18129247 TI - [Not Available]. PMID- 18129248 TI - [Not Available]. PMID- 18129249 TI - Panel discussion on diabetes mellitus. PMID- 18129250 TI - Abdominal pain of rheumatic fever. PMID- 18129251 TI - The premature infant; a discussion with correlation to the 206 premature admissions in the 6-year period from January 1943 until December, 1948. PMID- 18129252 TI - Tetany of the newborn in a Negro infant. PMID- 18129253 TI - [Tuberculous meningitis and streptomycin]. PMID- 18129254 TI - [Treatment of tuberculous meningitis by streptomycin]. PMID- 18129255 TI - [Some particular aspects of the Clinic of tuberculous meningitis in the Service of the Hospital of pulmonary tuberculosis trench]. PMID- 18129256 TI - [Tuberculous meningitis]. PMID- 18129257 TI - [The radioactive isotopes in medicine and pharmacy of the future]. PMID- 18129258 TI - [Not Available]. PMID- 18129259 TI - AMOBARBITAL. PMID- 18129260 TI - ANTHRALIN ointment. PMID- 18129261 TI - FRANGULA. PMID- 18129262 TI - PROCAINE borate. PMID- 18129263 TI - The pharmacology of curare and curarising substances. PMID- 18129264 TI - The chemistry of anti-pernicious anaemia factors; the liberation of phosphorus as phosphate from vitamin B12 by acid hydrolysis. PMID- 18129265 TI - The pharmacognosy of Rauwolfia. PMID- 18129266 TI - A chlorohydroxy-triphenylmethane dye. PMID- 18129267 TI - The spectrophotometric determination of rutin and quercetin in mixtures. PMID- 18129268 TI - The colorimetric determination of aneurine by Auerbach's method. PMID- 18129269 TI - The British Pharmacopoeia 1948; some observations on the test for purity. PMID- 18129270 TI - Aluminium oxide for quantitative chromatographic analysis. PMID- 18129271 TI - The active ion transport through the isolated frog skin in the light of tracer studies. PMID- 18129272 TI - The influence of the corticotropic hormone from ox on the active salt uptake in the axolotl. PMID- 18129273 TI - Studies on the biochemistry of human semen; the viscosimetric determination of hyaluronidase. PMID- 18129274 TI - On the occurrence of bacterial growth factors in liver extracts. PMID- 18129275 TI - The limits of error of the assay of pregnant mares' serum gonadotropin by the ovarian weight method. PMID- 18129276 TI - Relation between growth and lipid synthesis in Colpidium campylum. PMID- 18129277 TI - Studies on arthropod cuticle; the variation in permeability of larval cuticles of the blowfly, Phormia regina. PMID- 18129278 TI - Control erythrocytes. PMID- 18129279 TI - The formation of a complex between certain respiratory inhibitors and copper. PMID- 18129280 TI - The effect of sodium azide on respiration of rat skeletal muscle and brain cortex in vitro, with special reference to temperature. PMID- 18129281 TI - The relative rate of penetration of the lower saturated monocarboxylic acids into mammalian erythrocytes. PMID- 18129283 TI - The peripheral action of C1. botulinum toxin. PMID- 18129287 TI - Electrophoretic and ultracentrifugal examination of rabbit blastocyst fluid. PMID- 18129290 TI - The penetration of some electrolytes and non-electrolytes into the aqueous humour and vitreous body of the cat. PMID- 18129291 TI - Action of adrenaline-like substances on the serum of potassium. PMID- 18129294 TI - A re-examination of the accident proneness concept. PMID- 18129295 TI - The OL key of the Strong test and drive at the twelfth grade level. PMID- 18129296 TI - An objective evaluation of counseling. PMID- 18129297 TI - Tables for use with the Flesch readability formulas. PMID- 18129298 TI - [Not Available]. PMID- 18129300 TI - [Not Available]. PMID- 18129299 TI - [Not Available]. PMID- 18129301 TI - [Not Available]. PMID- 18129302 TI - [Improvement of natural resources and its hygienic importance]. PMID- 18129303 TI - [Meteorological conditions, research]. PMID- 18129304 TI - [Oxidation-reduction potentials and bactericidal effects of chlorine in chlorine compounds]. PMID- 18129305 TI - [Characteristics of rare metals; industrial hygiene]. PMID- 18129307 TI - [Haff disease]. PMID- 18129306 TI - [Intermittent effect of industrial poisons on organism]. PMID- 18129308 TI - [Acute alimentary myositis]. PMID- 18129309 TI - [Diseases of children and bactericidal properties of ultra-violet rays]. PMID- 18129310 TI - [Water analysis for helminthes in open reservoirs]. PMID- 18129311 TI - [Sanitary control of hospital sewage]. PMID- 18129312 TI - [Effectiveness of vitamin C]. PMID- 18129313 TI - Smallpox in Tripolitania, 1946; an epidemiological and clinical study of 500 cases, including trials of penicillin treatment. PMID- 18129314 TI - The serological relationship between vaccinia and ectromelia viruses. PMID- 18129315 TI - The epizootic behaviour of mouse-pox (infectious ectromelia of mice) the course of events in long-continued epidemics. PMID- 18129316 TI - The survival of foot-and-mouth disease virus in meat and offal. PMID- 18129317 TI - Haemolytic disease of newborn foals due to isoimmunization of pregnancy. PMID- 18129318 TI - A first record of Brucella abortus (Bang) in the cattle of Mauritius; and data on the possible occurrence locally of undulant fever in man. PMID- 18129319 TI - A simple method for the determination of bacterial sensitivity to sulphonamides by the use of blotting-paper disks. PMID- 18129320 TI - The counting of surface colonies of bacteria. PMID- 18129321 TI - Feeding and breeding of laboratory animals; breeding of guinea-pigs. PMID- 18129322 TI - Electron-microscope studies on relapsing fever spirochaetes. PMID- 18129323 TI - The problem of diabetes mellitus in school medical administration. PMID- 18129324 TI - The effects of air temperature and velocity and of various flooring materials on the thermal sensations and skin temperature of the feet. PMID- 18129325 TI - Illness in early childhood in Luton. PMID- 18129326 TI - Time analysis of public health nursing service; Alameda County Health Department, 1946-1947. PMID- 18129327 TI - Isolation of Brucella abortus from hogs. PMID- 18129328 TI - [Not Available]. PMID- 18129329 TI - Radiographic studies showing the induction of a segmentation pattern in the small intestine in normal human subjects. PMID- 18129330 TI - Bronchography; the methods by which it may be performed and the factors influencing the choice of method employed. PMID- 18129331 TI - Pulmonary actionomycosis. PMID- 18129332 TI - A simple apparatus for aimed exposures. PMID- 18129333 TI - Clinical radiation dosage. PMID- 18129334 TI - The construction and performance of a high pressure condenser ionization chamber. PMID- 18129335 TI - Radiography of the temporal bone. PMID- 18129336 TI - The radiography and radiotherapy of the larynx and pharynx. PMID- 18129337 TI - The testing of X-ray films in tropical climates. PMID- 18129338 TI - [Not Available]. PMID- 18129339 TI - [Not Available]. PMID- 18129340 TI - [Not Available]. PMID- 18129341 TI - [Not Available]. PMID- 18129342 TI - Neurinoma in the gastro-intestinal tract. PMID- 18129343 TI - Tetanus following burns; report of a fatal case in spite of prophylactic antitoxin and penicillin treatment during the period of incubation, with a few statistical remarks on the estimation of the prognosis in tetanus. PMID- 18129344 TI - Lunatomalacia. PMID- 18129345 TI - Multiple lipoma-angiolipomas. PMID- 18129346 TI - Ligamentous ankle fractures; diagnosis and treatment. PMID- 18129347 TI - Surgical aspects of the adrenaline-content in blood. PMID- 18129348 TI - Curare in the treatment of tetanus. PMID- 18129349 TI - [Not Available]. PMID- 18129350 TI - [Not Available]. PMID- 18129351 TI - A simple experimental method of evaluation for the Bassini and allied types of hermorrhaphy. PMID- 18129352 TI - The treatment of cavernous haemangiomas and cirsoid aneurysms by the injection of boiling water. PMID- 18129353 TI - Spontaneous paralytic ileus. PMID- 18129354 TI - Missile injuries of the urethra. PMID- 18129356 TI - The surgico-pathological aspects of myasthenia gravis. PMID- 18129355 TI - Carcinoma of the rectum and anal canal; treatment with very high voltage X-ray therapy. PMID- 18129357 TI - Urinary incontinence due to ectopic ureter. PMID- 18129358 TI - Partial hepatectomy. PMID- 18129359 TI - Athletes' hernia of the tibialis anticus muscles. PMID- 18129361 TI - Observations on bone lesions in Hodgkin's disease. PMID- 18129360 TI - Trichobezoar. PMID- 18129362 TI - Further report on the operation of oesophagectomy with presternal oesophago gastrostomy. PMID- 18129363 TI - A method of defunctioning the bladder and rectum in advanced pelvic carcinoma. PMID- 18129364 TI - Meningiomas in Pharaoh's people; hyperostosis in ancient Egyptian skulls. PMID- 18129365 TI - A case of bilharzia of the appendix, with strangulation of ileum. PMID- 18129366 TI - Sudden death at operation due to tumour embolus. PMID- 18129368 TI - Spigelian hernia simulating acute appendicitis. PMID- 18129367 TI - A case of gastric neurinoma with haematemesis. PMID- 18129369 TI - Subcutaneous rupture of the muscles of the abdomen. PMID- 18129370 TI - A case of carcinoma of the duodenum. PMID- 18129371 TI - Persistent haematuria from a minute papilloma of the renal pelvis. PMID- 18129372 TI - Coincidental strictures of oesophagus and stomach. PMID- 18129373 TI - [Not Available]. PMID- 18129374 TI - [Not Available]. PMID- 18129375 TI - [Not Available]. PMID- 18129376 TI - Radical dissection of the neck. PMID- 18129377 TI - Technic of subtotal thyroidectomy. PMID- 18129378 TI - Meningiomas and neurofibromas of the spinal cord; certain clinical features and end results. PMID- 18129379 TI - The technic of lumbar sympathectomy. PMID- 18129380 TI - Carcinoma of the epiglottis treated by surgical excision with operative technic. PMID- 18129381 TI - The technical aspects of esophageal surgery. PMID- 18129383 TI - Carcinoma of the breast; technic of radical mastectomy. PMID- 18129382 TI - The general technical aspects of cardiovascular surgery. PMID- 18129384 TI - Total gastrectomy. PMID- 18129385 TI - Partial pancreatectomy; excision of the tail and body of the pancreas. PMID- 18129386 TI - Repair of incisional hernia. PMID- 18129387 TI - Operative procedures on the gallbladder and common duct. PMID- 18129388 TI - Resection of the small intestine. PMID- 18129389 TI - Excision of cysts of Bartholin's gland. PMID- 18129390 TI - Treatment of prolapse of the uterus. PMID- 18129391 TI - Pilonidal cysts and sinuses. PMID- 18129392 TI - Management of varicose veins of the lower extremity. PMID- 18129393 TI - Surgery of the acromioclavicular joint. PMID- 18129394 TI - Arthrotomy of the knee joint. PMID- 18129396 TI - [Principles of general oncology in relation to modern biology]. PMID- 18129395 TI - Technic of endotracheal anesthesia. PMID- 18129397 TI - [Effect of pentothal anesthetization on the functions of the liver and kidney]. PMID- 18129398 TI - [Intra-osseous injections of penicillin and novocain]. PMID- 18129399 TI - [Results of 50 intrathoracic operations]. PMID- 18129400 TI - [Penicillin therapy of suppurative pleurisy]. PMID- 18129401 TI - [Role of residual air in the peritoneal cavity in the etiology of postoperative pneumonia]. PMID- 18129402 TI - [Bronchobiliary fistulas]. PMID- 18129403 TI - [Epithelial cysts and fistulas of the sacro-coccygeal region]. PMID- 18129404 TI - [New method of tenodesis of the ankle]. PMID- 18129406 TI - [Calcified hematoma]. PMID- 18129405 TI - [Diagnosis of fractures of the cervical vertebrae]. PMID- 18129407 TI - [Surgery of the honeycomb lung]. PMID- 18129408 TI - [Acid-alkaline equilibrium of wounds and purulent foci]. PMID- 18129409 TI - [Surgery of the endarteritis obliterans]. PMID- 18129410 TI - [Complications in the surgery of the gastro-intestinal tract]. PMID- 18129411 TI - [Esophagectomy in cancer with high anastomosis]. PMID- 18129412 TI - [Analgetic surgery in cancer of the face and mouth floor]. PMID- 18129413 TI - [Remote results of gastroduodenal surgery in ulcers]. PMID- 18129414 TI - [Effect of surgery in cancer of the breast on working capacity]. PMID- 18129415 TI - [Bilateral pleural empyema with favorable results]. PMID- 18129416 TI - [Lengthening of the shoulder stump in children]. PMID- 18129417 TI - [Muscular plastic surgery in paralytic calcaneus varus]. PMID- 18129418 TI - [Bilateral congenital dislocation of the knee]. PMID- 18129419 TI - [Calcifying arthrosis treated with local decalcification]. PMID- 18129420 TI - [Tissue therapy of prolonged non-healing ulcers]. PMID- 18129421 TI - [Remote results of amputation of the leg]. PMID- 18129422 TI - [Distribution of the osteo-muscular complex of the lower extremities in man in reference to prosthesis]. PMID- 18129423 TI - Physical medicine in the treatment of varicose veins and indolent varicose ulcers. PMID- 18129424 TI - Joint manipulation in rehabilitation. PMID- 18129426 TI - Their hospital time can be learning time; the teacher turns therapist. PMID- 18129425 TI - A walking aid for spastic children. PMID- 18129428 TI - The measurement of joint motion; introductory review of the literature. PMID- 18129427 TI - Romney Diagnostic Adjustment Center for adult blind. PMID- 18129429 TI - [Not Available]. PMID- 18129430 TI - [Not Available]. PMID- 18129431 TI - [Not Available]. PMID- 18129432 TI - The epidemiology of yellow fever in Central Africa. PMID- 18129433 TI - A new human cestode infection in Kenya; Inermicapsifer arvicanthidis, a parasite of rats. PMID- 18129434 TI - Filaria in the Anglo-Egyptian Sudan. PMID- 18129435 TI - Observations on the treatment of falciparum malaria. PMID- 18129436 TI - A note on presumed exo-erythrocytic development of Plasmodium vassali in the liver of the Malayan squirrel. PMID- 18129437 TI - Rate of disappearance of Leishmania in kala-azar patients under urea stibamine therapy. PMID- 18129438 TI - Acute meningo-encephalitis of uncertain origin in West African troops. PMID- 18129439 TI - The treatment of amoebic dysentery in the Bantu African. PMID- 18129440 TI - Aetiological and prognostic features in tropical sprue; a study of 47 cases over a 2 3/4-3 year period. PMID- 18129441 TI - Malnutrition and snake poisoning in the Sudan. PMID- 18129442 TI - A case of thromboangiitis obliterans in an African woman. PMID- 18129444 TI - Recent advances in the treatment of respiratory tuberculosis. PMID- 18129443 TI - The organisation and equipment of chest clinics. PMID- 18129445 TI - [Not Available]. PMID- 18129446 TI - [Not Available]. PMID- 18129447 TI - [Not Available]. PMID- 18129448 TI - [Not Available]. PMID- 18129449 TI - Penicillin syphilotherapy administered prior to pregnancy; a study of 111 pregnancies during which additional antisyphilitic treatment was withheld. PMID- 18129450 TI - The therapeutic efficacy of penicillin G in experimental syphilis produced by five different strains of Treponema pallidum. PMID- 18129451 TI - Results of the nationwide study of penicillin in early syphilis; amorphous penicillin in aqueous solution. PMID- 18129452 TI - Results of the nationwide study of penicillin in early syphilis; amorphous penicillin versus crystalline penicillin G, and aqueous penicillin versus penicillin-oil-beeswax. PMID- 18129453 TI - Observations on patients with early syphilis treated with penicillin in various vehicles and by oral method. PMID- 18129454 TI - Osteomyelitis of the skull in early syphilis; report of two cases probably influenced by trauma. PMID- 18129455 TI - Cardiovascular syphilis; a summary of recent information with special reference to treatment with penicillin. PMID- 18129456 TI - Extradural hemorrhage following lumbar puncture; report of a case. PMID- 18129457 TI - Streptomycin therapy in a case of sulfonamide-resistant Hemophilus ducreyi (chancroid) infection. PMID- 18129458 TI - Skin reaction of patients of Donovania granulomatis. PMID- 18129459 TI - Streptomycin therapy of granuloma inguinale. PMID- 18129460 TI - Diagnostic tests in granuloma inguinale. PMID- 18129461 TI - Is gonorrhea control a public health function? PMID- 18129462 TI - So-called penicillin-resistant gonococcal infections; a clinical and laboratory study. PMID- 18129463 TI - Cutaneous manifestations of late syphilis. PMID- 18129464 TI - [Not Available]. PMID- 18129465 TI - [Not Available]. PMID- 18129466 TI - [Not Available]. PMID- 18129467 TI - [Not Available]. PMID- 18129468 TI - Paradilepis simoni n. sp., a cestode parasitic in the osprey (Cestoda : Dilepididae). PMID- 18129469 TI - A contribution to the study of North American cestodes of the genus Paruterina Fuhrmann, 1906. PMID- 18129470 TI - A rare suture in the anterior cranial fossa of the human skull. PMID- 18129472 TI - Tattooing and scarification in Tanga. PMID- 18129471 TI - Rituals and medicines of Chishinga ironworkers. PMID- 18129478 TI - The characteristics of an agent morphologically resembling the Chlamydozoaceae and causing sinusitis in turkeys. PMID- 18129483 TI - Pigment production in the differentiation of Trichophyton mentagrophytes and Trichophyton rubrum. PMID- 18129484 TI - Phase-determining factors in Blastomyces dermatitis. PMID- 18129485 TI - An appraisal of entomology and entomologists. PMID- 18129486 TI - The effect of soil soluble salts and cultural practices on mite populations on hothouse tomatoes. PMID- 18129487 TI - The effect of some insecticides on black fly larvae in Alaskan streams. PMID- 18129488 TI - Control of Alaskan mosquito adults by aerial sprays. PMID- 18129489 TI - Residual toxicity of DDT analogs and related chlorinated hydrocarbons to house flies and mosquitoes. PMID- 18129490 TI - The chlorinated hydrocarbon content of milk from cattle sprayed for control of horn flies. PMID- 18129492 TI - Toxicity of residues from carbon dioxide-propelled insecticides. PMID- 18129491 TI - DDT content of milk from cows fed pea vine silage containing DDT residues. PMID- 18129493 TI - Chlorinated hydrocarbon insecticides for the control of the horn fly on beef cattle in Kansas and Missouri. PMID- 18129494 TI - New developments in the transport of beneficial insects. PMID- 18129495 TI - A laboratory method for evaluating DDT residues. PMID- 18129496 TI - Toxicity of house flies of DDT and two DDT analogs. PMID- 18129497 TI - Further notes on the host relationships of ticks on Long Island. PMID- 18129499 TI - [Upon a new neotropical species of the genus Cardiocladius Kieffer, 1912, Diptera, Chironomidae]. PMID- 18129498 TI - [Lack of vitamin A activity in the oil of cashew and peanut meal]. PMID- 18129500 TI - Influence of serum proteins and calcium ions upon the velocity of the reaction thrombin fibrinogen; second phase of blood coagulation. PMID- 18129501 TI - [About the largest Proterospermophora of Brazil, Leptodesmidae, Diplopoda]. PMID- 18129503 TI - A new species of Pseudogaurax from Brazil, Diptera, Chloropidae. PMID- 18129502 TI - [Influence of temperature upon the symptoms of avitaminosis A]. PMID- 18129504 TI - [Studies on canine leptospirosis, presence of agglutinins and sore lysine in dogs from Sao Paulo]. PMID- 18129506 TI - [Parasitism of the cardiac valves of the dog by Schizotrypanum cruzi]. PMID- 18129505 TI - [Studies upon tabanidas Brazilians; gender Chelommia End, 1922, with descriptions of three new species, Diptera, Tabanidae]. PMID- 18129507 TI - [Neotropical species of the Simuliidae Schiner Diptera family, Nematocera; redescription of Simulium auristriatum Lutz, 1910 and Simulium (Eusimulium) venustum unfuscata Lutz, 1909 var. inquirendae]. PMID- 18129508 TI - [Contribution to the knowledge of the Arctiidae, genus Thysanoprymna Butler, 1875]. PMID- 18129509 TI - [Action acetilfenilhidrazina the infection of rhesus Macoco by Plasmodium knowlesi]. PMID- 18129510 TI - [Contribution to the knowledge of Pseudogaurax longilineatus Sabrosky, parasite egg sacs of Mantodea Diptera, Chloropidae]. PMID- 18129511 TI - Serum proteins in cancer. PMID- 18129512 TI - Hypervolemia and associated changes in mice bearing a transplanted granulosa cell tumor. PMID- 18129513 TI - Studies on the protein-bound aminoazo dyes formed in vivo from 4 dimethylaminoazobenzene and its C-monomethyl derivatives. PMID- 18129514 TI - Influence of calcium and magnesium on eugenol-induced desquamation of mucus epithelium in gastric pouches. PMID- 18129515 TI - Adenocarcinoma in the uterus of an endocrine imbalance female rat. PMID- 18129516 TI - The effect of dietary fat and carbohydrate on diethylstilbestrol-induced mammary cancer in rats. PMID- 18129518 TI - A statistical study of tumors among Koreans. PMID- 18129517 TI - Beta-glucuronidase activity in human female genital cancer. PMID- 18129519 TI - Spontaneous basophilic tumors of the pituitary glands in gonadectomized mice. PMID- 18129520 TI - [Not Available]. PMID- 18129521 TI - [Not Available]. PMID- 18129522 TI - [Not Available]. PMID- 18129523 TI - [Not Available]. PMID- 18129524 TI - On the change in particle size distribution of polymethyl methacrylate during polymerization. PMID- 18129525 TI - Tuberculostatic derivatives of p-aminobenzoic acid; derivatives of 2-halogeno-4 aminobenzoic acid. PMID- 18129526 TI - Formation of biliverdin from legcholeglobin, the green pigment in leguminous root nodules. PMID- 18129527 TI - Amperometric titrations with indicators. PMID- 18129528 TI - A titrimetric method for the determination of calcium. PMID- 18129529 TI - Antihistamine agents; 2-imidazolinylmethyl ethers of carbocyclic carbinols. PMID- 18129530 TI - [Not Available]. PMID- 18129531 TI - [Not Available]. PMID- 18129533 TI - Relations between vapour pressures and solubilities of hydrates. PMID- 18129532 TI - On relations between activation energies and frequency exponents in chemical kinetics. PMID- 18129534 TI - [Not Available]. PMID- 18129535 TI - Centaur X and Centaur Y; two unknown substances in Centaurea-species. PMID- 18129536 TI - X-ray studies on the system molybdenum trioxide, tungsten trioxide. PMID- 18129537 TI - The binary system zirconiumboron. PMID- 18129538 TI - Antihistamine agents; 2-imidazolinylmethyl ethers of heterocyclic carbinols. PMID- 18129539 TI - [Not Available]. PMID- 18129540 TI - [Not Available]. PMID- 18129541 TI - [Not Available]. PMID- 18129542 TI - [Not Available]. PMID- 18129543 TI - [Not Available]. PMID- 18129544 TI - [Not Available]. PMID- 18129545 TI - [Not Available]. PMID- 18129546 TI - [Not Available]. PMID- 18129547 TI - [Not Available]. PMID- 18129548 TI - [Not Available]. PMID- 18129549 TI - [Not Available]. PMID- 18129550 TI - [Not Available]. PMID- 18129551 TI - [Not Available]. PMID- 18129552 TI - [Not Available]. PMID- 18129553 TI - [Not Available]. PMID- 18129554 TI - [Not Available]. PMID- 18129555 TI - [Not Available]. PMID- 18129556 TI - [Not Available]. PMID- 18129557 TI - [Not Available]. PMID- 18129558 TI - [Not Available]. PMID- 18129559 TI - [Not Available]. PMID- 18129560 TI - [Not Available]. PMID- 18129561 TI - [Not Available]. PMID- 18129562 TI - [Not Available]. PMID- 18129563 TI - [Not Available]. PMID- 18129564 TI - [Not Available]. PMID- 18129565 TI - [Not Available]. PMID- 18129566 TI - [Not Available]. PMID- 18129567 TI - [Not Available]. PMID- 18129568 TI - [Not Available]. PMID- 18129569 TI - [Not Available]. PMID- 18129570 TI - [Not Available]. PMID- 18129571 TI - [Not Available]. PMID- 18129572 TI - [Not Available]. PMID- 18129573 TI - [Not Available]. PMID- 18129574 TI - [Not Available]. PMID- 18129575 TI - [Not Available]. PMID- 18129576 TI - [Not Available]. PMID- 18129577 TI - [Not Available]. PMID- 18129578 TI - [Not Available]. PMID- 18129579 TI - [Not Available]. PMID- 18129580 TI - [Not Available]. PMID- 18129581 TI - [Not Available]. PMID- 18129582 TI - [Not Available]. PMID- 18129583 TI - [Not Available]. PMID- 18129584 TI - [Not Available]. PMID- 18129585 TI - [Not Available]. PMID- 18129586 TI - [Not Available]. PMID- 18129587 TI - [Not Available]. PMID- 18129589 TI - [Not Available]. PMID- 18129588 TI - [Not Available]. PMID- 18129590 TI - [Not Available]. PMID- 18129591 TI - [Not Available]. PMID- 18129592 TI - [Not Available]. PMID- 18129593 TI - [Not Available]. PMID- 18129594 TI - [Not Available]. PMID- 18129595 TI - [Not Available]. PMID- 18129596 TI - [Not Available]. PMID- 18129597 TI - [Not Available]. PMID- 18129598 TI - [Not Available]. PMID- 18129599 TI - [Not Available]. PMID- 18129600 TI - [Not Available]. PMID- 18129601 TI - [Not Available]. PMID- 18129602 TI - [Not Available]. PMID- 18129603 TI - [Not Available]. PMID- 18129604 TI - A preliminary investigation of the spectra of uranium isotopes. PMID- 18129605 TI - The determination of flame temperatures by infra-red radiation. PMID- 18129606 TI - Detection of lead in air with the aid of a Geiger-Muller counter. PMID- 18129607 TI - The general theory of isoplantatism for finite aperture and field. PMID- 18129608 TI - Heredity and environment. PMID- 18129609 TI - Raman spectra of acetals. PMID- 18129610 TI - The photochemical degradation of polystyrene. PMID- 18129611 TI - The heats of combustion of five aromatic amines. PMID- 18129612 TI - Some fundamental studies of electrolytes and electrochemical couples over the temperature range 25 degrees C. to 75 degrees C. PMID- 18129613 TI - An analysis of reactions in three-phase-state spaces in three-component systems. PMID- 18129614 TI - Hydrogen over-potential and the partial inhibition of the corrosion of iron. PMID- 18129615 TI - The viscosity of compressed gases. PMID- 18129617 TI - Diffusion and activation control in heterogeneous reactions. PMID- 18129616 TI - Polarographic behavior of aromatic nitro compounds; mononitro compounds. PMID- 18129618 TI - Pocket elimination by electro-surgery. PMID- 18129619 TI - The Sherer spring lock attachment. PMID- 18129620 TI - The Stevens-Johnson syndrome. PMID- 18129621 TI - Endodontia and tooth conservation. PMID- 18129622 TI - Pathology of radiation of interest to the dentist. PMID- 18129623 TI - Dental care for Canada's children. PMID- 18129624 TI - Gold foil; the class five restoration. PMID- 18129625 TI - Full denture construction and duplicate dentures. PMID- 18129626 TI - [Not Available]. PMID- 18129627 TI - Some dental aspects of maxillo-facial injuries. PMID- 18129628 TI - How to prevent and control tooth decay. PMID- 18129629 TI - A more efficient toothbrush head. PMID- 18129630 TI - The problem of occlusion in the general practice of dentistry. PMID- 18129631 TI - Alloy restoration of distal cavities of cuspids. PMID- 18129632 TI - Dermatitis caused by local anesthetic solutions. PMID- 18129633 TI - An evaluation of caries control methods. PMID- 18129634 TI - [Not Available]. PMID- 18129635 TI - [Not Available]. PMID- 18129637 TI - [Not Available]. PMID- 18129636 TI - [Not Available]. PMID- 18129638 TI - [Not Available]. PMID- 18129639 TI - [Not Available]. PMID- 18129640 TI - [Not Available]. PMID- 18129641 TI - [Not Available]. PMID- 18129642 TI - Tickbite granuloma. PMID- 18129643 TI - Reaction of psoriasis following use of gamma globulin. PMID- 18129644 TI - Cutaneous cryptococcosis; a survey of cryptococcus on normal and pathologic skin. PMID- 18129645 TI - Additional studies on psoriasis in the tropics and in starvation camps. PMID- 18129646 TI - Species of Aloe (other than Aloe vera) in the treatment of roentgen dermatitis. PMID- 18129647 TI - Contact dermatitis due to procaine; a common occupational disease of dentists. PMID- 18129648 TI - Measurement of pain threshold and superficial hyperalgesia in diseases of the skin. PMID- 18129649 TI - Some difficulties encountered in histological staining. PMID- 18129650 TI - Silicone surfaces and blood clotting. PMID- 18129651 TI - Observations in over 45,000 pregnancy tests. PMID- 18129652 TI - The use of caronamide in penicillin therapy; case report. PMID- 18129653 TI - [Not Available]. PMID- 18129654 TI - [Not Available]. PMID- 18129655 TI - [Not Available]. PMID- 18129656 TI - [Not Available]. PMID- 18129657 TI - [Not Available]. PMID- 18129658 TI - [Not Available]. PMID- 18129659 TI - [Not Available]. PMID- 18129660 TI - [Not Available]. PMID- 18129661 TI - [Not Available]. PMID- 18129662 TI - [Not Available]. PMID- 18129663 TI - [Not Available]. PMID- 18129664 TI - [Not Available]. PMID- 18129665 TI - [Not Available]. PMID- 18129666 TI - [Not Available]. PMID- 18129667 TI - [Not Available]. PMID- 18129668 TI - [Not Available]. PMID- 18129669 TI - Clinical experience with a new modified protamine insulin (NPH-50). PMID- 18129670 TI - Diagnostic difficulties in rectosigmoid lesions. PMID- 18129671 TI - Leiomyoma of the rectum. PMID- 18129672 TI - Cellulose esters in the treatment of constipation. PMID- 18129673 TI - Chronic duodenal ulcer; hemorrhage due to trauma. PMID- 18129674 TI - Dry feedings in gastric motor delay. PMID- 18129675 TI - Captivity psychoses among prisoners of war. PMID- 18129676 TI - The sexual psychopath and the law. PMID- 18129677 TI - Validity of the admission-confession distinction for purposes of admissibility. PMID- 18129678 TI - The mortality of the sheriff. PMID- 18129679 TI - Medicolegal aspects of conflagrations. PMID- 18129680 TI - [Not Available]. PMID- 18129681 TI - [Not Available]. PMID- 18129682 TI - [Not Available]. PMID- 18129683 TI - [Not Available]. PMID- 18129684 TI - [Not Available]. PMID- 18129685 TI - [Not Available]. PMID- 18129686 TI - [Not Available]. PMID- 18129687 TI - [Not Available]. PMID- 18129688 TI - [Not Available]. PMID- 18129689 TI - [Not Available]. PMID- 18129691 TI - [Not Available]. PMID- 18129690 TI - [Not Available]. PMID- 18129692 TI - [Not Available]. PMID- 18129693 TI - [Not Available]. PMID- 18129694 TI - [Not Available]. PMID- 18129696 TI - [Not Available]. PMID- 18129695 TI - [Not Available]. PMID- 18129697 TI - [Not Available]. PMID- 18129698 TI - Genetic particles. PMID- 18129699 TI - Modern calculating machines. PMID- 18129700 TI - Recent developments in the chemistry of perfumes. PMID- 18129701 TI - Problems relating to the removal of DDT spray residue from apples. PMID- 18129702 TI - Further studies in synthetic polypeptides. PMID- 18129703 TI - Organisms producing antibiotics in tropical soils. PMID- 18129704 TI - Distribution of ribonucleic acid in the cytoplasm of growing cells studied with phosphorus-32. PMID- 18129705 TI - Potassium and neuromuscular transmission. PMID- 18129706 TI - Nature of the action of emetine upon Entamoeba histolytica. PMID- 18129708 TI - Measurement of the adsorption of surface-active agent at a solution-air interface by a radiotracer method. PMID- 18129707 TI - Use of wetting agents against heat and undergrowth fires. PMID- 18129709 TI - Quantitative chromatographic analysis of tetra-, tri- and di-methyl fructoses. PMID- 18129710 TI - Inelastic scattering of protons by magnesium and aluminium. PMID- 18129711 TI - [Not Available]. PMID- 18129712 TI - [Not Available]. PMID- 18129713 TI - [Not Available]. PMID- 18129714 TI - The electronic structures of carbon monoxide and carbon dioxide. PMID- 18129715 TI - The spectral response of a phosphor to infra-red radiation. PMID- 18129716 TI - Organization of industrial research. PMID- 18129717 TI - Violin research. PMID- 18129718 TI - Permanent orientation of dyestuff molecules caused by illumination. PMID- 18129719 TI - Estimation of soaps and ionized detergents. PMID- 18129720 TI - Structure of alpha, beta, gamma, delta and epsilon benzene hexachloride. PMID- 18129721 TI - New York begins work on a city for the sick. PMID- 18129722 TI - SERUM that will save Europe's children. PMID- 18129723 TI - Phyletic size increase, an important trend illustrated by fossil invertebrates. PMID- 18129724 TI - Mammalian evolution in the Quaternary of southern and eastern Asia. PMID- 18129725 TI - The role of sexual selection as an isolating mechanism in three species of poeciliid fishes. PMID- 18129726 TI - Interspecific matings between Colias eurytheme and Colias philodice in wild populations. PMID- 18129727 TI - Analysis of data on sexual isolation. PMID- 18129728 TI - Essay-review of recent works on evolutionary theory by Rensch, Zimmermann, and Schindewolf. PMID- 18129729 TI - Chromosomes from cultures of excised anthers. PMID- 18129730 TI - Anodontia in hereditary ectodermal dysplasia. PMID- 18129731 TI - A mutation in the golden hamster. PMID- 18129733 TI - Silent hemolytic disease of the newborn. PMID- 18129732 TI - [Not Available]. PMID- 18129734 TI - [Not Available]. PMID- 18129735 TI - [Not Available]. PMID- 18129736 TI - [Not Available]. PMID- 18129737 TI - [Not Available]. PMID- 18129738 TI - [Not Available]. PMID- 18129739 TI - [Not Available]. PMID- 18129740 TI - [Not Available]. PMID- 18129741 TI - [Not Available]. PMID- 18129742 TI - [Not Available]. PMID- 18129743 TI - [Not Available]. PMID- 18129744 TI - [Not Available]. PMID- 18129745 TI - [Not Available]. PMID- 18129746 TI - [Particular aspects of stillbirth]. PMID- 18129747 TI - [Prognosis of fetus and newborn with eclampsia]. PMID- 18129748 TI - [Upon suppuration of uterine fibroids; presentation of three cases with literature review]. PMID- 18129749 TI - [Social work and motherhood]. PMID- 18129750 TI - [Not Available]. PMID- 18129751 TI - [Not Available]. PMID- 18129752 TI - [Not Available]. PMID- 18129753 TI - [Not Available]. PMID- 18129754 TI - Chronic congenital aregenerative anemia (pure red-cell anemia) associated with iso-immunization by the blood. PMID- 18129755 TI - Mediterranean anemia in the Negro; a report of four cases and their families. PMID- 18129756 TI - A rapid slide test for heterophile antibody in infectious mononucleosis. PMID- 18129757 TI - The parallel effects of magnesium on the complementary and coagulative activities of blood serum. PMID- 18129758 TI - The absence of the heterophile reaction in the spinal fluid in infectious mononucleosis. PMID- 18129759 TI - A factor in serum which accelerates the conversion of prothrombin to thrombin; its evolution with special reference to the influence of conditions which affect blood coagulation. PMID- 18129760 TI - A factor in serum which accelerates the conversion of prothrombin to thrombin; its relationship to the coagulation defect of thrombocytopenic blood. PMID- 18129761 TI - The coagulation defect in hemophilia with particular reference to the conversion of prothrombin to thrombin and the evolution of the prothrombin conversion accelerator. PMID- 18129762 TI - Lymphatic leukemia and lymphatic leukemoid states in cancer of the stomach. PMID- 18129763 TI - Lymphocytic leukemoid reaction of the blood associated with miliary tuberculosis. PMID- 18129764 TI - The advantages of a diabetic floor. PMID- 18129765 TI - Hospitals under socialized medicine. PMID- 18129766 TI - Women's Hospital, Flint, Mich.; the architect was blessed with a cooperative board. PMID- 18129767 TI - Principles, technics and problems of admitting patients. PMID- 18129768 TI - Preventive medicine begins in the hospital. PMID- 18129769 TI - Licensure works for the hospital. PMID- 18129770 TI - Look who's practicing medicine now. PMID- 18129771 TI - VOLUNTARY national health program. PMID- 18129772 TI - Observations of methylthiouracil treatment of thyrotoxicosis. PMID- 18129773 TI - The variations in size (the lymphocyte profile) of the lymphocytes circulating in the blood in some normal and pathological conditions; preliminary report. PMID- 18129774 TI - Comparison between two Swedish influenza virus strains and virus A strain P Rs. PMID- 18129775 TI - The value of implantation of hypophyseal tissue in the treatment of hypophyseal insufficiency. PMID- 18129776 TI - Blood iodine and thyroid function; a study of 254 cases. PMID- 18129777 TI - Clinical aspects of endocardial myxoma situated in the left atrium. PMID- 18129778 TI - [Not Available]. PMID- 18129779 TI - [Not Available]. PMID- 18129780 TI - [Not Available]. PMID- 18129781 TI - [Not Available]. PMID- 18129782 TI - [Not Available]. PMID- 18129783 TI - Rapid attainment of therapeutic penicillin concentrations in the cerebrospinal fluid. PMID- 18129784 TI - Effective penicillin therapy in subacute bacterial endocarditis and other chronic infections. PMID- 18129785 TI - Pericardial effusion; a constant, early and major factor in the cardiac syndrome of hypothyroidism (Myxedema heart). PMID- 18129786 TI - Some cardiological problems of the tropics. PMID- 18129787 TI - Thiourea compared with propylthiouracil in the treatment of thyrotoxicosis. PMID- 18129788 TI - Concentrated roentgen therapy of cervical tuberculous lymphadenitis. PMID- 18129789 TI - The transfusion of arterial hypertensive and normotensive blood into hypertensive subjects. PMID- 18129790 TI - The influence of alcohol on the intravenous galactose tolerance test. PMID- 18129791 TI - Prozone phenomenon in the serodiagnosis of syphilis; a clinical study. PMID- 18129792 TI - Recovery from uremia; a report of five cases. PMID- 18129793 TI - On the occurrence of herpes zoster in carcinoma of the breast. PMID- 18129794 TI - Current trends in diagnosis and treatment of cervical cancer. PMID- 18129795 TI - The effects of jet engine noise on the cochlear response of the guinea pig. PMID- 18129796 TI - Isotopic studies of the biosynthesis of nucleic acid components; purines and pyrimidines. PMID- 18129797 TI - Nucleic acids and antibody production by plasma cells. PMID- 18129798 TI - [Not Available]. PMID- 18129799 TI - [Not Available]. PMID- 18129800 TI - [Not Available]. PMID- 18129801 TI - [Not Available]. PMID- 18129802 TI - [Not Available]. PMID- 18129803 TI - [Not Available]. PMID- 18129804 TI - Iron overload (hemosiderosis) aggravated by blood transfusions. PMID- 18129805 TI - Concurrent herpes zoster and chickenpox; report of a case. PMID- 18129806 TI - Disseminated coccidioidomycosis and lymphohematogenous tuberculosis; report of a case. PMID- 18129807 TI - Present status of insulin resistance; report of a case with autopsy. PMID- 18129808 TI - Acute renal insufficiency; a comparison of the use of an artificial kidney, peritoneal lavage and more conservative measures in its management. PMID- 18129809 TI - Colloid osmotic pressure in chronic hepatitis. PMID- 18129810 TI - Activity of carbon anhydrase in the blood; study of patients with dyspnea consequent to chronic cardiac and pulmonary disease. PMID- 18129811 TI - Gastroenterology; a review of the literature from July 1947 to July 1948. PMID- 18129812 TI - Infectious mononucleosis. PMID- 18129813 TI - A review of thrombo-angiitis obliterans. PMID- 18129814 TI - Surgical aspects of meningitis. PMID- 18129815 TI - Ayerza's disease, silicosis and pulmonary bilharziasis. PMID- 18129816 TI - The incidence of cancer of the uterine cervix. PMID- 18129817 TI - Phyto-photo-dermatitis. PMID- 18129818 TI - The prognosis and treatment of sprue in India. PMID- 18129819 TI - Otitis externa granulosa. PMID- 18129820 TI - A bronchial suction catheter. PMID- 18129821 TI - [Not Available]. PMID- 18129823 TI - MEDICINE in the new social order. PMID- 18129822 TI - [Not Available]. PMID- 18129824 TI - Treatment of essential hypertension with diurbital; a report on a series of 50 cases. PMID- 18129825 TI - Treatment of infected tonsils and adenoids. PMID- 18129826 TI - Infectious diseases of the respiratory tract. PMID- 18129827 TI - [Not Available]. PMID- 18129828 TI - [Not Available]. PMID- 18129829 TI - [Not Available]. PMID- 18129830 TI - [Not Available]. PMID- 18129831 TI - [Not Available]. PMID- 18129832 TI - Some observations on the anterior lobe of the pituitary gland in the adult male African. PMID- 18129833 TI - [Not Available]. PMID- 18129834 TI - [Not Available]. PMID- 18129835 TI - [Not Available]. PMID- 18129836 TI - [Not Available]. PMID- 18129837 TI - [Not Available]. PMID- 18129838 TI - [Not Available]. PMID- 18129839 TI - Streptomycin in the treatment of miliary tuberculosis. PMID- 18129840 TI - Diabetic neuropathy with Argyll-Robertson pupils; report on two cases. PMID- 18129841 TI - Aneurysm of the sinus of Valsalva with rupture into the right ventricle; report of a case. PMID- 18129842 TI - [Not Available]. PMID- 18129843 TI - [Not Available]. PMID- 18129844 TI - [Not Available]. PMID- 18129845 TI - [Not Available]. PMID- 18129846 TI - [Not Available]. PMID- 18129847 TI - [Not Available]. PMID- 18129848 TI - [Not Available]. PMID- 18129849 TI - [Not Available]. PMID- 18129850 TI - Drug allergy. PMID- 18129851 TI - Pathogenesis of arterial hypertension. PMID- 18129852 TI - Diagnosis of cancer of the large bowel. PMID- 18129853 TI - Laboratory aspects of streptomycin. PMID- 18129854 TI - An early sign of femoral thrombosis. PMID- 18129855 TI - Graves' disease in children. PMID- 18129856 TI - Recent advances in dermatology. PMID- 18129858 TI - How a doctor can make a good witness. PMID- 18129857 TI - A case of absent vagina. PMID- 18129859 TI - Respiration of typhus rickettsiae. AB - Partially purified suspensions of typhus rickettsiae have been shown to exhibit metabolic activity as evidenced by consumption of oxygen and production of carbon dioxide in the presence of glutamate. Similar activity at a much lower rate occurs in the presence of pyruvate. The rate of oxygen uptake was directly proportional to the concentration of viable rickettsiae, as estimated by their toxicity for mice. Normal yolk sac suspensions prepared in the same manner showed only a very slight oxygen uptake under the same conditions. Glucose was not metabolized by the rickettsial suspensions. PMID- 18129860 TI - Peripheral vascular reactions in anaphylaxis of the mouse. AB - Pronounced vascular changes occurring in the ears and claws of mice during anaphylactic shock are described. Practically at once after a foreign serum (pig, horse, or rabbit) enters the blood stream of sensitized animals both the arterial and venous vessels undergo marked, local or generalized constriction in the organs mentioned. Usually spasm of the vessel walls occurs simultaneously in the arteries and veins, but it may appear first in the arteries, or occasionally in the veins. When venous spasm precedes arterial spasm, the true capillaries become distended with cells; if the reverse order holds, the ears appear bloodless. There is no active constriction or dilatation of capillaries; the capillary behavior follows passively the changes in the large vessels. Peripheral vascular spasm occurs while the carotid blood pressure is high, but a few minutes later, while this still holds true, the ear vessels begin to relax and the circulation is resumed. Shortly afterwards the blood pressure falls to levels far below normal, but the vessels remain open. If the circulation of one ear is obstructed while anaphylactic shock is produced, no vascular spasm occurs in it. Release of the obstruction during the animal's recovery results in belated constriction of the blood vessels of this ear although by now the vessels in the other ear are dilated and the general systolic blood pressure is very low. The vascular reactions in the ears appear to be uninfluenced by the blood pressure in the large vessels, and they are not a response to nervous stimuli. They are local in origin. The vascular changes are often not clearly perceptible in the gross but are plainly to be seen under a low power of the microscope. They occur in some sensitized mice exhibiting no manifest signs of shock, differing only in degree from the changes taking place when shock is severe or fatal. PMID- 18129861 TI - Quantitative air-borne tuberculosis in the rabbit; the cause of human type infection. AB - 1. Pulmonary tuberculosis in unselected rabbits, induced by primary quantitative air-borne infection with human type tubercle bacilli, may retrogress or progress. Some animals whose disease was in a stationary condition might have fallen into one of the above groups had the experiments been prolonged. 2. Within the limits of the observations natural resistance or susceptibility appears to be the chief factor in determining the course of the disease. 3. Following the development of the primary lesions the tuberculin reaction became positive but thereafter proved to be an unreliable indicator of the course of the disease. 4. Tubercle bacilli can be recovered from macroscopically normal lung tissue of rabbits several weeks after primary infection. 5. Reinfection did not induce the formation of new lesions nor alter the course of the disease caused by the primary infection. PMID- 18129862 TI - The effect of alloxan diabetes on experimental cholesterol atherosclerosis in the rabbit. AB - A comparison was made of the effects of cholesterol feeding in normal rabbits and in rabbits rendered persistently diabetic by means of alloxan. In the two groups of animals hypercholesterolemia of comparable degree was induced by the feeding procedure. Nevertheless, the severity of the atherosclerosis of the aorta produced in the diabetic rabbits was much less than in the non-diabetic control animals. Indeed, a large proportion of the diabetic animals presented no atherosclerosis whatever. There was a similar inhibition of the deposit of lipid substances in the liver, spleen, and adrenal glands of the diabetic rabbits. The inhibition of the development of experimental cholesterol atherosclerosis which was associated with the presence of alloxan diabetes was independent of the administration of alloxan per se. It was not dependent on the sex or weight of the animal, nor upon the daily dosage of cholesterol, the form in which it was administered, nor the duration of cholesterol feeding. It was also independent of changes in body weight occurring during the course of our experiments and of the actual degree of hypercholesterolemia induced by the administration of cholesterol. In addition, there was no gross or histological evidence of a morphological basis for the inhibitory effect either in the aorta or in the other organs in which it was observed. Only two factors were observed to be consistently associated with the inhibition of the expected morphological effects of cholesterol feeding, namely, the diabetic state and a degree of visible lipemia considerably greater than that observed in the control animals. The inhibitory effect observed in these experiments would appear to depend upon some as yet undetermined factor or factors implicit in the diabetic state or closely associated with it. The experimental data presented demonstrate clearly that hypercholesterolemia is not the sole factor concerned in the genesis of experimental cholesterol atherosclerosis, but that another factor, or factors, rendered inoperative in our experiments must be essential to the production of the arterial lesions. In view of the inhibitory effect on the development of experimental cholesterol atherosclerosis observed in alloxan-diabetic rabbits, the effect of alloxan diabetes on the retrogression of such arterial lesions was studied in another series of experiments. No effect on retrogression could be demonstrated within periods lasting up to a maximum of 4 months after the cessation of cholesterol feeding. The results of our two series of experiments, considered together, indicate that the process of deposition of lipids in the arterial walls is governed by factors different from those that are operative in the process of removal of lipids after they have been deposited. The inhibition of the development of experimental cholesterol atherosclerosis in alloxan diabetic rabbits must depend on interference with the process of deposition of lipids and not on a process of removal of lipids as fast as they are deposited. Our experimental results find no direct application to the problem of arterial disease in human diabetes. Nevertheless, the experimental procedures that we have employed provide a new basis for the design of further experiments directed toward the elucidation of the nature of the unknown factors that govern the process of lipid deposition in the walls of arteries. PMID- 18129863 TI - Observations on the role of the rat kidney in hypertension caused by desoxycorticosterone acetate. AB - Desoxycorticosterone acetate in pellet form was administered for 51 days to albino rats of the Sherman strain which also received 1 per cent saline as drinking water. Treatment was stopped in representative groups at 25, 37, and 51 days so that the regression of blood pressure and renal changes could be observed. It was noted that both the elevation in blood pressure during treatment and its reversal when treatment was stopped were closely correlated with corresponding changes in renal mass. In the time for which the process was studied it did not become irreversible. Removal of both kidneys from DCA-treated animals aggravated the hypertension, suggesting that the kidneys are actively concerned with the excretion and possible inactivation of the steroid. PMID- 18129864 TI - Effects of proteinuria on the kidney; proteinuria, renal enlargement, and renal injury consequent on protracted parenteral administration of protein solutions in rats. AB - Repeated intraperitoneal injections twice daily of various proteins into young rats were regularly accompanied by an increase in the protein content of the urine, significant renal enlargement, and often some degree of renal pallor. The most marked changes were induced by gelatin, followed in order by human albumin and bovine globulin. Rat serum produced similar but less conclusive changes. Similar changes were not produced by equivalent amounts of urea or casein hydrolysate. In sections from the kidneys of animals receiving gelatin, the cells of the convoluted tubules appeared enlarged, and they contained clear "spaces" throughout the cytoplasm. The tubular cells of the animals receiving the other solutions were not obviously altered in size or shape, and the cytoplasmic changes were slight or absent. There was little evidence of increased multiplication of cells or of tubular dilatation in the kidneys of any of the groups. Changes in concentrations of plasma proteins and hemoglobin, and the results of preliminary studies of the injected proteins in urine and renal tissue following the injections, are described and their possible significance discussed. It appears that the renal enlargement, as well as the increase in proteinuria and the tubular alterations which followed the protein injections, might have been caused in part by effects on the kidney of protein molecules per se, perhaps most likely by the effects on the tubular cells of an increased amount of protein filtered through the glomerular membranes, rather than entirely by effects of products of protein digestion and metabolism reaching the kidney through the blood stream. In the majority of animals there was no evidence from the morphological or functional studies, that the prolonged and continuous proteinuria induced by the protein injections resulted in renal damage, unless the renal enlargement, and the cytoplasmic changes which occurred regularly with gelatin, are considered evidence of damage. Renal enlargement and proteinuria promptly regressed after injections were discontinued. Lesions characterized by severe degrees of tubular damage, possibly as a result of tubular plugging, were observed in some of the animals of one group receiving gelatin solution of the usual concentration, and dilatation of renal tubules and glomerular capsules was present in some other gelatin-treated animals autopsied after relatively brief injection periods. A description is also presented of lesions of remarkable character which developed in the kidneys of all the animals of one small group receiving homologous serum obtained from severely anoxic donors. The possible relationship between the renal changes in the protein-injected animals and certain alterations of the kidneys observed in diseases characterized by large amounts of protein in the urine, is considered. PMID- 18129865 TI - Serological studies in rheumatic fever; the phase reaction and the detection of autoantibodies in the rheumatic state. AB - 1. An attempt was made to repeat and extend various tests which have been presumed to demonstrate specific antigens and antibodies in rheumatic fever. 2. The "phase reaction" appears to be an inconstant phenomenon probably related to a colloidal abnormality of the serum, rather than to a specific antigen-antibody system. 3. No specific autoantibodies to human tissue extracts were demonstrable by complement fixation or by the collodion particle technique. Variable results were noted with the same test sera on different occasions, and positive reactions with control tissues and control sera were observed. 4. The possibility should be considered that autoantibodies are not necessarily specific for rheumatic fever but may be manifestations of the occurrence of a type of reaction similar to a biologically false positive Wassermann reaction. PMID- 18129866 TI - The cytology of rickettsiae. AB - Internal structures of rickettsiae seen with phase contrast microscopy and in the electron microscope contain desoxyribonucleic acid and are therefore nuclear structures similar to those found in bacteria. They are minute spherical bodies, either single as in spherical rickettsiae or varying in number from 2 to 4 in rod shaped forms. Occasional dumbbell-shaped chromatinic bodies are thought to represent these structures in the process of division. The presence of ribonucleic acid in the cytoplasm of rickettsiae was demonstrated with the use of ribonuclease and basic dyes. Rickettsiae therefore have a cellular organization similar to that of certain bacteria, with a clear differentiation into nuclear structure and cytoplasm. PMID- 18129867 TI - Induction of cardiac lesions, closely resembling those of rheumatic fever, in rabbits following repeated skin infections with group A streptococci. AB - Cardiac lesions, closely resembling those found in rheumatic fever, have developed in rabbits that sickened following multiple, successive skin infections with several serological types of group A streptococci. PMID- 18129868 TI - The structure of elastic tissue as studied with the electron microscope. AB - Electron microscope examination of fragmented elastic tissue obtained from fish swim bladder, bovine ligamentum nuchae, and aortas of various mammals, including man, reveals characteristically formed fibers and much amorphous material. Boiling in dilute acid destroys the associated collagen but does not obviously alter the elastic tissue. Digestion in crystalline trypsin of either boiled or unheated tissue from any of the above-mentioned sources causes the release of thin threads ranging in length from 0.1 micro to many microns. A large proportion of these threads are evenly and tightly coiled double helices formed from at least two interlacing filaments and measuring about 120 A in width. The distance between coils ranges from about 470 to 590 A. The individual smooth filaments, many of which are present in parallel pairs, measure approximately 70 A in width. Raising the pH of a neutral suspension of threads from ligamentum nuchae lowers the ratio of helical threads to uncoiled filaments, whereas lowering the pH with acetic acid results in clumping of threads with complete loss of identity at about pH 3.6. Threads and filaments obtained from all sources studied were destroyed in the temperature range 75-85 degrees C. at pH 7. It is concluded that the elastic fiber is a two component system composed of bundles of trypsin resistant threads of characteristic form and size plus a trypsin-sensitive, heat resistant "amorphous" binding matrix. The possible relationship of this structure to the elastic properties of the tissue is discussed. PMID- 18129869 TI - Saddle block anesthesia in pelvic deliveries; report of 150 cases. PMID- 18129870 TI - Saddle block anesthesia in obstetrics, report of 500 cases. PMID- 18129871 TI - Ligation of the common iliac vein for repeated pulmonary embolism; case report. PMID- 18129872 TI - An unusual case of nontropical sprue which responded to folic acid. PMID- 18129873 TI - Pneumococcal peritonitis; report of two cases. PMID- 18129875 TI - Varicose ulcer; essentials of successful treatment. PMID- 18129874 TI - The problem of defaulters in the treatment of syphilis. PMID- 18129876 TI - Some of the surgical problems in children. PMID- 18129877 TI - Neuropsychiatric and medical aspects of head injuries. PMID- 18129878 TI - Surgical aspects of head injuries. PMID- 18129879 TI - Relief of asthmatic seizures with micronized epinephrine 1:1000. PMID- 18129880 TI - Clinical evaluation of trimeton. PMID- 18129881 TI - [Antihistamines]. PMID- 18129882 TI - [Medical problems of social organization]. PMID- 18129883 TI - [Not Available]. PMID- 18129884 TI - [Not Available]. PMID- 18129885 TI - [Not Available]. PMID- 18129886 TI - [Not Available]. PMID- 18129887 TI - [Not Available]. PMID- 18129888 TI - [Not Available]. PMID- 18129889 TI - [Not Available]. PMID- 18129890 TI - [Not Available]. PMID- 18129891 TI - [Not Available]. PMID- 18129893 TI - [Not Available]. PMID- 18129892 TI - [Not Available]. PMID- 18129894 TI - [Not Available]. PMID- 18129896 TI - The purpuric state. PMID- 18129895 TI - [Not Available]. PMID- 18129897 TI - Modern psychiatry in general practice. PMID- 18129898 TI - The general practitioner in rural practice. PMID- 18129899 TI - Early diagnosis and treatment of carcinoma of the prostate gland. PMID- 18129900 TI - The surgical treatment of malignant lesions of the gastrointestinal tract. PMID- 18129901 TI - Acute pancreatitis and the rational therapy. PMID- 18129902 TI - Rehabilitation in chronic disease. PMID- 18129903 TI - Recent advances in urology. PMID- 18129904 TI - [Not Available]. PMID- 18129905 TI - [Not Available]. PMID- 18129906 TI - [Not Available]. PMID- 18129907 TI - [Not Available]. PMID- 18129908 TI - [Not Available]. PMID- 18129909 TI - [Not Available]. PMID- 18129910 TI - [Not Available]. PMID- 18129911 TI - [Not Available]. PMID- 18129912 TI - [Not Available]. PMID- 18129913 TI - [Not Available]. PMID- 18129914 TI - [Not Available]. PMID- 18129915 TI - [Not Available]. PMID- 18129917 TI - [Not Available]. PMID- 18129916 TI - [Not Available]. PMID- 18129918 TI - [Not Available]. PMID- 18129920 TI - [Not Available]. PMID- 18129919 TI - [Not Available]. PMID- 18129921 TI - [Not Available]. PMID- 18129922 TI - [Not Available]. PMID- 18129923 TI - A Simple blood viscosity test for thrombo-embolism; preliminary observations. PMID- 18129924 TI - The clinical use of aureomycin. PMID- 18129925 TI - Spina bifida cystica; review of 70 cases with report of a case of cervical meningocele. PMID- 18129926 TI - Prepayment plans for medical care; history and present status. PMID- 18129927 TI - Origin of medical service. PMID- 18129928 TI - [A new process of transferring digital impressions and considerations about this problem]. PMID- 18129929 TI - [A case of Leydig tumor cells]. PMID- 18129930 TI - [Lack of vitamin A activity in the oil of cashew and peanut meal]. PMID- 18129931 TI - [Leukotomy in Norway according to the point of view of the psychiatrist]. PMID- 18129932 TI - [Prefrontal lobotomy performed in Hungary in the last 18 months in 172 patients]. PMID- 18129933 TI - [Not Available]. PMID- 18129934 TI - [Not Available]. PMID- 18129935 TI - [Not Available]. PMID- 18129936 TI - [Not Available]. PMID- 18129937 TI - [Not Available]. PMID- 18129938 TI - [Not Available]. PMID- 18129939 TI - [Not Available]. PMID- 18129940 TI - [Not Available]. PMID- 18129941 TI - Familial lumbo-sacral syringomyelia and the significance of developmental errors of the spinal cord and column. PMID- 18129942 TI - The post-mortem blood sugar. PMID- 18129943 TI - The treatment of neurosyphilis. PMID- 18129944 TI - Recent advances in apparatus used for electroconvulsant therapy and electronarcosis. PMID- 18129945 TI - Gold therapy in rheumatoid arthritis. PMID- 18129946 TI - A ortitis caused by congenital syphilis. PMID- 18129947 TI - Dacryocysto-rhinostomy in an infant. PMID- 18129948 TI - A modern survey of alopecia areata and its treatment. PMID- 18129949 TI - Multidimensional treatment of mental illness. PMID- 18129950 TI - Ophthalmic herpes zoster with contralateral pontine lesions. PMID- 18129951 TI - Skin lesions produced by animal parasites. PMID- 18129952 TI - Education for hospitalized children. PMID- 18129953 TI - The school physician is a specialist. PMID- 18129954 TI - Medicine and the drama. PMID- 18129955 TI - [Not Available]. PMID- 18129956 TI - [Not Available]. PMID- 18129957 TI - [Not Available]. PMID- 18129958 TI - [Not Available]. PMID- 18129959 TI - [Not Available]. PMID- 18129960 TI - [Not Available]. PMID- 18129961 TI - Some responsibilities of medical education. PMID- 18129962 TI - Effect of the rice diet on the level of the blood pressure in essential hypertension. PMID- 18129963 TI - Aspiration of the elbow joint in the treatment of fractures of the head of the radius. PMID- 18129964 TI - Neurophysiology, 1942-1948. PMID- 18129965 TI - Ulcer of esophagus. PMID- 18129966 TI - Gonorrhea and syphilis; standards of diagnosis, treatment and follow-up study. PMID- 18129967 TI - Recent advances in neurology of interest to the general practitioner. PMID- 18129968 TI - Individualizing the transfusion. PMID- 18129969 TI - Beryllium poisoning; its increasing clinical importance and a report of a case of pulmonary granulomatosis due to beryllium. PMID- 18129970 TI - [Not Available]. PMID- 18129971 TI - [Not Available]. PMID- 18129972 TI - [Not Available]. PMID- 18129973 TI - [Not Available]. PMID- 18129974 TI - [Not Available]. PMID- 18129975 TI - [Not Available]. PMID- 18129976 TI - [Ovarian tumours with endocrine activity]. PMID- 18129977 TI - [The prognosis of acute nephritis]. PMID- 18129978 TI - [Treatment of injuries to the brachial plexus]. PMID- 18129979 TI - [Some somatic investigations on schizophrenics; schizophrenia and anorexia nervosa]. PMID- 18129980 TI - [The outcome of routine gynaecological examinations in a surgical department, with special reference to the early diagnosis of cancer uteri]. PMID- 18129981 TI - [Roentgen treatment of hidrosadenitis axillaris]. PMID- 18129982 TI - [Hypothalamic lesion with paroxysmal crises]. PMID- 18129983 TI - [Not Available]. PMID- 18129984 TI - [Not Available]. PMID- 18129985 TI - Is state medicine desirable in the Philippines? PMID- 18129986 TI - A scheme of health and maternity insurance. PMID- 18129987 TI - [Not Available]. PMID- 18129988 TI - [Not Available]. PMID- 18129989 TI - [Not Available]. PMID- 18129990 TI - [Not Available]. PMID- 18129992 TI - [Not Available]. PMID- 18129991 TI - [Not Available]. PMID- 18129994 TI - [Not Available]. PMID- 18129993 TI - [Not Available]. PMID- 18129995 TI - [Not Available]. PMID- 18129996 TI - Current views concerning the nature and management of leukemia and allied disorders. PMID- 18129998 TI - Repair of radiation burns. PMID- 18129997 TI - The action of intravenous histamine on the blood of the hemophiliac. PMID- 18130000 TI - Diagnostic criteria and indications for the Papanicolaou technic of tumor diagnosis. PMID- 18129999 TI - Pathological findings in rheumatoid arthritis arising in childhood, emphasizing certain visceral manifestations. PMID- 18130001 TI - The effects of the adrenal cortical hormone 17-hydroxy-11-dehydrocorticosterone (Compound E) on the acute phase of rheumatic fever; preliminary report. PMID- 18130002 TI - Some observations on the hormone of the adrenal cortex designated compound E. PMID- 18130003 TI - The oral use of aureomycin in the treatment of late cutaneous syphilis. PMID- 18130004 TI - Tuberculous anal fistula with subsequent development of pulmonary tuberculosis; report of cases. PMID- 18130005 TI - [Aspects of the hospital anti-tuberculosis problem in Sao Paulo]. PMID- 18130006 TI - [Note upon intestinal parasites in the Service of Hospital Gastroenterology clinics]. PMID- 18130007 TI - [Not Available]. PMID- 18130008 TI - [Not Available]. PMID- 18130009 TI - Periarteritis nodosa; report of a case. PMID- 18130010 TI - Procaine convulsions; report of a case. PMID- 18130011 TI - Rupture of the uterus. PMID- 18130012 TI - Simultaneous malignant degeneration of polyps of the colon. PMID- 18130013 TI - [Not Available]. PMID- 18130014 TI - [Not Available]. PMID- 18130015 TI - [Not Available]. PMID- 18130016 TI - [Not Available]. PMID- 18130017 TI - [Not Available]. PMID- 18130019 TI - [Not Available]. PMID- 18130018 TI - [Not Available]. PMID- 18130020 TI - [Not Available]. PMID- 18130022 TI - [Not Available]. PMID- 18130021 TI - [Not Available]. PMID- 18130023 TI - [Not Available]. PMID- 18130024 TI - [Not Available]. PMID- 18130025 TI - [Not Available]. PMID- 18130026 TI - [Not Available]. PMID- 18130027 TI - [Not Available]. PMID- 18130028 TI - [Not Available]. PMID- 18130029 TI - [Not Available]. PMID- 18130030 TI - [Not Available]. PMID- 18130031 TI - [Not Available]. PMID- 18130032 TI - [Not Available]. PMID- 18130033 TI - [Not Available]. PMID- 18130034 TI - [Not Available]. PMID- 18130035 TI - Looking to the future in the light of the past. PMID- 18130036 TI - Rabies, a community problem in Texas. PMID- 18130037 TI - Types of positive contact orbital implants. PMID- 18130038 TI - Office gynecology. PMID- 18130039 TI - [Not Available]. PMID- 18130040 TI - Cardiac catheterization. PMID- 18130041 TI - Filariasis in the South Pacific. PMID- 18130042 TI - Post-infectious hepatitis. PMID- 18130043 TI - Cold agglutinins and other tests for atypical pneumonia. PMID- 18130044 TI - [Not Available]. PMID- 18130045 TI - [Not Available]. PMID- 18130046 TI - [Not Available]. PMID- 18130047 TI - [Not Available]. PMID- 18130048 TI - [Not Available]. PMID- 18130049 TI - [Not Available]. PMID- 18130050 TI - [Not Available]. PMID- 18130051 TI - [Not Available]. PMID- 18130053 TI - [Not Available]. PMID- 18130054 TI - [Not Available]. PMID- 18130052 TI - [Not Available]. PMID- 18130055 TI - [Not Available]. PMID- 18130056 TI - [Not Available]. PMID- 18130057 TI - [Not Available]. PMID- 18130058 TI - [Not Available]. PMID- 18130059 TI - [Not Available]. PMID- 18130061 TI - Radiological defense. PMID- 18130060 TI - [Not Available]. PMID- 18130062 TI - RECORDING of causes of death. PMID- 18130063 TI - WORLD War II casualties, Navy and Marine Corps. PMID- 18130064 TI - [Not Available]. PMID- 18130065 TI - [Not Available]. PMID- 18130066 TI - [Not Available]. PMID- 18130067 TI - [Not Available]. PMID- 18130068 TI - [Not Available]. PMID- 18130069 TI - [Not Available]. PMID- 18130070 TI - [Not Available]. PMID- 18130071 TI - [Not Available]. PMID- 18130072 TI - [Not Available]. PMID- 18130073 TI - [Not Available]. PMID- 18130074 TI - [Not Available]. PMID- 18130075 TI - [Not Available]. PMID- 18130076 TI - Research in psychiatry. PMID- 18130077 TI - A note on nyctophobia and peripheral vision. PMID- 18130078 TI - A clinical and electromyographic study of the effects of d-tubocurarine and belladonna alkaloids in Parkinson's disease. PMID- 18130079 TI - Tuberculous meningitis, treatment with streptomycin. PMID- 18130080 TI - Alterations in behavior after massive cerebral trauma (intraventricular foreign body). PMID- 18130081 TI - Intensive psychotherapy of manic-depressives. PMID- 18130082 TI - The role of the cerebral cortex in the central nervous regulation of cardiovascular function. PMID- 18130083 TI - Psychopathology and the concept of humanity on aging. PMID- 18130084 TI - Quantitative examination of sensibility in peripheral nerve injuries. PMID- 18130085 TI - The amygdaloid complex. PMID- 18130086 TI - Postural hypotension and peripheral neuropathy. PMID- 18130087 TI - An experiment in abstraction; testing form-disparity tolerance. PMID- 18130088 TI - Thought disturbance with reference to figure-background impairment in brain injured children. PMID- 18130089 TI - The literature on epilepsy of the past 10 years. PMID- 18130090 TI - Electro-encephalography and epilepsy; a review of clinical and electro physiological data. PMID- 18130091 TI - Pathophysiology of the convulsive seizure. PMID- 18130092 TI - Neurosurgical diagnosis and therapy of epilepsy. PMID- 18130093 TI - [Not Available]. PMID- 18130094 TI - Early reversible paranoiac reactions; a detailed study of six case histories and eight cases. PMID- 18130095 TI - Effect of alpha: beta-dihdroxy-gama-(2-methylphenexy) propane on excitation of the motor cortex and conduction through the pyramids. PMID- 18130096 TI - The action of alpha: beta dihdroxy-gama-(2-methylphenoxy)-propane on peripheral nerves. PMID- 18130097 TI - Psychobiologic dysfunction in children. PMID- 18130098 TI - Sedative insulin treatment of anxiety in the anxiety neurosis. PMID- 18130099 TI - Demyelination by means of enzymes. PMID- 18130100 TI - Pain threshold apparatus. PMID- 18130101 TI - Neural metabolism in relation to function. PMID- 18130102 TI - Studies on the intra-ocular fluids; the penetration of certain ions into the aqueous humour and vitreous body. PMID- 18130103 TI - Diseases of the eye in relation to dental surgery. PMID- 18130104 TI - Concentration in the aqueous of various sulphonamides after systemic administration. PMID- 18130105 TI - The significance of ocular complications following vaccination. PMID- 18130106 TI - The treatment of hypopyon ulcer of the cornea. PMID- 18130107 TI - Injection of the retinal vascular system in enucleated eyes. PMID- 18130108 TI - Severe lesion of the visual path in pregnancy. PMID- 18130109 TI - An unusual congenital defect. PMID- 18130110 TI - The lacrimal strip and the precorneal film in cases of Sjogren's syndrome. PMID- 18130111 TI - Office otology. PMID- 18130112 TI - Stricture of the esophagus; case report. PMID- 18130114 TI - Surgery for high degree of monocular astigmatism. PMID- 18130113 TI - A new treatment for vertigo. PMID- 18130115 TI - [Not Available]. PMID- 18130116 TI - Investigations of the scotopic and trichromatic mechanisms of vision by the two colour threshold technique. PMID- 18130117 TI - [Not Available]. PMID- 18130118 TI - Basic factors in the spectral sensitivity of human vision. PMID- 18130119 TI - Characteristic properties of colour and colour combinations. PMID- 18130120 TI - The relationship between clinical psychology and audiology. PMID- 18130121 TI - A study of the relationship between speech thresholds and audiometric results in perception deafness. PMID- 18130122 TI - A study of the relationship between measured hearing loss and intelligibility of selected words. PMID- 18130123 TI - An experimental study of tests for the detection of auditory malingering. PMID- 18130125 TI - Clinical use of fiction and biography featuring stuttering. PMID- 18130124 TI - Home training for preschool deaf children through correspondence. PMID- 18130126 TI - Prostigmin and the chronic stutterer. PMID- 18130127 TI - [Not Available]. PMID- 18130128 TI - [Not Available]. PMID- 18130129 TI - [Not Available]. PMID- 18130130 TI - [Not Available]. PMID- 18130131 TI - [Not Available]. PMID- 18130132 TI - [Not Available]. PMID- 18130133 TI - [Not Available]. PMID- 18130134 TI - [Not Available]. PMID- 18130135 TI - [Not Available]. PMID- 18130136 TI - [Not Available]. PMID- 18130137 TI - [Not Available]. PMID- 18130138 TI - [Not Available]. PMID- 18130139 TI - [Not Available]. PMID- 18130140 TI - [Not Available]. PMID- 18130141 TI - [Not Available]. PMID- 18130142 TI - [Not Available]. PMID- 18130143 TI - [Not Available]. PMID- 18130144 TI - [Not Available]. PMID- 18130146 TI - [Not Available]. PMID- 18130145 TI - [Not Available]. PMID- 18130147 TI - [Not Available]. PMID- 18130148 TI - [Not Available]. PMID- 18130149 TI - [Not Available]. PMID- 18130151 TI - [Not Available]. PMID- 18130150 TI - [Not Available]. PMID- 18130152 TI - [Not Available]. PMID- 18130157 TI - Survival after transfusion of Rh-positive erythrocytes previously incubated with Rh antibody. PMID- 18130163 TI - Rapid determination of the sickle cell trait; by the use of a reducing agent. PMID- 18130164 TI - The photochemical production of gold sols using artificial light. PMID- 18130165 TI - The mass staining of paraffin sections before the removal of wax. PMID- 18130166 TI - [Not Available]. PMID- 18130167 TI - [Not Available]. PMID- 18130168 TI - [Not Available]. PMID- 18130169 TI - [Not Available]. PMID- 18130170 TI - [Not Available]. PMID- 18130171 TI - [Not Available]. PMID- 18130172 TI - [Not Available]. PMID- 18130173 TI - [Not Available]. PMID- 18130174 TI - [Not Available]. PMID- 18130175 TI - [Not Available]. PMID- 18130176 TI - [Not Available]. PMID- 18130177 TI - [Not Available]. PMID- 18130178 TI - Fibrosis of the pancreas in infants and children; an illustrated review of certain clinical features with special emphasis on the pulmonary and cardiac aspects. PMID- 18130179 TI - Injuries in childhood. PMID- 18130180 TI - Serotherapy in pertussis. PMID- 18130181 TI - Epidemic diarrhea of the newborn infant. PMID- 18130182 TI - Roentgen manifestations of infantile hypertrophic pyloric stenosis. PMID- 18130183 TI - Precocius puberty. PMID- 18130184 TI - Effect of terminal disinfection and other factors on the stability of ascorbic acid in reliquefied milk products used in infant feeding. PMID- 18130185 TI - Embryoma of contralateral kidney 10 years following nephrectomy for Wilms' tumor. PMID- 18130186 TI - Bilateral optic neuritis following chicken pox; report of case with apparently complete recovery. PMID- 18130187 TI - Congenital absence of the patellae. PMID- 18130188 TI - Hyperinsulinism. PMID- 18130189 TI - Cholelithiasis in childhood. PMID- 18130191 TI - [Not Available]. PMID- 18130190 TI - [Not Available]. PMID- 18130192 TI - [Not Available]. PMID- 18130193 TI - [Not Available]. PMID- 18130194 TI - [Not Available]. PMID- 18130195 TI - [Spectrophotometry of para-aminosalicylic acid]. PMID- 18130196 TI - [Solute injections of vitamin B2, two new stabilization methods]. PMID- 18130197 TI - [Streptomycin in the treatment of tuberculosis; summary conclusions of the Council on Pharmacy and Chemistry of the American Medical Association]. PMID- 18130198 TI - [Not Available]. PMID- 18130199 TI - [Not Available]. PMID- 18130200 TI - [Not Available]. PMID- 18130201 TI - [Not Available]. PMID- 18130202 TI - [Not Available]. PMID- 18130203 TI - [Not Available]. PMID- 18130204 TI - [Not Available]. PMID- 18130205 TI - [Not Available]. PMID- 18130206 TI - [Not Available]. PMID- 18130207 TI - [Not Available]. PMID- 18130208 TI - [Not Available]. PMID- 18130209 TI - [Not Available]. PMID- 18130210 TI - [Not Available]. PMID- 18130211 TI - [Not Available]. PMID- 18130212 TI - [Not Available]. PMID- 18130213 TI - Sugar-free and non-glycogenetic preparations for use by diabetic persons. PMID- 18130214 TI - [Pharmaceutical chemical concept of new drugs introduced in the years 1947-1948]. PMID- 18130215 TI - Effect of increased renal venous pressure on renal function. PMID- 18130216 TI - Reabsorption of creatine and guanidoacetic acid by the renal tubules. PMID- 18130217 TI - Role of the kidney in pathogenesis of hypertension as determined by a study of the effects of bilateral nephrectomy and other experimental procedures on the blood pressure of the dog. PMID- 18130218 TI - Effects of emotional disturbance on water diuresis and renal blood flow in the rabbit. PMID- 18130220 TI - Enhancing effects of growth hormone on renal function. PMID- 18130219 TI - Response of renal blood flow and clearance to graded partial obstruction of the renal vein. PMID- 18130221 TI - Comparison of the carbohydrate effects of adrenalin infused into the femoral vein, carotid artery, aorta and portal vein of rats. PMID- 18130222 TI - Effect of hormones of the posterior pituitary on tolerance of the eviscerated rat for glucose. PMID- 18130223 TI - Effect of metabolic inhibitors on membrane potentials in the synovialis of the dog. PMID- 18130224 TI - Correlation between signs of toxicity and cholinesterase level of brain and blood during recovery from diisopropyl fluorophosphate poisoning. PMID- 18130225 TI - Factors in explosive decompression injury. PMID- 18130226 TI - Work performance of normal rats given continuous injections of adrenal cortex extracts. PMID- 18130227 TI - Acute hypothermia in guinea pigs. PMID- 18130228 TI - Measurement of experimentally induced brain swelling and shrinkage. PMID- 18130229 TI - Pulmonary lesions in guinea pigs with increased intracranial pressure, and the effect of bilateral cervical vagotomy. PMID- 18130230 TI - Studies in the fractionation of liver; composition of regenerating liver after partial hepatectomy in rats. PMID- 18130231 TI - Calorie intakes in relation to the quantity and quality of protein in the diet. PMID- 18130232 TI - Effects of atropine on food ingestion and water drinking in dogs. PMID- 18130233 TI - Estimation of relative velocities of plasma and red cells in the circulation of man. PMID- 18130234 TI - Tetraethylammonium as an aid in the study of cardiovascular reflexes. PMID- 18130236 TI - Neoplasia in cold-blooded vertebrates. PMID- 18130235 TI - Hemodynamics of aortic occlusion. PMID- 18130237 TI - Development of acute tissue damage due to cold. PMID- 18130238 TI - Reactions of British anti-lewisite with arsenic and other metals in living systems. PMID- 18130239 TI - [Housing, hygiene]. PMID- 18130240 TI - [Comfort zones for inhabitants of Turkmenia in regard to acclimatization]. PMID- 18130241 TI - [Sanitary bacteriological water analysis of springs]. PMID- 18130242 TI - [Effect of deposits in water pipes on the quality of water and its disinfection]. PMID- 18130243 TI - [Mechanical respirator]. PMID- 18130244 TI - [Housing ventilation]. PMID- 18130245 TI - [Hygienic analysis of plastic dishware]. PMID- 18130246 TI - [Photocolorimetric method for estimation of sugar in solutions]. PMID- 18130247 TI - [Survival of typhoid bacilli in milk]. PMID- 18130248 TI - [Hygienic value of ventilation in class rooms]. PMID- 18130249 TI - [Prevention of lead poisoning in gem cutting industry]. PMID- 18130250 TI - Health centers for the city of Portsmouth. PMID- 18130251 TI - The strategy and tactics of health education. PMID- 18130252 TI - A review of indigenous malaria in Great Britain after the war of 1939-1945, compared with the corresponding period after the 1914-1918 war; with some observations of the aetiology. PMID- 18130253 TI - A selective medium for the isolation of Staphylococcus aureus from heavily contaminated material. PMID- 18130254 TI - Streptococcal and staphylococcal skin lesions following chicken-pox. PMID- 18130255 TI - A difficulty experienced in the bacteriological diagnosis of paratyphoid fever in cases treated with sulphonamides. PMID- 18130256 TI - Use of yeast-phase antigens in a complement fixation test for histoplasmosis; preliminary results with human sera. PMID- 18130257 TI - Persistence of fluoroscopic screens. PMID- 18130258 TI - Demonstration of tubercle bacilli in sputum smears; selection of choice particles compared with various sodium hydroxide concentration techniques. PMID- 18130259 TI - Characteristics of commercial X-ray screens and films. PMID- 18130260 TI - [Not Available]. PMID- 18130261 TI - Techniques for application of the betatron to medical therapy with report of one case. PMID- 18130262 TI - The role of nitrogen mustard as a systemic adjunct to the radiation therapy of certain malignant diseases. PMID- 18130263 TI - Studies on respiratory mechanics. PMID- 18130264 TI - Double gallbladder; roentgenographic demonstration of a case of the Y type; classification of accessory gallbladder. PMID- 18130265 TI - Co-existent benign gastric ulcer and adenocarcinoma of the stomach. PMID- 18130266 TI - Adenocarcinoma of the jejunum; report of two cases. PMID- 18130267 TI - The diagnosis of spinal meningiomas and schwannomas by myelography. PMID- 18130268 TI - Oesteogenesis imperfecta tarda. PMID- 18130269 TI - Roentgenologic recognition of radiopaque sponges. PMID- 18130270 TI - Sterile pyuria. PMID- 18130271 TI - Radiation hygiene. PMID- 18130272 TI - Radiation chemistry. PMID- 18130273 TI - A note on some geometrical principles underlying beam direction. PMID- 18130274 TI - General consideration of rotation techniques. PMID- 18130276 TI - Three-dimensional dose distribution with the multiple small field technique. PMID- 18130275 TI - A multiple small field technique in practice. PMID- 18130278 TI - The use of X-ray films in beam direction for X-ray therapy. PMID- 18130277 TI - The results of a clinical trial of the X-ray technique described on a group of cases of carcinoma of the bronchus. PMID- 18130279 TI - A note on the Klein-Nishima formulae for the Compton scattering of photons by electrons, with table. PMID- 18130280 TI - The use of CO2 and air as antispasmodics. PMID- 18130281 TI - Rapid cassette changers for cerebral angiography. PMID- 18130282 TI - Some suggestions for handling children in the X-ray department. PMID- 18130283 TI - Notes on intravenous pyelography. PMID- 18130284 TI - Radiography in physical medicine. PMID- 18130285 TI - Calcium deposits in the vicinity of the shoulder and of other joints. PMID- 18130286 TI - Combined supraduodenal and transduodenal exploration of the common bile duct. PMID- 18130287 TI - Application of technics of reconstructive surgery to certain problems in general surgery. PMID- 18130288 TI - Thrombosis and embolism; the 5-year experience of a small general hospital. PMID- 18130289 TI - Comparison of effectiveness of newer antibiotics in experimental peritonitis; a preliminary report. PMID- 18130290 TI - The effects of intramuscular and intrathecal administration of streptomycin in normal dogs and in dogs with meningitis due to Escherichia coli. PMID- 18130291 TI - Ultraviolet radiation as an adjunct in the control of post-operative neurosurgical infection; clinical experience 1938-1948. PMID- 18130292 TI - Reduplication of the stomach; report of a case. PMID- 18130293 TI - The management of patients with bleeding from the upper gastro-intestinal tract with buffer and thrombin solution. PMID- 18130294 TI - An appraisal of pancreatoduodenal resection; a follow-up study of 61 cases. PMID- 18130295 TI - Results of treatment of patients with hypertension by total thoracic and partial to total lumbar sympathectomy, splanchnicectomy and celiac ganglionectomy. PMID- 18130296 TI - An evaluation of the treatment of essential hypertension by sympathectomy. PMID- 18130297 TI - [Not Available]. PMID- 18130298 TI - [Not Available]. PMID- 18130299 TI - [Not Available]. PMID- 18130300 TI - [Not Available]. PMID- 18130301 TI - [Not Available]. PMID- 18130302 TI - [Not Available]. PMID- 18130303 TI - [Not Available]. PMID- 18130305 TI - [Not Available]. PMID- 18130304 TI - [Not Available]. PMID- 18130306 TI - [Not Available]. PMID- 18130307 TI - [Not Available]. PMID- 18130308 TI - [Not Available]. PMID- 18130309 TI - Methods for preservation and transplantation of arterial grafts; observations on arterial grafts in dogs; report of transplantation of preserved arterial grafts in nine human cases. PMID- 18130310 TI - Testosterone propionate in the treatment of advanced carcinoma of the breast. PMID- 18130311 TI - The study of peripheral vascular disease with radioactive isotopes. PMID- 18130312 TI - Suture of peripheral nerves; factors affecting prognosis. PMID- 18130313 TI - Vascular changes of the skin in pregnancy; vascular spiders and palmar erythema. PMID- 18130315 TI - Carcinoma of the nasopharynx; report of 150 cases. PMID- 18130314 TI - Thoracic complications of amebiasis. PMID- 18130316 TI - Stimulation of ovarian function and induction of pregnancy through intravaginal implantation of estrogen pellets. PMID- 18130317 TI - Protein metabolic response to trauma. PMID- 18130318 TI - Radical pancreaticoduodenectomy; report of two cases of proved successful implantation of the pancreatic duct into the jejunum. PMID- 18130319 TI - Total pancreatectomy with report of postoperative physiologic studies. PMID- 18130320 TI - Partial esophagectomy with end-to-end anastomosis in the posterior mediastinum; an experimental study. PMID- 18130321 TI - Carcinoma of the cervical esophagus with one-stage total esophageal resection and pharyngogastrostomy. PMID- 18130322 TI - Intrathoracic gastroenteric cysts. PMID- 18130323 TI - Fate of cardiac foreign bodies. PMID- 18130324 TI - A new method of preventing the fatal embolus; preliminary report. PMID- 18130325 TI - Clinical study of the use of a synthetic detergent (phisoderm) combined with hexachlorophene for disinfection of the skin. PMID- 18130326 TI - Full thickness skin grafts in hernial repair. PMID- 18130327 TI - Gynecomastia in cirrhosis of the liver. PMID- 18130328 TI - Intestinal obstruction caused by a gallstone. PMID- 18130329 TI - Right paraduodenal hernia; with report of a case. PMID- 18130330 TI - Cysts of parathyroid origin; report of two cases and study of incidence and pathogenesis of cysts in parathyroid glands. PMID- 18130331 TI - Lumbar sympathectomy for arteriosclerosis obliterans; rationale and results. PMID- 18130332 TI - Osteochondritis dissecans of the head of the femur. PMID- 18130333 TI - The preoperative scout film of the chest. PMID- 18130334 TI - Arrhenoblastoma. PMID- 18130335 TI - Intravenous therapy with special consideration of parenteral nutrition. PMID- 18130336 TI - The measurement of the anterior obstetrical sagittal diameter. PMID- 18130337 TI - Employment of the mentally retarded. PMID- 18130338 TI - Subnormal minds are abler than you think. PMID- 18130339 TI - Toward mental health; a national program. PMID- 18130340 TI - The Rehabilitation Institute of Kansas City. PMID- 18130341 TI - State services to the tuberculous. PMID- 18130342 TI - Empyema as a complication of chronic pulmonary tuberculosis. PMID- 18130343 TI - Tuberculous spontaneous pneumothorax. PMID- 18130344 TI - The use of aureomycin in pulmonary tuberculosis. PMID- 18130345 TI - Question of contagion in coccidioidomycosis; study of contacts. PMID- 18130346 TI - Pulmonary infiltration associated with sensitivity to histoplasmin; report of a case. PMID- 18130347 TI - A correlated study of tuberculin, histoplasmin and coccidioidin sensitivities with pulmonary calcifications in the Rocky Mountain area. PMID- 18130348 TI - Tuberculous pericarditis; report of a case with a 10-year follow-up. PMID- 18130349 TI - Streptomycin in the treatment of tuberculous pericarditis; report of three cases. PMID- 18130350 TI - Streptomycin in experimental tuberculosis; effect on the pathogenesis of early tuberculosis in the guinea pig infected with streptomycin-sensitive H37 Rv tubercle bacilli. PMID- 18130351 TI - Streptomycin in experimental tuberculosis; effect on the pathogenesis of early tuberculosis in guinea pigs infected with streptomycin-resistant H37 Rv tubercle bacilli. PMID- 18130352 TI - Transitory infiltrates in the lungs with eosinophilia (Loeffler's syndrome) a review with the report of a case. PMID- 18130353 TI - Tuberculous esophago-cutaneous fistulae treated with streptomycin and gastrostomy; report of a case. PMID- 18130354 TI - Skin tuberculin reaction for the assay of tuberculin in guinea pigs. PMID- 18130355 TI - Inhibition of the tuberculin type reaction by antihistaminic drugs and rutin. PMID- 18130356 TI - Precipitin test for carbohydrate antibodies in human tuberculosis. PMID- 18130357 TI - [Not Available]. PMID- 18130358 TI - [Not Available]. PMID- 18130360 TI - [Not Available]. PMID- 18130359 TI - [Not Available]. PMID- 18130361 TI - [Not Available]. PMID- 18130362 TI - [Not Available]. PMID- 18130363 TI - [Not Available]. PMID- 18130364 TI - On the growth of the human head from birth to the third month of life. PMID- 18130365 TI - Autoplastic and homoplastic transplants of the rat adrenal cortex and medulla to the kidney. PMID- 18130366 TI - Vitamin E and liver lipids in mice. PMID- 18130367 TI - Growth potentials and mitotic division in the sebaceous glands of the rabbit. PMID- 18130368 TI - Human fetal choroid plexus cells in tissue cultures. PMID- 18130369 TI - Anthropology from the air. PMID- 18130370 TI - On a form of cicatrization among the Bambara (transl.). PMID- 18130371 TI - [Not Available]. PMID- 18130373 TI - Problems of the optimum catch in small whitefish lakes. PMID- 18130372 TI - Triple rectangular lattices. PMID- 18130374 TI - Studies on the toxicity of insecticide films; preliminary investigations on concentration-time-mortality relation. PMID- 18130375 TI - Laboratory breeding of Anopheles punctulatus punctulatus, Donitz. PMID- 18130376 TI - Glossina pallidipes and open country in the coastal area of Kenya. PMID- 18130377 TI - The Anopheles Tambunan, North Borneo. PMID- 18130378 TI - On the distribution and correct name of Oscinis pallipes, the swarming gnat of the Sudan. PMID- 18130379 TI - An experiment in control of tsetse with DDT-treated oxen. PMID- 18130380 TI - Studies on West African forest mosquitoes; the seasonal distribution, biting cycle and vertical distribution of four of the principal species. PMID- 18130381 TI - Adaptation of uterine blood vessels and accommodation of the products of conception. PMID- 18130383 TI - The palatine ridges of primates. PMID- 18130382 TI - The early development of the human vertebral column. PMID- 18130384 TI - Observations on the cervical mucosa of the rhesus monkey. PMID- 18130385 TI - Double ureters and associated renal anomalies in early human embryos. PMID- 18130386 TI - The vascular pattern of the endometrium of the pregnant rhesus monkey (Macaca mulatta). PMID- 18130387 TI - Two human ova of the pre-villous stage, having a developmental age of about 8 and 9 days respectively. PMID- 18130388 TI - [Not Available]. PMID- 18130389 TI - [Not Available]. PMID- 18130390 TI - [Not Available]. PMID- 18130391 TI - [Not Available]. PMID- 18130392 TI - [Not Available]. PMID- 18130393 TI - [Not Available]. PMID- 18130395 TI - [Not Available]. PMID- 18130394 TI - [Not Available]. PMID- 18130396 TI - [Not Available]. PMID- 18130397 TI - [Not Available]. PMID- 18130398 TI - [Not Available]. PMID- 18130399 TI - [Not Available]. PMID- 18130400 TI - [Not Available]. PMID- 18130401 TI - [Not Available]. PMID- 18130402 TI - [Not Available]. PMID- 18130403 TI - [Not Available]. PMID- 18130404 TI - [Not Available]. PMID- 18130405 TI - [Not Available]. PMID- 18130406 TI - [Not Available]. PMID- 18130407 TI - [Not Available]. PMID- 18130408 TI - [Not Available]. PMID- 18130410 TI - [Not Available]. PMID- 18130409 TI - [Not Available]. PMID- 18130411 TI - [Not Available]. PMID- 18130412 TI - [Not Available]. PMID- 18130413 TI - [Not Available]. PMID- 18130414 TI - [Not Available]. PMID- 18130415 TI - [Not Available]. PMID- 18130416 TI - [Not Available]. PMID- 18130417 TI - [Not Available]. PMID- 18130418 TI - [Not Available]. PMID- 18130419 TI - The formation of hydrogen carriers by haematin-catalyzed peroxidations; hydrogen carriers from certain acridine and quinoline compounds. PMID- 18130420 TI - Metabolism of derivatives of toluene; nuclear methyl-substituted derivatives of N phenylurea. PMID- 18130424 TI - A method for determining the sedimentation constant of material of low molecular weight; studies on oxidation products of insulin. PMID- 18130425 TI - Protease inhibitors, assay and nature of serum antiprotease. PMID- 18130426 TI - Protease inhibitors bacterial proteases and their inhibitors. PMID- 18130432 TI - The action of trypsin on insulin. PMID- 18130433 TI - Studies in detoxication; the fates of quinol and resorcinol in the rabbit in relation to the metabolism of benzene. PMID- 18130434 TI - Studies in detoxication, the metabolism of phenacetin (p-ethoxyacetanilide) in the rabbit and a further observation on acetanilide metabolism. PMID- 18130435 TI - Studies in detoxication; the fate of aniline in the rabbit. PMID- 18130436 TI - Studies in detoxication; the metabolism of p-phenetidine (p-ethoxyaniline) with some observations on the anisidines (methoxyanilines). PMID- 18130437 TI - A method for continuous graphic recording of radioactive tracer concentrations from various body regions simultaneously. PMID- 18130438 TI - The micro-estimation of benzoic and hippuric acids in biological material. PMID- 18130439 TI - Ancillary apparatus for chromatography. PMID- 18130440 TI - Investigations on urinary pregnanediol-like glucuronide; the isolation of delta16 androsten-3(alpha)-ol from normal human male urine. PMID- 18130442 TI - Estimation of the antipernicious anaemia factor. PMID- 18130441 TI - Urinary cholesterol in cancer; chemical state of urinary cholesterol and methods of estimation. PMID- 18130443 TI - The inhibition of normal horse serum of trypsin and a proteolytic enzyme of Clostridium welchii type B (lambda-enzyme). PMID- 18130444 TI - The effect of L-glutamate on the loss of potassium ions by brain slices suspended in a saline medium. PMID- 18130445 TI - The effect of the inclusion of bracken (Pteris aquilina) in the diet of rats. PMID- 18130446 TI - The pyruvate oxidase system in pigeon brain and the tricarboxylic acid cycle. PMID- 18130447 TI - The nature of the prothrombin deficiency in dicoumarin plasma. PMID- 18130448 TI - A capillary method for determining the CO2 combining power of plasma. PMID- 18130449 TI - The molecular adsorption areas of hydrocarbon gases on charcoal. PMID- 18130450 TI - A new occurrence of di-methylisopelletierine. PMID- 18130451 TI - [Not Available]. PMID- 18130452 TI - Use of the cathode ray oscillograph in the measurement of metal areas and the kinetics of electrode reactions. PMID- 18130453 TI - Natural variations in the isotopic content of sulphur and their significance. PMID- 18130454 TI - Molecular interaction in high-polymer solutions. PMID- 18130455 TI - The first approximate conditions for the formation of liquid crystals in solution. PMID- 18130456 TI - X-ray diffraction studies of sodium chloride-sodium bromide solid solutions. PMID- 18130457 TI - The adsorption of organic corrosion inhibitors on iron and steel surfaces. PMID- 18130458 TI - Adsorption-desorption isotherm studies of catalysts; nitrogen and stearic acid adsorption by supported catalysts and their components. PMID- 18130459 TI - Isothermal decomposition on the carbide in a carburized cobalt Fischer-Tropsch catalyst. PMID- 18130460 TI - Capillarity and surface area of charcoal. PMID- 18130461 TI - Dependence of the diffusion current of ytterbium on supporting electrolyte and pH. PMID- 18130462 TI - Reactions of metals in high vacua. PMID- 18130463 TI - The mechanisms of some elementary surface reactions. PMID- 18130464 TI - [Not Available]. PMID- 18130465 TI - [Not Available]. PMID- 18130466 TI - [Not Available]. PMID- 18130467 TI - [Not Available]. PMID- 18130468 TI - Post-operative treatment. PMID- 18130469 TI - An appreciation of silicophosphate permanent fillings. PMID- 18130470 TI - Oral hygiene. PMID- 18130471 TI - Preparation of the mouth for dentures. PMID- 18130472 TI - Dental cysts. PMID- 18130473 TI - A note on anaesthesia for apicectomy. PMID- 18130474 TI - Practical drugs and prescription writing for dental use. PMID- 18130475 TI - Differential diagnosis of oral lesions; malignancies of the oral regions. PMID- 18130476 TI - Giant-cell tumor of the maxilla; report of a case. PMID- 18130477 TI - Case report of an extraosseous adamantinoblastoma. PMID- 18130478 TI - Present status of knowledge concerning the etiology of periodontal disease. PMID- 18130479 TI - Dental, oral, and general causes of speech pathology. PMID- 18130480 TI - Intravenous pentothal sodium anesthesia in oral surgery and exodontia. PMID- 18130481 TI - Etiology and control of the gagging reflex in the practice of intraoral roentgenography. PMID- 18130482 TI - So-called eosinophilic granuloma of the ribs and jaws associated with visceral (pulmonary) involvement characteristic of xanthomatosis. PMID- 18130483 TI - Adenocarcinoma with metastasis to the mandible. PMID- 18130484 TI - Osteogenesis imperfecta and odontogenesis imperfecta. PMID- 18130485 TI - The efficacy of various drugs against Monilia albicans isolated from the root canal of an infected pulpless tooth. PMID- 18130486 TI - The healing of phenolized pulp exposures. PMID- 18130487 TI - [Not Available]. PMID- 18130488 TI - [Not Available]. PMID- 18130490 TI - [Not Available]. PMID- 18130489 TI - [Not Available]. PMID- 18130491 TI - [Not Available]. PMID- 18130492 TI - [Not Available]. PMID- 18130493 TI - [Not Available]. PMID- 18130494 TI - [Not Available]. PMID- 18130495 TI - [Not Available]. PMID- 18130496 TI - [Not Available]. PMID- 18130498 TI - [Not Available]. PMID- 18130497 TI - [Not Available]. PMID- 18130499 TI - [Not Available]. PMID- 18130501 TI - [Not Available]. PMID- 18130500 TI - [Not Available]. PMID- 18130502 TI - [Not Available]. PMID- 18130503 TI - [Not Available]. PMID- 18130504 TI - [Not Available]. PMID- 18130505 TI - [Not Available]. PMID- 18130506 TI - [Not Available]. PMID- 18130507 TI - [Not Available]. PMID- 18130508 TI - [Not Available]. PMID- 18130509 TI - [Not Available]. PMID- 18130510 TI - [Not Available]. PMID- 18130511 TI - [Not Available]. PMID- 18130512 TI - [Not Available]. PMID- 18130513 TI - [Not Available]. PMID- 18130514 TI - [Not Available]. PMID- 18130515 TI - [Not Available]. PMID- 18130516 TI - [Not Available]. PMID- 18130517 TI - [Not Available]. PMID- 18130518 TI - [Not Available]. PMID- 18130519 TI - [Not Available]. PMID- 18130520 TI - [Not Available]. PMID- 18130521 TI - [Not Available]. PMID- 18130522 TI - [Not Available]. PMID- 18130523 TI - [Not Available]. PMID- 18130524 TI - [Not Available]. PMID- 18130525 TI - [Not Available]. PMID- 18130526 TI - [Not Available]. PMID- 18130527 TI - [Not Available]. PMID- 18130528 TI - [Not Available]. PMID- 18130529 TI - [Not Available]. PMID- 18130530 TI - [Not Available]. PMID- 18130532 TI - Some recent advances in technique for drying from the frozen state. PMID- 18130531 TI - Phonic motors for quartz clocks. PMID- 18130533 TI - [Not Available]. PMID- 18130534 TI - [Not Available]. PMID- 18130535 TI - [Not Available]. PMID- 18130536 TI - [Not Available]. PMID- 18130537 TI - [Not Available]. PMID- 18130538 TI - [Not Available]. PMID- 18130539 TI - [Not Available]. PMID- 18130540 TI - [Not Available]. PMID- 18130541 TI - [Not Available]. PMID- 18130542 TI - Liquid and frozen egg; viscosity, baking quality, and other measurements on frozen egg products. PMID- 18130543 TI - The thiamine and riboflavin content of Manitoba grown wheat, oats, and barley of the 1946 crop. PMID- 18130544 TI - A simple electrical meter for estimating the moisture content of grain. PMID- 18130545 TI - Report on 35 drugs and three plant materials tested against Plasmodium lophurae in the white Pekin duck. PMID- 18130546 TI - The use of vertebrae as indicators of the age of the northern black bullhead Ameiurusm. melas (Rafinesque). PMID- 18130547 TI - New evidence on the structure of some proteins from measurements with polarized infra-red radiation. PMID- 18130548 TI - High-energy electron accelerators as pulsed neutron sources. PMID- 18130549 TI - Absorption of 12.5-mm. wave-length electromagnetic radiation in supercooled water. PMID- 18130550 TI - Drug-resistance shown by trypanosomes following antrycide treatment. PMID- 18130551 TI - Influence of streptomycin and mineral salts in the action of ribonuclease. PMID- 18130552 TI - The histochemical test for alkaline phosphatase. PMID- 18130553 TI - Preparation of ferric succinate jellies. PMID- 18130554 TI - Aerobic metabolism in nematode parasites of the alimentary tract. PMID- 18130555 TI - Symptomatology of virus diseases induced in cacao by 2-4, D treatment. PMID- 18130556 TI - Effect of light on the combustion of hydrocarbons. PMID- 18130557 TI - The natural occurrence of redleg, Pseudomonas hydrophila, in a population of American toads, Bufo americanus. PMID- 18130561 TI - The stimulant involved in the germination of Striga hermonthica. PMID- 18130562 TI - Metabolic changes which form the basis of a microbiological assay of nicotinic acid. PMID- 18130563 TI - Contractile tissues in the mammary gland, with special reference to myoepithelium in the goat. PMID- 18130564 TI - Some antigenic properties of mammalian spermatozoa. PMID- 18130565 TI - Weismann's ring and the control of tyrosinase activity in the larva of Calliphora erythrocephala. PMID- 18130566 TI - A new method for the study of cell division and cell extension with some preliminary observations on the effect of temperature and of nutrients. PMID- 18130567 TI - The mechanics of crossing-over. PMID- 18130568 TI - The route of antibodies passing from the maternal to the foetal circulation in rabbits. PMID- 18130569 TI - Scientific periodicals published in China. PMID- 18130571 TI - SUNLIGHT heats this house. PMID- 18130570 TI - The distribution of the Rh factor among Chinese. PMID- 18130572 TI - The literature of atomic energy of the past decade. PMID- 18130573 TI - Radio astronomy. PMID- 18130574 TI - Plants and vegetation as exhaustible resources. PMID- 18130576 TI - Clover-leaf tongues. PMID- 18130575 TI - A color-blind mother and son. PMID- 18130577 TI - [Not Available]. PMID- 18130578 TI - [Not Available]. PMID- 18130579 TI - [Not Available]. PMID- 18130580 TI - [Not Available]. PMID- 18130581 TI - [Not Available]. PMID- 18130582 TI - [Not Available]. PMID- 18130583 TI - [Not Available]. PMID- 18130584 TI - [Nicotinic acid-potassium and calcium in normal pregnancy and gestosis]. PMID- 18130585 TI - [The reaction Hanger (proof of cephalin-cholesterol flocculation of the emulsion) in obstetrics]. PMID- 18130586 TI - [Contribution to the study of copper sulphate gravimetric method for the determination of hemoglobin, hematocrit and total protein of plasma in obstetrics and obstetrical-gynecological interventions]. PMID- 18130587 TI - [Clinical considerations on the possible functional independence of the two uterine horns in pregnant duplicated uteri]. PMID- 18130588 TI - [Influence of parenteral and local administration of streptomycin on Doderlein's Vaginal Bacillus]. PMID- 18130589 TI - [Dermoid cyst suppurativa in puerperium]. PMID- 18130590 TI - [Contribution to the study of adnexal torsion]. PMID- 18130591 TI - [Not Available]. PMID- 18130592 TI - [Not Available]. PMID- 18130593 TI - [Not Available]. PMID- 18130594 TI - [Not Available]. PMID- 18130595 TI - [Not Available]. PMID- 18130596 TI - [Not Available]. PMID- 18130598 TI - National health plans; now there are three. PMID- 18130597 TI - Experiment with a new plan for split-shift nursing. PMID- 18130599 TI - The Effingham fire; three lines of defense against fire tragedy. PMID- 18130600 TI - A record for the recovery room. PMID- 18130601 TI - Activating a pilot clinic for psychiatric care. PMID- 18130603 TI - [Not Available]. PMID- 18130602 TI - [Not Available]. PMID- 18130604 TI - [Not Available]. PMID- 18130605 TI - [Not Available]. PMID- 18130606 TI - [Not Available]. PMID- 18130607 TI - [Not Available]. PMID- 18130608 TI - [Not Available]. PMID- 18130609 TI - [Not Available]. PMID- 18130610 TI - [Not Available]. PMID- 18130611 TI - [Not Available]. PMID- 18130612 TI - [Not Available]. PMID- 18130613 TI - [Not Available]. PMID- 18130614 TI - [Not Available]. PMID- 18130615 TI - BRITISH practice in dealing with unhealthy conditions of work. PMID- 18130616 TI - [Not Available]. PMID- 18130617 TI - The use of beryllium in New York State. PMID- 18130618 TI - [Not Available]. PMID- 18130620 TI - [Not Available]. PMID- 18130619 TI - [Not Available]. PMID- 18130621 TI - [Not Available]. PMID- 18130622 TI - [Not Available]. PMID- 18130623 TI - [Not Available]. PMID- 18130624 TI - [Not Available]. PMID- 18130625 TI - [Not Available]. PMID- 18130626 TI - [Not Available]. PMID- 18130627 TI - [Not Available]. PMID- 18130628 TI - [Not Available]. PMID- 18130629 TI - [Not Available]. PMID- 18130630 TI - [Not Available]. PMID- 18130631 TI - [Not Available]. PMID- 18130632 TI - [Not Available]. PMID- 18130633 TI - [Not Available]. PMID- 18130634 TI - [Not Available]. PMID- 18130635 TI - [Not Available]. PMID- 18130636 TI - [Not Available]. PMID- 18130637 TI - [Not Available]. PMID- 18130638 TI - [Not Available]. PMID- 18130639 TI - [Not Available]. PMID- 18130640 TI - [Not Available]. PMID- 18130641 TI - [Not Available]. PMID- 18130642 TI - [Not Available]. PMID- 18130643 TI - [Not Available]. PMID- 18130644 TI - [Not Available]. PMID- 18130645 TI - [Not Available]. PMID- 18130646 TI - [Not Available]. PMID- 18130647 TI - [Not Available]. PMID- 18130648 TI - [Not Available]. PMID- 18130649 TI - [Not Available]. PMID- 18130650 TI - [Not Available]. PMID- 18130651 TI - [Not Available]. PMID- 18130652 TI - [Not Available]. PMID- 18130654 TI - [Not Available]. PMID- 18130653 TI - [Not Available]. PMID- 18130655 TI - [Not Available]. PMID- 18130656 TI - [Not Available]. PMID- 18130657 TI - [Not Available]. PMID- 18130659 TI - [Not Available]. PMID- 18130658 TI - [Not Available]. PMID- 18130660 TI - [Not Available]. PMID- 18130661 TI - [Not Available]. PMID- 18130662 TI - [Not Available]. PMID- 18130663 TI - [Not Available]. PMID- 18130665 TI - [Not Available]. PMID- 18130664 TI - [Not Available]. PMID- 18130666 TI - [Not Available]. PMID- 18130667 TI - [Not Available]. PMID- 18130668 TI - [Not Available]. PMID- 18130669 TI - [Not Available]. PMID- 18130670 TI - [Not Available]. PMID- 18130671 TI - [Not Available]. PMID- 18130672 TI - [Not Available]. PMID- 18130673 TI - [Not Available]. PMID- 18130674 TI - [Not Available]. PMID- 18130675 TI - [Not Available]. PMID- 18130676 TI - [Not Available]. PMID- 18130677 TI - [Not Available]. PMID- 18130678 TI - [Not Available]. PMID- 18130679 TI - [Not Available]. PMID- 18130680 TI - [Not Available]. PMID- 18130681 TI - [Not Available]. PMID- 18130682 TI - [Not Available]. PMID- 18130683 TI - [Not Available]. PMID- 18130685 TI - [Not Available]. PMID- 18130686 TI - [Not Available]. PMID- 18130684 TI - [Not Available]. PMID- 18130687 TI - [Not Available]. PMID- 18130688 TI - [Not Available]. PMID- 18130689 TI - [Not Available]. PMID- 18130690 TI - [Not Available]. PMID- 18130691 TI - [Not Available]. PMID- 18130692 TI - Gastric polyps. PMID- 18130693 TI - Urography in closed or sub-parietal kidney injuries. PMID- 18130694 TI - Periodic disease; a case of intermittent fever, splenomegaly and leukopenia of 11 years duration. PMID- 18130695 TI - Apraxia; anatomical and clinical considerations. PMID- 18130696 TI - [Not Available]. PMID- 18130698 TI - [Not Available]. PMID- 18130697 TI - [Not Available]. PMID- 18130699 TI - [Not Available]. PMID- 18130700 TI - [Not Available]. PMID- 18130701 TI - [Not Available]. PMID- 18130702 TI - [Not Available]. PMID- 18130703 TI - [Not Available]. PMID- 18130704 TI - [Not Available]. PMID- 18130705 TI - [Not Available]. PMID- 18130707 TI - [Not Available]. PMID- 18130706 TI - [Not Available]. PMID- 18130708 TI - [Not Available]. PMID- 18130709 TI - [Not Available]. PMID- 18130710 TI - [Not Available]. PMID- 18130711 TI - [Not Available]. PMID- 18130712 TI - [Not Available]. PMID- 18130713 TI - [Not Available]. PMID- 18130714 TI - [Not Available]. PMID- 18130715 TI - [Not Available]. PMID- 18130716 TI - [Not Available]. PMID- 18130717 TI - [Not Available]. PMID- 18130718 TI - [Not Available]. PMID- 18130719 TI - [Not Available]. PMID- 18130720 TI - [Not Available]. PMID- 18130721 TI - Iron metabolism in pregnancy. PMID- 18130722 TI - Trends in hospital care. PMID- 18130723 TI - Headache as seen by the otolaryngologist with special reference to the use of cafergone-E.C. 110 ergotamine tartrate and caffeine for the relief of attacks. PMID- 18130724 TI - Intestinal obstruction during pregnancy. PMID- 18130725 TI - [Not Available]. PMID- 18130727 TI - [Not Available]. PMID- 18130726 TI - [Not Available]. PMID- 18130728 TI - [Not Available]. PMID- 18130729 TI - [Not Available]. PMID- 18130730 TI - The genesis of peptic ulceration. PMID- 18130731 TI - Clubbing of the fingers. PMID- 18130732 TI - [Not Available]. PMID- 18130733 TI - [Not Available]. PMID- 18130734 TI - [Not Available]. PMID- 18130735 TI - [Not Available]. PMID- 18130736 TI - [Not Available]. PMID- 18130737 TI - [Not Available]. PMID- 18130738 TI - [Not Available]. PMID- 18130740 TI - [Updated critical summary on the etiology, pathophysiology and therapeutic approach in hyperpyrexia and hypertensive states]. PMID- 18130739 TI - [Concerning the pathogenesis and etiology of pulmonary infiltrates with eosinophilia sanguanea fleeting; sandroma of Loffler (transl.)]. PMID- 18130741 TI - [Some considerations about megaesophagus, the purpose of two operated cases]. PMID- 18130742 TI - [A case of Crohn's disease]. PMID- 18130743 TI - [Rhabdomyosarcoma of the bladder coexisting with complete bilateral ureteral duplication]. PMID- 18130744 TI - [A sketch of the history of chemotherapy]. PMID- 18130745 TI - [A new selector for all ECG leads]. PMID- 18130746 TI - [The athlete's foot from the scalp of adults, a case report of cicatricial alopecia]. PMID- 18130747 TI - [The consequences of sensibilisation by local sulfamidotherapy]. PMID- 18130748 TI - [A case of xeroderma pigmentosum]. PMID- 18130749 TI - [Cyst of the pancreas, excision of a true cyst]. PMID- 18130750 TI - [Intestinal parasites in Portuguese Guinea]. PMID- 18130751 TI - [New cases of typhoid fever in children treated by intravenous vacinoterapia]. PMID- 18130752 TI - [A radiograph of the wrist as an element of diagnosis in orthodontics]. PMID- 18130753 TI - [Genital tuberculosis in women, frequency, etiology, pathology and pathophysiology]. PMID- 18130754 TI - [Traumatic injuries of the spine, the blockade of articular apophyses complicating fracture-dislocation of the dorsolumbar spine]. PMID- 18130755 TI - [Orthopedic surgery; the grounds, eighteenth and nineteenth centuries]. PMID- 18130756 TI - [Apropos of a case of kyphoscoliosis due to congenital malformations of the spine]. PMID- 18130757 TI - [Contribution to the treatment of sinus suppuration des macilares nebulisada with penicillin]. PMID- 18130758 TI - [The encephalitis in oto-rhinology]. PMID- 18130759 TI - [Not Available]. PMID- 18130760 TI - [General notions upon fractures and their nursing care]. PMID- 18130761 TI - [Not Available]. PMID- 18130762 TI - [Not Available]. PMID- 18130763 TI - [Not Available]. PMID- 18130764 TI - [Not Available]. PMID- 18130765 TI - Clinical features and laboratory diagnosis of XK or mite-borne typhus as observed in 102 cases in the Barrackpore area. PMID- 18130766 TI - The breeding and maintenance of Trombicula deliensis in the laboratory for experimental purposes. PMID- 18130767 TI - Transmission of Rickettsia orientalis by the bite of the larvae of Trombicula diliensis. PMID- 18130768 TI - Typhus in Calcutta. PMID- 18130769 TI - A case of infantile diabetes mellitus. PMID- 18130770 TI - Epidemiological observations on XK or mite-borne typhus in Barrackpore, Bengal. PMID- 18130771 TI - Variation in the risk of sickness from certain common infectious diseases with increase in the size of the household. PMID- 18130772 TI - The time of decision. PMID- 18130773 TI - Myocardial insufficiency; mechanisms and management with data on a new and safer mercurial diuretic. PMID- 18130774 TI - The doctor and the new international list of diseases and causes of death. PMID- 18130775 TI - Effect of urecholine on the stomach, intestine and urinary bladder. PMID- 18130776 TI - Roentgentherapy in cancer of the hypopharynx. PMID- 18130777 TI - The role of biophysics in medical education. PMID- 18130778 TI - Teaching of neurology. PMID- 18130779 TI - Group interviewing as a method of evaluating applicants for medical school. PMID- 18130780 TI - The young physician anatomist in medical education and research. PMID- 18130781 TI - EVALUATION of foreign medical credentials. PMID- 18130782 TI - Primary intracranial tumors in childhood. PMID- 18130783 TI - Congestive heart failure. PMID- 18130784 TI - [Problems of social organization of medicine]. PMID- 18130785 TI - [Not Available]. PMID- 18130786 TI - [Not Available]. PMID- 18130787 TI - [Not Available]. PMID- 18130788 TI - [Not Available]. PMID- 18130789 TI - [Not Available]. PMID- 18130790 TI - Surgical problems in urinary lithiasis. PMID- 18130791 TI - The public health approach to our nutrition problems. PMID- 18130792 TI - Some present concepts, practices, and trends in public health administration in the United States. PMID- 18130793 TI - Observations on hookworm anemia in the North General Hospital. PMID- 18130795 TI - The management of sterility in the Bontoc Hospital. PMID- 18130794 TI - Dermoid cyst of the urinary bladder with calculus; a case report. PMID- 18130796 TI - [Not Available]. PMID- 18130797 TI - [Not Available]. PMID- 18130798 TI - The early history of cholecystography. PMID- 18130799 TI - Ruptured aortic aneurysm with retropleural hemorrhage. PMID- 18130800 TI - Penetrating wounds of the chest. PMID- 18130801 TI - The significance of pneumoperitoneum in perforated gastroduodenal ulcer. PMID- 18130802 TI - Dystrophia myotonica; a case report. PMID- 18130803 TI - [Not Available]. PMID- 18130804 TI - [Not Available]. PMID- 18130806 TI - [Not Available]. PMID- 18130805 TI - [Not Available]. PMID- 18130807 TI - [Not Available]. PMID- 18130808 TI - [Not Available]. PMID- 18130809 TI - [Not Available]. PMID- 18130810 TI - [Not Available]. PMID- 18130811 TI - [Not Available]. PMID- 18130812 TI - [Not Available]. PMID- 18130813 TI - [Not Available]. PMID- 18130814 TI - [Not Available]. PMID- 18130815 TI - [Not Available]. PMID- 18130816 TI - [Not Available]. PMID- 18130818 TI - [Not Available]. PMID- 18130817 TI - [Not Available]. PMID- 18130819 TI - Curare. PMID- 18130820 TI - [Not Available]. PMID- 18130821 TI - [Not Available]. PMID- 18130822 TI - [Not Available]. PMID- 18130824 TI - Blood transfusion; the indications its technique and dangers. PMID- 18130823 TI - [Not Available]. PMID- 18130825 TI - The examination of bloodstains. PMID- 18130826 TI - The present status of the blood coagulation problem. PMID- 18130827 TI - The laboratory diagnosis of anaemia. PMID- 18130828 TI - Chinese dentistry. PMID- 18130829 TI - The historical background of medicine. PMID- 18130830 TI - Pulmonary infarction and anticoagulant therapy. PMID- 18130832 TI - Psychosomatic aspects of paediatrics. PMID- 18130831 TI - Psychosomatic aspects of general medicine. PMID- 18130833 TI - The diagnosis of eighth nerve tumour. PMID- 18130834 TI - Four and twenty blackbirds. PMID- 18130835 TI - Tumours of the naso-pharynx. PMID- 18130836 TI - Psychiatric reflections. PMID- 18130838 TI - The relativity of the degree of disease; its diagnostic significance in diseases of organs of the upper abdomen. PMID- 18130837 TI - The treatment of migraine. PMID- 18130839 TI - Attitudes versus atoms. PMID- 18130840 TI - Do women need protection? PMID- 18130841 TI - [Not Available]. PMID- 18130842 TI - [Not Available]. PMID- 18130843 TI - [Not Available]. PMID- 18130844 TI - [Not Available]. PMID- 18130845 TI - [Not Available]. PMID- 18130846 TI - [Not Available]. PMID- 18130847 TI - [Not Available]. PMID- 18130848 TI - [Not Available]. PMID- 18130849 TI - [Not Available]. PMID- 18130850 TI - [Not Available]. PMID- 18130851 TI - [Not Available]. PMID- 18130852 TI - [Not Available]. PMID- 18130853 TI - The portacaval shunt for the relief of portal hypertension. PMID- 18130854 TI - Myasthenia gravis. PMID- 18130855 TI - Cervical plexus block, brachial plexus block and stellate ganglion block; techniques utilizing soft tissue as landmarks. PMID- 18130857 TI - Clinical review of endometriosis. PMID- 18130856 TI - The surgical treatment of intractable dysmenorrhea. PMID- 18130858 TI - The recognition of the early manifestations of rheumatic fever. PMID- 18130859 TI - The metabolism of the radioactive elements created by nuclear fission. PMID- 18130860 TI - The radiation syndrome. PMID- 18130861 TI - Eosinophilia during intensive gold therapy. PMID- 18130862 TI - Neurophysiology, 1942-1948. PMID- 18130863 TI - Mucocele of large bowel due to strictures in ulcerative colitis of defunctioned bowel. PMID- 18130864 TI - Death due to conflagration. PMID- 18130866 TI - CARE (The) of hand injuries; lacerated wounds. PMID- 18130865 TI - Advances in the treatment of diseases of the chest. PMID- 18130867 TI - [Not Available]. PMID- 18130868 TI - [Not Available]. PMID- 18130869 TI - [Not Available]. PMID- 18130870 TI - [Not Available]. PMID- 18130871 TI - [Not Available]. PMID- 18130872 TI - [Not Available]. PMID- 18130873 TI - [Not Available]. PMID- 18130874 TI - [Not Available]. PMID- 18130875 TI - [Not Available]. PMID- 18130876 TI - [Not Available]. PMID- 18130877 TI - [Not Available]. PMID- 18130878 TI - [Not Available]. PMID- 18130879 TI - [Not Available]. PMID- 18130880 TI - [Complications of gonadotropin therapy in ovarian insufficiency]. PMID- 18130881 TI - [Manifest haemorrhage from gastric ulcers]. PMID- 18130882 TI - [Localization and results of treatment of peptic ulcers]. PMID- 18130883 TI - [Ulcerative colitis in children]. PMID- 18130884 TI - [The serum lipoid level in children]. PMID- 18130885 TI - [The risk of inoculation hepatitis in connection with blood-sampling]. PMID- 18130886 TI - [Ovarian rupture in amenorrhoea patient treated with gonadotropins]. PMID- 18130887 TI - [Types of intussusception in the ileocaecal region, not disinvaginated by the barium enema method]. PMID- 18130888 TI - [Subphrenic abscess in gastric carcinoma]. PMID- 18130889 TI - [Perforation of the stomach by fishbone]. PMID- 18130890 TI - [Traumatic so-called delayed splenic rupture]. PMID- 18130891 TI - [Endometriosis of the ureter]. PMID- 18130893 TI - [Concerning the therapy of headache with diluted solutions of adrenaline]. PMID- 18130892 TI - [The effect of curare on spastic and similar conditions]. PMID- 18130894 TI - [Streptomycin tuberculosis of the pharynx and bronchi; toxic effect on the acoustic nerve]. PMID- 18130895 TI - [Acute and chronic barbiturate poisoning]. PMID- 18130896 TI - [Complications of intraosseous therapy]. PMID- 18130897 TI - [The importance of liver biopsy in differential diagnosis, especially in connection with operation]. PMID- 18130899 TI - [Surface-active invert soaps administered intraperitoneally]. PMID- 18130898 TI - [Stilbamidine in multiple myeloma]. PMID- 18130900 TI - [Not Available]. PMID- 18130901 TI - [Not Available]. PMID- 18130902 TI - [Not Available]. PMID- 18130903 TI - [Not Available]. PMID- 18130904 TI - [Not Available]. PMID- 18130905 TI - [Not Available]. PMID- 18130906 TI - Adequate pelvicephalometry. PMID- 18130907 TI - Subarachnoid hemorrhage; report of three cases. PMID- 18130908 TI - Subtotal phalangectomy for relief of painful clavus. PMID- 18130909 TI - Eye injuries. PMID- 18130910 TI - The management of rheumatic heart disease. PMID- 18130911 TI - [Surgery of cancer of the uterus cervix]. PMID- 18130912 TI - [Congenital atresia of the sigmoid and rectum]. PMID- 18130913 TI - The present status of corneal grafting. PMID- 18130914 TI - Malignant lesions of nasal fossae and sinuses; diagnosis and treatment. PMID- 18130915 TI - Reduction of mortality in surgery of aged. PMID- 18130916 TI - Contrasting methods in the management of uterine malignancy. PMID- 18130917 TI - Intestinal intubation in the field of pediatrics. PMID- 18130918 TI - [Not Available]. PMID- 18130919 TI - [Not Available]. PMID- 18130920 TI - [Not Available]. PMID- 18130921 TI - Cytohistologic examination of bronchial secretions in the diagnosis of bronchiogenic carcinoma. PMID- 18130922 TI - The cytology of vaginal secretions. PMID- 18130923 TI - [Not Available]. PMID- 18130924 TI - [Not Available]. PMID- 18130925 TI - [Not Available]. PMID- 18130926 TI - [Not Available]. PMID- 18130927 TI - [Not Available]. PMID- 18130928 TI - [Not Available]. PMID- 18130929 TI - [Not Available]. PMID- 18130930 TI - [Not Available]. PMID- 18130931 TI - [Not Available]. PMID- 18130932 TI - [Not Available]. PMID- 18130933 TI - [Not Available]. PMID- 18130934 TI - [Not Available]. PMID- 18130935 TI - Brucellotic osteomyelitis of man and animal. PMID- 18130936 TI - [Not Available]. PMID- 18130937 TI - [Not Available]. PMID- 18130939 TI - [Not Available]. PMID- 18130938 TI - [Not Available]. PMID- 18130940 TI - Arthrodesis of the hip for tuberculosis; a comparison of the ilio-femoral and ischio-femoral methods. PMID- 18130941 TI - Some modern concepts of pinworm infection with data on the incidence among Indiana residents. PMID- 18130942 TI - Herniated cervical nucleus pulposis. PMID- 18130943 TI - Decubitus ulcers; cause, prevention, and cure. PMID- 18130944 TI - [Not Available]. PMID- 18130945 TI - Respiratory and metabolic disturbances and their laboratory differentiation. PMID- 18130946 TI - Spectrophotometric determination of epinephrine and of an epinephrine-like substance which can be obtained from autolyzing adrenal glands. PMID- 18130947 TI - Suppression and facilitation; a review. PMID- 18130948 TI - [Not Available]. PMID- 18130949 TI - [Not Available]. PMID- 18130950 TI - [Not Available]. PMID- 18130951 TI - [Not Available]. PMID- 18130952 TI - [Not Available]. PMID- 18130953 TI - [Not Available]. PMID- 18130954 TI - [Not Available]. PMID- 18130955 TI - [Not Available]. PMID- 18130956 TI - [Not Available]. PMID- 18130957 TI - [Not Available]. PMID- 18130958 TI - [Contribution study of endocrine allergy; in connection with two cases of allergic rhinitis with probable sensitization to hormonal factors]. PMID- 18130959 TI - [Dosage of blood proteins; modification of the Kjeldahl technique by substituting soda causitica with sodium carbonate]. PMID- 18130960 TI - [Simultaneous lesions of the skin and pubic hair caused by minor Trichosporon]. PMID- 18130961 TI - [Psychology of everyday facts, the role of latrine]. PMID- 18130962 TI - [Nutrition service in general hospitals]. PMID- 18130963 TI - [Incidence of helminthiasis in the military hospital of Recife]. PMID- 18130964 TI - [Pneumotropic viruses; ornithosis and psittacosis viruses]. PMID- 18130965 TI - [Helminths and helminthiasis]. PMID- 18130966 TI - [Not Available]. PMID- 18130967 TI - [Not Available]. PMID- 18130968 TI - [Not Available]. PMID- 18130969 TI - [Not Available]. PMID- 18130970 TI - [Not Available]. PMID- 18130971 TI - [Not Available]. PMID- 18130972 TI - [Not Available]. PMID- 18130973 TI - [Not Available]. PMID- 18130975 TI - [Not Available]. PMID- 18130974 TI - [Diagnosis of schistosomiasis by intradermal antigens with schistosomiasis adults]. PMID- 18130976 TI - [Not Available]. PMID- 18130977 TI - [Not Available]. PMID- 18130978 TI - [Not Available]. PMID- 18130979 TI - [Not Available]. PMID- 18130980 TI - [Not Available]. PMID- 18130981 TI - [Not Available]. PMID- 18130982 TI - [Not Available]. PMID- 18130983 TI - [Not Available]. PMID- 18130985 TI - [Not Available]. PMID- 18130984 TI - [Not Available]. PMID- 18130986 TI - [Not Available]. PMID- 18130987 TI - [Not Available]. PMID- 18130988 TI - [Not Available]. PMID- 18130989 TI - [Not Available]. PMID- 18130990 TI - [Not Available]. PMID- 18130991 TI - [Not Available]. PMID- 18130992 TI - [Not Available]. PMID- 18130993 TI - [Not Available]. PMID- 18130994 TI - [Not Available]. PMID- 18130995 TI - [Not Available]. PMID- 18130996 TI - [Not Available]. PMID- 18130997 TI - [Not Available]. PMID- 18130998 TI - [Not Available]. PMID- 18130999 TI - [Not Available]. PMID- 18131000 TI - [Not Available]. PMID- 18131001 TI - [Not Available]. PMID- 18131002 TI - [Not Available]. PMID- 18131003 TI - A psychiatrist looks at compulsory health insurance. PMID- 18131004 TI - Trauma as alleged cause of appendicitis in compensation cases. PMID- 18131005 TI - Fluid, electrolyte and protein balance in the surgical patient. PMID- 18131006 TI - The role of the federal government in the national cancer program. PMID- 18131007 TI - The British story, first hand. PMID- 18131008 TI - Meckel's diverticulum. PMID- 18131009 TI - [Not Available]. PMID- 18131010 TI - [Not Available]. PMID- 18131011 TI - [Not Available]. PMID- 18131012 TI - [Not Available]. PMID- 18131013 TI - [Middle lobectomy]. PMID- 18131014 TI - [Not Available]. PMID- 18131015 TI - [Not Available]. PMID- 18131017 TI - [Not Available]. PMID- 18131016 TI - [Not Available]. PMID- 18131018 TI - [Not Available]. PMID- 18131019 TI - [Not Available]. PMID- 18131020 TI - [Not Available]. PMID- 18131021 TI - [Not Available]. PMID- 18131022 TI - [Not Available]. PMID- 18131023 TI - [Not Available]. PMID- 18131024 TI - [Not Available]. PMID- 18131025 TI - [Not Available]. PMID- 18131026 TI - [Not Available]. PMID- 18131027 TI - [Not Available]. PMID- 18131028 TI - [Not Available]. PMID- 18131029 TI - [Not Available]. PMID- 18131031 TI - [Not Available]. PMID- 18131030 TI - [Not Available]. PMID- 18131032 TI - [Not Available]. PMID- 18131033 TI - [Not Available]. PMID- 18131034 TI - [Not Available]. PMID- 18131035 TI - [Not Available]. PMID- 18131036 TI - [Not Available]. PMID- 18131037 TI - [Not Available]. PMID- 18131038 TI - [Not Available]. PMID- 18131039 TI - [Not Available]. PMID- 18131041 TI - [Not Available]. PMID- 18131040 TI - [Not Available]. PMID- 18131042 TI - [Not Available]. PMID- 18131043 TI - [Not Available]. PMID- 18131044 TI - [Not Available]. PMID- 18131045 TI - [Not Available]. PMID- 18131046 TI - [Not Available]. PMID- 18131047 TI - [Not Available]. PMID- 18131048 TI - [Not Available]. PMID- 18131049 TI - [Not Available]. PMID- 18131050 TI - [Not Available]. PMID- 18131051 TI - [Not Available]. PMID- 18131052 TI - [Not Available]. PMID- 18131053 TI - [Not Available]. PMID- 18131054 TI - [Not Available]. PMID- 18131055 TI - [Not Available]. PMID- 18131056 TI - [Not Available]. PMID- 18131057 TI - A concept of cerebral palsy and some of its problems. PMID- 18131058 TI - [Not Available]. PMID- 18131059 TI - [Not Available]. PMID- 18131060 TI - [Not Available]. PMID- 18131061 TI - [Not Available]. PMID- 18131062 TI - [Not Available]. PMID- 18131063 TI - [Not Available]. PMID- 18131065 TI - [Not Available]. PMID- 18131064 TI - [Not Available]. PMID- 18131066 TI - [Not Available]. PMID- 18131067 TI - [Not Available]. PMID- 18131068 TI - [Not Available]. PMID- 18131069 TI - [Not Available]. PMID- 18131070 TI - [Not Available]. PMID- 18131071 TI - [Not Available]. PMID- 18131072 TI - [Not Available]. PMID- 18131073 TI - [Not Available]. PMID- 18131074 TI - [Not Available]. PMID- 18131076 TI - Pedunculated growth of the faucial tonsil. PMID- 18131075 TI - [Not Available]. PMID- 18131077 TI - Venereal disease and the West African in London. PMID- 18131078 TI - Improvisations. PMID- 18131079 TI - Some pathological aspects of tuberculous meningitis treated with streptomycin. PMID- 18131080 TI - Massive and generalized oedema occurring in two cases of lobar pneumonia under sulphonamide and penicillin therapy. PMID- 18131081 TI - [Not Available]. PMID- 18131082 TI - [Not Available]. PMID- 18131083 TI - [Not Available]. PMID- 18131084 TI - [Not Available]. PMID- 18131085 TI - Operative treatment of club-foot in older children and adults. PMID- 18131086 TI - [Not Available]. PMID- 18131087 TI - On the subject of recurrent dislocation of the shoulder. PMID- 18131089 TI - [Not Available]. PMID- 18131090 TI - [Not Available]. PMID- 18131088 TI - On the chlorine content of human muscle and skeletal tissue, with special reference to the degeneration of cartilage. PMID- 18131091 TI - [Not Available]. PMID- 18131092 TI - [Not Available]. PMID- 18131093 TI - [Not Available]. PMID- 18131094 TI - [Not Available]. PMID- 18131095 TI - [Not Available]. PMID- 18131096 TI - [Sechehaye, M. A. The symbolic realization, new method of psychotherapy applied to a case of schizophrenia.]. PMID- 18131098 TI - Histological studies on nerve elements and their endings at the epithelial cells of the gastric mucosa. PMID- 18131097 TI - [Not Available]. PMID- 18131099 TI - The central tegmental tract. PMID- 18131100 TI - The prenatal growth of the brain and of its parts and of the spinal cord in the dog. PMID- 18131101 TI - Certain olfactory centers of the forebrain of the giant panda (Ailuropoda melanoleuca). PMID- 18131102 TI - Connections between orbital cortex and diencephalon in the macaque. PMID- 18131103 TI - Synchronization of spontaneous electrical activity of cerebrum by barbiturate narcosis. PMID- 18131104 TI - Response of mammalian vestibular neurons to horizontal rotation and caloric stimulation. PMID- 18131105 TI - Characteristics of electrical activity of human corpus striatum and neighboring structures. PMID- 18131106 TI - An electromyographic study of spasticity. PMID- 18131107 TI - Effects of changes in ionic environment on action potential of a sympathetic ganglion. PMID- 18131108 TI - [Not Available]. PMID- 18131109 TI - [Not Available]. PMID- 18131110 TI - Monobalism and psychosis. PMID- 18131111 TI - [Not Available]. PMID- 18131112 TI - Some dynamics in fetishism. PMID- 18131113 TI - Dreams following intercourse. PMID- 18131114 TI - Detective stories and the primal scene. PMID- 18131115 TI - Remarks on the comic process and beauty. PMID- 18131116 TI - Psychologic tension and serum iodine levels in psychiatric patients without evidence of thyroid disease. PMID- 18131118 TI - Sex-hormone relationships in schizophrenic men. PMID- 18131117 TI - A study of pituitary-adrenocortical function in normal and psychotic men. PMID- 18131119 TI - Relation between certain finger volume changes, electroencephalographically manifested brain activity, and psychopathologic reactions. PMID- 18131120 TI - Mental hygiene in a general hospital. PMID- 18131122 TI - Personality integration levels. PMID- 18131121 TI - Psychogenic sneezing and yawning. PMID- 18131123 TI - Further study of suicidal configurations in Rorschach records. PMID- 18131124 TI - A projective-motor test for personality analysis. PMID- 18131125 TI - [Not Available]. PMID- 18131126 TI - [Not Available]. PMID- 18131127 TI - [Not Available]. PMID- 18131128 TI - [Not Available]. PMID- 18131129 TI - [Not Available]. PMID- 18131131 TI - [Not Available]. PMID- 18131130 TI - [Not Available]. PMID- 18131132 TI - [Not Available]. PMID- 18131133 TI - [Not Available]. PMID- 18131134 TI - [Not Available]. PMID- 18131135 TI - [Not Available]. PMID- 18131136 TI - [Not Available]. PMID- 18131137 TI - [Not Available]. PMID- 18131138 TI - [Not Available]. PMID- 18131139 TI - [Not Available]. PMID- 18131140 TI - [Not Available]. PMID- 18131141 TI - [Not Available]. PMID- 18131142 TI - [Not Available]. PMID- 18131143 TI - [Not Available]. PMID- 18131144 TI - [Not Available]. PMID- 18131145 TI - [Not Available]. PMID- 18131146 TI - [Not Available]. PMID- 18131147 TI - [Not Available]. PMID- 18131148 TI - [Not Available]. PMID- 18131149 TI - [Not Available]. PMID- 18131151 TI - On glandular structures at the corneo-scleral junction in man and swine; the so called Manz' glands. PMID- 18131150 TI - On hyaline bodies as the cause of atrophy of the optic nerve. PMID- 18131152 TI - Extraction of non-magnetic, intraocular foreign bodies; some experiences with Larsson's method. PMID- 18131153 TI - Chemotherapy in perforating injuries of the eye. PMID- 18131154 TI - The effect of weather upon some ophthalmological diseases. PMID- 18131156 TI - A further support to the hypothesis that Ascher's aqueous veins contain aqueous humor. PMID- 18131155 TI - The increasing frequency of diabetic retinopathy. PMID- 18131157 TI - Experiences with the Stenius-Ribbing localizer. PMID- 18131158 TI - A comparative study with the Gullstrand-Carles photoptometer and the Comberg nyctometer. PMID- 18131159 TI - Facial and eye prostheses after resection for tumour of the upper jaw and preliminary odontologic treatment. PMID- 18131160 TI - Observations on the classification of changes in the eye grounds in hypertensive diseases. PMID- 18131161 TI - Is scleritis (episcleritis) a symptom in hepertonia? PMID- 18131162 TI - On the mode of formation of the aqueous, and the regulation of the intra-ocular pressure. PMID- 18131164 TI - A technical detail in cyclodialysis. PMID- 18131165 TI - Observations on industrial hygiene in general. PMID- 18131163 TI - Experiments with penicillin. PMID- 18131166 TI - Experiments aiming at the treatment of squint amblyopia with medicaments. PMID- 18131167 TI - Case of rodent ulcer of the cornea. PMID- 18131168 TI - [Current security technique penetrating keratoplasty]. PMID- 18131169 TI - Visual acuity and safe driving. PMID- 18131170 TI - The Navy eye protection-correction program. PMID- 18131171 TI - Reading and eye trouble. PMID- 18131172 TI - Functioning of the air cell system of the mastoid process in audition. PMID- 18131173 TI - Symptomatic elongated styloid process; report of two cases of styloid process carotid artery syndrome with operation. PMID- 18131174 TI - Radiation therapy for conductive deafness; report of results and discussion of roentgen and radium irradiation. PMID- 18131175 TI - Hearing reeducation without the use of hearing aids; a report, analysis and interpretation of the results in 50 hard of hearing persons. PMID- 18131176 TI - Is it possible to cover the fenestra novovalis with Shrapnell's membrane? an anatomic study. PMID- 18131177 TI - Hemangioma of the ear and mastoid process; report of two cases. PMID- 18131178 TI - Clinical and pathologic aural findings in a case of carcinomatosis of the meninges. PMID- 18131179 TI - Squamositis, mastoiditis and squamomastoiditis. PMID- 18131180 TI - Effects of various degrees of protein depletion on histologic and chemical structure of rat liver. PMID- 18131181 TI - Proliferation of the epithelium of intrahepatic bile ducts in parabiotic rats following obstruction of the bile ducts. PMID- 18131182 TI - Right aortic arch with a vascular ring constricting esophagus and trachea; report of two cases. PMID- 18131183 TI - Acute lesions in weanling rats fed 4-aminopteroylglutamic acid. PMID- 18131184 TI - Effects of the administration of a vitamin E concentrate and of cholesterol and bile salt on the aorta of the rat. PMID- 18131185 TI - Thrombotic thrombopenic purpura caused by iodine; report of a case. PMID- 18131186 TI - Relations between volumes of closed hypothermal cerebral lesions and symptoms in rabbits. PMID- 18131187 TI - Effect of heat on the nutritive value of lactalbumin; chemical and morphologic changes. PMID- 18131188 TI - Cardiac hypertrophy; an immediate response to Starling's law of increased energy output of the heart. PMID- 18131189 TI - Late effects of radium and plutonium on bone. PMID- 18131190 TI - Benign mucoepidermoid tumor. PMID- 18131191 TI - [Not Available]. PMID- 18131192 TI - [Not Available]. PMID- 18131193 TI - [Not Available]. PMID- 18131194 TI - [Not Available]. PMID- 18131195 TI - [Not Available]. PMID- 18131196 TI - [Not Available]. PMID- 18131198 TI - Handicaps take a back seat at the hospital school. PMID- 18131197 TI - Physiatrist; medical coordinator. PMID- 18131199 TI - A public school plan for special cebral palsy classes. PMID- 18131200 TI - [Not Available]. PMID- 18131201 TI - [Not Available]. PMID- 18131202 TI - [Not Available]. PMID- 18131203 TI - [Not Available]. PMID- 18131204 TI - [Not Available]. PMID- 18131205 TI - [Not Available]. PMID- 18131206 TI - [Not Available]. PMID- 18131208 TI - [Not Available]. PMID- 18131207 TI - [Not Available]. PMID- 18131209 TI - [Not Available]. PMID- 18131210 TI - [Not Available]. PMID- 18131211 TI - [Not Available]. PMID- 18131212 TI - [Not Available]. PMID- 18131213 TI - [Not Available]. PMID- 18131214 TI - [Not Available]. PMID- 18131215 TI - The chemical microscopy of essential oils; reaction of catnip oil with phenyl hydrazine. PMID- 18131216 TI - Free halogens; a comparative study of their efficiencies as bactericidal agents. PMID- 18131217 TI - Science and scientists in the federal government. PMID- 18131218 TI - Recent developments in methods of testing antiseptics. PMID- 18131219 TI - [Not Available]. PMID- 18131220 TI - [Not Available]. PMID- 18131221 TI - [Not Available]. PMID- 18131222 TI - [Not Available]. PMID- 18131224 TI - [Not Available]. PMID- 18131223 TI - [Not Available]. PMID- 18131225 TI - British Pharmacopoia 1948. PMID- 18131226 TI - [Not Available]. PMID- 18131227 TI - [Not Available]. PMID- 18131228 TI - [Not Available]. PMID- 18131229 TI - Effects of feeding uranium nitrate hexahydrate in the diets of breeding white rats. PMID- 18131230 TI - Pharmacological studies on the causative agent of canine hysteria. PMID- 18131231 TI - The effect of hypoxia on the in vivo formation of methemolglobin by aniline and nitrite. PMID- 18131232 TI - Effect of convulsant and anticonvulsant agents on the activity of carbonic anhydrase. PMID- 18131233 TI - Adrenergic blocking drugs; antagonism of epinephrine and histamine with 2-(2 biphenyloxy)-2'-chlorodiethylamine derivatives. PMID- 18131234 TI - A study on mescaline in human subjects. PMID- 18131235 TI - The absorption of phenylmercuric acetate from the vaginal tract of the rat. PMID- 18131236 TI - A quantitative method for the determination of antihistaminic compounds containing the pyridine radical. PMID- 18131237 TI - Determination of gallium in biological materials. PMID- 18131238 TI - The distribution of radioactivity in rats after administration of C14-labeled methadone. PMID- 18131239 TI - An investigation of the acute toxicity of the optical isomers of arterenol and epinephrine. PMID- 18131240 TI - Studies on the fate of nicotine in the body; observations on the relative rate of elimination of nicotine by the dog, cat, rabbit and mouse. PMID- 18131241 TI - The control of experimental pneumonia with penicillin; inhalation therapy of established pneumonia, as related to blood and lung levels. PMID- 18131243 TI - [Not Available]. PMID- 18131242 TI - The relationship between cholinesterase inhibition and function in a neuroeffector system. PMID- 18131244 TI - [Not Available]. PMID- 18131245 TI - [Not Available]. PMID- 18131246 TI - POISONING cases in 1946. PMID- 18131247 TI - The economics of professional pharmacy. PMID- 18131248 TI - [Historical sketch of the congresses and conventions of pharmaceuticals]. PMID- 18131249 TI - [Characterization reaction and colorimetric method for the measurement of barbiturates]. PMID- 18131250 TI - Application of Gray's theory of respiratory control to the hyperpnea produced by passive movements of the limbs. PMID- 18131251 TI - Voluntary pressure breathing at high altitudes. PMID- 18131252 TI - Muscle action potentials in human poliomyelitis before and after closed manual neurotripsy. PMID- 18131253 TI - Species specificity of agene toxicity. PMID- 18131254 TI - Effect of vitamin A2 on the red and blue threshold of fully dark adapted vision. PMID- 18131255 TI - A simplified apparatus for photometric analysis and photomicrography. PMID- 18131256 TI - The stability of bacterial viruses in solutions of salts. AB - 1. The seven bacterial viruses of the T group, active against E. coli, are much more rapidly inactivated by heat when suspended in 0.1 N solutions of sodium salts than when suspended in broth. 2. The kinetics of this inactivation whether in salt solutions or in broth are those of a first order reaction. 3. The rate of inactivation of phage T5 in 0.1 N NaCl at 37 degrees C. can be greatly decreased by the addition of 10(-8)M concentrations of such divalent cations as Ca, Mg, Ba, Sr, Mn, Co, Ni, Zn, Cd, and Cu. 4. An increase in the cation concentration in the suspending medium results in an increase in the stability of phage T5 to the inactivating effects of temperature. 5. The hypothesis is proposed that the increase in stability of phage T5 in the presence of various cations is the result of complex formation between the phage and the metal ion. PMID- 18131257 TI - Studies on the mechanism of action of ionizing radiations; inhibition of sulfhydryl enzymes by alpha, beta, and gamma rays. AB - The activity of crystalline phosphoglyceraldehyde dehydrogenase and urease was decreased when dilute solutions of these sulfhydryl enzymes were irradiated with small doses of alpha rays from Po, beta rays from Si(89), and gamma rays from Ra. Partial reactivation of the enzyme by addition of glutathione was obtained after inhibition with alpha rays. Evidence that these inhibitions are due to oxidation of the -SH groups of the enzymes was given by the irradiation of the mercury mercaptide urease with gamma rays. This irradiated complex was completely reactivated by glutathione as was the non-irradiated enzyme. The ionic efficiency of all these ionizing radiations on inhibition of phosphoglyceraldehyde dehydrogenase was similar (ionic yield around 1). The sulfhydryl groups of crystalline phosphoglyceraldehyde dehydrogenase were titrated by enzyme activity measurements and by ferricyanide oxidation. PMID- 18131258 TI - Peptidase activities of extracts of salivary glands of Drosophila melanogaster. AB - 1. Peptide-splitting enzymes have been studied in buffered glycerine extracts of larval salivary glands of three stocks of Drosophila melanogaster. 2. The ultraviolet absorption spectrum of the glycerine extracts indicates the presence of a considerable amount of nucleic acid. 3. Alanylglycine (AG), leucylglycine (LG), leucylglycylglycine (LGG), glycylglycine (GG), and diglycylglycine (GGG) are split by the gland extracts in descending order of activity. 4. Of the various metals added, manganese was the only one found to give clear cut activation and that only with LGG as substrate. Cysteine inhibited the splitting of both AG and LG. 5. Comparison of the data with those published indicates the presence in the extracts in descending order of activity (at pH 7.6, 40 degrees C.) of at least four enzymes: an AG-dipeptidase, an LG-dipeptidase, a leucineaminopeptidase, and possibly an aminopolypeptidase. 6. Optimum conditions for the measurement of the enzyme splitting AG were determined. The pH activity and kinetic data are typical for an AG-dipeptidase. 7. An enzyme (probably cathepsin II) splitting benzoyl-l-arginineamide (pH 5.0) with cysteine activation was observed to occur with very low activity in gland extracts. PMID- 18131260 TI - [Not Available]. PMID- 18131259 TI - Peptidase increase accompanying growth of the larval salivary gland of Drosophila melanogaster. AB - 1. The larval salivary gland of Drosophila melanogaster offers an opportunity to study growth in a tissue in which no cell division occurs but in which the cells increase in size. 2. Measurements of alanylglycine (AG)-peptidase content have been made in three stocks of Drosophila melanogaster at different growth stages of the larval salivary gland, and have been correlated with its total nitrogen and volume. 3. During the prepupal instar, the AG-peptidase content of the gland increases parallel with total nitrogen but decreases when histolysis of the gland begins. Conversely, a benzoyl-l-arginineamide-hydrolyzing endopeptidase is not measurable until histolysis sets in. 4. In the final larval growth period of a giant mutant, there is a concomitant increase in peptidase, total nitrogen, and volume of the gland. 5. A similar association of peptidase content and total nitrogen is found in comparing glands of different sizes from the giant stock, at the time of maximal peptidase content in the prepupa. 6. The data are interpreted as evidence for an association of AG-peptidase with growth of the cells in the gland. This agrees with the earlier interpretation by Linderstrom-Lang and Holter of data obtained from study of more complex tissues. 7. A survey of the available measurements of peptidase content in other organisms shows that wherever an increase of cell substance occurs, peptidase content increases. Conversely, peptidase remains constant where cell division is unaccompanied by an increase of cell substances. 8. The joint association of peptidases and pentosenucleic acids with protein synthesis is pointed out. 9. The possiblity is considered that peptidases may be essential parts of a unit in which coupled reactions necessary for protein synthesis occur. The role of the peptidases in this system is discussed. They may act either synthetically to form new peptide linkages (problematic), or hydrolytically to mobilize the necessary specific amino acids. PMID- 18131261 TI - [Not Available]. PMID- 18131263 TI - [Not Available]. PMID- 18131262 TI - [Not Available]. PMID- 18131264 TI - The magnitude of the Pulfrich stereophenomenon as a function of binocular differences of intensity at various levels of illumination. PMID- 18131265 TI - Equal-volume judgements of tones. PMID- 18131266 TI - The effect of inter-stimulus interval on intensity discrimination for white noise. PMID- 18131267 TI - Acoustic function of the temporal cortex of the dog. PMID- 18131268 TI - Variations in the intellectual activities of adults. PMID- 18131269 TI - Who is to bear primary responsibility for the psychological disorders? PMID- 18131270 TI - Personal expenditures and changes in them with rising prices. PMID- 18131271 TI - A new technique for studying group-learning. PMID- 18131272 TI - Loudness as a discriminable aspect of noise. PMID- 18131273 TI - The effect of instruction, task, and population-sample on mental set. PMID- 18131274 TI - A class of methods for estimating reaction of stimuli of varying severity. PMID- 18131276 TI - [Not Available]. PMID- 18131275 TI - [Not Available]. PMID- 18131277 TI - [Not Available]. PMID- 18131278 TI - [Not Available]. PMID- 18131279 TI - Wartime diphtheria experience in the Royal Canadian Air Force in relation to the use of diphtheria toxoid. PMID- 18131280 TI - Pre-marital health examinations in Saskatchewan; problems and results. PMID- 18131281 TI - Modern trends in health service. PMID- 18131282 TI - The common cold. PMID- 18131284 TI - The rise of anatomy in the Middle Ages. PMID- 18131283 TI - The biological aspects of housing. PMID- 18131285 TI - The distribution of epidemic diseases. PMID- 18131286 TI - [Not Available]. PMID- 18131287 TI - [Not Available]. PMID- 18131288 TI - [Not Available]. PMID- 18131290 TI - Telling the world. PMID- 18131289 TI - Informing the public; the spoken word. PMID- 18131291 TI - The incidence of head lice in 1947 compared with 1938-40. PMID- 18131292 TI - Comparison of the rates of sick absence of metropolitan policemen before and after the war. PMID- 18131293 TI - A widespread outbreak of staphylococcal food poisoning. PMID- 18131294 TI - Current organizational patterns of statistical activities in state health departments. PMID- 18131295 TI - Sickness absenteeism among industrial workers, third and fourth quarters of 1948. PMID- 18131296 TI - [Five year plan of health service in Czechoslovakia]. PMID- 18131297 TI - [Training of a physician in Poland]. PMID- 18131298 TI - [Organized health service in Poland]. PMID- 18131299 TI - [Socialized medicine in Poland]. PMID- 18131300 TI - [Health service in industry]. PMID- 18131301 TI - [Health service in industry]. PMID- 18131302 TI - [Physical education in industry]. PMID- 18131303 TI - The perceptibility of details in roentgen examinations of the lung. PMID- 18131304 TI - Angiographic studies of the cerebral vessels in arteriovenous aneurysms. PMID- 18131305 TI - Instrument for ensuring symmetric pictures in roentgen examinations of the head. PMID- 18131306 TI - The fetal renal secretion and its significance in congenital deformities of the ureters and urethra. PMID- 18131307 TI - Distensional luxation, an early symptom sometimes occurring in various conditions of pain in the hip joint. PMID- 18131308 TI - Observations on the ionization produced by high-voltage radiation in moulded ionization chambers with walls of various effective atomic numbers. PMID- 18131309 TI - A dynamic electrometer for small condenser chambers. PMID- 18131310 TI - Analysis of radio-iodine uptake and excretion curves. PMID- 18131311 TI - The significance of congenital lumbo-sacral abnormalities. PMID- 18131312 TI - Radiological studies of the abdominal aorta in individuals over 50 as an aid to the differential diagnosis between benign and malignant ulceration of the stomach. PMID- 18131313 TI - Gastric adenomyosis; report of a case. PMID- 18131315 TI - A useful daylight screening aid for mass radiography. PMID- 18131314 TI - A case of fissura sterni congenita completa. PMID- 18131316 TI - The conservation of photographic chemicals. PMID- 18131317 TI - Radiography of the articular surfaces. PMID- 18131318 TI - [Not Available]. PMID- 18131319 TI - [Not Available]. PMID- 18131320 TI - The segmental and lobular physiology and pathology of the lung. PMID- 18131321 TI - The use of tubed pedicle grafts in carcinoma of the upper esophagus. PMID- 18131322 TI - Transthoracic small bowel substitution in high stricture of the esophagus. PMID- 18131323 TI - Completing of multiple-stage operation for atresia of the esophagus. PMID- 18131324 TI - Decortication of the unexpanded tuberculous lung following pneumothorax. PMID- 18131325 TI - Physiologic observations concerning decortication of the lung. PMID- 18131326 TI - Allergy in pulmonary tuberculosis with special reference to autotuberculinization. PMID- 18131327 TI - Cystic disease of the lung. PMID- 18131328 TI - Glomus tumor of the mediastinum. PMID- 18131329 TI - [Not Available]. PMID- 18131330 TI - [Not Available]. PMID- 18131332 TI - [Not Available]. PMID- 18131331 TI - [Not Available]. PMID- 18131333 TI - [Not Available]. PMID- 18131334 TI - [Not Available]. PMID- 18131335 TI - [Not Available]. PMID- 18131336 TI - [Not Available]. PMID- 18131337 TI - [Not Available]. PMID- 18131338 TI - [Not Available]. PMID- 18131339 TI - [Not Available]. PMID- 18131340 TI - [Not Available]. PMID- 18131342 TI - [Not Available]. PMID- 18131341 TI - [Not Available]. PMID- 18131343 TI - [Not Available]. PMID- 18131344 TI - [Not Available]. PMID- 18131345 TI - [Not Available]. PMID- 18131346 TI - [Not Available]. PMID- 18131347 TI - [Not Available]. PMID- 18131348 TI - Dysgerminoma of the ovary. PMID- 18131349 TI - Talipes equinovarus. PMID- 18131350 TI - A case of a xiphopagus monster. PMID- 18131351 TI - A case of quadricepsplasty. PMID- 18131352 TI - A case of carcinoma of the gall bladder. PMID- 18131353 TI - Studies on the pathologic anatomy of the unilateral harelip nose. PMID- 18131354 TI - Fracture of the zygomatic tripod easily reduced by intranasal manipulation. PMID- 18131355 TI - Composite bone graft in saddle nose. PMID- 18131356 TI - Fat substitutes in cheek deformities. PMID- 18131357 TI - A mortised mandibular bone graft following giant cell tumor removal; a 25-year history. PMID- 18131358 TI - Closure of scalp by split thickness skin grafts. PMID- 18131359 TI - Labial transplant for correction of loss of the nipple. PMID- 18131360 TI - Scalpel for paring margins of cleft palate. PMID- 18131361 TI - Mold fungi in the etiology of respiratory allergic diseases; further studies with mold extracts. PMID- 18131362 TI - The use of antihistaminic drugs in human tuberculosis; a preliminary report. PMID- 18131363 TI - Neohetramine in the treatment of experimental tuberculosis. PMID- 18131364 TI - A clinical evaluation of neohetramine in allergic diseases. PMID- 18131365 TI - Allergy and the tonsil problem in children. PMID- 18131366 TI - Sinusitis, allergy, and bacterial vaccine. PMID- 18131367 TI - Cerebral edema due to phenobarbital sensitivity; clinical study of a case. PMID- 18131368 TI - The diagnosis and treatment of perennial allergic coryza. PMID- 18131369 TI - A new antihistaminic compound for the treatment of urticaria and hay fever. PMID- 18131370 TI - An adapter for the rapid performance of the puncture skin test. PMID- 18131371 TI - Industrial dermatitis control. PMID- 18131372 TI - The treatment of bronchial asthma with isuprel. PMID- 18131373 TI - The use of oral potassium treatment of atopic dermatitis. PMID- 18131374 TI - A study of 100 allergic individuals by the Minnesota multiphasic personality inventory test. PMID- 18131375 TI - A Durham-type air-sampling device for less than one dollar. PMID- 18131376 TI - Coccidioidomycosis treatment with histamine. PMID- 18131377 TI - Bronchial asthma; critical review of literature. PMID- 18131378 TI - [Not Available]. PMID- 18131379 TI - [Not Available]. PMID- 18131380 TI - [Not Available]. PMID- 18131381 TI - [Not Available]. PMID- 18131382 TI - [Not Available]. PMID- 18131383 TI - [Not Available]. PMID- 18131384 TI - [Not Available]. PMID- 18131385 TI - [Not Available]. PMID- 18131386 TI - [Not Available]. PMID- 18131387 TI - [Not Available]. PMID- 18131388 TI - [Not Available]. PMID- 18131389 TI - [Not Available]. PMID- 18131390 TI - [Not Available]. PMID- 18131391 TI - [Not Available]. PMID- 18131392 TI - [Not Available]. PMID- 18131393 TI - [Not Available]. PMID- 18131394 TI - [Not Available]. PMID- 18131395 TI - [Not Available]. PMID- 18131397 TI - [Not Available]. PMID- 18131396 TI - [Not Available]. PMID- 18131398 TI - [Not Available]. PMID- 18131399 TI - Primary carcinoma of the gallbladder; a collective review with the addition of 25 cases from the Grace Hospital, Detroit, Michigan. PMID- 18131400 TI - Pathogenesis of endometriosis based on endometrial homeoplasia, direct extension, exfoliation and implantation, lymphatic and hematogenous metastasis, including five case reports of endometrial tissue in pelvic lymph nodes. PMID- 18131401 TI - Cancer of the tongue; a review of 330 cases. PMID- 18131402 TI - The significance of vein invasion by cancer of the rectum and sigmoid; a microscopic study of 210 cases. PMID- 18131403 TI - Postirradiation osteogenic sarcoma of the nasal bone; a report of two cases. PMID- 18131404 TI - Nonchromaffin paraganglioma of the middle ear; carotid-body-like tumor; glomus jugulare tumor. PMID- 18131405 TI - Clinical value of urethane therapy in prostatic cancer. PMID- 18131406 TI - Carbamates in the chemotherapy of leukemia; observation of a possible antileukemic synergism between urethane and methyl-bis (beta-chloroethyl) amine. PMID- 18131407 TI - Heterologous ocular transplantation as a practical test for cancer. PMID- 18131408 TI - The effect of aminopterin on the growth of carcinoma, sarcoma, and melanoma in animals. PMID- 18131409 TI - Osmotic resistance of erythrocytes from patients with carcinoma. PMID- 18131410 TI - The nucleic acid distribution in normal and leukemic mouse spleen. PMID- 18131411 TI - Effect of inoculation of the viruses of influenza A and herpes simplex on the growth of transplantable tumors in mice. PMID- 18131412 TI - The destructive effect of the virus of Russian Far East encephalitis on the transplantable mouse sarcoma 180. PMID- 18131413 TI - The micro-determination of potassium as cobaltinitrite in biological and agricultural materials; a new turbidimetric method. PMID- 18131414 TI - The colorimetric estimation of thiols. PMID- 18131415 TI - Estimation of cyanide in plant material by means of Conway units. PMID- 18131416 TI - New specific color reactions of hexoses and spectrophotometric micromethods for their determination. PMID- 18131417 TI - Studies on the metabolism of ribose; enzymatic conversion of ribose into hexosemonophosphate. PMID- 18131418 TI - The metabolism of niacin in ruminants (sheep, goats and calves). PMID- 18131419 TI - The effect of long-chain carbon compounds, particularly hydrocarbons, on the metabolism of tubercle bacilli. PMID- 18131420 TI - Two antifungal substances from Bacillus subtilis cultures. PMID- 18131421 TI - Growth-depressing fractions in raw lima beans. PMID- 18131422 TI - The enzyme-substrate compounds of horseradish peroxidase and peroxides; kinetics of formation and decomposition of the primary and secondary complexes. PMID- 18131423 TI - A polysaccharide related to the blood group substances and its reaction with borate; a study by electrophoresis. PMID- 18131424 TI - A polysaccharide related to the blood group substances and its reaction with borate; a study by sedimentation and viscosity. PMID- 18131425 TI - The physiological activity of some simple unsaturated lactones; effect of certain tissues of higher plants. PMID- 18131426 TI - On the mechanism of enzyme action; dehydrogenation studies on Merulius lacrymans and Marasmius chordalis, and the mechanism of oxalic acid formation. PMID- 18131427 TI - On the mechanism of enzyme action; solanione a pigment from Fusarium solani D2 purple. PMID- 18131428 TI - On the mechanism of enzyme action; effect of different naphthoquinones on the fat formation in Fusariun lini Bolley. PMID- 18131429 TI - Selenate inhibition studies; the reversal of selenate inhibition in E. coli. PMID- 18131430 TI - Acid-soluble phosphorus content of embryos infected with influenza A virus. PMID- 18131431 TI - Calcium and apyrase system of muscle. PMID- 18131432 TI - A new classification system for radiation detectors. PMID- 18131434 TI - A note on the photo-pupil reflex. PMID- 18131433 TI - The spectra of the heavy elements. PMID- 18131435 TI - The spherical aberration of the eye. PMID- 18131436 TI - A new spectrophotometer employing a glass Fery prism. PMID- 18131437 TI - Comparison of color systems with respect to uniform visual spacing. PMID- 18131438 TI - Transmission of light from diffuse sources by periscope tubes. PMID- 18131439 TI - Combustion studies with the orthicon spectrograph. PMID- 18131440 TI - The birefringent filter; a correction. PMID- 18131441 TI - [Not Available]. PMID- 18131442 TI - [Not Available]. PMID- 18131443 TI - The influence of general health supervision on the frequency of dental caries in groups of Norwegian children. PMID- 18131444 TI - Facial neuralgias. PMID- 18131445 TI - The importance of the control of blood during dental extractions. PMID- 18131446 TI - [Not Available]. PMID- 18131447 TI - [Not Available]. PMID- 18131448 TI - [Not Available]. PMID- 18131449 TI - [Not Available]. PMID- 18131450 TI - Suture removal following oral surgery. PMID- 18131451 TI - The use of the palatameter and the occlusameter. PMID- 18131452 TI - Immediate anterior acrylic bridge by the direct-indirect technique. PMID- 18131453 TI - Anesthesia by hypnosis. PMID- 18131454 TI - The dental aspects of psychosomatics. PMID- 18131456 TI - [Infancy of the denture]. PMID- 18131455 TI - [Release of natural forces by the braces in orthodontics]. PMID- 18131457 TI - [Homeopathic dentistry]. PMID- 18131458 TI - [Anatomo-pathological and clinical considerations of diffused osteomyelitis of the upper maxilla]. PMID- 18131459 TI - [Gingivitis and periodontitis; inter-radicular lesions]. PMID- 18131460 TI - [Acrylic intra-tissue, repair of the orbital region]. PMID- 18131461 TI - [The problem of immobilization of facial fractures]. PMID- 18131462 TI - [Results after 20 years by the conventional method of treatment of infected teeth]. PMID- 18131463 TI - [Not Available]. PMID- 18131464 TI - [Not Available]. PMID- 18131465 TI - Calciferol-resistant cases of lupus. PMID- 18131466 TI - [Not Available]. PMID- 18131467 TI - [Not Available]. PMID- 18131468 TI - [Not Available]. PMID- 18131469 TI - [Not Available]. PMID- 18131470 TI - [Not Available]. PMID- 18131471 TI - [Not Available]. PMID- 18131472 TI - [Not Available]. PMID- 18131473 TI - [Not Available]. PMID- 18131474 TI - [Not Available]. PMID- 18131475 TI - [Not Available]. PMID- 18131476 TI - [Not Available]. PMID- 18131477 TI - [Not Available]. PMID- 18131478 TI - [Not Available]. PMID- 18131479 TI - [Not Available]. PMID- 18131480 TI - [Not Available]. PMID- 18131481 TI - [Not Available]. PMID- 18131482 TI - [Not Available]. PMID- 18131483 TI - [Not Available]. PMID- 18131484 TI - Respiration in worms. PMID- 18131485 TI - A liquid surface interferometer. PMID- 18131486 TI - Diffusion in a two-phase alloy. PMID- 18131487 TI - [Not Available]. PMID- 18131488 TI - [Not Available]. PMID- 18131489 TI - [Not Available]. PMID- 18131490 TI - [Not Available]. PMID- 18131491 TI - [Not Available]. PMID- 18131492 TI - New pathways of the physiology of infection and immunity. PMID- 18131493 TI - [Not Available]. PMID- 18131494 TI - [Not Available]. PMID- 18131495 TI - Dependence, in yeasts, of phosphate uptake and polymerization upon the occurrence of glucose polymerization. PMID- 18131496 TI - [Not Available]. PMID- 18131497 TI - [Not Available]. PMID- 18131498 TI - The origin of moss gametophytes in cultures without access of light. PMID- 18131499 TI - Cardiac glucosides and Lundsgaard contracture. PMID- 18131500 TI - Effects of thiamin, riboflavin, pyridoxine, and nicotinic acid on the intestinal absorption of dextrose. PMID- 18131501 TI - Inhibitory effect of simultaneous administration of antasten and tween 20 on gastric secretion induced by histamine or vagal stimulation. PMID- 18131502 TI - The influence of polar solvents on the metachromatic reaction in vitro. PMID- 18131503 TI - The thyroxine sensitivity of normal and thyroidectomized rats. PMID- 18131505 TI - [Not Available]. PMID- 18131504 TI - [Not Available]. PMID- 18131506 TI - Chemistry of ajmaline, rauwolfine of Van Itallie and Steenhauer. PMID- 18131507 TI - [Not Available]. PMID- 18131508 TI - The effect of sun, shade, and oven-drying on the toxicological and chemical values of derris root. PMID- 18131509 TI - Effect of root diameter on chemical and biotoxic constituents of derris. PMID- 18131510 TI - Stability of carotenoids in ground dehydrated carrots. PMID- 18131511 TI - The current status of state and local population estimates in the Census Bureau. PMID- 18131512 TI - The uses of usefulness of binomial probability paper. PMID- 18131513 TI - The use of sampling in Great Britain. PMID- 18131514 TI - Unemployment and migration in the depression, 1930-1935. PMID- 18131515 TI - Minimum X2 maximum likelihood solution in terms of a linear transform, with particular reference to bio-assay. PMID- 18131516 TI - The edge marking of statistical cards. PMID- 18131517 TI - Structure and activities of the bacterial surface. PMID- 18131518 TI - Absorption of ultraviolet light by living cells. PMID- 18131519 TI - Continuous sedimentation for the concentration of trematode eggs in faecal suspensions. PMID- 18131520 TI - The tricarboxylic acid cycle in nematode parasites. PMID- 18131521 TI - Movement of zooplankton in diatom gradients. PMID- 18131522 TI - Rh phenotypes and Fisher's CDE notation. PMID- 18131523 TI - Formation of citrate in vivo induced by fluoroacetate poisoning. PMID- 18131524 TI - Interferometric determination of the apparent thickness of thin metallic films. PMID- 18131525 TI - A new synthesis of cinnoline derivatives. PMID- 18131526 TI - Influence of solvent movement on sedimentation. PMID- 18131527 TI - Use of Geiger counter for quantitative estimation of radioactive isotopes in histological sections. PMID- 18131528 TI - Automatic control-system terminology. PMID- 18131529 TI - Application of science. PMID- 18131530 TI - Studies in the physiological mechanisms of vision. PMID- 18131531 TI - A new method for the photographic study of fast transient phenomena. PMID- 18131532 TI - Dipole moments and the molecular structure of pentaerythritol tetranitrate. PMID- 18131533 TI - A mass spectrometer for continuous gas analysis. PMID- 18131534 TI - A microwave polarimeter. PMID- 18131535 TI - A high temperature X-ray diffraction camera. PMID- 18131536 TI - Ionization flame detectors. PMID- 18131537 TI - Experiments in the possibility of increasing the efficiency of gamma-counters. PMID- 18131538 TI - An improved low angle X-ray diffraction camera. PMID- 18131539 TI - An apparatus for producing powder-like X-ray diffraction patterns from single crystals. PMID- 18131540 TI - Non-uniform shrinkage of X-ray films. PMID- 18131541 TI - Percent transmission computer for infra-red spectra. PMID- 18131542 TI - The use of anodized aluminum in the construction of calorimeter heaters. PMID- 18131543 TI - Method for preparing capillary tube samples for X-ray diffraction powder analysis. PMID- 18131544 TI - NUCLEOMETER. PMID- 18131545 TI - MICROWAVE power meter. PMID- 18131546 TI - A comparative study of total plasma protein and hematocrit in fowl and pigeon. PMID- 18131547 TI - Preparation of p-hydroxyanthranilic acid. PMID- 18131548 TI - The mystery of the shrinking oranges. PMID- 18131549 TI - Nuclear cytology of fungi. PMID- 18131550 TI - Psychological principles of the visual motor gestalt test. PMID- 18131554 TI - Further studies on sensitivity of chromosomes to irradiation at different meiotic stages in oocytes of Sciara. PMID- 18131555 TI - The expression of alleles at the cubitus interrupts locus in hybrids between Drosophila melanogaster and Drosophila simulans. PMID- 18131557 TI - Linkage relations of autosomal factors in the fowl. PMID- 18131558 TI - [Not Available]. PMID- 18131560 TI - [Not Available]. PMID- 18131559 TI - [Not Available]. PMID- 18131561 TI - [Not Available]. PMID- 18131562 TI - [Not Available]. PMID- 18131563 TI - [Not Available]. PMID- 18131564 TI - [Not Available]. PMID- 18131565 TI - [Not Available]. PMID- 18131566 TI - [Not Available]. PMID- 18131567 TI - [Not Available]. PMID- 18131568 TI - [Not Available]. PMID- 18131569 TI - [Not Available]. PMID- 18131570 TI - [Not Available]. PMID- 18131571 TI - [Not Available]. PMID- 18131573 TI - [Not Available]. PMID- 18131572 TI - [Not Available]. PMID- 18131575 TI - [Not Available]. PMID- 18131574 TI - [Not Available]. PMID- 18131576 TI - [Not Available]. PMID- 18131577 TI - [Not Available]. PMID- 18131578 TI - [Not Available]. PMID- 18131579 TI - [Not Available]. PMID- 18131580 TI - [Not Available]. PMID- 18131581 TI - [Not Available]. PMID- 18131582 TI - [Not Available]. PMID- 18131583 TI - [Not Available]. PMID- 18131584 TI - [Not Available]. PMID- 18131585 TI - [Not Available]. PMID- 18131586 TI - [Not Available]. PMID- 18131587 TI - [Not Available]. PMID- 18131588 TI - [Not Available]. PMID- 18131589 TI - Physical medicine in a changing hospital world. PMID- 18131590 TI - Recording machines are an asset. PMID- 18131591 TI - Should the community get its bill in advance? PMID- 18131592 TI - Influenza vaccination; a comparison of antibody response obtained by various methods of administration. PMID- 18131593 TI - Immunogenetic studies of Drosophila melanogaster; the development of technics and the detection of strain differences. PMID- 18131594 TI - Experimental rubella in human volunteers. PMID- 18131595 TI - Chloromycetin in experimental rickettsial infections. PMID- 18131596 TI - Mechanism of detergent effect of egg-white inhibition of hemagglutination by formolized swine influenza virus. PMID- 18131597 TI - Differences in the hemagglutinating and antigenic properties of strains of influenza virus isolated from one outbreak. PMID- 18131598 TI - A quantitative study of passive anaphylaxis in the guinea pig; passive sensitization with non-precipitable or univalent rabbit antiovalbumin. PMID- 18131599 TI - The release of histamine and heparin by antigen from the isolated perfused liver of the sensitized dog. PMID- 18131600 TI - The effect of a 42 day course of treatment on the sensitivity of the tubercle bacillus to streptomycin. PMID- 18131602 TI - [Not Available]. PMID- 18131601 TI - Therapy of experimental brucella infection in the developing chick embryo; therapy with aureomycin. PMID- 18131603 TI - [Not Available]. PMID- 18131604 TI - [Not Available]. PMID- 18131605 TI - [Not Available]. PMID- 18131606 TI - [Not Available]. PMID- 18131607 TI - [Not Available]. PMID- 18131608 TI - [Not Available]. PMID- 18131609 TI - [Not Available]. PMID- 18131610 TI - [Not Available]. PMID- 18131611 TI - [Not Available]. PMID- 18131613 TI - [Not Available]. PMID- 18131612 TI - [Not Available]. PMID- 18131614 TI - [Not Available]. PMID- 18131616 TI - [Not Available]. PMID- 18131615 TI - [Not Available]. PMID- 18131617 TI - [Not Available]. PMID- 18131618 TI - [Not Available]. PMID- 18131619 TI - [Not Available]. PMID- 18131620 TI - [Not Available]. PMID- 18131621 TI - [Not Available]. PMID- 18131622 TI - [Not Available]. PMID- 18131623 TI - [Not Available]. PMID- 18131624 TI - [Not Available]. PMID- 18131625 TI - [Not Available]. PMID- 18131626 TI - [Not Available]. PMID- 18131628 TI - [Not Available]. PMID- 18131627 TI - [Not Available]. PMID- 18131629 TI - [Not Available]. PMID- 18131630 TI - [Not Available]. PMID- 18131631 TI - [Not Available]. PMID- 18131632 TI - [Not Available]. PMID- 18131633 TI - [Not Available]. PMID- 18131634 TI - [Not Available]. PMID- 18131635 TI - A review of therapeutic trials of some new chemotherapeutic compounds. PMID- 18131636 TI - Multiple pulmonary thromboembolic lesions; clinico-pathological conference. PMID- 18131637 TI - [Not Available]. PMID- 18131638 TI - Lumbo-dorsal sympathectomy in severe hypertension; an interim survey. PMID- 18131639 TI - Painful amputation stumps and phantom limbs; treatment by repeated percussion to the stump neuromata. PMID- 18131640 TI - Chemical sympathectomy. PMID- 18131641 TI - Eosinophilic xanthomatous granuloma with honeycomb lungs. PMID- 18131642 TI - Acute pneumonitis in a beryllium-worker. PMID- 18131643 TI - Treatment of abortus fever with sulphonamides and blood transfusion. PMID- 18131644 TI - Treatment of herpes zoster with liver extract. PMID- 18131645 TI - Arteriovenous fistula of the lung. PMID- 18131646 TI - [Not Available]. PMID- 18131647 TI - [Not Available]. PMID- 18131648 TI - [Not Available]. PMID- 18131649 TI - [Not Available]. PMID- 18131650 TI - [Not Available]. PMID- 18131651 TI - [Not Available]. PMID- 18131652 TI - [Not Available]. PMID- 18131653 TI - [Not Available]. PMID- 18131654 TI - [Not Available]. PMID- 18131655 TI - [Not Available]. PMID- 18131656 TI - [Not Available]. PMID- 18131657 TI - [Not Available]. PMID- 18131658 TI - [Not Available]. PMID- 18131659 TI - [Not Available]. PMID- 18131660 TI - [Not Available]. PMID- 18131661 TI - [Not Available]. PMID- 18131662 TI - [Not Available]. PMID- 18131663 TI - [Not Available]. PMID- 18131664 TI - [Not Available]. PMID- 18131666 TI - [Not Available]. PMID- 18131665 TI - [Not Available]. PMID- 18131667 TI - [Not Available]. PMID- 18131668 TI - [Not Available]. PMID- 18131669 TI - [Not Available]. PMID- 18131670 TI - [Not Available]. PMID- 18131671 TI - [Not Available]. PMID- 18131672 TI - [Not Available]. PMID- 18131673 TI - [Not Available]. PMID- 18131674 TI - [Not Available]. PMID- 18131675 TI - [Not Available]. PMID- 18131676 TI - [Not Available]. PMID- 18131678 TI - Pentothal-curare mixture with endotracheal N2O and O2 in infants. PMID- 18131677 TI - [Not Available]. PMID- 18131679 TI - An approach to some non-clinical responsibilities of medicine. PMID- 18131680 TI - The diagnosis and surgical treatment of tetralogies. AB - Patients with congenital heart disease of the cyanotic type may be presumed to be candidates for surgical treatment if the examination of the heart reveals compatible findings, particularly murmurs characteristic of an interventricular septal defect, overriding aorta, and pulmonary stenosis; if the electrocardiogram shows right axis deviation; if the x-ray or fluoroscopic study demonstrates decreased pulmonary markings; if Diodrast injection shows right ventricular enlargement, a septal defect, overriding of the aorta, and small pulmonary arteries. In some cases some of these criteria may be missing. If there are not definite contraindications, exploratory thoracotomy is indicated for patients with congenital heart disease causing cyanosis. PMID- 18131681 TI - Sickle cell disease simulating advanced rheumatoid arthritis; report of a case. PMID- 18131682 TI - Myelography; diagnostic value in lesions of the lumbar intervertebral discs with variation in technique. AB - Myelography using pantopaque in greater than usual amount with a variation in technique, which is described, is believed to provide increased accuracy in differential diagnosis and precise localization of lesions in the lumbar spine. The need for multiple space exploration is eliminated and more detailed information concerning the size and shape of lesions is provided as compared to that secured by the use of 3 or 6 cc. of opaque medium and fluoroscopic examination alone. In 53 cases in which lumbar myelography was performed and the diagnosis verified or disproved at operation, there was a 5 per cent diagnostic error in 41 instances in which the method outlined was used, as compared with 17 per cent error in 12 cases in which only 3 or 6 cc. of radiopaque material and fluoroscopy alone were used. The accuracy of the procedure would appear to warrant its use in the evaluation of patients suspected of having abnormalities of the lumbar discs associated with nerve root compression. PMID- 18131683 TI - The differential diagnosis of rheumatism; a clinical study of 500 cases. AB - Five hundred consecutive admissions to the rheumatism service of a large hospital were reviewed in an effort to establish criteria for accurate differential diagnosis in rheumatic disorders. Forty-one per cent of the patients presented evidence of articular involvement or arthritis; 28 per cent had non-articular rheumatism, embracing the various types of fibrositis; 7 per cent had musculoskeletal neuroses, and 24 per cent had a variety of diseases unrelated to the musculoskeletal system. A working classification of the various causes of musculoskeletal pain is presented and criteria for the differentiation of the individual diseases are suggested. PMID- 18131684 TI - Neck and shoulder pain. AB - Neck and shoulder pains are presenting or incidental symptoms in a large variety of conditions. There may be similarities in the anatomicophysiological mechanism of pain production and in the clinical picture in many of these conditions. Many of the vague and refractory cases of neck and shoulder pain and of migraine may be due to cervical disc disease. Scalenus anticus syndrome and cardiac disease can be diagnosed or differentiated from cervical disc syndrome only by thorough investigation. Proper treatment of neck and shoulder pain is dependent upon correct diagnosis through complete history, physical examination and laboratory tests, as described in this presentation. PMID- 18131685 TI - Potassium permanganate soaks in peripheral vascular diseases to emphasize nail growth changes. PMID- 18131686 TI - Food handler's infection (swine erysipelas) in man. AB - Swine erysipelas in man can at times be a serious and even fatal disease. The usual cutaneous type runs a prolonged course when treated by any of the older methods. Experimental and clinical evidence indicates that penicillin aids greatly in the treatment of the disease. PMID- 18131687 TI - Asymptomatic aneurysmal dilatation of a right-sided aortic arch. PMID- 18131688 TI - Thorn in body causing abscess after 21 years. PMID- 18131689 TI - Adenocarcinoma of the corpus uteri. PMID- 18131690 TI - [Not Available]. PMID- 18131691 TI - [Not Available]. PMID- 18131692 TI - [Not Available]. PMID- 18131693 TI - [Not Available]. PMID- 18131694 TI - [Not Available]. PMID- 18131695 TI - [Not Available]. PMID- 18131697 TI - [Not Available]. PMID- 18131696 TI - [Not Available]. PMID- 18131698 TI - Pathology of Central African natives; Mulago Hospital post mortem studies. PMID- 18131699 TI - A small outbreak of typhoid fever in the Northern Province of Kenya. PMID- 18131700 TI - The tribal distribution of bilharzia in East Africa. PMID- 18131701 TI - [Not Available]. PMID- 18131702 TI - [Not Available]. PMID- 18131703 TI - [Not Available]. PMID- 18131704 TI - [Not Available]. PMID- 18131705 TI - [Not Available]. PMID- 18131706 TI - [Not Available]. PMID- 18131707 TI - [Not Available]. PMID- 18131708 TI - [Not Available]. PMID- 18131709 TI - [Not Available]. PMID- 18131710 TI - [Not Available]. PMID- 18131711 TI - [Not Available]. PMID- 18131712 TI - [Not Available]. PMID- 18131713 TI - [Not Available]. PMID- 18131714 TI - [Not Available]. PMID- 18131715 TI - [Not Available]. PMID- 18131716 TI - [Not Available]. PMID- 18131717 TI - [Not Available]. PMID- 18131718 TI - [Not Available]. PMID- 18131719 TI - [A few cases of angiocardiography in the blue disease]. PMID- 18131720 TI - [Surgical treatment of hypertension; transpleural technique]. PMID- 18131721 TI - [Psychogenic factors as precipitating cause of rheumatoid arthritis]. PMID- 18131723 TI - [Allergy serum]. PMID- 18131722 TI - [Murine typhus in Rio de Janeiro; occurrence of naturally infected mice]. PMID- 18131724 TI - [General information on allergic diseases; historical sketch]. PMID- 18131725 TI - [Bacteriological study the sputum of leprosy-tuberculosis treatment with streptomycin, with a view of cultures obtained]. PMID- 18131726 TI - [Pharmacodynamic action of vitamins and pharmaceuticals]. PMID- 18131727 TI - An evaluation of testosterone propionate therapy in cases of angina pectoris. PMID- 18131728 TI - Tropical ulcers in Madras City. PMID- 18131729 TI - Some observations on atlas and axis vertebrae of the Punjabees. PMID- 18131730 TI - Tuberculous pericarditis. PMID- 18131731 TI - Treatment of filariasis by lithium antimony thiomalate. PMID- 18131732 TI - A case of hepatic appendicitis. PMID- 18131733 TI - Two atypical cases of giardia infection. PMID- 18131734 TI - DDT, an ideal insecticide and larvicide. PMID- 18131735 TI - The incidence of deliveries and conception. PMID- 18131736 TI - Treatment of diabetes today. PMID- 18131737 TI - Spontaneous remission in acute leukemia; report of a case complicated by eclampsia. PMID- 18131738 TI - Effect of sympathectomy on blood pressure in hypertension; a review of 13 years' experience of the Massachusetts General Hospital. PMID- 18131739 TI - A case study of the changes of refraction accompanying the changes of the concentration of sugar in the blood. PMID- 18131740 TI - Form and thickness considerations of ophthalmic lenses for various near points. PMID- 18131741 TI - Subnormal vision due to vitreous hemorrhage; a case report. PMID- 18131742 TI - Subnormal vision device augmenting palliative treatment of hypertension; a case report. PMID- 18131743 TI - Blood groups and effects of roentgen irradiation in retrolental fibroplasia. PMID- 18131744 TI - Differential diagnosis of Boeck's sarcoidosis; report of ten cases with ocular involvement. PMID- 18131745 TI - Ocular findings in 323 patients with schizophrenia; a preliminary report. PMID- 18131746 TI - Reserve accommodation. PMID- 18131747 TI - Neurofibromatosis associated with tumors of the optic papilla; report of a case. PMID- 18131748 TI - Contact lens electrode for iontophoresis. PMID- 18131749 TI - Metabolism of the cornea. PMID- 18131750 TI - The association of hyperglycemia, elevated blood pressure, increased pulse and latent vertical phoria. PMID- 18131751 TI - Diseases of the salivary glands and their ducts. PMID- 18131752 TI - Treatment of psychogenic headaches. PMID- 18131753 TI - Examples in practical analytical optometry. PMID- 18131754 TI - Blast injuries to the ear; the Texas City disaster. PMID- 18131755 TI - Anatomy of the bronchial tree. PMID- 18131756 TI - Effect on the ear of vitamin A feeding after severe depletion. PMID- 18131757 TI - Functional and anatomic relation of sphenopalatine ganglion to the autonomic nervous system. PMID- 18131758 TI - Postgraduate training in otolaryngology. PMID- 18131759 TI - Chorda tympani nerve section and tympanic plexectomy; new technic used in cases of deafness, tinnitus and vertigo. PMID- 18131760 TI - Rehabilitation of the larynx in cases of bilateral abductor paralysis; open approach to arytenoidectomy, with report of the past 4 years' experience. PMID- 18131761 TI - Chronic progressive deafness, including otosclerosis and diseases of the inner ear; review of the literature for 1946. PMID- 18131762 TI - Tumors of the parotid gland. PMID- 18131763 TI - Treatment of carcinoma of the larynx; a statistical study of results. PMID- 18131765 TI - Natural absence of part of the bone wall of the facial canal. PMID- 18131764 TI - The importance of sinusitis in allergic manifestations. PMID- 18131766 TI - Hearing tests and testing. PMID- 18131767 TI - Accelerated production of poliomyelitis. PMID- 18131768 TI - Tricuspid atresia; report of two cases of young infants, with successful operation. PMID- 18131769 TI - Anoxia of the central nervous system and congenital heart disease; report of three cases with a note on the history of asphyxia. PMID- 18131770 TI - Klebsiella pneumoniae associated with infantile diarrhea. PMID- 18131771 TI - Urinary glycocyamine, creatine and creatinine; their excretion in children with the nephrotic syndrome. PMID- 18131772 TI - Toxic level of fluorine in water supplies. PMID- 18131773 TI - Chronic relapsing pancreatitis and hyperlipemia. PMID- 18131774 TI - Present treatment of influenzal meningitis; review of literature and report on 22 patients treated with streptomycin and sulfadiazine. PMID- 18131775 TI - Association of maternal polyhydramnios with congenital atresia of the upper alimentary tract in the newborn. PMID- 18131776 TI - Bronchiogenic cysts of the mediastinum. PMID- 18131777 TI - Treatment of leukemia in children. PMID- 18131778 TI - Studies on the fermentation of Ceylon tea; further observations on the relationship of tea fermentation to normal respiration. PMID- 18131779 TI - Sulphur compounds of the genus Allium; detection of n-prophylthiol in the onion; the fission and methylation of diallyl disulphide in cultures of Scopulariopsis brevicaulis. PMID- 18131780 TI - Acid-soluble pigments of shells; the distribution of porphyrin fluorescence in molluscan shells. PMID- 18131781 TI - Coeliac disease; a relation between dietary starch and fat absorption. PMID- 18131782 TI - Blood volume studies in healthy children. PMID- 18131783 TI - The effect of toxaemia of pregnancy upon the foetus and newborn child. PMID- 18131784 TI - Renal venous thrombosis in the newborn. PMID- 18131785 TI - Congenital right-sided diaphragmatic hernia; some difficulties in differential diagnosis and operative repair. PMID- 18131786 TI - Fugitive pericarditis. PMID- 18131787 TI - Osteopetrosis in successive generations. PMID- 18131788 TI - Gangrene in congenital syphilis. PMID- 18131789 TI - Dietary control of dental caries. PMID- 18131790 TI - Opinions of pediatricians on certain problems of infant care. PMID- 18131791 TI - Measles and bronchopneumonia. PMID- 18131792 TI - Recent developments in hearing aids. PMID- 18131793 TI - The effect of milk supplements on the growth of children with nutritive failure; the Wetzel grid findings. PMID- 18131794 TI - Antihistaminic drugs in pediatric allergy. PMID- 18131795 TI - Intravenous procaine in children. PMID- 18131796 TI - Methyl testosterone in the treatment of premature infants. PMID- 18131797 TI - Carbohydrate supplements (lactose and starch hydrolysates) in infant feeding; blood sugar changes following the administration of carbohydrate supplements in various milk media. PMID- 18131798 TI - Fungus studies in atopic dermatitis; failure to demonstrate pathogenic fungi in the lesions. PMID- 18131799 TI - Fluorescein circulation time in normal and pathologic conditions in infants and children, including various types of congenital malformations of the heart. PMID- 18131800 TI - Amelia; review of literature and report of case. PMID- 18131801 TI - Anomalous origins of the right common carotid and right and left subclavian arteries associated with Eisenmenger's complex. PMID- 18131802 TI - Deep vein thrombosis in a newborn infant. PMID- 18131803 TI - Intussusception in a newborn infant. PMID- 18131804 TI - Xanthomatosis. PMID- 18131805 TI - Four cases of bacteremia. PMID- 18131806 TI - School health services. PMID- 18131807 TI - Nutritional appraisal of New York State school children. PMID- 18131809 TI - [Not Available]. PMID- 18131808 TI - [Not Available]. PMID- 18131810 TI - [Not Available]. PMID- 18131811 TI - [Not Available]. PMID- 18131812 TI - [Not Available]. PMID- 18131813 TI - [Not Available]. PMID- 18131814 TI - [Not Available]. PMID- 18131815 TI - [Not Available]. PMID- 18131816 TI - [Not Available]. PMID- 18131817 TI - [Not Available]. PMID- 18131818 TI - [Not Available]. PMID- 18131819 TI - [Not Available]. PMID- 18131820 TI - [Not Available]. PMID- 18131821 TI - [Otitis in infants]. PMID- 18131822 TI - [Not Available]. PMID- 18131823 TI - [Not Available]. PMID- 18131824 TI - [Present state of caustic alkali poisoning]. PMID- 18131825 TI - [Not Available]. PMID- 18131826 TI - The pathogenesis of the vernix membrane; relation to aspiration pneumonia in stillborn and newborn infants. PMID- 18131827 TI - Pancreatic enzymes; normal output and comparison of different methods of assay. PMID- 18131828 TI - Aureomycin in staphylococcic meningitis complicating subarachnoid hemorrhage in sickle cell anemia. PMID- 18131829 TI - Rupture of aneurysm of the circle of Willis in the newborn. PMID- 18131830 TI - Ovarian tumors in childhood. PMID- 18131831 TI - Human equine encephalomyelitis in Saskatchewan in 1947. PMID- 18131832 TI - Jet injection in pediatric practice. PMID- 18131833 TI - Infantile cerebral palsy cases with severe mental deficiency; relationship of etiology to type of neurologic syndrome. PMID- 18131834 TI - Retrolental fibroplasia and light. PMID- 18131835 TI - Acute isolated myocarditis; review of the literature and report of a case in a 10 year-old child. PMID- 18131836 TI - Meningococcemia with meningitis accompanied by bilateral gangrene of the lower extremities (Water-house-Friderichsen syndrome). PMID- 18131837 TI - Brain tumors in children. PMID- 18131838 TI - Phonocardiographic differentiation of the murmur of mitral insufficiency from some commonly heard adventitious sounds in childhood. PMID- 18131839 TI - [Not Available]. PMID- 18131840 TI - [Not Available]. PMID- 18131841 TI - ANSWERING your questions on how the British system works. PMID- 18131842 TI - Very few Britons know the high cost of free medical care. PMID- 18131843 TI - How British National Health prescriptions are priced. PMID- 18131844 TI - ORAL undecylenic acid. PMID- 18131845 TI - ATROPHIC and hypertrophic arthritis. PMID- 18131846 TI - ALCOHOL rubbing compound. PMID- 18131847 TI - ANTIPYRINE. PMID- 18131848 TI - LIVER concentrate. PMID- 18131849 TI - SODIUM dehydrocholic injection. PMID- 18131850 TI - [Not Available]. PMID- 18131851 TI - [Not Available]. PMID- 18131852 TI - Compressed tablets; standard dimensions. PMID- 18131853 TI - Nicotine poisoning. PMID- 18131854 TI - [Not Available]. PMID- 18131855 TI - [Not Available]. PMID- 18131856 TI - The growth and optimum yields of unicellular algae in mass culture. PMID- 18131857 TI - Some physical and chemical characteristics of algae growth in mass culture. PMID- 18131858 TI - The action of erythroidin, curare, and chlorobutanol in the crayfish. PMID- 18131859 TI - Inhibition of plant growth by irradiation; sensitivity and development. PMID- 18131860 TI - Relation of gamma-ray dosage rate to mitotic effect in the grasshopper neuroblast. PMID- 18131861 TI - Chemistry of the chick embryo; the accumulation of solids, nitrogen, lipids, and peptidase by the gizzard and liver of the chick embryo. PMID- 18131862 TI - An electron microscope study of the retinal rods of the guinea pig eye. PMID- 18131863 TI - The functional refractory period of axons. PMID- 18131864 TI - Cytochrome c, diphosphopyridine nucleotide, glutathione, and adenosine triphosphatase content of the ciliate Colpidium campylum. PMID- 18131865 TI - Bacterial variation in cellobiose medium. PMID- 18131866 TI - Nutrient-limited anaerobic growth of yeast at high temperatures. PMID- 18131867 TI - Pigment production by Serratia marcescens in liquid media. PMID- 18131868 TI - Mutants produced by X-irradiation of spores of Chaetomium globosum and a comparison with those produced by ultraviolet irradiation. AB - 1. Mutants produced by x-irradiation of fungal spores of Chaetomium globosum have been compared with those produced by ultraviolet irradiation. 2. The most striking difference between the mutants produced by x-irradiation and ultraviolet irradiation is the absence in x-ray experiments of the K mutant which is produced in large numbers at short ultraviolet wave lengths. 3. A comparison is made of the relation between x-ray dose and numbers of lethal mutants, and the relation between the short ultraviolet wave length 2804 dose and numbers of lethal mutants. Both are compared with theoretical curves for 1, 2, 5, and 8 quantum hits. 4. The production of lethal mutants by x-rays is shown to be consistent with the theoretical curve for five quantum hits on the sensitive spot of the spore, whereas the production of lethal mutants by the ultraviolet wave length 2804 A.u. is consistent with two quantum hits. PMID- 18131869 TI - Respiration of the tissues of some invertebrates and its inhibition by cyanide. AB - A study of the metabolism of Bermuda marine invertebrates at 25 degrees C. shows that the respiratory rates of many of the tissues approximate those of vertebrate tissues at the same temperature. There is no apparent correlation between respiratory rate and phylogenetic development: tissues from some of the simpler forms use as much oxygen per unit weight as those from certain of the more highly developed animals. Cyanide inhibition experiments reveal a great variation in the amount of oxygen consumption which is dependent upon sensitive heavy metal systems. Three types of tissues, the jellyfish Cassiopea frondosa, the branchial tree of the sea cucumber, Stichopus mobii, and two kinds of tunicates, were completely unaffected by even 10(-2)M HCN. Other tissues such as sea urchin sperm, squid gills, and lobster nerve and muscle were almost completely inhibited by much lower concentrations. Most of the materials retained 20 to 40 per cent of the normal respiratory rate in 10(-2)M HCN. The possibility that vanadium may play a part in the oxidation-reduction systems of the completely resistant animals is discussed. There is a thousandfold variation in the concentration of cyanide required to produce 50 per cent inhibition of respiration in the different tissues. Sea urchin sperm is 50 per cent inhibited by 10(-6)M HCN: the sea fan requires 10(-3)M for the same effect. Other tissues lie at intermediate points. When the logarithm of the ratio of the inhibited to the uninhibited respiration is plotted against the concentration of cyanide the resulting line has a slope which in most cases approximates 1. This indicates that one mole of enzyme ordinarily combines with one mole of inhibitor. Eggs of the sea urchin, Tripneustes esculentus, show a three- to fivefold increase in the rate of oxygen uptake on fertilization. The respiration of both the fertilized and unfertilized eggs is almost entirely inhibited by 10(-4)M HCN. Cell division in the fertilized eggs is blocked by somewhat less than 10(-5)M cyanide, a concentration which reduces respiration to 40 per cent of the normal level. PMID- 18131870 TI - Correlation of the aquarium goldfish toxicities of some phenols, quinones, and other benzene derivatives with their inhibition of autooxidative reactions. AB - Hydroquinone when added to the aquarium water was found to be about a hundred times more toxic than phenol, to goldfish (and to Daphnia magna), but is only about twice as toxic when injected into fish or mammals. Tertiarybutyl catechol shows a similar high toxicity in the aquarium, while the toxicity of catechol, resorcinol, and pyrogallol approaches more closely that of phenol. As the substances of high aquarium toxicity are known to inhibit many oxidative and polymerizing autocatalytic "chain reactions," rank correlations were tabulated between the recorded inhibitory potency of various substances in these processes, and their aquarium toxicity for goldfish. The correlation between aquarium fish toxicity and electric oxidation potential (P 0.09) is more than suggestive, and becomes still more so if explainable discrepancies are excluded. Antioxidant fat stabilizers show suggestive correlation with fish toxicity (0.20), and better with electric oxidation potential (0.10). The photographic reduction potential gives suggestive correlation with fish toxicity (0.20) and somewhat better with the oxidation potential (0.15). The gasoline induction period correlation is more than suggestive with the oxidation potential (0.099), but rather poor for fish toxicity (0.265). The rubber anti-aging potency gives only poor correlation (0.39) with fish toxicity. The reasons for these divergencies are not clear; they may perhaps be connected with the solvent properties of the substrate. As an example, Lea (p. 175) cites that 0.01 per cent of maleic acid prevents rancidity of fats, but is rendered ineffective by the presence of water. Taken by themselves, no one of the P values is entirely convincing of the relationships stressed in this paper. However, the consistent finding of relatively small values of P lends considerable weight to the hypothesis that these chemicals act in a related manner; and that the chemical activity of a substance may furnish useful suggestions of its biologic potency, perhaps more so than the chemical constitution as such. The aquarium toxicity, for goldfish is a convenient means of classifying the biologic potency. PMID- 18131871 TI - Oxygen tension measurement by a method of time selection using the static platinum electrode with alternating potential. AB - 1. The possibility of obtaining sustained and reproducible results in the analysis of dissolved oxygen with simple platinum electrodes by means of the application of a periodic potential pattern was explored over a wide range of frequencies and with a variety of wave forms. 2. Satisfactory results were obtained by the application in the frequency range of 5 to 10 C.P.M. of a square wave consisting of a positive and a negative pulse with interposed shorting periods and observing the current flowing at the end of each successive negative pulse. This was found to be linearly proportional to O(2) concentration for a pulse duration of the order of 1 second when the RC constant of the circuit was sufficiently small. 3. An instrument was developed to provide the required wave form and record the terminal currents of the negative pulses. The instrument provides either for recording of current voltage curves (polarograms) or for continuous recording at a fixed voltage of diffusion limited current values. 4. Typical measurements of oxygen uptake with yeast suspensions illustrate the application of the technique to problems requiring frequent determinations during short intervals. 5. Applications of this technique to biological and other problems are indicated with its limitations. PMID- 18131873 TI - An interpretation of pseudo-conditioning. PMID- 18131872 TI - Crystalline pneumococcus antibody. AB - 1. The immune precipitate formed by antipneumococcus horse serum and the specific polysaccharide is not hydrolyzed by trypsin as is the diphtheria toxin-antitoxin complex, and purified pneumococcus antibody cannot be isolated by the method used for the isolation and crystallization of diphtheria antitoxin. 2. Type I pneumococcus antibody, completely precipitable by Type I polysaccharide, may be obtained from immune horse serum globulin by precipitation of the inert proteins with acid potassium phthalate. 3. The antibody obtained in this way may be fractionated by precipitation with ammonium sulfate into three main parts. One is insoluble in neutral salts but soluble from pH 4.5 to 3.0 and from pH 9.5 to 10.5. This is the largest fraction. A second fraction is soluble in 0.05 to 0.2 saturated ammonium sulfate and the third fraction is soluble in 0.2 saturated ammonium sulfate and precipitated by 0.35 saturated ammonium sulfate. The second fraction can be further separated by precipitation with 0.17 saturated ammonium sulfate to yield a small amount of protein which is soluble in 0.17 saturated ammonium sulfate but insoluble in 0.25 saturated ammonium sulfate. This fraction crystallizes in poorly formed, rounded rosettes. 4. The crystallization does not improve the purity of the antibody and is accompanied by the formation of an insoluble protein as in the case of diphtheria antitoxin. 5. None of the fractions obtained is even approximately homogeneous as determined by solubility measurements. 6. Purified antibody has also been obtained by dissociating the antigen-antibody complex. 7. The protective value of the fractions is quite different; that of the dissociated antibody being the highest and that of the insoluble fraction, the lowest. 8. All the fractions are immunologically specific since they do not precipitate with Type II polysaccharide nor protect against Type II pneumococci. 9. All the fractions give a positive precipitin reaction with antihorse rabbit serum. The dissociated antibody gives the least reaction. 10. Comparison of the various fractions, either by their solubility in salt solution or through immunological reactions, indicates that there are a large number of proteins present in immune horse serum, all of which precipitate with the specific polysaccharide but which have very different protective values, different reactions with antihorse rabbit serum, and different solubility in salt solutions. PMID- 18131874 TI - Emotion as disorganized response; a reply to professor Leeper. PMID- 18131875 TI - Value, need, and other factors in perception. PMID- 18131876 TI - A theory relating momentary effective reaction potential to response latency. PMID- 18131877 TI - Homeostasis and servo-mechanisms for what? PMID- 18131878 TI - [Not Available]. PMID- 18131879 TI - [Not Available]. PMID- 18131880 TI - [Not Available]. PMID- 18131881 TI - [Not Available]. PMID- 18131882 TI - Variation in the hospital care of premature infants. PMID- 18131883 TI - The care of premature infants in New York City. PMID- 18131884 TI - Relation of nutrition to infection in children. PMID- 18131885 TI - Laboratory tests in the diagnosis of brucellosis. PMID- 18131886 TI - Chronic brucellosis; the unsatisfactory status of current diagnostic methods. PMID- 18131887 TI - Rabies vaccine encephalomyelitis in relation to the incidence of animal rabies in Los Angeles. PMID- 18131888 TI - Techniques of counseling in regard to health problems. PMID- 18131889 TI - Progress report on Hospital Survey and Construction Act. PMID- 18131891 TI - [Not Available]. PMID- 18131890 TI - QUALITY of medical care in a national health program. PMID- 18131892 TI - [Not Available]. PMID- 18131893 TI - [Not Available]. PMID- 18131894 TI - [Not Available]. PMID- 18131895 TI - [Not Available]. PMID- 18131896 TI - [Not Available]. PMID- 18131897 TI - [Not Available]. PMID- 18131898 TI - [Not Available]. PMID- 18131899 TI - [Not Available]. PMID- 18131900 TI - [Not Available]. PMID- 18131901 TI - Preventive medical services for the family. PMID- 18131902 TI - Characteristics of stable and non-stable families in the morbidity study in the eastern Health District of Baltimore. PMID- 18131903 TI - Cultural differences and census concepts. PMID- 18131904 TI - The sixth revision of the international lists of diseases and causes of death. PMID- 18131905 TI - Internationally comparable statistics of food and agriculture. PMID- 18131906 TI - Statistics of the distribution of family incomes by size. PMID- 18131907 TI - General assessment of international statistics and outlook for the future. PMID- 18131908 TI - The control of typhoid fever. PMID- 18131909 TI - A small epidemic with meningeal symptoms simulating leptospiral infection. PMID- 18131911 TI - Characteristics of commercial X-ray screens and films. PMID- 18131910 TI - Studies of pulmonary findings and antigen sensitivity among student nurses; relationship of pulmonary calcification with sensitivity to tuberculin and to histoplasmin. PMID- 18131912 TI - [Not Available]. PMID- 18131913 TI - Algae control; experiences and practices at Danbury, Conn. PMID- 18131914 TI - Tannin interference in dissolved oxygen determinations. PMID- 18131915 TI - Rotational roentgen therapy in the horizontal plane. PMID- 18131916 TI - Experimental study of contrast media for cerebral angiography with reference to possible injurious effects on the cerebral blood vessels. PMID- 18131917 TI - Osteogenic sarcoma; along what lines should it be treated? PMID- 18131918 TI - On fractures of the carpal bones, especially of the scaphoid. PMID- 18131919 TI - Some recent results with my kymographic method; multiple centers rotating kymography. PMID- 18131920 TI - [Not Available]. PMID- 18131921 TI - [Not Available]. PMID- 18131922 TI - [Not Available]. PMID- 18131923 TI - [Not Available]. PMID- 18131924 TI - [Not Available]. PMID- 18131926 TI - Radiography of children's chests. PMID- 18131925 TI - [Not Available]. PMID- 18131927 TI - Radiography of variable chest densities. PMID- 18131928 TI - Veterinary radiography. PMID- 18131929 TI - Early roentgenologic changes in idiopathic ulcerative colitis. PMID- 18131930 TI - The osseous lesions of sarcoidosis. PMID- 18131931 TI - Early roentgen recognition of lower-lobe tuberculosis. PMID- 18131932 TI - Contrast enema in lateral recumbency; aimed gas filling of the colon. PMID- 18131933 TI - The angiographic demonstration of pulmonary arteriovenous fistula. PMID- 18131934 TI - The compatibility of castor oil and priodax in concurrent examination of the colon and gallbladder. PMID- 18131935 TI - Mycetoma pedis. PMID- 18131936 TI - Iliac horns; an osseous manifestation of hereditary arthrodysplasia associated with dystrophy of the fingernails. PMID- 18131937 TI - Arteriosclerotic aneurysm of the descending thoracic aorta presenting to the right of the spine. PMID- 18131938 TI - An accessory bone and other bilateral skeletal anomalies of the elbow. PMID- 18131939 TI - Effect of roentgen therapy on mouse encephalitis. PMID- 18131940 TI - Psychological factors in atomic warfare. PMID- 18131941 TI - [Not Available]. PMID- 18131942 TI - [Not Available]. PMID- 18131943 TI - [Not Available]. PMID- 18131944 TI - [Not Available]. PMID- 18131945 TI - [Not Available]. PMID- 18131946 TI - [Not Available]. PMID- 18131947 TI - [Not Available]. PMID- 18131948 TI - [Not Available]. PMID- 18131949 TI - [Not Available]. PMID- 18131950 TI - [Not Available]. PMID- 18131951 TI - [Not Available]. PMID- 18131952 TI - The relief of pain in chronic (calcareous) pancreatitis by sympatheotomy. PMID- 18131953 TI - Blood and available fluid (thiocyanate) volume studies in surgical patients; normal patterns of response of the blood volume, available fluid, protein, chloride, and hematocrit in the postoperative surgical patient. PMID- 18131954 TI - Clinical studies of the heparin cofactor. PMID- 18131955 TI - Abdominoperineal removal of low lying cancer of the rectum; 5-year cures and local recurrences. PMID- 18131956 TI - The diagnosis and repair of pseudarthrosis of the spine. PMID- 18131957 TI - Aureomycin treatment of urinary tract infections. PMID- 18131958 TI - Study on the relief of obstruction in the common bile duct and in the papilla of Vater. PMID- 18131959 TI - Outlet pelvimetry; results in measuring the symphysis-biparietal and sacral biparietal diameters in 145 primiparous women. PMID- 18131960 TI - The biological chemistry of wound healing; the effect of di-methionine on the healing of surface wounds. PMID- 18131961 TI - The physiological effects of curare; its failure to pass the placental membrane or inhibit uterine contractions. PMID- 18131962 TI - Observations on the macrocytic anemia associated with pregnancy. PMID- 18131963 TI - Primary splenic panhematopenia. PMID- 18131964 TI - The present evaluation of the prophylaxis and treatment of venous thrombosis and pulmonary embolism. PMID- 18131965 TI - The management of recovery from venous thrombosis in the lower limbs. PMID- 18131966 TI - Furano-compounds; the synthesis of kellin and related compounds. PMID- 18131967 TI - An X-ray and thermal examination of the glycerides; symmetrical mono-oleoyl and monoelaidoyl disaturated triglycerides. PMID- 18131968 TI - Synthetic oestrogens related to triphenylethylene. PMID- 18131969 TI - Synthetic antimalarials; some N1-p-chlorophenyl-N2: N4: N5-trialkyldiguanides and other related miscellaneous diguanide types. PMID- 18131970 TI - The primary thermal oxidation product of squalene. PMID- 18131971 TI - The bromination of dimethoxystilbenes. PMID- 18131972 TI - The early results of sympathectomy in far-advanced arteriosclerotic peripheral vascular disease. PMID- 18131973 TI - The arteriosclerotic popliteal aneurysm; a report of 14 patients treated by a preliminary lumbar sympathetic ganglionectomy and aneurysmectomy. PMID- 18131974 TI - Complications resulting from injuries to major arteries. PMID- 18131975 TI - The corticoadrenal factor in hypertension. PMID- 18131976 TI - Hyperhidrosis; observations on the study of 61 cases. PMID- 18131977 TI - Portacaval anastomosis for portal hypertension. PMID- 18131978 TI - Prevention of venous thrombosis and pulmonary embolism by electrical stimulation of leg muscles. PMID- 18131979 TI - A comparison of sympatholytic effects of priscol, etamon, and dibenamine in dogs with results of actual sympathectomy. PMID- 18131980 TI - The relationship of gastric acidity to gastric and extragastric neoplasms. PMID- 18131981 TI - Osteomyelitis caused by Salmonella paratyphi (Bacillus paratyphosus A). PMID- 18131982 TI - Primary resection of gangrenous ileum with anastomosis and survival in a 19-day old infant; a case report. PMID- 18131983 TI - Primary teratomas of the lateral retroperitoneal spaces. PMID- 18131984 TI - Studies of deep circulatory response to short wave diathermy and microwave diathermy in man. PMID- 18131985 TI - Changes in joint temperature produced by diseases and by physical therapy; preliminary report. PMID- 18131986 TI - Rehabilitation of the chronic medically ill. PMID- 18131987 TI - Contribution to the rehabilitation of quadriplegic patients. PMID- 18131988 TI - An exercise glove for quadriplegias. PMID- 18131989 TI - Statistical survey of cases of acute anterior poliomyelitis. PMID- 18131990 TI - [Not Available]. PMID- 18131991 TI - [Not Available]. PMID- 18131992 TI - [Not Available]. PMID- 18131993 TI - [Not Available]. PMID- 18131994 TI - [Not Available]. PMID- 18131995 TI - [Not Available]. PMID- 18131996 TI - [Not Available]. PMID- 18131997 TI - [Not Available]. PMID- 18131998 TI - [Not Available]. PMID- 18131999 TI - [Not Available]. PMID- 18132000 TI - [Not Available]. PMID- 18132001 TI - [Not Available]. PMID- 18132002 TI - [Not Available]. PMID- 18132003 TI - [Not Available]. PMID- 18132004 TI - [Not Available]. PMID- 18132005 TI - [Not Available]. PMID- 18132006 TI - [Not Available]. PMID- 18132007 TI - [Not Available]. PMID- 18132008 TI - [Not Available]. PMID- 18132009 TI - [Not Available]. PMID- 18132010 TI - [Not Available]. PMID- 18132011 TI - [Not Available]. PMID- 18132012 TI - [Not Available]. PMID- 18132013 TI - [Not Available]. PMID- 18132014 TI - [Not Available]. PMID- 18132015 TI - [Not Available]. PMID- 18132016 TI - [Not Available]. PMID- 18132017 TI - [Not Available]. PMID- 18132019 TI - [Not Available]. PMID- 18132018 TI - [Not Available]. PMID- 18132020 TI - [Not Available]. PMID- 18132021 TI - [Not Available]. PMID- 18132022 TI - [Not Available]. PMID- 18132023 TI - [Not Available]. PMID- 18132025 TI - [Not Available]. PMID- 18132024 TI - [Not Available]. PMID- 18132026 TI - [Not Available]. PMID- 18132027 TI - [Not Available]. PMID- 18132028 TI - [Not Available]. PMID- 18132029 TI - [Not Available]. PMID- 18132030 TI - [Not Available]. PMID- 18132031 TI - [Not Available]. PMID- 18132032 TI - [Not Available]. PMID- 18132033 TI - [Not Available]. PMID- 18132035 TI - [Not Available]. PMID- 18132034 TI - Studies on malaria in Italy during World War II, with special consideration of the region of Frosinone. PMID- 18132036 TI - [Not Available]. PMID- 18132037 TI - Diagnosis and treatment in latent amoebiasis with special reference to cases presenting with pyrexia alone. PMID- 18132038 TI - The eradication of schistosomiasis; a plea for a rational approach to the problem. PMID- 18132039 TI - Splenic abscess in the tropics. PMID- 18132040 TI - On pernicious attacks of malaria in childhood. PMID- 18132041 TI - Dental defects observed on the Pacific coast of South America. PMID- 18132042 TI - [Not Available]. PMID- 18132043 TI - [Not Available]. PMID- 18132044 TI - [Not Available]. PMID- 18132045 TI - [Not Available]. PMID- 18132046 TI - Late nontuberculous complications of calcified hilus lymph nodes. PMID- 18132047 TI - Observations on lower lobe disease in pulmonary tuberculosis. PMID- 18132048 TI - Insulin in the treatment of tuberculous patients with anorexia; a modified technique. PMID- 18132049 TI - Tuberculosis of the trachea and major bronchi; results of treatment with streptomycin. PMID- 18132050 TI - Toxicity of streptomycin for the auditory and vestibular mechanisms. PMID- 18132051 TI - Repeated transcutaneous autolytic tuberculin tests in children. PMID- 18132052 TI - A slide culture method for the early detection and observation of growth of the tubercle bacillus; a preliminary report. PMID- 18132053 TI - The pharmacologic and chemotherapeutic action of some new sulfones and streptomycin in experimental tuberculosis. PMID- 18132054 TI - Neomycin activity upon Mycobacterium tuberculosis and other mycobacteria. PMID- 18132055 TI - The use of the mouse in a standardized test for antituberculous activity of compounds of natural or synthetic origin; choice and standardization of culture. PMID- 18132056 TI - The use of the mouse in a standardized test for antituberculous activity of compounds of natural or synthetic origin; choice of mouse strain. PMID- 18132057 TI - The use of the mouse in a standardized test for antituberculous activity of compounds of natural or synthetic origin; the standardized test. PMID- 18132058 TI - The use of biometric methods in comparison of acid-fast allergens. PMID- 18132059 TI - [Not Available]. PMID- 18132060 TI - [Not Available]. PMID- 18132061 TI - [Not Available]. PMID- 18132062 TI - [Not Available]. PMID- 18132064 TI - [Not Available]. PMID- 18132063 TI - [Not Available]. PMID- 18132065 TI - [Not Available]. PMID- 18132066 TI - [Not Available]. PMID- 18132067 TI - [Not Available]. PMID- 18132068 TI - [Not Available]. PMID- 18132069 TI - Maternal and congenital syphilis. PMID- 18132070 TI - Experimental sensitization with food dyes and cross-sensitization to paraphenylenediamine. PMID- 18132071 TI - Fixed anaphylactic sensitization; bromsulphalein studies. PMID- 18132072 TI - The chemical isolation and biologic assay of extracellular antigenic fractions from pathogenic fungi. PMID- 18132074 TI - Sensitivity to edible vegetable oils. PMID- 18132073 TI - Studies of capillary permeability in allergy with the dermofluorometer. PMID- 18132075 TI - A statistical study of the emotional component in allergy; its relationship to the age and sex distribution of 5,533 patients. PMID- 18132076 TI - Transitory pulmonary infiltrations (Loeffler's syndrome) with case report. PMID- 18132077 TI - Vaccinal infection in children with atopic dermatitis. PMID- 18132080 TI - The infectiousness of measles. PMID- 18132079 TI - Influence of nutrition in experimental infection. PMID- 18132081 TI - A note on the analysis of grouped probit data. PMID- 18132082 TI - The estimation and comparison of residual regressions where there are two or more related sets of observations. PMID- 18132083 TI - Cumulants of multivariate multinomial distributions. PMID- 18132084 TI - The spectral theory of discrete stochastic processes. PMID- 18132085 TI - On a property of distributions admitting sufficient statistics. PMID- 18132086 TI - On the estimation of dispersion by linear systematic statistics. PMID- 18132087 TI - On the reconciliation of theories of probability. PMID- 18132088 TI - A note on the subdivision of chi2 into components. PMID- 18132089 TI - The first and second moments of some probability distributions arising from points on a lattice and their application. PMID- 18132090 TI - Systems of frequency curves generated by methods of translation. PMID- 18132091 TI - Rank and product-moment correlation. PMID- 18132093 TI - A further note on the mean deviation from the median. PMID- 18132092 TI - The non-central chi2- and F-distributions and their applications. PMID- 18132094 TI - The biology of Cephalonomia waterstoni Gahan. PMID- 18132095 TI - The biology of Laemophloeus ferrugineus (Steph.). PMID- 18132096 TI - The ecological determinants of population growth in a Drosophila culture; larval and pupal survival. PMID- 18132097 TI - The ecological determinants of population growth in a Drosophila culture; the significance of successive batches of larvae. PMID- 18132098 TI - The ecological determinants of population growth in a Drosophila culture; the adult population count. PMID- 18132099 TI - The ecological determinants of population growth in a Drosophila culture; the total population count. PMID- 18132100 TI - Breeding performance of rats exposed repeatedly to 18,000 feet simulated altitude. PMID- 18132101 TI - The modification of developmental patterns in the sand dollar with maleic acid. PMID- 18132103 TI - [Not Available]. PMID- 18132102 TI - Dominance relations between different breeds of domestic hens. PMID- 18132104 TI - [Not Available]. PMID- 18132105 TI - [Not Available]. PMID- 18132106 TI - [Not Available]. PMID- 18132107 TI - [Not Available]. PMID- 18132108 TI - [Not Available]. PMID- 18132109 TI - Cancer and occupation in the Netherlands. PMID- 18132110 TI - The malignancy of cancer at different ages; a histological study. PMID- 18132111 TI - Spontaneous hepatocellular and cholangiocellular carcinoma in the duck; an experimental study. PMID- 18132112 TI - The effects of castration and stilboestrol on prostatic tumours in mice. PMID- 18132113 TI - Mammary tumours in hybrid mice; the presence and transmission of the mammary tumour agent. PMID- 18132114 TI - Mammary tumours in hybrid mice; hormone-responses of transplanted tumours. PMID- 18132115 TI - Survival of the milk factor in a transplantable breast tumour in mice. PMID- 18132116 TI - A drying apparatus for the study of tumour transmission. PMID- 18132117 TI - The survival of activity of mouse sarcoma tissue after freezing and drying. PMID- 18132118 TI - The preservation of suspension of tumour cells in dextrose at low temperatures. PMID- 18132119 TI - The effect of a restricted diet on mitotic activity in the mouse. PMID- 18132120 TI - Epidermal mitotic activity and the induction of skin tumours in mice. PMID- 18132121 TI - Primary pancreatic tumours in rats fed p-dimethylaminoazobenzene. PMID- 18132122 TI - The influence of solvents on tissue response to carcinogenic hydrocarbons. PMID- 18132123 TI - 3:4-Benzpyrene as an -SH inhibitor. PMID- 18132124 TI - Displacement chromatography on synthetic ion-exchange resins; the separation of organic acids and acidic amino-acids by the use of anion-exchange resins. PMID- 18132125 TI - Displacement chromatography on synthetic ion-exchange resins; fractionation of a protein hydrolysate. PMID- 18132137 TI - The fate of certain organic acids and amides in the rabbit; an amidase of rabbit liver. PMID- 18132138 TI - The enzymic hydrolysis of glutamine and its spontaneous decomposition in buffer solutions. PMID- 18132141 TI - The use of the Waring blender in biochemical work. PMID- 18132140 TI - Regulation of urinary steroid excretion; effects of dehydroisoandrosterone and of anterior pituitary extract on the pattern of daily excretion in man. PMID- 18132143 TI - [Not Available]. PMID- 18132144 TI - [Not Available]. PMID- 18132145 TI - [Not Available]. PMID- 18132147 TI - Hereditary dentinogenesis imperfecta (opalescent dentine). PMID- 18132148 TI - Welding at 3,000 degrees C. in the mouth. PMID- 18132146 TI - [Not Available]. PMID- 18132150 TI - Decrease in caries frequency in Norwegian children during World War II. PMID- 18132149 TI - DENTURE production; dust collecting unit. PMID- 18132151 TI - Stop, look and listen. PMID- 18132152 TI - Medication and pulp protection for the deep cavity in a child's tooth. PMID- 18132153 TI - Gingival biopsy; a new technic for diagnosis of generalized amyloidosis. PMID- 18132154 TI - Dental caries; factors in susceptibility and current methods of control. PMID- 18132155 TI - Hospital routine in oral surgery. PMID- 18132156 TI - Diagnosis of problems in complete denture prosthesis. PMID- 18132157 TI - Report of an oral examination on 1,000 school children in the Dominican Republic. PMID- 18132158 TI - Anodontia in a child; report of a case. PMID- 18132159 TI - Copper amalgam does not belong in dentistry for children. PMID- 18132160 TI - Dentistry's greatest challenge; the emotional security of children. PMID- 18132161 TI - Dentistry and the cerebral palsied child. PMID- 18132162 TI - A study of the effectiveness of a treatment for primary molars with exposed pulp, including the use of silver nitrate. PMID- 18132163 TI - Dentistry for children as a public health problem. PMID- 18132164 TI - The role of the coronoid in ankylosis of the jaw. PMID- 18132165 TI - Report of a case and management of radiation necrosis of the mandible. PMID- 18132166 TI - The control of dental diseases through the program of the American Dental Association. PMID- 18132167 TI - [Not Available]. PMID- 18132168 TI - [Not Available]. PMID- 18132169 TI - [Not Available]. PMID- 18132170 TI - [Not Available]. PMID- 18132171 TI - Supernumerary tooth bud in the maxillary antrum. PMID- 18132172 TI - Procedure in a caries control laboratory. PMID- 18132173 TI - Aureomycin; its use in infections of the oral cavity; a preliminary report. PMID- 18132174 TI - Nutrition history; an essential tool in dietary counseling for prevention and control of dental caries. PMID- 18132175 TI - Experiments with inhalation anesthetics. PMID- 18132176 TI - The role of general anesthesia in the dental office. PMID- 18132177 TI - The use of the Bullowa nasal inhaler in exodontia and oral surgery. PMID- 18132178 TI - The development of oral pathology as a specialty in dentistry. PMID- 18132179 TI - A critical review of the Aisenberg theory of periodontal pocket formation. PMID- 18132180 TI - The etiology of dental caries; a correlation of reports. PMID- 18132181 TI - Chlorophyll as a potential caries-preventive agent. PMID- 18132182 TI - The etiology of dental caries; the mechanism of caries reduction by topical application of fluorides. PMID- 18132183 TI - [Contribution to the study of the dental granuloma]. PMID- 18132184 TI - [Between infection and allergy]. PMID- 18132185 TI - [Periapical ossifying fibroma; roentgenological studies (transl.)]. PMID- 18132186 TI - [Contribution to the treatment of periodontal disease and other ailments surgical]. PMID- 18132187 TI - [Periodontal disease and cure]. PMID- 18132188 TI - [Not Available]. PMID- 18132189 TI - [Not Available]. PMID- 18132190 TI - [Not Available]. PMID- 18132191 TI - [Not Available]. PMID- 18132192 TI - [Not Available]. PMID- 18132193 TI - [Not Available]. PMID- 18132194 TI - [Not Available]. PMID- 18132195 TI - [Not Available]. PMID- 18132196 TI - [Not Available]. PMID- 18132197 TI - [Not Available]. PMID- 18132198 TI - [Not Available]. PMID- 18132199 TI - [Not Available]. PMID- 18132200 TI - [Not Available]. PMID- 18132201 TI - [Not Available]. PMID- 18132202 TI - [Not Available]. PMID- 18132203 TI - [Not Available]. PMID- 18132204 TI - [Not Available]. PMID- 18132205 TI - [Facial neuralgia]. PMID- 18132206 TI - [Teeth of the Greek children]. PMID- 18132207 TI - [Gold in dentistry]. PMID- 18132208 TI - [Dermatological experiences in a big factory]. PMID- 18132209 TI - [Study of the pathogenesis of skin affections due to shampoos]. PMID- 18132210 TI - [Modern trends in dermatology]. PMID- 18132211 TI - [Effect of penicillin and streptomycin in a case of subacute exacerbating lupus erythematosus]. PMID- 18132212 TI - [Combination of dermatitis herpetiformis Durhring with epidermolysis bullosa traumatica hereditaria]. PMID- 18132213 TI - [Not Available]. PMID- 18132214 TI - [Not Available]. PMID- 18132215 TI - [Not Available]. PMID- 18132216 TI - [Not Available]. PMID- 18132217 TI - [Not Available]. PMID- 18132218 TI - [Not Available]. PMID- 18132219 TI - [Not Available]. PMID- 18132220 TI - [Not Available]. PMID- 18132221 TI - [Not Available]. PMID- 18132222 TI - [Not Available]. PMID- 18132223 TI - [Not Available]. PMID- 18132224 TI - [Not Available]. PMID- 18132225 TI - [Not Available]. PMID- 18132226 TI - [Not Available]. PMID- 18132227 TI - [Not Available]. PMID- 18132228 TI - [Not Available]. PMID- 18132229 TI - [Not Available]. PMID- 18132230 TI - [Not Available]. PMID- 18132231 TI - [Not Available]. PMID- 18132233 TI - [Not Available]. PMID- 18132232 TI - [Not Available]. PMID- 18132234 TI - [Not Available]. PMID- 18132235 TI - [Not Available]. PMID- 18132236 TI - [Not Available]. PMID- 18132237 TI - [Not Available]. PMID- 18132238 TI - [Not Available]. PMID- 18132239 TI - [Not Available]. PMID- 18132240 TI - [Not Available]. PMID- 18132241 TI - [Not Available]. PMID- 18132242 TI - [Not Available]. PMID- 18132243 TI - [Not Available]. PMID- 18132245 TI - [Not Available]. PMID- 18132246 TI - [Not Available]. PMID- 18132244 TI - [Not Available]. PMID- 18132247 TI - [Not Available]. PMID- 18132248 TI - [Not Available]. PMID- 18132249 TI - [Not Available]. PMID- 18132250 TI - [Not Available]. PMID- 18132251 TI - [Not Available]. PMID- 18132252 TI - [Not Available]. PMID- 18132253 TI - Estrogen production by the testis. PMID- 18132254 TI - Metabolic actions and fate of intravenously administered adrenocorticotropic hormone in man. PMID- 18132255 TI - The renal clearance of chorionic gonadotropic hormone in pregnancy, in neoplasm of the testis and in hydatidiform mole. PMID- 18132256 TI - Coarctation of the aorta associated with abnormal digits, ovarian insufficiency and shortness of stature. PMID- 18132257 TI - Ovarian granulosa cell tumor and acromegaly. PMID- 18132258 TI - Estimation of urinary gonadotropin of the nonpregnant human by the mouse uterine weight and ovarian hyperemia responses. PMID- 18132259 TI - The excretion of neutral lipid-soluble reducing substances by infants. PMID- 18132260 TI - Hypersensitivity to pitressin. PMID- 18132261 TI - The tubercle bacillus and tuberculosis. PMID- 18132262 TI - The comparative biochemistry of photosynthesis. PMID- 18132263 TI - Lakes in the desert. PMID- 18132264 TI - The physical significance of the reciprocal lattice of crystals. PMID- 18132265 TI - Numerology and the cosmos. PMID- 18132266 TI - The contractions of single motor units. PMID- 18132267 TI - Felting and its prevention. PMID- 18132268 TI - Sweet potatoes (Ipomoea batatas). PMID- 18132269 TI - Prohibition and health. PMID- 18132270 TI - A new synchytrium on Phaseolus mungo. PMID- 18132271 TI - The optimum pH of Clostridium lactoacetophilum. PMID- 18132272 TI - GHEE; its production and marketing. PMID- 18132273 TI - Biological activities of the public health program of the Tennessee Valley Authority. PMID- 18132274 TI - Components found in wood oil. PMID- 18132275 TI - A practical test on the use of the microscope in general biology. PMID- 18132276 TI - Observations on pseudopregnancy and associated body weight changes in the golden hamster. PMID- 18132277 TI - Echinococcus granulosus in Kentucky dogs. PMID- 18132278 TI - The case of Daniel P.; an example of Seneca healing. PMID- 18132279 TI - Pliocene plants from Cachee Valley, Utah. PMID- 18132281 TI - Solar flares and their terrestrial effects. PMID- 18132280 TI - The origin and classification of the trombiculid mites, or Trombiculidae. PMID- 18132282 TI - Concerning new elementary particles in cosmic rays. PMID- 18132283 TI - Photoconductivity of naphthalene and anthracene. PMID- 18132284 TI - Paper partition chromatography of riboflavin decomposition products. PMID- 18132285 TI - Photoperiodic control of leaf growth and cambial activity in Pinus sylvestris. PMID- 18132286 TI - Fossil pollen of Metasequoia type. PMID- 18132287 TI - Application of similarity to an elasticity. PMID- 18132288 TI - Tumours associated with a virus infection in an insect. PMID- 18132289 TI - Ape or man? an incomplete chapter of human ancestry from South Africa. PMID- 18132290 TI - The helminths from a heavily parasitized fox squirrel, Sciuris niger. PMID- 18132291 TI - Some aspects of the distribution of larval parasites of the oriental fruit moth in Ohio. PMID- 18132292 TI - On the functional morphology of the alimentary tract of some fish in relation to differences in their feeding habits; anatomy and histology. PMID- 18132293 TI - Oogenesis in the desert snail Eremina desertorum with special reference to vitellogenesis. PMID- 18132294 TI - The distribution of alkaline phosphatase in the skull of the developing trout. PMID- 18132295 TI - Location of absorbed carcinogens within the amphibian cell. PMID- 18132296 TI - Aureomycin. PMID- 18132298 TI - Origins of geologic terms. PMID- 18132297 TI - Man's six-legged competitors. PMID- 18132299 TI - Irrigation agriculture along the Nile and the Euphrates. PMID- 18132300 TI - The genetics of the sickle-cell trait in a Bantu tribe. PMID- 18132301 TI - A pedigree showing some rare Rh genotypes. PMID- 18132302 TI - A non-existence theorem for an infinite family of symmetrical block designs. PMID- 18132303 TI - Parental and fraternal correlations for fitness. PMID- 18132304 TI - The meaning of fitness in human populations. PMID- 18132305 TI - Note on the elimination of insignificant variates in discriminatory analysis. PMID- 18132306 TI - The sib-sib age of onset correlation among individuals suffering from a hereditary syndrome produced by more than one gene. PMID- 18132307 TI - The truncated binomial distribution. PMID- 18132308 TI - A test for homogeneity of records of familial abnormalities. PMID- 18132313 TI - Modification of the frequency of chromosomal rearrangements induced by X-rays in Drosophila; post-treatment with near infra-red radiation. PMID- 18132315 TI - The production of dominant lethals with X-rays in aged Drosophila melanogaster sperm. PMID- 18132317 TI - Heat reaction states in the aged. PMID- 18132316 TI - Bacterial endocarditis in the elderly; a report of 94 autopsied cases. PMID- 18132318 TI - A brighter future for older people. PMID- 18132319 TI - Effect of choline on the prevention of experimental atherosclerosis. PMID- 18132320 TI - Cancer as a phenomenon of rejuvenescence. PMID- 18132321 TI - Plato's philosophy of old age. PMID- 18132322 TI - Rubella in pregnancy as an aetiological factor in congenital malformation, stillbirth, miscarriage and abortion. PMID- 18132323 TI - The haemangiomata of pregnancy. PMID- 18132324 TI - Schistosomiasis in gynaecology. PMID- 18132325 TI - The establishment of extra-uterine respiration. PMID- 18132326 TI - Observations on human leucocytes during the menstrual cycle. PMID- 18132327 TI - Foetal mortality in toxaemia of late pregnancy according to mode of delivery. PMID- 18132328 TI - Torsion of an ovarian cyst in a young child. PMID- 18132329 TI - Surgical induction of labour. PMID- 18132330 TI - Virilism and theca-cell hyperplasia of the ovary; a syndrome. PMID- 18132331 TI - Vaginal dilators. PMID- 18132332 TI - [Not Available]. PMID- 18132333 TI - [Not Available]. PMID- 18132334 TI - [Not Available]. PMID- 18132336 TI - Hospital and health services. PMID- 18132335 TI - How the medical director can help the hospital. PMID- 18132337 TI - No snake pits here? PMID- 18132338 TI - The vocation, aim and task of hospitals. PMID- 18132339 TI - A note on the assay of antigenic polysaccharides and vaccines. PMID- 18132340 TI - The serologic diagnosis of mumps; a comparative study of three methods. PMID- 18132341 TI - Studies on diphtheria; the skin factor in the Schick reaction. PMID- 18132342 TI - Comparison of diagnostic methods for western equine and St. Louis encephalitis. PMID- 18132343 TI - Level of serum antibody associated with intracerebral immunity in monkeys vaccinated with Lansing poliomyelitis virus. PMID- 18132344 TI - Bovine plasma albumin in buffered saline solution as a diluent for viruses. PMID- 18132345 TI - The influence of certain serum factors on the neutralization of western equine encephalomyelitis virus. PMID- 18132346 TI - Hemagglutinating substances for human cells in various plants. PMID- 18132347 TI - The neutralization technique in tsutsugamushi disease and the antigenic differentiation of rickettsial strains. PMID- 18132348 TI - The care of the lead worker. PMID- 18132349 TI - An outbreak of cases of Raynaud's phenomenon of occupational origin. PMID- 18132350 TI - Skin sensitivity to cetrimide. PMID- 18132351 TI - Talc pneumoconiosis. PMID- 18132352 TI - [Not Available]. PMID- 18132353 TI - [Not Available]. PMID- 18132355 TI - [Not Available]. PMID- 18132354 TI - [Not Available]. PMID- 18132356 TI - Sturge-Weber syndrome. PMID- 18132357 TI - Soap, and soap as a vehicle for medicaments. PMID- 18132358 TI - Monilial infection of the thumb nail; report of a case. PMID- 18132359 TI - [Not Available]. PMID- 18132360 TI - White spot disease. PMID- 18132362 TI - [Not Available]. PMID- 18132361 TI - [Not Available]. PMID- 18132363 TI - [Not Available]. PMID- 18132364 TI - [Not Available]. PMID- 18132365 TI - The exponential development of penicillin resistance by neisseria. PMID- 18132366 TI - Physiological and pathological observations on four strains of Trypanosoma cruzi. PMID- 18132367 TI - Diphtheria antitoxin estimations in the blood of the adult population of Bergen, Norway, just after a diphtheria epidemic. PMID- 18132368 TI - Streptomycin studies in tularemia; the effect of streptothricin and streptomycin on Bacterium tularense in vitro and in vivo (mouse). PMID- 18132369 TI - Streptomycin studies in tularemia; streptomycin therapy in white rats. PMID- 18132371 TI - The concentration of mumps virus. PMID- 18132370 TI - Streptomycin studies in tularemia; streptomycin therapy in monkeys. PMID- 18132373 TI - Nocardiosis, with a report of three cases of actinomycosis due to Nocardia asteroides. PMID- 18132372 TI - Release of the A2 isoagglutinogen-like substance of infectious organisms into human blood serum. PMID- 18132374 TI - Induced resistance to bacitracin in cultures of Staphylococcus aureus. PMID- 18132375 TI - The behavior of Pasteurella pestis in glycerin and rhamnose mediums. PMID- 18132377 TI - On early diagnosis of schizophrenia. PMID- 18132376 TI - Mucolytic enzyme systems; inhibition of hyaluronidase by serum in infectious diseases. PMID- 18132378 TI - Arthropathy of pelvic joints after overexertion in early ambulated puerperal patients. PMID- 18132379 TI - Spontaneous rupture of spleen due to infectious mononucleosis. PMID- 18132380 TI - Pregnancy in essential thrombocytopenia. PMID- 18132381 TI - A post-investigation of 687 medically treated cases of peptic ulcer. PMID- 18132382 TI - Influenza in Sweden in the light of investigations in recent years. PMID- 18132383 TI - A case of aleucia hemorrhagica (Frank) and panmyelophthisis posterior to urethane treatment in leukemia. PMID- 18132384 TI - Phonocardiographic studies on gallop rhythm. PMID- 18132385 TI - [Not Available]. PMID- 18132386 TI - [Not Available]. PMID- 18132387 TI - [Not Available]. PMID- 18132388 TI - [Not Available]. PMID- 18132389 TI - [Not Available]. PMID- 18132390 TI - [Not Available]. PMID- 18132391 TI - [Not Available]. PMID- 18132392 TI - [Not Available]. PMID- 18132393 TI - [Not Available]. PMID- 18132394 TI - [Not Available]. PMID- 18132395 TI - [Not Available]. PMID- 18132396 TI - On the effect of hydrochloric acid upon gastric and duodenal motility. PMID- 18132397 TI - On the relation between gastric secretion and roentgenologic gas content of the colon. PMID- 18132398 TI - Absence of leukocytosis in pneumonia. PMID- 18132399 TI - Treatment with BAL of a case of thrombocytopenic purpura. PMID- 18132400 TI - On dermatitis caused by formaldehyde and its compounds. PMID- 18132401 TI - A study of pericarditis in the light of a series observed in Finland; adherent pericardium and constrictio cordis; etiology and clinical significance. PMID- 18132402 TI - The basophil cells of the blood in tuberculosis. PMID- 18132403 TI - The surgical manifestations of sarcoidosis. PMID- 18132404 TI - Report by the director of the Imperial Cancer Research Fund. PMID- 18132405 TI - Non-union of fractures of the mandible. PMID- 18132406 TI - Proteolytic enzyme inhibitors of the blood in relation to neoplastic diseases; preliminary report. PMID- 18132407 TI - Management of decubitus ulcers in paraplegia. PMID- 18132408 TI - Potter syndrome; report of a case. PMID- 18132409 TI - Tracheotomy; newer indications. PMID- 18132410 TI - Metastatic carcinoma (bronchogenic) of the brain. PMID- 18132411 TI - Cervical vertebral subluxation. PMID- 18132412 TI - [Not Available]. PMID- 18132413 TI - [Not Available]. PMID- 18132414 TI - [Not Available]. PMID- 18132415 TI - [Not Available]. PMID- 18132416 TI - [Not Available]. PMID- 18132417 TI - [Not Available]. PMID- 18132418 TI - [Not Available]. PMID- 18132419 TI - [Not Available]. PMID- 18132421 TI - [Not Available]. PMID- 18132420 TI - [Not Available]. PMID- 18132422 TI - [Not Available]. PMID- 18132423 TI - [Not Available]. PMID- 18132424 TI - [Not Available]. PMID- 18132425 TI - Treatment of 160 cases of erythroblastosis foetalis with replacement transfusion. PMID- 18132426 TI - A case of anamnestic reaction with Rh agglutinins. PMID- 18132427 TI - Carcinoma of the breast in castrated women. PMID- 18132428 TI - A case of mepacrine dermatitis. PMID- 18132429 TI - Self-castration. PMID- 18132430 TI - St. Thomas's parish vestry records and a body-snatching incident. PMID- 18132431 TI - [Not Available]. PMID- 18132432 TI - [Not Available]. PMID- 18132433 TI - [Not Available]. PMID- 18132434 TI - [Not Available]. PMID- 18132435 TI - [Not Available]. PMID- 18132436 TI - [Not Available]. PMID- 18132437 TI - [Not Available]. PMID- 18132438 TI - [Not Available]. PMID- 18132440 TI - Use of isotopes in man. PMID- 18132439 TI - [Not Available]. PMID- 18132441 TI - The pathogenesis of irradiation sickness. PMID- 18132442 TI - Bronchiectasis. PMID- 18132443 TI - [Not Available]. PMID- 18132444 TI - [Not Available]. PMID- 18132445 TI - [Not Available]. PMID- 18132446 TI - [Not Available]. PMID- 18132447 TI - [Allergic reactions in workers employed in plants processing castor-oil seeds]. PMID- 18132448 TI - [Not Available]. PMID- 18132449 TI - [Not Available]. PMID- 18132450 TI - [Not Available]. PMID- 18132451 TI - [Not Available]. PMID- 18132452 TI - [Not Available]. PMID- 18132453 TI - [Not Available]. PMID- 18132454 TI - [Not Available]. PMID- 18132455 TI - Modern trends in diabetes. PMID- 18132456 TI - Transorbital intracranial stab wounds. PMID- 18132457 TI - Struma lymphomatosa; case report. PMID- 18132458 TI - Rheumatic brain disease as a cause of convulsions. PMID- 18132459 TI - Amoebic hepatic abscess with bronchohepatic fistula; report of a case. PMID- 18132460 TI - The value of vitamin B12 in pernicious anemia; preliminary report. PMID- 18132461 TI - A new diagnostic test for acute disseminated lupus erythematosus. PMID- 18132462 TI - Fatal magnesium poisoning following magnesium sulfate, glycerin, and water enema in primary megacolon. PMID- 18132463 TI - Symptoms following operation for peptic ulcer. PMID- 18132464 TI - The climacteric syndrome. PMID- 18132465 TI - An obstetric emergency service. PMID- 18132466 TI - The subcutaneous nodules of chronic rheumatoid arthritis; their clinical and pathological features. PMID- 18132467 TI - Oral hygiene and the prevention of dental caries. PMID- 18132468 TI - The mechanism of the vicious circle in chronic hypertension. PMID- 18132470 TI - A new method of clinical spirometry. PMID- 18132469 TI - The circulatory effects of mercurial diuretics in congestive heart failure. PMID- 18132471 TI - The respiratory response to carbon dioxide and anoxia in emphysema. PMID- 18132472 TI - Reaction to carbon dioxide in pneumokoniosis of coalminers. PMID- 18132473 TI - The effects of trauma on the chemical composition of the blood and tissues of man. PMID- 18132474 TI - Deposition of adipose tissue between ocular muscle fibres in thyrotoxicosis. PMID- 18132475 TI - Local deposition of adipose tissue, experimentally induced. PMID- 18132476 TI - The plasma iodide clearance rate of the human thyroid. PMID- 18132477 TI - The estimation of radioiodine in the thyroid gland of living subjects. PMID- 18132478 TI - [Not Available]. PMID- 18132479 TI - [Not Available]. PMID- 18132480 TI - [Not Available]. PMID- 18132481 TI - [Not Available]. PMID- 18132482 TI - [Not Available]. PMID- 18132483 TI - Intestinal intubation. PMID- 18132484 TI - [Not Available]. PMID- 18132486 TI - [Not Available]. PMID- 18132485 TI - [Not Available]. PMID- 18132487 TI - [Not Available]. PMID- 18132488 TI - [Not Available]. PMID- 18132489 TI - [On syringe transmitted hepatitis and its role in the present epidemic of hepatitis in Finland]. PMID- 18132490 TI - [Epidemic of jaundice in Finland 1943-48]. PMID- 18132492 TI - [Not Available]. PMID- 18132491 TI - [Heparin treatment of frostbite]. PMID- 18132494 TI - Some problems in the diagnosis of meningeal tuberculosis. PMID- 18132493 TI - [Not Available]. PMID- 18132495 TI - Industrial siderosis. PMID- 18132496 TI - Pulmonary haemosiderosis. PMID- 18132497 TI - Para-aminosalicylic acid in pulmonary tuberculosis. PMID- 18132498 TI - Treatment of tuberculous empyaema with para-aminosalicylic acid. PMID- 18132499 TI - Developments in the surgery of the labyrinth. PMID- 18132500 TI - [The place of immunization in collective prophylaxis]. PMID- 18132501 TI - [Not Available]. PMID- 18132502 TI - [Not Available]. PMID- 18132503 TI - [Not Available]. PMID- 18132504 TI - [Not Available]. PMID- 18132506 TI - [Not Available]. PMID- 18132505 TI - [Not Available]. PMID- 18132507 TI - [Not Available]. PMID- 18132508 TI - [Not Available]. PMID- 18132509 TI - [Not Available]. PMID- 18132510 TI - [Not Available]. PMID- 18132512 TI - [Not Available]. PMID- 18132511 TI - [Not Available]. PMID- 18132513 TI - Tuberculosis among Yemenite Jews in Israel. PMID- 18132514 TI - Diabetes and tuberculosis [Hebrew text]. PMID- 18132515 TI - Immigration and the problem of tuberculosis [Hebrew text]. PMID- 18132516 TI - A new remedy for treatment of mycotic skin diseases [Hebrew text]. PMID- 18132517 TI - Osteoporosis in elderly females. PMID- 18132518 TI - Acute appendicitis; a study of 1334 cases treated over 7-year period (1941-1948, inclusive) with particular reference to the mortality and morbidity factors. PMID- 18132519 TI - Mycosis fungoides with intense eosinophilia. PMID- 18132520 TI - Carbon tetrachloride intoxication; report of two cases. PMID- 18132521 TI - [Not Available]. PMID- 18132522 TI - [Not Available]. PMID- 18132523 TI - [Not Available]. PMID- 18132524 TI - Retropubic prostatectomy. PMID- 18132525 TI - Cutaneous granuloma from accidental contamination with beryllium phosphors. PMID- 18132526 TI - Dermatitis venenata from organomercurial compounds; with a comparison of their pharmacologic action on normal and injured skin. PMID- 18132527 TI - Peroral administration of undecylenic acid in psoriasis. PMID- 18132528 TI - On allergy to cottonseed oil. PMID- 18132529 TI - Hyperpyrexia following thoracolumbar sympathectomy; report of two cases occurring during a heat wave. PMID- 18132531 TI - Brief stimulus convulsive therapy. PMID- 18132530 TI - What may be expected of radiation treatment of nonmalignant diseases. PMID- 18132532 TI - Coccygodynia; report of 150 cases. PMID- 18132533 TI - Preanesthetic medication and choice of anesthetic agent. PMID- 18132534 TI - The new A.M.A. public relations program. PMID- 18132535 TI - The Food and Drug Act. PMID- 18132536 TI - Circular thigh amputation for arteriosclerotic gangrene. PMID- 18132537 TI - The use of anticoagulants in surgical practice. PMID- 18132538 TI - Insulin mixtures in diabetes. PMID- 18132539 TI - Ingestion of foreign objects necessitating gastrotomy; report of four cases. PMID- 18132540 TI - State sterilization in Georgia. PMID- 18132541 TI - Malaria; a statistical, clinical and laboratory study. PMID- 18132542 TI - The diagnostic difficulties on non-paralytic poliomyelitis. PMID- 18132543 TI - Hemochromatosis; a case report. PMID- 18132544 TI - Differential diagnosis of peripheral vascular diseases. PMID- 18132545 TI - The importance of sigmoidoscopy. PMID- 18132546 TI - Religion and medicine. PMID- 18132547 TI - Juvenile delinquency and criminal homicide. PMID- 18132548 TI - Mickulicz's syndrome. PMID- 18132549 TI - [The early rise in abdominal surgery]. PMID- 18132550 TI - [Not Available]. PMID- 18132551 TI - [Not Available]. PMID- 18132552 TI - [Not Available]. PMID- 18132554 TI - [Not Available]. PMID- 18132553 TI - The per diem excretion and isomer distribution of coproporphyrin in normal human urine. PMID- 18132555 TI - [Not Available]. PMID- 18132556 TI - [Not Available]. PMID- 18132557 TI - [Not Available]. PMID- 18132558 TI - [Not Available]. PMID- 18132559 TI - Public health and private medical practice. PMID- 18132560 TI - Amebiasis and its complications; diagnosis and treatment. PMID- 18132561 TI - Correlation of roentgenograms of clubfeet with the basic pathologic anatomy. PMID- 18132562 TI - Thyrotropic exophthalmos from the viewpoint of the ophthalmologist. PMID- 18132563 TI - Intra-uterine volvulus of the ileum with absorption of the ileum in a full-term pregnancy. PMID- 18132565 TI - Regional enteritis. PMID- 18132564 TI - Nonsurgical biliary drainage for acute pancreatitis; two case reports. PMID- 18132566 TI - Anesthetic deaths in infants and children. PMID- 18132567 TI - Medical aspects of atomic energy. PMID- 18132568 TI - Chronic essential pentosuria; a report of three cases. PMID- 18132569 TI - Abscesses of liver and spleen, actinomycotic, with peritonitis, chronic and acute, diffuse. PMID- 18132570 TI - When does the general practitioner need the surgeon? PMID- 18132571 TI - Headache. PMID- 18132572 TI - Headache in medical diseases. PMID- 18132573 TI - Rationalism in regard to gynecologic operations. PMID- 18132574 TI - Sudden arterial occlusion. PMID- 18132576 TI - Liver biopsy in diagnosis of hepatic disease. PMID- 18132575 TI - Roentgen findings in carcinoma of the lung. PMID- 18132577 TI - Hypertensive heart disease. PMID- 18132578 TI - Problems of the neonatal period. PMID- 18132579 TI - The newer antibiotics. PMID- 18132580 TI - [Not Available]. PMID- 18132581 TI - [Not Available]. PMID- 18132582 TI - [Not Available]. PMID- 18132583 TI - [Not Available]. PMID- 18132584 TI - [Not Available]. PMID- 18132585 TI - [Not Available]. PMID- 18132586 TI - [Not Available]. PMID- 18132587 TI - Ileostomy and ulcerative colitis. PMID- 18132589 TI - A many-tailed tourniquet. PMID- 18132590 TI - [Not Available]. PMID- 18132588 TI - The use of English male toads in pregnancy tests. PMID- 18132591 TI - [Not Available]. PMID- 18132592 TI - [Not Available]. PMID- 18132593 TI - [Not Available]. PMID- 18132594 TI - [Not Available]. PMID- 18132595 TI - [Not Available]. PMID- 18132596 TI - [Not Available]. PMID- 18132597 TI - [Not Available]. PMID- 18132598 TI - [Not Available]. PMID- 18132599 TI - The clotting mechanism and the bleeding diseases. PMID- 18132600 TI - The use of streptomycin in urology. PMID- 18132601 TI - Bile pigments in stool and urine. PMID- 18132602 TI - [Not Available]. PMID- 18132603 TI - The general care of the cancer patient. PMID- 18132604 TI - [Not Available]. PMID- 18132605 TI - [Not Available]. PMID- 18132606 TI - [Not Available]. PMID- 18132607 TI - [Not Available]. PMID- 18132608 TI - [Not Available]. PMID- 18132609 TI - [Not Available]. PMID- 18132610 TI - [Not Available]. PMID- 18132611 TI - Renal cysts and tumours; some surgical problems. PMID- 18132612 TI - Renal retinopathy. PMID- 18132613 TI - The incidence of parasitic infections in New South Wales. PMID- 18132614 TI - Sphenoidal sinusitis in adults. PMID- 18132615 TI - A contribution to the causation of atropine allergy. PMID- 18132617 TI - An unusual congenital cardiac anomaly. PMID- 18132618 TI - Health centers in the County of London. PMID- 18132616 TI - A case of aplastic anaemia due to gold therapy treated with BAL. PMID- 18132619 TI - The principles of spa treatment and its place in modern medical practice. PMID- 18132620 TI - Confusional mental states. PMID- 18132621 TI - Streptomycin treatment of pulmonary tuberculosis. PMID- 18132622 TI - ESSENTIAL hypertension. PMID- 18132623 TI - The choice of digitalis. PMID- 18132624 TI - A case of sarcoma and adenocarcinoma of the same uterus, alive 24 years after operation. PMID- 18132625 TI - A regimen for restoration of cardiovascular reserve. PMID- 18132627 TI - Supravesical extraperitoneal cesarean section. PMID- 18132626 TI - Pain in rectal surgery; a myth. PMID- 18132628 TI - The status of the medical profession in the new state of Israel. PMID- 18132629 TI - Pediatric anesthesia. PMID- 18132630 TI - The anatomy of the tongue. PMID- 18132631 TI - The clinical thermometer. PMID- 18132632 TI - [Not Available]. PMID- 18132633 TI - [Not Available]. PMID- 18132634 TI - [Not Available]. PMID- 18132635 TI - Surgical treatment of chronic pancreatitis; preliminary report. PMID- 18132636 TI - Psychogenic factors in cardiospasm. PMID- 18132637 TI - Placenta accreta with uterine perforation; report of a case. PMID- 18132638 TI - [Not Available]. PMID- 18132639 TI - [Not Available]. PMID- 18132640 TI - [Not Available]. PMID- 18132641 TI - [Not Available]. PMID- 18132642 TI - [Not Available]. PMID- 18132643 TI - [Not Available]. PMID- 18132645 TI - [Not Available]. PMID- 18132644 TI - [Not Available]. PMID- 18132646 TI - Therapeutic problems encountered in acute poliomyelitis. PMID- 18132647 TI - Diagnosis and treatment of common forms of respiratory allergy. PMID- 18132648 TI - The symptoms of cholecystitis. PMID- 18132649 TI - Invasion of blood vessels by soft tissue fibrosarcoma; report of three cases. PMID- 18132650 TI - The relation of the pathologist to the general practitioner. PMID- 18132651 TI - Radiographic evidence of intermittent protrusion of an intervertebral disc; case report. PMID- 18132652 TI - Medicine and its practitioners in Olmsted County prior to 1900. PMID- 18132653 TI - Congenital dislocation of the hip; early recognition and treatment during the first 6 months of life. PMID- 18132654 TI - Cough. PMID- 18132655 TI - Subarachnoid hemorrhage; diagnosis and management. PMID- 18132656 TI - Postabortal welchii infection. PMID- 18132657 TI - The indications for irradiation of nasopharyngeal lymphoid tissue. PMID- 18132659 TI - Medicine in the Delta for the last 50 years. PMID- 18132658 TI - Management of meningitis in the light of present day therapy. PMID- 18132660 TI - Surgical lesions of the pancreas. PMID- 18132661 TI - Surgical lesions of the spinal cord; diagnosis and treatment. PMID- 18132662 TI - Transfusion reactions among patients under general anesthesia. PMID- 18132664 TI - [Not Available]. PMID- 18132663 TI - Graves' disease; treatment with radioiodine (I131). PMID- 18132665 TI - [Not Available]. PMID- 18132666 TI - [Not Available]. PMID- 18132667 TI - [Not Available]. PMID- 18132668 TI - [Not Available]. PMID- 18132669 TI - [Not Available]. PMID- 18132670 TI - [Not Available]. PMID- 18132671 TI - The protection of personnel engaged in roentgenology and radiology. PMID- 18132672 TI - Infarction of the interventricular septum. PMID- 18132673 TI - Fatal Jarish-Herxheimer reaction with sudden aneurysmal dilatation and complete bronchial occlusion following penicillin therapy. PMID- 18132674 TI - Acute appendicitis with concomitant situs inversus; report of a case. PMID- 18132676 TI - Physical medicine for rehabilitation and prevention of ill health. PMID- 18132675 TI - Granulosa cell tumor of ovary. PMID- 18132677 TI - Precancerous lesions of the skin. PMID- 18132678 TI - Routine management of carcinoma of the skin and lips. PMID- 18132679 TI - The problem of plantar radiodermatitis. PMID- 18132680 TI - Five-day ambulatory penicillin therapy of early syphilis. PMID- 18132681 TI - Cutaneous leishmaniasis; report of a case and summary of the newer concepts. PMID- 18132682 TI - A study of maternal deaths in New York City for 1947. PMID- 18132683 TI - The surgical treatment of chronic intractable pain. PMID- 18132684 TI - The significance of blood methylguanidine in poliomyelitis. PMID- 18132685 TI - Rational therapeutics of intestinal obstruction in infancy. PMID- 18132686 TI - The incidence of valvular heart disease in people over 50 and penicillin prophylaxis of bacterial endocarditis. PMID- 18132687 TI - Erythoroblastosis fetalis due to blood group A-B-O incompatibility. PMID- 18132688 TI - Segmental colitis associated with rheumatic fever. PMID- 18132689 TI - Clinical aspects of congenital cardiac lesions amenable to surgical therapy. PMID- 18132690 TI - The use of cardiac catheterization and angiocardiography in the diagnosis of congenital cardiac lesions. PMID- 18132691 TI - Revascularization of the heart. PMID- 18132693 TI - [Not Available]. PMID- 18132692 TI - [Not Available]. PMID- 18132694 TI - [Not Available]. PMID- 18132695 TI - [Not Available]. PMID- 18132696 TI - [Not Available]. PMID- 18132697 TI - [Not Available]. PMID- 18132698 TI - [Not Available]. PMID- 18132699 TI - [Not Available]. PMID- 18132700 TI - [Not Available]. PMID- 18132701 TI - [Not Available]. PMID- 18132702 TI - [Not Available]. PMID- 18132703 TI - [Not Available]. PMID- 18132704 TI - [Not Available]. PMID- 18132705 TI - [Not Available]. PMID- 18132707 TI - [Not Available]. PMID- 18132706 TI - [Not Available]. PMID- 18132708 TI - [Not Available]. PMID- 18132709 TI - [Not Available]. PMID- 18132710 TI - Fibrositis and psychogenic backache. PMID- 18132711 TI - Comparison of urinary chloride excretion in patients with ascites and cardiorenal disease. PMID- 18132712 TI - Hematologic variations in capillary blood. PMID- 18132713 TI - Endometrioma of the thigh. PMID- 18132714 TI - Reiter's disease; syndrome of arthritis, urethritis and conjunctivitis; report of case of 5 year's duration. PMID- 18132716 TI - [Not Available]. PMID- 18132715 TI - Treatment of chronic alcoholism by intravenous barbiturates. PMID- 18132717 TI - [Not Available]. PMID- 18132718 TI - [Not Available]. PMID- 18132719 TI - [Not Available]. PMID- 18132720 TI - [Not Available]. PMID- 18132721 TI - [Not Available]. PMID- 18132722 TI - [Not Available]. PMID- 18132723 TI - [Antibiotics in neurology]. PMID- 18132724 TI - [Influence of nicotinic acid on the level of blood sugar]. PMID- 18132725 TI - [Ostitis fibrosa cystica localisata]. PMID- 18132726 TI - [Epicrysis with plyglandular disturbances chiefly of pituitary gland and simultaneous chronic glomerulo-nephritis]. PMID- 18132727 TI - [Penicillin and iodine treatments of gonorrhea]. PMID- 18132728 TI - [Modern treatments of neoplasms of the genito-urinary tract]. PMID- 18132729 TI - [Not Available]. PMID- 18132730 TI - [Not Available]. PMID- 18132731 TI - [Not Available]. PMID- 18132732 TI - [Not Available]. PMID- 18132733 TI - [Not Available]. PMID- 18132734 TI - [Not Available]. PMID- 18132735 TI - [Not Available]. PMID- 18132736 TI - [Not Available]. PMID- 18132737 TI - [Not Available]. PMID- 18132738 TI - [Not Available]. PMID- 18132739 TI - [Not Available]. PMID- 18132740 TI - [Not Available]. PMID- 18132742 TI - The medical management of ulcerative colitis. PMID- 18132743 TI - Therapeutic application of anion exchange resins in the treatment of peptic ulcer. PMID- 18132744 TI - Experience with a new insulin. PMID- 18132745 TI - Acrobrachycephaly (craniostenosis of coronal sutures) report of case. PMID- 18132746 TI - Osteoid osteoma; a clinical study of 20 cases. PMID- 18132747 TI - [Not Available]. PMID- 18132748 TI - [Not Available]. PMID- 18132749 TI - [Not Available]. PMID- 18132750 TI - [Not Available]. PMID- 18132751 TI - [Not Available]. PMID- 18132752 TI - [Not Available]. PMID- 18132753 TI - [Not Available]. PMID- 18132754 TI - [Not Available]. PMID- 18132755 TI - [Not Available]. PMID- 18132757 TI - [Not Available]. PMID- 18132756 TI - [Not Available]. PMID- 18132758 TI - [Not Available]. PMID- 18132759 TI - [Not Available]. PMID- 18132760 TI - [Not Available]. PMID- 18132761 TI - [Necrotizing enteritis and colitis, Darmbrand]. PMID- 18132762 TI - [A contribution to the study of the incidence of psychoses and neuroses in associates of retirement institutes; social aspect]. PMID- 18132763 TI - [Megacolon and its surgical treatment]. PMID- 18132764 TI - [Upon a case of different forms and simultaneous manifestation of tuberculosis]. PMID- 18132765 TI - [The crokeratosis verruciform of Hopf; considerations around the first Brazilian case]. PMID- 18132766 TI - [Granuloma venereum; considerations upon a case treated by streptomycin]. PMID- 18132767 TI - [Treatment of tuberculous lupus with calciferol combined with streptomycin]. PMID- 18132769 TI - [Difficulties in the differential diagnosis between cerebral cysticercosis and neurolues]. PMID- 18132768 TI - [Syphilis serology; study of 856 cases]. PMID- 18132770 TI - [A case of inferior altitudinal hemianopsia by optic chiasmic arachnoiditis; surgical intervention]. PMID- 18132771 TI - [Not Available]. PMID- 18132772 TI - [Not Available]. PMID- 18132773 TI - Bladder neck obstruction in women and children. PMID- 18132774 TI - A simple beside method for the determination of plasma salicylate. PMID- 18132775 TI - Severe bleeding of an esophageal varix controlled by oxycel. PMID- 18132776 TI - The treatment of status asthmaticus with intravenous ethyl alcohol. PMID- 18132777 TI - Fatal chronic peptic ulcer in the aged. PMID- 18132778 TI - Perspective in cancer research. PMID- 18132779 TI - Protective sterilization in the Rocky Mountain states. PMID- 18132780 TI - [Not Available]. PMID- 18132781 TI - [Not Available]. PMID- 18132782 TI - [Not Available]. PMID- 18132783 TI - [Not Available]. PMID- 18132784 TI - [Not Available]. PMID- 18132785 TI - [Not Available]. PMID- 18132786 TI - [Not Available]. PMID- 18132787 TI - [Not Available]. PMID- 18132789 TI - [Not Available]. PMID- 18132788 TI - [Not Available]. PMID- 18132790 TI - [Not Available]. PMID- 18132791 TI - [Not Available]. PMID- 18132792 TI - [Not Available]. PMID- 18132793 TI - [Not Available]. PMID- 18132794 TI - [Not Available]. PMID- 18132795 TI - [Not Available]. PMID- 18132796 TI - [Not Available]. PMID- 18132797 TI - [Not Available]. PMID- 18132798 TI - [Not Available]. PMID- 18132799 TI - [Not Available]. PMID- 18132800 TI - [Not Available]. PMID- 18132801 TI - Rodents in relation to disease and their control. PMID- 18132802 TI - A hundred years of insecticides and repellents in the army; a historical summary. PMID- 18132803 TI - The B.A.O.R. ski and snow warfare school. PMID- 18132804 TI - Surgical and post-operative care of an omphalocele. PMID- 18132805 TI - Experience at a concentration camp. PMID- 18132806 TI - The Atterberry food poisoning case. PMID- 18132808 TI - APPROVED water supplies. PMID- 18132807 TI - Basic principles of roentgenology. PMID- 18132809 TI - ROLE of the visiting nurse on a military post. PMID- 18132811 TI - PROFESSIONAL courtesy. PMID- 18132810 TI - MESS sanitation. PMID- 18132812 TI - CUTANEOUS diphtheria. PMID- 18132813 TI - Comparative studies on nailed spinal fluid specimens. PMID- 18132814 TI - Proposed oral thermometer technique. PMID- 18132815 TI - Complications as the result of appendectomies observed at the 49th General Hospital. PMID- 18132816 TI - Psychophysiological study of mentally ill patients; the status of the peripheral autonomic nervous system as determined by the reaction to epinephrine and mecholyl. PMID- 18132817 TI - Twin studies on senescence. PMID- 18132818 TI - Evaluation of a psychiatric screening test; Cornell work form-I. PMID- 18132819 TI - A group therapy project with parents of behavior problem children in public schools. PMID- 18132820 TI - Affective learning and the student teacher relationship. PMID- 18132821 TI - Graded lobotomy. PMID- 18132823 TI - [Not Available]. PMID- 18132822 TI - Psychiatric opportunities in a small community. PMID- 18132824 TI - [Not Available]. PMID- 18132825 TI - [Not Available]. PMID- 18132826 TI - [Not Available]. PMID- 18132827 TI - [Not Available]. PMID- 18132828 TI - [Not Available]. PMID- 18132829 TI - [Not Available]. PMID- 18132830 TI - [Not Available]. PMID- 18132831 TI - [Not Available]. PMID- 18132832 TI - [Not Available]. PMID- 18132833 TI - [Upon the clinical significance of an appropriate classification of brain tumors]. PMID- 18132834 TI - [Prefrontal leucotomy in schizophrenia, psychopathic epileptic; 76 cases operated upon observations]. PMID- 18132835 TI - [Difficulty in differential diagnosis between brain cysticercosis and neurosyphilis]. PMID- 18132836 TI - [Upon the contributions of psychoanalysis to education and mental prophylaxis]. PMID- 18132838 TI - Sex and science; the Kinsey report. PMID- 18132837 TI - [Psychoses of involution; clan study of 50 cases with a view to prognosis and therapy]. PMID- 18132839 TI - Juvenile warts removed with the use of hypnotic suggestion. PMID- 18132840 TI - Evaluation of progress in established physiochemical treatments in neuropsychiatry; the sue of electroshock in the total psychiatric treatment program. PMID- 18132841 TI - Technical observations on the use of independent ear electrodes. PMID- 18132842 TI - The adjustment to reality. PMID- 18132843 TI - Physical symptoms masking early psychiatric disorders. PMID- 18132844 TI - Liver function and nutrition in relation to toxic psychoses. PMID- 18132845 TI - Brief stimulus electric shock therapy. PMID- 18132846 TI - Psychosis due to thiocyanate treatment of hypertension. PMID- 18132847 TI - Principles underlying the projective techniques of personality measurement. PMID- 18132848 TI - Drawings as objective criteria for neurotic conflict and their change during psychoanalysis. PMID- 18132849 TI - Volunteer work with psychiatric patients. PMID- 18132850 TI - Opening the doors of the mental hospital to the public. PMID- 18132851 TI - The responsibility of the citizen in bridging the gap between mental hospital and community. PMID- 18132852 TI - Brief psychotherapy; a hospital program with participation of the social worker. PMID- 18132853 TI - Swimming as an activity therapy. PMID- 18132854 TI - Adoptive parents need help, too. PMID- 18132855 TI - Aggressive behavior. PMID- 18132856 TI - Reorientations in the mental-hygiene program. PMID- 18132857 TI - Vascular headache caused by arterialgia of the superficial temporal artery and its surgical treatment. PMID- 18132858 TI - [Not Available]. PMID- 18132859 TI - [Not Available]. PMID- 18132860 TI - [Not Available]. PMID- 18132861 TI - Electroshock as a diagnostic aid in schizophrenia. PMID- 18132862 TI - [Not Available]. PMID- 18132864 TI - [Not Available]. PMID- 18132863 TI - [Not Available]. PMID- 18132865 TI - [Not Available]. PMID- 18132866 TI - [Not Available]. PMID- 18132867 TI - [Not Available]. PMID- 18132868 TI - [Not Available]. PMID- 18132869 TI - [Not Available]. PMID- 18132870 TI - [Not Available]. PMID- 18132871 TI - The formation of the intraocular fluid. PMID- 18132872 TI - Aniridia with extopia lentis and secondary glaucoma; genetic, pathologic, and surgical considerations. PMID- 18132873 TI - A gene producing various defects of the anterior segment of the eye; with a pedigree of a family. PMID- 18132875 TI - Electrocoagulation of the sclera; reduction in ocular volume and pathologic changes produced. PMID- 18132874 TI - Three cases of Marcus Gunn phenomenon in two generations. PMID- 18132876 TI - Intraocular hemorrhages in young rats on choline-deficient diets. PMID- 18132877 TI - The fate of transplanted ciliary-body tissue. PMID- 18132878 TI - The use of alkyl-dimethyl-benzyl ammonium chloride for maintenance of sterility in solutions. PMID- 18132879 TI - Effectiveness of streptomycin in treatment of experimental conjunctivitis caused by Hemophilus sp. PMID- 18132881 TI - Uveitis and toxoplasmin sensitivity. PMID- 18132880 TI - Aureomycin in ocular infections; a study of its spectrum. PMID- 18132882 TI - Industrial vision technique. PMID- 18132883 TI - Studies of human tears. PMID- 18132884 TI - The movement of monosaccharides into and out of the aqueous humor. PMID- 18132885 TI - The rate of flow of aqueous humor; the rate of disappearance of para aminohippuric acid, radioactive rayopake, and radioactive diodrast from the aqueous humor of rabbits. PMID- 18132886 TI - The rate of flow of aqueous humor; derivation of rate of flow and its physiologic significance. PMID- 18132887 TI - The steady state of corneal hydration. PMID- 18132888 TI - The use of isolated retinal tissue in studies of the metabolism of the central nervous system. PMID- 18132890 TI - Flicker fusion frequency in amblyopia ex anopsia. PMID- 18132889 TI - Metabolism of the crystalline lens; water content and growth rate. PMID- 18132891 TI - The anatomic basis for certain reflex and automatic eye movements. PMID- 18132892 TI - [Not Available]. PMID- 18132893 TI - [Not Available]. PMID- 18132894 TI - [Not Available]. PMID- 18132895 TI - Intraorbital aneurysm; a case of aneurysm of the lacrimal artery. PMID- 18132896 TI - Visual acuity while one is viewing a moving object. PMID- 18132898 TI - Direct surgery of paretic oblique muscles. PMID- 18132897 TI - Nonsyphilitic interstitial keratitis with vestibuloauditory symptoms; report of four additional cases. PMID- 18132899 TI - Heredoretinal degenerations associated with brucellosis. PMID- 18132900 TI - Malignant melanoma of the choroid with sympathetic ophthalmia. PMID- 18132901 TI - [Not Available]. PMID- 18132902 TI - [Not Available]. PMID- 18132903 TI - [Not Available]. PMID- 18132904 TI - [Not Available]. PMID- 18132905 TI - A method for obtaining the image of light source on a fixed spot of the retina, independent of fixation movements. PMID- 18132906 TI - Methods and results of treatment for detachment of the retina in the ophthalmological clinic at the Hague. PMID- 18132908 TI - Monocular depth perception. PMID- 18132907 TI - Dysostosis mandibulofacialis. PMID- 18132910 TI - An auxiliary for difficult lens extractions. PMID- 18132909 TI - Naevus flammeus faciei with homolateral choroideremia and secondary pigmentary degeneration of the brain. PMID- 18132911 TI - Penicillin treatment of dacryocystitis. PMID- 18132913 TI - Binasal hemianopsia. PMID- 18132912 TI - Thrombophlebitis retina in abdominal typhus. PMID- 18132914 TI - Cyst of sebaceous gland of the caruncle. PMID- 18132915 TI - Glioma, cured by diathermic surface coagulation. PMID- 18132916 TI - Case of melanosarcoma, cured by diathermic treatment. PMID- 18132917 TI - Some problems in the physiology of the eye. PMID- 18132918 TI - Measurement of opacities of lens and cornea. PMID- 18132920 TI - A note on clonic spasm. PMID- 18132919 TI - Benign and malignant melanoma of the chorioidea. PMID- 18132921 TI - Acoustic and vestibular barometry; air pressure effects on hearing and equilibrium of unoperated and fenestrated ears. PMID- 18132922 TI - A statistical study of incapacitating hearing impairment in 1000 clinic patients. PMID- 18132923 TI - Legislation concerning alibis, perjury, self-incrimination immunity, official conduct, and grand juries. PMID- 18132924 TI - Organization and standardization of police science technics. PMID- 18132925 TI - [Not Available]. PMID- 18132926 TI - [Not Available]. PMID- 18132927 TI - A study of ciliary activity in the respiratory tract of animals. PMID- 18132928 TI - Transitional cell carcinoma of the paranasal sinuses. PMID- 18132929 TI - Hearing evaluation by low conversational voice tests. PMID- 18132930 TI - An operation for the correction of collapsed nostrils and narrowed external nares. PMID- 18132931 TI - Dust therapy in allergy of the ear, nose and throat. PMID- 18132932 TI - Are any strictures of the esophagus due to diphtheria? PMID- 18132933 TI - The toxic effect of streptomycin on the eighth cranial nerve; histological investigations; a preliminary report. PMID- 18132934 TI - Cysts on the base of the tongue in infants. PMID- 18132935 TI - Fatal air embolism during antral irrigation. PMID- 18132937 TI - Neurinoma of the tongue. PMID- 18132936 TI - Mixed tumor of inferior turbinate. PMID- 18132938 TI - Papillary sinusitis. PMID- 18132939 TI - Factors influencing the growth of lymphoid tissue. PMID- 18132940 TI - The nasal mucosa in the laryngectomized patients. PMID- 18132941 TI - Contact ulcer granuloma. PMID- 18132942 TI - Laryngeal stenosis. PMID- 18132943 TI - Hemilaryngectomy; method of maintaining a satisfactory airway and voice. PMID- 18132944 TI - Headache and neuralgia of nasal origin. PMID- 18132945 TI - [Not Available]. PMID- 18132946 TI - [Not Available]. PMID- 18132947 TI - [Not Available]. PMID- 18132949 TI - [Not Available]. PMID- 18132950 TI - [Not Available]. PMID- 18132948 TI - [Not Available]. PMID- 18132951 TI - [Not Available]. PMID- 18132953 TI - [Not Available]. PMID- 18132952 TI - [Not Available]. PMID- 18132954 TI - [Not Available]. PMID- 18132955 TI - [Not Available]. PMID- 18132956 TI - [Not Available]. PMID- 18132958 TI - [Not Available]. PMID- 18132957 TI - [Not Available]. PMID- 18132959 TI - [Not Available]. PMID- 18132960 TI - [Not Available]. PMID- 18132961 TI - [Not Available]. PMID- 18132962 TI - [Not Available]. PMID- 18132963 TI - [Not Available]. PMID- 18132964 TI - [Not Available]. PMID- 18132965 TI - [Not Available]. PMID- 18132966 TI - [Not Available]. PMID- 18132967 TI - [Not Available]. PMID- 18132968 TI - [Not Available]. PMID- 18132969 TI - [Not Available]. PMID- 18132970 TI - [Not Available]. PMID- 18132971 TI - [Not Available]. PMID- 18132972 TI - [Not Available]. PMID- 18132973 TI - [Not Available]. PMID- 18132974 TI - [Not Available]. PMID- 18132975 TI - Micromodification of Van Slyke's method of determining the alkali reserve by bicarbonate titration. PMID- 18132976 TI - [Not Available]. PMID- 18132977 TI - [Not Available]. PMID- 18132978 TI - Heart index or heart volume in judgement of congenital heart diseases. PMID- 18132980 TI - Mutual compression of the right main bronchus and an abnormal left pulmonary artery as causes of the death of a 7 week-old child. PMID- 18132981 TI - The celiac syndrome; factors influencing its development with particular reference to hypothyroidism as a contributing cause. PMID- 18132979 TI - On the cause of familial deaths in early childhood, with particular reference to some uncommon conditions. PMID- 18132982 TI - The relation of illness patterns in children to ordinal position in the family. PMID- 18132983 TI - Sustained summer heat and fever in infants. PMID- 18132984 TI - Illnesses within the first year of life. PMID- 18132985 TI - Treatment of pertussis with polymyxin B (aerosporin). PMID- 18132986 TI - The treatment of the anginose type of infectious mononucleosis with gamma globulin. PMID- 18132987 TI - Tracheal tumors in infants and children. PMID- 18132988 TI - The hospital progress of 992 premature infants fed evaporated milk-carbohydrate mixtures. PMID- 18132989 TI - Typhoid fever treated with chloromycetin. PMID- 18132990 TI - Nephrocalcinosis and Pseudomonas aeruginosa pyelonephritis; treatment with p aminomethylbenzene-sulfonamide (sulfamylon). PMID- 18132991 TI - Report of a case of postvaccinal encephalitis in a 4-month-old child with recovery. PMID- 18132992 TI - A case of meningitis due to Pseudomonas aeruginosa (Bacillus pyocyaneus) and Neisseria flavescens with recovery. PMID- 18132993 TI - Congenital dermal sinus. PMID- 18132994 TI - Barbiturate poisoning. PMID- 18132995 TI - The blind child. PMID- 18132996 TI - [Not Available]. PMID- 18132997 TI - [Not Available]. PMID- 18132998 TI - [Not Available]. PMID- 18132999 TI - [Not Available]. PMID- 18133000 TI - [Not Available]. PMID- 18133001 TI - [Not Available]. PMID- 18133002 TI - [Not Available]. PMID- 18133003 TI - Influence of desoxycorticosterone acetate on the clearance of creatinine. PMID- 18133004 TI - [Not Available]. PMID- 18133005 TI - [Atelectasis and emphysema]. PMID- 18133006 TI - [X-ray examination of the ventricular system of children suffering from tuberculous meningitis]. PMID- 18133007 TI - [Not Available]. PMID- 18133008 TI - Report on 500 mastoidectomies with local penicillin therapy. PMID- 18133009 TI - [112 cases of Rammstedt operation]. PMID- 18133010 TI - Effect of quinine on the coagulation of blood. PMID- 18133011 TI - [Not Available]. PMID- 18133012 TI - [Treatment of septic scarlet fever]. PMID- 18133013 TI - Pancreatic function in toxicosis. PMID- 18133014 TI - Vaccination of children with various chorioallantoic passages of measles virus; a follow-up study. PMID- 18133015 TI - A new repository penicillin (a form of aqueous penicillin G procaine) in infants and children. PMID- 18133016 TI - Congenital myasthenia gravis. PMID- 18133017 TI - Porphyrinuria; report of an unusual case. PMID- 18133019 TI - Chronic resistance to sleep in infancy. PMID- 18133018 TI - Cyclic neutropenia in an infant. PMID- 18133020 TI - Anaphylactoid purpura complicated by an irreducible intussusception. PMID- 18133021 TI - Bedside cabinet for the newborn infant designed for rooming-in facilities. PMID- 18133022 TI - Bronchogenic cysts of the mediastinum. PMID- 18133023 TI - Nurses consider plans for new organizations. PMID- 18133024 TI - [Not Available]. PMID- 18133025 TI - [Not Available]. PMID- 18133026 TI - [Not Available]. PMID- 18133027 TI - [Not Available]. PMID- 18133028 TI - [Not Available]. PMID- 18133029 TI - [Not Available]. PMID- 18133030 TI - [Pneumococcic diseases; meningitis in nursing infants]. PMID- 18133032 TI - [A suggestion for a hematocrit tube for minute amounts]. PMID- 18133031 TI - [New method of examination in pediatric clinics; diagnosis of latent vitamin C deficiency by means of intracutaneous injections of indophenol]. PMID- 18133033 TI - [Sedatives and anti-spasmodics for children]. PMID- 18133034 TI - [Post-war changes in pediatrics, and the trend toward the penicillin treatment for the suppurative diseases of childhood]. PMID- 18133035 TI - [Cases of cure with anti-histamine preparations in the field of pediatrics]. PMID- 18133036 TI - [Two cases of the Guillain-Barre syndrome in children]. PMID- 18133037 TI - [Cases of primary atypical pneumonia in nursing infants and the cold erythrocytic agglutination reaction]. PMID- 18133038 TI - [Recent experience in the treatment of grippe]. PMID- 18133039 TI - [Paralysis of the four limbs due to a type of encephalitis resembling measles]. PMID- 18133040 TI - [A case of appendicitis due to the presence of Ascaris lumbricoides (verminous appendicitis]. PMID- 18133041 TI - [A case of lead poisoning]. PMID- 18133042 TI - [Clinical cases of epidemic encephalitis, Japanese type, observed in the Maebasi region in the summer of 1948]. PMID- 18133043 TI - [Social causes of the death of nursing infants; sanitation and welfare for mothers and children necessary from a clinical standpoint]. PMID- 18133044 TI - [Random thoughts on physical examinations]. PMID- 18133045 TI - Antibiotics; a product of collaboration between university and industry. PMID- 18133046 TI - COMPOUND E in arthritis and related conditions. PMID- 18133048 TI - OTITIS media and its therapy. PMID- 18133047 TI - Research progress in the science of nutrition. PMID- 18133049 TI - The effect of actedron (phenylisopropylamine) and thyroxine on the body temperature. PMID- 18133050 TI - [Not Available]. PMID- 18133051 TI - On the pharmacology of tetraethyl-pyrophosphate. PMID- 18133052 TI - [Not Available]. PMID- 18133053 TI - Pharmacological effects of the diethylaminoethyl ester of phenylcyclopentane carboxylic acid, atropine and tetraethylammonium on the vasomotor properties of acetylcholine. PMID- 18133054 TI - [Not Available]. PMID- 18133055 TI - In vivo action of morphine, urethane and phenobarbital on the glycogen synthesis from glucose in the rat liver. PMID- 18133056 TI - [Not Available]. PMID- 18133057 TI - [Not Available]. PMID- 18133058 TI - [Not Available]. PMID- 18133059 TI - [Not Available]. PMID- 18133060 TI - [Not Available]. PMID- 18133061 TI - Proprioception and convulsions. PMID- 18133062 TI - [Not Available]. PMID- 18133063 TI - [Not Available]. PMID- 18133064 TI - [Not Available]. PMID- 18133065 TI - [Not Available]. PMID- 18133066 TI - [Not Available]. PMID- 18133067 TI - Materials used in Great Britain for the active immunization of man against diphtheria. PMID- 18133068 TI - An examination of factors affecting the precision of the assay of the oxytocic hormone in posterior pituitary lobe preparations. PMID- 18133069 TI - The isolation of bases from urine concentrates. PMID- 18133070 TI - The identification of local anaesthetic drugs of the benzoic ester group. PMID- 18133071 TI - The evaluation of the bactericidal activity of ethylene glycol and some of its monoalkyl ethers against Bacterium coli. PMID- 18133072 TI - The pharmacological properties of 2-methyl,2-n-amyl-4-hydroxymethyl-1,3-dioxolane (glyketal) a new blocking agent of interneurons. PMID- 18133073 TI - Deposition of radio gallium (Ga72) in skeletal tissues. PMID- 18133074 TI - Tuberculocidal activity and toxicity of some diphenylmethane derivatives. PMID- 18133075 TI - The fate of two arsenoxides in the dog. PMID- 18133076 TI - The influence of the dosage regimen on the therapeutic activity of penicillin G. PMID- 18133077 TI - The preparation and pharmacological properties of the acid succinate of 3-(o toloxy)-1,2-propanediol (myanesin). PMID- 18133078 TI - The sensitivity of frog muscle to potassium and acetylcholine; effect of curare and physostigmine on thiocyanate; potassium sensitization. PMID- 18133079 TI - On the mechanism of the acute toxic action of thiocyanate. PMID- 18133080 TI - The effect of penicillin upon the clotting activity of blood in normal human subjects. PMID- 18133081 TI - On the antagonism between pressor and depressor agents in the frog's heart. PMID- 18133082 TI - The analeptic effect of sodium succinate in barbiturate anesthesia in rabbits. PMID- 18133083 TI - The effect of local anesthetics on the respiration of brain homogenates. PMID- 18133084 TI - The action of tripelennamine on hyaluronidase in the albino rat. PMID- 18133085 TI - [Not Available]. PMID- 18133086 TI - [Not Available]. PMID- 18133087 TI - SYNTHETIC curarising agents. PMID- 18133088 TI - Effect of soap on skin; beneficial and adverse effects as determined by exposure tests. PMID- 18133089 TI - Studies on the pathogenesis of ammonium pulmonary edema. PMID- 18133090 TI - A concept of mean alveolar air and the ventilation-blood flow relationships during pulmonary gas exchange. PMID- 18133091 TI - Adrenergic mechanism of vagal cardiostimulation. PMID- 18133092 TI - A study of the influence of DL-tryptophan upon blood sugar levels. PMID- 18133093 TI - Discharge of adrenocorticotrophic hormone in the absence of neural connections between the pituitary and hypothalamus. PMID- 18133094 TI - Renotrophic-androgenic and somatotrophic properties of further steroids. PMID- 18133095 TI - Influence of previous diet on metabolism during fasting. PMID- 18133096 TI - Erythrocyte age and cholinesterase activity. PMID- 18133098 TI - A study of pulmonary venous and arterial pressures and other variables in the anesthetized dog by flexible catheter techniques. PMID- 18133097 TI - Influence of snake venom on mammalian erythrocytes in vitro. PMID- 18133099 TI - Circulatory changes and pulmonary lesions in dogs following increased intracranial pressure, and the effect of atropine upon such changes. PMID- 18133100 TI - Circulatory changes in the dog produced by acute arteriovenous fistula. PMID- 18133101 TI - Effects of graded pressures on the tail of the mouse. PMID- 18133102 TI - Effect of carbon dioxide on intestinal motility. PMID- 18133103 TI - Stimulating effect of sugar, fat, and meat meals on duodenal secretion in the dog. PMID- 18133104 TI - Role of the central nervous system in the body temperature arterial pressure relationship. PMID- 18133105 TI - Denervation and the excitability of certain muscular effectors. PMID- 18133106 TI - Increased rate of urea formation following removal of renal tissue. PMID- 18133107 TI - [Not Available]. PMID- 18133108 TI - [Not Available]. PMID- 18133109 TI - [Not Available]. PMID- 18133110 TI - [Not Available]. PMID- 18133111 TI - [Not Available]. PMID- 18133112 TI - [Not Available]. PMID- 18133113 TI - [Not Available]. PMID- 18133114 TI - Effect of concentration on the viscosity of dilute solutions. PMID- 18133115 TI - [Not Available]. PMID- 18133116 TI - [Not Available]. PMID- 18133118 TI - Nuclear disintegrations produced by cosmic rays. PMID- 18133119 TI - [Not Available]. PMID- 18133120 TI - [Not Available]. PMID- 18133121 TI - [Not Available]. PMID- 18133122 TI - Fallacy of per-weight and per-surface area standards, and their relation to spurious correlation. PMID- 18133123 TI - Action of caffeine and aminophylline as respiratory stimulants in man. PMID- 18133124 TI - Pulmonary capillary pressure in man. PMID- 18133125 TI - Alveolar gases in rapid decompression to high altitudes. PMID- 18133126 TI - Remedial reading. PMID- 18133128 TI - An electronic psychogalvanometer for student use. PMID- 18133127 TI - Counseling for family adjustment. PMID- 18133129 TI - An approach to the theory and measurement of ethnocentric ideology. PMID- 18133130 TI - Paralysis in rats as a function of certain characteristics of electroconvulsive shock treatment. PMID- 18133131 TI - Observations on a relationship between perseveration and psychomotor symptoms. PMID- 18133132 TI - The genetics of intelligence. PMID- 18133133 TI - The objective evaluation of therapeutic proficiency. PMID- 18133134 TI - A longitudinal study of intellectual development. PMID- 18133135 TI - Disturbances in visual perception following cerebral lesions. PMID- 18133136 TI - The effect of angular acceleration on sound localization; the audiogyral illusion. PMID- 18133137 TI - Rating scales for musical interests. PMID- 18133138 TI - On understanding. PMID- 18133139 TI - Work relationships. PMID- 18133140 TI - The nurse in Great Britain. PMID- 18133141 TI - Histoplasmin sensitivity; a brief study of the incidence of hypersensitivity to histoplasmin in an Indian tribe of northern Quebec. PMID- 18133142 TI - The hygiene of the scalp and hair. PMID- 18133143 TI - Smallpox control under difficulties. PMID- 18133144 TI - Filariasis control by DDT residual house spraying, Saint Croix, Virgin Islands; operational aspects. PMID- 18133145 TI - Filariasis control by DDT residual house spraying, St. Croix, Virgin Islands; results. PMID- 18133146 TI - Salmonella types encountered in Maryland between 1944 and 1948. PMID- 18133147 TI - Eradication of sludge flies. PMID- 18133148 TI - Automatic control of raw sewage chlorination. PMID- 18133149 TI - Stream sanitation program of the T.V.A. PMID- 18133150 TI - Cushing's disease; pituitary basophilism. PMID- 18133152 TI - Pulsating exophthalmos due to defective development of the sphenoid bone. PMID- 18133151 TI - The development of the tautograph and the advantages of automatization in cardiovascular angiography. PMID- 18133153 TI - Solitary tumors of the chest; the differential diagnosis in 50 proved cases. PMID- 18133154 TI - Bronchial peristalsis. PMID- 18133155 TI - The relation of therapeutic radiology to clinical medicine. PMID- 18133156 TI - Pyelography by rapid injection; description of an improved method and results in 200 cases. PMID- 18133157 TI - Physical characteristics of soft roentgen rays. PMID- 18133158 TI - Roentgenologic control of ureteral calculi on the operating table. PMID- 18133159 TI - The structure of biological tissues as revealed by X-ray diffraction analysis and electron microscopy. PMID- 18133160 TI - The lateral distribution of ions across the track of an ionizing particle; the present picture and its implications. PMID- 18133161 TI - A sesamoid at the elbow analogous to the patella. PMID- 18133162 TI - Carcinoma of the bladder. PMID- 18133163 TI - [Not Available]. PMID- 18133164 TI - [Not Available]. PMID- 18133165 TI - [Not Available]. PMID- 18133166 TI - [Not Available]. PMID- 18133167 TI - [Not Available]. PMID- 18133168 TI - [Not Available]. PMID- 18133169 TI - [Not Available]. PMID- 18133170 TI - [Not Available]. PMID- 18133172 TI - [Not Available]. PMID- 18133171 TI - [Not Available]. PMID- 18133173 TI - [Not Available]. PMID- 18133174 TI - The reserve air as an aid in the diagnosis of emphysema. PMID- 18133175 TI - Tuberculous cavities in the apex of the lower lobe. PMID- 18133176 TI - Sterile serous effusions in cases of lobar pneumonia treated with sulphonamides. PMID- 18133177 TI - Fracture of the bronchus. PMID- 18133178 TI - Perforations following dilatation of oesophageal strictures; a report of three cases with recovery. PMID- 18133179 TI - Pericardiectomy for constrictive pericarditis. PMID- 18133180 TI - On so-called primary enterococcal peritonitis. PMID- 18133181 TI - The retropubic prostatectomy of Terence Millin. PMID- 18133182 TI - A case of aneurysm of the aorta after resection for coarctation; cured by excision. PMID- 18133183 TI - Pneumonectomy in a case of Besnier Boeck's sarcoidosis. PMID- 18133184 TI - Androgen-control therapy in carcinoma of prostate. PMID- 18133185 TI - [Not Available]. PMID- 18133186 TI - [Not Available]. PMID- 18133187 TI - [Not Available]. PMID- 18133188 TI - [Not Available]. PMID- 18133189 TI - [Not Available]. PMID- 18133190 TI - [Not Available]. PMID- 18133191 TI - [Not Available]. PMID- 18133192 TI - Bilateral hypertrophy of the masseter muscle; an operation for correction; case report. PMID- 18133193 TI - Regeneration of sensation in grafted skin. PMID- 18133194 TI - Plasma and blood transfusions in the treatment of burned patients. PMID- 18133195 TI - Infant plastic surgery and mother nursing. PMID- 18133196 TI - Rhinoplastic flap design in the narrow forehead,. PMID- 18133197 TI - A new type of knife for cutting skin grafts, using replaceable blades. PMID- 18133198 TI - [Not Available]. PMID- 18133199 TI - [Not Available]. PMID- 18133200 TI - [Not Available]. PMID- 18133201 TI - [Not Available]. PMID- 18133203 TI - Some technical considerations in the resection of carcinoma involving the lower esophagus. PMID- 18133202 TI - Actinomycosis involving the colon and the rectum. PMID- 18133204 TI - Vascularization of the myocardial capillary bed by arterialization of the cardiac veins; an experimental study. PMID- 18133205 TI - Tumors of the testicle; relationship of structure to course and prognosis. PMID- 18133206 TI - Chronic ulcerative colitis. PMID- 18133207 TI - Resection of remaining vertebral ring for tuberculosis of the spine. PMID- 18133208 TI - The treatment of peptic ulcer by vagotomy. PMID- 18133209 TI - Carcinoma of the rectum and sigmoid colon; diagnosis and treatment. PMID- 18133211 TI - Surgical procedures in the treatment of peptic ulcer. PMID- 18133210 TI - Stainless steel and early ambulation in hernia repair. PMID- 18133212 TI - Venographic studies in the postphlebitic limb. PMID- 18133213 TI - Fascial necrosis; a new symptom-complex amenable to surgery combined with penicillin therapy. PMID- 18133214 TI - Newer concepts in the anatomy and treatment of varicose veins. PMID- 18133215 TI - Fluid balance in surgery. PMID- 18133216 TI - A clinical survey of 113 consecutive cases on tubal pregnancy. PMID- 18133217 TI - An analysis of 793 cataract operations by the Verhoeff intracapsular sliding method. PMID- 18133218 TI - [Not Available]. PMID- 18133219 TI - [Not Available]. PMID- 18133220 TI - [Not Available]. PMID- 18133221 TI - [Not Available]. PMID- 18133222 TI - [Not Available]. PMID- 18133223 TI - [Not Available]. PMID- 18133225 TI - [Not Available]. PMID- 18133224 TI - [Not Available]. PMID- 18133226 TI - [Not Available]. PMID- 18133227 TI - [Not Available]. PMID- 18133228 TI - [Not Available]. PMID- 18133229 TI - [Not Available]. PMID- 18133230 TI - [Not Available]. PMID- 18133231 TI - [Not Available]. PMID- 18133232 TI - [Not Available]. PMID- 18133233 TI - [Not Available]. PMID- 18133234 TI - [Not Available]. PMID- 18133235 TI - [Not Available]. PMID- 18133236 TI - [Not Available]. PMID- 18133237 TI - [Not Available]. PMID- 18133238 TI - [Not Available]. PMID- 18133239 TI - [Not Available]. PMID- 18133240 TI - [Not Available]. PMID- 18133241 TI - [Not Available]. PMID- 18133242 TI - [Proctosigmoid cancer; surgical techniques currently most used in the United States]. PMID- 18133243 TI - [Foreign bodies in the rectum]. PMID- 18133244 TI - [Thrombosed external hemorrhoids]. PMID- 18133245 TI - [Anesthesia in proctology]. PMID- 18133246 TI - Multiple carcinoma of the colon; report of a case. PMID- 18133247 TI - Spondylolisthesis; a rare variant with a unilateral isthmus defect and slight displacement. PMID- 18133248 TI - Present status of the surgical treatment of carcinoma of the esophagus. PMID- 18133249 TI - Primary carcinoma of third portion of duodenum; report of a case. PMID- 18133250 TI - Common duct calculus simulated by air bubble in pancreatic duct. PMID- 18133251 TI - Intussusception due to invaginated Meckel's diverticulum in adults. PMID- 18133252 TI - Cancer of the rectum; what constitutes adequate resection. PMID- 18133253 TI - The management of acute intestinal obstruction. PMID- 18133254 TI - Primary carcinoma of liver; report of a case living and well 25 months after left hepatectomy. PMID- 18133255 TI - The surgical correction of constructive pericarditis. PMID- 18133256 TI - Bronchiectasis; a study of the segmental distribution of the pathologic lesions. PMID- 18133257 TI - Vagovagal reflexes; electrocardiographic changes during vagotomy. PMID- 18133258 TI - Effect of pancreatic juice on the gall bladder. PMID- 18133259 TI - Morbid factors in experimental appendicitis. PMID- 18133261 TI - Vaginal hysterectomy. PMID- 18133260 TI - Blood and available fluid (thiocyanate) volume studies in surgical patients; operative and postoperative blood loss with particular emphasis upon uncompensated red cell loss. PMID- 18133262 TI - Experimental thoracic duct fistula; observations on the technique, the absorption of fat and fluid from the intestine, and protein depletion. PMID- 18133263 TI - Ewing's tumor. PMID- 18133265 TI - Superficial lobectomy and total parotidectomy with preservation of the facial nerve in the treatment of parotid tumors. PMID- 18133264 TI - The posterior subsphincteric space; its relation to posterior horseshoe fistula. PMID- 18133266 TI - Colonic and proctologic diseases. PMID- 18133267 TI - Toxemias of late pregnancy. PMID- 18133268 TI - Early ambulation. PMID- 18133269 TI - Endometriosis of the vulva. PMID- 18133270 TI - Technical reconstruction following total gastrectomy. PMID- 18133271 TI - Removal of the corpus luteum in early pregnancy. PMID- 18133272 TI - [Not Available]. PMID- 18133273 TI - [Not Available]. PMID- 18133274 TI - [Not Available]. PMID- 18133276 TI - Streptomicina in autosangue. PMID- 18133275 TI - [Not Available]. PMID- 18133277 TI - [Not Available]. PMID- 18133278 TI - [Not Available]. PMID- 18133279 TI - The duration of acquired immunity in experimental syphilis. PMID- 18133280 TI - Studies of the life and motility of Treponema pallidum in fertile hens' eggs. PMID- 18133281 TI - The susceptibility of various strains of mice to experimental syphilis. PMID- 18133282 TI - Observations on the growth of the nonpathogenic Nichols strain of Treponema pallidum in the embryonated chick egg under anaerobic conditions. PMID- 18133283 TI - The relationship of early clinical failure to serologic response in penicillin treated early syphilis. PMID- 18133284 TI - Reinfection in syphilis. PMID- 18133286 TI - Difficulties in the evaluation of treatment procedures in tabes dorsalis. PMID- 18133285 TI - Penicillin treatment of late neurosyphilis; one to 5 year follow-up with special reference to clinical failures. PMID- 18133287 TI - Describing a contact of venereal disease. PMID- 18133288 TI - Urticaria photogenica; report of two cases, one of them associated with purpura photogenica. PMID- 18133289 TI - The clinical application of a new piperazine compound; clinical observations. PMID- 18133290 TI - Antigen-antibody mechanisms in neurotropic virus diseases. PMID- 18133291 TI - Protein and vitamin metabolism in the allergic state; a preliminary study. PMID- 18133292 TI - Observations on severe penicillin reactions. PMID- 18133293 TI - Allergic arthritis. PMID- 18133294 TI - Phenergan (R. P. 3277) preliminary report of clinical effectiveness. PMID- 18133295 TI - Micropowdered aminophylline or theophylline inhalation therapy in chronic bronchial asthma; evaluation by recorded vital capacity changes. PMID- 18133296 TI - Allergy of the eye associated with migraine headache; case report. PMID- 18133297 TI - Cutaneous reactions to tobacco antigen in allergic and nonallergic children. PMID- 18133298 TI - A handy dropper for scratch testing. PMID- 18133299 TI - The treatment of intrinsic bronchial asthma with autogenous vaccine. PMID- 18133300 TI - Age changes revealed by carbonyl reagents in tissue sections. PMID- 18133301 TI - A comparison of endocranial cast and brain of an Australian oborigine. PMID- 18133302 TI - Bones, muscles and vitamin C; partial deficiencies of vitamin C and mid diaphyseal thickenings of the tibia and fibula in guinea-pigs. PMID- 18133304 TI - A survey of 113 cases of primary dysmenorrhea treated by neurectomy. PMID- 18133305 TI - Retroperitoneal lymph node dissection in cancer of the cervix. PMID- 18133306 TI - A report on the cesarean sections done in St. Vincent's Hospital, New York. PMID- 18133307 TI - [Not Available]. PMID- 18133309 TI - Observations on the female reproductive organs of the Ca'aing whale Globiocephala malaena Traill. PMID- 18133310 TI - A preliminary study of the distribution of cell size in the lateral geniculate body. PMID- 18133311 TI - The distribution of the vasal and cremasteric arteries to the testis and their functional importance. PMID- 18133312 TI - The blood-sucking mites of the genus Haemolaelaps (Acarina; Laelaptidae) in the United States. PMID- 18133313 TI - Prenatal infection of dogs with ascardis, Toxocara canis and hookworms, Ancylostama caninum. PMID- 18133314 TI - Olssoniella chivosca n. sp. (Trematoda: Dicrocoeliidae) from the western evening grosbeak. PMID- 18133315 TI - Toxicity of some chemical compounds to cercariae of Schistosoma mansoni. PMID- 18133316 TI - Preliminary observations on the relation of nutrition to pediculosis of rats and chickens. PMID- 18133317 TI - Chemotherapeutic activity of certain 8-aminoquinolines, particularly pentaquine, in experimental Chagas' disease. PMID- 18133318 TI - Studies on Mansonia xanthogaster and its relation to filariasis in the South Pacific. PMID- 18133319 TI - Haemaphysalis centropi, a new species of tick from birds in the Far East. PMID- 18133320 TI - The helminth parasites of birds; a new species of Acanthocephala from North American birds. PMID- 18133321 TI - The course of infection of Plasmodium lophurae in chick embryos. PMID- 18133322 TI - Cytological study of Rhopalias macracanthus Chandler, 1932, a trematode from the opossum, Didelphis virginiana. PMID- 18133323 TI - Myobiid mites (Acarina: Myobiidae) from Condylura cristata (Linnaeus) and Neurotrichus gibbsii (Baird) (Mammalia; Talpidae). PMID- 18133324 TI - A human ocular infection by Gnathostoma in China. PMID- 18133325 TI - Longevity of tropical rat mites kept without food. PMID- 18133326 TI - Polyplax serrata (Brumeister) and Linognathus setosus (Olfers) recorded from the house mouse, Mus musculus Linnaeus in Texas. PMID- 18133327 TI - Studies on the mechanism of action of ionizing radiations; effect of X-ray irradiation on the respiration of sea urchin sperm. PMID- 18133328 TI - Studies on the mechanism of action of ionizing radiations; the effect of hydrogen peroxide and of X-ray irradiated sea water on the respiration of sea urchin sperm and eggs. PMID- 18133329 TI - Bacteria and cellular activities; action of toxins on respiration and hemolysis of dogfish erythrocytes and on respiration of marine eggs. PMID- 18133330 TI - Respiration and water loss in the adult blowfly, Phormia regina, and their relation to the physiological action of DDT. PMID- 18133331 TI - Growth of oysters, O. virginica, during different months. PMID- 18133332 TI - The prezone phenomenon in sperm agglutination. PMID- 18133333 TI - An electron microscope study of the egg membranes of Melanoplus differentialis (Thomas). PMID- 18133334 TI - Phosphatases in normal and reorganizing stentors. PMID- 18133335 TI - Amino acid metabolism in mutant strains of microorganisms. PMID- 18133336 TI - Viral multiplication. PMID- 18133338 TI - Nutrition and dental caries. PMID- 18133337 TI - Some commentaries on electron microscopy as applied in biology. PMID- 18133339 TI - Chemical measurements in relation to physical evidence of malnutrition. PMID- 18133340 TI - Anemias caused primarily by malnutrition. PMID- 18133341 TI - Failure of DDT to control house flies. PMID- 18133342 TI - New locality records for Allodermanyssys sanguineus vector of rickettsialpox. PMID- 18133343 TI - Recent studies on life history and habits of the ear tick. PMID- 18133344 TI - The residual property of DDT as influenced by temperature and moisture. PMID- 18133345 TI - Piperonyl butoxide, piperonyl cyclonene, and pyrethrum applied to selected parts of individual flies. PMID- 18133346 TI - Effect of temperature and humidity on the toxicity of certain insecticides. PMID- 18133347 TI - Fumigating properties of several new insecticides. PMID- 18133348 TI - Diagnosis and control of mange in dairy cattle. PMID- 18133349 TI - Control of Anopheles mosquitoes with coarse and fine DDT sprays applied by airplane. PMID- 18133350 TI - Studies of mosquito and other biting-insect problems in Alaska. PMID- 18133351 TI - Use of white mice for testing materials used as repellents and toxicants for stable flies. PMID- 18133352 TI - Toxicity to house flies of synthetic compounds of the pyrethrin type in relation to chemical structure. PMID- 18133353 TI - Insecticides and the food law. PMID- 18133354 TI - On certain aspects of the nature and treatment of oligemic shock. PMID- 18133355 TI - Pathology of the intrapulmonary arteries and arterioles in coarctation of the aorta associated with patent ductus arteriosus. PMID- 18133356 TI - The water tolerance of the hypertensive patient; its relation to operability. PMID- 18133357 TI - Studies on peripheral circulation and epinephrine sensitization following sympathectomy. PMID- 18133358 TI - Differentiation of the changes in the Q-T interval in hypocalcemia and hypopotassemia. PMID- 18133360 TI - Unusual features in a case of carotid sinus syndrome. PMID- 18133359 TI - The ventricular complex in right ventricular hypertrophy as obtained by unipolar precordial and limb leads. PMID- 18133361 TI - Auricular flutter during the administration of cyclopropane and curare; report of two cases. PMID- 18133362 TI - [Not Available]. PMID- 18133363 TI - [Not Available]. PMID- 18133364 TI - [Not Available]. PMID- 18133366 TI - A diffusion problem. PMID- 18133365 TI - Contribution to the linkage theory of autopolyploids. PMID- 18133367 TI - Tissue growth and cancer. PMID- 18133369 TI - Studies on the mechanism of aerobic phosphorylation. PMID- 18133368 TI - Theory of the mitotic index and its application to tissue growth measurement. PMID- 18133370 TI - Amino acids; the oxidation of salts of beta-amino alcohols. PMID- 18133371 TI - The sedimentation behavior and molecular weight of pancreatic carboxypeptidase. PMID- 18133372 TI - The metabolism of the organic acids of tobacco leaves; effect of culture of excised leaves in solutions of d-isocitrate and acetate. PMID- 18133373 TI - Partial purification of aconitase. PMID- 18133374 TI - The condensation of C14-nitromethane with D-arabinose; preparation of 1-C14-D glucose and 1-C14-D-mannose. PMID- 18133376 TI - The nitrogenous metabolism of the earthworm (Lumbricus terrestris). PMID- 18133375 TI - Studies of the mechanism of histidine synthesis in lactic acid bacteria. PMID- 18133377 TI - The oxidation and distribution of the methyl group administered as methionine. PMID- 18133378 TI - The activity of succinate oxidase in relation to phosphate and phosphorus compounds. PMID- 18133379 TI - The microbiological estimation of Lactobacillus lactis Dorner activity with vitamin B12 as a standard. PMID- 18133380 TI - The aconite alkaloids; the demethylation of delphinine derivatives. PMID- 18133381 TI - A new synthesis of phosphoryl-enolpyruvic acid. PMID- 18133382 TI - Synthesis of peptides of methionine and their cleavage by proteolytic enzymes. PMID- 18133383 TI - A method for the colorimetric determination of calcium and magnesium in small amounts of urine, stool, and food. PMID- 18133384 TI - The effect of methanol on the hydrolysis of acetyl-L-tyrosinamide by chymotrypsin. PMID- 18133385 TI - Studies on the effect of thyroid and methylthiouracil on the glucose tolerance test in normal and scorbutic guinea pigs. PMID- 18133386 TI - Enzymatic hydrolysis of saturated and unsaturated tripeptides. PMID- 18133387 TI - Effect of anions on the non-enzymatic desamidation of glutamine. PMID- 18133388 TI - Biophysical studies of blood plasma proteins; electrophoretic studies of the blood serum proteins of some lower animals. PMID- 18133389 TI - The chemistry of melanin; oxidation of dihydroxyphenylalanine by tyrosinase. PMID- 18133390 TI - The reaction of acetylcholine and other carboxylic acid derivatives with hydroxylamine, and its analytical application. PMID- 18133391 TI - Chemical estimation of vitamin E in tissue and the tocopherol content of some normal human tissues. PMID- 18133392 TI - Tissue-bound, acid-labile phosphorus in tobacco leaves, oat coleoptiles, and rat liver. PMID- 18133393 TI - The inhibition of alkaline phosphatase by beryllium. PMID- 18133394 TI - Observations on the effects of beryllium on alkaline phosphatase. PMID- 18133395 TI - The preparation of C14-labeled biotin and a study of its stability during carbon dioxide fixation. PMID- 18133396 TI - The lecithin, cephalin, and sphingomyelin contents of plasma and liver of the fowl; their metabolic interrelations shown by the administration of diethylstibestrol. PMID- 18133397 TI - Determination of free and total cholesterol by direct chloroform extraction. PMID- 18133398 TI - Isotopically labeled nucleic acid from yeast. PMID- 18133399 TI - Distribution of C14 in glycine and serine of liver protein following the administration of labeled glycine. PMID- 18133400 TI - Metabolism of the nitrofurans; ultraviolet absorption studies on urinary end products after oral administration. PMID- 18133401 TI - Preparation of high potency oxytocic material by the use of counter-current distribution. PMID- 18133402 TI - alpha-Ketobutyric acid as a product in the enzymatic cleavage of cystathionine. PMID- 18133403 TI - The effect of enzymatic hydrolysis on the nutritive value of casein; intravenous feeding in dogs. PMID- 18133404 TI - Photolytic and enzymatic transformations of pteroylglutamic acid. PMID- 18133405 TI - Pterine oxidase. PMID- 18133406 TI - Purification and properties of dehydropeptidases. PMID- 18133407 TI - The effect of the ionic environment on the synthesis of glycogen from glucose in rat liver slices. PMID- 18133408 TI - The effect of the ionic environment of the synthesis of glycogen and total carbohydrate from pyruvate in liver slices. PMID- 18133410 TI - Criteria for extraction in orthodontic therapy related to dentofacial development. PMID- 18133409 TI - Spectrophotometric determination of blood oxygen. PMID- 18133411 TI - Prophylactic orthodontics. PMID- 18133412 TI - The passage of a patient through an orthodontist's office with attention to the labio lingual technique, emphasizing the Oliver guide plane. PMID- 18133413 TI - [Not Available]. PMID- 18133414 TI - [Not Available]. PMID- 18133415 TI - [Not Available]. PMID- 18133416 TI - [Not Available]. PMID- 18133417 TI - An assessment of the values of porcelain versus methylmethacrylate in jacket crown and bridge work. PMID- 18133418 TI - A preliminary investigation into the shrinkage of the oral tissues due to embedding in paraffin wax. PMID- 18133420 TI - Two cases of fused incisors in the deciduous dentition. PMID- 18133419 TI - The application of injections of absolute alcohol to local anaesthesia in dentistry; a report on ten cases. PMID- 18133421 TI - [Not Available]. PMID- 18133422 TI - [Not Available]. PMID- 18133423 TI - A new approach to cavity preparation in inlay construction. PMID- 18133425 TI - Postoperative results of gingival surgery after 15 years. PMID- 18133424 TI - A design for a stress-breaker and its application. PMID- 18133426 TI - Anesthesia for the child patient. PMID- 18133427 TI - The treatment of acute oral Vincent's infection. PMID- 18133428 TI - [Not Available]. PMID- 18133429 TI - The effect of X-rays on blood tissue and skin. PMID- 18133430 TI - Report of an unusual exodontia case. PMID- 18133431 TI - [Not Available]. PMID- 18133432 TI - A study of novocain (procaine) sensitivity among Navy dental officers. PMID- 18133433 TI - Compressive strength of amalgam as related to time. PMID- 18133434 TI - Experimental studies in calcification; the effect of large doses of calciferol on the dentin of the incisor in normal and nephrectomized rats. PMID- 18133435 TI - Experimental studies in calcification; the effect of parathyroid extract on the dentin and pulp of the incisor in normal and nephrectomized rats. PMID- 18133436 TI - An aspect of diffusion; its possible association with dental caries. PMID- 18133437 TI - Acid production in saliva in-vitro experiments. PMID- 18133438 TI - Geographic variations of dental caries in Oregon; dental status of native born and reared school children in two regions. PMID- 18133439 TI - The effects of caries-producing diets initiated at various stages of pre- and postnatal development of the hamster. PMID- 18133440 TI - A progress report on the bacteriologic aspect of the caries research program, College of Dentistry, University of California. PMID- 18133441 TI - Specialization in dentistry. PMID- 18133442 TI - Psychiatric observation of dental patients. PMID- 18133443 TI - Erythema multiforme following high voltage roentgen therapy; review of the literature and report of three cases. PMID- 18133444 TI - Concurrent melanosis and hypertrichosis in distribution of nevus unius lateris. PMID- 18133445 TI - Pyoderma vegetans in association with chronic ulcerative colitis. PMID- 18133446 TI - Tropical anhidrotic asthenia; thermogenic anhidrosis. PMID- 18133447 TI - Experimental syphilis in the golden hamster; failure to transmit infection by coitus and from syphilitic parents to the newborn. PMID- 18133448 TI - Oral bismuth therapy in dermatology. PMID- 18133449 TI - A severe form of acne developing in the tropics. PMID- 18133450 TI - Nature of antigens and antibodies in serology of syphilis. PMID- 18133451 TI - Treatment of early syphilis with penicillin G; administration of penicillin G in peanut oil and wax twice weekly for 8 weeks. PMID- 18133452 TI - Virus-pyogen sequence; interrelationship in inflammatory dermatoses; the clinical features. PMID- 18133453 TI - Gassing of fungi; a preliminary report. PMID- 18133454 TI - Epithelioma; clinical and histologic data on 1,025 lesions. PMID- 18133455 TI - Nodular vasculitis. PMID- 18133456 TI - [Contribution to the improvement in the practice of applying compresses and ointments]. PMID- 18133457 TI - [Uus of titrated human complement in the complement fixation tests]. PMID- 18133458 TI - [Problem of the central examination of gonococcus by culture when specimens are collected from decentralized stations, and some experiences in culture investigations at the second Dermatological university in Prague in 1947-1948]. PMID- 18133459 TI - [Remarks on the etiology of urticaria pigmentosa]. PMID- 18133460 TI - [Not Available]. PMID- 18133461 TI - [Contribution to the question of facies heredosyphilitica and to the problem of the stigmata of congenital syphilis]. PMID- 18133462 TI - [Wood's light in dermatology]. PMID- 18133463 TI - [Contemporary social venerology]. PMID- 18133464 TI - [Not Available]. PMID- 18133465 TI - Phytopharmacologic studies on the blood of psoriasis. PMID- 18133466 TI - Aureomycin therapy of disseminated cutaneous herpes simplex; Kaposi's varicelliform eruption. PMID- 18133467 TI - The therapeutic value of aureomycin in dermatitis herpetiformis. PMID- 18133468 TI - The treatment of a case of Kaposi's varicelliform eruption with aureomycin. PMID- 18133469 TI - Various kinds of eczematoid eruptions attributable to exposure to foods. PMID- 18133470 TI - Experimental determination in human subjects of the duration of antihistaminic activity of orally administered compounds. PMID- 18133471 TI - The use of N-ethyl-o-crotonotoluidide in the treatment of scabies and various pruritic dermatoses. PMID- 18133472 TI - An apparent association of lichen planus with vascular hypertension. PMID- 18133474 TI - [Not Available]. PMID- 18133473 TI - [Not Available]. PMID- 18133475 TI - [Not Available]. PMID- 18133476 TI - [Not Available]. PMID- 18133477 TI - [Not Available]. PMID- 18133478 TI - Histopathology of the semisquamous epithelial layer in the gallbladder. PMID- 18133479 TI - Regional enteritis in the Negro. PMID- 18133480 TI - Gallbladder disease in the aged. PMID- 18133481 TI - The use of ultraviolet blood irradiation in typhoid fever. PMID- 18133482 TI - A simple benzidine test for occult blood in feces. PMID- 18133483 TI - Submicroscopic cytoplasmic granules in the anterior lobe cells of the rat hypophysis as revealed by electron microscopy. PMID- 18133484 TI - Attempts to induce experimentally maturation of the gonads of the European eel, Anguilla anguilla L. PMID- 18133485 TI - Changes in the ascorbic acid content in the interstitial gland of the rabbit ovary following gonadotrophic stimulation. PMID- 18133486 TI - Testosterone treatment and 17-ketosteroid excretion; investigations on the influence of the mode of administration upon the absorption and excretion of testosterone propionate. PMID- 18133487 TI - The effect of desoxycorticosterone acetate and sodium chloride on blood pressure in postural hypotension and arterial orthostatic anemia. PMID- 18133488 TI - The use of potassium in therapy. PMID- 18133489 TI - The use of the human vaginal smear in the assay of estrogens. PMID- 18133490 TI - [Not Available]. PMID- 18133492 TI - [Not Available]. PMID- 18133491 TI - [Not Available]. PMID- 18133493 TI - [Not Available]. PMID- 18133494 TI - Progesterone; a comparison of intramuscular, oral and sublingual routes of administration. PMID- 18133495 TI - The effect of alpha-tocopherol administration on pregnanediol excretion. PMID- 18133496 TI - The transport and excretion of uric acid in man; a sex difference in urate metabolism; with a note on clinical and laboratory findings in gouty women. PMID- 18133497 TI - The constancy of the serum precipitable or protein-bound iodine in healthy adults. PMID- 18133498 TI - A masculinizing tumor of the ovary in a postmenopausal woman. PMID- 18133499 TI - Pheochromocytoma with hypothalamic manifestations and excessive hypermetabolism; a case report. PMID- 18133500 TI - Purity of milk. PMID- 18133501 TI - On the nature of inhibition of erythrocyte pyrophosphatase by veronal-acetate buffer. PMID- 18133502 TI - A new leaf-spot disease of castor Ricinus communis L. PMID- 18133503 TI - Xanthomonas desmodii, a new bacterial leaf-spot of Desmodium diffusum DC. PMID- 18133504 TI - The life-cycle of Moniliformis moniliformis (Bremser, 1811) Acanthocephala. PMID- 18133505 TI - The reaction theory of respiratory regulation. PMID- 18133506 TI - [Not Available]. PMID- 18133507 TI - [Not Available]. PMID- 18133508 TI - Some observations on the oxidative degradation of cholesterol. PMID- 18133510 TI - [Not Available]. PMID- 18133509 TI - [Not Available]. PMID- 18133511 TI - Historical changes produced by large doses of tetra-sodium 2-methyl-1:4 naphthohydroquinone diphosphate in some human'tumours. PMID- 18133512 TI - [Not Available]. PMID- 18133513 TI - [Not Available]. PMID- 18133514 TI - [Not Available]. PMID- 18133516 TI - The treatment of sex offenders. PMID- 18133515 TI - H2-detection in the Warburg constant volume respirometer. PMID- 18133517 TI - Psychosomatic theory applies to sex above all else. PMID- 18133518 TI - A study of the love emotions of American college girls. PMID- 18133519 TI - Natural childbirth. PMID- 18133520 TI - Outline of a method to estimate the biological age with special reference to the role of the sexual functions. PMID- 18133521 TI - The ethics of sexual acts; a critical study. PMID- 18133522 TI - Recent decisions on consummation. PMID- 18133523 TI - Coprophonia in Australia. PMID- 18133524 TI - The orgasm problem in women. PMID- 18133525 TI - The social implications of illness in industry. PMID- 18133526 TI - [Not Available]. PMID- 18133527 TI - [Not Available]. PMID- 18133529 TI - [Not Available]. PMID- 18133528 TI - [Not Available]. PMID- 18133530 TI - [Not Available]. PMID- 18133531 TI - [Not Available]. PMID- 18133532 TI - [Not Available]. PMID- 18133533 TI - [Not Available]. PMID- 18133534 TI - Influence of physical theory on biological thought. PMID- 18133535 TI - Haemoglobin in Crustacea. PMID- 18133537 TI - Serological characters of hog gastric mucin. PMID- 18133536 TI - Transport of insects on the exterior of an aircraft. PMID- 18133538 TI - Interference with testosterone-induced growth of the seminal vesicles and coagulating glands in male mice by a folic acid antagonist. PMID- 18133539 TI - Effect of thiouracil and uracil on the germination of cress seeds. PMID- 18133540 TI - A simple medium for mounting small insects. PMID- 18133541 TI - Problems of organic growth. PMID- 18133542 TI - A new crystalline protein of the myogen group. PMID- 18133543 TI - Bacterial oxidation of arsenite. PMID- 18133544 TI - World food problem. PMID- 18133545 TI - Dilution factors with stable isotopes. PMID- 18133546 TI - Determination of energy of single alpha-particles from change in conductivity of cadmium sulphide crystals. PMID- 18133547 TI - Structure of 1.2.3.4.5.6-hexasubstituted cyclohexanes. PMID- 18133548 TI - Evolutionary growth rates in the dinosaurs. PMID- 18133549 TI - Some considerations of the biological effects of DDT. PMID- 18133550 TI - Uranium resources. PMID- 18133551 TI - Methods of measuring flavor quality in food products. PMID- 18133553 TI - Semiconductors. PMID- 18133552 TI - Jurassic ammonites in 1949. PMID- 18133554 TI - The exploration of the upper atmosphere. PMID- 18133555 TI - Population ecology. PMID- 18133556 TI - The organization and relationships of a department of obstetrics and gynecology. PMID- 18133557 TI - Extragenital pelvic tumors in women. PMID- 18133558 TI - The use of pentothal sodium anesthesia for cesarean sections. PMID- 18133559 TI - Sterility studies in private practice. PMID- 18133560 TI - Results of bilateral ovarian wedge resection in 47 cases of sterility; 20 year end results; 75 cases of bilateral polycystic ovaries. PMID- 18133561 TI - A critical analysis of local anesthesia as an agent for the relief of pain in vaginal delivery. PMID- 18133562 TI - Pregnancy and adnexal cysts. PMID- 18133563 TI - Free-feeding pregnant women. PMID- 18133564 TI - The experimental production of menorrhagia by administration of gonadotropins. PMID- 18133565 TI - Saphenous phlebectomy for varicose veins during pregnancy. PMID- 18133566 TI - Sweat gland tumors of the vulva. PMID- 18133567 TI - A correlated study of serum protein, erythrocyte count, leucocyte count, hemoglobin and hematocrit in normal pregnancy. PMID- 18133568 TI - The urinary bladder during labor. PMID- 18133569 TI - Evaluation of the cytologic test in the early diagnosis of cancer; a 2 year survey of the routine use of the smear technique. PMID- 18133571 TI - The effect of treatment with an antihistaminic drug on blood pressure and urine in pregnant women. PMID- 18133570 TI - Furfuryl trimethyl ammonium iodide for postoperative urinary retention. PMID- 18133572 TI - New method of dovetail approximation of the ligaments in vaginal hysterectomy for procidentia; a preliminary report. PMID- 18133573 TI - Fatty acid therapy of pruritus vulvae. PMID- 18133574 TI - Excessive estrogens and cervical carcinoma. PMID- 18133575 TI - Uterine culture technique; a simple method for avoiding contamination by cervical and vaginal flora. PMID- 18133576 TI - Electronegativity of the cancerous cervix. PMID- 18133577 TI - [Not Available]. PMID- 18133579 TI - On neurotic bladder. PMID- 18133578 TI - [Not Available]. PMID- 18133580 TI - On malignant tumours of the oral cavity and the tonsil, with special consideration of the outcome of radiotherapy. PMID- 18133581 TI - Is excision of neuromas unadvisable? PMID- 18133582 TI - Pregnancy in a patient with postoperative tetany. PMID- 18133583 TI - A case of mucocele of the appendix. PMID- 18133584 TI - [Clinico-statistical surveys on syphilis in the obstetric area after the war]. PMID- 18133585 TI - [Gemellarity and twins]. PMID- 18133586 TI - [Contribution to the study of uterine adnexal torsion]. PMID- 18133587 TI - Heart disease and pregnancy. PMID- 18133588 TI - Ein Beitrag zur Frage Abortiveier. PMID- 18133589 TI - [Not Available]. PMID- 18133590 TI - [Not Available]. PMID- 18133591 TI - [Not Available]. PMID- 18133592 TI - [Not Available]. PMID- 18133593 TI - [Not Available]. PMID- 18133594 TI - [Not Available]. PMID- 18133595 TI - [Not Available]. PMID- 18133596 TI - [Not Available]. PMID- 18133597 TI - [Not Available]. PMID- 18133598 TI - [Not Available]. PMID- 18133599 TI - Familial hypochromic anemia associated with postsplenectomy erythrocytic inclusion bodies. PMID- 18133600 TI - Iron metabolism; utilization of intravenous radioactive iron. PMID- 18133601 TI - Hemolysins in acquired hemolytic anemia; effect of pH on the activity in vitro of a serum hemolysin. PMID- 18133602 TI - Observations on the influence of the hypophysis and the adrenal cortex on blood platelet levels. PMID- 18133603 TI - The effect of human plasma transfusion on the fecal urobilinogen excretion on sickle cell anemia. PMID- 18133604 TI - The effect of quantitative and qualitative protein deficiency on blood regeneration; white blood cells. PMID- 18133605 TI - The effect of quantitative and qualitative protein deficiency on blood regeneration; hemoglobin. PMID- 18133606 TI - Influence of fibrinogen concentration upon plasma prothrombin time. PMID- 18133607 TI - Planning a recovery room for adequate postoperative care. PMID- 18133608 TI - Special assistants for administrators. PMID- 18133609 TI - The hospital pharmacy comes to order. PMID- 18133610 TI - Hospitals under socialized medicine. PMID- 18133611 TI - An administrator, an obstetrician and a maternity supervisor evaluate the rooming in plan. PMID- 18133612 TI - Group clinic starts a new chapter in the history of rural medical care. PMID- 18133613 TI - Extramural hospital services. PMID- 18133614 TI - Federal hospitalization; current trends. PMID- 18133615 TI - Hospitals and the practice of medicine. PMID- 18133616 TI - [Not Available]. PMID- 18133617 TI - [Not Available]. PMID- 18133618 TI - [Not Available]. PMID- 18133619 TI - Some fundamental notions in estimation of complement fixation; general relations and a proposed uniform notation. PMID- 18133620 TI - A delayed chronic inflammatory reaction at an antigen depot in the guinea pig, effected by systemic sensitization. PMID- 18133621 TI - The relationship of Mengo encephalomyelitis, encephalomyocarditis, Columbia-SK and M.M. viruses. PMID- 18133622 TI - The family relationship of encephalomyocarditis, Columbia-SK, M.M., and Mengo encephalomyelitis viruses. PMID- 18133623 TI - An antibiotic substance produced by a member of the Shigella group. PMID- 18133624 TI - The reversal in vivo by BAL of HgCI2-inactivated influenza A virus in the chick embryo. PMID- 18133625 TI - Cold hemagglutination reactions with influenza virus. PMID- 18133626 TI - The effect of aureomycin upon infections with Bacterium tularense in experimental animals. PMID- 18133627 TI - Use of ultraviolet absorption spectroscopy in the quantitative precipitin reaction. PMID- 18133628 TI - The solubility of equine tetanal antitoxin in methanol-water mixtures of controlled pH, ionic strength and temperature. PMID- 18133629 TI - On the identity of the virulence enhancement factor in gastric mucin. PMID- 18133631 TI - The calcium requirement of coliphage T5. PMID- 18133630 TI - An electron microscope study of material from tissue of the central nervous system of poliomyelitic and normal mice and cotton rats. PMID- 18133632 TI - A quantitative study of passive anaphylaxis in the guinea pig; the latent period in passive anaphylaxis in its relation to the dose of rabbit antiovalbumin. PMID- 18133633 TI - [Not Available]. PMID- 18133634 TI - [Not Available]. PMID- 18133635 TI - [Not Available]. PMID- 18133636 TI - [Not Available]. PMID- 18133637 TI - Industrial medicine in a textile machine company in New England. PMID- 18133638 TI - Alcoholism in industry. PMID- 18133639 TI - The painful foot following injury. PMID- 18133640 TI - The integration of an industrial medical and an industrial hygiene program. PMID- 18133641 TI - Benefits from professional eye care for workers with lowered visual performance. PMID- 18133642 TI - Sensitization studies with nail polish base coats. PMID- 18133644 TI - [Not Available]. PMID- 18133643 TI - The sequential analysis of blood pressure scores. PMID- 18133645 TI - [Not Available]. PMID- 18133646 TI - [Not Available]. PMID- 18133647 TI - [Not Available]. PMID- 18133648 TI - [Not Available]. PMID- 18133649 TI - [Not Available]. PMID- 18133650 TI - Studies of the effects of flavonoids on roentgen irradiation disease; protective influence of rutin in irradiated dogs. PMID- 18133651 TI - Evidence on the genesis of certain common nasal disorders. PMID- 18133652 TI - Serial determinations of prothrombin activity in pregnancy and the puerperium. PMID- 18133653 TI - Anomalous right pulmonary vein entering the inferior vena cava; two cases diagnosed during life by angiocardiography and cardiac catheterization. PMID- 18133654 TI - Clinical evaluation of direct writing electrocardiography. PMID- 18133655 TI - The coagulation time of blood in silicone tubes. PMID- 18133656 TI - A hematologic and electrophoretic study on blood regeneration in dogs subjected to repeated phlebotomy. PMID- 18133657 TI - The direction of the precordial T wave in 321 normal infants and children. PMID- 18133658 TI - Naturally-occurring anticoagulants and accelerator substance in human blood. PMID- 18133659 TI - Continuous peritoneal irrigation in the treatment of intractable edema of cardiac origin. PMID- 18133660 TI - Hypotension. PMID- 18133661 TI - Production of convulsions in rats by exposure to ultra high frequency electrical currents (radar). PMID- 18133662 TI - The effects of intravenously administered aminophylline on cerebral blood flow in man. PMID- 18133663 TI - Serum esterase levels in alcoholic patients. PMID- 18133664 TI - Deficiency diseases. PMID- 18133665 TI - Balanced diet for the South Indian vegetarian. PMID- 18133666 TI - Nutritive value of roots and tubers, with special reference to sweet potato. PMID- 18133667 TI - A plea for a national diet. PMID- 18133669 TI - Nutrition and health. PMID- 18133668 TI - Realization of full value for the money spent on our food. PMID- 18133670 TI - [Not Available]. PMID- 18133671 TI - [Not Available]. PMID- 18133672 TI - [Not Available]. PMID- 18133673 TI - [Not Available]. PMID- 18133674 TI - [Not Available]. PMID- 18133675 TI - [Not Available]. PMID- 18133676 TI - Retarding action of adrenal gland on growth of sarcoma grafts in rats. PMID- 18133677 TI - A search for human carriers of influenza virus. PMID- 18133678 TI - Cysteine and related compounds in the growth of the yeast like phase of Histoplasma capsulatum. PMID- 18133679 TI - [Not Available]. PMID- 18133680 TI - Man and the machine. PMID- 18133681 TI - A study of the post-war incidence of breast-feeding. PMID- 18133682 TI - A simple weight-reducing diet. PMID- 18133683 TI - Sternal swelling as a presenting sign of Hodgkin's disease. PMID- 18133684 TI - [Not Available]. PMID- 18133685 TI - [Not Available]. PMID- 18133686 TI - [Not Available]. PMID- 18133687 TI - [Not Available]. PMID- 18133688 TI - [Not Available]. PMID- 18133689 TI - [Not Available]. PMID- 18133690 TI - [Not Available]. PMID- 18133691 TI - [Not Available]. PMID- 18133692 TI - [Not Available]. PMID- 18133693 TI - [Not Available]. PMID- 18133694 TI - [Not Available]. PMID- 18133695 TI - [Not Available]. PMID- 18133696 TI - [Not Available]. PMID- 18133698 TI - Diabetic coma. PMID- 18133697 TI - [Not Available]. PMID- 18133699 TI - Asthma; present status of therapy. PMID- 18133700 TI - Bronchoscopic aspects of respiratory disease. PMID- 18133701 TI - The kidney in essential hypertension. PMID- 18133702 TI - Thoracic tumors. PMID- 18133703 TI - Carcinoma of the rectum. PMID- 18133704 TI - Hypertension; medical aspects of surgical treatment. PMID- 18133705 TI - Swellings of the neck; lateral swellings of neck. PMID- 18133706 TI - The clinical significance of potassium deficiency. PMID- 18133707 TI - Training for psychotherapy; a description of organization, treatment, methods, and results achieved, with case illustrations. PMID- 18133708 TI - Tuberculosis control program in a municipal general hospital. PMID- 18133709 TI - Urethane in leukemia. PMID- 18133710 TI - Methemoglobinemia in an infant caused by well water. PMID- 18133712 TI - Studies on the ovulation of the avian ovarian follicle. PMID- 18133711 TI - The concentration of radio-active iodine (I131) by the thyroid gland of the parrot fish. PMID- 18133714 TI - [Not Available]. PMID- 18133713 TI - [Not Available]. PMID- 18133715 TI - [Not Available]. PMID- 18133716 TI - [Not Available]. PMID- 18133717 TI - [Not Available]. PMID- 18133718 TI - [Not Available]. PMID- 18133719 TI - [Not Available]. PMID- 18133720 TI - [Not Available]. PMID- 18133721 TI - [Not Available]. PMID- 18133722 TI - [Not Available]. PMID- 18133723 TI - [Not Available]. PMID- 18133724 TI - [Not Available]. PMID- 18133725 TI - [Not Available]. PMID- 18133726 TI - Nasal discharge, nasal obstruction and sinusitis. PMID- 18133727 TI - Lower nephron nephrosis. PMID- 18133728 TI - [Shape of the depressed ST-segment in the electrocardiogram of the transient and permanent heart injuries]. PMID- 18133729 TI - [Not Available]. PMID- 18133730 TI - [Not Available]. PMID- 18133731 TI - [Not Available]. PMID- 18133732 TI - [Not Available]. PMID- 18133733 TI - [Not Available]. PMID- 18133734 TI - [Not Available]. PMID- 18133735 TI - [Not Available]. PMID- 18133736 TI - [Not Available]. PMID- 18133737 TI - [Not Available]. PMID- 18133738 TI - [Not Available]. PMID- 18133739 TI - [Not Available]. PMID- 18133740 TI - [Not Available]. PMID- 18133741 TI - [Not Available]. PMID- 18133742 TI - [Penicillin treatment of lactational mastitis]. PMID- 18133743 TI - [Not Available]. PMID- 18133744 TI - [Not Available]. PMID- 18133745 TI - [Not Available]. PMID- 18133746 TI - [Not Available]. PMID- 18133747 TI - [Not Available]. PMID- 18133748 TI - [Not Available]. PMID- 18133749 TI - [Not Available]. PMID- 18133750 TI - [Not Available]. PMID- 18133751 TI - [Not Available]. PMID- 18133753 TI - [Not Available]. PMID- 18133752 TI - [Not Available]. PMID- 18133754 TI - [Not Available]. PMID- 18133755 TI - [Not Available]. PMID- 18133756 TI - [Not Available]. PMID- 18133757 TI - [Not Available]. PMID- 18133758 TI - [Not Available]. PMID- 18133759 TI - [Not Available]. PMID- 18133760 TI - Fatality associated with benzedrine ingestion; a case report. PMID- 18133761 TI - Roentgen therapy of subdeltoid bursitis; review of 235 cases. PMID- 18133762 TI - Metabolic outpatient clinic survey. PMID- 18133763 TI - Potential inguinal hernia. PMID- 18133764 TI - [Not Available]. PMID- 18133765 TI - [Not Available]. PMID- 18133766 TI - [Not Available]. PMID- 18133767 TI - [Not Available]. PMID- 18133768 TI - [Not Available]. PMID- 18133769 TI - [Aspects of sympathectomy in cases of arteriosclerotic thromboangiitis]. PMID- 18133770 TI - [Not Available]. PMID- 18133771 TI - [Tiosol, a new paint as a cause of dermatitis]. PMID- 18133772 TI - [On streptomycin dermatitis in nurses]. PMID- 18133773 TI - [A study of tubal sterilization]. PMID- 18133774 TI - [Determination of the ether concentration in ether-air mixtures]. PMID- 18133775 TI - A workshop for severely disabled men. PMID- 18133776 TI - The carcinoid tumour; a review of 17 cases. PMID- 18133777 TI - Clinical trials of analgeticum NU 896 and of amidone. PMID- 18133778 TI - [The damage and risks of anti-tumor pelvic irradiation]. PMID- 18133779 TI - [Not Available]. PMID- 18133780 TI - [Not Available]. PMID- 18133781 TI - [Not Available]. PMID- 18133782 TI - [Not Available]. PMID- 18133783 TI - [Not Available]. PMID- 18133784 TI - [Not Available]. PMID- 18133786 TI - [Not Available]. PMID- 18133785 TI - [Not Available]. PMID- 18133787 TI - [Not Available]. PMID- 18133788 TI - [Not Available]. PMID- 18133789 TI - [Not Available]. PMID- 18133790 TI - Respiratory disease; an industrial hazard. PMID- 18133791 TI - Five cases of auricular flutter of 4 to 1 type. PMID- 18133792 TI - The first diagnosed outbreak of Q-fever in Israel. PMID- 18133793 TI - Clinical reactions to the application of short waves. PMID- 18133794 TI - To the creation of a maxillo-facial surgical department [Hebrew Text]. PMID- 18133795 TI - Treatment of intoxication by morphine and other hypnotics by intravenal injections of nikethamide [Hebrew Text]. PMID- 18133797 TI - Interne-resident training; random comments on the changing scene. PMID- 18133796 TI - The status of skin temperature recording as a diagnostic procedure. PMID- 18133799 TI - Medical and surgical management of sinusitis. PMID- 18133798 TI - The significance of pleural effusion: a report of 100 cases. PMID- 18133800 TI - The use of dermal grafts for tuberculous stenosis of the trachea and bronchi. PMID- 18133801 TI - Behavior problems in pediatric practice. PMID- 18133802 TI - Some factors in children's school adjustment. PMID- 18133803 TI - [Not Available]. PMID- 18133804 TI - [Hydro-saline-proteic balance thru a parenteralapproach]. PMID- 18133805 TI - [Sulfa drugs and penicillin in the treatment of acute otitis media and its complications; comparative study]. PMID- 18133806 TI - [Vaccination against tuberculosis (BCG) in Juiz de Fora]. PMID- 18133807 TI - [Features of anti-tetanus toxin after treatment with formaldehyde]. PMID- 18133809 TI - [Masks]. PMID- 18133808 TI - [Tuberculosis verrucosa]. PMID- 18133810 TI - [Typhoid fever in Porto Alegre; contribution to the study]. PMID- 18133811 TI - [Vitamins and vascular diseases]. PMID- 18133812 TI - The laboratory in diagnosis and control of disease. PMID- 18133813 TI - Diagnostic clinic for rehabilitation. PMID- 18133814 TI - Prevention of gonorrhea with penicillin tablets. PMID- 18133815 TI - Headache associated with pathologic changes in cervical part of spine. PMID- 18133816 TI - [Not Available]. PMID- 18133817 TI - Hemochromatosis; report of a case in a white female without diabetes. PMID- 18133818 TI - The doctor as a citizen. PMID- 18133819 TI - The hematologic changes induced in guinea pigs by the prolonged administration of pteroyl glutamic acid antagonists. PMID- 18133821 TI - Dietary and hormonal influences in experimental uremia. PMID- 18133820 TI - The effects of nitrogen mustard on induced erythroblastic hyperplasia in rabbits. PMID- 18133822 TI - Effect of an acid and alkaline salt on the urinary excretion of iron. PMID- 18133823 TI - A consideration of some factors in urine which cause the precipitation of hemoglobin in vitro. PMID- 18133824 TI - The use of hypertonic solutions for enteric perfusion. PMID- 18133825 TI - Progressive changes in liver composition, function, body fluids, and liver cytology during protein depletion in the rat and the effect of choline upon these changes. PMID- 18133826 TI - Bromsulfalein clearance. PMID- 18133827 TI - The concentration of component A in blood, its assay and relation to the labile factor. PMID- 18133828 TI - Intensive immunization of an already sensitized Rh-negative woman; birth of a mildly diseased baby. PMID- 18133829 TI - A re-evaluation of papaverine in the treatment of angina pectoris. PMID- 18133831 TI - The appraisal of anticholinergic activity by prevention of methacholine-induced fatal bronochospasm in guinea pigs. PMID- 18133832 TI - Further studies on enhancement of heterophile agglutination titers by means of serum diluent. PMID- 18133830 TI - Semiweekly treatment of syphilis with procaine penicillin in oil; reactions and preliminary results in 228 patients. PMID- 18133834 TI - A simple method for aseptic grinding of small amounts of tissue. PMID- 18133833 TI - A comparison of eosin-acetone and phloxine-propylene glycol diluents in eosinophil counts. PMID- 18133835 TI - Preservation of viruses in a mechanical refrigerator at -25 degrees C. PMID- 18133836 TI - A macerator for small samples of tissue. PMID- 18133837 TI - Primary epithelioma of the ureter. PMID- 18133838 TI - A roentgenometric study of the female pelvis. PMID- 18133839 TI - Chronic pulmonary emphysema and cor pulmonale. PMID- 18133840 TI - Antibiotics in the treatment of infections. PMID- 18133841 TI - Diagnosis and management of small bowel obstruction. PMID- 18133842 TI - Contact dermatitis due to topical anesthetics. PMID- 18133843 TI - Rheumatism. PMID- 18133844 TI - The role of X-ray therapy in non-tumorous conditions. PMID- 18133845 TI - Solitary eosinophilic granuloma of bone. PMID- 18133846 TI - Pregnancy complicated by lymphogranuloma venereum with colostomy. PMID- 18133848 TI - [Not Available]. PMID- 18133847 TI - [Pleural empyema no bacilli; evolution, pathophysiology, treatment]. PMID- 18133849 TI - [Not Available]. PMID- 18133850 TI - [Not Available]. PMID- 18133851 TI - [Not Available]. PMID- 18133852 TI - [Not Available]. PMID- 18133853 TI - [Not Available]. PMID- 18133854 TI - [Not Available]. PMID- 18133855 TI - [Not Available]. PMID- 18133856 TI - [Not Available]. PMID- 18133857 TI - [Not Available]. PMID- 18133858 TI - [Not Available]. PMID- 18133859 TI - [Not Available]. PMID- 18133860 TI - [Not Available]. PMID- 18133861 TI - [Not Available]. PMID- 18133862 TI - [Not Available]. PMID- 18133863 TI - [Not Available]. PMID- 18133864 TI - [Not Available]. PMID- 18133865 TI - [Not Available]. PMID- 18133866 TI - [Not Available]. PMID- 18133867 TI - The diagnosis and pathogenesis of tropical sprue. PMID- 18133868 TI - Modification of the cardiac output after intravenous injection of hypertonic glucose solution. PMID- 18133869 TI - Studies in hepatic glycogen storage; adrenalin-induced hyperglycemia as an index of liver function. PMID- 18133870 TI - The normal roentgenogram of the chest in infants and children. PMID- 18133871 TI - [Not Available]. PMID- 18133872 TI - Toxemias of pregnancy; etiology and early diagnosis of the toxemias of late pregnancy. PMID- 18133873 TI - The pathology of the toxemias of late pregnancy. PMID- 18133874 TI - The treatment of the toxemias of late pregnancy. PMID- 18133875 TI - Goniotomy for congenital glaucoma. PMID- 18133876 TI - Medical aspects of atomic explosion. PMID- 18133877 TI - Use of chip bone graft in long bones; a preliminary report. PMID- 18133878 TI - Bilateral traumatic hip dislocations. PMID- 18133879 TI - Positive pressure arthrodesis of the knee. PMID- 18133880 TI - Avascular bone necrosis. PMID- 18133881 TI - [Not Available]. PMID- 18133882 TI - [Not Available]. PMID- 18133883 TI - [Not Available]. PMID- 18133884 TI - [Not Available]. PMID- 18133885 TI - [Not Available]. PMID- 18133886 TI - [Not Available]. PMID- 18133887 TI - Comparison of anthisan (mepyramine maleate) and phenergan as histamine antagonists. PMID- 18133888 TI - Vaccination with the murine type of tubercle bacillus (vole bacillus). PMID- 18133889 TI - Active constriction of hepatic venous tree in anaphylactic shock; relation to centrilobular lesions. PMID- 18133890 TI - The ointment bases of the British Pharmacopoeia. PMID- 18133891 TI - [Experience with the American strains of penicillia in the production of penicillin]. PMID- 18133892 TI - [Treatment of burns in the children's hospital in Brno]. PMID- 18133893 TI - [Diagnosis and treatment of prostatitis and inflammation of seminal vesicles]. PMID- 18133894 TI - [Therapy of the polycythemia vera by urethane]. PMID- 18133895 TI - [Hospitalization of children in Moravia]. PMID- 18133896 TI - [Not Available]. PMID- 18133897 TI - [Not Available]. PMID- 18133898 TI - [Not Available]. PMID- 18133899 TI - Aureomycin in various infections; report of 180 cases and review of the clinical literature. PMID- 18133901 TI - Psychiatric aspects of asthma. PMID- 18133900 TI - The operative treatment of ureteral strictures. PMID- 18133902 TI - Prepayment medical care in industry. PMID- 18133903 TI - [Not Available]. PMID- 18133904 TI - [Not Available]. PMID- 18133905 TI - [Not Available]. PMID- 18133906 TI - [Not Available]. PMID- 18133907 TI - Modern trends in the treatment of alcoholism. PMID- 18133908 TI - Anaemia in infancy. PMID- 18133909 TI - Diagnosis and treatment of tuberculosis of the hip joint in children. PMID- 18133910 TI - Epilepsy. PMID- 18133911 TI - A fragment of the vast subject of multiple developmental abnormalities. PMID- 18133912 TI - Cardiac rate and rhythm. PMID- 18133913 TI - Oral focal infection as cause for diseases of the organs of the upper abdomen, especially the liver; the diagnostic importance of the blood count. PMID- 18133914 TI - Cardiac arrest in uremia associated with potassium intoxication. PMID- 18133915 TI - Nasal polyposis; prevention of recurrence. PMID- 18133916 TI - Volvulus of the cecum associated with acute gangrenous appendicitis. PMID- 18133917 TI - The modern concept of the diagnosis and treatment of acute pancreatitis. PMID- 18133918 TI - Congenital heart disease. PMID- 18133919 TI - Anesthesia for tonsillectomy and adenoidectomy in children. PMID- 18133920 TI - Simpler means of releasing nervous tension. PMID- 18133921 TI - The University of Texas, M. D. Anderson Hospital for Cancer Research. PMID- 18133922 TI - A discussion of medico-socio-sexual conditions. PMID- 18133923 TI - Sinusitis. PMID- 18133924 TI - A causal cure of cancer by endogenous endocrinotherapy. PMID- 18133925 TI - Public health in London 100 years ago. PMID- 18133926 TI - [Not Available]. PMID- 18133927 TI - [Not Available]. PMID- 18133928 TI - [Not Available]. PMID- 18133929 TI - [Not Available]. PMID- 18133930 TI - [Not Available]. PMID- 18133931 TI - [Not Available]. PMID- 18133932 TI - [Not Available]. PMID- 18133933 TI - [Not Available]. PMID- 18133934 TI - [Not Available]. PMID- 18133935 TI - [Not Available]. PMID- 18133936 TI - [Not Available]. PMID- 18133937 TI - [Not Available]. PMID- 18133939 TI - [Not Available]. PMID- 18133938 TI - [Not Available]. PMID- 18133940 TI - [Not Available]. PMID- 18133941 TI - [Not Available]. PMID- 18133942 TI - [Not Available]. PMID- 18133943 TI - [Not Available]. PMID- 18133944 TI - [Not Available]. PMID- 18133945 TI - [Not Available]. PMID- 18133946 TI - [Not Available]. PMID- 18133947 TI - [Not Available]. PMID- 18133948 TI - [Not Available]. PMID- 18133949 TI - [Not Available]. PMID- 18133950 TI - [Not Available]. PMID- 18133951 TI - [Not Available]. PMID- 18133952 TI - [Not Available]. PMID- 18133953 TI - [Not Available]. PMID- 18133954 TI - [Not Available]. PMID- 18133955 TI - [Not Available]. PMID- 18133956 TI - [Not Available]. PMID- 18133957 TI - [Not Available]. PMID- 18133958 TI - [Not Available]. PMID- 18133959 TI - [Not Available]. PMID- 18133960 TI - [Not Available]. PMID- 18133961 TI - [Not Available]. PMID- 18133962 TI - [Not Available]. PMID- 18133963 TI - [Not Available]. PMID- 18133964 TI - [Not Available]. PMID- 18133965 TI - [Not Available]. PMID- 18133967 TI - [Not Available]. PMID- 18133966 TI - [Not Available]. PMID- 18133968 TI - [Not Available]. PMID- 18133969 TI - [Not Available]. PMID- 18133970 TI - [Not Available]. PMID- 18133972 TI - [Not Available]. PMID- 18133971 TI - [Not Available]. PMID- 18133973 TI - [Not Available]. PMID- 18133974 TI - [Not Available]. PMID- 18133975 TI - [Not Available]. PMID- 18133976 TI - [Not Available]. PMID- 18133977 TI - [Not Available]. PMID- 18133978 TI - [Not Available]. PMID- 18133979 TI - [Not Available]. PMID- 18133980 TI - [Not Available]. PMID- 18133981 TI - [Not Available]. PMID- 18133982 TI - [Not Available]. PMID- 18133983 TI - [Not Available]. PMID- 18133984 TI - [Not Available]. PMID- 18133985 TI - [Not Available]. PMID- 18133986 TI - [Not Available]. PMID- 18133987 TI - [Not Available]. PMID- 18133988 TI - [Not Available]. PMID- 18133989 TI - [Not Available]. PMID- 18133990 TI - [Not Available]. PMID- 18133991 TI - [Not Available]. PMID- 18133992 TI - [Not Available]. PMID- 18133993 TI - [Not Available]. PMID- 18133994 TI - [Not Available]. PMID- 18133995 TI - [Not Available]. PMID- 18133996 TI - Effect on fat absorption of tween 80 given orally; a preliminary report. PMID- 18133997 TI - The small intestine; roentgen anatomy and methods of study. PMID- 18133998 TI - Recent advances in surgery. PMID- 18133999 TI - Roentgenologic manifestations of some unusual gastro-intestinal lesions. PMID- 18134000 TI - Proteolytic enzyme inhibitors of human serum in health and disease. PMID- 18134001 TI - Arterial hypertension produced by experimental stenosis of the thoracic aorta. PMID- 18134002 TI - The blood volume of the adult rat, as determined by Fe59 and P32 labeled red cells. PMID- 18134003 TI - Serum cholineterase in hyperthyroidism. PMID- 18134004 TI - Relationship between protein osmotic pressure and density in plasma from cats, dogs, and humans. PMID- 18134005 TI - Xanthine and mercurial dieuretics and renal tubular transport of glucose and p aminohippurate in the dog. PMID- 18134006 TI - Absorption of manganese by the thyroid gland of the guinea pig. PMID- 18134007 TI - Effect of the D and L-isomers of isoamidone on the permeability of dog erythrocytes. PMID- 18134008 TI - Interrelationship of vitamin B12 and choline; effect on hemorrhagic kidney syndrome in the rat. PMID- 18134009 TI - Relation of oxygen and temperature in the preservation of tissues by refrigeration. PMID- 18134010 TI - Sterilization of skin. PMID- 18134011 TI - Interrelationship of vitamin B12 and choline; effect on growth of the chick. PMID- 18134012 TI - An oxygenator with increased capacity; multiple vertical revolving cylinders. PMID- 18134013 TI - Hemagglutination by normal and poliomyelitis stool suspensions. PMID- 18134014 TI - Increased portal pressure and ascites in rats following ligation of portal vein. PMID- 18134015 TI - Dosage-mortality in rats given total body roentgen irradiation. PMID- 18134016 TI - Resemblance of a strain of swine influenza virus to human A-prime strains. PMID- 18134017 TI - The hyperglycemic action of some analogs of epinephrine. PMID- 18134018 TI - Further investigations on Donovania granulomatis. PMID- 18134019 TI - Effect of cortical extract and other agents on eosinophilia of mice infected with Trichina spiralis. PMID- 18134020 TI - Effect of pteroylglutamic acid and vitamin B12 on growth of Rous tumor implants. PMID- 18134021 TI - Adsorption of urinary gonadotrophins on kaolin. PMID- 18134022 TI - Streptomycin-producing capacity of different strains of Streptomyces griseus. PMID- 18134023 TI - Effect of tetraethylammonium bromide on adrenal medulla. PMID- 18134024 TI - Tumorous growths in the pituitary and trachea following radiotoxic dosages of I131. PMID- 18134025 TI - Influence of environment on preweaning growth of the rat; dietary regimen of the young. PMID- 18134026 TI - Electrical precipitation of egg-white inhibitor of influenza virus hemagglutination. PMID- 18134027 TI - Chymotrypsin in cancer. PMID- 18134028 TI - Ineffectiveness of chymotrypsin therapy in malignancy. PMID- 18134029 TI - Action of chloromycetin on Salmonella. PMID- 18134030 TI - Staphylocoagulation in plasmas of various animal species. PMID- 18134031 TI - Species reactivity to staphylokinase. PMID- 18134032 TI - Effects of urethane on living tissue. PMID- 18134033 TI - Anticonvulsant action of 2-substituted-1,3-propanediols. PMID- 18134034 TI - The golden hamster (Cricetus auratus) as an experimental animal for poliomyelitis research. PMID- 18134035 TI - Correction of steatorrhea in bile fistula dogs by frequent return of bile. PMID- 18134036 TI - Observations on experimental dental caries; influence of pregnancy. PMID- 18134037 TI - Evidence for a steroid compound in cane juice possessing antistiffness activity. PMID- 18134038 TI - Electron microscope studies of the vesicle and spinal fluids from a case of herpes zoster. PMID- 18134039 TI - Nature of the plasma factor responsible for in vitro lysis of leucocytes by tuberculoprotein. PMID- 18134040 TI - The precipitating effect of methanol on viruses. PMID- 18134041 TI - Comparison of Newcastle virus in hamsters exposed by intracerebral injection and intranasal instillation. PMID- 18134042 TI - The stability and the stabilization of testicular hyaluronidase. PMID- 18134043 TI - Sympatholytic effects of diethylaminoethanol in man. PMID- 18134044 TI - Action of 1-methyl-4-3(3-hydroxyphenyl)-4-piperidyl ethyl ketone on the gastrointestinal tract. PMID- 18134045 TI - Some relationships of folic acid to structurally similar metabolites. PMID- 18134046 TI - Inhibition of the antimalarial activity of chlorguanide by pteroylglutamic acid. PMID- 18134048 TI - Inorganic aging of the plasma layer of tissue cultures. PMID- 18134047 TI - Pancreatic islet hyperplasia in rats force fed high carbohydrate diets. PMID- 18134049 TI - Isolation of three strains of type B influenza virus incompletely related to Lee. PMID- 18134050 TI - Some reactions of the rat to treatment with progesterone and estrone in late pregnancy. PMID- 18134051 TI - Urinary excretion of phosphate following the injection of sodium p aminohippurate. PMID- 18134052 TI - Effect of dietary cholesterol on the metabolic rate of hyperthyroid rats. PMID- 18134053 TI - Calcification of cell cultures in the presence of embryo juice and mamalian sera. PMID- 18134054 TI - [Not Available]. PMID- 18134055 TI - [Not Available]. PMID- 18134056 TI - [Not Available]. PMID- 18134057 TI - [Not Available]. PMID- 18134058 TI - [Not Available]. PMID- 18134060 TI - [Not Available]. PMID- 18134059 TI - [Not Available]. PMID- 18134061 TI - [Not Available]. PMID- 18134062 TI - [Not Available]. PMID- 18134063 TI - [Not Available]. PMID- 18134064 TI - [Not Available]. PMID- 18134065 TI - Modification of the effects of immobilization upon metabolic and physiologic functions of normal men by the use of an oscillating bed. PMID- 18134066 TI - Dynamics of congestive heart failure. PMID- 18134067 TI - [Consaderacoes on polyhydramnios]. PMID- 18134068 TI - [Perinatal-mortality in maternity-Experience]. PMID- 18134069 TI - [Progress of fluoromicroscopia]. PMID- 18134070 TI - [Not Available]. PMID- 18134071 TI - [Not Available]. PMID- 18134072 TI - [Not Available]. PMID- 18134073 TI - [Not Available]. PMID- 18134074 TI - [Not Available]. PMID- 18134075 TI - [Not Available]. PMID- 18134076 TI - [Not Available]. PMID- 18134077 TI - [Not Available]. PMID- 18134078 TI - [Not Available]. PMID- 18134080 TI - [Acanthosis nigricans]. PMID- 18134081 TI - [The cytology as an auxiliary method in the diagnosis and treatment of menstrual disorders and early diagnosis of genital malignancies]. PMID- 18134079 TI - [Notes upon the elimination of Schistosoma mansoni eggs in feces of guinea pigs and rabbits experimentally infested]. PMID- 18134082 TI - [Simple action of adrenaline and oil on peripheral blood leukocytes in man]. PMID- 18134083 TI - [The ligation of the inferior vena cava in the treatment of heart failure irreducible]. PMID- 18134084 TI - [Not Available]. PMID- 18134085 TI - [Not Available]. PMID- 18134086 TI - [Not Available]. PMID- 18134087 TI - [Not Available]. PMID- 18134088 TI - The treatment of schizophrenia. PMID- 18134089 TI - The positive approach in drug therapy. PMID- 18134091 TI - B.C.G. PMID- 18134090 TI - Progress in the antibiotics. PMID- 18134092 TI - [Not Available]. PMID- 18134093 TI - [Not Available]. PMID- 18134094 TI - [Not Available]. PMID- 18134095 TI - [Not Available]. PMID- 18134096 TI - [Not Available]. PMID- 18134097 TI - [Not Available]. PMID- 18134098 TI - [Not Available]. PMID- 18134099 TI - [Not Available]. PMID- 18134100 TI - [Not Available]. PMID- 18134101 TI - [Not Available]. PMID- 18134102 TI - [Not Available]. PMID- 18134103 TI - [Not Available]. PMID- 18134104 TI - [Not Available]. PMID- 18134105 TI - [Not Available]. PMID- 18134106 TI - [Not Available]. PMID- 18134108 TI - [Not Available]. PMID- 18134107 TI - [Not Available]. PMID- 18134109 TI - [Not Available]. PMID- 18134110 TI - [Not Available]. PMID- 18134111 TI - [Not Available]. PMID- 18134112 TI - [Not Available]. PMID- 18134113 TI - [Not Available]. PMID- 18134114 TI - [Not Available]. PMID- 18134115 TI - [Not Available]. PMID- 18134116 TI - [Not Available]. PMID- 18134117 TI - [Not Available]. PMID- 18134118 TI - [Not Available]. PMID- 18134119 TI - [Not Available]. PMID- 18134120 TI - [Not Available]. PMID- 18134121 TI - [Not Available]. PMID- 18134123 TI - [Not Available]. PMID- 18134122 TI - [Not Available]. PMID- 18134124 TI - [Not Available]. PMID- 18134125 TI - [Not Available]. PMID- 18134126 TI - [Not Available]. PMID- 18134127 TI - [Not Available]. PMID- 18134128 TI - [Not Available]. PMID- 18134129 TI - [Not Available]. PMID- 18134131 TI - Treatment of the hospitalized mentally ill. PMID- 18134130 TI - [Not Available]. PMID- 18134132 TI - A study of the adrenergic blocking agent, dibenamine. PMID- 18134133 TI - Porphyria. PMID- 18134134 TI - [Latest acquisitions in cardiology in North America]. PMID- 18134135 TI - [Radioactive isotopes in medicine]. PMID- 18134136 TI - [Clinical aspects of the heart in pregnancy, heart disease and pregnancy]. PMID- 18134137 TI - [A clinical case of genital malformation with fibroids]. PMID- 18134138 TI - [Not Available]. PMID- 18134139 TI - [Not Available]. PMID- 18134140 TI - [Not Available]. PMID- 18134141 TI - [Not Available]. PMID- 18134142 TI - [Not Available]. PMID- 18134143 TI - [Not Available]. PMID- 18134144 TI - [Not Available]. PMID- 18134145 TI - [Not Available]. PMID- 18134146 TI - [Not Available]. PMID- 18134147 TI - [Not Available]. PMID- 18134148 TI - [Not Available]. PMID- 18134149 TI - [Not Available]. PMID- 18134150 TI - [Not Available]. PMID- 18134151 TI - [Not Available]. PMID- 18134153 TI - [Not Available]. PMID- 18134152 TI - [Not Available]. PMID- 18134155 TI - [Not Available]. PMID- 18134154 TI - [Not Available]. PMID- 18134156 TI - [Not Available]. PMID- 18134157 TI - [Not Available]. PMID- 18134158 TI - [Not Available]. PMID- 18134160 TI - [Not Available]. PMID- 18134159 TI - [Not Available]. PMID- 18134161 TI - [Not Available]. PMID- 18134162 TI - Cancer of the colon and rectum; with special reference to earlier recognition of alimentary tract malignancy; secondary delayed re-entry of the abdomen in patients exhibiting lymph node involvement; subtotal primary excision of the colon; operation in obstruction. PMID- 18134163 TI - Clinical allergy for the nose and throat specialist. PMID- 18134164 TI - The care of hip fracture in a rural community. PMID- 18134165 TI - Carcinoma of the ampulla of Vater. PMID- 18134166 TI - On the use of animals for the health of man. PMID- 18134167 TI - Present status of air disinfection. PMID- 18134168 TI - Aeromedical aspects of jet propelled aircraft; problems of high speed flight. PMID- 18134169 TI - The role of the visiting nurse on a military post. PMID- 18134170 TI - Local antibiotic therapy of tuberculous sinuses. PMID- 18134171 TI - Use of oil anesthetics in rectal diseases. PMID- 18134172 TI - A case of concurrent Boeck's sarcoid and Hodgkin's disease. PMID- 18134173 TI - Acute subacute bacterial endocarditis. PMID- 18134175 TI - [Not Available]. PMID- 18134174 TI - [Not Available]. PMID- 18134176 TI - [Not Available]. PMID- 18134177 TI - [Not Available]. PMID- 18134178 TI - [Not Available]. PMID- 18134180 TI - SWIMMING pools and bathing areas. PMID- 18134179 TI - [Not Available]. PMID- 18134181 TI - HEIGHT distributions of recruits. PMID- 18134182 TI - MANPOWER loss due to nephritis. PMID- 18134183 TI - ISOTOPE laboratory at Army Medical Center. PMID- 18134184 TI - encephalitis. PMID- 18134185 TI - Jaundice, an unusual case. PMID- 18134186 TI - SOME new therapeutic agents. PMID- 18134187 TI - Fevers of obscure origins. PMID- 18134188 TI - [Not Available]. PMID- 18134189 TI - [Not Available]. PMID- 18134190 TI - [Not Available]. PMID- 18134191 TI - [Not Available]. PMID- 18134192 TI - [Not Available]. PMID- 18134193 TI - [Not Available]. PMID- 18134195 TI - [Not Available]. PMID- 18134194 TI - [Not Available]. PMID- 18134196 TI - [Not Available]. PMID- 18134197 TI - Psychology and psychiatry; a dialogue. PMID- 18134198 TI - The psychiatric consultation. PMID- 18134199 TI - Psychological problems of children with organic brain disease. PMID- 18134200 TI - Indications for residential treatment of children with severe neuropsychiatric problems. PMID- 18134201 TI - Psychiatry, psychology and seizures. PMID- 18134202 TI - The group worker and psychiatry. PMID- 18134203 TI - The social structure of the hospital as a factor in total therapy. PMID- 18134204 TI - The psychiatric implications of the failing student. PMID- 18134205 TI - The role of the nursery school in direct association with a family case work agency. PMID- 18134206 TI - The role of the nursery school in a child guidance clinic. PMID- 18134207 TI - A study of the German prisoners of war. PMID- 18134208 TI - Effects of ultraviolet radiation on the exposed brain. PMID- 18134209 TI - Electroencephalographic changes after prefrontal lobotomy; with particular reference to the effect of lobotomy on sleep spindles. PMID- 18134210 TI - The phobic syndrome; a study of 86 patients with phobic reactions. PMID- 18134211 TI - Comparison of adjunct group therapy with individual psychotherapy. PMID- 18134212 TI - Observations on major and minor causalgia. PMID- 18134213 TI - Studies on the occipital lobe; significance of small areas of preserved central vision. PMID- 18134214 TI - Allesthesia and disturbance of the body scheme. PMID- 18134215 TI - Walshe's textbook on Diseases of the nervous system; critical comments. PMID- 18134216 TI - Effect of curare on cortical responses evoked by afferent stimulation. PMID- 18134217 TI - Unipolar electromyograms of normal and denervated human muscle. PMID- 18134218 TI - Action potentials of cerebellar cortex in response to local electrical stimulation. PMID- 18134219 TI - Selective destruction of large motoneurons by poliomyelitis virus; conduction velocity of motor nerve fibers of chronic poliomyelitis patients. PMID- 18134220 TI - Synaptic facilitation in the crayfish. PMID- 18134221 TI - Excitability cycle and interaction in geniculate-striate system of cat. PMID- 18134222 TI - Caries cranii; tuberculosis of the flat bones of the vault of the skull. PMID- 18134223 TI - Cerebral hemispherectomy; report of a case 10 years after operation. PMID- 18134224 TI - Traumatic subdural hematoma; acute, subacute and chronic; an analysis of 70 operated cases. PMID- 18134225 TI - The use of dry oxidized cellulose as a primary hemostatic agent in neurosurgery. PMID- 18134226 TI - Arnold-Chiari deformity without bony anomalies. PMID- 18134227 TI - A note on identification of the motor supply to the detrusor during anterior dorsolumbar rhizotomy. PMID- 18134228 TI - Duplication of the spinal cord; an account of a clinical example with a consideration of other reports. PMID- 18134229 TI - Cyst of the fifth ventricle treated by intraventricular drainage. PMID- 18134230 TI - Effect of maternal nutrition upon pregnancy and the newborn. PMID- 18134231 TI - New York State Nutrition Survey; a one-day study of food intake of adults. PMID- 18134232 TI - Cultural patterning of nutritionally relevant behavior. PMID- 18134233 TI - Carious lesions in cotton rat molars; effect of the particle size and the consistency of the purified ration on the incidence and type of carious lesions. PMID- 18134234 TI - Determination of some essential amino acids in several uncooked and cooked Mexican foodstuffs. PMID- 18134235 TI - The value of rutin and quercetin in scurvy. PMID- 18134236 TI - The effect of retention of nitrogen in casein of lactalbumin hydrolysates on the regeneration of plasma proteins of protein-depleted dogs. PMID- 18134237 TI - The enhancement of the nutritive value of wheat gluten by supplementation with lysine, as determined from nitrogen balance indices in human subjects. PMID- 18134238 TI - Influence of thyroid on utilization of vitamin A. PMID- 18134239 TI - Vitamin studies in middle aged and old individuals; thiamine and pyruvic acid blood concentrations. PMID- 18134240 TI - Studies on the comparative nutritive value of fats; on the possible growth promoting activity of delta 12 octadecenoic acid. PMID- 18134242 TI - Arteriography of the lower limbs. PMID- 18134241 TI - The detection and polarometric estimation of sulphide sulphur in bacterial cultures. PMID- 18134244 TI - Retention of urine. PMID- 18134243 TI - The radiology of rheumatic heart disease. PMID- 18134245 TI - Chronic ileus caused by malignant invasion of the posterior abdominal wall. PMID- 18134246 TI - Phenology of British hay-fever plants and its significance to allergists. PMID- 18134247 TI - [Not Available]. PMID- 18134248 TI - Studies on the comparative nutritive value of fats; the digestibility of rapeseed and cottonseed oils in human subjects. PMID- 18134250 TI - An objective high speed photographic technique for simultaneously recording changes in accommodation and convergence. PMID- 18134249 TI - Nutritive properties of protein in different cuts of beef. PMID- 18134251 TI - High myopia and vertical phoria corrected with contact lenses; a case report. PMID- 18134252 TI - A modification of Javal's rule for the correction of astigmatism. PMID- 18134253 TI - Report on the Renshaw stereodisparator. PMID- 18134254 TI - Bifocals for prepresbyopic patient with visual fatigue; a case report. PMID- 18134255 TI - OPTOMETRY in the Medical Corps. PMID- 18134256 TI - Advice to the cataract patient. PMID- 18134257 TI - [Not Available]. PMID- 18134258 TI - Plesiotherapic treatment (chaoultherapy) of some deep ocular affections. PMID- 18134259 TI - [Not Available]. PMID- 18134260 TI - A healed case of embolia rami temporalis arteriae centralis retinae. PMID- 18134261 TI - [Not Available]. PMID- 18134262 TI - Glaucoma treatment by furnethide and diisopropylfluorophosphate. PMID- 18134263 TI - A case of reading dysfunction. PMID- 18134264 TI - The role of Massachusetts school in optometric education. PMID- 18134265 TI - [The color blindness]. PMID- 18134266 TI - [Eye director]. PMID- 18134267 TI - [Not Available]. PMID- 18134268 TI - [Not Available]. PMID- 18134269 TI - [Not Available]. PMID- 18134270 TI - [Not Available]. PMID- 18134271 TI - [Not Available]. PMID- 18134272 TI - [Not Available]. PMID- 18134273 TI - Otosclerosis; theory of its origin and development. PMID- 18134274 TI - Inhalation of penicillin and streptomycin in office practice. PMID- 18134275 TI - Study on the range of usefulness of a new dual form intranasal medicament. PMID- 18134276 TI - Tympanosympathetic anesthesia for tinnitus aurium and secondary otalgia. PMID- 18134277 TI - Uvula and tonsils. PMID- 18134278 TI - Improved method of applying a medicinal solution to the middle meatus of the nasal chamber. PMID- 18134279 TI - [Not Available]. PMID- 18134280 TI - [Not Available]. PMID- 18134281 TI - [Not Available]. PMID- 18134282 TI - Hematology. PMID- 18134283 TI - Psychosomatic aspects of diseases of the ear, nose and throat. PMID- 18134284 TI - The use of sodium pentothal anesthesia in adult tonsillectomies. PMID- 18134285 TI - The problems of tonsillectomy and tracheotomy in relation to poliomyelitis. PMID- 18134286 TI - Cancer of the face; treatment and plastic repair. PMID- 18134287 TI - The human ear as an analyzer of sound. PMID- 18134288 TI - Dysphagia and extraesophageal pathology; a clinical review of some of the important surgical lesions from the endoscopic viewpoint. PMID- 18134289 TI - Continuous pharyngeal suction during tonsillectomy under local anesthesia. PMID- 18134290 TI - The relationship of swimming and diving to sinusitis and hearing loss. PMID- 18134292 TI - Serum copper levels in pregnancy and in pre-eclampsia. PMID- 18134295 TI - Studies in vitro on the maturation of erythroblasts in normal and pathological conditions. PMID- 18134296 TI - Dextran as a medium for the demonstration of incomplete anti-Rh-agglutinins; preliminary report. PMID- 18134299 TI - [Not Available]. PMID- 18134300 TI - [Not Available]. PMID- 18134302 TI - [Not Available]. PMID- 18134301 TI - [Not Available]. PMID- 18134303 TI - [Not Available]. PMID- 18134304 TI - [Not Available]. PMID- 18134305 TI - [Not Available]. PMID- 18134306 TI - [Not Available]. PMID- 18134307 TI - [Not Available]. PMID- 18134308 TI - [Not Available]. PMID- 18134309 TI - [Not Available]. PMID- 18134310 TI - [Not Available]. PMID- 18134311 TI - [Not Available]. PMID- 18134312 TI - [Not Available]. PMID- 18134313 TI - [Not Available]. PMID- 18134314 TI - [Not Available]. PMID- 18134315 TI - [Not Available]. PMID- 18134316 TI - [Not Available]. PMID- 18134317 TI - [Not Available]. PMID- 18134318 TI - Astroblastoma of the cerebellum in an infant; report of a case. PMID- 18134319 TI - Causes and symptoms of dyslexia; reading difficulties. PMID- 18134320 TI - Injuries and infections of newborn children. PMID- 18134321 TI - Survey of poliomyelitis cases for 1948. PMID- 18134322 TI - Otitic hydrocephalus meningeal hydrops; case report. PMID- 18134323 TI - Evaluation of laboratory data obtained from proven cases of jaundice. PMID- 18134324 TI - Foreign body of the trachea, most likely organic vegetal. PMID- 18134325 TI - [Not Available]. PMID- 18134326 TI - [Not Available]. PMID- 18134327 TI - [Not Available]. PMID- 18134328 TI - Vitamin B12. PMID- 18134330 TI - [Not Available]. PMID- 18134329 TI - Antacids; their function, formulation and evaluation. PMID- 18134331 TI - [Not Available]. PMID- 18134332 TI - Methods of drug administration. PMID- 18134333 TI - NO vitamin A deficiency. PMID- 18134334 TI - MORPHINE. PMID- 18134335 TI - Standard dimensions for tablets. PMID- 18134336 TI - Carnauba wax, adulterated? PMID- 18134337 TI - The medullary origin of respiratory periodicity in the dog. PMID- 18134338 TI - Localization of the site of action of a pulmonary irritant, diphosgene. PMID- 18134339 TI - Effect of variations in nutritive density on intake of food of dogs and rats. PMID- 18134341 TI - A comparison of the propulsive motility of the small intestine in adult dogs and pups. PMID- 18134340 TI - Secretion of gastric mucin in response to sham-feeding and histamine stimulation. PMID- 18134342 TI - Effect of intravenous calcium salts on renal excretion in the dog. PMID- 18134343 TI - Effect of urea diuresis on renal excretion of electrolytes. PMID- 18134344 TI - Capillary permeability, rate of transcapillary exchange of chloride in the guinea pig as determined with radiochloride. PMID- 18134345 TI - Volume elastic properties of the right and left atrium. PMID- 18134346 TI - Metabolism of cardiac muscle; utilization of C14 labeled pyruvate and acetate by rat heart slices. PMID- 18134347 TI - Metabolism of cardiac muscle; utilization of C14 labeled pyruvate and acetate in diabetic rat heart and diaphragm. PMID- 18134348 TI - Metabolism of the heart in relation to drug action; effects of various substrates upon the isolated perfused rat heart. PMID- 18134349 TI - Action of a new phosphorylation derivative of thiamine on the heart; a study of thiamine triphosphoric acid. PMID- 18134350 TI - Transformation of the arterial pulse wave between the aortic arch and the femoral artery. PMID- 18134351 TI - Arterial pulse dynamics in aortic insufficiency. PMID- 18134352 TI - Observations on the hepatic venous circulation with special reference to the sphincteric mechanism. PMID- 18134353 TI - Hypoprothrombinemia due to loss of lymph. PMID- 18134354 TI - Effect of ascorbic acid, d-isoascorbic acid and glucoascorbic acid on cobalt polycythemia in the rat and rabbit. PMID- 18134355 TI - Reactivity of blood vessels in the sympathectomized human leg. PMID- 18134356 TI - The precedence effect in sound localization. PMID- 18134357 TI - Temporal factors in figural aftereffects. PMID- 18134358 TI - A reformulation of the Fechner law in terms of adaptation-level applied to rating scale data. PMID- 18134359 TI - The influence of isolation on the learning of surrounding materials. PMID- 18134360 TI - An experimental examination of the non-selective principle of association of drive-stimuli. PMID- 18134361 TI - Some phenomena attendant on long fixation. PMID- 18134362 TI - The influence of isolation on immediate memory. PMID- 18134363 TI - Specification of sound-pressure levels. PMID- 18134364 TI - An apparatus for the study of form-preference. PMID- 18134365 TI - The relation of body morphology to galvanic skin conductance and response. PMID- 18134366 TI - Determinants of level of aspiration; evidence from everyday life. PMID- 18134367 TI - Personality changes in psychotics following prefrontal lobotomy. PMID- 18134368 TI - Effects of participatory vs supervisory leadership on group judgment. PMID- 18134369 TI - Delinquency and only children; study of a category. PMID- 18134370 TI - A rigorous criterion of feeblemindedness. PMID- 18134371 TI - An experimental approach to preventive psychotherapy. PMID- 18134372 TI - The adjustment of Army AWOL's. PMID- 18134373 TI - Bisexual factors in curable schizophrenia. PMID- 18134374 TI - The production of antisocial acts under hypnosis. PMID- 18134375 TI - The role of the model in explanation. PMID- 18134376 TI - Relationships between college aptitude and discouragement-buoyancy among college freshmen; experimental procedures. PMID- 18134377 TI - Relationships between college aptitude and discouragement-buoyancy among college freshmen; results and interpretation of findings. PMID- 18134378 TI - Young thinkers and great achievements. PMID- 18134379 TI - Development of interpersonal smiling responses in the preschool years. PMID- 18134380 TI - Social facilitation of feeding behavior in dogs; feeding after satiation. PMID- 18134381 TI - Measurement of vocabularies of young bilingual children in both of the languages used. PMID- 18134382 TI - Comparative study of figure-ground discrimination in preschool children and adults. PMID- 18134383 TI - [Not Available]. PMID- 18134384 TI - [Not Available]. PMID- 18134385 TI - [Not Available]. PMID- 18134386 TI - [Not Available]. PMID- 18134387 TI - The shoes of school children. PMID- 18134388 TI - Water resources and the nation's health. PMID- 18134389 TI - Isolation of Histoplasma capsulatum from soil. PMID- 18134390 TI - A method of supplying cellulose tape to physicians for diagnosis of enterobiasis. PMID- 18134392 TI - [Not Available]. PMID- 18134391 TI - [Not Available]. PMID- 18134393 TI - [Not Available]. PMID- 18134394 TI - [Not Available]. PMID- 18134395 TI - [Not Available]. PMID- 18134396 TI - Sporicidal properties of chlorine dioxide. PMID- 18134397 TI - Determination of first-stage oxygen demand. PMID- 18134398 TI - [Not Available]. PMID- 18134399 TI - [Not Available]. PMID- 18134400 TI - [Not Available]. PMID- 18134401 TI - [Not Available]. PMID- 18134402 TI - [Not Available]. PMID- 18134403 TI - [Not Available]. PMID- 18134404 TI - [Not Available]. PMID- 18134405 TI - [Not Available]. PMID- 18134406 TI - [Not Available]. PMID- 18134407 TI - [Not Available]. PMID- 18134408 TI - [Not Available]. PMID- 18134409 TI - [Not Available]. PMID- 18134410 TI - [Not Available]. PMID- 18134411 TI - [Not Available]. PMID- 18134412 TI - [Not Available]. PMID- 18134413 TI - [Not Available]. PMID- 18134414 TI - [Not Available]. PMID- 18134415 TI - [Not Available]. PMID- 18134416 TI - [Not Available]. PMID- 18134417 TI - [Not Available]. PMID- 18134418 TI - [Not Available]. PMID- 18134419 TI - [Not Available]. PMID- 18134420 TI - [Not Available]. PMID- 18134421 TI - [Not Available]. PMID- 18134422 TI - [Not Available]. PMID- 18134423 TI - [Not Available]. PMID- 18134424 TI - [Not Available]. PMID- 18134425 TI - [Not Available]. PMID- 18134426 TI - [Not Available]. PMID- 18134427 TI - [Not Available]. PMID- 18134428 TI - [Not Available]. PMID- 18134429 TI - [Not Available]. PMID- 18134430 TI - [Not Available]. PMID- 18134431 TI - [Not Available]. PMID- 18134432 TI - [Not Available]. PMID- 18134433 TI - [Not Available]. PMID- 18134434 TI - [Not Available]. PMID- 18134435 TI - [Not Available]. PMID- 18134437 TI - [Not Available]. PMID- 18134436 TI - [Not Available]. PMID- 18134438 TI - The major toxic actions of insecticides. PMID- 18134440 TI - Electronarcosis. PMID- 18134439 TI - Vitamin B12 in pernicious anaemia. PMID- 18134441 TI - Basic principles of paediatric anaesthesia. PMID- 18134442 TI - Congenital blindness (pseudoglioma) occurring as a sex-linked developmental anomaly. PMID- 18134443 TI - Drainage, streptomycin and tuberculosis. PMID- 18134444 TI - Adenoma and cylindroma of the bronchus. PMID- 18134445 TI - Biochemical studies in cancer diagnosis. PMID- 18134446 TI - Chronic bilateral basal pulmonary fibrosis. PMID- 18134447 TI - Surgical therapy of pulmonary tuberculosis at a Veterans Administration chest center. PMID- 18134448 TI - Stomatitis and dermatophytosis coincident to streptomycin therapy. PMID- 18134449 TI - Hydrothorax, ascites, and pelvic endometriosis; report of a case. PMID- 18134450 TI - Tuberculosis control in Ohio State Reformatory with comparative study of 2 year periods. PMID- 18134451 TI - Odontogenic and osteogenic tumours of the jaws. PMID- 18134452 TI - Fibro-fatty tissue and its relation to certain rheumatic syndromes. PMID- 18134453 TI - [Not Available]. PMID- 18134454 TI - [Not Available]. PMID- 18134455 TI - [Not Available]. PMID- 18134456 TI - [Not Available]. PMID- 18134457 TI - [Not Available]. PMID- 18134458 TI - [Not Available]. PMID- 18134459 TI - [Not Available]. PMID- 18134460 TI - [Not Available]. PMID- 18134461 TI - [Not Available]. PMID- 18134462 TI - [Not Available]. PMID- 18134464 TI - [Not Available]. PMID- 18134463 TI - [Not Available]. PMID- 18134465 TI - [Not Available]. PMID- 18134466 TI - [Not Available]. PMID- 18134467 TI - [Not Available]. PMID- 18134468 TI - [Not Available]. PMID- 18134469 TI - [Not Available]. PMID- 18134470 TI - Facial clefts and their surgical management in view of recent research. PMID- 18134471 TI - Blood loss in infant cleft lip and cleft palate surgery. PMID- 18134472 TI - Restoration of major defects of the arm by combination of plastic, orthopedic and neurologic surgical procedures. PMID- 18134473 TI - Dermal grafts for correction of facial defects; a series of 80 cases. PMID- 18134474 TI - Gigantomastia; the two-stage operation for reduction of extremely large breast vs the one-stage technique. PMID- 18134475 TI - Evaluation of principal mamma-plastic procedures. PMID- 18134476 TI - Notes on a case of lip carcinoma. PMID- 18134477 TI - Pigment migration following Z plasty. PMID- 18134478 TI - A new osteotome. PMID- 18134479 TI - Suture scissors for plastic surgery. PMID- 18134480 TI - [Not Available]. PMID- 18134481 TI - [Not Available]. PMID- 18134482 TI - [Not Available]. PMID- 18134483 TI - [Not Available]. PMID- 18134484 TI - Simple tests of ventilatory function for use in the sanatorium or clinic. PMID- 18134485 TI - Phrenic nerve interruption in the treatment of pulmonary tuberculosis; complications and sequelae of phreniclasis. PMID- 18134486 TI - Phrenic nerve interruption in the treatment of pulmonary tuberculosis; the effect of paralyzed hemidiaphragm of the results of homolateral thoracoplasty. PMID- 18134487 TI - Physical therapy in postthoracoplasty; one year's notes and observations. PMID- 18134488 TI - Concerning the location of pulmonary infarction. PMID- 18134489 TI - Factors affecting the in vitro cytolysis of white blood cells by tuberculin. PMID- 18134490 TI - A simplified guinea pig test for tuberculostatic agents. PMID- 18134491 TI - An evaluation of a method of obtaining gastric washings. PMID- 18134492 TI - Pathological and experimental studies of Boeck's sarcoid; report of a case with panarteritis, periarteritis, terminal-hypertension and uremia, and the reproduction of a sarcoid-like lesion in guinea pigs. PMID- 18134493 TI - Erythema induratum Bazin; report of a proved case associated with tuberculous lymphadenitis, completely relieved by tuberculin desensitization. PMID- 18134494 TI - Pulmonary adenomatosis; report of a case. PMID- 18134495 TI - Alkaline phosphatase in amelogenesis. PMID- 18134496 TI - Venous anomalies in a dog; absence of the portal vein; continuity of lower part of inferior vena cava with the azygos vein. PMID- 18134497 TI - Some responses of living blood vessels and connective tissue to testicular grafts in rabbits. PMID- 18134498 TI - Changes in mitochondrial form. PMID- 18134499 TI - The effect of alimentary factors on liver glycogen rhythm and the distribution of glycogen in the liver lobule. PMID- 18134501 TI - Anisotropic lipids in the sebaceous glands of the rabbit. PMID- 18134500 TI - Lymphocytes in the normal epidermis of the rat and of man. PMID- 18134502 TI - The effect of thyroxin injections on growth and epiphyseal closure of the third metacarpal bone in hypophysectomized female rats. PMID- 18134503 TI - Cardiovascular complications of cardiac and noncardiac surgery. PMID- 18134504 TI - The role of analeptic drugs in anesthesiology. PMID- 18134505 TI - Problems encountered in anesthesia as applied to thoracic surgery. PMID- 18134506 TI - Pharmacology of surgical anesthesia. PMID- 18134507 TI - The Rh factor. PMID- 18134508 TI - Culture and rationality. PMID- 18134509 TI - Psychological characteristics of acculturated Wisconsin Ojibwa children. PMID- 18134510 TI - Ethnolinguistics and the study of culture. PMID- 18134511 TI - White's view of a science of culture. PMID- 18134512 TI - SCHOOL of medical illustration. PMID- 18134513 TI - RESEARCH projects recommended by the Committee on Asian Anthropology, National Research Council. PMID- 18134514 TI - The classification of ferns. PMID- 18134515 TI - Biochemical aspects of mammary gland function. PMID- 18134516 TI - Chemical mutagenesis. PMID- 18134517 TI - Palliative irradiation therapy in carcinoma of the breast. PMID- 18134518 TI - Morphological and biological characteristics of X-ray induced transplantable ovarian tumors. PMID- 18134519 TI - Studies in Hodgkin's syndrome; the association of viral hepatitis and Hodgkin's disease; a preliminary report. PMID- 18134520 TI - Morphological and chemical investigation of dermal, elastic, and collagenic tissue during epidermal carcinogenesis. PMID- 18134522 TI - The effect of the embryo of continued serial tumor transplantation in the yolk sac. PMID- 18134521 TI - The distribution of radioactive iodine in rats with and without Walker tumor 256 after injection of radioactive sodium iodide. PMID- 18134523 TI - The carcinogenic activities of certain analogues of 2-acetyl-aminofluorene in the rat. PMID- 18134524 TI - [Not Available]. PMID- 18134525 TI - [Not Available]. PMID- 18134526 TI - [Not Available]. PMID- 18134527 TI - [Not Available]. PMID- 18134528 TI - [Not Available]. PMID- 18134529 TI - [Not Available]. PMID- 18134530 TI - [Not Available]. PMID- 18134531 TI - [Not Available]. PMID- 18134532 TI - [Not Available]. PMID- 18134533 TI - [Not Available]. PMID- 18134534 TI - [Not Available]. PMID- 18134535 TI - [Not Available]. PMID- 18134536 TI - [Not Available]. PMID- 18134537 TI - [Not Available]. PMID- 18134538 TI - Spontaneous and nitrogen mustard-induced nutritional deficiencies in Saccharomyces cerevisiae. PMID- 18134539 TI - Chinese tallow nut protein; nutritive value. PMID- 18134540 TI - Changes in the prothombin time induced by methylxanthines; role of the plasma cofactor of thromboplastin. PMID- 18134541 TI - Quantitative estimation of some amino acids in sweet corn pollen. PMID- 18134542 TI - The effect of hypophysectomy, adrenocorticotropic hormone and adrenal cortical extract on the glucose uptake and glycogen synthesis by the isolated diaphragm with and without insulin. PMID- 18134543 TI - Inhibition of enzymatic proteolysis; effect of carbonyl group reagents on the activity of kidney cathepsins. PMID- 18134544 TI - The amino acid composition of tetanal toxin. PMID- 18134545 TI - Electrophoretic analysis of lamb and sheep plasmas and sera. PMID- 18134546 TI - On the glyconeogenetic action of fed glycine in the rat. PMID- 18134547 TI - Selenate inhibition studies; the role of sulfate in selenate toxicity in yeast. PMID- 18134548 TI - Studies on the ultraviolet absorption spectra of collagen. PMID- 18134549 TI - Amino acids as carbon source for the growth of yeasts. PMID- 18134550 TI - Factors influencing the response of the bioluminescent reaction to adenosine triphosphate. PMID- 18134551 TI - Adenine as a growth factor for etiolated peas and its relation to the thermal inactivation of growth. PMID- 18134552 TI - The metabolism of the heart in relation to drug action; the endogenous aerobic metabolism of rat heart slices. PMID- 18134553 TI - The metabolism of the heart in relation to drug action; the utilization of substrates by rat heart slices. PMID- 18134554 TI - The metabolism of the heart in relation to drug action; the action of metabolic inhibitors on rat heart slice respiration. PMID- 18134555 TI - Destruction of influenza A virus infectivity by urea. PMID- 18134556 TI - Utilization of choline and betaine methyl in the guinea pig. PMID- 18134557 TI - A method for the determination of amino acid sequence in peptides. PMID- 18134558 TI - Borrelidin, a new antibiotic with antiborrelia activity and penicillin enhancement properties. PMID- 18134559 TI - Sulfocholine in methionine synthesis. PMID- 18134560 TI - The problem of hetero-carboxylic metabolites. PMID- 18134561 TI - Mechanism of the growth-promoting effect of ascorbic acid on Lactobacillus leichmannii and the reduction of oxidation products of vitamin B12. PMID- 18134562 TI - Lysis of Clostridium perfringens. PMID- 18134563 TI - Substrate utilization in mammalian erythrocytes. PMID- 18134564 TI - The incorporation of radioactive carbon dioxide and acetate into liver proteins in vitro. PMID- 18134565 TI - The formation of citrate by extracts of rabbit kidney cortex. PMID- 18134566 TI - Degradation products of streptamine; alpha, gamma-diamino-beta-hydroxyglutaric acid. PMID- 18134567 TI - The metabolism of dihydroxyphenylalanine by guinea pig kidney extracts. PMID- 18134568 TI - A study on growth inhibition by D-, L-, and DL-ethionine in the rat and its alleviation by the sulfur-containing amino acids and choline. PMID- 18134569 TI - On the availability of the diketopiperazines of cystathionine, homolanthionine, and methionine to rats for growth purposes. PMID- 18134570 TI - Isolation and properties of crystalline alpha-amylase from germinated barley. PMID- 18134571 TI - The extraction of folic (pteroylglutamic) acid conjugate from yeast. PMID- 18134572 TI - Measurement of oxygen uptake under controlled pressures of carbon dioxide. PMID- 18134573 TI - Investigations on the nutrition of Lactobacillus lactis Dorner. PMID- 18134574 TI - Relative vitamin E potency of natural and of synthetic alpha-tocopherol. PMID- 18134575 TI - Lipogenesis from glucose in the normal and liverless animal as studied with C14 labeled glucose. PMID- 18134576 TI - The determination of fumaric acid in animal tissues by partition chromatography. PMID- 18134578 TI - A chemical method for the determination of mannosidostreptomycin. PMID- 18134577 TI - The metabolism of alpha-estradiol in vitro. PMID- 18134580 TI - The resolution of several racemic amino acids. PMID- 18134579 TI - The effect of cathode rays produced at 3000 kilovolts on niacin tagged with C14. PMID- 18134581 TI - Hematologic effect in rats of pterins structurally related to pteroylglutamic acid. PMID- 18134582 TI - Biosynthesis of urea; enzymatic mechanism of arginine synthesis from citrulline. PMID- 18134583 TI - Biosynthesis of urea; arginine synthesis from citrulline in liver homogenates. PMID- 18134585 TI - Effect of trace impurities in adenosine triphosphate. PMID- 18134584 TI - Mucolytic enzyme systems; effects of tissue extracts and body fluids, certain steroids, and hemoglobin derivatives on hyaluronidase activity. PMID- 18134586 TI - A colorimetric method for the estimation of acetoacetic acid in the blood. PMID- 18134587 TI - The synthesis of glutathione in isolated liver. PMID- 18134588 TI - A study of the chemical origins of glycogen by use of C14-labeled carbon dioxide, acetate, and pyruvate. PMID- 18134589 TI - Partial synthesis of compounds related to adrenal cortical hormones; 3alpha, 11 alpha-dihydroxy-17 alpha-steroids. PMID- 18134590 TI - The egg white inhibitor of influenza virus hemagglutination; preparation and properties of semipurified inhibitor. PMID- 18134591 TI - Studies of arteriovenous differences in blood sugar; effect of intravenous insulin and simultaneous glucose feeding. PMID- 18134592 TI - The reaction of catalase and cyanide. PMID- 18134593 TI - The composition of catalase-peroxide complexes. PMID- 18134594 TI - The primary and secondary compounds of catalase and methyl or ethyl hydrogen peroxide; kinetics and activity. PMID- 18134595 TI - The enzymatic equilibria of phospho(enol)pyruvate. PMID- 18134596 TI - The synthesis of glutamine in pigeon liver dispersions. PMID- 18134597 TI - The enzymatic synthesis of glutamine, a reaction utilizing adenosine triphosphate. PMID- 18134598 TI - ATOMIC industry and human ecology; waste disposal. PMID- 18134599 TI - Safety criteria in radioactive water monitoring. PMID- 18134600 TI - Absolute beta counting. PMID- 18134601 TI - Effect of high-voltage X-ray and cathode rays on vitamins, riboflavin and carotene. PMID- 18134602 TI - [Not Available]. PMID- 18134603 TI - [Not Available]. PMID- 18134604 TI - [Not Available]. PMID- 18134605 TI - Topical application of solutions of fluorides to the teeth. PMID- 18134606 TI - General principles of apicectomy with special reference to posterior teeth. PMID- 18134607 TI - Preservation of study and teaching schools. PMID- 18134608 TI - Partial persistence of deciduous and absence of permanent teeth in an adult. PMID- 18134609 TI - The effect of betel chewing on the dental and oral tissues and its possible relationship to buccal carcinoma. PMID- 18134611 TI - A technique for the individual fabrication of plastic eye prostheses. PMID- 18134610 TI - Incidence of oro-dental diseases in Malaya. PMID- 18134612 TI - The centrifugal casting of cement dies. PMID- 18134613 TI - Some trends in dental undergraduate education in the United States. PMID- 18134614 TI - Yaws. PMID- 18134615 TI - Unerupted maxillary canine and consequent dental abnormalities. PMID- 18134616 TI - Acrylic resins; an appraisal of their use in dentistry. PMID- 18134617 TI - Studies of tooth surface structure by optical and electron microscopy. PMID- 18134618 TI - An investigation of diafil, a dental silicate cement. PMID- 18134619 TI - Principles of surgical treatment of malignancies of the face and mouth. PMID- 18134620 TI - Compound bilateral fracture of mandible with fatal sequelae; report of a case. PMID- 18134621 TI - Habits the saboteurs of occlusion. PMID- 18134622 TI - The relation of the endocrines to dental development and oral health. PMID- 18134623 TI - [Not Available]. PMID- 18134624 TI - Bilateral osteotomy of the mandible for the correction of macrognathia. PMID- 18134625 TI - X-ray indicator as an aid in surgical correction of mandibular prognathism. PMID- 18134626 TI - Fascial suspension of the vagina. PMID- 18134627 TI - Right-sided diaphragmatic hernia. PMID- 18134628 TI - Planned summerhood. PMID- 18134629 TI - The early treatment of stroke. PMID- 18134630 TI - [Not Available]. PMID- 18134631 TI - [Not Available]. PMID- 18134633 TI - Active immunization in private practice. PMID- 18134632 TI - Old age. PMID- 18134634 TI - An analysis of the caries-producing mechanism. PMID- 18134635 TI - Pentothal sodium. PMID- 18134636 TI - The factor of exposure in intraoral roentgenography. PMID- 18134637 TI - Destruction of cacified dental tissue in an ovarian dermoid cyst. PMID- 18134638 TI - Dentigerous cysts of the jaw. PMID- 18134639 TI - A comparison of the chemical nature of a synthetically produced pigment and the naturally occurring pigment associated with dental caries. PMID- 18134640 TI - Biology of the oral spirochetes; a review. PMID- 18134641 TI - [Not Available]. PMID- 18134642 TI - [Not Available]. PMID- 18134643 TI - [Not Available]. PMID- 18134644 TI - [Not Available]. PMID- 18134645 TI - [Not Available]. PMID- 18134646 TI - [Not Available]. PMID- 18134647 TI - [Not Available]. PMID- 18134648 TI - [Not Available]. PMID- 18134649 TI - Normal bone marrow inclusion phenomena induced by lupus erythematosus plasma. PMID- 18134650 TI - Stomatitis ulceromembranosa acuta treated with aureomycin. PMID- 18134651 TI - Factors accelerating the penetration of histamine through normal intact human skin. PMID- 18134652 TI - Treatment of condylomata acuminata with topical applications of inorganic arsenicals. PMID- 18134653 TI - Calciferol in the treatment of sarcoidosis. PMID- 18134654 TI - Therapeutic assays; calciferol. PMID- 18134655 TI - Concerning the parasitic etiology of hairy tongue. PMID- 18134656 TI - [Not Available]. PMID- 18134658 TI - [Not Available]. PMID- 18134659 TI - [Not Available]. PMID- 18134657 TI - [Not Available]. PMID- 18134660 TI - [Not Available]. PMID- 18134661 TI - [Not Available]. PMID- 18134662 TI - The etiology and treatment of chronic ulcerative colitis (non-specific). PMID- 18134663 TI - Evaluation of clinical methods in gastro-intestinal disease. PMID- 18134664 TI - Status of health of the natives of the Pribilof Islands as determined by an appointed medical commission. PMID- 18134665 TI - Relationship of amino acids to the nutritive value of proteins. PMID- 18134666 TI - New physiological and clinical studies on the secretion of mucin in the human stomach. PMID- 18134668 TI - Biotoxic intestinal conditions of the acid fermentation type. PMID- 18134667 TI - The technic of abdominothoracic total gastrectomy using the Graham method of esophagojejunal anastomosis. PMID- 18134669 TI - A review of five cases of pancreatic disease. PMID- 18134670 TI - Distaste for smoking; an early symptom in virus hepatitis. PMID- 18134671 TI - [Not Available]. PMID- 18134672 TI - [Not Available]. PMID- 18134673 TI - [Not Available]. PMID- 18134675 TI - [Not Available]. PMID- 18134674 TI - [Not Available]. PMID- 18134676 TI - [Not Available]. PMID- 18134677 TI - [Not Available]. PMID- 18134678 TI - The X-ray analysis of the structure of penicillin. PMID- 18134679 TI - Rural house types. PMID- 18134681 TI - Psychiatric principles in casework. PMID- 18134680 TI - Malnutrition and resistance to infection. PMID- 18134682 TI - Psychotherapy and casework; condensation of the discussion. PMID- 18134683 TI - GROWTH-promoting substances in agriculture and horticulture. PMID- 18134684 TI - Discharges excited by microwaves. PMID- 18134685 TI - An automatic recording infra-red spectrometer. PMID- 18134687 TI - Chromatin threads from cell nuclei. PMID- 18134686 TI - Lipids of peripheral nerve during wallerian degeneration. PMID- 18134688 TI - Ion exchange and fibre contraction. PMID- 18134690 TI - Cell division. PMID- 18134689 TI - Chemical composition of the stratosphere at 70 km. height. PMID- 18134691 TI - Evidence for alpha-protein structure in polypeptides. PMID- 18134692 TI - A new synthesis of pteridines. PMID- 18134693 TI - Significance and use of dehydration effects in the analysis of steroids. PMID- 18134694 TI - Formation of chelate complexes between thiouracils and heavy-metal salts. PMID- 18134695 TI - Long-range protons from the He3 (d,p) alpha-reaction. PMID- 18134696 TI - Constant-stress measurements of the hardening of soft materials. PMID- 18134697 TI - Choline and the intestinal absorption of fat. PMID- 18134698 TI - Biology in the medical curriculum. PMID- 18134699 TI - Natural science and value-policy. PMID- 18134700 TI - General mensurational gestaltism. PMID- 18134701 TI - A theory of protoplasmic streaming. PMID- 18134702 TI - Preventive psychiatry. PMID- 18134703 TI - The adaptations of mosquitoes to the tropical rain forest environment. PMID- 18134706 TI - The treatment of alcoholic patients in Denmark with antabuse with suggestions for its trial in the United States. PMID- 18134707 TI - Group psychotherapy with alcoholics; preliminary report. PMID- 18134708 TI - Group therapy in alcoholism. PMID- 18134709 TI - Personality and social implications in the life of the alcoholic veteran. PMID- 18134710 TI - Alcoholism among disciplinary cases in industry; a preliminary study. PMID- 18134711 TI - Alcohol research in Sweden, 1939-1948. PMID- 18134712 TI - Rice and its nutritional aspects. PMID- 18134713 TI - Mathematical principles of rheology. PMID- 18134714 TI - [Not Available]. PMID- 18134715 TI - [Not Available]. PMID- 18134716 TI - A precision vacuum gauge. PMID- 18134717 TI - The use of multigrid tubes as electrometers. PMID- 18134718 TI - A high current ion source. PMID- 18134720 TI - Counting with Geiger counters. PMID- 18134719 TI - An improved synchronous detector. PMID- 18134721 TI - Sample scanning mechanism for X-ray diffraction. PMID- 18134722 TI - A fast recycling cloud chamber and pulsed magnetic field equipment for use with pulsed accelerators. PMID- 18134723 TI - The dynamics of synchrotron with straight sections. PMID- 18134724 TI - Operational features of a new electron diffraction unit. PMID- 18134725 TI - Frequency analyzer for bioelectric potentials in the sub-audio range. PMID- 18134726 TI - An apparatus for electrode reversal in the Tiselius electrophresis equipment. PMID- 18134727 TI - A system for preparing semitransparent mirrors. PMID- 18134728 TI - Plastic embedding of thick celloidin sections of nerve tissue. PMID- 18134729 TI - Acid thionin stain for Nissl bodies on frozen sections. PMID- 18134730 TI - A chemical and histochemical study of the technic for acid phosphatase. PMID- 18134731 TI - Initial and persisting staining power of solutions of iron-hematoxylin lake. PMID- 18134732 TI - Some modifications of Warmke's permanent section-smear method for plant chromosomes. PMID- 18134733 TI - Sudan black B, a new stain for chromosome smear preparations. PMID- 18134734 TI - Ponceau-fuchsin as a routine counterstain. PMID- 18134735 TI - The history of the microscope; selected references and notes. PMID- 18134736 TI - Flagellar structure; the flagellum as a taxonomic character. PMID- 18134737 TI - [Not Available]. PMID- 18134738 TI - [Not Available]. PMID- 18134739 TI - [Not Available]. PMID- 18134740 TI - [Not Available]. PMID- 18134741 TI - [Not Available]. PMID- 18134742 TI - [Not Available]. PMID- 18134743 TI - [Not Available]. PMID- 18134744 TI - The use of pituitrin before delivery; a review of the American literature. PMID- 18134745 TI - [Not Available]. PMID- 18134746 TI - [Not Available]. PMID- 18134747 TI - [Not Available]. PMID- 18134748 TI - [Not Available]. PMID- 18134749 TI - [Maternal and fetal mortality]. PMID- 18134750 TI - [Intra-arterial transfusion; communication of a case]. PMID- 18134751 TI - Late results in treatment of pancreatic cysts by internal drainage. PMID- 18134752 TI - Cicatricial contractures of the thumb. PMID- 18134754 TI - The significance of an ulcerating lesion in the stomach following gastroenterostomy. PMID- 18134753 TI - Peptic ulcer following splanchnicectomy; a report of 13 cases. PMID- 18134755 TI - Analysis of postoperative cholangiograms. PMID- 18134756 TI - The behavior of bone grafts. PMID- 18134757 TI - The medical treatment of endometriosis and the significance of endometriosis. PMID- 18134758 TI - Surgical procedures involved in the treatment of endometriosis. PMID- 18134759 TI - The suction socket for above-knee amputees. PMID- 18134760 TI - The effect of moderate degrees of dicumarol-induced hypoprothrombinemia on experimental intravascular thrombosis. PMID- 18134761 TI - Papilloma of lacteal duct. PMID- 18134762 TI - Carcinoma of the thyroid gland. PMID- 18134763 TI - The effect of reduced blood flow to the liver in renal hypertension. PMID- 18134764 TI - The Rh factor. PMID- 18134765 TI - Surgical jaundice; factors influencing injury and repair of the liver. PMID- 18134766 TI - Mediterranean hemopathic syndromes. PMID- 18134767 TI - The use of exchange transfusion for the treatment of severe erythroblastosis due to A-B sensitization, with observations on the pathogenesis of the disease. PMID- 18134768 TI - Effect of stasis of blood in varicose veins on erythrocyte fragility, with accompanying studies comparing red cells and other blood elements with cubital vein blood. PMID- 18134769 TI - The role of staphylocoagulase in blood coagulation; the reaction of staphylocoagulase with coagulase-globulin to form coagulase-thrombin. PMID- 18134770 TI - Multiple myeloma as a form of leukemia. PMID- 18134771 TI - Use of antimony in multiple myeloma. PMID- 18134772 TI - Hospital problems and the national health grants program. PMID- 18134773 TI - Medical social service; a luxury or a necessity? PMID- 18134774 TI - Pharmacy problems of the smaller hospital. PMID- 18134775 TI - Community service through the out-patient department. PMID- 18134777 TI - [Not Available]. PMID- 18134776 TI - The priest and the psychiatrist indispensable to family clinic. PMID- 18134778 TI - [Not Available]. PMID- 18134779 TI - [Not Available]. PMID- 18134780 TI - [Not Available]. PMID- 18134781 TI - [Not Available]. PMID- 18134782 TI - [Not Available]. PMID- 18134783 TI - [Not Available]. PMID- 18134784 TI - [Not Available]. PMID- 18134785 TI - [Not Available]. PMID- 18134786 TI - [Not Available]. PMID- 18134787 TI - [Not Available]. PMID- 18134788 TI - Heart disease and continued employment. PMID- 18134789 TI - Summary of physical findings of employees over 60 years of age. PMID- 18134790 TI - The significance of lead in biological fluids. PMID- 18134791 TI - Practical methods for handling psychosomatic problems in industry. PMID- 18134792 TI - Common problems in industrial ophthalmology. PMID- 18134793 TI - [Not Available]. PMID- 18134794 TI - [Not Available]. PMID- 18134795 TI - Vagotomy; a preliminary report or 15 cases. PMID- 18134796 TI - Anaesthesia for caesarean section. PMID- 18134797 TI - Use of a sympatholytic drug (priscol) from the point of view of a general surgical practitioner. PMID- 18134798 TI - Engineering methods in occupational rehabilitation. PMID- 18134799 TI - A new coolant; its dermatitis producing qualities. PMID- 18134801 TI - [Not Available]. PMID- 18134800 TI - [Not Available]. PMID- 18134802 TI - [Not Available]. PMID- 18134803 TI - [Not Available]. PMID- 18134804 TI - [Not Available]. PMID- 18134805 TI - [Not Available]. PMID- 18134806 TI - The internist, past, present and future. PMID- 18134807 TI - The hospital as a center of preventive medicine. PMID- 18134809 TI - Present status of aureomycin therapy. PMID- 18134808 TI - Research problems in coronary heart disease. PMID- 18134810 TI - Pancreatic lithiasis and gastritis; cases with gastroscopic observations. PMID- 18134812 TI - Secondary amyloidosis. PMID- 18134811 TI - Penicillin and penicillin-malaria in the treatment of tabes dorsalis. PMID- 18134813 TI - Newer concepts of medical care. PMID- 18134814 TI - Erythema multiforme bullosum due to sulfadiazine sensitivity controlled with procaine intravenously. PMID- 18134815 TI - Anginal syndrome during sodium succinate therapy. PMID- 18134816 TI - Boeck's sarcoid; a case of sarcoidosis complicated by pulmonary emphysema and cor pulmonale. PMID- 18134817 TI - Surgical treatment of malignancy of the large intestine. PMID- 18134818 TI - The use of priscol hydrochloride in the chronic arthritides; preliminary report. PMID- 18134819 TI - The surgical correction of nasal deformities. PMID- 18134821 TI - Demand schedule in infant feeding. PMID- 18134820 TI - Traumatic injuries to the abdomen and its contents. PMID- 18134822 TI - Diagnostic difficulties in poliomyelitis. PMID- 18134823 TI - [Not Available]. PMID- 18134824 TI - [Not Available]. PMID- 18134825 TI - [Not Available]. PMID- 18134826 TI - [Not Available]. PMID- 18134827 TI - Early diagnosis of cervical carcinoma. PMID- 18134828 TI - Carcinoma of the islets of Langerhans; with metastasis to liver and 4 year 9 months survival. PMID- 18134830 TI - Floriculture for doctor and patient. PMID- 18134829 TI - Psychiatric aspects of the low back syndrome; the narcotherapeutic approach. PMID- 18134831 TI - Bronchiogenic cyst. PMID- 18134832 TI - [Not Available]. PMID- 18134833 TI - [Not Available]. PMID- 18134834 TI - [Not Available]. PMID- 18134835 TI - [Not Available]. PMID- 18134836 TI - [Not Available]. PMID- 18134837 TI - [Not Available]. PMID- 18134838 TI - [Not Available]. PMID- 18134839 TI - [Not Available]. PMID- 18134840 TI - [Not Available]. PMID- 18134841 TI - [Not Available]. PMID- 18134842 TI - [Not Available]. PMID- 18134843 TI - [Not Available]. PMID- 18134844 TI - The association of certain ovarian cells with endometrial cancer. PMID- 18134845 TI - Infantile diarrhoea and vomiting; a clinical and bacteriological investigation. PMID- 18134846 TI - The age of the menarche. PMID- 18134847 TI - Experience with a syringe unit. PMID- 18134848 TI - Amoebiasis in England as a household disease. PMID- 18134849 TI - A case of polyorchidism. PMID- 18134850 TI - Fibro-fatty tissue and its relation to certain rheumatic syndromes. PMID- 18134851 TI - Rheumatoid arthritis in the young. PMID- 18134852 TI - Psychogenic rheumatism. PMID- 18134853 TI - Fibrocystic disease of the pancreas. PMID- 18134854 TI - Fatal case of acute encephalomyelitis due to poliomyelitis virus. PMID- 18134855 TI - Streptomycin in development of hydrocephalus in tuberculous meningitis. PMID- 18134856 TI - Histamine desensitization in Meniere's disease. PMID- 18134857 TI - Congenital cyst of the cystic duct containing calculi. PMID- 18134858 TI - An overglove for intrauterine and other manipulations. PMID- 18134859 TI - [Not Available]. PMID- 18134860 TI - [Not Available]. PMID- 18134861 TI - [Not Available]. PMID- 18134862 TI - [Not Available]. PMID- 18134863 TI - [Not Available]. PMID- 18134864 TI - [Not Available]. PMID- 18134865 TI - [Not Available]. PMID- 18134866 TI - Biological research in cancer. PMID- 18134867 TI - Use of the diuretics. PMID- 18134868 TI - The causes and management of urinary retention in patients with cardiovascular diseases. PMID- 18134869 TI - Primary tuberculosis. PMID- 18134871 TI - Medical and surgical treatment of peptic ulcer. PMID- 18134870 TI - Allergy and antihistamine therapy; a review. PMID- 18134872 TI - The rise and progress of medical education in Scotland. PMID- 18134873 TI - Introduction to studies on the common cold. PMID- 18134874 TI - The relationship of bacteria to the common cold. PMID- 18134875 TI - [Not Available]. PMID- 18134876 TI - [Not Available]. PMID- 18134878 TI - [Not Available]. PMID- 18134877 TI - [Not Available]. PMID- 18134879 TI - [Not Available]. PMID- 18134880 TI - [Not Available]. PMID- 18134881 TI - [Not Available]. PMID- 18134882 TI - [Not Available]. PMID- 18134884 TI - [Not Available]. PMID- 18134883 TI - [Not Available]. PMID- 18134885 TI - [Not Available]. PMID- 18134886 TI - [Not Available]. PMID- 18134887 TI - [Not Available]. PMID- 18134888 TI - [Not Available]. PMID- 18134889 TI - [Not Available]. PMID- 18134890 TI - [Not Available]. PMID- 18134891 TI - Carcinoma of the thoracic esophagus; a discussion of early diagnosis and surgical treatment. AB - Dysphagia, substernal or epigastric distress, and regurgitation of food are important early symptoms in the diagnosis of carcinoma of the esophagus. Temporary remission in symptoms does not rule out esophageal cancer. The use of thick barium meal and routine thorough examination of the esophagus in upright and supine positions in all upper gastrointestinal roentgen studies, even though the clinical symptoms point to the upper abdomen, are of great importance. The spread of the cancer to both mediastinal and subdiaphragmatic lymph nodes makes transthoracic thoracolaparotomy the one approach which will permit the surgeon to perform a one-stage esophagogastrostomy, and to adequately evaluate and deal with cancerous tissue on both sides of the diaphragm. This one-stage procedure permits the patient to swallow normally after operation, and the costly and time consuming uncertainties of the many-staged operations are avoided. The comfort which the operation gives to otherwise doomed patients, along with the improving postoperative mortality rate, offers new hope to those who have cancer of the esophagus. PMID- 18134892 TI - Anoxia and the convulsive state. AB - The author believes he has clinical and experimental evidence to suggest that one of the underlying causes of idiopathic epilepsy lies in lack of sufficient oxygenation of the cerebrum before or during birth. PMID- 18134893 TI - The application and evaluation of peritoneoscopy. AB - Peritoneoscopic examination has now been accepted throughout the world as a safe diagnostic procedure in lieu of laparotomy in selected cases. Laparotomies for diagnostic purposes alone should be condemned. Peritoneoscopy should not be done without a definite purpose and the procedure should not be expected to accomplish more than the purpose for which it is done. Indications for the procedure are set forth in detail. Experience has established definite contraindications, which are reviewed. The procedure is especially indicated for patients who are aged, emaciated, anemic, or poor surgical risks for any reason. All patients having ascites of undetermined cause should be examined by peritoneoscopy. The method is especially indicated for examination of patients with liver disease of all types, for pelvic examinations, for use to determine existence of ectopic pregnancy, and for tumor localization. Considerable use was made of the procedure during World War II to determine the extent and site of intra-abdominal injuries caused by crushing, explosions, and falls from high places. The procedure permits early and correct diagnosis, early decision as to the advisability of operation, and determination as to operability in cases of malignant gastric lesions. It is a safe method for obtaining biopsy specimens from intra-abdominal tissue and organs. Accuracy of diagnosis in cases in which the method can be used is considerably greater with peritoneoscopic examination than with clinical information alone. PMID- 18134894 TI - Methyl-bis (beta-chloroethyl)amine in large doses in the treatment of neoplastic diseases. AB - Sixty-seven patients with neoplastic diseases were treated with 151 courses of methylbis (beta-chloroethyl)amine hydrochloride (HN(2)). Seventy-seven of the courses consisted of single injections of 0.2 to 0.4 mg. per kilogram of body weight, and 35 courses were given as single injections of 0.6 mg. per kilogram of body weight.Twenty-three patients with Hodgkin's disease were treated. Remissions averaged approximately three months in 13 patients who were in good or fair general physical condition, and 1.5 months in 11 patients who were in poor or moribund condition; one of the 11 did not respond to the therapy. Fifteen patients with lymphosarcoma were treated. Remissions averaged between one and two months in four patients who were in good or fair general physical condition. Of the remaining 11 patients, two showed no response, and the longest remission among the remaining nine was approximately 40 days. Satisfactory remissions of one to three months were obtained in four patients with mycosis fungoides treated with single courses of 0.3 mg. per kilogram of body weight. Serious toxic reactions were observed in six patients, four of whom died. In five of the six instances the reactions consisted of pancytopenia and hemorrhagic diathesis. All these patients were in poor general or hematologic status before therapy. In general, large single doses of HN(2) were neither more nor less effective than the four-to six-day course usually employed with this agent. Combination of the administration of HN(2) with artificial hyperpyrexia, or with concurrent courses of pteroylglutamic conjugates, did not enhance the therapeutic effects of the agent. PMID- 18134895 TI - Relation of neurological complications of subarachnoid block to some unseen dangers of new techniques. AB - Sterilizing solutions that by accident become mixed into the anesthetic agent are probably the etiological factor producing many of the neurological complications following spinal anesthesia. Use of sterilizing solutions having an intensity of color so great that even one drop in the contents of an ampule will definitely color the anesthetic agent is the criterion of safety. PMID- 18134896 TI - Indications for and results following exploration of the common bile duct for stones. AB - Among 100 consecutive patients who had removal or drainage of the gallbladder and exploration of the common bile duct for stones, there were no serious, immediate or late complications and there were no operative deaths. Ninety-six of the 100 patients had stones in the gallbladder, in the common duct, or in both, and 52 of these patients had one or more stones in the common duct. Ten patients died subsequently of unrelated causes. Six patients were lost to followup. Of the 84 patients whose present condition is known, 75 or 89 per cent have had a completely satisfactory result. Six more patients have minor residual symptoms, and for them the result has been classified as good. In three patients, the results were unsatisfactory. Cholangiograms taken before the removal of the T tube showed residual stones in two patients. In each instance, the stone or stones have been subsequently passed and both patients are in excellent condition. PMID- 18134897 TI - A note on the incidence of rheumatic fever in Los Angeles. AB - Nationwide campaigns to alert the public to the dangers of rheumatic heart disease carry the hazard that parents in some localities may become more alarmed than is warranted by the local rate of incidence of the disease; and the alarm of the parent may harm the child. In such circumstances physician and patient alike might be reassured if it could be ascertained that the incidence of rheumatic fever in a given community was relatively low. Application to the Los Angeles area of a statistical formula worked out from Coombs' data on the incidence and death rate from the disease in England and from Ash's data in Philadelphia, gave indication that the incidence of rheumatic fever in all age groups in Los Angeles is approximately 68 new cases a year-a relatively favorable figure in a population approaching two million. PMID- 18134899 TI - Tubal pregnancy in tuberculous salpingitis. PMID- 18134898 TI - Complications of gold therapy and their management. AB - Early recognition of manifestations of gold intoxication is important to the treatment of such complications. Proper dosage schedules should be followed and blood and urine frequently examined. Most toxic manifestations subside, but those which become worse or which do not subside on withdrawal of the gold should be treated with BAL (2, 3-Dimercaptopropanol).BAL has a toxicity of its own and is painful on injection. Since BAL combines with gold, the therapeutic effect of the metal may be lost after such treatment. The beneficial effects of methionine and methionine plus BAL in treatment of experimentally induced gold intoxication of animals suggests such combined therapy in the treatment of clinical complications of gold poisoning. A schedule of combined antidotes is outlined. PMID- 18134900 TI - Edema of the uvula, a manifestation of scopolamine sensitivity. PMID- 18134901 TI - Facial characteristics of an infant without renal function. PMID- 18134902 TI - [Effect of caronamide on tubular secretion in the kidneys]. PMID- 18134903 TI - [Not Available]. PMID- 18134904 TI - [Not Available]. PMID- 18134905 TI - [Not Available]. PMID- 18134906 TI - [Not Available]. PMID- 18134907 TI - [Not Available]. PMID- 18134908 TI - [Not Available]. PMID- 18134909 TI - Unusual disorders of the chest and their surgical management. PMID- 18134910 TI - Subjective report on electroconvulsive therapy. PMID- 18134911 TI - [Not Available]. PMID- 18134912 TI - [Not Available]. PMID- 18134913 TI - [Not Available]. PMID- 18134915 TI - [Not Available]. PMID- 18134914 TI - [Not Available]. PMID- 18134916 TI - [Not Available]. PMID- 18134917 TI - [Not Available]. PMID- 18134918 TI - [Not Available]. PMID- 18134919 TI - [Not Available]. PMID- 18134920 TI - [Not Available]. PMID- 18134921 TI - [Not Available]. PMID- 18134922 TI - [Not Available]. PMID- 18134923 TI - [Not Available]. PMID- 18134924 TI - [Not Available]. PMID- 18134925 TI - [Not Available]. PMID- 18134926 TI - [Not Available]. PMID- 18134927 TI - [Not Available]. PMID- 18134928 TI - [Not Available]. PMID- 18134929 TI - [Not Available]. PMID- 18134930 TI - [Not Available]. PMID- 18134932 TI - [Not Available]. PMID- 18134933 TI - Pregnancy test with the male toad, Bufo viridis. PMID- 18134931 TI - [Not Available]. PMID- 18134934 TI - The role of the hyaluronidase in human sterility. PMID- 18134935 TI - A case of acro-cephalo-syndactylia [Hebrew text]. PMID- 18134936 TI - [Lung carcinoma]. PMID- 18134937 TI - [Queiloneoplastia with total retail bipre-auriculo-temporal-parietal; technique Dufour Mentel]. PMID- 18134938 TI - [Preliminary observations upon the oral bismuth therapy in the treatment of syphilis]. PMID- 18134939 TI - [Myocarditis schistosomal granulomatous form]. PMID- 18134940 TI - [The musical murmur in aortic insufficiency]. PMID- 18134941 TI - [Preliminary investigations upon the incidence of skin sensitivity to histoplasmin in Brazil]. PMID- 18134942 TI - [New device for the correction of astigmatism, complementing the ocular microscope]. PMID- 18134943 TI - [Cesarean section versus obstetrics]. PMID- 18134944 TI - Thrombopenia and increased capillary fragility in hepatic disease. PMID- 18134945 TI - The dangers of intrathecal medication. PMID- 18134946 TI - Prefrontal leukotomy; an evaluation. PMID- 18134948 TI - Hazard of laboratory infection with leprosy. PMID- 18134947 TI - Medically prescribed exercises for neuropsychiatric patients; the Veterans Administration program. PMID- 18134949 TI - Clinical clerkships for sophomore medical students. PMID- 18134950 TI - Intern-resident training in a private general hospital. PMID- 18134951 TI - Teaching statistical methods in medicine. PMID- 18134952 TI - An experiment in instruction in health education for undergraduate medical students. PMID- 18134953 TI - A successful training program for house officers on a private medical service. PMID- 18134954 TI - The nature of biophysics and the responsibilities of a department of biophysics. PMID- 18134955 TI - Sarcoidosis. PMID- 18134956 TI - Carcinoma of the lung. PMID- 18134957 TI - Stromal endometriosis. PMID- 18134958 TI - Protruded intervertebral disc. PMID- 18134959 TI - Recent advances in surgery of the colon. PMID- 18134960 TI - A clinical evaluation of aqueous thephorin; a new parenteral antihistaminic agent. PMID- 18134961 TI - The effect of adenosine-5-monophosphate on pruritus. PMID- 18134962 TI - An easy way to treat diabetic patients. PMID- 18134963 TI - The value of the upright pyelogram. PMID- 18134964 TI - [Not Available]. PMID- 18134965 TI - [Not Available]. PMID- 18134966 TI - [Not Available]. PMID- 18134967 TI - [Not Available]. PMID- 18134968 TI - [Not Available]. PMID- 18134969 TI - [Not Available]. PMID- 18134970 TI - [Not Available]. PMID- 18134971 TI - Some contributions of psychiatry to general medicine. PMID- 18134972 TI - Selection of an operation for lesions of the colon and rectum; a clinical study with report of 69 cases. PMID- 18134973 TI - Improved methods in combating tetanus. PMID- 18134974 TI - The newer antibiotics; polymyxin, chloromycetin, and aureomycin. PMID- 18134975 TI - Generalized blood platelet thrombosis; report of three cases with necropsy findings. PMID- 18134976 TI - Dienesterol, an orally active synthetic estrogen; a clinical evaluation. PMID- 18134977 TI - Mesothelial cyst of the diaphragm; a case report. PMID- 18134979 TI - The early recognition and surgical management of pelvic malignancy. PMID- 18134978 TI - Allergic eustacheitis. PMID- 18134980 TI - Laboratory aids in complications of diabetes. PMID- 18134981 TI - Diabetes in childhood. PMID- 18134982 TI - Ocular complications of diabetes. PMID- 18134983 TI - Solved and unsolved problems in antihistamine therapy. PMID- 18134984 TI - New concepts of electric shock therapy. PMID- 18134986 TI - [Not Available]. PMID- 18134985 TI - [Not Available]. PMID- 18134987 TI - Constitutional problems in prognosis. PMID- 18134988 TI - Prognosis in rheumatoid arthritis. PMID- 18134989 TI - Diverticulosis of the gastro-intestinal tract. PMID- 18134990 TI - Chronic gastritis. PMID- 18134991 TI - Hemorrhoids or cancer. PMID- 18134992 TI - Effect of war on mortality. PMID- 18134993 TI - Evaluation of the flocculation test with Hayem's solution. PMID- 18134994 TI - Carcinoma of the endometrium. PMID- 18134995 TI - New concepts in the management of cerebral palsy. PMID- 18134996 TI - Meningitis of aural origin. PMID- 18134997 TI - [Not Available]. PMID- 18134998 TI - The physiology of intravascular clotting. PMID- 18134999 TI - Factors in the occurrence of pulmonary embolism. PMID- 18135000 TI - [Not Available]. PMID- 18135001 TI - [Not Available]. PMID- 18135002 TI - [Not Available]. PMID- 18135003 TI - [Not Available]. PMID- 18135004 TI - [Not Available]. PMID- 18135005 TI - [Not Available]. PMID- 18135007 TI - [Not Available]. PMID- 18135006 TI - [Not Available]. PMID- 18135008 TI - [Not Available]. PMID- 18135009 TI - [Not Available]. PMID- 18135010 TI - [Not Available]. PMID- 18135011 TI - [Not Available]. PMID- 18135012 TI - Obstruction of the gastro-oesophageal junction. PMID- 18135013 TI - Avian tuberculosis in man. PMID- 18135014 TI - HOMOSEXUALITY. PMID- 18135015 TI - Gleanings in the field of thyroid surgery. PMID- 18135016 TI - Loiasis treated with hetrazan. PMID- 18135017 TI - Sequelae of meningococcal meningitis in children. PMID- 18135018 TI - A new contrast medium for hysterosalpingography. PMID- 18135019 TI - Apparatus for intermittent venous occlusion. PMID- 18135020 TI - Thyrotoxic exophthalmos with myopathy. PMID- 18135021 TI - [Not Available]. PMID- 18135022 TI - [Not Available]. PMID- 18135023 TI - [Not Available]. PMID- 18135024 TI - [Not Available]. PMID- 18135025 TI - [Not Available]. PMID- 18135026 TI - [Not Available]. PMID- 18135027 TI - [Not Available]. PMID- 18135028 TI - [Not Available]. PMID- 18135029 TI - [Not Available]. PMID- 18135031 TI - [Not Available]. PMID- 18135030 TI - [Not Available]. PMID- 18135033 TI - [Not Available]. PMID- 18135032 TI - [Not Available]. PMID- 18135034 TI - Coordination of medical services in war. PMID- 18135035 TI - The prostate; some commonly disregarded principles and precepts. PMID- 18135036 TI - Nitrogen mustard; the use in South Australia of methyl bis (beta chloroethyl) amine. PMID- 18135037 TI - Dead space in closed circuit anaesthetic apparatus; a circuit absorpition unit of modified design. PMID- 18135038 TI - Roseola infantum (exanthema subitum). PMID- 18135039 TI - Arrhenoblastoma of the right ovary. PMID- 18135040 TI - Accidental air embolism in a blood donor. PMID- 18135041 TI - Modern treatment of acute rheumatism in childhood. PMID- 18135042 TI - The lily-white appendix. PMID- 18135043 TI - The diagnosis and modern treatment of bronchiectasis. PMID- 18135044 TI - Some basic principles in the treatment of flexion deformity of the knee. PMID- 18135045 TI - Migrainous headaches; a modern treatment. PMID- 18135046 TI - The first year in general practice; the effect on a typical practice. PMID- 18135047 TI - The patient and the hospital specialist services. PMID- 18135048 TI - Free treatment in the 17. century. PMID- 18135049 TI - [Not Available]. PMID- 18135050 TI - [Not Available]. PMID- 18135051 TI - [Not Available]. PMID- 18135052 TI - [Not Available]. PMID- 18135053 TI - [Not Available]. PMID- 18135054 TI - [Not Available]. PMID- 18135055 TI - [Not Available]. PMID- 18135056 TI - [Not Available]. PMID- 18135057 TI - [Not Available]. PMID- 18135058 TI - [Not Available]. PMID- 18135059 TI - [Not Available]. PMID- 18135060 TI - [Not Available]. PMID- 18135061 TI - [Not Available]. PMID- 18135062 TI - [Not Available]. PMID- 18135063 TI - [Not Available]. PMID- 18135065 TI - Endometriosis. PMID- 18135064 TI - The Minnesota centennial; its medical history. PMID- 18135066 TI - Tumors of the optic disc; report of a case. PMID- 18135067 TI - Impressions from European neurosurgical clinics. PMID- 18135068 TI - Differential diagnosis in pulmonary shadows observed on X-ray films. PMID- 18135069 TI - Bleeding of the last trimester of pregnancy. PMID- 18135070 TI - Interference dissociation due to surgical anaesthesia. PMID- 18135071 TI - Traumatic lesions of the abdomen. PMID- 18135072 TI - Suggested program for better distribution of medical service to the public. PMID- 18135073 TI - The treatment of heart failure. PMID- 18135074 TI - [Not Available]. PMID- 18135075 TI - [Not Available]. PMID- 18135076 TI - [Not Available]. PMID- 18135077 TI - [Not Available]. PMID- 18135078 TI - [Not Available]. PMID- 18135079 TI - [Not Available]. PMID- 18135080 TI - [Not Available]. PMID- 18135081 TI - [Not Available]. PMID- 18135082 TI - [Not Available]. PMID- 18135083 TI - Acute appendicitis complicating the acute infectious diseases of childhood. PMID- 18135084 TI - The evolution of intercapillary glomerulosclerosis. PMID- 18135085 TI - Fatal pancytopenia following the use of mesantoin; report of a case. PMID- 18135086 TI - Active immunization. PMID- 18135087 TI - Bronchial adenoma. PMID- 18135089 TI - The American Academy of General Practice; why the Academy? PMID- 18135088 TI - Public health and insurance aspects of amebiasis; a note on certain erroneous concepts. PMID- 18135090 TI - Menopausal bleeding. PMID- 18135092 TI - Value of proctoscopic examination in general practice. PMID- 18135091 TI - Vaginal bleeding from the use of potassium permanganate. PMID- 18135093 TI - The treatment of delirium tremens. PMID- 18135094 TI - Purpura presumably due to house dust; case report. PMID- 18135095 TI - Subacute disseminated lupus erythematosus; report of a case treated with para aminobenzoic acid. PMID- 18135096 TI - The X-ray in the diagnosis of tuberculosis. PMID- 18135097 TI - The ulcerative colitis problem. PMID- 18135098 TI - The relation of amebic dysentery to chronic ulcerative colitis. PMID- 18135099 TI - Recent advances in antibiotic therapy. PMID- 18135100 TI - Colonic dysfunction. PMID- 18135101 TI - Migraine headache treated successfully by head-traction manipulation and thiamin chloride. PMID- 18135102 TI - The treatment of paralysis agitans with thephorin. PMID- 18135103 TI - Hesperidin-C and capillary fragility. PMID- 18135104 TI - Experience with the Barton forceps in a small urban hospital. PMID- 18135105 TI - The use of an intermittent ambulatory schedule of penicillin in oil and wax in the treatment of early latent syphilis and syphilis in pregnancy. PMID- 18135106 TI - The migraine problem. PMID- 18135107 TI - Central placenta previa with missed labor. PMID- 18135108 TI - Foreign body (needle) in heart. PMID- 18135109 TI - Diaphragmatic hernia through the foramen of Morgagni. PMID- 18135110 TI - Our common goal; the health of the public. PMID- 18135111 TI - Brucella suis treated successfully with streptomycin. PMID- 18135112 TI - [Not Available]. PMID- 18135113 TI - [Not Available]. PMID- 18135114 TI - [Not Available]. PMID- 18135115 TI - [Not Available]. PMID- 18135116 TI - [Not Available]. PMID- 18135117 TI - [Not Available]. PMID- 18135118 TI - [Not Available]. PMID- 18135119 TI - [Not Available]. PMID- 18135120 TI - [Not Available]. PMID- 18135121 TI - [Not Available]. PMID- 18135122 TI - [Not Available]. PMID- 18135123 TI - [Not Available]. PMID- 18135124 TI - [Not Available]. PMID- 18135125 TI - [Not Available]. PMID- 18135126 TI - [Not Available]. PMID- 18135127 TI - [Not Available]. PMID- 18135128 TI - [Not Available]. PMID- 18135129 TI - [Not Available]. PMID- 18135131 TI - [Not Available]. PMID- 18135130 TI - [Not Available]. PMID- 18135132 TI - [Not Available]. PMID- 18135133 TI - The management and treatment of patients with preeclampsia and eclampsia. PMID- 18135134 TI - Familial periodic paralysis as traced in one family for five generations. PMID- 18135135 TI - Simplifying dermatology for the practitioner. PMID- 18135136 TI - Results of conservative treatment of peptic ulcer. PMID- 18135137 TI - The role of the general practitioner in the prevention of psychiatric disorders. PMID- 18135139 TI - Neoplasms of the kidney. PMID- 18135138 TI - Further experiences with the rooming-in project of baby with mother. PMID- 18135141 TI - Science, psychiatry, survival; survival of strongest or cooperation and mutual aid. PMID- 18135140 TI - Carcinoma of the large bowel; an appraisal of operations without permanent abdominal colostomy, based on over 1100 personal cases. PMID- 18135142 TI - [Not Available]. PMID- 18135143 TI - [Not Available]. PMID- 18135144 TI - [Not Available]. PMID- 18135145 TI - [Not Available]. PMID- 18135146 TI - [Not Available]. PMID- 18135147 TI - The clinical management of diarrheas. PMID- 18135148 TI - Intrathoracic extrapulmonary tumors; diagnosis and surgical treatment. PMID- 18135150 TI - Testicular dysfunction. PMID- 18135149 TI - Differential diagnosis between malignant and benign breast lesions. PMID- 18135151 TI - Essential hypertension; clinical and pathologic characteristics. PMID- 18135152 TI - Errors in electrocardiographic diagnosis. PMID- 18135153 TI - Obstetrics in the National Health Service. PMID- 18135154 TI - Modern views on the management of placenta praevia. PMID- 18135155 TI - Pelvimetry in obstetrics. PMID- 18135156 TI - An evaluation of the various factors in infertility. PMID- 18135157 TI - The present position of radiotherapy in the treatment of malignant disease of the pelvis. PMID- 18135159 TI - [Not Available]. PMID- 18135158 TI - [Not Available]. PMID- 18135160 TI - [Not Available]. PMID- 18135161 TI - [Not Available]. PMID- 18135162 TI - [Not Available]. PMID- 18135163 TI - [Not Available]. PMID- 18135164 TI - [Not Available]. PMID- 18135165 TI - [Not Available]. PMID- 18135166 TI - [Not Available]. PMID- 18135167 TI - [Not Available]. PMID- 18135169 TI - [Not Available]. PMID- 18135168 TI - [Not Available]. PMID- 18135170 TI - [Not Available]. PMID- 18135171 TI - [Not Available]. PMID- 18135172 TI - [Not Available]. PMID- 18135173 TI - [Not Available]. PMID- 18135174 TI - [Not Available]. PMID- 18135175 TI - [Not Available]. PMID- 18135176 TI - [Not Available]. PMID- 18135177 TI - [Not Available]. PMID- 18135178 TI - [Not Available]. PMID- 18135179 TI - Actinomyces bovis in tissues and body fluids. PMID- 18135180 TI - Some complications of the climacteric. PMID- 18135181 TI - Operating room deaths; a 9-year study with review of the literature. PMID- 18135182 TI - Acute mediastinal and subcutaneous emphysema. PMID- 18135183 TI - [Not Available]. PMID- 18135184 TI - [Not Available]. PMID- 18135185 TI - [Not Available]. PMID- 18135186 TI - [Not Available]. PMID- 18135187 TI - [Not Available]. PMID- 18135188 TI - [Not Available]. PMID- 18135189 TI - [Not Available]. PMID- 18135190 TI - [Not Available]. PMID- 18135191 TI - A case of bleeding peptic ulcer in Meckel's diverticulum. PMID- 18135192 TI - Annual report for 1948 of the section on anesthesiology; including data and remarks concerning blood transfusion and the use of blood substitutes. PMID- 18135194 TI - Floss silk darn for inguinal hernia. PMID- 18135193 TI - Persistent painful states after digital nerve injury. PMID- 18135195 TI - An operation for hypospadias. PMID- 18135196 TI - Evaluation of renal clearances. PMID- 18135197 TI - The treatment of prostatic secondary deposits in bone. PMID- 18135198 TI - Pharmacological explorations of the personality; narco-analysis and methedrine shock. PMID- 18135199 TI - Discussion on periarteritis nodosa. PMID- 18135200 TI - Three children successfully operated upon for congenital atresia of the oesophagus with oesophago-tracheal fistula. PMID- 18135201 TI - Healed miliary tuberculosis of liver and spleen; hepatomegaly; splenomegaly. PMID- 18135202 TI - Four cases of intermittent claudication. PMID- 18135203 TI - Familial haemorrhagic telangiectasia (Rendu-Osler-Weber disease). PMID- 18135204 TI - Non-familial haemorrhagic telangiectasia. PMID- 18135205 TI - The pharmacological basis of modern anaesthesia. PMID- 18135206 TI - Nerve deafness; its clinical criteria, old and new. PMID- 18135207 TI - The causes of perceptive deafness. PMID- 18135208 TI - Pituitrin therapy in hydronephrosis. PMID- 18135209 TI - Vesical diverticula. PMID- 18135210 TI - Nephrocalcinosis in infancy. PMID- 18135211 TI - Hepatic cirrhosis following neonatal jaundice. PMID- 18135212 TI - Spasmus nutans. PMID- 18135213 TI - [Not Available]. PMID- 18135214 TI - [Not Available]. PMID- 18135215 TI - [Not Available]. PMID- 18135216 TI - [Not Available]. PMID- 18135217 TI - [Not Available]. PMID- 18135218 TI - [Not Available]. PMID- 18135219 TI - [Not Available]. PMID- 18135220 TI - [Not Available]. PMID- 18135221 TI - [Not Available]. PMID- 18135222 TI - [Not Available]. PMID- 18135223 TI - [Not Available]. PMID- 18135224 TI - [Not Available]. PMID- 18135225 TI - [Not Available]. PMID- 18135226 TI - [Not Available]. PMID- 18135227 TI - [Not Available]. PMID- 18135229 TI - [Not Available]. PMID- 18135228 TI - [Not Available]. PMID- 18135230 TI - [Not Available]. PMID- 18135231 TI - [New method of permanent gastrostomy; experimental study]. PMID- 18135233 TI - [A case of pinta (puru-puru) indigenous to the urban area of Sao Paulo]. PMID- 18135232 TI - [Study of carbohydrate metabolism in acromegaly and pituitary gigantism]. PMID- 18135234 TI - [Canicola fever in humans, leptospirosis canicola]. PMID- 18135235 TI - [New technique of complement fixation for Chagas disease; quantitative reaction with antigen gelled cultures of Trypanosoma cruzi]. PMID- 18135236 TI - [The cerebrospinal fluid of newborns]. PMID- 18135237 TI - [Apropos of two cases of reported psychoses with anti-social reactions of severe proportions]. PMID- 18135238 TI - [A serological survey for the diagnosis of syphilis conducted in the area of prostitution in Sao Paulo]. PMID- 18135239 TI - [Pyridoxine and tinnitus]. PMID- 18135240 TI - [Otosclerotic deafness; its surgical treatment]. PMID- 18135241 TI - [Resections in pulmonary tuberculosis; considerations on 25 cases]. PMID- 18135242 TI - [Not Available]. PMID- 18135243 TI - [Not Available]. PMID- 18135245 TI - [Not Available]. PMID- 18135244 TI - [Not Available]. PMID- 18135246 TI - [Not Available]. PMID- 18135248 TI - [Not Available]. PMID- 18135247 TI - [Not Available]. PMID- 18135249 TI - [Not Available]. PMID- 18135250 TI - [Not Available]. PMID- 18135251 TI - [Not Available]. PMID- 18135252 TI - [Not Available]. PMID- 18135254 TI - [Not Available]. PMID- 18135253 TI - [Not Available]. PMID- 18135255 TI - [Not Available]. PMID- 18135256 TI - [Not Available]. PMID- 18135257 TI - [Not Available]. PMID- 18135258 TI - [Not Available]. PMID- 18135259 TI - [Not Available]. PMID- 18135260 TI - [Not Available]. PMID- 18135261 TI - [Not Available]. PMID- 18135262 TI - [Not Available]. PMID- 18135263 TI - [Not Available]. PMID- 18135264 TI - [Not Available]. PMID- 18135265 TI - [Not Available]. PMID- 18135266 TI - [Not Available]. PMID- 18135267 TI - [Not Available]. PMID- 18135268 TI - [Not Available]. PMID- 18135269 TI - [Not Available]. PMID- 18135270 TI - [Not Available]. PMID- 18135271 TI - [Not Available]. PMID- 18135272 TI - [Not Available]. PMID- 18135273 TI - [Not Available]. PMID- 18135274 TI - [Not Available]. PMID- 18135275 TI - [Not Available]. PMID- 18135276 TI - [Not Available]. PMID- 18135277 TI - [Not Available]. PMID- 18135278 TI - [Not Available]. PMID- 18135279 TI - [Not Available]. PMID- 18135280 TI - [Not Available]. PMID- 18135281 TI - [Not Available]. PMID- 18135282 TI - [Not Available]. PMID- 18135283 TI - [Not Available]. PMID- 18135284 TI - [Not Available]. PMID- 18135285 TI - Low back pain with sciatica; the importance of the ruptured intervertebral disc. PMID- 18135286 TI - The modern diabetic. PMID- 18135287 TI - Acute perforated peptic ulcer. PMID- 18135288 TI - Internal fixation of the femur with the Kuntscher intramedullary nail. PMID- 18135289 TI - The treatment of slipped femoral epiphysis. PMID- 18135290 TI - Pyogenic osteomyelitis of the cervical spine with quadriplegia secondary to cord pressure; recovery following spinal cord fusion. PMID- 18135291 TI - Electrocardiographic aids in the diagnosis of coronary artery disease. PMID- 18135292 TI - Nail bed reactions due to under coats. PMID- 18135293 TI - Anesthesia in proctology. PMID- 18135294 TI - Recent developments in the field of education in industrial medicine. PMID- 18135295 TI - Some problems of rehabilitation following injuries to the foot and ankle. PMID- 18135296 TI - Active therapy of varicose veins in pregnancy. PMID- 18135297 TI - Management of allergic sinusitis. PMID- 18135298 TI - Keratosis blennorrhagica; report of a case treated with penicillin and hyperpyrexia. PMID- 18135299 TI - [Not Available]. PMID- 18135300 TI - Nitrogen mustard in treatment of leukemias. PMID- 18135301 TI - Megaloblastic anemia of infancy. PMID- 18135302 TI - Experimental use of methyl testosterone in the premature infant. PMID- 18135303 TI - Treatment of acute nonsuppurative thrombophlebitis. PMID- 18135304 TI - Accessory spleen in the scrotum; report of a case. PMID- 18135305 TI - [Not Available]. PMID- 18135306 TI - [Not Available]. PMID- 18135308 TI - [Not Available]. PMID- 18135307 TI - [Not Available]. PMID- 18135309 TI - [Not Available]. PMID- 18135310 TI - Penicillin-inhalation. PMID- 18135311 TI - [Not Available]. PMID- 18135312 TI - [Not Available]. PMID- 18135313 TI - [Not Available]. PMID- 18135314 TI - [Not Available]. PMID- 18135315 TI - [Not Available]. PMID- 18135316 TI - [Not Available]. PMID- 18135317 TI - [Not Available]. PMID- 18135318 TI - [Not Available]. PMID- 18135319 TI - [Not Available]. PMID- 18135320 TI - [Not Available]. PMID- 18135321 TI - [Not Available]. PMID- 18135322 TI - [Not Available]. PMID- 18135323 TI - [Not Available]. PMID- 18135324 TI - [Not Available]. PMID- 18135325 TI - [Not Available]. PMID- 18135326 TI - [Not Available]. PMID- 18135327 TI - [Not Available]. PMID- 18135328 TI - [Not Available]. PMID- 18135329 TI - [Not Available]. PMID- 18135330 TI - [Not Available]. PMID- 18135331 TI - [Not Available]. PMID- 18135332 TI - [Not Available]. PMID- 18135333 TI - [Not Available]. PMID- 18135334 TI - [Not Available]. PMID- 18135335 TI - [Not Available]. PMID- 18135336 TI - [Not Available]. PMID- 18135337 TI - [Not Available]. PMID- 18135339 TI - [Not Available]. PMID- 18135338 TI - [Not Available]. PMID- 18135340 TI - [Not Available]. PMID- 18135341 TI - [Not Available]. PMID- 18135342 TI - [Not Available]. PMID- 18135343 TI - [Not Available]. PMID- 18135344 TI - [Not Available]. PMID- 18135345 TI - A journey of lepers on Okinawa. PMID- 18135346 TI - Studies on the origin and development of normal hemagglutinins. PMID- 18135347 TI - Erythema multiforme exudativum; report of a case with false-positive serology. PMID- 18135348 TI - Dermal spreading of India ink with and without hyaluronidase as influenced by hormones from the adrenal cortex. PMID- 18135349 TI - The extractable histamine content of gastric mucosa and lung before and after parenteral histamine administration. PMID- 18135350 TI - The Army's interest in public health activities. PMID- 18135351 TI - Malaria on Okinawa. PMID- 18135352 TI - Liver biopsy. PMID- 18135353 TI - Nonspecific urethritis. PMID- 18135355 TI - FOOD inspection and the Army's health. PMID- 18135354 TI - Traumatic amputation of entire upper extremity. PMID- 18135356 TI - Procaine block and carbuncles. PMID- 18135358 TI - An internist speculates on surgery. PMID- 18135357 TI - Spontaneous hemopneumothorax. PMID- 18135359 TI - The importance of Medical Department administration. PMID- 18135360 TI - A case of virus pneumonia. PMID- 18135361 TI - Surgical treatment of the peptic ulcer. PMID- 18135362 TI - Amicrobic pyuria. PMID- 18135363 TI - Exfoliative dermatitis due to penicillin and streptomycin. PMID- 18135364 TI - Mumps and some unusual complications and possible factors depressing immunity of recently inducted troops. PMID- 18135365 TI - Assistant battalion surgeons in combat. PMID- 18135366 TI - An early regime for severe finger injuries. PMID- 18135367 TI - Megaloblastic anaemia in an infant. PMID- 18135368 TI - [Not Available]. PMID- 18135369 TI - [Not Available]. PMID- 18135370 TI - [Not Available]. PMID- 18135371 TI - [Not Available]. PMID- 18135372 TI - [Not Available]. PMID- 18135373 TI - The derivatives of the hypothalamus in the human brain; their relation to the extrapyramidal and autonomic systems. PMID- 18135374 TI - Multiple hemorrhagic telangiectasis (Rendu, Osler, Weber disease) a case report with visceral involvement. PMID- 18135375 TI - The physiological approach to congestive heart failure. PMID- 18135377 TI - A palatable high caloric high protein drink. PMID- 18135376 TI - Medico-military aspects of the repatriation of sick and wounded. PMID- 18135378 TI - Scientific manpower and military research. PMID- 18135379 TI - Diagnostic advances at virus laboratory. PMID- 18135380 TI - The atmosphere in a submarine. PMID- 18135381 TI - ACUTE infectious jaundice during the war years. PMID- 18135382 TI - FLATFOOT. PMID- 18135383 TI - Recognition of nerve and tendon severance in the hand. PMID- 18135384 TI - Physical medicine in Army hospitals. PMID- 18135385 TI - Penicillin and streptomycin team established at Army hospitals. PMID- 18135386 TI - Plastic ophthalmo prostheses. PMID- 18135387 TI - Head wounds, Canadian Army, World War II. PMID- 18135388 TI - Recurrent intraocular haemorrhages in young adults, Eales' disease; a preliminary report. PMID- 18135389 TI - Bronchogenic carcinoma. PMID- 18135390 TI - [Not Available]. PMID- 18135391 TI - [Not Available]. PMID- 18135392 TI - [Not Available]. PMID- 18135393 TI - [Not Available]. PMID- 18135394 TI - [Not Available]. PMID- 18135395 TI - [Not Available]. PMID- 18135396 TI - An attempt to predict probable combat effectiveness by brief psychiatric examination. PMID- 18135397 TI - A statistical study of family relationships in psychoneurosis. PMID- 18135398 TI - Compulsion neurosis with cachexia (anorexia nervosa). PMID- 18135399 TI - Psychophysiological study of mentally ill patients: changes in the reactions to epinephrine and mecholyl after electric shock treatment. PMID- 18135400 TI - Wave and spike discharges in the electro-encephalogram. PMID- 18135401 TI - Involutional melancholia and convulsive therapy. PMID- 18135402 TI - Psychiatry in Switzerland; Zurich, Basel, Bern. PMID- 18135403 TI - Report of three cases of trigeminal neuralgia apparently cured by electroshock therapy. PMID- 18135404 TI - [Not Available]. PMID- 18135405 TI - [Not Available]. PMID- 18135406 TI - [Not Available]. PMID- 18135407 TI - [Not Available]. PMID- 18135408 TI - [Not Available]. PMID- 18135409 TI - [Not Available]. PMID- 18135410 TI - [Not Available]. PMID- 18135411 TI - [Not Available]. PMID- 18135412 TI - [Not Available]. PMID- 18135413 TI - Modern reorientations in psychoanalytic therapy. PMID- 18135414 TI - Hypothermia; a new treatment of psychiatric disorders. PMID- 18135415 TI - A consideration of human ecology. PMID- 18135416 TI - Psychoses with multiple sclerosis. PMID- 18135417 TI - Bronchogenous carcinoma, right upper lobe, with a metastasis to the left cerebellar hemisphere. PMID- 18135418 TI - Rhythmic electrical activity from isolated cerebral cortex. PMID- 18135419 TI - The electroencephalogram following occipital lobectomy. PMID- 18135420 TI - Electrographic study of the convulsant action of intravenously administered acetylcholine. PMID- 18135421 TI - Influence of ammonium chloride on the electrical activity of the brain and spinal cord. PMID- 18135422 TI - The electroencephalogram in cerebellar seizures. PMID- 18135423 TI - Effects of thalamic stimulation in unanaesthetised animals; the arrest reaction and petit mal-like seizures, activation patterns and generalized convulsions. PMID- 18135424 TI - Changes in the electroencephalogram following administration o mesantoin (methyl phenyl-ethyl hydantoin). PMID- 18135425 TI - Continuous measurement of alveolar CO2 tension during the hyperventilation test in routine electroencephalography. PMID- 18135426 TI - Path of current distribution in brain during electro-convulsive therapy; preliminary report. PMID- 18135427 TI - Focal epilepsy, sensory precipitation and evoked cortical potentials. PMID- 18135428 TI - A method for automatic analysis of the electroencephalogram. PMID- 18135429 TI - Rapid serial angiography; preliminary report. PMID- 18135430 TI - Percutaneous carotid angiography; a team technique with a report of the results in 70 cases. PMID- 18135431 TI - Experimental radio-necrosis of the brain in rabbits. PMID- 18135432 TI - After-imagery in defective fields of vision. PMID- 18135433 TI - Visual scotomata with intracranial lesions affecting the optic nerve. PMID- 18135434 TI - The tonic pupil. PMID- 18135435 TI - Observations on the wave and spike complex in the electro-encephalogram. PMID- 18135436 TI - Psychiatric changes associated with Friedreich's ataxia. PMID- 18135437 TI - Cramp in cases of prolapsed intervertebral disc. PMID- 18135438 TI - A contribution to the psychopathology of genuine epilepsy. PMID- 18135439 TI - The spirit of psychoanalysis. PMID- 18135440 TI - Symbolism in handwriting. PMID- 18135441 TI - Environmental factors in homosexuality in adolescent girls. PMID- 18135442 TI - Shell shock or traumatic neurosis. PMID- 18135443 TI - Parkinsonism as a sequela in heat stroke. PMID- 18135444 TI - The administration of electric shock treatment to a patient with purulent bronchiectasis and following pneumonectomy. PMID- 18135445 TI - The psychiatrist as a consultant to the court. PMID- 18135446 TI - Infantile eczema. PMID- 18135447 TI - Neurological complications in pernicous anemia. PMID- 18135448 TI - Control of incontinent urine by using external drainage. PMID- 18135449 TI - National planning for nursing and nursing education. PMID- 18135450 TI - The Jones-Thomas frame. PMID- 18135451 TI - The pH of fruit juices. PMID- 18135452 TI - Use of replications in deep-fat frying experiments. PMID- 18135453 TI - Ascorbic acid content of frozen and canned fruits before and after preparation for quantity serving. PMID- 18135454 TI - Characteristics of country-style hams as related to sugar content of curing mixture. PMID- 18135455 TI - Evaluation of future perish-ability of intact fresh eggs by radio-frequency conductivity. PMID- 18135456 TI - Palatability of kale in relation to cooking procedure and variety. PMID- 18135457 TI - Use of milk fat fractions in baked products. PMID- 18135458 TI - Effect of sugars on oxidation of ascorbic acid; general and specific effects. PMID- 18135459 TI - Effect of sugars on oxidation of ascorbic acid; influence of pH and type of buffer. PMID- 18135460 TI - Primary malignant melanoma of the optic disc; report of a case. PMID- 18135461 TI - The treatment of local lid infections with phages and particularly with filtrates. PMID- 18135462 TI - Regeneration of the corneal stroma cells; review of literature and histologic study. PMID- 18135463 TI - A further, very delicate test for astigmatic axis, using the cross cylinder with an astigmatic dial and without use of letter charts. PMID- 18135464 TI - Fixation disparity and the fusional processes in binocular single vision. PMID- 18135465 TI - Antistine; a study of its toxicity on topical application to the eye. PMID- 18135466 TI - The effect of dicumarol on the visual fields in glaucoma; a preliminary report. PMID- 18135467 TI - Therapy of some ocular inflammations based on immunologic principles. PMID- 18135468 TI - Scleral staphyloma and retinal detachment. PMID- 18135469 TI - The use of procaine intravenously in ophthalmology; a preliminary report. PMID- 18135470 TI - Local use of antistine in nodular episcleritis. PMID- 18135471 TI - Silver nitrate causing dacryocystitis. PMID- 18135472 TI - A simplified astigmometer. PMID- 18135473 TI - Clinical and histopathologic aspects of angioid streaks. PMID- 18135474 TI - Allergy in ophthalmology. PMID- 18135475 TI - Psychosomatic phenomena in ophthalmology. PMID- 18135476 TI - The final results of squint operations, in which restoration of binocular single vision was not expected. PMID- 18135477 TI - The cornea in polarized light. PMID- 18135478 TI - Traumatic or concussion chronic glaucoma. PMID- 18135479 TI - The photopic luminosity curve and visual purple. PMID- 18135480 TI - Iridoschisis in a case of chronic primary glaucoma. PMID- 18135481 TI - A note on the effect of sleep on glaucoma. PMID- 18135482 TI - The subconjunctival ab externo approach in glaucoma. PMID- 18135483 TI - Unusual ocular foreign body. PMID- 18135485 TI - [Not Available]. PMID- 18135484 TI - [Not Available]. PMID- 18135486 TI - [Not Available]. PMID- 18135487 TI - [Not Available]. PMID- 18135488 TI - [Not Available]. PMID- 18135489 TI - [Not Available]. PMID- 18135490 TI - Foreign bodies in the oesophagus; a review of 602 cases. PMID- 18135491 TI - On prognosis and therapy in oto-rhinogenous meningitis. PMID- 18135493 TI - Simple objective test for paracusis. PMID- 18135492 TI - Two unusual causes of stridor. PMID- 18135494 TI - Carotid pain. PMID- 18135495 TI - Reconstruction of the nasal septum. PMID- 18135496 TI - The use of the magnet in the tracheobronchial tree, the esophagus, stomach and duodenum. PMID- 18135497 TI - Stapedioparalytic phonophobia (hyperacusis) in a deaf ear; case reports including studies on the analysis of the phenomenon and suggestions for possible applications of the phonophobia test. PMID- 18135498 TI - The adhesiveness of blood platelets in thromboembolism and hemorrhagic disorders; measurement of platelet adhesiveness by the glass-wool filter. PMID- 18135499 TI - Quantitative correlation of morphologic liver changes and clinical tests. PMID- 18135500 TI - Sarcoidosis; a clinicopathologic review of 300 cases, including 22 autopsies. PMID- 18135501 TI - Hashimoto's and Riedel's strumas and lymphadenoid goiter. PMID- 18135502 TI - Cytologic diagnosis and bronchogenic carcinoma. PMID- 18135503 TI - Further studies on the rhw factor. PMID- 18135505 TI - Periportal cirrhosis with hemochromatosis of the liver. PMID- 18135504 TI - Abnormal agglutinability of red cells in pyogenic infections; report of two cases. PMID- 18135506 TI - Incidence of fatal coronary disease in nondiabetic and in diabetic persons. PMID- 18135507 TI - Primary alveolar cell tumors of the lung. PMID- 18135508 TI - Effect of experimental thiamine deficiency on the nervous system of the rhesus monkey. PMID- 18135509 TI - Pathologic changes after hepatectomy; with special reference to hepatic necrosis in protein-depleted rats. PMID- 18135510 TI - Unusual hamartoma of the lung in a newborn infant. PMID- 18135511 TI - Absence of the pulmonary artery; a new classification for pulmonary arteries of anomalous origin; report of a case of absence of the pulmonary artery with hypertrophied branchial arteries. PMID- 18135512 TI - Radioresistant cells in certain radiosensitive tissues of swine exposed to atomic bomb radiation. PMID- 18135513 TI - Glioma of the nose; report of a case of the extranasal type. PMID- 18135514 TI - Carcinoid of the rectum. PMID- 18135515 TI - Value of biopsy of the liver in nutritional dystrophy; evaluation of treatment with choline and dried stomach. PMID- 18135516 TI - Disseminated visceral lesions associated with extreme eosinophilia; pathologic and clinical observations on a syndrome of young children. PMID- 18135517 TI - Comparison of a group of rubella-deafened children with a group of hereditarily deaf children and their sibs. PMID- 18135518 TI - Streptomycin in treatment of whooping cough. PMID- 18135519 TI - Further studies on use of streptomycin in treatment of whooping cough. PMID- 18135520 TI - Spread of diarrhea of unknown origin in a ward for infants. PMID- 18135521 TI - Hereditary factors in infantile progressive muscular atrophy; study of 112 cases in 70 families. PMID- 18135522 TI - Peritoneal irrigation; method of treatment of acute renal failure in an infant. PMID- 18135523 TI - Postvaccination encephalitis; a problem in differential diagnosis. PMID- 18135524 TI - Avitaminosis A in giardiasis. PMID- 18135525 TI - Cushing's syndrome due to tumor of adrenal cortex; report of a case of an 11 month old infant, with apparent operative cure. PMID- 18135526 TI - [Not Available]. PMID- 18135527 TI - [Not Available]. PMID- 18135528 TI - [Not Available]. PMID- 18135529 TI - [Not Available]. PMID- 18135530 TI - Allergy and immunity in tuberculosis, with special reference to BCG vaccination. PMID- 18135531 TI - Wilms' tumor in a 5 weeks old infant. PMID- 18135532 TI - Oral penicillin for children with rheumatic fever. PMID- 18135533 TI - Further studies on oral penicillin in the prophylaxis of recurrent rheumatic fever. PMID- 18135534 TI - Pancreatic achylia and glycosuria due to cystic disease of the pancreas in a 9 year old child. PMID- 18135535 TI - Grid prodrome phenomenon in celiac disease; report of four cases. PMID- 18135536 TI - Congenital anal stricture. PMID- 18135537 TI - Leprosy, a disease of childhood with special reference to early findings in eye, ear, nose, and throat of children examined at the National Leprosarium at Carville, La. PMID- 18135538 TI - Potassium bromate poisoning. PMID- 18135539 TI - Feeding premature infants; comparison of four groups of premature infants fed different milk mixtures. PMID- 18135540 TI - Pyloric stenosis in one of identical twins. PMID- 18135541 TI - Tetany in newborn twins coincident with maternal toxemia. PMID- 18135542 TI - Congenital indifference to pain. PMID- 18135543 TI - An experiment in sex education at a boys' summer camp. PMID- 18135544 TI - Exanthem subitum (roseola infantum) complicated by prolonged convulsions and hemiplegia. PMID- 18135545 TI - Bacillus subtilis septicemia treated with penicillin. PMID- 18135546 TI - Virginal hypertrophy of the breast. PMID- 18135547 TI - Congenital syphilis. PMID- 18135548 TI - Ascariasis. PMID- 18135549 TI - The gifted child. PMID- 18135550 TI - Sclerenchyma in the diagnosis and analysis of vegetable powders. PMID- 18135551 TI - A titration method for the determination of procaine in procaine penicillin and its oily suspensions. PMID- 18135552 TI - A new method for measuring diffusion of antiseptics from ointment bases. PMID- 18135553 TI - The bromination of p-aminosalicylic acid, sodium p-aminosalicylate and m aminophenol. PMID- 18135554 TI - A photoelectric colorimetric method for the estimation of khellin. PMID- 18135555 TI - The response of the heart to visammin and to khellinin. PMID- 18135556 TI - Fungicides in medicine and pharmacy. PMID- 18135557 TI - A new suppository base, soluble in water. PMID- 18135558 TI - The modern dispensing department. PMID- 18135559 TI - Biophysical requirements for the ventilation of clothing. PMID- 18135560 TI - Control of blood flow to the extremities at low ambient temperatures. PMID- 18135561 TI - Venous pressure and cutaneous reactive hyperemia in exhausting exercise and certain other circulatory stresses. PMID- 18135563 TI - [Lobotomies and apraxia]. PMID- 18135562 TI - [Selective leucotomy]. PMID- 18135564 TI - [Not Available]. PMID- 18135565 TI - [Not Available]. PMID- 18135566 TI - Reliability of rectal temperatures as an index of internal body temperature. PMID- 18135567 TI - Mixing of alveolar air with dead space air during expiration. PMID- 18135568 TI - Metabolism of parasitic helminths. PMID- 18135569 TI - Exophthalmos. PMID- 18135570 TI - Physiological and pathological responses in the blood-vessels of the liver. PMID- 18135571 TI - The determination of the renal clearance of inulin in man. PMID- 18135572 TI - Observations on dye excretion through synovial membrane after lumbosacral sympathectomy and circulatory obstruction. PMID- 18135573 TI - On histidinuria. PMID- 18135574 TI - [Not Available]. PMID- 18135575 TI - The subjective duration of time-intervals. PMID- 18135576 TI - [Not Available]. PMID- 18135577 TI - Consciousness and the unconscious in depth and gestalt psychology. PMID- 18135578 TI - Certain Rorschach response categories and mental abilities. PMID- 18135579 TI - Modification of academic performance through personal interview. PMID- 18135580 TI - Types of errors in location judgments on scaled surfaces; errors of configuration. PMID- 18135581 TI - Types of errors in location judgments on scaled surfaces; random and systematic errors. PMID- 18135583 TI - [Not Available]. PMID- 18135582 TI - [Not Available]. PMID- 18135584 TI - [Not Available]. PMID- 18135585 TI - [Not Available]. PMID- 18135586 TI - The effect of removal of adhering tissue fluid upon the growth and survival of embryonic tissue in vitro. PMID- 18135587 TI - Demyelinating encephalomyelitis in the dog associated with antirabies vaccination. PMID- 18135588 TI - Japanese equine encephalomyelitis; 1947 epizootic; serological and etiological studies. PMID- 18135589 TI - Experimental transmission of Japanese B encephalitis virus by Culex tritaeniorhynchus and Culex pipiens var. pallens, suspected natural vectors. PMID- 18135590 TI - Isolations of Japanese B encephalitis virus from naturally infected Culex tritaeniorhynchus collected in Japan. PMID- 18135591 TI - Poliomyelitis attack rates in American troops, 1940-1948. PMID- 18135592 TI - Chloramphenicol in the chemoprophylaxis of scrub typhus; epidemiological observations on hyperendemic areas of scrub typhus in Malaya. PMID- 18135593 TI - Chloramphenicol in the chemoprophylaxis of scrub typhus; results with volunteers exposed in hyperendemic areas of scrub typhus. PMID- 18135594 TI - Studies on the chemotherapy of filariasis. PMID- 18135596 TI - An investigation of low mortality in certain areas. PMID- 18135595 TI - Occupational eye diseases and injuries. PMID- 18135597 TI - [Czechoslovak-Polish cooperation in the field of Public Health Service]. PMID- 18135598 TI - [Program for Public Health Service]. PMID- 18135599 TI - [Outlines of the work of Public Health Service]. PMID- 18135601 TI - [Budget of the Polish Ministry of Public Health for 1949]. PMID- 18135600 TI - [Instructions of the Public Health Service on the threshold of socialistic Poland]. PMID- 18135602 TI - [Planned use of medical personnel]. PMID- 18135603 TI - [Training of the district surgeons]. PMID- 18135604 TI - [Control of venereal disease in Poland]. PMID- 18135605 TI - [Development of the State Public Health Institute]. PMID- 18135606 TI - [Uniform pay-rates in the Public Health Service]. PMID- 18135607 TI - [Institute of scientific medical publications]. PMID- 18135608 TI - [Spas of Poland]. PMID- 18135609 TI - Diverticula of the oesophagus. PMID- 18135610 TI - The radiological aspects of diverticula of the stomach and small bowel. PMID- 18135611 TI - Diverticulosis and diverticulitis of the large intestine. PMID- 18135613 TI - The synchrotron accelerator; its potentialities as a generator of X-rays and electrons of 10-50 MeV energies for medical use. PMID- 18135612 TI - Diverticula of the colon. PMID- 18135614 TI - The microwave linear electron accelerator. PMID- 18135615 TI - [Not Available]. PMID- 18135616 TI - [Not Available]. PMID- 18135617 TI - [Not Available]. PMID- 18135618 TI - [Not Available]. PMID- 18135619 TI - Why the additional view? PMID- 18135620 TI - Soft tissue roentgenography. PMID- 18135622 TI - BCG vaccination in Venezuela. PMID- 18135621 TI - Radiography of the lumbar spine; lateral view. PMID- 18135623 TI - Experience with BCG vaccination in Cordoba, Argentina. PMID- 18135624 TI - A critical analysis of BCG in the prevention of tuberculosis. PMID- 18135625 TI - Calcified splenic cyst; report of a case. PMID- 18135626 TI - Pulmonary cryptococcosis; report of a case with surgical cure. PMID- 18135627 TI - A method of biopsy useful in diagnosing certain intrathoracic diseases. PMID- 18135628 TI - The pneumoconioses. PMID- 18135629 TI - New horizons in the surgical management of carcinoma of the prostate gland. PMID- 18135630 TI - Use of fibrin film in repair of experimentally produced hernias. PMID- 18135631 TI - Cancer of the gallbladder; report of a 5-year cure of anaplastic carcinoma with metastases. PMID- 18135632 TI - Minimal saddle-block anesthesia for vaginal delivery. PMID- 18135633 TI - Internal fixation of fractures of the femoral neck. PMID- 18135634 TI - Malignant tumors of the thyroid gland; diagnosis, management and end results. PMID- 18135635 TI - Thiouracil and surgery of the thyroid gland. PMID- 18135636 TI - The perforated appendix. PMID- 18135637 TI - Anesthesia for extremity amputations; a statistical review of 185 major amputation cases. PMID- 18135638 TI - Prevention of postoperative pulmonary complications. PMID- 18135639 TI - Role of anesthesia in gynecologic surgery. PMID- 18135640 TI - Extrapleural pneumonolysis with plombage. PMID- 18135641 TI - Disturbances of the pancreas and the use of the amylase test. PMID- 18135642 TI - Tumors of the adrenal gland; carcinoma of the adrenal cortex. PMID- 18135643 TI - Unusual condition of colon following resection of sigmoid for adenocarcinoma. PMID- 18135644 TI - Ileocolic intussusception due to metastasis from embryonal carcinoma of the testis. PMID- 18135645 TI - Primary tuberculosis of the cervix uteri. PMID- 18135646 TI - The Edwin Smith surgical papyrus. PMID- 18135647 TI - [Not Available]. PMID- 18135648 TI - [Not Available]. PMID- 18135649 TI - [Not Available]. PMID- 18135650 TI - [Not Available]. PMID- 18135651 TI - The treatment of malignant obstruction of the cardia. PMID- 18135652 TI - Leiomyosarcoma of stomach. PMID- 18135653 TI - A case of gastric carcinoma with spread exclusively to the remainder of the bowel and perianal skin. PMID- 18135654 TI - Pulmonary embolism arising from the great saphenous vein. PMID- 18135655 TI - Primary carcinoma of the trachea. PMID- 18135656 TI - Fat necrosis of the breast with report of a case in a male. PMID- 18135657 TI - A rare case of bone dystrophy. PMID- 18135658 TI - Non-specific (eosinophilic) granuloma of bone. PMID- 18135659 TI - A new method of venography with particular reference to its use in varicose veins. PMID- 18135660 TI - Duodenal diverticula. PMID- 18135661 TI - A new uretero-enterostomy. PMID- 18135662 TI - Sarcoma of the urachus; report of a case and brief review of the subject. PMID- 18135663 TI - Polythene tubing in the experimental surgery of the ureter. PMID- 18135664 TI - A case of compound intussusception of a mucocele of the appendix. PMID- 18135665 TI - Intestinal obstruction due to ascaris. PMID- 18135666 TI - An advanced case of mega-oesophagus due to cardiospasm. PMID- 18135667 TI - Secondary haemangioma of bone; report of a case. PMID- 18135668 TI - Endometrioma of the caecum causing mucocele of the appendix. PMID- 18135669 TI - Cruched chest syndrome with mediastinal emphysema the result of compressed air. PMID- 18135670 TI - Perinephritis and perinephric abscess; a study of 37 cases. PMID- 18135671 TI - Renal injuries. PMID- 18135672 TI - Automatic bladder irrigator. PMID- 18135673 TI - On special cases of post-traumatic stenosis of the urethra; medico-legal considerations. PMID- 18135674 TI - Eczema, a symptom of specific changes in rotting tissue elsewhere in the organism. PMID- 18135675 TI - Reports of the North Carolina syphilis studies; an evaluation of case-finding measures in the control of gonorrhea. PMID- 18135677 TI - A report of spinal fluid findings in patients who relapsed following penicillin therapy for early syphilis. PMID- 18135676 TI - The role of cardiolipin antigen in the serology of syphilis. PMID- 18135678 TI - Reproductive behavior of foxes in New York State. PMID- 18135679 TI - Use of the baculum in age determination of Michigan beaver. PMID- 18135680 TI - The clitoris bone in two pinnipeds. PMID- 18135681 TI - Parturition of the Nubian giraffe, Giraffa camelopardalis. PMID- 18135682 TI - [Not Available]. PMID- 18135683 TI - The sympathetic endformation, its synaptology, the interstitial cells, the periterminal network, and its bearing on the neurone theory, discussion and critique. PMID- 18135684 TI - [Not Available]. PMID- 18135685 TI - Studies on the storage of the oestrogenprecursor in the interstitial gland of the ovary of rats treated with oestradiol benzoate and progesterone. PMID- 18135686 TI - [Not Available]. PMID- 18135687 TI - A vital microscope. PMID- 18135688 TI - [Not Available]. PMID- 18135689 TI - Report on a third fully developed kidney in a 9 month old foetus and on the possibilities of its origin. PMID- 18135690 TI - [Not Available]. PMID- 18135691 TI - [Not Available]. PMID- 18135692 TI - Some critical remarks on the problem of the double innervation of salivary gland cells. PMID- 18135693 TI - The morphology of Urceolaria karyolobia, sp.nov., Trichodina tegula, sp. nov., and Scyphidia ubiquita, sp. nov.; three new ciliates from southern California limpets and turbans. PMID- 18135694 TI - The nature of the Golgi apparatus; parallelism between intercellular myelin figures and Golgi apparatus in somatic cells. PMID- 18135695 TI - The nature of the Golgi apparatus; identification of the Golgi apparatus with a complex of myelin figures. PMID- 18135696 TI - Correlated studies of sense organs and nerves of the lateral-line in living frog tadpoles; experiments on the orange granules and sense hairs of denervated and innervated organs. PMID- 18135697 TI - The weight of the pituitary gland of the male dog in relation to body weight and age, with a differential cell count of the anterior lobe. PMID- 18135698 TI - Pelomyxa carolinensis Wilson; further observations on plasmotomy. PMID- 18135699 TI - Abnormal growths on the head of Drosophila melanogaster. PMID- 18135700 TI - The variability of the clinical features of gastric cancer. PMID- 18135701 TI - [Not Available]. PMID- 18135702 TI - [Not Available]. PMID- 18135703 TI - [Not Available]. PMID- 18135704 TI - [Not Available]. PMID- 18135705 TI - [Not Available]. PMID- 18135706 TI - [Not Available]. PMID- 18135707 TI - [Not Available]. PMID- 18135708 TI - [Not Available]. PMID- 18135709 TI - [Not Available]. PMID- 18135710 TI - [Not Available]. PMID- 18135711 TI - [Not Available]. PMID- 18135712 TI - [Not Available]. PMID- 18135713 TI - [Not Available]. PMID- 18135714 TI - [Not Available]. PMID- 18135715 TI - [Not Available]. PMID- 18135716 TI - [Not Available]. PMID- 18135717 TI - [Not Available]. PMID- 18135718 TI - [Not Available]. PMID- 18135719 TI - [Not Available]. PMID- 18135720 TI - [Not Available]. PMID- 18135721 TI - [Not Available]. PMID- 18135722 TI - [Not Available]. PMID- 18135723 TI - [Not Available]. PMID- 18135724 TI - [Not Available]. PMID- 18135725 TI - [Not Available]. PMID- 18135726 TI - [Not Available]. PMID- 18135727 TI - Measurement of regional circulation by the local clearance of radioactive sodium. PMID- 18135728 TI - Arterectomy in the treatment of intractable pain following recovery from acute arterial occlusion. PMID- 18135729 TI - The relationship of atheromatosis development in the chicken to the amount of cholesterol added to the diet. PMID- 18135730 TI - The cause and effects of flow through defects of the atrial septum. PMID- 18135731 TI - [Not Available]. PMID- 18135732 TI - [Not Available]. PMID- 18135733 TI - Analysis of electrocardiograms of 93 patients with acute rheumatic fever. PMID- 18135734 TI - Penicillin therapy of cardiovascular syphilis. PMID- 18135735 TI - The precordial electrocardiogram in incomplete right bundle branch block. PMID- 18135736 TI - Variability of the electrocardiogram in normal young men. PMID- 18135737 TI - A study of the Q-T interval in rheumatic fever. PMID- 18135738 TI - Recovery from subacute bacterial endocarditis; report of two cases. PMID- 18135739 TI - Delayed death following contusion of the heart; report of a case. PMID- 18135740 TI - [Not Available]. PMID- 18135741 TI - Dissecting aneurysm and renal cortical necrosis associated with arachnodactyl (Marfan's disease). PMID- 18135742 TI - [Not Available]. PMID- 18135743 TI - [Not Available]. PMID- 18135744 TI - [Not Available]. PMID- 18135746 TI - [Not Available]. PMID- 18135745 TI - [Not Available]. PMID- 18135747 TI - [Not Available]. PMID- 18135748 TI - [Not Available]. PMID- 18135749 TI - [Not Available]. PMID- 18135750 TI - [Not Available]. PMID- 18135751 TI - [Not Available]. PMID- 18135752 TI - [Not Available]. PMID- 18135753 TI - [Not Available]. PMID- 18135754 TI - [Not Available]. PMID- 18135756 TI - [Not Available]. PMID- 18135755 TI - [Not Available]. PMID- 18135757 TI - The digestibility of polymerized oils. PMID- 18135758 TI - The chemistry of the living bark of the black locust tree in relation to frost hardiness; seasonal variations in protein content. PMID- 18135759 TI - The chemistry of the living bark of the black locust tree relation to frost hardiness; seasonal variations in the electrophoresis patterns of the water soluble proteins of the bark. PMID- 18135760 TI - On the nature of highly purified mushroom tyrosinase preparations. PMID- 18135761 TI - Separation of a crystalline globulin from tomato juice and determination of its isoelectric point. PMID- 18135762 TI - The occurrence of ergosterol in Neurospora crassa. PMID- 18135763 TI - The influence of growth and adrenocorticotropic hormones on the fat content of the liver. PMID- 18135764 TI - The enzymatic synthesis of glucose-1,6-diphosphate. PMID- 18135765 TI - Studies on the mechanism of the inhibition of glucolysis by glyceraldehyde. PMID- 18135766 TI - The sulfur amino acid requirement of Tetrahymena geleii. PMID- 18135767 TI - Concentration of amino acids by the excised diaphragm suspended in artificial media; maintenance and inhibition of the concentrating activity. PMID- 18135768 TI - Concentration of amino acids by the excised diaphragm suspended in artificial media; inhibition of the concentration of glycine by amino acids and related substances. PMID- 18135769 TI - Substrate concentration and specificity of choline ester-splitting enzymes. PMID- 18135770 TI - The polysaccharide from Iles mannane. PMID- 18135771 TI - Esterified fatty acid levels of normal human sera. PMID- 18135772 TI - Factors influencing oxygen production by illuminated chloroplast fragments. PMID- 18135773 TI - A new fluorometric method for the determination of epinephrine. PMID- 18135774 TI - The production of usnic, didymic, and rhodocladonic acids by the fungal component of the lichen Cladonia cristatella. PMID- 18135775 TI - The biosynthesis of the penicillins. PMID- 18135776 TI - A metabolic relationship between the aromatic amino acids. PMID- 18135777 TI - X-ray diagnostic agents, 2-(3,5-diiodo-4-hydroxybenzyl)-benzoic acid. PMID- 18135778 TI - A role of vitamin B12 in the normal mammal. PMID- 18135779 TI - The nucleic acid content of fetal rat liver. PMID- 18135781 TI - The aconite alkaloids; oxidation of isopyroxodelphonine, dihydroisopyrooxodelphonine, and their desmethylanhydro derivatives. PMID- 18135780 TI - Resolution of racemic phenylalanine, tyrosine, and tryptophan. PMID- 18135782 TI - The action of an analogue of ethanolamine (diethanolamine) on the formation of liver phospholipides. PMID- 18135783 TI - Studies on the origin of the serum proteins. PMID- 18135784 TI - The substrate specificity and sedimentation behavior of delta-chymotrypsin. PMID- 18135785 TI - Oxybiotin derivatives as biotin and oxybiotin antagonists. PMID- 18135786 TI - Crystalline glycerophosphate dehydrogenase from rabbit muscle. PMID- 18135787 TI - Crystalline protein from commercial beans (Phaseolus vulgaris). PMID- 18135788 TI - Measurement of carbonic anhydrase activity of blood at body temperature. PMID- 18135790 TI - Preparation of the optically active isomers of S-benzylhomocysteine by enzymatic resolution. PMID- 18135789 TI - Comparison of response of succinic dehydrogenase and succinoxidase system to organic mercurial and thiol compounds. PMID- 18135791 TI - Further studies on the Harden-Young effect in alcoholic fermentation of yeast preparations. PMID- 18135792 TI - Glycolysis in liver homogenates. PMID- 18135793 TI - Diphtheria toxin; a comparison between the diphtherial succinoxidase system and that of beef heart muscle. PMID- 18135794 TI - Vitamin E potency of alpha-tocopherol and alpha-tocopherol esters. PMID- 18135795 TI - Cholesterol esterases; preparation of substrate mixture and characterization of the hydrolytic cholesterol and esterase of pancreatin. PMID- 18135796 TI - Acetylation in the diabetic rat. PMID- 18135797 TI - The utilization of amino acids and peptides by mutant strains of Escherichia coli. PMID- 18135798 TI - The multiple nature of the animal protein factor. PMID- 18135799 TI - Preparation of purified hyaluronidase from bovine testis. PMID- 18135800 TI - The intermediary metabolism of phenylalanine labeled with radioactive carbon. PMID- 18135801 TI - Carbamates in the chemotherapy of leucemia; the rate of catabolism of urethane in normal and neoplastic mice. PMID- 18135802 TI - The gasometric determination of alpha-amino acids by the peri-naphthindan-2,3,4 trione hydrate-carbon dioxide method in pure solutions, with remarks upon its use in blood and urine. PMID- 18135803 TI - Relation of dietary folic acid and vitamin B12 to enzyme activity in the chick. PMID- 18135804 TI - Microbiological determination of isoleucine in proteins and foods. PMID- 18135805 TI - Isolation of acetyl-histamine from urine following oral administration of histamine. PMID- 18135806 TI - The rate of utilization of ammonia for protein synthesis. PMID- 18135807 TI - Studies on the desoxypentose nuclease of yeast and its specific cellular regulation. PMID- 18135808 TI - On the lipoprotein particles of yeast cells. PMID- 18135809 TI - A modified diphenylamine procedure for the determination of inulin. PMID- 18135810 TI - The fluorometric measurement of the nucleotides of riboflavin and their concentration in tissues. PMID- 18135811 TI - Mechanisms of cleavage of glucose-1-phosphate. PMID- 18135812 TI - The hexokinase of the rat erythrocyte and the influence of hormonal and other factors on its activity. PMID- 18135813 TI - The fate of utilized molecular oxygen and the source of the oxygen of respiratory carbon dioxide, studied with the aid of heavy oxygen. PMID- 18135814 TI - Biochemical properties of succinoxidase from Salmonella aertrycke. PMID- 18135815 TI - Purification of the hyperglycemic-glycogenolytic factor from insulin and from gastric mucosa. PMID- 18135816 TI - The utilization of some phenylpyruvic acids for growth in the rat. PMID- 18135817 TI - The biological formation of serine from glycine. PMID- 18135818 TI - Synthesis and some biological properties of 4-aminopteroylaspartic acid. PMID- 18135819 TI - The primary and secondary compounds of catalase and methyl or ethyl hydrogen peroxide; reactions in concentrated alkyl hydrogen peroxide solutions. PMID- 18135820 TI - Enzymatic synthesis of a compound with acetylcholine-like biological activity. PMID- 18135821 TI - Acylation reactions mediated by purified acetylcholine esterase. PMID- 18135822 TI - Starches and their derivatives as adsorbents for malt alpha-amylase. PMID- 18135823 TI - The effect of 2,4-dinitrophenol on hexokinase and glycogenolysis. PMID- 18135824 TI - Molybdenum metabolism and interrelationships with copper and phosphorus. PMID- 18135825 TI - A spectrophotometric study of the behavior of carbohydrates in 79% sulfuric acid. PMID- 18135827 TI - Grief in exodontia. PMID- 18135826 TI - Esterase of rabbit polymorphonuclear leucocytes. PMID- 18135828 TI - Simplifying the problems in furnishing treatment to veterans. PMID- 18135829 TI - Developmental problems of the primary and early mixed dentitions. PMID- 18135831 TI - Current effort to control dental caries. PMID- 18135830 TI - Diet, nutrition and dental caries. PMID- 18135832 TI - Dentistry and the atomic energy program. PMID- 18135833 TI - The use of study casts in dental diagnosis. PMID- 18135834 TI - Studies in public health dentistry; testing the uniformity of dental hygienist examinations. PMID- 18135835 TI - [Critical study of various methods of radiography of the temporomandibular joint]. PMID- 18135836 TI - [The infection of the peri-coronal space of impacted teeth]. PMID- 18135837 TI - [Analgesia with nitrous oxide; aseptic root canal therapy]. PMID- 18135838 TI - [Histochemical study of the localization of alkaline phosphatase in rat dental blanks]. PMID- 18135839 TI - [Microbial antagonism: General; recent acquisitions; applications in dentistry]. PMID- 18135840 TI - [A case of facial paresis by inclusion of lower premolar ectopia]. PMID- 18135841 TI - [About the removal of a large cyst invading the maxillary sinus without damaging the sinus mucosa; plasty]. PMID- 18135842 TI - Suboccipital dermatitis. PMID- 18135843 TI - Promin in the treatment of certain dermatoses. PMID- 18135844 TI - Circumcision and venereal disease. PMID- 18135845 TI - Manual epilation in treatment of tinea capitis. PMID- 18135846 TI - Disseminate lupus erythematosus. PMID- 18135847 TI - Kveim reaction in sarcoidosis. PMID- 18135848 TI - Studies of sweating; on the mechanism of action of local antiperspirants. PMID- 18135849 TI - Malignant dyskeratosis, erythroplasia of Queyrat type; report of a case. PMID- 18135850 TI - Use of polarized light in color photography of mucous membranes. PMID- 18135851 TI - Effect of diphenhydramine hydrochloride on Herxheimer reaction after use of penicillin. PMID- 18135852 TI - Squamous cell epithelioma and psoriasis. PMID- 18135853 TI - Juvenile xanthoma in an infant girl aged 4 months. PMID- 18135854 TI - Keratosis follicularis. PMID- 18135855 TI - Erythema annulare centrifugum. PMID- 18135856 TI - Generalized dermatomycosis (trichophyton purpureum) associated with hyperkeratosis palmaris et plantaris. PMID- 18135858 TI - Multiple tuberculids; lichen scrofulosorum now present. PMID- 18135857 TI - Tuberculosis miliaris disseminata faciei. PMID- 18135859 TI - Boeck's lichenoid sarcoid; iridocyclitis; ptosis. PMID- 18135860 TI - A case for diagnosis; dermatitis medicamentosa? PMID- 18135861 TI - Taboparesis (treated). PMID- 18135862 TI - Contact dermatitis with probable food sensitivity. PMID- 18135863 TI - Lymphocytoma cutis. PMID- 18135864 TI - Hydroa puerorum? urticaria pigmentosa. PMID- 18135865 TI - Leiomyoma cutis (zosteriform). PMID- 18135866 TI - Tuberculous? infection of the buttocks and perianal region. PMID- 18135868 TI - Acne necrotica miliaris. PMID- 18135867 TI - A case for diagnosis; Barraquer-Ferre lipodystrophy? PMID- 18135869 TI - A case for diagnosis; erythroplasia? PMID- 18135870 TI - Fibrous changes in the dermis, with special reference to senile elastosis. PMID- 18135871 TI - Liver function in Darier's disease and pityriasis rubra pilaris. PMID- 18135872 TI - Mepacrine drug eruption affecting a tooth. PMID- 18135873 TI - Contact allergic dermatitis due to the procaine fraction of procaine penicillin. PMID- 18135874 TI - Topical chlorophyll therapy in the dermatoses. PMID- 18135875 TI - Evaluation of topical dichloroxy quinaldine as a therapeutic agent in dermatology. PMID- 18135876 TI - Histopathology of experimental eczema, allergic contact-type eczematous dermatitis, in man; a study by the technics of silver impregnations of Rio Hortega with special reference to the early microscopic lesions. PMID- 18135877 TI - The routine cultural identification of Microsporum ringworm of the scalp. PMID- 18135878 TI - Diatrin hydrochloride; clinical and toxicologic studies of a new antihistaminic agent. PMID- 18135879 TI - Studies of the acute and chronic toxicity of undecylenic acid. PMID- 18135880 TI - Therapeutic assays; aurol-sulfide (Hille). PMID- 18135881 TI - Trends in gastroenterology. PMID- 18135882 TI - Response of serum amylase and lipase to pancreatic stimulation as a test of pancreatic function; the mecholyl-secretin and the morphine-secretin tests. PMID- 18135883 TI - External pancreatic secretion as measured by the secretin test in patients with idiopathic steatorrhoea. PMID- 18135884 TI - The concurrence of migraine and peptic ulcer. PMID- 18135885 TI - The management of massive esophageal hemorrhage with tamponade and thrombin. PMID- 18135886 TI - The diagnosis of carcinoma of the esophagus; the method of biopsy with the retrograde curette. PMID- 18135887 TI - Mesenteric lyphadenitis; a clinical and experimental study. PMID- 18135888 TI - Benign ulcer of the greater curvature of the stomach; report of a histologically proven case. PMID- 18135889 TI - Leukoplakia-keratosis of the esophageal stricture. PMID- 18135890 TI - A brachial fistual of the pyriform sinus; report of a case. PMID- 18135891 TI - Histological effects of growth-regulating substances on sunflower tissue of crown gall origin grown in vitro. PMID- 18135892 TI - B-vitamin changes during growth of cucurbit and tomato fruits. PMID- 18135893 TI - Isolation and production of polymyxin. PMID- 18135894 TI - Effect of various factors on the production of polymyxin. PMID- 18135895 TI - Antibiotics derived from bacillus polymyxa. PMID- 18135896 TI - Comparative biological studies of polymyxin A and polymyxin D. PMID- 18135897 TI - Chemical studies on polymyxin; comparison with aerosporin. PMID- 18135898 TI - Chemical evidence for the multiplicity of the antibiotics produced by Bacillus polymyxa. PMID- 18135899 TI - The chemistry of polymyxin A. PMID- 18135900 TI - Pharmacology of polymyxin. PMID- 18135901 TI - In vitro studies of polymyxin. PMID- 18135902 TI - Polymyxin; assay procedures. PMID- 18135903 TI - A simple method for the assay of polymyxin in blood and urine. PMID- 18135904 TI - The clinical use of polymyxin. PMID- 18135906 TI - The bearing of recent research on rice milling. PMID- 18135905 TI - Remarks on clinical results with polymyxin A and B. PMID- 18135907 TI - [Not Available]. PMID- 18135908 TI - [Not Available]. PMID- 18135909 TI - [Not Available]. PMID- 18135910 TI - [Not Available]. PMID- 18135911 TI - [Not Available]. PMID- 18135912 TI - [Not Available]. PMID- 18135913 TI - [Not Available]. PMID- 18135914 TI - Chemotherapy of tuberculosis. PMID- 18135915 TI - An apparatus for the coronary perfusion of the mammalian heart. PMID- 18135916 TI - Relative effects of carbon dioxide, temperature and light intensity upon photosynthesis. PMID- 18135917 TI - Colorimetric detection and estimation of thorium. PMID- 18135918 TI - Tick-borne relapsing fever in Kashmir. PMID- 18135919 TI - A new method for the estimation of vitamin-C. PMID- 18135920 TI - Structure and function of bursa copulatrix and the associated organs in Bruchidae (=Lariidae) [Coleoptera-Phytophaga] and their taxonomic significance. PMID- 18135921 TI - On spawning conditions and larvicidal propensities of Carassius auratus. PMID- 18135922 TI - Nitrogen metabolism in plants. PMID- 18135923 TI - The Lister Institute of Preventive Medicine. PMID- 18135924 TI - Flight at supersonic speeds. PMID- 18135925 TI - High-polymer molecules in solution. PMID- 18135926 TI - Biosynthesis of asymmetric citric acid; a substantiation of the Ogston concept. PMID- 18135927 TI - Synthesis of pyrazine cyclic hydroxamic acids related to aspergillic acid. PMID- 18135928 TI - Quantitative paper chromatography. PMID- 18135929 TI - Denaturation in regenerated protein fibres. PMID- 18135930 TI - Senescence and rejuvenation in Lemna minor. PMID- 18135931 TI - Perirectal abscess producing symptoms of generalized peritonitis. PMID- 18135932 TI - Splenic-vein thrombosis following transthoracic gastrectomy and incidental splenectomy. PMID- 18135933 TI - Response to intravenous typhoid vaccine in intractable status asthmaticus. PMID- 18135934 TI - Pleural complications of staphylococcus pneumonia. PMID- 18135935 TI - Nonspecific reactions in serologic tests for syphilis; relationship of vaccinia. PMID- 18135936 TI - Pulmonary Bacillus pyocyaneus infection in an adult with recovery. PMID- 18135937 TI - Growth-cycle of influenza virus. PMID- 18135938 TI - Neutron diffraction by crystals. PMID- 18135939 TI - Diabetogenic action of pure anterior pituitary growth hormone. PMID- 18135940 TI - Vitamin A and carotene. PMID- 18135941 TI - Suspensions and sedimentation. PMID- 18135942 TI - Modified ionization chamber for study of angular distribution of ionizing particles. PMID- 18135943 TI - A simple reflecting microscope. PMID- 18135944 TI - Product of interaction between influenza virus enzyme and ovomucin. PMID- 18135945 TI - Action of suramin and antrycide on enzymes. PMID- 18135946 TI - Nutrition of a strain of brewer's yeast requiring p-aminobenzoic acid. PMID- 18135947 TI - Carbon dioxide narcosis. PMID- 18135948 TI - Triphenyl tetrazolium chloride as a reagent for the histological demonstration of subcutaneous fat. PMID- 18135949 TI - Evolutionary changes in the sex chromosomes of Coleoptera. PMID- 18135950 TI - An inert gas compound. PMID- 18135951 TI - Bromination of delta1 olefins with N-bromosuccinimide. PMID- 18135952 TI - The uncertainty principle. PMID- 18135953 TI - Encephalitis. PMID- 18135954 TI - Infant speech. PMID- 18135955 TI - Dietary fat and calcium wastage in old age. PMID- 18135956 TI - Changes in the endocrine glands in the fowl with age. PMID- 18135957 TI - Effect of oral administration of vitamin A on plasma levels of vitamin A and carotene in aged males. PMID- 18135958 TI - The correlation between thyroid function and the incidence of arteriosclerosis. PMID- 18135959 TI - Animism and related tendencies in senescence. PMID- 18135960 TI - Recoverable or temporary mental disturbances in the elderly. PMID- 18135961 TI - The traditional Chinese attitude towards old age. PMID- 18135962 TI - Spinal anesthesia in vaginal delivery. PMID- 18135963 TI - Rheumatic heart disease in pregnancy; a critique of the rules in management. PMID- 18135964 TI - A non-technical discussion of the Rh factor as understood and employed at the Margaret Hague Maternity Hospital. PMID- 18135965 TI - Malignant nephrosclerosis in pregnancy. PMID- 18135966 TI - Vaginal delivery following cesarean section. PMID- 18135967 TI - Maternal deaths. PMID- 18135969 TI - [Not Available]. PMID- 18135970 TI - [Not Available]. PMID- 18135968 TI - [Not Available]. PMID- 18135971 TI - [Not Available]. PMID- 18135972 TI - [Not Available]. PMID- 18135973 TI - [Not Available]. PMID- 18135974 TI - [Not Available]. PMID- 18135975 TI - [Not Available]. PMID- 18135976 TI - [Not Available]. PMID- 18135977 TI - [Not Available]. PMID- 18135978 TI - [Not Available]. PMID- 18135979 TI - [Not Available]. PMID- 18135980 TI - [Not Available]. PMID- 18135981 TI - [Not Available]. PMID- 18135983 TI - [Not Available]. PMID- 18135982 TI - [Not Available]. PMID- 18135984 TI - The activity of the embryonic human heart and its significance of the understanding of the heart movement in the adult. PMID- 18135985 TI - History of pharmacy in Holland. PMID- 18135986 TI - [Not Available]. PMID- 18135987 TI - [Not Available]. PMID- 18135988 TI - [Not Available]. PMID- 18135989 TI - [Not Available]. PMID- 18135990 TI - [Not Available]. PMID- 18135992 TI - [Not Available]. PMID- 18135991 TI - [Not Available]. PMID- 18135993 TI - [Not Available]. PMID- 18135994 TI - [Not Available]. PMID- 18135995 TI - [Not Available]. PMID- 18135996 TI - [Not Available]. PMID- 18135997 TI - The absorption of gold from pellets of gold salts (aurothioglycolanilide) implanted subcutaneously and intramuscularly; its application in the treatment of six cases of rheumatoid arthritis. PMID- 18135998 TI - The treatment of pneumonia and other infections with a soluble sulfonamide, gantrosan (NU-445; 3,4-dimethyl-5-sulfanilamido-isoxazole). PMID- 18135999 TI - The treatment of gonorrheal arthritis with penicillin. PMID- 18136000 TI - Inefficacy of prophylactic streptomycin in an outbreak of salmonella gastro enteritis. PMID- 18136001 TI - Multiple myeloma associated with polycythemia; report of four cases. PMID- 18136002 TI - Venous thromboembolic phenomena; their absence in paraplegic and tetraplegic patients. PMID- 18136003 TI - Insulin fat atrophy. PMID- 18136004 TI - Pernicious anemia complicated by syphilis; report of three cases. PMID- 18136005 TI - Premature calcification of the costal cartilages; its frequent association with symptoms of non-organic origin. PMID- 18136006 TI - The value of liver function tests in general hospital practice. PMID- 18136007 TI - The pain reaction threshold in the menopausal syndrome. PMID- 18136008 TI - Pain reaction thresholds in patients with peptic ulcer. PMID- 18136009 TI - Recurrent migrainoid headaches associated with spontaneous hypoglycemia. PMID- 18136010 TI - Pericardial and cardiac surgery. PMID- 18136011 TI - Vagotomy for peptic ulcer. PMID- 18136012 TI - Intubation studies in intestinal allergy. PMID- 18136013 TI - Cardiospasm, a generalized disorder of esophageal motility. PMID- 18136014 TI - Treatment of chronic non-specific ulcerative colitis with aureomycin; a preliminary report. PMID- 18136015 TI - Significance of hyperalimentation in treatment of chronic idiopathic ulcerative colitis. PMID- 18136016 TI - Chronic gastritis; a study of symptoms and gastric secretion. PMID- 18136017 TI - A unified concept of cardiac failure. PMID- 18136018 TI - Psychogenic deafness in a disturbed boy. PMID- 18136019 TI - Cardiac failure, elevated basal metabolic rate and psychosis. PMID- 18136020 TI - Observations on two newer hemopoietic vitamins, vitamin B12 and animal protein factor. PMID- 18136021 TI - Influenzal meningitis in adults; report of a case complicating the nephrotic syndrome. PMID- 18136022 TI - Endocarditis due to Hemophilus influenzae. PMID- 18136023 TI - Multiple pulmonary artery aneurysms: endarteritis of ductus arteriosus and congenital pulmonary cysts. PMID- 18136024 TI - Relapsing febrile non-suppurative panniculitis; Weber-Christian disease. PMID- 18136025 TI - Salicylate intoxication in children; report of three cases. PMID- 18136026 TI - The rheumatic state with case report. PMID- 18136027 TI - The diagnosis of syphilis confused by penicillin therapy of other diseases. PMID- 18136028 TI - Some simple diagnostic measures in neuromuscular and articular pain, with special reference to differential palpation. PMID- 18136029 TI - The scalenus anticus syndrome. PMID- 18136030 TI - The use of vasodilators and vasoconstrictors in asthma. PMID- 18136031 TI - A study of superficial punctate keratitis with an allergic etiology; a report of 19 patients. PMID- 18136032 TI - Respiratory acidosis and alkalosis in infants with acute pulmonary infections. PMID- 18136033 TI - Blood volume studies in postoperative liver death. PMID- 18136034 TI - Osteomalacia. PMID- 18136036 TI - Emotional factors in organic disease. PMID- 18136035 TI - Thrombosis of the superior vena cava. PMID- 18136037 TI - Pulmonary disease manifestations of ankylosing spondylarthritis. PMID- 18136038 TI - Xiphosternal crunch; an analysis of 106 cases among 3,224 Army separatees. PMID- 18136039 TI - Prolapsed gastric mucosa; a possible cause of gastric symptoms in right heart failure. PMID- 18136040 TI - Aerosol penicillin in allergic patients with respiratory infections. PMID- 18136041 TI - Nitrogen balance studies in chronic peptic ulcer disease. PMID- 18136042 TI - Nitrogen metabolism in chronic idiopathic ulcerative colitis and its therapeutic significance. PMID- 18136043 TI - The shoulder-hand syndrome; a complication of coronary artery disease. PMID- 18136044 TI - Recent advances in the pathogenesis and treatment of essential hypertension. PMID- 18136045 TI - Polycystic disease of the liver; report of two cases diagnosed by peritoneoscopy. PMID- 18136046 TI - Kaposi's sarcoma with secondary involvement of the jejunum, perforation and peritonitis. PMID- 18136047 TI - Endocarditis caused by organism morphologically and culturally identified as C. diphtheria. PMID- 18136049 TI - S., M.S. Immunologic studies in rheumatic fever. PMID- 18136048 TI - Fatal mercurialism due to prolonged intravenous administration of a mercurial diuretic. PMID- 18136050 TI - The treatment of sinusitis. PMID- 18136051 TI - Hereditary hemorrhagic telangiectasia and rutin. PMID- 18136052 TI - Cavernous hemangioma of right middle lobe of lung. PMID- 18136053 TI - [Not Available]. PMID- 18136054 TI - Nieuwere Ocytocica. PMID- 18136055 TI - [Not Available]. PMID- 18136056 TI - [Not Available]. PMID- 18136057 TI - [Not Available]. PMID- 18136058 TI - Problems of ageing and chronic sickness. PMID- 18136059 TI - Effect of low temperatures on the Bittner virus of mouse carcinoma. PMID- 18136060 TI - Propagation of mouse carcinoma by dried tumour tissue. PMID- 18136061 TI - Neurological complications of mumps. PMID- 18136062 TI - Leucocyte counts in the prevention of drug agranulocytosis. PMID- 18136063 TI - Torsion of normal fallopian tube. PMID- 18136064 TI - A case of undulant fever treated by chloramphenicol. PMID- 18136065 TI - Sensitivity to codeine. PMID- 18136066 TI - Tuberculosis; certain unexplained mortality figures. PMID- 18136067 TI - Problems of ageing and chronic sickness. PMID- 18136068 TI - Broncho-pulmonary segments of the lung and their terminology. PMID- 18136069 TI - Tridione in the treatment of epilepsy. PMID- 18136070 TI - Case of Salmonella enteritidis septicaemia with lung abscess. PMID- 18136071 TI - Artificial pneumoperitoneum associated with strangulated hernia and scrotal pneumocele. PMID- 18136072 TI - Haematemesis following intra-duodenal rupture of aneurysm. PMID- 18136074 TI - [Not Available]. PMID- 18136073 TI - Health regulations for air travel. PMID- 18136075 TI - [Not Available]. PMID- 18136077 TI - [Not Available]. PMID- 18136076 TI - [Not Available]. PMID- 18136078 TI - [Not Available]. PMID- 18136079 TI - [Not Available]. PMID- 18136081 TI - Necrotizing renal papillitis. PMID- 18136080 TI - Progressive malnutrition with reversal of peristalsis following total gastrectomy and esophagojejunostomy utilizing the Rienhoff modification of the Roux-Y. PMID- 18136082 TI - Congenital solitary kidney with calculi. PMID- 18136083 TI - The effect of sodium withdrawal upon the body weight of normal young men. PMID- 18136084 TI - Bronchography in the severely discharging lung. PMID- 18136085 TI - Pyridine liver and kidney injury in rats; the influence of diet, with particular attention to methionine, cystine, and choline. PMID- 18136086 TI - [Not Available]. PMID- 18136088 TI - [Not Available]. PMID- 18136087 TI - [Not Available]. PMID- 18136089 TI - [Not Available]. PMID- 18136090 TI - [Not Available]. PMID- 18136091 TI - [Not Available]. PMID- 18136092 TI - [Not Available]. PMID- 18136093 TI - [Not Available]. PMID- 18136094 TI - [Not Available]. PMID- 18136095 TI - [Not Available]. PMID- 18136096 TI - [Not Available]. PMID- 18136097 TI - [Not Available]. PMID- 18136098 TI - [Not Available]. PMID- 18136099 TI - [Not Available]. PMID- 18136100 TI - Let us be practical about the psychoneuroses. PMID- 18136101 TI - Early and accurate diagnosis in jaundice. PMID- 18136102 TI - Carotid sinus and coronary circulation. PMID- 18136103 TI - Cerebral changes related to anoxia, with report of a case. PMID- 18136104 TI - A comparison of intramuscular and oral penicillin in penumococcic pneumonia. PMID- 18136105 TI - The role of the retropubic operation in selective prostatic surgery. PMID- 18136106 TI - Oesophageal varices. PMID- 18136107 TI - A clinical evaluation of hydryllin and trimeton in allergic manifestations. PMID- 18136108 TI - Thrombotic occlusion of the abdominal aorta. PMID- 18136109 TI - Adenocarcinoma of the jejunum. PMID- 18136110 TI - Multiple carcinoma of the colon. PMID- 18136111 TI - A multi-holed ureteral catheter. PMID- 18136112 TI - Aureomycin film in topical treatment of cutaneous virus eruptions. PMID- 18136113 TI - Food and medicinal plants used by the Indians of British Columbia. PMID- 18136114 TI - Sexual sterilization without permission. PMID- 18136115 TI - [Not Available]. PMID- 18136116 TI - [Not Available]. PMID- 18136117 TI - [Not Available]. PMID- 18136118 TI - [Diagnostics and therapy in heterochylia and achylia]. PMID- 18136119 TI - [Acrodynia treated with bellergal]. PMID- 18136120 TI - [Not Available]. PMID- 18136121 TI - [Not Available]. PMID- 18136122 TI - [Not Available]. PMID- 18136123 TI - [Not Available]. PMID- 18136124 TI - [Not Available]. PMID- 18136125 TI - Dementia praecox as described by Kraepelin. PMID- 18136126 TI - Jung's views on dementia praecox. PMID- 18136128 TI - The contributions of Harry Stack Sullivan to the understanding of schizophrenic patients. PMID- 18136127 TI - Freud's contributions to schizophrenia and paranoia. PMID- 18136129 TI - Language and thought in schizophrenia. PMID- 18136130 TI - The nature of the schizophrenias suggested by modern psychotherapists. PMID- 18136131 TI - The cerebrospinal fluid; normal and abnormal spinal fluids. PMID- 18136132 TI - [Not Available]. PMID- 18136134 TI - [Not Available]. PMID- 18136133 TI - [Not Available]. PMID- 18136135 TI - [Not Available]. PMID- 18136136 TI - [Not Available]. PMID- 18136137 TI - Problems encountered during anesthetic procedures for children. PMID- 18136138 TI - Hemophilus influenzae infections in children. PMID- 18136139 TI - Histologically benign hemangioma with tumor of the heart. PMID- 18136140 TI - Aconite intoxication and myocardial infarction. PMID- 18136141 TI - Hyperinsulinism. PMID- 18136142 TI - Psychiatry and general medicine. PMID- 18136143 TI - Anxiety in psychosis and neurosis. PMID- 18136144 TI - The character defect of dyskinetic children; a preliminary report. PMID- 18136146 TI - Hyperostosis frontalis interna syndrome; a psychiatric evaluation. PMID- 18136145 TI - Craving for benzedrine. PMID- 18136147 TI - Psychometric personality traits. PMID- 18136148 TI - The application of cluster analysis to the Wechsler-Bellevue scale. PMID- 18136149 TI - The psychiatric social worker in the Delaware Mental Hygiene Clinic. PMID- 18136150 TI - [Not Available]. PMID- 18136151 TI - [Not Available]. PMID- 18136152 TI - [Not Available]. PMID- 18136154 TI - [Not Available]. PMID- 18136153 TI - [Not Available]. PMID- 18136155 TI - [Not Available]. PMID- 18136156 TI - [Not Available]. PMID- 18136157 TI - [Not Available]. PMID- 18136158 TI - [Not Available]. PMID- 18136159 TI - [Not Available]. PMID- 18136160 TI - [Not Available]. PMID- 18136161 TI - [Not Available]. PMID- 18136162 TI - [Not Available]. PMID- 18136164 TI - [Not Available]. PMID- 18136163 TI - [Not Available]. PMID- 18136165 TI - [Not Available]. PMID- 18136166 TI - [Not Available]. PMID- 18136167 TI - [Not Available]. PMID- 18136168 TI - [Not Available]. PMID- 18136169 TI - [Not Available]. PMID- 18136170 TI - [Not Available]. PMID- 18136171 TI - [Not Available]. PMID- 18136172 TI - The pathogenesis of epituberculosis in children with a note on obstructive emphysema. PMID- 18136173 TI - Meningococcaemia and the purpura of Martin de Gimard; report of a case. PMID- 18136174 TI - Congestive heart failure; adaptation of the body to inadequate cardiac output. PMID- 18136175 TI - Rate of blood flow through standard gage needles under pressure. PMID- 18136176 TI - Clonorchiasis in the United States; report of four cases. PMID- 18136177 TI - Septicemia due to bacteroides; aureomycin hydrochloride therapy in two cases due to Bacteroides funduliformis. PMID- 18136178 TI - Maternal deaths from coccidioidomycosis. PMID- 18136179 TI - Radioactive iodine (I131) in the diagnosis of lingual thyroid. PMID- 18136180 TI - Toxic effects of percutaneously absorbed estrogens. PMID- 18136181 TI - The use of estrogens and androgens in advanced mammary cancer; clinical and laboratory study of 105 female patients. PMID- 18136182 TI - Postabortal oliguria. PMID- 18136183 TI - Black hairy tongue associated with penicillin therapy. PMID- 18136184 TI - The cold permanent hair-waving process: a dermatologic and clinical study. PMID- 18136185 TI - Congenital defects following maternal rubella. PMID- 18136186 TI - Recovery following an overdose of pyrithyldione. PMID- 18136187 TI - Misuse of American Medica. Association data. PMID- 18136189 TI - Pioneering in cerebral palsy. PMID- 18136188 TI - The infant with a neuromuscular handicap due to cerebral palsy. PMID- 18136190 TI - Status of medical women in Sweden. PMID- 18136191 TI - Diagnosis and treatment of the cardiac arrhythmias. PMID- 18136192 TI - Canine hemophilia; observations on the course, the clotting anomaly, and the effect of blood transfusions. AB - A study was made of the clotting defect and the course of the malady in a group of male dogs with an inherited, sex-linked bleeding disease. The clotting defect is characterized by a prolonged clotting time and a delayed prothrombin utilization, and is corrected by the addition either of thromboplastin or of normal plasma. A plasma protein fraction, fraction I, also corrects the defect. The defect appears to be due to a deficiency of a plasma factor, which normally, in the presence of platelets, makes thromboplastin available in shed blood. The clotting anomaly appears to be identical with that found in human hemophilia. The hemostatic defect is characterized by repeated hemorrhages, usually without obvious relationship to trauma. Hemarthroses occur frequently and may result in permanent joint deformity. The animals usually die early in life from massive hemorrhage. Transfusions with normal blood or plasma correct the clotting defect and readily control the hemorrhagic phenomena. By the use of transfusions, these dogs have been reared to maturity. PMID- 18136193 TI - Isolation from cases of infantile diarrhea of a filtrable agent causing diarrhea in calves. AB - From instances of diarrhea of the newborn in four separate hospital outbreaks a filtrable agent was isolated which regularly produced diarrhea in calves. This agent appeared to have the characteristics of a filtrable virus. The four strains of virus isolated in the outbreaks studied appeared to be identical or very closely related. The virus was not found present in the stools of any of eight normal newborn infants or five normal calves. Evidence is presented that the virus may be one of the causes of epidemic diarrhea of the newborn. PMID- 18136194 TI - The influence of diet on iron absorption; the interrelation of iron and phosphorus. AB - Rats fed a corn grit diet containing large amounts of ferric citrate absorb and deposit excessive amounts of iron in their livers. Undoubtedly various factors are involved in iron absorption, but these studies indicate that the low level of dietary phosphate was primarily responsible. The addition of phosphate salts to this diet has shown that the amount of iron deposited in the liver was inversely related to the phosphorus content of the diet. It is possible to obtain excessive iron deposits in the livers of animals receiving a normal diet, by adding large amounts of iron salts to the diet. This is not associated with losses of body weight in these animals. It is concluded that the absolute amount of iron and/or phosphorus in the diet as well as the iron-phosphorus ratio influences the amount of iron absorbed. PMID- 18136195 TI - Nucleic acids and the production of antibody by plasma cells. AB - A study has been made of the relationship of antibody formation and the changes in amount of the nucleic acids in rabbit lymph nodes draining areas injected with typhoid vaccine. The increase in DNA was found to parallel the increase in weight of the nodes, as might be expected from the active multiplication of cells. The peak of PNA increase occurred between the 4th and 6th days after vaccine injection when antibody formation was at its maximum. A histologic study of methyl green- and pyronine-stained sections of the nodes revealed that during the first 6 days of the experiment the cellular reaction was chiefly one of plasma cells. During the first 3 days plasmoblasts predominated; on the 5th and 6th days mature plasma cells were the prevailing cells. Most of the PNA was contained in the plasma cells. The lymphocytes began to proliferate in significant numbers on the 3rd and 4th days, and germinal centers began to appear on the 4th and 5th days. They showed their greatest activity only on the 9th day when PNA and antibody formation had passed their peaks. These results are interpreted as indicating that the plasma cell and not the lymphocyte is responsible for antibody formation. PMID- 18136197 TI - Heart disease; a clinical evaluation. PMID- 18136196 TI - Histochemical changes in lymphocytes during the production of antibodies in lymph nodes of rabbits. AB - Following the injection of various antigenic and non-antigenic materials into the foot-pads of rabbits, the draining (popliteal) lymph nodes were removed on successive days and studied histologically, chemically, and serologically. On the 2nd day after injection of antigen, nucleoli and cytoplasmic granules and crescents stained with pyronine began to appear. They were found first in somewhat altered reticulum cells, later in transitional forms, then in young lymphocytes, and finally in more mature lymphocytes. The identity of this pyronine-stained material as ribonucleic acid was demonstrated by specific digestion with protease-free ribonuclease. The concentration of ribonucleic acid was determined in aqueous extracts of the lymph nodes. It was observed that the concentration had risen to more than twice its normal value by the 2nd to 5th day following the injection of antigens into the foot, and then it declined. The peak of this change occurred at or slightly before the appearance of the maximal concentration of antibodies in the same node. Non-antigenic materials, when injected into the foot, did not give rise to an increase in the ribonucleic acid content of the lymph node. The concentration of desoxyribonucleic acid was constant in all lymph nodes, within the limits of experimental variation. PMID- 18136198 TI - Remarks on surgery of the sympathetic nervous system. PMID- 18136199 TI - The general practitioner today. PMID- 18136200 TI - Office gynecology. PMID- 18136202 TI - Tularemia; report of a case of primary tularemic tonsillitis in which Bacterium tularense was isolated from the sputum. PMID- 18136201 TI - Strictures of the bile ducts. PMID- 18136203 TI - ATELECTASIS of the newborn; a symptom of underlying pathology. PMID- 18136204 TI - Case reports from the University of Kansas Medical Center; tumor conference. PMID- 18136205 TI - The effect of rigid sodium restriction in patients with cirrhosis of the liver and ascites. PMID- 18136206 TI - The hyperbilirubinemic effect of sodium nicotinate. PMID- 18136207 TI - Cholesterol-desoxycholic acid; a stable antigen for use in a flocculation test for liver dysfunction; comparison with the Hanger cephalin-cholesterol test. PMID- 18136208 TI - A cryoglobulin present in high concentration in the plasma of a case of multiple myeloma. PMID- 18136209 TI - Immunochemical estimation of the rate of disappearance of transfused gamma globulin from the blood in two cases of hypoproteinemia. PMID- 18136210 TI - Sensitizations to the factor Rh in Negroes. PMID- 18136211 TI - Nebulized pyribenzamine in nasal and bronchial allergy. PMID- 18136212 TI - The adaptability of mice to the laboratory diagnosis of tuberculosis. PMID- 18136213 TI - The serologic relationship of fungus antigens. PMID- 18136214 TI - Lethal effects and electrocardiographic changes produced by quinine dihydrochloride in malaria-infected monkeys. PMID- 18136215 TI - A new intramuscular preparation of quinidine (quinidine gluconate). PMID- 18136216 TI - Study of complete parenteral alimentation on dogs. PMID- 18136217 TI - Absorption of unemulsified and emulsified vitamin A in sprue. PMID- 18136218 TI - A new tablet test for urinary bilirubin. PMID- 18136219 TI - A galvanotactic procedure for the concentration of Balantidium coli in feces. PMID- 18136220 TI - The cadmium reaction; a practical test for the evaluation of serum liability; comparison with the cephalin-cholesterol flocculation and thymol turbidity test. PMID- 18136221 TI - An improved device for obtaining plasma anaerobically. PMID- 18136222 TI - On the determination of protein in serum and in fractions obtained from serum with a biuret reagent prepared with sodium hydroxide. PMID- 18136223 TI - The early diagnosis of pulmonary tuberculosis and the importance of aftercare. PMID- 18136224 TI - The sanatorium regime. PMID- 18136225 TI - Pneumococcal peritonitis. PMID- 18136226 TI - Psychiatry and religion. PMID- 18136227 TI - What the medical profession is doing for your eyes. PMID- 18136228 TI - Myxedema incorrectly diagnosed as nutritional anemia. PMID- 18136230 TI - The chemotherapy of leukemia. PMID- 18136229 TI - The clinical manifestations of infectious mononucleosis. PMID- 18136231 TI - The New Jersey study of child health services. PMID- 18136232 TI - Pheochromocytoma; a cause of post-partum convulsions. PMID- 18136233 TI - Aortic thrombosis; a case report. PMID- 18136234 TI - Verrucae plantaris; a resume. PMID- 18136235 TI - Emotional precipitants of death. PMID- 18136236 TI - [Fight antituberculosis]. PMID- 18136237 TI - [Not Available]. PMID- 18136238 TI - [Not Available]. PMID- 18136240 TI - Evaluation of the cardiac patient as a surgical or obstetrical risk. PMID- 18136239 TI - [Not Available]. PMID- 18136241 TI - Rhinoplasty and nasal respiration. PMID- 18136242 TI - Venous thrombosis and pulmonary embolism; prophylaxis, diagnosis and treatment. PMID- 18136243 TI - Arteriovenous shunts for revascularization of ischemic limbs. PMID- 18136244 TI - Office treatment of lesions of the cervix. PMID- 18136245 TI - Good psychiatry is good medicine. PMID- 18136246 TI - Rationale therapy of allergic disease. PMID- 18136247 TI - Responsibility of the physician in the management of premature labor and the early neonatal care of the infant; an analysis of 300 consecutive premature labors. PMID- 18136248 TI - The use of anticoagulants in the treatment of diseases of the heart and blood vessels with special reference to long term anticoagulant therapy. PMID- 18136249 TI - Electrocardiographic changes in coronary artery disease. PMID- 18136250 TI - Newer concepts of the digitalis preparations. PMID- 18136251 TI - Treatment of syphilis by oral use of aureomycin. PMID- 18136252 TI - Psychiatry and medicine; one road ahead. PMID- 18136253 TI - The retropubic approach to prostatectomy. PMID- 18136254 TI - Antibiotics. PMID- 18136255 TI - [Not Available]. PMID- 18136256 TI - [Not Available]. PMID- 18136257 TI - [Not Available]. PMID- 18136258 TI - [Not Available]. PMID- 18136259 TI - [Not Available]. PMID- 18136260 TI - [Not Available]. PMID- 18136261 TI - [Not Available]. PMID- 18136262 TI - [Not Available]. PMID- 18136263 TI - [Not Available]. PMID- 18136264 TI - [Not Available]. PMID- 18136265 TI - [Not Available]. PMID- 18136266 TI - [Not Available]. PMID- 18136267 TI - [Not Available]. PMID- 18136268 TI - [Not Available]. PMID- 18136269 TI - [Not Available]. PMID- 18136270 TI - The prevention of burns and scalds; review of 1000 cases. PMID- 18136271 TI - Excision-suture technique in infections of the hand. PMID- 18136272 TI - Some recent applications of nisin. PMID- 18136273 TI - Intramedullary abscess of the spinal cord. PMID- 18136274 TI - Ankylosing spondylitis in all three children of one family. PMID- 18136276 TI - Inheritance of nodular goitre; report of a family. PMID- 18136275 TI - Mercaptan in the breath of patients with severe liver disease. PMID- 18136277 TI - Non-medical care of chronically ill children in hospital. PMID- 18136278 TI - Chronic and unexplained oedema. PMID- 18136279 TI - Conservative treatment of anuric uraemia. PMID- 18136280 TI - Removal of simple univesicular pulmonary hydatid cyst. PMID- 18136281 TI - Diurnal variation in the fat content of breast-milk. PMID- 18136282 TI - Megaloblastic anaemia in coeliac disease treated with folic acid. PMID- 18136283 TI - Volvulus of the caecum presenting as a strangulated inguinal hernia. PMID- 18136284 TI - DOCTOR'S profession; the doctor as technician. PMID- 18136285 TI - [Not Available]. PMID- 18136286 TI - [Not Available]. PMID- 18136287 TI - [Not Available]. PMID- 18136288 TI - [Not Available]. PMID- 18136289 TI - [Not Available]. PMID- 18136290 TI - [Not Available]. PMID- 18136291 TI - [Not Available]. PMID- 18136292 TI - [Not Available]. PMID- 18136293 TI - [Not Available]. PMID- 18136294 TI - [Not Available]. PMID- 18136296 TI - Buttock-rotation flap for pilonidal disease. PMID- 18136295 TI - Carcinoma of the colon. PMID- 18136297 TI - A case of osteogenesis imperfecta. PMID- 18136298 TI - Breast care in pregnancy. PMID- 18136299 TI - Coexistence of diabetes insipidus and diabetes mellitus. PMID- 18136300 TI - Giant-cell tumor of the thyroid gland. PMID- 18136301 TI - Report from Britain; the people view the National Health Service. PMID- 18136302 TI - PEDIATRICS as a specialty. PMID- 18136303 TI - Growth and pathological processes. PMID- 18136304 TI - Some observations on the secretion of the stomach with special reference to mucus. PMID- 18136305 TI - The doctor's role in industry. PMID- 18136306 TI - Paraplegies can walk. PMID- 18136307 TI - A case of refractory macrocytic anaemia responding to intravenous iron therapy. PMID- 18136308 TI - Acute carbon bisulphide poisoning; report of three cases, one fatal. PMID- 18136309 TI - Hemiaplasia of the thyroid gland. PMID- 18136310 TI - Control of hyperthyreoidism by propylthiouracil; a clinical inquiry. PMID- 18136311 TI - Post-graduate training in psychiatry. PMID- 18136312 TI - Observations upon group therapy. PMID- 18136313 TI - The insulin treatment of schizophrenia; a 10 year follow-up. PMID- 18136314 TI - Cushing's syndrome due to carcinoma of the adrenal cortex. PMID- 18136315 TI - [Fractures of the humerus; treatment with the hanging cast]. PMID- 18136316 TI - Hypoplastic anemia in a patient treated unfavorably with tridione; a case report. PMID- 18136317 TI - [Not Available]. PMID- 18136318 TI - [Not Available]. PMID- 18136319 TI - Discussion of food poisoning. PMID- 18136320 TI - A severe case of nutritional anaemia in infancy. PMID- 18136321 TI - The modern trend of treatment for deafness. PMID- 18136322 TI - Peptic ulcer of the lower end of a congenital short oesophagus, associated with diaphragmatic hernia; report of a case. PMID- 18136323 TI - The modern treatment of acute dermatitis. PMID- 18136324 TI - Precise examination of the voluntary motility of the tongue and of the lips. PMID- 18136325 TI - The value of ascorbic acid and its complexes. PMID- 18136326 TI - The clinical significance of a high right diaphragm in the diagnosis of amebiasis and amebic hepatitis. PMID- 18136327 TI - VARICOSE veins. PMID- 18136328 TI - The medical aspect and new treatment of Parkinson's disease. PMID- 18136329 TI - Instrumental aids in general practice; the electrocardiogram. PMID- 18136330 TI - Original sin of the neurotic cell. PMID- 18136331 TI - The use and abuse of sedatives. PMID- 18136332 TI - The relief of the pain of childbirth. PMID- 18136333 TI - [Not Available]. PMID- 18136335 TI - [Not Available]. PMID- 18136334 TI - [Not Available]. PMID- 18136336 TI - [Not Available]. PMID- 18136337 TI - [Not Available]. PMID- 18136338 TI - [Not Available]. PMID- 18136339 TI - Malignancies of the small intestine. PMID- 18136340 TI - What in psychiatric treatment today? PMID- 18136341 TI - Electroencephalography. PMID- 18136342 TI - Reflex dystrophy in the extremities. PMID- 18136343 TI - Anorectogenital lymphogranuloma venereum and granuloma inguinale treated with aureomycin. PMID- 18136345 TI - Rehabilitation of the arm amputee. PMID- 18136344 TI - Gastroenteritis in man due to a filtrable agent. PMID- 18136346 TI - Old age. PMID- 18136347 TI - Fungous infections of the skin and scalp; a new approach to their treatment. PMID- 18136348 TI - A discussion of cancer prevention and detection centers. PMID- 18136349 TI - Complete versus supravaginal hysterectomy. PMID- 18136350 TI - The hematologic disorders. PMID- 18136351 TI - A method of fixation for ununited femoral neck fracture. PMID- 18136352 TI - A case of acute BAL toxicity during treatment of gold glossitis. PMID- 18136353 TI - [Not Available]. PMID- 18136354 TI - [Not Available]. PMID- 18136355 TI - [Not Available]. PMID- 18136356 TI - [Not Available]. PMID- 18136357 TI - [Not Available]. PMID- 18136358 TI - [Not Available]. PMID- 18136359 TI - [Not Available]. PMID- 18136360 TI - [Not Available]. PMID- 18136361 TI - [Not Available]. PMID- 18136362 TI - [Not Available]. PMID- 18136363 TI - [Not Available]. PMID- 18136364 TI - [Not Available]. PMID- 18136365 TI - [Not Available]. PMID- 18136366 TI - [Not Available]. PMID- 18136367 TI - [Not Available]. PMID- 18136368 TI - [Not Available]. PMID- 18136369 TI - [Not Available]. PMID- 18136370 TI - [Not Available]. PMID- 18136371 TI - [Not Available]. PMID- 18136372 TI - [Not Available]. PMID- 18136373 TI - [Not Available]. PMID- 18136374 TI - [Not Available]. PMID- 18136375 TI - [Not Available]. PMID- 18136376 TI - [Not Available]. PMID- 18136377 TI - [Not Available]. PMID- 18136379 TI - [Not Available]. PMID- 18136378 TI - [Not Available]. PMID- 18136380 TI - [Not Available]. PMID- 18136381 TI - [Not Available]. PMID- 18136382 TI - [Not Available]. PMID- 18136383 TI - [Not Available]. PMID- 18136384 TI - [Not Available]. PMID- 18136385 TI - [Not Available]. PMID- 18136386 TI - [Not Available]. PMID- 18136387 TI - [Not Available]. PMID- 18136388 TI - [Not Available]. PMID- 18136389 TI - [Not Available]. PMID- 18136390 TI - [Not Available]. PMID- 18136391 TI - [Not Available]. PMID- 18136392 TI - [Not Available]. PMID- 18136393 TI - [Not Available]. PMID- 18136394 TI - A century and a half of medicine in North Carolina. PMID- 18136395 TI - Osler's ethical standards. PMID- 18136396 TI - Diagnostic and therapeutic considerations in management of the acute abdomen. PMID- 18136397 TI - Treatment of cerebral palsy; clinical study in use of d-tubocurarine in peanut oil and myricin. PMID- 18136398 TI - Congenital diaphragmatic hernia on the right side. PMID- 18136399 TI - Anatomy of hand in relation to tendon repairs. PMID- 18136400 TI - Blood phenol levels in uremia. PMID- 18136401 TI - Hemorrhage from angioma complicating pregnancy. PMID- 18136402 TI - The management of functional derangements of the gastro-intestinal tract. PMID- 18136403 TI - Sweets and tooth decay. PMID- 18136404 TI - Porphyria. PMID- 18136406 TI - A popular conception of asthma in 1838. PMID- 18136405 TI - Total colectomy with preservation of the anal sphincter. PMID- 18136407 TI - [Not Available]. PMID- 18136409 TI - [Not Available]. PMID- 18136408 TI - [Not Available]. PMID- 18136410 TI - [Not Available]. PMID- 18136411 TI - [Not Available]. PMID- 18136412 TI - [Not Available]. PMID- 18136413 TI - [Not Available]. PMID- 18136414 TI - The present status of cancer therapy. PMID- 18136415 TI - Prophylaxis and treatment of eclampsia. PMID- 18136416 TI - Lesions of the colon and rectum; malignancies, polyposis, and diverticulitis. PMID- 18136418 TI - Surgery of the heart. PMID- 18136417 TI - Diagnosis and treatment of multiple sclerosis. PMID- 18136419 TI - Antibiotic therapy of subacute bacterial endocarditis. PMID- 18136421 TI - Schizophrenia. PMID- 18136420 TI - Streptomycin damage to the vestibular apparatus; one to two year follow-up. PMID- 18136422 TI - The conservative treatment of hydronephrosis. PMID- 18136423 TI - Hypospadias. PMID- 18136424 TI - Ureteric transplantation in children. PMID- 18136425 TI - The present status of treatment of cancer of the uterine cervix and body. PMID- 18136426 TI - The problem of dysmenorrhoea. PMID- 18136427 TI - Pruritus vulvae. PMID- 18136429 TI - The treatment of athlete's foot. PMID- 18136428 TI - The present status of dilatation and curettage. PMID- 18136430 TI - A note on asthma. PMID- 18136431 TI - Thermal comfort in temperate climates. PMID- 18136432 TI - The differential diagnosis of palpitation. PMID- 18136433 TI - The treatment of boils. PMID- 18136434 TI - [Not Available]. PMID- 18136435 TI - [Not Available]. PMID- 18136437 TI - [Not Available]. PMID- 18136436 TI - [Not Available]. PMID- 18136438 TI - [Not Available]. PMID- 18136439 TI - [Not Available]. PMID- 18136440 TI - [Not Available]. PMID- 18136441 TI - [Not Available]. PMID- 18136442 TI - [Not Available]. PMID- 18136444 TI - [Not Available]. PMID- 18136443 TI - [Not Available]. PMID- 18136445 TI - [Not Available]. PMID- 18136446 TI - [Not Available]. PMID- 18136447 TI - [Not Available]. PMID- 18136448 TI - [Not Available]. PMID- 18136449 TI - [Not Available]. PMID- 18136450 TI - [Not Available]. PMID- 18136451 TI - [Not Available]. PMID- 18136452 TI - [Not Available]. PMID- 18136453 TI - [Not Available]. PMID- 18136454 TI - [Not Available]. PMID- 18136455 TI - [Not Available]. PMID- 18136456 TI - [Not Available]. PMID- 18136458 TI - [Not Available]. PMID- 18136457 TI - [Not Available]. PMID- 18136459 TI - [Not Available]. PMID- 18136460 TI - [Not Available]. PMID- 18136461 TI - Effect of arteriovenous fistula on growth of bone; preliminary report. PMID- 18136462 TI - Intrathyroid hyperfunctioning parathyroid adenomas; report of two cases. PMID- 18136463 TI - Articular vascular leiomyoma; report of case. PMID- 18136464 TI - Four-way connector for the simultaneous intravenous administration of pentothal sodium, curare and fluids or blood. PMID- 18136465 TI - Report of radium therapy for 1948. PMID- 18136467 TI - General principles of allergy and hypersensitivity. PMID- 18136466 TI - The origin and evolution of diagnostic procedures with reference to diseases of the heart and circulation; physical diagnosis. PMID- 18136468 TI - The roentgenologic aspects of pancreatic calcification. PMID- 18136469 TI - Variations in hearing in endolymphatic hydrops. PMID- 18136470 TI - Prolapsed fallopian tube as a complication of vaginal hysterectomy; report of two cases. PMID- 18136471 TI - Stimulation of gastric secretion in man by theophylline ethylenediamine. PMID- 18136472 TI - Bacterial conversion of dextrin into a polysaccharide with the serological properties of dextran. PMID- 18136473 TI - Anoxic diversion of the renal cortical blood flow. PMID- 18136474 TI - Effect of elevated body temperatures on cryptococcosis in mice. PMID- 18136475 TI - A virus isolated from patients diagnosed as non-paralytic poliomyelitis or aseptic meningitis. PMID- 18136476 TI - Effect of phenergan (N-dimethylamino-2-propyl-1-thiodiphenylamine, 3277 RP) on the Arthus reaction in rabbits. PMID- 18136477 TI - Effect of isuprel upon tolerance of the eviscerate rat for glucose. PMID- 18136479 TI - Investigations on the use of eserine for the differentiation of mammalian esterases. PMID- 18136478 TI - Effect of testosterone propionate on phosphatases in the seminal vesicle and prostate of the rat. PMID- 18136480 TI - Histamine and other imidazole compounds as bacterial growth stimulators. PMID- 18136481 TI - Mechanism of inhibition of glycogen synthesis by endotoxins of Salmonella aertrycke and type I meningococcus. PMID- 18136482 TI - Effects of certain azo dyes upon the cockroach Blatella germanica. PMID- 18136483 TI - Relation of pantothenic acid to white blood cell response of rats following stress. PMID- 18136484 TI - An improved method for the microbiological assay of growth factors on paper chromatograms. PMID- 18136485 TI - Duodenal ulcers produced on a diet deficient in pantothenic acid. PMID- 18136486 TI - Neutralizing antibody against viruses of the encephalo myocarditis group in the sera of wild rats. PMID- 18136487 TI - Relief from pruritus following upon administration of adenylic acid. PMID- 18136488 TI - Chemotherapy of leukemia; effect of folic acid derivatives on transplanted mouse leukemia. PMID- 18136489 TI - A readily soluble form of P. B. P. for use as a routine diagnostic test. PMID- 18136490 TI - Effects of bone extracts injected into the mouse testis. PMID- 18136491 TI - Limiting essential amino acids of some legume seeds. PMID- 18136492 TI - Construction and application of shielded silver electrodes with mercury leads designed for prolonged stimulation experiments. PMID- 18136493 TI - Urinary excretion of digitoxin in the rat. PMID- 18136494 TI - Gonadotrophic activity of granules isolated from rat pituitary glands. PMID- 18136495 TI - Urinary excretion of amino-acids during alloxan-induced diabetes in rats. PMID- 18136496 TI - Lack of identity of hyaluronidase inhibitor and certain mucoproteins in blood serum. PMID- 18136497 TI - Biotin-carbohydrate interrelationships in the metabolism of Leuconostoc. PMID- 18136498 TI - Cultivation of pseudorabies virus in the yolk sac of the developing chick embryo. PMID- 18136499 TI - Antagonism of choline and heparin in vivo and in vitro. PMID- 18136500 TI - Effects of adrenocorticotrophic hormone on neuro-muscular function in patients with myasthenia gravis. PMID- 18136501 TI - Alkaline and acid phosphatase activity of the embryonic chick retina. PMID- 18136502 TI - Experimental lathyrism in the white rat and mouse. PMID- 18136503 TI - Simultaneous administration of adrenal cortical extract and desoxycorticosterone; effects on blood pressure of hypertensive patients. PMID- 18136504 TI - Effect of 11-desoxycorticosterone acetate upon carbohydrate utilization by the depancreatized rat. PMID- 18136505 TI - Effect of folic acid, 4-amino folic acids and related substances on growth of chick embryo. PMID- 18136506 TI - Distribution of C'4, administered as CaC 403, in rat liver glycogen and blood glucose and lactate. PMID- 18136507 TI - Activation of antifungal extracts of actinomycetes by ultrafiltration through gradocol membranes. PMID- 18136508 TI - Relation of a specific strain of Salmonella to ulcerative cecitis of rats. PMID- 18136509 TI - Increased metabolic rate in rats after X-irradiation. PMID- 18136510 TI - Differential blood counts on rats during shock induced by tourniquets. PMID- 18136511 TI - Protecting effect of heparin on the inactivation of thrombin by heat. PMID- 18136512 TI - A simplified tissue culture technic. PMID- 18136513 TI - A method of obtaining influenza virus growth curves in individual eggs. PMID- 18136514 TI - Some effects of dilution on the nutritive value of dialyzed plasma and embryo juice. PMID- 18136515 TI - Effects of 4-amino-pteroylglutamic acid in dogs with special reference to megaloblastosis. PMID- 18136516 TI - Chronic toxicity of gamma isomer of hexachlorocyclohexane in the albino rat. PMID- 18136517 TI - Addison's disease treated by adrenal grafting. PMID- 18136518 TI - Pathological fracture through a cyst of scapula. PMID- 18136519 TI - Osteogenesis imperfecta in father and son. PMID- 18136520 TI - Insulin stimulation of glycogen formation in rat abdominal muscle. PMID- 18136521 TI - Normal and seizure levels of lactate, pyruvate and acid-soluble phosphates in the cerebellum and cerebrum. PMID- 18136522 TI - Lactate, pyruvate, and acid-soluble phosphates in monkey brains treated with carbon dioxide and electric shock. PMID- 18136523 TI - Effect of environmental temperature on the response of mice to whole-body roentgen radiation. PMID- 18136524 TI - Effect of nitrocompounds on viruses of the psittacosis-lymphogranuloma group. PMID- 18136525 TI - Inhibition of agents of the psittacosis-lymphogranuloma group by P arsenobenzamide. PMID- 18136526 TI - Vitamin B12 content of various organs and tissues of the rat. PMID- 18136527 TI - [Not Available]. PMID- 18136528 TI - [Not Available]. PMID- 18136529 TI - [Not Available]. PMID- 18136530 TI - [Not Available]. PMID- 18136531 TI - [Not Available]. PMID- 18136532 TI - [Not Available]. PMID- 18136533 TI - [Not Available]. PMID- 18136534 TI - [Not Available]. PMID- 18136535 TI - [Not Available]. PMID- 18136536 TI - The solved and unsolved problems of femoral neck fractures. PMID- 18136537 TI - Hyperparathyroidism. PMID- 18136539 TI - Proctoscopy in physical diagnosis. PMID- 18136538 TI - Management of mechanical obstruction of the small intestine at Cook County Hospital. PMID- 18136540 TI - Carcinoma of the large bowel; prognosis from the standpoint of cell differentiation. PMID- 18136541 TI - Further studies on streptomycin in tuberculous meningitis. PMID- 18136542 TI - The history of the Cook County Hospital blood bank. PMID- 18136543 TI - Bilateral renal diseases; attempt of a pathologic classification helpful to the clinicians. PMID- 18136544 TI - Chronic relapsing pancreatitis. PMID- 18136545 TI - The dermatologic service at Cook County Hospital. PMID- 18136546 TI - Carcinoma of the cecum with perforated appendicitis and empyema of the gall bladder. PMID- 18136547 TI - Aneurysms; report of two cases. PMID- 18136549 TI - An unusual case of pericardial effusion. PMID- 18136548 TI - The uses of urecholine. PMID- 18136550 TI - The treatment of angiomatosis of the retina (von Hippel's disease). PMID- 18136551 TI - Thrombophlebitis migrans; report of a case. PMID- 18136553 TI - The eyes and ears in medical education. PMID- 18136552 TI - On the meaning of the glucose tolerance curve. PMID- 18136554 TI - The chemist as an aid in the detection of crime. PMID- 18136555 TI - [Not Available]. PMID- 18136556 TI - [Not Available]. PMID- 18136557 TI - [Not Available]. PMID- 18136559 TI - [Not Available]. PMID- 18136558 TI - [Not Available]. PMID- 18136560 TI - [Not Available]. PMID- 18136561 TI - [Not Available]. PMID- 18136562 TI - [Not Available]. PMID- 18136563 TI - [Not Available]. PMID- 18136564 TI - [Not Available]. PMID- 18136565 TI - [Not Available]. PMID- 18136567 TI - [Not Available]. PMID- 18136566 TI - [Not Available]. PMID- 18136568 TI - [Not Available]. PMID- 18136569 TI - [Not Available]. PMID- 18136570 TI - [Not Available]. PMID- 18136571 TI - [Not Available]. PMID- 18136572 TI - [Not Available]. PMID- 18136573 TI - [Not Available]. PMID- 18136574 TI - [Not Available]. PMID- 18136575 TI - [Not Available]. PMID- 18136576 TI - [Not Available]. PMID- 18136577 TI - [Not Available]. PMID- 18136578 TI - [Not Available]. PMID- 18136579 TI - [Not Available]. PMID- 18136580 TI - [Study on pellagra; clinical forms and treatment; associated avitaminoses; eczematoid aspects]. PMID- 18136581 TI - [Not Available]. PMID- 18136582 TI - [Not Available]. PMID- 18136583 TI - [Not Available]. PMID- 18136584 TI - [Not Available]. PMID- 18136585 TI - [Not Available]. PMID- 18136586 TI - [Not Available]. PMID- 18136587 TI - [Not Available]. PMID- 18136588 TI - [Not Available]. PMID- 18136589 TI - [Not Available]. PMID- 18136590 TI - [Not Available]. PMID- 18136592 TI - [Not Available]. PMID- 18136591 TI - [Not Available]. PMID- 18136593 TI - [Not Available]. PMID- 18136594 TI - [Not Available]. PMID- 18136595 TI - [Not Available]. PMID- 18136596 TI - [Not Available]. PMID- 18136597 TI - [Not Available]. PMID- 18136598 TI - [Not Available]. PMID- 18136599 TI - [Not Available]. PMID- 18136600 TI - [Not Available]. PMID- 18136601 TI - [Not Available]. PMID- 18136602 TI - [Not Available]. PMID- 18136603 TI - [Not Available]. PMID- 18136604 TI - [Not Available]. PMID- 18136606 TI - [Not Available]. PMID- 18136605 TI - [Not Available]. PMID- 18136607 TI - [Not Available]. PMID- 18136608 TI - [Not Available]. PMID- 18136609 TI - [Not Available]. PMID- 18136610 TI - [Not Available]. PMID- 18136611 TI - [Not Available]. PMID- 18136612 TI - [Not Available]. PMID- 18136613 TI - [Not Available]. PMID- 18136614 TI - [Not Available]. PMID- 18136615 TI - [Not Available]. PMID- 18136616 TI - [Not Available]. PMID- 18136617 TI - [Not Available]. PMID- 18136618 TI - [Not Available]. PMID- 18136619 TI - [Not Available]. PMID- 18136620 TI - [Not Available]. PMID- 18136621 TI - [Not Available]. PMID- 18136622 TI - [Not Available]. PMID- 18136623 TI - [Not Available]. PMID- 18136624 TI - [Not Available]. PMID- 18136625 TI - [Not Available]. PMID- 18136626 TI - [Not Available]. PMID- 18136627 TI - [Not Available]. PMID- 18136628 TI - [Not Available]. PMID- 18136629 TI - [Not Available]. PMID- 18136630 TI - [Not Available]. PMID- 18136631 TI - [Not Available]. PMID- 18136632 TI - [Not Available]. PMID- 18136633 TI - [Not Available]. PMID- 18136634 TI - [Not Available]. PMID- 18136635 TI - [Not Available]. PMID- 18136636 TI - [Not Available]. PMID- 18136637 TI - [Not Available]. PMID- 18136638 TI - [Not Available]. PMID- 18136639 TI - [Not Available]. PMID- 18136640 TI - [Not Available]. PMID- 18136641 TI - [Not Available]. PMID- 18136642 TI - [Not Available]. PMID- 18136643 TI - [Not Available]. PMID- 18136644 TI - [Not Available]. PMID- 18136645 TI - [Not Available]. PMID- 18136646 TI - [Not Available]. PMID- 18136647 TI - [Not Available]. PMID- 18136648 TI - Observations of the hemopoietic factors in hog stomach and duodenum, and the treatment of pernicious anemia by orally administered vitamin B12 in combination with extracts of duodenal mucosa. PMID- 18136649 TI - [Not Available]. PMID- 18136650 TI - [Not Available]. PMID- 18136651 TI - [Not Available]. PMID- 18136652 TI - [Not Available]. PMID- 18136653 TI - [Not Available]. PMID- 18136654 TI - [Not Available]. PMID- 18136655 TI - Our common enemy, coryza. PMID- 18136656 TI - Immunization card index. PMID- 18136657 TI - Zinc poisoning; four cases. PMID- 18136658 TI - Poliomyelitis in Berlin. PMID- 18136659 TI - Blood transfusions. PMID- 18136660 TI - Physical therapy in EUCOM. PMID- 18136661 TI - The role of the Army nurse in field operations. PMID- 18136662 TI - Preventive medicine in military and civilian practice. PMID- 18136663 TI - An outbreak of gastro-enteritis. PMID- 18136664 TI - STANDARDS of water quality for recreational uses. PMID- 18136665 TI - DIARRHEAL and dysenteric diseases. PMID- 18136666 TI - Navy medicine beyond the seas and on safari. PMID- 18136667 TI - The place of the phonocardiograph in military medicine. PMID- 18136668 TI - Postoperative psychogenic tetany; case report. PMID- 18136669 TI - Diffuse interstitial fibrosis of the lungs. PMID- 18136670 TI - Benign retention jaundice; the mechanism of the intermittent jaundice in constitutional hepatic dysfunction; with report of a case. PMID- 18136671 TI - Skin grafted ileostomies. PMID- 18136672 TI - Improvised well-leg traction; a description of the apparatus and its application to military surgery. PMID- 18136673 TI - A neuropsychiatric reconditioning program in the peacetime Army. PMID- 18136674 TI - Atomic radiation effects; the release and neutralization of humoral toxic agents. PMID- 18136675 TI - The apparatus of nuclear physics. PMID- 18136676 TI - The metabolism and distribution of radium in bone. PMID- 18136677 TI - [Not Available]. PMID- 18136678 TI - [Not Available]. PMID- 18136679 TI - [Not Available]. PMID- 18136680 TI - [Not Available]. PMID- 18136681 TI - [Not Available]. PMID- 18136682 TI - [Not Available]. PMID- 18136683 TI - [Not Available]. PMID- 18136684 TI - [Not Available]. PMID- 18136685 TI - Physiology and psychiatry. PMID- 18136686 TI - Electroencephalographic effects of bilateral prefrontal lobotomy; comparison of cases with and without postlobotomy seizures. PMID- 18136687 TI - Analysis of mortality and causes of death in a mental hospital. PMID- 18136688 TI - A comparison of the test performances of the brain-injured and the brain diseases. PMID- 18136689 TI - A psychometric determination of alcoholic addiction. PMID- 18136690 TI - Electric shock treatment succeeded by complete flaccid paralysis, hallucinations, and sudden death; case report with anatomical findings in the central nervous system. PMID- 18136691 TI - The personal problems of senior nursing students. PMID- 18136692 TI - Note on a suicide key in the Minnesota multiphasic personality inventory. PMID- 18136693 TI - Mental hygiene of the psychotic age. PMID- 18136694 TI - Spontaneous imagery; a new psychotherapeutic approach. PMID- 18136695 TI - Change of life; a psychosomatic problem. PMID- 18136696 TI - Poison-pen therapy. PMID- 18136697 TI - On the margin. PMID- 18136698 TI - [Not Available]. PMID- 18136699 TI - Analysis of a prefrontal lobe syndrome and its theoretic implications. PMID- 18136700 TI - Combined lateral and ventral pyramidotomy in treatment of paralysis agitans. PMID- 18136701 TI - Influence of chemotherapy on the pathology of purulent leptomeningitis. PMID- 18136702 TI - Observations on criminal patients during narcoanalysis. PMID- 18136703 TI - Plasma calcium fractions after electric convulsion treatment. PMID- 18136704 TI - Periodic paralysis associated with obesity of hypothalamic origin; observations in a case with changes in the electrocardiogram and the serum potassium level. PMID- 18136705 TI - Observations on essential (heredofamial) tremor. PMID- 18136706 TI - Tridione therapy in minor epilepsy. PMID- 18136707 TI - Cerebral lesions due to intracranial aneurysms. PMID- 18136708 TI - Experimental allergic encephalomyelitis. PMID- 18136710 TI - [Not Available]. PMID- 18136709 TI - The orbital gyri. PMID- 18136711 TI - [Not Available]. PMID- 18136712 TI - [Not Available]. PMID- 18136713 TI - [Barbiturate poisoning, treatment and complications]. PMID- 18136714 TI - Some observations upon the otological effects of streptomycin intoxication. PMID- 18136715 TI - Hereditary stenosis of the aqueduct of Sylvius as a cause of congenital hydrocephalus. PMID- 18136716 TI - Cell concentration and laminar thickness in the frontal cortex of psychotic patients; studies on cortes removed at operation. PMID- 18136717 TI - Studies on the subthalamus of the rhesus monkey; anatomy and fiber connections of the subthalamic nucleus of Luys. PMID- 18136718 TI - Studies on the subthalamus of the rhesus monkey; hyperkinesia and other physiologic effects of subthalamic lesions; with special reference to the subthalamic nucleus of Luys. PMID- 18136719 TI - Fiber and cell degeneration in the albino rat brain after hemidecortication. PMID- 18136720 TI - Formation within sensory nucleus V of synaptic associations mediating cutaneous localization. PMID- 18136721 TI - Frontal lobotomy and impairment of abstract attitude. PMID- 18136722 TI - Nonconvulsive biochemotherapy with histamine; a preliminary report on the treatment of hospitalized schizophrenic, manic depressive and involutional psychotics. PMID- 18136723 TI - Cauda equina regeneration through nerve grafts; an experimental study in monkeys. PMID- 18136724 TI - Topectomy; a surgical procedure for the treatment of mental illnesses. PMID- 18136725 TI - [Certain neurodynamic manifestations in pain foci]. PMID- 18136726 TI - [Neurologic modifications in prefrontal lobotomy]. PMID- 18136727 TI - [Role of tubercles of the brain in development of tuberc. meningitis in children]. PMID- 18136728 TI - [Vegetative symptom in endarteritis obliterans]. PMID- 18136729 TI - [Neurosis-like states in disturbance of the vegetative nervous system]. PMID- 18136730 TI - [Modifications in the nervous system in acute myeloid leukemia]. PMID- 18136731 TI - [On myoclonic epilepsy]. PMID- 18136732 TI - [Psychopathology parasiggital gunshot injuries of the brain]. PMID- 18136733 TI - [Olfactory hallucinations in complicated gunshot injuries of the temporal region]. PMID- 18136734 TI - [Somnopsychotherapy]. PMID- 18136735 TI - The nursing technics in rehabilitation. PMID- 18136736 TI - Nursing among the Navajo Indians. PMID- 18136737 TI - Madame chairman, this is for you. PMID- 18136738 TI - A nursing staff prepares for cardiac surgery. PMID- 18136739 TI - Motivation in health education. PMID- 18136740 TI - Comparison of breast and artificial feeding. PMID- 18136741 TI - Notes on the use and effects of monosodium glutamate. PMID- 18136742 TI - Effect of large-scale methods of preparation on the vitamin content of food; spinach. PMID- 18136743 TI - Dietary treatment of edema in an African boys' boarding school. PMID- 18136744 TI - Experimental investigation of vertical fusional movements. PMID- 18136745 TI - A report of three cases of aniseikonia. PMID- 18136746 TI - Pupillary changes associated with accommodation and convergence. PMID- 18136747 TI - Plastic lenses made of thermosetting resins. PMID- 18136748 TI - [Not Available]. PMID- 18136749 TI - [Not Available]. PMID- 18136750 TI - [Not Available]. PMID- 18136751 TI - [Not Available]. PMID- 18136752 TI - [Not Available]. PMID- 18136753 TI - [Not Available]. PMID- 18136754 TI - [Not Available]. PMID- 18136755 TI - [Not Available]. PMID- 18136756 TI - [Not Available]. PMID- 18136757 TI - [Not Available]. PMID- 18136758 TI - [Not Available]. PMID- 18136759 TI - [Not Available]. PMID- 18136760 TI - Heredity and retinoblastoma. PMID- 18136761 TI - Continuous intravenous injection of typhoid vaccine in treatment of certain opthalmic diseases. PMID- 18136762 TI - Minimal defects in visual field studies. PMID- 18136763 TI - Mechanism of corneal graft healing; behavior of recipient and donor cells. PMID- 18136764 TI - Circular corneal transplants; surgical technic; instruments and sutures; comparison with the use of square transplants. PMID- 18136765 TI - Atrophy of the optic nerve in tabes and dementia paralytica. PMID- 18136766 TI - Surgical treatment of concomitant divergent strabismus. PMID- 18136767 TI - Corneal vescularization in the gray Norway rat. PMID- 18136768 TI - A simple method for temporary closure of the lids. PMID- 18136769 TI - Comments on Dr. Rand's letter on Hartridge's article on physiology of vision. PMID- 18136770 TI - Rubeosis iridis diabetica; report of a case. PMID- 18136771 TI - Role of the vertically acting muscles in concomitant strabismus. PMID- 18136772 TI - Scleromalacia perforans. PMID- 18136774 TI - A procedure to make the Elliott trephine operation less difficult. PMID- 18136773 TI - Postvaccinial ocular syndrome. PMID- 18136775 TI - A non-geometric exposition of the theory of retinoscopy. PMID- 18136776 TI - Autonomic dysfunction in the inner ear. PMID- 18136777 TI - Topical applications to the skin of the ear canal. PMID- 18136778 TI - Anticoagulant therapy in retinal vascular occlusion. PMID- 18136779 TI - Intermittent exotropia. PMID- 18136780 TI - Plastic lenses in industry. PMID- 18136781 TI - Monocular cataracts; industrial implications. PMID- 18136782 TI - The influence of chemical constitution on antibacterial activity; a survey of heterocyclic bases, with special reference to benzquinolines, phenanthridines, benzacridines, quinolines and pyridines. PMID- 18136783 TI - Antibiotics active against bacterial viruses. PMID- 18136784 TI - The erythrocyte receptor for pertussis haemagglutinin. PMID- 18136785 TI - Enzyme adaptation in bacteria; fate of nitratase in nitrat-eadapted cells grown in the absence of substrate. PMID- 18136786 TI - The Lewis blood group characters of erythrocytes and body-fluids. PMID- 18136787 TI - Alvein. PMID- 18136788 TI - The antibacterial properties of some species of aerobic spore-forming bacilli. PMID- 18136789 TI - An electrophoretic study of the components of the serum proteins in cirrhosis of the liver. PMID- 18136790 TI - [Not Available]. PMID- 18136791 TI - [Not Available]. PMID- 18136792 TI - [Not Available]. PMID- 18136793 TI - [Not Available]. PMID- 18136794 TI - [Not Available]. PMID- 18136795 TI - [Not Available]. PMID- 18136797 TI - [Not Available]. PMID- 18136796 TI - [Not Available]. PMID- 18136798 TI - [Not Available]. PMID- 18136799 TI - [Not Available]. PMID- 18136800 TI - [Not Available]. PMID- 18136801 TI - Synthesis of certain derivatives of thiols. PMID- 18136802 TI - Assay of heparin; measurement of the end point by physical means; influence of surface on clotting. PMID- 18136803 TI - Comparative toxicity of certain t-butyl substituted cresols and xylenols. PMID- 18136804 TI - Microchemical identification of amidone. PMID- 18136805 TI - Studies on pharmaceutical powders and the state of subdivision; an evaluation of pharmaceutical dispensing techniques employed to increase the specific surface areas of powders. PMID- 18136806 TI - Microtoxicology; colorimetric reactions and optical crystallographic properties of several antihistaminics of unrelated structure. PMID- 18136808 TI - Studies on Indian Datura. PMID- 18136807 TI - Microtoxicology; identification and differentiation of the newer antihistaminic drugs related to benadryl, pyribenzamine, and antergan. PMID- 18136809 TI - Determination of theobromine in theobromine and sodium salicylate. PMID- 18136810 TI - Scotch mint and spearmint; a comparative study of cultural, morphological, and histological characteristics of species of Mentha growing in Florida. PMID- 18136811 TI - Chemical composition of gum turpentines of pines; a report on Pinus strobus, P. cembra, P. taeda, P. radiata, and P. virginiana. PMID- 18136812 TI - Composition of gum turpentine of Pinus lambertiana. PMID- 18136814 TI - Evaluation of the antibacterial efficiency of dilute solutions of free halogens. PMID- 18136813 TI - The decomposition of sodium phenobarbital in solutions of aliphatic amines and alkanolamines. PMID- 18136815 TI - Analgesics; some developments. PMID- 18136816 TI - The antidotal activity of some dithiols and acetyldithiols in mice poisoned with oxophenarsine. PMID- 18136818 TI - The assay of mercuric salicylate. PMID- 18136817 TI - The partition chromatography of alkaloids; the alkaloids of Australian Datura ferox and of Indian henbane. PMID- 18136819 TI - The evaluation of the bactericidal activity of ethylene glycol and some of its monoalkyl ethers against Bacterium coli. PMID- 18136820 TI - [Not Available]. PMID- 18136821 TI - [Not Available]. PMID- 18136822 TI - [Not Available]. PMID- 18136823 TI - [Not Available]. PMID- 18136824 TI - [Not Available]. PMID- 18136825 TI - [Not Available]. PMID- 18136827 TI - [Not Available]. PMID- 18136826 TI - [Not Available]. PMID- 18136828 TI - Graduate education in radiology. PMID- 18136829 TI - Congenital obstructions of the respiratory tract; tracheal malformations. PMID- 18136830 TI - Congenital obstruction of the respiratory tract; bronchial malformations. PMID- 18136831 TI - Lesions of the diaphragm. PMID- 18136832 TI - Reticulo-endotheliosis; HandSchuller-Christian disease and the rarer manifestations. PMID- 18136833 TI - The clinical and roentgen manifestations of pneumonia due to Bacillus mucosus capsulatus (primary Friedlander pneumonia). PMID- 18136834 TI - A case of aneurysm of the ductus arteriosus with postmortem roentgenologic study after instillation of barium paste. PMID- 18136835 TI - Coccidioidal granuloma of bone. PMID- 18136836 TI - Calcification in intraspinal meningiomas. PMID- 18136837 TI - Intracranial calcification in encephalo trigeminal angiomatosis. PMID- 18136838 TI - Biological effects of roentgen rays of various wavelengths. PMID- 18136839 TI - Depth dose data and isodose distributions for radiation from a 22 mev. betatron. PMID- 18136843 TI - Sigmoidovesical fistulas resulting from diverticulitis of the sigmoid colon. PMID- 18136853 TI - Bilateral broad ligament lipomata; report of a case and review of the literature. PMID- 18136854 TI - Intravenous administration of gelatin and histologic changes in the kidney. PMID- 18136855 TI - Surgical implications of acute pancreatitis; an analysis of 85 cases. PMID- 18136857 TI - Effects of vagotomy in the rat. PMID- 18136856 TI - Effect of gastrectomy and diversion of duodenal secretions into the terminal portion of the ileum on development of ulcer. PMID- 18136858 TI - Neurofibromatosis and pseudarthrosis; report of a case. PMID- 18136859 TI - Experimental injury of the common bile duct. PMID- 18136860 TI - Intussusception due to familial adenoma of the small intestine. PMID- 18136861 TI - Effort thrombosis of the axillary and subclavian veins; an analysis of 16 personal cases and 56 cases collected from the literature. PMID- 18136862 TI - Effects and fate of blood transfusions in normal dogs. PMID- 18136863 TI - Spontaneous rupture of the diseased spleen. PMID- 18136864 TI - Effect of oxidized cellulose in the protection of the suture line in intestinal anastomoses in dogs. PMID- 18136865 TI - Increase of serum lipase in experimentally induced appendical peritonitis. PMID- 18136866 TI - Sarcoma of the esophagus; report of successful resection of a fibrosarcoma. PMID- 18136867 TI - New advances in seamless prosthetic hands. PMID- 18136868 TI - Acute pancreatitis; pathways of enzymes into the blood stream. PMID- 18136869 TI - Cleft left upper lobes and the split anterior bronchus. PMID- 18136870 TI - Hemipelvectomy. PMID- 18136871 TI - Meconium peritonitis. PMID- 18136872 TI - Giant pharyngoesophageal diverticulum; case report. PMID- 18136873 TI - Pneumonectomy for pulmonary tuberculosis in a woman 6 months pregnant, followed by a normal birth. PMID- 18136874 TI - Calculosis and fibrosis of the pancreas. PMID- 18136875 TI - The physiologic basis of operations for duodenal, gastric, and gastrojejunal ulcer; a review of recent literature. PMID- 18136876 TI - Clinical and parasitic relapses of vivax malaria in the Netherlands; influence of various modes of treatment. PMID- 18136877 TI - A method for tracing and comparing bacterial antagonists from surface water with the aid of perforated Petri dishes. PMID- 18136878 TI - The effect of rabbit immune serum on haemagglutination through vaccinia virus. PMID- 18136879 TI - Pathological observations on tuberculosis of Indonesians in Batavia in 1946. PMID- 18136880 TI - Congenital malaria. PMID- 18136881 TI - Notes on Haemagogus anastasionis Dyar of Curacao. PMID- 18136882 TI - [Not Available]. PMID- 18136883 TI - [Not Available]. PMID- 18136884 TI - [Not Available]. PMID- 18136886 TI - [Not Available]. PMID- 18136885 TI - [Not Available]. PMID- 18136887 TI - [Not Available]. PMID- 18136888 TI - [Not Available]. PMID- 18136889 TI - [Not Available]. PMID- 18136890 TI - Typing of typhoid bacilli from Indonesia by means of Vi-bacteriophage II. PMID- 18136891 TI - Prevention of malaria with proguanil in New Guinea. PMID- 18136892 TI - Stages in the development of collective immunity in malaria. PMID- 18136893 TI - Is tinea albigena Nieuwenhuis a separate disease or an Indonesian pinto combined with epidermophytosis? PMID- 18136894 TI - Paratyphoid G Oranienburg in Indonesia. PMID- 18136895 TI - Tropical disease as an aftermath of war. PMID- 18136896 TI - Typhus fevers in the Anglo-Egyptian Sudan. PMID- 18136897 TI - The parasite rate in high altitude malaria. PMID- 18136898 TI - [Not Available]. PMID- 18136902 TI - [Not Available]. PMID- 18136903 TI - [Not Available]. PMID- 18136904 TI - [Not Available]. PMID- 18136905 TI - [Not Available]. PMID- 18136906 TI - [Not Available]. PMID- 18136907 TI - [Not Available]. PMID- 18136908 TI - [Deciding role of external factors in the development of nervous activity]. PMID- 18136909 TI - [Defense inhibition; universal nervous process]. PMID- 18136910 TI - [Innervation of the internal organs]. PMID- 18136912 TI - Isolation of mouse mammary carcinoma virus. PMID- 18136911 TI - [Critical periods of embryonal development]. PMID- 18136913 TI - Results of pancreatoduodenectomy. PMID- 18136914 TI - Palliative resections in cancer of the colon and rectum. PMID- 18136915 TI - The significance of cartilage in abnormal locations. PMID- 18136916 TI - Benign chondroblastoma of bone; unusual localization in femoral capital epiphysis. PMID- 18136917 TI - Argentaffin tumor occurring in a benign cystic teratoma of the ovary. PMID- 18136918 TI - Primary and metastatic cancer of the fallopian tube. PMID- 18136919 TI - Bilateral primary carcinoma of the ureter; a case report. PMID- 18136920 TI - Carcinoid tumors of the colon and rectum. PMID- 18136921 TI - Some limitations of cytological diagnosis of malignant tumors. PMID- 18136922 TI - Electronmicroscopy observations on Hodgkin's material. PMID- 18136923 TI - Reversal of aminopterin-induced inhibition of sarcoma 180 by folic acid. PMID- 18136924 TI - Bone marrow of mice bearing sarcoma 180 treated with 4-amino-pteroylglutamic acid and with 4-amino-N10-methyl-pteroylglutaminic acid. PMID- 18136925 TI - Effectiveness of nitrogen mustards in retarding the growth of sarcoma 180 with reference to route of administration, age of tumors, food intake, and weight loss of the mice. PMID- 18136926 TI - Bone-marrow changes in man after treatment with aminopterin, amethopterin, and aminoanfol; with special reference to megaloblastosis and tumor remission. PMID- 18136927 TI - Leydig-cell tumors induced experimentally in the rat. PMID- 18136928 TI - [Not Available]. PMID- 18136929 TI - [Not Available]. PMID- 18136930 TI - [Not Available]. PMID- 18136931 TI - Brief outline of the embryology of the human heart and the blood vessels. PMID- 18136932 TI - Morbus caeruleus; clinical examination. PMID- 18136933 TI - Roentgenological examination of morbus caeruleus. PMID- 18136934 TI - The electrocardiogram in morbus caeruleus. PMID- 18136935 TI - Circulation time studies by the fluorescein method with particular reference to morbus caeruleus. PMID- 18136936 TI - Heart tolerance tests in cardiac malformations with cyanosis. PMID- 18136937 TI - Heart catheterization in morbus caeruleus. PMID- 18136938 TI - Morbus caeruleus; diagnosis. PMID- 18136939 TI - Surgical treatment of the tetralogy of Fallot. PMID- 18136940 TI - Morbus caeruleus; case report. PMID- 18136941 TI - [Not Available]. PMID- 18136942 TI - [Not Available]. PMID- 18136943 TI - [Not Available]. PMID- 18136944 TI - Distribution of a triphosphopyridine nucleotide-specific enzyme catalyzing the reversible oxidative decarboxylation of malic acid in higher plants. PMID- 18136945 TI - The genesis of auxin during the decomposition of proteins. PMID- 18136947 TI - Chemical composition of normal bone marrow. PMID- 18136946 TI - Antiscorbutic substances; 3-methyl-L-as-corbic acid and 1-methylheteroascorbic acid. PMID- 18136948 TI - Ultracentrifugal studies on some porcine plasma protein fractions. PMID- 18136949 TI - Occurrence of an unidentified rat growth factor in cottonseed meal. PMID- 18136950 TI - Stereochemical configuration and provitamin A activity; pro-gamma-carotene (a poly-cis compound) and its all-trans isomer in the rat. PMID- 18136951 TI - Comparative study of the glycolysis and ATP-ase activity in tissue homogenates. PMID- 18136952 TI - Candidulin; an antibiotic from Aspergillus candidus. PMID- 18136953 TI - An unknown effect of amino acids; interaction of nitrogenous polycarboxylic acids (N-substituted amino acids) and insoluble metal sulfides and mercaptides. PMID- 18136954 TI - Biochemical individuality; genetotrophic factors in the etiology of alcoholism. PMID- 18136955 TI - An interpretation of the contradictory results in measurements of the photosynthetic quantum yields and related phenomena. PMID- 18136956 TI - Transformation of tryptophan to nicotinic acid investigated with delayed supplementation of tryptophan. PMID- 18136957 TI - Increase in yeast respiration in presence of several steroids and diethylstilbestrol. PMID- 18136958 TI - Inhibition ergostanyl acetate by 7-dehydrocholesteryl bromide. PMID- 18136959 TI - Effect of vitamin B12, animal protein factor and soil for pig growth. PMID- 18136960 TI - On the probable identity of several unidentified growth factors. PMID- 18136961 TI - Effect of animal protein factor supplement on pigs fed different protein supplements. PMID- 18136962 TI - Does light inhibit the respiration of green cells? PMID- 18136963 TI - Myosmine in cigar tobacco. PMID- 18136965 TI - Review of the interpretations of luminescence phenomena. PMID- 18136964 TI - A survey of present methods used to determine the optical properties of phosphors. PMID- 18136966 TI - The emission characteristics of fluorescent pigments. PMID- 18136967 TI - A correlation between cathodoluminescence efficiency and decay as a function of temperature. PMID- 18136968 TI - The phosphorescence decay of halophosphates and other doubly activated phosphors. PMID- 18136969 TI - New observations on superlinear luminescence. PMID- 18136970 TI - A vacuum ultraviolet monochromator for absorption and photoconductivity measurements on luminescent solids. PMID- 18136971 TI - The measurement of the luminescence of fluoroscopic X-ray screens. PMID- 18136973 TI - BENEFITS from atomic energy. PMID- 18136972 TI - The atomic industry and human ecology; on risk. PMID- 18136974 TI - Production of C14 in a nuclear reactor. PMID- 18136975 TI - Speed of operation of Geiger-Muller counters. PMID- 18136976 TI - Effect of soft X-rays on vitamins; niacin, riboflavin, and ascorbic acid. PMID- 18136978 TI - Alpha-particle detection with dental X-ray film. PMID- 18136979 TI - The use of stressbreakers in tissue borne partial dentures. PMID- 18136977 TI - Retention of radon by the mouse; experimental determination of biodecay and energy absorbed. PMID- 18136980 TI - Roentgenographic technic for anterior interproximal region. PMID- 18136981 TI - Roentgenographic technics made to order. PMID- 18136982 TI - A pattern of centric occlusion. PMID- 18136983 TI - The nationwide topical fluoride demonstration program. PMID- 18136984 TI - FUNDAMENTAL requirements for training in oral surgery. PMID- 18136985 TI - A modified Crane-Kaplan surgical pocket marker. PMID- 18136986 TI - Principles and technique of exodontia. PMID- 18136987 TI - Brain abscess secondary to dental infection; report and discussion of a case. PMID- 18136988 TI - Foreign bodies in the submandibular fossa. PMID- 18136989 TI - The treatment of acute ulcerative necrotizing gingivitis with aureomycin. PMID- 18136990 TI - The submandibular and parapharyngeal spaces; their topography and importance in oral surgery. PMID- 18136991 TI - Immunization experiments with procaine-azoprotein. PMID- 18136992 TI - Intravenous anesthesia in the dental office. PMID- 18136993 TI - Cementoma. PMID- 18136994 TI - Dens in dente. PMID- 18136995 TI - Essentials in endodontic practice. PMID- 18136996 TI - The clinical significance of serum potassium and sodium concentrations and their estimation with the flame photometer. PMID- 18136997 TI - The place of the clinical laboratory in small general hospitals. PMID- 18136998 TI - The early history of blood transfusion. PMID- 18136999 TI - A rapid method for routine preparation of paraffin sections. PMID- 18137000 TI - On the staining of amyloid. PMID- 18137001 TI - Complete porphyrin analysis of pathological urines. PMID- 18137002 TI - Qualitative analysis of the porphyrins by partition chromatography. PMID- 18137003 TI - Electrometric chloride titration in biological material. PMID- 18137004 TI - The renal blood flow and the glomerular filtration rate in congestive heart failure and some other clinical conditions; the effect of exercise and hypoxemia; a preliminary report. PMID- 18137005 TI - Serum proteins and agglutinins in a case of typhoid fever with severe hypoproteinemia. PMID- 18137006 TI - Acquired hemolytic jaundice. PMID- 18137007 TI - The endocellular nucleic acid distribution and plasma protein formation in myelomatosis. PMID- 18137008 TI - A method for rapid determination of colloid osmotic pressure. PMID- 18137009 TI - A simple, time-saving arrangement for the exact dilution of blood samples for cell counts and hemoglobin determinations. PMID- 18137010 TI - A quantitative one-stage method for the assay of prothrombin. PMID- 18137011 TI - A suitable absorbent for oxygen in gas analysis. PMID- 18137012 TI - [Differential radiological diagnosis of gastric ulcers with special reference to malignancy]. PMID- 18137013 TI - [Value of vagotomy in gastroduodenal peptic ulcers]. PMID- 18137014 TI - [Case reports of peptic ulcer operations]. PMID- 18137015 TI - [Dietetic centers for working people]. PMID- 18137016 TI - [Not Available]. PMID- 18137017 TI - [Not Available]. PMID- 18137018 TI - A new method of liver puncture. PMID- 18137019 TI - Ethnic tolerance; a function of social and personal control. PMID- 18137020 TI - The fool as a social type. PMID- 18137021 TI - Migration and occupational mobility in the depression. PMID- 18137022 TI - The relation of the adrenal cortex to the structure and phagocytic activity of the macrophagic system. PMID- 18137023 TI - Milk-borne infections in Great Britain. PMID- 18137024 TI - A study on birth-weight and intelligence. PMID- 18137025 TI - Control charts for the standard mortality ratio. PMID- 18137026 TI - Mortality amongst babies from injury at birth. PMID- 18137027 TI - The intermediate metabolism of Pseudomonas aeruginosa; the status of the endogenous respiration. PMID- 18137028 TI - The intermediate metabolism of Pseudomonas aeruginosa; limitations of simultaneous adaptation as applied to the identification of acetic acid, an intermediate in glucose oxidation. PMID- 18137029 TI - An irreversible gene-induced plastid mutation. PMID- 18137030 TI - Mitosis in living cell of amphibian tissue cultures. PMID- 18137031 TI - The use of interference films in optical instruments. PMID- 18137032 TI - Considerations affecting axial illumination. PMID- 18137033 TI - The heart output of the chick embryo. PMID- 18137034 TI - PROBLEM of measuring replacement of population. PMID- 18137035 TI - The report of the Royal Commission on Population. PMID- 18137036 TI - A new beta-ray applicator using fission products. PMID- 18137037 TI - Angular distribution of alpha-particles from the Li7 (p,alpha) He4 reaction. PMID- 18137038 TI - A rapid method of determining streptomycin sensitivity of Mycobacterium tuberculosis. PMID- 18137039 TI - A method for determining the ratio of the Michaelis constants of an enzyme with respect to two substrates. PMID- 18137040 TI - Structure of thujic acid (dehydroperillic acid). PMID- 18137041 TI - delta6-Cholestenol. PMID- 18137042 TI - A new type of fossil man. PMID- 18137043 TI - Rh-gene frequencies in pygmies (Batswa) of the Belgian Congo. PMID- 18137044 TI - Rheological measurements and adhesion. PMID- 18137045 TI - Radioactive tracers in chemistry. PMID- 18137046 TI - Progress in high-speed calculating machine design. PMID- 18137048 TI - Preparation of bacteria for electron microscopy. PMID- 18137047 TI - Lactic acid and sweat gland function. PMID- 18137049 TI - Absorption of immune globulin by the young lamb after ingestion of colostrum. PMID- 18137050 TI - Tilts in the ionosphere. PMID- 18137051 TI - Rapid calculation of standard deviations. PMID- 18137052 TI - Reactivity and specificity of precipitates obtained by treating alcoholic extracts of beef heart with solutions of various inorganic salts. PMID- 18137053 TI - Globule size in two-phase emulsions. PMID- 18137054 TI - Micellar organisation in primary cell walls. PMID- 18137055 TI - A mutant genoid in Drosophila sensitive to carbon dioxide. PMID- 18137057 TI - Foot-and-mouth disease; a hazard to the world's food supply. PMID- 18137056 TI - Relation of the alpha rhythm of the brain to psychomotor phenomena. PMID- 18137058 TI - An animal's home is its castle. PMID- 18137059 TI - Africa from Nubia to Turkana. PMID- 18137060 TI - Diagnosis and management of complications of peptic ulcer. PMID- 18137061 TI - Hypothyroidism with loss of weight and without myxedema; report of a case and review of literature. PMID- 18137062 TI - Studies in experimental frostbite; the response of the sympathetically denervated extremity to freezing. PMID- 18137063 TI - Excision of the semilunar cartilage. PMID- 18137064 TI - Inheritance of a Karakul-type curliness in the hair of Ayrshire cattle. PMID- 18137065 TI - A pedigree of partial anodontia. PMID- 18137066 TI - Congenital inheritance of inguinal hernia. PMID- 18137067 TI - Actinomycosis of the ovaries and fallopian tubes. PMID- 18137068 TI - Transverse or oblique presentation of the fetus in the last 10 weeks of pregnancy; its causes, general nature, and treatment. PMID- 18137069 TI - The vaginal smear in population screening for uterine carcinoma. PMID- 18137070 TI - A statistical study of cancer of the corpus uteri. PMID- 18137071 TI - Pregnancy with sickle cell anemia; review of the literature and report of cases. PMID- 18137072 TI - The attitude of the fetus in breech presentation. PMID- 18137073 TI - Observations on the use of progesterone in threatened abortion with special reference to pregnandiol excretion as a guide to therapy. PMID- 18137074 TI - Pregnancy and tuberculosis. PMID- 18137075 TI - Experience with extraperitoneal cesarean section at the University of Iowa Hospitals. PMID- 18137076 TI - Primary carcinoma of the fallopian tube. PMID- 18137077 TI - Specific malignant cells exfoliated from preinvasive cancer of the cervix uteri. PMID- 18137078 TI - Papillary clear cell adenocarcinoma of the ovary. PMID- 18137079 TI - The crush syndrome in obstetrics and gynecology. PMID- 18137080 TI - Pulmonary mucormycosis complicating pregnancy. PMID- 18137081 TI - The specific treatment of vaginal mycosis. PMID- 18137082 TI - Premature rupture of the membranes. PMID- 18137083 TI - The relationship between the hemorrhagic blood dyscrasias and hypermenorrhea. PMID- 18137084 TI - Heterospecific blood group pregnancy in hemolytic disease of the newborn. PMID- 18137085 TI - The Rh factor in the American Negro; a preliminary report. PMID- 18137086 TI - The role of the fetal back in atypical occiput posterior positions. PMID- 18137087 TI - Nausea and vomiting induced by pregnancy or by administration of synthetic estrogens; treatment with antihistaminic compounds; a further study of an additional 50 cases. PMID- 18137088 TI - Control of stilbestrol vomiting. PMID- 18137089 TI - The effect of diethylstilbestrol in the prolongation of pregnancy. PMID- 18137090 TI - An aid to the removal of the Gell-horn pessary. PMID- 18137091 TI - Unilateral prefrontal lobotomy for the relief of intractable pain and termination of narcotic addiction. PMID- 18137092 TI - The intravenous administration of a combined fat emulsion into surgical patients. PMID- 18137093 TI - Diagnosis of preinvasive carcinoma of the cervix. PMID- 18137094 TI - Vesicointestinal fistulas. PMID- 18137095 TI - Pilonidal sinus; results in 92 consecutive cases treated by primary closure with gluteus maximus sliding musculofascial graft. PMID- 18137096 TI - Carcinoma of the extrahepatic bile ducts. PMID- 18137097 TI - Determination of the strength of the cancellous bone in the head and neck of the femur. PMID- 18137098 TI - Ultrarapid blood transfusion; clinical and experimental observations. PMID- 18137099 TI - Continuous lumbar paravertebral sympathetic block maintained by fractional instillation of procaine. PMID- 18137100 TI - Repair of the common bile duct over a buried catheter. PMID- 18137101 TI - Synovial osteochromatosis. PMID- 18137102 TI - Predisposing action of anesthetic agents on the vascular responses in hemorrhagic shock. PMID- 18137103 TI - Cytological diagnosis of cancer in transudates and exudates; a comparison of the Papanicolaou method and the paraffin block technique. PMID- 18137104 TI - Evaluation of the principles concerned in the management of trauma to the kidney. PMID- 18137105 TI - Do malignant lymphomas represent varying differentiation of the same growth? PMID- 18137106 TI - [Not Available]. PMID- 18137107 TI - Malignant melanoma diagnosed by marrow aspiration. PMID- 18137108 TI - Reticulum hyperplasia and proliferation of lymphoid cells in the bone marrow in infectious mononucleosis. PMID- 18137109 TI - Das Eisenmangelfieber. PMID- 18137110 TI - Simplified purchasing records for the small hospital. PMID- 18137111 TI - Problems in small hospital design. PMID- 18137112 TI - On the full-time principle in hospitals. PMID- 18137113 TI - Major points of kitchen sanitation. PMID- 18137114 TI - [Not Available]. PMID- 18137115 TI - [Not Available]. PMID- 18137116 TI - [Not Available]. PMID- 18137117 TI - [Not Available]. PMID- 18137118 TI - [Not Available]. PMID- 18137119 TI - [Not Available]. PMID- 18137120 TI - [Not Available]. PMID- 18137121 TI - [Not Available]. PMID- 18137123 TI - [Not Available]. PMID- 18137122 TI - [Not Available]. PMID- 18137124 TI - [Not Available]. PMID- 18137125 TI - [Not Available]. PMID- 18137127 TI - [Not Available]. PMID- 18137126 TI - [Not Available]. PMID- 18137128 TI - [Not Available]. PMID- 18137129 TI - [Not Available]. PMID- 18137130 TI - [Not Available]. PMID- 18137131 TI - [Not Available]. PMID- 18137132 TI - [Not Available]. PMID- 18137133 TI - [Not Available]. PMID- 18137134 TI - [Not Available]. PMID- 18137135 TI - [Not Available]. PMID- 18137136 TI - Asexual reproduction of Plasmodium knowlesi in rhesus monkeys. PMID- 18137137 TI - Metabolic changes in oral lactobacilli. PMID- 18137138 TI - Feeding tests on human volunteers with enterococci and tyramine. PMID- 18137139 TI - Complement fixation with fecal antigens in viral hepatitis. PMID- 18137140 TI - Toxemia as a stimulation factor in the production of antibodies; studies on precipitin production in the dog; the use of egg white. PMID- 18137141 TI - Toxemia as a stimulation factor in the production of antibodies; studies on precipitin production in the dog; the use of ricin. PMID- 18137142 TI - Physiological factors associated with genetic resistance to fowl typhoid. PMID- 18137143 TI - Relative susceptibility of Aedes aegypti, Aedes albopictus, Aedes canadensis and Anopheles quadrimaculatus to Plasmodium gallinaceum. PMID- 18137144 TI - Nutrition and poliomyelitis, the effects of deficiencies of phosphorus, calcium, and vitamin D on the response of mice to the Lansing strain of poliomyelitis virus. PMID- 18137145 TI - A field trial of Shigella flexneri III vaccine; serum agglutination studies. PMID- 18137146 TI - Inhibition of pyruvate oxidation in the malarial parasite Plasmodium gallinaceum by quinine treatment of the host. PMID- 18137147 TI - Metastases in bone marrow and myelophthisic anemia from carcinoma of the prostate. PMID- 18137148 TI - The pituitary gland of rats with experimental goiter. PMID- 18137149 TI - The treatment of pneumococcic meningitis with penicillin; a study of 125 consecutive cases, with 73% recovery. PMID- 18137150 TI - The chemical combination of insulin with muscle (diaphragm) of normal rat. PMID- 18137151 TI - Hormonal influences on the chemical combination of insulin with rat muscle (diaphragm). PMID- 18137152 TI - The effect of body position and reference level on the determination of venous and right auricular pressure. PMID- 18137153 TI - Renal studies in acute infectious (epidemic) hepatitis. PMID- 18137154 TI - The toxicity of intravenous ammonium compounds. PMID- 18137155 TI - Alterations in the serum potassium and their relation to certain constituents of the blood in diabetic acidosis. PMID- 18137156 TI - The increased hypoprothrombinemic effect of a small dose of dicumarol in congestive heart failure. PMID- 18137157 TI - The collagen diseases. PMID- 18137158 TI - Ten years in the epidemiology of mumps. PMID- 18137159 TI - Pheochromocytoma; diagnosis and treatment. PMID- 18137160 TI - Prefrontal operations for the treatment of mental illness. PMID- 18137161 TI - Studies on the coronary circulation; loss of myocardial contractility after coronary artery occlusion. PMID- 18137162 TI - Studies on the coronary circulation; the remarkable reserve power of the heart. PMID- 18137163 TI - Unipolar extremity leads in records with large Q. PMID- 18137164 TI - Superior vena cava obstruction in primary cancer of the lung. PMID- 18137165 TI - On the clinical entity. PMID- 18137166 TI - Salmonella endocarditis with streptomycin failure. PMID- 18137167 TI - The electrocardiographic syndrome following paroxysmal tachycardia. PMID- 18137168 TI - Vena caval thrombosis with polycythemia and leg ulcer. PMID- 18137169 TI - Persistent tachycardia caused by snake venom. PMID- 18137170 TI - Stilbamidine in the treatment of histoplasmosis; two case reports. PMID- 18137171 TI - Congenital pulmonary cysts. PMID- 18137172 TI - The symptom of dizziness. PMID- 18137173 TI - Principles of parenteral fluid administration. PMID- 18137174 TI - Tryptic inactivation of the receptor-destroying enzeme of V. cholerae and of the enzymic activity of influenza virus. PMID- 18137175 TI - Ovomucin as a substrate for the mucinolytic enzymes of V cholerae filtrates. PMID- 18137176 TI - The influence of calcium ion on the reactions of the V. cholerae enzyme RDE and influenza virus with specific mucopolysaccharides. PMID- 18137177 TI - The determination of spinnbarkeit of synovial fluid and its destruction by enzymic action. PMID- 18137178 TI - Mesohaemoglobin derivatives; preliminary studies on the preparation and properties of mesocholeglobin. PMID- 18137179 TI - Mesofhaemoglobin derivatives; a green derivative of mesohaemoglobin in the presence of cyanide. PMID- 18137180 TI - The possibility of the dual nature of sympathetic ganglion cells. PMID- 18137181 TI - Oestrogenic potency of subterranean clover (T. subterraneum L. var. Dwalganup) the preparation and assay of extracts. PMID- 18137183 TI - [Not Available]. PMID- 18137182 TI - The copper and nickel content of the blood of the Western Australian marine crayfish (Panulirus longipes Milne Edwards) and of seaweeds. PMID- 18137184 TI - [Not Available]. PMID- 18137185 TI - [Not Available]. PMID- 18137186 TI - [Not Available]. PMID- 18137187 TI - [Not Available]. PMID- 18137189 TI - [Not Available]. PMID- 18137188 TI - [Not Available]. PMID- 18137190 TI - The problem of cut flexor tendons in fingers. PMID- 18137191 TI - The dramatic in gynaecology and obstetrics. PMID- 18137192 TI - Some diseases of the newborn baby. PMID- 18137193 TI - Some principles underlying determination of sex hormones. PMID- 18137194 TI - Poliomyelitis and the social environment. PMID- 18137195 TI - Production of dental caries; a new hypothesis. PMID- 18137196 TI - A case of psittacosis treated with penicillin. PMID- 18137197 TI - Isolated unilateral spinal accessory nerve palsy of obscure origin; a report of three cases. PMID- 18137199 TI - Traumatic perforation of the bladder. PMID- 18137200 TI - An interesting case of epilepsy. PMID- 18137198 TI - A case of diaphragmatic hernia of congenital origin with perforation of stomach. PMID- 18137201 TI - Torsion of normal fallopian tube. PMID- 18137202 TI - Eclampsia and peritoneal haemorrhage. PMID- 18137203 TI - Intrauterine manipulations. PMID- 18137204 TI - [Not Available]. PMID- 18137205 TI - [Not Available]. PMID- 18137206 TI - Diagnosis of portal vein obstruction; studies of intestinal absorption of glucose using abdominal collateral veins. PMID- 18137207 TI - Treatment of cutaneous carcinoma with podophyllin. PMID- 18137208 TI - Clinical therapeutic trial of a new drug. PMID- 18137209 TI - Studies on the initiation of blood coagulation; the relationship of platelets of the clot-promoting effect of glass surfaces. PMID- 18137210 TI - [Not Available]. PMID- 18137211 TI - [Not Available]. PMID- 18137212 TI - [Not Available]. PMID- 18137213 TI - Chemosurgery in cutaneous malignancy. AB - Chemosurgical removal of accessible cancer under microscopic control affords:1. Unprecedented reliability. "Silent" extensions may be followed out and eradicated.2. Conservatism in removal of tissue. With microscopic examination of each layer of tissue removed, it is possible to avoid removing more than one or two millimeters of healthy tissue beyond the extent of the cancer.3. Good cosmetic results in many instances.4. Relative freedom from operative pain.5. Possibly, lower incidence of metastasis.6. Low operative mortality. PMID- 18137214 TI - Safer gastrectomy; 100 consecutive cases without mortality. AB - Duodenal stump disruption accompanied by fatal peritonitis is the complication most to be feared following gastrectomy and anastomosis by any one of the Billroth II modifications. While many explanations of this complication have been presented and many means devised to prevent it, by far the most frequent cause is distention of the proximal duodenum because of obstruction at the stoma due to kinks, angulations or postoperative edema.A supplemental report is made on a disintegrating T-tube designed to facilitate gastroenteric anastomosis, insure patency of the stoma and make impossible obstruction of the proximal loop. This report covers 100 consecutive instances in which the disintegrating tube was used and emphasizes the favorable postoperative course usually experienced by the patients. PMID- 18137216 TI - Bacterial meningitis and other diseases affecting the meninges; a review of 349 cases. AB - Three hundred and forty-nine cases of disease affecting the meninges were observed at the San Bernardino County Charity Hospital in an eight year period.A total of 29 patients with meningococcal, H. influenzae and pneumococcal meningitis were treated. There were four deaths, of which three occurred during the first 24 hours in the hospital. Of 22 cases of unclassified meningitis, four probably were tuberculous, four probably were meningococcal and two probably were of virus origin. Under present treatment programs the differentiation between viral and bacterial meningitides is difficult and it is possible, therefore, that the reported incidence of the two groups may not represent the facts. Of 22 cases of unclassified meningitis, 12 had no specific characteristics which would permit a clinical diagnosis. One of the patients died. Of 70 cases of clinical meningitis, the infecting organism was identified in 69 per cent. Meningococcal meningitis made up only 17 per cent of 70 cases of purulent meningitis observed between July 1, 1945, and July 1, 1948. PMID- 18137215 TI - Management of cord and placental blood and its effect upon the newborn. AB - A comparative study was made of erythrocyte counts and weights of the newborn at term. Three groups were used: Cases in which the cord was clamped at once, those in which the cord was allowed to pulsate five minutes, and those in which the cord and placental blood was stripped into the baby. Standards and procedure were set up so that there would be a minimum of error. Evidence was elicited showing that babies in the "pulsating" and the "stripped" groups received a significant amount of blood which was beneficial. The amount varied, but when the stripping method was used, the term baby received about 100 cc. of blood.Babies receiving this blood had higher erythrocyte counts, higher hemoglobin values, higher initial weights, less weight loss, and less rapid loss of weight. It is believed the additional blood supplied is of benefit especially to prematures and to those infants who are in any degree of shock following long labors, difficult deliveries, abruptio placenta, placenta previa, or compression of the cord. The added blood benefits the baby by combating the initial shock, by aiding in filling the capillary bed of the expanding lungs, by increasing iron reserve, by lessening demand upon blood-forming organs (especially in prematures), by protecting the breakdown of body proteins and by aiding the transition from one source of oxygen to another. Five minutes, as a rule, is not long enough to wait for pulsation if the baby is to receive its quota of available blood. Stripping of cord and placental blood into the infant is not a harmful procedure when done gently and is particularly useful in cases where the condition of the mother or child is such that it is inadvisable to wait for the uterus to force the blood physiologically into the child. The additional blood does not cause icterus. The pulsating of the umbilical cord plays only a minor role in the process by which the baby receives blood after the second stage of labor. The pressure of the uterine contractions upon a blood-filled placenta, forcing blood through the umbilical vein into the child, plays the major role. Pitocin and/or ergot preparations would aid in this process. Anemic mothers have a tendency toward having anemic babies. Venous pressure experiments using a phlebaumanometer showed pressures before and after stripping, the force of uterine contractions on the umbilical vein pressure and the variation in pressure with crying and at rest. The giving of 100 cc. of blood by stripping affects the venous pressure of the child very little, if done slowly. If the stripping is done rapidly, there is a transient rise with a return to normal within a few minutes.A survey of 1,900 diplomates of the American Board of Obstetrics and Gynecology showed that there is wide variation in the management of cord and placental blood. Of 455 specialists who stripped the cord, five thought there was some increase in icterus, and one reported cardiovascular distress. PMID- 18137217 TI - The pathology of the nodular goiter. AB - Pathologic studies of thyroid nodules indicate that a definite percentage of nodular goiters are malignant, and that an even higher percentage are true neoplasms. Malignant tumors may arise from adenomas, involutionary nodules or possibly from nodules of the unclassified type. Some carcinomas of the thyroid gland are undoubtedly malignant processes from the start. Because of the high incidence of neoplasms, benign and malignant, in a group of single nodules of the thyroid gland, the presence of such nodules should warrant radical resections of the involved lobe and adjacent isthmus. The high incidence of epithelial growth activity in nodular involutionary goiters may revise the accepted practice of removing non-toxic nodular goiters only when clinical evidence of growth or local pressure is present. PMID- 18137218 TI - Hyperparathyroidism. AB - Because of the variable and vague clinical symptoms of the disease, diagnosis of hyperparathyroidism may be missed or delayed.Presenting symptoms and findings may be localized to the urological system or to the skeletal framework, with indications of abnormal blood calcium levels.In any case in which the patient's only complaints are malaise, lassitude, or progressive weakness, and in which routine laboratory findings are inconclusive, the blood calcium level should be determined. While not in itself diagnostic, a high level of calcium in the blood will lead to further investigation such as skeletal x-ray studies and blood phosphorus and serum alkaline phosphatase determinations. Vigilance postoperatively to forestall tetany is of great importance. PMID- 18137219 TI - Extraocular muscle paralysis from spinal injection of pantopaque. PMID- 18137220 TI - Foreign bodies in the rectum simulating anorectal disease. PMID- 18137221 TI - Blood and spinal fluid guanidine in epilepsy. PMID- 18137222 TI - On the ABO gene and Rh chromosome distribution in the white population of Manitoba. PMID- 18137223 TI - On ergothioneine; its preparation from blood and ergot. PMID- 18137224 TI - The determination of ergothioneine in simple solution and in blood. PMID- 18137225 TI - [Not Available]. PMID- 18137226 TI - [Not Available]. PMID- 18137227 TI - [Not Available]. PMID- 18137228 TI - [Not Available]. PMID- 18137229 TI - [Not Available]. PMID- 18137230 TI - [Not Available]. PMID- 18137231 TI - [Not Available]. PMID- 18137232 TI - [Not Available]. PMID- 18137233 TI - [Not Available]. PMID- 18137234 TI - [Not Available]. PMID- 18137235 TI - [Not Available]. PMID- 18137236 TI - [Renal excretion of endogenous creatinine]. PMID- 18137237 TI - [Not Available]. PMID- 18137238 TI - [Not Available]. PMID- 18137239 TI - [Not Available]. PMID- 18137240 TI - [Not Available]. PMID- 18137241 TI - [Not Available]. PMID- 18137242 TI - [Not Available]. PMID- 18137243 TI - Social science in relation to medicine and some of its recent contributions. PMID- 18137244 TI - A critique of the present status of the psychotherapies. PMID- 18137245 TI - Bronchial adenoma, right main stem bronchus with atelectasis of the right lower lobe. PMID- 18137246 TI - The cerebrospinal fluid. PMID- 18137247 TI - [Indication for surgical treatment in peptic ulcer]. PMID- 18137248 TI - [Clinical aspects, epidemiology and prevention of tick and Japanese encephalitis]. PMID- 18137249 TI - [Rabies and its prevention]. PMID- 18137250 TI - [Sanitary-hygienic supervision of gymnasiums]. PMID- 18137251 TI - Evidence of the presence of equine encephalomyelitis virus in Philippine animals. PMID- 18137252 TI - Atelectasis. PMID- 18137253 TI - Neurofibroma of the small intestine causing complete obstruction. PMID- 18137254 TI - [Not Available]. PMID- 18137255 TI - [Not Available]. PMID- 18137256 TI - [Not Available]. PMID- 18137257 TI - [Care of premature infants]. PMID- 18137258 TI - [Results of raising the qualifications of medical personnel of municipal sanitary epidemiological stations]. PMID- 18137259 TI - [Massage]. PMID- 18137260 TI - [Not Available]. PMID- 18137261 TI - [Not Available]. PMID- 18137263 TI - [Not Available]. PMID- 18137262 TI - [Not Available]. PMID- 18137264 TI - Demonstration of patent ductus arteriosus by cardiac catherization. PMID- 18137265 TI - Studies in jejunostomy feeding. PMID- 18137266 TI - Methods for dental caries control. PMID- 18137267 TI - The treatment of liver disease. PMID- 18137268 TI - Allergic retrobulbar neuritis. PMID- 18137269 TI - The surgical aspects of diverticulosis and diverticulitis. PMID- 18137271 TI - Primary carcinoma of the ethmoid sinus. PMID- 18137270 TI - Treatment of infantile hernia by ligation. PMID- 18137272 TI - [Statistical study of sufferers from spinal caries]. PMID- 18137273 TI - [Clinical observations on sufferers from Japanese type encephalitis]. PMID- 18137274 TI - [Technique of excision of the plexus hypogastricus superior in the field of surgery]. PMID- 18137275 TI - Thioarsenites in amebiasis; a clinical appraisal of new amebacides. PMID- 18137276 TI - Training for childbirth. PMID- 18137277 TI - A venous shunt for advanced mitral stenosis. PMID- 18137278 TI - The subcutaneous administration of mercaptomerin; effective mercurial diuretic for the treatment of congestive heart failure. PMID- 18137279 TI - Benzodioxan test; fall in blood pressure following its use in a case of renal hypertension. PMID- 18137280 TI - Treatment of a patient with a pheochromocytoma; use of an adrenolytic drug before and during operation. PMID- 18137281 TI - Transmission of streptomycin-resistant tubercle bacilli in man. PMID- 18137282 TI - Streptomycin-resistant tubercle bacilli; isolation of resistant organisms from pleural fluid prior to institution of streptomycin therapy. PMID- 18137283 TI - Deficiency diseases in the Cincinnati General Hospital; a 10-year study. PMID- 18137284 TI - Artane therapy for parkinsonism; a preliminary study of results in 117 cases. PMID- 18137285 TI - Paroxysmals cold hemoglobinuria associated with dementia paralytica; report of treatment with penicillin. PMID- 18137286 TI - Mass penicillin prophylaxis; an experiment with negative results. PMID- 18137287 TI - Validity of pneumoencephalographic diagnosis; a study of 500 pneumoencephalograms in children. PMID- 18137288 TI - Serum hepatitis in a blood bank worker. PMID- 18137289 TI - Radiodermatitis of the lip after exposure to arc welding. PMID- 18137290 TI - Effectiveness of chloresium in wound healing and deodorant effects. PMID- 18137291 TI - KOCH'S advertising takes on a religious flavor. PMID- 18137293 TI - MALPRACTICE; surgeon's liability for negligence of intern [Pa., 1949]. PMID- 18137292 TI - WORKMEN'S Compensation Acts; employees refusal to undergo operation for repair of ruptured intervertebral disk [Oklahoma, 1949]. PMID- 18137294 TI - A murine virus (JHM) causing disseminated encephalomyelitis with extensive destruction of myelin. AB - The isolation of a murine virus causing disseminated encephalomyelitis accompanied by extensive destruction of myelin in the central nervous system, and focal necrosis of the liver has been described. Young mice can be infected by a number of parenteral routes. Both encephalitic and paralytic signs can be observed. After intracerebral inoculation the virus has been isolated from brain, spinal cord, liver, lung, spleen, and kidney, but not from blood or from intestinal walls and contents. Hamsters, cotton rats, and Hisaw rats can be infected by the intracerebral route. Guinea pigs and rabbits appear to be insusceptible. Attempts to infect chick embryos have so far met with failure. Under proper conditions the agent can pass through the usual bacterial filters. No inclusion bodies have been seen. No serological relationship to other neurotropic viruses has been demonstrated as yet. PMID- 18137295 TI - Experimental disseminated encephalomyelitis in white mice. AB - Disseminated encephalomyelitis was readily induced in mice of the Swiss strain by means of repeated intramuscular and subcutaneous injections of apparently normal mouse brain mixed with an adjuvant. The latter consisted of autoclaved virulent tubercle bacilli and heavy liquid petrolatum, a modification of the Freund adjuvant. The syndrome and the histopathological picture of the induced malady were essentially similar to those in monkeys, rabbits, and guinea pigs, previously reported by others. Certain exceptional characteristics of the affection, as occurring in mice, suggest that they may be the animals of choice for its study as well as for that of other encephalitides. Not only were the signs indicative of marked involvement of the central nervous system but also of the respiratory mechanism, and only a few injections of mouse brain-adjuvant mixture were required to evoke the neurological symptom complex in almost every animal. PMID- 18137296 TI - Sequences in the formation of clots from purified bovine fibrinogen and thrombin; a study with the electron microscope. AB - The observed sequences in the formation of clots from purified bovine fibrinogen and thrombin are described. Under the conditions of these experiments, it appears that fibrinogen molecules are polymerized by the action of thrombin to form needle-shaped, crystal-like protofibrils which then become aligned into fiber strands by lateral association. The integrity of the unit fibrils is maintained within the strand. A model of the fibrinogen molecule is proposed which may satisfy the reported physical constants, data from x-ray diffraction studies, and observations made upon electron micrographs. PMID- 18137297 TI - The relative significance of graded immunizing and challenge doses in measuring the potency of vaccines; a study of mouse protection by typhoid vaccine. AB - A study of the effect of graded immunizing doses of typhoid vaccine and graded challenge doses of S. typhosa in 5 per cent mucin on the degree of gradation of response (survival or death) elicited in successive groups of mice is reported. In the range of doses employed the effect of graded immunizing doses was markedly greater than was the effect of graded challenge doses. Statistically the difference exceeded the 0.1 per cent level of significance. It was concluded that the use of graded immunizing doses was preferable to the use of graded challenge doses as a basis for the immunological assay of typhoid vaccine, since with the former there was obtained (a) a greater significance of differences in response of groups given graded doses even with smaller fold increments in successive doses, (b) a greater slope of the dosage-response curve which permitted estimation of ED(50) values with smaller standard errors, and (c) an effect on response apparently less dependent on the sex of mice used. PMID- 18137298 TI - Studies on bacteriophage; the relationship between the somatic antigens of Shigella sonnei and their susceptibilitv to bacterial viruses. AB - Phase I and Phase II Sh. sonnei exhibit differences in their susceptibility to the T series of bacteriophages. Both microorganisms are lysed by T(2) and T(6), but only the Phase II bacillus is lysed by T(3), T(4), and T(7). Lysis of the Phase I or Phase II bacillus by T(2) or T(6) is not inhibited by the homologous type-specific antigen. In the presence of an appropriate cofactor, however, the lysis of Phase II Sh. sonnei by T(3), T(4), and T(7) is specifically inhibited by the homologous somatic antigen but not by the Phase I antigen. The significance of these observations is discussed in respect to the nature of the virus receptor of these microorganisms. PMID- 18137300 TI - The physical examination. PMID- 18137299 TI - Nephrotoxic nephritis in rats; evidence for the glomerular origin of the kidney antigen. AB - Nephrotoxic anti-rat kidney sera were produced in rabbits by intraperitoneal injection of suspensions of blood-free rat kidney. The nephrotoxin of these sera could be removed by adsorption with saline suspensions of finely ground rat glomeruli, but not by adsorption with other portions of rat kidney or by adsorption with several other rat tissues. It was concluded that nephrotoxic sera of this type react primarily with glomerular tissue and, by inference, that the antigen essential for the production of these anti-kidney sera was of glomerular origin. The observations are consistent with Pressman's (15, 16) demonstration that anti-mouse kidney sera labeled with radioiodine localize primarily in glomeruli. PMID- 18137301 TI - A comparative study of neo-natal infant mortality at St. Francis Hospital, Wichita, Kansas. PMID- 18137302 TI - Diagnosis of vaginal bleeding. PMID- 18137303 TI - REVERE. Unexpected death following surgery. PMID- 18137304 TI - Surgery of the stomach and duodenum at St. Margaret's Hospital, Montgomery, Alabama during 1946, 1947 and 1948. PMID- 18137305 TI - Eye diseases causing blindness in the state of Alabama. PMID- 18137306 TI - Cancellous chip grafts in chronic bone abscesses. PMID- 18137307 TI - Some aspects of radio-therapy. PMID- 18137308 TI - Diseases of the cervix. PMID- 18137309 TI - The normal electrocardiogram and anginal syndrome. PMID- 18137310 TI - The petechiometer; a simple method for measuring capillary fragility. PMID- 18137311 TI - Use of the rice diet in hypertension; preliminary report of 25 patients. PMID- 18137312 TI - The time factor in testing for visual acuity following eye injuries. PMID- 18137313 TI - Non-surgical treatment of peripheral vascular disorders. PMID- 18137314 TI - Clinical results of the use of penicillin in syphilis. PMID- 18137315 TI - Cancer of the lung with metastasis to the skin. PMID- 18137316 TI - Malignant melanoma. PMID- 18137317 TI - Cardiac neoplasm simulating primary heart disease. PMID- 18137318 TI - Hydatidiform mole of the broad ligament. PMID- 18137319 TI - [Not Available]. PMID- 18137320 TI - [Not Available]. PMID- 18137321 TI - [Not Available]. PMID- 18137322 TI - Thoracoplasty in pulmonary tuberculosis in the Philippines. PMID- 18137323 TI - The malaria problem in the Philippines today. PMID- 18137324 TI - Occupational gasoline poisoning; a report of two acute fatal poisonings. PMID- 18137325 TI - Recent trends of psychiatry in America. PMID- 18137326 TI - [Not Available]. PMID- 18137328 TI - [Not Available]. PMID- 18137329 TI - [Not Available]. PMID- 18137327 TI - [Not Available]. PMID- 18137330 TI - [Not Available]. PMID- 18137331 TI - Recent advances in tuberculosis. PMID- 18137332 TI - Recent advances in surgery. PMID- 18137334 TI - Recent advances in pediatrics. PMID- 18137333 TI - Recent advances in medicine. PMID- 18137335 TI - [Not Available]. PMID- 18137336 TI - [Not Available]. PMID- 18137337 TI - [Not Available]. PMID- 18137338 TI - [Not Available]. PMID- 18137339 TI - [Not Available]. PMID- 18137340 TI - [Not Available]. PMID- 18137341 TI - [Not Available]. PMID- 18137342 TI - Twenty-five years of biliary surgery. PMID- 18137343 TI - The internal mammary lymph chain in carcinoma of the breast; study of 50 cases. PMID- 18137344 TI - The effect of water and salt intake on prickly heat. PMID- 18137345 TI - Recurring pneumococcal meningitis. PMID- 18137346 TI - Total serum-fat in hypertony. PMID- 18137347 TI - Human serum containing anti-N agglutinin. PMID- 18137348 TI - ANXIETY neurosis. PMID- 18137349 TI - Prophylactic sulphanilamide in rheumatic fever; review of 548 cases. PMID- 18137350 TI - Carcinoma of the kidney. PMID- 18137351 TI - Acquired resistance to proguanil in Plasmodium falciparum. PMID- 18137352 TI - Concentration of diphtheria antitoxin in cord blood and rate of loss in babies. PMID- 18137353 TI - Aureomycin in undulant fever. PMID- 18137354 TI - ANXIETY neurosis. PMID- 18137355 TI - [Not Available]. PMID- 18137356 TI - [Not Available]. PMID- 18137357 TI - [Not Available]. PMID- 18137358 TI - [Not Available]. PMID- 18137359 TI - [Not Available]. PMID- 18137360 TI - [Not Available]. PMID- 18137362 TI - [Not Available]. PMID- 18137361 TI - [Not Available]. PMID- 18137363 TI - [Not Available]. PMID- 18137364 TI - [Not Available]. PMID- 18137365 TI - [Not Available]. PMID- 18137366 TI - [Not Available]. PMID- 18137367 TI - [Not Available]. PMID- 18137368 TI - [Not Available]. PMID- 18137369 TI - [Not Available]. PMID- 18137370 TI - Give the patient a fee estimate. PMID- 18137371 TI - A 50 years survey of thyroid disease at the Royal Prince Alfred Hospital, Sydney. PMID- 18137372 TI - A rapid method of testing the sensitivity of tubercle bacilli to streptomycin. PMID- 18137373 TI - A survey of the incidence of interdigital fungous infection in a group of students from the University of Otago. PMID- 18137374 TI - BCG vaccination against tuberculosis. PMID- 18137375 TI - Bicornuate uterus. PMID- 18137376 TI - Torticollis. PMID- 18137377 TI - Voice without a larynx. PMID- 18137378 TI - [Not Available]. PMID- 18137379 TI - [Not Available]. PMID- 18137380 TI - [Not Available]. PMID- 18137381 TI - [Not Available]. PMID- 18137382 TI - [Not Available]. PMID- 18137383 TI - [Not Available]. PMID- 18137384 TI - [Not Available]. PMID- 18137385 TI - [Not Available]. PMID- 18137386 TI - [Not Available]. PMID- 18137387 TI - Diagnosis and treatment of malignant tumors of the throat. PMID- 18137388 TI - Hypertension; its medical management. PMID- 18137389 TI - Present day status of multiple sclerosis. PMID- 18137390 TI - Fractures of the tibial spines. PMID- 18137391 TI - Otologic aspects of vertigo. PMID- 18137392 TI - Vertigo as it confronts the internist. PMID- 18137393 TI - Thrombocytopenic purpura associated with tuberculous splenomegaly and tuberculosis of the bone marrow. PMID- 18137395 TI - Endoscope. PMID- 18137394 TI - Strangulated diaphragmatic hernia complicating pregnancy; report of a case. PMID- 18137396 TI - Viral hepatitis, fulminant, homologous serum type. PMID- 18137397 TI - Aureomycin therapy in the pulmonary involvement of pancreatic fibrosis (mucoviscidosis). PMID- 18137398 TI - Posterior tuberculous sinuses of vertebral origin; wound revision and closure with streptomycin permitting early spinal fusion. PMID- 18137399 TI - Progressive primary tuberculosis in the adult and its differentiation from lymphomas and mycotic infections. PMID- 18137400 TI - Viral infections contracted in the laboratory. PMID- 18137401 TI - Azoospermia. PMID- 18137402 TI - The management of massive bleeding from peptic ulcer. PMID- 18137403 TI - Side effects of the antihistamine drugs. PMID- 18137404 TI - The differential diagnosis of acute abdominal conditions. PMID- 18137405 TI - The false fear of disc surgery. PMID- 18137406 TI - Post-resection reconstruction of the thoracic esophagus. PMID- 18137407 TI - [Not Available]. PMID- 18137408 TI - [Not Available]. PMID- 18137409 TI - [Not Available]. PMID- 18137410 TI - [Not Available]. PMID- 18137411 TI - [Not Available]. PMID- 18137413 TI - [Not Available]. PMID- 18137412 TI - [Not Available]. PMID- 18137414 TI - [Not Available]. PMID- 18137415 TI - [Not Available]. PMID- 18137416 TI - [Not Available]. PMID- 18137417 TI - [Not Available]. PMID- 18137419 TI - [Not Available]. PMID- 18137418 TI - [Not Available]. PMID- 18137420 TI - [Not Available]. PMID- 18137421 TI - [Not Available]. PMID- 18137422 TI - [Not Available]. PMID- 18137423 TI - [Not Available]. PMID- 18137424 TI - [Not Available]. PMID- 18137425 TI - Recent advances in the treatment of neurosyphilis. PMID- 18137426 TI - The differential diagnosis of jaundice. PMID- 18137427 TI - Gas gangrene; a review of the subject and a report of two cases successfully treated by extensive debridement. PMID- 18137428 TI - Carcinoma of the breast; with an analysis of 134 cases. PMID- 18137429 TI - Combat guilt reactions. PMID- 18137430 TI - The use of darvisul in acute poliomyelitis. PMID- 18137431 TI - Cause of cracking joints; relation to weather and fibrositis. PMID- 18137432 TI - The psychiatric hospital as a therapeutic unit. PMID- 18137433 TI - Modern syphilotherapy. PMID- 18137434 TI - Use of fibrin foam in bronchial stump closure. PMID- 18137435 TI - [Not Available]. PMID- 18137436 TI - [Not Available]. PMID- 18137437 TI - [Not Available]. PMID- 18137438 TI - Concomitance of an extra-pyramidal syndrome and epilepsy. PMID- 18137439 TI - Extradural cerebellar hemorrhage; review of the subject and report of a case. PMID- 18137440 TI - A new type of cervical brace. PMID- 18137441 TI - Sleep in pre-school children; a preliminary study. PMID- 18137442 TI - Emotional sleep disturbances in childhood. PMID- 18137443 TI - [Not Available]. PMID- 18137444 TI - [Not Available]. PMID- 18137445 TI - [Not Available]. PMID- 18137446 TI - [Not Available]. PMID- 18137448 TI - The dilemma of otolaryngology. PMID- 18137447 TI - [Not Available]. PMID- 18137449 TI - Recent trends in enucleation; modern implants and prostheses. PMID- 18137450 TI - Retropubic prostatectomy; a critical evaluation of the newest approach to the prostate. PMID- 18137451 TI - [Not Available]. PMID- 18137452 TI - [Not Available]. PMID- 18137453 TI - [Not Available]. PMID- 18137454 TI - [Not Available]. PMID- 18137455 TI - [Not Available]. PMID- 18137456 TI - [Not Available]. PMID- 18137457 TI - [Not Available]. PMID- 18137458 TI - [Not Available]. PMID- 18137459 TI - [Not Available]. PMID- 18137460 TI - [Not Available]. PMID- 18137461 TI - [Not Available]. PMID- 18137462 TI - [Not Available]. PMID- 18137463 TI - [Not Available]. PMID- 18137464 TI - [Not Available]. PMID- 18137465 TI - [Not Available]. PMID- 18137466 TI - [Not Available]. PMID- 18137467 TI - [Not Available]. PMID- 18137468 TI - [Not Available]. PMID- 18137469 TI - [Not Available]. PMID- 18137471 TI - [Not Available]. PMID- 18137470 TI - [Not Available]. PMID- 18137472 TI - A method for the study of gastro-intestinal motor activity in human beings. PMID- 18137473 TI - Some problems in the diagnosis of actinomycosis. PMID- 18137474 TI - Lye stricture of the esophagus; resection of the esophagus with cervical esophagogastrostomy; report of a case. PMID- 18137475 TI - Chronic agranulocytosis. PMID- 18137476 TI - The retinal vessels in hypertension. PMID- 18137477 TI - Carbohydrate metabolism and gastric secretory activity. PMID- 18137478 TI - Circulatory dynamics in emphysema. PMID- 18137479 TI - [Not Available]. PMID- 18137480 TI - [Not Available]. PMID- 18137481 TI - [Not Available]. PMID- 18137482 TI - [Not Available]. PMID- 18137483 TI - [Not Available]. PMID- 18137484 TI - [Not Available]. PMID- 18137485 TI - [Not Available]. PMID- 18137486 TI - [Not Available]. PMID- 18137487 TI - [Not Available]. PMID- 18137488 TI - [Not Available]. PMID- 18137489 TI - [Not Available]. PMID- 18137490 TI - [Not Available]. PMID- 18137491 TI - [Not Available]. PMID- 18137492 TI - [Not Available]. PMID- 18137493 TI - [Not Available]. PMID- 18137494 TI - [Not Available]. PMID- 18137495 TI - [Not Available]. PMID- 18137496 TI - [Not Available]. PMID- 18137497 TI - [Not Available]. PMID- 18137498 TI - [Not Available]. PMID- 18137499 TI - [Not Available]. PMID- 18137500 TI - [Not Available]. PMID- 18137501 TI - [Not Available]. PMID- 18137502 TI - [Not Available]. PMID- 18137503 TI - [Not Available]. PMID- 18137505 TI - [Invagination gastric jejunum retrograde through the mouth gastrectomy]. PMID- 18137504 TI - [The digestive system in the pathogenesis of internal alergodermias]. PMID- 18137506 TI - [Possibilities of home isolation of pulmonary tuberculosis]. PMID- 18137507 TI - [Survey rontgen-tuberculin in a vocational school]. PMID- 18137508 TI - [Incidence of leptospira in several animal species; frequency in the rat Rattus norvegicus]. PMID- 18137509 TI - [Contracted bladder does not specify, absence of bladder capacity; serious repercussions upon the high urinary tract]. PMID- 18137510 TI - [Pathophysiology of surgical treatment of inguinal hernia in children]. PMID- 18137512 TI - [[Contribution to the study of Galli Mainini reaction]. PMID- 18137511 TI - [Considerations on the larval stage of hookworm infection; upon two clinical cases of acute hookworm]. PMID- 18137513 TI - The control of pellagra. PMID- 18137514 TI - Hypoglycemia; prevention, in the new diabetic, with early stabilization on low fat diet, with resultant low insulin dosage. PMID- 18137515 TI - An improved belt for patients with abdominal colostomies. PMID- 18137516 TI - [Not Available]. PMID- 18137517 TI - [Not Available]. PMID- 18137518 TI - [Not Available]. PMID- 18137519 TI - [Not Available]. PMID- 18137520 TI - [Not Available]. PMID- 18137521 TI - [Not Available]. PMID- 18137522 TI - The differential diagnosis of poliomyelitis. PMID- 18137523 TI - Low back pain; the value of specific tests in differential diagnosis. PMID- 18137524 TI - Psychosomatic aspects of gastro-intestinal disorders. PMID- 18137525 TI - Improvement in patients' general condition after application of skin test for brucellosis; an aid in establishing the diagnosis of brucellosis. PMID- 18137526 TI - Colorado premature infant care program. PMID- 18137527 TI - Anterior resection or abdominoperineal proctosigmoidectomy for carcinoma of the rectum. PMID- 18137528 TI - Changing conceptions in the management of carcinoma of the left portion of the colon. PMID- 18137529 TI - The use and abuse of spinal puncture and cerebrospinal fluid studies. PMID- 18137530 TI - Surgical diseases of the thyroid gland. PMID- 18137531 TI - The use of nisulfazole in the treatment of ulcerative colitis. PMID- 18137532 TI - Remote recording of physiological data by radio. PMID- 18137533 TI - Acute diffuse interstitial fibrosis of the lung. PMID- 18137534 TI - Uretero-lithotomy per vaginam. PMID- 18137535 TI - Infective hepatitis; a clinical study based on the first 500 admissions to No. 5 S. A. General Hospital during the war. PMID- 18137536 TI - Diphtheria in African natives in the Transkei. PMID- 18137537 TI - Acute monocytic leukaemia; report of a case. PMID- 18137538 TI - Full-term extra-uterine pregnancy; with a simultaneous full-term intra-uterine pregnancy. PMID- 18137539 TI - Penetrating stab wounds of the chest; review of 50 cases over a 3 month period. PMID- 18137540 TI - The present status of radio-therapy and the radio-isotopes in the treatment of cancer. PMID- 18137541 TI - Rh sensitization and replacement transfusion. PMID- 18137542 TI - Lymphosarcoma. PMID- 18137543 TI - Adrenal neuroblastoma. PMID- 18137544 TI - The hepatidities. PMID- 18137545 TI - Rupture of a peptic ulcer in a Meckel's diverticulum. PMID- 18137546 TI - [Not Available]. PMID- 18137547 TI - [Not Available]. PMID- 18137548 TI - [Not Available]. PMID- 18137549 TI - [Not Available]. PMID- 18137550 TI - [Not Available]. PMID- 18137551 TI - [Not Available]. PMID- 18137552 TI - [Not Available]. PMID- 18137553 TI - [Not Available]. PMID- 18137554 TI - [Not Available]. PMID- 18137555 TI - [Not Available]. PMID- 18137556 TI - [Not Available]. PMID- 18137557 TI - [Not Available]. PMID- 18137558 TI - [Not Available]. PMID- 18137559 TI - [Not Available]. PMID- 18137560 TI - [Not Available]. PMID- 18137561 TI - [Not Available]. PMID- 18137562 TI - [Not Available]. PMID- 18137564 TI - [Not Available]. PMID- 18137563 TI - [Not Available]. PMID- 18137565 TI - [Not Available]. PMID- 18137566 TI - [Not Available]. PMID- 18137567 TI - [Not Available]. PMID- 18137568 TI - [Not Available]. PMID- 18137569 TI - [Not Available]. PMID- 18137570 TI - [Not Available]. PMID- 18137571 TI - [Not Available]. PMID- 18137572 TI - [Not Available]. PMID- 18137573 TI - [Not Available]. PMID- 18137575 TI - [Not Available]. PMID- 18137574 TI - [Not Available]. PMID- 18137576 TI - [Not Available]. PMID- 18137577 TI - [Not Available]. PMID- 18137578 TI - [Not Available]. PMID- 18137579 TI - [Not Available]. PMID- 18137581 TI - [Not Available]. PMID- 18137580 TI - [Not Available]. PMID- 18137582 TI - [Not Available]. PMID- 18137583 TI - Diagnosis of pelvic appendicitis. PMID- 18137584 TI - Cerebral palsy as a public health measure in South Carolina. PMID- 18137585 TI - Varicose veins; a rational treatment. PMID- 18137586 TI - Corrosive strictures of the esophagus and their treatment. PMID- 18137587 TI - Complications of glaucoma surgery. PMID- 18137588 TI - Correlative studies of testicular dysfunction. PMID- 18137589 TI - Serial needle biopsy in the study of hepatic disease. PMID- 18137590 TI - The effects of lipotropic substances on phospholipide synthesis in patients with and without chronic hepatitis as measured by radioactive phosphorus. PMID- 18137591 TI - Vitamin B12 in pernicious anemia. PMID- 18137592 TI - Current concepts in the control and treatment of intestinal parasites. PMID- 18137593 TI - Emergency treatment of fractures. PMID- 18137594 TI - Herpes zoster; treatment with chloramphenicol. PMID- 18137595 TI - Rectal disorders and the nervous patient. PMID- 18137596 TI - Therapy in the private practice of psychiatry. PMID- 18137597 TI - Cerebral allergy. PMID- 18137598 TI - Sex behavior and sex attitudes in relation to emotional health. PMID- 18137600 TI - Amebiasis for the clinician. PMID- 18137599 TI - The splint suture of blood vessels. PMID- 18137601 TI - Incarceration of the retrodisplaced gravid uterus. PMID- 18137602 TI - Stature prediction in stature control. PMID- 18137603 TI - [Not Available]. PMID- 18137604 TI - [Not Available]. PMID- 18137605 TI - [Not Available]. PMID- 18137606 TI - [Not Available]. PMID- 18137607 TI - [Not Available]. PMID- 18137608 TI - [Not Available]. PMID- 18137609 TI - Diabetes mellitus; an orientation. PMID- 18137610 TI - Diabetes mellitus and pregnancy. PMID- 18137611 TI - Preoperative management of the jaundiced patient. PMID- 18137612 TI - Recent advances in the chemical supportive therapy of thermal injury. PMID- 18137613 TI - Diaphragmatic hernia from roentgenologic viewpoint. PMID- 18137614 TI - [Not Available]. PMID- 18137615 TI - [Not Available]. PMID- 18137616 TI - [Not Available]. PMID- 18137617 TI - [Not Available]. PMID- 18137618 TI - [Not Available]. PMID- 18137619 TI - Perforated bleeding duodenal ulcer in the newborn; case report. PMID- 18137620 TI - Electrophoretic investigations of vital fluids from patients with bullous diseases; preliminary report. PMID- 18137621 TI - Indications for induction of labor. PMID- 18137622 TI - Aureomycin; a review. PMID- 18137623 TI - The variable clinical manifestations of sickle cell anemia. PMID- 18137624 TI - The recognition of pre-schizophrenic states. PMID- 18137625 TI - Arteriosclerotic heart disease in diabetics. PMID- 18137626 TI - An analysis of 27 reported fatalities immediately following the injection of a mercurial diuretic. PMID- 18137627 TI - MOBILE dressing station. PMID- 18137628 TI - The microbiological assay of folic acid as applied to milk. PMID- 18137629 TI - Food consumption of soldiers in a subarctic climate, Fort Churchill, Manitoba, Canada, 1947-1948. PMID- 18137630 TI - Choroidal metastasis of a testicular chorionic epithelioma; report of a case. PMID- 18137631 TI - A simplified perimeter of wall type. PMID- 18137632 TI - Modern concepts of acute pancreatitis. PMID- 18137633 TI - Traumatic rupture of the membranous urethra. PMID- 18137634 TI - The county health department and the practicing physician with special reference to Monongalia County, West Virginia. PMID- 18137635 TI - [Not Available]. PMID- 18137636 TI - [Not Available]. PMID- 18137637 TI - [Not Available]. PMID- 18137638 TI - [Not Available]. PMID- 18137639 TI - [Not Available]. PMID- 18137640 TI - [Not Available]. PMID- 18137641 TI - [Not Available]. PMID- 18137642 TI - [Not Available]. PMID- 18137643 TI - [Not Available]. PMID- 18137644 TI - [Not Available]. PMID- 18137646 TI - [Not Available]. PMID- 18137645 TI - [Not Available]. PMID- 18137647 TI - [Not Available]. PMID- 18137648 TI - [Not Available]. PMID- 18137649 TI - [Not Available]. PMID- 18137650 TI - [Not Available]. PMID- 18137651 TI - [Not Available]. PMID- 18137652 TI - [Not Available]. PMID- 18137653 TI - [Not Available]. PMID- 18137655 TI - [Not Available]. PMID- 18137654 TI - [Not Available]. PMID- 18137657 TI - [Not Available]. PMID- 18137656 TI - [Not Available]. PMID- 18137658 TI - [Not Available]. PMID- 18137659 TI - [Not Available]. PMID- 18137660 TI - [Not Available]. PMID- 18137661 TI - [Not Available]. PMID- 18137662 TI - [Not Available]. PMID- 18137663 TI - [Not Available]. PMID- 18137664 TI - Brain tumors in children. PMID- 18137665 TI - Some aspects of nutritional anemias. PMID- 18137666 TI - Rheumatic fever; its early diagnosis. PMID- 18137667 TI - An analysis of the causes of failures in fractures of the hip. PMID- 18137668 TI - Postpartum hemorrhage. PMID- 18137669 TI - INSECT and rodent control. PMID- 18137670 TI - INDUSTRIAL solvents. PMID- 18137671 TI - Medical evacuation system in a theater of war. PMID- 18137672 TI - The use of tibial bolts. PMID- 18137673 TI - Hearing changes during pilot training. PMID- 18137674 TI - Dental care for narcotic addicts in the U.S. Public Health Service Hospital, Lexington, Kentucky. PMID- 18137675 TI - Response of keratosis blennorrhagica to penicillin. PMID- 18137676 TI - Hereditary clubbing of the fingers and toes; case report. PMID- 18137677 TI - Casualties of the U.S. 8th Air Force (ETO) in War II. PMID- 18137678 TI - Diabetes mellitus complicated by hypercholesterolemia, lipemia retinalis, and hepatomegaly; a case report. PMID- 18137679 TI - Pilonidal cyst and sinus; a preliminary report. PMID- 18137680 TI - Subdeltoid bursitis. PMID- 18137681 TI - Primary abdominal pregnancy; case report. PMID- 18137682 TI - Progress of naval dental research sponsored by the Office of Naval Research and the Medical Department of the Navy. PMID- 18137683 TI - NAVY casualties during the Battle of Okinawa. PMID- 18137684 TI - TROPICAL diseases in the postwar period. PMID- 18137685 TI - QUOTAS set for doctors of medicine and dentistry. PMID- 18137686 TI - RESERVE Army Nurse Corps and WMSC on inactive status can receive annual retirement credits. PMID- 18137687 TI - FLUORESCENT lamps; warning. PMID- 18137688 TI - Results of dental examination of 15,000 Philippine Scouts, November 1948 to April 1949. PMID- 18137689 TI - [Not Available]. PMID- 18137690 TI - [Not Available]. PMID- 18137691 TI - [Not Available]. PMID- 18137692 TI - [Not Available]. PMID- 18137693 TI - [Not Available]. PMID- 18137694 TI - [Not Available]. PMID- 18137695 TI - [Not Available]. PMID- 18137696 TI - [Not Available]. PMID- 18137698 TI - [Not Available]. PMID- 18137699 TI - [Not Available]. PMID- 18137697 TI - [Not Available]. PMID- 18137700 TI - [Not Available]. PMID- 18137701 TI - [Not Available]. PMID- 18137702 TI - [Not Available]. PMID- 18137704 TI - [Not Available]. PMID- 18137703 TI - [Not Available]. PMID- 18137705 TI - [Not Available]. PMID- 18137706 TI - [Not Available]. PMID- 18137707 TI - Retinal processes and their role in color vision. PMID- 18137708 TI - Functional localization of central coordinating mechanism for emesis in cat. PMID- 18137709 TI - Central inhibitory effects of carbon dioxide; Felis domesticus. PMID- 18137710 TI - A cerebello-bulbo-reticular pathway for suppression. PMID- 18137712 TI - The nature of intuition. PMID- 18137713 TI - Quest for psychics and psychical phenomena in psychiatric studies of personality. PMID- 18137711 TI - Respiratory and vascular responses in monkeys from temporal pole, insula, orbital surface and cingulate gyrus; a preliminary report. PMID- 18137714 TI - Pseudoneurotic forms of schizophrenia. PMID- 18137715 TI - From the autobiography of a liar; toward the clarification of the problem of psychopathic states. PMID- 18137716 TI - A rational approach to psychiatric nosology. PMID- 18137717 TI - A statistical analysis of the ages of first admissions to hospitals for mental disease in New York State. PMID- 18137718 TI - An analysis of Rorschach indices of male homosexuality. PMID- 18137719 TI - Rorschach indications for the diagnosis of schizophrenia. PMID- 18137720 TI - Some comparisons among the four picture test, thematic apperception test, and make a picture story test. PMID- 18137721 TI - The case of Gregor; psychological test data. PMID- 18137722 TI - A study of the degree of relationship between Rorschach H% and Wechsler-Bellevue picture arrangement scores. PMID- 18137723 TI - A preliminary study of the effects of glutamic acid on catatonic schizophrenics. PMID- 18137724 TI - [Not Available]. PMID- 18137725 TI - [Not Available]. PMID- 18137727 TI - [Not Available]. PMID- 18137726 TI - [Not Available]. PMID- 18137728 TI - [Not Available]. PMID- 18137729 TI - [Not Available]. PMID- 18137730 TI - [Not Available]. PMID- 18137731 TI - [Not Available]. PMID- 18137732 TI - [Not Available]. PMID- 18137733 TI - [Not Available]. PMID- 18137735 TI - [Not Available]. PMID- 18137736 TI - [Not Available]. PMID- 18137734 TI - [Not Available]. PMID- 18137737 TI - [Not Available]. PMID- 18137738 TI - [Not Available]. PMID- 18137739 TI - [Not Available]. PMID- 18137740 TI - The importance of the cornea in virus diseases. PMID- 18137741 TI - [Not Available]. PMID- 18137742 TI - [Not Available]. PMID- 18137743 TI - Some statistical observations on the frequency of occurrence of pterygium and pinguecula in relation to age. PMID- 18137744 TI - [Ophthalmological course in the Soviet]. PMID- 18137745 TI - [Reorganization of ophthalmological courses in medical institutes]. PMID- 18137746 TI - [Significance of lighting in the origin of myopia and care of vision in schoolchildren]. PMID- 18137747 TI - [Occupational myopia]. PMID- 18137748 TI - [Functional theory of concomitant strabismus and orthoptic treatment]. PMID- 18137749 TI - [Effect of constant use of glasses for correction of metropia on visual acuity of the strabismic eye and on the vision of both eyes]. PMID- 18137750 TI - [Amblyopia, refraction and accommodation]. PMID- 18137752 TI - [Priority of Soviet ophthalmologic instrument makers]. PMID- 18137751 TI - [Treatment of amblyopia in concomitant strabismus]. PMID- 18137753 TI - [Treatment of scrofulous keratitis with lapis solutions]. PMID- 18137754 TI - [Case of echinococcosis of the orbit]. PMID- 18137756 TI - [Two cases of spontaneous expulsion of foreign bodies from the eye]. PMID- 18137755 TI - [Case of restoration of vision following acute methyl-alcohol blindness]. PMID- 18137757 TI - The effect of maturation upon defective articulation in grades seven through twelve. PMID- 18137758 TI - Otolaryngological experiences in a hearing survey. PMID- 18137759 TI - Some basic consideration in teaching language to the deaf. PMID- 18137760 TI - Working with parents of stuttering children. PMID- 18137761 TI - Rapid repetitive manipulation of the mandible in dysphonia. PMID- 18137762 TI - Prognostic factors related to language rehabilitation in aphasic patients. PMID- 18137763 TI - [Not Available]. PMID- 18137764 TI - [Not Available]. PMID- 18137766 TI - On the treatment of hemangiomas of the upper airways. PMID- 18137765 TI - [Not Available]. PMID- 18137767 TI - [Not Available]. PMID- 18137768 TI - [Not Available]. PMID- 18137769 TI - [Not Available]. PMID- 18137770 TI - [Not Available]. PMID- 18137771 TI - [Not Available]. PMID- 18137772 TI - [Not Available]. PMID- 18137773 TI - [Not Available]. PMID- 18137774 TI - [Not Available]. PMID- 18137775 TI - [Not Available]. PMID- 18137776 TI - [Not Available]. PMID- 18137777 TI - Degenerative changes in the right half of the liver resulting from intra-uterine anoxia. PMID- 18137778 TI - Adhesiveness of blood platelets in thromboembolism and hemorrhagic disorders; diagnostic and prognostic significance of platelet adhesiveness. PMID- 18137779 TI - Neurinoma of the small intestine; its relative frequency among tumors of that region; report of a case. PMID- 18137780 TI - Bronchial adenoma with cancerous transformation. PMID- 18137782 TI - Co-thromboplastin assay; a means of study of abnormalities of blood coagulation. PMID- 18137781 TI - Paracolon endocarditis. PMID- 18137783 TI - Recent advances in the culture diagnosis of fungus disease. PMID- 18137784 TI - A frozen section technic. PMID- 18137785 TI - Use of Maxted's streptomyces filtrate for rapidly extracting group carbohydrates from hemolytic streptococci. PMID- 18137786 TI - Use of Kohler illumination for reticulocyte counts. PMID- 18137787 TI - Determination of para-aminosalicylic acid blood levels. PMID- 18137788 TI - Use of sponge in obtaining tissue from stomach for biopsy. PMID- 18137789 TI - New methylene blue as a reticulocyte stain. PMID- 18137791 TI - Quantitative study of the effects of multiple successive closed cerebral lesions. PMID- 18137790 TI - Trichrome stain for tissue section, culture or smear. PMID- 18137792 TI - Intestinal emphysema in infants; a review of the literature, with 17 new cases reported. PMID- 18137793 TI - North American blastomycosis; report of a case in which a patient with meningeal involvement was treated with streptomycin and promin. PMID- 18137794 TI - Fibrosarcoma of the helix of the ear. PMID- 18137795 TI - Congenital adenomatoid malformation of one lobe of a lung with general anasarca. PMID- 18137796 TI - Behavior of Hodgkin's disease nodes transplanted into the anterior chamber of the rat's eye. PMID- 18137797 TI - Hypertensive cardiovascular disease; an experimental study of tissue changes in bilaterally nephrectomized dogs. PMID- 18137798 TI - Peritoneal pseudomyxoma; a report of four unusual cases. PMID- 18137799 TI - Influence of dicumarol on streptococcic infection in rabbits. PMID- 18137800 TI - [Not Available]. PMID- 18137801 TI - [Not Available]. PMID- 18137802 TI - Niemann-Pick's disease. PMID- 18137803 TI - Mental disturbances in premature children at school age. PMID- 18137804 TI - Complications of scarlet fever in Oslo during the period 1890-1947. PMID- 18137805 TI - Paroxysmal ventricular tachycardia with subsequent myocardial lesion. PMID- 18137806 TI - A case of tuberculous hepatitis and its biological reactions. PMID- 18137807 TI - [Not Available]. PMID- 18137808 TI - [Not Available]. PMID- 18137810 TI - The Schwartzman phenomenon with penicillin; report of case. PMID- 18137809 TI - Technique and indications of the therapeutic intramedullar transfusion of the bone marrow in children. PMID- 18137811 TI - The rocking bed; its use in poliomyelitis. PMID- 18137812 TI - Emotional problems in treatment and prognosis of epileptic children. PMID- 18137813 TI - Meningococcic meningitis. PMID- 18137814 TI - [Not Available]. PMID- 18137815 TI - Vertebral magnets for removal of foreign bodies from the air and food passages. PMID- 18137816 TI - The otologic effects of streptomycin therapy. PMID- 18137817 TI - Lateral sinus thrombosis; review of recent literature and report of a case. PMID- 18137819 TI - Ocular torticollis. PMID- 18137818 TI - Early diagnosis in congenital causes of crippling. PMID- 18137820 TI - [Not Available]. PMID- 18137821 TI - [Not Available]. PMID- 18137822 TI - [Not Available]. PMID- 18137823 TI - Reasons for lack of treatment of physical defects of high school pupils. PMID- 18137824 TI - Educational implications of clinical and research findings in nutrition. PMID- 18137825 TI - There is no average boy. PMID- 18137826 TI - [Aspects of morbidity school age in southern Italy in World War II]. PMID- 18137827 TI - [The mediastinal and subcutaneous emphysema in the course of infectious diseases]. PMID- 18137828 TI - [Early clinical findings on the use of P.A.S. associated with potassium iodide in cases of tuberculosis in children]. PMID- 18137829 TI - [Ocular symptoms in meningitis and miliary tuberculosis treated with streptomycin]. PMID- 18137830 TI - [Considerations on the behavior of blood and CSF concentrations in children subjected to the introduction of PAS by various routes]. PMID- 18137831 TI - [Considerations on the pathogenesis and therapy of habitual vomiting infant]. PMID- 18137833 TI - [A case of orchitis from E]. coli in an infant treated and cured with therapy streptomicinica]. PMID- 18137832 TI - [On a case of hematometric hematocolpos and hematosalpinx by an imperforate hymen]. PMID- 18137834 TI - [Concept and terminology of premature, congenitally weak and immature]. PMID- 18137835 TI - [Vitamin B12]. PMID- 18137836 TI - Observations on staphylococcal infections treated with aureomycin. PMID- 18137837 TI - Birth injury, focal epilepsy and cortical excision; case report. PMID- 18137838 TI - Streptomycin intramuscular dosage per unit body weight correlated with serum levels in infants and children. PMID- 18137839 TI - Advising parents of early stutterers. PMID- 18137840 TI - Proteolytic enzymes of the premature infant; with special reference to his ability to digest unsplit protein food. PMID- 18137841 TI - Chronic intussusception. PMID- 18137842 TI - Embryoma of kidney (Wilms' tumor) in children. PMID- 18137843 TI - New concepts of the etiology, diagnosis and treatment of congenital megacolon (Hirschsprung's disease). PMID- 18137844 TI - Wolff-Parkinson-White syndrome with congenital heart disease. PMID- 18137845 TI - Studies in pancreatic fibrosis; a simple diagnostic gelatin film test for stool trypsin. PMID- 18137846 TI - Bronchiectasis in childhood; aetiology and pathogenesis, including a survey of 272 cases of doubtful irreversible bronchiectasis. PMID- 18137847 TI - Systemic infection with Salmonella anatum; report of first case. PMID- 18137848 TI - [Not Available]. PMID- 18137849 TI - [Not Available]. PMID- 18137850 TI - [Not Available]. PMID- 18137851 TI - [Not Available]. PMID- 18137852 TI - [Not Available]. PMID- 18137853 TI - [Not Available]. PMID- 18137854 TI - [Not Available]. PMID- 18137855 TI - [Not Available]. PMID- 18137856 TI - Contracture and suppression. PMID- 18137857 TI - The mechanism of arterial hypertension after potassium injections into the nerve centers. PMID- 18137858 TI - [Not Available]. PMID- 18137859 TI - Studies on the laxative activity of triphenylmethane derivatives; physicochemical aspects of the potency difference between yellow phenolphthalein and U.S.P. phenolphthalein. PMID- 18137860 TI - Studies on the laxative activity of triphenylmethane derivatives; physical characteristics of phenolphthalein in relation to yellow phenolphthalein activation. PMID- 18137861 TI - The effect of glucose injections on the blood sugar level, alkali reserve, and blood and urine pH values of starved rabbits. PMID- 18137862 TI - The fate of subcutaneously injected sucrose in the rabbit. PMID- 18137863 TI - The effect of glucose injections on the regeneration of blood in the rabbit. PMID- 18137864 TI - [Not Available]. PMID- 18137865 TI - Kymographic registration of cerebrospinal fluid pressure in dogs and cats; effect of antihistaminics and common drugs thereon. PMID- 18137866 TI - A pharmacological analysis of the o-tolylether of glycerol. PMID- 18137867 TI - [Not Available]. PMID- 18137869 TI - [Not Available]. PMID- 18137868 TI - [Not Available]. PMID- 18137870 TI - [Not Available]. PMID- 18137871 TI - [Not Available]. PMID- 18137872 TI - [Not Available]. PMID- 18137873 TI - The biologic assay of senna. PMID- 18137874 TI - A pharmacological study of N-methyl-N-cinnamyl-2-phenyl-propylamine. PMID- 18137875 TI - Some toxicological properties of surface-active agents. PMID- 18137876 TI - A summary of the pharmacological and toxicological properties of anthallan (3 di(n-butyl)-aminomethyl-4,5,6-trihydroxyphenylphthalide). PMID- 18137877 TI - Determination of d-tubercurarine chloride. PMID- 18137878 TI - A practical method for the biological assay of heparin. PMID- 18137879 TI - The muscle relaxant effects produced by Potentilla anserina extracts; fractionation studies. PMID- 18137880 TI - The metabolism and toxicity of salicylic acid in combination with various drugs. PMID- 18137881 TI - An unusual impurity in caffeine. PMID- 18137882 TI - Some new procedures and instruments useful for microbiological antibiotic testing by diffusion methods; a new zone reader. PMID- 18137883 TI - Some new procedures and instruments useful for microbiological antibiotic testing by diffusion methods; an automatic delivery pipette for use with porous disks. PMID- 18137885 TI - Acetamide derivatives. PMID- 18137884 TI - Some new procedures and instruments useful for microbiological antibiotic testing by diffusion methods; the use of prepared tables for converting zone diameters to potencies. PMID- 18137886 TI - A proposed method of isolating plant constituents. PMID- 18137887 TI - The chemical assay of aureomycin. PMID- 18137889 TI - Further pharmacologic characterization of the sympathomimetic, aliphatic amine 2 methylamino-6-hydroxy-6-methyl heptane. PMID- 18137888 TI - Cardio-vascular effects of two aliphatic amines and of ephedrine. PMID- 18137891 TI - The action of sympathomimetic amines on the isolated heart of the frog. PMID- 18137890 TI - Determination of homosulfanilamide hydrochloride, with observations on its absorption in dogs and man. PMID- 18137892 TI - Inotropic synergism of cardiac glucoside with calcium acting on the frog's heart in artificial media. PMID- 18137893 TI - A comparison of the effects of ether and cyclopropane anesthesia on the renal function of man. PMID- 18137894 TI - A pharmacological study of N-methyl-N'-(4-chlorobenzhydryl) piperazine dihydrochloride, a new antihistaminic. PMID- 18137895 TI - Pharmacological actions of tetraethylpyrophosphate and hexaethyltetraphosphate. PMID- 18137896 TI - A study of the development of tolerance to the actions of 1-methyl-4-(3 hydroxyphenyl)-4-piperidyl ethyl ketone hydrochloride in dogs. PMID- 18137897 TI - The pharmacology of thiocyanobenzoic acids. PMID- 18137898 TI - Studies on veratrum alkaloids; veratramine, an antagonist to the cardioaccelerator action of epinephrine. PMID- 18137899 TI - Effect of detergents on various structures, with special reference to muscle and ganglion. PMID- 18137900 TI - Biochemical studies on chloramphenicol; tissue distribution and excretion studies. PMID- 18137901 TI - The antifilarial action of cyanine dyes; selection of 1'-ethyl-3,6-dimethyl-2 phenyl-4-pyrimido-2'-cyanine chloride (863) for further study as a potential antifilarial agent. PMID- 18137902 TI - The effect of cholinesterase inhibitors on the toxicity of procaine in mice. PMID- 18137903 TI - The absorption, distribution and excretion of isonipecaine. PMID- 18137904 TI - The metabolism of barbiturates. PMID- 18137905 TI - Spinal cord depressant drugs. PMID- 18137906 TI - [Not Available]. PMID- 18137907 TI - [Not Available]. PMID- 18137908 TI - Hydrolysis of choline esters in the presence of adrenalin. PMID- 18137909 TI - Inactivation or removal of insulin by the liver. PMID- 18137910 TI - Seasonal changes in the thyroid gland and effects of thyroidectomy in the mallard, in relation to moult. PMID- 18137911 TI - Fluctuations of serum choline in women. PMID- 18137912 TI - Glycogenic effect of adrenal cortical extract. PMID- 18137913 TI - Glucose tolerance of dogs as altered by atmospheric decompression. PMID- 18137914 TI - Electrolytic resistance of the blood clot. PMID- 18137916 TI - Behavior of the leukocytes of the rabbit during periods of transient leukopenia variously induced. PMID- 18137917 TI - Age, body weight and blood hypertension. PMID- 18137915 TI - Fibrin, a factor influencing the consumption of prothrombin in coagulation. PMID- 18137919 TI - Effects of changes in body temperature and inspired air humidity on lung edema and hemorrhage. PMID- 18137918 TI - Mechanism of the vascular action of tetraethylammonium chloride. PMID- 18137920 TI - Persistent unilateral renal hypertension in the rabbit. PMID- 18137921 TI - Effects of removal of the ischemic kidney in rabbits with unilateral renal hypertension, as compared to unilateral nephrectomy in normal rabbits. PMID- 18137922 TI - Influence of sodium load on sodium excretion. PMID- 18137923 TI - Alteration of neuron excitability by retrograde degeneration. PMID- 18137924 TI - Effect of 2-methyl naphthoquinone on the action potential of nerve and muscle. PMID- 18137925 TI - Muscle recovery after nerve section and suture. PMID- 18137926 TI - Effect of carbon dioxide on brain glucose, lactate, pyruvate and phosphates. PMID- 18137927 TI - Standards for appraising psychological research. PMID- 18137928 TI - Gestalt laws of mental work. PMID- 18137929 TI - Some observations on psychological problems found among the blind. PMID- 18137930 TI - Psychological examinations of eminent biologists. PMID- 18137931 TI - Statistical tests of certain Rorschach assumptions; analyses of discrete responses. PMID- 18137932 TI - Validity of the Rorschach 8-9-10 per cent as an indicator of responsiveness to color. PMID- 18137933 TI - Problems of collaboration between the clinic center and the psychology department in providing clinical experience. PMID- 18137934 TI - An evaluation of Wechsler-Bellevue patterns in shizophrenia. PMID- 18137935 TI - Reliability of the shortened Minnesota multiphasic personality inventory. PMID- 18137936 TI - The Rosenzweig P-F test as a measure of frustration response in semistarvation. PMID- 18137937 TI - The Guilford-Shneidman-Zimmerman interest survey. PMID- 18137938 TI - A study of the emotional needs of crippled children. PMID- 18137940 TI - Field strength of the Kohler effect. PMID- 18137939 TI - The role of muscle action in interpretative reading. PMID- 18137941 TI - The rotated maze and retroactive inhibition. PMID- 18137942 TI - A. N. Whitehead's theory of feeling. PMID- 18137943 TI - The effect of success and failure on the recall of tasks. PMID- 18137944 TI - The treatment of emotions in contemporary Soviet psychology. PMID- 18137945 TI - The postulation of two different but functionally related mechanisms in adaptive behavior. PMID- 18137946 TI - The achievement of schizophrenics, other psychotics, and non-psychotics in basic school subjects. PMID- 18137947 TI - [Not Available]. PMID- 18137949 TI - [Not Available]. PMID- 18137950 TI - [Not Available]. PMID- 18137951 TI - A historical survey of psychology in the Soviet Union. PMID- 18137952 TI - The genetics of schizophrenia; a special review. PMID- 18137953 TI - Note on the validity of personality inventories in military practice, by Ellis and Conrad. PMID- 18137954 TI - Reply to the Humms' note on the validity of personality inventories in military practice. PMID- 18137948 TI - [Not Available]. PMID- 18137956 TI - Water-borne diseases. PMID- 18137957 TI - Adjustment of the school program for the physically handicapped child. PMID- 18137955 TI - Psychological factors in atomic warfare. PMID- 18137958 TI - Gathering and evaluating accident data with respect to farm people and farm workers. PMID- 18137961 TI - Trimming the tuberculosis register. PMID- 18137960 TI - Rhode Island cash sickness compensation program. PMID- 18137962 TI - Poisoning due to ingestion of wax crayons. PMID- 18137964 TI - [Not Available]. PMID- 18137965 TI - Brucellosis; advances in diagnosis and treatment. PMID- 18137963 TI - Q fever; a note clarifying the identity of American strains of Coxiella burnetii. PMID- 18137966 TI - [Not Available]. PMID- 18137959 TI - Development of an educational program on sanitation in a typical food industry; the baking industry. PMID- 18137967 TI - [Not Available]. PMID- 18137968 TI - [Not Available]. PMID- 18137969 TI - The National Health Services. PMID- 18137971 TI - The Executive Council and the National Health Service. PMID- 18137972 TI - Some applications of space heating. PMID- 18137973 TI - The inspiration of home. PMID- 18137974 TI - The Nurseries and Child-Minders Regulation Act, 1948. PMID- 18137975 TI - Problems in the education of the physically handicapped child. PMID- 18137976 TI - The public health aspects of poultry disease. PMID- 18137970 TI - The hospital and medical services; the present position and probable trends of development. PMID- 18137978 TI - General introduction to technological problems of the fish industry. PMID- 18137977 TI - Farm buildings in relation to the health of dairy cows and milk production. PMID- 18137979 TI - Some bacteriological aspects of handling, processing and distribution of fish. PMID- 18137980 TI - Trends and developments in fish technology. PMID- 18137982 TI - Industrial welfare. PMID- 18137984 TI - Transmission of Salmonella enteritidis by the rat fleas Xenopsylla cheopis and Nosopsyllus fasciatus. PMID- 18137985 TI - Preliminary field trials with laboratory-tested molluscacides. PMID- 18137987 TI - Simple apparatus for controlling temperatures of film-processing solutions. PMID- 18137983 TI - The care of the nursery school child. PMID- 18137986 TI - What is a reportable case of tuberculosis? PMID- 18137988 TI - Effective nursing care for the tuberculous. PMID- 18137989 TI - Characteristics of commercial X-ray screens and films. PMID- 18137990 TI - Effect of certain detergents on sewage treatment. PMID- 18137991 TI - Quantitative relationships in the activated sludge process. PMID- 18137993 TI - Biology of sewage treatment. PMID- 18137992 TI - Factors affecting the efficiency of activated sludge plants. PMID- 18137981 TI - The disinfection of ice-cream servers. PMID- 18137994 TI - Dairy waste disposal. PMID- 18137995 TI - A high rate trickling filter pilot plant for certain chemical wastes. PMID- 18137997 TI - Legal indices of stream pollution. PMID- 18137996 TI - Waste control in a coke plant. PMID- 18137998 TI - [Not Available]. PMID- 18138000 TI - [Not Available]. PMID- 18138001 TI - [Not Available]. PMID- 18137999 TI - [Not Available]. PMID- 18138003 TI - [Not Available]. PMID- 18138004 TI - [Not Available]. PMID- 18138002 TI - Thoracic aortography by means of a cannula inserted percutaneously into the common carotid artery. PMID- 18138005 TI - Case of sarcoma in irradiated mandible. PMID- 18138007 TI - Cysts of the nasal vestibule. PMID- 18138008 TI - Oncocytic cystadenoma of the larynx. PMID- 18138006 TI - A method for the quantitative roentgenological determination of the amount of calcium salts in bone tissue. PMID- 18138009 TI - Streptomycin in acute hematogenous mastoiditis due to Bacillus preteus. PMID- 18138010 TI - Frontal sinus infections; complications and management. PMID- 18138011 TI - The problem of the acoustic neuroma. PMID- 18138013 TI - Microradiography. PMID- 18138012 TI - Experiences of penicillin treatment in acute otitis media. PMID- 18138014 TI - Hereditary, multiple, diaphyseal sclerosis. PMID- 18138015 TI - The treatment of cancer of the vulva. PMID- 18138017 TI - Cancer of the vulva treated by radiation; an analysis of 127 cases. PMID- 18138016 TI - Radium implantation treatment of carcinoma vulva. PMID- 18138022 TI - A cassette holder for radiography in the wards. PMID- 18138021 TI - Angiocardiography in congenital heart disease. PMID- 18138018 TI - The radiological diagnosis of lipoma of the corpus callosum. PMID- 18138019 TI - Deossification in a lumbar transverse process. PMID- 18138023 TI - Spontaneous pneumothorax; a study of 105 cases. PMID- 18138020 TI - Haemosiderosis and dust reticulation of coal-miners; an interesting case report. PMID- 18138025 TI - Active bronchopulmonary lithiasis. PMID- 18138027 TI - Orthographic pelvimetry. PMID- 18138028 TI - Hydatid disease. PMID- 18138024 TI - Correlation between the roentgenologic and pathologic findings in chronic pneumonitis of the cholesterol type. PMID- 18138026 TI - Egg shell calcifications in silicosis. PMID- 18138029 TI - Arteriovenous aneurysm of the lung; a case report. PMID- 18138030 TI - Cauda equina syndrome due to silent rectal carcinoma. PMID- 18138036 TI - Adenoma of the bronchus; endoscopic treatment in selected cases. PMID- 18138031 TI - The role of the radiologist in mass chest X-ray survey. PMID- 18138038 TI - Lobectomy in coccidioidomycosis; report of two cases. PMID- 18138034 TI - Body section radiography and its use in demonstrating the lumbosacral articulation. PMID- 18138032 TI - This factor called voltage. PMID- 18138033 TI - A simple method of roentgen pelvimetry. PMID- 18138037 TI - Primary chondrosarcoma of the lung. PMID- 18138035 TI - Clinical experiences with the application of polythene cellophane upon the aneurysms of the thoracic vessels. PMID- 18138039 TI - Carcinoma of the esophagus; use of rigid indwelling esophageal tube. PMID- 18138040 TI - Mediastinal tumors of blood vascular origin. PMID- 18138045 TI - Relative effectiveness of parenteral, intratracheal, and aerosol penicillin in chronic suppurative disease of the lung. PMID- 18138042 TI - Use and abuse of bronchoscopy in allergic asthma. PMID- 18138041 TI - Mesenchymoma of the pleura; a case report. PMID- 18138043 TI - Bullous emphysema; case report. PMID- 18138047 TI - The effect of pneumonectomy on pulmonary function. PMID- 18138044 TI - A scale for rapid measurement of blood which is lost in surgical sponges. PMID- 18138049 TI - [Not Available]. PMID- 18138048 TI - Lactation following thoracoplasty and pneumonectomy. PMID- 18138050 TI - [Not Available]. PMID- 18138046 TI - Lipoid granuloma of the lung following bronchography with iodized oil. PMID- 18138056 TI - Epithelioma of the lower lip; evaluation of dissection of cervical lymph nodes. PMID- 18138054 TI - Treatment of the shock kidney. PMID- 18138052 TI - Origins of the national and regional surgical societies. PMID- 18138051 TI - [Not Available]. PMID- 18138053 TI - Pharyngeal neurilemmomas of cranial nerve origin; medical displacement of the internal carotid artery as a diagnostic sign. PMID- 18138058 TI - Sterility and endometriosis. PMID- 18138055 TI - Transplantation of the spinal cord for paraplegia secondary to Pott's disease of the spinal column. PMID- 18138057 TI - Nonobstructive lateral portal vein-vena cava anastomosis; a clinical application of the Smith Freeman clamp. PMID- 18138059 TI - Surgical treatment of tricuspid atresia. PMID- 18138060 TI - An extravesical method for the relief of vesical occlusion. PMID- 18138061 TI - Surgical management of respiratory emergencies during the first few weeks of life. PMID- 18138062 TI - Surgical management of omphalocele. PMID- 18138064 TI - Experiences with islet cell tumors. PMID- 18138065 TI - Appendicitis; a 10 year survey, 1935 through 1944. PMID- 18138066 TI - Effect of distention on intestinal revascularization. PMID- 18138063 TI - A method for control of bleeding from esophageal varices. PMID- 18138067 TI - Observations in strangulation obstruction; the fate of sterile devascularized intestine in the peritoneal cavity. PMID- 18138068 TI - Use of an abdominal flap graft in construction of a permanent ileostomy. PMID- 18138069 TI - Varicosities of the lesser saphenous vein. PMID- 18138070 TI - Substitution of the urinary bladder with an isolated segment of sigmoid colon. PMID- 18138071 TI - Prompt postoperative activity after hernioplasty; its influence on incidence of complications and rate of recurrence. PMID- 18138072 TI - Prevention and management of thromboembolism. PMID- 18138073 TI - Early and late sequelae of therapeutic vein ligation for thrombosis of veins of lower limbs. PMID- 18138074 TI - Intravascular agglutination (sludged blood) vascular stasis and sedimentation rate of blood in trauma. PMID- 18138075 TI - Biopsy of diffuse pulmonary lesions. PMID- 18138076 TI - Use of polyethylene in extrapleural pneumonolysis. PMID- 18138078 TI - Surgical treatment of low back pain with sciatic radiation; preliminary report on 346 cases. PMID- 18138077 TI - Intravenous administration of procaine hydrochloride during general anesthesia. PMID- 18138079 TI - Postoperative management of patients undergoing transthoracic gastroesophageal operations. PMID- 18138080 TI - Gangrenous perforation of the gallbladder; analysis of 19 cases. PMID- 18138081 TI - Adequate subtotal gastric resection for duodenal ulcer. PMID- 18138082 TI - Von Haberer-Finney gastrectomy with vagotomy. PMID- 18138083 TI - Precautions and results in gastrectomy. PMID- 18138085 TI - The age of reason. PMID- 18138084 TI - Differential diagnosis of jaundice in surgical practice. PMID- 18138086 TI - The intedigital pilonidal sinus. PMID- 18138087 TI - A case of hydatid of the liver presenting some unusual features. PMID- 18138088 TI - Interstitial cell tumours of the testis; the male sex hormone. PMID- 18138089 TI - Some points in the diagnosis of labyrinthine vertigo and a survey of methods of treatment, medical and surgical. PMID- 18138091 TI - Chemotherapy in intestinal surgery. PMID- 18138090 TI - The indications for inducing fusion at the ankle joint by operation; with description of two successful techniques. PMID- 18138092 TI - The treatment of fracture dislocation of the cervical spine by internal fixation. PMID- 18138093 TI - Recurrent meningitic infection through an old dural opening from a mastoid wound. PMID- 18138094 TI - Report of a case of a retrovesical polycystic tumour of probable prostatic origin. PMID- 18138095 TI - Cancer of the ovary; review of results on 100 cases. PMID- 18138096 TI - Electromyographic diagnosis of lower motor neuron disease. PMID- 18138097 TI - The influence of atropine on the effect of mecholyl ion transfer on the peripheral circulation in man. PMID- 18138098 TI - Physical medicine in amputations. PMID- 18138099 TI - Colonic irrigation. PMID- 18138100 TI - Impressions of physical medicine in the United States and Canada. PMID- 18138101 TI - Posture. PMID- 18138102 TI - Emotional factors in rheumatoid arthritis; their bearing on the care and rehabilitation of the patient. PMID- 18138103 TI - Physical therapy in the treatment of rheumatoid arthritis. PMID- 18138104 TI - Marie-Strumpell arthritis; with emphasis on a physical therapy regime. PMID- 18138105 TI - New horizons and new responsibilities for the physical therapist. PMID- 18138106 TI - Recent athletic injuries and their treatment. PMID- 18138107 TI - [Not Available]. PMID- 18138108 TI - [Not Available]. PMID- 18138109 TI - [Not Available]. PMID- 18138110 TI - Accessory corpora lutea, lutein cell origin, and the ovarian cycle in the Canadian porcupine. PMID- 18138111 TI - Postnatal development and functional histology of the sebaceous glands in the rat. PMID- 18138112 TI - Odontome-like formations in a mutant strain of rats. PMID- 18138113 TI - Aortic-arch and cardiac anomalies in the offspring of vitamin A deficient rats. PMID- 18138114 TI - Compensatory hypertrophy of the kidney of the young rat with special emphasis on the role of cellular hyperplasia. PMID- 18138115 TI - The prenatal growth of the heart and the lungs in the dog. PMID- 18138116 TI - Narrowing of the second part of the subclavian artery. PMID- 18138117 TI - Demonstration of fibers in the decalcified bone matrix by enzymatic digestion. PMID- 18138118 TI - A method for radioautography of specimens composed of both hard and soft structures. PMID- 18138119 TI - Embryo-endometrial interrelationship in the rat and guinea pig. PMID- 18138120 TI - The distribution of alkaline phosphatase in the genital tract of male mammals. PMID- 18138121 TI - Saddle block spinal anesthesia in obstetrics, with special reference to the use of metycaine. PMID- 18138122 TI - On the pharmacology of myanesin, with particular reference to its intramuscular administration. PMID- 18138123 TI - Circulatory collapse following the combined use of pituitrin and pentothal. PMID- 18138124 TI - The effects of large doses of barbiturates and morphine and scopolamine on respiratory minute volume exchange. PMID- 18138125 TI - Protection against cyclopropane-epinephrine arrhythmias by dibenamine and other agents. PMID- 18138126 TI - Pulmonary function as affected by operative position. PMID- 18138127 TI - A study on the comparative depressant effects of hypnotic drugs, medomin, seconal and phenobarbital, on heart muscle and cardiac vagus nerve. PMID- 18138128 TI - Anesthetic problems in cardiac surgery in children. PMID- 18138129 TI - The physiology of the human cerebral circulation. PMID- 18138130 TI - An evaluation of hypobaric pontocaine for spinal anesthesia with a report of 200 cases. PMID- 18138131 TI - The pharmacologic response to methylcyclobutane. PMID- 18138132 TI - Paralysis of the phrenic nerve during brachial plexus anesthesia. PMID- 18138133 TI - Intravenous procaine as an analgesic and therapeutic procedure in painful, chronic neuromusculoskeletal disorders. PMID- 18138134 TI - A panel for anesthesia equipment. PMID- 18138135 TI - Cart with nondetachable restraint strap. PMID- 18138137 TI - Adapter for use with gastrointestinal drainage tubes during inhalation anesthesia. PMID- 18138136 TI - Paralysis of the third and sixth cranial nerves following spinal anesthesia. PMID- 18138138 TI - Improved method for rapid replacement of blood. PMID- 18138140 TI - A simplified liquid culture medium for the growth of Hemophilus pertussis. PMID- 18138142 TI - Studies of the effect of para-aminobenzoic acid, folic acid, and sulfanilamide on dextran syntheses by leuconostoc. PMID- 18138143 TI - The uptake of C14 of carboxyl-labeled glycine into the protein of Torula utilis. PMID- 18138144 TI - The electron microscopy of heated bacteria. PMID- 18138146 TI - The relationship between growth and mutation in Pseudonomas fluorescens. PMID- 18138147 TI - The consequences of mutation during the growth of biochemical mutants of Escherichia coli; the inhibition of histidine-independent bacteria by histidineless bacteria in unshaken cultures. PMID- 18138148 TI - The consequences of mutation during the growth of biochemical mutants of Escherichia coli; the inhibition of histidine-independent bacteria by histidineless bacteria in aerated cultures. PMID- 18138149 TI - The consequences of mutation during the growth of biochemical mutants of Escherichia coli; the mechanism of inhibition of histidine-independent bacteria by histidineless bacteria. PMID- 18138157 TI - Flagellation of certain species of Pseudomonas as seen with the electron microscope. PMID- 18138158 TI - The biological assay of penicillin by a modified plate method. PMID- 18138159 TI - The relationship of the aluminium phosphate precipitation of organisms of Haemophilus pertussis strains to their other biological properties. PMID- 18138160 TI - Differentiation of the vegetative and sporogenous phases of the actinomycetes; the partially acid-fast proactinomycetes. PMID- 18138161 TI - The assimilation of amino-acids by bacteria; trace metals in glutamic acid assimilation and their inactivation by 8-hydroxyquinoline. PMID- 18138162 TI - A note on the relative dissociation constants of some metal-oxine complexes. PMID- 18138163 TI - The relationship of certain branched bacterial genera. PMID- 18138164 TI - The toxicity of small concentrations of cystine to acid-producing bacteria. PMID- 18138165 TI - The synthesis of polysaccharides by bacteria isolated from soil. PMID- 18138166 TI - Antibiotics produced by Bacillus licheniformis; a practical chemically defined medium for production of licheniformin. PMID- 18138167 TI - The effect of magnesium on the growth and cell division of various bacterial species in complex media. PMID- 18138168 TI - The influence of magnesium on cell division; the effect of magnesium on the growth of bacteria in simple chemically defined media. PMID- 18138169 TI - Bacillus polymyxa and its bacteriophages. PMID- 18138170 TI - International bacteriological code of nomenclature. PMID- 18138171 TI - Growth inhibitory effect on Shigella dysenteriae which occurs with some batches of nutrient agar and is associated with the production of peroxide. PMID- 18138172 TI - The formation of CO2 and acetoin from pyruvate by Lactobacillus plantarum. PMID- 18138173 TI - A comparative study of the nutrition requirements of the genus Bacillus. PMID- 18138174 TI - The assay of nisin. PMID- 18138175 TI - The production of ammonia by Corynebacterium renale. PMID- 18138176 TI - Tetrathionase; some factors influencing the rate of adaptive enzyme formation by washed bacterial suspensions. PMID- 18138177 TI - The life cycle of Leptorhynchoides thecatus (Linton) an acanthocephalan of fish. PMID- 18138178 TI - Experimental studies on the specificity of skin tests for the diagnosis of schistosomiasis. PMID- 18138179 TI - Tracheation in chiggers with special reference to Acomatacarus arizonensis Ewing (Acarina, Trombiculidae). PMID- 18138180 TI - Observations on Phyllodistomum lohrenzi (Loewen, 1935) (Trematoda: Gorgoderidae). PMID- 18138181 TI - Influence of some potential molluscacides on the oxygen consumption of Australorbis glabratus. PMID- 18138182 TI - Cuterebra thomomuris sp. nov., a warble from the pocket gopher, Thomomys talpoides (Rodentia:Geomyidae). PMID- 18138183 TI - The effects of larval pollution density on some laboratory characteristics of Anopheles quadrimaculatus Say. PMID- 18138184 TI - Description of the male of Cosmolaelaps gurabensis Fox (Acarina, Laelaptidae). PMID- 18138185 TI - The acanthocephalan genus Neoechinorhynchus in the catostomid fishes of North America, with descriptions of two new species. PMID- 18138186 TI - The life history of Postharmostomum helicis (Leidy, 1847) n. comb. (Trematoda:Brachylaemidae). PMID- 18138187 TI - Description of some species of Rhabdochona (Nematoda:Thelaziidae). PMID- 18138188 TI - The occurrence of Contracaecum travassosi (Nematoda) in North America. PMID- 18138189 TI - Notes on the course of a pinworm infection. PMID- 18138190 TI - Heterakis gallinarum (Schrank, 1788) nec Heterakis gallinae (Gmelin, 1790). PMID- 18138191 TI - The occurrence of bat malaria in the New Hebrides and Philippine Islands. PMID- 18138192 TI - A new host for Platynosomum fastosum Kossack, 1910 (Trematoda, Dicrocoeliidae). PMID- 18138193 TI - Vaginal sphincter, organ of Echinococcus granulosus (Batsch, 1786). PMID- 18138194 TI - Time of evaluation and the dosage-response curve. PMID- 18138195 TI - Prehatiching treatment of irrigated lands with DDT, dichlorodiphenyl dichloroethane, and gammabenzene hexachloride for control of flood water mosquitoes. PMID- 18138196 TI - Deposition of aerosol particles. PMID- 18138197 TI - Residual action of low vapour pressure fumigants. PMID- 18138198 TI - Factors involved in influenza haemagglutination reaction. PMID- 18138199 TI - Associated facial and intracranial hemangiomas. PMID- 18138200 TI - Cooley's erythroblastic anemia in a Negro girl. PMID- 18138201 TI - A case of polyostotic fibrous dysplasia; Albright's syndrome. PMID- 18138202 TI - Comparative toxicity to certain insects of DDT, its bromine and fluorine analogs, and gamma benzene hexachloride. PMID- 18138203 TI - Phytotoxicity and off-quality of vegetables grown in soil treated with insecticides. PMID- 18138205 TI - Field tests of insecticides and spraying methods to control horn flies in dairy herds. PMID- 18138204 TI - Effect of insecticides on the flavor of peaches, 1948. PMID- 18138206 TI - The more effective mosquito repellents tested at the Orlando, Fla., laboratory, 1942-47. PMID- 18138207 TI - Habits and control of the black widow spider. PMID- 18138208 TI - The DDT content of milk from a cow sprayed with DDT. PMID- 18138209 TI - The entomologist and the international health program. PMID- 18138210 TI - Physiological action of eye color mutants in the moths Ephestia kuhniella and Ptychopoda seriata. PMID- 18138211 TI - The riddle of man's ancestry. PMID- 18138212 TI - Lipids of the carcass, blood plasma, and adrenals of the rat in cancer. PMID- 18138213 TI - The serum polysaccharide level in malignancy and in other pathological conditions. PMID- 18138214 TI - Effect of tubercle bacilli extracts on induced tumors of the rat. PMID- 18138215 TI - Experimental production of endometrial polyps in the guinea pig. PMID- 18138216 TI - Studies on lymphocystis tumor cells of fish; the osmiophilic granules of the cytoplasmic inclusions and their interpretation as elementary bodies of the lymphocystis virus. PMID- 18138217 TI - The systolic gallop rhythm. PMID- 18138218 TI - [Not Available]. PMID- 18138219 TI - [Not Available]. PMID- 18138220 TI - [Not Available]. PMID- 18138221 TI - [Not Available]. PMID- 18138222 TI - [Not Available]. PMID- 18138223 TI - [Not Available]. PMID- 18138224 TI - [Not Available]. PMID- 18138225 TI - Hippuric acid synthesis as a liver function test. PMID- 18138226 TI - Specificity of choline-esterase. PMID- 18138227 TI - Influence of temperature and irradiation on the activity of choline-esterase. PMID- 18138228 TI - Studies on choline-esterase; optimum pH and stability in relation to pH. PMID- 18138229 TI - On the assay of liver extracts. PMID- 18138230 TI - Oxalic acid as an extractant of ascorbic acid from plant materials and its effect on the stability of ascorbic acid. PMID- 18138231 TI - Copper content of some Indian foodstuffs. PMID- 18138232 TI - Some lessons of the vascular system. PMID- 18138233 TI - The recognition and treatment of some inflammatory conditions of the gingival tissues. PMID- 18138234 TI - Why dental standards? PMID- 18138235 TI - Tumors of the mouth and jaws. PMID- 18138236 TI - Diseases of the tongue. PMID- 18138238 TI - Maxillary fractures. PMID- 18138237 TI - Cyst of doubtful etiology. PMID- 18138239 TI - The role of prevention of periodontia. PMID- 18138240 TI - Construction of a gunning splint; case report on the handling of mandibular fractures in edentulous patients. PMID- 18138241 TI - Acrylic and gold; engineered fixed bridgework. PMID- 18138242 TI - Uses of the lactobacillus count in private dental practice. PMID- 18138243 TI - Case report; prophylactic use of heparin and gelofoam in migratory thrombophlebitis. PMID- 18138244 TI - The bite and articulation. PMID- 18138245 TI - The seven minimum essentials for tooth removal operations. PMID- 18138246 TI - The Lactobacillus acidophilus count as an aid to caries control. PMID- 18138247 TI - Pulp response to a self-curing acrylic filling material. PMID- 18138248 TI - The history and progress of dentistry. PMID- 18138249 TI - Chlorine, cause of dental caries? PMID- 18138250 TI - [Not Available]. PMID- 18138251 TI - [Not Available]. PMID- 18138252 TI - [Not Available]. PMID- 18138253 TI - [Not Available]. PMID- 18138254 TI - [Not Available]. PMID- 18138255 TI - [Not Available]. PMID- 18138256 TI - [Not Available]. PMID- 18138257 TI - [Not Available]. PMID- 18138258 TI - [Not Available]. PMID- 18138259 TI - [Not Available]. PMID- 18138260 TI - [Not Available]. PMID- 18138261 TI - [Not Available]. PMID- 18138262 TI - [Not Available]. PMID- 18138263 TI - [Not Available]. PMID- 18138264 TI - [Not Available]. PMID- 18138266 TI - [Not Available]. PMID- 18138265 TI - [Not Available]. PMID- 18138267 TI - [Not Available]. PMID- 18138268 TI - [Not Available]. PMID- 18138269 TI - [Not Available]. PMID- 18138270 TI - [Not Available]. PMID- 18138271 TI - [Not Available]. PMID- 18138272 TI - [Not Available]. PMID- 18138273 TI - [Not Available]. PMID- 18138274 TI - [Not Available]. PMID- 18138275 TI - [Not Available]. PMID- 18138276 TI - [Not Available]. PMID- 18138277 TI - [Not Available]. PMID- 18138278 TI - [Not Available]. PMID- 18138279 TI - [Not Available]. PMID- 18138280 TI - [Not Available]. PMID- 18138281 TI - [Not Available]. PMID- 18138282 TI - [Not Available]. PMID- 18138283 TI - [Not Available]. PMID- 18138284 TI - [Not Available]. PMID- 18138285 TI - [Not Available]. PMID- 18138286 TI - [Not Available]. PMID- 18138287 TI - [Not Available]. PMID- 18138288 TI - [Not Available]. PMID- 18138289 TI - [Not Available]. PMID- 18138290 TI - [Not Available]. PMID- 18138291 TI - [Not Available]. PMID- 18138292 TI - [Not Available]. PMID- 18138293 TI - [Not Available]. PMID- 18138294 TI - [Not Available]. PMID- 18138295 TI - [Not Available]. PMID- 18138296 TI - [Not Available]. PMID- 18138297 TI - [Not Available]. PMID- 18138298 TI - [Not Available]. PMID- 18138299 TI - The effect of the age of serum samples and of alimentary lipemia on the thymol turbidity test. PMID- 18138300 TI - The determination of Rh-Hr (CDE-cde) antigens and antibodies. PMID- 18138301 TI - Hints in the care of Xenopus laevis. PMID- 18138302 TI - Parasites transmitted from animals to man. PMID- 18138304 TI - Studies on hypersensitivity of penicillin; incidence of reactions in 1303 patients. PMID- 18138307 TI - A new linear diffusion method for the microbiological assay of streptomycin and dihydrostreptomycin. PMID- 18138309 TI - Investigations on the streptomycins. PMID- 18138310 TI - The effect of streptomycin derivatives on streptomycin-dependent and -resistant strains of bacteria. PMID- 18138311 TI - The development of resistance of Salmonella typhosa to the fatty acid salts of streptomycin and dihydrostreptomycin. PMID- 18138318 TI - The partial purification and properties of antibiotic substances from the sweet potato plant (Ipomoea batatas). PMID- 18138319 TI - The partial purification and properties of antibiotic substances from the banana (Musa sapientum). PMID- 18138320 TI - Antibiotic studies on an extract from Leptotaenia multifeda. PMID- 18138322 TI - Lupulon and humulon, antibiotic constituents of hops. PMID- 18138323 TI - The occurrence of antibacterial substances active against Mycobacterium tuberculosis in seed plants. PMID- 18138325 TI - The antifungal activity of antibiotic XG. PMID- 18138327 TI - Diffusion plate assay for chloramphenicol and aureomycin. PMID- 18138328 TI - Chloramphenicol an antibiotic; pharmacological and pathological studies in animals. PMID- 18138329 TI - Susceptibility of micro-organisms to chloramphenicol. PMID- 18138330 TI - Preliminary report on the use of chloramphenicol in the treatment of acute gonorrheal urethritis. PMID- 18138331 TI - The beneficial effect of chloromycetin in brucellosis. PMID- 18138333 TI - The concentration of aureomycin in urine and cerebrospinal, pleural and ascitic fluids after oral and intravenous administration. PMID- 18138335 TI - Further experiences with intravenous aureomycin therapy; a study of 116 cases. PMID- 18138337 TI - A comparative study of the renal damage produced in mice by various lots of bacitracin. PMID- 18138338 TI - Chemical studies on polymyxin B. PMID- 18138339 TI - Laboratory and clinical studies of polymyxin B and E. PMID- 18138341 TI - [Not Available]. PMID- 18138342 TI - [Not Available]. PMID- 18138343 TI - [Not Available]. PMID- 18138344 TI - [Not Available]. PMID- 18138345 TI - [Not Available]. PMID- 18138346 TI - [Not Available]. PMID- 18138347 TI - [Not Available]. PMID- 18138348 TI - [Not Available]. PMID- 18138349 TI - [Not Available]. PMID- 18138350 TI - [Not Available]. PMID- 18138351 TI - [Not Available]. PMID- 18138352 TI - [Not Available]. PMID- 18138353 TI - [Not Available]. PMID- 18138354 TI - [Not Available]. PMID- 18138356 TI - [Not Available]. PMID- 18138355 TI - [Not Available]. PMID- 18138357 TI - [Not Available]. PMID- 18138358 TI - [Not Available]. PMID- 18138359 TI - The iodine content of fruits and vegetables. PMID- 18138360 TI - The present state of the problem of the Keimbahn in the vertebrates. PMID- 18138361 TI - Rapid swelling and deswelling of reversible gels of polymeric acids by ionization. PMID- 18138362 TI - [Not Available]. PMID- 18138363 TI - [Not Available]. PMID- 18138364 TI - [Not Available]. PMID- 18138365 TI - [Not Available]. PMID- 18138366 TI - [Not Available]. PMID- 18138367 TI - The speed of consumption of prothrombin and of inactivation of thrombin in human native plasma. PMID- 18138368 TI - [Not Available]. PMID- 18138369 TI - [Not Available]. PMID- 18138370 TI - Diabetes renalis in diabete mellito and the sugar-proof kidney. PMID- 18138371 TI - The multiplicity of lipolytic enzyme systems. PMID- 18138372 TI - [The nucleic acid of bacteria]. PMID- 18138373 TI - [Ultracentrifuge]. PMID- 18138374 TI - [A new method of making infrared photographs]. PMID- 18138375 TI - A study of attitudes. PMID- 18138376 TI - The susceptibility of some potato varieties to common scab (Actinomyces scabies Thaxt. Gussow) in different soils. PMID- 18138377 TI - Thermoregulation in reptiles; a factor in evolution. PMID- 18138378 TI - Selection of an unfavourable gene-complex. PMID- 18138379 TI - [Not Available]. PMID- 18138380 TI - [Not Available]. PMID- 18138381 TI - [Not Available]. PMID- 18138382 TI - [Not Available]. PMID- 18138383 TI - Autoclave test of glass containers with acid test liquid. PMID- 18138384 TI - The last surge of the nautiloid cephalopods. PMID- 18138385 TI - Cytological evidence on the phylogeny and classification of the Diptera. PMID- 18138386 TI - The selection index and its test of significance. PMID- 18138387 TI - The two varieties of Drosophila montium. PMID- 18138388 TI - Endocrine treatment of alcoholism. PMID- 18138389 TI - Old age. PMID- 18138390 TI - The use of digitalis in the aged. PMID- 18138391 TI - Sickle-cell anemia in patients over 45; report of two cases. PMID- 18138392 TI - Priscoline and arteriosclerotic peripheral vascular disease. PMID- 18138393 TI - [Periodical gynecological examinations in cancer control]. PMID- 18138394 TI - [First results in prevention of cancer of the genital tract in women]. PMID- 18138395 TI - [Early diagnosis of cancer of the uterine cervix by means of periodical examinations]. PMID- 18138396 TI - [Control of patients with cancer of the cervix, treated with radium and roentgen rays]. PMID- 18138397 TI - [Microscopic diagnosis of cervical cancer by tissue preparation and vaginal smears]. PMID- 18138398 TI - [Uterine sarcoma]. PMID- 18138399 TI - [Technique of extensive abdominal operation in cervical cancer]. PMID- 18138400 TI - [Radiotherapy in neglected cases of cervical cancer]. PMID- 18138401 TI - [Treatment of benign uterine tumors with the Soviet preparation; radium mesotorium]. PMID- 18138402 TI - [Diathermosurgery in certain pathological states of the uterine cervix]. PMID- 18138403 TI - [Not Available]. PMID- 18138404 TI - [Not Available]. PMID- 18138405 TI - [Not Available]. PMID- 18138406 TI - [Not Available]. PMID- 18138407 TI - [Not Available]. PMID- 18138408 TI - [Not Available]. PMID- 18138409 TI - [Not Available]. PMID- 18138410 TI - [Not Available]. PMID- 18138411 TI - [Not Available]. PMID- 18138412 TI - [Not Available]. PMID- 18138413 TI - PARATHION a toxic insecticide, can be used with precautions. PMID- 18138414 TI - Carbon tetrachloride causes two deaths in industry. PMID- 18138415 TI - WORKERS complain of effects from lights. PMID- 18138416 TI - Here's how to zero the Davis micro gas analyzer in a contaminated atmosphere. PMID- 18138417 TI - Fractures in osteitis deformans Paget and calcium metabolism. PMID- 18138418 TI - Antileucopenic tolerance of rabbits with antibody formation in the course of treatment with typhoid vaccine. PMID- 18138419 TI - A note on the clinical effectiveness of the newer antibiotics. PMID- 18138420 TI - Congenital subluxation of the shoulder with snapping. PMID- 18138422 TI - Frigidity. PMID- 18138421 TI - The use of large doses of progesterone in rhumatoid arthritis. PMID- 18138423 TI - Recent advances in the management of diseases of the liver. PMID- 18138424 TI - Indications for splenectomy. PMID- 18138425 TI - Isotopes in biology and medicine; uses and radiation hazards. PMID- 18138426 TI - Asthma due to halogens. PMID- 18138427 TI - Osteoarthropathy. PMID- 18138428 TI - Treatment of typhoid fever. PMID- 18138429 TI - Rheumatic diseases. PMID- 18138430 TI - Scabies; observations on the treatment of. PMID- 18138431 TI - The eye and its care. PMID- 18138432 TI - Transverse fractures of the neck of the femur treated with the Smith-Peterson nail; case report. PMID- 18138433 TI - Some observations on amoebic hepatitis. PMID- 18138434 TI - A case of intestinal tuberculosis treated with streptomycin. PMID- 18138435 TI - An unusual case of thread worms. PMID- 18138436 TI - Gastroscopic and histologic appearance of the gastric mucosa before and after vagotomy for peptic ulcer. PMID- 18138437 TI - Hysterical type of nongaseous abdominal bloating. PMID- 18138438 TI - Traumatic coronary thrombosis with myocardial infarction; postmortem study. PMID- 18138439 TI - Chronic nonleukemic myelosis; report of six cases. PMID- 18138440 TI - Chronic ulcerative colitis and carcinoma. PMID- 18138441 TI - [Not Available]. PMID- 18138442 TI - [Not Available]. PMID- 18138443 TI - [Not Available]. PMID- 18138444 TI - [Not Available]. PMID- 18138445 TI - [Not Available]. PMID- 18138446 TI - [Not Available]. PMID- 18138447 TI - The surgery of pulmonary stenosis. PMID- 18138448 TI - Some aspects of poliomyelitis in New Zealand. PMID- 18138449 TI - Intractable pain. PMID- 18138450 TI - Mikulicz's syndrome. PMID- 18138451 TI - Methyl n-propyl ether. PMID- 18138452 TI - Bilateral hydrosalpinx with torsion of both tubes. PMID- 18138453 TI - Leiomyosarcoma of the stomach. PMID- 18138454 TI - Streptomycin treatment of septicaemia and meningitis due to intestinal organisms in infants. PMID- 18138455 TI - Streptomycin treatment of infantile diarrhoea and vomiting. PMID- 18138456 TI - The aetiology of gravitational ulcers of the leg. PMID- 18138457 TI - Tetraethylthiuramdisulphide in the treatment of alcoholics. PMID- 18138458 TI - Familial periodic paralysis; report of a case. PMID- 18138459 TI - Some presenting symptoms of carcinoma of the bronchus. PMID- 18138460 TI - Splint to control dorsal subluxation of proximal interphalangeal joints of fingers. PMID- 18138461 TI - Uterine antevertor. PMID- 18138462 TI - [Not Available]. PMID- 18138463 TI - [Not Available]. PMID- 18138464 TI - [Not Available]. PMID- 18138465 TI - [Not Available]. PMID- 18138466 TI - [Not Available]. PMID- 18138467 TI - [Not Available]. PMID- 18138468 TI - [Not Available]. PMID- 18138469 TI - [Not Available]. PMID- 18138470 TI - Fractures of the skull. PMID- 18138471 TI - Diagnosis of testicular tumors. PMID- 18138472 TI - Present status of electric shock therapy. PMID- 18138474 TI - Psychiatric perspectives of today. PMID- 18138473 TI - Concerning voluntary and involuntary movements; the role of cortico-spinal and subcortico-spinal mechanisms with a concept as to the origin of movements. PMID- 18138475 TI - HOSPITALIZATION of veterans. PMID- 18138476 TI - [Not Available]. PMID- 18138477 TI - [Not Available]. PMID- 18138478 TI - [Chemical carcinogenesis]. PMID- 18138479 TI - [Paroxysmal auricular fibrillation]. PMID- 18138480 TI - [Not Available]. PMID- 18138481 TI - [Not Available]. PMID- 18138482 TI - [Not Available]. PMID- 18138483 TI - [Not Available]. PMID- 18138484 TI - [Not Available]. PMID- 18138485 TI - [Hypertensin and hypertensionogen amount of the blood of patients with renal hypertension]. PMID- 18138486 TI - [Oedema of the lower extremities]. PMID- 18138487 TI - [Not Available]. PMID- 18138488 TI - [Not Available]. PMID- 18138489 TI - [Not Available]. PMID- 18138490 TI - [Not Available]. PMID- 18138491 TI - [Not Available]. PMID- 18138492 TI - [Not Available]. PMID- 18138493 TI - [Injuries among farm workers and their prevention]. PMID- 18138494 TI - [Prevention of trauma in miners]. PMID- 18138495 TI - [Injuries of the scalp]. PMID- 18138496 TI - [Psychotherapy]. PMID- 18138497 TI - [Sunand heat stroke]. PMID- 18138498 TI - [Not Available]. PMID- 18138499 TI - [Not Available]. PMID- 18138500 TI - [Not Available]. PMID- 18138501 TI - [Not Available]. PMID- 18138502 TI - [Not Available]. PMID- 18138503 TI - Lessons learned in the Effingham Hospital fire. PMID- 18138504 TI - Acute appendicitis with perforation; a review of the literature. PMID- 18138505 TI - The battle for survival. PMID- 18138506 TI - Antenatal thrombosis. PMID- 18138507 TI - Acute hydramnios. PMID- 18138508 TI - Multiple myeloma of bones. PMID- 18138509 TI - Diabetes mellitus. PMID- 18138510 TI - Bulbar poliomyelitis; favorable results in its treatment as a problem in respiratory obstruction. PMID- 18138511 TI - The control of polycythemia by marrow inhibition; a 10-year study of 172 patients. PMID- 18138512 TI - The effect of antihistaminic drugs on convulsive seizures. PMID- 18138513 TI - Loeffler's syndrome; occurrence in two patients treated with penicillin in oil and wax. PMID- 18138514 TI - Refractory amebic abscess of the liver treated with chloroquine. PMID- 18138515 TI - The one-hour rat ovary hyperemia pregnancy test with synergist. PMID- 18138516 TI - Treatment of myasthenia gravis. PMID- 18138517 TI - The prepsychotic and early psychotic; see the family physician or internist first. PMID- 18138518 TI - Healed subacute bacterial endocarditis; a new entity. PMID- 18138519 TI - Renal failure associated with low extracellular sodium chloride; the low salt syndrome. PMID- 18138520 TI - The general management of rheumatoid arthritis. PMID- 18138521 TI - Foreign body in the breast. PMID- 18138522 TI - Eberthella typhosa infection of arteriovenous aneurysm cured by excision. PMID- 18138523 TI - The treatment of acute typhoid fever with chloromycetin. PMID- 18138524 TI - Agranulocytosis following the use of pyrithyldione; results of diagnostic test. PMID- 18138525 TI - Treatment of a case of endemic typhus with chloromycetin. PMID- 18138526 TI - Hematuria; its clinical significance. PMID- 18138527 TI - The treatment of thoracic and abdominal aneurysms of syphilitic and arteriosclerotic origin; preliminary report. PMID- 18138528 TI - Treatment of Friedlander's pneumonia with streptomycin; report of a case. PMID- 18138529 TI - Chronic and recurrent infectious hepatitis; its relationship to cirrhosis of the liver. PMID- 18138530 TI - Ectopic pregnancy. PMID- 18138531 TI - Public health vs individual responsibility. PMID- 18138532 TI - Saddle block anesthesia in obstetrics. PMID- 18138533 TI - Urological complications in obstetrical practice. PMID- 18138534 TI - Diagnostic problems of poliomyelitis in children. PMID- 18138535 TI - Sporotrichosis. PMID- 18138537 TI - Tendon sheath involvement in rheumatic diseases. PMID- 18138536 TI - Toxic reaction to streptomycin. PMID- 18138538 TI - Post-spinal headache; treatment with desoxycorticosterone acetate. PMID- 18138539 TI - Dermatitis herpetiformis; report of two cases in children treated with aureomycin. PMID- 18138540 TI - Surgery of the gall bladder and bile ducts; a report of 975 cases. PMID- 18138541 TI - Malignant disease of the larynx. PMID- 18138542 TI - Acute appendicitis with perforation; a review of 33 cases. PMID- 18138544 TI - Anesthesia for the cardiac patient. PMID- 18138543 TI - Epidemic diarrhea of the newborn. PMID- 18138545 TI - State aid; the enigma of hospital administration. PMID- 18138546 TI - Why medical records? PMID- 18138547 TI - The problem of the unmarried mother. PMID- 18138548 TI - [Human infestation by Strongyloides stercoralis in Portuguese territory; notes of 54 autochthonous cases metropolis]. PMID- 18138549 TI - Rheumatic fever and rheumatic heart disease in children; diagnosis and treatment. PMID- 18138550 TI - Group A streptococcal infections and rheumatic fever. PMID- 18138552 TI - Public health and the private physician. PMID- 18138551 TI - The physician and community action for rheumatic fever. PMID- 18138553 TI - New trends in the treatment of allergic diseases. PMID- 18138554 TI - X-ray diagnosis in pediatrics. PMID- 18138555 TI - Adenocarcinoma of the fundus uteri. PMID- 18138556 TI - The practical uses of physical medicine. PMID- 18138557 TI - Importance of preoperative preparation of the patient in surgery of the colon. PMID- 18138558 TI - Political socio-economic problems. PMID- 18138560 TI - A clinical and pathological study of pigmented tumors. PMID- 18138559 TI - Freud's theories insulting to modern medicine. PMID- 18138561 TI - Technical procedures in the management of diseases involving the sinuses. PMID- 18138562 TI - The management of your patients with eye problems. PMID- 18138563 TI - The management of anuria. PMID- 18138564 TI - Fibroma of stomach. PMID- 18138565 TI - Fibrosarcoma of helix of right ear. PMID- 18138566 TI - Liposarcoma of neck. PMID- 18138567 TI - Cloudiness in liquid petrolatum sprays. PMID- 18138568 TI - [Not Available]. PMID- 18138569 TI - Serum phosphatase after hepatectomy in dogs. PMID- 18138570 TI - Paget's disease of the nipple. PMID- 18138571 TI - [Not Available]. PMID- 18138572 TI - [Not Available]. PMID- 18138573 TI - [Not Available]. PMID- 18138574 TI - The doctor in his relationship to his community. PMID- 18138575 TI - Cancer of uterus. PMID- 18138577 TI - [Not Available]. PMID- 18138576 TI - [Not Available]. PMID- 18138578 TI - [Not Available]. PMID- 18138579 TI - [Clinical aspects and treatment of bacillary dysentery]. PMID- 18138580 TI - [Effect of burns on the organism]. PMID- 18138581 TI - [Cooperation of clinics and polyclinics]. PMID- 18138582 TI - [Clinical aspect of hemorrhagic diathesis in Bukovina]. PMID- 18138583 TI - [Listerella infection in man]. PMID- 18138584 TI - [Level of prothrombin in the blood in functional test of the liver]. PMID- 18138585 TI - [Hypoprothrombinemia and vitamin D in treatment of internal diseases]. PMID- 18138586 TI - [Pathogenesis and differential diagnosis of hemolytic anemia in relation to splenectomy]. PMID- 18138588 TI - [Clinical significance of mercuric bichloride sedimentation reaction as a method of functional examination of the liver]. PMID- 18138587 TI - [Effect of the Soviet preparation of calcium ascorbate of the permeability and vitamin C metabolism]. PMID- 18138589 TI - [Hemolytic anemia with nocturnal hemoglobinuria]. PMID- 18138590 TI - [Ascarides of Meckel's diverticulum, having caused intestinal obstruction]. PMID- 18138591 TI - Massive hemorrhage in ulcerative colitis. PMID- 18138592 TI - Essential features for the diagnosis of pheochromocytoma; report of a case. PMID- 18138593 TI - Bone bank fundamentals a preliminary report. PMID- 18138594 TI - The psychiatric aspects of hyperthyroidism. PMID- 18138595 TI - Opportunity for adventure. PMID- 18138596 TI - Contribution of the employment history to clinical diagnosis. PMID- 18138597 TI - Teaching of pharmacology in the U.S.A. PMID- 18138598 TI - The membership. PMID- 18138599 TI - Pardoy's disease. PMID- 18138600 TI - [An interesting case of psammoma with symptoms suggesting an arachnoiditis in the posterior cranial cavity]. PMID- 18138601 TI - [Some current problems in children's mental hygiene]. PMID- 18138602 TI - [The influence of anaesthetized and removed carotid sinus on myasthenia gravis]. PMID- 18138603 TI - [Not Available]. PMID- 18138604 TI - [Not Available]. PMID- 18138605 TI - [Not Available]. PMID- 18138606 TI - [Not Available]. PMID- 18138607 TI - [Not Available]. PMID- 18138608 TI - [Not Available]. PMID- 18138609 TI - [Not Available]. PMID- 18138610 TI - [Not Available]. PMID- 18138611 TI - [Not Available]. PMID- 18138612 TI - [Not Available]. PMID- 18138613 TI - [Not Available]. PMID- 18138614 TI - [Not Available]. PMID- 18138615 TI - The use of aerosporin (polymyxin B) in specific and nonspecific enteritis in infants and children. PMID- 18138617 TI - An influenza A epidemic, 1947. PMID- 18138616 TI - Cancer of the colon and rectum; a clinical study of 200 cases at the time of diagnosis. PMID- 18138618 TI - [Not Available]. PMID- 18138619 TI - [Not Available]. PMID- 18138620 TI - [Not Available]. PMID- 18138621 TI - [Not Available]. PMID- 18138622 TI - The prothrombin test in clinical medicine. PMID- 18138623 TI - Industrial dermatitis. PMID- 18138624 TI - A brief review of industrial dermatoses in Western Australia. PMID- 18138625 TI - Recent experiences in London on the use of physical medicine in arthritis. PMID- 18138626 TI - Morbilli bullosi. PMID- 18138627 TI - Chronic nephritis in a child of 12. PMID- 18138628 TI - Paget's disease of bone. PMID- 18138629 TI - [Not Available]. PMID- 18138630 TI - [Not Available]. PMID- 18138631 TI - [Not Available]. PMID- 18138632 TI - [Not Available]. PMID- 18138633 TI - [Not Available]. PMID- 18138634 TI - [Not Available]. PMID- 18138635 TI - [Not Available]. PMID- 18138636 TI - [Not Available]. PMID- 18138637 TI - [Not Available]. PMID- 18138638 TI - [Not Available]. PMID- 18138639 TI - [Not Available]. PMID- 18138640 TI - [Not Available]. PMID- 18138641 TI - [Not Available]. PMID- 18138643 TI - Ophthalmology 110 years ago. PMID- 18138642 TI - [Not Available]. PMID- 18138644 TI - The diagnosis and modern treatment of peritonitis in children. PMID- 18138645 TI - The criteria of cure in pulmonary tuberculosis. PMID- 18138646 TI - Osteoarthritis in general practice. PMID- 18138647 TI - [Problems in tuberculosis control in Soviet Russia]. PMID- 18138648 TI - [Can pneum. tbc. be cured?]. PMID- 18138649 TI - [Early symptoms and treatment osteoarticular tuberculosis]. PMID- 18138650 TI - [Care of patients during the postoperative period]. PMID- 18138651 TI - [Paraffin therapy]. PMID- 18138652 TI - [Technique in administration of penicillin]. PMID- 18138653 TI - [Influenza in children and its treatment]. PMID- 18138654 TI - Spontaneous rupture of the membranes during labour; its diagnostic significance. PMID- 18138655 TI - Hydrocele. PMID- 18138656 TI - The importance of being sadistic. PMID- 18138657 TI - Enlarged prostate. PMID- 18138658 TI - [Not Available]. PMID- 18138659 TI - [Not Available]. PMID- 18138660 TI - [Not Available]. PMID- 18138661 TI - [Not Available]. PMID- 18138662 TI - [Not Available]. PMID- 18138663 TI - [Not Available]. PMID- 18138664 TI - [Not Available]. PMID- 18138665 TI - Treatment of certain irreducible congenital dislocations of the hip in infants. PMID- 18138666 TI - [Not Available]. PMID- 18138667 TI - [Not Available]. PMID- 18138668 TI - [Not Available]. PMID- 18138669 TI - [Not Available]. PMID- 18138670 TI - [Not Available]. PMID- 18138671 TI - [Not Available]. PMID- 18138672 TI - [Not Available]. PMID- 18138673 TI - Complete acromioclavicular dislocation. PMID- 18138674 TI - Nocardiosis; pneumonia and empyema due to Nocardia asteroides. PMID- 18138676 TI - Clinical observations concerning schizophrenic patients treated by prefrontal leukotomy. PMID- 18138675 TI - Orthoxine in bronchial asthma; a clinical evaluation. PMID- 18138677 TI - Ecfoliative cytology. PMID- 18138679 TI - Identification of bloodstains. PMID- 18138678 TI - Malignant lymphoma, Hodgkin's type. PMID- 18138680 TI - Roseola infantum (exanthem subitum). PMID- 18138681 TI - Mumps complicated by a preceding myelitis; report of a fatal case. PMID- 18138683 TI - Psychiatry. PMID- 18138682 TI - Medical treatment of acute pulmonary abscess. PMID- 18138684 TI - The training of physicians. PMID- 18138685 TI - Intravenous procaine therapy. PMID- 18138686 TI - Local anaesthesia in general surgery. PMID- 18138687 TI - Observations on diseases among British prisoners of war in Japanese hands in the Far East, 1942-1945. PMID- 18138688 TI - Vomiting in infancy. PMID- 18138689 TI - Poisoning by vegetable laxative pills. PMID- 18138690 TI - Fractures of the carpal scaphoid bone. PMID- 18138691 TI - A new conception in the treatment of oesophageal, gastric and duodenal lesions. PMID- 18138692 TI - Pain charts; a description of a technique whereby functional pain may be diagnosed from organic pain. PMID- 18138693 TI - The sinu-vertebral nerve. PMID- 18138694 TI - Recurrence of cancer of the breast. PMID- 18138695 TI - Skin in the repair of herniae. PMID- 18138696 TI - [Not Available]. PMID- 18138697 TI - [Not Available]. PMID- 18138698 TI - [Not Available]. PMID- 18138699 TI - [Not Available]. PMID- 18138700 TI - [Not Available]. PMID- 18138701 TI - [Not Available]. PMID- 18138703 TI - [Not Available]. PMID- 18138704 TI - [Not Available]. PMID- 18138702 TI - [Not Available]. PMID- 18138705 TI - [Not Available]. PMID- 18138706 TI - [Not Available]. PMID- 18138707 TI - [Not Available]. PMID- 18138708 TI - [Not Available]. PMID- 18138709 TI - [Not Available]. PMID- 18138710 TI - Alveolectomy. PMID- 18138711 TI - Plastic surgery; four case reports. PMID- 18138712 TI - Tumors of the nasopharynx. PMID- 18138713 TI - Pregnancy complicated by regional ileitis. PMID- 18138714 TI - Common eye injuries. PMID- 18138715 TI - Rehabilitation in small communities. PMID- 18138716 TI - The differential diagnosis of important lesions of the optic disc. PMID- 18138717 TI - [Not Available]. PMID- 18138718 TI - [Not Available]. PMID- 18138719 TI - [Not Available]. PMID- 18138720 TI - [Not Available]. PMID- 18138721 TI - [Not Available]. PMID- 18138722 TI - Maligne Tumoren im Kindesalter. PMID- 18138723 TI - [Not Available]. PMID- 18138724 TI - [Not Available]. PMID- 18138725 TI - [Present day concept of eczema]. PMID- 18138726 TI - [History of midwifery]. PMID- 18138727 TI - [Importance of the respiratory reserves in the function of the lungs]. PMID- 18138728 TI - [Milk bank]. PMID- 18138729 TI - [Toxicity of sodium citrate]. PMID- 18138730 TI - [Not Available]. PMID- 18138731 TI - [Not Available]. PMID- 18138732 TI - [Not Available]. PMID- 18138733 TI - [Not Available]. PMID- 18138734 TI - [Not Available]. PMID- 18138735 TI - [Not Available]. PMID- 18138736 TI - [Not Available]. PMID- 18138737 TI - [Not Available]. PMID- 18138738 TI - [Not Available]. PMID- 18138739 TI - [Not Available]. PMID- 18138740 TI - [Not Available]. PMID- 18138741 TI - [Not Available]. PMID- 18138742 TI - [Not Available]. PMID- 18138743 TI - [Not Available]. PMID- 18138744 TI - [Not Available]. PMID- 18138745 TI - [Not Available]. PMID- 18138746 TI - A new drug in the treatment of radiation sickness. PMID- 18138747 TI - Treatment of adults for epilepsy; toxic effect of 3-methyl 5-5 phenylethylhydantoin. PMID- 18138748 TI - Treatment of adults for epilepsy; general principles. PMID- 18138749 TI - Myocardial disease in acute poliomyelitis. PMID- 18138750 TI - Lupus vulgaris, resistant to calciferol; treated with streptomycin and calciferol. PMID- 18138751 TI - Werner's syndrome. PMID- 18138752 TI - Nerve root involvement in vertebral arthritis. PMID- 18138753 TI - The neurological manifestations of the rheumatic diseases. PMID- 18138754 TI - The effect of di-isopropyl fluorophosphonate upon the electrocardiogram of the isolated rabbit heart. PMID- 18138755 TI - Some aspects of electrodiagnosis and electrotherapy in the Royal Air Force. PMID- 18138756 TI - Clinical electromyography in the Royal Air Force. PMID- 18138757 TI - Osteotomy of the spine in the treatment of severe dorsal kyphosis; four cases. PMID- 18138758 TI - Comminuted fracture-dislocation of the shoulder; result 7 years after excision of fragments and treatment on abduction splint. PMID- 18138759 TI - Traumatic genu recurvatum. PMID- 18138760 TI - Neuropathic joint showing a fracture of the lower end of the right femur and internal condyle of the right tibia both involving the knee-joint. PMID- 18138761 TI - Spondylolisthesis with bilateral drop foot. PMID- 18138762 TI - Traumatic changes in the brain after spontaneous delivery at full term. PMID- 18138763 TI - The quantitative comparison of histamine antagonists in man. PMID- 18138764 TI - The experimental evidence for the use of antihistamine drugs in allergic conditions. PMID- 18138765 TI - Antihistamines in bronchial asthma. PMID- 18138766 TI - Discussion on planning a paediatric unit in an undergraduate teaching hospital; with a training school for nurses. PMID- 18138767 TI - A pattern of disease in infancy; based on 2,306 hospital admissions in the years 1946-48 inclusive. PMID- 18138768 TI - Functional regeneration of spinal nerve roots. PMID- 18138769 TI - Fires and explosions in the operating room. PMID- 18138770 TI - Ringworm of the scalp. PMID- 18138771 TI - [Not Available]. PMID- 18138772 TI - [Not Available]. PMID- 18138773 TI - [Not Available]. PMID- 18138774 TI - [Not Available]. PMID- 18138775 TI - [Not Available]. PMID- 18138776 TI - [Not Available]. PMID- 18138777 TI - [Not Available]. PMID- 18138779 TI - [Not Available]. PMID- 18138778 TI - [Not Available]. PMID- 18138781 TI - Diagnostic techniques for children with cerebral palsy. PMID- 18138780 TI - [Not Available]. PMID- 18138782 TI - STUDY of child health services in Rhode Island. PMID- 18138783 TI - Mid-thigh amputation; a description of the technique. PMID- 18138784 TI - Stereoscopic vision; perception of movement and gestalt psychology. PMID- 18138785 TI - Peptic ulcers; recent contributions to pathogenesis and treatment. PMID- 18138786 TI - Government health centers in the Union of South Africa. PMID- 18138787 TI - Diabetes mellitus and pregnancy; a clinico-pathological review. PMID- 18138788 TI - Secondary abdominal pregnancy; its diagnosis. PMID- 18138790 TI - The chronic sick problem. PMID- 18138789 TI - Pregnancy complicated by fibromyoma and hypertension; a case report and a discussion. PMID- 18138791 TI - [Not Available]. PMID- 18138793 TI - [Not Available]. PMID- 18138792 TI - [Not Available]. PMID- 18138794 TI - [Not Available]. PMID- 18138795 TI - [Not Available]. PMID- 18138796 TI - [Not Available]. PMID- 18138797 TI - [Not Available]. PMID- 18138798 TI - [Not Available]. PMID- 18138799 TI - [Not Available]. PMID- 18138800 TI - [Not Available]. PMID- 18138801 TI - [Not Available]. PMID- 18138802 TI - [Not Available]. PMID- 18138803 TI - [Not Available]. PMID- 18138804 TI - [Not Available]. PMID- 18138805 TI - [Not Available]. PMID- 18138806 TI - [Not Available]. PMID- 18138808 TI - [Not Available]. PMID- 18138807 TI - [Not Available]. PMID- 18138809 TI - [Not Available]. PMID- 18138810 TI - [Not Available]. PMID- 18138811 TI - [Not Available]. PMID- 18138812 TI - [Not Available]. PMID- 18138813 TI - [Not Available]. PMID- 18138814 TI - [Not Available]. PMID- 18138815 TI - [Not Available]. PMID- 18138816 TI - [Not Available]. PMID- 18138817 TI - [Not Available]. PMID- 18138818 TI - [Not Available]. PMID- 18138819 TI - [Not Available]. PMID- 18138820 TI - [Not Available]. PMID- 18138821 TI - [Not Available]. PMID- 18138822 TI - [Not Available]. PMID- 18138823 TI - [Not Available]. PMID- 18138824 TI - [Not Available]. PMID- 18138825 TI - [Not Available]. PMID- 18138826 TI - Incontinence of urine. PMID- 18138827 TI - [Not Available]. PMID- 18138829 TI - Penicillin snuff in the treatment of the common cold. PMID- 18138828 TI - The effects of tobacco smoking on gastric motility in patients with duodenal ulcer. PMID- 18138830 TI - The medical systems of Denmark and Sweden. PMID- 18138831 TI - Typhoid fever in Goppingen, Germany. PMID- 18138832 TI - Hypopituitarism. PMID- 18138833 TI - Recurrent intussusception caused by Meckel's diverticulum. PMID- 18138834 TI - Thoracic inlet tumor (Pancoast syndrome) a case report and review. PMID- 18138835 TI - External skeletal fixation. PMID- 18138836 TI - Medical service with guerrilla troops. PMID- 18138837 TI - Obliterated omphalomesenteric duct causing abdominal pain. PMID- 18138838 TI - A simplified technique for making acrylic jackets. PMID- 18138839 TI - Modification of Papanicolaou staining procedure. PMID- 18138840 TI - The Walter Reed slip socket. PMID- 18138841 TI - Clinical manifestations of tick-borne relapsing fever with special reference to the disease in Cyprus. PMID- 18138842 TI - Disorders of micturition in poliomyelitis; some observations on pathology and treatment. PMID- 18138843 TI - Oral manifestations of agranulocytosis. PMID- 18138844 TI - [Epidemic of typhoid fever in Slavonski Brod 1947]. PMID- 18138845 TI - [Chlorinization method of water with preammonisation]. PMID- 18138846 TI - [Contribution to the knowledge of the etiology of pseudo exostosis dorsalis articuli metatarso-cuneiformis]. PMID- 18138847 TI - [Biometric measurements in the army]. PMID- 18138848 TI - [Comatose state in grave epileptic attacks due to section of the posterior third of the sagittal sinus]. PMID- 18138849 TI - [Endotracheal anaesthesia and plastic surgery of the jaw]. PMID- 18138850 TI - [Research on the value of preservative agents of dysentery bacilli]. PMID- 18138851 TI - [Determination of blood groups with dried serum]. PMID- 18138852 TI - Electroencephalography in differential diagnosis of supratentorial tumors. PMID- 18138853 TI - Temperature of skeletal muscle in cerebral hemiplegia and paralysis agitans. PMID- 18138854 TI - Use of potassium in protracted insulin coma; preliminary report. PMID- 18138855 TI - A possible psychologic complication and contraindication to electric shock therapy modified with curare; report of a case. PMID- 18138856 TI - Electroencephalographic studies in spinal cord disease. PMID- 18138857 TI - Metastatic mycotic abscesses of the brain. PMID- 18138858 TI - Medulloblastoma of the cerebellum. PMID- 18138859 TI - Cerebral fat embolism; report of a case with recovery. PMID- 18138860 TI - Fatal agranulocytosis due to trimethadione. PMID- 18138861 TI - Physiologic studies on arteriovenous anomalies of the brain. PMID- 18138862 TI - Vascular abnormalities and tumors of the spinal cord. PMID- 18138863 TI - Pick's disease; general survey and report of a case with chronic chorea. PMID- 18138864 TI - Role of the neurologist in the medical program of the Veterans Administration. PMID- 18138865 TI - Nonconvulsive biochemotherapy with histamine and electric convulsive therapy; a comparative study on hospitalized psychotics with a control ECT series. PMID- 18138866 TI - Orienting concepts in the study of effective states (transl.). PMID- 18138867 TI - On the psychopathology of impulsive wandering. PMID- 18138868 TI - Experimental catatonia and the problem of will and personality. PMID- 18138869 TI - Psychosomatic aspects of genuine epilepsy. PMID- 18138870 TI - Influencing of a periodical psychosis (degenerationspsychose) in connection with haematologic and bio-chemical alterations. PMID- 18138871 TI - [Not Available]. PMID- 18138872 TI - On prefrontal leucotomy. PMID- 18138873 TI - [Survey of food consumption and population's nutrition]. PMID- 18138874 TI - [Planning of nation's nutrition]. PMID- 18138875 TI - [Survey of food consumption conducted by the Ministry of Food]. PMID- 18138876 TI - [Survey of food consumption in nonrural households]. PMID- 18138877 TI - [Survey of food consumption and the state of nutrition of adolescents]. PMID- 18138878 TI - [Nutritional conditions of youth in Czechoslovakia]. PMID- 18138880 TI - [Manufacture of alcoholic beverages from honey]. PMID- 18138879 TI - [Technology of vegetable juices]. PMID- 18138881 TI - [Not Available]. PMID- 18138882 TI - [Not Available]. PMID- 18138883 TI - [Not Available]. PMID- 18138884 TI - [Not Available]. PMID- 18138885 TI - [Not Available]. PMID- 18138886 TI - [Not Available]. PMID- 18138887 TI - [Not Available]. PMID- 18138888 TI - [Not Available]. PMID- 18138889 TI - [Not Available]. PMID- 18138890 TI - [Not Available]. PMID- 18138891 TI - [Not Available]. PMID- 18138892 TI - [Not Available]. PMID- 18138893 TI - Some aspects of ocular melanotic growth. PMID- 18138894 TI - Blindness associated with haemorrhage. PMID- 18138895 TI - Some observations on the causation and elimination of Sattler's veil. PMID- 18138896 TI - Further investigations on the action of detergents on the eye. PMID- 18138897 TI - The artificially produced retinal pulse. PMID- 18138898 TI - [Not Available]. PMID- 18138899 TI - Chorda tympani nerve graft; report of follow-up observations one year postoperatively. PMID- 18138900 TI - The hearing aid in mixed deafness. PMID- 18138901 TI - Streptomycin toxicity of the eighth nerve. PMID- 18138902 TI - Contact ulcers and laryngeal tuberculosis. PMID- 18138903 TI - Bacitracin; its topical use in aural and pharyngeal infections. PMID- 18138904 TI - Tribromoethanol-ether anesthesia used for tonsillectomy and adenoidectomy; an analysis of 3,042 cases over an 8 year period. PMID- 18138905 TI - Use of thiopental sodium U.S.P. in operations on ear, nose and throat. PMID- 18138906 TI - Radium and the lymphoid tissue of the nasopharynx and pharynx; a new universal applicator. PMID- 18138907 TI - Primary amyloid deposits in the larynx. PMID- 18138909 TI - Functional examination of hearing. PMID- 18138908 TI - Rhabdomyosarcoma of the middle ear. PMID- 18138910 TI - [Not Available]. PMID- 18138911 TI - [Not Available]. PMID- 18138912 TI - [Not Available]. PMID- 18138913 TI - [Not Available]. PMID- 18138914 TI - Experimental cortical necrosis of adrenal gland in the monkey in diphtheria and in malaria; with observations on a fatal human infection with Plasmodium falciparum. PMID- 18138915 TI - The effect of lipo-adrenal extract on ionic balance in fatal simian malaria. PMID- 18138916 TI - Sternal marrow studies in Hodgkin's disease; a review of the literature and a report of 35 cases. PMID- 18138917 TI - Serum lipids following nephrectomy and in mercuric chloride poisoning. PMID- 18138918 TI - Leiomyosarcoma of the stomach; report of five cases. PMID- 18138919 TI - Bone formation in the heart. PMID- 18138920 TI - Asymptomatic Schistosoma japonicum infection associated with rectal carcinoma; report of a case. PMID- 18138921 TI - The response of tissue to total body irradiation. PMID- 18138922 TI - The pathology of hyperpyrexia; observations at autopsy in 17 cases of fever therapy. PMID- 18138923 TI - Histochemical studies on the pathogenesis of fibrinoid. PMID- 18138924 TI - Microchemical variation of alkaline phosphatase activity of liver in obstructive and hepatocellular jaundice. PMID- 18138925 TI - The isolation of mumps at autopsy. PMID- 18138926 TI - Reactions to an influenza virus vaccine in infants and children. PMID- 18138927 TI - Pseudoreactions to the tuberculin patch test. PMID- 18138928 TI - Scarlet fever; diagnostic value of the Dick test, white blood cell counts, throat cultures and desquamation. PMID- 18138929 TI - Antipertussis serum (animal). PMID- 18138930 TI - Congenital anomalies following maternal rubella. PMID- 18138931 TI - Fibrosis of the pancreas in infants and children; a statistical study of clinical and hereditary features. PMID- 18138932 TI - Fatal interstitial and mediastinal emphysema following accidental needle perforations of the trachea during jugular venipuncture. PMID- 18138933 TI - Intracranial hemorrhage and aseptic purulent meningitis in newborn infants. PMID- 18138934 TI - Sterile abscess in both buttocks secondary to injection of penicillin in sesame oil. PMID- 18138935 TI - Nephrolithiasis with renal tubular failure. PMID- 18138936 TI - Multiple calcareous deposits in the intestinal tract of the newborn; report of a case associated with stenosis of the ileum. PMID- 18138937 TI - Thrombopenic purpura in the newborn; review of the literature and report of six cases. PMID- 18138938 TI - Arachnodactyly; review of recent literature and report of a case with cleft palate. PMID- 18138939 TI - Treatment of scarlet fever with human immune globulin. PMID- 18138940 TI - Apparatus for automatic maintenance of body temperature in anaesthetized animals. PMID- 18138941 TI - [Not Available]. PMID- 18138942 TI - [Not Available]. PMID- 18138943 TI - [Not Available]. PMID- 18138944 TI - [Not Available]. PMID- 18138945 TI - [Not Available]. PMID- 18138946 TI - [Not Available]. PMID- 18138947 TI - [Not Available]. PMID- 18138948 TI - [Precipitation curve of Weltmann reaction in pediatrics]. PMID- 18138949 TI - [Not Available]. PMID- 18138950 TI - [Bleeding in acute rheumatism]. PMID- 18138951 TI - [Contribution to the study of ectodermosis pluriorificielle Fiessinger-Baader, type I stomatoectodermosis]. PMID- 18138952 TI - [Chronic malaria with hepatosplenomegalic syndrome]. PMID- 18138953 TI - [Extension of Sanborn tables for calculation of basal metabolism in children 6-14 years old]. PMID- 18138954 TI - [Development and future of premature children]. PMID- 18138956 TI - [Survey of contemporary individual psychotherapy in children]. PMID- 18138955 TI - [Tumors of appendix]. PMID- 18138958 TI - [Not Available]. PMID- 18138957 TI - [BCG vaccination against tuberculosis in district of Budejovice]. PMID- 18138959 TI - [Not Available]. PMID- 18138960 TI - [Not Available]. PMID- 18138961 TI - [Not Available]. PMID- 18138962 TI - [Not Available]. PMID- 18138963 TI - [Not Available]. PMID- 18138964 TI - [New concepts of childhood diarrhea]. PMID- 18138965 TI - [Infantile post-measles encephalopathic syndromes; their multietiologic aspects]. PMID- 18138966 TI - The potentiating effects of various compounds on the anti-bacterial activities of surface active agents. PMID- 18138967 TI - Hansen's disease. PMID- 18138968 TI - Glycerin and the vitamins. PMID- 18138969 TI - [Not Available]. PMID- 18138970 TI - [Not Available]. PMID- 18138971 TI - [Not Available]. PMID- 18138972 TI - [Not Available]. PMID- 18138973 TI - [Not Available]. PMID- 18138974 TI - The hydrogen ion concentration and osmotic properties of lacrimal fluid. PMID- 18138975 TI - Botanical and phytochemical studies in Hyoscyamus muticus, L. PMID- 18138976 TI - The effect of environment on the growth and alkaloidal content of Hyoscyamus muticus L. PMID- 18138977 TI - Colorimetric and fluorometric studies on the Borntraeger reaction for anthraquinone drugs. PMID- 18138978 TI - A new microtechnique in ultraviolet analysis. PMID- 18138979 TI - Studies on the identification of narcotics; microchemical reactions for identification of metopon. PMID- 18138980 TI - Refractive index measurements at and above the melting point of solids, gums, resins, and waxes. PMID- 18138981 TI - The acute and chronic toxicity of 9-aminoacridinepenicillin. PMID- 18138982 TI - 3-Amino-4-hydroxybenzenearsonous acid; oxophenarsine hydrochloride; decomposition products. PMID- 18138983 TI - 3-Amino-4-hydroxybenzenearsonic acid; oxophenarsine hydrochloride; decomposition rate. PMID- 18138984 TI - Local irritation caused by streptomycin in animals compared to pain produced in man. PMID- 18138985 TI - An accurate and economical method for the biological assay of aconite tincture. PMID- 18138986 TI - Sabadilla alkaloids; alkaloidal components of the petroleum ether extract. PMID- 18138987 TI - The occurrence of rutin in Sambucus canadensis. PMID- 18138988 TI - [Not Available]. PMID- 18138989 TI - [Not Available]. PMID- 18138990 TI - [Not Available]. PMID- 18138991 TI - [Not Available]. PMID- 18138992 TI - [Not Available]. PMID- 18138993 TI - [Not Available]. PMID- 18138994 TI - [Not Available]. PMID- 18138995 TI - [Not Available]. PMID- 18138996 TI - [Not Available]. PMID- 18138997 TI - Determination of phenolphthalein in medicinal preparations. PMID- 18138998 TI - Gold mine hospitals. PMID- 18138999 TI - Effects of tetra-ethyl-ammonium chloride on the cardiovascular reactions in man to changes in posture and exposure to centrifugal force. PMID- 18139000 TI - Cerebral dysfunction during negative acceleration. PMID- 18139001 TI - Effects of tetra-ethyl-ammonium chloride on pain thresholds in man. PMID- 18139002 TI - A new method of measuring fatigue by the threshold stimulus of the Achilles tendon reflex. PMID- 18139003 TI - Relationship between body build and capacity for exercise. PMID- 18139004 TI - Effects of active and passive limb movements upon respiration and O2 consumption in man. PMID- 18139005 TI - The influence of hydrostatic pressure and urethane on the thermal inactivation of bacteriophage. AB - In Difco nutrient broth, containing 0.5 per cent NaCl, pH 6.6, Escherichia coli phages T1, T2, and T5 were inactivated at 66 degrees C., and T7 at 60 degrees C., at nearly the same rate. In each case the rate of destruction was not uniform but more or less decreased with time of heating. With T2 there was an initial increase in number of infective centers after heating for several minutes at 66 degrees C. Hydrostatic pressures up to 10,000 pounds per square inch retarded the thermal destruction of T1, T2, and T5, but accelerated that of T7, while small concentrations of urethane accelerated the rate of each. The rate of inactivation was increased by the addition of 0.005 M phosphate, and was decreased by 0.005 M MgCl(2) in all but T7, whose rate was unaffected by this amount of Mg. The influence of Ca was similar to that of Mg. The addition of 0.005 M MgCl(2) to the broth medium resulted in a first order rate of destruction of T5 at either normal or increased pressure, and with as well as without urethane. Analysis of data obtained under these conditions indicated that the thermal inactivation proceeds with a volume increase of activation of 113 cc. per mol, and with a heat and entropy of 170,000 calories and 425 E. U., respectively, in the rate-limiting reaction. In the presence of 0.1 M urethane the heat and volume change of activation are apparently slightly greater. The relation between concentration of urethane and the amount of acceleration in rate of destruction at normal pressure and 66 degrees C. indicated that the total rate involves at least two first order rate processes: the thermal inactivation itself and a urethane-catalyzed reaction, the latter involving the combination of an average of 2.3 molecules of urethane in the activated state of the bacteriophage molecule whose destruction results in loss of phage activity. PMID- 18139006 TI - Phage formation in Staphylococcus muscae cultures; nucleic acid synthesis during virus formation. AB - 1. The total nucleic acid synthesized by normal and by infected S. muscae suspensions is approximately the same. This is true for either lag phase cells or log phase cells. 2. The amount of nucleic acid synthesized per cell in normal cultures increases during the lag period and remains fairly constant during log growth. 3. The amount of nucleic acid synthesized per cell by infected cells increases during the whole course of the infection. 4. Infected cells synthesize less RNA and more DNA than normal cells. The ratio of RNA/DNA is larger in lag phase cells than in log phase cells. 5. Normal cells release neither ribonucleic acid nor desoxyribonucleic acid into the medium. 6. Infected cells release both ribonucleic acid and desoxyribonucleic acid into the medium. The time and extent of release depend upon the physiological state of the cells. 7. Infected lag phase cells may or may not show an increased RNA content. They release RNA, but not DNA, into the medium well before observable cellular lysis and before any virus is liberated. At virus liberation, the cell RNA content falls to a value below that initially present, while DNA, which increased during infection falls to approximately the original value. 8. Infected log cells show a continuous loss of cell RNA and a loss of DNA a short time after infection. At the time of virus liberation the cell RNA value is well below that initially present and the cells begin to lyse. PMID- 18139007 TI - Studies on the physiological bases of morphogenesis in fungi; the respiratory metabolism of dimorphic pathogenic fungi. AB - The interconversions of mycelial and yeast-like forms (M right harpoon over left harpoon Y) in Blastomyces dermatitidis and in Blastomyces brasiliensis are characterized as examples of thermal dimorphism since the phenomena are apparently dependent only on the temperature of incubation of these two species. The change in morphology consequent upon Y --> M conversion is considered to result from the selective inhibition of cell division, without the simultaneous inhibition of growth. Such selective inhibition is viewed in a wider context as an example of the differential operation of the physicochemical apparatus of the cell in the control of form development by an organism. To analyze this differential operation, which is here dependent only on temperature, we have studied the effect of temperature on oxygen consumption by each of the dimorphic forms. In the absence of external substrate the yeast forms consume 5 to 6 times more oxygen per unit dry weight than do the M forms.The Y forms exhibit an exogenous oxidation of acetate and of glucose, as well as an oxidative assimilation of these substrates, whereas the M forms exhibit no exogenous metabolism in either a resting or starved condition. A study of the effect of a wide range of temperatures on oxygen consumption by the M forms indicates the operation of two rate-limiting processes: (a) one with an activation energy of 13,250 calories/gm. molecule over the range 5-30 degrees , and (b) reversible enzyme inactivation; the latter process assuming importance in the higher temperature range. On abrupt, large changes in temperature the balance between these two rate-limiting reactions (which it is suggested characterizes the steady state) is apparently disrupted as a result of a lag in the assumption of a rate of reversible enzyme inactivation characteristic of the new temperature. This disruption of balance is evidenced in overshoot phenomena. The effect of an analogous disruption of balance, and of increasing enzymic inactivation; on a competition between enzyme systems, competing for substrate for cell elongation and for cell division, is considered in explanation of the observed dependence of the cell division mechanism on the maintenance of an elevated temperature. PMID- 18139008 TI - Electrical phenomena in nerve; squid giant axon. AB - The action of a number of agents, which may be classified as "stabilizers" and "unstabilizers" on the electrical oscillations and after-potentials in the squid giant axon has been examined. The effects on the spike, "positive overshoot," and "potassium potential" were also observed, but where possible concentrations were employed which left these phenomena unaltered. Veratrine augmented the oscillations and the negative after-potential, particularly with repetitive stimulation. Yohimbine caused a small long lasting positive after-potential and depressed the oscillations, effects also enhanced with repetitive activity. Cocaine and procaine suppressed the oscillations and the negative after-potential but DDT was completely inert. An elevation in the medium calcium depressed the oscillations and the naturally occurring negative after-potential; negative after potentials induced with veratrine were increased by calcium. A decrease in the potassium augmented the oscillations and the negative after-potential. A hypothesis is presented in which these effects are interpreted in terms of potassium concentration at the fiber surface as regulated by a labile permeability and metabolism. This is discussed in relation to the available evidence for these factors. It is a pleasure to acknowledge the author's indebtedness to Dr. D. E. S. Brown, Director, and to his staff at the Bermuda Biological Station for Research for the cooperation and special facilities provided during the initiation of this work. Dr. T. Baylor of Princeton University very kindly provided the camera and film used in Bermuda. PMID- 18139009 TI - Electrical phenomena in nerve; crab nerve. AB - The resting and action potentials of the leg nerves of the spider crab are reduced by procaine, cocaine, iodoacetate, KCl, and veratrine. The first three agents depress the sensitivity of the resting potential to anoxia, while the last can be shown to augment it. Glucose sustains activity and the polarized state in the absence of oxygen, an effect blocked by iodoacetate; corresponding concentrations of lactate and pyruvate are inert under most experimental conditions. DDT and veratrine both induce repetitive activity following an impulse, but only the latter does so with a marked increase in negative after potential. The negative after-potential induced by veratrine is decreased by KCl relatively more than the spike or the resting potential. Elevation of the calcium content of the medium increases this after-potential. Neither ion appreciably alters the time constant of repolarization. The recovery is more rapid than that obtained following prolonged activity of both veratrinized and unveratrinized nerves. Repolarization following a tetanus is accelerated by an increase in the volume of solution in contact with the fibers; associated with this is an augmentation of the positive after-potential which normally follows a bout of activity. Yohimbine induces a positive after-potential following individual spikes which is depressed by an elevation of the potassium or calcium content of the medium. These observations are discussed from the standpoint of the available evidence for the involvement of potassium at the surface of the fibers as regulated by a labile permeability and metabolism. The potassium liberated by the action potential, calculated from the polarization changes, agrees closely with an available analytical figure; less direct observations are also found to be consistent with this view. PMID- 18139010 TI - Objective psychotherapy; principles, methods, and results. PMID- 18139011 TI - Comments on O'Kelly and Heyer's interpretation of their experimental results from Studies in motivation and retention, I. PMID- 18139012 TI - On Kendler's comments on Studies in motivation and retention, I. PMID- 18139013 TI - The specific hunger for sodium chloride in normal and adrenalectomized white rats. PMID- 18139015 TI - Acquisition and extinction of a conditioned avoidance response in dogs. PMID- 18139014 TI - Psychophysiological studies of motion sickness and airsickness. PMID- 18139016 TI - Effect of adrenalectomy on incidence of audiogenic seizures among domestic and wild rats. PMID- 18139017 TI - Relationship between supranormal glutamic acid and maze learning. PMID- 18139018 TI - Middle ear infection and sound induced seizures in rats. PMID- 18139019 TI - [Not Available]. PMID- 18139020 TI - [Not Available]. PMID- 18139021 TI - Psychotherapy as a problem in learning theory. PMID- 18139022 TI - Statistical methods applied to Rorschach scores; a review. PMID- 18139023 TI - [Not Available]. PMID- 18139024 TI - The use and abuse of dietary standards. PMID- 18139025 TI - A health service for federal government employees. PMID- 18139027 TI - [Not Available]. PMID- 18139026 TI - Cancer mortality, Ontario, 1921-1947. PMID- 18139028 TI - [Not Available]. PMID- 18139029 TI - [Not Available]. PMID- 18139030 TI - The participation of Switzerland in the international aid for refugees and homeless persons. PMID- 18139031 TI - [Not Available]. PMID- 18139032 TI - [Not Available]. PMID- 18139033 TI - Hospital survey and construction program; progress report. PMID- 18139035 TI - Pathology of a case of tracheobronchial diphtheria. PMID- 18139034 TI - Radiography of the nasolacrimal passageways. PMID- 18139036 TI - Embryonal rest of the oral cavity. PMID- 18139037 TI - Trichobezoar. PMID- 18139038 TI - A positioning device for lateral lumbar radiography. PMID- 18139039 TI - [Not Available]. PMID- 18139040 TI - [Not Available]. PMID- 18139041 TI - [Not Available]. PMID- 18139042 TI - [Not Available]. PMID- 18139043 TI - [Not Available]. PMID- 18139044 TI - Bronchiectasis and its management; a report of 277 cases. PMID- 18139045 TI - A method for topical anesthesia by nebulization of local anesthetics. PMID- 18139046 TI - Diagnostic bronchial lavage in tuberculosis. PMID- 18139047 TI - Surgery in congenital heart disease. PMID- 18139049 TI - Systemic blastomycosis. PMID- 18139048 TI - A modern evaluation of extrapleural pneumonolysis in the treatment of pulmonary tuberculosis with special reference to methyl methacrylate plombage; review of 26 cases. PMID- 18139050 TI - Arthralgia as a first symptom of pulmonary lesions. PMID- 18139051 TI - An unusual case of traumatic diaphragmatic hernia with successful operation. PMID- 18139052 TI - Wedge osteotomy of the neck of the femur in advanced cases of displaced upper femoral epiphysis; 10 year study. PMID- 18139053 TI - Transplantation of aortic segments fixed in 4 per cent neutral formalin; report of experiments in dogs. PMID- 18139055 TI - Treatment of inguinal hernia. PMID- 18139054 TI - Evolution of medullary fixation of fractures by the longitudinal pin. PMID- 18139056 TI - A survey of brain tumors for the general practitioner of surgery. PMID- 18139057 TI - The technic of operative cholangiography. PMID- 18139058 TI - Basis for planned management in intestinal obstruction. PMID- 18139059 TI - Gelatin solution as a plasma substitute in the treatment of shock from acute blood loss. PMID- 18139060 TI - Anatomic considerations in the treatment of carpal navicular fractures. PMID- 18139061 TI - Episacroiliac lipomas. PMID- 18139062 TI - Thromboembolism; prophylaxis and treatment. PMID- 18139063 TI - Enterogenous cyst of the duodenum. PMID- 18139064 TI - Fat embolism following abdominal surgery. PMID- 18139065 TI - Cyst of the pericardium. PMID- 18139066 TI - Extragenital (?) chorion-epithelioma in the male in the appearance of a primary lung tumour. PMID- 18139067 TI - The chronic undermining and burrowing ulcer of Meleney. PMID- 18139068 TI - Haemolytic streptococcus gangrene of the skin. PMID- 18139069 TI - Coelomic cysts. PMID- 18139070 TI - Indications, technique and results of the Torkildsen ventriculo-cisternostomy. PMID- 18139071 TI - The influence of the gastric acidity on the genesis of gastric ulcer. PMID- 18139072 TI - Plastic repair of skull defects with acrylic plates. PMID- 18139073 TI - A new guide apparatus for drilling the guide wire in the operative treatment of fracture of the femoral neck. PMID- 18139074 TI - [Not Available]. PMID- 18139075 TI - [Not Available]. PMID- 18139076 TI - [Not Available]. PMID- 18139077 TI - [Not Available]. PMID- 18139078 TI - [Not Available]. PMID- 18139079 TI - [Not Available]. PMID- 18139080 TI - [Not Available]. PMID- 18139081 TI - [Not Available]. PMID- 18139083 TI - [Not Available]. PMID- 18139082 TI - [Not Available]. PMID- 18139084 TI - [Not Available]. PMID- 18139085 TI - [Not Available]. PMID- 18139086 TI - Intracranial tumours. PMID- 18139087 TI - Brain tumours. PMID- 18139088 TI - Primary carcinoma of the liver. PMID- 18139089 TI - Papillary cystadenoma of the male breast; with a case report. PMID- 18139090 TI - A case of anterior dislocation of the elbow. PMID- 18139091 TI - Papworth today. PMID- 18139092 TI - The rehabilitation end point in hemiplegia. PMID- 18139093 TI - The slow healing wound. PMID- 18139094 TI - New methods of splinting in Bell's palsy. PMID- 18139095 TI - [Not Available]. PMID- 18139096 TI - [Not Available]. PMID- 18139097 TI - [Not Available]. PMID- 18139098 TI - [Not Available]. PMID- 18139099 TI - An experimental hut for testing residual insecticides against mosquitoes in the field. PMID- 18139100 TI - The local reaction of the animal host to the bites of snakes and the stings of venomous creatures. PMID- 18139101 TI - The food habits of Entamoeba histolytica. PMID- 18139103 TI - The surgical treatment of elephantiasis. PMID- 18139102 TI - Kala-azar; relapse following splenectomy. PMID- 18139104 TI - Blood examination and prognosis in acute falciparum malaria. PMID- 18139105 TI - The morphology of malaria parasites in thick blood films; the form and distribution of pigment. PMID- 18139106 TI - In vitro effects of chloromycetin on Malayan bacteria. PMID- 18139107 TI - Some peculiar cases of gangrene and their possible relationship to tropical phlebitis. PMID- 18139108 TI - A case of cutaneous amoebiasis. PMID- 18139109 TI - Clinical and biochemical studies in cholera and the rationale of treatment. PMID- 18139110 TI - Abnormal forms of Plasmodium vivax. PMID- 18139112 TI - [Steps in the conclusion of group examinations for tuberculosis]. PMID- 18139111 TI - [Metabolism in pulmonary tuberculosis and dietary methods]. PMID- 18139113 TI - [Method of photographing the bronchi from the side]. PMID- 18139114 TI - [BCG injection and the tuberculin reaction]. PMID- 18139115 TI - [Roentgenological observations on the initial stage of pulmonary tuberculosis]. PMID- 18139116 TI - [Transformation of the positive tuberculin reaction in children by means of boiled BCG vaccine]. PMID- 18139117 TI - [Results with the artificial pneumothorax operation on both sides]. PMID- 18139118 TI - [The effect of artificial pneumothorax on the number of tubercle bacilli in the sputum]. PMID- 18139119 TI - [The right and left symmetry in the human lungs]. PMID- 18139120 TI - Numerical transformations in the analysis of experimental data. PMID- 18139121 TI - The similarity paradox in human learning; a resolution. PMID- 18139122 TI - The Gestalt theory of expression. PMID- 18139123 TI - Research and standards. PMID- 18139124 TI - Methods for the microbiological examination of foods. PMID- 18139125 TI - School sanitation. PMID- 18139126 TI - Current methods of controlling rodents and fleas in the campaign against bubonic plague and murine typhus. PMID- 18139127 TI - [Surgical treatment of pulmonary tuberculosis]. PMID- 18139129 TI - Pancreatic cysts simulating renal disease. PMID- 18139128 TI - Benign and malignant pheochromocytomas with necropsies; benign case with multiple neurofibromatosis and cavernous hemangioma of fourth ventricle; malignant case with widespread metastases and bronchiogenic carcinoma. PMID- 18139130 TI - Renal colic in cases of tumor and tuberculosis of the kidney; roentgenologic views. PMID- 18139131 TI - Preliminary nephrostomy preparatory to secondary nephrectomy. PMID- 18139132 TI - Squamous cell carcinoma of the renal pelvis; three case reports and review of the literature. PMID- 18139133 TI - Retrocaval ureter; report of a case with successful plastic repair. PMID- 18139134 TI - Urachus and bladder actinomycosis; presentation of one clinical case. PMID- 18139135 TI - Hemoglobinemia and hemoglobinuric nephrosis complicating transurethral resection of the prostate. PMID- 18139136 TI - Myelofibrosis and generalized osteosclerosis secondary to carcinoma of the prostate. PMID- 18139137 TI - Survival in cancer of the prostate. PMID- 18139138 TI - Cyst of the seminal vesicle. PMID- 18139139 TI - Hydrocalycosis. PMID- 18139140 TI - Ureteral obstruction associated with carcinoma of the cervix. PMID- 18139141 TI - Transurethral resection of large prostates. PMID- 18139142 TI - Intraprostatic local anesthesia for transurethral prostatic resections. PMID- 18139143 TI - Pelvic myalgia; a complication of posterior urethritis in males and females. PMID- 18139144 TI - Cancer of the scrotum. PMID- 18139145 TI - Medical treatment of urinary tuberculosis; case reports. PMID- 18139146 TI - Liver damage in anaesthesia. PMID- 18139147 TI - Anaesthesia for prostatectomy in the aged. PMID- 18139148 TI - Reflex tonus response of respiratory muscle to trauma; pneumographic recording during pentothal anesthesia. PMID- 18139149 TI - Experiments on intravascular administravascular administration of oxygen and of helium. PMID- 18139150 TI - Changes in renal circulation and function during temporary denervation. PMID- 18139151 TI - Observations in cardiac arrest during operation: ventricular fibrillation with recovery, after intracardiac epinephrine; case report. PMID- 18139152 TI - The role of basic sciences in anesthesia. PMID- 18139153 TI - Pharmacology in anesthesia. PMID- 18139154 TI - Biochemistry in anesthesia. PMID- 18139155 TI - Physiology in anesthesia. PMID- 18139156 TI - Immunization with heat-killed Mycobacterium paratuberculosis in mineral oil. PMID- 18139157 TI - The effect of orally administered streptomycin and sulfathalidine upon the bacterial flora of the colon. PMID- 18139158 TI - Studies on bacterial variation and selective environments; the nature of the selective serum factor affecting the variation of Brucella abortus. PMID- 18139159 TI - Studies on bacterial variation and selective environments; the effects of sera from brucella-infected animals and from normal animals of different species upon the variation of Brucella abortus. PMID- 18139163 TI - The properties of formaldehyde-resistant Corynebacterium diphteriae. PMID- 18139169 TI - Study on toxins and antigens of Shigella dysenteriae; active protection of rabbits with whole organisms and fractions of Shigella dysenteriae. PMID- 18139172 TI - The occurrence of vegetative cells of Clostridium perfringens in soil. PMID- 18139173 TI - The mosquitoes of Bwamba County, Uganda; intensive catching on tree-platforms, with further observations on Aedes (Stegomyia) africanus, Theobald. PMID- 18139174 TI - The climatology of blowfly myiasis; oviposition and daily weather indices. PMID- 18139175 TI - The biology of Quettania coeruleipennis Schwarzer (Coleoptera) in Baluchistan. PMID- 18139177 TI - Studies on the attractiveness of human populations to anophelines. PMID- 18139176 TI - An arsenic-resistant tick and its control with gammexane dips. PMID- 18139178 TI - Studies on wheat bulb fly, Leptohylemyia coarctata Fall; survey of infestation in Yorkshire. PMID- 18139179 TI - Laboratory experiments on the effect of DDT and BHC on certain aphidophagous insects and their hosts. PMID- 18139181 TI - Hibernation of Hyalomma savignyi (Ixodidae) in Palestine. PMID- 18139180 TI - Recent work on mercury as an insecticide against insect pests of stored grain. PMID- 18139182 TI - Climate and the activity of the Kenya coastal Glossina. PMID- 18139183 TI - The proventricular region of Tetraopes tetraophthalmus Forst (Coleoptera:Cerambycidae). PMID- 18139184 TI - The effect of gonadal hormones on liver nucleic acids in the immature pullet. PMID- 18139185 TI - Exchange of materials in a lake as studied by the addition of radioactive phosphorus. PMID- 18139186 TI - Distribution of P32 in chick embryos. PMID- 18139187 TI - A key to the embryological development of Melanoplus bivittatus, Say, M. mexicanus mexicanus, Sauss., and M. packardii Scudder. PMID- 18139188 TI - Water uptake in eggs of Melanoplus bivittatus (Say). PMID- 18139189 TI - Recent advances in the treatment of the malignant diseases of the blood-forming organs. PMID- 18139190 TI - The primary and secondary compounds of catalase and methyl or ethyl hydrogen peroxide; reactions with hydrogen peroxide. PMID- 18139191 TI - Serum vasoconstrictor (serotonin) the presence of creatinine in the complex; a proposed structure of the vasoconstrictor principle. PMID- 18139192 TI - Formation of creatine in vitro from methyl phosphate and guanidoacetic. PMID- 18139193 TI - Preparation of triphosphopyridine nucleotide. PMID- 18139194 TI - Metabolic functions of biotin; the synthesis of citrulline from ornithine in liver tissue from normal and biotin-deficient rats. PMID- 18139195 TI - 3-Substituted thiophenes; synthesis of beta-3-thienylalanine in the rat. PMID- 18139196 TI - Studies on the mechanism of nitrogen storage effects of anterior pituitary growth hormone preparations on plasma glutamine, total free amino acids, and the excretion of urinary ammonia. PMID- 18139197 TI - Effect of cystine and threonine on the growth of rats receiving tryptophan deficient rations. PMID- 18139198 TI - Metabolism of emulsified trilaurin (-C1400-) and octanoic acid (-C1400-) by rat tissue slices. PMID- 18139199 TI - The adrenal cortex and serum peptidase activity. PMID- 18139200 TI - Metabolic study of the methyl groups of butter yellow. PMID- 18139201 TI - A metabolic study of alpha-aminobutyric acid. PMID- 18139202 TI - A fluorometric method for the estimation of tryptophan. PMID- 18139203 TI - The amino acid composition of pork and lamb cuts. PMID- 18139204 TI - Fatty acid synthesis by enzyme preparations of Clostridium kluyveri; preparation of cell-free extracts that catalyze the conversion of ethanol and acetate to butyrate and caproate. PMID- 18139205 TI - Fatty acid synthesis by enzyme preparations of Clostridium kluyveri; the aerobic oxidation of ethanol and butyrate with the formation of acetyl phosphate. PMID- 18139206 TI - Fatty acid synthesis by enzyme preparations of Clostridium kluyveri; the activation of molecular hydrogen and the conversion of acetyl phosphate and acetate to butyrate. PMID- 18139207 TI - The reductive cleavage of 4-dimethylaminoazobenzene by rat liver; the intracellular distribution of the enzyme system and its requirement for triphosphopyridine nucleotide. PMID- 18139208 TI - Thiamine triphosphoric acid; its relation to the thiamine pyrophosphate (cocarboxylase) of Lohmann and Schuster. PMID- 18139209 TI - Factors in fluencing the electrophoretic analysis of human serum. PMID- 18139210 TI - Studies on the conversion of radioactive leucine to acetoacetate. PMID- 18139211 TI - Fatty acid synthesis by enzyme preparations of Clostridium kluyveri; the phosphorclastic decomposition of acetoacetate of acetyl phosphate and acetate. PMID- 18139212 TI - Studies on the hazard involved in use of C14; retention of carbon from labeled sodium bicarbonate. PMID- 18139213 TI - Perborate as substrate in a new assay of catalase. PMID- 18139214 TI - The specificity of leucine aminopeptidase; optical and side chain specificity. PMID- 18139215 TI - The fluorometric determination of malic acid. PMID- 18139216 TI - A micromethod for assay of total tocopherols in blood serum. PMID- 18139217 TI - Preparation of sucrose labeled with C14 in the glucose or fructose component. PMID- 18139218 TI - The effect of heat on the availability of pork protein in vivo and in vitro. PMID- 18139219 TI - Synthesis of alpha- and beta-glucose-1,6-diphosphate. PMID- 18139220 TI - Activation of phosphoglucomutase by metal-binding agents. PMID- 18139221 TI - A specific color reaction of glycolic aldehyde. PMID- 18139222 TI - Inhibition of aconitase by trans-aconitate. PMID- 18139223 TI - A new series of microscope objectives; catadioptric Newtonian systems. PMID- 18139224 TI - A new series of microscope objectives; preliminary investigation of catadioptric Schwarzschild systems. PMID- 18139225 TI - The rise in brightness of infra-red sensitive phosphors. PMID- 18139226 TI - Artificial fluorite. PMID- 18139227 TI - X-ray optics; the production of converging beams by total reflection. PMID- 18139228 TI - A study of the mechanism of modified Rayleigh scattering. PMID- 18139229 TI - The coefficient of specific resolution of the human eye for Foucault test objects viewed through circular apertures. PMID- 18139230 TI - The influence of magnification on resolving power of telescopic systems for Foucault test objects of different inherent contrast. PMID- 18139231 TI - On some aspects of white, gray, and black. PMID- 18139232 TI - Use of polytrifluorochloroethylene in infra-red and Raman spectroscopy. PMID- 18139233 TI - A low temperature infra-red transmission cell. PMID- 18139234 TI - The spectral dispersion of birefringence, especially of birefringent plastic sheets. PMID- 18139235 TI - The optical transmission of additively colored alkali halide crystals in the visible and near infra-red. PMID- 18139236 TI - X-ray images by refractive focusing. PMID- 18139237 TI - Fabrication of semicontoured molar loop bands from chrome banding material. PMID- 18139238 TI - Head growth of the macaque monkey as revealed by vital staining, embedding, and undecalcified sectioning. PMID- 18139240 TI - Orthodontic education. PMID- 18139239 TI - A study of bacterial counts (lactobacilli) in saliva related to orthodontic appliances; a preliminary report. PMID- 18139241 TI - The removal of second premolars in orthodontic treatment. PMID- 18139242 TI - Enamel caries; a chemico-physical hypothesis; chemical. PMID- 18139243 TI - Two histological abnormalities. PMID- 18139244 TI - The effects of vacuum investing on the compressive strength of investments. PMID- 18139245 TI - Studies on the synovial fluid and the synovial membrane of the temporomandibular joint. PMID- 18139246 TI - Mandibular osteomyelitis. PMID- 18139247 TI - Fracture of an edentulous mandible immobilized with interosseous wiring. PMID- 18139248 TI - Anesthesia. PMID- 18139249 TI - Traumatic injuries to the temporomandibular joint. PMID- 18139250 TI - Complications in the administration of thiopental sodium. PMID- 18139251 TI - Present status of procaine toxicity. PMID- 18139252 TI - A conservative technic for the management of the common type of impacted mandibular third molar. PMID- 18139253 TI - The periapical abscess. PMID- 18139254 TI - Adamantinoma of the mandible; report of case. PMID- 18139255 TI - Pressure atrophy of the mandible; report of case. PMID- 18139256 TI - Cystadenoma of the mandible. PMID- 18139257 TI - Heteroplastic bone formation in the cheek. PMID- 18139258 TI - Ammoniated dentifrices. PMID- 18139259 TI - A simple technique for the removal of impacted mandibular third molars of interest to the general practitioner. PMID- 18139260 TI - Conference on library indexing and nomenclature. PMID- 18139261 TI - Blocking of ascorbic acid metabolism in guinea pigs by injection of glucoascorbic acid. PMID- 18139262 TI - The hormones regulating digestion in the small intestine. PMID- 18139263 TI - [Not Available]. PMID- 18139265 TI - [Not Available]. PMID- 18139264 TI - [Not Available]. PMID- 18139266 TI - [Not Available]. PMID- 18139267 TI - [Not Available]. PMID- 18139268 TI - [Not Available]. PMID- 18139269 TI - [Not Available]. PMID- 18139270 TI - [Not Available]. PMID- 18139271 TI - [Not Available]. PMID- 18139272 TI - [Not Available]. PMID- 18139273 TI - [Not Available]. PMID- 18139274 TI - Kaposi sarcoma in a Chinese boy (aged 16 years) with localisation on the left lower extremity and on the right caruncula lacrimalis. PMID- 18139275 TI - [Not Available]. PMID- 18139276 TI - [Not Available]. PMID- 18139277 TI - [Not Available]. PMID- 18139278 TI - [Not Available]. PMID- 18139279 TI - [Not Available]. PMID- 18139280 TI - Medical mycology; general laboratory investigative methods. PMID- 18139282 TI - Evidence that renal sodium excretion by normal human subjects is regulated by adrenal cortical activity. PMID- 18139285 TI - The action of streptococcal desoxyribose nuclease in vitro and on purulent pleural exudations of patients. PMID- 18139286 TI - Studies with radioactive iodized fat; preparation of radioactive fat with observations on the absorption of fat following subcutaneous and intraperitoneal injection in dogs. PMID- 18139287 TI - Studies with radioactive iodized fat; the tissue distribution of emulsified fat following intravenous administration. PMID- 18139289 TI - Studies of the role of the liver in human carbohydrate metabolism by the venous catheter technic; patients with diabetic ketosis; before and after the administration of insulin. PMID- 18139290 TI - The circulation time from the pulmonary artery to the femoral artery and the quantity of blood in the lungs in normal individuals. PMID- 18139291 TI - The circulation time from the pulmonary artery to the femoral artery and the quantity of blood in the lungs in patients with mitral stenosis and in patients with left ventricular failure. PMID- 18139292 TI - Maturation of renal function in childhood; clearance studies. PMID- 18139294 TI - Serological studies in rheumatic fever; serum complement in the rheumatic state. PMID- 18139293 TI - The cerebral blood flow in male subjects as measured by the nitrous oxide technique; normal values for blood flow, oxygen utilization, glucose utilization and peripheral resistance, with observations on the effect of tilting and anxiety. PMID- 18139295 TI - Evaluation of therapeutic substances employed for the relief of bronchospasm; adrenergic agents. PMID- 18139297 TI - Chloramphenicol in the treatment of tsutsugamushi disease. PMID- 18139296 TI - Evaluation of therapeutic substances employed for the relief of bronchospasm; aminophylline. PMID- 18139298 TI - Changes in liver glycogen studies by the needle aspiration technic in patients with diabetic ketosis; with a method for the estimation of glycogen from histologic preparations. PMID- 18139301 TI - The serum proteins in portal cirrhosis under medical management; electrophoretic studies. PMID- 18139302 TI - [Not Available]. PMID- 18139303 TI - [Not Available]. PMID- 18139304 TI - [Not Available]. PMID- 18139305 TI - [Not Available]. PMID- 18139306 TI - [Not Available]. PMID- 18139307 TI - [Not Available]. PMID- 18139308 TI - [Not Available]. PMID- 18139309 TI - Eradication of the vectors of insect-borne diseases of man. PMID- 18139310 TI - Sludge digestion for dried grass production. PMID- 18139311 TI - The scope of care work and who should undertake it. PMID- 18139312 TI - The continuity of medical and social services in home and hospital. PMID- 18139313 TI - A study of emotion revealed in two types of athletic sports contests. PMID- 18139314 TI - Evaluation of clinical methods in gastrointestinal disease; cholesterol determinations in peptic ulcer. PMID- 18139315 TI - Experiences with sodium carboxymethylcellulose as an antacid. PMID- 18139316 TI - Achlorhydria and its clinical significance in diabetes mellitus. PMID- 18139317 TI - The palpatory examination of the pancreas; description of a new method. PMID- 18139319 TI - The dumping syndrome; what makes it and how to avoid it. PMID- 18139318 TI - Electrophoretic studies of the serum proteins in portal cirrhosis. PMID- 18139320 TI - Sex as a constitutional factor for susceptibility to peptic ulcer. PMID- 18139321 TI - Thiamine deficiency, pyruvate metabolism and acid secretion in mouse stomachs in vitro. PMID- 18139322 TI - Gastric ulcer in the presence of histamine achlorhydria. PMID- 18139323 TI - The excretion of 17-ketosteroids in idiopathic hirsutism. PMID- 18139324 TI - The antithyroid action of 5-iodothiouracil, 6-methyl-5-iodothiouracil, thiocytosine and (Ca) 4-n-propyl 6-oxypyrimidyl-2-mercaptoacetic acid. PMID- 18139325 TI - Retarded absorption of pellets of protamine-zinc insulin. PMID- 18139326 TI - Comparative value and accuracy of measurements of urinary I131 by beta and by gamma ray counting. PMID- 18139327 TI - Urinary pregnanediol determination as a test of pregnancy. PMID- 18139328 TI - Pseudohypoparathyroidism; report of a case with late manifestations. PMID- 18139329 TI - Cellular involution in the thyroid gland; significance of Hurthle cells in myxedema, exhaustion atrophy, Hashimoto's disease and the reactions to irradiation, thiouracil therapy and subtotal resection. PMID- 18139330 TI - Myxedema circumscriptum thyrotoxicum; report of two cases and remarks on its pathogenesis and treatment. PMID- 18139331 TI - Generalized insulin allergy. PMID- 18139332 TI - Glucose tolerance in osteitis deformans. PMID- 18139333 TI - The Hoover Commission on Federal Food, Drug, and Cosmetic Law. PMID- 18139334 TI - Chemicals used in manufactured foods or as pesticides on growing foods. PMID- 18139335 TI - Some aspects of certification of antibiotics under the Federal Food, Drug, and Cosmetic Act. PMID- 18139336 TI - False advertisement of food, drugs, and cosmetics. PMID- 18139338 TI - The evolution of rational therapeutics. PMID- 18139337 TI - Canada's food and drug regulations. PMID- 18139339 TI - [Not Available]. PMID- 18139340 TI - The internal structure of protein molecules. PMID- 18139341 TI - Biological importance of the internal structure of proteins. PMID- 18139342 TI - On magnetic behaviour of some carcinogenic substances. PMID- 18139343 TI - [Not Available]. PMID- 18139344 TI - [Not Available]. PMID- 18139345 TI - [Not Available]. PMID- 18139346 TI - [Not Available]. PMID- 18139348 TI - [Not Available]. PMID- 18139347 TI - [Not Available]. PMID- 18139349 TI - [Not Available]. PMID- 18139350 TI - The Monte Carlo method. PMID- 18139351 TI - A sampling study of the merits of autoregressive and reduced form transformation in regression analysis. PMID- 18139352 TI - Control of a general census by means of an area sampling method. PMID- 18139353 TI - By-product data and forecasting in unemployment insurance. PMID- 18139354 TI - Heats of combustion and formation of cyclopropane. PMID- 18139356 TI - Volume dilatometry. PMID- 18139355 TI - An instrument for measuring longitudinal spherical aberration of lenses. PMID- 18139357 TI - The animal that cannot lie down. PMID- 18139358 TI - Studies in Lonchocarpus and related genera; new species from Middle America and the Lonchocarpus guatemalensis complex. PMID- 18139359 TI - Effect of low temperature on the absorption spectra of haemoproteins; with observations on the absorption spectrum of oxygen. PMID- 18139360 TI - Some observations on the mode of action of penicillin. PMID- 18139361 TI - Effect of X-rays on the incorporation of carbon-14 into animal tissue. PMID- 18139362 TI - Self-regulation of the muscle contraction by facilitation and inhibition from its proprioceptors. PMID- 18139363 TI - Origin and site of formation of fructose in the foetal sheep. PMID- 18139364 TI - Drug action of formaldehyde derivatives of sulphathiazole. PMID- 18139365 TI - Molybdenum and sulphur in symbiotic nitrogen fixation. PMID- 18139366 TI - Fluorescence of soil contituents in ultra-violet light. PMID- 18139367 TI - Beta decay of thulium-170. PMID- 18139368 TI - Calculation of factorial moments of certain probability distributions. PMID- 18139369 TI - Production of heavy mesons in cosmic ray stars. PMID- 18139370 TI - COPYING from journals of scientific papers. PMID- 18139371 TI - The personality of peoples. PMID- 18139372 TI - Potassium. PMID- 18139373 TI - Radioactivity and time. PMID- 18139374 TI - The composition of Irish drinking waters, with special reference to the distribution and significance of fluoride. PMID- 18139375 TI - Neuro-surgery in the new born. PMID- 18139376 TI - Studies on surviving human placental tissue; the placental production of gonadotrophin. PMID- 18139377 TI - Alkalosis and tetany following protracted vomiting. PMID- 18139378 TI - Cesarean section experience in 1948. PMID- 18139379 TI - [Not Available]. PMID- 18139380 TI - New contributory data to the prognosis of puerperium. PMID- 18139381 TI - Gonads, adrenals and intersexuality. PMID- 18139382 TI - Studies on hypoproteinemia; familial idiopathic dysproteinemia. PMID- 18139383 TI - Periodic (cyclic) neutropenia, an entity; a collection of 16 cases. PMID- 18139384 TI - Liver extract refractory megaloblastic anemia. PMID- 18139385 TI - A note on the effectiveness of vitamin B12 in the treatment of tropical sprue in relapse. PMID- 18139386 TI - Dicumarol therapy controlled by the stabilized thrombin method for determination of prothrombin. PMID- 18139387 TI - The effect of folic acid on the toxicity of its analogue 4-aminopteroylglutamic acid. PMID- 18139388 TI - Erythrocytopoiesis in the nervous system of the embryonic rat. PMID- 18139390 TI - The garden in history. PMID- 18139389 TI - [Not Available]. PMID- 18139391 TI - Botanical gardens in America. PMID- 18139392 TI - [Not Available]. PMID- 18139393 TI - [Not Available]. PMID- 18139394 TI - [Not Available]. PMID- 18139395 TI - Present-day trends in hospital administration. PMID- 18139396 TI - What it takes to be an Arctic nurse. PMID- 18139397 TI - Well-planned expansion at St. Elizabeth's Hospital Brighton, Mass. PMID- 18139399 TI - [Not Available]. PMID- 18139398 TI - Is it permissible to use ergot preparations to control hemorrhage in cases of threatened, inevitable, or incomplete abortion? PMID- 18139400 TI - Sorry, wrong patient. PMID- 18139401 TI - For better medical-hospital relations the specialty problem must be solved. PMID- 18139402 TI - The national health problem; its diagnosis, etiology and treatment. PMID- 18139403 TI - Establishing a blood bank. PMID- 18139404 TI - Quantitative studies on the origin and characteristics of streptomycin-fast variants of Klebsiella pneumoniae. PMID- 18139405 TI - The effect of age upon susceptibility to infection with influenza virus. PMID- 18139406 TI - Pathogenesis of local tetanus in the dog and the cat. PMID- 18139407 TI - Antihemagglutinating and neutralizing factors against Newcastle disease virus occurring in sera of Patients convalescent from mumps. PMID- 18139408 TI - The occurrence of antibodies for Pneumococcus type II in the serum of normal rabbits. PMID- 18139409 TI - Multiplication of pneumonia virus in mice in the rabbit lung and the demonstration of a hemagglutinating component in lung suspensions from normal animals. PMID- 18139410 TI - Purification pH stability and sedimentation properties of the T7 bacteriophage of Escherichia coli. PMID- 18139412 TI - Skin cleaners for industry. PMID- 18139411 TI - Studies on the chemotherapy of virus infections; general anesthetics and other drugs ineffective against experimental virus infections in mice. PMID- 18139413 TI - Motor of windshield wiper furnishes power for mobile air sampler. PMID- 18139414 TI - Disinfection of the air with triethylene glycol vapor. PMID- 18139415 TI - Electrophoretic, nitrogen and lipide analyses of plasma and plasma fractions of healthy young men. PMID- 18139416 TI - A spontaneously precipitable protein in human sera, with particular reference to the diagnosis of polyarteritis nodosa. PMID- 18139417 TI - Acute diffuse glomerulonephritis. PMID- 18139418 TI - Pulmonary adenomatosis. PMID- 18139419 TI - Prognosis of acute myocardial infarction. PMID- 18139420 TI - Recent advances in streptomycin therapy. PMID- 18139421 TI - Acute diffuse glomerulonephritis. PMID- 18139422 TI - Diffuse progressive interstitial fibrosis of the lungs. PMID- 18139423 TI - A syndrome characterized by generalized cutaneous eruption, chorioretinitis and eosinophilia, probably due to chronic toxoplasma infection. PMID- 18139424 TI - The management of embolism of the arteries of the extremities. PMID- 18139425 TI - The prevention of arteriosclerosis. PMID- 18139427 TI - Surgery of the gallbladder; postoperative study of 150 cases. PMID- 18139426 TI - Chronic suppurative apocrine glandular infection (hidradenitis suppurativa) report of two cases. PMID- 18139428 TI - Spontaneous massive intraperitoneal hemorrhage with report of a case. PMID- 18139429 TI - Subacute glomerulonephritis. PMID- 18139431 TI - Early ambulation in obstetrics. PMID- 18139430 TI - Para-amino-salicylic acid in the treatment of tuberculosis. PMID- 18139432 TI - Clinical and biochemical study of remissions in nonspecific arthritis; report of a case. PMID- 18139433 TI - Aerosol and micromized ephedrine and penicillin therapy of diseases of the lower respiratory tract; treatment of bronchitis, bronchiectasis and intrinsic asthma. PMID- 18139434 TI - Reflex vasodilatation by body heating in diagnosis of peripheral vascular disorders; a criticism of methods. PMID- 18139435 TI - Familial periodic paralysis; report on two families, with observations on the pathogenesis of the syndrome. PMID- 18139436 TI - Clinical syndrome of occlusion of the posterior inferior cerebellar artery; report of three cases. PMID- 18139437 TI - Relation of pulmonary embolism to peripheral thrombosis. PMID- 18139438 TI - Pernicious anemia in early adolescence; report of a case in a girl of 14. PMID- 18139439 TI - Gastroenterology; a review of the literature from July 1947 to July 1948. PMID- 18139440 TI - [Not Available]. PMID- 18139441 TI - [Not Available]. PMID- 18139442 TI - [Not Available]. PMID- 18139443 TI - [Not Available]. PMID- 18139444 TI - Reform in medical education. PMID- 18139445 TI - The teaching of physiology. PMID- 18139446 TI - The teaching of chemistry. PMID- 18139447 TI - On teaching physics to medical students. PMID- 18139448 TI - The training of the teacher. PMID- 18139449 TI - Optimal methods in the treatment of ophthalmia neonatorum. PMID- 18139450 TI - Infection with penicillin-resistant staphylococci in hospital and general practice. PMID- 18139451 TI - Homologous serum jaundice. PMID- 18139452 TI - Iso-immunization by blood-group factors A and B in man. PMID- 18139453 TI - Acute pericarditis simulating cardiac infarction. PMID- 18139454 TI - Gangrenous intussusception. PMID- 18139455 TI - Recent developments in anticoagulant therapy. PMID- 18139456 TI - Diagnosis of congenital heart disease by angiography and aortography. PMID- 18139457 TI - The diagnosis and treatment of sciatica. PMID- 18139458 TI - Thrombocytopenic purpura. PMID- 18139459 TI - Management of thyrotoxicosis. PMID- 18139460 TI - Carcinoma of the bladder; ureteral transplant and total cystectomy. PMID- 18139461 TI - The lymph node biopsy. PMID- 18139462 TI - [Not Available]. PMID- 18139463 TI - [Not Available]. PMID- 18139464 TI - [Not Available]. PMID- 18139465 TI - Vertigo of aural origin. PMID- 18139466 TI - Morbidity and pathology of transposed abdominal viscera. PMID- 18139467 TI - Studies on poliomyelitis in Ontario; observations on the apparent infectiousness of the acute case. PMID- 18139468 TI - Improved results in perforated peptic ulcer. PMID- 18139469 TI - Resuscitation of the surgical patient. PMID- 18139470 TI - Changing concepts in prostatic surgery. PMID- 18139471 TI - Medical management of bronchial asthma. PMID- 18139472 TI - The pathology and treatment of the post-phlebitic leg and its complications. PMID- 18139474 TI - Chronic duodenal ulcer with reference to hormonal influences and surgical treatment. PMID- 18139473 TI - A method of treatment of urethral strictures. PMID- 18139475 TI - Technical equipment for vasal catheterization. PMID- 18139476 TI - The importance of the prone position in the roentgenologic diagnosis of slight mitral disease. PMID- 18139478 TI - A synthesis of the prevailing patterns of the bronchopulmonary segments in the light of their variations. PMID- 18139477 TI - Chordomata; with report of a sacrococcygeal case. PMID- 18139479 TI - Electrocardiographic patterns in pneumothorax. PMID- 18139480 TI - Some experiences with the after care of poliomyelitis. PMID- 18139481 TI - The treatment of essential hypertension. PMID- 18139482 TI - An executive's view of industrial medicine. PMID- 18139483 TI - Inhibition of chloroform-adrenaline fibrillation by antihistaminics. PMID- 18139484 TI - Effect of antihistaminics on arrhythmias following coronary artery ligation. PMID- 18139485 TI - Postpartum heart disease. PMID- 18139486 TI - Liver function tests. PMID- 18139487 TI - Blood alcohol and the doctor. PMID- 18139488 TI - The idea of social medicine in America. PMID- 18139489 TI - [Treatment of fetal erythroblastosis]. PMID- 18139490 TI - [Streptomycin in urology]. PMID- 18139491 TI - [New methods of treatment of gastro-duodenal ulcers]. PMID- 18139492 TI - [Toxic reactions in a patient treated with methylthiouracil]. PMID- 18139493 TI - [Aplasia of the salivary glands]. PMID- 18139494 TI - [Pasteurella pseudotuberculosis sepsis]. PMID- 18139495 TI - [Diagnostic method of tuberculosis]. PMID- 18139496 TI - [Diseases of the circulatory system and their relation to the ability to work]. PMID- 18139497 TI - [Calmette's vaccination]. PMID- 18139498 TI - [Precautions to be taken by tubercular parents]. PMID- 18139499 TI - [Surgery of malignant tumors of the cardia and oesophagus and of advanced cancer of the stomach]. PMID- 18139500 TI - [Fatal case of puerperal sepsis]. PMID- 18139501 TI - [Not Available]. PMID- 18139502 TI - [Not Available]. PMID- 18139503 TI - [Gastrointestinal hormones]. PMID- 18139504 TI - [Not Available]. PMID- 18139505 TI - [Not Available]. PMID- 18139506 TI - [Not Available]. PMID- 18139507 TI - [Not Available]. PMID- 18139508 TI - [Not Available]. PMID- 18139509 TI - [Not Available]. PMID- 18139510 TI - [Not Available]. PMID- 18139511 TI - [Not Available]. PMID- 18139512 TI - [Not Available]. PMID- 18139514 TI - Analysis of cancer of the breast at the Waterbury Hospital, 1931-1948. PMID- 18139513 TI - Reduction of mortality in surgery of the aged. PMID- 18139515 TI - Coexisting primary cancer of the ovary and fundus uteri. PMID- 18139516 TI - A comparative study of various apparatus and techniques for aerosol administration. PMID- 18139517 TI - The Brown report and its relation to nursing in Connecticut. PMID- 18139518 TI - The impact of socialized medicine on the British physician and his patient. PMID- 18139519 TI - Tuberculosis morbidity and mortality in Delaware. PMID- 18139520 TI - Public health nursing functions in a tuberculosis control program. PMID- 18139521 TI - The cancer program of the State Board of Health. PMID- 18139522 TI - Marriage trends. PMID- 18139523 TI - Vital points of the Delaware Premarital Law. PMID- 18139524 TI - Expansion of crippled children's services in Delaware under the State Board of Health. PMID- 18139525 TI - The value of early recognition of congenital defects. PMID- 18139526 TI - The fluorine program in Delaware. PMID- 18139527 TI - [Not Available]. PMID- 18139528 TI - [Not Available]. PMID- 18139529 TI - [Not Available]. PMID- 18139530 TI - [Not Available]. PMID- 18139531 TI - [Not Available]. PMID- 18139532 TI - [Not Available]. PMID- 18139533 TI - [Not Available]. PMID- 18139534 TI - [Not Available]. PMID- 18139535 TI - [Not Available]. PMID- 18139536 TI - [Not Available]. PMID- 18139537 TI - [Not Available]. PMID- 18139538 TI - The preparation of the whole patient for cataract surgery. PMID- 18139539 TI - The renal excretion of salt and water. PMID- 18139540 TI - Modern hearing tests. PMID- 18139541 TI - Painless jaundice. PMID- 18139542 TI - Periodic disease; periodic fever, periodic abdominalgia, cyclic neutropenia, intermittent arthralgia, angioneurotic edema, anaphylactoid purpura and periodic paralysis. PMID- 18139543 TI - Treatment of shigella enteritis with oral streptomycin; a report of 34 cases. PMID- 18139544 TI - Acute hemolytic anemia due to naphthalene poisoning; a clinical and experimental study. PMID- 18139545 TI - Topical bacitracin therapy of pyogenic dermatoses; a clinical report. PMID- 18139546 TI - Poisoning due to tetraethylpyrophosphate. PMID- 18139548 TI - Progress without statistics. PMID- 18139547 TI - Positive methyl alcohol reactions in the tissues of a young person dying in diabetic coma. PMID- 18139549 TI - Beta ray burns of human skin. PMID- 18139550 TI - Genetics of atherosclerosis; studies of families with xanthoma and unselected patients with coronary artery disease under the age of 50 years. PMID- 18139551 TI - Cancer of the biliary tract and pancreas; diagnosis from cytology of duodenal aspirations. PMID- 18139552 TI - Vitamin B12 and coordination exercises for combined degeneration of the spinal cord in pernicious anemia. PMID- 18139553 TI - Use of histamine in a retarding menstruum in peripheral vascular disease. PMID- 18139554 TI - Purpura and neutropenia in trimethadione therapy; report of a case with recovery. PMID- 18139555 TI - The pathogenesis, diagnosis, and management of acute poliomyelitis. PMID- 18139556 TI - Organizing a new medical school. PMID- 18139557 TI - The medical curriculum and the teaching of psychiatry. PMID- 18139558 TI - The Tennessee four quarter plan after 18 years. PMID- 18139559 TI - The art of medical practice. PMID- 18139560 TI - Cancer of the breast; a comparison study of findings in a charity clinic and in a private clinic. PMID- 18139561 TI - Early closure of burn areas. PMID- 18139562 TI - New drugs. PMID- 18139563 TI - Pelvic pain in women. PMID- 18139564 TI - Lower nephron nephrosis. PMID- 18139565 TI - Late cutaneous relapse following the rapid treatment of early syphilis with penicillin; report of a case. PMID- 18139566 TI - Studies of the differences between biuret and Kjeldahl determinations of serum proteins; experimental peritonitis. PMID- 18139567 TI - Studies of the differences between biuret and Kjeldahl determination of serum proteins; effect of occlusion of the hepatic artery and ligation of the gastroduodenal artery on serum proteins. PMID- 18139568 TI - Studies of the differences between biuret and Kjeldahl determinations of serum proteins; liver and other diseases. PMID- 18139569 TI - Heberden's nodes; the relationship of the menopause to degenerative joint disease of the fingers. PMID- 18139570 TI - The state of component A (prothrombin) in human blood; evidence that it is partly free and partly in an inactive or precursor form. PMID- 18139571 TI - Failure of sensitized sheep cell agglutination to clarify the diagnosis of rheumatic disease. PMID- 18139572 TI - Evaluation of an in vitro heparin tolerance test for thromboembolic disease. PMID- 18139573 TI - Observations on the coagulation defect in thrombocytopenic purpura. PMID- 18139574 TI - Serum glutamic acid levels and the occurrence of nausea and vomiting after the intravenous administration of amino acid mixtures. PMID- 18139575 TI - Carbonic anhydrase activity in sickle cell anemia, sickle cell trait, and pernicious anemia. PMID- 18139576 TI - Clinical studies on thiomerin, a new mercurial diuretic. PMID- 18139577 TI - Effect of epinephrine on vitamin A and glucose blood levels in normal and cirrhotic subjects. PMID- 18139578 TI - Primary histoplasmosis with recovery of Histoplasma capsulatum from the blood and bronchial secretions. PMID- 18139579 TI - A new mounting for the electrokymograph. PMID- 18139580 TI - Methods for the determinations of radioactive phosphorus (P32) in body fluids. PMID- 18139582 TI - Surgical treatment of varicose veins. PMID- 18139581 TI - A simple, inexpensive apparatus for the desiccation of bacteria and other substances. PMID- 18139583 TI - Cytology and uterine cancer detection in general practice. PMID- 18139584 TI - The treatment of bronchiectasis. PMID- 18139585 TI - A statistical analysis of private practice in Eastport, Maine. PMID- 18139586 TI - [Not Available]. PMID- 18139587 TI - [Not Available]. PMID- 18139588 TI - [Not Available]. PMID- 18139589 TI - [Not Available]. PMID- 18139590 TI - [Not Available]. PMID- 18139591 TI - [Not Available]. PMID- 18139592 TI - The clinical value of aureomycin; a review of current literature and some unpublished data. PMID- 18139593 TI - Metabolic changes in anesthesia under various states of nutrition. PMID- 18139594 TI - Lymphosarcoma of the thorax; report of a case. PMID- 18139595 TI - Up-to-date views on management of syphilis. PMID- 18139596 TI - Newer concepts of epilepsy. PMID- 18139597 TI - Intra-ventricular brain tumors. PMID- 18139598 TI - The electroencephalogram in severe head injuries with tantalum cranioplasty. PMID- 18139599 TI - The effects of certain steroid compounds on various manifestations of rheumatoid arthritis. PMID- 18139600 TI - A simplified method of diagnosing peptic ulceration and determining activity. PMID- 18139601 TI - [Not Available]. PMID- 18139602 TI - [Not Available]. PMID- 18139603 TI - [Not Available]. PMID- 18139605 TI - [Not Available]. PMID- 18139604 TI - [Not Available]. PMID- 18139606 TI - [Not Available]. PMID- 18139607 TI - Renal physiology and hypertension. PMID- 18139608 TI - Clinical gastroscopy. PMID- 18139609 TI - Hyaluronidase. PMID- 18139610 TI - Insulin therapy; successes and problems. PMID- 18139611 TI - The Guillain-Barre syndrome or acute infective polyneuritis. PMID- 18139612 TI - Incidence of Staphylococcus aureus in the anterior nares of healthy children. PMID- 18139613 TI - Serum-enzyme changes in perforated peptic ulcer. PMID- 18139614 TI - A method of central sterilization of syringes in hospital. PMID- 18139615 TI - Ovarian pregnancy. PMID- 18139616 TI - Intravenous procaine for postoperative atelectasis. PMID- 18139617 TI - TRANSVERSE myelitis. PMID- 18139618 TI - Dysmenorrhoea. PMID- 18139619 TI - Vitamin B12 by mouth in pernicious and nutritional macrocytic anaemia and sprue. PMID- 18139620 TI - Urinary excretion of radioactive iodine as a diagnostic aid in thyroid disorders. PMID- 18139621 TI - Urinary excretion of radioactive iodine as a diagnostic test in thyroid disease. PMID- 18139622 TI - Transorbital leucotomy; some results and observations. PMID- 18139623 TI - Guide impactor for use with Capener-Neufeld nail. PMID- 18139624 TI - A state practice in Swedish Lapland. PMID- 18139625 TI - Overdose of amphetamine. PMID- 18139626 TI - [New trends in Czechoslovakian balneology]. PMID- 18139627 TI - [Effects of Karlovy Vary Spa therapy on the liver and biliary passages]. PMID- 18139628 TI - [Treatment of arterial occlusion with mud poultices]. PMID- 18139629 TI - [Therapy of obesity in Marianske Lazne Spa]. PMID- 18139630 TI - [Direct effect of natural gaseous carbon dioxide baths]. PMID- 18139631 TI - [Mineral water Rudolfka of Marianske Lazne Spa and its use in acute nonspecific cystitis in women]. PMID- 18139632 TI - [Climatological contribution to the therapy of hypertension in Marianske Lazne Spa in 1948]. PMID- 18139633 TI - [Regeneration of the peat]. PMID- 18139634 TI - [Changes in chemical structure of stored mineral water]. PMID- 18139635 TI - [Age of the mineral water of Frantiskovy Lazne Spa and its enzymatic activity]. PMID- 18139636 TI - [Not Available]. PMID- 18139637 TI - [Not Available]. PMID- 18139638 TI - [Not Available]. PMID- 18139639 TI - [Not Available]. PMID- 18139640 TI - [Not Available]. PMID- 18139641 TI - Massive haemorrhage from peptic ulcer. PMID- 18139642 TI - The role of the anaesthetist in massive peptic haemorrhage. PMID- 18139643 TI - Carcinoma of the stomach; a statistical summary. PMID- 18139644 TI - Treatment of neurosyphilis. PMID- 18139645 TI - Treatment of toxic goiters with radioactive iodine. PMID- 18139646 TI - Thyroid nodules, benign and malignant; observations on their function. PMID- 18139647 TI - Problems in the diagnosis of thyrotoxicosis. PMID- 18139648 TI - Problems in the diagnosis and management of myxedema. PMID- 18139649 TI - Management of essential hypertension. PMID- 18139650 TI - Treatment of hypertension in children by sympathectomies. PMID- 18139651 TI - The therapeutic indications for nitrogen mustards in lymphoma. PMID- 18139652 TI - The dumping syndrome. PMID- 18139653 TI - Chronic gastritis as a source of gross hemorrhage; a report and discussion of four cases. PMID- 18139654 TI - The treatment of rheumatoid arthritis. PMID- 18139655 TI - Clinical tests of endocrine function. PMID- 18139656 TI - Malignant degeneration in ulcerative colitis; report of seven cases. PMID- 18139657 TI - The diagnosis and treatment of headache. PMID- 18139658 TI - The management of intestinal obstruction. PMID- 18139659 TI - The management of urinary infections. PMID- 18139660 TI - Principles of the surgery of the skin. PMID- 18139661 TI - Pre-operative radiotherapy in the treatment of osteogenic sarcoma. PMID- 18139662 TI - The injured back. PMID- 18139663 TI - The indications for operation on the injured back. PMID- 18139664 TI - Endometriosis. PMID- 18139665 TI - [Not Available]. PMID- 18139666 TI - [Not Available]. PMID- 18139667 TI - [Not Available]. PMID- 18139668 TI - [Not Available]. PMID- 18139669 TI - [Not Available]. PMID- 18139670 TI - [Not Available]. PMID- 18139671 TI - [Not Available]. PMID- 18139672 TI - [Not Available]. PMID- 18139673 TI - [Not Available]. PMID- 18139675 TI - [Not Available]. PMID- 18139676 TI - Melanoma. PMID- 18139674 TI - [Not Available]. PMID- 18139677 TI - [Not Available]. PMID- 18139678 TI - [Not Available]. PMID- 18139679 TI - [Not Available]. PMID- 18139680 TI - [Not Available]. PMID- 18139681 TI - [Not Available]. PMID- 18139682 TI - [Not Available]. PMID- 18139683 TI - Indications for gastrectomy. PMID- 18139684 TI - A brief survey of immunization and its results during the past 10 years. PMID- 18139685 TI - Anaesthesia in general practice. PMID- 18139686 TI - The aetiology of mental deficiency. PMID- 18139687 TI - Diabetes mellitus; practical management of ambulatory cases. PMID- 18139688 TI - Streptomycin and sulfathalidine in bowel surgery. PMID- 18139689 TI - Crowe's vaccine combined with conventional measures in the management of arthritis. PMID- 18139690 TI - The modern treatment of leprosy. PMID- 18139691 TI - The malpractice problem. PMID- 18139692 TI - Report of research studies of emotional factors in three types of physically handicapped children. PMID- 18139693 TI - Disturbances of micturition. PMID- 18139694 TI - Tropical travel risks. PMID- 18139695 TI - [Not Available]. PMID- 18139696 TI - [Not Available]. PMID- 18139698 TI - [Not Available]. PMID- 18139697 TI - [Not Available]. PMID- 18139700 TI - [Not Available]. PMID- 18139699 TI - [Not Available]. PMID- 18139701 TI - [Not Available]. PMID- 18139702 TI - [Not Available]. PMID- 18139703 TI - [Not Available]. PMID- 18139704 TI - [Not Available]. PMID- 18139705 TI - [Not Available]. PMID- 18139706 TI - [Not Available]. PMID- 18139707 TI - [Not Available]. PMID- 18139708 TI - [Not Available]. PMID- 18139709 TI - [Not Available]. PMID- 18139710 TI - [Not Available]. PMID- 18139711 TI - Aureomycin in the treatment of pneumonia in infants and children. PMID- 18139712 TI - Development of tolerance to ergot alkaloids in a patient with unusually severe migraine. PMID- 18139713 TI - Localized pretibial myxedema; a stigma of hyperthyroidism. PMID- 18139715 TI - Suprasellar epidermal cyst. PMID- 18139714 TI - Gastrointestinal allergy. PMID- 18139716 TI - Carcinoma of gall bladder. PMID- 18139717 TI - Medical considerations in the care of elderly patients with hip fractures. PMID- 18139718 TI - Acute herpetic gingivostomatitis in the adult. PMID- 18139719 TI - Radiation exposures from the use of shoe-fitting fluoroscopes. PMID- 18139720 TI - Gastrointestinal allergy. PMID- 18139721 TI - Torsion and infarction of ovarian fibroma. PMID- 18139722 TI - Treatment of syphilis in private practice. PMID- 18139723 TI - [Not Available]. PMID- 18139724 TI - [Not Available]. PMID- 18139725 TI - [Not Available]. PMID- 18139726 TI - [Not Available]. PMID- 18139727 TI - [Not Available]. PMID- 18139728 TI - [Not Available]. PMID- 18139729 TI - [Not Available]. PMID- 18139730 TI - [Not Available]. PMID- 18139731 TI - [Not Available]. PMID- 18139732 TI - [Not Available]. PMID- 18139733 TI - [Not Available]. PMID- 18139734 TI - [Not Available]. PMID- 18139735 TI - [Not Available]. PMID- 18139736 TI - [Not Available]. PMID- 18139737 TI - [Not Available]. PMID- 18139738 TI - [Not Available]. PMID- 18139739 TI - [Not Available]. PMID- 18139740 TI - [Not Available]. PMID- 18139741 TI - [Not Available]. PMID- 18139742 TI - [Not Available]. PMID- 18139743 TI - [Not Available]. PMID- 18139744 TI - [Not Available]. PMID- 18139745 TI - [Not Available]. PMID- 18139746 TI - [Not Available]. PMID- 18139747 TI - [Not Available]. PMID- 18139748 TI - [Not Available]. PMID- 18139749 TI - [Not Available]. PMID- 18139750 TI - [Not Available]. PMID- 18139751 TI - [Not Available]. PMID- 18139752 TI - [Not Available]. PMID- 18139753 TI - [Not Available]. PMID- 18139754 TI - The choice of cases for uretero-intestinal anastomosis. PMID- 18139755 TI - Surgical treatment of hypertension; present concepts. PMID- 18139756 TI - Pediatric education and the practicing physician. PMID- 18139757 TI - Roentgen findings in injuries of the wrist. PMID- 18139758 TI - Short history of psychiatry and neurology in Pennsylvania. PMID- 18139759 TI - Onchocerciasis in America. PMID- 18139760 TI - Vitallium cup arthroplasty in the treatment of degenerative arthritis of the hip; report of six cases. PMID- 18139761 TI - Interstitial cystitis; report of 223 cases, 204 women and 19 men. PMID- 18139762 TI - Emboli of the brachial and popliteal arteries; case report. PMID- 18139764 TI - Management of patients with renal lithiasis. PMID- 18139763 TI - Total facial reconstruction following burns. PMID- 18139765 TI - Surgical treatment of asthma. PMID- 18139766 TI - Surgical aspects of duodenal ulcer. PMID- 18139767 TI - Etiology of varicose veins. PMID- 18139768 TI - [Nitritoid crises, its diagnosis, treatment and prevention]. PMID- 18139769 TI - [Dried milk and its use in Czechoslovakia]. PMID- 18139770 TI - [Emergency surgery in hemophilia]. PMID- 18139771 TI - [Localization of lipomas]. PMID- 18139772 TI - [Medical control in physical education]. PMID- 18139773 TI - [Problem of child mortality]. PMID- 18139774 TI - [Not Available]. PMID- 18139775 TI - [Not Available]. PMID- 18139777 TI - [Not Available]. PMID- 18139776 TI - [Not Available]. PMID- 18139778 TI - [Not Available]. PMID- 18139779 TI - [Not Available]. PMID- 18139780 TI - [Not Available]. PMID- 18139781 TI - [Not Available]. PMID- 18139782 TI - [Not Available]. PMID- 18139784 TI - [Not Available]. PMID- 18139783 TI - [Not Available]. PMID- 18139785 TI - [Not Available]. PMID- 18139786 TI - [Not Available]. PMID- 18139787 TI - [Not Available]. PMID- 18139788 TI - [Not Available]. PMID- 18139789 TI - [Not Available]. PMID- 18139790 TI - [Not Available]. PMID- 18139791 TI - [Not Available]. PMID- 18139792 TI - [Not Available]. PMID- 18139794 TI - [Not Available]. PMID- 18139793 TI - [Not Available]. PMID- 18139795 TI - Vagotomy; immediate results in 28 cases and later results in 68 cases. PMID- 18139796 TI - Conservative management of chemical burns of the esophagus and their sequelae. PMID- 18139798 TI - A phylogenetic concept of allergy. PMID- 18139797 TI - The effect of combined therapy with streptomycin and para-aminosalicylic acid on experimental tuberculosis in guinea pigs. PMID- 18139799 TI - Observations on the formation of connective tissue fibers. PMID- 18139800 TI - The cellular transfer of cutaneous hypersensitivity to tuberculin in man. PMID- 18139801 TI - Acetylcholine-like action of a product formed by an acetylating enzyme system derived from brain. PMID- 18139802 TI - New substrates for cholinesterases. PMID- 18139803 TI - Mobilization of radioactive sodium from the gastronomies muscle of the dog. PMID- 18139804 TI - Is the salivary lactobacillus count a valid index of activity of dental caries? PMID- 18139805 TI - Nucleoproteins and the cytological chemistry of Paramecium nuclei. PMID- 18139806 TI - Reactions of normal ovaries to injections of stilbestrol. PMID- 18139807 TI - Male mice tolerate dosages of pteroylglutamic acid lethal to females. PMID- 18139808 TI - Mechanism of proteinuria; identity of urinary proteins in the rat following parenteral protein injection. PMID- 18139809 TI - Some observations on growth factors required by Leuconostoc citrovorum. PMID- 18139810 TI - The lipotropic effect of estrogenic hormones in inbred rats. PMID- 18139811 TI - Prevention of chemotherapeutic effects of 4-amino-N10-methyl-pteroylglutamic acid on mouse leukemia by pteroylglutamic acid. PMID- 18139813 TI - Effect of febrile plasma, typhoid vaccine and nitrogen mustard on renal manifestations of human glomerulonephritis. PMID- 18139812 TI - Effect of aluminum hydroxide gel and calcium lactate on serum bicarbonate. PMID- 18139814 TI - Occurrence of a transient leucocytosis during the Jarisch-Herxheimer reaction. PMID- 18139815 TI - A new method of flame photometry. PMID- 18139816 TI - Intracellular distribution of vitamin B6 in rat and mouse livers and induced rat liver tumors. PMID- 18139817 TI - Healing of tuberculous pulmonary cavities by means of skin grafts. PMID- 18139818 TI - Effect of alloxan in rabbits with temporary occlusion of the arteries to the pancreas. PMID- 18139819 TI - Effect of uric acid in glutathione-deficient rabbits. PMID- 18139820 TI - Effect of germination on phytin content and phytase activity of some common Indian pulses. PMID- 18139821 TI - Creatinine, potassium, and virus content of the muscles following infection with the Coxsackie virus. PMID- 18139822 TI - The role of complement in the lysis of leucocytes by tuberculo-protein. PMID- 18139823 TI - Alloxan subdiabetes in rabbits detected by modification of glucose tolerance by adrenal cortex extract. PMID- 18139824 TI - A self-contained method for the administration of fluids at regular rates. PMID- 18139825 TI - Apparatus for cross transfusion. PMID- 18139826 TI - Reversal of insulin-induced hypoglycemia in chick embryos by nicotinamide and alpha-ketoglutaric acid. PMID- 18139828 TI - Replacement of a portion of the common bile duct with a segment of uterine horn. PMID- 18139827 TI - Influence of methionine and thiouracil on nitrogen balance index and organ weights of adult rat. PMID- 18139829 TI - Observations on experimental aortic anastomosis. PMID- 18139830 TI - Isolation of an anti-thyroid compound from rape seed (Brassica napus). PMID- 18139831 TI - Effect of administration of sodium benzoate on the level of glutamine in blood. PMID- 18139833 TI - Effect of incubation on the cholesterol partition in human serum. PMID- 18139832 TI - Aureomycin in experimental polyarthritis with preliminary trials in clinical arthritis. PMID- 18139834 TI - Effect of antihistamine on the localization of trypan blue in xylene treated areas of skin. PMID- 18139835 TI - Studies on elimination of penicillin G in dogs. PMID- 18139836 TI - Electron microscopy study of chick embryo erythrocytes. PMID- 18139837 TI - Effect of thymine desoxyriboside on human pernicious anemia. PMID- 18139838 TI - Local sweating in man induced by intradermal epinephrine. PMID- 18139839 TI - Effect of feeding dried egg plant (Solanum melonga L.) on plasma cholesterol. PMID- 18139840 TI - Synthesis of nucleic acid and phosphoprotein in normal and cancer tissue slices studied with radio phosphorus. PMID- 18139841 TI - Low speed microtomy for the electron miscroscope. PMID- 18139843 TI - Use of antitryptic agents in tissue culture; crude soybean trypsin-inhibitor. PMID- 18139842 TI - The rate and total loss of body water on the survival time of adrenalectomized frogs. PMID- 18139844 TI - The mechanism by which dibenamine blocks pituitary activation in the rabbit and rat. PMID- 18139845 TI - Intraventricular pressure curves of the human heart obtained by direct transthoracic puncture. PMID- 18139846 TI - Spiral arterial structures in the fetal placenta. PMID- 18139847 TI - Effects of intravenous injection in dogs of staphylokinase and dog serum fibrinolysin. PMID- 18139848 TI - Lethal effect of triethylene glycol vapor on air-borne mumps virus and Newcastle disease virus. PMID- 18139849 TI - Effect of ammonium chloride on serum sodium/chloride ratio in foreign serum arteritis in rabbits. PMID- 18139850 TI - Protective effect of vitamin B12 upon hepatic injury produced by carbon tetrachloride. PMID- 18139851 TI - Relation of fat deficiency symptoms to the polyunsaturated fatty acid content of the tissues of the mature rat. PMID- 18139852 TI - The blocking effect of nembutal on the ovulatory discharge of gonadotrophin in the cyclic rat. PMID- 18139853 TI - Lethal brucella infections in white mice produced with the aid of the mucin technic. PMID- 18139854 TI - The antidiuretic action of relaxin-containing preparations. PMID- 18139855 TI - A chemical method for the detection of virus infection of the chick embryo. PMID- 18139856 TI - Hemagglutination with the GDVII strain of mouse encephalo myelitis virus. PMID- 18139857 TI - Hemagglutination by Columbia SK, Columbia MM, mengo encephalomyelitis and encephalomyocarditis viruses; experiments with other viruses. PMID- 18139858 TI - Veriloid, a new hypotensive extract of Veratrum viride. PMID- 18139859 TI - A comparison of desocyribonucleic acid content in certain nuclei of normal liver and liver tumors. PMID- 18139860 TI - Excretion of radiocalcium by normal rats. PMID- 18139861 TI - [Not Available]. PMID- 18139862 TI - [Not Available]. PMID- 18139863 TI - [Not Available]. PMID- 18139864 TI - [Not Available]. PMID- 18139865 TI - [Not Available]. PMID- 18139866 TI - [Not Available]. PMID- 18139867 TI - [Not Available]. PMID- 18139868 TI - [Not Available]. PMID- 18139869 TI - [Not Available]. PMID- 18139870 TI - [Not Available]. PMID- 18139871 TI - [Not Available]. PMID- 18139872 TI - [Not Available]. PMID- 18139873 TI - [Place and importance of radiological semiology in the assessment of mitral heart]. PMID- 18139874 TI - [Endoscopic surgery of the ureterocele]. PMID- 18139875 TI - The plastic repair of injuries to the male genitalia. PMID- 18139876 TI - Vascular accidents of the extremities. PMID- 18139877 TI - Instrumentation in relation to electromyography; factors influencing recording and interpretation of electromyograms. PMID- 18139878 TI - [Not Available]. PMID- 18139879 TI - [Not Available]. PMID- 18139880 TI - Mass suppression with chloroquine; chloroquine and pentaquine; and neopremaline. PMID- 18139881 TI - [Orientation behavior in bile duct surgery]. PMID- 18139882 TI - [Treatment of veneral chancre with sulfathiourea]. PMID- 18139883 TI - [Costal approximator]. PMID- 18139884 TI - Tuberculosis of the vulva with special emphasis on treatment with streptomycin. PMID- 18139885 TI - Osteo-arthritis; orthopaedic aspects of treatment. PMID- 18139886 TI - The development of post-graduate medical studies in South Africa. PMID- 18139887 TI - Detachment of the retina; some practical experiences in the operative treatment. PMID- 18139888 TI - Ophthalmology in general practice. PMID- 18139889 TI - A case of gastro-gynaecological interest. PMID- 18139890 TI - Haemochromatosis; report of a case in a female. PMID- 18139891 TI - The use of curare and pentothal sodium modifying electroconvulsive therapy. PMID- 18139892 TI - The painful shoulder. PMID- 18139893 TI - [Not Available]. PMID- 18139894 TI - [Not Available]. PMID- 18139895 TI - [Not Available]. PMID- 18139896 TI - [Not Available]. PMID- 18139897 TI - [Not Available]. PMID- 18139898 TI - [Not Available]. PMID- 18139899 TI - [Not Available]. PMID- 18139900 TI - [Not Available]. PMID- 18139901 TI - [Not Available]. PMID- 18139902 TI - [Not Available]. PMID- 18139903 TI - [Not Available]. PMID- 18139904 TI - [Not Available]. PMID- 18139905 TI - [Not Available]. PMID- 18139906 TI - [Not Available]. PMID- 18139907 TI - [Not Available]. PMID- 18139909 TI - A static and dynamic muscle schema. PMID- 18139908 TI - [Not Available]. PMID- 18139910 TI - [Not Available]. PMID- 18139911 TI - [Not Available]. PMID- 18139912 TI - [Not Available]. PMID- 18139913 TI - [Not Available]. PMID- 18139914 TI - [Not Available]. PMID- 18139915 TI - [Not Available]. PMID- 18139916 TI - [Not Available]. PMID- 18139917 TI - [Not Available]. PMID- 18139918 TI - [Not Available]. PMID- 18139919 TI - [Not Available]. PMID- 18139920 TI - [Not Available]. PMID- 18139922 TI - [Not Available]. PMID- 18139921 TI - [Not Available]. PMID- 18139923 TI - [Not Available]. PMID- 18139924 TI - [Not Available]. PMID- 18139925 TI - [Not Available]. PMID- 18139926 TI - [Not Available]. PMID- 18139927 TI - [Not Available]. PMID- 18139928 TI - [Not Available]. PMID- 18139929 TI - [Not Available]. PMID- 18139930 TI - [Not Available]. PMID- 18139931 TI - [Not Available]. PMID- 18139932 TI - [Not Available]. PMID- 18139933 TI - [Not Available]. PMID- 18139934 TI - [Not Available]. PMID- 18139935 TI - [Not Available]. PMID- 18139936 TI - [Not Available]. PMID- 18139937 TI - [Not Available]. PMID- 18139938 TI - The surgery of primary glaucoma. PMID- 18139939 TI - Lipid pneumonia. PMID- 18139940 TI - Arrhythmias in normal hearts. PMID- 18139941 TI - Squamous cell carcinoma of the pancreas. PMID- 18139942 TI - Studies on the absorption, excretion and acute toxicity of a sulfonamide mixture. PMID- 18139944 TI - The principles of traction and suspension in the treatment of fractures. PMID- 18139943 TI - Combined therapy of infectious disease. PMID- 18139945 TI - The surgical management of duodenal ulcer. PMID- 18139946 TI - Medical school financing in theory and practice. PMID- 18139947 TI - Skin cancer; a 10-year survey in private practice. PMID- 18139948 TI - [Studies on epidemic hepatitis, especially the classification of the pathogenic organism]. PMID- 18139949 TI - [Method of sutural contraction of exfoliation of the lungs outside the pleura]. PMID- 18139950 TI - [Results in a few biological tests on rabbits for resistance to tuberculosis]. PMID- 18139951 TI - [The pharmacology of the alkylresorcinols, especially of hexylresorcinol]. PMID- 18139952 TI - [Congenital deformities and rubella in the initial stage of pregnancy]. PMID- 18139953 TI - [The use of penicillin in obstetrics]. PMID- 18139954 TI - [Cases of pregnancy among sufferers from chronic medullary leukemia]. PMID- 18139955 TI - [Epidemiology and quarantine]. PMID- 18139956 TI - [Diathesis from the standpoint of bacteriology]. PMID- 18139957 TI - [Not Available]. PMID- 18139958 TI - [Not Available]. PMID- 18139959 TI - [Not Available]. PMID- 18139960 TI - [Not Available]. PMID- 18139961 TI - [Not Available]. PMID- 18139962 TI - [Not Available]. PMID- 18139963 TI - [Not Available]. PMID- 18139964 TI - [Not Available]. PMID- 18139965 TI - [Not Available]. PMID- 18139966 TI - [Not Available]. PMID- 18139967 TI - [Not Available]. PMID- 18139968 TI - [Not Available]. PMID- 18139969 TI - [Not Available]. PMID- 18139970 TI - [Not Available]. PMID- 18139971 TI - [Not Available]. PMID- 18139972 TI - [Not Available]. PMID- 18139973 TI - [Not Available]. PMID- 18139974 TI - [Not Available]. PMID- 18139975 TI - [Not Available]. PMID- 18139976 TI - [Psychoanalysis and Marxism]. PMID- 18139977 TI - [The CBC in clinical surgery]. PMID- 18139979 TI - The clinical aspects of electroencephalography. PMID- 18139978 TI - [Teaching and research laboratories in the United States of America]. PMID- 18139981 TI - Pyloric stenosis; its problems and management; report of a case. PMID- 18139980 TI - Subshock insulin therapy in anxiety states. PMID- 18139982 TI - Prolapse of the gastric mucosa into the duodenum; a preliminary report. PMID- 18139983 TI - Sarcoidosis; a review of 11 cases including two autopsies. PMID- 18139984 TI - [Not Available]. PMID- 18139985 TI - [Not Available]. PMID- 18139986 TI - [Not Available]. PMID- 18139987 TI - [Not Available]. PMID- 18139988 TI - [Not Available]. PMID- 18139989 TI - [Not Available]. PMID- 18139991 TI - [Not Available]. PMID- 18139990 TI - [Not Available]. PMID- 18139992 TI - [Not Available]. PMID- 18139993 TI - [Not Available]. PMID- 18139994 TI - [Not Available]. PMID- 18139995 TI - [Not Available]. PMID- 18139996 TI - [Not Available]. PMID- 18139997 TI - [Not Available]. PMID- 18139998 TI - [Not Available]. PMID- 18139999 TI - [Not Available]. PMID- 18140000 TI - [Not Available]. PMID- 18140001 TI - [Not Available]. PMID- 18140002 TI - [Not Available]. PMID- 18140003 TI - [Not Available]. PMID- 18140004 TI - Treatment of carcinoma of the prostate gland. PMID- 18140005 TI - Practical aspects of electroencephalography. PMID- 18140006 TI - Simple ulcer of the transverse colon; report of a case. PMID- 18140007 TI - The handling of the menopause group. PMID- 18140008 TI - Roentgenologic diagnosis of gastric cancer. PMID- 18140009 TI - Fetal inclusion cysts; report of case with discussion. PMID- 18140010 TI - Alcohol. PMID- 18140011 TI - Standards of performance in clinical laboratory diagnosis. PMID- 18140012 TI - The preoperative use of streptomycin in gastrointestinal surgery. PMID- 18140013 TI - Army transport medical service. PMID- 18140014 TI - A medical reserve program in a rural community. PMID- 18140015 TI - TRENDS in the neuropsychiatric incidence rate. PMID- 18140016 TI - Cystic fibrosis of the pancreas. PMID- 18140017 TI - A case of disseminated sclerosis. PMID- 18140018 TI - [Not Available]. PMID- 18140019 TI - Notes on aggression. PMID- 18140020 TI - The structure of the grotesque-comic sublimation. PMID- 18140021 TI - On the etiology of shared neuroses; remarks in extension of a Freudian observation. PMID- 18140022 TI - A symposium on constitution and personality. PMID- 18140023 TI - A contribution from child psychiatry towards a broader concept of constitution. PMID- 18140024 TI - Use of the M.M.P.I. in assessing the Pd factor in psychopathic personalities. PMID- 18140025 TI - Psychiatric factors in essential hypertension. PMID- 18140026 TI - Organismal materialism and the problem of heredity, constitution and personality. PMID- 18140027 TI - [Endarteritis obliterans and obliterating arteriosclerosis of the abdominal aorta]. PMID- 18140028 TI - [Modifications of vascular reaction in injury of peripheral nerves of the extremity]. PMID- 18140029 TI - [Extra-peritoneal bilateral access to the lumbar portion of the sympathetic nerve]. PMID- 18140030 TI - [Resection of temporal and basal vessels in symptomatic therapy of hypertension]. PMID- 18140031 TI - [Injury of the nerves of the hand and its surgical treatment]. PMID- 18140032 TI - [Molotkov's method of resection of the cutaneous nerves of the extremity in treatment of the phantom limb]. PMID- 18140033 TI - [Diagnostic significance and pathogenesis of radicular pains in horizontal position]. PMID- 18140034 TI - [Cranioplasty with polymethylmethacrylate]. PMID- 18140035 TI - [Two cases of primary cranioplasty of a traumatic defect with thermoplast]. PMID- 18140036 TI - [Metastases in the brain]. PMID- 18140037 TI - [Salivatory phenomena in neuro-oncological cases]. PMID- 18140038 TI - Nursing care of psychiatric patients receiving insulin therapy. PMID- 18140039 TI - THIRTY years of nursing in Haiti. PMID- 18140040 TI - A community home care program. PMID- 18140041 TI - Congestive heart failure. PMID- 18140042 TI - Heart disease, a public health problem. PMID- 18140043 TI - Protection of marriage from syphilis. PMID- 18140044 TI - Mothers classes for physical and emotional health. PMID- 18140045 TI - Relative to egg biological values and replacement values of some cereal proteins in human subjects. PMID- 18140046 TI - Improving the nutritive value of flour; the use of enriched and non-enriched flour in diets similar to those consumed by certain low-income groups in South Carolina. PMID- 18140047 TI - Riboflavin metabolism of young women on self-selected diets. PMID- 18140048 TI - Artificial enrichment of white rice as a solution to endemic beriberi; preliminary report of field trials. PMID- 18140049 TI - Nutrition studies during pregnancy; relation of maternal nutrition to condition of infant at birth; study of siblings. PMID- 18140050 TI - Folic acid studies in the mink and fox. PMID- 18140051 TI - The iron metabolism of young women on two levels of intake. PMID- 18140052 TI - The nutritive value of cod roe and cod liver. PMID- 18140053 TI - Concentrations of various constituents in blood of dairy cows during stages of terminal gestation and initial lactation. PMID- 18140054 TI - Net protein and growth-promoting values of three different types of yeast prepared under identical conditions. PMID- 18140055 TI - The essential amino acid content of several vegetables. PMID- 18140056 TI - A paradoxical relationship between serum level and liver content of vitamin A. PMID- 18140057 TI - A sensitometric method of refraction; theory and practice. PMID- 18140058 TI - Formalin solution as a haemostatic agent. PMID- 18140059 TI - [Not Available]. PMID- 18140060 TI - [Not Available]. PMID- 18140061 TI - Accommodation and convergence with contact lenses. PMID- 18140062 TI - The use of occlusion in the treatment of amblyopia; five case reports. PMID- 18140063 TI - Clinical microscopy for diagnosis of nasal sinusitis. PMID- 18140064 TI - An otologic syndrome. PMID- 18140065 TI - Measurement of accommodation and convergence. PMID- 18140066 TI - Submucous resection and rhinoplasty; a combined procedure. PMID- 18140067 TI - Foster Kennedy syndrome; case report. PMID- 18140068 TI - Congenital and hereditary eye diseases. PMID- 18140069 TI - The treatment of crossed eyes. PMID- 18140070 TI - The ophthalmologist's contribution to industry. PMID- 18140071 TI - Relapsing febrile nodular nonsuppurative panniculitis; a report of a case with a review of the literature. PMID- 18140072 TI - Onkocytic adenoma of the salivary glands. PMID- 18140073 TI - Effect of prolonged intravenous administration of dextrose on beta cells of islets of Langerhans. PMID- 18140074 TI - Histochemical demonstration of a lipase in carcinoma of the lung. PMID- 18140075 TI - Healed dissecting aneurysm. PMID- 18140076 TI - Skeletal growth and development in mice fed a high protein diet. PMID- 18140077 TI - The human aorta; sulfate-containing polyuronides and the deposition of cholesterol. PMID- 18140078 TI - The human aorta; influence of obesity on the development of arteriosclerosis in the human aorta. PMID- 18140079 TI - A preinvasive carcinoma of the uterine tube. PMID- 18140080 TI - [Not Available]. PMID- 18140081 TI - [Not Available]. PMID- 18140082 TI - On blood changes in liver disease in infancy; on macrocytic hyperchromic anemia in congenital atresia of the bile ducts. PMID- 18140083 TI - [Not Available]. PMID- 18140085 TI - The effect of specific therapy on the common contagious diseases. PMID- 18140084 TI - Clinical and pathological role of d, 1-alpha tocopherol in premature infants; studies on the treatment of scleroedema. PMID- 18140086 TI - The developmental aspect of child vision. PMID- 18140087 TI - Revascularization of the brain through establishment of a cervical arteriovenous fistula; effects in children with mental retardation and convulsive disorders. PMID- 18140088 TI - The action of aureomycin, of polymyxin B, and of streptomycin in experimental murine pertussis. PMID- 18140089 TI - Heredopathia atactica polyneuritiformis in children. PMID- 18140090 TI - Adrenocortical insufficiency in infants with the adrenogenital syndrome; a clinical and pathologic study of four cases. PMID- 18140091 TI - Simultaneous capillary and venous hemoglobin determinations in the newborn infant. PMID- 18140092 TI - Small bowel obstruction in infancy and childhood; a radiological interpretation. PMID- 18140093 TI - Pharyngeal injury caused by ingestion of glass chipped from baby-food container. PMID- 18140094 TI - Accidental thenylene hydrochloride poisoning; report of a case with complete recovery. PMID- 18140095 TI - Active infantile toxoplasmosis. PMID- 18140096 TI - Mycotic infections in children; the budding yeasts as agents of disease. PMID- 18140097 TI - Motion sickness in children. PMID- 18140098 TI - Current trends in hematology. PMID- 18140099 TI - Balance and electrocardiographic studies in a child with potassium deficiency. PMID- 18140101 TI - Psychologic aspects of poliomyelitis. PMID- 18140100 TI - Rupture of the spleen in an erythroblastotic infant. PMID- 18140102 TI - Influenzal meningitis, recovery of a case of 4 weeks' duration with the use of a new drug, polymyxin B (aerosporin). PMID- 18140103 TI - Acute pulmonary aspergillosis; report of a case. PMID- 18140104 TI - Influenzal vaccination in infants and children. PMID- 18140105 TI - Management of intrathoracic nerve tumors in young children; report of four cases. PMID- 18140106 TI - Nevoxantho-endothelioma with ocular involvement. PMID- 18140107 TI - Bronchiectasis in childhood; prophylaxis, treatment and progress with a follow-up study of 202 cases of established bronchiectasis. PMID- 18140108 TI - The potentiating effects of various compounds on the antibacterial activities of surface active agents. PMID- 18140109 TI - Antibiotic therapy. PMID- 18140110 TI - CORTISONE. PMID- 18140111 TI - [Not Available]. PMID- 18140112 TI - Anesthesia; chemical constitution of hydrocarbons and cardiac automaticity. PMID- 18140113 TI - On the metabolism of histamine; urinary excretion following oral administration; B. conjugation in vitro. PMID- 18140114 TI - The bronchodilator activity of some analogs of N-isopropylarterenol. PMID- 18140115 TI - The curariform activity of N-methylberbamine and N-methylisotetrandine. PMID- 18140116 TI - The chemical basis for adrenergic blocking activity in compounds related to dibenamine. PMID- 18140117 TI - The fate of acetophenetidin in man and methods for the estimation of acetophenetidin and its metabolites in biological material. PMID- 18140118 TI - The comparative pressor activity of the optical isomers of cyclohexylisopropylamine and cyclohexylisopropylmethylamine. PMID- 18140119 TI - The assay of curare by the rabbit head-drop method. PMID- 18140120 TI - Metabolic transformations of trichlorethylene. PMID- 18140121 TI - Studies on the toxicity and pharmacological action of sodium N-p chlorophenyldiazothiourea. PMID- 18140122 TI - Further observations on the effect of rutin and related compounds on cutaneous capillaries. PMID- 18140124 TI - Small scale ampoule production. PMID- 18140123 TI - Comparative in vivo and in vitro effect of methadone upon the Qo2 of rat liver, kidney and jejunum. PMID- 18140125 TI - Improved apparatus for dispensing penicillin in hospitals. PMID- 18140126 TI - DEATH from thallium acetate; an error of dosage. PMID- 18140128 TI - Electrical responses of the human retina. PMID- 18140127 TI - Para-aminosalicylsyra (PAS) ett nytt kemoterapeutikum. PMID- 18140129 TI - The effect of inter-sensory stimulation on dark adaptation and night vision. PMID- 18140130 TI - A scale of subjective brightness. PMID- 18140131 TI - Response latency as a function of the amount of reinforcement. PMID- 18140132 TI - Factors influencing the occurrence of reminiscence; attempted formal rehearsal during the interpolated period. PMID- 18140133 TI - Reminiscence in pursuit-rotor learning as a function of length of rest and of amount of pre-rest practice. PMID- 18140134 TI - Performance and reminiscence in motor learning as a function of the degree of distribution of practice. PMID- 18140135 TI - Extinction as a function of partial reinforcement and distribution of practice. PMID- 18140136 TI - Distributed practice in verbal learning and the maturation hypothesis. PMID- 18140137 TI - The perception of the vertical; visual and non-labyrinthine cues. PMID- 18140138 TI - The apparent length of tilted lines. PMID- 18140140 TI - Involuntary blink rate and illumination intensity in visual work. PMID- 18140139 TI - The relative difficulty of the number, form, and color concepts of a Weigl-type problem. PMID- 18140141 TI - The discrimination of small differences in the time of mechanical stimulation. PMID- 18140142 TI - Spread of effect without reward of learning. PMID- 18140143 TI - Facts and figures about child health in the United States. PMID- 18140144 TI - The nursing home, a medical care facility. PMID- 18140145 TI - Comparative analysis of the standard methods methylene blue stain and advantages of the polychrome and acid-and-water-free stains in the direct microscopic examination of milk. PMID- 18140146 TI - Inactivation of partially purified poliomyelitis virus in water by chlorination; experiments with natural waters. PMID- 18140147 TI - Medical care activities of full-time health departments. PMID- 18140148 TI - Histoplasmosis; study of reactors to histoplasmin. PMID- 18140149 TI - Plans for the 1950 population census. PMID- 18140150 TI - Health demonstrations in two Minneapolis schools. PMID- 18140151 TI - Seattle's public health and education departments cooperate in organizing and conducting a food handler's training program. PMID- 18140152 TI - Some effects of health council programs on basic health education. PMID- 18140154 TI - Parental care and child health. PMID- 18140155 TI - An epidemiologic study of brucellosis in Minnesota. PMID- 18140153 TI - Health problems in industrialized agriculture. PMID- 18140156 TI - Relation of human and bovine brucellosis in Minnesota. PMID- 18140157 TI - Fluorine in foods; survey of recent data. PMID- 18140158 TI - Iodine, a food essential. PMID- 18140159 TI - Tuberculosis beds in the United States. PMID- 18140160 TI - Characteristics of commercial X-ray screens and films. PMID- 18140161 TI - [Not Available]. PMID- 18140162 TI - [Not Available]. PMID- 18140163 TI - [Not Available]. PMID- 18140164 TI - [Not Available]. PMID- 18140165 TI - Orthopaedic radiography. PMID- 18140166 TI - Opaque media. PMID- 18140167 TI - The clinical usefulness and limitations of supervoltage roentgen therapy. PMID- 18140168 TI - Roentgen therapy for pituitary adenoma; correlation of tumor dose with response in 64 cases. PMID- 18140169 TI - A new technic for the radium treatment of carcinoma of the bladder. PMID- 18140170 TI - The diagnosis of intra-auricular thrombosis in the living. PMID- 18140171 TI - Pulmonary metastases of pseudo-adenomatous basal-cell carcinoma (mucous and salivary gland tumor). PMID- 18140172 TI - Fictitious polyps as seen in double-contrast studies of the colon. PMID- 18140173 TI - New method for roentgen anatomical study of the skull. PMID- 18140174 TI - Observations on the hypophyseal area in hypertension. PMID- 18140175 TI - Multiple venous thrombosis and visceral carcinoma; a case report. PMID- 18140176 TI - Congenital reduplication of the esophagus; report of a case. PMID- 18140177 TI - Osteogenic tumours of the jaws. PMID- 18140178 TI - Hare-lip. PMID- 18140179 TI - Mission accomplished; the task ahead. PMID- 18140180 TI - Cancer of the breast. PMID- 18140181 TI - Development of new methods for the histochemical demonstration of hydrolytic intracellular enzymes in a program of cancer research. PMID- 18140182 TI - Surgical treatment of congenital pulmonary stenosis. PMID- 18140183 TI - The surgical relief of congestion in the pulmonary circulation in cases of severe mitral stenosis; preliminary report of six cases treated by means of anastomosis between the pulmonary and systemic venous systems. PMID- 18140184 TI - The Valsalva maneuver; an aid for the contrast visualization of the aorta and great vessels. PMID- 18140185 TI - Surgical treatment of insidious thrombosis of the aorta; report of ten cases. PMID- 18140186 TI - Quantitative studies on the time factor in arterial injuries. PMID- 18140187 TI - Clinical evaluation of two tests for incipient thrombosis; prothrombin activity and fibrinogen B of Lyons. PMID- 18140189 TI - Intrahepatic cholangiojejunostomy for biliary obstruction; further studies; report of four cases. PMID- 18140190 TI - Deperitonealization; clinical and experimental observations. PMID- 18140191 TI - Intestinal obstruction in the newborn. PMID- 18140192 TI - Gastro-intestinal gas; observations on belching during anesthesia, operations and pyelography; and rapid passage of gas. PMID- 18140193 TI - Sphincter preserving operations for rectal carcinoma as related to the anatomy of the lymphatics. PMID- 18140194 TI - The end results of complete versus intracapsular removal of acoustic tumors. PMID- 18140195 TI - Streptomycin, aureomycin and chloromycetin; experimental and clinical comparison. PMID- 18140197 TI - [Not Available]. PMID- 18140198 TI - [Not Available]. PMID- 18140199 TI - [Not Available]. PMID- 18140200 TI - [Not Available]. PMID- 18140201 TI - [Not Available]. PMID- 18140202 TI - [Not Available]. PMID- 18140203 TI - [Not Available]. PMID- 18140204 TI - [Not Available]. PMID- 18140205 TI - [Not Available]. PMID- 18140206 TI - [Not Available]. PMID- 18140207 TI - [Not Available]. PMID- 18140208 TI - [Not Available]. PMID- 18140209 TI - [Not Available]. PMID- 18140210 TI - [Not Available]. PMID- 18140211 TI - [Not Available]. PMID- 18140213 TI - [Not Available]. PMID- 18140214 TI - [Not Available]. PMID- 18140212 TI - [Not Available]. PMID- 18140215 TI - [Not Available]. PMID- 18140216 TI - [Not Available]. PMID- 18140217 TI - [Not Available]. PMID- 18140218 TI - [Not Available]. PMID- 18140219 TI - [Not Available]. PMID- 18140220 TI - [Not Available]. PMID- 18140221 TI - [Not Available]. PMID- 18140222 TI - [Not Available]. PMID- 18140223 TI - [Not Available]. PMID- 18140225 TI - [Not Available]. PMID- 18140224 TI - [Not Available]. PMID- 18140226 TI - [Not Available]. PMID- 18140227 TI - [Not Available]. PMID- 18140228 TI - [New method of brain surgery, chemical nerve surgery]. PMID- 18140229 TI - [Serial postoperative cholangioradiomanometry; or technique]. PMID- 18140230 TI - [Fractures of the forearm; considerations upon the reduction of equipment and more frequent]. PMID- 18140231 TI - Chronic and recurrent intestinal obstruction. PMID- 18140232 TI - Maternal and fetal mortality study at the Huntington Memorial Hospital, 1928 1947. PMID- 18140233 TI - Diabetes in pregnancy. PMID- 18140234 TI - Giant hypertrophic grastritis. PMID- 18140235 TI - Electromyographic analysis of the physiologic components of tremor. PMID- 18140236 TI - The oscillographic recording and quantitative definition of functional disabilities of human locomotion. PMID- 18140237 TI - The influence of mecholyl and histamine ion transfer on recovery from fatigue. PMID- 18140238 TI - Thermal gradients in man; comparison of temperatures in the femoral artery and femoral vein with rectal temperatures. PMID- 18140239 TI - Physical therapy, past and present. PMID- 18140240 TI - Underlying mechanisms in symptoms of poliomyelitis; their bearing upon treatment. PMID- 18140241 TI - Interdepartmental relations of ancillary medical services with special reference to physical therapy. PMID- 18140242 TI - Passive and active stretching of muscles; spring stretch and control group. PMID- 18140243 TI - [Not Available]. PMID- 18140244 TI - Cyclic anesthesia instead of sympathectomy. PMID- 18140245 TI - Local anesthetic properties of antistine and pyribenzamine hydrochloride. PMID- 18140246 TI - [Not Available]. PMID- 18140247 TI - [Clinico-anatomical data on the pathogenic classification of pneumosclerosis]. PMID- 18140248 TI - [Use of penicillin in pulmonary abscess]. PMID- 18140249 TI - [Capillary system of the lung and its effect on the pulmonary roentgen picture]. PMID- 18140250 TI - [Roentgen diagnosis of bronchiectasis]. PMID- 18140251 TI - [Depuration of the blood from the urea in lobar pneumonia]. PMID- 18140252 TI - [Association of leukosis and acute miliary tuberculosis; leukemoid reaction in tuberculosis]. PMID- 18140253 TI - [Hematopoiesis in exanthematous fever]. PMID- 18140254 TI - [Physiology of pleural membranes]. PMID- 18140255 TI - [Streptomycin treatment in internal medicine, especially in tuberculosis]. PMID- 18140256 TI - [Streptomycin treatment in surgery]. PMID- 18140257 TI - [Streptomycin treatment in pediatrics]. PMID- 18140258 TI - [The use of streptomycin in tuberculous diseases in otorhinolaryngology]. PMID- 18140259 TI - [Cases of sudden hematemesis and discharge of blood from the intestines]. PMID- 18140260 TI - [Tumor-like shadows in the region of the hilus pulmonis]. PMID- 18140261 TI - [Education and preparation for control of tuberculosis]. PMID- 18140262 TI - [Cooperation of dispensaries and hospitals in control of tuberculosis]. PMID- 18140263 TI - [Courses on tuberculosis in higher medical schools]. PMID- 18140265 TI - [Plastic surgery in early closing of the bronchi and of the residual cavity of the cavern]. PMID- 18140264 TI - [Clinical-morphological modifications in healing of caverns following cavernotomy]. PMID- 18140266 TI - [Remote sequelae of upper thoracoplasty]. PMID- 18140267 TI - [Scissuritis and periscissuritis in tuberculosis of adults]. PMID- 18140268 TI - [Clinical aspects and treatment of tuberculous lymphadenitis in adults]. PMID- 18140269 TI - [Clinical symptomatology of silicosis and silicotuberculosis]. PMID- 18140270 TI - [Significance of supereaponential roentgenogram for determination of periodic changes in tuberculosis of the lungs and lymphatic glands]. PMID- 18140271 TI - [Use of rebrukal in tuberculosis of the kidneys]. PMID- 18140272 TI - [Aerotherapy of active forms of pneum. tuberculosis in Gelendzike]. PMID- 18140273 TI - [Clinical course of massive atelectasis in pneumopleurisis]. PMID- 18140274 TI - [Case of emphysema of the thoracic wall following thoraco-cautery]. PMID- 18140275 TI - The management of mass radiography suspects; a two-year follow-up. PMID- 18140276 TI - Artificial pneumothrax in elderly subjects. PMID- 18140277 TI - Childhood tuberculosis in Middlesbrough, 1947 and 1948. PMID- 18140278 TI - Tuberculous households in Wales. PMID- 18140279 TI - Physical medicine and rehabilitation in the treatment of tuberculosis. PMID- 18140280 TI - A study of concentration methods for disclosing the presence of acid-fast bacilli in tuberculosis. PMID- 18140281 TI - [Not Available]. PMID- 18140282 TI - [Not Available]. PMID- 18140283 TI - [Not Available]. PMID- 18140284 TI - [Not Available]. PMID- 18140285 TI - The bactericidal properties of some disinfectants in common use. PMID- 18140286 TI - The treatment of vesical neck obstruction by endoscopic resection. PMID- 18140287 TI - Gelfoam in prostatectomy; an aid to haemostasis. PMID- 18140288 TI - Cystic disease of the right kidney in an infant. PMID- 18140289 TI - Uncommon types of congenital renal abnormality; two cases. PMID- 18140290 TI - Observations on familial polycystic disease of the kidney. PMID- 18140291 TI - Chronic paratyphoid pyelonephritis cured by nephrectomy, report of a case with a trial of streptomycin. PMID- 18140292 TI - Solitary pelvic kidney; a case report. PMID- 18140293 TI - Completely fused pelvic kidney. PMID- 18140294 TI - Liposarcoma of the kidney; report of an early case. PMID- 18140295 TI - The clinical use of urecholine in dysfunctions of the bladder. PMID- 18140296 TI - Cystitis; classification and treatment; discussion of type occurring after transurethral resection. PMID- 18140297 TI - Primary lymphosarcoma of the urinary bladder. PMID- 18140298 TI - Priapism; an unusual complication of transurethral prostatic resection. PMID- 18140299 TI - Bone marrow studies in carcinoma of the prostate. PMID- 18140300 TI - Leiomyosarcoma of the epididymis; case report. PMID- 18140301 TI - Idiopathic (Schonlein) purpura associated with hematuria. PMID- 18140302 TI - Inflammatory reactions involving sperm and the seminiferous tubules; extravasation, spermatic granulomas and granulomatous orchitis. PMID- 18140303 TI - Fatal embolism following urethrography. PMID- 18140304 TI - A new cystoscope for dilatation purposes. PMID- 18140305 TI - Management of catheter drainage. PMID- 18140306 TI - A device for removing clots from the bladder; a new irrigating nozzle. PMID- 18140307 TI - Two miniature urethral catheters. PMID- 18140308 TI - Studies on the cultivation of Treponema pallidum. PMID- 18140309 TI - Studies on the effect of aureomycin on Treponema pallidum. PMID- 18140310 TI - Speculations on the role of spreading factor (hyaluronidase) in experimental and human syphilis. PMID- 18140311 TI - Abortive treatment of syphilis; results obtained in the incubation, primary, and secondary stages of syphilis. PMID- 18140312 TI - Delayed administration of oral penicillin as prophylaxis for gonorrhea. PMID- 18140313 TI - Syphilitic paroxysmal cold hemoglobinuria of 41 years' duration associated with syphilitic heart disease. PMID- 18140314 TI - Penicillin treatment of paroxysmal cold hemoglobinuria. PMID- 18140316 TI - Lymphogranuloma venereum in childhood. PMID- 18140315 TI - In vitro antibiotic effects on Hemophilus ducreyi. PMID- 18140318 TI - Syphilis of the stomach and the stomach in syphilis; a review of the literature with particular reference to gross pathology and gastroscopic diagnosis. PMID- 18140317 TI - Advanced Banti's syndrome associated with syphilis; review and report of failure of penicillin therapy in two cases. PMID- 18140319 TI - Continuous caudal analgesia in obstetrics. PMID- 18140320 TI - The anaesthetic out-patient clinic. PMID- 18140321 TI - Clinical test of atensin, a Swedish myanesin preparation. PMID- 18140322 TI - The discovery of ether. PMID- 18140323 TI - [Not Available]. PMID- 18140324 TI - [Not Available]. PMID- 18140325 TI - [Not Available]. PMID- 18140326 TI - [Not Available]. PMID- 18140327 TI - [Not Available]. PMID- 18140328 TI - [Not Available]. PMID- 18140329 TI - [The method of Thorndike's problem cells and the method of conditioned reflexes]. PMID- 18140330 TI - [Reflex regulation of lactation]. PMID- 18140331 TI - [Effect of external and internal factors on the reproduction of geese]. PMID- 18140332 TI - [Not Available]. PMID- 18140333 TI - The active membrane; an hypothesis to explain the transfer of water and solutes in plants; as depending upon respiration. PMID- 18140334 TI - [Not Available]. PMID- 18140335 TI - [Not Available]. PMID- 18140336 TI - Arterial air embolism. PMID- 18140337 TI - On the occurrence of rennin in the blood of hypertensive patients. PMID- 18140338 TI - The heart muscle and the electrocardiogram in coronary disease; survey of standards and methods for obtaining the anatomic data requisite for clinicopathologic correlation. PMID- 18140339 TI - The relation of cardiovascular disease to apoplexy; a review of 155 cases with autopsy. PMID- 18140340 TI - Observations on the spatial vectorcardiogram in man. PMID- 18140341 TI - Correlation of electrocardiographic and pathologic findings in posterior infarction. PMID- 18140342 TI - Primary amyloidosis of the heart. PMID- 18140344 TI - Electrocardiograms of an unusual pattern in a patient with anomalous auriculoventricular excitation. PMID- 18140343 TI - Penicillin therapy of gonococcic endocarditis; a case report. PMID- 18140345 TI - Cardiac infarction with bundle branch block. PMID- 18140346 TI - Aortic sinus aneurysms. PMID- 18140347 TI - A clinical trial of Rauwolfia serpentina in essential hypertension. PMID- 18140348 TI - The phonocardiography of heart murmurs; apparatus and technique. PMID- 18140349 TI - The phonocardiography of heart murmurs; clinical results and discussion. PMID- 18140350 TI - The natural history of coronary disease; a clinical and epidemiological study. PMID- 18140351 TI - Congenital aortic septal defect. PMID- 18140352 TI - The clinical application of electrocardiography. PMID- 18140354 TI - Suggestions to the calibration of weights. PMID- 18140353 TI - Derivatives of evipal, alurate, and phanodorn. PMID- 18140355 TI - [Not Available]. PMID- 18140356 TI - [Not Available]. PMID- 18140357 TI - [Not Available]. PMID- 18140358 TI - [Not Available]. PMID- 18140359 TI - [Not Available]. PMID- 18140360 TI - [Not Available]. PMID- 18140361 TI - [Not Available]. PMID- 18140362 TI - [Not Available]. PMID- 18140363 TI - [Not Available]. PMID- 18140364 TI - [Not Available]. PMID- 18140365 TI - [Not Available]. PMID- 18140366 TI - [Not Available]. PMID- 18140367 TI - [Not Available]. PMID- 18140368 TI - [Not Available]. PMID- 18140369 TI - Cancer of the face and oral cavity. PMID- 18140370 TI - Is erythema nodosum a hyper-sensibility reaction of anaphylactic type? PMID- 18140371 TI - [Not Available]. PMID- 18140372 TI - On dermatoses caused by bichromates. PMID- 18140373 TI - The penicillin treatment of acrodermatitis atrophicans chronica (Herxheimer). PMID- 18140374 TI - Present status of dermatologic training in the United States. PMID- 18140375 TI - A survey of tinea capitis, including favus. PMID- 18140376 TI - Hypertrophic Darier's disease and nevus syringocystadenomatosus papilliferus; histopathologic study. PMID- 18140377 TI - Treatment of neurosyphilis with penicillin combined with artificial fever. PMID- 18140378 TI - Paralysis of cranial nerves complicating herpes zoster. PMID- 18140379 TI - Relapsing febrile nodular panniculitis (Weber-Christian disease) review of the literature and report of a case. PMID- 18140380 TI - Enhancing photodynamic effect of solutions of crude coal tar on the skin. PMID- 18140381 TI - Supernumerary ears; report of three cases. PMID- 18140382 TI - Treatment of lupus vulgaris with calciferol (vitamin D2). PMID- 18140383 TI - A strange case of palatitis. PMID- 18140384 TI - Aureomycin in molluscum contagiosum. PMID- 18140385 TI - Autohemotherapy of herpex zoster; results in 154 cases. PMID- 18140386 TI - Simple apparatus for clinical photography. PMID- 18140387 TI - An unusual complication following radical pancreaticoduodenectomy. PMID- 18140388 TI - Biotoxic intestinal conditions of the putrefactive type. PMID- 18140389 TI - Psychosomatic aspects of pruritus ani. PMID- 18140390 TI - Further studies on liver function tests in the aged. PMID- 18140391 TI - Idioblaptic diseases of the alimentary tract. PMID- 18140392 TI - [Not Available]. PMID- 18140393 TI - The electrocardiogram in hypocalcemia and hypothyreosis. PMID- 18140394 TI - Abruptio placentae in vitamin E deficient guinea pigs. PMID- 18140395 TI - The ascorbic acid concentration in the blood of the rabbit; changes under normal conditions, fasting and after stimulation with gonadotrophic hormones. PMID- 18140396 TI - Lymphocytopenia and eosinopenia after prolonged intravenous adrenaline injection on man. PMID- 18140398 TI - The function of the endocrine glands in diabetes mellitus; a clinical study of 107 cases. PMID- 18140397 TI - The significance of renal function for the effect of desoxycorticosterone acetate in Addison's disease. PMID- 18140399 TI - The effect of sex hormones in some organic solvents; emulsified in water. PMID- 18140400 TI - Effects of castration and subsequent androgen administration upon mating behavior in the male hamster (Cricetus auratus). PMID- 18140401 TI - Anaerobic glycolysis in rat ovarian tissues during pregnancy and lactation. PMID- 18140402 TI - Mitotic activity in the epidermis of the rabbit stimulated with local applications of testosterone propionate. PMID- 18140403 TI - [Sympathetic nervous system and chromaffin tissue]. PMID- 18140404 TI - The study of connective-tissue reaction to radiation; the sieve or chess method. PMID- 18140405 TI - On the influence of 3-ketosteroids on the phosphatase content of atypically proliferating uterine epithelium in the guinea pig. PMID- 18140406 TI - The fetal bovine thyroid; morphogenesis as related to iodine accumulation. PMID- 18140407 TI - The effect of growth hormone upon liver and kidney D-amino acid oxidase and upon muscle suscinic acid dehydrogenase. PMID- 18140408 TI - The effects of pitressin and desoxycorticosterone in low dosage on the excretion of sodium, potassium, and water by the normal dog. PMID- 18140409 TI - Factors influencing lobulo-alveolar development and mammary secretion in the rat. PMID- 18140410 TI - The paradoxical effects of thiocyanate and of thyrotropin on the organic binding of iodine by the thyroid in the presence of large amounts of iodide. PMID- 18140411 TI - Studies on the fat-mobilizing factor of the anterior pituitary gland. PMID- 18140412 TI - Ascorbic acid in the pituitary of the rat. PMID- 18140413 TI - Cytotoxic action of hormones of the adrenal cortex according to the method of unstained cell counts. PMID- 18140414 TI - Adrenotrophic activity of human blood. PMID- 18140415 TI - Exophthalmos in rats after prolonged administration of propylthiouracil. PMID- 18140416 TI - Testicular changes in the juvenile pigeon due to progesterone treatment. PMID- 18140417 TI - [Not Available]. PMID- 18140418 TI - [Not Available]. PMID- 18140419 TI - [Not Available]. PMID- 18140420 TI - Vitalizing liquor control. PMID- 18140421 TI - Lying; a minor inquiry into the ethics of neurotic and psychopathic behavior. PMID- 18140422 TI - The Army parole system. PMID- 18140423 TI - Crime against humanity; European views on its conception and its future. PMID- 18140424 TI - The Illinois proposal to confine sexually dangerous persons. PMID- 18140426 TI - [Not Available]. PMID- 18140425 TI - Casting of hairs; its technique and application to species and personal identification. PMID- 18140427 TI - [Not Available]. PMID- 18140428 TI - [Not Available]. PMID- 18140429 TI - World population and world food supplies. PMID- 18140430 TI - UTILIZATION of seaweeds through the ages. PMID- 18140431 TI - Effect of pressure on velocity of burning. PMID- 18140432 TI - Photochemical polymerization in aqueous solution. PMID- 18140433 TI - Isolation of a pectic substance from passion fruit (Passiflora edulis). PMID- 18140434 TI - Extraction of fibrinolytic enzyme from the blood. PMID- 18140436 TI - Some upper limits of possible alpha-activity. PMID- 18140435 TI - Multiovular follicles in the ovaries of lower primates. PMID- 18140437 TI - Directories of parasites. PMID- 18140438 TI - Recent advances in fermentation research. PMID- 18140439 TI - Existence of nitrosyl ions (NO+) in dinitrogen tetroxide and of nitronium ions (NO2+) in liquid dinitrogen pentoxide. PMID- 18140441 TI - Toxic effect of the crystals from agenized zein on certain acid-producing bacteria. PMID- 18140440 TI - Action of nitrogen trichloride (agene) on proteins; isolation of crystalline toxic factor. PMID- 18140442 TI - Evidence from infra-red spectroscopy on the structure of proteins. PMID- 18140443 TI - Distinctive test for alpha-amino-acids in paper chromatography. PMID- 18140444 TI - Aniline hydrogen phthalate as a spraying reagent for chromatography of sugars. PMID- 18140445 TI - Paper partition chromatography of reducing sugars with benzidine as a spraying reagent. PMID- 18140446 TI - A peptide-like contaminant of filter paper. PMID- 18140447 TI - Electrophotography of internal discharges in dielectrics. PMID- 18140448 TI - Coating of microscope eyepiece lenses. PMID- 18140449 TI - High-frequency discharges localized along tracks of ionizing particles. PMID- 18140450 TI - Antibacterial action of curcumin and related compounds. PMID- 18140451 TI - Influence of thyroxine on hexokinase, succinoxidase and choline oxidase. PMID- 18140453 TI - Trephocytes in Arbacia punctulata and their role in ovular growth and in respiration. PMID- 18140452 TI - Availability of the magnesium of grass to the ruminant. PMID- 18140454 TI - Separation of substances related to ascorbic acid. PMID- 18140455 TI - An interference paradox in sound. PMID- 18140456 TI - Correlation of internodal length and fibre diameter in the central nervous system. PMID- 18140457 TI - Elastase and elastase-inhibitor. PMID- 18140458 TI - Effect of calcium on the development of streptococcal bacteriophage. PMID- 18140459 TI - Role of the intestinal flora in the development of vitamin E deficiency. PMID- 18140460 TI - Distribution of the sickle-cell trait in Uganda, and its ethnological significance. PMID- 18140461 TI - Stimulation of the uropygial gland in the female Indian spotted munia, Uroloncha punctulata (L.) due to oestrogen treatment. PMID- 18140462 TI - Electrophoresis of proteins in agar jelly. PMID- 18140463 TI - Cleavage of the carbon chain of some amino-alkyl tertiary carbinols. PMID- 18140464 TI - A synthesis of iso-pelletierine and methyl iso-pelletierine. PMID- 18140465 TI - Inequalities between average molecular weights of polymers, and their relations to the distribution function. PMID- 18140466 TI - Determination of chemical purity. PMID- 18140467 TI - Optimum conditions for a 180 degrees beta-ray spectrometer. PMID- 18140468 TI - Calibration of photographic emulsions for low energy electrons. PMID- 18140469 TI - A microwave secondary electron multiplier. PMID- 18140470 TI - A versatile microinjection and micropipetting syringe. PMID- 18140471 TI - Food from the sea. PMID- 18140472 TI - BOMB tests. PMID- 18140473 TI - A further experiment on the effect of mild strains of virus X on the yield of up to-date potato. PMID- 18140476 TI - Morphogenetic studies in the rabbit; genetic factors influencing the ossification pattern of the limbs. PMID- 18140481 TI - The cytogenetics of speciation in Gossypium; selective elimination of the donor parent genotype in interspecific backcrosses. PMID- 18140482 TI - Histochemical observations of granulosa-cell tumors, thecomas, and fibromas of the ovary. PMID- 18140483 TI - Carcinoma of the ovary. PMID- 18140484 TI - The histologic appearance of the endocervix during the menstrual cycle. PMID- 18140485 TI - Surgical treatment of sterility. PMID- 18140486 TI - Treatment of the menopause. PMID- 18140487 TI - A report on comparative studies on newer drugs used for obstetrical analgesia. PMID- 18140488 TI - The prevention of headache after spinal analgesia for vaginal delivery by the use of hydration and a 24 gauge needle. PMID- 18140489 TI - Ovarian neoplasms in children. PMID- 18140490 TI - Submucous myoma in term pregnancy. PMID- 18140491 TI - Fetal mortality associated with the method of delivery of patients with placenta previa. PMID- 18140492 TI - Deciduosis of the cervix and vagina simulating carcinoma. PMID- 18140493 TI - Occurrence of uterine fundus carcinoma after prolonged estrogen therapy. PMID- 18140494 TI - The pattern of uterine growth during pregnancy in monkeys as shown in an X-ray study. PMID- 18140495 TI - Primary endometriosis of the vaginal portion of the cervix uteri. PMID- 18140496 TI - Pregnancy associated with hypertension and intracranial hemorrhage. PMID- 18140497 TI - Observations on the decidual reaction of the cervix during pregnancy. PMID- 18140498 TI - Pyometra; a clinical and pathologic study. PMID- 18140499 TI - On the validity of the hyperemia method for determining ovulation time in women. PMID- 18140500 TI - The obstetric use and effect of fetal respiration of nisentil. PMID- 18140501 TI - Fatal obstetric shock for pulmonary emboli of amniotic fluid. PMID- 18140502 TI - Withdrawal bleeding following hexestrol and pregneninolone orally. PMID- 18140503 TI - A versatile self-retaining trigger cannula and traction tenaculum for modern tubal insufflation and uterosalpingography. PMID- 18140505 TI - Suggestion for improvement of stirrup attachment for operating tables. PMID- 18140504 TI - New tubal insufflator with automatic volume and pressure control. PMID- 18140506 TI - [Not Available]. PMID- 18140507 TI - [Not Available]. PMID- 18140508 TI - [Not Available]. PMID- 18140509 TI - [Not Available]. PMID- 18140510 TI - [Not Available]. PMID- 18140511 TI - [Not Available]. PMID- 18140512 TI - [Not Available]. PMID- 18140513 TI - [Not Available]. PMID- 18140514 TI - [Not Available]. PMID- 18140515 TI - [Not Available]. PMID- 18140516 TI - [Not Available]. PMID- 18140517 TI - [Not Available]. PMID- 18140518 TI - [Not Available]. PMID- 18140519 TI - [Clinical Study of hemimelia; special reference to the etiology of congenital defects]. PMID- 18140520 TI - [An extraction of dead fetus in primiparous aboard a merchant ship]. PMID- 18140522 TI - WEST Norfolk and King's Lynn General Hospital; new maternity unit. PMID- 18140521 TI - [Uterine Adenomyosis]. PMID- 18140523 TI - Hospital and health services. PMID- 18140524 TI - Solubility and the relative toxicity of lead chromate. PMID- 18140525 TI - Preventive medicine in industry. PMID- 18140526 TI - Management of injuries to the thorax. PMID- 18140527 TI - Plantation medicine in Hawaii. PMID- 18140528 TI - Problems in the management of the causalgic states of the upper extremity. PMID- 18140529 TI - Dermatological hazards in the cigar industry. PMID- 18140530 TI - Peripheral vascular disease; recent advances in diagnosis and treatment. PMID- 18140531 TI - A study of factors affecting the prognosis of cerebral vascular accident. PMID- 18140532 TI - Major etiological factors producing delayed resolution in pneumonia. PMID- 18140533 TI - The treatment of falciparum malaria with intramuscular chloroquine. PMID- 18140535 TI - The murmurs of cardiac aneurysm. PMID- 18140534 TI - Localized sealed-off perforation in recurrent duodenal ulcer. PMID- 18140536 TI - Diabetic nephropathy. PMID- 18140537 TI - Albuminuria in service recruits; a laboratory study of 193 cases referred from routine medical examination. PMID- 18140538 TI - Acronecrosis due to fibrin thrombi and endothelial cell thrombi. PMID- 18140539 TI - The administration of histamine during pregnancy; apparent lack of a clinical oxytocic effect with small doses. PMID- 18140540 TI - The absorption, distribution, excretion and toxicity of bacitracin in man. PMID- 18140541 TI - Drug eruptions; a survey of recent literature. PMID- 18140542 TI - Treatment of auricular flutter with digitalis. PMID- 18140543 TI - Some effects of digoxin upon the heart and circulation in man; digoxin in left ventricular failure. PMID- 18140544 TI - Coarctation of the aorta; photo-electric plethysmography and direct arterial blood pressure measurement as an aid in diagnosis. PMID- 18140545 TI - Acute coronary insufficiency due to pulmonary embolism. PMID- 18140546 TI - Auricular fibrillation without other evidence of heart disease; a cause of reversible heart failure. PMID- 18140547 TI - Function of the kidney and metabolic changes in cardiac failure. PMID- 18140548 TI - Diaphragmatic hiatus hernia with sever iron-deficient anemia. PMID- 18140549 TI - Biologic complications of penicillin therapy. PMID- 18140550 TI - Newer concepts of the role of potassium in disease. PMID- 18140551 TI - Pneumonia, skin eruption, thrombophlebitis and azotemia. PMID- 18140552 TI - Intestinal lipodystrophy (Whipple's disease). PMID- 18140553 TI - Thrombocytopenic purpura complicating radioactive phosphorus treatment in a patient with polycythemia vera. PMID- 18140554 TI - The results of thymectomy in myasthenia gravis. PMID- 18140555 TI - Incidence of cross-infection in children's wards. PMID- 18140556 TI - Effect of tetraethylammonium bromide on gastric secretion and motility. PMID- 18140557 TI - An attempt to demonstrate neutralizing antibodies to the mammary tumour milk agent in mice. PMID- 18140558 TI - Carcinogenic activity of lipoid substances. PMID- 18140559 TI - Nucleation of supercooled water clouds by silver iodide smokes. PMID- 18140560 TI - A note on the change in average particle mass during the aging of ammonium chloride smokes. PMID- 18140561 TI - Nitrogen mustard therapy with special reference to Hodgkin's disease. PMID- 18140562 TI - Treatment of ringworm of the scalp. PMID- 18140563 TI - Haematemesis as a surgical problem. PMID- 18140564 TI - A case of cutaneous horn of the arm. PMID- 18140565 TI - The use of experience. PMID- 18140566 TI - Treatment of early syphilis with penicillin combined with neoarsphenamine and bismuth. PMID- 18140567 TI - Sex hormone upset in Africans. PMID- 18140568 TI - Direct vein graft in rupture of popliteal artery; report of a case. PMID- 18140570 TI - Notes on an experimental study of intellectual deterioration. PMID- 18140569 TI - The agglutinin anti-M associated with pregnancy; report on two cases. PMID- 18140571 TI - Tuberculous meningitis with paraplegia as the dominant feature. PMID- 18140572 TI - Localized fat atrophy after jellyfish sting. PMID- 18140573 TI - A simple jack for the Boyle-Davis gag. PMID- 18140574 TI - [Not Available]. PMID- 18140575 TI - [Not Available]. PMID- 18140576 TI - [Not Available]. PMID- 18140577 TI - [Not Available]. PMID- 18140578 TI - Poliomyelitis in the Arctic. PMID- 18140579 TI - Problems in neurochemistry. PMID- 18140580 TI - The oral administration of undecylenic acid in the treatment of psoriasis. PMID- 18140581 TI - Prefrontal leucotomy for painful phantom limb. PMID- 18140582 TI - Diabetes mellitus. PMID- 18140583 TI - Leber's hereditary optic atrophy in a Canadian family. PMID- 18140584 TI - Aerosol therapy in the treatment of postoperative pulmonary atelectasis. PMID- 18140585 TI - Elective surgical induction of labour. PMID- 18140586 TI - Thyrotoxic heart disease. PMID- 18140587 TI - Hyperpotassaemia and electrocardiographic changes in uraemia. PMID- 18140588 TI - The cytological diagnosis of malignant cells in various body fluids. PMID- 18140590 TI - Never transfuse a woman with her husband's blood. PMID- 18140589 TI - Pernicious anaemia complicated by myelogenous leukaemia. PMID- 18140591 TI - [Not Available]. PMID- 18140592 TI - [Ovarectomy performed on a patient suffering from cancer of the breast]. PMID- 18140594 TI - [Not Available]. PMID- 18140593 TI - [Intravenous application of penicillin in pulmonary diseases]. PMID- 18140595 TI - [Not Available]. PMID- 18140596 TI - [Pathogenesis of extrarenal syndrome]. PMID- 18140597 TI - [Thymoma]. PMID- 18140598 TI - [Case of an acquired hemolytic anemia following a repeated transfusion of incompatible blood]. PMID- 18140599 TI - [Struma in Czechoslovakia and Moravia in 1947-1948]. PMID- 18140600 TI - [Some of the pharmacological properties of the p-aminosalicylic acid]. PMID- 18140601 TI - [Not Available]. PMID- 18140602 TI - [Clinico-pathological diagnosis of dermatomyositis]. PMID- 18140603 TI - [Metabolism of melanin]. PMID- 18140604 TI - [Allergy in dermatology]. PMID- 18140605 TI - [Traumatic pneumocephalus]. PMID- 18140606 TI - [Not Available]. PMID- 18140608 TI - [Not Available]. PMID- 18140607 TI - [Three cases of transmission of syphilitic infection by blood transfusion]. PMID- 18140609 TI - [Importance of the effect of dihydroergocornine on the blood pressure in differential diagnosis of hypertension]. PMID- 18140610 TI - [Not Available]. PMID- 18140611 TI - [Effects of the social and economic factors on the personality, especially with regard to industrial psychiatry]. PMID- 18140612 TI - [Not Available]. PMID- 18140614 TI - [Not Available]. PMID- 18140613 TI - [Not Available]. PMID- 18140615 TI - [Not Available]. PMID- 18140616 TI - [Not Available]. PMID- 18140617 TI - [Damage to the ribs due to irradiation of cancer of the breast]. PMID- 18140618 TI - [Not Available]. PMID- 18140619 TI - [The use of trichlorethylene for induction of anesthesia]. PMID- 18140620 TI - [Not Available]. PMID- 18140621 TI - [Copper metabolism in man]. PMID- 18140622 TI - [Influence of temperature of the room on the reaction of Takata]. PMID- 18140623 TI - [Tomographic picture of silicosis and silicotuberculosis]. PMID- 18140624 TI - [Resistance and capacity of human skin]. PMID- 18140625 TI - [Not Available]. PMID- 18140626 TI - [Acute pancreatitis complicating labor]. PMID- 18140627 TI - [Antibodies against viruses encephalitis A and B; concerning the population of Slovakia in non epidemic period]. PMID- 18140628 TI - [Introduction of new laboratory methods]. PMID- 18140629 TI - [Immunotoxic diseases]. PMID- 18140630 TI - Tuberculosis control program for children in Hamilton County. PMID- 18140631 TI - Idiopathic pulmonary hemosiderosis. PMID- 18140632 TI - A blood sugar screening method (Wilkerson-Heftmann). PMID- 18140633 TI - [Not Available]. PMID- 18140635 TI - [Not Available]. PMID- 18140634 TI - [Not Available]. PMID- 18140636 TI - [Not Available]. PMID- 18140637 TI - [Not Available]. PMID- 18140638 TI - [Not Available]. PMID- 18140640 TI - [Not Available]. PMID- 18140639 TI - [Not Available]. PMID- 18140641 TI - [Not Available]. PMID- 18140642 TI - [Not Available]. PMID- 18140643 TI - [Not Available]. PMID- 18140644 TI - [Not Available]. PMID- 18140645 TI - [Not Available]. PMID- 18140646 TI - [Not Available]. PMID- 18140647 TI - Effects of cortisone acetate on rheumatoid arthritis. PMID- 18140648 TI - The family doctor; an epidemiologic concept. PMID- 18140649 TI - The use of antibiotics. PMID- 18140650 TI - Infection of the hip by Brucella suis. PMID- 18140651 TI - Control and eradication of brucellosis in animals. PMID- 18140652 TI - Septicemia due to Salmonella enteritidis and Salmonella blegdam. PMID- 18140653 TI - Anesthesia, past and present. PMID- 18140654 TI - Some common fallacies and confusions with regard to repair of inguinal hernia. PMID- 18140655 TI - Acute craniocerebral trauma; essential considerations of diagnosis and treatment. PMID- 18140656 TI - Trihexyphenidyl; evaluation of the new agent in the treatment of Parkinsonism. PMID- 18140657 TI - Mercurial diuretics and acute urinary retention. PMID- 18140658 TI - Removal of saddle embolus of aorta. PMID- 18140659 TI - Aortic embolectomy; successful removal of saddle embolus by transabdominal route. PMID- 18140660 TI - Plasma and red cell radioiron following intravenous injection; turpentine abscesses in normal and anemic dogs. AB - Sterile inflammation induced by repeated subcutaneous injections of turpentine in non-anemic, non-iron-deficient dogs, leads to a fall in plasma iron concentration, the development of a moderate anemia, and a marked delay in the uptake by the red blood cells of intravenous radioiron. Similar periods of inflammation in anemic, iron-deficient dogs on a diet low in iron cause no increase in the degree of anemia and no inhibition of red blood cell uptake of intravenous radioiron. Radioiron appears only in traces in abscess exudates. Intravenous iron disappearance curves following a single injection are uninfluenced by sterile inflammation in either anemic or non-anemic dogs. The impairment of hemoglobin synthesis caused by inflammation is at most a relative matter, since the anemia that develops is seldom severe or progressive, and since the inhibition can be overcome if the marrow is sufficiently stimulated by the demands of a severe continuing anemia. PMID- 18140661 TI - An electron microscope study of nerves infected with human poliomyelitis virus. AB - Sciatic nerves of rhesus monkeys infected with CAM and Wis. '45 strains of human poliomyelitis virus were fixed in formalin, sectioned, fragmented, and examined in the electron microscope. Most of the neurotubules of nerves infected with the CAM strain have normal appearance but a very small number show the presence of dense particles irregularly aligned within the edges of the neurotubules. The diameters of the particles range between 160 and 500 A, the mean being 330 A. The particles were found in regions along the nerve which varied with the time after infection, indicating a central movement of the morphological alteration of the order of 2 mm. per hour. Relatively abundant dense particulate material was found in nerves infected with Wis. '45 strain virus and the particles were chiefly attached to the edges of the neurotubules and in the adjacent areas of the field. The dense particles appear to be associated with the virus infection but no further characterization is possible at this time. PMID- 18140662 TI - An electron microscope analysis of nerves infected with the B virus. AB - Rabbits were infected with B virus in the right gastrocnemius muscle and both sciatic nerves were fixed and analyzed under the electron microscope, after periods varying between 26 and 144 hours. Starting at 72 hours, a few neurotubules of the right sciatic show the presence of spherical particles, ranging between 300 and 600 A. The number and size of the particles increase with time and appear to reach a maximum at 144 hours when the paralysis starts. At this moment also the proximal part of the left sciatic nerve shows the presence of dense particles. The relation of the particles with the periodic structure of the neurotubules was studied both in preparations stained in phosphotungstic acid and those shadowed with chromium. The small and medium sized particles are located within the edges of the neurotubules, and the large particles appear to be attached to the neurotubules. The possible significance of the dense particles is discussed. PMID- 18140663 TI - The use of radioactive lysine in studies of protein metabolism; synthesis and utilization of plasma proteins. AB - Racemic lysine labeled with C(14) in the epsilon carbon position was fed to dogs. The distribution of C(14) in blood and tissue fractions is recorded. In normal dogs sacrificed at 24 hours, approximately one-third of the C(14) was found in the urine, one-third in expired air, and one-third in the body, mostly in protein, predomantly as lysine residues. The rate of C(14) excretion as CO(2), hour by hour, paralleled closely the amount of non-protein C(14) in the blood plasma. The liver, kidney, pancreas, and spleen all have high values for C(14) in 24 hour and 17 day experiments. The gastrointestinal tract is significantly high in the 24 hour experiments. Plasma protein from animals previously fed C(14) containing lysine and thus in turn labeled, was transfused into other dogs and the rate of disappearance of albumin and globulin fractions from the circulation of the recipient dog followed. The results lead to the conclusion that as a whole, plasma proteins are utilized and replaced at a rate of at least 10 per cent per 24 hours. This minimum rate is substantially faster than turnover rates commonly accepted and emphasizes the role played by the plasma proteins in the protein economy of the body. The exact rate determination is made uncertain by the lack of knowledge of the magnitude of the amount of protein in solution in extracellular and lymph spaces and its rate of equilibrium with circulating plasma proteins. Evidence from these transfusion studies indicates that plasma globulin is metabolized at a significantly faster rate than plasma albumin. This is confirmed by the observation that following the feeding of labeled lysine to dogs, C(14) is first incorporated in globulin in high concentration but that later it also disappears more rapidly from the globulin fraction. These data suggest that the period of bone marrow maturation of the red cell during which time its related hemoglobin is synthesized does not exceed 3 to 5 days. PMID- 18140664 TI - Hemoglobin labeled by radioactive lysine; erythrocyte life cycle. AB - A dog, doubly depleted of blood cells and plasma proteins, was fed dl-lysine labeled with C(14) in the epsilon carbon position. In the first 8 hours 28 per cent of the administered C(14) was excreted in the urine; in the first 72 hours, 35 per cent. Twenty-four hours after feeding, 4.2 per cent of the fed C(14) was circulating in the plasma, decreasing to 1 per cent at the end of 17 days. The C(14) content of the blood cells increased from 1 per cent at 24 hours to 5.5 per cent in 5 days and 6.8 per cent in 22 days. Evidence based on the rate of decrease of the C(14) content of circulating blood cells is presented indicating an average life of 115 days for the erythrocyte protein as an entity not interchanging with extracellular constituents. This corresponds closely to the life span of the dog erythrocyte, 112 to 133 days according to the best evidence otherwise available and indicates that this experiment has actually measured the life span of the dog erythrocyte. Following breakdown of blood erythrocytes the protein comprising them is not used preferentially for the formation of new erythrocytes. PMID- 18140665 TI - The production of fever by influenzal viruses; factors influencing the febrile response to single injections of virus. AB - The intravenous injection of the PR8 strain of influenza A virus, the Lee strain of influenza B, and the "B" strain of Newcastle disease virus produces fever in rabbits. This phenomenon has been studied in relation to certain in vitro properties of these viruses. Saline suspensions of virus prepared by centrifugation or elution from chicken erythrocytes produced fever. Fluids from which most of the virus particles had been removed were non-pyrogenic. Exposure to temperatures which destroyed the infectivity of the virus for chick embryos did not prevent fever. However, heating sufficient to destroy the hemagglutinin also rendered virus non-pyrogenic. The injection of erythrocytes onto which virus had been adsorbed produced fever. Heated virus adsorbed onto erythrocytes, which failed to elute, produced no elevation of temperature, although heated virus alone was pyrogenic. Neutralization of virus with specific immune serum prevented fever. Antipyrine was capable of abolishing the febrile response to virus. Certain differences between the febrile response in rabbits to the injection of viruses and that following bacterial pyrogens were noted. The period between injection and beginning of temperature rise is longer with virus than with bacterial pyrogens. Relatively low temperatures inactivate the fever-producing capacity of viruses, whereas bacterial pyrogens withstand prolonged autoclaving, and the neutralization of viral fever by specific immune serum contrasts sharply with the failure of antibody to affect the response to bacterial pyrogens. Certain previous observations on the lymphopenia produced in rabbits by the injection of influenzal viruses were confirmed. The capacity of virus preparations to induce fever in rabbits closely parallels their capacity to induce lymphopenia. It was concluded that the fever-producing property of influenzal viruses is closely associated with the capacity to agglutinate erythrocytes. PMID- 18140666 TI - The production of fever by influenzal viruses; tolerance in rabbits to the pyrogenic effect of influenzal viruses. AB - The mechanism of the fever caused by the intravenous injection of viruses of the influenza group in rabbits has been studied by observing the effect of repeated injections of the same or heterologous viruses. An initial injection of the PR8 strain of influenza A, the Lee strain of influenza B, or the "B" strain of NDV conferred tolerance to the pyrogenic effect of homologous virus administered on the following day. The period of tolerance lasted approximately 11 days. Prior injection of virus appeared also to protect against the lymphopenic action of homologous strains. These viruses were found to confer tolerance to the fever producing effect of heterologous strains in an order corresponding to their positions in the receptor gradient of Burnet. Heated virus preparations appeared to confer tolerance in proportion to survival of hemagglutinin. Tolerance is probably unrelated to specific antibody formation since it is lost during a period of rapid immune response and heterologous strains exert a protective effect. No cross-tolerance was demonstrable between viruses and bacterial pyrogens and reticulo-endothelial blockade with thorotrast failed to modify the unresponsiveness of animals to 2nd day injections of homologous virus. Prevention of fever with antipyrine did not interfere with the protective effect of initial injections of virus. Arguments for and against a hypothesis that union of the virus particle with a receptor substance may play a part in the production of fever by these viruses are discussed. PMID- 18140667 TI - Antibody response of patients with poliomyelitis to virus recovered from their own alimentary tract. AB - Of 20 strains of virus recovered from 40 patients with poliomyelitis only 9 possessed a titer of 10(-3) or more, permitting significant quantitative neutralization tests in monkeys. Seven of the 9 high titer strains were derived from patients whose illness was ultimately paralytic, and tests with their undiluted sera indicated that the acute phase as well as the 3 month convalescent specimens neutralized maximum amounts of the patient's own virus. However when varying dilutions of the sera were tested against a single dose of virus, it was found that the antibody was present in lowest concentration early after onset and progressively increased in titer over a period of weeks during convalescence. The 2 remaining high titer strains were recovered from patients with a non-paralytic illness, and in both of these the acute phase sera were without significant amounts of antibody for their own virus. Antibody was demonstrable at 14, 28, and 92 days after onset in one of these patients, while the other had none at 1 month and only a minimal amount at 3 and 8 months. Tests with the Lansing virus on the same sera, clearly established the specificity of the antibody response to the strain of virus recovered from each patient under investigation. Five of the 9 patients, whose sera were studied with both viruses, had no antibody for the Lansing virus during the acute phase and none 3 months later. Two had antibody during the acute phase but serum dilution tests showed no increase in titer in the 3 month convalescent specimen. In 2 others, who were without antibody for the Lansing virus during the acute phase but had it at 3 months after onset, it was possible to show that this antibody appeared later than 1 month after the illness and that the virus recovered from these patients during their illness was not antigenically of the Lansing type. PMID- 18140668 TI - Diagnosis of pulmonary disease. PMID- 18140669 TI - Diagnostic difficulties in carcinoma of the lung. PMID- 18140670 TI - Subcutaneous emphysema as a surgical problem. PMID- 18140671 TI - Spontaneous rupture of the esophagus. PMID- 18140672 TI - Carcinoma of the breast; report of an untreated case. PMID- 18140673 TI - Symposium on trauma. PMID- 18140674 TI - The issue of compulsory health insurance. PMID- 18140675 TI - [Not Available]. PMID- 18140676 TI - [Not Available]. PMID- 18140677 TI - [Not Available]. PMID- 18140678 TI - [Not Available]. PMID- 18140679 TI - [Not Available]. PMID- 18140680 TI - [Not Available]. PMID- 18140681 TI - [Not Available]. PMID- 18140682 TI - [Not Available]. PMID- 18140683 TI - [Not Available]. PMID- 18140684 TI - [Not Available]. PMID- 18140685 TI - [Not Available]. PMID- 18140686 TI - [Not Available]. PMID- 18140687 TI - [Not Available]. PMID- 18140688 TI - [Not Available]. PMID- 18140689 TI - [Not Available]. PMID- 18140690 TI - Diabetes mellitus; certain practical considerations. PMID- 18140691 TI - Case reports; unusual postoperative complications. PMID- 18140692 TI - End results in 77 consecutive fresh fractures of the neck of the femur. PMID- 18140693 TI - On seeing the patient through; the failure of medical coordination. PMID- 18140694 TI - Tensile strength of sutures; loss when implanted in living tissue. PMID- 18140695 TI - Flaxedil as a curarising agent in anaesthesia. PMID- 18140696 TI - Hyaluronidase in paediatric therapy. PMID- 18140697 TI - Effect of caronamide on excretion of p-aminosalicylic acid. PMID- 18140698 TI - Facial palsy and poliomyelitis. PMID- 18140699 TI - Strangulated mesenteric hernia of caecum. PMID- 18140700 TI - Senile haematocolpos. PMID- 18140701 TI - INDOOR invalid chairs. PMID- 18140702 TI - School outbreak of gastro-enteritis associated with a pathogenic paracolon bacillus. PMID- 18140703 TI - CHRONIC myeloid leukaemia. PMID- 18140704 TI - Clues to the aetiology of Graves's disease. PMID- 18140705 TI - Sequelae of infective hepatitis in children; review of 12 cases. PMID- 18140706 TI - Di-isopropyl fluorophosphonate as an intestinal carminative. PMID- 18140707 TI - Perforated enteric ulcer successfully treated conservatively. PMID- 18140708 TI - Action of soda lime on chloroform. PMID- 18140709 TI - Medical care today. PMID- 18140710 TI - [Effect of rutin and quercetin on heart]. PMID- 18140711 TI - [Our operative tactics and technique in surgical treatment of malignant cardioesophageal tumors and the advanced carcinoma of the stomach]. PMID- 18140712 TI - [Urethan and its biologic and therapeutic effect]. PMID- 18140713 TI - [Secondary disturbances of nutrition in disease]. PMID- 18140714 TI - [Tuberculin tests]. PMID- 18140715 TI - [Calcium in our food]. PMID- 18140716 TI - [Demyelinizing diseases of central nervous system]. PMID- 18140717 TI - [A contribution to the differential diagnosis of ileus in infants; a mesenteric syst]. PMID- 18140718 TI - [Endokrinni asthma treated with proluton]. PMID- 18140719 TI - [Streptomycin in therapy of tuberculosis in children]. PMID- 18140720 TI - [Not Available]. PMID- 18140721 TI - [Not Available]. PMID- 18140722 TI - [Not Available]. PMID- 18140723 TI - [Not Available]. PMID- 18140724 TI - [Not Available]. PMID- 18140725 TI - [Not Available]. PMID- 18140726 TI - [Not Available]. PMID- 18140727 TI - [Not Available]. PMID- 18140729 TI - [Not Available]. PMID- 18140728 TI - [Not Available]. PMID- 18140730 TI - Modern trends in the surgery of peptic ulcer. PMID- 18140731 TI - A series of cases of indirect inguinal hernia treated by the method of inversion of the sac. PMID- 18140732 TI - Clinical uses of the basal body temperature graphs in practice. PMID- 18140733 TI - The treatment of granular proctitis with benadryl. PMID- 18140734 TI - Detachment of the retina; a desperate case. PMID- 18140736 TI - Inguinal hernia; the problem of treatment. PMID- 18140735 TI - Modern and post-war trends in fracture surgery. PMID- 18140737 TI - Miners' nystagmus. PMID- 18140738 TI - Haematuria. PMID- 18140739 TI - [Not Available]. PMID- 18140740 TI - [Not Available]. PMID- 18140741 TI - [Not Available]. PMID- 18140742 TI - [Not Available]. PMID- 18140743 TI - [Not Available]. PMID- 18140744 TI - Some aspects of bleeding in otorhinolaryngology. PMID- 18140745 TI - A report on the use of vinbarbital sodium in obstetrics. PMID- 18140746 TI - Clinical problems in syphilis. PMID- 18140747 TI - Total status asthmaticus. PMID- 18140748 TI - Synthetic analogs of oxytocic drugs; phenethyl beta-alanine derivatives. PMID- 18140749 TI - Ring substituted benzoylacrylic acids as antibacterial agents. PMID- 18140750 TI - Sulfur-containing amines; local anesthetics. PMID- 18140751 TI - The reaction of amides with isocyanates. PMID- 18140752 TI - Transference numbers of dodecylammonium chloride in water-organic solvent systems. PMID- 18140753 TI - Polycystic kidney disease. PMID- 18140754 TI - Appendicitis at the Meriden Hospital, 1947-48. PMID- 18140755 TI - Tendon transplant for external rectus paralysis. PMID- 18140756 TI - Purpura hemorrhagica; report of three cases. PMID- 18140757 TI - [Not Available]. PMID- 18140758 TI - [Not Available]. PMID- 18140759 TI - [Not Available]. PMID- 18140760 TI - [Not Available]. PMID- 18140761 TI - [Not Available]. PMID- 18140762 TI - Recent advances in pernicious anemia, the hypochromic anemias and the hemolytic anemias. PMID- 18140763 TI - Leukemia, lyphoblastoma and polycythemia vera. PMID- 18140764 TI - Anesthesia for thoracic procedures. PMID- 18140765 TI - Postoperative management following surgery of malignancies of the large bowel. PMID- 18140766 TI - Employment of rectus sheath and superior pubic ligament in direct inguinal hernia. PMID- 18140767 TI - Studies in experimental gastric carcinogenesis. PMID- 18140768 TI - An improved method for obtaining and staining utero-cervical, external os and ulcer smears for detection of cancer. PMID- 18140769 TI - Medical testimony before the courts. PMID- 18140771 TI - Parotid gland neoplasms. PMID- 18140770 TI - The plasma fixation of skin grafts. PMID- 18140772 TI - Endometrial removal from endocervix with subtotal hysterectomy; a new instrument. PMID- 18140773 TI - The profession in the society of today. PMID- 18140774 TI - Ventricular strain and ventricular hypertrophy. PMID- 18140775 TI - Conditioned-reflex treatment of alcoholism; its rationale and technic. PMID- 18140776 TI - Portal cirrhosis of liver, postnecrotic type. PMID- 18140777 TI - Pyelonephritis, severe, B. pyocyaneus. PMID- 18140778 TI - Spontaneous perforation of the esophagus; report of three cases successfully treated surgically. PMID- 18140779 TI - Hyperparathyroidism with nephrolithiasis; report of a case with parathyroid tumor located within the thymus. PMID- 18140780 TI - Conditioned-reflex treatment of alcoholism; the risks of its application, its indications, contraindications and psychotherapeutic aspects. PMID- 18140781 TI - The management of abnormal uterine bleeding. PMID- 18140782 TI - Resuscitation. PMID- 18140783 TI - Congenital defect of mesentery, with volvulus and perforation of ileum. PMID- 18140784 TI - Home accidents in Massachusetts; a study in the epidemiology of trauma. PMID- 18140786 TI - A public-health heart program; first report. PMID- 18140785 TI - The needs for inpatient care and treatment of mentally ill children in the Commonwealth of Massachusetts. PMID- 18140787 TI - Child health services in Massachusetts. PMID- 18140788 TI - Rheumatic heart disease, with mitral stenosis. PMID- 18140789 TI - Combined medical and surgical management of upper gastrointestinal hemorrhage. PMID- 18140790 TI - Brill's disease; report of three cases with aureomycin treatment of two. PMID- 18140791 TI - Artane in the treatment of Parkinson's disease; a report of its effectiveness alone and in combination with benadryl and parpanit. PMID- 18140792 TI - Abdominal pain in hemochromatosis. PMID- 18140793 TI - Laboratory data in clinical medicine; units of measure, costs, and quantitative significance of results. PMID- 18140794 TI - Malignant lymphoma, Hodgkin's type, involving lymph nodes only. PMID- 18140795 TI - Pulmonary embolism, massive, acute. PMID- 18140796 TI - The management of acute head injuries. PMID- 18140797 TI - Early management of injuries of the chest. PMID- 18140798 TI - Non-penetrating injuries of the abdomen. PMID- 18140799 TI - Traumatic shock. PMID- 18140800 TI - Modern advances in diabetes mellitus. PMID- 18140801 TI - Injuries to major arteries and their treatment. PMID- 18140802 TI - The etiology of poliomyelitis. PMID- 18140803 TI - Metabolic aspects of vascular degeneration in diabetes mellitus. PMID- 18140804 TI - A discussion of the various surgical procedures employed in the management of portal hypertension. PMID- 18140805 TI - The trend toward the reduction of fetal risk in obstetrics. PMID- 18140806 TI - Menopausal syndrome. PMID- 18140807 TI - Recent developments in the physiologic study of patients with chest diseases. PMID- 18140808 TI - Encephalitis in children with electroencephalo graphic changes. PMID- 18140809 TI - Cerebrospinal fluid examination in diagnosis of multiple sclerosis. PMID- 18140810 TI - Neuritis and neuronapathy in industrial medicine. PMID- 18140811 TI - Rate of erythrocyte regeneration in pernicious anemia. PMID- 18140812 TI - Torsion of the appendices epiploicae. PMID- 18140813 TI - The use of red blood cell paste in the treatment of chronic leg ulcers. PMID- 18140815 TI - Ovarian malignancy in a young girl. PMID- 18140814 TI - Penicillin in cardiovascular syphilis. PMID- 18140817 TI - Spontaneous hemopneumothorax. PMID- 18140816 TI - Cerebral edema complicating active rheumatic heart disease in a child. PMID- 18140818 TI - Acute laryngeal edema in nephritis. PMID- 18140819 TI - Rectal administration of tolserol the therapeutic efficacy of this route as demonstrated in amyotrophic lateral sclerosis. PMID- 18140820 TI - Cecostomy in large bowel obstruction associated with megacecum. PMID- 18140821 TI - Cushing's syndrome; a possible clue to certain diseases associated with aging. PMID- 18140822 TI - Toxemias of pregnancy. PMID- 18140823 TI - Spinal anesthesia in obstetrics. PMID- 18140824 TI - The physiology of adolescence. PMID- 18140825 TI - Emotional problems of adolescence. PMID- 18140826 TI - [Not Available]. PMID- 18140827 TI - [Not Available]. PMID- 18140829 TI - [Not Available]. PMID- 18140828 TI - [Not Available]. PMID- 18140830 TI - [Not Available]. PMID- 18140831 TI - [Not Available]. PMID- 18140832 TI - Desoxycorticosterone in certain psychotic cases. PMID- 18140833 TI - Histologic criteria for evaluating endometriosis. PMID- 18140834 TI - Treatment of psychosomatic disorder by the general physician. PMID- 18140835 TI - Psychosomatic orientations in obstetrics and gynecology. PMID- 18140836 TI - Torsion of spermatic cord; case report. PMID- 18140837 TI - Bacterial resistance in relation to combined use of streptomycin and sulfadiazine. PMID- 18140838 TI - Varicosities of the spinal canal veins in the lumbar region simulating disc herniations. PMID- 18140839 TI - Synovioma; a case report with pulmonary metastases that regressed following irradiation. PMID- 18140841 TI - [Not Available]. PMID- 18140840 TI - [Not Available]. PMID- 18140842 TI - [Not Available]. PMID- 18140843 TI - The eye in general medicine. PMID- 18140844 TI - Colour blindness in the light of recent theories of colour vision. PMID- 18140845 TI - The causation and treatment of detachment of the retina. PMID- 18140846 TI - The modern treatment of squint. PMID- 18140847 TI - The care of the scalp and hair. PMID- 18140848 TI - Painful feet. PMID- 18140849 TI - Protein hydrolysates. PMID- 18140850 TI - The use and abuse of amphetamine. PMID- 18140851 TI - [Not Available]. PMID- 18140852 TI - [Not Available]. PMID- 18140853 TI - [Not Available]. PMID- 18140854 TI - [Not Available]. PMID- 18140855 TI - [Not Available]. PMID- 18140856 TI - [Not Available]. PMID- 18140857 TI - [Not Available]. PMID- 18140858 TI - [Not Available]. PMID- 18140859 TI - [Not Available]. PMID- 18140860 TI - [Not Available]. PMID- 18140862 TI - [Not Available]. PMID- 18140861 TI - [Not Available]. PMID- 18140863 TI - [Not Available]. PMID- 18140864 TI - [Not Available]. PMID- 18140865 TI - [Not Available]. PMID- 18140867 TI - [Not Available]. PMID- 18140866 TI - [Not Available]. PMID- 18140868 TI - [Not Available]. PMID- 18140869 TI - [Not Available]. PMID- 18140870 TI - [Not Available]. PMID- 18140871 TI - [Not Available]. PMID- 18140872 TI - [Not Available]. PMID- 18140874 TI - [Not Available]. PMID- 18140873 TI - [Not Available]. PMID- 18140875 TI - [Not Available]. PMID- 18140876 TI - [Not Available]. PMID- 18140877 TI - [Not Available]. PMID- 18140879 TI - [Not Available]. PMID- 18140878 TI - [Not Available]. PMID- 18140880 TI - [Not Available]. PMID- 18140881 TI - [Not Available]. PMID- 18140882 TI - [Not Available]. PMID- 18140883 TI - [Not Available]. PMID- 18140884 TI - [Not Available]. PMID- 18140885 TI - [Not Available]. PMID- 18140886 TI - [Not Available]. PMID- 18140887 TI - [Not Available]. PMID- 18140888 TI - [Not Available]. PMID- 18140889 TI - [Not Available]. PMID- 18140891 TI - [Not Available]. PMID- 18140890 TI - [Not Available]. PMID- 18140892 TI - [Not Available]. PMID- 18140893 TI - [Not Available]. PMID- 18140895 TI - [Not Available]. PMID- 18140894 TI - [Not Available]. PMID- 18140896 TI - [Not Available]. PMID- 18140897 TI - [Not Available]. PMID- 18140898 TI - Abscess of the spleen; a review and a case presenting as an intestinal obstruction. PMID- 18140899 TI - Haemophilia in a South African Bantu; report of a case. PMID- 18140900 TI - A case of porcelain gall bladder, renal calculi and unusually large bladder calculi. PMID- 18140901 TI - Spinal haemangioma treated by deep X-ray therapy. PMID- 18140902 TI - Acute regional ileitis; treatment of a case with streptomycin. PMID- 18140903 TI - Epilepsy; some physiological considerations. PMID- 18140904 TI - An accident service; its organisation. PMID- 18140905 TI - Contusion of the brain; report on a case treated by decompression. PMID- 18140906 TI - Modern therapeutic agents. PMID- 18140907 TI - [Not Available]. PMID- 18140908 TI - [Not Available]. PMID- 18140909 TI - [Not Available]. PMID- 18140910 TI - [Not Available]. PMID- 18140911 TI - [Not Available]. PMID- 18140913 TI - [Not Available]. PMID- 18140912 TI - [Not Available]. PMID- 18140914 TI - [Not Available]. PMID- 18140915 TI - [Not Available]. PMID- 18140916 TI - [Not Available]. PMID- 18140917 TI - [Not Available]. PMID- 18140918 TI - [Not Available]. PMID- 18140919 TI - [Not Available]. PMID- 18140921 TI - [Not Available]. PMID- 18140920 TI - [Not Available]. PMID- 18140922 TI - [Not Available]. PMID- 18140923 TI - [Not Available]. PMID- 18140924 TI - [Not Available]. PMID- 18140925 TI - [Not Available]. PMID- 18140926 TI - [Not Available]. PMID- 18140927 TI - [Not Available]. PMID- 18140928 TI - [Not Available]. PMID- 18140929 TI - [Not Available]. PMID- 18140930 TI - [Not Available]. PMID- 18140931 TI - [Not Available]. PMID- 18140932 TI - [Not Available]. PMID- 18140933 TI - [Not Available]. PMID- 18140934 TI - [Not Available]. PMID- 18140935 TI - [Not Available]. PMID- 18140936 TI - [Not Available]. PMID- 18140937 TI - [Not Available]. PMID- 18140938 TI - [Not Available]. PMID- 18140940 TI - [Not Available]. PMID- 18140939 TI - [Not Available]. PMID- 18140941 TI - [Not Available]. PMID- 18140942 TI - [Not Available]. PMID- 18140943 TI - [Not Available]. PMID- 18140944 TI - [Not Available]. PMID- 18140945 TI - [Not Available]. PMID- 18140946 TI - [Not Available]. PMID- 18140947 TI - [Not Available]. PMID- 18140948 TI - Interaction of homologous alkyl sulfates with bovine serum albumin. PMID- 18140949 TI - Kinetics of hydrolysis and displacement reactions of beta, beta1-dichlorodiethyl sulfide and of beta-chloro-beta1-hydroxydiethyl sulfide. PMID- 18140950 TI - The isomeric aldehydes derived from p-cymene. PMID- 18140951 TI - [Not Available]. PMID- 18140952 TI - [Not Available]. PMID- 18140953 TI - [Not Available]. PMID- 18140954 TI - [Not Available]. PMID- 18140955 TI - [Not Available]. PMID- 18140956 TI - [Not Available]. PMID- 18140958 TI - Fatigue, normal and pathological, with special consideration of myasthenia gravis and multiple sclerosis. PMID- 18140957 TI - Atrophic arthritis, splenomegaly and leukopenia; report of two cases. PMID- 18140959 TI - The diagnosis of congenital heart disease. PMID- 18140960 TI - New operative procedure for laryngofissure. PMID- 18140961 TI - Marfan's syndrome; report of a case. PMID- 18140962 TI - Spontaneous pneumothorax in the newborn; report of two cases. PMID- 18140963 TI - Industrial medicine problems of the immediate future. PMID- 18140964 TI - Peripheral vascular disease. PMID- 18140965 TI - The use of radioactive isotopes in the study of peripheral vascular disease. PMID- 18140966 TI - Food allergy as a cause of pruritus ani. PMID- 18140967 TI - An effective method of intracapsular extraction with a review of 175 cases. PMID- 18140968 TI - The place of gastrectomy in the treatment of peptic ulcer. PMID- 18140969 TI - Ruptured intervertebral disc in industry. PMID- 18140970 TI - Teaching the practicing physician to do psychotherapy. PMID- 18140971 TI - Psychosomatics in gynecic practice. PMID- 18140972 TI - Anesthesia and the neurosurgical patient. PMID- 18140973 TI - Brachial plexus block; a simplified technic using the axillary route. PMID- 18140974 TI - [Not Available]. PMID- 18140975 TI - [Not Available]. PMID- 18140976 TI - [Not Available]. PMID- 18140977 TI - [Not Available]. PMID- 18140978 TI - [Not Available]. PMID- 18140979 TI - [Not Available]. PMID- 18140980 TI - [Not Available]. PMID- 18140981 TI - [Not Available]. PMID- 18140982 TI - [Not Available]. PMID- 18140984 TI - [Not Available]. PMID- 18140983 TI - [Not Available]. PMID- 18140985 TI - [Not Available]. PMID- 18140986 TI - [Not Available]. PMID- 18140987 TI - [Not Available]. PMID- 18140989 TI - [Not Available]. PMID- 18140988 TI - [Not Available]. PMID- 18140990 TI - Nitrogen mustard treatment of Hodgkin's disease. PMID- 18140991 TI - [Not Available]. PMID- 18140992 TI - The early diagnosis of brain tumor. PMID- 18140993 TI - Recent advances in cataract surgery. PMID- 18140994 TI - Acute pancreatitis. PMID- 18140995 TI - An unusual case of hydrocephalus with some comments on delivery. PMID- 18140996 TI - The physiologic basis of the electrocardiogram. PMID- 18140997 TI - A concise pharmacology of the new antibiotic agents. PMID- 18140998 TI - Intravenous procaine in orthopedics; personal observations and review of the literature. PMID- 18140999 TI - [Not Available]. PMID- 18141000 TI - [Not Available]. PMID- 18141001 TI - [Not Available]. PMID- 18141002 TI - [Not Available]. PMID- 18141003 TI - [Not Available]. PMID- 18141005 TI - [Not Available]. PMID- 18141004 TI - [Not Available]. PMID- 18141006 TI - [Not Available]. PMID- 18141007 TI - [Not Available]. PMID- 18141008 TI - [Not Available]. PMID- 18141009 TI - [Not Available]. PMID- 18141010 TI - [Not Available]. PMID- 18141011 TI - [Not Available]. PMID- 18141012 TI - [Not Available]. PMID- 18141013 TI - [Not Available]. PMID- 18141014 TI - [Not Available]. PMID- 18141016 TI - [Not Available]. PMID- 18141015 TI - [Not Available]. PMID- 18141017 TI - [Not Available]. PMID- 18141018 TI - The Medical Service Corps of the U.S. Navy. PMID- 18141019 TI - The Medical Service Corps of the U.S. Naval Reserve. PMID- 18141020 TI - Cysts of the semilunar cartilages of the knee joint. PMID- 18141021 TI - Reiter's disease with keratosis blennorrhagica. PMID- 18141022 TI - Rupture of the quadriceps tendon. PMID- 18141023 TI - Pathologic physiology of truck and car driving. PMID- 18141024 TI - Surgeons in battle; the Mobile Surgical Hospital in Burma, 1943 to 1945. PMID- 18141025 TI - Diagnosis and treatment of a new case of diabetes. PMID- 18141026 TI - Plastic surgery. PMID- 18141027 TI - The use of sump drainage following operative procedures in the lower pelvis. PMID- 18141028 TI - Physiological psychiatry. PMID- 18141029 TI - Inspection and rating for mental hospitals. PMID- 18141030 TI - A new program in the training and employment of ward personnel. PMID- 18141031 TI - A state hospital children's unit. PMID- 18141032 TI - America's number one problem; chronic disease and an aging population. PMID- 18141033 TI - Cerebral morphologic changes in monkeys subjected to a large number of electrically induced convulsions (32-100). PMID- 18141034 TI - How specific is psychotherapy? PMID- 18141035 TI - Neuropsychiatry in group practice. PMID- 18141036 TI - Technique of combined coramine-electroshock therapy. PMID- 18141037 TI - Electroshock in the presence of spinal injury. PMID- 18141038 TI - [Not Available]. PMID- 18141039 TI - The sensory pathways from the shoulder joint. PMID- 18141040 TI - Restoration of cerebral function after prolonged cardiac arrest. PMID- 18141041 TI - Syringo-encephalomyelia; discussion of related syndromes and pathologic processes, with report of a case. PMID- 18141042 TI - Failure to disclose ruptured intervertebral disks in 32 operations for sciatica. PMID- 18141043 TI - A specific epileptic syndrome favorably affected by lysis of anomalous Pacchionian granulations. PMID- 18141044 TI - Craniostenosis; with notes on a modified operation for the brachycephalic form. PMID- 18141045 TI - Surgical experiences with acoustic tumors. PMID- 18141046 TI - Papilloma of the choroid plexus; report of a case. PMID- 18141047 TI - Lateral intrathoracic meningocele. PMID- 18141048 TI - Oligodendroglioma of the spinal cord. PMID- 18141049 TI - The historical development of metabolism studies. PMID- 18141050 TI - Study of essential familial hypercholesterolemia; relationship of diet and blood cholesterol levels. PMID- 18141051 TI - Utilization of ascorbic acid; crystalline supplement vs grapefruit as source. PMID- 18141052 TI - Comparison of meat and legumes in a controlled feeding program; second period with regimens reversed; dietaries and results of physical observations. PMID- 18141053 TI - Audio-visual aids for use by community nutritionists. PMID- 18141054 TI - Practicality of frozen turkey filets, steaks and other products. PMID- 18141056 TI - Hereditary myopia. PMID- 18141055 TI - Retention of thiamine, riboflavin, and niacin in pork hearts and beef kidneys. PMID- 18141057 TI - Anisocoria; attempted induction by unilateral illumination. PMID- 18141058 TI - Goniotomy in treatment of congenital glaucoma. PMID- 18141059 TI - Operations for blepharoptosis. PMID- 18141060 TI - Neuromyelitis optica; presentation of five cases, with pathologic study, and review of literature. PMID- 18141061 TI - Heteroplastic grafts; presentation of a case. PMID- 18141062 TI - Relation of cerebrovascular resistance and the grade of retinal changes in hypertension. PMID- 18141063 TI - [Not Available]. PMID- 18141064 TI - [Not Available]. PMID- 18141065 TI - [Not Available]. PMID- 18141066 TI - Some data concerning Verhoeff's quantitative test for measuring the acuity of binocular stereopsis. PMID- 18141067 TI - [Not Available]. PMID- 18141068 TI - [Not Available]. PMID- 18141069 TI - [Ocular manifestations produced by severe colarios basis of tripaflavina]. PMID- 18141070 TI - [The visual rehabilitation of strabismus]. PMID- 18141071 TI - Congenital anomalies of the esophagus related to esophageal foreign bodies. PMID- 18141072 TI - Acute acetylsalicylic acid intoxication; report of five cases with two deaths. PMID- 18141073 TI - Six examples of precocious sexual development; studies in diagnosis and pathogenesis. PMID- 18141074 TI - Aplastic anemias in childhood; report of a primary idiopathic refractory type, with splenectomy, in an 11 year old girl. PMID- 18141075 TI - Hypocalcemia in the neonatal period; a clinical study. PMID- 18141076 TI - Spontaneous pleural effusion in a newborn infant. PMID- 18141077 TI - Mongolism in one of twins and in another sibling; report of a case. PMID- 18141078 TI - Composition of human colostrum and milk. PMID- 18141079 TI - Functional intestinal obstruction in an infant. PMID- 18141080 TI - Influenzal meningitis, evaluation of its treatment; report of case with recovery. PMID- 18141081 TI - Acute anterior and acute posterior polimyelitis; are they the same disease? PMID- 18141082 TI - Amyotonia congenita; report of two cases and discussion. PMID- 18141083 TI - The mechanism of action of anticholinesterase drugs. PMID- 18141084 TI - The methylation of noradrenaline by minced suprarenal tissue. PMID- 18141085 TI - Studies in the chemotherapy of tuberculosis; thiosemicarbazones and related compounds. PMID- 18141086 TI - The estimation of some thiosemicarbazones and their blood concentrations in experimental animals. PMID- 18141087 TI - The effect of dithiols on survival time in rats and mice poisoned with organic arsenicals. PMID- 18141088 TI - Dimercaprol and the biliary excretion of lead in rabbits. PMID- 18141089 TI - pAx and competitive drug antagonism. PMID- 18141090 TI - Some pharmacological properties common to antihistamine compounds. PMID- 18141091 TI - The fate of tubocurarine in the body. PMID- 18141092 TI - The pressor and depressor effects of certain sympathomimetic amines. PMID- 18141093 TI - Effect of reduction of potassium on the action of acetylcholine on rabbit auricles. PMID- 18141094 TI - Isopropylnoradrenaline inhalation and mucous membranes. PMID- 18141095 TI - The amount of nicotine absorbed in smoking. PMID- 18141096 TI - [Not Available]. PMID- 18141097 TI - Polygala senega and its substitutes. PMID- 18141098 TI - Emulsification by ultrasonics. PMID- 18141099 TI - Accuracy of perception in peripheral vision in relation to intellectual abilities among subjects selected on the basis of dextrality. PMID- 18141100 TI - Another experiment in pursuit of color-blindness. PMID- 18141101 TI - Our maligned animal nature. PMID- 18141102 TI - Career study survey of 300 veteran college students. PMID- 18141103 TI - An experimental investigation of prestige-suggestion for two types of literary material. PMID- 18141104 TI - The Rosenzweig picture-frustration study; norms, reliability, and statistical evaluation. PMID- 18141105 TI - The Rosenzweig picture frustration study; interpretation. PMID- 18141106 TI - Available methods for studying personality. PMID- 18141107 TI - Psychology at the beginning of World War II; meditations on the impending dismemberment of psychology written in 1942. PMID- 18141108 TI - Standards for use of the gust scale. PMID- 18141109 TI - Agreement with the judgments of musicologists as a measure of musical taste. PMID- 18141110 TI - A study of the personality traits of college students, and of state prison inmates as measured by the Minnesota multiphasic personality inventory. PMID- 18141111 TI - The use of psychometric and projective tests in clinical psychology. PMID- 18141112 TI - Personal values as determinants of a political attitude. PMID- 18141113 TI - The derivation of the transfer functions of homeostatic systems from experimental response curves. PMID- 18141114 TI - Schistosome dermatitis in New Zealand; the parasite. PMID- 18141115 TI - Schistosome dermatitis in New Zealand; pathology and immunology of cercarial lesions. PMID- 18141116 TI - The single throat culture as an index of the bacterial flora of the respiratory tract. PMID- 18141117 TI - The rate of bactericidal action of triethylene glycol vapor on microorganisms dispersed into the air in small droplets. PMID- 18141118 TI - Studies in human malaria; results of massive subinoculation during latency from patients infected with St. Elizabeth strain vivax malaria. PMID- 18141119 TI - Studies in human malaria; trials of quinacrine, colchicine (SN 12,080) and quinine against Chesson strain vivax malaria. PMID- 18141120 TI - Congenital antiviral immunity in Swiss mice. PMID- 18141121 TI - Sweet-potato cultivation and hookworm disease in Fukien, South China. PMID- 18141122 TI - Motivation in health education. PMID- 18141123 TI - Role of the voluntary agency in the overall health program. PMID- 18141124 TI - Tuberculosis clinic organization and practice. PMID- 18141125 TI - Safety and effectiveness of multiple antigen preparations in a group of free living children. PMID- 18141126 TI - The in vitro test for virulence of Corynebacterium diphtheriae. PMID- 18141127 TI - Effect of ultra-violet irradiation of classrooms on spread of mumps and chickenpox in large rural central schools. PMID- 18141128 TI - Classifying health agency positions. PMID- 18141129 TI - The health officer and the medical profession. PMID- 18141130 TI - [Not Available]. PMID- 18141131 TI - Medical officers of health. PMID- 18141132 TI - For and against institutional midwifery. PMID- 18141133 TI - The Children Act. PMID- 18141134 TI - Thoughts on the training of health visitors. PMID- 18141135 TI - Diagnosing types of color deficiency by means of pseudo-isochromatic tests. PMID- 18141136 TI - [Not Available]. PMID- 18141137 TI - [Not Available]. PMID- 18141138 TI - [Not Available]. PMID- 18141139 TI - [Not Available]. PMID- 18141140 TI - [Not Available]. PMID- 18141141 TI - National Health Service Act of Great Britain. PMID- 18141142 TI - The therapeutic properties of periodontal cement packs. PMID- 18141143 TI - Problems of sewage disposal at coastal towns. PMID- 18141144 TI - Sanitary inspectors. PMID- 18141145 TI - The collection and disposal of refuse and unsound food. PMID- 18141146 TI - Problems of meat inspection in a small urban district. PMID- 18141147 TI - Some aspects of housing in a metropolitan borough. PMID- 18141148 TI - Control of tsetse flies by human settlement. PMID- 18141149 TI - Tropical ulcer; studies in its causation. PMID- 18141150 TI - The work of the Birmingham Accident Hospital and Rehabilitation Centre. PMID- 18141151 TI - The problem of the resettlement of the psychiatric patient. PMID- 18141152 TI - Distribution and salaries of directors of vital statistics and statisticians in the state health departments as of August 1948. PMID- 18141153 TI - Case registers. PMID- 18141154 TI - Proposed elements of a state cancer control program. PMID- 18141155 TI - Nomenclature of strains of C. diphtheriae. PMID- 18141156 TI - Determination of the specific gravity of ragweed pollen (Ambrosia eletior) and conversion of gravity sample counts to volumetric incidence. PMID- 18141157 TI - Estimation of chronic disease prevalence with particular reference to syphilis. PMID- 18141158 TI - Snap traps versus cage traps in plague surveillance. PMID- 18141159 TI - Effects of reservoir operation on stream water quality. PMID- 18141160 TI - Incidence of Q fever in eastern Washington; a serological survey. PMID- 18141161 TI - Prospectus of research in mass BCG vaccination. PMID- 18141162 TI - Tuberculosis and its control in rural areas. PMID- 18141163 TI - Our experience in the surgical treatment of diseases of the thyroid gland. PMID- 18141164 TI - Recent developments in the therapy of human brucellosis. PMID- 18141165 TI - A short note on Brucella fractionation. PMID- 18141166 TI - The treatment of Taenia saginata with atabrine. PMID- 18141167 TI - The treatment of Taenia saginata with a hexylresorcinol emulsion administered into the duodenum. PMID- 18141168 TI - Fermentation reactions with dried paper discs containing carbohydrate and indicator. PMID- 18141169 TI - [Not Available]. PMID- 18141170 TI - System of bio-precipitation of organic matter from sewage. PMID- 18141171 TI - The effect of sea water on the biochemical oxidation of sewage. PMID- 18141172 TI - The possibilities of disposal of radioactive wastes by biological treatment methods. PMID- 18141173 TI - Digitalis and splints for two digesters. PMID- 18141174 TI - Roentgen therapy as the sole method of treatment of cancer of the breast. PMID- 18141175 TI - Treatment and results in cancer of the breast. PMID- 18141176 TI - Treatment and results in cancer of the breast. PMID- 18141177 TI - Cancer of the breast. PMID- 18141178 TI - Treatment and results in cancer of the breast. PMID- 18141179 TI - Cancer of the breast. PMID- 18141180 TI - Generalized progressive scleroderma; report of an instance of esophagoscopic perforation of the esophagus with description of the roentgenological and necropsy findings. PMID- 18141181 TI - Ulcer associated with diaphragmatic hernia. PMID- 18141182 TI - Relative incidence of bone lesions over a 37 year period. PMID- 18141183 TI - The roentgenologic examination of the cervical spine. PMID- 18141184 TI - Collapse of the vertebral bodies in sickle cell anemia. PMID- 18141185 TI - The syndrome of arteriovenous fistula of the lung. PMID- 18141186 TI - Menstruation and acute appendicitis. PMID- 18141187 TI - Phlebothrombosis of the lower extremities; critical factors in evaluating the sites of femoral vein section. PMID- 18141188 TI - Clinical evaluation of a new bactericidal agent. PMID- 18141189 TI - Progress in colon surgery. PMID- 18141190 TI - Tardy ulnar palsy. PMID- 18141191 TI - Intradiploic epidermoid tumors (cholesteatoma of the skull). PMID- 18141192 TI - Survey of common duct stones in clinical and necropsy cases. PMID- 18141193 TI - Early ambulation after surgery. PMID- 18141194 TI - Protein hydrolysate as routine supplement to the postoperative diet. PMID- 18141195 TI - The small bowel enema. PMID- 18141196 TI - The problem of the remaining common duct stone. PMID- 18141197 TI - Primary idiopathic segmental infarction of the greater omentum. PMID- 18141198 TI - Plantar interdigital neuroma or Morton's toe. PMID- 18141199 TI - Tumors of the diaphragm. PMID- 18141200 TI - Spontaneous rupture of the uterus. PMID- 18141201 TI - Intussusception in an adult; primary resection with recovery and subsequent normal pregnancy. PMID- 18141202 TI - Placenta accreta in syphilis. PMID- 18141203 TI - Retrograde spread of carcinoma in the rectum and rectosigmoid. PMID- 18141204 TI - Early and delayed clinical effects of vagotomy for peptic ulcer. PMID- 18141205 TI - Treatment of cancer of breast by simple mastectomy and roentgenotherapy. PMID- 18141206 TI - Anesthesia in traumatic conditions. PMID- 18141207 TI - Short radius. PMID- 18141208 TI - Contusions of the lung from nonpenetrating injuries to the thorax. PMID- 18141209 TI - Technic for arthrodesis of the hip when the femoral head and neck are absent. PMID- 18141210 TI - Relief of chronic hypertension by excision of pheochromocytoma. PMID- 18141211 TI - Xanthomatous giant cell tumors arising in soft tissue; report of an instance of malignant growth. PMID- 18141213 TI - Pseudocyst of the liver; report of a case. PMID- 18141212 TI - Granulomas of large size caused by implantation of talcum (talcum sarcoids). PMID- 18141214 TI - Islet cell tumor of the pancreas. PMID- 18141215 TI - Infantile paralysis; research. PMID- 18141216 TI - Neuromuscular disorders exclusive of poliomyelitis. PMID- 18141217 TI - [Not Available]. PMID- 18141218 TI - [Not Available]. PMID- 18141219 TI - [Not Available]. PMID- 18141220 TI - [Not Available]. PMID- 18141221 TI - [Not Available]. PMID- 18141222 TI - [Not Available]. PMID- 18141223 TI - [Not Available]. PMID- 18141224 TI - [Not Available]. PMID- 18141226 TI - [Not Available]. PMID- 18141225 TI - [Not Available]. PMID- 18141227 TI - [Not Available]. PMID- 18141228 TI - [Not Available]. PMID- 18141229 TI - [Not Available]. PMID- 18141230 TI - [Not Available]. PMID- 18141231 TI - [Not Available]. PMID- 18141232 TI - [Not Available]. PMID- 18141233 TI - [Not Available]. PMID- 18141234 TI - [Not Available]. PMID- 18141235 TI - [Not Available]. PMID- 18141236 TI - [Not Available]. PMID- 18141238 TI - [Not Available]. PMID- 18141237 TI - [Not Available]. PMID- 18141239 TI - [Not Available]. PMID- 18141240 TI - Gastric and duodenal ulcers and their complications; treatment by extensive resection. PMID- 18141241 TI - Variations in the blood supply of the supramesocolonic organs. PMID- 18141242 TI - Contribution to the sympathetic pelvic plexus development. PMID- 18141243 TI - Vagotomy in the treatment of peptic ulcer. PMID- 18141244 TI - Antagonistic reflexes of the middle meningeal and ophthalmic arteries; influence on cerebral circulation and cerebrospinal fluid. PMID- 18141245 TI - Rare tumors; etiology and localization; report of three cases. PMID- 18141246 TI - Contribution to bone surgery. PMID- 18141248 TI - Ureterosigmoidostomy in cases of serious obstinate cystitis. PMID- 18141247 TI - Surrounding and suspending ligature of the kidney. PMID- 18141249 TI - Mesenteric lymphadenopathies. PMID- 18141250 TI - Streptomycin in the surgical therapy of pulmonary tuberculosis. PMID- 18141251 TI - Late complications of traumatic dislocations of the hip joint. PMID- 18141252 TI - Regional ileitis in Turkey. PMID- 18141253 TI - Vagotomy in the treatment of peptic ulcer. PMID- 18141254 TI - Podological surgery. PMID- 18141255 TI - Surgical treatment of gastrocolic ptosis. PMID- 18141256 TI - Simultaneous occurrence of gallstones and widespread calcification of visceral arteries. PMID- 18141257 TI - A successful embolectomy at the bifurcation of the aorta. PMID- 18141258 TI - Carcinoma of the breast occurring during pregnancy or lactation; report of 12 cases. PMID- 18141259 TI - Scar of operation; appendectomy and bilateral salpingectomy. PMID- 18141260 TI - Paralytic ileus. PMID- 18141261 TI - Injuries of the larynx and trachea. PMID- 18141262 TI - Traumatic strictures of the extrahepatic biliary ducts. PMID- 18141264 TI - Surgical treatment of thyroid disease. PMID- 18141263 TI - Pseudomonas infection of the mandible with discussion and case report. PMID- 18141265 TI - Carcinoma of the jejunum; brief discussion and case report. PMID- 18141266 TI - Congenital pyloric stenosis. PMID- 18141267 TI - The place of patellectomy in treatment of fractures of the patella. PMID- 18141268 TI - Prevention of disability after traumatic dislocation of the hip. PMID- 18141269 TI - New scrub-up technic for surgeons. PMID- 18141270 TI - Longitudinal pin fixation in Colles' fracture of the wrist. PMID- 18141271 TI - Surgical aspects of thrombophlebitis. PMID- 18141272 TI - Disease of the epiploic appendices; report of two cases. PMID- 18141273 TI - The surgical approach to hypertension. PMID- 18141274 TI - Hydrocele of the canal of Nuck. PMID- 18141275 TI - Injuries to the peripheral nerves and their treatment. PMID- 18141276 TI - Tenosuspension operation for recurrent or habitual dislocation of the shoulder. PMID- 18141277 TI - Traumatic defects of the nose and cheeks. PMID- 18141278 TI - Spontaneous and traumatic lymph fistulas; data on 40 cases. PMID- 18141279 TI - Open-flap amputation. PMID- 18141280 TI - Jaundice in general surgery; laboratory diagnostic aids. PMID- 18141281 TI - The indications for surgical treatment in Meniere's disease. PMID- 18141282 TI - The anesthesiologist now and in the future. PMID- 18141283 TI - Differential diagnosis of sarcoma of the stomach; report of four cases. PMID- 18141284 TI - Annular rectal stricture resulting from complete or incomplete internal fistula in ano. PMID- 18141285 TI - Surgical conditions coincident with pregnancy. PMID- 18141286 TI - Mixed adenocarcinoma and fibromyxosarcoma arising in fibro-edenoma of the breast; report of case. PMID- 18141287 TI - Intussusception in infants and children. PMID- 18141288 TI - Repair of defects of the shafts of long bones. PMID- 18141289 TI - A simplified classification of the gliomas, based on the concept of anaplasia. PMID- 18141291 TI - Prolapse of the rectum in infancy and childhood. PMID- 18141290 TI - Multiple polyps, multiple intussusceptions and chylous ascites; report of an unusual case. PMID- 18141292 TI - Lipoma of the colon. PMID- 18141293 TI - Persistent truncus arteriosus; a classification according to anatomic types. PMID- 18141294 TI - Newer antibacterial agents in surgery. PMID- 18141295 TI - Acute craniocerebral trauma. PMID- 18141296 TI - The present status of the treatment of hyperthyroidism. PMID- 18141297 TI - Radical operation and palliative therapy for carcinoma of the breast. PMID- 18141298 TI - Modern technics in gastric surgery. PMID- 18141299 TI - Appendicitis; with consideration of the newer drugs in appendiceal peritonitis. PMID- 18141300 TI - Modern trends in colonic surgery. PMID- 18141301 TI - Surgical aspects of splenic disease. PMID- 18141302 TI - The treatment of acute cholecystitis. PMID- 18141303 TI - Early diagnosis of cancer of the kidney. PMID- 18141304 TI - Acute arterial injuries. PMID- 18141305 TI - Open reduction and internal fixation for fractures of the tibia and ankle. PMID- 18141306 TI - New trends in pediatric surgery; pectus excavatum, esophageal atresia, intussusception, Hirschsprung's disease. PMID- 18141307 TI - Recent developments in plastic surgery. PMID- 18141308 TI - Suture materials and their use. PMID- 18141309 TI - Fluid and electrolyte balance. PMID- 18141310 TI - The rate of conversion of administered inorganic radioactive iodine into protein bound iodine of plasma as an aid in the evaluation of thyroid function. PMID- 18141311 TI - Potassium deficiency in surgical patients. PMID- 18141312 TI - Observations in jejunal alimentation. PMID- 18141313 TI - The influence of caloric intake upon the fate of parenteral nitrogen. PMID- 18141314 TI - Preschool age repair of hypospadias with free inlay skin graft. PMID- 18141315 TI - The anatomy of the nerves supplying the common duct and proximal duodenum. PMID- 18141316 TI - Effects of a new quaternary amine and a new imidazoline derivative on the autonomic nervous system. PMID- 18141317 TI - Venous pressures in the saphenous system in normal, varicose, and postphlebitic extremities; alterations following femoral vein ligation. PMID- 18141318 TI - An impedance gauging system for measurement of biologic pressure variables. PMID- 18141319 TI - Factors affecting the diameter of large arteries with particular reference to traumatic spasm. PMID- 18141320 TI - An experimental study of cardiac massage. PMID- 18141321 TI - An evaluation of electrogastrography in the diagnosis of gastric cancer. PMID- 18141322 TI - Total gastrectomy; report of 63 cases. PMID- 18141324 TI - Quarterectomy; its application in malignant melanoma. PMID- 18141323 TI - Excision of the mandible for neoplastic diseases; indications and techniques. PMID- 18141325 TI - Studies in acute cholecystitis; surgical management and results. PMID- 18141326 TI - An experimental study of the effect of heparin on the local pathology of burns. PMID- 18141327 TI - The treatment of advanced mammary cancer with estrogens. PMID- 18141328 TI - A mammaplastic substitute for amputation in hypertrophies. PMID- 18141329 TI - The implications of local excision or simple mastectomy prior to radical mastectomy for carcinoma of the breast. PMID- 18141330 TI - Cancer of the rectum. PMID- 18141331 TI - Principles affecting successful esophageal anastomosis; a report of 23 operations, without operative mortality. PMID- 18141332 TI - The Henry approach to femoral hernia; report of two cases. PMID- 18141333 TI - Resection of segments of auricular wall. PMID- 18141334 TI - Delayed primary closure of contaminated wounds; a report based on 46 cases. PMID- 18141335 TI - Streptomycin therapy in established wound infections. PMID- 18141336 TI - The nephrotoxicity of bacitracin in man. PMID- 18141337 TI - Spontaneous external biliary fistulas. PMID- 18141338 TI - Osteoplastic mobilization of the ilium; a new operative approach to the interior of the true pelvis. PMID- 18141339 TI - Trigger finger produced by excessive heat. PMID- 18141340 TI - Radiodermatitis and necrosis. PMID- 18141341 TI - Compounds of zirconium for X-ray media. PMID- 18141342 TI - Hemangioma of the breast; report of case. PMID- 18141343 TI - Huge chondrosarcoma of rib, report of a case. PMID- 18141345 TI - Medical and surgical aspects of pancreatic obstruction and inflammation. PMID- 18141344 TI - Experimental embolism of the pulmonary arterioles and capillaries. PMID- 18141346 TI - Intractable pruritus vulvae et ani treatment by alcohol injection. PMID- 18141347 TI - Surgical management of the infected abortion. PMID- 18141348 TI - Adsorption of P32 by bone, dentin and enamel. PMID- 18141349 TI - [Not Available]. PMID- 18141350 TI - [Not Available]. PMID- 18141351 TI - [Not Available]. PMID- 18141352 TI - [Not Available]. PMID- 18141353 TI - [Not Available]. PMID- 18141354 TI - Fetal meconium peritonitis; abscess; intestinal obstruction; disappearance of radiopaque meconium bodies. PMID- 18141355 TI - Pregnancy in Hodgkin's disease. PMID- 18141356 TI - The history of obstetrics and gynecology in early California. PMID- 18141357 TI - Some observations on vascular adjustments following interruption of major venous channels. PMID- 18141358 TI - Additional experiences with parotid gland tumors. PMID- 18141359 TI - Metycaine, saddle block anesthesia in obstetrics. PMID- 18141360 TI - Interstitial hydatid mole with spontaneous perforation and rupture of the uterine cornu. PMID- 18141361 TI - The bee-cell pessary. PMID- 18141362 TI - The history of obstetrics and gynecology in early California. PMID- 18141363 TI - Educational problems in physical medicine and rehabilitation. PMID- 18141364 TI - Alterations in peripheral circulation and tissue temperature following local application of short wave diathermy. PMID- 18141365 TI - The rehabilitation of the amputee. PMID- 18141366 TI - Administration of a medical rehabilitation service in a neuropsychiatric hospital. PMID- 18141367 TI - An industrial accident and rehabilitation service; engineering methods in occupational therapy. PMID- 18141368 TI - Ulceration of the legs; treatment by the Bisgaard method. PMID- 18141370 TI - Musical styles and mental disorders. PMID- 18141369 TI - Osteoarthritis of the knee; notes on the principles of Bisgaard in treatment. PMID- 18141371 TI - An analysis of the vocational rehabilitation of paraplegic veterans. PMID- 18141372 TI - Physical medicine patents. PMID- 18141373 TI - [Not Available]. PMID- 18141374 TI - [Not Available]. PMID- 18141375 TI - [Not Available]. PMID- 18141376 TI - [Not Available]. PMID- 18141377 TI - [Not Available]. PMID- 18141378 TI - [Not Available]. PMID- 18141379 TI - [Not Available]. PMID- 18141380 TI - [Not Available]. PMID- 18141381 TI - The effect of high temperature and humidity upon cattle. PMID- 18141382 TI - [Not Available]. PMID- 18141383 TI - [Not Available]. PMID- 18141384 TI - Susceptibility of the guinea pig to Endamoeba histolytica of human origin. PMID- 18141385 TI - The effect of ozone in water on cysts of Endamoeba histolytica. PMID- 18141386 TI - Amoebicidal activity of bismuthoxy p-Nglycolylarsanilate and 7-iodo-4-(1-methyl-4 diethylaminobutylamino) quinoline diphosphate. PMID- 18141388 TI - A malaria survey of the southern territory of Lower California. PMID- 18141387 TI - Percussion of the spleen. PMID- 18141389 TI - Status of immunity following cure of recurrent vivax malaria. PMID- 18141391 TI - Experimental transmission of Q fever by Amblyomma cajennese. PMID- 18141390 TI - Report of a case of kala-azar relapsing after 2 years. PMID- 18141392 TI - Longevity of Schistosoma manosoni; observations based on a case. PMID- 18141393 TI - The control of schistosomiasis japonica; studies on the penetration of various types of unimpregnated uniform cloth by cercariae of Schistosoma japonicum. PMID- 18141394 TI - Photomicrographs of the developing larvae of Wuchereria bancrofti in a mosquito host of the South Pacific area. PMID- 18141395 TI - The mosquitoes and mosquito-borne diseases of the Treasury Islands, British Solomon Islands. PMID- 18141396 TI - The biology of Liponyssus bacoti, Hirst, 1913 (Acarina, Liponyssidae). PMID- 18141397 TI - Phlebotomus and residual DDT in Greece and Italy. PMID- 18141398 TI - The identification of certain West African mosquitoes by sound. PMID- 18141399 TI - Histoplasmosis of Darling. PMID- 18141400 TI - Fuetazo dermatitis. PMID- 18141401 TI - [Not Available]. PMID- 18141402 TI - Influence of type of disease on the results of thoracoplasty in pulmonary tuberculosis. PMID- 18141403 TI - Pleural decortication in pulmonary tuberculosis. PMID- 18141404 TI - Tuberculosis in nurses; clinical observations on its pathogenesis as seen in a 15 year follow-up of 745 nurses. PMID- 18141405 TI - The problem of tuberculosis control among American Negroes. PMID- 18141406 TI - Streptomycin therapy of tuberculous pneumonia in Negro adults. PMID- 18141407 TI - The effect of antihistamine medication on the tuberculin reaction in children. PMID- 18141408 TI - Chemotherapy of murine leprosy. PMID- 18141409 TI - Routine chest photo-roentgenography in Baroness Erlanger Hospital, Chattanooga, Tennessee. PMID- 18141410 TI - Toxic effects of dl serine on virulent human tubercle bacilli. PMID- 18141411 TI - The cost of research on tuberculosis in the United States; analysis of allocations in 1947-1948. PMID- 18141412 TI - The resected postthoracoplasty lung; a clinico-pathologic correlation. PMID- 18141413 TI - Tumors of the mediastinum; a discussion of diagnostic procedure and surgical treatment based on experience with 44 operated cases. PMID- 18141414 TI - The urinary excretion of amino acids; by normal male subjects on controlled low- and high-protein diets. PMID- 18141415 TI - The urinary excretion of amino acids; by tuberculous male subjects on controlled low- and high-protein diets. PMID- 18141416 TI - Studies of food intake and requirements of women with active and arrested tuberculosis. PMID- 18141417 TI - An appraisal of the contribution of mass radiography in the discovery of pulmonary tuberculosis. PMID- 18141418 TI - The suitable dose of tuberculin testing. PMID- 18141419 TI - Miniature chest roentgenograms in schools and industries in San Antonio, Texas. PMID- 18141420 TI - Miliary tuberculosis caused by intravenous self-injection of tubercle bacilli, treated successfully with streptomycin therapy. PMID- 18141421 TI - Abdominal pneumocele following artificial pneumoperitoneum. PMID- 18141422 TI - Pneumoperitoneum complicated by inguinal hernia; report of a case. PMID- 18141423 TI - Spinal anesthesia for urological procedures in the aged. PMID- 18141424 TI - Pelvic single kidney; report of a case. PMID- 18141425 TI - Lymphadenomatous ureteral obstruction; stricture of the ureter from Hodgin's disease; report of first case. PMID- 18141426 TI - Cystitis emphysematosa; a report of the 14th human case diagnosed at cystoscopy. PMID- 18141427 TI - Tumors and cell life; an explanation. PMID- 18141428 TI - Goeble Stoeckel operation combined with vaginal hysterectomy. PMID- 18141429 TI - Eventration of the diaphragm; report of a case involving the kidney. PMID- 18141430 TI - An unusual case of pyonephrosis. PMID- 18141431 TI - Granuloma inguinale. PMID- 18141432 TI - Auricular fibrillation; its incidence in syphilitic heart disease. PMID- 18141433 TI - Aureomycin in the treatment of verruca vulgaris. PMID- 18141435 TI - Retropubic prostatectomy log. PMID- 18141434 TI - Osteitis pubis; a urologic and roentgenographic study. PMID- 18141436 TI - The treatment of nephroptosis. PMID- 18141437 TI - Squamous cell carcinoma of the ureter; case report. PMID- 18141438 TI - Uretero-nephrectomy on a patient with severe kyphosis. PMID- 18141439 TI - An effective topical anaesthetic for routine urological hospital and office practice. PMID- 18141440 TI - Prostatectomy; a critical survey of 11 years' experience in private practice. PMID- 18141441 TI - Reconstruction of the urethra with a tube from bladder flap. PMID- 18141442 TI - Trauma of solitary kidney. PMID- 18141443 TI - Spontaneous rupture of kidney pelvis of unknown etiology; a case report. PMID- 18141444 TI - Hematuria, the only symptom in a case of massive renal calculus. PMID- 18141445 TI - Large urethral calculus; case report. PMID- 18141446 TI - Ten years' experience with the improved supra-pubic trocar. PMID- 18141447 TI - Postoperative urinary retention. PMID- 18141448 TI - Rupture of aortic aneurysm as a complication of prostatic surgery; two cases. PMID- 18141449 TI - Aminophylline as an antipruritic agent; comparison with tetraethylammonium chloride. PMID- 18141450 TI - The present status of nitrogen mustard therapy in dermatology. PMID- 18141451 TI - Venereal disease in peace and war with some reminiscences of the last 40 years. PMID- 18141452 TI - Is bejel syphilis? PMID- 18141453 TI - Psychiatric implications of venereal disease; an American survey. PMID- 18141454 TI - The Ford Robertson and Colquhoun modification of the Meinicke clarification reaction compared with the Harrison-Wyler Wassermann and the standard Kahn reactions; together with a new method of notation. PMID- 18141455 TI - Keratoderma blenorrhagica following Reiter's disease; report of a case successfully treated with massive doses of penicillin. PMID- 18141456 TI - Complement fixation technique; estimation of complement doses. PMID- 18141457 TI - A study of nonspecific urethritis in British soldiery. PMID- 18141458 TI - The baffling case of baby T. PMID- 18141459 TI - Attitude of venereal disease patients toward clinics and rapid treatment centers. PMID- 18141460 TI - Case holding in out-patient therapy of syphilis; a study of case-holding experiences in the out-patient management of patients treated with penicillin on an ambulatory basis. PMID- 18141461 TI - Rapid treatment of syphilis; a second study of clinic attendance. PMID- 18141462 TI - The use of a multiple-copy form as an efficient clerical basis for medical clinics operation. PMID- 18141463 TI - Characteristics of the cerebrospinal fluid in lymphogranuloma venereum. PMID- 18141464 TI - Mold fungi in the etiology of respiratory allergic diseases; intrinsic fungus factors in relation to asthma. PMID- 18141465 TI - Mold fungi in the etiology of respiratory allergic diseases; phytopathogenic fungi in aerobiological populations. PMID- 18141466 TI - Mold fungi in the etiology of respiratory allergic diseases; further studies with mold extracts. PMID- 18141467 TI - Mold fungi in the etiology of respiratory allergic diseases; the use of a concentrated extract in the treatment of mold-sensitive patients. PMID- 18141468 TI - Procedure for determination of aerosol delivery and stability during nebulization. PMID- 18141469 TI - Penicillin sensitivity. PMID- 18141470 TI - Inhaiant allergy; factors modifying the whealing response of the skin. PMID- 18141471 TI - Inhalant allergy; the coseasonal application of serial dilution testing (titration). PMID- 18141472 TI - The topical application of thephorin; a study of the frequency of eczematous sensitization. PMID- 18141473 TI - Corn sugar as an allergen. PMID- 18141474 TI - Diatrin hydrochloride; a new antibistaminic agent for the treatment of pruritus and allergic dermatoses. PMID- 18141475 TI - Possible uses of a delayed-action antihistaminic; clinical trials. PMID- 18141476 TI - Observations on the action of orthoxine in patients with bronchial asthma. PMID- 18141477 TI - Hay fever; a review of the literature of 1948. PMID- 18141478 TI - The nervous system of Purkinje fibres in the heart. PMID- 18141479 TI - [Not Available]. PMID- 18141480 TI - Flexi-rigid, optical esophagoscope. PMID- 18141481 TI - Esophageal atresia and esophageotracheal fistula. PMID- 18141482 TI - Studies on defective development following X-ray-radiation; the point of attack and its mechanics. PMID- 18141483 TI - Human skeletal remains from Gol Ba' it, Sungai Siput, Perak, Malay Peninsula. PMID- 18141484 TI - Contribution to the knowledge of some dental anomalies, VIII. PMID- 18141485 TI - A macrophage-promoting factor in the blood of rabbits. PMID- 18141486 TI - Observations on the blood supply of growing antlers. PMID- 18141487 TI - Cytochemical observations on the fetal membranes and placenta of the bat, Myotis lucifugus lucifugus. PMID- 18141488 TI - Reproduction of a South American rodent, the mountain viscacha. PMID- 18141489 TI - [Not Available]. PMID- 18141490 TI - [Not Available]. PMID- 18141491 TI - [Not Available]. PMID- 18141492 TI - [Not Available]. PMID- 18141493 TI - [Not Available]. PMID- 18141494 TI - [Not Available]. PMID- 18141495 TI - [Not Available]. PMID- 18141496 TI - Dyadic anova, an analysis of variance for vectors. PMID- 18141497 TI - Development of the posterior trunk and tail of the chick embryo. PMID- 18141499 TI - Experiments on partially deneurotized nerves; absence of branching of residual fibers. PMID- 18141498 TI - The invasion of the epidermis of the regenerating forelimb of the urodele, Triturus, by nerve fibers. PMID- 18141500 TI - In vitro development of the early chick embryo in the absence of small organic molecules. PMID- 18141501 TI - The influence of egg volume on the development of haploid and diploid embryos of the frog, Rana pipiens. PMID- 18141502 TI - The nervous system and regeneration of the forelimb of adult Triturus; the effect of limited nerve quantities on regeneration. PMID- 18141503 TI - Cytologic diagnosis of malignant lesions. PMID- 18141504 TI - Diet and azo dye tumors; effect of diet during a period when the dye is not fed. PMID- 18141505 TI - Early changes in the lungs of rats treated with urethane. PMID- 18141506 TI - [Not Available]. PMID- 18141508 TI - [Not Available]. PMID- 18141507 TI - [Not Available]. PMID- 18141509 TI - [Not Available]. PMID- 18141510 TI - Studies on the action of chloramphenicol on enzymatic systems; effect of chloramphenicol on the activity of proteolytic enzymes. PMID- 18141511 TI - A microanalytical method for the volatile fatty acids. PMID- 18141512 TI - The biological degradation of lignin; utilization of lignin by fungi. PMID- 18141513 TI - Studies on the permeability of erythrocytes; the relationship between cholinesterase activity and permeability of dog erythrocytes. PMID- 18141514 TI - Studies on cell enzyme systems; evidence for enzyme-substrate complex formation in the reaction of Cypridina luciferin and luciferase. PMID- 18141515 TI - Studies with penicillinase in the presence of sulfonamides. PMID- 18141516 TI - Antibiotin effect of homologs of biotin and biotin sulfone. PMID- 18141517 TI - Biochemical studies on chloramphenicol; colorimetric methods for the determination of chloramphenicol and related nitro compounds. PMID- 18141518 TI - Factors influencing fat synthesis by Rhodotorula gracilis. PMID- 18141519 TI - Studies on the mechanism of action of ionizing radiations; the plasma protein of dogs after X-ray irradiation; an electrophoretic study. PMID- 18141520 TI - On the mechanism of enzyme action; a comparative study of the metabolism of carbohydrates, in the presence of inorganic and organic phosphates, by Merulius lacrymans and Marasmius chordalis. PMID- 18141521 TI - Lipase determinations with the aid of polyvinyl alcohol. PMID- 18141522 TI - On the mechanism of enzyme action; the interaction of solanione, riboflavin, and nicotinic acid in the carbohydrate-fat conversion by certain Fusaria. PMID- 18141523 TI - Lack of effect of carbamyl-L-glutamic acid on the growth of certain arginineless mutants of Neurospora. PMID- 18141524 TI - n-Diamylacetic acid and nitrate assimilation. PMID- 18141525 TI - Functions of adenosine triphosphate and other phosphoric acid derivatives. PMID- 18141526 TI - Fate of S35-Na estrone sulfate in pregnant and non-pregnant rats. PMID- 18141527 TI - The isolation of a crystalline actinomycin-like antibiotic. PMID- 18141528 TI - Synthesis of the short-chain fatty acids of milk fat from acetate. PMID- 18141529 TI - Effect of vitamin B12 and animal protein factor supplement on methionine needs of the pig. PMID- 18141530 TI - The effect of adrenocorticotropic and growth hormones on the glucose uptake and glycogen synthesis by the isolated diaphragm with and without insulin. PMID- 18141533 TI - Nitrogen in human dental enamel. PMID- 18141537 TI - The fate of certain organic acids and amides in the rabbit; toluic acids and amides. PMID- 18141538 TI - Properties of the avid phosphatases of erythrocytes and of human prostate gland. PMID- 18141539 TI - Studies in detoxication; the characterization of phyenylglucuronide, and its rate of hydrolysis compared with that of phenylsulphuric acid. PMID- 18141542 TI - The metabolism of the amino sugars; the breakdown of N-acetylglucosamine by strains of Streptococcus haemolyticus and other streptococci. PMID- 18141545 TI - Renal function as affected by experimental unilateral kidney lesions; the effect of cyanide. PMID- 18141546 TI - Separation of various penicillins by partition chromatography. PMID- 18141547 TI - Microbiological assay of growth factors essential for Lactobacillus leichmanii 313 and Leuconostoc citrovorum. PMID- 18141548 TI - The influence of dietary protein levels on experimental liver injury in dogs. PMID- 18141549 TI - Studies on porphyrin metabolism in the rabbit. PMID- 18141550 TI - Effects of electrolytes on the molecular weight of tropomyosin. PMID- 18141551 TI - Separation of N-2:4-dinitrophenyl derivatives of the methyl esters of amino-acids by adsorption chromatography. PMID- 18141552 TI - [Not Available]. PMID- 18141553 TI - [Not Available]. PMID- 18141554 TI - [Not Available]. PMID- 18141555 TI - The clinical application of nitrous oxide-oxygen analgesia. PMID- 18141556 TI - Chlorophyll, the green wonder drug. PMID- 18141557 TI - Diagnosis and analysis of periodontal lesions. PMID- 18141559 TI - Principles and technique of exodontia. PMID- 18141558 TI - Cancer of the mouth. PMID- 18141560 TI - Involvement of the paranasal sinuses in tumors originating from the mucous membrane of the cheek. PMID- 18141561 TI - Periarteritis nodosa; report of a case with involvement of the tongue. PMID- 18141563 TI - Erythema exudativum multiforme. PMID- 18141562 TI - Response of lingual manifestations of pernicious anemia to pteroylglutamic acid and vitamin B12. PMID- 18141564 TI - The submandibular and parapharyngeal spaces; their topography and importance in oral surgery. PMID- 18141565 TI - Evaluation and correction of faults and errors most frequently encountered in the practice of intraoral roentgenography. PMID- 18141566 TI - Temporomandibular joint disease. PMID- 18141567 TI - [Not Available]. PMID- 18141568 TI - [Not Available]. PMID- 18141569 TI - [Not Available]. PMID- 18141570 TI - [Not Available]. PMID- 18141571 TI - [Not Available]. PMID- 18141572 TI - [Not Available]. PMID- 18141573 TI - Experimental assessment of therapeutic efficiency of antifungal substances. PMID- 18141574 TI - Pulmonary fibrosis in scleroderma. PMID- 18141575 TI - Trauma of the pancreas; experimental study. PMID- 18141576 TI - The function of the hepatic artery in the dog. PMID- 18141577 TI - Anoxia and the liver with special reference to shock and chronic malnutrition. PMID- 18141578 TI - Sterilization of the human gut with phthalylsulfacetimide. PMID- 18141579 TI - Testosterone and tissue respiration of the castrate male rat with a possible test for myotrophic activity. PMID- 18141580 TI - The mechanism of action of Lithospermum ruderale. PMID- 18141581 TI - The effect of growth hormone preparations on alkaline phosphatase of the tibia. PMID- 18141582 TI - Adrenal changes produced in rats by infection with B. tularense and B. coli. PMID- 18141583 TI - The effect of adrenal cortex extract upon urinary non-protein nitrogen and changes in weight in young adrenalectomized rats. PMID- 18141584 TI - Effects of underfeeding on thiouracil action in rats and mice. PMID- 18141585 TI - Influence of the dietary protein concentration upon the corticotrophic action of lyophilized anterior pituitary. PMID- 18141586 TI - Effects of a high protein diet on the anemia induced by hypophysectomy in adult female rats, including further details on posthypophysectomy anemia. PMID- 18141587 TI - Studies on the nature of the protein catabolic response to adrenal cortical extract; accentuation by insulin hypoglycemia. PMID- 18141588 TI - Trophic hormones of the placenta; failure to demonstrate thyrotrophin or adrenocorticotrophin production in the hypophysectomized pregnant rat. PMID- 18141589 TI - The excretion of pantothenic acid and ascorbic acid by intact and adrenalectomized rats on diets supplemented with and deficient in pantothenic acid. PMID- 18141590 TI - Effect of follicle stimulating hormone upon oxygen consumption of chick ovary slices. PMID- 18141591 TI - Failure of adrenocortical extract to modify the immunity acquired by intact mice through the use of pneumococcal vaccine. PMID- 18141593 TI - Notes on the history of the adrenal cortical problem. PMID- 18141592 TI - Growth hormone and fat metabolism. PMID- 18141594 TI - The chemistry and partial synthesis of adrenal steroids. PMID- 18141595 TI - Studies on the protective power of adrenal extract and steroids against bacterial toxins in adrenalectomized rats. PMID- 18141596 TI - The comparative activities of 11-dehydrocorticosterone isolated from the adrenal gland and that produced synthetically. PMID- 18141597 TI - The bioassay of adrenal cortical steroids. PMID- 18141599 TI - The adrenal cortex and its tumors. PMID- 18141598 TI - Some studies on the role of the adrenal cortex in organic metabolism. PMID- 18141600 TI - Urinary excretion of adrenal cortical steroids. PMID- 18141601 TI - Clinical studies in Addison's disease. PMID- 18141602 TI - Biologically produced corrosion accelerators; sulphur compounds. PMID- 18141603 TI - The electrodeposition of metals; recent fundamental research on microstructure. PMID- 18141604 TI - Recent developments in electrodeposited alloy finishes. PMID- 18141605 TI - [Not Available]. PMID- 18141606 TI - [Not Available]. PMID- 18141607 TI - [Not Available]. PMID- 18141608 TI - [Not Available]. PMID- 18141609 TI - [Not Available]. PMID- 18141610 TI - [Not Available]. PMID- 18141611 TI - Electrolytic preparation of azo-dyes; dye formation at an iron anode. PMID- 18141612 TI - A note on the micro-organisms present in date-palm juice (sendhi). PMID- 18141613 TI - Anti-histamine activity of substituted benzhydryl amines. PMID- 18141614 TI - Processes of separation involving dialysis. PMID- 18141615 TI - SCIENCE and telepathy. PMID- 18141617 TI - Physical approach to the study of biological systems. PMID- 18141616 TI - B., D. Physiological and psychological effects of high temperature and humidity in mining and metallurgical works. PMID- 18141618 TI - Preparation and insecticidal action of bis (bis-dimethylamino)-phosphorous anhydride. PMID- 18141619 TI - Progress of cancer research. PMID- 18141620 TI - Species differences in insulins. PMID- 18141621 TI - Toxicity of polar bear liver. PMID- 18141622 TI - Ascorbic acid content of some local Barbados foods. PMID- 18141623 TI - Ultra-violet absorption of living cells. PMID- 18141624 TI - Synthesis of cinerone, cinerolone and of cinerin-I. PMID- 18141625 TI - A method of breaking emulsions. PMID- 18141626 TI - Use of Geiger counter for quantitative estimation of phosphorus-32 in histological sections. PMID- 18141627 TI - Production of spring wood and beta-indole acetic acid (heteroauxin). PMID- 18141628 TI - Automatic measuring burette. PMID- 18141629 TI - A simple automatic fraction-cutter for liquid columns. PMID- 18141631 TI - [Not Available]. PMID- 18141630 TI - [Not Available]. PMID- 18141632 TI - Problems of the scientist. PMID- 18141633 TI - Very low temperature physics. PMID- 18141634 TI - Coding of mathematical expressions. PMID- 18141635 TI - Kinetics of the absorption of carbon dioxide in water. PMID- 18141636 TI - Quantitative measurements of the elastic properties of the skin and subcutaneous tissue in young and old individuals. PMID- 18141637 TI - The working life span of American workers. PMID- 18141638 TI - Old age; an American problem. PMID- 18141639 TI - Recreation for the aged. PMID- 18141640 TI - Striae gravidarum and their prophylaxis. PMID- 18141641 TI - An attempt to estimate the absolute incidence of myoma patients and the time of development of the uterine myoma. PMID- 18141642 TI - [Not Available]. PMID- 18141643 TI - A case of glioma of the uterus. PMID- 18141644 TI - A study of anovulatory menstruation based on 501 endometrial biopsies. PMID- 18141645 TI - The treatment of early threatened abortions. PMID- 18141646 TI - Maternal mortality; a statistical study of earlier and present prognosis in childbirth. PMID- 18141647 TI - Ovarian and parovarian tumors in children; a report on 43 cases. PMID- 18141648 TI - An examination of the spermatocidal effect of some chemical contraceptives. PMID- 18141649 TI - Can determination of pregnandiol in the urine be employed as pregnancy test? PMID- 18141650 TI - On uterine atresia consequent to curettage. PMID- 18141651 TI - International agreement on stage-grouping in cancer of the cervix of the uterus. PMID- 18141652 TI - Caloric versus protein needs during dietary restriction. PMID- 18141653 TI - The excretion of 17-ketosteroids; normal values in relation to age and sex. PMID- 18141654 TI - Amino acids in tobacco mosaic virus. PMID- 18141655 TI - Pentoses in hair. PMID- 18141656 TI - A study of Cercaria fraseri Buckley, 1939, in Madras. PMID- 18141657 TI - The pubovesical ligament in stress incontinence. PMID- 18141658 TI - Some clinical aspects of dysgerminoma ovarii. PMID- 18141659 TI - On the motility of the uterus during labour and the influence of the motility pattern on the duration of the labour. PMID- 18141660 TI - Primary chorionepithelioma of the ovary; report of two cases. PMID- 18141661 TI - A case of ovarian rupture following gonadotropin therapy. PMID- 18141662 TI - On the traumatic effect of curettage on the endometrial biopsy, with special reference to so-called invagination pictures and the crumbling endometrium. PMID- 18141664 TI - [Not Available]. PMID- 18141663 TI - 1000 cases of erosion of the portio treated by electrocoagulation. PMID- 18141665 TI - On interstitial pregnancy; with report of a case. PMID- 18141666 TI - [Not Available]. PMID- 18141667 TI - On excision of the cervical canal in conjunction with uterus amputation. PMID- 18141668 TI - The treatment of functional sterility with gonadotropic hormones. PMID- 18141669 TI - Fibroma of the ovary and two cases of Meigs' syndrome. PMID- 18141670 TI - Pregnancy intoxications in wartime. PMID- 18141671 TI - [Not Available]. PMID- 18141672 TI - [Not Available]. PMID- 18141673 TI - Endometriosis in vaginal, vulvar and perineal scars. PMID- 18141674 TI - Some aspects of the diagnosis and treatment of carcinoma of the ovary. PMID- 18141675 TI - Gravidity after bilateral oophorectomy for struma ovarii. PMID- 18141676 TI - [Not Available]. PMID- 18141677 TI - [Not Available]. PMID- 18141678 TI - [Not Available]. PMID- 18141679 TI - Testing potentials of prospective employees. PMID- 18141680 TI - The physiological response of animals to trichloroacetonitrile administered orally, applied on the skin or inhaled as a vapor in air. PMID- 18141681 TI - The industrial physician and workmen's compensation; current trends in compensation legislation. PMID- 18141682 TI - Range-finding toxicity tests on propylene glycol in the rat. PMID- 18141683 TI - Incidence of diabetes mellitus among applicants for employment at an industrial plant. PMID- 18141684 TI - A new method of evaluating disability in silicosis and other conditions of the lungs and circulation. PMID- 18141685 TI - The industrial physician and health insurance; retirement, group life and noncompensable disability insurance. PMID- 18141686 TI - Non-occupational berylliosis. PMID- 18141687 TI - Burns of the skin produced by trichloroethylene vapors at room temperature. PMID- 18141688 TI - The effect of BAL on experimental lead, tungsten, vanadium, uranium, copper and copper-arsenic poisoning. PMID- 18141689 TI - [Not Available]. PMID- 18141690 TI - [Not Available]. PMID- 18141691 TI - [Not Available]. PMID- 18141692 TI - [Not Available]. PMID- 18141693 TI - [Not Available]. PMID- 18141694 TI - [Not Available]. PMID- 18141695 TI - [Not Available]. PMID- 18141696 TI - [Not Available]. PMID- 18141697 TI - [Not Available]. PMID- 18141698 TI - [Not Available]. PMID- 18141700 TI - [Not Available]. PMID- 18141699 TI - [Not Available]. PMID- 18141701 TI - Thoughts on medical education. PMID- 18141702 TI - Observations with nitrogen mustards. PMID- 18141703 TI - A case of Werner's syndrome. PMID- 18141704 TI - Experiences with tetraethylammoniumbromide. PMID- 18141705 TI - Red blood cell diameter in acute hepatitis. PMID- 18141706 TI - Studies of the occurrence of Candida albicans. PMID- 18141707 TI - On a cardio-vascular-epileptiform syndrome in a case of pituitary tumor. PMID- 18141708 TI - Studies on the pathogenesis of rheumatic fever; the antistreptolysin titre in acute tonsillitis. PMID- 18141709 TI - A case of endarteritis obliterans in the medium-sized vessels of the kidney. PMID- 18141710 TI - Lethally progressing disease of the vessels of the kidney and the heart as complications in antisyphilitic therapy. PMID- 18141711 TI - The influence of tetraethylammonium bromide on the peripheral blood picture. PMID- 18141712 TI - Investigation of an apparatus for calibrated phonocardiography according to the Mannheimer-Stordal system. PMID- 18141713 TI - Studies on renal pathology. PMID- 18141714 TI - A case of dysgerminoma ovarii tested hormonally. PMID- 18141715 TI - Studies on the circulation in man; cardiac output and blood pressure in the right auricle, right ventricle and pulmonary artery in patients with hypertensive cardiovascular disease. PMID- 18141716 TI - Adams-Stokes attacks caused by ventricular fibrillation, in a man with otherwise normal heart. PMID- 18141717 TI - [Not Available]. PMID- 18141718 TI - [Not Available]. PMID- 18141719 TI - [Not Available]. PMID- 18141720 TI - [Not Available]. PMID- 18141722 TI - [Not Available]. PMID- 18141721 TI - [Not Available]. PMID- 18141723 TI - [Not Available]. PMID- 18141724 TI - [Not Available]. PMID- 18141726 TI - [Not Available]. PMID- 18141725 TI - [Not Available]. PMID- 18141727 TI - [Not Available]. PMID- 18141728 TI - [Not Available]. PMID- 18141729 TI - [Not Available]. PMID- 18141731 TI - Ulcer of the pyloric ring; report of 20 cases. PMID- 18141730 TI - Symptoms attributable to cold hemagglutination; report of two cases. PMID- 18141732 TI - Spontaneous rupture of syphilitic saccular aneurysms of the ascending aorta into the pericardial cavity, with hemopericardium; report of sudden death in 29 cases. PMID- 18141733 TI - Dissecting aneurysms of the aorta. PMID- 18141734 TI - Hematologic studies in Hiroshima and a control city 2 years after the atomic bombing. PMID- 18141735 TI - Clinical significance of Bacteroides. PMID- 18141736 TI - Intravenous catheterization of the heart in suspected congenital heart disease; report of 72 cases. PMID- 18141737 TI - [Not Available]. PMID- 18141738 TI - [Not Available]. PMID- 18141739 TI - [Not Available]. PMID- 18141740 TI - [Not Available]. PMID- 18141742 TI - [Not Available]. PMID- 18141741 TI - [Not Available]. PMID- 18141743 TI - [Not Available]. PMID- 18141744 TI - [Not Available]. PMID- 18141745 TI - [Not Available]. PMID- 18141746 TI - [Not Available]. PMID- 18141747 TI - [Not Available]. PMID- 18141748 TI - [Not Available]. PMID- 18141749 TI - Fat absorption and some of its problems. PMID- 18141750 TI - Modern trends in radiology. PMID- 18141751 TI - Value of sphincter-preserving operations in cancer of rectum with special reference to reconstructive abdomino-perineal excision. PMID- 18141752 TI - A new mechanism of vitamin deprivation with special reference to the sprue syndrome. PMID- 18141753 TI - Tuberculosis of the breast. PMID- 18141754 TI - Human infestation with Trichostrongylus in south Persia. PMID- 18141755 TI - A tidal-air whistle. PMID- 18141756 TI - Congenital pyloric stenosis in three successive male babies of the same parents. PMID- 18141757 TI - Reorganization of the medical services of the armed forces. PMID- 18141758 TI - Anti-external rotation abduction splint and bed cradle. PMID- 18141759 TI - A new neonatal syndrome. PMID- 18141760 TI - [Not Available]. PMID- 18141761 TI - [Not Available]. PMID- 18141762 TI - [Not Available]. PMID- 18141763 TI - Health aspects of air pollution. PMID- 18141764 TI - [Not Available]. PMID- 18141765 TI - Infantile eczema. PMID- 18141766 TI - The surgical treatment of urinary retention. PMID- 18141767 TI - Puzzling functional syndromes. PMID- 18141768 TI - The clinical uses of aureomycin. PMID- 18141769 TI - Present day concepts in the management of carcinoma of the cervix. PMID- 18141770 TI - Some mechanisms involved in testing hepatic excretory function. PMID- 18141771 TI - Chronic relapsing pancreatitis. PMID- 18141772 TI - The relationship between lipoid nephrosis and nephritis. PMID- 18141773 TI - The oral manifestations in 75 cases of vitamin B complex deficiency. PMID- 18141774 TI - Physiological reactions to a changing environment; occurrence of cold shock. PMID- 18141775 TI - Chronic unilateral typhoid pyelonephritis; report of a case. PMID- 18141776 TI - Sterilization of surgeon's hands; a bacteriological study. PMID- 18141777 TI - Thrombocytopenic purpura complicating typhoid and paratyphoid fever. PMID- 18141778 TI - The use of beef residue hydrolysate for the production of potent diphtheria toxin. PMID- 18141779 TI - Rupture of annulus fibrosus of the intervertebral disc and sciatica; with a review of 16 cases. PMID- 18141780 TI - Salmonella infections in infancy and childhood; a preliminary report of 36 cases with bacteriological studies. PMID- 18141781 TI - The use of Estlander-Abbe's operation in repairing traumatic cleft lip; report of six cases. PMID- 18141782 TI - Ascariasis of liver complicating amebic abscess. PMID- 18141783 TI - Fractures of shafts of tibia and fibula with special reference to treatment with two pin traction cast. PMID- 18141784 TI - A study on the antigenicity and toxicity of equine serum denatured by formalin and heat. PMID- 18141785 TI - Appendicitis in Nanking; a report of 200 cases. PMID- 18141787 TI - Medical uses of oxygen. PMID- 18141788 TI - Traditional medical education and emotional needs of patients. PMID- 18141786 TI - Accidents in prophylaxis of ophthalmia neonatorum. PMID- 18141789 TI - [Not Available]. PMID- 18141790 TI - [Not Available]. PMID- 18141791 TI - [Not Available]. PMID- 18141792 TI - [Not Available]. PMID- 18141793 TI - [Not Available]. PMID- 18141794 TI - [Not Available]. PMID- 18141795 TI - [Not Available]. PMID- 18141796 TI - [Not Available]. PMID- 18141797 TI - [Not Available]. PMID- 18141798 TI - [Not Available]. PMID- 18141799 TI - [Not Available]. PMID- 18141800 TI - [Not Available]. PMID- 18141801 TI - [Not Available]. PMID- 18141802 TI - [Not Available]. PMID- 18141803 TI - [Not Available]. PMID- 18141804 TI - [Not Available]. PMID- 18141806 TI - [Not Available]. PMID- 18141805 TI - [Not Available]. PMID- 18141807 TI - Medical research as an aim in life. PMID- 18141808 TI - The effects of thiouracil upon climacteric hyperthyroidism. PMID- 18141809 TI - The effect of changes of temperature on the haemolysis of erythrocytes. PMID- 18141810 TI - [Not Available]. PMID- 18141811 TI - [Not Available]. PMID- 18141812 TI - [Not Available]. PMID- 18141813 TI - [Not Available]. PMID- 18141814 TI - [Not Available]. PMID- 18141815 TI - [Not Available]. PMID- 18141816 TI - [Not Available]. PMID- 18141817 TI - [Not Available]. PMID- 18141818 TI - [Not Available]. PMID- 18141819 TI - [Not Available]. PMID- 18141820 TI - Legal aspects of medical research. PMID- 18141821 TI - Neurosyphilis treated with penicillin; report of 140 cases. PMID- 18141822 TI - The diagnosis and treatment of mechanical backache. PMID- 18141823 TI - North Carolina cancer control program. PMID- 18141824 TI - Prolonged treatment of rheumatoid arthritis with pituitary adrenocorticotropic hormone. PMID- 18141825 TI - Tuberculous abscess successfully treated by aspiration and injection of streptomycin. PMID- 18141826 TI - Serous arthritis of the knee joint; report of a case caused by Salmonella typhosa and Salmonella montevideo in a child. PMID- 18141827 TI - Streptomycin in tuberculous peritonitis. PMID- 18141828 TI - Abnormal leucocytic response to thiouracil. PMID- 18141829 TI - Male hormone implantation in sterility; a preliminary report. PMID- 18141830 TI - The intramedullary course of the hypoglossal nerve. PMID- 18141831 TI - Some clinical aspects of hepatic and gallbladder amoebiasis with case reports. PMID- 18141832 TI - Nocturnal haemoglobinuria (Marchiafava-Micheli syndrome) report of two cases. PMID- 18141833 TI - Impression materials. PMID- 18141834 TI - Ulcerative colitis; a medical and surgical problem. PMID- 18141835 TI - Reiter's syndrome; a case report. PMID- 18141836 TI - PRINCIPLES of early management of hand injuries. PMID- 18141837 TI - The clinical significance of closure of the retinal vessels. PMID- 18141838 TI - Epileptic variants often mistaken for the psychoneuroses; differential diagnosis and treatment. PMID- 18141839 TI - Fracture problems of the lower extremity. PMID- 18141840 TI - A technic for vaginal hysterectomy with only four vascular pedicles with the aid of a special cystic duct hemostatic forcep. PMID- 18141841 TI - [Not Available]. PMID- 18141842 TI - [Not Available]. PMID- 18141844 TI - MECHANICAL properties of human bones. PMID- 18141843 TI - [Not Available]. PMID- 18141845 TI - Direction of research. PMID- 18141846 TI - The cultivation in vitro of various amphibian tissues. PMID- 18141847 TI - Pepper and white pepper shell. PMID- 18141848 TI - The insect in literature. PMID- 18141849 TI - Role of tryptophan in the biosynthesis of nicotinamide. PMID- 18141850 TI - [Not Available]. PMID- 18141851 TI - [Not Available]. PMID- 18141852 TI - [Not Available]. PMID- 18141853 TI - [Not Available]. PMID- 18141854 TI - [Not Available]. PMID- 18141855 TI - [Not Available]. PMID- 18141856 TI - [Not Available]. PMID- 18141857 TI - [Not Available]. PMID- 18141858 TI - [Not Available]. PMID- 18141859 TI - [Not Available]. PMID- 18141860 TI - [Not Available]. PMID- 18141861 TI - Systemic pathology consequent to traumatic shock. PMID- 18141863 TI - Coincidental pseudomucinous cystadenocarcinoma of the ovary and adenocarcinoma of the rectosigmoid colon; report of a case. PMID- 18141862 TI - Tuberculoma of the brain associated with sickle cell anemia. PMID- 18141864 TI - Polymyxin effective in the treatment of pyocyaneus sepsis; report of a case. PMID- 18141865 TI - Obstruction of the common bile duct caused by an eroding gallstone; report of two cases. PMID- 18141866 TI - Scoliosis; a concept of its pathogenesis; preliminary report. PMID- 18141867 TI - A bleb technic of arterial puncture. PMID- 18141868 TI - Cerebral angiography; a preliminary report. PMID- 18141869 TI - Preventive pediatrics in private practice. PMID- 18141870 TI - Myasthenia gravis; case report involving the muscles of phonation and deglutition. PMID- 18141871 TI - [Not Available]. PMID- 18141872 TI - [Not Available]. PMID- 18141873 TI - [Not Available]. PMID- 18141874 TI - [Not Available]. PMID- 18141875 TI - [Not Available]. PMID- 18141876 TI - [Not Available]. PMID- 18141877 TI - [Not Available]. PMID- 18141879 TI - [Not Available]. PMID- 18141878 TI - [Not Available]. PMID- 18141880 TI - [Not Available]. PMID- 18141882 TI - [Not Available]. PMID- 18141881 TI - [Not Available]. PMID- 18141883 TI - Cancer of the lung; review of 1,000 cases. PMID- 18141884 TI - Treatment of status epilepticus. PMID- 18141885 TI - Torsion and other affections of the appendices epiploicae. PMID- 18141886 TI - Bacteraemia following dental extractions. PMID- 18141887 TI - Relation of birth weight to physical development in childhood. PMID- 18141888 TI - Radiotherapy of accessible malignant tumors by alternating chess-board method. PMID- 18141889 TI - Haemopoietic activity of whale-liver extract. PMID- 18141890 TI - Congenital hydronephrosis and hydroureter with contralateral pain. PMID- 18141891 TI - Measles in London. PMID- 18141892 TI - [The physician in public health organisation]. PMID- 18141893 TI - [Progress in cardiology]. PMID- 18141894 TI - [Treatment of progressive muscular dystrophy in children]. PMID- 18141895 TI - [Treatment of pleurisy with effusion; new method]. PMID- 18141896 TI - [Not Available]. PMID- 18141898 TI - [New advances in nuclear physics and their application in medicine]. PMID- 18141897 TI - [Pathologic physiology of the kidney]. PMID- 18141899 TI - [Penicillin in treatment of nonspecific suppurative pulm. processes]. PMID- 18141900 TI - [Gastrectomia totalis]. PMID- 18141901 TI - [Not Available]. PMID- 18141902 TI - [Contribution to the diagnosis of sodoku on adults]. PMID- 18141903 TI - [Actinotherapy of uterine carcinoma]. PMID- 18141904 TI - [Contribution to the extranasal dacrycystorhinostomy]. PMID- 18141905 TI - [Tuberculosis conjunctivae]. PMID- 18141906 TI - [Not Available]. PMID- 18141907 TI - [Not Available]. PMID- 18141908 TI - [Not Available]. PMID- 18141909 TI - [Not Available]. PMID- 18141911 TI - [Not Available]. PMID- 18141910 TI - [Not Available]. PMID- 18141912 TI - [Not Available]. PMID- 18141913 TI - [Not Available]. PMID- 18141914 TI - [Not Available]. PMID- 18141915 TI - [Not Available]. PMID- 18141916 TI - [Not Available]. PMID- 18141917 TI - [Not Available]. PMID- 18141918 TI - [Not Available]. PMID- 18141919 TI - [Cardiac disorders and pregnancy]. PMID- 18141920 TI - [The problem of conjunctivitis phlyctenular]. PMID- 18141921 TI - [Not Available]. PMID- 18141922 TI - [Not Available]. PMID- 18141924 TI - [Not Available]. PMID- 18141923 TI - [Not Available]. PMID- 18141925 TI - [Not Available]. PMID- 18141926 TI - [Not Available]. PMID- 18141927 TI - [Not Available]. PMID- 18141928 TI - Anaesthesia today. PMID- 18141929 TI - The teaching of anaesthesia in New South Wales. PMID- 18141930 TI - The teaching of anaesthetics in South Australia. PMID- 18141931 TI - The respiratory valve. PMID- 18141932 TI - The aging man in the modern world. PMID- 18141933 TI - Modern trends in treatment of anaemia. PMID- 18141934 TI - Notes on the heart, with special reference to intrathoracic tuberculosis. PMID- 18141935 TI - Relief of bronchial asthma; a clinical study with anthaphylline. PMID- 18141936 TI - Diabetes detection and care. PMID- 18141937 TI - [Not Available]. PMID- 18141938 TI - [Not Available]. PMID- 18141939 TI - [Not Available]. PMID- 18141940 TI - [Not Available]. PMID- 18141941 TI - [Not Available]. PMID- 18141942 TI - [Not Available]. PMID- 18141943 TI - Hidden genito-urinary tract conditions masquerading or misinterpreted as abdominal conditions. PMID- 18141944 TI - Thoracic injuries. PMID- 18141945 TI - Evaluation of the syphilis control program. PMID- 18141946 TI - [Not Available]. PMID- 18141947 TI - [Not Available]. PMID- 18141948 TI - [Not Available]. PMID- 18141949 TI - National health service; recommendations of the Hoover Commission. PMID- 18141950 TI - The use of psychotherapy in general practice. PMID- 18141951 TI - Syphilitic aortitis with obstruction of multiple aortic ostia. PMID- 18141952 TI - Punch liver biopsy in the diagnosis of miliary tuberculosis; report of a case. PMID- 18141953 TI - Studies on the relation of pituitary-adrenal function to rheumatic disease. PMID- 18141954 TI - Carcinoma of the lung, undifferentiated, upper lobe, with extensive necrosis and with metastases to lungs. PMID- 18141955 TI - Determination of the blood groups of dried blood stains. PMID- 18141956 TI - Mycoses encounted in the Pacific southwest area of the United States of North America. PMID- 18141957 TI - Increase of weight during pregnancy; a study of European women in New Zealand. PMID- 18141958 TI - Filariasis control in the Cook Islands. PMID- 18141959 TI - A study of the incidence and mortality rates of lobar pneumonia as seen in the Wellington Hospital during the past 20 years. PMID- 18141960 TI - Ehlers-Dalos syndrome; syndrome of hyper-elastic skin; hyper-mobile joints; haemorrhagic tendency; report of a case. PMID- 18141961 TI - The use of streptomycin in the treatment of progressive post-operative gangrene of the abdominal wall. PMID- 18141962 TI - Testing the hearing and the assessment of loss of capacity for the hearing of speech. PMID- 18141963 TI - A case of hyperparathyroidism. PMID- 18141964 TI - Undescended testicles. PMID- 18141965 TI - [Not Available]. PMID- 18141966 TI - [Not Available]. PMID- 18141967 TI - [Not Available]. PMID- 18141968 TI - [Not Available]. PMID- 18141969 TI - [Not Available]. PMID- 18141970 TI - [Not Available]. PMID- 18141971 TI - [Not Available]. PMID- 18141972 TI - [Not Available]. PMID- 18141974 TI - [Not Available]. PMID- 18141973 TI - [Not Available]. PMID- 18141975 TI - [Not Available]. PMID- 18141976 TI - Cholesterol and coronary artery disease. PMID- 18141977 TI - Blood cholesterol studies in coronary artery disease. PMID- 18141978 TI - Plasma cholesterol concentrations following ingestion of five grams of cholesterol in patients with coronary artery disease. PMID- 18141979 TI - Methyl cellulose therapy in chronic constipation with a brief summary of the etiology of this condition. PMID- 18141980 TI - The treatment of maxillofacial fractures. PMID- 18141981 TI - The treatment of bursitis and peritendonitis calcarea of the shoulder joint by roentgen therapy. PMID- 18141983 TI - [Not Available]. PMID- 18141984 TI - [Not Available]. PMID- 18141982 TI - [Not Available]. PMID- 18141985 TI - [Hemoglobin level in workers]. PMID- 18141986 TI - [Masking action of penicillin]. PMID- 18141987 TI - [Prostatectomia retropubica, Millin's method]. PMID- 18141988 TI - [On subphrenic diverticula and lowest part of oesophagus]. PMID- 18141989 TI - [Enterobiosis in Poland]. PMID- 18141990 TI - Typhoid and the paratyphoids; a review. PMID- 18141991 TI - A survey of recent developments in blood transfusion. PMID- 18141992 TI - Hind-quarter amputation. PMID- 18141993 TI - False localizing signs in cerebral tumours. PMID- 18141994 TI - [Not Available]. PMID- 18141995 TI - [Not Available]. PMID- 18141996 TI - [Not Available]. PMID- 18141997 TI - [Not Available]. PMID- 18141998 TI - [Not Available]. PMID- 18141999 TI - [Not Available]. PMID- 18142000 TI - [Not Available]. PMID- 18142001 TI - [Not Available]. PMID- 18142002 TI - [A new drug for Parkinson's syndromes symptoms, hydrochloride of [(diethylamino 2'-methyl-2 ') - ethyl]' N-dibenzoparathiazine.]. PMID- 18142003 TI - [Not Available]. PMID- 18142004 TI - [Not Available]. PMID- 18142005 TI - [Not Available]. PMID- 18142006 TI - [Not Available]. PMID- 18142007 TI - [Not Available]. PMID- 18142008 TI - [Not Available]. PMID- 18142009 TI - [Not Available]. PMID- 18142010 TI - [Not Available]. PMID- 18142011 TI - [Not Available]. PMID- 18142012 TI - [Not Available]. PMID- 18142013 TI - [Not Available]. PMID- 18142014 TI - [Not Available]. PMID- 18142015 TI - [Not Available]. PMID- 18142016 TI - [Not Available]. PMID- 18142017 TI - [Not Available]. PMID- 18142018 TI - Tradition, idealism, realism. PMID- 18142019 TI - The effect of ascorbic acid on capillary fragility. PMID- 18142020 TI - Studies in the laboratory diagnosis of brucellosis; a study of the agglutination and brucellergen tests for brucellosis in an asymptomatic population group. PMID- 18142021 TI - Work at high altitude; the relation between daily oral intake and excretion of thiamin and riboflavin. PMID- 18142022 TI - Work at high altitude; the effect of diet and other factors on the rise of lactic and pyruvic acids, and the lactate-pyruvate ratio in human subjects at simulated high altitudes. PMID- 18142023 TI - The coronary flow in simulated emotional excitement. PMID- 18142024 TI - Causalgia. PMID- 18142025 TI - Some practical aspects of a Veterans Administration residency training program. PMID- 18142026 TI - Chemical sociology. PMID- 18142027 TI - [Not Available]. PMID- 18142028 TI - [Not Available]. PMID- 18142029 TI - [Not Available]. PMID- 18142030 TI - [Not Available]. PMID- 18142031 TI - [Not Available]. PMID- 18142032 TI - [Not Available]. PMID- 18142033 TI - [Not Available]. PMID- 18142034 TI - [Not Available]. PMID- 18142035 TI - Small voluntary flicking and following eye movements. PMID- 18142036 TI - Shock phenomena and thrombin inactivation. PMID- 18142037 TI - Short-period variations in the ionosphere. PMID- 18142038 TI - [Not Available]. PMID- 18142039 TI - A review of the treatment of peripheral arteriosclerotic disease. PMID- 18142040 TI - Acute hemolytic anemia during pregnancy; a case report. PMID- 18142041 TI - Methyl salicylate poisoning; report of a case. PMID- 18142042 TI - [Not Available]. PMID- 18142043 TI - [Not Available]. PMID- 18142044 TI - [Not Available]. PMID- 18142045 TI - [Not Available]. PMID- 18142046 TI - [Not Available]. PMID- 18142047 TI - Prevention and treatment of Rocky Mountain spotted fever. PMID- 18142048 TI - The psychology of the poor reader. PMID- 18142049 TI - MATERNAL deaths in Montana, 1940 through 1945. PMID- 18142051 TI - The treatment of large omphalocoeles. PMID- 18142050 TI - Incidence of homologous serum jaundice in recipients of blood products from the Belle Bonfils Memorial Blood Bank. PMID- 18142052 TI - Clinical otosclerosis; the transtympanic approach for the restoration of serviceable hearing. PMID- 18142053 TI - [Not Available]. PMID- 18142054 TI - What is homoeopathy? PMID- 18142055 TI - [Not Available]. PMID- 18142056 TI - [Not Available]. PMID- 18142057 TI - [Not Available]. PMID- 18142058 TI - [Not Available]. PMID- 18142059 TI - [Not Available]. PMID- 18142060 TI - [Not Available]. PMID- 18142061 TI - [Not Available]. PMID- 18142063 TI - [Not Available]. PMID- 18142062 TI - [Not Available]. PMID- 18142064 TI - [Not Available]. PMID- 18142065 TI - [Not Available]. PMID- 18142066 TI - [Not Available]. PMID- 18142067 TI - [Not Available]. PMID- 18142068 TI - [Not Available]. PMID- 18142069 TI - [Not Available]. PMID- 18142070 TI - [Not Available]. PMID- 18142071 TI - [Not Available]. PMID- 18142072 TI - [Not Available]. PMID- 18142073 TI - [Not Available]. PMID- 18142074 TI - [Not Available]. PMID- 18142076 TI - [Sleep and its therapeutic role according to Pavlov's theory of protective inhibition]. PMID- 18142075 TI - [Medical science and public health practice]. PMID- 18142077 TI - [Cardiovascular neurosis]. PMID- 18142078 TI - [Treatment of eclampsia]. PMID- 18142079 TI - [Metabolism following puerperal sepsis]. PMID- 18142080 TI - [Use of gramicidin in obstetrics and gynecology]. PMID- 18142081 TI - [Sarcoma of the uterus]. PMID- 18142082 TI - [Functional treatment of contractures following injury]. PMID- 18142083 TI - [Osteomyelitis of the femur simulating sarcoma]. PMID- 18142084 TI - [Use of penicillin in pediatrics]. PMID- 18142085 TI - [Blood transfusion in pediatrics]. PMID- 18142086 TI - [Application of citral in glaucoma]. PMID- 18142087 TI - [Effect of onion and garlic phytoncides on suppurative conjunctivitis in children]. PMID- 18142088 TI - [Comparative effect of camphor-sollib and camphor-oil]. PMID- 18142089 TI - [Medical aid to industrial female workers]. PMID- 18142090 TI - [Medical service to school children in a children's hospital]. PMID- 18142091 TI - [Therapeutic physical culture in a children's hospital]. PMID- 18142092 TI - [Not Available]. PMID- 18142093 TI - [Not Available]. PMID- 18142094 TI - [Not Available]. PMID- 18142095 TI - [Not Available]. PMID- 18142096 TI - [Not Available]. PMID- 18142097 TI - [Not Available]. PMID- 18142098 TI - [Not Available]. PMID- 18142099 TI - Psychosomatic syndromes; errors in diagnosis and treatment. PMID- 18142100 TI - Office procedure in psychotherapy. PMID- 18142101 TI - Relationship of psychiatry to obstetrics. PMID- 18142102 TI - Present situation in the surgical treatment of peptic ulcer. PMID- 18142103 TI - Bleeding peptic ulcers; report of 368 cases. PMID- 18142105 TI - [Not Available]. PMID- 18142104 TI - [Not Available]. PMID- 18142106 TI - [Not Available]. PMID- 18142107 TI - [Not Available]. PMID- 18142108 TI - [Not Available]. PMID- 18142109 TI - [Not Available]. PMID- 18142110 TI - [Not Available]. PMID- 18142111 TI - [Not Available]. PMID- 18142112 TI - [Not Available]. PMID- 18142113 TI - [Not Available]. PMID- 18142114 TI - [Not Available]. PMID- 18142115 TI - [Not Available]. PMID- 18142116 TI - [Not Available]. PMID- 18142117 TI - [Not Available]. PMID- 18142118 TI - Radical excision of the inguinal and iliac lymph glands. PMID- 18142119 TI - [Not Available]. PMID- 18142120 TI - [Not Available]. PMID- 18142121 TI - [Not Available]. PMID- 18142122 TI - [Not Available]. PMID- 18142123 TI - [Not Available]. PMID- 18142124 TI - [Not Available]. PMID- 18142125 TI - [Not Available]. PMID- 18142126 TI - [Not Available]. PMID- 18142127 TI - [Not Available]. PMID- 18142128 TI - [Not Available]. PMID- 18142129 TI - [Not Available]. PMID- 18142130 TI - [Not Available]. PMID- 18142131 TI - [Not Available]. PMID- 18142132 TI - Comparisons of the naval, military, R.A.F. and civil medical services with private practice. PMID- 18142133 TI - The Royal Naval Blood Transfusion service, 1939-45. PMID- 18142134 TI - The surgical thoracic unit at R. N. Hospital, Chatham. PMID- 18142135 TI - Blindness following upon haematemesis. PMID- 18142136 TI - A new relaxing agent. PMID- 18142137 TI - Thrombosis of the posterior inferior artery. PMID- 18142138 TI - Acute epididymitis following treatment of acute gonorrheal urethritis. PMID- 18142139 TI - Suggestions on therapeutic urology. PMID- 18142140 TI - Amputations. PMID- 18142141 TI - Congenital heart disease. PMID- 18142143 TI - Relationship of dentistry and medicine. PMID- 18142142 TI - Carbon monoxide unlimited. PMID- 18142144 TI - [Not Available]. PMID- 18142145 TI - [Not Available]. PMID- 18142146 TI - [Not Available]. PMID- 18142147 TI - Intermittent claudication; a clinical study. PMID- 18142148 TI - The fate of voluntary muscle after vascular injury in man. PMID- 18142149 TI - Solitary plasmocytoma of the spine. PMID- 18142150 TI - Atlanto-axial fracture-dislocation. PMID- 18142152 TI - The painful shoulder; review of 100 personal cases with remarks on the pathology. PMID- 18142151 TI - Surgical aspects of the treatment of traumatic paraplegia. PMID- 18142153 TI - The painful shoulder; significance of radiographic changes in the upper end of the humerus. PMID- 18142154 TI - Early assessment of supraspinatus tears; procaine infiltration as a guide to treatment. PMID- 18142155 TI - Shoulder pain with particular reference to the frozen shoulder. PMID- 18142156 TI - Painful shoulder; calcification of the supraspinatus tendon. PMID- 18142158 TI - The strength and elasticity of bone in rats on a rachitogenic diet. PMID- 18142157 TI - Vitamin E therapy in Dupuytren's contracture; examination of the claim that vitamin therapy is successful. PMID- 18142159 TI - Innervation of the limbs. PMID- 18142160 TI - The cosmological aspect of Freud's theory of instincts. PMID- 18142161 TI - Freud's scientific beginnings. PMID- 18142162 TI - Did Freud really advocate a hands-off policy toward artistic creativity? PMID- 18142163 TI - A biographical comment on Freud's dual instinct theory. PMID- 18142164 TI - Chronic pachymeningitis; report of a case and review of the literature. PMID- 18142165 TI - Brain wave patterns during hypnosis, hypnotic sleep and normal sleep. PMID- 18142166 TI - Peripheral nerve and root disturbances following vaccination against smallpox; study of five cases, review of the literature and discussion of related entities. PMID- 18142167 TI - Multiple metastatic abscesses of the brain. PMID- 18142168 TI - Technic of cortical excision; an experimental study of postoperative cicatrization. PMID- 18142170 TI - Applications and limitations of electroencephalography in a general hospital. PMID- 18142169 TI - Late changes in the brain stem following trigeminal tractotomy. PMID- 18142171 TI - Brain wave frequencies and brain chemistry. PMID- 18142172 TI - Clinical application of automatic analysis of the electroencephalogram. PMID- 18142173 TI - Membranous obstruction of aqueduct of Sylvius producing syndrome of midline cerebellar tumor. PMID- 18142174 TI - Aneurysm of the internal carotid artery with normal arteriogram; report of two cases. PMID- 18142175 TI - Irritating effect of iodized vegetable oils on the brain and spinal cord. PMID- 18142176 TI - The effect of certain lesions of the brain on electroencephalographic wave patterns; a preliminary study. PMID- 18142177 TI - Analysis of electroencephalographic findings in 40 cases of verified brain tumor; electroencephalographic findings in metastatic tumors of the brain. PMID- 18142178 TI - The electroencephalographic findings in subdural hemorrhage and hematoma; review of the literature and report of 13 cases. PMID- 18142179 TI - Bulbar syndrome following non-diptheritic throat infections; report of two cases, one with albumino-cytologic dissociation. PMID- 18142180 TI - Posttraumatic epilepsy; report of a case with a 24 year interval between injury and the onset of seizures. PMID- 18142181 TI - The results of a clinical study of war-damaged children who attended the Child Guidance Clinic, the Hospital for Sick Children, Great Ormond Street, London. PMID- 18142182 TI - A psychiatric in-patient department for children. PMID- 18142183 TI - Abnormal behaviour and mental breakdown in adolescence. PMID- 18142184 TI - Electronarcosis in the treatment of schizophrenia. PMID- 18142185 TI - Convulsive treatment in 56 tuberculous mental patients. PMID- 18142186 TI - Some observations on leucotomy and investigations by pneumoencephalography. PMID- 18142187 TI - Auditory, olfactory-gustatory and thermic Rorschach responses. PMID- 18142188 TI - Legislation and mental health in Northern Ireland. PMID- 18142189 TI - The differential leucocyte count in mongols. PMID- 18142190 TI - Re-testing of the intelligence quotient and the social age. PMID- 18142191 TI - Comparison of the intelligence quotient with behaviour. PMID- 18142192 TI - Porencephaly and cerebral abscess simulating internal hydrocephalus. PMID- 18142193 TI - [Localisation of phasia]. PMID- 18142194 TI - [Not Available]. PMID- 18142195 TI - The mandibulofacial dysostosis; a new hereditary syndrome. PMID- 18142196 TI - Oculomotor pareses and nonparetic diplopia in pituitary adenomata. PMID- 18142197 TI - A simple apparatus for measuring level differences in the eye ground. PMID- 18142198 TI - The exchange of phosphate between the blood and the eye, studied with the aid of radioautographs. PMID- 18142199 TI - Cornea plana. PMID- 18142200 TI - Spectrophotometric investigations on the fluorescence of the ocular lens with changed metabolism in rats with galactose. PMID- 18142201 TI - The present status of the trichromatic theory. PMID- 18142202 TI - The laminar pattern of the lateral geniculate nucleus considered in relation to colour vision. PMID- 18142203 TI - The analysis of retinal elements by the micro-electrode technique. PMID- 18142204 TI - The photochemistry of vision. PMID- 18142205 TI - Colour vision in the central fovea. PMID- 18142206 TI - Colour discrimination and the influence of colour contrast on acuity. PMID- 18142207 TI - Colour recognition of very small light sources. PMID- 18142208 TI - Brightness, visual acuity and colour blindness. PMID- 18142209 TI - Some aspects of anomalous vision. PMID- 18142210 TI - Chromatic aberration of the eye. PMID- 18142211 TI - Plastic surgery of the nose; planning the reconstruction. PMID- 18142212 TI - Standardization in nasal plastic surgery; diagnostic methods determining end results. PMID- 18142213 TI - Lesions of the tongue. PMID- 18142214 TI - [Not Available]. PMID- 18142215 TI - [Not Available]. PMID- 18142216 TI - [Not Available]. PMID- 18142217 TI - [Not Available]. PMID- 18142218 TI - [Not Available]. PMID- 18142219 TI - The correlation between the clinical appearance of the skin and the skin lipid secretion in middle-aged and old individuals. PMID- 18142220 TI - Chronaxie studies in thiamine deficient old individuals. PMID- 18142221 TI - Distinctive features of coronary disease in the aged. PMID- 18142222 TI - [Not Available]. PMID- 18142223 TI - [Not Available]. PMID- 18142224 TI - [Not Available]. PMID- 18142225 TI - [Not Available]. PMID- 18142226 TI - [Not Available]. PMID- 18142227 TI - [Not Available]. PMID- 18142228 TI - [Not Available]. PMID- 18142229 TI - [Not Available]. PMID- 18142230 TI - [Not Available]. PMID- 18142232 TI - [Not Available]. PMID- 18142231 TI - [Not Available]. PMID- 18142233 TI - [Not Available]. PMID- 18142234 TI - [Not Available]. PMID- 18142235 TI - [Not Available]. PMID- 18142236 TI - [Not Available]. PMID- 18142237 TI - [Not Available]. PMID- 18142238 TI - [Not Available]. PMID- 18142239 TI - [Not Available]. PMID- 18142240 TI - [Not Available]. PMID- 18142241 TI - [Not Available]. PMID- 18142242 TI - [Not Available]. PMID- 18142243 TI - [Not Available]. PMID- 18142244 TI - [Not Available]. PMID- 18142245 TI - [Not Available]. PMID- 18142246 TI - [Not Available]. PMID- 18142247 TI - [Not Available]. PMID- 18142248 TI - [Not Available]. PMID- 18142249 TI - [Not Available]. PMID- 18142250 TI - Mass in buttocks. PMID- 18142252 TI - Swollen glands. PMID- 18142251 TI - Osteomyelitis of the scapula. PMID- 18142253 TI - [Not Available]. PMID- 18142254 TI - [Not Available]. PMID- 18142255 TI - [Not Available]. PMID- 18142256 TI - [Not Available]. PMID- 18142257 TI - [Not Available]. PMID- 18142258 TI - NEOMYCIN, a new antibiotic. PMID- 18142259 TI - [Not Available]. PMID- 18142260 TI - [Not Available]. PMID- 18142261 TI - [Not Available]. PMID- 18142262 TI - [Not Available]. PMID- 18142263 TI - [Not Available]. PMID- 18142264 TI - [Not Available]. PMID- 18142265 TI - [Not Available]. PMID- 18142266 TI - [Not Available]. PMID- 18142267 TI - [Not Available]. PMID- 18142268 TI - [Not Available]. PMID- 18142269 TI - [Not Available]. PMID- 18142270 TI - The problem of heart diseases. PMID- 18142271 TI - Pharmacy in Finland. PMID- 18142272 TI - Summary of antimalarial drugs. PMID- 18142273 TI - The capping of bottles. PMID- 18142274 TI - Notes on sodium sulphacetamide eye drops. PMID- 18142275 TI - [Not Available]. PMID- 18142276 TI - [Not Available]. PMID- 18142277 TI - [Not Available]. PMID- 18142278 TI - [Not Available]. PMID- 18142279 TI - Ascorbic acid synthesis in rats on various diets. PMID- 18142280 TI - The effect of illumination upon the sensitivity of isolated retinal elements to polarization. PMID- 18142281 TI - Further observations on environmental factors influencing the temperature sensitivity of mammalian nerve fibres; effects of Ca++ and other agents. PMID- 18142282 TI - On the effect of K+ and Ca++ on thermal stimulation and spontaneous activity of mammalian nerve fibres. PMID- 18142283 TI - The effect of salyrgen on the osmotic pressure of the blood. PMID- 18142284 TI - The action of salyrgan on skin permeability; salyrgan as a spreading factor. PMID- 18142285 TI - Some observations concerning the pathophysiological effects on the human skin caused by the stinging jellyfish (Cyanea capillata). PMID- 18142286 TI - Citric acid in calcareous depositions and similar formations in non-vertebrates. PMID- 18142287 TI - Influence of two different fats on reproduction capacity of vitamin E deficient rats. PMID- 18142288 TI - Permeability of the amphibian skin; effect of moulting of the skin of anurans on the permeability to water and electrolytes. PMID- 18142289 TI - The response of the frog's taste fibres to the application of pure water. PMID- 18142290 TI - The influence of skin temperature on the number of reacting cold spots. PMID- 18142291 TI - A method for the determination of blood pressure in intact dogs. PMID- 18142292 TI - Pharmacological properties of some new N-substituted barbituric acid derivatives. PMID- 18142293 TI - Serum protein concentration and relative albumin percentage in normal individuals. PMID- 18142294 TI - A note on an inhibitory reflex from the nose on the rabbit. PMID- 18142295 TI - Antihistamine and respiration. PMID- 18142296 TI - Professional considerations in organized research. PMID- 18142297 TI - The genetics controversy and the psychological sciences in the USSR. PMID- 18142298 TI - Direct influence of a person upon the behavior of animals. PMID- 18142300 TI - Emotionality and perceptual defense. PMID- 18142299 TI - A clairvoyance game experiment. PMID- 18142301 TI - Hull's derivation of stimulus asynchronism; a correction. PMID- 18142302 TI - A fundamental principle of personality measurement. PMID- 18142303 TI - An interpretation of the effects of combinations of stimuli, patterns, based on current neurophysiology. PMID- 18142304 TI - [Not Available]. PMID- 18142305 TI - [Not Available]. PMID- 18142306 TI - [Not Available]. PMID- 18142307 TI - The training of home helps. PMID- 18142308 TI - The hygiene of catering establishments. PMID- 18142309 TI - Desensitization of aircraft. PMID- 18142310 TI - The Schick reaction of London children, 1936-1948; annual and seasonal variation. PMID- 18142311 TI - The virus of lymphocytic choriomeningitis as a cause of benign aseptic meningitis; laboratory diagnosis of five cases. PMID- 18142312 TI - Roaches; how to identify and principles of control. PMID- 18142313 TI - Studies of human body lice, Pediculus humanus corporis; a method for feeding lice through a membrane and experimental infection with Rickettsia prowazeki, R. mooseri, and Borrelia novyi. PMID- 18142314 TI - Health is everybody's business. PMID- 18142315 TI - [Not Available]. PMID- 18142316 TI - [Not Available]. PMID- 18142317 TI - [Not Available]. PMID- 18142319 TI - [Not Available]. PMID- 18142318 TI - [Not Available]. PMID- 18142321 TI - [Not Available]. PMID- 18142320 TI - [Not Available]. PMID- 18142322 TI - [Not Available]. PMID- 18142323 TI - [Not Available]. PMID- 18142324 TI - [Not Available]. PMID- 18142325 TI - [Not Available]. PMID- 18142326 TI - Congenital abnormalities and their radiographic demonstration. PMID- 18142327 TI - Radiography in a sanatorium. PMID- 18142328 TI - Orthoroentgenography as applied to the lower extremities of children. PMID- 18142329 TI - Non-specific suppurative pneumonia. PMID- 18142330 TI - Haemolytic anaemia complicating virus pneumonia. PMID- 18142331 TI - Spontaneous pneumothorax complicating artificial pneumoperitoneum. PMID- 18142332 TI - The radiology of primary atypical pneumonia. PMID- 18142333 TI - [Not Available]. PMID- 18142334 TI - [Not Available]. PMID- 18142335 TI - [Not Available]. PMID- 18142336 TI - [Not Available]. PMID- 18142337 TI - Renal and ureteral fistula of the visceral and cutaneous types; a report of four cases. PMID- 18142338 TI - Urethral calculi. PMID- 18142339 TI - The effect of testosterone administration on the acid phosphatase concentration of the prostatic exprimate in old men. PMID- 18142340 TI - The birth of a Ngoni child. PMID- 18142341 TI - Coordinates as a clue to the morphology of human profiles. PMID- 18142346 TI - The action of cationic detergents on bacteria and bacterial enzymes. PMID- 18142358 TI - The effects of atmospheric pressure and composition on the flight of Drosophila. PMID- 18142359 TI - Action of acetylcholine, carbaminoyl-choline and acetyl-B-methyl-choline on the heart of a cladoceran. PMID- 18142360 TI - A cytotoxin from Blepharisma. PMID- 18142361 TI - Studies on marine bryozoa; Nolella blakei n. sp. PMID- 18142362 TI - X-radiation of eggs of Rana pipiens at various maturation stages. PMID- 18142363 TI - Statistical and physiological studies on the interphasic growth of the nucleus. PMID- 18142364 TI - Hopkinsiaxanthin, a xanthophyll of the sea slug Hopkinsia rosacea. PMID- 18142365 TI - The growth of hypophysectomized female rats following chronic treatment with pure pituitary growth hormone; general growth and organ changes. PMID- 18142366 TI - The growth of hypophysectomized female rats following chronic treatment with pure pituitary growth hormone; some chemical components of the musculature, liver and blood plasma. PMID- 18142367 TI - The growth of hypophysectomized female rats following chronic treatment with pure pituitary growth hormone; skeletal changes; tibia, metacarpal, costochondral junction and caudal vertebrae. PMID- 18142368 TI - The growth of hypophysectomized female rats following chronic treatment with pure pituitary growth hormone; skeletal changes; differences in response from that of intact rats. PMID- 18142369 TI - The growth of hypophysectomized female rats following chronic treatment with pure pituitary growth hormone; skeletal changes; skull and dentition. PMID- 18142370 TI - Skeletal growth in Ancon sheep. PMID- 18142371 TI - Morphological study on the skeleton of Ancon sheep. PMID- 18142372 TI - Crippling in chondrodystrophic (Ancon) sheep. PMID- 18142373 TI - A further study of indicator patterns in ciliate protozoa. PMID- 18142374 TI - The effect of ethynyl testosterone on the intact and regenerating anal fins of normal and castrated females and normal males of Lebistes reticulatus. PMID- 18142376 TI - Growth of Astasia longa in relation to hydrogen ion concentration. PMID- 18142375 TI - The influence of near infrared radiation on the production by nitrogen mustard of chromosome rearrangements in Drosophila. PMID- 18142377 TI - Segment frequencies in anterior regeneration in the earthworm, Eisenia foetida. PMID- 18142378 TI - Proliferation, differentiation and degeneration in the spinal ganglia of the chick embryo under normal and experimental conditions. PMID- 18142379 TI - Working models for anatomy and physiology. PMID- 18142380 TI - Heart disease in the school-age child. PMID- 18142381 TI - Pyrogens in the treatment of malignant hypertension. PMID- 18142382 TI - A note on the two-factor theory with rectification as applied to alternating current stimulation. PMID- 18142383 TI - Mathematical biology of social behavior. PMID- 18142384 TI - Input-output problems in simple nerve-ganglion systems. PMID- 18142385 TI - Outline of a probabilistic approach to animal sociology. PMID- 18142386 TI - Contribution to the linkage theory of autopolyploids. PMID- 18142387 TI - Measuring the obstetric value of the pelvis; the use of graph method for the interpretation of radiological findings. PMID- 18142388 TI - The obstetric capacity of the undilated cervix. PMID- 18142389 TI - Combined fulltime intra- and extra-uterine pregnancy with survival of mother and both children. PMID- 18142390 TI - A false vagina formed by coitus. PMID- 18142391 TI - [Not Available]. PMID- 18142393 TI - [Not Available]. PMID- 18142392 TI - [Not Available]. PMID- 18142394 TI - Visual sensitivities to combined chromaticity and luminance differences. PMID- 18142395 TI - The colors of natural objects and terrains, and their relation to visual color deficiency. PMID- 18142396 TI - The intrinsic efficiency of the cathodoluminescence process. PMID- 18142397 TI - Shielding from nuclear radiations. PMID- 18142398 TI - USERS of isotopes. PMID- 18142399 TI - Thermal neutron cross sections and related data. PMID- 18142400 TI - Low-rate alpha scintillation counter. PMID- 18142401 TI - Retention of radon by the mouse; method of estimating biodecay from experimental data. PMID- 18142402 TI - Discussion of Instrumentation for a nuclear reactor. PMID- 18142403 TI - The rationale of tooth extraction in orthodontic therapy. PMID- 18142404 TI - Reflections by a Canadian teacher on America's contribution to orthodontics. PMID- 18142405 TI - Linear arch dimension and tooth size; an evaluation of the bone and dental structures in cases involving the possible reduction of dental units in treatment. PMID- 18142406 TI - A simple, efficient headgear of vinyl plastic belting. PMID- 18142407 TI - Caries control; its influence and effects on malocclusion. PMID- 18142408 TI - [Not Available]. PMID- 18142409 TI - [Not Available]. PMID- 18142410 TI - [Not Available]. PMID- 18142411 TI - [Not Available]. PMID- 18142412 TI - Research on the enamel grooves and their role in the pathogenesis of dental caries. PMID- 18142413 TI - The value of supplementary roentgenographic examinations in routine dental office practice. PMID- 18142414 TI - The biochemistry and metabolism of dentin and enamel. PMID- 18142415 TI - Penicillin; a valuable adjunct to oral surgery; report of two cases. PMID- 18142416 TI - [Not Available]. PMID- 18142417 TI - [Not Available]. PMID- 18142418 TI - [Not Available]. PMID- 18142419 TI - [Not Available]. PMID- 18142420 TI - [Not Available]. PMID- 18142421 TI - [Not Available]. PMID- 18142422 TI - [Not Available]. PMID- 18142423 TI - [Not Available]. PMID- 18142424 TI - [Not Available]. PMID- 18142425 TI - Studies of the relationship of the thyrotropic, exophthalmic and fat-mobilizing principles of pituitary extract; the effect of various dosages of pituitary extract upon the production of exophthalmos and the mobilization of fat in intact and thyroidectomized guinea pigs. PMID- 18142426 TI - Studies of the relationship of the thyrotropic, exophthalmic and fat-mobilizing principles of pituitary extract; the effect of iodination of pituitary extract upon these three principles. PMID- 18142427 TI - Studies of the relationship of the thyrotropic exophthalmic and fat-mobilizing principles of pituitary extract; the effect of adrenocorticotropic hormone and desoxycorticosterone acetate upon exophthalmos and fat mobilization in guinea pigs. PMID- 18142428 TI - The direct estimation of the rate of thyroid hormone formation in man; the effect of the iodide ion on thyroid iodine utilization. PMID- 18142429 TI - The antithyroxine activity of thyroxine analogs. PMID- 18142430 TI - Confessions of an elderly thyroidologist. PMID- 18142431 TI - Mediastinal emphysema and pneumothorax following thyroidectomy; report of two cases. PMID- 18142432 TI - Surgical treatment of hyperthyroidism. PMID- 18142433 TI - Incidence of carcinoma of the thyroid in nodular goiter. PMID- 18142434 TI - What thyroid nodules are to be feared? PMID- 18142435 TI - When is malignant goiter malignant? PMID- 18142436 TI - Lymphosarcoma of the thyroid. PMID- 18142437 TI - Treatment of postoperative hyperthyroidism with antithyroid drugs. PMID- 18142438 TI - [Not Available]. PMID- 18142439 TI - [Not Available]. PMID- 18142440 TI - [Not Available]. PMID- 18142441 TI - [Not Available]. PMID- 18142442 TI - Atomic structure and energy. PMID- 18142443 TI - Human infancy and the ontogenesis of behavior. PMID- 18142444 TI - Life, thermodynamics, and cybernetics. PMID- 18142445 TI - Slurvian self-taught. PMID- 18142446 TI - Filter paper partition chromatography applied to an investigation into human tooth decay. PMID- 18142447 TI - An attempt to forecast changes in insect populations. PMID- 18142449 TI - [Not Available]. PMID- 18142448 TI - The living cell in division. PMID- 18142450 TI - WORLD food and world population. PMID- 18142451 TI - IMPACT of science of society. PMID- 18142452 TI - Conversion of mannitol and sorbitol into dulcitol. PMID- 18142453 TI - EDUCATING men of science. PMID- 18142454 TI - Interconversion of dianhydro hexitols and of saccharic acids. PMID- 18142455 TI - Application of halogeno-ketones to the synthesis of pteridines, including pteroic acid. PMID- 18142456 TI - Hiptagenic acid identified as beta-nitropropionic acid. PMID- 18142457 TI - A new method of peptide synthesis. PMID- 18142458 TI - Pyrophosphatase activity of brain tissue. PMID- 18142459 TI - Continuous recording of sensory thresholds and other psycho-physical variables. PMID- 18142460 TI - Discontinuous flow phenomena in gelatine gels. PMID- 18142461 TI - Life-time for pair emission by spherically symmetrical excited state of the O16 nucleus. PMID- 18142462 TI - Subsurface crypts, oogenesis, and the corpus luteum in the ovaries of seals. PMID- 18142463 TI - Magnetic storms and cosmic-ray intensity. PMID- 18142464 TI - Thermal conductivity of powders. PMID- 18142465 TI - CHEMISTRY and the food supply. PMID- 18142466 TI - Absorption of metallic cobalt-60 from a subcutaneous site. PMID- 18142467 TI - Long-term adaptation and non-Mendelian inheritance in yeast. PMID- 18142468 TI - Growth and sinus glands in a crab. PMID- 18142469 TI - Modification of the ectoderm in Sphenodon. PMID- 18142470 TI - Natural epizootics of Polystoma integerrimum in tadpoles. PMID- 18142471 TI - Mechanism of propionic acid formation in bacterial fermentation. PMID- 18142472 TI - Crystalline derivatives of the polymyxins and the identification of the fatty acid component. PMID- 18142473 TI - Formation and distribution of vitamin C in the radical and cotyledon of the broad bean (Vicia faba). PMID- 18142474 TI - Concentration and distribution of polysaccharides in human cortical bone and the dentine of teeth. PMID- 18142475 TI - Enzymic inactivation of serum gonadotrophin. PMID- 18142479 TI - Influence of thyrotoxicosis on menstruation. PMID- 18142480 TI - Tubular reabsorption of chlorides in eclampsia. PMID- 18142481 TI - New considerations in histologic examinations of the endometrium in connection with sterility. PMID- 18142482 TI - [Not Available]. PMID- 18142483 TI - [Not Available]. PMID- 18142484 TI - [Not Available]. PMID- 18142485 TI - A case of transplacental metastasis of malignant melanoma from mother to foetus. PMID- 18142486 TI - The maternal circulation in normal pregnancy. PMID- 18142487 TI - The cardiac output in normal pregnancy; as determined by the Cournand right catheterization technique. PMID- 18142488 TI - Symphysiotomy and pubiotomy; an apologia based on the study of 41 cases. PMID- 18142489 TI - Endometriosis and intussusception of the appendix. PMID- 18142490 TI - Pregnancy and coarctation of the aorta. PMID- 18142491 TI - Pathological changes in blighted twins. PMID- 18142492 TI - Oestrogenic therapy with prolonged action; report on water suspensions of oestradiol monobenzoate. PMID- 18142493 TI - Anaesthesia in caesarean section with special reference to the use of d tubocurarine chloride. PMID- 18142494 TI - Postabortal infection with clostridium welchii; report of two cases with special reference to oliguria and to penicillin treatment. PMID- 18142495 TI - The treatment of functional bleeding in the last decade of reproductive life. PMID- 18142496 TI - Primary brow presentation. PMID- 18142497 TI - Invasive hydatidiform mole. PMID- 18142498 TI - Gynaecological aspects of regional ileitis. PMID- 18142499 TI - A case of tuberculous cervicitis and endometriosis. PMID- 18142500 TI - An unusual case of ruptured uterus. PMID- 18142501 TI - New tools for the physiologic study of hypertension in the toxemia of pregnancy. PMID- 18142502 TI - Cervical mucus; cyclic variations and their clinical significance. PMID- 18142503 TI - [Birth trauma; hypertensive mediastinal emphysema]. PMID- 18142504 TI - [Implantation of the ureters into the rectum sigmoid]. PMID- 18142505 TI - [Not Available]. PMID- 18142506 TI - [Not Available]. PMID- 18142507 TI - [Not Available]. PMID- 18142508 TI - [Not Available]. PMID- 18142509 TI - [Not Available]. PMID- 18142510 TI - [Not Available]. PMID- 18142511 TI - [Not Available]. PMID- 18142512 TI - [Not Available]. PMID- 18142513 TI - [Not Available]. PMID- 18142514 TI - Medical problems of the oil industry in the tropics. PMID- 18142515 TI - The present tuberculosis program of the holding company. PMID- 18142516 TI - The treatment of pulmonary tuberculosis. PMID- 18142517 TI - Constructive medicine in remote areas. PMID- 18142518 TI - Marketing medical service; its limitations in constructive medicine. PMID- 18142519 TI - The mobile examining unit. PMID- 18142520 TI - Applicability of techniques of military malaria control to industrial developments and rural populations. PMID- 18142521 TI - [Not Available]. PMID- 18142522 TI - [Not Available]. PMID- 18142523 TI - [Not Available]. PMID- 18142524 TI - [Not Available]. PMID- 18142525 TI - The development of sporozoites of Plasmodium gallinaceum into cryptozoites in tissue culture. PMID- 18142526 TI - Malaria observation stations of the Public Health Service. PMID- 18142527 TI - Observations on dispersal of Anopheles quadrimaculatus Say from a breeding area. PMID- 18142528 TI - Parasites found in certain Sciuridae of the southwestern United States. PMID- 18142529 TI - Investigations on the mosquito transmission of Plasmodium elongatum Huff, 1930. PMID- 18142530 TI - Parasites resembling Plasmodium ovale in strains of Plasmodium vivax. PMID- 18142531 TI - A winter study of Anopheles mosquitoes in southwestern Georgia, with notes on some culicine species. PMID- 18142532 TI - Observations on ovarian development and fat accumulation in Anopheles quadrimaculatus and Anopheles punctipennis. PMID- 18142533 TI - A second year's field trial with chloroquine suppression of high endemic malaria in a Panamanian village. PMID- 18142534 TI - A simple formula for clinical interpretation of the QT interval. PMID- 18142535 TI - Cyclic agranulocytosis. PMID- 18142536 TI - The renal excretion of inorganic phosphate in man and dog. PMID- 18142537 TI - Studies of the blood in prolonged transfusion and blood-letting experiments on rabbits. PMID- 18142538 TI - Unusual cases of diabetes mellitus (undulating diabetes). PMID- 18142539 TI - Experiences with streptomycin. PMID- 18142540 TI - Occurrence and prognostic significance of gallop rhythm. PMID- 18142541 TI - On autoagglutinins active at body temperature. PMID- 18142542 TI - Airborne infections; a report on the methods. PMID- 18142543 TI - Respiration and blood-coagulation. PMID- 18142544 TI - [Not Available]. PMID- 18142545 TI - The management of allergic eczema. PMID- 18142546 TI - Clinical physiology of protein deficiency. PMID- 18142547 TI - Clinical observations on the hypotensive effect of certain dihydrogenated alkaloids of ergot in human beings. PMID- 18142548 TI - Chronic sigmoid volvulus. PMID- 18142549 TI - Is there a specialized muscular conduction system in the mammalian heart? PMID- 18142551 TI - Multiple myeloma. PMID- 18142550 TI - Degenerative arthritis. PMID- 18142552 TI - Nephrotic syndrome. PMID- 18142553 TI - Diabetes. PMID- 18142554 TI - Laboratory diagnosis in clinical medicine. PMID- 18142555 TI - Cardiac failure or circulatory failure. PMID- 18142556 TI - Mechanism and diagnosis of bronchial asthma. PMID- 18142557 TI - The median nerve test in leprosy. PMID- 18142558 TI - Practical points in poisons. PMID- 18142559 TI - A case of bronchitis. PMID- 18142560 TI - A case of quinine idiosyncrasy. PMID- 18142561 TI - [Not Available]. PMID- 18142562 TI - [Not Available]. PMID- 18142563 TI - [Not Available]. PMID- 18142564 TI - [Not Available]. PMID- 18142565 TI - [Not Available]. PMID- 18142566 TI - An administrator considers the trustee and his job. PMID- 18142567 TI - Total health in an industrial medical service. PMID- 18142568 TI - Results of dust survey in Alberta coal mines. PMID- 18142569 TI - Blood groups of the Filipinos. PMID- 18142570 TI - The electrocardiogram in hyperthyroidism. PMID- 18142571 TI - On the humoral regulation of the normoerythropoiesis. PMID- 18142572 TI - [Not Available]. PMID- 18142573 TI - [Not Available]. PMID- 18142574 TI - [Not Available]. PMID- 18142575 TI - [Not Available]. PMID- 18142576 TI - The systemic effects of untreated bowel obstruction. PMID- 18142577 TI - Diagnosis in congenital heart disease. PMID- 18142578 TI - The surgical repair of a heart laceration. PMID- 18142579 TI - [Not Available]. PMID- 18142580 TI - [Not Available]. PMID- 18142581 TI - [Not Available]. PMID- 18142582 TI - [Not Available]. PMID- 18142583 TI - [Not Available]. PMID- 18142584 TI - Fat metabolism and the sprue syndrome. PMID- 18142585 TI - The treatment of malignant tertian malaria. PMID- 18142586 TI - Some observations on pulmonary tuberculosis in the Nigerian African. PMID- 18142587 TI - Myoidema. PMID- 18142588 TI - Clinical trials of succinates and of heparin in rheumatic fever. PMID- 18142590 TI - Fatal bronchospasmodic crisis complicating miliary tuberculosis of lungs. PMID- 18142589 TI - Subacute poisoning by thallium treated with BAL. PMID- 18142592 TI - On becoming a good doctor. PMID- 18142591 TI - Spontaneous disappearance of apparently secondary growths in liver. PMID- 18142593 TI - [Not Available]. PMID- 18142594 TI - [Not Available]. PMID- 18142595 TI - Female infertility investigation. PMID- 18142596 TI - The laboratory management of thromboembolic disease. PMID- 18142597 TI - Acid phosphatase reaction during the regenerative cycle of motor neurons in cats and domestic fowl after interruption of the sciatic nerve. PMID- 18142598 TI - Wilm's tumor; report of a case in a 12 year old boy. PMID- 18142599 TI - Granulomatous pulmonary vasculitis in association with bronchiolitis fibrosa obliterans; report of three cases. PMID- 18142600 TI - Stimulation and blocking of autonomic ganglionic receptors by piperidines and the antagonism between anticholinesterases and ganglionic blocking agents. PMID- 18142601 TI - [Not Available]. PMID- 18142602 TI - [Not Available]. PMID- 18142603 TI - [Not Available]. PMID- 18142604 TI - [Pancoast-Tobias syndrome]. PMID- 18142605 TI - [Case of healed shot-wound in heart]. PMID- 18142606 TI - [Not Available]. PMID- 18142607 TI - [Tamponade of the heart]. PMID- 18142608 TI - [Orthostatic and clinostatic curves in tuberculous patient]. PMID- 18142609 TI - [Not Available]. PMID- 18142610 TI - [Not Available]. PMID- 18142611 TI - [Not Available]. PMID- 18142612 TI - [Not Available]. PMID- 18142613 TI - [Not Available]. PMID- 18142614 TI - Quantitative observations on vascular reactions in human digits in response to local cooling. PMID- 18142615 TI - The impairment of sensation in burns and its clinical application as a test of the depth of skin loss. PMID- 18142616 TI - Heparin tolerance in rheumatic fever. PMID- 18142617 TI - The role of gastric acidity in the pathogenesis of peptic ulcer. PMID- 18142618 TI - [Not Available]. PMID- 18142619 TI - [Not Available]. PMID- 18142621 TI - [Not Available]. PMID- 18142620 TI - [Not Available]. PMID- 18142623 TI - [Not Available]. PMID- 18142624 TI - [Not Available]. PMID- 18142622 TI - [Not Available]. PMID- 18142625 TI - [Not Available]. PMID- 18142626 TI - [Not Available]. PMID- 18142627 TI - [Not Available]. PMID- 18142628 TI - [Not Available]. PMID- 18142629 TI - [Not Available]. PMID- 18142631 TI - [Not Available]. PMID- 18142630 TI - [Not Available]. PMID- 18142632 TI - ATOMIC energy in clinical medicine. PMID- 18142633 TI - [Not Available]. PMID- 18142634 TI - [Not Available]. PMID- 18142635 TI - [Not Available]. PMID- 18142636 TI - Functional uterine haemorrhage; a critical review of the literature since 1938. PMID- 18142637 TI - Prognosis in pleural effusion; a follow-up of 48 cases. PMID- 18142638 TI - The treatment of Dupuytren's contracture with vitamin E; report of a case. PMID- 18142639 TI - Traumatic diabetes insipidus; report of a case with spontaneous recovery. PMID- 18142640 TI - Changing indications for therapeutic abortion in pulmonary tuberculosis. PMID- 18142643 TI - A dean looks at medical education and practice. PMID- 18142641 TI - Coronary thrombosis in the Territory of Hawaii. PMID- 18142642 TI - Secondary repair of harelip. PMID- 18142644 TI - Demonstration of organic disease in functional illness by skull X-rays. PMID- 18142645 TI - Significance of rectal bleeding and the importance of diagnosing early cancer of the colon. PMID- 18142646 TI - Fulminating eclampsia associated with fibrinogenopoenia and hemorrhage. PMID- 18142647 TI - Multiple cystic lymphangiomas of the omentum. PMID- 18142648 TI - Dermatology and syphilology in a modern medical program. PMID- 18142649 TI - The development of standards in dermatology. PMID- 18142650 TI - Results of classic operations for duodenal ulcer; 5 to 10 year follow-up in 532 cases. PMID- 18142651 TI - The conservative treatment of premature separation of the normally implanted placenta; a study of 293 cases. PMID- 18142652 TI - Localizing cerebellar syndromes. PMID- 18142654 TI - Medical care aspects of public health and welfare in Japan. PMID- 18142653 TI - Prophylaxis of gonorrheal ophthalmia of the newborn; comparison of effectiveness of penicillin and silver nitrate. PMID- 18142655 TI - Urethral obstruction with oxidized cellulose following retropubic prostatectomy. PMID- 18142656 TI - Early ambulation of the low-fused back. PMID- 18142657 TI - Modern concepts in the prevention and treatment of puerperal infection. PMID- 18142658 TI - Diagnosis and treatment of infertility. PMID- 18142659 TI - Industrial dermatitis in Florida. PMID- 18142661 TI - The cancer problem today. PMID- 18142660 TI - Diagnosis and early treatment of poliomyelitis. PMID- 18142662 TI - Carcinoma of the lung; bronchial secretion studies in early diagnosis. PMID- 18142663 TI - Cytologic diagnosis of carcinoma. PMID- 18142664 TI - Surgical therapy for duodenal ulcer. PMID- 18142665 TI - The sulfonamides in dermatology. PMID- 18142666 TI - Rocky Mountain spotted fever; report of a case in Shelby County. PMID- 18142667 TI - The art and science of artificial infant feeding. PMID- 18142668 TI - Acute leukemia. PMID- 18142669 TI - Leukocyte and differential blood counts as a diagnostic aid in some common dermatologic problems. PMID- 18142670 TI - Osteomyelitis of a vertebral spinous process following lumbar puncture. PMID- 18142671 TI - Toxic reaction to aureomycin; report of a case. PMID- 18142672 TI - Cytologic methods for the diagnosis of cancer. PMID- 18142673 TI - Cholangiography through biliary fistulae; with report of two cases. PMID- 18142674 TI - Successful surgical treatment of chronic constrictive pericarditis. PMID- 18142675 TI - Clinical X-ray conference on lesions of the colon. PMID- 18142676 TI - Feeding problems in infancy including demand feeding. PMID- 18142677 TI - How do you know your patient is food sensitive? PMID- 18142678 TI - Nervous indigestion. PMID- 18142679 TI - A new treatment of varicose ulcer; report of eight cases. PMID- 18142680 TI - The evaluation of post-menopausal bleeding. PMID- 18142681 TI - [Not Available]. PMID- 18142682 TI - [Not Available]. PMID- 18142685 TI - [Not Available]. PMID- 18142683 TI - [Not Available]. PMID- 18142684 TI - [Not Available]. PMID- 18142686 TI - [Not Available]. PMID- 18142687 TI - [Role of the pylorus in the evacuation process of the stomach]. PMID- 18142688 TI - [Prolonged sleeps in treatment of stomach ulcer]. PMID- 18142689 TI - [Treatment of stomach ulcer with interrupted sleep]. PMID- 18142690 TI - [Psychological changes in somatic diseases, treated by prolonged sleep]. PMID- 18142691 TI - [Formation of cardiac conditioned reflexes in strophanthin injections]. PMID- 18142692 TI - Acute mastitis. PMID- 18142693 TI - Some problems of emergency gastrectomy for haematemesis. PMID- 18142694 TI - Lead poisoning in an infant from lead nipple-shields; association with rickets. PMID- 18142695 TI - Lead poisoning by cutaneous absorption from lead dressings. PMID- 18142696 TI - Penicillin in the cerebrospinal fluid. PMID- 18142697 TI - Perforated peptic ulcer after gastro-enterostomy. PMID- 18142698 TI - Chloromycetin in enteric fever. PMID- 18142700 TI - [Progress of the ossification of the shoulder joint in a congenital dysplasia of the hip joint]. PMID- 18142699 TI - [Plastic surgery and the trauma]. PMID- 18142701 TI - [Influence of sensory irritation on the origin of the gastric ulcer]. PMID- 18142702 TI - [Calcium in human body; relation to the caries of teeth]. PMID- 18142704 TI - [Not Available]. PMID- 18142703 TI - [Not Available]. PMID- 18142705 TI - [Not Available]. PMID- 18142707 TI - Atomic bombs over Washington. PMID- 18142706 TI - [Not Available]. PMID- 18142708 TI - Some injuries of the knee joint. PMID- 18142709 TI - Tendon injuries. PMID- 18142710 TI - Surgery of the colon; preoperative and postoperative care. PMID- 18142711 TI - How the new ethics code affects you. PMID- 18142712 TI - Goin assesses compulsory insurance. PMID- 18142713 TI - [Not Available]. PMID- 18142714 TI - [Not Available]. PMID- 18142715 TI - The effect of hetero-specific pregnancy on the haemoglobin and red cell levels in the newborn infant. PMID- 18142716 TI - Chest diseases as seen in general practice. PMID- 18142717 TI - Surgery of the common bile duct. PMID- 18142718 TI - Lithium salts in the treatment of psychotic excitement. PMID- 18142719 TI - Pregnancy and internal carotid aneurysm. PMID- 18142720 TI - The artist, the doctor, and medical illustration. PMID- 18142722 TI - [Evidence and criteria used to judge the influence of therapeutic procedures in hepatocellular jaundice]. PMID- 18142721 TI - Maternal nutrition and child health. PMID- 18142723 TI - [Not Available]. PMID- 18142724 TI - [Not Available]. PMID- 18142725 TI - [Not Available]. PMID- 18142726 TI - [Not Available]. PMID- 18142727 TI - Phagocytosis. PMID- 18142728 TI - [Not Available]. PMID- 18142729 TI - [Not Available]. PMID- 18142730 TI - [Not Available]. PMID- 18142731 TI - [Not Available]. PMID- 18142732 TI - An approach to the distinction of medical and surgical jaundice. PMID- 18142733 TI - Multiple myeloma; a review of 95 proven cases with 75 autopsies. PMID- 18142734 TI - Sarcoidosis; a clinical and laboratory study of 17 cases. PMID- 18142735 TI - Modern concepts of treatment in disorders of the lacrimal apparatus. PMID- 18142736 TI - The surgical management of intestinal obstruction. PMID- 18142737 TI - Insured for health. PMID- 18142738 TI - Thyroid adenomata in children; review of the literature and report of a case in a 9 year old boy. PMID- 18142739 TI - Malaria with generalized petechiae; report of a case. PMID- 18142740 TI - Transverse colostomy versus cecostomy for acutely obstructing lesions in the left half of the colon. PMID- 18142741 TI - Periodic paralysis. PMID- 18142742 TI - Hirschsprung's disease; a new concept of the etiology; operative results in 34 patients. PMID- 18142743 TI - Treatment of typhoid fever with chloromycetin; results in four cases and in a chronic carrier. PMID- 18142746 TI - Measures used in the prevention and treatment of cardiac arrhythmias. PMID- 18142744 TI - Use of diethylstilbestrol to prevent fetal loss from complications of late pregnancy. PMID- 18142747 TI - Hemorrhagic pericarditis, subacute. PMID- 18142745 TI - Pitfalls of chemotherapy and antibiotics in surgery. PMID- 18142748 TI - The pharmacology of anticoagulant agents. PMID- 18142749 TI - Clinical aspects of rickettsialpox, Q. fever and Rocky Mountain spotted fever. PMID- 18142750 TI - The laboratory diagnosis of rickettsial disease. PMID- 18142751 TI - Pathology of rickettsial diseases in man. PMID- 18142752 TI - Pre-excitation during hypoxemia test. PMID- 18142753 TI - A clinical investigation of tagathen (chlorothen citrate) (N,N-dimethyl-N1-(2 pyridyl)-N1-(5-chloro-2 thenyl) ethylene diamine citrate) with a comparison of various antihistaminic agents. PMID- 18142754 TI - Hypertension of renal origin with report of three cases. PMID- 18142755 TI - The diagnosis and treatment of salivary calculus. PMID- 18142756 TI - [Not Available]. PMID- 18142757 TI - Some epidemiologic and public health aspects of typhus and Rocky Mountain spotted fevers. PMID- 18142758 TI - Winter asthma. PMID- 18142759 TI - Acute pulmonary tuberculosis; report of a case successfully treated by lobectomy and dihydrostreptomycin. PMID- 18142760 TI - Brucellosis with jaundice; report of a case. PMID- 18142761 TI - The treatment of inflammatory dermatoses with oral bismuth. PMID- 18142762 TI - Successes and failures following frontal lobotomy. PMID- 18142763 TI - Thalamotomy; neuropsychiatric aspects. PMID- 18142764 TI - Thalamotomy and mesencephalothalamotomy; neuro-surgical aspects, including treatment of pain. PMID- 18142765 TI - A comparison between various forms of psychosurgery. PMID- 18142767 TI - Extraperitoneal cesarean section; is there still a need for it? PMID- 18142766 TI - The placental stage and postpartum hemorrhage. PMID- 18142768 TI - Vaginal smear examination as a diagnostic aid in gynecology. PMID- 18142769 TI - Spontaneous rupture of granulosa cell tumors of the ovary with massive intra abdominal hemorrhage. PMID- 18142770 TI - Meckel's diverticulum; a 20-year survey and report of an unusual case. PMID- 18142771 TI - Antihistaminic therapy of allergic disorders in infants and children. PMID- 18142772 TI - Toxic nephrosis from organic mercurial diuretics. PMID- 18142773 TI - Gangrene of entire large bowel to distal sigmoid following volvulus of hepatic flexure. PMID- 18142775 TI - [Not Available]. PMID- 18142774 TI - Postpartum hemorrhage necessitating immediate hysterectomy. PMID- 18142776 TI - [Not Available]. PMID- 18142777 TI - [Not Available]. PMID- 18142779 TI - [Not Available]. PMID- 18142778 TI - [Not Available]. PMID- 18142781 TI - [Not Available]. PMID- 18142780 TI - [Not Available]. PMID- 18142782 TI - [Not Available]. PMID- 18142783 TI - [Not Available]. PMID- 18142784 TI - [Not Available]. PMID- 18142785 TI - [Not Available]. PMID- 18142786 TI - Polycystic disease of the kidney. PMID- 18142787 TI - The bacteriology of industrially laundered baby diapers; a 3 year survey. PMID- 18142788 TI - Combined one-stage pharyngeal diverticulectomy. PMID- 18142789 TI - Experiences with retropubic prostatectomy; report of 25 cases. PMID- 18142790 TI - [Not Available]. PMID- 18142791 TI - [Not Available]. PMID- 18142792 TI - Tuberculous glands of the neck. PMID- 18142793 TI - A survey of recent developments in blood transfusion. PMID- 18142794 TI - The story of silk and silkworm gut. PMID- 18142795 TI - GENERAL review of the first year of the National Health Service. PMID- 18142796 TI - PHYSICIAN and the Service. PMID- 18142797 TI - OBSTETRICIAN and the Service. PMID- 18142798 TI - TOWN general practitioner and the Service. PMID- 18142799 TI - OPHTHALMOLOGIST and the Service. PMID- 18142800 TI - MINISTRY and the Service. PMID- 18142801 TI - NURSING profession and the Service. PMID- 18142802 TI - PRIVATE patient and the Service. PMID- 18142803 TI - [Not Available]. PMID- 18142804 TI - [Not Available]. PMID- 18142805 TI - [Not Available]. PMID- 18142806 TI - [Not Available]. PMID- 18142808 TI - [Not Available]. PMID- 18142807 TI - [Not Available]. PMID- 18142810 TI - [Not Available]. PMID- 18142809 TI - [Not Available]. PMID- 18142811 TI - [Not Available]. PMID- 18142812 TI - [Not Available]. PMID- 18142813 TI - [Not Available]. PMID- 18142814 TI - [Not Available]. PMID- 18142815 TI - [Not Available]. PMID- 18142816 TI - [Not Available]. PMID- 18142817 TI - [Not Available]. PMID- 18142818 TI - The treatment of acute leukemia with folic acid antagonists. PMID- 18142819 TI - The influence of the adrenal gland on some of the changes induced in the animal organisms by the folic acid analogue, amino-teropterin. PMID- 18142820 TI - A plastic sponge prosthesis for use after pneumonectomy; preliminary report of an experimental study. PMID- 18142821 TI - Reactions to para-aminosalicylic acid. PMID- 18142822 TI - Treatment of undescended testicle. PMID- 18142823 TI - Investigations on the endocrine function of the testicle in cryptorchidism. PMID- 18142824 TI - Discussion on resectable carcinoma of the stomach. PMID- 18142825 TI - Recent developments in auditory tests. PMID- 18142826 TI - Discussion on leptospirosis. PMID- 18142827 TI - Discussion on the significance of pathological tests in rheumatic disease. PMID- 18142828 TI - Obstetric analgesia; a new machine for the self-administration of nitrous oxide oxygen. PMID- 18142829 TI - Discussion on the treatment of carcinoma of the vulva. PMID- 18142830 TI - Ocular defects of Still's disease. PMID- 18142831 TI - [Not Available]. PMID- 18142832 TI - [Not Available]. PMID- 18142833 TI - [Not Available]. PMID- 18142834 TI - [Not Available]. PMID- 18142835 TI - [Not Available]. PMID- 18142836 TI - [Not Available]. PMID- 18142837 TI - [Not Available]. PMID- 18142838 TI - [Not Available]. PMID- 18142840 TI - [Not Available]. PMID- 18142839 TI - [Not Available]. PMID- 18142841 TI - [Not Available]. PMID- 18142842 TI - [Not Available]. PMID- 18142843 TI - [Not Available]. PMID- 18142844 TI - [Not Available]. PMID- 18142845 TI - [Not Available]. PMID- 18142846 TI - [Not Available]. PMID- 18142847 TI - [Not Available]. PMID- 18142848 TI - [Not Available]. PMID- 18142849 TI - [Not Available]. PMID- 18142850 TI - Alcoholic addiction; its classification and cure. PMID- 18142851 TI - Tuberculosis of joints and serous membranes; treatment with local alkalinization and streptomycin administration. PMID- 18142852 TI - Witkop (whitehead) a syphilitic affection of the scalp. PMID- 18142853 TI - Inversion of T waves after paroxysmal tachycardia. PMID- 18142854 TI - ACTION of vitamin A in calcification. PMID- 18142855 TI - [Plastic electronic microscopy of wet objects]. PMID- 18142856 TI - [Not Available]. PMID- 18142857 TI - [Not Available]. PMID- 18142858 TI - [Not Available]. PMID- 18142859 TI - [Not Available]. PMID- 18142860 TI - [Not Available]. PMID- 18142861 TI - [Not Available]. PMID- 18142862 TI - [Not Available]. PMID- 18142863 TI - [Not Available]. PMID- 18142864 TI - [Not Available]. PMID- 18142865 TI - [Not Available]. PMID- 18142866 TI - [Not Available]. PMID- 18142867 TI - [Not Available]. PMID- 18142868 TI - [Not Available]. PMID- 18142869 TI - [Not Available]. PMID- 18142870 TI - [Not Available]. PMID- 18142871 TI - [Not Available]. PMID- 18142872 TI - [Not Available]. PMID- 18142873 TI - [Not Available]. PMID- 18142874 TI - [Not Available]. PMID- 18142875 TI - [Not Available]. PMID- 18142876 TI - [Not Available]. PMID- 18142878 TI - [Not Available]. PMID- 18142877 TI - [Not Available]. PMID- 18142879 TI - [Not Available]. PMID- 18142880 TI - [Not Available]. PMID- 18142881 TI - [Not Available]. PMID- 18142882 TI - [Not Available]. PMID- 18142883 TI - [Not Available]. PMID- 18142884 TI - [Not Available]. PMID- 18142885 TI - [Not Available]. PMID- 18142886 TI - The cancer teaching project in the School of Medicine. PMID- 18142887 TI - The Department of Pharmacology and Toxicology pioneers in a new type of pharmacological research. PMID- 18142888 TI - The selection of medical students. PMID- 18142889 TI - [Not Available]. PMID- 18142890 TI - [Not Available]. PMID- 18142891 TI - [Not Available]. PMID- 18142892 TI - [Not Available]. PMID- 18142893 TI - [Not Available]. PMID- 18142894 TI - [Not Available]. PMID- 18142895 TI - [Not Available]. PMID- 18142896 TI - [Not Available]. PMID- 18142897 TI - [Not Available]. PMID- 18142898 TI - [Not Available]. PMID- 18142899 TI - [Not Available]. PMID- 18142900 TI - [Not Available]. PMID- 18142901 TI - The source of phosphorus in bacteriophage. PMID- 18142902 TI - Cancellation of fluoride inhibition of blood glucose catabolism. PMID- 18142903 TI - The metabolism of potassium in diabetic acidosis. PMID- 18142904 TI - Incidental finding of megaloblastic-like cells in bone marrow of one of two swine with macrocytic anemia and achlorhydria. PMID- 18142905 TI - A simple apparatus for the automatic inoculation of culture media. PMID- 18142906 TI - A new endemic area of scrub typhus in Japan. PMID- 18142907 TI - Civil defense planning. PMID- 18142908 TI - Vertical dimension. PMID- 18142909 TI - Congenital nonprogressive night blindness. PMID- 18142910 TI - Scleroderma with apparent gastric involvement. PMID- 18142911 TI - Regional ileitis with peritonitis. PMID- 18142912 TI - The cytological diagnosis of malignant cells in various body fluids. PMID- 18142913 TI - Burns. PMID- 18142915 TI - The Trumble operation for fusion of the hip. PMID- 18142914 TI - The influence of the contact-compression factor on osteogenesis in surgical fractures. PMID- 18142916 TI - Slipping of the upper femoral epiphysis. PMID- 18142917 TI - End results in physiological blocking of flail joints. PMID- 18142918 TI - The experimental production of ectopic cartilage and bone in the muscles of rabbits. PMID- 18142919 TI - The growth of the bone marrow. PMID- 18142920 TI - Clinical evaluation of the merthiolate bone bank; a preliminary report. PMID- 18142921 TI - Causes of amputations performed at Walter Reed General Hospital during 1947 and 1948. PMID- 18142922 TI - Early effects of partial sensory denervation of the hip for relief of pain in chronic arthritis. PMID- 18142923 TI - Obturator neurectomy for coxalgia; an anatomical study of the obturator and the accessory obturator nerves. PMID- 18142924 TI - Procaine injection for relief of pain in the hip. PMID- 18142925 TI - Hemangioma of the knee joint. PMID- 18142926 TI - The use of the technique of progressive-resistance exercise in adolescence. PMID- 18142927 TI - An unusual form of de Quervain's syndrome; report of two cases. PMID- 18142928 TI - A method of procuring iliac bone by trephine curettage. PMID- 18142929 TI - Vitallium-cup arthroplasty of the hip joint; review of approximately 100 cases. PMID- 18142930 TI - Posterior dislocation of the hip with fracture of the head of the femur. PMID- 18142931 TI - Surgical approach to the vertebral body. PMID- 18142932 TI - Conference on post-graduate education in orthopaedic surgery. PMID- 18142933 TI - A program for training in adult orthopaedic surgery and fractures. PMID- 18142934 TI - The ideal curriculum for basic science instruction in orthopaedic surgery. PMID- 18142935 TI - The ideal curriculum of resident training in a university clinic. PMID- 18142936 TI - Resident training in a Veterans Administration hospital. PMID- 18142937 TI - Resident training in an Army hospital. PMID- 18142938 TI - Special training the resident should have in cerebral palsy. PMID- 18142939 TI - Special training the resident should have in the fitting and making of braces and prostheses. PMID- 18142941 TI - What constitutes a satisfactory preceptorship training? PMID- 18142940 TI - Research, publication, physical medicine, and other special subjects in a resident-training program. PMID- 18142942 TI - Gold therapy in rheumatoid arthritis in the United States. PMID- 18142943 TI - Orthopaedic surgery in the treatment of chronic rheumatic diseases of the hand. PMID- 18142944 TI - What is fibrositis? PMID- 18142946 TI - What can physics do to help? PMID- 18142945 TI - Antistreptolysin reaction in rheumatoid arthritis. PMID- 18142947 TI - Minimums of a state program for retarded. PMID- 18142948 TI - Society's first responsibility to the mentally retarded. PMID- 18142949 TI - The mental defective and his future. PMID- 18142950 TI - [Not Available]. PMID- 18142951 TI - [Not Available]. PMID- 18142952 TI - [Not Available]. PMID- 18142954 TI - Some aspects of partial gastrectomy. PMID- 18142953 TI - [The use of sludge in Araxa e Pocos de Caldas]. PMID- 18142955 TI - Simulated amnesia for identity treated by electrically induced epilepsy. PMID- 18142956 TI - Policies in the operation of an institution for the mentally deficient as they are affected by its location. PMID- 18142958 TI - Place of the institution in state programs for the care and supervision of the mentally deficient. PMID- 18142957 TI - An experiment; in-service orientation lecture series for employees in a state school. PMID- 18142959 TI - Central cafeterias vs individual dining rooms. PMID- 18142960 TI - Present and future of special education. PMID- 18142961 TI - Psychiatry in the field of mental deficiency. PMID- 18142962 TI - Educational implications in the public school special class of the endogenous exogenous classification. PMID- 18142963 TI - Two steps toward improvement of psychological services for the cerebral palsied. PMID- 18142964 TI - The Good enough drawing test and older mentally retarded children. PMID- 18142965 TI - The state-federal program of vocational rehabilitation for the mentally retarded. PMID- 18142966 TI - Casework in the social adjustment of adult defectives. PMID- 18142967 TI - [Not Available]. PMID- 18142968 TI - [Cerebrospinal fluid of newborn; concept of normality]. PMID- 18142969 TI - [Cisticercose do IV ventra culo; consideracoes anatomo-clanicas e sobre a terapeutica cirurgica]. PMID- 18142970 TI - [Children dreams and familial behavior]. PMID- 18142971 TI - [Inferior altitudinal hemianopsia caused by optic-chiasmatic arachnoiditis]. PMID- 18142972 TI - [Acoustic neuroma surgery with preservation of hearing and vestibular branch of sacrifice]. PMID- 18142973 TI - The selective use of electroconvulsive therapy in manic patients. PMID- 18142974 TI - Group therapy with alcoholics in a hospital setting. PMID- 18142975 TI - Resistance analysis and psychodamnitis. PMID- 18142976 TI - Adjustment levels in hospitalized schizophrenic patients following prefrontal lobotomy. PMID- 18142977 TI - Tertiary syphilis. PMID- 18142978 TI - Use of seconal sodium in electroconvulsive therapy. PMID- 18142979 TI - Content analysis of the Rorschach with regard to anxiety and hostility. PMID- 18142980 TI - Some aspects of personality of Chinese as revealed by the Rorschach test. PMID- 18142981 TI - Through adolescence with the Rorschach. PMID- 18142982 TI - Art techniques in studying child personality. PMID- 18142983 TI - Notes on the clinical use of future autobiographies. PMID- 18142984 TI - [Not Available]. PMID- 18142985 TI - [Not Available]. PMID- 18142986 TI - [Not Available]. PMID- 18142987 TI - [Not Available]. PMID- 18142988 TI - [Not Available]. PMID- 18142989 TI - [Not Available]. PMID- 18142991 TI - [Not Available]. PMID- 18142990 TI - [Not Available]. PMID- 18142992 TI - [Not Available]. PMID- 18142993 TI - [Not Available]. PMID- 18142994 TI - [Not Available]. PMID- 18142995 TI - [Not Available]. PMID- 18142996 TI - [Not Available]. PMID- 18142997 TI - DELHI, India, takes active steps to improve nursing education. PMID- 18142998 TI - Protection of workers against industrial noise. PMID- 18142999 TI - Ascorbic acid metabolism of older adolescents. PMID- 18143000 TI - Magnesium deficiency in the chick; clinical and neuropathologic findings. PMID- 18143001 TI - A physiological and cytochemical study of the kidney and the adrenal cortex during acute choline deficiency in weanling rats. PMID- 18143003 TI - The iron requirement of six adolescent girls. PMID- 18143002 TI - Nitrogen excretion of women related to the distribution of animal protein in daily meals. PMID- 18143004 TI - The growth-promoting effect on the rat of summer butter and other fats. PMID- 18143005 TI - Intestinal synthesis of niacin and the metabolic interrelationship of tryptophan and niacin in the rabbit. PMID- 18143006 TI - Urinary pantothenate, blood glucose, and inorganic serum phosphate in patients with metabolic disorders treated with doses of pantothenate. PMID- 18143007 TI - Hypervitaminosis A in the dog. PMID- 18143008 TI - Therapeutic results in advanced chronic simple glaucoma with telescopic fields. PMID- 18143009 TI - Cataract and tetany produced by parathyroid deficiency during pregnancy, lactation, and menstruation. PMID- 18143010 TI - Etiology of trachoma. PMID- 18143011 TI - The Dupuy-Dutemps dacryocystorhinostomy. PMID- 18143012 TI - Ocular lymphomas. PMID- 18143013 TI - A survey of anterior segment photography. PMID- 18143014 TI - Talc granulomas of the eye. PMID- 18143015 TI - Intraocular foreign bodies; 50 consecutive cases. PMID- 18143016 TI - Essential (progressive) atrophy of the iris. PMID- 18143017 TI - Retinal angiospasm; the fundus in different stages of an attack in the left eye. PMID- 18143018 TI - Optochiasmatic arachnoiditis. PMID- 18143019 TI - Secondary functions of inferior oblique. PMID- 18143020 TI - DISCIFORM degeneration of macula. PMID- 18143021 TI - IRIDOCYCLITIS, choroiditis, and glaucoma. PMID- 18143022 TI - Use of water baths to promote wound healing. PMID- 18143023 TI - Studies on the intra-ocular fluids; the dialysation of aqueous humour against plasma. PMID- 18143024 TI - An investigation into the mode of heredity of congenital and juvenile cataracts. PMID- 18143025 TI - The motor impulse elicited by the retinal stimulus and the binocular optical reflexes. PMID- 18143026 TI - Hyaline membranes on the posterior corneal surface. PMID- 18143027 TI - Local application of urea for the treatment of dendritic ulcer. PMID- 18143028 TI - The relative importance of direct and indirect ophthalmoscopic examination in the treatment of retinal detachment. PMID- 18143029 TI - A second interim report on the result of over 500 cases of the fenestration operation; factors attributable to success and failure, and a description of a modification in the author's fenestra. PMID- 18143030 TI - Some manifestations of nasal allergy; a survey of 150 cases in the Middle East. PMID- 18143031 TI - Vertigo after radical mastoidectomy. PMID- 18143032 TI - Aural vertigo (Meniere's syndrome) an audiographic survey. PMID- 18143033 TI - Rhinology in children; resume of and comments on the literature for 1948. PMID- 18143034 TI - Minor salivary gland tumors in respiratory tract and ear; review of the literature and report of two cases. PMID- 18143035 TI - Endaural surgery of the temporal bone. PMID- 18143036 TI - Chronic secretory otitis media. PMID- 18143037 TI - Scleroma simulating atrophic rhinitis; clinical differentiation and laboratory confirmation. PMID- 18143038 TI - The treatment of chronic purulent otitis media with glycerite of hydrogen peroxide. PMID- 18143039 TI - Antigen-antibody reactions in gels. PMID- 18143040 TI - In vitro method for testing the toxin-producing capacity of diphtheria bacteria. PMID- 18143041 TI - The pathology of Laurence-Moon-Biedl syndrome. PMID- 18143042 TI - Studies on Bacteroides; investigation and discussion of methods. PMID- 18143043 TI - Beta-haemolytic streptococci in throat and antistreptolysin titre. PMID- 18143044 TI - Moloney test and its application in vaccination of adults. PMID- 18143045 TI - Observations on experimental dental caries; the effect of certain quinones with, and without vitamin K activity. PMID- 18143046 TI - Cervical lymph node tuberculosis and the tonsils. PMID- 18143047 TI - Studies on hereditary dwarfism in mice; dependence of the nuclear class formation upon the pituitary growth hormone. PMID- 18143048 TI - On the sizes of the nuclei in the glandula infraorbitalis of the white rat. PMID- 18143049 TI - The incomplete agglutinin related to the L-(Lewis) system. PMID- 18143050 TI - Investigations on the blood factor. PMID- 18143051 TI - [Not Available]. PMID- 18143052 TI - Sinusitis in children at home and in day-nurseries. PMID- 18143053 TI - The course of the sedimentation rate in uncomplicated cases of primary tuberculous infection with erythema nodosum in children. PMID- 18143054 TI - Encephalomyelitis complicating measles. PMID- 18143055 TI - An encephalo-ophthalmic syndrome in two premature children. PMID- 18143056 TI - [Not Available]. PMID- 18143057 TI - [Not Available]. PMID- 18143058 TI - [Not Available]. PMID- 18143059 TI - Studies on bed rocking, head banging and related rhythmic patterns. PMID- 18143060 TI - Atypical osteomyelitis. PMID- 18143061 TI - Dilantin intoxication. PMID- 18143062 TI - Angiocardiographic studies on the human foetal circulation; a preliminary report. PMID- 18143063 TI - Rickets in newborn infants; clinical and histologic study. PMID- 18143064 TI - Mixed infection of hemolytic streptococci in cases of primary tuberculosis in children. PMID- 18143065 TI - Thumbsucking; frequency and etiology. PMID- 18143066 TI - The Swedish BCG expedition in Germany. PMID- 18143067 TI - Congenital toxoplasmosis; clinical, histopathologic and parasitologic observations during life and at post mortem. PMID- 18143068 TI - Complement fixation test in toxoplasmosis and persistence of the antibody in human beings. PMID- 18143069 TI - Hospital fatality rates for premature infants. PMID- 18143070 TI - Mechanism of emergence of resistance to streptomycin of H. pertussis and H. parapertussis during treatment with this antibiotic. PMID- 18143071 TI - Immunization against pertussis during the first 4 months of life. PMID- 18143072 TI - Meningitis in premature infants. PMID- 18143073 TI - Diagnostic tests for toxoplasmosis. PMID- 18143074 TI - Anomalous origin of the left coronary artery from the pulmonary artery (Bland White-Garland syndrome) report of four cases. PMID- 18143075 TI - Electrophoretic studies of plasma proteins in normal children. PMID- 18143076 TI - First year of the British National Health Service. PMID- 18143077 TI - [Not Available]. PMID- 18143078 TI - [Not Available]. PMID- 18143079 TI - [Not Available]. PMID- 18143080 TI - [Not Available]. PMID- 18143081 TI - Germicidal value and use of hexachlorophene. PMID- 18143082 TI - Public health aspects of the distribution of drugs and medicines. PMID- 18143083 TI - The isolation and identification of beetle fragments from powdered vegetable drugs. PMID- 18143084 TI - The biological assay of vegetable pugatives; senna leaf and fruit and their preparations. PMID- 18143085 TI - The active constituents of the vegetable purgatives containing anthracene derivatives; glycosides and aglycones. PMID- 18143086 TI - Note on microbiological assays using Lactobacillus lactis Dorner. PMID- 18143087 TI - The vitamin B12 concentration in liver extracts and a note on the relationship between clinical response and B12 dosage. PMID- 18143088 TI - The variations in colour of liquid extract of liquorice B. P. PMID- 18143089 TI - [Not Available]. PMID- 18143090 TI - [Not Available]. PMID- 18143091 TI - [Interoceptive conduction and sympathetic nervous system]. PMID- 18143092 TI - [Reflex and functional system as factors of physiological integration]. PMID- 18143093 TI - [Results in application of a new method of anemic injury to the central nervous system of higher animals]. PMID- 18143094 TI - [Nature of the conditioned reflex]. PMID- 18143095 TI - [Certain peculiarities of the central nervous system of the horse]. PMID- 18143096 TI - [Principles of afferent conduction in activity of the central nervous system]. PMID- 18143097 TI - [Reflex reaction in external stimulation of sensory organs in connection with their sensibility]. PMID- 18143099 TI - [Mechanism of conditioned reflex in neurogenic hypertomy]. PMID- 18143098 TI - [Effect of extirpation of various portions of the cerebral cortex on multiplication and progeny in dogs]. PMID- 18143100 TI - [Correlation between the first and second signal systems in certain physiopathological states]. PMID- 18143101 TI - [Mechanism of conditioned reflex]. PMID- 18143102 TI - [Disposition of subcortical nutritive centers]. PMID- 18143103 TI - [Adaptation-trophic role of the sympathetic nervous system and of the cerebellum]. PMID- 18143104 TI - [Synthesis and disintegration of polysaccharides in the brain]. PMID- 18143105 TI - [Fatigue and restoration in the nervous system and its role in diagnosis of pathological states]. PMID- 18143106 TI - A study of carbon dioxide present in the oral cavity during inspiration. PMID- 18143107 TI - Variability of heart rate in relation to age, sex and stress. PMID- 18143108 TI - Enzyme studies on human blood; the prothrombin content of plasma stored up to 6 years. PMID- 18143109 TI - Relationship between leg strength, leg endurance and other body measurements. PMID- 18143110 TI - Some responses to hot and cold test meals. PMID- 18143111 TI - Gustoolfactory thresholds in relation to appetite and hunger sensations. PMID- 18143112 TI - Should psychiatry intrude into psychical research? reply to Mr. Ronald Rose's Some comments on telepathy and medical psychology. PMID- 18143113 TI - Conditional matching behavior in chimpanzee; implications for the comparative study of intelligence. PMID- 18143114 TI - The effect of response termination of the stimulus upon reaction time. PMID- 18143115 TI - The effect of electroconvulsive shock on the anticipatory gradient in the rat. PMID- 18143116 TI - Cognitive learning in the absence of competition of incentives. PMID- 18143117 TI - Effects of morphine sulphate and diaminon hydrochloride on incidence of audiogenic seizures of albino rats. PMID- 18143118 TI - Associative and retroactive inhibition as a function of the drive stimulus. PMID- 18143119 TI - Activity level as a function of hunger. PMID- 18143120 TI - The runway performance of rats subjected to electroconvulsive shock following nembutal anesthesia. PMID- 18143121 TI - Production and reversal of sensitivity to sound-induced convulsions associated with a pyridoxin deficiency. PMID- 18143122 TI - Possible genetic differences in the mortality of mice from electroconvulsive shocks. PMID- 18143123 TI - Note on modification of effects of electroconvulsive shocks on maternal behavior by ether anesthesia. PMID- 18143124 TI - [Not Available]. PMID- 18143125 TI - [Not Available]. PMID- 18143126 TI - [Not Available]. PMID- 18143127 TI - [Not Available]. PMID- 18143128 TI - [Not Available]. PMID- 18143130 TI - The present status of dental preventive measures. PMID- 18143129 TI - Public health services in British Columbia during the floods of 1948. PMID- 18143131 TI - An international educational program in the field of health. PMID- 18143132 TI - An outbreak of Salmonella typhimurium in Alberta. PMID- 18143133 TI - The new outlook on mental health. PMID- 18143134 TI - The laboratory investigation of virus diseases. PMID- 18143135 TI - An analysis of the diphtheria position. PMID- 18143137 TI - The incidence of tuberculosis and the housing aspect in Stirling Burgh. PMID- 18143136 TI - The effect of exercise on the severity of poliomyelitis. PMID- 18143138 TI - Low intensity radium element needles. PMID- 18143139 TI - Tracheo-esophageal constriction produced by right aortic arch and left ligamentum arteriosum. PMID- 18143140 TI - [Not Available]. PMID- 18143142 TI - Benign lymphocytic meningitis. PMID- 18143141 TI - [Not Available]. PMID- 18143143 TI - Rare complications of pneumo-peritoneum. PMID- 18143144 TI - The roentgenographic and angiocardiographic aspects of aberrant insertion of pulmonary veins associated with interartrial septal defect and congenital arteriovenous aneurysm of the lung. PMID- 18143145 TI - The time factor in cerebral angiography and an automatic seriograph. PMID- 18143146 TI - Non-pathologic variations in relationship of the upper cervical vertebrae. PMID- 18143147 TI - Pulmonary adenomatosis with a new laboratory finding. PMID- 18143148 TI - Multiple Charcot joints. PMID- 18143149 TI - Changes in the coagulability of the blood after radiation therapy; the results of studies using the modified Waugh-Ruddick test for increased coagulability. PMID- 18143150 TI - Effect of atropine on acute irradiation sickness in mice. PMID- 18143151 TI - Biological evaluation of 20 million volt roentgen rays; recessive sex-linked lethals in Drosophila melanogaster. PMID- 18143152 TI - Radiation effects on 2,3,5-triphenyltetrazolium chloride solutions. PMID- 18143153 TI - The radiological localisation of the placental site; normal implantation. PMID- 18143154 TI - The differentiation of mediastinal tumour and aneurysm; value of angiocardiography. PMID- 18143155 TI - Pneumoconiosis in graphite workers. PMID- 18143156 TI - The organisation of hospital physics departments. PMID- 18143157 TI - An experimental study of back-scatter with X-ray beams of small area. PMID- 18143158 TI - Two devices for improving accuracy in X-ray beam direction. PMID- 18143159 TI - The surgical management of pulmonary coccidioidomycosis in focalized lesions. PMID- 18143160 TI - Blood volume and extracellular fluid changes during thoracic operations. PMID- 18143161 TI - Bilobectomy; surgical and anatomic considerations in resection of right middle and lower lobes through the intermediate bronchus. PMID- 18143162 TI - An experimental study in bronchial anastomosis. PMID- 18143163 TI - The recognition and correction of constrictive pericarditis. PMID- 18143164 TI - The choice of the side for approach in operations for pulmonary stenosis. PMID- 18143165 TI - Pulmonary resection for coccidioidomycosis; report of a case. PMID- 18143166 TI - Carcinoma of the lung; a follow-up on 67 patients subjected to pneumonectomy. PMID- 18143167 TI - Surgical treatment of congenital cystic disease of the lung with a report of two cases. PMID- 18143168 TI - Surgical wounds of the lung; the mode of healing of pulmonary tissue. PMID- 18143169 TI - Chronic pneumonitis; its clinical and pathologic importance; report of ten cases showing interstitial pneumonitis and unusual cholesterol deposits. PMID- 18143170 TI - Pulmonary resection for lung abscess. PMID- 18143171 TI - Radiation burns, including vocational and atomic exposures; treatment, and surgical prevention of chronic lesions. PMID- 18143173 TI - Herpes zoster; a surgical procedure for the treatment of post-herpetic neuralgia. PMID- 18143175 TI - The clinical use of radioactive phosphorus in the surgery of brain tumors. PMID- 18143176 TI - Evaluation of total sympathectomy. PMID- 18143177 TI - Postoperative nitrogen loss; a comparison of the effects of trauma and of caloric readjustment. PMID- 18143178 TI - Minimum postoperative maintenance requirements for parenteral water, sodium, potassium, chloride and glucose. PMID- 18143179 TI - The metabolic fate of the infused erythrocyte. PMID- 18143181 TI - The experimental study of flash-burns. PMID- 18143183 TI - The pathogenesis of hyperthyroidism. PMID- 18143184 TI - Transmetatarsal amputation for infection or gangrene in patients with diabetes mellitus. PMID- 18143186 TI - [Not Available]. PMID- 18143187 TI - [Not Available]. PMID- 18143188 TI - [Not Available]. PMID- 18143189 TI - [Not Available]. PMID- 18143190 TI - [Not Available]. PMID- 18143191 TI - [Not Available]. PMID- 18143192 TI - [Not Available]. PMID- 18143193 TI - [Not Available]. PMID- 18143194 TI - [Not Available]. PMID- 18143195 TI - [Experimental pleural shock in repeated operations on the thorax]. PMID- 18143196 TI - [State and function of the sole kidney following unilateral nephrectomy]. PMID- 18143197 TI - [Mysh's operative technique in hypertrophy of the prostate]. PMID- 18143198 TI - [One stage total excision of the bladder and extraperitoneal transplantation of ureters into the rectum]. PMID- 18143199 TI - [Ureter transplantation into the pelvic colon]. PMID- 18143200 TI - [Results of treatment of closed fractures of the leg]. PMID- 18143201 TI - [Late surgery of the hip joint for suppurative coxites following gunshot injury]. PMID- 18143202 TI - [Congenital absence of both parotid glands and undevelopment of the salivary glands]. PMID- 18143203 TI - [Penicillin and sulfidine in treatment of phlegmon of the stomach]. PMID- 18143204 TI - [Not Available]. PMID- 18143205 TI - [Not Available]. PMID- 18143206 TI - [Not Available]. PMID- 18143207 TI - [Not Available]. PMID- 18143208 TI - [Not Available]. PMID- 18143209 TI - [Not Available]. PMID- 18143210 TI - A survey of negatively reacting child contacts in relation to BCG vaccination. PMID- 18143211 TI - Para-amino-salicylic acid as an aerosol in the treatment of respiratory tuberculosis. PMID- 18143212 TI - The host parasite relationship in tuberculous infection. PMID- 18143213 TI - [Control of gonorrhea]. PMID- 18143214 TI - [Preventive treatment of syphilis with penicillin]. PMID- 18143215 TI - [Preventive treatment of syphilis]. PMID- 18143216 TI - [Clinical aspect and histopathology of complicated syphilitic chancres]. PMID- 18143217 TI - [Histochemical data on the distribution of novarsenol in animal organs following introduction of minimal doses]. PMID- 18143218 TI - [Significance of quantitative method of serodiagnosis of syphilis]. PMID- 18143219 TI - [Electronomicroscopic data on the effect of penicillin on gonococci]. PMID- 18143220 TI - [Schirwendt's microreaction in serodiagnosis of syphilis]. PMID- 18143221 TI - [Agranulocytic blood shifts in salvarsan therapy and penicillin treatment]. PMID- 18143222 TI - [Application of heterohemotherapy in dermatovenerology]. PMID- 18143223 TI - [Gangrene of external genital organs and its treatment]. PMID- 18143224 TI - [History of Russian venerology]. PMID- 18143226 TI - On the presence of cysts in the human pituitary. PMID- 18143225 TI - [Graphic control of syphilitics]. PMID- 18143227 TI - Tissue culture studies of ciliated nasal mucosa in man; preliminary report. PMID- 18143228 TI - The effects of antithyroid drugs on chick embryos. PMID- 18143229 TI - Response by the rat thyro-parathyroidectomized at birth to growth hormone and to thyroxin given separately or in combination; general growth and organ changes. PMID- 18143230 TI - Response by the rat thyro-parathyroidectomized at birth to growth hormone and to thyroxin given separately or in combination; histological changes in the pituitary. PMID- 18143231 TI - Cecal villi in the red tree mouse, Phenacomys longicaudus. PMID- 18143232 TI - Human epidermal cells observed in tissue culture with phase-contrast microscopy. PMID- 18143233 TI - Hormone-induced sexual cycles of flagellates; gametogenesis, fertilization, and meiosis in Trichonympha. PMID- 18143234 TI - Growth and form in calyptoblastic hydroids; comparison of a campanulid, campanularian, sertularian and plumularian. PMID- 18143235 TI - The accumulation of glycogen in the glycogen body of the nerve cord of the developing chick. PMID- 18143236 TI - The significance of plant diseases in Great Britain. PMID- 18143237 TI - Aspermy, a new virus disease of the tomato. PMID- 18143238 TI - Observations on a virus disease of cowpen in Trinidad. PMID- 18143239 TI - The grouping and overwintering of Myzus persicae Sulz. on Prunus species. PMID- 18143240 TI - Effect of previous crops on the incidence of eyespot on winter wheat. PMID- 18143241 TI - Studies in the diagnosis of mineral deficiency; the composition of weed leaves in relation to potassium deficiency in barley. PMID- 18143242 TI - Field trials with D-D mixture against potato-root eelworm. PMID- 18143243 TI - A combined hand- or power-operated sprayer for fly and mosquito control. PMID- 18143244 TI - A vertical spraying apparatus for the laboratory evaluation of all types of liquid pest control materials. PMID- 18143245 TI - Studies of survival of unicellular species; variations in life expectancy of a paramecium under laboratory conditions. PMID- 18143246 TI - Studies of survival of unicellular species; some principles involved in the survival of bacterial species. PMID- 18143247 TI - Differential growth of malignant and nonmalignant tissues in rats bearing hepatoma 31; influence of dietary protein, riboflavin, and biotin. PMID- 18143248 TI - Changes in a transplanted fibrosarcoma associated with ascorbic acid deficiency. PMID- 18143249 TI - The effect of ectopic autologous grafts of androgen-stimulated prostate upon the serum acid phosphatase of the dog. PMID- 18143250 TI - Glass cloth as a substrate for tissue culture. PMID- 18143251 TI - Lactonase and C-acylase activity of hepatoma. PMID- 18143252 TI - A maternal influence on the growth rate of a transplantable tumor in hybrid mice. PMID- 18143253 TI - The histamine content of some experimental tumors. PMID- 18143254 TI - Chemical alteration of polysaccharide from Serratia marcescens, reaction of polysaccharide with radioactive p-iodobenzene diazonium chloride and the use of the produce in an experimental and clinical study. PMID- 18143255 TI - Relationship between the hairless gene and susceptibility to induced pulmonary tumors in mice. PMID- 18143256 TI - Induction of pulmonary tumors in strain A mice with methyl-bis(beta-chloroethyl) amine hydrochloride. PMID- 18143258 TI - The carcinogenic action of 9,10-dimethyl-1,2-benzanthracene on the skin and subcutaneous tissues of the mouse, rabbit, rat and guinea pig. PMID- 18143257 TI - Morbid anatomy, histopathology, and histopathogenesis of fore-stomach carcinoma in mice fed carcinogenic hydrocarbons in oil emulsions. PMID- 18143259 TI - Effect of penicillin on the development of mammary tumors in mice containing the milk agent. PMID- 18143260 TI - Observations on the effect of a folic-acid antagonist on transplantable lymphoid leukemias in mice. PMID- 18143261 TI - The incidence of mammary tumors in mice of strain C3H and in descendants of fostered strain C. PMID- 18143262 TI - Studies on the disappearance of the mammary-tumor agent in mice of strains C3H and C. PMID- 18143263 TI - The intermediary metabolism of the mammary gland; respiration of lactating mammary gland slices in presence of carbohydrates. PMID- 18143266 TI - The relationship between the constitution and the effect of chemical compounds on plant growth. PMID- 18143267 TI - The reduction of gastric acidity by back-diffusion by hydrogen ions through the mucosa. PMID- 18143269 TI - The biogenesis of porphyrins; the distribution of 15N in the ring system. PMID- 18143268 TI - Studies in detoxication; the fates of phenol, phenylsulphuric acid and phenylglucuronide in the rabbit, in relation to the metabolism of benzene. PMID- 18143270 TI - Factors affecting synthesis of ascorbic acid in cress seedlings; ascorbic acid synthesis in relation to sugar formation. PMID- 18143273 TI - Metabolic products of Trichothecium roseum Link. PMID- 18143274 TI - Acid-soluble pigments of molluscan shells; pigments other than porphyrins. PMID- 18143275 TI - Acid-soluble pigments of molluscan shells; the indigoid character of the blue pigment of the Haliotis cracherodii Leach. PMID- 18143276 TI - Acid-soluble pigments of molluscan shell porphyrins with particular reference to conchoporphyrin. PMID- 18143280 TI - The role of the thyroid in carotene and vitamin A metabolism. PMID- 18143281 TI - Metabolism of derivatives of toluene; o-,m- and p-xylenes. PMID- 18143282 TI - Nucleic acid metabolism of Escherichia coli. PMID- 18143283 TI - The configuration at C-20 of the urinary pregnane-3(alpha):17(alpha):20-triol of Butler and Marrian. PMID- 18143284 TI - Acid-soluble phosphorus in hens' eggs during development of the embryo. PMID- 18143285 TI - Are phospholipids transmitted through the placenta? PMID- 18143286 TI - The respiration of rat-liver slices in the presence of some aliphatic amines, hydroxyamines and quaternary ammonium salts. PMID- 18143287 TI - Paper chromatography of the vitamin B12 group of factors. PMID- 18143288 TI - Irreversibility of the deamination of threonine in the rat. PMID- 18143289 TI - The distribution of lipoids in the faeces of normal and cholesterol-fed animals. PMID- 18143290 TI - Observations on the renal clearance of some fructosans. PMID- 18143291 TI - Phosphorus compounds in the cell nucleus. PMID- 18143292 TI - Tubular invaginations of the enamel capsule; T-hypoplasia, a new factor in the pathology of human enamel caries. PMID- 18143293 TI - Functional analysis for bite rehabilitation. PMID- 18143294 TI - Reverse technique for inserting a cement lining under an amalgam filling. PMID- 18143295 TI - [Not Available]. PMID- 18143296 TI - [Not Available]. PMID- 18143297 TI - [Not Available]. PMID- 18143298 TI - [Not Available]. PMID- 18143299 TI - The efficient use of carbide burs and diamond points for cavity preparations. PMID- 18143300 TI - Pentothal sodium and nitrous oxide-oxygen anesthesia as a dental office anesthetic. PMID- 18143301 TI - Aneurysm with diffuse infection. PMID- 18143302 TI - Removal of a mandibular third molar tooth impacted in a mesioangular position. PMID- 18143303 TI - The pulpless tooth and apicectomy. PMID- 18143304 TI - The indirect inlay technique. PMID- 18143305 TI - Immediate denture construction; method calls for alveolectomy following removal of anterior teeth. PMID- 18143306 TI - The age factor in the treatment of malocclusion by autokinesis. PMID- 18143307 TI - Crown from fractured incisor imbedded in lip; case report. PMID- 18143308 TI - Apicoectomies; outline of surgical procedure. PMID- 18143309 TI - How to treat the problem child. PMID- 18143311 TI - Radical surgery for advanced cancer. PMID- 18143310 TI - Fiction and facts in periodontology; an appraisal. PMID- 18143312 TI - [Not Available]. PMID- 18143313 TI - [Not Available]. PMID- 18143314 TI - [Not Available]. PMID- 18143315 TI - Cutaneous cancer in Kenya. PMID- 18143316 TI - An essay on the reactions of the mesenchyme with especial reference to the reticuloses. PMID- 18143317 TI - The relationship of operative procedures to the health of the periodontal tissues. PMID- 18143318 TI - Temporomandibular joint disease; differential diagnosis and treatment. PMID- 18143319 TI - Solution of difficulties encountered with copper electroformed dies. PMID- 18143320 TI - A roentgenographic survey of periodontal disease in India. PMID- 18143321 TI - The magnifying glass as an aid in pedodontics. PMID- 18143322 TI - A simplified method for fabricating acrylic orthodontic retainers and appliances. PMID- 18143323 TI - Amount of mercury vapor in air of dental officers and laboratories. PMID- 18143324 TI - A clinical study of amalgam failures. PMID- 18143325 TI - Copper plating of reversible hydrocolloid impressions. PMID- 18143326 TI - Tobacco and gingivitis; correlation between consumption of tobacco, ulceromembranous gingiivitis and calculus. PMID- 18143327 TI - Tobacco and gingivitis; difference in the action of cigarette and pipe smoking. PMID- 18143328 TI - Some characteristics of caries on the proximal surfaces of the teeth. PMID- 18143329 TI - The condition of the teeth and the attachment apparatus in tuberculosis. PMID- 18143330 TI - Biochemical production of oxalic acid from carbohydrates. PMID- 18143331 TI - Terminal alkalinity in saliva-phenol red glucose broth cultures. PMID- 18143332 TI - The ascorbic acid content of the saliva of carious and noncarious individuals. PMID- 18143333 TI - The chemical nature of the proteins from human enamel. PMID- 18143334 TI - Comparative protein chemistry; the composition of the proteins of human teeth and fish scales. PMID- 18143335 TI - Decalcification of bone and teeth under vacuum; a rapid method for producing hard tissue preparations. PMID- 18143336 TI - Psychology, its place in dental practice. PMID- 18143337 TI - Preventive dentistry and the child. PMID- 18143338 TI - The use of contraceptives as a ground for divorce. PMID- 18143339 TI - The purpose of imprisonment in England and Wales. PMID- 18143340 TI - [Not Available]. PMID- 18143342 TI - Autumn colours. PMID- 18143341 TI - SCIENTIST in society. PMID- 18143343 TI - Electroencephalography. PMID- 18143344 TI - [Not Available]. PMID- 18143345 TI - [Not Available]. PMID- 18143346 TI - [Not Available]. PMID- 18143347 TI - [Not Available]. PMID- 18143348 TI - [Not Available]. PMID- 18143349 TI - [Not Available]. PMID- 18143350 TI - Antihistaminic substances and epinephrine action on blood pressure. PMID- 18143351 TI - Effect of ultrasonic vibration on muscle fibres in vitro. PMID- 18143352 TI - Variations, due to colour, in the spike frequency-time curves of single retinal elements. PMID- 18143353 TI - GOVERNMENT expenditure on scientific and industrial research. PMID- 18143354 TI - Rapid assessment of virus haemagglutinin by the aid of centrifugal and centripetal effects. PMID- 18143355 TI - RADIATION chemistry at the University of Notre Dame, Indiana. PMID- 18143356 TI - Friedel-Crafts polymerization. PMID- 18143357 TI - An examination of praseodymium, neodymium and samarium for alpha-activity. PMID- 18143358 TI - Photo-fission of uranium with possible emission of a beryllium nucleus. PMID- 18143359 TI - Scattering of polarized neutrons by protons. PMID- 18143360 TI - Revival of spermatozoa after vitrification and dehydration at low temperatures. PMID- 18143361 TI - Ribosenucleic acid in snake erythrocyte nuclei. PMID- 18143362 TI - A census of mould spores in the atmosphere. PMID- 18143363 TI - Chemical measurement of ionizing radiations. PMID- 18143364 TI - Dianhydrohexitols derived from mannitol. PMID- 18143365 TI - Paper partition chromatography of phenolic substances. PMID- 18143366 TI - Entomology as a career. PMID- 18143367 TI - The presentation of scientific information. PMID- 18143369 TI - The abrupt transition from rest to activity in muscle. PMID- 18143368 TI - On chlorocruorin and haemoglobin. PMID- 18143370 TI - Is relaxation an active process? PMID- 18143371 TI - The formation of choleglobin and the role of catalase in the erythrocyte. PMID- 18143372 TI - The influence of nerve fibres on Schwann cell migration investigated in tissue culture. PMID- 18143373 TI - Metabolic activity in tissue transplants; hormone-induced formation of fructose and citric acid in transplants from accessory glands of reproduction. PMID- 18143375 TI - Shock waves. PMID- 18143374 TI - The antigenic relationship of some mammalian spermatozoa. PMID- 18143376 TI - Fluorocarbons. PMID- 18143377 TI - The demonstration of a new nerve-cell organoid. PMID- 18143378 TI - A method for demonstrating the presence of alkaline phosphatase and glycogen in the same section. PMID- 18143379 TI - Combination of certain fluorine derivative dyes with bacterial cells at different hydrogen ion concentrations. PMID- 18143380 TI - A simplified method for the double embedding of tissue. PMID- 18143381 TI - A 5-hour variant of Gomori's methenamine silver method for argentaffin cells. PMID- 18143382 TI - Staining of plant materials cleared in NaOH. PMID- 18143383 TI - Deterioration of Schiff's reagent. PMID- 18143385 TI - The manifold effect of selection. PMID- 18143384 TI - A suggestion for prevention of loose sections in the Bodian protargol method. PMID- 18143386 TI - Inheritance of dun, brown and brindle colour in cattle. PMID- 18143387 TI - The inheritance of the MNS blood groups; a second series of families. PMID- 18143388 TI - The estimation of linkage with differential viability. PMID- 18143389 TI - A dominant mutant mosaic house mouse. PMID- 18143390 TI - Last of the surviving Mendellers. PMID- 18143391 TI - Sterilization in Sweden. PMID- 18143392 TI - The computation of inbreeding coefficients for closed populations. PMID- 18143393 TI - [Not Available]. PMID- 18143394 TI - [Not Available]. PMID- 18143396 TI - [Not Available]. PMID- 18143395 TI - [Not Available]. PMID- 18143398 TI - [Not Available]. PMID- 18143397 TI - [Not Available]. PMID- 18143399 TI - [Not Available]. PMID- 18143400 TI - [Not Available]. PMID- 18143401 TI - Diagnosis and mechanism of hemolysis in chronic hemolytic anemia with nocturnall hemoglobinuria. PMID- 18143402 TI - Acquired hemolytic anemia; the relation of erythrocyte antibody production to activity of the disease; the significance of thrombocytopenia and leukopenia. PMID- 18143403 TI - Serologic method of purifying blood group A substance. PMID- 18143404 TI - Hemolytic reactions produced in dogs by transfusion of incompatible dog blood and plasma; serologic and hematologic aspects. PMID- 18143405 TI - Hemolytic reactions produced in dogs by transfusion of incompatible dog blood and plasma; renal aspects following whole blood transfusions. PMID- 18143406 TI - Effects of the intramuscular administration of BAL in a subject with the sickle cell trait; case report. PMID- 18143407 TI - Rhisosensitization in the American Negro. PMID- 18143408 TI - The pathogenesis of erythroblastosis fetalis. PMID- 18143409 TI - Correlation between the mean corpuscular volume and reticulocytosis in phenylhydrazine anemia in swine. PMID- 18143410 TI - Fetal and adult hemoglobins in the blood of infants affected with hemolytic disease of the newborn. PMID- 18143411 TI - The coincidence of Mediterranean anemia and pernicious anemia in a young Sicilian. PMID- 18143412 TI - [Not Available]. PMID- 18143413 TI - [Not Available]. PMID- 18143414 TI - [Not Available]. PMID- 18143415 TI - [Not Available]. PMID- 18143416 TI - [Not Available]. PMID- 18143417 TI - [Not Available]. PMID- 18143418 TI - [Not Available]. PMID- 18143419 TI - A medical history of the Harrodsburg Springs. PMID- 18143420 TI - Pharmacy students learn in outpatient service. PMID- 18143421 TI - Pyrogens in intravenous solutions. PMID- 18143422 TI - The hospital pharmacist contributes to the medical intern program. PMID- 18143423 TI - A photo lab is well worth the cost. PMID- 18143424 TI - Conservation of eyesight in industry. PMID- 18143425 TI - Urinary mercury determinations. PMID- 18143426 TI - Atmospheric pollution. PMID- 18143427 TI - Occupational medicine; its role in the social world. PMID- 18143429 TI - Injury vs gout. PMID- 18143428 TI - The conservative treatment of industrial intervertebral disc injuries. PMID- 18143430 TI - Sickness disability insurance laws in relation to occupational medicine. PMID- 18143431 TI - A walking blood bank. PMID- 18143432 TI - About alcoholism. PMID- 18143433 TI - Intravenous procaine as an outpatient procedure. PMID- 18143435 TI - [Not Available]. PMID- 18143434 TI - Thickening of superficial nerves as a diagnostic sign in leprosy. PMID- 18143436 TI - Pseudoexacerbation of leprosy due to the diamio-diphenylsulfones. PMID- 18143437 TI - [Not Available]. PMID- 18143438 TI - Vitamin D in massive doses as an adjuvant to the sulfones in the treatment of tuberculoid leprosy. PMID- 18143440 TI - [Not Available]. PMID- 18143439 TI - A case of ocular leprosy treated with autoserum from cantharides blisters. PMID- 18143441 TI - The role of the capillary perithelium in the formation of the cutaneous leproma. PMID- 18143442 TI - The Lucio and lazarine forms of leprosy. PMID- 18143443 TI - The diagnostic value of oral and intravenous dextrose tolerance tests in endocrine disorders with decreased dextrose tolerance; diabetes mellitus, thyrotoxicosis, Cushing's syndrome and acromegaly. PMID- 18143445 TI - Silicosis in steel and iron cleaners. PMID- 18143444 TI - Primary hyperplasia of the parathyroid glands associated with ulcers in the oesophagus and duodenum and polycythemia of the splenomegalic type. PMID- 18143446 TI - Rheumatoid arthritis and the function of the joints. PMID- 18143447 TI - The role of euglobulin in the coagulation of blood. PMID- 18143448 TI - A new ergograph. PMID- 18143449 TI - The elimination of iodophthalein in normal and icteric subjects. PMID- 18143450 TI - [Not Available]. PMID- 18143451 TI - [Not Available]. PMID- 18143452 TI - [Not Available]. PMID- 18143453 TI - [Not Available]. PMID- 18143454 TI - [Not Available]. PMID- 18143455 TI - Cancer of the colon and rectum with special reference to earlier recognition of alimentary tract malignancy; secondary delayed re-entry of the abdomen in patients exhibiting lymph node involvement; subtotal primary excision of the colon; operation in obstruction. PMID- 18143456 TI - Combination pneumothorax-pneumoperitoneum. PMID- 18143457 TI - Common pain syndromes of the upper musculature; frequency and relation to occupation and age of patient, and to age, nature and site of various lesions. PMID- 18143458 TI - Malaria; with special reference to certain experimental, clinical, and chemotherapeutic investigations; the life cycle. PMID- 18143459 TI - Clinical value of pregnanediol assays. PMID- 18143460 TI - Vesico-bullous diseases affecting the eye. PMID- 18143461 TI - Studies in primary pleurisy with effusion. PMID- 18143462 TI - Aetiology of erythema nodosum in children. PMID- 18143463 TI - Incidence of signs usually connected with thyrotoxicosis with special reference to lid lag. PMID- 18143464 TI - Actinomycotic empyema. PMID- 18143465 TI - An extrarenal hypernephroma. PMID- 18143466 TI - A modified Waters apparatus for thoracic surgery. PMID- 18143467 TI - [Not Available]. PMID- 18143469 TI - Recent advances in dermatologic therapy. PMID- 18143468 TI - Antibiotics in the treatment of diseases of the ear, nose and throat. PMID- 18143470 TI - Surgical problems in pediatrics. PMID- 18143471 TI - Studies of respiratory air flow; significance of the normal pneumotachogram. PMID- 18143472 TI - Histochemical studies on cartilage and bone; the normal pattern. PMID- 18143473 TI - Colonmetrographic studies of the effects of section of the parasympathetic nerves of the colon. PMID- 18143474 TI - [Not Available]. PMID- 18143475 TI - [Not Available]. PMID- 18143476 TI - Recent advances in our knowledge concerning the nephrotic syndrome. PMID- 18143477 TI - Hypersplenism. PMID- 18143478 TI - Newer advances in gout. PMID- 18143479 TI - Nutritional aspects of anastomotic operations with special reference to the sprue syndrome. AB - Necessary but radical operation which results in short-circuits between various levels of the digestive tract, with or without resections of portions of the esophagus, stomach or intestine, frequently cures the condition for which the operation was done, but leaves the patient with difficult nutritional problems. These nutritional disturbances are usually associated with inability to maintain or gain weight as a result of badly regulated movement of food material through the altered digestive tract, and by the removal or diversion of important digestive secretions, such as those elaborated by the stomach, pancreas, duodenum and small bowel. Increased intestinal rate and diminished specific gastrointestinal secretions reduce the ability of the small bowel to properly absorb food, with resulting malnutrition, deficiency disease, and at times specific avitaminosis. Inability to absorb fat and fat-soluble substances is a constant feature of these conditions. Successful treatment of the nutritional problems involves constant, prolonged overfeeding of nonbulky foods, usually given in regular, frequently administered meals of small volume. Vitamin concentrates may occasionally be of some temporary assistance but are not needed if a balanced diet is given and may cause undesirable and sometimes dangerous symptoms. The use of supplemental substances, such as liver extract and a wetting agent, such as "Tween 80," to improve fat absorption have been demonstrated to be of value.The postoperative conditions described are fairly similar to the condition known as sprue, and it is possible that the general principles underlying the treatment of this disease apply to the entire group of post operative nutritional disturbances alluded to. PMID- 18143480 TI - Room-in for mothers and infants. PMID- 18143481 TI - Transurethral prostatectomies; a review of 560 cases. AB - Of 560 prostatectomies in an 11-year period on patients with benign or malignant disease of the prostate gland, almost 98 per cent were done transurethrally. Although many of the patients were considered to be in poor condition preoperatively, results achieved by the transurethral operation were excellent or good in 91 per cent of those who had benign disease of the prostate and in 84 per cent of those with malignant invasion. The rate of deaths attributable to the operation was 3.1 per cent in the group of patients with benign disease, 5.3 per cent in patients who had cancer.Complications, such as urinary incontinence, persistent pyuria, epididymitis, strictures of the urethra and of the meatus, and contracture of the neck of the bladder, arose in a surprising number of cases. PMID- 18143482 TI - Laryngospasm from the anesthesiologist's viewpoint. AB - Laryngeal spasm is a problem constantly confronting the anesthetist. It can be serious and may produce fatal cerebral or cardiac complications. Etiologic agents include primary vagal hypertonicity, anoxemia, and painful stimulation of whatever source. Laryngeal spasm must be differentiated from simple obstruction by the tongue or foreign bodies, epiglottic impaction, laryngeal edema, tracheal spasm and collapse, and bronchial spasm. Proper checking of the patient before anesthesia and adequate premedication with atropine or scopolamine are preventive measures of great value. Once spasm has developed the etiologic agent should be removed if possible. Other measures include intravenous administration of atropine or curare, tracheal intubation, and tracheotomy. PMID- 18143483 TI - The value of blood oxygen determinations. AB - The blood oxygen determination is of great value in the diagnosis of congenital cardiovascular anomalies, evaluation of the relative influence between pulmonary and cardiac diseases, study of blood pigments, and in many physiological investigations. The recent popularization of the intravascular catheter and the advent of accurate and simplified methods for determining blood oxygen content have enhanced the clinical usage of the determinations. The correct interpretation of the data with regard to the clinical status of the patient is most essential. While the blood oxygen value is merely a laboratory determination, proper employment of the findings may afford crucial information for the clinician. PMID- 18143484 TI - Cardiospasm. AB - Cardiospasm and megaesophagus are well known clinical and pathological entities but the cause remains obscure. Megaesophagus is probably congenital or developmental in origin. The majority of cases of cardiospasm can be successfully treated by forceful dilatation of the narrow area. Some cases of megaesophagus are best treated by a plastic surgical procedure which enlarges the esophageal gastric opening. Additional experience with this method is necessary before it can be correctly evaluated. PMID- 18143485 TI - Carcinoma of the breast; possible significance of menstrual cycle in results of operation. AB - Among 55 patients upon whom mastectomy was done for cancer of the breast, survival without evidence of metastasis (after varying periods of follow-up) was significantly higher for those who were operated upon in the seven days preceding the beginning of menses than it was for those who underwent operation in any of the three other seven-day periods in the menstrual cycle. Moreover, in a comparison of results of operations done in each of the four seven-day periods, there was a graduating increase in mortality and metastasis from the first period (the seven days preceding menses) through the fourth period. The results of the study of this small series are considered not conclusive but indicative of possible profit in studies of larger and better controlled series. PMID- 18143486 TI - Advances in plastic surgery. AB - The influence of the war period has been reflected in an active trend toward the conservation of time in the execution of reconstructive operations. The myriad improvements in the technique of tissue transplantation and the use of large flaps rather than tubed pedicles have been in keeping with this trend. The goal of the complete restoration of function and appearance applies not only to the correction of post-traumatic defects but also to the cosmetic repair of defects created by the surgical excision of malignant tumors and to correction of congenital anomalies. PMID- 18143487 TI - Interauricular septal defect. PMID- 18143488 TI - Delayed traumatic rupture of the spleen; report of two cases. PMID- 18143489 TI - The coronary vessels in the Bantu; a preliminary report on the coronary artery pattern in the adult Bantu. PMID- 18143490 TI - [Not Available]. PMID- 18143491 TI - [Not Available]. PMID- 18143492 TI - [Not Available]. PMID- 18143493 TI - An investigation to determine the earliest age of sickle cell anaemia or sickle cell trait in the newborn. PMID- 18143494 TI - The repair of an extensive common duct defect by a vitallium tube used to bridge the gap. PMID- 18143495 TI - The physician's responsibility toward the hard-of-hearing and deafened. PMID- 18143496 TI - The psychiatrist's role at the Illinois Children's Hospital School. PMID- 18143497 TI - Acute infectious polyneuritis (Guillain-Barre syndrome) associated with methemoglobinemia possibly due to nitrates in drinking water. PMID- 18143498 TI - The relationship between polycythaemia vera and myeloid leukaemia; a critical review. PMID- 18143499 TI - Amino acid and B-vitamin supplementation between common foodstuffs in South Africa. PMID- 18143500 TI - [Not Available]. PMID- 18143501 TI - [Not Available]. PMID- 18143502 TI - [Not Available]. PMID- 18143503 TI - [Not Available]. PMID- 18143504 TI - Therapeutic uses of procaine administered intravenously. PMID- 18143505 TI - Psychosomatic aspects of arthritis and allied disorders. PMID- 18143506 TI - Palliative treatment of inoperable cancer. PMID- 18143507 TI - Bilateral breast cancer. PMID- 18143508 TI - Severe allergic reaction following penicillin. PMID- 18143510 TI - The cervical syndrome. PMID- 18143509 TI - Treatment of tuberculosis with streptomycin; a review of the cases at Cedar-crest Sanatorium, Hartford. PMID- 18143511 TI - History of medical ethics. PMID- 18143512 TI - Intensive therapy of syphilis. PMID- 18143513 TI - [Not Available]. PMID- 18143514 TI - [Not Available]. PMID- 18143515 TI - [Not Available]. PMID- 18143516 TI - [Not Available]. PMID- 18143517 TI - [Not Available]. PMID- 18143518 TI - [Not Available]. PMID- 18143519 TI - [Not Available]. PMID- 18143520 TI - [Not Available]. PMID- 18143522 TI - [Not Available]. PMID- 18143521 TI - [Not Available]. PMID- 18143523 TI - [Not Available]. PMID- 18143524 TI - [Not Available]. PMID- 18143525 TI - [Not Available]. PMID- 18143526 TI - [Not Available]. PMID- 18143527 TI - [Not Available]. PMID- 18143528 TI - [Not Available]. PMID- 18143529 TI - [Not Available]. PMID- 18143530 TI - [Not Available]. PMID- 18143532 TI - ATOMIC energy in clinical medicine. PMID- 18143531 TI - [Not Available]. PMID- 18143533 TI - [Not Available]. PMID- 18143534 TI - [Not Available]. PMID- 18143535 TI - [Not Available]. PMID- 18143536 TI - [Not Available]. PMID- 18143537 TI - [Not Available]. PMID- 18143538 TI - [Not Available]. PMID- 18143539 TI - [Not Available]. PMID- 18143540 TI - [Not Available]. PMID- 18143541 TI - [Not Available]. PMID- 18143542 TI - [Not Available]. PMID- 18143543 TI - [Not Available]. PMID- 18143544 TI - [Not Available]. PMID- 18143545 TI - [Not Available]. PMID- 18143546 TI - [Not Available]. PMID- 18143547 TI - [Not Available]. PMID- 18143548 TI - [Not Available]. PMID- 18143549 TI - [Not Available]. PMID- 18143550 TI - [Not Available]. PMID- 18143551 TI - [Not Available]. PMID- 18143552 TI - [Not Available]. PMID- 18143553 TI - [Not Available]. PMID- 18143554 TI - [Not Available]. PMID- 18143555 TI - [Not Available]. PMID- 18143556 TI - [Not Available]. PMID- 18143557 TI - [Not Available]. PMID- 18143558 TI - [Not Available]. PMID- 18143559 TI - [Not Available]. PMID- 18143560 TI - [Not Available]. PMID- 18143561 TI - [Not Available]. PMID- 18143562 TI - [Not Available]. PMID- 18143563 TI - [Not Available]. PMID- 18143564 TI - [Not Available]. PMID- 18143565 TI - [Not Available]. PMID- 18143566 TI - [Not Available]. PMID- 18143567 TI - [Not Available]. PMID- 18143568 TI - [Not Available]. PMID- 18143569 TI - [Not Available]. PMID- 18143570 TI - [Not Available]. PMID- 18143571 TI - Management of the injured kidney. PMID- 18143572 TI - Pulmonary arteriovenous fistula; review of the literature and report of two cases. PMID- 18143573 TI - Diagnostic value of cardiac auscultation. PMID- 18143574 TI - Prophylactic (BCG) vaccination to control tuberculosis. PMID- 18143575 TI - Spontaneous nontraumatic subdural hematomas. PMID- 18143576 TI - Maternal and child welfare. PMID- 18143577 TI - Rural Maryland program for speech-hearing disorders. PMID- 18143578 TI - An integrated maternity, child health, and handicapped children's program. PMID- 18143579 TI - Colorado State program for care of premature infants. PMID- 18143580 TI - World Health Organization maternal and child health work. PMID- 18143581 TI - Maternal and child welfare in Sweden. PMID- 18143582 TI - MATERNAL and child health services in the Union of Soviet Socialist Republics. PMID- 18143583 TI - Coronary artery disease. PMID- 18143584 TI - Formation of a bacterial toxin (streptolysin S) by resting cells. AB - The interaction of washed cocci, prepared under specified conditions, and a polynucleotide (AF) results in the formation of streptolysin S provided a fermentable carbohydrate is present. Maximum toxin formation requires, in addition, the presence of magnesium, potassium, and phosphate ions. Streptolysin S production proceeds anaerobically as well as aerobically but under the latter condition, apparently only if the system is sufficiently reducing. Temperature has a marked effect on the rate of appearance of toxin, the critical thermal increment having a value of approximately 36,000. The formation of streptolysin S is inhibited by mercuric ion, arsenite, iodoacetate, dinitrophenol, azide, and other enzyme poisons. The development of streptolysin S in resting cell systems depends neither upon autolysis nor upon physical extraction of preformed toxin but upon toxin synthesis. From the supernatant fluid of the resting cell system, a product containing 20,000 to 30,000 units of streptolysin S per mg. dry weight can be isolated. Information concerning the pH stability of the product is presented. The product is free of streptokinase, hyaluronidase, and proteinase, but possesses appreciable desoxyribonuclease activity. Chemical analyses and other findings indicate that polynucleotide and carbohydrate are present in major amount, and that a small but undetermined quantity of protein is present. Inactivation of streptolysin S by chymotrypsin, ficin, papain, or cathepsin, and not by a variety of other enzymes, indicates that protein is essential for activity, but the precise chemical composition of the toxin remains to be established. PMID- 18143585 TI - A resistant variant of mumps virus; multiplication of the variant in the presence of inhibitory quantities of Friedlander bacillus polysaccharide. AB - Serial passage of mumps virus in the presence of inhibitory quantities of the capsular polysaccharide of Friediander bacillus type B results in the appearance of a variant strain of the virus. Multiplication of the variant virus is not inhibited by the polysaccharide. A similar resistant variant is obtained with polysaccharide in a single cycle of multiplication when very large inocula of mumps virus are employed. The resistant variant is indistinguishable from the parent strain as to infectivity, reactivity with erythrocytes, and immunological properties, but appears to have a somewhat slower rate of multiplication. Serial passage of the resistant variant in the absence of polysaccharide results in the reappearance of a sensitive strain. It is suggested that mumps virus populations are inhomogeneous; that naturally occurring variants are present in such populations and possess distinctive properties; that the use of a chemical inhibitor of mumps virus multiplication makes possible the selection of a variant possessing a predictable property. The findings are discussed in relation to the mechanism of inhibition of mumps virus multiplication by polysaccharide. PMID- 18143586 TI - The stabilization of serum lipid emulsions by serum phospholipids. AB - Clarity of high lipid sera is closely correlated with elevated proportions of serum phospholipids, and lipemia (milkiness) with low proportions of phospholipids. Clear high lipid sera occur uniquely in obstructive jaundice, both intra- and extrahepatic in origin. Destruction of the polar nature of serum "lecithin" by enzymatic hydrolysis, using Cl. welchii lecithinase, results in a degree of lipemia which is linearly proportional to total lipid content in clear or lipemic high lipid or normal lipid sera. Even in grossly lipemic sera, a significant proportion of the serum lipids is masked in particles of invisible size. Enzymatic removal of the stabilizing properties of serum "lecithin" unmasks this hitherto invisible fraction. The concentration of serum phospholipids available for complex formation with serum proteins appears to be an important factor in determining particle size of serum lipids and hence of their occurrence in serum as masked or as visible particles. The implications of these findings for studies of the genesis of atheromatosis are discussed. PMID- 18143587 TI - The distribution and storage of blue antigenic azoproteins in the tissues of mice. AB - Intensely blue dye-azoproteins have been prepared by diazotization and coupling of the highly indiffusible blue dye T-1824, Evans blue, with various serum proteins and egg albumin. The products, whether purified by precipitation with alcohol or by chromatography, have a constant dye-to-protein ratio and tests have shown them to be essentially free from unlinked dye. An extremely diffusible dye, echt-saure-blau, has also been coupled to bovine gamma-globulin. These materials are adapted to physiological experimentation. They seem to behave in the bodies of mice like other proteins; they fail to appear in either the bile or urine of normal animals, and they are strongly antigenic. When these soluble antigenic azoproteins are injected into the blood stream of mice for the first time they enter reticulo-endothelial cells in almost every organ of the body; the final distribution is like that of intravenously injected, finely divided particulate matter. The azoproteins appear in the cells which classical immunological studies have shown to be active in removing particulate antigenic materials or bacteria from the blood or body fluids. The Kupffer cells of the liver and sinus and reticular cells in lymph nodes, especially the great mesenteric node, are particularly active in the removal of the blue antigens from the blood, but many other R-E cells are active to a lesser degree. The storage of the antigenic material is in the cytoplasm only; it has not been seen within nuclei, nor has it been seen within cells of the brain. Serological methods disclose that the blue material seen within Kupffer cells of the liver after as long a period as 2 days is still antigenic in its reactions. The blue azoproteins, therefore, serve excellently as tracer antigens, especially since they can be seen directly in fresh and fixed tissue preparations and in the body fluids. PMID- 18143588 TI - Protein metabolism and exchange as influenced by constriction of the vena cava; effects of parenterally administered plasma, amino acid mixture, and ascitic fluid, and of orally administered ascitic fluid in the experimental ascitic dog. AB - Further studies of ascitic fluid production and related factors in dogs with constriction of the vena cava above the diaphragm are reported. Whole dog plasma given intravenously to such animals produces a rise in circulating plasma protein to normal levels, but increases the output of ascitic fluid with a loss of protein via the ascites equivalent to 72, 76, and 65 per cent respectively, of the injected protein. Forced ingestion of water in excess of the test animal's normal needs and desires produces no significant changes in the circulating plasma protein level or in ascitic fluid production. Amino acid growth mixtures given intravenously in distilled water cause weight loss, elevation of circulating plasma proteins, a slightly negative nitrogen balance, but no ascitic fluid production. Amino acid growth mixtures given intravenously in normal saline cause depression of the circulating plasma proteins, negative nitrogen balance, and significant ascitic fluid production. Ascitic fluid given intravenously to the test animals causes a marked depression of circulating plasma proteins, a marked increase in ascitic fluid production containing the equivalent of 116 and 98 per cent of the injected protein, and a negative nitrogen balance. Ascitic fluid given orally produces a marked depression of circulating plasma proteins, and a marked increase in ascitic fluid secretion, containing the equivalent of 66, 66, and 54 per cent respectively, of the ingested protein. Sodium chloride is a dominant factor in some of these experiments where abundant ascites production is recorded. Protein levels and intake are important, but take second place to sodium. Ascitic fluids show electrophoretic patterns which are almost identical to the plasma patterns. The A/G ratios are often equal in ascitic fluid and plasma, sometimes even lower in the ascitic fluid. This emphasizes the ease with which globulins pass cell or other membrane barriers in these experiments. PMID- 18143589 TI - Bile salt metabolism as influenced by pure amino acids and casein digests. AB - A non-protein diet supplemented with vitamins fed to a bile fistula dog caused marked reduction in cholic acid and taurocholic acid formation. A mixture of pure amino acids, essential for growth, promoted taurocholic acid production for a limited period. A mixture of amino acids composed of 2 fractions of a casein digest fortified with dl-methionine and dl-tryptophane, (Merck Vuj-N-ix), also resulted in increased taurocholic acid excretion. A casein digest, Amigen, supported cholic acid production, but there was very low taurocholic acid excretion. Addition of methionine to the Amigen brought about increased taurocholic acid excretion with reduction in the amount of free cholic acid in the bile. A bile fistula animal was maintained for a year in excellent condition and produced bile salt on a non-protein diet supplemented by vitamins, Amigen, and methionine. Unhydrolyzed alcoholic filtrate of bile contained traces of taurine, valine, glutamic acid, and aspartic acid. Acid-hydrolyzed alcoholic filtrate of bile contained large amounts of taurine, and significant amounts of leucine, valine, alanine, glycine, serine, glutamic acid, and aspartic acid. PMID- 18143590 TI - A labile component of normal serum which combines with various viruses; neutralization of infectivity and inhibition of hemagglutination by the component. AB - A labile component present in the serum of human beings, guinea pigs, and rabbits neutralizes the infectivity of mumps, Newcastle disease, influenza A and B viruses. The labile component of these sera and of mouse serum also inhibits hemagglutination of chicken RBC by these viruses. The component is inactivated by heating at 56 degrees C. for 30 minutes and upon storage at 4 degrees C. for periods longer than 2 weeks. The virus-neutralizing and hemagglutination inhibiting properties result from serum component-virus combination in the presence of calcium. The combination is stable, and does not undergo spontaneous dissociation. Partial separation of virus can be brought about by heating mixtures held for 24 hours or by removal of calcium ions with sodium citrate. The labile serum component appears to be distinct from hemolytic complement. PMID- 18143591 TI - Lymphatic contractility; a possible intrinsic mechanism of lymphatic vessels for the transport of lymph. AB - The most peripheral lymphatic vessels of rats, mice, and guinea pigs were found to possess a spontaneous intermittent contractility. (a) The rate of contraction was shown to be directly proportional to the rate of formation of lymph and contractions were apparently initiated by an increase in intraluminal pressure. (b) Epinephrine and pituitrin caused an increased contractile rate, or lymphatic spasm, whereas novocaine caused cessation of movement and lymphatic dilatation. (c) Section or electric stimulation of femoral and sciatic nerves did not alter the contractile rate of popliteal lymphatics. This spontaneous lymphatic contractility was not observed in rabbits and dogs although the lymphatic vessels did contract when irritated. Epinephrine, pituitrin, and novocaine produced the same effects as observed in the smaller mammals. Dilatation of lymphatic vessels produced by intradermal injection of fluid, massage, or passive motion was followed by a rapid return of the vessel to normal caliber. The frequency of valves in lymphatic vessels, the distensibility of the lymphatics, and their ability to return to normal caliber against an increased gradient of pressure are considered to be the essential elements of an intrinsic mechanism contributing to the transport of lymph. PMID- 18143592 TI - Toe pedicles in reconstruction of the forefoot. PMID- 18143593 TI - The present-day concept of adrenal cortical physiology with reference to the treatment of Addison's disease by glandular transplant. PMID- 18143594 TI - Isolated paralysis of the serratus anterior muscle; case report. PMID- 18143595 TI - Tinea capitis; a review of the problem. PMID- 18143596 TI - Blood coagulation in leucemia and polycythemia; value of the heparin clotting time and clot retraction rate. PMID- 18143597 TI - Studies on thrombocytopen; a reliable test for this principle in organ homogenates and in urine. PMID- 18143598 TI - The fibrinogen B test and intravascular thrombosis. PMID- 18143599 TI - Determination of prothrombin by the dilation method; stability and activity of human and bovine prothrombin-free plasma. PMID- 18143600 TI - Biologic studies with arsenic; the effect of arsenic 76 upon the clinical course of patients with tumors of the hematopoietic tissues. PMID- 18143601 TI - The use of radioactive silver for the detection of abscesses and tumors; the concentration of Ag111 in spontaneous and experimentally induced abscesses. PMID- 18143602 TI - The minimal sodium diet; a controlled study of its effect upon the blood pressure of ambulatory hypertensive subjects. PMID- 18143603 TI - Influence of various disease states upon the febrile response to intravenous injection of typhoid bacterial pyrogen; with particular reference to malaria and cirrhosis of the liver. PMID- 18143604 TI - The in vivo action of aureomycin on pleuropneumonia-like organisms associated with various rheumatic diseases. PMID- 18143605 TI - Sonic-vibrated leptospirae as antigens in the complement fixation test for the diagnosis of leptospirosis. PMID- 18143606 TI - Experimental vascular diseases due to desoxycorticosterone acetate and anterior pituitary extract; comparison of functional changes. PMID- 18143607 TI - Retrogression of atherosclerotic lesions on cessation of cholesterol feeding in the chick. PMID- 18143608 TI - The lack of effect of tween 80 on the adsorption of aluminum and sodium penicillins. PMID- 18143609 TI - Evaluation of a modified Sumner's method (dinitrosalicylic acid) for determination of glucose in urine. PMID- 18143610 TI - A simple method for determining sulfonamide sensitivity in vitro and its clinical application. PMID- 18143611 TI - A modified ultraviolet spectrophotometric method for quantitative determination of barbiturates. PMID- 18143612 TI - Fat determination in feces using Mojonnier extraction flasks. PMID- 18143613 TI - [Not Available]. PMID- 18143614 TI - Chronic diseases of the thyroid. PMID- 18143615 TI - Some interpersonal factors in illness. PMID- 18143616 TI - Expectant treatment of benign prostatic enlargement. PMID- 18143617 TI - Menorrhagia of emotional origin. PMID- 18143618 TI - Tests for streptomycin sensitivity of tubercle bacilli in tween 80 albumin liquid medium. PMID- 18143619 TI - Louping-ill meningo-encephalitis; a further case and a serological survey. PMID- 18143620 TI - Ventricular fibrillation recorded 10 hours before death from myocardial infarction. PMID- 18143621 TI - Combined intravenous cannula and needle. PMID- 18143622 TI - The long-stay patient. PMID- 18143623 TI - [Not Available]. PMID- 18143624 TI - [Not Available]. PMID- 18143626 TI - [Not Available]. PMID- 18143625 TI - [Not Available]. PMID- 18143627 TI - [Not Available]. PMID- 18143628 TI - [Not Available]. PMID- 18143629 TI - [Not Available]. PMID- 18143630 TI - [Not Available]. PMID- 18143631 TI - Some observations on anti-O agglutinins. PMID- 18143632 TI - Herpes zoster of the nervus chorda tympani with facial paralysis. PMID- 18143633 TI - Some observations on the 24 hour hyperaemia biological test for pregnancy. PMID- 18143634 TI - Some problems associated with the management of carcinoma of the breast. PMID- 18143635 TI - Army catering, the fundamental basis of national wartime strategy and fighting efficiency. PMID- 18143636 TI - Cure of subacute bacterial endocarditis during pregnancy; report of a case. PMID- 18143637 TI - Atypical tuberculosis of the anus treated with streptomycin. PMID- 18143639 TI - [Not Available]. PMID- 18143638 TI - [Not Available]. PMID- 18143640 TI - [Not Available]. PMID- 18143641 TI - The clinical diagnosis of plasma cell myeloma. PMID- 18143642 TI - Electroencephalography of the new born; resume of current status. PMID- 18143643 TI - Patent ductus arteriosus complicating pregnancy; report of a case. PMID- 18143644 TI - Tumor of ovary with ascites. PMID- 18143645 TI - [Not Available]. PMID- 18143646 TI - [Not Available]. PMID- 18143647 TI - [Not Available]. PMID- 18143648 TI - [Not Available]. PMID- 18143649 TI - [Not Available]. PMID- 18143650 TI - Treatment of intussusception caused by invaginated Meckel's diverticulum; report of a case, with a review of experience in a community hospital. PMID- 18143651 TI - The treatment of snake-bite poisoning; a report of two cases involving the copperhead. PMID- 18143652 TI - Benign gastric ulcers occurring in the presence of achlorhydria; report of two cases. PMID- 18143653 TI - The effects of a single dose of 2000 units of protamine zinc insulin taken by a diabetic patient with suicidal intent. PMID- 18143654 TI - Lipoatrophy following the injection of insulin; a method of control. PMID- 18143655 TI - Measures used in the prevention and treatment of cardiac arrhythmias. PMID- 18143656 TI - Ischemic necrosis of kidneys. PMID- 18143658 TI - Interpreting medicine for the layman. PMID- 18143657 TI - Prescription writing for patients with acne. PMID- 18143659 TI - Carcinoma of the stomach. PMID- 18143660 TI - Psychiatric problems in Nebraska's older people. PMID- 18143661 TI - Melanoma. PMID- 18143662 TI - [Not Available]. PMID- 18143663 TI - [Not Available]. PMID- 18143664 TI - [Not Available]. PMID- 18143665 TI - [Not Available]. PMID- 18143666 TI - [Not Available]. PMID- 18143667 TI - [Not Available]. PMID- 18143668 TI - [Not Available]. PMID- 18143669 TI - [Not Available]. PMID- 18143670 TI - [Not Available]. PMID- 18143671 TI - [Not Available]. PMID- 18143672 TI - [Not Available]. PMID- 18143673 TI - [Not Available]. PMID- 18143674 TI - [Not Available]. PMID- 18143675 TI - [Not Available]. PMID- 18143676 TI - [Not Available]. PMID- 18143677 TI - [Not Available]. PMID- 18143678 TI - [Not Available]. PMID- 18143679 TI - [Not Available]. PMID- 18143681 TI - [Not Available]. PMID- 18143680 TI - [Not Available]. PMID- 18143682 TI - The Physician's political responsibility. PMID- 18143683 TI - The treatment of Parkinsonism with artane. PMID- 18143684 TI - Aureomycin in primary atypical pneumonia; a controlled evaluation. PMID- 18143685 TI - Recent advances in gynecology; with emphasis on diagnosis and treatment of early cancer. PMID- 18143686 TI - Wandering spleen. PMID- 18143687 TI - The radiological picture of mycetoma; report of a case verified by biopsy. PMID- 18143688 TI - Optic neuritis from cold permanent wave. PMID- 18143689 TI - Thromballosis. PMID- 18143690 TI - A pre-sacral dermoid in a young adult male. PMID- 18143691 TI - The management of appendiceal abscesses. PMID- 18143692 TI - Acute cardiorespiratory failure; requirements for successful resuscitation. PMID- 18143693 TI - Contact-systemic penicillin reactions associated with oral and nasal inhalators. PMID- 18143694 TI - Subluxation of the head of the radius in children. PMID- 18143695 TI - [Not Available]. PMID- 18143696 TI - [Not Available]. PMID- 18143697 TI - [Not Available]. PMID- 18143698 TI - [Not Available]. PMID- 18143699 TI - [Not Available]. PMID- 18143700 TI - [Not Available]. PMID- 18143701 TI - Apple syrup in infant feeding; a preliminary report. PMID- 18143702 TI - Medical education as it relates to the cancer problem. PMID- 18143703 TI - [Not Available]. PMID- 18143704 TI - [Not Available]. PMID- 18143705 TI - The treatment of exophthalmic goiter with radioiodine. PMID- 18143706 TI - Bronchostenosis of inflammatory, probably nonspecific origin. PMID- 18143707 TI - Disturbances in electrolyte metabolism of patients with nephrotic syndrome. PMID- 18143708 TI - Painful conditions of the foot and ankle. PMID- 18143709 TI - Crystalline vitamin B12 in the treatment of megaloblastic anemias. PMID- 18143710 TI - The acute abdomen. PMID- 18143711 TI - Treatment of alcoholism. PMID- 18143712 TI - Advances in medicine. PMID- 18143713 TI - Advances in midwifery. PMID- 18143714 TI - Advances in the treatment of blood diseases. PMID- 18143715 TI - Advances in orthopaedics. PMID- 18143716 TI - Advances in the treatment of tuberculosis. PMID- 18143717 TI - Advances in the treatment of acute infectious diseases. PMID- 18143718 TI - Advances in nutrition. PMID- 18143720 TI - Flatulence and the use of carminatives. PMID- 18143719 TI - Pituitary adrenal function and rheumatic disease. PMID- 18143721 TI - [Not Available]. PMID- 18143722 TI - [Not Available]. PMID- 18143723 TI - [Not Available]. PMID- 18143724 TI - [Not Available]. PMID- 18143726 TI - [Not Available]. PMID- 18143725 TI - [Not Available]. PMID- 18143727 TI - [Not Available]. PMID- 18143728 TI - [Not Available]. PMID- 18143729 TI - [Not Available]. PMID- 18143730 TI - [Not Available]. PMID- 18143731 TI - [Not Available]. PMID- 18143732 TI - [Not Available]. PMID- 18143733 TI - [Not Available]. PMID- 18143734 TI - [Not Available]. PMID- 18143735 TI - [Not Available]. PMID- 18143736 TI - [Not Available]. PMID- 18143737 TI - [Not Available]. PMID- 18143738 TI - [Not Available]. PMID- 18143739 TI - [Not Available]. PMID- 18143740 TI - [Not Available]. PMID- 18143741 TI - [Acute limb ischaemia; new concepts]. PMID- 18143742 TI - [The d-isochondrodendrine in the treatment of dysmenorrhea]. PMID- 18143743 TI - [New contribution to the Galli-Mainini reaction]. PMID- 18143744 TI - [Dermotrophic virus; the herpes zoster virus]. PMID- 18143745 TI - [Food in Northeastern Brazil]. PMID- 18143746 TI - [Jealousy]. PMID- 18143747 TI - [Pulmonary tuberculosis and rest]. PMID- 18143748 TI - [Abdominal Adipose syndrome after lobotomy]. PMID- 18143749 TI - [Not Available]. PMID- 18143750 TI - [Not Available]. PMID- 18143751 TI - [Not Available]. PMID- 18143752 TI - [Not Available]. PMID- 18143754 TI - [Not Available]. PMID- 18143753 TI - [Not Available]. PMID- 18143755 TI - [Not Available]. PMID- 18143756 TI - [Not Available]. PMID- 18143757 TI - [Not Available]. PMID- 18143758 TI - [The indication of testosterone propionate in Paget's disease]. PMID- 18143759 TI - [Acute pulmonary edema]. PMID- 18143760 TI - [Not Available]. PMID- 18143761 TI - [Not Available]. PMID- 18143762 TI - [Not Available]. PMID- 18143763 TI - Blood transfusions and the production of circulatory overloading. PMID- 18143764 TI - Tuberculosis of joints and serous membranes; treatment with local alkalinization and streptomycin administration. PMID- 18143765 TI - Haematemesis from gastric ulcer in the herniated portion of a diaphragmatic herniation of the stomach. PMID- 18143766 TI - Bacillus of Calmette and Guerin. PMID- 18143767 TI - [Not Available]. PMID- 18143768 TI - [Not Available]. PMID- 18143769 TI - [Not Available]. PMID- 18143770 TI - [Not Available]. PMID- 18143771 TI - [Not Available]. PMID- 18143772 TI - [Not Available]. PMID- 18143773 TI - [Not Available]. PMID- 18143774 TI - [Not Available]. PMID- 18143775 TI - [Not Available]. PMID- 18143776 TI - [Not Available]. PMID- 18143777 TI - [Not Available]. PMID- 18143778 TI - [Not Available]. PMID- 18143779 TI - [Not Available]. PMID- 18143780 TI - [Not Available]. PMID- 18143781 TI - [Not Available]. PMID- 18143782 TI - [Not Available]. PMID- 18143783 TI - [Not Available]. PMID- 18143784 TI - [Not Available]. PMID- 18143785 TI - [Not Available]. PMID- 18143786 TI - [Not Available]. PMID- 18143787 TI - The role of low-dosage irradiation in selected cases of menstrual disorders. PMID- 18143788 TI - About alcoholism. PMID- 18143789 TI - Circular prolapse of female urethra; report of two cases. PMID- 18143790 TI - Fractures about the base of the first metacarpal with special reference to Bennett's fracture. PMID- 18143791 TI - Cholecystocolic fistula; a review and case report. PMID- 18143792 TI - Anticoagulant therapy and cardiovascular disease. PMID- 18143793 TI - Psychosomatic factors in dermatology. PMID- 18143794 TI - Porphyria. PMID- 18143795 TI - Bromide intoxication; report of 36 cases. PMID- 18143796 TI - Treatment of Bancroftian filariasis with hetrazan in Puerto Cabello, Venezuela. PMID- 18143797 TI - Prolonged interval dosage of aqueous penicillin in surgical infections. PMID- 18143798 TI - Typhoid fever treated with aureomycin and chloramphenicol. PMID- 18143799 TI - The treatment of gonorrhea with chloramphenicol. PMID- 18143800 TI - Studies on chloramphenicol in early syphilis and gonorrhea; preliminary report. PMID- 18143801 TI - Further studies with pituitary adrenocorticotrophic hormone. PMID- 18143802 TI - Fatality following tridione. PMID- 18143803 TI - Art and artifice in histologic science. PMID- 18143804 TI - Enteric pathogens isolated from children in San Antonio. PMID- 18143805 TI - Isolation of three Salmonella types from one case of salmonellosis. PMID- 18143806 TI - The precipitating action of ethanol and acetone upon egg albumin. PMID- 18143807 TI - The effect of substances known to influence the activity of the nervous system on fiber outgrowth from living embryonic chick spinal cords. PMID- 18143808 TI - Delayed action of urethane producing diverse tumors in mice. PMID- 18143810 TI - A technique for the hypophysectomy of the snake. PMID- 18143809 TI - Correlation studies on prostatic fluid, prostatic tissue and the testis with histopathological, Papanicolaou smear and tissue culture technique. PMID- 18143811 TI - Serum para-aminosalicylic acid following oral ingestion in children. PMID- 18143812 TI - Present status of treatment of severe burns. PMID- 18143813 TI - A study of intrarenal pressure. PMID- 18143814 TI - [Not Available]. PMID- 18143815 TI - [Not Available]. PMID- 18143816 TI - [Not Available]. PMID- 18143817 TI - [Not Available]. PMID- 18143818 TI - [Not Available]. PMID- 18143819 TI - [Not Available]. PMID- 18143821 TI - [Not Available]. PMID- 18143820 TI - [Not Available]. PMID- 18143822 TI - [Not Available]. PMID- 18143823 TI - The future of medicine in Virginia. PMID- 18143824 TI - Meningitis in infancy. PMID- 18143825 TI - Pre-operative study of the malformed nose. PMID- 18143826 TI - Optochiasmatic arachnoiditis; report of a case. PMID- 18143827 TI - The treatment of bacterial endocarditis; review of 12 cases. PMID- 18143828 TI - The treatment of post thrombophlebitic sequelae in the lower extremities. PMID- 18143829 TI - Emphysema in anthracosilicosis. PMID- 18143830 TI - The clinical evaluation of disability anthracosilicosis. PMID- 18143831 TI - [Not Available]. PMID- 18143832 TI - [Not Available]. PMID- 18143833 TI - [Not Available]. PMID- 18143835 TI - [Not Available]. PMID- 18143834 TI - [Not Available]. PMID- 18143836 TI - [Not Available]. PMID- 18143837 TI - [Not Available]. PMID- 18143838 TI - [Not Available]. PMID- 18143839 TI - [Not Available]. PMID- 18143840 TI - [Not Available]. PMID- 18143841 TI - [Not Available]. PMID- 18143842 TI - [Not Available]. PMID- 18143844 TI - Rheumatic fever as a public health problem which should be a reportable disease. PMID- 18143843 TI - [Not Available]. PMID- 18143845 TI - The role of the surgeon in the management of peptic ulcer. PMID- 18143846 TI - Coexisting intrauterine and extrauterine pregnancy. PMID- 18143847 TI - Infectious mononucleosis complicated by jaundice and pain over McBurney's ponts. PMID- 18143849 TI - Motion sickness. PMID- 18143848 TI - Histoplasmin, coccidioidin, and tuberculin reactions in children with pulmonary calcifications in Milwaukee. PMID- 18143850 TI - [Not Available]. PMID- 18143851 TI - [Not Available]. PMID- 18143852 TI - [Not Available]. PMID- 18143853 TI - [Not Available]. PMID- 18143854 TI - [Not Available]. PMID- 18143855 TI - [Not Available]. PMID- 18143856 TI - [Not Available]. PMID- 18143857 TI - [Not Available]. PMID- 18143858 TI - [Not Available]. PMID- 18143859 TI - [Not Available]. PMID- 18143860 TI - [Not Available]. PMID- 18143861 TI - [Not Available]. PMID- 18143862 TI - The accident-prone automobile driver; a study of the psychiatric and social background. PMID- 18143863 TI - The family environment of schizophrenic patients. PMID- 18143864 TI - The dynamics of psychotherapy; an eclectic point of view. PMID- 18143865 TI - The use of electroshock therapy in treating psychiatric patients with associated pulmonary tuberculosis. PMID- 18143866 TI - Philosophy and methodology in the training of 500 psychiatric residents. PMID- 18143867 TI - W., W. The Society of Alcoholics Anonymous. PMID- 18143868 TI - Some oriental mental hospitals. PMID- 18143869 TI - [Not Available]. PMID- 18143870 TI - Applied hodology of the sympathetic trunk. PMID- 18143871 TI - The treatment of motor disturbances. PMID- 18143872 TI - [Not Available]. PMID- 18143873 TI - [Not Available]. PMID- 18143874 TI - [Not Available]. PMID- 18143875 TI - [Not Available]. PMID- 18143876 TI - [Medical schools reform]. PMID- 18143877 TI - [Not Available]. PMID- 18143878 TI - The anxiety state from the layman's viewpoint. PMID- 18143879 TI - Electrocardiographic changes in patients receiving tetraethylammonium chloride intravenously. PMID- 18143880 TI - Unusual strangulated hernias in infants. PMID- 18143881 TI - Transitory pulmonary infiltration; Loeffler's syndrome. PMID- 18143882 TI - [Not Available]. PMID- 18143883 TI - [Not Available]. PMID- 18143884 TI - [Not Available]. PMID- 18143885 TI - [Not Available]. PMID- 18143886 TI - [Not Available]. PMID- 18143887 TI - [Not Available]. PMID- 18143888 TI - [Not Available]. PMID- 18143889 TI - [Not Available]. PMID- 18143890 TI - [Not Available]. PMID- 18143891 TI - [Not Available]. PMID- 18143892 TI - [Not Available]. PMID- 18143894 TI - [Not Available]. PMID- 18143893 TI - [Not Available]. PMID- 18143895 TI - [Not Available]. PMID- 18143896 TI - [Not Available]. PMID- 18143897 TI - [Not Available]. PMID- 18143898 TI - [Not Available]. PMID- 18143899 TI - [Not Available]. PMID- 18143900 TI - [Not Available]. PMID- 18143901 TI - [Not Available]. PMID- 18143902 TI - [Not Available]. PMID- 18143903 TI - A comparative analysis and limitations of pseudo-isochromatic tests for color vision testing. PMID- 18143904 TI - A study of vision programs in industry. PMID- 18143905 TI - Surgery at the base of the tongue by transpharyngeal approach. PMID- 18143906 TI - Some suggestions for speech reception testing. PMID- 18143907 TI - Virus vaccine immunization against the common cold. PMID- 18143908 TI - Use of radium in treatment of hypertrophic lymphoid tissue in the nasopharynx. PMID- 18143909 TI - Tinnitus aurium in otosclerosis. PMID- 18143910 TI - Abscess of the brain following tonsillectomy and adenoidectomy. PMID- 18143911 TI - Osteoma of the tongue. PMID- 18143912 TI - Recurring mastoiditis, meningitis and abscess of right temporosphenoid lobe. PMID- 18143913 TI - Unusual malformation of the left atrium; pulmonary sinus. PMID- 18143914 TI - Apical pneumonic scars. PMID- 18143915 TI - Severe adrenal cortical atrophy (cytotoxic) and hepatic damage produced in dogs by feeding 2,2-bis(parachlorophenyl)-1,1-dichloroethane (DDD or TDE). PMID- 18143917 TI - Cardiac hypertrophy in experimental arteriovenous fistula. PMID- 18143916 TI - Hepatic lesions produced by lead in rats fed a high fat diet. PMID- 18143918 TI - Unusual forms of Blastomyces dermatitidis in human tissues. PMID- 18143919 TI - Virus-like globules in cancer extracts; electron-microscopic studies of 30 human tumors. PMID- 18143920 TI - Lead poisoning diagnosed by the presence of nuclear acid-fast inclusion bodies in kidney and liver. PMID- 18143921 TI - Histogenesis of basal cell carcinoma. PMID- 18143922 TI - The syndromes of the cerebral arteries. PMID- 18143923 TI - Hydrolysed casein for parenteral administration to infants. PMID- 18143924 TI - Oral penicillin in the newborn. PMID- 18143925 TI - Urea clearance in the immediate post-natal period. PMID- 18143926 TI - A case of congenital idiopathic hypertrophy of the heart. PMID- 18143927 TI - Thrush in infancy. PMID- 18143928 TI - Congenital malformations in one of monozygotic twins. PMID- 18143930 TI - Tetralogy of Fallot; analysis of 41 cases of patients treated surgically at the University of Minnesota Hospitals. PMID- 18143929 TI - Polyarteritis in childhood. PMID- 18143931 TI - A case of tetralogy of Fallot with a patent foramen ovale (pentalogy) showing a marked left ventricular hypertrophy and left axis deviation. PMID- 18143932 TI - The use of carob flour in the treatment of diarrhea in infant and children. PMID- 18143933 TI - Febrile convulsions in childhood; their relationship to adult epilepsy. PMID- 18143934 TI - Evaluation of the Coombs test in congenital hemolytic disease of the newborn infant. PMID- 18143935 TI - The treatment of pruritus from chicken pox with pyribenzamine. PMID- 18143936 TI - The treatment of poliomyelitis with phenosulfazole. PMID- 18143937 TI - Subluxation of the atlanto-axial joint, sequel to inflammatory processes of the neck. PMID- 18143938 TI - Lipoid nephrosis complicated by homologous serum jaundice. PMID- 18143939 TI - The cephalin-cholesterol flocculation test in infants and children; with evaluation of a microtechnique. PMID- 18143940 TI - A method for the removal of nitrates from water prior to use in infant formula. PMID- 18143941 TI - Sublingual hematoma as an unusual complication of hemophilia. PMID- 18143942 TI - Acute infectious lymphocytosis. PMID- 18143943 TI - Serious toxic reaction associated with administration of BAL. PMID- 18143944 TI - Esophageal atresia with tracheoesophageal fistula; successful operation. PMID- 18143946 TI - Emotional deprivation in infants. PMID- 18143945 TI - Incomplete rotation of intestines with duodenal obstruction. PMID- 18143947 TI - Chemoprophylaxis with chloramphenicol in scrub typhus. PMID- 18143948 TI - Investigations into atropine metabolism in the animal organism. PMID- 18143949 TI - Toxicity of colchicine, pilocarpine and veratrine. PMID- 18143950 TI - Fluorimetric determination of adrenaline in blood; the chemical constitution of adrenolutine (the fluorescent oxidation product of adrenaline). PMID- 18143951 TI - Poisoning by diethylparanitrophenylthiophosphate. PMID- 18143952 TI - Arsenic contents of human organs after fatal poisoning with arsenic trioxide and other arsenical compounds, with some remarks on the manifestations of arsenic poisoning. PMID- 18143953 TI - The influence of oxygen tension on the production of erythrocytes in vitro. PMID- 18143954 TI - The effect on acid-base balance of anesthesia combined with renal insufficiency. PMID- 18143955 TI - Cellophane for ultrafiltration. PMID- 18143956 TI - Formation of acetaldehyde in the organism in relation to dosage of antabuse (tetraethylthiuramdisulphide) and to alcohol-concentration in blood. PMID- 18143957 TI - Methyl coumarins. PMID- 18143958 TI - [Not Available]. PMID- 18143959 TI - [Not Available]. PMID- 18143960 TI - World population and world food supplies. PMID- 18143961 TI - Compressed tablets; resistance to wear and tear. PMID- 18143962 TI - Pharmaceutical research. PMID- 18143963 TI - Isolation and identification of beetle fragments from powdered vegetable drugs. PMID- 18143964 TI - DISPENSING of oils; a new design of bottle. PMID- 18143965 TI - The influence of training in perceptual span and perceptual speed upon reading ability. PMID- 18143966 TI - Some significant correlates of love and family attitudes and behavior. PMID- 18143967 TI - A fetishistic theory of amorous fixation. PMID- 18143968 TI - The effect of adjustment patterns upon the intercorrelation of intelligence subtest variables. PMID- 18143969 TI - A phylogenetic theory of wit and humor. PMID- 18143970 TI - Some sectional differences among Negro and white illiterate soldiers. PMID- 18143971 TI - The development of internationist attitudes; the literature and a point of view. PMID- 18143972 TI - Concealment of age among psychologists; evidence for a popular stereotype. PMID- 18143974 TI - Three items of personality; popularity, nicknames, and homesickness. PMID- 18143973 TI - Growth of tradition in a Southern Negro family. PMID- 18143975 TI - The effect of recent social legislation on the welfare of women and children. PMID- 18143976 TI - The disinsectisation of aircraft; recent progress of work in the United Kingdom and Colonies. PMID- 18143977 TI - A suggested scheme for smallpox treatment. PMID- 18143978 TI - The treatment of experimental infection with Brucella abortus in guineapigs, including a trial of aureomycin. PMID- 18143979 TI - The concept of multiphasic screening. PMID- 18143980 TI - Undergraduate sanitary engineering training in the United States. PMID- 18143981 TI - [Not Available]. PMID- 18143982 TI - Diagnosis of congenital heart disease by ordinary methods. PMID- 18143983 TI - Conventional roentgenography in the diagnosis of cardiovascular anomalies. PMID- 18143984 TI - The conventional roentgen examination in operable congenital heart disease. PMID- 18143985 TI - Some clinical applications of electrokymography; the findings in myocardial infarction and heart block. PMID- 18143986 TI - Angiocardiographic interpretation. PMID- 18143987 TI - The action of steroid hormones in mammary cancer. PMID- 18143988 TI - Nephrography; experimental and clinical observations. PMID- 18143989 TI - Roentgen examination of the hip in Legg-Perthes' disease. PMID- 18143990 TI - Sodium tetraiodophthalicfluorescein for intravenous cholecystography. PMID- 18143991 TI - Cholecystocolic fistula. PMID- 18143992 TI - Diaphragmatic herniation of the kidney; case report. PMID- 18143993 TI - A survey of scattered radiation from fluoroscopic units in 15 institutions. PMID- 18143994 TI - Hand timer for spot-film work. PMID- 18143995 TI - The aetiology, pathology, diagnosis and treatment of acute pancreatitis; a review of 110 cases. PMID- 18143996 TI - Acute subdural and extradural haematoma in closed head injuries. PMID- 18143997 TI - [Not Available]. PMID- 18143998 TI - [Not Available]. PMID- 18143999 TI - [Not Available]. PMID- 18144000 TI - [Not Available]. PMID- 18144001 TI - [Not Available]. PMID- 18144002 TI - [Not Available]. PMID- 18144003 TI - [Not Available]. PMID- 18144004 TI - [Not Available]. PMID- 18144005 TI - [Not Available]. PMID- 18144006 TI - [Not Available]. PMID- 18144007 TI - [Not Available]. PMID- 18144008 TI - [Not Available]. PMID- 18144009 TI - [Not Available]. PMID- 18144011 TI - Surgical treatment of elephantiasis of the lower extremities. PMID- 18144010 TI - [Not Available]. PMID- 18144012 TI - Expeditious use of direct flaps in extremity repairs. PMID- 18144013 TI - Results of early treatment of congenital anophthalmos. PMID- 18144014 TI - Congenital absence of the pectoral muscle and syndactylism; a deformity association sometimes overlooked. PMID- 18144015 TI - Fate of autogenous rib cartilage transplanted into the nose. PMID- 18144016 TI - Benign hyperplasia of the mandibular condyle; report of an additional case, with suggestion for simplified operative technique. PMID- 18144017 TI - Plastic surgery; physiognomy and psychoanalysis. PMID- 18144018 TI - Reconstruction of the penis with split-thickness skin graft; a case of gangrene following circumcision for acute balanitis. PMID- 18144019 TI - Multiple needle tattoos of the face. PMID- 18144020 TI - [Correction of cicatricial ectropion with a graft placed in a artificially hyperextended area]. PMID- 18144021 TI - [Carcinoid of the appendix]. PMID- 18144022 TI - [Penetrating wounds of the rectum]. PMID- 18144023 TI - Somatic pain produced by fibrolipomatous nodules simulating urinary tract pathology. PMID- 18144024 TI - Meckel's diverticulum; report of 30 cases. PMID- 18144025 TI - Carcinoma at the confluence of the hepatic bile ducts; a case report. PMID- 18144026 TI - An experience with the peritoneal-button operation for ascites. PMID- 18144027 TI - Observations on a method for thoracolumbar sympathectomy. PMID- 18144028 TI - Reconstructive surgery of congenital and traumatic deformities of the face. PMID- 18144029 TI - Diagnosis and treatment of intracranial aneurysms. PMID- 18144030 TI - Management of traumatic perforation and constrictive kinking in a postlithotomy ureter; presentation of a case. PMID- 18144031 TI - What should the general surgeon do with his prostatic patient? PMID- 18144032 TI - Experimental ascites; effects of sodium chloride and protein intake on protein metabolism of dogs with constricted inferior vena cava. PMID- 18144033 TI - The postphlebitic leg; results with femoral vein interruption. PMID- 18144034 TI - The endometrium in old age. PMID- 18144035 TI - Fluorescein as an adjunct in the treatment of radionecrotic ulcers. PMID- 18144036 TI - The use of urecholine in the prevention of postoperative distention. PMID- 18144037 TI - A comparison of pain produced experimentally in lower esophagus, common bile duct, and upper small intestine with pain experienced by patients with diseases of biliary tract and pancreas. PMID- 18144038 TI - The local and systemic effects of chronic ulcerations. PMID- 18144039 TI - The regional lymph node dissection in cancer of the extremities. PMID- 18144040 TI - Transthoracic nephrectomy (right) for tuberculosis of the kidney. PMID- 18144041 TI - The use of free peritoneal grafts in intestinal anastomoses. PMID- 18144042 TI - The effect of intramedullary nailing on the healing of fractures; an experimental study. PMID- 18144043 TI - Histochemical studies on glycogen in carcinoma in situ of the cervix uteri. PMID- 18144044 TI - Simultaneous prostatectomy and inguinal herniorrhaphy. PMID- 18144045 TI - Some aspects of the development of intrathoracic surgery. PMID- 18144046 TI - A simplified treatment of ingrown toenail. PMID- 18144047 TI - The production and prevention of thrombosis and embolism. PMID- 18144048 TI - [Skin changes in ariboflovinosis]. PMID- 18144049 TI - [Cases of erythroleukemia]. PMID- 18144050 TI - [Recent problems in nonbacterial pyuria]. PMID- 18144051 TI - [Urethane treatment of leukemia]. PMID- 18144052 TI - [Limited experience in the use of phthalyl-sulfathiazole]. PMID- 18144053 TI - [A case of esophageal stenosis of possible syphilic origin]. PMID- 18144054 TI - [Cystine treatment of the vomiting of pregnancy]. PMID- 18144055 TI - [Penicillin iontophoresis]. PMID- 18144056 TI - [Infiltration shadows in the region of the hilus pulmonis]. PMID- 18144057 TI - The Chagas' disease of Uruguay. PMID- 18144058 TI - The nation-wide campaign against malaria in Venezuela. PMID- 18144059 TI - Iron intake in North-West India. PMID- 18144060 TI - Stomach function in post-dysenteric debility. PMID- 18144061 TI - Observations on the isolated gut of the mosquito. PMID- 18144062 TI - The possibility of a negative phase following B.C.G. vaccination. PMID- 18144064 TI - Studies on the chemotherapy of tuberculosis. PMID- 18144063 TI - [Not Available]. PMID- 18144065 TI - Procaine penicillin in infants and children. PMID- 18144066 TI - [Not Available]. PMID- 18144067 TI - [Not Available]. PMID- 18144068 TI - [Not Available]. PMID- 18144069 TI - Tenacity of tuberculin and tubercle bacillus allergy. PMID- 18144070 TI - A modified Trambusti tuberculin test. PMID- 18144071 TI - The tuberculin reaction in calcification of the lungs. PMID- 18144072 TI - Photofluorographic survey in Athens and Salonica. PMID- 18144073 TI - Thoracoplastic treatment of empyema cavities in tuberculous patients. PMID- 18144074 TI - Tuberculous infection from dogs. PMID- 18144075 TI - Regression of the hilar density in primary tuberculosis. PMID- 18144076 TI - Calmette vaccination in the municipality Copenhagen. PMID- 18144078 TI - Etiology and management of renal lithiasis. PMID- 18144077 TI - [Not Available]. PMID- 18144079 TI - The atrophic kidney and hypertension. PMID- 18144080 TI - Unilateral malignant nephrosclerosis. PMID- 18144081 TI - Lymphosarcoma of the kidney; case report. PMID- 18144082 TI - High renal ectopy; a case report. PMID- 18144083 TI - Papillary epitheliomas in each ureter and in the bladder. PMID- 18144084 TI - A new method of ureterosigmoidostomy. PMID- 18144085 TI - Endometriosis of the bladder. PMID- 18144086 TI - Some observations on the technique of transurethral prostatic resection. PMID- 18144087 TI - Prostatic infarction. PMID- 18144088 TI - Elevation of serum acid phosphatase following prostatic massage. PMID- 18144089 TI - A perineal prostatectomy table. PMID- 18144091 TI - Chronic trichomonas skeneitis. PMID- 18144090 TI - Diverticula of the female urethra; report of four cases, one containing a calculus. PMID- 18144092 TI - Primary carcinoma of the male urethra; report of two cases. PMID- 18144093 TI - Traumatic avulsion of the skin of penis and scrotum. PMID- 18144094 TI - The permeability of Colles' fascia for urine. PMID- 18144095 TI - A re-investigation of Colles' and Buck's fasciae in the male. PMID- 18144096 TI - Use of polymyxin in gram negative urinary tract infections. PMID- 18144097 TI - Chloromycetin in the successful treatment of recurring epididymitis. PMID- 18144098 TI - Bacterial endocarditis following surgery; particularly surgery of the urinary tract. PMID- 18144099 TI - Blood volume determinations in the urological patient; an adjunct in preoperative and post-operative management. PMID- 18144100 TI - Clinical evaluation of a bactericidal detergent for hand preparation in urologic practice. PMID- 18144101 TI - The sedimentation rate in mumps epididymo-orchitis. PMID- 18144102 TI - Clinical application in urological surgery of a new concept of the physico chemistry of pathological lesions. PMID- 18144103 TI - New York City moves against VD. PMID- 18144104 TI - Treponemal immobilization test of normal and syphilitic serums. PMID- 18144105 TI - Penicillin in the treatment of early syphilis; 639 patients treated with 2,400,000 units of sodium penicillin in 7 1/2 days. PMID- 18144106 TI - The effect of temperature variants on quantitative turbidimetric determinations of spinal fluid protein, using trichloracetic acid. PMID- 18144108 TI - [Not Available]. PMID- 18144107 TI - [Not Available]. PMID- 18144109 TI - [Not Available]. PMID- 18144110 TI - Complications and results of induction of labour. PMID- 18144111 TI - Personal errors in gynaecology. PMID- 18144112 TI - Osteoarthritis of the hip; treatment by physical measures. PMID- 18144113 TI - Osteoarthritis of the hip; surgical treatment. PMID- 18144114 TI - The epidemiology of primary herpes simplex infection. PMID- 18144115 TI - [Not Available]. PMID- 18144116 TI - Emphysema; the radiological aspects. PMID- 18144117 TI - [Not Available]. PMID- 18144118 TI - Neurology, undergraduate teaching and clinical practice. PMID- 18144119 TI - Placenta previa; a 12-year study. PMID- 18144120 TI - The psychosomatic status; gastroduodenal ulcer and vagotomy. PMID- 18144121 TI - Papaverine in epilepsy. PMID- 18144122 TI - A gastrostomy technic adapted to the contracted stomach. PMID- 18144123 TI - Regional enteritis. PMID- 18144124 TI - [Not Available]. PMID- 18144125 TI - Improved autotransfusion. PMID- 18144126 TI - Adiposis dolorosa; with report of a case. PMID- 18144127 TI - General semantics and the practice of medicine. PMID- 18144129 TI - The bacteriology of food poisoning. PMID- 18144128 TI - The medical practitioner and our nutrition problems. PMID- 18144130 TI - Investigation of an outbreak of food poisoning. PMID- 18144131 TI - The domestic food poisoning problem. PMID- 18144132 TI - The present status of the treatment of thyrotoxicosis. PMID- 18144133 TI - Early recognition of cancer of the rectum. PMID- 18144134 TI - Penicillin in the treatment of infections of the nose and sinuses. PMID- 18144135 TI - Jaundice in the new-born baby. PMID- 18144136 TI - [Not Available]. PMID- 18144137 TI - [Not Available]. PMID- 18144138 TI - [Not Available]. PMID- 18144139 TI - [Not Available]. PMID- 18144140 TI - [Not Available]. PMID- 18144141 TI - [Not Available]. PMID- 18144142 TI - Cutaneous manifestation of a traveling needle. PMID- 18144143 TI - [Not Available]. PMID- 18144144 TI - [Intracranial hypertension syndrome, diagnosis and treatment]. PMID- 18144145 TI - [Not Available]. PMID- 18144146 TI - An analysis of maternal mortality in the city of Charlotte and county of Mecklenburg for the 10-year period 1938-1947. PMID- 18144147 TI - The use of the venous catheter in the study of pulmonary disease. PMID- 18144148 TI - Kaposi's sarcoma simulating stasis ulcers of the legs; a report of two cases. PMID- 18144149 TI - [Not Available]. PMID- 18144150 TI - [Not Available]. PMID- 18144151 TI - HYDRONEPHROSIS. PMID- 18144152 TI - Experiences with the marrow nail operation according to the principles of Keuntscher. PMID- 18144153 TI - Myocardial infarction at the age of 21; report of a case. PMID- 18144154 TI - Scleredema adultorum; report of a case. PMID- 18144155 TI - Primary carcinoma of the liver (hepatoma). PMID- 18144156 TI - Prolapse of male genitalia in frank breach presentation; a case report. PMID- 18144157 TI - Scoliosis as a manifestation of disease of the cervicothoracic portion of the spinal cord. PMID- 18144158 TI - Mechanisms for the spread of epileptic activity of the brain. PMID- 18144159 TI - The neuropharmacology of antiepileptics. PMID- 18144160 TI - An automatic electrode combination selector switch. PMID- 18144162 TI - [Not Available]. PMID- 18144161 TI - A method of analysis of seizure pattern and electroencephalogram; a cinematographic technique. PMID- 18144163 TI - [Not Available]. PMID- 18144164 TI - [Not Available]. PMID- 18144165 TI - Attempted suicide; then what? PMID- 18144166 TI - The patient with atropic arthritis. PMID- 18144167 TI - Erythroblastosis foetalis. PMID- 18144168 TI - Feed a fever. PMID- 18144169 TI - [Not Available]. PMID- 18144170 TI - The non-surgical treatment of glaucoma with report of case. PMID- 18144171 TI - [Not Available]. PMID- 18144172 TI - [Not Available]. PMID- 18144173 TI - [Not Available]. PMID- 18144174 TI - [Not Available]. PMID- 18144175 TI - Effects of folic acid deficiency and a folic acid antagonist on chicks. PMID- 18144176 TI - [Not Available]. PMID- 18144177 TI - [Not Available]. PMID- 18144178 TI - [Not Available]. PMID- 18144179 TI - [Not Available]. PMID- 18144180 TI - [Streptomycin therapy in tuberculous meningitis]. PMID- 18144181 TI - [para-Aminosalicylic acid and tuberculosis]. PMID- 18144182 TI - AMOBARBITAL elixir. PMID- 18144183 TI - CHONDRUS extract. PMID- 18144184 TI - DEHYDROCHOLIC acid. PMID- 18144185 TI - VISCOSITY of methylcellulose. PMID- 18144186 TI - METHOXYL determination. PMID- 18144187 TI - RUTIN. PMID- 18144188 TI - The structure of gamma-sugars; the synthesis of a furanose, a 6-methylketohexose. PMID- 18144189 TI - An apparatus for semi-micro crystallisation. PMID- 18144190 TI - The occurrence of citric acid in the shell substance of eggs of chickens ducks and geese. PMID- 18144191 TI - Studies on intercellular cohesion in corneal epithelium; methods, effects of proteolytic enzymes, salts, hydrogen ion concentration, and polar-nonpolar substances. PMID- 18144194 TI - Personal preference differences among occupational groups. PMID- 18144195 TI - The retention of methallyl chloride and methyl bromide by fumigated grain. PMID- 18144196 TI - The warmth of floors; a physical study. PMID- 18144197 TI - [Not Available]. PMID- 18144198 TI - Note on the estimation of the bispinous diameter in pelvimetry. PMID- 18144199 TI - A radon purification apparatus. PMID- 18144200 TI - A note on tangenital irradiation without the use of bolus packing. PMID- 18144201 TI - [Not Available]. PMID- 18144202 TI - A contribution to the knowledge of primary genital tuberculosis with a venereal basis. PMID- 18144203 TI - Does any genetic connection exist between pyloric hypertrophy in infants and in adults? PMID- 18144204 TI - Mesothelioma of the peritoneum; report of a case and review of the literature. PMID- 18144205 TI - Post-operative biliary fistula; description of a new reconstructive operation. PMID- 18144206 TI - Immediate skin-graft in radical mastectomy; a plea for a more frequent adoption of this method. PMID- 18144207 TI - Mediastinal cysts of gastric origin; report of a case. PMID- 18144208 TI - Bilateral aplasia of the vas deferens. PMID- 18144209 TI - A case of benign hepatoma. PMID- 18144210 TI - Diffuse sarcoma of the peritoneum. PMID- 18144211 TI - Perforation of carcinoma of the stomach into the general peritoneal cavity. PMID- 18144212 TI - Fatal haemorrhage into a perirenal liposarcoma. PMID- 18144213 TI - [Not Available]. PMID- 18144214 TI - Technic of exposing the facial nerve as an aid to surgery of the parotid gland. PMID- 18144215 TI - The technic of total pneumonectomy. PMID- 18144216 TI - Technic of splenectomy. PMID- 18144217 TI - Partial gastric resection for peptic ulcer. PMID- 18144218 TI - The repair of inguinal hernias. PMID- 18144219 TI - Primary resection of the colon. PMID- 18144220 TI - Presacral neurectomy. PMID- 18144221 TI - Treatment of hemorrhoids. PMID- 18144222 TI - The surgical treatment of fractures of the lateral tibial condyle. PMID- 18144223 TI - Technic of spinal anesthesia. PMID- 18144224 TI - [Injury of the left shoulder girdle, complicated by gas phlegmon]. PMID- 18144225 TI - When your client needs a hearing aid. PMID- 18144226 TI - The need for physical therapy in postpartum care. PMID- 18144228 TI - Scleroma (rhinoscleroma). PMID- 18144227 TI - The incidence of schistosomiasis in south central Africa. PMID- 18144229 TI - [Not Available]. PMID- 18144230 TI - Ambulatory treatment of granuloma inguinale with streptomycin. PMID- 18144233 TI - Some host relationships of Long Island ticks. PMID- 18144234 TI - The toxicity of DDT deposits as influenced by sunlight. PMID- 18144235 TI - The mammary tumor milk agent given to adult female mice following splenectomy and vital staining. PMID- 18144236 TI - Amino acids in epidermal carcinogenesis in mice. PMID- 18144237 TI - Preparation of a radioactive iodotetrazolium salt and its distribution in mice. PMID- 18144238 TI - Investigations of vicilin and legumin. PMID- 18144239 TI - Studies on liver arginase; on its crystallization by Bach. PMID- 18144240 TI - [Not Available]. PMID- 18144241 TI - On the action of Bacillus macerans amylase. PMID- 18144243 TI - [Not Available]. PMID- 18144242 TI - Introduction of substituents in the aromatic nucleus; exploration of its mechanism by means of isotopic hydrogen. PMID- 18144244 TI - [Not Available]. PMID- 18144246 TI - [Not Available]. PMID- 18144245 TI - [Not Available]. PMID- 18144247 TI - [Not Available]. PMID- 18144248 TI - [Not Available]. PMID- 18144249 TI - [Not Available]. PMID- 18144250 TI - [Not Available]. PMID- 18144252 TI - A provisional standard observer for low level photometry. PMID- 18144251 TI - [Not Available]. PMID- 18144253 TI - Resolving power limitations of grating and prism spectrometers. PMID- 18144254 TI - Electroorganic reductions; the effect of dielectric constant of the solvent. PMID- 18144255 TI - The vapor pressure of nitrosyl chloride. PMID- 18144257 TI - A technique for mandibular impression. PMID- 18144256 TI - A theory of viscous deformation in polymers; the volume and surface cohesional energy of the basic moving aggregate. PMID- 18144258 TI - Oral haemorrhage. PMID- 18144259 TI - [Not Available]. PMID- 18144260 TI - PSYCHOSOMATIC sleep in dentistry; a preliminary report. PMID- 18144261 TI - [Not Available]. PMID- 18144262 TI - [Not Available]. PMID- 18144263 TI - The effect of certain hyperkinemics on the blood flow through the skin. PMID- 18144264 TI - Some histological methods. PMID- 18144266 TI - Methods of washing glassware. PMID- 18144265 TI - The simple diluent for enumeration of erythrocytes. PMID- 18144267 TI - [Not Available]. PMID- 18144268 TI - [Not Available]. PMID- 18144269 TI - [Not Available]. PMID- 18144270 TI - Complete obstruction of the common bile duct due to chronic pancreatitis; a report of an unusual case including nine operations with recovery of the patient. PMID- 18144271 TI - Psychiatric testimony for the impeachment of witnesses in sex cases. PMID- 18144272 TI - Admissibility of scientific evidence of alcoholic intoxication where specimen of blood obtained without defendant's knowledge. PMID- 18144273 TI - [Not Available]. PMID- 18144274 TI - [Not Available]. PMID- 18144275 TI - [Not Available]. PMID- 18144276 TI - [Not Available]. PMID- 18144277 TI - Foetal haemoglobin. PMID- 18144278 TI - Influence of desoxycorticosterone on glycogen formation and glucose uptake of isolated muscle. PMID- 18144279 TI - Free amino acids in the haemolymph of Calliphora erythrocephala Meigen. PMID- 18144280 TI - Molecular weight determination on thymonucleic acid compounds by dielectric measurements. PMID- 18144281 TI - [Not Available]. PMID- 18144283 TI - X-ray diffraction in research. PMID- 18144284 TI - Vegetable sources of essential oils. PMID- 18144282 TI - [Not Available]. PMID- 18144285 TI - Use of statistical inequalities in polymer research. PMID- 18144286 TI - Interaction of factors affecting wing length in Habrobracon. PMID- 18144287 TI - Genom analysis in amphidiploids; a new method of allocating genes to their correct subgenoms. PMID- 18144288 TI - [Not Available]. PMID- 18144289 TI - [Not Available]. PMID- 18144290 TI - [Not Available]. PMID- 18144291 TI - [Not Available]. PMID- 18144292 TI - [Not Available]. PMID- 18144293 TI - [Not Available]. PMID- 18144294 TI - [Not Available]. PMID- 18144295 TI - [Treatment of hyperemesis gravidarum]. PMID- 18144296 TI - [Not Available]. PMID- 18144298 TI - The care of polio patients is a job for the general hospital. PMID- 18144297 TI - Should the cancer patient be told? PMID- 18144299 TI - The value of physical therapy in the small hospital. PMID- 18144300 TI - Routine laboratory tests at admission. PMID- 18144302 TI - Certain effects of salt poor human albumin in cases of hepatic disease. PMID- 18144301 TI - Fractionation of fibrinogen. PMID- 18144303 TI - The phosphatases in relation to clinical pediatrics. PMID- 18144304 TI - [Not Available]. PMID- 18144306 TI - Psychiatric patients and the Disabled Persons (employment) Act. PMID- 18144305 TI - Bundle branch block with spontaneous remission after 18 months. PMID- 18144307 TI - Prepubertal gonoccal peritonitis. PMID- 18144308 TI - QUIPS and anecdotes about famous doctors. PMID- 18144309 TI - [Not Available]. PMID- 18144310 TI - [Not Available]. PMID- 18144311 TI - [Not Available]. PMID- 18144313 TI - [Not Available]. PMID- 18144312 TI - Tuberculous meningitis treated with streptomycin; results in 29 cases. PMID- 18144314 TI - Low sodium chloride diets in hypertension; effects on blood pressure. PMID- 18144315 TI - Constriction of the intervertebral foramen; a cause of nerve root pressure. PMID- 18144316 TI - The Rh factor. PMID- 18144317 TI - Vitamin B6 deficiency in the Syrian hamster. PMID- 18144318 TI - Streptomycin in the fight against tuberculosis. PMID- 18144319 TI - A virus recovered from the feces of poliomyelitis patients pathogenic for suckling mice. AB - A virus has been recovered from the feces of two children having symptoms similar to those of poliomyelitis. The virus is pathogenic for suckling mice and hamsters but not for rhesus monkeys. It induces striking lesions in the skeletal muscles of the experimental animal but not in the central nervous system. Other viruses inducing similar signs and lesions in suckling mice have been isolated from several other outbreaks of a poliomyelitis-like disease, including one large urban epidemic. PMID- 18144320 TI - Carcinoma of the prostate with posterior extension into the rectum; a report of three cases. PMID- 18144322 TI - Dermatophytosis. PMID- 18144321 TI - Clinical evaluation of pyrrolazote and orthoxine in allergic diseases. PMID- 18144323 TI - Arteriosclerotic aortic aneurism. PMID- 18144324 TI - Narco-analyse. PMID- 18144325 TI - [Not Available]. PMID- 18144326 TI - Hyperparathyroidism, report of a case. PMID- 18144327 TI - Pediatric surgery. PMID- 18144328 TI - Brain tumors; some remarks on diagnosis. PMID- 18144329 TI - [Not Available]. PMID- 18144330 TI - [Not Available]. PMID- 18144331 TI - [Not Available]. PMID- 18144332 TI - [Not Available]. PMID- 18144334 TI - [Not Available]. PMID- 18144333 TI - [Not Available]. PMID- 18144335 TI - [Not Available]. PMID- 18144336 TI - Uses and abuses of intravenous therapy and blood substitutes. PMID- 18144337 TI - [Surgical experience in 80 consecutive cases of bilateral frontal lobotomy alienated]. PMID- 18144338 TI - [Not Available]. PMID- 18144339 TI - Criminal responsibility in incipient psychosis. PMID- 18144340 TI - Human toxoplasmosis, with report of a case. PMID- 18144341 TI - Some observations on recent advances in thoracic surgery. PMID- 18144342 TI - Radiation therapy. PMID- 18144343 TI - Tumours of the testes. PMID- 18144344 TI - Rural Kentucky fights cancer. PMID- 18144345 TI - How Oklahoma fights cancer. PMID- 18144346 TI - [Not Available]. PMID- 18144347 TI - Perirenal hematoma. PMID- 18144348 TI - Fluorescent light compared with incandescent light. PMID- 18144349 TI - [Not Available]. PMID- 18144350 TI - [Not Available]. PMID- 18144351 TI - The government and the private medical practitioner. PMID- 18144352 TI - What do you think of women doctors? PMID- 18144354 TI - Treatment of leukemia in children. PMID- 18144353 TI - [Not Available]. PMID- 18144355 TI - Pulmonary reserve following bilateral resection of the lung. PMID- 18144356 TI - Effect of renal ischemia on the production of nephrosis in jaundiced rabbits. PMID- 18144357 TI - [Not Available]. PMID- 18144358 TI - Arteriosclerotic aneurysm. PMID- 18144359 TI - A 6 year statistical review of perforated gastro-duodenal ulcers. PMID- 18144360 TI - [Not Available]. PMID- 18144361 TI - [Not Available]. PMID- 18144362 TI - [Not Available]. PMID- 18144363 TI - Suggestions for management of acute poison ivy dermatitis. PMID- 18144364 TI - The frozen-dehydration method of fixation as applied to histological problems. PMID- 18144365 TI - Aureomycin. PMID- 18144366 TI - The anxiety neurosis. PMID- 18144367 TI - Migraine syndrome. PMID- 18144368 TI - [Not Available]. PMID- 18144369 TI - [Not Available]. PMID- 18144370 TI - [Not Available]. PMID- 18144371 TI - [Not Available]. PMID- 18144372 TI - Evacuation of the sick and wounded in the second Burma Campaign, 1943-1945. PMID- 18144373 TI - PHYSICAL characteristics of recruits. PMID- 18144374 TI - [Not Available]. PMID- 18144375 TI - [Not Available]. PMID- 18144376 TI - A concept of the genesis of hostility. PMID- 18144377 TI - The value of the electroencephalogram as an index of generalized cortical activity. PMID- 18144378 TI - Type, evolution and localization of aphasia following neuro-surgical relief in a 60 year old scientist, affected by paralysis agitans. PMID- 18144379 TI - Simultaneous records of thalamic and cortical (scalp) potentials in schizophrenics and epileptics. PMID- 18144380 TI - The treatment of epilepsy by medicaments and diet. PMID- 18144381 TI - Some social-psychiatric remarks on epilepsy. PMID- 18144382 TI - Lower nephron nephrosis following electroconvulsive therapy; report of two fatalities. PMID- 18144383 TI - Combined ventral and lateral pyramidotomy in the treatment of paralysis agitans. PMID- 18144384 TI - Modern views of surgery of the cornea. PMID- 18144385 TI - A case of ocular myiasis. PMID- 18144386 TI - The relation between peripheral retinal cysts and dialyses. PMID- 18144387 TI - Dislocation of the sac in Zenker's diverticulum. PMID- 18144388 TI - Cyclic or rhythmic oculomotor paralysis; case report. PMID- 18144390 TI - Neurological factors in the etiology of delayed speech. PMID- 18144389 TI - Personality characteristics and emotional problems in stutterers under the age of 5. PMID- 18144391 TI - [Not Available]. PMID- 18144392 TI - [Not Available]. PMID- 18144393 TI - [Not Available]. PMID- 18144394 TI - [Not Available]. PMID- 18144395 TI - [Not Available]. PMID- 18144400 TI - [Not Available]. PMID- 18144398 TI - Orthotolidine hydrochloride test for blood in urine. PMID- 18144401 TI - [Not Available]. PMID- 18144402 TI - [Not Available]. PMID- 18144403 TI - Botulism and tick paralysis; in the differential diagnosis of acute bulbar poliomyelitis. PMID- 18144404 TI - A method of determination of serum pH applicable for clinical use. PMID- 18144405 TI - Congenital adrenocortical insufficiency with virilism. PMID- 18144406 TI - Psychosomatic illness in childhood; report of six cases. PMID- 18144408 TI - [Not Available]. PMID- 18144407 TI - [Not Available]. PMID- 18144409 TI - [New technique for exams angiocardiopneumograficos]. PMID- 18144410 TI - [Not Available]. PMID- 18144411 TI - Minimal effective dose of intravenously administered histamine in pregnant and non-pregnant human beings. PMID- 18144412 TI - Analgesia and anesthesia induced by epinephrine. PMID- 18144413 TI - Transport of ions across cellular membranes. PMID- 18144414 TI - Small intestinal pattern in sprue and similar deficiency diseases. PMID- 18144415 TI - Roentgen anatomy of oblique views of the lumbar spine. PMID- 18144416 TI - A simple, inexpensive set of prisms for viewing stereoscopic roentgenograms. PMID- 18144417 TI - An axial beam director. PMID- 18144418 TI - Radiographic checks of accuracy of application. PMID- 18144419 TI - A home-made viewing box employing fluorescent illumination. PMID- 18144420 TI - Cerebral angiography. PMID- 18144421 TI - Adrenal gland investigation by air-insufflation tomography. PMID- 18144422 TI - Partial hepatectomy with intrahepatic cholangiojejunostomy; a useful addition to technical methods for the management of common duct stricture. PMID- 18144423 TI - Presacral enterogenous cyst. PMID- 18144424 TI - [Not Available]. PMID- 18144425 TI - [Not Available]. PMID- 18144426 TI - [Not Available]. PMID- 18144427 TI - Stratification of bile in the gall bladder and cholelithiasis. PMID- 18144429 TI - Anatomic observations on the lumbar sympathetic nervous system. PMID- 18144428 TI - Uncommon tumors of the salivary glands. PMID- 18144430 TI - Congenital absence of the gall bladder. PMID- 18144431 TI - Studies on burns; further observations on a vasoconstrictor substance in lymph from a burned area. PMID- 18144432 TI - Tuberculosis of the endometrium treated with streptomycin; report of a case. PMID- 18144433 TI - Training opportunities for amputees and paraplegics. PMID- 18144434 TI - The sign language of the deaf. PMID- 18144435 TI - [Not Available]. PMID- 18144436 TI - [Not Available]. PMID- 18144437 TI - [Not Available]. PMID- 18144438 TI - The rate of mitotic activity in the lymphoid organs of the rat. PMID- 18144439 TI - The significance of the couvade among the Black Caribs. PMID- 18144440 TI - [Not Available]. PMID- 18144441 TI - Statistics of a lake trout fishery. PMID- 18144442 TI - A new variety of Anopheles aitkeni from Borneo. PMID- 18144443 TI - The persistent toxicity under standardized field conditions of pyrethrum, DDT and gammexane against pests of stored food. PMID- 18144444 TI - Rate and significance of atresia of the ovarian follicle of the rhesus monkey. PMID- 18144445 TI - Developmental horizons in human embryos; a review of the histogenesis of cartilage and bone. PMID- 18144446 TI - [Not Available]. PMID- 18144447 TI - The measurement of radioactive sulphur (35S) in biological material. PMID- 18144449 TI - Studies in the biochemistry of micro-organisms; the colouring matters of Penicillium islandicum Sopp.; 1:4:5-trihydroxy-2-methylanthraquinone. PMID- 18144450 TI - The bacterial oxidation of aromatic compounds. PMID- 18144451 TI - A comparison of the direct and indirect radioactive methods for determining the surface area of a strontium sulphate precipitate. PMID- 18144452 TI - [Not Available]. PMID- 18144453 TI - Buried teeth and roots. PMID- 18144454 TI - Some original methods in the performance of apicectomy. PMID- 18144455 TI - Lipoma of the oral labial vestibule. PMID- 18144456 TI - Headache and facial pain. PMID- 18144457 TI - Local anesthetics. PMID- 18144458 TI - The role of oxalates in rat dental caries. PMID- 18144459 TI - [Not Available]. PMID- 18144461 TI - [Not Available]. PMID- 18144460 TI - [Not Available]. PMID- 18144462 TI - [Not Available]. PMID- 18144463 TI - [Not Available]. PMID- 18144464 TI - [Not Available]. PMID- 18144465 TI - [Not Available]. PMID- 18144466 TI - [Not Available]. PMID- 18144467 TI - [Not Available]. PMID- 18144468 TI - [Not Available]. PMID- 18144469 TI - [Not Available]. PMID- 18144470 TI - [Not Available]. PMID- 18144471 TI - Fermentative utilization of cassava; the production of ethanol. PMID- 18144472 TI - Surface transport of liquid helium II. PMID- 18144473 TI - Metallic oxides as barrier treatments for prevention of attack by light on cellulose. PMID- 18144474 TI - Lymnaea stagnalis as an intermediate host of Fasciola hepatica. PMID- 18144475 TI - The theory of genetical recombination; long-chromosome arms. PMID- 18144476 TI - An improved respiratory valve for ether administration and artificial respiration. PMID- 18144478 TI - Strategy, economics, and the bomb. PMID- 18144477 TI - Are these America's forgotten children? PMID- 18144479 TI - Anthropology; a brief survey. PMID- 18144480 TI - The middigital hair genes; their inheritance and distribution among the white race. PMID- 18144481 TI - [Not Available]. PMID- 18144482 TI - [The affected by Trichomonas]. PMID- 18144483 TI - [Methylene blue in labor]. PMID- 18144484 TI - [Not Available]. PMID- 18144485 TI - [Not Available]. PMID- 18144486 TI - Coordinated teaching; first year's results. PMID- 18144487 TI - The Effingham fire; what might have been done. PMID- 18144488 TI - RADIANT heating considered for the hospital building. PMID- 18144489 TI - [Not Available]. PMID- 18144490 TI - [Not Available]. PMID- 18144491 TI - [Not Available]. PMID- 18144492 TI - [Not Available]. PMID- 18144493 TI - [Not Available]. PMID- 18144494 TI - [Not Available]. PMID- 18144495 TI - [Not Available]. PMID- 18144496 TI - [Not Available]. PMID- 18144497 TI - [Not Available]. PMID- 18144498 TI - [Not Available]. PMID- 18144499 TI - [Not Available]. PMID- 18144500 TI - [Not Available]. PMID- 18144501 TI - [Not Available]. PMID- 18144502 TI - [Not Available]. PMID- 18144503 TI - [Not Available]. PMID- 18144504 TI - [Not Available]. PMID- 18144505 TI - [Not Available]. PMID- 18144506 TI - [Not Available]. PMID- 18144508 TI - [Not Available]. PMID- 18144507 TI - [Not Available]. PMID- 18144509 TI - Propeller injury of the face and head. PMID- 18144510 TI - Alterations in the form of the ventricular complex of the electrocardiogram produced by myocardial infarction complicated by bundle branch block. PMID- 18144511 TI - [Not Available]. PMID- 18144512 TI - [Not Available]. PMID- 18144513 TI - [Not Available]. PMID- 18144515 TI - [Not Available]. PMID- 18144514 TI - Presidon; a new sedative-hypnotic. PMID- 18144516 TI - [Not Available]. PMID- 18144517 TI - [Not Available]. PMID- 18144518 TI - [Not Available]. PMID- 18144519 TI - Primary thoracoplasty. PMID- 18144520 TI - A case of long-standing tuberculous infection with recurring attacks of erythema nodosum and erythema multiforme. PMID- 18144521 TI - [Not Available]. PMID- 18144522 TI - [Not Available]. PMID- 18144523 TI - [Histological alterations of the peripheral nerves after experimental ischemia]. PMID- 18144524 TI - [The harmonic analysis of the ECG trace]. PMID- 18144525 TI - [Clinical aspects of streptomycin dermatitis]. PMID- 18144526 TI - [Considerations upon the suffocating pneumothorax and its treatment]. PMID- 18144528 TI - [Not Available]. PMID- 18144527 TI - [The general practitioner before the prostatic patient]. PMID- 18144529 TI - [Not Available]. PMID- 18144530 TI - Some factors influencing response of cancer to radiation. PMID- 18144531 TI - The Cornell medical index; a adjunct to medical interview. PMID- 18144532 TI - The role of biophysics in medical education. PMID- 18144533 TI - Freshman anatomy as a correlated course. PMID- 18144535 TI - Amebiasis. PMID- 18144534 TI - Planning an instructional program for a medical school. PMID- 18144536 TI - [Not Available]. PMID- 18144537 TI - [Not Available]. PMID- 18144538 TI - The glaucoma problem in the Philippines. PMID- 18144539 TI - [Not Available]. PMID- 18144540 TI - Present day uses of procaine administered intravenously; with case reports from Jefferson Hospital. PMID- 18144541 TI - Malignant lesions of the face and ears. PMID- 18144542 TI - [Not Available]. PMID- 18144543 TI - [Not Available]. PMID- 18144544 TI - [Not Available]. PMID- 18144545 TI - The diagnosis of mitral stenosis. PMID- 18144546 TI - The management of the leukaemias. PMID- 18144547 TI - Chemoprophylaxis. PMID- 18144549 TI - Psychosomatic aspects of surgery. PMID- 18144548 TI - Anticoagulant therapy. PMID- 18144550 TI - Some aspects of subacute bacterial endocarditis. PMID- 18144551 TI - The nutrition of children in England. PMID- 18144552 TI - Medical partnerships. PMID- 18144553 TI - What's new in the diagnosis and treatment of the infertile female. PMID- 18144554 TI - [Not Available]. PMID- 18144555 TI - [Not Available]. PMID- 18144556 TI - [Not Available]. PMID- 18144557 TI - Chest injuries. PMID- 18144558 TI - The responsibility of the private physician in communicable disease control. PMID- 18144559 TI - Control of pain in childbirth. PMID- 18144560 TI - Diabetic acidosis and coma. PMID- 18144561 TI - Varicocele; symptomatologic and surgical concepts. PMID- 18144562 TI - Hamartoma of cloacal tissue in renal pelvis. PMID- 18144563 TI - [Not Available]. PMID- 18144564 TI - [Not Available]. PMID- 18144565 TI - [Not Available]. PMID- 18144566 TI - [Formoguanamine as a diuretic]. PMID- 18144567 TI - Differential diagnosis of jaundice. PMID- 18144568 TI - Cancer in childhood. PMID- 18144569 TI - Traumatic arteriovenous fistula of the lower extremity. PMID- 18144570 TI - Endocrine factors in dermatology. PMID- 18144571 TI - Cytohistologic examination of stomach washings in carcinoma, ulcer and gastritis. PMID- 18144572 TI - [Not Available]. PMID- 18144573 TI - [Not Available]. PMID- 18144574 TI - [Not Available]. PMID- 18144575 TI - [Not Available]. PMID- 18144576 TI - [Not Available]. PMID- 18144577 TI - [Not Available]. PMID- 18144578 TI - [Not Available]. PMID- 18144580 TI - [The story of my anemia]. PMID- 18144579 TI - [The unconscious and accountability in criminal law]. PMID- 18144581 TI - [Not Available]. PMID- 18144582 TI - [Not Available]. PMID- 18144583 TI - [Not Available]. PMID- 18144584 TI - [Not Available]. PMID- 18144585 TI - [Not Available]. PMID- 18144586 TI - [Not Available]. PMID- 18144587 TI - [Not Available]. PMID- 18144588 TI - [Not Available]. PMID- 18144589 TI - [Not Available]. PMID- 18144590 TI - [Not Available]. PMID- 18144591 TI - [Not Available]. PMID- 18144592 TI - [Not Available]. PMID- 18144593 TI - Prolonged labor. PMID- 18144594 TI - Acute surgical conditions complicating pregnancy. PMID- 18144595 TI - Modern therapeutic agents. PMID- 18144596 TI - [Not Available]. PMID- 18144597 TI - [Not Available]. PMID- 18144598 TI - [Not Available]. PMID- 18144599 TI - [Not Available]. PMID- 18144600 TI - [Not Available]. PMID- 18144601 TI - [Not Available]. PMID- 18144602 TI - [Not Available]. PMID- 18144603 TI - [Not Available]. PMID- 18144604 TI - [Not Available]. PMID- 18144605 TI - [Not Available]. PMID- 18144606 TI - [Not Available]. PMID- 18144607 TI - [Not Available]. PMID- 18144608 TI - [Not Available]. PMID- 18144609 TI - [Not Available]. PMID- 18144610 TI - Streptomycin in the treatment of cases of tuberculosis meningitis in the Army. PMID- 18144611 TI - [Not Available]. PMID- 18144612 TI - [Not Available]. PMID- 18144613 TI - On recurrent dislocation of the shoulder-joint; a contribution to its pathomechanics and the results of Eden/Hybbinette's bone-block operation. PMID- 18144614 TI - Habitual posterior dislocation of the shoulder-joint; a report on five operated cases. PMID- 18144615 TI - [Not Available]. PMID- 18144616 TI - [Not Available]. PMID- 18144617 TI - Role of brain stem facilitatory systems in maintenance of spasticity. PMID- 18144618 TI - [Not Available]. PMID- 18144619 TI - [Not Available]. PMID- 18144620 TI - The origin of clothes. PMID- 18144621 TI - The individual's adjustment to society. PMID- 18144622 TI - Fear of mice. PMID- 18144623 TI - The use of dream analysis in psychosomatic research. PMID- 18144624 TI - Analysis of group Rorschachs of biologists. PMID- 18144625 TI - Recent developments in the field of projective techniques. PMID- 18144626 TI - [Not Available]. PMID- 18144627 TI - [Not Available]. PMID- 18144628 TI - [Not Available]. PMID- 18144629 TI - [Not Available]. PMID- 18144630 TI - [Not Available]. PMID- 18144631 TI - On an anomaly of the retinal vessels (so-called aneurysma cirsoides) sometimes combined with symptoms from the central nervous system. PMID- 18144632 TI - Transient myopia following the administration of sulphonamides. PMID- 18144633 TI - On neurofibromatosis in the region of the eye. PMID- 18144634 TI - A case of primary conjunctival tuberculosis. PMID- 18144635 TI - A contribution to the technique of the cataract operation. PMID- 18144636 TI - How do the colour blind interpret our present signalling colours? PMID- 18144637 TI - Points in practical optics. PMID- 18144638 TI - Experiments and presentation of cases in which an antral window was made in the middle meatus of the human subject and no additional surgical procedures were performed. PMID- 18144641 TI - [Not Available]. PMID- 18144639 TI - Epistaxis; report of a case of ligation of the external carotid and anterior ethmoid arteries. PMID- 18144640 TI - Cartilage in the kidney. PMID- 18144642 TI - [Not Available]. PMID- 18144643 TI - [Not Available]. PMID- 18144644 TI - [Not Available]. PMID- 18144646 TI - [Not Available]. PMID- 18144645 TI - [Not Available]. PMID- 18144647 TI - [Not Available]. PMID- 18144648 TI - [Not Available]. PMID- 18144649 TI - [Not Available]. PMID- 18144650 TI - [Not Available]. PMID- 18144651 TI - [Not Available]. PMID- 18144652 TI - Studies of the toxic action of gallium. PMID- 18144653 TI - Pre-operative skin antiseptics. PMID- 18144654 TI - Physiological observations on hyperventilation at altitude with intermittent pressure breathing by the pneumolator. PMID- 18144655 TI - Recall and recognition of nonsense syllables. PMID- 18144656 TI - Some psychological factors in the generalization of salivary conditioning to verbal stimuli. PMID- 18144657 TI - Two aspects of the Pulfrich phenomenon. PMID- 18144658 TI - Odds adjustments by American horse-race bettors. PMID- 18144659 TI - [Not Available]. PMID- 18144660 TI - Physical rehabilitation of injured workmen in British Columbia. PMID- 18144661 TI - Causes of mental illness. PMID- 18144662 TI - Health interests of children. PMID- 18144663 TI - Learning and teaching. PMID- 18144664 TI - On approaching the public. PMID- 18144665 TI - [Training of surgeons]. PMID- 18144666 TI - Relation between the radiation dose tolerated by the skin and the distance of the radiant source from the skin. PMID- 18144667 TI - Hyaluronidase as a factor hastening the spread and absorption of water-soluble radiopaque substances deposited intracutaneously, subcutaneously and intramuscularly. PMID- 18144668 TI - Demonstration of iron in cells; a preliminary note. PMID- 18144669 TI - [Not Available]. PMID- 18144671 TI - Tomography. PMID- 18144670 TI - A calcified aneurysm of the descending thoracic aorta. PMID- 18144672 TI - Cellophane compression band. PMID- 18144673 TI - Intrathoracic meningocele. PMID- 18144674 TI - Decortication in pulmonary tuberculosis including studies of respiratory physiology. PMID- 18144675 TI - [Not Available]. PMID- 18144676 TI - [Not Available]. PMID- 18144678 TI - [Not Available]. PMID- 18144677 TI - [Not Available]. PMID- 18144679 TI - [Not Available]. PMID- 18144680 TI - Peptic ulcer. PMID- 18144681 TI - A case of absent uterus, fallopian tubes and urethra. PMID- 18144682 TI - A case of broncho-biliary fistula. PMID- 18144683 TI - Hemihypertrophy of the face; case report. PMID- 18144684 TI - The moulded acrylic splint for palm and finger grafts. PMID- 18144686 TI - A study of the incidence of air-borne fungi in the city of Rio de Janeiro. PMID- 18144685 TI - Skin reactions; comparison of antihistaminic action of pyribenzamine and epinephrine introduced into human skin by electrophoresis. PMID- 18144687 TI - Bacterial allergy; an extreme hyper sensitization commonly found in chronic brucellosis. PMID- 18144688 TI - An evaluation of the patch test based on experimental findings. PMID- 18144689 TI - The clinical significance of acetylcholine. PMID- 18144690 TI - Standardization procedure for determination of aerosol delivery of nebulizers by phenolsulfonphthalein aerosols; preliminary report. PMID- 18144691 TI - [Not Available]. PMID- 18144692 TI - A technique for the extension of radical surgery in the treatment of vesical cancer. PMID- 18144694 TI - The effect of dietary protein restriction on the coenzyme A content of rat liver. PMID- 18144693 TI - The use of reduced copper in the micro-determination of carbon and hydrogen. PMID- 18144695 TI - Factors of merit for radiation detectors. PMID- 18144696 TI - Photographic spectral sensitometry with a biprism. PMID- 18144697 TI - On the prismatic properties of ophthalmic lenses. PMID- 18144698 TI - Twenty-five dental cases treated with absorbable alginate wool. PMID- 18144699 TI - [Not Available]. PMID- 18144700 TI - Simplified construction of an anatomic cast gold crown. PMID- 18144701 TI - Oral manifestations in emotional disorders. PMID- 18144702 TI - [Observations of Gastroenterology of North Africa]. PMID- 18144703 TI - [The circadian rhythm of phagocytic reactions to normal physiological control of the process by sialo cytology]. PMID- 18144704 TI - The metabolism of calcium and potassium in perniosis. PMID- 18144705 TI - [Not Available]. PMID- 18144706 TI - [Not Available]. PMID- 18144707 TI - [Not Available]. PMID- 18144708 TI - [Not Available]. PMID- 18144709 TI - [Not Available]. PMID- 18144710 TI - [Not Available]. PMID- 18144711 TI - [Not Available]. PMID- 18144712 TI - Recent work on the biology of skin. PMID- 18144713 TI - [Not Available]. PMID- 18144714 TI - Cold hardiness and seed shape in maize. PMID- 18144715 TI - Varagu poisoning. PMID- 18144716 TI - Genetics of dioecy and monoecy in Ecballium. PMID- 18144717 TI - Development in radioactive tracer methods. PMID- 18144718 TI - Friedel-Crafts polymerizations. PMID- 18144719 TI - Photomicrography of tracks in nuclear research emulsions. PMID- 18144720 TI - A simple calorimeter for the simultaneous determination of heat loss and heat production in animals. PMID- 18144722 TI - ULTRASONIC generator. PMID- 18144721 TI - Construction of beta-Geiger counters from prefabricated thin wall tubing. PMID- 18144723 TI - The tree of culture. PMID- 18144724 TI - [Not Available]. PMID- 18144725 TI - [Not Available]. PMID- 18144726 TI - [Not Available]. PMID- 18144727 TI - [Not Available]. PMID- 18144728 TI - [Not Available]. PMID- 18144729 TI - [Not Available]. PMID- 18144731 TI - [Not Available]. PMID- 18144730 TI - [Not Available]. PMID- 18144732 TI - [Not Available]. PMID- 18144733 TI - [Not Available]. PMID- 18144734 TI - [Not Available]. PMID- 18144735 TI - [Not Available]. PMID- 18144736 TI - [Not Available]. PMID- 18144737 TI - [Not Available]. PMID- 18144738 TI - [Not Available]. PMID- 18144740 TI - [Not Available]. PMID- 18144739 TI - [Not Available]. PMID- 18144741 TI - Hospitals under socialized medicine. PMID- 18144742 TI - Precipitin-tests in Plasmodium lophurae malaria. PMID- 18144743 TI - [Not Available]. PMID- 18144744 TI - [Not Available]. PMID- 18144745 TI - [Not Available]. PMID- 18144746 TI - [Not Available]. PMID- 18144747 TI - [Not Available]. PMID- 18144748 TI - [Not Available]. PMID- 18144749 TI - [Not Available]. PMID- 18144750 TI - [Not Available]. PMID- 18144752 TI - [Not Available]. PMID- 18144751 TI - [Not Available]. PMID- 18144753 TI - Infective hepatitis and portal cirrhosis. PMID- 18144754 TI - A successfully operated case of membranous occlusion of the anus in the 17. century. PMID- 18144755 TI - [Not Available]. PMID- 18144756 TI - Surgical treatment of esophageal hiatus hernia by transthoracic herniotomy; a preliminary report. AB - In view of the extensive operation required for repair of hiatus hernia by transthoracic or abdominal approach, herniotomy was done in three cases. Objectives were to (a) widen the esophageal hiatus, (b) remove the hernial sac, (c) cut the structures of the omentum and lesser curvature so that the stomach would lie flat in the chest, and (d) fix the stomach at the new level. After the operation, all three patients were free of the symptoms of indigestion of which they had previously complained. PMID- 18144757 TI - The nursing crisis. AB - Three concrete proposals are made for the improvement of the present nursing situation:1. Make nursing education more easily available by holding the prerequisites to a minimum and concentrating upon the real essentials of nursing, granting the student the R.N. degree when she has completed this basic and essential training.2. Utilize more fully the principles of group nursing as applied to "specialing" whether in the home or in the hospital.3. Completely avoid the use of sub-standard nurses, while furnishing to the nurse such non technical service (through the use of maid assistants or others) as shall make practicable the complete utilization of her skill and training. PMID- 18144758 TI - Carcinoma of the rectum complicating pregnancy. PMID- 18144760 TI - [Not Available]. PMID- 18144759 TI - Recent advances in cardiovascular surgery. PMID- 18144761 TI - [Not Available]. PMID- 18144762 TI - [Not Available]. PMID- 18144763 TI - [Not Available]. PMID- 18144764 TI - A case of secondary thrombocytopoenia resembling onyalai. PMID- 18144765 TI - [Not Available]. PMID- 18144766 TI - [Not Available]. PMID- 18144768 TI - [Not Available]. PMID- 18144767 TI - [Not Available]. PMID- 18144769 TI - [Not Available]. PMID- 18144770 TI - [Not Available]. PMID- 18144771 TI - [The eletrocardiogramma the chronic form of Chagas disease]. PMID- 18144772 TI - [Observation and discussion of a case of Mitsuda-negative tuberculoid leprosy; focal reaction stimulated by tuberculin]. PMID- 18144773 TI - Causes of failure in treatment of amoebic dysentery. PMID- 18144774 TI - Some constituents of normal blood in central India people; serum calcium and serum phosphorus. PMID- 18144775 TI - A case of acute intestinal obstruction due to volvulus of caecum and ascending colon. PMID- 18144776 TI - Chronic lymphatic leukemia; a study of 100 patients treated with radioactive phosphorus. PMID- 18144777 TI - Antihistamine therapy of bee stings. PMID- 18144778 TI - Office diagnosis and treatment of diabetes mellitus. PMID- 18144779 TI - Richter's type hernia of the transverse colon; a case report. PMID- 18144780 TI - The management of status asthmaticus. PMID- 18144781 TI - The antihistamine drugs in the treatment of hay fever in the adult. PMID- 18144782 TI - [Not Available]. PMID- 18144784 TI - [Not Available]. PMID- 18144783 TI - [Not Available]. PMID- 18144785 TI - [Not Available]. PMID- 18144786 TI - Ligation of the common carotid artery; report of 19 personal cases. PMID- 18144787 TI - Replacement transfusion; technique in the newborn. PMID- 18144789 TI - HOSPITALISATION in childhood. PMID- 18144788 TI - Thyrotoxicosis, with ophthalmoplegia, myopathy, Wolff-Parkinson-White syndrome, and pericardial friction. PMID- 18144790 TI - Some clinical aspects of rheumatic fever. PMID- 18144791 TI - The treatment of hernia. PMID- 18144792 TI - Differential diagnosis of diseases of the hip in children. PMID- 18144793 TI - [Not Available]. PMID- 18144794 TI - [Not Available]. PMID- 18144795 TI - [Not Available]. PMID- 18144796 TI - [Not Available]. PMID- 18144797 TI - Inguinal and femoral hernioplasty. PMID- 18144798 TI - Laboratory studies of cerebrospinal fluid in meningitis and poliomyelitis. PMID- 18144799 TI - The value of the Rorschach test. PMID- 18144800 TI - Some considerations in intestinal anastomosis. PMID- 18144801 TI - The sequelae of eastern equine encephalomyelitis. PMID- 18144802 TI - Rheumatic heart disease, aortic stenosis and regurgitation. PMID- 18144803 TI - [Mignon's eosinophilic granuloma]. PMID- 18144804 TI - [The determination of urinary 17-ketosteroid as a diagnostic method in adreno cortical syndromes]. PMID- 18144805 TI - [Deficiency of folic acid and vitamin K in symptomatic sprue]. PMID- 18144806 TI - [Not Available]. PMID- 18144807 TI - Nutrition surveys. PMID- 18144808 TI - Osteogenic sarcoma. PMID- 18144809 TI - Further studies on the use of rectal sodium pentothal in obstetrics. PMID- 18144810 TI - [Importance of histopathological examination of material obtained by aspiration biopsy]. PMID- 18144811 TI - [Not Available]. PMID- 18144812 TI - Isoimmunization by the Rh factor. PMID- 18144813 TI - Diagnosis and treatment of cirrhosis of the liver. PMID- 18144814 TI - Roentgenographic studies of the cervical spine. PMID- 18144815 TI - [Not Available]. PMID- 18144816 TI - [Not Available]. PMID- 18144817 TI - [Not Available]. PMID- 18144818 TI - [Not Available]. PMID- 18144819 TI - [Not Available]. PMID- 18144820 TI - [Not Available]. PMID- 18144822 TI - [Not Available]. PMID- 18144821 TI - [Not Available]. PMID- 18144823 TI - A preliminary report on the use of dicumarol in recent myocardial infarction. PMID- 18144824 TI - Osteomyelitis of the frontal bone of rhinogenic origin. PMID- 18144825 TI - Anaesthesia for the surgical treatment of hypertension. PMID- 18144826 TI - The heart in endocrine disease. PMID- 18144827 TI - [Not Available]. PMID- 18144828 TI - [Not Available]. PMID- 18144829 TI - [Not Available]. PMID- 18144830 TI - Discussion on peripheral vascular diseases. PMID- 18144831 TI - Glycolysis in Plasmodium gallinaceum. PMID- 18144832 TI - Studies of the thrombin effect of fresh serum. PMID- 18144833 TI - Effect of succinylsulfathiazole on the urinary excretion of folic acid by the rabbit. PMID- 18144834 TI - Effect of gold administration on liver function in dogs. PMID- 18144835 TI - Cell proliferation accelerating and inhibiting substances in blood serum during pregnancy. PMID- 18144836 TI - Estimation of dicumarol, 3,31-methylenebis (4-hydroxycoumarin) in biological fluids. PMID- 18144837 TI - The pathogenicity of bagasse; effect on rabbits of prolonged exposure to bagasse. PMID- 18144838 TI - Simultaneous fluorocardiography and recording of intracardiac pressure. PMID- 18144839 TI - Effect of boric acid on biological activity of alloxan. PMID- 18144840 TI - [Not Available]. PMID- 18144841 TI - [Not Available]. PMID- 18144842 TI - [Not Available]. PMID- 18144843 TI - The ocular manifestations of polyarteritis nodosa. PMID- 18144844 TI - [Not Available]. PMID- 18144845 TI - [Not Available]. PMID- 18144847 TI - [Not Available]. PMID- 18144846 TI - [Not Available]. PMID- 18144848 TI - [Not Available]. PMID- 18144849 TI - [Not Available]. PMID- 18144850 TI - [Not Available]. PMID- 18144851 TI - [Not Available]. PMID- 18144852 TI - [Not Available]. PMID- 18144853 TI - [Not Available]. PMID- 18144854 TI - [Not Available]. PMID- 18144855 TI - [Not Available]. PMID- 18144856 TI - [Not Available]. PMID- 18144857 TI - [Not Available]. PMID- 18144858 TI - [Not Available]. PMID- 18144859 TI - [Not Available]. PMID- 18144860 TI - [Not Available]. PMID- 18144861 TI - [Not Available]. PMID- 18144862 TI - [Not Available]. PMID- 18144863 TI - [Not Available]. PMID- 18144864 TI - [Not Available]. PMID- 18144865 TI - [Not Available]. PMID- 18144867 TI - [Not Available]. PMID- 18144866 TI - [Not Available]. PMID- 18144868 TI - [Not Available]. PMID- 18144869 TI - [Not Available]. PMID- 18144870 TI - [Not Available]. PMID- 18144872 TI - MORTALITY experience of a group of naval officers. PMID- 18144871 TI - [Not Available]. PMID- 18144873 TI - A clinical study of thrombophlebitis and pulmonary embolism; preliminary report. PMID- 18144874 TI - Diagnosis of minimal pulmonary tuberculosis, spontaneous pneumothorax, pleurisy with effusion. PMID- 18144875 TI - Introducing calcium chloride complex for foot-clothing and the skin. PMID- 18144877 TI - The electrical fields at the surface of the head during sleep. PMID- 18144876 TI - [Not Available]. PMID- 18144878 TI - The influence of the body temperature on the Eeg. of the rat. PMID- 18144879 TI - [Not Available]. PMID- 18144880 TI - Aniseikonia and binocular vision. PMID- 18144881 TI - [Not Available]. PMID- 18144882 TI - [Not Available]. PMID- 18144883 TI - [Not Available]. PMID- 18144884 TI - [Not Available]. PMID- 18144885 TI - [Not Available]. PMID- 18144886 TI - [Not Available]. PMID- 18144887 TI - [Not Available]. PMID- 18144888 TI - [Not Available]. PMID- 18144889 TI - [Not Available]. PMID- 18144890 TI - [Not Available]. PMID- 18144891 TI - [Not Available]. PMID- 18144892 TI - [Not Available]. PMID- 18144893 TI - [Not Available]. PMID- 18144894 TI - [Not Available]. PMID- 18144895 TI - [Not Available]. PMID- 18144896 TI - [Not Available]. PMID- 18144897 TI - Operation on the sphenoid. PMID- 18144898 TI - The conservation program in Wisconsin. PMID- 18144899 TI - Listening eyes. PMID- 18144900 TI - Sulfur metabolism and its relation to wound healing in ophthalmology and otolaryngology. PMID- 18144901 TI - Some points in the pathology, diagnosis and treatment of chronic maxillary sinusitis. PMID- 18144902 TI - Ventilation paracentesis for the relief of stubborn eustachian tube blockage. PMID- 18144903 TI - In vitro studies of lymph nodes involved in Hodgkin's disease; liquefaction of culture medium. PMID- 18144904 TI - The mole as a possible reservoir of poliomyelitis. PMID- 18144906 TI - [Not Available]. PMID- 18144905 TI - Treatment of poor posture and nonsurgical orthopedic conditions. PMID- 18144907 TI - [Not Available]. PMID- 18144908 TI - [Not Available]. PMID- 18144909 TI - [Not Available]. PMID- 18144910 TI - [Not Available]. PMID- 18144911 TI - Contribution on the thrombocytopenic action of urethane in dogs. PMID- 18144912 TI - The action of sodium thiocyanate on cardiac output. PMID- 18144913 TI - The specificity of the trimethylammonium group in acetylcholine. PMID- 18144914 TI - The interactions of drugs and plasma proteins. PMID- 18144915 TI - [Not Available]. PMID- 18144916 TI - Diabetes and the pharmacist. PMID- 18144917 TI - [Not Available]. PMID- 18144918 TI - [Not Available]. PMID- 18144919 TI - On the correlation between hyaluronidase content and spermiogenesis in the testes. PMID- 18144920 TI - The origin in the CNS of gastric secretory impulses induced by hypoglycemia. PMID- 18144921 TI - The effect of fasting on muscle phosphorylase activity in the rat. PMID- 18144922 TI - Changes in transparency of muscle during a twitch. PMID- 18144923 TI - Evidence for saltatory conduction in peripheral myelinated nerve fibres. PMID- 18144924 TI - The influence of magnesium on respiration glycolysis and cholinesterase activity in rat brain. PMID- 18144925 TI - Excretion of sodium by human erythrocytes. PMID- 18144926 TI - Afferent discharges from extraocular muscles. PMID- 18144927 TI - Failure of nerve homogenates to catalyse the coupled breakdown of acetylcholine and energy-rich phosphate. PMID- 18144928 TI - The arterial blood pressure responses to adrenaline and noradrenaline in dogs surviving adrenalectomy and sympathectomy. PMID- 18144929 TI - The effect of synchronizing light and sound stimuli with various components of the electro-encephalogram. PMID- 18144930 TI - The rate of discharge of the extra-ocular motoneurones. PMID- 18144931 TI - A technique for investigating the properties of a single mammalian sensory ending. PMID- 18144932 TI - The relationship between reading ability and intelligence among university freshmen. PMID- 18144933 TI - The development of internationalist attitudes; hypotheses and verifications. PMID- 18144934 TI - Factors influencing the formation and change of political and religious attitudes. PMID- 18144935 TI - Prevalence of poliomyelitis in 1948. PMID- 18144936 TI - [Enemies of materialism]. PMID- 18144937 TI - [Medical Institute of Scientific Publications]. PMID- 18144938 TI - A note on back-scatter and depth doses for elongated rectangular X-ray fields. PMID- 18144939 TI - [Not Available]. PMID- 18144940 TI - [Not Available]. PMID- 18144941 TI - [Not Available]. PMID- 18144942 TI - [Not Available]. PMID- 18144943 TI - [Not Available]. PMID- 18144944 TI - [Not Available]. PMID- 18144945 TI - [Not Available]. PMID- 18144946 TI - [Not Available]. PMID- 18144947 TI - [Not Available]. PMID- 18144948 TI - Palliative operations for carcinoma of the pancreas. PMID- 18144949 TI - The organization of treatment of anterior poliomyelitis in Victoria, Australia. PMID- 18144950 TI - [Not Available]. PMID- 18144951 TI - [Not Available]. PMID- 18144952 TI - [Not Available]. PMID- 18144954 TI - [Not Available]. PMID- 18144953 TI - [Not Available]. PMID- 18144955 TI - [Not Available]. PMID- 18144956 TI - Oral administration of aureomycin in the treatment of gonorrhea. PMID- 18144957 TI - A ureterorecto fistula following a resection for carcinoma of the bowel. PMID- 18144958 TI - Stress incontinence due to phenobarbital. PMID- 18144959 TI - The inherent dangers of fever therapy in the treatment of paresis. PMID- 18144960 TI - Theoretical and practical considerations in formulation of prescriptions for skin diseases. PMID- 18144962 TI - Observations on the snout of Varanus, and a comparison with that of other lizards and snakes. PMID- 18144961 TI - Nucleic acids and the Feulgen reaction. PMID- 18144963 TI - The effect of curare on blood flow. PMID- 18144964 TI - Amniotic embolism; a possible hazard in obstetric cases. PMID- 18144965 TI - The design and calibration of a vaporiser for trichlorethylene. PMID- 18144966 TI - [Not Available]. PMID- 18144967 TI - [Not Available]. PMID- 18144968 TI - The serological differentiation of staphylococcal bacteriophages. PMID- 18144969 TI - The relationship between micro-organisms and soil aggregation. PMID- 18144970 TI - Radical pancreatectomy and splenectomy with left total pneumonectomy at one sitting for sarcoma of the pancreas and pulmonary metastases. PMID- 18144971 TI - Sponge biopsy; a new method in the diagnosis of cancer. PMID- 18144972 TI - The relatively favorable prognosis of medullary carcinoma of the breast. PMID- 18144973 TI - [Not Available]. PMID- 18144974 TI - [Not Available]. PMID- 18144975 TI - Normal and impaired function of the leg veins. PMID- 18144976 TI - Atrial fibrillation induced by epinephrine in hypothermic dogs. PMID- 18144978 TI - [Not Available]. PMID- 18144977 TI - Paroxysmal tachycardia with a ventricular rate of 365 per minute. PMID- 18144979 TI - [Not Available]. PMID- 18144980 TI - [Not Available]. PMID- 18144981 TI - Cartesian diver technique. PMID- 18144983 TI - The utilization of acetate for the synthesis of fatty acids, cholesterol, and protoporphyrin. PMID- 18144982 TI - On the nitrogen turnover in purines from polynucleotides determined with glycine N15. PMID- 18144984 TI - Metabolism of L-aspartic acid. PMID- 18144985 TI - A colorimetric method for the determination of phenol oxidase in plant material. PMID- 18144986 TI - Neutron well logging. PMID- 18144987 TI - Bibliography on radiation protection. PMID- 18144988 TI - Adaptation to embouchure as a function of dentofacial complex. PMID- 18144989 TI - A comparative examination of the condylar path. PMID- 18144990 TI - Dental services of the Children's Bureau. PMID- 18144991 TI - Oral manifestations produced by early irradiation; report of a case. PMID- 18144992 TI - Prosthetic treatment of extreme malocclusion; report of a case. PMID- 18144993 TI - An unusual case of anomalous (supernumerary) dentition. PMID- 18144994 TI - Leontiasis ossea confined to the maxilla and mandible; report of a case. PMID- 18144995 TI - [The pairing of proximal caries]. PMID- 18144996 TI - [Not Available]. PMID- 18144997 TI - [Not Available]. PMID- 18144998 TI - [Not Available]. PMID- 18144999 TI - [Not Available]. PMID- 18145000 TI - [Not Available]. PMID- 18145001 TI - [Not Available]. PMID- 18145002 TI - [Not Available]. PMID- 18145003 TI - [Not Available]. PMID- 18145004 TI - Nutritional disorders of the skin among prisoners of war in the Far East. PMID- 18145005 TI - [Not Available]. PMID- 18145006 TI - The effect of adrenal cortex extract with and without epinephrine upon the work of adrenally insufficient rats. PMID- 18145007 TI - [Not Available]. PMID- 18145008 TI - [Not Available]. PMID- 18145009 TI - [Not Available]. PMID- 18145010 TI - [Not Available]. PMID- 18145012 TI - The medical care and rehabilitation of elderly people. PMID- 18145011 TI - The 60-65 convention. PMID- 18145013 TI - Some economic implications of an ageing population. PMID- 18145014 TI - Biology in the educational curriculum. PMID- 18145015 TI - The zoogeography of the Collembola. PMID- 18145016 TI - Some applications of radioactive tracers in medicine. PMID- 18145017 TI - Development of research on the insect aerofauna. PMID- 18145018 TI - Radioactive tracers. PMID- 18145019 TI - Uptake of radioactive phosphorus by influenza virus. PMID- 18145020 TI - Asymmetry of the reproductive organs in the earthworm Neodrilus agilis. PMID- 18145022 TI - Energy spectrum of secondary electrons from mu-meson decay. PMID- 18145021 TI - Fluorimetric determination of antrycide. PMID- 18145023 TI - Exchange of materials in a lake as studied by radioactive phosphorus. PMID- 18145024 TI - The blister hypothesis. PMID- 18145025 TI - Low temperature physics. PMID- 18145026 TI - Ancient slavery. PMID- 18145027 TI - The prevention of murder. PMID- 18145029 TI - Fracture of liquids; nucleation theory applied to bubble formation. PMID- 18145028 TI - The natural science ideal in the social sciences. PMID- 18145030 TI - Degenerative and regenerative changes in the thyroid gland following high dosages of radioactive iodine. PMID- 18145031 TI - The Q-technique study of personality. PMID- 18145032 TI - [The prolapse of the urethra in women]. PMID- 18145033 TI - Comparison of vitamin B12 from liver and from Streptomyces griseus in the treatment of pernicious anemia. PMID- 18145035 TI - The larder and the bakery. PMID- 18145034 TI - Preparing the ground for joint consultative committees. PMID- 18145036 TI - The ascorbic acid content of the adrenal glands of chicks infected with Plasmodium gallinaceum. PMID- 18145037 TI - The diagnosis and management of atypical or virus pneumonia. PMID- 18145038 TI - The association of capillary sclerosis with arteriosclerosis and phlebosclerosis; its pathogenesis and clinical significance. PMID- 18145039 TI - Gonococcal arthritis; a study of 202 patients treated with penicillin, sulfonamides or fever therapy. PMID- 18145040 TI - Acute porphyria; report of two cases with electrical studies in one. PMID- 18145041 TI - Important aspects of legal medicine. PMID- 18145043 TI - Temporal arteritis; with report of a case. PMID- 18145042 TI - Management of the artificial anus. PMID- 18145044 TI - Treatment of the menopause syndrome; advantages of combining oral androgens with estrogens. PMID- 18145045 TI - [Not Available]. PMID- 18145046 TI - [Not Available]. PMID- 18145047 TI - [Not Available]. PMID- 18145048 TI - An operation for the treatment of stress incontinence. PMID- 18145049 TI - Nutritional macrocytic anaemia in temperate zones. PMID- 18145050 TI - A bacterial pyuria producing bilateral ureteric stenosis. PMID- 18145052 TI - Surgical opinion on mammary cancer from Heister to Halsted. PMID- 18145053 TI - An evaluation of the newest autonomic blocking agents. PMID- 18145051 TI - [Not Available]. PMID- 18145054 TI - [Not Available]. PMID- 18145055 TI - Recent developments in group practice. PMID- 18145056 TI - A new reagent for the histochemical demonstration of active carbonyl groups of lipoid and nonlipoid material. PMID- 18145057 TI - The immediate and late results of the transsphenoidal and cranial methods of operation in pituitary tumors. PMID- 18145058 TI - [Not Available]. PMID- 18145059 TI - [Not Available]. PMID- 18145060 TI - [Not Available]. PMID- 18145061 TI - [Not Available]. PMID- 18145062 TI - [Not Available]. PMID- 18145063 TI - [Not Available]. PMID- 18145064 TI - [Not Available]. PMID- 18145065 TI - [Not Available]. PMID- 18145066 TI - [Not Available]. PMID- 18145067 TI - [Not Available]. PMID- 18145068 TI - [Not Available]. PMID- 18145069 TI - [Not Available]. PMID- 18145070 TI - [Not Available]. PMID- 18145071 TI - [Not Available]. PMID- 18145072 TI - [Not Available]. PMID- 18145073 TI - [Not Available]. PMID- 18145074 TI - Keratoconjunctivitis due to crown-flower. PMID- 18145075 TI - Multiple transfusions in chronic lymphatic leukemia. PMID- 18145076 TI - The accurate estimation of haemoglobin. PMID- 18145077 TI - Will noise damage one's hearing? PMID- 18145078 TI - Carcinoma of the breast; a 15-year survey of 205 cases. PMID- 18145079 TI - [Not Available]. PMID- 18145080 TI - [Not Available]. PMID- 18145081 TI - [Not Available]. PMID- 18145082 TI - [Not Available]. PMID- 18145083 TI - [Not Available]. PMID- 18145084 TI - [Not Available]. PMID- 18145086 TI - Giant ovarian cyst in a 20 year old girl; case report. PMID- 18145085 TI - Prolonged moderate dose therapy versus intensive short term therapy with penicillin and caronamide in subacute bacterial endocarditis. PMID- 18145087 TI - [Not Available]. PMID- 18145088 TI - [Not Available]. PMID- 18145089 TI - [Not Available]. PMID- 18145090 TI - [Not Available]. PMID- 18145091 TI - [Not Available]. PMID- 18145092 TI - [Not Available]. PMID- 18145093 TI - [Not Available]. PMID- 18145094 TI - The effect of tetraethylammonium bromide on the kidneys. PMID- 18145095 TI - Factors affecting the response of immunized guinea pigs to antigenic stimulus; further observations. PMID- 18145096 TI - Hormone treatment of the sexual offender. PMID- 18145097 TI - Some observations on the pathology of infectious hepatitis and allied conditions. PMID- 18145098 TI - Report of a case of temporal arteritis. PMID- 18145099 TI - Penicillin and streptomycin in the treatment of Haemophilus influenzae meningitis. PMID- 18145100 TI - Spigelian hernia; report of a case. PMID- 18145101 TI - Meningocele and myelomeningocele. PMID- 18145102 TI - Common fractures of the foot. PMID- 18145103 TI - Etiology and specific treatment of intravascular thrombosis and embolism. PMID- 18145104 TI - [Not Available]. PMID- 18145105 TI - [Not Available]. PMID- 18145106 TI - [Not Available]. PMID- 18145107 TI - [Not Available]. PMID- 18145108 TI - [Not Available]. PMID- 18145109 TI - [Not Available]. PMID- 18145110 TI - [Not Available]. PMID- 18145111 TI - Rheumatic heart disease, with mitral and aortic stenosis. PMID- 18145112 TI - Disseminated Cryptococcus neoformans; case report. PMID- 18145113 TI - Surgery of the aged. PMID- 18145114 TI - Present status of chloromycetin therapy. PMID- 18145115 TI - [Not Available]. PMID- 18145116 TI - [Not Available]. PMID- 18145117 TI - [Not Available]. PMID- 18145118 TI - [Not Available]. PMID- 18145119 TI - [Not Available]. PMID- 18145120 TI - [False positive serologic reactions for syphilis in diseases of the respiratory tract]. PMID- 18145121 TI - [Pheochromocytoma operated upon successfully]. PMID- 18145122 TI - [Alkyl mercury compound poisoning; clinical aspect and risks of exposure]. PMID- 18145123 TI - [Not Available]. PMID- 18145124 TI - [Not Available]. PMID- 18145125 TI - [Not Available]. PMID- 18145126 TI - [Not Available]. PMID- 18145127 TI - [Not Available]. PMID- 18145128 TI - [Not Available]. PMID- 18145129 TI - [Not Available]. PMID- 18145130 TI - [Not Available]. PMID- 18145132 TI - [Medical service in the United States]. PMID- 18145131 TI - [Not Available]. PMID- 18145133 TI - [Diagnosis and surgery of chronic constrictive pericarditis]. PMID- 18145134 TI - Crohn's disease; a review. PMID- 18145135 TI - Modern trends in the treatment of infections of the hand. PMID- 18145136 TI - [Not Available]. PMID- 18145137 TI - [Not Available]. PMID- 18145138 TI - [Not Available]. PMID- 18145139 TI - [Not Available]. PMID- 18145140 TI - [Not Available]. PMID- 18145141 TI - [Not Available]. PMID- 18145142 TI - [Not Available]. PMID- 18145143 TI - [Not Available]. PMID- 18145144 TI - [Not Available]. PMID- 18145145 TI - [Not Available]. PMID- 18145146 TI - [Not Available]. PMID- 18145148 TI - Cryptogenic chronic diffuse isolated myocarditis. PMID- 18145147 TI - [Not Available]. PMID- 18145149 TI - [Not Available]. PMID- 18145151 TI - [Not Available]. PMID- 18145150 TI - [Not Available]. PMID- 18145152 TI - [Not Available]. PMID- 18145153 TI - [Not Available]. PMID- 18145154 TI - [Not Available]. PMID- 18145155 TI - [Not Available]. PMID- 18145156 TI - [Not Available]. PMID- 18145157 TI - Airborne medical service. PMID- 18145158 TI - The part the Army Nurse Corps Reserve will play in our military program. PMID- 18145159 TI - Supervising and teaching. PMID- 18145160 TI - The uses and abuses of streptomycin in thoracic surgery. PMID- 18145161 TI - Ringworm therapy; fungicidal skin varnish. PMID- 18145162 TI - Trochanteric fractures of the femur; a plea for conservative treatment. PMID- 18145163 TI - Skin grafting by cross-leg flaps. PMID- 18145164 TI - Treatment of giant-cell tumours of bone with a review of 25 cases. PMID- 18145165 TI - Malignant osteoclastoma and the association of malignant osteoclastoma with Paget's osteitis deformans. PMID- 18145166 TI - An ancient Egyptian treatise on traumatology, 2800 B.C. PMID- 18145167 TI - [Not Available]. PMID- 18145168 TI - [Not Available]. PMID- 18145169 TI - The effects of convulsive therapy on the excretion of cortins and ketosteroids. PMID- 18145170 TI - The psychosomatic diseases; a hypothetical formulation. PMID- 18145171 TI - Electronarcosis at the Homewood Sanitarium, Guelph, Ontario. PMID- 18145172 TI - The results of prefrontal leucotomy in 68 patients not discharged from hospital. PMID- 18145173 TI - A Rorschach study of folie a deux of mother and son. PMID- 18145174 TI - The suppression of the motor phenomena of electroshock and electronarcosis by modification of the current level. PMID- 18145176 TI - The patient with bulbar-respiratory poliomyelitis. PMID- 18145175 TI - Diagnosis and rational psychotherapy. PMID- 18145177 TI - Preventing infancy ailments. PMID- 18145178 TI - You and yours. PMID- 18145179 TI - The child's idea of what and how to eat. PMID- 18145180 TI - Stability of riboflavin in eggs to cooking and to light. PMID- 18145181 TI - Relation of iodine to the goitrogenic properties of soybeans. PMID- 18145182 TI - Local use of heparin in the eye; pellet implantation at an experimental filtering site. PMID- 18145183 TI - Present concept of the therapy of ocular syphilis. PMID- 18145184 TI - A simplified method of enucleation with a motility implant. PMID- 18145185 TI - Hemostasis in tear-sac operations. PMID- 18145186 TI - Heteroplastic grafts. PMID- 18145187 TI - Night driving. PMID- 18145188 TI - Corrective and preventive visual care. PMID- 18145189 TI - Congenital choanal atresia; a new transpalatine technic. PMID- 18145190 TI - Pneumococcic meningitis; presentation of a case with operation and recovery. PMID- 18145191 TI - On the technique of the fenestration operation. PMID- 18145192 TI - On the nature of a dual function in the cochlear nerve; with reference to features of middle-ear deafness in cases of cochlear lesions. PMID- 18145193 TI - Haemangioma of the trachea in an infant; successful removal. PMID- 18145194 TI - An evaluation of the use of group-specific substances in group O blood transfusions. PMID- 18145195 TI - Gaucher's disease in a Negro; report of case. PMID- 18145196 TI - Genic factors in visceral asymmetry and in the development and pathologic changes of lungs, heart and abdominal organs. PMID- 18145197 TI - Primary systemic amyloid disease; report of a case emphasizing cardiac involvement. PMID- 18145198 TI - Acute experimental calcium chloride acidosis. PMID- 18145199 TI - The effect of triphenylmethane dyes on the intracellular growth of influenza virus A. PMID- 18145200 TI - [Not Available]. PMID- 18145201 TI - [Not Available]. PMID- 18145202 TI - [Not Available]. PMID- 18145203 TI - [Not Available]. PMID- 18145204 TI - [Not Available]. PMID- 18145205 TI - [Not Available]. PMID- 18145206 TI - The use of BCG in Europe. PMID- 18145207 TI - [Not Available]. PMID- 18145208 TI - [Not Available]. PMID- 18145209 TI - [Not Available]. PMID- 18145210 TI - [Not Available]. PMID- 18145211 TI - The newborn-service in New York. PMID- 18145212 TI - [Not Available]. PMID- 18145213 TI - [Not Available]. PMID- 18145214 TI - [Not Available]. PMID- 18145215 TI - Agricultural research and pharmacy. PMID- 18145216 TI - [Not Available]. PMID- 18145217 TI - Adrenals and fatigue; the cholinesterase activity of serum, brain and muscle in normal and adrenalectomized rats. PMID- 18145218 TI - [Not Available]. PMID- 18145219 TI - [Not Available]. PMID- 18145220 TI - The ganglionic blocking action of dibutoline. PMID- 18145221 TI - [Not Available]. PMID- 18145223 TI - Effect of diet on liver regeneration in partially hepatectomized rats. PMID- 18145222 TI - [Not Available]. PMID- 18145224 TI - Action of anticholinesterases, drugs and intermediates of respiration and electrical activity of the isolated frog brain. PMID- 18145225 TI - Reflex peristalsis of the intestine. PMID- 18145226 TI - Measurement of intellectual deficiency. PMID- 18145227 TI - Maladjusted children of high intelligence. PMID- 18145228 TI - Generalization of a reference scale for judging pitch. PMID- 18145229 TI - The effect of motivating conditions on the estimation of time. PMID- 18145230 TI - New data on the influence of frequency and of mind set. PMID- 18145231 TI - Planning the morbidity survey. PMID- 18145232 TI - Morbidity surveys; the local health officer and sickness surveys. PMID- 18145233 TI - Nutrient retention during canned food production. PMID- 18145234 TI - School health services; a report from the American Academy of Pediatrics study of child health services. PMID- 18145235 TI - Breast cancer mortality, Ontario, 1909-1947; the lack of any decline, and its significance. PMID- 18145236 TI - [Not Available]. PMID- 18145237 TI - [Not Available]. PMID- 18145238 TI - [Not Available]. PMID- 18145240 TI - [Not Available]. PMID- 18145239 TI - [Not Available]. PMID- 18145241 TI - [Not Available]. PMID- 18145242 TI - [Not Available]. PMID- 18145243 TI - [Not Available]. PMID- 18145244 TI - [Not Available]. PMID- 18145245 TI - Radiography of the foot. PMID- 18145246 TI - Radiographic technique chart. PMID- 18145247 TI - [Not Available]. PMID- 18145248 TI - Effects on the breast of removal of the nipple or severing of the ducts. PMID- 18145249 TI - Suppurative disease of the lungs. PMID- 18145250 TI - The elderly patients a surgical risk; an analysis of 322 operations performed on 244 patients 60 years or age and over. PMID- 18145251 TI - Malignant disease of the mouth. PMID- 18145252 TI - [Not Available]. PMID- 18145253 TI - [Not Available]. PMID- 18145254 TI - [Not Available]. PMID- 18145255 TI - [Not Available]. PMID- 18145256 TI - [Not Available]. PMID- 18145257 TI - [Not Available]. PMID- 18145258 TI - [Not Available]. PMID- 18145259 TI - [Not Available]. PMID- 18145260 TI - The treatment of hypospadias. PMID- 18145261 TI - Bilateral lympho-epithelioma of the testicle and epididymis, metastatic from the nasopharynx. PMID- 18145262 TI - Vasomotor response to the intravenous administration of neoiopax for urograms. PMID- 18145263 TI - Local nasal therapy with pyribenzamine in seasonal and nonseasonal hay fever. PMID- 18145264 TI - Bronchodilation under anesthesia with 1(3,4-dihydroxyphenyl) 2 isopropyl aminoethanol hydrochloride, a comparative study; preliminary report. PMID- 18145265 TI - The detection of explosive mixture or static in operating rooms. PMID- 18145266 TI - A case of severe dermatitis venenata due to metycaine. PMID- 18145267 TI - Physiological effects of brief periods of exposure to low temperatures. PMID- 18145268 TI - An improved method for the preparation of Vibrio foetus agglutination antigen. PMID- 18145270 TI - [Not Available]. PMID- 18145269 TI - Planned parenthood. PMID- 18145271 TI - The correlation of the cardiac volume to the surface area of the body, the blood volume and the physical capacity for work. PMID- 18145274 TI - The interpretation of biochemical detail revealed by inborn errors. PMID- 18145275 TI - Gene action and mutation. PMID- 18145276 TI - A metabolic product of Aspergillus ustus (Bainier) Thom & church. PMID- 18145277 TI - Treatment of an exposed pulp in a deciduous molar tooth. PMID- 18145278 TI - The anodic treatment of aluminium and its alloys for use in the mouth. PMID- 18145279 TI - Unerupted lower third molar in the region of the condyle. PMID- 18145280 TI - The removal of resistant teeth. PMID- 18145281 TI - Early eruption of third molars. PMID- 18145282 TI - Oral diseases and tumors complicating periodontal diagnosis and treatment. PMID- 18145283 TI - The metabolism of minerals and vitamins and the effect of systemic conditions on dental caries. PMID- 18145284 TI - Leukopenia and delayed healing after roentgen therapy for lymphosarcoma; report of a case. PMID- 18145285 TI - REPORT of Amalgamation Drafting Committee. PMID- 18145286 TI - A plan to improve the physical status of selectees for military training prior to induction. PMID- 18145288 TI - [Not Available]. PMID- 18145287 TI - [Not Available]. PMID- 18145289 TI - [Not Available]. PMID- 18145290 TI - Roentgen therapy for hyperhidrosis; observation of 122 patients. PMID- 18145291 TI - Solid carbon dioxide therapy for cystic acne. PMID- 18145292 TI - Concurrent fungous infection of the skin; report of a case. PMID- 18145293 TI - [Not Available]. PMID- 18145294 TI - [Not Available]. PMID- 18145295 TI - [Not Available]. PMID- 18145296 TI - An endocrine finding apparently characteristic of gout; very low urinary 17 ketosteroid excretion with clinically normal androgenic function. PMID- 18145297 TI - Misbranding of Rx legend drugs. PMID- 18145298 TI - The Food and Drug Administration looks at insecticides. PMID- 18145299 TI - Use of Grenz rays in the crime laboratory. PMID- 18145300 TI - Electrophoretic properties of pea proteins. PMID- 18145301 TI - Chemistry of the heavy elements. PMID- 18145302 TI - Scintillation counters using organic compounds. PMID- 18145303 TI - The hydrogen electrode. PMID- 18145304 TI - Intermittent periosteal activity. PMID- 18145305 TI - Trypsin splitting and denaturation of beta-lactoglobulin. PMID- 18145307 TI - The regulation of temperature in the application of high frequency induction heating to thermodynamic measurements. PMID- 18145308 TI - A counter controllable high pressure cloud chamber. PMID- 18145309 TI - Measurement of the thickness of thin nylon films. PMID- 18145310 TI - Do parents want boys or girls? PMID- 18145311 TI - Notes on the conception of type. PMID- 18145312 TI - X-ray visualization of the placenta; experiences with soft-tissue and cystographic techniques in the diagnosis of placenta previa. PMID- 18145313 TI - The effect of veratrum viride on the urine volume, blood pressure and pulse rate in normal and toxemic pregnancy. PMID- 18145314 TI - Diagnosis and management of rupture of the uterus; with a study of 64 maternal deaths. PMID- 18145315 TI - Hyaluronidase in treatment of human sterility; allergic reaction. PMID- 18145316 TI - [Not Available]. PMID- 18145317 TI - [Not Available]. PMID- 18145318 TI - GROUP medical services for small plants. PMID- 18145319 TI - HEALTH education in industry. PMID- 18145321 TI - [Not Available]. PMID- 18145320 TI - Lead hazards at scrap burning operations. PMID- 18145322 TI - [Not Available]. PMID- 18145323 TI - Psychosomatic factors in the adjustment of new immigrants. PMID- 18145324 TI - The clinical use of antihistaminic drugs. PMID- 18145325 TI - Relapsing typhoid fever. PMID- 18145326 TI - Streptomycin. PMID- 18145327 TI - Foreign body, fish, in nasopharynx. PMID- 18145328 TI - A case of neuromyelitis optica (Devic's disease) with recovery of useful vision. PMID- 18145329 TI - [Not Available]. PMID- 18145330 TI - [Not Available]. PMID- 18145331 TI - The biochemical management of anuria and oliguria. PMID- 18145333 TI - A simple gas analyzer. PMID- 18145332 TI - Studies on the function of the kidney in cardiac failure. PMID- 18145334 TI - The lipidolytic enzymes of larvae of Galleria mellonella. PMID- 18145335 TI - Emotional disorders and society. PMID- 18145336 TI - Changing concepts in therapeutics. PMID- 18145337 TI - Points of local chest tenderness in post-operative pulmonary embolism. PMID- 18145338 TI - Pulsus alternant and electrical alternation. PMID- 18145339 TI - Auricular alternation after propyl-thiouracil. PMID- 18145341 TI - [Not Available]. PMID- 18145340 TI - The effect of podophyllin on pathogenic fungi and its clinical application in the treatment of tinea capitis; preliminary report. PMID- 18145342 TI - [Not Available]. PMID- 18145343 TI - Some practical problems of the antirabies treatment [Hebrew text]. PMID- 18145344 TI - The problem of typhoid in Israel, especially in Tel Aviv [Hebrew text]. PMID- 18145345 TI - Identification of the Nadler type (R. Ettinger-Tulczinska, 1943) with Shigella sp. Q 1167 (Large-Sachs) and the presence of Shigella paradysenteriae Boyd III & V (Flexner XI & XIII) in Israel. PMID- 18145346 TI - [Not Available]. PMID- 18145347 TI - Experience with cardiolipin. PMID- 18145348 TI - Regional ileitis and neurosis. PMID- 18145349 TI - Acute regional ileitis in an 80-year-old male. PMID- 18145350 TI - A spectrophotometric method for determination of procaine and p-aminobenzoic acid. PMID- 18145351 TI - Service for the veteran at the Neuropsychiatric Hospital, Togus, Maine. PMID- 18145352 TI - Amicrobic pyuria; a report of two cases. PMID- 18145353 TI - The rise in hospital costs. PMID- 18145354 TI - The climacteric and its management. PMID- 18145356 TI - Exfoliative cytology; pathological aspects. PMID- 18145355 TI - Familial repetition of myelomeningocele. PMID- 18145357 TI - Heart block. PMID- 18145358 TI - The swollen leg. PMID- 18145359 TI - Aneurysms of the abdominal aorta. PMID- 18145360 TI - The effect of splenectomy in the hemolytic anemias. PMID- 18145361 TI - Effects of anterior pituitary growth hormone preparations on the glutamine glutaminase system. PMID- 18145362 TI - Cancer of the rectum; a report of 41 cases. PMID- 18145363 TI - [Not Available]. PMID- 18145364 TI - Partition chromatography on paper; identification of reducing substances in urine. PMID- 18145365 TI - Retarded growth of limbs as a sequel of encephalitis lethargica. PMID- 18145366 TI - Aerium, preventorium, and sanatorium. PMID- 18145367 TI - [Not Available]. PMID- 18145368 TI - [Not Available]. PMID- 18145370 TI - What's in the Hill Health Bill. PMID- 18145369 TI - [Not Available]. PMID- 18145371 TI - Jail terms for fee-splitters? PMID- 18145372 TI - Prizes, medals, and cash awards. PMID- 18145373 TI - Pyelitis (pyelonephritis) of pregnancy. PMID- 18145374 TI - The modern treatment of pernicious anaemia. PMID- 18145375 TI - The clinical value of liver function tests. PMID- 18145376 TI - Eosinophilia in allergy. PMID- 18145377 TI - The treatment of anaemia. PMID- 18145378 TI - A substitute for buttermilk and its use in infant feeding. PMID- 18145379 TI - A successful method of artificial insemination using a modified vagina speculum. PMID- 18145380 TI - Acne vulgaris. PMID- 18145381 TI - Arachnoiditis. PMID- 18145382 TI - Morning sickness; a simple treatment. PMID- 18145383 TI - [Not Available]. PMID- 18145384 TI - [Not Available]. PMID- 18145385 TI - [Not Available]. PMID- 18145386 TI - [Not Available]. PMID- 18145387 TI - [Not Available]. PMID- 18145388 TI - Acute coronary occlusion simulating acute abdominal disease. PMID- 18145389 TI - A clinical study of the effect of urecholine on paralytic ileus and urinary retention. PMID- 18145390 TI - Pulmonary coccidioidomycosis. PMID- 18145391 TI - Trichinosis complicating pregnancy. PMID- 18145392 TI - [Not Available]. PMID- 18145393 TI - [Not Available]. PMID- 18145394 TI - [Not Available]. PMID- 18145395 TI - [Not Available]. PMID- 18145396 TI - [Not Available]. PMID- 18145397 TI - [Not Available]. PMID- 18145398 TI - [Not Available]. PMID- 18145399 TI - [Not Available]. PMID- 18145400 TI - [Not Available]. PMID- 18145401 TI - [Not Available]. PMID- 18145402 TI - [Not Available]. PMID- 18145403 TI - [Not Available]. PMID- 18145404 TI - [Not Available]. PMID- 18145405 TI - [Not Available]. PMID- 18145406 TI - [Not Available]. PMID- 18145407 TI - [Not Available]. PMID- 18145408 TI - [Not Available]. PMID- 18145409 TI - [Not Available]. PMID- 18145410 TI - [Not Available]. PMID- 18145412 TI - Isolation of an L type culture from a Gram positive spore-bearing bacillus. PMID- 18145411 TI - Role of potassium in dialysing fluid in treatment with the artificial kidney. PMID- 18145413 TI - Effect of pregnancy on the rat ovary transplanted to the spleen. PMID- 18145414 TI - Infection of mammalian erythrocytes by the avian malaria parasite, Plasmodium lophurae. PMID- 18145415 TI - Relationship of catalase activity to virulence in Pasteurella pestis. PMID- 18145416 TI - Effect of an antagonist of pteroylglutamin acid on the leukemia of Ak mice. PMID- 18145417 TI - Automatic measurement of alveolar CO2 in small animals. PMID- 18145418 TI - [Not Available]. PMID- 18145419 TI - [Not Available]. PMID- 18145420 TI - [Not Available]. PMID- 18145421 TI - Medicine in Shakespeare's time. PMID- 18145422 TI - [Not Available]. PMID- 18145423 TI - [Not Available]. PMID- 18145424 TI - [Not Available]. PMID- 18145425 TI - [Not Available]. PMID- 18145426 TI - [Not Available]. PMID- 18145428 TI - [Not Available]. PMID- 18145427 TI - [Not Available]. PMID- 18145429 TI - The role of the consulting services in war time. PMID- 18145430 TI - Sympathetic block therapy in treatment of neurogenic intestinal obstruction, pulmonary embolism, and in angina pectoris with paroxysmal tachycardia. PMID- 18145431 TI - [Not Available]. PMID- 18145432 TI - [Not Available]. PMID- 18145433 TI - On the tendency of Ewing's sarcoma to heal spontaneously, and on the alterations due to irradiation. PMID- 18145434 TI - The morbid anatomy of chronic arthritis. PMID- 18145435 TI - Care of the rheumatic in Sweden. PMID- 18145436 TI - Point of action of 3-o-toloxy-1, 2-propanediol and effects of nervous system. PMID- 18145438 TI - Disorders of the body image caused by lesions of the right parietal lobe. PMID- 18145437 TI - Proprioception and the motor cortex. PMID- 18145439 TI - [Not Available]. PMID- 18145440 TI - [Not Available]. PMID- 18145441 TI - Electroshock and other therapeutic considerations in sexual psychopathy. PMID- 18145442 TI - Developing the nursing team at St. Luke's, Chicago. PMID- 18145443 TI - The dietitians role in the education of medical students. PMID- 18145444 TI - [Not Available]. PMID- 18145446 TI - [Not Available]. PMID- 18145445 TI - [Not Available]. PMID- 18145447 TI - [Not Available]. PMID- 18145448 TI - [Not Available]. PMID- 18145449 TI - [Not Available]. PMID- 18145450 TI - Some recent advances in contact lens technique. PMID- 18145451 TI - Transneuronal chemical changes in Deiters nucleus. PMID- 18145452 TI - Meniere's syndrome; observations on vitamin deficiency as the causative factor; the vestibular disturbance. PMID- 18145453 TI - Intranasal medication with vasoconstrictors. PMID- 18145454 TI - Studies on the blood factor rhw. PMID- 18145455 TI - Rapid measurement of serum total base and estimation of serum sodium; an improved conductivity assembly. PMID- 18145456 TI - The use of silicone-coated needles in blood donor sets. PMID- 18145457 TI - [Not Available]. PMID- 18145458 TI - [Not Available]. PMID- 18145460 TI - Growth in infants under abnormal conditions. PMID- 18145459 TI - [Not Available]. PMID- 18145461 TI - Paroxysmal tachycardia in infancy. PMID- 18145462 TI - [Not Available]. PMID- 18145463 TI - Joint allergy. PMID- 18145464 TI - Oral administration of penicillin in infants. PMID- 18145465 TI - [Not Available]. PMID- 18145466 TI - Amigen-dextri-maltose feeding of the newborn; preliminary report. PMID- 18145467 TI - [The aureomycin]. PMID- 18145468 TI - [Not Available]. PMID- 18145469 TI - [Not Available]. PMID- 18145470 TI - The microbiological determination of choline. PMID- 18145471 TI - Fluorescence of powdered vegetable drugs with particular reference to development of a system of identification. PMID- 18145472 TI - The antipyretic action of some derivatives of salicylic acid, p-aminophenol, and dihydropyrazolon. PMID- 18145473 TI - The isolation of the toxic principle of Oenanthe crocata. PMID- 18145474 TI - The assay of mersalyl. PMID- 18145475 TI - Efferent nervous pathways involved in cutaneous vasodilatation induced by activation of hypothalamic heat loss mechanisms. PMID- 18145476 TI - Effects of antihistamine compounds on the adrenaline liberation from the suprarenals. PMID- 18145477 TI - The rate of lactate utilization in man during work and at rest. PMID- 18145478 TI - Ideal alveolar air and the analysis of ventilation-perfusion relationships in the lungs. PMID- 18145481 TI - The role of reward in psychotherapy. PMID- 18145482 TI - TELEPATHY between twins, based on About twins by Horatio H. Newman. PMID- 18145483 TI - The effects of intra-maze delay; a gap in the maze. PMID- 18145484 TI - Drive intensity discrimination in the albino rat. PMID- 18145485 TI - A study of the process of nondirective therapy. PMID- 18145486 TI - An evaluation of nine nondirective psychotherapy cases by means of the Rorschach. PMID- 18145487 TI - [Not Available]. PMID- 18145488 TI - National Cancer Institute program of postgraduate training for physicians. PMID- 18145489 TI - Pilot mental health clinic; first annual report of Prince Georges County Clinic. PMID- 18145490 TI - Tips on backwashing of ion exchangers. PMID- 18145491 TI - The future of home garbage grinders. PMID- 18145493 TI - The chemistry of water treatment. PMID- 18145492 TI - Preconditioning and digestion of sewage sludge. PMID- 18145494 TI - Behavior of chlorine as a water disinfectant. PMID- 18145495 TI - Results of effluent chlorination at Cleveland. PMID- 18145496 TI - Physical problems of fluoroscopy and spot-film radiography. PMID- 18145497 TI - Peptic ulcer; modern criteria for diagnosis and attempted diagnosis of healing. PMID- 18145498 TI - Chronic constrictive tuberculous pericarditis; report of a case with pericardiectomy. PMID- 18145499 TI - Cerebral air embolism associated with spontaneous pneumothorax. PMID- 18145500 TI - Tomography of larynx in disseminated pulmonary tuberculosis. PMID- 18145502 TI - [Not Available]. PMID- 18145503 TI - The changing role of the occupational therapist. PMID- 18145504 TI - Action of the deltoid muscle. PMID- 18145506 TI - Helminthiasis of the intestinal wall caused by Oesophagostomum aplostomum (Willach, 1891) Railliet and Henry, 1905. PMID- 18145505 TI - The late effects of minor degrees of poor posture. PMID- 18145507 TI - [Not Available]. PMID- 18145508 TI - [Not Available]. PMID- 18145509 TI - Parenchymal carcinoma of the kidney. PMID- 18145510 TI - Ureterovesical calculus. PMID- 18145511 TI - Ureteral reflux in the normal child. PMID- 18145512 TI - Osteogenesis occurring in carcinoma of the prostate. PMID- 18145513 TI - Anorchism. PMID- 18145514 TI - Vulvar fusion. PMID- 18145515 TI - Implanter for radon seeds for use with the McCarthy foroblique pan-endoscope. PMID- 18145516 TI - Syphilis antigen from the soya bean. PMID- 18145517 TI - Nevada outlaws houses of prostitution. PMID- 18145518 TI - Situs inversus viscerum in conjoined triplets of the brook trout. PMID- 18145519 TI - Anesthesia in pulmonary tuberculosis. PMID- 18145520 TI - Use of hypospray in treatment of syphilis and gonorrhea; a painless technique. PMID- 18145521 TI - Centralization of the U.S. military medical service of the armed forces. PMID- 18145523 TI - The insecticidal action of some D.D.T. analogues and chlorinated (4-chlorophenyl) ethanes. PMID- 18145524 TI - Methods of estimating total runs and escapements of salmon. PMID- 18145525 TI - Acceleration and retardation of the onset of metamorphosis in two species of Bugula from the Woods Hole region. PMID- 18145526 TI - [Not Available]. PMID- 18145527 TI - [Not Available]. PMID- 18145528 TI - [Not Available]. PMID- 18145529 TI - Radiokymography in patent ductus arteriosus. PMID- 18145530 TI - Transposition of the aorta and pulmonary artery demonstrated by angiocardiography. PMID- 18145532 TI - Zinc uptake by Neurospora. PMID- 18145533 TI - Purification of alkaline phosphatase by tryptic digestion. PMID- 18145537 TI - Autoxidation of the fatty acids. PMID- 18145536 TI - Metabolism of radioactive strontium in the rabbit. PMID- 18145538 TI - The influence of bicarbonate upon glucuronide synthesis. PMID- 18145539 TI - Colorimetry by abridged spectrophotometry. PMID- 18145540 TI - [Not Available]. PMID- 18145541 TI - Bone regeneration with a periodontal splint; a case report. PMID- 18145542 TI - External malar-mandibular fixation in fractures of the maxilla and the mandible. PMID- 18145543 TI - Anesthesia in oral surgery. PMID- 18145544 TI - Angiosarcoma of the maxilla in a 3-month-old infant; report of case. PMID- 18145545 TI - The occurrence of spontaneous mediastinal emphysema during dental treatment; report of case. PMID- 18145546 TI - Osteoarthritis of the temporomandibular joint; an evaluation of the literature. PMID- 18145548 TI - [Not Available]. PMID- 18145547 TI - Toothbrush instruction by a controlled method. PMID- 18145549 TI - [Not Available]. PMID- 18145550 TI - A clinical appraisal of the cold wave process. PMID- 18145551 TI - Porphyria with cutaneous manifestations. PMID- 18145552 TI - Pustular psoriasis. PMID- 18145553 TI - Psychogenic localized hyperhidrosis. PMID- 18145554 TI - Pityriasis lichenoides chronica, Juliusberg? urticaria pigmentosa? PMID- 18145555 TI - A case for diagnosis [Kaposi's sarcoma?]. PMID- 18145556 TI - Vascular nevus; hemangiomas of the left leg and thigh. PMID- 18145557 TI - Atrophic lichen planus? poikiloderma? PMID- 18145558 TI - Yaws (tertiary). PMID- 18145559 TI - Lupus vulgaris. PMID- 18145560 TI - [Not Available]. PMID- 18145561 TI - [Pruritus caused by streptomycin]. PMID- 18145562 TI - [Not Available]. PMID- 18145563 TI - [Not Available]. PMID- 18145564 TI - [Not Available]. PMID- 18145565 TI - [Not Available]. PMID- 18145566 TI - [Not Available]. PMID- 18145567 TI - The use of ordinary toads and frogs for pregnancy tests. PMID- 18145568 TI - Evaluation of methods of enumerating sternal marrow eosinophils. PMID- 18145569 TI - Hereditary hemorrhagic telangiectasia with intestinal bleeding; case report and therapy with tropical thrombin. PMID- 18145570 TI - The level of plasma pseudo-cholinesterase in hypophysectomized and hypophysectomized thyroxine-treated rats. PMID- 18145571 TI - [Not Available]. PMID- 18145572 TI - The exposition of chorioallantoic membranes of the chick embryo to granules from embryonic tissue. PMID- 18145573 TI - The effect of patulin on tissue cultures. PMID- 18145574 TI - Synergism of the effect of local anaesthetics on the isolated guinea-pig intestine. PMID- 18145575 TI - Pathological role of d,1-alpha-to-copherol in premature new-born. PMID- 18145576 TI - An improved high frequency conductimetric titration apparatus. PMID- 18145577 TI - The role of the subepidermal nervous system in the locomotion of the earthworm. PMID- 18145578 TI - Fatigue and neuromuscular block in mammalian skeletal muscle. PMID- 18145579 TI - Myothermic methods. PMID- 18145580 TI - The onset of contraction. PMID- 18145581 TI - The haemoglobins of Nippostrongylus muris (Yokagawa) and Strongylus spp. PMID- 18145582 TI - Preliminary report on an experimental project in supervision in clinical psychology. PMID- 18145583 TI - Classifying malocclusion. PMID- 18145584 TI - Schizophrenia in monozygotic twins. PMID- 18145585 TI - [Ventrosuspension for treatment of sterility, dysmenorrhea and uterine prolapse]. PMID- 18145586 TI - [Coronary insufficiency in pregnant women]. PMID- 18145587 TI - Illustration in printed medical books. PMID- 18145588 TI - The earliest printed references in newspapers and journals to the first public demonstration of ether anesthesia in 1846. PMID- 18145589 TI - SICKLY Truman Health bill passes into deep coma. PMID- 18145590 TI - [Not Available]. PMID- 18145591 TI - On the use of prolongal-benzocaine in ambulatory proctology. PMID- 18145592 TI - Improving tabular presentation. PMID- 18145593 TI - Thymol turbidity test, Takata-Ara's test, and Gros' test in icteric conditions. PMID- 18145594 TI - [Not Available]. PMID- 18145595 TI - Benadryl and stramonium in parkinsonism. PMID- 18145596 TI - Care of the feet in peripheral vascular disease. PMID- 18145597 TI - Insulin resistant diabetes mellitus associated with dwarfism. PMID- 18145598 TI - Hemolytic anemia. PMID- 18145599 TI - Ear discharge. PMID- 18145600 TI - Health security and medical assistance scheme for railway and factory workers. PMID- 18145601 TI - A case of leprosy treated with promin. PMID- 18145602 TI - Emetine hydrochloride and sulpha drugs combinations. PMID- 18145603 TI - Scabies and its treatment. PMID- 18145604 TI - Radioactive isotopes in the study of peripheral vascular disease; derivation of a circulatory index. PMID- 18145605 TI - Asymptomatic myocardial infarction. PMID- 18145606 TI - [Not Available]. PMID- 18145607 TI - The diagnosis and management of threatening thrombosis. PMID- 18145608 TI - [Not Available]. PMID- 18145609 TI - [Not Available]. PMID- 18145611 TI - Cushing's syndrome; a review. PMID- 18145610 TI - Clinical application of an artificial kidney. PMID- 18145612 TI - Pain in the lumbosacral region. PMID- 18145613 TI - Rheumatic heart disease in children. PMID- 18145614 TI - Physiologic principles in the treatment of peptic ulcer. PMID- 18145615 TI - [Not Available]. PMID- 18145616 TI - [Not Available]. PMID- 18145617 TI - [Not Available]. PMID- 18145619 TI - Degenerative diseases; a backward and a forward look. PMID- 18145618 TI - Abdominal pregnancy; a case report. PMID- 18145620 TI - A program of action to meet national health needs. PMID- 18145621 TI - Hemoptysis in patients with heart disease. PMID- 18145622 TI - [Not Available]. PMID- 18145623 TI - [Not Available]. PMID- 18145624 TI - [Not Available]. PMID- 18145625 TI - [Not Available]. PMID- 18145626 TI - Prostatic surgery in the Robert Packer Hospital during 1948. PMID- 18145627 TI - Dermatological problems in connection with mass vaccination against smallpox [Hebrew text]. PMID- 18145628 TI - Gumma of the heart; a report of three cases. PMID- 18145629 TI - Tuberculosis of the kidney. PMID- 18145630 TI - Excretion of nicotinic acid in normal healthy human beings. PMID- 18145631 TI - The present outlook in plague. PMID- 18145632 TI - General medical practice and the emotional problems of children. PMID- 18145633 TI - [Not Available]. PMID- 18145634 TI - [Not Available]. PMID- 18145635 TI - [Not Available]. PMID- 18145636 TI - [Not Available]. PMID- 18145637 TI - [Not Available]. PMID- 18145638 TI - Transurethral prostatectomy; a review of 100 cases. PMID- 18145639 TI - Retropubic prostatectomy. PMID- 18145640 TI - Peptic ulcer. PMID- 18145641 TI - The medical treatment of cerebrovascular accidents. PMID- 18145642 TI - Medical uses of vitamin E. PMID- 18145643 TI - [Not Available]. PMID- 18145644 TI - [Not Available]. PMID- 18145645 TI - [Not Available]. PMID- 18145646 TI - [Not Available]. PMID- 18145647 TI - [Not Available]. PMID- 18145648 TI - [Not Available]. PMID- 18145649 TI - [Not Available]. PMID- 18145650 TI - Constipation. PMID- 18145651 TI - Headache; clinical varieties and therapeutic suggestions. PMID- 18145652 TI - The general practitioner and the clinical investigation of some chronic pulmonary diseases. PMID- 18145654 TI - Hydrotherapy for psychiatric patients. PMID- 18145653 TI - Epidemic pulmonary disease. PMID- 18145655 TI - Congenital tricuspid atresia; a classification. PMID- 18145656 TI - Leptospirosis at Innisfail. PMID- 18145657 TI - Some aspects of nutrition as related to the practice of obstetrics and gynaecology. PMID- 18145658 TI - The official medical histories of the War of 1939 to 1945. PMID- 18145659 TI - Functional nervous disorders in children. PMID- 18145660 TI - [Not Available]. PMID- 18145661 TI - [Not Available]. PMID- 18145662 TI - Surgery for the prevention of pulmonary embolism. PMID- 18145663 TI - Ectropion left upper eyelid corrected by skin graft; hair graft to left brow and correction of left monocular convergent strabismus. PMID- 18145664 TI - Volvulus of the cecum. PMID- 18145665 TI - Apiectomy. PMID- 18145666 TI - [Not Available]. PMID- 18145667 TI - [Not Available]. PMID- 18145668 TI - [Not Available]. PMID- 18145669 TI - [Not Available]. PMID- 18145670 TI - [Not Available]. PMID- 18145671 TI - [Not Available]. PMID- 18145672 TI - [Not Available]. PMID- 18145673 TI - [Not Available]. PMID- 18145674 TI - [Not Available]. PMID- 18145675 TI - A medical survey of the Aleutian Islands, 1948. PMID- 18145676 TI - Adenocarcinoma of pancreas, with retroperitoneal and splenic extension. PMID- 18145677 TI - Continuous caudal anesthesia in obstetrics; observations of results in 12,000 cases. PMID- 18145678 TI - Prophylactic and therapeutic indications for tracheotomy during surgical intervention. PMID- 18145679 TI - The administration of curare by electrophoresis; preliminary report. PMID- 18145680 TI - Hematoma of the umbilical cord. PMID- 18145681 TI - Uterine displacements. PMID- 18145682 TI - Ectopic pregnancy. PMID- 18145683 TI - [Not Available]. PMID- 18145684 TI - [Not Available]. PMID- 18145685 TI - [Not Available]. PMID- 18145686 TI - [Not Available]. PMID- 18145687 TI - [Not Available]. PMID- 18145688 TI - [Not Available]. PMID- 18145689 TI - [Not Available]. PMID- 18145690 TI - [Not Available]. PMID- 18145691 TI - [Not Available]. PMID- 18145692 TI - [Not Available]. PMID- 18145693 TI - [Not Available]. PMID- 18145694 TI - [Not Available]. PMID- 18145695 TI - [Not Available]. PMID- 18145696 TI - [Not Available]. PMID- 18145697 TI - [Not Available]. PMID- 18145698 TI - [Not Available]. PMID- 18145699 TI - [Not Available]. PMID- 18145700 TI - [Not Available]. PMID- 18145701 TI - [Not Available]. PMID- 18145702 TI - [Not Available]. PMID- 18145703 TI - [Not Available]. PMID- 18145704 TI - [Not Available]. PMID- 18145705 TI - [Not Available]. PMID- 18145706 TI - [Not Available]. PMID- 18145707 TI - [Not Available]. PMID- 18145708 TI - [Not Available]. PMID- 18145710 TI - [Not Available]. PMID- 18145709 TI - [Not Available]. PMID- 18145711 TI - [Not Available]. PMID- 18145712 TI - [Not Available]. PMID- 18145713 TI - [Not Available]. PMID- 18145714 TI - [Not Available]. PMID- 18145715 TI - [Not Available]. PMID- 18145716 TI - [Not Available]. PMID- 18145717 TI - [Not Available]. PMID- 18145718 TI - [Not Available]. PMID- 18145719 TI - Effect of ascorbic acid on capillary fragility. PMID- 18145720 TI - Circulatory relations of the ankle. PMID- 18145721 TI - Studies on the mechanisms of podophyllin action on tumors and normal skin. PMID- 18145722 TI - The importance of hemolysis during transurethral resection. PMID- 18145723 TI - Lobectomy in solitary metastasis of the lung. PMID- 18145725 TI - [Not Available]. PMID- 18145724 TI - [Not Available]. PMID- 18145726 TI - [Not Available]. PMID- 18145727 TI - [Not Available]. PMID- 18145728 TI - [Not Available]. PMID- 18145729 TI - [Not Available]. PMID- 18145730 TI - [Not Available]. PMID- 18145731 TI - [Not Available]. PMID- 18145732 TI - [Not Available]. PMID- 18145733 TI - [Not Available]. PMID- 18145734 TI - Case reports on two accident cases, in each of which a steel rod penetrated the body. PMID- 18145735 TI - Use of immune serum globulin (human) as prophylaxis against poliomyelitis. PMID- 18145736 TI - The effect of intravenous procaine on the electrocardiogram of man. PMID- 18145737 TI - The effect of thymic extracts on neuro-muscular response. PMID- 18145739 TI - [Not Available]. PMID- 18145738 TI - [Not Available]. PMID- 18145740 TI - [Not Available]. PMID- 18145741 TI - [Not Available]. PMID- 18145742 TI - [Not Available]. PMID- 18145743 TI - The injection treatment of internal hemorrhoids. PMID- 18145744 TI - Pregnancy and labor complicated by heart disease. PMID- 18145745 TI - [Not Available]. PMID- 18145746 TI - [Not Available]. PMID- 18145748 TI - Office gynecology. PMID- 18145747 TI - [Not Available]. PMID- 18145749 TI - The sex deviate problem in Wisconsin. PMID- 18145750 TI - Torsion of the testicle. PMID- 18145751 TI - Biopsies from the pathologist's viewpoint. PMID- 18145752 TI - Plaster impressions of amputation stumps. PMID- 18145753 TI - Medical writings. PMID- 18145754 TI - Distribution of molds and shades. PMID- 18145755 TI - Medical administration. PMID- 18145757 TI - Non-American doctors. PMID- 18145756 TI - Medical personnel situation. PMID- 18145758 TI - Evacuation. PMID- 18145759 TI - Promises made to patients. PMID- 18145760 TI - Immunizations and immunizing agents. PMID- 18145761 TI - Ward and mess attendant training. PMID- 18145762 TI - Infected wounds; gas gangrene and tetanus. PMID- 18145763 TI - Rupture of thoracic aortic aneurysm into esophagus. PMID- 18145764 TI - Diseases of the chest; tuberculosis. PMID- 18145765 TI - Osteopathic management of the obstetrical case. PMID- 18145766 TI - A study of endometriosis. PMID- 18145767 TI - Modern obstetrical analgesia. PMID- 18145768 TI - Advances in endocrinology related to obstetrics and gynecology. PMID- 18145769 TI - Experimental investigations into the aetiology of Calve-Perthes' disease. PMID- 18145770 TI - Lambrinudi's operation for drop-foot. PMID- 18145771 TI - On Denis Browne's treatment of club-foot. PMID- 18145772 TI - The scalenus anticus syndrome; report of an instructive case. PMID- 18145773 TI - Olecranon fractures treated in the Orthopaedic Hospital, Copenhagen 1936-47; a follow-up examination. PMID- 18145775 TI - [Not Available]. PMID- 18145774 TI - [Not Available]. PMID- 18145776 TI - [Not Available]. PMID- 18145777 TI - [Not Available]. PMID- 18145778 TI - The Inter-American series of parallel tests for children of different languages. PMID- 18145779 TI - Spasmodic torticollis; physiologic analysis of involuntary motor activity. PMID- 18145780 TI - Optokinetic response and intracranial lesions. PMID- 18145781 TI - Cerebral complications following the injection of tetanus antitoxin; report of a case. PMID- 18145782 TI - [Not Available]. PMID- 18145783 TI - [Not Available]. PMID- 18145784 TI - Observation of trends in manic-depressive psychosis. PMID- 18145785 TI - The role of identification in psychiatric and psychoanalytic training. PMID- 18145787 TI - Inadequacy of the 24 hour dietary history as a true estimate of food intake in times of acute food shortage as demonstrated by experience in Vienna in 1946. PMID- 18145786 TI - Countertransferences and attitudes of the analyst in the therapeutic process. PMID- 18145788 TI - Permanent colostomy in the rat. PMID- 18145789 TI - Nutrition and susceptibility to infection. PMID- 18145790 TI - Vitamin C and immunity. PMID- 18145791 TI - Antivitamins and other factors influencing vitamin activity. PMID- 18145792 TI - [Not Available]. PMID- 18145793 TI - Rachitogenic effect of some green fodders for sheep. PMID- 18145794 TI - Studies on the intra-ocular fluids; the penetration of some nitrogenous substances into the intraocular fluids. PMID- 18145795 TI - Diseases of the salivary glands and their ducts. PMID- 18145796 TI - [Not Available]. PMID- 18145797 TI - [Not Available]. PMID- 18145798 TI - [Not Available]. PMID- 18145799 TI - [Not Available]. PMID- 18145800 TI - [Not Available]. PMID- 18145801 TI - [Not Available]. PMID- 18145802 TI - [Not Available]. PMID- 18145803 TI - [Not Available]. PMID- 18145804 TI - [Not Available]. PMID- 18145805 TI - [Not Available]. PMID- 18145806 TI - Vertical vergences. PMID- 18145807 TI - [Not Available]. PMID- 18145808 TI - [Not Available]. PMID- 18145809 TI - [Not Available]. PMID- 18145810 TI - [Not Available]. PMID- 18145811 TI - Nonencapsulated adrenal cortical tissue in the peri-adrenal fat. PMID- 18145813 TI - Oncocytoma of the parotid gland. PMID- 18145812 TI - Experimental infarction of bone and marrow. PMID- 18145814 TI - Plasma vitamin A and its clinical significance; a review. PMID- 18145815 TI - Constricting vascular rings; report of two cases with recurrent respiratory infections. PMID- 18145816 TI - A case of amyotonia congenita associated with occlusion of the sagittal sinus and bilateral subdural hygroma; demonstration of occlusion by diotrast sinography. PMID- 18145818 TI - Hemophilia. PMID- 18145817 TI - Peritonitis due to ingestion of glass chipped from baby-food container. PMID- 18145819 TI - Hypothyroidism. PMID- 18145820 TI - Enuresis in children. PMID- 18145821 TI - OTITIS media and its therapy. PMID- 18145822 TI - [Not Available]. PMID- 18145823 TI - [Not Available]. PMID- 18145824 TI - [Not Available]. PMID- 18145826 TI - Pharmaceutical education in New South Wales. PMID- 18145825 TI - A water-miscible tar-sulphur-salicylic ointment. PMID- 18145827 TI - Should not the official formula of calamine lotion be revised? PMID- 18145828 TI - Antibiotic lactones and synthetic analogs; cardiotonic effects on the isolated frog heart. PMID- 18145829 TI - Amino aciduria in uranium poisoning; the response to different amounts of uranium given intravenously and by inhalation. PMID- 18145830 TI - [Not Available]. PMID- 18145831 TI - [Not Available]. PMID- 18145832 TI - [Not Available]. PMID- 18145833 TI - [Not Available]. PMID- 18145834 TI - Interruption of afferent pain paths from the stomach by nerve and root sections in the cat. PMID- 18145835 TI - The relation between self-assessment and test indications of practical ability. PMID- 18145836 TI - Note on the computation of the inverse of a triangular matrix. PMID- 18145837 TI - A note on the estimation of test reliability by the Kuder-Richardson formula (20). PMID- 18145838 TI - [Not Available]. PMID- 18145840 TI - [Not Available]. PMID- 18145839 TI - [Not Available]. PMID- 18145841 TI - [Not Available]. PMID- 18145842 TI - [Not Available]. PMID- 18145843 TI - Progress in diphtheria control. PMID- 18145844 TI - Limits for toxic wastes in sewage treatment. PMID- 18145845 TI - [Not Available]. PMID- 18145846 TI - Complete block of the lumbar spinal canal due to herniation of the nucleus pulposus. PMID- 18145847 TI - The role of the X-ray technician in cerebral angiography. PMID- 18145848 TI - Pelvimetry. PMID- 18145849 TI - Psychological aspects in child radiography. PMID- 18145850 TI - Additional positions in radiographic examinations of the mandible and mastoids. PMID- 18145851 TI - Skeletal pinning and external fixation; pros and cons. PMID- 18145852 TI - Technic of presacral neurectomy. PMID- 18145853 TI - Brachial plexus block anesthesia. PMID- 18145854 TI - Factors which influence mortality in duodenal and gastric surgery. PMID- 18145855 TI - Cystadenoma of the pancreas. PMID- 18145856 TI - Intestinal obstruction due to mesenteric hiatus. PMID- 18145857 TI - The fallacy of the so-called thyroid capsule. PMID- 18145858 TI - Experimental studies in vascular repair; strength of arteries repaired by end to end suture; with some notes on growth of anastomosis in young animals. PMID- 18145859 TI - Preservation of the anal sphincter in surgical procedures in the rectosigmoid region. PMID- 18145860 TI - [Not Available]. PMID- 18145861 TI - [Not Available]. PMID- 18145862 TI - The treatment of rheumatoid arthritis in the light of new knowledge. PMID- 18145863 TI - Occupational therapy in a children's hospital; a psychiatric viewpoint. PMID- 18145864 TI - The measurement of joint motion; the technic of goniometry. PMID- 18145865 TI - Pamaquine poisoning in man, with a clinicopathologic study of one case. PMID- 18145866 TI - Epidemic typhus in southwestern Arabia. PMID- 18145867 TI - Some principles of fly control for the sanitarian. PMID- 18145868 TI - Tuberculosis in nurses in a New Zealand hospital. PMID- 18145869 TI - Education and guidance relating to marriage and family living. PMID- 18145870 TI - WHAT-when and how of sex education in schools. PMID- 18145871 TI - Nuclear and cytoplasmic interrelations in the fertilization of the Asterias egg. PMID- 18145872 TI - Plant hormones, growth and respiration. PMID- 18145873 TI - Immunological studies in embryology and genetics. PMID- 18145874 TI - Relationship between the reduction in coronary flow and the appearance of electrocardiographic changes. PMID- 18145875 TI - A device for measuring the mean electrical axis of the heart. PMID- 18145876 TI - The group structure of some neural nets. PMID- 18145877 TI - The precision of weighings. PMID- 18145878 TI - [Not Available]. PMID- 18145879 TI - [Not Available]. PMID- 18145880 TI - [Not Available]. PMID- 18145881 TI - Classical radioactivity, 1940-1949. PMID- 18145882 TI - The influence of prosthetic and operative restorations on bitter taste-testing ability. PMID- 18145883 TI - Orthodontic education within the scheme of dental education. PMID- 18145884 TI - [Not Available]. PMID- 18145885 TI - [Not Available]. PMID- 18145886 TI - Prolapse of antral lining. PMID- 18145887 TI - [Not Available]. PMID- 18145888 TI - A new approach in the treatment of gum disease due to increased capillary fragility. PMID- 18145889 TI - The etiology of dental caries; a system of analysis of the literature. PMID- 18145890 TI - [Not Available]. PMID- 18145891 TI - [Not Available]. PMID- 18145892 TI - [Not Available]. PMID- 18145893 TI - [Not Available]. PMID- 18145894 TI - The treatment of erythema multiforme exudativum with bismuth salts and other spirochaeticides. PMID- 18145895 TI - Case of anetoderma. PMID- 18145896 TI - [Not Available]. PMID- 18145897 TI - [Neurosyphilis treated with malaria and tryparsamide]. PMID- 18145898 TI - [Not Available]. PMID- 18145899 TI - [Not Available]. PMID- 18145900 TI - [Not Available]. PMID- 18145901 TI - [Not Available]. PMID- 18145902 TI - Acute amebic dysentery. PMID- 18145903 TI - A consideration of certain sources of error in the positive diagnosis of gastric carcinoma. PMID- 18145904 TI - Hiatus hernia and carcinoma of the stomach and esophagus. PMID- 18145905 TI - Primary systemic amyloidosis with jaundice and hemorrhage. PMID- 18145906 TI - Regurgitation and rumination. PMID- 18145907 TI - The diabetogenic activity of growth-promoting pituitary extracts in rats. PMID- 18145908 TI - The influence of adrenal cortical hormones upon immunity in cold-blooded vertebrates. PMID- 18145909 TI - Is sociology a natural science? PMID- 18145910 TI - West Indian family organization. PMID- 18145911 TI - [Not Available]. PMID- 18145912 TI - Finding photographic information. PMID- 18145913 TI - Observation of nuclear disintegrations below ground. PMID- 18145914 TI - Release of histamine by ammonia. PMID- 18145915 TI - A method for studying the chemistry of cacao fermentation. PMID- 18145916 TI - An aerobic medium for fungus growth studies. PMID- 18145917 TI - Fibrous proteins. PMID- 18145918 TI - Application of research by the textile industry. PMID- 18145920 TI - The craters of the moon. PMID- 18145919 TI - An improved technique in detergency evaluation. PMID- 18145921 TI - The physiology of whales. PMID- 18145922 TI - How to be your own weatherman. PMID- 18145923 TI - RADIO never hurt anyone's ears but what can television do to your eyes? PMID- 18145924 TI - Medicine and social service. PMID- 18145926 TI - INFANT mortality lowest in summer. PMID- 18145925 TI - Library of Congress services to social science. PMID- 18145927 TI - WAR and the sex ratio of births. PMID- 18145928 TI - SMALLPOX cases at new low in 1948. PMID- 18145929 TI - The excretory system of Physaloptera varani Parona 1889. PMID- 18145930 TI - Race mixture; a social or a biological problem? PMID- 18145931 TI - [Contribution to the study of serum cholinesterase in gynecology and pregnancy in normal and pathological]. PMID- 18145932 TI - [Not Available]. PMID- 18145934 TI - [Not Available]. PMID- 18145933 TI - [Not Available]. PMID- 18145935 TI - [Cervical endometriosis]. PMID- 18145936 TI - Clinical and experimental observations on the effect of thiouracil and thiourea on the blood and bone marrow. PMID- 18145938 TI - Effects of electricity on the human body. PMID- 18145937 TI - The use of phenolized allantoic fluid antigen in the complement fixation test for psittacosis. PMID- 18145939 TI - Personal factors in industrial accidents; a study of accident proneness in an industrial group. PMID- 18145940 TI - Transperitoneal lavage for 26 days in the treatment of azotemia. PMID- 18145941 TI - The adrenal cortex. PMID- 18145943 TI - Epileptic equivalents, a cause for somatic symptoms. PMID- 18145942 TI - Immune response to H. pertussis vaccination; a study using the passive intraperitoneal mouse protection test. PMID- 18145944 TI - [Not Available]. PMID- 18145945 TI - [Not Available]. PMID- 18145946 TI - [Clinical and epidemiological aspects of minimal lesions of pulmonary tuberculosis in adults]. PMID- 18145947 TI - Clinical signs and symptoms of early malnutrition. PMID- 18145948 TI - Vitamin deficiency diseases in infancy and childhood. PMID- 18145949 TI - Nutrition in surgical cases. PMID- 18145950 TI - Nutrition in enteric group of fevers. PMID- 18145951 TI - [Not Available]. PMID- 18145952 TI - [Not Available]. PMID- 18145953 TI - The use in children of procaine penicillin with aluminium monostearate. PMID- 18145954 TI - Spontaneous circumrenal haematoma; a review and report of two cases. PMID- 18145955 TI - A case of Curling's ulcer. PMID- 18145956 TI - A note on electric automatic computing machines. PMID- 18145957 TI - Threatened abortion simulating ectopic gestation. PMID- 18145958 TI - Massive hemorrhage from peptic ulcer. PMID- 18145959 TI - [Not Available]. PMID- 18145961 TI - Treatment of angina pectoris. PMID- 18145960 TI - [Not Available]. PMID- 18145962 TI - The basal ganglia; anatomical, clinical and surgical considerations. PMID- 18145963 TI - [Not Available]. PMID- 18145964 TI - [Not Available]. PMID- 18145965 TI - What's new in aureomycin and other antibiotics. PMID- 18145966 TI - What's new in surgery. PMID- 18145967 TI - Crossed leg palsy; with report of a recurrent case. AB - A form of peroneal palsy may be caused by crossing the legs. Two physical factors pressure and tension - are the basic causes, although other factors may be contributory. Direct pressure is applied by the bones of the two legs, compressing the peroneal nerve between them at its superficial part near the head and neck of the fibula. The palsy may be overlooked as an integral part of a widespread disorder so that careful evaluation and observation of the patient's habits are required. Detection becomes especially difficult when the palsy is bilateral, for then the lesion by virtue of its symmetry blends more readily with associated polyneuritis. A case of recurrent peroneal palsy due to crossing the legs in a prolonged postoperative convalescence is reported in detail. PMID- 18145968 TI - Bone tumors. PMID- 18145969 TI - A new view on the use of dicoumarol in the pregnant patient. PMID- 18145970 TI - Amoebiasis in veterans. PMID- 18145971 TI - Pregnancy in thyrotoxicosis under treatment with thiouracil. PMID- 18145972 TI - Subacromial bursitis; a classification and an evaluation of the results of roentgen therapy. PMID- 18145973 TI - Multiple precordial leads. PMID- 18145974 TI - Typhoid fever treated with Phthalylsulfacetimide. PMID- 18145975 TI - [Not Available]. PMID- 18145976 TI - The local treatment of burns and scalds. PMID- 18145977 TI - [Not Available]. PMID- 18145978 TI - Primary atypical pneumonia, etiology unknown; a critical study and presentation of 33 cases. PMID- 18145979 TI - [Not Available]. PMID- 18145980 TI - [Not Available]. PMID- 18145981 TI - [Not Available]. PMID- 18145982 TI - [Not Available]. PMID- 18145984 TI - Leukemoid reactions. PMID- 18145983 TI - [Not Available]. PMID- 18145985 TI - Perforated peptic ulcer in a Meckel's diverticulum in a child; a case report. PMID- 18145986 TI - The collagen diseases. PMID- 18145987 TI - [Dose of vaccine B C G]. PMID- 18145988 TI - Congenital cyanotic heart disease. PMID- 18145989 TI - Jejunal diverticulosis. PMID- 18145990 TI - Operative vs nonoperative procedures for uterine fibroids. PMID- 18145991 TI - A mirror for patients with hemianopsia. PMID- 18145992 TI - Endometriosis of the appendix in conjunction with pregnancy. PMID- 18145993 TI - Appendicitis in pregnancy. PMID- 18145994 TI - Treatment of the acute infections of the nervous system. PMID- 18145995 TI - The treatment of chronic myelogenous leukemia. PMID- 18145996 TI - Sturge-Weber syndrome with case report. PMID- 18145997 TI - Tetraethyl ammonium chloride in the treatment of arteriosclerosis obliterans; preliminary report. PMID- 18145998 TI - The problem of the ruptured lumbar intervertebral disc. PMID- 18145999 TI - Prognosis on sprains. PMID- 18146000 TI - Acute infectious lymphocytosis. PMID- 18146001 TI - Management and assessment of peripheral nerve injuries. PMID- 18146002 TI - Haematuria; causes and investigation. PMID- 18146003 TI - The need for a national health program. PMID- 18146004 TI - Protecting eyesight in Philippine industry. PMID- 18146005 TI - [Not Available]. PMID- 18146006 TI - [Not Available]. PMID- 18146007 TI - Retinitis pigmentosa associated with cystinuria; two uncommon inherited conditions occurring in a family. PMID- 18146009 TI - [Not Available]. PMID- 18146008 TI - Greek peasant remedies. PMID- 18146010 TI - [Not Available]. PMID- 18146011 TI - [Not Available]. PMID- 18146012 TI - [Not Available]. PMID- 18146013 TI - [Not Available]. PMID- 18146014 TI - Tropical parasites in Manitoba. PMID- 18146015 TI - On blood transfusion. PMID- 18146016 TI - Endotracheal tubes. PMID- 18146018 TI - Group practice. PMID- 18146017 TI - [Ophthalmoscopy new direction in the classification of hypertension]. PMID- 18146019 TI - Women physicians. PMID- 18146020 TI - [Not Available]. PMID- 18146021 TI - The treatment of empyema in infancy and childhood. PMID- 18146022 TI - The treatment of osteoarthritis. PMID- 18146024 TI - Non-articular rheumatism. PMID- 18146023 TI - Gout. PMID- 18146025 TI - Pressurized oxygen therapy; final report of a new method. PMID- 18146027 TI - Injuries of peripheral vessels. PMID- 18146026 TI - [Not Available]. PMID- 18146028 TI - Morton's toe. PMID- 18146029 TI - Primary glaucoma; newer trends in treatment. PMID- 18146030 TI - Progressive cortical atrophy. PMID- 18146031 TI - Bilateral dislocation of the hip joint. PMID- 18146032 TI - [Not Available]. PMID- 18146033 TI - [Not Available]. PMID- 18146034 TI - [Not Available]. PMID- 18146035 TI - [Not Available]. PMID- 18146037 TI - [Not Available]. PMID- 18146036 TI - [Not Available]. PMID- 18146038 TI - [Not Available]. PMID- 18146039 TI - [Not Available]. PMID- 18146040 TI - [Not Available]. PMID- 18146041 TI - The urge to interfere in obstetrics. PMID- 18146042 TI - Rupture of the appendix in a patient with situs inversus; report of a case. PMID- 18146043 TI - Congenital heart disease; with report of a case of adult coarctation of the aorta. PMID- 18146044 TI - Plea for the surgical treatment of appendicitis. PMID- 18146045 TI - Diphtheria. PMID- 18146046 TI - A case of abdominal pregnancy secondary to rupture of a rudimentary uterine cornu. PMID- 18146048 TI - [Not Available]. PMID- 18146047 TI - [Radium treatment of the cancer of the rectum]. PMID- 18146049 TI - Biopsy. PMID- 18146050 TI - Examination of the stools. PMID- 18146051 TI - The bacteriological investigation of pulmonary tuberculosis from the aspect of clinical pathology. PMID- 18146052 TI - The investigation of tinea infestations. PMID- 18146053 TI - Blood agglutination tests. PMID- 18146055 TI - Freckles. PMID- 18146054 TI - Tests of renal function. PMID- 18146056 TI - Sympathomimetic action and its antagonism. PMID- 18146057 TI - The use and abuse of calcium. PMID- 18146058 TI - [Not Available]. PMID- 18146059 TI - [Not Available]. PMID- 18146060 TI - [Not Available]. PMID- 18146061 TI - [Not Available]. PMID- 18146062 TI - [Not Available]. PMID- 18146063 TI - Management of pregnancy complicated by toxic goiter; report of case. PMID- 18146064 TI - The hypotheses concerning the aetiology of dental caries. PMID- 18146065 TI - How to write a report. PMID- 18146066 TI - Discussion on manipulative treatment. PMID- 18146067 TI - The practical value of peripheral nerve repair. PMID- 18146068 TI - [Not Available]. PMID- 18146069 TI - [Not Available]. PMID- 18146070 TI - [Not Available]. PMID- 18146071 TI - [Not Available]. PMID- 18146072 TI - [Not Available]. PMID- 18146073 TI - [Not Available]. PMID- 18146074 TI - [Not Available]. PMID- 18146075 TI - Ruptured intervertebral discs; diagnosis and treatment; neurosurgical aspects. PMID- 18146076 TI - Some dietary factors in cardiovascular diseases. PMID- 18146078 TI - [Not Available]. PMID- 18146077 TI - [Not Available]. PMID- 18146080 TI - [Not Available]. PMID- 18146079 TI - [Not Available]. PMID- 18146081 TI - Psychosomatic medicine. PMID- 18146082 TI - [Not Available]. PMID- 18146083 TI - [Not Available]. PMID- 18146084 TI - [Not Available]. PMID- 18146085 TI - [Not Available]. PMID- 18146086 TI - Cold allergy with a case report. PMID- 18146087 TI - [Not Available]. PMID- 18146088 TI - [Not Available]. PMID- 18146090 TI - [Not Available]. PMID- 18146089 TI - [Not Available]. PMID- 18146091 TI - [Not Available]. PMID- 18146092 TI - [Not Available]. PMID- 18146093 TI - [Not Available]. PMID- 18146094 TI - [Not Available]. PMID- 18146095 TI - TYPHOID and paratyphoid in the Canal Zone. PMID- 18146096 TI - GOGGLES or spectacles. PMID- 18146097 TI - CONTENTS of emergency cabinet for the treatment of poisoning. PMID- 18146099 TI - Nursing aspects of the rooming in plan. PMID- 18146098 TI - Epidemic diarrhea of the newborn. PMID- 18146100 TI - Group psychotherapy in a naval disciplinary barracks; preliminary report. PMID- 18146101 TI - Carcinoma of the ascending colon; report of a case. PMID- 18146102 TI - Plantar wart therapy. PMID- 18146103 TI - Acute virus hepatitis. PMID- 18146104 TI - Infectious mononucleosis; report of a case following herniorrhaphy. PMID- 18146105 TI - Plastic repair of surface defects in preparation for bone grafting. PMID- 18146106 TI - Field trial of Shigella flexneri III vaccine; background, scope, and organization of the program. PMID- 18146108 TI - The thymus gland. PMID- 18146107 TI - Endometriosis. PMID- 18146109 TI - The mechanism of the structural changes in scoliosis. PMID- 18146110 TI - Nutrient arteries of the vertebral bodies. PMID- 18146111 TI - The short first metatarsal; its incidence and clinical significance. PMID- 18146112 TI - Evolution of metaphyseal fibrous defects. PMID- 18146113 TI - Low insertion of the hip nail. PMID- 18146114 TI - Amputations for failure in reconstructive surgery. PMID- 18146116 TI - Fractures of the ankylosed spine. PMID- 18146115 TI - Spring splint to supinate or pronate the hand. PMID- 18146117 TI - The central nervous system in hepatic disease. PMID- 18146118 TI - Angiomatous malformation of the brain; a case of congenital arterio-venous angioma racemosum. PMID- 18146119 TI - The future of mental health education in England and Wales. PMID- 18146120 TI - [Not Available]. PMID- 18146121 TI - [Not Available]. PMID- 18146122 TI - [Not Available]. PMID- 18146123 TI - [Not Available]. PMID- 18146125 TI - [Not Available]. PMID- 18146124 TI - [Not Available]. PMID- 18146126 TI - [Not Available]. PMID- 18146127 TI - [Not Available]. PMID- 18146128 TI - Further observations on androgenic hormones and psychic conflict. PMID- 18146129 TI - Treatment by suggestion of verrucae planae of the face. PMID- 18146130 TI - Retrolental fibroplasia in prematurely born children. PMID- 18146131 TI - Herniation of the anterior hyaloid membrane following uncomplicated intracapsular cataract extraction. PMID- 18146132 TI - Vertical nystagmus on direct forward gaze with vertical oscillopsia. PMID- 18146133 TI - Some ocular effects of the systemic administration of antihistaminics. PMID- 18146134 TI - Abnormalities of the optic disc. PMID- 18146135 TI - Central choroiditis. PMID- 18146136 TI - Central chorioretinitis. PMID- 18146137 TI - Central scotoma due to pituitary tumor. PMID- 18146138 TI - Fatty degeneration of cornea. PMID- 18146139 TI - Supposed torsion of the eye around the visual axis in oblique directions of gaze. PMID- 18146140 TI - Congenital cyst of the vitreous; report of a case. PMID- 18146141 TI - Primary carcinoma of the ethmoid sinus. PMID- 18146142 TI - Suspension mechanism of the upper lip and the columella. PMID- 18146143 TI - Tracheal obstruction. PMID- 18146144 TI - The dynamics of nasal mucus. PMID- 18146145 TI - Local resection of carcinoma of the right main bronchus. PMID- 18146146 TI - A method for improvement of the curved nasal tip. PMID- 18146147 TI - Histoplasmin patch test. PMID- 18146148 TI - Cyanosis caused by methemoglobinemia. PMID- 18146149 TI - Wernicke's syndrome due to vitamin B deficiency; report of the disease in two infants. PMID- 18146150 TI - Cardiac hypertrophy in infants due to origination of the left branch of the coronary artery from the pulmonary artery. PMID- 18146151 TI - Some etiological factors in the coeliac syndrome. PMID- 18146152 TI - The nose in relation to the cerebrospinal fluid and lymph stream. PMID- 18146153 TI - Congenital toxoplasmosis; report of two cases. PMID- 18146154 TI - Gangrene and thrombosis in an infant with congenital heart disease. PMID- 18146155 TI - Coccidioidomycosis; case studies in children. PMID- 18146156 TI - Pertussis; meningitis. PMID- 18146157 TI - Leukemia in childhood; a clinical and roentgenographic study of 72 cases. PMID- 18146158 TI - Solitary renal ectopia and the nephrotic syndrome. PMID- 18146159 TI - Pertussis in an immunized infant. PMID- 18146160 TI - The summer camp. PMID- 18146161 TI - [Not Available]. PMID- 18146162 TI - Uncommon course of lymphatic leukaemia in an infant. PMID- 18146164 TI - Electroencephalography in child neurology and psychiatry. PMID- 18146163 TI - [Not Available]. PMID- 18146165 TI - Congenital hemolytic disease resulting from A-O isoimmunization. PMID- 18146166 TI - Rx volume increases, other volume declines under National Health scheme. PMID- 18146167 TI - SUBSTITUTE for plasma. PMID- 18146168 TI - Progress in the field of heart diseases. PMID- 18146169 TI - NEW drug in motion sickness. PMID- 18146170 TI - ARECA. PMID- 18146171 TI - BISMUTH MAGMA. PMID- 18146172 TI - HISTIDINE monohydrochloride. PMID- 18146173 TI - INSOLUBLE liver concentrate. PMID- 18146175 TI - COMPOUND undecylenic acid ointment. PMID- 18146174 TI - RACEPHEDRINE hydrochloride capsules. PMID- 18146176 TI - Permeability of the artificial phospholipid membrane. PMID- 18146177 TI - A modified Fenn type respirometer. PMID- 18146178 TI - The psychology of invention in a very simple case. PMID- 18146179 TI - Color vision and factor analysis. PMID- 18146180 TI - [Not Available]. PMID- 18146181 TI - Influence of protein nutrition on experimental infection; physiological aspects. PMID- 18146182 TI - A physical growth record for use in elementary and high schools. PMID- 18146183 TI - The hospital survey and construction program; environmental sanitation. PMID- 18146184 TI - [Not Available]. PMID- 18146185 TI - [Not Available]. PMID- 18146186 TI - Problems in the collection and comparability of international labor statistics. PMID- 18146188 TI - [Not Available]. PMID- 18146187 TI - [Not Available]. PMID- 18146189 TI - Radiography in relation to chest surgery. PMID- 18146190 TI - Clinical and roentgen aspects of internal biliary fistulas; report of 12 cases. PMID- 18146191 TI - Osseous changes in erythroblastosis fetalis. PMID- 18146192 TI - Radiation therapy of the Guillain-Barre syndrome. PMID- 18146193 TI - Wartime radiation; the calculated risk. PMID- 18146194 TI - [Not Available]. PMID- 18146195 TI - [Not Available]. PMID- 18146196 TI - [Not Available]. PMID- 18146197 TI - Cytologic diagnosis of cancer of the descending colon and rectum. PMID- 18146198 TI - Intrathoracic goiter located in the posterior mediastinum. PMID- 18146200 TI - Revascularization of the heart. PMID- 18146199 TI - Phlegmasia cerulea dolens and gangrene associated with thrombophlebitis; case reports and review of the literature. PMID- 18146201 TI - A technique for division and suture of the patent ductus arteriosus in the older age group. PMID- 18146202 TI - The prevention of postural deformity after thoracoplasty. PMID- 18146203 TI - [Not Available]. PMID- 18146204 TI - [Not Available]. PMID- 18146205 TI - [Not Available]. PMID- 18146206 TI - [Not Available]. PMID- 18146207 TI - [Not Available]. PMID- 18146208 TI - [Not Available]. PMID- 18146210 TI - [Not Available]. PMID- 18146209 TI - [Not Available]. PMID- 18146211 TI - Continuous observation of termites in laboratory cultures. PMID- 18146212 TI - [Not Available]. PMID- 18146213 TI - [Not Available]. PMID- 18146214 TI - [Not Available]. PMID- 18146215 TI - A generalization of Poisson's binomial limit for use in ecology. PMID- 18146216 TI - On the Wishart distribution in statistics. PMID- 18146217 TI - On a method of trend elimination. PMID- 18146218 TI - The derivation and partition of chi2 in certain discrete distributions. PMID- 18146219 TI - Probability tables for the range. PMID- 18146220 TI - Tests of significance in harmonic analysis. PMID- 18146221 TI - On a method of estimating frequencies. PMID- 18146223 TI - [Not Available]. PMID- 18146222 TI - [Not Available]. PMID- 18146224 TI - A pressure mincer for the preparation of tumour suspensions. PMID- 18146225 TI - A study of cell survival in embryonic tissue grafts in inbred strains of mice under various conditions. PMID- 18146226 TI - Attempts to induce epithelial tumours in fowls. PMID- 18146229 TI - The inhibition of beta-glucuronidase by saccharic acid and the role of the enzyme in glucuronide synthesis. PMID- 18146230 TI - Abrasion resistance of dental materials. PMID- 18146231 TI - Root canal therapy. PMID- 18146232 TI - A study of odontogenic epithelium in the dental follicle. PMID- 18146233 TI - Analysis of the unstable and ill-fitting artificial denture. PMID- 18146234 TI - Avulsion of the face; report of a case. PMID- 18146235 TI - Ranges of normalcy in the eruption of permanent teeth. PMID- 18146236 TI - Survey on the graduate study of pedodontics. PMID- 18146237 TI - Dental conditions and nutrition among natives in Greenland. PMID- 18146238 TI - Contribution to the problem of allergy to local anesthetics. PMID- 18146239 TI - Uses of the double X-ray film packet in intraoral roentgenography. PMID- 18146240 TI - Cementicles and fragments of cementum in the periodontal membrane. PMID- 18146241 TI - [Not Available]. PMID- 18146242 TI - [Not Available]. PMID- 18146243 TI - [Not Available]. PMID- 18146244 TI - [Not Available]. PMID- 18146245 TI - [Not Available]. PMID- 18146246 TI - [Not Available]. PMID- 18146247 TI - [Odontome]. PMID- 18146248 TI - [Not Available]. PMID- 18146249 TI - [Not Available]. PMID- 18146250 TI - [Not Available]. PMID- 18146251 TI - [Not Available]. PMID- 18146252 TI - [Not Available]. PMID- 18146253 TI - [Not Available]. PMID- 18146254 TI - [Not Available]. PMID- 18146255 TI - An objective approach to the study of psychotherapy. PMID- 18146256 TI - Guide to literature of elementary particle physics, including cosmic rays. PMID- 18146257 TI - Recent advances in the study of micro-climatology. PMID- 18146259 TI - Haemogregarina stepanowi Danilewsky (1885) in middle Tennessee turtles. PMID- 18146258 TI - Metabolic mechanisms of unstriated muscle. PMID- 18146260 TI - Dissociation energy of carbon monoxide. PMID- 18146261 TI - Absolute electrical measurements. PMID- 18146262 TI - The approach to the absolute zero of temperature. PMID- 18146263 TI - Man and his prejudices. PMID- 18146264 TI - The incidence of parental consanguinity in diabetes mellitus. PMID- 18146265 TI - A quantitative survey of the fingerprints of a small sample of the British population. PMID- 18146267 TI - The age-factor in the brain lesions produced by desoxycorticosterone overdosage. PMID- 18146268 TI - Foetal mortality in postmaturity. PMID- 18146269 TI - Tuberculous ulceration of the vulva with report of one case successfully treated with streptomycin. PMID- 18146270 TI - The relief and prevention of referred pain. PMID- 18146271 TI - NEW nurse training school. PMID- 18146272 TI - Problems of group administration; a rural area. PMID- 18146273 TI - Serological reactivity of mucoid strains of Escherichia coli. PMID- 18146274 TI - The problem of consistent radiological diagnosis in coalminers' pneumoconiosis; an experimental study. PMID- 18146275 TI - Enteric organisms from the American cockroach. PMID- 18146276 TI - Remote results of treatment of keratitis rosacea with testosterone. PMID- 18146277 TI - A method for determining the renninogen of urine. PMID- 18146278 TI - [Not Available]. PMID- 18146279 TI - [Not Available]. PMID- 18146280 TI - [Not Available]. PMID- 18146281 TI - [Not Available]. PMID- 18146282 TI - A clinical study of 21 cases of functional disturbances in relaxation of the cardia (cardiospasm). PMID- 18146283 TI - A study of pericarditis in the light of a series observed in Finland; etiology and pathogenesis of exudative pericarditis. PMID- 18146284 TI - Some proportional weights and measurements of the human body. PMID- 18146285 TI - Familial carotid body tumors; report of nine cases in 11 siblings. PMID- 18146286 TI - Giant uriticaria reaction due to chloromycetin; report of a case. PMID- 18146287 TI - Management of the neurotic patient. PMID- 18146288 TI - [Not Available]. PMID- 18146289 TI - [Not Available]. PMID- 18146290 TI - [Not Available]. PMID- 18146291 TI - [Not Available]. PMID- 18146292 TI - Congenital hemiatrophy associated with other congenital defects. PMID- 18146293 TI - Institutes of medical studies in the U.S.S.R. PMID- 18146294 TI - An improved Gordh needle. PMID- 18146295 TI - [Not Available]. PMID- 18146296 TI - The relationship between tuberculosis among animals and humans. PMID- 18146297 TI - [Not Available]. PMID- 18146298 TI - [Not Available]. PMID- 18146299 TI - Medical treatment of acute toxic ulcerative colitis; report of two cases. PMID- 18146300 TI - Intestinal obstruction; gallstone impaction. PMID- 18146301 TI - The principles governing the treatment of cough using the National Formulary 1949. PMID- 18146302 TI - Oedema and potassium loss in combined sodium p-aminohippurate and penicillin therapy; a metabolic study. PMID- 18146303 TI - [Not Available]. PMID- 18146304 TI - [Not Available]. PMID- 18146305 TI - [Not Available]. PMID- 18146306 TI - [Not Available]. PMID- 18146307 TI - p-Aminosalicylic acid. PMID- 18146308 TI - Clinical study of the use of para-aminosalicylic acid in the treatment of pulmonary tuberculosis. PMID- 18146309 TI - [From mercury to streptomycin; evolution of chemotherapy]. PMID- 18146310 TI - [Not Available]. PMID- 18146311 TI - [Not Available]. PMID- 18146312 TI - [Not Available]. PMID- 18146313 TI - [Not Available]. PMID- 18146314 TI - [Not Available]. PMID- 18146315 TI - [Not Available]. PMID- 18146316 TI - [Not Available]. PMID- 18146317 TI - Incidence of pellagra; studies in the Cincinnati General Hospital, 1935-1947. PMID- 18146318 TI - Modified autohemic therapy. PMID- 18146319 TI - Problem of surgical amebiasis with respect to acute appendicitis. PMID- 18146320 TI - Roseola infantum (exanthem subitum). PMID- 18146321 TI - Diet in cancer. PMID- 18146322 TI - Nutritional status of school children in Grady County and a plan for a nutrition program. PMID- 18146323 TI - Carcinoma of the cervix. PMID- 18146324 TI - Laboratory diagnostic aids for the general practitioner. PMID- 18146325 TI - Industrial medicine at the Saco-Lowell shops. PMID- 18146326 TI - [Apropos of a foreign body; an unexpected diagnosis and etiology not mentioned in books]. PMID- 18146327 TI - [Not Available]. PMID- 18146328 TI - Hysterectomy; present day indications. PMID- 18146329 TI - Management of cerebral palsy. PMID- 18146331 TI - Psychogenic aspects of allergy. PMID- 18146330 TI - Urinary amino acid wastage studies following single infusions of amino acid mixtures; preliminary report. PMID- 18146332 TI - Neurological and psychiatric aspects of the problem of headache. PMID- 18146333 TI - Otolaryngological aspects of the problem of headache. PMID- 18146334 TI - Gold therapy in arthritis. PMID- 18146335 TI - Indirect inguinal hernias in male infants. PMID- 18146336 TI - Trauma and hemorrhage of trachea and bronchi. PMID- 18146337 TI - The indications for hysterectomy. PMID- 18146338 TI - The problem of rabies prevention. PMID- 18146339 TI - [Not Available]. PMID- 18146340 TI - [Not Available]. PMID- 18146341 TI - Myxoma of the heart. PMID- 18146342 TI - Tonic fits and glycosuria due to fat-embolism. PMID- 18146344 TI - Transmetatarsal amputation for diabetic gangrene of toes. PMID- 18146343 TI - [Not Available]. PMID- 18146345 TI - [Not Available]. PMID- 18146346 TI - Bright's disease. PMID- 18146347 TI - Infertility in women. PMID- 18146348 TI - A forgotten chapter in the history of medical statistics. PMID- 18146349 TI - Safety factors in colon cancer surgery. PMID- 18146350 TI - Hazards in intrapleural pneumonolysis. PMID- 18146351 TI - Penicillin therapy in children; using fewer, larger dose injections of concentrated aqueous solution. PMID- 18146352 TI - Epidemiologic consideration about poliomyelitis. PMID- 18146353 TI - Relations between esthetic and reconstructive plastic surgery and other branches of surgery. PMID- 18146354 TI - [Not Available]. PMID- 18146355 TI - A consideration of diffuse glomerulonephritis. PMID- 18146356 TI - [Not Available]. PMID- 18146357 TI - Recurrence following inguinal and femoral hernia operations; 3 to 7 1/2 year's follow-up. PMID- 18146358 TI - Periarteritis nodosa (essential polyarteritis) clinical data on 30 cases proved at necropsy. PMID- 18146359 TI - Resection of stomach for carcinoma; report of two unusual cases. PMID- 18146360 TI - The ragweed problem in the Southwest. PMID- 18146361 TI - The Rh baby. PMID- 18146362 TI - Report of a case of acute hydramnios. PMID- 18146363 TI - Amebiasis. PMID- 18146364 TI - Carcinoma and other malignant lesions of the stomach. PMID- 18146365 TI - [Not Available]. PMID- 18146367 TI - Active immunization. PMID- 18146366 TI - [Not Available]. PMID- 18146368 TI - Thrombosis of portal vein and branches of superior mesenteric vein. PMID- 18146369 TI - Early recognition of possibly dangerous nevi (moles) and the best procedure to avoid development of malignant melanomas (nevocarcinoma). PMID- 18146370 TI - Experiences with anticoagulant therapy. PMID- 18146371 TI - The indications for operation in patent ductus arteriosus; with special reference to adults. PMID- 18146372 TI - [Not Available]. PMID- 18146373 TI - [Not Available]. PMID- 18146374 TI - [Not Available]. PMID- 18146375 TI - [Not Available]. PMID- 18146376 TI - [Not Available]. PMID- 18146377 TI - [Not Available]. PMID- 18146378 TI - [Not Available]. PMID- 18146379 TI - [Not Available]. PMID- 18146380 TI - [Not Available]. PMID- 18146381 TI - [Not Available]. PMID- 18146382 TI - Maternity blues. PMID- 18146383 TI - Treatment of Ludwig's angina. PMID- 18146384 TI - [Not Available]. PMID- 18146385 TI - [Not Available]. PMID- 18146386 TI - [Not Available]. PMID- 18146387 TI - Postanesthetic encephalopathy; the postulation of cerebral edema as a basis for rational treatment. PMID- 18146388 TI - [Not Available]. PMID- 18146389 TI - [Not Available]. PMID- 18146390 TI - [Upon ligation of the umbilical cord]. PMID- 18146392 TI - Extradural hemorrhage; a report of three cases. PMID- 18146391 TI - [About a focus of autochthonous schistosomiasis in Jacarezinho, Northern Parana, Brazil]. PMID- 18146393 TI - Primary lymphosarcoma of the appendix vermiformis. PMID- 18146394 TI - [Not Available]. PMID- 18146395 TI - [Not Available]. PMID- 18146396 TI - [Not Available]. PMID- 18146397 TI - [Not Available]. PMID- 18146398 TI - [Not Available]. PMID- 18146399 TI - [Not Available]. PMID- 18146400 TI - Common skin disorders of the army in the tropics. PMID- 18146401 TI - Death, mourning and the funeral. PMID- 18146403 TI - EPIDEMIC of typhoid. PMID- 18146402 TI - Neuralgia from a cementoma; case history with comment. PMID- 18146404 TI - MAN and his environment; the role of the public health engineer. PMID- 18146405 TI - Experience with venereal disease. PMID- 18146406 TI - The problem of teaching psychological attitudes to medical students. PMID- 18146407 TI - [Not Available]. PMID- 18146408 TI - [Not Available]. PMID- 18146409 TI - [Not Available]. PMID- 18146410 TI - [Not Available]. PMID- 18146411 TI - [Prefrontal lobotomy; clinical results in a private hospital]. PMID- 18146412 TI - The dermatologist and the psychiatrist. PMID- 18146413 TI - Drama therapy at Winter Veterans Administration Hospital; a preliminary report. PMID- 18146414 TI - The present status of narcosynthesis using sodium pentothal and sodium amytal. PMID- 18146416 TI - The use of the thematic apperception test in psychotherapy. PMID- 18146415 TI - Objective evaluation of insulin therapy of the morphine abstinence syndrome. PMID- 18146417 TI - The development of a vocational-rehabilitation program for the neuropsychiatric. PMID- 18146418 TI - The visiting teacher looks at the rejected child. PMID- 18146419 TI - Some personality characteristics noted among tuberculosis patients, with implications for a counselor. PMID- 18146420 TI - [Not Available]. PMID- 18146421 TI - [Not Available]. PMID- 18146422 TI - [Not Available]. PMID- 18146423 TI - Effects of testicular extract on certain ocular structures. PMID- 18146424 TI - Experimental studies with antibiotics; bacitracin, streptomycin, penicillin, and antibiotic mixtures in intraocular infections with penicillin-resistant staphylococci. PMID- 18146425 TI - Effect of BAL on intraocular copper. PMID- 18146426 TI - Metabolism of the crystalline lens; respiration of the intact lens and its separated parts. PMID- 18146427 TI - Compression tests on aqueous veins of glaucomatous eyes; application of hydrodynamic principles to the problem of intraocular-fluid elimination. PMID- 18146428 TI - [Not Available]. PMID- 18146429 TI - Mechanics of intracapsular cataract extraction. PMID- 18146430 TI - Aqueous veins and their significance for pathogenesis of glaucoma. PMID- 18146431 TI - [Not Available]. PMID- 18146432 TI - Some reflections on haemodynamics of the retina. PMID- 18146433 TI - Dystopia punctorum lacrimorum, blepharophimosis and partial atrophy of the iris in a deaf-mute patient. PMID- 18146434 TI - Lipoblastoma orbitae. PMID- 18146435 TI - Growth-curves and the senescence of the eye. PMID- 18146436 TI - The eyes' mind. PMID- 18146437 TI - The early diagnosis of primary carcinoma of the lung. PMID- 18146438 TI - Tuberculosis of the nose treated with streptomycin. PMID- 18146439 TI - Tuberculous laryngitis and tracheo bronchitis. PMID- 18146440 TI - Macroglossia accompanying primary systemic amyloidosis. PMID- 18146441 TI - Mixed tumor of nose treated by rhinoplastic procedure. PMID- 18146442 TI - Neurinoma of the ethmoidal sinuses. PMID- 18146443 TI - A case of mastoiditis without apparent otitis media. PMID- 18146444 TI - Bony stenosis of the larynx: report of a case. PMID- 18146445 TI - Plastic repair of saddle-nose. PMID- 18146446 TI - [Not Available]. PMID- 18146447 TI - [Not Available]. PMID- 18146448 TI - [Not Available]. PMID- 18146449 TI - [Not Available]. PMID- 18146450 TI - [Not Available]. PMID- 18146451 TI - [Not Available]. PMID- 18146452 TI - [Not Available]. PMID- 18146454 TI - [Not Available]. PMID- 18146453 TI - [Not Available]. PMID- 18146455 TI - Absence of fructose from human cord blood. PMID- 18146456 TI - Major pelvic pathology in children. PMID- 18146457 TI - Infectious hepatitis. PMID- 18146458 TI - Methemoglobinemia. PMID- 18146459 TI - [Not Available]. PMID- 18146460 TI - [Not Available]. PMID- 18146461 TI - [Not Available]. PMID- 18146462 TI - [Not Available]. PMID- 18146463 TI - Bronchiectasis in childhood; clinical survey of 160 cases. PMID- 18146464 TI - The pathogenesis of fibrocystic disease of the pancreas; a study of 36 cases with special reference to the pulmonary lesions. PMID- 18146465 TI - Studies of penicillin in pediatrics. PMID- 18146466 TI - Pancreatic function in scarlet fever. PMID- 18146467 TI - An evaluation of electroencephalography in the diagnosis of brain tumors of children. PMID- 18146468 TI - [Not Available]. PMID- 18146469 TI - [Not Available]. PMID- 18146470 TI - [Not Available]. PMID- 18146471 TI - BRUCELLOSIS. PMID- 18146472 TI - Recent advances in dermatology of interest to the pharmacist. PMID- 18146473 TI - An ampul washing apparatus. PMID- 18146474 TI - Antihistaminic agents derived from diphenylmethane. PMID- 18146475 TI - [Not Available]. PMID- 18146476 TI - Vaso- and bronchodilator effects of N-isopropylnorepinephrine in isolated perfused dog lungs. PMID- 18146477 TI - Experimental chemotherapy of trypanosomiasis; effect of p-phenylene diguanidine and related compounds against experimental infections with Trypanosoma equiperdum. PMID- 18146478 TI - Comparative spasmolytic activities of certain benzhydryl alkamine ethers and related compounds. PMID- 18146480 TI - [Not Available]. PMID- 18146479 TI - [Not Available]. PMID- 18146481 TI - Typhoid paratyphoid vaccine and respiratory response to the inhalation of carbon dioxide. PMID- 18146482 TI - Mechanisms of metabolic inhibition by heavy metals. PMID- 18146483 TI - Platelets as foci in the coagulation of blood. PMID- 18146484 TI - Secretion of intestinal juice during hypercalcemia. PMID- 18146485 TI - [Not Available]. PMID- 18146486 TI - Electrokymographic studies of lung field pulsations with exhalation against pressure. PMID- 18146487 TI - A genotypical approach to the analysis of personal interaction. PMID- 18146488 TI - Diagnostic testing in two cases of schizophrenic depression. PMID- 18146490 TI - Promises. PMID- 18146489 TI - The status of correctional psychology. PMID- 18146491 TI - Some observations from a preliminary study of infant mortality in British Columbia, based on birth-death linkage. PMID- 18146492 TI - PREVENTION of accidents in the home. PMID- 18146493 TI - Pollution load capacity of streams. PMID- 18146494 TI - Preconditioning and digestion of sewage sludge; nature of digestion; acidity control. PMID- 18146495 TI - Double contrast roentgenograms of the stomach; an additional aid in diagnosis. PMID- 18146496 TI - Erythema nodosum. PMID- 18146497 TI - Studies on the effect of the protraction of X radiation by 12 fractionations on the erythema reactions. PMID- 18146498 TI - [Not Available]. PMID- 18146499 TI - Excision of the lung for pulmonary tuberculosis. PMID- 18146500 TI - Post-operative respiratory complications; a study of 1,000 genito-urinary cases. PMID- 18146501 TI - Surgical treatment of carcinomata of the distal three quarters of the thoracic oesophagus and the cardia. PMID- 18146502 TI - Operative treatment of severe kyphosis as the result of Bechterew's disease. PMID- 18146503 TI - [Not Available]. PMID- 18146504 TI - [Not Available]. PMID- 18146505 TI - The local treatment of burns by dibrompropamidine. PMID- 18146506 TI - The marsupial skin flap. PMID- 18146507 TI - Plaster of paris head cages in the fixation of free skin grafts to the head and face. PMID- 18146508 TI - [Not Available]. PMID- 18146509 TI - [Not Available]. PMID- 18146510 TI - The surgery of sepsis. PMID- 18146511 TI - The end results of thyroidectomy. PMID- 18146512 TI - Postoperative intravascular thrombosis. PMID- 18146513 TI - Volvulus of the midgut. PMID- 18146514 TI - Anesthesiology in Canada. PMID- 18146515 TI - Cytology and the menopause. PMID- 18146516 TI - Fractures of the tibial spine with a case of overgrowth of the ununited fragment. PMID- 18146517 TI - Metastatic carcinoma of left lobe of liver; hepatolobectomy. PMID- 18146518 TI - [Not Available]. PMID- 18146519 TI - [Not Available]. PMID- 18146520 TI - [Not Available]. PMID- 18146521 TI - [Not Available]. PMID- 18146522 TI - [Megacolon and pregnancy]. PMID- 18146523 TI - Anuria. PMID- 18146525 TI - Vascular spasm in battle injuries. PMID- 18146524 TI - Emergency thyroidectomy; a case of intracapsular hemorrhage in an intrathoracic goiter. PMID- 18146526 TI - The criteria, classification, and technique of iliopectineal (Cooper's) ligament hernioplasty. PMID- 18146527 TI - Enterocele. PMID- 18146528 TI - Acute pancreatitis following cholangiography. PMID- 18146529 TI - Obstetrics through the ages. PMID- 18146530 TI - [Not Available]. PMID- 18146531 TI - [Not Available]. PMID- 18146532 TI - Aureomycin in the treatment of granuloma inguinale. PMID- 18146533 TI - The clinical application of a new piperazine compound; human pharmacology. PMID- 18146534 TI - Bronchial asthma caused by the inhalation of wood dust. PMID- 18146535 TI - Clinical experiences with B-(p-methylbenzhydryloxy)-ethyldimethylamine hydrochloride; a new antihistaminic. PMID- 18146536 TI - The absence of the effects of benadryl on the hematopoietic system. PMID- 18146537 TI - Management of anesthesia for the allergic patient. PMID- 18146538 TI - A note concerning certain microphallid trematodes infecting shore birds (Limosa fedoa and Catoptrophorus semipalmatus inornatus) with description of a new species (Levinseniella charadriformis). PMID- 18146539 TI - Tetrathyridium larvae of Mesocestoides in rodents in Cyprus. PMID- 18146541 TI - The physiology of the individual as an approach to a more quantitative biology of man. PMID- 18146540 TI - The prothoracic glands of insects in retrospect and in prospect. PMID- 18146542 TI - Amino acid requirements of man. PMID- 18146543 TI - A comparison of the chlorinated hydrocarbon insecticides for control of the sheep tick. PMID- 18146544 TI - Effectiveness of repellents applied to clothing for protection against salt-marsh mosquitoes. PMID- 18146545 TI - Residual action of organic insecticides against stable flies. PMID- 18146546 TI - Ventricular fibrillation induced by cold. PMID- 18146548 TI - Mathematical biology of social behavior. PMID- 18146547 TI - The steady state kinetics of some biological systems. PMID- 18146549 TI - The oxalacetate decarboxylase of Azotobacter vinelandii. PMID- 18146550 TI - Electrophoresis and solubility of chymotrypsinogen B and chymotrypsin B. PMID- 18146551 TI - Effect of oxythiamine on blood pyruvate-lactate relationships and the excretion of thiamine in rats. PMID- 18146552 TI - The metabolism of yeast nucleic acid in the rat. PMID- 18146553 TI - Mutant strains of Escherichia coli unable to synthesize p-aminobenzoic acid. PMID- 18146554 TI - [Not Available]. PMID- 18146555 TI - Placement of pontic bars for acrylic bridge construction. PMID- 18146556 TI - Some dental aspects of maxillo-facial injuries. PMID- 18146557 TI - Experimental studies in calcification; dentinal changes in the incisor of the nephrectomized rat. PMID- 18146558 TI - A preliminary study of the distribution of fluorine in communal water supplies in the United States. PMID- 18146559 TI - The place specialization should occupy in dental practice. PMID- 18146560 TI - Treatment of early syphilis with penicillin; report of 324 patients treated with 1,200,000 units over 7 1/2 days. PMID- 18146561 TI - Treatment of cutaneous blastomas and other diseases with nitrogen mustard. PMID- 18146562 TI - Seabather's eruption. PMID- 18146563 TI - Pemphigus erythematosus. PMID- 18146564 TI - Therapy of psychosomatic dermatoses. PMID- 18146565 TI - [Serious poisoning following external application of resorcin paste]. PMID- 18146566 TI - Reactions to the local use of thephorin. PMID- 18146567 TI - [Not Available]. PMID- 18146568 TI - [Not Available]. PMID- 18146569 TI - [Not Available]. PMID- 18146570 TI - Traumatic diaphragmatic hernia with gastric obstruction and jaundice. PMID- 18146571 TI - Changes in circulating eosinophils in women during the menstrual cycle and reproduction. PMID- 18146572 TI - Production of p-cymene from carene. PMID- 18146573 TI - [Not Available]. PMID- 18146574 TI - [Not Available]. PMID- 18146575 TI - [Not Available]. PMID- 18146576 TI - [Not Available]. PMID- 18146577 TI - A contribution to the orgasm problem in women. PMID- 18146579 TI - Sex education, its principles and limitations (transl.). PMID- 18146578 TI - Is it preferable that the husband be older than his wife? PMID- 18146580 TI - The effects of radiation on the gonads. PMID- 18146581 TI - Frustration of the maternal instinct. PMID- 18146582 TI - The psychology of xenophobia. PMID- 18146583 TI - Mutilation of girls in the Sudan. PMID- 18146584 TI - Molecular structure and spectroscopy. PMID- 18146585 TI - Recurrent themes in medical thought. PMID- 18146586 TI - Extrasensory perception; fact or fancy? PMID- 18146587 TI - The chemical and biological properties of acridines. PMID- 18146588 TI - Some aspects of the biochemistry of sulphur. PMID- 18146589 TI - Methods of reduction and hydrogenation. PMID- 18146590 TI - Human prehistory. PMID- 18146591 TI - Parthenogenetic development of the ovum as observed by vital staining. PMID- 18146592 TI - The floating fetal head in the primipara at term. PMID- 18146593 TI - An evaluation of prophylactic penicillin administration to parturient women. PMID- 18146595 TI - Types of kidney pelvis and their frequency in connection with renal calculi. PMID- 18146594 TI - The effect of stilbestrol on the hematopoietic system in the human subject. PMID- 18146596 TI - A case of carbon tetrachloride poisoning with anuria treated by unilateral discission of the renal capsule. PMID- 18146598 TI - A new treatment for contraction ring of the cervix. PMID- 18146597 TI - Zwei seltene Myomlokalisationen. PMID- 18146599 TI - [Not Available]. PMID- 18146600 TI - [Not Available]. PMID- 18146601 TI - [Not Available]. PMID- 18146602 TI - Hypoplastic anemia due to atabrine. PMID- 18146603 TI - F.C.C. rules and regulations on diathermy and television prevent chaos in radio communications. PMID- 18146604 TI - Studies on scrub typhus; heterogeneity of strains of R. tsutsugamushi as demonstrated by cross-neutralization tests. PMID- 18146605 TI - [Not Available]. PMID- 18146607 TI - Arteriovenous fistula; a case report emphasizing etiology. PMID- 18146606 TI - [Not Available]. PMID- 18146608 TI - Fractures. PMID- 18146609 TI - The functions of industrial hygiene and their relationship to industrial dentistry. PMID- 18146610 TI - [Not Available]. PMID- 18146611 TI - The coagulation time of blood in silicone tubes in patients receiving dicumarol. PMID- 18146612 TI - Studies of a sulfadiazine-sulfamerazine combination with special reference to treatment of pneumonia. PMID- 18146613 TI - Narcolepsy; brief review and report of cases. PMID- 18146614 TI - Vitamins. PMID- 18146615 TI - Common vitamins and their chief characteristics. PMID- 18146616 TI - Food provincialism. PMID- 18146617 TI - Dietetics and nutritional disorders of rural Ceylon. PMID- 18146618 TI - Nutrition; what it means. PMID- 18146619 TI - [Not Available]. PMID- 18146620 TI - [Not Available]. PMID- 18146621 TI - Tuberculous empyema. PMID- 18146622 TI - Penicillin in the treatment of influenzal meningitis. PMID- 18146623 TI - Aschheim-Zondek and Hogben pregnancy tests modified and compared. PMID- 18146624 TI - Analysis of 259 living premature infants whose weight at birth ranged between 735 and 1260 grams. PMID- 18146625 TI - Tuberculosis among the aged. PMID- 18146626 TI - Periarteritis nodosa; a review with the presentation of seven cases. PMID- 18146627 TI - Solitary diverticulitis of the cecum. PMID- 18146628 TI - [Not Available]. PMID- 18146629 TI - LEGAL aspects of sterilization. PMID- 18146630 TI - [Not Available]. PMID- 18146631 TI - [Not Available]. PMID- 18146632 TI - [Not Available]. PMID- 18146633 TI - [Not Available]. PMID- 18146634 TI - Chronic contrictive pericarditis. PMID- 18146635 TI - [Not Available]. PMID- 18146636 TI - [The etiology of primary atypical pneumonia]. PMID- 18146637 TI - [Mortality from tuberculosis in Finland]. PMID- 18146638 TI - [Heart disease and anemia]. PMID- 18146640 TI - [Not Available]. PMID- 18146639 TI - [Not Available]. PMID- 18146641 TI - Psoriasis vulgaris; report on a case showing skin, joint and eye lesions (keratitis psoriatica). PMID- 18146642 TI - Dermatological disturbances due to vaccination against smallpox [Hebrew Text]. PMID- 18146643 TI - Aberrant breast tissue; case report. PMID- 18146644 TI - Hawaii's first hospitals. PMID- 18146645 TI - Social and emotional aspects of tuberculosis. PMID- 18146646 TI - [Endemic goiter in Minas Gerais]. PMID- 18146647 TI - [Treatment of small hepatic failure]. PMID- 18146648 TI - [Law of antipodal homonymy of the Pegasus meridian]. PMID- 18146649 TI - Nonparalytic poliomyelitis and mumps meningoencephalitis; differential diagnosis. PMID- 18146650 TI - Treatment of paraplegia resulting from trauma to the spinal cord. PMID- 18146651 TI - Histamine antagonists; an experimental and clinical study of N,N-dimethyl-N'-2 thiazolyl-N'-p-methoxybenzyl-ethylenediamine hydrochloride (194-B). PMID- 18146652 TI - The problem of control of the respiratory tract infections. PMID- 18146653 TI - Neonatal hazards. PMID- 18146654 TI - An annual examination for your patient. PMID- 18146655 TI - Clostridium histolyticum infection. PMID- 18146656 TI - [Not Available]. PMID- 18146657 TI - [Not Available]. PMID- 18146658 TI - [Not Available]. PMID- 18146659 TI - The functions of the American Academy of General Practice at the crossroads in organized medicine. PMID- 18146660 TI - Intravenous urea and sulfadiazine in the treatment of postabortal peritonitis. PMID- 18146661 TI - [Not Available]. PMID- 18146663 TI - Conservatism in pelvic surgery. PMID- 18146662 TI - [Not Available]. PMID- 18146664 TI - Modern trends in intravenous anaesthesia. PMID- 18146665 TI - Indications for caesarean section with a note on the most suitable type of operation. PMID- 18146666 TI - IMPETIGO contagiosa. PMID- 18146667 TI - Brewers' yeast. PMID- 18146668 TI - Primary multicentric bilateral carcinoma of lung. PMID- 18146669 TI - [Not Available]. PMID- 18146670 TI - [Not Available]. PMID- 18146671 TI - [Not Available]. PMID- 18146672 TI - [Not Available]. PMID- 18146673 TI - [Not Available]. PMID- 18146674 TI - [Not Available]. PMID- 18146675 TI - [Not Available]. PMID- 18146676 TI - [Not Available]. PMID- 18146677 TI - [Not Available]. PMID- 18146678 TI - [Not Available]. PMID- 18146679 TI - [Not Available]. PMID- 18146680 TI - [Not Available]. PMID- 18146681 TI - [Not Available]. PMID- 18146682 TI - [Not Available]. PMID- 18146683 TI - [Not Available]. PMID- 18146684 TI - [Not Available]. PMID- 18146685 TI - A comparison of total body water as determined by antipyrine and desiccation in rabbits. PMID- 18146686 TI - The xanthine oxidase activity of rat tissues. PMID- 18146687 TI - An antithyrotoxic factor for the rat not identical with vitamin B12. PMID- 18146688 TI - Propagation of canine distemper virus on the chorioallantoic membrane of embryonated hen eggs. PMID- 18146689 TI - Small-nerve fibers in mammalian ventral roots. PMID- 18146690 TI - Effect of testis extract on growth of a transplanted lymphosarcoma in AKm mice. PMID- 18146691 TI - Relation of pregnancies to induction of ovarian tumors by X-rays. PMID- 18146693 TI - [Not Available]. PMID- 18146692 TI - Tolerance of normal and partially depancreatized rats for insulin. PMID- 18146694 TI - [Not Available]. PMID- 18146695 TI - [Not Available]. PMID- 18146696 TI - [Not Available]. PMID- 18146697 TI - [Not Available]. PMID- 18146698 TI - [Not Available]. PMID- 18146700 TI - Health on active service. PMID- 18146699 TI - [Not Available]. PMID- 18146701 TI - Cytologic diagnosis of cancer from body secretions and fluids. PMID- 18146702 TI - [Not Available]. PMID- 18146703 TI - [Not Available]. PMID- 18146704 TI - [Not Available]. PMID- 18146705 TI - [Not Available]. PMID- 18146706 TI - [Not Available]. PMID- 18146707 TI - [Not Available]. PMID- 18146708 TI - [Not Available]. PMID- 18146709 TI - [Not Available]. PMID- 18146710 TI - [Not Available]. PMID- 18146711 TI - [Not Available]. PMID- 18146712 TI - [Not Available]. PMID- 18146713 TI - [Not Available]. PMID- 18146714 TI - Advances in gastric surgery. PMID- 18146715 TI - [Statistical study of the incidence of the Rh factor in the Federal District]. PMID- 18146716 TI - [Not Available]. PMID- 18146717 TI - [Not Available]. PMID- 18146718 TI - [Not Available]. PMID- 18146719 TI - [Not Available]. PMID- 18146720 TI - [Not Available]. PMID- 18146721 TI - [Not Available]. PMID- 18146722 TI - [Not Available]. PMID- 18146723 TI - Streptomycin in the treatment of tuberculosis. PMID- 18146724 TI - Emotional aspects of organic disease. PMID- 18146726 TI - Portal cirrhosis. PMID- 18146725 TI - The toad test for pregnancy. PMID- 18146727 TI - Progress made in solving Medical Department reserve problems. PMID- 18146728 TI - The evaluation of physical efficiency. PMID- 18146729 TI - [Not Available]. PMID- 18146730 TI - [Not Available]. PMID- 18146732 TI - EXPLOSIVE outbreak of upper respiratory disease in a unit at Fort Devens with subsequent serological findings of influenza. PMID- 18146731 TI - ROCKY Mountain spotted fever. PMID- 18146733 TI - NONTRAUMATIC cataract. PMID- 18146734 TI - BIOLOGICAL warfare. PMID- 18146735 TI - Care of the respirator machine. PMID- 18146736 TI - POSSIBLE treatment of sodium monofluoracetate (1080) poisoning. PMID- 18146737 TI - Use of 3% ether-saline solution as a vasodilator in arterial spasm following a fracture of the humerus; medical aspect. PMID- 18146738 TI - [Not Available]. PMID- 18146739 TI - [Not Available]. PMID- 18146740 TI - [Not Available]. PMID- 18146741 TI - [Not Available]. PMID- 18146742 TI - Problems of nosology and psychodynamics of early infantile autism. PMID- 18146743 TI - The Szondi test. PMID- 18146744 TI - The objective evaluation of psychotherapy. PMID- 18146745 TI - The role of the nursery school in community education. PMID- 18146746 TI - The mosaic test. PMID- 18146747 TI - Role of repeated trauma by pneumatic drill in production of amyotrophic lateral sclerosis. PMID- 18146748 TI - Description of a skin galvanometer that gives a graphic record of activity in the sympathetic nervous system. PMID- 18146749 TI - Classification of craniostenosis. PMID- 18146750 TI - Intracranial neurinoma of the hypoglossal nerve; successful removal; case report. PMID- 18146751 TI - Effect of large-scale methods of preparation on the vitamin content of food; corn. PMID- 18146752 TI - Eyecare and the National Health program. PMID- 18146753 TI - [Not Available]. PMID- 18146754 TI - Role of compensatory hypertrophy and simple atrophy in intranasal surgery. PMID- 18146755 TI - Perforation of the esophagus by a thumb tack and subsequent removal by an electromagnet. PMID- 18146756 TI - Epistaxis. PMID- 18146757 TI - The use of pancreatic extract as a growth stimulant for C. diphtheria. PMID- 18146759 TI - [Not Available]. PMID- 18146758 TI - Estimation of p-aminosalicylic acid in blood. PMID- 18146760 TI - [Not Available]. PMID- 18146761 TI - [Not Available]. PMID- 18146763 TI - Etiology of rheumatic fever. PMID- 18146762 TI - [Not Available]. PMID- 18146764 TI - Tuberculous meningitis. PMID- 18146765 TI - Lipodystrophy; case report. PMID- 18146766 TI - [Not Available]. PMID- 18146767 TI - [Not Available]. PMID- 18146769 TI - STERILISATION of syringes. PMID- 18146768 TI - Odor and olfaction. PMID- 18146770 TI - CHLORAL hydrate. PMID- 18146771 TI - Awkward prescriptions. PMID- 18146772 TI - Dynamics of experimental atrial septal defects. PMID- 18146773 TI - A preliminary study of the Crocker-Henderson odor-classification system. PMID- 18146774 TI - An improved color mixer. PMID- 18146775 TI - Beats from combining a unit frequency with a mistuned multiple. PMID- 18146776 TI - Consistency of the factorial structures of personality ratings from different sour sources. PMID- 18146777 TI - Two methods of assessing therapeutic progress. PMID- 18146778 TI - A case of folie a deux. PMID- 18146779 TI - Tumulty and Leavenworth; a case study of rumor. PMID- 18146780 TI - The concept of the behavioral spectrum. PMID- 18146781 TI - [Not Available]. PMID- 18146782 TI - [Not Available]. PMID- 18146783 TI - [Not Available]. PMID- 18146784 TI - [Not Available]. PMID- 18146785 TI - The bio-phage nutrient process of sewage treatment. PMID- 18146786 TI - [Not Available]. PMID- 18146787 TI - [Not Available]. PMID- 18146788 TI - [Not Available]. PMID- 18146789 TI - [Not Available]. PMID- 18146790 TI - [Not Available]. PMID- 18146791 TI - [Not Available]. PMID- 18146792 TI - [Not Available]. PMID- 18146793 TI - [Not Available]. PMID- 18146794 TI - [Not Available]. PMID- 18146795 TI - The physiological significance of bronchiectasis. PMID- 18146796 TI - Acute fatal asphyxia due to aortic aneurysm in patient with four saccular aneurysms of thoracic aorta; case report. PMID- 18146797 TI - Basal tuberculosis simulating sub-phrenic abscess. PMID- 18146798 TI - Tuberculosis among Indians of the United States. PMID- 18146799 TI - The general pathology of the lymphadenopathies. PMID- 18146800 TI - [Not Available]. PMID- 18146801 TI - [Not Available]. PMID- 18146802 TI - [Not Available]. PMID- 18146803 TI - [Not Available]. PMID- 18146804 TI - [Not Available]. PMID- 18146805 TI - Clinical aspects of embryological skin development. PMID- 18146806 TI - The value of homografts; a case report. PMID- 18146807 TI - An improved skin hook. PMID- 18146808 TI - [Not Available]. PMID- 18146809 TI - Physiologic mechanisms of the kidneys in relation to anesthesia. PMID- 18146810 TI - Cerebral manifestations of anoxia; a review of the literature. PMID- 18146811 TI - Methodological problems in the anthropological study of modern cultures. PMID- 18146813 TI - Structure and function of neurones in relation to mental activity. PMID- 18146812 TI - Parallels in the development of shamanism among northern and southern Athapaskans. PMID- 18146814 TI - [Not Available]. PMID- 18146815 TI - [Not Available]. PMID- 18146816 TI - Electron microscopic and electrophoretic study of two strains of tobacco mosaic virus. PMID- 18146817 TI - Coenzyme A and citrate formation in homogenates of heart ventricle from normal and pantothenic acid-deficient ducklings. PMID- 18146818 TI - An unidentified factor in pancreas essential for the sustained growth of Trichomonas vaginalis. PMID- 18146819 TI - The influence of diet on the riboflavin content and the ability of rat liver slices to destroy the carcinogen N,N-dimethyl-p-amino azobenzene. PMID- 18146820 TI - A simple method for determining serum copper. PMID- 18146821 TI - Studies on the growth inhibitor fraction of Lima beans and isolation of a crystalline heat-stable trypsin inhibitor. PMID- 18146822 TI - The primary and secondary compounds of catalase and methyl or ethyl hydrogen peroxide; spectra. PMID- 18146823 TI - Instrumentation for a nuclear reactor. PMID- 18146824 TI - DISPOSAL of radioactive wastes by non-AEC users. PMID- 18146825 TI - Pinhole camera for gamma-ray sources. PMID- 18146826 TI - Dental cyst of the mandible successfully treated conservatively. PMID- 18146827 TI - Some observations on cysts, adamantinomata and osteomyelitis of the jaws among the population in Malaya. PMID- 18146828 TI - A pathologically detached enamel cap. PMID- 18146829 TI - A study of the tongue and its relation to denture stability. PMID- 18146830 TI - Clinical experiences with lidocaine as a local anesthetic. PMID- 18146831 TI - The role of the gingival biopsy in secondary amyloid disease. PMID- 18146832 TI - A collective review and atlas of dental anomalies and diseases. PMID- 18146833 TI - [Not Available]. PMID- 18146834 TI - Histological study of human scalps exhibiting various degrees of non-specific baldness. PMID- 18146835 TI - The cellular content of exudates from eczematous and toxic patch test reactions. PMID- 18146836 TI - [Not Available]. PMID- 18146838 TI - [Not Available]. PMID- 18146837 TI - [Not Available]. PMID- 18146839 TI - Sulfonamide and antibiotic therapy in proctology. PMID- 18146840 TI - [Not Available]. PMID- 18146841 TI - [Not Available]. PMID- 18146842 TI - [Not Available]. PMID- 18146843 TI - The administration of large scale enterprises. PMID- 18146844 TI - Distinguishing between psychotherapy and casework. PMID- 18146845 TI - Interferometric examination of hardness test indentations. PMID- 18146846 TI - Antimalarials as antagonists of purines and pteroylglutamic acid. PMID- 18146847 TI - Rate of haemolysis by saponins. PMID- 18146848 TI - Structure of sempervirine. PMID- 18146850 TI - Origin of bacterial variants. PMID- 18146849 TI - Electron bombardment conductivity. PMID- 18146851 TI - Some anisotropic properties of gallium. PMID- 18146852 TI - Sound communication with the deaf. PMID- 18146853 TI - Pellagra, a deficiency disease. PMID- 18146855 TI - A medical approach to problem drinking; preliminary report. PMID- 18146856 TI - Ancient experience with intoxicating drinks; non-Attic Greek states. PMID- 18146857 TI - Scurvy, calcification and vitamin C. PMID- 18146859 TI - The scintillation counter; the existence of plateaus. PMID- 18146858 TI - [Not Available]. PMID- 18146860 TI - A scintillation counter for laboratory counting of alpha-particles. PMID- 18146861 TI - Microsampling and microanalysis of metals. PMID- 18146862 TI - Note on removing the deuteron-induced color from quartz target plates. PMID- 18146863 TI - A new fixative for vaginal smears. PMID- 18146864 TI - Observations on the staining of Corynebacterium diphtheria. PMID- 18146865 TI - A rapid technic for demonstrating mast cells in mouse skin. PMID- 18146866 TI - A photoelectric colorimeter for estimating protozoan population densities. PMID- 18146867 TI - [Not Available]. PMID- 18146869 TI - [Carcinoma of the corpus uteri in young women]. PMID- 18146868 TI - [Fitz Hugh syndrome]. PMID- 18146871 TI - The radical mastoidectomy; anatomical considerations in surgical technique. PMID- 18146872 TI - Preoperative evaluation of liver function in patients with cirrhosis of the liver. PMID- 18146870 TI - Changes in renal function following ureteral transplantation. PMID- 18146873 TI - Acute fulminating cholecystitis. PMID- 18146874 TI - INCREASED space for technical facilities at Vancouver tuberculosis unit. PMID- 18146875 TI - [Not Available]. PMID- 18146876 TI - [Not Available]. PMID- 18146877 TI - [Not Available]. PMID- 18146878 TI - [Not Available]. PMID- 18146879 TI - Experiment in education of the older workers. PMID- 18146880 TI - Treatment of common industrial injuries. PMID- 18146881 TI - Analysis of 50 cases of back pain. PMID- 18146882 TI - [Not Available]. PMID- 18146883 TI - The allergy factor in disease. PMID- 18146884 TI - Chloromycetin and aureomycin; therapeutic results. PMID- 18146885 TI - On the significance of the normal electrocardiogram in old age. PMID- 18146886 TI - Subacute bacterial endocarditis presenting as a subarachnoid hemorrhage; report of a case with recovery. PMID- 18146888 TI - Calcareous nodular stenosis of the aortic valve with syphilitic aortitis and aneurysm. PMID- 18146887 TI - The impact of sulfonamide and antibiotic agents on the prognosis in infectious diseases. PMID- 18146889 TI - [Not Available]. PMID- 18146890 TI - The differential diagnosis of multiple nodular shadows in the lungs. PMID- 18146891 TI - [Not Available]. PMID- 18146892 TI - [Not Available]. PMID- 18146893 TI - [Not Available]. PMID- 18146895 TI - [Not Available]. PMID- 18146894 TI - [Not Available]. PMID- 18146896 TI - What is social medicine? PMID- 18146897 TI - Observations on the treatment of infantile gastro-enteritis. PMID- 18146898 TI - Gastro-colic fistula after vagotomy for stomal ulcer. PMID- 18146899 TI - A case of rheumatoid arthritis simulating pyogenic infection. PMID- 18146900 TI - Fatal case of polio-encephalitis due to poliomyelitis virus. PMID- 18146901 TI - High flying and decompression treatment of whooping-cough. PMID- 18146902 TI - [Not Available]. PMID- 18146903 TI - [Not Available]. PMID- 18146904 TI - [Not Available]. PMID- 18146905 TI - The diagnosis and treatment of carcinoma of the lung. PMID- 18146906 TI - Primary carcinoma of the lung. PMID- 18146907 TI - Modern treatment of syphilis, including syphilis of the central nervous system. PMID- 18146908 TI - Research on the common cold. PMID- 18146909 TI - [Not Available]. PMID- 18146910 TI - [Not Available]. PMID- 18146911 TI - Cesarean section experience at the University of California Hospital. AB - A review of the 746 cesarean sections performed at the University of California Hospital from 1907 through 1948 shows an overall cesarean section incidence of 3.91 per cent. The maternal mortality rate associated with these cesarean sections has been 1.61 per cent. There has been a steady decline in mortality over the 40-year period and there have been no deaths from cesarean section in the last ten years. The over-all incidence of morbidity associated with cesarean section has been 40.5 per cent and again there has been a significant improvement in recent years. The fetal mortality associated with cesarean section has been 6.1 per cent. In view of recent experience, standards based on figures collected 20 years ago are no longer tenable. PMID- 18146912 TI - Acute urinary tract complications following general surgical procedures. AB - The most frequent postoperative urinary problem after various types of general operations is urinary retention. It may be due to previously unrecognized dynamic obstruction, but is more often psychogenic or due to a temporary disturbance in function of the sympathetic and parasympathetic nervous systems. Catheterization may be done safely as a means of preventing over-distention of the bladder. Irritative postoperative lesions are usually due to trigonitis, cystitis or pyelitis. The immediate trauma of pelvic operation is sometimes followed by infection. Careful study will reveal the cause and the type of infection and will give an indication for proper treatment. Anuria may be the result of postoperative shock, chemical injury of the kidneys or block of the urinary channels by crystals, detritus, edema, or operative accident. A careful, immediate analysis of the problem is imperative. Fluid intake in anuria must not be pushed to the point of edema. Accidental surgical blocking or severance of a ureter usually may be repaired without difficulty following a period of recovery to permit subsidence of the acute tissue reaction caused by urinary extravasation. PMID- 18146913 TI - Death due to erosion of a vessel by impaction of a chicken bone in a Meckel's diverticulum. PMID- 18146914 TI - Extramedullary plasmacytoma of the bladder with local metastasis. PMID- 18146915 TI - [Toxoplasmosis]. PMID- 18146916 TI - [Not Available]. PMID- 18146917 TI - [Not Available]. PMID- 18146918 TI - [Not Available]. PMID- 18146919 TI - [Not Available]. PMID- 18146920 TI - [Not Available]. PMID- 18146921 TI - [Not Available]. PMID- 18146922 TI - [Not Available]. PMID- 18146923 TI - [Not Available]. PMID- 18146924 TI - [Not Available]. PMID- 18146925 TI - [Not Available]. PMID- 18146926 TI - The use of male batrachia for a quick pregnancy test. PMID- 18146927 TI - Treatment of fractured metacarpals. PMID- 18146928 TI - [Esterasemia]. PMID- 18146929 TI - [Thyroid cancer]. PMID- 18146930 TI - [Instruction popular in the control of venereal diseases]. PMID- 18146931 TI - Problem cases of toxic diffuse goiter treated with radioactive iodine. PMID- 18146932 TI - The present outlook for neurology in the United States; a factual evaluation. PMID- 18146933 TI - The treatment of diabetes. PMID- 18146934 TI - Panel discussion of diabetes mellitus. PMID- 18146935 TI - Congenital absence of vagina. PMID- 18146936 TI - Control of communicable diseases. PMID- 18146937 TI - Rheumatoid spondylitis. PMID- 18146938 TI - Pediatric case reports. PMID- 18146939 TI - [Not Available]. PMID- 18146940 TI - Sodium pregnandiol glucuronidate determinations in the diagnosis of pregnancy. PMID- 18146941 TI - The mode of action of penicillin in relation to its therapeutic use. PMID- 18146942 TI - Occlusion of the anterior spinal artery; a case report. PMID- 18146943 TI - Vascular disease complicating diabetes. PMID- 18146944 TI - Acute emergencies encountered in diabetes. PMID- 18146946 TI - [Not Available]. PMID- 18146947 TI - [Not Available]. PMID- 18146945 TI - The management of thromboembolism in the surgical patient. PMID- 18146948 TI - Haemolytic transfusion reaction due to anti-S. PMID- 18146949 TI - Typhoid fever treated with chloromycetin. PMID- 18146950 TI - Action of hetrazan on filariasis and onchocerciasis. PMID- 18146951 TI - Isolation of the Karp strain of rickettsia tsutsugamushi. PMID- 18146952 TI - Complete heart-block associated with amoebic hepatitis; normal rhythm restored with emetine. PMID- 18146953 TI - [Not Available]. PMID- 18146954 TI - [Not Available]. PMID- 18146955 TI - Report of a case of tuberculous meningitis treated with streptomycin. PMID- 18146956 TI - Intravenous transfusion technique. PMID- 18146957 TI - Abdominal paracentesis; a new method. PMID- 18146958 TI - The first year in general practice; the finances of the general practitioner. PMID- 18146959 TI - [Not Available]. PMID- 18146960 TI - [Not Available]. PMID- 18146961 TI - [Not Available]. PMID- 18146962 TI - [Not Available]. PMID- 18146963 TI - [Not Available]. PMID- 18146964 TI - [Not Available]. PMID- 18146966 TI - Delayed primary closure of wounds. PMID- 18146965 TI - Pathologic aspects of endometriosis. PMID- 18146967 TI - Responsibility of a medical school for medical service in an area. PMID- 18146968 TI - Typhoid carriers in Mississippi. PMID- 18146969 TI - [Not Available]. PMID- 18146970 TI - [Not Available]. PMID- 18146971 TI - The reliability of the male North American frog (Rana pipiens) in the diagnosis of pregnancy. PMID- 18146972 TI - Atypical viral pneumonia, fulminating. PMID- 18146973 TI - Oral estrusol therapy in the menopause. PMID- 18146974 TI - Advanced abdominal pregnancy. PMID- 18146975 TI - Meconium ileus. PMID- 18146976 TI - Acute eye disorders as seen in general practice. PMID- 18146977 TI - The possibility of a provocative test in allergy; case report. PMID- 18146978 TI - Treatment of papillary adenomas of the rectum. PMID- 18146979 TI - Ileojejunitis. PMID- 18146980 TI - Review of colon surgery including rectum for the years 1947-1948 at the Binghamton City Hospital. PMID- 18146981 TI - A clinical evaluation of ethinyl estradiol in the menopause. PMID- 18146982 TI - Localization of metastatic cancer by trauma. PMID- 18146983 TI - [Not Available]. PMID- 18146984 TI - [Not Available]. PMID- 18146985 TI - [Not Available]. PMID- 18146986 TI - [Not Available]. PMID- 18146987 TI - [Not Available]. PMID- 18146988 TI - [Not Available]. PMID- 18146989 TI - [Not Available]. PMID- 18146990 TI - Lupus erythematosus and the collagen diseases. PMID- 18146991 TI - Modern treatment of syphilis. PMID- 18146992 TI - Treatment of infantile paralysis. PMID- 18146993 TI - Tersavin; a new nasal medication. PMID- 18146994 TI - The modern practice of caesarean section; some controversial views. PMID- 18146995 TI - Analgesia and anaesthesia in modern obstetrics. PMID- 18146996 TI - The sympathetic nervous system in obstetric and gynaecological practice. PMID- 18146997 TI - [Not Available]. PMID- 18146998 TI - [Not Available]. PMID- 18146999 TI - [Not Available]. PMID- 18147000 TI - [Not Available]. PMID- 18147001 TI - [Not Available]. PMID- 18147003 TI - The use of irradiation, surgery and hormones in breast cancer. PMID- 18147002 TI - [Not Available]. PMID- 18147004 TI - Electrical reactions of muscle in poliomyelitis. PMID- 18147005 TI - The significance of strain differences in virus prophylaxis. PMID- 18147006 TI - The operative treatment of urinary incontinence in the male. PMID- 18147007 TI - Polyostotic fibrous dysplasia. PMID- 18147008 TI - Green teeth following icterus gravis neonatorum. PMID- 18147009 TI - [Not Available]. PMID- 18147010 TI - [Not Available]. PMID- 18147011 TI - [Not Available]. PMID- 18147012 TI - [Not Available]. PMID- 18147013 TI - [Not Available]. PMID- 18147014 TI - [Recovery of voice in laryngectomized]. PMID- 18147015 TI - [Not Available]. PMID- 18147016 TI - [Not Available]. PMID- 18147017 TI - [Not Available]. PMID- 18147018 TI - [Not Available]. PMID- 18147019 TI - [Not Available]. PMID- 18147020 TI - [Not Available]. PMID- 18147021 TI - [Not Available]. PMID- 18147022 TI - [Not Available]. PMID- 18147023 TI - [Not Available]. PMID- 18147024 TI - [Not Available]. PMID- 18147025 TI - [Not Available]. PMID- 18147026 TI - [Not Available]. PMID- 18147027 TI - The treatment of poliomyelitis and other virus diseases with vitamin C. PMID- 18147029 TI - How may a proctologist best serve his patients and the profession? PMID- 18147030 TI - Cardiac arrest under anesthesia. PMID- 18147028 TI - Pityriasis rosea-like drug eruptions due to bismuth. PMID- 18147031 TI - The management of concomitant convergent strabismus. PMID- 18147032 TI - Health services for the premature infant. PMID- 18147033 TI - Lymphocytic choriomeningitis; treatment of two cases with aureomycin. PMID- 18147034 TI - [Not Available]. PMID- 18147035 TI - [Not Available]. PMID- 18147036 TI - [Not Available]. PMID- 18147037 TI - [Not Available]. PMID- 18147038 TI - [Not Available]. PMID- 18147039 TI - [Not Available]. PMID- 18147040 TI - [Not Available]. PMID- 18147041 TI - [Not Available]. PMID- 18147042 TI - [Not Available]. PMID- 18147043 TI - [Not Available]. PMID- 18147044 TI - [Not Available]. PMID- 18147045 TI - [Not Available]. PMID- 18147046 TI - [Not Available]. PMID- 18147047 TI - Electrostatic fields of the sciatic nerve in the frog. PMID- 18147049 TI - Aeromedical aspects of jet propelled aircraft; problems of safety in flight. PMID- 18147048 TI - Opaque and nonopaque urinary calculi. PMID- 18147050 TI - Malignancy of the pleura. PMID- 18147051 TI - VENEREAL disease. PMID- 18147052 TI - AGE as a factor in infectious hepatitis. PMID- 18147053 TI - Patient-doctor anxiety. PMID- 18147054 TI - Dysmenorrhea; etiology and treatment. PMID- 18147055 TI - Experiences at a concentration camp. PMID- 18147056 TI - Station Hospital Wiesbaden. PMID- 18147057 TI - Report of case of Loffler's syndrome with a concomitant nonspecific maculo papular rash. PMID- 18147058 TI - The role of the flight nurse in air evacuation. PMID- 18147059 TI - FACTORS influencing nephritis. PMID- 18147060 TI - Clinical results of non-staining impregnation for caries, prophylaxis and desensitization. PMID- 18147061 TI - Liver biopsy in sarcoidosis. PMID- 18147062 TI - [Not Available]. PMID- 18147063 TI - A statistical study of psychoses due to drugs or other exogenous poisons. PMID- 18147064 TI - Retrospection on part of the Aleutian Campaign. PMID- 18147065 TI - [Not Available]. PMID- 18147066 TI - Subshock insulin therapy in the neuropsychiatric section of a general hospital. PMID- 18147067 TI - Phenurone in epilepsy. PMID- 18147068 TI - A versatile apparatus providing immobilization of the head for electrophysiological studies; accessory equipment described for inserting electrodes into subcortical structures. PMID- 18147069 TI - Clinical and pathological observations on relapse after successful leucotomy. PMID- 18147070 TI - A modern Gulliver; a study in coprophilia. PMID- 18147071 TI - The giant mother, the phallic mother, obscenity. PMID- 18147072 TI - A psychosomatic unit in a general hospital. PMID- 18147073 TI - Some weaknesses and strengths of present-day psychiatric nursing programs. PMID- 18147074 TI - The oxidase of cauliflower. PMID- 18147075 TI - Effect of sugars on oxidation of ascorbic acid; kinetics of auto-oxidation of ascorbic acid. PMID- 18147076 TI - Circinate degeneration of the retina; with report of a case. PMID- 18147077 TI - Recurrent unilateral glaucoma with cyclitic symptoms. PMID- 18147078 TI - Ocular pathology in diabetes. PMID- 18147079 TI - Hereditary myopia in identical twins. PMID- 18147080 TI - Bilateral symmetrical tuberculous ulcers of the bulbar conjunctivae treated with streptomycin. PMID- 18147081 TI - Eye-lash in the lacrimal punctum. PMID- 18147082 TI - On the use of amniotic membrane. PMID- 18147083 TI - [Not Available]. PMID- 18147084 TI - [Not Available]. PMID- 18147085 TI - Fractures involving air sinuses. PMID- 18147086 TI - Determination of the difference limen and the lastest illustration thereof in audiometry. PMID- 18147087 TI - Cancer of the nose; treatment and plastic repair. PMID- 18147088 TI - Progression from pre-cancer stage to early carcinoma of cervix within one year; combined cytologic and histologic study with report of a case. PMID- 18147089 TI - Arsenical encephalopathy; report of a case. PMID- 18147090 TI - Effect of tripelennamine hydrochloride on acute inflammation. PMID- 18147091 TI - An unusual strain of Pseudomonas aeruginosa. PMID- 18147092 TI - [Not Available]. PMID- 18147093 TI - Non-thrombocytopenic purpura. PMID- 18147094 TI - Stricture of the urethra in children. PMID- 18147095 TI - Tuberculin patch test; further study of modifications of the normal procedure. PMID- 18147096 TI - Pseudopeptic ulcer syndromes in children. PMID- 18147097 TI - Rocky Mountain spotted fever treated with chloromycetin; report of two cases. PMID- 18147098 TI - The fulminant form of epidemic hepatitis in a 2 month old infant. PMID- 18147099 TI - Sickle cell disease. PMID- 18147100 TI - Khellin and its assay in injections and tablets. PMID- 18147101 TI - Zinc peroxide B.P., 1948. PMID- 18147102 TI - Quantitation of the output of individual sweat glands and their response to stimulation. PMID- 18147103 TI - Determination of amino acids by microbiological assay. PMID- 18147104 TI - The protein-sparing effect of carbohydrate in normal and burned rats. PMID- 18147105 TI - [Not Available]. PMID- 18147106 TI - Vocabulary item difficulty and word frequency. PMID- 18147107 TI - [Polish Red Cross as a public institution in aid of the Public Health Service]. PMID- 18147108 TI - [Publications of the Polish Public Health Service]. PMID- 18147109 TI - Diverticula of the oesophagus. PMID- 18147110 TI - Diverticula of the small intestine. PMID- 18147111 TI - Angiocardiography; a new cassette changer. PMID- 18147112 TI - The indirect effect of X rays on the synthesis of nucleic acid in vivo. PMID- 18147113 TI - [Not Available]. PMID- 18147114 TI - [Not Available]. PMID- 18147115 TI - A comparison of roentgeographic examinations of the sternum and sternoclavicular joint; illustrating a postero-anterior bilateral articulation. PMID- 18147116 TI - Can the technician make the diagnosis? PMID- 18147117 TI - Concurrent BCG vaccination. PMID- 18147118 TI - Streptomycin in tuberculosis. PMID- 18147119 TI - The surgical lesions of pulmonary coccidioidomycosis. PMID- 18147120 TI - Low back pain and sciatica. PMID- 18147121 TI - A possible mechanism of postcoronary shoulder pain. PMID- 18147122 TI - Oxytoxics in labor. PMID- 18147123 TI - Hysterectomy; a study of types, points of technic and conclusions. PMID- 18147124 TI - Surgical treatment of corrosive gastritis. PMID- 18147125 TI - An oval-shaped pessary for the correction of procidentia uteri, cystocele and rectocele. PMID- 18147126 TI - [Not Available]. PMID- 18147127 TI - The diagnosis and treatment of vascular diseases with special consideration of clinical plethysmography and the surgical physiology of the autonomic nervous system. PMID- 18147128 TI - Masked steatorrhoea revealed by pseudo-fractures (Looser's zones) with some observations on calcium excretion in convalescence. PMID- 18147129 TI - Arteriovenous aneurysm of the great vein of Galen. PMID- 18147130 TI - Rupture of a splenic arterial aneurysm as a fatal complication of pregnancy. PMID- 18147131 TI - Pancreatic cysts. PMID- 18147132 TI - Large saccular aneurysm of the intracranial part of the vertebral artery. PMID- 18147133 TI - A case of gastroliths. PMID- 18147134 TI - Neurinoma of cervical sympathetic chain. PMID- 18147135 TI - Spontaneous rupture of vesical diverticulum. PMID- 18147136 TI - Bladder carcinoma and vesical schistosomiasis. PMID- 18147137 TI - The reproductive rates of some small mammals. PMID- 18147138 TI - The cerebral cortex of the chimpanzee at the time of birth. PMID- 18147139 TI - Microcinematographical observation of the shortening of actomyosin threads and muscle fibres on the effect of adenosintriphosphate. PMID- 18147140 TI - [Not Available]. PMID- 18147141 TI - [Not Available]. PMID- 18147142 TI - [Not Available]. PMID- 18147143 TI - [Not Available]. PMID- 18147144 TI - [Not Available]. PMID- 18147145 TI - [Not Available]. PMID- 18147147 TI - [Not Available]. PMID- 18147146 TI - [Not Available]. PMID- 18147148 TI - [Not Available]. PMID- 18147149 TI - [Not Available]. PMID- 18147150 TI - Mitral stenosis; an experimental study on pulmonary-azygos venous anastomosis. PMID- 18147151 TI - [Not Available]. PMID- 18147152 TI - [Not Available]. PMID- 18147153 TI - [Not Available]. PMID- 18147154 TI - Distribution of thiamine in the brain. PMID- 18147155 TI - The distribution in rat tissues of the methylene carbonatom of glycine labeled with C14. PMID- 18147156 TI - Aldolase activity of myogen A. PMID- 18147157 TI - The rate of interaction of the amino acids of the diet with the tissue proteins. PMID- 18147158 TI - The conversion of methionine to cystine in a human cystinuric. PMID- 18147159 TI - Comparison of methods for measurement of avian hemoglobin. PMID- 18147160 TI - Stones of the salivary glands and ducts. PMID- 18147161 TI - Association of progressive (malignant) exophthalmos and localized myxedema. PMID- 18147162 TI - Cutaneous lesions occurring in the course of streptomycin therapy. PMID- 18147163 TI - Disseminated and circumscribed neurodermatitis treated with phenindamine. PMID- 18147164 TI - Syphilitic juxta-articular nodes. PMID- 18147165 TI - Parafavus restricted to the scrotum; report of a case. PMID- 18147166 TI - Kaposi's sarcoma coincidental with pigmented nevus. PMID- 18147167 TI - Dermatitis medicamentosa (phenolphthalein) followed by pigmentary changes. PMID- 18147168 TI - Dementia paralytica. PMID- 18147169 TI - Reticulosis. PMID- 18147170 TI - A case for diagnosis; lichen simplex chronicus; lichen planus. PMID- 18147171 TI - Familial benign chronic pemphigus (Hailey and Hailey disease). PMID- 18147172 TI - Scleroderma. PMID- 18147173 TI - Aureomycin employed locally in painful mouth ulcerations; stomatitis aphthosa or periadentitis mucosa necrotica recurrens. PMID- 18147174 TI - Carcinoma of the pancreas, a clinical and pathologic study of 75 cases. PMID- 18147175 TI - Rupture of the esophagus following severe vomiting. PMID- 18147176 TI - Comparative biological studies of polymyxin and aerosporin. PMID- 18147177 TI - Infrared studies. PMID- 18147178 TI - The pharmacology of polymyxin A, B, and D. PMID- 18147179 TI - The effect of polymyxin in the treatment of experimental brucellosis and tularemia. PMID- 18147180 TI - [Not Available]. PMID- 18147181 TI - A study of the scattering of light in normal urines. PMID- 18147182 TI - The effect of cocoanut water on the growth of immature embryos of corn (maize). PMID- 18147183 TI - Science in the detection of crime. PMID- 18147184 TI - Use of furan derivatives in paper chromatography. PMID- 18147185 TI - Lactobacillus lactis Dorner for the assay of vitamin B12. PMID- 18147187 TI - Recrystallization of relaxed animal fibres. PMID- 18147186 TI - Experimental macrocytic anaemia in the rat treated with purified liver extract, pteroyl glutamic acid and vitamin B12. PMID- 18147188 TI - Spiral-ling in sporangiophores of Phycomyces following a temporary cessation of growth. PMID- 18147189 TI - A transmission-type interferometer microsope. PMID- 18147190 TI - N-bromosuccinimide as a reagent for bromine addition. PMID- 18147191 TI - PSYCHIATRIC films. PMID- 18147192 TI - Enzymes in teams. PMID- 18147193 TI - Effect of testosterone administration on the beard growth of elderly males. PMID- 18147194 TI - Endocrine gerontotherapy; the use of sex hormone combinations in female patients. PMID- 18147195 TI - Grandmothers are guinea pigs. PMID- 18147196 TI - [Not Available]. PMID- 18147197 TI - [Not Available]. PMID- 18147198 TI - [Not Available]. PMID- 18147199 TI - [Not Available]. PMID- 18147200 TI - [Not Available]. PMID- 18147201 TI - [Not Available]. PMID- 18147202 TI - [Not Available]. PMID- 18147203 TI - [Not Available]. PMID- 18147204 TI - The story of the atrioventricular bundle with remarks concerning embryonic heart activity. PMID- 18147205 TI - [Not Available]. PMID- 18147206 TI - [Not Available]. PMID- 18147207 TI - [Not Available]. PMID- 18147208 TI - Experiences with 116 juvenile campers in a new summer camp for diabetic boys. PMID- 18147209 TI - Studies in pernicious anemia patients treated with liver extract and folic acid antagonists. PMID- 18147210 TI - The ocular fundi in relation to operations for hypertensive cardiovascular disease. PMID- 18147211 TI - Motility of the human esophagus in control subjects and in patients with esophageal disorders. PMID- 18147212 TI - Dosage forms of penicillin for systemic infections. PMID- 18147214 TI - Laboratory aids in evaluating status of liver. PMID- 18147213 TI - Thyrotoxicosis simulating hyperparathyroidism. PMID- 18147215 TI - Marked eosinophilia secondary to chronic uncomplicated amebiasis; recession with carbarsone. PMID- 18147217 TI - A case of mesenteric venous thrombosis with survival. PMID- 18147216 TI - Typhoid and paratyphoid fever in immunized subjects. PMID- 18147218 TI - Hodgkin's disease; histologic-clinical correlations. PMID- 18147219 TI - Acute infectious lymphocytosis; report of four cases in a family. PMID- 18147220 TI - [Not Available]. PMID- 18147221 TI - Effect of repeated freezing and thawing on mouse carcinoma tissue. PMID- 18147222 TI - Urethritis, gonococcal and nonspecific, treated by aureomycin. PMID- 18147223 TI - An outbreak of food-poisoning in Bromyard district. PMID- 18147224 TI - Tilting trolley for conveying patients to and from operating theatre. PMID- 18147225 TI - The return to work of elderly male hospital in-patients. PMID- 18147226 TI - The use of tridione in petit mal. PMID- 18147227 TI - Direct inspection of coarctation of aorta with thoracoscope. PMID- 18147228 TI - The surgical significance of dissecting aortic aneurysms. PMID- 18147229 TI - [Not Available]. PMID- 18147230 TI - [Not Available]. PMID- 18147231 TI - [Not Available]. PMID- 18147232 TI - [Not Available]. PMID- 18147233 TI - [Not Available]. PMID- 18147234 TI - Indications for splenectomy. PMID- 18147235 TI - Congenital malformation of the heart; a method for the surgical treatment of congenital pulmonary stenosis and atresia; an experimental study; preliminary report. PMID- 18147236 TI - Essential brown induration of the lungs; idiopathic pulmonary haemosiderosis. PMID- 18147238 TI - Rheumatoid arthritis. PMID- 18147237 TI - Non-surgical abdominal pain. PMID- 18147239 TI - Submucous lipoma of the colon. PMID- 18147240 TI - The general practitioner of today. PMID- 18147241 TI - Health insurance. PMID- 18147242 TI - Round table conference on sodium pentothal. PMID- 18147243 TI - [Not Available]. PMID- 18147244 TI - Schizoprenia as described by Bleuler. PMID- 18147245 TI - The Meyerian conception of dementia praecox. PMID- 18147246 TI - Biology of schizophrenia. PMID- 18147247 TI - Syphilitic heart disease with aortitis and aortic valvulitis. PMID- 18147248 TI - [Not Available]. PMID- 18147249 TI - [Not Available]. PMID- 18147250 TI - [Not Available]. PMID- 18147251 TI - Rubella in pregnancy; a review of recent literature. PMID- 18147252 TI - On the job training. PMID- 18147253 TI - Multiple familial occurrence of post-partum schizophrenia. PMID- 18147254 TI - Child guidance at the Governor Bacon Health Center; a case of maladjustment. PMID- 18147255 TI - Evaluation of prefrontal lobotomy results at Delaware State Hospital. PMID- 18147256 TI - The clinical application of factorial measures. PMID- 18147257 TI - [Not Available]. PMID- 18147258 TI - [Not Available]. PMID- 18147259 TI - [Not Available]. PMID- 18147260 TI - [Not Available]. PMID- 18147261 TI - [Not Available]. PMID- 18147262 TI - [Not Available]. PMID- 18147263 TI - [Not Available]. PMID- 18147264 TI - Pigmentation of the skin. PMID- 18147265 TI - Medicine and the state. PMID- 18147266 TI - Trichinosis as a cause of major arterial thrombosis. PMID- 18147267 TI - Recent advances in psychoanalysis. PMID- 18147268 TI - Cerebral palsy; a public health problem. PMID- 18147269 TI - The influence of diet on iron absorption; the pathology of iron excess. AB - Rats placed on a corn grit diet and added iron absorbed large amounts of iron in contrast to control groups. The histological picture was that of progressive hemosiderosis of the hepatic parenchyma and of the reticuloendothelial system. On chemical analysis, the iron content of the liver was found to be greatly increased. This supports the concept that the liver represents the chief storage organ for iron so absorbed. These data indicate that a normal block for iron absorption may be overcome under certain circumstances. PMID- 18147270 TI - Hematuria; its clinical significance. PMID- 18147271 TI - Acute anterior poliomyelitis; case report with comments on therapy. PMID- 18147272 TI - Amebiasis; experiences at a veterans hospital. PMID- 18147273 TI - The electrocardiogram of normal and malaria-infected monkeys. PMID- 18147274 TI - The nutritive value of intravenously administered hydrolyzed human serum albumin in man. PMID- 18147276 TI - Diagnostic and therapeutic errors; a study of the causes of error in 500 clinical and necropsy records. PMID- 18147275 TI - Techniques to overcome the lack of rare Rhesus antisera and cells. PMID- 18147277 TI - Antibiotics in treatment of Trichomonas vaginalis. PMID- 18147278 TI - New knife for cervical cancer. PMID- 18147279 TI - Bilateral rupture of the quadriceps tendon. PMID- 18147280 TI - [Not Available]. PMID- 18147281 TI - Tennis elbow. PMID- 18147282 TI - Surgery of portal hypertension; portacaval shunts and a two-stage method in the poor-risk patient. PMID- 18147283 TI - Methyl testosterone for migraine of women. PMID- 18147284 TI - Mesenteric vascular occlusion. PMID- 18147285 TI - The management of prostatism. PMID- 18147286 TI - Contact dermatitis. PMID- 18147287 TI - Non-venereal diseases of the male genitalia. PMID- 18147288 TI - [Not Available]. PMID- 18147289 TI - [Not Available]. PMID- 18147290 TI - Fulminating apyrexial postpartum streptococcal peritonitis. PMID- 18147291 TI - Stocking-holder for the stiff-jointed. PMID- 18147292 TI - SUBARACHNOID haemorrhage. PMID- 18147293 TI - Sloughs of the tracheal mucosa. PMID- 18147295 TI - [Not Available]. PMID- 18147294 TI - Fatal coronary occlusion in a girl aged 16. PMID- 18147296 TI - Giant cell tumor of bone. PMID- 18147297 TI - The rh factor in pregnancy. PMID- 18147298 TI - Upper extremity pain; the orthopedist's point of view. PMID- 18147299 TI - Blood alcohol content; some aspects of its post-mortem uses. PMID- 18147300 TI - Manual removal of the placenta; a survey of 201 cases. PMID- 18147301 TI - A difficult thyreoidectomy. PMID- 18147302 TI - A simplified and inexpensive pneumothorax apparatus. PMID- 18147303 TI - Hypnotism and its therapeutic value in medicine. PMID- 18147304 TI - Third stage. PMID- 18147305 TI - A new concept of treatment of ecampsism. PMID- 18147306 TI - Gastric resection versus vagotomy versus medical treatment in peptic ulcers. PMID- 18147307 TI - The resurrectionists and the medical profession; the traffic in London. PMID- 18147308 TI - [Not Available]. PMID- 18147309 TI - Decortication of the lung. PMID- 18147310 TI - Traumatic hyperphoria. PMID- 18147311 TI - The basis of treatment in the postphlebitic syndrome. PMID- 18147312 TI - Uses and abuses of physical therapy in industrial medicine and surgery. PMID- 18147313 TI - Varicose veins; a different concept and approach to their treatment. PMID- 18147314 TI - Hay fever as a public health problem. PMID- 18147315 TI - [Not Available]. PMID- 18147316 TI - [Not Available]. PMID- 18147317 TI - [Not Available]. PMID- 18147318 TI - [Not Available]. PMID- 18147319 TI - [Not Available]. PMID- 18147320 TI - [Not Available]. PMID- 18147321 TI - [Not Available]. PMID- 18147322 TI - [Not Available]. PMID- 18147323 TI - [Not Available]. PMID- 18147324 TI - [Not Available]. PMID- 18147325 TI - [Not Available]. PMID- 18147326 TI - [Not Available]. PMID- 18147327 TI - [Not Available]. PMID- 18147328 TI - A century and a half of medicine in North Carolina. PMID- 18147329 TI - Review of certain aspects of pathologic physiology of cirrhosis of the liver. PMID- 18147330 TI - Gonococcic peritonitis of the upper abdomen; subcostal syndrome of Stajano; Fitz Hugh-Curtis syndrome. PMID- 18147331 TI - The office management of peptic ulcer disease. PMID- 18147332 TI - Abdominoperineal proctosigmoidectomy for cancer of the lower bowel; incidence of local recurrence. PMID- 18147333 TI - [Not Available]. PMID- 18147334 TI - Recent progress in nutrition. PMID- 18147335 TI - Surgical treatment of varicose veins. PMID- 18147336 TI - Treatment of essential hypertension. PMID- 18147337 TI - Analysis of 435 consecutive breech deliveries. PMID- 18147338 TI - Prostatic surgery. PMID- 18147339 TI - The bladder in paraplegia. PMID- 18147340 TI - The care of the menopausal woman. PMID- 18147341 TI - The prevention and treatment of prolapse. PMID- 18147342 TI - Asthma in childhood; experience in a Liverpool play clinic. PMID- 18147343 TI - Care of the perineum during labour. PMID- 18147345 TI - Enemas. PMID- 18147344 TI - Aureomycin and chloromycetin. PMID- 18147346 TI - [Not Available]. PMID- 18147347 TI - [Not Available]. PMID- 18147348 TI - [Not Available]. PMID- 18147349 TI - [Not Available]. PMID- 18147350 TI - [Not Available]. PMID- 18147351 TI - Pancreatic calcification; clinical features. PMID- 18147352 TI - The need for shortening scientific papers. PMID- 18147353 TI - Renal lesions in chronic hypertension induced by unilateral nephrectomy in the rat. PMID- 18147354 TI - Effect of dihydroergocornine on the heart. PMID- 18147355 TI - Infection as a factor causing death in the eviscerate rat. PMID- 18147356 TI - Glycogen in rachitic cartilage and its relation to healing. PMID- 18147357 TI - Aminopterin and response of frog oviducts to estradiol; histological studies and mitotic counts. PMID- 18147358 TI - Relationship between spontaneous activity and metabolic rate as influenced by certain sympathomimetic compounds. PMID- 18147359 TI - Massive spontaneous pararenal hemorrhage; report of a case. PMID- 18147360 TI - Acute pancreatitis at Cook County Hospital. PMID- 18147361 TI - Biliary hepatitis. PMID- 18147362 TI - Epithelioma. PMID- 18147363 TI - Hemicolectomy in the treatment of carcinoma of the left colon. PMID- 18147364 TI - Lesions of the knee; clinical versus X-ray diagnosis. PMID- 18147365 TI - The role of Streptococcus viridans in the causation of pneumonia. PMID- 18147366 TI - The length of the second stage of labor; a review of the literature. PMID- 18147367 TI - [Not Available]. PMID- 18147369 TI - [Not Available]. PMID- 18147368 TI - [Not Available]. PMID- 18147370 TI - [Not Available]. PMID- 18147371 TI - [Not Available]. PMID- 18147372 TI - [Not Available]. PMID- 18147373 TI - [Not Available]. PMID- 18147374 TI - [Not Available]. PMID- 18147375 TI - [Not Available]. PMID- 18147376 TI - [Not Available]. PMID- 18147377 TI - [Not Available]. PMID- 18147378 TI - [Not Available]. PMID- 18147379 TI - [Not Available]. PMID- 18147380 TI - [Not Available]. PMID- 18147381 TI - [Not Available]. PMID- 18147382 TI - [Not Available]. PMID- 18147383 TI - [Not Available]. PMID- 18147384 TI - [Not Available]. PMID- 18147385 TI - [Not Available]. PMID- 18147386 TI - [Not Available]. PMID- 18147387 TI - [Not Available]. PMID- 18147388 TI - [Not Available]. PMID- 18147389 TI - [Not Available]. PMID- 18147391 TI - [Not Available]. PMID- 18147390 TI - [Not Available]. PMID- 18147392 TI - [Not Available]. PMID- 18147393 TI - Substitute for dextrose in normal saline. PMID- 18147394 TI - VD control; the problem and some answers. PMID- 18147395 TI - A convenient source of dry ice. PMID- 18147396 TI - A case of phthiriasis palpebarum. PMID- 18147397 TI - Late developments in the Army Nurse Corps. PMID- 18147398 TI - The nurse instructor at a EUCOM training school. PMID- 18147399 TI - ADVERSE effects of heat. PMID- 18147400 TI - OPERATION of swimming pools. PMID- 18147402 TI - Conservative treatment of large dental cysts. PMID- 18147401 TI - Army medicine around the world. PMID- 18147403 TI - [Not Available]. PMID- 18147404 TI - Experimental observations on the so-called senile changes of intracellular neurofibrils. PMID- 18147405 TI - Projective technique with narcosis. PMID- 18147406 TI - The importance of religious sectarianism in psychiatric case study. PMID- 18147407 TI - Two years of sexology. PMID- 18147408 TI - A pre-conception complex. PMID- 18147409 TI - Extra-cortical speech disturbances. PMID- 18147410 TI - Cerebral lesions responsible for death of patients with active rheumatic fever. PMID- 18147411 TI - Neostigmine methylsulfate therapy in hemiplegia. PMID- 18147412 TI - Quantitative observations on the olfactory system of the rabbit. PMID- 18147413 TI - An evaluation of lobotomy and its potentialities for future research in psychiatry and the basic sciences. PMID- 18147414 TI - Choreoathetosis in a case of brain tumor with surgical treatment. PMID- 18147415 TI - [Psychopathology of the frontal lobe]. PMID- 18147417 TI - The operable cardiac anomalies. PMID- 18147416 TI - Snow in Navajoland. PMID- 18147418 TI - Free vs controlled regime in juvenile diabetes. PMID- 18147419 TI - New York State nutrition survey; a study of one week's food purchases of 135 families. PMID- 18147420 TI - Refractive errors in identical twins. PMID- 18147421 TI - [Not Available]. PMID- 18147422 TI - [Not Available]. PMID- 18147424 TI - [Not Available]. PMID- 18147423 TI - [Not Available]. PMID- 18147426 TI - [Not Available]. PMID- 18147425 TI - [Not Available]. PMID- 18147427 TI - Mechanism of corneal wound healing; cells involved in corneal growth and repair. PMID- 18147428 TI - A simple and efficient cataract suture. PMID- 18147429 TI - Infections of the vitreous and streptomycin; experimental studies. PMID- 18147430 TI - Mild glaucoma. PMID- 18147431 TI - Intralaryngeal approach for arytenoidectomy in bilateral abductor vocal cord paralysis. PMID- 18147432 TI - Hyperplasia of the pigment epithelium of the retina simulating a neoplasm. PMID- 18147433 TI - Serological diagnosis in mumps. PMID- 18147434 TI - [Not Available]. PMID- 18147435 TI - [Not Available]. PMID- 18147436 TI - [Not Available]. PMID- 18147437 TI - [Not Available]. PMID- 18147438 TI - [Not Available]. PMID- 18147439 TI - Spectrophotometric assay method for pyranisamine maleate. PMID- 18147440 TI - The properties and reactions of decamethonium iodide and hexamethonium bromide. PMID- 18147441 TI - [Not Available]. PMID- 18147442 TI - Nodular pulmonary densities due to scars of multiple pulmonary infarcts. PMID- 18147444 TI - An unusual experience with the Miller-Abbot tube. PMID- 18147443 TI - Total pancreatectomy for hyperinsulinism due to islet-cell adenoma; follow-up report 5 1/2 years after operation, including matabolic studies. PMID- 18147445 TI - Fibrosarcoma, an unusual complication of ulcerative colitis; report of a case. PMID- 18147446 TI - Systemic administration of heparin and dicumarol for postoperative adhesions; an experimental study. PMID- 18147447 TI - Experimental tendon repair within the flexor tunnels; use of polyethylene tubes for improvement of functional results in the dog. PMID- 18147448 TI - Sulfamethazine in the treatment of urinary infections due to gram-negative bacilli. PMID- 18147449 TI - Clinical experiences with the artificial kidney. PMID- 18147450 TI - Epidemic scrub typhus in Batavia. PMID- 18147451 TI - Clinical, pathological and mycological observations in histoplasmosis. PMID- 18147452 TI - Toxoplasmosis hominis; isolation of a new strain. PMID- 18147453 TI - [Not Available]. PMID- 18147454 TI - Osteogenic sarcoma with multiple skeletal and visceral involvement. PMID- 18147455 TI - The vaginal smear as a means of investigating early carcinoma of the cervix. PMID- 18147456 TI - Morbus caeruleus; material. PMID- 18147457 TI - Angiocardiography in morbus caeruleus. PMID- 18147458 TI - Morbus caeruleus; operation indications and preoperative treatment. PMID- 18147459 TI - [Not Available]. PMID- 18147460 TI - Chemical composition of irradiated bone marrow. PMID- 18147461 TI - Stereochemical configuration and provitamin A activity; neocryptoxanthin U. PMID- 18147462 TI - Destruction of influenza A virus infectivity by formaldehyde. PMID- 18147463 TI - The reaction of tobacco mosaic virus with formaldehyde; electrophoretic studies. PMID- 18147464 TI - The asymptotic behavior of spontaneous and forced decay. PMID- 18147466 TI - DOMESTIC users of isotopes. PMID- 18147465 TI - METHOD of measuring the disintegration rate of sodium-22. PMID- 18147467 TI - Fast pulse amplifiers for nuclear research. PMID- 18147468 TI - Functional analysis of occlusion. PMID- 18147469 TI - A survey of dental alloys. PMID- 18147470 TI - Periapical pulp canal therapy. PMID- 18147471 TI - A cautious note on the use of penicillin in dentistry. PMID- 18147472 TI - Psychomotor effect in athetoid patients; report of two cases. PMID- 18147473 TI - Significance of bitewing exposures in intraoral roentgenography with description of author's technique. PMID- 18147474 TI - Reattachment of periodontal tissue. PMID- 18147475 TI - The effects of standard diets and some concomitant variables on the incidence of dental caries in white rats. PMID- 18147476 TI - Eosinophilia in streptomycin therapy. PMID- 18147477 TI - The Xenopus pregnancy test. PMID- 18147478 TI - The fluorimetric determination of adrenaline in blood plasma. PMID- 18147479 TI - Problems regarding the counting of red blood cells; results of investigations. PMID- 18147480 TI - The theory of population growth cycles. PMID- 18147481 TI - Social medicine; a study of the first 100 patients of a university department of industrial health. PMID- 18147482 TI - Flagella and motility of Vibrio metschnikovii. PMID- 18147483 TI - Chromatographic separation of natural compounds. PMID- 18147484 TI - Reversal of penicillin inhibition by a yeast extract. PMID- 18147485 TI - Hydroxylysine and lysine in wool. PMID- 18147486 TI - The liquid state at the absolute zero and the third law of thermodynamics. PMID- 18147487 TI - Flocculation optima in diphtheria toxoid-antitoxin systems. PMID- 18147488 TI - Synthesis of L-serine labeled with carbon-14 in the hydroxymethyl group. PMID- 18147489 TI - Metabolic studies with 3-methylglucose. PMID- 18147490 TI - Nature of the ground substance in interstitial connective tissue. PMID- 18147491 TI - Smog and sonics. PMID- 18147493 TI - Any old rags to sell? PMID- 18147492 TI - Helium, the wonder gas. PMID- 18147494 TI - Building mentally and physically strong human beings. PMID- 18147495 TI - A new recessive spotting gene in the house mouse. PMID- 18147496 TI - Tubal sterilization through the vagina. PMID- 18147497 TI - Application of the vaginal smear to the diagnosis of pregnancy; preliminary report. PMID- 18147498 TI - Evaluation of hormonal and radiation therapy in 190 cases of functional sterility and secondary amenorrhea; preliminary report. PMID- 18147499 TI - Carcinoma in situ of the uterine cervix. PMID- 18147500 TI - Experimental mesenteric vascular occlusion. PMID- 18147501 TI - The anatomy of the hernial regions; inguinal hernia. PMID- 18147502 TI - The technique of gastric resection for peptic ulcer. PMID- 18147503 TI - An analytical representation of Rh genotypes. PMID- 18147505 TI - Is the practice of obtaining consent for operation a protection or a risk? PMID- 18147506 TI - Adaptation to stress; pituitary-adrenal mechanisms. PMID- 18147504 TI - Scandinavian literature on hematology from the year 1948. PMID- 18147507 TI - [Not Available]. PMID- 18147508 TI - [Not Available]. PMID- 18147509 TI - [Not Available]. PMID- 18147510 TI - [Not Available]. PMID- 18147511 TI - [Not Available]. PMID- 18147512 TI - Clinical report on the toxicity of a new mercurial diuretic (thiomerin) for subcutaneous administration. PMID- 18147513 TI - The prognosis and treatment of hepatic insufficiency. PMID- 18147514 TI - Immunologic types of blastomycosis; a report on 40 cases. PMID- 18147515 TI - The incidence of hypertension in portal cirrhosis; a study of 80 necropsied cases of portal cirrhosis. PMID- 18147517 TI - Recurrent pancreatitis. PMID- 18147516 TI - Streptomycin therapy of Hemophilus influenzae endocarditis lenta. PMID- 18147519 TI - [Not Available]. PMID- 18147518 TI - [Not Available]. PMID- 18147520 TI - [Not Available]. PMID- 18147521 TI - Cholecystitis due to liver fluke. PMID- 18147522 TI - A case of monocytic leukaemia treated with aminopterin. PMID- 18147523 TI - Headlamp for ear, nose and throat surgery. PMID- 18147524 TI - A comparison of sarcoidosis and tuberculosis with respect to complement fixation with antigens derived from the tubercle bacillus. PMID- 18147525 TI - Public health aspects of lymphogranuloma venereum. AB - The clinical symptoms of lymphogranuloma venereum with the serious pathologic changes often occurring in the late stages of the disease warrant greater attention to the disease. The reported ratio of cases of lymphogranuloma venereum to cases of syphilis and gonorrhea is much higher in San Francisco than in other metropolitan ports of western United States, apparently because of greater use of diagnostic tests for the disease. Tests of persons likely to be exposed and other persons not likely to be exposed to venereal diseases indicate that a positive reaction to a Frei test implies past or present infection with lymphogranuloma venereum. Positive reactions to complement fixation tests are notably more frequent than positive response to Frei tests. The complement fixation test appears to be an unreliable diagnostic aid. The frequency of positive reactions associated with other venereal diseases, and their infrequency otherwise, suggests that lymphogranuloma venereum may exist, unrecognized, in many persons, who may be, potentially at least, carriers of the disease. PMID- 18147526 TI - Therapeutic problems of nontoxic nodular goiter. AB - The crucial point regarding non-toxic nodular goiter is the early diagnosis of neoplasm. A neoplasm may be suspected if a nodular goiter has shown recent growth with the concurrent appearance of pressure symptoms, if it is found in a patient under the age of 20, if vocal cord paralysis is present, or emphatically, if a solitary nodule is discovered. Such non-toxic nodular goiters should be promptly removed regardless of the presence or absence of pressure symptoms. If significant pressure symptoms are present, this in itself is an adequate reason for thyroidectomy. PMID- 18147528 TI - [Not Available]. PMID- 18147527 TI - Note on the ergothioneine content of ergot from different plant hosts. PMID- 18147529 TI - [Not Available]. PMID- 18147530 TI - [Extraction of a foreign body from the eye]. PMID- 18147531 TI - [Prevention of influenza]. PMID- 18147532 TI - [Not Available]. PMID- 18147533 TI - [Not Available]. PMID- 18147534 TI - The dynamic process of dental caries. PMID- 18147535 TI - Malignant melanoma virtually limited to serous surfaces. PMID- 18147536 TI - Cutaneous burns due to fluorescent light. PMID- 18147537 TI - MALPRACTICE; physician's failure to use sterile instruments [Calif., 1949]. PMID- 18147538 TI - Chylous cyst of the mesentery. PMID- 18147539 TI - Radio-therapy in modern medicine. PMID- 18147540 TI - The proper selection of a digitalizing drug. PMID- 18147541 TI - Management of pain associated with disturbances of the intervertebral disc. PMID- 18147543 TI - Exceptionally large twins. PMID- 18147542 TI - Pathogenesis of atopic eczema. PMID- 18147544 TI - Vesical neck obstruction in the female. PMID- 18147545 TI - Nutrition from the standpoint of the medical practitioner. PMID- 18147546 TI - [Not Available]. PMID- 18147547 TI - Retropubic prostatectomy. PMID- 18147548 TI - Confirm cancer. PMID- 18147549 TI - [Not Available]. PMID- 18147550 TI - [Not Available]. PMID- 18147551 TI - The mortality of primary tuberculosis in childhood. PMID- 18147552 TI - Anti-pernicious-anaemia factor and white-cell count. PMID- 18147553 TI - Effect of pentamethonium iodide on normal and hypertensive persons. PMID- 18147554 TI - Vasomotor rhinorrhoea treated with anthisan. PMID- 18147555 TI - Thyroid surgery. PMID- 18147556 TI - [Not Available]. PMID- 18147557 TI - Anxiety states. PMID- 18147558 TI - The criteria of physical fitness. PMID- 18147559 TI - [Not Available]. PMID- 18147560 TI - [Not Available]. PMID- 18147561 TI - [Not Available]. PMID- 18147562 TI - A medullary fracture pin for spring-type fixation as applied to the femur. PMID- 18147563 TI - The essential clinical considerations of carcinoma of the rectum. PMID- 18147564 TI - Neurologic aspects of vertigo. PMID- 18147565 TI - Papillary carcinoma of renal pelvis, with extension into ureter and with metastases to ureteral mucosa. PMID- 18147566 TI - Hospital administration as a medical specialty. PMID- 18147567 TI - Papillary adenocarcinoma of breast. PMID- 18147568 TI - Routine exploration of common duct following cholecystectomy for cholelithiasis. PMID- 18147569 TI - [Not Available]. PMID- 18147570 TI - [Not Available]. PMID- 18147571 TI - [Not Available]. PMID- 18147572 TI - [Not Available]. PMID- 18147573 TI - [Not Available]. PMID- 18147574 TI - An evaluation of thephorin as an adjunct in the treatment of pruritic dermatoses. PMID- 18147575 TI - Medical control of the venereal diseases. PMID- 18147576 TI - Intragastric oxycel. PMID- 18147577 TI - Rorschach's test as used in the psychiatric interview. PMID- 18147578 TI - Rheumatic fever in Kootenai County, Idaho. PMID- 18147579 TI - [Not Available]. PMID- 18147580 TI - [Not Available]. PMID- 18147581 TI - [Not Available]. PMID- 18147582 TI - Pelvic infection; present status of treatment. PMID- 18147583 TI - Psychosomatic aspects of nutritional therapy. PMID- 18147584 TI - [Not Available]. PMID- 18147585 TI - [Not Available]. PMID- 18147586 TI - [Not Available]. PMID- 18147587 TI - [Not Available]. PMID- 18147588 TI - [Not Available]. PMID- 18147589 TI - Ankylosing spondylitis; radiological, clinical, and biochemical investigations in a series of cases. PMID- 18147590 TI - Ankylosing spondylitis. PMID- 18147591 TI - [Not Available]. PMID- 18147592 TI - [Not Available]. PMID- 18147593 TI - [Not Available]. PMID- 18147595 TI - [Not Available]. PMID- 18147594 TI - [Not Available]. PMID- 18147596 TI - [Not Available]. PMID- 18147597 TI - [Contact dermatitis caused by the allergization to the watch plastic strap]. PMID- 18147598 TI - Lymphosarcoma and Hodgkin's disease. PMID- 18147599 TI - [Not Available]. PMID- 18147600 TI - Intestinal obstruction. PMID- 18147601 TI - The rural health program. PMID- 18147602 TI - General principles in the treatment of superficial carcinoma. PMID- 18147603 TI - Purulent meningitis in childhood. PMID- 18147604 TI - Eleoma of the rectum. PMID- 18147605 TI - Botulism in human beings from home and commercially canned foods. PMID- 18147606 TI - Perirenal insufflation of air. PMID- 18147607 TI - Osteoid osteoma. PMID- 18147608 TI - [Not Available]. PMID- 18147609 TI - [Not Available]. PMID- 18147610 TI - [Not Available]. PMID- 18147611 TI - [Not Available]. PMID- 18147612 TI - [Not Available]. PMID- 18147613 TI - [Not Available]. PMID- 18147614 TI - [Not Available]. PMID- 18147615 TI - Some preclinical signs of disease. PMID- 18147616 TI - Epidermolysis bullosa hereditaria. PMID- 18147617 TI - Gangrene of the penis following circumcision with high frequency current; plastic reconstruction of the penis. PMID- 18147618 TI - Hepatic failure; emphasis on water balance. PMID- 18147619 TI - The use of wire sutures in compound wounds. PMID- 18147620 TI - Insulin resistance; a survey of the literature and report of two cases. PMID- 18147621 TI - Vitamin E; a therapeutic perpetration. PMID- 18147622 TI - Relief of the symptoms of acute gout and rheumatoid arthritis by means of pituitary adrenocorticotropic hormone. PMID- 18147623 TI - Procaine penicillin G in aqueous suspension; observations on serum penicillin concentrations and on treatment of a case of subacute bacterial endocarditis. PMID- 18147624 TI - Technical advantages of combined abdominal and right thoracic approach for resection of lesions of the middle portion of the esophagus. PMID- 18147625 TI - Prolonged serum penicillin levels in children after injection of a procaine penicillin G preparation. PMID- 18147626 TI - Antiviral chemotherapy; flavones and related compounds. PMID- 18147627 TI - Neglected diabetic patients. PMID- 18147628 TI - The doctor in his relationship to the community. PMID- 18147629 TI - A new antibacterial in surgery; sulfamylon-streptomycin. PMID- 18147631 TI - [Not Available]. PMID- 18147630 TI - [Not Available]. PMID- 18147632 TI - [Not Available]. PMID- 18147633 TI - Acute perforation of gastroduodenal ulcer; report of 42 cases. PMID- 18147634 TI - [Not Available]. PMID- 18147635 TI - [Not Available]. PMID- 18147636 TI - [Not Available]. PMID- 18147637 TI - [Not Available]. PMID- 18147638 TI - [Not Available]. PMID- 18147639 TI - [Not Available]. PMID- 18147640 TI - [Not Available]. PMID- 18147641 TI - Critical evaluation of sympathectomy in peripheral vascular disease. PMID- 18147642 TI - The fenestration operation; selection of cases and training of the surgeon. PMID- 18147643 TI - Liabilities in the use of morphine. PMID- 18147644 TI - POLIOMYELITIS. PMID- 18147645 TI - Removal of root from maxillary sinus and closure of antra-oral opening. PMID- 18147646 TI - Tendon grafts in the hand. PMID- 18147647 TI - Ventral hernia; repair by means of multiple pedicled fascial flaps. PMID- 18147648 TI - Foreign bodies in the rectum; a case report. PMID- 18147649 TI - Fracture of the inner malleolus of the ankle with emphasis on treatment of nonunion. PMID- 18147650 TI - Erythermalgia (erythromelalgia) of the extremities in a ssoldier. PMID- 18147651 TI - RELATIONSHIP of weight and height of recruits. PMID- 18147652 TI - MEDICAL Department of the Air Force. PMID- 18147653 TI - Low sodium diet. PMID- 18147654 TI - MEDICAL care charges effective 1 July, 1949. PMID- 18147655 TI - [Not Available]. PMID- 18147656 TI - Facilitation produced by cerebellar stimulation. PMID- 18147657 TI - Somatic procedures for the relief of anxiety; a review. PMID- 18147658 TI - The physiology of hypnosis; a review of the literature. PMID- 18147659 TI - A comparative study of hysterics, homosexuals and alcoholics using content analysis of Rorschach responses. PMID- 18147660 TI - [Not Available]. PMID- 18147661 TI - [Not Available]. PMID- 18147662 TI - [Not Available]. PMID- 18147663 TI - [Not Available]. PMID- 18147664 TI - [Not Available]. PMID- 18147665 TI - [Rare case of injury of the orbit]. PMID- 18147666 TI - The role of surveys and diagnostic clinics in a state program of speech correction. PMID- 18147667 TI - Home adjustment of stutterers versus non-stutterers. PMID- 18147668 TI - [Not Available]. PMID- 18147669 TI - Dilatation of the acini of the pancreas in hyperemesis of pregnancy. PMID- 18147670 TI - Nomograph for rapid calculation of icterus index when determined by colorimeter. PMID- 18147671 TI - An instrument to level tissue in paraffin embedding. PMID- 18147672 TI - [Not Available]. PMID- 18147673 TI - Psychosomatic pediatrics. PMID- 18147674 TI - [Not Available]. PMID- 18147675 TI - Rubella or German measles. PMID- 18147676 TI - [Not Available]. PMID- 18147677 TI - Physiologic bow legs. PMID- 18147678 TI - The treatment of acute diarrhea in infancy. PMID- 18147679 TI - Pneumococcic meningitis. PMID- 18147680 TI - An unusual case of perirenal abscess. PMID- 18147681 TI - Leukopenia and drug fever in a juvenile hyperthyroid treated with propylthiouracil. PMID- 18147682 TI - [Not Available]. PMID- 18147683 TI - [Ectodermosi erosive pluriorifiziale]. PMID- 18147684 TI - [Chloromycetin]. PMID- 18147685 TI - Penicillin therapy of diphtheria carriers; an analysis of 70 cases. PMID- 18147686 TI - Mechanism of emergence of resistance to streptomycin in five species of Gram negative bacilli. PMID- 18147687 TI - [Not Available]. PMID- 18147688 TI - A contribution to the chemistry and toxicology of the root of Phytolacca americana, L. PMID- 18147689 TI - Viburnum studies; rate of extraction of uterine sedative potency. PMID- 18147690 TI - A phytochemical study of Malva rotundifolia, L. PMID- 18147691 TI - The pharmacological activity of epinephrine and related dihydroxyphenylalkylamines. PMID- 18147692 TI - [Not Available]. PMID- 18147693 TI - Electrolytic resistance of the blood clot; resistance clotting time, onset of clot retraction and the clot resistance. PMID- 18147694 TI - Cardiovascular effects of large volumes of isotonic saline infused intravenously into dogs following severe hemorrhage. PMID- 18147695 TI - Responses elicited by combined stimulation of pairs of fixed electrodes in the unanesthetized monkey. PMID- 18147696 TI - Interest as a psychological concept. PMID- 18147697 TI - A projective test of masculinity-femininity. PMID- 18147698 TI - An investigation of certain relationships between the California test of mental maturity and the Wechsler-Bellevue intelligence scale. PMID- 18147699 TI - Some needs in research with the Wechsler-Bellevue scale. PMID- 18147700 TI - Estimations of distance on polar coordinate plots as a function of the scale used. PMID- 18147701 TI - Psychosomatics of everyday life. PMID- 18147702 TI - [Not Available]. PMID- 18147703 TI - Statistical bias in comparisons of monaural and binaural thresholds; binaural summation or binaural supplementation. PMID- 18147704 TI - Standards of dental care for the different age groups. PMID- 18147705 TI - The caries problem of the school child. PMID- 18147706 TI - Tuberculosis in a school for mental defectives. PMID- 18147707 TI - Evaluating A.P.H.A. exhibits. PMID- 18147708 TI - Brucellosis control in Oregon. PMID- 18147709 TI - Industrial buildings and the workers' health. PMID- 18147711 TI - Problems in the education of the physically handicapped child. PMID- 18147710 TI - The Children Act, 1948. PMID- 18147712 TI - The care and preservation of fish as food. PMID- 18147713 TI - Food hygiene as applied to the marketing and distribution of fish. PMID- 18147714 TI - Industrial medicine. PMID- 18147715 TI - The oxygen requirements of activated sludge determined by manometric methods. PMID- 18147716 TI - Wastes from chemical manufacturing. PMID- 18147717 TI - Compressed yeast waste treatment; sludge formation, characteristics and changes. PMID- 18147718 TI - [Not Available]. PMID- 18147719 TI - Some aspects of the use of electrokymography in cardiac investigations. PMID- 18147720 TI - The influence of energy absorption and electron range on dosage in irradiated bone. PMID- 18147721 TI - Jejuno-gastric intussusception. PMID- 18147722 TI - An interesting pregnancy. PMID- 18147723 TI - Bronchial dynamism. PMID- 18147724 TI - Intrathoracic goiter; its incidence, symptomatology, and roentgen diagnosis. PMID- 18147725 TI - Spontaneous hemopneumothorax; etiological considerations and case report. PMID- 18147726 TI - Volvulus of the sigmoid; a new radiologic sign. PMID- 18147727 TI - Body section radiography. PMID- 18147728 TI - Contralateral spontaneous pneumothorax following lobectomy. PMID- 18147729 TI - Decollation of intrapleural adhesions by open extrapleural pneumonolysis. PMID- 18147730 TI - Experimental observations on embolism of pulmonary lobar arteries. PMID- 18147731 TI - [Not Available]. PMID- 18147732 TI - Tracheoesophageal fistula caused by blunt violence. PMID- 18147733 TI - New surgical procedures in certain cases of congenital pulmonary stenosis. PMID- 18147734 TI - Tetraethylammonium chloride in experimental vascular injuries of limb, bowel and heart. PMID- 18147735 TI - Reduction in mortality and loss of limbs in diabetic gangrene and infection. PMID- 18147736 TI - Spontaneous rupture of the esophagus. PMID- 18147737 TI - Blood transfusion and reaction in surgical patients. PMID- 18147738 TI - Bronchiectasis in children. PMID- 18147739 TI - Nerve sheath tumours of the vagus nerve in the neck. PMID- 18147740 TI - Some clinical aspects of unilateral renal ectopia; a report of seven cases. PMID- 18147741 TI - Fenestration. PMID- 18147742 TI - The approach to the upper abdomen. PMID- 18147743 TI - Efficacy of peripheral-acting drugs in the treatment of experimental spasticity. PMID- 18147744 TI - Possibilities of hydrotherapy in a psychiatric hospital. PMID- 18147745 TI - Impressions of physical medicine in the United States of America. PMID- 18147746 TI - Exercise in the bath; evidence of its value as compared with exercise in air. PMID- 18147747 TI - Psychological aspects of industrial physiotherapy. PMID- 18147748 TI - [Not Available]. PMID- 18147749 TI - [Not Available]. PMID- 18147750 TI - Morphine sensitivity. PMID- 18147751 TI - The influence of partial pressure of nitrous oxide on the depth of anesthesia and the electro-encephalogram in man. PMID- 18147752 TI - Changes in the heart rate, blood pressure and electrocardiogram in dogs during diffusion respiration. PMID- 18147754 TI - Studies on the metabolism of photosynthetic bacteria; photochemical production of molecular hydrogen by growing cultures of photosynthetic bacteria. PMID- 18147753 TI - A simplified, inexpensive method for holding syringes of pentothal sodium for continuous injection. PMID- 18147755 TI - Amino acids in healthy Chlorella cells. PMID- 18147756 TI - Origin, development and significance of L-forms in bacterial cultures. PMID- 18147757 TI - Bacteriolytic properties of actinomycetes and staphylococci. PMID- 18147758 TI - Mass rearing of Drosophila. PMID- 18147759 TI - Lindane, a common name for essentially pure gamma isomer of benzene hexachloride. PMID- 18147760 TI - Mechanism of induction of ovarian tumors by X-rays. PMID- 18147761 TI - [Not Available]. PMID- 18147762 TI - Studies on choline-esterase; effect of substrate concentration and temperature on the rate of hydrolysis. PMID- 18147763 TI - Preliminary observations on certain biochemical findings in cirrhosis of the liver. PMID- 18147764 TI - Etiology of sialolithiasis. PMID- 18147765 TI - Extraction of incisor in an infant. PMID- 18147766 TI - Electron microscope studies of structural changes in enamel following topical applications of sodium fluoride. PMID- 18147767 TI - [Not Available]. PMID- 18147768 TI - [Not Available]. PMID- 18147770 TI - [Not Available]. PMID- 18147769 TI - [Not Available]. PMID- 18147771 TI - [Not Available]. PMID- 18147772 TI - [Not Available]. PMID- 18147773 TI - [Not Available]. PMID- 18147774 TI - [Not Available]. PMID- 18147775 TI - [Not Available]. PMID- 18147776 TI - [Not Available]. PMID- 18147777 TI - [Not Available]. PMID- 18147778 TI - [Not Available]. PMID- 18147779 TI - [Not Available]. PMID- 18147780 TI - [Not Available]. PMID- 18147781 TI - [Not Available]. PMID- 18147782 TI - [Not Available]. PMID- 18147783 TI - [Not Available]. PMID- 18147784 TI - [Not Available]. PMID- 18147785 TI - [Not Available]. PMID- 18147786 TI - [Not Available]. PMID- 18147787 TI - [Not Available]. PMID- 18147788 TI - [Not Available]. PMID- 18147789 TI - [Not Available]. PMID- 18147790 TI - [Not Available]. PMID- 18147791 TI - [Not Available]. PMID- 18147792 TI - [Not Available]. PMID- 18147793 TI - [Not Available]. PMID- 18147794 TI - Experience in the use of the vaginal smear method of cancer diagnosis. PMID- 18147795 TI - A review of the recommended nomenclature for cells of the blood and blood-forming organs. PMID- 18147796 TI - The clinical evaluation of aureomycin. PMID- 18147798 TI - [Not Available]. PMID- 18147799 TI - [Not Available]. PMID- 18147800 TI - [Not Available]. PMID- 18147801 TI - [Not Available]. PMID- 18147802 TI - [Not Available]. PMID- 18147803 TI - [Not Available]. PMID- 18147804 TI - [Not Available]. PMID- 18147805 TI - [Not Available]. PMID- 18147806 TI - [Freud and the science of psychoanalysis since his day]. PMID- 18147807 TI - Plant hormones. PMID- 18147808 TI - Genetic analysis of the polymorphism of color pattern in Drosophila polymorpha. PMID- 18147809 TI - Mating between two strains of Drosophila melanogaster. PMID- 18147810 TI - A new skin treatment for the incontinent patient; a preliminary report. PMID- 18147811 TI - [Not Available]. PMID- 18147812 TI - [Not Available]. PMID- 18147813 TI - [Not Available]. PMID- 18147814 TI - [Not Available]. PMID- 18147815 TI - Dermatitis among the public from new fabrics, dyes and finishes. PMID- 18147816 TI - Hydatid cyst found among South American miners and herders. PMID- 18147817 TI - Moniliasis generalisata. PMID- 18147818 TI - Certain pressor-depressor tests in essential hypertension; a comparison and comment. PMID- 18147820 TI - Para-esophageal hernias. PMID- 18147821 TI - Pathology of the thyroid. PMID- 18147819 TI - A note on ectopic nipples. PMID- 18147822 TI - Liver disease and diabetes. PMID- 18147823 TI - Modern treatment of leprosy; a report of ten cases on diasone treatment. PMID- 18147824 TI - Menorrhagia and its modern treatment. PMID- 18147825 TI - Case report of uterus didelphys. PMID- 18147826 TI - A neglected case of chronic amoebic dysentery treated with vitamin B complex. PMID- 18147827 TI - Medical aspects of submarine warfare, the human factor as reflected in war patrol reports. PMID- 18147828 TI - Survival after recent myocardial infarction. PMID- 18147829 TI - [Not Available]. PMID- 18147830 TI - [Not Available]. PMID- 18147831 TI - Failure of aureomycin in experimental melioidosis. PMID- 18147832 TI - Banti's disease; possible relationship to Rh factor. PMID- 18147833 TI - A simple emergency method for estimation of blood sugar. PMID- 18147834 TI - Hydatid cyst and cirrhosis. PMID- 18147835 TI - A new neonatal syndrome. PMID- 18147837 TI - [Not Available]. PMID- 18147836 TI - Incidence of physical disorders among psychiatric in-patients; a study of 175 cases. PMID- 18147838 TI - [Not Available]. PMID- 18147839 TI - [Not Available]. PMID- 18147840 TI - Bleeding in the last trimester of pregnancy. PMID- 18147841 TI - The medical, social and public health aspects of rehabilitation. PMID- 18147842 TI - [Not Available]. PMID- 18147843 TI - [Medical principles in prostheses]. PMID- 18147844 TI - [Syncope]. PMID- 18147845 TI - [Millet]. PMID- 18147846 TI - [Not Available]. PMID- 18147847 TI - Forty-two cases of poliomyelitis in Centralia, 1949. PMID- 18147848 TI - Studies on a new pyrogen fever treatment. PMID- 18147849 TI - The coexistence of pernicious anemia and chronic lymphatic leukemia. PMID- 18147850 TI - Chronic glomerulonephritis. PMID- 18147851 TI - Anesthesia and the role of anesthesiologists of today. PMID- 18147852 TI - Temporary relief of asthma by jaundice; report of three cases. PMID- 18147853 TI - Agranulocytosis following pyrithyldione therapy. PMID- 18147854 TI - Spontaneous retroperitoneal hemorrhage simulating appendiceal abscess. PMID- 18147855 TI - Is the Indiana 1935 Sterilization of the Insane Act functioning? PMID- 18147856 TI - Non-surgical orthopedic management of rheumatoid arthritis. PMID- 18147857 TI - Psychiatry in relation to obstetrics. PMID- 18147858 TI - Convalescent care of rheumatic fever in the home. PMID- 18147859 TI - Toward better prenatal care. PMID- 18147860 TI - Twenty years' experience with cancer of the cervix. PMID- 18147861 TI - Intestinal obstruction due to enterocholelithiasis. PMID- 18147862 TI - Medical social service at the Maine General Hospital. PMID- 18147863 TI - Surgical management of peptic ulcer. PMID- 18147864 TI - Anesthesia; the weakest link in the surgical procedure. PMID- 18147865 TI - Systemic bacitracin in surgical infections. PMID- 18147866 TI - Cancer research. PMID- 18147868 TI - Congenital anomalies of the eyes. PMID- 18147867 TI - Care and treatment of the psychotic patient. PMID- 18147869 TI - Neurofibroma of stomach? PMID- 18147870 TI - [Not Available]. PMID- 18147871 TI - Preventive immunizations of infancy and early childhood. PMID- 18147872 TI - [Vernal acute edema]. PMID- 18147873 TI - [Intra-articular administration of adrenalin]. PMID- 18147874 TI - Invasion of the larynx by a benign adenomatous goiter; report of a case. PMID- 18147875 TI - The seven sins of medicine. PMID- 18147876 TI - Function of the M.D. degree. PMID- 18147877 TI - The first M.B. PMID- 18147879 TI - [Not Available]. PMID- 18147878 TI - [Not Available]. PMID- 18147880 TI - Hormonal alterations of advanced cancer of the breast. PMID- 18147881 TI - [Not Available]. PMID- 18147882 TI - [Not Available]. PMID- 18147883 TI - Streptomycin in tuberculosis. PMID- 18147884 TI - The nature, recognition and treatment of glaucoma. PMID- 18147885 TI - Non-eczematous industrial dermatitis. PMID- 18147886 TI - The Royal Prince Hospital cancer of the uterus follow-up. PMID- 18147887 TI - The diagnosis of poliomyelitis. PMID- 18147888 TI - [Not Available]. PMID- 18147889 TI - [Not Available]. PMID- 18147890 TI - Treatment of the severed flexor tendon in the hand. PMID- 18147891 TI - MEDICINE behind the iron curtain; the experiences of a Russian-speaking German medical officer as a P. O. W. in Russia, 1945-1948. PMID- 18147892 TI - Cardiovascular syphilis; the effect of penicillin treatment on its incidence. PMID- 18147893 TI - [Not Available]. PMID- 18147894 TI - [Not Available]. PMID- 18147895 TI - [Not Available]. PMID- 18147896 TI - [Not Available]. PMID- 18147897 TI - [Not Available]. PMID- 18147898 TI - Hemangiosarcoma of breast. PMID- 18147899 TI - The major urologic consideration in paraplegia. PMID- 18147900 TI - Abscess of lung. PMID- 18147901 TI - Lactating fibroadenoma of breast. PMID- 18147902 TI - Recognition of brain tumours in general practice. PMID- 18147903 TI - A study of the serological types of group A haemolytic streptococci in the epidemiology of scarlet fever in Dunedin. PMID- 18147904 TI - A preliminary report of a search for Q fever in New Zealand. PMID- 18147905 TI - An unusual complication of appendicitis in a child. PMID- 18147906 TI - The institutional treatment of rheumatism at Rotorua. PMID- 18147907 TI - [Not Available]. PMID- 18147908 TI - [Not Available]. PMID- 18147909 TI - [Not Available]. PMID- 18147910 TI - The laboratory and clinical evaluation of a new antacid preparation. PMID- 18147911 TI - Syphilis, 1949. PMID- 18147912 TI - Ten per cent crotonyl-N-ethyl-O-toluidine ointment, a new scabieticidal agent. PMID- 18147913 TI - [Not Available]. PMID- 18147914 TI - [Early diagnosis of cancer of the uterus]. PMID- 18147915 TI - [Not Available]. PMID- 18147916 TI - [Not Available]. PMID- 18147917 TI - [Not Available]. PMID- 18147918 TI - [Not Available]. PMID- 18147919 TI - Studies on the influence of streptomycin and other antibiotic agents on some enzymes of Mycobacterium smegmatis. PMID- 18147920 TI - Dermatitis herpetiformis with ocular manifestations. PMID- 18147921 TI - Arthritis of wrist relieved by synovectomy. PMID- 18147922 TI - Anterior retinal dialysis. PMID- 18147923 TI - Bronchospasm and antihistamine drugs. PMID- 18147924 TI - Some modern concepts of pinworm infection with data on the incidence among Indiana residents. PMID- 18147925 TI - [Not Available]. PMID- 18147926 TI - [Not Available]. PMID- 18147927 TI - [Not Available]. PMID- 18147928 TI - The impact of socialized medicine on the British physician and the patient. PMID- 18147929 TI - Medical negligence resulting in death. PMID- 18147930 TI - Theca cell tumour of the ovary. PMID- 18147931 TI - [Not Available]. PMID- 18147932 TI - [Not Available]. PMID- 18147933 TI - [Not Available]. PMID- 18147934 TI - [Not Available]. PMID- 18147935 TI - [Not Available]. PMID- 18147937 TI - [Not Available]. PMID- 18147936 TI - [Not Available]. PMID- 18147938 TI - [Not Available]. PMID- 18147939 TI - [Not Available]. PMID- 18147940 TI - The pathology of the reticuloses. PMID- 18147941 TI - Philosophy and medicine. PMID- 18147942 TI - Establishment of fixed hospitals in the European Theater of Operations. PMID- 18147943 TI - The medical services in the Greek resistance movement in World War II. PMID- 18147944 TI - Aplastic anemia as a complication of streptomycin therapy. PMID- 18147945 TI - Muscular atrophy and pseudologia fantastica associated with islet cell adenoma of the pancreas. PMID- 18147946 TI - The syndrome of sensorimotor induction in disturbed equilibrium. PMID- 18147947 TI - Aneurysms of the posterior communicating artery; report of five cases with operation. PMID- 18147948 TI - On the phenomena of depersonalization. PMID- 18147949 TI - [Not Available]. PMID- 18147950 TI - [Social and economic importance of food consumption surveys]. PMID- 18147951 TI - [Survey of food consumption in rural households]. PMID- 18147952 TI - [Nutritional condition of youth in Czechoslovakia]. PMID- 18147953 TI - [Fruit syrups--a neglected branch of manufacture]. PMID- 18147954 TI - [Not Available]. PMID- 18147955 TI - [Not Available]. PMID- 18147956 TI - [Not Available]. PMID- 18147957 TI - A preliminary note on a new method of fixing corneal grafts. PMID- 18147958 TI - A new treatment of acute aero-otitis media. PMID- 18147959 TI - Monostotic fibrous dysplasia; report of two cases. PMID- 18147961 TI - [Not Available]. PMID- 18147960 TI - To the technics of laryngostroboscopic examination. PMID- 18147962 TI - Cortical necrosis of the adrenal gland in man; evolution and varieties of acute necrosis and its repair. PMID- 18147963 TI - Reticulo-epithelioid cell granulomas in bone marrow in herpes zoster; report of case. PMID- 18147964 TI - Pathology of atomic bomb casualties. PMID- 18147965 TI - Chorea (Sydenham) a study of 58 additional patients. PMID- 18147966 TI - Mumps meningoencephalitis with and without parotitis. PMID- 18147967 TI - [Not Available]. PMID- 18147968 TI - [Not Available]. PMID- 18147970 TI - [Not Available]. PMID- 18147969 TI - [New method of diagnostical puncture of the spleen and liver]. PMID- 18147971 TI - [Not Available]. PMID- 18147973 TI - The industrial alcohol picture. PMID- 18147972 TI - [Not Available]. PMID- 18147974 TI - [Not Available]. PMID- 18147975 TI - Sabadilla alkaloids; extraction of total alkaloids. PMID- 18147976 TI - [Not Available]. PMID- 18147977 TI - The white rat's discrimination of differences in intensity of illumination measured by a running response. PMID- 18147978 TI - Generalization of secondary reinforcement from the primary drive. PMID- 18147979 TI - Relative ability of the newt and the terrapin to reverse a direction habit. PMID- 18147980 TI - [Not Available]. PMID- 18147981 TI - Stimulus generalization of conditioned responses. PMID- 18147982 TI - The types of coli-aerogenes organisms occurring in frozen vegetables. PMID- 18147983 TI - [Not Available]. PMID- 18147984 TI - The X-ray processing facilities; X-ray processing tanks; temperature control. PMID- 18147985 TI - Large fibroadenoma of stomach. PMID- 18147986 TI - Lateral visualization of the pregnant uterus. PMID- 18147987 TI - [Not Available]. PMID- 18147988 TI - [Not Available]. PMID- 18147989 TI - Recent advances in the conservative treatment of the giant cavity. PMID- 18147990 TI - Cholesterol pleural effusion. PMID- 18147991 TI - Acute nontraumatic spinal epidural hemorrhage. PMID- 18147992 TI - Extraperitoneal cesarean section; a new paravesical approach. PMID- 18147993 TI - Pelvic flexion cast in treatment of chronic lumbar backache. PMID- 18147994 TI - Malignant lymphoma of the stomach. PMID- 18147995 TI - Tension gangrene of the cecum due to cancer of the sigmoid. PMID- 18147996 TI - Post-typhoid empyema of gallbladder. PMID- 18147997 TI - Congenital cyst of the common bile duct in a newborn infant. PMID- 18147998 TI - Thoracotomy and extirpation of mediastinal metastases after sarcoma tibiae sinistrae. PMID- 18147999 TI - [Not Available]. PMID- 18148000 TI - [Not Available]. PMID- 18148001 TI - [Not Available]. PMID- 18148002 TI - Studies on the nutritional state of surgical patients. PMID- 18148003 TI - Chorion-epithelioma uteri; with a case report. PMID- 18148004 TI - A case of thyroid tumour in the maxillary antrum. PMID- 18148005 TI - Mobilization of paraplegics; wheel chair and mat exercises. PMID- 18148006 TI - Physiotherapy in an experimental industrial health service. PMID- 18148007 TI - [Not Available]. PMID- 18148008 TI - Tropical diseases in Brazil. PMID- 18148009 TI - Haemoglobin estimation by the cyan haematin method; modification for use in warm climates. PMID- 18148010 TI - [Temporary pericardial friction sounds arising after plastic operation on the thorax]. PMID- 18148011 TI - The value of nephrectomy in the treatment of bilateral renal tuberculosis; a report of clinical and experimental data. PMID- 18148012 TI - Cutaneous metastasis of bladder carcinoma. PMID- 18148013 TI - Some problems of reconstruction in urology. PMID- 18148014 TI - Ureteral ectopia; a review of the literature and two case reports. PMID- 18148015 TI - The silver catheter. PMID- 18148016 TI - Anaesthesia for peroral endoscopy. PMID- 18148017 TI - The teaching of anesthesia. PMID- 18148018 TI - The role of anatomy in anesthesia. PMID- 18148020 TI - Studies on the toxicity of insecticide films; effect of temperature on the toxicity of DDT films. PMID- 18148021 TI - Some effects of P32 on the development of Drosophila. PMID- 18148022 TI - The proteins of green leaves: evidence of the formation of tobacco mosaic virus protein at the expense of a main protein component in tobacco leaf cytoplasm. PMID- 18148024 TI - Studies on ribonucleic acid; preparation from pancreas. PMID- 18148023 TI - Separation of enzymes on the filter paper chromatopile. PMID- 18148025 TI - Use of copper (II) ion in masking alpha-amino groups of amino acids. PMID- 18148026 TI - The mechanism of the phosphoglucomutase reaction. PMID- 18148027 TI - X-ray optics; imperfections of optical flats and their effect on the reflection of X-rays. PMID- 18148028 TI - Visibility on cathode-ray tube screens; viewing angle. PMID- 18148029 TI - Face value. PMID- 18148030 TI - New approach to pulpal distress. PMID- 18148031 TI - A modified oral screen made of latex. PMID- 18148032 TI - Use of demerol hydrochloride in dentistry. PMID- 18148033 TI - Stages and signs of anesthesia. PMID- 18148034 TI - Mouth cancer; the dentist's opportunity for early treatment and control. PMID- 18148035 TI - Metallic foreign bodies in oral surgery; report of cases. PMID- 18148037 TI - Scurvy, scorbutus. PMID- 18148036 TI - The registry of dental and oral pathology. PMID- 18148038 TI - Oral cancer; the dentist's responsibility. PMID- 18148039 TI - [Not Available]. PMID- 18148040 TI - [Not Available]. PMID- 18148041 TI - [Not Available]. PMID- 18148042 TI - [Not Available]. PMID- 18148044 TI - [Not Available]. PMID- 18148043 TI - Rickettsialpox; a clinical review with differential diagnostic notes. PMID- 18148045 TI - [Not Available]. PMID- 18148046 TI - Carboxymethylcellulose as a colloid laxative. PMID- 18148047 TI - Studies on serum carotene in man. PMID- 18148048 TI - Studies with bromsulfalein; factors altering its disappearance from the blood after a single intravenous injection. PMID- 18148049 TI - Sensitization to bromsulphalein (phenoltetrabromphthalein-disodium sulfonate). PMID- 18148050 TI - The behavior of labeled iodocasein in human myxedema. PMID- 18148051 TI - The goitrogens in thyrotoxicosis complicating pregnancy; a case report. PMID- 18148052 TI - Current developments in food standard proceedings. PMID- 18148053 TI - State food standards. PMID- 18148054 TI - Procedures for the appraisal of the toxicity of chemicals in foods. PMID- 18148055 TI - Intramolecular bonding by Van der Waals forces. PMID- 18148056 TI - [Not Available]. PMID- 18148058 TI - Applications of some significance tests for the median which are valid under very general conditions. PMID- 18148057 TI - [Not Available]. PMID- 18148059 TI - Beneficiary statistics under the old-age and survivors insurance program and some possible demographic studies based on these data. PMID- 18148060 TI - Differences between the international temperature scales of 1948 and 1927. PMID- 18148061 TI - Relation between entrance and exit pupils of telescopic systems. PMID- 18148062 TI - An adventure in bibliochronology. PMID- 18148064 TI - Cosmical zero, and the origin of radiation and dense matter. PMID- 18148063 TI - Symbols and nomenclature. PMID- 18148065 TI - A new ion source for mass spectrometry. PMID- 18148066 TI - Learning to think. PMID- 18148067 TI - Seeing light and color. PMID- 18148068 TI - Rupture of the uterus in a pregnancy subsequent to hysterotomy for hydatidiform mole. PMID- 18148069 TI - [Not Available]. PMID- 18148070 TI - Pathology of the ruptured spleen in acute vivax malaria. PMID- 18148071 TI - Early botanical gardens. PMID- 18148074 TI - [Not Available]. PMID- 18148073 TI - How to establish a botanical garden. PMID- 18148072 TI - Modern botanical gardens in Europe and the tropics. PMID- 18148075 TI - [Not Available]. PMID- 18148076 TI - TREATING polio cases in the general hospital; 1949 outbreak teaches lessons. PMID- 18148077 TI - Host growth and its relation to influenzal virus infection. PMID- 18148078 TI - The immunologic reactivity of bovine serum albumin labeled with trace-amounts of radioactive iodine (I131). PMID- 18148079 TI - Electrophoretic, nitrogen and lipide analyses of plasma and plasma fractions in disease. PMID- 18148080 TI - Chronic pulmonary granulomatosis report of ten cases. PMID- 18148081 TI - Chronic pleurisy and peritonitis. PMID- 18148083 TI - The management of retained placenta; a plea for manual removal. PMID- 18148082 TI - The use of copper, cobalt, manganese and iodine in the treatment of undulant fever; preliminary report. PMID- 18148084 TI - Barbiturate poisoning; report of three cases. PMID- 18148085 TI - [Not Available]. PMID- 18148086 TI - [Not Available]. PMID- 18148087 TI - On the teaching of biology as a preparation for medicine. PMID- 18148088 TI - The teaching of anatomy to the medical student. PMID- 18148089 TI - Myxoedematous madness. PMID- 18148090 TI - Bacteriophage types in penicillin-resistant staphylococcal infection. PMID- 18148091 TI - Diagnosis and treatment of cutaneous anthrax. PMID- 18148092 TI - A transparent perspex perimeter. PMID- 18148093 TI - The treatment of pneumococcal pneumonia by a single daily injection of aqueous penicillin with one supplementary injection on the first day. PMID- 18148094 TI - The emetic crisis of peptic ulcer. PMID- 18148095 TI - Fractures and dislocations of the cervical spine. PMID- 18148096 TI - [Not Available]. PMID- 18148097 TI - Trial of vitamin E therapy in diabetes mellitus. PMID- 18148098 TI - Penicillin in the treatment of prenatal syphilis. PMID- 18148099 TI - The superficial ulnar artery with reference to accidental intra-arterial injection. PMID- 18148101 TI - Metastasis of bronchogenic carcinoma to the thumb. PMID- 18148100 TI - Iontophoresis of pyribenzamine in allergic rhinitis. PMID- 18148102 TI - A reel designed for handling silk. PMID- 18148103 TI - [Not Available]. PMID- 18148104 TI - [Not Available]. PMID- 18148105 TI - [Not Available]. PMID- 18148106 TI - Sixteen years with a colostomy. PMID- 18148107 TI - Psychosomatic disease; the relationship of personality and thought to disease. PMID- 18148108 TI - The private physician takes over venereal disease control. PMID- 18148109 TI - Nutrition in pregnancy. PMID- 18148110 TI - Are our children protected against diphtheria and smallpox? a report on the immunization status of 6 year old children in Kent County. PMID- 18148111 TI - [Not Available]. PMID- 18148112 TI - Sleeping sickness. PMID- 18148113 TI - Unusual reaction to ant bites. PMID- 18148114 TI - The contribution of the South Dakota basic science school to the physician population of its state and area. PMID- 18148115 TI - Intrathoracic goiter. PMID- 18148116 TI - Cutaneous reactions to some of the antibiotic drugs in medicine. PMID- 18148117 TI - Intracapsular cataract; extraction by suction. PMID- 18148118 TI - Limitations and merits of a single serum sample analysis in the differential diagnosis of jaundice. PMID- 18148119 TI - Intestinal parasitism in American troops in Germany; relation to transmission of viral hepatitis. PMID- 18148120 TI - A method for determining alpha-amylase activity. PMID- 18148121 TI - Establishment of cytological diagnosis in laboratory of small hospital. PMID- 18148122 TI - Leukemia in the Negro. PMID- 18148123 TI - The treatment of herpes zoster. PMID- 18148124 TI - [Not Available]. PMID- 18148125 TI - One stage trans-thoracic operation for carcinoma of lower esophagus and cardiac end of stomach. PMID- 18148126 TI - Adie's syndrome; the myotonic pupil. PMID- 18148127 TI - Trends in the treatment of syphilis. PMID- 18148128 TI - Effect of pentamethonium iodide on the peripheral circulation. PMID- 18148129 TI - Simple oesophageal cast. PMID- 18148130 TI - Perforated jejunal diverticulitis. PMID- 18148131 TI - MEDICAL libraries in hospitals. PMID- 18148132 TI - Mercury poisoning from fingerprint photography; an occupational hazard of policemen. PMID- 18148133 TI - Perforation of intestine by fishbone. PMID- 18148134 TI - WHOOPING-cough prophylaxis. PMID- 18148135 TI - Purification of vaccine lymph. PMID- 18148136 TI - Reorganization of the health services in the British Zone of Germany. PMID- 18148137 TI - [Uroroseine in the urine in healthy persons and in persons with hypertension, cholelithiasis and nephrolitiasis]. PMID- 18148138 TI - [Not Available]. PMID- 18148139 TI - Primary extramedullary plasmocytoma of the stomach; report of a case. PMID- 18148140 TI - A thyroid clinic. PMID- 18148141 TI - The management of auricular flutter. PMID- 18148142 TI - Physical medicine in the treatment of degenerative joint disease. PMID- 18148143 TI - Neurocirculatory asthenia; anxiety neurosis, neurasthenia, effort syndrome, cardiac neurosis. PMID- 18148144 TI - The treatment of pernicious anemia. PMID- 18148146 TI - Rehabilitation of the disabled in Australia. PMID- 18148145 TI - The management of diabetes mellitus during acute complications and surgery. PMID- 18148147 TI - Routine treatment of compound fractures. PMID- 18148148 TI - Pregnancy and intestinal obstruction; a dangerous combination. PMID- 18148149 TI - [Not Available]. PMID- 18148150 TI - [Not Available]. PMID- 18148151 TI - [Not Available]. PMID- 18148152 TI - [Not Available]. PMID- 18148153 TI - [Not Available]. PMID- 18148154 TI - [Not Available]. PMID- 18148155 TI - Paroxysmal haemoglobinuria with a report on three cases. PMID- 18148156 TI - INFERTILITY and fertility. PMID- 18148157 TI - Thyroid disease and the climacterium. PMID- 18148158 TI - Chronic disease and an aging population. PMID- 18148159 TI - The resurrectionists and the medical profession; the traffic in Scotland. PMID- 18148160 TI - [Not Available]. PMID- 18148161 TI - Comparative study of formula processing for obstetric nurseries. PMID- 18148162 TI - Potential dangers in the uncontrolled use of shoe-fitting fluoroscopes. PMID- 18148163 TI - Neuroblastoma, metastatic, of rib. PMID- 18148164 TI - [Not Available]. PMID- 18148165 TI - [Not Available]. PMID- 18148166 TI - [Not Available]. PMID- 18148167 TI - [Not Available]. PMID- 18148168 TI - [Not Available]. PMID- 18148169 TI - [Not Available]. PMID- 18148170 TI - [Not Available]. PMID- 18148171 TI - [Not Available]. PMID- 18148172 TI - [Not Available]. PMID- 18148173 TI - [Not Available]. PMID- 18148174 TI - Inoperability versus incurability in tumor management. PMID- 18148175 TI - Nonmagnetic intra-ocular foreign bodies; report of a case. PMID- 18148176 TI - Gastric cancer; diagnosis, course, and prognosis. PMID- 18148177 TI - The treatment of bladder neck obstruction; evaluation of methods in use. PMID- 18148178 TI - International cooperation in world medicine; its relation to the welfare of cripples. PMID- 18148179 TI - [Not Available]. PMID- 18148180 TI - Influence of level of adrenal cortical steroids on sensitivity of mice to X irradiation. PMID- 18148181 TI - Effects of pituitary adrenocorticotropic hormone in children with non-Addisonian hypoglycemia. PMID- 18148182 TI - Inhibition by cyanide of serum alkaline phosphatase in normal man, obstructive jaundice and skeletal disorders. PMID- 18148183 TI - Vasomotor reactions in the mesenteric and serosal capillary bed during fright and violent muscular activity. PMID- 18148184 TI - Effect of amino acids and sodium bicarbonate on the level of glutamine in blood. PMID- 18148185 TI - An immunologic comparison of 12 strains of Cryptococcus neoformans (Torula histolytica). PMID- 18148186 TI - Effect of adrenalectomy on eosinophil response of rats infected with Trichinella spiralis. PMID- 18148187 TI - Studies of experimental pulmonary edema; pulmonary edema from 1-epinephrine and 1 nor-epinephrine. PMID- 18148188 TI - Persistence of desoxycorticosterone-induced hypertension in the nephrectomized rat. PMID- 18148189 TI - Absorption of subtilin in the rabbit. PMID- 18148190 TI - [Not Available]. PMID- 18148191 TI - [Not Available]. PMID- 18148192 TI - [Guidance for the treatment of acute appendicitis]. PMID- 18148193 TI - Tick-bite fever; report of a case treated with aureomycin. PMID- 18148194 TI - [Not Available]. PMID- 18148196 TI - [Not Available]. PMID- 18148195 TI - [Not Available]. PMID- 18148197 TI - [Not Available]. PMID- 18148198 TI - [Not Available]. PMID- 18148200 TI - [Not Available]. PMID- 18148199 TI - [Not Available]. PMID- 18148201 TI - [Not Available]. PMID- 18148202 TI - [Not Available]. PMID- 18148203 TI - [Not Available]. PMID- 18148204 TI - Chronic histoplasmosis; a common cause of pulmonary calcification; report of a case with superimposed acute penumonitis. PMID- 18148205 TI - A case of Meigs' syndrome. PMID- 18148206 TI - The surgical treatment of hypertension. PMID- 18148207 TI - Present trends in teaching aids in medical schools. PMID- 18148208 TI - Kaposi's vericelliform eruption; case report and virus studies. PMID- 18148209 TI - [Not Available]. PMID- 18148210 TI - [Not Available]. PMID- 18148211 TI - [Not Available]. PMID- 18148212 TI - [Not Available]. PMID- 18148214 TI - [Not Available]. PMID- 18148213 TI - [Not Available]. PMID- 18148215 TI - [Not Available]. PMID- 18148216 TI - [Not Available]. PMID- 18148217 TI - [Not Available]. PMID- 18148218 TI - [Cholangitis]. PMID- 18148219 TI - Rickettsial diseases of probable interest in Virginia. PMID- 18148220 TI - Shall we lose our heritage? PMID- 18148221 TI - [Not Available]. PMID- 18148222 TI - [Not Available]. PMID- 18148223 TI - [Not Available]. PMID- 18148224 TI - What the practitioner may expect of the laboratory. PMID- 18148225 TI - A review of some of Wisconsin's maternal and child health problems. PMID- 18148227 TI - Medical social work course for Red Cross staff. PMID- 18148226 TI - Sarcoidosis; a review of 20 cases. PMID- 18148228 TI - The pathogenic process in schizophrenia. PMID- 18148230 TI - Natural childbirth. PMID- 18148229 TI - The psychoses and the socio-psychiatric concept of personality. PMID- 18148231 TI - Treatment of congestive heart failure. PMID- 18148232 TI - Cardiovascular disease in later life. PMID- 18148233 TI - Experimental investigation of vertical fusional movements. PMID- 18148234 TI - Aureomycin; its use in chronic and acute infections; preliminary report. PMID- 18148235 TI - The common cold; suggested causes and treatment. PMID- 18148236 TI - Promoting eye safety. PMID- 18148237 TI - Reading difficulties and eye defects. PMID- 18148238 TI - Isoallergic encephalomyelitis produced in guinea pigs; via intramuscular and intraperitoneal injection of antigen. PMID- 18148239 TI - A practical device for demonstrating air embolism. PMID- 18148240 TI - Chorioretinopathy associated with other evidence of cerebral damage in childhood; a syndrome of unknown etiology separable from congenital toxoplasmosis. PMID- 18148241 TI - Wilms' tumor in a newborn infant; report of a case with autopsy studies. PMID- 18148242 TI - Clinical concepts of poliomyelitis. PMID- 18148243 TI - Dynamics of circulation in infantile malnutrition. PMID- 18148244 TI - Pulmonary tuberculosis in children treated with streptomycin. PMID- 18148245 TI - The ganglionic blocking action of thiophanium derivatives. PMID- 18148247 TI - A bottle-filling unit. PMID- 18148246 TI - Streptomycin; clearance and binding to protein. PMID- 18148248 TI - Visual resolution with periodically interrupted light. PMID- 18148249 TI - Ability patterns under distributed practice. PMID- 18148250 TI - The effect of a fixated figure on autokinetic movement. PMID- 18148251 TI - What does public health nursing cost? PMID- 18148252 TI - Needs and future prospects for integrating marriage and divorce data with other vital statistics. PMID- 18148253 TI - The New York State home accident prevention program. PMID- 18148254 TI - WORLD Health Organization tuberculosis program for 1950. PMID- 18148255 TI - [Not Available]. PMID- 18148256 TI - A cassette changer for angiocardiography. PMID- 18148258 TI - A method for measuring children's hearts. PMID- 18148257 TI - Cholangiography. PMID- 18148259 TI - Calcification in sympathoblastoma (neuroblastoma). PMID- 18148260 TI - Venous intravasation during myelography. PMID- 18148261 TI - Amputations, limb fitting and artificial limbs. PMID- 18148262 TI - Malignant melanoma; 40 cases treated by radical resection. PMID- 18148263 TI - An experimental evaluation of certain methods of suturing the thoracic aorta. PMID- 18148265 TI - [Not Available]. PMID- 18148266 TI - [Not Available]. PMID- 18148267 TI - [Not Available]. PMID- 18148268 TI - [Not Available]. PMID- 18148269 TI - [Not Available]. PMID- 18148270 TI - [Not Available]. PMID- 18148271 TI - [Not Available]. PMID- 18148272 TI - [Not Available]. PMID- 18148273 TI - [Not Available]. PMID- 18148274 TI - [Not Available]. PMID- 18148276 TI - Gynecologic mortality lessons. PMID- 18148275 TI - [Hypertension and nephrectomy]. PMID- 18148277 TI - [Not Available]. PMID- 18148279 TI - [Biochemical changes in patients with relapsing fever in connection with course of the disease]. PMID- 18148278 TI - [Not Available]. PMID- 18148280 TI - [Problems in education and preparation of phthisiologists]. PMID- 18148281 TI - Weight changes and sex incidence of tuberculosis. PMID- 18148282 TI - Domiciliary collapse treatment. PMID- 18148283 TI - Retrocaval ureter; a case diagnosed pre-operatively and treated successfully by a plastic operation. PMID- 18148284 TI - Primary carcinoma of the male urethra. PMID- 18148285 TI - Management of anuria. PMID- 18148286 TI - Trocar nephrostomy. PMID- 18148287 TI - Wilms' tumor; a review of 5 year survivals in the literature and report of two cases. PMID- 18148288 TI - The status of irrigating fluids for transurethral resection; our experience and a survey of the use of various solutions by others. PMID- 18148289 TI - Total prostatovesiculectomy; retropubic approach. PMID- 18148290 TI - The medical management of premature ejaculation. PMID- 18148291 TI - A completely rotatable resectoscope. PMID- 18148292 TI - A new device for inflating and deflating catheter bags. PMID- 18148293 TI - The validity of withholding treatment in the presence of Dattner-Thomas formula in the spinal fluid. PMID- 18148294 TI - The pulse during anaesthesia with pentothal and curare. PMID- 18148295 TI - The calibration of a Boyle's apparatus. PMID- 18148296 TI - [Not Available]. PMID- 18148297 TI - [Evolution of the birth canal and the mechanism of birth in primates]. PMID- 18148298 TI - [Not Available]. PMID- 18148300 TI - Position of precordial leads; an anatomical study. PMID- 18148299 TI - Idiopathic infantile hyperplastic and hypertrophic cardiomegaly (congenital cardiac hypertrophy). PMID- 18148301 TI - The Q-T interval in acute rheumatic carditis. PMID- 18148302 TI - Thoracoscopy as an aid to diagnosis in congenital heart disease. PMID- 18148303 TI - [Not Available]. PMID- 18148304 TI - Accuracy and precision of Richards' method for the calibration of weights. PMID- 18148305 TI - [Not Available]. PMID- 18148306 TI - The effect of antihistaminics on histamine whealing and on dermographism; elucidated by comparative electrophoretical experiments. PMID- 18148307 TI - Essential hirsutism; dermatologic and endocrinologic considerations. PMID- 18148308 TI - Lipomelanotic reticulosis of lymph nodes in a case lichen planus. PMID- 18148309 TI - Multiple squamous cell carcinoma of the skin associated with chronic lymphatic leukemia; observations on the effect of urethane therapy. PMID- 18148310 TI - Molluscum contagiosum of the scalp; report of two cases. PMID- 18148311 TI - Lipotropic agents in the treatment of liver dysfunction of diabetes mellitus. PMID- 18148312 TI - Growth hormone and blood sugar level. PMID- 18148313 TI - The necessity of testis and thyroid hormones for the maintenance of the serous tubules of the submaxillary gland in the male rat. PMID- 18148314 TI - The diabetogenic effect of dehydroascorbic acid. PMID- 18148315 TI - Decrease of the spreading action of hyaluronidase in pancreoprive diabetes. PMID- 18148316 TI - Legal pitfalls to avoid in criminal interrogations. PMID- 18148317 TI - Synthesis of a substance containing the chelerythrine-sanguinarine skeleton (C, N, O). PMID- 18148318 TI - Decay of palladium-109. PMID- 18148319 TI - Salt linkages in proteins. PMID- 18148320 TI - Different kinds of acid phosphatases in various cytological structures of the anterior pituitary of the guinea pig. PMID- 18148321 TI - The amylolytic enzymes of soya bean. PMID- 18148322 TI - A tachometer. PMID- 18148324 TI - Tuberculosis. PMID- 18148323 TI - Direct experimental comparison of several surface temperature measuring devices. PMID- 18148325 TI - Phenocopies. PMID- 18148326 TI - A cytological survey of wild populations of Trimerotropis and Circotettix (Orthoptera, Acrididae) the chromosome of 12 species. PMID- 18148328 TI - Dexedrine and weight control in pregnancy. PMID- 18148329 TI - Diffuse adenosis; a rare invasive lesion of the uterus. PMID- 18148330 TI - A basic analysis of the obstetric pelvis by roentgen study. PMID- 18148331 TI - End results in the surgical treatment of ovarian cancer. PMID- 18148332 TI - [Not Available]. PMID- 18148333 TI - [Not Available]. PMID- 18148334 TI - [Not Available]. PMID- 18148335 TI - [Not Available]. PMID- 18148336 TI - [Not Available]. PMID- 18148337 TI - [Not Available]. PMID- 18148338 TI - Synthetic detergents in the hospital laundry. PMID- 18148339 TI - Nutrition course for employees' wives. PMID- 18148340 TI - Measures to prevent complications of phlebothrombosis by early diagnosis. PMID- 18148341 TI - Taking the brrr out of beryllium. PMID- 18148342 TI - A challenge to the medical profession. PMID- 18148343 TI - Co-existent Hodgkin's disease and Kaposi's sarcoma; report of a case with unusual clinical features. PMID- 18148344 TI - Congenital polycystic disease of the kidney; review of the literature and data on 207 cases. PMID- 18148346 TI - Tricuspid stenosis; a simple diagnostic sign. PMID- 18148345 TI - The medicated external auditory canal. PMID- 18148347 TI - Aureomycin in the treatment of tularemia. PMID- 18148348 TI - Aureomycin in the treatment of infectious diseases. PMID- 18148349 TI - Aspirin poisoning. PMID- 18148350 TI - Iontophoresis in the treatment of peripheral vascular disease. PMID- 18148351 TI - Volvulus of the entire small intestine. PMID- 18148352 TI - Serological classification of viridans streptococci from subacute bacterial endocarditis, teeth, and throats. PMID- 18148353 TI - The rhesus factor Du; a note on its practical importance. PMID- 18148354 TI - An epidemic of puerperal mastitis; associated with nasopharyngeal and skin infection in the newborn. PMID- 18148355 TI - Traumatic chylothorax. PMID- 18148356 TI - Relationship between government medical services and the Canadian medical profession. PMID- 18148357 TI - Reconstruction of digits of deformed hands. PMID- 18148358 TI - Pseudocyst of the pancreas. PMID- 18148359 TI - [Polyradiculoneuritis of an allergic origin]. PMID- 18148360 TI - [Not Available]. PMID- 18148361 TI - [Ischemic electromyography]. PMID- 18148362 TI - [Nervous complications of varicelle]. PMID- 18148363 TI - [Not Available]. PMID- 18148364 TI - [Not Available]. PMID- 18148365 TI - [Not Available]. PMID- 18148366 TI - [Not Available]. PMID- 18148367 TI - [Not Available]. PMID- 18148368 TI - [Not Available]. PMID- 18148369 TI - Modified protamine insulin (NPH-50) a clinical report. PMID- 18148370 TI - Physical medicine in peripheral vascular diseases. PMID- 18148371 TI - Lye burns of the esophagus. PMID- 18148372 TI - An appraisal of therapeutic procedures in bronchial asthma. PMID- 18148373 TI - [Not Available]. PMID- 18148374 TI - [Not Available]. PMID- 18148375 TI - Radium in postnasal lymphoid hyperplasia and infections. PMID- 18148376 TI - Tensile strength of sutures; the B.P.C. method of test. PMID- 18148377 TI - Incidence of penicillin-resistant and streptomycin-resistant staphylococci in a hospital. PMID- 18148378 TI - Effect of noradrenaline on the human circulation. PMID- 18148380 TI - Acute arterial spasm complicating accidental haemorrhage in late pregnancy. PMID- 18148379 TI - Curare with general anaesthesia for forceps delivery. PMID- 18148381 TI - The unemployed disabled man. PMID- 18148382 TI - The first medical examination; its role in selection of students. PMID- 18148383 TI - Tuberculosis; the control of an infectious disease. PMID- 18148385 TI - [A foreign body in the parapharyngeal space]. PMID- 18148384 TI - Experimental typhoid infection treated with chloromycetin and sulphadiazine. PMID- 18148387 TI - A review of the uses of radioactive iodine, with a note on preliminary work in Melbourne. PMID- 18148386 TI - [Not Available]. PMID- 18148388 TI - The results of operative treatment of intervertebral disk protrusion; a follow-up report of 108 cases. PMID- 18148389 TI - Psychiatric approach to crime. PMID- 18148390 TI - Modern hearing aid design. PMID- 18148391 TI - Retrolental fibroplasia. PMID- 18148392 TI - Stevens-Johnson disease. PMID- 18148393 TI - Congenital short esophagus with thoracic stomach simulating heart disease. PMID- 18148394 TI - The increasing incidence of cesarean section. PMID- 18148395 TI - [Not Available]. PMID- 18148396 TI - [Not Available]. PMID- 18148397 TI - [Not Available]. PMID- 18148398 TI - Management of diseases of the thorax; surgical aspects. PMID- 18148399 TI - Carcinoma of the lung. PMID- 18148401 TI - Resuscitation. PMID- 18148400 TI - Pseudomyxoma peritonei associated with cholesterosis. PMID- 18148402 TI - Portal cirrhosis of liver, alcoholic type. PMID- 18148403 TI - The relation of cavity to the development of streptomycin-resistant tubercle bacilli in pulmonary tuberculosis. PMID- 18148404 TI - Abdominal abscess. PMID- 18148405 TI - Principles of emergency splinting, traction and immobilization of fractures. PMID- 18148407 TI - Post-traumatic painful disabling syndromes with associated vasomotor imbalance. PMID- 18148406 TI - An evaluation of the use of various insulin preparations in diabetes mellitus. PMID- 18148409 TI - The convulsive reaction pattern. PMID- 18148408 TI - Uses and abuses of penicillin. PMID- 18148410 TI - Endometriosis of the sigmoid. PMID- 18148411 TI - Cerebral apoplexy; mechanism and differential diagnosis. PMID- 18148412 TI - Sympathectomy in the treatment of certain vascular lesions with report on its use in the post-thrombotic syndrome. PMID- 18148413 TI - Neuropsychiatric diagnosis. PMID- 18148414 TI - Chronic brucellosis complicated by severe pancytopenia. PMID- 18148415 TI - Uterine tamponade with oxidized gauze in a case of total separation of the placenta with concealed hemorrhage. PMID- 18148416 TI - Socio-medical trends in the United States. PMID- 18148418 TI - Menstrual variations in the adolescent. PMID- 18148417 TI - Endocrine problems of adolescence. PMID- 18148419 TI - [Not Available]. PMID- 18148420 TI - [Not Available]. PMID- 18148422 TI - [Not Available]. PMID- 18148421 TI - [Not Available]. PMID- 18148423 TI - Surgical treatment of low back pain; an end result of 82 cases. PMID- 18148424 TI - The tin can nasal splint. PMID- 18148425 TI - Need for hospitals to tie in with rehabilitation services in their work with the physically handicapped. PMID- 18148426 TI - [Not Available]. PMID- 18148427 TI - Penicillin in ophthalmology. PMID- 18148428 TI - Ophthalmic emergencies. PMID- 18148429 TI - High heels and low heels. PMID- 18148430 TI - The natural cure of an acute intussusception; an unusual case history. PMID- 18148431 TI - Constipation in infancy and childhood. PMID- 18148432 TI - Cardiospasm. PMID- 18148433 TI - [Not Available]. PMID- 18148434 TI - [Not Available]. PMID- 18148435 TI - [Not Available]. PMID- 18148436 TI - [Not Available]. PMID- 18148437 TI - [Not Available]. PMID- 18148438 TI - [Not Available]. PMID- 18148439 TI - [Not Available]. PMID- 18148440 TI - [Not Available]. PMID- 18148441 TI - [Not Available]. PMID- 18148443 TI - [Not Available]. PMID- 18148442 TI - [Not Available]. PMID- 18148444 TI - [Not Available]. PMID- 18148445 TI - [Not Available]. PMID- 18148447 TI - [Not Available]. PMID- 18148446 TI - [Not Available]. PMID- 18148448 TI - Pulmonary hydatid disease; the sign of the camalote. PMID- 18148449 TI - Chromoblastomycosis. PMID- 18148450 TI - [Not Available]. PMID- 18148451 TI - [Not Available]. PMID- 18148452 TI - [Not Available]. PMID- 18148453 TI - [Not Available]. PMID- 18148454 TI - [Not Available]. PMID- 18148455 TI - [Not Available]. PMID- 18148456 TI - [Not Available]. PMID- 18148457 TI - [Not Available]. PMID- 18148458 TI - [Not Available]. PMID- 18148459 TI - [Not Available]. PMID- 18148460 TI - [Not Available]. PMID- 18148461 TI - [Not Available]. PMID- 18148462 TI - [Not Available]. PMID- 18148463 TI - [Not Available]. PMID- 18148464 TI - Prolapse of gastric mucosa through the pylorus; presentation of a case with severe hemorrhage. PMID- 18148465 TI - Emergency treatment of chest wounds. PMID- 18148466 TI - Evaluation of lumbar sympathectomy. PMID- 18148467 TI - The use of whole blood, blood plasma, blood derivatives, and blood substitutes. PMID- 18148468 TI - Two years' experience with student clerkships in a Veterans Administration hospital. PMID- 18148469 TI - Retropubic prostatectomy. PMID- 18148470 TI - [Not Available]. PMID- 18148471 TI - [Not Available]. PMID- 18148472 TI - [Not Available]. PMID- 18148473 TI - [Not Available]. PMID- 18148474 TI - The treatment of malignant melanoma. PMID- 18148475 TI - A method of treatment of massive gastro-intestinal hemorrhage which appears uncontrollable. PMID- 18148476 TI - Present trends in psychiatric therapy. PMID- 18148477 TI - [Not Available]. PMID- 18148478 TI - End results of treatment of compound fractures of the tibia. PMID- 18148479 TI - Stevens-Johnson syndrome, with case report. PMID- 18148480 TI - Experiences with pulmonary resection in the treatment of tuberculosis. PMID- 18148481 TI - Venographic studies in the post-phlebitic limb. PMID- 18148482 TI - Institutional service units movement. PMID- 18148483 TI - Facilities in private mental institutions in the United States and territories. PMID- 18148484 TI - The relationship between highest mental capacity and psychic abnormalities. PMID- 18148485 TI - Intracranial ceruminous adenoma. PMID- 18148486 TI - Full thickness autogenous nerve graft; report of a case. PMID- 18148487 TI - Ocular allergy; allergic phenomena affecting the eye and its adnexa. PMID- 18148488 TI - Cephalocele of posterior part of orbit; general survey, with report of a case. PMID- 18148489 TI - Follow-up studies in five cases of intraocular nonmagnetic foreign bodies. PMID- 18148491 TI - [Not Available]. PMID- 18148490 TI - [Not Available]. PMID- 18148492 TI - Encephalitis and involvement of basal nuclei in poliomyelitis. PMID- 18148493 TI - Infections of the newborn. PMID- 18148494 TI - The pharmacology of the methyl and benzyl esters of gamma-crotonic betaine (gamma carboxyallyltrimethyl-ammonium chloride). PMID- 18148495 TI - Formation of adrenaline from noradrenaline in the perfused suprarenal gland. PMID- 18148496 TI - The presence of acetylcholine in Trypanosoma rhodesiense and its absence from Plasmodium gallinaceum. PMID- 18148497 TI - Some colour reactions for rutin. PMID- 18148498 TI - The growth-experience and the growth centered attitude. PMID- 18148499 TI - Technique and explanatory concepts of short-term group psychotherapy. PMID- 18148500 TI - A study of reactions to frustration in 236 college students and in 207 inmates of state prisons. PMID- 18148501 TI - Need as a determinant of perception. PMID- 18148502 TI - Factors in the elimination of the immature stages of Anopheles quadrimaculatus Say in a water level fluctuation cycle. PMID- 18148503 TI - Hospitalization of cases of communicable diseases together with certain considerations of the isolation techniques and nursing procedures used. PMID- 18148504 TI - Bacterial contamination of tomatoes grown in polluted soil. PMID- 18148505 TI - Public health research. PMID- 18148506 TI - Health visitors. PMID- 18148507 TI - The health visitors' relationship with other official and voluntary workers. PMID- 18148508 TI - The application of a basic survey to the work of a local authority. PMID- 18148510 TI - Supervision of milk production. PMID- 18148509 TI - Housing; retrospect and prospect. PMID- 18148511 TI - Crawley new town. PMID- 18148512 TI - Modern concepts in malaria control. PMID- 18148514 TI - Heating research for houses. PMID- 18148513 TI - Rehabilitation and resettlement of the disabled in industry. PMID- 18148515 TI - Spontaneous infection of the brown dog tick, Rhipicephalus sanguineus with Coxiella burnetii. PMID- 18148516 TI - TUBERCULOSIS mortality relationships: age, race, and sex, 1947. PMID- 18148517 TI - Effect of certain physical and chemical agents on the bacteria and protozoa of activated sludge. PMID- 18148518 TI - The treatment and results in cancer of the breast at the Presbyterian Hospital, New York. PMID- 18148519 TI - Automatic roentgen-ray roll-film magazine for angiocardiography and cerebral arteriography. PMID- 18148520 TI - Bone metastasis in malignant melanoma. PMID- 18148521 TI - Evaluation of planigrams in pulmonary tuberculosis. PMID- 18148522 TI - Surgery for the prevention of pulmonary embolism. PMID- 18148523 TI - Primary resection and aseptic anastomosis for lesions of the colon. PMID- 18148524 TI - Geriatric anesthesia. PMID- 18148525 TI - Perforated gastroduodenal ulcer. PMID- 18148526 TI - Preoperative biochemical evaluation of the surgical patient. PMID- 18148527 TI - Absorbable starch glove powder. PMID- 18148528 TI - Constant pressure scalp dressing. PMID- 18148529 TI - Carcinoma of the colon in children. PMID- 18148530 TI - From papyri to manuscripts. PMID- 18148531 TI - Intravenous administration of procaine hydrochloride for painful prolapsed hemorrhoids. PMID- 18148532 TI - Use of skin grafts in repair of cleft palate to improve speech. PMID- 18148533 TI - Drill perforation, a simplified method for ventricular puncture. PMID- 18148534 TI - Granulomas of the ileocecal region secondary to appendicitis (ligneous cecitis) which simulate neoplasms. PMID- 18148535 TI - [Not Available]. PMID- 18148536 TI - [Not Available]. PMID- 18148537 TI - [Not Available]. PMID- 18148538 TI - [Not Available]. PMID- 18148539 TI - [Not Available]. PMID- 18148540 TI - The riddle of peripheral arterial embolism. PMID- 18148541 TI - Radium treatment of prostatic hypertrophy. PMID- 18148542 TI - Transplantation of renal calyces in man; technic and results. PMID- 18148543 TI - Results of transplantation of the ureter into the intestine. PMID- 18148544 TI - Prostatic hypertrophy. PMID- 18148545 TI - Megacolic artificial anus in pathologic segment, Hirschsprung's disease. PMID- 18148546 TI - Neoplastic disease of the neck of the bladder in women. PMID- 18148547 TI - Surgical construction of retrovesical fistula; a new technic; report of three cases. PMID- 18148548 TI - Relief of pain by section of the spinothalamic tract at the level of the olivary nucleus. PMID- 18148550 TI - Primary carcinoma of the lung. PMID- 18148549 TI - Experiences with spool cotton suture material. PMID- 18148551 TI - Acute obstruction of the small bowel. PMID- 18148552 TI - Pain; its physiology and control. PMID- 18148553 TI - Severe tetany with laryngospasm and prolonged coma following thyroidectomy; report of a case. PMID- 18148554 TI - An historical review of the development of cesarean section. PMID- 18148555 TI - Avulsion fracture with nonunion of the anterior tibial spine treated by fixation with beef-bone screw; report of a case. PMID- 18148556 TI - The mastoid incision; endaural or postauricular? PMID- 18148557 TI - Reactions to transfusion during operation. PMID- 18148558 TI - False diverticula of the appendix; a sequel of previous inflammation and rupture of the appendix; a clinical and pathologic study. PMID- 18148560 TI - Recent advances in the surgical treatment of intraoral cancer. PMID- 18148559 TI - Multiple primary tumors of the spinal cord; report of case. PMID- 18148561 TI - Acute intestinal obstruction. PMID- 18148562 TI - The repair of groin hernias; progress in the past decade. PMID- 18148563 TI - Advances in management of prostatic disease. PMID- 18148564 TI - Some modern general anesthesia technics. PMID- 18148565 TI - A method for controlling urinary incontinence; experimental observations. PMID- 18148566 TI - Operative management of carcinoma of the colon; is proximal drainage of the unobstructed colon necessary? PMID- 18148567 TI - Traumatic iliac hernia with extensive soft tissue loss. PMID- 18148568 TI - Local reaction to oxidized cellulose and gelatin hemostatic agents in experimentally contaminated renal wounds. PMID- 18148569 TI - Hormone preparations in the treatment of 282 Mann-Williamson dogs. PMID- 18148570 TI - The ligament of Treitz as a barrier to intestinal intubation; a clinical and anatomic study. PMID- 18148571 TI - Intestinal lipodystrophy or Whipple's disease. PMID- 18148572 TI - Simultaneous tubal abortion and intrauterine pregnancy. PMID- 18148573 TI - Ankylosing spondylitis; measurement of hip and spine movements. PMID- 18148574 TI - [Not Available]. PMID- 18148575 TI - [Not Available]. PMID- 18148576 TI - [Not Available]. PMID- 18148577 TI - [Not Available]. PMID- 18148578 TI - Schistosomiasis. PMID- 18148579 TI - The first field tests of recorded mosquito sounds used for mosquito destruction. PMID- 18148580 TI - An epidemic of malaria in the Kenya highlands transmitted by Anopheles funestus. PMID- 18148581 TI - The evaluation of antituberculous agents with avian tuberculosis in chicks; a comparison of dihydrostreptomycin and streptomycin. PMID- 18148582 TI - The effect of ammonium ions and aliphatic amines on the ability of virulent mycobacteria to bind neutral red. PMID- 18148583 TI - Disposition and follow-up of pulmonary tuberculosis; a study based on the character and extent of the lesion seen on the initial roentgenogram. PMID- 18148584 TI - A slide catalogue and file system for the urologist. PMID- 18148585 TI - Articular manifestations of lymphogranuloma venereum. PMID- 18148586 TI - Diverticula of the female urethra; report of 20 cases. PMID- 18148587 TI - Primary carcinoma in bladder diverticulum; case report. PMID- 18148588 TI - Testicular tumor and the status of radiation therapy. PMID- 18148589 TI - Some less common manipulations for the removal of urethral calculi. PMID- 18148590 TI - Far advanced urological disease in the presence of a normal urine. PMID- 18148591 TI - Neurofibromatosis of urinary bladder. PMID- 18148593 TI - Some aspects of congenital syphilis. PMID- 18148592 TI - Electrosurgery in dermatology. PMID- 18148594 TI - False positive serological reactions for syphilis in leprosy. PMID- 18148595 TI - Penicillin in the abortive treatment of syphilis. PMID- 18148596 TI - Inhalant allergy; the whealing response of the skin to serial dilution testing. PMID- 18148597 TI - The use of bacitracin, a new antibiotic, in aerosol form; preliminary observations. PMID- 18148598 TI - Sensitivity to kelcoloid; preliminary study. PMID- 18148599 TI - [Not Available]. PMID- 18148600 TI - [Not Available]. PMID- 18148602 TI - Statistical models bearing on the sematics of correlation; the umpire bonus model. PMID- 18148601 TI - [Not Available]. PMID- 18148603 TI - The role of epithelial components in the developmental origin of the wingless syndrome of chick embryos. PMID- 18148604 TI - Further studies of the immunological properties of polysaccharides from Serratia marcescens; passive immunization against the lethal activity of the polysaccharides with fractions of mouse antiserum elicted by a single injection of polysaccharide. PMID- 18148605 TI - Effect of insulin and adenosinetriphosphatase on a reaction coupling oxidation with phosphorylation. PMID- 18148611 TI - [Not Available]. PMID- 18148608 TI - Vitamin P. PMID- 18148612 TI - The dentist's role in cranioplasty; a case report. PMID- 18148613 TI - A study of the effectiveness of xylocaine as a local anesthetic agent in dentistry. PMID- 18148614 TI - [Not Available]. PMID- 18148615 TI - [Not Available]. PMID- 18148616 TI - [Not Available]. PMID- 18148617 TI - Pityriasis versicolor with subsequent leucodermic patches. PMID- 18148618 TI - The dietary management of chronic amebiasis. PMID- 18148619 TI - Goiterous chicks from iodine-injected eggs. PMID- 18148620 TI - The pituitary-adrenal system. PMID- 18148621 TI - The cytology and cytochemistry of the adrenal cortex. PMID- 18148623 TI - Cushing's disease; a primary disorder of the adrenal cortices? PMID- 18148622 TI - Adrenal cortex function in stress. PMID- 18148624 TI - [Not Available]. PMID- 18148625 TI - [Not Available]. PMID- 18148626 TI - Gestation in the oriental vampires. PMID- 18148627 TI - The ionosphere and the propagation of radio waves. PMID- 18148628 TI - Absorption spectra, molecular weights and visual purple. PMID- 18148629 TI - Reversibility of oxygen poisoning in oxide-cathode valves. PMID- 18148630 TI - Germination of zygospores in chlamydomonas. PMID- 18148631 TI - [Not Available]. PMID- 18148632 TI - Operational research in German agriculture. PMID- 18148633 TI - Formation of cyclic compounds in polymerization of methylesters of fatty acids from linseed oil and other drying oils. PMID- 18148634 TI - Trends of employment in relation to the problem of the ageing. PMID- 18148635 TI - Medical care of the aged. PMID- 18148636 TI - European gerontologic activities. PMID- 18148637 TI - Occipital cephalocele; three cases. PMID- 18148638 TI - Protracted labour. PMID- 18148639 TI - [Not Available]. PMID- 18148640 TI - [Not Available]. PMID- 18148641 TI - Lovset's method of delivering the arms in breech presentation. PMID- 18148642 TI - Some aspects of erosion in pregnant women. PMID- 18148644 TI - Roentgen examination of the operatively exposed uterus. PMID- 18148645 TI - Sarcoma of the uterus. PMID- 18148643 TI - Investigations on the conditions of the red blood cells after hemorrhages during childbirth with special reference to the use of Enghoff's new hematocrit. PMID- 18148646 TI - Placenta accreta; report of a case. PMID- 18148647 TI - Prolonged labour. PMID- 18148648 TI - The treatment of abortions, with special reference to the value of sulfonamide in febrile cases. PMID- 18148649 TI - [Not Available]. PMID- 18148650 TI - Carbon monoxide-hemoglobin levels of workers employed in airplane engine repair shops. PMID- 18148651 TI - Dermatological injuries by ethylene oxide. PMID- 18148652 TI - [Not Available]. PMID- 18148653 TI - Subparietal rupture of the stomach. PMID- 18148654 TI - Decrease of renninogenuria in pernicious anemia and its diagnostic value in liver treated patients. PMID- 18148655 TI - [Not Available]. PMID- 18148656 TI - [Not Available]. PMID- 18148657 TI - [Not Available]. PMID- 18148658 TI - Myocardial infarction; observations on 100 patients who survived up to 6 years. PMID- 18148659 TI - [Not Available]. PMID- 18148660 TI - [Not Available]. PMID- 18148661 TI - [Not Available]. PMID- 18148662 TI - Solitary cerebral metastases from bronchial carcinomata: their incidence and a case of successful removal. PMID- 18148663 TI - A case of pulmonary strongyloidiasis. PMID- 18148664 TI - Congenital pyloric stenosis in binovular twins. PMID- 18148665 TI - [Not Available]. PMID- 18148666 TI - Treatment of repeated embolism in mitral stenosis by long term administration of dicumarol. PMID- 18148667 TI - Some of the less common endocrine disorders. PMID- 18148668 TI - Malignant synovioma; report of two cases. PMID- 18148669 TI - Congenital pyloric stenosis; report of a case. PMID- 18148670 TI - A toxicological study of Antiaris toxicaria (Nu chien tzu). PMID- 18148671 TI - BCG vaccination; 11 years of experience. PMID- 18148672 TI - Biliary ascariasis; a report of four cases. PMID- 18148673 TI - Anomaly of the ureter; report of an unusual case. PMID- 18148674 TI - Antibodies and protein nutrition. PMID- 18148675 TI - [Not Available]. PMID- 18148676 TI - [Not Available]. PMID- 18148678 TI - [Not Available]. PMID- 18148677 TI - [Not Available]. PMID- 18148679 TI - [Not Available]. PMID- 18148680 TI - A 17. century case of poliomyelitis. PMID- 18148681 TI - Treatment of acute rheumatic fever and prevention of recurrences. PMID- 18148682 TI - Metatarsus adductovarus: skewfoot. PMID- 18148683 TI - Intramedullary nailing. PMID- 18148684 TI - The bacteriology and pathology of cholera. PMID- 18148685 TI - Saddle block anesthesia in obstetrics. PMID- 18148686 TI - Sudden death from aneurysm. PMID- 18148687 TI - The emotional aspects of physical disease. PMID- 18148688 TI - [Not Available]. PMID- 18148689 TI - [Not Available]. PMID- 18148690 TI - [Not Available]. PMID- 18148691 TI - [Not Available]. PMID- 18148692 TI - Amyotonia congenita; a report of three cases with a review of the literature. PMID- 18148693 TI - Cleft lip in adults and infants. PMID- 18148694 TI - Mycologic technique in medical practice. PMID- 18148695 TI - [Not Available]. PMID- 18148696 TI - [Not Available]. PMID- 18148697 TI - [Not Available]. PMID- 18148698 TI - The eosinophil leucocyte, eosinophilia, and allergy; a hypothesis. PMID- 18148699 TI - Food and population. PMID- 18148700 TI - [Not Available]. PMID- 18148701 TI - [Operative treatment of Meniere's disease]. PMID- 18148702 TI - [Not Available]. PMID- 18148703 TI - [Not Available]. PMID- 18148704 TI - [The Galli-Mainini test with Bufo marinus and its use in the clinic in combination with the Frank test]. PMID- 18148705 TI - [The recovery room for newly operated]. PMID- 18148707 TI - Teaching of anaesthesia in Victoria. PMID- 18148706 TI - The present position of cyclopropane. PMID- 18148708 TI - The surgeon-anaesthetist relationship. PMID- 18148709 TI - Relaxing agents in anaesthesia. PMID- 18148710 TI - Industrial dermatitis. PMID- 18148711 TI - Tumours of the orbit. PMID- 18148712 TI - Electronarcosis. PMID- 18148714 TI - [Not Available]. PMID- 18148713 TI - [Not Available]. PMID- 18148715 TI - [Not Available]. PMID- 18148716 TI - Medullary pin fixation of fractures near joints. PMID- 18148717 TI - [Not Available]. PMID- 18148718 TI - Procaine penicillin G for aqueous injection; a study of blood and urine levels. PMID- 18148719 TI - Bronchial stenosis (middle lobe, lateral division) produced by calcified tuberculous lymph nodes. PMID- 18148720 TI - [Not Available]. PMID- 18148721 TI - [Not Available]. PMID- 18148722 TI - [Not Available]. PMID- 18148724 TI - [Not Available]. PMID- 18148723 TI - [Not Available]. PMID- 18148726 TI - [Acute actinomycosis]. PMID- 18148725 TI - [Not Available]. PMID- 18148727 TI - The story of catgut. PMID- 18148728 TI - Syphilitic linitis plastica. PMID- 18148729 TI - [Not Available]. PMID- 18148730 TI - [Not Available]. PMID- 18148731 TI - [Not Available]. PMID- 18148732 TI - [Not Available]. PMID- 18148733 TI - [Not Available]. PMID- 18148734 TI - [Not Available]. PMID- 18148735 TI - Congenital pseudo-arthrosis of the tibia; the findings in one case and a suggestion as to possible etiology and treatment. PMID- 18148736 TI - The morphogenesis of the systems of juxta-aortic tissues in human embryos. PMID- 18148737 TI - The development of the otic capsule in the region of surgical fenestration. PMID- 18148738 TI - [Not Available]. PMID- 18148740 TI - [Not Available]. PMID- 18148739 TI - [Not Available]. PMID- 18148741 TI - A case of spontaneous rupture of the aortic valve. PMID- 18148742 TI - [Not Available]. PMID- 18148743 TI - Colles' fracture with report of end results in 56 cases. PMID- 18148744 TI - Painful clicking wrists associated with os centrale. PMID- 18148745 TI - Epithelioma of the angle of the mouth. PMID- 18148746 TI - [Not Available]. PMID- 18148747 TI - [Not Available]. PMID- 18148748 TI - [Not Available]. PMID- 18148749 TI - [Rational management of labour]. PMID- 18148751 TI - [Not Available]. PMID- 18148750 TI - [Modification of rectal temperature in amenorrhea]. PMID- 18148752 TI - [Not Available]. PMID- 18148753 TI - [Not Available]. PMID- 18148754 TI - Psychosomatic therapy in general practice. PMID- 18148755 TI - Psychiatric aspects of rehabilitation. PMID- 18148756 TI - Coccidioidomycosis; report of a case with unusual complications. PMID- 18148757 TI - [Not Available]. PMID- 18148758 TI - [Not Available]. PMID- 18148759 TI - [Not Available]. PMID- 18148761 TI - [Not Available]. PMID- 18148760 TI - [Not Available]. PMID- 18148762 TI - [Not Available]. PMID- 18148763 TI - [Not Available]. PMID- 18148764 TI - [Not Available]. PMID- 18148765 TI - [Not Available]. PMID- 18148766 TI - [Not Available]. PMID- 18148767 TI - [Not Available]. PMID- 18148768 TI - Two important naval contributions to the practice of vascular surgery. PMID- 18148769 TI - Some reminiscences of a hospital ship. PMID- 18148770 TI - The new Royal Naval Hospital, Hong Kong. PMID- 18148771 TI - Carbon-tetrachloride poisoning. PMID- 18148772 TI - Nephritides. PMID- 18148773 TI - Rheumatic fever. PMID- 18148774 TI - Oxyuris vermicularis and Ascaris lumbricoides. PMID- 18148775 TI - [Not Available]. PMID- 18148777 TI - Hindquarter amputation. PMID- 18148776 TI - Fractures of the dorso-lumbar spine. PMID- 18148778 TI - Pulsating angio-endothelioma of the innominate bone treated by hindquarter amputation. PMID- 18148779 TI - Excision of the acromion in treatment of the supraspinatus syndrome; report of 95 excisions. PMID- 18148780 TI - Dismembering. PMID- 18148781 TI - A short note on Empedocles and Freud. PMID- 18148782 TI - Freud and literary theory. PMID- 18148783 TI - Recurrent hypertensive cerebral thrombosis; clinicopathologic analysis of six cases with discussion of pathogenesis. PMID- 18148784 TI - Social dissatisfaction and personality disorder. PMID- 18148785 TI - Spasmodic torticollis; successful surgical treatment. PMID- 18148786 TI - The interpretation of some disorders of speech. PMID- 18148787 TI - Observations in electrically-produced epileptic convulsions; the post-convulsive decerebrate state. PMID- 18148788 TI - The incidence of mongolism in the general population. PMID- 18148789 TI - Addiction under the Mental Treatment Act, Eire, 1945. PMID- 18148790 TI - Paranoid reaction during the phase of recovery from subarachnoid haemorrhage. PMID- 18148791 TI - On aqueous humour and histamine. PMID- 18148792 TI - Meningitis after Toti's operation. PMID- 18148794 TI - Increment thresholds and the mechanisms of colour vision. PMID- 18148793 TI - Retinal structure and colour vision. PMID- 18148795 TI - The polychromatic theory. PMID- 18148796 TI - Current views on colour blindness. PMID- 18148797 TI - Phenomena observed in veiled colours. PMID- 18148798 TI - The two-quanta explanation of the dependence of the threshold values on the visual angle and the time of observation. PMID- 18148799 TI - [Not Available]. PMID- 18148800 TI - [Not Available]. PMID- 18148802 TI - [Not Available]. PMID- 18148801 TI - [Not Available]. PMID- 18148803 TI - [Not Available]. PMID- 18148804 TI - [Not Available]. PMID- 18148805 TI - Coma in leukemia. PMID- 18148806 TI - Jaundice. PMID- 18148807 TI - Fever and convulsions. PMID- 18148808 TI - [Not Available]. PMID- 18148809 TI - Antibiotic development. PMID- 18148810 TI - [Not Available]. PMID- 18148811 TI - [Not Available]. PMID- 18148812 TI - [Not Available]. PMID- 18148813 TI - Percentage strength penicillin solutions. PMID- 18148814 TI - [Not Available]. PMID- 18148815 TI - Protein metabolism of tissue cells in vitro; the chemical nature of some obligate factors of tissue cell nutrition. PMID- 18148816 TI - Occurrence and metabolism of free amino acids during insect metamorphosis. PMID- 18148817 TI - Report on an experiment concerning the influence of mind over matter. PMID- 18148818 TI - The expressive component of behavior. PMID- 18148819 TI - Reinforcement of learning; the process of sensory integration. PMID- 18148820 TI - [Not Available]. PMID- 18148821 TI - [Not Available]. PMID- 18148822 TI - Ureters and bladder. PMID- 18148823 TI - A vertical cassette holder. PMID- 18148824 TI - Identification contact printer for chest radiographs. PMID- 18148825 TI - Cavernous pulmonary telangiectasis. PMID- 18148826 TI - Pulmonary asperigillosis in coal workers. PMID- 18148827 TI - [Not Available]. PMID- 18148828 TI - Gantrisin; an in vivo and in vitro study in urinary infections. PMID- 18148829 TI - An ancient ivory figure from Rhodesia. PMID- 18148832 TI - A pooled Paracolobactrum intermedium antiserum for screening in enteric bacteriology. PMID- 18148833 TI - Viability and fertility of Drosophila exposed to sub-zero temperatures. PMID- 18148834 TI - Androgenesis, a differentiator of cytoplasmic injury induced by X-rays in Habrobracon eggs. PMID- 18148835 TI - The effects of pituitary implantation on diploid and triploid larvae of the newt, Triturus viridescens, with special reference to the gonads. PMID- 18148836 TI - Some suggestions for a possible approach to a mathematical biophysics of mitosis. PMID- 18148838 TI - Nuclear moments. PMID- 18148837 TI - A mechanism for active transport of coenzyme-like substances with possible reference to auxin transport in plants. PMID- 18148839 TI - Scintillation counters. PMID- 18148840 TI - Ion optics and mass spectrometry. PMID- 18148841 TI - The electron cyclotron. PMID- 18148842 TI - The relation of long-continued respiratory allergy to occlusion. PMID- 18148843 TI - [Not Available]. PMID- 18148844 TI - The school dental health program in Watertown, N.Y. PMID- 18148845 TI - [Not Available]. PMID- 18148846 TI - [Not Available]. PMID- 18148847 TI - [Not Available]. PMID- 18148848 TI - [Not Available]. PMID- 18148850 TI - Hashimoto's disease. PMID- 18148849 TI - [Not Available]. PMID- 18148851 TI - The natural history of thyroid cancer; a review of 301 cases. PMID- 18148852 TI - Total thyroidectomy in the management of diffuse toxic goiter. PMID- 18148853 TI - [Not Available]. PMID- 18148854 TI - Federal support of medical research through the Public Health Service. PMID- 18148855 TI - Recent research in timber technology in Great Britain. PMID- 18148856 TI - [Not Available]. PMID- 18148857 TI - London's water-supplies. PMID- 18148858 TI - Electronic calculating-machine development in Cambridge. PMID- 18148859 TI - Eclipse observations of solar radiation at a wave-length of 50 cm. PMID- 18148860 TI - Wind and temperature measurements up to 30 km. PMID- 18148861 TI - Endogenous formation of carbon monoxide in man. PMID- 18148862 TI - Some aspects of bone marrow metabolism. PMID- 18148863 TI - Inositol and phosphorylation of liver lipids. PMID- 18148864 TI - Squamous epithelium of vaginal type in the female urethra. PMID- 18148865 TI - Further radiological studies in the investigation of obstetric disproportion with especial reference to the contracted pelvic outlet. PMID- 18148866 TI - Rubella in pregnancy as an aetiological factor in congenital malformation, stillbirth, miscarriage and abortion. PMID- 18148868 TI - Two cases of ectopic pregnancy. PMID- 18148867 TI - Subacute bacterial endocarditis in pregnancy. PMID- 18148869 TI - Some comments on the treatment of stress incontinence. PMID- 18148870 TI - [Dystocia and fetal ascites, a rare observation]. PMID- 18148871 TI - [Not Available]. PMID- 18148872 TI - Historical review of pulmonary tuberculosis policy. PMID- 18148873 TI - The diagnosis of pulmonary tuberculosis. PMID- 18148874 TI - The importance of keeping medical information confidential. PMID- 18148875 TI - Marine medical operations; a service to seamen. PMID- 18148876 TI - Routine culture methods in diagnosing Endamoeba histolytica. PMID- 18148877 TI - [Not Available]. PMID- 18148878 TI - The relative importance of plasmatic and vascular factors of hemostasis in the pathogenesis of the hemorrhagic diathesis of liver dysfunction. PMID- 18148879 TI - The citric acid content of the serum after glucose and galactose tolerance tests. PMID- 18148880 TI - Investigations on serum- and tissue-iron. PMID- 18148881 TI - Comparison between an American, a Dutch and a Swedish strain of influenza virus A isolated in 1947. PMID- 18148882 TI - The so-called silent myocardial infarction. PMID- 18148883 TI - Hyperthyroidism or anxiety neurosis? PMID- 18148884 TI - Reinstatement of the deafened in their kingdom of hearing. PMID- 18148885 TI - Procaine penicillin in the treatment of subacute bacterial endocarditis. PMID- 18148886 TI - Chrysotherapy in rheumatoid arthritis. PMID- 18148887 TI - Streptomycin and its uses in tuberculosis. PMID- 18148888 TI - A case of liver abscess successfully operated under local anaesthesia. PMID- 18148889 TI - [Not Available]. PMID- 18148890 TI - [Not Available]. PMID- 18148892 TI - [Not Available]. PMID- 18148891 TI - [Not Available]. PMID- 18148893 TI - The use of quinidine. PMID- 18148894 TI - [Not Available]. PMID- 18148895 TI - Continuous caudal analgesia in obstetrics, surgery, and therapeutics. PMID- 18148896 TI - Lymphadenopathy in brucellosis. PMID- 18148897 TI - A cholera centenary. PMID- 18148898 TI - Test-tube sterilizer for syringes. PMID- 18148899 TI - Investigation of fertility in the male. PMID- 18148900 TI - Psychosomatic aspects of essential hypertension. PMID- 18148901 TI - [Rehabilitation problems in internal medicine]. PMID- 18148902 TI - [Not Available]. PMID- 18148903 TI - [Not Available]. PMID- 18148904 TI - [Not Available]. PMID- 18148906 TI - [Not Available]. PMID- 18148905 TI - [Not Available]. PMID- 18148908 TI - [Not Available]. PMID- 18148907 TI - [Not Available]. PMID- 18148909 TI - [Not Available]. PMID- 18148910 TI - Recent advances in psychiatry. PMID- 18148911 TI - The treatment of brucellosis. PMID- 18148912 TI - Cholecystitis. PMID- 18148913 TI - Mixed mesodermal tumors of the female genital tract. PMID- 18148914 TI - Encephalopathy following pertussis vaccine prophylaxis. PMID- 18148915 TI - Arteriovenous aneurysm of the phrenic vessels; report of a case following thoracentesis. PMID- 18148916 TI - Carcinoma of the larynx. PMID- 18148917 TI - Infectious mononucleosis. PMID- 18148918 TI - The profession's plans in the field of public relations. PMID- 18148919 TI - The problem of stream pollution. PMID- 18148920 TI - Hyperthyroidism with carcinoma of the colon in sisters. PMID- 18148921 TI - Diaphragmatic hernia. PMID- 18148922 TI - The art of living. PMID- 18148923 TI - Practical office procedures in gynecology. PMID- 18148924 TI - Safety factors for radium-containing static eliminators used in printing and allied industries. PMID- 18148925 TI - [Treatment of high blood pressure by intermittent sleep]. PMID- 18148926 TI - Haemophilus influenzae meningitis treated with streptomycin. PMID- 18148927 TI - Intravenous iron in hypochromic anaemia associated with rheumatoid arthritis. PMID- 18148928 TI - The student's objective. PMID- 18148929 TI - ESSENTIAL hypertension. PMID- 18148930 TI - [Estimation of prothrombin]. PMID- 18148931 TI - Carcinoma in young adults. PMID- 18148932 TI - Enter the DP physician. PMID- 18148933 TI - Tragedy at Green Ponds, Van Diemen's Land, 1842. PMID- 18148934 TI - Skin lesions among fishermen at Houtman's Abrolhos, Wester Australia, with an account of erysipeloid of Rosenbach. PMID- 18148936 TI - Life in Papua. PMID- 18148937 TI - [Not Available]. PMID- 18148935 TI - Marital adjustments during pregnancy and the year after. PMID- 18148938 TI - The course of cirrhosis of the liver in patients treated with large doses of liver extract intravenously; a study of 112 cases; 44 control cases, 68 cases treated with liver extract intravenously. PMID- 18148939 TI - [Not Available]. PMID- 18148940 TI - Melorheostosis; a case with monomelic distribution. PMID- 18148941 TI - Treatment of carpal navicular injuries. PMID- 18148942 TI - Hemopericardium without rupture of the heart following dicumarol therapy for myocardial infarction. PMID- 18148943 TI - Lipid pneumonia of right middle lobe. PMID- 18148944 TI - Treatment and prevention of pulmonary embolism, venous thrombosis and other thrombo-embolic episodes. PMID- 18148945 TI - Treatment of congenital glaucoma with beta radiation; report of a case. PMID- 18148946 TI - Results of topectomy in the treatment of psychiatric conditions. PMID- 18148947 TI - The present status of Rh counter-immunization. PMID- 18148948 TI - Sigmoidorectal electrosurgical snare. PMID- 18148949 TI - Sensitivity to furacin. PMID- 18148950 TI - [Not Available]. PMID- 18148951 TI - [Not Available]. PMID- 18148952 TI - [Not Available]. PMID- 18148953 TI - The use of one-tenth per cent pentothal in clinical anesthesia. PMID- 18148954 TI - [Not Available]. PMID- 18148955 TI - Sternal marrow biopsy. PMID- 18148957 TI - SURGEON and the Service. PMID- 18148956 TI - The broken nose. PMID- 18148958 TI - COUNTRY practitioner and the Service. PMID- 18148959 TI - The doctor and the Service; some reflections of two newly qualified practitioners. PMID- 18148960 TI - DENTIST and the Service. PMID- 18148961 TI - MEDICAL administrator and the Service. PMID- 18148962 TI - SERVICE in Scotland. PMID- 18148963 TI - PHARMACIST and the Service. PMID- 18148964 TI - HOSPITAL patient and the Service. PMID- 18148965 TI - COST of the Health Service. PMID- 18148966 TI - [Not Available]. PMID- 18148967 TI - The effect of p-aminosalicylic acid on tuberculosis in guinea pigs infected with tubercle bacilli resistant in vitro to para-aminosalicylic acid. PMID- 18148968 TI - Fertility in operatively treated and untreated cryptorchidism. PMID- 18148969 TI - Anaesthetic responsibility. PMID- 18148970 TI - The history of research upon the renal circulation. PMID- 18148971 TI - Multiple congenital anomalies of the eyes. PMID- 18148972 TI - [Not Available]. PMID- 18148973 TI - [Not Available]. PMID- 18148974 TI - [Not Available]. PMID- 18148975 TI - [Not Available]. PMID- 18148976 TI - [Not Available]. PMID- 18148977 TI - [Not Available]. PMID- 18148978 TI - The Workmen's compensation Act; a few do's and don'ts for medical practitioners in dealing with accident cases. PMID- 18148979 TI - [Not Available]. PMID- 18148980 TI - [Not Available]. PMID- 18148981 TI - [Not Available]. PMID- 18148982 TI - [Not Available]. PMID- 18148983 TI - [Not Available]. PMID- 18148984 TI - [Not Available]. PMID- 18148986 TI - [Not Available]. PMID- 18148985 TI - [Not Available]. PMID- 18148987 TI - [Not Available]. PMID- 18148988 TI - [Not Available]. PMID- 18148989 TI - [Not Available]. PMID- 18148990 TI - [Not Available]. PMID- 18148991 TI - The disappearance of glucose from incubated blood containing added electrolytes. PMID- 18148993 TI - Pearl Harbor and civil defense. PMID- 18148992 TI - Adaptation to brief stress; the blood level of leucocytes and adrenal function in epilepsy; electrically induced convulsions, and after injection of epinephrine; a review and interpretation. PMID- 18148994 TI - Diabetes mellitus; presently recognized concepts of management. PMID- 18148995 TI - A technique for arthrodesis of the hip joint. PMID- 18148996 TI - Fractures of both bones of the forearm in adults. PMID- 18148997 TI - Experiences in the use of homogenous (bone bank) bone. PMID- 18148998 TI - Electromyography in orthopaedics. PMID- 18148999 TI - Osteosythesis of the neck of the femur. PMID- 18149000 TI - Posterior dislocation of the sternoclavicular joint; report of a case. PMID- 18149001 TI - The ideal curriculum in children's orthopaedic surgery. PMID- 18149002 TI - The ideal curriculum of resident training in a private clinic. PMID- 18149003 TI - Resident training in a Navy hospital. PMID- 18149004 TI - Special training for the resident staff in infantile paralysis. PMID- 18149005 TI - Results of the survey on the requirements for basic-science training. PMID- 18149006 TI - The orthopaedic treatment of the painful shoulder. PMID- 18149007 TI - Mental deficiency in the 1880's and 1940's; a brief review of 60 years' progress. PMID- 18149008 TI - Toledo in transition. PMID- 18149009 TI - Education for mentally retarded pupils of senior high-school age. PMID- 18149010 TI - Case report; reproduction in a mongoloid. PMID- 18149011 TI - The present and future status of the psychologist in the field of mental deficiency. PMID- 18149012 TI - [Aerobacter meningitis in newborns to 4 days]. PMID- 18149013 TI - Integration of test results with clinical observations; a diagnostic case study. PMID- 18149015 TI - [Not Available]. PMID- 18149014 TI - [Not Available]. PMID- 18149016 TI - [Not Available]. PMID- 18149017 TI - Consultant service vital to plant health program. PMID- 18149018 TI - Ocular onchocerciasis. PMID- 18149019 TI - Fusional vergence. PMID- 18149020 TI - Surgical repair of neurofibromatosis of eyelid. PMID- 18149021 TI - The handling of the amblyopic patient. PMID- 18149022 TI - An electrical remote control for the revolving astigmatic cross. PMID- 18149023 TI - Syphilitic primary optic atrophy. PMID- 18149024 TI - DISCIFORM macular degeneration. PMID- 18149025 TI - FAMILIAL corneal dystrophy. PMID- 18149026 TI - Surgery of orbital implants. PMID- 18149027 TI - A case of supposed Boeck's sarcoidosis of the larynx. PMID- 18149028 TI - Lingual tonsils; a new evaluation. PMID- 18149029 TI - The influence of the antigen density and other factors on the serum titer in the agglutination-lysis-test for leptospirosis. PMID- 18149030 TI - Poisoning from aspidium drugs. PMID- 18149031 TI - Acute polyneuritis. PMID- 18149032 TI - Acute peritonitis and acute disseminated lupus erythematosus. PMID- 18149033 TI - Minute absorption of diphtheritic antibodies from the gastrointestinal tract in infants. PMID- 18149034 TI - BCG vaccination in Sweden. PMID- 18149036 TI - Indian henbane. PMID- 18149035 TI - Relation of plasma proteins to birth weight; multiple births and edema in the newborn. PMID- 18149037 TI - The growth activity for Lactobacillus lactis Dorner of commercial liver extracts. PMID- 18149038 TI - Effects of environmental heat stress and exercise on renal blood flow and filtration rate. PMID- 18149039 TI - Visual discrimination learning with simultaneous and successive presentation of stimuli. PMID- 18149040 TI - Changes in handedness in the rat by local application of acetylcholine to the cerebral cortex. PMID- 18149041 TI - [Not Available]. PMID- 18149042 TI - A survey of the nutritive value of milk and milk products as sold on the Montreal markets. PMID- 18149043 TI - Comparison of mortality levels in Scotland in 1948 and 1937-9. PMID- 18149044 TI - Influenza in Scotland in the early months of 1949. PMID- 18149045 TI - Roentgenologic findings in osteomyelitis following bone marrow infusions in infants; review of literature and report of two cases. PMID- 18149046 TI - The time factor in lethal effects of total roentgen irradiation in Triton. PMID- 18149047 TI - Oil contrast; a new method of examination of the gastric mucosa. PMID- 18149048 TI - Osteogenic sarcoma as a complication of osteitis deformans; some personal experiences and reflections. PMID- 18149049 TI - A method for exposure of the cardiac septa; an experimental study. PMID- 18149050 TI - A new flexible double-lumen catheter for bronchospirometry. PMID- 18149051 TI - The use of bacitracin in experimental Clostridium welchii infection in guinea pigs. PMID- 18149052 TI - Sources of error in oximetry. PMID- 18149053 TI - Elliptical anastomosis in urologic surgery. PMID- 18149054 TI - [Not Available]. PMID- 18149055 TI - [Not Available]. PMID- 18149056 TI - [Air inflation into the joints for treatment of rigidity due to trauma]. PMID- 18149057 TI - [Not Available]. PMID- 18149058 TI - Development of the glycogen body of the chick spinal cord; normal morphogenesis, vasculogenesis and anatomical relationships. PMID- 18149059 TI - The movement of tobacco mosaic viruses and potato virus X through tomato plants. PMID- 18149061 TI - Effects of podophyllin on mouse skin; consideration of some functional aspects. PMID- 18149060 TI - Excretion of urinary coproporphyrins in patients with neoplastic diseases treated with methyl-bis (beta-chloroethyl) amine hydrochloride. PMID- 18149062 TI - Studies on suramin; further observations on the combination of the drug with proteins. PMID- 18149063 TI - A fracture through a mandibular cyst. PMID- 18149064 TI - [Not Available]. PMID- 18149065 TI - [Not Available]. PMID- 18149066 TI - Periodontia in general practice. PMID- 18149067 TI - A simple method for preparing lining for deep cavities. PMID- 18149068 TI - A clinical survey of the incidence of impaired masticatory function in patients of a nutrition clinic. PMID- 18149069 TI - Maintenance of equilibrium in reversible hydrocolloid impressions; a report of tests made with five stock impression materials. PMID- 18149071 TI - The coroner, the doctor and the public. PMID- 18149070 TI - Carious lesions in cotton rat molars; an effect of the type of cage and bedding on the initiation and development of carious lesions. PMID- 18149072 TI - [Not Available]. PMID- 18149073 TI - Bacteriology and chemical kinetics. PMID- 18149074 TI - Fruit development in relation to plant hormones. PMID- 18149075 TI - [Not Available]. PMID- 18149076 TI - Further evidence regarding the structure of emetine. PMID- 18149077 TI - [Not Available]. PMID- 18149078 TI - Fluorine and its compounds. PMID- 18149079 TI - Electron defect centers in alkali halides. PMID- 18149080 TI - The health of England and Wales. PMID- 18149081 TI - Inelastic scattering of deuterons. PMID- 18149082 TI - Diagnosis of death in roots. PMID- 18149083 TI - Chromatography on alumina-impregnated filter paper. PMID- 18149084 TI - Fluctuations in the haemoglobin content of Daphnia. PMID- 18149085 TI - The ape-man. PMID- 18149086 TI - DEMOCRITUS on the atom. PMID- 18149087 TI - Natural history of a virus. PMID- 18149088 TI - Thiazin dyes in supravital staining of nerve fibers. PMID- 18149089 TI - Whole mounts of flat and round worms for morphological studies. PMID- 18149090 TI - Mounting media for phase microscope specimens. PMID- 18149091 TI - A self-propagating structural change in Triticum; duplication and crossing-over. PMID- 18149092 TI - A preliminary linkage test with agouti and undulated mice; the fifth linkage group. PMID- 18149093 TI - Snowball; a repeated mutation in the cotton rat. PMID- 18149094 TI - [Not Available]. PMID- 18149095 TI - [Not Available]. PMID- 18149096 TI - Environmental aspects of the foundry study. PMID- 18149097 TI - Health effects associated with beryllium; a literature review. PMID- 18149098 TI - Employment of hypertensives in industry. PMID- 18149099 TI - Standing orders for nurses in industry; news, views, use and abuse. PMID- 18149100 TI - Are industrial hygiene and safety being socialized? PMID- 18149101 TI - Graphite (plumbago, black lead) as a source of dusty lung disease. PMID- 18149102 TI - Clinical study of lepromatous leprosy in Costa Rica. PMID- 18149103 TI - Erythema multiforme exudativum and pneumonia; some pathogenetic considerations in connection with a case presenting miliary lesions of the lung and increased titer of antistreptolysins and cold agglutinins. PMID- 18149104 TI - On the use of nitrogen mustard as a therapeutic agent. PMID- 18149105 TI - Periocular hyperpigmentation (masque biliaire) and its relation to biliary and genito-urinary tract diseases. PMID- 18149106 TI - [Not Available]. PMID- 18149107 TI - Retinal arterial occlusion in migraine. PMID- 18149108 TI - Post-operative thrombosis; investigation of a proposed test for its prediction. PMID- 18149110 TI - The acute throat. PMID- 18149109 TI - Unusual case of nutritional anaemia. PMID- 18149111 TI - [Not Available]. PMID- 18149112 TI - Acute hepatitis in general hospital practice; the role of transfusions and inoculations. PMID- 18149113 TI - Endometriosis; a clinical and pathological study of 219 cases. AB - One hundred twenty-four cases of external endometriosis and 95 cases of adenomyosis were analyzed. The two are clinically different diseases which have one feature in common-a reactive fibrosis to aberrant endometrial tissue. They are coexistent in about the same frequency as would result from a noncausal relationship. The origin of external endometriosis from the epithelial "inclusion" cyst is considered proven histologically. This is the source of origin of most external endometriosis, although occasional involvement from regurgitated endometrium probably occurs. Both the endometrial and the serous cysts have a common parentage in this anlage. CERTAIN HISTOLOGICAL FEATURES THAT ARE CONSIDERED PATHOGNOMONIC OF ENDOMETRIOSIS ARE: (1) the minimal lesion, (2) the characteristic cuboidal lined cyst, (3) the siderophagic cyst without lining, and (4) the siderophagic nest. Recognition of the siderophagic nest will permit identification of extinct endometriosis and thus aid in studies to determine the spontaneous or therapeutically induced regression of the disease. The coexistence of endometriosis with other pelvic pathological changes, notably carcinoma, indicates the need for further studies to search the possibility of relationship. The ability of ectopic deposits of endometrium to become malignant on rare occasions would appear to be proven, but it is a rare occurrence and there is no justification for regarding endometriosis as a premalignant disease. PMID- 18149114 TI - The present status of abdominal fascial transplants. AB - In recent years improvements have been made in techniques for transplanting fascia into the muscles of the abdomen to take over the function of paralyzed muscles. The techniques are described in this presentation. Since muscular coordination of pelvis and thorax plays an important part in control of the extremities, better methods of placing transplants across the abdomen to link these regions offer, coincidentally, the benefit of better use of muscles in the arms and legs. If done early and skillfully, abdominal fascial transplants and allied transplants not only aid in restoring function but often prevent deformities. PMID- 18149115 TI - Septicemia following saphenous ligation. PMID- 18149116 TI - Leukemoid reactions in carcinomas. PMID- 18149117 TI - [Not Available]. PMID- 18149118 TI - [Not Available]. PMID- 18149119 TI - Vaginal cytology as a laboratory procedure; the role of the technician in cancer detection. PMID- 18149120 TI - Child health services in Connecticut. PMID- 18149121 TI - Management of acute cardiac infarction with emphasis on recent trends. PMID- 18149122 TI - [Not Available]. PMID- 18149123 TI - [Not Available]. PMID- 18149124 TI - [Not Available]. PMID- 18149125 TI - [Not Available]. PMID- 18149127 TI - [Not Available]. PMID- 18149126 TI - [Not Available]. PMID- 18149128 TI - [Not Available]. PMID- 18149129 TI - [Not Available]. PMID- 18149130 TI - [Not Available]. PMID- 18149131 TI - [Not Available]. PMID- 18149132 TI - [Not Available]. PMID- 18149133 TI - [Not Available]. PMID- 18149134 TI - [Not Available]. PMID- 18149135 TI - [Not Available]. PMID- 18149136 TI - [Not Available]. PMID- 18149137 TI - [Not Available]. PMID- 18149138 TI - Traumatic amenorrhea with dysmenorrhea. PMID- 18149139 TI - Virginia State rheumatic fever program. PMID- 18149140 TI - Recent trends in the practice of obstetrics. PMID- 18149141 TI - Maternal and child welfare in Australia. PMID- 18149142 TI - Case of poliomyelitis at the local level. PMID- 18149143 TI - Chylous ascites; a case report. PMID- 18149144 TI - [Not Available]. PMID- 18149145 TI - Pteroylpolyglutamic acids in the treatment of pernicious anaemia. PMID- 18149146 TI - Pneumonia and empyema due to Salmonella oranienburg. PMID- 18149147 TI - [Not Available]. PMID- 18149148 TI - [Not Available]. PMID- 18149149 TI - [Not Available]. PMID- 18149150 TI - Movements and motivations. PMID- 18149151 TI - The effect of penicillin on clearance rate in diphtheritic infections. PMID- 18149153 TI - Treatment of acute head injuries. PMID- 18149152 TI - [Not Available]. PMID- 18149154 TI - Acroparesthesia. PMID- 18149155 TI - Adrenal cortical tumor with pathological fracture. PMID- 18149156 TI - [Not Available]. PMID- 18149157 TI - Cirrhosis of liver, portal. PMID- 18149158 TI - Sympathectomy and the ischemic extremity. PMID- 18149159 TI - [Not Available]. PMID- 18149160 TI - [Not Available]. PMID- 18149162 TI - [Not Available]. PMID- 18149161 TI - [Not Available]. PMID- 18149163 TI - [Not Available]. PMID- 18149164 TI - [Not Available]. PMID- 18149165 TI - [Not Available]. PMID- 18149166 TI - [Not Available]. PMID- 18149167 TI - [Not Available]. PMID- 18149168 TI - Hodgkin's disease and allied disorders, prognosis and treatment. PMID- 18149169 TI - Dissecting aneurysm of aorta associated with atrioventricular nodal rhythm. PMID- 18149170 TI - Streptomycin in the removal of the tuberculous lung. PMID- 18149171 TI - Toxic reaction to metycaine. PMID- 18149172 TI - Non-surgical management of the woman with pelvic cancer. PMID- 18149173 TI - Changes in the medical educational program in ohio from 1890 to 1910. PMID- 18149175 TI - Treatment of heart block. PMID- 18149174 TI - Surgical diseases of the lungs. PMID- 18149176 TI - Treatment of impetigo. PMID- 18149177 TI - Advances in surgery. PMID- 18149178 TI - Advances in paediatrics. PMID- 18149179 TI - Advances in the treatment of skin diseases. PMID- 18149180 TI - Advances in urology. PMID- 18149181 TI - Advances in anaesthesia. PMID- 18149182 TI - Advances in the treatment of cancer. PMID- 18149183 TI - Advances in industrial medicine. PMID- 18149184 TI - Acute retention. PMID- 18149185 TI - [Not Available]. PMID- 18149186 TI - [Not Available]. PMID- 18149188 TI - [Not Available]. PMID- 18149187 TI - [Not Available]. PMID- 18149189 TI - [Not Available]. PMID- 18149190 TI - [The fundamental metabolic disorder of diabetes]. PMID- 18149191 TI - [The nurse in health services]. PMID- 18149192 TI - [Researching the treponema in syphilitic chancre]. PMID- 18149193 TI - [Treatment of tuberculosis by aerosols]. PMID- 18149194 TI - [Agranulocytosis caused by thiouracil]. PMID- 18149195 TI - [Not Available]. PMID- 18149196 TI - [Not Available]. PMID- 18149197 TI - [Not Available]. PMID- 18149198 TI - [Not Available]. PMID- 18149200 TI - Acute idiopathic porphyria; report of a case. PMID- 18149199 TI - Carotid sinus hypersensitivity as a sign of intracranial disease; case of cerebellar angioblastoma. PMID- 18149201 TI - Niacinamide in bromide intoxication. PMID- 18149202 TI - Failure to propagate human poliomyelitis virus in developing avian embryos. PMID- 18149203 TI - [Not Available]. PMID- 18149204 TI - [Not Available]. PMID- 18149205 TI - [Not Available]. PMID- 18149206 TI - [Not Available]. PMID- 18149207 TI - The advantages and limitations of hormone therapy in benign and malignant prostatism. PMID- 18149208 TI - Etiological factors in pancreatitis. PMID- 18149209 TI - Electrocardiographic studies in anthracosilicosis. PMID- 18149210 TI - Progress in medicine since I graduated in 1893. PMID- 18149211 TI - [Not Available]. PMID- 18149212 TI - [Not Available]. PMID- 18149214 TI - [Not Available]. PMID- 18149213 TI - Abdominal and retroperitoneal actinomycosis; report of a case. PMID- 18149215 TI - [Not Available]. PMID- 18149216 TI - Psychiatry at the crossroads. PMID- 18149217 TI - Utilization of psychiatrist and social worker as an intake team. PMID- 18149218 TI - [Not Available]. PMID- 18149219 TI - [Not Available]. PMID- 18149220 TI - [Not Available]. PMID- 18149221 TI - [Not Available]. PMID- 18149222 TI - [Not Available]. PMID- 18149223 TI - Perilymph; its relation to the improvement of hearing which follows fenestration of the vestibular labyrinth in clinical otosclerosis. PMID- 18149224 TI - Abscess of the cerebellar lobe of otogenic origin; combined otolaryngologic and neurosurgical treatment in six cases. PMID- 18149226 TI - Cicatricial stenosis of the hypopharynx treated with skin graft. PMID- 18149225 TI - Rhinophyma. PMID- 18149227 TI - Review of allergy for 1947. PMID- 18149228 TI - Coarctation of the aorta with death from rupture of a cerebral aneurysm. PMID- 18149229 TI - Venous atheroma. PMID- 18149230 TI - Urticaria pigmentosa; a report of a case with autopsy. PMID- 18149231 TI - Nonlipid reticuloendotheliosis; Letterer-Siwe disease; report of a case. PMID- 18149232 TI - The early diagnosis of rickets. PMID- 18149233 TI - The changing incidence of convulsions in childhood. PMID- 18149234 TI - Familial congenital stridor. PMID- 18149235 TI - Studies on the chemotherapy of virus infections; failure of darvisul (phenosulfazole) to affect the course of experimental and clinical poliomyelitis. PMID- 18149236 TI - A method for the determination of nitrates in milk and infant formula. PMID- 18149237 TI - Typhus fever. PMID- 18149238 TI - The common cold. PMID- 18149239 TI - GOVERMENT and drugs. PMID- 18149240 TI - [Not Available]. PMID- 18149241 TI - [Not Available]. PMID- 18149242 TI - A solvent of vitamin A. PMID- 18149243 TI - Enzymes in the cell. PMID- 18149244 TI - Some examples of creative achievement during later maturity and old age. PMID- 18149245 TI - An analysis of the Minnesota vocational test for clerical workers in a high school situation. PMID- 18149246 TI - [Not Available]. PMID- 18149247 TI - Experimental chemotherapy of neoplastic diseases. PMID- 18149248 TI - Roentgen findings in acute Friedlander's pneumonia. PMID- 18149249 TI - [Not Available]. PMID- 18149250 TI - [Not Available]. PMID- 18149251 TI - [Not Available]. PMID- 18149252 TI - [Not Available]. PMID- 18149253 TI - [Not Available]. PMID- 18149254 TI - The treatment of recurrence of cancer of the breast. PMID- 18149255 TI - Fat grafts to the face. PMID- 18149256 TI - [Intra-arterial transfusion]. PMID- 18149257 TI - [Subtosan, a preparation that fills a need]. PMID- 18149258 TI - Toxic sublingual goiter. PMID- 18149259 TI - Congenital arteriovenous fistula of lower extremities with pelvic complication. PMID- 18149260 TI - The modern surgeries of the prostate. PMID- 18149261 TI - Treatment of slipping of the upper femoral epiphysis; a study of the results of 42 cases. PMID- 18149262 TI - Removal of the auricular appendage in the dog. PMID- 18149263 TI - Internal strangulating obstruction of the bowel. PMID- 18149264 TI - [Treatment of nasal allergies]. PMID- 18149265 TI - [Experience with acute necrosis of the pancreas that originated in acute, diffuse peritonitis]. PMID- 18149266 TI - Planning the control of sleeping sickness. PMID- 18149267 TI - Diphtheria in African natives in the Transkei, South Africa. PMID- 18149268 TI - The efficacy of B.C.G. vaccination. PMID- 18149269 TI - Classification of pulmonary tuberculosis; project of a new practical tuberculosis nomenclature. PMID- 18149271 TI - [Not Available]. PMID- 18149270 TI - The effect of bacterial spreading factors on local and generalized experimental tuberculous infection. PMID- 18149272 TI - Primary renal actinomycosis. PMID- 18149273 TI - Hemangioma of a renal papilla; case report. PMID- 18149274 TI - Voluntary fluid intake after nephrectomy. PMID- 18149275 TI - Recurrent traumatic intraperitoneal rupture of the bladder. PMID- 18149276 TI - Lymphosarcoma of the prostate. PMID- 18149277 TI - Urethral diverticulum in the female. PMID- 18149278 TI - Congenital epispadias with incontinence. PMID- 18149279 TI - Clinical aspects of intersexuality. PMID- 18149280 TI - Aureomycin; a clinical and laboratory study of its effect in urinary infections. PMID- 18149281 TI - Ten principles of VD contact interviewing. PMID- 18149282 TI - The contact lens problem. PMID- 18149283 TI - Eczema of the hands. PMID- 18149284 TI - Anococcygeal teratoma in the newborn; report of a case. PMID- 18149285 TI - Addison's disease. PMID- 18149286 TI - Allergic rhinitis in pediatrics. PMID- 18149287 TI - The diagnosis and treatment of mold allergy. PMID- 18149288 TI - Allergic skin disorders in pediatrics. PMID- 18149289 TI - Antihistamine therapy in allergy. PMID- 18149290 TI - Blood count and differential leucocyte count during streptomycin therapy; a review of 45 cases treated. PMID- 18149291 TI - Signs, symptoms and treatment of some chest conditions amenable to surgery. PMID- 18149292 TI - [Not Available]. PMID- 18149293 TI - [Constitutional dyslexia, or congenital word-blindness]. PMID- 18149294 TI - [Not Available]. PMID- 18149295 TI - [Not Available]. PMID- 18149297 TI - [Not Available]. PMID- 18149296 TI - [Not Available]. PMID- 18149298 TI - [Not Available]. PMID- 18149299 TI - [Not Available]. PMID- 18149300 TI - [Not Available]. PMID- 18149301 TI - [Not Available]. PMID- 18149302 TI - [Not Available]. PMID- 18149303 TI - Deep pain sensibility. PMID- 18149304 TI - Serological diagnosis of human toxoplasmosis. PMID- 18149305 TI - Sensitization of penicillin-resistant pathogens. PMID- 18149306 TI - Anuria following ischaemia of the renal cortex. PMID- 18149307 TI - Sympathetic amputation clamp. PMID- 18149308 TI - Epidemiology of poliomyelitis. PMID- 18149309 TI - [Not Available]. PMID- 18149310 TI - [Not Available]. PMID- 18149311 TI - [Not Available]. PMID- 18149312 TI - [Not Available]. PMID- 18149313 TI - [Not Available]. PMID- 18149314 TI - [Not Available]. PMID- 18149315 TI - Foetal losses in child-birth. PMID- 18149316 TI - Epidemiology of rheumatic fever and some of its public health aspects. PMID- 18149317 TI - The present status of penicillin therapy in the treatment of subacute bacterial endocarditis. PMID- 18149318 TI - The role of sulphanilamide prophylaxis in rheumatic fever. PMID- 18149319 TI - The modern treatment of lupus vulgaris. PMID- 18149320 TI - Mass miniature chest radiography. PMID- 18149321 TI - Hypnotism, retrospect and prospect. PMID- 18149322 TI - [Not Available]. PMID- 18149323 TI - [Not Available]. PMID- 18149324 TI - [Not Available]. PMID- 18149326 TI - [Not Available]. PMID- 18149327 TI - [Not Available]. PMID- 18149325 TI - [Not Available]. PMID- 18149328 TI - [Not Available]. PMID- 18149329 TI - [Not Available]. PMID- 18149330 TI - [Not Available]. PMID- 18149331 TI - [Not Available]. PMID- 18149332 TI - [Not Available]. PMID- 18149334 TI - [Not Available]. PMID- 18149333 TI - [Not Available]. PMID- 18149335 TI - [Not Available]. PMID- 18149336 TI - [Not Available]. PMID- 18149337 TI - [Not Available]. PMID- 18149338 TI - Cerebral angiography. PMID- 18149339 TI - Nevoxantho-endothelioma. PMID- 18149340 TI - Adrenal sympathoblastoma (neuroblastoma). PMID- 18149341 TI - Sarcoma of the uterus. PMID- 18149342 TI - The child, the surgeon, the operation. PMID- 18149343 TI - Cholecystectomy; a technique for the occasional operator. PMID- 18149344 TI - Auricular fibrillation in normal hearts. PMID- 18149345 TI - The Schick status of 18,000 young adult males. PMID- 18149346 TI - Hepatitis, exfoliative dermatitis and abnormal bone marrow occurring during tridione therapy; report of a case with recovery. PMID- 18149347 TI - Public health aspects of the virus encephalitides. PMID- 18149348 TI - Regional ileitis. PMID- 18149349 TI - Peritoneal dialysis for acute renal failure. PMID- 18149350 TI - [The surgical treatment of facial palsy]. PMID- 18149351 TI - [Surgical treatment of peripheral facial palsy in closed head injuries]. PMID- 18149352 TI - [The question technique for obtaining anamnestic data in nervous diseases]. PMID- 18149353 TI - [Tonsillectomy according to Sluder-Ballenger; after-examination of 296 children]. PMID- 18149354 TI - [Causes of death in pharyngeal diphtheria]. PMID- 18149355 TI - [The increased poliomyelitis incidence in the higher age-groups and its causes]. PMID- 18149356 TI - [Triethylene glycol in air disinfection]. PMID- 18149357 TI - [Surgical treatment of peripheral facial palsy in fractures of the cranial base]. PMID- 18149358 TI - [Plasma cell tumour (Plasmocytoma) of the maxilla]. PMID- 18149359 TI - [Penicillin-rinse treatment in paronychia tendinosa]. PMID- 18149360 TI - [Anew method of treating infected sebaceous cysts]. PMID- 18149361 TI - [Lucamid, a new analgetic]. PMID- 18149362 TI - [Encephalography in frontal lobotomy]. PMID- 18149363 TI - [Anorectal infections and fistulae]. PMID- 18149364 TI - [Differential diagnosis and treatment of Simmond's disease, panhypoadenopituitarism]. PMID- 18149365 TI - [Extrauterine pregnancy]. PMID- 18149366 TI - [On the artificial kidney; some clinical experiences and problems in the treatment of uremia]. PMID- 18149368 TI - [Ileus in sprue patient]. PMID- 18149367 TI - [Pheochromocytoma in Greenlanders of pure Eskimo type]. PMID- 18149369 TI - [Achillobursitis]. PMID- 18149370 TI - [Not Available]. PMID- 18149371 TI - The sun and the skin. PMID- 18149372 TI - The etiology and nonsurgical treatment of cataract. PMID- 18149373 TI - Surgical treatment of massive hemorrhage from peptic ulcer. PMID- 18149374 TI - Incarceration of a Meckel's diverticulum in an inguinal hernia; report of a case and review of the literature. PMID- 18149375 TI - [Carcinoma of the cervix uteri in pregnancy]. PMID- 18149376 TI - [Not Available]. PMID- 18149377 TI - [Not Available]. PMID- 18149378 TI - [Not Available]. PMID- 18149380 TI - [Not Available]. PMID- 18149379 TI - [Not Available]. PMID- 18149381 TI - [Not Available]. PMID- 18149382 TI - [Not Available]. PMID- 18149383 TI - [Not Available]. PMID- 18149384 TI - [Survey of syphilis in the province of Cracow in 1947-1948]. PMID- 18149385 TI - [Pathophysiology and the treatment of acute local congelation]. PMID- 18149386 TI - [Kala-azar infantum]. PMID- 18149387 TI - [Streptomycin treatment of tuberculous meningitis in children]. PMID- 18149388 TI - [Complications from intraspinal administration of penicillin]. PMID- 18149389 TI - [Plastic surgery following the removal of a naevus from a baby]. PMID- 18149390 TI - [Haemangioma cavernosum renis]. PMID- 18149391 TI - [Epidemic poliomyelitis in children, its clinical course and treatment]. PMID- 18149392 TI - [Allergy and immunity in the experimental tuberculosis of the eyes]. PMID- 18149393 TI - [Work in the neurosurgical clinics in USSR]. PMID- 18149394 TI - Exophthalmos. PMID- 18149395 TI - Surgical treatment of polyps of the colon. PMID- 18149396 TI - Diagnosis and treatment of bronchiectasis. PMID- 18149397 TI - The surgical treatment of hypertension. PMID- 18149398 TI - Practical procedures in minor gynecology. PMID- 18149399 TI - [Not Available]. PMID- 18149400 TI - [Not Available]. PMID- 18149401 TI - [Not Available]. PMID- 18149402 TI - [Not Available]. PMID- 18149403 TI - [Not Available]. PMID- 18149404 TI - [Not Available]. PMID- 18149405 TI - [Not Available]. PMID- 18149406 TI - [Not Available]. PMID- 18149407 TI - [Not Available]. PMID- 18149409 TI - [Not Available]. PMID- 18149408 TI - [Not Available]. PMID- 18149410 TI - [Not Available]. PMID- 18149411 TI - [Not Available]. PMID- 18149412 TI - [Not Available]. PMID- 18149413 TI - [Not Available]. PMID- 18149414 TI - [Not Available]. PMID- 18149415 TI - [Not Available]. PMID- 18149416 TI - [Not Available]. PMID- 18149417 TI - [Not Available]. PMID- 18149418 TI - [Not Available]. PMID- 18149419 TI - Anticoagulants in internal medicine. PMID- 18149420 TI - The use of anticoagulants in surgery. PMID- 18149421 TI - The determination of plasma prothrombin. PMID- 18149422 TI - Submucous rectification of the nasal septum. PMID- 18149423 TI - Anaesthesia for the surgical treatment of hypertension. PMID- 18149424 TI - Detection of foetal abnormalities. PMID- 18149425 TI - Discussion on the artificial menopause, indications, technique and complications. PMID- 18149426 TI - Discussion on the cause of diabetes. PMID- 18149427 TI - [Not Available]. PMID- 18149428 TI - [Not Available]. PMID- 18149429 TI - Discussion on diagnostic radiology in rheumatic disease. PMID- 18149430 TI - Discussion on the development of psychiatry within the National Health Service. PMID- 18149431 TI - Some cultural group abreactive techniques and their relation to modern treatments. PMID- 18149432 TI - Antibacterial activity of d-usnic acid and related compounds on M. tuberculosis. PMID- 18149433 TI - Site of conversion of tryptophan into nicotinic acid in man. PMID- 18149434 TI - Effect of iodide on thyroid glands of rats kept at low temperature. PMID- 18149435 TI - Tetanus prophylaxis with penicillin-procaine G. PMID- 18149436 TI - Further observations on isosensitization to the Rh factor. PMID- 18149437 TI - Riboflavin and growth of tubercle bacilli. PMID- 18149438 TI - Recovery of psittacosis virus from chicks hatched from inoculated eggs. PMID- 18149439 TI - Evaluation of Dubos' solid medium containing penicillin in the isolation of tubercle bacilli. PMID- 18149440 TI - Influence of intestinal bacteria on synthesis of nicotinic acid from tryptophan. PMID- 18149441 TI - Inhibitory effects of pteroyl glutamic acid preparations. PMID- 18149442 TI - Serologic relationship between streptococcus group H and streptococcus sanguis. PMID- 18149443 TI - Acute disseminated encephalomyelitis produced in albino mice. PMID- 18149444 TI - Tests for chemical mutagens in Drosophila using the vaginal douche technic. PMID- 18149445 TI - Effect of alloxan diabetes on fertility and gestation in the rat. PMID- 18149446 TI - Dissociation among Lancefield's group B streptococci of human and bovine origin. PMID- 18149447 TI - A histochemical method for localizing cholinesterase activity. PMID- 18149449 TI - Effect of temperature on transmission of light by cell free body fluid in Phascolosoma gouldii. PMID- 18149450 TI - Observations on the racial distribution of variants of blood type Rh. PMID- 18149448 TI - Failure of thyroidectomy and thiouracil to protect rat liver from acute carbon tetrachloride injury. PMID- 18149451 TI - Veratramine, an antagonist of the cardioaccelerator action of epinephrine. PMID- 18149452 TI - Effect of 1- (3,4 dihydroxyphenyl)-2-isopropylaminoethanol, (isopropyl epinephrine) on the rhythmic property of the human heart. PMID- 18149453 TI - Experimental gastric and duodenal ulcer. PMID- 18149454 TI - Independence of protamine titration and platelet level in certain hemorrhagic diseases. PMID- 18149455 TI - Influence of benzylimidazoline on the peripheral circulation of man. PMID- 18149456 TI - Differential sheep cell agglutination test in rheumatoid arthritis. PMID- 18149457 TI - Application of filter paper partition chromatography to qualitative analysis of volatile and non-volatile organic acids. PMID- 18149458 TI - Destructive action of human cancer extracts on red blood cells in vitro. PMID- 18149459 TI - Spectrophotometric method for assay of serum antiprotease; clinical applications. PMID- 18149460 TI - Microphonic manometer for indirect determination of systolic blood pressure in the rat. PMID- 18149461 TI - Kinetics of distribution of insulin between two body water compartments. PMID- 18149462 TI - Biological oxidation of phospholipids by rat liver homogenates. PMID- 18149463 TI - Effects of glucose fermentation products on determination of mannitol by periodate-titrametric method. PMID- 18149465 TI - Inactivity of bound plasma progesterone. PMID- 18149464 TI - Serum level of protein bound radioactive iodine (I131) in the diagnosis of hyperthyroidism. PMID- 18149466 TI - Effect of dialyzed enterogastrone upon 12-hour nocturnal gastric secretion in man. PMID- 18149467 TI - Thiosemicarbazide; a new toxic derivative of thiourea. PMID- 18149468 TI - Seasonal variations in the choline content of human serum. PMID- 18149469 TI - Complete regression of lymphosarcoma implants following temporary induction of riboflavin deficiency in mice. PMID- 18149470 TI - Colloidal properties of nucleus; effect of temperature on nuclear viscosity in the starfish egg. PMID- 18149471 TI - Effect of stretch and pressure on stimulus formation in the dog's auricle. PMID- 18149472 TI - Cortical projection of proprioception in the cat and monkey. PMID- 18149473 TI - Effect of curare on autonomic reflexes. PMID- 18149474 TI - Influence of estradiol on alkaline phosphatase activity in the genital tract of the rat. PMID- 18149475 TI - Uterine circulation time in the pregnant primate, with the uterus and abdomen intact. PMID- 18149476 TI - Inhibition by piperidinomethyl-3-benzodioxane (933F) of epinephrine vasopressor blockade produced by dibenzyl-beta-chlorethylamine. PMID- 18149477 TI - Contamination of commercial p-aminohippuric acid with p-aminobenzoic acid. PMID- 18149478 TI - Geriatrics. PMID- 18149479 TI - Sulfonamides in pediatrics. PMID- 18149480 TI - Physical stigmata of syphilis. PMID- 18149481 TI - Miliary lymphocytomata. PMID- 18149482 TI - Lupus vulgaris. PMID- 18149483 TI - Parakeratosis scutularis? PMID- 18149484 TI - Dermatitis nodularis necrotica. PMID- 18149485 TI - Recovery of isotopic succinate from urine of rats administered isotopic acetate. PMID- 18149486 TI - Use of radiopotassium for detection of minute amounts of desoxycorticosterone. PMID- 18149487 TI - Time of appearance of antibodies to brain in the human receiving anti-rabies vaccine. PMID- 18149488 TI - A plasma factor responsible for in vitro lysis of leucocytes by tuberculoprotein. PMID- 18149489 TI - The role of the spleen in radiation injury. PMID- 18149490 TI - Proteolytic activity of hemophilic plasma. PMID- 18149491 TI - Transfusion of leukocytes and products of disintegrated leukocytes. PMID- 18149492 TI - Effect of adreno-corticotrophic hormone upon liver fat and urinary phosphorus in normal force-fed rat. PMID- 18149493 TI - [Not Available]. PMID- 18149494 TI - [Not Available]. PMID- 18149495 TI - [Not Available]. PMID- 18149496 TI - [Not Available]. PMID- 18149498 TI - [Not Available]. PMID- 18149497 TI - [Not Available]. PMID- 18149499 TI - [Not Available]. PMID- 18149500 TI - Massive dilatation of the left auricle. PMID- 18149501 TI - Primary optic atrophy in von Recklinghausen's disease (multiple neurofibromatosis). PMID- 18149502 TI - The Marchiafava Micheli syndrome; paroxysmal nocturnal haemoglobinuria. PMID- 18149503 TI - Cushing's syndrome and thymic carcinoma. PMID- 18149504 TI - A clinical and pathological study of renal disease; nephritis. PMID- 18149505 TI - [Not Available]. PMID- 18149506 TI - [Not Available]. PMID- 18149507 TI - [Not Available]. PMID- 18149509 TI - [Not Available]. PMID- 18149508 TI - [Not Available]. PMID- 18149510 TI - [Not Available]. PMID- 18149511 TI - [Not Available]. PMID- 18149512 TI - [Not Available]. PMID- 18149513 TI - [Not Available]. PMID- 18149514 TI - [Not Available]. PMID- 18149515 TI - [Not Available]. PMID- 18149516 TI - [Not Available]. PMID- 18149517 TI - [Not Available]. PMID- 18149518 TI - [Not Available]. PMID- 18149519 TI - [Not Available]. PMID- 18149521 TI - [Not Available]. PMID- 18149520 TI - [Not Available]. PMID- 18149522 TI - [Not Available]. PMID- 18149523 TI - [Not Available]. PMID- 18149524 TI - [Not Available]. PMID- 18149525 TI - [Not Available]. PMID- 18149526 TI - [Not Available]. PMID- 18149527 TI - [Not Available]. PMID- 18149528 TI - [Not Available]. PMID- 18149529 TI - [Not Available]. PMID- 18149530 TI - [Not Available]. PMID- 18149531 TI - [Not Available]. PMID- 18149532 TI - [Not Available]. PMID- 18149533 TI - [Not Available]. PMID- 18149534 TI - [Not Available]. PMID- 18149535 TI - [Not Available]. PMID- 18149536 TI - [Not Available]. PMID- 18149537 TI - [Not Available]. PMID- 18149538 TI - [Not Available]. PMID- 18149539 TI - [Not Available]. PMID- 18149540 TI - [Not Available]. PMID- 18149541 TI - [Not Available]. PMID- 18149542 TI - [Not Available]. PMID- 18149543 TI - [Not Available]. PMID- 18149544 TI - [Not Available]. PMID- 18149545 TI - [Not Available]. PMID- 18149546 TI - [Not Available]. PMID- 18149547 TI - [Not Available]. PMID- 18149548 TI - [Not Available]. PMID- 18149550 TI - [Not Available]. PMID- 18149549 TI - [Not Available]. PMID- 18149551 TI - [Not Available]. PMID- 18149552 TI - [Not Available]. PMID- 18149553 TI - [Not Available]. PMID- 18149554 TI - [Not Available]. PMID- 18149555 TI - [Not Available]. PMID- 18149556 TI - [Not Available]. PMID- 18149557 TI - [Not Available]. PMID- 18149558 TI - [Not Available]. PMID- 18149559 TI - [Not Available]. PMID- 18149560 TI - [Not Available]. PMID- 18149561 TI - [Not Available]. PMID- 18149562 TI - Causes for delay in the treatment of cancer. PMID- 18149563 TI - [Not Available]. PMID- 18149564 TI - [Not Available]. PMID- 18149565 TI - [Not Available]. PMID- 18149567 TI - [Not Available]. PMID- 18149566 TI - [Not Available]. PMID- 18149568 TI - [Not Available]. PMID- 18149569 TI - [Not Available]. PMID- 18149570 TI - [Not Available]. PMID- 18149571 TI - [Not Available]. PMID- 18149572 TI - [Not Available]. PMID- 18149573 TI - [Not Available]. PMID- 18149574 TI - [Not Available]. PMID- 18149575 TI - [Not Available]. PMID- 18149576 TI - [Not Available]. PMID- 18149577 TI - WEIGHT distribution of recruits. PMID- 18149578 TI - INCIDENCE of acute and chronic nephritis. PMID- 18149579 TI - Visual manifestations of head injuries. PMID- 18149580 TI - Reiter's syndrome, with a report of a case. PMID- 18149581 TI - Amputations. PMID- 18149582 TI - An open ward in the management of psychotics. PMID- 18149583 TI - Factors in hospital staff planning; the outpatient department. PMID- 18149584 TI - Fungus diseases of the feet. PMID- 18149585 TI - The Fayne traction appliance for hallux valgus. PMID- 18149586 TI - [Not Available]. PMID- 18149587 TI - [Not Available]. PMID- 18149588 TI - [Not Available]. PMID- 18149589 TI - [Not Available]. PMID- 18149590 TI - Refractory phase in cerebral mechanisms. PMID- 18149591 TI - [Not Available]. PMID- 18149592 TI - [Not Available]. PMID- 18149593 TI - Growth of the electrical activity of the cortex. PMID- 18149594 TI - A brief review of methods used to elicit or accentuate abnormalities in the electroencephalogram. PMID- 18149595 TI - A simple multilead needle electrode for intracerebral electroencephalographic recording. PMID- 18149596 TI - Radio transmission of the human electroencephalogram and other electrophysiological data. PMID- 18149597 TI - [Not Available]. PMID- 18149598 TI - [Not Available]. PMID- 18149599 TI - Neurosis in the factory. PMID- 18149600 TI - Infantile gastro enteritis. PMID- 18149601 TI - The Turville infinity binocular balance test. PMID- 18149602 TI - The stability of improvement in color vision due to training, a report of three cases. PMID- 18149603 TI - Orthoptic training used in correction of latent hyperopia and exophoria; a case report. PMID- 18149604 TI - Notes on compoulory health insurance. PMID- 18149606 TI - [Not Available]. PMID- 18149605 TI - [Not Available]. PMID- 18149607 TI - [Not Available]. PMID- 18149609 TI - [Not Available]. PMID- 18149610 TI - [Not Available]. PMID- 18149608 TI - [Not Available]. PMID- 18149611 TI - [Not Available]. PMID- 18149612 TI - [Not Available]. PMID- 18149613 TI - [Not Available]. PMID- 18149614 TI - [Not Available]. PMID- 18149615 TI - [Not Available]. PMID- 18149616 TI - [Not Available]. PMID- 18149617 TI - [Not Available]. PMID- 18149618 TI - [Not Available]. PMID- 18149619 TI - [Not Available]. PMID- 18149620 TI - [Not Available]. PMID- 18149621 TI - [Not Available]. PMID- 18149622 TI - [Not Available]. PMID- 18149623 TI - [Not Available]. PMID- 18149624 TI - [Not Available]. PMID- 18149625 TI - [Not Available]. PMID- 18149626 TI - [Not Available]. PMID- 18149627 TI - [Not Available]. PMID- 18149629 TI - [Not Available]. PMID- 18149628 TI - [Not Available]. PMID- 18149630 TI - [Not Available]. PMID- 18149631 TI - One-eyed drivers. PMID- 18149632 TI - The orth-fusor as a near point and visual slide testing device. PMID- 18149633 TI - Adrenergic blocking agents in the treatment of glaucoma. PMID- 18149634 TI - An operation for ptosis utilizing the superior rectus muscle. PMID- 18149635 TI - Acute epiglottitis; acute obstructive supraglottic laryngitis in small children caused by Hemophilus influenzae, type B. PMID- 18149636 TI - Labyrinthine surgery for Meniere's disease. PMID- 18149637 TI - Results of the fenestration operation; a 6-year report of the Winthrop Foundation for the study of deafness at the Massachusetts Eye and Ear Infirmary. PMID- 18149638 TI - Hearing; a community problem. PMID- 18149640 TI - Team surgery in cancer. PMID- 18149639 TI - Noise; will it damage your hearing? PMID- 18149641 TI - Carcinoma of mandible and lip. PMID- 18149642 TI - Carcinoma of nose and upper lip. PMID- 18149643 TI - High T waves as an early transient sign in myocardial infarction; report of a case showing also auricular flutter. PMID- 18149644 TI - [Not Available]. PMID- 18149645 TI - [Not Available]. PMID- 18149646 TI - Communication technics for the hard of hearing. PMID- 18149647 TI - A manual on toxic hazards. PMID- 18149648 TI - A survey of state fee schedules for industrial eye care. PMID- 18149649 TI - The Navy eye-correction, eye-protection program. PMID- 18149650 TI - Histopathological investigations on the localization, number, activity and extent of otosclerotic foci. PMID- 18149651 TI - Chronic otitis media. PMID- 18149652 TI - Nasopharyngeal tumours. PMID- 18149653 TI - A case of persistent otorrhoea due to chronic infection in a large infra tympanic cavity. PMID- 18149654 TI - Poliomyelitis-tonsillectomy survey, 1948. PMID- 18149655 TI - Two-room audiometry setup for the otologist's office. PMID- 18149656 TI - Otolaryngology; what are its restrictions and where are its borderlines? PMID- 18149657 TI - Subcutaneous rupture of trachea from larynx by external trauma; with stenosis and recovery. PMID- 18149658 TI - Scleroma of the larynx, trachea and bronchi. PMID- 18149659 TI - The fenestration operation; indications, technique and results. PMID- 18149660 TI - Bacterial allergy and the importance of otolaryngological procedures. PMID- 18149661 TI - Asphyxia neonatorum and the vernix membrane. PMID- 18149662 TI - In vitro studies of lymph nodes involved in Hodgkin's disease; tissue culture studies; formation, behavior and significance of the multinucleated giant cell. PMID- 18149663 TI - The role of infection in coronary sclerosis of cockerels. PMID- 18149664 TI - Role of age in estrogen-induced lymphoid tumors of mice. PMID- 18149665 TI - Development of anal ducts and glands with reference to the pathogenesis of anorectal disease. PMID- 18149666 TI - Histopathologic observations in a fatal case of Q fever. PMID- 18149667 TI - The blood cells and the hemopoietic and other organs of dogs giver intravenous injections of 2-chloroethyl vesicants. PMID- 18149668 TI - Effect of anti-rat-liver serum on rats. PMID- 18149669 TI - Significance of ductal sclerosis in Paget's disease; regression of intraductal carcinoma. PMID- 18149670 TI - Tissue culture staining in situ. PMID- 18149671 TI - [Not Available]. PMID- 18149672 TI - [Not Available]. PMID- 18149673 TI - [Not Available]. PMID- 18149674 TI - [Not Available]. PMID- 18149675 TI - [Not Available]. PMID- 18149677 TI - [Not Available]. PMID- 18149676 TI - [Not Available]. PMID- 18149678 TI - [Not Available]. PMID- 18149679 TI - [Not Available]. PMID- 18149680 TI - [Not Available]. PMID- 18149681 TI - [Not Available]. PMID- 18149682 TI - [Not Available]. PMID- 18149683 TI - [Not Available]. PMID- 18149684 TI - [Not Available]. PMID- 18149685 TI - [Not Available]. PMID- 18149686 TI - [Not Available]. PMID- 18149687 TI - [Not Available]. PMID- 18149688 TI - [Not Available]. PMID- 18149689 TI - [Not Available]. PMID- 18149690 TI - [Not Available]. PMID- 18149691 TI - [Not Available]. PMID- 18149692 TI - [Not Available]. PMID- 18149693 TI - [Not Available]. PMID- 18149694 TI - [Not Available]. PMID- 18149695 TI - [Not Available]. PMID- 18149696 TI - [Not Available]. PMID- 18149697 TI - [Not Available]. PMID- 18149698 TI - [Not Available]. PMID- 18149699 TI - [Not Available]. PMID- 18149700 TI - Physiology of the nerves in the bovine mammary gland. PMID- 18149701 TI - [Not Available]. PMID- 18149702 TI - [Not Available]. PMID- 18149703 TI - [Not Available]. PMID- 18149704 TI - Physiology of the cistern of the bovine mammary gland. PMID- 18149705 TI - Some pharmacological actions of piperidine, pyrrolidine, and of pressor concentrates from dog urine. PMID- 18149706 TI - Studies on the metabolism and mode of action of DDT. PMID- 18149708 TI - A contribution to the physiology and pharmacology of Ascaris lumbricoides from the pig. PMID- 18149707 TI - A study of the toxicity of the protamine, salmine. PMID- 18149709 TI - The action of histamine on hydrochloric acid and pepsin secretion in man. PMID- 18149710 TI - The effect of antihistamine substances on gastric secretion in man. PMID- 18149711 TI - Some observations upon the pharmacological activity of diisopropyl fluorophosphonate. PMID- 18149712 TI - The toxicity of trichlorethylene. PMID- 18149713 TI - The enzymic hydrolysis of triacetin (glyceryl triacetate). PMID- 18149714 TI - The assay of anticholinesterase drugs by the chromodacryorrhoea response in rats. PMID- 18149715 TI - Some pharmacological properties common to atropine, pethidine, procaine, and quinidine. PMID- 18149716 TI - Liberation of nor-adrenaline from the suprarenal gland. PMID- 18149717 TI - Intracorneal infection as a method for testing antituberculous substances. PMID- 18149718 TI - The effect of neoantergan and of benadryl on serum induced myocarditis in rabbits. PMID- 18149719 TI - [Not Available]. PMID- 18149720 TI - Studies on the reaction between aromatic nitro compounds and active methylene groups. PMID- 18149721 TI - The metabolism of adrenaline. PMID- 18149722 TI - The pharmacology of adrenergic blockade. PMID- 18149723 TI - Anticholinesterase drugs. PMID- 18149725 TI - [Not Available]. PMID- 18149724 TI - [Not Available]. PMID- 18149726 TI - [Not Available]. PMID- 18149727 TI - [Not Available]. PMID- 18149728 TI - Convulsions in childhood. PMID- 18149729 TI - The pasteurisation of milk. PMID- 18149730 TI - AUREOMYCIN; American conference on a new antibiotic. PMID- 18149731 TI - Radioactive materials and their medical uses. PMID- 18149732 TI - HEALTH (The) of Scotland. PMID- 18149733 TI - [Not Available]. PMID- 18149734 TI - [Not Available]. PMID- 18149735 TI - [Not Available]. PMID- 18149736 TI - [Not Available]. PMID- 18149737 TI - [Not Available]. PMID- 18149738 TI - [Not Available]. PMID- 18149739 TI - [Not Available]. PMID- 18149740 TI - [Not Available]. PMID- 18149742 TI - [Not Available]. PMID- 18149741 TI - [Not Available]. PMID- 18149743 TI - [Not Available]. PMID- 18149744 TI - Studies on the absorption of iron; experimental studies on the serum iron level in the porta vein during iron absorption tests. PMID- 18149745 TI - Studies on the absorption of iron; the serum iron curve in rabbits following intravenous administration of iron in massive doses. PMID- 18149746 TI - The functional organization of the peripheral autonomic innervation. PMID- 18149747 TI - Vasomotor reactions in Valsalva's experiment; an electrocardiographic study with reference to the effect of smoking. PMID- 18149748 TI - Selective adaptation and the off/on-ratio of the retinal on/off-elements. PMID- 18149749 TI - Scotopic dominator and state of visual purple in the retina. PMID- 18149750 TI - Studies on the role of the cerebrospinal fluid in brain metabolism as measured with radioactive phosphate. PMID- 18149751 TI - The chemical transmission of vasoconstrictor impulses to the hind limbs of the dog. PMID- 18149752 TI - The sympathetic vasomotor innervation of the skin of the dog. PMID- 18149753 TI - Action of acetylcholine, adrenaline and nor-adrenaline on the coronary blood flow of the dog. PMID- 18149754 TI - The gastric secretory response to insulin in dogs and cats. PMID- 18149755 TI - The electrodialytic method for total cation determination; a critical study. PMID- 18149756 TI - Physiological variations and normal values of the total bases in blood serum. PMID- 18149757 TI - Determination by means of radioactive blood corpuscles of the crossed blood flow between parabiotic mice. PMID- 18149758 TI - Effect of sulfa preparations and methyl thiouracil on the urinary output of vitamin C in the rat. PMID- 18149759 TI - Oxygen consumption of sheep maternal and foetal blood. PMID- 18149760 TI - A further note on optical specificity in methylation processes. PMID- 18149761 TI - Cation control in human erythrocyte. PMID- 18149762 TI - The effect of breathing oxygen at atmospheric pressure on tissue oxygen and carbon dioxide tensions. PMID- 18149764 TI - Opacity changes in stimulated nerve. PMID- 18149763 TI - Activity and drug responses of the sheep uterus in relation to reproductive condition. PMID- 18149765 TI - Observations on the action of prostigmine on the spinal cord of the cat. PMID- 18149766 TI - Effects of dehydration on adult and newborn rats. PMID- 18149767 TI - The effect of postural and exercise components on the heart rate during a brief step test. PMID- 18149768 TI - The effect of the posterior pituitary hormones on the inorganic phosphorus and sugar of the blood. PMID- 18149769 TI - The metabolic cost of passive cycling movements. PMID- 18149770 TI - Observation of the hypophysio-portal vessels of the living rat. PMID- 18149771 TI - The causes of serum bradycardia. PMID- 18149772 TI - Automatic integrator for volume recorders. PMID- 18149773 TI - Demonstration of the muscle pump in the human leg. PMID- 18149774 TI - The effect of adrenaline on the demarcation potential of mammalian muscle. PMID- 18149775 TI - The fundamental mechanical change in muscle. PMID- 18149776 TI - Action of acetylcholine on rabbit auricles in relation to acetylcholine synthesis. PMID- 18149777 TI - The effect of thermal stimuli on the circulation in the human colon. PMID- 18149778 TI - Animal decompression chamber and ancillary equipment. PMID- 18149779 TI - Class apparatus for the perfusion of the isolated mamalian heart. PMID- 18149780 TI - Nodes of Ranvier in the central nervous system. PMID- 18149781 TI - A convenient nerve-muscle preparation from the gracilis of the cat. PMID- 18149782 TI - The properties of polymethylene bistrimethylammonium salts. PMID- 18149783 TI - A respiration recorder. PMID- 18149784 TI - The effect of carbon dioxide on perfused lungs. PMID- 18149785 TI - Remedial reading practices in the secondary school. PMID- 18149786 TI - Two attitude components in younger boys. PMID- 18149787 TI - A study of friendship choices in college in relation to church affiliation, in church preferences, family size, and length of enrollment in college. PMID- 18149788 TI - The developing personality as a joint function of convergence and divergence. PMID- 18149789 TI - Psychological types in married people. PMID- 18149790 TI - The height and weight of soldiers in association with scores earned on the Army general classification test. PMID- 18149791 TI - The American Mexican; the survival of a culture. PMID- 18149792 TI - The development of internationalist attitudes; attitude cues and prestige. PMID- 18149793 TI - The origin and nature of social life and the biological basis of cooperation. PMID- 18149794 TI - [Not Available]. PMID- 18149795 TI - [Not Available]. PMID- 18149797 TI - Informing the public; the written word. PMID- 18149796 TI - [Not Available]. PMID- 18149799 TI - A study of asthma in schoolchildren. PMID- 18149798 TI - The approach to film making. PMID- 18149800 TI - Birth of a community mental health clinic. PMID- 18149801 TI - Effects of DDT dusting on domestic rats under colony and field conditions. PMID- 18149802 TI - A virulent isolate of Salmonella typhosa 58 (Panama carrier). PMID- 18149804 TI - Characteristics of commercial X-ray screens and films. PMID- 18149803 TI - Studies of patients discharged from tuberculosis sanatoria; mortality rates associated with selected characteristics of the patient population. PMID- 18149805 TI - Summary of antimalarial drugs. PMID- 18149806 TI - Condition ratings and endurance measures. PMID- 18149807 TI - A study of fatigue effects induced by an efficiency test for college women. PMID- 18149808 TI - A study of 20 third-grade children exhibiting extreme levels of achievement on test of motor proficiency. PMID- 18149809 TI - The physiologic effect of abdominal cold packs. PMID- 18149810 TI - A study of the degree of transfer between quickening exercises and other coordinated movements. PMID- 18149811 TI - The basic walking load involved in attending the university as measured by a pedometer; the walking load of college women. PMID- 18149812 TI - [Public Health Service in 1949]. PMID- 18149813 TI - [Public Health Service in Poland]. PMID- 18149814 TI - [Progress of the National Institute of Hygiene in Poland]. PMID- 18149815 TI - [Internists as regional consultants]. PMID- 18149816 TI - [Polish Red Cross as a branch of the Public Health Service]. PMID- 18149817 TI - [Control of the death-rate among the pre-maturely born infants]. PMID- 18149818 TI - [Central institute of Criminal Psychiatry in USSR]. PMID- 18149819 TI - [Not Available]. PMID- 18149820 TI - [Not Available]. PMID- 18149821 TI - [Epidemiology in USSR]. PMID- 18149822 TI - [History of medicine]. PMID- 18149824 TI - A rontgen-ray microspectrographic investigation of the inflammatory destruction of the mastoid bone. PMID- 18149823 TI - [Health service in Rumania]. PMID- 18149825 TI - Some observations upon the radiology of the small intestine in old age. PMID- 18149826 TI - The natural history of malignant disease. PMID- 18149827 TI - Note on an improvised simultaneous bi-plane fluoroscopy. PMID- 18149828 TI - [Not Available]. PMID- 18149829 TI - [Not Available]. PMID- 18149830 TI - [Not Available]. PMID- 18149831 TI - [Not Available]. PMID- 18149832 TI - [Not Available]. PMID- 18149833 TI - [Not Available]. PMID- 18149834 TI - [Not Available]. PMID- 18149835 TI - [Not Available]. PMID- 18149836 TI - [Not Available]. PMID- 18149837 TI - [Not Available]. PMID- 18149838 TI - [Not Available]. PMID- 18149839 TI - [Not Available]. PMID- 18149840 TI - [Not Available]. PMID- 18149841 TI - [Not Available]. PMID- 18149842 TI - [Not Available]. PMID- 18149843 TI - [Not Available]. PMID- 18149844 TI - [Not Available]. PMID- 18149845 TI - [Not Available]. PMID- 18149846 TI - [Not Available]. PMID- 18149847 TI - [Not Available]. PMID- 18149848 TI - [Not Available]. PMID- 18149849 TI - [Not Available]. PMID- 18149850 TI - [Not Available]. PMID- 18149851 TI - [Not Available]. PMID- 18149852 TI - [Not Available]. PMID- 18149853 TI - [Not Available]. PMID- 18149854 TI - [Not Available]. PMID- 18149855 TI - [Not Available]. PMID- 18149856 TI - [Not Available]. PMID- 18149857 TI - [Not Available]. PMID- 18149858 TI - [Not Available]. PMID- 18149860 TI - [Not Available]. PMID- 18149861 TI - [Not Available]. PMID- 18149859 TI - [Not Available]. PMID- 18149862 TI - [Not Available]. PMID- 18149863 TI - [Not Available]. PMID- 18149864 TI - [Not Available]. PMID- 18149865 TI - [Not Available]. PMID- 18149866 TI - [Not Available]. PMID- 18149867 TI - Fundamental principles of thyroidectomy. PMID- 18149868 TI - Needle biopsy of the liver in the diagnosis of surgical jaundice. PMID- 18149869 TI - Subcapsular nephrectomy; its indications and advantages. PMID- 18149870 TI - Placenta accreta with velamentous insertion of the cord; report of a case treated by hysterectomy following normal delivery. PMID- 18149871 TI - The congenital absence of the pectoralis major muscle in whole or in part and the absence of the pectoralis minor muscle (unilateral) report of three cases. PMID- 18149872 TI - Lead poisoning in infancy; a case in which two operations were performed on the stomach. PMID- 18149874 TI - The quadriceps in relation to recovery from injuries of the knee-joint. PMID- 18149873 TI - Non-obstructive lesions of the colon. PMID- 18149875 TI - [Not Available]. PMID- 18149876 TI - [Not Available]. PMID- 18149877 TI - [Not Available]. PMID- 18149878 TI - [Not Available]. PMID- 18149879 TI - [Not Available]. PMID- 18149880 TI - [Not Available]. PMID- 18149881 TI - [Not Available]. PMID- 18149882 TI - [Not Available]. PMID- 18149883 TI - [Not Available]. PMID- 18149884 TI - [Not Available]. PMID- 18149885 TI - [Not Available]. PMID- 18149887 TI - [Not Available]. PMID- 18149886 TI - [Not Available]. PMID- 18149889 TI - [Not Available]. PMID- 18149888 TI - [Not Available]. PMID- 18149890 TI - [Not Available]. PMID- 18149891 TI - [Not Available]. PMID- 18149893 TI - [Not Available]. PMID- 18149894 TI - [Not Available]. PMID- 18149892 TI - [Not Available]. PMID- 18149895 TI - [Not Available]. PMID- 18149896 TI - [Not Available]. PMID- 18149897 TI - The application of tomography to the problem of sanatorium bed space. PMID- 18149898 TI - The diagnosis of lesions of the major bronchi in pulmonary tuberculosis. PMID- 18149899 TI - A new type of artificial kidney; preliminary clinical report. PMID- 18149900 TI - The ectopic kidney; a gynecologic diagnostic problem. PMID- 18149901 TI - Abdominal pain (genito-urinary). PMID- 18149902 TI - Treatment of Hunner ulcer. PMID- 18149904 TI - Multiple urethral calculi. PMID- 18149903 TI - Vogt-Koyanagi syndrome; a review of the literature. PMID- 18149905 TI - A technique for the accurate determination of sperm motility. PMID- 18149906 TI - Today's management of neurosyphilis. PMID- 18149907 TI - Podophyllin in condyloma acuminatum. PMID- 18149909 TI - The frequency of occurrence of supernumerary sperm in rat ova. PMID- 18149908 TI - Acute pemphigus treated with aureomycin. PMID- 18149910 TI - A simplified machine for making ground sections of teeth or bone. PMID- 18149911 TI - Intravital staining of blood vessels by acid diazo dyes. PMID- 18149912 TI - The anatomy of the dorsal aponeurosis of the human finger and its functional significance. PMID- 18149913 TI - Vacuolation and the release of heparin in mast cells cultivated in vitro. PMID- 18149914 TI - Cytological distribution of fat injected intravenously into guinea pigs. PMID- 18149915 TI - Histochemical study of alkaline phosphatase in tissue prepared by the freezing drying method. PMID- 18149916 TI - Conditions effecting the passage of spermatozoa through the utero-tubal junction of the rat. PMID- 18149917 TI - Histochemical changes in the suprarenal gland of the adult male rat. PMID- 18149918 TI - An injection apparatus incorporating a maximum pressure safety device. PMID- 18149919 TI - The use of safranin-O for the demonstration of cytoplasmic nucleoproteins. PMID- 18149920 TI - Dendritic cells in pigmented human skin. PMID- 18149921 TI - A cytoarchitectural investigation into the boundaries of cortical areas 13 and 14 in the human brain. PMID- 18149923 TI - The lower limit of the spinal cord in south Indian foetuses. PMID- 18149922 TI - Bones, muscles and vitamin C; the effect of a partial deficiency of vitamin C on the repair of bone and muscle in guinea-pigs. PMID- 18149924 TI - Chance in anaesthetic investigation. PMID- 18149925 TI - Convulsions during anaesthesia. PMID- 18149926 TI - Pioneering in anesthesiology. PMID- 18149927 TI - Anaesthesia in obstruction of the airway; report on a case of obstructive goitre. PMID- 18149928 TI - A case of cardiac arrest during anaesthesia. PMID- 18149929 TI - Tubocurarine in the Trendelenburg position. PMID- 18149930 TI - Wide-bore endotracheal connections. PMID- 18149931 TI - [Not Available]. PMID- 18149932 TI - [Not Available]. PMID- 18149933 TI - The phenomenon of lysogenicity in staphylococci. PMID- 18149934 TI - The isolation in eggs of a new filtrable agent which may be the cause of bovine lumpy skin disease. PMID- 18149935 TI - A method of estimating streptomycin in serum and other body fluids by diffusion through agar enclosed in glass tubes. PMID- 18149936 TI - The effect of artificial fertilizers and dung on the members of amoebae in Rothamsted soils. PMID- 18149937 TI - The assimilation of glutamic acid by yeast. PMID- 18149938 TI - Adaptation of Sporocytophaga myxococcoides to sugars. PMID- 18149939 TI - The lecithinase of Bacillus cereus and its comparison with Clostridium welchii alpha-toxin. PMID- 18149940 TI - The incidence of penicillin-sensitive variant colonies in penicillinase-producing strains of Staphylococcus pyogenes. PMID- 18149941 TI - The fermentation of trehalose by yeasts and its taxonomic implications. PMID- 18149942 TI - The susceptibility of viruses to ethyl ether. PMID- 18149943 TI - The investigation of influenza and related viruses in the electron microscope, by a new technique. PMID- 18149944 TI - A technique for examining large numbers of bacterial culture filtrates by partition chromatography. PMID- 18149945 TI - The examination, by partition paper chromatography, of the nitrogen metabolism of bacteria. PMID- 18149946 TI - On the incidence of cancer in Oak Ridge, Tennessee. PMID- 18149947 TI - The use of interstitial radon seeds and needles in inoperable lung cancer. PMID- 18149948 TI - Carcinoma of the sigmoid colon, rectum, and anal canal; a clinicopathological analysis of 150 cases. PMID- 18149949 TI - Endometrial cancer and hepatic cirrhosis. PMID- 18149950 TI - The vaginal smear; the ease and difficulty of its evaluation. PMID- 18149951 TI - Sclerosing adenosis. PMID- 18149952 TI - Exfoliated pancreatic cancer cells in duodenal drainage; a case report. PMID- 18149953 TI - Hemologous and heterologous growth of transplants of various tissues during the course of development in the mouse. PMID- 18149954 TI - Multiple primary tumors in the rabbit. PMID- 18149955 TI - Distribution of globulin-bound thyroid fractions of iodine in normal and tumorous animals after intravenous administration using radioiodine as a tracer. PMID- 18149956 TI - The zone of localization of antibodies; the specific localization of antibodies to rat kidney. PMID- 18149957 TI - A study of the inhibition of tumor growth in mice and rats with 10-methyl-1,2 benzanthracene and derivatives related to the nitrogen and sulfur beta chloroethyl vesicants. PMID- 18149958 TI - Malignant and potentially malignant intrathoracic tumors. PMID- 18149959 TI - [Not Available]. PMID- 18149960 TI - [Not Available]. PMID- 18149961 TI - [Not Available]. PMID- 18149962 TI - Influence of sodium chloride upon the actions of desoxycorticosteron acetate. PMID- 18149963 TI - Plasma tocopherol levels in cardiac patients. PMID- 18149964 TI - The potential differences between multiple central terminals each connected to a separate set of limb electrodes. PMID- 18149965 TI - Clinical studies of 21 cases of coarctation of the aorta. PMID- 18149966 TI - A clinical study of subacute bacterial infection confined to the right side of the heart or the pulmonary artery. PMID- 18149967 TI - The effect of sympathetic stimulation on auricular flutter. PMID- 18149968 TI - Electrocardiographic changes on tilting. PMID- 18149969 TI - Quantitative studies on ventilation during inhalation of carbon dioxide in normal and emphysematous patients. PMID- 18149970 TI - Intracavity and esophageal potentials in right ventricular hypertrophy. PMID- 18149971 TI - The electrocardiogram in familial periodic paralysis. PMID- 18149972 TI - Complete heart block complicating pregnancy. PMID- 18149973 TI - Contribution to the pathogenesis of chronic cor pulmonale; report of a case with multiple aneurysms, intravascular bands, and old massive thrombosis of the pulmonary artery. PMID- 18149974 TI - [Not Available]. PMID- 18149975 TI - [Not Available]. PMID- 18149976 TI - [Not Available]. PMID- 18149977 TI - [Not Available]. PMID- 18149978 TI - [Not Available]. PMID- 18149979 TI - A method of treatment of obliterating endarteriitis, with trophic lesions, in the extremities; the eutrophic effect of niacin derivatives. PMID- 18149980 TI - [Not Available]. PMID- 18149981 TI - [Not Available]. PMID- 18149982 TI - [Not Available]. PMID- 18149983 TI - [Not Available]. PMID- 18149984 TI - [Not Available]. PMID- 18149985 TI - Growth studies on Tetrahymena geleii H. PMID- 18149986 TI - Studies on proteins from bovine colostrum; the homologous and heterologous transfer of ingested protein to the blood stream of the young animal. PMID- 18149987 TI - Preparation of cystine from radioactive sulfur. PMID- 18149988 TI - Radioactive Lcystine and D-methionine; a study of the resolution of radioactive racemates by isotopic dilution. PMID- 18149989 TI - Studies on cholinesterase; kinetics of the inhibition of acetylcholine esterase. PMID- 18149990 TI - Phosphoglucomutase; purification and properties. PMID- 18149991 TI - Phosphoglucomutase; mechanism of action. PMID- 18149992 TI - Accumulation of labile phosphate in Staphylococcus aureus grown in the presence of penicillin. PMID- 18149993 TI - Isolation of some crystalline yellow peptides from enzymic digests of dinitrophenyl insulin and dinitrophenyl trypsinogen. PMID- 18149994 TI - Metabolism of dehydroisoandrosterone in a woman before and after removal of an adrenocortical tumor. PMID- 18149995 TI - The veratrine alkaloids; the structure of rubijervine. PMID- 18149996 TI - Inhibition of the enzymic oxidation of xanthine and xanthopterin by pteridines. PMID- 18149997 TI - Thermal coagulation of serum proteins; the effects of iodoacetate, iodoacetamide, and thiol compounds on coagulation. PMID- 18149998 TI - The molecular size and shape of the pancreatic proteases; sedimentation studies on chymotrypsinogen and on alpha- and gamma-chymotrypsin. PMID- 18149999 TI - [Not Available]. PMID- 18150000 TI - [Not Available]. PMID- 18150001 TI - [Not Available]. PMID- 18150002 TI - The kinetics of the amidase and esterase activities of trypsin. PMID- 18150003 TI - The metabolism of C14-labeled glucose by the rat diaphragm in vitro. PMID- 18150004 TI - The incorporation of labeled lysine into the proteins of guinea pig liver homogenate. PMID- 18150005 TI - A peptide fraction in liver. PMID- 18150006 TI - Metabolic functions of biotin; the role of biotin in bicarbonate utilization by Lactobacillus arabinosus studied with C14. PMID- 18150007 TI - Metabolic functions of biotin; the fixation of carbon dioxide by normal and biotin-deficient rats. PMID- 18150008 TI - Photometric measurement of plasma pH. PMID- 18150009 TI - Photometric measurement of urine pH. PMID- 18150010 TI - Preparation of ribonucleosides from small amounts of ribonucleic acid. PMID- 18150011 TI - The use of isotopic carbon in a study of the metabolism of anthranilic acid in Neurospora. PMID- 18150012 TI - Carnosinase; an enzyme of swine kidney. PMID- 18150013 TI - The chemical nature and mode of action of pancreatic carboxypeptidase. PMID- 18150014 TI - Papain resolution of dl-tryptophan; optical specificity of carboxypeptidase. PMID- 18150015 TI - The effect of thyroid activity on certain anabolic processes studied with the aid of deuterium. PMID- 18150016 TI - Studies on the cyclophorase system; D-aspartic oxidase. PMID- 18150017 TI - The metabolism of acetone by surviving rat liver. PMID- 18150018 TI - Electron microscopy of fibrinogen and fibrin. PMID- 18150019 TI - A colorimetric method for the determination of peroxidase in plant material. PMID- 18150020 TI - A colorimetric method for the determination of cytochrome oxidase. PMID- 18150021 TI - Protection of glycolysis in mouse brain homogenates by amides and esters of amino acids. PMID- 18150022 TI - Microestimation of alpha-amino acids with peri-naphthindan-2,3,4-trione hydrate. PMID- 18150023 TI - Direct utilization of maltose by Escherichia coli. PMID- 18150024 TI - The utilization of D-glutamic acid by Lactobacillus arabinosus 175. PMID- 18150025 TI - Action pattern of crystalline muscle phosphorylase. PMID- 18150026 TI - Oxidation of fatty acids and tricarboxylic acid cycle intermediates by isolated rat liver mitochondria. PMID- 18150027 TI - Ultracentrifugal studies of lipoproteins of human serum. PMID- 18150028 TI - Chromatography of purines and pyrimidines on starch columns. PMID- 18150029 TI - An isotopic study of porphyrin and hemoglobin metabolism in a case of porphyria. PMID- 18150030 TI - The action of insulin on the distribution of galactose in eviscerated nephrectomized dogs. PMID- 18150031 TI - Radiocolloidal behavior of some fission products. PMID- 18150032 TI - Pulse height distribution analyzer. PMID- 18150033 TI - Clinical approach to orthodontic therapy. PMID- 18150034 TI - A professional man's approach to public relations. PMID- 18150035 TI - The past year in dental research. PMID- 18150036 TI - [Not Available]. PMID- 18150037 TI - [Not Available]. PMID- 18150039 TI - Water fluorination proves its value. PMID- 18150038 TI - The use of cast platinum and baked porcelain in dental restorations. PMID- 18150040 TI - The accuracy and practical value of records of condyle path inclination. PMID- 18150041 TI - The field of research in dentistry. PMID- 18150042 TI - Temperature and humidity control with silicate cement restorations. PMID- 18150043 TI - Dental caries data obtained by simplified method and correlated with fluorine data in four Wyoming cities. PMID- 18150044 TI - Public dental health programs in Switzerland. PMID- 18150045 TI - Relation between caries experience and poliomyelitis in Minneapolis school children, 1946 epidemic. PMID- 18150046 TI - Dental prosthesis is definitely the responsibility of the dentist. PMID- 18150047 TI - Ten musts in planning for dental health. PMID- 18150049 TI - Fracture of the mandible; report of a case. PMID- 18150048 TI - Multiple impactions; a case report. PMID- 18150050 TI - Periodontal aspects of partial denture design. PMID- 18150051 TI - Surface active agents in dental therapeutics. PMID- 18150052 TI - Administration of the dental health program by the State Education Department. PMID- 18150053 TI - Alpha and beta amylase. PMID- 18150054 TI - [Maxillofacial surgery in Latin America; debriefing]. PMID- 18150055 TI - [Orthodontics and periodontitis]. PMID- 18150056 TI - [Harmfulness of toothbrushes today]. PMID- 18150057 TI - [Tuberculous glossodynia; pathogenetic study and treatment]. PMID- 18150058 TI - [Not Available]. PMID- 18150059 TI - [Not Available]. PMID- 18150060 TI - [Not Available]. PMID- 18150061 TI - [Not Available]. PMID- 18150062 TI - [Not Available]. PMID- 18150063 TI - [Not Available]. PMID- 18150065 TI - [Not Available]. PMID- 18150064 TI - [Not Available]. PMID- 18150066 TI - [Not Available]. PMID- 18150067 TI - [Not Available]. PMID- 18150068 TI - [Not Available]. PMID- 18150069 TI - [Not Available]. PMID- 18150070 TI - [Not Available]. PMID- 18150071 TI - [Not Available]. PMID- 18150072 TI - [Not Available]. PMID- 18150073 TI - [Not Available]. PMID- 18150074 TI - [Not Available]. PMID- 18150075 TI - [Not Available]. PMID- 18150076 TI - The new ointment bases of the British Pharmocopoeia, 1948. PMID- 18150077 TI - A clinical study of eczema of the nipple and areola, and its treatment with oestrogenic hormone. PMID- 18150078 TI - An effective approach in the treatment of acne. PMID- 18150079 TI - A reducing substance in the urine of patients receiving sodium para aminobenzoate. PMID- 18150080 TI - Inhibition of itchy skin with tetraethylammonium. PMID- 18150081 TI - Quality, intensity and field distribution of radiation emitted from a new type of low voltage roentgen therapy tube. PMID- 18150082 TI - Subcutaneous fat necrosis of the newborn; certain etiologic considerations. PMID- 18150083 TI - The combined effect of sulfanilamide and penicillin in treatment of experimental Erysipelothrix rhusiopathiae infection of mice. PMID- 18150084 TI - Local injections of a preparation of hyaluronidase in the treatment of mucinous infiltration of the skin. PMID- 18150085 TI - Local injections of a preparation of hyaluronidase in the treatment of localized (pretibial) myxedema. PMID- 18150086 TI - [Not Available]. PMID- 18150087 TI - [Not Available]. PMID- 18150088 TI - [Not Available]. PMID- 18150089 TI - [Not Available]. PMID- 18150090 TI - [Not Available]. PMID- 18150091 TI - [Not Available]. PMID- 18150092 TI - The secretion test of pancreatic function and its use in steatorrhoea. PMID- 18150093 TI - [Not Available]. PMID- 18150094 TI - [Not Available]. PMID- 18150095 TI - Hormonal effects on the nucleic acid and phospholipid turnover of rat liver and thymus. PMID- 18150096 TI - A modified Pettenkofer reaction for the quantitative estimation of dehydroisoandrosterone and its application to analysis of urinary extracts and fractionations. PMID- 18150097 TI - The relative growth of the thyroid gland in the bovine fetus. PMID- 18150098 TI - The accumulation of thyroxine-like and other iodine compounds in the fetal bovine thyroid. PMID- 18150099 TI - Relationships of diet to the duration of survival, body weight and composition of hypophysectomized rats. PMID- 18150100 TI - Mode of action of oestrogens on the corpus luteum. PMID- 18150101 TI - Quantitative bio-assay of chorionic gonadotrophin with the male frog. PMID- 18150102 TI - Comparative activity of thiouracil and other antithyroid compounds in the rhesus monkey. PMID- 18150103 TI - A note on epithelial metaplasia in the male genital tract. PMID- 18150104 TI - A new reagent for the histochemical demonstration of active carbonyl groups; a new method for staining ketonic steroids. PMID- 18150105 TI - A new reagent for the histochemical demonstration of active carbonyl groups; the preparation of 2-hydroxynaphthalene carboxylic and sulfonic acid hydrazides. PMID- 18150106 TI - 1-Methyl-2-mercaptoimidazole; an antithyroid compound highly active in man. PMID- 18150107 TI - [Not Available]. PMID- 18150108 TI - [Not Available]. PMID- 18150110 TI - [Not Available]. PMID- 18150109 TI - [Not Available]. PMID- 18150111 TI - [Not Available]. PMID- 18150112 TI - [Not Available]. PMID- 18150113 TI - [Not Available]. PMID- 18150115 TI - [Not Available]. PMID- 18150114 TI - [Not Available]. PMID- 18150116 TI - [Not Available]. PMID- 18150117 TI - The physiology of lactation. PMID- 18150118 TI - Old age as a social problem. PMID- 18150119 TI - Skill and age. PMID- 18150120 TI - Technique and economic organisation among primitive peoples. PMID- 18150122 TI - Problems of old age. PMID- 18150121 TI - Non-linear vibrations. PMID- 18150123 TI - The structure of insulin. PMID- 18150124 TI - Decimal counters and Greenwich mean time. PMID- 18150125 TI - The film in scientific research. PMID- 18150126 TI - The scientific film in international life. PMID- 18150127 TI - The application of insecticides by aircraft to the control of tsetse flies in South Africa. PMID- 18150128 TI - Studies of lighting and seeing for the student at home. PMID- 18150129 TI - Correction of light-sensitive cells for angle of incidence and spectral quality of light. PMID- 18150130 TI - Concrete as a protective barrier for gamma rays from radium. PMID- 18150131 TI - Transient vibration in an airplane wing obtained by several methods. PMID- 18150132 TI - Improved single-unit Schiefer abrasion testing machine. PMID- 18150133 TI - The neolithic problem in the prehistory of India. PMID- 18150134 TI - Soviet genetics; the real issue. PMID- 18150135 TI - Structure of the sperm-nests in the oviduct of the domestic hen. PMID- 18150136 TI - Tubular factors in the development of extra-renal azotaemia. PMID- 18150137 TI - The resolution/brightness/contrast sensitivity of the eye in certain forms of picture reproduction. PMID- 18150138 TI - A saline agglutinating Kell antibody. PMID- 18150139 TI - D.D.T. resistance in houseflies in Denmark. PMID- 18150140 TI - Effects of light intensity and day-length on reproduction in the English sparrow. PMID- 18150141 TI - National health insurance. PMID- 18150142 TI - Muscle research. PMID- 18150143 TI - The social amoebae. PMID- 18150144 TI - Walpurgis week in the Soviet Union. PMID- 18150145 TI - Aerosols. PMID- 18150146 TI - Exploring the ozonosphere. PMID- 18150147 TI - New optical glasses. PMID- 18150149 TI - The zone of activity of antibodies as determined by the use of radioactive tracers. PMID- 18150148 TI - The treatment of human thyroid disease with radioactive iodine. PMID- 18150150 TI - The anti-borrelia effect of borrelidin. PMID- 18150151 TI - Enhancement of penicillin activity by borrelidin. PMID- 18150152 TI - Precision colorimetry. PMID- 18150153 TI - [Clinical considerations on the possible functional independence of the two uterine horns in double uteri]. PMID- 18150154 TI - [Contribution to the study of the manifestations of Nicolas and Favre disease in gynecology]. PMID- 18150155 TI - [Final three years of activity at the School of Midwifery in Vercelli and adjoining hospice ward, 1945-1948]. PMID- 18150156 TI - The clinical association of macrocytic anemia with intestinal stricture and anastomosis. PMID- 18150157 TI - The experimental production of macrocytic anemia by operations of the intestinal tract. PMID- 18150158 TI - The blood counts of the adult albino rat. PMID- 18150159 TI - Observations on the effect of an animal protein factor concentrate on persons with the macrocytic anemia of pernicious anemia, of nutritional macrocytic anemia and of sprue, and on persons with nutritional glossitis. PMID- 18150160 TI - Pernicious anemia and related anemias treated with vitamin B12. PMID- 18150161 TI - The effect of various anticoagulants on the specific gravity of blood and of plasma, and on the hematocrit. PMID- 18150162 TI - The Kell-Cellano (K-k) genetic system of human blood factors. PMID- 18150163 TI - Buying and reception of goods. PMID- 18150164 TI - Pest control. PMID- 18150165 TI - The working of joint consultative committees. PMID- 18150166 TI - Problems of group administration; a sanatoria group. PMID- 18150167 TI - The costs system. PMID- 18150168 TI - TELEVISION an aid to teaching surgery. PMID- 18150169 TI - Malaria control progress and problems. PMID- 18150170 TI - The identification and distribution of Chinese anopheline mosquitoes. PMID- 18150172 TI - Anopheles quadrimaculatus activity patterns in the laboratory on untreated and DDT-treated surfaces. PMID- 18150171 TI - Laboratory studies on the resistance of Anopheles quadrimaculatus to DDT and other insecticides. PMID- 18150173 TI - Seasonal history of Anopheles quadrimaculatus in the Tennessee Valley. PMID- 18150174 TI - Overwintering of Anopheles crucians Wied. in south Carolina. PMID- 18150175 TI - The natural occurrence of antithyroid compounds as a cause of simple goiter. PMID- 18150176 TI - Clinical angiocardiography; a critical analysis of the indications and findings. PMID- 18150177 TI - Polimyelitis; early diagnosis and early management of acute cases. PMID- 18150178 TI - Syncope; a review. PMID- 18150180 TI - Therapeutic possibilities of para-amino-benzoic acid. PMID- 18150179 TI - Comparative studies on the iodine absorption of anayodin, chiniofon, diodoquin, and vioform in man. PMID- 18150181 TI - [Not Available]. PMID- 18150182 TI - [Not Available]. PMID- 18150183 TI - Relapsing tertian malaria; diagnosis and therapy. PMID- 18150184 TI - Vaginal anus in a patient having two normal deliveries. PMID- 18150185 TI - Observations on primary coccidioidomycosis. PMID- 18150186 TI - Hypersplenism; two cases with leg ulcers treated by splenectomy. PMID- 18150187 TI - A case of cystic fibrosis of the pancreas associated with chronic pulmonary disease and cirrhosis of the liver. PMID- 18150188 TI - Paralysis due to reduced serum potassium concentration during treatment of diabetic acidosis; report of case treated with 33 grams of potassium chloride intravenously. PMID- 18150189 TI - Sporotrichosis, a protean disease; with report of a disseminated subcutaneous gummatous case of the disease. PMID- 18150190 TI - The treatment of subacute bacterial endocarditis with penicillin and sodium paraaminohippurate by continuous intravenous drip. PMID- 18150192 TI - Psychotherapy in peptic ulcer. PMID- 18150191 TI - Insulin and weight gain in paraplegia. PMID- 18150193 TI - Colon surgery; a review. PMID- 18150194 TI - The surgically traumatized ureter; surgeon's viewpoint. PMID- 18150195 TI - Industrial aspects and management of craniocerebral injuries. PMID- 18150196 TI - [Not Available]. PMID- 18150197 TI - [Not Available]. PMID- 18150198 TI - [Not Available]. PMID- 18150200 TI - [Not Available]. PMID- 18150199 TI - [Not Available]. PMID- 18150201 TI - [Not Available]. PMID- 18150202 TI - [Not Available]. PMID- 18150203 TI - [Not Available]. PMID- 18150204 TI - [Not Available]. PMID- 18150205 TI - The spleen and splenectomy. PMID- 18150206 TI - Steatorrhoea and glossitis after ileocolostomy; effect of synthetic vitamins of B complex, autolysed yeast, and liver extract. PMID- 18150207 TI - The prognosis of certain hysterical symptoms. PMID- 18150208 TI - Streptomycin in finger infections. PMID- 18150209 TI - Perforated gastric ulcer associated with subcapsular haemorrhage of spleen. PMID- 18150210 TI - A new surgical suction pump. PMID- 18150211 TI - [Not Available]. PMID- 18150212 TI - [Not Available]. PMID- 18150213 TI - [Not Available]. PMID- 18150214 TI - [Not Available]. PMID- 18150215 TI - [Not Available]. PMID- 18150216 TI - [Not Available]. PMID- 18150217 TI - Post cholecystectomy symptoms. PMID- 18150218 TI - Subacute bacterial endocarditis treated with penicillin. PMID- 18150219 TI - Intravenous procaine; an evaluation of its use in therapy. PMID- 18150220 TI - Congenital absence of uterus and vagina; case report. PMID- 18150221 TI - [Not Available]. PMID- 18150222 TI - [Not Available]. PMID- 18150223 TI - Chemotherapy of lymphoma and leukemia. PMID- 18150225 TI - Clinical applications of radioactive materials. PMID- 18150224 TI - Clinical and psychologic aspects of cardiospasm. PMID- 18150226 TI - The relationship of anomalies of the crystalline lens to general medicine. PMID- 18150227 TI - Thrombosis in the arteriosclerotic limb. PMID- 18150228 TI - Uterine retrodisplacements and their management. PMID- 18150229 TI - [Not Available]. PMID- 18150230 TI - [Not Available]. PMID- 18150231 TI - [Not Available]. PMID- 18150232 TI - [Not Available]. PMID- 18150233 TI - [Not Available]. PMID- 18150234 TI - [Not Available]. PMID- 18150235 TI - [Not Available]. PMID- 18150236 TI - [Not Available]. PMID- 18150237 TI - [Not Available]. PMID- 18150238 TI - [Not Available]. PMID- 18150239 TI - [Not Available]. PMID- 18150240 TI - [Not Available]. PMID- 18150242 TI - [Not Available]. PMID- 18150241 TI - [Not Available]. PMID- 18150243 TI - [Not Available]. PMID- 18150244 TI - [Not Available]. PMID- 18150245 TI - [Not Available]. PMID- 18150246 TI - [Not Available]. PMID- 18150247 TI - [Not Available]. PMID- 18150249 TI - [Not Available]. PMID- 18150248 TI - [Not Available]. PMID- 18150250 TI - [Not Available]. PMID- 18150251 TI - [Not Available]. PMID- 18150252 TI - [Not Available]. PMID- 18150253 TI - [Not Available]. PMID- 18150254 TI - [Not Available]. PMID- 18150255 TI - [Not Available]. PMID- 18150256 TI - Clinical results of the use of a long intestinal tube of improved design. PMID- 18150257 TI - Rehabilitation of the amputee. PMID- 18150258 TI - [Not Available]. PMID- 18150259 TI - [Not Available]. PMID- 18150260 TI - [Not Available]. PMID- 18150261 TI - [Not Available]. PMID- 18150262 TI - [Not Available]. PMID- 18150263 TI - [Not Available]. PMID- 18150264 TI - [Not Available]. PMID- 18150265 TI - [Not Available]. PMID- 18150266 TI - [Not Available]. PMID- 18150267 TI - [Not Available]. PMID- 18150268 TI - [Not Available]. PMID- 18150270 TI - [Not Available]. PMID- 18150269 TI - [Not Available]. PMID- 18150271 TI - [Not Available]. PMID- 18150272 TI - [Not Available]. PMID- 18150273 TI - [Not Available]. PMID- 18150274 TI - [Not Available]. PMID- 18150275 TI - [Not Available]. PMID- 18150276 TI - [Not Available]. PMID- 18150277 TI - [Not Available]. PMID- 18150278 TI - [Not Available]. PMID- 18150279 TI - [Not Available]. PMID- 18150280 TI - [Not Available]. PMID- 18150281 TI - Racial incidence of mental disease in Hawaii. PMID- 18150282 TI - The cytologic diagnosis of cancer by the smear technic; technical methods. PMID- 18150283 TI - Paratyphoid a fever; first proven case in Hawaii. PMID- 18150284 TI - Pathology of icterus. PMID- 18150285 TI - Liver function tests. PMID- 18150286 TI - The pathology of diarrhoea and enteritis in children under 2 years of age. PMID- 18150287 TI - The anatomy of the human bronchial tree and pulmonary blood vessels. PMID- 18150288 TI - Therapeutic criteria in rheumatoid arthritis. PMID- 18150290 TI - Present position of radiotherapy in medical practice. PMID- 18150289 TI - Diethylstilbestrol in mumps orchitis; prophylactic and therapeutic use. PMID- 18150291 TI - Estimation of urinary sodium; a simple test for patients on low sodium diets. PMID- 18150292 TI - Some effects of myanesin in psychiatric patients. PMID- 18150293 TI - The detection of early cancer by means of periodic examination. PMID- 18150294 TI - [Not Available]. PMID- 18150295 TI - [Not Available]. PMID- 18150296 TI - [Not Available]. PMID- 18150297 TI - [Not Available]. PMID- 18150298 TI - [Not Available]. PMID- 18150299 TI - Nutrition and bone disease. PMID- 18150300 TI - Torula meningo-encephalitis. PMID- 18150301 TI - Morphologic effects of stilbamidine; report of autopsies in three stilbamidinetreated cases. PMID- 18150302 TI - Insulin resistance; case report. PMID- 18150304 TI - [Not Available]. PMID- 18150303 TI - Nucleic acid depolymerization in systemic lupus erythematosus. PMID- 18150305 TI - [Not Available]. PMID- 18150306 TI - [Not Available]. PMID- 18150307 TI - [Not Available]. PMID- 18150308 TI - [Not Available]. PMID- 18150309 TI - [Not Available]. PMID- 18150310 TI - [Not Available]. PMID- 18150311 TI - [Not Available]. PMID- 18150312 TI - [Not Available]. PMID- 18150313 TI - [Not Available]. PMID- 18150314 TI - [Not Available]. PMID- 18150315 TI - [Not Available]. PMID- 18150316 TI - [Not Available]. PMID- 18150317 TI - Feeding of premature babies. PMID- 18150318 TI - Testicular pain; its significance and localisation. PMID- 18150319 TI - Sudden death from tetraethylammonium bromide. PMID- 18150320 TI - Acute jejunitis; report of a case. PMID- 18150321 TI - Modification of Gordh's needle for repeated intravenous injections. PMID- 18150322 TI - The chronic sick under new management; experiences in starting a geriatric unit. PMID- 18150323 TI - Social medicine in the universities. PMID- 18150324 TI - The relation between the nutritional status of children and their food consumption. PMID- 18150325 TI - Medical sequelae of brain injury; a clinico-pathological study. PMID- 18150326 TI - Nutritional disease of the liver. PMID- 18150327 TI - An account of, and conclusions drawn from, 50 cases of anaesthesia with d tubocurarine chloride adjuvant. PMID- 18150328 TI - A case of temporal arteritis. PMID- 18150329 TI - The native in relation to the public health. PMID- 18150330 TI - Hyperkinetic or over-active babies. PMID- 18150331 TI - The making of abdominal incisions. PMID- 18150332 TI - The treatment of disseminated sclerosis by prolonged lowering of the blood prothrombin level. PMID- 18150333 TI - Cooley's anaemia; report of a case. PMID- 18150334 TI - Antibiotics in Australian plants and fungi. PMID- 18150335 TI - Streptomycin, polymyxin and chloromycetin. PMID- 18150336 TI - Recent developments in urology. PMID- 18150337 TI - Unusual complications of femoral hernia. PMID- 18150338 TI - The modern treatment of depression. PMID- 18150339 TI - Some dermatological hazards in the mining industry. PMID- 18150340 TI - Chest radiography; the clinical aspect. PMID- 18150341 TI - [Not Available]. PMID- 18150342 TI - [Not Available]. PMID- 18150343 TI - The investigation of photo-radiographic pick-up cases. PMID- 18150344 TI - Addison's disease. PMID- 18150345 TI - Haematuria as a symptom of acute appendicitis. PMID- 18150346 TI - Two cases of Bornholm's disease. PMID- 18150347 TI - ALLERGY with selected manifestations. PMID- 18150348 TI - Spanish psychiatry during the last decade. PMID- 18150349 TI - The Bellevue method for the treatment of carcinoma of the cervix. PMID- 18150350 TI - Evolution of some physiological concepts. PMID- 18150351 TI - [Not Available]. PMID- 18150352 TI - [Not Available]. PMID- 18150353 TI - [Not Available]. PMID- 18150354 TI - [Not Available]. PMID- 18150355 TI - [Not Available]. PMID- 18150356 TI - [Not Available]. PMID- 18150357 TI - [Not Available]. PMID- 18150359 TI - [Not Available]. PMID- 18150358 TI - [Not Available]. PMID- 18150360 TI - [Not Available]. PMID- 18150361 TI - [Not Available]. PMID- 18150362 TI - [Not Available]. PMID- 18150363 TI - [Not Available]. PMID- 18150364 TI - The etiology of rheumatic fever; a review of theories and evidence. PMID- 18150365 TI - Pulmonary insufficiency; a study of 122 cases of chronic pulmonary emphysema. PMID- 18150366 TI - [Not Available]. PMID- 18150367 TI - [Not Available]. PMID- 18150368 TI - [Not Available]. PMID- 18150369 TI - [Not Available]. PMID- 18150370 TI - [Not Available]. PMID- 18150371 TI - [Not Available]. PMID- 18150372 TI - Esophageal atresia with tracheosophageal fistula; epidemiologic and teratologic implications. PMID- 18150373 TI - Death due to cardiac disease following the use of emetine hydrochloride in conditioned-reflex treatment of chronic alcoholism. PMID- 18150374 TI - Medical care for the American people; is compulsory health insurance the solution? PMID- 18150375 TI - Practical aspects of better medical care. PMID- 18150376 TI - Psychosurgery. PMID- 18150377 TI - Polycythemia vera. PMID- 18150378 TI - Psychiatric treatment in psychosomatic illnesses. PMID- 18150379 TI - A comparative study of Loffler's and Weingarten's syndromes. PMID- 18150380 TI - Leprosy in its relation to the practicing physician. PMID- 18150381 TI - Interstitial pregnancy with perforation and intra-abdominal hemorrhage. PMID- 18150382 TI - Carcinoma of the female urethra. PMID- 18150383 TI - Allergic epilepsy. PMID- 18150384 TI - The diagnosis of the commoner parasitic diseases. PMID- 18150385 TI - [Not Available]. PMID- 18150387 TI - [Not Available]. PMID- 18150386 TI - [Not Available]. PMID- 18150388 TI - [Not Available]. PMID- 18150389 TI - [Not Available]. PMID- 18150390 TI - [Not Available]. PMID- 18150392 TI - [Not Available]. PMID- 18150391 TI - [Not Available]. PMID- 18150393 TI - [Pathogenesis and prophylaxis of gastric cancer]. PMID- 18150394 TI - [Determination of the cardiac output and the blood volume in the lungs and in the right and left heart by means of colour dilution curves]. PMID- 18150395 TI - [Electrocardiographic effects of tobacco smoking]. PMID- 18150396 TI - [Dissecting aneurysm of the aorta]. PMID- 18150397 TI - [Fatal benign lymphogranulomatosis]. PMID- 18150398 TI - [Pronounced eosinophilia in a child]. PMID- 18150399 TI - [Sedimentation reaction in normal aged persons]. PMID- 18150400 TI - [Not Available]. PMID- 18150401 TI - [Medicine in industry]. PMID- 18150402 TI - [Occupational diseases, some topical aspects]. PMID- 18150404 TI - [Some experiences of health control in industry]. PMID- 18150403 TI - [How to deal with cases of occupational diseases in relation to the Insurance Act]. PMID- 18150405 TI - [Types of occupational dermatosis]. PMID- 18150406 TI - [Vanadium pentoxide poisoning]. PMID- 18150407 TI - [Treatment of verrucae plantares]. PMID- 18150408 TI - [Not Available]. PMID- 18150409 TI - [Not Available]. PMID- 18150410 TI - [Not Available]. PMID- 18150411 TI - [Not Available]. PMID- 18150412 TI - [X-ray treatment of carcinoma of the cervix]. PMID- 18150413 TI - [Spinal cord bifurcation in cases of spina bifida]. PMID- 18150414 TI - SUCTION socket above-knee artificial leg. PMID- 18150415 TI - The use of kirksite for metal forming. PMID- 18150416 TI - [Not Available]. PMID- 18150417 TI - Ricerche sulla frequenza della microcitemia in Sicilia. PMID- 18150418 TI - [Not Available]. PMID- 18150419 TI - [Not Available]. PMID- 18150420 TI - [Not Available]. PMID- 18150421 TI - [Not Available]. PMID- 18150423 TI - [Clinical treatment of dermatosis with Ciba-antistine]. PMID- 18150422 TI - [Generalized tuberculosis of the lymphatic glands]. PMID- 18150424 TI - [Influence of penicillin on the production of haemotoxin by Clostridium perfringens type A]. PMID- 18150425 TI - [Toxoplasmosis]. PMID- 18150426 TI - [Blue sclera syndrome]. PMID- 18150427 TI - [Thallium poisoning]. PMID- 18150428 TI - [Reactions of the organisms to the climate of the low sites of highlands]. PMID- 18150430 TI - [Duplay's sundrome]. PMID- 18150431 TI - [Foreign bodies in the thorax and their significance in sports]. PMID- 18150429 TI - [Surgery of prostata, urethra and the testis]. PMID- 18150432 TI - [Injuries caused by the shuttle in textile industry]. PMID- 18150433 TI - [Pediatric surgery in France]. PMID- 18150434 TI - Crohn's disease. PMID- 18150435 TI - The clinical value of X-ray pelvimetry. PMID- 18150436 TI - The results of partial gastrectomy; a review of the follow-up of 180 cases of partial gastrectomy for peptic ulcer. PMID- 18150437 TI - [Not Available]. PMID- 18150438 TI - [Not Available]. PMID- 18150439 TI - [Not Available]. PMID- 18150440 TI - [Not Available]. PMID- 18150441 TI - [Not Available]. PMID- 18150442 TI - [Not Available]. PMID- 18150443 TI - [Not Available]. PMID- 18150444 TI - [Not Available]. PMID- 18150445 TI - [Not Available]. PMID- 18150446 TI - [Not Available]. PMID- 18150447 TI - [Not Available]. PMID- 18150448 TI - [Not Available]. PMID- 18150449 TI - [Not Available]. PMID- 18150450 TI - [Not Available]. PMID- 18150451 TI - [Not Available]. PMID- 18150452 TI - [Not Available]. PMID- 18150453 TI - [Not Available]. PMID- 18150454 TI - [Not Available]. PMID- 18150455 TI - [Not Available]. PMID- 18150457 TI - [Not Available]. PMID- 18150456 TI - [Not Available]. PMID- 18150458 TI - [Not Available]. PMID- 18150459 TI - Aureomycin in the treatment of penicillin-resistant staphylococcic bacteremia. PMID- 18150460 TI - Pathology of intrapulmonary arteries and arterioles in mitral stenosis. PMID- 18150461 TI - Congenital atresia of the esophagus with tracheo-esophageal fistula treated by primary esophageal anastomosis; report of eight cases. PMID- 18150462 TI - Senile hyaline scleral plaques; report of three cases. PMID- 18150463 TI - Streptomycin treatment of ozena. PMID- 18150464 TI - [Not Available]. PMID- 18150465 TI - The radioisotopes in medicine. PMID- 18150466 TI - An appraisal of the developmental deformities in cleft-palate and cleft-lip individuals. PMID- 18150467 TI - Axon branching in nerve regeneration and its trophic effect on muscle. PMID- 18150468 TI - Work at high altitude; utilization of thiamin and riboflavin at low and high dietary intake; effect of work and rest. PMID- 18150469 TI - Fecal excretion of nutrients in impaired absorption; an analysis of available quantitative data. PMID- 18150470 TI - Medical television. PMID- 18150471 TI - The heating of human and animal tissues by means of high frequency current of 12 cms. wavelength (the microtherm). PMID- 18150472 TI - The most common dermatoses in clinical practice. PMID- 18150473 TI - Sickness and health in Spoon River. PMID- 18150474 TI - [Not Available]. PMID- 18150475 TI - [Not Available]. PMID- 18150476 TI - [Not Available]. PMID- 18150477 TI - [Not Available]. PMID- 18150478 TI - [Not Available]. PMID- 18150479 TI - [Not Available]. PMID- 18150480 TI - [Not Available]. PMID- 18150481 TI - [Not Available]. PMID- 18150482 TI - [Not Available]. PMID- 18150483 TI - [Not Available]. PMID- 18150484 TI - [Not Available]. PMID- 18150485 TI - [Not Available]. PMID- 18150486 TI - [Not Available]. PMID- 18150487 TI - [Not Available]. PMID- 18150488 TI - [Not Available]. PMID- 18150489 TI - [Not Available]. PMID- 18150490 TI - [Not Available]. PMID- 18150491 TI - [Not Available]. PMID- 18150492 TI - [Not Available]. PMID- 18150493 TI - [Not Available]. PMID- 18150494 TI - [Not Available]. PMID- 18150495 TI - [Not Available]. PMID- 18150496 TI - [Not Available]. PMID- 18150497 TI - [Not Available]. PMID- 18150498 TI - [Not Available]. PMID- 18150499 TI - [Not Available]. PMID- 18150500 TI - [Not Available]. PMID- 18150501 TI - [Not Available]. PMID- 18150502 TI - [Not Available]. PMID- 18150503 TI - [Not Available]. PMID- 18150504 TI - [Not Available]. PMID- 18150506 TI - [Not Available]. PMID- 18150505 TI - [Not Available]. PMID- 18150507 TI - [Not Available]. PMID- 18150508 TI - [Not Available]. PMID- 18150509 TI - [Not Available]. PMID- 18150510 TI - The increase in weight during infancy after BCG vaccination especially during the first 3 months of age. PMID- 18150511 TI - Studies on gastric achylia with special regard to neutral red excretion. PMID- 18150512 TI - The fate of an intraneural injection as demonstrated by the use of radio-active phosphorus. PMID- 18150513 TI - [Not Available]. PMID- 18150514 TI - [Not Available]. PMID- 18150515 TI - Shadwell laryngoscope in treatment of asphyxia neonatorum. PMID- 18150516 TI - The bovine cervical thymus and its involution. PMID- 18150517 TI - [Not Available]. PMID- 18150518 TI - [Not Available]. PMID- 18150519 TI - [Not Available]. PMID- 18150520 TI - [Not Available]. PMID- 18150521 TI - [Not Available]. PMID- 18150522 TI - [Not Available]. PMID- 18150523 TI - Salesmanship and military preventive medicine. PMID- 18150524 TI - Frozen foods in the tropics. PMID- 18150525 TI - Hospital administration courses in the United States Army. PMID- 18150526 TI - Neuropsychiatric nursing. PMID- 18150527 TI - Graduate educational program for Army Nurse Corps. PMID- 18150528 TI - Rapid test for serum protein alterations. PMID- 18150529 TI - Experience with spinal anesthesia in obstetrics. PMID- 18150530 TI - Plastic web reconstruction for soft corn of fourth interspace. PMID- 18150531 TI - Scoliosis with paraplegia. PMID- 18150532 TI - Polyostotic fibrous dysplasia; Albright's syndrome; a review of the literature and report of four male cases, two of which were associated with precocious puberty. PMID- 18150533 TI - Types of displacement in fractures of the femoral neck and observations on impaction of fractures. PMID- 18150534 TI - The treatment of trochanteric fractures of the femur. PMID- 18150535 TI - Bone concavity caused by a ganglion. PMID- 18150536 TI - Ischio-femoral arthrodesis of the hip by posterior open approach. PMID- 18150537 TI - Neurofibroma of the sole in a case of von Recklinghausen's disease. PMID- 18150538 TI - The pathology of osteoclastoma or giant-cell tumour of bone. PMID- 18150539 TI - Osteoclastoma; a study of 38 cases. PMID- 18150541 TI - Chondro-osteo-dystrophy, Morquio-Brailsford type. PMID- 18150540 TI - Treatment of osteoclastoma by radiation. PMID- 18150542 TI - Gargoylism. PMID- 18150543 TI - Orthopaedic surgery in the 16. and 17. centuries; traction apparatus; the vidian pictures. PMID- 18150544 TI - [Not Available]. PMID- 18150545 TI - [Not Available]. PMID- 18150546 TI - [Not Available]. PMID- 18150547 TI - [Not Available]. PMID- 18150548 TI - [Not Available]. PMID- 18150549 TI - [Not Available]. PMID- 18150550 TI - [Not Available]. PMID- 18150551 TI - [Not Available]. PMID- 18150552 TI - [Not Available]. PMID- 18150554 TI - Psychiatry in the criminal courts. PMID- 18150553 TI - [Not Available]. PMID- 18150555 TI - The tasks of psychiatry. PMID- 18150556 TI - The long-term results of injuries of the head; a medical, economical and sociological survey. PMID- 18150557 TI - The test performance of the encephalopathic. PMID- 18150558 TI - Birth injury as a cause of mental defect; the statistical problem. PMID- 18150559 TI - A case of hystero-epilepsy successfully treated by deep analytic psychotherapy. PMID- 18150560 TI - Clinico-anatomical studies of frontal lobe function based on leucotomy material. PMID- 18150561 TI - The effect of leucotomy on creative ability. PMID- 18150562 TI - Preliminary report of changes after prefrontal leucotomy. PMID- 18150563 TI - The dual personality of Philip Heseltine. PMID- 18150564 TI - The electroencephalogram after head injury. PMID- 18150565 TI - Varieties of electrical shock therapy. PMID- 18150566 TI - Heredofamilial cerebellar ataxia with spastic paralysis and spinal muscular atrophy; report of two cases of an unusual syndrome. PMID- 18150567 TI - Auditory hallucinations and subvocal speech; objective study in a case of schizophrenia. PMID- 18150569 TI - Management of neurosyphilis. PMID- 18150568 TI - The infusion of fluids into the subarachnoid space of human beings. PMID- 18150570 TI - The physiological effects of anesthesia. PMID- 18150571 TI - Nursing in India and Pakistan. PMID- 18150572 TI - The nurse and spontaneous recovery in schizophrenia. PMID- 18150574 TI - Minor disorders in infancy. PMID- 18150573 TI - Nursing care in corneal ulcer. PMID- 18150575 TI - Colostomy in a child. PMID- 18150576 TI - New procedures in gynecological nursing. PMID- 18150577 TI - [Not Available]. PMID- 18150578 TI - Kwakzalverij. PMID- 18150579 TI - Modern trends in nurse training and nursing practice. PMID- 18150580 TI - The snake pit; controversial American film on mental hospital life. PMID- 18150581 TI - Anxiety psychoneurosis. PMID- 18150582 TI - Pulmonary tuberculosis treated by chemotherapy. PMID- 18150583 TI - Ultraviolet irradiation of beef and pork for low temperature storage. PMID- 18150584 TI - Some effects on swelling power of wheat starch of Soxhlet extraction with methanol and composition of the cooking liquid. PMID- 18150585 TI - Rapid determination of collagen in beef by Waring blendor and centrifuge technique. PMID- 18150586 TI - Solubility of oxygen in solutions of various sugars. PMID- 18150587 TI - Effect of sugars on conversion of dehydro ascorbic acid. PMID- 18150588 TI - Cooking losses, tenderness, palatability, and thiamine and riboflavin content of beef as affected by roasting, pressure saucepan cooking, and broiling. PMID- 18150589 TI - Cracked ice and preservation of stored fruits and vegetables. PMID- 18150590 TI - An improved microscopic method of examining fatty foods. PMID- 18150591 TI - Effect of freezing and freezer storage on the ascorbic acid content of muskmelon, grapefruit sections, and strawberry puree. PMID- 18150592 TI - Thermal processing of canned foods in tin containers; effect of retorting procedures on sterilization values in canned foods. PMID- 18150593 TI - Stability of color in fruit juices. PMID- 18150594 TI - The utilization of lactose by the mature fowl. PMID- 18150595 TI - Vitamin B6 deficiency in the Syrian hamster. PMID- 18150596 TI - Urinary excretion of amino acids and peptides by dogs fed protein hydrolysates of amino acids. PMID- 18150597 TI - The effect of fat on calcium and phosphorus metabolism in normal growing rats under a normal dietary regime. PMID- 18150598 TI - Purified amino acids as a source of nitrogen for the growing rat. PMID- 18150599 TI - The choline requirement of the baby pig. PMID- 18150600 TI - The biological value of corn and wheat proteins in the male infant, with a note on the utilization of D-tryptophan. PMID- 18150601 TI - The availability of vitamins from yeasts; differences in the influence of live yeast on the absorption of pure thiamine hydrochloride, pure riboflavin and nitrogen by human subjects, and the effect of distribution of the vitamin doses. PMID- 18150602 TI - The distribution of thiamine in the embryonated hen egg; the content of the whole embryo. PMID- 18150603 TI - The influence of high levels of fat with suboptimum levels of riboflavin on the growth of chicks. PMID- 18150604 TI - Effect of fat in the diet of rats on their growth and their excretion of amino acids. PMID- 18150605 TI - The distribution of thiamine in the embryonated hen egg; the content of embryonic tissues. PMID- 18150606 TI - Surgical treatment of tumors and cysts of the orbit. PMID- 18150607 TI - The effect of retrobulbar alcohol injection on the eyes of experimental animals. PMID- 18150608 TI - Histopathology of interstitial keratitis due to congenital syphilis. PMID- 18150609 TI - Streptomycin in clinical ophthalmology. PMID- 18150610 TI - Fundus lesions in tuberculous meningitis and miliary pulmonary tuberculosis treated with streptomycin (transl.). PMID- 18150611 TI - Removal of intraocular nonmagnetic foreign bodies; with a report of six cases. PMID- 18150612 TI - Evaluation of aniseikonic case reports. PMID- 18150614 TI - Refraction clinic. PMID- 18150613 TI - Alnico-5 permanent hand magnet for the removal of magnetic intraocular foreign bodies. PMID- 18150615 TI - Eyelash buried in clear lens substance. PMID- 18150616 TI - Monocular aphakia and exotropia corrected by contact lenses. PMID- 18150617 TI - Intraocular nonmagnetic foreign bodies. PMID- 18150618 TI - Cerebrovascular resistance and grade of hypertensive retinal findings. PMID- 18150619 TI - Exophthalmos and its surgical treatment. PMID- 18150620 TI - The effect of measuring driving ability. PMID- 18150621 TI - Role of allergy in the epidemiology of the common cold. PMID- 18150622 TI - Which is the preferable method of performing the caloric test? PMID- 18150623 TI - Benign cysts of the paranasal sinuses. PMID- 18150624 TI - Mixed tumor of the region of the head. PMID- 18150625 TI - Simplified penicillin nebulizer apparatus. PMID- 18150626 TI - Otosclerosis; an index of the literature, with abstracts, for 1947. PMID- 18150628 TI - The fenestration operation; early experience. PMID- 18150627 TI - Otogenic intracranial hypertension. PMID- 18150629 TI - A case of acute laryngo-tracheobronchitis. PMID- 18150630 TI - Contribution to the etiology, prevention and treatment of hemorrhages in the field of rhinolarygngology. PMID- 18150631 TI - [Not Available]. PMID- 18150632 TI - [Not Available]. PMID- 18150633 TI - [Not Available]. PMID- 18150634 TI - [Not Available]. PMID- 18150635 TI - Experimental ovarian tumors in rats. PMID- 18150636 TI - On the neurogenesis of so-called granular cell myoblastoma. PMID- 18150637 TI - The diffusely enlarged uterus. PMID- 18150639 TI - Epidermoid cyst of the spleen; report of a case. PMID- 18150638 TI - Observations on the occurrence of varices of the esophagus in routine autopsy material. PMID- 18150640 TI - Simulated homicide; report of a case of obstructive laryngeal papilloma in a child. PMID- 18150642 TI - Pulmonary adenomatosis of man; a review of the literature and a report of nine cases. PMID- 18150641 TI - Wound of recent operation; exploratory laparotomy and excision of portion of neoplasm of stomach for biopsy. PMID- 18150643 TI - The megakaryocyte; pseudothrombocytes. PMID- 18150644 TI - Adrenal pheochromocytoma. PMID- 18150645 TI - Effect of tripelennamine hydrochloride on burn shock. PMID- 18150646 TI - Meckel's diverticulum with aberrant pancreatic tissue and a polyp containing gastric glands. PMID- 18150647 TI - Ovomucin, a substrate for the enzyme of influenza virus; ovomucin as an inhibitor of haemagglutination by heated Lee virus. PMID- 18150648 TI - The application of paper partition chromatography to the production of diphtheria toxin; two-dimensional chromatography. PMID- 18150649 TI - Laterosporin A and laterosporin B, antibiotics produced by B. laterosporus. PMID- 18150650 TI - Antibiotics from Aspergilli. PMID- 18150651 TI - The nature of some antibiotics from Aspergilli. PMID- 18150652 TI - An antibiotic produced by Staphylococcus aureus. PMID- 18150653 TI - Electron-microscopical studies on the mechanism of lysis and the multiplication of bacteriophage of Bact. coli. PMID- 18150654 TI - Antibiotics from penicillia. PMID- 18150655 TI - [Not Available]. PMID- 18150656 TI - [Not Available]. PMID- 18150657 TI - [Not Available]. PMID- 18150658 TI - [Not Available]. PMID- 18150659 TI - [Not Available]. PMID- 18150660 TI - [Not Available]. PMID- 18150661 TI - [Not Available]. PMID- 18150662 TI - [Not Available]. PMID- 18150663 TI - [Not Available]. PMID- 18150664 TI - [Not Available]. PMID- 18150665 TI - [Not Available]. PMID- 18150666 TI - [Not Available]. PMID- 18150667 TI - [Not Available]. PMID- 18150668 TI - [Not Available]. PMID- 18150669 TI - [Not Available]. PMID- 18150670 TI - [Not Available]. PMID- 18150672 TI - [Not Available]. PMID- 18150671 TI - [Not Available]. PMID- 18150673 TI - [Not Available]. PMID- 18150674 TI - [Not Available]. PMID- 18150675 TI - [Not Available]. PMID- 18150676 TI - [Not Available]. PMID- 18150677 TI - [Not Available]. PMID- 18150678 TI - [Not Available]. PMID- 18150679 TI - [Not Available]. PMID- 18150680 TI - [Not Available]. PMID- 18150681 TI - [Not Available]. PMID- 18150682 TI - [Not Available]. PMID- 18150683 TI - [Not Available]. PMID- 18150684 TI - [Not Available]. PMID- 18150685 TI - [Not Available]. PMID- 18150686 TI - [Not Available]. PMID- 18150687 TI - [Not Available]. PMID- 18150688 TI - [Not Available]. PMID- 18150689 TI - [Not Available]. PMID- 18150690 TI - [Not Available]. PMID- 18150691 TI - [Not Available]. PMID- 18150692 TI - [Not Available]. PMID- 18150693 TI - [Not Available]. PMID- 18150694 TI - [Not Available]. PMID- 18150695 TI - [Not Available]. PMID- 18150696 TI - [Not Available]. PMID- 18150697 TI - Influence of various levels of thiamine intake on physiologic response; thiamine requirements and their implications. PMID- 18150698 TI - Leiomyoma of the iris; report of a case. PMID- 18150699 TI - The formation of the intra-ocular fluids; studies of the urea component of the aqueous humour. PMID- 18150700 TI - [Not Available]. PMID- 18150701 TI - [Not Available]. PMID- 18150702 TI - [Not Available]. PMID- 18150703 TI - [Not Available]. PMID- 18150704 TI - [Not Available]. PMID- 18150705 TI - In vitro effects of metabolite displacers on Pseudomonas aeruginosa. PMID- 18150706 TI - The professional practice of pharmacy. PMID- 18150707 TI - Basic research progress in the field of dermatologic disorders. PMID- 18150708 TI - [Not Available]. PMID- 18150709 TI - [Not Available]. PMID- 18150710 TI - The pharmacology of seven malonyl guanidines. PMID- 18150711 TI - Observations on diethylene glycol poisoning in rats and cats. PMID- 18150712 TI - Nicotinolytic action of diethylaminoethylphenothiazine (2987 or diparcol). PMID- 18150713 TI - [Not Available]. PMID- 18150714 TI - [Not Available]. PMID- 18150715 TI - [Not Available]. PMID- 18150716 TI - [Not Available]. PMID- 18150717 TI - The action of diallylbarbituric acid and of scopolamine on the spinal reflexes of the decapitated, the decerebrated and the decorticated cat. PMID- 18150718 TI - [Not Available]. PMID- 18150719 TI - [Not Available]. PMID- 18150720 TI - [Not Available]. PMID- 18150721 TI - Action and toxicity of methadone in various animals. PMID- 18150722 TI - The effect of beta-halogenated ethylamine derivatives on ventricular fibrillation and on the isolated heart. PMID- 18150723 TI - The influence of stilboestrol on the size of the adrenal glands. PMID- 18150724 TI - Influence of cardiac drugs on cholinesterase. PMID- 18150725 TI - [Not Available]. PMID- 18150726 TI - [Not Available]. PMID- 18150727 TI - [Not Available]. PMID- 18150728 TI - [Not Available]. PMID- 18150729 TI - [Not Available]. PMID- 18150730 TI - [Not Available]. PMID- 18150731 TI - The antispasmodic action of basic nitriles. PMID- 18150732 TI - The effect of diethylaminoethyl ester of 1-phenylcyclopentane-1-carboxylic acid hydrochloride, parpanit, on decerebrate rigidity, spinal reflexes and skeletal muscle. PMID- 18150733 TI - Observations on the development of tolerance during prolonged oral administration of dihydroergocornine. PMID- 18150734 TI - The development of tolerance in rats to some new synthetic analgesics. PMID- 18150735 TI - Pharmacologic and toxicologic studies on diethyl aminoethyl ester of 1-phenyl cyclopentane-1-carboxylic acid hydrochloride, parpanit. PMID- 18150736 TI - Plasma neostigmine levels and cholinesterase inhibition in dogs and myasthenic patients. PMID- 18150737 TI - Influence of striated muscle activity on the lethal dose of k-strophanthoside. PMID- 18150738 TI - The failure of 2,3 dithiopropanol to affect acute, systemic uranium poisoning. PMID- 18150739 TI - [Not Available]. PMID- 18150741 TI - [Not Available]. PMID- 18150740 TI - [Not Available]. PMID- 18150742 TI - [Not Available]. PMID- 18150743 TI - [Not Available]. PMID- 18150744 TI - [Not Available]. PMID- 18150745 TI - [Not Available]. PMID- 18150746 TI - Compressed tablets; standard dimensions. PMID- 18150747 TI - [Not Available]. PMID- 18150748 TI - [Not Available]. PMID- 18150749 TI - [Not Available]. PMID- 18150750 TI - [Not Available]. PMID- 18150751 TI - Lithium; its effect on human spermatozoa, rat testicular tissue and upon rats in vivo. PMID- 18150752 TI - Acetaldehyde metabolism and liver changes in dogs maintained on a purified diet. PMID- 18150753 TI - Effect of caloric restriction on the adrenal response of overiectomized C3H mice. PMID- 18150754 TI - Secretion of insulin and of a hyperglycemic substance studied by means of pancreatic-femoral cross-circulation experiments. PMID- 18150755 TI - Comparative effect of intravenous glucose and adrenalin on blood flow, oxygen utilization and glucose retention by hind leg tissues of anesthetized cats. PMID- 18150756 TI - Thyroid activity and resistance to histamine-induced peptic ulcer and to acute histamine poisoning. PMID- 18150757 TI - Control of liver regeneration and nucleic acid content by the thyroid, with observations on the effects of pyrimidines. PMID- 18150758 TI - Brain and plasma cations and experimental seizures in normal and desoxycorticosterone-treated rats. PMID- 18150759 TI - Effects of adrenalectomy and of adrenal cortical extract on desoxycorticosterone acetate-hypertension in the rat. PMID- 18150760 TI - Spread of excitation in the dog heart. PMID- 18150761 TI - Extracellular water content of the heart in dogs subjected to hemorrhagic shock measured with the radioactive isotope of sodium. PMID- 18150762 TI - Vasodepressor responses to morphine following hemorrhagic hypotension. PMID- 18150763 TI - Effect of altitude on respiratory flow patterns. PMID- 18150764 TI - A comparison of the respiratory activity and histological changes in isolated pancreatic tissue. PMID- 18150765 TI - Comparison of respiration and glycolysis in the brains of normal and febrile rabbits. PMID- 18150766 TI - Influence of antipyrine on respiration, glycolysis and cholinesterase activity in rat brain. PMID- 18150767 TI - Action of methyl fluoroacetate on respiration and potential of nerve. PMID- 18150768 TI - Respiratory function and blood flow in the bronchial artery after ligation of the pulmonary artery. PMID- 18150769 TI - Myenteric reflex. PMID- 18150770 TI - Handicapped children. PMID- 18150771 TI - The structure of the mind; a review of the results of factor analysis. PMID- 18150772 TI - Recall of completed and incompleted activities under varying degrees of stress. PMID- 18150773 TI - The relationship between the strength of a habit and the degree of drive present during acquisition. PMID- 18150774 TI - A study of motivating conditions necessary for secondary reinforcement. PMID- 18150775 TI - Loudness of speaking; the effect of heard stimuli on spoken responses. PMID- 18150776 TI - A note on the alternation of guesses. PMID- 18150777 TI - A further analysis of the variables in cyclical motor learning. PMID- 18150778 TI - Correction vs non-correction learning techniques as related to reminiscence in serial anticipation learning. PMID- 18150779 TI - Transfer to a motor skill from practice on a pictured representation. PMID- 18150780 TI - Spread of effect is the spurious result of non-random response tendencies. PMID- 18150781 TI - Multiplicity of set as a determinant of perceptual behavior. PMID- 18150782 TI - On the application of analysis of variance to GSR data; the selection of an appropriate measure. PMID- 18150783 TI - A further reduction of sensory factors in stereoscopic depth perception. PMID- 18150784 TI - Changes in the attractiveness of activities; the effect of expectation preceding performance. PMID- 18150785 TI - The experimental situation in psychical research. PMID- 18150786 TI - An automatic testing and recording device for experiments in extrasensory perception. PMID- 18150787 TI - Diagnostic problems in medical mycology. PMID- 18150788 TI - Histoplasmin sensitivity among cattle. PMID- 18150789 TI - Histoplasmin sensitivity and coccidioidal infection; occurrence of cross reaction. PMID- 18150790 TI - Isolation of the virus of Newcastle disease from human beings. PMID- 18150791 TI - The morbidity survey in public health work. PMID- 18150793 TI - The contribution of the survey method to epidemiology. PMID- 18150792 TI - A morbidity survey of the population. PMID- 18150794 TI - How processing affects nutritive values of grain foods. PMID- 18150795 TI - The possible significance of milk and water in the spread of virus infections. PMID- 18150796 TI - The dentist in the national program of cancer control. PMID- 18150797 TI - The industrial nurse as a health counselor in industry. PMID- 18150798 TI - Panel discussion on medical care. PMID- 18150800 TI - Bacteria on bank notes. PMID- 18150799 TI - Confusion and stupidity in nutrition education. PMID- 18150801 TI - Food ways of the young worker. PMID- 18150802 TI - Accidents in the home. PMID- 18150803 TI - A simple method for determining the streptomycin sensitivity of Mycobacterium tuberculosis. PMID- 18150804 TI - [Not Available]. PMID- 18150805 TI - [Not Available]. PMID- 18150806 TI - [Not Available]. PMID- 18150807 TI - [Not Available]. PMID- 18150808 TI - [Not Available]. PMID- 18150809 TI - [Not Available]. PMID- 18150810 TI - [Not Available]. PMID- 18150811 TI - [Not Available]. PMID- 18150812 TI - [Not Available]. PMID- 18150814 TI - [Not Available]. PMID- 18150813 TI - [Not Available]. PMID- 18150815 TI - [Not Available]. PMID- 18150816 TI - [Not Available]. PMID- 18150817 TI - [Not Available]. PMID- 18150818 TI - [Not Available]. PMID- 18150819 TI - [Not Available]. PMID- 18150820 TI - [Not Available]. PMID- 18150821 TI - [Not Available]. PMID- 18150822 TI - [Not Available]. PMID- 18150823 TI - [Not Available]. PMID- 18150824 TI - [Not Available]. PMID- 18150825 TI - [Not Available]. PMID- 18150826 TI - [Not Available]. PMID- 18150827 TI - Contra-indications of diagnostic X-ray investigations. PMID- 18150828 TI - Improvised dental cone. PMID- 18150829 TI - Note on the catheterization of the heart. PMID- 18150830 TI - NEW diagnostic tube. PMID- 18150831 TI - [Not Available]. PMID- 18150832 TI - [Not Available]. PMID- 18150833 TI - [Not Available]. PMID- 18150834 TI - [Not Available]. PMID- 18150835 TI - [Not Available]. PMID- 18150836 TI - [Not Available]. PMID- 18150837 TI - Prefrontal lobotomy in the management of intractable pain. PMID- 18150838 TI - Surgical management of instrumental perforation of the esophagus. PMID- 18150839 TI - Hemihepatectomy with hepaticojejunostomy for irreparable defects of the bile ducts. PMID- 18150840 TI - Gastrojejunocolic fistula. PMID- 18150841 TI - Phlegmonous cecitis; report of two cases. PMID- 18150842 TI - Hidden carcinoma of the breast. PMID- 18150843 TI - Mediastinal tumors. PMID- 18150844 TI - Hernia into the umbilical cord and omphalocele (amniocele) in the newborn. PMID- 18150845 TI - Thumb traction technic for reduction of Colles' fracture. PMID- 18150846 TI - Classification and treatment of trochanteric fractures. PMID- 18150847 TI - Hemipelvectomy for malignant tumors of the bony pelvis and upper part of the thigh. PMID- 18150848 TI - Carcinoma of the thyroid gland. PMID- 18150849 TI - Congenital anorectal atresia; report of a case. PMID- 18150850 TI - Some observations on the pathology and surgical treatment of labyrinthine vertigo of non-infective origin. PMID- 18150851 TI - Surgical problems involved in breast cancer. PMID- 18150852 TI - Liver function tests. PMID- 18150853 TI - [Not Available]. PMID- 18150854 TI - [Not Available]. PMID- 18150855 TI - [Not Available]. PMID- 18150856 TI - [Not Available]. PMID- 18150858 TI - [Not Available]. PMID- 18150857 TI - [Not Available]. PMID- 18150859 TI - [Not Available]. PMID- 18150860 TI - [Not Available]. PMID- 18150861 TI - [Not Available]. PMID- 18150862 TI - [Not Available]. PMID- 18150863 TI - [Not Available]. PMID- 18150864 TI - [Not Available]. PMID- 18150865 TI - [Not Available]. PMID- 18150866 TI - [Not Available]. PMID- 18150867 TI - [Not Available]. PMID- 18150868 TI - [Not Available]. PMID- 18150869 TI - [Not Available]. PMID- 18150870 TI - [Not Available]. PMID- 18150871 TI - [Not Available]. PMID- 18150872 TI - [Not Available]. PMID- 18150873 TI - [Not Available]. PMID- 18150874 TI - [Not Available]. PMID- 18150875 TI - [Not Available]. PMID- 18150876 TI - [Not Available]. PMID- 18150878 TI - [Not Available]. PMID- 18150877 TI - [Not Available]. PMID- 18150879 TI - [Not Available]. PMID- 18150880 TI - [Not Available]. PMID- 18150881 TI - [Not Available]. PMID- 18150882 TI - [Not Available]. PMID- 18150883 TI - [Not Available]. PMID- 18150884 TI - Mixed hypernephroid tumors of the kidney (metanephromas). PMID- 18150885 TI - Associated kidney and bladder tumors. PMID- 18150886 TI - The use of pyrogens in the treatment of lower nephron nephrosis. PMID- 18150887 TI - The Trueta renal vascular shunt; an experimental demonstration of neurovascular control of the renal circulation in rabbit, cat, dog, and monkey. PMID- 18150888 TI - Roentgenographic observation of perforation of the kidney following retrograde pyelography. PMID- 18150889 TI - An easily sterilizable, flexible cassette with intensifying screens, designed for X-ray examination of operatively exposed kidneys. PMID- 18150890 TI - A contribution to differential diagnosis of neoplasms of the bladder. PMID- 18150891 TI - An analysis of regional variations in the response of the detrusor muscle to electrical stimulation of the hypogastric nerves. PMID- 18150892 TI - Enuresis; a report of two interesting cases. PMID- 18150893 TI - Hypospadias; a method to improve the chordee effect. PMID- 18150894 TI - Urethral duplication in a female treated with sclerosing solution. PMID- 18150895 TI - Chorio-epithelioma of testicle with report of a case. PMID- 18150896 TI - Post-mortem compared with clinical diagnosis of genito-urinary tuberculosis in adult males. PMID- 18150897 TI - [Not Available]. PMID- 18150898 TI - The number of motile spermatozoa as an index of fertility in man; a study of 406 semen specimens specimens. PMID- 18150899 TI - Sulfadiazine-sulfacetimide mixture in the treatment of urinary tract infections. PMID- 18150900 TI - Reports of the North Carolina syphilis studies; an evaluation of case-finding measures in multiple episodes of infectious syphilis. PMID- 18150901 TI - Serologic activity of dipalmityl lecithin; preliminary report. PMID- 18150902 TI - Mass public veneral disease education; Ohio fairs. PMID- 18150903 TI - Spectral absorption characteristics of antihistaminic drugs; relationship to ultraviolet erythema. PMID- 18150904 TI - Experimental collagen disease from hypersensitization to streptococcus toxin. PMID- 18150905 TI - Air-borne allergens in the national parks. PMID- 18150906 TI - Effects of salicylates and other drugs on experimental serum disease. PMID- 18150907 TI - The specificity of blocking antibody induced by grass pollen extracts. PMID- 18150908 TI - Studies in bacterial allergy; a brief critical review. PMID- 18150909 TI - A single apparatus for the defatting, drying, storage, and extraction of many antigenic substances. PMID- 18150910 TI - The effect of aminophylline on urticarial skin reactions. PMID- 18150911 TI - Contributions to the embryology of the urinary bladder. PMID- 18150912 TI - [Not Available]. PMID- 18150913 TI - A case of spina bifida combined with diastematomyely, the anomaly of Chiari and hydrocephaly. PMID- 18150914 TI - Patterns of the mammalian sexual cycle. PMID- 18150915 TI - Histophysiologic studies on sweating. PMID- 18150916 TI - The sebaceous glands of the hamster; some cytochemical studies in normal and experimental animals. PMID- 18150917 TI - Mitotic activity in the liver of the mouse during inanition followed by refeeding with different levels of protein. PMID- 18150918 TI - Malformation of the atrio-ventricular endocardial cushions of the embryo pig and its relation to defects of the conus and truncus arteriosus. PMID- 18150919 TI - Thymic involution and regeneration in the albino rat, following injection of acid colloidal substances. PMID- 18150920 TI - Anoxia and the central nervous system; a review and case report. PMID- 18150921 TI - Mechanism of cardiac arrhythmias during cyclopropane anesthesia. PMID- 18150922 TI - The mechanism of hyperglycemia during anesthesia; an experimental study. PMID- 18150923 TI - Narcosis with pentothal sodium alone compared to narcosis with pentothal sodium combined with curare or myanesin. PMID- 18150924 TI - Pre-anesthetic hypnosis with rectal pentothal in children. PMID- 18150925 TI - The effect of intravenous procaine on the heart. PMID- 18150926 TI - The effect of blood pressure rise on the production of cyclopropane-epinephrine induced cardiac irregularities. PMID- 18150927 TI - The role of the liver in the detoxication of thiopental (pentothal) by man. PMID- 18150928 TI - Experience with tetra-ethyl ammonium chloride in peripheral vascular diseases and allied conditions in a Veterans hospital. PMID- 18150929 TI - Anesthetic management of the patient with thyroid disease. PMID- 18150930 TI - A further study of anesthesia with cyclobutane. PMID- 18150931 TI - Caudal anesthesia in obstetrics; a combined procaine-pontocaine single injection technic. PMID- 18150932 TI - Clinical application of desoxyephedrine hydrochloride. PMID- 18150933 TI - Hypobaric saddle anesthesia for proctological surgery. PMID- 18150934 TI - Nupercaine spinal anesthesia for upper abdominal surgery of long duration. PMID- 18150935 TI - Breakage of Magill forceps; a case report. PMID- 18150936 TI - Method for determining tracheolaryngeal breath sounds during anesthesia. PMID- 18150937 TI - Some physiological effects resulting from added resistance to respiration. PMID- 18150938 TI - Toxicity of anti-malarial drugs on flying personnel. PMID- 18150939 TI - Hearing standards in airline transport pilots. PMID- 18150940 TI - Recovery rate from some of the effects of daily exposures to high altitude in rats. PMID- 18150941 TI - Analysis of the causes of disqualification of 164,687 applicants rejected for aviation training. PMID- 18150942 TI - Study of certain blood properties in healthy men transferred from a subtropic to a subarctic environment. PMID- 18150945 TI - Factors influencing the recovery of biochemical mutants in luminous bacteria. PMID- 18150948 TI - Study on toxins and antigens of Shigella dysenteriae; toxicity and antigenicity of whole organisms and various fractions of Shigella dysenteriae. PMID- 18150954 TI - Zoology and its makers at Indiana University. PMID- 18150955 TI - The relation of bio-electric fields to growth. PMID- 18150956 TI - Improved methods of activating tapeworm embryos. PMID- 18150957 TI - A phenotypical difference in growth of wild rats. PMID- 18150958 TI - The relation between photometric turbidity and bacterial concentration. PMID- 18150959 TI - Individual characteristics of the bacterial growth responses induced by different amino acids. PMID- 18150960 TI - The effect of aqueous spleen extract on growth of tumor cells in mice. PMID- 18150961 TI - Onset of ossification in the epiphyses and short bones of the extremities in chimpanzee. PMID- 18150962 TI - A practical method of estimating the mean and standard deviation of truncated normal distributions. PMID- 18150963 TI - Statistical methods for evaluation of diagnostic and other procedures; an objective weeding-out process applicable to material used in surveys of diagnostic variability. PMID- 18150964 TI - The effect of the change in mortality conditions in an age group on the expectation of life at birth. PMID- 18150965 TI - A blood pressure study of the natives of Ponape Island, Eastern Carolines. PMID- 18150966 TI - Report on a series of illegal abortions induced by physicians. PMID- 18150967 TI - Infiltrating adenomatous lesions of the stomach, cecum, and rectum of monkeys similar to early human carcinoma and carcinoma in situ. PMID- 18150968 TI - A lymphopenia-causing agent, probably a virus, found in mice after injection with tumor tissue and with the cell-free filtrates of lymphosarcoma T 86157 (MB). PMID- 18150969 TI - Studies on the intracellular composition of livers from rats fed various aminoazo dyes; 4-aminoazobenzene, 4-dimethylaminoazobenzene, 4'-methyl-, and 3'-methyl-4 dimethyl-aminoazobenzen. PMID- 18150970 TI - Effect of low environmental temperature, dinitrophenol, or sodium fluoride on the formation of tumors in mice. PMID- 18150971 TI - Cancer mortality among males and females in Denmark, England, and Switzerland; mortality of accessible and inaccessible cancers in Danish towns and rural areas. PMID- 18150972 TI - Cancer mortality among males and females in Denmark, England, and Switzerland; incidence of accessible and inaccessible cancers in Danish towns and rural areas. PMID- 18150973 TI - Observations on the antiproteolytic reaction of the serum of mice; strain variations. PMID- 18150974 TI - Natural and immune antibodies in mice of low and high tumor strains. PMID- 18150975 TI - The influence of estrogen on cancer incidence and adrenal changes in ovariectomized mice on calorie restriction. PMID- 18150976 TI - The products of pyrolysis of cholesterol at 360 degrees C. and their relation to carcinogens. PMID- 18150977 TI - [Not Available]. PMID- 18150978 TI - [Not Available]. PMID- 18150979 TI - [Not Available]. PMID- 18150980 TI - Changes in the axis deviation in bundle branch block with changes in heart position. PMID- 18150981 TI - [Not Available]. PMID- 18150982 TI - [Not Available]. PMID- 18150983 TI - [Not Available]. PMID- 18150984 TI - [Not Available]. PMID- 18150985 TI - Symposium on roentgenologic heart volume determinations. PMID- 18150986 TI - Roentgenologic determination of the cardiac volume and some of its sources of error. PMID- 18150988 TI - The selective inhibition of true cholinesterase in vivo. PMID- 18150992 TI - Colorimetric determination of potassium by Folin-Ciocalteu phenol reagent. PMID- 18150993 TI - The nicotinamide-saving action of tryptophan and the biosynthesis of nicotinamide by the intestinal flora of the rat. PMID- 18150996 TI - A biochemical study of Pseudomonas prunicola Wormald; pectin esterase. PMID- 18150997 TI - Studies on the absorption of proteins; the amino-acid pattern in the portal blood. PMID- 18150998 TI - Conjugated amino-acids in portal plasma of dogs after protein feeding. PMID- 18150999 TI - The metabolism of sulphonamides; the fate of some N4-n-acyl derivatives of ambamide (marfanil) and the sulphone, V 335, in the rabbit. PMID- 18151002 TI - The tryptophanase-tryptophan reaction; the nature, characteristics and partial purification of the tryptophanase complex. PMID- 18151003 TI - Metabolism of polycyclic compounds; formation of 1:2-dihydroxy-1|2 dihydronaphthalenes. PMID- 18151005 TI - The formation of hydrogen carriers by haematin-catalyzed peroxidations; some reactions of adrenaline and adrenochrome. PMID- 18151008 TI - Genetic control of biochemical synthesis as exemplified by plant genetics; flower colours. PMID- 18151009 TI - Adaptation, mutation and segregation in relation to the synthesis of enzymes by bacteria. PMID- 18151010 TI - Non-nucleic acid protein-bound phosphorus. PMID- 18151011 TI - Oxidation of the blood group A-substance with the periodate ion. PMID- 18151012 TI - Turbidities in the estimation of serum proteins by the biuret method. PMID- 18151013 TI - The iron requirement of rumen bacteria. PMID- 18151014 TI - Biochemical experiments with radioactive 2:3-dimercaptopropanol. PMID- 18151015 TI - p-Aminosalicylic acid estimated as m-aminophenol. PMID- 18151016 TI - A simple shaking device for Conway units and similar appliances. PMID- 18151017 TI - Exposed dental pulps in an epidemic of poliomyelitis. PMID- 18151018 TI - Supplementary data supplied to the nutrition group of the Arnhem Land Scientific Expedition, 1948. PMID- 18151019 TI - Two cases of macrostomia described with some observations on the incidence of defective development of the mandibular arch in the sheep. PMID- 18151021 TI - Combined impaction of lower premolar and molar. PMID- 18151020 TI - Human enamel protein. PMID- 18151022 TI - Paget's disease of the maxilla. PMID- 18151023 TI - Fatigue studies on some dental resins. PMID- 18151024 TI - Cystic compound composite odontome. PMID- 18151025 TI - The relation of chest diseases to dental surgery. PMID- 18151026 TI - A method for determining the extent of polymerization of acrylic resins and its applications for dentures. PMID- 18151027 TI - The evolvement of opthalmoprosthesis to civilian requirements. PMID- 18151028 TI - Dental infection and extraoral disease. PMID- 18151029 TI - Necessity for roentgenographic supplementation of clinical dental examinations, with analysis of 100 cases. PMID- 18151030 TI - Mandibular movement and articulator occlusion. PMID- 18151031 TI - A preliminary method of testing abrasion hardness. PMID- 18151032 TI - Provisions for dental treatment in Finland; a review. PMID- 18151033 TI - The Swedish national dental program. PMID- 18151034 TI - Combined root canal therapy and apicoectomy; a progress report. PMID- 18151035 TI - A comparison of depth of anesthesia and toxicity of two and four per cent procaine hydrochloride solution. PMID- 18151036 TI - Gold solders for dental use. PMID- 18151037 TI - The effects of variable factors on crushing strengths of dental amalgams. PMID- 18151038 TI - Some biological characteristics of the pathogenic fungi named Paracoccidioides brasiliensis and Paracoccidioides cerebriformis. PMID- 18151039 TI - Caries incidence reduction by unsupervised use of 27.5% ammonium therapy dentifrice. PMID- 18151040 TI - The effect of penicillin on dental caries in rats fed on a coarse corn diet. PMID- 18151041 TI - Penicillin dentifrice and dental caries experience in children. PMID- 18151042 TI - Effect of small amounts of penicillin on the oral bacterial flora. PMID- 18151043 TI - Antagonistic relationship between oral organisms. PMID- 18151044 TI - Observations on Lactobacillus counts and dental caries in mental patients during insulin coma therapy. PMID- 18151045 TI - Observations on experimental dental caries; the effect of dietary lactic acid. PMID- 18151046 TI - In vitro studies of the dental caries inhibiting properties of some selected nitrofuran compounds. PMID- 18151047 TI - Dental effects of exposure to fluoride-bearing Dakota sandstone waters at various ages and for various lengths of time; status of the permanent teeth of 339 children aged 11 to 15 years who used such water for 18 months prior to eruption of the first permanent molars. PMID- 18151048 TI - Fluoride saturation rate of human enamel. PMID- 18151049 TI - Studies on the numbers of bacteria in the mouth and their reduction by the use of oral antiseptics. PMID- 18151050 TI - Halitosis; variations in mouth and total breath odor intensity resulting from prophylaxis and antisepsis. PMID- 18151051 TI - Deep infections of the face and neck. PMID- 18151052 TI - The dentist's role following an atomic bomb explosion. PMID- 18151053 TI - Functional appliances. PMID- 18151054 TI - Dental specialists. PMID- 18151055 TI - Modern hydrocolloid technique for inlays and bridgework. PMID- 18151056 TI - Caries prophylaxis; rationale and review. PMID- 18151057 TI - A latex rubber matrix for applying sodium fluoride. PMID- 18151058 TI - [Not Available]. PMID- 18151059 TI - [Not Available]. PMID- 18151060 TI - Cavity preparation in deciduous teeth; filling materials and technique involved. PMID- 18151061 TI - [Not Available]. PMID- 18151062 TI - Two factors in the differentiation of rheumatic and non-rheumatic types of Sydenham's chorea; a study of 97 cases. PMID- 18151063 TI - [Not Available]. PMID- 18151065 TI - [Not Available]. PMID- 18151064 TI - [Not Available]. PMID- 18151066 TI - [Not Available]. PMID- 18151067 TI - [Not Available]. PMID- 18151068 TI - [Not Available]. PMID- 18151069 TI - [Not Available]. PMID- 18151070 TI - Treatment of early syphilis with penicillin injection in oil and wax U.S. P.; report of 153 cases. PMID- 18151071 TI - Scleroma; review of literature and first report of multiple familial occurrence in the United States. PMID- 18151072 TI - Mammalian tyrosinase; melanin formation by ultraviolet irradiation. PMID- 18151073 TI - Massive metastasizing meningioma involving the scalp. PMID- 18151074 TI - Balanitis xerotica obliterans; report of a case. PMID- 18151075 TI - Persistent multiple herpes-like eruption; response to repeated intradermal injections of smallpox vaccine. PMID- 18151076 TI - A bullous eruption associated with carcinoma of the penis. PMID- 18151077 TI - Ringworm of the scalp due to Microsporum audouini during pregnancy. PMID- 18151078 TI - Contact dermatitis from streptomycin. PMID- 18151079 TI - Lead-containing clay for shielding in roentgen ray treatment of the skin. PMID- 18151080 TI - [Not Available]. PMID- 18151081 TI - [Not Available]. PMID- 18151082 TI - [Not Available]. PMID- 18151083 TI - [Not Available]. PMID- 18151084 TI - [Not Available]. PMID- 18151085 TI - [Not Available]. PMID- 18151086 TI - [Not Available]. PMID- 18151087 TI - [Not Available]. PMID- 18151088 TI - [Not Available]. PMID- 18151089 TI - [Not Available]. PMID- 18151090 TI - [Not Available]. PMID- 18151091 TI - [Not Available]. PMID- 18151092 TI - [Not Available]. PMID- 18151093 TI - [Not Available]. PMID- 18151094 TI - [Not Available]. PMID- 18151095 TI - [Not Available]. PMID- 18151096 TI - [Not Available]. PMID- 18151097 TI - [Not Available]. PMID- 18151098 TI - Anal eroticism and certain anorectal syndromes. PMID- 18151099 TI - The hemolytic Escherichia coli as a cause of diarrhea. PMID- 18151100 TI - A clinical report on the treatment of colonic disorders with polymolecular lactic acid crystals combined with lactose. PMID- 18151101 TI - Diagnosis of carcinoma of the rectum by cytologic study. PMID- 18151102 TI - Some aspects of proctology in Brazil. PMID- 18151103 TI - On the preparation of human insulin for experimental use. PMID- 18151104 TI - Sympathicotropic (Leydig) cell tumor of the ovary with virilism; report of a case. PMID- 18151105 TI - Pregnancy in Addison's disease; report of four patients. PMID- 18151106 TI - Hormonal alterations in men exposed to heat and cold stress. PMID- 18151108 TI - Loss of axillary and pubic hair in a patient with Addison's disease and regular menstruation; a case report. PMID- 18151107 TI - Changes in urinary uric acid-creatinine ratio after electrically induced convulsions in man. PMID- 18151109 TI - The metabolism of the estrogens; a review. PMID- 18151110 TI - Status of compound 1080 as a rodenticide under the Food, Drug, and Cosmetic Act. PMID- 18151111 TI - Modern drug regulation and the lawyer. PMID- 18151112 TI - Food plant sanitation. PMID- 18151113 TI - The molding of personality under dictatorship; the importance of the destructive drives in the socio-psychological structure of Nazism. PMID- 18151114 TI - The comics war. PMID- 18151115 TI - Relationship between crime rates and certain population characteristics in Minnesota counties. PMID- 18151116 TI - The Colchester taxi cab murder. PMID- 18151117 TI - Medical ethics and medical etiquette. PMID- 18151118 TI - Nullity; incapacity; artificial insemination. PMID- 18151119 TI - Relations of respiration and growth in the Avena coleoptile. PMID- 18151120 TI - The control of tillering in grasses by auxin. PMID- 18151121 TI - The chemical composition of marine algae. PMID- 18151122 TI - Physical and chemical properties of gluten; estimation of molecular properties using electrophoretic and diffusion data. PMID- 18151123 TI - Physiological and biochemical studies in plant metabolism; the respiration of the seedling wheat leaf in starvation and ontogeny. PMID- 18151124 TI - Louver and louverall systems; design and illumination characteristics. PMID- 18151125 TI - TRAINING the research worker. PMID- 18151126 TI - Soviet genetics; the real issue. PMID- 18151127 TI - The light emitted by europium compounds. PMID- 18151128 TI - Transition effect in lead of star-producing radiation. PMID- 18151129 TI - Hyperfine structure in the solid state. PMID- 18151130 TI - Limit of useful amplification of a galvanometer deflexion. PMID- 18151131 TI - Yield value of bentonite suspensions. PMID- 18151132 TI - Lanthanon (rare-earth) sodium sulphate precipitations. PMID- 18151133 TI - Quantitative inorganic paper chromatography; sub-micro separation and determination of aluminium, iron and titanium. PMID- 18151135 TI - Difference in structure between the same giant chromosomes from the same larvae of Drosophila repleta. PMID- 18151134 TI - Action of thiosulphate on the kidney of the cat. PMID- 18151136 TI - Nuclear interactions of the particles produced in cosmic ray bursts. PMID- 18151144 TI - The administration of alcoholism rehabilitation programs. PMID- 18151145 TI - The act of surrender in the therapeutic process with special reference to alcoholism. PMID- 18151146 TI - Oxygen in the treatment of acute alcoholic intoxication; a preliminary clinical report based on the study of 100 cases. PMID- 18151147 TI - Group therapy in alcoholism. PMID- 18151148 TI - Further improvements in magnetic focusing. PMID- 18151149 TI - Instrumentation for nuclear studies with externally focused deuteron beam from ten-Mev cyclotron. PMID- 18151150 TI - A new method of measuring the stopping power of several materials for alpha particles. PMID- 18151151 TI - A magnetic field strength meter using the proton magnetic moment. PMID- 18151152 TI - A 22-inch Wilson cloud chamber in a magnetic field of 21,700 gauss. PMID- 18151153 TI - Differential counting with reversible decade counting circuits. PMID- 18151154 TI - A new high sensitivity remanent magnetometer. PMID- 18151155 TI - Effect of temperature on the steady-state sensitivity of vacuum radiation detectors. PMID- 18151156 TI - Modified string flowmeter for measuring breath velocity. PMID- 18151157 TI - Ultimate vacua of diffusion pumps. PMID- 18151158 TI - Size and form of the foot in men. PMID- 18151159 TI - A pedigree showing the incidence of malformation of the nipples. PMID- 18151160 TI - The frequency of orthostatic anaemia at different ages. PMID- 18151161 TI - Suicide, alcohol and war. PMID- 18151162 TI - Developmental pathology; a new field in medicine. PMID- 18151163 TI - Saddle block anesthesia. PMID- 18151164 TI - A 10-year study of cesarean section in Rochester and Monroe County, 1937 to 1946. PMID- 18151165 TI - Ovogenesis in the adult human ovary. PMID- 18151166 TI - Perspectives in prematurity; physiological approaches to an obstetric problem. PMID- 18151167 TI - Sickle cell anemia and pregnancy. PMID- 18151168 TI - Penicillin therapy in the obstetrical patient; a study of its effect on the bacterial flora of the postpartum uterus. PMID- 18151169 TI - Effect of birth on mentality. PMID- 18151170 TI - Statistical study of chorione epithelioma in the Philippine General Hospital. PMID- 18151171 TI - Hydatidiform mole followed by postpartum eclampsia and chorionepithelioma, with recovery. PMID- 18151172 TI - Multiple pregnancies at the Chicago Lying-in Hospital, 1941 to 1946. PMID- 18151173 TI - The effects of various estrogenic preparations; the influence of equivalent amounts of several estrogens on the vaginal mucosa of nonmenstruating women. PMID- 18151174 TI - Myomas during and after the menopause. PMID- 18151175 TI - Studies on surviving human placental tissue; a search for pressor and antidiuretic factors. PMID- 18151176 TI - Clinical evaluation of sulfamerazine in postpartal and postabortal sepsis. PMID- 18151177 TI - Hormonal assays in a case of hydatidiform mole. PMID- 18151178 TI - Effect of sulfonamide cream on the bacterial flora of the infected vagina and cervix. PMID- 18151179 TI - Pregnancy subsequent to radical mastectomy of the breast for cancer. PMID- 18151180 TI - Clyindroma of the cervix with procidentia. PMID- 18151182 TI - [Not Available]. PMID- 18151181 TI - Modern concepts of cervical carcinoma. PMID- 18151183 TI - [Not Available]. PMID- 18151184 TI - [Not Available]. PMID- 18151185 TI - [Not Available]. PMID- 18151186 TI - [Not Available]. PMID- 18151187 TI - Two 19. century Italian medals figuring surgical instruments. PMID- 18151188 TI - A bibliography of anatomical books published in English before 1800. PMID- 18151189 TI - [Not Available]. PMID- 18151190 TI - [Not Available]. PMID- 18151191 TI - [Not Available]. PMID- 18151192 TI - [Not Available]. PMID- 18151193 TI - [Not Available]. PMID- 18151195 TI - [Not Available]. PMID- 18151194 TI - [Not Available]. PMID- 18151196 TI - [Not Available]. PMID- 18151197 TI - [Not Available]. PMID- 18151198 TI - [Not Available]. PMID- 18151199 TI - Precautions in industrial uses of radioactive isotopes. PMID- 18151200 TI - Undergraduate medical training in occupational medicine and hygiene. PMID- 18151201 TI - Health effects associated with beryllium. PMID- 18151202 TI - STATE and industrial health in India. PMID- 18151203 TI - Acute pneumonitis in workers exposed to beryllium oxide and beryllium metal. PMID- 18151204 TI - The absorption and excretion of fluorides; further observations on metabolism of fluorides at high levels of intake. PMID- 18151205 TI - Benign pneumoconiosis in a tin oxide recovery plant. PMID- 18151206 TI - The physiological response of animals to respiratory exposure to the vapors of diisopropylamine. PMID- 18151207 TI - Local and systemic effects following skin contact with phenol; a review of the literature. PMID- 18151208 TI - Observations on the percutaneous absorption of toxaphene in the rabbit and the dog. PMID- 18151209 TI - Toxicity of thioacetamide in rats. PMID- 18151210 TI - The hazards associated with the use of lead arsenate in apple orchards. PMID- 18151211 TI - Dust particles and aqueous aerosols; a critical review. PMID- 18151212 TI - [Not Available]. PMID- 18151213 TI - [Not Available]. PMID- 18151215 TI - The ambulatory treatment of leg ulcers with pressure bandages. PMID- 18151214 TI - [Not Available]. PMID- 18151216 TI - A college course on the medical basis of accident compensation as taught at Swiss universities. PMID- 18151217 TI - [Not Available]. PMID- 18151218 TI - Vocational preference as related to mental ability. PMID- 18151219 TI - [Not Available]. PMID- 18151220 TI - [Not Available]. PMID- 18151221 TI - Manifestations of shock in the fundus of the eye. PMID- 18151223 TI - On death certification. PMID- 18151222 TI - Inbreeding and several other factors in the diabetes mellitus of Jews. PMID- 18151224 TI - Artificial insemination with modified seminal fluid; some biochemical properties of seminal hyaluronidase. PMID- 18151225 TI - How should one handle the peptic ulcer patient? PMID- 18151226 TI - Calcification of the intervertebral disc in a child; report of a case. PMID- 18151227 TI - Retrolental fibroplasia; a disease of the eyes in premature infant; with report of a case. PMID- 18151228 TI - The local treatment of tinea capitis due to Microsporum audouini. PMID- 18151229 TI - Bacterial infections of the skin. PMID- 18151230 TI - Movements of the eyelids in blinking. PMID- 18151231 TI - Penicillin in dentistry. PMID- 18151232 TI - Thread worm infestation. PMID- 18151233 TI - The treatment of acute dysenteries in outlying rural dispensaries. PMID- 18151234 TI - Observations on the use of procaine-penicillin. PMID- 18151235 TI - Dysgerminoma of the ovary in a 4-year-old girl with metastases clinically simulating Wilms' tumor and adrenal neuroblastoma. PMID- 18151236 TI - An oxygen-humidity-aerosol unit for infants. PMID- 18151237 TI - Bleeding peptic ulcer. PMID- 18151238 TI - Mercury poisoning. PMID- 18151239 TI - [Not Available]. PMID- 18151240 TI - Application of infra-red rays in the treatment of certain diseases. PMID- 18151241 TI - Carbolic acid in eye diseases. PMID- 18151242 TI - A case of hypotension. PMID- 18151243 TI - [Not Available]. PMID- 18151244 TI - [Not Available]. PMID- 18151245 TI - [Not Available]. PMID- 18151246 TI - [Not Available]. PMID- 18151247 TI - [Not Available]. PMID- 18151248 TI - [Not Available]. PMID- 18151249 TI - [Not Available]. PMID- 18151250 TI - [Not Available]. PMID- 18151251 TI - Organization of the central nervous control of muscular activity. PMID- 18151252 TI - The diagnosis of early acute anterior poliomyelitis. PMID- 18151253 TI - Vitamin B12. PMID- 18151254 TI - A factor in old hepatitis serum capable of agglutinating chicken red cells. PMID- 18151255 TI - Influence of sex upon the lethal effects of an hepatotoxic alkaloid, monocrotaline. PMID- 18151256 TI - Attempted heterologous transplantation of carcinoma of the cervix. PMID- 18151257 TI - Observations of the effects of tetraethyl pyrophosphate in man, and on its use in the treatment of myasthenia gravis. PMID- 18151258 TI - Histochemical studies on nucleic acid phosphatase. PMID- 18151259 TI - Blood clotting; recent advances. PMID- 18151260 TI - The determination of phospholipid phosphorus. PMID- 18151261 TI - Agglutination of erythrocytes containing sulphaemoglobin; further evidence of specific aggregation. PMID- 18151262 TI - The effect of antitoxin on experimental infection with Clostridium novyi (oedematiens) in guinea pigs, with a note on active immunization. PMID- 18151263 TI - Studies on the effect of some aromatic amidines and other chemical compounds on the growth of influenza virus in the embryonated egg. PMID- 18151264 TI - An electric cauter as a sterility aid in inoculation of eggs. PMID- 18151265 TI - Use of the Fry analyzer for student classes. PMID- 18151266 TI - The relationship of serum phosphatases to sex hormones. PMID- 18151267 TI - [Not Available]. PMID- 18151268 TI - [Not Available]. PMID- 18151269 TI - Problems in genito-urinary diagnosis and treatment in a community hospital. PMID- 18151270 TI - Carcinoma of the cecum in a tuberculous patient. PMID- 18151271 TI - Coronary occlusion; three case reports. PMID- 18151272 TI - [Not Available]. PMID- 18151273 TI - [Not Available]. PMID- 18151274 TI - Some functional nervous disorders in childhood. PMID- 18151275 TI - The discoverers of the thoracic cardiac nerves. PMID- 18151276 TI - Electrocardiographic changes following air embolism in man. PMID- 18151277 TI - Effect of adrenochrome on spreading action of hyaluronidase and capillary permeability. PMID- 18151278 TI - Adrenal cortical physiology of spleen grafted and denervated ovaries in the mouse. PMID- 18151279 TI - The vascular anatomy and collateral circulation of the hindquarters of the dog. PMID- 18151280 TI - Hemoglobin content, size and amount of erythrocytes in fishes. PMID- 18151281 TI - Experimental fluorosis in rats. PMID- 18151282 TI - Transient electrical alternation studied in direct leads from the exposed heart. PMID- 18151283 TI - The effect of administration of crystalline chymotrypsin upon placental transplants, spontaneous tumors and Jensen sarcoma in rats. PMID- 18151284 TI - Correlation of the results of the Beard test with clinical diagnosis of human malignancy and their relation to the trophoblastic thesis of malignancy. PMID- 18151285 TI - Effect of administration of crystalline chymotrypsin upon the Beard test for malignancy. PMID- 18151286 TI - Pathogenesis of erythroblastosis fetalis and the Shwartzman phenomenon. PMID- 18151287 TI - A high speed tissue homogenizer. PMID- 18151289 TI - [Not Available]. PMID- 18151290 TI - [Not Available]. PMID- 18151288 TI - Invisible circulations. PMID- 18151291 TI - [Not Available]. PMID- 18151292 TI - [Not Available]. PMID- 18151294 TI - [Not Available]. PMID- 18151293 TI - [Not Available]. PMID- 18151295 TI - Observations in children from evacuated rural settlements. PMID- 18151296 TI - The role of the state in the treatment of the healthy and ill child [Hebrew text]. PMID- 18151297 TI - Serum prothrombin and prothrombin consumption. PMID- 18151298 TI - Gallbladder diseases as a cause of vestibular vertigo. PMID- 18151299 TI - Rocky Mountain spotted fever in Palestine. PMID- 18151300 TI - A brief survey of 25 cases of tick-borne relapsing fever. PMID- 18151301 TI - [Not Available]. PMID- 18151303 TI - State-aided cancer diagnostic clinics. PMID- 18151302 TI - [Not Available]. PMID- 18151304 TI - Vagotomy in the treatment of gastro-intestinal ulceration. PMID- 18151305 TI - X-ray therapy of inflammatory lesions of the eyelids. PMID- 18151306 TI - Abdominal pregnancy. PMID- 18151307 TI - Chronic right lower quadrant pain with urinary symptoms. PMID- 18151308 TI - Intussusception of the appendix. PMID- 18151309 TI - Reticulum cell lymphosarcoma of the thyroid gland. PMID- 18151310 TI - Cultivation of Mycobacterium tuberculosis; a comparison of hydrochloric acid and trisodium phosphate in the preparation of sputum and of the use of fluid Dubos Davis medium and Betragnani medium. PMID- 18151311 TI - Bacteriophage typing of Salmonella typhi; a report of typing in Michigan, 1947 1948. PMID- 18151312 TI - Formation of antibodies in human subjects after the ingestion of heat-killed Brucella abortus. PMID- 18151313 TI - Laboratory and clinical observations on aerosporin (polymyxin B). PMID- 18151314 TI - The coagulation defect in thrombocytopenic purpura. PMID- 18151315 TI - The developing (Coombs) test in spherocytic hemolytic anemias; its significance for the pathophysiology of spherocytosis and splenic hemolysis. PMID- 18151316 TI - Hypertension during blood transfusions for hemorrhagic shock in a patient with unilateral renal ischemia. PMID- 18151317 TI - The effect of heparin and dicumarol in increasing the coronary flow volume. PMID- 18151318 TI - The one-stage and two-stage prothrombin methods in the control of dicumarol therapy, with remarks on Ac-globulin. PMID- 18151319 TI - The causes for rejections of blood donors; a statistical study. PMID- 18151320 TI - Distribution of emetine in tissues. PMID- 18151321 TI - The Kepler water test in tabes dorsalis. PMID- 18151322 TI - The effect of hyaluronidase on the hematocrit and plasma proteins of the albino rat. PMID- 18151323 TI - Minimum tryptophane requirement and urinary excretion of tryptophane by normal adults. PMID- 18151324 TI - Alcohol and pancreatitis; serum amylase determinations in normal individuals following ingestion of alcohol. PMID- 18151325 TI - Studies on the depression of brain oxidations; biopsy technique and analysis of variance in the selection of a pentobarbital concentration. PMID- 18151326 TI - The serum esterase in liver disease. PMID- 18151327 TI - The conversion of a standard incubator to a carbon dioxide incubator. PMID- 18151328 TI - A photometric modification of the hypobromite method for nonprotein nitrogen. PMID- 18151329 TI - Standardized reagent for thymol turbidity test. PMID- 18151330 TI - Vacuum sampling tube for respiratory cases. PMID- 18151331 TI - Cancer of the larynx; report of a case. PMID- 18151332 TI - Surgery in the treatment of gastroduodenal ulcer. PMID- 18151333 TI - Myasthenia gravis with thymoma; a case report. PMID- 18151334 TI - [Antituberculous vaccination by B.C.G. in the Navy]. PMID- 18151335 TI - [The rerorma secondary school and doctors]. PMID- 18151336 TI - [Not Available]. PMID- 18151337 TI - [Not Available]. PMID- 18151338 TI - [Not Available]. PMID- 18151340 TI - Psychotherapy reviewed. PMID- 18151339 TI - [Not Available]. PMID- 18151341 TI - Narcotherapy in psychosomatic disorders. PMID- 18151342 TI - Acute bacterial endocarditis complicating pregnancy. PMID- 18151343 TI - Random relationships of experimental embryology and genetics of pathology. PMID- 18151344 TI - New drugs for allergic diseases. PMID- 18151345 TI - Antipertussis rabbit serum in 95 cases and 15 contacts; preliminary report. PMID- 18151346 TI - Laboratory aids in diagnosis of surgical jaundice. PMID- 18151347 TI - The liver glycogen concentration in fasted alloxan diabetic rats. PMID- 18151348 TI - On the state of the nation. PMID- 18151349 TI - An unusual role of roentgenology in the diagnosis of malignant lesion of the stomach; report of a case. PMID- 18151350 TI - An analysis of poliomyelitis seen at the 10th General Hospital during the past year. PMID- 18151351 TI - [Not Available]. PMID- 18151352 TI - [Not Available]. PMID- 18151353 TI - [Not Available]. PMID- 18151354 TI - [Not Available]. PMID- 18151355 TI - The menstrual cycle. PMID- 18151356 TI - Return to tone in blood-vessels of the upper limb after sympathectomy. PMID- 18151357 TI - Temporal arteritis; report of seven cases. PMID- 18151358 TI - A new type of encephalopathy after general anaesthesia. PMID- 18151359 TI - Injection treatment of hydrocele. PMID- 18151360 TI - Abdominal relaxation with decamethonium iodide (CIO) during caesarean section. PMID- 18151361 TI - Food in hospital; basic and special diets. PMID- 18151362 TI - [Not Available]. PMID- 18151363 TI - [Not Available]. PMID- 18151364 TI - [Not Available]. PMID- 18151365 TI - Economic status of the specialist. PMID- 18151366 TI - Salaried doctors. PMID- 18151367 TI - When inflation hits a nation's doctors. PMID- 18151368 TI - Hay fever. PMID- 18151369 TI - The hypertherm in medicine. PMID- 18151370 TI - The Rh antibody specificities found in 115 human anti-Rh sera. PMID- 18151371 TI - Social work and the ex-serviceman; the psychiatric problem. PMID- 18151372 TI - Testing for the Rh factor in the blood of emergency patients. PMID- 18151373 TI - The training of a doctor. PMID- 18151374 TI - Child psychiatry. PMID- 18151375 TI - An assessment of streptomycin in medical practice. PMID- 18151376 TI - An assessment of streptomycin; surgical aspects. PMID- 18151377 TI - Some problems in the surgery of the gall-bladder. PMID- 18151378 TI - On recent experiences with mechanotherapy of impotence. PMID- 18151379 TI - OBESITY. PMID- 18151380 TI - The after effects of impotence. PMID- 18151381 TI - Control of epidemic ringworm of the scalp. PMID- 18151382 TI - Nutrition survey. PMID- 18151383 TI - The spectacle habit; some fads and fallacies. PMID- 18151384 TI - The resurrectionists; the development of the traffic. PMID- 18151385 TI - [Not Available]. PMID- 18151386 TI - [Not Available]. PMID- 18151387 TI - [Not Available]. PMID- 18151388 TI - [Not Available]. PMID- 18151389 TI - [Not Available]. PMID- 18151390 TI - [Not Available]. PMID- 18151391 TI - [Not Available]. PMID- 18151392 TI - [Not Available]. PMID- 18151393 TI - [Not Available]. PMID- 18151394 TI - [Not Available]. PMID- 18151395 TI - [Not Available]. PMID- 18151396 TI - [Not Available]. PMID- 18151397 TI - [Not Available]. PMID- 18151398 TI - [Not Available]. PMID- 18151399 TI - [Not Available]. PMID- 18151400 TI - [Not Available]. PMID- 18151401 TI - [Not Available]. PMID- 18151402 TI - [Not Available]. PMID- 18151403 TI - [Not Available]. PMID- 18151404 TI - [Not Available]. PMID- 18151405 TI - [Not Available]. PMID- 18151406 TI - [Not Available]. PMID- 18151407 TI - [Not Available]. PMID- 18151408 TI - Hypertensive encephalopathy and cerebral arteriosclerosis. PMID- 18151409 TI - Amputation in patients with diabetes mellitus. PMID- 18151410 TI - Cerebral complications resulting from hypertension caused by vasopressor drugs in obstetrics. PMID- 18151411 TI - Practical aspects of control of dicumarol therapy. PMID- 18151412 TI - White and nonwhite maternal mortality in Brooklyn, New York, 1947. PMID- 18151413 TI - The salt-poor diet. PMID- 18151414 TI - [Not Available]. PMID- 18151415 TI - [Not Available]. PMID- 18151416 TI - [Not Available]. PMID- 18151417 TI - [Not Available]. PMID- 18151418 TI - [Not Available]. PMID- 18151419 TI - [Not Available]. PMID- 18151420 TI - A modification of the slide Rh determination. PMID- 18151421 TI - The incidence of multiple primary malignant tumors and a report of a case with three primary carcinomata. PMID- 18151422 TI - Primary fibrosarcoma of the heart with metastases. PMID- 18151423 TI - Cerebral hemorrhage (nontraumatic) in adolescence. PMID- 18151424 TI - Acute myelogenous leukemia and pregnancy. PMID- 18151425 TI - [Not Available]. PMID- 18151426 TI - [Not Available]. PMID- 18151427 TI - [Not Available]. PMID- 18151428 TI - [Not Available]. PMID- 18151429 TI - [Not Available]. PMID- 18151430 TI - [Not Available]. PMID- 18151431 TI - [Not Available]. PMID- 18151432 TI - [Not Available]. PMID- 18151433 TI - [Not Available]. PMID- 18151434 TI - [Not Available]. PMID- 18151435 TI - [Not Available]. PMID- 18151436 TI - [Not Available]. PMID- 18151437 TI - [Not Available]. PMID- 18151438 TI - [Not Available]. PMID- 18151439 TI - [Not Available]. PMID- 18151440 TI - [Not Available]. PMID- 18151441 TI - [Not Available]. PMID- 18151442 TI - [Not Available]. PMID- 18151443 TI - [Not Available]. PMID- 18151444 TI - [Not Available]. PMID- 18151445 TI - [Research on central localization of narcotics]. PMID- 18151446 TI - [Prothrombin level in the blood after surgery]. PMID- 18151447 TI - [Tuberculous meningitis in children treated with streptomycin]. PMID- 18151448 TI - [System of teaching biology in secondary medical schools in USSR]. PMID- 18151449 TI - [Surgery of carcinoma of the lungs]. PMID- 18151450 TI - [Tuberculous meningitis in children treated with streptomycin]. PMID- 18151451 TI - [Surgery of prostata, urethra and the testis]. PMID- 18151452 TI - [Atrophia flava hepatis during methylotiouracyl treatment of thyreotoxicosis]. PMID- 18151453 TI - [Accretion of vagina during pregnancy]. PMID- 18151454 TI - [Health service in USSR]. PMID- 18151455 TI - [Pediatric surgery in France]. PMID- 18151457 TI - [Control of malaria in Moldavia]. PMID- 18151456 TI - [Health service personnel in USSR]. PMID- 18151458 TI - Homologous serum hepatitis; a report of three fatal cases. PMID- 18151459 TI - A comparative study of the local toxic action of mercurial diuretics. PMID- 18151460 TI - Observations on nitrite-induced postural syncope in patients with mental disease. PMID- 18151461 TI - Effect of autolyzed yeast, yeast nucleic acid and related substances on body temperatures of rats. PMID- 18151462 TI - Development of macrocytic erythrocytes in leukemic subjects receiving folic acid antagonist, 4-amino-pteroylglutamic acid. PMID- 18151463 TI - Effect of heparin on artificial activation in the frog egg. PMID- 18151464 TI - Failure of rutin to inhibit hyaluronidase in the albino rat. PMID- 18151465 TI - Nu 445 in the treatment of urinary infections due to Gram negative bacilli. PMID- 18151466 TI - Metabolic fate of 4,4'-diaminodiphenylsulfone in the rabbit and its isolation from urine. PMID- 18151467 TI - Fractionation of serum cholesterol of chickens. PMID- 18151468 TI - Acetaldehyde disappearance and acetoin formation in vitro. PMID- 18151469 TI - Effect of folic acid, liver extract, and vitamin B12 on hemoglobin regeneration in chicks. PMID- 18151470 TI - Influence of chronic morphine poisoning on growth and metabolism of the albino rat. PMID- 18151471 TI - Value of calcium hypophosphite and other calcium compounds as calcium supplements in calcium-low diets. PMID- 18151472 TI - Extra-renal removal of hemoglobin from circulation in the rat; effect of parenteral bovine albumin. PMID- 18151473 TI - Experimental toxoplasmosis; effect of sulfadiazine and antiserum on congenital toxoplasmosis in mice. PMID- 18151474 TI - Formation of filamentous forms of Newcastle disease virus in hypertonic concentration of sodium chloride. PMID- 18151475 TI - Effect of acute bradycardia on pulmonary vascular pressures in anesthetized dogs. PMID- 18151476 TI - Production of anemia in swine fed purified diets and sulfasuxidine. PMID- 18151477 TI - Recording of intracavity potentials through a single lumen, saline filled cardiac catheter. PMID- 18151478 TI - Reflex modulation of heart rate on closure and opening of an A-V fistula. PMID- 18151479 TI - A Newcastle disease virus hemolysin. PMID- 18151480 TI - By-passing the right ventricle. PMID- 18151481 TI - A new imidazoline derivative with marked adrenolytic properties. PMID- 18151482 TI - Effects of desoxypyridoxine and vitamin B6 on development of the chick embryo. PMID- 18151483 TI - Failure of human convalescent and hyperimmune monkey poliomyelitis serums to neutralize egg adapted Lansing C (M) variant. PMID- 18151484 TI - Electron microscopy of tissue cultures infected with the virus of eastern equine encephalomyelitis. PMID- 18151485 TI - Reimplantation of eyes in fishes (Bahtygobius soporator) with recovery of vision. PMID- 18151486 TI - Influence of cold on blood fibrinogen concentration. PMID- 18151487 TI - Inhibition of multiplication of influenza virus by extracts of tea. PMID- 18151488 TI - Effect of 1-epinephrine and 1-arterenol on egg white edema in the rat. PMID- 18151489 TI - Paper chromatographic identification of some N-substituted amino acids. PMID- 18151490 TI - Importance of potassium and magnesium in nutrition of the guinea pig. PMID- 18151491 TI - A falling sphere method for studying clotting in systems of purified blood components. PMID- 18151492 TI - A new serological test (inhibition test) for human serum globulin. PMID- 18151493 TI - Oxygen consumption studies with intravenous infusions of the combined fat emulsion. PMID- 18151494 TI - Effect of dibenamine on blood flow and cardiac output in the dog. PMID- 18151495 TI - Lymphopenia and the secretion of adrenalin. PMID- 18151496 TI - Interaction of swine influenza virus and egg-white inhibitor of virus hemagglutination. PMID- 18151497 TI - Role of adrenal in uptake of I131 by the thyroid following parenteral administration of epinephrine. PMID- 18151498 TI - Some chemical and morphological changed elicited in the adrenal by stilbestrol and lyophilized anterior pituitary preparation. PMID- 18151499 TI - Effect of various drugs on epinephrine-induced pulmonary edema in rabbits. PMID- 18151500 TI - Myelination of the hypothalamus and its relation to thermoregulation in the hamster. PMID- 18151501 TI - Effect of BAL on experimental polyarthritis of rats. PMID- 18151502 TI - Pyrogenicity of influenza virus in rabbits. PMID- 18151503 TI - Biologic absorption of insolubilized gelatin films. PMID- 18151504 TI - Sodium acetate as a source of fixed base. PMID- 18151505 TI - A method for assay of serum proteolytic activity. PMID- 18151506 TI - Multiplication of the T3 bacteriophage against E coli. PMID- 18151507 TI - Effect of chemical irritation of the peritoneum on transmural migration of intestinal organisms. PMID- 18151508 TI - Transmural migration of intestinal bacteria during peritoneal irrigation in uremic dogs. PMID- 18151509 TI - Experimental studies on nutrition in tuberculosis; the role of protein in resistance to tuberculosis. PMID- 18151510 TI - Ante-mortem failure of the aural microphonic in the guinea pig. PMID- 18151511 TI - Differences in hemagglutination by strains of influenza virus in presence of egg. white and normal serum. PMID- 18151512 TI - Effect of tagathen on histamine-induced gastric lesions in guinea pigs. PMID- 18151513 TI - Blood flow and oxygen consumption of the brain in coarctation of the aorta. PMID- 18151514 TI - [Not Available]. PMID- 18151515 TI - [Not Available]. PMID- 18151516 TI - [Not Available]. PMID- 18151517 TI - [Not Available]. PMID- 18151518 TI - [Not Available]. PMID- 18151519 TI - [Not Available]. PMID- 18151520 TI - [Not Available]. PMID- 18151521 TI - [Not Available]. PMID- 18151522 TI - [Not Available]. PMID- 18151523 TI - [Not Available]. PMID- 18151524 TI - [Not Available]. PMID- 18151525 TI - [Not Available]. PMID- 18151526 TI - [Not Available]. PMID- 18151527 TI - [Not Available]. PMID- 18151528 TI - [Not Available]. PMID- 18151530 TI - Some aspects of pain. PMID- 18151529 TI - [Not Available]. PMID- 18151531 TI - The development and assessment of bronchiectasis. PMID- 18151532 TI - [Not Available]. PMID- 18151533 TI - [Not Available]. PMID- 18151534 TI - [Not Available]. PMID- 18151535 TI - [Not Available]. PMID- 18151536 TI - [Not Available]. PMID- 18151537 TI - [Not Available]. PMID- 18151538 TI - [Not Available]. PMID- 18151539 TI - [Not Available]. PMID- 18151540 TI - [Not Available]. PMID- 18151541 TI - [Not Available]. PMID- 18151542 TI - [Not Available]. PMID- 18151543 TI - [Not Available]. PMID- 18151544 TI - [Not Available]. PMID- 18151545 TI - [Not Available]. PMID- 18151546 TI - [Not Available]. PMID- 18151547 TI - [Not Available]. PMID- 18151548 TI - [Not Available]. PMID- 18151549 TI - [Not Available]. PMID- 18151550 TI - [Not Available]. PMID- 18151551 TI - [Not Available]. PMID- 18151552 TI - [Not Available]. PMID- 18151554 TI - Some observations on, and methods of, dealing with medical problems when a prisoner of war of the Japanese, 1942-1945. PMID- 18151553 TI - Military surgery in the 16. century. PMID- 18151555 TI - Conservative treatment of large dental cysts. PMID- 18151556 TI - Multiple sclerosis. PMID- 18151557 TI - [Not Available]. PMID- 18151558 TI - [Not Available]. PMID- 18151559 TI - [Not Available]. PMID- 18151560 TI - Homeopathic philosophy as illustrated in a case of encephalopathy. PMID- 18151562 TI - A contribution to the question of the origin of anterior paradiscal defects and so-called persisting apophyses in the vertebral bodies. PMID- 18151561 TI - [Not Available]. PMID- 18151563 TI - On the treatment of acute and chronic osteomyelitis of the long bones. PMID- 18151564 TI - On the treatment of opposition paralysis of the thumb. PMID- 18151565 TI - Carpo-metacarpal arthrodesis for opponens paralysis. PMID- 18151566 TI - On the chlorine content of human muscle and skeletal tissue, with special reference to the degeneration of cartilage. PMID- 18151567 TI - Pain in the shoulder girdle from an orthopaedic view-point. PMID- 18151568 TI - Chronic rheumatic disease in the elderly. PMID- 18151569 TI - The use of calcium succinate and acetyls-salicylic acid in the treatment of rheumatic disease. PMID- 18151570 TI - Muscular trophy in diseases of the lower motor neuron; contribution to the anatomy of the motor units. PMID- 18151571 TI - The superiority attitude and rigidity of ideas. PMID- 18151572 TI - Lesions of the spinal cord (transverse myelopathy) in achondroplasia. PMID- 18151573 TI - Measurement of sensation; vibratory sensation. PMID- 18151574 TI - Surgical treatment of sciatica; results 3 to 8 years after operation. PMID- 18151575 TI - Intrapeduncular hemorrhage of the brain; successful operative approach, with evacuation of clot and a 7 1/4 year observation period. PMID- 18151576 TI - The electroencephalogram after injury to the spinal cord in man. PMID- 18151577 TI - Psychosis with hematoporphyrinuria; clinical report of a case. PMID- 18151578 TI - Muscle spindles in human extrinsic eye muscles. PMID- 18151579 TI - On amyotonia congenita. PMID- 18151580 TI - The significance of Tinel's sign in peripheral nerve injuries. PMID- 18151581 TI - Etat marbre of the thalamus following birth injury. PMID- 18151582 TI - [Not Available]. PMID- 18151583 TI - [Not Available]. PMID- 18151585 TI - Combat exhaustion; a descriptive and statistical analysis of causes, symptoms and signs. PMID- 18151584 TI - [Not Available]. PMID- 18151587 TI - Psychobiologic dysfunction in mental disease. PMID- 18151586 TI - A statistical analysis of 480 Army psychiatric casualties. PMID- 18151588 TI - Determination of the stability of epinephrine by optical rotation. PMID- 18151589 TI - The effects of B vitamins, liver, and yeast on promin toxicity in the rat. PMID- 18151590 TI - Unidirectional electro-stimulated convulsive therapy; therapeutic results in 536 patients. PMID- 18151591 TI - Further contribution to the psychodynamics of convulsive treatment. PMID- 18151592 TI - Why do nurses nurse? PMID- 18151593 TI - Nursing care following prefrontal lobotomy. PMID- 18151594 TI - The air-seal device for the tracheotomized respirator patient. PMID- 18151595 TI - Child care in a rural area. PMID- 18151596 TI - Teaching nutrition to medical students. PMID- 18151597 TI - Dietary management in a study of riboflavin requirements. PMID- 18151598 TI - New York State nutrition survey; a nutrition survey of public school children. PMID- 18151599 TI - Significance of feeding from the viewpoint of child development. PMID- 18151600 TI - [Not Available]. PMID- 18151602 TI - [Not Available]. PMID- 18151601 TI - [Not Available]. PMID- 18151603 TI - [Not Available]. PMID- 18151604 TI - [Not Available]. PMID- 18151605 TI - [Not Available]. PMID- 18151606 TI - Myopia; a matter of metabolism? PMID- 18151608 TI - [Not Available]. PMID- 18151607 TI - [Not Available]. PMID- 18151609 TI - [Not Available]. PMID- 18151610 TI - [Not Available]. PMID- 18151611 TI - [Not Available]. PMID- 18151612 TI - [Not Available]. PMID- 18151613 TI - Otological aspects of streptomycin therapy. PMID- 18151614 TI - Case of tbc meningitis simulating abscess of the brain. PMID- 18151615 TI - The risks of haemorrhage in carcinoma of the tongue. PMID- 18151616 TI - Inhibition of nucleic acid production in vestibular nerve cells by streptomycin. PMID- 18151618 TI - Measurement of cochlear potentials. PMID- 18151617 TI - Production of nucleoproteins in the vestibular ganglion. PMID- 18151619 TI - The correlation between cytochemical changes in the cochlear ganglion and functional tests after acoustic stimulation and trauma. PMID- 18151620 TI - Tracheal temperature in laryngectomized patients. PMID- 18151621 TI - [Not Available]. PMID- 18151622 TI - Abscess of the frontal lobe secondary to ethmoiditis. PMID- 18151623 TI - Surgery of the chronically discharging ear. PMID- 18151624 TI - Esophageal varices in Banti's disease; report of two cases in which the condition was improved with injection of sclerosing solutions. PMID- 18151625 TI - Otosclerosis associated with osteoporosis and labyrinthitis chronica ossificans. PMID- 18151626 TI - Unusual otitic foreign bodies; report of two cases. PMID- 18151627 TI - pH of the cutaneous surface of the external auditory canal; a study of 27 infants, 44 children and 60 adults. PMID- 18151628 TI - Progress in surgery of the septum. PMID- 18151629 TI - The development of the auditory ossicles and the temporal bone; a summary of research. PMID- 18151630 TI - Han-Schuller-Christian disease and eosinophilic granuloma of the skull. PMID- 18151631 TI - Medicolegal examination of bodies recovered from burned buildings. PMID- 18151632 TI - Studies on inclusion bodies; acid-fastness of nuclear inclusion bodies that are induced by ingestion of lead and bismuth. PMID- 18151633 TI - Lecithinase activity in splenic dyscrasias. PMID- 18151634 TI - Acute hemolytic anemia associated with elevated titer of cold agglutinins; report of case. PMID- 18151635 TI - Massive stilbamidine therapy of multiple myeloma; report of case. PMID- 18151636 TI - Leiomyoma angiomatosum of the mesentery; report of case. PMID- 18151637 TI - Chronic pneumonitis with marked interstitial pulmonary fibrosis, etiology undetermined. PMID- 18151638 TI - Rapid macroscopic tests for infectious mononucleosis; a method for preservation of sheep cells. PMID- 18151639 TI - Excretion of silver in a patient with argyrosis; ineffectiveness of treatment with BAL. PMID- 18151640 TI - Photographic recording of hemolysis using a portable electrocardiograph. PMID- 18151641 TI - Texchrome silhouette staining of platelets; morphology in vitro before and during coagulation. PMID- 18151642 TI - Culture of tubercle bacilli from specimens of gastric juice. PMID- 18151643 TI - Use of clorox and trisodium phosphate in demonstration of acid-fast bacilli in sputum. PMID- 18151644 TI - An accurate pipetting instrument for serologic use. PMID- 18151645 TI - An improved blood culture bottle utilizing a solid-and-liquid medium. PMID- 18151646 TI - The determination of bromsulphalein in the presence of hemolysis, turbidity and bile. PMID- 18151647 TI - A source of error in bromsulphalein tests. PMID- 18151648 TI - [Not Available]. PMID- 18151649 TI - [Not Available]. PMID- 18151650 TI - [Not Available]. PMID- 18151651 TI - [Not Available]. PMID- 18151652 TI - [Not Available]. PMID- 18151653 TI - [Not Available]. PMID- 18151654 TI - [Not Available]. PMID- 18151655 TI - [Not Available]. PMID- 18151656 TI - A standard system of infant feeding. PMID- 18151657 TI - [Not Available]. PMID- 18151658 TI - [Not Available]. PMID- 18151659 TI - [Not Available]. PMID- 18151660 TI - [Not Available]. PMID- 18151661 TI - Practical points in the diagnosis and treatment of infections of the urinary passages in childhood. PMID- 18151663 TI - Toxic diarrhoea among infants during the siege of Jerusalem in summer 1948. PMID- 18151662 TI - [Not Available]. PMID- 18151664 TI - [Not Available]. PMID- 18151665 TI - Specificity of cerebrospinal fluid reactions in various diseases. PMID- 18151666 TI - [Not Available]. PMID- 18151667 TI - [Not Available]. PMID- 18151668 TI - [Not Available]. PMID- 18151669 TI - Observations on identical twins. PMID- 18151670 TI - [Not Available]. PMID- 18151671 TI - Common colds among nurses in a nursery for young infants. PMID- 18151673 TI - [Not Available]. PMID- 18151672 TI - Mass invasion of Salmonellae in a babies' ward. PMID- 18151674 TI - Helping parents grow up; the role of the pediatrician in private practice. PMID- 18151675 TI - The therapeutic and prophylactic administration of wheat germ oil (vitamin E) in infancy and childhood. PMID- 18151676 TI - Early dysplasia of the hip. PMID- 18151677 TI - The use of rice as a cereal food in infants; a clinical review. PMID- 18151678 TI - Clubbing of the fingers. PMID- 18151679 TI - The influence of modern therapeutic measures on the mortality rate at Children's Hospital during the period from 1936 through 1948. PMID- 18151680 TI - Neurological manifestations of shigellosis; report of two cases. PMID- 18151681 TI - Empyema as a complication of measles. PMID- 18151682 TI - Megacolon. PMID- 18151683 TI - [Not Available]. PMID- 18151684 TI - [Not Available]. PMID- 18151685 TI - [Not Available]. PMID- 18151687 TI - [Not Available]. PMID- 18151686 TI - [Not Available]. PMID- 18151688 TI - [Not Available]. PMID- 18151689 TI - [Contribution to the classification of the primary tuberculous processes]. PMID- 18151690 TI - [Action of sulphate aerosol of 4-6 methyl pyridine on the lung of guinea pig]. PMID- 18151691 TI - [Interpretation of the electrocardiogram in the normal child]. PMID- 18151692 TI - [Influence of vitamin B6 administered intravenously, the serum cholinesterase in childhood]. PMID- 18151693 TI - [The tuberculin skin reactions; comparative study of percutaneous testing with the Mantoux method]. PMID- 18151694 TI - [About a case of anemia neonatorum; clinical and pathological contribution]. PMID- 18151695 TI - [Current status of vaccination against tuberculosis]. PMID- 18151696 TI - [Current guidelines for treatment of leukemia]. PMID- 18151697 TI - [Not Available]. PMID- 18151698 TI - [Not Available]. PMID- 18151699 TI - Adsorption analysis of salts of organic acids. PMID- 18151700 TI - Acetic acid as an irritant in pyrethrum extracts. PMID- 18151701 TI - Observations on the mode of action of metrazol in convulsive doses. PMID- 18151702 TI - Qualitative and quantitative determination of peroxides in petrolatum. PMID- 18151703 TI - Studies on pharmaceutical powders and the state of subdivision; surface area measurements of some pharmaceutical powders by the low-temperature nitrogen adsorption isotherm technique. PMID- 18151704 TI - Microscopic characters of some of the crystalline sympathomimetic amines. PMID- 18151705 TI - Effect of metabolite antagonists on histidine decarboxylase. PMID- 18151706 TI - The oxytocic evaluation of posterior pituitary solutions, U.S. P., the guinea-pig uterus. PMID- 18151707 TI - Fluorometric determination of ketotetrahydropyridines; an improved method for urine. PMID- 18151708 TI - Determination of heavy metals in somewhat colored solutions. PMID- 18151709 TI - Sample size of parenteral solutions for sterility testing. PMID- 18151710 TI - Analysis of diisopropylfluorophosphate in oil solution. PMID- 18151711 TI - A brief historical survey of Indian drugs of vegetable origin. PMID- 18151712 TI - Derivatives of benzoic acid and simple phenols in the chemotherapy of tuberculosis. PMID- 18151713 TI - The antiadrenolytic action of ergotamine. PMID- 18151714 TI - The characterization of the trialkylbarbiturates. PMID- 18151715 TI - A note on the microscopic characterization of the polymorphic forms of ouabain. PMID- 18151716 TI - A modified Squibb separatory funnel for microanalytical work. PMID- 18151717 TI - Anticoagulants. PMID- 18151718 TI - The identification of the clinically-important sulphonamides. PMID- 18151719 TI - The absorption spectra and ionic dissociation of thiouracil derivatives with reference to their anti-thyroid activity. PMID- 18151720 TI - The determination of proguanil. PMID- 18151721 TI - A note on the conversion of omega-tribromoquinaldine to omega-dibromoquinaldine and the production of quinaldic aldehyde. PMID- 18151722 TI - A preliminary investigation on the growth of Cephaaelis ipecacuanha (Brot) A. Rich, under tropical conditions at Calcutta. PMID- 18151723 TI - The preparation of indones. PMID- 18151724 TI - Some aspects of pharmacological chemistry. PMID- 18151725 TI - [Not Available]. PMID- 18151726 TI - [Not Available]. PMID- 18151727 TI - Intravascular pressure as a factor regulating the tone of the small vessels. PMID- 18151728 TI - The vasodilator action of adenosine triphosphate. PMID- 18151729 TI - Cutaneous vasodilatation elicited by local heating of the anterior hypothalamus in cats and dogs. PMID- 18151730 TI - An ordinate recorder for measuring drop flow. PMID- 18151731 TI - Liberation of adrenaline from the suprarenals caused by bile salts. PMID- 18151732 TI - A simplified method for estimating the histaminolytic activity of plasma in pregnancy. PMID- 18151733 TI - The strong histaminolytic activity of lymph and its bearing on the distribution of histamine between lymph and plasma in dogs. PMID- 18151734 TI - Accumulation in the canine lymph during reactive hyperaemia of a substance contracting the guinea pig's gut which is not histamine. PMID- 18151735 TI - Observations on histamine and histaminolysis in pregnancy. PMID- 18151736 TI - The histamine sensitivity of smooth muscles in pregnant guinea pigs. PMID- 18151737 TI - The action of corticotropic and adrenal cortex hormones on the mammary gland. PMID- 18151738 TI - The influence of anoxia on lactate utilization in man after prolonged muscular work. PMID- 18151739 TI - Measurements of heart output by electro-kymography. PMID- 18151740 TI - An evaluation of the cardiovascular effects of certain drugs in hypotensive dogs. PMID- 18151741 TI - Excretion of solutes and osmotic work of the resting kidney of hydropenic man. PMID- 18151742 TI - Excretion of solutes and osmotic work during osmotic diuresis of hydropenic man; the ideal and the proximal and distal tubular work; the biological maximum of work. PMID- 18151743 TI - Inulin space as a measure of extracellular fluid. PMID- 18151744 TI - Rate of entrance of urate and allantoin into the cerebrospinal fluid of the Dalmatian and non-Dalmatian dog. PMID- 18151745 TI - Reduction of plasma potassium concentration of the dog by vivodialysis and its restoration in non-visceral regions. PMID- 18151746 TI - Creatinuria from guanidoacetic acid ingestion and its relation to the site of action of methyltestosterone. PMID- 18151747 TI - Effect of mammalian (posterior lobe) pituitary extract on water balance of frogs when placed in different osmotic environments. PMID- 18151748 TI - Effect of the blood glucose level on the secretion of the adrenal cortex. PMID- 18151749 TI - Action of vitamin P on the stability of connective tissue ground substance. PMID- 18151750 TI - Potentiation of twitch tension and prolongation of action potential induced by reduction of temperature in rat and frog muscle. PMID- 18151751 TI - Oxygen consumption and cooling rates in immersion hypothermia in the dog. PMID- 18151752 TI - Man's respiratory response during and after acclimatization to high altitude. PMID- 18151753 TI - Inhibition of brain dehydrogenases by anticholinesterases. PMID- 18151754 TI - Descending respiratory pathways in the cervical spinal cord. PMID- 18151755 TI - Phasic pains induced by cold. PMID- 18151756 TI - Electrolyte changes with chronic passive hyperventilation in man. PMID- 18151757 TI - Effect of hyperimmune states on human blood pressure response to epinephrine. PMID- 18151768 TI - Action of acetylcholine on rabbit auricles in relation to acetylcholine synthesis. PMID- 18151770 TI - The psychological and social sciences in the national military establishment. PMID- 18151771 TI - Basic studies on the supply and demand of research talent. PMID- 18151772 TI - Training in clinical psychology; an English point of view. PMID- 18151773 TI - William James and psychical research. PMID- 18151775 TI - Elwood Worcester and the case for survival. PMID- 18151774 TI - Comparison of ESP scores with Rorschachs scored by different workers. PMID- 18151776 TI - Some new data on the nature of spinal conditioning. PMID- 18151777 TI - Maze learning in the absence of primary reinforcement; a study of secondary reinforcement. PMID- 18151778 TI - Rate of responding and amount of reinforcement. PMID- 18151779 TI - Temperament in chimpanzees; method of analysis. PMID- 18151780 TI - The effects of electroconvulsive shocks on gestation and maternal behavior. PMID- 18151781 TI - Delayed detour response in the octopus. PMID- 18151782 TI - The thyroid and high oxygen poisoning in rats. PMID- 18151783 TI - Anesthesia and gastric secretion. PMID- 18151784 TI - Behavior resembling spontaneous emissions in the domestic cat. PMID- 18151785 TI - A coordinated research in psychotherapy; a nonobjective introduction. PMID- 18151786 TI - The development of the parallel studies project. PMID- 18151787 TI - An analysis of the relationship between acceptance of and respect for self and acceptance of and respect for others in ten counseling cases. PMID- 18151788 TI - An investigation into the interrelations between the self concept and feelings directed toward other persons and groups. PMID- 18151789 TI - Defensive behavior in client-centered therapy. PMID- 18151790 TI - A study of reported behavior changes in counseling. PMID- 18151791 TI - An analysis of six parallel studies of the therapeutic process. PMID- 18151792 TI - The etiologic agent of Chagas' disease in the United States. PMID- 18151793 TI - Treatment as a factor in the control of the venereal diseases. PMID- 18151794 TI - The psychological significance of geriatric rehabilitation. PMID- 18151795 TI - CARE of the new-born; social and practical implications. PMID- 18151796 TI - Food ways of the young worker. PMID- 18151797 TI - Professional education for cancer control. PMID- 18151798 TI - Cancer teaching in medical schools. PMID- 18151799 TI - Cancer teaching in dental schools. PMID- 18151800 TI - NEW tools for professional cancer education. PMID- 18151801 TI - Rabies problems and control. PMID- 18151802 TI - Quantitative blood cultures from brucellosis patients and from animals experimentally infected with brucella organisms. PMID- 18151803 TI - Action of a parasitic amoeba and the antibiotic of a micrococcus on brucella cultures. PMID- 18151804 TI - A heat-stable, water-soluble brucella allergen; preliminary report. PMID- 18151805 TI - A short note on the epidemiology of brucellosis in Puerto Rico. PMID- 18151806 TI - The treatment of brucellosis with sulfadiazine and streptomycin. PMID- 18151807 TI - Chlorination at Chicago's South District Filtration Plant. PMID- 18151808 TI - Simplified amperometric titration apparatus for determining residual chlorine in water. PMID- 18151809 TI - Principal requirements of cathodic protection systems. PMID- 18151810 TI - Cathodic protection equipment; capacities, performance and costs. PMID- 18151811 TI - Chemicals used in water & sewage treatment. PMID- 18151812 TI - Sewer stabilization via suspension. PMID- 18151813 TI - Improved soil percolation test for determining the capacity of soils for leaching sewage effluents. PMID- 18151814 TI - Special charge formulas for industrial wastes in municipal sewage; a review. PMID- 18151815 TI - Rates and regulations for water used in air conditioning. PMID- 18151816 TI - Main-line metering of water, sewage and sludge. PMID- 18151817 TI - Water waste surveys and leakage correction; with particular reference to the pitometer and its use in making such surveys. PMID- 18151818 TI - Anthrafilt and its significance. PMID- 18151819 TI - Control of algae. PMID- 18151820 TI - Activated carbon treatment of an open reservoir. PMID- 18151821 TI - Trenching practice. PMID- 18151822 TI - Chlorination of sewage. PMID- 18151824 TI - Place of fluoroscopy in the diagnosis of peptic ulcer. PMID- 18151823 TI - Peptic ulcer; the importance of films in diagnosis. PMID- 18151825 TI - Gastroscopy in the evaluation of patients with peptic ulcer. PMID- 18151826 TI - Evaluation of the effects of radiation on non-malignant lesions of the nasopharynx. PMID- 18151827 TI - Endocrine factors in hypertension; treatment by roentgen irradiation of the pituitary and adrenal regions. PMID- 18151828 TI - A rapid quantitative scale method for estimating the percentage concentration of priodax in the gallbladder. PMID- 18151829 TI - The sensitometry of roentgenographic films and screens. PMID- 18151830 TI - Relationships between chemical and biological effects of ionizing radiations. PMID- 18151831 TI - Structural differences on bone matrix associated with metabolized radium. PMID- 18151832 TI - Individualizing the tumor dose in carcinoma of the uterine cervix by means of a simple caliper. PMID- 18151833 TI - Effect of continuous radiation on chick embryos and developing chicks; bone marrow, lymphoid tissue, and peripheral blood. PMID- 18151835 TI - Streptomycin in tuberculosis; clinical experience. PMID- 18151834 TI - Use of para-aminosalicylic acid in chronic pulmonary tuberculosis. PMID- 18151836 TI - Extrapleural pneumonolysis with plombage virus thoracoplasty. PMID- 18151837 TI - Pneumoperitoneum therapy in lower zone tuberculosis. PMID- 18151838 TI - Carcinoma of the lung with nonmalignant pleural effusion; recovery by pneumonectomy. PMID- 18151839 TI - Nutrition education in institutions caring for tuberculous patients. PMID- 18151840 TI - Sterile homopneumothorax caused by softening and perforation of a pulmonary infarct. PMID- 18151841 TI - Spontaneous perforation of the normal esophagus. PMID- 18151842 TI - Intrathoracic sympathoblastoma. PMID- 18151843 TI - Bronchial lavage in tuberculosis. PMID- 18151844 TI - Dusts of clinical significance. PMID- 18151845 TI - The use of bronchoscopy in bronchiectasis. PMID- 18151846 TI - A case of fatal tularemic pneumonia with necropsy. PMID- 18151847 TI - Bronchographic observations in collapsed lungs. PMID- 18151848 TI - A brief analysis of 50 foreign bodies in the larynx, trachea and bronchi. PMID- 18151860 TI - [Not Available]. PMID- 18151850 TI - One-stage resection of carcinoma of the cervical esophagus with subpharyngeal esophagogastrostomy; report of a successful case. PMID- 18151861 TI - [Not Available]. PMID- 18151862 TI - [Not Available]. PMID- 18151863 TI - [Not Available]. PMID- 18151864 TI - [Not Available]. PMID- 18151865 TI - Some wider aspects of the management of cerebral palsy. PMID- 18151866 TI - Ceramics as occupational therapy for patients with suicidal tendencies. PMID- 18151867 TI - Effectiveness of the hospital conference in rehabilitation. PMID- 18151868 TI - Psychiatric rehabilitation symposium. PMID- 18151869 TI - Anterior poliomyelitis; rehabilitation by functional exercises. PMID- 18151870 TI - The influence of exercise on intragastric pressure. PMID- 18151871 TI - Investigation into the epidemiology of diphtheria in the hygiene study ward at Batavia. PMID- 18151873 TI - Pancreatic atrophy in infants with fatty liver. PMID- 18151872 TI - The nature of immunity against scrub typhus in guinea-pigs. PMID- 18151874 TI - The suppressive action of paludrine in benign tertian (vivax) malaria. PMID- 18151875 TI - Twofold quinine resistance of Plasmodium gallinaceum, induced by regular administration of the drug. PMID- 18151876 TI - Preliminary report on the subgenus Nyssorhynchus (Diptera, Culicidae) of Surinam, Dutch Guiana. PMID- 18151877 TI - Annotated list of mosquitoes of the Netherlands Antilles including French St. Martin, with a note on Eutriatoma maculata on Curacao and Bonaire. PMID- 18151878 TI - Tricercomonas intestinalis in the Netherlands. PMID- 18151879 TI - Haemagglutination through vaccinia virus; the aptitude of buffalo pulp for haemagglutination through vaccinia virus. PMID- 18151880 TI - Research on the life history of Diphyl-lobothrium ranarum. PMID- 18151881 TI - The efficacy of quinacrine and quinine in the treatment of Plasmodium malariae infections. PMID- 18151882 TI - [Not Available]. PMID- 18151883 TI - [Not Available]. PMID- 18151884 TI - [Not Available]. PMID- 18151885 TI - [Not Available]. PMID- 18151886 TI - [Not Available]. PMID- 18151887 TI - [Not Available]. PMID- 18151888 TI - [Not Available]. PMID- 18151889 TI - [Not Available]. PMID- 18151890 TI - Total cystectomy; a consideration of the technique. PMID- 18151891 TI - Unusual examples of urethrocele and ureterocele; operative cure. PMID- 18151892 TI - A case of ureterocele complicated by renal and ureteric calculi. PMID- 18151893 TI - Experiences with fibrin coagulum in pyelolithotomy. PMID- 18151894 TI - Spontaneous perirenal hematoma associated with hypertension. PMID- 18151895 TI - Varix of the renal vein; report of a case. PMID- 18151896 TI - Uncrossed double ureter with rare intravesical orifice relationship; case report with review of literature. PMID- 18151897 TI - Ureteroperitoneal anastomosis. PMID- 18151898 TI - Papillary carcinoma of ureter and bladder arising after nephrectomy for tumor of kidney pelvis. PMID- 18151899 TI - Cystitis emphysematosa; case report with a review of literature. PMID- 18151900 TI - Pregnancy associated with exstrophy of the bladder. PMID- 18151901 TI - Fibroma of tunica vaginalis testis. PMID- 18151902 TI - Prognosis of testicular tumors. PMID- 18151903 TI - Hereditary hemorrhagic telangiectasia as a cause of hematuria; two case reports. PMID- 18151904 TI - Intracaine lubricant as a urethral anesthetic. PMID- 18151905 TI - UNITED Nations World Health Organization; Interim Commission; Expert Committee on Venereal Diseases. PMID- 18151906 TI - The medical conduct of a brothel. PMID- 18151907 TI - Modern interpretations of serum tests. PMID- 18151908 TI - Gonorrhoea and the sulphonamides. PMID- 18151910 TI - STATE of the Union regarding commercialized prostitution. PMID- 18151909 TI - Advertisements on the treatment of venereal disease and the social history of venereal disease. PMID- 18151911 TI - MILESTONES in the march against commercialized prostitution, 1946-1949. PMID- 18151912 TI - WORLD situation with regard to prostitution. PMID- 18151913 TI - Folliculinid life-cycle. PMID- 18151914 TI - Morphological and phylogenetic interpretations of the cement glands in the Acanthocephala. PMID- 18151915 TI - Beryllium inhibition of regeneration; morphological effects of beryllium on amputated fore limbs of larval Amblystoma. PMID- 18151916 TI - The swim bladder and weberian apparatus of Rhaphiodon vulpinus Agassiz, with notes on some additional morphological features. PMID- 18151917 TI - Some transformations in asymmetry among Corixidae. PMID- 18151918 TI - A comparative study of the reproductive systems of Xironogiton instabilius instabilius Moore and Cambarincola philadelphica Leidy (Annelida, Oligochaeta, Branchiobdellidae). PMID- 18151919 TI - Continuous peridural anesthesia and analgesia for labor, delivery and cesarean section. PMID- 18151920 TI - Anesthesia and surgery in patients of advanced age. PMID- 18151921 TI - Intravenous pentothal-procaine anesthesia. PMID- 18151922 TI - Pentothal sodium with procaine for thoracic surgery. PMID- 18151923 TI - Status lymphaticus, thymic death and anesthesia in oral surgery. PMID- 18151924 TI - Organization of a department of anesthesiology in a large teaching hospital. PMID- 18151925 TI - Discrimination of a sound changing gradually in intensity. PMID- 18151926 TI - Acid-base balance of rats exposed to reduced barometric pressure. PMID- 18151927 TI - Clinical observations on the value of the orthostatic tolerance test in normal men. PMID- 18151928 TI - Experimental evaluation of the psychiatric interview for prediction of success in pilot training. PMID- 18151929 TI - An analysis of the effects of aerial transportation on patients. PMID- 18151930 TI - Maximum flying time for air crews. PMID- 18151933 TI - Demonstration of an interference phenomenon associated with infectious bronchitis virus of chickens. PMID- 18151936 TI - The reversal of PABA of sulfonamide inhibition of the viruses of lymphogranuloma venereum and mouse pneumonitis. PMID- 18151937 TI - A serological study of selected species of actinomycetes. PMID- 18151939 TI - Two new Salmonella types; Salmonella corvallis and Salmonella colorado. PMID- 18151940 TI - Additional properties of the MEFI strain of poliomyelitis virus, especially with reference to attempts at cultivation in the chick embryo. PMID- 18151942 TI - Factors affecting the elaboration of pigment and polysaccharide by Serratia marcescens. PMID- 18151941 TI - Vitamin requirements of Bacillus coagulans. PMID- 18151943 TI - On the naming of two antibiotics from members of the Bacillus circulans group; circulin and polypeptin. PMID- 18151944 TI - Studies of wireworm population; some effects of cultivation. PMID- 18151945 TI - The adjustment for a natural response rate in probit analysis. PMID- 18151946 TI - Dosage-mortality correlation with number treated estimated from a parallel sample. PMID- 18151947 TI - Note on a problem in probit analysis. PMID- 18151948 TI - A simple method for assaying contact toxicities of insecticides, with results of tests of some organic compounds against Calandra granaria L. PMID- 18151949 TI - Bioassay systems for the pyrethrins; water-base sprays against Aedes aegypti L. and other flying insects. PMID- 18151950 TI - Bioassay systems for the pyrethrins; the mode of action of pyrethrum synergists. PMID- 18151951 TI - The fungistatic activity of ethylenic and acetylenic compounds; the fungistatic activity of tetraiodoethylene and related compounds. PMID- 18151952 TI - Investigation into the production of bacteriostatic substances by fungi; a revision of the testing method. PMID- 18151953 TI - The transmission of sugar-beet yellows virus by mechanical inoculation. PMID- 18151954 TI - The competition between barley and certain weeds under controlled conditions; competition with Agrostis gigantea. PMID- 18151955 TI - Comparing individual means in the analysis of variance. PMID- 18151956 TI - The analysis of extinction time data in bioassay. PMID- 18151957 TI - The general theory of prime-power lattice designs; the analysis for p3 varieties in blocks of p plots with more than 3 replicates. PMID- 18151958 TI - A relation between the logarithmic, Poisson, and negative binomial series. PMID- 18151959 TI - The statistical analysis of insect counts based on the negative binomial distribution. PMID- 18151960 TI - Heterotopic transplantation of brachial cord segments followed by reimplantation into the orthotopic site. PMID- 18151961 TI - X-ray diffraction evidence of collagen-type protein fibers in the Echinodermata, Coelenterata and Porifera. PMID- 18151962 TI - The swimming capacity of Amblystoma larvae following reversal of the embryonic hindbrain. PMID- 18151963 TI - The induction of aristapedia by nitrogen mustard in Drosophila virilis. PMID- 18151964 TI - Copper and ascidian metamorphosis. PMID- 18151965 TI - The role of specific macronuclear nodes in the differentiation and the maintenance of the oral area in Stentor. PMID- 18151966 TI - Scatter analysis techniques applied to anxiety neurotics from a restricted culturo-educational environment. PMID- 18151967 TI - The structure of the mind. PMID- 18151968 TI - The chronic disease study of the California Department of Public Health. PMID- 18151969 TI - A health officer survey of a medical care program. PMID- 18151970 TI - Training physicians in public health nutrition. PMID- 18151971 TI - Use of the university in increasing the expertness of the nurse. PMID- 18151972 TI - Laboratory handling of radioisotopes in cancer research. PMID- 18151973 TI - [Not Available]. PMID- 18151974 TI - [Not Available]. PMID- 18151975 TI - [Not Available]. PMID- 18151976 TI - [Not Available]. PMID- 18151977 TI - [Not Available]. PMID- 18151978 TI - [Not Available]. PMID- 18151979 TI - [Not Available]. PMID- 18151980 TI - [Not Available]. PMID- 18151981 TI - [Not Available]. PMID- 18151982 TI - Hypertensive and ischaemic heart disease; a comparative clinical and pathological study. PMID- 18151983 TI - Sino-auricular block, interference dissociation, and different recovery rates of excitation in the bundle branches. PMID- 18151984 TI - Electrocardiographic studies in cretins. PMID- 18151985 TI - The effects of thiocyanate on basal and supplemental blood pressures. PMID- 18151986 TI - Mass miniature radiography in the detection of heart disease. PMID- 18151987 TI - The electrocardiogram of posterior cardiac infarction. PMID- 18151988 TI - The results of medical and surgical treatment of essential hypertension. PMID- 18151989 TI - The types of pulmonary stenosis and their clinical recognition. PMID- 18151990 TI - Globulin complexes with oestrogenic acids. PMID- 18151991 TI - Caroteniods of loquat (Eriobotrya japonica Lindl.). PMID- 18151993 TI - Accumulation of glutamic acid in isolated brain tissue. PMID- 18151994 TI - Displacement chromatography on synthetic ion-exchange resins; separation of organic bases and aminoacids using cation-exchange resins. PMID- 18152006 TI - Nicotinamide biosynthesis by intestinal bacteria as influenced by methyltryptophans. PMID- 18152008 TI - The effects of thyroxine and thio-uracil on the secretion of the phosphorus compounds normally present in milk. PMID- 18152009 TI - Glucuronide synthesis and cell proliferation. PMID- 18152010 TI - Metal catalysis of indole production from tryptophan. PMID- 18152011 TI - Suggested mechanism for the enzymic breakdown of tryptophan to indole. PMID- 18152012 TI - Serum flocculation tests at pH 7.55. PMID- 18152013 TI - The properties of beta-glucuronidase. PMID- 18152014 TI - The utilization of acetate by the foetus for fatty acid and cholesterol synthesis. PMID- 18152015 TI - The action of suramin on proteolytic enzymes. PMID- 18152016 TI - The action of suramin on some non-proteolytic enzymes. PMID- 18152017 TI - Some inhibitors of aerobic phosphorylation. PMID- 18152018 TI - Iso-electric precipitation procedures for purification of the pituitary diabetogenic factor. PMID- 18152019 TI - Chromatography of vitamin A and derivatives on alumina-treated filter paper. PMID- 18152020 TI - A comparison of electrical and psychophysical determinations of the spectral sensitivity of the human eye. PMID- 18152021 TI - Multi-slit spectrometry. PMID- 18152022 TI - Measurement of the influence of local adaptation on color matching. PMID- 18152024 TI - Visibility on cathode-ray tube screens; signals on a P-7 screen exposed for different intervals. PMID- 18152023 TI - Visibility on cathode-ray tube screens; the effect of size and shape of pip. PMID- 18152025 TI - The spectra of argon, krypton, and xenon between 1.2 and 2.2 microns. PMID- 18152027 TI - [Not Available]. PMID- 18152026 TI - Emulsion calibration scale for quantitative spectroscopic analysis. PMID- 18152028 TI - [Not Available]. PMID- 18152029 TI - [Not Available]. PMID- 18152030 TI - [Not Available]. PMID- 18152031 TI - The effect of topical applications of potassium fluoride and of the ingestion of tablets containing sodium fluoride on the incidence of dental caries. PMID- 18152032 TI - An unrecorded form of the simplest type of the dilated composite odontome. PMID- 18152033 TI - On the treatment of unreduced bilateral forward dislocation of temporomandibular joint. PMID- 18152034 TI - A case of pulp survival after accident. PMID- 18152035 TI - The effect of organic acids on human tooth enamel. PMID- 18152036 TI - Migration of teeth. PMID- 18152037 TI - The dentist's contribution toward a complete health service. PMID- 18152039 TI - Dentistry and otolaryngology. PMID- 18152038 TI - Bruxism; detection and treatment. PMID- 18152040 TI - Problems related to mouth rehabilitation and their dento-medical complications. PMID- 18152041 TI - Cephalometric roentgenology; history, technics and uses. PMID- 18152042 TI - Prosthetic replacement for tissues lost through cancerous lesions. PMID- 18152043 TI - Neoplastic lesions of interest to the dental profession. PMID- 18152044 TI - Diagnosis of oral tumors. PMID- 18152045 TI - Management of hemophilia in dental extractions. PMID- 18152046 TI - Subcutaneous emphysema of the face. PMID- 18152047 TI - Adamantinoma of the left maxillary area; report of case. PMID- 18152048 TI - Fracture of the mandible; report of case. PMID- 18152049 TI - A rationale for the treatment of the intrabony pocket; one method of treatment, subgingival curettage. PMID- 18152050 TI - The importance of high-quality protein. PMID- 18152051 TI - Recent development in endocrinology and endocrine regulation of growth. PMID- 18152052 TI - The physiology of mandibular movement related to prosthodontia. PMID- 18152053 TI - Leukemia; importance of recognition by the dentist. PMID- 18152054 TI - Cancer control and the dentist. PMID- 18152055 TI - Salivary calculus. PMID- 18152057 TI - [Not Available]. PMID- 18152056 TI - Periodontal disease; its cause and cure. PMID- 18152058 TI - [Not Available]. PMID- 18152059 TI - [Not Available]. PMID- 18152060 TI - [Not Available]. PMID- 18152061 TI - [Not Available]. PMID- 18152062 TI - Podophyllotoxin. PMID- 18152063 TI - Diagnosis and treatment of pigmented nevi; consideration of some of the pitfalls. PMID- 18152064 TI - Ehlers-Danlos syndrome; a clinical and genetic study. PMID- 18152065 TI - Evaluation of bacitracin in local treatment of pyogenic infections. PMID- 18152066 TI - Pyogen allergic dermatitis. PMID- 18152068 TI - Multiple idiopathic hemorrhagic sarcoma of Kaposi. PMID- 18152067 TI - Postoperative gangrene? PMID- 18152069 TI - Lichen urticatus caused by dog's fleas. PMID- 18152071 TI - [Not Available]. PMID- 18152070 TI - Extensive cavernous hemangioma successfully treated with solid carbon dioxide. PMID- 18152072 TI - [Treatment of psoriasis with large doses of vitamin D2]. PMID- 18152073 TI - [Not Available]. PMID- 18152074 TI - [Ultrasonic waves treatment in dermatology]. PMID- 18152076 TI - [Not Available]. PMID- 18152075 TI - [Colibacillary phlegmone with subsequent gangrene treated with streptomycin]. PMID- 18152077 TI - [Proposal of a diet for patients suffering from eczema-dermatitis or urticarial complex]. PMID- 18152078 TI - [Dermatomyositis and penicillin]. PMID- 18152079 TI - [Hyperkeratotic and rhagadiforme dermatitis caused by tricresolformaline at the dentist's]. PMID- 18152080 TI - [Not Available]. PMID- 18152081 TI - [Not Available]. PMID- 18152082 TI - [Differential clinical diagnosis and therapy of oidio- and dermatofytoonychoses]. PMID- 18152083 TI - [Occupational acneform dermatoses]. PMID- 18152084 TI - [Not Available]. PMID- 18152085 TI - [Not Available]. PMID- 18152086 TI - [Not Available]. PMID- 18152087 TI - [Not Available]. PMID- 18152088 TI - [Not Available]. PMID- 18152089 TI - [Not Available]. PMID- 18152090 TI - The preparation and use of Rh hapten. PMID- 18152091 TI - The technique of electrocardiography. PMID- 18152092 TI - Radioactive isotopes. PMID- 18152093 TI - Why write a scientific paper. PMID- 18152094 TI - Gastric perforation; a clinicopathologic study. PMID- 18152095 TI - A comparative study of the colloidal red test in liver diseases with special reference to the zinc turbidity, thymol turbidity and bromsulphalein tests. PMID- 18152096 TI - The relationship between the secretions of the gastric mucosa and its morphology as shown by biopsy specimens. PMID- 18152097 TI - Studies on liver function and blood proteins in allergic individuals. PMID- 18152098 TI - Gastroscopic perforation of esophagus and stomach; report of three cases. PMID- 18152099 TI - A study of the action of prostigmine on the bowel of human beings. PMID- 18152100 TI - Bromsulfalein reactions; clinical and experimental study. PMID- 18152101 TI - A case of lipoidosis of the stomach. PMID- 18152102 TI - Vagus nerve section for relief of intractable abdominal pain in a case of gastric carcinoma. PMID- 18152103 TI - Effect of carbon tetrachloride-feeding on estrogen excretion in the normal female guinea pig. PMID- 18152104 TI - The determination of adrenocortical steroids in human urine. PMID- 18152105 TI - The effect of administered adrenal cortical hormones on the liver glycogen of normal and scorbutic guinea pigs. PMID- 18152106 TI - Induction of psychic estrus in the hamster with progesterone administered via the lateral brain ventricle. PMID- 18152107 TI - The effect of thyroxine on the female reproductive system in parabiotic rats. PMID- 18152108 TI - Histological, cytochemical and physiological observations on the regeneration of the rat's adrenal gland following enucleation. PMID- 18152109 TI - Changes in serum cholesterol and cholesterol esters in alloxan diabetic rabbits. PMID- 18152110 TI - A simplified procedure for thyroidectomy of the new-born rat without concomitant parathyroidectomy. PMID- 18152111 TI - Specificity of the intrauterine test for progesterone. PMID- 18152112 TI - The effect of varying levels of thyroidal stimulation on the ascorbic acid content of the adrenal cortex. PMID- 18152113 TI - Comparative oral thyroxine-like activity of natural and synthetic thyroproteins and of DL-thyroxine studied with the goiter prevention method. PMID- 18152114 TI - Occurrence and determination of conjugated sulfates of estrogens in urine from pregnant women. PMID- 18152115 TI - Pituitary and adreno-cortical relationships to liver regeneration and nucleic acids. PMID- 18152116 TI - Serological studies on crystalline adrenocorticotrophic hormone; the production of antiadrenocorticotrophin. PMID- 18152117 TI - [Not Available]. PMID- 18152118 TI - Frozen storage of poultry; effects of some processing factors on quality. PMID- 18152119 TI - A semiquantitative method for the detection of acetic anhydride in acetic acid. PMID- 18152120 TI - The modified Lambert conformal projection for polar areas. PMID- 18152121 TI - The reaction theory of respiratory regulation. PMID- 18152122 TI - On some glycoprotein carbohydrates. PMID- 18152123 TI - [Not Available]. PMID- 18152124 TI - [Not Available]. PMID- 18152125 TI - The action of quinones on mitosis. PMID- 18152126 TI - [Not Available]. PMID- 18152127 TI - [Not Available]. PMID- 18152128 TI - [Not Available]. PMID- 18152129 TI - [Not Available]. PMID- 18152130 TI - [Not Available]. PMID- 18152131 TI - [Not Available]. PMID- 18152132 TI - The effect of thyroxin in thyroidectomized rats treated with methylthiouracyl. PMID- 18152133 TI - Action of podophyllin on the number of blood leukocytes. PMID- 18152134 TI - [Not Available]. PMID- 18152135 TI - [Not Available]. PMID- 18152136 TI - [Not Available]. PMID- 18152137 TI - The post-crisis in blood-induced Plasmodium lophurae infections in white Pekin ducks. PMID- 18152138 TI - Second supplementary list of parasitic fungi from Iowa. PMID- 18152140 TI - [Not Available]. PMID- 18152139 TI - [Not Available]. PMID- 18152141 TI - [Not Available]. PMID- 18152143 TI - [Not Available]. PMID- 18152142 TI - [Not Available]. PMID- 18152144 TI - [Not Available]. PMID- 18152145 TI - The importance of the family in the prevention of mental illness. PMID- 18152146 TI - Social and psychological factors affecting fertility; fertility planning and fertility rates by socioeconomic status. PMID- 18152147 TI - [Not Available]. PMID- 18152148 TI - Anthropology and human growth. PMID- 18152149 TI - A discussion on antibiotic activity of growth factor analogues. PMID- 18152150 TI - The heat of activation and the heat of shortening in a muscle twitch. PMID- 18152151 TI - The energetics of relaxation in a muscle twitch. PMID- 18152152 TI - Work and heat in a muscle twitch. PMID- 18152153 TI - The haemoglobins of Ascaris lumbricoides. PMID- 18152154 TI - Ascaris haemoglobin as an indicator of the oxygen produced by isolated chloroplasts. PMID- 18152155 TI - Upper Ordovician trilobites of zonal value in south-east Shropshire. PMID- 18152156 TI - Determination of quercetin-like substances in several midwestern plants. PMID- 18152157 TI - An hereditary digital anomaly of cattle. PMID- 18152158 TI - Reduced penetrance in the inheritance of cortical cataract. PMID- 18152159 TI - Dwarf cattle for the tropics. PMID- 18152160 TI - [Significance of hysterosalpingography for investigation of sterility]. PMID- 18152161 TI - [Pelvigraphy with water solution of contrast substance]. PMID- 18152162 TI - [Aqueous solutions of iodine in hysterosalpingography]. PMID- 18152163 TI - [Uterosalpingography in animals]. PMID- 18152164 TI - [Repeated full-term pregnancy after the Strassmann operation]. PMID- 18152165 TI - [Not Available]. PMID- 18152166 TI - [Length of delivery and the daily rhythm of clinical onset of labor]. PMID- 18152167 TI - [EKG in normal pregnancy]. PMID- 18152168 TI - [Experiences with the action of partergine on the course of labor]. PMID- 18152169 TI - [Rare twin pregnancy and acromegalia]. PMID- 18152170 TI - [Acute poliomyelitis in pregnancy]. PMID- 18152171 TI - [Not Available]. PMID- 18152172 TI - [Not Available]. PMID- 18152173 TI - [Not Available]. PMID- 18152174 TI - [Not Available]. PMID- 18152175 TI - [Not Available]. PMID- 18152176 TI - Myelokentric acid and lymphokentric acid in Hodgkins disease. PMID- 18152178 TI - [Not Available]. PMID- 18152177 TI - The syndrome of the pseudo-leukemic (pseudo-erythremic) myelosis. PMID- 18152179 TI - Dwarf cell (atypical myelogenous) leukemia. PMID- 18152180 TI - Medical illustration, ancient and medieval. PMID- 18152181 TI - A medical illustrator at work. PMID- 18152182 TI - Population and polygamy in 18. century thought. PMID- 18152183 TI - Guaiacum, the holy wood from the New World. PMID- 18152184 TI - Enlightened 18. century views of the alcohol problem. PMID- 18152186 TI - WHAT are the states doing about fire safety in hospitals. PMID- 18152185 TI - WHAT'S all this about the deplorable state of nursing schools? PMID- 18152187 TI - [Not Available]. PMID- 18152188 TI - [Not Available]. PMID- 18152189 TI - [Not Available]. PMID- 18152190 TI - [Not Available]. PMID- 18152191 TI - [Not Available]. PMID- 18152192 TI - [Not Available]. PMID- 18152193 TI - Modern conception of non-articular rheumatism. PMID- 18152194 TI - Relapsing fever in ambulatory practice. PMID- 18152195 TI - Dislocation of ulna at the radio-ulnar joint without fracture of radius; report on two cases. PMID- 18152196 TI - The notification of infectious diseases. PMID- 18152198 TI - The pseudomeningitic form of infantile beriberi. PMID- 18152197 TI - Studies on the thiamine content of rice, vegetables, and other foods in Bataan Province. PMID- 18152199 TI - Some chemical properties of Manila tap water and their relation to corrosion of the distribution system. PMID- 18152200 TI - Streptomycin in whooping cough. PMID- 18152201 TI - The electrocardiogram among professionals above the age of 50 without apparent cardiac disease. PMID- 18152202 TI - The teaching of anatomy. PMID- 18152203 TI - [Not Available]. PMID- 18152204 TI - The effects of plasma transfusions in nephrogenic hypoproteinemia. PMID- 18152205 TI - On supraventricular extrasystoles. PMID- 18152206 TI - [Not Available]. PMID- 18152207 TI - Coronary sclerosis as a symptom of xanthomatosis; Muller's syndrom. PMID- 18152208 TI - Hypercitricemia in Addison's disease. PMID- 18152209 TI - Recent advances in diagnosis and treatment of office gynecology. PMID- 18152210 TI - Urinary tract complications in obstetrics and gynecology. PMID- 18152211 TI - The inhalation of penicillin dust; its proper role in the management of respiratory infections. PMID- 18152212 TI - Cutaneous manifestations of systemic diseases. PMID- 18152213 TI - Allergic manifestations of the eye and surrounding structures. PMID- 18152214 TI - The diagnosis of early acute anterior poliomyelitis. PMID- 18152215 TI - Lipemic nephrosis with and without nephritis. PMID- 18152216 TI - Mercuhydrin (meralluride) suppositories as a diuretic in congestive heart failure. PMID- 18152217 TI - Few children need die. PMID- 18152219 TI - Hemolytic anemia. PMID- 18152218 TI - The general medical practitioner and plastic surgery. PMID- 18152220 TI - Pulmonary eosinophilia (tropical eosinophilia). PMID- 18152221 TI - Medicine and the state. PMID- 18152222 TI - Injection of sulphetrone and diasone in leprosy. PMID- 18152223 TI - Control of leprosy in India. PMID- 18152224 TI - Stye. PMID- 18152225 TI - Streptomycin in a case of tuberculous endometritis. PMID- 18152226 TI - The ataxias; a review. PMID- 18152227 TI - Radioactive isotopes in the study of peripheral vascular disease; method of evaluation of various forms of treatment. PMID- 18152228 TI - Clinical studies on dicumarol hypoprothrombinemia and vitamin K preparations; superiority of vitamin K1 oxide over menadione sodium bisulfite U.S.P. and synkayvite in reversing dicumarol hypoprothrombinemia. PMID- 18152229 TI - Endocarditis in main line opium addicts; report on 11 cases. PMID- 18152230 TI - [Not Available]. PMID- 18152231 TI - [Not Available]. PMID- 18152232 TI - [Not Available]. PMID- 18152233 TI - [Not Available]. PMID- 18152235 TI - Gynecological aspects of sterility. PMID- 18152234 TI - Procedures in the investigation of male fertility. PMID- 18152236 TI - The treatment of coronary artery disease. PMID- 18152237 TI - Cardiovascular anomalies producing bronchial compression. PMID- 18152238 TI - Cardiac disorders in acute glomerulonephritis. PMID- 18152239 TI - [Not Available]. PMID- 18152240 TI - [Not Available]. PMID- 18152241 TI - [Not Available]. PMID- 18152242 TI - The symptomatic management of the hay fever patient. PMID- 18152243 TI - The role of mitochondria in cellular metabolism. PMID- 18152244 TI - Fat in parenteral nutrition. PMID- 18152245 TI - The effect of vitamin B12 on hematologic and neurologic disorders in pernicious anemia; report of a case. PMID- 18152246 TI - Hypersensitivity and diffuse vascular (collagen) diseases. PMID- 18152247 TI - Iron metabolism and hemochromatosis. PMID- 18152248 TI - The present status of vitamin B12 in pernicious anemia. PMID- 18152249 TI - An evaluation of the mumps skin-test in pediatric practice. PMID- 18152250 TI - The association of interatrial septal defect and anomalies of the osseous system. PMID- 18152251 TI - Simultaneous left and right-sided intracardiac electrocardiography in man; right bundle branch block. PMID- 18152252 TI - Anomalous atrioventricular excitation produced by catheterization of the normal human heart. PMID- 18152253 TI - Ergotamine tartrate and the 2-step exercise electrocardiogram in functional heart disturbance and in organic heart disease. PMID- 18152254 TI - Effect of an adrenolytic compound, dihydroergocornine, on epinephrine-induced stimulation of the adrenal cortex. PMID- 18152255 TI - Autoantibodies in different phases of human glomerulonephritis. PMID- 18152257 TI - Fate of dicumarol in man; relationship between prothrombin time and plasma levels of dicumarol. PMID- 18152256 TI - A new synthetic anticoagulant (heparinoid) preliminary report of its action in humans. PMID- 18152258 TI - A method for the preparation of exteriorized skin covered loops of intestine for the study of bowel obstruction. PMID- 18152259 TI - The biological chemistry of wound healing; effect of blocking the sulfhydryl group (-SH) in vivo with iodoacetic acid. PMID- 18152260 TI - Starch sponge; a hemostatic agent. PMID- 18152261 TI - Management of ascites due to cirrhosis of the liver; the use of rice diet, blood and plasma, diuretics and surgery. PMID- 18152262 TI - Carbohydrate utilization in surgical patients; the blood lactic acid in pre- and post-operative patients after the administration of glucose. PMID- 18152263 TI - Studies with the quantitative cephalin cholesterol flocculation reaction; effect of variation in temperature at which Hanger reaction occurs; the protein patterns of normal and abnormal liver-disease sera. PMID- 18152264 TI - Hemophilioid disease; a hemorrhagic disease with prolonged coagulation time and a circulating anticoagulant; report of a case in a female. PMID- 18152265 TI - Aureomycin and chloromycetin in brucellosis; with special reference to chronic brucellosis. PMID- 18152266 TI - Response of gastric-dissolved mucoprotein to insulin; a new test for evaluation of secretory status of fundal glands and integrity of nervous pathways to the stomach. PMID- 18152268 TI - The role of proteins in the pathogenesis of renal insufficiency. PMID- 18152267 TI - Electrolyte abnormalities in chronic congestive heart failure; effects of administration of potassium and sodium salts. PMID- 18152269 TI - Treatment of pernicious anemia with animal protein factor concentrates of bacterial origin. PMID- 18152270 TI - The significance of RS-T elevation in acute coronary insufficiency. PMID- 18152271 TI - Some biochemical effects of ionizing radiations. PMID- 18152272 TI - Recent advances in the rheumatic diseases. PMID- 18152273 TI - Oesophageal atresia and tracheo-oesophageal fistula. PMID- 18152274 TI - The eye in general medicine. PMID- 18152275 TI - Community role in mental hygiene. PMID- 18152276 TI - The cerebrospinal fluid; anatomy and physiology. PMID- 18152277 TI - [Not Available]. PMID- 18152278 TI - [Not Available]. PMID- 18152279 TI - [Not Available]. PMID- 18152280 TI - [Not Available]. PMID- 18152281 TI - [Not Available]. PMID- 18152282 TI - Ectopia renal. PMID- 18152284 TI - [Not Available]. PMID- 18152283 TI - [Not Available]. PMID- 18152285 TI - [Not Available]. PMID- 18152286 TI - [Not Available]. PMID- 18152287 TI - [Not Available]. PMID- 18152288 TI - [Not Available]. PMID- 18152289 TI - [Not Available]. PMID- 18152290 TI - [Not Available]. PMID- 18152291 TI - [Not Available]. PMID- 18152292 TI - Cancer from the family doctor's viewpoint. PMID- 18152294 TI - Bronchial asthma. PMID- 18152293 TI - Recent advances in the chemical control of insects; a brief review. PMID- 18152295 TI - Massive nonfilarial genital elephantiasis; report of a unusual case. PMID- 18152296 TI - History taking. PMID- 18152297 TI - The practical approach to the sterility problem. PMID- 18152298 TI - [Not Available]. PMID- 18152299 TI - [Not Available]. PMID- 18152301 TI - [Not Available]. PMID- 18152300 TI - [Not Available]. PMID- 18152302 TI - Nitrogen mustard therapy in reticuloses and pulmonary neoplasm; a report on 44 cases. PMID- 18152303 TI - A method for the estimation of cholesterol in urine using the Liebermann-Burchard colour reaction. PMID- 18152304 TI - Mapharside treatment of 56 cases of lupus erythematosus discoides. PMID- 18152305 TI - A note on the use of pertussis vaccine in day nurseries. PMID- 18152306 TI - Supracondylar fractures of the humerus in children treated by skeletal suspension traction. PMID- 18152307 TI - Malignant exophthalmos; report of case successfully treated by orbital decompression. PMID- 18152308 TI - Erythroblastosis fetalis; report of two cases. PMID- 18152309 TI - A new radical operation for carcinoma of the cervix. PMID- 18152310 TI - Acute cholecystitis. PMID- 18152311 TI - The problem of carcinoma of the cervix. PMID- 18152312 TI - Hemostasis during transurethral resection; use of adrenalin and hyaluronidase mixture; a preliminary report. PMID- 18152313 TI - Some notes about epidemiology and organization of anti-smallpox action [Hebrew Text]. PMID- 18152314 TI - The problems of vaccination against smallpox [Hebrew Text]. PMID- 18152315 TI - Chapters from old history of smallpox [Hebrew text]. PMID- 18152316 TI - SMALLPOX in Palestine during the years 1921-1946 [Hebrew text]. PMID- 18152317 TI - The resorption and action of precipitates of steroid hormones especially estrone and progesterone. PMID- 18152318 TI - [Not Available]. PMID- 18152319 TI - [Not Available]. PMID- 18152320 TI - Chronic deep Monilia albicans infection of the mucous membrane of the mouth. PMID- 18152321 TI - Streptomycin therapy in tuberculosis. PMID- 18152322 TI - A report of two cases of kala-azar with delirium as a prominent feature. PMID- 18152323 TI - Treatment of kala-azar with pentamidine isothionate; a study of 55 cases. PMID- 18152324 TI - Two cases of amoebic liver abscess with complications. PMID- 18152326 TI - A case of hemiplegia. PMID- 18152325 TI - Diverse findings in a case of fatal peritonitis. PMID- 18152327 TI - Pneumonic plague cases in Calcutta and Gaya. PMID- 18152328 TI - Arthritis; comments on differential diagnosis and new developments in therapy. PMID- 18152329 TI - Resume of skin diseases most commonly seen in general practice. PMID- 18152330 TI - Resection of the left auricular appendix; a prophylaxis for recurrent arterial emboli. PMID- 18152331 TI - Surgical treatment of the cardiac lung; ligation of the inferior vena cava and/ or tricuspid valvulotomy. PMID- 18152332 TI - Nor-epinephrine (arterenol, sympathin N) as a pressor drug. PMID- 18152333 TI - Western equine encephalomyelitis in Chicago; report of a patient successfully treated with gamma globulin. PMID- 18152334 TI - Severe erythema multiforme with intestinal involvement. PMID- 18152335 TI - Studies on host-virus interactions in the chick embryo-influenza virus system; adsorption and recovery of seed virus. AB - Upon injection of active influenza A or B virus into the allantoic cavity of the developing chick embryo, an average of only 70 per cent of the agent was adsorbed onto the tissue, as measured by the difference between the quantity of virus injected and that found free in the allantoic fluid of the injected eggs during the constant period. The degree of adsorption was similar, regardless of whether 10(9) or 10(2) ID(50) of active virus was injected. Attempts to demonstrate the adsorbed virus in suspensions of the infected tissue met with partial success only in that not more than 1 to 5 per cent of the amount calculated to be adsorbed was actually found. All efforts to increase the yield of virus have failed. These results led to the suggestion that the seed virus, which participates in the propagation, becomes altered in such a way that it no longer may be demonstrated by infectivity titrations, whereas the active virus found represents superficially adsorbed virus, which does not multiply. PMID- 18152336 TI - Studies on host-virus interactions in the chick embryo-influenza virus system; the propagation of virus in conjunction with the host cells. AB - Experiments have been reported on the propagation of influenza viruses in the allantoic membrane of the developing chick embryo during the first infectious cycle. After adsorption of the seed virus onto the host cells, only a small percentage of it remains demonstrable by infectivity titrations. This amount remains constant for 4 hours in the case of infection with PR8 virus, and for 6 hours in that of infection with Lee virus. Thereafter, a sharp rise in infectivity occurs 2 to 3 hours before liberation of the new generations of active virus into the allantoic fluid can be detected. Injection of homologous virus, inactivated by ultraviolet irradiation, following infection prevents or delays the production of virus in the tissues, depending to some extent upon the number of ID(50) of active virus used as inoculum. The smaller the dose, the more pronounced the inhibitory effect. With increasing delay in the injection of the inhibitor, progressively more virus is produced and liberated 6 and 9 hours after infection with PR8 and Lee virus, respectively. Thus, production of virus may be interrupted by the homologous inhibitor when given up to 3 hours after infection with PR8, and up to4(1/2) hours after infection with Lee virus. Since no increase in infectivity can bedetected during these 3 and 4(1/2) hour periods in the tissues, it is suggested that influenza virus propagates in at least two major stages: first, non-infectious, immature virus material is produced which, subsequently, is converted into the fully active agent. Presumably the first step can be interrupted by the homologous inhibitor, while the second cannot. Heterologous irradiated virus, injected after infection of the tissue, exerts only a slight inhibitory effect on the production of virus. PMID- 18152337 TI - Studies on host-virus interactions in the chick embryo-influenza virus system; development of infectivity, hemagglutination, and complement fixation activities during the first infectious cycle. AB - In agreement with earlier observations the infectivity titer in the allantoic fluids of chick embryos injected with influenza A virus remains constant for 5 to 6 hours before an increase in this activity can be noted. In contrast, the titers of hemagglutinin and complement-fixing antigen (virus antigen) have already begun to rise after 3 hours. The origin of the hemagglutinating and complement-fixing but non-infectious material is still obscure. In the allantoic membrane development of both the soluble and virus antigens can be demonstrated after the 2nd hour of incubation and 1 hour prior to an increase in hemagglutinins and 2 hours prior to a rise in infectivity. Thus there remain the first 2 hours during which no record of virus activity in the tissues can be obtained. Similar relationships are noted on dilution of the seed both in the allantoic fluids and membranes as long as the various properties reach measurable levels during the experimental period of one infectious cycle. Injection of high titered immune serum following infection with about 10(9) ID(50) reduces the amount of demonstrable seed virus in the allantoic fluid and membrane without significantly affecting propagation of the agent in the tissues as measured by infectivity titrations. The production of hemagglutinins appears markedly reduced under these conditions whereas formation of complement-fixing antigen is only slightly delayed and decreased. No definite explanations for the various discrepancies between the infectivity and hemagglutination can be given at present. PMID- 18152338 TI - Observations on the release of serum fibrinolysin by specific antigen, peptone, and certain polysaccharides. AB - FORMATION OF FIBRINOLYSIN FROM ITS INACTIVE PRECURSOR IN SERUM WAS OBSERVED UNDER THE FOLLOWING CONDITIONS: (a) by adding the specific antigen to serum from sensitized guinea pigs; (b) by mixing normal guinea pig serum with peptone, agar, hyaluronic acid, chondroitinsulfuric acid, glycogen, pneumococcal polysaccharides, and heparin. Activation of profibrinolysin by these agents differs from chloroform or streptokinase activation in that it requires the presence of some serum constituent non-precipitable with the euglobulin fraction and destroyed by heating at 56 degrees C. The bearing of these observations on the mechanism of anaphylactic and anaphylactoid reactions is discussed. The findings reported support the concept that proteolysis is part of the process determining the release of histamine and other toxic products. It is suggested that the presence of fibrinokinase may be responsible for the toxicity of serum induced in vitro by a number of agents. PMID- 18152339 TI - The role of the wax of the tubercle bacillus in establishing delayed hypersensitivity, hypersensitivity to a protein antigen, egg albumin. AB - Guinea pigs sensitized with egg albumin along with the purified wax fraction of the human tubercle bacillus respond with delayed hypersensitive reactivity to the protein antigen. Previous publications have reported a similar activity of the wax with respect to tuberculoprotein and picryl chloride. The effect is not referable to an ordinary adjuvant activity of the bacillary wax, since antibody titers are not increased in animals which receive it, and since a known adjuvant, water-in-oil emulsion, has no effect with respect to the induction of delayed hypersensitivity. This report further extends the role of the tubercle bacillary wax in the induction of delayed hypersensitive states. PMID- 18152340 TI - Treatment of experimental dietary cirrhosis of the liver in rats. AB - Dietary cirrhosis of the liver was produced in 223 rats, and then therapy of the condition attempted. Administration of lipotropic factors (casein, methionine, choline) was followed not only by reduction of fat infiltration and by regeneration of hepatic parenchyma but, by a reduction of the degree of the fibrosis. In one group of rats, comparison of sections obtained by biopsy, before treatment, with findings at necropsy, after completed therapy, indicated apparent reduction of the fibrosis and of the amount of ceroid and considerable restoration of architecture. This improvement, however, was obtained neither with complete regularity nor in a short time. In very severe cirrhosis, as a rule, the effect of a lipotropic diet was disappointing, even after prolonged treatment up to 200 to 240 days. It is assumed that factors determining prevention are beneficial only to a limited extent in treatment. The therapy of very severe cirrhosis may require the interaction of further beneficial factors (nutritional and hormonal). Best therapeutic results were obtained by the combination of an adequate amount of casein with methionine or liver extract, and by the combination of methionine with liver extract. Methionine and thiouracil, both of which, singly, are effective in the prevention of dietary hepatic cirrhosis in rats, have proved to be less effective for the therapy of cirrhosis, when administered together, than methionine given alone for the same purpose. Under identical conditions, female rats have shown greater resistance to the production of dietary hepatic cirrhosis and a more favorable response to therapeutic dietary factors, than male rats. PMID- 18152341 TI - The inhibition of surface phagocytosis by the capsular slime layer of pneumococcus type III. AB - Five strains of type III pneumococcus have been shown to possess wide capsular slime layers during the logarithmic phase of growth in serum broth. The slime layer stains metachromatically with methylene blue and can be visualized under the electron microscope as a fuzzy halo which extends well beyond the surace of the capsule proper and causes centrifugates of the organism to be of extremely large volume. This outer capsular structure is most readily demonstrated in vivo and in nutrient broth containing glucose and serum. It disappears from the surface of the cell with aging of the culture, and is easily removed by dilute alkali, alcohol, and heat. Exposure of slime-covered type III pneumococci to homologous antibody and to type III polysaccharidase reveals that the slime layer contains the same type-specific polysaccharide that is present in the rest of the capsule. From a type III strain producing a prominent slime layer an intermediate mutant has been isolated which forms small non-mucoid colonies on blood agar and possesses a relatively small capsule with a barely discernible slime layer. The wide slime layer protects virulent type III pneumococci from surface phagocytosis. Whenever the type III cells lose their broad slime layer, whether from aging of the culture, from mutation, from exposure to injurious chemicals, or from the action of type III polysaccharidase, they become susceptible to phagocytosis by the surface mechanism. Once phagocyted the type III pneumococci are promptly destroyed, even in the absence of antibodies. PMID- 18152342 TI - Value of X-ray therapy in orthopedic cases. PMID- 18152343 TI - Brucella bacteremia with endocarditis. PMID- 18152344 TI - Plasma cell mastitis; report of a case. PMID- 18152345 TI - Poliomyelitis; follow-up results of a localized epidemic, 1941; report of 123 cases. PMID- 18152346 TI - Treatment of malignant melanoma. PMID- 18152347 TI - A frequently overlooked cause of blindness in infants; congenital glaucoma. PMID- 18152348 TI - [Not Available]. PMID- 18152349 TI - [Not Available]. PMID- 18152350 TI - [Not Available]. PMID- 18152351 TI - [Not Available]. PMID- 18152352 TI - [Not Available]. PMID- 18152353 TI - [Not Available]. PMID- 18152354 TI - [Not Available]. PMID- 18152355 TI - [Not Available]. PMID- 18152356 TI - [Not Available]. PMID- 18152357 TI - [Not Available]. PMID- 18152358 TI - [Not Available]. PMID- 18152360 TI - [Not Available]. PMID- 18152359 TI - [Not Available]. PMID- 18152361 TI - [Not Available]. PMID- 18152362 TI - [Not Available]. PMID- 18152364 TI - [Not Available]. PMID- 18152365 TI - [Not Available]. PMID- 18152366 TI - [Not Available]. PMID- 18152363 TI - [Not Available]. PMID- 18152367 TI - [Not Available]. PMID- 18152368 TI - The laboratory diagnosis of amebiasis. PMID- 18152369 TI - Endometrioma of the umbilicus. PMID- 18152370 TI - Five year results of cancer treatment at the Ellis Fischel State Cancer Hospital. PMID- 18152371 TI - A method of using the chest strap for precordial leads. PMID- 18152372 TI - A science writer looks at medicine. PMID- 18152373 TI - [Not Available]. PMID- 18152375 TI - Leukorrhea, diagnosis and treatment. PMID- 18152374 TI - The problem of vagotomy in the treatment of peptic ulcer. PMID- 18152376 TI - Dysmenorrhea; recent trends in treatment with a report of 42 cases. PMID- 18152377 TI - [Not Available]. PMID- 18152378 TI - [Not Available]. PMID- 18152379 TI - [Not Available]. PMID- 18152380 TI - [Not Available]. PMID- 18152381 TI - [Not Available]. PMID- 18152382 TI - [Not Available]. PMID- 18152383 TI - [Not Available]. PMID- 18152384 TI - [Not Available]. PMID- 18152385 TI - [Not Available]. PMID- 18152386 TI - [Not Available]. PMID- 18152387 TI - [Not Available]. PMID- 18152388 TI - [Not Available]. PMID- 18152389 TI - [Not Available]. PMID- 18152390 TI - [Not Available]. PMID- 18152391 TI - [Not Available]. PMID- 18152392 TI - [Not Available]. PMID- 18152393 TI - [Not Available]. PMID- 18152394 TI - [Not Available]. PMID- 18152395 TI - [Not Available]. PMID- 18152396 TI - [Not Available]. PMID- 18152397 TI - [Not Available]. PMID- 18152398 TI - [Not Available]. PMID- 18152400 TI - [Not Available]. PMID- 18152399 TI - [Not Available]. PMID- 18152401 TI - [Not Available]. PMID- 18152402 TI - [Not Available]. PMID- 18152403 TI - [Not Available]. PMID- 18152404 TI - [Not Available]. PMID- 18152405 TI - [Not Available]. PMID- 18152406 TI - [Not Available]. PMID- 18152407 TI - [Not Available]. PMID- 18152408 TI - [Not Available]. PMID- 18152409 TI - [Not Available]. PMID- 18152410 TI - [Not Available]. PMID- 18152411 TI - Some aspects of psychosomatic medicine of interest to the general practitioner. PMID- 18152413 TI - Relapsing pancreatitis. PMID- 18152412 TI - Treatment of ulcerative colitis with salicylazosulfapyridine (salazopyrin). PMID- 18152414 TI - Pain in cases of gastric perforation. PMID- 18152415 TI - Acute renal failure; important objectives in conservative management. PMID- 18152416 TI - The problem of essential thrombocytopenic purpura. PMID- 18152417 TI - Neuromuscular and joint diseases and the psychosomatic approach. PMID- 18152418 TI - Symptoms, diagnosis and treatment of infections of the urinary tract. PMID- 18152419 TI - The combined use of streptomycin and sulfadiazine in the treatment of brucellosis. PMID- 18152420 TI - Recurrent lymphangitis and cellulitis of the extremities. PMID- 18152421 TI - Infertility and its relation to abortion. PMID- 18152422 TI - The treatment of parkinsonism and related disorders in general practice. PMID- 18152423 TI - Multiple parathyroid adenomas associated with islet-cell tumors of the pancreas; report of two cases, with necropsy findings. PMID- 18152424 TI - The electrocardiogram in congenital heart disease. PMID- 18152425 TI - Blood-group, M-N type and Rh type frequencies in New Caledonians and the Loyalty and Pine Islanders. PMID- 18152426 TI - Simplified calculations for the estimation of gene frequencies for the rhesus factor and an application to partially classified data. PMID- 18152427 TI - Anaesthesia in general practice; pre-operative considerations. PMID- 18152429 TI - Tuberculous empyema. PMID- 18152428 TI - A psychiatric centenary, 1848 to 1948. PMID- 18152430 TI - Some aspects of fluid therapy in oto-laryngology. PMID- 18152431 TI - A case of a superior sulcus tumour. PMID- 18152433 TI - Chronic thyreotoxic myopathy, with the report of a case including electromyographic studies. PMID- 18152432 TI - Pancreatico-duodenal resection, with report of a case. PMID- 18152434 TI - Continuous postural drainage; an essential principle in the treatment of diseases of the respiratory tract. PMID- 18152435 TI - A double resection of the large bowel for malignant disease. PMID- 18152437 TI - Modern trends in the treatment of venereal diseases. PMID- 18152436 TI - Fibroma of the ovary with ascites. PMID- 18152438 TI - Duties of a port medical officer; a brief survey. PMID- 18152439 TI - The value of physiotherapy in general practice; a talk on electrical treatments. PMID- 18152440 TI - Chest radiography; the clinical aspect. PMID- 18152441 TI - [Not Available]. PMID- 18152442 TI - [Not Available]. PMID- 18152443 TI - [Not Available]. PMID- 18152444 TI - [Not Available]. PMID- 18152445 TI - [Not Available]. PMID- 18152446 TI - [Not Available]. PMID- 18152447 TI - Sympathetic block and sympathectomy in obliterative vascular diseases. PMID- 18152448 TI - Coarctation of the aorta; diagnosis and surgical technic. PMID- 18152449 TI - The surgery of embolism. PMID- 18152450 TI - Dicumarol in the therapy of acute myocardial infarction. PMID- 18152451 TI - Pregnancy complicated by diabetes insipidus. PMID- 18152452 TI - Of the physician and his patient. PMID- 18152453 TI - Pediatric toxicology; principles of therapy. PMID- 18152454 TI - Insulin and diabetes. PMID- 18152455 TI - [Not Available]. PMID- 18152456 TI - [Not Available]. PMID- 18152457 TI - [Not Available]. PMID- 18152458 TI - [Not Available]. PMID- 18152459 TI - [Not Available]. PMID- 18152460 TI - International College of Surgeons. PMID- 18152461 TI - [Not Available]. PMID- 18152462 TI - [Not Available]. PMID- 18152463 TI - [Not Available]. PMID- 18152464 TI - [Not Available]. PMID- 18152465 TI - [Not Available]. PMID- 18152466 TI - [Not Available]. PMID- 18152467 TI - [Not Available]. PMID- 18152468 TI - [Not Available]. PMID- 18152469 TI - [Not Available]. PMID- 18152470 TI - [Not Available]. PMID- 18152471 TI - [Not Available]. PMID- 18152472 TI - [Not Available]. PMID- 18152473 TI - [Not Available]. PMID- 18152474 TI - [Not Available]. PMID- 18152475 TI - [Not Available]. PMID- 18152476 TI - [Not Available]. PMID- 18152477 TI - [Not Available]. PMID- 18152478 TI - [Not Available]. PMID- 18152479 TI - [Not Available]. PMID- 18152480 TI - [Not Available]. PMID- 18152481 TI - [Not Available]. PMID- 18152483 TI - [Not Available]. PMID- 18152482 TI - [Not Available]. PMID- 18152484 TI - [Not Available]. PMID- 18152485 TI - [Not Available]. PMID- 18152486 TI - [Not Available]. PMID- 18152487 TI - [Not Available]. PMID- 18152488 TI - [Not Available]. PMID- 18152489 TI - Migrating thrombophlebitis associated with carcinoma. PMID- 18152491 TI - Prophylaxis and treatment of heat-reaction states. PMID- 18152490 TI - Suprarenal hemorrhage in pregnancy; report of a case with a review of the literature. PMID- 18152492 TI - Preventive medicine. PMID- 18152493 TI - Fibrosarcoma of femur, invading knee joint. PMID- 18152494 TI - The role of therapeutic exercises in the treatment of low back pain. PMID- 18152495 TI - A critical appraisal of spinal analgesia and anesthesia for obstetrics. PMID- 18152496 TI - Inhalation anesthesis in obstetrics. PMID- 18152497 TI - The obstetrician's view of modern anesthesiology. PMID- 18152498 TI - Report of clinical anesthesia in gynecologic surgery. PMID- 18152499 TI - Quantitative pharmacologic studies with pentothal. PMID- 18152500 TI - Use of intravenous quinidine during clinical anesthesia for treatment of acute arrhythmias. PMID- 18152501 TI - The recognition and management of cardiac and circulatory emergencies during anesthesia. PMID- 18152502 TI - Ectopic pregnancy with a study of an associated clinical syndrome. PMID- 18152503 TI - Subcutaneous cysts of rheumatoid arthritis. PMID- 18152504 TI - Torsion of the omentum. PMID- 18152505 TI - The Brenner tumor. PMID- 18152506 TI - Adenoma of Bartholin's gland. PMID- 18152508 TI - Sterility. PMID- 18152507 TI - Surgical principles in the care of the severely burned. PMID- 18152509 TI - Functional uterine bleeding. PMID- 18152510 TI - Common benign lesions of the cervix. PMID- 18152511 TI - [Not Available]. PMID- 18152512 TI - [Not Available]. PMID- 18152513 TI - [Not Available]. PMID- 18152514 TI - [Not Available]. PMID- 18152515 TI - [Not Available]. PMID- 18152516 TI - [Not Available]. PMID- 18152517 TI - [Not Available]. PMID- 18152518 TI - [Not Available]. PMID- 18152519 TI - [Not Available]. PMID- 18152520 TI - [Not Available]. PMID- 18152521 TI - [Not Available]. PMID- 18152522 TI - [Not Available]. PMID- 18152523 TI - [Not Available]. PMID- 18152524 TI - [Not Available]. PMID- 18152525 TI - [Not Available]. PMID- 18152526 TI - [Not Available]. PMID- 18152528 TI - [Not Available]. PMID- 18152527 TI - [Not Available]. PMID- 18152529 TI - [Not Available]. PMID- 18152530 TI - [Not Available]. PMID- 18152531 TI - [Not Available]. PMID- 18152532 TI - [Not Available]. PMID- 18152533 TI - [Not Available]. PMID- 18152534 TI - [Not Available]. PMID- 18152535 TI - [Not Available]. PMID- 18152536 TI - [Not Available]. PMID- 18152537 TI - [Not Available]. PMID- 18152538 TI - [Not Available]. PMID- 18152539 TI - [Not Available]. PMID- 18152540 TI - [Not Available]. PMID- 18152541 TI - [Not Available]. PMID- 18152542 TI - [Not Available]. PMID- 18152543 TI - [Not Available]. PMID- 18152544 TI - [Not Available]. PMID- 18152545 TI - [Not Available]. PMID- 18152546 TI - [Not Available]. PMID- 18152547 TI - [Not Available]. PMID- 18152548 TI - [Not Available]. PMID- 18152549 TI - [Not Available]. PMID- 18152550 TI - [Not Available]. PMID- 18152551 TI - [Not Available]. PMID- 18152552 TI - [Not Available]. PMID- 18152553 TI - [Not Available]. PMID- 18152554 TI - [Not Available]. PMID- 18152555 TI - [Not Available]. PMID- 18152556 TI - [Not Available]. PMID- 18152557 TI - [Not Available]. PMID- 18152558 TI - [Not Available]. PMID- 18152559 TI - [Not Available]. PMID- 18152560 TI - [Not Available]. PMID- 18152561 TI - [Not Available]. PMID- 18152562 TI - [Not Available]. PMID- 18152563 TI - [Not Available]. PMID- 18152564 TI - [Not Available]. PMID- 18152565 TI - [Not Available]. PMID- 18152566 TI - [New possibilities of nitrogen mustard treatments]. PMID- 18152567 TI - [Penicillin treatment of actinomycosis]. PMID- 18152568 TI - [Gregoire's method of the drainage of pleura in infants]. PMID- 18152569 TI - [Treatment of chronic alcoholism with a sensitizing drug]. PMID- 18152570 TI - [Organization of the surgical clinic of the new university of Lodz]. PMID- 18152571 TI - [Not Available]. PMID- 18152573 TI - [Not Available]. PMID- 18152572 TI - [Not Available]. PMID- 18152574 TI - [Not Available]. PMID- 18152575 TI - [Not Available]. PMID- 18152576 TI - [Not Available]. PMID- 18152577 TI - [Not Available]. PMID- 18152578 TI - [Not Available]. PMID- 18152579 TI - [Not Available]. PMID- 18152580 TI - [Not Available]. PMID- 18152581 TI - [Not Available]. PMID- 18152582 TI - [Not Available]. PMID- 18152583 TI - [Not Available]. PMID- 18152584 TI - [Not Available]. PMID- 18152585 TI - [Not Available]. PMID- 18152586 TI - [Not Available]. PMID- 18152587 TI - [Not Available]. PMID- 18152588 TI - [Not Available]. PMID- 18152589 TI - [Not Available]. PMID- 18152590 TI - [Not Available]. PMID- 18152591 TI - [Not Available]. PMID- 18152592 TI - [Not Available]. PMID- 18152593 TI - [Not Available]. PMID- 18152594 TI - [Not Available]. PMID- 18152595 TI - [Not Available]. PMID- 18152596 TI - [Not Available]. PMID- 18152597 TI - [Not Available]. PMID- 18152598 TI - [Not Available]. PMID- 18152599 TI - [Not Available]. PMID- 18152600 TI - [Not Available]. PMID- 18152601 TI - [Not Available]. PMID- 18152602 TI - [Not Available]. PMID- 18152603 TI - [Not Available]. PMID- 18152604 TI - [Not Available]. PMID- 18152605 TI - [Not Available]. PMID- 18152606 TI - Bleeding into the arterial intimae; its relation to vascular disease. PMID- 18152607 TI - Cure of chronic vivax malaria with pentaquine and status of immunity thereafter. PMID- 18152608 TI - Comparative evaluation of extremity and precordial leads in the diagnosis of acute myocardial infarction. PMID- 18152609 TI - Experiences with the cytologic method in the diagnosis of gastric cancer. PMID- 18152610 TI - Onlay bone grafts without fixation. PMID- 18152612 TI - Effect of pancreatic juice on the gallbladder. PMID- 18152611 TI - Recklinghausen's neurofibromatosis. PMID- 18152613 TI - Benign and malignant epithelial tumors of the thyroid gland. PMID- 18152614 TI - Morbid factors in experimental appendicitis. PMID- 18152615 TI - [Not Available]. PMID- 18152616 TI - [Not Available]. PMID- 18152617 TI - [Not Available]. PMID- 18152618 TI - [Not Available]. PMID- 18152619 TI - [Not Available]. PMID- 18152620 TI - [Not Available]. PMID- 18152621 TI - [Not Available]. PMID- 18152622 TI - [Not Available]. PMID- 18152623 TI - [Not Available]. PMID- 18152624 TI - [Not Available]. PMID- 18152625 TI - Centenarians; the syndrome of normal senility. PMID- 18152626 TI - The cost of medical care. PMID- 18152627 TI - [Not Available]. PMID- 18152628 TI - [Not Available]. PMID- 18152629 TI - [Not Available]. PMID- 18152630 TI - [Not Available]. PMID- 18152631 TI - [Not Available]. PMID- 18152632 TI - [Not Available]. PMID- 18152633 TI - [Not Available]. PMID- 18152634 TI - [Not Available]. PMID- 18152635 TI - [Not Available]. PMID- 18152636 TI - [Not Available]. PMID- 18152637 TI - Extrapleural thoracoplasty early in caseopneumonic tuberculosis. PMID- 18152638 TI - The combined procedure of vagotomy and partial gastric resection in the treatment of peptic ulcer. PMID- 18152639 TI - [Not Available]. PMID- 18152640 TI - [Not Available]. PMID- 18152641 TI - [Not Available]. PMID- 18152642 TI - [Not Available]. PMID- 18152643 TI - [Not Available]. PMID- 18152644 TI - [Not Available]. PMID- 18152646 TI - [Not Available]. PMID- 18152645 TI - [Not Available]. PMID- 18152648 TI - [Not Available]. PMID- 18152647 TI - [Not Available]. PMID- 18152649 TI - [Not Available]. PMID- 18152650 TI - [Not Available]. PMID- 18152651 TI - A case of diphtheria presenting some unusual features. PMID- 18152652 TI - Head injuries. PMID- 18152653 TI - Present day treatment of diabetes. PMID- 18152655 TI - Chemotherapy and poliomyelitis; the use of darvisul on human subjects. PMID- 18152654 TI - Certain epidemiologic aspects of poliomyelitis. PMID- 18152656 TI - Decline in streptococcic infections. PMID- 18152657 TI - The Rh antibody problem; differentiations of agglutinins, agglutinoids, and cryptagglutinoids. PMID- 18152658 TI - Modern management of acute abdominal conditions requiring surgery; the general practitioner's viewpoint. PMID- 18152659 TI - The present status of methionine. PMID- 18152660 TI - Recent research on penicillin action. PMID- 18152661 TI - Modern interpretation of cataract. PMID- 18152662 TI - Influence of anti-organ sera upon metabolic processes; influence of chick anti brain serum upon oxygen consumption of chick-brain homogenates. PMID- 18152663 TI - Frequency of cancer in 7,500 routine autopsies performed over a period of 43 years at the University of Texas Medical Branch. PMID- 18152664 TI - Wilms tumor with unusual hematological findings in an infant 40 days old. PMID- 18152666 TI - The evaluation of anti-brain sera by tissue culture methods. PMID- 18152665 TI - Comparative bacteriostatic effect of aureomycin and streptomycin for Brucella. PMID- 18152668 TI - Outlook for improved drug therapy in geriatrics. PMID- 18152667 TI - Influence of anti-organ sera upon metabolic processes; the effect of antireticulo endothelial immune sera upon the dehydrogenase systems. PMID- 18152669 TI - [Not Available]. PMID- 18152670 TI - [Not Available]. PMID- 18152671 TI - [Not Available]. PMID- 18152672 TI - [Not Available]. PMID- 18152673 TI - [Not Available]. PMID- 18152674 TI - [Not Available]. PMID- 18152675 TI - [Not Available]. PMID- 18152676 TI - [Not Available]. PMID- 18152677 TI - [Not Available]. PMID- 18152679 TI - [Not Available]. PMID- 18152678 TI - [Not Available]. PMID- 18152680 TI - [Not Available]. PMID- 18152682 TI - [Not Available]. PMID- 18152681 TI - Observations on the effect of antihistaminic compounds on the corneal reflex of rabbits. PMID- 18152683 TI - [Not Available]. PMID- 18152684 TI - [Not Available]. PMID- 18152685 TI - Vascular hypertension. PMID- 18152686 TI - Diagnosis and treatment of carpal injuries. PMID- 18152687 TI - Acute thrombocytopenic purpura following massive hormone therapy in a pregnant diabetic. PMID- 18152688 TI - Influence of stilbamidine in multiple myeloma with pre-existing renal involvement; case report. PMID- 18152689 TI - The role of the liver in blood circulation. PMID- 18152690 TI - Surgical treatment of acute gallbladder in the first 72 hours. PMID- 18152691 TI - [Not Available]. PMID- 18152692 TI - [Not Available]. PMID- 18152693 TI - [Not Available]. PMID- 18152694 TI - [Not Available]. PMID- 18152695 TI - Osteoporosis of the pelvic bones (acute bone atrophy of Sudeck). PMID- 18152697 TI - Cervical stump in subtotal hysterectomy. PMID- 18152696 TI - Acute appendicitis in infants and children under 10 years of age. PMID- 18152698 TI - Refraction grievances; their cause and cure. PMID- 18152699 TI - The treatment of strabismus. PMID- 18152700 TI - Recent advances in the surgical treatment of colon and rectal disease. PMID- 18152701 TI - [Not Available]. PMID- 18152702 TI - [Not Available]. PMID- 18152703 TI - [Not Available]. PMID- 18152704 TI - [Not Available]. PMID- 18152705 TI - Subacute bacterial endocarditis; treatment with sulfonamides and penicillin. PMID- 18152706 TI - Prolonged rest vs ambulatory treatment of rheumatic fever. PMID- 18152707 TI - Tularemia in Wisconsin. PMID- 18152709 TI - A sick list without diagnoses. PMID- 18152708 TI - Atropine and physostigmine substitutes. PMID- 18152710 TI - Technicians' training at San Diego. PMID- 18152711 TI - Required reporting of casualties in the field. PMID- 18152712 TI - Emergency Medical Department facilities. PMID- 18152713 TI - Blood counts as diagnostic aids. PMID- 18152714 TI - Causalgia. PMID- 18152715 TI - Forecast of availability of Medical Department personnel. PMID- 18152716 TI - Elimination of undesirable personnel. PMID- 18152717 TI - Technical training facilities available in the European Command. PMID- 18152718 TI - Sanitation. PMID- 18152719 TI - Preparation and submission of medical records and reports. PMID- 18152720 TI - Veterinary service; EUCOM. PMID- 18152721 TI - Anomalies of the gallbladder and bile ducts. PMID- 18152722 TI - Carcinoma of the pancreas and ampullary region. PMID- 18152723 TI - The surgical treatment of intractable pain. PMID- 18152724 TI - Continuous sympathetic block; a new technique. PMID- 18152725 TI - Wounds of the chest. PMID- 18152727 TI - A note on cancer of the skin. PMID- 18152726 TI - Some fly larvae parasitic in man with particular reference to Manitoba. PMID- 18152728 TI - Factors in hospital staff planning; ancillary services. PMID- 18152729 TI - Posture and perverted physiology. PMID- 18152730 TI - Pseudoangina pectoris. PMID- 18152731 TI - Diabetes mellitus. PMID- 18152732 TI - The osteopathic management of nausea and vomiting of pregnancy. PMID- 18152733 TI - Neonatal asphyxia. PMID- 18152734 TI - Physiology of early ambulation. PMID- 18152736 TI - Hydrocephalus; a cause of dystocia. PMID- 18152735 TI - Repair of third degree lacerations of the perineum. PMID- 18152737 TI - Bound chlorine in casein and in tissue proteins. PMID- 18152738 TI - The growth mechanism of the epiphyseal cartilage in the light of experimental observations. PMID- 18152739 TI - Coxa vara congenita or infantum with pseudarthrosis in the neck of the femur. PMID- 18152740 TI - On the internal structure of the motor cells of the anterior horns and its changes in poliomyelitis. PMID- 18152741 TI - Notes on the histochemical aspect of the changes of the spinal motor cells in anoxia, vitamin E deficiency and poliomyelitis. PMID- 18152742 TI - On the treatment of radial palsy by tendon transplantation. PMID- 18152743 TI - On osteosynthesis in the treatment of pseudarthrosis of the femoral neck. PMID- 18152744 TI - A contribution to the treatment of pseudarthrosis of the femoral neck. PMID- 18152745 TI - Fractures of the carpal bones, with particular references to the scaphoid. PMID- 18152746 TI - Conservative treatment of clavicular fractures. PMID- 18152747 TI - On the technique and possibilities of reconstructive hand surgery. PMID- 18152748 TI - A simple instrument for a modified Bankart's operation for recurrent dislocation of the shoulder. PMID- 18152750 TI - On treatment of osteochondrosis of the spine by spinal fusion. PMID- 18152749 TI - The effect of tetraethyl ammonium bromide on dysbasia arteriosclerotica. PMID- 18152751 TI - Fracture of the astragalus. PMID- 18152752 TI - [Not Available]. PMID- 18152753 TI - [Not Available]. PMID- 18152754 TI - [Not Available]. PMID- 18152755 TI - [Not Available]. PMID- 18152756 TI - [Not Available]. PMID- 18152757 TI - [Not Available]. PMID- 18152758 TI - [Not Available]. PMID- 18152759 TI - [Not Available]. PMID- 18152760 TI - [Not Available]. PMID- 18152761 TI - [Not Available]. PMID- 18152762 TI - [Not Available]. PMID- 18152763 TI - [Not Available]. PMID- 18152764 TI - [Not Available]. PMID- 18152765 TI - [Not Available]. PMID- 18152766 TI - [Not Available]. PMID- 18152767 TI - [Not Available]. PMID- 18152768 TI - Developments in the New York State program for the institutional care of the mentally defective. PMID- 18152769 TI - Administrative practices to provide better psychiatric care of mental defectives. PMID- 18152770 TI - An occupational vocabulary for retarded adolescents. PMID- 18152772 TI - Is the brain-injured a mental defective? PMID- 18152771 TI - Phenylpyruvic acid factor in mental deficiency and mental illness. PMID- 18152773 TI - Birthweight and intelligence. PMID- 18152774 TI - The use of community resources in a small community to aid the future adjustment on mentally deficient cases. PMID- 18152775 TI - Some considerations of parental reactions to institutionalization of defective children. PMID- 18152776 TI - [Not Available]. PMID- 18152777 TI - [Not Available]. PMID- 18152778 TI - Interpretation of the electromyogram. PMID- 18152779 TI - Chronic rheumatic encephalitis; torsion dystonia and Hallervorden-Spatz disease. PMID- 18152780 TI - Acid phosphatase in the senile brain. PMID- 18152781 TI - Efficacy of the brief clinical interview method in predicting adjustments; 5 year follow-up study of 304 Army inductees. PMID- 18152782 TI - Folie a deux (psychosis of association). PMID- 18152783 TI - Effects of electroconvulsive therapy on diuretic response to water in psychotic patients. PMID- 18152784 TI - Tetraethylammonium chloride in treatment of herpes zoster and intercostal neuralgia. PMID- 18152785 TI - Neurologic manifestations associated with vitamin A deficiency in young ducks; a clinical and pathologic study. PMID- 18152786 TI - Injuries to the skull and brain in ancient Egypt; some notes on the mechanism; nature, and effects of cranial injuries from predynastic times to the end of the Ptolemaic period. PMID- 18152787 TI - Analysis of electroencephalographic findings in 40 cases of verified brain tumor; electroencephalographic findings in malignant cerebral gliomas. PMID- 18152788 TI - Anterior sacral meningocele; survey of literature and report of case. PMID- 18152789 TI - [Not Available]. PMID- 18152790 TI - [Not Available]. PMID- 18152791 TI - [Not Available]. PMID- 18152792 TI - Structure and process in social relations. PMID- 18152793 TI - Human symbiosis. PMID- 18152795 TI - Boricua; a study of language, transculturation, and politics. PMID- 18152794 TI - Therapeutic readiness in child psychiatry. PMID- 18152796 TI - German words, German personality and protestantism again. PMID- 18152797 TI - Frontal lobotomy in Sweden. PMID- 18152798 TI - Dietary intakes of vitamin C in Iceland. PMID- 18152799 TI - Lambing in relation to the diet of the pregnant ewe. PMID- 18152800 TI - The losses of edible food due to plate waste, in army dining halls. PMID- 18152801 TI - Diet and resistance to experimental tuberculosis in mice. PMID- 18152802 TI - Antibody production in pyridoxin-deficient rats. PMID- 18152803 TI - Food poisoning with special reference to the foods concerned. PMID- 18152804 TI - Diet and disease of the liver. PMID- 18152805 TI - Nutrition and disease in veterinary research. PMID- 18152806 TI - Anti-B-vitamins. PMID- 18152808 TI - The rachitogenic effect of yeast. PMID- 18152807 TI - Phytic acid. PMID- 18152809 TI - Imbalance of fat-soluble vitamins. PMID- 18152810 TI - Toxoplasmosis, a summary of the disease with report of a case. PMID- 18152811 TI - Vascular changes in diabetes with particular reference to the retinal vessels; preliminary report. PMID- 18152812 TI - Contact lenses; an analysis of the results of use. PMID- 18152813 TI - The nature of the malignant choroidal melanomata. PMID- 18152814 TI - Interstitial keratitis occurring in a case of Reiter's disease. PMID- 18152815 TI - The nose of the pugilist. PMID- 18152816 TI - Correction of deep frown lines through intranasal incision. PMID- 18152817 TI - Allergies induced by cosmetics. PMID- 18152818 TI - [Not Available]. PMID- 18152819 TI - [Not Available]. PMID- 18152820 TI - [Not Available]. PMID- 18152821 TI - [Not Available]. PMID- 18152822 TI - A static and dynamic muscle schema. PMID- 18152823 TI - [Not Available]. PMID- 18152824 TI - [Not Available]. PMID- 18152825 TI - [Not Available]. PMID- 18152826 TI - [Not Available]. PMID- 18152827 TI - [Not Available]. PMID- 18152828 TI - [Not Available]. PMID- 18152830 TI - [Not Available]. PMID- 18152829 TI - [Not Available]. PMID- 18152831 TI - [Not Available]. PMID- 18152832 TI - [Not Available]. PMID- 18152833 TI - [Not Available]. PMID- 18152835 TI - [Not Available]. PMID- 18152834 TI - [Not Available]. PMID- 18152836 TI - [Not Available]. PMID- 18152837 TI - The blind-spot method in remedial reading. PMID- 18152838 TI - Aspects of asthenopia in industrial optometry. PMID- 18152839 TI - Fusion vs confusion; the philosophy of a visual skills training optometrist. PMID- 18152840 TI - Routine prescribing for the advanced presbyope. PMID- 18152841 TI - Preformed contact lenses. PMID- 18152843 TI - [Not Available]. PMID- 18152842 TI - Congenital abnormalities of the eye. PMID- 18152844 TI - [Not Available]. PMID- 18152845 TI - [Not Available]. PMID- 18152846 TI - [Not Available]. PMID- 18152847 TI - [Not Available]. PMID- 18152848 TI - [Not Available]. PMID- 18152849 TI - [Not Available]. PMID- 18152850 TI - [Not Available]. PMID- 18152851 TI - [Not Available]. PMID- 18152852 TI - [Not Available]. PMID- 18152854 TI - [Not Available]. PMID- 18152853 TI - [Not Available]. PMID- 18152855 TI - [Not Available]. PMID- 18152857 TI - Histochemical studies in Gaucher's disease. PMID- 18152856 TI - The reaction produced in the pulmonary arteries by emboli of cotton fibers. PMID- 18152858 TI - A transplantable splenic tumor rich in mast cells; observations on mast cells in varied neoplasms. PMID- 18152859 TI - Sebaceous glands in normal and neoplastic parotid glands; possible significance of sebaceous glands in respect to the origin of tumors of the salivary glands. PMID- 18152860 TI - Combined liver cell and bile duct carcinoma. PMID- 18152861 TI - Pathogenesis of ulcerative colitis. PMID- 18152862 TI - Histopathology of ovarian pseudomucinous cystadenoma. PMID- 18152863 TI - The topographic pathology of the cerebral lesions of acute poliomyelitis in man; the medulla oblongata. PMID- 18152864 TI - The recovery of skeletal muscle fibers from acute ischemia as determined by histologic and chemical methods. PMID- 18152865 TI - Blood cysts on the heart valves of infants. PMID- 18152866 TI - Calcification of the myocardium; a pathologic study of 13 cases. PMID- 18152867 TI - Lipid fractions of human adrenal glands. PMID- 18152868 TI - Action of iodine on goiters previously treated with thiouracil. PMID- 18152869 TI - Deposition and fate of plutonium, uranium and their fission products inhaled as aerosols by rats and man. PMID- 18152870 TI - New elastic fibers formed in the wall of the gallbladder in disease of the gallbladder; pathologic, clinical and roentgenologic data concerning a hitherto neglected lesion. PMID- 18152871 TI - Pathogenesis of experimental hepatic fibrosis and cirrhosis in the dog. PMID- 18152872 TI - Adenoma of ceruminous gland in the dog. PMID- 18152873 TI - Effect of experimental thiamine deficiency on the heart of the rhesus monkey. PMID- 18152874 TI - Psychosomatic symptoms resulting from the impact of war; observations in civilian medical practice. PMID- 18152875 TI - Streptomycin therapy in tuberculous meningitis. PMID- 18152876 TI - Treatment of infantile congenital syphilis; results with aqueous penicillin alone in 60 infants followed for an average of 2 years after treatment. PMID- 18152877 TI - Comparison of vitamin B1 levels in mothers and their newborn infants. PMID- 18152878 TI - Urinary glycocyamine, creatine and creatinine; their excretion by normal infants and children. PMID- 18152879 TI - Xanthoma of the stomach. PMID- 18152880 TI - The Edwin Smith surgical papyrus. PMID- 18152881 TI - Use of portacaval anastomosis in portal cirrhosis. PMID- 18152882 TI - Pseudohemophilia or chronic thrombasthenia. PMID- 18152883 TI - Treatment of jejunal ulcer; a comparative follow-up study. PMID- 18152884 TI - Situs inversus totalis; a statistical review of data on 76 cases with special reference to disease of the biliary tract. PMID- 18152886 TI - Recurrent paroxysmal tachycardia in a young infant. PMID- 18152885 TI - Pinworm infection and childhood behavior. PMID- 18152887 TI - Osteoma cutis. PMID- 18152888 TI - The baby's diaper with suggestions for its improvement. PMID- 18152889 TI - Streptomycin in the treatment of Hemophilus influenzae laryngotracheobronchitis. PMID- 18152890 TI - Primary ovarian agensis. PMID- 18152891 TI - Sudden and unexpected natural death in infants and young children. PMID- 18152892 TI - Pneumonia in infancy caused by Friedlander's bacillus. PMID- 18152893 TI - Erythema multiforme exudativum; Stevens-Johnson syndrome; cardiovascular and central nervous system involvement. PMID- 18152894 TI - The differential diagnosis of rheumatic fever and infections of the central nervous system. PMID- 18152895 TI - The emotional problems and education of hospitalized children. PMID- 18152896 TI - Hycodan (dihydrocodlinone) poisoning; complete recovery following an initial coma of 15 hours in a 3-year-old child. PMID- 18152897 TI - Fatal homologous serum hepatitis in a young infant; case report with necropsy studies. PMID- 18152898 TI - Poliomyelitis and acute salicylism. PMID- 18152899 TI - Gaucher's disease. PMID- 18152900 TI - Foreign body in bronchi. PMID- 18152901 TI - CHLORAMPHENICOL, new antibiotic. PMID- 18152902 TI - Medicine, today and tomorrow. PMID- 18152903 TI - The pharmaceutical industry and cancer research. PMID- 18152904 TI - [Not Available]. PMID- 18152905 TI - Pharmacological properties of quinine methochloride. PMID- 18152906 TI - [Not Available]. PMID- 18152907 TI - [Not Available]. PMID- 18152908 TI - [Not Available]. PMID- 18152909 TI - [Not Available]. PMID- 18152910 TI - A toxicologic study of sodium malonate. PMID- 18152911 TI - Observations on the alpha (orthocresol) ether of glycerol (myanesin). PMID- 18152912 TI - [Not Available]. PMID- 18152913 TI - [Not Available]. PMID- 18152914 TI - An antagonism between trypaflavine and lanthanum ions. PMID- 18152915 TI - The effect of agar on the bacteriostatic activities of acridine. PMID- 18152916 TI - Density, specific gravity and weight per mil. PMID- 18152917 TI - Curare. PMID- 18152918 TI - Magic growth of Ferula. PMID- 18152919 TI - A further simplification in the use of isotonic diluting solutions. PMID- 18152920 TI - New Jersey pharmacy and American history. PMID- 18152921 TI - A simplified method of evaluating dose-effect experiments. PMID- 18152923 TI - Studies of the metabolism of gallium. PMID- 18152922 TI - The inhibition of acid phosphatase of sheep brain. PMID- 18152924 TI - The effect of liver damage on the activity of g-strophanthin in the rat. PMID- 18152925 TI - Further observations on the effect of prolonged thiopental (pentothal) anesthesia on metabolism of carbohydrates and of proteins in dogs. PMID- 18152926 TI - The pharmacology of 3-(N-piperidyl)-1-phenyl-1-cyclohexyl-1-propanol hydrochloric acid (artane) and related compounds; new antispasmodic agents. PMID- 18152927 TI - The effects of naphthoquinones on glycolysis in muscle extracts. PMID- 18152928 TI - The effects of amidines and related compounds on glycolysis in muscle extracts. PMID- 18152929 TI - Amino aciduria in uranium poisoning; the use of the amino-acid nitrogen to creatinine ratio in spot samples of urine. PMID- 18152930 TI - The effect of nitrogen mustard on certain synthetic reactions in vitro. PMID- 18152931 TI - Effects of phenobarbital on oxygen consumption of brain slices. PMID- 18152932 TI - Pharmacological studies on the hypnotic, 2-ethyl-3-propylglycidamide. PMID- 18152933 TI - [Not Available]. PMID- 18152934 TI - [Not Available]. PMID- 18152935 TI - [Not Available]. PMID- 18152936 TI - [Not Available]. PMID- 18152937 TI - Studies on local anesthetics; pharmacological properties of homologues and isomers of xylocain (alkyl amino-acyl derivatives). PMID- 18152938 TI - Adaptation factors to weak light-adaptation of isolated retinal elements. PMID- 18152939 TI - Further investigations on the transformation of histidine and related substances to creatine by animal tissue in vitro. PMID- 18152940 TI - A respiration valve with insignificant dead space. PMID- 18152941 TI - On the presence of erythropoietins in the plasma from sheep foetuses during the latter half of gestation. PMID- 18152942 TI - Effect of dihydroergotamine on the oxygen consumption; experiments on cats. PMID- 18152943 TI - Impulses from a cutaneous receptor with slow adaptation and low mechanical threshold. PMID- 18152944 TI - Ischaemic paralysis of a uniform nerve. PMID- 18152945 TI - What is industrial psychology? PMID- 18152946 TI - Vocational guidance in Warrington. PMID- 18152947 TI - Determination of optimal test length to maximize the multiple correlation. PMID- 18152948 TI - A method of matrix analysis of group structure. PMID- 18152949 TI - Application of the concept of simple structure to Alexander's data. PMID- 18152950 TI - Development of a method for increasing the utility of multiple correlations by considering both testing time and test validity. PMID- 18152951 TI - [Not Available]. PMID- 18152952 TI - [Not Available]. PMID- 18152953 TI - [Not Available]. PMID- 18152954 TI - [Not Available]. PMID- 18152955 TI - [Not Available]. PMID- 18152956 TI - [Not Available]. PMID- 18152957 TI - [Not Available]. PMID- 18152958 TI - The campaign against tuberculosis in the Swedish defense forces. PMID- 18152959 TI - [Not Available]. PMID- 18152960 TI - [Not Available]. PMID- 18152961 TI - [Not Available]. PMID- 18152962 TI - [Not Available]. PMID- 18152963 TI - [Not Available]. PMID- 18152964 TI - The epidemiology of poliomyelitis with particular reference to the County of Dorset and the 1947 epidemic. PMID- 18152966 TI - Survey of cemetery memorial industry in Indiana. PMID- 18152965 TI - Finding cancer's vulnerable spot. PMID- 18152967 TI - Trends in public health nursing. PMID- 18152968 TI - Why meat spoils; the need for sanitation in the meat industry. PMID- 18152969 TI - The effect of chlorinated hydrocarbons on hydrogen sulfide production. PMID- 18152970 TI - Coliform death rates resulting from chlorination of raw sewage. PMID- 18152971 TI - [Not Available]. PMID- 18152972 TI - [Not Available]. PMID- 18152973 TI - The possibilities and limitations of roentgen diagnosis. PMID- 18152974 TI - The roentgen findings in intracranial mass lesions. PMID- 18152975 TI - The roentgenologic diagnosis of prolapsed gastric mucosa. PMID- 18152976 TI - Arachnodactyly (marfan's syndrome) two case reports with etiological implications. PMID- 18152977 TI - The quantitative evaluation of bone density. PMID- 18152978 TI - Subacute (pseudotuberculous, giant cell) thyroiditis and its treatment. PMID- 18152979 TI - Sarcoma of the uterus; a report of nine cases. PMID- 18152980 TI - Studies on the metabolism of radioisotopes by various fungi and bacteria; the distribution of organisms containing radioiodine (I131) in the animal body. PMID- 18152981 TI - Portable projector for roentgenograms. PMID- 18152982 TI - The technique of angiocardiography. PMID- 18152983 TI - Simple technique in radiographic examinations of obstetrical cases. PMID- 18152984 TI - The preparation and posing of children for X-ray examination. PMID- 18152985 TI - Roentgen ray protection and irradiation hazards due to over-exposure. PMID- 18152986 TI - A method for placing both antero-posterior and lateral projections of the lumbar area on one film. PMID- 18152987 TI - A different approach to hot weather film processing. PMID- 18152988 TI - A simple questionnaire for the taking of histories in cases of cancer. PMID- 18152989 TI - Vagotomy and the anatomic variations in the vagus nerve. PMID- 18152990 TI - Treatment of acute peritonitis with aureomycin. PMID- 18152991 TI - Injection into the intercostal nerves for the relief of postoperative pain. PMID- 18152992 TI - Arthrodesis of the ankle joint. PMID- 18152993 TI - Cryptomenorrhea congenital and acquired. PMID- 18152994 TI - Recent experiences with the corkscrew bolt in fractures of the hip. PMID- 18152995 TI - Injection of mandibular nerve and gasserian ganglion; an anatomic study. PMID- 18152996 TI - Clinical manifestations of the sympathetic reflex arc. PMID- 18152997 TI - Gastrojejunocolic fistula. PMID- 18152998 TI - Mistakes in the diagnosis of cancer. PMID- 18152999 TI - Giant follicular lymphoblastoma of the appendix. PMID- 18153000 TI - Hematoma of the scrotum. PMID- 18153001 TI - Instrument for precise formation of the tube graft and French flap. PMID- 18153002 TI - Congenital cystic disease of the lung in infants and in children. PMID- 18153003 TI - Bleeding peptic ulcer. PMID- 18153004 TI - Effect of application of several antibacterial substances on healing of wounds. PMID- 18153005 TI - Costoclavicular compression; relation to the scalenus anticus and cervical rib syndromes. PMID- 18153006 TI - Retrocaval ureter. PMID- 18153007 TI - Acute mesenteric lymphadenitis. PMID- 18153008 TI - Severe interference with bile flow in primary hepatitis; its significance in the differential diagnosis of jaundice. PMID- 18153009 TI - Submucous lipomas of the colon. PMID- 18153010 TI - Bleeding control and absorption of synthetic adhesives; a second report. PMID- 18153011 TI - Multiple primary tumors with fibrosarcoma and coexisting carcinoma of the lung. PMID- 18153012 TI - Intra-arterial administration of penicillin with special reference to bone marrow concentration; an experimental study. PMID- 18153013 TI - Remarks on anaesthetics. PMID- 18153014 TI - [Not Available]. PMID- 18153015 TI - [Not Available]. PMID- 18153016 TI - [Not Available]. PMID- 18153017 TI - [Not Available]. PMID- 18153018 TI - [Not Available]. PMID- 18153019 TI - [Not Available]. PMID- 18153020 TI - [Not Available]. PMID- 18153022 TI - [Not Available]. PMID- 18153021 TI - [Not Available]. PMID- 18153023 TI - The patient's view of occupational therapy. PMID- 18153024 TI - Infantile paralysis; what does it mean to the patient? PMID- 18153025 TI - Occupational therapy in pediatrics. PMID- 18153026 TI - Rehabilitation of the injured chest. PMID- 18153027 TI - The importance of stabilization. PMID- 18153029 TI - Modern U.S.W. generator for diathermy. PMID- 18153028 TI - Burns and the physiotherapist. PMID- 18153030 TI - [Not Available]. PMID- 18153031 TI - [Not Available]. PMID- 18153032 TI - The pattern of the literature of amebiasis, 1932-1947; a commentary on trends. PMID- 18153033 TI - Suggestions for the future. PMID- 18153034 TI - The tropics and the white man. PMID- 18153035 TI - The occurrence of Endamoeba polecki, Prowazek 1912, in Macaca mulatta and in man. PMID- 18153036 TI - The effect of certain arsenicals on natural infections of Endamoeba histolytica and of Endamoeba polecki in Macaca mulatta. PMID- 18153037 TI - Chemotherapy of experimental Endamoeba histolytica infection in dogs. PMID- 18153038 TI - Endemic fulminating amebic dysentery. PMID- 18153039 TI - Parenteral use of camoquin hydrochloride as an antimalarial. PMID- 18153040 TI - Trypanosoma equiperdum, Trypanosoma brucei and Trypanosoma hippicum infections in avian hosts. PMID- 18153041 TI - The susceptibility of African wild animals to yellow fever. PMID- 18153042 TI - Phthalylsulfacetimide (thalamyd) in cholera. PMID- 18153043 TI - A laboratory epidemiological study of certain infectious diseases in Liberia. PMID- 18153044 TI - Tropical disease problems among veterans of World War II. PMID- 18153045 TI - Incidence of Trypanosoma cruzi, Chagas, in Triatoma Hemiptera, Reduviidae) in Texas. PMID- 18153046 TI - Bird malaria parasites found in Malay Peninsula. PMID- 18153047 TI - The effect of chloroquine diphosphate on malaria splenomegaly. PMID- 18153048 TI - The inflammatory reaction to toxoplasma in the omentum and peritoneal fluid of the mouse. PMID- 18153049 TI - A study of human salmonellosis in North and South America. PMID- 18153050 TI - Plague among wild rodents in Rio Arriba County, New Mexico. PMID- 18153051 TI - Sheep and goats in the epidemiology of Q fever in northern California. PMID- 18153052 TI - Analyses from a tropical epidemic of poliomyelitis which occurred in Florida and Cuba in 1946. PMID- 18153053 TI - The invasion of small forests by yellow fever virus as indicated by immunity in Cebus monkeys. PMID- 18153054 TI - Comparative efficacy of certain South American Aedes and Haemagogus mosquitoes as laboratory vectors of yellow fever. PMID- 18153055 TI - Methods of pinworm diagnosis. PMID- 18153056 TI - Treatment of Loa loa infections with hetrazan. PMID- 18153057 TI - An intensive treatment regimen of vesical schistosomiasis with fuadin. PMID- 18153058 TI - A tropical chigger, Eutrombicula batatas Linn. attacking man in California. PMID- 18153059 TI - A note on Giemsa stains. PMID- 18153060 TI - Tuberculosis of the eye. PMID- 18153061 TI - The tuberculosis service in Denmark. PMID- 18153062 TI - The future treatment of non-pulmonary tuberculosis. PMID- 18153063 TI - [Not Available]. PMID- 18153064 TI - [Not Available]. PMID- 18153065 TI - [Not Available]. PMID- 18153066 TI - [Not Available]. PMID- 18153067 TI - [Not Available]. PMID- 18153068 TI - [Not Available]. PMID- 18153069 TI - [Not Available]. PMID- 18153070 TI - [Not Available]. PMID- 18153071 TI - [Not Available]. PMID- 18153072 TI - [Not Available]. PMID- 18153073 TI - [Not Available]. PMID- 18153074 TI - [Not Available]. PMID- 18153075 TI - [Not Available]. PMID- 18153076 TI - [Not Available]. PMID- 18153077 TI - Primary serous pleural effusion. PMID- 18153078 TI - Irregular discharges. PMID- 18153079 TI - Medical aspects of the social problem. PMID- 18153080 TI - The repression of prostitution and control of venereal disease. PMID- 18153081 TI - An interpretation of the sex factor in human life. PMID- 18153082 TI - The responsibility of the school for sex education. PMID- 18153083 TI - Matrology and patrology as university courses. PMID- 18153084 TI - VENEREAL disease control in Poland. PMID- 18153085 TI - The sex ratio of human stillbirths at each month of uterogestation and at conception. PMID- 18153086 TI - The reliability of the photogrammetric method of anthropometry, with a description of a miniature camera technique. PMID- 18153087 TI - An aircraft camera technique with flash or tungsten lighting. PMID- 18153088 TI - The cranio-facial fragment of Australopithecus prometheus. PMID- 18153090 TI - A study of the racial ancestry of the Mississippi college Negro. PMID- 18153089 TI - Racial and sexual differences in the frontal curvature and its relation to metopism. PMID- 18153091 TI - The first pelvic bones of Australopithecus prometheus; preliminary note. PMID- 18153092 TI - Studies on North American helminths of the genus Capillaria Zeder, 1800 (Nematoda) capillarids from mammals. PMID- 18153093 TI - Studies on North American helminths of the genus Capillaria Zeder, 1800 (Nematoda) additional capillarids from mammals with keys to the North American mammalian species. PMID- 18153094 TI - Studies on North American helminths of the genus capillaria Zeder, 1800 (Nematoda) capillarids from the lower digestive tract of North American birds. PMID- 18153095 TI - Schistosome dermatitis in Seattle, Washington. PMID- 18153096 TI - Thyroid condition of chickens and development of parasitic nematodes. PMID- 18153097 TI - The comparative effect of some sulfonamides on experimental trichinosis in white mice. PMID- 18153098 TI - The early larval stages of Schistosoma mansoni Sambon, 1907 in the snail host, Australorbis glabratus (Say, 1818). PMID- 18153099 TI - Post-cercarial development of Schistosoma mansoni in the rabbit and hamster after intraperitoneal and percutaneous infection. PMID- 18153100 TI - A new genus and species of mite from the nasal cavity of the ring-billed gull (Acarina, Epidermoptidae). PMID- 18153101 TI - On a larval nematode from an insect with a note on the genera Thubunaea Seurat, 1914 and physalopteroides Wu and Liu, 1940. PMID- 18153102 TI - A critical study of North American cestodes of the genus Andrya with special reference to A. macrocephala Douthitt, 1915 (Cestoda:Anoplocephalidea). PMID- 18153103 TI - Studies on bovine gastro-intestinal parasites; additional infection experiments with the hookworm (Bunostomum phlebotomum) in the calf. PMID- 18153104 TI - On the precursors of the fertilization and the hyaline membranes in the egg of the sea urchin Strongylocentrotus purpuratus. PMID- 18153105 TI - The protective action of cations on the membrane-forming capacity of echinoderm eggs. PMID- 18153106 TI - Effects of ultra-rapid and of slow freezing and thawing on mammalian erythrocytes. PMID- 18153107 TI - Radioactive sodium permeability and exchange in frog eggs. PMID- 18153108 TI - Studies in the regulation of blood-sugar concentration in crustaceans; normal values and experimental hyperglycemia in Libinia emarginata. PMID- 18153109 TI - Ovarian inhibition by a sinus-gland principle in the fiddler crab. PMID- 18153110 TI - Piperazine dihydrochloride and glycylglycine as non-toxic buffers in distilled water and in sea water. PMID- 18153111 TI - Chromatophorotropins in the central nervous organs of the crab, Hemigrapsus oregonensis. PMID- 18153112 TI - Some effects of centrifuging upon protoplasmic streaming in Elodea. PMID- 18153113 TI - The presence of the tricarboxylic acid cycle in the ciliate Colpidium campylum. PMID- 18153114 TI - Gametogenesis in the oyster under conditions of depressed salinity. PMID- 18153115 TI - Form and growth in the development of a Scyphomedusa. PMID- 18153116 TI - Fundamental principles in oxidation-reduction. PMID- 18153117 TI - A study of the form and growth of the blue crab Callinectes sapidus Rathbun. PMID- 18153118 TI - Definition and quantitative expression of ageing. PMID- 18153119 TI - The leucocytes in regenerating limbs of Triturus viridescens. PMID- 18153120 TI - The effect on embryos and young of rainbow trout from exposing the parent fish to X-rays. PMID- 18153121 TI - Biological problems and immunochemistry. PMID- 18153122 TI - Systematics, evolution, and anthropology in the light of immunology. PMID- 18153123 TI - The concept of homology in the light of the comparative anatomy of vertebrates. PMID- 18153124 TI - The measurement of coronary blood flow, oxygen consumption, and efficiency of the left ventricle in man. PMID- 18153125 TI - The role of desiccated thyroid and potassium iodide in the cholesterol-induced atherosclerosis of the chicken. PMID- 18153126 TI - Production of arteriosclerosis in dogs by cholesterol and thiouracil feeding. PMID- 18153127 TI - Surgical treatment of aneurysms. PMID- 18153128 TI - Plasma and blood infusion following myocardial infarction. PMID- 18153129 TI - The sounds and murmurs in coarctation of the aorta; a study by auscultation and phonocardiography. PMID- 18153130 TI - Interatrial septal defect. PMID- 18153131 TI - Observations on the potential variations of the cavities of the right side of the human heart. PMID- 18153132 TI - Duration of the Q-T interval in normal pregnant women. PMID- 18153133 TI - Isolated myocarditis in newborn and young infants. PMID- 18153134 TI - Time variable osmotic pressures produced by coupled reactions as a possible cause of cell division. PMID- 18153135 TI - A note on the diffusion drag forces. PMID- 18153136 TI - Note on a case of nonlinear diffusion. PMID- 18153137 TI - On the velocity of conduction in nerve fibers with saltatory transmission. PMID- 18153138 TI - The steady state kinetics of some biological systems. PMID- 18153139 TI - Relative reactivities of the geometrical isomers of hexachlorcyclohexane. PMID- 18153140 TI - [Not Available]. PMID- 18153141 TI - Influence of the amino acid; dextrose reaction on growth of lactic acid bacteria. PMID- 18153142 TI - Nitrolysis of hexamethylenetetramine; nitrolysis of 1,5-endomethylene-3,7-dinitro 1,3,5,7-tetrazacyclooctane. PMID- 18153143 TI - Nitrolysis of hexamethylenetetramine; preparation of pure cyclonite. PMID- 18153144 TI - [Not Available]. PMID- 18153145 TI - Molecular weight determination by isothermic microdistillation. PMID- 18153146 TI - [Not Available]. PMID- 18153147 TI - [Not Available]. PMID- 18153148 TI - [Not Available]. PMID- 18153149 TI - [Not Available]. PMID- 18153150 TI - [Not Available]. PMID- 18153151 TI - [Not Available]. PMID- 18153152 TI - [Not Available]. PMID- 18153153 TI - [Not Available]. PMID- 18153154 TI - [Not Available]. PMID- 18153155 TI - [Not Available]. PMID- 18153156 TI - Education for nuclear engineering. PMID- 18153157 TI - Preparation and use of neutron sources. PMID- 18153158 TI - Current ideas about mesons. PMID- 18153159 TI - Derivation and integration of the pile-kinetic equations. PMID- 18153160 TI - Adamantinomas of the jaw. PMID- 18153161 TI - A survey of the support given by the Oslo Health Insurance Office for social dental service in the years 1942-1947. PMID- 18153162 TI - The use of a mobile source of light in radiography. PMID- 18153163 TI - The buffer value of saliva and its relation to dental caries. PMID- 18153164 TI - The importance of simplicity in orthodontic mechanism and some essential requirements of such appliances. PMID- 18153165 TI - Orthodontics and a prescribed therapy. PMID- 18153166 TI - Principle of the variation factors and their influence upon the somatic deviations. PMID- 18153167 TI - [Not Available]. PMID- 18153168 TI - [Not Available]. PMID- 18153169 TI - [Not Available]. PMID- 18153170 TI - A fact-finding investigation concerning the dentures and relevant matters of pure blood aboriginal children in central Australia. PMID- 18153171 TI - Operative correction of mandibular protrusion and asymmetry. PMID- 18153172 TI - A test for the end-point of decalcification of histological specimens. PMID- 18153174 TI - [Not Available]. PMID- 18153173 TI - Aids to chairside technique in precision dentistry; the indirect impression and bite in inlay and crown and bridge technique. PMID- 18153175 TI - [Not Available]. PMID- 18153177 TI - [Not Available]. PMID- 18153176 TI - [Not Available]. PMID- 18153178 TI - The porcelain jacket crown on malaligned, malposed and abnormally spaced teeth. PMID- 18153179 TI - Movable-removable bridgework. PMID- 18153180 TI - Bilateral fracture of an edentulous mandible immobilized with circumferential wires. PMID- 18153181 TI - Calculus in Wharton's duct complicated by cellulitis of the face. PMID- 18153182 TI - Fluoride publicity. PMID- 18153183 TI - The mandibular injection. PMID- 18153184 TI - [Not Available]. PMID- 18153186 TI - [Not Available]. PMID- 18153185 TI - [Not Available]. PMID- 18153187 TI - [Not Available]. PMID- 18153188 TI - [Not Available]. PMID- 18153189 TI - [Not Available]. PMID- 18153190 TI - [Not Available]. PMID- 18153191 TI - Changes in the serum globulin content in the development of and the recovery from early syphilis. PMID- 18153192 TI - [Not Available]. PMID- 18153193 TI - Secondary Bacillus pyocyaneus infection treated with streptomycin in a patient with neoarsphenamine dermatitis. PMID- 18153194 TI - Keratocystomatosis (Melczer) based on hypersensitivity to coal tar. PMID- 18153195 TI - Case of necrobiosis lipoidica diabeticorum. PMID- 18153198 TI - Case of Buerger's disease. PMID- 18153197 TI - Case of lichen striatus. PMID- 18153196 TI - Cases of occupational acne. PMID- 18153199 TI - Demonstration of spirochaetes in puncture fluid from axillary lymph glands of two cases of pityriasis rosea (mercuric-sulfide stain). PMID- 18153200 TI - Case of toxicoderma with pigmentation (fixed drug eruption). PMID- 18153201 TI - The incidence rate of syphilis among sailors. PMID- 18153202 TI - [Not Available]. PMID- 18153203 TI - The histology of granuloma annulare compared with that of the necrobiotic nodules of rheumatoid arthritis. PMID- 18153204 TI - Acanthosis nigricans associated with bronchial carcinoma; report of two cases. PMID- 18153205 TI - [Behcet's syndrome]. PMID- 18153206 TI - [Not Available]. PMID- 18153208 TI - [Not Available]. PMID- 18153207 TI - [Contemporary therapy of syphilitic expectant mothers]. PMID- 18153209 TI - [Not Available]. PMID- 18153210 TI - [Not Available]. PMID- 18153211 TI - [Not Available]. PMID- 18153212 TI - [Not Available]. PMID- 18153213 TI - An evaluation of human serum albumin in the treatment of cirrhosis of the liver. PMID- 18153214 TI - The effect of human serum albumin, mercurial diuretics, and a low sodium diet on sodium excretion in patients with cirrhosis of the liver. PMID- 18153216 TI - The effects of dihydroergocornine on the circulation in the extremities of man. PMID- 18153217 TI - Studies of coproporphyrin; the per diem excretion and isomer distribution in the urine in infectious hepatitis, infectious mononucleosis, and mechanical jaundice. PMID- 18153218 TI - Studies on vasomotor tone; the effect of the tetraethylammonium ion on the peripheral blood flow of normal subjects. PMID- 18153219 TI - The effect of anoxic anoxia on the human kidney. PMID- 18153221 TI - Concentration-time course in the plasma of man of radio-mercury introduced as a mercurial diuretic. PMID- 18153226 TI - Treatment of nephrosis with concentrated human serum albumin; effects on the proteins of body fluids. PMID- 18153227 TI - Mucolytic enzyme systems; inhibition of hyaluronidase by human blood serum during the normal menstrual cycle and pregnancy. PMID- 18153228 TI - Studies on amino acid excretion in man; amino acid levels in plasma and urine of normal man fed diets of varying protein content. PMID- 18153229 TI - Factors in the treatment of Laennec's cirrhosis; clinical and histological changes observed during a control period of bed-rest, alcohol withdrawal, and a minimal basic diet. PMID- 18153231 TI - Response of citric acid levels of normal adults and children to intramuscular injection of epinephrine. PMID- 18153232 TI - Studies of the effects of flavonoids on roentgen irradiation disease; comparison of the protective influence of some flavonoids and vitamin C in dogs. PMID- 18153233 TI - The plasma viscosity in pulmonary tuberculosis and rheumatic diseases. PMID- 18153234 TI - Clinical research as a career. PMID- 18153235 TI - The phenomenon of peptic ulcer. PMID- 18153236 TI - Hyperinsulinism; a factor in the neuroses. PMID- 18153237 TI - Methionine. PMID- 18153238 TI - Effects of bone meal on oral structures in pregnancy. PMID- 18153239 TI - Observations of biliary-pancreatic dynamics in a normal human. PMID- 18153240 TI - Flocculation tests in the diagnosis of hepato-biliary disease. PMID- 18153241 TI - Glucose tolerance in patients with a peptic ulcer. PMID- 18153242 TI - Meckel's diverticulum. PMID- 18153243 TI - Fluid in the lesser omental sac as a cause of extra-gastric pressure defect. PMID- 18153244 TI - The gastric distention test in chronic gastritis. PMID- 18153245 TI - The control of esophageal hemorrhage by pneumatic tamponade and thrombin. PMID- 18153246 TI - Gastric and duodenal ulcer; similarities and differences. PMID- 18153247 TI - Recent studies on the mechanism of hydrochloric acid formation by the gastric glands. PMID- 18153248 TI - Duodenal ulcer; is the hypersecretion psychosomatic? PMID- 18153249 TI - Nervous storm due to pheochromocytomas. PMID- 18153250 TI - Empyema of the residual ureter. PMID- 18153251 TI - Genito-urinary aspects of early filariasis. PMID- 18153252 TI - Artificial insemination of poultry. PMID- 18153253 TI - Bovine mastitis in Bihar. PMID- 18153254 TI - Rabies in mongoose. PMID- 18153255 TI - Cysticercus cellulosae; their incidence in canines. PMID- 18153256 TI - Is the hypersecretion observed in duodenal ulcer patients due to excessive vagal stimuli to the stomach? PMID- 18153257 TI - Effects of the administration of thiouracil to dogs. PMID- 18153258 TI - Goitrogenic effect of aminothiazole and reactions of thymus and lympoid tissue. PMID- 18153259 TI - Depigmentation in Rana temporaria tadpoles as a result of methylthiouracil treatment. PMID- 18153260 TI - The metabolic response to thyroid depressant drugs in animals maintained in a cold environment. PMID- 18153261 TI - Urinary pregnanediol estimation as a test for pregnancy. PMID- 18153262 TI - Effect of chronic inanition on the gonadotrophic content of the pituitary gland. PMID- 18153263 TI - Fertilization and the transport of gametes in the pseudopregnant rabbit. PMID- 18153264 TI - Fructose and citric acid assay in the secretions of the accessory glands of reproduction as indicator tests of male sex hormone activity. PMID- 18153265 TI - Influence of methyltestosterone upon the endocrine kidney. PMID- 18153266 TI - The influence of age and sex on the life span of adrenalectomized rats. PMID- 18153267 TI - The fragmentation of eggs following induced ovulation in immature rats. PMID- 18153268 TI - The urinary excretion of neutral 17-ketosteroids in childhood. PMID- 18153269 TI - The effect of diethylstilboestrol administration during pregnancy upon the urinary excretion of pregnanediol and natural oestrogens. PMID- 18153270 TI - Further observations on the effects of adrenalectomy on lactating rats studied by the paired-feeding technique. PMID- 18153271 TI - Some aspects of the brain phosphorus metabolism after hypophysectomy. PMID- 18153272 TI - Treatment of intermittent claudication with testosterone. PMID- 18153273 TI - Relative growth of the mammary gland in the normal, gonadectomized and adrenalectomized rat. PMID- 18153274 TI - The art of science; a reply to Redfield. PMID- 18153275 TI - The productivity of social scientists. PMID- 18153277 TI - STUDENTS' dissertations in sociology. PMID- 18153276 TI - Rural social organization and co-operative labor. PMID- 18153278 TI - [Not Available]. PMID- 18153279 TI - [Not Available]. PMID- 18153280 TI - [Not Available]. PMID- 18153281 TI - A few fresh-water micro-organisms. PMID- 18153282 TI - The demonstration of cellular elements by the use of filters in photomicroscopy. PMID- 18153283 TI - An aid for close range clinical photographs. PMID- 18153284 TI - Intra-oral photography; the value of correct patient-photographer relationship. PMID- 18153285 TI - Giant molecules. PMID- 18153286 TI - Orientation and methods of communication of the honey bee and its sensitivity to the polarization of the light. PMID- 18153287 TI - Reduction of optical reflectivity of glass surfaces resulting from ion bombardment. PMID- 18153288 TI - Structure of cosmic-ray air showers. PMID- 18153289 TI - Crystal structure of cytidine. PMID- 18153290 TI - Structure of flavoglaucin and auroglaucin. PMID- 18153291 TI - A method for determining the ratio of the Michaelis constants of an enzyme with respect to two substrates. PMID- 18153292 TI - Evolution of the giraffe. PMID- 18153293 TI - D.D.T. as a residual insecticide against Anopheles maculipennis. PMID- 18153294 TI - Control of pigment migration in crustaceans. PMID- 18153297 TI - International exchange of scientists. PMID- 18153298 TI - Physicochemical behaviour of cytoplasm. PMID- 18153299 TI - Chemical research laboratory. PMID- 18153300 TI - Statistical methods in detergency investigations. PMID- 18153301 TI - Detection of centers of symmetry by an X-ray method. PMID- 18153302 TI - Importance of trace elements in nutrition. PMID- 18153303 TI - The mathematics of communication. PMID- 18153304 TI - Allergic mechanisms in nervous disease. PMID- 18153305 TI - Schizophrenia and stress. PMID- 18153306 TI - IN Cleveland, curious children (and adults) examine the human animal. PMID- 18153308 TI - HUMAN geography. PMID- 18153307 TI - Penicillin's new cousin. PMID- 18153309 TI - [Not Available]. PMID- 18153310 TI - [Not Available]. PMID- 18153311 TI - Science, psychiatry, survival. PMID- 18153312 TI - Non-profit health insurance to meet America's needs. PMID- 18153313 TI - Scientific analysis or fear in human relations. PMID- 18153314 TI - MARRIAGES fewer this year. PMID- 18153315 TI - DROWNINGS most frequent in July. PMID- 18153316 TI - A new copepod (Cyclopoida: Clausidiidae) parasitic on mud shrimps in Louisiana. PMID- 18153317 TI - A new species of trematode, Podocotyle gibbonsia, from tide pool fishes of Monterey Bay, California. PMID- 18153318 TI - Effects of allyl isothiocyanate upon Spirostomum ambiguum. PMID- 18153319 TI - An easy method for the preparation of en face view of small nematodes. PMID- 18153320 TI - The effects of ultra-violet radiations on Spirostomum ambiguum. PMID- 18153321 TI - Some morphological and histological studies of the developing compound eye in the vinegar fly Drosophila melanogaster. PMID- 18153323 TI - Lysenko's Marxist genetics; science or religion? PMID- 18153322 TI - The population problems in India and Pakistan. PMID- 18153324 TI - The genetics controversy in the U.S.S.R.; a bibliographic survey. PMID- 18153325 TI - [Contribution to the prevention of postoperative urinary retention after gynecological operations]. PMID- 18153326 TI - [Bladder changes in the treatment of cancer of the cervix]. PMID- 18153327 TI - [Stones in the bladder and doubled ureters]. PMID- 18153328 TI - [Intrauterine use of the follicular hormone]. PMID- 18153329 TI - [Optimal pH for the growth of Candida albicans, Robin, Berkhout]. PMID- 18153330 TI - [Influence of boric acid on strains of the genus Candida]. PMID- 18153331 TI - [Therapeutic effect of boric compounds on mycoses]. PMID- 18153332 TI - [Treatment of vaginal discharge with paravaginal anaesthetic block]. PMID- 18153333 TI - [Ematosalpinge simulating the hematocele lonely]. PMID- 18153334 TI - [Not Available]. PMID- 18153335 TI - [Cardiovascular diseases and major operations of gynecology]. PMID- 18153336 TI - [Early experiments with Trilene in obstetric analgesia]. PMID- 18153337 TI - [Not Available]. PMID- 18153338 TI - [Not Available]. PMID- 18153339 TI - [Not Available]. PMID- 18153340 TI - [Not Available]. PMID- 18153341 TI - [Not Available]. PMID- 18153342 TI - [Not Available]. PMID- 18153343 TI - [Not Available]. PMID- 18153344 TI - [Not Available]. PMID- 18153345 TI - [Not Available]. PMID- 18153346 TI - [Not Available]. PMID- 18153347 TI - [Not Available]. PMID- 18153348 TI - [Not Available]. PMID- 18153349 TI - [Not Available]. PMID- 18153350 TI - [Not Available]. PMID- 18153351 TI - [Not Available]. PMID- 18153352 TI - [Not Available]. PMID- 18153353 TI - [Not Available]. PMID- 18153354 TI - [Genital malformations; uterus bicornis rudimentarius solidus with fibroid, vaginal rudimentary; disorder receptivity]. PMID- 18153355 TI - [Syphilis and fetal death]. PMID- 18153356 TI - [Pelvic tumors, hydrothorax and ascites]. PMID- 18153357 TI - [Mono-amniotic twin pregnancy]. PMID- 18153358 TI - [Sickle cell anemia complicated by pregnancy]. PMID- 18153359 TI - [On the incidence of fetal erythroblastosis]. PMID- 18153360 TI - [Not Available]. PMID- 18153361 TI - [Not Available]. PMID- 18153362 TI - [Not Available]. PMID- 18153363 TI - [Not Available]. PMID- 18153364 TI - The determination of heparin in blood. PMID- 18153365 TI - The medical audit; what can it achieve? PMID- 18153366 TI - Some aspects of atomic defense. PMID- 18153367 TI - Further studies of the immunological properties of polysaccharides from Serratia marcescens (Bacillus prodigiosus) nature of the antigenic action and the antibody response in mice. PMID- 18153368 TI - Influence of mode of immunization on the relationship between the development of tissue titers and the release of hemolysins in vitro. PMID- 18153369 TI - The immunochemistry of allergens; the relationship of carbohydrate to the antigenic properties of the allergenic protein from cottonseed. PMID- 18153370 TI - Prophylactic use of schistosomal antigen. PMID- 18153371 TI - Some quantitative aspects of immune hemolysis. PMID- 18153372 TI - Rift Valley fever; accidental infections among laboratory workers. PMID- 18153373 TI - Quantitative studies on induction of active immunity to smooth, V form Salmonella typhosa; a comparison of antigenicity of heat-killed and Formalin-killed bacterial suspensions. PMID- 18153374 TI - The use of adjuvants in the production of Rh antisera in animals. PMID- 18153375 TI - The effect of various dyes in vitro and in vivo upon influenza virus infection in mice. PMID- 18153376 TI - Ingenious and unusual devices for use in industrial medical departments. PMID- 18153377 TI - Are annual physical examinations in the automobile industry desirable? PMID- 18153378 TI - Industrial medical potentials; a time and job analysis of medicine in industry. PMID- 18153379 TI - Herniated intervertebral disk. PMID- 18153380 TI - Basis of approvals of medical services in industry. PMID- 18153381 TI - Nutritional factors affecting the toxicity of some aromatic hydrocarbons with special reference to benzene and nitrobenzene compounds; a review. PMID- 18153382 TI - Occupational poisoning by alkyl mercury compounds. PMID- 18153383 TI - Human problems in industrial machine design. PMID- 18153384 TI - Effect of para-aminobenzoic acid on the in vivo oxidation of hemoglobin. PMID- 18153385 TI - Physiologic response of animals exposed to air-borne ketene. PMID- 18153386 TI - Cutaneous cleansing for industrial workers. PMID- 18153387 TI - Medical control of beryllium poisoning. PMID- 18153388 TI - Clinical manifestations of intercapillary glomerulosclerosis in diabetes mellitus. PMID- 18153389 TI - Experiences with the Kolff artificial kidney. PMID- 18153390 TI - Acute urinary suppression; observations in 22 patients. PMID- 18153391 TI - Clinical and metabolic study of 11-dehydro-17-hydroxycorticosterone acetate (Kendall compound E) in hypertension, Addison's disease and diabetes mellitus. PMID- 18153392 TI - Role of the neurohypophysis in the pathogenesis of hypertension and some allied disorders associated with aging. PMID- 18153393 TI - Origin and nature of antibiotics. PMID- 18153394 TI - Progressive hepatic disease. PMID- 18153395 TI - Chronic pancreatitis. PMID- 18153396 TI - Megaloblastic bone marrow in liver disease. PMID- 18153397 TI - [Not Available]. PMID- 18153399 TI - [Not Available]. PMID- 18153398 TI - [Not Available]. PMID- 18153401 TI - [Not Available]. PMID- 18153400 TI - [Not Available]. PMID- 18153402 TI - [Not Available]. PMID- 18153403 TI - [Not Available]. PMID- 18153405 TI - [The biological evaluation of Digitalis purpurea]. PMID- 18153404 TI - [Considerations on cardiac events in 150 avitaminotics in the General Hospital]. PMID- 18153406 TI - [Critical study of the functional tests of the stomach and intestine]. PMID- 18153407 TI - [Standard stool test for the diagnosis of intestinal parasites]. PMID- 18153408 TI - Nutritional disease in India. PMID- 18153409 TI - Facts and fads about food and nutrition. PMID- 18153410 TI - Aetiology of early vitamins-deficiency states. PMID- 18153411 TI - Evaluation of nutritional status. PMID- 18153412 TI - Nutritional background in psychological inadequacies in children. PMID- 18153413 TI - Nutrition in surgery. PMID- 18153415 TI - [Not Available]. PMID- 18153414 TI - Vitamins and their relation to cardiovascular disorders. PMID- 18153416 TI - [Not Available]. PMID- 18153417 TI - [Not Available]. PMID- 18153418 TI - [Not Available]. PMID- 18153419 TI - [Not Available]. PMID- 18153420 TI - [Not Available]. PMID- 18153421 TI - [Not Available]. PMID- 18153422 TI - The mind of mechanical man. PMID- 18153423 TI - Injuries to the superior longitudinal sinus. PMID- 18153424 TI - A case of bilateral pheochromocytoma. PMID- 18153425 TI - Aplastic anaemia following neoarsphenamine. PMID- 18153426 TI - Histamine headache. PMID- 18153427 TI - A case of arteriovenous aneurysm. PMID- 18153428 TI - Continuous suction; a new hydrodynamic method. PMID- 18153429 TI - Ogilvie's syndrome. PMID- 18153430 TI - An authoritarian panacea. PMID- 18153431 TI - The context of themes. PMID- 18153432 TI - The Chatelperron skulk, a rediscovered human skull-cap from the French early Upper Palaeolithic. PMID- 18153434 TI - Acute infectious lymphocytosis; review of the literature and report of a case. PMID- 18153433 TI - Causes of death of infants delivered by cesarean section; an analyses of the cases of 512 babies born during a 20 year period. PMID- 18153435 TI - Squamous carcinoma of the cervix with extensions or metastasis, to the fundus of the uterus. PMID- 18153436 TI - [Not Available]. PMID- 18153437 TI - [Not Available]. PMID- 18153438 TI - [Not Available]. PMID- 18153439 TI - [Not Available]. PMID- 18153440 TI - [Not Available]. PMID- 18153441 TI - [Not Available]. PMID- 18153442 TI - [Not Available]. PMID- 18153443 TI - [Not Available]. PMID- 18153444 TI - [Not Available]. PMID- 18153445 TI - Arterial transfusion. PMID- 18153446 TI - Treatment of congestive heart failure. PMID- 18153447 TI - Malignant hypertension. PMID- 18153448 TI - Actinomycosis of the abdominal viscera. PMID- 18153449 TI - Lower nephron nephrosis. PMID- 18153450 TI - The in vitro digestion of casein and the determination of some of the amino acids in the cleavage products. PMID- 18153451 TI - The electroencephalogram as a diagnostic adjunct; an analysis of 500 tracings. PMID- 18153452 TI - Retroperitoneal liposarcoma; a case report. PMID- 18153453 TI - Preservation of fertility in calcareous tuberculous seminal vesiculitis. PMID- 18153454 TI - [Not Available]. PMID- 18153455 TI - [Not Available]. PMID- 18153456 TI - [Not Available]. PMID- 18153457 TI - [Not Available]. PMID- 18153458 TI - [Not Available]. PMID- 18153459 TI - [Not Available]. PMID- 18153460 TI - [Not Available]. PMID- 18153461 TI - [Not Available]. PMID- 18153462 TI - What's new in gastroenterology. PMID- 18153463 TI - What's new in orthopedics. PMID- 18153464 TI - What's new in gynecology. PMID- 18153465 TI - The effect of vitamin B12 on the anemia and combined system disease of addisonian pernicious anemia. AB - The effect of the parenteral administration of vitamin B(12) has been observed in eight patients with Addisonian pernicious anemia. Vitamin B(12) in initial doses of 50 micrograms or 25 micrograms induced satisfactory reticulocyte response and a return of erythrocyte count to within normal range in 60 days. In only two of the patients were secondary reticulocyte responses induced on a second injection of vitamin B(12). Concurrently with the hemopoietic response, the bone marrow changed from megaloblastic hyperplasia to normoblastic distribution. The paresthesias associated with combined system disease as well as disturbances in position sense and locomotor function may be entirely relieved or greatly diminished following injections of vitamin B(12). Maintenance injections of vitamin B(12) may be from 30 to 50 micrograms at intervals of one month, the amount depending upon the individual case. Vitamin B(12) may be used without untoward symptoms in patients previously sensitive to liver extract. PMID- 18153466 TI - Psychotherapy of functional dermatoses; its value and limitations as applied to neurodermatitis. AB - Etiologically, neurodermatitis is interpreted as an often manifestly hereditary diathesis which is frequently complicated and exacerbated by disturbances of the patient's emotional and psychic structure. The following traits are commonly exhibited, singly or in combination: a tendency toward excitability and an exaggerated capacity for response to stimuli, polyvalent dermal hypersensitivity, a propensity to vascular disturbances, a personality somewhat obsessional in structure and evidence of deep-seated emotional conflict. Shallow psychotherapy, an indispensable adjunct to the treatment of neurodermatitis, can be successfully applied by any dermatologic physician adequately endowed with patience, sympathy and tact. This method does not achieve a cure, but, properly applied, it can immeasurably improve the patient's lot. PMID- 18153467 TI - The changing outlook in coronary disease. AB - The statistical prognosis for patients who survive a first attack of coronary thrombosis, as regards both life expectancy and ability to return to normal activity, has been greatly improved in recent years. In the light of advances in understanding of the physiology of the heart and improvements in therapeutic methods, physicians must reevaluate ideas of what a patient should be permitted to do after recovery from an initial attack. Often a return to normal pursuits may be better for the patient than drastic restriction of activity, particularly because of the psychological and emotional effects of invalidism. In deciding what advice to give on this score, the physician should consider in each case not only the actual amount of coronary circulation but such factors as the patient's temperament, type of occupation and economic status. The goal should be to guide each patient back to usefulness within the limits of his cardiac reserve. PMID- 18153468 TI - Primary systemic amyloidosis. PMID- 18153469 TI - Violent reaction to phenolphthalein. PMID- 18153470 TI - Primary biliary cirrhosis. PMID- 18153471 TI - Anticoagulant therapy. PMID- 18153472 TI - The use of BCG. PMID- 18153473 TI - Some unanswered questions in clinical allergy. PMID- 18153474 TI - Organization of a combined dermatological-radiotherapeutic centre in the Canadian army overseas. PMID- 18153475 TI - Some industrial injuries of the shoulder joint. PMID- 18153476 TI - Aspects of perennial allergic rhinitis and asthma in childhood. PMID- 18153477 TI - Modified Denis Browne operation for hypospadias. PMID- 18153478 TI - A survey of 16 cases of malignant melanoma of uveal tract. PMID- 18153479 TI - Subaortic stenosis in an adult. PMID- 18153480 TI - Labour complicated by cervical atresia. PMID- 18153481 TI - [Not Available]. PMID- 18153482 TI - [Not Available]. PMID- 18153483 TI - [Not Available]. PMID- 18153484 TI - Acute salpingitis. PMID- 18153485 TI - [Not Available]. PMID- 18153486 TI - [Not Available]. PMID- 18153487 TI - [Not Available]. PMID- 18153488 TI - [Not Available]. PMID- 18153489 TI - [Not Available]. PMID- 18153491 TI - [Uretero-intestinal transplantation]. PMID- 18153490 TI - Surgery of the sympathetic nervous system. PMID- 18153492 TI - [From mercury to streptomycin; evolution of chemotherapy]. PMID- 18153493 TI - [Not Available]. PMID- 18153494 TI - [Not Available]. PMID- 18153495 TI - [Not Available]. PMID- 18153496 TI - [Not Available]. PMID- 18153497 TI - [Not Available]. PMID- 18153498 TI - [Not Available]. PMID- 18153499 TI - [Not Available]. PMID- 18153500 TI - [Not Available]. PMID- 18153501 TI - [Not Available]. PMID- 18153502 TI - [Not Available]. PMID- 18153503 TI - [Not Available]. PMID- 18153504 TI - [Not Available]. PMID- 18153505 TI - [Not Available]. PMID- 18153506 TI - [Not Available]. PMID- 18153507 TI - Dilatation of the cervix and curettage of the uterus. PMID- 18153509 TI - Surgical repair of inguinal hernia based upon closure of internal inguinal sphincter. PMID- 18153508 TI - Incidence of malignancy in nontoxic nodular thyroid disease. PMID- 18153510 TI - Diverticulitis resulting in sigmoido-salpingal fistula. PMID- 18153511 TI - Squamous cell carcinoma and hypernephroma occurring in the same kidney; a case report with a review of the literature. PMID- 18153512 TI - Rupture of the uterus. PMID- 18153513 TI - Technic of the pregnandiol precipitation test. PMID- 18153514 TI - Migraine in the female treated with methyl testosterone; observations in 35 patients. PMID- 18153515 TI - The beneficial effect of pregnancy on human peptic ulcer and the beneficial anti ulcer effect of the pituitary-adrenal complex on experimental ulcers; a possible explanation. PMID- 18153516 TI - Subdural empyema probably secondary to infected chronic subdural hematoma; case report. PMID- 18153517 TI - The depressive effect of desiccated thyroid on I131 metabolism; a preliminary report. PMID- 18153518 TI - Unifying library resources within a general hospital. PMID- 18153519 TI - [Early surgery in acute cholecystitis]. PMID- 18153520 TI - [New technique of complement fixation for Chagas disease; quantitative reaction with gelled antigen of cultures of Trypanosoma cruzi]. PMID- 18153521 TI - [Experiments upon the conservation and virulence of a neurotropic virus; West Nile virus]. PMID- 18153522 TI - [Trachoma, its epidemiology and prevention]. PMID- 18153523 TI - [Cardiology in the United States of America]. PMID- 18153524 TI - [Contribution to the study of surgical cure of varix of the lower limbs]. PMID- 18153525 TI - [Therapeutic results obtained with streptomycin in cases of cutaneous tuberculosis, four cases treated]. PMID- 18153526 TI - [Congenital heart disease]. PMID- 18153527 TI - Some recent advances in cardiology. PMID- 18153528 TI - Diagnosis and therapy of congenital heart disease. PMID- 18153529 TI - An investigation into the varieties of Mycobacterium tuberculosis concerned in human non-pulmonary tuberculosis in Ireland. PMID- 18153530 TI - Report on BCG vaccination in St. Ultan's Hospital. PMID- 18153531 TI - Benign tumors of the breast. PMID- 18153532 TI - Peripheral nerve injuries from administration of penicillin; report of four clinical cases. PMID- 18153533 TI - Extradural hematoma in infancy and childhood. PMID- 18153534 TI - The problem of medical care for Navajo Indians. PMID- 18153535 TI - Treatment of paraplegia resulting from trauma to the spinal cord. PMID- 18153536 TI - A fatal reaction to methapyrilene. PMID- 18153537 TI - The allergic patient. PMID- 18153538 TI - An adolescent gynecological clinic; pertinent observations. PMID- 18153539 TI - Rheumatic fever with multiple manifestations. PMID- 18153540 TI - Stilbestrol in habitual and threatened abortion. PMID- 18153541 TI - A survey of cesarean sections performed at the New York Infirmary, 1940-1948. PMID- 18153542 TI - Treatment of hypertension with the rice diet. PMID- 18153543 TI - Epilepsy and hypoglycemia; their relation. PMID- 18153544 TI - The Rh factor and related subjects. PMID- 18153545 TI - Skiagram studies on the heart of athletes in health and in disease. PMID- 18153546 TI - Monocytic leukaemia with a report of two cases. PMID- 18153547 TI - Cysts of the spleen. PMID- 18153549 TI - The effect of treatment on the prognosis of late latent syphilis. PMID- 18153548 TI - On the theoretical background for the anticoagulant attack on thrombosis. PMID- 18153550 TI - Carcinoma of the prostate gland. PMID- 18153552 TI - Primary fibrositis. PMID- 18153551 TI - The value on the newer chemotherapeutic agents in the treatment of leukemia and allied diseases. PMID- 18153553 TI - Q fever; historical review and present status. PMID- 18153554 TI - The visual study of heart vibrations and sounds as transmitted through the precordium. PMID- 18153555 TI - Chronic gastro-duodenal ulceration. PMID- 18153556 TI - [Not Available]. PMID- 18153557 TI - [Not Available]. PMID- 18153559 TI - [Not Available]. PMID- 18153558 TI - [Not Available]. PMID- 18153560 TI - Renal tumors; report of 24 cases, 1932-1948. PMID- 18153561 TI - Renal collapse following cholecystectomy with recovery; a case report. PMID- 18153562 TI - Pediatrics and its appeal to the general practitioner. PMID- 18153563 TI - Streptomycin in the treatment of tuberculosis. PMID- 18153564 TI - The use of the male Philippine Rana vittigera Wiegmann in the diagnosis of pregnancy. PMID- 18153565 TI - Biochemical studies on tuberculosis; the sedimentation rate as an index of protein deficiency rather than of the infectious activity in tuberculosis. PMID- 18153567 TI - Treatment of syphilis in infants and young children. PMID- 18153566 TI - Extract of the wings of the Philippine butterfly, Terias hecabe Linnaeus, a new antibiotic for malaria. PMID- 18153568 TI - Iron deficiency anemia in Bataan Province. PMID- 18153569 TI - [Not Available]. PMID- 18153570 TI - [Not Available]. PMID- 18153571 TI - [Not Available]. PMID- 18153572 TI - [Not Available]. PMID- 18153573 TI - [Not Available]. PMID- 18153574 TI - [Not Available]. PMID- 18153575 TI - [Not Available]. PMID- 18153576 TI - [Not Available]. PMID- 18153577 TI - [Not Available]. PMID- 18153578 TI - [Not Available]. PMID- 18153579 TI - [Not Available]. PMID- 18153580 TI - [Not Available]. PMID- 18153581 TI - Social factors in obstetrics. PMID- 18153582 TI - Some therapeutic and neurological aspects of peripheral nerve injuries. PMID- 18153583 TI - Haemolytic disease of the newborn due to anti-A antibodies. PMID- 18153584 TI - Streptomycin in the treatment of actinomycosis; report on three cases. PMID- 18153585 TI - Intestinal actinomycosis treated with streptomycin. PMID- 18153586 TI - Treatment of hay-fever by injection of nasal mucosa with alcohol. PMID- 18153587 TI - Diphtheria prophylaxis in very young infants. PMID- 18153588 TI - REPORT of the Royal Commission on Population. PMID- 18153589 TI - Sensitivity to liver. PMID- 18153590 TI - Mind and mechanism. PMID- 18153591 TI - [Not Available]. PMID- 18153592 TI - [Not Available]. PMID- 18153593 TI - [Not Available]. PMID- 18153594 TI - [Not Available]. PMID- 18153595 TI - [Not Available]. PMID- 18153596 TI - [Not Available]. PMID- 18153597 TI - [Not Available]. PMID- 18153598 TI - [Not Available]. PMID- 18153600 TI - [Not Available]. PMID- 18153599 TI - [Not Available]. PMID- 18153601 TI - [Not Available]. PMID- 18153602 TI - [Not Available]. PMID- 18153603 TI - [Not Available]. PMID- 18153604 TI - [Not Available]. PMID- 18153605 TI - [Not Available]. PMID- 18153606 TI - Localized myxedema. PMID- 18153607 TI - Bronchial asthma; a review of 405 cases. PMID- 18153608 TI - The problem of cancer diagnosis. PMID- 18153609 TI - [Hypertension]. PMID- 18153610 TI - [Lentiginosis profuse, congenital pulmonary stenosis; epileptiform seizures]. PMID- 18153612 TI - Meet the medical columnists. PMID- 18153611 TI - [Erythropoietic substances, the folic acid and vitamin B12 group]. PMID- 18153613 TI - Your study habits. PMID- 18153614 TI - [Not Available]. PMID- 18153615 TI - [Not Available]. PMID- 18153616 TI - [Not Available]. PMID- 18153617 TI - The place of hydrostatic pressure in the treatment of intussusception. PMID- 18153619 TI - The treatment of acute haematogenous osteomyelitis. PMID- 18153618 TI - The blocking of antibodies in vivo; preliminary investigation. PMID- 18153620 TI - Delayed labour. PMID- 18153621 TI - Hyperlipaemia with secondary xanthomatosis in chronic pancreatitis. PMID- 18153622 TI - Tests to control horn flies with new insecticides. PMID- 18153623 TI - Two butoxypolypropylene glycol compounds as fly repellents for livestock. PMID- 18153624 TI - Parathion for control of pests of ornamental and flowering plants. PMID- 18153625 TI - Control of black fly larvae in Alaskan streams by aerial applications of DDT. PMID- 18153626 TI - Actinomycosis of or surrounding an ovary. PMID- 18153627 TI - Rheumatism research. PMID- 18153629 TI - The frozen shoulder. PMID- 18153628 TI - Rheumatoid arthritis. PMID- 18153630 TI - Drugs in the treatment of rheumatic diseases. PMID- 18153631 TI - The hepatoendothelial and hepatoepithelial system; a new method of diagnosis and specific treatment of diseases of the liver. PMID- 18153632 TI - Studies of glaucoma. PMID- 18153633 TI - First aid; transport. PMID- 18153634 TI - Four centuries of the plague in England. PMID- 18153635 TI - [Not Available]. PMID- 18153636 TI - [Not Available]. PMID- 18153637 TI - [Not Available]. PMID- 18153638 TI - [Not Available]. PMID- 18153639 TI - [Not Available]. PMID- 18153640 TI - [Not Available]. PMID- 18153641 TI - [Not Available]. PMID- 18153642 TI - [Not Available]. PMID- 18153643 TI - Medical science under dictatorship. PMID- 18153644 TI - Diagnosis of early carcinoma of the cervix by sponge biopsy. PMID- 18153645 TI - Dihydrostreptomycin in the treatment of pulmonary tuberculosis with particular reference to its toxicity as compared with that of streptomycin. PMID- 18153646 TI - Fractures of the distal end of the radius complicated by fractures of the carpal scaphoid. PMID- 18153647 TI - Cirrhosis of liver, alcoholic type, acutely progressive. PMID- 18153648 TI - Carcinoma of ascending colon, with metastases to brain, liver lung and lymph nodes. PMID- 18153649 TI - A case of reflex sympathetic dystrophy relieved by sympathectomy. PMID- 18153650 TI - The correlation between clinical estimation and laboratory determination of functional pulmonary capacity. PMID- 18153651 TI - Clinical experiences with the Rh factor in obstetrics. PMID- 18153652 TI - Streptomycin in the Negro with tuberculosis. PMID- 18153653 TI - Diagnosis and treatment of common vesicular lesions of the hands and feet. PMID- 18153654 TI - Preoperative care of patients for intraocular surgery. PMID- 18153655 TI - Acute bacterial endocarditis of Salmonella origin. PMID- 18153656 TI - Polyneuritis with facial diplegia syndrome developing during antirabies vaccination. PMID- 18153657 TI - Studies on the plasma levels of vitamin A and carotene in diabetes mellitus and in cirrhosis of the liver. PMID- 18153658 TI - Specific immunization against tuberculosis and its application in New Zealand. PMID- 18153659 TI - Immunization against tuberculosis and its application to indigenous Pacific peoples. PMID- 18153660 TI - The care of the premature baby. PMID- 18153661 TI - Contractual and testamentary capacity; report of a case. PMID- 18153662 TI - [Not Available]. PMID- 18153663 TI - [Not Available]. PMID- 18153664 TI - [Not Available]. PMID- 18153665 TI - [Not Available]. PMID- 18153666 TI - [Not Available]. PMID- 18153667 TI - [Not Available]. PMID- 18153668 TI - [Not Available]. PMID- 18153669 TI - [Not Available]. PMID- 18153670 TI - [Not Available]. PMID- 18153671 TI - [Not Available]. PMID- 18153672 TI - [Not Available]. PMID- 18153673 TI - [Not Available]. PMID- 18153674 TI - [Not Available]. PMID- 18153675 TI - [Not Available]. PMID- 18153676 TI - [Not Available]. PMID- 18153677 TI - [Not Available]. PMID- 18153678 TI - [Not Available]. PMID- 18153679 TI - [Not Available]. PMID- 18153680 TI - [Not Available]. PMID- 18153681 TI - [Not Available]. PMID- 18153682 TI - [Not Available]. PMID- 18153683 TI - [Not Available]. PMID- 18153684 TI - [Not Available]. PMID- 18153685 TI - [Not Available]. PMID- 18153686 TI - [Not Available]. PMID- 18153688 TI - Three suggestions for medical graduates. PMID- 18153689 TI - Some indications for sympathectomy. PMID- 18153687 TI - [Not Available]. PMID- 18153690 TI - Appendicitis in old age; a clinical study of 53 cases in patients over 60 years of age. PMID- 18153691 TI - Omental infarction simulating acute appendicitis. PMID- 18153692 TI - Some factors having no relation to the production of electrocardiographic evidence of left ventricular strain. PMID- 18153693 TI - Electrocardiographic booby traps. PMID- 18153694 TI - The use of sulfonamide and antibiotic drugs in otolaryngology. PMID- 18153695 TI - Primary spontaneous pneumohemothorax; with the report of a case. PMID- 18153696 TI - The painful stiff shoulder. PMID- 18153697 TI - The coroner in court. PMID- 18153698 TI - The cancer clinic in a small hospital. PMID- 18153699 TI - Epidural spinal abscess. PMID- 18153700 TI - Fat necrosis of omentum with perforated duodenal ulcer. PMID- 18153701 TI - Hyperinsulinism caused by islet cell adenoma; review of the literature and report of a successful surgical case. PMID- 18153702 TI - Mesenteric cyst; case report of successful removal without resection of adjacent bowel in infant. PMID- 18153703 TI - [Not Available]. PMID- 18153704 TI - [Not Available]. PMID- 18153705 TI - [Not Available]. PMID- 18153706 TI - [Not Available]. PMID- 18153707 TI - [Oligobiopsy]. PMID- 18153708 TI - [Electrocoagulation treatment of malignant tumor of the vulva]. PMID- 18153709 TI - [Hormonal factor in the etiology and treatment of the cancer of the mammary glands]. PMID- 18153710 TI - [Progress in diagnosis and treatment of the cancer of the breast]. PMID- 18153711 TI - [Treatment of neoplasms of genito-urinary tract]. PMID- 18153712 TI - [Not Available]. PMID- 18153713 TI - Examination of the blood. PMID- 18153714 TI - Throat swabs. PMID- 18153716 TI - Blood cultures. PMID- 18153715 TI - Glycosuria. PMID- 18153717 TI - Examination of the cerebrospinal fluid. PMID- 18153718 TI - The A.B.C. of geriatrics. PMID- 18153719 TI - The estimation of haemoglobin. PMID- 18153720 TI - [Not Available]. PMID- 18153721 TI - [Not Available]. PMID- 18153722 TI - [Not Available]. PMID- 18153723 TI - [Not Available]. PMID- 18153724 TI - [Not Available]. PMID- 18153725 TI - [Not Available]. PMID- 18153726 TI - [Not Available]. PMID- 18153727 TI - [Not Available]. PMID- 18153728 TI - [Not Available]. PMID- 18153729 TI - [Not Available]. PMID- 18153730 TI - [Not Available]. PMID- 18153731 TI - [Not Available]. PMID- 18153732 TI - [Not Available]. PMID- 18153733 TI - [Not Available]. PMID- 18153734 TI - [Not Available]. PMID- 18153735 TI - [Not Available]. PMID- 18153736 TI - [Not Available]. PMID- 18153737 TI - Increase in resistance of tubercle bacilli to sodium p-aminosalicylic acid; observations on cultures isolated from patients during chemotherapy. PMID- 18153738 TI - A polythene prosthesis to replace the lung after pneumonectomy. PMID- 18153739 TI - The origin and evolution of diagnostic procedures with reference to diseases of the heart and circulation; the pulse. PMID- 18153740 TI - Cough and asthma. PMID- 18153741 TI - Discussion on the pathological features of cortical necrosis of the kidney and allied conditions associated with pregnancy. PMID- 18153742 TI - Vault-suspension. PMID- 18153743 TI - Some aspects of non-gonococcal infections of the genital tract. PMID- 18153744 TI - Birth conditions and dental deformities. PMID- 18153745 TI - Discussion on immunity responses in the young with special reference to diphtheria. PMID- 18153746 TI - Eighteenth century medical care; a study of Roxburghshire. PMID- 18153747 TI - Extensions of the tympanic cavity. PMID- 18153748 TI - The aetiology of swimmers' exostoses of the external auditory canals and of associated changes in hearing. PMID- 18153749 TI - Demonstration of the human labyrinth and its related structures in perspex. PMID- 18153750 TI - Discussion on the surgery of portal hypertension. AB - IN THE SURGICAL TREATMENT OF PORTAL HYPERTENSION, THREE PROBLEMS PRESENT: (1) mesenteric venous thrombosis, (2) haemorrhage from the alimentary tract, and (3) ascites. PMID- 18153751 TI - The retro-orbital tissues as a site of outflow of cerebrospinal fluid. PMID- 18153752 TI - Discussion on ophthalmic photography. PMID- 18153753 TI - [Not Available]. PMID- 18153754 TI - [Not Available]. PMID- 18153755 TI - [Not Available]. PMID- 18153756 TI - [Not Available]. PMID- 18153757 TI - [Not Available]. PMID- 18153758 TI - [Not Available]. PMID- 18153759 TI - [Not Available]. PMID- 18153760 TI - [Not Available]. PMID- 18153761 TI - [Not Available]. PMID- 18153762 TI - [Not Available]. PMID- 18153763 TI - [Not Available]. PMID- 18153764 TI - [Not Available]. PMID- 18153765 TI - [Not Available]. PMID- 18153766 TI - [Not Available]. PMID- 18153767 TI - [Not Available]. PMID- 18153768 TI - [Not Available]. PMID- 18153769 TI - [Not Available]. PMID- 18153770 TI - [Not Available]. PMID- 18153771 TI - [Not Available]. PMID- 18153772 TI - [Not Available]. PMID- 18153773 TI - [Not Available]. PMID- 18153774 TI - [Not Available]. PMID- 18153775 TI - [Not Available]. PMID- 18153776 TI - [Not Available]. PMID- 18153777 TI - [Not Available]. PMID- 18153778 TI - [Not Available]. PMID- 18153779 TI - [Not Available]. PMID- 18153780 TI - [Not Available]. PMID- 18153781 TI - [Not Available]. PMID- 18153782 TI - [Not Available]. PMID- 18153783 TI - [Not Available]. PMID- 18153784 TI - [Not Available]. PMID- 18153785 TI - [Not Available]. PMID- 18153786 TI - Recent trends in surgery of the thorax. PMID- 18153787 TI - Ruptured intervertebral discs; diagnosis and treatment; clinical aspects. PMID- 18153788 TI - Anesthesia in operations for ruptured intervertebral discs. PMID- 18153789 TI - Unusual complication of ureterolithotomy. PMID- 18153790 TI - National health plans; British and American. PMID- 18153791 TI - Clinical value of electroencephalography. PMID- 18153792 TI - Myxoedema. PMID- 18153793 TI - [Not Available]. PMID- 18153794 TI - [Not Available]. PMID- 18153795 TI - [Not Available]. PMID- 18153796 TI - [Not Available]. PMID- 18153797 TI - [Not Available]. PMID- 18153798 TI - [Not Available]. PMID- 18153799 TI - [Not Available]. PMID- 18153800 TI - [Not Available]. PMID- 18153801 TI - [Not Available]. PMID- 18153802 TI - [Not Available]. PMID- 18153803 TI - [Not Available]. PMID- 18153804 TI - [Not Available]. PMID- 18153805 TI - [Not Available]. PMID- 18153807 TI - [Not Available]. PMID- 18153806 TI - [Not Available]. PMID- 18153808 TI - Why medical education is so expensive. PMID- 18153809 TI - Psychosomatic medicine; notes on treatment. PMID- 18153810 TI - [Not Available]. PMID- 18153811 TI - [Not Available]. PMID- 18153812 TI - [Not Available]. PMID- 18153813 TI - [Not Available]. PMID- 18153814 TI - Carbamates in the chemotherapy of leukemia; the relationship between chemical structure and anti-leukemic action of a series of urethan derivatives. PMID- 18153815 TI - The effect of local roentgen irradiation on the biological behavior of a transplantable mouse carcinoma; increased frequency of pulmonary metastasis. PMID- 18153816 TI - A new method for the histochemical demonstration of acid phosphatase. PMID- 18153817 TI - [Not Available]. PMID- 18153819 TI - [Not Available]. PMID- 18153818 TI - [Not Available]. PMID- 18153820 TI - [Not Available]. PMID- 18153821 TI - [Not Available]. PMID- 18153822 TI - [Not Available]. PMID- 18153823 TI - [Not Available]. PMID- 18153824 TI - [Not Available]. PMID- 18153825 TI - [Not Available]. PMID- 18153826 TI - [Not Available]. PMID- 18153827 TI - Triple and quadruple rhythms of the heart. PMID- 18153828 TI - Why dermatology. PMID- 18153829 TI - Tuberculous meningitis. PMID- 18153830 TI - [Not Available]. PMID- 18153831 TI - [Not Available]. PMID- 18153832 TI - [Not Available]. PMID- 18153833 TI - [Not Available]. PMID- 18153834 TI - [Not Available]. PMID- 18153835 TI - [Not Available]. PMID- 18153836 TI - [Not Available]. PMID- 18153837 TI - [Not Available]. PMID- 18153838 TI - [Not Available]. PMID- 18153839 TI - [Not Available]. PMID- 18153840 TI - [Not Available]. PMID- 18153841 TI - [Not Available]. PMID- 18153842 TI - [Not Available]. PMID- 18153843 TI - [Not Available]. PMID- 18153844 TI - [Not Available]. PMID- 18153845 TI - [Not Available]. PMID- 18153846 TI - [Not Available]. PMID- 18153847 TI - [Not Available]. PMID- 18153848 TI - [Not Available]. PMID- 18153850 TI - [Not Available]. PMID- 18153851 TI - [Not Available]. PMID- 18153849 TI - [Not Available]. PMID- 18153852 TI - [Not Available]. PMID- 18153853 TI - [Not Available]. PMID- 18153854 TI - [Not Available]. PMID- 18153855 TI - [Not Available]. PMID- 18153856 TI - MEDICAL Department officer shortage, fiscal year, 1950. PMID- 18153857 TI - MONTHLY cycle in the reported venereal disease incidence rate in the United States. PMID- 18153858 TI - RECENT incidence of venereal disease. PMID- 18153859 TI - SOME medical aspects of atomic warfare. PMID- 18153860 TI - ROLE of a hospital dental officer. PMID- 18153861 TI - Electrical activity of the brain. PMID- 18153862 TI - Psychiatry attacks fatigue. PMID- 18153863 TI - The surgical management of massive hemorrhage from gastric and duodenal ulcers. PMID- 18153864 TI - SCHEDULE for processing applications for Medical and Dental Corps, Regular Army. PMID- 18153865 TI - POISONS and antidotes (tab.). PMID- 18153866 TI - Treatment and diagnosis of severe infantile diarrhea. PMID- 18153867 TI - Laboratory procedures. PMID- 18153868 TI - Treatment of pulmonary tuberculosis; an evaluation of present methods. PMID- 18153869 TI - Psychiatric rehabilitation; a follow-up study of 200 cases. PMID- 18153870 TI - Urinary extravasation proximal to the triangular ligament. PMID- 18153871 TI - Routine sigmoidoscopy; a review of 300 consecutive examinations. PMID- 18153872 TI - Malignancies of the sigmoid colon. PMID- 18153873 TI - Fulminant epidemic hepatitis; report of a case in an infant. PMID- 18153874 TI - Creeping eruption; report of a case with Loeffler's syndrome. PMID- 18153875 TI - Leukonychia totalis; review and report of a case. PMID- 18153876 TI - Tsutsugamushi disease; report of a case. PMID- 18153877 TI - Pyloric stenosis in binovular twin boys. PMID- 18153878 TI - Congenital talipes equinovarus; treatment with the modified Denis Browne splint. PMID- 18153879 TI - The pathology of acute alcoholism. PMID- 18153880 TI - A method for serum albumin determination. PMID- 18153881 TI - Some recent advances in aviation medicine. PMID- 18153882 TI - Acute appendicitis with suppurative pylethrombophlebitis. PMID- 18153883 TI - NEW portable X-ray stereoscope. PMID- 18153884 TI - The electrocardiogram in clinical medicine. PMID- 18153885 TI - Management of some of the more common dermatoses. PMID- 18153886 TI - Congenital atresia of the bile duct in infancy with report of a case. PMID- 18153887 TI - The diagnosis, classification and treatment of macrocytic anemias. PMID- 18153888 TI - Bronchiectasis. PMID- 18153889 TI - Specialization in medicine; what is orthopaedic surgery? PMID- 18153890 TI - Control of bone growth by epiphyseal stapling; a preliminary report. PMID- 18153891 TI - Prediction of unequal growth of the lower extremities in anterior poliomyelitis. PMID- 18153892 TI - Effect of diathermy (short wave and microwave) on bone growth in the albino rat. PMID- 18153893 TI - Conservative treatment of functional disorders of the feet in the adolescent and adult. PMID- 18153894 TI - Tibial torsion. PMID- 18153896 TI - Changes in elastic adipose tissue. PMID- 18153895 TI - The pathology of neural-arch defects; a dissection study. PMID- 18153897 TI - The etiology of trochanteric fractures of the femur. PMID- 18153898 TI - Acute traumatic posterior dislocation of an intervertebral disc with paralysis. PMID- 18153899 TI - Congenital posterior angulation of the tibia. PMID- 18153900 TI - Closed drainage of the knee joint following arthrotomy. PMID- 18153901 TI - External skeletal fixation in the treatment of fractures of the tibia. PMID- 18153902 TI - Pathological changes found in material removed at operation in Legg-Calve-Perthes disease. PMID- 18153903 TI - The disc syndrome; results of the conservative care of patients with positive myelograms. PMID- 18153904 TI - Osteochondromatosis. PMID- 18153905 TI - Vitallium-cup arthroplasty of the hip joint; an end-result study. PMID- 18153906 TI - A study of the tensile strength of the menisci of the knee. PMID- 18153907 TI - Radiation osteitis of the ribs; report of a case with fractures appearing 4 1/2 and 11 years after therapy. PMID- 18153908 TI - The treatment of non-union of fractures of the medial malleolus. PMID- 18153909 TI - Isolated fracture of the coracoid, process. PMID- 18153910 TI - Forceps for grasping and holding bone plates. PMID- 18153911 TI - Legg-Perthes disease and slipped epiphysis in the same patient; a case report. PMID- 18153912 TI - Trigger thumb in infants. PMID- 18153913 TI - [Not Available]. PMID- 18153915 TI - [Not Available]. PMID- 18153914 TI - [Not Available]. PMID- 18153916 TI - [Not Available]. PMID- 18153917 TI - [Not Available]. PMID- 18153918 TI - [Not Available]. PMID- 18153919 TI - [Not Available]. PMID- 18153920 TI - [Not Available]. PMID- 18153921 TI - [Not Available]. PMID- 18153922 TI - [Not Available]. PMID- 18153923 TI - [Not Available]. PMID- 18153924 TI - Pick's disease. PMID- 18153925 TI - Pathologic changes in the central nervous system resulting from experimentally produced hyper-pyrexia. PMID- 18153926 TI - Encephalo-trigeminal angiomatosis (Sturge-Weber's disease) a case report. PMID- 18153927 TI - Nodular dermatomyositis; a pathologic study. PMID- 18153928 TI - Hepato-lenticular degeneration; a case associated with postero-lateral column degeneration. PMID- 18153929 TI - Early plasma cell formation in acute herpetic encephalitis. PMID- 18153930 TI - Maintenance of mental health. PMID- 18153931 TI - The criminal law and sexual offenders. PMID- 18153932 TI - [Not Available]. PMID- 18153933 TI - [Not Available]. PMID- 18153934 TI - [Not Available]. PMID- 18153935 TI - The role of identification in the training of psychiatrists. PMID- 18153936 TI - [Not Available]. PMID- 18153937 TI - Electromyographic study of the motor system in man. PMID- 18153938 TI - [Not Available]. PMID- 18153939 TI - [Not Available]. PMID- 18153940 TI - [Not Available]. PMID- 18153941 TI - [Not Available]. PMID- 18153942 TI - The pathological changes in Huntington's chorea and their relation to the chorea mechanism. PMID- 18153943 TI - [Not Available]. PMID- 18153944 TI - [Not Available]. PMID- 18153945 TI - The effects of repeated inhalations of illuminating gas on the brain. PMID- 18153947 TI - [Not Available]. PMID- 18153948 TI - [Not Available]. PMID- 18153946 TI - [Not Available]. PMID- 18153949 TI - [Not Available]. PMID- 18153950 TI - [Not Available]. PMID- 18153951 TI - Role of the hormones in human sexuality. PMID- 18153952 TI - Responsivity of schizophrenic men to pituitary adrenocorticotrophin. PMID- 18153953 TI - Inheritance of electroencephalogram patterns in children with behavior disorders. PMID- 18153954 TI - Tertian malaria and anxiety. PMID- 18153955 TI - Dream scintillations. PMID- 18153956 TI - Mind, unconscious mind, and brain. PMID- 18153957 TI - The diagnosis of orbital tumors by angiography. PMID- 18153958 TI - A surgical treatment for pterygium based on new concepts as to its nature. PMID- 18153959 TI - Amputation neuroma in the orbit. PMID- 18153960 TI - The role of ciliary and superior cervical ganglia in ocular tension. PMID- 18153961 TI - The epidemiology of epidemic keratoconjunctivitis. PMID- 18153962 TI - Accommodative defect following atmospheric concussion. PMID- 18153963 TI - Temporal subconjunctival hemorrhages as a complication of rhinoplastic procedures. PMID- 18153964 TI - Cilia in the anterior chamber with a report of a case. PMID- 18153965 TI - Postoperative wound infection cured by penicillin. PMID- 18153966 TI - A new orbital implant. PMID- 18153967 TI - Retinal detachment diagnosed as retrobulbar neuritis. PMID- 18153968 TI - The pupillary near reflex; the relation of pupillary diameter to accommodation and the various components of convergence. PMID- 18153969 TI - [Young women discharged from reform schools: from deviance to decency?]. PMID- 18153970 TI - Sir Albert Howard and the forestry roots of the organic farming movement. PMID- 18153971 TI - [In the shadow of the banana plantations: small-scale growers and ecological transformations on the north coast of Honduras, 1870-1950]. PMID- 18153972 TI - Mortality in Ghent, 1850-1950: a social analysis of death. PMID- 18153973 TI - By the numbers. Largest post-acute-care companies ranked by 2006 net revenue, based on Modern Healthcare's 2007 Post-Acute-Care survey. PMID- 18153974 TI - Containing nuclearism. PMID- 18153975 TI - Monoclonal antibodies and side-effect management. AB - Monoclonal antibodies are increasingly becoming a standard part of clinical cancer treatment. Eight monoclonal antibodies are approved by the Food and Drug Administration for the treatment of cancer in the United States. Oncology nurses are expected to be familiar with these agents, their indications, and their adverse effects, to provide appropriate care and symptom management to patients receiving these agents, and to adequately educate patients and families about these treatments and their specific and overlapping side effects. Monoclonal antibody mechanisms of action and indications, infusion guidelines, and symptom management are outlined in this article. PMID- 18153976 TI - A patient on targeted therapy: cetuximab. PMID- 18153977 TI - Prechemotherapy assessment of neutropenic risk. AB - Chemotherapy-induced febrile neutropenia (FN) predisposes patients to life threatening infections and typically requires hospitalization. The goal was to investigate whether a risk assessment tool aligned with national guidelines could help identify patients at risk of FN and reduce FN-related hospitalizations. Beginning in October 2004, oncology nurses applied the new risk assessment tool to all patients initiating chemotherapy or a new regimen. Patients at risk for FN received prophylactic colony-stimulating factor. Charts for 189 patients receiving chemotherapy in fiscal year 2005 (FY05) were compared with charts of 155 patients receiving chemotherapy in FY04, before the tool was implemented. The incidence of FN-related hospitalization declined by 78%, from 9.7% in FY04 to 2.1% in FY05 (P = .003). Total hospital days decreased from 117 to 24. Routine systematic evaluation by oncology nurses improves recognition of patients at risk of FN and substantially reduces FN-related hospitalization. PMID- 18153978 TI - Assessing cancer pain in the adult patient. AB - The high prevalence of pain in the cancer population underscores why pain management is integral to comprehensive cancer care. How well pain is controlled can have a profound effect on the cancer experience for both patient and family. The goals of pain assessment are to prevent pain if possible, and to identify pain immediately should it occur. This can be facilitated by standardized screening of all cancer patients for pain, on a routine basis, across care settings. A comprehensive assessment of pain follows if a patient reports pain that is not being adequately managed. Oncology nurses play a huge role in pain assessment and management throughout the course of a patient's disease. A basic understanding of the types of pain seen in the cancer population as well as inferred neurophysiologic pain mechanisms and temporal patterns of pain can help focus the pain assessment. This in turn will lead to targeted pain management strategies. PMID- 18153979 TI - Educating patients about pain management. PMID- 18153980 TI - Improving adherence to endocrine therapies: the role of advanced practice nurses. AB - With the trend toward the use of oral rather than intravenous therapies for cancer, nonadherence to treatment has become an increasing concern. Advanced practice nurses are in a good position to assess and monitor adherence to oral endocrine therapies. Research on adherence has been limited; to date there are no specific published guidelines for ensuring adherence to endocrine regimens. However, studies have identified many factors that may lead to nonadherence, including demographic, social, and psychological characteristics of the patient; characteristics of the disease and the treatment regimen; and the nature and quality of the patient/clinician relationship. These factors provide a framework that advanced practice nurses can use to identify potential problems and to work collaboratively with patients. PMID- 18153981 TI - [Organization of care in oncologic urology in the framework of cancer care]. PMID- 18153983 TI - [Principles of classification of TNM standards of urogenital tumors]. PMID- 18153982 TI - [Methodology of recommendations]. PMID- 18153984 TI - [Standardized calculation in the pathology of urologic cancers]. PMID- 18153985 TI - [Competitive morbidity in urologic cancer]. PMID- 18153986 TI - [Testicular tumors]. PMID- 18153987 TI - [Penile tumors]. PMID- 18153988 TI - [Urothelial tumors]. PMID- 18153989 TI - [Kidney tumors]. PMID- 18153990 TI - [Malignant subrenal tumors in adults]. PMID- 18153991 TI - [Retroperitoneal sarcomas]. PMID- 18153993 TI - Method validation for the determination of lead in raw cow's milk by electrothermal atomic absorption spectrometry. AB - In this study, lead in raw cow's milk has been determined by validated electrothermal atomic absorption spectrometry (ETAAS) with Zeeman-effect background correction. Maximum pyrolysis and optimum atomization temperatures of lead were determined in the presence of modifiers. Pd + Mg(NO3)2 has been found a powerful modifier mixture for the determination of lead. The analytical parameters of the method such as limit of detection, limit of quantification and the effect of interfering ions have been investigated. The detection limit (3sigma) achieved by the method was calculated to be 0.62 ng/mL for Pb. Repeatability of the method evaluated as the relative standard deviation of 16-17 replicates using 5 ng/mL, under optimum experimental conditions were about 1.5% for synthetic sample solution and about 3% for real sample (N = 5). The described method has been validated by analyzing certified reference material (BCR-CRM 150) and by comparing the results with those obtained by inductively coupled plasma mass spectrometry (ICP-MS). The validated method was applied to raw cow's milk samples produced in 7 different regions of Turkey in 2003-2004. Raw cow's milk contained a mean (range) of 31.4 (2.5 - 313) microg kg(-1) lead with a relative error below 2%. PMID- 18153992 TI - [Prostatic cancers]. PMID- 18153994 TI - Synthesis and characteristics of macroporous epoxy resin-triethylenetetramine polymer modified by sodium chloroacetate for copper chelation in aqueous solution. AB - A novel macroporous resin was prepared from an epoxy resin and triethylenetetramine (TETA) via a polymerization using micro-phase separation. In this novel method the polyethylene glycol (PEG-400) was used as solvent in the initial stage and a phase-separation reagent at later stage of the polymerization was firstly adopted. The resin was modified by sodium chloroacetate and the carboxyl groups were introduced. Its structure was characterized by Fourier transform-infrared spectra (FTIR) and scanning electron microscopy (SEM), respectively. The adsorption-desorption characteristics of the resin for Cu(II) in aqueous solution were investigated in detail using ICP-AES. The interaction between the metal ion and the resin was found to be depended upon the acidity of the medium. The prepared resin is strongly chelating and exhibits a chelating ability that can remove cupric ion in waste water treatment. PMID- 18153995 TI - The electrochemical behavior and direct determination of tyrosine at a glassy carbon electrode modified with poly (9-aminoacridine). AB - 9-Aminoacridine was firstly immobilized on the surface of a glassy carbon electrode to form a poly (9-aminoacridine) film modified electrode. The results demonstrated that the modified electrode exhibited a high degree of catalytic activity towards the oxidation of tyrosine and can resolve the interference of tryptophan in the determination of tyrosine. Compared with the bare electrode, the peak current had obviously increased, and the peak potential had shifted in a negative direction. Under the optimum conditions, a linear response to tyrosine was observed in the concentration of 1.0 x 10(-6) -2.8 x 10(-3) M, with a correlation coefficient of 0.9987, and a detection limit (S/N = 3) of 1.0 x 10( 7) M. The modified electrode has been successfully applied to determine the concentration of tyrosine in composite amino acid injections; and it displays excellent repeatability and high sensitivity. The proposed sensor has promising features such as ease of fabrication, good reproducibility, high stability and low cost. And most of all, it has good selectivity. PMID- 18153996 TI - The effects of some operational parameters in photodegradation of benzylamine and aniline and their kinetics in aqueous suspension of TiO2 and Pt -loaded TiO2. AB - Photocatalytic degradation of benzylamine and aniline on TiO2, Pt-modified TiO2, ZnO and ZnS in aqueous solution has been investigated. The degradation of the compounds follows a pseudo-first-order kinetics according to Langmuir-Hinshelwood model. The degradation process of benzylamine and aniline was evaluated by ninhydrin spectrophotometric method using UV-visible spectrophotometer in lambda(max) = 538 and 525 nm, respectively. The results showed the order of Pt/TiO2 > TiO2 > ZnO > ZnS for photocatalytic activity. In addition increasing of the Pt-loading was found to enhance the degradation rate of the compounds up to the optimal amount of 5 wt. % onto the surface of TiO2 so that the rates of degradation were increased about two times. Rate constants for photodegradation of benzylamine and aniline were found to be 1.4 x 10(-3) min(-1) and 0.7 x 10(-3) min(-1) for TiO2 as photocatalyst, while 2.7 x 10(-3) min(-1) and 1.7 x 10(-3) min(-1) for (5 wt.%) Pt/TiO2 as photocatalyst. Running the reactions in various pH (5-11), indicated that the pH = 8 and 10 or Higher are the optimum pH for photocatalytic degradation of benzylamine and aniline respectively. The effects of some other parameters such as amount of photocatalyst, flux of oxygen and irradiation time were evaluated. Furthermore, the Langmuir-Hinshelwood rate constant k(r) and adsorption constant K(A) for the titled compounds are reported. PMID- 18153997 TI - Measurements of lower carbonyls and hydrocarbons at Ny-Alesund, Svalbard. AB - Measurements of gaseous organic compounds were carried out near Ny-Alesund, in the Norwegian Arctic, during September 2004. Twenty alkanes, alkenes and aromatic hydrocarbons from ethane to toluene and six aldehydes and ketones from formaldehyde to butanal, were identified and quantified in air samples. Hydrocarbons showed a quite uniform distribution, with ethane being by far the most abundant component (> 1 ppb), followed by propane (> 0.4 ppb) and butanes (> 0.3 ppb), while for unsaturated homologues, except ethene, concentrations never exceeding 0.05 ppb were observed. This distribution confirmed that hydrocarbon depletion during the transport time from Europe into the Arctic was depending upon their atmospheric lifetimes, calculated relatively to the OH reactivity scale. The presence of short lived hydrocarbons could be associated to local sources of anthropogenic and/or biogenic origin. Although the local air photochemistry played a primary role in the production of lower aldehydes in late summer, the observed mixing ratios of formaldehyde (in the 0.25 - 0.50 ppb range) could not be fully explained by known gas-phase chemistry. In this case additional sources, such as fluxes of formaldehyde from snow pack to the atmosphere and/or local anthropogenic activities, were to be taken into consideration. The possible influences of these sources on HCHO mixing ratios were analysed by means of a backward-trajectory circulation model. PMID- 18153998 TI - Determination of trace concentrations of elements in high purity tellurium by radio frequency glow discharge optical emission spectrometer (RF-GDOES). AB - A method was established for the determination of trace impurities in high purity tellurium (Te) 99.9999 (6N) by radio frequency glow discharge optical emission spectrometry (RF-GDOES). The optimized parameters are power, argon pressure, pre integration time, analysis time and selection of wavelength. Nine elements Se, Ca, Mg, Si, Fe, Cr, Cu, Ni and Pb were analysed in 6N Te, out of which only three elemental peaks (Se, Ca, and Mg) were detected and the remaining six elements ( Si, Fe, Cr, Cu, Ni and Pb) were below detection levels. Finally, the method was evaluated by the analysis of the above traces using inductively coupled plasma mass spectrometry (ICP-MS) and was found to be satisfactory. The detection limits for most of the elements were below 10 ng/g and R.S.D. was around 10%, which indicated that this method could fully satisfy the requirements for the trace analysis in high purity Te metal. PMID- 18153999 TI - Digestion of titanium bearing geologic materials involving microwaves. AB - An environmentally friendly and rapid digestion procedure involving 10 mL of acid mixture (HNO3 : HCl : HF = 2:2:1) for 0.1 g of sample in closed vessel microwave digester following heating program : 250W for 10 min., hold time 2 min., 600 W for 17 min, and Ventilation time 10 min was developed. The operating parameters were varied and optimized by factorial design approach using "Steepest Ascent" method. The validity of the recommended digestion procedure were examined by analyzing several well characterized standard reference materials such as diabase (W2), basalt (BIR-1, JB-3, BHVO-1), granite (G2), gabbro (JGb-1), Mn-nodule (Nod A-1, Nod-P-1), sediment (STSD-4, LKSD-2), limestone (KH-2), soil (SAu-1), ilmenite (IGS-31), rutile (IGS-32), Zircon (IGS-35) and titanium dioxide (SRM 154b) employing both inductively coupled plasma-atomic emission spectrometry (ICP AES) and well known spectrophotometric method. An excellent agreement between the methods and the certified values of standard reference materials suggest that the digestion procedure can be used for quality control and allied purposes. PMID- 18154000 TI - Potentiometric membrane sensor for the selective determination of pethidine in pharmaceutical preparations and biological fluids. AB - The construction and general performance characteristics of a novel potentiometric PVC membrane sensor based on pethidine-phosphomolybdate as electroactive material for the determination of pethidine are described. This sensor exhibits fast, stable and near-Nernstain response 55.24 +/- 0.1, over the concentration range 1.10(-2)-1.10(-5)M for pethidine-phosphomolybdate over pH 2 7. No interferences are caused by many organic, inorganic cations, alkaloids and amino acids. The sensor proved useful for determining pethidine in pure forms, pharmaceutical injections and monitoring the content uniformity assay of ampoules. The designed sensor also show good accuracy for the determination of pethidine in biological fluids. PMID- 18154001 TI - Rapid determination of volatile constituents in safflower by microwave distillation and simultaneous solid-phase microextraction coupled with gas chromatography-mass spectrometry. AB - In this paper, microwave distillation and solid-phase microextraction coupled with gas chromatography-mass spectrometry (MD-SPME/GC-MS) was developed for the analysis of essential components in safflower. Using the MD-SPME technique, the isolation, extraction and concentration of volatile compounds in safflower were carried out in only one step. Some parameters affecting the extraction efficiency such as SPME fiber coating, microwave power, irradiation time and the volume of water added were optimized. The optimal experiment parameters obtained were: 65 microm CW/DVB SPME fiber, a microwave power of 400 W, an irradiation time of 3 min and water volume of 1 mL. The proposed method has been compared with conventional steam distillation (SD) for extraction of essential oil compounds in safflower. Using MD-SPME followed by GC-MS, 32 compounds in safflower were separated and identified, which mainly included paeonol, alpha-asarone, beta asarone, 1-methyl-4-(2-propenyl)-benzene and diethenyl-benzene, whereas only 18 compounds were separated and identified by conventional SD followed by GC-MS. The relative standard deviation (R.S.D.) values of less than 10% show that the proposed method has good reproducibility. The results show that MD-SPME/GC-MS is a simple, rapid, effective method for the analysis of volatile oil components in safflower. PMID- 18154002 TI - An investigation on calcium (II) oxalate as solubility and universal standard. AB - The investigation on calcium (II) oxalate is carried out in order to study its solubility in different ionic media. In the same conditions the protonation constants of oxalate and the stability of complex species have been determined. As the stoichiometric composition of the solid calcium (II) oxalate prepared for the investigation was accurately checked, the salt CaC2O4 x H2O is proposed as universal (chelometry, redox, acidimetry) standard. Results of titrations support this possibility. PMID- 18154003 TI - 4-(N,N-diethylamino) benzaldehyde thiosemicarbazone in the spectrophotometric determination of palladium. AB - 4-(N,N-diethylamino)benzaldehyde thiosemicarbazone(DEABT) is proposed as a sensitive and selective analytical reagent for the spectrophotometric determination of palladium(II). The reagent reacts with palladium (II) in a potassium hydrogen phthalate-hydrochloric acid buffer of pH 3.0, to form a yellow complex. Beer's law is obeyed in the concentration range up to 3.60 microgmL(-1). The optimum concentration range for minimum photometric error as determined by Ringbom plot method is 0.36 - 3.24 microg mL(-1). The yellow Pd(II)-DEABT complex shows a maximum absorbance at 408 nm, with molar absorptivity of 3.33 x 10(4) dm3 mol(-1) cm(-1) and Sandell's sensitivity of the complex from Beer's data, for D = 0.001, is 0.0032 microg cm(-2). The composition of the Pd(II)-DEABT complex is found to be 1:2 (M:L). The interference of various cations and anions in the method were studied. The proposed method was successfully used for the determination of Pd(II) in alloys, catalysts, complexes and model mixtures with a fair degree of accuracy. PMID- 18154004 TI - Spectrophotometric characterisation of surface lakewater samples: implications for the quantification of nitrate and the properties of dissolved organic matter. AB - Filtered lakewater samples, mainly collected in the province of Torino (Piedmont, NW Italy) were characterised from a spectrophotometric point of view. Spectral data were then used for the direct determination of nitrate by three-wavelength photometry, which should account for the spectral interference by dissolved organic matter (DOM), and the results compared with nitrate quantification by ion chromatography. The spectrophotometric method proved very suitable for nitrate measurement, with unity slope (micro +/- sigma = 0.99 +/- 0.03) of the correlation plot (spectral vs. ion chromatography data) up to 0.1 mM nitrate, and with r2 = 0.97 for 26 data points. Lakewater spectra were also used for the characterisation of DOM by means of the specific absorption at 285 and 254 nm (absorbance vs. NPOC, the latter to quantify the DOM amount), and the E2/E3 and E3/E4 indexes. The latter two make only use of radiation absorption data (250 vs. 365 and 300 vs. 400 nm). It could be concluded that lakewater DOM is mainly composed of autochthonous material (biologically produced aliphatic compounds and only a minor fraction of aromatic groups), with generally low molecular weight and degree of aromaticity. Some exceptions could be found in high-mountain lakes, but it should also be considered that NPOC measurement cannot be avoided if DOM origin is to be studied. From the absorption spectrum alone it is possible to get indication on the aromaticity degree of radiation-absorbing DOM, but most of the autochthonous DOM would escape spectrophotometric characterisation. PMID- 18154005 TI - Energy-dispersive and x-ray photoelectron spectroscopy and electron microscopy of new quininium-plastic membrane electrodes. AB - New quininium (Qn) plastic membrane electrodes of the conventional type were constructed and characterized. They are based on incorporation of Qn-reineckate (QnRn) ion-pair, Qn-phosphotungstate (Qn3-PT), or Qn-phosphomolybdate (Qn3PM) ion associate into a poly(vinyl chloride) membrane. The electrodes are selective for Qn and have been successfully used for the determination of Qn2SO4 in pharmaceutical tablets. Nevertheless, they showed, as almost all other ion selective electrodes, limited life times. Energy dispersive- (EDS) and X-ray photoelectron spectroscopy (XPS), as well as electron microscopy were applied to investigate the cause of this limitation in the life times of the electrodes. The results indicated that the electrodes lose their activity after prolonged soaking as a result of leaching of the ion exchanger from the membranes into the test solution in addition to deformation at the surface of the expired electrode. PMID- 18154006 TI - The degradation products of aniline in the solutions with ozone and kinetic investigations. AB - Aromatic compounds are extensively used in several industries and can cause pollution in water sources. This work aims at examining the degradability of aniline in aqueous solutions by ozone-induced cleavage, and at determining the kinetics of the cited cleavage reactions. Aniline was prepared in four different concentrations and the flow rate of ozone supplied to each solution was selected. Aniline solutions were ozonated at low and high pH, so as to compare both molecular and hydroxyl free radical mechanisms, respectively. The main identified aromatic by-products were nitrobenzene and azobenzene when the experiment was carried out at acidic pH. Formation of nitrobenzene, azobenzene, azoxybenzene and 2-pyridine carboxylic acid (picolinic acid) was observed when the ozonization was carried out at basic pH. All the aromatic by-products found were less toxic than the raw materials. The pseudo-first-order constants in aniline concentrations were calculated. PMID- 18154007 TI - Hydrocephalus and idiopathic intracranial hypertension. PMID- 18154008 TI - Idiopathic hydrocephalus in children and idiopathic intracranial hypertension in adults: two manifestations of the same pathophysiological process? AB - OBJECT: Both idiopathic intracranial hypertension (IIH) in adults and idiopathic hydrocephalus in children have been shown to involve elevations in venous pressure that resolve once the cerebrospinal fluid pressure is reduced. It has been assumed that the venous pressure elevations in both conditions are not hemodynamically significant, but measurement of venous collateral flow in IIH has shown these pressure elevations to be of consequence. The authors used the same methodology to see if the venous pressure elevations noted in childhood hydrocephalus are important. METHODS: Fourteen patients with idiopathic childhood hydrocephalus underwent magnetic resonance imaging with flow quantification. The degree of ventricular enlargement, total blood inflow, and superior sagittal/straight sinus outflow was measured. The degree of collateral venous flow was calculated for each venous territory. The findings were compared with findings in 14 age-matched controls. RESULTS: In children with hydrocephalus the cerebral blood inflow was normal, but the superior sagittal sinus (SSS) and straight sinus outflows were reduced by 27% and 38%, respectively, compared with measurements in controls (p = 0.03 and 0.002). These findings suggest that approximately 150 ml of blood per minute was returning via collateral channels from that portion of the brain drained by the SSS, and 60 ml/minute was returning from collaterals in the deep venous territory. CONCLUSIONS: Similarly to patients with IIH, children with hydrocephalus show a significant elevation in collateral venous flow, indicating that the same venous pathophysiological process may be operating in both conditions. Whether or not the ventricles dilate may depend on the differences in brain compliance between adults and children. PMID- 18154009 TI - Survival of shunts. PMID- 18154010 TI - A mathematical model of survival in a newly inserted ventricular shunt. AB - OBJECT: The object of this study was to mathematically model the prognosis of a newly inserted shunt in pediatric or adult patients with hydrocephalus. METHODS: A structured search was performed of the English-language literature for case series reporting shunt failure, patient mortality, and shunt removal rates after shunt insertion. A metaanalytic model was constructed to pool data from multiple studies and to predict the outcome of a shunt after insertion. Separate models were used to predict shunt survival rates for children (patients < 17 years old) and adults. RESULTS: Shunt survival rates in children and adults were calculated for 1 year (64.2 and 80.1%, respectively), 5 years (49.4 and 60.2%, respectively), and the median (4.9 and 7.3 years, respectively). The longer-term rates predicted by the model agree closely with those reported in the literature. CONCLUSIONS: This model gives a comprehensive view of the fate of a shunt for hydrocephalus after insertion. The advantages of this model compared with Kaplan Meier survival curves are discussed. The model used in this study may provide useful prognostic information and aid in the early evaluation of new shunt designs and techniques. PMID- 18154011 TI - Hypoplasia of C-1 in children with Down syndrome. PMID- 18154012 TI - Occult spinal canal stenosis due to C-1 hypoplasia in children with Down syndrome. AB - OBJECT: Little has been published about subclinical spinal canal stenosis due to C-1 hypoplasia in patients with Down syndrome. In this paper the authors performed a matched comparison study with cross-sectional survey to investigate occult spinal canal stenosis due to C-1 hypoplasia in children with Down syndrome. METHODS: A total of 102 children with Down syndrome ranging in age from 10 to 15 years were matched according to age and physique with 176 normal children. In all participants, the anteroposterior (AP) diameter of C-1 and the atlas-dens interval (ADI) were measured on plain lateral x-ray images of the cervical spine. The cross-sectional area of the atlas was also measured from a cross-sectional computed tomography image of C-1. RESULTS: Eight children (6.7%) with Down syndrome developed atlantoaxial subluxation associated with myelopathy. The difference in the ADI between the patients and controls was not statistically significant. The average AP diameter of the atlas and the spinal canal area along the cross-section of the atlas were significantly smaller in children with Down syndrome than those in the control group. CONCLUSIONS: Atlantoaxial instability and occult spinal canal stenosis due to C-1 hypoplasia in patients with Down syndrome may significantly increase the risk of myelopathy. PMID- 18154013 TI - Spinal deformity and pediatric intramedullary spinal cord tumors. PMID- 18154014 TI - Risk factors for progressive spinal deformity following resection of intramedullary spinal cord tumors in children: an analysis of 161 consecutive cases. AB - OBJECT: Gross-total resection of pediatric intramedullary spinal cord tumors (IMSCTs) can be achieved in the majority of cases, with preservation of long-term neurological function. However, progressive spinal deformity requiring subsequent fusion occurs in many cases. It remains unknown which subgroups of patients have the greatest risk for progressive spinal deformity. METHODS: Data for 161 patients undergoing resection of IMSCTs at a single institution were retrospectively collected and analyzed with regard to the development of progressive spinal deformity requiring fusion and patient functional status (based on the modified McCormick Scale [mMS] and Karnofsky Performance Scale [KPS]) by conducting telephone interviews corroborated by medical records. The independent association of all clinical, radiographic, and operative variables to subsequent progressive spinal deformity was assessed using multivariate logistic regression analysis. RESULTS: Patients were a mean of 8.6 +/- 5.7 years old at the time of surgery. The tumor spanned a mean of six +/- three spinal levels. Preoperative scoliotic deformity was present in 56 cases (35%). Seventy-six patients (47%) had undergone a previous biopsy procedure, and 28 (17%) a prior resection. Gross-total resection (> 95%) was achieved in 122 cases (76%). A median of 9 years (range 1-21) after surgery, progressive spinal deformity requiring fusion developed in 43 patients (27%). The median functional scores at the last follow-up were worse in patients who required fusion compared with those who did not (mMS: 3 compared with 2, p = 0.006; KPS: 80 compared with 90, p = 0.04) despite similar mMS scores between the groups at 3 months postoperatively. An age less than 13 years, preoperative scoliotic deformity (Cobb angle > 10 degrees), involvement of the thoracolumbar junction, and tumor-associated syrinx independently increased the odds of a postoperative progressive deformity requiring fusion 4.4-, 3.2-, 2.6-, and 3.4-fold, respectively (p < 0.05). Each subsequent resection increased the odds of a progressive deformity 1.8-fold (p < 0.05). Symptoms lasting less than 1 month before resection decreased the odds of spinal deformity requiring fusion ninefold (p < 0.05). CONCLUSIONS: Progressive spinal deformity requiring fusion occurred in 27% of children undergoing resection of an IMSCT and was associated with a decreased functional status. Preoperative scoliotic deformity, an increasing number of resections, an age less than 13 years, tumor-associated syrinx, and surgery spanning the thoracolumbar junction increased the risk for progressive spinal deformity. Patients possessing one or more of these characteristics should be monitored closely for progressive spinal deformity following surgery. PMID- 18154015 TI - Intractable pediatric temporal lobe epilepsy in the United States: examination of race, age, sex, and insurance status as factors predicting receipt of resective treatment. AB - OBJECT: For patients with intractable temporal lobe epilepsy (ITLE), resection of the temporal lobe has been proven to be far superior to continued medical management. The goal of this study was to evaluate on a national level whether race and other sociodemographic factors are predictors of receipt of resective treatment for pediatric ITLE. METHODS: A retrospective cohort study was performed using the Kids' Inpatient Database covering the period of 1997 through 2003. Only children admitted for resection for ITLE (ICD-9-CM 345.41, 345.51; primary procedure code 01.53) were included. Variables studied included patient race, age, sex, and primary payer. RESULTS: Multivariate analyses revealed no significant difference in the odds of undergoing resection for ITLE for black children compared with nonblack children (odds ratio [OR] 0.66, 95% confidence interval [CI] 0.28-1.53, p = 0.327), or between female and male children (OR 1.11, 95% CI 0.76-1.63, p = 0.586). Older children were more likely to undergo resection for ITLE (OR 1.07, 95% CI 1.03-1.11, p < 0.001 per 1 year increase in age), as were children with private insurance (OR 2.21, 95% CI 1.34-3.63, p = 0.002). CONCLUSIONS: In this first nationwide analysis of pediatric ITLE, older age and private insurance status independently predicted which children were more likely to receive surgical treatment for ITLE on a national level, whereas sex did not. Black children with ITLE were no less likely to receive surgical intervention than nonblack children. Future nationwide analyses will be required to determine whether these trends for pediatric ITLE surgery remain stable over time. PMID- 18154016 TI - Monte Carlo simulation of cerebrospinal fluid shunt failure and definition of instability among shunt-treated patients with hydrocephalus. AB - OBJECT: The authors undertook the present study to estimate the number of operations that patients with hydrocephalus will require within 10 years of diagnosis based on published survival data for cerebrospinal fluid (CSF) shunts. METHODS: Survival data for CSF shunts from several previously published sources were formatted as life tables spanning a 10-year period in monthly intervals. The monthly sequence of fractions of shunts failing was taken as the basis for a Monte Carlo simulation. Month by month for each virtual patient the computer simulation called up a random number between 0 and 1. If the random number was greater than the fraction of shunts failing in that monthly interval, the shunt survived. If the random number was less than or equal to the fraction of shunts failing in that interval, the shunt failed. When a virtual patient's shunt failed, that patient was returned to the first interval in the life table and began again. For every virtual patient this process continued for 120 months, and the number of shunt operations during the 10-year epoch was counted. Probability distributions were estimated for numbers of shunt operations. Expected numbers of shunt operations were calculated, as were the 95th and 99th percentiles. RESULTS: Four sources of CSF shunt survival data were used. Expected numbers of shunt operations ranged between 2.43 and 3.93 over 10 years. Estimated 95th percentiles ranged between five and 11, and estimated 99th percentiles ranged between eight and 15. CONCLUSIONS: New patients with hydrocephalus can expect to undergo between two and four operations for insertion or revision of CSF shunts in the first 10 years after diagnosis. Patients who undergo more than 15 shunt operations in 10 years are statistical outliers. A focused study of such patients may yield useful suggestions for complication avoidance and improvement in the quality of life of children with hydrocephalus. PMID- 18154017 TI - Gamma Knife surgery for intracranial arteriovenous malformations in children: a retrospective study in 103 patients. AB - OBJECT: This retrospective study was designed to study the outcome in children with intracranial arteriovenous malformations (AVMs) treated with Gamma Knife surgery (GKS). METHODS: One hundred and forty-two children were treated with GKS at the authors' institution between April 1997 and March 2006; of these, 103 patients with a mean follow-up of 26.4 months (range 6-96 months) were included. The mean age at presentation was 13.9 years (range 3-18 years). Eighty-six (83%) patients presented with hemorrhage. In 57 children the AVMs were Spetzler-Martin Grade I or II, and in 46 the AVMs were Grades III, IV, or V. The mean volume of the AVMs was 2.4 ml (range 0.04-23.3 ml). The mean marginal dose administered was 24.4 Gy (range 15-27 Gy). Follow-up angiography was advised at 2 years after GKS and yearly thereafter. In patients with residual AVMs, follow-up angiography was advised yearly until 4 years after GKS. If residual AVM was present, even on a follow-up angiogram obtained 4 years postsurgery, the GKS was considered a failure. RESULTS: Complete obliteration of the AVM was documented in 34 (87%) of the 39 patients with complete angiographic follow-up. The 3- and 4-year actuarial rates of nidus obliteration were 66 and 86% respectively. Three patients (2.9%) experienced bleeding during the latency period, and symptomatic radiation-induced edema was noted in four patients (3.8%). A significantly higher incidence of radiation edema was noted in patients with AVM volumes greater than 3 ml and in patients with Spetzler-Martin Grade IV and V AVMs. CONCLUSIONS: Gamma Knife radiosurgery is an effective modality for the treatment of intracranial AVMs in children, yielding high obliteration rates and low complication rates. PMID- 18154018 TI - Brain herniation through an internal subdural membrane: a rare complication seen with chronic subdural hematomas in children. Case report. AB - The authors report an unusual case of cortical herniation into a chronic subdural hematoma (SDH). The patient was successfully treated with good outcome. A 4-month old boy with a history of macrocrania and very large bilateral chronic SDHs underwent subduroperitoneal shunt treatment shortly after presentation. Eight months later he developed a new-onset seizure disorder, which was localized by electroencephalography to the right frontal region. Neuroimaging demonstrated the development of a focal herniation of the brain through a subdural membrane into the subdural space. The patient underwent a craniotomy to resect the seizure focus and the herniated cortex. The subdural shunt was subsequently replaced. After 2 years of follow-up, the patient remains free of seizures, is on no medication regimen, and is neurologically and developmentally normal. To the authors' knowledge, this is only the fourth report in the medical literature of cortical herniation through a chronic subdural membrane and the first in which successful treatment with a good outcome is described. PMID- 18154019 TI - Treatment of multiple arteriovenous malformations in pediatric patients with hereditary hemorrhagic telangiectasia and spontaneous hemorrhage. Report of two cases. AB - Due to inheritance of an autosomal dominant genetic mutation, patients with hereditary hemorrhagic telangiectasia (HTT) have an increased risk of harboring a cerebral arteriovenous malformation (AVM). They are also significantly more likely to have multiple AVMs. The natural history of AVMs in patients with HHT as well as their rate of hemorrhage is not clearly defined. Furthermore, spontaneous regression of such lesions has been reported. Treatment of cerebral AVMs in patients with HHT presents a particular challenge, especially with detection of incidental lesions following screening of asymptomatic patients. The management of HHT in two pediatric patients in whom hemorrhaging from a cerebral AVM occurred but who also had other lesions is presented here. Both patients were treated with stereotactic radiosurgery. PMID- 18154020 TI - A novel syndrome of cerebral cavernous malformation and Greig cephalopolysyndactyly. Laboratory investigation. AB - OBJECT: Greig cephalopolysyndactyly syndrome (GCPS) is one of a spectrum of overlapping clinical syndromes resulting from mutations in the gene GLI3 on chromosome 7p. Cerebral cavernous malformation (CCM) is caused by mutations in three distinct genes, including Malcavernin (CCM2), which also maps to chromosome 7p and is located 2.8 Mbp from GLI3. The authors describe a new syndrome that combines the vascular lesions characteristic of CCM with the hallmarks of GCPS, including polydactyly, hypertelorism, and developmental delay. METHODS: The authors used high-resolution array-based comparative genome hybridization (CGH) analysis to characterize the 3 million-bp deletion on chromosome 7 that accounts for this novel clinical presentation. A 4-year-old girl presented with polydactyly, hypertelorism, and developmental delay and was also found to have multiple CCMs after suffering a seizure. RESULTS. Genetic analysis using array based CGH revealed a deletion affecting multiple genes in the 7p14-13 locus, the interval that includes both CCM2 and GLI3. Quantitative real-time polymerase chain reaction (RT-PCR) on genomic DNA confirmed this genomic lesion. CONCLUSIONS: A novel syndrome, combining features of CCM and GCPS, can be added to the group of entities that result from deleterious genetic variants involving GLI3, including GCPS, acrocallosal syndrome, Pallister-Hall syndrome, and contiguous gene syndrome. The deletion responsible for this new entity can be easily detected using either array-based chromosomal analysis or quantitative RT PCR. PMID- 18154021 TI - Progressive brainstem compression in an infant with neurocutaneous melanosis and Dandy-Walker complex following ventriculoperitoneal shunt placement for hydrocephalus. Case report. AB - Neurocutaneous melanosis (NM) coexisting with the Dandy-Walker complex (DWC) is a rare condition, with fewer than 15 cases reported in the literature. The authors present a case of an infant with NM and DWC suffering from progressive brainstem compression following ventriculoperitoneal (VP) shunt placement for hydrocephalus. This 1-year-old boy with congenital melanocytic nevi had met normal developmental milestones until the age of 11 months, when he began regressing in ambulation and language function. Intractable vomiting had developed 1 week later. Magnetic resonance (MR) imaging of the brain revealed DWC with hydrocephalus, and spinal MR images demonstrated a proliferative process within the meninges, consistent with NM. The patient underwent right frontal VP shunt placement resulting in immediate symptom relief, but 3 weeks later became irritable, increasingly lethargic, unable to pull to stand, and unable to tolerate solid food without choking. Due to these symptoms and intractable vomiting, the patient presented to the authors' institution. Brain MR imaging revealed a new-onset diffuse cystic process with anterior and posterior brainstem compression, marked kinking of the cervicomedullary junction, melanocyte pigmentation of the left temporal lobe, diffuse leptomeningeal enhancement, and no evidence of hydrocephalus. Consistent with these imaging findings, the degree of brainstem involvement upon gross visualization predictably deterred resection attempts beyond those necessary for biopsy. Pathological examination revealed diffuse melanocytosis, and the family decided not to pursue aggressive measures postoperatively. This report indicates the potential for rapid intracranial manifestation of diffuse melanocytosis in NM patients. Although the prognosis is poor, early neurosurgical involvement in these patients may provide tissue diagnosis and the potential for decompression if the process is caught early in its course. PMID- 18154022 TI - Dynamic cervicomedullary cord compression and alterations in cerebrospinal fluid dynamics in children with achondroplasia. Report of four cases. AB - Achondroplasia is the most common of the heritable skeletal dysplasias. Compression at the cervicomedullary junction can result in myelopathy, hypotonia, sleep apnea, and even sudden death. However, most children with achondroplasia do not suffer from severe neurological symptoms and achieve normal motor and intellectual development without surgical intervention. At the authors' institution, magnetic resonance (MR) imaging and cerebrospinal fluid (CSF) flow studies have been incorporated in the assessment of children with achondroplasia for cervicomedullary junction compression. The authors recently identified four children with achondroplasia who had normal findings on MR imaging and flow studies obtained in the neutral position. On flexion studies, however, three had complete blockage of CSF flow, and more dramatic posterior cervicomedullary compression was demonstrated on extension studies. Some of these patients had severe neurological abnormalities and sleep apnea, while others just developed headaches and/or had apnea episodes when sleeping or in a car seat. Three children underwent decompressive surgery with dramatic improvement or resolution of signs and symptoms. The fourth patient had increased CSF pressure on MR images obtained in the flexed position, possibly due to venous outflow obstruction. Her condition improved dramatically after placement of a ventriculoperitoneal shunt. The increased risk of dynamic cord compression and alterations in CSF dynamics in patients with achondroplasia constitute indications for surgical intervention. PMID- 18154023 TI - Detection of important venous collaterals by computed tomography venogram in multisutural synostosis. Case report and review of the literature. AB - The authors describe the novel use of computed tomography (CT) venography in the preoperative evaluation of a child with Crouzon syndrome who was being considered for Chiari decompression. This 18-month-old girl presented with hydrocephalus (treated with a ventriculoperitoneal shunt) and persistent symptomatic Chiari malformation and associated syrinx. A CT venogram was obtained because of the well-described relationship between multisutural craniosynostosis and abnormal intracranial-to-extracranial venous drainage. The CT venogram showed widely dilated vertebral and paravertebral veins located in the paraspinous muscles of the craniocervical junction. Because of the risk of massive intraoperative blood loss and/or occlusion of important collateral draining veins leading to intracranial venous hypertension and intractably raised intracranial pressure, the planned posterior fossa decompression was not performed. Computed tomography venography is an easily obtained study that we recommend in the evaluation of children with multisutural craniosynostosis prior to cranial surgical interventions. PMID- 18154024 TI - Huge hemispheric intraparenchymal cyst caused by Taenia multiceps in a child. Case report. AB - The authors report an unusual case of a huge intraparenchymal cyst in a 4-year old girl caused by Taenia multiceps infection. After surgical removal of the cyst, the child recovered completely. Brain infestation by coenurus is a rare disease, mainly reported in Africa, with a few case reports from patients in developed countries. Humans, especially young children, become intermediate hosts by ingesting eggs passed in the excrement of a definitive host, usually carnivores. In such cases, high mortality and morbidity rates have been reported. These rates decreased after the introduction of the modem neuroradiological techniques of computed tomography and magnetic resonance imaging. PMID- 18154025 TI - Congenital supratentorial cystic hemangioblastoma. Case report and review of the literature. AB - Supratentorial hemangioblastomas are rarely encountered tumors even in the pediatric population; an extensive review of the literature has revealed approximately 118 cases. However, only five of these occurred in infants, and three occurred during the first 2 months of life. A 5-week-old boy presented with emesis, irritability, a bulging anterior fontanelle, and a head circumference that had gradually expanded since birth. His medical and family histories were uninformative in terms of cancer or inherited diseases. Magnetic resonance imaging demonstrated a large loculated cyst with a heterogeneous contrast enhancing 3-cm nodule, first pushing the left frontal and parietal lobes and then displacing into this region. After being exposed via a left frontoparietal craniotomy, the cyst was evacuated by a soft drain, and then the mass was totally excised. The histopathological diagnosis was a reticular variant of hemangioblastoma. Given that von Hippel-Lindau (VHL) gene mutations may be associated with hemangioblastomas, sequencing analysis of the VHL gene was performed; sequencing of the three exons of the VHL gene showed no exonic mutations. Clinical and neuroimaging follow-up of the patient have revealed an improved health status during the last 23 months. The authors reviewed the literature concerning congenital supratentorial hemangioblastomas, and they discuss the clinical and histopathological characteristics and differential diagnosis associated with such lesions. PMID- 18154026 TI - Preservation of a subcutaneous pocket for vagus nerve stimulation pulse generator during magnetoencephalography. Technical note. AB - Patients with epilepsy and an implanted vagus nerve stimulation (VNS) device who are referred for consideration of definitive epilepsy surgery (removal of the epileptogenic cortex) may require magnetoencephalography (MEG), a study requiring explantation of the pulse generator, as part of their evaluation. Nonetheless, these patients may not wish to abandon palliative VNS therapy should definitive surgery prove unsuccessful or impossible. To avoid obliteration of the pocket by scar tissue after the pulse generator is explanted, the authors have preserved the dead space in several patients with insertion of a similarly sized silicone block. This block is easily replaced with the pulse generator if continued VNS therapy is appropriate, and is left in place in patients who appear to no longer require VNS therapy. Upon completion of MEG, if pulse generator replacement proves desirable, atraumatic retrieval of the electrode connector pin and body is easy. Silicone block implantation during what may prove to be temporary device explantation facilitates reuse of the original pulse generator implantation site and atraumatic distal electrode wire retrieval. PMID- 18154027 TI - Craniopharyngioma marsupialization. Case illustration. PMID- 18154028 TI - [Predicting sustained virological response in chronic hepatitis C patients treated with pegylated interferon and ribavirin using a novel highly sensitive Real-time detection PCR assay]. AB - The Abbott Real Time HCV assay (lower limit of detection 12 IU/ml) was developed as a highly sensitive HCV RNA quantitative assay using real-time detection PCR(RTD-PCR). We assessed whether the new assay more effectively predicts sustained virological response (SVR) than conventional PCR (PCR) in 38 chronic hepatitis patients infected with HCV genotype 1b and treated with pegylated interferon alpha2b plus ribavirin. Sixteen patients reached SVR, 10 patients relapsed, 9 patients did not respond, 3 patients discontinued treatment. Positive predictive value (PPV) for SVR of undetectable HCV RNA at W4, 8, 12 by RTD-PCR and PCR was (100% vs. 100% at W4), (100% vs. 100% at W8), (83.3% vs. 72.7% at W12). HCV RNA undetectable at W12 had a higher PPV for SVR when measured by RTD PCR than by conventional PCR. PMID- 18154029 TI - [Analysis of hypofibrinogenemias found on routine coagulation screening tests and identification of heterozygous dysfibrinogenemia or fibrinogen deficiency]. AB - We analyzed the clinical factors resulting in hypofibrinogenemia, which is defined as less than 100mg/dl of plasma fibrinogen values determined by a procedure based on the Thrombin-time method. Within a 12-month period, we assayed 5,746 patients (19,309 plasmas) and found 113 patients (1.97%) with hypofibrinogenemia. We categorized these patients as having decreased synthesis of fibrinogen (less than 3.0g/dl of albumin, 140 IU/l of Cholinesterase, and/or 50% on Hepaplastin Test), increased consumption of fibrinogen (more than 10 microg/ml of FDP D-dimer), known side effect of L-asparaginase administration, or other causes. Details are follows: 1) decreased synthesis: 26 patients, suspected of decreased synthesis (albumin: 3.1-3.4 g/dl): 4 patients, 2) increased consumption: 15 patients, suspected of increased consumption (FDP D-dimer: 5.0 9.9 g/dl): 1 case, 3) decreased synthesis combined with increased consumption: 24 patients, suspected of decreased synthesis and/or suspected of increased consumption: 14 patients, 4) side-effect of L-asparaginase administration: 24 patients, 5) heterozygous dysfibrinogenemia: 1 patient, 6) heterozygous fibrinogen deficiency: 1 patient, suspected of heterozygous fibrinogen deficiency: 1 patient, 7) unidentified: 2 patients with West syndrome treated with a combination of ACTH and valproic acid. Three patients with dysfibrinogenemia or fibrinogen deficiency showed normal or slightly prolonged PT values and normal APTT values. These data and our previous reports suggest that heterozygous patients with dysfibrinogenemia or fibrinogen deficiency do not demonstrate markedly prolonged PT and APTT values, differing from patients with afibrinogenemia. PMID- 18154030 TI - [Influence of monoclonal antibodies to human neutrophil antigens, HNA-1a/b and HNA-2a on phagocytosis]. AB - Neutrophil antibodies frequently cause severe conditions such as transfusion related acute lung injury, alloimmune/autoimmune neutropenia. As it was thought that surviving neutrophils would also be damaged from antibodies binding with the neutrophil membrane, we studied the functional influence of neutrophil antibodies on natural phagocytosis and immune phagocytosis by using neutrophil-specific monoclonal antibodies (MoAbs), TAG1: HNA-la on FgammaRIIIb, TAG2: HNA-1b on FgammaRIIIa/b, TAG3: FgammaRIIIa/b and TAG4: HNA-2a. In an inhibition assay of carbon particle phagocytosis as a representation of natural phagocytosis, neutrophils binding with TAG3 or TAG4 were inhibited from carbon particle phagocytosis by 42.5% and 53.2% (% inhibition), respectively, but in an inhibition assay using TAG3 MoAb, HNA-2a strongly positive neutrophils were more weakly inhibited than HNA-2a weak-positive neutrophils, 39.2% and 54.0% (% inhibition), respectively. These results suggested that HNA-2a salvaged the inhibition process of natural phagocytosis by anti-FcgammaRIII antibodies. These results also suggested that natural phagocytosis would be inhibited when antibodies combined with every antigen on the cell membrane. In an inhibition assay of EA-rosette formation as a representation of immune phagocytosis, FcgammaRIII-specific MoAbs, TAG1, TAG2 and TAG3 inhibited EA-rosette formation, but HNA-2a-specific MoAb, TAG4, did not markedly inhibit EA-rosette formation. It was thought that neutrophil immune-phagocytosis would be inhibited by antibodies binding with FcgammaRIII, and that HNA-2a was not related to immune phagocytosis. Further investigation of the relationship between clinical symptoms and antibody specificity or antibody quantity is needed. PMID- 18154031 TI - [Peritoneal lavage diagnosis with TRC (transcription reverse transcription concerted reaction) system for prediction of peritoneal recurrence in gastric cancer]. AB - Peritoneal dissemination is the most frequent recurrent type in advanced gastric cancer. Therefore, the early detection or prediction of peritoneal dissemination is important for the management of patients with advanced gastric cancer. Cytological examination with peritoneal lavage fluids obtained at surgery is widely used for the detection of peritoneal dissemination in gastric cancer. However, the sensitivity of the conventional method is not enough for the prediction of peritoneal recurrence. Recently, molecular diagnosis for detection of cancer cells has been widely studied as the sensitive method for detection of cancer micrometastasis in patients with malignancies including gastric cancer. In this study, novel genetic diagnosis with TRC (transcription reverse transcription concerted reaction) system for detection of carcinoembryonic antigen (CEA) mRNA (Tosoh corporation, Tokyo, Japan) has been introduced for peritoneal lavage diagnosis. We assessed the sensitivity and reproducibility of the test using the diluted gastric cancer cells. Furthermore, the results of TRC with peritoneal lavage fluids obtained from gastric cancer patients has been compared with results of conventional cytology and RT-PCR (reverse transcriptase-polymerase chain reaction). PMID- 18154032 TI - [Improvement of sensitivity in the second generation HCV core antigen assay by a novel concentration method using polyethylene glycol (PEG)]. AB - A HCV core antigen (Ag) detection assay system, Lumipulse Ortho HCV Ag has been developed and is commercially available in Japan with a lower detection level limit of 50 fmol/l, which is equivalent to 20 KIU/ml in PCR quantitative assay. HCV core Ag assay has an advantage of broader dynamic range compared with PCR assay, however the sensitivity is lower than PCR. We developed a novel HCV core Ag concentration method using polyethylene glycol (PEG), which can improve the sensitivity five times better than the original assay. The reproducibility was examined by consecutive five-time measurement of HCV patients serum, in which the results of HCV core Ag original and concentrated method were 56.8 +/- 8.1 fmol/l (mean +/- SD), CV 14.2% and 322.9 +/- 45.5 fmol/l CV 14.0%, respectively. The assay results of HCV negative samples in original HCV core Ag were all 0.1 fmol/l and the results were same even in the concentration method. The results of concentration method were 5.7 times higher than original assay, which was almost equal to theoretical rate as expected. The assay results of serially diluted samples were also as same as expected data in both original and concentration assay. We confirmed that the sensitivity of HCV core Ag concentration method had almost as same sensitivity as PCR high range assay in the competitive assay study using the serially monitored samples of five HCV patients during interferon therapy. A novel concentration method using PEG in HCV core Ag assay system seems to be useful for assessing and monitoring interferon treatment for HCV. PMID- 18154033 TI - [Amounts of sweat and salt loss due to sweating during a three-hour badminton practice in summer]. AB - In 7 men and 5 women, we measured the amounts of sweat and fluid intake, and the ionic composition of sweat during a 3-hour badminton practice in summer. The amount of sweat was calculated as follows; body weight before practice (g)--body weight after practice (g)--urine volume (ml) +fluid intake (ml). We collected sweat by covering the non-dominant forearm with a plastic bag. The amounts of sweat and fluid intake during the 3-hour practice were 1809 +/- 715ml (mean +/- SD) and 658 +/- 344ml, respectively. Weight loss after the practice was 2.0 +/- 0.9% of their weight before the practice. The Na(+) and Cl(-) levels of the sweat about 30 min after the start of practice were 66 +/- 34 mEq/l and 54 +/- 32mEq/l, respectively. There was no significant difference between those ionic levels of the sweat about 30 min after the start of practice and those about 30 min before the end of practice. The sum of Na(+) and Cl(-) loss into sweat during a 3-hour practice session was supposed to be 6.9 +/- 5.3g, and to be above 10 g in 4 of 7 men, assuming that there were no regional differences in the ionic composition of sweat. The findings suggested that most of the participants should take more fluid and some of them might need salt intake during the practice. PMID- 18154034 TI - [Preheparin lipoprotein lipase mass and apolipoproteinC-III ratio helps identify postprandial triglyceride metabolic marker]. AB - Serum lipid profiles have usually been evaluated using blood specimen in fasting state. However, postprandial hypertriglyceridemia is important risk factor for atherosclerosis. In the present study, we determined several parameters of triglyceride (TG) metabolism in healthy volunteers. Serum concentrations of TG in fasting state correlated negative the ratio of preheparin serum lipoprotein lipase mass (pLPL) and apoC-III (pLPL/apoC-III) in both fasting (r = -0.771, p < 0.0001) and postprandial (r = -0.640, p < 0.0001) state. To exclude the effect of high density lipoprotein (HDL) in serum, we purified the fraction of TG rich lipoprotein (TRL) using ultracentrifugation method 3 healthy volunteers with postprandial state. The pLPL/apoC-III was reduced constantly during postprandial state in all volunteers. These findings suggest that pLPL/apoC-III may be a useful marker for evaluation of TG metabolism using postprandial blood specimens. PMID- 18154035 TI - [Comparison between blood culture and in-situ hybridization of bacteria]. AB - We compared blood culture and in situ hybridization method (Hybrisep) to detect bacteria in blood samples. One thousand and two hundred and sixty nine blood culture samples were tested in 2003 in our hospital. One hundred and sixty seven samples (13.1%) were positive for bacteria. Total number of detected bacteria was 178. Of 178 bacteria, 49.4% was gram positive, 32.6% was gram negative, 13.5% was Candida spp., and 4.5% was anaerobic. Twenty five samples were tested with both blood culture and Hybrisep. Three samples were positive for both methods, and 13 samples were negative for both methods. The identical results were obtained in 64% of samples. Although the microscopic determination of positive signals in Hybrisep requires trained skills, Hybrisep may be a rapid and sensitive method providing valuable information to diagnose sepsis with an automated equipment and an increased number of probes. PMID- 18154036 TI - [Outline of the revision of ISO 15189 and accreditation of medical laboratory for specified health checkup]. AB - GOAL which accredited medical laboratory aims at is to continue "offering useful laboratory's service for patient medicine and treatment or the health of the nation". The medical laboratory, administers a quality management system, is competent technically and offers laboratory's service to satisfy the needs of all patients and clinicians taking responsibility for the medical testing and treatment. International standard ISO 15189 is a tool to embody thought of its basic quality and scientific grounds about the test result, and it was published in 2003. A revision for one part was considered to be it, and it was published afterwards for ISO 15189: 2,007 in this April. On the other hand, Ministry of Health, Labour and Welfare announced that all insurance members from 40 years old to 74 years old must have a checkup by the specified health checkup that paid its attention to visceral fat type obesity from April, 2008. And, in a standard health checkup program, it is shown that it strengthens the quality assurance management of laboratory carrying out medical testing. ISO 15189 which prescribed quality and competence of medical laboratory is an excellent standard, and it is hoped that it can offer high quality medical testing data with using quality management system. Here, I explain both outline of revised ISO 15189 and accreditation of the medical laboratory for specified health checkup using with this standard. PMID- 18154037 TI - [Diagnostic tests approved by the Ministry of Health and Welfare (November 2007)]. PMID- 18154038 TI - [Glia as targets for antidepressants: an involvement in glial cell line-derived neurotrophic factor]. AB - Recently, clinical and animal studies have shown that neuronal and glial plasticity are important for the therapeutic action of antidepressants. Thus, it has been suggested that neurotrophic factors or growth factors, which are potent regulators for neuronal and glial plasticity, might be involved in the effect of antidepressants. Post-mortem studies provide evidence for glial reduction in different brain areas in mood disorders. Therefore, we focused on glial cell line derived neurotrophic factor (GDNF) in mood disorders, because GDNF plays an important role in neurogenesis and high-ordered brain function, such as learning and memory. GDNF family ligands have shown promise of efficacy for neurodegenerative disorders such as Parkinson's disease, suggesting that GDNF family ligands exist in the closest position to clinical development for treatment of diseases of the central nervous system. We reported that total GDNF levels in whole blood in patients with mood disorders were significantly lower than those in healthy control subjects (Takebayashi et al, 2006), and antidepressants increased GDNF production through monoamine-independent activation of protein tyrosine kinase (PTK) and extracellular signal-regulated kinase (ERK) in glial cells (Hisaoka et al, 2007). Clarifying the monoamine independent novel target of antidepressants in glia might contribute to the development of more efficient therapeutics for depression. PMID- 18154039 TI - [Behavioral analysis of chronic exposure to diphenylarsinic and associated influence on central nervous systems]. AB - It has been clinically reported that chronic exposure to diphenylarsinic acid (DPAA) induced prominent cerebellar symptoms in apartment building residents in Kamisu, Japan. The aim of the present study was then to investigate the effect of chronic treatment with DPAA on the central motor impairment in mice. In the present study, we found that chronic in vivo exposure to a high dose of DPAA induced motor impairment in adult mice. This impairment was reversed by withdrawal following chronic DPAA treatment. The [35S]GTPgammaS binding assay showed the down-regulation of the dopamine receptor function in the striatum in adult mice treated with DPAA. We also found that neonatal exposure to a low dose of DPAA induced motor learning impairment in mice. Furthermore, treatment with an extremely low dose of DPAA caused the activation of caspase-3, the increase in glial fibrillary acidic protein-like immunoreactivity (IR) and the reduction in levels of myelin-associated glycoprotein-IR in mouse cerebellum neuron/glia co cultures. In addition, we found that neonatal exposure to a low dose of DPAA induced anxiogenic behavior in a plus maze in mice. Taken together, these results suggest that chronic treatment with DPAA may induce motor impairment in adult mice. Moreover, neonatal exposure to DPAA leads to the irreversible motor impairment associated with abnormalities in the cerebellum. PMID- 18154040 TI - [Determinants for diagnosis of young women with and without chilliness]. AB - Chilliness in women is a symptom of menopause, but there is increasing evidence that young women also suffer from chilliness, which can lead to mental problems such as insomnia and mood disorders. We elucidated methodological issues related to recognizing young women suffering from chilliness. Ninety-seven female university students were divided into two groups by their self-awareness of chilliness. Using a new questionnaire, we evaluated the severity of their physical, mental and chilliness-related complaints. We also measured several physical parameters (BMI, body fat ratio, basal metabolism, blood pressure). The peripheral circulation dynamics were measured using a laser tissue blood flowmeter, while recovery of the skin surface temperature after mild cold-water immersion was determined using thermography. There were significant differences in the severity of the chilliness-related complaints, peripheral circulation dynamics, skin surface temperature, and the rate of skin surface temperature recovery between the control and chilliness groups. Using these items, discriminant analysis using the Mahalanobis generalized distance revealed that the discrimination hit ratio was approximately 84.5%, while the misclassification ratio was approximately 16.3%. We suggest that both the rate of skin surface temperature recovery after mild cold stress and the severity of chilliness related complaints are essential items for discriminating between participants with and without chilliness. PMID- 18154041 TI - [Ion channels and action potentials in olfactory receptor cells]. AB - The first step in olfactory sensation involves the binding of odorant molecules to specific receptor proteins on the ciliary surface of olfactory receptor cells (ORCs). Odorant receptors coupled to G-proteins activate adenylyl cyclase leading to the generation of cAMP, which directly gates a cyclic nucleotide-gated cationic channel in the ciliary membrane. This initial excitation causes a slow and graded depolarizing voltage change, which is encoded into a train of action potentials. Action potentials of ORCs are generated by voltage-gated Na- currents and T-type Ca2- currents in the somatic membrane. Isolated ORCs that have lost their cilia during the dissociation procedure are known to exhibit spike frequency accommodation by injecting the steady current. This raises the possibility that somatic ionic channels in ORCs may serve for odor adaptation at the level of spike encoding, although odor adaptation is mainly accomplished by the ciliary transduction machinery. This review discusses current knowledge concerning the mechanisms of spike generation in ORCs. It also reviews how neurotransmitters and hormones modulate ionic currents and action potentials in ORCs. PMID- 18154042 TI - [Localization and function of the brainstem neuronal mechanism for respiratory control]. AB - Recently, the neural mechanism of respiratory control in the brainstem has been extensively analyzed mainly in vitro. A neuronal group in the ventrolateral medulla, the ventral respiratory group (VRG), is important in respiratory rhythm and pattern generation. A small region in the rostral VRG, the pre-Botzinger Complex (pre-BotC), is the kernel of respiratory rhythmogenesis. A novel region ventrolateral to the facial nucleus, the para-facial respiratory group (pFRG), was found and has been considered to also generate respiratory rhythm. These two oscillators, pre-BotC and pFRG, are coupled and synchronized. In central chemoreception, small cells surrounding fine vessels in the most superficial layer in the rostral ventral medulla are considered to be primary chemoreceptor cells. Currently, several kinds of neurotransmitters, including glutamic acid, serotonin, ATP and acetylcholine, are considered to play important roles in the signal transduction from chemoreceptor cells to the VRG and other parts of the respiratory neuronal network. The mechanism of respiratory suppression by opioids is the blockade of excitatory drive to the pre-BotC. Although recently we have elucidated that propofol, widely used intravenous anesthetics, suppresses respiratory output through the activation of GABAA receptor, the mechanism of respiratory depression by inhalation anesthetics remains unknown. PMID- 18154043 TI - [Neuronal migration in the adult brain]. AB - Production of new neurons in the subventricular zone (SVZ) and in the dentate gyrus (DG) continues into adulthood. In this paper, we will review our recent studies on migration and survival of new neurons in the adult mouse brain. Neuroblasts generated in the SVZ migrate in chains rostrally toward the olfactory bulb (OB), where they are differentiated into olfactory interneurons. The precise mechanisms controlling neuroblast migration remain unclear. We have recently demonstrated that neuroblast migration parallels cerebrospinal fluid flow caused by integrated beating of ependymal cilia. While SVZ neuroblasts migrate only toward the OB under physiological conditions, we found that they could reach striatum in a mouse model of focal ischemia. The majority of these newly generated neurons die before they are integrated into the neuronal circuit, even under physiological conditions. We found that long-term administration of donepezil, an acetylcholinesterase inhibitor clinically used for the treatment of Alzheimer's disease, promotes the survival of newly-generated neurons in the OB and the DG. Although there are a lot of subjects to be elucidated, understanding the comprehensive mechanism of adult neurogenesis should be useful for developing successful regenerative therapies for neuropsychological diseases in the future. PMID- 18154044 TI - [Actual questions of improvement of military hospitals's work in medical service of Armed Forces of Russian Federation]. AB - The article presents the conception of medical maintenance of Armed Forces of RF on the period up to 2012 year, which defines organizational, financial, socially juridical bases of building of medical service of Armed Forces of RF and of medical maintenance during war and peace. The mission of creating double-level system of medical maintenance for Armed Forces of RF presupposes resubjection of military-medical institution of central control of types, branches of forces, of principal and central governances to the Chief of Main Military Medical Governance of Defense Establishment of RF, and the others--to chiefs of different medical services of military command and navy, on the area they are dislocated. The change-over to the double-level system permits optimize the infrastructure of the medical service of Armed Forces of RF with reduction of backup institutions, diagnostically-therapeutic units. PMID- 18154045 TI - [State and direction of improvement of health survey system in the Armed Forces]. PMID- 18154046 TI - [Organization of surgical measure in military hospitals]. AB - The reform of military health service intends a clear organization of medical attendance, and, first of all, surgical one, particularly in military hospitals with different patient capacity. Seeing it leaders of surgery units in medical service got the task to elaborate the standards of realization of surgical attendance for military hospitals with different patient capacity during peaceful time, correctly execute all orders on preparation of military surgeons, enroot new high-quality and expensive types of maintenance into practice. Optimization and standardization of processes of surgical maintenance in Defense Establishment of Russian Federation, of tasks in the sphere of staff politics and of teaching process, modernization of technical equipment of medical service and enrooting new high-quality methods in practice allows augment the effectiveness of surgical attendance in military hospitals with different patient capacity. PMID- 18154047 TI - [Actual problems of organization of medical provision for military hospitals in now-day's condition and the way of there solution]. AB - Affording of qualified and specialized medical attendance in military hospitals is possible only in condition of presence of medical techniques and medical equipment in indispensable quantity. The units of medical supply have as a task to provide military hospitals by medical equipment. Nowadays the task of reoutfit of military hospitals by new medical equipment is one of the most significant for the medical service of Armed Forces. This task is prearrangely carrying into effect on the base of advanced program. The main purpose of this program is elevating of comprehensibility and quality of medical attendance. More, reoutfit of military hospitals permits effectuate a high-quality medical attendance, and permits medical service to participate in important national project "Health". The order fixed 215 norms and standards, including 1524 items of medical equipment. The price of medical equipment, included in the norms of supply of military-medical institutions of Armed Forces, is 18 mlrd of rubles. PMID- 18154048 TI - [About the augmentation of role of prophylaxis of chronic tonsillitis's storm at duty servicemen]. PMID- 18154049 TI - [Contemporary state and perspectives of evolution of Leading Military Clinical Hospital of N.N. Burdenko]. PMID- 18154050 TI - [Regional clinical hospital, it's role in territorial system of medical arrangement of Moscow military command]. PMID- 18154051 TI - [Optimization of work of Teaching Hospital of Voronezh of Moscow military command in territorial system of medical arrangement]. PMID- 18154052 TI - [Frequency of appearance and morbiden characteristics of non-polypoid formation of large bowel]. PMID- 18154053 TI - [Treatment of cerebrovascular diseases and depressive disorders connected with them]. PMID- 18154054 TI - [Prophylaxis of infection inside the hospital in prophilaxis-medical institutions of Defense Establishment of Russian Federation]. PMID- 18154056 TI - [Actual problems of organization of medical provision for military hospitals in now-day's condition and the way of there solution]. PMID- 18154055 TI - [Experience of using of molecularly-biological methods of detection of dangerous germs of infections, rare on territory of Russian Federation]. PMID- 18154057 TI - [System of sanatorium treatment of Armed Forces of Russian Federation celebrates the 85th anniversary]. PMID- 18154058 TI - [Military-navy clinical hospital of the Pacific Ocean celebrates the 135th anniversary]. PMID- 18154059 TI - [Otorhinolaryngological unit of LMCH of Burdenko N.N. celebrates the 110th anniversary]. PMID- 18154061 TI - [Methodical approaches to rate setting of the quantity of medical personal in medical-therapeutic institutes of Military of Defense of Russian Federation]. AB - Rational use of forces and facilities of military--medical service of the Defense Ministry of the Russian Federation (DM of the RF) in now-day's conditions is considered as a priority direction of reforming of the state public health services. On this background for stationary treatment-and-prophylactic institutes (DM of the RF) rate setting of work of the medical personnel has a special value. Rate setting includes designing and creation in medical institutions of such conditions at which medical aid will be rendered the most qualitatively and effectively. PMID- 18154060 TI - [Frostbites amongst service men, participants of contreterroristic operations on North Caucasus (1994-1996, 1999-2001)]. AB - In clause the analysis of the rendering medical help military is reflected in article with frostbites in military conflict on North Caucasus (1994-1996, 1999 2001). Efficient rendering medical help military with frostbites possible only under simultaneous observance united principle on terminological glances and provision to receivership approach to organizations of the rendering medical help damaged military. It is generalised and analysed own experience of the rendering medical help military with frostbites during military conflict on territory of the Chechen Republic (2003-2005). PMID- 18154062 TI - [Several questions about medical-psychological help to the victims of crisis situations]. PMID- 18154063 TI - [New approach to the primary prophylactics of the foot mycoses of service men]. PMID- 18154064 TI - [About the algorithm of endoscopical operations on general bilious duct, taking into consideration his anatomical peculiarities]. PMID- 18154065 TI - [Pulmonology of the individuals of call-up age]. AB - In 1999-2001 400 patients in Saratov have been surveyed. The persons directed by the military-medical commissions of military registration and enlistment offices, have made 60.7% (243 patients). This group was a basis of research. Comparison of results of inspection of the recruits, suffering a bronchial asthma of a various degree of expressiveness, has allowed to precise already existing group differentually-diagnostic criteria of the easiest (incidental), easy (persistency) and middle-acuity forms of disease in a stage of remission. When traditional clinically-functional differences disappear, crucial importance is leaded away to the retrospective estimation of character and intensity of anamnestics dynamics, rather high probability of positive results of loading tests for revealing latent infringements FVD, big frequency and expressiveness of the phenomena of pollinosis and other allergic processes (neurodermatitis and etc.). PMID- 18154066 TI - [Dynamics of effectiveness of intraoperational cardio-protection in condition of cardio-surgical operations with long-term global myocardial ischemia]. PMID- 18154067 TI - [The analysis of structural changes and functional characteristics in condition of vascular cerebral lesions]. AB - To 61 patient with vascular diseases of a brain the analysis of structurally functional changes and degrees of conformity to their clinical manifestations is conducted. For 53 patients the correlative connection between clinicotopical and neurophysiological data was detected. In 8 cases the outcomes under the clinical data corresponded to topical consept about localization of the lesion focus. However, the signs of discrepancy were detected by comparison them with neurovisualization methods. Taking into consideration the obtained data the assumption about a capability of secondary neurodynamic focuses formation is permissible in patients with cerebral vessel lesions. PMID- 18154068 TI - [Place of antacid specimen in treatment of acid-dependent diseases]. PMID- 18154069 TI - [Role of the family in professional adaptation of flying personal]. PMID- 18154070 TI - [Sergey Petrovich Botkin and military-field therapy (to the 175th aniversary)]. PMID- 18154071 TI - [Destiny of professor-surgeon V.F. Vojno-Yasenetsky (archiepiskop Luka)]. PMID- 18154072 TI - [The 50th anniversary of cosmic era on pages of "Military-medicine magazine" (to the 185th anniversary of magazine)]. PMID- 18154073 TI - [Central military sanatorium celebrates the 85th anniversary]. PMID- 18154074 TI - [The pages of life of D.D. Kuvshinsky]. PMID- 18154075 TI - [An avirulent vibrio cholerae strain--producer of the cholera toxin B subunit: obtaining and molecular genetic analysis]. AB - The conjugative recombinant plasmid pIEM3 (KmR TcR) was constructed in order to introduce the cloned ctxB gene encoding the cholera toxin B subunit into the Vibrio cholerae cells. The plasmid was obtained as a result of co-integration of two plasmids: a conjugative plasmid, pIEM1(KmR), carrying mini-kan transposon and IS1 element, as well as the pCTdelta27(TcR) plasmid that is a derivative of the pBR322 which carries the cloned ctxB gene. The avirulent Vibrio cholerae strain eltor biovar deprived (according to the PCR analysis) of the key structural and regulatory pathogenicity genes and carrying a mutation in a single gene of the O1 antigen was chosen as the pIEM3 plasmid carrier strain. The cointegrate uncoupling was shown to take place in 5% the cholera vibrio cells followed by retention of only the multi-copy pCTdelta7 plasmid. This event leads to the formation of the TcRKmS clones characterized by high levels of the cholera toxin secreted B subunit production (10 to 14 microg/ml), one of these (KM93) being selected as a strain-producer of the protein. Molecular-genetic and biochemical assays were used to elucidate peculiar features of inheritance and expression of the cloned ctxAB gene within the KM93 cells. The expression of the cloned ctxB gene was shown to be independent of the presence of the toxR, tcpP, tcpH, toxT regulatory genes suggesting the existence of some other mechanisms that might exert their control over the transcriptional activity of the cholera toxin B subunit gene. Effective production of the cholera toxin B subunit would be also observed if the constructed producer strain was cultured under the conditions of industrial process. This indicates a possibility of its employment as a source of this protein involved in manufacturing cholera immunodiagnostic and prophylactic preparations. PMID- 18154076 TI - [Molecular genetic monitoring of Yersinia pseudotuberculosis using PCR O genotyping]. AB - Irkutsk PCR O-genotyping of 117 Yersinia pseudotuberculosis serotype O:1-O:4 strains isolated in Siberia and Far East was performed. These methods allowed both O-genotype and its variants (a, b, c) to be detected. It was demonstrated that three Y. pseudotuberculosis O-genotypes were circulated in Siberia (O:1a, O:1b and 0:3) and six genotypes (O:1a, O:1b, O:1c, O:2a, O:3 and O:4b) were circulated at Far East. Genotype O:1b dominates at both regions (87.8%). PCR algorithm for identification of Y. pseudotuberculosis O-genotypes having epidemic significance was developed. The identification of the etiological agent O genotype without bacteriological isolation of the stimulus is possible by PCR analysis of the clinical material. PMID- 18154077 TI - [A contribution to the nomenclature and classification of chlamydiae]. AB - The results of molecular-genetic study of typical specimens of the genus Chlamydophila of the family Chlamydiaceae from the FSE FCTRSA collection of microorganisms are considered for the purpose of their taxonomy based on comparative analysis by the omp1-, omp2-, 16S rRNA-, and 23S rRNA-genes and by the presence of extrachromosomal plasmid with corresponding fragments of the genomes officially registered species of chlamydiae. According to the omp1-RFLP AluI-profile, the Rostinovo-70, 250, PP-87, and KC-93 strains were characterized by new genotype of chlamydiae (genotype G). The new omp2-RFLP-AluI-profile of chlamydiae on carrying out the comparative analysis of Rostinovo-70, 250, PP-87 and KC-93 strains by omp2-gene was characterized. On the basis of the species identification of chlamydiae by genetical and ecological criteria, the chlamydia strains Rostinovo-70, 250, PP-87, and KC-93 can be included in the new chlamydia species Chlamydophila parapsittaci sp. nov. It was suggested to combine into a new species the following strains of Chlamydophila psittaci: WC, NJ1, 92-1293, TT3, 7344/2, GD, CT1, Par1, 84/2334, R54, VS225, 777B15, and Prk/Daruma. PMID- 18154078 TI - [Identification of the agents of coccidioidomycosis using polymerase chain reaction]. AB - Two pairs of primers for diagnosis of coccidioidomycosis using the method of PCR were constructed. One pair was used for identification of the two species of Coccidioides (C. immitis and C. posadasil) on the basis of MBP-1 gene. The other pair was chosen on the basis of SOWgp82 gene, which encodes an immunodominant, spherule outer wall glycoprotein for detecting only C. posadasii. The used primers allowed the agents of coccidioidomycosis to be detected using PCR with high sensitivity and specificity. The effective method of isolation of fungus DNA from soil contaminated with arthroconidia of Coccidioides spp. was developed. It includes guanidinthiocyanate-phenol-chloroform deproteinization followed by DNA purification using nuclear sorption. PMID- 18154079 TI - [Heterogeneity of the gene P83/100 of Borrelia borrelia burgdorferi sensu lato complex]. AB - The 35 full-length Borrelia burgdorferi sensu lato complex a83/100 gene nucleotide sequences were determined. High level of homology was observed in the nucleotide sequences corresponding to the strains and isolates of Borrelia fzelii. The analysis of the nucleotide sequences revealed two groups of Borrelia garinii. The most variable p83/100 gene region containing species-typical insertions and deletions was demonstrated to be included into the region where the antigenic determinants of protein were encoded. According to the data obtained in this work, the modification of the P83/100 protein structure and immunological properties could be suggested to exist even within species. The results of this work could be used for receiving recombinant P83/100 proteins useful for diagnostic applications. PMID- 18154080 TI - [Streptococcus agalactiae sak0192 gene contains direct repeats and spacers that are genetic markers for characterizing the strains]. AB - A new approach to differentiation of the Streptococcus agalactiae strains was suggested. The approach is based on the nucleotide polymorphism of the sak0192 gene containing variable number of 16 bp direct repeats and 44 bp spacer regions in different S. Agalactiae strains. In general, the direct repeats were identical, while the spacers were variable. Overall, the structure of the sak0192 gene of S. Agalactiae was analogous to direct repeat cluster of Mycobacterium tuberculosis and Streptococcus pyogenes. The applicability of the sak0192 gene polymorphism as a novel genetic marker to identification of S. Agalactiae and differentiation of the strains was demonstrated. PMID- 18154081 TI - [Bone marrow as an organ of erythrocyte destruction in hematological disorders]. AB - Bone marrow of patients with hematological diseases contains a great number of erythroclasic clusters characterized by exocytic lysis of the constituent erythrocytes by cluster-forming myelocaryocytes including erythrocaryocytes. The content of erythroclasic clusters with exocytic lysis of erythrocytes varied from 21% of total erythroclasic clusters in bone marrow of patients with aplastic anemia to 81% in bone marrow of patients with an active phase of acute lymphoblastic leukemia showing high intensity of hemolysis in the bone marrow. Most intensive lysis of erythrocytes in erythroclasic clusters took place in the bone marrow of patients in an active stage of acute lymphoblastic leukemia and patients with chronic myeloid leukemia. At the time of the investigation tens of thousands of erythrocytes were undergoing destruction in erythroclasic clusters in one mcl of bone marrow of such patients. These findings confirm the idea of the bone marrow as an organ of erythrocyte destruction. PMID- 18154082 TI - [Modification of antitumor chemotherapy toxicity in exposure to millimetric waves in experiment]. PMID- 18154083 TI - [Diabetic complications in rats in long-term modeling of type I diabetes mellitus]. AB - Diabetes mellitus type 1 (DM-1) was modeled by a single intraperitoneal injection of streptozotocine (STZ) in a dose 65 mg/kg in two groups of Wistar rats: control (n=6) and test (n=14). Clinical and pathomorphological examinations of different organs were conducted for 4.5 months. It was found that the above model represents clinical picture and vascular diabetic complications (microangiopathy with parenchymal lesions) accompanied with destruction and depression of spleen activity. It is shown that rats, more resistant to the toxic action of STZ restore the ability for regeneration of the pancreatic islets and regress of glycemia and angiopathy, for positive changes in splenic structure and function. PMID- 18154084 TI - [Development of encephalitis in modeling of acute hemorrhagic stroke--a new variant of a somatic complication]. AB - We studied immunological and morphological changes in rat brain in an acute period of experimental hemorrhagic stroke (HS). The latter was induced mechanically by the method of A. N. Makarenko et al (the area of destruction in the rat brain was 0.15-0.2 mm3 in the internal capsule (c.i.) of both hemispheres) in 105 noninbred white male and female mice (body mass 18-22 g) and 20 Wistar rats (body mass 200-220 g). The rats were decapitated on day 1, 3, 10. HS modeling in mice is accompanied with immune disorders: high production of hemagglutinating antibodies in parallel with low titer of hemolysines, significant reduction of thymic mass and intensification of delayed type hypersensitivity. Besides changes typical for an acute period of HS, histological studies of the brain revealed encephalitic lesions located both near HS foci and far from them in 10 test animals of 14 on days 3-10. We observed signs of productive ependymitis and focal vasculitis (capillaritis). The infiltrates consisted primarily of microglyal cells and lymphocytes. In the controls such changes occurred in 1 of 6 rats. The results show that in an acute period of HS in rats their brain may be affected with activated latent infection and encephalitis. The same phenomenon may be observed in humans. PMID- 18154085 TI - [A neuroprotective effect of the herbal drug neurofit in alcoholic intoxication]. AB - Our studies show that a combined herbal medicine neurofit has a pronounced neuroprotective effect in experimental alcoholic intoxication. The principal mechanism of this neuroprotective effect lies in neurofit ability to inhibit lipid peroxidation and stimulate the antioxidant system. PMID- 18154086 TI - [Effect of oxymethyluracil on lipid peroxidation and functional-metabolic indices of the liver in intoxication of old rats with tetrachlormethane]. PMID- 18154087 TI - [Multimodal neuronavigation and intraoperative ultrasound visualization in the surgery of intracranial tumors]. AB - The author presents an analysis of using neuronavigation and intraoperative ultrasound in 317 patients after surgical treatment of intracranial tumors. High efficacy of the intraoperative ultrasound visualization has been shown in the detection of remaining parts of the intracranial tumor, improved radical surgery and less lesion to the brain. The strategy of using neuronavigation and intraoperative ultrasound visualization with the tumor size (volume) taken into consideration has been developed. PMID- 18154088 TI - [Surgical treatment of patients with postinfarction aneurysm of the left ventricle in combination with atherosclerotic lesion of the lower extremity arteries]. AB - Examinations and operations on 36 ischemic heart disease patients with postinfarction aneurysm of the left ventricle (PIALV) in combination with hemodynamically significant obliterating atherosclerosis of the lower extremity arteries were performed in the clinic during the period from 1995 through 2005. The first stage of the treatment included resection of PIALV and myocardium revascularization. Positive results were obtained in all 36 patients at the first stage of surgical treatment, without ischemia of the myocardium being observed in the postoperative period. The contractive function of the left ventricle as an ejection fraction due to resection of PIALV and its plasty was on average 17% greater, which created favorable conditions for the following stage of surgical treatment. At the second stage of surgery an individual approach was used for patients with generalized atherosclerotic lesions of the lower extremities with special reference to specific clinical picture, as well as non-standard surgical methods. Among the nonstandard surgical methods there were transprosthetic aortotomic shunts and the method of a reverse formation of anastomoses. PMID- 18154089 TI - [Complex treatment of venous trophic ulcers of the lower extremities]. AB - Under observation there were 189 patients with trophic ulcers of the lower extremities of venous genesis (CEAP VI class). In 78 patients conservative treatment was used with the low intensity laser radiation. Complex treatment consisted of preliminary preparing the ulcers and the following correction of the venous blood flow was used in 111 patients. 82 patients were treated by traditional methods disregarding the data of ultrasonic diagnosis. Laser therapy of ulcers by our original techniques and correction of the venous blood flow using new technologies and considering the data of duplex scanning was used in 29 patients, the best nearest and long-term results of the treatment being obtained in patients of this clinical group. PMID- 18154090 TI - [An analysis of main causes of low efficiency of rendering care for pyo-necrotic complications of syndrome of the diabetic foot]. AB - In the city of Chelyabinsk during 1996 through 2003 there was growing incidence of necrotic complications of syndrome of the diabetic foot (SDF) from 26.0 up to 50.5 per 100 000 adults (p < or = 0.001). According to prognosis the incidence of SDF will grow by 2010 more than two times (R2 = 0.9849). Comparison of effectiveness of surgical treatment on Diabetological centers (1st group) and non specialized institutions (2nd group) has shown that lethality in the first group was 4.2%, in the second group--9.7%. In the first group the frequency of high amputations decreased from 31.3% in 1996 to 12.3% in 2005 (p < 0.05). As a whole, organizational, diagnostic and medical defects of treatment were noted in 89.5 out of 100 patients in both groups, the errors in specialized institutions being made 5.7 times more rarely than in non-specialized ones, that speaks well to specialized Diabetological centers. PMID- 18154091 TI - [Effects of short-term immunosuppression on the engraftment of skin transplants at syndrome of the diabetic foot]. AB - Effects of a single administration of small doses of 5-fluorouracil on results of skin plasty for syndrome of the diabetic foot were studied in 61 patients who had undergone local operations for pyo-necrotic diseases of the foot against the background of diabetes mellitus. The completion phase of their treatment was free dermal plasty with a split skin graft. Administration of 5-fluorouracil during the plasty operation was found to be accompanied by less marked inflammatory reaction in the transplant bed and in the graft. The frequency and square surface of lysis in the transplanted dermal skin graft were considerably lowered. PMID- 18154092 TI - [The nearest and long-term results of surgical treatment of patients with scarry strictures of the esophagus after chemical burn]. AB - Results of esophagoplasty (small intestine--5, stomach--35, colon--40) were studied in 80 patients with scarry stricture of the esophagus. The development of cancer in the burned esophagus was established in 3 out of 5 patients in 35-45 years after operation. Good and satisfactory results were obtained in 97.8% of the patients within the period from 5 to 17 years after gastro- and coloesophagoplasty. Unsatisfactory results were found in 3.2%. Total lethality after esophagoplasty was 12.5%. PMID- 18154093 TI - [Experimental and clinical grounds for using 30% solution of ethyl alcohol for chemical denervation of the gastric acid-producing zone]. AB - Experiments were performed in 18 male rats followed by a histological investigation of the obtained material. The application of the 30% solution of ethyl alcohol was proved to cause irreversible dystrophic alterations of nerve fibers in the gastric wall when injected subserously and there were no irreversible destructive alterations in other organ tissues. Results of treatment of 82 patients with perforated pyloro-duodenal ulcers after suturing the perforated opening in combination with chemical denervation of the gastric acid producing zone with 30% solution of ethyl alcohol injected subserously were analyzed. Reliably decreased acid-proteolytic activity of the gastric body was found to result in stable remission and low percentage of recurrent diseases. The method can be recommended for wide practical use due to its simplicity and low percentage of recurrences of ulcer disease of the duodenum against the background of preserved helicobacteriosis of the stomach. PMID- 18154094 TI - [Plasma technologies in treatment of purulent wounds]. AB - The article is devoted to using plasma flow for treatment of purulent wounds. The authors have shown an anti-inflammatory, antibacterial, stimulating effect of plasma radiation on the basis of clinical methods of control of the wound process in 143 patients (hypothermia, pain syndrome in rest, the presence of purulent discharge, edema, granulation tissue). PMID- 18154095 TI - [Potentialities of multispiral computed tomography in the diagnostics of pathological alterations of the colon]. AB - The work describes an experience with using different methods of multispiral computed tomography in the diagnosis and differential diagnostics of pathological changes in the colon of patients of colonoproctological profile. Methodical variations of the computed tomography investigations are described in patients with localization of tumors in different parts of the intestine. PMID- 18154096 TI - [Potentials of computed-tomography colonography with added investigations of the abdominal cavity and small pelvis in the diagnosis of diseases of the colon, assessment of dissemination of the pathological process]. AB - The aim of the investigation was an assessment of potentials of computed tomography colonography (CTC) in diagnosis of diseases of the colon. CTC was made in 125 patients. The investigation was performed after special preparation of the patients for purgation of the colon. The patient was in the supine and prone position. After introduction of room air in the colon the axial sections were laid from the diaphragm cupola to the pelvic floor. The obtained data were estimated and the reconstructions were fulfilled using special software. Pathological alterations or anatomical specific features of the colon were detected in 86 out of 125 cases (68.8%), in 26 of the cases (28.6%) a conclusion was made of malignant tumors in the colon according to the data of CTC. The data obtained by CTC were compared with the data of fibrocolonoscopy, rectomanoscopy, irrigoscopy and histological investigation. In most cases the coincidence of the findings was noted. PMID- 18154097 TI - [Use of the method of transcanal endoscopic microsurgery in treatment of tumors of the rectum]. AB - The method of transanal endoscopic microsurgery (TEM) is in use now for treatment of benign tumors of the rectum, and in some cases for early forms of cancer of the same localization, equally with traditional surgical methods such as transanal and endoscopic dissection. Immediate and long-term results of treatment of three groups of patients operated on by the methods in question were compared to establish the effectiveness of the methods. It was shown that TEM was more precise, had less number of intra- and postoperative complications and considerably rarer recurrences. PMID- 18154098 TI - [Technology of hernioplasty of inguinal hernia using miniapproach]. AB - A new method of treatment of inguinal hernias is proposed. The method is based on projecting the inguinal ring onto the skin under the USI control and using suprainguinal preperitoneal oblique-transverse miniapproach, dissection of the hernia sac, fixing the mesh explant in the preperitoneal space by pi-shaped sutures, thus making the operative trauma minimal and improving the rehabilitation of the operated patients. The clinical topographic-anatomical and ultrasonic methods of investigation were used. The technology was applied in the operative treatment of 89 patients with inguinal hernias. Six episodes of recurrence were noted in the 1-4 year period following the displacement of the mesh explant because of the absence of fixation and little size of the mesh. The proposed technology is an alternative to video-laparoscopic methods of treatment. PMID- 18154099 TI - [Surgical prophylactics of injuries of the recurrent laryngeal nerves during operations for diseases of the thyroid gland]. AB - The work presents an analysis of specific features of surgical anatomy of recurrent laryngeal nerves in 676 patients operated in the City Center of endocrine surgery and oncology of St. Petersburg for different diseases of the thyroid gland (TG) during the period from 01.01.2005 to 15.07.2006 mainly by one and the same surgeon. In the course of 696 operations 718 recurrent laryngeal nerves were detected, verified, separated in the neck from the subclavian area to the place of entering into the larynx, and photo-video documented. In 656 cases the disease of TG was primary, and in 40 cases--recurrent. The investigation performed allowed the development and use of reliable methods of prophylactics and treatment of recurrent laryngeal nerves injured in patients during operations for different diseases of TG, carcinoma of this organ included. The optimal places of detection and identification were determined as well as the ways of separation of these nerves from the surrounding tissues. The surgical anatomy of the recurrent laryngeal nerves in the neck was studied. The role, place and effectiveness of electrophysiological monitoring were established. The corrections introduced in the technique of thyroidectomies in 4110 patients resulted in lowered incidence of postoperative pareses of the laryngeal muscles from 0.91% to 0.56% during the period from 2001 to 2006. PMID- 18154100 TI - [Secondary hyperparathyroidism: incidence, clinical presentations, treatment]. AB - Prevalence of secondary hyperparathyroidism (SHPT) was studied in 235 patients treated by program hemodialysis. SHPT was diagnosed according to recommendations of K/DOQI Clinical Practice Guidelines with the parathyroid hormone (PTH) level higher than 300 pg/ml. In the beginning of replacement renal therapy with hemodialysis the secondary hyperparathyroidism of different degree was found in 145 patients (61.7%): mild form (PTH from 300 to 450 pg/ml) in 37.8%, medium (PTH from 450 to 1000 pg/ml) in 40.5%, severe (PTH more than 1000 pg/ml) in 21.7%. Normal indices of PTH were determined in 70 patients. In 20 patients the parathyroid hormone was less than 120 pg/ml and they had symptoms of adynamic disease of the bones. In the group of patients observed for 4 years (n = 80) the incidence of SHPT became less against the background of treatment from 60.0% to 37.0%. Relatively satisfactory results of conservative treatment can be explained by predominance of patients with less than 5 years of CRF. The therapy was more effective in patients with mild and medium forms of SHPT. In patients with severe SHPT (PTH more than 1000 pg/ml) the effect was partial and 77.0% of these patients needed surgical treatment. PMID- 18154101 TI - [An analysis of hospital mortality of casualties with combined cerebro-cranial traumas in St. Petersburg and problems of the quality of medical care]. AB - Clinico-statistical characterization of 661 subjects who died from combined cerebro-cranial traumas in hospitals of St. Petersburg in 2004 is presented with an analysis of the quality of medical care rendered to them. Most of those subjects had severe combined injuries with dominating or markedly seen signs of combined cerebro-cranial traumas. The main cause of death was most frequently a severe combined trauma of the body (52%) and different complications of trauma disease (36.3%). In the process of complex expert assessment of the quality of medical care each case was referred to one of three categories of outcomes: avoidable, conventionally avoidable and unavoidable. The groups of subjects with avoidable and conventionally avoidable outcomes (53.6%) are considered to be a substantial reserve for improvement of the results of treatment of combined cerebro-cranial traumas. PMID- 18154102 TI - [Surgical method in treatment of squamous cell carcinoma of the mouth cavity and oral part of the pharynx]. AB - Surgical method of treatment was used in 194 patients with tumors of the mouth cavity and oral part of the pharynx. Combined treatment (radiation therapy and operation in various combinations) was used in 110 of these patients and in 84 patients the treatment was complex (polychemotherapy + operation + postoperative course of radiation therapy). Comparative characterization of operations fulfilled on the initial focus has shown that the number of function-saving operations in the group of patients treated by complex methods was 86.9%, and in the group of patients treated by combined methods it was 70.9%. It can be explained by a higher degree of tumor regression under the influence of neo adjuvant polychemotherapy than under the action of preoperative course of radiation therapy as well as due to the development of a number of function saving operations which could be used in patients after a course of neo-adjuvant chemotherapy. PMID- 18154103 TI - [Transabdominal ultrtasonic investigation of the upper parts of the gastro intestinal tract in diagnostics of ulcer disease and decision on the strategy before and after surgery]. AB - The authors present an analysis of results of the diagnostics and treatment of 293 patients admitted to the Alexandrovskaya hospital of St. Petersburg in 1995 2005 for gastroduodenal ulcer, including 202 patients after operative treatment. The morpho-functional state of the upper parts of the gastro-intestinal tract was assessed by the method of transabdominal sonography of the stomach and duodenum with a convection transducer 5 MHz in on-line regimen. The informative value of the method corresponds to the reference diagnostics method, sensitivity of the method was 91%, specificity--95%. The ultrasound investigation of the stomach and duodenum is a highly efficient method of diagnostics of the morpho-functional state of the gastro-duodenal system giving a reliable interpretation of the local morphological and functional changes, ulcer disease included, corresponding to the efficiency of the reference diagnostics methods. The sonography allows a dynamic control of the treatment process, assessment of the alterations after surgery on the stomach and duodenum and decision on the exact surgical strategy. PMID- 18154104 TI - [Pseudocoronary syndrome in patients with gallbladder pathology]. AB - An analysis of 14 clinical observations of patients with a pseudocoronary variant of cholecystocardial syndrome against the background of acute cholecystitis and cholelithiasis was made. An incidence of the pseudocoronary syndrome in patients with the pathology in question was precisely estimated. A method of coding using the "Minnesota code" was used for the first time for the estimation of ECG in such category of patients. PMID- 18154105 TI - [Prosthesis of the anterior abdominal wall in treatment of gigantic ventral hernias]. AB - Radical operations for gigantic ventral hernias were performed on 75 patients using alloplasty with polypropylene gauze which were placed on the posterior leaves of the rectal abdominal muscle sheaths or by the method of sublay with a partial or complete suture of the hernia hilus. An original method of covering the prosthesis with a flap of the anterior wall of the rectal abdominal muscle is described. Complications after operation were noted in 9 (12%) patients. The follow-up period was from 1 to 5 years. Recurrent hernia was found in 1 patient (1.3%). PMID- 18154106 TI - [Nephrectomy by an endovideosurgical access]. AB - The results of nephrectomy for hydronephrosis and arteriolosclerotic kidney performed by open (30), laparoscopic (22) and lumboscopic (27) accesses were compared. The advantages of the endovideosurgical method of operation were statistically proved by the indices of invasiveness of surgery. No difference between the transperitoneal and retroperitoneal accesses in nephrectomy was found. PMID- 18154107 TI - [Improved technique of amputation of the femur]. AB - The author proposes an improved technique of amputation at the femur level. It consists in using the circular suture up to the intersection of the femur muscles for hemostasis and covering the bone stump, draining the stump through a special puncture in the posterior surface of the femur, and an intracutaneous absorbable suture. PMID- 18154108 TI - [The current state of the problem of incompetence of esophageal anastomoses after operations for cancer of the esophagus and esophago-gastric passage]. PMID- 18154109 TI - [On the choice of an adequate volume of operation on the lymphatic apparatus in lung cancer depending on the tumor localization]. PMID- 18154110 TI - [Potential of lignin application in development of new antitumor drugs]. PMID- 18154111 TI - [Infantile mortality from malignant tumors in Russia (1965-2005)]. PMID- 18154112 TI - [Properties of mammary fat in breast cancer patients: topographic, systemic and environmental factors]. AB - Breast cancer course may be influenced by a profile of steroids and peptides produced by mammary fat. The study was concerned with assessment of hormonal (leptin and adiponectin production, adipocyte diameter and aromatase level) and progenotoxic factors which characterize DNA damage (8-OHdG) and such cancer promoters as tumor necrosis (TNF-alpha), interleukin-6 (IL-6), nitric oxide (NO), thiobarbiturate reactive products (TRP), macrophage/histiocyte infiltration, estrogen 4-hydroxylase expression (CYP1B1) in mammary fat located 1.5-2 cm or not less than 5 cm away from tumor edge. Thirty-three pairs of mammary fat samples from 23 menopausal and 10 cycling patients were used. Closer proximity of mammary fat involved intensified biosynthesis of estrogens (as shown by aromatase level) and their conversion to catechol derivatives (as shown by CYP1B1 concentration) as well as accumulation of 8-OH-dG. Smoking and hyperglycemic patients and those with considerable mammary fat volume revealed accumulations of anti-inflammatory and progenotoxic cytokines (IL-6 or TNF-alpha). Hence, hormonal/progenotoxic ratio in mammary fat can be identified both by topographic, systemic and environmental factors. PMID- 18154113 TI - [Role of palliative surgery in complex treatment for disseminated breast cancer]. AB - An assessment was undertaken of survival and prognosis in 30 patients with primary disseminated breast tumors which disintegrated following palliative mastectomy carried out for sanitary purposes. That resulted in significant improvement in general condition, higher hemoglobulin and lowered intoxication which in turn made medication and radiotherapy possible: chemotherapy (4-6 cycles) followed by hormonal therapy (22-73.3%), hormonal therapy (8-26.7%), and radiotherapy for surgical scar (16-53.3%). All patients were followed up for 18 months (median--3.8 years). Tumor progression at different stages was detected in 12 (40%); local recurrences--8 out of them (26.7%). By the time of investigation, 9 (20%) out of 30, had died of tumor progression while 21 (80%) continued their treatment at the Institute's Clinic. Mean survival was 21.5 +/-2.2 months (median -19 (8-60+)). Our method proved effective due to high survival (median--18 months) and significant improvement in quality of life. However, visceral metastases (p = 0.02) and tumor growth duration (p = 0.05) were of prognostic significance. Such characteristics as presence or absence of estrogen and progesterone receptors of tumor, histological pattern, and anemia appeared insignificant, as far as prognosis was concerned. Function chi2 difference was highly significant (Cox) (p = 0.00013). PMID- 18154115 TI - [Extent of destructive changes in tumor parenchyma of breast cancer patients of various age]. AB - Extent of viable tumor parenchyma and necrotic tissue as well as grade of tumor cell apoptosis were assessed using histological samples from 377 patients with invasive ductal carcinoma of the breast. No preoperative chemo- or radiotherapy was given. Patients of varying age were examined for destructive changes in tumor nodes both in absence and presence of regional metastases. The highest viability was registered in patients aged 30-39 years. There was a reverse correlation between age, on the one hand, and extent of intact tumor parenchyma, on the other. Similarly, the same age group revealed relatively pronounced destructive changes such as necrosis and apoptosis which are generally characteristic of younger age. There was a significant relationship between extent of destructive changes and malignant anaplasia. PMID- 18154114 TI - [Immunohistochemical assay of cellular cycle markers: an alternative to chip diagnosis of breast cancer]. AB - A new method of evaluation of immunohistochemical markers of cellular cycle (K 67, topoisomerase-II-alpha, P21/wafl), adhesion molecules (E-cadherin, CD33v6), oncoprotein HER-2, and estrogen and progesterone receptors of tumor is presented. High-precision count of tumor cells, which express each marker, was carried out using serial paraffin sections and Leica CTR5000 morphometric station and Leica Quin Plus program, to identify tumor sensitivity to anthracyclines and taxanes. Proliferative potential, tumor sensitivity to key chemical drugs and prognosis were evaluated on the basis of the evidence obtained and, in particular, the role of the proteins under study played in cellular cycle. PMID- 18154116 TI - [Novel procedure for preoperative diagnosis of papillary thyroid carcinoma]. AB - Our study has shown that evaluation of marker genes SFTPB and TFF3 expression using fine needle aspiration biopsy of thyroid nodal alterations is an effective means of differential diagnosis of papillary thyroid carcinoma. When used on molecular level, it may detect the disease before clinical signs develop or ultrasound examination is carried out. PMID- 18154117 TI - [Regularities of relapse and metastasis of signet ring cell carcinoma of the stomach following combined and surgical treatment]. AB - Characteristics of recurrence and metastatic development of signet ring cell carcinoma of the stomach were studied in 59 cases after combined and surgical treatment. Peritoneal dissemination appeared to be the most frequent pattern of tumor progression. It accounted for 55% of all relapses and occurred in 27% of patients even without extension through serous membrane (pT2). Metastasizing through the lymphatic viae was fairly frequent mostly in cases of peritoneal carcinomatosis while blood flow-related dissemination was not. Subtotal resection in patients with early-stage signet ring cell carcinoma (pT1) was justified because local recurrences are extremely rare in that pathology. Since (pT2-4) stump relapse is fairly frequent (14-16%), the operation of choice was gastrectomy, whatever site of tumor. Regional metastasis recurrence was 20% among patients with relapsing tumor. It usually co-occurred with distant metastases and, therefore, was less clinically significant. However, when concomitant with local recurrence, it ruled out radical treatment. Preoperative radiotherapy was followed by a significant drop in regional metastasis recurrence rate (4.5 and 13.3%, p = 0.04). PMID- 18154118 TI - [Insulin-like factor of growth (IGFI), insulin-like growth factor binding protein 3 (IGFBP3) and transforming growth factor beta1 (TGF-beta1) in patients with locally-advanced and metastatic cancer of prostate]. AB - The paper deals with a study of growth factors in blood serum from patients with locally-advanced and metastatic cancer of prostate prior to treatment. Twelve months after diagnosis was made, the data were compared with the initial indices. Immunoenzymatic assay was used in combination with the existing standard procedures of examination of cancer patients. Data were compared with clinico morphological and serologic evidence on tumor process using medico-biological statistics. PMID- 18154119 TI - [Detection of genetic mutations in clinical specimens from cancer patients: comparison of NIRCA and SSCP scanning methods]. AB - Specimens of tumor with K-RAS mutations were used to compare SSCP and NIRCA efficiencies in screening long target regions for dispersed point mutations. K RAS mutations were detected in 5 out of 10 tumor tissue samples from colorectal cancer patients (in codon 12-4 and codon 13-1). Mutant alleles occurred most frequently in adenocarcinoma of the ascending colon and rectum. Both methods proved equally efficient. In certain situations, they may be combined or used as complementary. NIRCA is suitable for screening relatively long sequences (up to 1kb) while SSCP is less sophisticated, robust and allows for mutant bands to be extracted from polyacrylamide gel when required. PMID- 18154120 TI - [Lighting effect on spontaneous tumor development in female rats]. AB - The investigation is concerned with effects of lighting--12hr light/12hr dark (standard), natural lighting in the Russian North-West, constant illumination and light deprivation--on life span and spontaneous tumor development in female LIO rats. Constant and North-West lighting involved premature aging, shorter mean (13.5 and 25%) and maximum life span (by 9 and 7 months, respectively) and a significant increase in spontaneous tumor development rate as compared with standard lighting. Light deprivation resulted in a longer maximum life span and significant (2.1 times) drop in tumor incidence. PMID- 18154121 TI - [Effect of apolipoprotein A-1 containing steroid hormones on DNA and protein biosynthesis in cells of ascitic hepatoma HA-1]. AB - The rate of DNA and protein biosynthesis in murine hepatoma HA-1 was accelerated when steroid hormones, containing a reduced delta4,3-keto group in the A-ring, were used in combination with apolipoprotein A-1. That was demonstrated for apolipoprotein A-1 complexes with dehydroepiandrosterone, dehydroepiandrosterone sulfate and tetrahydrocortisol. Apolipoprotein A-1 complexes serve as a vehicle for steroids penetration into cells to influence protein biosynthesis. PMID- 18154122 TI - [Inhibition of tumor growth in rat liver induced by tumor-specific transfer factor]. AB - A transfer factor (TF) specific to antigens of Geren's carcinoma in rat was developed using an original model of intraorganic growth. Intravenous injection (1pg/g body) inhibited primary tumor node growth in the liver by 78% and blocked dissemination to peritoneal viscera. Its effect was due to an immunospecific component promoting antitumor immunological response. The latter presented as generation of cytotoxic effector cells, vascular disorders in tumor parenchyma thus blocking tumor cell proliferation. Possible applications of tumor-specific TF for biotherapy of cancer patients are discussed. PMID- 18154123 TI - [Means of improvement of surgical treatment for oropharyngeal planocellular carcinoma]. AB - A new technique of intraoperative bolus-assisted administration of chemical drugs for oropharyngeal carcinoma has been developed. In tongue tumor, the lingual artery was ligated at the site of origin from the external carotid artery and catheter was installed after venous flow was blocked. Bolus was used to administer 5-fluorouracyl intraoperatively before and after removal of primary tumor. The external carotid artery was ligated at a site above the origin of the upper thyroid artery after venous flow was blocked and paracervical fat excised when tumor site was at the back of the oral cavity, oropharynx or in cases of locally advanced cancer. Subsequently, depending on tumor site, catheter was installed into the external carotid artery trunk at a site below the origin of the lingual artery, the external carotid artery was ligated once more at a site above the origin of the facial artery, and bolus was used to administer 5 fluorouracyl intraoperatively before and after removal of primary tumor. According to the end results, relapse occurred after 28 months instead of 12 and survival improved within the first 2 years after surgery. PMID- 18154124 TI - [Effectiveness of different regimes of combined treatment (cisplatin+ radiotherapy) for intraoral and oropharyngeal cancer]. AB - Three regimes of combined treatment for intraoral and oropharyngeal cancer were compared. In group A, cisplatin 6 mg/m2 was given intravenously, daily; group B- 40 mg/m2, weekly; group C--100 mg/m2, once in 3 weeks. All patients simultaneously received distant radiation therapy in a standard fractionated dose of 2 Gy per fraction, 5 times a week, up to TTD of 68-70 Gy. Among relatively frequent side-effects were granulocytopenia, asthenia and stomatitis. Overall immediate effectiveness was: group A--100%, group B--96% and group C--100%. The rates of complete tumor resorption were: group A--27.3%, group B--19.2% and group C--16.7%. PMID- 18154125 TI - [Treatment for locally-advanced rectal cancer]. PMID- 18154126 TI - [Local ultrasound hyperthermia as a component of radiotherapy for osteogenic sarcoma of tubular bones in children and adolescents]. AB - An evaluation of the end results of combined treatment for osteogenic sarcoma by standard chemoradiotherapy (n = 66) and novel thermochemical therapy (n = 108) using local ultrasound hyperthermia (total number--174) demonstrated their dependence on the temperature range in target tumor tissues. Use of subhypertemperatures of 39--41-45 deg.C (TTD--36 Gy) did not improve the results of treatment. However, 41-45 deg.C (TTD--36 Gy) was followed by a significant increase in 3- and 5-year survival and improved quality of life in cured patients as compared with those receiving standard radiotherapy (TTD--60-110 Gy). Hyperthermic therapeutic effect in osteogenic sarcoma depends on certain conditions. Effective temperatures can generally be reached in patients with relatively large-size tumors and rather thin coats of subcutaneous fat. PMID- 18154127 TI - [Dicarbamin--an effective protector of myelodepression in combined treatment for Hodgkin's disease]. AB - Clinical trials were carried out of the protective action of dicarbamin in 33 patients with Hodgkin's disease (13 males and 20 females, average age--31 years). They received standard chemotherapy ABVD (doxorubicin--25 mg/m2, bleomycin--10 mg/m2, vinblastine--6 mg/m2, dacarbazine--375 mg/m2, intravenously, on days 1 and 15 of each cycle, every 4 weeks. Patients suffering neutropenia after the first injection of the cytostatic drugs were given dicarbamin 100 mg/day on day 5 before a second administration. Treatment with dicarbamin continued for 15 days. Its protective effect was reported in 27 patients (81.8%). Leukocyte and granulocyte count before dicarbamin was 3.74 +/- 0.25 x 10(9)/l and 1.42 +/- 0.17 x 10(9)/l, respectively. On completion of the polychemotherapeutic cycle, the indices rose to 5.0 +/- 0.28 x 10(9)/13 and 2.49 +/- 0.25 x 10(9)/l, respectively. The beneficial effect of dicarbamin was also demonstrated by a quick recovery of leukocyte levels than in controls (p > 0.5). After the next cycle of polychemotherapy (ABVD) plus dicarbamin was given for Hodgkin's disease and grade III-IV leuko- and granulocytopenia, leukocyte and granulocyte concentrations returned back to normal which indicated the protective action of dicarbamin. PMID- 18154128 TI - [Continuous influx of newly transformed cells as a source of tumor clonal heterogeneity]. PMID- 18154129 TI - [Pulmonary epitheloid hemangioendothelioma]. PMID- 18154130 TI - [Analysis of reticulocytes: manual microscopy, flow analyzers or image analyzers? (analytical review)]. AB - Three procedures for determining the quantity and composition of reticulocytes (visual analysis during manual microscopy; flow cytometry, semi-automatic analysis using a computerized microscopy unit) are compared. The errors characteristics for each procedure and the reasons why manual analysis still remains most used are discussed. The paper points out that it is impossible to draw a conclusion on the accuracy of the procedures, by using the values of the correlation coefficient. Evidence is provided for the thesis that the statistical accuracy may be achieved only when the image analyzer of a computerized microscopy unit is employed, therefore this procedure is recommended for use as a reference one. The characteristics of a procedure for analyzing reticulocytes by means of a MEKOS-Ts2 computerized microscopy unit are presented. PMID- 18154131 TI - [Plasma dehydratation self-organization in patients with coronary heart]. AB - The functional morphology of biological fluids is a basically new branch of science, which is based on the study of a result of phase change processes in the substrate under study. The paper shows the specific features of plasma spatial organization in patients with chronic and acute coronary heart disease (CHD). The findings may be used as an additional criterion for the differential diagnosis of the above forms of CHD and open up a new line in the diagnosis and risk stratification in CHD patients. PMID- 18154132 TI - [Erythrocytes: structure, functions, clinical diagnostic value (a lecture)]. PMID- 18154133 TI - [Microflora formation in the newborn in maternity hospitals and neonatal abnormality units]. AB - The basic sources of pyoseptic infection pathogens are infected and colonized neonatal infants in maternity hospitals. Microbiological monitoring revealed the specific features of biocenosis formation in the newborn in the "Mother and Baby" units, resuscitative departments (RD), intensive care units, and neonatal abnormality departments (NAD). Irrespective of the conditions of hospital stay, methicillin-resistant S. epidermis (MRSE) and Enterococcus faecium were prevalent in the neonatal microbial landscape. Colonization with the normal flora in the newborn actively treated with antibiotics is difficult in RD, at the same time there is a significant infection with the mycotic flora. Broad-spectrum beta lactamase producing Klebsiela pneumonia strains have received wide acceptance in NAD. PMID- 18154135 TI - [Normal ranges and accuracy of laboratory analyses]. AB - For many reasons, it is impossible to make a distinction between the laboratory indices of health and disease (to establish the normal ranges); there is always an uncertainty portion wherein the result of an analysis allows the conclusion to be made only with a definitive probability. The real uncertainty (i.e. inaccuracy) of an analysis extends this portion. The generally recognized recommendations on blood glucose and cholesterol should be taken as a model, which identifies three zones: 1) health; 2) disease; and 3) intermediate one when well-being cannot be stated, but a significant disease is absent. The uncertainty of the result of analysis is best assessed by the statistical shift scattering method that characterizes the wide spectrum of not only analytical, but also some preanalytical errors. The ranges of normal values (a reference interval) established by a traditional population-based study may be taken only as interim ones, by introducing the half-width intermediate zone of one shift scatter. PMID- 18154136 TI - [Metabolic syndrome as a precursor of diabetes mellitus type 2 and cardiovascular diseases]. PMID- 18154137 TI - [Metabolic syndrome in patients with gastrointestinal diseases]. AB - AIM: To study gastrointestinal pathology in patients with metabolic syndrome (MS). MATERIAL AND METHODS: The examination of 536 patients with MS and gastrointestinal diseases included clinical tests, biochemical hepatic tests, determination of blood lipid spectrum, x-ray of the esophagus, stomach, duodenum, colon, esophagogastroduodenoscopy, ultrasonic investigation of the liver, gall bladder and pancreas. 56 patients have undergone puncture biopsy of the liver. RESULTS: Esophageal, hepatic and biliary, pancreatic, colon diseases were detected in 72, 64, 18 and 74%, respectively. Clinical manifestations of these associated diseases had no definite symptoms and were characterized by cross-over syndromes. CONCLUSION: MS patients with gastrointestinal diseases showed polymorbidity. Treatment of the above diseases should be supplemented with drug correction of MS. PMID- 18154138 TI - [Metabolic syndrome and a course of osteoarthrosis]. AB - AIM: To compare osteoarthritis (OA) course in patients with metabolic syndrome (MS) and those free of MS. MATERIAL AND METHODS: The presence and completeness of MS according to 2005 criteria were studied in 1350 OA patients (mean age 52.65 +/ 11.31 years). Most of the patients were women (74%) and persons over 45 years of age (80%). RESULTS: MS was detected in 82.3% examinees with OA. MS was complete in 62.56%. MS-free OA was separately comorbid with arterial hypertension, obesity and diabetes mellitus. OA patients with MS had earlier clinical symptoms of OA, its longer duration, prevalence of generalized disease, more frequent development of knee joint synovitis and periarthritis, more intensive pain in the joints. OA patients with MS were more frequently affected with cardiovascular, gastrointestinal, renal and thyroid diseases, diabetes mellitus and complications of these diseases. This resulted in 2.5 times greater nosological load on the patients. 20% patients with OA were declared invalid, most of them (266, 90.17%) had MS. CONCLUSION: Relationship of OA symptoms with metabolic factors may point to participation of the latter in the development and progression of OA. PMID- 18154139 TI - [Metabolic syndrome and erectile dysfunction]. AB - AIM: To study aspects of erectile dysfunction (ED) pathogenesis in patients with metabolic syndrome (MS) and its diagnosis. MATERIAL AND METHODS: Epidemiology of ED in MS patients was studied by determination of MS prevalence among patients with organic ED (MS diagnosis according to NCEP/ATP III criteria), questionnaire assessment of erectile function in MS patients observed by the cardiologist or therapist. ED patients with MS (n = 385) entered the study group. Patients with organic ED free of MS (n = 210) entered the control group. A complex andrologic examination was made to analyse vascular, neurological and hormonal disorders. RESULTS: About 46.4% patients with organic ED had clinical symptoms of MS while 57.02% patients with MS had ED. In the study group ED arose earlier than in the controls (43.46 +/- 9.87 and 50.38 +/- 13.35 years, respectively; p < 0.05) and stood longer (6.36 +/- 4.13 and 3.55 +/- 3.27 years; p < 0.05). From the study group half of the patients had severe ED. Among the controls cases of severe ED were 2 times less frequent. ED in MS was primarily of arteriogenic nature. Blood androgens levels were subnormal in 36.36% patients, neurogenic disorders occurred in 42.2% cases. Endothelial dysfunction was a leading pathogenetic mechanism of ED development in MS. CONCLUSION: MS patients often have ED. The presence of MS entails a severe course and earlier onset of ED. PMID- 18154140 TI - [A comparative analysis of normodipin and spirapril effects on intravascular activity of platelets in patients with metabolic syndrome]. AB - AIM: To study effects of two hypotensive drugs--normodipin and spirapril--on intravascular activity of platelets in patients with metabolic syndrome (MS). MATERIAL AND METHODS: Normodipin was given to 25 patients with MS for 3 months, spirapril--to 20 patients for 3 months. The effect was evaluated by changes in lipid peroxidation in plasm and platelets, antioxidant defense of liquid blood and platelets, intravascular activity of platelets. RESULTS: Administration of normodipin in MS patients had a positive effect on lipid peroxidation and normalized intravascular activity of platelets. Such pronounced positive effects on lipid peroxidation of plasm and platelets as well as on intravascular activity of the latter were not registered after use of spirapril. CONCLUSION: Optimization of platelet function in MS patients can be achieved with long-term normodipin treatment. PMID- 18154141 TI - [Obesity in adolescents. Results of Russian epidemiological trial]. AB - AIM: To study prevalence of overweight and obesity among Russian 12-17 year-olds. MATERIAL AND METHODS; A total of 11977 adolescents (forms 6-11) from schools randomly selected for one-stage trial were examined. The protocol included filling in questionnaires, measurements of body mass, height, waste circumference. Overweight and obesity were verified by international BMI criteria regarding age and gender. Statistic processing was made with SPSS program package. RESULTS: The analysis covered 10223 questionnaires (46.5% boys, 53.5% girls). Overweight was registered in 11.8%. Of them, 2.3% had obesity. Overall incidence of overweight and obesity in Russia among 12-17-year-old girls is 7.7 and 1.6%, among boys 8.7 and 2.5% cases, respectively. Both in girls and boys overweight is maximal in 12-13 years (15.5-12.1%), it goes down to 7.7% to 17 years. Obesity at the age of 12 years is recorded in 3.1% adolescents, at the age of 17 years--in 1.4%. CONCLUSION: Sedentary life style and improper nutrition are leading causes of obesity in adolescence. PMID- 18154142 TI - [Obesity and bronchial asthma: new insight (review)]. PMID- 18154143 TI - [Xenical--a modern perspective drug for the treatment of obesity (review)]. PMID- 18154144 TI - [Metabolic and hemodynamic effects of combined treatment with metformine and rosiglitasone (avandium) in patients with diabetes mellitus type 2 and high cardiovascular risk]. AB - AIM: To study efficiacy of 24-week combined therapy with metformin and rosiglitasone in correction of metabolic parameters, blood pressure and total cardiovascular risk in patients with diabetes mellitus type 2. MATERIAL AND METHODS: Blood pressure, body mass, glycemia and blood lipids, hyperinsulinemia, fat mass were studied in 30 patients with diabetes mellitus type 2 and hypertension on metformine treatment in a dose 1500 mg/day. When they entered the trial, metformine treatment was combined with rosiglitasone in a dose 4 mg/day. The combined treatment continued for 24 weeks. RESULTS: The above combination significantly improved carbohydrate and lipid metabolism. The levels of fasting and postprandial glycemia, glycosylated hemoglobin, insulin resistance index significantly reduced. Both total and visceral fat tissue mass diminished. Improvement was seen in 24-h blood pressure monitoring data and intracardiac hemodynamics. Total cardiovascular risk decreased by three scales. Side effects were not registered. CONCLUSION: Combined use of metformine and rosiglitasone in patients with diabetes type 2 is pathogenetically sound, highly effective and safe. PMID- 18154145 TI - [Current status of problems in prevention and treatment of diabetes mellitus (review)]. PMID- 18154146 TI - [Correction of cardiovascular pathology in men with age-dependent androgen deficiency (review)]. PMID- 18154147 TI - [Chronic low cardiac output and depression (review)]. PMID- 18154148 TI - [Somatogenic and somatogenically provoked psychoses in hematologic malignancies. Typology and therapy of somatogenic psychoses in hematologic malignancies]. AB - AIM: To specify clinical typology and develop therapeutic approaches to somatogenic psychoses (SP) in hematologic malignancy (HM). MATERIAL AND METHODS: Clinical assessment was made in 118 patients with SP corresponding to diagnostic rubric F05 or F06 in International Disease Classification 10. RESULTS: Three types of SP in HM were identified: delirium (n = 73, 61.9%), aberration and somatogenically provoked attacks of schizophrenia (n = 7, 5.9%). Clinical picture and conditions of the above diseases onset in HM patients are described. Delirium developing in HM is characterized by subclinical psychoses, endogenomorphic psychoses. Endogenomorphic psychoses in the sample were represented by hallucinative-paranoid and depressive- delirious psychoses. CONCLUSION: SP classification proposed directly influences the choice of treatment methods. Psychotropic drugs with known clinical activity with wide-spectrum therapeutic action are effective in the above patients. PMID- 18154149 TI - [Chronic prostatitis--risk factor in development of prostatic cancer (review)]. PMID- 18154150 TI - [Combination of two forms of chronic leukemia and solid tumor in one patient]. PMID- 18154151 TI - [Two cases of histiocytosis X of the lungs]. PMID- 18154152 TI - [Clinico-epidemiological characteristics of elderly patients with cardiovascular diseases comorbid with depression (results of a multicenter prospective trial COORDINATA)]. PMID- 18154153 TI - [Subvalvular stenosis of the pulmonary artery--congenital valvular disease or cardiomyopathy?]. PMID- 18154154 TI - [High risk arterial hypertension: the role of angiotensin II receptor blockers]. PMID- 18154155 TI - [Anticoagulants of indirect action in therapeutic practice]. PMID- 18154156 TI - [Perspective look of dividual medical divisional battalion]. PMID- 18154157 TI - [Investigation of possibility of personal determination of human race type on the base anthropological data (According to the materials from Northern Eurasia)]. AB - The article presents different methods and the technology of individual prognostication of anthropological variants of a person (big race, small race, anthropological type) with utilization frequencies of finding of different anthropological signs. It's expediently to range the basic rules of diagnostics of anthropological variant according to hierarchic principle. At first the individual diagnostics is conducted as regards to big anthropological subdivisions, usually to big races, occupying great geographical areas. Then the system of basic rules is used, developed specially for this area. This system permits to attribute a person to different divided anthropological subdivisions- small races, regional anthropological types and etc. The authors made a conclusion about the probability and possibility of using developed methods and the technology for diagnostics of anthropological type for person's determination. PMID- 18154158 TI - [New agent of prophylaxis of foot mycosis of servicemen]. PMID- 18154159 TI - [Medicinal and diagnostic laparoscopy in conditions of appendicitis]. AB - The article presents the results of analyze of diagnostic laparoscopy on the example of 1028 patients with clinical characters of appendicitis, diagnosis of 682 patients (66.3%) is conformed. 667 patients (99.3%) had transformation of laparoscopy from diagnostic to medicinal. Postoperative prearranged sanitational laparoscopy was conducted with 28 patients (4.5%), including 1 time--21 patients, 2 times--6 patients, 3 times--patient. 24 patients had different complications (intraperitoneal hemorrhage, commissural and paralytic terminal ileuses, abscesses and infiltrates of abdominal cavity, infiltrates of anterior abdominal wall, subcutaneous eventration of small intestinal loop). There were no lethal outcomes. Average day in a hospital in conditions of acute appendicitis is 4.2 day, in conditions of chronic appendicitis--3.1 day. PMID- 18154160 TI - [Experience of clinical using of new litostripper during the treatment of ureteral calculus]. PMID- 18154161 TI - [Antibacterial therapy of out-hospital pneumonia in military prophylaxis-treat-29 ment institutions and hospitals]. PMID- 18154162 TI - [Discussable questions of non-typical endoscopical papillothomiya]. AB - The article is dedicated to non-typical methods of operation of endoscopical papillothomiya. The article presents the history of elaboration of different methods of non-typical endoscopical papillothomiya, the results of analyze of data from the literature with a survey of discussable items about the necessity, effectiveness and safety of non-typical methods of endocsopical papillothomiya. The authors offered the classification of these methods, defined the conditions of using and gave the data of their own researches of effectiveness and frequency of complications during the process of operation of endoscopical papillothomiya by non-typical methods. PMID- 18154163 TI - [Valuation of myocardial disfunction, of life quality and survival value of patients chronic heart weakness, in dependence of order of constant electrocardiostimulation]. PMID- 18154164 TI - [Modern problems of therapy of urogenital trichomoniasis]. PMID- 18154165 TI - [Using of computer electroencephalography during the examination of sufferers from explosive hurts]. PMID- 18154166 TI - [Experience of using of food additive "Nutricon" for the correction of lipidic metabolism of air staff in 55 condition of military hospital]. PMID- 18154167 TI - [State of juridical base of the system of medical supply and problems of it's actualization]. PMID- 18154168 TI - [Results and success of common work of medical service Armed Forces of RF and native industry]. PMID- 18154169 TI - [Contribution of "Military-Medical magazine" in medical support of Red Army during the Great Patriotic War (up to celebration of 185th anniversary of the magazine)]. PMID- 18154170 TI - [Historical aspects of organization of medical support of Red Army during the period end of 1920-beginning of 1930 years]. PMID- 18154171 TI - [Arterial hypertension in extreme situations]. AB - Wartime arterial hypertension (AH) is AH that debuts or changes its character under the influence of specific wartime factors or military labor. The features of wartime AH were determined. They included the following: AH incidence during war grows; AH incidence in the battlefront servicemen is higher than in those who serve on the home front; there is a direct correlation between AH prevalence and how often the person participates in the battles; the patients are relatively young. Acute AH forms usually debuted as a result of extremely strong of lingering stressful factors. Acute AH development was characteristic of subjects having family predisposition to hypertensive reactions. The clinical picture of acute AH had features of a hypertensive crisis, frequent complications of which were acute cardiac insufficiency and/or acute hypertensive encephalopathy, which required urgent medical aid. AH was resistant to pharmacotherapy. Further on, high AH level remained, crises occurred, and lesions of target organs progressed. The features of AH in military operators were characterized by medium, high, and very high risk of complications. II and III degrees of AH prevailed. The main risk factors in patients with workplace arterial hypertension (WAH), in addition to emotional tension, often were smoking, family background, hyperlipidemia, excessive body weight (metabolic syndrome). In 87% of patients with WPAH behavioral type A was revealed, mostly with medium or prominent elevation of the level of personal, reactive, and total anxiety. Persons with prognostically unfavorable 24-hour profiles of BP--non-dippers and night-peakers--prevailed (p < 0.001). Imidazoline receptor agonists (moxonidine) in patients with WAH normalized BP level. Twenty-four-hour BP profiles became normal in 90% of the WAP patients. Positive antihypertensive effects of moxonidine in patients with WAP become clear after 12 weeks of drug application; the psychological status becomes normal too. PMID- 18154172 TI - [Low blood bilirubin level: possible diagnostic and prognostic importance]. AB - The review deals with the problem of a possible physiological role of bilirubin as an endogenous anti-oxidant. The author considers low blood bilirubin level to be a risk factor of coronary artery disease (CAD) as well as a phenomenon observed in seasonal depression, diseases accompanied by non-hemolytic anemia etc. Mean bilirubin level in blood in such cases is within a narrow interval, between 0 and 10 mcmol/l. Circulating bilirubin is considered to protect human tissues from peroxidation of organic compounds, lipids first of all. Mechanisms that give rise to this phenomenon are probably diverse and not well-studied yet. Processes of the formation of free oxygen and peroxide radicals are known to take place in numerous pathological conditions. Low bilirubin level in blood may prove to be a significant marker for the evaluation of the general anti-oxidant status of the human organism. This parameter may, alone or in combination with other factors, make it possible to distinguish individuals with a risk of CAD as well as to predict the appearance or peculiarities of certain diseases. PMID- 18154173 TI - [Irritable bowel syndrome: current state of the problem and perspectives]. AB - The review presents generalized results of studied conducted by Russian and foreign researchers during the last years and dedicated to the problem of the etiology, pathogenesis, clinical manifestations, diagnostics, and principles of treatment of patients with irritated bowel syndrome (IBS), based upon Roman criteria I to 111 (1994-2006); disputable issues of the nosology and terminology are discussed; the substantiation of the use of pharmaceuticals belonging to different groups for treatment of IBS is adduced. PMID- 18154174 TI - [Long-term consequences of external gamma-radiation according to the results of the observation of the personnel of the first atomic power plant in the country]. AB - The authors present a brief review of the results of many-year research into the clinical effects, consequences, and outcomes of occupational external gamma radiation in a wide dose range. Chronic external gamma-radiation does not cause radiation-induced effects when it does not exceed the limit of the yearly dose for personnel. Tendency for cytopenia in peripheral blood (leukothrombocytopenia) appears when the maximum yearly dose is not less than 25 to 50. The conventional threshold for the development of chronic radiation disease is a maximum yearly dose of 0.73 Gy, and total (accumulated) dose of 1.43 Gy. Long-term consequences of exposure to high-dose radiation are incomplete recovery of the hemopoietic system (moderate general bone marrow hypoplasia or partial hypoplasia of granulocytopoiesis), compensated at the level of the organism, as well as a defect in the reestablishment of cell-mediated immunity in cases of high power of radiation (more than 2.5 Gy per year) and high accumulated dose (more than 4.5 Gy). Consequences of acute radiation disease were radiation-induced cataracts (a dose of not less than 4 Gy), and incomplete reestablishment of hemopoietic system according to myelograms, in sole cases. The indicator of the fact that an exposure to radiation took place is an elevated frequency of stable chromosomal aberrations in immunocompetent cells--lymphocytes--even after 45 to 50 years after the contact was discontinued. Local dermal lesions, the range and severity of which depend on the degree of the lesion in the acute period, remain long after local radiation exposures. PMID- 18154175 TI - [Parameters of 24-hour blood pressure monitoring, and cardiovascular remodeling in patients with primary arterial hypertension]. AB - The aim of the investigation was to study correlations between 24-hour blood pressure (BP) values and structural and functional remodeling of the cardiovascular system in patients with primary arterial hypertension (AH), in men and women separately. The subjects of the study were 158 patients with primary AH aged 39 to 68 years, including 84 males and 74 females. Twenty-four hour BP monitoring, two-dimensional Doppler echo CG, and duplex scanning of the carotids were performed. Linear correlation was used for statistical analysis. The data evidence a correlation between average 24-hour BP (ABP), one the one hand, and ABP time index, interventricular septum thickness (IVST), posterior left ventricular wall thickness (PLVT), and carotid intima-media complex thickness (CIMTC), on the other, in women. There was a reverse correlation between pulse BP and ejection fraction (EF), and a direct one with parameters of heart and vascular remodeling, such as IVST, PLVT, LV myocardial mass (MM), LVMM index, and IMTC in women. In men, changes in such 24-hour BP parameters, as BP variability and the degree of nocturnal BP decrease, leads to earlier myocardial remodeling with a decrease in contractility vs. women. PMID- 18154176 TI - [The influence of intracardiac asynchronism on the clinical course of chronic cardiac insufficiency]. AB - Intracardiac asynchronism presents systolic and/or diastolic dyscoordination in different myocardial areas within one and/or between different cardiac chambers. QRS complex widening is the marker of electric asynchronism. In 1/3 of patients with chronic cardiac insufficiency (CCI), the width of QRS complex is more than 120 msec. sixty-five CCI patients (56 men aged 63.7 +/- 7.3 years and 9 women aged 66.8 +/- 8.2 years) were divided into two groups: the group with a wide QRS (more than 120 msec) and the group with a narrow QRS (less than 120 msec), 30 and 35 patients, respectively. In the group with a wide QRS, 96.6% of patients suffered from clinically significant CCI (functional class III to IV); in the other group it was observed in 65.7% of patients. The patients were observed during three years. CCI dynamics was evaluated, quality of life was assessed using the Russian version of SF questionnaire, and three-year survival rate was assessed by Kaplan-Meyer method. The presence of electric asynchronism in a form of a wide QRS complex promotes CCI progression, accompanied by CCI functional class deterioration as well as clinical worsening and decreased physical exercise tolerance according to 6-min walking test. The frequency of seeking medical aid was significantly higher among patients with a wide QRS complex. PMID- 18154177 TI - [The condition of pulmonary protective functions in patients with pneumonia accompanied by chronic viral hepatitis B]. AB - Two groups of patients with pneumonia were observed: the main group consisted of patients with pneumonia accompanied by chronic viral hepatitis B (CVHB), and the control group contained patients without CVHB. Main group patients displayed higher activity of lysosomal and redox enzymes, as well as imbalance in the proteinase-inhibitory system and bronchial lavage phospholipid spectrum. Concomitant CVHB impaired the protective function of the lungs and thus delayed the resolution of pneumonia. PMID- 18154178 TI - [Melatonin production in thrombocytes and their functional activity in patients with aspirin asthma]. AB - The aim of the investigation was to study melatonin production in thrombocytes and their functional activity in correlation with 6-sulfatoximelatonin (6-SOM) urinary excretion in patients with aspirin-induced bronchial asthma (AIBA). Forty three patients with bronchial asthma (BA) were examined. The main group consisted of 26 AIBA patients; the comparison group consisted of 17 BA patients with no intolerance to aspirin or other non-steroidal anti-inflammatory drugs; 30 practically healthy individuals constituted the control group. The study found no melatonin production in thrombocytes of AIBA patients: only 13.0 +/- 1.3% of platelets expressed melatonin, while in healthy people 97.7 +/- 0.6% of the cells did. Besides, daytime urinary excretion of 6-SOM, the main melatonin metabolite, was lower in AIBA patients. Lower daytime and higher nighttime melatonin production in AIBA patients correlated with the acceleration of the 1st phase and increased intensity of thrombocyte aggregation, which evidences high thrombocyte reactivity to the inducing agent. The presence of a pathologic reaction of thrombocytes to exogenous melatonin, manifesting by changes in the 1st stage of aggregation, suggests the presence of pathology in thrombocyte membrane-receptor complex and the calcium homeostasis of the cell, which determines constant activation and the participation of thrombocytes in the development of asthmatic syndrome. PMID- 18154179 TI - [The state of the intestinal microflora of patients with chronic obstructive pulmonary disease and obesity]. AB - The aim of the study was to reveal the epidemiological features of disturbances in the intestinal microflora of patients with chronic obstructive pulmonary disease suffering from excessive body weight (BW) or obesity. One hundred and fourteen COPD patients were examined. The diagnosis and the degree of severity were established according to GOLD program (2003) criteria. The COPD patients were distributed into three groups according to body mass index (BMI) (WHO classification, 1997): group I consisted of 36 patients with normal BW (a BMI of 19 to 25 kg/m2); group 2 consisted of 30 patients with excessive BW (a BMI of 25 to 29.9 kg/m2; 48 obese patients (a BMI of more than 30 kg/m2) constituted group 3. Changes in the intestinal microbiocenosis were found in most of the COPD patients; stages I and II of microbiological disturbances prevailed. Obesity, in addition to the severity of the degree and its phase, was a risk factor, determining the character and degree of disturbances in the intestinal microflora. The severity of dysbiotic intestinal changes was proportional to the degree of obesity. PMID- 18154180 TI - [Chronic venous insufficiency. Pathogenesis and modern diagnostic possibilities]. AB - Ultrasound angioscanning is one of modern highly effective diagnostic techniques in trophic lesion stage of varicose disease. This technique allows for reliable determination of the levels and character of pathological venous refluxes, having significant impact on the course of the disease and leading to chronic venous insufficiency (CVI). The authors revealed the leading role of profound venous valvular insufficiency in the progress of CVI, stressing the necessity for its correction. They point out to the causes of low horizontal venous-venous refluxes and valvular insufficiency of gastrocnemius muscle-venous sinuses leading to isolated insufficiency in the distal segments of posterior tibial veins, which intensifies CVI progress at the account of disturbances in the functioning of tibial muscular-venous pump. PMID- 18154181 TI - [Specifics of apoptotic activity and expression of regulatory molecules (Ki-67, Bcl-2) of gastric mucosal epitheliocytes, in the process of Correa's cascade]. AB - The subjects of the study were 104 patients with Helicobacter pylori (HP) associated gastric pathology, including 30 patients with gastric ulcer (GU), 30 patients with chronic atrophic gastritis (CAG), 20 patients with CAG plus adenomatous polyps (AP), and 24 patients with gastric cancer (GC). All the subjects were examined dynamically; the comparison group consisted of 12 practically healthy people. The study revealed that GU, CAG, AP, and GC were consequent stages of gastric mucosal epithelial cell regeneration disorder which manifested by the fact that the apoptotic activity of these cells was lower than their proliferation rate, and this difference grew with time; the reflection of this was the growth of Ki-67 and Bcl-2 expression. HP eradication improved the process of cell regeneration. Epithelial cell apoptosis/proliferation ratio tended to normalize, which suggests that the processes of mucosal atrophy and metaplasia, and initial signs of gastric mucosal dysplasia in patients with HP associated pathology may be reversible. PMID- 18154182 TI - [Clinical significance of the functional and structural changes in the intestines in chronic cholecystitis]. AB - The aim of the study was to determine the clinical significance of intestinal functional and structural alterations in biliary pathology. Clinical, endoscopic, morphological, and morphometric methods were used. The subjects of the study were 62 patients with functional gall bladder disorder, 90 patients with chronic calculous cholecystitis, and 90 patients who had undergone cholecystectomy for cholelithiasis. The study found that biliary lithogenesis was associated with intestinal dysbiosis, changes in the qualitative density of erythrocytes immunopositive to motilin and substance P, and inflammatory changes in the intestines. After cholecystectomy, changes in intestinal microecology progressed, inflammatory and atrophic changes in the intestinal mucosa appeared or deepened, the qualitative density of erythrocytes immunopositive to motilin and substance P decreased, and colon polyps appeared more frequently. PMID- 18154183 TI - [Improvement of extracorporeal shockwave cholelithotripsy in the comprehensive treatment of cholelithiasis]. AB - The method of shockwave distant lithotripsy (DL) has been used since 1985. However, many facets of this problem have not been solved yet, because large fragments of the stone remain after its destruction, and focused shock waves (FSW) damage the gallbladder (GB). The aim of this study was to determine possibilities of effective distant destruction of gall stones, to reveal negative consequences of the effects of FSW on the gallbladder (GB) and the surrounding tissues, as well as development and perfection of DL technique. The established parameters of FSW were used to develop the new Lithotriptor Compact. By now, 53 patients with cholelithiasis aged 18 to 55 have been treated by DC. The procedure was performed without general anesthesia. A thousand to 3500 shockwave impulses were applied to each stone. All patients had received litholytic therapy and treatment directed towards metabolic normalization, the functional state of the GB, and prevention of recurrent stone formation, prior to DL. In total, 116 DL sessions (2.2 sessions per a patient) were performed. A positive effect as a result of the complex treatment of cholelithiasis using DL method was achieved in 47 (88.7%) of the patients. There were no complications. In 3 patients (5.7%) recurrence of gallstones was found two years after DL sessions. Correctly selected parameters of FSW and DL technology allow for effective destruction of GB stones, while conservative therapy favors their passage through the biliary tract and fast litholysis of remaining stone fragments. PMID- 18154184 TI - [The character and structure of infectious complications in patients with chronic renal failure, who received or did not receive replacement therapy (hemodialysis)]. AB - The subjects of the study were 176 patients with chronic renal failure (CRF) (101 men; 75 women) aged 17 to 81. Stage I CRF was found in 46 patients, stage II CRF- in 69 patients, and stage III CRF--in 61 patients. Thirty-one patients with stage III CRF received program hemodialysis. Chronic glomerulonephritis was the main cause of CRF. With the progress of CRF, the frequency of infectious complications grew up to 2.2% in stage I, 7.2% in stage II, and 36.1% in stage III. The rate of infectious complications was higher in patients on program dialysis vs. patients without it: 51.6 and 20%, respectively. Pneumonia was the most frequent complication regardless CRF stage. PMID- 18154185 TI - [The evaluation of cardiovascular risk in postmenopausal women with osteopenia]. AB - The purpose of the study was to evaluate the prevalence of the most important cardiovascular risk factors in postmenopausal women in correlation with bone mineral density (BMD). A hundred and fifty postmenopausal women were included in a case control study. The subjects were distributed into three equal groups: normal bone mass; osteopenia; non-complicated osteoporosis. BMD was measured with lumbar double-energy X-ray absorptiometry. Cardiovascular risk factors were assessed. The level of triglycerides was significantly higher in patients with osteoporosis vs. subjects with normal BMD. Arterial hypertension and a 10-year fatal risk of more than 0% were significantly more prevalent in the group with normal BMD. Osteoporosis presents an independent cardiovascular risk factor. Postmenopausal women with decreased BMD should be considered to have a higher risk of cardiovascular events, because standard risk scales do not take BMD into account. PMID- 18154186 TI - [The evaluation of the gastroprotective effect of sucralfate in Helicobacter pylori-associated gastric ulcer]. AB - The purpose of the investigation was to study the effects of sucralfate on the biochemical composition as well as the anti-radicals and antioxidative activity (ARA; AOA) of the gastric supra-epithelial mucosal layer (GSEML) in patients with Helicobacter pylori (HP)-associated gastric ulcer (GU). A hundred patients suffering from HP-associated GU were examined. The biochemical composition as well as the ARA and AOA of the GSEML were studied before and after eradication therapy as well as after additional administration of sucralfate. Biochemical and chemoluminescence techniques were used. All the patients with HP-associated GU displayed significant changes in all the mentioned parameters vs. healthy persons, which consisted in the secretion of premature glycoproteins and elevated ARA and AOA of the native gastric mucus. Effective antisecretory and eradication therapy by triple regimen recommended by Maastricht consensus-2 (2000), with ulcerous defect scarring, did not normalize the biochemical composition of the GSEML. Additional administration of sucralfate led to positive changes in ARA and AOA, as well as the biochemical composition of the GSEML. PMID- 18154187 TI - [The effectiveness of antibiotics in typical and atypical pneumonias depending on combination with glucocorticosteroids]. AB - Sixty-seven cases of prolonged pneumonia were analyzed. The study found that in cases with a typical onset the efficacy of antibiotics with predominantly bactericidal activity was much higher when they were administered in combination with glucocorticosteroids (GCS); bacteriostatic preparations were not used in such cases. In prolonged pneumonia with an atypical onset the efficacy of mainly bacteriostatic antibiotics was significantly higher than that of bactericidal ones, but the efficacy of both did not increase when they were combined with GCS. The use of GCS in addition to antibiotics shortens the time to pneumonia resolution in cases with both typical and atypical onset, regardless the character of antibacterial therapy. PMID- 18154188 TI - [A case of primary hyperparathyroidism in clinical practice]. AB - The article presents a classic case of primary hyperparathyroidism with a variety of clinical "masks" and diagnoses. PMID- 18154189 TI - Metabolic consequences of hyperglycemia and insulin resistance. AB - Insulin is a pleiotropic hormone that exerts a multitude of effects on metabolism and various cellular processes in the body. The main metabolic actions of insulin are to stimulate glucose uptake in skeletal muscle and the heart and to suppress the production of glucose and very-low-density lipoprotein in the liver. Other metabolic effects of insulin include inhibition of glucose release from the liver, inhibition of the release of free fatty acids (FFAs) from adipose tissue, and stimulation of the process by which amino acids are incorporated into protein. Insulin resistance (IR) is a condition in which defects in the action of insulin are such that normal levels of insulin do not trigger the signal for glucose absorption. An excess of FFAs is implicated in the pathogenesis of IR. The effects of this condition can have profound pathophysiologic effects on various organs and tissues of the body. For example, IR is associated with impaired insulin signaling, impaired fibrinolysis, and inflammation. The clinical consequences include hyperglycemia-induced tissue damage, hypertension, dyslipidemia, metabolic syndrome, and cardiovascular disease. Pharmacotherapies that target IR include metformin and the thiazolidinediones. Endocannabinoid antagonists, agents that target obesity and associated cardiovascular and metabolic risk factors, are currently being developed. PMID- 18154190 TI - Identification and classification of nonconformities in molded and tubular glass containers for pharmaceutical manufacturing. Technical report No. S-3 2007. PMID- 18154191 TI - AOA's position against use of placebos for pain management in end-of-life care. AB - A number of organizations have advised against the use of placebo substitution, including the American Pain Society, Agency for Healthcare Policy and Research, World Health Organization, Healthcare Facilities Accreditation Program, Joint Commission on Accreditation of Healthcare Organizations, Education for Physicians on End-of-Life Care Project (cosponsored by the American Medical Association and The Robert Wood Johnson Foundation), American Nursing Association, and the American Society of Pain Management Nurses. This white paper describes the literature and rationale in support of the American Osteopathic Association's (AOA's) position on the controversial subject of the use of placebos for pain management in terminally ill patients. PMID- 18154192 TI - Pain management in end-of-life care. AB - Pain management in end-of-life care presents a unique set of opportunities for patients and physicians. Physicians will encounter patients at the end of life regardless of type of specialty practice. Symptom relief is the concern of all physicians. Knowledge of "total pain" concepts along with basic end-of-life pain management offers much to patients and their families. Osteopathic principles and treatment philosophy complement quality pain management in end-of-life care. Physicians providing supportive care can assist patients and their families with comfort at the end of life. Good pain management at the end of life enhances the patient-physician relationship. PMID- 18154193 TI - Management of pain in older adults. AB - The elderly are often untreated or undertreated for pain. Barriers to effective management include challenges to proper assessment of pain; underreporting on the part of patients; atypical manifestations of pain in the elderly; a need for increased appreciation of the pharmacokinetic and pharmacodynamic changes of aging; and misconceptions about tolerance and addiction to opioids. Physicians can effectively manage pain in the elderly by understanding different types of pain (nociceptive and neuropathic), and appropriate use of nonopioid, opioid, and adjuvant medications. Opioids have become more widely accepted for treating older adults who have persistent pain, but their use requires physicians have an understanding of prevention and management of side effects, opioid titration and withdrawal, and careful monitoring. Placebo use is unwarranted and unethical. Nonpharmacologic approaches to pain management are essential and include osteopathic manipulative treatment, cognitive behavioral therapy, exercise, and spiritual interventions. The holistic and interdisciplinary approach of osteopathic medicine offers an approach that can optimize effective pain management in older adults. PMID- 18154194 TI - Prescribing methadone for pain management in end-of-life care. AB - Methadone hydrochloride is an effective, inexpensive, and relatively safe opioid to use in the treatment of patients with chronic pain. It is especially effective in management of pain during the final stages of life, as it is the only long acting analgesic available in liquid form. However, because methadone has a long half-life, individual wide variations, and potential for accumulation and overdosage, physicians must judiciously and conscientiously prescribe it. Also, they should closely monitor patients during the titration phase and educate them with regard to basic pharmacologic properties and potential side effects. A plan to start at low doses and proceed slowly is applicable to methadone. PMID- 18154195 TI - Partnering with hospice to improve pain management in the nursing home setting. AB - People are living longer but are dying with more disabilities, often in nursing homes. Identification of those who are dying needs to be quicker to allow discussion of goals of care and to meet their individual needs at a higher level. Pain is pervasive and undertreated in general, but institutionalized individuals are even at greater risk of receiving inadequate analgesia. Competing goals of providing good-quality palliative care while meeting federal and state expectations of improving or maintaining function can create dilemmas for those caring for terminally ill patients in nursing homes. Physicians play a critical role in improving communication between the family and the healthcare team during the transition from rehabilitative to palliative care. Hospice can be a valuable partner in the delivery of excellent pain and symptom management in end-of-life care. PMID- 18154196 TI - Prostate cancer. PMID- 18154197 TI - Overview of prostate cancer in indigenous black Africans and blacks of African ancestry in diaspora 1935-2007. AB - OBJECTIVE: To carry out an overview of prostate cancer in indigenous back Africans in sub-Saharan Africa and blacks of African ancestry in diaspora. DATA SOURCE: Review of all published literature on prostate cancer on indigenous black Africans and Africans in diaspora was carried out through medline and index medicus searches. DATA SELECTION: Published data of prostate cancer in indigenous black Africans and black men in diaspora from 1935-2007 were included in the review. DATA EXTRACTION: Abstracts of articles identified were assessed, read and analysed to determine their possible suitability and relevance to the title under review. DATA SYNTHESIS: After establishing relevance from the abstract, the entire paper was read, and the significant points included in the review. CONCLUSION: Prostate cancer incidence and magnitude in black Africans was grossly misunderstood and underestimated in the past. Prostate cancer incidence is on the increase and currently is perhaps the most common urological malignancy affecting black Africans. Its incidence and clinical characteristics is similar to that of the Africans in diaspora but different from all other races. There currently exists significant evidence which suggests a common enhancing genetic predisposition in black men to prostate cancer. There is very urgent need for further investigation of this phenomenon through randomised controlled multicentre studies involving indigenous black Africans and black men in diaspora. PMID- 18154198 TI - Open simple prostatectomy and blood transfusion in Nairobi. AB - BACKGROUND: Open simple prostatectomy has long been associated with large blood losses; hence allogeneic blood transfusion in this procedure is a standard practice world over. A review of literature suggests significant association between perioperative blood loss accompanying open simple prostatectomy and certain patient factors. The shortage of blood and blood products in our blood transfusion centres as well as the alarming risks of transfusion reactions and disease dissemination demanded a review of these factors with the aim of reducing morbidity associated with peri-operative blood loss and blood transfusion. OBJECTIVES: To assess blood loss, determine blood transfusion rate, and define some of the factors associated with peri-operative blood loss and blood transfusion in open simple prostatectomy. DESIGN: A prospective cohort study. SETTINGS: The urology units of Kenyatta National Hospital, Kenya. RESULTS: Ninety five patients who underwent open simple prostatectomy for benign prostatic hyperplasia were enrolled into the study. Their median age was 70 years (Range 50 to 97). The mean decrease in haemoglobin concentration, which was the main indicator of peri-operative blood loss, was 2.1 g/dl (+/- 1.4). The peri operative blood transfusion rate was 36.8 %. Twenty four (68.6%) of the patients who received either one or two units of blood had a pre-operative haemoglobin level above 13.5g/ dl and a post-operative haemoglobin level above 11.5 g/dl, while 11 (31.4%) had severe peri-operative bleeding, that necessitated immediate surgical re-intervention. A total of 68 units of blood was transfused, 42 (61.8%) allogeneic and 26 (38.2%) autollogous blood. The post-operative median hospitalisation time was eight days (Range 4 to 35). There were two (2.1%) post operative deaths and both patients had intractable intra- and post-operative bleeding, massive blood transfusion and disseminated intravascular coagulopathy. The factors that were significantly associated with peri-operative blood loss and blood transfusion in open simple prostatectomy were patient's aged above 70 years, pre-operative use of acetylsalicylate or warfarin sodium, pre-operative systolic blood pressure above 140 mmHg, general anaesthesia, Freyer's (transvesical) technique and the weight of resected prostatic tissue above 70 grams. CONCLUSION: Open simple prostatectomy performed under spinal anaesthesia using Millin's (retropubic) technique is associated with minimal blood loss. The perioperative blood transfusion rate was 36.8%. PMID- 18154199 TI - The management of early prostate cancer: a review. AB - OBJECTIVE: To carry out a review of the management of early (clinically localised) prostate cancer. DATA SOURCE: Review of all published literature on the management of early prostate cancer was carried out through medline and index medicus searches. DATA SELECTION: Published data of the management of early prostate cancer over the last three decades were included in the review. DATA EXTRACTION: Abstracts of articles identified were assessed, read and analysed to determine their relevance to the title under review. DATA SYNTHESIS: After establishing relevance from the abstract, the entire paper was read, and the significant points included in the review. CONCLUSION: Greater number of men are currently being diagnosed with early prostate cancer. This is due to widespread use of Prostate Specific Antigen (PSA) screening available worldwide. Radical treatment including radical prostatectomy and radical radiation therapy have proven curative value for a significant number of men with localised disease. Survival outcomes indicate that radical prostatectomy offers more reliable cure than radiation therapy for clinically localised disease. Immediate treatment related morbidity of radical prostatectomy and radiation therapy is currently quite low. Both treatment methods have similar impact on erectile function and continence. Rectal complications are however unique to radiation therapy. Surgical and radiation therapy delivery techniques should be further improved to reduce treatment related morbidity and quality of life outcomes. PMID- 18154200 TI - Descriptive case series of patients presenting with cancer of the prostate and their management at Kenyatta National Hospital, Nairobi. AB - OBJECTIVE: To study clinical prostate cancer in this locality with particular interest in incidence, clinical presentation and treatment. DESIGN: A descriptive prospective study. SETTING: Kenyatta National Referral and Teaching Hospital affiliated to College of Health Sciences of the University of Nairobi between November 1998 and October 1999. PATIENTS: Sixty five patients with clinical prostate cancer were included in the study. RESULTS: Age was reliably confirmed in 64 out of the 65 patients. 87.5% of the patients were aged over 61 years with a peak incidence in the 66-70 year age group and a mean age of 67 years. Crude hospital incidence of 76.5 patients per 100,000 patients and a crude hospital death rate of 5.8 patients per 100,000 patients is reported. The majority of patients (87.5%) presented late with advanced disease stages III(C) and IV(D) prostate cancer. CONCLUSION: The crude hospital incidence of cancer of the prostate is on the increase in this locality with a finding of 76.5 per hundred thousand patients, higher than that reported by earlier researchers in this locality and elsewhere. This study suggests that prostate cancer incidence and the magnitude of risk in our locality must have been grossly underestimated in the past. The prostate cancer rate in Kenyans may be as great as noted in black men in the United States, Jamaica, Nigeria and Cameroon which may suggest some common enhancing genetic predisposition. There is need to further investigate this phenomenon. Cancer of the prostate in this locality presents late with clinically advanced disease. PMID- 18154201 TI - An update on the treatment of advanced prostate cancer. AB - OBJECTIVE: To obtain an update of the treatment of advanced prostate cancer. DATA SOURCE: Review of all published literature on advanced prostate cancer was carried out through medline and index medicus search. DATA SELECTION: Published data on advanced prostate cancer from June 2005 to June 2007 was included in the review. DATA EXTRACTION: Abstracts of articles identified were assessed, read and analysed to determine relevance to the title under review. DATA SYNTHESIS: After establishing relevance from the abstract, the entire paper was read, and significant points included in the review. CONCLUSION: The mainstay of treatment of advanced prostate cancer remains hormone withdrawal. The introduction of docetaxel based chemotherapy has caused a paradigm shift. PMID- 18154202 TI - Early postoperative outcomes of patients undergoing prostatectomy for benign prostatic hyperplasia at Kenyatta National Hospital, Nairobi. AB - OBJECTIVE: To describe early postoperative complications of prostatectomy. DESIGN: A descriptive prospective study. SETTING: Kenyatta National Hospital between 6th October 2003 and 21st June 2004. SUBJECTS: Eighty five men undergoing prostatectomy for the relief of lower urinary tract obstruction due to benign prostatic hyperplasia. Procedures included suprapubic transvesical prostatectomy, retropubic prostatectomy and transurethral resection of the prostate (TURP). MAIN OUTCOME MEASURES: Co-morbidity, intra-operative and early postoperative complications, need for re-operation, 30-day mortality, duration of postoperative catheterisation, and duration of postoperative hospital stay. RESULTS: Eighty five patients were included in the study and their age range was 46-85 years (mean 66 years). Sixty nine (81%) of the patients underwent open prostatectomy, and sixteen (19%) underwent TURP. Twenty six patients had co-existing medical conditions, the most common being hypertension (29%) and diabetes mellitus (13%). The most common intra-operative complication during prostatectomy was haemorrhage which occurred in ten patients (11.8%). One patient had perforation of the bladder during transurethral resection and required a laparotomy to repair the bladder. Wound sepsis was the most common postoperative complication following open prostatectomy (35%, n = 69), and an association was found between wound sepsis and diabetes mellitus. Complications common to both open prostatectomy and TURP were urinary tract infection (15%), clot retention (10%), pyrexia (10%) and pneumonia (8.2%). Three patients (4.4 %) required re-operation due to complications related to wound sepsis. The duration of postoperative catheterisation ranged from 1-14 days (mean 6.66 days) while postoperative hospital stay ranged from 3-24 days (mean 8.16 days). There was no postoperative mortality at 30 days. CONCLUSIONS: Open prostatectomy is the most performed procedure for the relief of lower urinary tract obstruction due to benign prostatic hyperplasia at Kenyatta National Hospital. Wound sepsis is the commonest early postoperative complication and the presence of diabetes mellitus significantly increases the risk of development of wound sepsis. PMID- 18154203 TI - Cancer vaccines: a new frontier in prevention and treatment. AB - Vaccines have been exceptionally effective against diseases such as smallpox, measles, chickenpox, and polio. They are among the safest and most cost-effective agents for disease prevention. In recent years, vaccination has been considered for other diseases, including AIDS and cancer. Cancer vaccines can be categorized as preventive or therapeutic. Preventive vaccines, which are commercially available for cervical cancer and liver cancer, block infection with the causative agents of human papillomavirus and hepatitis B virus, respectively. The benefit of cancer treatment vaccines lies in their ability to "boost" the immune system response to cancer cells, which is generally low. Using vaccines in the treatment of cancer is relatively new, however, and chiefly experimental. Therapeutic vaccines for breast, lung, colon, skin, renal, prostate, and other cancers are now being investigated in clinical trials. Oncology nurses may play a significant role in reducing barriers to uptake of preventive vaccines among the general public and in increasing patients' acceptance of therapeutic cancer vaccines. PMID- 18154204 TI - Hereditary breast and ovarian cancer: high-risk management. PMID- 18154205 TI - Psychiatry consultation in a patient with early breast cancer. PMID- 18154206 TI - Secondary breast cancer in a woman treated for Hodgkin lymphoma as a child. PMID- 18154207 TI - Understanding and treating cancer-related fatigue. AB - Fatigue is the most common side effect of cancer and its treatment, and it frequently goes unrecognized and untreated. While the exact etiology of fatigue is unclear, numerous contributing factors that worsen fatigue can be clinically addressed. Substantial research supports physical exercise as an intervention for fatigue. PMID- 18154208 TI - Erythropoietin-stimulating agents: new data yield new insights. PMID- 18154209 TI - Histone deacetylase inhibitors. PMID- 18154210 TI - What you need to know about fever and neutropenia. PMID- 18154211 TI - Myelodysplastic syndromes: diagnosis, treatment planning, and clinical management. AB - Innovations in the diagnosis, risk stratification, and treatment of the myelodysplastic syndromes (MDS) have provided several new therapeutic options and renewed hope for patients with the disease. Optimal treatment requires careful evaluation of each patient using newly established criteria. Identifying the common symptoms in the MDS patient, integrating new therapies with novel mechanisms of anti-tumor activity and unique toxicity profiles, and developing tools to assist patients receiving these treatments have created unique challenges for the oncology nurse. Many of the emerging therapies have shown promise in tumor response and may be administered over extended periods of time. Most allow patients to be treated in an outpatient setting. This article will explore the diagnosis, treatment planning, and clinical management of patients with MDS. PMID- 18154212 TI - Clinical presentation and pathophysiology of EGFRI dermatologic toxicities. AB - This review summarizes the pathophysiology and clinical presentation of the cutaneous toxicities associated with EGFR inhibition. Such effects include papulopustular reactions, xerosis, pruritus, fissures, nail changes, hair changes, telangiectasias, hyperpigmentation, and mucositis. Most management strategies for these toxicities have been based on anecdotal experience; clinical trials are needed to provide uniform characterization to allow for evidence-based treatment strategies. PMID- 18154213 TI - Clinical research of EGFR inhibitors and related dermatologic toxicities. AB - An acneiform-like skin toxicity is commonly observed in patients with solid tumors treated with epidermal growth factor receptor inhibitors (EGFRIs). This symptomatic rash is related to epidermal growth factor receptor (EGFR) inhibition in the skin. A positive relation between the presence and severity of treatment related rash and survival has been consistently observed with all EGFRIs approved for clinical use. These findings suggest that rash may be a useful surrogate marker of successful EGFR inhibition and clinical benefit and therefore of possible use in identifying patients most likely to benefit from therapy, as well as to guide dose adjustments. Increasing drug dose until skin toxicity appears is being studied. Further studies are needed to thoroughly evaluate the value of skin toxicity as a surrogate marker for clinical benefit. Current treatments of the skin toxicity are empirical and oriented toward mitigating symptoms and not validated by well-controlled clinical trials. Rational treatments based on the biological mechanisms of the skin toxicity must be developed and tested in well controlled clinical trials. PMID- 18154214 TI - Clinical management of EGFRI dermatologic toxicities: US perspective. AB - Management of dermatologic toxicities from epidermal growth-factor receptor inhibitors (EGFRIs) is best tailored to the type of skin lesions present, extent of body surface involvement, and anatomic location affected. Although few randomized trials have been undertaken to address treatment of skin, hair, or nail side effects to this class of drugs, some basic principles of therapy based on experience of referral centers can help mitigate these toxicities and ensure consistent EGFRI administration and maintenance of patient quality of life. Patient education as to the expected EGFRI side effects and early physician intervention when these side effects appear can improve outcomes. Two dermatologists who treat high numbers of patients affected by these EGFRI-induced cutaneous side effects submit their recommendations for management. PMID- 18154215 TI - Clinical management of EGFRI dermatologic toxicities: the nursing perspective. AB - All nursing personnel actively participate in the nursing process, with the registered nurse taking primary responsibility. Five steps in the nursing process include assessment, diagnosis, planning, implementation, and evaluation. Health care professionals have more than 10 years of experience with EGFR inhibitors in the oncology setting. To date, the application of the nursing process to assist in patient management has not been previously published or thoroughly described in the literature. This article will apply the nursing process utilizing current recommendations regarding the assessment and management of dermatologic toxicities associated with EGFR inhibitors. PMID- 18154216 TI - Clinical management of EGFRI-associated dermatologic toxicities: pharmacy perspective. AB - This article describes agents used to treat the dermatologic toxicities commonly seen during therapy with epidermal growth factor receptor inhibitors. Therapeutic options include topical emollients, antibiotics, corticosteroids, and other agents for supportive care. While medical approaches to these adverse reactions are still in a "learning phase," continued experience will provide further insight into effective management strategies. PMID- 18154217 TI - Dermatologic toxicities associated with EGFR inhibitors: the clinical psychologist's perspective. Impact on health-related quality of life and implications for clinical management of psychological sequelae. AB - Dermatologic toxicities associated with EGFR inhibitors can have a profound impact on patients' health-related quality of life (HRQL) and may interfere with treatment adherence. We interviewed 20 patients and 12 expert clinicians to identify the most bothersome aspects of dermatologic toxicities to better understand the impact on patients' HRQL Patients and expert clinicians reported that dermatologic toxicities have an impact on patients' physical, functional, emotional, and social well-being. Patients identified the physical discomfort as having the most impact on their HRQL, specifically the sensations of pain, burning, and skin sensitivity. Patients experienced worry, frustration, and depression because of their dermatologic symptoms and reported withdrawing from social activities. Cognitive behavioral strategies such as guided imagery and symptom reframing (eg, rash means treatment is working) may provide patients with valuable skills for the management of this physical discomfort. Cognitive behavioral strategies may also be useful in helping patients manage anxiety and depression associated with any changes in their social function caused by skin rash, as well as distress associated with having a cancer diagnosis. PMID- 18154218 TI - Relevance of the COBRA trial in current psoriasis practice. AB - The goal of psoriasis therapy is shifting from an emphasis on the short-term management of severe outbreaks to the maintenance of continuous long-term control. Topical corticosteroids play an important role in all of the therapeutic strategies used. The Clobex Spray Community-Based Research Assessment (COBRA) trial involved 455 community dermatologists throughout the United States who participated in a multicenter, 4-week, open-label, observational, community-based trial of twice-daily clobetasol propionate spray 0.05% as monotherapy or as an addition to a treatment regimen present at the time of study entry. Dermatologists were allowed to select study participants based on their own professional judgment, which resulted in the largest number of study participants ever enrolled in a psoriasis community-based trial, with 2488 subjects enrolled from 455 investigational sites. Of the total population, 1254 subjects with moderate to severe plaque psoriasis treated with clobetasol propionate spray 0.05% twice daily as monotherapy and 731 subjects treated with clobetasol propionate spray 0.05% twice daily in addition to an existing regimen were evaluated for efficacy with at least one follow-up visit. Data from this trial suggest that superpotent topical corticosteroids are appropriate for use as monotherapy and when added to existing therapeutic regimens. The effectiveness and tolerability results from this study suggest that clobetasol propionate spray 0.05% is a potent, well-tolerated, and versatile topical therapy for moderate to severe plaque psoriasis that may be used in a diverse range of settings to help dermatologists optimize response to therapy. PMID- 18154219 TI - Topical monotherapy with clobetasol propionate spray 0.05% in the COBRA trial. AB - The Clobex Spray Community-Based Research Assessment (COBRA) trial, a large, 4 week, open-label, observational trial, evaluated the use of twice-daily clobetasol propionate spray 0.05% in subjects with moderate to severe plaque psoriasis affecting 3% to 20% body surface area (BSA). The study was designed to augment existing phase 3 clinical trial data. In this trial, 1254 subjects in the effectiveness-evaluable (EE) population were treated with clobetasol propionate spray 0.05% as monotherapy. Clinical effectiveness was evaluated at weeks 2 and 4 using a 6-point target plaque severity (TPS) scale and 7-point investigators' global assessment of improvement (GAI) scale. Psoriasis TPS at week 0 (baseline) was rated as moderate to severe in more than 90% of subjects. After 2 weeks of clobetasol propionate spray 0.05% monotherapy, statistically significant improvement in TPS was seen at weeks 2 and 4 (P < .001). In addition, statistically significant improvement was seen at week 4 versus week 2 (P < .001) using the GAI scale. Clobetasol propionate spray 0.05% monotherapy was well tolerated as assessed by erythema, peeling/scaling, dryness, stinging/burning, telangiectasia, skin atrophy, pruritus, and folliculitis. Skin and subcutaneous tissue disorders as well as general disorders and application-site conditions defined as possibly or probably related to therapy occurred in 1.0% and less than 1.0% of subjects, respectively. In addition, more than 90% of subjects were reported by investigators as being very satisfied or somewhat satisfied with their treatment at week 4. Based on these data, clobetasol propionate spray 0.05% is an effective and convenient topical monotherapy for moderate to severe plaque psoriasis. PMID- 18154220 TI - Effectiveness of clobetasol propionate spray 0.05% added to other stable treatments: add-on therapy in the COBRA trial. AB - Controlled clinical trials provide important information about medications. However, although controlled clinical trials typically assess the use of a medication by itself or in a single combination, combinations and adjunctive use of multiple medications frequently are used in the care of patients with psoriasis. The Clobex Spray Community-Based Research Assessment (COBRA) trial, a large, 4-week, open-label, observational, community-based trial, assessed the use of twice-daily clobetasol propionate spray 0.05% as an add-on therapy to an existing therapeutic regimen in subjects (n = 731) with moderate to severe plaque psoriasis affecting 3% to 20% body surface area (BSA). The key outcome measures were the change in target plaque severity (TPS) and investigators' global assessment of improvement (GAI) at week 4. Tolerability, quality of life (QOL), and subject satisfaction also were assessed. After 4 weeks of treatment, 80.0% of subjects in the add-on therapy group were clear or almost clear, according to the TPS scale, or had an improvement in severity from baseline by 2 grades (P < .001); 62.0% of subjects were completely cleared or almost completely cleared at week 4 according to the GAI scale (P < .001). Tolerability ratings of severe for erythema, peeling/ scaling, dryness, and stinging/burning occurred in less than 1.0% of subjects at week 4, and a rating of moderate occurred in only 1.6% to 4.1% of subjects. In addition, 94.0% of subjects in the add-on therapy group were reported as being very satisfied or somewhat satisfied with their therapy at week 4. Clobetasol propionate spray 0.05% was highly effective and well-tolerated as part of a wide range of therapeutic strategies. PMID- 18154221 TI - The evolving role of topical treatments in adjunctive therapy for moderate to severe plaque psoriasis. AB - The Clobex Spray Community-Based Research Assessment (COBRA) trial was a 4-week, open-label, observational, community-based trial that evaluated the use of twice daily clobetasol propionate spray 0.05% either as monotherapy (n = 1254, effectiveness-evaluable [EE] population) or therapy added on to an existing regimen (n = 731, EE population) in subjects with moderate to severe plaque psoriasis. The key outcome measures were the change in target plaque severity (TPS) rating between weeks 0 (baseline) and 4 and the investigators' global assessment of improvement (GAI) rating at 4 weeks. This article focuses on clobetasol spray 0.05% when it is added to the 5 most commonly used treatment regimens in the COBRA trial add-on therapy group. Among the group of subjects receiving clobetasol propionate spray 0.05% as add-on therapy, the most common ongoing treatment was a biologic agent. The other more common ongoing treatments were topical calcipotriene, oral antipsoriatic agents, other topical corticosteroids (non-class 1), and topical calcipotriene plus other topical corticosteroids. Similar rates of treatment success (clear or almost clear) were seen in the subgroup analysis for each of the add-on regimens when assessed by both the TPS and GAI scales. On the TPS scale, success rates at week 4 were 76.0% to 84.0% for clobetasol propionate spray 0.05% added to biologic agents, topical calcipotriene, oral antipsoriatic agents, other topical corticosteroids, or topical calcipotriene plus other topical corticosteroids. It is notable that in subjects who were being treated with a variety of agents, the addition of clobetasol propionate spray 0.05% during the course of the study resulted in improvements in disease severity. PMID- 18154222 TI - The degree of planning: an indicator of the potential success of health education programs. AB - Evaluation is a major challenge in the field of health promotion and health education. Since the degree to which a project is planned often guarantees its potential success, the evaluation process should make it possible to answer different questions related to stages of project implementation. The goal of this study was to develop a planning tool to help health professionals and community workers judge the potential success of health education interventions based on the extent to which they are planned and to test the tool in real intervention evaluations. Educational interventions examined in this study were targeted primarily at the promotion and adoption of behaviour reducing the risk of human immunodeficiency virus (HIV) transmission. The conceptual framework of "intervention mapping" served as the basis for developing the tool. Experts were consulted to identify criteria that would make it possible to evaluate the extent to which different stages of the model were accomplished. The tool was tested for reliability. Data from 123 projects were then collected and analyzed. The process for the development of the tool made it possible to identify 40 planning criteria, broken down into the 19 tasks of intervention mapping model. Reliability test results were highly satisfactory. The overall average score for project planning was 12.7 out of 40. The degree to which different stages were planned varied considerably. For example, only 15% of projects had developed their objective matrices properly, whereas 80% were assured proper support for their implementation. Thirty-nine percent of the projects were satisfactorily available for evaluation. This exercise made it possible to construct an interesting tool for identifying strengths and weaknesses of intervention planning. Various promoters might find this tool useful for increasing the potential success of their initiatives. PMID- 18154223 TI - Changing cultures: enhancing mental health and wellbeing of refugee young people through education and training. AB - Many refugee people and others entering Australia under the Humanitarian Program, have experienced extremely stressful and disrupted lives prior to arrival. A major difficulty experienced by a significant number of refugee young people is their lack of formal education before arrival. It directly affects their ability to start connecting to their new society and constructing a new life. The level of ease with which young people can move into the education and training system and begin to establish a meaningful career pathway has a huge impact on their successful settlement and stable mental health. This paper describes the Changing Cultures Project, a three-year project, which explored models of appropriate and accessible education and training for refugee and newly arrived young people that would enhance their mental health. The Changing Cultures Project was a partnership between the education, health and settlement sectors. This paper describes the program and system response to the health, settlement, education and vocational issues facing refugee young people using a mental health promotion framework and reflective practice. We discuss how the refugee youth programs met a broad range of needs as well as providing language, literacy and basic education to newly arrived young people. While working in an environment of changing policy and public opinion regarding refugee issues, the Project delivered successful outcomes at the program and organisational levels for refugee young people by addressing issues of program development and delivery, organisational development and capacity building and community development and evaluation. PMID- 18154224 TI - Changing communities, changing spaces: the challenges of health promotion outreach in cyberspace. AB - This article is a case study of an Internet chat room outreach project in Perth, Western Australia. The CyberReach project sought to adapt current peer based health promotion outreach, training and supervision frameworks to an online outreach setting in a way that was effective and supported by the online community. It targeted marginalised groups to trial the provision of online mental and sexual health promotion incorporating a participatory action research model into its development and implementation. Three 6-week trial periods were conducted and significant changes were made in response to changes in the online environment and to improve sustainability and effectiveness of the protocols. Four themes arose from CyberReach's experience: online group processes are unique due to the creation of extensive personal networks and occurrence of disclosure without face-to-face contact across potentially large geographic barriers; flexibility is required to adapt to technological changes and online community flux; enforcing boundaries and delineating peer education from therapeutic support can be challenging when only using text-based communication; and Internet outreach can be time intensive with small returns in actual community engagement and constant technological up-skilling of staff may be required. Based on the project's experiences we offer the following recommendations when planning similar Internet outreach strategies: Funding and planning groups need to be aware that the Internet environment is constantly changing and planning and funding arrangements need to reflect a capacity to remain flexible; Programs need to be firmly connected to the communities they are outreaching therefore a peer based education component is strongly encouraged; Careful consideration should be taken regarding data collection so that the environment and the individuals within are respected; Further research needs to be conducted to understand the styles and approaches of different online interactions, and the relative influence of technical platforms, gender and age. PMID- 18154225 TI - Effectiveness of a preventive educational programme on the oral health of preschool children. AB - The aim of the study was to evaluate the impact of a preventive-educational programme in a group of preschool children. The study's population group comprised 58 four-year-old children, with a mean age of 4.17 +/- 0.27. Plaque index and gingival index were determined, and a dental examination was performed. The children were randomly assigned to one of two groups: experimental and control. The experimental group received the educational component of the programme which was for children, parents and teachers. The preventive programme was applied to both groups and included topical application of 1.23% acidulated fluoride phosphate, pH 3.5, every 6 months. Outcomes were measured on day 8 and after 6 and 12 months under similar conditions to those at baseline. Results showed a significant decrease in gingival index and plaque index values and no significant increase in decay in the experimental group. The control group showed a significant increase in gingival index, plaque index, and decayed surfaces. PMID- 18154226 TI - Training practitioners in evidence-based chronic disease prevention for global health. AB - Too often, public health decisions are based on short-term demands rather than long-term research and objectives. Policies and programmes are sometimes developed around anecdotal evidence. The Evidence-Based Public Health (EBPH) programme trains public health practitioners to use a comprehensive, scientific approach when developing and evaluating chronic disease programmes. Begun in 2002, the EBPH programme is an international collaboration. The course is organized in seven parts to teach skills in: 1) assessing a community's needs; 2) quantifying the issue; 3) developing a concise statement of the issue; 4) determining what is known about the issue by reviewing the scientific literature; 5) developing and prioritizing programme and policy options; 6) developing an action plan and implementing interventions; and 7) evaluating the programme or policy. The course takes an applied approach and emphasizes information that is readily available to busy practitioners, relying on experiential learning and includes lectures, practice exercises, and case studies. It focuses n using evidence-based tools and encourages participants to add to the evidence base in areas where intervention knowledge is sparse. Through this training programme, we educated practitioners from 38 countries in 4 continents. This article describes the evolution of the parent course and describes experiences implementing the course in the Russian Federation, Lithuania, and Chile. Lessons learned from replication of the course include the need to build a "critical mass" of public health officials trained in EBPH within each country and the importance of international, collaborative networks. Scientific and technologic advances provide unprecedented opportunities for public health professionals to enhance the practice of EBPH. To take full advantage of new technology and tools and to combat new health challenges, public health practitioners must continually improve their skills. PMID- 18154227 TI - Primary care at the Alaska Native Medical Center: a fully deployed "new model" of primary care. AB - OBJECTIVES: Beginning in the 1940s health care for Alaska Native people was delivered by the United States Indian Health Service. The transition to Alaska Native ownership was completed in 1998-9 with the transfer of the Alaska Native Medical Center to Alaska Native corporations. METHODS: The Native leaders of Southcentral Foundation made a conscious decision to redesign the medical primary care system around the core premise of optimizing long-term, trusting, accountable relationships. The medical system was reoriented to optimize these relationships, assure whole system intentional and integrated design, and remove barriers to these relationship being formed. RESULTS: . The transformed system allowed Alaska Native individuals and families to choose a primary care provider, enter into long-term trusting relationship with the provider, and partner in the journey towards wellness. It was a fully integrated approach that used every part of the system to best advantage, put the power in the hands of the individual and family, and effectively focused on the underlying determinants of health. CONCLUSIONS: The primary care system created and managed by Southcentral Foundation at the Alaska Native Medical Center demonstrated a system built on similar premises to the "New Model" of family medicine. PMID- 18154228 TI - Improved and expanded pharmacy care in rural Alaska through telepharmacy and alternative methods demonstration project. AB - OBJECTIVES: To describe innovative use of technology to improve the level of pharmacy care in remote villages in rural Alaska. STUDY DESIGN: Cross-sectional study. METHODS: The Alaska Native Medical Center and outlying health clinics formed the Southcentral Foundation Pharmacy Network to provide pharmacy services to Native and non-Native patients living in the rural Anchorage Service Unit. The Alaska Native Medical Center served as the central pharmacy, purchasing drugs on behalf of the network and dispensing those drugs to patients of the network. In April 2003, four remote pharmacies began a 6 month comparison of two different telepharmacy equipment systems. The systems were assessed for various factors such as hardware and software capabilities and the customer support offered. The program was then expanded to include 12 participating sites. RESULTS: During fiscal year 2006, 22665 prescriptions were processed utilizing telepharmacy and prospective pharmacist review. There were 990 documented pharmacist consultations and interventions (4.4% of all prescriptions processed). CONCLUSIONS: Incorporation of recent technological advancements enabled the pharmacy department of the Alaska Native Medical Center to improve and expand the provision of pharmacy services to rural, isolated communities. Based upon the success of the program, future sites are being targeted for telepharmacy inclusion. PMID- 18154229 TI - Southcentral Foundation tobacco cessation initiative. AB - OBJECTIVES: To describe the development of a comprehensive tobacco cessation program for Alaska Native and American Indian patients in a primary care setting utilizing current evidence-based guidelines. STUDY DESIGN: Cross-sectional. METHODS: A multidisciplinary team was assembled with representation from various departments including customers of the health care system to develop the tobacco cessation program. Feedback and guidance from the team were implemented and quit rates were calculated. RESULTS: In April 2005 the point prevalence of quitting among the 322 patients enrolled in the tobacco cessation program for 6 months was 21.1%. CONCLUSIONS: Recognized clinical interventions that reduce tobacco use were effective in reducing tobacco use among the Alaska Native and American Indian patients enrolled in the tobacco cessation program. Initial results with respect to the quit rate and tobacco use screening rate provide a baseline for future work. PMID- 18154230 TI - Pilot study of methods to measure saliva cotinine in Alaska Native women during pregnancy. AB - OBJECTIVES: To evaluate NicAlert immunoassay test strips and liquid chromatography atmospheric-pressure ionization tandem mass spectrometry (LC/MS/MS) for the measurement of saliva cotinine levels in pregnant Alaska Native women. STUDY DESIGN: Cross-sectional study. METHODS: Pregnant women completed a questionnaire about their tobacco use during pregnancy and that of others in the same household. Saliva samples were collected and tested using LC/MS/ MS and NicAlert immunoassay test strips. RESULTS: Seventy-one women participated; 18 reported using tobacco products during pregnancy. Sixteen women reported smoking within the last 7 days of the interview. Median cotinine concentrations in the women who reported smoking in the last 7 days were 94.5 ng/mL using LC/MS/MS (N = 13) and 87.5 ng/mL using NicAlert (N = 11). Twenty-two women reported that they did not use tobacco and had no exposure to secondhand smoke. Median cotinine concentrations among those with no reported exposure to secondhand smoke were 0.0605 ng/mL using LC/MS/MS (N = 18) and 4.38 ng/mL using NicAlert (N = 17). CONCLUSION: NicAlert strips can be used to quickly distinguish between users and nonusers of tobacco, but they are not adequately sensitive to detect and quantify lower concentrations of cotinine among nonsmokers with secondhand exposure. A more sensitive method such as LC/MS/MS is required for that purpose. PMID- 18154231 TI - Cardiovascular disease risk factor screening among Alaska Native women: the traditions of the heart project. AB - OBJECTIVES: To describe tobacco use, obesity and overweight, high blood pressure, high blood cholesterol and impaired glucose tolerance in Alaska Native and American Indian women living in the Anchorage area. STUDY DESIGN: Cross-sectional evaluation of women enrolled in the Traditions of the Heart program. METHODS: Traditions of the Heart was a randomized controlled trial of an intervention to reduce risk factors for cardiovascular disease. Starting in October 2000, Southcentral Foundation provided a 12-week group lifestyle intervention to eligible Alaska Native and American Indian women aged 40 to 64 residing in the Anchorage area. The study included assessment of biochemical and behavioral risk factors for cardiovascular disease. RESULTS: Of the 1334 women who enrolled between October 2000 and July 2005, 33.5% were current smokers, 78.8% were overweight or obese, 10.9% were hypertensive, 21.4% had elevated total cholesterol, and 5.6% had fasting glucose concentrations > or = 126 mg/dL. CONCLUSIONS: The women in this study had many risk factors for cardiovascular disease. Interventions are needed to reduce these risk factors among Alaska Native women. PMID- 18154232 TI - The Southcentral Foundation depression collaborative. AB - OBJECTIVES: To describe a collaborative between a primary care clinic and a behavioral health clinic to treat depression among Alaska Native and American Indian patients. STUDY DESIGN: Cross-sectional study. METHODS: Protocols for screening and intervention are described. The Patient Health Questionnaire identified individuals as negative or positive for DSM-IV depression. A computerized medical record was queried for descriptive data. Distribution of depression symptoms and diagnoses, antidepressant prescription, and service utilization highlight successes and weaknesses. RESULTS: Of those screened (n = 14,648), 17.2% (n = 2,534) screened positive for depression. A little more than half (57%) of positives were prescribed antidepressant medications. Roughly 55% of patients who initially screened positive scored negative for depression after follow-up. Less than half (42%) of patients who initially screened positive had received specialty behavioral health care or a mood disorder diagnosis during the previous year. CONCLUSIONS: This program successfully identified and treated the depressive symptoms of many Alaska Native and American Indian patients who had not presented for specialty care and had not previously been diagnosed as depressed. Implementing similar programs elsewhere may help address depression as a significant health concern in the Alaska Native and American Indian population. Recommendations for future investigation are delineated to guide program improvement efforts and add to the general health disparities literature. PMID- 18154233 TI - Fetal alcohol spectrum disorders and suicidality in a healthcare setting. AB - OBJECTIVES: To present a clinical case report and provide a review of the available literature on fetal alcohol syndrome and the fetal alcohol spectrum disorders and suicidality to highlight important implications for providers. STUDY DESIGN: A case report and literature review. RESULTS: Almost 6% of adolescents evaluated by the fetal alcohol spectrum disorders diagnostic clinic at the Alaska Native Medical Center had been seen for self-harm related consultation. CONCLUSIONS: Persons with the fetal alcohol syndrome and the fetal alcohol spectrum disorders, as a result of their disability, demonstrate characteristics or features that are commonly thought to be risk factors for suicide-such as mental illness, alcohol and other drug abuse, impulsivity, history of trauma or abuse, and employment and relationship/social difficulties. These persons may experience mental health problems, including suicidal ideation and attempts, over the course of their life times. PMID- 18154234 TI - Tactical combat casualty care 2007: evolving concepts and battlefield experience. AB - The Tactical Combat Casualty Care (TCCC) project begun by the Naval Special Warfare Command and continued by the U.S. Special Operations Command developed a set of tactically appropriate battlefield trauma care guidelines that were initially published in 1996. Transition of these guidelines into use throughout the Department of Defense has been ongoing since that time. The need for updates to the TCCC guidelines was recognized early on and has been carried out by the Committee on Tactical Combat Casualty Care established and operated by the Naval Operational Medicine Institute. The evolution of these guidelines from the 1996 recommendations to the present is described. Numerous reports in the medical literature and collected from combat first responders have documented that TCCC is saving lives on the battlefield and improving the tactical flow of missions on which casualties have occurred. Present challenges to the optimized implementation of TCCC in U.S. combat units include the need to expedite transition of new TCCC techniques and technologies to deploying units, to provide TCCC training for all U.S. combatants, and to ensure adequate funding for the Committee on TCCC. PMID- 18154235 TI - Combination treatment approaches and novel therapies for lymphoma. PMID- 18154236 TI - E-learning answers: real-time nurse manager orientation. New curriculum offers nurses instant access to training. PMID- 18154237 TI - Techno-advantages of the virtual ICU. How can telemedicine positively impact your health system? PMID- 18154238 TI - Smart pumps and synergy. A forward-thinking conversion is helping one hospital reduce i.v. medication errors and enhance staff collaboration. PMID- 18154239 TI - Automated workforce tracking keeps you flexible. Open shift management increases staff satisfaction by enhancing visibility. PMID- 18154240 TI - [Chagas disease in 1909 and in 2006]. PMID- 18154241 TI - [Acute Chagas disease in Colombia: a rarely suspected disease. Report of 10 cases presented during the 2002-2005 period]. AB - INTRODUCTION: In Colombia, reported cases of acute Chagas disease are sporadic. OBJECTIVE: Ten cases were described that had been reported to the Parasitology Laboratory of the Colombian National Health Institute between December 2002 and November 2005. MATERIALS AND METHODS: Information from clinical records, epidemiological report forms, laboratory and blood tests was collated. In addition the following data were compiled: demographic variables, clinical findings, results of laboratory tests and other exams (such as peripheral blood smears), IFAT for IgG antibodies, isolation in culture medium, inoculation in mice, polymerase chain reaction tests and isoenzyme eletrophoresis. RESULTS: All the cases presented in known endemic areas for Chagas disease transmission in Colombia. Three cases were from Putumayo Province, two each from the provinces of Arauca, Casanare, Norte de Santander and one from Santander Province. The probable mode of transmission was vector-borne. Seven cases presented in adults aged 18 to 50, three in children aged 6 months to 2 years. Seven were male and three were female. The most frequent symptom was fever in nine cases. Signs of portal of entry were rare; only one patient presented a possible Romahia's sign. Three patients presented myocarditis, two acute cardiac failure and one cardiac tamponade. Parasitemia was evident in nine cases; five had positive IgG serological tests; five cases were confirmed through parasite isolation; isoenzyme electrophoresis showed Trypanosoma cruzi group I. CONCLUSIONS: Clinical variability prevailed. In none of the cases was a clinical diagnosis suspected. The diagnosis was made and confirmed through laboratory tests alone. The results highlight the importance of including this disease in the differential diagnosis of febrile syndrome in endemic regions due to its good response to etiological treatment and thereby preventing its progression to the chronic phase. PMID- 18154242 TI - [Expression of markers on dendritic cells from chronic chagasic patients stimulated with the KMP-11 protein and the K1 peptide from Trypanosoma cruzi]. AB - INTRODUCTION: The kinetoplastid membrane protein 11, KMP-11, from Trypanosoma cruzi elicits humoral and cellular immunity in mice that protects them from infection against further parasite challenge. OBJECTIVE: To characterize the expression of surface markers on dendritic cells from chronic chagasic patients and healthy individuals, in response to the KMP-11 protein from Trypanosoma cruzi and its N-terminal peptide K1. MATERIALS AND METHODS: Monocyte-derived dendritic cells from seven chronic chagasic patients and seven healthy individuals were stimulated with the KMP-11 protein and the K1 peptide. Seven days after culturing, the CD83, CD86, and HLA-DR membrane expression as well as the production of cytokines were evaluated by flow cytometry. RESULTS: Neither KMP-11 protein nor K1 peptide elicited the expression of the maturation marker CD83 on dendritic cells of patients or healthy control individuals. Dendritic cells from chronic chagasic patients exposed to K1 and LPS at the same time presented a significant reduction in CD86 and CD83 membrane expression in contrast to the cells exposed to LPS alone, whereas dendritic cells from healthy individuals did not show this behavior. The secretion of interleukin-12 was decreased in the cultures of dendritic cells from chronic chagasic patients but not from healthy controls. CONCLUSIONS: KMP-1 1 protein does not affect the maturation of dendritic cells, but in the presence of LPS the K1 peptide leads to a decreased expression of CD86 and CD83 as well as interleukin-12 production, This phenomenon may be associated with an impaired T cell stimulation. PMID- 18154243 TI - [Population structure and genetic variability of Rhodnius prolixus (Hemiptera: reduviidae) from different geographic areas of Colombia]. AB - INTRODUCTION: Rhodnius prolixus is the most important vector of Chagas disease in Colombia. Genetic characterization of this species is useful to understand its potential of dispersion. The distribution of the vector and the genetic population structure are important factors for the adequate implementation of control programs and epidemiological surveillance of Chagas disease. OBJECTIVE: Genetic relationships were established for populations of R. prolixus collected from several habitat types and representative geographic areas of Colombia. A second aim was to assess its population genetic structure and dispersion across Colombia. MATERIALS AND METHODS: Genetic comparisons were made from three domestic populations of R. prolixus from (1) Tolima Province, (2) Cundinamarca Province and (3) the Sierra Nevada of Santa Marta in northern Colombia, and (4) one sylvatic population from Casanare. Two molecular techniques were used to evaluate the genetic structure of these populations-analysis of the ITS-2 of ribosomal DNA by PCR/RFLP and RAPDs. RESULTS: Rhodnius prolixus shows a moderate genetic variability (Fst 0.06-0.15). Among domestic populations, the migration rates found were adequate (Nm >1) to maintain gene flow. A moderate to large degree of genetic differentiation was observed between the sylvatic population from Casanare and the domestic populations from the centre of the country (Tolima and Cundinamarca). CONCLUSION: The domestic populations of R. prolixus are homogeneous because genetic flow exists between them, and this is favourable to chemical control, while the sylvatic population clusters apart from the domestic populations. Hence the need to study the genetic structure of the sylvatic foci, their possible dispersion routes and the epidemiological risk that they represents. PMID- 18154244 TI - [Myocardial cellular damage and the activity of the mitochondrial ATP synthase in rats infected with a Colombian strain of Trypanosoma cruzi]. AB - INTRODUCTION: Chagas disease is the main cause of cardiomyopathy in endemic regions of Latin America. Alterations in the cardiac mitochondrial energy metabolism caused by Trypanosoma cruzi can be involved in the development of this cardiomyopathy during the course of Chagas disease. OBJECTIVE: The cellular injury of the rat myocardium was investigated in rats infected with the Colombian Mg8 strain of Trypanosoma cruzi. The activity of mitochondrial ATP synthase was measured to determine the relationship heart damage with the energy metabolism. MATERIALS AND METHODS: Two groups of five rats each were infected with tripomastigotes, with 1 group of 6 rats serving as controls. The course of infection was characterized by parasitological, histopathological and molecular studies. The mitochondrial ATP synthase activity of the myocardium was evaluated in all rats. RESULTS: Peak parasitaemia (day 26 post infection) and the time of parasite clearance from circulating blood (day 60 post infection) were determined for acute and chronic phase models. The histopathological and molecular results showed that the Colombian Mg8 strain has tropism to the cardiac tissue and causes considerable cellular injury of the myocardium in rats during both phases. Despite the lesions observed in infected rats, no statistical difference in the activity of the mitochondrial ATPsynthase was observed between them and the non infected rats. CONCLUSION: Mitochondrial energy metabolism of the cardiomyocites does not appear to change during cellular injury of rat myocardium associated with infection by the Colombian Mg8 T. cruzi strain. PMID- 18154245 TI - [Analysis of polymorphisms in the trypanothione reductase and cruzipain genes in Colombian strains of Trypanosoma cruzi]. AB - INTRODUCTION: Genetic studies of Trypanosoma cruzi have tried to establish relations between genetic variants and their biological characteristics, such as clinical manifestations, host or geographic origin. However, much controversy exists on the associations between the commonly used DNA markers with group, clinical characteristics and disease epidemiology. OBJECTIVE: In this study determined the variability of the genes that code for the proteins trypanothione reductase and cruzipain, both involved in the infection and survival of the parasite in the mammalian host, was studied and the association between genetic polymorphism and biological and geographic sources in Colombian T. cruzi strains was examined. MATERIALS AND METHODS: The genotypes for each of six SNPs (single nucleotide polymorphisms) for trypanothione reductase and eight SNPs for cruzipain genes were identified by polymerase chain reaction-restriction fragment length polymorphism in 36 T. cruzi Colombian stocks from several regions and biological origins. RESULTS: Three genotypes were identified for trypanothione reductase with Acy I and Hae III enzymes and six genotypes for cruzipain with the Rsa I, Ban I and Bsu 361 enzymes. CONCLUSIONS: For trypanothione reductase, an association was not established with biological or geographical origin; however, alleles at positions 102 and 210 allowed discrimination with groups I and II. For cruzipain, specific genotypes were associated with group, biological and geographic origin. The usefulness of molecular markers on these genes was demonstrated for the determination and differentiation of genetic varieties in T. cruzi. PMID- 18154246 TI - [Biological and genetic characterization of two Colombian clones of Trypanosoma cruzi groups I and II]. AB - INTRODUCTION: Genetic differences between T. cruzi I and T. cruzi ll may determine differences in their tissue tropism in the vertebrate host and may also be responsible for the differences in clinical manifestations of Chagas disease. OBJECTIVE: Two Colombian clones of the T. cruzi groups I and II were characterized biologically and genetically in a murine model. MATERIALS AND METHODS: Strains Cas15 and AF1 belonging to the T. cruzi groups I and II were cloned in semisolid medium. A clone of each strain and a mix of both were used to infect mice; the mice were subsequently sacrificed at selected post-infection intervals. In order to identify the parasite presence in blood and organs, two methods were used (a) microhematocrit and (b) polymerase chain reaction with primers for satellite DNA and the intergenic region of miniexon. RESULTS: The T. cruzi I clone was more infectious, with a preferential tropism observed in heart, rectum and skeletal muscle, whereas clone T. cruzi II exhibited a preferential tropism for spleen and liver. During the infection with the clone mixture a predominance of the T. cruzi I clone over clone II in blood as well as in organs was observed. CONCLUSIONS: The results corroborate that the genetic differences between the T. cruzi groups correlate with their tissue tropism, and can play an essential role in explaining the clinical manifestations of Chagas disease observed in Colombia. PMID- 18154247 TI - [Toxic effect of beta-cipermethrin, deltamethrin and fenitrothion in colonies of Triatoma dimidiata (Latreille, 1811) and Triatoma maculata (Erichson, 1848) (Hemiptera, Reduviidae)]. AB - INTRODUCTION: The susceptibility to insecticides of triatomine species must be evaluated because of their involvement in the transmission of the Chagas disease. In each region with Chagas endemicity, evaluation of insecticide response is necessary to predict the success of the control campaigns. OBJECTIVE: The baseline susceptibility was determined for the active principles deltamethrin, beta-cypermethrin and fenitrothion in nymphs of first and fifth instar of Triatoma dimidiata and nymphs of first instar of Triatoma maculata. MATERIALS AND METHODS: The insecticide activity in triatomines was evaluated by the technique of topical application. RESULTS: The values of the LD50 in nymphs of first instar for T. maculata, expressed in nanograms per insect (ng/i), were 0.07, 0.05 and 4.12 for deltamethrin, beta-cypermethrin and fenitrothion respectively. The corresponding LD99 values were 1.08, 0.37 and 17.89 ng/i. In T. dimidiata, the LD50 values were 0.44, 0.46 and 16.45 ng/i; the LD99 values were 2.22, 1.97 and 36.07 ng/i. In nymphs of fifth instar T. dimidiata, the LD50 values were 510.7, 1623.6 and 838.9 ng/i; the LD99 values were 9607.5, 11,717.9 and 1525.0 ng/i, respectively. CONCLUSION: In first instar nymphs of T. dimidiata and T. maculata, the pyrethroid insecticides were more effective; in fifth instar nymphs of T. dimidiata, the effectiveness of the pyrethroids and the organophosphate differed in the LD50 comparison--the nymphs required much higher doses compared with the other triatomines and suggested a low susceptibility. The LD99 for the organophosphate (fenitrothion) was significantly lower and may indicate its greater effectiveness in field. Studies of synergistic effects amonst insecticides are important to clarify the role of biochemical mechanisms that determine tolerance to the pyrethroids. Insecticide tolerance represents a new challenge for control campaigns in the Andean and Central American countries where Chagas disease is endemic. PMID- 18154248 TI - [Comparison of a PCR test based on the histone H2A/SIRE genes with classical serological tests for the diagnosis of chronic Chagas disease in Colombian patients]. AB - INTRODUCTION: Diagnosis of Chagas disease in its latent and chronic phase is difficult because of the low parasitemia levels. Therefore, serological and molecular techniques are necessary to achieve an appropriate diagnosis. OBJECTIVE: The polymerase chain reaction based on the amplification of the SIRE element inserted into H2A encoding genes was compared with classical serological tests for the diagnosis of Chagas disease in Colombian patients. MATERIALS AND METHODS: An agreement study was carried out by comparing the PCR with ELISA (enzyme linked immuno sorbent assay) and IFAT (indirect immunofluorescence) tests. In addition, the PCR sensitivity and specificity were determined. A sample of 156 individuals was tested with the H2A PCR primers after a Chagas disease classification based on clinical, epidemiological and serological data associated with each patient. In addition, 97 out of 156 samples were also compared with the S35/S36 PCR primers. RESULTS: Eighty-nine of 156 samples (57%) were positive by both IFAT and ELISA and 84 (53.8%) presented the expected 234 bp amplification fragment. The sensitivity of the TcH2AF/ R PCR was 88% (95% C.I.: 75%--95%) and its specificity 92.5% (95% C.I.: 87.7%--97.2%). The kappa index for concordance between serological tests and TcH2AF/R PCR was 0.8 (95% C.I.: 73%--86%), and between the TcH2AF/R and S35/S36 PCR primers was 0.9 (95% C.I.: 84%-96%). These indices indicated a "good" and "almost perfect" agreement, respectively. CONCLUSIONS: The TcH2AF/R PCR is a promising diagnostic tool for the detection of T. cruzi and is suggested as a tool complementary to the classical serological tests. PMID- 18154249 TI - [Antennal phenotype variation in sylvatic, peridomestic and domestic populations of Triatoma dimidiata (Hemiptera: Reduviidae) from Santander, Colombia]. AB - INTRODUCTION: Triatoma dimidiata is one of the widely distributed triatomines in Colombia. The phenotype of the antenna is a characteristic of populations that can differ among habitats and can give information concerning its biology and behavior. This information in turn can be used in the development of new methodological proposals for its control. OBJECTIVE: The behavior of populations of Triatoma dimidiate was studied in several different habitats, using the antennal phenotype. MATERIALS AND METHODS: A mechanoreceptor and three chemoreceptors were compared in the antennae of 60 Triatoma dimidiata adults from several defined habitats in Santander, using unvariate and multivariate analyses. RESULTS: The multivariate analysis differentiated the female populations significantly. These differences were associated with variations in the number of thick-walled trichoids and with the numerical increase of the thin walled trichoids in habitats close to human housing. The males, with a larger number of sensilla and thin walled trichoids, were not differentiated significantly, although, similar tendencies were observed. Sexual dimorphism was clear in these characters in the total population, but less pronounced in the domestic populations. CONCLUSIONS: The antennal sensilla patterns were useful in the intraspecific differentiation of Triatoma dimidiata in different habitats. The differences in the female population shed light on new sensorial arrangements for the exploration of the habitat, in contrast with the male populations that, because of their great capacity for dispersion, were not differentiated in the distinct habitats. The differences in sensilla patterns between females from urban areas and those from rural surroundings may be a simple and efficient marker of the origin of individual Triatominae attempting to colonize new habitats. PMID- 18154250 TI - [Comparison of feeding and defecation patterns of Rhodnius colombiensis and Rhodnius prolixus(Hempitera, Reduviidae, Triatominae) under laboratory conditions]. AB - INTRODUCTION: Rhodnius colombiensis occasionally comes into human dwellings and consequently its role as an important potential vector in the transmission of American trypanosomiasis has been suggested. OBJECTIVE: The potential role of R. colombiensis as vector was defined by comparing the feeding and defecation patterns between R. colombiensis and R. prolixus, the main domiciliary vector of Trypanosoma cruzi in Colombia. MATERIALS AND METHODS. For each developmental stage of R. colombiensis and R. prolixus the following data were collected: (1) time of feeding initiation, (2) the time for reaching the repletion, (3) the number of interruptions and defecations during the feeding, (4) the time between the end of the feeding and the first defecation, (5) the number of defecations during 10, 60 and 95 minutes of observation after feeding, and (6) the quantity of blood ingested. RESULTS: The mean time of feeding initiation of the fifth instar nymphs, males and females, showed significant differences between the two species. The average of insects that defecated within 10 minutes after feeding was higher for each successive stage of R. prolixus and showed significant differences with Rhodnius colombiensis. In contrast, the mean weight of blood ingested by each stage of R. colombiensis and R. prolixus was significantly different between the N1, N2, N5 and females of these species. CONCLUSION: Rhodnius colombiensis produced fewer defecations than R. prolixus during feeding. A higher percentage of R. prolixus defecated within 10, 60 and 95 minutes after feeding. However, R. colombiensis remains a longer time in contact with the vertebrate host, thus raising the probability of its role in transmission considering its occasional entry to human dwellings and its higher prevalences of infection withT. cruzi and T. rangeli. PMID- 18154251 TI - [Trypanosoma rangeli parasite-vector-vertebrate interactions and their relationship to the systematics and epidemiology of American trypanosomiasis]. AB - INTRODUCTION: Trypanosoma rangeli is a species of trypanosome second to T. cruzi, that is infective to humans in Latin America. Variability in the biological, biochemical and molecular characteristics between different isolates isolates of this parasite have been recorded. OBJECTIVE: Morphological and molecular characteristics were recorded from strains of T. rangeli that were isolated from different species of Rhodnius and maintained in different vertebrate species. MATERIALS AND METHODS: Nineteen strains of T. rangeli were isolated from R. prolixus, R. pallescens and R. colombiensis in Colombia, R. ecuadoriensis in Peru and R. pallescens in Panama. Polymorphism of blood trypomastigotes in ICR mice was evaluated and pleomorphism of P53 strain of T. rangeli KP1(-) inoculated in mouse, marsupial and canine was studied. RAPD analysis (randomly amplified polymorphic DNA analysis) of 12 strains isolated from four species of Rhodnius was performed. RESULT: Based on the total length of blood trypomastigotes, three discrete groups were observed. The P53 strain showed significant differences in the size of blood trypomastigotes in mouse, marsupial and canine. RAPD analysis showed that the strains segregated into two branches corresponding to strains of T. rangeli KP1(+) and T. rangeli KP1(-). All strains of T. rangeli KP1(-) clustered according to the species of Rhodnius from which they were isolated. CONCLUSION: These data reveal, for the first time, a close association amongst T. rangeli strains and Rhodnius species, confirming that each species of Rhodnius transmits to vertebrate hosts a parasite population with clear phenotypic and genotypic differences. This is further evidence that supports the concept of clonal evolution of these parasites. PMID- 18154252 TI - [Comparison of the life cycles of Rhodnius colombiensis Moreno, Jurberg & Galvao, 1999 and R. prolixus Stal, 1872 (Hemiptera, Reduviidae, Triatominae) under laboratory conditions]. AB - INTRODUCTION: Rhodnius colombiensis is a sylvatic triatomine associated with wine palm trees (Attalea butyracea) in the high basin of the Magdalena river (Colombia). The frequent invasion of these vectors into human dwellings and the high prevalences of natural infection with Trypanosoma cruzi of these insects suggest an important role in the transmission of Chagas disease. OBJECTIVE: The length of the life cycles of R. colombiensis and R. prolixus under laboratory conditions were compared. MATERIALS AND METHODS: Ninety-two individuals for each species were studied. The mean duration time of each stage, the number of bloodmeals for each stage, the percentage of mortality, the cause of death, the mean of eggs laid by female, the number of fertile eggs and the longevity of adults were recorded. RESULTS: The mean duration time of all stages of R. colombiensis was higher than in R. prolixus, producing significant differences in the overall time from egg to adult. The mean of total eggs and fertile eggs showed significant differences, being higher in R. prolixus than in R. colombiensis. The total mortality was 31.5% for R. colombiensis and 6.5% for R. prolixus. The longevity of females was higher in R. prolixus. CONCLUSIONS: The stages of R. prolixus are of relatively short duration. In general, the nymphs take fewer bloodmeals than R. colombiensis, the adults take more bloodmeals and oviposit a larger number of fertile eggs, and females have a greater longevity. These parameters indicated that R. prolixus has superior reproductive success in comparison with R. colombiensis under the experimental conditions used. These new life cycle data of R. colombiensis will be useful for maintenance of laboratory colonies. PMID- 18154253 TI - [Seroprevalence of Chagas disease and associated risk factors in a population of Morroa, Sucre]. AB - INTRODUCTION: Chagas disease is a major public health problem in Latin America. In Colombia, a large area has the ecoepidemiological conditions which favor the active transmition of this infection. OBJECTIVE: This study was undertaken in a population from the municipality of Morroa, Sucre Province, to evaluate risk factors and to determine the seroprevalence to Chagas disease. MATERIALS AND METHODS: A questionnaire was given to a sample population of 122 people classed as rural (n=76) or urban area (n=46). A serological screening was undertaken by Elisa test, with confirmation of seropositives with IHA (Chagatest) and parasitological confirmation by polymerase chain reaction (PCR). RESULTS: Four people were positive by Elisa test (3.3%); however, they were negative by IHA and PCR. One of the four positives by Elisa was positive by indirect immuno flourescence (IFAT) as well. The sample showed a low presence of seropositives against Trypanosoma cruzi. However, the presence of parasite could not be confirmed by the PCR test. The main risk factors were houses thatched with palm roofs, clay floors, wood walls, and presence of domestic animal reservoirs. CONCLUSIONS: The study population presented risk factors for the establishment of active transmission. The presence of triatomines must be verified in this area and establishment of control measures are necessary for preventiving the resurgence of the Chagas disease in Morroa. PMID- 18154254 TI - [Electrophoretic patterns of salivary hemeproteins (nitrophorines) of Rhodnius colombiensis and R. prolixus (Hemiptera, Reduviidae, Triatominae)]. AB - INTRODUCTION: Salivary hemeprotein electrophoresis in starch gels is a recent technique used for differentiation of Rhodnius species with great phenotypic similarity. Furthermore, populations of the same species can be differentiated from geographically separated locales. Of the 15 described Rhodnius species in Latin America, at least eight have been reported in Colombia. OBJECTIVE: To use the salivary hemeproteins electrophoresis for R. prolixus and R. colombiensis identification. These two species are phenotypically similar and have overlapping domestic and sylvatic cycles where they occur in the upper basin of the Magdalena river, Central Colombia. MATERIAL AND METHODS: The content of salivary glands of each insect was subjected to starch gel electrophoresis using glycine buffer, and the bands were revealed with 3,3',5,5'-tetramethylbenzidine. Band patterns were photographically recorded. RESULTS: Electrophoretic patterns of salivary hemeproteins of R. prolixus and R. colombiensis were able to unequivocally differentiate the two species. CONCLUSION: The usefulness of the starch gel technique for distinguishing between R. prolixus and R. colombiensis was demonstrated as an additional tool to the morphometric and molecular methods already in use for differentiation of these two species. PMID- 18154255 TI - [Updated geographical distribution and ecoepidemiology of the triatomine fauna (Reduviidae: Triatominae) in Colombia]. AB - Information concerning triatomine records from provinces and municipalities was accumulated-including data indicating natural infections with trypanosomatides that has been previously published or reported by Colombian provincial health services and research institutes. Altitude appeared to be the main factor responsible for the distribution of the insects. Illustrations summarize the information provided by the above records. A triatomine fauna classification is presented that corresponds to the eco-epidemiological conditions of the country, considering altitude as the factor determining the geographical distribution of these vectors. Rhodnius prolixus, Triatoma dimidiata, Triatoma maculata and Triatoma venosa are considered the major transmission risk species in Colombia, according to the frequency in which they are reported inside dwellings and peridomiciliary areas. Entomological surveillance providess a necessary tool to reinforce the control strategies for Chagas disease. This also allows the evaluation of transmission risk that the sylvatic triatomines represent in Colombia. PMID- 18154256 TI - Catalyzing chemical bonding--the WIKI way. PMID- 18154260 TI - Progress toward establishing an open access molecular screening capability in the Australasian region. PMID- 18154261 TI - Arthur Kornberg (1918-2007): a man of more than just two cultures. PMID- 18154262 TI - Michelle Chang: putting the pieces together with synthetic biology. PMID- 18154263 TI - Click imaging of biochemical processes in living systems. AB - Understanding the function of biomolecules is crucially dependent on observing the dynamics of their biosynthesis, distribution, and metabolism in their native environment at the cellular and organismal levels rather than their behavior in the isolated samples. Small bioorthogonal functional groups that cause minimal, if any, perturbations of the native structure and function of the target molecule under physiological conditions and react selectively with an appropriately derivatized probe could function as chemical handles that allow selective visualization of the target molecule in the complex biological milieu. Small and generally unreactive, organic azides are ideally suited for this task: they can be carried unnoticed through multiple biosynthetic steps only to be revealed, when desired, by action of a suitably derivatized visualization label. PMID- 18154264 TI - Fragment-based ligand discovery meets phage display. AB - In a powerful complement to traditional ligand discovery methods such as high throughput screening, fragment-based ligand discovery methods identify ligands piece by piece. A recent advance combines the concepts of fragment-based ligand discovery with phage-display technology to yield bivalent kinase inhibitors with high potency and specificity. PMID- 18154265 TI - An adrenaline (and gold?) rush for the GPCR community. AB - G-Protein-coupled receptors are one of the largest protein families found in metazoans. Using several novel strategies, the first atomic resolution structures of a receptor that is activated by a diffusible ligand have been determined. PMID- 18154266 TI - An oxazole-based small-molecule Stat3 inhibitor modulates Stat3 stability and processing and induces antitumor cell effects. AB - Stat3 is hyperactivated in many human tumors and represents a valid target for anticancer drug design. We present a novel small-molecule Stat3 inhibitor, S3I M2001, and describe the dynamics of intracellular processing of activated Stat3 within the context of the biochemical and biological effects of the Stat3 inhibitor. S3I-M2001 is an oxazole-based peptidomimetic of the Stat3 Src homology (SH) 2 domain-binding phosphotyrosine peptide that selectively disrupts active Stat3:Stat3 dimers. Consequently, hyperactivated Stat3, which hitherto occurs as "dotlike" structures of nuclear bodies, undergoes an early aggregation into nonfunctional perinuclear aggresomes and a late-phase proteasome-mediated degradation in malignant cells treated with S3I-M2001. Thus, S3I-M2001 inhibited Stat3-dependent transcriptional regulation of tumor survival genes, such as Bcl xL. Furthermore, Stat3-dependent malignant transformation, survival, and migration and invasion of mouse and human cancer cells harboring persistently activated Stat3 were inhibited by S3I-M2001. Finally, S3I-M2001 inhibited growth of human breast tumor xenografts. The study identifies a novel Stat3 inhibitor, S3I-M2001, with antitumor cell effects mediated in part through a biphasic loss of functional Stat3. The study represents the first on intracellular Stat3 stability and processing following inhibition by a small molecule that has significant antitumor activity. PMID- 18154267 TI - Rationally designed inhibitors identify STAT3 N-domain as a promising anticancer drug target. AB - Activation of the signal transducer and activator of transcription 3 (STAT3) is frequently detected in many cancer types. Activated STAT3 may participate in oncogenesis by stimulating cell proliferation and resisting apoptosis, as well as promoting tumor angiogenesis, invasion, and migration. Many STAT3-dependent cellular responses are mediated through interactions with other proteins, and the amino-terminal domain (N-domain) of STAT3 was proposed to be responsible for this. Our NMR studies revealed that synthetic analogs of the STAT4 second alpha helix bind to the N-domain and perturb its structure. Structural data available for the STAT4 N-domain was used for the rational design of STAT3 helix 2 analogs with enhanced biological activity. Cell-permeable derivatives of the STAT3 second helix were found to directly and specifically bind to STAT3 but not STAT1 as determined by FRET analysis in cells expressing GFP-STAT3 and GFP-STAT1. Furthermore, they potently induced apoptotic death in breast cancer cells but not normal breast cells or STAT3-deficient fibroblasts. The inhibitors caused significant changes in the mitochondrial potential of cancer cells, leading to cell death. These compounds not only are promising drug candidates but also offer a convenient tool for studying the mechanisms of action of STAT transcription factors and have facilitated our understanding of the crucial role of the N domain in STAT3 function. PMID- 18154268 TI - A 10,000 member PNA-encoded peptide library for profiling tyrosine kinases. AB - A 10,000 member peptide nucleic acid (PNA) encoded peptide library was prepared, treated with the Abelson tyrosine kinase (Abl), and decoded using a DNA microarray and a fluorescently labeled secondary antiphosphotyrosine antibody. A dual-color approach ensured internal referencing for each and every member of the library and the generation of robust data sets. Analysis identified 155 peptides (out of 10,000) that were strongly phosphorylated by Abl in full agreement with known Abl specificities. BLAST analysis identified known cellular Abl substrates such as c-Jun amino-terminal kinase as well as new potential target proteins such as the G-protein coupled receptor kinase 6 and diacylglycerol kinase gamma. To illustrate the generalization of this approach, two other tyrosine kinases, human epidermal growth factor 2 (Her2) and vascular endothelial growth factor receptor 2/kinase insert domain protein receptor (VEGFR2/KDR), were profiled allowing characterization of specific peptide sequences known to interact with these kinases; under these conditions Her2 was demonstrated to have a marked preference for D-proline perhaps offering a unique means of targeting and inhibiting this kinase. PMID- 18154270 TI - Acremine G, dimeric metabolite from cultures of Acremonium byssoides A20. AB - A new dimeric fungal metabolite, racemic acremine G, was isolated from cultures of the fungus Acremonium byssoides A20, along with the known acremines A-F. Its structure was elucidated by NMR spectroscopy and X-ray crystallography. A possible biosynthetic pathway is discussed. Acremine G mildly inhibited the growth of sporangia of Plasmopara viticola. PMID- 18154272 TI - Nitric oxide production inhibitory activity of flavonoids contained in trunk exudates of Dalbergia sissoo. AB - Methanolic extracts of trunk exudates of Dalbergia sissoo yielded two new open chain neoflavonoids (1, 2), a new flavonoid (3), a new flavanone (4), and 26 known compounds. Their structures were elucidated by detailed spectroscopic analyses. The ability of the isolated compounds to prevent nitric oxide (NO) production by LPS-stimulated J774.1 cells was also studied. All of the isolated compounds except 4, formononetin, and zenognosin B exhibited significant activity in a concentration-dependent manner. Compounds 2 and 3 were among the most potent NO production inhibitors, with IC50 values of 3.19 and 6.22 microM, respectively, and compound 1 had an IC50 of 31.6 microM. PMID- 18154269 TI - Mechanisms of resistance to an amino acid antibiotic that targets translation. AB - Structural and functional diversity among the aminoacyl-tRNA synthetases prevent infiltration of the genetic code by noncognate amino acids. To explore whether these same features distinguish the synthetases as potential sources of resistance against antibiotic amino acid analogues, we investigated bacterial growth inhibition by S-(2-aminoethyl)-L-cysteine (AEC). Wild-type lysyl-tRNA synthetase (LysRS) and a series of active site variants were screened for their ability to restore growth of an Escherichia coli LysRS null strain at increasing concentrations of AEC. While wild-type E. coli growth is completely inhibited at 5 microM AEC, two LysRS variants, Y280F and F426W, provided substantial resistance and allowed E. coli to grow in the presence of up to 1 mM AEC. Elevated resistance did not reflect changes in the kinetics of amino acid activation or tRNA (Lys) aminoacylation, which showed at best 4-6-fold improvements, but instead correlated with the binding affinity for AEC, which was decreased approximately 50-fold in the LysRS variants. In addition to changes in LysRS, AEC resistance has also been attributed to mutations in the L box riboswitch, which regulates expression of the lysC gene, encoding aspartokinase. The Y280F and F426W LysRS mutants contained wild-type L box riboswitches that responded normally to AEC in vitro, indicating that LysRS is the primary cellular target of this antibiotic. These findings suggest that the AEC resistance conferred by L box mutations is an indirect effect resulting from derepression of lysC expression and increased cellular pools of lysine, which results in more effective competition with AEC for binding to LysRS. PMID- 18154271 TI - Sodium pancratistatin 3,4-o-cyclic phosphate, a water-soluble synthetic derivative of pancratistatin, is highly effective in a human colon tumor model. AB - Sodium pancratistatin 3,4- O-cyclic phosphate ( 2) is a novel water-soluble synthetic derivative of pancratistatin ( 1), a natural alkaloid constituent of Amaryllidaceae plants, that exhibits good cytostatic and antineoplastic activity but is highly insoluble. Unlike most other natural alkaloids it does not act by binding to tubulin, and its mechanism of action has yet to be fully elucidated. Here the efficacy of 2 in a human colon adenocarcinoma model, DLD-1, and some understanding of its mode of action are investigated. Agreeing with previous studies, low cytotoxicity in vitro was seen for 2 with IC 50's of 253 and 19.7 microM for 1 and 96 h exposures, respectively. However in vivo the compound caused statistically significant tumor growth delays ( p < 0.01) at its maximum tolerated dose, and significant vascular shutdown and tumor necrosis were observed. Like 1, the compound appeared to have an unconventional mechanism of action with no effect on microtubule structure, yet causing a G 2/M block, while it was seen to disrupt mitochondrial function. The mechanism of action of 1 and 2 appears to be similar. Thus compound 2, being considerably more soluble than 1, has good potential as an anticancer agent, and further investigation is warranted. PMID- 18154273 TI - High-affinity uranyl-specific antibodies suitable for cellular imaging. AB - Monoclonal antibodies (mAbs) have proved to be valuable models for the study of protein-metal interactions, and previous reports have described very specific antibodies to chelated metal ions, including uranyl. We raised specific mAbs against UO2(2+)-DCP-BSA (DCP, 1,10-phenanthroline-2,9-dicarboxylic acid) to generate new sets of antibodies that might cross-react with various complexed forms of uranyl in different environments for further application in the field of toxicology. Using counter-screening with UO2(2+)-DCP-casein, we selected two highly specific mAbs against uranyl-DCP ( K D 10-100 pM): U04S and U08S. Competitive assays in the presence of different metal ions (UO2(2+), Fe (3+), Zn2+, Cu2+, and Ca2+) showed that uranyl in solution can act as a good competitor, suggesting some antibody ability to cross-react with chelating groups other than DCP in the UO2(2+) equatorial coordination plane. Interestingly, one of the antibodies could be used for revealing uranyl cations in cell samples. Fluorescence activated cell sorting analyses after immunolabeling revealed the interaction of uranyl with human kidney cells HK2. The intracellular accumulation of uranyl could be directly visualized by metal-immunostaining using fluorescent labeled mAb. Our results suggest that U04S mAb epitopes mostly include the uranyl fraction and its paratopes can accommodate a wide variety of chelating groups. PMID- 18154274 TI - Direct coupling of ionic liquid based single-drop microextraction and GC/MS. AB - The use of ionic liquids as extracting media in single-drop liquid-phase microextraction (SDME) and its direct coupling to gas chromatography/mass spectrometry (GC/MS) is presented. For this purpose, a new removable interface that enables the introduction of the extracted analytes into the GC system, while preventing the ionic liquid from entering the column, has been developed. The determination of three representative pollutants in water samples has been used as a model analytical problem in order to demonstrate the feasibility of the proposed interface. The analytes (dichloromethane, p-xylene, and n-undecane) were coextracted from the aqueous sample in a 2-microL drop of 1-butyl-3 methylimidazolium hexaflourophosphate. Then, the syringe used to perform the SDME was directly introduced into the interface, which was held at 140 degrees C in order to achieve a complete volatilization of the target compounds. After the injection, the ionic liquid was retained in the interface, while a carrier gas transferred the volatilized analytes into the GC inlet. The optimization of the operational variables affecting the new interface (temperature, carrier flow rate, sample volume and injection technique) was accomplished. The analytes could be determined with detection limits in the low-nanogram per milliliter concentration range, and the relative standard deviations were between 3.3 and 4.4%. PMID- 18154275 TI - The benzophenone S1(n,pi*) --> T1(n,pi*) states intersystem crossing reinvestigated by ultrafast absorption spectroscopy and multivariate curve resolution. AB - The well-known benzophenone intersystem crossing from S(1)(n,pi*) to T(1)(n,pi*) states, for which direct transition is forbidden by El-Sayed rules, is reinvestigated by subpicosecond time-resolved absorption spectroscopy and effective data analysis for various excitation wavelengths and solvents. Multivariate curve resolution alternating least-squares analysis is used to perform bilinear decomposition of the time-resolved spectra into pure spectra of overlapping transient species and their associated time-dependent concentrations. The results suggest the implication of an intermediate (IS) in the relaxation process of the S(1) state. Therefore, a two step kinetic model, S(1) --> IS --> T(1), is successfully implemented as an additional constraint in the soft modeling algorithm. Although this intermediate, which has a spectrum similar to the one of T(1)(n,pi*) state, could be artificially induced by vibrational relaxation, it is tentatively assigned to a hot T(1)(n,pi*) triplet state. Two characteristic times are reported for the transition S(1) --> IS and IS --> T(1), approximately 6.5 ps and approximately 10 ps respectively, without any influence of the solvent. Moreover, an excitation wavelength effect is discovered suggesting the participation of unrelaxed singlet states in the overall process. To go further discussing the spectroscopic relevancy of IS and to rationalize the expected involvement of the T(2)(pi,pi*) state, we also investigate 4 methoxybenzophenone. For this neighboring molecule, triplet energy level is tunable through solvent polarity and a clear correlation is established between the intermediate resolved by multivariate data analysis and the presence of a T(2)(pi,pi*) above the T(1)(n,pi*) triplet. It is therefore proposed that the benzophenone intermediate species is a T(1)(n,pi*) high vibrational level in interaction with T(2)(pi,pi*) state. PMID- 18154276 TI - Photoisomerization of cis,cis- to trans,trans-1,4-diaryl-1,3-butadienes in the solid state: the bicycle-pedal mechanism. AB - The photoisomerizations of crystalline or powdered cis,cis-1,4-diphenyl- and 1,4 di(o-tolyl)-1,3-butadienes (cc-DPB and cc-DTB) to the trans,trans isomers were studied at room temperature. The progress of the reactions was monitored by fluorescence spectroscopy, powder X-ray diffraction, (1)H NMR, and high performance liquid chromatography. Conversions to the trans,trans isomers were as high as 90% for cc-DPB and 20% for cc-DTB. Formation of the cis,trans isomers, the sole products obtained in solution and in very viscous glassy media at 77 K, is completely suppressed in the solid state. The observed two-bond photoisomerizations are explained by the bicycle-pedal (BP) photoisomerization mechanism. X-ray structure determinations show that o-methyl substitution causes a widening of the phenyl/diene dihedral angles from 40 degrees to 56 degrees and decreases the number of conformers in the crystal from two in cc-DPB to one in cc DTB. The two conformers of cc-DPB molecules exist in crystals in edge-to-face alternating arrays, one of which has the two phenyls in parallel planes and the other in roughly perpendicular planes. The edge-to-face relationship is maintained in cc-DTB, but only the conformer with the o-tolyl groups in parallel planes is present. The time evolutions of fluorescence spectra measured in the course of the photoreaction show remarkable similarities, despite the different molecular conformations and crystal packing arrangements. Principal component analyses of the spectral matrices indicate the formation of discrete components, suggesting that the two-bond photoisomerizations proceed in stages involving molecules in different microcrystal environments. The structureless appearances of the initial fluorescence spectra show that the reactions are in part diabatic. The BP mechanism can account for the observations if the bicycle-pedal motion began in the excited state, S(1), and were completed in the ground state, S(0). Analysis of void spaces in the crystal lattice reveals much less compact packing of cc-DPB than of cc-DTB molecules, possibly explaining the much higher conversions to photoproduct from cc-DPB. PMID- 18154277 TI - Microwave catalysis through rotationally hot reactive species. AB - In this contribution we propose a novel physical mechanism for microwave catalysis based on rotationally excited reactive species and verify its validity through a computer simulation of a realistic chemical reaction-neutral ester hydrolysis. This nonequilibrium system is formally described by introducing rotational temperature, which is higher than the translational temperature. A Born-Oppenheimer surface was constructed on the density functional theory level and applied to a modified Monte Carlo scheme. The simulation gave a reduced activation free energy when the rotational temperature was higher than the translational temperature, which constitutes a catalytic effect. For example, our calculation predicts that with rotational and translational temperatures of 310 and 300 K, respectively, the reaction should proceed 4.5 times faster than when both temperatures are 300 K. Moreover, this microwave catalytic effect is less pronounced at higher temperatures, which may have serious implications for the interaction of microwaves with living organisms in the context of widespread mobile telephony. PMID- 18154278 TI - Lewis acid-base interactions in weakly bound formaldehyde complexes with CO2, HCN, and FCN: considerations on the cooperative H-bonding effects. AB - Ab initio quantum chemistry calculations reveal that HCN and mainly FCN can form Lewis acid-base complexes with formaldehyde associated with cooperative H bonds, as first noticed by Wallen et al. (Blatchford, M. A.; Raveendran, P.; Wallen, S. L. J. Am. Chem. Soc. 2002, 124, 14818-14819) for CO2-philic materials under supercritical conditions. The present results, obtained with MP2(Full)/aug-cc pVDZ calculations, show that the degeneracy of the nu(2) mode in free HCN or FCN is removed upon complexation in the same fashion as that of CO2. The splitting of these bands along with the electron structure analysis provides substantial evidence of the interaction of electron lone pairs of the carbonyl oxygen with the electron-deficient carbon atom of the cyanides. Also, this work investigates the role of H bonds acting as additional stabilizing interactions in the complexes by performing the energetic and geometric characterization. PMID- 18154279 TI - Observation of entropic effect on conformation changes of complex systems under well-controlled temperature conditions. AB - We report direct observation of an entropic effect in determining the folding of a linear dicarboxylate dianion with a flexible aliphatic chain [(-)O(2)C (CH(2))(6)-CO(2)(-)] by photoelectron spectroscopy as a function of temperature (18-300 K) and degree of solvation from 1 to 18 water molecules. A folding transition is observed to occur at 16 solvent water molecules at room temperature and at 14 solvent molecules below 120 K due to the entropic effect. The (-)O(2)C (CH(2))(6)-CO(2)(-)(H(2)O)(14) hydrated cluster exhibits interesting temperature dependent behaviors, and its ratio of folded over linear conformations can be precisely controlled as a function of temperature, yielding the enthalpy and entropy differences between the two conformations. A folding barrier is observed at very low temperatures, resulting in kinetic trapping of the linear conformation. The current work provides a simple model system to study the dynamics and entropic effect in complex systems and may be important for understanding the hydration and conformation changes of biological molecules. PMID- 18154280 TI - Receptor-based virtual ligand screening for the identification of novel CDC25 phosphatase inhibitors. AB - CDC25 phosphatases play critical roles in cell cycle regulation and are attractive targets for anticancer therapies. Several small non-peptide molecules are known to inhibit CDC25, but many of them appear to form a covalent bond with the enzyme or act through oxidation of the thiolate group of the catalytic cysteine. Structure-based virtual ligand screening computations were performed with FRED, Surflex, and LigandFit, a compound collection of over 310,000 druglike molecules and the crystal structure of CDC25B in order to identify novel classes of ligands. In vitro experiments carried out on a selected list of 1500 molecules led to the discovery of 99 compounds able to inhibit CDC25B activity at 100 microM. Further docking computations were applied, allowing us to propose a binding mode for the most potent molecule (IC50 = 13 microM). Our best compounds represent promising new classes of CDC25 inhibitors that also exhibit antiproliferative properties. PMID- 18154281 TI - Solvent effects on internal conversions and intersystem crossings: the radiationless de-excitation of acrolein in water. AB - An extended version of the averaged solvent electrostatic potential from molecular dynamics data (ASEP/MD) method oriented to the study of the solvent effects on internal conversion and intersystem crossing processes is presented. The method allows for the location of crossing points between free energy surfaces both in equilibrium and in frozen solvent conditions. The ground and excited states of the solute molecule are described at the complete active space self-consistent field (CASSCF) level while the solvent structure is obtained from molecular dynamics simulations. As an application, we studied the nonradiative de excitation of s-trans-acrolein 1(n --> pi*) in aqueous solution. We found that the solvent modifies the relative stability of the different crossing points but not enough as to alter the relative order of stability with respect to the in vacuo situation. The relaxation through an equilibrium path involves a strong solvent reorganization. On the contrary, the nonequilibrium path does not involve solvent motion and the de-excitation could proceed with the same speed as in vacuo. PMID- 18154283 TI - Trotter-based simulation of quantum-classical dynamics. AB - Quantum rate processes in condensed phase systems are often computed by combining quantum and classical descriptions of the dynamics. An algorithm for simulating the quantum-classical Liouville equation, which describes the dynamics of a quantum subsystem coupled to a classical bath, is presented in this paper. The algorithm is based on a Trotter decomposition of the quantum-classical propagator, in conjunction with Monte Carlo sampling of quantum transitions, to yield a surface-hopping representation of the dynamics. An expression for the nonadiabatic propagator that is responsible for quantum transitions and associated bath momentum changes is derived in a form that is convenient for Monte Carlo sampling and exactly conserves the total energy of the system in individual trajectories. The expectation values of operators or quantum correlation functions can be evaluated by initial sampling of quantum states and use of quantum-classical Liouville dynamics for the time evolution. The algorithm is tested by calculations on the spin-boson model, for which exact quantum results are available, and is shown to reproduce the exact results for stronger nonadiabatic coupling and much longer times using fewer trajectories than other schemes for simulating quantum-classical Liouville dynamics. PMID- 18154282 TI - Prediction of salt and mutational effects on the association rate of U1A protein and U1 small nuclear RNA stem/loop II. AB - We have developed a computational approach for predicting protein-protein association rates (Alsallaq and Zhou, Structure 2007, 15, 215). Here we expand the range of applicability of this approach to protein-RNA binding and report the first results for protein-RNA binding rates predicted from atomistic modeling. The system studied is the U1A protein and stem/loop II of the U1 small nuclear RNA. Experimentally it was observed that the binding rate is significantly reduced by increasing salt concentration while the dissociation changes little with salt concentration, and charges distant from the binding site make marginal contribution to the binding rate. These observations are rationalized. Moreover, predicted effects of salt and charge mutations are found to be in quantitative agreement with experimental results. PMID- 18154284 TI - Light scattering and luminescence studies on self-aggregation behavior of amphiphilic copolymer micelles. AB - The self-aggregation behavior of three amphiphilic graft copolymers, oligo(9,9 dihexyl)fluorence-graft-poly(ethylene oxide) (OHF-g-PEO), with different architectures was studied by dynamic and static light scattering (DLS and SLS) in combination with fluorescence spectroscopy and transmission electron microscopy (TEM). The formation of self-assembled polymeric micelles was confirmed by SLS and TEM. DLS and SLS analyses showed that the architecture of graft copolymers has a dramatic effect on critical aggregation concentration (CAC), micelle size distribution, apparent aggregation number (Nagg app), and apparent molecular weight of polymer aggregates (Mw,agg app). An architecture-dependent excimer emission, resulting from the pi-pi stacking of the oligofluorene backbones, was also observed from the photoluminescence spectra of the micelle aqueous solutions, which indicated a strong intermolecular interaction among the polymeric molecules. The excimer emission was further investigated by time resolved fluorescence spectroscopy. PMID- 18154285 TI - Concentration effects in "single-molecule" spectroscopy. AB - A concentration as low as 0.1 molecule per observation volume may not be small enough for single-molecule Forster resonance energy transfer (FRET) efficiency measurements of molecules diffusing through a laser spot. This result follows from a rigorous theory that takes many molecules into account. We consider the distributions of the number of photons (photon counting histograms) and show that multiple-molecule effects are pronounced at large photon counts even at low concentrations. FRET efficiency distributions reveal multiple-molecule effects at large threshold values. This might be misinterpreted as multiple conformational states. Multiple-molecule effects strongly depend on the brightness of fluorophores. A simple test is suggested to determine parameters for which the single-molecule description is applicable. PMID- 18154286 TI - Influence of substrate treatment on self-organized pattern formation by langmuir blodgett transfer. AB - Mesoscopic stripe patterns can be obtained by Langmuir-Blodgett (LB) transfer of l-alpha-dipalmitoylphosphatidylcholine (DPPC) onto solid substrates. In order to investigate the influence of substrates on the pattern formation, silicon slides treated by different cleaning processes were taken as model systems. A shift in the transfer pressure range for patterning was observed between plasma- and RCA treated silicon. This can be explained with a model of equivalent states and taking into account the influence of microscale water films on the substrates. PMID- 18154287 TI - Strength of Calpha-H...O=C hydrogen bonds in transmembrane proteins. AB - A large number of Calpha-H...O contacts are present in transmembrane protein structures, but contribution of such interactions to protein stability is still not well understood. According to previous ab initio quantum calculations, the stabilization energy of a Calpha-H...O contact is about 2-3 kcal/mol. However, experimental studies on two different Calpha-H...O hydrogen bonds present in transmembrane proteins lead to conclusions that one contact is only weakly stabilizing and the other is not even stabilizing. We note that most previous computational studies were on optimized geometries of isolated molecules, but the experimental measurements were on those in the structural context of transmembrane proteins. In the present study, 263 Calpha-H...O=C contacts in alpha-helical transmembrane proteins were extracted from X-ray crystal structures, and interaction energies were calculated with quantum mechanical methods. The average stabilization energy of a Calpha-H...O=C interaction was computed to be 1.4 kcal/mol. About 13% of contacts were stabilizing by more than 3 kcal/mol, and about 11% were destabilizing. Analysis of the relationships between energy and structure revealed four interaction patterns: three types of attractive cases in which additional Calpha-H...O or N-H...O contact is present and a type of repulsive case in which repulsion between two carbonyl oxygen atoms occur. Contribution of Calpha-H...O=C contacts to protein stability is roughly estimated to be greater than 5 kcal/mol per helix pair for about 16% of transmembrane helices but for only 3% of soluble protein helices. The contribution would be larger if Calpha-H...O contacts involving side chain oxygen were also considered. PMID- 18154288 TI - Electronic structure of the acetonitrile and acetonitrile dimer anions: a topological investigation. AB - Acetonitrile molecules are known for their intriguing ability to accommodate an excess electron in either a diffuse dipole-bound orbital, away from the valence electrons, or in its valence orbitals, depending on the environment. In this work, we report a computational investigation of the monomer and dimer acetonitrile anions, with the main goal of gaining further insight into the unusual electronic structure of these species. To this end, the topology of the electron density distribution has been examined in detail with the quantum theory of atoms in molecules (AIM). The excess electron is found to affect the topology of the electron density very differently for two dipole-bound-electron isomers of the acetonitrile dimer anion: for the head-to-tail isomer, the electron density simply decays away from the atomic nuclei, and the presence of the excess electron only manifests itself in the Laplacian of the electron density as a very diffuse region of "dipole-bound" charge concentration; in contrast, for the "solvated-electron" head-to-head isomer, a maximum of electron density without a corresponding atomic nucleus is observed, which topologically corresponds to a pseudo-atom of electron density. The acetonitrile dimer appears to be the smallest solvent cluster anion to exhibit such a non-nuclear attractor due to the presence of a solvated electron. Although the "solvated-electron" isomer is thermodynamically less stable than the head-to-tail isomer at 0 K, its floppy nature leads to a higher vibrational entropy that makes it the most stable acetonitrile dimer, anionic or neutral, above 150 K. As for the acetonitrile dimer anion with a valence-bound electron, its structure is characterized by acetonitrile molecules connected to each other at the cyanide carbon atoms; the AIM analysis reveals that, although this C-C bond is relatively weak, with an estimated bond order of 0.6, it possesses genuine covalent character and is not a "pseudo-bond" as previously speculated. We also report the first multireference electronic structure calculations of the valence-bound-electron acetonitrile monomer and dimer anions, the highest-level calculations of these species to date. The acetonitrile radical anion is unstable in the gas phase and is topologically characterized by a radical-like nonbonded charge concentration located at the cyanide carbon atom. Based on the results of the AIM analysis, the previously proposed resonance description of the valence-bound-electron acetonitrile anion is refined, and a new resonance description of the dimer anion is proposed. Overall, this work demonstrates the rich topological variety of the excess electron interacting with acetonitrile molecules, which manifests itself as charge concentrations, pseudo-atoms, and covalent bonds. PMID- 18154289 TI - An application of the "coloring problem": structure-composition-bonding relationships in the magnetocaloric materials LaFe13-xSix. AB - The LaFe(13)-(x)Si(x) (1.0 < or = x < or = 5.0) series is studied experimentally and theoretically to gain possible understanding for the relationships among geometrical structure, chemical composition, magnetic behavior, and physical properties as related to the magnetocaloric effect in these compounds. As the Si concentration increases, LaFe(13)-(x)Si(x) exhibits a structural transformation from the cubic NaZn(13) structure type to a tetragonal derivative due primarily to preferential ordering of Fe and Si atoms. At room temperature, LaFe(13) (x)Si(x) crystallize in the cubic structure for the range 1 < or = x < or = 2.6 and in the tetragonal for 3.2 < or = x < or = 5. In the range 2.6 < or = x < or = 3.2, it shows a two-phase mixture. Temperature-dependent single-crystal X-ray diffraction experiments near the corresponding Curie temperatures were performed on the room-temperature cubic phases to examine the origin of the large isothermal magnetic entropy changes. A thorough statistical and structural analysis of the data indicates that the noncentrosymmetric F43c space group provides a more adequate atomic arrangement than the centrosymmetric Fm3c space group. This change in space group leads to divergence for specific sets of Fe-Fe distances below the Curie temperature that arises from tilting of Fe-centered [Fe(12)-(x)Si(x)] icosahedra. The noncentrosymmetric space group also agrees with the predominance of icosahedral clusters lacking local inversion symmetry. From extended Huckel and tight-binding linear muffin-tin orbital (TB-LMTO) electronic structure calculations on various model structures, the F43c model is more energetically favorable than the Fm3c model. Extended Huckel calculations on various icosahedral [Fe(12)-(n)Si(n)] (n = 1-5) clusters and TB-LMTO calculations on "LaFe(13)," LaFe(11)Si(2), and LaFe(9)Si(4) have also been carried out to study the effects of a main group element (Si) on stabilizing the cubic NaZn(13) type structure, influencing the transformation between cubic and tetragonal symmetries, and to study relationships among their chemical bonding and magnetic properties. PMID- 18154290 TI - Insertion of CO2, ketones, and aldehydes into the C-Li bond of 1,3,5-triaza-7 phosphaadamantan-6-yllithium. AB - The synthesis and structures of a series of new water-soluble phosphine ligands based on 1,3,5-triaza-7-phosphaadamantane (PTA) are described. Insertion of aldehydes or ketones into the C-Li bond of 1,3,5-triaza-7-phosphaadamantan-6 yllithium (PTA-Li) resulted in the formation of a series of slightly water soluble beta-phosphino alcohols (PTA-CRR'OH, R = C6H5, C(6)H(4)OCH(3), ferrocenyl; R' = H, C(6)H(5), C(6)H(4)OCH(3)) derived from the heterocyclic phosphine PTA. Insertion of CO(2) yielded the highly water-soluble carboxylate PTA-CO(2)Li, S(2)5 degrees approximately 800 g/L. The compounds have been fully characterized in the solid state by X-ray crystallography and in solution by multinuclear NMR spectroscopy. The addition of PTA-Li to symmetric ketones results in a racemic mixture of PTA-CR(2)OH ligands with a single resonance in the (31)P{(1)H} NMR spectrum between -95 and -97 ppm. The addition of PTA-Li to aldehydes results in a mixture of diasteromeric compounds, PTA-CHROH, with two (31)P{(1)H} NMR resonances between -100 and -106 ppm. Three (eta(6) arene)RuCl(2)(PTA-CRR'OH) complexes of these ligands were synthesized and characterized, with the ligands binding in a kappa1 coordination mode. All the ligands and ruthenium complexes are slightly soluble in water with S25 degrees = 3.9-11.1 g/L for the PTA-CRR'OH ligands and S(25) degrees = 3.3-14.1 g/L for the (eta(6)-arene)RuCl(2)(PTA-CRR'OH) complexes. PMID- 18154291 TI - Understanding inflections and steps in carbon dioxide adsorption isotherms in metal-organic frameworks. PMID- 18154294 TI - Effective concentration as a tool for quantitatively addressing preorganization in multicomponent assemblies: application to the selective complexation of lanthanide cations. AB - The beneficial entropic effect, which may be expected from the connection of three tridentate binding units to a strain-free covalent tripod for complexing nine-coordinate cations (Mz+ = Ca2+, La3+, Eu3+, Lu3+), is quantitatively analyzed by using a simple thermodynamic additive model. The switch from pure intermolecular binding processes, characterizing the formation of the triple helical complexes [M(L2)3]z+, to a combination of inter- and intramolecular complexation events in [M(L8)]z+ shows that the ideal structural fit observed in [M(L8)]z+ indeed masks large energetic constraints. This limitation is evidenced by the faint effective concentrations, ceff, which control the intramolecular ring-closing reactions operating in [M(L8)]z+. This predominence of the thermodynamic approach over the usual structural analysis agrees with the hierarchical relationships linking energetics and structures. Its simple estimation by using a single microscopic parameter, ceff, opens novel perspectives for the molecular tuning of specific receptors for the recognition of large cations, a crucial point for the programming of heterometallic f-f complexes under thermodynamic control. PMID- 18154295 TI - Efficient control of pi-alkyne and vinylidene complex pathways for the W(CO)5(L) catalyzed synthesis of two types of nitrogen-containing bicyclic compounds. AB - When omega-acetylenic dienol silyl ethers containing NMs part in the tether were treated with a catalytic amount of W(CO)6 under photoirradiation, 2 azabicyclo[3.3.0]octanes were obtained in good yield via pi-alkyne complexes. On the other hand, treatment of the same substrates with a catalytic amount of W(CO)6 in the presence of n-Bu3N under the same reaction conditions gave 3 azabicyclo[3.3.0]octanes in good yield exclusively via vinylidene complexes. Thus, the pi-alkyne and vinylidene complex pathways are easily controlled by using a catalytic amount of W(CO)5(L) and an amine. PMID- 18154296 TI - Ionophilic phosphines: versatile ligands for ionic liquid biphasic catalysis. AB - Phosphine ligands bearing an imidazolium fragment were easily prepared by one step radical chain addition of secondary phosphines to allyl or vinyl imidazolium salts. These ligands were used to prepare new ionophilic second generation Grubbs type catalysts. The catalyst immobilized in 1-butyl-3-methyl imidazolium ILs shows good catalytic activity in RCM reactions of several substrates and, depending on the media employed, is stable up to eight cycles. PMID- 18154297 TI - Synthesis of multisubstituted 2-(dihydrofuran-2(3H)-ylidene)acetates via intramolecular carboalkoxylation by platinum-olefin catalyst system. AB - The cyclization of 6-(1-alkoxyethyl)hex-2-ynoates in the presence of a platinum olefin catalyst system gave the corresponding multisubstituted 2-(dihydrofuran 2(3H)-ylidene)acetates in good to high yields. The Z/E selectivity is controlled by the electronic property of the ester group; the 2,2,2-trichloroethyl ester led to the Z isomer, while the phenyl ester gave the E isomer. PMID- 18154298 TI - Synthesis of 2,6-disubstituted piperazines by a diastereoselective palladium catalyzed hydroamination reaction. AB - A highly diastereoselective intramolecular hydroamination is the key step in a modular synthesis of 2,6-disubstituted piperazines. The requisite hydroamination substrates were prepared in excellent yields by nucleophilic displacement of cyclic sulfamidates derived from amino acids. A variety of alkyl and aryl substituents at the 2-position were tolerated. The stereochemistry of the piperazines was determined to be trans by X-ray crystallography, which also showed the preferred conformation of the 2,6-disubstituted piperazine to be a twist-boat due to A(1,3) strain. PMID- 18154299 TI - 3-bromozinc propenyl esters: an experimental and theoretical study of the unique stereocrossover observed in their addition to aromatic and aliphatic aldehydes. AB - We report the results of a combined experimental and theoretical study on the reaction of 3-bromopropenyl acetate in the presence of zinc with three different aldehydes (i.e., benzaldehyde, 2-methylpropanal, and cyclohexanecarboxaldehyde). A 80% de in favor of the anti product has been experimentally observed with both saturated aldehydes, while for benzaldehyde, a 1:1 syn/anti ratio has been found. DFT computations show the existence of three eta1-allylic organozinc complexes [gamma-(Z)-5a, gamma-(E)-5a, and alpha-5a], very close in energy. Only gamma-(Z) 5a and gamma-(E)-5a lead to the observed product. The computational investigation of the reaction of these allylic organozinc complexes with benzaldehyde and 2 methylpropanal demonstrates in both cases the existence of two competitive reaction paths leading to the syn and anti adducts, respectively. An anti preference has been found for 2-methylpropanal with both gamma-(Z)-5a and gamma (E)-5a species (a diastereoselectivity larger than 80% is predicted), in agreement with the experiment. With benzaldehyde, while the reaction of gamma-(Z) 5a retains an anti-stereopreference (de = 70%), that involving gamma-(E)-5a is characterized by two degenerate transition states. In this case, the agreement between computations and experiments would be satisfactory under the assumption that the initial oxidative addition affords the gamma-(E)-5a zinc complex only. Additional MP2 computations have demonstrated that pi-stacking interactions can play a significant role in determining the relative energy of the transition states leading to the syn and anti products. PMID- 18154300 TI - Stable ion NMR and GIAO-DFT study of novel cations from 8,16 dicyano[2.2]metacyclophanedienes and from strategically substituted/benzannelated dihydropyrenes: charge-induced tropicity modulation and pi-switching. AB - The dicyanometacyclophanediene 1 is diprotonated at the cyano groups (1H2 2+) in various superacid media. Upon quenching, intact 1 and the ring-closed CPD 2 were obtained in a 3:2 or 3:1 ratio, depending on the superacid system. Compound 2 undergoes ring opening in the superacid to give the ipso-monoprotonated 2H+, which on quenching furnishes 1-cyanopyrene as a major product together with 2 and 1. The dication 3 2+, with strongly deshielded internal methyls, was generated from the epoxyannulene 3. Ketones 4-6 and ester 7 are O/C diprotonated to give paratropic carboxonium-annulenium dications (4H2 2+, 5H2 2+, 6H2 2+, and 7H2 2+, respectively). Ester 8 gives a trication by two-electron oxidation and O protonation. Conjugated carboxylic acid 9 gives a mixture of two dications by CO and ring protonation. The dibromo derivatives 10 and 11 form carboxonium ions, whereas the monobromo derivative 12 is O/C diprotonated to give an oxonium annulenium dication. Charge delocalization modes and tropicity in the resulting species are evaluated by NMR and GIAO-DFT. Facile formation of 2 from 1 in quenching experiments indicates that thermal closing can be achieved with the diprotonated dinitrile, without imposing skeletal rearrangement. PMID- 18154301 TI - Suppressing the thermal metacyclophanediene to dihydropyrene isomerization: synthesis and rearrangement of 8,16-dicyano[2.2]metacyclophane-1,9-diene and evidence supporting the proposed biradicaloid mechanism. AB - Synthesis of 8,16-dicyano-anti-[2.2]metacyclophane-1,9-diene, 1b, was achieved in five steps from 1,3-bis(bromomethyl)benzonitrile. Unlike most metacyclophanedienes which easily thermally isomerize (tau 1/2 = minutes to days at 20 degrees C) to dihydropyrenes 2, dinitrile 1b shows no tendency to convert thermally to 2b at room temperature (tau 1/2 > 30 years), consistent with predictions based on calculation of activation barriers. Irradiation of cyclophanediene 1b with UV light readily forms the dinitriledihydropyrene 2b, which unexpectedly shows a much more facile (50 degrees C) 1,5-sigmatropic rearrangement of the internal nitrile groups to give dihydropyrenes 9b and then 10b than is the case for internal methyl substituents, 2a, which forms 9a at temperatures above 190 degrees C. Synthesis of the 2-formyl derivative 1c and the 2-naphthoyl derivative 1d are also described. These substituents were predicted to lower the activation barrier for the thermal closing reaction to the corresponding dihydropyrenes, and experimental evidence supports these calculations. PMID- 18154302 TI - A highly selective tandem cross-coupling of gem-dihaloolefins for a modular, efficient synthesis of highly functionalized indoles. AB - A highly efficient method of indole synthesis using gem-dihalovinylaniline substrates and an organoboron reagent was developed via a Pd-catalyzed tandem intramolecular amination and an intermolecular Suzuki coupling. Aryl, alkenyl, and alkyl boron reagents are all successfully employed, making for a versatile modular approach. The reaction tolerates a variety of substitution patterns on the aniline leading to indoles with group at C2-C7. The orthogonal approach of the sequential copper- and palladium-mediated synthesis of 1,2-diarylindoles exploited the wide availability of diverse organoboron reagents. PMID- 18154303 TI - Chair to boat interconversion and face to face interactions in isomeric aryl substituted perhydrocyclopentaquinolizines. AB - The structure and the conformation of the two isomeric 3,5-di(4 methoxyphenyl)perhydrocyclopenta[ij]quinolizines 1 and 2 have been determined by a combination of NOE experiments, analysis of vicinal J coupling constants, and DFT computations. The two aryl rings were found to exhibit a face to face disposition, and variable-temperature NMR spectra allowed the determination of the corresponding rotation barriers, as well as chair to boat and nitrogen inversion processes of the quinolizine rings. The structure and the conformation of the two corresponding ammonium salts 1-H+ and 2-H+ were also obtained in solution by the same techniques: in addition, their solid-state structures were determined by X-ray diffraction. PMID- 18154304 TI - Synthesis and evaluation of derrubone and select analogues. AB - Recently, we reported that the natural product derrubone exhibits Hsp90 inhibitory activity. Due to its unique architectural scaffold and proposed rapid assembly, the synthesis of this natural product was pursued with the aim of identifying structure--activity relationships. Synthesis of the natural product was accomplished in eight highly convergent steps, which led to a facile method for the construction of related compounds. Biological evaluation of derrubone and its analogues identified several compounds that exhibit low micromolar inhibitory activity against breast and colon cancer cell lines. PMID- 18154305 TI - Solid-contact electrochemical polyion sensors for monitoring peptidase activities. AB - We report here on improved solid-contact electrochemical polyion sensors for the detection of polyion protamine. The polymeric membrane sensors were fabricated with a conducting polymer as an ion-electron transduction layer. We observed that decreasing the magnitude of the applied current pulse caused a significant improvement of the sensor sensitivity to low protamine levels. The protamine sensors exhibited a stable and reversible response to protamine concentrations ranging from 0.05 to 30 mg L-1. The sensors were used for monitoring peptidase activities utilizing galvanostatically controlled solid-contact membrane sensors. The polyion protamine was used as a substrate to detect the activity of the protease trypsin. The enzyme activity was continuously monitored by measuring the protamine concentration as it is cleaved by enzyme into smaller fragments to which the sensor is less sensitive. In the presence of a given level of protamine the initial rate of reaction can be linearly related to the trypsin activity within a 0-5 U mL-1 concentration range. The interference with the enzymatic reaction product arginine was specifically examined. PMID- 18154307 TI - Thermodynamic basis for the stabilities of three CutA1s from Pyrococcus horikoshii,Thermus thermophilus, and Oryza sativa, with unusually high denaturation temperatures. AB - In order to elucidate the stabilization mechanism of CutA1 from Pyrococcus horikoshii (PhCutA1) with a denaturation temperature of nearly 150 degrees C, GuHCl denaturation and heat denaturation were examined at neutral and acidic pHs. As a comparison, CutA1 proteins from Thermus thermophilus (TtCutA1) and Oryza sativa (OsCutA1) were also examined, which have lower optimum growth temperatures of 75 and 28 degrees C, respectively, than that (98 degrees C) of P. horikoshii. GuHCl-induced unfolding and refolding curves of the three proteins showed hysteresis effects due to an unusually slow unfolding rate. The midpoints of refolding for PhCutA1, TtCutA1 and OsCutA1 were 5.7 M, 3.3 M, and 2.3 M GuHCl, respectively, at pH 8.0 and 37 degrees C. DSC experiments with TtCutA1 and OsCutA1 showed that the denaturation temperatures were remarkably high, 112.8 and 97.3 degrees C, respectively, at pH 7.0 and that the good heat reversibility was amenable to thermodynamic analyses. At acidic pH, TtCutA1 showed higher stability to both heat and denaturant than PhCutA1. Combined with the data for DSC and denaturant denaturation, the unfolding Gibbs energy of PhCutA1 could be depicted as a function of temperature. It was experimentally revealed that (1) the unusually high stability of PhCutA1 basically originates from a common trimer structure of the three proteins, (2) the stability of PhCutA1 is superior to those of the other two CutA1s over all temperatures above 0 degrees C at neutral pH, due to the decrease in both enthalpy and entropy, and (3) ion pairs of PhCutA1 contribute to the unusually high stability at neutral pH. PMID- 18154306 TI - Detection of kinase translocation using microfluidic electroporative flow cytometry. AB - Directed localization of kinases within cells is important for their activation and involvement in signal transduction. Detection of these events has been largely carried out based on imaging of a low number of cells and subcellular fractionation/Western blotting. These conventional techniques either lack the high throughput desired for probing an entire cell population or provide only the average behaviors of cell populations without information from single cells. Here we demonstrate a new tool, referred to as microfluidic electroporative flow cytometry, to detect the translocation of an EGFP-tagged tyrosine kinase, Syk, to the plasma membrane in B cells at the level of the cell population. We combine electroporation with flow cytometry and observe the release of intracellular kinase out of the cells during electroporation. We found that the release of the kinase was strongly influenced by its subcellular localization. Cells stimulated through the antigen receptor have a fraction of the kinase at the plasma membrane and retain more kinase after electroporation than do cells without stimulation and translocation. We are able to differentiate a cell population with translocation from one without it with the information collected from individual cells of the entire population. This technique potentially allows detection of protein translocation at the single-cell level. Due to the frequent involvement of kinase translocations in disease processes such as oncogenesis, our approach will have utility for kinase-related drug discovery and tumor diagnosis and staging. PMID- 18154308 TI - Template-assembled triple-helical peptide molecules: mimicry of collagen by molecular architecture and integrin-specific cell adhesion. AB - Most proteins fold into specific structures to exert their biological functions, and therefore the creation of protein-like molecular architecture is a fundamental prerequisite toward realizing a novel biologically active protein like biomaterial. To do this with an artificial collagen, we have engineered a peptide template characterized by its collagen-like primary structure composed of Gly-Phe-Gly-Glu-Glu-Gly sequence to assemble (Pro-Hyp-Gly)n (n = 3 and 5) into triple-helical conformations that resemble the native structure of collagen. The peptide template has three carboxyl groups connected to the N-termini of three collagen peptides. The coupling was accomplished by a simple and direct branching protocol without complex strategies. A series of biophysical studies, including melting curve analyses and CD and NMR spectroscopy, demonstrated the presence of stable triple-helical conformation in the template-assembled (Pro-Hyp-Gly)3 and (Pro-Hyp-Gly)5 solution. Conversely, nontemplated peptides showed no evidence of assembly of triple-helical structure. A cell binding sequence (Gly-Phe-Hyp-Gly Glu-Arg) derived from the collagen alpha1(I) chain was incorporated to mimic the integrin-specific cell adhesion of collagen. Cell adhesion and inhibition assays and immunofluorescence staining revealed a correlation of triple-helical conformation with cellular recognition of collagen mimetics in an integrin specific way. This study offers a robust strategy for engineering native-like peptide-based biomaterials, fully composed of only amino acids, by maintaining protein conformation integrity and biological activity. PMID- 18154309 TI - Function of MoaB proteins in the biosynthesis of the molybdenum and tungsten cofactors. AB - Molybdenum (Mo) and tungsten (W) enzymes catalyze important redox reactions in the global carbon, nitrogen, and sulfur cycles. Except in nitrogenases both metals are exclusively associated with a unique metal-binding pterin (MPT) that is synthesized by a conserved multistep biosynthetic pathway, which ends with the insertion and thereby biological activation of the respective element. Although the biosynthesis of Mo cofactors has been intensively studied in various systems, the biogenesis of W-containing enzymes, mostly found in archaea, is poorly understood. Here, we describe the function of the Pyrococcus furiosus MoaB protein that is homologous to bacterial (such as MogA) and eukaryotic proteins (such as Cnx1) involved in the final steps of Mo cofactor synthesis. MoaB reconstituted the function of the homologous Escherichia coli MogA protein and catalyzes the adenylylation of MPT in a Mg2+ and ATP-dependent way. At room temperature reaction velocity was similar to that of the previously described plant Cnx1G domain, but it was increased up to 20-fold at 80 degrees C. Metal and nucleotide specificity for MPT adenylylation is well conserved between W and Mo cofactor synthesis. Thermostability of MoaB is believed to rely on its hexameric structure, whereas homologous mesophilic MogA-related proteins form trimers. Comparison of P. furiosus MoaB to E. coli MoaB and MogA revealed that only MogA is able to catalyze MPT adenylylation, whereas E. coli MoaB is inactive. In summary, MogA, Cnx1G, and MoaB proteins exhibit the same adenylyl transfer activity essential for metal insertion in W or Mo cofactor maturation. PMID- 18154310 TI - Nonlinear microrheology: bulk stresses versus direct interactions. AB - In passive microrheology, the linear viscoelastic properties of complex fluids are inferred from the Brownian motion of colloidal tracer particles. Active (but gentle) forcing may also be used to obtain such linear-response information. More significant forcing may drive the material significantly out of equilibrium, thus potentially providing a window into the nonlinear response properties of the material. In leaving the linear-response regime, however, the theoretical underpinning for passive microrheology is lost, and a variety of issues arise. Most generally, what exactly can be measured, and how can such measurements be interpreted? Here we motivate and discuss a variety of theoretical issues facing the interpretation of active microrheology. First, in the continuum limit, the inhomogeneous velocity field around the probe gives rise to rheological inhomogeneities, whereupon an assumed generalized Stokes drag yields a weighted average of the viscosities around the probe rather than the (homogeneous) viscosity measured macroscopically. We then explicitly treat the material microstructure using a model system (a large colloidal probe pulled through a dilute suspension of small bath particles). We examine the different sources of stress upon the probe particle (e.g., direct probe-bath collisions as well as microstructural deformations within the bulk suspension) and discuss their analog (or lack thereof) in the corresponding macrorheological system. We discuss several crucial issues for the interpretation of nonlinear microrheology: (1) how to interpret the inhomogeneous and nonviscometric nature of the deformation field around the probe, (2) the distinction between direct and bulk stresses and their deconvolution, and (3) the (Lagrangian) time-dependent nature of the stress histories experienced by material elements as they advect past the probe. Having identified these issues, we briefly discuss adaptations of the basic technique to recover bulk rheology more faithfully. Whereas we specifically discuss a model colloidal suspension, we ultimately envision a technique capable of measuring the nonlinear rheology of general materials. PMID- 18154311 TI - A topography/chemical composition gradient polystyrene surface: toward the investigation of the relationship between surface wettability and surface structure and chemical composition. AB - In this paper, we have prepared of a topography/chemical composition gradient polystyrene (PS) surface, i.e., an orthogonal gradient surface, to investigate the relationship between surface wettability and surface structure and chemical composition. The prepared surface shows a one-dimensional gradient in wettability in the x, y, and diagonal directions, including hydrophobic to hydrophilic, superhydrophobic to hydrophobic, superhydrophobic to superhydrophilic gradients, and so forth. These one-dimensional gradients have different gradient values, gradient range, and contact angle hysteresis, which lie on both the surface roughness and the surface compositions. From the trend of variation of contact angle hysteresis, it can be concluded that the transition from the Cassie's model to the Wenzel's model occurs both by decreasing surface roughness and by increasing surface hydrophilic compositions. Moreover, the transition is more effective via changing surface chemical composition than changing surface roughness herein. PMID- 18154312 TI - Novel "lipid-flow chip" configuration to determine donor-to-acceptor ratio dependent fluorescence resonance energy transfer efficiency. AB - We report on the determination of fluorescence resonance energy transfer (FRET) efficiency, which is dependent on the donor-to-acceptor (D-A) ratio, by using a new type of microchannel device called a "lipid-flow chip". The chip comprises two supported lipid bilayers (SLBs) that self-spread from either side of 10 microm wide straight lines and carry molecules embedded in them. We first show that the diffusion process that occurs when the two SLBs collide with each other in the channel and form a unified SLB can be expressed by a one-dimensional diffusion equation. Next we describe a method for determining the FRET efficiency between NBD (donor) and Texas Red (acceptor) from observations using the lipid flow chip by employing a one-dimensional diffusion model. The advantages of our method are that all the D-A ratios are achieved in one chip, and a large number of data are recorded in one chip. The FRET efficiency varies depending on the D-A ratio under conditions whereby the concentration of the sum of the donors and acceptors is constant. The Forster radius is also estimated from our results using a known model describing two-dimensional FRET systems, which yields a radius consistent with the previously reported value for NBD and Texas Red. PMID- 18154313 TI - Functionalized silicone nanofilaments: a novel material for selective protein enrichment. AB - We present a simple and versatile technique of tailoring functionalized surface structures for protein enrichment and purification applications based on a superhydrophobic silicone nanofilament coating. Using amino and carboxyl group containing silanes, silicone nanofilament templates were chemically modified to mimic anionic and cationic exchange resins. Investigations on the selectivity of the functionalized surfaces toward adsorption of charged model proteins were carried out by means of fluorescence techniques. Due to a high contact area resulting from the nanoroughness of the coating, excellent protein retention characteristics under various conditions were found. The surfaces were shown to be highly stable and reusable over several retention-elution cycles. Especially the full optical transparency and the possibility to use glass substrates as support material open new opportunities for the development of optical biosensors, open geometry microfluidics, or lab-on-a-chip devices. PMID- 18154314 TI - Improved surface modification approach for micromechanical biosensors. AB - We have investigated the sensing performance of protein-based microcantilever biosensors prepared from multiple surface conjugation chemistries. The 11 mercaptoundecanoic acid monolayers were prepared according to both traditional and modified processes. In three protein-based biosensors, the modified process improved microcantilever sensing performance by increasing the bending amplitude, a critical step toward developing a cost-effective microcantilever-based sensor platform for medical diagnostics and environmental and drug screening applications. Scanning electron microscopy (SEM) images demonstrated that proteins immobilized on the microcantilever surface using the modified chemistry approach formed a compact layer. PMID- 18154315 TI - Raman spectra of graphite oxide and functionalized graphene sheets. AB - We investigate Raman spectra of graphite oxide and functionalized graphene sheets with epoxy and hydroxyl groups and Stone-Wales and 5-8-5 defects by first principles calculations to interpret our experimental results. Only the alternating pattern of single-double carbon bonds within the sp2 carbon ribbons provides a satisfactory explanation for the experimentally observed blue shift of the G band of the Raman spectra relative to graphite. To obtain these single double bonds, it is necessary to have sp3 carbons on the edges of a zigzag carbon ribbon. PMID- 18154316 TI - Metal-enhanced fluorescence of chlorophylls in single light-harvesting complexes. AB - Ensemble and single-molecule spectroscopy demonstrates that both emission and absorption of peridinin-chlorophyll-protein photosynthetic antennae can be largely enhanced through plasmonic interactions. We find up to 18-fold increase of the chlorophyll fluorescence for complexes placed near a silver metal layer. This enhancement, which leaves no measurable effects on the protein structure, is observed when exciting either chlorophyll or carotenoid and is attributed predominantly to an increase of the excitation rate in the antenna. The enhancement mechanism comes from plasmon-induced amplification of electromagnetic fields inside the complex. This result is an important step toward applying plasmonic nanostructures for controlling the optical response of complex biomolecules and improving the design and functioning of artificial light harvesting systems. PMID- 18154317 TI - Unusually strong H-bonding to the heme ligand and fast geminate recombination dynamics of the carbon monoxide complex of Bacillus subtilis truncated hemoglobin. AB - The active site of the oxygen-avid truncated hemoglobin from Bacillus subtilis has been characterized by infrared absorption and resonance Raman spectroscopies, and the dynamics of CO rebinding after photolysis has been investigated by picosecond transient absorption spectroscopy. Resonance Raman experiments on the CO bound adduct revealed the presence of two Fe-CO stretching bands at 545 and 520 cm-1, respectively. Accordingly, two C-O stretching bands at 1924 and 1888 cm 1 were observed in infrared absorption and resonance Raman measurements. The very low C-O stretching frequency at 1888 cm-1 (corresponding to the extremely high RR stretching frequency at 545 cm-1) indicates unusually strong hydrogen bonding between CO and distal residues. On the basis of a comparison with other truncated hemoglobin it is envisaged that the two CO conformers are determined by specific interactions with the TrpG8 and TyrB10 residues. Mutation of TrpG8 to Leu deeply alters the hydrogen-bonding network giving rise mainly to a CO conformer characterized by a Fe-CO stretching band at 489 cm-1 and a CO stretching band at 1958 cm-1. Picosecond laser photolysis experiments carried out on the CO bound adduct revealed dynamical processes that take place within a few nanoseconds after photolysis. Picosecond dynamics is largely dominated by CO geminate rebinding and is consistent with strong H-bonding contributions of TyrB10 and TrpG8 to ligand stabilization. PMID- 18154318 TI - NMR analysis of interaction of LqhalphaIT scorpion toxin with a peptide corresponding to the D4/S3-S4 loop of insect para voltage-gated sodium channel. AB - Voltage-gated sodium channels (Navs) are large transmembrane proteins that initiate action potential in electrically excitable cells. This central role in the nervous system has made them a primary target for a large number of neurotoxins. Scorpion alpha-neurotoxins bind to Navs with high affinity and slow their inactivation, causing a prolonged action potential. Despite the similarity in their mode of action and three-dimensional structure, alpha-toxins exhibit great variations in selectivity toward insect and mammalian Navs, suggesting differences in the binding surfaces of the toxins and the channels. The scorpion alpha-toxin binding site, termed neurotoxin receptor site 3, has been shown to involve the extracellular S3-S4 loop in domain 4 of the alpha-subunit of voltage gated sodium channels (D4/S3-S4). In this study, the binding site for peptides corresponding to the D4/S3-S4 loop of the para insect Nav was mapped on the highly insecticidal alpha-neurotoxin, LqhalphaIT, from the scorpion Leiurus quinquestriatus hebraeus, by following changes in the toxin amide 1H and 15N chemical shifts upon binding. This analysis suggests that the five-residue turn (residues LqK8-LqC12) of LqhalphaIT and those residues in its vicinity interact with the D4/S3-S4 loop of Nav. Residues LqR18, LqW38, and LqA39 could also form a patch contributing to the interaction with D4/S3-S4. Moreover, a new bioactive residue, LqV13, was identified as being important for Nav binding and specifically for the interaction with the D4/S3-S4 loop. The contribution of LqV13 to NaV binding was further verified by mutagenesis. Future studies involving other extracellular regions of Navs are required for further characterization of the structure of the LqhalphaIT-Navs binding site. PMID- 18154320 TI - Structure of alpha-glycerophosphate oxidase from Streptococcus sp.: a template for the mitochondrial alpha-glycerophosphate dehydrogenase. AB - The FAD-dependent alpha-glycerophosphate oxidase (GlpO) from Enterococcus casseliflavus and Streptococcus sp. was originally studied as a soluble flavoprotein oxidase; surprisingly, the GlpO sequence is 30-43% identical to those of the alpha-glycerophosphate dehydrogenases (GlpDs) from mitochondrial and bacterial sources. The structure of a deletion mutant of Streptococcus sp. GlpO (GlpODelta, lacking a 50-residue insert that includes a flexible surface region) has been determined using multiwavelength anomalous dispersion data and refined at 2.3 A resolution. Using the GlpODelta structure as a search model, we have also determined the intact GlpO structure, as refined at 2.4 A resolution. The first two domains of the GlpO fold are most closely related to those of the flavoprotein glycine oxidase, where they function in FAD binding and substrate binding, respectively; the GlpO C-terminal domain consists of two helix bundles and is not closely related to any known structure. The flexible surface region in intact GlpO corresponds to a segment of missing electron density that links the substrate-binding domain to a betabetaalpha element of the FAD-binding domain. In accordance with earlier biochemical studies (stabilizations of the covalent FAD N5-sulfite adduct and p-quinonoid form of 8-mercapto-FAD), Ile430-N, Thr431-N, and Thr431-OG are hydrogen bonded to FAD-O2alpha in GlpODelta, stabilizing the negative charge in these two modified flavins and facilitating transfer of a hydride to FAD-N5 (from Glp) as well. Active-site overlays with the glycine oxidase-N-acetylglycine and d-amino acid oxidase-d-alanine complexes demonstrate that Arg346 of GlpODelta is structurally equivalent to Arg302 and Arg285, respectively; in both cases, these residues interact directly with the amino acid substrate or inhibitor carboxylate. The structural and functional divergence between GlpO and the bacterial and mitochondrial GlpDs is also discussed. PMID- 18154319 TI - Efficient removal of formamidopyrimidines by 8-oxoguanine glycosylases. AB - Under conditions of oxidative stress, the formamidopyrimidine lesions (FapyG and FapyA) are formed in competition with the corresponding 8-oxopurines (OG and OA) from a common intermediate. In order to reveal features of the repair of these lesions, and the potential contribution of repair in mitigating or exacerbating the mutagenic properties of Fapy lesions, their excision by three glycosylases, Fpg, hOGG1 and Ntg1, was examined in various base pair contexts under single turnover conditions. FapyG was removed at least as efficiently as OG by all three glycosylases. In addition, the rates of removal of FapyG by Fpg and hOGG1 were influenced by their base pair partner, with preference for removal when base paired with the correct Watson-Crick partner C. With the FapyA lesion, Fpg and Ntg1 catalyze its removal more readily than OG opposite all four natural bases. In contrast, the removal of FapyA by hOGG1 was not as robust as FapyG or OG, and was only significant when the lesion was paired with C. The discrimination by the various glycosylases with respect to the opposing base was highly dependent on the identity of the lesion. OG induced the greatest selectivity against its removal when part of a promutagenic base pair. The superb activity of the various OG glycosylases toward removal of FapyG and FapyA in vitro suggests that these enzymes may act upon these oxidized lesions in vivo. The differences in the activity of the various glycosylases for removal of FapyG and FapyA compared to OG in nonmutagenic versus promutagenic base pair contexts may serve to alter the mutagenic profiles of these lesions in vivo. PMID- 18154321 TI - Differential GATA factor stabilities: implications for chromatin occupancy by structurally similar transcription factors. AB - Whereas the transcription factors GATA-1 and GATA-2 function both uniquely and redundantly to control blood cell development, the process termed hematopoiesis, mechanisms underlying their unique versus common functions are poorly understood. We used two independent assays to demonstrate that GATA-1 is considerably more stable than GATA-2 in multiple cellular contexts, even though both factors are subject to degradation via the ubiquitin-proteasome system. Studies with GATA factor mutants and novel chimeric GATA factors provided evidence that both GATA-1 and GATA-2 have highly unstable zinc finger core modules. The GATA-1 and GATA-2 N termini both confer stabilization to their respective zinc finger core modules. In contrast, the GATA-1 and GATA-2 C-termini confer stabilization and destabilization, respectively. As GATA-2 stabilization via proteasome inhibition impairs the capacity of GATA-1 to displace GATA-2 from endogenous chromatin sites, we propose that differential GATA factor stability is an important determinant of chromatin target site occupancy and therefore the establishment of genetic networks that control hematopoiesis. PMID- 18154322 TI - Formation of phenoxy and cyclopentadienyl radicals from the gas-phase pyrolysis of phenol. AB - The formation of radicals from the gas-phase pyrolysis of phenol over a temperature range of 400-1000 degrees C was studied using the technique of low temperature matrix isolation electron paramagnetic resonance (LTMI EPR). Cooling the reactor effluent in a CO2 carrier gas to 77 K produces a cryogenic matrix that exhibits complex EPR spectra. However, annealing by slowly raising the matrix temperature yielded well-resolved, identifiable spectra. All annealed spectra over the temperature range of 700-1000 degrees C resulted in the generation of EPR spectra with six lines, hyperfine splitting constant approximately 6.0 G, g = 2.00430, and peak-to-peak width approximately 3 G that was readily assignable, based on comparison with the literature and theoretical calculations, as that of cyclopentadienyl radical. Annihilation procedures along with microwave power saturation experiments helped to clearly identify phenoxy radicals in the same temperature region. Conclusive identifications of cyclopentadienyl and phenoxy radicals were based on pure spectra of these radicals under the same experimental conditions generated from suitable precursors. Cyclopentadienyl is clearly the dominant radical at temperatures above 700 degrees C and is observed at temperatures as low as 400 degrees C. The low-temperature formation is attributed to heterogeneous initiation of phenol decomposition under very low pressure conditions. The high cyclopentadienyl to phenoxy ratio was consistent with the results of reaction kinetic modeling calculations using the CHEMKIN kinetic package and a phenol pyrolysis model adapted from the literature. PMID- 18154323 TI - Rotamerism, tautomerism, and excited-state intramolecular proton transfer in 2 (4'-N,N-diethylamino-2'-hydroxyphenyl)benzimidazoles: novel benzimidazoles undergoing excited-state intramolecular coupled proton and charge transfer. AB - The solvent and temperature dependence of the phototautomerization of 1-methyl-2 (2'-hydroxyphenyl)benzimidazole (4) and the novel compounds 2-(4'-amino-2' hydroxyphenyl)benzimidazole (1), 2-(4'-N,N-diethylamino-2' hydroxyphenyl)benzimidazole (2), and 1-methyl-2-(4'-N,N-diethylamino-2' hydroxyphenyl)benzimidazole (3), together with the ground-state rotamerism and tautomerism of these new compounds, have been studied by UV-vis absorption spectroscopy and steady-state and time-resolved fluorescence spectroscopy. A solvent-modulated rotameric and tautomeric equilibrium is observed in the ground state for 1, 2, and 3. In cyclohexane, these compounds mainly exist as a planar syn normal form, with the hydroxyl group hydrogen-bonded to the benzimidazole N3. In ethanol, the syn form is in equilibrium with its planar anti rotamer (for 1 and 2), with the phenyl ring rotated 180 degrees about the C2-C1' bond and with a nonplanar rotamer for compound 3. In aqueous solution, a tautomeric equilibrium is established between the anti normal form (or the nonplanar rotamer for 3) and the tautomer (with the hydroxyl proton transferred to the benzimidazole N3). The syn normal form of these compounds undergoes in all the solvents an excited-state intramolecular proton-transfer process from the hydroxyl group to the benzimidazole N3 to yield the excited tautomer. The tautomer fluorescence quantum yield of 2, 3, and 4 shows a temperature-, polarity-, and viscosity-dependent radiationless deactivation, connected with a large-amplitude conformational motion. We conclude that this excited-state conformational change experienced by the tautomer is associated with an intramolecular charge transfer from the deprotonated dialkylaminophenol or phenol (donor) to the protonated benzimidazole (acceptor), affording a nonfluorescent charge-transfer tautomer. Therefore, these compounds undergo an excited-state intramolecular coupled proton- and charge transfer process. PMID- 18154324 TI - Intra- and intermolecular hydrogen bonds in alkyl and silyl ethers: experimental and theoretical analysis. AB - We have investigated the electronic impact of the R protecting group (TBS or PMB) in the conformational equilibrium of alpha-methyl substituted alcohols 1 (R = TBS) and 2 (R = PMB). The conformational analysis and (1)H NMR experiments for alcohols 1 and 2 reflect the tendency for the existence of hydrogen-bonded conformations. The intrinsic low basicity of silyl ethers does not affect the capacity of the oxygen attached to the silicon atom in forming intramolecular hydrogen bonds. We showed that the extents of the hydrogen bonds in silyl and alkyl ethers are determined by several properties, such as orbital interactions, lone pair hybridizations, and lone pair energies, and not just by the electronic occupancy of the donor atom. The populational analysis of NBO allowed understanding the intra- and intermolecular hydrogen bonds between the OH group and oxygen bonded to silicon as well as to alkyl ethers, concluding that there are distinct lone pair contributions. PMID- 18154325 TI - Torsion-vibration coupling in methanol: diabatic behavior in the CH overtone region. AB - Through a fit to methanol CH overtone data, a previously developed 4-dimensional torsion-vibration Hamiltonian is extended to high CH stretch excitation as well as to high torsional excitation. The strength of the torsion-vibration coupling is found to increase with CH stretch excitation. Systematic patterns of near degeneracy (3-, 4-, and 6-fold) are found in different regions of quantum number space. In the region of the CH fundamentals, an approximate a diabatic separation of the torsion (slow degree of freedom) from the CH stretches (fast degrees of freedom) accounts for the pattern of the energy levels and for the signs of the torsional tunneling splittings. For the higher CH overtones (v(CH) > or = 4), a diabatic representation accounts for the torsional structure obtained from the fully coupled calculation and for certain trends found in the pattern of the energy levels. PMID- 18154326 TI - Studies of the thermodynamic properties of hydrogen gas in bulk water. AB - The thermodynamic properties of hydrogen gas in liquid water are investigated using Monte Carlo molecular simulation and the quasichemical theory of liquids. The free energy of hydrogen hydration obtained by Monte Carlo simulations agrees well with the experimental result, indicating that the classical force fields used in this work provide an adequate description of intermolecular interactions in the aqueous hydrogen system. Two estimates of the hydration free energy for hydrogen made within the framework of the quasichemical theory also agree reasonably well with experiment provided local anharmonic motions and distant interactions with explicit solvent are treated. Both quasichemical estimates indicate that the hydration free energy results from a balance between chemical association and molecular packing. Additionally, the results suggest that the molecular packing term is almost equally driven by unfavorable enthalpic and entropic components. PMID- 18154327 TI - Effect of chain conformational change on micelle structures: experimental studies and molecular dynamics simulations. AB - The effect of chain conformation change on the self-assembly behavior of poly(gamma-benzyl- l-glutamate)-block-poly(ethylene glycol) (PBLG-b-PEG) was studied both experimentally by transmission electron microscopy, laser light scattering, and circular dichroism and computationally using molecular dynamics (MD) simulation. It was found that, by introducing trifluoroacetic acid to the PBLG-b-PEG solution, the conformation of the PBLG chain transforms from alpha helix to random coil, which results in a change of the micelle structures formed by PBLG-b-PEG from rod to sphere. Meanwhile, the MD simulations were performed by using Brownian dynamics on the self-assembly behavior of model AB-type diblock copolymers with various chain rigidities of the A-block. The results show that, by decreasing the fraction of rigid chain conformation of the A-block, which corresponds to the helix-coil transition in the PBLG-b-PEG sample, the aggregate structure transforms from rod to sphere. The MD simulations also provide chain packing information in the micelles. On the basis of both experimental and MD simulation results, the mechanism regarding the effect of the conformation change of the polypeptide block copolymer on its self-association behavior is suggested. PMID- 18154328 TI - PbS sub-micrometer structures with anisotropic shape: ribbons, wires, octapods, and hollowed cubes. AB - The current paper discusses the preparation, characterization, and clarification of the growth mechanism of PbS wires, ribbons, octapods, and hollowed cubes. Those sub-micrometer structures were prepared by a thermal decomposition of a uni precursor {[Pb(S(2)CNEt(2))(2)](2)}, using either ethylene diamine (en) or ethylene glycol (eg) as an intermediate reagent, as well as surfactants. The growth in eg produced mainly ribbons and square plates, while the growth in en solutions produced wires at the lower temperatures (80 degrees C) and octapods and hollowed cubes at elevated temperatures (117 degrees C). The experimental observations suggest that the obtained morphologies are primarily determined by the nucleation phase and the subsequent growth kinetics. The growth process developed according to the characteristic habit and subsequent branching processes. The characteristic habit was controlled by the surface energy of the facets and their modulation by the solvent molecules. The branching process was determined by a delicate balance between kinetic and thermodynamic processes, and it was controlled by the variation of the temperature and duration of the reactions. PMID- 18154329 TI - Facile synthesis of troilite. AB - Low-temperature synthetic pathways can result in crystallization of metastable materials. These methods have been widely explored for the preparation of metal oxides. Adaptation of nonhydrolytic sol-gel chemistry to non-oxide systems offers an elegant route to transition-metal sulfides. The method can be exploited for the facile and reproducible synthesis of iron sulfide crystallizing in the troilite structure. This phase is only found in meteorites and planets and has previously been obtained by high-temperature or high-energy ball-milling methods. "Nonhydrolytic" sol-gel processing results in direct crystallization of troilite with no need for further calcination. PMID- 18154330 TI - Creation of a nonsymmetric dimethanolpyridine ligand: a rare Zn(salphen) template effect. AB - An interesting reversible, templated synthesis of unsymmetrical pyridine-ligated Zn complexes has been observed in solution and solid-state phases when Zn(salphen) complexes are reacted with methanol-substituted pyridine substrates. The X-ray molecular structure of an unusual Zn(3) supramolecular assembly is reported, in which the central Zn atom is embedded in a distorted octahedral geometry and each of the single anionic O atoms of the pyridine groups coordinates to a Zn(salphen) unit. PMID- 18154331 TI - Influence of the d-Electron Count on CO binding by three-coordinate [(tBu2PCH2SiMe2)2N]Fe, -Co, and -Ni. AB - Reduction of (PNP)MCl [PNP = ((t)Bu(2)PCH(2)SiMe(2))(2)N] with Mg gives three coordinate, T-shaped (PNP)M for M = Fe(S = 3/2) and Ni. Their reactivity was tested toward CO; Ni binds one CO, but only reversibly (i.e., CO is completely lost in vacuum), and has a CO stretching frequency showing effective back donation by NiI. The structure of (PNP)Ni(CO) is intermediate between planar and tetrahedral, in contrast to the planar d8 analogue, (PNP)Co(CO). This structural reorganization on carbonylation changes the singly occupied molecular orbital from having negligible phosphorus character [no P hyperfine structure in the electron paramagnetic resonance (EPR) spectrum of (PNP)Ni] to having enough P character to have a triplet structure in the EPR spectrum of the CO. The presence of one fewer electron in (PNP)Fe (vs the Co analogue) leads to binding of two CO, and (PNP)Fe(CO)(2) is characterized as a spin doublet with square-pyramidal structure. Density functional theory calculations strengthen the understanding of the structural and spectroscopic changes along this dn series (n = 7-9). PMID- 18154332 TI - Simulation of the pressure and temperature folding/unfolding equilibrium of a small RNA hairpin. AB - We report molecular dynamics simulations of the equilibrium folding/unfolding thermodynamics of the RNA tetraloop in explicit solvent. A replica exchange molecular dynamics study of the r(CGUUGCCG) oligomer that forms a hairpin is performed for 226 ns per replica, using 52 replicas. We are able to show the unbiased folding of all replicas starting from extended conformations. The equilibrium pressure-temperature free energy of folding, DeltaG(P,T), is calculated from the averaged energy, pressure, and specific volume change upon folding of the oligomer as a function of T at constant volume. We find that this oligomer is destabilized by increasing hydrostatic pressure, similar to the behavior of globular proteins. PMID- 18154333 TI - Photovoltaic charge generation visualized at the nanoscale: a proof of principle. AB - We report for the first time a nanoscale resolved proof of principle of the photovoltaic activity in phase-segregated electron acceptor-donor blend architectures as obtained by Kelvin probe force microscopy. The explored length scale is truly important for organic solar cells since it is comparable to the mean exciton diffusion length. We chose a blend of regioregular poly(3 hexylthiophene) (P3HT) and N,N'-bis(1-ethylpropyl)-3,4:9,10 perylenebis(dicarboximide) (PDI) as model systems, acting as electron donor and electron acceptor, respectively. In this work, we demonstrate that the same type of molecular assemblies, obtained from a given electron-accepting material on the same sample, shows different surface potential changes upon white-light illumination when in physical contact with the donor materials or isolated from it. Although excitons are generated by light absorption in all the PDI clusters, we unambiguously proved that only the ones which are in physical contact with P3HT exhibit an appreciable charge transfer because of the existence of a complementary electron donor phase. Such a direct observation is novel and of general applicability and can also be extended to other bicomponent materials for plastic photovoltaics. PMID- 18154334 TI - Gold nanoparticle size controlled by polymeric Au(I) thiolate precursor size. AB - We developed a method in preparing size-controllable gold nanoparticles (Au NPs, 2-6 nm) capped with glutathione by varying the pH (between 5.5 and 8.0) of the solution before reduction. This method is based on the formation of polymeric nanoparticle precursors, Au(I)-glutathione polymers, which change size and density depending on the pH. Dynamic light scattering, size exclusion chromatography, and UV-vis spectroscopy results suggest that lower pH values favor larger and denser polymeric precursors and higher pH values favor smaller and less dense precursors. Consequently, the larger precursors led to the formation of larger Au NPs, whereas smaller precursors led to the formation of smaller Au NPs. Using this strategy, Au NPs functionalized with nickel(II) nitriloacetate (Ni-NTA) group were prepared by a mixed-ligand approach. These Ni NTA functionalized Au NPs exhibited specific binding to 6x-histidine-tagged Adenovirus serotype 12 knob proteins, demonstrating their utility in biomolecular labeling applications. PMID- 18154336 TI - Paramagnetic relaxation-based 19f MRI probe to detect protease activity. AB - A novel design principle for 19F MRI probes detecting protease activity was developed. This principle is based on 19F MRI signal quenching by the intramolecular paramagnetic effect from Gd3+. The intramolecular Gd3+ dramatically attenuated the 19F probe signal, and the paramagnetic effect was cancelled by the probe hydrolyzation by caspase-3. Using this probe, it was shown that the probe could detect caspase-3 activity spatially from a phantom image using 19F MRI. PMID- 18154337 TI - Size limitations for the formation of ordered striped nanoparticles. AB - A combination of immiscible molecules in the ligand shell of a gold nanoparticle (NP) has been shown to phase separate into a rippled structure; this phase separation can be used to direct the assembly of the NPs into chains. Here we demonstrate that only NPs within a certain size range can form chains, and we conclude that the rippled morphology of the ligand shell also exists only within that given size range. We corroborate this result with simulations of the ligand arrangement on NPs of various sizes. PMID- 18154338 TI - Low-level self-assembly of open framework based on three different polyhedra: metal-organic analogue of face-centered cubic dodecaboride. AB - Dinuclear paddlewheels linked by 5-methylisophthalate and dabco act as 5 connecting nodes to form a highly symmetric open framework based on three different Archimedean polyhedra. PMID- 18154339 TI - Matrix isolation chemistry in a porous metal-organic framework: photochemical substitutions of N2 and H2 in Zn4O[(eta6-1,4-benzenedicarboxylate)Cr(CO)3]3. AB - Reaction of the microporous metal-organic framework Zn4O(BDC)3 (BDC2- = 1,4 benzenedicarboxylate) with Cr(CO)6 at 140 degrees C in a 6:1 mixture of dibutylether and THF affords Zn4O[(BDC)Cr(CO)3]3 (1). This compound retains the porous cubic structure of the parent framework, but features Cr(CO)3 groups attached in an eta6 fashion to all of the benzene rings. Compound 1 is also microporous, exhibiting a BET surface area of 2130 m2/g. It can be fully decarbonylated by heating at 200 degrees C, but the resulting gray solid (2) shows little affinity for N2 or H2 at 298 K, suggesting aggregation of the chromium atoms. In contrast, photolysis of 1 using 450-nm light in an atmosphere of N2 or H2 produces solids with infrared spectra indicative of Zn4O[(BDC)Cr(CO)2(N2)]3 (3) and Zn4O[(BDC)Cr(CO)2(H2)]3 (4). Under an N2 atmosphere, compound 4 completely converts into compound 3 over the course of 12 h, demonstrating the lability of the Cr0-H2 bond. Owing to isolation of the metal centers within the rigid, evacuable framework structures, the N2- and H2 substituted compounds show greatly enhanced stability relative to molecular analogues generated in frozen gas matrices or supercritical fluid solutions. PMID- 18154340 TI - Catalytic asymmetric hydrogenation of 2,3,5-trisubstituted pyrroles. AB - Catalytic asymmetric hydrogenation of N-Boc-protected pyrroles proceeded with high enantioselectivity by using a ruthenium catalyst modified with a trans chelating chiral bisphosphine PhTRAP. The ruthenium catalyst prepared from Ru(eta3-methallyl)2(cod) and (S,S)-(R,R)-PhTRAP in the presence of triethylamine was the most enantioselective for the asymmetric hydrogenation of methyl pyrrole 2-carboxylate, giving the desired (S)-proline derivative with 79% ee in 92% yield. Moreover, 2,3,5-trisubstituted pyrroles bearing a large substituent at the 5-position were hydrogenated with 93-99.7% ee. The asymmetric reduction of 4,5 dimethylpyrrole-2-carboxylate gave only all-cis isomer and created three chiral centers with high degree of stereocontrol in a single process. This is the first highly enantioselective reduction of pyrroles. PMID- 18154341 TI - L-Enantiomers of transition state analogue inhibitors bound to human purine nucleoside phosphorylase. AB - Human purine nucleoside phosphorylase (PNP) was crystallized with transition state analogue inhibitors Immucillin-H and DADMe-Immucillin-H synthesized with ribosyl mimics of l-stereochemistry. The inhibitors demonstrate that major driving forces for tight binding of these analogues are the leaving group interaction and the cationic mimicry of the transition state, even though large geometric changes occur with d-Immucillins and l-Immucillins bound to human PNP. PMID- 18154343 TI - A metathesis-based approach to the synthesis of 2-pyridones and pyridines. AB - The ring-closing metathesis reaction has been successfully employed to form a range of dihydropyridone intermediates, which are in the correct oxidation state to undergo a base-induced elimination to reveal the aromatic 2-pyridone. This mild and novel approach to six-membered heteroaromatic compounds then provides access to a wide variety of substituted pyridines in excellent overall yield. PMID- 18154344 TI - Synthesis of polysubstituted N-H pyrroles from vinyl azides and 1,3-dicarbonyl compounds. AB - Two synthetic methods for tetra- and trisubstituted N-H pyrroles are presented: (i) the thermal pyrrole formation by the reaction of vinyl azides with 1,3 dicarbonyl compounds via the 1,2-addition of 1,3-dicarbonyl compounds to 2H azirine intermediates generated in situ from vinyl azides; (ii) the Cu(II) catalyzed synthesis of pyrroles from alpha-ethoxycarbonyl vinyl azides and ethyl acetoacetate through the 1,4-addition reaction of the acetoacetate to the vinyl azides. By applying these two methods, regioisomeric pyrroles can be prepared selectively starting from the same vinyl azides. PMID- 18154345 TI - Thermal rearrangement of 2-bromooxazolines to 2-bromoisocyanates. AB - A unprecedented thermally induced rearrangement of 2-bromo-4-substituted oxazolines into 2-bromoisocyanates with high selectivity has been observed. Isolated yields of 85-90% were obtained with 2-bromo-4-phenyloxazoline, 2-bromo-4 isopropyloxazoline, or 2-bromo-4,4-dimethyloxazoline. In addition, chiral aziridinecarboxamides or 2-aminooxazolines could be selectively obtained from the corresponding 2-bromo isocyanate depending on reaction conditions. PMID- 18154346 TI - New chelating stilbazonium-like dyes from Michler's ketone. AB - A series of "push-pull" salts substituted with an electron-donating bis(N,N dimethyl)aniline unit and different electron-withdrawing methyl or chelating pyridinium units have been designed and synthesized from Michler's ketone. The spectroscopic and electronic properties were investigated and compared to their DAST homologues. The studies revealed that a lower HOMO-LUMO gap is obtained in all cases, showing the ability of our donor to increase the "push-pull" effect. Two chromophores with a terpyridine as acceptor end group have also been prepared. PMID- 18154347 TI - Optimized formation of detergent micelles of beta-carotene and retinal production using recombinant human beta,beta-carotene 15,15'-monooxygenase. AB - The formation of beta-carotene detergent micelles and their conversion into retinal by recombinant human beta,beta-carotene 15,15'-monooxygenase was optimized under aqueous conditions. Toluene was the most hydrophobic among the organic solvents tested; thus, it was used to dissolve beta-carotene, which is a hydrophobic compound. Tween 80 was selected as the detergent because it supported the highest level of retinal production among all of the detergents tested. The maximum production of retinal was achieved in detergent micelles containing 200 mg/L of beta-carotene and 2.4% (w/v) Tween 80. Under these conditions, the recombinant enzyme produced 97 mg/L of retinal after 16 h with a conversion yield of 48.5% (w/w). The amount of retinal produced, which is the highest ever reported, is a result of the ability of our system to dissolve large amounts of beta-carotene. PMID- 18154348 TI - Quesnoin, a novel pentacyclic ent-diterpene from 55 million years Old Oise Amber. AB - Amber, fossilized tree resin, found at the Oise River area of the Paris basin (France) was dated as being 55 million years old. Quesnoin, a novel unique pure organic compound, was isolated from Oise amber. 1H and 13C NMR spectroscopic analysis indicated an unknown diterpene skeleton, quesnane. The absolute configurations of the eight chiral centers of quesnoin were determined to be 4S, 5S, 8R, 9S, 10S, 13S, 14R, and 16S by chiral auxiliary (R)- and (S)-phenylglycine methyl ester derivatization. Quesnoin allowed us to disclose the tree producer, corresponding to modern Hymenaea oblongifolia, Fabaceae, a subfamily of Caesalpiniaceae, one of the oldest angiosperm. The presence of the Amazon rainforest tree, H. oblongifolia, indicated that the climate of the Paris basin might have been tropical in the early Eocene period, 55 million years ago. PMID- 18154349 TI - N-isopropylsulfinylimines as useful intermediates in the synthesis of chiral amines: expeditive asymmetric synthesis of the calcimimetic (+)-NPS R-568. AB - An efficient and high-yielding approach for the asymmetric synthesis of calcimimetic (+)-NPS R-568 (1) has been developed. The key step of the synthesis is the highly diastereoselective addition of methyl Grignard to the (SS,E)-N-(3 methoxybenzylidene)-2-propanesulfinamide [5(S)], which afforded a single diastereoisomer in high yield in short reaction time. PMID- 18154350 TI - Star-shaped mesogens of triazine-based dendrons and dendrimers as unconventional columnar liquid crystals. AB - Dendrons Gn-Cl and Gn-NH (n = 2-4) and novel dendrimers Gn-N approximately N-Gn (n = 2-4) based on triazine and piperazine units were efficiently prepared in good yields without employing the protection and deprotection processes and are fully characterized by 1H NMR and 13C NMR spectroscopies, elemental analysis, and mass spectroscopy. These compounds are transparent and possess good thermal stability. G4-Cl shows a monotropic columnar phase in a narrow range with a coexisting crystalline phase. Dendron G4-NH shows a rectangular column-phase, and dendrimer G4-N approximately N-G4 exhibits a monotropic hexagonal columnar phase. These identifications were supported by the polarizing optical scope and powder XRD studies. PMID- 18154352 TI - Direct one-pot synthesis of phenanthrenes via Suzuki-Miyaura coupling/aldol condensation cascade reaction. AB - We have developed an efficient cascade reaction, a Suzuki-Miyaura coupling followed by an aldol condensation, for the construction of phenanthrene derivatives using microwave irradiation. For example, the reaction of methyl 2 bromophenylacetamide with 2-formylphenylboronic acid in the presence of a palladium catalyst and a base provided a biaryl intermediate, which underwent in situ cyclization to afford the corresponding phenanthrene in high yield. PMID- 18154351 TI - Highly efficient cucurbit[8]uril-templated intramolecular photocycloaddition of 2 naphthalene-labeled poly(ethylene glycol) in aqueous solution. AB - The photodimerization of water-insoluble 2-naphthalene-labeled poly(ethyl glycol) (N-Pn-N) in cucurbit[8]uril (CB[8]) aqueous solution was investigated. UV-vis, fluorescence, and 1H NMR analysis reveal that CB[8] can encapsulate N-Pn-N to make a stable 1:1 inclusion complex N-Pn-N@CB[8] in aqueous solution. Irradiation of N-Pn-N in the CB[8] aqueous solution results in intramolecular photocycloaddition with remarkable selectivity and efficiency, whereas no photodimer could be detected in host-free solution. PMID- 18154353 TI - Unexpected solid-state photochemistry of an alpha-thiophenyl-alpha'-thiophenyl S,S-dioxo-substituted ketone. AB - Samples of 2,4-dimethyl-2-(thiophen-3-yl)-4-(thiophen-3-yl-S,S-dioxo)pentan-3-one 2 were obtained by controlled MCPBA oxidation of 2,4-dimethyl-2,4-di(thiophen-3 yl)pentan-3-one 1. Rather than the expected photodecarbonylation, UV--vis irradiation of 2 led to the intramolecular 2 + 2 photocycloaddition product 5 in quantitative yields (by GC and NMR) both in solution and in crystalline solid state. Detailed X-ray powder diffraction analyses revealed that the solid-state reaction of sulfone 2 occurs with a loss of long-range order despite retaining some birefringence under polarized microscopy. PMID- 18154354 TI - Thermal rearrangement of {[2-(Arylmethylene)cyclopropyl]methyl}(phenyl)sulfanes and selanes. AB - {[2-(Arylmethylene)cyclopropyl]methyl}(phenyl)sulfanes and {[2 (arylmethylene)cyclopropyl]methyl}(phenyl)selanes, generated in situ from 2 (arylmethylene)cyclopropylcarbinols with sodium benzenethiolate and sodium benzeneselenolate, could undergo rearrangement upon heating to afford (2 arylmethylidenebut-3-enyl)(phenyl)sulfanes and (2-arylmethylidenebut-3 enyl)(phenyl)selanes, in good to excellent yields as mixtures of E- and Z isomers, respectively. A radical rearrangement was proposed on the basis of control experiments for this process. PMID- 18154355 TI - Synthesis of a key precursor for orienticin C and model study on ruthenium mediated macrocyclization. AB - A tripeptido--arene--ruthenium complex was prepared as a key precursor for the projected synthesis of orienticin C, demonstrating that the cyclopentadienylruthenium moiety can be attached to a chloroarene in the presence of multiple functionality. The ruthenium-mediated intramolecular SNAr reaction for formation of the required diaryl ether linkage was successfully tested on a model system. PMID- 18154356 TI - Palladium-catalyzed synthesis of functionalized tetraarylphosphonium salts. AB - An efficient method to synthesize functionalized tetraarylphosphonium salts is described. This palladium-catalyzed coupling reaction between aryl iodides, bromides, or triflates and triphenylphosphine generates phosphonium salts in high yields. The coupling is compatible with a variety of functional groups such as alcohols, ketones, aldehydes, phenols, and amides. PMID- 18154357 TI - An efficient approach for monofluorination via aqueous fluorolactonization reaction of 2,3-allenoic acids with selectfluor. AB - We have developed a convenient method for the efficient monofluorination via the electrophilic fluorocyclization reaction of 2,3-allenoic acids with Selectfluor in MeCN in the presence of 10 equiv of H2O or even in pure water to afford beta fluorobutenolides in moderate to high yields. PMID- 18154358 TI - Self-sorting dimerization of tetraurea calix[4]arenes. AB - Calix[4]arenes substituted by four urea functions are self-complementary molecules that spontaneously combine in apolar solvents in the presence of an ammonium salt to form dimeric capsules held together by a belt of hydrogen bonds. In the presence of tetraethylammonium salts, the Et4N+ cation is included as a guest. The sorting between dimeric capsules formed in a mixture of calix[4]arenes directly depends on the steric crowding of the substituents grafted on the urea groups whether aromatic derivatives or aliphatic chains linking urea functions in mono-, di-, or tetraloop structures. Simple rules allow one to anticipate which capsules will be exclusively formed when calix[4]arenes are mixed in different proportions. The stabilization of the dimeric structures by hydrogen bonds is thwarted by the overlaps of aliphatic loops and/or by bulky groups that cannot pass through these loops. Despite the structural similarity of the calixarenes, the exclusive formation of dimers of well-defined compositions and clear titration breaks are observed by electrospray mass spectrometry. This technique yields reliable information on stoichiometries and composition despite measurements in the gas phase rather than in solution and it does not suffer from excessive peak overlaps in contrast with NMR. PMID- 18154359 TI - The histamine N-methyltransferase T105I polymorphism affects active site structure and dynamics. AB - Histamine N-methyltransferase (HNMT) is the primary enzyme responsible for inactivating histamine in the mammalian brain. The human HNMT gene contains a common threonine-isoleucine polymorphism at residue 105, distal from the active site. The 105I variant has decreased activity and lower protein levels than the 105T protein. Crystal structures of both variants have been determined but reveal little regarding how the T105I polymorphism affects activity. We performed molecular dynamics simulations for both 105T and 105I at 37 degrees C to explore the structural and dynamic consequences of the polymorphism. The simulations indicate that replacing Thr with the larger Ile residue leads to greater burial of residue 105 and heightened intramolecular interactions between residue 105 and residues within helix alpha3 and strand beta3. This altered, tighter packing is translated to the active site, resulting in the reorientation of several cosubstrate-binding residues. The simulations also show that the hydrophobic histamine-binding domain in both proteins undergoes a large-scale breathing motion that exposes key catalytic residues and lowers the hydrophobicity of the substrate-binding site. PMID- 18154360 TI - Structural analysis of the catalytic mechanism and stereoselectivity in Streptomyces coelicolor alditol oxidase. AB - Alditol oxidase (AldO) from Streptomyces coelicolor A3(2) is a soluble monomeric flavin-dependent oxidase that performs selective oxidation of the terminal primary hydroxyl group of several alditols. Here, we report the crystal structure of the recombinant enzyme in its native state and in complex with both six-carbon (mannitol and sorbitol) and five-carbon substrates (xylitol). AldO shares the same folding topology of the members of the vanillyl-alcohol oxidase family of flavoenzymes and exhibits a covalently linked FAD which is located at the bottom of a funnel-shaped pocket that forms the active site. The high resolution of the three-dimensional structures highlights a well-defined hydrogen-bonding network that tightly constrains the substrate in the productive conformation for catalysis. Substrate binding occurs through a lock-and-key mechanism and does not induce conformational changes with respect to the ligand-free protein. A network of charged residues is proposed to favor catalysis through stabilization of the deprotonated form of the substrate. A His side chain acts as back door that "pushes" the substrate-reactive carbon atom toward the N5-C4a locus of the flavin. Analysis of the three-dimensional structure reveals possible pathways for diffusion of molecular oxygen and a small cavity on the re side of the flavin that may host oxygen during FAD reoxidation. These features combined with the tight shape of the catalytic site provide insights into the mechanism of AldO mediated regioselective oxidation reactions and its substrate specificity. PMID- 18154361 TI - Binding mechanisms of PEGylated ligands reveal multiple effects of the PEG scaffold. AB - A series of synthetic ligands consisting of poly(ethylene glycol) (PEG), capped on one or both ends with the hapten 2,4-dinitrophenyl (DNP), were previously shown to be potent inhibitors of cellular activation in RBL mast cells stimulated by a multivalent antigen [Baird, E. J., Holowka, D., Coates, G. W., and Baird, B. (2003) Biochemistry 42, 12739-12748]. In this study, we systematically investigated the effect of increasing length of the PEG scaffold on the binding of these monovalent and bivalent ligands to anti-DNP IgE in solution. Our analysis reveals evidence for an energetically favorable interaction between two monovalent ligands bound to the same receptor, when the PEG molecular mass exceeds approximately 5 kDa. Additionally, for ligands with much higher molecular masses (>10 kDa PEG), the binding of a single ligand apparently leads to a steric exclusion of the second binding site by the bulky PEG scaffold. These results are further corroborated by data from an alternate fluorescence-based assay that we developed to quantify the capacity of these ligands to displace a small hapten bound to IgE. This new assay monitors the displacement of a small, receptor-bound hapten by a competitive monovalent ligand and thus quantifies the competitive inhibition offered by a monovalent ligand. We also show that, for bivalent ligands, inhibitory capacity is correlated with the capacity to form effective intramolecular cross-links with IgE. PMID- 18154363 TI - Electrochemical glucose biosensors. PMID- 18154362 TI - A biosensor of S100A4 metastasis factor activation: inhibitor screening and cellular activation dynamics. AB - S100A4, a member of the S100 family of Ca2+-binding proteins, displays elevated expression in malignant human tumors compared with benign tumors, and increased expression correlates strongly with poor patient survival. S100A4 has a direct role in metastatic progression, likely due to the modulation of actomyosin cytoskeletal dynamics, which results in increased cellular motility. We developed a fluorescent biosensor (Mero-S100A4) that reports on the Ca2+-bound, activated form of S100A4. Direct attachment of a novel solvatochromatic reporter dye to S100A4 results in a sensor that, upon activation, undergoes a 3-fold enhancement in fluorescence, thus providing a sensitive assay for use in vitro and in vivo. In cells, localized activation of S100A4 at the cell periphery is observed during random migration and following stimulation with lysophosphatidic acid, a known activator of cell motility and proliferation. Additionally, a screen against a library of FDA-approved drugs with the biosensor identified an array of phenothiazines as inhibitors of myosin-II associated S100A4 function. These data demonstrate the utility of the new biosensor both for drug discovery and for probing the cellular dynamics controlled by the S100A4 metastasis factor. PMID- 18154364 TI - Self-assembly of virus-structured high surface area nanomaterials and their application as battery electrodes. AB - High area nickel and cobalt surfaces were assembled using modified Tobacco mosaic virus (TMV) templates. Rod-shaped TMV templates (300 x 18 nm) engineered to encode unique cysteine residues were self-assembled onto gold patterned surfaces in a vertically oriented fashion, producing a >10-fold increase in surface area. Electroless deposition of ionic metals onto surface-assembled virus templates produced uniform metal coatings up to 40 nm in thickness. Within a nickel-zinc battery system, the incorporation of virus-assembled electrode surfaces more than doubled the total electrode capacity. When combined, these findings demonstrate that surface-assembled virus templates provide a robust platform for the fabrication of oriented high surface area materials. PMID- 18154365 TI - Directed three-dimensional patterning of self-assembled peptide fibrils. AB - Molecular self-assembly is emerging as a viable "bottom-up" approach for fabricating nanostructures. Self-assembled biomolecular structures are particularly attractive, due to their versatile chemistry, molecular recognition properties, and biocompatibility. Among them, amyloid protein and peptide fibrils are self-assembled nanostructures with unique physical and chemical stability, formed from quite simple building blocks; their ability to work as a template for the fabrication of low resistance, conducting nanowires has already been demonstrated. The precise positioning of peptide-based nanostructures is an essential part of their use in technological applications, and their controlled assembly, positioning, and integration into microsystems is a problem of considerable current interest. To date, their positioning has been limited to their placement on flat surfaces or to the fabrication of peptide arrays. Here, we propose a new method for the precise, three-dimensional patterning of amyloid fibrils. The technique, which combines femtosecond laser technology and biotin avidin mediated assembly on a polymeric matrix, can be applied in a wide variety of fields, from molecular electronics to tissue engineering. PMID- 18154366 TI - Size limits on doping phosphorus into silicon nanocrystals. AB - We studied the electronic properties of phosphorus-doped silicon nanocrystals using the real-space first-principles pseudopotential method. We simulated nanocrystals with a diameter of up to 6 nm and made a direct comparison with experimental measurement for the first time for these systems. Our calculated size dependence of hyperfine splitting was in excellent agreement with experimental data. We also found a critical nanocrystal size below which we predicted that the dopant will be ejected to the surface. PMID- 18154368 TI - Photon-trap spectroscopy of mass-selected ions in an ion trap: optical absorption and magneto-optical effects. AB - A novel experimental technique has been developed to observe a trace of optical absorption of free mass-selected ions. The technique combines a linear radio frequency ion trap with a high-finesse optical cavity to perform cavity ring-down spectroscopy (photon-trap spectroscopy for generality), where the storage lifetime of photons in the cavity provides a sensitivity high enough to probe the trapped ions. Absorption spectra of the manganese ion Mn(+) are presented, showing hyperfine structures for the (7)P(2,3,4)<--(7)S(3) transitions in the ultraviolet range. Implementation of a solenoidal magnet allows us to observe the Zeeman splitting and the Faraday rotation as well. PMID- 18154369 TI - Vibronic transitions in large molecular systems: rigorous prescreening conditions for Franck-Condon factors. AB - In this work, rigorous prescreening conditions for the calculation of Franck Condon factors (FCFs) are derived and implemented. These factors play an important role in numerous applications including the prediction and simulation of vibronic spectra, electron transfer rates, and nonradiative transition probabilities. For larger systems it is crucial to calculate only relevant FCFs, as the computational burden becomes otherwise prohibitive due to the sheer number of Franck-Condon integrals. By exploiting rigorous prescreening criteria one can significantly reduce the computational effort and systematically refine results to the desired target accuracy. In this work, such criteria are derived via the use of sum rules obtained through a coherent state generating function for the FCFs in the harmonic oscillator approximation, following the prescription of Doktorov et al. These sum rules allow efficient and rigorous prescreening prior to the calculation of entire batches of Franck-Condon integrals, reducing the subsequent computational burden. To illustrate the benefit of employing such conditions, they are applied in this work to calculate FC profiles for vibronic spectra of formic acid, thymine, anthracene, and a polycyclic aromatic hydrocarbon derivative containing about 450 vibrational degrees of freedom. Since the prescreening step gives stringent upper and lower bounds for the loss of FC intensity in these spectra arising from the neglected FCFs, the present approach renders most previous a priori selection schemes obsolete and has the potential to complement or even replace other approximate treatments. PMID- 18154370 TI - Multiple scaling replica exchange for the conformational sampling of biomolecules in explicit water. AB - A multiple scaling replica exchange method for the efficient conformational sampling of biomolecular systems in explicit solvent is presented. The method is a combination of the replica exchange with solute tempering (REST) technique and a Tsallis biasing potential. The Tsallis biasing increases the sampling efficiency, while the REST minimizes the number of replicas needed. Unbiased statistics can be obtained by reweighting of the data using a weighted histogram analysis technique. The method is illustrated by its application to a ten residue peptide in explicit water. PMID- 18154371 TI - Spin contamination for Hartree-Fock, optimized effective potential, and density functional approximations. AB - In an earlier paper [S. Thanos and A. K. Theophilou J. Chem. Phys. 124, 204109 (2006)], we found an explicit formula for the expansion of a Slater determinant |Phi(M)> in terms of eigenstates of S(2). In this paper, we use the same formula to determine the spin contamination S(con) of the unrestricted single determinant approximations, i.e., Hartree-Fock, optimized effective potential, and density functional theory. We derived an expression which gives S(con) in terms of the overlap of the spatial parts of the spin up and spin down "corresponding" orbitals. It was found that S(con) does not depend on M, the eigenvalue of S(z), at least for the lower order approximations, i.e., when || is large. In this case, the predominant coefficient of the expansion assumes its maximum value when S=M. However, for the class of solutions that || is small, the spin L of the largest coefficient increases with the number of unpaired electrons. We also derived the explicit form of the expansion states. PMID- 18154372 TI - Excitations of atomic fragments arising in the exothermic (n;q) reactions of light atoms with slow neutrons. AB - We have developed the closed procedure for evaluating the final state probabilities in atomic fragments which arise during exothermic (n;t)-, (n;alpha) , and (n;p)-nuclear reactions in some light atoms with slow neutrons. The procedure includes the two consecutive steps: (1) computation of the final state probabilities based on the sudden approximation and (2) evaluation of various transition probabilities between the states obtained at the first step. PMID- 18154373 TI - Geometry optimization for peptides and proteins: comparison of Cartesian and internal coordinates. AB - We present the results of several benchmarks comparing the relative efficiency of different coordinate systems in optimizing polypeptide geometries. Cartesian, natural internal, and primitive internal coordinates are employed in quasi-Newton minimization for a variety of biomolecules. The peptides and proteins used in these benchmarks range in size from 16 to 999 residues. They vary in complexity from polyalanine helices to a beta-barrel enzyme. We find that the relative performance of the different coordinate systems depends on the parameters of the optimization method, the starting point for the optimization, and the size of the system studied. In general, internal coordinates were found to be advantageous for small peptides. For larger structures, Cartesians appear to be more efficient for empirical potentials where the energy and gradient can be evaluated relatively quickly compared to the cost of the coordinate transformations. PMID- 18154374 TI - Dyson orbitals for ionization from the ground and electronically excited states within equation-of-motion coupled-cluster formalism: theory, implementation, and examples. AB - Implementation of Dyson orbitals for coupled-cluster and equation-of-motion coupled-cluster wave functions with single and double substitutions is described and demonstrated by examples. Both ionizations from the ground and electronically excited states are considered. Dyson orbitals are necessary for calculating electronic factors of angular distributions of photoelectrons, Compton profiles, electron momentum spectra, etc, and can be interpreted as states of the leaving electron. Formally, Dyson orbitals represent the overlap between an initial N electron wave function and the N-1 electron wave function of the corresponding ionized system. For the ground state ionization, Dyson orbitals are often similar to the corresponding Hartree-Fock molecular orbitals (MOs); however, for ionization from electronically excited states Dyson orbitals include contributions from several MOs and their shapes are more complex. The theory is applied to calculating the Dyson orbitals for ionization of formaldehyde from the ground and electronically excited states. Partial-wave analysis is employed to compute the probabilities to find the ejected electron in different angular momentum states using the freestanding and Coulomb wave representations of the ionized electron. Rydberg states are shown to yield higher angular momentum electrons, as compared to valence states of the same symmetry. Likewise, faster photoelectrons are most likely to have higher angular momentum. PMID- 18154375 TI - Real-time propagation of the reduced one-electron density matrix in atom-centered Gaussian orbitals: application to absorption spectra of silicon clusters. AB - We solve the time-dependent density functional theory equation by propagating the reduced one-electron density matrix in real-time domain. The efficiency of several standard solvers such as the short-iterative Krylov-subspace propagator, the low-order Magnus integration method with the matrix polynomial (MP) or Chebyshev matrix polynomial (CMP) expansion of the evolution operator, and Runge Kutta algorithm are assessed. Fast methods for summing MP and CMP are implemented to speed the calculation of the matrix exponential. It is found that the exponential propagators can tolerate large time step size and retain the computational accuracy whereas the Krylov-subspace algorithm is a little inferior for a larger time step size compared with the second-order Magnus integration method with the MP/CMP expansion of the evolution operator in both weak and intense fields. As an application, we calculate the absorption spectra of hydrogen-passivated silicon nanoparticles Si(29)H(x). The popular hybrid and generalized gradient approximation exchange-correlation functionals are applied. We find that the experimental spectra can be reproduced by using B3LYP and that the silicon particles with sizes of 1 nm and the optical excitations at 3.7, 4.0, and 4.6 eV may consist of 29 Si atoms surrounded by 24 hydrogen atoms. PMID- 18154376 TI - A theoretical study of the low-lying excited electronic states of thiocarbonyl chlorofluoride and their dissociation pathways. AB - The spectroscopic constants for the ground (X (1)A(1)) and low-lying triplet and singlet excited states (a (3)A("),A (1)A("),B (1)A(')) of thiocarbonyl chlorofluoride (ClFCS) were obtained using the equation-of-motion coupled-cluster singles and doubles method. The calculated vibrational frequencies of the electronic states were within 4% of the experimental values for 21 of the frequencies, but four calculated frequencies were 20%-40% away from the corresponding experimentally reported values, suggesting the need to reexamine previous experimental spectra. The spectroscopic properties of the radical fragments (FCS, ClCS, and CClF) were also studied, and the correlation diagram between the excited electronic states of ClFCS and possible combinations of dissociation fragments were obtained. The potential energy surfaces (PESs) of the excited electronic states of ClFCS along possible dissociation pathways were also studied. The main qualitative dynamical features of the S(1)(A (1)A("))<--S(2)(B (1)A(')) fluorescence of ClFCS, which may occur in spite of the small barrier (8 kcalmol) on the S(2) PES to the dissociation of C-Cl bond, are discussed. PMID- 18154377 TI - Electron binding energies and Dyson orbitals of Al5Om- (m=3,4,5) and Al5O5H2-. AB - Photoelectron spectra of Al(5)O(m)(-) (m=3-5) and of the anion produced by the dissociative adsorption of a water molecule by Al(5)O(4)(-) are interpreted with density-functional geometry optimizations and electron-propagator calculations of vertical electron detachment energies. For Al(5)O(3)(-), Al(5)O(4)(-), and Al(5)O(5)H(2)(-), the observed signals may be attributed to the most stable isomer of each anion. For Al(5)O(5)(-), the features in the photoelectron spectrum are due to three almost isoenergetic isomers. PMID- 18154378 TI - Simulation of the photodeactivation of formamide in the nO-pi* and pi-pi* states: an ab initio on-the-fly surface-hopping dynamics study. AB - The short-time photodynamics (1 ps) of formamide in its low-lying singlet excited n(O)-pi(*) and pi-pi(*) states have been investigated by the direct trajectory surface-hopping method based on multiconfigurational ab initio calculations. The simulations showed that in both states, the primary deactivation process is C-N bond dissociation. In the ground state, the energy is transferred to (a) translational motion of the HCO and NH(2) fragments, (b) additional C-H dissociation from the vibrationally hot HCO fragment, or (c) formation of NH(3) and CO. In addition to the C-N dissociation pathway, C-O bond fission is found to be an additional primary deactivation path in the pi-pi(*) dynamics. From fractional occupations of trajectories, lifetimes of formamide were estimated: tau(S(1))=441 fs and tau(S(2))=66 fs. PMID- 18154379 TI - Hydrogen transfer dynamics in a photoexcited phenol/ammonia (1:3) cluster studied by picosecond time-resolved UV-IR-UV ion dip spectroscopy. AB - The picosecond time-resolved IR spectra of phenol/ammonia (1:3) cluster were measured by UV-IR-UV ion dip spectroscopy. The time-resolved IR spectra of the reaction products of the excited state hydrogen transfer were observed. From the different time evolution of two vibrational bands at 3180 and 3250 cm(-1), it was found that two isomers of hydrogenated ammonia radical cluster .NH(4)(NH(3))(2) coexist in the reaction products. The time evolution was also measured in the near-IR region, which corresponds to 3p-3s Rydberg transition of .NH(4)(NH(3))(2); a clear wavelength dependence was found. From the observed results, we concluded that (1) there is a memory effect of the parent cluster, which initially forms a metastable product, .NH(4)-NH(3)-NH(3), and (2) the metastable product isomerizes successively to the most stable product, NH(3) .NH(4)-NH(3). The time constant for OH cleaving, the isomerization, and its back reaction were determined by rate-equation analysis to be 24, 6, and 9 ps, respectively. PMID- 18154380 TI - Comprehensive photoelectron spectroscopic study of anionic clusters of anthracene and its alkyl derivatives: electronic structures bridging molecules to bulk. AB - The evolution of the electronic structure of molecular aggregates is investigated using anion photoelectron (PE) spectroscopy for anionic clusters of anthracene (Ac) and its alkyl derivatives: 1-methylanthracene (1MA), 2-methylanthracene (2MA), 9-methylanthracene (9MA), 9,10-dimethylanthracene (DMA), and 2-tert butylanthracene (2TBA). For their monomer anions (n=1), electron affinities are confined to the range from 0.47 to 0.59 eV and are well reproduced by density functional theory calculations, showing the isoelectronic character of these molecules. For cluster anions (n=2-100) of Ac and 2MA, two types of isomers I and II coexist over a wide size range: isomers I and II-1 (4< or =n<30) or isomers I and II-2 (n> or = approximately 40 for Ac and n> or = approximately 55 for 2MA). However, for the other alkyl-substituted Ac cluster anions (i.e., 1MA, 9MA, DMA, and 2TBA), only isomer I is exclusively formed, and neither isomer II-1 nor II-2 is observed. The vertical detachment energies (VDEs) of isomer I in all the anionic clusters depend almost linearly on n(-1/3). In contrast, the VDEs of isomers II-1 (n> or =14) and II-2 (n=40-100), appeared only in Ac and 2MA cluster anions, remain constant with n and are approximately 0.5 eV lower than those of isomer I. The PE spectra revealed the characteristics of each isomer: isomer I possesses a monomeric anion core that is gradually embedded into the interior of the cluster with increasing n. On the other hand, isomers II-1 and II-2 possess a multimeric (perhaps tetrameric) anion core, but they differ in the number of layers from which they are made up; monolayer (isomer II-1) and multilayers (isomer II-2) of a two-dimensionally ordered, finite herringbone-type structure, in which electron attachment produces only little geometrical rearrangement. Moreover, the agreement of the constant VDEs of isomer II-2 with the bulk data demonstrates the largely localized nature of the electronic polarization around the excess charge in a crystal-like environment, where about 50 molecules provide a charge stabilization energy comparable to the bulk. PMID- 18154381 TI - The far-infrared spectra of neutral and cationic niobium clusters: Nb5 0/+ to Nb9 0+. AB - Far-infrared absorption spectra of small neutral and cationic niobium clusters containing five to nine Nb atoms have been obtained by multiple photon dissociation spectroscopy of their argon complexes. The experimental far-IR spectra are recorded in the 85-600 cm(-1) region and cover the range of the structure-specific vibrational fundamentals, i.e., the finger-print range, for these metal clusters. The experiments are accompanied by quantum chemical calculations employing the density-functional theory. A comparison of the experimental and calculated far-IR spectra allows to identify the cluster structures. Although the experimental spectra for clusters containing five, six, eight, and nine Nb atoms are very different for cationic and neutral clusters, the comparison with theory reveals that, nevertheless, the overall geometries for cations and neutrals are very similar, except for Nb(6) (0+). PMID- 18154382 TI - Experimental vibrational spectra of gas-phase tantalum cluster cations. AB - We present gas-phase infrared spectra of tantalum cluster cations containing 6-20 atoms. Infrared multiple photon dissociation of their complexes with argon atoms is used to obtain vibrational spectra in the region between 90 and 305 cm(-1). Many spectra have features in common with the vibrational spectra of the lighter homologs, vanadium and niobium, pointing to a common cluster growth mechanism. PMID- 18154383 TI - Multidimensional Franck-Condon simulations of photodetachment spectra for the formate-water cluster anion: investigating H atom transfer along the HCOOH+OH reaction coordinate. AB - A new multidimensional Franck-Condon (FC) simulation methodology was applied to an anionic-neutral cluster transition for the first time to investigate the use of photodetachment spectroscopy of the HCOO(-).H(2)O anion as a means to study the HCOO.H(2)O and HCOOH.OH neutral clusters. For the HCOO(-).H(2)O to HCOO.H(2)O transition, vibrationally resolved simulated spectra were obtained across the threshold detachment region, indicating that photodetachment spectroscopy of the respective anionic cluster should provide detailed structural information on the bifurcated HCOO.H(2)O neutral cluster. The simulations predict that the photodetachment spectra should display prominent progressions of both the intermolecular stretch and the in-plane OCO bending mode. In contrast, for the HCOO(-).H(2)O to HCOOH.OH transition, the vibronic FC simulations resulted in transitions with negligible intensities, despite the fact that the geometries of the respective anionic and neutral systems were similar. The low FC intensities were traced to the large off-diagonal elements of the Duschinsky matrix for this transition, which arise due to the considerable differences in the vibrational wave functions following hydrogen transfer. PMID- 18154384 TI - Hydrogen bonding lights up overtones in pyrazoles. AB - The spectral complexity in the NH stretching mode of hydrogen-bonded pyrazoles is traced back to an extensive Fermi resonance system involving combinations and overtones of at least four aromatic ring modes with significant in plane hydride bending character. The couplings are shown to be inherent in the monomer, but hydrogen bonding is required to bring them into resonance with the NH stretching chromophore. A cost-efficient variational "monomers-in-clusters" model is presented and applied to a five-dimensional subspace of pyrazole. Spectra of substituted pyrazoles confirm the robustness of the coupling, which remains dark in strained dimers, but lights up in linearly hydrogen-bonded trimers. PMID- 18154385 TI - Oscillator strengths of the Mulliken, Swan, Ballik-Ramsay, Phillips, and d3Pi g<- c 3Sigma u+ systems of C2 calculated by MRCI methods utilizing a biorthogonal transformation of CASSCF orbitals. AB - Ab initio oscillator strengths and lifetimes for the D (1)Sigma(u) (+)<--X (1)Sigma(g) (+) Mulliken system of C(2) are reported. The calculations were carried out at the MRCI level of theory with Davidson's correction using aug-cc pV6Z basis sets and include core and core-valence correlation as well as relativistic corrections, computed with aug-cc-pCVQZ and cc-pVQZ bases, respectively. The MRCI calculations of transition moments utilize a biorthogonal transformation of the CASSCF orbitals. This approach was also employed to recompute the transition moments of the Swan, Ballik-Ramsay, Phillips, and d (3)Pi(g)<--c (3)Sigma(u) (+) systems of C(2), which were the subject of our previous study [D. L. Kokkin et al., J. Chem. Phys. 126, 084302 (2007)], resulting in an improved set of oscillator strengths for the latter systems as well. The oscillator strength of the Mulliken origin band, f(00) (DA), was calculated to be 0.0535, in excellent agreement with the accepted astronomical value of 0.054. PMID- 18154386 TI - Energetics and metastability of the adenine dication observed in proton-adenine collisions. AB - We present here a study that deals with the correlated fragmentation of a doubly charged adenine molecular target induced by a 100 keV proton beam. We have elucidated part of the dissociation dynamics for several channels and have obtained the corresponding kinetic energy released values. We have extracted activation energies by combining our experimental data with computations using the ab initio GAMESS code. We have observed metastability patterns against fragmentation, for which we have extracted the temporal mechanism (one or two steps). Subsequently, we have obtained lifetimes in the 100-200 ns range. In the simplest case of two-body fragmentation with the emission of mass 28, the determination of transition states and reaction paths has showed that emission of the H-C-N-H fragment is preferred to that of C-N-H(2). From the calculated activation barriers and lifetimes, we have deduced an equivalent temperature of the dication that we have compared with the existing models. PMID- 18154387 TI - A density functional study of YnAl (n=1-14) clusters. AB - The geometries, stabilities, and electronic and magnetic properties of Y(n)Al (n=1-14) clusters have been systematically investigated by using density functional theory with generalized gradient approximation. The growth pattern for different sized Y(n)Al (n=1-14) clusters is Al-substituted Y(n+1) clusters and it keeps the similar frameworks of the most stable Y(n+1) clusters except for Y(9)Al cluster. The Al atom substituted the surface atom of the Y(n+1) clusters for n<9. Starting from n=9, the Al atom completely falls into the center of the Y-frame. The Al atom substituted the center atom of the Y(n+1) clusters to form the Al encapsulated Y(n) geometries for n>9. The calculated results manifest that doping of the Al atom contributes to strengthen the stabilities of the yttrium framework. In addition, the relative stability of Y(12)Al is the strongest among all different sized Y(n)Al clusters, which might stem from its highly symmetric geometry. Mulliken population analysis shows that the charges always transfer from Y atoms to Al atom in all different sized clusters. Doping of the Al atom decreases the average magnetic moments of most Y(n) clusters. Especially, the magnetic moment is completely quenched after doping Al in the Y(13), which is ascribed to the disappearance of the ininerant 4d electron spin exchange effect. Finally, the frontier orbitals properties of Y(n)Al are also discussed. PMID- 18154388 TI - A transition state wave packet study of the H+CH4 reaction. AB - Transition state wave packet calculations have been carried out to obtain the thermal rate constants for the H+CH(4) reaction on the Jordan-Gilbert potential energy surface. The eight-dimensional model for the X+YCZ(3) type of reaction was employed by restricting the nonreacting CZ(3) group under a C(3V) symmetry. We calculated the cumulative reaction probability for the total angular momentum J=0, from which the thermal rate constants were obtained for the temperature range between 250 and 500 K by employing the J-K shifting approximation. It is found that the eight-dimensional rate constants agree very well with the seven dimensional ones, in which the CH bond length in the nonreacting CH(3) group is fixed, suggesting that the additional mode for the symmetry stretching in CH(3) group does not have any important effect on the reaction within the temperature range considered here. The present transition state wave packet results agree well with rate constants obtained from the previous seven dimensional initial state selected wave packet study, indicating the consistence of the treatments involved in these two studies. On the other hand, it is found that the energy threshold for the cumulative reaction probability for J=0 from the present study is higher than that from the full dimensional multiconfiguration time-dependent Hartree study by about 0.06 eV, resulting in severe discrepancy between the present rate constants and the multiconfiguration time-dependent Hartree results. PMID- 18154389 TI - Theoretical predictions of nuclear magnetic resonance parameters in a novel organo-xenon species: chemical shifts and nuclear quadrupole couplings in HXeCCH. AB - We calibrate the methodology for the calculation of nuclear magnetic resonance (NMR) properties in novel organo-xenon compounds. The available state-of-the-art quantum-chemical approaches are combined and applied to the HXeCCH molecule as the model system. The studied properties are (129)Xe, (1)H, and (13)C chemical shifts and shielding anisotropies, as well as (131)Xe and (2)H nuclear quadrupole coupling constants. The aim is to obtain, as accurately as currently possible, converged results with respect to the basis set, electron correlation, and relativistic effects, including the coupling of relativity and correlation. This is done, on one hand, by nonrelativistic correlated ab initio calculations up to the CCSD(T) level and, on the other hand, for chemical shifts and shielding anisotropies by the leading-order relativistic Breit-Pauli perturbation theory (BPPT) with correlated ab initio and density-functional theory (DFT) reference states. BPPT at the uncorrelated Hartree-Fock level as well as the corresponding fully relativistic Dirac-Hartree-Fock method are found to be inapplicable due to a dramatic overestimation of relativistic effects, implying the influence of triplet instability in this multiply bonded system. In contrast, the fully relativistic second-order Moller-Plesset perturbation theory method can be applied for the quadrupole coupling, which is a ground-state electric property. The performance of DFT with various exchange-correlation functionals is found to be inadequate for the nonrelativistic shifts and shielding anisotropies as compared to the CCSD(T) results. The relativistic BPPT corrections to these quantities can, however, be reasonably predicted by DFT, due to the improved triplet excitation spectrum as compared to the Hartree-Fock method, as well as error cancellation within the five main BPPT contributions. We establish three computationally feasible models with characteristic error margins for future calculations of larger organo-xenon compounds to guide forthcoming experimental NMR efforts. The predicted (129)Xe chemical shift in HXeCCH is in a novel range for this nucleus, between weakly bonded or solvated atomic xenon and xenon in the hitherto characterized molecules. PMID- 18154391 TI - The hyperfine interaction in the A 2Pi1/2 and X 2Sigma+ states of ytterbium monofluoride. AB - The fine and hyperfine interaction parameters in the A (2)Pi(1/2)(v=0) and X (2)Sigma(+)(v=0) states of the odd metal nuclear spin isotopologues of ytterbium monofluoride, (171)YbF and (173)YbF, have been determined from an analysis of high-resolution laser induced fluorescence spectra of the A (2)Pi(12)<--X (2)Sigma(+)(0,0) band. The observed ground X (2)Sigma(+)(v=0) state (171)Yb(I=1/2) Fermi contact parameter is significantly smaller than that determined from the matrix isolation electron spin resonance measurement [Van Zee et al., J. Phys. Chem. 82, 1192 (1978)]. An interpretation of the (173,171)Yb magnetic hyperfine and nuclear electric quadrupole coupling parameters is given. PMID- 18154390 TI - Entropy-driven population distributions in a prototypical molecule with two flexible side chains: O-(2-acetamidoethyl)-N-acetyltyramine. AB - Resonant two-photon ionization (R2PI), resonant ion-dip infrared (RIDIR), and UV UV hole-burning spectroscopies have been employed to obtain conformation-specific infrared and ultraviolet spectra under supersonic expansion conditions for O-(2 acetamidoethyl)-N-acetyltyramine (OANAT), a doubly substituted aromatic in which amide-containing alkyl and alkoxy side chains are located in para positions on a phenyl ring. For comparison, three single-chain analogs were also studied: (i) N phenethyl-acetamide (NPEA), (ii) N-(p-methoxyphenethyl-acetamide) (NMPEA), and (iii) N-(2-phenoxyethyl)-acetamide (NPOEA). Six conformations of OANAT have been resolved, with S(0)-S(1) origins ranging from 34,536 to 35,711 cm(-1), denoted A F, respectively. RIDIR spectra show that conformers A-C each possess an intense, broadened amide NH stretch fundamental shifted below 3400 cm(-1), indicative of the presence of an interchain H bond, while conformers D-F have both amide NH stretch fundamentals in the 3480-3495 cm(-1) region, consistent with independent chain structures with two free NH groups. NPEA has a single conformer with S(0) S(1) origin at 37,618 cm(-1). NMPEA has three conformers, two that dominate the R2P1 spectrum, with origin transitions between 35,580 and 35,632 cm(-1). Four conformations, one dominate and three minor, of NPOEA have been resolved with origins between 35,654 and 36,423 cm(-1). To aid the making of conformational assignments, the geometries of low-lying structures of all four molecules have been optimized and the associated harmonic vibrational frequencies calculated using density functional theory (DFT) and RIMP2 methods. The S(0)-S(1) adiabatic excitation energies have been calculated using the RICC2 method and vertical excitation energies using single-point time-dependent DFT. The sensitivity of the S(0)-S(1) energy separation in OANAT and NPOEA primarily arises from different orientations of the chain attached to the phenoxy group. Using the results of the single-chain analogs, tentative assignments have been made for the observed conformers of OANAT. The RIMP2 calculations predict that interchain H-bonded conformers of OANAT are 25-30 kJ/mol more stable than the extended-chain structures. However, the free energies of the interchain H-bonded and extended structures calculated at the preexpansion temperature (450 K) differ by less than 10 kJ/mol, and the number of extended structures far outweighs the number of H bonded conformers. This entropy-driven effect explains the presence of the independent-chain conformers in the expansion, and cautions future studies that rely solely on relative energies of conformers in considering possible assignments. PMID- 18154392 TI - Density functional theory for the photoionization dynamics of uracil. AB - Photoionization dynamics of the RNA base uracil is studied in the framework of density functional theory. The photoionization calculations take advantage of a newly developed parallel version of a multicentric approach to the calculation of the electronic continuum spectrum which uses a set of B-spline radial basis functions and a Kohn-Sham density functional Hamiltonian. Both valence and core ionizations are considered. Scattering resonances in selected single-particle ionization channels are classified by the symmetry of the resonant state and the peak energy position in the photoelectron kinetic energy scale; the present results highlight once more the site specificity of core ionization processes. We further suggest that the resonant structures previously characterized in low energy electron collision experiments are partly shifted below threshold by the photoionization processes. A critical evaluation of the theoretical results provides a guide for future experimental work on similar biosystems. PMID- 18154393 TI - Infrared absorption of gaseous CH3OO detected with a step-scan Fourier-transform spectrometer. AB - CH(3)OO radicals were produced upon irradiation of a flowing mixture of CH(3)I and O(2) with a KrF excimer laser at 248 nm. A step-scan Fourier-transform spectrometer coupled with a multipass absorption cell was employed to record temporally resolved IR absorption spectra of reaction intermediates. Transient absorption bands with origins at 3033, 2954, 1453, 1408, 1183, 1117, 3020, and 1441 cm(-1) are assigned to nu(1)-nu(6), nu(9), and nu(10) modes of CH(3)OO, respectively, close to wavenumbers reported for CH(3)OO isolated in solid Ar. Calculations with density-functional theory (B3LYP/aug-cc-pVTZ) predicted the geometry and the vibrational wavenumbers of CH(3)OO; the vibrational wavenumbers and relative IR intensities of CH(3)OO agree satisfactorily with these observed features. The rotational contours of IR spectra of CH(3)OO, simulated based on ratios of predicted rotational parameters for the upper and lower states and on experimental rotational parameters of the ground state, agree satisfactorily with experimental results; the mixing ratios of a-, b-, and c-types of rotational structures were evaluated based on the direction of dipole derivatives predicted quantum chemically. A feature at 995 cm(-1), ascribed to CH(3)OOI from a secondary reaction of CH(3)OO with I, was also observed. PMID- 18154394 TI - A theoretical study on the frequency-dependent electric conductivity of electrolyte solutions. AB - The theory on the ultrasonic absorption of electrolyte solutions we have proposed previously [T. Yamaguchi et al., J. Chem. Phys. 126, 144505 (2007)] is extended to calculate the frequency-dependent electric conductivity of the solution. The ionic contribution of the dielectric relaxation spectrum is obtained at the same time. The theory is able to handle the contributions of both the ion-pair dynamics and the relaxation of ionic atmosphere, as is the case of ultrasonic absorption. The effect of the barrier height between the contact and solvent separated ion pairs is investigated in detail. It is clarified that the competition between the dissociation and reorientational relaxation rates of the contact ion pair is an important factor for the ion pair to be regarded as the ion pair in terms of ionic conductivity. PMID- 18154395 TI - Calculation of two-dimensional infrared spectra of ultrafast chemical exchange with numerical Langevin simulations. AB - We combine numerical Langevin simulations with numerical integration of the Schrodinger equation to calculate two-dimensional infrared spectra of ultrafast chemical exchange. This provides a tool to model and interpret such spectra of molecules undergoing chemical processes, such as isomerization and solvent exchange reactions. Two-dimensional infrared spectroscopy has already been used to extract reaction rates for ultrafast chemical reactions. We demonstrate that these spectra are not only sensitive to the rates, but also to the finite duration of the exchange. This is emphasised by comparing with the popular Kubo two-state jump models, which do not account for finite exchange times. PMID- 18154396 TI - On the collective network of ionic liquid/water mixtures. I. Orientational structure. AB - In this work, the collective structure of aqueous solutions of ionic liquids was studied by means of molecular dynamics simulations. Various concentrations of 1 butyl-3-methyl-imidazolium tetrafluoroborate and TIP3P water were simulated at the very same size of the simulation box. For the analysis, the ternary system cation/anion/water was subdivided into binary networks. The local structure of each of these six networks is investigated by atom-atom radial distribution functions as well as by the so-called g coefficients, which reveal the mutual orientation of the network constituting partners. Furthermore, the collective structure of the whole samples was characterized by the contribution of each species to the static dielectric constant epsilon(omega=0) and to the Kirkwood G(K) factor. The combination of the analysis tools mentioned above provides knowledge about the cross-linking of the ionic species with the dipolar water. Thereby, the interplay between charge-charge and hydrogen bond networks is analyzed in detail. PMID- 18154397 TI - The vibrational spectra of protonated water clusters: a benchmark for self consistent-charge density-functional tight binding. AB - Proton transfers are involved in many chemical processes in solution and in biological systems. Although water molecules have been known to transiently facilitate proton transfers, the possibility that water molecules may serve as the "storage site" for proton in biological systems has only been raised in recent years. To characterize the structural and possibly the dynamic nature of these protonated water clusters, it is important to use effective computational techniques to properly interpret experimental spectroscopic measurements of condensed phase systems. Bearing this goal in mind, we systematically benchmark the self-consistent-charge density-functional tight-binding (SCC-DFTB) method for the description of vibrational spectra of protonated water clusters in the gas phase, which became available only recently with infrared multiphoton photodissociation and infrared predissociation spectroscopic experiments. It is found that SCC-DFTB qualitatively reproduces the important features in the vibrational spectra of protonated water clusters, especially concerning the characteristic signatures of clusters of various sizes. In agreement with recent ab initio molecular dynamics studies, it is found that dynamical effects play an important role in determining the vibrational properties of these water clusters. Considering computational efficiency, these benchmark calculations suggest that the SCC-DFTB/molecular mechanical approach can be an effective tool for probing the structural and dynamic features of protonated water molecules in biomolecular systems. PMID- 18154398 TI - Tuning intramolecular anharmonic vibrational coupling in 4-nitroaniline by solvent-solute interaction. AB - Applying a combined experimental and theoretical approach we demonstrate that doublets of the nu(s)(NO(2)) band of 4-nitroaniline which have been observed in several environments originate from Fermi resonances. Changes of the line shapes typical for Fermi resonances are reported also for other isotopomers of 4 nitroaniline, however, for each of them in different solvents and solvent mixtures. Simulations of the infrared spectra based on the solvatochromic frequency shifts of the nu(s)(NO(2)) vibration determined experimentally together with calculated cubic couplings with overtones and combination bands account for the experimental findings. PMID- 18154399 TI - Density fingering in spatially modulated Hele-Shaw cells. AB - Density fingering of the chlorite-tetrathionate reaction has been studied experimentally in a periodically heterogeneous Hele-Shaw cell where the heterogeneity is introduced in the form of spatial modulation of gap width along the front. Depending on the spatial wavelength, gap width, and chemical composition, three types of cellular structures have been observed. The initial evolution is characterized by dispersion curves, while the long time behavior is described by the change in the autocorrelation function of the front profile and in the mixing length of the patterns. PMID- 18154400 TI - Patchy sticky hard spheres: analytical study and Monte Carlo simulations. AB - We consider a fluid of hard spheres bearing one or two uniform circular adhesive patches, distributed so as not to overlap. Two spheres interact via a "sticky" Baxter potential if the line joining the centers of the two spheres intersects a patch on each sphere, and via a hard sphere potential otherwise. We analyze the location of the fluid-fluid transition and of the percolation line as a function of the size of the patch (the fractional coverage of the sphere's surface) and of the number of patches within a virial expansion up to third order and within the first two terms (C0 and C1) of a class of closures Cn hinging on a density expansion of the direct correlation function. We find that the locations of the two lines depend sensitively on both the total adhesive coverage and its distribution. The treatment is almost fully analytical within the chosen approximate theory. We test our findings by means of specialized Monte Carlo simulations and find the main qualitative features of the critical behavior to be well captured in spite of the low density perturbative nature of the closure. The introduction of anisotropic attractions into a model suspension of spherical particles is a first step toward a more realistic description of globular proteins in solution. PMID- 18154401 TI - Solvent-averaged potentials for alkali-, earth alkali-, and alkylammonium halide aqueous solutions. AB - We derive effective, solvent-free ion-ion potentials for alkali-, earth alkali-, and alkylammonium halide aqueous solutions. The implicit solvent potentials are parametrized to reproduce experimental osmotic coefficients. The modeling approach minimizes the amount of input required from atomistic (force field) models, which usually predict large variations in the effective ion-ion potentials at short distances. For the smaller ion species, the reported potentials are composed of a Coulomb and a Weeks-Chandler-Andersen term. For larger ions, we find that an additional, attractive potential is required at the contact minimum, which is related to solvent degrees of freedom that are usually not accounted for in standard electrostatics models. The reported potentials provide a simple and accurate force field for use in molecular dynamics and Monte Carlo simulations of (poly-)electrolyte systems. PMID- 18154402 TI - Homogeneous nucleation and growth in supersaturated zinc vapor investigated by molecular dynamics simulation. AB - Homogeneous nucleation and growth of zinc from supersaturated vapor are investigated by nonequilibrium molecular dynamics simulations in the temperature range from 400 to 800 K and for a supersaturation ranging from log S=2 to 11. Argon is added to the vapor phase as carrier gas to remove the latent heat from the forming zinc clusters. A new parametrization of the embedded atom method for zinc is employed for the interaction potential model. The simulation data are analyzed with respect to the nucleation rates and the critical cluster sizes by two different methods, namely, the threshold method of Yasuoka and Matsumoto [J. Chem. Phys. 109, 8451 (1998)] and the mean first passage time method for nucleation by Wedekind et al. [J. Chem. Phys. 126, 134103 (2007)]. The nucleation rates obtained by these methods differ approximately by one order of magnitude. Classical nucleation theory fails to describe the simulation data as well as the experimental data. The size of the critical cluster obtained by the mean first passage time method is significantly larger than that obtained from the nucleation theorem. PMID- 18154403 TI - Validation of NMR relaxation exchange time measurements in porous media. AB - Two-dimensional T(2)-T(2) NMR relaxation exchange spectroscopy has been applied to model porous media composed of mixtures of nonporous borosilicate and soda lime glass spheres in water. The spheres had a mean diameter of 100 microm, thus providing an approximately constant characteristic pore dimension throughout the structures, while the use of two glass types ensured that water in different pore space regions had significantly different T(2) relaxation rates. The packed beds were constructed in various ways with controlled glass type domain sizes to rigorously validate a model for region-to-region exchange of water. From the determined exchange times, the corresponding length scales were calculated based on the molecular self-diffusion of water; these agreed to better than +/-25% with the expected domain sizes. Furthermore, exchange distances on the order of the pore size were observed in thoroughly mixed systems. Depending on the relaxation rates present in the sample, this technique can provide estimates of length scales ranging from microns to millimeters. PMID- 18154404 TI - Pulsed field gradient NMR study of phenol binding and exchange in dispersions of hollow polyelectrolyte capsules. AB - The distribution and exchange dynamics of phenol molecules in colloidal dispersions of submicron hollow polymeric capsules is investigated by pulsed field gradient NMR (PFG-NMR). The capsules are prepared by layer-by-layer assembly of polyelectrolyte multilayers on silica particles, followed by dissolution of the silica core. In capsule dispersion, (1)H PFG echo decays of phenol are single exponentials, implying fast exchange of phenol between a free site and a capsule-bound site. However, apparent diffusion coefficients extracted from the echo decays depend on the diffusion time, which is typically not the case for the fast exchange limit. We attribute this to a particular regime, where apparent diffusion coefficients are observed, which arise from the signal of free phenol only but are influenced by exchange with molecules bound to the capsule, which exhibit a very fast spin relaxation. Indeed, relaxation rates of phenol are strongly enhanced in the presence of capsules, indicating binding to the capsule wall rather than encapsulation in the interior. We present a quantitative analysis in terms of a combined diffusion-relaxation model, where exchange times can be determined from diffusion and spin relaxation experiments even in this particular regime, where the bound site acts as a relaxation sink. The result of the analysis yields exchange times between free phenol and phenol bound to the capsule wall, which are on the order of 30 ms and thus slower than the diffusion controlled limit. From bound and free fractions an adsorption isotherm of phenol to the capsule wall is extracted. The binding mechanism and the exchange mechanism are discussed. The introduction of the global analysis of diffusion as well as relaxation echo decays presented here is of large relevance for adsorption dynamics in colloidal systems or other systems, where the standard diffusion echo decay analysis is complicated by rapidly relaxing boundary conditions. PMID- 18154405 TI - Surface species produced in the radiolysis of zirconia nanoparticles. AB - Modifications to water-zirconia nanoparticle interfaces induced by gamma irradiation have been examined using diffuse reflection infrared Fourier transform (DRIFT), Raman scattering, and electron paramagnetic resonance (EPR) techniques. Spectroscopy with in situ heating was used to probe variations in the dissociatively bound chemisorbed water on the zirconia nanoparticles following evaporation of the physisorbed water. DRIFT spectra show that the bridged Zr-OH Zr species decreases relative to the terminal Zr-OH species upon irradiation. No variation is observed with Raman scattering, indicating that the zirconia morphology is unchanged. EPR measurements suggest the possible formation of the superoxide ion, presumably by modification of the surface OH groups. Trapped electrons and interstitial H atoms are also observed by EPR. PMID- 18154406 TI - Effects of geometrical characteristics of surface roughness on droplet wetting. AB - Surface roughness is known to alter the wettability on a solid substrate. In general, either Wenzel or Cassie-Baxter theory is adopted to describe the apparent contact angle. Following the minimum free energy pathway associated with the imbibition process, we have derived a generalized expression for the apparent contact angle on a textured surface and the liquid-gas contact area within the groove that plays a key role. Depending on the geometrical characteristics of the grooves, the surface wetting falls into three regimes: (i) single stable state which is either Wenzel (completely wetted roughness) or Cassie-Baxter (completely nonwetted roughness) state, (ii) two stable states (Wenzel and Cassie-Baxter) separated by an energy barrier, and (iii) single stable state with partially wetted roughness. The sufficient condition for each regime is derived and several groove geometries are given to show the free energy path. Alteration in the geometric parameters may lead to the wetting crossover. We also show that the Cassie-Baxter can occur at a hydrophilic surface for particular pore shapes. PMID- 18154408 TI - Insight into the adsorption competition and the relationship between dissociation and association reactions in ammonia synthesis. AB - Ammonia synthesis on three metal surfaces (Zr, Ru, and Pd) is investigated using density functional theory calculations. In addition to N(2) dissociation, all the transition states of the hydrogenation reactions from N to NH(3) are located and the reaction energy profiles at both low and high surface coverages are compared and analyzed. The following are found: (i) Surface coverage effect on dissociation reactions is more significant than that on association reactions. (ii) The difference between N and H chemisorption energies, the so-called chemisorption energy gap which is a measure of adsorption competition, is vital to the reactivity of the catalysts. (iii) The hydrogenation barriers can considerably affect the overall rate of ammonia synthesis. A simple model to describe the relationship between dissociation and association reactions is proposed. PMID- 18154407 TI - The structural and electronic properties of Ag-adsorbed (SiO2)n (n=1-7) clusters. AB - Equilibrium geometries, charge distributions, stabilities, and electronic properties of the Ag-adsorbed (SiO(2))(n) (n=1-7) clusters have been investigated using density functional theory with generalized gradient approximation for exchange-correlation functional. The results show that the Ag atom preferably binds to silicon atom with dangling bond in nearly a fixed direction, and the incoming Ag atoms tend to cluster on the existing Ag cluster leading to the formation of Ag islands. The adsorbed Ag atom only causes charge redistributions of the atoms near itself. The effect of the adsorbed Ag atom on the bonding natures and structural features of the silica clusters is minor, attributing to the tendency of stability order of Ag(SiO(2))(n) (n=1-7) clusters in consistent with silica clusters. In addition, the energy gaps between the highest occupied and lowest unoccupied molecular orbitals remarkably decrease compared with the pure (SiO(2))(n) (n=1-7) clusters, eventually approaching the near infrared radiation region. This suggests that these small clusters may be an alternative material which has a similar functionality in treating cancer to the large gold coated silica nanoshells and the small Au(3)(SiO(2))(3) cluster. PMID- 18154409 TI - Pathway to copolymer collapse in dilute solution: uniform versus random distribution of comonomers. AB - Monte Carlo simulations show that copolymers with uniformly (or periodically) distributed sticky comonomers collapse "cooperatively," abruptly forming a compact intermediate comprising a monomer shell surrounding a core of the aggregated comonomers. In comparison, random copolymers collapse through a relatively less-compact intermediate comprising a comonomer core surrounded by a fluffy monomer shell that densifies over a wide temperature range. This difference between the collapse pathways for random and uniform copolymers persists to higher chain lengths, where uniform copolymers tend to form multiple comonomer cores. In this paper, we describe the formation of such an intermediate state, and the subsequent collapse, by recognizing that these arise from the expected balance between comonomer aggregation enthalpy and loop formation entropy dictated by the chain microstructure. PMID- 18154410 TI - Brownian dynamics simulations of polyelectrolyte adsorption in shear flow with hydrodynamic interaction. AB - The adsorption of single polyelectrolyte molecules in shear flow is studied using Brownian dynamics simulations with hydrodynamic interaction (HI). Simulations are performed with bead-rod and bead-spring chains, and electrostatic interactions are incorporated through a screened Coulombic potential with excluded volume accounted for by the repulsive part of a Lennard-Jones potential. A correction to the Rotne-Prager-Yamakawa tensor is derived that accounts for the presence of a planar wall. The simulations show that migration away from an uncharged wall, which is due to bead-wall HI, is enhanced by increases in the strength of flow and intrachain electrostatic repulsion, consistent with kinetic theory predictions. When the wall and polyelectrolyte are oppositely charged, chain behavior depends on the strength of electrostatic screening. For strong screening, chains get depleted from a region close to the wall and the thickness of this depletion layer scales as N(1/3)Wi(2/3) at high Wi, where N is the chain length and Wi is the Weissenberg number. At intermediate screening, bead-wall electrostatic attraction competes with bead-wall HI, and it is found that there is a critical Weissenberg number for desorption which scales as N(-1/2)kappa( 3)(l(B)|sigmaq|)(3/2), where kappa is the inverse screening length, l(B) is the Bjerrum length, sigma is the surface charge density, and q is the bead charge. When the screening is weak, adsorbed chains are observed to align in the vorticity direction at low shear rates due to the effects of repulsive intramolecular interactions. At higher shear rates, the chains align in the flow direction. The simulation method and results of this work are expected to be useful for a number of applications in biophysics and materials science in which polyelectrolyte adsorption plays a key role. PMID- 18154411 TI - A group contribution method for associating chain molecules based on the statistical associating fluid theory (SAFT-gamma). AB - A predictive group-contribution statistical associating fluid theory (SAFT-gamma) is developed by extending the molecular-based SAFT-VR equation of state [A. Gil Villegas et al. J. Chem. Phys. 106, 4168 (1997)] to treat heteronuclear molecules which are formed from fused segments of different types. Our models are thus a heteronuclear generalization of the standard models used within SAFT, comparable to the optimized potentials for the liquid state OPLS models commonly used in molecular simulation; an advantage of our SAFT-gamma over simulation is that an algebraic description for the thermodynamic properties of the model molecules can be developed. In our SAFT-gamma approach, each functional group in the molecule is modeled as a united-atom spherical (square-well) segment. The different groups are thus characterized by size (diameter), energy (well depth) and range parameters representing the dispersive interaction, and by shape factor parameters (which denote the extent to which each group contributes to the overall molecular properties). For associating groups a number of bonding sites are included on the segment: in this case the site types, the number of sites of each type, and the appropriate association energy and range parameters also have to be specified. A number of chemical families (n-alkanes, branched alkanes, n alkylbenzenes, mono- and diunsaturated hydrocarbons, and n-alkan-1-ols) are treated in order to assess the quality of the SAFT-gamma description of the vapor liquid equilibria and to estimate the parameters of various functional groups. The group parameters for the functional groups present in these compounds (CH(3), CH(2), CH(3)CH, ACH, ACCH(2), CH(2)=, CH=, and OH) together with the unlike energy parameters between groups of different types are obtained from an optimal description of the pure component phase equilibria. The approach is found to describe accurately the vapor-liquid equilibria with an overall %AAD of 3.60% for the vapor pressure and 0.86% for the saturated liquid density. The fluid phase equilibria of some larger compounds comprising these groups, which are not included in the optimization database and some binary mixtures are examined to confirm the predictive capability of the SAFT-gamma approach. A key advantage of our method is that the binary interaction parameters between groups can be estimated directly from an examination of pure components alone. This means that as a first approximation the fluid-phase equilibria of mixtures of compounds comprising the groups considered can be predicted without the need for any adjustment of the binary interaction parameters (which is common in other approaches). The special case of molecular models comprising tangentially bonded (all-atom and united-atom) segments is considered separately; we comment on the adequacy of such models in representing the properties of real molecules. PMID- 18154414 TI - Definition and etiology of metabolic syndrome. PMID- 18154415 TI - Association of angiotensin-converting enzyme gene insertion/deletion polymorphism with metabolic syndrome in Iranians with type 2 diabetes mellitus. AB - BACKGROUND: Angiotensin-converting enzyme insertion/deletion polymorphism has been shown to be associated with diabetes, hypertension, coronary artery diseases, and diabetic nephropathy. The objective of this study was to investigate whether angiotensin-converting enzyme gene insertion/deletion polymorphism is associated with metabolic syndrome in Iranians with type 2 diabetes mellitus. METHODS: A total of 170 patients with type 2 diabetes mellitus and 91 control subjects were studied. The angiotensin-converting enzyme insertion/deletion polymorphism was determined by polymerase chain reaction (PCR) utilizing specific primers. The definition and criteria of metabolic syndrome used in this study matched that proposed in 1998 World Health Organization classification. RESULTS: Of 170 patients studied, 119 (70%) fulfilled the criteria for metabolic syndrome. The prevalence of angiotensin-converting enzyme genotype in the control subjects with DD, ID, and II genotype was 13.2%, 47.3%, and 39.5%, respectively. In patients with metabolic syndrome, the prevalence was 26.9%, 56.3%, and 16.8%, respectively; in patients without metabolic syndrome, it was 21.6%, 62.7%, and 15.7%, respectively. The angiotensin-converting enzyme insertion/deletion polymorphism was not significantly associated with presence of metabolic syndrome in patients with type 2 diabetes (P=0.711). The frequency of DD genotype in the metabolic syndrome group (26.9%) was higher than that (21.6%) in those without metabolic syndrome (P=0.447) and the control group (13.2%, P=0.02). The frequency of D allele in metabolic syndrome patients was 55.1% as compared to those patients without metabolic syndrome (52.9%, P=0.72) and the control subjects (36.8%, P<0.001). CONCLUSION: It seems that the DD genotype and/or D allele of angiotensin-converting enzyme gene may increase the risk for developing type 2 diabetes mellitus, but not metabolic syndrome. PMID- 18154416 TI - Overweight adolescents: a group at risk for metabolic syndrome (Tehran adolescent obesity study). AB - BACKGROUND: Metabolic syndrome not only is a serious problem for adults, but is also afflicting an increasing number of children and adolescents. This syndrome is a risk factor for type 2 diabetes mellitus and cardiovascular diseases. The aim of this study was to estimate the prevalence of metabolic syndrome in a sample of Iranian adolescents. METHODS: A total of 554 overweight adolescents (aged 11 - 17 years) participated in a community-based cross sectional survey. Anthropometric examinations including height, weight, body mass index, and blood pressure were assessed. A fasting blood sample was taken for measurement of glucose and lipid profile. Metabolic syndrome was determined by the definition released by the National Cholesterol Education Program Adult Treatment Panel III, which was modified for age. RESULTS: The overall prevalence of metabolic syndrome was 26.6%. There was no gender difference in the distribution of metabolic syndrome. When stratified by body mass index, 22.5% were overweight (BMI> or =95th percentile) besides having the criteria for metabolic syndrome, while the remaining 4.1% of the adolescents were at risk for overweight (BMI between 85th and 95th percentile) together with metabolic syndrome. Hypertriglyceridemia was the most common and high-density lipoprotein was the least common constituent of metabolic syndrome. CONCLUSION: This study suggests a high prevalence of metabolic syndrome among overweight Iranian adolescents. This poses a serious threat to the current and future health of Iranian youth. PMID- 18154417 TI - Needle-knife fistulotomy versus standard method for cannulation of common bile duct: a randomized controlled trial. AB - BACKGROUND: Endoscopic retrograde cholangiopancreatography with endoscopic sphincterotomy has become widely available for the treatment of pancreatobiliary diseases; however, it has mortality and complications. The aim of this study was to compare the success rates and complications of two different methods of common bile duct cannulation. METHODS: From June 2003 though February 2004, patients who were candidates for endoscopic retrograde cholangiopancreatography and/or endoscopic sphincterotomy were randomly divided into two groups: standard cannulation (group A) and suprapapillary needle-knife fistulotomy (group B). Postendoscopic retrograde cholangiopancreatography pancreatitis, cholangitis, bleeding, and perforation were evaluated. RESULTS: Two hundred and eighteen cases (86 males and 132 females with a mean+/-SD age of 56.2+/-17.5 years) were enrolled in this study. Group A, contained 112 patients and group B included 106 patients. In group A, the final cannulation success was achieved in 100 patients (89.3%). Cannulation was successful in 88 patients (83.0%) in group B. Difficulty in cannulation occurred more frequently in group A (25.5% vs. 2.6%, P=0.002). There were two patients in group B and three patients in group A who developed pancreatitis after endoscopic retrograde cholangiopancreatography. Perforation occurred in one patient in group B, which was improved with medical support. Bleeding and cholangitis were not occurred in any of the groups. The overall complication rate was 3/112 in group A and 3/106 in group B. CONCLUSION: Needle knife fistulotomy is safe and can be applied as an effective alternative to standard technique for common bile duct cannulation in expert hands. PMID- 18154418 TI - Clinical and laboratory findings in neurobrucellosis: review of 31 cases. AB - BACKGROUND: Neurobrucellosis is an uncommon complication of brucellosis. The clinical features of neurobrucellosis vary greatly and, in general, tend to be chronic. Many of the laboratory procedures usually employed in the diagnosis of brucellosis frequently give negative results. For these reasons, and because brucellosis is a disease, which is both treatable and curable, the degree of suspicion must be high, especially in endemic areas, so that an early diagnosis can be made to allow suitable treatment to be established. METHODS: A retrospective analysis of 31 cases of neurobrucellosis was carried out. RESULTS: Meningitis and meningoencephalitis were the most common form of neurobrucellosis in our patients. The most commonly-used antibiotics were combinations of rifampin, doxycycline, and trimethoprim-sulfamethoxazole. CONCLUSION: The differential diagnosis of neurobrucellosis is wide. However, the disease should be ruled out in all patients who develop unexplained neurological symptoms, especially in those who live in endemic areas. PMID- 18154419 TI - Cyclosporine in the treatment of membranoproliferative glomerulonephritis. AB - BACKGROUND: Therapeutic approach to patients with idiopathic membranoproliferative glomerulonephritis is still controversial. Because it is more common in developing countries, the studies about it are limited. METHODS: We used cyclosporine to treat 18 patients with membranoproliferative glomerulonephritis who were resistant to other treatment protocols such as using aspirin, dipyridamole, or steroids. All patients were treated with cyclosporine plus low-dose prednisone and were followed for an average 108 weeks. RESULTS: Partial or complete remission of proteinuria occurred in 94% of the patients (P<0.01). Relapse occurred in one (14.2%) of remitters after discontinuation of the drug. But the remainder stayed in remission to the end of the observation period. There was a 507% decrease in the baseline creatinine clearance in one patient (5.5%). CONCLUSION: These results suggest that cyclosporine may be an effective therapeutic agent in the treatment of resistant idiopathic membranoproliferative glomerulonephritis. Although the response is appeared later than other types of glomerulonephritis, but a long-term decrease in proteinuria and preservation of filtration function were observed in a significant proportion of the treated patients. PMID- 18154420 TI - Management of cystic craniopharyngiomas with intracavitary irradiation with 32P. AB - BACKGROUND: Cystic craniopharyngiomas are the most frequent intracranial neoplasm of nonglial origin in children. Follow-up data were analyzed to assess the value of intracavitary irradiation with stereotactically applied 32P radioisotopes for the treatment of patients with craniopharyngioma cysts admitted to Shohada Tajrish Hospital, Tehran, Iran, between 1998 and 2005. METHODS: Patients with predominantly cystic craniopharyngiomas, who underwent stereotactic intracavitary irradiation, were followed for tumor response and complications. Beta-emitting 32P isotopes were injected into cysts using a computed tomography-guided and computer-assisted three-dimensional stereotactic treatment planning and application system. The cumulative dose to the inner surface of the cyst wall was 250 Gy. RESULTS: Twenty-two (12 females and 10 males) patients with a mean+/-SD age of 14.0+/-6.6 (range: six to 35) years were studied. The tumor response rate gained with 32P-labeled chromic phosphate was 73% (16 of 22 cysts). The mean+/-SD survival after intracavitary irradiation was 25.4+/-6.8 (95% CI: 12.0 - 38.7) months. CONCLUSION: Intracavitary irradiation using 32P is highly effective in the treatment of cystic craniopharyngiomas. In patients with solitary cyst treated exclusively with this method, it has been the only necessary therapy over a long period. It seems reasonable to recommend intracavitary irradiation as the initial treatment for selected patients and as palliative therapy in those with recurrence. PMID- 18154421 TI - Evaluation of hematopoietic chimerism following allogeneic peripheral blood stem cell transplantation with amelogenin marker. AB - BACKGROUND: Monitoring the engraftment of donor cells after allogeneic stem cell transplantation is important for the early diagnosis of graft failure or relapse of disease. The objective of the present study was to evaluate the application of the amelogenin gene for the assessment of chimerism in samples of patients who had received a sex-mismatched stem cell transplantation. METHODS: A polymerase chain reaction technique was developed using a set of amelogenin gene primers alone and/or in combination with short tandem repeats primers and was preformed on blood and/or bone marrow aspiration samples of 30 recipient patients after transplantation. The technique was then set up as a routine procedure, from September 2000 through April 2006, more than 1400 samples taken from 300 stem cell transplantation patients suffering from different types of leukemia and nonmalignant hematologic disorders were evaluated for detection of chimerism after transplantation. RESULTS: The sensitivity of the test was as low as 1 - 2%. The ratio of X/Y fragments was as the mixed chimerism. In 90% of the patients, amelogenin marker was as informative as short tandem repeats markers, as confirmed by the clinical outcome. In 5% of the patients, when there was no pre- bone marrow transplantation sample from either donor or recipient, the applicability of this assay became crucial to our treating physicians. CONCLUSION: The application of the amelogenin marker alone or in combination with the short tandem repeats system can be used for relative quantitative analysis of mixed chimerism and for observing kinetics of engraftment in patients who have sex-mismatched bone marrow transplantation. Amelogenin polymerase chain reaction analysis showed an excellent correlation with the short tandem repeats-polymerase chain reaction results. PMID- 18154422 TI - Differential effects of long-chain fatty acids and clofibrate on gene expression profiles in cardiomyocytes. AB - BACKGROUND: The link between dietary fat and coronary heart disease has attracted much attention since the effect of long-chain fatty acids on gene transcription has been established. The aim of this study was to investigate the effects of long-chain fatty acids and clofibrate on mRNA levels of specific lipid metabolism related genes and to determine their effects on global transcriptome levels in a cardiovascular cell-line. METHODS: After culturing P19CL6 cells with long-chain fatty acids or clofibrate, the expression levels of heart-type fatty-acid binding protein and peroxisome proliferators-activated receptors (PPARalpha,beta,gamma) were determined by reverse transcriptase-polymerase chain reaction. Additionally, global transcriptome profiles were compared using microarray analysis. RESULTS: Long-chain fatty acids significantly increased the abundance of PPAR and PPAR. Moreover, microarray analysis showed that the effects of linoleic and -linolenic acids, and clofibrate were similar but differed from those of palmitic and oleic acids. CONCLUSION: These findings show that cellular responses to polyunsaturated fatty acids differ from those observed with saturated and monounsaturated fatty acids. PMID- 18154423 TI - Obturator bypass as an alternative technique for revascularization in patients with infected femoral pseudoaneurysms. AB - BACKGROUND: Management of the infected femoral artery pseudoaneurysm has remained controversial. Although common femoral artery ligation and local debridement is an acceptable approach, some patients need revascularization for the treatment of leg ischemia or intermittent claudication. In this study, we report obturator bypass as an alternative technique that has been done at Sina Hospital, Tehran, Iran during a 10-year period. METHODS: This was a retrospective study and the data were obtained from the patients' medical records. RESULTS: Ten obturator bypasses were done on nine patients. Two cases had previous history of ligation of the femoral artery branches. One death and two forefoot amputations occurred. CONCLUSION: Femoral artery ligation has been suggested as the treatment of choice for the management of infected femoral artery pseudoaneurysms. Among the extra anatomic bypasses, the obturator bypass is an acceptable alternative with favorable results. PMID- 18154424 TI - Serum inhibin B concentration as a prognostic factor for prediction of sperm retrieval in testis biopsy of patients with azoospermia. AB - BACKGROUND: This study was conducted to determine if serum inhibin B concentration can predict spermatogenesis in azoospermic infertile men. METHODS: This cross-sectional study included 70 patients with male-factor infertility referred to Alvand and Vali-e-Asr Infertility Centers, Tehran, Iran. All patients had azoospermia. Standard evaluation consisted of history and physical examination with extreme attention to sexual history and testis examination including testis size, consistency, and presence of varicocele. Laboratory evaluation done for all cases consisted of FSH, testosterone, LH, prolactin, and inhibin B. Testis biopsy was performed in all cases with acceptable testis volume and FSH. The mean inhibin B level was compared in groups with positive and negative sperm retrieval. RESULTS: The mean+/-SEM age of 70 azoospermic patients was 32.1+/-6.2 (range: 20 - 50) years. All couples had primary infertility with a mean+/-SEM duration of infertility of 74.3+/-7.7 months. The mean+/-SEM testicular volume was 10.14+/-0.75 mL. The mean+/-SEM FSH and LH levels were 17.55+/-1.68, and 11.33+/-0.99 mIU/mL, respectively. The mean+/-SEM serum prolactin and testosterone levels were 308.77+/-17.35 and 5.45+/-0.91 ng/dL, respectively. The mean+/-SEM serum inhibin B concentration was 138.23+/-28.58 (range: 15 - 1500) pg/mL. Sperm was not retrieved in 82% of the patients; in 13% of the cases, biopsy revealed spermatogenesis. The mean+/-SEM serum FSH level of positive and negative groups was 9.78+/-2.13 and 22.56+/-2.46 mIU/mL, respectively (P<0.05). The mean serum LH, prolactin, and testosterone levels were not statistically different between the two groups. The mean+/-SEM serum inhibin B was 129+/-45.46, and 158.93+/-47.24 pg/mL in positive and negative groups, respectively (P>0.05). CONCLUSION: Inhibin B concentration is not an appropriate predicting factor for testicular spermatogenesis. PMID- 18154425 TI - The effect of high and low glycemic index diets on urinary chromium in healthy individuals: a cross-over study. AB - BACKGROUND: Insufficient dietary intake of chromium as an essential nutrient leads to signs and symptoms that are similar to those observed for diabetes and cardiovascular diseases. We postulate that in healthy individuals, urinary chromium excretion following a high glycemic index diet is higher than after a low glycemic index diet. METHODS: A sequential randomized controlled cross-over study was carried out at the Metabolic Unit of Nutrition Department of King's College London. Sixteen healthy individuals aged 18 - 60 years were recruited from 26 volunteers. A low or high glycemic index diet (as the main meals/day) was given to the volunteers over six days. Fasting blood glucose and insulin changes were determined and 24-hr urine samples were collected to measure chromium excretion before intervention and every second day within each treatment with a one wash-out period using Dynamic Reaction Cell Inductively Coupled Plasma Mass Spectrometer. RESULTS: During the six-day diet study, there were no significant differences in 24-hr urinary chromium losses between the two groups following the low glycemic index (0.58+/-0.08 microg/24 hr) and high glycemic index diets (0.48+/-0.06 microg/24 hr). However, during day six there was a trend towards greater loss of chromium after the high glycemic index diet (0.73+/-0.1 microg/24 hr) in comparison with the low glycemic index diet (0.54+/-0.07 microg/24 hr). CONCLUSION: Evidence that urinary chromium loses following the high glycemic index diets have not been clearly demonstrated in normal subjects. These results suggest that chromium excretion may need to be observed for longer than six days to address this question. PMID- 18154426 TI - Neurotoxic disorders of organophosphorus compounds and their managements. AB - Organophosphorus compounds have been used as pesticides and as chemical warfare nerve agents. The mechanism of toxicity of organophosphorus compounds is the inhibition of acetylcholinesterase, which results in accumulation of acetylcholine and the continued stimulation of acetylcholine receptors. Therefore, they are also called anticholinesterase agents. Organophosphorus pesticides have largely been used worldwide, and poisoning by these agents, particularly in developing countries, is a serious health problem. Organophosphorus nerve agents were used by Iraqi army against Iranian combatants and even civilian population in 1983 - 1988. They were also used for chemical terrorism in Japan in 1994 - 1995. Their use is still a constant threat to the population. Therefore, medical and health professionals should be aware and learn more about the toxicology and proper management of organophosphorus poisoning. Determination of acetylcholinesterase and butyrylcholinesterase activity in blood remains a mainstay for the fast initial screening of organophosphorus compounds but lacks sensitivity and specificity. Quantitative analysis of organophosphorus compounds and their degradation products in plasma and urine by mass spectrometric methods may prove exposure but is expensive and is limited to specialized laboratories. However, history of exposure to organophosphorous compounds and clinical manifestations of a cholinergic syndrome are sufficient for management of the affected patients. The standard management of poisoning with organophosphorous compounds consists of decontamination, and injection of atropine sulfate with an oxime. Recent advances on treatment of organophosphorus pesticides poisoning revealed that blood alkalinization with sodium bicarbonate and also magnesium sulfate as adjunctive therapies are promising. Patients who receive prompt proper treatment usually recover from acute toxicity but may suffer from neurologic complications. PMID- 18154427 TI - The effect of methylprednisolone pulse-therapy plus oral cyclosporine in the treatment of alopecia totalis and universalis. AB - The exact etiology of alopecia areata is still unknown, and no completely effective treatment has been established. The use of oral steroids for treating this disorder is controversial and may have potential side effects. Relapses are also common upon withdrawal of the medication. The objective of this study was to evaluate the therapeutic and side effects of pulse-therapy with methylprednisolone combined with oral cyclosporine in severe alopecia areata, defined as alopecia totalis and universalis. Six patients with alopecia totalis and 12 patients with alopecia universalis were referred to our center. The patients were treated with monthly intravenous methylprednisolone in doses of 500 mg for three days and oral cyclosporine (2.5 mg/kg/day) for five to eight months. Responses were categorized as: "adequate" (i.e., hair regrowth on > or =70% of the affected area) and "inadequate" (i.e., hair regrowth on <70% of the affected area). Adequate response was observed in six (33%) patients: three with alopecia totalis and 3 with alopecia universalis. Responses were better in patients with alopecia totalis, age >20 years, negative history of atopy, negative family history of alopecia areata, presence of nail pitting, and pruritus in the affected area. No cases of relapses and no severe side effects were observed. Patients with severe and resistant alopecia areata, if properly selected, may benefit from intravenous methylprednisolone pulse-therapy plus oral cyclosporine. PMID- 18154428 TI - Bicycle-related injuries in Tehran. AB - Herein, we reviewed the pattern and mechanisms of injuries resulting from bicycle accidents in Tehran. During one year of trauma registry in six general hospitals, 8,000 trauma patients who had sustained injuries within a week before admission and hospitalized for more than 24 hours were studied. Bicycle injuries comprised 2.1% (n=170) of all cases admitted during the studied period. Males were injured more often than females (M:F ratio=8:1). Seventy-seven point one percent of the patients were younger than 20 years. None of the patients had used helmets while being injured. A considerable proportion of accidents occurred between 6 and 8 PM. The most common season of bicycle accidents were summer (55.2%) and spring (24.8%). Seventy-six (44.7%) patients sustained injuries in collision with other vehicles (cars, motorcycles, etc). Four patients died of severe head injuries. Thirteen (8.1%) patients had injury severity score of >16 (severe injury). The mean duration of hospital stay was 5.2 (range: 1 - 52) days. Due to the fatal nature of head injuries and high incidence of fall/overturn injuries among bicycle riders, helmets should be worn by all riders, particularly young children. In addition, allocating a separate cycle path may reduce severe bicycle injuries. PMID- 18154429 TI - The early presentation of atrial myxoma with acute myocardial infarction. AB - Atrial myxoma as a rare benign heart tumor can cause acute coronary syndrome via coronary embolization. In this report, we present a 54-year-old woman who presented with acute inferior myocardial infarction. In further evaluation a 2.5 x 3 x 4 cm mass was found in the left atrium. The mass was excised surgically and its pathology was compatible with myxoma. After resection, the patient was discharged with a favorable outcome. PMID- 18154430 TI - Acute hemorrhagic edema of infancy. AB - Acute hemorrhagic edema of infancy is a distinctive, cutaneous small vessel leukocytoclastic vasculitis of young children with dramatic characteristic skin findings. It is characterized by low- grade fever, erythematous edema, and purpuric lesions mainly on the face and extremities. Visceral involvement is uncommon, and spontaneous recovery usually occurs within one to three weeks without sequelae. The main differential diagnosis is Henoch-Schonlein purpura. We report this case to highlight the condition and emphasize its benign nature. We describe a classic case of acute hemorrhagic edema of infancy, and comment on the clinical features, pathology, treatment, and prognosis. The disease has spontaneous recovery without sequelae. PMID- 18154431 TI - Left somatosensory cortex tumor presented with radicular hand pain and paresthesia. AB - Concurrent lesions in the brain and spinal cord, which can produce similar symptoms are truly confusing situations. Herein, we report on a 56-year-old woman who suffered from an intermittent radicular pain and paresthesia in her right upper limb and mild headache. Imaging showed a cervical vertebral disc herniation and a small round tumor of the somatosensory cortex with clear border, considered as a little meningioma, which could be followed. To deal with these two concurrent lesions, we faced a challenging condition. PMID- 18154432 TI - Adenoid ameloblastoma with dentinoid: a case report. AB - Adenoid ameloblastoma with dentinoid is a rare odontogenic tumor showing histopathologic features similar to ameloblastoma and adenomatoid odontogenic tumor along with hard tissue formation. In this report, a 19-year-old female with a maxillary tumor, microscopically consistent with previously reported cases of adenoid ameloblastoma with dentinoid is presented. PMID- 18154433 TI - Photoclinic. Dermoid cyst. PMID- 18154434 TI - Gondishapur School of Medicine: the most important medical center in antiquity. AB - Iran has a rich civilization and a long history during which medical science flourished at specific periods. For instance, medicine blossomed in Sassanids era (226 - 652 AD). One of the most remarkable cultural and scientific centers of Sassanids era was the city of Gondishapur located in the south-west Iran in Shah Abad near Susa in Khuzestan Province. The city was rebuilt in the third century AD, whereupon it soon became the most important scientific focal point of the ancient world. Gondishapur Medical School was a renowned cosmopolitan institution and had a crucial impact upon the further development of Islamic medicine. Actually, at this school, the Greek, Persian, and Indian medical heritage was conserved, developed, and it was then transferred to the Islamic world and subsequently to the West. Gondishapur Hospital was also an excellent model for establishment of hospitals especially in the Islamic countries. Presented here is a brief account of the foundation of Gondishapur School of Medicine and its role in promoting medical science in antiquity. PMID- 18154438 TI - [Evaluation of beta-D-glucan density in blood after drinking an extraction element of Agaricus blazei murill]. AB - beta-D-Glucan (beta-G) measurement in blood is useful for prompt diagnosis, selection of treatment and therapeutic evaluation for deep fungal infection. A patient with high beta-G blood was not improved by strong anti-fungal treatment in our hospital, and the beta-G levels in the blood fell immediately after discontinuing ingestion of the agaricus mushroom extracted element (sennseiro). To verify the elevation of beta-G concentration in the blood after intake of an agaricus mushroom extraction element, beta-G concentration in the blood was measured 4 days after 9 volunteers drank 2 g of agaricus mushroom extraction element, "SSG plus 35" twice a day for 3 days. A low value of beta-G in blood was detected in one person (11.1%), which demonstrated that beta-G concentration in the blood increased by oral ingestion of the agaricus element although the reason was unclear why it was detected in only one person. Taken together, when high beta-D-glucan is identified by uncertain cause or in spite of enough anti-fungal medication, it is necessary to confirm whether a patient has ingested health food containing an agaricus mushroom element or other fungus elements to avoid needless treatment with anti-fungal medicine. PMID- 18154436 TI - Induced pluripotent cells mimicking human embryonic stem cells. PMID- 18154439 TI - [Laboratory-based evaluation of TOX A/B QUIK CHEK "NISSUI" to detect toxins A and B of clostridium difficile]. AB - The TOX A/B QUIK CHEK "NISSUI" which detects both toxin A (TcdA) and toxin B (TcdB) of Clostridium difficile in stool specimens through immunochromatography was first approved to be released in Japan, and we evaluated its accuracy. In the evaluation, the TOX A/B QUIK CHEK "NISSUI" could correctly detect TcdA and TcdB in solution and in stool specimens spiked with culture broth of TcdA and/or TcdB producing isolates of C. difficile. The minimum detectable concentrations for TcdA and TcdB were determined to be < or =0.32 ng/ml and < or =0.63 ng/ml, respectively. The TOX A/B QUIK CHEK "NISSUI" gave the consistent results with the colon-endoscopic diagnosis, that is, all the 10 stool specimens from the patients with pseudomembranous colitis were read as being positive, but negative for five patients without any C. difficile-associated disease (CDAD). Of 10 positive stool specimens, one was read as being negative by the commercially available test reagents that can detect only TcdA. In clinical evaluation, a total of 240 stool specimens were tested. Of these, the TOX A/B QUIK CHEK "NISSUI" gave 19 positive results, and TcdA and/or TcdB-producing strains of C. difficile were successfully isolated from all the positive stool specimens, except one. Whereas, of 221 negative stool specimens, 28 isolates of C. difficile were recovered and 11 isolates were identified as TcdA and/or TcdB-producing strains. With these results, it can be concluded that the TOX A/B QUIK CHEK "NISSUI" can correctly detect both TcdA and TcdB of C. difficile, and should be promptly applied to clinical microbiology laboratory to make a definite diagnosis of CDAD, particularly for the CDAD caused by the TcdA-negative but TcdB-positive mutant strains. PMID- 18154440 TI - Development of latex turbidimetric immunoassay for rapid and sensitive detection of influenza virus. AB - For the rapid and sensitive detection of influenza A and B viruses, a latex turbidimetric immunoassay (LTIA) was developed using latex reagents prepared by the sensitization of anti-influenza A or B monoclonal antibodies on latex particles. We measured the immunoreactivity of these latex reagents to influenza A and B viral antigens. The sensitivity and specificity of LTIA and reverse transcription-polymerase chain reaction (RT-PCR) for the detection of these viruses in clinical specimens (96 nasal swabs) were compared. The absorbance change in the latex agglutination reaction increased for each latex reagent with increasing concentration of the viral antigens. Reaction curves were obtained with each concentration of viral antigens for 5 min. The effective concentration ranges were 0-10 microg/ml for influenza A and 0-20 microg/ml for influenza B. The LTIA using clinical specimens revealed 8 positive and 73 negative results for influenza A and 15 positive and 52 negative results for influenza B. The sensitivities and specificities were 89% (8/9) and 84% (73/87), respectively, for influenza A and 100% (15/15) and 64% (52/81), respectively, for influenza B. The corresponding positive predictive values (PPV) were 36% (8/22) for influenza A and 34% (15/44) for influenza B. The negative predictive values (NPV) were approximately 99% (73/74) for influenza A and 100% (52/52) for influenza B. The LTIA is a rapid and sensitive method for detection of the influenza virus; It can be used for high throughput assay by automatic measurement and can potentially be used during influenza pandemics. PMID- 18154441 TI - [Cloning of Clostridium perfringens alpha-toxin gene and extracellular expression in Escherichia coli]. AB - Clostridium perfringens (C. perfringens) is a Gram-positive bacterial pathogen that widely propagets in the soil and the gastrointestinal tract of human and animals. This bacteria causes food poisoning, gas gangrene and other various range of infectious diseases. But there is no standard diagnosis method of C. perfringens. In order to develop a new type of immunoassay for clinical purpose, we studied expression and extracellular secretion of recombinant alpha-toxin having enzyme activity in E. coli expression system. Cloning was carried out after PCR amplification from C. perfringens GAI 94074 which was clinical isolate. Three kinds of fragment were cloned using pET100/D-TOPO vector. These fragments coded for ribosome binding site, signal peptide, and alpha-toxin gene respectively. Recombinant pET100 plasmid transformed into TOP 10 cells and the obtained plasmids were transformed into BL21 (DE3) cells. Then, the transformants were induced expression with IPTG. In conclusion, we successfully cloned, expressed and exteracellular secreted C. perfringens alpha-toxin containing signal peptide. Biologically, the obtained recombinant protein was positive for phospholipase C activity. PMID- 18154442 TI - Towards an economic evidence base for pharmacogenetics: consideration of outcomes is key. PMID- 18154443 TI - Ultra-high-throughput sequencing, microarray-based genomic selection and pharmacogenomics. PMID- 18154445 TI - New applications of microarray data analysis: integrating genetics with 'Omics'. Organized by the Cambridge Healthtech Institute, 15-17 August 2007, Washington DC, USA. PMID- 18154446 TI - Global analysis of genetic variation in SLCO1B1. AB - INTRODUCTION: Organic anion transporting polypeptide 1B1 (OATP1B1), encoded by the SLCO1B1 gene, mediates the hepatic uptake of endogenous compounds and xenobiotics, including drugs. The aim of this study was to investigate the diversity of the SLCO1B1 gene at the global level. MATERIALS AND METHODS: Distribution of SLCO1B1 alleles was determined in 941 individuals from 52 populations comprising Africa, the Middle East, Asia, Europe, Oceania and the Americas. DNA samples were genotyped at 12 variant sites spanning the entire gene by TaqMan 5 nuclease allelic discrimination assays. RESULTS: The frequency of the low-activity c.521T>C variant varied markedly between populations. The lowest frequencies were observed in Oceania (0.0%; 95% CI: 0.0-6.4%) and sub-Saharan Africa (1.9%; 95% CI: 0.7-4.8%), and the highest frequencies observed in American native populations (24%; 95% CI: 18-32%) and Europe (18%; 95% CI: 14-23%). Moreover, the c.521C allele (r = 0.505, p < 0.001) and the *1B (c.388G-c.521T; r = -0.405, p = 0.006) and *15 (c.388G-c.521C; r = 0.510, p < 0.001) haplotype frequencies correlated significantly with latitude in the northern hemisphere. Overall, SLCO1B1 genetic distances correlated significantly with geographic distances between populations, assuming likely routes of human migration out of Africa via five waypoints (r = 0.235, p = 0.001). SLCO1B1 diversity was generally far greater within than between populations. CONCLUSION: Functionally significant variants of SLCO1B1 are widely distributed and occur at high frequencies around the world. SLCO1B1 diversity is greater within than between populations, and genetic variation in SLCO1B1 is generally similar to that observed for other autosomal markers. However, selective pressure may have acted on SLCO1B1 during human dispersal favoring low-activity variants in the north. PMID- 18154447 TI - Pathway analysis tools and toxicogenomics reference databases for risk assessment. AB - The pharmaceutical industry has begun to leverage a range of new technologies (proteomics, pharmacogenomics, metabolomics and molecular toxicology [e.g., toxicogenomics]) and analysis tools that are becoming increasingly integrated in the area of drug discovery and development. The approach of analyzing the vast amount of toxicogenomics data generated using molecular pathway and networks analysis tools in combination with analysis of reference data will be the main focus of this review. We will demonstrate how this combined approach can increase the understanding of the molecular mechanisms that lead to chemical-induced toxicity and application of this knowledge to compound risk assessment. We will provide an example of the insights achieved through a molecular toxicology analysis based on the well-known hepatotoxicant lipopolysaccharide to illustrate the utility of these new tools in the analysis of complex data sets, both in vivo and in vitro. The ultimate objective is a better lead selection process that improves the chances for success across the different stages of drug discovery and development. PMID- 18154448 TI - EGF-receptor targeting with monoclonal antibodies in colorectal carcinomas: rationale for a pharmacogenomic approach. AB - Monoclonal antibodies directed against the EGF-receptor (EGFR) have recently been approved for the treatment of metastatic colorectal cancer (CRC) patients with EGFR-positive tumors at immunohistochemistry (IHC). Surprisingly, data demonstrate a lack of correlation between the tumor's EGFR expression at IHC and outcome. Indeed, as pointed out from small experiences, patients with EGFR-IHC negative metastatic CRC have the same chance as EGFR-IHC-positive patients to benefit from an anti-EGFR monoclonal antibody, underlying the importance of different, more reliable, selection criteria. In particular, the identification of such predictive factors is important as these agents are expensive, have side effects and are really only effective in a minority of patients. Several potential clinical and biological predictive markers of activity and/or efficacy for such agents have been evaluated in retrospective series with promising results. Moving from clinical data suggesting that there could be a subpopulation of CRC patients that are more liable to benefit from anti-EGFR monoclonal antibodies, here we review major studies on determinants of outcome in this field. PMID- 18154449 TI - Pharmacogenetics of the constitutive androstane receptor. AB - The constitutive androstane receptor (CAR), a member of the NR1I group of nuclear hormone receptors, has been implicated in regulating the expression of genes that are critical in xenobiotic and endobiotic metabolism, uptake and elimination as well as genes involved in various other physiological processes. Hence, functional variation in CAR associated with its expression and/or activity can influence the transcriptional activation of its target genes and could contribute to the observed variation in drug response and toxicity. Moreover, coadministration of agents that are also CAR activators contributes to clinically relevant drug-drug interactions in patients receiving certain combination therapies. This review will discuss the functional significance of known genetic variants in CAR and the most common alternatively spliced isoforms of CAR. We will also discuss the influence of gender and ethnicity on CAR and its target genes. Although genetic polymorphisms in CAR may have an indirect effect on drug disposition, understanding the association of genetic polymorphisms in CAR with the expression of its target genes might help us to better understand the molecular mechanisms underlying the interindividual variation in drug disposition in addition to drug-drug interactions. PMID- 18154450 TI - Pharmacogenetics of aspirin-intolerant asthma. AB - Leukotriene overproduction is the major characteristic of aspirin-intolerant asthma (AIA). Most studies examining the molecular genetic mechanisms of AIA have focused on leukotriene-related genes, including ALOX5, LTC4S, TXA2R and prostanoid-receptor genes. One study suggested that the human leukocyte antigen (HLA) allele DPB1*0301 may be a genetic marker for the AIA phenotype in European and Asian populations, and HLA-DPB1*0301 has been suggested as a useful genetic marker for predicting more favorable responders to leukotriene-receptor antagonists for long-term management of AIA. Although several reports have indicated possible associations between genetic polymorphisms and variable responses to leukotriene modifiers in nonaspirin sensitive asthmatic patients, few have suggested relationships between such genetic polymorphisms and variable responses to asthma drugs in AIA patients. PMID- 18154451 TI - Genetic polymorphisms of human cytosol glutathione S-transferases and prostate cancer. AB - Glutathione S-transferases (GSTs) are involved in the metabolism of a wide range of carcinogenic chemicals. In humans, cytosol GSTs are divided into eight classes: alpha (GSTA), mu (GSTM), pi (GSTP), theta (GSTT), tau (GSTZ), sigma (GSTS), omicron (GSTO) and kappa (GSTK). The allelic polymorphism of these enzymes is associated with variations in enzyme activity; hence, it may affect the concentration of activated carcinogenic chemicals in the body. In addition to the metabolism of chemical carcinogens, GSTs metabolize steroid hormones, compounds in the diet and other agents potentially involved in prostate carcinogenesis. Three genetic polymorphisms of GSTs, GSTM1*0 (null), GSTT1*0 (null) and GSTP1 A313G, have been well documented. No consistent associations between GSTM1, GSTT1 or GSTP1 genotypes and prostate cancer have been observed. Recent meta-analysis reports show that these polymorphisms of GSTM1, GSTT1 and GSTP1 are unlikely to be major determinants of susceptibility to prostate cancer. PMID- 18154452 TI - ABC multidrug transporters: structure, function and role in chemoresistance. AB - Three ATP-binding cassette (ABC)-superfamily multidrug efflux pumps are known to be responsible for chemoresistance; P-glycoprotein (ABCB1), MRP1 (ABCC1) and ABCG2 (BCRP). These transporters play an important role in normal physiology by protecting tissues from toxic xenobiotics and endogenous metabolites. Hydrophobic amphipathic compounds, including many clinically used drugs, interact with the substrate-binding pocket of these proteins via flexible hydrophobic and H-bonding interactions. These efflux pumps are expressed in many human tumors, where they likely contribute to resistance to chemotherapy treatment. However, the use of efflux-pump modulators in clinical cancer treatment has proved disappointing. Single nucleotide polymorphisms in ABC drug-efflux pumps may play a role in responses to drug therapy and disease susceptibility. The effect of various genotypes and haplotypes on the expression and function of these proteins is not yet clear, and their true impact remains controversial. PMID- 18154453 TI - A method for HLA genotyping using the specific cleavage of DNA-rN1-DNA/DNA with RNase HII from Chlamydia pneumoniae. AB - Single nucleotide polymorphisms (SNPs) provide a great opportunity for the study of human disease and bacterial drug resistance. However, many SNP typing techniques require dedicated instruments and high cost. Here, we develop a novel method for SNP genotyping based on specific cleavage properties of RNase HII from Chlamydia pneumoniae (CpRNase HII), termed the "CpRNase HII-based method." CpRNase HII cleaves the DNA-rN(1)-DNA/DNA duplex at the 5'-side of the ribonucleotide (rN(1) = one ribonucleotide). Moreover, the cleavage efficiencies of the perfectly matched DNA-rN(1)-DNA/DNA duplexes are higher than those carrying a mismatched ribonucleotide. DNA-rN(1)-DNA fragments are modified with a fluorophore at the 5'-end and a quencher at the 3'-end to generate molecular beacons (MBs), which hybridize with single-stranded DNA (analyte) to be cleaved by CpRNase HII. As perfectly matched duplexes can be cleaved efficiently and mismatched duplexes cannot, CpRNase HII-catalyzed reactions can differentiate between one-nucleotide variations on the DNA-rN(1)-DNA/DNA duplexes. We have validated this method with nine SNPs of the HLA gene, which were successfully determined by endpoint measurements of fluorescence intensity. The new method is simple and effective, because the design of MBs is easy, and all steps of the genotyping consist of simple additions of solutions and incubation. This method will be suitable for large-scale genotyping. PMID- 18154457 TI - A brief definition of regenerative medicine. PMID- 18154460 TI - Endotoxin-induced silencing of mesoderm induction and functional differentiation: role of HMGB1 in pluripotency and infection. AB - OBJECTIVES: Mechanisms underpinning Gram-negative bacterial vaginosis-induced birth anomalies are obscure. Ethical issues limit such studies on peri implantation-stage human embryos. Here we have used embryoid bodies (EBs) as an in vitro model to examine the effect of Gram-negative bacterial endotoxins/lipopolysaccharides (LPS) on the faithful induction of germ lineages during embryogenesis. The role of LPS-inducible cytokine and pluripotency-related DNA-binding protein HMGB1 was also studied in these EBs. METHODS: EBs derived from the human embryonic stem cell line HUES9 were exposed to 12.5 pg/ml of LPS for 48 h. The expression profile of the ectoderm, endoderm, mesoderm and trophectoderm lineage markers, such as beta III-tubulin, GATA4, BMP2, Brachury and beta-hCG, were studied, by RT-PCR and immunofluorescence. Inhibition of mesoderm induction was confirmed by RT-PCR analysis for hANP, cTnT, ABCG2, GATA2, BMP4 and HAND1. Osteoblast differentiation was induced in the EBs, and confirmed by von Kosa and Alizarin red staining. A comet assay was also carried out to assess the degree of apoptosis in these EBs. RESULTS AND CONCLUSIONS: We found that the LPS-treated EBs were selectively silenced for mesoderm markers and failed to differentiate into functional osteoblasts. HMGB1 expression was absent in the normal EBs and was found to be localized in the cytoplasm of the LPS treated EBs. Overall, our data indicate that endotoxin-induced HMGB1 expression in the peri-implantation-stage embryos can bring about severe birth defects of, for example, the bone and heart. This study also indicates that HMGB1 could be involved in maintenance of pluripotency in the human embryonic stem cells by impeding their differentiation. PMID- 18154461 TI - Blood into beta-cells: can adult stem cells be used as a therapy for Type 1 diabetes? AB - In the past 10 years there have been substantial developments in adult stem cell research, and the transplantation of these cells now holds great promise for regenerative medicine, such as in the treatment of Type 1 diabetes. A large proportion of studies have focused on stem cells sourced from hematopoietic tissues: bone marrow, umbilical cord blood and peripheral blood. Attempts to transdifferentiate these cells into insulin-producing cells, both in vivo and in vitro, have produced conflicting results. Although insulin production and normalization of blood glucose levels have been described in some studies, the true mechanism of stem cell plasticity remains in question - are the functional changes seen due to true transdifferentiation or do they result from cell fusion or other factors? There is evidence that stem cell plasticity is a true phenomenon, but whether it will ever be of therapeutic benefit for Type 1 diabetes remains uncertain. PMID- 18154462 TI - Advanced jet protocols for directly engineering living cells: a genesis to alternative biohandling approaches for the life sciences. AB - Processing methodologies possessing the ability to directly handle living cells imply tremendous possibilities for a whole host of applications in the regenerative and therapeutic medicinal themes of R&D. Most cell-handling techniques have, in the past, been unearthed in the physical sciences, which have subsequently undergone rapid development for a plethora of applications within the life sciences. In this review, the author wishes to introduce current and swiftly emerging direct cell-handling jet protocols whilst identifying their advantages and disadvantages in comparison to each approach. The article extends to elucidating their applicability for a few life science-based research themes, where these protocols are currently undergoing intense investigation. It is the opinion of this author that these protocols generate a range of opportunities for the life sciences, which have previously not been explored and hence could have an overwhelming affect in a biological and clinical standpoint. These methods and protocols have evidently bridged the physical with the life sciences during this endeavor. PMID- 18154463 TI - Regenerative biology: a historical perspective and modern applications. AB - Chronic diseases are both common and deadly. Due to the limitations of conventional therapies for chronic diseases such as advanced heart failure and diabetes mellitus, recent interest has been directed towards regenerative medicine. In this review, we examine the history of regenerative biology and emphasize the dynamic and multidisciplinary growth of this field. We highlight the spectrum of adult tissues that have a remarkable regenerative capacity (i.e., skeletal muscle) versus those that have a more limited regenerative capacity (i.e., heart). We further emphasize the use of relevant contemporary models for the study of regenerative biology (i.e., pancreatic regeneration), which highlight both the challenges for this field of study and the potential for regenerative medicine, including the use of cell-based strategies, to revolutionize medical therapies for chronic diseases. PMID- 18154464 TI - Logistics of stem cell isolation, preparation and delivery for heart repair: concerns of clinicians, manufacturers, investors and public health. AB - Recent developments in stem cell (SC) research challenge the long-held paradigm that the human heart cannot be repaired. While SC therapies for cardiac disease may not be available as soon as the public believes, it is important for investors, providers and clients to begin considering the expertise and facilities SC therapies may eventually require. Here we review several logistical issues that are integral to the development and delivery of SC therapy for cardiac disease. In the near future, quality control measures and sources of progenitor cells will be key determinants of treatment costs and clinical and research infrastructures. SC research and therapeutic development will yield greatest payoffs for patients and investors if insurance coverage can be obtained for therapeutic applications. This will require rigorous FDA review and approval for therapeutic use and Centers for Medicare and Medicaid Services coverage decisions. PMID- 18154465 TI - Organ printing: promises and challenges. AB - Organ printing or biomedical application of rapid prototyping, also defined as additive layer-by-layer biomanufacturing, is an emerging transforming technology that has potential for surpassing traditional solid scaffold-based tissue engineering. Organ printing has certain advantages: it is an automated approach that offers a pathway for scalable reproducible mass production of tissue engineered products; it allows a precised simultaneous 3D positioning of several cell types; it enables creation tissue with a high level of cell density; it can solve the problem of vascularization in thick tissue constructs; finally, organ printing can be done in situ. The ultimate goal of organ-printing technology is to fabricate 3D vascularized functional living human organs suitable for clinical implantation. The main practical outcomes of organ-printing technology are industrial scalable robotic biofabrication of complex human tissues and organs, automated tissue-based in vitro assays for clinical diagnostics, drug discovery and drug toxicity, and complex in vitro models of human diseases. This article describes conceptual framework and recent developments in organ-printing technology, outlines main technological barriers and challenges, and presents potential future practical applications. PMID- 18154466 TI - hESCCO: development of good practice models for hES cell derivation. AB - One response of the UK research community to the public sensitivity and logistical complexity of embryo donation to stem cell research has been the formation of a national network of 'human embryonic stem cell coordinators' (hESCCO). The aim of hESCCO is to contribute to the formation and implementation of national standards for hES cell derivation and banking, in particular the ethical protocols for patient information and informed consent. The hESCCO project is an innovative practical intervention within the broader attempt to establish greater transparency, consistency, efficiency and standardization of hES derivation in the UK. A major outcome of the hESCCO initiative has been the drafting and implementation of a national consent form. The lessons learned in this context may be relevant to other practitioners and regulators as a model of best practice in hES cell derivation. PMID- 18154467 TI - Pluristem Therapeutics, Inc. AB - Pluristem Therapeutics, Inc., based in Haifa, Israel, is a regenerative, biotherapeutics Company dedicated to the commercialization of nonpersonalized (allogeneic) cell therapy products. The Company is expanding noncontroversial placental-derived mesenchymal stem cells via a proprietary 3D process, named PluriX, into therapeutics for a variety of degenerative, malignant and autoimmune disorders. Pluristem will be conducting Phase I trials in the USA with its first product, PLX-I, which addresses the global shortfall of matched tissue for bone marrow transplantation by improving the engraftment of hematopoietic stem cells contained in umbilical cord blood. PMID- 18154468 TI - 2006 national clinical pharmacy services survey: clinical pharmacy services, collaborative drug management, medication errors, and pharmacy technology. AB - STUDY OBJECTIVE: To determine the extent of 15 hospital-based clinical pharmacy services, 51 different drugs managed under protocol by pharmacists, medication errors, and pharmacy technology in United States hospitals. DESIGN: A survey was mailed, as well as sent electronically, to pharmacists in 2893 hospitals. RESULTS: A total of 1125 surveys were returned (38.9% response rate). The 1125 hospitals had 14,315,506 patients admitted, which represented 45.7% of the 31,324,496 admissions to all U.S. hospitals in 2006. The proportion of clinical pharmacy services provided by Veterans Affairs (VA) hospitals was higher compared with non-VA hospitals. In all hospitals, the clinical pharmacy services with the greatest growth from 1989-2006 were pharmacist-provided admission drug histories (300% increase), pharmacist participation on medical rounds (292.3% increase), drug protocol management (208% increase), pharmacist-conducted clinical research (166.7% increase), pharmacist-provided drug information (150% increase), and pharmacist-provided pharmacokinetic consultation (117.5% increase). A total of 864 hospitals (76.8%) had pharmacists providing drug protocol management (collaborative drug management). Pharmacists managed a mean +/- SD of 9.18 +/- 10.23 different drugs/hospital (7932 protocols). Drugs commonly managed included aminoglycosides (64.4% of hospitals), vancomycin (63.8%), warfarin (37.8%), low molecular-weight heparins (32.7%), unfractionated heparin (30.0%), fluoroquinolones (30.0%), antiparkinsonian drugs (22.8%), proton pump inhibitors (22.7%), human immunodeficiency virus drugs (21.9%), and cephalosporins (19.7%). The mean number of medication errors reported/hospital increased by 151.4% between 1995 and 2006. The percentage of patients who experienced a medication error increased from 4.7% to 6.5% between 1995 and 2006 (a 38.3% increase). A total of 220 hospitals (19.6%) had computerized prescriber order entry systems, 263 (23.4%) had bar coding for drug administration, and 439 (39.0%) used robotics for dispensing. CONCLUSION: This study provides continuing evidence of the growth and value of clinical pharmacy services and clinical pharmacists in our nation's hospitals. These data will guide hospital pharmacy directors and clinical coordinators in allocating resources to optimally meet their patients' needs. PMID- 18154469 TI - Use of a combination of class III and class Ic antiarrhythmic agents in patients with electrical storm. AB - STUDY OBJECTIVE: To determine the efficacy of the combination of class III and class Ic antiarrhythmic agents in suppressing an electrical storm in patients with and without a transvenous implantable cardioverter-defibrillator (ICD). DESIGN: Retrospective medical record review. SETTING: Arrhythmia service of an academic medical center in Zerifin, Israel. PATIENTS: Ten patients who experienced an electrical storm that was not effectively treated with amiodarone or sotalol monotherapy between December 15, 1999, and June 13, 2007. MEASUREMENTS AND MAIN RESULTS: The medical records of 152 patients who received an ICD during the study period were reviewed. Twenty patients experienced an electrical storm, an arrhythmia defined as more than two episodes of hemodynamically unstable ventricular tachycardia during a 24- hour period. Ten of the 20 patients responded favorably to amiodarone or sotalol monotherapy (class III antiarrhythmics), but in 10 patients, the combination of a class III and a class Ic antiarrhythmic agent was needed to effectively eliminate the electrical storm. Of the 10 patients who required both agents, two (20%) developed an electrical storm before implantation of their ICD. In another patient who had ongoing ischemia, ventricular tachycardia recurred, but the drug combination decreased the number of ventricular arrhythmia episodes. One patient with dilated cardiomyopathy had one recurrence of ventricular tachycardia, which was terminated with antitachycardia pacing. Three patients died during a mean +/- SD follow-up of 8.7 +/- 9.9 months. CONCLUSION: Electrical storm can be acutely treated with the combination of a class III and a class Ic antiarrhythmic agent when a class III agent alone is insufficient and when radiofrequency ablation is not an option. Patients receiving this drug combination can be discharged from the hospital only if they have an ICD. PMID- 18154470 TI - Quality of anticoagulation care in patients discharged from a pharmacist-managed anticoagulation clinic after stabilization of warfarin therapy. AB - STUDY OBJECTIVE: To determine if transitioning patients from a pharmacist- managed anticoagulation clinic after stabilization of warfarin therapy to physician-managed care alters the quality of anticoagulation care. DESIGN: Retrospective medical record review. SETTING: Pharmacist-managed, urban academic medical center-based outpatient anticoagulation clinic. PATIENTS: Forty patients who were stabilized on warfarin therapy. MEASUREMENTS AND MAIN RESULTS: Quality of anticoagulation care was measured by percentage of international normalized ratios (INRs) in target range, anticoagulation-related health care visits, and responses to satisfaction surveys. A significant decrease in anticoagulation control was observed on transition to physician-managed care. Before transition, 76% of all INRs were in target range versus 48% after transition (p<0.0001, chi(2) test). When performing paired analysis, a median 75% of each patient's INRs were therapeutic before transition compared with 36.5% after (p<0.0001, Wilcoxon signed rank test). Thirty-two percent of first INR values measured after transition from the clinic were in target range, and the median time to first follow-up INR was 41 days. The number of INR values above 4.5 and below 1.5 increased significantly after transition from the anticoagulation clinic (p<0.0001 and p=0.01, respectively, chi(2) test). Before transition from the anticoagulation clinic, two anticoagulation-related emergency department visits were reported in one patient. After transition, 13 cases of additional medical care were reported among seven patients; seven of the 13 cases required an office visit with the physician, and six resulted in emergency room evaluation. None of these cases resulted in hospitalization. Patient satisfaction with clinical care provided by the anticoagulation clinic was significantly higher before transition. CONCLUSION: Transition of patients from a pharmacist-managed anticoagulation clinic back to physician-managed anticoagulation care after stabilization of warfarin therapy was associated with a significant decrease in INR control, increased medical care related to anticoagulation, and decreased patient satisfaction. PMID- 18154471 TI - Risk of hospitalization for acute pancreatitis associated with conventional and atypical antipsychotics: a population-based case-control study. AB - STUDY OBJECTIVE: To examine the association of atypical and conventional antipsychotics with the risk of hospitalization for acute pancreatitis. DESIGN: Population-based, case-control study. DATA SOURCE: Health care databases of Northern Denmark. PATIENTS: A total of 3083 adults hospitalized with acute pancreatitis (case patients) and 30,830 control subjects. MEASUREMENTS AND MAIN RESULTS: Controls were selected from the general population by using risk-set sampling and were matched to case patients by age and sex. The date of the case patients' admission for acute pancreatitis was used as the index date for the matched control subjects. Conditional logistic regression analysis was used to estimate rate ratios (RRs) for hospitalization due to acute pancreatitis in current users (0-90 days before admission or index date) and former users (> 90 days before admission or index date) of atypical and conventional antipsychotics compared with nonusers of the respective antipsychotics, while controlling for covariates and stratifying by age. Fifteen case patients (0.5%) were current users of atypical antipsychotics, and 128 case patients (4.2%) were current users of conventional antipsychotics. Adjusted RRs for current use and former use of atypical antipsychotics were 0.6 (95% confidence interval [CI] 0.3-1.1) and 0.3 (95% CI 0.1-0.9), respectively. A trend was noted for increasing risk of hospitalization due to acute pancreatitis with decreasing potency of conventional antipsychotics, with adjusted RRs of 1.2 (95% CI 0.7-2.0) for high-potency, 1.5 (95% CI 1.0-2.2) for intermediate-potency, and 2.8 (95% CI 2.0-3.8) for low potency conventional antipsychotics, which was largely age-modified with an adjusted RR of 5.2 (95% CI 3.2-8.5) in patients younger than 60 years, compared with an adjusted RR of 1.5 (95% CI 0.9-2.5) in older users. Former use of conventional antipsychotics of any kind was associated with an adjusted RR of 1.6 (95% CI 1.4-1.9). CONCLUSIONS: Current use of low-potency conventional, but not atypical, antipsychotics was associated with an increased risk of hospitalization for acute pancreatitis. PMID- 18154454 TI - Bioconjugation of oligonucleotides for treating liver fibrosis. AB - Liver fibrosis results from chronic liver injury due to hepatitis B and C, excessive alcohol ingestion, and metal ion overload. Fibrosis culminates in cirrhosis and results in liver failure. Therefore, a potent antifibrotic therapy is urgently needed to reverse scarring and eliminate progression to cirrhosis. Although activated hepatic stellate cells (HSCs) remain the principle cell type responsible for liver fibrosis, perivascular fibroblasts of portal and central veins as well as periductular fibroblasts are other sources of fibrogenic cells. This review will critically discuss various treatment strategies for liver fibrosis, including prevention of liver injury, reduction of inflammation, inhibition of HSC activation, degradation of scar matrix, and inhibition of aberrant collagen synthesis. Oligonucleotides (ODNs) are short, single-stranded nucleic acids, which disrupt expression of target protein by binding to complementary mRNA or forming triplex with genomic DNA. Triplex forming oligonucleotides (TFOs) provide an attractive strategy for treating liver fibrosis. A series of TFOs have been developed for inhibiting the transcription of alpha1(I) collagen gene, which opens a new area for antifibrotic drugs. There will be in-depth discussion on the use of TFOs and how different bioconjugation strategies can be utilized for their site-specific delivery to HSCs or hepatocytes for enhanced antifibrotic activities. Various insights developed in individual strategy and the need for multipronged approaches will also be discussed. PMID- 18154472 TI - Association of galactose single-point test levels and phenytoin metabolic polymorphisms with gingival hyperplasia in patients receiving long-term phenytoin therapy. AB - STUDY OBJECTIVE: To evaluate whether the occurrence or severity of gingival hyperplasia is associated with liver function test results or phenytoin metabolism. DESIGN: Prospective analysis. SETTING: University-affiliated medical center in Taipei, Taiwan. PATIENTS: Sixty-six patients (mean age 37.9 yrs) with epilepsy who were receiving phenytoin for more than 1 year. Intervention. Four blood samples were drawn from each patient for liver function testing, concentrations of phenytoin and its metabolites R-5-(4'-hydroxyphenyl)-5 phenylhydantoin (R-HPPH) and S-HPPH, and genotyping of cytochrome P450 (CYP) 2C9 and 2C19. MEASUREMENTS AND MAIN RESULTS: Plasma concentrations of phenytoin and its metabolites were determined by a high-performance liquid chromatography method. The CYP2C9 and CYP2C19 genotypes were analyzed by polymerase chain reaction-restriction fragment length polymorphism analysis. Conventional liver function assays and a quantitative liver function test--galactose single-point (GSP) measurement--were performed. Statistical analyses were performed to evaluate the association between liver function test results as well as metabolic phenotype and the occurrence and severity of gingival hyperplasia. Among liver function tests, only GSP levels showed a significant difference between patients with and those without gingival hyperplasia. Patients with an elevated GSP level (> or = 280 microg/ml) had a significantly higher odds ratio (OR 4.51) for the occurrence of gingival hyperplasia. In addition, increased R-HPPH (OR 1.02) and phenytoin (OR 1.09) concentrations were associated with an increased occurrence of gingival hyperplasia. However, only increased GSP and R-HPPH concentrations had significantly higher ORs (2.84 and 1.02, respectively) associated with the severity of gingival hyperplasia. Although mean +/- SD plasma R-HPPH concentration was significantly lower in CYP2C19 poor metabolizers compared with CYP2C9 and CYP2C19 extensive metabolizers and CYP2C9 poor metabolizers (30.38 +/- 16.73 vs 68.22 +/- 44.75 and 78.95 +/- 51.67 microg/ml, respectively), no significant association between genotype and gingival hyperplasia was found. CONCLUSION: Increased GSP, phenytoin, and R-HPPH concentrations were associated with increased occurrence of phenytoin-induced gingival hyperplasia; only increased GSP and R-HPPH concentrations were associated with increased severity of this adverse effect. PMID- 18154473 TI - Significant decrease in nelfinavir systemic exposure after omeprazole coadministration in healthy subjects. AB - STUDY OBJECTIVES: To assess the effect of omeprazole on the multiple-dose (steady state) pharmacokinetics and safety of nelfinavir, and to evaluate the safety and tolerability of nelfinavir when administered alone and with omeprazole. DESIGN: Open-label, two-period, single-fixed-sequence study. SETTING: Clinical research unit of a large, teaching hospital. PARTICIPANTS: Twenty healthy volunteers (mean age 26 +/- 9 yrs, range 18-48 yrs). Intervention. Subjects received nelfinavir 1250 mg every 12 hours for 4 days (period 1). After a 7-day washout period, subjects were coadministered nelfinavir 1250 mg every 12 hours and omeprazole 40 mg every 24 hours for 4 days (period 2). MEASUREMENTS AND MAIN RESULTS: The pharmacokinetics of nelfinavir and its active metabolite M8 were determined on day 4 of both periods. Plasma samples were assayed by a high-performance liquid chromatography-ultraviolet method for nelfinavir and M8 concentrations, and noncompartmental pharmacokinetic analysis was performed by using analytical software. In the presence of omeprazole, nelfinavir area under the concentration time curve over the dosing interval (AUC(tau)), maximum observed plasma concentration (C(max)), and minimum observed plasma concentration (C(min)) were reduced by an average of 36%, 37%, and 39%, respectively, relative to administration of nelfinavir alone. The AUC(tau), C(max), and C(min) of M8 were reduced by an average of 92%, 89%, and 75%, respectively. The slopes of the terminal elimination phase of nelfinavir and M8 plasma concentration-time curves were similar between treatments. Nelfinavir was well tolerated when administered alone and when coadministered with omeprazole. CONCLUSION: The observed reduction in the systemic exposure to both nelfinavir and its active metabolite M8 after coadministration with omeprazole could result in loss of virologic control and potential emergence of drug resistance. Hence, omeprazole should not be coadministered to patients taking nelfinavir. PMID- 18154474 TI - Use of dexmedetomidine in the pediatric intensive care unit. AB - STUDY OBJECTIVE: To determine the safety, effectiveness, and dosing of dexmedetomidine in intensive care infants and children who require sedation, and the rationale for patient selection. DESIGN: Prospective observational study. SETTING: Eleven-bed pediatric intensive care unit in a university-affiliated children's hospital. PATIENTS: Seventeen infants and children who received dexmedetomidine consecutively between May 4, 2005, and May 4, 2006. MEASUREMENTS AND MAIN RESULTS: Data were collected on demographics, blood pressure and heart rate measurements, and adverse effects. The rationale for dexmedetomidine use, its dosing, use of other sedatives, and treatment duration were also recorded. Twenty treatment courses in 17 patients (median age 5 mo, range 1 mo-17 yrs) were evaluated. Ten patients (59%) had chronic neurologic impairments (including Down syndrome in nine [53%]). Thirteen (76%) had undergone cardiac surgery, two (12%) had respiratory failure, one (6%) had endocarditis, and one (6%) had undergone scoliosis repair. In 15 (75%) of 20 cases, dexmedetomidine was started to minimize the use of midazolam before extubation; in 13 (87%) of these cases, the patients were extubated within 24 hours. The remaining patients could not tolerate midazolam, and dexmedetomidine was used as an alternative. No loading doses were given. The mean +/- SD starting dose was 0.2 +/- 0.2 microg/kg/hour, with a maximum of 0.5 +/- 0.2 microg/kg/hour. Mean +/- SD duration was 32 +/- 21 hours (range 3-75 hrs); 10 courses exceeded 24 hours. Mean arterial pressures before and after starting treatment were not significantly different (p=0.76), nor were values at discontinuation (p=0.31) or 12 hours later (p=0.29). No significant differences were noted in heart rate at the start (p=0.09), at discontinuation (p=0.06), or 12 hours later (p=0.17). One patient (6%) developed hypotension; no other adverse effects were noted. CONCLUSION: With careful patient selection and a conservative approach to dosing, dexmedetomidine was a useful sedative in children requiring mechanical ventilation. It allowed for a reduction or elimination of other sedatives, and it was particularly useful in children with chronic neurologic impairments. Dexmedetomidine was well tolerated, with no clinically significant effects on blood pressure or heart rate. PMID- 18154475 TI - Oral voriconazole for empiric antifungal treatment in patients with uncomplicated febrile neutropenia. AB - STUDY OBJECTIVE: To determine the success rate and toxicity profile of oral voriconazole when used as empiric antifungal therapy in patients with uncomplicated persistent neutropenic fever. DESIGN: Retrospective medical record review. SETTING: University hospital. PATIENTS: Twenty-seven patients who received oral voriconazole as empiric antifungal treatment during 31 episodes of persistent neutropenic fever between August 1, 2003, and April 1, 2006. MEASUREMENTS AND MAIN RESULTS: Data were collected on patient demographics, diagnosis, cancer treatment plan, voriconazole regimen, dates of voriconazole treatment, other antibiotics administered during the episode of fever, and adverse events. Patient survival data from at least 3 months of follow-up were also collected. Treatment success, which was defined as survival to the resolution of fever without a need to change antibiotics and without new fungal infections, was also determined. Median duration of therapy was 11 days (range 2 54 days). No patient discontinued the drug because of toxicity. The success rate was 55% (95% confidence interval [CI] 36-73%). For all patients, 90-day survival from the start of voriconazole treatment was 81% (95% CI 63-93%). Neither treatment success nor 90-day survival rates differed significantly when they were compared by the route used for loading doses or by the presence of a possible invasive fungal infection at the start of voriconazole therapy. CONCLUSION: Oral voriconazole appears to be a safe empiric antifungal treatment with an encouraging rate of activity for patients with neutropenia and uncomplicated persistent fever. Further research, including randomized controlled trials comparing the efficacy of intravenous versus oral voriconazole, is needed. PMID- 18154476 TI - Early clinical experience with anidulafungin at a large tertiary care medical center. AB - STUDY OBJECTIVE: To evaluate early clinical experience with anidulafungin. DESIGN: Retrospective cohort study. SETTING: Large, university-affiliated, tertiary care medical center. PATIENTS: All patients receiving anidulafungin between July 15, 2006, and January 15, 2007. MEASUREMENTS AND MAIN RESULTS: Thirty-five patients received at least one dose of anidulafungin. Safety and tolerability were evaluated in all patients; efficacy outcomes were assessed in 13 patients who had a documented fungal infection and received anidulafungin for a minimum of 5 days. Common conditions at baseline were hepatic dysfunction (25 patients [71%]), severe sepsis (17 patients [49%]), and solid organ or hematopoietic stem cell transplantation (10 patients [29%]). Eight patients (23%) were receiving drugs with the potential to interact with echinocandins other than anidulafungin. Seventeen (49%) of the 35 patients received anidulafungin as empiric antifungal therapy. Anidulafungin was used to treat invasive candidiasis in seven patients (20%) and candidemia in 10 patients (29%); Candida albicans or Candida glabrata was isolated most frequently in these two infections combined (7 isolates each [41%]/17 infections). A favorable efficacy outcome was noted in 10 (77%) of 13 evaluable patients. One patient developed breakthrough Candida parapsilosis fungemia while receiving anidulafungin. Overall, anidulafungin was well tolerated, with only one patient having an infusion- related reaction. Anidulafungin was also well tolerated among patients receiving concomitant metronidazole. CONCLUSION: Anidulafungin was well tolerated and produced favorable outcomes in the majority of the patients evaluated. The availability of anidulafungin makes it a feasible option for antifungal therapy, particularly in patients who have hepatic dysfunction and in those who are receiving drugs than can interact with other echinocandins. PMID- 18154477 TI - Pharmacokinetics of an indinavir-ritonavir-fosamprenavir regimen in patients with human immunodeficiency virus. AB - STUDY OBJECTIVE: To evaluate the pharmacokinetic compatibility of a ritonavir boosted indinavir-fosamprenavir combination among patients with human immunodeficiency virus (HIV). DESIGN: Single-center, nonrandomized, prospective, multiple-dose, two-phase pharmacokinetic study. SETTING: University research center. PATIENTS: Eight adult patients with HIV infection who had been receiving and tolerating indinavir 800 mg-ritonavir 100 mg twice/day for at least 2 weeks. Intervention. After 12-hour pharmacokinetic sampling was performed on all patients (period A), fosamprenavir (a prodrug of amprenavir) 700 mg twice/day was coadministered for 5 days, with a repeat 12-hour pharmacokinetic sampling performed on the fifth day (period B). MEASUREMENTS AND MAIN RESULTS: Pharmacokinetic parameters were determined for indinavir, ritonavir, and amprenavir: area under the concentration-time curve from time 0 to 12 hours after dosing (AUC(0-12)), maximum plasma concentration (C(max)), and 12-hour plasma concentration (C(12)). For each parameter, the geometric mean, as well as the geometric mean ratio (GMR) comparing period B with period A, were calculated. Indinavir C(max) was lowered by 20% (GMR 0.80, 95% confidence interval [CI] 0.67 0.96), AUC(0-12) was lowered by 6% (GMR 0.94, 95% CI 0.74-1.21), and C(12) was increased by 28% (GMR 1.28, 95% CI 0.78-2.10). Ritonavir AUC(0-12) was 20% lower (GMR 0.80, 95% CI 0.54-1.19), C(max) was 15% lower (GMR 0.85, 95% CI 0.55-1.32), and C(12) was 7% lower (GMR 0.93, 95% CI 0.49-1.76). With the exception of indinavir C(max), the changes in indinavir and ritonavir pharmacokinetic parameters observed after fosamprenavir coadministration were not statistically significant. The geometric means of amprenavir AUC(0-12), C(max), and C(12) were 41,517 ng*hour/ml (95% CI 30,317-56,854 ng*hr/ml), 5572 ng/ml (95% CI 4330-7170 ng/ml), and 2421 ng/ml (95% CI 1578-3712 ng/ml), respectively. CONCLUSION: The combination of indinavir 800 mg-ritonavir 100 mg-fosamprenavir 700 mg twice/day appears to be devoid of a clinically significant drug-drug interaction and should be evaluated as an alternative regimen in salvage HIV treatment. This combination may be suitable as part of a background regimen to optimize the therapeutic benefit of newer classes of antiretroviral agents such as the integrase and coreceptor inhibitors in the treatment of multidrug-resistant viruses. PMID- 18154478 TI - Prevalence of and risk factors for dysglycemia in patients receiving gatifloxacin and levofloxacin in an outpatient setting. AB - STUDY OBJECTIVES: To assess the prevalence of dysglycemia (hypoglycemia or hyperglycemia) associated with oral levofloxacin and gatifloxacin therapy in an outpatient setting, and to determine the characteristics of patients who developed dysglycemia while receiving either fluoroquinolone. DESIGN: Retrospective medical record review. SETTING: Outpatient clinic of a Veterans Affairs teaching hospital. PATIENTS: A total of 1573 patients who received oral levofloxacin (343 patients), gatifloxacin (589 patients), or azithromycin (as a control, 641 patients) between June 1, 2004, and May 31, 2006. MEASUREMENTS AND MAIN RESULTS: Dysglycemia occurred in 33 patients: 13 (2.2%), 9 (2.6%), and 11 (1.7%), respectively, of those in the gatifloxacin, levofloxacin, and azithromycin groups. Of 13 patients who experienced a hyperglycemic event, 11 (84.6%) had diabetes mellitus. After adjustment for confounding factors, neither levofloxacin nor gatifloxacin were associated with increased odds of developing a dysglycemic event compared with azithromycin. Multivariate analysis demonstrated that lack of downward dosage adjustment based on creatinine clearance (odds ratio [OR] 10.3, 95% confidence interval [CI] 3.8-27.6), presence of diabetes (OR 17.1, 95% CI 3.1-94.9), or treatment with insulin (OR 5.3, 95% CI 1.8-15.7) or sulfonylureas (OR 3.6, 95% CI 1.3-10.4) independently increased dysglycemia risk. Obesity (body mass index > or = 30 kg/m(2)) was independently protective (OR 0.22, 95% CI 0.09-0.55) against dysglycemic events. CONCLUSION: Levofloxacin and gatifloxacin were not significantly associated with increased dysglycemic events compared with azithromycin. Lack of downward fluoroquinolone dosage adjustment for renal function, presence of diabetes, and treatment with insulin or sulfonylureas each independently increased the risk of dysglycemia. Obesity was independently protective against dysglycemia. More data are needed on the contributing effects of diabetes, fluoroquinolone dosage, and concomitant drug therapy so that an appropriate risk-management strategy can be developed. PMID- 18154480 TI - Practical pharmacologic aspects of therapeutic hypothermia after cardiac arrest. AB - Abstract Therapeutic hypothermia has emerged as an effective means of improving neurologic outcomes among cardiac arrest survivors. To achieve optimal results, clinicians must understand and anticipate potential adverse effects of cooling and provide rigorous monitoring and/or pharmacologic interventions as appropriate. Using pharmacotherapy to counter adverse effects of cooling or to treat an intrinsic process under hypothermic conditions requires understanding how hypothermia will influence the clinical effects of the drug, including the drug's pharmacokinetics and pharmacodynamics. The pharmacologic aspects of therapeutic hypothermia in relation to physiology and adverse effects are reviewed. PMID- 18154479 TI - Integrase inhibitors: a new treatment option for patients with human immunodeficiency virus infection. AB - The emergence of antiretroviral drug resistance in patients infected by the human immunodeficiency virus (HIV) has prompted efforts to develop new antiretrovirals that differ from existing agents with regard to mechanism of action and resistance profiles. We evaluated the literature regarding a new class of antiretrovirals, the integrase inhibitors. A MEDLINE search (January 1996-May 2007) was performed to identify relevant clinical trials and review articles; abstracts from HIV conferences were also searched. Raltegravir (MK-0518) and elvitegravir (GS-9137) are the two integrase inhibitors in late-phase development. These agents prevent viral DNA integration into the CD4(+) cell chromosome. Both drugs showed potent antiviral activity in large clinical trials that were performed in treatment-experienced, multidrug-resistant patients. Promising results have also been seen in an initial dose-ranging study with raltegravir in treatment-naive patients. Preliminary data describe integrase inhibitor resistance profiles, but more data are needed in this area. Both agents were well tolerated in clinical trials, with favorable pharmaco-kinetic profiles for once- or twice-daily dosing. Raltegravir and elvitegravir differ in their metabolism, resulting in distinct drug-interaction profiles for each agent. Based on available data, this new class of antiretrovirals will soon be widely used in antiretroviral-experienced patients infected with HIV. In the future, this class of drugs may become a reasonable treatment option for antiretroviral-naive patients, but more data are needed in that patient population. PMID- 18154481 TI - Benefits and risks of aprotinin use during cardiac surgery. AB - Aprotinin is a serine protease inhibitor with antithrombotic, antifibrinolytic, and antiinflammatory effects. It is effective in reducing bleeding and the need for blood transfusions after cardiac surgery with cardiopulmonary bypass. Additional benefits, such as cerebral protection, are hypothesized but not yet thoroughly substantiated. The safety of aprotinin has been questioned based on a phase IV analysis of large data sets, including patients undergoing cardiac surgery. Potential risks including increased occurrences of stroke, myocardial infarction, renal failure, and death are implied by these analyses; however, adequate study group matching is lacking from these nonrandomized, retrospective studies. In October 2007, a large randomized controlled trial comparing antifibrinolytics in patients undergoing cardiac surgery was stopped after a preliminary analysis suggested a trend toward an increase in all-cause 30-day mortality associated with aprotinin. Subsequently, the manufacturer of aprotinin temporarily suspended marketing and halted all shipment of aprotinin on a worldwide basis. Pending a complete analysis of this study, the use of aprotinin could be considered as one component of a blood conservation strategy. After contemplating the benefits and risks of this controversial drug, clinicians should reserve its use for patients at high risk for postoperative blood loss. PMID- 18154482 TI - New therapeutic strategies with combined renin-angiotensin system inhibitors for pediatric nephropathy. AB - Renin-angiotensin system (RAS) inhibitors may delay progression of several chronic kidney diseases in adults. Two classes of RAS inhibitors--angiotensin converting enzyme (ACE) inhibitors and angiotensin II receptor blockers (ARBs)- have been shown to have renoprotective abilities. Despite their different mechanisms of action, these two drug classes appear to have comparable antiproteinuric and renoprotective properties. Preliminary investigations suggest that combination therapy with an ACE inhibitor and ARB offers additional benefit. Only a few studies with these drugs for treatment of pediatric nephrology have been conducted; however, their results are encouraging. Additional clinical trials are needed to confirm these results. PMID- 18154483 TI - Efficacy of aminophylline for treatment of recurrent symptomatic bradycardia after spinal cord injury. AB - Cardiac dysrhythmias and cardiac arrest can occur after acute spinal cord injury (SCI). Disrupted sympathetic innervation after SCI results in unopposed parasympathetic activity leading to baseline bradycardia. Hence, vagal stimulation can result in episodes of exaggerated symptomatic bradycardia. Data supporting pharmacologic intervention for treatment of symptomatic bradycardia after SCI are limited. We describe a patient who sustained a high cervical SCI and subsequently developed episodic symptomatic bradycardia. The addition of aminophylline to the patient's therapeutic regimen was associated with resolution of the bradycardia. Throughout her treatment course, the patient's serum theophylline concentrations were 1.9-3.4 mg/L. These levels were consistent with those identified in other case reports describing treatment with methylxanthines to prevent episodic bradycardia after SCI. Our understanding of drug pharmacokinetics and pharmacodynamics in patients with acute SCI is limited and provides an ideal opportunity for further study in this area. PMID- 18154484 TI - Depressive disorder associated with mycophenolate mofetil. AB - Immunosuppressive pharmacologic agents are associated with a diverse array of adverse drug reactions. One of these agents, mycophenolate mofetil, is indicated for prevention of allogeneic organ transplant rejection and has recently been evaluated for treatment of autoimmune disease states, including myasthenia gravis. Although the prescribing information for mycophenolate mofetil reports depression as an adverse event, no descriptions of the onset or manifestation of this idiosyncratic reaction have been published. This case report describes a 64 year-old woman with myasthenia gravis who received mycophenolate mofetil and developed a severe depressive disorder requiring hospitalization 4 days after the start of therapy. The drug was discontinued, and she was treated with sertraline, quetiapine, and clonazepam. Within 2 days after mycophenolate mofetil discontinuation, the patient's depressive symptoms had markedly improved. Eight days later, mycophenolate mofetil was reintroduced under direct observation. After day 2 of this rechallenge, the patient reported a substantial increase in her depressive symptoms. Treatment was discontinued again, with improvement in the patient's symptoms within 2 days. Use of the Naranjo adverse drug reaction probability scale indicated a probable relationship between the patient's development of depression and mycophenolate mofetil therapy. Future evaluations of mycophenolate mofetil should include an assessment of psychological adverse effects. In addition, postmarketing surveillance should be encouraged to further delineate the association between depression and mycophenolate mofetil therapy. PMID- 18154485 TI - Cancer chemoprevention through dietary antioxidants: progress and promise. AB - It is estimated that nearly one-third of all cancer deaths in the United States could be prevented through appropriate dietary modification. Various dietary antioxidants have shown considerable promise as effective agents for cancer prevention by reducing oxidative stress which has been implicated in the development of many diseases, including cancer. Therefore, for reducing the incidence of cancer, modifications in dietary habits, especially by increasing consumption of fruits and vegetables rich in antioxidants, are increasingly advocated. Accumulating research evidence suggests that many dietary factors may be used alone or in combination with traditional chemotherapeutic agents to prevent the occurrence of cancer, their metastatic spread, or even to treat cancer. The reduced cancer risk and lack of toxicity associated with high intake of fruits and vegetables suggest that specific concentrations of antioxidant agents from these dietary sources may produce cancer chemopreventive effects without causing significant levels of toxicity. This review presents an extensive analysis of the key findings from studies on the effects of dietary antioxidants such as tea polyphenols, curcumin, genistein, resveratrol, lycopene, pomegranate, and lupeol against cancers of the skin, prostate, breast, lung, and liver. This research is also leading to the identification of novel cancer drug targets. PMID- 18154486 TI - Modified directly observed therapy: sustained self-reported adherence and HIV health status. PMID- 18154487 TI - Highly active antiretroviral therapy as the sole treatment for AIDS-related primary central nervous system lymphoma: a case report with implications for treatment. AB - A 40-year-old male presented to medical attention with Pneumocystis jiroveci pneumonia and HIV infection. His CD4+ count was 18 cells per microliter and his HIV viral load (VL) was more than 400,000 copies milliliter. After 3 weeks of antibiotic therapy, he continued to have global cognitive deficits. A brain imaging study showed a right temporal mass, which on biopsy proved to be primary central nervous system lymphoma (PCNSL). He began highly active antiretroviral therapy (HAART) but declined palliative whole-brain radiotherapy (WBRT). Four months later, his CD4+ count had improved to 153 cells per microliter and his HIV VL was less than 75 copies per milliliter. At 36 months follow-up, he remained in complete remission (CR). Through a literature review, we identified 4 additional PCNSL patients who achieved prolonged remission after the initiation of HAART. One patient required WBRT and ventriculo-peritoneal shunting for signs and symptoms of obstructive hydrocephalus. The other 3 patients presented with stable neurologic findings and were treated with HAART alone. The median initial CD4+ count for these patients was 50 cells per microliter (range, 2 to 220 cells per microliter). All 5 remained in CR with a median follow-up of 23.5 (range, 13 to 36) months. For patients who present with PCNSL as their initial AIDS-defining event, stable neurologic findings, and effective HAART options, initial treatment with HAART alone may be possible, reserving WBRT and corticosteroids for those who show signs of impending neurologic demise. Chemotherapy and other novel approaches could also be considered for selected patients with lesser degrees of immune suppression and high baseline functional status. PMID- 18154488 TI - Does HIV infection alter the incidence or pathology of Helicobacter pylori infection? AB - Gastrointestinal (GI) discomfort is a common complaint among patients infected with HIV. GI symptoms can be caused by a myriad of factors including but not limited to coinfections, antiretroviral therapy, medications for opportunistic infections, and nutritional status. Some researchers have hypothesized that Helicobacter pylori infection may be more common among HIV-infected patients as a result of immune suppression. An increased incidence of H. pylori infection would contribute to the prevalence of GI complaints in this population. Several epidemiologic studies have examined the relationship between H. pylori infection and HIV. While studies have generally reported conflicting results that may be related to the use of varied study designs, some identifiable patterns can be discerned. It does appear that the incidence of H. pylori infection is lower among patients with AIDS compared to matched HIV-infected and -uninfected controls. This review discusses the various epidemiologic trials that have been conducted in this area and describes the potential physiologic mechanisms to explain these findings. The clinical applicability of these studies as well as limitations are also discussed. A greater number of well-designed and controlled trials are needed before any definitive conclusions regarding these diseases can be made, until such time clinicians should be aware of the potential issues regarding H. pylori screening and management in the context of HIV. Research in this area might also provide information relating to HIV-associated GI changes and the role of these changes in HIV pathogenesis. PMID- 18154489 TI - Initiating highly active antiretroviral therapy with newer protease inhibitors is associated with better survival compared to first-generation protease inhibitors or nevirapine. AB - The high prevalence of comorbidity among HIV-infected patients in care such as hepatitis C virus (HCV) coinfection and mental illness may contribute to increased toxicity and decreased adherence to highly active antiretroviral therapy (HAART). Newer HAART regimens have less toxicity and better dosing characteristics than first-generation regimens, but it is not known whether they are associated with improved clinical outcomes. The purpose of this study was to examine the effect of patient factors and initial HAART regimen on survival among HIV-infected patients in routine care. We conducted an observational study of all HAART-naive patients in the University of Washington HIV cohort who initiated HAART between January 1996 and October 2005. Cox survival analyses were used to examine the association between time to death and treatment with first-generation protease inhibitors (PIs; indinavir, ritonavir, saquinavir), newer PIs (amprenavir, atazanavir, lopinavir, nelfinavir), efavirenz, or nevirapine, controlling for baseline characteristics, and calendar period. Of 694 patients, 84 (12%) died. In adjusted analyses, patients treated with a first-generation PI (hazard ratio [HR] 1.9, p = 0.04) or nevirapine (HR 2.0, p = 0.046) had twice the risk of death compared with those receiving a newer PI. Survival for patients treated with efavirenz did not differ from those receiving a newer PI (HR 1.1, p = 0.8). Greater disease severity (HR 1.7, p = 0.03), hepatitis C virus (HCV; HR 1.6, p = 0.05), and depression (HR 2.0, p = 0.007) were independent predictors of increased mortality. This study demonstrates significant improvement in survival among patients initiating HAART with newer PIs compared to first-generation PIs or nevirapine, and highlights the complexity of patient factors affecting the clinical outcomes of treatment. PMID- 18154490 TI - Spanish validation of the HIV dementia scale in women. AB - HIV infection is increasing in minority groups, particularly in African American and Hispanic women. Although the incidence of HIV dementia has decreased since the advent of highly active antiretroviral treatment, prevalence of neurocognitive complications has increased as patients are now living longer. This study's purpose was to determine the psychometric properties of the Spanish language HIV Dementia Scale (HDS) in a group of HIV-infected women. We recruited 96 women: 60 HIV-seropositive and 36 HIV-seronegative. Modification of the HDS into a Spanish-language version consisted of translating the instructions, substituting four words in Spanish (gato, media, azul, pina), increasing 1 second in the psychomotor speed because the Spanish alphabet has more letters than the English alphabet, and not offering clues for memory recall. Cognitive impairment (CI) was defined according to the modified American Academy of Neurology HIV dementia criteria including an asymptomatic CI group. Statistical analysis consisted of analysis of variance to determine group differences and receiver operator characteristics (ROC) to determine the optimal cutoff point for the screening of CI. HDS-Spanish total score and subscores for psychomotor speed and memory recall showed significant differences between HIV-seronegative and women with HIV-dementia (p < 0.001) and between HIV-seropositive women with normal cognition and those with HIV-dementia (p < 0.001). The optimal cutoff point of 13 or less had performance characteristics of 87% sensitivity and 46% specificity for HIV-associated CI (50.0% positive predictive value, 85.0% negative predictive value). The HDS-Spanish translation offers a useful screening tool with value for the identification of Hispanic women at risk of developing HIV-associated symptomatic neurocognitive disturbances. PMID- 18154491 TI - Major depression in patients with HIV/AIDS and substance abuse. AB - Previous research has been inconsistent in documenting a strong relationship between depression and HIV/AIDS, although a recent meta-analysis of studies examining this issue indicates that rates of depression are modestly higher for this population. For the current study, conducted from 2001-2004, we sought to examine rates and types of depressive symptoms in a cohort of patients receiving HIV care at two urban medical centers. These patients were participants in an intervention study examining adherence and mental health in persons triply diagnosed with psychiatric disorders, substance use disorders, and HIV/AIDS. Nearly three quarters of these participants were people of color, two thirds described their sexual orientation as heterosexual, and the vast majority were unemployed. We sought to examine the relationship of depression to patients' adherence to antiretroviral medication regimens (highly active antiretroviral therapy [HAART]). Results obtained from structured clinical interviews and self report questionnaires indicated that study participants experienced high rates of depressive symptoms, and that 72.9% of participants met criteria for major depressive disorder (MDD). The results of this study offer a detailed view of the incidence and nature of MDDs and depressive symptoms for an urban sample of substance-abusing adults with HIV/AIDS. Given the degree to which depressive symptoms and MDD appear to be prevalent for this group, as well as the observation that these symptoms are amenable to treatment, future research should focus on identifying helpful strategies and interventions for treating these symptoms, effective ways of providing linkages to care, and ways in which standardized assessment and treatment protocols might be adapted to better suit this population. PMID- 18154492 TI - Male patient perceptions of HIV stigma in health care contexts. AB - Individuals living with HIV may have a heightened sensitivity to the behaviors of others that may signal bias or discrimination. Identifying and avoiding these potentially problematic behaviors may be especially important for service providers, such as health care personnel, who regularly interact with HIV positive clientele. This study examines the experiences of 50 male American military veterans living with HIV and their perceptions of HIV stigma within health care contexts. Participants described a variety of behaviors performed by health care personnel that they perceived to be indicative of HIV stigma, ranging from ambiguous nonverbal cues (e.g., minimal eye contact) to blatant discrimination (e.g., physical abuse of HIV-positive patients). These findings extend previous research on HIV stigma in health care settings by (1) focusing on health care personnel's actual behaviors rather than their attitudes and beliefs about HIV-positive patients, (2) including patients' perceptions regarding the behaviors of both clinical and nonclinical health care personnel, and (3) identifying behaviors patients perceive as stigmatizing that are unique to health care contexts. Combined, these findings provide health care personnel a tangible list of behaviors that should either be avoided or further explained to HIV positive patients, as they may be interpreted as stigmatizing. PMID- 18154493 TI - Women's HIV disclosure to immediate family. AB - Previous researchers have comprehensively documented rates of HIV disclosure to family at discrete time periods yet none have taken a dynamic approach to this phenomenon. The purpose of this study is to address the trajectory of HIV serostatus disclosure to family members over time. Time to disclosure was analyzed from data provided by 125 primarily single (48.8%), HIV-positive African American (68%) adult women. Data collection occurred between 2001 and 2006. Results indicated that women were most likely to disclose their HIV status within the first seven years after diagnosis, and mothers and sisters were most likely to be told. Rates of disclosure were not significantly impacted by indicators of disease progression, frequency of contact, physical proximity, or relationship satisfaction. The results of this study are discussed in comparison to previous disclosure research, and clinical implications are provided. PMID- 18154494 TI - Initial outcomes of an emergency department rapid HIV testing program in western Kenya. AB - This paper reports the initial operational outcomes of an emergency department based HIV testing program in a high-prevalence and resource-limited setting by describing (1) the number and percentage of patients approached, tested, and found to be HIV positive and (2) the linkage of care to the HIV clinic. A retrospective log and chart review of the initial 5 months (January 2006 to April 2006) of the HIV testing program was performed. Patients were selected for HIV testing by routine screening and by provider initiated referrals. Out of the 1371 patients who were approached for HIV testing, 1339 (97.7%) patients were tested for HIV. Three hundred twelve (22.7%) of the patients tested were HIV positive. Within a sample group of patients newly diagnosed with HIV in the department, 82% were compliant with their initial HIV clinic visit and 65% were compliant with a 1-month follow-up visit. The implementation of an emergency department-based HIV testing program in a high HIV prevalence and resource poor country is feasible with a high percentage of patients accepting HIV testing and a high percentage of positive patients presenting to follow-up care. Establishment of rapid HIV testing in emergency departments can identify significant numbers of HIV-positive patients who would otherwise remain undiagnosed and provides an education opportunity for those patients who are HIV negative. PMID- 18154497 TI - The evolution of a cognitive psychologist: a journey from simple behaviors to complex mental acts. AB - The author summarizes his evolving interests from conditioning studies within a behaviorist orientation, thence to human memory, knowledge representation, and narrative understanding and memory. Arguing that the study of skilled reading provides a microcosm for revealing cognitive processes, he illustrates this by reviewing his research on the use of spatial priming to investigate readers' on line updating of their situational models of texts. Conceptual entities close to the reader's focus of attention within the model are readily retrieved. Retrieval speed from memory declines with the probed object's distance from the current focus and decays with time elapsed in the narrative since the item was last in focus. The focus effect varies with the character's perspective, his status in the story, his active goals, and other factors. The results are accommodated within an associative network model distinguishing just-read sentences in short term memory from activated portions of long-term memory structures to which they refer. PMID- 18154498 TI - Addiction and the brain antireward system. AB - A neurobiological model of the brain emotional systems has been proposed to explain the persistent changes in motivation that are associated with vulnerability to relapse in addiction, and this model may generalize to other psychopathology associated with dysregulated motivational systems. In this framework, addiction is conceptualized as a cycle of decreased function of brain reward systems and recruitment of antireward systems that progressively worsen, resulting in the compulsive use of drugs. Counteradaptive processes, such as opponent process, that are part of the normal homeostatic limitation of reward function fail to return within the normal homeostatic range and are hypothesized to repeatedly drive the allostatic state. Excessive drug taking thus results in not only the short-term amelioration of the reward deficit but also suppression of the antireward system. However, in the long term, there is worsening of the underlying neurochemical dysregulations that ultimately form an allostatic state (decreased dopamine and opioid peptide function, increased corticotropin releasing factor activity). This allostatic state is hypothesized to be reflected in a chronic deviation of reward set point that is fueled not only by dysregulation of reward circuits per se but also by recruitment of brain and hormonal stress responses. Vulnerability to addiction may involve genetic comorbidity and developmental factors at the molecular, cellular, or neurocircuitry levels that sensitize the brain antireward systems. PMID- 18154499 TI - The brain, appetite, and obesity. AB - Food intake and energy expenditure are controlled by complex, redundant, and distributed neural systems that reflect the fundamental biological importance of adequate nutrient supply and energy balance. Much progress has been made in identifying the various hormonal and neural mechanisms by which the brain informs itself about availability of ingested and stored nutrients and, in turn, generates behavioral, autonomic, and endocrine output. While hypothalamus and caudal brainstem play crucial roles in this homeostatic function, areas in the cortex and limbic system are important for processing information regarding prior experience with food, reward, and emotion, as well as social and environmental context. Most vertebrates can store a considerable amount of energy as fat for later use, and this ability has now become one of the major health risks for many human populations. The predisposition to develop obesity can theoretically result from any pathological malfunction or lack of adaptation to changing environments of this highly complex system. PMID- 18154500 TI - Color in complex scenes. AB - The appearance of an object or surface depends strongly on the light from other objects and surfaces in view. This review focuses on color in complex scenes, which have regions of different colors in view simultaneously and/or successively, as in natural viewing. Two fundamental properties distinguish the chromatic representation evoked by a complex scene from the representation for an isolated patch of light. First, in complex scenes, the color of an object is not fully determined by the light from that object reaching the eye. Second, the chromatic representation of a complex scene contributes not only to hue, saturation, and brightness, but also to other percepts such as shape, texture, and object segmentation. These two properties are cornerstones of this review, which examines color perception with context that varies over space or time, including color constancy, and chromatic contributions to such percepts as orientation, contour, depth, and motion. PMID- 18154501 TI - Relativity of remembering: why the laws of memory vanished. AB - For 120 years, cognitive psychologists have sought general laws of learning and memory. In this review I conclude that none has stood the test of time. No empirical law withstands manipulation across the four sets of factors that Jenkins (1979) identified as critical to memory experiments: types of subjects, kinds of events to be remembered, manipulation of encoding conditions, and variations in test conditions. Another factor affecting many phenomena is whether a manipulation of conditions occurs in randomized, within-subjects designs rather than between-subjects (or within-subject, blocked) designs. The fact that simple laws do not hold reveals the complex, interactive nature of memory phenomena. Nonetheless, the science of memory is robust, with most findings easily replicated under the same conditions as originally used, but when other variables are manipulated, effects may disappear or reverse. These same points are probably true of psychological research in most, if not all, domains. PMID- 18154502 TI - Dual-processing accounts of reasoning, judgment, and social cognition. AB - This article reviews a diverse set of proposals for dual processing in higher cognition within largely disconnected literatures in cognitive and social psychology. All these theories have in common the distinction between cognitive processes that are fast, automatic, and unconscious and those that are slow, deliberative, and conscious. A number of authors have recently suggested that there may be two architecturally (and evolutionarily) distinct cognitive systems underlying these dual-process accounts. However, it emerges that (a) there are multiple kinds of implicit processes described by different theorists and (b) not all of the proposed attributes of the two kinds of processing can be sensibly mapped on to two systems as currently conceived. It is suggested that while some dual-process theories are concerned with parallel competing processes involving explicit and implicit knowledge systems, others are concerned with the influence of preconscious processes that contextualize and shape deliberative reasoning and decision-making. PMID- 18154503 TI - The education of dyslexic children from childhood to young adulthood. AB - The past two decades have witnessed an explosion in our understanding of dyslexia (or specific reading disability), the most common and most carefully studied of the learning disabilities. We first review the core concepts of dyslexia: its definition, prevalence, and developmental course. Next we examine the cognitive model of dyslexia, especially the phonological theory, and review empiric data suggesting genetic and neurobiological influences on the development of dyslexia. With the scientific underpinnings of dyslexia serving as a foundation, we turn our attention to evidence-based approaches to diagnosis and treatment, including interventions and accommodations. Teaching reading represents a major focus. We first review those reading interventions effective in early grades, and then review interventions for older students. To date the preponderance of intervention studies have focused on word-level reading; newer studies are beginning to examine reading interventions that have gone beyond word reading to affect reading fluency and reading comprehension. The article concludes with a discussion of the critical role of accommodations for dyslexic students and the recent neurobiological evidence supporting the need for such accommodations. PMID- 18154504 TI - Children's social competence in cultural context. AB - Social initiative and behavioral control represent two major dimensions of children's social competence. Cultural norms and values with respect to these dimensions may affect the exhibition, meaning, and development of specific social behaviors such as sociability, shyness-inhibition, cooperation-compliance, and aggression-defiance, as well as the quality and function of social relationships. The culturally guided social interaction processes including evaluations and responses likely serve as an important mediator of cultural influence on children's social behaviors, relationships, and developmental patterns. In this article, we review research on children's social functioning and peer relationships in different cultures from an integrative contextual-developmental perspective. We also review research on the implications of the macro-level social and cultural changes that are happening in many societies for socialization and development of social competence. PMID- 18154506 TI - Characterization of transgene integration loci in transformed Madin Darby bovine kidney cells. AB - Generation of transgenic animals is invaluable for both basic and applied research, as it enables the production of biologically active proteins and immunologically compatible organs for xenotransplantation, improvement of livestock production traits, and establishment of animal models of human disease. However, transgene expression is commonly highly variable, even among cell lines independently transformed with the same construct. Consequently, a great number of transfections and screening is needed to achieve transgenic cell lines showing expected phenotype. In this study, we sequenced transgene-host DNA junctions of transgene integration loci in 26 independently transformed Madin Darby bovine kidney (MDBK) cell lines produced by direct liposome transfection. For 15 rescued clones, sequences were of sufficient length and quality to determine unambiguously the position of integration in the bovine genome. Results revealed that transgenes were integrated in 12 different chromosomes, suggesting that there was no chromosomal preference for insertion of exogenous DNA. Most integration events occurred into transcriptionally active regions. No correlation was found between integration into transcribed sequences and the expression level of the beta-gal transgene. PMID- 18154507 TI - Transgenesis and nuclear transfer using porcine embryonic germ cells. AB - Embryonic germ (EG) cells are undifferentiated stem cells isolated from cultured primordial germ cells (PGC). Porcine EG cell lines with capacities of both in vitro and in vivo differentiation have been established. Because EG cells can be cultured indefinitely in an undifferentiated state, they may be more suitable for nuclear donor cells in nuclear transfer (NT) than somatic cells that have limited lifespan in primary culture. Use of EG cells could be particularly advantageous to provide an inexhaustible source of transgenic cells for NT. In this study the efficiencies of transgenesis and NT using porcine fetal fibroblasts and EG cells were compared. The rate of development to the blastocyst stage was significantly higher in EG cell NT than somatic cell NT (94 of 518, 18.2% vs. 72 of 501, 14.4%). To investigate if EG cells can be used for transgenesis in pigs, green fluorescent protein (GFP) gene was introduced into porcine EG cells. Nuclear transfer embryos using transfected EG cells gave rise to blastocysts (29 of 137, 21.2%) expressing GFP based on observation under fluorescence microscope. The results obtained from the present study suggest that EG cell NT may have advantages over somatic cell NT, and transgenic pigs may be produced using EG cells. PMID- 18154508 TI - Piglets born from vitrified cloned blastocysts produced with a simplified method of delipation and nuclear transfer. AB - Successful cryopreservation of porcine embryos offers a promising perspective in the fields of agriculture, animal science, and human medical research. The objective of the present work was to establish a system facilitating the cryopreservation of porcine embryos produced by somatic cell nuclear transfer (SCNT). Several key techniques including micromanipulator-based enucleation, noninvasive delipation, zona-free fusion, and activation were combined with high efficiency. After a partial zona digestion and high-speed centrifugation, 89.8+/ 2.1% (mean+/-SEM) of enucleated oocytes were successfully delipated. Delipated cytoplasts were incubated for an additional 0.5 or 2 h before fusion with somatic cells. After activation and 6 days of in vitro culture, no significant difference in the rate of blastocysts per reconstructed embryo was observed between the two groups (33.1+/-1.8% and 26.0+/-4.3% for 0.5 and 2 h recovery time, respectively). Cryopreservation of the blastocysts was performed with a Cryotop device and factory-prepared vitrification and warming solutions. One hundred fifty-five vitrified SCNT embryos were transferred surgically into two recipient sows to test their developmental capacity in vivo. One recipient became pregnant and delivered six piglets. In conclusion, our simplified delipation and SCNT procedure resulted in viable piglets after vitrification and embryo transfer at the blastocyst stage. PMID- 18154509 TI - DNA methylation status in somatic and placenta cells of cloned cats. AB - We recently produced 11 cloned kittens by somatic cell nuclear transfer (SCNT) using fibroblasts from a feline fetus (donor A, three kittens), an adult domestic cat (donor B, one kitten), and a deaf adult Turkish Angora cat (donor C, seven kittens). Two kittens were stillborn and three died a month after birth. The donor C-derived kittens did not share their donor's eye color or deafness. To test whether this and the low cloning success rate are due to epigenetic modifications, we compared the methylation of somatic and placental cells from the cloned cats and domestic normal cats by bisulfite mutagenesis sequencing analysis. The DNA methylation of somatic cells from the cloned kittens ranged from 78.0% to 88.9%, and did not differ significantly depending on whether they were stillborn, died early after birth, or were healthy. Donors B and C showed similar levels of methylation (77.0% and 79.1%, respectively), as did somatic cells from normal domestic and Turkish Angora cats (range, 75.7-88.0%). However, donor A showed less methylation (70.6%) than the somatic cells from the kittens derived from it (range, 82.2-88.9%). Moreover, placental cells from three donor C derived kittens showed significantly higher DNA methylation (range, 76.7-80.5%) than placental cells from normal domestic cats (range, 64.2-74.9%). Thus, methylation of satellite regions in somatic cells may not be responsible for the stillbirth, early death, or different eye and hearing attributes of cloned cats. However, hypermethylation in the placenta of cloned cats may be responsible for low success rates in cloning cats. PMID- 18154510 TI - A mouse and embryonic stem cell derived from a single embryo. AB - Embryonic stem cells (ESCs) are a good material for the study of mammalian development, production of genetically modified animals, and drug discovery because they proliferate infinitely while maintaining a multilineage differentiation potency and a normal karyotype. However, ethical considerations limit the use of human embryos for the establishment of ESCs. Recently, ESCs have been produced from blastomeres divided by biopsy in mice and humans. The method is expected to be less controversial because it does not destroy the embryo. However, no one has yet produced both a pup and an ESC from a single embryo. Here, we describe the production of individual/ESC pairs from each of three embryos out of 20 attempts, and is thus considered efficient. Blastomere-derived ESC could differentiate some types of tissues and contribute to chimera mouse. These results show that each blastomere at two-cell stage possesses pluripotency and separated blastomeres maintain viability to develop to a pup or pluripotent ESC. PMID- 18154511 TI - Comparative gene expression analysis of bovine nuclear-transferred embryos with different developmental potential by cDNA microarray and real-time PCR to determine genes that might reflect calf normality. AB - Placental abnormalities are the main factor in the high incidence of somatic cell clone abnormalities. The expression of several trophoblast cell-specific molecules is enhanced during gestational days 7 to 14. To determine the possible genes whose expression patterns might reflect calf normality, we first compared the gene expression profiles on day 15 between in vitro-fertilized (IVF) embryos and two types of somatic cell nuclear-transferred embryos with either a high (FNT) or low (CNT) incidence of neonatal abnormalities using a cDNA microarray containing 16 of 21 placenta-specific genes developed from tissues collected across gestation. To identify significant genes from the screening of day 15 embryos, genes with a less than two-fold difference in expression between IVF and CNT embryos, and those with a greater than two-fold difference between IVF and FNT and between CNT and FNT were considered to contribute to clone abnormalities. These two comparisons revealed 18 down-regulated and 18 upregulated genes of the 1722 genes examined. We then examined the expression levels of 10 genes with known functions in eight-cell and blastocyst-stage embryos by real-time PCR. The mRNA expression pattern of interferon (IFN)-tau, a trophectoderm-related gene, differed between IVF, CNT, and FNT eight-cell embryos; few or none of the IVF or CNT eight-cell embryos expressed IFN-tau mRNA, but all eight-cell FNT embryos expressed IFN-tau. IFN-tau mRNA expression was significantly higher in IVF blastocysts, however, than in nuclear-transferred blastocysts. Average IFN-tau mRNA expression in FNT blastocysts was not different from that in CNT blastocysts, due to one CNT blastocyst with high expression. The precise relation between early expression of IFN-tau mRNA and inferior developmental potential in cloned embryos should be examined further. PMID- 18154512 TI - Rat embryonic stem-like (ES-like) cells can contribute to extraembryonic tissues in vivo. AB - Despite significant advances achieved through gene targeting in mouse embryonic stem (ES) cells, this technology is presently only available in mice. Because the rat is a species of undeniable importance to biomedical research, attempts at derivation of rat ES cell lines have been ongoing for many years; however, the putative rat ES cell lines that have been reported to date have not yet displayed the ability to contribute in vivo to developing tissues following embryo injection. In contrast to previous studies, we describe herein the successful derivation and characterization of rat ES-like cell lines that not only express markers of undifferentiated cells, alkaline phosphatase (AP) activity and stage specific embryonic antigen-1 (SSEA-1) cell surface antigen, but also retain expression of Oct4 (also known as Pou5f1) a homeodomain transcription factor and molecular marker of pluripotent cells. Notably, these rat ES-like cells, when injected into blastocysts transferred to pseudopregnant females, can contribute to developing extraembryonic tissues. This report demonstrates for the first time that rat ES-like cells can be derived efficiently, can express a panel of pluripotent cell markers, can be genetically modified in vitro and cryopreserved, and importantly, are capable of contributing to extraembryonic tissues in vivo. PMID- 18154513 TI - Efficient transfection of primarily cultured porcine embryonic fibroblasts using the Amaxa Nucleofection system. AB - Porcine embryonic fibroblasts (PEF) are important as donor cells for nuclear transfer for generation of genetically modified pigs. In this study, we determined an optimal protocol for transfection of PEF with the Amaxa Nucleofection system, which directly transfers DNA into the nucleus of cells, and compared its efficiency with conventional lipofection and electroporation. Cell survival and transfection efficiency were assessed using dye-exclusion assay and a green fluorescent protein (GFP) reporter construct, respectively. Our optimized nucleofection parameters yielded survival rates above 60%. Under these conditions, FACS analysis demonstrated that 79% of surviving cells exhibited transgene expression 48 h after nucleofection when program U23 was used. This efficiency was higher than that of transfection of PEFs with electroporation (ca. 3-53%) or lipofection (ca. 3-8%). Transfected cells could be expanded as stably transgene-expressing clones over a month. When porcine nuclear transfer (NT) was performed using stable transformant expressing GFP as a donor cell, 5-6% of reconstituted embryos developed to blastocysts, from which 30-50% of embryos exhibited NT-embryo-derived green fluorescence. Under the conditions evaluated, nucleofection exhibited higher efficiency than conventional electroporation and lipofection, and may be a useful alternative for generation of genetically engineered pigs through nuclear transfer. PMID- 18154514 TI - In vitro differentiation of male mouse embryonic stem cells into both presumptive sperm cells and oocytes. AB - Pioneer work in male mouse embryonic stem (ES) cells differentiation into germ cells (GC) showed generations of male or female gametes in separate experiments, using genetically manipulated or preselected ES cells. In an attempt to produce both types of gametes from male mouse ES cells without any genetic manipulation or preselection, we induce the differentiation by retinoic acid (RA) within nonadherent embryoid bodies (EB). It seems that gamete-like cell formation occurs in the correct manner based on the expression of early and late GC-specific genes such as Oct-4, Mvh, Stella, Dazl, Piwil 2, Pdrd 1, Rex 14, Rnf 17, Bmp8b, Acrosin, Stra-8, Haprin, LH-R, Gdf9, Zp3, Zp2, Sycp1, and Sycp3. Immunofluorescence analysis of morphologically well-formed GC and presumptive gametes showed positive labeling for SSEA1, Oct-4, EMA-1, FE-J1, Dazl, Fragilis, Mvh, Acrosin, and acetylated alpha-tubulin. Conventional cytogenetic and FISH analysis indicated a chromosome reduction in ES-derived GC. Our data suggest that ES cells with XY chromosomes can produce under the same experimental conditions both types of presumptive gametes, and this production depends on their positional and temporal information within the EB context. PMID- 18154515 TI - Genetic modification of embryonic stem cells with VEGF enhances cell survival and improves cardiac function. AB - Cardiac stem cell therapy remains hampered by acute donor cell death posttransplantation and the lack of reliable methods for tracking cell survival in vivo. We hypothesize that cells transfected with inducible vascular endothelial growth factor 165 (VEGF(165)) can improve their survival as monitored by novel molecular imaging techniques. Mouse embryonic stem (ES) cells were transfected with an inducible, bidirectional tetracycline (Bi-Tet) promoter driving VEGF(165) and renilla luciferase (Rluc). Addition of doxycycline induced Bi-Tet expression of VEGF(165) and Rluc significantly compared to baseline (p<0.05). Expression of VEGF(165) enhanced ES cell proliferation and inhibited apoptosis as determined by Annexin-V staining. For noninvasive imaging, ES cells were transduced with a double fusion (DF) reporter gene consisting of firefly luciferase and enhanced green fluorescence protein (Fluc-eGFP). There was a robust correlation between cell number and Fluc activity (R(2)=0.99). Analysis by immunostaining, histology, and RT-PCR confirmed that expression of Bi-Tet and DF systems did not affect ES cell self-renewal or pluripotency. ES cells were differentiated into beating embryoid bodies expressing cardiac markers such as troponin, Nkx2.5, and beta-MHC. Afterward, 5 x 10(5) cells obtained from these beating embryoid bodies or saline were injected into the myocardium of SV129 mice (n=36) following ligation of the left anterior descending (LAD) artery. Bioluminescence imaging (BLI) and echocardiography showed that VEGF(165) induction led to significant improvements in both transplanted cell survival and cardiac function (p<0.05). This is the first study to demonstrate imaging of embryonic stem cell-mediated gene therapy targeting cardiovascular disease. With further validation, this platform may have broad applications for current basic research and further clinical studies. PMID- 18154516 TI - A comparison of two in vitro maturation media for use with adult porcine oocytes for adult somatic cell nuclear transfer. AB - Two media used to mature adult porcine oocytes for somatic cell nuclear transfer were compared. In the first experiment, parthenogenetic embryos were produced using a maturation medium used by us previously to clone pigs (OMM199) and that described by Kuhholzer et al. (2001) to transport oocytes overnight (BOMED). There was no difference in maturation rates between the two different media. However, BOMED medium increased the percentage of parthenogenetic embryos that developed to the blastocyst stage compared with OMM199 (49% vs. 29%, respectively). In a second experiment, BOMED medium increased the percentage of SCNT embryos that developed to the blastocyst stage compared with OMM199 (22% vs. 8%, respectively). The efficiency of our cloning protocol using adult oocytes matured in BOMED medium was then determined by transferring SCNT embryos reconstructed using adult fibroblasts to synchronized recipients. Primary cultures of adult fibroblasts were obtained from two adult male pigs and used for SCNT (passages 2-4). Between 82 and 146 fused couplets were transferred to seven recipients synchronized 1 day behind the embryos. Five recipients (71% pregnancy rate) subsequently farrowed a total of 23 piglets (4.4 average litter size). Overall efficiencies (liveborn/embryos transferred) were 3.2% for all transfers and 4.3% for animals that gave birth. PMID- 18154517 TI - Early development in utero of bovine nuclear transfer embryos using early G1 and G0 phase cells. AB - Bovine somatic cell nuclear transfer (NT) embryos can develop to normal calves, but the success rates are still quite low. Recently, enhanced development of bovine NT embryos to full term has been achieved using fibroblasts at the early G1 phase instead of cells at the quiescent (G0) phase. In the present study, we examined the morphological development in utero of NT embryos using early G1 phase cells (eG1-NT embryos) and G0 phase cells (G0-NT embryos). We produced eG1- and G0-NT blastocysts, and then they were transferred to recipient heifers for transient development in utero up to day 14 of gestation. In vitro-fertilized (IVF), parthenogenetic and artificially inseminated (AI) embryos were used as controls. The rate of formation of embryonic disks of the recovered embryos was the same among the groups of eG1-NT, IVF, and AI embryos (p>0.05). The formation rate in eG1-NT embryos was significantly higher than that in G0-NT embryos (p<0.05). The lengths of eG1-NT embryos were the same as those of IVF, parthenogenetic, and AI embryos (p>0.05), but significantly shorter than those of G0-NT embryos (p<0.01). We conclude that the morphological development of day 14 embryos derived from eG1-NT embryos was mostly similar to that of AI embryos, but that the morphological development of G0-NT embryos was abnormally large and different from that of AI and eG1-NT embryos. PMID- 18154518 TI - Ex vivo characteristics of human amniotic membrane-derived stem cells. AB - Cells were isolated from four human amniotic membranes, and their biological characteristics analyzed during ex vivo expansion. Morphologically homogenous populations of fibroblast-like cells were obtained from the second or third passage. Under the appropriate culture conditions, these human amniotic membrane derived mesenchymal cells (HAM) were shown to differentiate into adipocytes, osteocytes, chondrocytes and neuronal cells, as visualized by Oil Red O, von Kossa, alcian blue, anti-Neu N, and anti-Gal C antibody staining, respectively. Immunophenotype analysis of HAM cells revealed the presence of antigens for SSEA 3, SSEA-4, collagen type-I, -II, -III, -IV, -XII, fibronectin, alpha-SMA, vimentin, desmin, cytokeratin18 (CK18), HCAM-1, fibroblast surface protein, and human leukocyte antigen (HLA) ABC. ICAM-1 protein was weakly detectable, and proteins of TRA-1-60, VCAM-1, von Willebrand factor, PECAM-1, and HLA DR were not detected. HAM cells reached senescence after 14.5+/-0.9 passages, over a period of 146.8+/-8.9 days, and underwent an average of 36.9 4.7 population doublings. RT-PCR analysis showed that all four HAM cell lines consistently expressed genes of Oct-4, Rex-1, SCF, NCAM, nestin, BMP-4, GATA-4, HNF-4alpha, vimentin, and CK18, regardless of the passage number. The genes of Brachyury, FGF-5, Pax-6, and BMP2 were never expressed. Strikingly, alpha-fetoprotein (alphaFP), HLA ABC, and HLA DR genes were expressed in an earlier passage but not expressed in later passages. Telomerase activity of two HAM lines was discernable upon the third passage. These observations strongly suggest that HAM might be immune-privileged and, thus, advantageous as therapeutic cells. PMID- 18154519 TI - Angiogenesis in day-30 bovine pregnancies derived from nuclear transfer. AB - Impaired placental angiogenesis during early pregnancy may result in placental defects that adversely affect development of nuclear-transfer (NT) embryos later in pregnancy. These experiments were designed to quantify and compare development of placental microvasculature and expression of genes associated with angiogenesis, including members of the VEGF and angiopoietin (Ang) families, in maternal and embryonic placental tissues of day 30 bovine concepti derived from NT or in vitro fertilization (IVF) followed by in vivo development to the blastocyst stage in the sheep oviduct. Microvascular volume density (MVD) within the caruncular tissues, as determined using Periodic Acid-Schiff's staining as well as immunohistochemical staining for von Willebrand's factor, was not different between NT- and IVF- derived pregnancies. Expression of genes implicated in angiogenic mechanisms, including VEGF-A and -C, placental growth factor (PlGF), VEGF receptors (Flt-1, Flk-1, and Flt-4), angiopoietin-1 (Ang1), Ang2, Tie1, Tie2, and hypoxia-inducible factor (HIF), were determined. In chorio allantoic membranes, levels of PlGF transcripts were significantly lower in NT- than IVF-derived tissues (p<0.05), whereas HIF-1alpha transcription in chorio allantoic membranes of cloned concepti was higher at p<0.10. Caruncular expression of HIF-1alpha and Ang1 also was increased in NT-derived pregnancies at p MIC, for beta-lactams predicts outcome. Therefore, pharmacodynamic modelling can be used to set breakpoints for ESBL producing bacteria with beta-lactams. PMID- 18154542 TI - Breakpoints for intravenously used cephalosporins in Enterobacteriaceae--EUCAST and CLSI breakpoints. AB - It has long been acknowledged that the cephalosporin breakpoints used in most European countries and the USA fail to detect many or most extended spectrum beta lactamases (ESBLs) in Enterobacteriaceae and that all ESBLs are clinically significant. Therefore, microbiological laboratories have undertaken not only regular cephalosporin susceptibility tests based on breakpoints, but also special tests to detect all ESBLs. An increasing accumulation of clinical data implies that the clinical success of third generation cephalosporin therapy is related more to the minimum inhibitory concentration (MIC) than to the presence or absence of an ESBL. However, the breakpoints must be lower than those previously recommended by many breakpoint committees. In Europe, this adjustment has been achieved by EUCAST (European Committee on Antimicrobial Susceptibility Testing) through the ongoing process of harmonising European breakpoints. In the USA, the CLSI recently voted to adopt similar guidelines but are waiting to implement these while revising other beta-lactam breakpoints. As Enterobacteriaceae are becoming increasingly resistant, a less 'diehard' interpretation of the relationship among MICs, ESBLs and clinical outcome may provide therapeutic alternatives in difficult situations. PMID- 18154543 TI - Parenteral carbapenems. AB - Among the many different structurally distinct classes of beta-lactams, the carbapenem class is regarded as that which is most potent and which has the widest spectrum of antimicrobial activity. Rapidly bactericidal, and demonstrating time-dependent killing, carbapenemes have a spectrum of antimicrobial activity that includes Gram-positive and Gram-negative aerobic and anaerobic pathogens. Their in-vitro activity includes extended-spectrum beta lactamase (ESBL)-producing pathogens and carbapenems are currently considered to be the treatment of choice for serious infections due to ESBL-producing organisms. However, isolates acquiring resistance under treatment have been reported. Imipenem, meropenem and ertapenem are licensed in the European Community and panipenem and biapenem are also available in Japan and South Korea. Other carbapenemes are under development. PMID- 18154544 TI - Antibiotic policy and prescribing strategies for therapy of extended-spectrum beta-lactamase-producing Enterobacteriaceae: the role of piperacillin-tazobactam. AB - Therapy of infections caused by extended-spectrum beta-lactamase (ESBL)-producing bacteria with an antimicrobial to which they are resistant results in treatment failure, higher cost and increased mortality. The CLSI recommends reporting ESBL producing strains of Escherichia coli, Klebsiella spp. and Proteus spp. as resistant to all penicillin, true cephalosporin and monobactam antimicrobials, but as susceptible to beta-lactam-beta-lactamase inhibitor combinations, including piperacillin-tazobactam, when they test as such. Current literature supports the action of piperacillin-tazobactam against susceptible strains of ESBL-producing bacteria based on the structure-activity relationship between inhibitors and the ESBLs, as well as on recent clinical outcome studies. PMID- 18154545 TI - Sulbactam-containing beta-lactamase inhibitor combinations. AB - Sulbactam irreversibly inhibits the hydrolytic activity of beta-lactamases. This compound is commercially available in combination with either ampicillin or cefoperazone. In each instance, the activity of the partner antibiotic against beta-lactamase-producing bacteria is restored. One of the particular advantages of using sulbactam-containing combinations is that sulbactam itself has inherent activity against some Acinetobacter baumannii. Sulbactam combinations have not demonstrated strong selective pressures for extended-spectrum beta-lactamase producing Enterobacteriaceae and vancomycin-resistant enterococci. In contrast to clavulanate, sulbactam does not induce class I (Ampc) chromosomal beta-lactamases in Enterobacteriaceae. PMID- 18154546 TI - Orthodox and unorthodox clavulanate combinations against extended-spectrum beta lactamase producers. AB - Clavulanate is a highly effective inhibitor of extended-spectrum beta-lactamases (ESBLs) in detection tests, but the commercial amoxycillin-clavulanate and ticarcillin-clavulanate combinations have borderline activity, at best, against most ESBL producers. Oxyimino-cephalosporin-clavulanate combinations are active in vitro against most ESBL-producing Escherichia coli and Klebsiella spp. isolates at < or =1-2 mg/L but are compromised against Enterobacter spp., whether ESBL-producing or not, where clavulanate-induced AmpC enzymes attack the cephalosporin. These problems can be overcome by combining clavulanate with cefepime or cefpirome, which are more stable to AmpC. The resulting combinations are active in vitro at < or =1 mg/L against virtually all ESBL-producing Enterobacteriaceae, including Enterobacter spp. AmpC-inducible organisms, such as Enterobacter, are less of a concern in the community, where ESBL-producing E. coli strains present growing problems, and where new oral treatments would be useful. Cefpodoxime-clavulanate is not ideal, in terms of pharmacological matching, but might be fit for purpose, certainly in comparison with fosfomycin and nitrofurantoin, which are used at present but which are suitable only for lower urinary tract infections. Clinical development of clavulanate with cefepime, cefpirome or cefpodoxime does not seem likely in the West, considering ownership and patent issues. Cefpisome-tazobactum is, however, being launched in India, where the licensing regime is more liberal. Combinations of clavulanate with modern anti-methicillin-resistant Staphylococcus aureus cephalosporins also deserve investigation, as these compounds remain labile to ESBLs. PMID- 18154547 TI - beta-Lactams without a suicide inhibitor. AB - Existing clinical studies concerning the impact of therapy with third-generation cephalosporins or cefepime on infections caused by extended-spectrum beta lactamase (ESBL)-producing Enterobacteriaceae are retrospective, non-randomised, and have been carried out with a small number of patients and low-dosage schedules that lack PK-PD correlations with clinical efficacy. Rates of clinical failure and mortality are higher than those in studies with non-ESBL- producing Enterobacteriaceae. Therefore, in settings with a high prevalence of ESBL producing Enterobacteriaceae, empirical therapy with advanced cephalosporins should be avoided. Temocillin, an old beta-lactam that is stable in the presence of both ESBLs and AmpC beta-lactamases, seems to deserve revival, although clinical data are limited. PMID- 18154548 TI - Other antimicrobials of interest in the era of extended-spectrum beta-lactamases: fosfomycin, nitrofurantoin and tigecycline. AB - The progressive increase of extended-spectrum beta-lactamase (ESBL) -producing enteric bacteria in recent years has called for a re-evaluation of current antibiotic therapy for these infections. The activity and potential use of two old antimicrobials, nitrofurantoin and fosfomycin, and the new compound tigecycline for treatment of infections due to ESBL-producing Enterobacteriaceae, with special emphasis on E. coli, are reviewed. Fosfomycin continues to be active against the most common uropathogens; in a recent survey from Spain, among the 428 ESBL-producing isolates, the resistance rate of E. coli to fosfomycin was 0.3%, whereas the resistance rate of K. pneumoniae was 7.2%. Other recent surveys, from other parts of the world, confirm the activity of fosfomycin against ESBL-producing E. coli. The rate of resistance to nitrofurantoin in recent surveys in the USA and Canada was 1.1% among 1142 isolates of E. coli from outpatient urinary isolates. However, among 115 clinical isolates of E. coli ESBL producers, only 71.3% were sensitive to nitrofurantoin. Also, E. coli resistance to nitrofurantoin has been reported to be high in a recent survey in Latin American hospitals and in Italy. Tigecycline is a glycylcycline that circumvents efflux and ribosomal protection, the two most frequent genetic mechanisms of tetracycline resistance. The recent activity of tigecycline against 285 nonclonally related isolates expressing well-characterised ESBLs from hospital settings and the community reveal susceptibility rates for tigecycline of 97.5%. Because responses to nitrofurantoin may be less satisfactory and may require longer courses of therapy, nitrofurantoin is considered to be an alternative, rather than a first-line, therapeutic agent for this clinical syndrome. Fosfomycin trometamol is a safe and effective alternative for the treatment of cystitis and asymptomatic UTI during pregnancy, and has become, in many countries, the first choice for treatment of any type of cystitis. Finally, for treatment of systemic infections in the hospital setting, tigecycline could be an option that would reduce selection for ESBL-producing organisms. PMID- 18154550 TI - Patterns of genotype distribution in multiple human papillomavirus infections. AB - The relationship between severe-grade cervical lesions and clusters of human papillomavirus (HPV) genotypes in a taxonomic classification was surveyed in 232 women with previous abnormal cytology. HPV co-infections were clustered according to phylogenetic criteria. Multiple infections were detected in 22.0% of the entire sample. Clade A10 (represented by HPV-6 and HPV-11) appeared more frequently in multiple infections than clade A9, which was represented by five of the most common high-risk types, including HPV-16. Although HPV-16 was the most frequent genotype, it was not more prevalent in multiple infections. Abortion and two or more sexual partners were risk-factors associated with HPV co-infections. Severe cervical dysplasia was associated with co-infections with oncogenic types from different clades, with the association being significant for the high-risk clades A7 and A9. PMID- 18154551 TI - Patients with multiple contact allergies: a review. AB - Patients with multiple contact allergies, also referred to as polysensitized, are more frequent than predicted from prevalence of single sensitivities. The understanding of why some people develop multiple contact allergies, and characterization of patients with multiple contact allergies is limited. This review presents the current knowledge on the topic and discusses the evidence and characteristics of an increased susceptibility factor, possible causes to and genetic markers for the increased susceptibility, composition of the patient group and identification of patients at risk of developing multiple contact allergies. Evidence of allergen clusters among polysensitized individuals is also reviewed. The literature supports the idea that patients with multiple contact allergies constitute a special entity within the field of contact allergy. There is no generally accepted definition of patients with multiple contact allergies. We suggest that contact allergy to 3 or more allergens are defined as multiple contact allergies. PMID- 18154552 TI - Autoxidation of linalyl acetate, the main component of lavender oil, creates potent contact allergens. AB - BACKGROUND: Fragrances are among the most common causes of allergic contact dermatitis. We have in previous studies shown that linalool, present in lavender oil, autoxidizes on air exposure, forming allergenic oxidation products. Oxidized linalool was found to be a frequent cause of contact allergy in a patch test study on consecutive dermatitis patients. Linalyl acetate, the main component of lavender oil is commonly used as a fragrance chemical in scented products. Because of structural similarities, linalyl acetate should also be susceptible to oxidation on air exposure, forming similar oxidation products as linalool. OBJECTIVE: The aim of the present study was to investigate the autoxidation of linalyl acetate and the influence of oxidation on its sensitizing potency. METHODS: Analyses were performed using gas chromatography, nuclear magnetic resonance spectrometry and mass spectrometry. Sensitizing potencies of compounds were determined using the local lymph node assay (LLNA) in mice. RESULTS: Analyses showed that the content of linalyl acetate decreased over time on air exposure and other compounds were formed. Hydroperoxides, an epoxide and an alcohol were identified as oxidation products from linalyl acetate. In the LLNA, linalyl acetate of high purity showed a weak sensitizing potency (EC3 25%). Autoxidation increased the sensitizing potency of linalyl acetate, and a 10 weeks oxidized sample gave an EC3 value of 3.6%. As for linalool, the hydroperoxides were shown to be the oxidation products with the highest sensitizing potency. CONCLUSION: It is concluded that autoxidation of the weakly allergenic linalyl acetate leads to formation of allergenic oxidation products. PMID- 18154553 TI - Cosmetics and herbal remedies with Compositae plant extracts - are they tolerated by Compositae-allergic patients? AB - BACKGROUND: Compositae-sensitive patients are routinely warned against topical use of Compositae-containing cosmetics and herbal remedies. However, the risk of elicitation of dermatitis in presensitized persons is unknown. OBJECTIVES: The main aim of this study was to assess the significance of direct plant allergen contact via Compositae-derived cosmetics and herbal remedies in Compositae allergic patients with special reference to arnica (Arnica montana) and German chamomile (Chamomilla recutita). METHODS: 8 of 12 chamomile-sensitive patients tested positive to chamomile-containing preparations, including tea, creams, ointments, and oil. 5 of 6 arnica-sensitive persons tested positive to arnica based products. RESULTS: When the group was patch tested with cosmetic and/or herbal product ingredients, plant allergens elicited positive reactions most frequently, but fragrances, emulsifiers, and preservatives tested positive as well. Plant allergens were mainly derived from Compositae, but avocado oil, and Hamamelis virginiana tincture were unexpectedly detected as sensitizers too. Chemical analyses indicated that the Compositae allergens were both sesquiterpene lactones and other naturally occurring compounds. CONCLUSION: In conclusion, Compositae-allergic persons should be warned against topical use of Compositae containing products, not only because of the plant allergens, but also because of allergenic cream constituents that may cause reactions in the group of patients who have multiple contact allergies beside the Compositae allergy. PMID- 18154554 TI - A study of the sensitization rate to cocamidopropyl betaine in patients patch tested in a university hospital of Beijing. AB - BACKGROUND: The prevalence of sensitization to cocamidopropyl betaine (CAPB) in China has not been reported. OBJECTIVE: This study is to evaluate the prevalence of CAPB sensitization in patients patch tested in Peking University Third Hospital, Beijing. METHODS: 429 consecutive patients with suspected allergic contact dermatitis were patch tested with CAPB 1.0% aqueous, 3 dimethylaminopropylamine (DMAPA) 1.0% aqueous as well as a modified European standard series of allergens from June 2005 to August 2006. RESULTS: 42 patients (9.8%) had a positive reaction to CAPB. 25 of them (59.5%) were considered relevant. Of those, 7 were head and/or neck dermatitis, 4 hand dermatitis, 1 cheilitis, and the other 13 patients were widespread dermatitis. 10 out of 429 (2.3%) patients reacted to DMAPA. Of those, 8 were relevant and 6 of them also reacted to CAPB. CONCLUSION: The rate of CAPB sensitization in our study is higher than previously reported elsewhere. CAPB is a common cosmetic allergen in Beijing. Both CAPB and DMAPA should be tested in patients with suspected cosmetic dermatitis. PMID- 18154555 TI - The reaction index and positivity ratio revisited. AB - BACKGROUND AND OBJECTIVES: Assessing the quality of patch test preparations continues to be a challenge. 2 parameters, the reaction index (RI) and positivity ratio (PR), have been proposed as quality indicators by the Information Network of Departments of Dermatology (IVDK). The value of these statistics has not been examined by others. METHODS: We calculated the RI and PR for the 24 TRUE test allergens in 7635 patients with consecutive eczema tested at the Department of Dermatology, Odense University Hospital over a 15-year period, and data for 7 selected standard allergens were compared with corresponding data from the original IVDK papers. RESULTS AND CONCLUSIONS: At our patch test laboratory, RI's are lower, even negative, and the PR's are considerably lower than the IVDK results. The most likely explanation is a difference in reading/scoring tradition between the different departments of the IVDK and our department. Calculation of RI's and PR's for patch test allergens is of limited value as a measure of quality of the patch test materials, because it predominantly reflects differences in scoring and reading of patch test reactions. Further, questionable reactions (+?) may be clinically relevant and very important for the individual patient. Focus on standardization of patch test materials, patch test technique, and reading of patch test reactions is mandatory. PMID- 18154556 TI - Contact sensitivity in patients with venous leg ulcers in Serbia: comparison with contact dermatitis patients and relationship to ulcer duration. AB - BACKGROUND: Contact hypersensitivity is a common occurrence in patients with chronic venous leg ulcers (CVLU) with allergen profiles depending upon the local treatment policies. OBJECTIVE: This study was to determine the frequency of contact sensitivity, prevalence of individual allergens, polyvalent sensitization, and/or their relationship to ulcers duration in the population of CVLU and contact dermatitis patients in Serbia. PATIENTS: 75 patients with CVLU and 82 patients with clinically suspected contact dermatitis were prospectively included in the study. The patients were patch tested with a series of 21 standard and 22 supplemental allergens. RESULTS: 73% (n = 55) of CVLU and 52% (n = 43) of control subjects had 1 or more positive patch test results (P < 0.01). Polysensitization was found in 53% of patients and 21% of controls (P < 0.01). CVLU patients run 2.5 and 4.3 higher risk for contact sensitization and polysensitization, respectively. The most common allergens were Balsam of Peru (21.3%), carba mix (18.7%), fusidic acid (17.3%), colophony (13.3%), paraben mix (12%), chloramphenicol (12%), silver nitrate (12%), and neomycin (10.7%). Polivalent sensitization and higher mean number of allergens were associated with ulcer duration >5 years. CONCLUSIONS: The results confirm a high rate of contact (poly)sensitization in patients with CVLU and local variability in allergen prevalence. PMID- 18154557 TI - The profile of patch test reactions to common contact allergens is related to sex. AB - BACKGROUND: Women are more often patch tested than men, and the reactivity to patch test allergens is dependent on sex. However, it is unclear whether the profiles of test reactions are also sex-related. OBJECTIVE: To compare the profiles of patch test reactions of men and women. METHODS: Sex-related reaction profiles of 16 common patch test allergens were analysed based on data of 47 626 patients filed by the Information Network of Departments of Dermatology in Germany. The proportions of weak positive reactions and of questionable and irritant reactions were evaluated by calculating the positivity ratio (PR) and the reaction index (RI) separately for men and women for each allergen. RESULTS: Of the 16 allergens evaluated, 8 had a higher PR and a higher RI in women than in men. 4 allergens had a lower PR and another 4 had a lower RI in women than in men. For allergens with similar sensitization prevalence in men and women, female sex was associated with a higher PR and RI (P < 0.01). CONCLUSIONS: There is a marginal disparity in the reactivity of men and women to patch test allergens that is probably not of clinical relevance but constitutes a scientific challenge. PMID- 18154558 TI - Sodium tetrachloropalladate (Na2[PdCl4]) as an improved test salt for palladium allergy patch testing. AB - BACKGROUND: In the last decades, palladium is widely used in dentistry. Allergic reactions to palladium are rarely diagnosed with patch testing, even when positive results would be expected. Palladium tends to cross-react with nickel, which should give rise to more positive reactions to palladium dichloride (standard test salt). OBJECTIVE: The aim of the study was to test whether or not mono-nuclear sodium tetrachloropalladate (Na(2)[PdCl(4)]) in petrolatum is a better test salt for diagnosing palladium allergy. Positive reactions to the investigated test salt are compared not only with PdCl(2(aq.)), but also to NiSO(4(aq.)) and NiSO(4(pet.)). PATIENTS/METHODS: Concentration series of Na(2)[PdCl(4)] were carried out. 164 consecutive patients were patch tested. RESULTS: 3% of Na(2)[PdCl(4)]((pet.)) was found to be the highest non-irritative concentration. The results show (n = 164) that Na(2)[PdCl(4)] covers all reactions to PdCl(2) (1.8%) and provokes more positive reactions (14%). From the 164 patients, 18.3% reacted positively to at least 1 of the nickel salts. CONCLUSION: The sensitivity of patch testing with Na(2)[PdCl(4)] is increased compared with the PdCl(2) salt. Therefore, it can be concluded that Na(2)[PdCl(4)] is to be a better test salt for diagnosing palladium allergy with patch testing. PMID- 18154559 TI - Positive rates to propyl gallate on patch testing: a change in trend. AB - Propyl gallate (E310) has, until recently, been used as a major antioxidant in fatty food and, in the cosmetic industry, in the manufacture of lipsticks. Propyl gallate has a high sensitizing potential; however, the frequency of allergic contact dermatitis from antioxidants of the gallate type was previously thought to be surprisingly low. Previous exposure and orally induced tolerance, as suggested by Khan and colleagues, may have explained the low rates of allergic contact dermatitis to propyl gallate in the past. The objectives were to assess the prevalence of allergic contact dermatitis to propyl gallate in our centre from 1988 to 2005. From 1988 to 2005, 9529 patients were patch tested to the face series, 6973 were females and 2556 were males. Patch tests were read at 2 D and 4 D. Positive reactions were scored as per International Contact Dermatitis Research Group recommendations as negative, +, ++, and +++ reactions. Propyl gallate was used at a 1% petrolatum (pet.). A total of 55 patients had positive reactions to propyl gallate 1% pet. (0.57%), 46 were female (0.65%) and 9 were male (0.33%). Using chi-square, there was a significant difference (P < 0.05) in the positivity rates between the 1988-96 period (0.45%) and the 1997-2005 period (0.77%). A review of our face series performed in the last 18 years has shown a statistically significant increase in propyl gallate-positive rates on patch testing over the last decade. An increase in its use in the cosmetic industry may well be the explanation for this. Nevertheless, a concomitant reduction of propyl gallate as an antioxidant in food, with oral tolerance being less likely to develop, may also be a contributing factor in the increasing trend of allergic contact dermatitis caused by propyl gallate. PMID- 18154560 TI - Frictional hyperkeratotic hand dermatitis responding to Grenz ray therapy. AB - Frictional hyperkeratotic hand dermatitis (FHHD) is an unusual form of chronic eczema relating to repeated frictional trauma. This form of hand eczema is often occupationally related and recalcitrant to therapy. We describe the case of FHHD in a 48-year-old dermatologic surgeon. The eruption was resistant to all topical and protective modalities, but responded completely to 6 sessions of Grenz ray treatment. No recurrence has been noted for over 4 years since completion of therapy. We suggest that Grenz ray treatment is a safe and effective option in treating this form of chronic hand dermatitis. PMID- 18154561 TI - Allergic contact dermatitis from Dittrichia graveolens (L.) Greuter (stinkwort). PMID- 18154562 TI - Paraben allergic contact dermatitis in a patient with livedo reticularis. PMID- 18154563 TI - Idiopathic post-traumatic dermatitis at the site of recent joint replacement. AB - Idiopathic dermatitis over the site of previous trauma is a recognized but infrequently reported phenomenon that provides a diagnostic dilemma. Careful investigation is needed in order to exclude other rare and/or treatable causes. PMID- 18154564 TI - Allergic contact dermatitis caused by cinchocaine. PMID- 18154565 TI - Professional's and non-professional's papular urticaria caused by Scleroderma domesticum. PMID- 18154566 TI - Photocontact dermatitis because of oral dexketoprofen. PMID- 18154567 TI - Cross-reactivity between methylchloroisothiazolinone/methylisothiazolinone, methylisothiazolinone, and other isothiazolinones in workers at a plant producing binders for paints and glues. PMID- 18154568 TI - Work-related contact urticaria to Cannabis sativa. PMID- 18154569 TI - Patch test results in a Turkish paediatric population. AB - Allergic contact dermatitis is increasing in childhood. In children, population based patch test studies point to different contact sensitizers and reflect the variations in the exposure to certain allergens among different countries. Our aim is to show common contact allergens in a paediatric population in Turkey. Contact dermatitis and identifying the suspected allergen in children are important as sensitization occurring during childhood may cause a susceptibility to the contact dermatitis later in their life. PMID- 18154570 TI - Erythema multiforme-like eruption because of para-phenylenediamine. PMID- 18154571 TI - Natural history of potentially malignant oral lesions and conditions: an overview of the literature. AB - At a workshop coordinated by the WHO Collaborating Centre for Oral Cancer and Pre cancer in the UK issues related to potentially malignant disorders of the oral cavity were discussed by an expert group. The consensus views of the Working Group are presented in a series of papers. In this report we review the literature on the epidemiology and natural history of potentially malignant disorders (PMD), detailing those characteristics of the patients and lesions thought to be associated with future development of oral squamous cell carcinoma (OSCC). Older patients, particularly females are more at risk than younger patients; the duration of PMD may be important. Those who have never used tobacco seem at greater risk than smokers. OSCC is more likely with PMD on the lateral and ventral tongue, floor of mouth and retromolar/soft palate complex than with those elsewhere. The vast majority of PMD in which OSCC develop are non homogenous although 5% of homogenous PMD will develop carcinoma. Large lesions covering several intraoral subsites also appear more at risk. PMID- 18154572 TI - Oral and pharyngeal cancer mortality rates in Mexico, 1979-2003. AB - BACKGROUND: In Mexico, information on oral and pharyngeal cancer (OPC) is scarce. The purpose of this study was to explore the trends in OPC mortality rates in Mexico from 1979 through 2003 and to describe the distribution of OPC deaths for selected socio-demographic variables for the period of 2001-2003. MATERIAL AND METHODS: Annual crude and age-adjusted mortality rates were obtained by gender and site of lesion, using the 2003 WHO World standard million population. The Poisson regression model was used to detect a trend in the mortality rates, testing the hypothesis beta(1) = 0. Also, the annual percentage change (APC) was computed over the age-adjusted rates. RESULTS: The total number of OPC deaths during the period 1979-2003 was 15,576. The age-adjusted mortality rate was 1.13/100,000 in 1979 and 1.08/100,000 in 2003. Oral cancer was more frequently found than salivary gland and pharyngeal cancer (41.5% vs. 13.4% and 17.1%). The tongue (19%) was the most frequent oral affected site. The Poisson regression analysis indicated a stationary trend in cancer mortality rate; also, the APC regression model showed no increase or decrease in OPC from 1979 to 2003. CONCLUSIONS: Oral and pharyngeal cancer mortality rates in Mexico were low compared to most countries, and remained stable in the past two decades. PMID- 18154573 TI - Expression of hypoxia-inducible factor-1 alpha is significantly associated with the progression and prognosis of oral squamous cell carcinomas in Taiwan. AB - BACKGROUND: Overexpression of hypoxia-inducible factor-1 alpha (HIF-1 alpha) has been found to be significantly associated with the tumor invasion, lymph node metastasis, clinical stage, and prognosis of a variety of human cancers. METHODS: This study examined the expression of HIF-1 alpha in 57 specimens of oral squamous cell carcinoma (OSCC), 41 specimens of oral epithelial dysplasia (OED, 12 mild, 17 moderate, and 12 severe OED cases), and 14 specimens of normal oral mucosa (NOM) by immunohistochemistry. RESULTS: We found that the mean nuclear HIF 1 alpha labeling indices (LIs) increased significantly from NOM (9 +/- 6%) through mild OED (25 +/- 18%), moderate OED (41 +/- 27%), and severe OED (42 +/- 22%) to OSCC samples (55 +/- 23%, P < 0.001). A significant correlation was found between the higher mean nuclear HIF-1 alpha LI and OSCCs with larger tumor size (P < 0.001), regional lymph node metastasis (P < 0.001), or more advanced clinical stages (P < 0.001). Only larger tumor size (P = 0.002) and nuclear HIF-1 alpha LI >or= 60% (P = 0.048) were identified as independent unfavorable prognosis factor by multivariate analyses with Cox regression model. Kaplan-Meier curve showed that OSCC patients with a nuclear HIF-1 alpha LI >or= 60% had a significantly poorer cumulative survival than those with a nuclear HIF-1 alpha LI < 60% (log-rank test, P = 0.022). CONCLUSIONS: We conclude that the expression of HIF-1 alpha is an early event in oral carcinogenesis. The nuclear HIF-1 alpha LI in OSCC samples can predict the progression of OSCCs and the survival of OSCC patients. PMID- 18154574 TI - One-year follow-up of the effect of fixed orthodontic treatment on colonization by oral Candida. AB - The aim of this study was to assess quantitative and qualitative alterations in the carrier rate of Candida spp. in south-eastern Turkey among adolescents, and to investigate the effect of fixed orthodontic appliances on the Candida count in a 1-year follow-up study. In the first phase of the study, the oral Candida carriage rate of 72 patients was evaluated. Samples were collected from the dorsal surface of the tongue, the mid-palate and saliva. In the second phase of the study, 42 patients who were determined to be carriers of oral Candida were treated with fixed orthodontic appliances, and from these patients a second set of samples were collected from the saliva and the orthodontic brace surfaces of eight teeth adjacent to the enamel surfaces. The saliva samples were collected before and during orthodontic treatment at 1st, 6th and 12th month, and samples from the braces were collected during the 1st, 6th and 12th month of treatment. Forty-two of the 72 patients (58.5%) were oral Candida carriers. The distribution of Candida spp. in these patients was as follows: (i) Candida albicans was identified in 31 patients (73.8%), (ii) C. tropicalis, C. krusei and C. kefyr were found in three patients each (7.14%) and (iii) C. parapsilosis occurred in two patients (4.76%). During orthodontic treatment, the micro-organism count increased both in the saliva and on tooth surfaces. The results indicate that the prevalence of oral Candida spp. is high in young adults in south-eastern Turkey and that the Candida counts increase when braces are involved. PMID- 18154575 TI - Influence of altered occlusal plane on rabbit temporomandibular joint cartilage. AB - BACKGROUND: There is limited knowledge relating to the influence of mechanical stress on the temporomandibular joint (TMJ) and the degree of damage this stress can induce in the case of an altered occlusal plane on the extracellular matrix cartilage and chondrocytes. The aim of this study was to examine the histopathological influence of an altered occlusal plane on rabbit TMJ cartilage. METHODS: Fifteen male Japanese white rabbits were used in this study. In 12 cases, the upper right and lower left teeth were ground to their cervical level so that the occlusal plane was tilted right side up. Their temporomandibular joints (TMJs) harvested at 3 days, 1, 2 and 4 weeks were analyzed immunocytochemically and immunohistochemically. The terminal deoxynucleotidyl transferase-mediated deoxyuridine triphosphate biotin nick endlabeling (TUNEL) method was used for immunocytochemical study to detect DNA fragmentation in chondrocytes. An immunohistochemical study was also performed to evaluate the metabolism of type 2 collagen in the extracellular matrix in the TMJ cartilage. RESULTS: The number of apoptotic cells increased in all experimental animals. More apoptotic cells were observed in the articular eminences than in the condyles. The type 2 collagen-positive area in the condyles was reduced at the beginning but recovered within 4 weeks, and remained small throughout this experimental period in the articular eminences. CONCLUSIONS: These findings suggest that histopathological changes occurred in response to alteration of the occlusal plane. The influence decreased as the occlusal plane recovered in the condyles, but the immunocytochemical and immunohistochemical influence continued in the articular eminences. PMID- 18154576 TI - Osteomas of the craniofacial region. Review of 106 cases. AB - BACKGROUND: Osteoma is a benign osteogenic lesion characterized by the proliferation of compact or cancellous bone. Although this tumour has a considerable incidence, there are few reports with large samples on this subject. OBJECTIVES: To describe clinical features of the osteomas in the craniomaxilofacial region. MATERIAL AND METHODS: Retrospective study of 106 patients diagnosed with 132 osteomas of the craniomaxilofacial region between 1986 and 2003. RESULTS: The mean age was 50 years. Osteomas were more frequent in men. Forty-nine per cent were of peripheral type, 29% central osteomas and 21% were located in the paranasal sinuses. Eighty-nine cases (84%) were operated and 80 patients were regularly followed up. Out of these, 73 did not recur. The seven recurrences were central osteomas. CONCLUSIONS: Osteomas usually appear in patients with more than 30-year old. Peripheral type showed the highest incidence among these lesions. Central and peripheral osteomas usually do not originate clinical symptoms whereas the ones located in paranasal sinuses can provoke headache and neuralgia/paresthesia. PMID- 18154577 TI - Perivascular myoid tumors of the oral region: a clinicopathologic re-evaluation of 35 cases. AB - BACKGROUND: Myopericytoma (MPC) is a generic denomination to describe tumors showing differentiation toward perivascular myoid cells /myopericytes. It has been suggested that MPC forms a morphologic continuum with glomus tumor (GT), solitary myofibroma (SMF), and angioleiomyoma (ALM). This proposed relationship has not yet been assessed in the oral region. METHODS: We reviewed our 28-year experience with 35 oral tumors, originally diagnosed as ALM (n = 28), SMF (n = 4), GT (n = 2), and MPC (n = 1) to analyze their overlapping microscopic features, with the assistance of immunohistochemistry. RESULTS: Myopericytoma showed a wide range of growth patterns; concentric perivascular whorls, hemangiopericytomatous areas, glomangiopericytoma (GPC)-type vessels and leiomyomatous foci. Intravascular growth was also seen. Among 28 cases studied, three ALM were reclassified as MPC (n = 2) and SMF (n = 1), based on the present diagnostic criteria. Additional MPC-type components, at varying degrees, were similarly found in four ALM and three SMF, at least focally. One GT featured intravascular whorls of spindle cells. These four interrelated groups of tumors had in common GPC-type vasculature and intraluminal cellular proliferation was nearly ubiquitously present. Diffuse immunoreactivity for alpha-smooth muscle actin and less staining intensity of muscle-specific actin were observed in all tumors. Only ALM displayed desmin positivity of variable extent. Neither case tested expressed CD34. CONCLUSIONS: Our data matches with the recent results in extraoral sites that MPC, GT, SMF, and ALM exhibit histologic and immunohistochemical overlap with each other. A common perivascular myoid differentiation between these tumor types is further reinforced by the present oral series. PMID- 18154578 TI - Dental mutilations and associated alveolar bone pathology in African skulls of the anthropological skull collection, Charite, Berlin. AB - BACKGROUND: Dental mutilations (DM) were and are still common among people in Africa. The purpose of this study was to examine DM in 33 skulls from Cameroon, which have been collected around the turn of the 20th century (anthropological collection, Berlin Museum of Medical History). MATERIALS AND METHODS: From the files of the museum, locations and/or tribal origin were recorded. DM classification described by De Almeida was used (1957). RESULTS: DM of the inverted V-shaped type was most common (30.3%). Pulp exposure was seen in 10 cases (30.3%). Periapical ostitis/radicular cysts were seen in nine cases (27.3%). General loss of alveolar bone was seen in all cases with a marked loss of the maxillary anterior labial alveolar bone plate in six cases (18.2%). CONCLUSIONS: DM may result in alveolar bone pathology characterised by inflammatory changes such as periapical ostitis or formation of radicular cysts. PMID- 18154579 TI - Neck mass with marked squamous metaplasia: a diagnostic pitfall in aspiration cytology. AB - Fine-needle aspiration cytology (FNAC) is a highly accurate tool for the diagnosis of pleomorphic adenomas; however, this common salivary gland neoplasm can be diagnostically challenging, causing pitfalls in cytodiagnosis. A 50-year old woman suffered from a painless, slowly-growing mass in the right posterior upper neck for 5 months. FNAC from this mass revealed many discohesive parakeratotic cells and keratin flakes, and a few stromal elements. Under the impression of metastatic well-differentiated squamous cell carcinoma, the tumor mass was totally excised. Histology confirmed a pleomorphic adenoma with marked squamous metaplasia and frequent keratin pearl formations without the evidence of malignancy. Pleomorphic adenoma occasionally reveals focal squamous metaplastic changes, when extensive, it may be misdiagnosed as metastatic well-differentiated squamous cell carcinoma in FNAC, particularly in the neck region. PMID- 18154580 TI - Extension of Pindborg tumor to the maxillary sinus: a case report. AB - The calcifying epithelial odontogenic tumor is a benign epithelial odontogenic lesion that accounts for less than 1% of all odontogenic tumors. It is most frequently seen in the posterior areas of the mandible. Extension of this lesion to the maxillary sinus is extremely rare. In this paper, we report the fourth of such cases which has been reported, up to now. This tumor was encased between the right maxillary lateral and canine roots with extension to the maxillary sinus. Histologically, the tumor is composed of sheets of epithelial cells with eosinophilic or clear cytoplasm, intercellular bridges, nuclear pleomorphism, but no mitotic figures, amorphous eosinophilic and calcified materials were seen within the sheets of epithelial cells. PMID- 18154581 TI - Oral solitary myofibroma. PMID- 18154583 TI - Genetic enhancement--a threat to human rights? AB - Genetic enhancement is the modification of the human genome for the purpose of improving capacities or 'adding in' desired characteristics. Although this technology is still largely futuristic, debate over the moral issues it raises has been significant. George Annas has recently leveled a new attack against genetic enhancement, drawing on human rights as his primary weapon. I argue that Annas' appeal to human rights ultimately falls flat, and so provides no good reason to object to genetic technology. Moreover, this argument is an example of the broader problem of appealing to human rights as a panacea for ethical problems. Human rights, it is often claimed, are 'trumps': if it can be shown that a proposed technology violates human rights, then it must be cast aside. But human rights are neither a panacea for ethical problems nor a trump card. If they are drafted into the service of an argument, it must be shown that an actual human rights violation will occur. Annas' argument against genetic technology fails to do just this. I shall conclude that his appeal to human rights adds little to the debate over the ethical questions raised by genetic technology. PMID- 18154584 TI - Should we prevent non-therapeutic mutilation and extreme body modification? AB - In this paper, I discuss several arguments against non-therapeutic mutilation. Interventions into bodily integrity, which do not serve a therapeutic purpose and are not regarded as aesthetically acceptable by the majority, e.g. tongue splitting, branding and flesh stapling, are now practised, but, however, are still seen as a kind of 'aberration' that ought not to be allowed. I reject several arguments for a possible ban on these body modifications. I find the common pathologisation of body modifications, Kant's argument of duties to oneself and the objection from irrationality all wanting. In conclusion, I see no convincing support for prohibition of voluntary mutilations. PMID- 18154585 TI - Proxy consent and counterfactuals. AB - When patients are in vegetative states and their lives are maintained by medical devices, their surrogates might offer proxy consents on their behalf in order to terminate the use of the devices. The so-called 'substituted judgment thesis' has been adopted by the courts regularly in order to determine the validity of such proxy consents. The thesis purports to evaluate proxy consents by appealing to putative counterfactual truths about what the patients would choose, were they to be competent. The aim of this paper is to reveal a significant limitation of the thesis, which has hitherto been recognised only vaguely and intuitively. By appealing to the metaphysics of counterfactuals I explain how the thesis fails to determine the validity of proxy consents in a number of actual cases. PMID- 18154586 TI - Making a clean break: addiction and Ulysses contracts. AB - I examine current models of self-destructive addictive behaviour, and argue that there is an important place for Ulysses contracts in coping with addictive behaviour that stems from certain problematic preference structures. Given the relevant preference structures, interference based on a Ulysses contract need not involve questionably favouring an agent's past preferences over her current preferences, but can actually be justified in terms of the agent's current concerns and commitments. PMID- 18154587 TI - Rationalizing vaccine injury compensation. AB - Legislation recently adopted by the United States Congress provides producers of pandemic vaccines with near-total immunity from civil lawsuits without making individuals injured by those vaccines eligible for compensation through the Vaccine Injury Compensation Program. The unusual decision not to provide an alternative mechanism for compensation is indicative of a broader problem of inconsistency in the American approach to vaccine-injury compensation policy. Compensation policies have tended to reflect political pressures and economic considerations more than any cognizable set of principles. This article identifies a set of ethical principles bearing on the circumstances in which vaccine injuries should be compensated, both inside and outside public health emergencies. A series of possible bases for compensation rules, some grounded in utilitarianism and some nonconsequentialist, are discussed and evaluated. Principles of fairness and reasonableness are found to constitute the strongest bases. An ethically defensible compensation policy grounded in these principles would make a compensation fund available to all individuals with severe injuries and to individuals with less-severe injuries whenever the vaccination was required by law or professional duty. PMID- 18154588 TI - Authoritative regulation and the stem cell debate. AB - In this paper I argue that liberal democratic communities are justified in regulating the activities of their members because of the inevitable existence of conflicting conceptions of what is considered as morally right. This will often lead to tension and disputes, and in such circumstances, reliance on peaceful or orderly co-existence will not normally suffice. In such pluralistic societies, the boundary between permissible and impermissible activities will be unclear; and this becomes a particular concern in controversial issues which raise specific anxieties and uncertainty. One context that has repeatedly raised issues in this regard is that of biotechnology and, in particular, the recent stem cell debate, on which this paper concentrates. While such developments have the potential to make significant improvements to therapeutic progress, we should also be sceptical because predicting the impact of these developments remains uncertain and complex. For the sake of socio-political stability, it will therefore be necessary to enact and enforce rules which limit these competing claims in public policy but which may not be compatible with what individual moral commitments ideally permit. One way to achieve this is to establish procedural frameworks to resolve potential disputes in the public sphere about what is right, wrong, or permissible conduct. I argue that for one to commit to authoritative regulation, an idea of harm prevention through state intervention is necessary; and that this requires optimum mechanisms of procedure which allow the individual the opportunity to compromise and yet to continue to oppose or fight for changes as demanded by his or her moral position. PMID- 18154589 TI - On a Romanian attempt to legislate on medically assisted human reproduction. AB - The paper presents and briefly analyses some of the provisions of a Romanian legislative proposal which arrived at the Presidency for ratification twice, in slightly different forms, and which was rejected twice: the first time at the Presidency in October 2004, and the second at the Constitutional Court in July 2005. The proposal was finally dropped in February 2006. My intention here is to point to some of the most problematic deficiencies of the legislative document in the hope that this may assist with future debates and regulations on assisted reproduction either in Romania or elsewhere. I have isolated the features to be discussed under two headings: (1) whose are the rights to reproduce, that the document claimed to 'acknowledge, regulate and guarantee' and (2) what is the status of the embryo, the child and the surrogate mother? PMID- 18154590 TI - International ethical regulations on placebo-use in clinical trials: a comparative analysis. AB - The ethical aspects of placebo control in clinical trials have been extensively and controversially debated in the last decade. However, a thorough analytical comparison of the different existing international regulations, their terminologies and their ethical principles concerning placebo, is still missing. The central issue in the ongoing controversy is the justification of placebo-use, if proven treatment exists. All present versions of the examined guidelines propose such justifications, but each guideline differs from the others in relevant details. Therefore the conditions justifying placebo-use according to each guideline are the focus of our attention. We will first propose a formalized general principle that defines the ethical acceptability of placebo-use. Then we will analyse three categories of conditions put forward by the different documents: the risk of harm or burden, compelling scientific reasons, and the availability of proven treatment. The analysis shows important normative discrepancies and contradictions between the examined guidelines. Especially striking is the fact that some guidelines allow the participants in clinical trials to be exposed to a risk of serious harm, while others do not. Finally, we try to show how the normative difference of each guideline could influence the decision of researchers or IRBs concerning the ethical acceptability of placebo use. PMID- 18154591 TI - Clinical relevance of oxidative stress in male factor infertility: an update. AB - Male factor has been considered a major contributory factor to infertility. Along with the conventional causes for male infertility such as varicocele, cryptorchidism, infections, obstructive lesions, cystic fibrosis, trauma, and tumors, a new, yet important cause has been identified: oxidative stress. Oxidative stress (OS) is a result of the imbalance between reactive oxygen species (ROS) and antioxidants in the body, which can lead to sperm damage, deformity and eventually male infertility. This involves peroxidative damage to sperm membrane and DNA fragmentation at both nuclear and mitochondrial levels. OS has been implicated as the major etiological factor leading to sperm DNA damage. OS-induced DNA damage can lead to abnormalities in the offspring including childhood cancer and achondroplasia. In this article, we discuss the need of ROS in normal sperm physiology, the mechanism of production of ROS and its pathophysiology in relation to male reproductive system. The benefits of incorporating antioxidants in clinical and experimental settings have been enumerated. We also highlight the emerging concept of utilizing OS as a method of contraception and the potential problems associated with it. PMID- 18154592 TI - Immune physiology of the mammalian ovary - a review. AB - The immune system, besides orchestrating the immune response, plays an important role in the regulation of tissue homeostasis. We refer to this later activity as 'immune physiology.' In human ovaries, immune system-related cells and molecules accompany corpus luteum development and regression and cancer progression. They also accompany the origination of new rat and human germ cells by asymmetric division of ovarian surface epithelium cells, symmetric division and migration of germ cells, and follicular growth. Currently prevailing dogma on the preservation of human oocytes from the fetal period until menopause ('storage' doctrine) vs. oocyte renewal in invertebrates and lower vertebrates ('continued formation' doctrine) raises question as to the disadvantage from an evolutionary point of view of prolonged oocyte storage in humans. We attempted to reconcile these two opposing views by proposing the prime reproductive period (PRP) doctrine as follows: The 'storage' doctrine fits two periods of the life in human females, that between the termination of fetal oogenesis and puberty or pre-menarcheal period (about 10-12 years), and also that period from the end of PRP (at about 38 years of age) until menopause. On the contrary, the 'continued formation' doctrine accounts for oocyte and follicular renewal during the PRP, and insures the availability of fresh oocytes for the development of healthy progeny. Further study on 'immune physiology' may help us better understand ovarian physiology and pathology in general, including infertility caused by premature ovarian failure, the pathophysiology of degenerative diseases and mechanisms of malignancy and metastasis. PMID- 18154593 TI - Antimicrobial polypeptides are key anti-HIV-1 effector molecules of cervicovaginal host defense. AB - Mucosal surfaces of the cervix and vagina are portals for heterosexual transmission of human immunodeficiency virus type 1 (HIV-1) and, therefore, play a fundamental role in the pathogenesis of primary infection. Cationic antimicrobial polypeptides including defensins are the principal effector molecules of mucosal innate immunity against microbes and viruses such as HIV. In cervicovaginal secretions, antimicrobial polypeptides constitute the majority of the intrinsic anti-HIV-1 activity, synergism between cationic polypeptides is complex, and full anti-HIV-1 activity involves the complete complement of cationic polypeptides. Periods in which cationic antimicrobial polypeptide expression is reduced are likely associated with increased susceptibility to HIV 1 infection. This review provides an overview of the role of cationic antimicrobial polypeptides in innate cervicovaginal anti-HIV-1 host defense, and discusses how hormones and bacterial infections can regulate their expression. Emphasis is placed on the theta-defensin (retrocyclin) class of anti-HIV-1 peptides and their potential for development as topical microbicides to prevent HIV-1 transmission. PMID- 18154594 TI - The role of toll-like receptor ligands/agonists in protection against genital HSV 2 infection. AB - Control of virus replication initially depends on rapid activation of the innate immune responses. Toll-like receptor (TLR) ligands are potent inducers of innate immunity against viral infections, including herpes simplex virus (HSV). HSV-2 is currently one of the most common sexually transmitted infections in developed nations and is becoming more prevalent in adolescents. HSV-2 infects the genital mucosa and is associated with an increased risk of obtaining other sexually transmitted infections such as HIV. There is currently no vaccine available against HSV-2. In the last several years, there has been an interest in utilizing Toll-like receptor (TLR) ligands to initiate innate immune responses in order to provide an early line of defence against viral replication. This review highlights recent studies investigating the effect of various TLR ligands on genital HSV-2 infection. A considerable body of information has been published on the effect of local delivery of TLR ligands on HSV-2 replication in genital mucosa. We have outlined ligands that have a potential to provide protection against HSV-2 infection. In addition, we have presented possible mechanisms by which the local delivery of TLR ligands provides innate protection against genital HSV-2. PMID- 18154595 TI - Mucosal innate immunity as a determinant of HIV susceptibility. AB - Most human immunodeficiency virus (HIV) is acquired during sex, across a mucosal membrane. Despite many advances in our understanding of HIV pathogenesis, the initial events during mucosal transmission have been poorly characterized, and a better understanding of these events will probably be a key to the development of successful microbicide(s) and/or a preventative HIV vaccine. While a vast majority of mucosal HIV exposures do not result in productive infection, implying that innate mucosal immune defenses are highly protective, failure of these mucosal defenses resulted in over 3 million new HIV infections in 2006. We review recent findings regarding HIV mucosal immunopathogenesis, emphasizing the importance of innate immunity in natural protection from infection, and examine how natural or induced perturbations in the mucosal innate system may underpin HIV transmission. Given the great challenges to the development of HIV microbicides and vaccines, identification and enhancement of 'natural' innate immune defenses present attractive avenues for development of safe, non-toxic microbicides. PMID- 18154596 TI - Patterns of infiltration of lymphocytes into the testis under normal and pathological conditions in mice. AB - The testis is known as an immunologically privileged organ. In particular, the blood-testis barrier formed by Sertoli cells protects auto-immunogenic spermatids from attack by the self-immune system. We review here the micro-status of testicular tissues in mice from the viewpoint of induction of inflammatory cell responses. Many studies have demonstrated that the testis is the most resistant to various forms of non-autoimmune inflammation among the male reproductive organs. However, it was found that testicular inflammation of autoimmune origin is inducible by immunization with testis antigens even without an adjuvant in mice. In particular, the tubuli recti (TR) comprises specific region, where lymphocytes are attracted. Many antigen-presenting macrophages preferentially accumulate around the TR under normal conditions. This characteristic accumulation of macrophages is an acquired phenomenon that is completed when spermatids start to differentiate in the seminiferous tubules (S). In addition, intra-tubular lymphocytes that are very close to both germ cells and their remnants could be occasionally found in the TR, rete testis (R), epididymis (E), but not in the S, in normal mice. Although the physiological function of these penetrating lymphocytes remains unknown, we suppose that this micro-status provides a chance for evocation of autoimmune inflammation of the TR, R and E in some pathological conditions. PMID- 18154597 TI - Harnessing the immune system for ovarian cancer therapy. AB - The clinical course of ovarian cancer is often marked by periods of relapse and remission until chemo-resistance develops. Patients in remission with minimal disease burdens are ideally suited for the evaluation of immune-based strategies. Major obstacles to the development of successful immune strategies include the identification of tumor-restricted immunogenic targets, generation of a sufficient immune response to cause tumor rejection, and approaches to overcome evasion of immune attack. Many questions remain as optimal strategies are developed, which include: (i) What is the best antigen form (e.g. peptides, proteins or tumor lysates)? (ii) What are the appropriate adjuvants? (iii) Are mono-valent or multi-valent vaccines likely to be more effective? (iv) What is the optimal frequency and duration of vaccination? (v) How should antigen specific responses be monitored? and (vi) How should the anti-cancer response be maintained? In this review, we explore representative examples of immune strategies under investigation for patients with ovarian carcinoma which illustrate many of these issues. Basic principles generic to all these immunotherapeutic approaches will also be discussed. PMID- 18154598 TI - Supporting the hypothesis of pregnancy as a tumor: survivin is upregulated in normal pregnant mice and participates in human trophoblast proliferation. AB - PROBLEM: Survivin, a tumor-promoting antiapoptotic molecule, is expressed in the human placenta. Here, we analyzed its expression during normal and pathological murine pregnancy and investigated its participation in human first trimester trophoblast cell survival and proliferation. METHOD OF STUDY: We first analyzed the expression of survivin on the mRNA and protein level at the fetal-maternal interface of normal pregnant (CBA/J x BALB/c) and abortion-prone (CBA/J x DBA/2J) mice at different pregnancy stages by RT-PCR and immunohistochemistry. We also evaluated apoptosis in murine trophoblasts in both mating combinations by TUNEL technique. Functional studies were carried out by knockdown survivin by means of siRNA methodology in two human first trimester trophoblast cell lines [Swan.71 (Sw.71) and HTR8 (H8)]. RESULTS: We observed a peak in mRNA levels on day 5 and a peak of protein levels on day 8 of pregnancy in both combinations. The level of survivin in animals from the abortion-prone group was decreased compared with normal pregnant mice on day 8, which was accompanied by elevated apoptosis rates. In later pregnancy stages (days 10 and 14), survivin levels decreased to levels comparable to those observed right after fecundation in both groups. Transfection of human first trimester cell lines (H8 and Sw.71) with siRNA targeting the survivin gene led to a 76-82% reduction of its expression leading to reduced trophoblast cell viability and proliferation. CONCLUSION: Our findings suggest an important role of survivin to promote trophoblast cell survival and proliferation during placentation, thus maintaining pregnancy. The pregnancy-associated expression of a cancer molecule such as survivin supports the 'pseudo-malignancy' hypothesis of pregnancy. Our data may contribute to the better understanding of trophoblast cell development during implantation and placentation. PMID- 18154599 TI - The good and the bad news: surgery vs. drug therapy. PMID- 18154600 TI - Insulin resistance: central and peripheral mechanisms. The 2007 Stock Conference Report. AB - Insulin resistance in peripheral tissues and in the brain are fundamental to the development of obesity and its associated type 2 diabetes. Multiple mechanisms contribute to the development of insulin resistance. The 2007 Stock Conference focused on the role of fatty acids and other lipid signals in initiating insulin resistance and the consequences of central insulin resistance to the regulation of energy balance and peripheral metabolism. PMID- 18154601 TI - Childhood obesity: are we missing the big picture? AB - Childhood obesity is increasing worldwide, raising alarm about future trends of cardiovascular disease, diabetes and cancer. This article discusses what may underlie our failure to respond effectively to the obesity epidemic, and presents a wider perspective for future research and public health agendas. So far targeting individual-level determinants and clinical aspects of childhood obesity has produced limited success. There is growing interest in understanding the wider determinants of obesity such as the built environment (e.g. walkability), social interactions, food marketing and prices, but much needs to be learned. Particularly, we need to identify distal modifiable factors with multiple potential that would make them attractive for people and policymakers alike. For example, walking-biking-friendly cities can reduce obesity as well as energy consumption, air pollution and traffic delays. Such agenda needs to be driven by strong evidence from research involving multi-level influences on behaviour, as well as the study of wider politico-economic trends affecting people's choices. This article highlights available evidence and arguments for research and policy needed to curb the obesity epidemic. The upstream approach underlying these arguments aims to make healthy choices not only the most rational, but also the most feasible and affordable. PMID- 18154602 TI - Effects of resistance training on metabolic fitness in children and adolescents: a systematic review. AB - The majority of resistance training (RT) research with children to date has focused on pre-adolescents and the safety and efficacy of this type of training rather than the potential metabolic health benefits. Our objectives, using computerized databases, were (i) to systematically review studies utilizing RT interventions with children and adolescents <18 years; (ii) to investigate the metabolic health outcomes (adiposity, lipids, insulin, glucose) associated with RT; (iii) to provide recommendations for future investigations. A total of 12 studies met the review criteria. There is only a small amount of evidence that children and adolescents may derive metabolic health-related adaptations from supervised RT. However, methodological limitations within the body of this literature make it difficult to determine the optimal RT prescription for metabolic fitness in children and adolescents, and the extent and duration of such benefits. More robustly designed single modality randomized controlled trials utilizing standardized reporting and precise outcome assessments are required to determine the extent of health outcomes attributable solely to RT and to enable the development of evidence-based obesity prevention and treatment strategies in this cohort. PMID- 18154603 TI - School physical activity interventions: do not forget about obesity bias. AB - Obesity bias is the tendency to negatively judge an overweight or obese individual based on assumed and/or false character traits, such as being physically unattractive, incompetent, lazy and lacking self-discipline. Obesity biases, such as teasing or weight criticism during physical activity (PA), can be psychologically or emotionally damaging for overweight children and adolescents. Ultimately, the effects students experience over time may create a psychological barrier and students can become resistant to schools' health and PA interventions that promote lifestyle changes. Fortunately, the psychological effects of obesity bias are mediated by social buffers and coping mechanisms. Several PA-related researchers have proposed strategic intervention components, but no studies have been completed in PA settings. The purpose of this review was to discuss the nature and different types of obesity bias in PA settings. Major theoretical frameworks of the aetiology and change mechanisms of obesity biases from the psychological literature were reviewed and direct applications for strategic component interventions were made for PA settings. Because of the pervasiveness and entrenchment of obesity bias, it is obvious that multiple theoretical frameworks need to be considered and even combined to create safe and caring school PA environments for students. PMID- 18154604 TI - All choices are not equal; effects of context on point-of-choice prompts for stair climbing. PMID- 18154606 TI - Aulus Cornelius Celsus and his pre-modern patho-physiologic notions on obesity associated morbidity and mortality. PMID- 18154607 TI - Challenges in studies on resistance training and obesity. PMID- 18154610 TI - Special regulatory T cell review: How I became a T suppressor/regulatory cell maven. AB - I have briefly reviewed the factors that motivated me to change my views about the existence and importance of suppressor/regulatory T cells and to devote the majority of my laboratory efforts to this newly revitalized area of immunologic research. I am optimistic that manipulation of regulatory T-cell function will shortly be applicable to the clinic. PMID- 18154611 TI - Special regulatory T-cell review: Regulatory T cells and the intestinal tract- patrolling the frontier. AB - Tolerance to self and harmless antigens is one of the central features of the immune system, and it is obtained through a combination of multiple mechanisms. Discriminating between pathogens and non-pathogenic antigens is especially important in the intestine, which constitutes the main contact surface between the body and the outside environment. Recently, the role of Foxp3+ regulatory T cells (Treg) in the establishment and maintenance of tolerance has been the focus of numerous studies. In this review, we briefly discuss the historical background leading to the identification of Foxp3+ Treg and give an overview of their role in controlling systemic and mucosal immune responses. PMID- 18154612 TI - Special regulatory T cell review: The suppression problem! AB - The concept of T-cell mediated suppression evolved more than 30 years ago. At that time it spawned many claims that have not stood the test of time. The rediscovery of suppression phenomena and regulatory T cells over the past 15 years created schizophrenic responses amongst immunologists. Some claimed that the new proponents of suppression were, once again, bringing immunology into disrepute, whilst others have embraced the field with great enthusiasm and novel approaches to clarification. Without faithful repetition of the "old" experiments, it is difficult to establish what was right and what was wrong. Nevertheless, immunologists must now accept that a good number of the old claims were overstated, and reflected poor scientific discipline. "I speak not to disprove what Brutus spoke, But here I am to speak what I do know" Shakespeare. Julius Caesar Act 3, Scene 2. PMID- 18154613 TI - Special regulatory T-cell review: Regulation of immune responses--examining the role of T cells. AB - The history of regulatory T cells goes back to the realisation that T cells could provide 'help' for antibody responses: the obverse of this is their ability to hold them in check. This brief personal overview follows the initial designation of T cells as 'suppressor' and the various hypotheses, some now disproved, put forward for their mechanism of action. We now cautiously label them T regulatory cells, but realise they do not control not all immune regulation. They probably operate through several mechanisms, and some of these are discussed. PMID- 18154614 TI - Special regulatory T-cell review: FOXP3 biochemistry in regulatory T cells--how diverse signals regulate suppression. AB - FOXP3 is an acetylated and phosphorylated protein active in human regulatory T cells and forms oligomers which then associate with an even larger molecular complex. FOXP3 actively regulates transcription by recruiting enzymatic co repressors and/or co-activators. FOXP3 complex ensembles are dynamically regulated by physiological stimuli such as T-cell receptor, IL-2 and proinflammation cytokine signals. Understanding the post-translational modifications of FOXP3 regulated by diverse signals and the biochemistry and structural chemistry of enzymatic proteins in the FOXP3 complex is critical for therapeutically modulating regulatory T cell function. PMID- 18154615 TI - Special regulatory T-cell review: A rose by any other name: from suppressor T cells to Tregs, approbation to unbridled enthusiasm. AB - In the early 1970s a spate of papers by research groups around the world provided evidence for a negative regulatory role of thymus-derived lymphocytes (T cells). In 1971, Gershon and Kondo published a seminal paper in Immunology entitled 'Infectious Immunological Tolerance' indicating that such negative regulation could be a dominant effect that prevented otherwise 'helpful' T cells from mediating their function. Over the next decade, suppressor T cells, as these negative regulatory cells became known, were intensively investigated and a complex set of interacting cells and soluble factors were described as mediators in this process of immune regulation. In the early 1980s, however, biochemical and molecular experiments raised questions about the interpretation of the earlier studies, and within a few years, the term 'suppressor T cell' had all but disappeared from prominence and research on this phenomenon was held in poor esteem. While this was happening, new studies appeared suggesting that a subset of T cells played a critical role in preventing autoimmunity. These T cells, eventually dubbed 'regulatory T cells', have become a major focus of modern cellular immunological investigation, with a predominance that perhaps eclipses even that seen in the earlier period of suppressor T cell ascendancy. This brief review summarizes the rise and fall of 'suppressorology' and the possibility that Tregs are a modern rediscovery of suppressor T cells made convincing by more robust models for their study and better reagents for their identification and analysis. PMID- 18154616 TI - Special regulatory T-cell review: Suppressors regulated but unsuppressed. AB - The rise-and-fall and reincarnation of suppressor T cells is reviewed from the perspective of a participant in the field. PMID- 18154617 TI - Special regulatory T-cell review: T-cell dependent suppression revisited. AB - The concept of T-cell dependent regulation of immune responses has been a central tenet of immunological thinking since the delineation of the two cell system in the 1960s. Indeed T-cell dependent suppression was discovered before MHC restriction. When reviewing the data from the original wave of suppression, it is intriguing to reflect not just on the decline and fall of suppressor T cells in the 1980s, but on their equally dramatic return to respectability over the past decade. Hopefully their resurgence will be supported by solid mechanistic data that will underpin their central place in our current and future understanding of the immune system. Cannon to right of them, Cannon to left of them, Cannon in front of them Volley'd and thunder'd Storm'd at with shot and shell, Boldly they rode and well, Into the jaws of Death, Into the mouth of Hell, Rode the six hundred (suppressionists). (Adapted from The Charge of the Light Brigade, Alfred, Lord Tennyson) PMID- 18154618 TI - Special regulatory T cell review: The resurgence of the concept of contrasuppression in immunoregulation. AB - The original concept of contrasuppression (CS) is evident in many immunoregulatory mechanisms. Inhibition of suppressor activity--CS--may be critical in microbial infection and autoimmunity. The major cellular interactions involved in suppression are the CD25+ FoxP3+ CD4+ T regulatory cells, programmed death-1 (PD-1) : PD-L1/L2 and cytotoxic T lymphocyte antigen-4 (CTLA-4) : CD80/86 pathways. These cellular functions are affected by dendritic cells (DC) and a complex array of cytokines of which interleukin (IL)-2, IL-10, IL-6 and transforming growth factor-beta (TGF-beta) are especially significant. Inhibition of regulatory cells, suppressor pathways or cytokines, is consistent with CS and can be attributed to IL-6, IL-2, PD-1 or PD-L-1 antibodies, blockade of CTLA-4 : CD80/86 pathway, inhibition of CD40-CD40L pathways, and TGF-beta, IL-10 antibodies. Contrasuppression may regulate innate immunity by Toll-like receptor expressed not only in non-cognate DC, monocytes, natural killer cells and gammadelta T cells but also in adaptive T cells. Furthermore, cross-talk between innate and adaptive immunity may be facilitated by contrasuppressor activity. ''What's in a name? That which we call a rose by any other name would smell as sweet.'' From Romeo and Juliet (II, 47-8) W. Shakespeare. PMID- 18154619 TI - Different regulation of T helper 1- and T helper 2-promoting cytokine signalling factors in human dendritic cells after exposure to protein versus contact allergens. AB - Cytokine-dependent T helper 1 (Th1) differentiation versus T helper 2 (Th2) differentiation is controlled by distinct transcription factors. Previously, we have demonstrated that immature human dendritic cells (DC) from blood donors with allergies show rapid phosphorylation of the Th2-associated signal transducer and activator of transcription 6 (STAT6) upon contact with protein allergens. In the present study we investigated whether this process is regulated by the downstream molecules suppressor of cytokine signalling (SOCS) and/or by the factors T-bet and GATA3. Therefore, immature DC of grass or birch pollen-allergic donors were treated with the respective Th2-promoting protein allergens, and, for comparison, with the Th1-promoting contact allergen 5-chloro-2-methylisothiazolinone plus 2 methylisothiazolinone (MCI/MI) or with the antigen tetanus toxoid. Changes in the mRNA levels of SOCS1, SOCS3, T-bet and GATA3 were analysed by quantitative real time polymerase chain reaction. Exposure of DC to protein allergens led to the up regulation of the Th2-associated genes SOCS3 and GATA3, whereas the contact allergen MCI/MI preferentially enhanced the expression of the Th1-associated gene T-bet. Treatment of immature DC with the antigen tetanus toxoid increased both Th1- and Th2-associated genes. Our data indicate that polarization of type 1 versus type 2 immune responses takes place already at the level of antigen presenting cells, involving molecules similar to those used in T-cell polarization. PMID- 18154621 TI - Guest Editorial: are diabetes-related wounds and amputations worse than cancer? PMID- 18154620 TI - Fine specificity of natural killer T cells against GD3 ganglioside and identification of GM3 as an inhibitory natural killer T-cell ligand. AB - GD3, a ganglioside expressed on melanoma, is the only tumour-associated glycolipid described to date that can induce a CD1d-restricted natural killer T (NKT)-cell response. We analysed the fine specificity of GD3-reactive NKT cells and discovered that immunization with GD3 induced two populations of GD3-reactive NKT cells. One population was CD4+ CD8- and was specific for GD3; the other population was CD4- CD8- and cross-reacted with GM3 in a CD1d-restricted manner, but did not cross-react with GM2, GD2, or lactosylceramide. This indicated that the T-cell receptors reacting with GD3 recognize glucose-galactose linked to at least one N-acetyl-neuraminic acid but will not accommodate a terminal N acetylgalactosamine. Immunization with GM2, GM3, GD2, or lactosylceramide did not induce an NKT-cell response. Coimmunization of GM3-loaded antigen-presenting cells (APCs) with GD3-loaded APCs suppressed the NKT-cell response to GD3 in a CD1d-restricted manner. This suppressive effect was specific for GM3 and was a local effect lasting 2-4 days. In vitro, GM3-loaded APCs also suppressed the interleukin-4 response, but not the interferon-gamma response, of NKT cells to alpha-galactosylceramide. However, there was no effect on the T helper type 2 responses of conventional T cells. We found that this suppression was not mediated by soluble factors. We hypothesize that GM3 induces changes to the APC that lead to suppression of T helper type 2-like NKT-cell responses. PMID- 18154622 TI - Guest Editorial: time and place-shifting the physical examination: technologies are converging to allow more detailed evaluations of the foot and wound. PMID- 18154623 TI - Update from the Diabetic Foot Global Conference (DFCon) 2007. PMID- 18154624 TI - Knowledge and practice of foot care in Iranian people with type 2 diabetes. AB - The aim of this study was to determine the knowledge and practice of foot care in people with type 2 diabetes. We carried out a cross-sectional study. A questionnaire was completed by 148 patients with type 2 diabetes in Tehran, Iran. Knowledge score was calculated and the current practice was determined. The mean knowledge score was 6.6 (standard deviation +/-3.0) out of a possible 16. Illiterate patients were the least knowledgeable (P= 0.008). Lack of adequate knowledge includes the following: 56% not aware of the effect of smoking on the circulation to the feet, 60% failed to inspect their feet and 42% did not know to trim their toenails. High risk practices including use of irritants to water (66.5%) and walking barefoot (62%). The results of this study highlight the patients' inadequate knowledge of self-care about their foot and lack of optimal podiatry service in Iran. These findings have implications for further evaluation, planning and management of patient care in diabetic foot disease. PMID- 18154625 TI - Diabetic foot infections in the elderly: primary amputation versus 'foot-sparing surgery'. A case report. AB - Renal failure diabetic patients who present with lower extremity gangrene represent one of the most difficult problems encountered in a typical vascular practice. We report the hospital course and management of a 74-year-old male patient with such comorbidities, affected by a non healing ulcer that progressed into a large plantar abscess. Our case unfortunately mirrors a common method of evaluation and therapy of patients with such comorbidities and sets up the stage for a very controversial subject. PMID- 18154633 TI - Spirituality and nursing: a reductionist approach. AB - The vast majority of contributions to the literature on spirituality in nursing make extravagant claims about transcendence, eternity, the numinous, higher powers, higher levels of existence, invisible forces, cosmic unity, the essence of humanity, or other supernatural concepts. Typically, these assertions are made without the support of argument or evidence; and, as a consequence, alternative ways of theorizing 'spirituality' have been closed off, while the lack of consistent scholarship has turned the topic into a metaphysical backwater. In this paper, I adopt a different premise, rejecting unsupported claims, and surveying the 'spirituality' terrain from a naturalistic and reductionist perspective. I argue that, if we rid ourselves of non-naturalistic assumptions, we will discover theoretical and clinical resources in health psychology, social psychology, neuropsychology, and pharmacopsychology - resources which confirm that it is possible to conceptualize the study of existential concerns, and how health professionals might respond to them, in a properly scientific manner. In order to illustrate the potential usefulness of these resources, I will take palliative care as an example. PMID- 18154634 TI - Increasingly distant from life: problem setting in the organization of home care. AB - The analysis undertaken in this paper explores the significance of a central finding from a recent field study of home care case management practice: a notable feature of case management work is the preparation of an orderly, ordered space where care may be offered. However, out of their encounters with an almost endless variety of situations, out of people's diverse narratives of need, case managers seem able to pick out only limited range of recognized needs to which to respond and demonstrate a series of responses themselves equally limited. Though this observation suggests a kind of efficiency that is currently highly valued within healthcare systems, it also underlines the system's inability to engage difference and variability in a meaningful way. This inability or limitation in effectively engaging difference is conceptualized here as, in some sense, a problem, and the nature of this problem is explored through the rhetorical process of problem setting. The central question becomes how might we develop and deploy an orderly and coherent system of care without essentializing people's experiences, without treating these experiences reductively, without, in a Foucaultian frame of reference, allowing what can be understood as similarity or resemblance among clients and situations to be folded back into sameness? As we encounter complexity, variability and difference in practice, how should we treat it? PMID- 18154635 TI - Mixed method nursing studies: a critical realist critique. AB - Mixed method study designs are becoming increasingly popular among nurse researchers. Mixed studies can have advantages over single method or methodological investigative designs. However, these advantages may be squandered where researchers fail to think through and justify their theoretic decisions. This paper argues that nurse researchers do not always pay sufficient heed to the philosophic and theoretic elements of research design and, in consequence, some mixed study reports lack argumentative coherence and validity. It is here suggested that Hempel's concept of equivalence can be stretched to usefully illustrate one of the main threats to argumentative coherence in mixed study design. The critical realist theory of Roy Bhaskar is then introduced and this, it is proposed, offers one means by which Hempel's equivalence dilemma can be overcome. Critical realists recognize the existence of logical connections between the ontological, epistemological, and methodological premises that underpin their work. They are therefore more likely to produce coherent studies than uncritical pragmatists who ignore such linkages and, paradoxically, critical realists can be epistemological pluralists because, in re-conceptualizing the ontological basis of inquiry, problems associated with the mixing of alternative metaphysics are circumvented. PMID- 18154636 TI - On different types of dignity in nursing care: a critique of Nordenfelt. AB - Dignity appears to be an important concept in nursing philosophy and more widely in health care policy and provision. Recent events in the UK have generated much interest in the subject. However, there appears to be some confusion about the precise meaning and application of the concept. An influential contribution to the debate has come from Nordenfelt, who, as part of a European project investigating dignity and the care of older people, has proposed a four-part typology of dignity. In this article, we will explore some of the background to the dignity debate in UK nursing and health care, give a brief overview of Nordenfelt's position, offer some criticisms of his work and propose some modifications to his view. PMID- 18154637 TI - Beleaguered by technology: care in technologically intense environments. AB - Modern technology has enabled the use of new forms of information in the care of critically ill patients. In intensive care units (ICUs), technology can simultaneously reduce the lived experience of illness and magnify the objective dimensions of patient care. The aim of this study, based upon two empirical studies, is to find from a philosophical point of view a more comprehensive understanding for the dominance of technology within intensive care. Along with caring for critically ill patients, technology is part of the ICU staff's everyday life. Both technology and caring relationships are of indispensable value. Tools are useful, but technology can never replace the closeness and empathy of the human touch. It is a question of harmonizing the demands of subjectivity with objective signs. The challenge for caregivers in ICU is to know when to heighten the importance of the objective and measurable dimensions provided by technology and when to magnify the patients' lived experiences, and to live and deal with the ambiguity of the technical dimension of care and the human side of nursing. PMID- 18154638 TI - Making sense of stories: the use of patient narratives within mental health care research. PMID- 18154639 TI - The expression of HSP27 is associated with poor clinical outcome in intrahepatic cholangiocarcinoma. AB - BACKGROUND: The heat shock proteins (HSPs) 27-kDa (HSP27) and 72-kDa (HSP72), are ubiquitous chaperone molecules inducible in cells exposed to different stress conditions. Increased level of HSPs are reported in several human cancers, and found to be associated with the resistance to some anticancer treatments and poor prognosis. However, there is no study of the relationship between HSPs expression and patient's prognosis in intrahepatic cholangiocarcinoma (IHCCA). In this exploratory retrospective study, we investigated the expressions of HSP27 and HSP72 as potential prognostic factors in IHCCA. METHODS: Thirty-one paraffin embedded samples were analyzed by immunohistochemical methods using HSP27 and HSP72 monoclonal antibodies. Proliferation rate was assessed in the same specimens by using monoclonal antibody against phosphorylated histone H3 (pHH3). Fisher's exact test was used to assess the hypothesis of independence between categorical variables in 2 x 2 tables. The ANOVA procedure was used to evaluate the association between ordinal and categorical variables. Estimates of the survival probability were calculated using the Kaplan-Meier method, and the log rank test was employed to test the null hypothesis of equality in overall survival among groups. The hazard ratio associated with HSP27 and HSP72 expression was estimated by Cox hazard-proportional regression. RESULTS: The expression of HSP27 was related to mitotic index, tumor greatest dimension, capsular and vascular invasion while the expression of HSP72 was only related to the presence of necrosis and the lymphoid infiltration. Kaplan-Maier analysis suggested that the expression of HSP27 significantly worsened the patients' median overall survival (11 +/- 3.18 vs 55 +/- 4.1 months, P-value = 0.0003). Moreover HSP27-positive patients exhibited the worst mean survival (7.0 +/- 3.2 months) in the absence of concomitant HSP72 expression. CONCLUSION: The expression of HSP27, likely increasing cell proliferation, tumor mass, vascular and capsular invasion, might promote aggressive tumor behaviour in IHCCA and decrease patients' survival. Immunohistochemical detection of HSP27 on routine sections may provide a reliable prognostic marker for IHCCA able to influence the therapeutic strategies for this cancer. PMID- 18154640 TI - MRPS18CP2 alleles and DEFA3 absence as putative chromosome 8p23.1 modifiers of hearing loss due to mtDNA mutation A1555G in the 12S rRNA gene. AB - BACKGROUND: Mitochondrial DNA (mtDNA) mutations account for at least 5% of cases of postlingual, nonsyndromic hearing impairment. Among them, mutation A1555G is frequently found associated with aminoglycoside-induced and/or nonsyndromic hearing loss in families presenting with extremely variable clinical phenotypes. Biochemical and genetic data have suggested that nuclear background is the main factor involved in modulating the phenotypic expression of mutation A1555G. However, although a major nuclear modifying locus was located on chromosome 8p23.1 and regardless intensive screening of the region, the gene involved has not been identified. METHODS: With the aim to gain insights into the factors that determine the phenotypic expression of A1555G mutation, we have analysed in detail different genetic and genomic elements on 8p23.1 region (DEFA3 gene absence, CLDN23 gene and MRPS18CP2 pseudogene) in a group of 213 A1555G carriers. RESULTS: Family based association studies identified a positive association for a polymorphism on MRPS18CP2 and an overrepresentation of DEFA3 gene absence in the deaf group of A1555G carriers. CONCLUSION: Although none of the factors analysed seem to have a major contribution to the phenotype, our findings provide further evidences of the involvement of 8p23.1 region as a modifying locus for A1555G 12S rRNA gene mutation. PMID- 18154641 TI - Calcification of intervertebral discs in the dachshund: a radiographic and histopathologic study of 20 dogs. AB - BACKGROUND: The purpose of the study was to compare radiographic and histopathologic findings with regard to number and extent of calcified discs in the dachshund. METHODS: The intervertebral discs of 20 dachshunds were subjected to a radiographic and histopathologic examination. The dogs were selected randomly from clinical cases euthanased for reasons unrelated to research at the Norwegian School of Veterinary Science. Lateral radiographs were taken of the vertebral columns after removing them from the carcasses. The histopathologic examination included 5 microm thick sections in the transverse plane, stained with hematoxylin-eosin and von Kossa. Radiographs and histological sections were evaluated independently. RESULTS: A total of 148 (28.5%) calcified discs were identified at the radiographic and 230 (45.7%) at the histopathologic examination. Of 92 discs found to be calcified by histopathology, but not by radiography, the degree of calcification was evaluated as 'slight' in 84 (91.3%). All the intervertebral discs (n = 138) that were found to be calcified by radiography were also found to be calcified by histopathology. CONCLUSION: A sensitivity of 0.6 and specificity of 1.0 for radiography was calculated when using histopathology as the gold standard. PMID- 18154642 TI - The relationship between gastric emptying, plasma cholecystokinin, and peptide YY in critically ill patients. AB - BACKGROUND: Cholecystokinin (CCK) and peptide YY (PYY) are released in response to intestinal nutrients and play an important physiological role in regulation of gastric emptying (GE). Plasma CCK and PYY concentrations are elevated in critically ill patients, particularly in those with a history of feed intolerance. This study aimed to evaluate the relationship between CCK and PYY concentrations and GE in critical illness. METHODS: GE of 100 mL of Ensure meal (106 kcal, 21% fat) was measured using a 13C-octanoate breath test in 39 mechanically ventilated, critically ill patients (24 males; 55.8 +/- 2.7 years old). Breath samples for 13CO2 levels were collected over the course of 4 hours, and the GE coefficient (GEC) (normal = 3.2 to 3.8) was calculated. Measurements of plasma CCK, PYY, and glucose concentrations were obtained immediately before and at 60 and 120 minutes after administration of Ensure. RESULTS: GE was delayed in 64% (25/39) of the patients. Baseline plasma CCK (8.5 +/- 1.0 versus 6.1 +/- 0.4 pmol/L; P = 0.045) and PYY (22.8 +/- 2.2 versus 15.6 +/- 1.3 pmol/L; P = 0.03) concentrations were higher in patients with delayed GE and were inversely correlated with GEC (CCK: r = -0.33, P = 0.04, and PYY: r = -0.36, P = 0.02). After gastric Ensure, while both plasma CCK (P = 0.03) and PYY (P = 0.02) concentrations were higher in patients with delayed GE, there was a direct relationship between the rise in plasma CCK (r = 0.40, P = 0.01) and PYY (r = 0.42, P < 0.01) from baseline at 60 minutes after the meal and the GEC. CONCLUSION: In critical illness, there is a complex interaction between plasma CCK, PYY, and GE. Whilst plasma CCK and PYY correlated moderately with impaired GE, the pathogenetic role of these gut hormones in delayed GE requires further evaluation with specific antagonists. PMID- 18154643 TI - Process skill rather than motor skill seems to be a predictor of costs for rehabilitation after a stroke in working age; a longitudinal study with a 1 year follow up post discharge. AB - BACKGROUND: In recent years a number of costs of stroke studies have been conducted based on incidence or prevalence and estimating costs at a given time. As there still is a need for a deeper understanding of factors influencing these costs the aim of this study was to calculate the direct and indirect costs in a younger (<65) sample of stroke patients and to explore factors affecting the costs. METHODS: Fifty-eight patients included in a study of home rehabilitation and followed for 1 year after discharge from the rehabilitation unit, were interviewed about their use of health care services, assistance, medications and assistive devices. Costs (defined as the cost for society) were calculated. A linear regression of cost and variables of functioning, ability, community integration and health-related quality of life was done. RESULTS: Inpatient care contributed substantially to the direct cost with a mean length of stay of 92 days. Rehabilitation during the first year constituted of an average of 28 days in day clinics, 38 physiotherapy sessions and 20 occupational therapy sessions. The total direct mean cost was 80 020 euro and the indirect cost 35 129 euro. The direct costs were influenced by the process skill (the ability to plan and perform a given task and to adapt when needed) and presence of aphasia. Indirect costs for informal care giving increased for patients with a lower health-related quality of life as well as a low score on home integration. CONCLUSION: Costs are high in this group of young (< 65 years) stroke patients compared to other studies, partly due to the length of the stay and partly to loss of productivity. PMID- 18154644 TI - Predicting long-term response to strong opioids in patients with low back pain: findings from a randomized, controlled trial of transdermal fentanyl and morphine. AB - BACKGROUND: Some patients with long-standing low back pain will benefit from treatment with strong opioids. However, it would be helpful to predict which patients will have a good response. A fixed-term opioid trial has been recommended, but there is little evidence to suggest how long this trial should be. We assessed data from a large-scale randomized comparison of transdermal fentanyl (TDF) and sustained-release oral morphine (slow-release morphine; SRM) to determine characteristics of treatment responders. METHODS: This was a secondary analysis of a previously published 13-month randomized trial involving 680 patients with long-standing low back pain (median age 52 years, 61% women, median duration of back pain 87 months). Pain relief was recorded using visual analogue scales (VAS). Treatment response was defined as pain relief of at least 30% from baseline to any point during the trial. We used a step-wise logistic regression to identify variables that might predict response to treatment. Covariates included treatment group, sex, age, duration of pain, presence of neuropathic pain, baseline pain scores, educational/employment status, use of high doses of opioids, and social functioning (SF)-36 scores. RESULTS: Over half the patients in both groups (n = 370; 54% TDF, 55% SRM) were treatment responders. There were no differences between the TDF and SRM responders in terms of age, sex, type or duration of pain between responders and non-responders. The difference in response to treatment between responders and non-responders could be detected at 3 weeks. Lack of response after 1 month had a stronger negative predictive value (i.e., ability to detect non-responders) than the presence of response after 1 month. The most influential factors for predicting a response were employment status (chi2 = 11.06, p = 0.0259) and use of high doses of opioids (chi2 = 3.04, p = 0.0811). CONCLUSION: No clear pattern of baseline pain (type or severity) or patient characteristics emerged that could be used to predict responders before the start of opioid treatment. However, a 1-month trial period appears sufficient to determine response and tolerability in most cases. PMID- 18154645 TI - Resource allocation of in vitro fertilization: a nationwide register-based cohort study. AB - BACKGROUND: Infertility is common and in vitro fertilization (IVF) is a widely used treatment. In IVF the need increases and the effectiveness and appropriateness decrease by age. The purpose of this study was to describe allocation of resources for IVF by women's age, socioeconomic position, area of residence and treatment sector (public vs. private) and to discuss how fairly the IVF resources are allocated in Finland. METHODS: Women who received IVF between 1996 and 1998 (N = 9175) were identified from the reimbursement records of the Social Insurance Institution (SII). Information on IVF women's background characteristics came from the Central Population Register and the SII, on treatment costs from IVF clinics and the SII, and on births from the Medical Birth Register. The main outcome measures were success of IVF by number of cycles and treated women, expenditures per IVF cycles, per women, per live-birth, and per treatment sector, and private and public expenditures. Expenditures were estimated from health care visits and costs. RESULTS: During a mean period of 1.5 years, older women (women aged 40 or older) received 1.4 times more IVF treatment cycles than younger women (women aged below 30). The success rate decreased by age: from 22 live births per 100 cycles among younger women to 6 per 100 among older women. The mean cost of a live birth increased by age: compared to younger women, costs per born live birth of older women were 3-fold. Calculated by population, public expenditure was allocated most to young women and women from the highest socioeconomic position. Regional differences were not remarkable. CONCLUSION: Children of older infertile women involve more expense due to the lower success rates of IVF. Socioeconomic differences suggest unfair resource allocation in Finland. PMID- 18154646 TI - Social complexity in bees is not sufficient to explain lack of reversions to solitary living over long time scales. AB - BACKGROUND: The major lineages of eusocial insects, the ants, termites, stingless bees, honeybees and vespid wasps, all have ancient origins (> or = 65 mya) with no reversions to solitary behaviour. This has prompted the notion of a 'point of no return' whereby the evolutionary elaboration and integration of behavioural, genetic and morphological traits over a very long period of time leads to a situation where reversion to solitary living is no longer an evolutionary option. RESULTS: We show that in another group of social insects, the allodapine bees, there was a single origin of sociality > 40 mya. We also provide data on the biology of a key allodapine species, Halterapis nigrinervis, showing that it is truly social. H. nigrinervis was thought to be the only allodapine that was not social, and our findings therefore indicate that there have been no losses of sociality among extant allodapine clades. Allodapine colony sizes rarely exceed 10 females per nest and all females in virtually all species are capable of nesting and reproducing independently, so these bees clearly do not fit the 'point of no return' concept. CONCLUSION: We argue that allodapine sociality has been maintained by ecological constraints and the benefits of alloparental care, as opposed to behavioural, genetic or morphological constraints to independent living. Allodapine brood are highly vulnerable to predation because they are progressively reared in an open nest (not in sealed brood cells), which provides potentially large benefits for alloparental care and incentives for reproductives to tolerate potential alloparents. We argue that similar vulnerabilities may also help explain the lack of reversions to solitary living in other taxa with ancient social origins. PMID- 18154647 TI - Cryptic diversity and deep divergence in an upper Amazonian leaflitter frog, Eleutherodactylus ockendeni. AB - BACKGROUND: The forests of the upper Amazon basin harbour some of the world's highest anuran species richness, but to date we have only the sparsest understanding of the distribution of genetic diversity within and among species in this region. To quantify region-wide genealogical patterns and to test for the presence of deep intraspecific divergences that have been documented in some other neotropical anurans, we developed a molecular phylogeny of the wide-spread terrestrial leaflitter frog Eleutherodactylus ockendeni (Leptodactylidae) from 13 localities throughout its range in Ecuador using data from two mitochondrial genes (16S and cyt b; 1246 base pairs). We examined the relation between divergence of mtDNA and the nuclear genome, as sampled by five species-specific microsatellite loci, to evaluate indirectly whether lineages are reproductively isolated where they co-occur. Our extensive phylogeographic survey thus assesses the spatial distribution of E. ockendeni genetic diversity across eastern Ecuador. RESULTS: We identified three distinct and well-supported clades within the Ecuadorean range of E. ockendeni: an uplands clade spanning north to south, a northeastern and central lowlands clade, and a central and southeastern clade, which is basal. Clades are separated by 12% to 15% net corrected p-distance for cytochrome b, with comparatively low sequence divergence within clades. Clades marginally overlap in some geographic areas (e.g., Napo River basin) but are reproductively isolated, evidenced by diagnostic differences in microsatellite PCR amplification profiles or DNA repeat number and coalescent analyses (in MDIV) best modelled without migration. Using Bayesian (BEAST) and net phylogenetic estimates, the Southeastern Clade diverged from the Upland/Lowland clades in the mid-Miocene or late Oligocene. Lowland and Upland clades speciated more recently, in the early or late Miocene. CONCLUSION: Our findings uncover previously unsuspected cryptic species diversity within the common leaflitter frog E. ockendeni, with at least three different species in Ecuador. While these clades are clearly geographically circumscribed, they do not coincide with any existing landscape barriers. Divergences are ancient, from the Miocene, before the most dramatic mountain building in the Ecuadorean Andes. Therefore, this diversity is not a product of Pleistocene refuges. Our research coupled with other studies suggests that species richness in the upper Amazon is drastically underestimated by current inventories based on morphospecies. PMID- 18154648 TI - Genomic and gene regulatory signatures of cryptozoic adaptation: Loss of blue sensitive photoreceptors through expansion of long wavelength-opsin expression in the red flour beetle Tribolium castaneum. AB - BACKGROUND: Recent genome sequence analysis in the red flour beetle Tribolium castaneum indicated that this highly crepuscular animal encodes only two single opsin paralogs: a UV-opsin and a long wavelength (LW)-opsin; however, these animals do not encode a blue (B)-opsin as most other insects. Here, we studied the spatial regulation of the Tribolium single LW- and UV-opsin gene paralogs in comparison to that of the five opsin paralogs in the retina of Drosophila melanogaster. RESULTS: In situ hybridization analysis reveals that the Tribolium retina, in contrast with other insect retinas, constitutes a homogenous field of ommatidia that have seven LW-opsin expressing photoreceptors and one UV-/LW-opsin co-expressing photoreceptor per eye unit. This pattern is consistent with the loss of photoreceptors sensitive to blue wavelengths. It also identifies Tribolium as the first example of a species in insects that co-expresses two different opsins across the entire retina in violation of the widely observed "one receptor rule" of sensory cells. CONCLUSION: Broader studies of opsin evolution in darkling beetles and other coleopteran groups have the potential to pinpoint the permissive and adaptive forces that played a role in the evolution of vision in Tribolium castaneum. PMID- 18154649 TI - Locomotor adaptation to a powered ankle-foot orthosis depends on control method. AB - BACKGROUND: We studied human locomotor adaptation to powered ankle-foot orthoses with the intent of identifying differences between two different orthosis control methods. The first orthosis control method used a footswitch to provide bang-bang control (a kinematic control) and the second orthosis control method used a proportional myoelectric signal from the soleus (a physiological control). Both controllers activated an artificial pneumatic muscle providing plantar flexion torque. METHODS: Subjects walked on a treadmill for two thirty-minute sessions spaced three days apart under either footswitch control (n = 6) or myoelectric control (n = 6). We recorded lower limb electromyography (EMG), joint kinematics, and orthosis kinetics. We compared stance phase EMG amplitudes, correlation of joint angle patterns, and mechanical work performed by the powered orthosis between the two controllers over time. RESULTS: During steady state at the end of the second session, subjects using proportional myoelectric control had much lower soleus and gastrocnemius activation than the subjects using footswitch control. The substantial decrease in triceps surae recruitment allowed the proportional myoelectric control subjects to walk with ankle kinematics close to normal and reduce negative work performed by the orthosis. The footswitch control subjects walked with substantially perturbed ankle kinematics and performed more negative work with the orthosis. CONCLUSION: These results provide evidence that the choice of orthosis control method can greatly alter how humans adapt to powered orthosis assistance during walking. Specifically, proportional myoelectric control results in larger reductions in muscle activation and gait kinematics more similar to normal compared to footswitch control. PMID- 18154650 TI - Immune system responses and fitness costs associated with consumption of bacteria in larvae of Trichoplusia ni. AB - BACKGROUND: Insects helped pioneer, and persist as model organisms for, the study of specific aspects of immunity. Although they lack an adaptive immune system, insects possess an innate immune system that recognizes and destroys intruding microorganisms. Its operation under natural conditions has not been well studied, as most studies have introduced microbes to laboratory-reared insects via artificial mechanical wounding. One of the most common routes of natural exposure and infection, however, is via food; thus, the role of dietary microbial communities in herbivorous insect immune system evolution invites study. Here, we examine the immune system response and consequences of exposing a lepidopteran agricultural pest to non-infectious microorganisms via simple oral consumption. RESULTS: Immune system response was compared between Trichoplusia ni larvae reared on diets with or without non-pathogenic bacteria (Escherichia coli and Micrococcus luteus). Two major immune response-related enzymatic activities responded to diets differently - phenoloxidase activity was inhibited in the bacteria-fed larvae, whereas general antibacterial activity was enhanced. Eight proteins were highly expressed in the hemolymph of the bacteria fed larvae, among them immune response related proteins arylphorin, apolipophorin III and gloverin. Expression response among 25 putative immune response-related genes were assayed via RT-qPCR. Seven showed more than fivefold up regulation in the presence of bacterial diet, with 22 in total being differentially expressed, among them apolipophorin III, cecropin, gallerimycin, gloverin, lysozyme, and phenoloxidase inhibiting enzyme. Finally, potential life-history trade-offs were studied, with pupation time and pupal mass being negatively affected in bacteria fed larvae. CONCLUSION: The presence of bacteria in food, even if non-pathogenic, can trigger an immune response cascade with life history tradeoffs. Trichoplusia ni larvae are able to detect and respond to environmental microbes encountered in the diet, possibly even using midgut epithelial tissue as a sensing organ. Potential benefits of this immune system priming may outweigh the observed tradeoffs, as priming based on environmentally sensed bacterial may decrease risk of serious infection. These results show that food plant microbial communities represent a dynamic and unstudied part of the coevolutionary interactions between plants and their insect herbivores. PMID- 18154651 TI - Extensive population genetic structure in the giraffe. AB - BACKGROUND: A central question in the evolutionary diversification of large, widespread, mobile mammals is how substantial differentiation can arise, particularly in the absence of topographic or habitat barriers to dispersal. All extant giraffes (Giraffa camelopardalis) are currently considered to represent a single species classified into multiple subspecies. However, geographic variation in traits such as pelage pattern is clearly evident across the range in sub Saharan Africa and abrupt transition zones between different pelage types are typically not associated with extrinsic barriers to gene flow, suggesting reproductive isolation. RESULTS: By analyzing mitochondrial DNA sequences and nuclear microsatellite loci, we show that there are at least six genealogically distinct lineages of giraffe in Africa, with little evidence of interbreeding between them. Some of these lineages appear to be maintained in the absence of contemporary barriers to gene flow, possibly by differences in reproductive timing or pelage-based assortative mating, suggesting that populations usually recognized as subspecies have a long history of reproductive isolation. Further, five of the six putative lineages also contain genetically discrete populations, yielding at least 11 genetically distinct populations. CONCLUSION: Such extreme genetic subdivision within a large vertebrate with high dispersal capabilities is unprecedented and exceeds that of any other large African mammal. Our results have significant implications for giraffe conservation, and imply separate in situ and ex situ management, not only of pelage morphs, but also of local populations. PMID- 18154652 TI - Comparative genomic characterization of citrus-associated Xylella fastidiosa strains. AB - BACKGROUND: The xylem-inhabiting bacterium Xylella fastidiosa (Xf) is the causal agent of Pierce's disease (PD) in vineyards and citrus variegated chlorosis (CVC) in orange trees. Both of these economically-devastating diseases are caused by distinct strains of this complex group of microorganisms, which has motivated researchers to conduct extensive genomic sequencing projects with Xf strains. This sequence information, along with other molecular tools, have been used to estimate the evolutionary history of the group and provide clues to understand the capacity of Xf to infect different hosts, causing a variety of symptoms. Nonetheless, although significant amounts of information have been generated from Xf strains, a large proportion of these efforts has concentrated on the study of North American strains, limiting our understanding about the genomic composition of South American strains - which is particularly important for CVC-associated strains. RESULTS: This paper describes the first genome-wide comparison among South American Xf strains, involving 6 distinct citrus-associated bacteria. Comparative analyses performed through a microarray-based approach allowed identification and characterization of large mobile genetic elements that seem to be exclusive to South American strains. Moreover, a large-scale sequencing effort, based on Suppressive Subtraction Hybridization (SSH), identified 290 new ORFs, distributed in 135 Groups of Orthologous Elements, throughout the genomes of these bacteria. CONCLUSION: Results from microarray-based comparisons provide further evidence concerning activity of horizontally transferred elements, reinforcing their importance as major mediators in the evolution of Xf. Moreover, the microarray-based genomic profiles showed similarity between Xf strains 9a5c and Fb7, which is unexpected, given the geographical and chronological differences associated with the isolation of these microorganisms. The newly identified ORFs, obtained by SSH, represent an approximately 10% increase in our current knowledge of the South American Xf gene pool and include new putative virulence factors, as well as novel potential markers for strain identification. Surprisingly, this list of novel elements include sequences previously believed to be unique to North American strains, pointing to the necessity of revising the list of specific markers that may be used for identification of distinct Xf strains. PMID- 18154653 TI - Consistent dissection of the protein interaction network by combining global and local metrics. AB - We propose a new network decomposition method to systematically identify protein interaction modules in the protein interaction network. Our method incorporates both a global metric and a local metric for balance and consistency. We have compared the performance of our method with several earlier approaches on both simulated and real datasets using different criteria, and show that our method is more robust to network alterations and more effective at discovering functional protein modules. PMID- 18154654 TI - The spiral curriculum: implications for online learning. AB - BACKGROUND: There is an apparent disjuncture between the requirements of the medical spiral curriculum and the practice of replacing previous online material in undergraduate courses. This paper investigates the extent to which students revisit previous online material for the purposes of building the educational spiral, and the implications for the implementation of a Faculty's Learning Management System implementation. METHODS: At the University of Cape Town, medical students' last date of access to 16 previous online courses was determined. Students completed a survey to determine their reasons for revisiting this material and the perceived benefits of this availability. RESULTS: 70% of the students revisited their previous online courses. The major reasons were to review lecture presentations, lectures notes, and quizzes. The perceived benefits were for understanding new material, preparation for assessments, and convenience. Although student comments were not always in line with the concept of the spiral curriculum, most referred to processes of building on previous work, and some mentioned the spiral curriculum specifically. CONCLUSION: This study suggests that the practice of replacing previous online courses may hinder rather than support student learning. Although students visit previous material for ranges of reasons, a large number are aware of the spiral curriculum, and use the online environment to build upon previous material. Any practice, which entails replacing material and redesigning curricula content may be detrimental to the students' future learning needs, and such activities may need revision. PMID- 18154655 TI - Adding artesunate to sulphadoxine-pyrimethamine greatly improves the treatment efficacy in children with uncomplicated falciparum malaria on the coast of Benin, West Africa. AB - BACKGROUND: Benin has recently shifted its national antimalarial drug policy from monotherapies to combinations containing artemisinin derivatives. When this decision was taken, the available information on alternatives to chloroquine and sulphadoxine-pyrimethamine, the first- and second-line treatment, was sparse. METHODS: In 2003 - 2005, before the drug policy change, a randomized, open-label, clinical trial was carried out on the efficacy of chloroquine, and sulphadoxine pyrimethamine alone or combined with artesunate, with the aim of providing policy makers with the information needed to formulate a new antimalarial drug policy. Children between six and 59 months of age, with uncomplicated malaria and living in the lagoon costal area in southern Benin, were randomly allocated to one of the three study arms and followed up for 28 days. RESULTS: Treatment failure (PCR corrected) was significantly lower in the artesunate + sulphadoxine-pyrimethamine group (4/77, 5.3%) than in chloroquine group(51/71, 71.8%) or the sulphadoxine pyrimethamine alone group (30/70, 44.1%) (p < 0.001). Despite high sulphadoxine pyrimethamine failure, its combination with artesunate greatly improved treatment efficacy. CONCLUSION: In Benin, artesunate + sulphadoxine-pyrimethamine is efficacious and could be used when the recommended artemisinin-based combinations (artemether-lumefantrine and amodiaquine-artesunate) are not available. However, because sulphadoxine-pyrimethamine is also used in pregnant women as intermittent preventive treatment, its combination with artesunate should not be widely employed in malaria patients as this may compromise the efficacy of intermittent preventive treatment. PMID- 18154656 TI - Correlation between the progressive cytoplasmic expression of a novel small heat shock protein (Hsp16.2) and malignancy in brain tumors. AB - BACKGROUND: Small heat shock proteins are molecular chaperones that protect proteins against stress-induced aggregation. They have also been found to have anti-apoptotic activity and to play a part in the development of tumors. Recently, we identified a new small heat shock protein, Hsp16.2 which displayed increased expression in neuroectodermal tumors. Our aim was to investigate the expression of Hsp16.2 in different types of brain tumors and to correlate its expression with the histological grade of the tumor. METHODS: Immunohistochemistry with a polyclonal antibody to Hsp16.2 was carried out on formalin-fixed, paraffin-wax-embedded sections using the streptavidin-biotin method. 91 samples were examined and their histological grade was defined. According to the intensity of Hsp16.2 immunoreactivity, low (+), moderate (++), high (+++) or none (-) scores were given. Immunoblotting was carried out on 30 samples of brain tumors using SDS-polyacrylamide gel electrophoresis and Western blotting. RESULTS: Low grade (grades 1-2) brain tumors displayed low cytoplasmic Hsp16.2 immunoreactivity, grade 3 tumors showed moderate cytoplasmic staining, while high grade (grade 4) tumors exhibited intensive cytoplasmic Hsp16.2 staining. Immunoblotting supported the above mentioned results. Normal brain tissue acted as a negative control for the experiment, since the cytoplasm did not stain for Hsp16.2. There was a positive correlation between the level of Hsp16.2 expression and the level of anaplasia in different malignant tissue samples. CONCLUSION: Hsp16.2 expression was directly correlated with the histological grade of brain tumors, therefore Hsp16.2 may have relevance as becoming a possible tumor marker. PMID- 18154657 TI - Alstrom syndrome (OMIM 203800): a case report and literature review. AB - BACKGROUND: Alstrom syndrome (AS) is a rare autosomal recessive disease characterized by multiorgan dysfunction. The key features are childhood obesity, blindness due to congenital retinal dystrophy, and sensorineural hearing loss. Associated endocrinologic features include hyperinsulinemia, early-onset type 2 diabetes, and hypertriglyceridemia. Thus, AS shares several features with the common metabolic syndrome, namely obesity, hyperinsulinemia, and hypertriglyceridemia. Mutations in the ALMS1 gene have been found to be causative for AS with a total of 79 disease-causing mutations having been described. CASE PRESENTATION: We describe the case of a 27-year old female from an English (Caucasian) kindred. She had been initially referred for hypertriglyceridemia, but demonstrated other features suggestive of AS, including blindness, obesity, type 2 diabetes, renal dysfunction, and hypertension. DNA analysis revealed that she is a compound heterozygote with two novel mutations in the ALMS1 gene - H3882Y and V424I. Examination of her family revealed that her phenotypically unaffected mother and younger sister also had heterozygous mutations in the ALMS1 gene. In addition to presenting these novel molecular findings for AS, we review the clinical and genetic features of AS in the context of our case. CONCLUSION: Two novel mutations in the ALMS1 gene causative for AS have been reported here, thereby increasing the number of reported mutations to 81 and providing a wider basis for mutational screening among affected individuals. PMID- 18154658 TI - Oral health service utilization by elderly beneficiaries of the Mexican Institute of Social Security in Mexico city. AB - BACKGROUND: The aging population poses a challenge to Mexican health services. The aim of this study is to describe recent oral health services utilization and its association with socio-demographic characteristics and co-morbidity in Mexican Social Security beneficiaries 60 years and older. METHODS: A sample of 700 individuals aged 60+ years was randomly chosen from the databases of the Mexican Institute of Social Security (IMSS). These participants resided in the southwest of Mexico City and made up the final sample of a cohort study for identifying risk factors for root caries in elderly patients. Sociodemographic variables, presence of cognitive decline, depression, morbidity, medication consumption, and utilization of as well as reasons for seeking oral health services within the past 12 months were collected through a questionnaire. Clinical oral assessments were carried out to determine coronal and root caries experience. RESULTS: The sample consisted of 698 individuals aged 71.6 years on average, of whom 68.3% were women. 374 participants (53.6%) had made use of oral health services within the past 12 months. 81% of those who used oral health services sought private medical care, 12.8% sought social security services, and 6.2% public health services. 99.7% had experienced coronal caries and 44.0% root caries. Female sex (OR = 2.0), 6 years' schooling or less (OR = 1.4), and caries experience in more than 22 teeth (OR = 0.6) are factors associated with the utilization of these services. CONCLUSION: About half the elderly beneficiaries of social security have made use of oral health services within the past 12 months, and many of them have to use private services. Being a woman, having little schooling, and low caries experience are factors associated with the use of these services. PMID- 18154659 TI - Surviving extreme polar winters by desiccation: clues from Arctic springtail (Onychiurus arcticus) EST libraries. AB - BACKGROUND: Ice, snow and temperatures of -14 degrees C are conditions which most animals would find difficult, if not impossible, to survive in. However this exactly describes the Arctic winter, and the Arctic springtail Onychiurus arcticus regularly survives these extreme conditions and re-emerges in the spring. It is able to do this by reducing the amount of water in its body to almost zero: a process that is called "protective dehydration". The aim of this project was to generate clones and sequence data in the form of ESTs to provide a platform for the future molecular characterisation of the processes involved in protective dehydration. RESULTS: Five normalised libraries were produced from both desiccating and rehydrating populations of O. arcticus from stages that had previously been defined as potentially informative for molecular analyses. A total of 16,379 EST clones were generated and analysed using Blast and GO annotation. 40% of the clones produced significant matches against the Swissprot and trembl databases and these were further analysed using GO annotation. Extraction and analysis of GO annotations proved an extremely effective method for identifying generic processes associated with biochemical pathways, proving more efficient than solely analysing Blast data output. A number of genes were identified, which have previously been shown to be involved in water transport and desiccation such as members of the aquaporin family. Identification of these clones in specific libraries associated with desiccation validates the computational analysis by library rather than producing a global overview of all libraries combined. CONCLUSION: This paper describes for the first time EST data from the arctic springtail (O. arcticus). This significantly enhances the number of Collembolan ESTs in the public databases, providing useful comparative data within this phylum. The use of GO annotation for analysis has facilitated the identification of a wide variety of ESTs associated with a number of different biochemical pathways involved in the dehydration and recovery process in O. arcticus. PMID- 18154660 TI - Simulating non-small cell lung cancer with a multiscale agent-based model. AB - BACKGROUND: The epidermal growth factor receptor (EGFR) is frequently overexpressed in many cancers, including non-small cell lung cancer (NSCLC). In silico modeling is considered to be an increasingly promising tool to add useful insights into the dynamics of the EGFR signal transduction pathway. However, most of the previous modeling work focused on the molecular or the cellular level only, neglecting the crucial feedback between these scales as well as the interaction with the heterogeneous biochemical microenvironment. RESULTS: We developed a multiscale model for investigating expansion dynamics of NSCLC within a two-dimensional in silico microenvironment. At the molecular level, a specific EGFR-ERK intracellular signal transduction pathway was implemented. Dynamical alterations of these molecules were used to trigger phenotypic changes at the cellular level. Examining the relationship between extrinsic ligand concentrations, intrinsic molecular profiles and microscopic patterns, the results confirmed that increasing the amount of available growth factor leads to a spatially more aggressive cancer system. Moreover, for the cell closest to nutrient abundance, a phase-transition emerges where a minimal increase in extrinsic ligand abolishes the proliferative phenotype altogether. CONCLUSION: Our in silico results indicate that in NSCLC, in the presence of a strong extrinsic chemotactic stimulus (and depending on the cell's location) downstream EGFR-ERK signaling may be processed more efficiently, thereby yielding a migration-dominant cell phenotype and overall, an accelerated spatio-temporal expansion rate. PMID- 18154661 TI - Do inflammation and procoagulation biomarkers contribute to the metabolic syndrome cluster? AB - CONTEXT: The metabolic syndrome (MetS), in addition to its lipid, metabolic, and anthropomorphic characteristics, is associated with a prothrombotic and the proinflammatory state. However, the relationship of inflammatory biomarkers to MetS is not clear. OBJECTIVE: To study the association between a group of thrombotic and inflammatory biomarkers and the MetS. METHODS: Ten conventional MetS risk variables and ten biomarkers were analyzed. Correlations, factor analysis, hexagonal binning, and regression of each biomarker with the National Cholesterol Education Program (NCEP) MetS categories were performed in the Family Heart Study (n = 2,762). RESULTS: Subjects in the top 75% quartile for plasminogen activator inhibitor-1 (PAI1) had a 6.9 CI95 [4.2-11.2] greater odds (p < 0.0001) of being classified with the NCEP MetS. Significant associations of the corresponding top 75% quartile to MetS were identified for monocyte chemotactic protein 1 (MCP1, OR = 2.19), C-reactive protein (CRP, OR = 1.89), interleukin-6 (IL6, OR = 2.11), sICAM1 (OR = 1.61), and fibrinogen (OR = 1.86). PAI1 correlated significantly with all obesity and dyslipidemia variables. CRP had a high correlation with serum amyloid A (0.6) and IL6 (0.51), and a significant correlation with fibrinogen (0.46). Ten conventional quantitative risk factors were utilized to perform multivariate factor analysis. Individual inclusion, in this analysis of each biomarker, showed that, PAI1, CRP, IL6, and fibrinogen were the most important biomarkers that clustered with the MetS latent factors. CONCLUSION: PAI1 is an important risk factor for MetS. It correlates significantly with most of the variables studied, clusters in two latent factors related to obesity and lipids, and demonstrates the greatest relative odds of the 10 biomarkers studied with respect to the MetS. Three other biomarkers, CRP, IL6, and fibrinogen associate also importantly with the MetS cluster. These 4 biomarkers can contribute in the MetS risk assessment. PMID- 18154662 TI - Microarray analysis of iron deficiency chlorosis in near-isogenic soybean lines. AB - BACKGROUND: Iron is one of fourteen mineral elements required for proper plant growth and development of soybean (Glycine max L. Merr.). Soybeans grown on calcareous soils, which are prevalent in the upper Midwest of the United States, often exhibit symptoms indicative of iron deficiency chlorosis (IDC). Yield loss has a positive linear correlation with increasing severity of chlorotic symptoms. As soybean is an important agronomic crop, it is essential to understand the genetics and physiology of traits affecting plant yield. Soybean cultivars vary greatly in their ability to respond successfully to iron deficiency stress. Microarray analyses permit the identification of genes and physiological processes involved in soybean's response to iron stress. RESULTS: RNA isolated from the roots of two near isogenic lines, which differ in iron efficiency, PI 548533 (Clark; iron efficient) and PI 547430 (IsoClark; iron inefficient), were compared on a spotted microarray slide containing 9,728 cDNAs from root specific EST libraries. A comparison of RNA transcripts isolated from plants grown under iron limiting hydroponic conditions for two weeks revealed 43 genes as differentially expressed. A single linkage clustering analysis of these 43 genes showed 57% of them possessed high sequence similarity to known stress induced genes. A control experiment comparing plants grown under adequate iron hydroponic conditions showed no differences in gene expression between the two near isogenic lines. Expression levels of a subset of the differentially expressed genes were also compared by real time reverse transcriptase PCR (RT-PCR). The RT-PCR experiments confirmed differential expression between the iron efficient and iron inefficient plants for 9 of 10 randomly chosen genes examined. To gain further insight into the iron physiological status of the plants, the root iron reductase activity was measured in both iron efficient and inefficient genotypes for plants grown under iron sufficient and iron limited conditions. Iron inefficient plants failed to respond to decreased iron availability with increased activity of Fe reductase. CONCLUSION: These experiments have identified genes involved in the soybean iron deficiency chlorosis response under iron deficient conditions. Single linkage cluster analysis suggests iron limited soybeans mount a general stress response as well as a specialized iron deficiency stress response. Root membrane bound reductase capacity is often correlated with iron efficiency. Under iron-limited conditions, the iron efficient plant had high root bound membrane reductase capacity while the iron inefficient plants reductase levels remained low, further limiting iron uptake through the root. Many of the genes up regulated in the iron inefficient NIL are involved in known stress induced pathways. The most striking response of the iron inefficient genotype to iron deficiency stress was the induction of a profusion of signaling and regulatory genes, presumably in an attempt to establish and maintain cellular homeostasis. Genes were up-regulated that point toward an increased transport of molecules through membranes. Genes associated with reactive oxidative species and an ROS defensive enzyme were also induced. The up-regulation of genes involved in DNA repair and RNA stability reflect the inhospitable cellular environment resulting from iron deficiency stress. Other genes were induced that are involved in protein and lipid catabolism; perhaps as an effort to maintain carbon flow and scavenge energy. The under-expression of a key glycolitic gene may result in the iron-inefficient genotype being energetically challenged to maintain a stable cellular environment. These experiments have identified candidate genes and processes for further experimentation to increase our understanding of soybeans' response to iron deficiency stress. PMID- 18154663 TI - Binding to DPF-motif by the POB1 EH domain is responsible for POB1-Eps15 interaction. AB - BACKGROUND: Eps15 homology (EH) domains are protein interaction modules binding to peptides containing Asn-Pro-Phe (NPF) motifs and mediating critical events during endocytosis and signal transduction. The EH domain of POB1 associates with Eps15, a protein characterized by a striking string of DPF triplets, 15 in human and 13 in mouse Eps15, at the C-terminus and lacking the typical EH-binding NPF motif. RESULTS: By screening a multivalent nonapeptide phage display library we have demonstrated that the EH domain of POB1 has a different recognition specificity since it binds to both NPF and DPF motifs. The region of mouse Eps15 responsible for the interaction with the EH domain of POB1 maps within a 18 amino acid peptide (residues 623-640) that includes three DPF repeats. Finally, mutational analysis in the EH domain of POB1, revealed that several solvent exposed residues, while distal to the binding pocket, mediate specific recognition of binding partners through both hydrophobic and electrostatic contacts. CONCLUSION: In the present study we have analysed the binding specificity of the POB1 EH domain. We show that it differs from other EH domains since it interacts with both NPF- and DPF-containing sequences. These unusual binding properties could be attributed to a different conformation of the binding pocket that allows to accommodate negative charges; moreover, we identified a cluster of solvent exposed Lys residues, which are only found in the EH domain of POB1, and influence binding to both NPF and DPF motifs. The characterization of structures of the DPF ligands described in this study and the POB1 EH domain will clearly determine the involvement of the positive patch and the rationalization of our findings. PMID- 18154664 TI - Userscripts for the life sciences. AB - BACKGROUND: The web has seen an explosion of chemistry and biology related resources in the last 15 years: thousands of scientific journals, databases, wikis, blogs and resources are available with a wide variety of types of information. There is a huge need to aggregate and organise this information. However, the sheer number of resources makes it unrealistic to link them all in a centralised manner. Instead, search engines to find information in those resources flourish, and formal languages like Resource Description Framework and Web Ontology Language are increasingly used to allow linking of resources. A recent development is the use of userscripts to change the appearance of web pages, by on-the-fly modification of the web content. This opens possibilities to aggregate information and computational results from different web resources into the web page of one of those resources. RESULTS: Several userscripts are presented that enrich biology and chemistry related web resources by incorporating or linking to other computational or data sources on the web. The scripts make use of Greasemonkey-like plugins for web browsers and are written in JavaScript. Information from third-party resources are extracted using open Application Programming Interfaces, while common Universal Resource Locator schemes are used to make deep links to related information in that external resource. The userscripts presented here use a variety of techniques and resources, and show the potential of such scripts. CONCLUSION: This paper discusses a number of userscripts that aggregate information from two or more web resources. Examples are shown that enrich web pages with information from other resources, and show how information from web pages can be used to link to, search, and process information in other resources. Due to the nature of userscripts, scientists are able to select those scripts they find useful on a daily basis, as the scripts run directly in their own web browser rather than on the web server. This flexibility allows the scientists to tune the features of web resources to optimise their productivity. PMID- 18154665 TI - Analysis of morphological variables and arterialization in the differential diagnosis of hepatic nodules in explanted cirrhotic livers. AB - BACKGROUND: Many terminologies have been given to dysplastic hepatocellular nodules, which are preneoplastic lesions. In 1995, the International Working Party meeting established the nomenclature and morphological criteria for hepatocellular nodular lesions. Nevertheless, an unequivocal differential diagnosis is sometimes difficult, particularly among large regenerative nodules, dysplastic nodules and hepatocellular carcinoma. Angiogenesis is observed during hepatocarcinogenesis and the presence of the isolated arteries may help to discriminate these nodules. The relevance of the International Working Party histological variables and presence of the isolated arteries were analyzed with regard to the diagnosis of large regenerative nodules, low and high grade dysplastic nodules and hepatocellular carcinoma, in order to evaluate which have a real contribution in such diagnoses. METHODS: One hundred and seven nodular hepatocellular lesions over 5 mm (or smaller nodules with a different color) from explanted cirrhotic livers were analyzed and classified following the criteria of the International Working Party. Classifications were as follows: large regenerative nodules, low grade dysplastic nodules, high grade dysplastic nodules and hepatocellular carcinoma. The presence of isolated arteries (not related to the portal tracts or fibrosis) was verified for the nodules. RESULTS: Among the 107 nodular lesions studied, 17 were classified as large regenerative nodules, 38 as low grade dysplastic nodules, 28 as high grade dysplastic nodules and 24 as hepatocellular carcinoma. The most relevant International Working Party variables in the differential diagnosis of the nodules were cellularity, trabeculae thickness, cytoplasmic staining, nuclear atypia, pseudoacinar pattern, portal tracts, nucleocytoplasmic ratio and mitosis. The isolated arteries, identified by hematoxylin and eosin staining, were important discriminating between two groups: low grade lesions (large regenerative nodules/low grade dysplastic nodules) and high grade lesions (high grade dysplastic nodules/hepatocellular carcinoma) (P < 0.001). CONCLUSION: The International Working Party criteria allow for the classification of the majority of hepatocellular nodules. However, other features such as cytoplasmatic tintorial affinity and pseudoacinar pattern may contribute to these diagnoses. The finding of isolated arteries in a nodular lesion should be investigated carefully, since the nodule could be a dysplastic lesion or hepatocellular carcinoma. PMID- 18154666 TI - Mitochondrial DNA heteroplasmy in ovine fetuses and sheep cloned by somatic cell nuclear transfer. AB - BACKGROUND: The mitochondrial DNA (mtDNA) of the cloned sheep "Dolly" and nine other ovine clones produced by somatic cell nuclear transfer (SCNT) was reported to consist only of recipient oocyte mtDNA without any detectable mtDNA contribution from the nucleus donor cell. In cattle, mouse and pig several or most of the clones showed transmission of nuclear donor mtDNA resulting in mitochondrial heteroplasmy. To clarify the discrepant transmission pattern of donor mtDNA in sheep clones we analysed the mtDNA composition of seven fetuses and five lambs cloned from fetal fibroblasts. RESULTS: The three fetal fibroblast donor cells used for SCNT harboured low mtDNA copy numbers per cell (A: 753 +/- 54, B: 292 +/- 33 and C: 561 +/- 88). The ratio of donor to recipient oocyte mtDNAs was determined using a quantitative amplification refractory mutation system (ARMS) PCR (i.e. ARMS-qPCR). For quantification of SNP variants with frequencies below 0.1% we developed a restriction endonuclease-mediated selective quantitative PCR (REMS-qPCR). We report the first cases (n = 4 fetuses, n = 3 lambs) of recipient oocyte/nuclear donor mtDNA heteroplasmy in SCNT-derived ovine clones demonstrating that there is no species-effect hindering ovine nucleus donor mtDNA from being transmitted to the somatic clonal offspring. Most of the heteroplasmic clones exhibited low-level heteroplasmy (0.1% to 0.9%, n = 6) indicating neutral transmission of parental mtDNAs. High-level heteroplasmy (6.8% to 46.5%) was observed in one case. This clone possessed a divergent recipient oocyte-derived mtDNA genotype with three rare amino acid changes compared to the donor including one substitution at an evolutionary conserved site. CONCLUSION: Our study using state-of-the-art techniques for mtDNA quantification, like ARMS qPCR and the novel REMS-qPCR, documents for the first time the transmission of donor mtDNA into somatic sheep clones. MtDNA heteroplasmy was detected in seven of 12 clones tested, whereby all but one case revealed less than 1% mtDNA contribution from the nuclear donor cell suggesting neutral segregation. PMID- 18154667 TI - SV-IV Peptide1-16 reduces coagulant power in normal Factor V and Factor V Leiden. AB - Native Factor V is an anticoagulant, but when activated by thrombin, Factor X or platelet proteases, it becomes a procoagulant. Due to these double properties, Factor V plays a crucial role in the regulation of coagulation/anticoagulation balance. Factor V Leiden (FVL) disorder may lead to thrombophilia. Whether a reduction in the activation of Factor V or Factor V Leiden may correct the disposition to thrombophilia is unknown. Therefore we tested SV-IV Peptide 1-16 (i.e. a peptide derived by seminal protein vescicle number IV, SV-IV) to assess its capacity to inhibit the procoagulant activity of normal clotting factor V or Factor V Leiden (FVL). We found that SV-IV protein has potent anti-inflammatory and immunomodulatory properties and also exerts procoagulant activity. In the present work we show that the SV-IV Peptide 1-16, incubated with plasma containing normal Factor V or FVL plasma for 5 minutes reduces the procoagulant capacity of both substances. This is an anticoagulant effect whereas SV-IV protein is a procoagulant. This activity is effective both in terms of the coagulation tests, where coagulation times are increased, and in terms of biochemical tests conducted with purified molecules, where Factor X activation is reduced. Peptide 1-16 was, in the pure molecule system, first incubated for 5 minutes with purified Factor V then it was added to the mix of phosphatidylserine, Ca2+, Factor X and its chromogenic molecule Chromozym X. We observed a more than 50% reduction in lysis of chromogenic molecule Chromozym X by Factor Xa, compared to the sample without Peptide 1-16. Such reduction in Chromozym X lysis, is explained with the reduced activation of Factor X by partial inactivation of Factor V by Peptide 1-16. Thus our study demonstrates that Peptide 1-16 reduces the coagulation capacity of Factor V and Factor V Leiden in vitro, and, in turn, causes factor X reduced activation. PMID- 18154669 TI - Estimation of minimally important differences in EQ-5D utility and VAS scores in cancer. AB - BACKGROUND: Understanding what constitutes an important difference on a HRQL measure is critical to its interpretation. The aim of this study was to provide a range of estimates of minimally important differences (MIDs) in EQ-5D scores in cancer and to determine if estimates are comparable in lung cancer. METHODS: A retrospective analysis was conducted on cross-sectional data collected from 534 cancer patients, 50 of whom were lung cancer patients. A range of minimally important differences (MIDs) in EQ-5D index-based utility (UK and US) scores and VAS scores were estimated using both anchor-based and distribution-based (1/2 standard deviation and standard error of the measure) approaches. Groups were anchored using Eastern Cooperative Oncology Group performance status (PS) ratings and FACT-G total score-based quintiles. RESULTS: For UK-utility scores, MID estimates based on PS ranged from 0.10 to 0.12 both for all cancers and for lung cancer subgroup. Using FACT-G quintiles, MIDs were 0.09 to 0.10 for all cancers, and 0.07 to 0.08 for lung cancer. For US-utility scores, MIDs ranged from 0.07 to 0.09 grouped by PS for all cancers and for lung cancer; when based on FACT-G quintiles, MIDs were 0.06 to 0.07 in all cancers and 0.05 to 0.06 in lung cancer. MIDs for VAS scores were similar for lung and all cancers, ranging from 8 to 12 (PS) and 7 to 10 (FACT-G quintiles). DISCUSSION: Important differences in EQ-5D utility and VAS scores were similar for all cancers and lung cancer, with the lower end of the range of estimates closer to the MID, i.e. 0.08 for UK-index scores, 0.06 for US-index scores, and 7 [corrected] for VAS scores. PMID- 18154668 TI - The global distribution of fatal pesticide self-poisoning: systematic review. AB - BACKGROUND: Evidence is accumulating that pesticide self-poisoning is one of the most commonly used methods of suicide worldwide, but the magnitude of the problem and the global distribution of these deaths is unknown. METHODS: We have systematically reviewed the worldwide literature to estimate the number of pesticide suicides in each of the World Health Organisation's six regions and the global burden of fatal self-poisoning with pesticides. We used the following data sources: Medline, EMBASE and psycINFO (1990-2007), papers cited in publications retrieved, the worldwide web (using Google) and our personal collections of papers and books. Our aim was to identify papers enabling us to estimate the proportion of a country's suicides due to pesticide self-poisoning. RESULTS: We conservatively estimate that there are 258,234 (plausible range 233,997 to 325,907) deaths from pesticide self-poisoning worldwide each year, accounting for 30% (range 27% to 37%) of suicides globally. Official data from India probably underestimate the incidence of suicides; applying evidence-based corrections to India's official data, our estimate for world suicides using pesticides increases to 371,594 (range 347,357 to 439,267). The proportion of all suicides using pesticides varies from 4% in the European Region to over 50% in the Western Pacific Region but this proportion is not concordant with the volume of pesticides sold in each region; it is the pattern of pesticide use and the toxicity of the products, not the quantity used, that influences the likelihood they will be used in acts of fatal self-harm. CONCLUSION: Pesticide self poisoning accounts for about one-third of the world's suicides. Epidemiological and toxicological data suggest that many of these deaths might be prevented if (a) the use of pesticides most toxic to humans was restricted, (b) pesticides could be safely stored in rural communities, and (c) the accessibility and quality of care for poisoning could be improved. PMID- 18154670 TI - Malignant peripheral nerve sheath tumor of the breast: case report. AB - BACKGROUND: Malignant peripheral nerve sheath tumor is a rare soft tissue sarcoma of ectomesenchymal origin. It is the malignant counterpart of benign soft tissue tumors like neurofibromas and schwannomas and may often follow them. Common sites include deeper soft tissues, usually in the proximity of a nerve trunk. Breast is an extremely rare location of this lesion and presentation as a breast lump in the absence of pain or previous benign neural tumor is even rarer. CASE PRESENTATION: A 38-year-old female presented with complaints of painless, hard breast lump for three months which was clinically suspected to be a ductal carcinoma with inconclusive fine needle aspiration cytology. Histopathology revealed a malignant spindle cell tumor which was confirmed to be malignant peripheral nerve sheath tumor on the basis of immunopositivity for vimentin, neurone specific enolase and S-100. CONCLUSION: To the best of our knowledge only six such case reports have been published in literature. The differential diagnosis of malignant peripheral nerve sheath tumor should be considered by the clinician as well as the pathologists in the work-up of a breast neoplasm as treatment and prognosis of this rare malignancy is different. PMID- 18154671 TI - Mitochondrial DNA suggests at least 11 origins of parasitism in angiosperms and reveals genomic chimerism in parasitic plants. AB - BACKGROUND: Some of the most difficult phylogenetic questions in evolutionary biology involve identification of the free-living relatives of parasitic organisms, particularly those of parasitic flowering plants. Consequently, the number of origins of parasitism and the phylogenetic distribution of the heterotrophic lifestyle among angiosperm lineages is unclear. RESULTS: Here we report the results of a phylogenetic analysis of 102 species of seed plants designed to infer the position of all haustorial parasitic angiosperm lineages using three mitochondrial genes: atp1, coxI, and matR. Overall, the mtDNA phylogeny agrees with independent studies in terms of non-parasitic plant relationships and reveals at least 11 independent origins of parasitism in angiosperms, eight of which consist entirely of holoparasitic species that lack photosynthetic ability. From these results, it can be inferred that modern-day parasites have disproportionately evolved in certain lineages and that the endoparasitic habit has arisen by convergence in four clades. In addition, reduced taxon, single gene analyses revealed multiple horizontal transfers of atp1 from host to parasite lineage, suggesting that parasites may be important vectors of horizontal gene transfer in angiosperms. Furthermore, in Pilostyles we show evidence for a recent host-to-parasite atp1 transfer based on a chimeric gene sequence that indicates multiple historical xenologous gene acquisitions have occurred in this endoparasite. Finally, the phylogenetic relationships inferred for parasites indicate that the origins of parasitism in angiosperms are strongly correlated with horizontal acquisitions of the invasive coxI group I intron. CONCLUSION: Collectively, these results indicate that the parasitic lifestyle has arisen repeatedly in angiosperm evolutionary history and results in increasing parasite genomic chimerism over time. PMID- 18154672 TI - Short-term effects of amelogenin gene splice products A+4 and A-4 implanted in the exposed rat molar pulp. AB - In order to study the short-time effects of two bioactive low-molecular amelogenins A+4 and A-4, half-moon cavities were prepared in the mesial aspect of the first maxillary molars, and after pulp exposure, agarose beads alone (controls) or beads soaked in A+4 or A-4 (experimental) were implanted into the pulp. After 1, 3 or 7 days, the rats were killed and the teeth studied by immunohistochemistry. Cell proliferation was studied by PCNA labeling, positive at 3 days, but decreasing at day 7 for A+4, whilst constantly high between 3 and 7 days for A-4. The differentiation toward the osteo/odontoblast lineage shown by RP59 labeling was more apparent for A-4 compared with A+4. Osteopontin-positive cells were alike at days 3 and 7 for A-4. In contrast, for A+4, the weak labeling detected at day 3 became stronger at day 7. Dentin sialoprotein (DSP), an in vivo odontoblast marker, was not detectable until day 7 where a few cells became DSP positive after A-4 stimulation, but not for A+4. These results suggest that A +/- 4 promote the proliferation of some pulp cells. Some of them further differentiate into osteoblast-like progenitors, the effects being more precocious for A-4 (day 3) compared with A+4 (day 7). The present data suggest that A +/- 4 promote early recruitment of osteogenic progenitors, and evidence functional differences between A+4 and A-4. PMID- 18154673 TI - Lysosomal trafficking functions of mucolipin-1 in murine macrophages. AB - BACKGROUND: Mucolipidosis Type IV is currently characterized as a lysosomal storage disorder with defects that include corneal clouding, achlorhydria and psychomotor retardation. MCOLN1, the gene responsible for this disease, encodes the protein mucolipin-1 that belongs to the "Transient Receptor Potential" family of proteins and has been shown to function as a non-selective cation channel whose activity is modulated by pH. Two cell biological defects that have been described in MLIV fibroblasts are a hyperacidification of lysosomes and a delay in the exit of lipids from lysosomes. RESULTS: We show that mucolipin-1 localizes to lysosomal compartments in RAW264.7 mouse macrophages that show subcompartmental accumulations of endocytosed molecules. Using stable RNAi clones, we show that mucolipin-1 is required for the exit of lipids from these compartments, for the transport of endocytosed molecules to terminal lysosomes, and for the transport of the Major Histocompatibility Complex II to the plasma membrane. CONCLUSION: Mucolipin-1 functions in the efficient exit of molecules, destined for various cellular organelles, from lysosomal compartments. PMID- 18154674 TI - Production of highly knotted DNA by means of cosmid circularization inside phage capsids. AB - BACKGROUND: The formation of DNA knots is common during biological transactions. Yet, functional implications of knotted DNA are not fully understood. Moreover, potential applications of DNA molecules condensed by means of knotting remain to be explored. A convenient method to produce abundant highly knotted DNA would be highly valuable for these studies. RESULTS: We had previously shown that circularization of the 11.2 kb linear DNA of phage P4 inside its viral capsid generates complex knots by the effect of confinement. We demonstrate here that this mechanism is not restricted to the viral genome. We constructed DNA cosmids as small as 5 kb and introduced them inside P4 capsids. Such cosmids were then recovered as a complex mixture of highly knotted DNA circles. Over 250 mug of knotted cosmid were typically obtained from 1 liter of bacterial culture. CONCLUSION: With this biological system, DNA molecules of varying length and sequence can be shaped into very complex and heterogeneous knotted forms. These molecules can be produced in preparative amounts suitable for systematic studies and applications. PMID- 18154675 TI - RNA extraction from ten year old formalin-fixed paraffin-embedded breast cancer samples: a comparison of column purification and magnetic bead-based technologies. AB - BACKGROUND: The development of protocols for RNA extraction from paraffin embedded samples facilitates gene expression studies on archival samples with known clinical outcome. Older samples are particularly valuable because they are associated with longer clinical follow up. RNA extracted from formalin-fixed paraffin-embedded (FFPE) tissue is problematic due to chemical modifications and continued degradation over time. We compared quantity and quality of RNA extracted by four different protocols from 14 ten year old and 14 recently archived (three to ten months old) FFPE breast cancer tissues. Using three spin column purification-based protocols and one magnetic bead-based protocol, total RNA was extracted in triplicate, generating 336 RNA extraction experiments. RNA fragment size was assayed by reverse transcription-polymerase chain reaction (RT PCR) for the housekeeping gene glucose-6-phosphate dehydrogenase (G6PD), testing primer sets designed to target RNA fragment sizes of 67 bp, 151 bp, and 242 bp. RESULTS: Biologically useful RNA (minimum RNA integrity number, RIN, 1.4) was extracted in at least one of three attempts of each protocol in 86-100% of older and 100% of recently archived ("months old") samples. Short RNA fragments up to 151 bp were assayable by RT-PCR for G6PD in all ten year old and months old tissues tested, but none of the ten year old and only 43% of months old samples showed amplification if the targeted fragment was 242 bp. CONCLUSION: All protocols extracted RNA from ten year old FFPE samples with a minimum RIN of 1.4. Gene expression of G6PD could be measured in all samples, old and recent, using RT-PCR primers designed for RNA fragments up to 151 bp. RNA quality from ten year old FFPE samples was similar to that extracted from months old samples, but quantity and success rate were generally higher for the months old group. We preferred the magnetic bead-based protocol because of its speed and higher quantity of extracted RNA, although it produced similar quality RNA to other protocols. If a chosen protocol fails to extract biologically useful RNA from a given sample in a first attempt, another attempt and then another protocol should be tried before excluding the case from molecular analysis. PMID- 18154676 TI - Obesity and pre-hypertension in family medicine: implications for quality improvement. AB - BACKGROUND: Prevention of pre-hypertension is an important goal for primary care patients. Obesity is a risk factor for hypertension, but has not been addressed for pre-hypertension in primary care populations. The objective of this study was to assess the degree to which obesity independently is associated with risk for pre-hypertension in family medicine patients. METHODS: This study was a retrospective analysis of information abstracted from medical records of 707 adult patients. Multivariable logistic regression was used to test the relationship between body mass index (BMI) and pre-hypertension, after adjustment for comorbidity and demographic characteristics. Pre-hypertension was defined as systolic pressure between 120 and 139 mm Hg or diastolic pressure between 80 and 89 mm Hg. RESULTS: In our sample, 42.9% of patients were pre-hypertensive. Logistic regression analysis revealed that, in comparison to patients with normal body mass, patients with BMI > 35 had higher adjusted odds of being pre hypertensive (OR = 4.5, CI 2.55-8.11, p < .01). BMI between 30 and 35 also was significant (OR = 2.7, CI 1.61-4.63, p < 0.01) as was overweight (OR = 1.8, CI 1.14-2.92, p = 0.01). CONCLUSION: In our sample of family medicine patients, elevated BMI is a risk factor for pre-hypertension, especially BMI > 35. This relationship appears to be independent of age, gender, marital status and comorbidity. Weight loss intervention for obese patients, including patient education or referral to weight loss programs, might be effective for prevention of pre-hypertension and thus should be considered as a potential quality indicator. PMID- 18154677 TI - Combined approach of perioperative 18F-FDG PET/CT imaging and intraoperative 18F FDG handheld gamma probe detection for tumor localization and verification of complete tumor resection in breast cancer. AB - BACKGROUND: 18F-fluorodeoxyglucose (18F-FDG) positron emission tomography/computed tomography (PET/CT) has become an established method for detecting hypermetabolic sites of known and occult disease and is widely used in oncology surgical planning. Intraoperatively, it is often difficult to localize tumors and verify complete resection of tumors that have been previously detected on diagnostic PET/CT at the time of the original evaluation of the cancer patient. Therefore, we propose an innovative approach for intraoperative tumor localization and verification of complete tumor resection utilizing 18F-FDG for perioperative PET/CT imaging and intraoperative gamma probe detection. METHODS: Two breast cancer patients were evaluated. 18F-FDG was administered and PET/CT was acquired immediately prior to surgery. Intraoperatively, tumors were localized and resected with the assistance of a handheld gamma probe. Resected tumors were scanned with specimen PET/CT prior to pathologic processing. Shortly after the surgical procedure, patients were re-imaged with PET/CT utilizing the same preoperatively administered 18F-FDG dose. RESULTS: One patient had primary carcinoma of breast and a metastatic axillary lymph node. The second patient had a solitary metastatic liver lesion. In both cases, preoperative PET/CT verified these findings and demonstrated no additional suspicious hypermetabolic lesions. Furthermore, intraoperative gamma probe detection, specimen PET/CT, and postoperative PET/CT verified complete resection of the hypermetabolic lesions. CONCLUSION: Immediate preoperative and postoperative PET/CT imaging, utilizing the same 18F-FDG injection dose, is feasible and image quality is acceptable. Such perioperative PET/CT imaging, along with intraoperative gamma probe detection and specimen PET/CT, can be used to verify complete tumor resection. This innovative approach demonstrates promise for assisting the oncologic surgeon in localizing and verifying resection of 18F-FDG positive tumors and may ultimately positively impact upon long-term patient outcomes. PMID- 18154678 TI - Gene response profiles for Daphnia pulex exposed to the environmental stressor cadmium reveals novel crustacean metallothioneins. AB - BACKGROUND: Genomic research tools such as microarrays are proving to be important resources to study the complex regulation of genes that respond to environmental perturbations. A first generation cDNA microarray was developed for the environmental indicator species Daphnia pulex, to identify genes whose regulation is modulated following exposure to the metal stressor cadmium. Our experiments revealed interesting changes in gene transcription that suggest their biological roles and their potentially toxicological features in responding to this important environmental contaminant. RESULTS: Our microarray identified genes reported in the literature to be regulated in response to cadmium exposure, suggested functional attributes for genes that share no sequence similarity to proteins in the public databases, and pointed to genes that are likely members of expanded gene families in the Daphnia genome. Genes identified on the microarray also were associated with cadmium induced phenotypes and population-level outcomes that we experimentally determined. A subset of genes regulated in response to cadmium exposure was independently validated using quantitative realtime (Q-RT)-PCR. These microarray studies led to the discovery of three genes coding for the metal detoxication protein metallothionein (MT). The gene structures and predicted translated sequences of D. pulex MTs clearly place them in this gene family. Yet, they share little homology with previously characterized MTs. CONCLUSION: The genomic information obtained from this study represents an important first step in characterizing microarray patterns that may be diagnostic to specific environmental contaminants and give insights into their toxicological mechanisms, while also providing a practical tool for evolutionary, ecological, and toxicological functional gene discovery studies. Advances in Daphnia genomics will enable the further development of this species as a model organism for the environmental sciences. PMID- 18154679 TI - The influence of gene-environment interactions on GHR and IGF-1 expression and their association with growth in brook charr, Salvelinus fontinalis (Mitchill). AB - BACKGROUND: Quantitative reaction norm theory proposes that genotype-by environment interaction (GxE) results from inter-individual differences of expression in adaptive suites of genes in distinct environments. However, environmental norms for actual gene suites are poorly documented. In this study, we investigated the effects of GxE interactions on levels of gene transcription and growth by documenting the impact of rearing environment (freshwater vs. saltwater), sex and genotypic (low vs. high estimated breeding value EBV) effects on the transcription level of insulin-like growth factor (IGF-1) and growth hormone receptor (GHR) in brook charr (Salvelinus fontinalis). RESULTS: Males grew faster than females (micro female symbol = 1.20 +/- 0.07 g.d-1, micro male symbol = 1.46 +/- 0.06 g.d-1) and high-EBV fish faster than low-EBV fish (microLOW = 0.97 +/- 0.05 g.d-1, muHIGH = 1.58 +/- 0.07 g.d-1; p < 0.05). However, growth was markedly lower in saltwater-reared fish than freshwater sibs (microFW = 1.52 +/- 0.07 g.d-1, microSW = 1.15 +/- 0.06 g.d-1), yet GHR mRNA transcription level was significantly higher in saltwater than in freshwater (microSW = 0.85 +/- 0.05, microFW = 0.61 +/- 0.05). The ratio of actual growth to units in assayed mRNA ('individual transcript efficiency', iTE; g.d-1.u-1) also differed among EBV groups (microLOW = 2.0 +/- 0.24 g.d-1.u-1; microHIGH = 3.7 +/- 0.24 g.d-1.u-1) and environments (microSW = 2.0 +/- 0.25 g.d-1.u-1; microFW = 3.7 +/- 0.25 g.d-1.u-1) for GHR. Males had a lower iTE for GHR than females (micro male symbol = 2.4 +/- 0.29 g.d-1.u-1; micro female symbol = 3.1 +/- 0.23 g.d-1.u 1). There was no difference in IGF-1 transcription level between environments (p > 0.7) or EBV groups (p > 0.15) but the level of IGF-1 was four times higher in males than females (micro male symbol = 2.4 +/- 0.11, micro female symbol = 0.58 +/- 0.09; p < 0.0001). We detected significant sexual differences in iTE (micro male symbol = 1.3 +/- 0.59 g.d-1.u-1; micro female symbol = 3.9 +/- 0.47 g.d-1.u 1), salinities (microSW = 2.3 +/- 0.52 g.d-1.u-1; microFW = 3.7 +/- 0.53 g.d-1.u 1) and EBV-groups (microLOW = 2.4 +/- 0.49 g.d-1.u-1; microHIGH = 3.8 +/- 0.49 g.d-1.u-1). Interaction between EBV-group and environment was detected for both GHR (p = 0.027) and IGF-1 (p = 0.019), and for iTE in the two genes (p < 0.0001; p < 0.05, respectively), where increased divergence in levels of GHR and IGF-1 transcription occurred among EBV-groups in the saltwater environment. CONCLUSION: Our results show that both environment and sex have major impacts on the expression of mRNA for two key genes involved in the physiological pathway for growth. We also demonstrate for the first time, at least in fish, genotype-by environment interaction at the level of individual gene transcription. This work contributes significantly to ongoing efforts towards documenting environmentally and sexually induced variance of gene activity and understanding the resulting phenotypes. PMID- 18154680 TI - Checkpoint effects and telomere amplification during DNA re-replication in fission yeast. AB - BACKGROUND: Although much is known about molecular mechanisms that prevent re initiation of DNA replication on newly replicated DNA during a single cell cycle, knowledge is sparse regarding the regions that are most susceptible to re replication when those mechanisms are bypassed and regarding the extents to which checkpoint pathways modulate re-replication. We used microarrays to learn more about these issues in wild-type and checkpoint-mutant cells of the fission yeast, Schizosaccharomyces pombe. RESULTS: We found that over-expressing a non phosphorylatable form of the replication-initiation protein, Cdc18 (known as Cdc6 in other eukaryotes), drove re-replication of DNA sequences genome-wide, rather than forcing high level amplification of just a few sequences. Moderate variations in extents of re-replication generated regions spanning hundreds of kilobases that were amplified (or not) approximately 2-fold more (or less) than average. However, these regions showed little correlation with replication origins used during S phase. The extents and locations of amplified regions in cells deleted for the checkpoint genes encoding Rad3 (ortholog of human ATR and budding yeast Mec1) and Cds1 (ortholog of human Chk2 and budding yeast Rad53) were similar to those in wild-type cells. Relatively minor but distinct effects, including increased re-replication of heterochromatic regions, were found specifically in cells lacking Rad3. These might be due to Cds1-independent roles for Rad3 in regulating re-replication and/or due to the fact that cells lacking Rad3 continued to divide during re-replication, unlike wild-type cells or cells lacking Cds1. In both wild-type and checkpoint-mutant cells, regions near telomeres were particularly susceptible to re-replication. Highly re-replicated telomere-proximal regions (50-100 kb) were, in each case, followed by some of the least re-replicated DNA in the genome. CONCLUSION: The origins used, and the extent of replication fork progression, during re-replication are largely independent of the replication and DNA-damage checkpoint pathways mediated by Cds1 and Rad3. The fission yeast pattern of telomere-proximal amplification adjacent to a region of under-replication has also been seen in the distantly related budding yeast, which suggests that subtelomeric sequences may be a promising place to look for DNA re-replication in other organisms. PMID- 18154681 TI - A lesson not learned: allele misassignment. AB - Misassigned alleles can annihilate efforts to control quality in otherwise well designed genetic association analyses. To date, the issue remains underreported, as is exemplified by studies of a diallelic DRD2 missense variant in schizophrenia. For this variant, allele frequency data have been either misassigned, or incorrectly cited on four consecutive occasions. Contrary to conjecture, low heterozygosity has not guarded against the error with regard to rs1801028, a SNP that features a canonical base pair transversion, G:C. Measures are discussed that may help to identify misassigned alleles, and to avoid related perils pending more systematic investigation of this confounder in genotype phenotype associations. PMID- 18154682 TI - Three stage axillary lymphatic massage optimizes sentinel lymph node localisation using blue dye. AB - AIMS: This paper describes a simple technique of axillary and breast massage which improves the successful identification of blue sentinel nodes using patent blue dye alone. METHODS: Patent blue dye was injected in the subdermal part of the retroaroelar area in 167 patients having surgical treatment for invasive breast cancer. Three stage axillary lymphatic massage was performed prior to making the axillary incision for sentinel lymph node biopsy. All patients had completion axillary sampling or clearance. RESULTS: A blue lymphatic duct leading to lymph nodes of the first drainage was identified in 163 (97%) of the patients. Results are compared with 168 patients who had sentinel lymph node biopsy using blue dye without axillary massage. Allergic reactions were observed in four patients (1.2%). CONCLUSION: Three stage axillary lymphatic massage improves the successful identification of a blue sentinel lymph node in breast cancer patients. PMID- 18154683 TI - The value of prognostic factors for uterine cervical cancer patients treated with irradiation alone. AB - BACKGROUND: The aim of our study was to investigate and evaluate the prognostic value of and correlations between preclinical and clinical factors such as the stage of the disease, blood Hb level before treatment, size of cervix and lymph nodes evaluated by CT, age, dose of irradiation and duration of radiotherapy related to overall survival, disease-free survival, local control and metastases free survival in cervical cancer patients receiving radiotherapy alone. METHODS: 162 patients with International Federation of Gynecology and Obstetrics (FIGO) stage IIA-IIIB cervical carcinoma treated with irradiation were analysed. Univariate and multivariate analyses using the Cox regression model were performed to determine statistical significance of some tumor-related factors. RESULTS: The Hb level before treatment showed significant influence on overall survival (p = 0.001), desease free survival (p = 0.040) and local control (p = 0.038). The lymph node status (>10 mm) assessed on CT had impact on overall survival (p = 0,030) and local control (p = 0,036). The dose at point A had impact on disease free survival (p = 0,028) and local control (p = 0,021) and the radiotherapy duration had showed significant influence on overall survival (p = 0,045), disease free survival (p = 0,006) and local control (p = 0,033). CONCLUSION: Anemia is a significant and independent prognostic factor of overall survival, disease-free survival and local control in cervical cancer patients treated with irradiation. The size of lymph nodes in CT is an independent prognostic factor for overall survival and local control in cervical cancer patients. The size of cervix uteri evaluated by CT has no prognostic significance in cervical cancer patients treated with radiotherapy. The prognostic value of FIGO stage of cervical cancer is influenced by other factors, analyzed in this study and is not an independent prognostic factor. PMID- 18154684 TI - Dynamic rerouting of the carbohydrate flux is key to counteracting oxidative stress. AB - BACKGROUND: Eukaryotic cells have evolved various response mechanisms to counteract the deleterious consequences of oxidative stress. Among these processes, metabolic alterations seem to play an important role. RESULTS: We recently discovered that yeast cells with reduced activity of the key glycolytic enzyme triosephosphate isomerase exhibit an increased resistance to the thiol oxidizing reagent diamide. Here we show that this phenotype is conserved in Caenorhabditis elegans and that the underlying mechanism is based on a redirection of the metabolic flux from glycolysis to the pentose phosphate pathway, altering the redox equilibrium of the cytoplasmic NADP(H) pool. Remarkably, another key glycolytic enzyme, glyceraldehyde-3-phosphate dehydrogenase (GAPDH), is known to be inactivated in response to various oxidant treatments, and we show that this provokes a similar redirection of the metabolic flux. CONCLUSION: The naturally occurring inactivation of GAPDH functions as a metabolic switch for rerouting the carbohydrate flux to counteract oxidative stress. As a consequence, altering the homoeostasis of cytoplasmic metabolites is a fundamental mechanism for balancing the redox state of eukaryotic cells under stress conditions. PMID- 18154685 TI - Conserved and species-specific alternative splicing in mammalian genomes. AB - BACKGROUND: Alternative splicing has been shown to be one of the major evolutionary mechanisms for protein diversification and proteome expansion, since a considerable fraction of alternative splicing events appears to be species- or lineage-specific. However, most studies were restricted to the analysis of cassette exons in pairs of genomes and did not analyze functionality of the alternative variants. RESULTS: We analyzed conservation of human alternative splice sites and cassette exons in the mouse and dog genomes. Alternative exons, especially minor-isofom ones, were shown to be less conserved than constitutive exons. Frame-shifting alternatives in the protein-coding regions are less conserved than frame-preserving ones. Similarly, the conservation of alternative sites is highest for evenly used alternatives, and higher when the distance between the sites is divisible by three. The rate of alternative-exon and site loss in mouse is slightly higher than in dog, consistent with faster evolution of the former. The evolutionary dynamics of alternative sites was shown to be consistent with the model of random activation of cryptic sites. CONCLUSION: Consistent with other studies, our results show that minor cassette exons are less conserved than major-alternative and constitutive exons. However, our study provides evidence that this is caused not only by exon birth, but also lineage specific loss of alternative exons and sites, and it depends on exon functionality. PMID- 18154686 TI - Obesity and craniofacial variables in subjects with obstructive sleep apnea syndrome: comparisons of cephalometric values. AB - BACKGROUND: The aim of this paper was to determine the most common craniofacial changes in patients suffering Obstructive Sleep Apnea Syndrome (OSAS) with regards to the degree of obesity. Accordingly, cephalometric data reported in the literature was searched and analyzed. METHODS: After a careful analysis of the literature from 1990 to 2006, 5 papers with similar procedural criteria were selected. Inclusion criteria were: recruitment of Caucasian patients with an apnea-hypopnea index (AHI) >10 as grouped in non-obese (Body Mass Index - [BMI] < 30) vs. obese (BMI > or = 30). RESULTS: A low position of the hyoid bone was present in both groups. In non-obese patients, an increased value of the ANB angle and a reduced dimension of the cranial base (S-N) were found to be the most common finding, whereas major skeletal divergence (ANS-PNS ;Go-Me) was evident among obese patients. No strict association was found between OSAS and length of the soft palate. CONCLUSION: In both non-obese and obese OSAS patients, skeletal changes were often evident; with special emphasis of intermaxillary divergence in obese patients. Unexpectedly, in obese OSAS patients, alterations of oropharyngeal soft tissue were not always present and did not prevail. PMID- 18154687 TI - Detection and identification of enterohemorrhagic Escherichia coli O157:H7 and Vibrio cholerae O139 using oligonucleotide microarray. AB - BACKGROUND: The rapid and accurate detection and identification of the new subtype of the pathogens is crucial for diagnosis, treatment and control of the contagious disease outbreak. Here, in this study, an approach to detect and identify Escherichia coli O157:H7 and Vibrio cholerae O139 was established using oligonucleotide microarray. We coupled multiplex PCR with oligonucleotide microarray to construct an assay suitable for simultaneous identification of two subtypes of the pathogens. RESULTS: The stx1, stx2 gene and uidA gene having the specific mutant spot were chosen as the targets for Escherichia coli O157:H7, and meanwhile the ctxA, tcpA, and LPSgt gene for Vibrio cholerae O139. The oligonucleotide microarray was composed of eight probes including negative control and positive control from 16S rDNA gene. The six primers were designed to amplify target fragments in two triplex PCR, and then hybridized with oligonucleotide microarray. An internal control would be to run a PCR reaction in parallel. Multiplex PCR did not produce any non-specific amplicons when 149 related species or genera of standard bacteria were tested (100% specificity). In addition, Escherichia coli O157:H7 and Escherichia coli O157:non-H7, Vibrio cholerae O139 and Vibrio cholerae O1 had been discriminated respectively. Using recombinant plasmid and target pathogens, we were able to detect positive hybridization signals with 102 copies/muL and 103 cfu/mL per reaction. CONCLUSION: The DNA microarray assay reported here could detect and identify Escherichia coli O157:H7 and Vibrio cholerae O139, and furthermore the subtype was distinguished. This assay was a specific and sensitive tool for simultaneous detection and identification of the new subtype of two pathogens causing diarrhea in human. PMID- 18154688 TI - Inhibition of citric acid- and capsaicin-induced cough by novel TRPV-1 antagonist, V112220, in guinea-pig. AB - BACKGROUND: Cough reflex can be induced by the pepper extract capsaicin and by low pH in guinea-pig airways. Transient receptor potential vanniloid-1 (TPRV-1) is expressed in the sensory and afferent nerve fibres in airways. OBJECTIVE: We hypothesized that a novel pyridazinylpiperazine analog TPRV-1 inhibitor can effectively reduce cough reflex stimulated by citric acid and capsaicin. METHODS: Guinea pigs were injected with specific TPRV-1 inhibitor, V112220, a pyridazinylpiperazine analog of N-(4-tertiarybutylphenyl)-4-(3-chloropyridin-2 yl) tetrahydropyrazine-1(2H)-carbox-amide (BCTC) (3 mg/kg) intra-peritoneally. One hour before cough response assessment. Coughs were recorded using a recorder system that identified cough sound and accompanying expiratory flows, distinct from sneezes. Guinea-pigs exposed to citric acid (0.4 M) and to capsaicin (10-4M) aerosols, in succession separately by 2 hours. RESULTS: V112220 significantly inhibited the number of coughs induced by citric acid (73 +/- 11%, p < 0.01) and capsaicin (70 +/- 9.4%, p < 0.05) compared to vehicle control. CONCLUSION: A novel pyridazinylpiperazine analog TPRV-1 inhibitor can inhibit the cough reflex, induced by both low pH and capsaicin, suggesting that it could be clinically beneficial in treatment of cough. PMID- 18154689 TI - Management of type 2 diabetes in the obese patient: current concerns and emerging therapies. AB - OBJECTIVES: The aims of this review are (1) to examine the pathophysiologic relationship between type 2 diabetes and obesity, (2) to provide an overview of current and emerging treatments for type 2 diabetes and their effects on body weight. METHODS: A MEDLINE search was performed for literature published in the English language from 1966 to 2006. Abstracts and presentations from the American Diabetes Association Scientific Sessions (2002-2006) and the European Association for the Study of Diabetes Annual Meetings (1998-2006) were also searched for relevant studies. Preclinical and clinical data were selected for inclusion based on novelty and pertinence to treatment of the obese patient. FINDINGS: Recent guidelines suggest that all patients with type 2 diabetes should initially receive metformin as well as lifestyle intervention, followed by rapid administration of other oral anti-diabetic agents or insulin if glycemic goals are not met or maintained. Many oral anti-diabetic drugs, and insulin, are associated with weight gain. New agents with anti-diabetic activity that may be advantageous in obese patients with type 2 diabetes have recently become available. These include injectable incretin mimetics, which reduce blood glucose while reducing body weight but commonly cause nausea and vomiting. A new class of oral agents, the dipeptidyl peptidase-4 inhibitors, is weight-neutral and largely devoid of gastrointestinal side-effects. The cannabinoid receptor antagonist rimonabant is the first of a new class of anti-obesity agents that reduces central obesity and improves multiple aspects of vascular risk. CONCLUSION: New agents offer the prospect of improved glycemic control without weight gain. However, the ultimate roles of these agents in the treatment of obese patients with type 2 diabetes remain to be established. PMID- 18154690 TI - Characterization of patients in the European Forsteo Observational Study (EFOS): postmenopausal women entering teriparatide treatment in a community setting. AB - OBJECTIVE: The European Forsteo Observational Study (EFOS) study was primarily designed to assess fracture incidence, degree of pain, health-related quality of life (HRQoL) and compliance in women prescribed teriparatide in a community setting. This report describes the design of the study and characteristics of the patients at entry. METHODS: At entry, 1645 postmenopausal women with a diagnosis of osteoporosis and about to initiate teriparatide treatment were enrolled in eight European countries. Baseline data were collected on demographic characteristics, medical and osteoporosis history, disease status, prior use of medications and HRQoL. RESULTS: The mean (standard deviation [SD]) age of patients was 71.5 (8.4) years, lumbar spine bone mineral density (BMD) T-score was -3.3 (1.2), the mean number of previous fractures reported after 40 years of age was 2.9 (2.0), 70% had two or more vertebral deformities and 91.7% were pre treated with bisphosphonates. HRQoL, evaluated by the health state value (HSV) (median: 0.59, Q1; Q3: 0.08; 0.71) and visual analogue scale (VAS) (median 50.0, Q1; Q3: 35.0; 69.0) status of the European quality of life questionnaire (EQ-5D) was poor. Extreme problems were reported by 31% of patients for the pain/discomfort dimension, mobility was limited in 69% and anxiety/depression was reported by 57% of patients. Chronic or intermittent back pain was reported by 91% of patients, which occurred every day or almost every day within the last month in 66% of patients. CONCLUSIONS: The post-menopausal women prescribed teriparatide were severely osteoporotic, with a high fracture risk and poor HRQoL, despite previous therapy for osteoporosis. Moderate to severe back pain was very common. PMID- 18154693 TI - Dissection of culture media for embryos: the most important and less important components and characteristics. AB - Improvements in culture media formulations have led to an increase in the ability to maintain the mammalian embryo in culture throughout the preimplantation and pre-attachment period. Amino acids and specific macromolecules have been identified as being key medium components, whereas temporal dynamics have been recognised as important media characteristics. Furthermore, other laboratory factors that directly impact embryo development and viability have been identified. Such factors include the use of a reduced oxygen tension, an appropriate incubation system and an adequate prescreening of all contact supplies. With rigourous quality systems in place, it is possible to obtain in vivo rates of embryo development in vitro using new media formulations while maintaining high levels of embryo viability. The future of embryo culture will likely be based on novel culture chips capable of providing temporal dynamics while facilitating real-time analysis of embryo physiology. PMID- 18154692 TI - Female reproductive tract fluids: composition, mechanism of formation and potential role in the developmental origins of health and disease. AB - The oviduct and uterus provide the environments for the earliest stages of mammalian embryo development. However, little is known about the mechanisms that underlie the formation of oviduct and uterine fluids, or the extent to which the supply of nutrients via these reproductive tract tissues matches the nutrient requirements of early embryos. After reviewing our limited knowledge of these phenomena, a new experimental paradigm is proposed in which the epithelia lining the endosalpinx and endometrium are seen as the final components in a supply line that links maternal diet at one end and embryo uptake of nutrients at the other. When considered in this way, the oviduct and uterine epithelia become, for a few days, potentially the most critical maternal tissues in the establishment of a healthy pregnancy. In fulfilling this 'gatekeeper' role, female reproductive tract fluids have a key role in the 'developmental origins of health and disease' concept. PMID- 18154694 TI - Are scientific societies serving the needs of graduate and postdoctoral students? AB - Scientific societies have had a major role in facilitating scientific discoveries and disseminating them. The future of these societies is dependent on a strong and involved membership. However, many of the future members are currently graduate students and postdoctoral fellows, referred to as 'trainees'. Therefore it is essential that these trainees understand the value of scientific societies and are eager to become members of a society of their choice. The focus of the present paper was to determine what scientific societies should do for trainees to accomplish this goal. Trainees were surveyed to determine why they joined a scientific society, what is the value of belonging to a scientific society, what can the scientific society do to advance the trainees' career and what can trainees do to help scientific societies. From this survey, and also from years of interacting with trainees, a list of actions that scientific societies should do for their trainees was developed. There is no doubt that the most important people in educating trainees about the value of scientific societies and in influencing the trainees' decision to be active members are the trainees' current mentors, who have daily contact with the future members of scientific societies. PMID- 18154695 TI - To QC or not to QC: the key to a consistent laboratory? AB - A limiting factor in every embryology laboratory is its capacity to grow 'normal' embryos. In human in vitro fertilisation (IVF), there is considerable awareness that the environment of the laboratory itself can alter the quality of the embryos produced and the industry as a whole has moved towards the implementation of auditable quality management systems. Furthermore, in some countries, such as Australia, an established quality management system is mandatory for clinical IVF practice, but such systems are less frequently found in other embryology laboratories. Although the same challenges of supporting consistent and repeatable embryo development are paramount to success in all embryology laboratories, it could be argued that they are more important in a research setting where often the measured outcomes are at an intracellular or molecular level. In the present review, we have outlined the role and importance of quality control and quality assurance systems in any embryo laboratory and have highlighted examples of how simple monitoring can provide consistency and avoid the induction of artefacts, irrespective of the laboratory's purpose, function or species involved. PMID- 18154696 TI - Experimental design, power and sample size for animal reproduction experiments. AB - The present paper concerns statistical issues in the design of animal reproduction experiments, with emphasis on the problems of sample size determination and power calculations. We include examples and non-technical discussions aimed at helping researchers avoid serious errors that may invalidate or seriously impair the validity of conclusions from experiments. Screen shots from interactive power calculation programs and basic SAS power calculation programs are presented to aid in understanding statistical power and computing power in some common experimental situations. Practical issues that are common to most statistical design problems are briefly discussed. These include one-sided hypothesis tests, power level criteria, equality of within-group variances, transformations of response variables to achieve variance equality, optimal specification of treatment group sizes, 'post hoc' power analysis and arguments for the increased use of confidence intervals in place of hypothesis tests. PMID- 18154697 TI - Cytoplasmic and nuclear determinants of the maternal-to-embryonic transition. AB - Although improvements in culture systems have greatly enhanced in vitro embryo production, success rates under the best conditions are still far from ideal. The reasons for developmental arrest of the majority of in vitro produced embryos are unclear, but likely attributable, in part, to intrinsic and extrinsic influences on the cytoplasmic and/or nuclear environment of an oocyte and/or early embryo that impede normal progression through the maternal-to-embryonic transition. The maternal-to-embryonic transition is the time period during embryonic development spanning from fertilisation until when control of early embryogenesis changes from regulation by oocyte-derived factors to regulation by products of the embryonic genome. The products of numerous maternal effect genes transcribed and stored during oogenesis mediate this transition. Marked epigenetic changes to chromatin during this window of development significantly modulate embryonic gene expression. Depletion of maternal mRNA pools is also an obligatory event during the maternal-to-embryonic transition critical to subsequent development. An increased knowledge of the fundamental mechanisms and mediators of the maternal to-embryonic transition is foundational to understanding the regulation of oocyte quality and future breakthroughs relevant to embryo production. PMID- 18154698 TI - Insights and applications from sequencing the bovine genome. AB - Humans have sought to improve/tailor cattle since their domestication a few thousand years ago. Up until the last 40-50 years, consistent genetic improvement of cattle was a hit or miss proposition. Recent progress has been more rapid, thanks to applications of quantitative genetics to breeding schemes. With the availability of the bovine genome sequence, genetic selection and on-farm management are likely to be revolutionised yet again. Genetic association studies that were previously impossible to carry out due to a lack of markers are now possible. In addition to improved genetic mapping of economic traits, the bovine genome sequence allows us to create a common context for genetic and physiological data, which will provide novel insights into gene regulation and function. PMID- 18154699 TI - Commercialising genetically engineered animal biomedical products. AB - Research over the past two decades has increased the quality and quantity of tools available to produce genetically engineered animals. The number of potentially viable biomedical products from genetically engineered animals is increasing. However, moving from cutting-edge research to development and commercialisation of a biomedical product that is useful and wanted by the public has significant challenges. Even early stage development of genetically engineered animal applications requires consideration of many steps, including quality assurance and quality control, risk management, gap analysis, founder animal establishment, cell banking, sourcing of animals and animal-derived material, animal facilities, product collection facilities and processing facilities. These steps are complicated and expensive. Biomedical applications of genetically engineered animals have had some recent successes and many applications are well into development. As researchers consider applications for their findings, having a realistic understanding of the steps involved in the development and commercialisation of a product, produced in genetically engineered animals, is useful in determining the risk of genetic modification to the animal nu. the potential public benefit of the application. PMID- 18154700 TI - Current ethical issues in animal biotechnology. AB - The present paper reviews the current status of opinion and debate regarding ethical issues in three broad categories of relevance to animal biotechnology. The first is scientific integrity, where the focus has been on scientific fraud and the integrity of the research process. The second concerns possible harms or risks to parties affected either directly by research (including animals themselves) or through the eventual commercialisation or development of products from animal biotechnology. The final category concerns a responsibility to serve as a guardian of the public interest with respect to application and development of technologies derived from new genetic sciences. It is plausible to see the scientific community as a whole having such a fiduciary obligation to the broader public in virtue of the technical complexity of the issues and owing to the public funding and institutional support for scientific research. The overall conclusion is that in the latter two categories especially, there is an urgent need for new participation in deliberative consideration of ethical issues by working scientists. PMID- 18154701 TI - Epigenetic regulation during mammalian oogenesis. AB - The advent of the epigenetic era has sparked a new frontier in molecular research and the understanding of how development can be regulated beyond direct alterations of the genome. Thus far, the focal point of epigenetic regulation during development has been chromatin modifications that control differential gene expression by DNA methylation and histone alterations. But what of events that alter gene expression without direct influence on the DNA itself? The present review focuses on epigenetic pathways regulating development from oogenesis to organogenesis and back that do not involve methylation of cytosine in DNA. We discuss target components of epigenetic modification such as organelle development, compartmentalisation of maternal factors and molecular mediators in the oocyte and how these factors acting during oogenesis impact on later development. Epigenetic regulation of development, be it via cytosine methylation or not, has wide-ranging effects on the subsequent success of a pregnancy and the intrinsic health of offspring. Perturbations in epigenetic regulation have been clearly associated with disease states in adult offspring, including Type II diabetes, hypertension, cancers and infertility. A clear understanding of all epigenetic mechanisms is paramount when considering the increased use of assisted reproductive techniques and the risks associated with their use. PMID- 18154702 TI - [The future of targeted therapeutics in oncology: targets to find, early and long term treatments]. PMID- 18154703 TI - [Nervous conduction of excitation independent of action potentials]. PMID- 18154704 TI - [Mammary stem and progenitor cells: critical role of the transcription factor Gata-3]. PMID- 18154705 TI - [Mutations in amphiphysin 2 (BIN1) cause autosomal recessive centronuclear myopathy]. PMID- 18154706 TI - [Decline of liver'age-dependent regenerative capacities: some molecular tracks]. PMID- 18154707 TI - [Axonal speeding, or how the central neurons improve their rhythm of calculation]. PMID- 18154708 TI - [Trap the product to specifically inhibit the enzyme]. PMID- 18154709 TI - [p27Kip1: tumor suppressor and oncogene?]. PMID- 18154710 TI - [Genetic mapping of metabolic profiles: genomic and metagenomic influences]. PMID- 18154711 TI - [Detecting patients at risk of developing an acute myocardial infarction: dream or reality?]. PMID- 18154712 TI - [Neural correlates of the hedonic capacity: a marker of vulnerability for psychiatric diseases?]. PMID- 18154714 TI - [NM23 and metastasis suppressor genes: update]. AB - Metastatic dissemination represents a leading cause of death in cancer patients. Elucidating the mechanisms of the metastatic process is therefore essential to control it. Since 1988, when the NME (NM23) gene was discovered, several genes specifically suppressing the metastatic potential of tumor cells, have been identified. These metastasis suppressor genes, which exhibit a reduced expression in metastatic tumor cells, are defined by their capacity to suppress metastatic dissemination in vivo without inhibiting primary tumor growth when transfected into metastatic cell lines and injected into experimental animals. Their decreased expression in a subset of human tumor cohorts is associated with a high metastatic potential, thus confirming the data obtained in experimental models. Most of these genes affect key signal transduction pathways, including mitogen activated protein kinases, Rho-GTPases and G-protein-coupled receptors. These signaling categories control cell-cell and cell-matrix interactions, which are important in monitoring adhesion, invasion and migration properties of metastatic tumor cells. Reduced expression of metastasis suppressor genes is most often due to epigenetic mechanisms, suggesting that their re-expression could constitute a new anti-metastatic therapy. In this paper, we review the literature on metastasis suppressor genes, with a particular focus on NM23. PMID- 18154715 TI - [Characterization of stem cells from the murine adult mammary gland]. AB - The postnatal mammary morphogenesis comprises two steps, first, formation of a system of branching ducts at puberty and second, alveologenesis during pregnancy. The mammary epithelium is organized as a bilayer, composed of two cellular types, basal myoepithelial and luminal epithelial. The remarkable regenerative properties revealed in serial transplantation experiments suggest that the adult mammary epithelium harbors stem cells. Various strategies including analysis of DNA label-retaining cells, transgenic approach, and in vivo transplantation assay, have been used to isolate and characterize murine mammary stem and progenitor cells. Their molecular characteristics remain to be defined precisely but notable progress have been already made in the enrichment and identification of these cells. Current studies favor the hypothesis of a basal-type mammary stem cells expressing high levels of alpha 6, beta1 and beta 3 integrin chains, the major receptors of extracellular matrix proteins. Luminal-type progenitors may participate in the establishment of the bilayered alveolar epithelium during pregnancy. PMID- 18154716 TI - [The cancer stem cell: the breast cancer driver]. AB - Recent research in a large variety of tumors, including breast cancer, has given support to the "cancer stem cell hypothesis". Based on this, tumors contain and are driven by a cellular subcomponent that retains key stem cell properties. These include self-renewal, which drives tumorigenesis, and the capacity to generate cellular heterogeneity. Recently, different techniques have been used to isolate potential breast cancer stem cells with the cell surface phenotype CD44+CD24-/low lin- or expressing Aldehyde dehydrogenase. This model has fundamental implications for breast cancer treatment. The development of specific therapeutics that target this population is an important focus for the future. PMID- 18154717 TI - [New perspectives for bradykinin in nephroprotection]. AB - Various diseases such as arterial hypertension, diabetes and obesity result in renal diseases which are often irreversible and resistant to currently available therapies. Beside the control of glycemia in diabetic patients, only the blockade of the renin-angiotensin system is effective in reducing the occurrence of glomerulosclerosis and its development towards terminal renal failure. Inhibition of this system is based on the use of angiotensin-1 converting enzyme inhibitors (ACEI) and angiotensin AT1 receptor antagonists. For many years, the beneficial effects of these two classes of drugs were attributed mainly to their interference with angiotensin II. However, recent in vitro and in vivo evidences strongly suggest that bradykinin B2 receptor is also involved in the nephroprotective effects of these drugs. A compelling evidence is the finding that the development of glomerulosclerosis is more severe in knock-out B2 receptor mice. The nephroprotective effect of B2 receptor could be the consequence of a reduction of proteinuria, glomerular and interstitial fibrosis, cell proliferation and of the oxidative stress through the contribution of several well identified mechanisms. It is proposed that B2 receptor agonists can offer a novel therapeutic avenue in the treatment of nephropathies associated with diabetes or other vascular diseases. PMID- 18154718 TI - [Prions: where do we stand 20 years after the appearance of bovine spongiform encephalopathy?]. AB - Bovine spongiform encephalopathy (BSE) is a transmissible spongiform encephalopathy (TSE) identified twenty years ago in the British cattle herds. Creutzfeldt-Jakob disease (CJD) is a TSE that occurs in humans. In 1996, scientists found a possible link between BSE and a new variant of CJD (vCJD). The fact that the non conventional infectious agent of TSE, named prions, could cross the species barrier from cattle to human through meat consumption, raised a tremendous concern for public safety in Europe. This led to the development in the following two decades of substantial and expensive measures to contain BSE and prevent its transmission to humans. In parallel, scientific programs have been funded to progress through the comprehension of the physiopathology of these fatal disorders. In Europe, the BSE epidemics is now ending and the number of cases is decreasing thanks to the strict control of animal foodstuff that was the main source of prion contamination. Only a small number of vCJD have been detected, however, additional concerns have been raised recently for public safety as secondary transmission of CJD through medical procedure and blood transfusion is possible. In addition, the possibility that the BSE was transmitted to other animals including small ruminants is also worrisome. Research efforts are now focussing on decontamination and ante mortem diagnosis of TSE to prevent animal and human transmission. However, needs for fundamental research are still important as many questions remain to be addressed to understand the mechanism of prion transmission, as well as its pathogenesis. PMID- 18154719 TI - [Nobel Prize 2007 for Medicine to Mario Capecchi, Martin Evans and Oliver Smithies: the mutant mice to order]. PMID- 18154720 TI - [Drug consumptions by the young adolescents: 1. Epidemiological data]. AB - Adolescence is often the time of experimentation with psychoactive substances, sometimes leading to more regular use. This paper gives an update of drug consumptions by the young adolescents, from results of recent general population surveys in France, and focuses on the specificity of this consumption when compared to that of older adolescents. It shows that regular uses of such substances usually do not start before the age of 14, but that early initiated adolescents show a higher risk of moving towards more intensive or problematic uses. Through presenting the limitations of such surveys, the authors discuss the nature of the link observed between early experimentation and level of use: while acknowledging the unquestionable prognostic value of early initiation to predict future problematic use, they show that its interpretation should be made with caution when based on such transversal epidemiological surveys. PMID- 18154723 TI - [Neurological disorders and trichothiodystrophy: when the transcription process is impaired]. PMID- 18154724 TI - [The brain in color: transgenic "Brainbow" mice for visualizing neuronal circuits]. PMID- 18154725 TI - Highly sensitive assays for SUMOylation and small ubiquitin-like modifier dependent protein-protein interactions. AB - Small ubiquitin-like proteins (SUMO) are recently discovered post-translational modifiers that regulate protein functions and intracellular trafficking. In this study, we are describing two chemoluminescence-based assays, one for SUMOylation and another one for SUMO-mediated protein-protein interactions. These assays can be used to characterize the activity and kinetics of the enzymes that catalyze SUMOylation, and in high-throughput screening for inhibitors of SUMOylation and SUMO-dependent protein-protein interactions. These novel assays represent the most sensitive assays for ubiquitin-like systems published to date. Similar strategies can be used to develop assays for other ubiquitin-like modification systems. PMID- 18154726 TI - Metabolic control of the membrane fluidity in Bacillus subtilis during cold adaptation. AB - Membrane fluidity adaptation to the low growth temperature in Bacillus subtilis involves two distinct mechanisms: (1) long-term adaptation accomplished by increasing the ratio of anteiso- to iso-branched fatty acids and (2) rapid desaturation of fatty acid chains in existing phospholipids by induction of fatty acid desaturase after cold shock. In this work we studied the effect of medium composition on cold adaptation of membrane fluidity. Bacillus subtilis was cultivated at optimum (40 degrees C) and low (20 degrees C) temperatures in complex medium with glucose or in mineral medium with either glucose or glycerol. Cold adaptation was characterized by fatty acid analysis and by measuring the midpoint of phospholipid phase transition T(m) (differential scanning calorimetry) and membrane fluidity (DPH fluorescence polarization). Cells cultured and measured at 40 degrees C displayed the same membrane fluidity in all three media despite a markedly different fatty acid composition. The T(m) was surprisingly the highest in the case of a culture grown in complex medium. On the contrary, cultivation at 20 degrees C in the complex medium gave rise to the highest membrane fluidity with concomitant decrease of T(m) by 10.5 degrees C. In mineral media at 20 degrees C the corresponding changes of T(m) were almost negligible. After a temperature shift from 40 to 20 degrees C, the cultures from all three media displayed the same adaptive induction of fatty acid desaturase despite their different membrane fluidity values immediately after cold shock. PMID- 18154727 TI - Serum proteomic-based analysis for the identification of a potential serological marker for autoimmune hepatitis. AB - In the present study, by using a serologic proteomic analysis, we identified phosphoglycerate mutase isozyme B (PGAM-B) as a putative target of autoantibodies in autoimmune hepatitis (AIH). To evaluate whether the identified autoantigen is crucial for AIH, we cloned PGAM-B cDNA and expressed the recombinant protein in Escherichia coli. The soluble PGAM-B was purified by affinity chromatography and used as a coating antigen to determine the frequency of the PGAM-B-autoantibodies (PGAM-B-Abs) in patients with AIH and primary biliary cirrhosis (PBC) as well as chronic hepatitis B (CHB), chronic hepatitis C (CHC), and healthy donors by ELISA. Our study showed that the autoantibody to PGAM-B was predominantly present in AIH patients and 70.04% (50/71) of the tested AIH sera reacted to PGAM-B. The frequency of autoantibodies to PGAM-B is much higher in patients with AIH than in patients with PBC, CHB, CHC, and normal control. The data were further confirmed by using 1-DE Western blot analysis. Our study presents the first description of this protein as a candidate of diagnostic marker for AIH. PMID- 18154728 TI - Troponin: regulatory function and disorders. AB - Study of the molecular biology of the calcium regulation of muscle contraction was initiated by Professor Ebashi's discovery of a protein factor that sensitized actomyosin to calcium ions. This protein factor was separated into two proteins: tropomyosin and a novel protein named troponin. Troponin is a Ca(2+)-receptive protein for the Ca(2+)-regulation of muscle contraction and, in association with tropomyosin, sensitizes actomyosin to Ca(2+). Troponin forms an ordered regulatory complex with tropomyosin in the thin filament. Several regulatory properties of troponin, which is composed of three different components, troponins C, I, and T, are discussed in this article. Genetic studies have revealed that many mutations of genes for troponin components, especially troponins T and I, are involved in the three types of inherited cardiomyopathy. Results of functional analyses indicate that changes in the Ca(2+)-sensitivity caused by troponin mutations are the critical functional consequences leading to these disorders. Recent results of this pathophysiological aspect of troponin are also discussed. PMID- 18154729 TI - HPLC evaluation of clinical and pharmacological factors reported to cause false positive carbohydrate-deficient transferrin (CDT) levels. AB - BACKGROUND: Carbohydrate-deficient transferrin (CDT) is an alcohol biomarker used for detection and follow-up of excessive alcohol consumption. This HPLC study evaluated some clinical conditions and medications previously suggested to interfere with and cause non-alcohol related elevations of CDT. METHODS: Serum samples were collected from patients with end-stage liver disease (n=50), type 2 diabetes mellitus (n=46), cystic fibrosis (n=24), an elevated C-reactive protein level (CRP>100 mg/L; n=15), and from patients taking enzyme inducing or non enzyme inducing antiepileptic drugs (n=43). Subjects with known or suspected alcohol-related problems were excluded. A sensitive and specific HPLC candidate CDT reference method was used to determine the relative amount of disialotransferrin to total transferrin. RESULTS: Of the 178 samples, 9 (5%) had a %disialotransferrin level > or =1.8% (>97.5th percentile) and were considered CDT positive. The highest frequency of elevated results was found in patients with end-stage liver disease (12%, n=6), including 3 with hemochromatosis, 1 with hepatitis C, 1 with autoimmune hepatitis and 1 with unspecified liver disease and cirrhosis. The other elevated %disialotransferrin results were from 2 patients taking enzyme-inducing antiepileptic drugs and 1 with type 2 diabetes. Five of 8 examined %disialotransferrin positive samples were also positive for ethyl glucuronide (EtG). CONCLUSION: This HPLC study found an overall low frequency of elevated %disialotransferrin levels in the clinical conditions and medications examined. Previous reports of frequent false-positive CDT results thus seem to be connected with the analytical methodology used rather than representing true clinical or pharmacological interferences. PMID- 18154730 TI - Blood levels of polycyclic aromatic hydrocarbons in children and their association with oxidative stress indices: an Indian perspective. AB - BACKGROUND: Polycyclic aromatic hydrocarbons (PAHs), some ubiquitous environmental contaminants are capable to cause oxidative stress, during its metabolism. It is believed that many diseases that have a common origin in oxidative stress begin in childhood. Considering oxidative stress evolved during PAHs metabolism as one main mechanism responsible for health hazards related to PAHs exposure in children, we biomonitored blood PAHs levels in connection with redox status among children of Lucknow (India). METHODS: The study consisted of children (n = 50) who visited to the Pediatrics Department (KGMU) Lucknow for usual health check-up camp over the study period (August 2005-July 2006). Blood samples were drawn and levels of acenaphthylene, anthracene, phenanthrene, fluoranthene, naphthalene, pyrene, benzo(b)fluoranthene, benzo(k)fluoranthene and benzo(a)pyrene were determined by HPLC-FD/UV. Malondialdehyde (MDA), glutathione (GSH) levels, catalase (CAT) and superoxide dismutase (SOD) activity were also determined to evaluate redox status. RESULTS: Significantly elevated carcinogenic blood PAHs levels (125.55 +/- 26.99ppb, p < 0.05) were found in rural children compared to children from urban region (23.96 +/- 13.46). Results revealed that remoteness between residence and highway/traffic, significantly influences the blood levels of carcinogenic PAHs. There were significant correlations between total PAHs and MDA (r = 0.82, p < 0.001), carcinogenic PAHs and SOD activity (r = 0.35, p < 0.01), Total PAHs and blood GSH level (r = - 0.49, p < 0.01) and carcinogenic PAHs and CAT activity (r = 0.42, p < 0.01). Blood MDA level was also found correlated with increasing body mass index (BMI) (r = 0.29, p < 0.05). CONCLUSION: Our results showed blood PAHs levels in children significantly correlated with oxidative stress and altered antioxidant status. It supports our hypothesis that the children exposed to high PAHs level will suffer more to oxidative stress that may lead to possible health risks. Additional studies with large sample size are considered necessary to strengthen the database and also to explore the PAHs associated health risks in children. PMID- 18154731 TI - PON1 activity and total oxidant status in patients with active pulmonary tuberculosis. AB - OBJECTIVES: The aim of this study was to the investigate effect of tuberculosis infection on paraoxonase-1 (PON1) activity and oxidative status in patients with pulmonary tuberculosis (PTB). DESIGN AND METHODS: Twenty-five active PTB subjects and 33 healthy controls were included in the study. Serum PON1 activity, total oxidant status (TOS), lipid hydroperoxide (LOOH) and total free sulfydryl (-SH) groups were determined. RESULTS: Serum basal/salt-stimulated paraoxonase activities, arylesterase activity and total -SH group levels were significantly lower in patients with PTB than controls (p<0.05, p<0.05, p<0.001 and p<0.01 respectively), while TOS and LOOH levels were significantly higher (p<0.01 and p<0.05, respectively). In PTB patients, TOS, LOOH and total -SH group levels were significantly correlated with paraoxonase (r=-0.371, p<0.05; r=-0.286, p<0.05; r=0.625 p<0.01; respectively) and arylesterase (r=-0.437, p<0.01; r=-0.352, p<0.05; r=0.653, p<0.01; respectively). CONCLUSIONS: Patients with active PTB are exposed to potent oxidative stress and they have decreased PON1 activity. These predisposal factors may, in part, play a role in the pathogenesis of atherosclerosis in PTB. PMID- 18154732 TI - Analbuminemia Zonguldak: case report and mutational analysis. AB - OBJECTIVES: To document a new case of the rare disease analbuminemia and to study the molecular defect responsible for the trait. DESIGN AND METHODS: Single-strand conformational polymorphism (SSCP), heteroduplex analysis (HA), and DNA sequencing of the 14 exons and their flanking intron regions, as well as of the 5' and 3' UTR, of the albumin gene were conducted on DNA extracted from peripheral blood samples. RESULTS: DNA sequence analysis showed that the proband was homozygous, and his parents were both heterozygous, for a previously unreported 5180 T-->A transversion. This silent mutation creates at position 5180 81 a new AG dinucleotide, the invariant sequence encountered in all eukaryotic intron acceptor splice sites. This aberrant splice site near the 3'end of exon 5 might alter the normal splicing mechanism. No other mutation was found in the examined regions of the gene. CONCLUSIONS: Our results define a new molecular defect in the albumin gene. PMID- 18154733 TI - Modulation of nucleobindin-1 and nucleobindin-2 by caspases. AB - Nucleobindin-1 (NUCB1) and nucleobindin-2 (NUCB2) are multifunctional proteins that interact with Ca(2+), nucleic acids and various regulatory proteins in different signaling pathways. So far, our understanding of the regulation of the biological functions of nucleobindins remains limited. In our proteome-wide selection for downstream caspase substrates, both NUCB1 and NUCB2 are found to be the downstream substrates of caspases. We report here the detailed analyses of the cleavage of nucleobindins by caspases. Significantly, the caspase cleavage sites are located exactly at one of the Ca(2+)-binding EF-hand motifs. Our results suggest that the functions of nucleobindins could be modulated by caspase mediated cleavage in apoptosis. PMID- 18154734 TI - Squalene cyclase and oxidosqualene cyclase from a fern. AB - Ferns are the most primitive vascular plants. The phytosterols of ferns are the same as those of higher plants, but they produce characteristic triterpenes. The most distinct feature is the lack of oxygen functionality at C-3, suggesting that the triterpenes of ferns may be biosynthesized by direct cyclization of squalene. To obtain some insights into the molecular bases for the biosynthesis of triterpenes in ferns, we cloned ACX, an oxidosqualene cyclase homologue, encoding a cycloartenol synthase (CAS) and ACH, a squalene cyclase homologue, encoding a 22-hydroxyhopane synthase from Adiantum capillus-veneris. Phylogenetic analysis revealed that ACH is located in the cluster of bacterial SCs, while ACX is in the cluster of higher plant CASs. PMID- 18154735 TI - Rac, PAK and p38 regulate cell contact-dependent nuclear translocation of myocardin-related transcription factor. AB - We investigated the mechanism whereby cell contact injury stimulates the alpha smooth muscle actin (SMA) promoter, a key process for epithelial-mesenchymal transition (EMT) during organ fibrosis. Contact disruption by low-Ca(2+) medium (LCM) activated Rac, PAK and p38 MAPK, and triggered the nuclear accumulation of myocardin-related transcription factor (MRTF), an inducer of the SMA promoter. Dominant negative (DN) Rac, DN-PAK, DN-p38, or the p38 inhibitor SB203580 suppressed the LCM-induced nuclear accumulation of MRTF and the activation of the SMA promoter. These studies define novel pathway(s) involving Rac, PAK, and p38 in the regulation of MRTF and the contact-dependent induction of EMT. PMID- 18154736 TI - High affinity selenium uptake in a keratinocyte model. AB - The distribution of selenium in mammals has been recently shown to be mediated primarily by selenoprotein P. Even in the absence of selenoprotein P, selenium is distributed from the liver into all organs and tissues when supplemented in the diet. The form of selenium that is actively taken up by mammalian cells at trace concentrations has yet to be determined. We used a human keratinocyte model to determine whether reduction of the oxyanion selenite (SeO(3)(2-)) to the more reduced form of selenide (HSe(-)) would affect uptake. Indeed a reduced form of selenium, presumably selenide, was actively transported into keratinocytes and displayed saturation kinetics with an apparent K(m) of 279 nM. ATPase inhibitors blocked the uptake of selenide, as did the competing anions molybdate and chromate, but not sulfate. These results suggest that the small molecule form of selenium that is distributed in tissues is hydrogen selenide, despite its sensitivity to oxygen and reactivity to thiols. PMID- 18154737 TI - A family of eukaryotic lysophospholipid acyltransferases with broad specificity. AB - The budding yeast ALE1 gene encodes a lysophospholipid acyltransferase (LPLAT) with broad specificity. We show that yeast LPLAT (ScLPLAT) belongs to a distinct protein family that includes human MBOAT1, MBOAT2, MBOAT4, and several closely related proteins from other eukaryotes. We further show that two plant proteins within this family, the Arabidopsis proteins AtLPLAT1 and AtLPLAT2, possess lysophospholipid acyltransferase activities similar to ScLPLAT. We propose that other members of this protein family, which we refer to as the LPLAT family, also are likely to possess LPLAT activity. Finally, we show that ScLPLAT differs from the specific lysophosphatidic acid acyltransferase that is encoded by SLC1 in that it cannot efficiently use lysophosphatidic acid produced by acylation of glycerol-3-phosphate in vitro. PMID- 18154738 TI - Endothelin-1 induction of Glut1 transcription in 3T3-L1 adipocytes involves distinct PKCepsilon- and p42/p44 MAPK-dependent pathways. AB - We have shown previously that chronic exposure to endothelin-1 (ET-1) may stimulate GLUT1-mediated glucose transport in 3T3-L1 adipocytes via both protein kinase C (PKC)- and mitogen-activated protein kinase (p42/p44 MAPK)-dependent pathways. In the present study, by using a luciferase reporter driven by Glut1 promoter and enhancers (pLuc-GT1/E1/E2) and various constitutively active and dominant negative mutants of PKC isoforms, we identified PKCepsilon as the PKC isoform involved. In addition, we provide evidence that there is no direct interaction between ET-1 activated PKCepsilon and MAPK, at least at the kinase activity level. Furthermore, investigations employing deletion mutants of pLuc GT1/E1/E2 to locate the putative ET-1 responsive sites and inhibitory agents to suppress the activities of putative transcription factors suggested that transcription factors CREB, Sp1 and NF-kappaB were involved. In summary, the results of this study indicate that ET-1 induction of Glut1 transcription involves distinct PKCepsilon- and MAPK-dependent pathways, as well as downstream transcription factors CREB, Sp1 and NF-kappaB. PMID- 18154739 TI - Catalytic inactive heme oxygenase-1 protein regulates its own expression in oxidative stress. AB - Heme oxygenase-1 (HO-1) catalyzes the degradation of heme and forms antioxidant bile pigments as well as the signaling molecule carbon monoxide. HO-1 is inducible in response to a variety of chemical and physical stress conditions to function as a cytoprotective molecule. Therefore, it is important to maintain the basal level of HO-1 expression even when substrate availability is limited. We hypothesized that the HO-1 protein itself could regulate its own expression in a positive feedback manner, and that this positive feedback was important in the HO 1 gene induction in response to oxidative stress. In cultured NIH 3T3 cells, transfection of HO-1 cDNA or intracellular delivery of pure HO-1 protein resulted in activation of a 15-kb HO-1 promoter upstream of luciferase as visualized by bioluminescent technology and increased HO-1 mRNA and protein levels. These effects were independent of HO activity because an enzymatically inactive mutant form of HO-1 similarly activated the HO-1 promoter and incubation with HO inhibitor metalloporphyrin SnPP did not affect the promoter activation. In addition, HO-1-specific siRNA significantly reduced hemin and cadmium chloride mediated HO-1 induction. Furthermore, deletion analyses demonstrated that the E1 and E2 distal enhancers of the HO-1 promoter are required for this HO-1 autoregulation. These experiments document feed-forward autoregulation of HO-1 in oxidative stress and suggest that HO-1 protein has a role in the induction process. We speculate that this mechanism may be useful for maintaining HO-1 expression when substrate is limited and may also serve to up-regulate other genes to promote cytoprotection and to modulate cell proliferation. PMID- 18154740 TI - Chaperone function in organic co-solvents: experimental characterization and modeling of a hyperthermophilic chaperone subunit from Methanocaldococcus jannaschii. AB - Molecular chaperones play a central role in maintaining protein structure within a cell. Previously, we determined that the gene encoding a molecular chaperone, a thermosome, from the hyperthermophilic archaeon Methanocaldococcus jannaschii is upregulated upon lethal heat shock. We have recombinantly expressed this thermosome (rTHS) and show here that it is both stable and fully functional in aqueous solutions containing water-miscible organic co-solvents. Based on circular dichroism the secondary structure of rTHS was not affected by one-hour exposures to a variety of co-solvents including 30% v/v acetonitrile (ACN) and 50% methanol (MeOH). By contrast, the secondary structure of a mesophilic homologue, GroEL/GroES (GroE), was substantially disrupted. rTHS reduced the aggregation of ovalbumin and citrate synthase in 30% ACN, assisted refolding of citrate synthase upon solvent-inactivation, and stabilized citrate synthase and glutamate dehydrogenase in the direct presence of co-solvents. Apparent total turnover numbers of these enzymes in denaturing solutions increased by up to 2.5 fold in the presence of rTHS. Mechanistic models are proposed to help ascertain specific conditions that could enhance or limit organic solvent-induced chaperone activity. These models suggest that thermodynamic stability and the reversibility of enzyme unfolding play key roles in the effectiveness of enzyme recovery by rTHS. PMID- 18154742 TI - Cannabinoid-1 receptor blockade in cardiometabolic risk reduction: efficacy. AB - Intra-abdominal fat mass, or central adiposity, and cardiovascular risk are strongly correlated. Adipose tissue is an endocrine organ that secretes hormones and cytokines influencing appetite, energy metabolism, and atherosclerosis. National Heart, Lung, and Blood Institute (NHLBI) guidelines recommend that if dietary and lifestyle interventions fail to produce favorable outcomes in individuals with a body mass index >27 and weight-related comorbidities, as well as those with a body mass index >30, treatment plans may include weight loss medication. The endocannabinoid system has recently emerged as a viable target for the pharmacologic treatment of obesity and cardiometabolic risk factors. This article provides an in-depth review of efficacy results from clinical trials of rimonabant, a selective cannabinoid-1 receptor. (Recently, an FDA Advisory Committee recommended a delay in the approval of rimonabant because of safety issues that need to be addressed in further studies.) Compared with placebo, rimonabant 20 mg significantly decreased body weight and waist circumference measurements. In addition, rimonabant was associated with favorable changes in several other cardiometabolic risk factors, including significant increases in serum levels of high-density lipoprotein cholesterol and adiponectin, as well as reductions in serum levels of triglycerides, small, dense low-density lipoprotein particles, C-reactive protein, insulin resistance, and glycosylated hemoglobin. PMID- 18154743 TI - Cannabinoid-1 receptor blockade in cardiometabolic risk reduction: safety, tolerability, and therapeutic potential. AB - Rimonabant is the first selective blocker of the cannabinoid-1 receptor in development for the treatment of obesity, diabetes mellitus, and cardiometabolic risk factors. (Recently, an FDA Advisory Committee recommended a delay in the approval of rimonabant because of safety issues that need to be addressed in further studies.) Although it is associated with favorable effects on weight, waist circumference, serum lipids, C-reactive protein, and an improvement in glycemic control in type 2 diabetes, there are concerns about side effects. Generally, rimonabant has been well tolerated, with a primary side effect of nausea. Other side effects seen in trials have been anxiety and depressive symptoms, as well as neurologic events, albeit at low rates. When rimonabant becomes clinically available, physicians should be vigilant regarding the expected side effects and use alternative therapies if needed. PMID- 18154744 TI - A cardiologist's perspective on cardiometabolic risk. AB - Many patients who present for cardiovascular evaluation meet the National Cholesterol Education Program (NCEP) criteria for the metabolic syndrome. Indeed, the metabolic abnormalities that characterize the syndrome are major drivers of atherosclerosis. Although definitive therapeutic interventions for the metabolic syndrome remain unclear, considerable data implicate adiposity as a core element of this constellation of abnormalities. Thus, for practicing cardiologists, the need to better understand and target adiposity is inescapable. PMID- 18154745 TI - Weight reduction and cardiovascular and metabolic disease prevention: clinical trial update. AB - In children and adults, weight gain is accompanied by the early and more aggressive manifestations of well-recognized risk factors for atherosclerotic cardiovascular disease (CVD). Because insulin resistance and the later development of type 2 diabetes mellitus also accompany weight gain, the term cardiometabolic risk is now commonly used to describe this emerging global health problem. Weight loss will improve cardiometabolic risk. However, less is known about the effect of weight loss on the development of disease and, most importantly, type 2 diabetes and CVD outcomes in the form of death, myocardial infarction, and stroke. This review describes current clinical research that uses health-promoting lifestyle interventions, new drugs, and even surgery, which are all aimed at weight loss, reduction in disease manifestations, and improved outcomes. These anticipated data are essential for the future development of effective CVD prevention strategies. Results are awaited with great interest. PMID- 18154746 TI - The endocannabinoid system in the regulation of cardiometabolic risk factors. AB - Obesity has increased at a striking rate over the last 3 decades in the Western world. This negative trend dramatically affects physical health and, ultimately, cardiovascular risks. In fact, particularly at the visceral level, obesity is strongly associated with an increased risk for life-threatening conditions, such as type 2 diabetes mellitus, hypertension, dyslipidemia, and cardiovascular disease. Although nutritional changes and physical activity are commonly thought of as the core treatments for obesity, it is necessary to further support obese patients with a pharmacologic approach for 2 reasons: to reduce the metabolic risk profile, and to avoid the regaining of weight. Among the various pharmacologic targets explored in recent years, the endocannabinoid (EC) system now constitutes the most promising proposal so far. In this review, after focusing on the central and peripheral signaling pathways that preserve energy homeostasis, we review the role of the EC system in regulating food's rewarding properties, controlling caloric intake by acting in hypothalamic pathways, and in modulating metabolic functions of several peripheral organs. In addition, we provide evidence that supports the recently proposed hypothesis that a close association exists between obesity and overactivation of the EC system. PMID- 18154747 TI - Surfactant-enhanced remediation of organic contaminated soil and water. AB - Surfactant based remediation technologies for organic contaminated soil and water (groundwater or surface water) is of increasing importance recently. Surfactants are used to dramatically expedite the process, which in turn, may reduce the treatment time of a site compared to use of water alone. In fact, among the various available remediation technologies for organic contaminated sites, surfactant based process is one of the most innovative technologies. To enhance the application of surfactant based technologies for remediation of organic contaminated sites, it is very important to have a better understanding of the mechanisms involved in this process. This paper will provide an overview of the recent developments in the area of surfactant enhanced soil and groundwater remediation processes, focusing on (i) surfactant adsorption on soil, (ii) micellar solubilization of organic hydrocarbons, (iii) supersolubilization, (iv) density modified displacement, (v) degradation of organic hydrocarbon in presence surfactants, (vi) partitioning of surfactants onto soil and liquid organic phase, (vii) partitioning of contaminants onto soil, and (viii) removal of organics from soil in presence of surfactants. Surfactant adsorption on soil and/or sediment is an important step in this process as it results in surfactant loss reduced the availability of the surfactants for solubilization. At the same time, adsorbed surfactants will retained in the soil matrix, and may create other environmental problem. The biosurfactants are become promising in this application due to their environmentally friendly nature, nontoxic, low adsorption on to soil, and good solubilization efficiency. Effects of different parameters like the effect of electrolyte, pH, soil mineral and organic content, soil composition etc. on surfactant adsorption are discussed here. Micellar solubilization is also an important step for removal of organic contaminants from the soil matrix, especially for low aqueous solubility organic contaminants. Influences of different parameters such as single and mixed surfactant system, hydrophilic and hydrophobic chain length, HLB value, temperature, electrolyte, surfactant type that are very important in micellar solubilization are reviewed here. Microemulsion systems show higher capacity of organic hydrocarbons solubilization than the normal micellar system. In the case of biodegradation of organic hydrocarbons, the rate is very slow due to low water solubility and dissolution rate but the presence of surfactants may increase the bioavailability of hydrophobic compounds by solubilization and hence increases the degradation rate. In some cases the presence of it also reduces the rate. In addition to fundamental studies, some laboratory and field studies on removal of organics from contaminated soil are also reviewed to show the applicability of this technology. PMID- 18154748 TI - Have you seen the 10-Year long-term safety data on laser in situ keratomileusis? PMID- 18154749 TI - Glaucoma screening: the value is in the details. PMID- 18154750 TI - Characteristics of untreated AIDS-related cytomegalovirus retinitis. I. Findings before the era of highly active antiretroviral therapy (1988 to 1994). AB - PURPOSE: To identify factors related to variations in the appearance of untreated AIDS-related cytomegalovirus (CMV) retinitis in severely immunodeficient individuals before the availability of highly active antiretroviral therapy (HAART) and to draw inferences regarding early events in the natural history of CMV retinitis based on clinical findings. DESIGN: Retrospective, observational case series. METHODS: We evaluated a series of 100 adult patients with AIDS and newly diagnosed CMV retinitis before the HAART era who were not being treated with specific anti-CMV therapy. Demographic factors, ophthalmic findings, and the influence of drug therapy (zidovudine, acyclovir) on lesion characteristics were evaluated. Lesion border opacity was scored using a four-point scale of severity. RESULTS: Lesions could be categorized by type (fulminant/edematous or indolent/granular) in only 66% of eyes. Severe lesion border opacity (4+) was related to presence of zone 1 lesions (P = .032) and greater extent of disease (P = .004). Acyclovir use was associated with less severe opacity (P = .029) and less zone 1 involvement (P = .016). Early lesions were adjacent to vessels in 73% of eyes; the fovea was involved in 13% of eyes. CONCLUSIONS: Lesion location and drug use that affects virus activity may influence the severity of lesion border opacity, a measure that may be more useful than lesion type in future clinical studies of CMV retinitis. In contrast to earlier concepts, CMV retinitis does not seem to be a fovea-sparing disease. Findings in this study can serve as a reference for investigations into possible changes in CMV retinitis since the introduction of HAART. PMID- 18154752 TI - Ten-year follow-up of photorefractive keratectomy for myopia of less than -6 diopters. AB - PURPOSE: To evaluate the long-term outcomes of excimer laser myopic photorefractive keratectomy (PRK) for myopia of less than -6 diopters (D). DESIGN: Long-term (10-year) follow-up retrospective, interventional case series. METHODS: The study included 225 eyes of 138 myopic patients with spherical equivalent (SE) between 0 and -6 D treated with myopic PRK at the Instituto Oftalmologico de Alicante, Alicante, Spain, using the VISX 20/20 excimer laser (Santa Clara, California, USA). The main outcome measures were refractive predictability and stability, mean corneal keratometry, topographical cylinder, safety, efficacy, stability of visual acuity, and postoperative complications. RESULTS: At 10 years, 169 (75%) of 225 eyes were within +/- 1.00 D and 207 (92%) were within +/- 2.00 D. Ninety-five (42%) eyes underwent retreatments because of overcorrection, regression, or both. The mean SE slightly decreased (myopic regression) with a mean magnitude of -0.10 +/- 1.08 D over 10 years (-0.01 +/- 0.11 D per year). Forty-one (58%) of 225 eyes demonstrated increase in best spectacle-corrected visual acuity after 10 years. Only one eye lost eight lines because of significant cataract, and two eyes lost vision (one lost seven lines and the other lost four lines) because of posterior segment-related complications. The mean corneal haze score gradually decreased from 0.22 +/- 0.39 at three months to 0.01 +/- 0.09 at 10 years. CONCLUSIONS: Photorefractive keratectomy for myopia of less than -6 D is a safe and effective procedure in the long-term. PMID- 18154751 TI - Characteristics of untreated AIDS-related cytomegalovirus retinitis. II. Findings in the era of highly active antiretroviral therapy (1997 to 2000). AB - PURPOSE: To describe host characteristics (use of highly active antiretroviral therapy [HAART]; CD4+ T-lymphocyte count; HIV ribonucleic acid [RNA] blood level) of people who were diagnosed with AIDS-related cytomegalovirus (CMV) retinitis after HAART became available and to investigate effects of HAART on ophthalmic findings. DESIGN: Retrospective, observational case series. METHODS: We collected demographic, medical, laboratory, and ophthalmic data for all patients with AIDS and newly diagnosed, untreated CMV retinitis from January 1997 through December 2000 at 10 sites in Los Angeles and Orange Counties, California. RESULTS: The proportions of Hispanic and African-American patients were equivalent to or greater than their prevalences in the AIDS and general populations of Los Angeles County. Most patients (n = 80; 63.5%) were known to be receiving HAART at the time of CMV retinitis diagnosis; only 22 patients (17.5%) were HAART-naive. Median CD4+ T-lymphocyte count was 15 cells/microl and median HIV RNA blood level was 103,000 copies/ml for all patients, but in 10 patients, CMV retinitis developed despite good immunologic and virologic responses to HAART. When compared with HAART-naive patients, HAART-failure patients with CMV retinitis had more asymptomatic disease (P = .073), better visual acuity in the better eye (P = .003), more bilateral disease (P = .007), less zone 1 involvement (P = .042), and lower lesion border opacity scores (P = .054). CONCLUSIONS: Most patients with AIDS and newly diagnosed CMV retinitis in an urban setting are HAART-experienced. HAART may influence characteristics of new CMV retinitis lesions at presentation, despite laboratory evidence of treatment failure, possibly because of residual CMV-specific immunity. PMID- 18154753 TI - Ten-year follow-up of photorefractive keratectomy for myopia of more than -6 diopters. AB - PURPOSE: To evaluate the long-term outcomes of excimer laser myopic photorefractive keratectomy (PRK) for myopia higher than -6 diopters (D). DESIGN: A long-term (10-year) follow-up retrospective, interventional case series. METHODS: The study included 267 eyes of 191 patients with myopia with spherical equivalent (SE) of more than -6 D treated with myopic PRK at the Instituto Oftalmologico de Alicante, Alicante, Spain, using the VISX 20/20 excimer laser (Santa Clara, California, USA). All patients were evaluated three months, one year, two years, five years, and 10 years after surgery. The main outcome measures were refractive predictability and stability, mean corneal keratometry, topographical cylinder, safety, efficacy, stability of visual acuity, and postoperative complications. RESULTS: At 10 years, 156 (58%) of 267 eyes were within +/- 1.00 D and 209 (78%) were within +/- 2.00 D. One hundred and twenty four eyes (46.4%) underwent retreatments because of overcorrection, regression, or both. The mean SE decreased (myopic regression) in eyes that did not undergo retreatment, with a mean magnitude of -1.33 +/- 2.0 D over 10 years (-1.13 +/- 0.20 D per year). One hundred and twenty-one (48.3%) of 267 eyes demonstrated increase in best spectacle-corrected visual acuity, and only eight eyes lost lines of vision because of cataract and posterior segment-related complications. The mean corneal haze score decreased gradually from 0.48 +/- 0.69 at three months to 0.09 +/- 0.33 at 10 years. CONCLUSIONS: PRK for myopia of more than -6 D is a safe and effective procedure in the long-term. PMID- 18154754 TI - Ten-year follow-up of laser in situ keratomileusis for myopia of up to -10 diopters. AB - PURPOSE: To evaluate the long-term outcomes of laser in situ keratomileusis (LASIK) for myopia of up to -10 diopters (D). DESIGN: A long-term (10-year) follow-up retrospective, interventional case series. METHODS: The study included 97 eyes of 70 patients with a preoperative spherical equivalent (SE) of up to -10 D treated with myopic LASIK at the Instituto Oftalmologico de Alicante, Alicante, Spain, using the VISX 20/20 excimer laser (Santa Clara, California, USA) and the Automated Corneal Shaper microkeratome (Chiron Vision, Irvine, California, USA). All patients were evaluated three months, one year, two years, five years, and 10 years after surgery. The main outcome measures were refractive predictability and stability, mean corneal keratometry, topographical cylinder, safety, efficacy, stability of visual acuity, and postoperative complications. RESULTS: At 10 years, 71 (73%) of 97 eyes were within +/- 1.00 D and 89 (92%) were within +/- 2.00 D. Twenty eyes (20.8%) underwent retreatments because of overcorrection, undercorrection, regression, or both. The mean SE slightly decreased (myopic regression) over 10 years, with a mean myopic regression of -0.12 +/- 0.16 D per year. Fifty-four (54.6%) of 97 eyes demonstrated an increase in best spectacle corrected visual acuity (BSCVA) after 10 years. No eye developed corneal ectasia in the long-term, and only three eyes lost more than two lines of BSCVA because of complications that were not attributable to the LASIK procedure. CONCLUSIONS: LASIK for myopia of up to -10 D is a safe and effective procedure with slight myopic regression that slows down with time and a high rate of BSCVA increase in the long-term. PMID- 18154755 TI - Cost analysis of glaucoma medications. AB - PURPOSE: To provide patients and health care providers with calculated yearly costs of topical glaucoma medications. DESIGN: Prospective, experimental, laboratory study. METHODS: Using the average wholesale price and common dosing patterns, we calculated the theoretical yearly cost of glaucoma medications. RESULTS: Calculated yearly cost ranged from $150.81 for generic timolol maleate 0.5% (Falcon Pharmaceuticals, Ltd, Fort Worth, Texas, USA) to $697.42 for Cosopt (Merck & Co, West Point, Pennsylvania, USA), and as high as $873.98 for a three times-daily dose of Alphagan P 0.15% (Allergan, Inc, Irvine, California, USA). Among brand name beta-blockers, yearly cost ranged between $203.47 for Timoptic 0.5% (Merck & Co) and $657.24 for Betoptic S (Alcon Laboratories, Fort Worth, Texas, USA). Generic beta-blockers consistently were more economical than their brand-name counterparts. Yearly cost of prostaglandin analogs ranged from $427.69 for Travatan (Alcon) to $577.62 for Lumigan (Allergan). The two carbonic anhydrase inhibitors Azopt (Alcon) and Trusopt (Merck & Co), yielded similar economic profiles. Alphagan P 0.15% had yearly calculated costs of $559.08 for twice daily dosing per eye. The generic selective alpha(2)-agonist brimonidine tartrate 0.2% (Bausch & Lomb Pharmaceuticals, Tampa, Florida, USA) costs approximately $352.89 and $529.34 per year for the respective two and three drops daily per eye regimens. CONCLUSIONS: Nonselective beta-blockers remain the most inexpensive class of glaucoma medications. Bottle size may impact yearly glaucoma medication expenditures. Costs of glaucoma medications may impact decision making in the medical management of glaucoma. PMID- 18154757 TI - Intercurrent factors associated with the development of open-angle glaucoma in the European glaucoma prevention study. PMID- 18154759 TI - Late detection of retinal breaks after acute posterior vitreous detachment. PMID- 18154761 TI - Noninvasive tear meniscometry in dry eye patients with Sjogren syndrome. PMID- 18154762 TI - Intraocular pressure effects of pegaptanib (macugen) injections in patients with and without glaucoma. PMID- 18154764 TI - Endarterectomy or carotid artery stenting: the quest continues. AB - BACKGROUND: Carotid endarterectomy (CEA) is still considered the "gold-standard" of the treatment of patients with significant carotid stenosis and has proven its value during past decades. However, endovascular techniques have recently been evolving. Carotid artery stenting (CAS) is challenging CEA for the best treatment in patients with carotid stenosis. This review presents the development of CAS according to early reports, results of recent randomized trials, and future perspectives regarding CAS. METHODS: A literature search using the PubMed and Cochrane databases identified articles focusing on the key issues of CEA and CAS. RESULTS: Early nonrandomized reports of CAS showed variable results, and the Stenting and Angioplasty With Protection in Patients at High Risk for Endarterectomy trial led to United States Food and Drug Administration approval of CAS for the treatment of patients with symptomatic carotid stenosis. In contrast, recent trials, such as the Stent-Protected Angioplasty Versus Carotid Endarterectomy trial and the Endarterectomy Versus Stenting in Patients with Symptomatic Severe Carotid Stenosis trial, (re)fuelled the debate between CAS and CEA. In the Stent-Protected Angioplasty Versus Carotid Endarterectomy trial, the complication rate of ipsilateral stroke or death at 30 days was 6.8% for CAS versus 6.3% for CEA and showed that CAS failed the noninferiority test. Analysis of the Endarterectomy Versus Stenting in Patients With Symptomatic Severe Carotid Stenosis trial showed a significant higher risk for death or any stroke at 30 days for endovascular treatment (9.6%) compared with CEA (3.9%). Other aspects such as evolving best medical treatment, timely intervention, interventionalists' experience, and analysis of plaque composition-may have important influences on the future treatment of patients with carotid artery stenosis. CONCLUSIONS: CAS performed with or without embolic-protection devices can be an effective treatment for patients with carotid artery stenosis. However, presently there is no evidence that CAS provides better results in the prevention of stroke compared with CEA. PMID- 18154765 TI - Ultrasonic-mediated laparoscopic liver transection. AB - Parenchymal liver transection represents a fundamental phase of liver surgery. Several devices have been described for safe and careful dissection of the liver parenchyma during laparoscopic liver surgery, but the ideal technique has not yet been defined. This report describes the combined use of ultrasonic dissector and the ultrasonic coagulating cutter for laparoscopic liver resection. The ultrasonic dissector is used to fracture the parenchyma along the line of proposed division, and the uncovered bridging structures are sealed using the ultrasonic coagulating cutter. The combined use of ultrasonic dissector and harmonic scalpel allows liver resection to be safely performed, with the advantage of minimal surgical complication and low blood losses. PMID- 18154766 TI - Surgeons outperform normative controls on neuropsychologic tests, but age-related decay of skills persists. AB - BACKGROUND: The present study was undertaken to determine if psychomotor and visual-spatial abilities improve as a result of surgical training or are enhanced at baseline in those individuals choosing a surgical career. METHODS: Medical students entering a surgical field and practicing surgeons performed a series of neuropsychologic tests. Performance was compared between surgeon groups, as well as with normative aged-matched controls. RESULTS: An age-related decline was noted in the performance of all exercises, with the medical student group outperforming the midcareer surgeons, who in turn outperformed the senior surgeons. Interestingly, however, all 3 groups significantly outperformed their normative control groups on some or all tasks. CONCLUSIONS: Improved visual memory and psychomotor performance compared with normative controls appears to be present at baseline rather than resulting from surgical training. Decline in performance with age is observed, however, and this should be considered when an older surgeon is learning new visually complex procedures. PMID- 18154767 TI - Effect of graft steatosis on liver function and organ survival after liver transplantation. AB - BACKGROUND: It was the aim to determine the effect of graft steatosis on intraoperative organ blood flow, postoperative liver function, and organ survival. METHODS: A total of 225 consecutive liver transplants were reviewed. Liver blood flow, hepatic function (AST, ALT, prothrombin time), and organ survival were determined. Donor liver grafts were categorized into 2 subgroups: mild (<30%) (n = 175) and moderate to severe (>/=30%) (n = 50) macrovesicular steatosis. RESULTS: Moderate to severe steatosis was associated with significantly increased AST and ALT levels and significantly diminished prothrombin time on the first and second postoperative day. By day 7 differences in liver function were no longer evident. Organ blood flow was not affected by steatosis. After adjustment for potential confounders, organ survival did not depend on the degree of donor steatosis (5-year-survival rates: 68% and 58% with steatosis <30%, or >/= 30%, respectively) (hazard ratio .754, confidence interval .458-1.242, P = .268). CONCLUSION: Steatotic livers can be transplanted safely with good results for long-term organ survival if other contraindications are absent. PMID- 18154768 TI - Factors influencing survival after bypass procedures in patients with advanced pancreatic adenocarcinomas. AB - BACKGROUND: Patients with occult metastasis or locally nonresectable pancreatic cancer found during surgical exploration have a limited life expectancy. We sought to define markers in these patients that could predict survival and thus aid decision making for selection of the most appropriate therapeutic palliative option. METHODS: In a prospective 4-year single-center study, 136 consecutive patients with obstructive pancreatic cancer and intraoperative diagnosis of nonresectable or disseminated pancreatic cancer underwent a palliative surgical bypass procedure. Potential factors predicting survival were evaluated. RESULTS: Ninety-eight patients had metastatic disease and 38 locally advanced disease. Surgical morbidity rate was 16 %, re-operation rate 1%, and overall in-hospital mortality 4%. Univariate analysis showed American Society of Anesthesiologists (ASA) score, pain, operation time, presence of metastasis, and levels of leukocytes, albumin, C-reactive protein (CRP), carcinoembryonic antigen (CEA), and carbohydrate antigen (CA) 19-9 were associated significantly with survival. The multivariate analysis identified ASA score, presence of liver metastasis, pain, CA 19-9, and CEA levels as independent indicators for poor survival. Patients with none or 1 of these risk factors had a median survival of 13.5 months, whereas patients with 4 or 5 risk factors had a median survival of 3.5 months. CONCLUSIONS: The clinical markers identified predict poor outcome for patients with palliative bypass surgery and therefore aid the appropriate selection of either surgical bypass or endoscopic stenting in these patients. PMID- 18154769 TI - Prognostic factors and preoperative radiation therapy associated with sphincter preservation in patients with resectable rectal cancer. AB - BACKGROUND: This study evaluates the importance of patient and tumor factors, receipt of preoperative radiation therapy, and American Joint Committee on Cancer stage for sphincter preservation (SP) in patients with rectal cancer. METHODS: Age, sex, race, body mass index, tumor size, distance from the anal verge (DAV), differentiation, American Joint Committee on Cancer stage, and preoperative radiation were evaluated. The end point was continence versus colostomy. Comparison was done by logistic regression; data were presented as mean +/- SEM; and significance was defined as P <.05. RESULTS: Factors independently associated with SP were greater DAV, body mass index (BMI) <30, smaller tumor, and preoperative radiation therapy (all P <.05). CONCLUSIONS: DAV remains the most important factor for prediction of SP in patients with rectal cancer. Preoperative tumor size and BMI were also independent factors. Preoperative radiation therapy may increase the chance of SP in patients with large tumors, increased BMI, or low rectal tumors. PMID- 18154770 TI - The bright future of cardiothoracic surgery in the era of changing health care delivery: an update. 1996. Updated in 2007. PMID- 18154771 TI - Pitfalls assessing the role of drug-eluting stents in multivessel coronary disease. PMID- 18154772 TI - Amiodarone cost effectiveness in preventing atrial fibrillation after coronary artery bypass graft surgery. AB - BACKGROUND: The purpose of this study was to estimate the costs and health benefits of routinely administered postoperative amiodarone as prevention of atrial fibrillation for patients undergoing coronary artery bypass grafting (CABG) for stable angina. METHODS: This cost-effectiveness study was based on a randomized, controlled, double-blind trial (the RASCABG study) using avoidance of atrial fibrillation as the measure of benefit at the Department of Cardiothoracic and Vascular Surgery, Aarhus University Hospital, Skejby, Denmark. Two hundred and fifty eligible consecutively enrolled CABG patients were included to receive either 300 mg amiodarone or placebo (5% aqueous dextrose solution) administered intravenously over 20 minutes followed by 600 mg amiodarone/placebo orally twice a day (8 am and 8 pm) for the first 5 postoperative days. RESULTS: In the amiodarone group, there were 14 cases of atrial fibrillation compared with 32 in the control group (p < 0.01) whereas there were no differences in the length of stay. The mean total cost per patient was 7,639 euros in the amiodarone group and 7,814 euros in the placebo group (p < 0.01). CONCLUSIONS: Routine use of postoperative prophylactic intravenous bolus and subsequent 5 days of oral amiodarone therapy after coronary artery bypass grafting reduces the risk of atrial fibrillation and decreases the total costs of care by 175 euros per patient. PMID- 18154773 TI - Invited commentary on amiodarone cost effectiveness in preventing atrial fibrillation after coronary artery bypass graft surgery. PMID- 18154774 TI - Video-assisted epicardial ablation and left atrial appendage exclusion for atrial fibrillation: extended follow-up. AB - BACKGROUND: New ablation technologies have spurred development of less invasive operations for atrial fibrillation. The long-term efficacy of these procedures is unknown. METHODS: This was a retrospective study of 22 patients aged 63 +/- 9 years with symptomatic, intermittent atrial fibrillation who underwent video assisted, thoracoscopic pulmonary vein isolation and left atrial appendage exclusion from April 2004 through July 2005. The procedure consisted of bilateral 10-mm ports and 5-cm non-rib-spreading working ports. The left atrial appendage was excised with a surgical stapler. All patients were followed for at least 1 year, and all underwent Holter monitoring at study end point. RESULTS: The procedure was performed safely in all patients. One patient did not undergo left atrial appendage excision because of preexisting adhesions. No stroke, reoperation for bleeding, or patient mortality occurred. Average hospital stay was 3.2 +/- 2.0 days (range, 2 to 10 days). No patient required repeat atrial fibrillation ablation. One patient underwent right atrial flutter ablation 7 months postoperatively. Average follow-up time was 18.1 +/- 4.1 months (range, 12 to 27 months). At the end of follow-up, 20 patients (91%) were free of symptoms without antiarrhythmic therapy. Holter monitoring in these patients (performed more than 6 months after cessation of antiarrhythmic drugs) showed sinus rhythm and no atrial fibrillation. Twenty patients (91%) were no longer taking warfarin at the end of the study period. CONCLUSIONS: Bilateral, video-assisted, thoracoscopic pulmonary vein isolation with left atrial appendage exclusion has favorable single-procedure efficacy after extended follow-up for selected patients with atrial fibrillation. PMID- 18154775 TI - Right isthmus ablation reduces supraventricular arrhythmias after surgery for chronic atrial fibrillation. AB - BACKGROUND: Clinical, electrocardiographic, and echocardiographic results of atrial fibrillation (AF) ablation by left mini-Maze, with or without concomitant cavotricuspid isthmus ablation, during cardiac surgery were analyzed. METHODS: Eighty-seven patients undergoing radiofrequency left mini-Maze without (group A) or with (group B) concomitant cavotricuspid isthmus ablation underwent serial electrocardiography and echocardiography to assess sinus rhythm recovery and atrioventricular remodelling. Recurrence of AF, incidence of atrial flutter, hospital readmission, and episodes of congestive heart failure were recorded. Predictors of AF recurrence were evaluated. RESULTS: Follow-up of 33.4 +/- 11.2 months demonstrated 88.5% had sinus rhythm recovery, with normalized E/A velocity in 90.9%. Freedom from AF recurrence, congestive heart failure, and hospital readmission was 72.6% +/- 7.8%, 93.3% +/- 5.5%, and 79.9% +/- 8.2%, respectively, without differences between the two groups. Atrial flutter developed in group A more frequently during hospitalization (19.5% versus 2.2%; p = 0.009) and follow up (12.2% versus 0%; p = 0.02); freedom from atrial flutter was thus lower (79.6% +/- 7.8% versus 100%; p = 0.024). Although no differences were recorded in postoperative and follow-up New York Heart Association (NYHA) functional class or in postoperative or follow-up echocardiographic indicators between the two groups, AF patients displayed a worse NYHA than did sinus rhythm patients (discharge p = 0.009; follow-up p = 0.0002). Accordingly, only sinus rhythm patients showed reverse remodelling of longitudinal (discharge p = 0.002; follow up p = 0.0001) and transverse diameter (discharge p = 0.0001; follow-up p = 0.001), and of follow-up left ventricular diastolic diameter (p = 0.0001). Mitral valve disease and high postoperative and follow-up echocardiographic pulmonary pressures were independent predictors of AF recurrence. Left + right ablation was the only protective factor against AF recurrence. CONCLUSIONS: Concomitant cavotricuspid isthmus ablation should be routinely considered in AF surgery, given the shorter hospitalization, low incidence of atrial flutter onset, and beneficial effect on AF recurrences. PMID- 18154776 TI - Invited commentary. PMID- 18154777 TI - Explantation of implantable defibrillator leads using open heart surgery or percutaneous techniques. AB - BACKGROUND: To remove failing or infected implantable cardioverter defibrillator leads, percutaneous techniques and open heart surgery are two common approaches. However, well-defined indications for either technique are not available. We summarize our experience with implantable cardioverter defibrillator system explantation using open heart surgery and percutaneous lead removal. METHODS: A total of 1,391 transvenously introduced implantable cardioverter defibrillator systems were implanted during the analyzed time interval from January 1995 to June 2005 in our institution. In 21 patients (1.5%), open heart surgery for implantable cardioverter defibrillator lead and generator explantation was applied (group A), and in 53 patients (3.8%), a percutaneous lead removal was possible (group B). The log-rank test was used to calculate differences in survival between both patient groups, and the Student's t test was applied for differences in nonlethal complications. RESULTS: The 30-day, 6-month, 12-month, and 5-year survival rates were 91%, 91%, 81%, and 71%, respectively, for group A patients, and 100%, 100%, 94%, and 78%, respectively, for group B patients, which was not statistically different (p = 0.11). After open heart surgery, survival was comparable for cases with lead removal because of lead infection and those with lead malfunction (p = 0.28); however, patients with open heart surgery had a longer hospital stay (p = 0.03). Student's t test revealed no statistical difference in nonlethal complications between both patient groups (p = 0.37). CONCLUSIONS: As open heart surgery yielded similar results with regard to survival and complications, implantable cardioverter defibrillator lead removal using extracorporeal circulation may be well justified as a last therapeutic option, eg, in case of large bacterial vegetations. PMID- 18154778 TI - Atrial fibrillation after cardiac transplantation: experience in 498 consecutive cases. AB - BACKGROUND: Some contemporary surgical treatments for atrial fibrillation involve creating only a subset of the lesions made in the classic Cox Maze procedure. This subset often consists of pulmonary vein isolation and partial cardiac denervation. Orthotopic heart transplantation, by necessity, results in pulmonary vein isolation, albeit with total cardiac denervation. Although postoperative atrial fibrillation (POAF) and atrial fibrillation may differ in cause, they have similar underlying mechanisms and often respond to the same treatments. Therefore, we reviewed the incidence of POAF in heart transplant recipients to assess the antiarrhythmic effects of pulmonary vein isolation and cardiac denervation. METHODS: We reviewed the charts of 498 consecutive patients who underwent orthotopic heart transplantation at a single institution during a 15 year period. RESULTS: Twenty-seven patients (5.4%) experienced POAF within 60 days of transplant. In 9 of these patients, POAF occurred within 2 weeks of a biopsy-proven transient rejection episode; excluding these patients from the analysis revealed a non-rejection-associated POAF rate of 18 of 489 patients (3.7%). CONCLUSIONS: Despite the long ischemic times, extensive manipulation of the transplanted heart, and the postoperative administration of proarrhythmic inotropic agents that cardiac transplantation typically involves, this procedure is associated with a low incidence of POAF, particularly if patients in whom rejection and POAF were temporally related are excluded. These findings suggest that complete cardiac denervation and pulmonary vein isolation protect heart transplant recipients from POAF, thus supporting the notion that similar lesions may be useful in the treatment of other types of atrial fibrillation. PMID- 18154779 TI - Invited commentary. PMID- 18154780 TI - Cognitive outcomes five years after not undergoing coronary artery bypass graft surgery. AB - BACKGROUND: Patients with coronary artery disease who underwent coronary artery bypass graft surgery have a high risk of cognitive decline 5 years after the procedure. It is conceivable that this is not caused by the operation, but by natural aging. METHODS: Psychologists repeatedly administered a battery of seven neuropsychological tests with eight main variables to 112 subjects without known coronary artery disease, with a time interval of 5 years. Cognitive decline was defined as deterioration in performance beyond normal variation in at least two of the eight main variables. The incidence of cognitive decline in the control subjects was compared with the incidence of cognitive decline in the 281 participants of the Octopus Study, who underwent coronary artery bypass graft surgery 5 years earlier. Patients and control subjects were age-matched. RESULTS: After 5 years, cognitive outcome could be determined in 99 of 112 control subjects (88%) and 240 of 281 coronary artery bypass graft surgery patients (85%). Cognitive decline was present in 82 (34.2%) of 240 coronary artery bypass graft surgery patients and in 16 (16.2%) of 99 control subjects (crude odds ratio, 2.69; 95% confidence interval, 1.48 to 4.90). However, after correction for differences in age, sex, education, and baseline comorbidity between the patients and the control subjects, the odds ratio was 1.37 (95% confidence interval, 0.65 to 2.92). CONCLUSIONS: We were unable to demonstrate that patients who underwent coronary artery bypass graft surgery have more cognitive decline after 5 years than control subjects without coronary artery disease. PMID- 18154781 TI - Invited commentary. PMID- 18154782 TI - Comparison of coronary artery bypass grafting with drug-eluting stent implantation for the treatment of multivessel coronary artery disease. AB - BACKGROUND: The introduction of drug-eluting stents (DESs) has demonstrated superiority over the bare metal stent in reducing the incidence of restenosis. We investigated the clinical outcomes of DESs versus coronary artery bypass grafting (CABG) in a series of patients with multivessel disease. METHODS: Patients with multivessel disease who underwent percutaneous coronary intervention with DESs (n = 441) or CABG (n = 390) between March 2003 and March 2005 were included. The primary outcomes of this study were defined as the absence of major adverse cardiac and cerebral events at 12 months, including death from any cause, cerebrovascular accidents, acute myocardial infarctions, and repeat revascularization after percutaneous coronary intervention with DESs or CABG. RESULTS: During 12 months of follow-up, the mortality rate was also not significantly different between the two groups (2.1% versus 3.2%, p = 0.170). The incidences of composite death, cerebrovascular accident, and acute myocardial infarction were not significantly different between groups (2.8% versus 3.9%, p = 0.180). The rate of overall major adverse cardiac and cerebral events was higher in DES group compared with the CABG group (13.0% versus 4.2%, p < 0.001), as driven by the higher incidence of myocardial infarction and revascularization. CONCLUSIONS: The incidences of death and cerebrovascular event were not significantly different between the DES and CABG groups in the patients with multivessel disease. However, the overall incidence of major adverse cardiovascular and cerebral events seems to be favorable for CABG group even this era of DESs. PMID- 18154783 TI - Coronary collateral circulation: effect on early and midterm outcomes after off pump coronary artery bypass surgery. AB - BACKGROUND: The purpose of this study was to assess the prognostic effect of coronary collaterals on early and midterm clinical outcomes in patients undergoing first time isolated off-pump coronary artery bypass (OPCAB) surgery. METHODS: Preoperative angiograms from 861 patients were evaluated to assess the presence and extent of coronary collaterals (Rentrop classification). Coronary collaterals (CC) were present in 485 (56.3%) patients (CC group). Patients with coronary collaterals had a higher incidence of preoperative myocardial infarction, lower ejection fraction, and higher Parsonnet scores compared with patients without coronary collaterals (no-CC group). RESULTS: Coronary collaterals were associated with myocardial protection during OPCAB surgery, as evidenced by a significantly lower incidence of intraoperative ST-segment changes (propensity matched cohort, p = 0.008). No other statistically significant differences in in-hospital outcomes were detected between the two groups. Five years after surgery patient survival was 84.8% (95% confidence interval [CI] 79.4 to 88.8) in the CC group compared with 89.2% (95% CI 84.4 to 92.6) in the no-CC group (p = 0.48). Cardiac-related event-free survival after 5 years was 50.6% (95% CI 43.5 to 57.3) in the CC group and 54.5% (95% CI 47.1 to 61.4) in the no CC group (p = 0.96), with no significant differences between both groups, before or after risk adjustment, or when comparing propensity-matched cohort. CONCLUSIONS: Although patients with coronary collaterals had more extensive coronary artery disease, poor left ventricular function, and more cardiac risk factors than patients without collaterals, the early and midterm clinical outcome after OPCAB surgery was comparable between the two groups. PMID- 18154784 TI - Invited commentary. PMID- 18154785 TI - Heat shock proteins 27, 60, 70, 90alpha, and 20S proteasome in on-pump versus off pump coronary artery bypass graft patients. AB - BACKGROUND: The secretion of heat shock protein (HSP) 27, HSP60, HSP70, HSP90alpha, 20S proteasome, and their correlations to proinflammatory cytokine interleukin-6 is unknown in patients undergoing on-pump versus off-pump coronary artery bypass graft (CABG) operation. METHODS: Forty patients were included in this explorative study (on- versus off-pump CABG, each n = 20). Serum samples were obtained before and 30 minutes, 60 minutes, and 24 hours after CABG operation. Enzyme-linked immunosorbent assay technique was utilized to determine soluble HSP27, 60, 70, and 90alpha, 20S proteasome, and levels of interleukin-6. RESULTS: Serum levels of HSP are increased in patients undergoing on-pump CABG operation as compared with off-pump CABG technique. These differences were highly significant for HSP27, 70, and 90alpha at 60 minutes after initiation of cardiopulmonary bypass (all, p < 0.001). Concentrations of soluble 20S proteasome were increased 24 hours after operation in on- and off-pump CABG patients (p < 0.001) and correlated significantly with the serum content of HSP 27, 70, and 90alpha at 60 minutes after initiation of cardiopulmonary bypass (p < 0.001). No correlation was found when comparing interleukin-6 levels with intravascular leakage of HSP and 20S proteasome after CABG operation. CONCLUSIONS: We conclude from our data that the innate immune system is activated owing to spillage of known immune modulatory and apoptosis-associated proteins after CABG operation. PMID- 18154786 TI - Invited commentary. PMID- 18154787 TI - Mitral valve disease presentation and surgical outcome in African-American patients compared with white patients. AB - BACKGROUND: Disparities associated with race, particularly African-American race, in access to medical and surgical care for patients with cardiac disease have previously been documented. The purpose of this study was to determine the presentation, etiology, and hospital outcome differences between African-American patients and white patients with regard to surgically corrected mitral valve disease. METHODS: All 1,425 adult patients who underwent first time, isolated mitral valvuloplasty or mitral valve replacement by the same group of surgeons at New York University Medical Center and Bellevue Hospital Center between 1993 and 2003 were studied. RESULTS: African Americans (n = 123, 8.6%) were significantly younger (45.6 +/- 14.4 versus 60.5 +/- 15.3 years) and had significantly higher incidences of diabetes mellitus, renal failure, congestive heart failure, endocarditis, and rheumatic mitral disease; whereas whites (n = 1,302, 91.4%) more commonly had degenerative mitral disease. African Americans were less likely to undergo mitral valvuloplasty. There were no significant differences in the incidences of postoperative complications or hospital mortality (2.4% African American versus 5.1% white, p = 0.19). CONCLUSIONS: African Americans present for mitral valve surgery at a significantly younger age than whites and with higher incidences of many risk factors. Whether presentation at a significantly earlier age in African Americans is a result of failures in primary care or an enhanced susceptibility to the process of mitral disease and comorbidities remains to be determined. African Americans were less likely to undergo mitral valvuloplasty, which may have an effect on long-term outcome. Improved screening in this racial group will facilitate earlier referral, increasing the potential for mitral valvuloplasty. PMID- 18154788 TI - Invited commentary. PMID- 18154789 TI - Enlargement of the small aortic root during aortic valve replacement: is there a benefit? AB - BACKGROUND: Aortic root enlargement (ARE) at the time of aortic valve replacement (AVR) is an often proposed but still unproven technique to prevent prosthesis patient mismatch. To evaluate the risks and benefits of ARE, we examined the outcomes of patients with small aortic roots who underwent AVR with or without the use of ARE. METHODS: Patients (n = 712) with small aortic roots who underwent AVR were prospectively followed (follow-up, 3,730 patient-years; mean, 5.2 +/- 4.1 years). All patients had a small aortic annulus that would have led to the insertion of an aortic prosthesis of 21 or less in size. Multivariate techniques were used to compare outcomes between patients who underwent AVR alone (n = 540) versus AVR plus ARE (n = 172). RESULTS: Aortic cross-clamp times were 9.9 minutes longer in the AVR+ARE group (p = 0.0002). There were no differences in reopening or stroke rates or perioperative mortality (all p = not significant). All patients in the AVR-alone group received size 19 to 21 prostheses, whereas 51% of the AVR+ARE patients received size 23 prostheses. Postoperative gradients were reduced (p < 0.01) and indexed effective orifice areas were larger (p < 0.0001) in the AVR+ARE group. While the incidence of postoperative prosthesis-patient mismatch (indexed effective orifice area < or = 0.85 cm2/m2) was lower in the AVR+ARE group (p < 0.0001), the presence of mismatch did not significantly impact long-term outcomes after surgery. The ARE was associated with a trend toward better freedom from late congestive heart failure (p = 0.19), but not an improvement in long-term survival (p = 0.81). CONCLUSIONS: For patients with small aortic roots, ARE at the time of AVR is a safe procedure that reduces postoperative gradients and the incidence of prosthesis-patient mismatch. However, ARE does not appreciably improve long-term clinical outcomes. PMID- 18154790 TI - Invited commentary. PMID- 18154791 TI - High-risk aortic valve replacement: are the outcomes as bad as predicted? AB - BACKGROUND: Percutaneous aortic valve replacement (PAVR) trials are ongoing in patients with an elevated European System for Cardiac Operative Risk Evaluation (EuroSCOREs), patients believed to have high mortality rates and poor long-term prognoses with valve replacement surgery. It is, however, uncertain that the EuroSCORE model is well calibrated for such high-risk AVR patients. We evaluated EuroSCORE prediction vs a single institution's surgical results in this target population. METHODS: From January 1996 through March 2006, 731 patients with EuroSCOREs of 7 or higher underwent isolated AVR. In this cohort, 313 (42.8%) were septuagenarians, 322 (44.0%) were octogenarians or nonagenarians, 233 (31.9%) had had previous cardiac procedures, 237 (32.4%) had atheromatous aortas, and 127 (17.4%) had cerebrovascular disease. A minimally invasive approach was used in 469 (64.2%). Data collection was prospective. Long-term survival was computed from the Social Security Death Benefit Index. RESULTS: The mean EuroSCORE was 9.7 (median, 10), and the mean logistic EuroSCORE was 17.2%. Actual hospital mortality was 7.8% (57 of 731). Multivariate analysis showed ejection fraction of less than 0.30 (p = 0.002; odds ratio [OR], 3.13), chronic obstructive pulmonary disease (p = 0.019; OR, 2.14), and peripheral vascular disease (p = 0.048; OR, 2.13) were significant predictors of hospital mortality. Complication(s) occurred in 73 patients (9.9%). Freedom from all-cause death (including hospital mortality) was 72.4% at 5 years (n = 152). Age (p < 0.001), previous cardiac operations (p < 0.014; OR, 1.51), renal failure (p < 0.002; OR, 2.37), and chronic obstructive pulmonary disease (p < 0.007; OR, 1.30) were predictors of worse survival. CONCLUSIONS: Logistic EuroSCORE greatly overpredicts mortality in these patients. Five-year survival is good, unlike suggestions from earlier EuroSCORE analyses. This raises concern about unknown long-term percutaneous prosthesis function. Clinical trials for these patients must include randomized surgical controls and have long-term end points. PMID- 18154792 TI - Permanent pacemaker implantation after isolated aortic valve replacement: incidence, indications, and predictors. AB - BACKGROUND: Conducting system defects are common in patients with aortic valve disease. Aortic valve replacement may result in further conduction abnormalities and necessitate permanent pacemaker implantation (PPM). We sought to identify the contemporary incidence and predictors for early postoperative PPM in patients undergoing isolated aortic valve replacement. METHODS: Data were analyzed from 354 consecutive patients undergoing isolated aortic valve replacement at a referral cardiac unit during a 30-month period; data were unavailable on 4 patients and a further 8 had undergone preoperative PPM. Results for the remaining 342 patients (97%; mean age, 67 +/- 14 years), of whom 212 were males, are presented. The major indications for aortic valve replacement were valvular stenosis (n = 224), regurgitation (n = 70), or infective endocarditis (n = 25). Preoperative conducting system disease was present in 26% of patients. RESULTS: In-hospital mortality was 1.8% (6 of 342 patients). Postoperatively 29 patients (8.5%) required early PPM, of which 26 were during the index admission. Patients with preoperative conducting system disease (16% versus 6%; p = 0.004) and valvular regurgitation (16% versus 7%; p = 0.01) were more likely to require PPM as opposed to those without. Preoperative conducting system disease was the only independent predictor of PPM (p < 0.01); the relative risk of PPM requirement in this group was 2.88 (95% confidence interval, 1.31 to 6.33). CONCLUSIONS: Permanent pacemaker implantation requirement after aortic valve replacement is a common occurrence, and should be discussed as part of the preoperative consent process. Preexisting conducting disease and preoperative aortic regurgitation were predictors of PPM requirement. PMID- 18154793 TI - Thoracic aortic arteriosclerosis in patients with degenerative aortic stenosis with and without coexisting coronary artery disease. AB - BACKGROUND: The association between the severity of arteriosclerosis in the thoracic aorta in patients with isolated aortic stenosis (AS) and with concomitant coronary artery disease (CAD) has been not evaluated. Therefore, the aim of our study was to compare the thoracic aortic atheroma extent and severity in patients with severe AS alone and with concomitant CAD by intraoperative transesophageal echocardiography. METHODS: We retrospectively evaluated echocardiograms of 105 consecutive patients with severe degenerative AS who underwent aortic valve replacement. Sixty patients had concomitant CAD (AS/CAD) on coronary angiography and 45 had no CAD (AS alone). These patients were compared with 54 sex- and age-matched patients without AS or CAD. Aortic atheroma (localized intimal thickening of >3 mm) prevalence and morphology in three segments of aorta were assessed with echocardiography. RESULTS: There were 62 men, mean age 75.3 +/- 9.4 years. No difference was observed in age, sex, and risk factors for arteriosclerosis other than hypercholesterolemia among AS/CAD, AS alone, and control groups (88%, 67%, 41%, respectively; p < 0.0001). The AS/CAD group had a significantly higher rate of aortic root calcification (68%, 36%, 26%, respectively; p < 0.0001) and aortic atheroma (ascending aorta [26%, 20%, 14%, respectively; p = 0.03]; aortic arch [78%, 36%, 30%, respectively; p < 0.0001]; descending aorta [72%, 42%, 29%, respectively; p < 0.0001]) than AS alone or control subjects. Patients with AS/CAD also had more complex atheromas in the aortic arch (48%, 20%, 7%, respectively; p < 0.0001). Significant differences in extension of aortic arteriosclerosis (presence of plaques in two or three segments) were observed among the groups (70%, 31%, 18%, respectively; p < 0.0001). CONCLUSIONS: Patients with severe AS and coexisting CAD have more extensive arteriosclerotic changes in the thoracic aorta compared with those with AS alone and control subjects. Preoperative evaluation of the thoracic aorta and more aggressive lipid therapy should be considered in these patients. PMID- 18154794 TI - Invited commentary. PMID- 18154795 TI - Endangered cerebral blood supply after closure of left subclavian artery: postmortem and clinical imaging studies. AB - BACKGROUND: The aim of this study was to assess hemodynamic consequences of increasingly common coverage of the left subclavian artery (LSA) during endovascular stent-graft repair for thoracic aortic disease without surgical revascularization. We considered that critical arteries to examine are the right vertebral artery and posterior communicating arteries (PComA) because their simultaneous insufficiency would drastically endanger posterior cerebral circulation. The existence and the diameters of these arteries were studied in a postmortem anatomic study with review of clinical craniocervical computed tomographic (CT) and magnetic resonance (MR) angiographies. METHODS: The anatomic material was collected as a part of forensic medicine autopsies. The anatomy of the cerebral arteries of 92 deceased was assessed by angiography and permanent silicone casts. RESULTS: In five individuals (5.4%) the risk for acute neurological complication after "unprotected" closure of the LSA was estimated to be "substantial" because the diameter of the right vertebral artery above the posterior inferior cerebellar artery was less than 2 mm and was associated with incomplete PComA and in three additional cases (3.3%) with only hypoplastic right vertebral artery, as "possible." Review of a clinical teaching file of MR and CT angiographies with anatomic variations and abnormalities of the circle of Willis identified, also, other variants with increased risk. CONCLUSIONS: When the LSA is closed, insufficient posterior cerebral circulation due to anatomic reasons occurs relatively infrequently, but in order to avoid the debilitating complications in these cases, careful imaging of the right vertebral artery up to the basilar artery is mandatory, and if proven hypoplastic, imaging of PComAs is necessary. PMID- 18154796 TI - Invited commentary. PMID- 18154797 TI - Current effectiveness and risks of isolated septal myectomy for hypertrophic obstructive cardiomyopathy. AB - BACKGROUND: Septal myectomy is the gold-standard therapy for hypertrophic obstructive cardiomyopathy (HOCM). However, it is being challenged by a less invasive alternative: alcohol septal ablation. This study examined the clinical effectiveness and risks of isolated septal myectomy for HOCM. METHODS: From January 1994 to January 2005, 323 patients underwent isolated septal myectomy (mean age 50 +/- 14 years, 53% male). Preoperative septal thickness was 2.3 +/- 0.46 cm and peak left ventricular outflow tract (LVOT) gradient 68 +/- 43 mm Hg. Effectiveness of myectomy was assessed by echocardiography, sudden death, and functional limitation, early risks by intraoperative and postoperative complications, and late risks by follow-up for HOMC-related reoperation, heart block, and all-cause mortality (mean 3.6 +/- 2.8 years, 1,152 patient-years, 10% followed > or = 8 years). RESULTS: Myectomy was effective, resulting in sustained decrease in septal thickness and LVOT gradient, absence of sudden death, and improved functional status. Early in-hospital morbidity was low, with no hospital deaths; two iatrogenic ventricular septal defects were repaired uneventfully, and 22 pacemakers were required for heart block. In the intermediate term, 10 patients required HOCM-related reoperations (4 redo myectomies, 6 mitral valve procedures), with 92% freedom from reoperation at eight years. Seventy-nine percent were free of pacemakers by 8 years, and survival was 90%, equivalent to that of the general population. CONCLUSIONS: Isolated septal myectomy is effective in eliminating LVOT obstruction and sudden death and in improving functional status, with low operative morbidity and mortality. Few reoperations are required late and outcomes are excellent. It should be considered the treatment of choice for HOCM. PMID- 18154798 TI - Invited commentary. PMID- 18154799 TI - Impact of septal myocardial infarction on outcomes after surgical ventricular restoration. AB - BACKGROUND: Surgical ventricular restoration (SVR) is classically performed in heart failure patients with anteroseptal infarction. It is unknown how the extent of septal myocardial infarction (SMI) affects prognosis. We reviewed our experience to evaluate the impact of the extent of SMI on outcomes after SVR. METHODS: We retrospectively reviewed SVR patients from January 2002 to December 2005. Patients were stratified based on the extent of SMI assessed by magnetic resonance imaging and intraoperative findings; SMI was graded as less than 50%, 50% to 74%, and 75% or greater of the length or height, or both, of the septum. Follow-up was 100%. RESULTS: Seventy-eight patients underwent SVR. Twenty-eight patients had less than 50%, 30 patients had 50% to 74%, and 20 patients had 75% or greater involvement of the length or height, or both, of the septum. Patients with 75% or greater involvement had a significantly lower ejection fraction and larger left ventricular volumes preoperatively by magnetic resonance imaging. All patients with 75% or greater involvement were New York Heart Association (NYHA) class III/IV preoperatively, and 50% (10 of 20) had significant mitral regurgitation requiring a concomitant mitral valve procedure. Operative mortality was similar between groups. Cardiac function improved and was similar among the three groups postoperatively. The PR intervals on electrocardiography were similar among the three groups, but did show trends toward longer duration for those with more extensive SMI. Preoperative mean QRS duration was significantly longer for patients with 75% or greater SMI. Three-year Kaplan-Meier survival was also similar among groups; 75% or greater involvement was not a predictor of mortality on Cox regression (odds ratio = 1.4; 95% confidence interval: 0.3 to 7.0; p = 0.6). Three quarters (15 of 20) of patients with 75% or greater involvement of the septum improved to NYHA class I/II at follow-up. CONCLUSIONS: This study has evaluated the impact of the extent of SMI on SVR outcomes. These data demonstrate similar survival and significant functional and clinical improvement after SVR regardless of the extent of SMI. PMID- 18154800 TI - Cardiac surgery in patients on dialysis: decreased 30-day mortality, unchanged overall survival. AB - BACKGROUND: The risk of cardiac surgery in dialysis-dependent patients is high, but little is known about the determinants of survival. We initiated a retrospective multicenter study to overcome this limitation. METHODS: Nine centers provided data on 522 patients (70% male, aged 61 +/- 11 years) who had chronic dialysis-dependent renal failure. A 14-year period was covered. Most patients had coronary artery bypass grafting, either with (n = 103) or without (n = 326) valve surgery. Multivariable analysis of survival was explored using Cox models. RESULTS: The proportion of patients with diabetes mellitus increased significantly (from 17%, 1989 to 1993, to 32%, 2000 to 2003; p = 0.021) and was independently associated with 30-day mortality (odds ratio = 3.30, p = 0.001) The mean 30-day mortality was 12% (n = 60), but declined significantly during the study period (from 28%, 1989 to 1993, to 7%, 2000 to 2003; p = 0.003). The 5-year survival probability was 42% (95% confidence interval: 36% to 47%). Patients who had renal transplantation during follow-up (n = 17) had the best survival probability (hazard ratio [HR] = 0.14, p = 0.007). Sinus rhythm (HR = 0.48, p < 0.001) and use of internal thoracic artery grafts (HR = 0.67, p = 0.006) proved beneficial for long-term survival. Predictors of death during long-term follow-up were emergency surgery (HR = 2.25, p = 0.001), diabetes mellitus (HR = 1.46, p = 0.020), number of allogenic transfusions (HR = 1.03/unit, p = 0.015), and age (HR = 1.04/year, p < 0.001). CONCLUSIONS: In dialysis-dependent patients, cardiac surgery has become significantly safer in recent years, but the overall prognosis of the patients remains poor. The observed improvements in the perioperative survival do not necessarily translate into an improved long-term prognosis. Diabetes mellitus is an important independent risk factor for perioperative mortality and death during follow-up. PMID- 18154801 TI - Ventilation during cardiopulmonary bypass: impact on cytokine response and cardiopulmonary function. AB - BACKGROUND: A complex inflammatory response associated with the use of cardiopulmonary bypass may ultimately lead to organ dysfunction. We investigate the effect of continuing ventilation during cardiopulmonary bypass on inflammatory reactions and cardiopulmonary function. METHODS: Fifty patients undergoing cardiopulmonary bypass were prospectively randomized to continuous ventilation and nonventilation groups. Plasma interleukin-8, interleukin-10, matrix metalloproteinase-9, tissue inhibitor metalloproteinase-1, and thromboxane B2 levels were measured preoperatively, at 1, 4, and 6 hours after aortic declamping. Levels of these mediators were also determined in bronchoalveolar lavage preoperatively and four hours after declamping. Seven parameters of cardiopulmonary function, including dynamic compliance and systemic vascular resistance, were recorded during the same time points. RESULTS: Plasma interleukin-10 levels were higher at 6 hours and tissue inhibitor metalloproteinase-1 levels were higher at 1 hour after aortic declamping in the continuous ventilation compared with the nonventilation group (p = 0.04 and 0.002, respectively), while bronchoalveolar lavage levels of tissue inhibitor metalloproteinase-1 were also higher in the continuous ventilation group 4 hours after declamping (p = 0.02). Plasma interleukin-8 levels were higher at 4 hours after declamping in the nonventilation group (p = 0.04). Postoperative dynamic compliance was better preserved in continuous ventilation patients than nonventilation patients at 6 hours after declamping (p = 0.0008). CONCLUSIONS: Continued ventilation during cardiopulmonary bypass results in lesser inflammatory and proteolytic responses, and may better preserve pulmonary function than cardiopulmonary bypass without ventilation. PMID- 18154802 TI - Tricuspid regurgitation in patients undergoing pericardiectomy for constrictive pericarditis. AB - BACKGROUND: Tricuspid regurgitation (TR) may complicate pericardial constriction; however, its incidence, impact on outcome, and appropriate management are not defined. METHODS: Between January 1993 and March 2006, 481 adult patients underwent pericardiectomy at Mayo Clinic, Rochester, Minnesota. Excluding those with pericardiectomy for reasons other than constriction, previous tricuspid valve surgery, malignant infiltration, and those undergoing other concomitant cardiac operations, 261 patients remained for evaluation of echocardiographic TR before and after surgery as well as early and late survival. RESULTS: Tricuspid regurgitation was present in 71% of patients (185 of 261); in 20% (54 of 261), TR was graded moderate or severe. Operative mortality was higher (7 of 54, 13%) among those with moderate/severe TR (7 of 54, 13%, versus 9 of 207, 4.3%; p = 0.019), and by multivariate analysis, moderate/severe TR was an independent predictor of late mortality (hazard ratio: 2.9, 95% confidence level: 1.5 to 5.6; p < 0.001). After excluding patients with prior radiation, moderate/severe TR was no longer a predictor of operative risk, but remained associated with poorer late survival (5-year survival 47% with versus 87% without). Among those with moderate/severe TR, operative mortality was similar if repair was or was not undertaken (2 of 20, 10%, versus 5 of 34, 15%; p = not significant), and late survival was not impacted. Without intervention, however, TR improved in only 29% (8 of 28). CONCLUSIONS: Tricuspid regurgitation frequently complicates constrictive pericarditis, and when moderate or severe, is associated with increased mortality. Although valve repair has little impact on late survival, TR seldom improves with pericardiectomy alone, and may be considered to reduce symptoms, as it can be undertaken without increasing operative risk. PMID- 18154803 TI - Fate of the truncal valve in truncus arteriosus. AB - BACKGROUND: The fate of the truncal valve (TV) after truncus arteriosus repair remains poorly defined. The purpose of this report was to analyze how the TV influences outcome of truncus arteriosus repair. METHODS: From January 1986 to December 2003, 153 patients underwent complete repair of the truncus arteriosus. Median age was 35 days. Preoperative TV insufficiency was absent or trivial in 59 patients (39%), mild in 72 patients (47%), moderate in 13 patients (8%), and severe in 9 patients (6%). The TV was quadricuspid in 36 patients (24 %), bicuspid in 10 patients (7%), and tricuspid in the remaining patients. At surgery, TV plasty (n = 6) or replacement (n = 3) was associated with truncus arteriosus repair. Truncal valve-aorta continuity was restored by patch interposition in 27 patients (17%), by conduit in 7 patients (5%), and directly in the remaining patients. RESULTS: A 97-month mean follow-up was achieved in all survivors. The actuarial survival rates were 81.7% +/- 3.1% and 79.1% +/- 3.3% at 6 months and 18 years, respectively. Among 85 patients who underwent 113 reoperations, 19 underwent 24 TV reoperations: 5 isolated TV reinterventions and 19 associated with right ventricular-pulmonary artery conduit replacement. Freedom from TV reoperation was 96%, 82.3%, and 62.7% at 1, 10, and 18 years, respectively. Multivariate logistic regression showed that moderate or severe TV insufficiency at initial presentation was a risk factor for late TV reoperation but not for early mortality. Initial TV replacement was associated with lower survival. CONCLUSIONS: Initial TV insufficiency is associated with higher reoperation rate. This condition requires more refined techniques of TV plasty. The overall long-term freedom of TV reintervention rate remains within reasonable ranges. Truncal valve reintervention presents a low risk for mortality. PMID- 18154804 TI - Invited commentary. PMID- 18154805 TI - Neoaortic bicuspid valve in arterial switch operation: mid-term follow-up. AB - BACKGROUND: We sought to identify the prevalence of bicuspid pulmonary valve among patients with transposition of the great arteries undergoing the arterial switch operation and evaluate functional integrity of that valve in the neoaortic position. METHODS: Between October 1985 and December 2001, 391 patients had an arterial switch operation for transposition and its variants. Perioperative information and follow-up data were available for 342 patients. The serial echocardiograms of patients with bicuspid pulmonary valve were reviewed. The neoaortic valve was serially assessed, focusing on aortic insufficiency, annulus diameter, and pressure gradients. RESULTS: Twenty-four patients (7%) had a bicuspid pulmonary valve. Age at operation was 5 days to 12 years. Two patients were lost to follow up, and 22 patients had mean follow-up of 5.3 years (range, 2 months to 13 years), of which 21 patients were alive and 1 died late. At least two postoperative echocardiogram reports were available on 19 patients. Seven patients had no neoaortic regurgitation, and 10 had trivial regurgitation. Severe aortic regurgitation developed in 1 patient with endocarditis and in another with repair of Taussig-Bing anomaly. Neoaortic valve size indexed to body surface area showed an increase in annular diameter over time proportional to somatic growth. No significant valve stenosis developed. CONCLUSIONS: Encountering a bicuspid pulmonary valve at the time of an arterial switch operation is not uncommon. The integrity of a bicuspid pulmonary valve in the neoaortic position is maintained at a mean follow-up of 5.3 years. We believe that the presence of a bicuspid pulmonary valve is not a contraindication to an arterial switch operation. PMID- 18154806 TI - Invited commentary. PMID- 18154807 TI - Pulmonary blood flow patterns in patients with Fontan circulation. AB - BACKGROUND: After Fontan surgery there is no subpulmonary ventricle to modify pulmonary blood flow. The influence of the cardiac cycle on pulmonary blood flow patterns in various types of Fontan patients is unknown. METHODS: Blood flow patterns were investigated using phase-velocity cine magnetic resonance imaging in the pulmonary artery of 17 patients (21.1 +/- 7.3 years old, 6 females) with Fontan circulation. These patterns were compared with those of 12 healthy volunteers (26.3 +/- 6.0 years old, 10 females) obtained in the superior vena cava and the main pulmonary artery. Measurements were sampled for a period of about 3 minutes to rule out respiratory effects. Blood flow patterns were depicted by interpolating the variable number of measured phases in every patient to 100 phases and normalizing flow to mean blood flow in that vessel. Then, average flow patterns were calculated throughout the patient groups to depict a typical pattern. RESULTS: In Fontan patients, peaks and troughs are highly variable. In averaged flow patterns for the whole Fontan group, only a slight late diastolic flow acceleration could be detected. This is in contrast to the pattern of the control subjects in whom typical systolic peaks and late diastolic troughs could be found in both the superior vena cava and in the pulmonary artery. CONCLUSIONS: There are no typical pulmonary blood flow patterns of cardiac origin in patients with Fontan circulation, except for slight late diastolic flow acceleration representing diastolic inflow restriction. PMID- 18154808 TI - Device closure of perimembranous ventricular septal defects with a minimally invasive technique in 12 patients. AB - BACKGROUND: Both surgical management and percutaneous device closure of perimembranous ventricular septal defects without cardiopulmonary bypass have drawbacks and limitations. This report describes the experience with intraoperative device closure of perimembranous ventricular septal defects without cardiopulmonary bypass by a minimally invasive technique. METHODS: Twelve patients who had perimembranous ventricular septal defects underwent perventricular closure by a minimally invasive incision without cardiopulmonary bypass. A subxiphoid minimally invasive incision was performed. The right ventricle free wall was punctured, and a guidewire was introduced into the right ventricular cavity. A delivery sheath was advanced over the wire and through the defect into the left ventricular cavity under the guidance of transesophageal echocardiography. The device was released under the guidance of transesophageal echocardiography without cardiopulmonary bypass. RESULTS: The procedure was successful in the 12 patients. Patients stayed in the intensive care unit 1 day and were in the hospital 4 days. At follow-up of 2 to 4 months, there was no operative mortality, atrioventricular block, new aortic incompetence, or residual shunt. CONCLUSIONS: The minimally invasive technique appeared to be safe and efficacious for closure of perimembranous ventricular septal defects in the operating room with acceptable short-term outcomes. PMID- 18154809 TI - Novel approach to right ventricular outflow tract reconstruction using a stentless porcine valve. AB - BACKGROUND: The use of a stentless aortic bioprosthesis offers the advantages of a larger effective valve orifice size, reduced transvalvular gradients, and improved hemodynamics versus stented valves. We hypothesized that these features would make the Toronto stentless porcine valve a preferred choice for patients with congenital abnormalities of the right ventricular outflow tract. METHODS: We retrospectively reviewed medical records of 21 patients with tetralogy of Fallot who subsequently underwent right ventricular outflow tract reconstruction during a 6-year period. RESULTS: The majority of patients received a 29-mm valve (n = 13), 5 received a 27-mm valve, with 1 each additional implant of a 19-, 22-, and 23-mm prosthesis. The mean age and weight were 24.5 years (range, 7 to 54 years) and 55.6 kg (range, 13.9 to 98.0 kg), respectively. Preoperatively, all patients had severe pulmonary insufficiency, mixed with mild to moderate stenosis in 2. The duration of postoperative echocardiographic follow-up ranged from 10 to 70 months (mean, 37.7 months). At the time of most recent follow-up, pulmonary insufficiency was graded as zero to trace in 47.4% (9 of 19 patients), mild in 42.1% (8 of 19 patients), and moderate in 10.5%, with 6 patients (31.6%) having concomitant pulmonary stenosis. The most recent mean and peak transvalvular gradients averaged 17.4 mm Hg (range, 11 to 24 mm Hg) and 26 mm Hg (range, 13 to 42 mm Hg), respectively. There have been no valve-related complications or explants, with one late death as a result of a noncardiac cause. CONCLUSIONS: The stentless porcine valve is well suited for valve replacement in children, adolescents, and adults with congenital abnormalities of the right ventricular outflow tract, regardless of patient or valve size, particularly when significant downstream hemodynamic abnormalities exist. PMID- 18154810 TI - Comparison of incisions and outcomes for closure of ventricular septal defects. AB - BACKGROUND: Repair of ventricular septal defects (VSD) through a shorter right lateral thoracotomy has evolved for 10 years. However, outcomes of this surgery and patients' health-related quality of life have not been evaluated so far. METHODS: Four hundred eighty-eight patients aged 6 to 15 years who had undergone repair of VSD through a right thoracotomy were surveyed (right group) and 185 patients of the same age were surveyed who had undergone the repair through a median sternotomy (median group). Cardiopulmonary bypass, aortic cross-clamping and mechanical ventilation time, amount of drainage, postoperative hospital stay, and in-hospital mortality and morbidity were measured as short-term outcomes. Symptoms, physical signs, ultrasonic cardiogram, chest film, and electrocardiogram were followed up as long-term outcomes; and the patients' TNO AZL Children's Quality of Life (TACQOL) were studied to evaluate their health related quality of life. The TNO-AZL Children's Quality of Life (TACQOL) questionnaire is a 56-item child quality of life questionnaire designed by the TNO Institute of Prevention and Health and the Leiden University Hospital (TNO AZL). RESULTS: Compared with the median group, the right group's short- and long term outcomes were more satisfactory, with less drainage (106.71 +/- 85.20 mL versus 146.70 +/- 75.63 mL) and no pigeon chest (0 versus 3). The right group's TACQOL were higher than that of the median group in physical complaints (29.58 +/ 2.8 versus 28.07 +/- 2.95), motor functioning (31.23 +/- 1.09 versus 30.53 +/- 1.60), and cognitive functioning (29.93 +/- 3.22 versus 26.87 +/- 4.24). CONCLUSIONS: Repair of VSD through a right thoracotomy can provide more satisfactory outcomes and better health-related quality of life. PMID- 18154811 TI - Resected synchronous primary malignant lung tumors: a population-based study. AB - BACKGROUND: Synchronous lung tumors with a histology indicating primary lung carcinomas detected preoperatively or at surgery may represent intrapulmonary metastases from a primary tumor or two or more simultaneously occurring primary tumors. The situation is rare. This study was conducted to assess the characteristics and outcome for this patient group. METHODS: All clinical and pathology departments in Norway submit standardized reports on cancer patients to the Cancer Registry of Norway. The registry also has a law-regulated authority to collect supplemental information on diagnosis, treatment, and outcome for all cancer patients from hospitals. During the period 1993 to 2000, lung cancer was diagnosed in 15,308 patients, of whom 2528 underwent resection in 24 hospitals. This investigation included all patients with histology demonstrating primary lung carcinoma in more than one tumor in the resected specimen. RESULTS: Synchronous malignant tumors were found in 94 patients: 66 had two tumors and the remaining 28 had three or more. The tumors were of similar histology in 85 cases. The tumors were diagnosed preoperatively in 11 patients and peroperatively or in the resected specimen in the other 83. The 5-year relative survival rate was 31.4% for patients with squamous cell carcinomas, 23.2% for adenocarcinomas, and 42.7% for patients with tumors of other histology (two carcinoids). CONCLUSIONS: Survival in patients with synchronous lung tumors is good compared with historical reports on patients with distant metastases or other variants of T4 tumors; thus, they should be considered for surgery. PMID- 18154812 TI - Invited commentary. PMID- 18154813 TI - Number of metastatic lymph nodes in resected non-small cell lung cancer predicts patient survival. AB - BACKGROUND: This study was conducted to evaluate the prognostic significance of the number of lymph node metastases compared with the pathologic nodal stage (pN category) based on the anatomic extent of lymph node metastases in TNM classification of non-small cell lung cancer. METHODS: We reviewed 1,081 patients who underwent major pulmonary resection and were proven to be pathologic stage I through IIIA between 1990 and 2006. Patients were divided into four subgroups (nN category) according to the number of metastatic lymph nodes: those without nodal metastases were nN0, those with 1 to 3 metastatic lymph nodes were nN1-3, those with 4 to 14 were nN4-14, and those with 15 or more were nN > or = 15. RESULTS: The nN category followed a significant stepwise deterioration. The 5-year survival rate was 69.0% for nN0, 42.9% for nN1-3, 30.0% for nN4-14, and 11.5% for nN > or = 15 (p < 0.001). Multivariate analysis showed that the nN category was a significant prognostic indicator similar to the pN category. Hazard ratios versus pN0 for pN1 and pN2 were 1.639 and 2.639, respectively, and 1.860, 2.029, and 4.758 for nN1-3, nN4-14, and nN > or = 15, respectively. The nN category showed excellent agreement with the pN category (kappa = 0.723; p < 0.001). CONCLUSIONS: We can predict patient prognosis after surgery for non-small cell lung cancer according to the number of lymph nodes instead of the anatomic extent of lymph node metastases. At minimum, the number of metastatic lymph nodes adds more information to the pN category of the current TNM classification system. PMID- 18154814 TI - Epidermal growth factor receptor signaling in adenocarcinomas with bronchioloalveolar components. AB - BACKGROUND: Epidermal growth factor receptor (EGFR) has gained importance in non small cell lung cancer given impressive responses to agents targeting this molecule, particularly in bronchioloalveolar carcinoma (BAC) and adenocarcinomas, mixed subtype, with BAC components (adeno/BAC). This study assesses EGFR signaling in these tumors. METHODS: One hundred fifty tumors were classified as BAC or adeno/BAC. Tumor marker expression was determined by immunohistochemistry. Correlations with expression were examined for all tumors (BAC and adeno/BAC), and by BAC and adeno/BAC subset analyses. RESULTS: Positive immunophenotype was observed in 40.6% of tumors for EGFR, 51.3% for p-AKT, 58.7% for p-ERK, and 28.0% for PTEN, with increased overexpression of EGFR (p = 0.025) and p-AKT (p < 0.0001) in adeno/BAC. Epidermal growth factor receptor immunophenotype was greater in never-smokers (p = 0.008) and correlated with improved overall survival (p = 0.018). On subset analysis, EGFR correlated with improved overall survival (p = 0.05) and disease-free interval (p = 0.044) only in adeno/BAC. Epidermal growth factor receptor independently predicted improved disease-free interval in adeno/BAC (p = 0.03; hazard ratio, 0.47; 95% confidence interval, 0.23 to 0.94). CONCLUSIONS: Overexpression of EGFR in lung adenocarcinomas with components of BAC histology correlate with never-smoker status and improved overall survival and disease-free interval. Epidermal growth factor receptor immunophenotype may be a useful predictor of clinical outcomes in this tumor subset. PMID- 18154815 TI - Real-time endobronchial ultrasound-guided transbronchial lymph node aspiration. AB - BACKGROUND: Accurate staging of lung cancer requires noninvasive and pathologic examination of intrathoracic lymphadenopathy, which determines both the treatment options and prognosis. The gold standard for mediastinal staging has been mediastinoscopy. Other options include video-assisted thoracoscopic surgery, blind transbronchial needle aspiration, and endoscopic ultrasound-guided fine needle aspiration. Endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) has recently been introduced. Here we report the use of EBUS-TBNA as a diagnostic modality for mediastinal adenopathy and staging modality for lung cancer. METHODS: This was a retrospective analysis of 152 consecutive patients who underwent EBUS-TBNA with undiagnosed intrathoracic adenopathy or cancer staging as the primary indications. The procedures occurred between January 2005 and June 2006 at a single academic medical center. Of the 152 patients, 117 were included in the final statistical analysis after excluding those with benign disease diagnosed by EBUS-TBNA. Rapid on-site cytopathologic examination was used in all cases. RESULTS: Malignancy was identified in 113 patients, of which 67 (59.3%) had non-small cell lung carcinoma, and 20 (17.7%) underwent surgical resection. Four patients had benign diagnoses at surgical pathology. Only 1 surgical patient was found to have nodal metastasis at a lymph node station previously biopsied by EBUS-TBNA (negative predictive value, 97%). Compared with radiologic staging, EBUS-TBNA down-staged 18 of 113 (15.9%) and up staged 11 (9.7%). Sensitivity was 98.7%, with 100% specificity. No major complications were associated with the procedure. CONCLUSIONS: EBUS-TBNA is useful in accessing mediastinal and hilar lymph nodes for the diagnosis and staging of non-small cell lung cancer and other disorders of the mediastinum. Thoracic surgeons and pulmonologists are well positioned to use this tool in everyday practice. PMID- 18154816 TI - Use of video-assisted thoracic surgery for lobectomy in the elderly results in fewer complications. AB - BACKGROUND: The purpose of this study was to determine if the utilization of video-assisted thoracic surgery (VATS) for lobectomy for clinical stage I non small cell lung cancer in elderly patients results in decreased complications compared with lobectomy by thoracotomy (THOR). METHODS: A retrospective, matched case-control study was performed evaluating the perioperative outcomes after lobectomy by VATS versus THOR performed in elderly patients (age > or = 70 years) at a single institution. All complications were graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events version 3.0 (http://ctep.cancer.gov/reporting/ctc.html). RESULTS: Between May 1, 2002 and December 31, 2005 333 patients (245 THOR, 88 VATS) 70 years old or greater underwent lobectomy for clinical stage I non-small cell lung cancer. After matching based on age, gender, presence of comorbid conditions, and preoperative clinical stage, there were 82 patients in each group. Patients had similar preoperative characteristics. A VATS approach resulted in a significantly lower rate of complications compared with THOR (28% vs 45%, p = 0.04) and a shorter median length of stay (5 days, range 2 to 20 vs 6 days, range 2 to 27, p < 0.001). No patients undergoing VATS lobectomy had higher than grade 2 complications, whereas 7% of complications in the THOR group were grade 3 or higher. There were no perioperative deaths in the VATS patients compared with an in-hospital mortality rate of 3.6% (3 of 82) for THOR patients. CONCLUSIONS: A VATS approach to lobectomy for clinical stage I non-small cell lung cancer in the elderly was associated with fewer and overall reduced severity of complications as well as a shorter hospital stay compared with thoracotomy. PMID- 18154817 TI - Extrapulmonary ventilation for unresponsive severe acute respiratory distress syndrome after pulmonary resection. AB - BACKGROUND: The purpose of this study was to evaluate the feasibility of integrating an artificial, pumpless extracorporeal membrane ventilator (Novalung) to near static mechanical ventilation and its efficacy in patients with severe postresectional acute respiratory distress syndrome (ARDS) unresponsive to optimal conventional treatment. METHODS: Indications were severe postresectional and unresponsive acute respiratory distress syndrome, hemodynamic stability, and no significant peripheral arterial occlusive disease or heparin-induced thrombocytopenia. Management included placement of the arteriovenous femoral transcutaneous interventional lung-assist membrane ventilator, lung rest at minimal mechanical ventilator settings, and optimization of systemic oxygen consumption and delivery. RESULTS: Among 239 pulmonary resections performed between 2005 and 2006, 7 patients (2.9%) experienced, 4 +/- 0.8 days after 5 pneumonectomies and 2 lobectomies, a severe (Murray score, 2.9 +/- 0.3) acute respiratory distress syndrome unresponsive to 4 +/- 2 days of conventional therapy. The interventional lung-assist membrane ventilator was left in place 4.3 +/- 2.5 days, and replaced only once for massive clotting. During this time, 29% +/- 0.3% or 1.4 +/- 0.36 L/min of the cardiac output perfused the device, without hemodynamic impairment. Using a sweep gas flow of 10.7 +/- 3.8 L/min, the device allowed an extracorporeal carbon dioxide removal of 255 +/- 31 mL/min, lung(s) rest (tidal volume, 2.7 +/- 0.8 mL/kg; respiratory rate, 6 +/- 2 beats/min; fraction of inspired oxygen, 0.5 +/- 0.1), early (<24 hours) significant improvement of respiratory function, and reduction of plasmatic interleukin-6 levels (p < 0.001) and Murray score (1.25 +/- 0.1; p < 0.003). All but 1 patient (14%) who died of multiorgan failure were weaned from mechanical ventilation 8 +/ 3 days after removal of the interventional lung-assist membrane ventilator, and all of them were discharged from the hospital. CONCLUSIONS: The integration of this device to near static mechanical ventilation of the residual native lung(s) is feasible and highly effective in patients with severe and unresponsive acute respiratory distress syndrome after pulmonary resection. PMID- 18154818 TI - Endobronchial bleeding associated with blunt chest trauma treated by bronchial occlusion with a Univent. AB - BACKGROUND: Endobronchial bleeding in patients with blunt chest trauma can lead to death by suffocation. The conditions leading to bronchial bleeding usually require surgical treatment; however, for diffuse lung contusion, conservative treatment is possible if the bronchial bleeding can be controlled. METHODS: Sites, methods, and outcomes of occlusion of the affected bronchus by endobronchial blocker used with a Univent endotracheal tube (Fuji Systems Corporation, Tokyo, Japan) in 35 patients (29 men, 6 women; mean age, 26 +/- 13 years) with diffuse lung contusion, treated from 1988 to 2004, were analyzed. RESULTS: The right main bronchus was occluded in 7 patients, left main bronchus in 12, intermediate bronchial trunk in 9, and secondary bronchi in 7. Four patients who developed hypoxemia underwent differential ventilation. Bronchial occlusion was performed 118 +/- 139 minutes after arrival and continued 26 +/- 13 hours. Twenty-nine patients survived; 1 died of pulmonary abscess and 5 died due to brain injury. CONCLUSIONS: Bronchial occlusion should be performed soon after trauma in patients with endobronchial bleeding. The Univent has three advantages in such patients: (1) it prevents the inflow of blood from the affected bronchus into the unaffected lung; (2) the tamponade effect of the endobronchial blocker stops bronchial bleeding; and (3) air embolus due to air flowing from the bronchus into the pulmonary veins can be prevented. Use of a tube for one-lung ventilation with which the trauma surgeon is familiar is advisable. The Uniblocker tube (Fuji Systems Corporation) allows occlusion of the affected bronchus without reinsertion of a single-lumen tracheal tube. PMID- 18154819 TI - Endoscopic ultrasound: accuracy in staging superficial carcinomas of the esophagus. AB - BACKGROUND: Endoscopic procedures may represent an alternative to esophagectomy for superficial neoplasms of the esophagus (T1m/T1sm), but they are considered curative only in case of no lymph node involvement. Endoscopic ultrasound (EUS) is the most accurate method to define both T and N staging of esophageal carcinoma. Aims of the study were to assess the staging accuracy of EUS in superficial lesions (T1m and T1sm) of patients who were candidates for esophagectomy or local endoscopic resection and to establish which variables (site of neoplasm, histologic type, macroscopic appearance) can affect the accuracy of EUS in distinguishing between T1m and T1sm lesions. METHODS: The study population consisted of 55 patients with superficial carcinoma of the esophagus who underwent EUS (October 2002 to January 2007). Endoscopic ultrasound features were compared with findings from surgical specimens or samples obtained at mucosectomy. RESULTS: There were 33 patients with adenocarcinoma (60%), which developed on Barrett's esophagus in 27 cases, 21 patients (38%) with squamous cell carcinoma, and 1 (2%) with lymphoepithelial-like carcinoma. All lesions were confirmed as T1 on pathology. Of the 22 (40%) T1m lesions on EUS, 19 (86%) were confirmed as T1m on pathology; of the 33 T1sm on EUS, 22 (66%) were confirmed as T1sm. Positive predictive value of EUS for invasion of the submucosa was 67%, negative predictive value 86%, sensitivity 88%, specificity 63%, and diagnostic accuracy 75%. The accuracy of EUS in evaluating lymph node metastases was 71%, with a negative predictive value of 84%. Endoscopic ultrasound accuracy in differentiating mucosal from submucosal lesions increased from the lower esophagus or gastroesophageal junction to the mid and upper esophagus (71%, 76%, and 100%, respectively; not significant). As for the histologic type, accuracy was 70% for adenocarcinoma and 81% for squamous cell carcinoma, (not significant); for lesions detected as type 0-IIa (13 patients), accuracy was 100%; for type 0-I lesions (23 patients), accuracy was 70% (p = 0.03). CONCLUSIONS: Despite difficulties in differentiating mucosal from submucosal lesions, even with 20-MHz miniprobes, EUS remains an extremely valuable tool when nonsurgical treatments are considered. Its staging accuracy depends on site and macroscopic appearance of the neoplasm. PMID- 18154820 TI - Malignant pleural mesothelioma: surgical management in 285 patients. AB - BACKGROUND: Malignant pleural mesothelioma is a rare, aggressive, and deadly malignancy. Despite increasing incidence, no treatment modality is accepted standard of care. This report analyzes our experience with surgical management of mesothelioma. METHODS: All patients with surgery for mesothelioma from January 1985 through December 2003 were retrospectively reviewed. RESULTS: There were 285 patients with a median age of 66 years (range, 26 to 91 years). One hundred forty six patients (51%) had biopsy only, 73 (26%) had extrapleural pneumonectomy, 34 (12%) had subtotal parietal pleurectomy, 22 (8%) underwent exploration without resection, and 10 (3%) had total pleurectomy. Histopathology was epithelial, nonepithelial, and unclassified in 134, 108, and 43 patients, respectively. Twenty patients were stage IA, 82 patients were stage IB, 24 patients were stage II, 75 patients were stage III, 60 patients were stage IV, and 24 patients were of unknown stage. Fifty-three patients (19%) had chemotherapy alone, 16 (5.6%) had radiation alone, and 42 (14.7%) had both. Thirty-day operative mortality was 6.3% and was not significantly associated with the operative procedure (p = 0.79). Fifty-one percent of extrapleural pneumonectomy patients had major complications, significantly greater than patients having any other procedure (p < 0.001). Median follow-up was 11 months (range, 0 to 7 years). Overall median survival was 10.7 months; however, for patients having extrapleural pneumonectomy, median survival was 16 months. One-, 2-, and 3-year survival after extrapleural pneumonectomy was 61%, 25%, and 14%, respectively. CONCLUSIONS: Extrapleural pneumonectomy can be performed with similar 30-day mortality as other procedures for malignant pleural mesothelioma with a median survival better than subtotal pleurectomy, exploration without resection, and biopsy alone. However, extrapleural pneumonectomy has significant morbidity and a 3-year survival of only 14%. PMID- 18154821 TI - Soluble mesothelin-related peptide level elevation in mesothelioma serum and pleural effusions. AB - BACKGROUND: Soluble mesothelin-related peptide (SMRP) is a potential marker for malignant pleural mesothelioma (MPM), which may be useful for screening high-risk asbestos-exposed individuals. METHODS: We evaluated SMRP in serum from MPM patients (n = 90), lung cancer patients (n = 170), age and tobacco-matched asbestos-exposed individuals (n = 66), and in MPM pleural effusions (n = 45), benign effusions (n = 30), and non-MPM effusions (n = 20) using the MesoMark enzyme-linked immunosorbent assay kit (Fujirebio Diagnostics, Malvern, PA). Receiver operating characteristic (ROC) curves were used to define true and false positive rates at various cutoffs. RESULTS: Mean serum SMRP levels were higher in MPM compared with lung cancer (5.67 +/- 0.82 nM [mean +/- standard error of the mean vs 1.99 +/- 0.43 nM, p < 0.001), and stage I MPM SMRP levels (n = 12; 2.09 +/- 0.41 nM) were significantly higher than those in asbestos-exposed individuals (0.99 +/- 0.09 nM, p = 0.02, respectively). Stage 2 to 4 SMRP serum levels were significantly higher than those for stage 1 MPM. The area under the ROC curve for serum SMRP was 0.81 for differentiating MPM and asbestos-exposed individuals; cutoff = 1.9 nM (sensitivity = 60%, specificity = 89%). The MPM pleural effusion SMRP was significantly higher than benign or other non-MPM pleural effusions (65.57 +/- 11.33 nM vs 27.46 +/- 11.25 nM [p = 0.003] and 18.99 +/- 7.48 nM [p = 0.044], respectively). CONCLUSIONS: These data support SMRP as a promising marker for MPM in both serum and pleural effusion fluid, and justify prospective screening studies of SMRP in combination with other markers for screening of asbestos-exposed cohorts. PMID- 18154822 TI - Complete resection is mandatory for tubercular cold abscess of the chest wall. AB - BACKGROUND: Cold abscess of the chest wall is a rare disease and few literature reports detail any treatment experience with a limited patient number. Hence, an optimal treatment plan remains controversial. METHODS: We retrospectively analyzed patients with cold abscess of the chest wall, focusing on their clinical features, surgical results, and the long-term outcome. Eighty patients were enrolled between May 1981 and April 2005. There were 35 male and 45 female patients, who underwent surgical treatment for cold abscess of the chest wall. The mean age of the patients was 31.4 +/- 12.5 (14 to 73) years. Forty patients (50.0%) had previous history of pulmonary tuberculosis. A growing chest wall mass was present in every patient. Surgical treatments performed were as follows: abscess debridement and drainage in 15 (18.8%), complete excision of the abscess without chest wall resection in 9 (11.2%), and complete excision of the abscess including chest wall in 56 patients (70.0%). RESULTS: There were no cases of operative mortality. Operative morbidity developed in four patients; two wound infections, one pneumonia, and one prolonged chest tube drainage. Postoperative antituberculous medication was given to all patients. Twelve patients (15.0%) recurred and required a second operation. The recurrence rate was higher in patients where only drainage of the abscess was performed compared with those in whom complete resection was performed (40.0% vs 9.2%, p = 0.008). CONCLUSIONS: Cold abscess of the chest wall can be surgically managed successfully with low operative risk. Complete resection of the abscess, including a portion of the involved chest wall, is mandatory to avoid recurrence. PMID- 18154823 TI - Early donor management increases the retrieval rate of lungs for transplantation. AB - BACKGROUND: Lung transplantation activity is frustrated by donor lung availability. We sought to examine the effect of active donor management and hormone administration on pulmonary function and yield in cadaveric heart-beating potential lung donors. METHODS: We studied 182 potential lung donors (arterial oxygen tension [PaO2]/fractional inspired oxygen [FIO2] ratio > or = 230). From this group, 60 patients (120 lungs) were allocated, within a randomized trial, to receive methylprednisolone (1 g), triiodothyronine (0.8 microg/kg bolus and 0.113 microg/kg/h infusion), both methylprednisolone and triiodothyronine, or placebo as soon as feasible after consent and initial assessment. Trial donors underwent protocol-guided optimization of ventilation and hemodynamics, lung water assessment, and bronchoscopy. Function was assessed by PaO2/FIO2 ratio, extravascular lung water index (EVLWI), and pulmonary vascular resistance (PVR). A nontrial group of 122 donors (244 lungs) received similar management without bronchoscopy, pulmonary artery flotation catheter monitoring, or lung water assessment. RESULTS: Within the trial, management commenced within a median of 2 hours (interquartile range, 0.5 to 3.5 hours) of consent and continued for an average of 6.9 +/- 1.2 hours. The PaO2/FIO2 ratio deteriorated (p = 0.028) from 397 +/- 78 (95% CL, 376 to 417) to 359 +/- 126 (95% CL, 328 to 390) and EVLWI from 9.7 +/- 4.5 mL/kg (95% CL, 8.6 to 10.9 mL/kg) to 10.8 +/- 5.2 mL/kg (95% CL, 9.4 to 12.2 mL/kg; p = 0.009). PVR remained unchanged (p = 0.28). At end management, 48 of 120 trial lungs (40%) were transplanted versus 66 of 244 nontrial lungs (27%; p = 0.016). Neither methylprednisolone and triiodothyronine nor T3 increased lung yield or affected PaO2/FIO2 or EVLWI; however, methylprednisolone attenuated the increase in EVLWI (p = 0.009). CONCLUSIONS: Early active management of lung donors increases yield. Steroid administration reduces progressive lung water accumulation. PMID- 18154824 TI - Performance of a novel sternal synthesis device after median and faulty sternotomy: mechanical test and early clinical experience. AB - BACKGROUND: Reinforcement of chest closure may be required in patients with multiple risk factors of wound dehiscence. Performance of a light, size-adaptable closure reinforcement device (DSS: Sternal Synthesis Device; Mikai SpA, Vicenza, Italy) is presented. METHODS: A longitudinal median or paramedian incision was performed in artificial sternal models: closure was accomplished with simple interrupted steel wires or reinforced with the DSS. Forces required for separation of the rewired sternal halves during a monotonic tensile test were analyzed. A high velocity traction cycles test was also adopted to simulate the impact of coughing. RESULTS: After median incision, ultimate load values inducing break of the sternum models were 580 +/- 35 N (Newton) in controls; failure of the test occurred at 1,200 +/- 47 N in the reinforced group (p = 0.0002). More lateral displacement of sternal halves at increasing forces was observed in controls (p = 0.0001). After paramedian incision, ultimate load values inducing break of the constructs were lower in controls (220 +/- 20 N vs 500 +/- 25 N, p = 0.001), which also showed more lateral displacement of sternal halves than the reinforced group (p = 0.002). At the high velocity traction cycles test, the number of cycles required to break the models was lower in controls (2,250 +/- 35 vs 3,855 +/- 48 cycles, p = 0.0001). Preliminary clinical experience in 45 patients showed ease of implantation and low risk of complications. CONCLUSIONS: The proposed sternal reinforcement device provides substantial sternal support at electromechanical testing after median and faulty sternotomy and may hopefully prevent sternal wires migration and bone fractures in high risk patients. PMID- 18154825 TI - Invited commentary. PMID- 18154826 TI - Is cardiopulmonary exercise testing a useful test before esophagectomy? AB - BACKGROUND: Cardiopulmonary exercise (CPX) testing may identify patients at high risk of postoperative cardiopulmonary morbidity and mortality. This study aims to assess the utility of CPX testing before esophagectomy. METHODS: Between January 2004 and October 2006, 78 consecutive patients (64 men) with a median age of 65 years (range, 40 to 81 years) underwent CPX testing before esophagectomy (50% transhiatal; 50% transthoracic). Measured variables included anaerobic threshold (AT) and maximum oxygen uptake at peak exercise (VO2peak). Outcome measures were postoperative morbidity and mortality, length of hospital stay, and unplanned intensive therapy unit admission. RESULTS: Cardiopulmonary complications occurred in 33 (42%) patients and noncardiopulmonary complications in 19 (24%). One in hospital death (1.3%) occurred, and 13 patients (17%) required an unplanned intensive therapy unit admission. The level of VO2peak was significantly lower in patients with postoperative cardiopulmonary morbidity (p = 0.04). The area under a receiver operating characteristic curve was 0.63 (95% confidence interval [CI], 0.50 to 0.76) for the VO2peak and 0.62 (95% CI, 0.49 to 0.75) for AT. An AT cutoff of 11 mL/kg/min was a poor predictor of postoperative cardiopulmonary morbidity. CONCLUSIONS: Although the VO2peak was significantly lower in those patients who developed cardiopulmonary complications, CPX testing is of limited value in predicting postoperative cardiopulmonary morbidity in patients undergoing esophagectomy. PMID- 18154827 TI - Evaluation of a novel epicardial atrial fibrillation treatment system. AB - PURPOSE: Surgical and catheter treatments for atrial fibrillation remain invasive or ineffective for most patients. A novel system developed to create epicardial ablation lesions during beating-heart surgical procedures was evaluated in an in vivo ovine model. DESCRIPTION: This novel ablation device integrates radiofrequency, suction, and perfusion to create transmural lesions by remaining consistently in contact with the irregular and curved surface of the beating heart. EVALUATION: Two epicardial ablation patterns were generated in five adult sheep: left atrial appendage and left pulmonary vein isolation. The 2-cm and 5-cm coagulation devices generated linear and curved lesions and maintained intimate contact against the epicardium using suction. Significant increases in bipolar pacing thresholds demonstrated trans-lesion conduction block in all animals. Histopathologic examination verified transmurality and showed changes normally observed after coagulation procedures. All lesions demonstrated mural degeneration throughout the lesion. No charring, vaporization, thromboembolic events, nor other complications were observed. CONCLUSIONS: This novel epicardial coagulation system successfully created continuous and transmural atrial lesions in a beating-heart ovine model. PMID- 18154828 TI - Invited commentary. PMID- 18154829 TI - A third generation of ascending aorta Dacron graft: preliminary experience. AB - PURPOSE: To develop a preassembled biological valved conduit, a Dacron conduit was modified to be stored in glutaraldehyde without loss of blood impermeability. This study reports the preliminary experience with this "third generation" aortic Dacron graft. DESCRIPTION: Eight patients underwent ascending aorta or root replacement using the new Triplex prosthetic conduit (Vascutek Terumo, Renfrewshire, Scotland) consisting of three layers. The inner layer is a standard uncoated woven Dacron graft (DuPont, Wilmington, DE); the outer layer is a standard expanded polytetrafluoroethylene graft. Both layers are fused together by a central layer of self-sealing elastomeric membrane. For its peculiar characteristics this graft has unique properties that allow it to be maintained in glutaraldehyde solution as well as in various storage solutions. EVALUATION: None of the patients died or exhibited any neurologic event. The clinical inflammatory response was within the usual postoperative levels. The graft appeared slightly stiffer than the standard Dacron graft with similar handling and tailoring characteristics. Blood impermeability (even through the suture holes) was remarkably high. CONCLUSIONS: This prosthetic graft appeared to combine good handling and tailoring characteristics with a striking reduction of blood oozing through the fabric and suture hole, even at full heparinization. PMID- 18154830 TI - Invited commentary. PMID- 18154831 TI - Cold agglutinins in cardiac surgery: management of myocardial protection and cardiopulmonary bypass. AB - Cold agglutinins are of unique relevance in cardiac surgery because of the use of hypothermic cardiopulmonary bypass (CPB). Immunoglobulin M autoantibodies to red blood cells, which activate at varying levels of hypothermia, can cause catastrophic hemagglutination, microvascular thrombosis, or hemolysis. Management of CPB and myocardial protection requires individualized planning. We describe a case of aortic valve replacement in a patient with high titre cold agglutinins and a high thermal amplitude for antibody activation. Normothermic CPB and continuous warm blood cardioplegia were successfully used. PMID- 18154832 TI - Subannular perforation after long-lasting aortic valve replacement mimicking mitral insufficiency. AB - We report a rare case of a patient diagnosed with mitral insufficiency grade III 12 years after mechanical aortic valve replacement. Transesophageal echocardiography described an eccentric mitral regurgitation-type systolic jet with color flow evidence of communication between left ventricle and atrium. Surgical intervention showed a circular defect in the mitral-aortic intervalvular fibrosa area, after removal of the mechanical valve, located beneath the noncoronary sinus causing the echocardiography-detected mitral insufficiency. A pericardial patch was trimmed to the appropriate size, and the defect was closed. The aortic valve was replaced by a stented pericardial bioprosthesis. PMID- 18154833 TI - Giant left atrial ball thrombus in a patient with chronic nonvalvular atrial fibrillation. AB - A 56-year-old woman with chronic nonvalvular atrial fibrillation presented with cardiac arrest during magnetic resonance imaging for back pain evaluation. Brain magnetic resonance imaging performed after cardiopulmonary resuscitation revealed multiple embolic lesions. Transesophageal echocardiography showed a large free floating thrombus ball and multiple mural thrombi in the left atrium. In light of the high-risk situation, an emergency operation was performed despite the occurrence of a fresh stroke within the previous 24 hours. The surgery was successful and the postoperative course was uneventful. The patient has been doing well since the operation on outpatient follow-up for 8 months. PMID- 18154834 TI - Unusual tumor in the left ventricular outflow tract. AB - We report an unusual case of a pseudocyst in the left ventricular outflow tract in a 58-year-old woman. The cyst was successfully resected by a transatrial approach. PMID- 18154835 TI - Multiple and repetitive anastomotic pseudoaneurysms with polyarteritis nodosa. AB - We report a rare case of a 50-year-old man with multiple and repetitive anastomotic pseudoaneurysms associated with polyarteritis nodosa. The pseudoaneurysms were located at the aortic root and the ascending aorta. Infectious and congenital etiologies, as well as nonbacterial inflammatory diseases, were ruled out. Idiopathic aortitis or aortitis due to polyarteritis nodosa might fit the case. PMID- 18154836 TI - Emergent surgical retrieval of embolized atrial septal defect closure device. AB - We present a case of an atrial septal defect closure device that embolized to the aortic valve and left main coronary artery ostium, which required emergent surgical retrieval in an unstable child. PMID- 18154837 TI - Traumatic right paraesophageal hernia after Belsey Mark IV fundoplication. AB - We report the case of a 70-year-old woman with a long history of achalasia and gastroesophageal reflux disease who presented with an acute right-sided paraesophageal hernia after a motor vehicle accident. Six months before the accident, she underwent an elective Belsey Mark IV fundoplication to reduce a hiatal hernia. The traumatic paraesophageal hernia traversed the diaphragm at a weakness opposite the fundoplication. The clinical presentation, surgical management, and previous literature are discussed. PMID- 18154838 TI - Benign esophagobronchial fistula with and without esophageal obstruction: two ends of the surgical spectrum. AB - Acquired esophagobronchial fistula (EBF) is uncommon and its surgical remediation is challenging. Management depends on the cause, degree of pulmonary involvement, and existence of esophageal obstruction. We report management of two EBF cases representing extremes of the surgical spectrum. One patient with EBF secondary to mediastinal fungal infection underwent pulmonary resection and esophageal repair. Another, who was positive for human immunodeficiency virus, required esophageal resection and fistula closure, but no pulmonary resection. Successful outcome was achieved in both patients. PMID- 18154840 TI - Use of baclofen in the treatment of esophageal stent-related hiccups. AB - Hiccupping is a characteristic noise caused by a sudden closure of the glottis after repeated, involuntary, spasmodic contraction of the respiratory muscles. Hiccupping caused by gastric distention, spicy foods, and neural dysfunction often resolves itself without any treatment. Some hiccups are associated with certain diseases or occur postsurgically, and life-restricting intractable hiccups should be treated. The cause of hiccups should be expressly stated for treatment. We report a case of inoperable esophagogastric junction tumor with hiccupping after esophageal stent that could only be treated with baclofen. PMID- 18154839 TI - Ivor Lewis esophagectomy in a patient with enlarged azygos vein: a lesson to learn. AB - We report the case of a 62-year-old patient with congenital interruption of the inferior vena cava and azygos continuation who required transthoracic esophagectomy to remove a tumor in the middle esophagus. The consequences of dividing an enlarged azygos vein in this kind of patient are reported and discussed. PMID- 18154841 TI - Acromegaly caused by ectopic growth hormone: a rare manifestation of a bronchial carcinoid. AB - Ectopic acromegaly due to growth hormone-releasing hormone secretion by a bronchial carcinoid is rare. We report a case of bronchial carcinoid presenting with acromegaly due to ectopic growth hormone production. The patient was treated successfully with right pneumonectomy. PMID- 18154842 TI - Squamous cell carcinoma in a postpneumonectomy cavity. AB - A 55-year-old woman was referred to our department with the diagnosis of a bronchopleural fistula and empyema. Her medical history revealed that she had undergone a left pneumonectomy 25 years prior due to a destroyed lung associated with tuberculosis. Open drainage and a biopsy was performed because of the large mass detected on thoracic computed tomography. Postoperative pathology revealed squamous cell carcinoma. PMID- 18154844 TI - Pulmonary lymphangioma. AB - We report on the very rare case of a 49-year-old man with a large solitary pulmonary lymphangioma. Rapid growth of the tumor led to dyspnea and pain. A chest roentgenogram and computed tomography scan revealed a large 18 x 12-cm space-occupying cystic lesion in the posterior mediastinum. The tumor was resected by lateral thoracotomy. Histopathology revealed a pulmonary cystic lymphangioma. PMID- 18154843 TI - Treatment of chylothorax by robotic thoracic duct ligation. AB - This is the first report describing the use of robotic technology for the treatment of chylothorax. We present a 22-year-old with mixed embryonal cell and seminoma germ cell cancer refractory to medical and surgical treatment. The patient had rising markers and a growing left lower lung lobe metastasis. After left lower lobectomy, left-sided chylothorax developed. Conservative management failed, and a robotic right-sided thoracic duct ligation was performed. Other treatment options are reviewed. PMID- 18154845 TI - An unusual case of a swallowed thermometer perforated in the mediastinum. AB - A 39-year-old woman, who was addicted to drugs, was admitted because of referred chest pain and dysphagia after deliberate ingestion of a thermometer in a suicide attempt 6 hours earlier. Rigid esophagoscopy was unrevealing. On awakening, the patient confessed that the thermometer had been swallowed more than a month be operated on and get narcotic pain medications. Her history disclosed multiple admissions and laparotomies after suicide attempts with swallowed thermometers in the last 3 years. PMID- 18154846 TI - Calcific bicuspid aortic stenosis: a questionable indication for endovascular valve implantation? PMID- 18154847 TI - Huge right atrial thrombus 6 years after heart transplantation. PMID- 18154848 TI - Three-dimensional imaging of traumatic multiple fractures of the thorax by multislice computed tomography. PMID- 18154849 TI - Left ventricular outflow tract reconstruction for annular erosion using a polyester graft. AB - A technique is presented for treatment of annular erosion using a polyester tube graft that is sutured to the left ventricular outflow tract below the area of erosion. The graft is then everted and sutured to a composite graft. Interposition polyester grafts from the coronary arteries are attached to the composite graft above the valve. PMID- 18154850 TI - Novel technique for aortic arch surgery under mild hypothermia. AB - We present our initial experience in 5 patients for open aortic arch repair with continuous antegrade perfusion of the brain and of the lower body by means of direct cannulation of the right axillary artery and of the descending aorta with a venous cannula (DLP 91037 cannula [Medtronic Inc, Minneapolis, MN]) for systemic perfusion under mild hypothermia (30 degrees C). This mode of perfusion allows safe open repair of the aortic arch, short aortic cross clamping, and CPB times associated to all the known advantages of the mild hypothermia; this technique could have the potential to be generally applicable in surgeries for aortic arch repairs after further evaluation. PMID- 18154851 TI - Endovascular repair of an ascending aortic pseudoaneurysm with a septal occluder device: mid-term follow-up. AB - Ascending pseudoaneurysm is an infrequent complication of ascending aortic surgery. Redo operations are often associated with a high surgical morbidity and mortality. Endovascular management of ascending aortic pathologies with endoluminal graft therapies are challenging due to short landing zones and the fear of flow obstruction to the coronaries and brachiocephalic circulation. We report mid-term follow-up of the management of an ascending aortic pseudoaneurysm using a an Amplatz septal occluder (AGA Medical Corp, Golden Valley, MN) in a 51 year-old man considered at high risk for conventional open surgical repair. PMID- 18154852 TI - Anatomic correction of corrected transposition {I,D,D} using an atrial switch and aortic translocation. AB - This report demonstrates the feasibility of performing an anatomic correction in corrected transposition of the great arteries {I,D,D} with inlet ventricle septal defect and subpulmonary obstruction, using aortic translocation combined with a modified Senning operation. PMID- 18154853 TI - Self-expandable covered metal tracheal type stent for sealing cervical anastomotic leak after esophagectomy and gastric pull-up: pitfalls and possibilities. AB - From January 2003 to June 2006, 6 patients with leakage of the cervical esophagogastrostomy after esophagectomy and gastric pull-up underwent endoscopic stenting using the self-expandable covered tracheal type device. Anastomotic healing was satisfactory. Stent extraction was performed after an average interval of 91 days. Initial stent migration occurred in 2 patients and post extraction stenosis developed in 3 patients. Insertion of a self-expandable covered metal tracheal stent represents a safe approach resulting in immediate closure and subsequent healing of cervical anastomotic leakage. PMID- 18154854 TI - Perfusion: part of the perioperative blood transfusion and blood conservation management team. PMID- 18154856 TI - Ventricular assist device implantation and the risk for heparin-induced thrombocytopenia. PMID- 18154858 TI - Bicuspid aortic valve: about natural history of ascending aorta aneurysms. PMID- 18154859 TI - Selection of neurocognitive tests and outcomes of cardiac surgery trials. PMID- 18154860 TI - Salivary aldehyde dehydrogenase--reversible oxidation of the enzyme and its inhibition by caffeine, investigated using fluorimetric method. AB - OBJECTIVE: We have applied fluorimetric method to monitor aldehyde dehydrogenase (ALDH*) activity in human saliva samples to study inactivation, reactivation and inhibition of the enzyme. DESIGN: Saliva samples were collected to buffer stock solution, containing various thiols, and assayed in the presence of the fluorogenic substrate 6-dimethylamino-2-naphthaldehyde and NAD(+). Fluorescence of the produced 6-dimethylamino-2-naphthalene carboxylate was used to measure the reaction rate. RESULTS: Kinetic parameters for the highly fluorogenic substrate, 6-dimethylamino-2-naphthaldehyde were measured, with apparent K(m) of 7.9 microM at pH 7.3. The apparent K(m) for NAD(+) was 1.2 microM. The observed ALDH activity is unstable in the absence of thiols, but can be stabilized by 1mM glutathione, and inactivated enzyme can be re-activated within 10 min by treatment of 0.5 mM DTT. Two-assay procedure was applied to measure degree of inactivation of ALDH in saliva samples. It was found that degree of ALDH inactivation in fresh samples, stabilized by glutathione, is between 0% and 90%, with average value ca. 40%. Caffeine and theophylline were shown to be moderate inhibitors of salivary ALDH. CONCLUSIONS: Oxidation of the salivary ALDH in fresh saliva may be reliably measured using fluorimetric two-assay procedure. Preliminary statistics indicate that in most individuals this enzyme is partially inactive. Inhibition of the salivary ALDH by caffeine may have consequences for nutrition safety. PMID- 18154862 TI - Multidisciplinary approach to cancer treatment: focus on head and neck cancer. AB - This article focuses on squamous cell carcinoma of the head and neck (SCCHN), the most common malignancy of the head and neck area. Early detection limits morbidity of treatment and increases the chances of a cure. The treatment of SCCHN is often multidisciplinary in nature and provides a model for how multimodality therapy may be applied for optimal patient management. The role of surgery in SCCHN is continually undergoing evolution, and the surgeon's role in the multidisciplinary treatment of head and neck cancers has changed as more cancers are being treated by chemoradiotherapy. Salvage surgery has become more common, and with it the increased challenges in managing metastatic disease to neck nodes as well as managing failure of organ preservation treatments. Surgeons continue to develop and refine reconstruction techniques to optimize cosmetic and functional outcomes. PMID- 18154863 TI - Dental treatment planning and management in the patient who has cancer. AB - The oral cavity has the potential to be a major source of short-term and long term complications from cancer therapy. Appropriate evaluation and elimination of potential sources of oral infection before cancer therapy is vital because oral bacteria are a known source of bacteremia and septicemia during cancer therapy. Cancer diagnosis with previous and planned treatment, past medical history, past dental history, current medications, drug allergies, social history, family history, laboratory values, extraoral findings, intraoral findings, and radiographic findings must all be evaluated in planning dental treatment for these complex cases. PMID- 18154864 TI - Management of patients who have undergone head and neck cancer therapy. AB - Patients who undergo treatment for head and neck cancers often suffer from acute or late reactions to therapy. Severity of these oral complications may be based on the location and extent of tumor, as well as the type and extent of treatment. Some complications are transient, whereas others require a lifetime of management secondary to damage that results in permanent dysfunction. Patients who have a history of head and neck cancers are also at an increased risk for recurrences or second malignancies, and therefore require close follow-up. Dental professionals should provide preventive and supportive care, including education and symptom management, for patients experiencing oral complications related to cancer therapy, and should closely monitor patients' level of distress, ability to cope, and treatment response. PMID- 18154866 TI - Oral graft-versus-host disease. AB - Hematopoietic cell transplantation is used to treat malignancies, hematologic and immune deficiency states, marrow failure syndromes, and autoimmune diseases. Graft-versus-host disease (GVHD) is a clinical syndrome seen following allogeneic transplantation where donorderived immunocompetent T cells and inflammatory responses attack host tissues. GVHD can cause significant morbidity and even result in mortality. The oral cavity is a frequently involved site with clinical changes resembling autoimmune collagen vascular diseases. Recognition, diagnosis, and monitoring of oral GVHD can help with diagnosis and grading of GVHD and judging responses to therapy. Topical and local management of symptomatic oral GVHD can reduce oral symptoms that can interfere with oral function and quality of life, and can reduce the need for more intensive immunosuppressive systemic therapies. PMID- 18154865 TI - Management of oral mucositis in patients who have cancer. AB - Oral mucositis is a clinically important and sometimes dose-limiting complication of cancer therapy. Mucositis lesions can be painful, affect nutrition and quality of life, and have a significant economic impact. The pathogenesis of oral mucositis is multifactorial and complex. This review discusses the morbidity, economic impact, pathogenesis and clinical course of mucositis. Current clinical management of oral mucositis is largely focused on palliative measures such as pain management, nutritional support and maintenance of good oral hygiene. However, several promising therapeutic agents are in various stages of clinical development for the management of oral mucositis. These agents are discussed in the context of recently updated evidence-based clinical management guidelines. PMID- 18154867 TI - Biophosphonate-related osteonecrosis of the jaws. AB - In 2003 and 2004, the first reports of patients who developed necrosis of the jawbones while taking biophosphonates appeared in literature; most patients were on this drug for treatment of cancer and some osteoporosis. Since then, more than 500 cases have been identified and the number of these cases continues to grow. This article reviews the action of bisphosphonates, the condition called bisphosphonate-associated osteonecrosis of the jaws, strategies to minimize occurrence, and treatment of this condition. PMID- 18154868 TI - Management of oral infections in cancer patients. AB - The myelosuppressive and mucosal-damaging consequences of cancer and cancer therapies place patients at high risk for developing infectious complications. Bacterial, fungal, and viral infections are all commonly encountered in the oral cavity, contributing to both morbidity and mortality in this patient population. Prevention, early and definitive diagnosis, and appropriate management are critical to ensure optimal treatment outcomes. With the majority of cancer patients treated as outpatients in the community setting, oral health care professionals play an important role in managing such infectious complications of cancer therapy. PMID- 18154869 TI - Considerations in the pediatric population with cancer. AB - This article is divided into three time periods according to the different phases of cancer treatment: pre, inter, and postcancer therapy. The purpose of dental protocols prior to cancer therapy and the incidence and management of acute and long term oral complications from cancer therapy in the pediatric population are discussed. PMID- 18154870 TI - Orofacial pain and neurosensory disorders and dysfunction in cancer patients. AB - Orofacial pain and altered nerve sensation may be the initial sign of oropharyngeal or nasopharyngeal cancer. This article focuses on the most common orofacial pain conditions and neurosensory alterations that affect cancer patients, such as neuropathic pain, muscle spasm or contractures, mucositis, and increased or decreased sensory discrimination in the affected area. The various pharmacotherapeutic modalities for cancer pain management ranging from non steroidal anti-inflammatory drugs (NSAIDs) for mild pain to opioids for severe pain are discussed in detail. PMID- 18154871 TI - Oral manifestations of internal malignancy and paraneoplastic syndromes. AB - Malignant tumors of visceral organs are a fundamental feature of familial cancer and paraneoplastic syndromes. In many instances, the presence of an internal and often occult malignancy may be forewarned by various external manifestations. Several of these findings are preferentially localized to the head and neck region, including the oral cavity proper. This places the dental practitioner in a unique position to detect these "markers" of occult neoplastic involvement. Because these markers may present before an established syndrome or cancer diagnosis, even representing the first expression of disease in some cases, early recognition by a dentist may lead to timely diagnosis and management of these cancer-associated syndromes. PMID- 18154872 TI - Psychosocial and economic impact of cancer. AB - This article explores the psychosocial and economic implications of cancer and their relevance to the clinician. After a general overview of the topic, the authors focus on aspects of particular importance to the dental professional, including the psychosocial and economic implications of the oral complications of cancer and its therapy, head and neck cancers, and special issues among children with cancer and cancer survivors. PMID- 18154873 TI - When spiders appear suddenly: spider-phobic patients are distracted by task irrelevant spiders. AB - Fear is thought to facilitate the detection of threatening stimuli. Few studies have examined the effects of task-irrelevant phobic cues in search tasks that do not involve semantic categorization. In a combined reaction time and eye-tracking experiment we investigated whether peripheral visual cues capture initial attention and distract from the execution of goal-directed eye movements. Twenty one spider-phobic patients and 21 control participants were instructed to search for a color singleton while ignoring task-irrelevant abrupt-onset distractors which contained either a small picture of a spider (phobic), a flower (non phobic, but similar to spiders in shape), a mushroom (non-phobic, and not similar to spiders in shape), or no picture. As expected, patients' reaction times were longer on trials with spider distractors. However, eye movements revealed that this was not due to attentional capture by spider distractors; patients more often fixated on all distractors with pictures, but their reaction times were delayed by longer fixation durations on spider distractors. These data do not support automatic capture of attention by phobic cues but suggest that phobic patients fail to disengage attention from spiders. PMID- 18154874 TI - Investigation of the metabolic fate of dihydrocaffeic acid. AB - The antioxidant dihydrocaffeic acid is a dietary constituent and a microbial metabolite of flavonoids. Orally administered to rats, dihydrocaffeic acid was very rapidly absorbed most probably by the gastric or duodenal epithelium and excreted in urine as free and conjugated forms. LC-MS2 analysis of plasma and urine samples allowed confident identification of the dihydrocaffeic acid metabolites. The parent compound was glucuronidated, sulphated or methylated, on one of the hydroxyl groups present on its phenyl ring. All the dihydrocaffeic acid metabolites peaked in plasma within the first 30min following ingestion, suggesting a metabolism possibly by the gastric or duodenal cells and by the liver. Using in vitro and ex vivo models of the intestinal epithelium and the liver, the identity and source of the metabolites detected in vivo were examined. The data obtained suggest that, in rats, intestinal cells are more able to glucuronidate dihydrocaffeic acid, whereas liver favours sulphation. Moreover, glucuronidation, sulphation and methylation seem to be regio-selective, preferably on the 3-OH of dihydrocaffeic acid. The methyl conjugate, dihydroferulic acid, was shown to be oxidized into ferulic acid by intestinal and hepatic cells, which were also able to perform the reverse reaction, the reduction of ferulic acid into dihydroferulic acid. As a conclusion, the main form of dihydrocaffeic acid circulating in plasma after its ingestion is a mixture of different primary and secondary metabolites. PMID- 18154885 TI - Building a pediatric clinical research division. PMID- 18154886 TI - How far can prenatal screening go in preventing birth defects? PMID- 18154887 TI - The role of the kidney in protecting the brain against cerebral edema and neuronal cell swelling. PMID- 18154888 TI - Pain still lords over children. PMID- 18154889 TI - Research involving wards of the state: protecting particularly vulnerable children. PMID- 18154890 TI - Prevalence, neonatal characteristics, and first-year mortality of Down syndrome: a national study. AB - OBJECTIVE: To determine the prevalence, neonatal characteristics, and first-year mortality in Down syndrome (DS) among children in The Netherlands. STUDY DESIGN: The number of DS births registered by the Dutch Paediatric Surveillance Unit (DPSU) in 2003 was compared with total live births (reference population) and perinatal registrations. RESULTS: The prevalence of DS was 16 per 10,000 live births. Compared with the reference population, the 182 children with trisomy 21 had a gestational age of 38 weeks versus 39.1 weeks (P < .001), a birth weight of 3119 g versus 3525 g in males (P < .001) and 2901 g versus 3389 g in females (P < .001), and mothers with a parity of > or = 4.17% versus 5% (P < .001) and a mean age of 33.6 years versus 31 years (P < .001) and 33% (n = 54) > or = 36 years). The mean age of DS diagnosis was 10.2 days in nonhospital deliveries and 1.8 days in hospital deliveries (P < .001). Children with DS were less often breast-fed (P < .05), and 86% (n = 156) were hospitalized after birth. Neonatal and infant mortality were higher in DS, 1.65% versus 0.36% (P < .02) and 4% versus 0.48% (P < 0.001), respectively. CONCLUSIONS: The prevalence of DS in The Netherlands exceeds previously reported levels and is influenced by the mother's age. Neonatal and infant DS mortality have declined, but still exceed those in the reference population. PMID- 18154892 TI - Is Down syndrome a disappearing birth defect? AB - OBJECTIVE: To assess trends in the prevalence of Down syndrome (DS) from 1986 to 2004 in Victoria, Australia (population approximately 5 million). STUDY DESIGN: The Victorian Birth Defects Register and the Prenatal Diagnosis Database were linked to ascertain all cases of DS. Total and birth prevalence estimates were calculated per year and presented as 3-year moving averages. RESULTS: The total number of cases of DS increased from 113 in 1986 to 188 in 2004. The number of births declined over the first decade of the study, particularly in younger women, but total numbers have fluctuated between 45 and 60 births since 1996. In women under age 35 years, total prevalence was 10/10,000 until 1997 and then increased to 12.5/10,000. In older women, total prevalence increased from 70/10,000 to 90/10,000 in this time frame. Birth prevalence declined at first but remained relatively stable in the later years of the study. The proportion of cases diagnosed prenatally increased from 3% to 60% in younger women. CONCLUSIONS: Our findings demonstrate the continuing need to devote resources to support individuals with DS and their families. PMID- 18154893 TI - Time trends in birth incidence of cystic fibrosis in two European areas: data from newborn screening programs. AB - OBJECTIVE: To determine the incidence of cystic fibrosis (CF) and its time trends over a 16-year period (1990 to 2005) in 2 European regions with a long history of newborn screening (NBS) for CF, and to investigate the impact of some external factors. STUDY DESIGN: This study focused on data from NBS and prenatal diagnosis (PD) in Brittany (western France) and Veneto/Trentino Alto-Adige (northeastern Italy). RESULTS: Similar birth incidences of CF were observed in the 2 regions (1/3153 vs 1/3540; P = .245). Time trend analysis using Poisson regression revealed that the birth incidence decreased significantly in the Italian area only (average annual percent change [AAPC] = -4.7%; 95% confidence interval [CI] = -7.3 to -2; P = .0008). The use of PD appeared more common in Brittany, and considering the terminations of CF-affected fetuses, the adjusted incidence was 1/2191 in Brittany and 1/3116 in Veneto/Trentino, corresponding to variations of 30.5% (highly significant; P = .0002) and 12% (not significant; P = .16), respectively. Recording the reason for each PD allowed ready assessment of the affect of various public health policies on incidence. The affect of population mixing also appeared to be relevant in the Italian area. CONCLUSIONS: This study highlights how the incidence of CF has evolved in 2 European regions that have different attitudes toward PD and immigration policy. PMID- 18154895 TI - Incidence of postoperative hyponatremia and complications in critically-ill children treated with hypotonic and normotonic solutions. AB - OBJECTIVE: To determine the incidence and clinical consequences of postoperative hyponatremia in children. STUDY DESIGN: We performed a retrospective analysis of postoperative admissions to the pediatric intensive care unit (excluding cardiac, neurosurgical, and renal). The incidence of severe (serum sodium < 125 mmol/L or symptoms) and moderate (serum sodium < 130 mmol/L) hyponatremia in children receiving hypotonic (HT) and normotonic (NT) fluids was calculated. RESULTS: Out of a total of 145 children (568 sodium measurements; 116 HT and 29 NT), we identified 16 with hyponatremia (11%). The incidences of moderate (10.3% vs 3.4%, P = .258) and severe (2.6% vs 0%; P = .881) hyponatremia were not significantly different in the HT and NT groups. There were no neurologic sequelae or deaths related to hyponatremia. CONCLUSIONS: In our study group, hyponatremia was common, but morbidity and death were not observed. Careful monitoring of serum sodium level may be responsible for this lack of adverse outcomes. Larger, prospective studies are needed to determine whether the incidence of hyponatremia differs between the HT and NT groups. PMID- 18154896 TI - Opioid use in palliative care of children and young people with cancer. AB - OBJECTIVE: Identify opioids prescribed, preferred routes, and doses among children with incurable cancer. STUDY DESIGN: Prospective survey with monthly questionnaires regarding patients 0 to 19 years old from oncology centers. Data were collected by professionals on each patient for 6 months or until death, and analyzed from patients who died. Impact of tumor was analyzed with Kruskal-Wallis and Mann-Whitney tests. Major opioid dosages are expressed as oral morphine equivalents. RESULTS: Of 185 children recruited, 164 (88 boys, 76 girls) died. Mean palliative care duration was 67 days. One hundred forty-seven (89.6%) received major opioids. Morphine, diamorphine, and fentanyl were prescribed in 75%, 57.9%, and 11.6%, respectively. Seventy-three (44.5%) received >1 major opioid. Median monthly maximum doses prescribed rose from 2.1 mg/kg/24 h (study entry) to 4.4 mg/kg/24 h (death) (P < .001); overall variable (0.09-1500 mg/kg/24 h, median 3.7 mg/kg/24 h). Opioids were given by the oral (117/164, 71.3%), intravenous (68/164, 41.5%), subcutaneous (40, 28%), rectal (20, 12.2%), and transdermal (18, 11%) routes. There was a shift to intravenous use as death approached. Numbers within each tumor group were too small to show significance. Children with solid tumors outside the central nervous system were likely to receive more opioids, be given multiple different opioids, and receive opioids in the last month. CONCLUSIONS: The study shows the United Kingdom practice of opioid use and provides comparator data for practice in children's palliative medicine. PMID- 18154897 TI - Human body shape index based on an experimentally derived model of human growth. AB - OBJECTIVES: To test the assumption of geometrically similar growth by developing experimentally derived models of human body growth during the age interval of 5 to 18 years; to use these derived growth models to establish a new human body shape index (HBSI) based on natural age-related changes in human body shape (HBS); and to compare various metrics of relative body weight (body mass index [BMI], ponderal index [PI], and HBSI) in a sample of 5- to 18-year-old children. STUDY DESIGN: Nondisabled Polish children (n = 847) participated in this descriptive study. To model growth, the best fit between body height (H) and body mass (M) was calculated for each sex using the allometric equation M = m(i) H(chi). HBSI was calculated separately for girls and boys, using sex-specific values for chi and a general HBSI from combined data. The customary BMI and PI were calculated and compared with HBSI values. RESULTS: The models of growth were M = 13.11H(2.84) (R2 = 0.90) for girls and M = 13.64H(2.68) (R2 = 0.91) for boys. HBSI values contained less inherent variability and were less influenced by growth (age and height) compared with BMI and PI. CONCLUSIONS: Age-related growth during childhood is sex-specific and not geometrically similar. Therefore, indices of HBS formulated from experimentally derived models of human growth are superior to customary geometric similarity-based indices for characterizing HBS in children during the formative growth years. PMID- 18154898 TI - Developmental changes in soluble CD40 ligand. AB - OBJECTIVES: To determine if soluble CD40 ligand (sCD40L; formally CD154) levels vary with age and to identify age-dependent ranges in healthy pediatric and adult populations. STUDY DESIGN: sCD40L was measured in 25 neonates, 74 children (3 months-15 years of age) and 20 adults using an enzyme-linked immunosorbent assay. For age group comparisons, Mann-Whitney tests were performed. Correlation coefficients assessed relationships between plasma and serum sCD40L. RESULTS: Plasma sCD40L levels were higher in neonates than in all other age groups, (P <.001). All grouped pediatric plasma levels were significantly higher than in adults (P < .0001). There were no significant differences in plasma sCD40L between pediatric age groups. Serum levels were significantly higher in neonates than in any other age group (P < .0001). Pediatric and adult serum sCD40L levels were not significantly different. CONCLUSIONS: Plasma sCD40L levels are highest at birth and remain higher than those in adults throughout childhood. Reasons for such developmental changes remain to be investigated. Age-appropriate reference ranges should be used when sCD40L is being evaluated in pediatric disorders. PMID- 18154900 TI - Therapeutic hypothermia changes the prognostic value of clinical evaluation of neonatal encephalopathy. AB - OBJECTIVE: To evaluate whether therapeutic hypothermia alters the prognostic value of clinical grading of neonatal encephalopathy. STUDY DESIGN: This study was a secondary analysis of a multicenter study of 234 term infants with neonatal encephalopathy randomized to head cooling for 72 hours starting within 6 hours of birth, with rectal temperature maintained at 34.5 degrees C +/- 0.5 degrees C, followed by re-warming for 4 hours, or standard care at 37.0 degrees C +/- 0.5 degrees C. Severity of encephalopathy was measured pre-randomization and on day 4, after re-warming, in 177 infants; 31 infants died before day 4, and data were missing for 10 infants. The primary outcome was death or severe disability at 18 months of age. RESULTS: Milder pre-randomization encephalopathy, greater improvement in encephalopathy from randomization to day 4, and cooling were associated with favorable outcome in multivariate binary logistic regression. Hypothermia did not affect severity of encephalopathy at day 4, however, in infants with moderate encephalopathy at day 4, those treated with hypothermia had a significantly higher rate of favorable outcome (31/45 infants, 69%, P = .006) compared with standard care (12/33, 36%). CONCLUSION: Infants with moderate encephalopathy on day 4 may have a more favorable prognosis after hypothermia treatment than expected after standard care. PMID- 18154901 TI - Parenteral nutrition-associated cholestasis in small for gestational age infants. AB - OBJECTIVE: To identify small for gestational age (SGA) as an independent risk factor for parenteral nutrition-associated cholestasis (PNAC). STUDY DESIGN: In a case-control study, records of infants treated in the neonatal intensive care unit from 1994 through 2003 with gestational ages (GA) < 34 weeks and exposure to parenteral nutrition (PN) > or = 7 days were reviewed. The primary outcome was the incidence of cholestasis in infants who were SGA. Secondary outcomes included PN duration, age at full enteral nutrition (FEN) and incidence of late-onset sepsis, necrotizing enterocolitis (NEC) and bronchopulmonary dysplasia (BPD). Analysis was by t test, logistic regression, and chi2 analysis. RESULTS: Cases (n = 79) and control subjects (n = 152) had similar birth weights and GA (963 +/- 465 g versus 1090 +/- 463 g; 27 +/- 2 weeks versus 27 +/- 2 weeks; [mean +/- SD]). Of the infants who were SGA, 58% developed cholestasis (OR = 3.3, P < .01). Infants with cholestasis achieved FEN later (43 +/- 25 days versus 23 +/- 11 days) and had higher rates of sepsis (80% versus 34%), NEC (51% versus 7%), and BPD (65% versus 25%; P < .01). Of infants with cholestasis, infants who were SGA received fewer days of PN than infants who were appropriate for GA (49 +/- 24 days versus 68 +/- 36 days, P = .024). CONCLUSION: Being SGA is an independent risk factor for PNAC. Infants who are SGA require less PN for cholestasis to develop. PMID- 18154902 TI - Achieving positive protein balance in the immediate postoperative period in neonates undergoing abdominal surgery. AB - OBJECTIVES: To determine whether neonates undergoing major abdominal surgical procedures in the first day of life could achieve a positive protein balance without protein toxicity in the immediate perioperative period by using parenteral amino acids and fentanyl analgesia. STUDY DESIGN: Newborns undergoing major surgery for gastroschisis in the first 24 hours of life (n = 13) were alternately allocated to immediate postoperative parenteral administration of 1.5 g/kg(-1)/day(-1) versus 2.5 g/kg(-1)/day(-1) amino acids. Protein balance was determined at 1.6 to 2.6 days postoperatively with both nitrogen balance and leucine stable isotope methodology. Statistical analyses were conducted with the unpaired t test and linear regression. RESULTS: Protein balance was significantly different in the 2 groups with both nitrogen balance and leucine stable isotope methodology. There was no evidence of protein toxicity as determined with blood urea nitrogen, creatinine, and ammonia concentrations. CONCLUSIONS: Neonates undergoing the metabolic stress of abdominal surgery shortly after birth are able to achieve a net positive protein balance with parenteral amino acid administration without evidence of protein intolerance. PMID- 18154903 TI - The impact of maternal negative affectivity and general self-efficacy on breastfeeding: the Norwegian Mother and Child Cohort Study. AB - OBJECTIVE: To assess the degree to which mothers' prepartum personality traits predict breastfeeding status at 6 months postpartum. STUDY DESIGN: This prospective cohort study is part of the Norwegian Mother and Child Cohort Study, conducted at the Norwegian Institute of Public Health. A total of 27,753 mothers completed assessment of negative affectivity (NA) and general self-efficacy (GSE) at gestation weeks 17 and 30 and completed a questionnaire about infant feeding at 6 months postpartum. Feeding status was classified with a cutoff at 6 months in the categories of predominant breastfeeding, mixed breastfeeding, and bottle feeding. RESULTS: After adjusting for maternal smoking, age, education, cesarean section, preterm birth, primiparity, and external daycare, NA increased the odds of mixed breastfeeding (odds ratio [OR], 1.16; 95% confidence interval [CI], 1.03 to 1.32) and bottle feeding (OR, 1.32; 95% CI, 1.14 to 1.53) compared with predominant breastfeeding. GSE decreased the odds of bottle feeding (OR, 0.90; 95% CI, 0.84 to 0.97) but not of mixed breastfeeding (OR, 0.98; 95% CI, 0.92 to 1.04) compared with predominant breastfeeding. The adjusting variables were also predictors of breastfeeding behavior in their own right. CONCLUSIONS: Our results show that NA and GSE are important antenatal predictors of breastfeeding status at 6 months postpartum. PMID- 18154904 TI - Ability of blood pressure to predict left ventricular hypertrophy in children with primary hypertension. AB - OBJECTIVE: To determine whether casual blood pressure (BP) or ambulatory BP monitoring (ABPM) measurements obtained at the initial visit of a child with confirmed hypertension (HTN) might predict left ventricular hypertrophy (LVH), possibly obviating the need for echocardiography. STUDY DESIGN: We conducted a cross-sectional study of 184 children aged 3 to 20 years who were referred for initial evaluation of elevated BP at 3 tertiary care centers. Casual BP and various ambulatory BP variables were analyzed to determine their association with LVH, defined after echocardiography by cardiologist diagnosis or a left ventricular mass index equal to or greater than the sex-specific 95th percentile. RESULTS: A total of 41% of children who had echocardiograms had LVH. Children with LVH were significantly more likely to be non-white and have a higher body mass index z-score. There was no difference in casual systolic or diastolic BP index in children with hypertension who had LVH and children with hypertension without LVH. Children with systolic or diastolic BP loads > or = 50% were no more likely to have LVH than children with loads < 50%. CONCLUSION: LVH is common in children with newly diagnosed HTN. The initial examination of these children should include echocardiography, because neither the severity of casual BP elevation nor the presence of abnormal ambulatory BP results at initial diagnosis are predictive of LVH. PMID- 18154905 TI - Evidence of infant blood pressure programming by maternal nutrition during pregnancy: a prospective randomized controlled intervention study. AB - OBJECTIVES: To evaluate the impact of maternal nutrition during pregnancy on infant blood pressure. STUDY DESIGN: Pregnant women (n = 256) were randomized into 3 groups: modified dietary intake according to current recommendations and probiotics (diet/probiotics), placebo (diet/placebo), and a control/placebo group. In the infants born to these women, blood pressure was recorded at age 6 months using an automated oscillometric DINAMAP R. RESULTS: Despite significant differences in maternal dietary intakes between the study groups, the intervention focusing on maternal fat intake showed no direct impact on infants' blood pressure. Instead, a complex U-shaped interrelationship was uncovered; the highest and lowest quartiles of intakes of specific nutrients, carbohydrate (P = .006 for systolic pressure and P = .015 for diastolic pressure), and monounsaturated fatty acids (P = .029 for diastolic pressure) compared with the middle quartiles resulted in higher blood pressure at age 6 months. The pattern between maternal carbohydrate intake during pregnancy and infants' blood pressure remained significant even after adjustment for breastfeeding and body length. A reverse U-shaped trend again was observed between maternal intake of fruits and infants' systolic blood pressure (P = .077). CONCLUSION: With a view toward programming blood pressure to adulthood, our results suggest an opportunity for dietary counseling to promote child health. PMID- 18154906 TI - Cardiac conduction disturbance detected in a pediatric population. AB - OBJECTIVE: To delineate the prevalence and clinical implications of cardiac conduction disturbance (CCD) in school-age children. STUDY DESIGN: Between 1999 and 2001, a citywide survey of 432,166 elementary and high school students had been performed in Taipei by questionnaire, electrocardiography, phonocardiography, and physical examination. Patients with any abnormalities on this survey were referred for final diagnosis. RESULTS: After excluding those with congenital heart disease (CHD), the prevalence of CCD was 0.75%, higher in males than in females (0.78% vs 0.71%). Incomplete right bundle branch block (IRBBB; 0.32%), complete right bundle branch block (CRBBB; 0.11%), ventricular premature contraction (0.11%), and Wolff-Parkinson-White syndrome (0.067 %) were the most common diagnoses. Second-degree atrioventricular block, IRBBB, CRBBB, and intraventricular conduction delay were more common in males; and atrial premature contraction was more common in females. The prevalence of CCD increased with age, from 0.48% in elementary school students to 0.97% in high school students. After detection of CCD, 39 patients with previously undiagnosed atrial septal defect (ASD) and 15 high-risk patients were found. The sensitivity of IRBBB in screening for ASD was 34.67%. CONCLUSIONS: The prevalence of CCD in children without CHD was 0.75%. Detection of CCD helped identify patients with unrecognized ASD and high-risk cardiac patients. PMID- 18154907 TI - A new scoring system for computed tomography of the chest for assessing the clinical status of bronchopulmonary dysplasia. AB - OBJECTIVE: To develop a new scoring system for computed tomography (CT) of the chest for assessing the clinical status of patients with bronchopulmonary dysplasia (BPD) in comparison with a modified Edwards roentgenographic scoring system. STUDY DESIGN: Preterm infants diagnosed with BPD (n = 42) were assessed prospectively by chest CT scan at the time of discharge. Three radiologists classified the CT findings into 1 of 3 categories--hyperexpansion, emphysema, or fibrous/interstitial abnormalities--and developed a new scoring system. We assessed interobserver reproducibility and investigated whether this classification system reflected the severity of BPD in these patients. RESULTS: The CT scores had acceptable reproducibility (coefficient of correlation [cc] = 0.721 to 0.839). The subgroup with a more severe form of BPD had a higher CT score. The CT score correlated with the clinical score at 36 weeks of postmenstrual age (cc = 0.367) and the duration of oxygen therapy (cc = 0.537). Patients who were discharged home on oxygen had higher CT scores than patients who were not. CONCLUSIONS: The new chest CT scoring system may have higher objectivity and accuracy in terms of predischarge assessment of clinical status as well as prediction of the prognosis of patients with BPD. PMID- 18154908 TI - Effect of levo-thyroxine treatment on weight and body mass index in children with acquired hypothyroidism. AB - OBJECTIVE: To determine whether normalization of thyroid-stimulating hormone (TSH) in children with acquired hypothyroidism is associated with a decrease in weight or body mass index (BMI). STUDY DESIGN: We retrospectively identified 68 subjects with acquired hypothyroidism who were seen at least once in our center in follow-up between 1995 and 2006. RESULTS: Treatment with levo-thyroxine decreased the mean TSH level from 147 microU/mL initially to 5.0 microU/mL at the second visit 4.4 months later. This was not associated with a significant change in weight or BMI. Of the 68 subjects, 31% lost weight by the second visit (mean 2.3 kg). The mean initial TSH level of this group was 349 microU/mL. Thirty of the 68 children had at least 2 years of follow-up, and 19/68 had at least 4 years of follow-up. Over those intervals, weight and BMI percentiles and z scores did not change significantly from baseline values. CONCLUSIONS: Most children treated for acquired hypothyroidism exhibited little short-term or long-term change in weight or BMI despite near-normalization of TSH. Those children who lost weight tended to have severe hypothyroidism and to have only a small weight loss. Consequently, practitioners should not expect significant decreases in weight after treatment in most children with hypothyroidism. PMID- 18154909 TI - Folate pathway genetic polymorphisms are related to attention disorders in childhood leukemia survivors. AB - OBJECTIVE: To test the hypothesis that 5,10-methylenetetrahydroreductase (MTHFR) polymorphisms can partially explain the individual variation in developing attention-deficit/hyperactivity disorder (ADHD) after acute lymphoblastic leukemia (ALL) therapy. STUDY DESIGN: Parents of 48 survivors of childhood ALL completed a clinical diagnostic process to identify subtypes of ADHD. Genotyping was performed with peripheral blood DNA for MTHFR (C677T and A1298C) polymorphisms. RESULTS: Eleven of the 48 patients (22.9%) had scores consistent with the inattentive symptoms of ADHD. Patients with genotypes related to lower folate levels (11 out of 39; 39.2%) were more likely to have ADHD. The A1298C genotype appeared to be the predominant linkage to the inattentive symptoms, leading to a 7.4-fold increase in diagnosis, compared with a 1.3-fold increase for the C677T genotype. Age at diagnosis and sex were not associated with inattentiveness. CONCLUSIONS: Preliminary data imply a strong relationship between MTHFR polymorphisms and the inattentive symptoms of ADHD in survivors of childhood ALL. PMID- 18154910 TI - Etiology and outcome of acute pancreatitis in infants and toddlers. AB - OBJECTIVE: To determine the etiologic factors and outcome of acute pancreatitis in children under age 3 years. STUDY DESIGN: This was a retrospective study of children under age 3 years with acute pancreatitis between January 1995 and December 2004. Stringent diagnostic criteria were used. Demographic and clinical data were collected, and etiology and outcome were recorded. The study was approved by the University of Pittsburgh's Institutional Review Board. RESULTS: Of 109 cases, 87 met the diagnostic criteria. Median age was 20 months (range, 1 week to 35 months). AP was associated with multisystem disease in 29 cases (34%), with hemolytic uremic syndrome (HUS) being common. Pancreatitis was associated with systemic infections in 16 cases (18%) and was idiopathic in 15 cases (17%). Biliary disease played an important etiologic role (9%), as did trauma (8%). Pancreatitis was mild in 76 cases (87.3%) and severe in 3 cases (3.4%). CONCLUSIONS: AP is commonly associated with multisystem disease, particularly with HUS. Idiopathic pancreatitis and pancreatitis associated with biliary disease are seen in children under age 3 years. Trauma is a less frequent cause of pancreatitis, and severe pancreatitis is rare in this age group. PMID- 18154911 TI - Physical training in children with osteogenesis imperfecta. AB - OBJECTIVE: To study the effects of a physical training program on exercise capacity, muscle force, and subjective fatigue levels in patients with mild to moderate forms of osteogenesis imperfecta (OI). STUDY DESIGN: Thirty-four children with OI type I or IV were randomly assigned to either a 12-week graded exercise program or care as usual for 3 months. Exercise capacity and muscle force were studied; subjective fatigue, perceived competence, and health-related quality of life were secondary outcomes. All outcomes were measured at baseline (T = 0), after intervention (T = 1), and after 6 and 9 months (T = 2 and T = 3, respectively). RESULTS: After intervention (T = 1), peak oxygen consumption (VO2peak), relative VO2peak (VO2peak/kg), maximal working capacity (Wmax), and muscle force were significantly improved (17%, 18%, 10%, and 12%, respectively) compared with control values. Subjective fatigue decreased borderline statistically significantly. Follow-up at T = 2 showed a significant decrease of the improvements measured at T = 1 of VO2peak, but VO2peak/kg, Wmax, and subjective fatigue showed no significant difference. At T = 3, we found a further decrease of the gained improvements. CONCLUSION: A supervised training program can improve aerobic capacity and muscle force and reduces levels of subjective fatigue in children with OI type I and IV in a safe and effective manner. PMID- 18154912 TI - Temper tantrums in healthy versus depressed and disruptive preschoolers: defining tantrum behaviors associated with clinical problems. AB - OBJECTIVE: To investigate whether differences in the tantrum behaviors of healthy versus mood and disruptive disordered preschoolers can be detected. STUDY DESIGN: Caregivers of 279 preschool children (3 to 6 years old) completed the Preschool Age Psychiatric Assessment (Egger HL, Ascher B, Angold A. Preschool Age Psychiatric Assessment (PAPA): version1.1. Durham, NC: Center for Developmental Epidemiology, Department of Psychiatry and Behavioral Sciences, Duke University Medical Center; 1999), which was used to determine preschoolers' diagnostic classification and to measure tantrum behaviors. Preschoolers were placed in 1 of 4 diagnostic groups, healthy, pure depressed, pure disruptive, and comorbid depressed/disruptive, on the basis of the application of Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition algorithms. Parametric and non-parametric analyses were used to examine characteristics of children's tantrums: intensity, frequency, context, and recovery ability. RESULTS: Disruptive preschoolers displayed violence during tantrums significantly more often than the depressed and healthy groups. The disruptive group had significantly more tantrums at school/daycare than the depressed and healthy groups. The disruptive group had a more difficult time recovering from tantrums than healthy preschoolers. In addition, depressed preschoolers were more aggressive toward objects and other people than healthy children. Finally, depressed preschoolers displayed significantly more self-harmful tantrum behaviors than preschoolers in the healthy and disruptive groups. CONCLUSION: These findings provide preliminary guidelines to parents, teachers, and practitioners in identifying tantrum behaviors that may be markers of a psychiatric disorder and therefore require mental health referral. PMID- 18154914 TI - Newborn girl with massive hepatomegaly, anemia, and thrombocytopenia. PMID- 18154913 TI - Bullying and school safety. AB - OBJECTIVE: To identify an association between involvement in bullying and problems in school. STUDY DESIGN: This was a cross-sectional study of 5391 students in grades 7, 9, and 11 in an urban public school district. The main outcome measure was involvement in bullying. Secondary outcomes included attendance, grade point average, psychosocial distress, and perceived acceptability of carrying guns to school. RESULTS: Of the 5391 children surveyed, 26% were involved in bullying either as victim, bully, or both (bully-victim). All 3 groups were significantly more likely than bystanders to feel unsafe at school and sad most days. Victims and bully-victims were more likely to say they are "no good." Victims were more likely to feel that they "do not belong" in their school. The odds of being a victim (vs a bystander) were 10% lower for every 1 point increase in grade point average. Bully-victims were more likely to say that it is "not wrong" to take a gun to school. CONCLUSIONS: Associations between involvement in bullying and academic achievement, psychological distress, and the belief that it is not wrong to take a gun to school reinforce the notion that school environment is interrelated with mental health and school success. PMID- 18154915 TI - A case of recurrent sterile abscesses following vaccination: delayed hypersensitivity to aluminum. PMID- 18154916 TI - Natural history of recessive inheritance of DMT1 mutations. AB - DMT1 deficiency causes microcytic hypochromic anemia due to decreased erythroid iron utilization. Anemia is present from birth. Transferrin saturation is high and serum ferritin is mildly elevated, despite liver iron overload. DMT1 deficiency must be considered in the differential diagnosis of microcytic hypochromic anemia observed in the newborn period. PMID- 18154917 TI - Down the primrose path: petechiae in a neonate exposed to herbal remedy for parturition. PMID- 18154918 TI - Oral antibiotics are effective for pyelonephritis in children. PMID- 18154919 TI - Not all probiotic preparations are equally effective for diarrhea in children. PMID- 18154920 TI - Carvedilol of no clear benefit for systolic heart failure in children. PMID- 18154921 TI - Dexamethasone of no benefit in moderate-to-severe bronchiolitis. PMID- 18154922 TI - DKA-related cerebral edema and intravenous fluid therapy: potential pitfalls of uncontrolled retrospective studies. PMID- 18154923 TI - Cerebral edema in diabetic ketoacidosis with serum sodium <135 mEq/L. PMID- 18154924 TI - Treatment of diabetic ketoacidosis and the risk of cerebral edema. PMID- 18154926 TI - Timing differences of signaling response in neuron cultures activated by glutamate analogue or free radicals. AB - Oxidative stress and excitotoxicity are both involved in the pathogenesis of neuronal degenerative diseases like ALS. In order to compare their action, some key proteins involved in their respective signaling pathways, particularly ERK and p53, were analyzed in primary cultures of cortical neurons subjected to NMDA or H(2)O(2) treatment. Early ERK activation was detected after NMDA treatment and was maintained during 24 h, but not after H(2)O(2) treatment. Early p53 expression was also found after NMDA treatment but diminished later. On the other hand, it progressively increased from 6 h to 24 h after H(2)O(2) treatment. Blocking ERK1/2 activation with the upstream inhibitor U0126 inhibited NMDA mediated p53 expression, suggesting that ERK1/2 signals drive the cells to apoptosis under these conditions. In order to identify the initial membrane target of these neurotoxins, PAK1 was analyzed. Early increase of PAK1 expression was measured after NMDA treatment and was still present after 24 h. Conversely increased PAK1 expression was only detected 24 h after H(2)O(2) treatment. In order to define the components through which NMDA or H(2)O(2) induce the final elements of these pathways, p21 and c-jun, we have performed a detailed functional analysis of c-jun and p21 promoters following plasmid transfection. Both p21 and c-jun were activated after NMDA treatment, but this activation was abolished after H(2)O(2) treatment. We conclude that NMDA induces an early effect that involves activation of p53, ERK, PAK1, p21 and c-jun. On the other hand, H(2)O(2) induces long-term p53 expression, late expression of PAK1 without activation of p21 promoter. The timing differences of the action of these neurotoxins may explain why the presence of both compounds is needed to induce neuronal death. PMID- 18154927 TI - Probiotics in surgery. PMID- 18154928 TI - POSSUM accurately predicts morbidity for pancreatic resection. AB - BACKGROUND: The Physiologic and Operative Severity Score for the enUmeration of Mortality and Morbidity (POSSUM) is a predictive scoring system for postoperative morbidity. While numerous studies validate its application to major abdominal surgery, few exclusively consider pancreatic resections, whose unique complications are costly and problematic. We examined whether POSSUM could accurately reflect clinical and economic outcomes in pancreatic resection. METHODS: 326 consecutive pancreatic resections (227 pancreaticoduodenectomies, 87 distal, 7 central, and 5 total pancreatectomies) were performed between October 2001 and January 2007. POSSUM score was prospectively calculated for each case, and patients were stratified to quintiles of morbidity risk: < or = 20%, 20-40%, 40-60%, 60-80%, > or = 80%. Actual clinical and economic outcomes were compared across the groups. Predictive risk assessment was further evaluated independently within each resection type. Logistic regression analysis was performed to identify specific POSSUM parameters predictive of postoperative morbidity. RESULTS: Observed and Expected morbidity rates were equivalent (53.1% vs 55.5%) with an overall O/E ratio of 0.96. Although no patients presented with POSSUM scores below 20%, a relatively equal distribution was assigned to the remaining risk cohorts. Clinical and economic outcomes progressively worsened with escalations in POSSUM scores. Increasing morbidity risk was associated with significantly longer hospital stays, higher rates of complications, and more blood transfusions, ICU management, and discharge to rehabilitation facilities. This had considerable economic impact, as mean hospital costs rose from $19,951 in the 20-40% risk cohort, to $31,281 in the > or = 80% group. Breakdown by operation type demonstrates that POSSUM definitively predicts morbidity following both proximal and distal resection, but more accurately forecasts the need for ICU management and rehabilitation placement when pancreatoduodenectomy is performed. Multivariate analysis revealed that one-half of POSSUM parameters were significant contributors for postoperative morbidity, with age, preoperative hemoglobin concentration, and intraoperative blood loss demonstrating the strongest correlations. CONCLUSION: POSSUM is a valuable perioperative scoring system for evaluating variance in pancreatic surgical methods and outcomes, and can be employed to guide management decisions that impact postoperative recovery. PMID- 18154929 TI - Persisting elevation of C-reactive protein after pancreatic resections can indicate developing inflammatory complications. AB - BACKGROUND: Serum C-reactive protein (CRP) is an established discriminating factor for necrotizing pancreatitis. In this study, the CRP response with respect to inflammatory postoperative complications was examined in a large, homogeneous series of pancreatic resections in order to define a relevant clinical parameter for early detection of inflammatory postoperative complications. METHODS: 688 consecutive pancreatic resections with jejunal anastomosis were screened for inflammatory postoperative complications based on a prospective database. Ninety one patients had at least one inflammatory postoperative complication and were compared to a subgroup of 60 consecutive patients with uneventful postoperative courses. RESULTS: In the postoperative setting after pancreatic resection, CRP peaked on postoperative day (POD) 3 with a median serum CRP of 132 mg/L, and gradually decreased thereafter in patients with an uncomplicated postoperative course. In complicated cases (with the exception of cholangitis), increase in CRP was significantly greater, peaked on POD 3 (median CRP 173 mg/L), and persisted thereafter, whereas white blood cell count and body temperature did not differ significantly from uneventful courses until POD 6. The median day of diagnosis of inflammatory postoperative complications was POD 9. A cutoff CRP value of 140 mg/dL on POD 4 yielded a positive predictive value of 89.1% (adjusted to the prevalence of inflammatory postoperative complications: 48.7%) with a specificity of 87.1% and a sensitivity of 69.5% for inflammatory postoperative complications. CONCLUSION: Persistence of CRP elevation above 140 mg/dL on POD 4 is predictive of inflammatory postoperative complications and should prompt an intense clinical search for major septic processes (e.g. pancreatic fistula or abscess) if pneumonia and wound infection are unlikely or excluded. PMID- 18154930 TI - Solid pseudopapillary neoplasm of the pancreas: distinct patterns of onset, diagnosis, and prognosis for male versus female patients. AB - BACKGROUND: Solid pseudopapillary neoplasm of the pancreas is a distinctive pancreatic neoplasm with low metastatic potential. This study examines clinical differences and prognosis between male and female patients. METHODS: The medical records of 34 consecutive patients with pancreatic solid pseudopapillary neoplasms between 1990 and 2006 were reviewed. Whenever feasible, organ preserving operation was performed. Statistical analysis was performed using chi square and Student t test. RESULTS: There were 27 women (79%) and seven men (21%) with median age of 23 years. Mean diameter of the tumor was 7 cm. Tumor size tended to be smaller in patients treated in more recent years. Conservative surgery was possible in 11 patients including spleen-preserving distal pancreatectomy in 3, central pancreatectomy in 5, and enucleation in 3 patients. Median hospital stay was 11 days, morbidity rate was 62%, including 17 patients with grade A pancreatic fistula, and there was no operative mortality. Mean follow-up time was 84 months. Tumor recurred in 2 patients (6%). Overall late morbidity rate was 12%. At the time of diagnosis, age was (x +/- SD) higher among male patients (25 +/- 2 years vs 37 +/- 7 years; P <.05) with no difference in tumor size. The neoplasms were more aggressive in male patients; therefore, conservative surgery was less likely. There was no correlation between tumor aggressiveness and age of the patient or size of tumor. CONCLUSION: This is the first single center study to demonstrate that solid pseudopapillary neoplasms in male patients have distinct patterns of onset and aggressiveness when compared with female patients. Although valid prognostic criteria are still lacking, it appears that male patients may be best treated by more radical operation and should be observed more closely during follow-up. PMID- 18154931 TI - Papillary thyroid carcinoma with distant metastases: survival predictors and the importance of local control. AB - BACKGROUND: The presence of distant metastases is the most important predictive factor of poor outcomes in patients with papillary thyroid carcinoma (PTC). Some patients have very slow-growing distant metastases with relatively favorable outcomes, so predicting prognosis is not easy. Furthermore, many patients with distant metastases show locally advanced disease, and no consensus is available for operative control of cervical tumor in this situation. METHODS: Among 1023 patients with PTC who underwent primary thyroidectomy from 1976 to 2002, 42 patients displayed distant metastases at initial presentation and 44 patients developed distant metastases during follow-up. We reviewed the records retrospectively of these 86 patients. Mean duration of follow-up after detection of distant metastases was 7 years. Our treatment approach for patients with locally advanced neoplasms was radical resection including extensive neck dissection and extended resection of the involved organs, even when distant metastases were present. RESULTS: Disease-specific survival of the 86 patients with distant metastases at 5 and 10 years was 65% and 45%, respectively. Using multivariate analysis, older age at time of distant metastases detection, distant metastases involving sites other than the lung, distant metastases diameter > or = 2 cm, presence of large nodal metastases (> or = 3 cm), and a primary neoplasm with poorly differentiated components were all predictive of worse prognosis. Our aggressive approach allowed curative resection in all but 1 patient, and only 5 patients (6%) succumbed to local disease. Patients with cervical recurrences displayed worse prognosis than those without. CONCLUSIONS: Although the currently employed modalities of therapy for distant metastases do not have definitive impact on survival, some PTC patients with distant metastases, including younger patients with well-differentiated, small lung metastases appear to have relatively favorable outcomes. Local operative control of PTC is important even in patients with distant metastases, particularly when the distant metastases appear to be slow-growing. PMID- 18154932 TI - Diagnosis and management of primary aortoenteric fistulas--experience learned from eighteen patients. AB - OBJECTIVE: Misdiagnosis of primary aortoenteric fistula (PAEF) frequently occurs in clinical practice owing to the rarity of this condition. Herein we present the experience of diagnosis and management for PAEF. METHODS: Eighteen patients with PAEF at 2 medical centers in China were reviewed. The clinical data, diagnostic procedures, treatment options, and patient outcomes were evaluated. RESULTS: The fistulas were located at esophagus (5), duodenum (8), jejunum (3), ileum (1), and transverse colon (1). The etiologies include atherosclerotic aneurysms and foreign body. Typical abdominal triad (pain, upper GI bleeding, and abdominal pulsating mass) was found in 27.8% of patients, and Chiari's triad (mid-thoracic pain, sentinel hemorrhage, and massive bleeding after a symptom-free interval) was present in 3 of 5 cases with thoracic aortoesophageal fistulas. All patients had an average of 3.6 (1-9) episodes of gastrointestinal bleeding. The interval between the first sentinel hemorrhage and ultimate exsanguination ranged from 5 hours to 5 months (median, 4 days). Six patients (33.3%) were diagnosed or suggested by diagnostic tools including endoscopy, computerized tomography, and arteriography. Others were diagnosed by surgical exploration (7) and autopsy (5). One to 5 rounds (mean 1.8) of misdiagnosis occurred in 15 patients. Six patients recovered from surgery and remained well during a 36-month follow-up. The surgical options used included in situ replacement with vascular graft (3), aneurysmorraphy and closure of fistula (1), and endovascular stenting (2). CONCLUSIONS: A high index of suspicion is necessary for correct diagnosis and prompt management of PAEF, especially in patients with aortoiliac aneurysms presenting with gastrointestinal bleeding. In situ graft replacement and endovascular stent-graft may be the preferred therapeutic options. PMID- 18154933 TI - Does the type of carotid artery closure influence the management of recurrent carotid artery stenosis? Results of a 6-year prospective comparative study. AB - OBJECTIVE: The purpose of the study was to evaluate the results of reoperative surgery and carotid artery stenting (CAS) in cases of recurrent carotid artery stenosis (RCS) and to compare the results of all RCS (reoperative surgery + CAS) with primary carotid endarterectomy (CEA) performed during the study period. SUMMARY BACKGROUND DATA: Consensus has not yet been established on the best treatment for RCS. Recently CAS has emerged as a potential alternative to carotid endarterectomy. METHODS: A 6-year (Jan 2000-Dec 2005) prospective study was performed. Eligible patients were those with symptomatic or asymptomatic RCS > or = 80% at a preoperative angiography or angio-computed tomography. The carotid plaques were classified at a preoperative ultrasonographic scan, according to the five type classification proposed by Geroulakos (Br J Surg 1993;80:1274-7). Patients with type 1 and 2 carotid plaque were not considered for CAS. RESULTS: 56 patients were enrolled. Fifteen patients with a type 1-2 plaque underwent reoperative surgery, 41 with type 3-4 plaque underwent CAS. In 90.6% of primary closure a type 3-4 carotid plaque was found; a type 1-2 was observed in 84.5% of the polytetrafluoroethylene patch closure group. No statistical difference for the 30-day and the 6 year stroke-free rate was observed; similarly no differences emerged between all RCS (reoperative surgery + CAS) performed and primary CEA. CONCLUSIONS: CAS is an acceptable alternative to surgery in the management of RCS. An accurate patient selection is required. Restenosis after CEA and direct closure is mostly associated with fibrous material. In these cases CAS might be the best choice. PMID- 18154934 TI - Activation of MUC1 mucin expression by bile acids in human esophageal adenocarcinomatous cells and tissues is mediated by the phosphatidylinositol 3 kinase. AB - BACKGROUND: In esophageal adenocarcinoma, MUC1 mucin expression increases in early stages of the carcinogenetic sequence, during which bile reflux has been identified as a major carcinogen. However, no link between MUC1 overexpression and the presence of bile acids in the reflux has been established so far, and molecular mechanisms regulating MUC1 expression during esophageal carcinogenetic sequence are unknown. Our aim was to identify (1) the bile acids able to upregulate MUC1 expression in esophageal cancer cells and mucosal samples, (2) the regulatory regions in MUC1 promoter responsive to bile acids, and (3) the signaling pathway(s) involved in this regulation. METHODS: MUC1 mRNA and mucin expression were studied by the means of real-time reverse transcriptase polymerase chain reaction (RT-PCR) and immunohistochemistry, both in the human esophageal OE33 adenocarcinoma cell line and in an ex vivo explant model. MUC1 promoter was cloned and transcription regulation was studied by transient cell transfection to identify the bile acid-responsive regions. Signaling pathways involved were identified using specific pharmacologic inhibitors and siRNA approach. RESULTS: Taurocholic, taurodeoxycholic, taurochenodeoxycholic, glycocholic, sodium glycocholate, and deoxycholic bile acids upregulated MUC1 mRNA and protein expression. The highest induction was obtained with deoxycholic and taurocholic acids in both cellular and explant models. The bile acid-mediated upregulation of MUC1 transcription occurs at the promoter level, with responsive elements located in the -1472/-234 region of the promoter, and involves the phosphatidylinositol 3-kinase signaling pathway. CONCLUSIONS: Bile acids induce MUC1 mucin overexpression in human esophageal adenocarcinoma cells and tissues by activating its transcription through a process involving phosphatidylinositol 3 kinase. PMID- 18154935 TI - A novel method of 2-channel dual-pulse gastric electrical stimulation improves solid gastric emptying in dogs. AB - BACKGROUND: Gastric electrical stimulation (GES) is known to improve vomiting with short pulses, normalize dysrhythmia with long pulses, and accelerate gastric emptying with 2 channels. The aim of this study was to assess the effects of a new method GES, namely, 2-channel GES with dual pulses on gastric emptying of solids as well as gastric dysrhythmia and emetic responses. METHODS: Seven beagle dogs implanted with 4 pairs of electrodes were studied. A novel method of GES was proposed: 2-channel dual-pulse GES in which each stimulus was composed of a short pulse followed with a long pulse, and stimulation was delivered at 2 different locations. The study was performed to test the effects of this new method of GES on vasopressin-induced delayed gastric emptying of solids, gastric dysrhythmia, and emetic responses. RESULTS: (1) Vasopressin-induced gastric dysrhythmia and emetic responses, as well as delayed gastric emptying of solids (P < .01). (2) Two-channel, but not 1-channel, dual-pulse GES was able to accelerate vasopressin induced delayed gastric emptying of solids. (3) Both 1- and 2-channel dual-pulse GES was capable of improving dysrhythmia and emetic responses (P < .01). CONCLUSIONS: The novel method of 2-channel dual-pulse GES is capable of accelerating gastric emptying of solids and improving dysrhythmia and emetic responses induced by vasopressin. This new method of GES may have a potential for gastroparesis. PMID- 18154936 TI - Coordinated, diurnal hexose transporter expression in rat small bowel: implications for small bowel resection. AB - BACKGROUND: Hexose transporter mRNA and protein levels follow a diurnal rhythm in rat jejunum. Their coordinated expression and resultant function throughout the small bowel is not well understood. We hypothesized that hexose transporter levels and glucose absorption follow a coordinated, site-specific diurnal rhythm in rat duodenum and jejunum, but not in ileum. METHODS: Sprague-Dawley rats were housed in a strictly maintained, 12-h, light/dark room [light 6 am to 6 pm] with free access to water and chow. Mucosa was harvested from duodenum, jejunum, and ileum at 3 am, 9 am, 3 pm, and 9 pm, and full thickness 1-cm segments were harvested at 9 am, and 9 pm (n = 6 for each segment at each time point). mRNA levels were determined by reverse-transcription, real-time polymerase chain reaction (n > or = 5), protein levels by semiquantitative Western blotting (n > or = 5), and transporter-mediated glucose uptake by everted sleeve technique (n = 6). RESULTS: mRNA levels of SGLT1 and GLUT5 followed a temporally coordinated, diurnal rhythm in all 3 segments (P < .01), while mRNA for GLUT2 and protein levels for SGLT1 and GLUT2 varied diurnally only in duodenum and jejunum (P > .05) but not in ileum (P > .10). SGLT1 and GLUT5 mRNA induction decreased aborally. Baseline SGLT1 and GLUT5 mRNA levels and SLGT1 and GLUT2 protein levels did not vary aborally (P > .05 for all). GLUT2 mRNA baseline levels were decreased in ileum (P < .01). Glucose uptake varied diurnally in duodenum and jejunum with no difference in ileum. Transporter-mediated glucose uptake was greater in duodenum and jejunum compared with ileum. CONCLUSION: Regulation of hexose absorption in rat small bowel seems to be site-specific and mediated by multiple mechanisms. PMID- 18154937 TI - Role of beta1-, beta2-, and beta3-adrenoceptors in contractile hypersensitivity in a model of small bowel transplantation. AB - BACKGROUND: Chronic extrinsic denervation induced by small bowel transplantation (SBT) results in adrenergic hypersensitivity in rat ileum. This study evaluated the role of neuronal and/or muscular beta1-, beta2-, and beta3-adrenoceptor (AR) mechanisms on contractility. METHODS: Ileal longitudinal muscle strips from Lewis rats (n = 6 rats per group, 8 strips per rat): naive controls (NC), 4 months after sham operation (SC) or after syngeneic orthotopic SBT were studied in vitro. Spontaneous contractile activity and dose responses (10(-8)-10(-4) mol) to isoprenaline (IP), a nonspecific beta-AR agonist were studied with or without selective antagonists (10(-5) mol), for beta1- (atenolol), beta2- (ICI 118551), or beta3- (SR 59230A) AR subtypes in the presence or absence of tetrodotoxin (TTX; 10(-6) mol; nerve blocker). RESULTS: pEC50 (neg log of EC50, which is the concentration where 50% of inhibition was observed) of IP was 7.2 +/- 0.2 (mean value +/- SEM) in SBT vs 6.3 +/- 0.1 in SC and 6.3 +/- 0.2 in NC (both P < .05 vs SBT), reflecting adrenergic hypersensitivity. Beta1- and beta2-AR blockade induced a TTX-sensitive right shift of the curve only in SBT and normalized pEC50 values from 7.2 +/- 0.2 to 6.4 +/- 0.1 and 7.2 +/- 0.2 to 6.6 +/- 0.1, respectively (P < .05). Beta3-AR blockade shifted the curve independent of the presence of TTX to the right in all groups (all P < .05). CONCLUSIONS: In rat ileum, adrenergic inhibition of contractility was dependent on muscular beta3-AR pathways, whereas posttransplant hypersensitivity was due to upregulated neuronal beta1- and beta2-AR mechanisms that were inactive before SBT. PMID- 18154939 TI - Detection of human telomerase reverse transcriptase (hTERT) expression in tissue and pancreatic juice from pancreatic cancer. AB - BACKGROUND: Human telomerase reverse transcriptase (hTERT), a catalytic subunit of telomerase, is a promising diagnostic candidate for pancreatic cancer. To evaluate the feasibility of immunohistochemistry (IHC) for the diagnosis of pancreatic cancer, hTERT expression and telomerase activity were assayed in pancreatic tissues, ex vivo brushing, and pancreatic juice samples with various pancreatic diseases. METHODS: Telomerase activity was analyzed using the TRAP assay and hTERT was examined by IHC in 85 pancreatic tumor samples, 17 ex vivo pancreatic duct brushings, and 27 pancreatic juice samples. RESULTS: In tissue samples, telomerase activity was positive in 83% of invasive ductal adenocarcinomas (IDCs) when the specificity was set at 100%, while hTERT was highly expressed in 88% of IDCs. In intraductal papillary mucinous neoplasms (IPMNs), the levels of telomerase activity increased gradually during progression, while hTERT expression was detectable in 8 of 8 malignant IPMNs and 1 of 2 borderline IPMNs. In pancreatic juice samples, 10 of 11 IDCs and 3 of 4 malignant IPMNs expressed hTERT, in which seven samples were not diagnosed as malignant on cytologic exam. The diagnoses of pancreatic cancer based on hTERT IHC exhibited high rates of sensitivity (87%), specificity (92%), and overall accuracy (89%), whereas the sensitivity of cytologic examination was 53%. The additional assessment of hTERT expression and telomerase activity could improve the sensitivity up to 100%. CONCLUSIONS: Our results suggested that hTERT expression in epithelia indicates malignant transformation in pancreatic tumors and immunohistochemical detection of hTERT in cells derived from pancreatic juice provides a potent method for cancer diagnosis. PMID- 18154938 TI - Elderly patients have more severe biliary infections: influence of complement killing and induction of TNFalpha production. AB - BACKGROUND: Biliary bacteria are more common in elderly patients and cause more serious illnesses. The reasons for this are unclear. We noted previously that bacterial serum-sensitivity and induction of TNFalpha production in sera (iTNFsera) were associated with severe biliary infections. We examined the influence of age and these factors on illness severity. METHODS: Three-hundred and forty patients were studied. Gallstones and bile were cultured. Illness was staged as none (no clinical infection or inflammation), SIRS (fever, leukocytosis), severe (cholangitis, abscess, empyema), or MODS (bacteremia, hypotension, organ dysfunction/failure). Bacterial serum-sensitivity and TNFalpha induction were measured. Younger (< 70 years) and elderly (> or = 70 years) patients were compared. RESULTS: Biliary bacteria were more common in elderly (64% vs 41%, P < .0001). Among patients with biliary bacteria, the elderly had more serious illnesses: none: 44% younger, 19% elderly; SIRS: 16% younger, 22% elderly; severe: 22% younger, 21% elderly; MODS 18% younger, 38% elderly (P = .003). Bacteria from elderly patients induced more TNFalpha (580 vs 310 pg/ml, P = .023). In both groups, serum-sensitive bacteria caused infectious manifestations and induced abundant TNFalpha; however, serum-resistant bacteria from elderly usually (69%) caused infectious manifestations and abundant TNFalpha, while serum-resistant bacteria from younger patients rarely (8%) caused infectious manifestations and minimal TNFalpha. Elderly patients with high iTNFsera bacteria had more severe illnesses. CONCLUSIONS: Biliary bacteria were more common in elderly patients and produced more serious illnesses. Many younger patients with biliary bacteria displayed no infectious manifestations. Elderly patients harbored more virulent bacteria, and had a heightened response to high iTNFsera bacteria, as well as bacteria largely tolerated by younger patients. PMID- 18154940 TI - Development of reproducible histologic injury severity scores: skeletal muscle reperfusion injury. AB - BACKGROUND: Ischemia-reperfusion injury of skeletal muscle is a common clinical and experimental problem. To date, there has been no uniform and reproducible method to assess the extent of histologic injury. In this study, we developed a novel statistical methodology for evaluating injury in individual myocytes and 3 distinct methods for the interpretation of this data. METHODS: C57/BL6 mice underwent 2 h of hindlimb ischemia followed by reperfusion for 3 (n = 11), 24 (n = 12), or 48 (n = 10) h. The gastrocnemius muscles were harvested, stained, and evaluated under microscopy. Standardized criteria were applied to score individual myocytes as healthy or injured, and injury score was expressed as injured fibers/total fibers %. Three methods of analyzing myocyte data were developed and evaluated with statistical Block-Random Sampling to determine the number of counted fibers required to represent accurately the total injury. The Full-Frame Counting, Fourfold Divided Counting, and Stratified Individual Counting methods differ in the random order in which fibers or microscopic fields are scored. RESULTS: The 3 methods were found to be statistically sound at all experimental time points. Using the Full-Frame, Fourfold, and Stratified methods, the maximum number of required fibers at all time points was 600, 300, and 100, respectively, to obtain an estimation of injury with a 95% confidence interval. CONCLUSIONS: These criteria and statistical methods for histologic evaluation of ischemia-reperfusion injury in skeletal muscle are accurate and reproducible. The Fourfold method is the most practical and technically efficient method of assessing injury. Such a quantitative, direct assessment of injury is important and will be useful for future studies. PMID- 18154941 TI - Results in a consecutive series of 83 surgical corrections of symptomatic stenotic kinking of the internal carotid artery. AB - BACKGROUND: Although there is a growing body of evidence to document the safety and efficacy of operative treatment of carotid stenosis, surgical indications for elongation and kinking of the internal carotid artery remain controversial. The goal of this study was to evaluate the efficacy of surgical correction of internal carotid artery kinking in patients with persistent hemispheric symptoms despite antiplatelet therapy. METHODS: A consecutive series of 81 patients (mean age, 64 years) underwent 83 surgical procedures to correct kinking of the internal carotid artery either by shortening and reimplanting the vessel on the common carotid artery, inserting a bypass graft, or transposing the vessel onto the external carotid artery. Mean follow-up was 56 months (range, 15-135 months). Study endpoints were 30-day mortality and any stroke occurring during follow-up. RESULTS: No postoperative death was observed. The postoperative stroke rate was 1%. Primary patency, freedom from neurologic symptoms, and late survival at 5 years (x +/- standard deviation) were 89 +/- 4.1%, 92 +/- 4%, and 71 +/- 6%, respectively. CONCLUSIONS: The findings of this study indicate that surgical correction for symptomatic stenotic kinking of the internal carotid artery is safe and effective in relieving symptoms and preventing stroke. Operative correction should be considered as the standard treatment for patients with symptomatic carotid kinking that does not respond to antiplatelet therapy. PMID- 18154942 TI - Implicit motor learning in surgery: implications for multi-tasking. AB - BACKGROUND: Implicitly learned motor skills are characterized by minimal conscious knowledge of the movements involved and stable performance despite stress, fatigue, or multi-tasking. In contrast, explicitly learned motor skills are characterized by conscious knowledge of the movements and performance that tends to be less stable under stress, fatigue, and multi-tasking. We examined the acquisition of a basic surgical skill in three observational learning treatment conditions designed to accomplish implicit or explicit motor learning. We then tested performance in conditions that emulated multi-tasking in the operating theater. Our intention was to elaborate current understanding of implicit and explicit processes that underpin observational learning in the surgical environment. METHODS: Thirty-six novice adults were assigned randomly to an observation-only, an instructed-observation, or a guided-observation treatment condition, in which they learned to perform a suturing and knot-tying task in a Learning Phase. Their performance during multi-tasking was then assessed objectively by motion analysis during a Test Phase. RESULTS: In the Learning Phase, performance improved equally in the treatment conditions throughout learning, with participants using fewer hand movements and completing the task more quickly. Participants in the observation-only and the guided-observation treatment condition, however, reported significantly less movement-related knowledge than participants in the instructed-observation condition. In the Test Phase, participants in the instructed-observation condition exhibited slower completion times and more hand movements when they were required to multi-task, whereas in the observation-only and the guided-observation treatment condition, participants showed stable performance. CONCLUSIONS: A surgical skill that is learned by observation alone or by observation accompanied by guidance to reduce the number of errors that are committed tends to be learned implicitly and to have stable performance during multi-tasking. The efficacy of observation for acquiring technical skills implies that, at least for some skills, verbal instructions may not be necessary. PMID- 18154943 TI - Aladar Petz, the inventor of the modern surgical staplers. PMID- 18154944 TI - Multiple small-bowel intussusceptions caused by metastatic lung cancers. PMID- 18154945 TI - Evaluation of cross-linked poly gamma-glutamic acid and Interceed in a rat adhesion model. PMID- 18154946 TI - Otolaryngology and the American Association of Endocrine Surgery: time for a change. PMID- 18154948 TI - Mtx2 directs zebrafish morphogenetic movements during epiboly by regulating microfilament formation. AB - The homeobox transcription factor Mtx2 is essential for epiboly, the first morphogenetic movement of gastrulation in zebrafish. Morpholino knockdown of Mtx2 results in stalling of epiboly and lysis due to yolk rupture. However, the mechanism of Mtx2 action is unknown. The role of mtx2 is surprising as most mix/bix family genes are thought to have roles in mesendoderm specification. Using a transgenic sox17-promoter driven EGFP line, we show that Mtx2 is not required for endoderm specification but is required for correct morphogenetic movements of endoderm and axial mesoderm. During normal zebrafish development, mtx2 is expressed at both the blastoderm margin and in the zebrafish equivalent of visceral endoderm, the extra-embryonic yolk syncytial layer (YSL). We show that formation of the YSL is not Mtx2 dependent, but that Mtx2 directs spatial arrangement of YSL nuclei. Furthermore, we demonstrate that Mtx2 knockdown results in loss of the YSL F-actin ring, a microfilament structure previously shown to be necessary for epiboly progression. In summary, we propose that Mtx2 acts within the YSL to regulate morphogenetic movements of both embryonic and extra-embryonic tissues, independently of cell fate specification. PMID- 18154949 TI - Torasemide, a long-acting loop diuretic, reduces the progression of myocarditis to dilated cardiomyopathy. AB - Torasemide is a long-acting loop diuretic that combines the effects of both furosemide and spironolactone. It has been reported that torasemide may block the renin-angiotensin-aldosterone system and therefore it might attenuate myocardial remodeling accompanied by left ventricular dysfunction. However, nothing is known about the effect of torasemide on myocardial remodeling in a rat model in which myosin-induced experimental autoimmune myocarditis might develop into dilated cardiomyopathy. Experimental autoimmune myocarditis was elicited in Lewis rats by immunization with porcine cardiac myosin. Twenty-eight days after immunization, we investigated the effects of torasemide on metabolic and neurohumoral parameters, cardiac fibrosis and remodeling in experimental autoimmune myocarditis rats. Diuresis was increased dose-dependently by torasemide; the urinary potassium and sodium excretion was significantly decreased and increased, respectively. Myocardial functional parameters measured by hemodynamic and echocardiographic studies were significantly improved by torasemide treatment in a dose-dependent manner. The area of fibrosis, myocyte size and the myocardial protein levels of transforming growth factor-beta1, collagen III, and aldosterone synthase were significantly decreased, and the sarcoplasmic reticulum Ca2+ ATPase2 protein level was significantly increased by torasemide treatment. Moreover, the plasma levels of angiotensin II and aldosterone were increased and atrial natriuretic peptide was decreased in a dose-dependent manner. Our results indicate that torasemide treatment significantly improved left ventricular function and ameliorated the progression of cardiac remodeling beyond its renal effects in rats with chronic heart failure after experimental autoimmune myocarditis. PMID- 18154950 TI - Oxidative stress and matrix metalloproteinase-9 activity in the liver after hypoxia and reoxygenation with 21% or 100% oxygen in newborn piglets. AB - We designed a randomized controlled study to identify and compare the liver tissue responses in systemic hypoxia and resuscitation with 21% and 100% oxygen using an animal model of neonatal hypoxia and reoxygenation. Twenty-seven piglets (1-3 days old, weight 1.5-2.0 kg) were acutely instrumented and mechanically ventilated. The animals underwent 2 h of normocapnic alveolar hypoxia (10-15% oxygen) then reoxygenation with 21% or 100% oxygen for 1 h, then 1 h with 21% oxygen. Controls were sham-operated without hypoxia-reoxygenation. After 2 h of reoxygenation liver tissue samples were immediately processed for histological and biochemical analyses of markers of oxidative stress and tissue injury. Two hours of hypoxia caused a significant reduction in mean arterial pressure with cardiogenic shock and metabolic acidemia, with similar recovery upon resuscitation with 21% and 100% oxygen. After 2 h of reoxygenation, the hepatic GSSG:total glutathione ratio and matrix metalloproteninase-9 activity, which correlated with the portal venous oxygenation at 15 min of reoxygenation, were greater in the 100% group and hepatic lactate level was higher in the 21% group than the controls (all P<0.05). Both hypoxic-reoxygenated groups had similarly elevated hepatic Bcl-2 levels. Apart from more non-distinct mitochondria identified in the 100% group, hepatic tissue adenylate energy charge and plasma transaminases levels did not differ among groups. We concluded that in this acute model of neonatal hypoxia and reoxygenation, resuscitation using 21% oxygen avoids the excess oxidative stress and elevated matrix metalloproteninase-9 activity in the liver when 100% oxygen was used. The study supports the conservative use of oxygen in optimizing post-hypoxic hepatic recovery. PMID- 18154951 TI - Protective effects of naringenin-7-O-glucoside on doxorubicin-induced apoptosis in H9C2 cells. AB - Doxorubicin, a widely used chemotherapeutic agent, can give rise to severe cardiotoxicity by inducing cardiomyocyte apoptosis. Dracocephalum rupestre Hance, a Chinese traditional herb, has therapeutic potential for cardiovascular diseases. Naringenin-7-O-glucoside is the main active constituent of D. rupestre and there is increasing interest in its therapeutic applications. The aim of this study was to evaluate the effects of naringenin-7-O-glucoside on cardiomyocyte apoptosis induced by doxorubicin. Cell viability was detected by MTT assay. Naringenin-7-O-glucoside (10, 20, and 40 microM) significantly enhanced cardiomyocyte proliferation relative to that of doxorubicin. Furthermore, naringenin-7-O-glucoside increased the protein levels of heme oxygenase-1 (HO-1) and Bcl-2 in cardiomyocytes (as detected by Western blotting) and suppressed the mRNA expression of caspase-3 and caspase-9 (as detected by RT-PCR). These results suggest that naringenin-7-O-glucoside has protective effects against doxorubicin induced apoptosis, effects which could underlie the use of naringenin-7-O glucoside therapeutic agent for treating or preventing cardiomyopathy associated with doxorubicin. PMID- 18154952 TI - Adenoviral gene transfer of viral interleukin-10 protects cerebrovascular impairment induced by lysophosphatidylcholine. AB - Cerebrovascular disease is a significant cause of morbidity and mortality in the world. Inflammatory processes induce several pathological responses such as atherosclerosis, which have fundamental roles in stroke in the etiology of ischemic cerebrovascular disease and the pathophysiology of cerebral ischemia. Viral interleukin-10 (vIL-10), a potential anti-inflammatory cytokine, has been studied extensively. However, the efficacy of vIL-10 on cerebrovascular dysfunction is not well known. Our goal in this study was to explore the effect of gene transfer of vIL-10 mediated by adenovirus (Ad/vIL-10) on cerebrovascular function using a model of vasocontraction of isolated basilar artery from mongrel dogs induced by lysophosphatidylcholine (lysoPC), a proinflammatory and atherogenic serum lysophospholipid. To clarify the relation between contraction of basilar aorta and cell adhesion and adhesion molecules, our further study explored effects of Ad/vIL-10 on monocyte-cerebrovascular endothelial cells adhesion and expression of cell adhesion molecule by cultured cerebromicrovascular endothelial cells, bEnd.3, after incubation by lysoPC. Our results showed that Ad/vIL-10 significantly decreased contractive response of basilar aorta produced by lysoPC and augmented vasorelaxation to acetylcholine. Further studies showed the Ad/vIL-10 significantly depressed adherence of monocytes to cerebrovascular endothelial cells and inhibited up-regulation of intercellular adhesion molecule-1 (ICAM-1) and vascular cell adhesion molecule-1 (VCAM-1) which are bio-markers in inflammatory progress. These data demonstrated the protective effects of Ad/vIL-10 on cerebrovascular dysfunction induced by inflammation, and proved that inhibition of expression of cell adhesion molecules should be one of ways of vIL-10 to protect vascular function during inflammation. PMID- 18154953 TI - Toxoplasma gondii: evaluation of an intranasal vaccine using recombinant proteins against brain cyst formation in BALB/c mice. AB - The purpose of this work was to evaluate protective activity against brain cyst formation in BALB/c mice intranasally vaccinated with recombinant proteins from Toxoplasma gondii. The recombinant proteins rROP2, rGRA5 and rGRA7 were used in vaccine preparation. Thirty-three female mice were divided into three groups, these animals received two doses by intranasal route at days 0 and 21 as follows; group 1 (G1, n=11) received 12.5 microg of each recombinant protein plus 0.5 microg of cholera toxin, group 2 (G2, n=11) received phosphate buffer saline (PBS) plus 0.5 microg of cholera toxin, and group 3 (G3, n=11) received PBS only. At challenge day (day 33) three animals from each group were euthanatized for IgA measure from intestine. Mice were infected orally with 50 cysts from the VEG strain at day 33. At challenge day the G1 animals had high immunoglobulin A levels, however, they only showed IgG antibody titers against rROP2 and rGRA7. Animals from G1 also exhibited strong resistance to cyst formation compared with the control group (G3, P<0.05). However, we did not observe differences in protection against brain cyst formation between G1 and G2 (P>0.1). These results indicate that intranasal immunization in BALB/c mice with recombinant proteins rROP2, rGRA5 and rGRA7 associated with cholera toxin induced partial protection, when compared with G3, against tissue cyst formation after oral infection with tissue cysts from T. gondii. PMID- 18154954 TI - Angiostrongylus cantonensis: experimental study on the susceptibility of apple snails, Pomacea canaliculata compared to Pila polita. AB - Six groups (15 snails/group) of Pomacea canaliculata and Pila polita were infected orally with 0 (control), 200, 400, 800, 1600 and 3200 first-stage Angiostrongylus cantonensis larvae (L1). The respective mean+/-SD third stage larvae (L3) worm recovery 1-month post-infection (p.i.) for P. canaliculata was 0, 1.4+/-5.42 (0.7%), 0.13+/-0.35 (0.03%), 0.07+/-0.26 (0.009%), 0.07+/-0.26 (0.004%), 0, and for P. polita 0, 64.33+/-21.38 (32.25%), 115.36+/-36.82 (28.93%), 265.33+/-90.01 (33.27%), 471.33+/-92.98 (29.60%) and 849.00+/-243.23 (26.61%). The susceptibility of A. cantonensis in P. polita was dose-dependent (p<0.001). In the three groups (nine snails/group) of P. polita given 500 L1, we studied the distribution of L3 in the internal organs (i.e., foot, head+esophagus, kidney, albumin gland, mantle, intestine, digestive gland) and found the highest density after 1, 2 and 3 months p.i. in the mantle at 29.37%, 31.09% and 37.45%. The infection rate in P. canaliculata was too low to study distribution rates. PMID- 18154955 TI - Interleukin 1 beta gene polymorphism and risk of cervical cancer. AB - OBJECTIVE: To determine whether a polymorphism at position +3953 in exon 5 of the lL-1beta gene (IL-1beta +3953), a condition associated with an increased risk for a number of inflammatory diseases, is also involved in the development of cervical cancer. METHOD: We isolated DNA from peripheral blood in 150 women with cervical cancer and 200 healthy controls, and IL-1beta +3953 allele polymorphism was determined by polymerase chain reaction. RESULTS: Genotypes A1/A2 and A2/A2+A1/A2 were associated with increased risk of cervical cancer (odds ratio [OR], 2.88; 95% confidence interval [CI], 1.78-4.67; P<0.001 and OR, 2.85; 95% CI, 1.77-4.6; P<0.001, respectively). The risk in a passive smoker with A2/A2 or A1/A2 genotype was increased more than 5-fold (OR, 5.69; 95% CI, 2.61-12.50; P<0.001) compared with a nonsmoker with the A1/A1 genotype. CONCLUSION: This study provides evidence of an association between lL-1beta +3953 polymorphism and risk of cervical cancer. PMID- 18154956 TI - Brachial artery responses in menopausal women using tibolone. AB - OBJECTIVE: To determine the effect of tibolone treatment on brachial artery pulsatility index (PI), resistance index (RI), and flux-mediated dilation (FMD) in postmenopausal Mexican women. METHOD: The FMD, PI, and RI of the right brachial artery were measured in 19 postmenopausal women before and after they received a hyperemic stimulus, first at baseline and then following a 6-month treatment with 2.5 mg of tibolone per day. Statistical analysis was performed using the t test. RESULTS: The mean+/-SD age was 52.2+/-3.9 years; time since menopause was 24.6+/-16.7 months; and treatment duration was 5.7+/-2.0 months. Compared with prestimulus measurements, a significant poststimulus increase in arterial diameter and a significant decrease in PI were observed at baseline. Compared with prestimulus measurements, a significant poststimulus increase in arterial diameter and a significant decrease in both PI and RI were observed post treatment. CONCLUSION: Tibolone treatment had a favorable effect on brachial artery responses to hyperemic stimuli. PMID- 18154957 TI - Genetic profiling of Trypanosoma cruzi directly in infected tissues using nested PCR of polymorphic microsatellites. AB - The investigation of the importance of the genetics of Trypanosoma cruzi in determining the clinical course of Chagas disease will depend on precise characterisation of the parasites present in the tissue lesions. This can be adequately accomplished by the use of hypervariable nuclear markers such as microsatellites. However the unilocal nature of these loci and the scarcity of parasites in chronic lesions make it necessary to use high sensitivity PCR with nested primers, whose design depends on the availability of long flanking regions, a feature not hitherto available for any known T. cruzi microsatellites. Herein, making use of the extensive T. cruzi genome sequence now available and using the Tandem Repeats Finder software, it was possible to identify and characterise seven new microsatellite loci--six composed of trinucleotide (TcTAC15, TcTAT20, TcAAT8, TcATT14, TcGAG10 and TcCAA10) and one composed of tetranucleotide (TcAAAT6) motifs. All except the TcCAA10 locus were physically mapped onto distinct intergenic regions of chromosome III of the CL Brener clone contigs. The TcCAA10 locus was localised within a hypothetical protein gene in the T. cruzi genome. All microsatellites were polymorphic and useful for T. cruzi genetic variability studies. Using the TcTAC15 locus it was possible to separate the strains belonging to the T. cruzi I lineage (DTU I) from those belonging to T. cruzi II (DTU IIb), T. cruzi III (DTU IIc) and a hybrid group (DTU IId, IIe). The long flanking regions of these novel microsatellites allowed construction of nested primers and the use of full nested PCR protocols. This strategy enabled us to detect and differentiate T. cruzi strains directly in clinical specimens including heart, blood, CSF and skin tissues from patients in the acute and chronic phases of Chagas disease. PMID- 18154958 TI - Rosuvastatin protects against oxidative stress and DNA damage in vitro via upregulation of glutathione synthesis. AB - Statins, inhibitors of 3-hydroxy-3-methylglutaryl-coenzyme A (HMG-CoA) reductase, exert various beneficial effects independent of serum cholesterol reduction; among others is antioxidative action. Human promyelocytic cells (HL-60) were used to examine the effect of the statin rosuvastatin on reactive oxygen species induced DNA damage, formation of oxidative stress and expression of glutathione metabolising enzymes. Rosuvastatin from 10nM significantly reduced DNA damage induced by phorbol 12-myristate 13-acetate (PMA) or by hydrogen peroxide, as assessed by the comet assay. PMA-provoked formation of reactive oxygen species, measured by flow cytometric measurement, was also prevented by rosuvastatin. Pre incubation of cells with rosuvastatin revealed a protective effect of the statin even after its removal from the incubation medium. Total glutathione in cells treated with PMA, with and without co-incubation with rosuvastatin, was increased significantly in cells incubated with rosuvastatin alone. The quantification of the mRNA and activity of glutathione synthesizing enzymes by PCR showed a significant upregulation of gamma-glutamylcysteine synthetase. In conclusion, rosuvastatin exerts antioxidative effects, which are also capable of preventing DNA damage. These effects seem to be independent of HMG-CoA reductase inhibition and involve the induction of the expression of antioxidant defense enzymes. PMID- 18154959 TI - Natriuretic peptides. AB - Natriuretic peptides (NPs) are released from the heart in response to pressure and volume overload. B-type natriuretic peptide (BNP) and N-terminal-proBNP have become important diagnostic tools for assessing patients who present acutely with dyspnea. The NP level reflects a compilation of systolic and diastolic function as well as right ventricular and valvular function. Studies suggest that using NPs in the emergency department can reduce the consumption of hospital resources and can lower costs by either eliminating the need for other, more expensive tests or by establishing an alternative diagnosis that does not require hospital stay. Caveats such as body mass index and renal function must be taken into account when analyzing NP levels. Natriuretic peptide levels have important prognostic value in multiple clinical settings, including in patients with stable coronary artery disease and with acute coronary syndromes. In patients with decompensated heart failure due to volume overload, a treatment-induced drop in wedge pressure is often accompanied by a rapid drop in NP levels. Knowing a patient's NP levels might thus assist with hemodynamic assessment and subsequent treatment titration. Monitoring NP levels in the outpatient setting might also improve patient care and outcomes. PMID- 18154960 TI - High telomerase activity in neutrophils from unstable coronary plaques. AB - OBJECTIVES: We evaluated telomerase activity in circulating polymorphonuclear neutrophils (PMN) and in PMN isolated from coronary atherosclerotic plaques by a novel approach. BACKGROUND: Delayed apoptosis of PMN have been demonstrated in unstable angina (UA). These cells have a finite lifespan with low telomerase activity, a polymerase that extends telomeres, structures essential for cell aging. Reactivation of telomerase has been associated with resistance to apoptosis. METHODS: We studied 20 patients with UA and 6 patients with chronic stable angina (SA), undergoing a percutaneous coronary intervention. Circulating PMN were isolated from venous blood and PMN derived from coronary plaque were isolated from washing medium of angioplasty balloons. RESULTS: Telomerase activity was higher in coronary plaque PMN of UA patients than in coronary plaque PMN of SA patients (122.7, range 20.5 to 3,696; and 47.7, range 16 to 212.6, respectively, p = 0.001) and higher than in peripheral PMN of SA patients (122.7, range 20.5 to 3,696 vs. 59, range 16.5 to 132.5, p = 0.001). We found a statistically significant difference between venous and coronary plaque PMN telomerase activity in UA patients (z = -2.875; p = 0.004). Among UA patients, a shorter time interval from symptom onset to coronary PMN sampling was the only independent predictor of high telomerase activity in coronary plaque PMN (p < 0.001, R2 = 0.75). CONCLUSIONS: In UA patients, telomerase activity is high in coronary plaque PMN, while it is low in peripheral PMN. Telomerase reactivation in resident PMN resulting in a prolonged lifespan might play a key role in the early phases of instability. PMID- 18154961 TI - Comparison of a radiofrequency-based wireless pressure sensor to swan-ganz catheter and echocardiography for ambulatory assessment of pulmonary artery pressure in heart failure. AB - OBJECTIVES: The goal of this work was to evaluate the accuracy of a new heart failure (HF) sensor (HFS) (Heart Failure Sensor, CardioMEMS Inc., Atlanta, Georgia) pulmonary artery pressure (PAP) monitoring compared with Swan-Ganz (SG) (Hospira, Inc., Lake Forest, Illinois) catheterization and echocardiography (ECHO) in ambulatory HF patients. BACKGROUND: There is an increasing interest in the development of ambulatory monitoring devices aiming to adjust therapy and prevent hospitalizations in HF patients. METHODS: Twelve patients with HF and New York Heart Association functional class II to IV were included in this study. The HFS was deployed into the pulmonary artery under angiography, allowing wireless PAP measurement. Two independent blind operators performed 3 HFS measurements at each visit, with simultaneous ECHO at 2, 14, 30, 60, and 90 days. Swan-Ganz catheterization was performed at 0 and 60 days. Linear regression was used as a measure of agreement. Variability between methods and interobserver variability were evaluated by Bland-Altman analysis. RESULTS: Mean age was 63 +/- 14.6 years. Systolic PAP was 64 +/- 22 mm Hg and 58 +/- 22 mm Hg for HFS and SG, respectively (p < 0.01). Both methods showed a significant correlation (r2 = 0.96 baseline, r2 = 0.90 follow-up, p < 0.01), with a mean difference of 6.2 +/- 4.5 mm Hg. Diastolic PAP was 23 +/- 14 mm Hg and 28 +/- 16 mm Hg for HFS and SG, respectively (r2 = 0.88 baseline, r2 = 0.48 follow-up, p < 0.01), with a mean difference of -1.6 +/- 6.8 mm Hg. Systolic PAP was 60 +/- 20 mm Hg and 62 +/- 12 mm Hg for HFS and ECHO, respectively (r2 = 0.75, p < 0.01), with a mean difference of -2.6 +/- 11 mm Hg. There was no significant interobserver difference. CONCLUSIONS: The HFS provides an accurate method for PAP assessment in the intermediate follow-up of HF patients. PMID- 18154962 TI - New approaches to hemodynamic measurement cool devices but a shaky infrastructure. PMID- 18154963 TI - T-wave alternans, restitution of human action potential duration, and outcome. AB - OBJECTIVES: Our aim was to study the relationship between T-wave alternans (TWA) and rate-response (restitution) of repolarization in subjects with and without ventricular systolic dysfunction. BACKGROUND: T-wave alternans is a promising predictor of sudden death, yet the mechanisms linking it with human ventricular arrhythmias are unclear. From theoretic considerations, we hypothesized that abnormal TWA is linked with steep restitution of action potential duration (APD) and that both predict arrhythmic outcome. METHODS: We studied 53 subjects with left ventricular ejection fraction (LVEF) < or =40% and 18 control subjects. At electrophysiologic study, we recorded APD at 90% repolarization (APD(90)) in the right (n = 62) or left (n = 9) ventricle during pacing while measuring TWA from the body surface. RESULTS: As expected, TWA (at <109 beats/min) was more likely to be abnormal in study than in control subjects (p < 0.01). However, study (LVEF 28 +/- 8%) and control (LVEF 58 +/- 12%) subjects did not differ in APD(90) restitution slope maxima (1.2 +/- 0.6 vs. 1.3 +/- 0.6, respectively; p = 0.82) or numbers with steep slope (>1; 58% vs. 67%). T-wave alternans and simultaneous APD alternans always occurred at diastolic intervals where APD restitution was not steep (p < 0.001), and there was no relationship between maximum restitution slope and TWA magnitude. Over 829 +/- 473 days, TWA (p = 0.02), but not restitution slope >1, predicted ventricular arrhythmias in subjects with LVEF < or =40%. CONCLUSIONS: The mechanism by which TWA predicts arrhythmic mortality does not reflect the maximum slope of ventricular APD restitution. Better understanding of the mechanisms underlying TWA may enable improved prediction and prevention of ventricular arrhythmias. PMID- 18154964 TI - Influence of heart rate on the diagnostic accuracy of dual-source computed tomography coronary angiography. AB - OBJECTIVES: We evaluated the influence of heart rate on image quality and diagnostic accuracy of dual-source computed tomography (DSCT) coronary angiography. BACKGROUND: Multidetector computed tomography (MDCT) coronary angiography has demonstrated an inverse relationship between heart rate and image quality. Dual-source CT provides a higher temporal resolution. METHODS: One hundred patients were studied by DSCT (DEFINITION, Siemens Medical Solutions, Forchheim, Germany). A contrast-enhanced volume dataset was acquired (two tubes, 120 kV, 400 mAs/rot, collimation 64 x 0.6 mm). Datasets were evaluated concerning the presence of significant coronary stenoses and validated against invasive coronary angiography. RESULTS: In 44 patients with a heart rate > or =65 beats/min, 566 of 616 coronary segments were evaluable (92%), whereas in 56 patients with a heart rate <65 beats/min, 777 of 778 coronary segments were evaluable (100%, p < 0.001). On a per-patient basis, 93% of patients (> or =65 beats/min) and 100% of patients (<65 beats/min) were considered evaluable. By classifying unevaluable segments as positive for stenosis, per-patient sensitivity was 95% (19 of 20) for heart rates > or =65 beats/min and 100% (22 of 22) for heart rates <65 beats/min. Specificity was 87% (21 of 24) versus 76% (26 of 34), and overall diagnostic accuracy was 91% (40 of 44) versus 86% (48 of 56). None of these differences were statistically significant. Similarly, no difference in diagnostic accuracy was found in per-vessel and -segment analyses. CONCLUSIONS: In 100 patients studied without beta-blocker pre-medication, DSCT demonstrated slightly lower per-segment evaluability for high heart rates but no decrease in diagnostic accuracy for the detection of coronary artery stenoses. PMID- 18154965 TI - Prevalence of fabry disease in a cohort of 508 unrelated patients with hypertrophic cardiomyopathy. AB - OBJECTIVES: We aimed to study the prevalence of Fabry disease (FD) in patients with hypertrophic cardiomyopathy (HCM). BACKGROUND: There are limited and controversial data about the prevalence of FD in patients with HCM. METHODS: We screened the plasma alpha-galactosidase A activity from 508 unrelated patients with HCM (328 men, 180 women, ages 58 +/- 16 years). Patients with low activity (0% to 30% of the normal control in men, and 0% to 50% in women) underwent genetic study of the GLA gene. RESULTS: We found low plasma activity in 15 patients (3%). Three men had GLA mutations (0.9%): S238N (novel) in 2 and E358del (described) in 1. Two women had described mutations (1.1%): L89P and A143T. Three unrelated men had the D313Y variant previously associated with enzyme pseudo deficiency. Two women had polymorphisms that did not segregate with the disease in their families. Five women (activity 39% to 47%) had no sequence variants. The familial studies allowed the diagnosis of 14 carriers: 6 women without Fabry manifestations, 3 women with cardiomyopathy, 2 men with renal and cardiac disease, 1 man with microhematuria, 1 woman with first-degree atrioventricular block, and a 32-year-old woman with only renal disease. CONCLUSIONS: By means of a screening based on genotyping of patients with low plasma enzymatic activity, the prevalence of FD in our population of HCM is 1% (0.9% in men and 1.1% in women). This diagnosis is relevant, because it allows the identification of disease carriers that might benefit from enzyme replacement therapy. PMID- 18154966 TI - Detection of subclinical fabry disease in patients presenting with hypertrophic cardiomyopathy. PMID- 18154967 TI - Outcome and growth potential of left heart structures after neonatal intervention for aortic valve stenosis. AB - OBJECTIVES: The purpose of this study was to determine trends of growth of left heart structures after intervention for neonatal aortic valve stenosis. BACKGROUND: The growth potential of left heart structures in neonatal aortic valve stenosis after relief of obstruction might influence risk for subsequent outcomes. METHODS: From 1994 to 2004, 53 patients underwent neonatal (< or =30 days old) balloon aortic valve dilation. Factors associated with time-related outcomes (death, reintervention, aortic valve replacement) and longitudinal changes in normalized left heart dimensions were sought. RESULTS: The median age at intervention was 3.5 days (range 1 to 30 days). During a median follow-up of 3.2 years ranging up to 10.9 years, there were 31 reinterventions on the aortic valve in 21 (40%) patients and 7 deaths (13%). The presence of moderate or severe left ventricular (LV) endocardial fibroelastosis was the only independent predictor for time-related mortality (hazard ratio 22.1; p = 0.004), and a smaller initial aortic valve annulus z-score was a significant independent predictor for aortic valve replacement (hazard ratio 0.63 per 1-U change; p = 0.007). Aortic valve annulus, aortic sinus, and LV dimension z-scores significantly increased over time, whereas mitral valve z-scores remained below normal. The structure's initial z-score and concomitant size of other left heart structures were significant independent factors associated with subsequent z scores. CONCLUSIONS: There is potential catch-up growth of the aortic valve and LV over time for neonates after intervention for aortic valve stenosis. However, the continued hypoplasia of the mitral valve warrants further consideration in the long-term management of these patients. PMID- 18154968 TI - Highlights of the 18th annual scientific sessions of the American Society of Echocardiography Seattle, Washington, June 16-20, 2007. PMID- 18154969 TI - Highlights of the 2007 scientific sessions of the European Society of Cardiology Vienna, Austria, September 1-5, 2007. PMID- 18154970 TI - Advancing the knowledge base on the efficacy-safety ratio with drug-eluting stents contributions from the European Society of Cardiology Congress, Vienna, Austria, September 1-5, 2007. PMID- 18154971 TI - Thinking outside the "box"-the ultrasound contrast controversy. AB - On October 10, 2007, the U.S. Food and Drug Administration (FDA) announced a new "black box" warning for the perflutren-containing ultrasound contrast agents, contraindicating their use in patients with acute coronary syndromes, acute myocardial infarction, and worsening or clinically unstable heart failure. These warnings ignore the proven efficacy of ultrasound contrast agents, the previously established safety of these compounds, the potential risks of alternative procedures, and the likely confounding effect of pseudocomplication. We suggest that the FDA Medical Imaging Division convene a panel of cardiologists experienced in a variety of imaging modalities to fully assess the adverse events that have been attributed to these agents and that any future FDA warnings acknowledge the possible influence of pseudocomplication, the proven efficacy of the modality in question for early and accurate diagnosis of cardiovascular disease, and the known and theoretical risks of alternative testing that may be necessary. PMID- 18154972 TI - The cardiologist as a role model. PMID- 18154974 TI - Arterial blood pressure gradient across vulnerable plaque might increase rupture. PMID- 18154975 TI - A force-similarity model of the activated muscle is able to predict primary locomotor functions. AB - Biomechanical macroscopic models of the muscle organ as whole are conceptually limited in explaining muscle function in relation to structure. The examples are Hill-type and rheological muscle models where elastic properties of the muscle's contractible element are approached by a spring arranged in series and parallel, respectively. A new scaling model of the activated muscle powering a particular function is proposed. This model is based on the physical similarity suggested between the action-production muscle force and resulting reaction elastic muscle forces. Considered at a macroscopic scale, this force similarity provides four patterns of constraints in development of muscle architecture in different-sized animals. As the result, the analytical modeling predicts the primary motor, brake, strut and spring functions of individual muscles revealed earlier in work loop experiments and now provided in terms of the scaling exponents for muscle cross-sectional area and fiber length. The model reliability is tested via literature available from muscle allometric data. The conceptual outcome of the study is that the architecture design of skeletal muscles is likely effected by the powering contractions of last fibers known as having higher myofibril volume than slow fibers. PMID- 18154976 TI - Combination of affinity depletion of abundant proteins and reversed-phase fractionation in proteomic analysis of human plasma/serum. AB - The tremendous complexity of the serum and plasma proteome presents extreme analytical challenges in comprehensive analysis due to the wide dynamic range of protein concentrations. Therefore, robust sample preparation methods remain one of the important steps in the proteome characterization workflow. We present the results on a new column for the specific depletion of 14 high-abundant proteins from human serum and plasma and the subsequent reversed-phase fractionation of the flow-through proteins. Analysis of tryptic peptides was accomplished with microfluidic HPLC-Chip/MS system. Results indicate that high-abundant protein depletion combined with RP fractionation of plasma showed an improved dynamic range for proteomic analysis and enabled the identification of low-abundant plasma proteins. PMID- 18154977 TI - Molecularly imprinted capillary electrochromatography for selective determination of thiabendazole in citrus samples. AB - In this work, the suitability of the combination of molecular imprinting and capillary electrochromatography (MIP-CEC) to be used as powerful tool in environmental or food analysis has been for the first time studied and successfully demonstrated. A molecularly imprinted monolith (MIM) has been synthesised and evaluated as stationary phase for the selective determination of the fungicide thiabendazole (TBZ) in citrus samples by non-aqueous capillary electrochromatography. The influence of the mobile phase composition, the voltage of the power supply and the separation temperature on the recognition of TBZ by the imprinted polymer has been evaluated, and the imprint effect in the MIM was clearly demonstrated. Once optimum recognition conditions were established, other variables affecting mechanical properties and chromatographic performance of MIM were adjusted using computational approach. The high selectivity achieved by the MIP-CEC developed procedure allowed unambiguous detection and quantification of TBZ in citrus samples by direct injection of the crude sample extracts, without any previous clean-up, in less than 6 min. The developed method was properly validated and the calculated detection limits were below the established maximum residue limits (MRLs), clearly demonstrating the suitability of the method to be used for the control of the selected fungicide. PMID- 18154978 TI - Monitoring of fosinopril sodium impurities by liquid chromatography-mass spectrometry including the neural networks in method evaluation. AB - In this paper, the mass spectrometry (MS) detection has been applied for screening of fosinopril sodium impurities which arise during forced stress study. Before MS analysis, liquid chromatographic method with suitable mobile phase composition was developed. The separation was done on SunFire 100 mm x 4.6 mm 3.5 microm particle size column. The mobile phases which consisted of methanol ammonium acetate buffer-acetic acid, in different ratios, were used in a preliminary study. Flow rate was 0.3 mL min(-1). Under these conditions, percent of methanol, concentration of ammonium acetate buffer and acetic acid content were tested simultaneously applying central composite design (CCD) and artificial neural network (ANN). The combinations of experimental design (ED) and ANN present powerful technique in method optimization. Input and output variables from CCD were used for network training, verification and testing. Multiple layer perceptron (MLP) with back propagation (BP) algorithm was chosen for network training. When the optimal neural topology was selected, network was trained by adjusting strength of connections between neurons in order to adapt the outputs of whole network to be closer to the desired outputs, or to minimize the sum of the squared errors. From the method optimization the following mobile phase composition was selected as appropriate: methanol-10 mM ammonium acetate buffer acidic acid (80:19.5:0.5 v/v/v). This mobile phase was used as inlet for MS. According to molecular structure and literature data, electrospray positive ion mode was applied for analysis of fosinopril sodium and its impurities. The proposed method could be used for screening of fosinopril sodium impurities in bulk and pharmaceuticals, as well as for tracking the degradation under stress conditions. PMID- 18154979 TI - Determination of fatty alcohol ethoxylates by derivatisation with maleic anhydride followed by liquid chromatography with UV-vis detection. AB - The esterification of fatty alcohol ethoxylates (FAEs) by melting with maleic anhydride has been studied in the presence of urea. The reaction rate and yield of non-ethoxylated and ethoxylated alcohols increase largely when grinded urea is suspended in the reaction medium, a 100% yield being achieved at 80 degrees C in 15 min. The procedure is tolerant to the presence of large amounts of water. The UV-vis response factors of the derivatives of individual FAE oligomers vary little with the number of carbon atoms in the alkyl chain, n, and the number of ethylene oxide units, m. Derivatised samples of industrial FAE mixtures, cleaning products and river and sea waters were chromatographed on a C8 column of the fused-core type using gradient elution with acetonitrile/water mixtures plus 0.1% acetic acid. The hydrocarbon series with even values of n from 8 up to 20, were well resolved using column temperatures in the 15-30 degrees C range. Superior resolution between the consecutive oligomers within the series was also obtained at large values of m; however, reversion of the elution order for the derivatives with m=1 and 0 hindered direct quantitation of a few oligomers at low m values. Full resolution of all the oligomers was achieved by deconvolution with a genetic algorithm assisted by the unconstrained local method of Powell. After preconcentration with C18 solid-phase extraction cartridges, both river and sea water samples also showed the signature of the FAE oligomers. The evaluation of total FAEs in these samples was demonstrated. PMID- 18154980 TI - Rational design of a new one-step purification strategy for Candida antarctica lipase B by ion-exchange chromatography. AB - A fast and efficient one-step method for purification of lipase B from Candida antarctica by ion-exchange chromatography was developed by rational design. The electrostatic properties of the enzyme were calculated and validated by isoelectric focusing and measurement of the titration curve. C. antarctica lipase B shows an unusual pH profile with a broad isoelectric region from pH 4 to 8. At pH 3 C. antarctica lipase B can be bound to a cation-exchange chromatography column and was purified to homogeneity with a purification factor of 2.4. It was stable at pH 3, the residual activity was still 80% after 6 days incubation at 20 degrees C. The broad isoelectric region of C. antarctica lipase B is unique as compared to almost all other alpha/beta-hydrolases which have a well-defined isoelectric point. A search in the lipase engineering database resulted in only one further alpha/beta-hydrolase, the Fusarium solani cutinase, which also has a broad isoelectric region. PMID- 18154981 TI - Selection of pH-related parameters in ion-exchange chromatography using pH gradient operations. AB - This work demonstrates that the type of ion-exchanger (anion or cation), the mode of operation (bind-and-elute or flow-through), and the operational pH of ion exchange chromatography (IEX) can be selected in a fast and rational way by analytical pH-gradient IEX operations, thereby eliminating the need for pH scouting or high-throughput screening. The developed approach was applied for the selection of an IEX process for the capture of a monoclonal antibody (MAb) from hybridoma cell culture supernatant (CCS). It was found within a day that MAb can optimally be captured by bind-and-elute mode cation-exchange chromatography (CEX) at pH 4.5 or anion-exchange chromatography (AEX) at pH 7.2 without lowering the salt concentration in the CCS. The performance of both CEX and AEX was predicted to be equal for this particular MAb capture. PMID- 18154982 TI - Two-column simulated moving-bed process for binary separation. AB - A two-column simulated moving-bed system has been developed for binary separation. The system combines a flexible node design, robust pump configuration, and cyclic flow-rate modulation to exploit the benefits of simulated counter-current operation. The feasibility of the proposed two-column system is demonstrated on the linear separation of two nucleosides by reversed phase. Emphasis is given to the potentialities of the process compared to single column batch chromatography with recycling for the same amount of stationary phase. The performance of the proposed two-column process is verified with laboratory-scale experiments and detailed simulations for different difficulties in separation and desorbent-to-feed ratios. PMID- 18154984 TI - Neurologic complications associated with endovascular repair of thoracic aortic pathology: Incidence and risk factors. a study from the European Collaborators on Stent/Graft Techniques for Aortic Aneurysm Repair (EUROSTAR) registry. AB - OBJECTIVE: Endovascular treatment of thoracic aortic disease may be associated with severe neurologic complications. The current study used the data of a multicenter registry to assess of the incidence and the risk factors for paraplegia or paraparesis and intracranial stroke. METHODS: The European Collaborators on Stent/Graft Techniques for Aortic Aneurysm Repair (EUROSTAR) database prospectively enrolled 606 patients. Thoracic pathologies with urgent or elective presentation, which included degenerative aneurysm in 291, aortic dissection in 215, traumatic rupture in 67, anastomotic false aneurysm in 24, and infectious or nonspecified disorders in 9. Study end points included evidence of perioperative spinal cord ischemia (SCI) or stroke. Univariate analysis and multivariate regression models were used to assess the significance of clinical factors that potentially influenced the occurrence of neurological sequelae. RESULTS: Paraplegia or paraparesis developed in 15 patients (2.5%) and stroke in 19 (3.1%); two patients had both complications. At multivariate regression analysis, independent correlation with SCI was observed for four factors: (1) left subclavian artery covering without revascularization (odds ratio [OR], 3.9; P = .027), (2) renal failure (OR, 3.6; P = .02), (3) concomitant open abdominal aorta surgery (OR, 5.5; P = .037) and (4) three or more stent grafts used (OR, 3.5; P = .043). In patients with perioperative stroke, two correlating factors were identified: (1) duration of the intervention (OR, 6.4; P = .0045) and (2) female sex (OR, 3.3; P = .023). A neurologic complication (paraplegia or stroke) developed in 8.4% of the patients in whom left subclavian covering was required compared with 0% of patients with prophylactic revascularization (P = .049). CONCLUSION: Perioperative paraplegia or paraparesis was significantly associated with blockage of the left subclavian artery without revascularization. The clinical significance of this source of collateral perfusion of the spinal cord had not been confirmed previously. Intracranial stroke was associated with lengthy manipulation of wires, catheters, and introducer sheaths within the aortic arch, reflected by a longer duration of the procedure. PMID- 18154987 TI - Carotid endarterectomy was performed with lower stroke and death rates than carotid artery stenting in the United States in 2003 and 2004. AB - OBJECTIVE: Although carotid endarterectomy (CEA) is the gold standard for the treatment of carotid artery stenosis, the recent United States Food and Drug Administration approval of carotid artery stenting (CAS) may have led to its widespread use outside of clinical trials and registries. This study compared in hospital postoperative stroke and mortality rates after CAS and CEA at the national level. METHODS: The Nationwide Inpatient Sample (NIS) was queried to identify all patient-discharges that occurred for revascularization of carotid artery stenosis. The International Classification of Diseases, 9th Revision, Clinical Modification procedure codes for CEA (38.12), CAS (00.63), and insertion of noncoronary stents (39.50, 39.90) were used in conjunction with the diagnostic codes for carotid artery stenosis, with (433.11) and without (433.10) stroke. Primary outcome measures included in-hospital postoperative stroke and death rates. Multivariate logistic regressions were performed to evaluate independent predictors of postoperative stroke and mortality. Adjustment was made for age, sex, medical comorbidities, admission diagnosis, procedure type, year, and hospital type. RESULTS: During the calendar years 2003 and 2004, an estimated 259,080 carotid revascularization procedures were performed in the United States. CAS had a higher rate of in-hospital postoperative stroke (2.1% vs 0.88%, P < .0001) and higher postoperative mortality (1.3% vs 0.39%) than CEA. For asymptomatic patients (92%), the postoperative stroke rate was significantly higher for CAS than CEA (1.8% vs 0.86%, P < .0001), but the mortality rate was similar (0.44% vs 0.36%, P = .36). For symptomatic patients (8%), the rates for postoperative stroke (4.2% vs 1.1%, P < .0001) and mortality (7.5% vs 1.0%, P < .0001) were significantly higher after CAS. By multivariate regression, CAS was independently predictive of postoperative stroke (odds ratio [OR], 2.49; 95% confidence interval [CI], 1.91 to 3.25). CAS was also associated with in-hospital postoperative mortality for asymptomatic (OR, 2.37; 95% CI, 1.46 to 3.84) and symptomatic (OR, 2.64; 95% CI, 1.89 to 3.69) patients. CONCLUSIONS: As determined from a large representative national sample including the years 2003 and 2004, the in-hospital stroke rate after CAS for asymptomatic patients was twofold higher than after CEA. For symptomatic patients, the respective in-hospital stroke and mortality rates were fourfold and sevenfold higher. These unexpected results indicate that further randomized controlled trials with homogenous symptomatic and asymptomatic patient groups should be performed. PMID- 18154988 TI - Measurement and impact of proximal and distal tortuosity in carotid stenting procedures. AB - BACKGROUND: Proximal and distal carotid tortuosity is considered of paramount importance in carotid artery stenting (CAS) procedures. Specifically, distal internal carotid coiling or kinking is thought to interfere with proper distal protection devices, thus contraindicating CAS. The type of the aortic arch is also considered a key factor in CAS success; however, no standardized method of evaluation of these indicators is available in the literature. We have evaluated the impact of arch angulation and proximal and distal tortuosity in a series of CAS procedures. METHODS: In patients undergoing CAS, arch angulation and tortuosity of both common and distal internal carotid arteries were evaluated prospectively by calculating the sum of all angles diverging from the ideal straight axis, considering a 90 degrees ideal angle for the origin from the arch (tortuosity index, TI). All procedures were through a transfemoral approach and with distal protection. Results were correlated with technical procedural success (residual stenosis <30%) and neurologic complication by Student t test. Multivariate logistic regression analysis was conducted to identify independent predictors of results. RESULTS: In a group of 298 CAS procedures, the mean proximal TI was 111.9 degrees +/- 96.77 degrees and the mean distal TI was 123.4 degrees +/- 117.47 degrees . Technical success was obtained in 272 patients (91.2%). Causes for the 26 technical failures were incapacity to obtain stable proximal access in 25 (96.1%), and uncrossable stenosis in one (3.9%). Neurologic protection was achieved with distal filters in all cases. Neurologic complications occurred in 23 patients (7.7%), consisting of 16 transient ischemic attacks and seven minor strokes. The proximal TI was significantly greater in the 26 cases of technical failure (158.4 degrees +/- 102.2 degrees vs 107.6 degrees +/- 95.3 degrees , P = .01). The distal TI was not different in the two groups (89 degrees +/- 99.1 degrees vs 126.5 degrees +/- 118.6 degrees , P = .11). Similarly, the proximal TI was significantly greater in neurologic complications (162.8 degrees +/- 111.8 degrees vs 107.6 degrees +/- 18.2 degrees , P = .03); the distal TI was not different in the two groups (112.6 degrees +/- 110.1 degrees vs 124.3 degrees +/- 96.1 degrees , P = .5) By logistic regression analysis, a proximal TI >150 was an independent predictor of both neurologic complications and technical failure. Age was also independently associated with technical failure. Appropriate distal filter placement was possible in all cases with a crossable stenosis, irrespective of the internal carotid TI. CONCLUSIONS: The proximal TI is significantly associated with both technical success and neurologic complications after CAS, whereas the distal TI did not influence either outcome. The presence of distal kinking or coiling should not be considered a contraindication to CAS. PMID- 18154989 TI - Association between minor and major surgical complications after carotid endarterectomy: results of the New York Carotid Artery Surgery study. AB - OBJECTIVE: Most studies on outcomes of carotid endarterectomy (CEA) have focused on the major complications of death and stroke. Less is known about minor but more common surgical complications such as hematoma, cranial nerve palsy, and wound infection. This study used data from a large, population-based cohort study to describe the incidence of minor surgical complications after CEA and examine associations between minor and major complications. METHODS: The New York Carotid Artery Surgery (NYCAS) study examined all Medicare beneficiaries who underwent CEA from January 1998 to June 1999 in NY State. Detailed clinical information on preoperative characteristics and complications < or =30 days of surgery was abstracted from hospital charts. Associations between minor (cranial nerve palsies, hematoma, and wound infection) and major complications (death/stroke) were examined with chi(2) tests and multivariate logistic regression. RESULTS: The NYCAS study had data on 9308 CEAs performed by 482 surgeons in 167 hospitals. Overall, 10% of patients had a minor surgical complication (cranial nerve (CN) palsy, 5.5%; hematoma, 5.0%; and wound infection, 0.2%). Cardiac complications occurred in 3.9% (myocardial 1.1%, unstable angina 0.9%, pulmonary edema 2.1%, and ventricular tachycardia 0.8%). In both unadjusted and adjusted analyses, the occurrence of any minor surgical complication, CN palsy alone, or hematoma alone was associated with 3 to 4-fold greater odds of perioperative stroke or combined risk of death and nonfatal stroke (P < 0.0001). Patients with cardiac complications had 4 to 5-fold increased odds of stroke or combined risk of death and stroke. CONCLUSION: Minor surgical complications are common after CEA and are associated with much higher risk of death and stroke. Patient factors, process factors, and direct causality are involved in this relationship, but future work will be needed to better understand their relative contributions. PMID- 18154991 TI - Incidence and clinical significance of distal embolization during percutaneous interventions involving the superficial femoral artery. AB - OBJECTIVE: Distal embolization of plaque or thrombus may cause organ ischemia following percutaneous peripheral interventions. The purpose of this study was to evaluate the incidence and clinical significance of particulate embolization during percutaneous superficial femoral artery (SFA) intervention by monitoring with continuous Doppler ultrasound. The rate and timing of embolization at various phases of intervention such as guidewire crossing, balloon angioplasty, stent deployment, and directional atherectomy were analyzed and compared. METHODS: Sixty patients underwent SFA intervention. Of these 60 patients, 10 patients underwent percutaneous transluminal angioplasty (PTA) alone, 40 patients underwent PTA with stenting, and 10 patients underwent plaque excision with the SilverHawk atherectomy device (8) or Spectranetics excimer laser (2) with or without additional PTA or stent placement. A 4-MHz Doppler probe was used for continuous monitoring in the ipsilateral popliteal artery. Distal embolization was registered as embolic signals (ES). ES were quantitatively assessed during critical portions of the procedure including guidewire crossing, balloon angioplasty, stent deployment and/or atherectomy. ES during different phases of intervention were compared using analysis of variance (ANOVA). RESULTS: ES was noted in every patient during wire crossing, angioplasty, stent deployment and atherectomy. The average number of ES noted during guidewire crossing was 8, PTA was 12, stent deployment was 28, SiverHawk atherectomy was 49, and Spectranetics excimer laser was 51. The frequency of ES was statistically higher during stent deployment vs wire crossing or balloon angioplasty but equivalent to that generated by plaque excision. ES was observed more frequent during balloon angioplasty than during wire crossing. In one patient who was treated with the excimer laser, a single runoff vessel was occluded with embolic debris but patency was restored angiographically after thrombolysis. The patient went on to require below knee amputation. During follow-up, all patients with claudication reported improved symptoms and those with ulcers or gangrene demonstrated healing. The average increase in ankle-brachial index following intervention was 0.31. CONCLUSION: While ES were recorded at each step of SFA intervention, the frequency was greatest during stent deployment. Despite the frequency of these events, only one patient developed angiographically and clinically significant embolization. Thus, our findings do not support the routine use of protection devices during percutaneous SFA intervention. PMID- 18154993 TI - Technical factors affecting autogenous vein graft failure: observations from a large multicenter trial. AB - OBJECTIVE: The influence of operator-dependent variables on the outcomes of lower extremity bypass (LEB) surgery have primarily been reported in single institution, retrospective studies. We utilized data from a prospective, multicenter trial to identify technical variables that were significantly associated with early and midterm results of autogenous LEB for limb salvage. METHODS: The PREVENT III trial database includes 1404 North American patients with critical limb ischemia (CLI) who underwent LEB using excised autogenous vein. The study protocol excluded claudicants and in situ reconstructions. Technical factors analyzed included vein diameter, conduit type, graft length, vein orientation, location of proximal and distal anastomoses, and performance of completion imaging. Univariate analysis was used to determine the effect of these factors on 30 day and 1-year outcomes. Multivariate Cox regression models evaluated the influence of these factors while adjusting for age, sex, race, tobacco, diabetes, dialysis-dependency, previous index limb bypass, and study drug (edifoligide) administration. The primary outcomes were primary patency (PP), primary assisted patency (PAP), and secondary patency (SP) assessed by Kaplan-Meier method. RESULTS: Univariate analysis revealed that vein diameter <3.5 mm and composite graft type were significantly associated with early (30 day) graft failure. At 1 year, multivariate analysis revealed that patency rates were negatively associated with diameter <3.5 mm (PP, PAP, SP), non-great saphenous vein (GSV) type (PP, SP), and graft lengths >50 cm (PP only). Limb salvage and survival at 1 year were not significantly impacted by technical variables. Employing a prespecified trial definition of high-risk conduits (diameter <3mm or nonsingle segment GSV; 24% of entire cohort) revealed that use of such conduits was associated with a 2.1-fold increased risk of 30 day graft failure (P < .05), as well as reduced PP, PAP, and SP at 1 year. Use of a high risk conduit was also associated with an increased index length of stay (mean 9.37 vs 8.71 days, P = .03) and a greater number of reinterventions (mean 0.67 vs 0.42, P < .0001) over the ensuing year. CONCLUSIONS: In this large, multicenter cohort of patients undergoing LEB for CLI, vein diameter and conduit type were the dominant technical determinants of early and late graft failure. High-risk conduits and longer grafts may benefit from aggressive postoperative graft surveillance. PMID- 18154995 TI - Female gender and oral anticoagulants are associated with wound complications in lower extremity vein bypass: an analysis of 1404 operations for critical limb ischemia. AB - BACKGROUND: Infrainguinal bypass (IB) surgery is an effective means of improving arterial circulation to the lower extremity for patients with critical limb ischemia (CLI). However, wound complications (WC) of the surgical incision following IB can impart significant morbidity. METHODS: A retrospective analysis of WC from the 1404 patients enrolled in a multicenter clinical trial of vein bypass grafting for CLI was performed. Univariate and multivariable regression models were used to determine WC predictors and associated outcomes, including graft patency, limb salvage, quality of life (QoL), resource utilization (RU), and mortality. RESULTS: A total of 543 (39%) patients developed a reported WC within 30 days of surgery, with infections (284, 52%) and hematoma/hemorrhage (121, 22%) being the most common type. Postoperative anticoagulation (odds ratio [OR], 1.554; 95% confidence interval [CI] 1.202 to 2.009; P = .0008) and female gender (OR, 1.376; 95% CI, 1.076 to 1.757; P = .0108) were independent factors associated with WC. Primary, primary-assisted, and secondary graft patency rates were not influenced by the presence of WC; though, patients with WC were at increased risk for limb loss (hazard ratio [HR], 1.511; 95% CI 1.096 to 2.079; P = .0116) and higher mortality (HR, 1.449; 95% CI 1.098 to 1.912; P = .0089). WC was not significantly associated with lower QoL at 3 months (4.67 vs 4.79, P = .1947) and 12 months (5.02 vs 5.13, P = .2806). However, the subset of patients with serious WC (SWC) demonstrated significantly lower QoL at 3 months compared with patients without WC, (4.43 vs 4.79, respectively, P = .0166), though this difference was not seen at 12 months (4.94 vs 5.13, P = .2411). Patients with WC had higher RU than patients who did not have WC. Mean index length of hospital stay (LOS) was 2.3 days longer, mean cumulative 1-year LOS was 8.1 days longer, and mean number of hospitalizations was 0.5 occurrences greater for patients with WC compared with patients without WC (all P < .0001). CONCLUSIONS: WC is a frequent complication of IB for CLI, associated with increased risk for major amputation, mortality, and greater RU. Further detailed investigation into the link between female gender and oral anticoagulation use with WC may help identify causes of WC and perhaps prevent or lessen their occurrence. PMID- 18154996 TI - Revascularization for chronic critical lower limb ischemia in octogenarians is worthwhile. AB - OBJECTIVE: Advanced age is considered a relative contraindication for surgical revascularization in patients with peripheral arterial occlusive disease. Our aim was to analyze the usefulness of endovascular and surgical revascularization in patients older than 80 years with chronic critical leg ischemia (CLI). Our hypothesis was that the clinical benefit of lower extremity revascularization is limited in octogenarians. METHODS: This was a prospective cohort study with a 1 year follow-up. Subjects included a consecutive series (January 1999 to June 2004) of patients presenting with CLI. Revascularization cohorts were either open surgical or endovascular with conservatively treated patients as a reference group. Prospective follow-up occurred after 30 days and 2, 6, and 12 months. The primary end point was sustained clinical success, defined as a categorical upward shift in clinical symptoms according to Rutherford, without major amputation and without the need for repeated target extremity revascularization (TER). Secondary clinical success was defined accordingly, including repeated TER. Mortality, major amputation, and TER were separately calculated end points. All results were stratified for age categories of nonoctogenarians (<80 years) and octogenarians (> or =80 years). Cumulative outcome was determined by the Kaplan-Meier method, and differences were assessed by log-rank tests. Multivariable analysis was performed by using Cox proportional regression. RESULTS: A total of 376 patients (158 women; mean age, 75.8 +/- 10.7 years) with 416 critically ischemic limbs were analyzed. Overall, 150 patients (39.9%) were older than 80 years, and 85 limbs were treated surgically (26 octogenarians; 30.6%), 207 limbs (96 octogenarians; 46.4%) were treated by endovascular means, and 124 limbs (45 octogenarians; 36.3%) were treated conservatively, including delayed revascularization procedures. Both sustained and secondary clinical success rates, as well as limb salvage rates, were higher in the revascularization cohorts as compared with conservatively treated patients, regardless of age category (P < .001, P < .001, and P = .006, respectively, by Cox proportional hazard model). Mortality was significantly higher in octogenarians (P = .006 by Cox proportional hazard model), particularly within 30 days after surgical revascularization (hazard ratio, 5.35; 95% confidence interval, 1.15-24.9). Patient age category did not affect the rate of major amputations or TER. CONCLUSIONS: Individually tailored revascularization improves the outcome of CLI in octogenarians as well as in nonoctogenarians; even so, endovascular revascularization should be preferred in octogenarians because of the higher mortality associated with surgery. PMID- 18154997 TI - Accuracy of the screening physical examination to identify subclinical atherosclerosis and peripheral arterial disease in asymptomatic subjects. AB - OBJECTIVES: This study assessed the accuracy of the screening vascular physical examination for predicting asymptomatic peripheral arterial disease (PAD) or subclinical atherosclerosis in asymptomatic and apparently healthy subjects. METHODS: A standardized physical examination and a carotid and femoral ultrasonography were administered to 2736 men and women aged 20 to 90 years old, with no personal history of cardiovascular disease (CVD) and no complaint of neurologic, coronary, or lower limb symptom. We assessed the accuracy of auscultation for bruits and pulse palpation for identifying the presence of significant carotid stenosis, carotid plaque, femoral plaque, and ankle-brachial index (ABI) <0.9 at ultrasonography. RESULTS: The presence of a femoral bruit provided information on the presence of both an ABI <0.9 (positive likelihood ratio [+LR], 2.90; 95% confidence interval [CI], 1.63 to 5.16) and a femoral plaque (+LR, 3.23; 95% CI, 2.22 to 4.71), and this information was independent from the cardiovascular risk factors. The absence of both pedal pulses also provided additional information, beyond risk factors, on the presence of an ABI <0.9 (+LR, 3.57; 95% CI, 1.93 to 6.60). The presence of a carotid bruit did not affect the likelihood of carotid stenosis, plaque, or intima-media thickness above the median. CONCLUSION: Unlike carotid auscultation, pulse palpation and auscultation for femoral bruits provided valuable information on the presence of asymptomatic PAD and underlying atherosclerosis in apparently healthy subjects. PMID- 18154998 TI - Increasing use of endovascular therapy in acute arterial injuries: analysis of the National Trauma Data Bank. AB - OBJECTIVE: The application of endovascular technology for the emergency treatment of traumatic vascular injuries is a new frontier. This study examines recent nationwide use of endovascular therapy in acute arterial traumatic injuries. METHODS: This retrospective study used the National Trauma Data Bank (NTDB). Cases with a diagnosis of arterial vascular injury were identified according to the International Classification of Diseases, Ninth Revision, Clinical Modification, and procedure codes for endovascular therapy were selected. A descriptive analysis and multiple regressions were performed to identify variables predictive of outcomes. RESULTS: From 1994 to 2003, 12,732 arterial injuries were identified. Between 1997 (when the first endovascular repair was recorded in the NTDB) and 2003, 7286 open arterial repairs and 281 endovascular repairs were recorded for an overall utilization rate for endovascular procedures of 3.7%. The yearly number of endovascular procedures registered in the NTDB increased 27-fold, from four in 1997 to 107 in 2003. Use of stents substantially increased from 12 in 2000 to 30 in 2003; endograft use increased from one in 2000 to 37 in 2003. Nearly equal numbers of blunt (n = 134) and penetrating (n = 111) injuries were treated. The injury severity score (median, interquartile range [IRQ]) was significantly lower in patients who underwent an endovascular procedure at 13 (IRQ, 9 to 26) for trauma vs patients requiring an open procedure at 20 (IRQ, 10 to 34; P < .001), a finding corroborated by the lower number of associated injuries in patients undergoing endovascular repair (8.7 +/- 7.2 vs 13.0 +/- 16.1, P < .001). Using multivariable regression to control for differences in injury severity score and associated injuries, mortality was significantly lower for patients undergoing endovascular procedures (odds ratio, 0.18; P = .029) including those with an arterial injury of the torso or head and neck (odds ratio, 0.51, P = .007). Total length of hospital stay also tended to be lower for patients undergoing endovascular procedures by 18% (P = .064). CONCLUSION: The use of endovascular therapy in the setting of acute trauma is increasing in a dramatic fashion and is being used to treat a wide variety of vessels injured by blunt and penetrating mechanisms. Endovascular therapy appears to be particularly suitable for patients who present with less severe injuries and greater hemodynamic stability. These preliminary data suggest that the use of endovascular therapy for acute traumatic arterial injuries yields shorter lengths of stay and improved survival. PMID- 18154999 TI - Traumatic pseudoaneurysms of the head and neck: early endovascular intervention. AB - BACKGROUND: Trauma to the head and neck with military munitions often presents with complex multisystem injury patterns. Vascular evaluation typically focuses on the carotid and vertebral arteries; however, trauma to branches of the external carotid artery may also result in devastating complications. Pseudoaneurysms are the most frequent finding on delayed evaluation and can result in life-threatening episodes of rebleeding. METHODS: Patients evacuated from the Afghanistan and Iraq conflicts with penetrating injury to the face and neck were evaluated by the vascular surgery service to determine the potential for unsuspected vascular injury. Patients with significant penetrating injury underwent computed tomography angiography (CTA) as the initial evaluation and subsequent arteriography in cases where injuries were suspected or metallic fragments produced artifacts obscuring the vasculature. Data on all vascular evaluations were entered prospectively into a database and retrospectively reviewed. RESULTS: Between February 2003 and March 2007, 124 patients were evaluated for significant penetrating trauma to the head and neck. Thirteen pseudoaneurysms of the head and neck were found in 11 patients: two in the internal carotid artery, one of the vertebral artery, and 10 involving branches of the external carotid. Seven pseudoaneurysms were symptomatic, of which two presented with episodes of massive bleeding and airway compromise. Seven pseudoaneurysms were treated with coil embolization, 1 with Gelfoam (Upjohn, Kalamazoo, Mich) embolization, 2 with stent grafts, 2 with open repair, and 1 with observation alone. None of the patients undergoing embolization had complications; however, a stent graft of the internal carotid artery occluded early, without stroke. All of the pseudoaneurysms had resolved on follow-up CTA or angiogram. CONCLUSIONS: Pseudoaneurysms are a common finding in patients with high-velocity gunshot wounds or blast injuries to the head and neck. Most involve branches of the external carotid artery and can be treated by embolization. CTA should be performed on all patients with high-velocity gunshot wounds or in cases of blast trauma with fragmentation injuries of the head and neck. PMID- 18155000 TI - The appropriate length of great saphenous vein stripping should be based on the extent of reflux and not on the intent to avoid saphenous nerve injury. AB - OBJECTIVE: To investigate the effect of stripping the below knee great saphenous vein (GSV) segment on varicose vein recurrence as well as any disability induced after saphenous nerve injury (SNI) during a 5-year period. METHODS: One hundred and six limbs (86 patients, 64 female, mean age 46 years), that underwent GSV stripping, to the knee or ankle level, were prospectively followed up at 1 month and 5 years postoperatively with clinical examination and color duplex imaging (CDI), in order to evaluate SNI and the development of recurrence. The extent of GSV stripping complied with preoperative CDI in 84 limbs (79%) that were subjected to GSV stripping to the ankle and full abolishment of duplex-confirmed reflux. Furthermore, 19 limbs (18%) underwent stripping restricted to the below knee level since the distal GSV was competent. On the contrary, in three limbs (3%), the extent of stripping did not comply with preoperative CDI due to the absence of varicosities in the tibia, and stripping was restricted to the knee level, although they had reflux along the whole GSV length. RESULTS: Overall recurrence was found in 24 out of 106 operated limbs (23%) after 5 years. Recurrence was found to be 20% (17/84) in the limbs with total GSV stripping and 32% (7/22) in the limbs with restricted GSV stripping (P > .05). However, the recurrence rate in the tibial area was significantly lower in limbs subjected to GSV stripping, which was in compliance with the preoperative CDI (9/103, 9%) compared with those that had undergone GSV stripping that was not in agreement with the preoperative CDI (3/3, 100%; P < .005). Neurological examination at 1 month postoperatively, revealed SNI in 17 limbs (16%). However, at the 5-year neurological reassessment, we found that seven out of these limbs (40%) were alleviated from SNI adverse symptoms presenting only deficits in sensation. In addition, no significance was found concerning SNI between limbs subjected to total and restricted GSV stripping (16/84 vs 1/22; P > .05). CONCLUSIONS: Though SNI may occur after both restricted and total GSV stripping, this does not influence limb disability since any related symptoms seem to regress in almost half of the limbs 5 years postoperatively. Additionally, it seems that recurrence could be reduced in the tibial area if the level of GSV stripping complies with the extent of the ultrosonographically proven GSV reflux. Therefore, the extent of GSV stripping should not be guided by the intent of avoiding SNI. PMID- 18155001 TI - Endovenous 980-nm laser treatment of saphenous veins in a series of 500 patients. AB - BACKGROUND: In recent years, endovenous laser treatment (ELT) has been proposed to treat incompetent great saphenous veins (GSV). This study reports the long term outcome of ELT in a series of 500 patients. METHODS: Incompetent GSV segments in 500 patients (436 women, 64 men) with a mean age of 52.6 years (range, 19 to 83 years) were treated with intraluminal ELT using a 980-nm diode laser (Pharaon, Osyris, France). The GSV diameter was measured by Duplex examination in an upright position in different GSV segments (1.5 cm below the saphenofemoral junction, crural segment, condylar segment, and sural segment). These measurements were used to determine the optimal linear endovenous energy density (LEED) for each segment. During treatment, patients were maintained in the Trendelenburg position. Patients were evaluated clinically and by duplex scanning at 1 and 8 days, 1 and 6 months, and at 1, 2, 3, and 4 years to assess treatment efficacy and adverse reactions. RESULTS: A total of 511 GSVs were treated. The mean diameter was 7.5 mm (range, 2.4 to 15.0). The LEED was tuned as a function of the initial GSV diameter measured in the orthostatic position, from 50 J/cm (3 mm) up to 120 J/cm (15 mm). At the 1-week follow-up, 9.3% of the patients reported moderate pain. In the immediate postoperative period, the closure rate was 98.0% and remained constant during the 4-year follow-up to reach 97.1%. After 1 year, a complete disappearance of the GSV or minimal residual fibrous cord was noted. Major complications have not been detected; in particular, no deep venous thrombosis. Ecchymoses were seen in 60%, transitory paresthesia was observed in 7%. There was no dyschromia, superficial burns, thrombophlebitis, or palpable indurations. Complementary phlebectomy was done in 98% of patients. Failures occurred only in large veins (saphenofemoral junction diameter >1.1 cm or for GSV truncular diameter >0.8 cm) CONCLUSION: ELT of the incompetent GSV with a 980-nm diode laser appears to be an extremely safe technique, particularly when the energy applied is calculated as a function of the GSV diameter. It is associated with only minor effects. Currently, ELT has become the method of choice for treating superficial veins and has almost replaced the treatment of traditional ligation and stripping. PMID- 18155002 TI - Sphingosine-1-phosphate-induced oxygen free radical generation in smooth muscle cell migration requires Galpha12/13 protein-mediated phospholipase C activation. AB - BACKGROUND: Sphingosine-1-phosphate (S-1-P) is a bioactive sphingolipid that stimulates the migration of vascular smooth muscle cell (VSMC) through G-protein coupled receptors; it has been shown to activate reduced nicotinamide dinucleotide phosphate hydrogen (NAD[P]H) oxidase. The role of phospholipase C (PLC) in oxygen free radical generation, and the regulation of VSMC migration in response to S-1-P, are poorly understood. METHODS: Rat arterial VSMC were cultured in vitro. Oxygen free radical generation was measured by fluorescent redox indicator assays in response to S-1-P (0.1microM) in the presence and absence of the active PLC inhibitor (U73122; U7, 10nM) or its inactive analog U73343 (InactiveU7, 10nM). Activation of PLC was assessed by immunoprecipitation and Western blotting for the phosphorylated isozymes (beta and gamma). Small interfering (si) RNA to the G-proteins Galphai, Galphaq, and Galpha12/13 was used to downregulate specific proteins. Statistics were by one-way analysis of variance (n = 6). RESULTS: S-1-P induced time-dependent activation of PLC-beta and PLC-gamma; PLC-beta but not PLC-gamma activation was blocked by U7 but not by InactiveU7. PLC-beta activation was Galphai-independent (not blocked by pertussis toxin, a Galphai inhibitor, or Galphai2 and Galphai3 siRNA) and Galphaq independent (not blocked by glycoprotein [GP] 2A, a Galphaq inhibitor, or Galphaq siRNA). PLC-beta activation and cell migration was blocked by siRNA to Galpha12/13. Oxygen free radical generation induced by S-1-P, as measured by dihydroethidium staining, was significantly inhibited by U7 but not by InactiveU7. Inhibition of oxygen free radicals with the inhibitor diphenyleneiodonium resulted in decreased cell migration to S-1-P. VSMC mitogen activated protein kinase activation and VSMC migration in response to S-1-P was inhibited by PLC- inhibition. CONCLUSION: S-1-P induces oxygen free radical generation through a Galpha12/13, PLC-beta-mediated mechanism that facilitates VSMC migration. To our knowledge, this is the first description of PLC-mediated oxygen free radical generation as a mediator of S-1-P VSMC migration and illustrates the need for the definition of cell signaling to allow targeted strategies in molecular therapeutics for restenosis. PMID- 18155003 TI - Cysteine protease activity in the wall of abdominal aortic aneurysms. AB - BACKGROUND: Cysteine proteases are potent elastolytic enzymes and together with their inhibitor, cystatin C, have been linked with the growth of abdominal aortic aneurysms (AAAs). These enzymes and their inhibitors have previously been studied in AAAs, but comparisons have always been made with wall from normal aorta. Atherosclerosis is a feature of aneurysmal disease and may therefore confound comparisons with normal wall. This study compared the expression and activity of cysteine proteases and their inhibitors in aneurysm wall with their expression in the aortic wall of patients with aortic occlusive disease (AOD). METHODS: Aortic wall was obtained from 82 patients with AAA and 13 with AOD. Protein expression and activity of cathepsin B, H, K, L and S, and cystatins A, B, and C were measured by enzyme-linked immunosorbent assay and specific fluorogenic substrate assays. Matrix metalloproteinase 9 (MMP-9) activity was measured by quantitative bioimmunoassay in the same extracts. RESULTS: AAA wall had 330% more cathepsin H protein (P = .007) and >30% less cystatin C (P = .03) than the aortic wall from patients with AOD. The activity of cathepsins B, H, L, and S was significantly greater in AAA than AOD (376%, [P < .0001], 191%, [P = 0.019], 223%, P = 0.002, and approximately 20% [P = 0.045] respectively). MMP-9 activity was also increased in AAA compared with AOD (P<0.0001) and levels in the wall of AAA correlated positively with cathepsin L activity (r = 0.42, P<.0001) and negatively with cystatin C (r = -0.75, P<.0001). CONCLUSIONS: The activity of four cathepsins B, H, L, and S was higher in the aneurysm wall than in aortic wall of patients with occlusive disease. This was associated with a reduced level of cystatin C in the aneurysmal wall. Cathepsin H was the only protein in which there was a correlation between protein level and activity, which suggests that post-translational modifications were responsible for activation of the other cathepsins. Increased cathepsin activity may influence the activity of MMP-9, which is thought to have an important role in aneurysm development. PMID- 18155004 TI - Aortic dissection originating from an aberrant right subclavian artery. AB - A 47-year-old male patient presented with aortic dissection originating from an aberrant right subclavian artery. Intraoperative arteriography showed an anomaly of the aortic arch including a common carotid trunk and an aberrant right subclavian artery. An intimal tear was located in the aberrant right subclavian artery. Dissection retrogradely involved the aortic arch and then anterogradely involved the distal aorta. We treated the patient endovascularly with a Wallgraft endoprosthesis deployed in the aberrant right subclavian artery to seal the entry site. Follow-up computed tomography showed a satisfactory healing process with complete thrombosis in the proximal part of the false lumen. PMID- 18155005 TI - Dual guidewire placement to enhance arch vessel origin identification: a simple technique to facilitate ostial aortic arch vessel stenting. AB - Orificial occlusive lesion involving the aortic arch vessels is commonly treated with balloon-expandable stent placement. Stenting of such a lesion typically involves an initial aortogram to precisely identify the vessel origin, followed by deployment of a balloon-expandable stent to cover the ostial lesion. We report a simple technique of an antegrade femoral guidewire placement along the outer curvature of the aortic arch to facilitate the identification of the origin of aortic arch vessels. This enhanced ostial visualization enables a precise positioning and deployment of a balloon-expandable stent in aortic arch vessels. This dual guidewire technique facilitates the visual identification of arch vessel origin and reduces potential contrast requirement, which provides procedural benefit in patients with renal insufficiency or contrast allergy. PMID- 18155006 TI - Infected abdominal aortic aneurysm caused by Brucella abortus: a case report. AB - This case report describes an infected aneurysm caused by Brucella abortus. To the best of our knowledge, this case represents the first reported occurrence of an infected abdominal aortic aneurysm caused by this pathogen. The clinical findings included mild fever, fatigue, cold sweats, and abdominal pain. The diagnosis was reached by computed tomography scanning. The patient was treated by urgent surgery, which consisted of resection of the aneurysmal sac, prosthetic graft replacement, and omental wrapping. Antibiotics were administrated for 3 months. A bacteriologic specimen was isolated from the blood culture. At 1 year 10 months after surgery, the patient remains in good health. PMID- 18155007 TI - Autologous repair of an internal carotid artery aneurysm by resection, caliber reduction, and external mesh tube reinforcement in a 9-year-old boy. AB - Extracranial internal carotid artery aneurysms in children are rare, with a reported incidence of 0.5% to 1.9% in internal carotid artery aneurysm operations compared with all carotid operations in adult patients. We report a case of surgical reconstruction of an extracranial internal carotid artery aneurysm in a 9-year-old boy. Our patient complained of episodic neck pain on the left site under the mastoid process for the last year. The child was otherwise healthy. Autologous reconstruction without graft interposition was planned. Surgical repair was performed by resection of the main body of the aneurysm and restoration of the arterial continuity with end-to-end anastomosis. Because nondilated proximal and distal vessels could not be approximated, the most distal end of the aneurysm was tapered over a mandril. To prevent redilation, a tubular polyester external stent was fitted around the diseased segment. PMID- 18155008 TI - True aneurysm of a metatarsal artery. PMID- 18155009 TI - Bedside vena cava filter placement with intravascular ultrasound: a simple, accurate, single venous access method. AB - Two techniques of vena cava filter placement with intravascular ultrasound (IVUS) guidance have been described previously. Placement with real-time IVUS imaging requires two venous access sites, one for the filter delivery system and one for the IVUS catheter, which makes the procedure more invasive. Alternatively, a single-access technique of IVUS imaging of the vena cava requires measuring the distance from the access site to the desired location for filter placement and then delivering the filter to that distance blindly, risking filter misplacement. We describe in this article a single puncture technique that allows for real-time imaging to position the filter delivery sheath using IVUS and reduces the uncertainty of the blind positioning of the filter delivery system. PMID- 18155010 TI - Medical tort falls short in court. PMID- 18155011 TI - Regarding "Screening for abdominal aortic aneurysm reduces both aneurysm-related and all-cause mortality". PMID- 18155012 TI - Recognition of Air Force surgeons at Wilford Hall Medical Center-supported 332nd EMDG/Air Force Theater Hospital, Balad Air Base, Iraq. PMID- 18155015 TI - Novel numerical method for calculating initial flux of colloid particle adsorption through an energy barrier. AB - Using variable substitution, we present a general method for the numerical solution of stiff, ordinary, linear, homogeneous differential equations characteristic of colloid particle adsorption/deposition over an energy barrier. For the example of the radial impinging jet system, we demonstrate the application of this method of calculating the colloid concentration profile and initial particle flux in the presence of repulsive electrostatic interactions between the particle and adsorption surface. We show that our method works well in systems with energy barriers up to the order of hundreds of kT, at which point the adsorption flux vanishes. The numerical results obtained with our method are in good agreement with the known limiting analytical approximations for the particle flux through an energy barrier and for a low Peclet number. The developed numerical code is very stable over a wide range of physical parameters, and its accuracy for the most challenging parameter sets is on the order of 10( 4). To achieve this stability, we have derived and employed a single formula for the van der Waals dispersion interaction, working at both a small and a large separation distance. We show that this formula converges to the known available analytical expressions for dispersion forces in the limit of small and large separation distance. We also demonstrate that the maximum deviations between our formula and the other equations appear in the intermediate range of the separation distance and do not exceed 10%. PMID- 18155016 TI - Layer-by-layer assembled gold nanoparticle films on amine-terminated substrates. AB - This work reports the fabrication and characterization of multilayered gold nanoparticle (AuNP) thin films on aminosilane functionalized substrates. The films are fabricated via layer-by-layer (LbL) assembly using as-synthesized, un modified AuNPs and poly(allylamine hydrochloride) as the building blocks. While most literature reports that AuNP based LbL assemblies are constructed with a single interlayer binding force, this work shows that both coordination and electrostatic interaction are involved in the process of assembly based on X-ray photoelectron spectroscopic results. The stepwise film growth behavior is demonstrated by atomic force spectroscopy and UV-vis spectroscopy. It is found that the particles agglomerate with each other and form large clusters when the number of assembled layers increases. PMID- 18155017 TI - Electrical impedance spectroscopy investigation of surfactant-magnetite polypyrrole particles. AB - We report an electrical impedance spectroscopy (EIS) characterization of composite systems formed by emulsion polymerization of polypyrrole (PPY) in concentrated aqueous solutions of sodium dodecyl sulfate (SDS) containing dispersed magnetite particles. SDS-(Fe3O4)-(conducting polymer) microaggregates with different iron contents were prepared by varying in a reciprocal manner the relative amounts of the metal oxide and PPY. We have measured the zeta-potential and the average size of the corresponding dispersed particles and examined their relative composition through energy dispersive X-ray (EDX) microanalysis and Fourier transform infrared (FTIR) spectroscopy. Important aspects of the charge transport in these composite particles can be identified by mapping the real and imaginary parts of their complex impedance as a function of the frequency of the applied external electric field. For instance, for binary composites SDS-(Fe3O4) polarization effects are dominant at the low-frequency regime, with a well defined dielectric relaxation easily identifiable. On the other hand, when the relative amount of PPY is progressively increased in the ternary SDS-(Fe3O4)-PPY composites, a transition between different charge transport mechanisms is observed at higher frequencies. The EIS results suggest that in these ternary aggregates the PPY chains envelop the metal oxide clusters and effectively shield them from the external field, and that only in binary samples that do not contain PPY is that the surfactant molecules can directly enclose the magnetite particles. These results are consistent with the fact that the average size of the aggregates in the ternary composites is in general larger than those of either SDS-PPY or SDS-magnetite binary particles. PMID- 18155018 TI - Aggregation behavior of a series of anionic sulfonate gemini surfactants and their corresponding monomeric surfactant. AB - A series of anionic sulfonate gemini surfactants with the general structure of [(Cn H2n+1)(C3H6SO(-)3) NCsN(C3H6SO(-)3)(CnH2n+1)].2Na+ have been synthesized. While the spacer group Cs represents p-xylyl or (CH2)3, the surfactants are abbreviated as CnCpxCn(SO3)2 (n=8,10,12) or C12C3C12(SO3)2(n=12), respectively. A corresponding monomeric surfactant C12H25N(CH3)(C3H6SO(-)3).Na+(C12NSO3) has also been prepared. The aggregation behavior of these surfactants has been studied at pH 9.2 and ionic strength of 30 mM. The gemini surfactants exhibit stronger aggregation tendencies and much less endothermic enthalpy changes of micellization (DeltaH mic) compared with the monomeric surfactant. The critical micelle concentrations (CMC) of the gemini surfactants decrease with the increase of the hydrophobic chain length from C8CpxC8(SO3)2 to C10CpxC10(SO3)2, but the CMC values of C10CpxC10(SO3)2 and C12CpxC12(SO3)2 are very close. The DeltaH mic values vary from endothermic for C8CpxC8(SO3)2 to almost zero for C12CpxC12(SO3)2. Besides, vesicles are observed above the CMC for all these surfactants. The water-mediated intermolecular hydrogen bonding between the tertiary nitrogen groups may assist C12NSO3 and C12C3C12(SO3)2 in their vesicle formation, while the pi-pi interaction between aromatic rings should be another additional driving force for the vesicle formation of CnCpxCn(SO3)2. Meanwhile, the hydrogen bonding, pi-pi interaction, and strong hydrophobic interaction provide the possibility of a multilayer formation for C12CpxC12(SO3)2 and C12C3C12(SO3)2 at the air/water interface, which is a possible reason for the extremely small minimum area occupied per surfactant molecule at the air/water interface for these two gemini surfactants. PMID- 18155019 TI - Self-assembly properties of some chiral N-palmitoyl amino acid surfactants in aqueous solution. AB - Various chiral N-palmitoyl amino acid surfactants (AAS) derived from methionine, proline, leucine, threonine, phenylalanine and phenylglycine were prepared and converted to their sodium salt. The properties of the aggregates formed in aqueous solution were studied for both the optically-active compounds and their racemic mixture. Characterization was made by surface tensiometry, fluorimetry, dynamic light scattering, circular dichroism (CD) and transmission electron microscopy. It appeared that most of the AAS studied in this work spontaneously formed different types of aggregates, including micrometer-sized aggregates. No significant difference could be found between the critical aggregation concentration (cac) value of pure enantiomers and that of the racemic forms. CD spectra did not reveal any aggregation-induced chirality. PMID- 18155020 TI - A strategy for bacterial production of a soluble functional human neonatal Fc receptor. AB - The major histocompatibility complex (MHC) class I related receptor, the neonatal Fc receptor (FcRn), rescues immunoglobulin G (IgG) and albumin from lysosomal degradation by recycling in endothelial cells. FcRn also contributes to passive immunity by mediating transport of IgG from mother to fetus (human) or newborn (rodents), and may translocate IgG over mucosal surfaces. FcRn interacts with the Fc-region of IgG and domain III of albumin with binding at pH 6.0 and release at pH 7.4. Knowledge of these interactions has facilitated design of recombinant proteins with altered serum half-lives and/or altered biodistribution. To generate further research in this field, there is a great need for large amounts of soluble human FcRn (shFcRn) for in vitro interaction studies. In this report, we describe a novel laboratory scale production of functional shFcRn in Escherichia coli (E. coli) at milligram level. Truncated wild type hFcRn heavy chains were expressed, extracted, purified from inclusion bodies under denaturing non-reducing conditions, and subsequently refolded in the presence of human beta(2)-microglobulin (hbeta(2)m). The secondary structural elements of refolded heterodimeric shFcRn were correctly formed as demonstrated by circular dichroism (CD). Furthermore, functional and stringent pH dependent binding to IgG and human serum albumin were demonstrated by ELISA and surface plasmon resonance (SPR). This method may be easily adapted for the expression of large amounts of other FcRn species and MHC class I related molecules. PMID- 18155021 TI - T cells for suicide gene therapy: activation, functionality and clinical relevance. AB - In order to control graft-versus-host disease after donor lymphocyte infusion, T cells can be retrovirally transduced with a suicide gene. However, the immune competence of activated T cells appears compromised, responsible for reduced alloreactivity. The present study compared different activation protocols using soluble or bead-coupled antibodies regarding T-cell subtype expansion capacity and functionality. T cells were purified on a laboratory and clinical scale using both CD3 and CD4/CD8 antibodies for selection, leading to a mean purity of 96%. Transductions were performed with a GMP-grade CD34/HSV-TK vector. Activation with soluble CD3/CD28-antibodies +1000 U/ml IL-2 induced a 50-fold expansion of T cells over 14 days, whereas T cells activated with bead-coupled antibodies only expanded 2-4-fold restricted to the first week. Apart from using soluble antibodies, proliferation was highly IL-2 dependent. Expansion of CMV-specific T cells coincided with the expansion of whole CD3(+) cells. Soluble antibodies and higher IL-2 concentrations preferentially stimulated CD8(+) T cells, while bead coupled antibodies +20 U/ml IL-2 preserved the CD4/CD8 ratio. Irrespective of the activation protocol, there was a shift from a naive to memory phenotype. When activated with soluble antibodies, mainly CD8(+) T cells were transduced. Furthermore, Th1/Th2 cytokine secretion was reduced. In contrast, CD4(+)/CD8(+) T cells activated with bead-coupled antibodies were rather homogenously transduced and cytokine secretion did not appear to be affected. PMID- 18155022 TI - Modulation of the atrial specific Kv1.5 channel by the n-3 polyunsaturated fatty acid, alpha-linolenic acid. AB - Epidemiological, clinical and experimental studies suggest that the cardioprotective effect of fish intake is mainly due to the antiarrhythmic properties of marine n-3 polyunsaturated fatty acids (PUFA), which modulate ion currents. Emerging evidences point to similar effects of alpha-linolenic acid (ALA), a vegetable n-3 PUFA, but much less is known about its effects on the specific cardiac ion channels. Using electrophysiology, protein biochemistry and fluorescence anisotropy measurements, we tested the effects of ALA on the atrial specific Kv1.5 channel. In stably transfected Ltk(-) cells, ALA blocked Kv1.5 channels in a time- and voltage-dependent manner with an IC(50) value of 3.7+/ 0.3 microM. ALA at 2.5 microM inhibited the Kv1.5 current, shifted the midpoint of the activation curve by -8.8+/-4.3 mV (p<0.05), accelerated the activation kinetics of Kv1.5 due to a negative shift in its voltage dependency and slowed its deactivation process. Marine n-3 PUFA eicosapentaenoic and docosahexaenoic (EPA and DHA) acids, but not ALA, reduced the steady-state levels of Kv1.5 protein. DHA, but not ALA, increased the cell membrane order parameter. These results demonstrate that ALA directly blocks atria-specific Kv1.5 channels without modifying their expression or the bilayer order. Together, these effects suggest that the antiarrhythmic potential of diets enriched with plant-derived n 3 PUFA result, in part, from direct effects on cardiac ion channels. PMID- 18155023 TI - Research with adolescents: parental involvement required? PMID- 18155024 TI - Ethical approaches to adolescent participation in sexual health research. AB - PURPOSE: In this paper we make the case for the importance of adolescent sexual health research, and argue that requiring parental consent for adolescent participation may (a) be unwarranted, (b) be inconsistent with the principles of justice and inclusiveness, (c) be confusing, and (d) serve to silence young people who most need to have a voice in sexual health research. METHODS: Through a case study of the Toronto Teen Survey, we offer concrete suggestions and alternatives for protecting adolescent health research participants in community based settings and promoting ethical research approaches. RESULTS: Strategies suggested include: (1) adopting a community-based participatory research approach, (2) careful attention to youth-friendly protocols and consent procedures, (3) proper training of all research staff and peer researchers, (4) partnering with experienced community based youth-serving agencies, (5) paying maximum attention to issues of confidentiality and anonymity, and (6) valuing participation appropriately. CONCLUSIONS: Institutional review boards and researchers should be encouraged to adopt localized context-dependent strategies that attend to the unique vulnerabilities of their particular study populations. Attention to flexibility, vulnerability, and community-specific needs is necessary to ensure appropriate ethical research practices that attend to the health and well-being of young people. PMID- 18155025 TI - Antibullying legislation: a public health perspective. AB - PURPOSE: To determine the extent to which aspects of public health policy have been incorporated into the antibullying statutes enacted in the United States. METHODS: We reviewed all the state laws dealing with school bullying, harassment, and/or intimidation enacted in the United States as of June 2007. These laws were evaluated using an Antibullying Public Health Policy Criteria Index, designed for the purpose of this study. The criteria included presence of a bullying definition, a prohibition of bullying, a statutory recognition of bullying as a public health threat, and a call for prevention programs. As part of that evaluation, laws were examined to ascertain whether they evidenced essential elements of public health concerns and also the extent to which the U.S. school age population was protected by these laws. RESULTS: As of June 2007, 35 states have enacted antibullying legislation that aims to protect the safety of 77% of U.S. students enrolled in public schools. However, only 16 of those states have enacted statutes that incorporate comprehensive basic public health antibullying principles. CONCLUSIONS: There is an urgent need for implementation of school bullying prevention laws. Such laws should clearly define the problem of bullying in schools and its associated health risks, prohibit bullying, require implementation of prevention programs, provide funding for prevention activities, and confer adequate and appropriate jurisdiction. PMID- 18155026 TI - Longitudinal associations between problem alcohol use and violent victimization in a national sample of adolescents. AB - PURPOSE: Research indicates that alcohol use is both a risk factor for and a consequence of violent victimization. This study investigated the longitudinal associations between problem alcohol use and victimization, and whether these associations varied by gender. METHODS: Data from the National Longitudinal Study on Adolescent Health (Add Health) were used to investigate the prospective associations between alcohol use and victimization over three time points spanning 7 years. Because adolescence is a time of rapid growth, we used latent growth modeling (LGM) in addition to traditional cross-lagged structural equation modeling (SEM). RESULTS: For boys, both SEM and LGM indicated that problem alcohol use was a risk factor for subsequent violent victimization. For girls, the SEM suggested a bi-directional association, although the LGM provided stronger support for problem alcohol use as a risk factor for, rather than a consequence of, violent victimization. CONCLUSIONS: Findings across the two statistical approaches suggest that interventions that reduce the likelihood of problem alcohol use among adolescents can minimize the short-term risk of victimization and the long-term risk of problem alcohol use in young adulthood. PMID- 18155027 TI - Receptivity to alcohol marketing predicts initiation of alcohol use. AB - PURPOSE: This longitudinal study examined the influence of alcohol advertising and promotions on the initiation of alcohol use. A measure of receptivity to alcohol marketing was developed from research about tobacco marketing. Recall and recognition of alcohol brand names were also examined. METHODS: Data were obtained from in-class surveys of sixth, seventh, and eighth graders at baseline and 12-month follow-up. Participants who were classified as never drinkers at baseline (n = 1,080) comprised the analysis sample. Logistic regression models examined the association of advertising receptivity at baseline with any alcohol use and current drinking at follow-up, adjusting for multiple risk factors, including peer alcohol use, school performance, risk taking, and demographics. RESULTS: At baseline, 29% of never drinkers either owned or wanted to use an alcohol branded promotional item (high receptivity), 12% students named the brand of their favorite alcohol ad (moderate receptivity), and 59% were not receptive to alcohol marketing. Approximately 29% of adolescents reported any alcohol use at follow-up; 13% reported drinking at least 1 or 2 days in the past month. Never drinkers who reported high receptivity to alcohol marketing at baseline were 77% more likely to initiate drinking by follow-up than those were not receptive. Smaller increases in the odds of alcohol use at follow-up were associated with better recall and recognition of alcohol brand names at baseline. CONCLUSIONS: Alcohol advertising and promotions are associated with the uptake of drinking. Prevention programs may reduce adolescents' receptivity to alcohol marketing by limiting their exposure to alcohol ads and promotions and by increasing their skepticism about the sponsors' marketing tactics. PMID- 18155028 TI - Initiation of methamphetamine use among young Thai drug users: a qualitative study. AB - PURPOSE: Methamphetamine (MA) has become the leading drug of abuse in northern Thailand over the past several years, particularly among youth. The current qualitative study examines factors associated with initiation of MA use. METHODS: Between March 2002 and January 2003, 48 in-depth interviews with young MA users were conducted in advance of a randomized, MA harm reduction, peer outreach intervention trial. The interviews were conducted in the city of Chiang Mai and the surrounding district. Data were inductively analyzed using the constant comparative method common to grounded theory methods. Atlas-ti was used for data management. RESULTS: Participants were 57% male and had a median age of 20 years (range 15-31 years). A culture of MA ubiquity characterized participants' initiation stories. Drug ubiquity encompassed three elements: the extent of MA use within peer networks; the availability of MA; and exposure to MA before initiation. All participants were introduced to MA by people close to them, most often by their friends. Internal reasons for trying MA were curiosity, a way to lose weight or to enhance hard work, and a way to "forget life's problems." With the prevalence of MA use among participants' peers, initiation seemed inevitable. CONCLUSIONS: Initiation was characterized as ubiquitous in terms of peer networks' use and availability. Because of the prevalent norm of MA use, these data indicate that interventions targeting social networks and young Thais before MA initiation are needed. PMID- 18155029 TI - Environmental injustice: childhood lead poisoning, teen pregnancy, and tobacco. AB - PURPOSE: This study investigates the persistent relationships between childhood lead exposure, repeat teen pregnancy, and tobacco use in a sample of teenage females in Syracuse, NY. METHODS: We analyzed the association of childhood lead poisoning with repeat pregnancy and tobacco use among 536 teens (aged 15-19 years) in Syracuse, NY, who received services at Syracuse Healthy Start between 1998 and 2002. RESULTS: The mothers' childhood lead exposure, controlling for race, age, and Medicaid status, was associated with repeat teen pregnancy and tobacco use. CONCLUSION: Long-term negative health outcomes associated with childhood lead exposure should not be underestimated. This study helps to shore up prior research that found lead poisoning to have a long-lasting impact on children's functioning and healthy development. Policy efforts focused on neighborhood development and health education continue to be sorely needed. PMID- 18155030 TI - Socioeconomic disparities in the prevalence of work-related injuries among adolescents in the United States. AB - PURPOSE: To explore whether socioeconomic disparities exist in the prevalence of work-related injury among adolescents ages 14-18 in the United States. METHODS: A cross-sectional analysis of previously collected survey data was performed. Data were gathered in a single metropolitan high school and included work-related injury prevalence and two measures of socioeconomic status (SES): mother's education level and working to support one's family. Because of the high prevalence of our outcome, Cox regression was used to calculate prevalence ratios. RESULTS: Evidence of an inverse association between adolescents' SES and prevalence of work-related injuries was found. A statistically significant dose response relationship remained after controlling for hours worked per week, work history duration and race (Wald-test, 3 df, p = .039). A 30% drop in prevalence of work-related injuries was found between the lowest and highest level of mother's education. In addition, adolescents who worked to support their families had an elevated prevalence of work-related injury (adjusted prevalence ratio = 1.25, 95% confidence interval [1.07, 1.46]). Race stratified results showed the associations between injury and both measures of SES were strongest among whites in this sample. CONCLUSIONS: Results support the hypothesized protective effect of parental SES on the prevalence of work-related injuries among adolescents. More research is needed to test this association in a larger population and to understand the pathways that might explain it. Collection of SES measures in surveillance systems that gather data on work-related injuries is recommended to support new research on this topic. PMID- 18155031 TI - Do chronic medical conditions increase the risk of eating disorder? A cross sectional investigation of eating pathology in adolescent females with scoliosis and diabetes. AB - PURPOSE: To investigate levels of eating pathology in female adolescents diagnosed with a chronic condition causing appearance change (adolescent-onset idiopathic scoliosis), a chronic condition affecting nutritional behavior (insulin-dependent diabetes mellitus), and healthy age-matched controls. METHOD: Cross-sectional comparison of 192 females aged 11-19 years; 76 individuals diagnosed with scoliosis, 40 diagnosed with diabetes, and 76 control participants. Disordered eating behavior was quantified using the Eating Disorder Examination Questionnaire, and weight and body mass index (weight [kg]/height [m(2)]) measurements were taken for each participant. RESULTS: The scoliosis group weighed less and had lower BMI scores (p < .001) than control participants. Of the participants with scoliosis, 25% were severely underweight, but only two met the behavioral criteria for anorexia nervosa; in others no association with disordered eating behaviour was found. Eating disorders were significantly more common (p < .05) in the diabetes participants than in the control group, with 27.5% of the group classified as having bulimia or binge eating disorder. All those classified as overweight or obese in the diabetes group were classified as pathological in terms of eating behavior. CONCLUSIONS: The relationship between scoliosis and low body mass is a concern but is not a result of an eating disorder. Etiological mechanisms remain unclear and require further investigation. In the diabetes participants, bulimia and binge eating may prejudice effective condition management. Implications for successful adaptation, treatment intervention, and future research are discussed. PMID- 18155032 TI - Examining an integrative model of physical activity and healthy eating self perceptions and behaviors among adolescents. AB - PURPOSE: This study tested a comprehensive model of physical activity and healthy eating behavior. METHODS: A sample of older adolescents (boys n = 206, girls n = 326) volunteered to complete a scientifically supported questionnaire assessing physical activity and healthy eating perceptions of competence, values, and behaviors once during class time. RESULTS: Confirmatory factor analysis suggested the data fit the model well. Tests of group differences supported factorial invariance, and revealed higher physical activity perceptions of competence, value, and behavior as well as lower healthy diet value and behavior for adolescent boys compared with girls. Perceptions of competence for healthy diet were also higher among boys. Path modeling demonstrated a good model fit, whereby behavior-specific perceptions of competence and values were significant correlates of physical activity for the total sample and subsamples of boys and girls (R(2) = .41-.53). Perceptions of competence and values were also significant correlates of healthy diet for the total sample (R(2) = .34) and boys (R(2) = .42). Subjective values were significant correlates of healthy diet for girls (R(2) = .30). Structural invariance suggested that the models were not significantly different for adolescent boys and girls. CONCLUSIONS: These results demonstrate the saliency of the comprehensive model in understanding physical activity and healthy eating behaviors among older adolescents. Further tests of the model are needed to advance theory exploring both physical activity and healthy eating behaviors, and to inform intervention strategies targeting adolescent health. PMID- 18155033 TI - Who's doing it? Patterns and predictors of youths' oral sexual experiences. AB - PURPOSE: To describe patterns of heterosexual oral sexual experience in a nationally representative sample of youth aged 15 to 21 and identify social and demographic correlates of oral sexual experience among youth who had not engaged in vaginal intercourse. METHODS: Descriptive analysis and multinomial logistic regression using data from Cycle 6 of the National Survey of Family Growth, conducted in 2002. RESULTS: More youth with coital experience than virgin youth had oral sexual experience, and the proportion of both groups with oral sexual experience increased with age. Having received oral sex was more common than having given it, regardless of virginity status and gender. Although fewer females than males had ever-received oral sex, equal proportions of females and males had ever-given. Multivariate analyses revealed that white females were more likely than black females, and white males were more likely than black and Hispanic males to be virgins and to have had oral but not vaginal sex. Intact family structure, a college-educated mother, and no religious affiliation were associated with higher odds of oral sexual experience among virgin females, whereas intact family structure, no religious service attendance, and central city residence were associated with higher odds of oral sexual experience among virgin males. CONCLUSIONS: Oral sex with an opposite-gender partner is an established component of youths' initial sexual experiences, regardless of virginity status. Information on the risks of oral-genital contact should be integrated into sexual education programs targeted to youth. PMID- 18155034 TI - Native Teen Voices: adolescent pregnancy prevention recommendations. AB - PURPOSE: American Indian adolescent pregnancy rates are high, yet little is known about how Native youth view primary pregnancy prevention. The aim was to identify pregnancy prevention strategies from the perspectives of both male and female urban Native youth to inform program development. METHODS: Native Teen Voices (NTV) was a community-based participatory action research study in Minneapolis and St. Paul, Minnesota. Twenty focus groups were held with 148 Native youth who had never been involved in a pregnancy. Groups were stratified by age (13-15 and 16-18 years) and sex. Participants were asked what they would do to prevent adolescent pregnancy if they were in charge of programs for Native youth. Content analyses were used to identify and categorize the range and types of participants' recommendations within and across the age and sex cohorts. RESULTS: Participants in all cohorts emphasized the following themes: show the consequences of adolescent pregnancy; enhance and develop more pregnancy prevention programs for Native youth in schools and community-based organizations; improve access to contraceptives; discuss teen pregnancy with Native youth; and use key messages and media to reach Native youth. CONCLUSIONS: Native youth perceived limited access to comprehensive pregnancy prevention education, community-based programs and contraceptives. They suggested a variety of venues and mechanisms to address gaps in sexual health services and emphasized enhancing school-based resources and involving knowledgeable Native peers and elders in school and community-based adolescent pregnancy prevention initiatives. A few recommendations varied by age and sex, consistent with differences in cognitive and emotional development. PMID- 18155035 TI - The association between sex education and youth's engagement in sexual intercourse, age at first intercourse, and birth control use at first sex. AB - PURPOSE: Sex education is intended to provide youth with the information and skills needed to make healthy and informed decisions about sex. This study examined whether exposure to formal sex education is associated with three sexual behaviors: ever had sexual intercourse, age at first episode of sexual intercourse, and use of birth control at first intercourse. METHODS: Data used were from the 2002 National Survey of Family Growth, a nationally representative survey. The sample included 2019 never-married males and females aged 15-19 years. Bivariate and multivariate analyses were conducted using SUDAAN. Interactions among subgroups were also explored. RESULTS: Receiving sex education was associated with not having had sexual intercourse among males (OR = .42, 95% CI = .25-.69) and postponing sexual intercourse until age 15 among both females (OR = .41, 95% CI = .21-.77) and males (OR = .29, 95% CI = .17-.48). Males attending school who had received sex education were also more likely to use birth control the first time they had sexual intercourse (OR = 2.77, 95% CI = 1.13-6.81); however, no associations were found among females between receipt of sex education and birth control use. These patterns varied among sociodemographic subgroups. CONCLUSIONS: Formal sex education may effectively reduce adolescent sexual risk behaviors when provided before sexual initiation. Sex education was found to be particularly important for subgroups that are traditionally at high risk for early initiation of sex and for contracting sexually transmitted diseases. PMID- 18155036 TI - Adolescent females and hormonal contraception: a retrospective study in primary care. AB - PURPOSE: The aim of this study was to assess change in the number of adolescent females prescribed hormonal contraception in primary care following the publication in the United Kingdom of the Social Exclusion Unit report on Teenage Pregnancy. METHODS: We conducted a retrospective observational study of 320 primary care practices in Scotland. Hormonal contraceptive prescribing to girls aged <16 years and those aged 16-19 years was assessed for April 1 to March 31 for the study years 2000-2001 to 2005-2006 from Scottish primary care practice data. RESULTS: Between 2000-2001 and 2005-2006, the proportion of girls aged <16 years and those 16-19 years who were prescribed hormonal contraception by their primary care physicians increased by 82% (p < .001) and 53% (p < .001) respectively. The increase became significant from age 12 years for the combined oral contraceptive, 14 years for the progestogen-only pill, and 15 years for depot progestogens. By 2005-2006, 2.9% of girls aged <16 years and 40.5% of those aged 16-19 years were prescribed some form of hormonal contraception by their primary care physicians. The small number of girls aged <12 years who were prescribed hormonal contraception remained constant over the study period. CONCLUSIONS: Since the publication in the United Kingdom of the Social Exclusion Unit Report on Teenage Pregnancy, there has been a significant increase in the number of female adolescents aged > or =12 years prescribed hormonal contraception by their primary care physicians. However the number of individuals prescribed hormonal contraception still remains relatively low in comparison to the reported levels of sexual activity among adolescents in the United Kingdom. PMID- 18155037 TI - A novel economic intervention to reduce HIV risks among school-going AIDS orphans in rural Uganda. AB - This study tested an economic intervention to reduce HIV risks among AIDS orphaned adolescents. Adolescents (n = 96) were randomly assigned to receive the intervention or usual care for orphans in Uganda. Data obtained at baseline and 12-month follow-up revealed significant differences between the treatment and control groups in HIV prevention attitudes and educational planning. PMID- 18155038 TI - The HPV vaccine and behavioral disinhibition. PMID- 18155041 TI - Mechanism and hydrophobic forces driving membrane protein insertion of subunit II of cytochrome bo 3 oxidase. AB - Subunit II (CyoA) of cytochrome bo(3) oxidase, which spans the inner membrane twice in bacteria, has several unusual features in membrane biogenesis. It is synthesized with an amino-terminal cleavable signal peptide. In addition, distinct pathways are used to insert the two ends of the protein. The amino terminal domain is inserted by the YidC pathway whereas the large carboxyl terminal domain is translocated by the SecYEG pathway. Insertion of the protein is also proton motive force (pmf)-independent. Here we examined the topogenic sequence requirements and mechanism of insertion of CyoA in bacteria. We find that both the signal peptide and the first membrane-spanning region are required for insertion of the amino-terminal periplasmic loop. The pmf-independence of insertion of the first periplasmic loop is due to the loop's neutral net charge. We observe also that the introduction of negatively charged residues into the periplasmic loop makes insertion pmf dependent, whereas the addition of positively charged residues prevents insertion unless the pmf is abolished. Insertion of the carboxyl-terminal domain in the full-length CyoA occurs by a sequential mechanism even when the CyoA amino and carboxyl-terminal domains are swapped with other domains. However, when a long spacer peptide is added to increase the distance between the amino-terminal and carboxyl-terminal domains, insertion no longer occurs by a sequential mechanism. PMID- 18155042 TI - Supramodular nature of GRIP1 revealed by the structure of its PDZ12 tandem in complex with the carboxyl tail of Fras1. AB - The scaffold protein GRIP1 (glutamate receptor interacting protein 1) binds to and regulates both the trafficking and membrane organization of a large number of transmembrane proteins. Mutation of GRIP1 in mice displays essentially the same phenotype of the mutations of Fras1 or Frem2, which are the animal models of the human genetic disorder Fraser syndrome. However, the molecular basis governing the interaction between GRIP1 and Fras1/Frem2 is unknown. Here, we show that interaction between Fras1 and GRIP1 requires the first two PDZ domains (PDZ1 and PDZ2) to be connected in tandem, as the folding of PDZ1 strictly depends on the covalent attachment of PDZ2. The crystal structure of GRIP1 PDZ12 in complex with the Fras1 C-terminal peptide reveals that the PDZ12 tandem forms a supramodule in which only the peptide-binding groove of PDZ1 is bound with the Fras1 peptide. The GRIP1 PDZ12/Fras1 peptide complex not only provides a mechanistic explanation of the link between GRIP1 and the Fraser syndrome but may also serve as a foundation for searching for potential mutations in GRIP1 that could lead to the Fraser syndrome. PMID- 18155043 TI - Mechanistic insights into the role of Val75 of HIV-1 reverse transcriptase in misinsertion and mispair extension fidelity of DNA synthesis. AB - The side chain of Val75 stabilizes the fingers subdomain of the human immunodeficiency virus type 1 reverse transcriptase (RT), while its peptide backbone interacts with the single-stranded DNA template (at nucleotide +1) and with the peptide backbone of Gln151. Specific DNA polymerase activities of mutant RTs bearing amino acid substitutions at position 75 (i.e., V75A, V75F, V75I, V75L, V75M, V75S and V75T) were relatively high. Primer extension experiments carried out in the absence of one deoxyribonucleoside-triphosphate suggested that mutations did not affect the accuracy of the RT, except for V75A, V75F, V75I, and to a lesser extent V75T. The fidelity of RTs bearing mutations V75F and V75I increased 1.8- and 3-fold, respectively, as measured by the M13 lacZ alpha forward mutation assay, while V75A showed 1.4-fold decreased accuracy. Steady- and pre-steady-state kinetics demonstrated that the increased fidelity of V75I and V75F was related to their decreased ability to extend mismatched template primers, while misincorporation efficiencies were not significantly affected by mutations. The increased mispair extension fidelity of mutant V75I RT could be attributed to the nucleotide affinity loss, observed in reactions with mismatched template-primers. Altogether, these data suggest that Val75 interactions with the 5' template overhang are important determinants of fidelity. PMID- 18155044 TI - Structure of the PPX/GPPA phosphatase from Aquifex aeolicus in complex with the alarmone ppGpp. AB - The crystal structure of the prototype exopolyphosphatase/guanosine pentaphosphate phosphohydrolase protein family member from Aquifex aeolicus in complex with the intracellular second messenger guanosine tetraphosphate was determined at 2.7-A resolution. The hydrolytic base is identified as E119. The dual specificity established for the Escherichia coli homolog is shown to be compatible with a common active site for guanosine pentaphosphate and polyphosphate hydrolysis. Distinct and different degrees of closure between the two domains of the enzyme are associated with substrate binding. The arginines R22 and R267, residing in different domains, are crucial for guanosine pentaphosphate specificity as they interact with the unique 3'-ribose phosphorylation. PMID- 18155045 TI - Stabilizing ionic interactions in a full-consensus ankyrin repeat protein. AB - Full-consensus designed ankyrin repeat proteins (DARPins), in which randomized positions of the previously described DARPin library have been fixed, are characterized. They show exceptionally high thermodynamic stabilities, even when compared to members of consensus DARPin libraries and even more so when compared to naturally occurring ankyrin repeat proteins. We determined the crystal structure of a full-consensus DARPin, containing an N-capping repeat, three identical internal repeats and a C-capping repeat at 2.05 A resolution, and compared its structure with that of the related DARPin library members E3_5 and E3_19. This structural comparison suggests that primarily salt bridges on the surface, which arrange in a network with almost crystal-like regularity, increase thermostability in the full-consensus NI(3)C DARPin to make it resistant to boiling. In the crystal structure, three sulfate ions complement this network. Thermal denaturation experiments in guanidine hydrochloride directly indicate a contribution of sulfate binding to the stability, providing further evidence for the stabilizing effect of surface-exposed electrostatic interactions and regular charge networks. The charged residues at the place of randomized residues in the DARPin libraries were selected based on sequence statistics and suggested that the charge interaction network is a hidden design feature of this protein family. Ankyrins can therefore use design principles from proteins of thermophilic organisms and reach at least similar stabilities. PMID- 18155046 TI - Single strand binding proteins increase the processivity of DNA unwinding by the hepatitis C virus helicase. AB - The nonstructural NS3 protein of the hepatitis C virus is a multifunctional enzyme with an N-terminal serine protease activity and a C-terminal helicase activity. The helicase is capable of unwinding both DNA and RNA duplexes; however, the overall processivity of the helicase is fairly low. We show here that single-strand binding (SSB) proteins enhance the unwinding processivity of both the NS3 helicase domain (NS3h) and the full-length protease-helicase NS3-4A. The detailed study of the effect of SSB on the DNA unwinding activity of NS3h indicates that the SSB stabilizes the helicase at the unwinding junction and prevents its dissociation. These results suggest a potential role for either cellular or virus-encoded SSB protein in improving the processivity of the NS3 in vivo. PMID- 18155047 TI - Crystal structure at 2.8 A of Huntingtin-interacting protein 1 (HIP1) coiled-coil domain reveals a charged surface suitable for HIP1 protein interactor (HIPPI). AB - Huntington's disease is a genetic neurological disorder that is triggered by the dissociation of the huntingtin protein (htt) from its obligate interaction partner Huntingtin-interacting protein 1 (HIP1). The release of the huntingtin protein permits HIP1 protein interactor (HIPPI) to bind to its recognition site on HIP1 to form a HIPPI/HIP1 complex that recruits procaspase-8 to begin the process of apoptosis. The interaction module between HIPPI and HIP1 was predicted to resemble a death-effector domain. Our 2.8-A crystal structure of the HIP1 371 481 subfragment that includes F432 and K474, which is important for HIPPI binding, is not a death-effector domain but is a partially opened coiled coil. The HIP1 371-481 model reveals a basic surface that we hypothesize to be suitable for binding HIPPI. There is an opened region next to the putative HIPPI site that is highly negatively charged. The acidic residues in this region are highly conserved in HIP1 and a related protein, HIP1R, from different organisms but are not conserved in the yeast homologue of HIP1, sla2p. We have modeled approximately 85% of the coiled-coil domain by joining our new HIP1 371-481 structure to the HIP1 482-586 model (Protein Data Bank code: 2NO2). Finally, the middle of this coiled-coil domain may be intrinsically flexible and suggests a new interaction model where HIPPI binds to a U-shaped HIP1 molecule. PMID- 18155048 TI - Assembly of the 5' and 3' minor domains of 16S ribosomal RNA as monitored by tethered probing from ribosomal protein S20. AB - The ribosomal protein (r-protein) S20 is a primary binding protein. As such, it interacts directly and independently with the 5' domain as well as the 3' minor domain of 16S ribosomal RNA (rRNA) in minimal particles and the fully assembled 30S subunit. The interactions observed between r-protein S20 and the 5' domain of 16S rRNA are quite extensive, while those between r-protein S20 and the 3' minor domain are significantly more limited. In this study, directed hydroxyl radical probing mediated by Fe(II)-derivatized S20 proteins was used to monitor the folding of 16S rRNA during r-protein association and 30S subunit assembly. An analysis of the cleavage patterns in the minimal complexes [16S rRNA and Fe(II) S20] and the fully assembled 30S subunit containing the same Fe(II)-derivatized proteins shows intriguing similarities and differences. These results suggest that the two domains, 5' and 3' minor, are organized relative to S20 at different stages of assembly. The 5' domain acquires, in a less complex ribonucleoprotein particle than the 3' minor domain, the same architecture as observed in mature subunits. These results are similar to what would be predicted of subunit assembly by the 5'-to-3' direction assembly model. PMID- 18155049 TI - Potency ratios for local anesthetics in regional blocks: how long must we wait? PMID- 18155050 TI - Median effective local anesthetic doses of plain bupivacaine and ropivacaine for spinal anesthesia administered via a spinal catheter for brachytherapy of the lower abdomen. AB - BACKGROUND AND OBJECTIVES: Continuous spinal anesthesia via a spinal catheter allows adjusting the duration and extent of anesthesia to surgical needs, maintenance of hemodynamic stability, and good postoperative analgesia. This study was designed to determine the median effective local anesthetic dose of plain ropivacaine and bupivacaine administered intrathecally for interstitial brachytherapy of the lower abdomen using the Dixon up-and-down method. METHODS: Forty patients were randomly allocated to receive either intrathecal bupivacaine 5 mg per mL or ropivacaine 10 mg per mL via a 24-gauge spinal catheter at the L3 4 interspace. The initial dose was 10 mg of bupivacaine or 20 mg of ropivacaine; the dosing intervals were 1 mg and 2 mg, respectively. Doses for subsequent patients were determined by the response of the previous patient in that group. Successful anesthesia was defined as a loss of sensation to a cold stimulus at the T6 level and full motor blockade within 20 minutes after administration of the local anesthetic. RESULTS: The median effective local anesthetic dose for intrathecal bupivacaine was 11.2 mg (95% confidence interval [CI], 10.3-12.1) and 22.6 mg for ropivacaine (95% CI, 20.5-24.6). A relative analgesic potency ratio of 0.50 (95% CI, 0.44-0.56) was calculated between the median effective local anesthetic dose of intrathecal bupivacaine and ropivacaine. CONCLUSIONS: Bupivacaine and ropivacaine are appropriate for continuous spinal anesthesia for interstitial radiation therapy procedures of the lower abdomen. In the dose ranges investigated, intrathecal ropivacaine is approximately half as potent as bupivacaine. PMID- 18155051 TI - Effects of using the posterior or anterior approaches to the lumbar plexus on the minimum effective anesthetic concentration (MEAC) of mepivacaine required to block the femoral nerve: a prospective, randomized, up-and-down study. AB - BACKGROUND AND OBJECTIVES: To evaluate if psoas compartment block requires a larger concentration of mepivacaine to block the femoral nerve than does an anterior 3-in-1 femoral nerve block. METHODS: Forty eight patients undergoing anterior cruciate ligament repair were randomly allocated to receive an anterior 3-in-1 femoral block (femoral group, n = 24) or a posterior psoas compartment block (psoas group, n = 24) with 30 mL of mepivacaine. The concentration of the injected solution was varied for consecutive patients using an up-and-down staircase method (initial concentration: 1%; up-and-down steps: 0.1%). RESULTS: The minimum effective anesthetic concentration of mepivacaine blocking the femoral nerve in 50% of cases (ED(50)) was 1.06% +/- 0.31% (95% confidence interval [CI], 0.45%-1.68%) in the femoral group and 1.03% +/- 0.21% (95% CI, 0.6%-1.45%) in the psoas group (P = .83). The lateral femoral cutaneous and obturator nerves were blocked in 4 (16%) and 5 (20%) femoral group patients as compared with 20 (83%) and 19 (80%) psoas group patients (P = .005 and P = .0005, respectively). Intraoperative analgesic supplementation was required by 15 (60%) and 5 (20%) patients in the femoral and psoas groups, respectively (P = .01). CONCLUSIONS: Using a posterior psoas compartment approach to the lumbar plexus does not increase the minimum effective anesthetic concentration of mepivacaine required to block the femoral nerve as compared with the anterior 3-in-1 approach, and provides better quality of intraoperative anesthesia due to the more reliable block of the lateral femoral cutaneous and obturator nerves. PMID- 18155052 TI - Effect of a continuous peripheral nerve block on the inflammatory response in knee arthroplasty. AB - BACKGROUND AND OBJECTIVES: Experimental nerve block in animals inhibits the inflammatory response. The purpose of this study was to determine to what extent a 48-hour local anesthetic block of all afferent and efferent nerve fibers of the knee area has an impact on postoperative inflammatory response. METHODS: Twelve patients scheduled for primary total knee arthroplasty received spinal anesthesia, and then were randomly allocated to either patient-controlled analgesia with morphine (n = 6) or a combination of continuous lumbar plexus and sciatic nerve blocks (continuous peripheral nerve block; CPNB) with ropivacaine 0.2% for 48 hours. Blood samples were collected before surgery and at 3, 8, 24, and 48 hours after surgical incision to measure plasma glucose, serum insulin and cortisol, C-reactive protein, interleukin-6, and leukocyte count. Pain visual analog scale at rest and on knee flexion were recorded and complications classified. RESULTS: Visual analog scale was lower in the CPNB group at rest and on knee flexion on postoperative days 1 and 2 (P < .05). There were no differences in circulating levels of glucose, insulin, and cortisol. C-reactive protein and leukocyte count were lower in the CPNB group (P < .05). There was a positive correlation between the peak leukocyte count and the inflammatory markers (P < .03). Three patients in the patient-controlled analgesia group and one in the CPNB group had complications requiring conservative management. CONCLUSIONS: Continuous lumbar plexus and sciatic nerve blocks with ropivacaine contribute to the attenuation of the postoperative inflammatory response. PMID- 18155053 TI - Ethnicity and the distance to the epidural space in parturients. AB - BACKGROUND AND OBJECTIVES: In a pilot study, we previously demonstrated a higher average skin to lumbar epidural space distance (STLESD) in our obstetric population compared with the published literature. Furthermore, we demonstrated differences in STLESD based on ethnicity. The aim of this study was to perform a comprehensive analysis of the STLESD in our patient population by expanding the number of patients and ethnic groups included. METHODS: Data from 3,305 patients were obtained from our electronic database from September 2003 through November 2005. Self-declared ethnicity included 1,177 Caucasians (36%), 1,162 African Americans (35%), 760 Hispanics (23%), 135 Asians (4%), and 71 Indian/Pakistani/Bangladeshi/Sri Lankans (2%). The influences of body mass index (BMI), ethnicity, and their interaction on the STLESD were tested with a multiple linear regression model. RESULTS: The mean +/- SD STLESD differed among the ethnic groups ranging from 4.8 +/- 0.9 cm in Asian patients to 6.3 +/- 1.6 cm in African American parturients. When all ethnic groups were compared, BMI had a significant influence on STLESD (P < .0001), but so did ethnicity (P = .0004). The Hispanic group demonstrated STLESDs that were significantly lower than the African American and Caucasian groups at high BMI (P < .0001). In a subanalysis performed without the Hispanic group, the influence of BMI on STLESD was found to be similar for each group. In this subanalysis, the African American group had STLESDs that were deeper compared with the other 3 ethnic groups (P < .0001), regardless of BMI. CONCLUSIONS: In this study we found that the STLESD was deeper than what was previously reported in the literature. Furthermore, ethnicity, in addition to BMI, influenced the STLESD. PMID- 18155054 TI - Use of a topical anesthetic cream (EMLA) to reduce pain after hemorrhoidectomy. AB - BACKGROUND AND OBJECTIVES: Hemorrhoidectomy usually leads to severe postoperative pain that often causes urinary retention. Topical EMLA cream (lidocaine 2.5% and prilocaine 2.5%) has been used extensively in the clinical setting. This prospective study tested the effectiveness of EMLA cream for postoperative pain control after hemorrhoidectomy. METHODS: Thirty patients admitted for hemorrhoidectomy were enrolled and randomly assigned into either a control group (n = 15) or EMLA group (n = 15). Postoperatively, the control group received approximately 5 g of neomycin ointment, and the EMLA group received approximately 5 g of EMLA. A visual analog scale (VAS) score was recorded on arrival in the postanesthesia recovery unit (PAR), after 2 hours in the PAR, on the first postoperative evening, and on the first postoperative morning. The requested frequency and dosage of meperidine, the first spontaneous voiding time, the frequency of single urinary catheterization, and a patient satisfaction score were also obtained. RESULTS: The VAS score and frequency and dosage of meperidine injections were significantly lower in the EMLA group than in the control group (P < .01). The voiding time was significantly later in the control group (P = .04). The frequency of single catheterization was significantly lower in the EMLA group than in the control group (P = .03). Patient satisfaction with postoperative pain control was significantly higher in the EMLA group than in the control group (P < .01). No systemic complications were observed. CONCLUSIONS: Topical EMLA cream decreased pain intensity and meperidine requests, reduced the frequency of single catheterizations, and improved patient satisfaction with postoperative pain management after hemorrhoidectomy in adults. PMID- 18155055 TI - Nociceptive nerve fibers in the sacroiliac joint in humans. AB - BACKGROUND AND OBJECTIVES: A positive response to sacroiliac joint intra articular infiltration with local anesthetics is used to confirm sacroiliac joint pain. However, current anatomical and histological knowledge concerning the anatomy of pain perception within the sacroiliac joint intra- and peri-articular structures is insufficient to explain the efficacy of this infiltration, because of the use of unspecific histochemical visualization techniques. METHODS: In this study, immunohistochemistry for calcitonin gene-related peptide (CGRP) and substance P was used to trace nociceptive fibers and receptors in the anterior and interosseous sacroiliac ligaments obtained from 5 human cadavers without history of sacroiliac joint pain. RESULTS: Microscopic analysis of stained slides showed presence of CGRP and substance P immunoreactive fibers. Thick, wavy, formed bundles were observed in dense and loose connective tissue, whereas single, beaded nerve fibers, occasionally ramified, were observed more frequently in the dense connective tissue and next to blood vessels. Based on their morphologic features, these immunoreactive structures were classified as receptors type IV. Additionally, receptors type II were found in anterior and interosseous ligaments, which contained CGRP or substance P immunoreactive free nerve endings. CONCLUSIONS: We conclude that the presence of CGRP and substance P immunoreactive fibers in the normal anterior capsular ligament and interosseous ligament provides a morphological and physiological base for pain signals originating from these ligaments. Therefore, diagnostic infiltration techniques for sacroiliac joint pain should consider extra- as well as intra-articular approaches. PMID- 18155056 TI - Effect of preemptive epidural analgesia on cytokine response and postoperative pain in laparoscopic radical hysterectomy for cervical cancer. AB - BACKGROUND AND OBJECTIVE: Surgical stress and general anesthesia suppress immune function. Preemptive epidural analgesia can affect the perioperative immune responses, and influence cancer management. METHODS: Forty women undergoing elective laparoscopic radical hysterectomy for cervical cancer were allocated to this prospective, randomized, double-blind trial. Before inducing anesthesia, 2 mg morphine dissolved in 15 mL of 1% lidocaine (preemptive group) or the same volume of normal saline (control group) was administered into the epidural space through a prepared catheter in a double-blind manner, using sealed syringes. After peritoneal closure, the other drugs in the remaining sealed syringe were administered in the reverse manner. All patients were then administered lidocaine plus morphine over a 72-hour period, using a patient-controlled epidural analgesia pump. RESULTS: The interleukin-6 levels in both groups increased significantly after surgery. These elevations were significantly less pronounced in the preemptive group than in the control group. The interleukin-2 level in both groups decreased significantly after surgery. Seventy-two hours after surgery, the interleukin-2 level returned to its baseline value in the preemptive group but not in the control group. The number of lymphocytes in both groups decreased significantly after surgery. The pain scores at 6 and 12 hours after surgery in the preemptive group were significantly lower than in the control group. CONCLUSIONS: Preemptive epidural analgesia is a reasonable approach for potentially controlling perioperative immune function and preventing postoperative pain in patients undergoing cancer surgery. PMID- 18155057 TI - Continuous peripheral nerve block for postoperative pain control at home: a prospective feasibility study in children. AB - BACKGROUND AND OBJECTIVES: We assessed the feasibility and efficacy of postoperative pain control by continuous peripheral nerve blockade (CPNB) in children after early home discharge under parental surveillance. METHODS: All children scheduled for primary elective ankle or foot surgery under sciatic popliteal CPNB and general anesthesia were evaluated. After obtaining the surgeon's consent, the children were discharged on either the day (D) of surgery (D0), or on postoperative D1 or D2 (depending on whether they needed a plaster cast or a suction drainage). The CPNB was continuously infused, using an elastomeric pump. Before the procedure, the parents were taught how to assess their children's pain, to use rescue analgesia, and to manage an infusion elastomeric pump device, and when to call the hospital in case of emergency. The children returned to the hospital for catheter removal and the recording of any postoperative event. RESULTS: Forty-seven children were entered into this observational study. Two were discharged home on the same day, 30 were discharged home 1 day after surgery, and 15 were discharged home 2 days after surgery. The mean duration of infusion elastomeric pump at home was 3 days (range, 2 to 4 days). Analgesia was rated as excellent or good in 89% of the cases, and the quality of sleep was always good, except for three patients. Some minor untoward effects were recorded. Two children returned to the hospital because of accidental disconnection of the infusion elastomeric pump from the catheter. Four patients presented skin redness at the puncture site, but no infection was observed, and all catheters remained sterile. No parents called the hospital. The children's quality of life was rated as excellent or as satisfactory overall, by both the children and their parents. CONCLUSIONS: Shortening hospital stays with the use of at-home CPNB under sole parental supervision is feasible, after selecting children with a suitable family environment. PMID- 18155058 TI - Comparison of the hemodynamic effects of a single 5 mg/kg dose of lidocaine with or without epinephrine for thoracic paravertebral block. AB - BACKGROUND AND OBJECTIVES: Epinephrine is often added to local anesthetic solutions to minimize and slow the systemic absorption of local anesthetics, and thus reduce the possibility of adverse effects of these drugs. In an earlier study we found that the injection of 5 mg/kg of lidocaine via the paravertebral route depressed myocardial contractility by up to 30%, with practically no changes in heart rate or blood pressure. In the present study we investigated whether these alterations are due to systemic absorption of the local anesthetic, and whether such absorption can be minimized by adding epinephrine to the local anesthetic solution. METHODS: A prospective, blind, and randomized study was made of 50 patients subjected to lung resection surgery. The subjects were divided into two groups: Lid group (5 mg/kg bolus dose of lidocaine in the thoracic paravertebral space) and Lid+E group (addition of 5 mcg/mL of epinephrine to the local anesthetic). The anesthetic solution was administered through a paravertebral catheter ipsilateral to the operative side. In addition to routine hemodynamic monitoring (heart rate and radial artery blood pressure), an aortic transpulmonary thermodilution catheter was inserted into the femoral artery for recording of the following variables: cardiac index, cardiac function index, maximum pressure derivative, global end diastolic volume, and intrathoracic total blood volume index. Data collection was carried out immediately before administration of the anesthetic solution and 15, 30, and 45 minutes after administration. Measurements were made of the plasma lidocaine levels at those same postparavertebral injection time points. RESULTS: Prior to paravertebral dosing there were no differences in terms of the hemodynamic variables studied. However, 15 minutes after dosing in the Lid+E group, lesser reductions in contractility, cardiac function index, and cardiac index were recorded, compared with the Lid group, with a significant reduction in cardiac filling volumes. Blood lidocaine levels were 53% and 34% lower in Lid+E group, as recorded 15 and 30 minutes after injection. The patients who, 15 minutes after paravertebral injection, had blood lidocaine levels greater than 3 mcg/mL (independently of the type of anesthetic solution used) had a significant reduction in mean blood pressure, cardiac function index, cardiac index, and maximum pressure derivative, compared with the patients with lower blood lidocaine concentrations. CONCLUSIONS: Addition of epinephrine to lidocaine when performing thoracic paravertebral block, attenuates the cardiodepressive effects associated with the systemic absorption of lidocaine and also, as a result of the beta-adrenergic consequences of epinephrine, systemic absorption from the paravertebral space. PMID- 18155059 TI - Gross anatomy of the brachial plexus sheath in human cadavers. AB - BACKGROUND AND OBJECTIVES: Major nerves and vessels run alongside each other in a "neurovascular bundle" kept together by connective tissue that is often referred to by anatomists, surgeons, and anesthesiologists as the "sheath." Our goal was to macroscopically demonstrate the brachial plexus sheath in embalmed and fresh cadaver dissections. METHODS: Systematic dissections were performed on 11 embalmed cadavers (6 females and 5 males), plus one fresh, unembalmed male cadaver. Dissections were started in the arm, and progressed proximally to the axilla and the supraclavicular area. Notes and photographic documentation were obtained. RESULTS: A sheath around the neurovascular bundle of the brachial plexus was visible to the naked eye in every dissection. The sheath had a fibrous external appearance, and was filled with loose connective tissue. No evidence of septa was found. CONCLUSIONS: We observed a macroscopic fibrous structure surrounding the plexus, which was filled with loose connective tissue lacking any apparent organization. PMID- 18155060 TI - Ultrasound-guided brachial plexus block in a patient with multiple glomangiomatosis. AB - BACKGROUND AND OBJECTIVES: Glomangiomas are rare, vascular tumors consisting of an afferent artery, arteriovenous canal, neuro-reticular elements, collagen, and efferent veins, and are most often located in the soft tissue of the upper extremities. We describe how the use of ultrasound-guided nerve blockade altered the anesthetic management of a patient with multiple glomangiomatosis undergoing elective forearm surgery. ULTRASOUND FINDINGS: A 32-year-old man was scheduled for excision of painful glomangiomas from the ulnar aspect of his right wrist, with exploration of his ulnar nerve. The anesthetic concerns included (1) morbid obesity, (2) chronic pain syndrome and opioid intolerance, (3) a potentially difficult airway, and (4) obstructive sleep apnea. Ultrasound-guided supraclavicular blockade was the proposed anesthetic of choice. Ultrasound scan of the supraclavicular fossa revealed numerous vascular lesions surrounding the divisions of the brachial plexus. Color Doppler imaging confirmed these pulsatile lesions to be vascular in origin. Even under two-dimensional ultrasound guidance, we believed that the risk of vascular puncture and unintentional intravascular injection of local anesthetic was high, and therefore we abandoned the supraclavicular approach. A successful ultrasound-guided axillary brachial plexus blockade was performed uneventfully. CONCLUSIONS: Although multiple glomangiomatosis is a rare disease, this case illustrates the invaluable contribution that ultrasound has made to modern, regional anesthetic practice, especially for patients with aberrant anatomy in whom traditional nerve localization techniques could result in serious complications. PMID- 18155061 TI - Cerebrospinal fluid cutaneous fistula after epidural analgesia in a child. AB - BACKGROUND AND OBJECTIVES: Cerebrospinal fluid cutaneous fistulae are rare complications of neuraxial needle procedures. CASE REPORT: We present the first reported case of a persistent cerebrospinal fluid cutaneous fistula in a child who underwent epidural analgesia. Careful assessment and circumspect treatment of this cerebrospinal fluid cutaneous fistula led to an excellent outcome in this child. CONCLUSIONS: Assessment can be challenging in young children, and guidelines for management are absent. Technical issues in treatment are discussed in addition to pitfalls in diagnosis in young children. PMID- 18155062 TI - Tune in to 17.5 MHz? PMID- 18155063 TI - Eight ball, corner pocket for ultrasound-guided supraclavicular block: high risk for a scratch. PMID- 18155064 TI - A lateral approach to the radial nerve. PMID- 18155065 TI - Vasoactivity of ropivacaine. PMID- 18155068 TI - In vitro pharmacological characterization of CJ-042794, a novel, potent, and selective prostaglandin EP(4) receptor antagonist. AB - Activation of the prostaglandin E(2) (PGE(2)) EP(4) receptor, a G-protein-coupled receptor (GPCR), results in increases in intracellular cyclic AMP (cAMP) levels via stimulation of adenylate cyclase. Here we describe the in vitro pharmacological characterization of a novel EP(4) receptor antagonist, CJ-042794 (4-{(1S)-1-[({5-chloro-2-[(4-fluorophenyl)oxy]phenyl}carbonyl)amino]ethyl}benzoic acid). CJ-042794 inhibited [(3)H]-PGE(2) binding to the human EP(4) receptor with a mean pK(i) of 8.5, a binding affinity that was at least 200-fold more selective for the human EP(4) receptor than other human EP receptor subtypes (EP(1), EP(2), and EP(3)). CJ-042794 did not exhibit any remarkable binding to 65 additional proteins, including GPCRs, enzymes, and ion channels, suggesting that CJ-042794 is highly selective for the EP(4) receptor. CJ-042794 competitively inhibited PGE(2)-evoked elevations of intracellular cAMP levels in HEK293 cells overexpressing human EP(4) receptor with a mean pA(2) value of 8.6. PGE(2) inhibited the lipopolysaccharide (LPS)-induced production of tumor necrosis factor alpha (TNFalpha) in human whole blood (HWB); CJ-042794 reversed the inhibitory effects of PGE(2) on LPS-induced TNFalpha production in a concentration-dependent manner. These results suggest that CJ-042794, a novel, potent, and selective EP(4) receptor antagonist, has excellent pharmacological properties that make it a useful tool for exploring the physiological role of EP(4) receptors. PMID- 18155069 TI - Local scale genetic structure in coral populations: a signature of selection. AB - Coastal marine reserves in general, and coral reef reserves in particular, are typically composed of scattered patches separated by uninhabited areas. Due to the sessile mode of life of adult corals, larval connectivity is often the only agent of gene flow between reef localities. In this study we examined the connectivity between populations of the common scleratinian coral Stylophora pistillata at the northern tip of the Gulf of Aqaba (Red Sea), using the rDNA ITS (internal transcribed spacer) as a molecular marker. Sequence comparisons among recruits indicated very similar, equally-diverse, assemblages of recruits in both the northern (highly affected by anthropogenic disturbances) and southern (less affected) study sites, implying a high larval connectivity or common sources of larval supply. By contrast, sequence diversity observed among adults declined sharply from southern to northern sites, accompanied by genetic differentiation of the respective populations. Based on Fu's Fs-test of selective neutrality, it may be suggested that various post-settlement selective regimes, presumably more intense in the northern sites, provide a reasonable explanation for the observed patterns of genetic diversity. The suggested hypothesis is supported by the sharper decline in sequence diversity found between recruits and adults in the northern sites. This study exemplifies the necessity to consider local selective factors, in addition to larval connectivity, when managing marine reserves. PMID- 18155070 TI - Heat stress in sport--fact and fiction. PMID- 18155071 TI - Validation of micronuclei frequency in peripheral blood lymphocytes as early cancer risk biomarker in a nested case-control study. AB - Aim of this work was to assess the predictive value of micronuclei (MN) frequency in peripheral blood lymphocytes (PBL) for the risk of cancer death in disease free individuals. Blood samples from 1650 subjects selected from the general population of Pisa, Italy, were collected between June 1991 and November 1993. The follow-up until January 2005 recorded a total of 111 deaths (52 for cancer). MN frequency was assessed for 49 cancer cases and 101 matched controls. A significantly higher MN frequency was found in cancer cases (4.7+/-3.4 MN/1000 BN cells) versus controls (1.5+/-1.7; p<0.0001). Donors were stratified in two classes and multivariate logistic regression analysis confirmed that individuals with high MN frequency (>2.5 MN/1000 BN cells) had a significantly increased risk of cancer death (OR=10.7; 95% CI=4.6-24.9; p<0.0001) when compared to individuals with low MN frequency (T transversion mutation in K-ras, an early event in AFB(1)-induced mouse lung carcinogenesis, is thought to result from AFB(1)-8,9-exo-epoxide binding to DNA to form AFB(1)-N(7)-guanine, but may also result from formation of 8-OHdG. Therefore, oxidative DNA damage may be important in AFB(1) carcinogenicity. The objective of this study was to determine whether PEG-CAT would prevent AFB(1) tumorigenicity. Mouse lung tumorigenesis was assessed following treatment of female A/J mice with 300 kU/kg PEG-CAT ip and/or 50 mg/kg AFB(1). Mice were killed 7 months post-treatment and tumors greater than 1 mm in diameter were excised. Unexpectedly, the mean number of tumors per mouse in the PEG-CAT+AFB(1) group (8.81+/-3.64, n=47) was greater than that of the group treated with AFB(1) alone (7.05+/-3.45, n=42) (P<0.05). The tumors obtained from mice treated with PEG-CAT+AFB(1) were larger than those from mice treated with AFB(1) alone (P<0.05). There was no difference in K-ras exon 1 mutation spectrum or in the histological diagnosis of tumors between AFB(1) and PEG-CAT+AFB(1) groups (P>0.05). In vitro incubation with mouse liver catalase (CAT) resulted in conversion of [(3)H]AFB(1) into a DNA-binding species, a possible explanation for the results observed in vivo. These results demonstrate that PEG-CAT is not protective against AFB(1) carcinogenicity in mouse lung despite preventing DNA oxidation. PMID- 18155118 TI - Acute and repeated dose toxicity studies of recombinant saxatilin, a disintegrin from the Korean snake (Gloydius saxatilis). AB - To examine the toxicological effect of saxatilin, a disintegrin isolated from the venom of a Korean snake (Gloydius saxatilis), recombinant saxatilin was highly expressed as a biologically active form in Pichia pastoris, and was successfully purified to homogeneity from the culture broth supernatant. The molecular and biological properties of the recombinant protein were the same as those of its natural form. Plasma half-life of the protein in rat was determined to 13.8 min. The maximum tolerated dose of the recombinant saxatilin was examined in ICR mice. The determined LD(50) values were 400 and 600 mg/kg of the body weight of a male and female mouse, respectively. To investigate the repeated dose toxicity of saxatilin in mice, the test item was intravenously administered to groups of ICR mice every day for 4 weeks. We observed a decrease in locomotor activity, piloerection, and crouching in clinical findings, a decrease of red blood cells (RBCs) in hematology, and hyperplasia of the spleen in histology related to administration of the test item. These results suggest that the target organ of intravenous administration of the test item is the spleen. The no adverse effect level (NOAEL) in this test for both males and females is considered to be 3mg/kg. Our results also indicate that recombinant saxatilin is non-toxic at an administration dose with an anti-platelet effect, and might be a potential anti adhesion therapeutic agent for thrombosis, cancer, restenosis, cataract, and osteoporosis. PMID- 18155119 TI - Potency evaluation of antivenoms in Brazil: the national control laboratory experience between 2000 and 2006. AB - Envenoming from snakebites is an important public health issue in Brazil. In 2005, 28,597 cases were notified (15 cases/100,000 inhabitants), 87.5% due to Bothrops and 9.2% to Crotalus genus. Antivenoms available in Brazil are liquid preparations containing purified equine Fab'2. Since 1987, the National Institute for Quality Control in Health (INCQS/FIOCRUZ) has been testing all lots prior to batch release. Between 2000 and 2006, 619 lots of antivenoms were tested, comprising 2,513,690 ampoules. The potency assay was performed only for bothropic and crotalic antivenoms (485 lots corresponding to 1,866,726 ampoules) due to the unavailability of the other reference venoms. This paper aims to report the last 7-year activities of INCQS on the quality control, batch release and potency evaluation of antivenoms. PMID- 18155120 TI - Hepatitis B virus polymerase suppresses translation of pregenomic RNA via a mechanism involving its interaction with 5' stem-loop structure. AB - The pregenomic RNA (pgRNA) of hepadnaviruses serves a dual role: as mRNA for the core (C) and polymerase (P) synthesis and as an RNA template for viral genome replication. A question arises as to how these two roles are regulated. We hypothesized that the P protein could suppress translation of the pgRNA via its interaction with 5' stem-loop structure (epsilon or encapsidation signal). Consistent with the hypothesis, we observed up-regulation of the C protein level in the absence of the P protein expression in a physiological context. Importantly, translational suppression depended on the 5' epsilon sequence. Furthermore, the impact of the P protein on ongoing translation of the C ORF was directly demonstrated by polysome distribution analysis. We conclude that the P protein suppresses translation of the pgRNA via a mechanism involving its interaction with the 5' epsilon sequence, a finding that implicates the coordinated switch from translation to genome replication. PMID- 18155121 TI - Mouse adenovirus type 1 infection of natural killer cell-deficient mice. AB - Natural killer (NK) cells contribute to the initial nonspecific response to viral infection, and viruses exhibit a range of sensitivities to NK cells in vivo. We investigated the role of NK cells in infection of mice by mouse adenovirus type 1 (MAV-1) using antibody-mediated depletion and knockout mice. MAV-1 causes encephalomyelitis and replicates to highest levels in brains. NK cell-depleted mice infected with MAV-1 showed brain viral loads 8-20 days p.i. that were similar to wild-type control non-depleted mice. Mice genetically deficient for NK cells behaved similarly to wild-type control mice with respect to brain viral loads and survival. We conclude that NK cells are not required to control virus replication in the brains of MAV-1-infected mice. PMID- 18155122 TI - The complete genome sequence of the Atlantic salmon paramyxovirus (ASPV). AB - The complete RNA genome of the Atlantic salmon paramyxovirus (ASPV), isolated from Atlantic salmon suffering from proliferative gill inflammation (PGI), has been determined. The genome is 16,965 nucleotides in length and consists of six nonoverlapping genes in the order 3'- N - P/C/V - M - F - HN - L -5', coding for the nucleocapsid, phospho-, matrix, fusion, hemagglutinin-neuraminidase and large polymerase proteins, respectively. The gene junctions contain highly conserved transcription start and stop signal sequences and trinucleotide intergenic regions similar to those of other Paramyxoviridae. The ASPV P-gene expression strategy is like that of the respiro- and morbilliviruses, which express the phosphoprotein from the primary transcript, and edit a portion of the mRNA to encode the accessory proteins V and W. It also encodes the C-protein by ribosomal choice of translation initiation. Pairwise comparisons of amino acid identities, and phylogenetic analysis of deduced ASPV protein sequences with homologous sequences from other Paramyxoviridae, show that ASPV has an affinity for the genus Respirovirus, but may represent a new genus within the subfamily Paramyxovirinae. PMID- 18155123 TI - Response to "Non-segmented negative-strand RNA virus RNA synthesis in vivo". PMID- 18155124 TI - Preferential regeneration of photoreceptor from Muller glia after retinal degeneration in adult rat. AB - To determine whether photoreceptor degeneration can stimulate Muller glia to transdifferentiate into neurons in adult mammalian retina, N-methyl-N-nitrosourea (MNU) was injected to induce complete loss of photoreceptors. Following MNU administration, Muller glia underwent reactive gliosis characterized by up regulation of glial fibrillar acidic protein and nestin, and initiated proliferation through the cyclin D1 and D3 related pathways. Some Muller glia derived cells were induced to express rhodopsin exclusively. These rhodopsin positive cells exhibited synaptophysin around them, suggesting possible formation of synapses. After transplanted in to damaged retina, Muller glia migrated, grafted in host retina and produced rhodopsin. These results suggest that degeneration may promote preferential differentiation of Muller glia to photoreceptors and provide a potential therapeutic strategy for retinal degenerative diseases. PMID- 18155125 TI - Bioreactivity of municipal solid waste landfill leachates-Hormesis and DNA damage. AB - The issue of domestic waste is recognised as one of the most serious environmental problems facing the nation. With the UK producing 35 million tonnes of municipal solid waste per annum, an understanding of the ranges of toxicity of landfill emissions is crucial to determine the degree of concern we should have about the potential effects these waste sites could have upon nearby populations and the surrounding environment. The aim of this study was to evaluate the bioreactivity of landfill leachates in terms of their capacity to damage ROS sensitive bacteriophage plasmid DNA and induce toxicity in a commercial photobacterium toxicity assay, based on the light emission of Vibrio fischeri bacteria (ROTAS). The bacterial assay revealed widespread biostimulation and a hormesis response in the bacteria, with alpha-, beta- and gamma-response curves observed following exposure to the different landfill leachates. Different biological mechanisms lead to variations in bioreactivity, as seen in the plasmid DNA scission and ROTAS assays. PMID- 18155126 TI - Variability in microbial carbon isotope fractionation of tetra- and trichloroethene upon reductive dechlorination. AB - The variability of stable carbon isotope fractionation upon reductive dechlorination of tetra- and trichloroethene by several microbial strains was investigated to examine the uncertainties related to the in situ application of compound specific isotope analysis (CSIA) of chlorinated ethenes. Carbon isotope fractionation was investigated with a set of microorganisms representative for the currently known diversity of dehalorespirers: Dehalococcoides ethenogenes strain 195, Desulfitobacterium sp. strain Viet1, Desulfuromonas michiganensis and Geobacter lovleyi sp. strain SZ and compared to the previous reports using Sulfurospirillum spp. and Desulfitobacterium sp. strain PCE-S. Carbon isotope fractionation of tetrachloroethene (PCE) and trichlorethene (TCE) was highly variable ranging from the absence of significant fractionation to carbon isotope fractionation (epsilonC) of 16.7 and 3.5-18.9 for PCE and TCE, respectively. Fractionation of both compounds by D. ethenogenes strain 195 (PCE: epsilonC=6.0; TCE: epsilonC=13.7) was similar to the literature data for mixed cultures containing Dehalococcoides spp. D. michiganensis (PCE: no significant fractionation; TCE: epsilonC=3.5) and G. lovleyi sp. strain SZ (PCE no significant fractionation; TCE: epsilonC=8.5) generated the lowest fractionation of all studied strains. Desulfitobacterium sp. strain Viet1 (PCE: epsilonC=16.7) gave the highest enrichment factor for PCE. PMID- 18155127 TI - Chemical solutions for greywater recycling. AB - Greywater recycling is now accepted as a sustainable solution to the general increase of the fresh water demand, water shortages and for environment protection. However, the majority of the suggested treatments are biological and such technologies can be affected, especially at small scale, by the variability in strength and flow of the greywater and potential shock loading. This investigation presents the study of alternative processes, coagulation and magnetic ion exchange resin, for the treatment of greywater for reuse. The potential of these processes as well as the influence of parameters such as coagulant or resin dose, pH or contact time were investigated for the treatment of two greywaters of low and high organic strengths. The results obtained revealed that magnetic ion exchange resin and coagulation were suitable treatment solutions for low strength greywater sources. However, they were unable to achieve the required level of treatment for the reuse of medium to high strength greywaters. Consequently, these processes could only be considered as an option for greywater recycling in specific conditions that is to say in case of low organic strength greywater or less stringent standards for reuse. PMID- 18155128 TI - Symmetrical gaits of Cebus apella: implications for the functional significance of diagonal sequence gait in primates. AB - Quadrupedal locomotion of primates is distinguished from the quadrupedalism of many other mammals by several features, including a diagonal sequence (DS) footfall used in symmetrical gaits. This presumably unique feature of primate locomotion has been attributed to an ancestral adaptation for cautious arboreal quadrupedalism on thin, flexible branches. However, the functional significance of DS gait remains largely hypothetical. The study presented here tests hypotheses about the functional significance of DS gait by analyzing the gait mechanics of a primate that alternates between DS and lateral sequence (LS) gaits, Cebus apella. Kinematic and kinetic data were gathered from two subjects as they moved across both terrestrial and simulated arboreal substrates. These data were used to test four hypotheses: (1) locomotion on arboreal supports is associated with increased use of DS gait, (2) DS gait is associated with lower peak vertical substrate reaction forces than LS gait, (3) DS gait is associated with greater forelimb/hind limb differentiation in force magnitudes, and (4) DS gait offers increased stability. Our results indicate that animals preferred DS gait on the arboreal substrate, and LS gait while on the ground. Peak vertical substrate reaction forces showed a tendency to be lower in DS gait, but not consistently so. Pole ("arboreal") forces were lower than ground forces in DS gait, but not in LS gait. The preferred symmetrical gait on both substrates was a grounded run or amble, with the body supported by only one limb throughout most of the stride. During periods of bilateral support, the DS gait had predominantly diagonal support couplets. This benefit for stability on an arboreal substrate is potentially outweighed by overstriding, its associated ipsilateral limb interference in DS gait and hind foot positioning in front of the hand on untested territory. DS gait also did not result in an optimal anchoring position of the hind foot under the center of mass of the body at forelimb touchdown. In sum, the results are mixed regarding the superiority of DS gait in an arboreal setting. Consequently, the notion that DS gait is an ancestral adaptation of primates, conditioned by the selection demands of an arboreal environment, remains largely hypothetical. PMID- 18155129 TI - Differential elastin and tenascin immunolabeling in the uterosacral ligaments in postmenopausal women with and without pelvic organ prolapse. AB - Connective tissue, consisting mainly of collagen and structural glycoproteins, is an important part of the supportive structures of the genitourinary region. Relatively few data have been published with respect to the role of elastin and glycoproteins in pelvic organ prolapse (POP). Connective tissue of the uterosacral ligament in postmenopausal women with and without genital prolapse was compared. Fifty-nine consecutive women referred for hysterectomy were included in the study. The patients had POP or benign gynecological disease (e.g. myoma of the uterus). Tissue samples from the uterosacral ligament were investigated for localization and distribution of tenascin and elastin using immunofluorescence microscopy. Tissue samples of women with prolapse showed a significantly (p<0.001) weaker immunofluorescent labeling of tenascin compared to samples taken from women without prolapse. Tenascin was detectable in tissues of all women with POP, whereas its immunolabeling was decreased in the uterosacral ligament in women without POP. Intact elastin fibers were observed in tissues of all women without POP, whereas elastin was undetectable or sometimes fragmented in the uterosacral ligament in women with POP. Greater amounts of tenascin and lesser amounts of elastin were therefore found in patients with POP. These results suggest that an altered turnover of connective tissue in the uterosacral ligament might be responsible for the presence of pelvic floor relaxation in postmenopausal women. These data indicate a complex architecture of the extracellular matrix in the uterosacral ligaments, with marked differences in tenascin and elastin expression between postmenopausal women with or without POP. PMID- 18155130 TI - Sleep duration and obesity-related risk factors in the rural Midwest. AB - OBJECTIVE: Habitual short sleep duration is a common practice linked to weight gain and risk of obesity. Our objective was to examine the association between sleep duration with other behaviors, such as physical activity and nutrition, which are important for obesity prevention efforts. METHODS: We used cross sectional data from rural communities in Missouri, Tennessee, and Arkansas (N=1203). Controlling for covariates, we assessed the association between short sleep duration (<7 h vs. 7-8 h) and obesity, not meeting vigorous physical activity requirements, low fruit and vegetable consumption, high fat consumption, and frequently eating at fast food restaurants. RESULTS: The proportion of participants with habitual sleep duration of <7 h, 7-8 h, and > or =9 h was 36.2%, 57.3%, and 6.4%, respectively. After multivariable adjustment, short sleep duration was associated with certain obesity-related behaviors, particularly lower physical activity and lower fruit and vegetable consumption. CONCLUSIONS: Short sleep duration is associated with risk behaviors that are known to promote weight gain and obesity. Interventions aimed at promoting physical activity and improved nutrition may benefit by considering adequate sleep duration as a potentially modifiable behavior that may impact the effectiveness of efforts to prevent obesity. PMID- 18155131 TI - RNA-binding protein Dnd1 inhibits microRNA access to target mRNA. AB - MicroRNAs (miRNAs) are inhibitors of gene expression capable of controlling processes in normal development and cancer. In mammals, miRNAs use a seed sequence of 6-8 nucleotides (nt) to associate with 3' untranslated regions (3'UTRs) of mRNAs and inhibit their expression. Intriguingly, occasionally not only the miRNA-targeting site but also sequences in its vicinity are highly conserved throughout evolution. We therefore hypothesized that conserved regions in mRNAs may serve as docking platforms for modulators of miRNA activity. Here we demonstrate that the expression of dead end 1 (Dnd1), an evolutionary conserved RNA-binding protein (RBP), counteracts the function of several miRNAs in human cells and in primordial germ cells of zebrafish by binding mRNAs and prohibiting miRNAs from associating with their target sites. These effects of Dnd1 are mediated through uridine-rich regions present in the miRNA-targeted mRNAs. Thus, our data unravel a novel role of Dnd1 in protecting certain mRNAs from miRNA mediated repression. PMID- 18155132 TI - Correlation of filler content and elastic properties of resin-composites. AB - OBJECTIVES: The aim was to determine the Young's modulus (E), bulk modulus (B), shear modulus (G) and Poisson's ratio (nu) of a series of composite restorative materials and to correlate them with their filler volume-fractions. METHODS: Twelve model resin-composite formulations, with systematically varied volume fraction (Tokuyama), a flowable resin-composite (Point 4 flowable, Kerr) and two hybrid resin-composites (Filtek Supreme XT, 3M-Espe & X-tra Fil, Voco) were investigated. Twelve cylindrical specimens (5 mm x 6 mm) were prepared from each material. Six were free to expand radially under axial compressive loading, and were used to calculate the Young's modulus (E). The other six were radially constricted in a rigid stainless steel ring during loading, from which the bulk modulus (B) was calculated. Compression loading was performed at 1mm/min. The Young's and bulk moduli were determined using equations of elasticity. Poisson's ratio from nu=0.5-(E/6B) and shear modulus from G=E/2(1+nu). RESULTS: Young's moduli ranged from 2.19 to 7.15GPa, bulk moduli from 12.79 to 22.43GPa and shear moduli from 0.74 to 2.47GPa. Poisson's ratio ranged from 0.45 for the stiffer to 0.47 for the more compliant composites. Statistically significant differences (ANOVA and Bonferroni at p=0.05) were found depending on filler volume-fraction. SIGNIFICANCE: Elastic moduli varied significantly and a positive correlation existed between elastic moduli and filler volume-fraction (r2: 0.905-0.992 and 0.940-1.000 for Young's and bulk moduli, respectively). PMID- 18155133 TI - Iron oxide labelling of human mesenchymal stem cells in collagen hydrogels for articular cartilage repair. AB - For the development of new therapeutical cell-based strategies for articular cartilage repair, a reliable cell monitoring technique is required to track the cells in vivo non-invasively and repeatedly. We present a systematic and detailed study on the performance and biological impact of a simple and efficient labelling protocol for human mesenchymal stem cells (hMSCs). Commercially available very small superparamagnetic iron oxide particles (VSOPs) were used as magnetic resonance (MR) contrast agent. Iron uptake via endocytosis was confirmed histologically with prussian blue staining and quantified by mass spectrometry. Compared with unlabelled cells, VSOP-labelling did neither influence the viability nor the proliferation potential of hMSCs. Furthermore, iron incorporation did not affect hMSCs in undergoing adipogenic, osteogenic or chondrogenic differentiation, as demonstrated histologically and by gene expression analyses. The efficiency of the labelling protocol was assessed with high-resolution MR imaging at 11.7T. VSOP-labelled hMSCs were visualised in a collagen type I hydrogel, which is in clinical use for matrix-based articular cartilage repair. The presence of VSOP-labelled hMSCs was indicated by distinct hypointense spots in the MR images, as a result of iron specific loss of signal intensity. In summary, this labelling technique has great potential to visualise hMSCs and track their migration after transplantation for articular cartilage repair with MR imaging. PMID- 18155134 TI - A comparison of rabbit mesenchymal stem cells and anterior cruciate ligament fibroblasts responses on combined silk scaffolds. AB - The aim of this study was to compare the cellular responses of bone marrow derived mesenchymal stem cells (BMSCs) and anterior cruciate ligament fibroblasts (ACLFs) on combined silk scaffolds for ligament tissue engineering application. Rabbit BMSCs and ACLFs were isolated and cultured in vitro for two weeks after seeding on the silk scaffolds. Samples were evaluated and compared for their cellular morphology, proliferation, gene and protein expression of tenascin-C, type I and type III collagen. In addition, the two cell types were transfected with green fluorescent protein (GFP) to trace their fate in the knee joints. Preliminary results comparing cell proliferation indicated that BMSCs proliferated faster than ACLFs. Gene expression of the phenotypic markers measured using real-time reverse transcription polymerase chain reaction (RT-PCR) indicated the transcript levels of BMSCs were significantly increased after two weeks of culture, whereas those of ACLFs had no significant difference. The protein levels and localization were determined by western blotting and immunohistochemical staining, the results showed more production of ligament related extracellular matrix (ECM) by BMSCs as compared to ACLFs. Moreover, 4 weeks postoperatively, more fluorescent cells were presented in BMSC-loaded constructs than in ACLF-loaded constructs. Therefore, based on the cellular response in vitro and in vivo, BMSCs were found to be a better cell source than ACLFs for the further study of ACL tissue engineering. PMID- 18155135 TI - Peripheral nerve regeneration within an asymmetrically porous PLGA/Pluronic F127 nerve guide conduit. AB - Asymmetrically porous tubes with selective permeability and hydrophilicity as nerve guide conduits (NGCs) were fabricated using poly(lactic-co-glycolic acid) (PLGA) and Pluronic F127 by a modified immersion precipitation method. The inner surface of the tube had nano-size pores ( approximately 50nm) which can effectively prevent from fibrous tissue infiltration but permeate nutrients and retain neurotrophic factors, while the outer surface had micro-size pores ( approximately 50microm) which can allow vascular ingrowth for effective supply of nutrients into the tube. From the animal study using a rat model, the hydrophilized PLGA/F127 (3wt%) tube showed better nerve regeneration behavior than the control silicone or hydrophobic PLGA tubes, as investigated by immunohistochemical observation (by fluorescent microscopy with anti neurofilament staining), histological observations (by light microscopy with toluidine blue staining and transmission electron microscopy), and electrophysiological evaluation (by compound muscle action potential measurement). This is probably owing to the effective permeation of nutrients and prevention of fibrous scar tissue invasion as well as the good mechanical strength of the tube to maintain a stable support structure for the nerve regeneration. PMID- 18155136 TI - Engineering of an elastic large muscular vessel wall with pulsatile stimulation in bioreactor. AB - Tissue engineering offers a new approach for the construction of vascular substitutes in vitro with proper mechanical properties. Although success has been made in the engineering of small blood vessels (<6mm in diameter), it remains a challenge to engineer large vessels (>6mm in diameter) due to their insufficient biomechanical property. In the current study, an elastic large vessel wall (6mm in diameter) was engineered by loading a polyglycolic acid (PGA) unwoven fiber scaffold seeded with smooth muscle cells (SMCs) on a vessel reactor designed with dynamic culture conditions. SMCs were isolated from canine carotid artery and expanded before seeding on a PGA fiber mesh. The cell-seeded PGA mesh was then loaded on a vessel reactor and subjected to pulsatile stimuli. Grossly, an elastic vessel wall was formed after 8 weeks of dynamic engineering. Histological examination showed well-orientated smooth muscle cells and collagenous fibers in the group with dynamic culture. In addition, the phenotype of SMCs was confirmed by positive staining of smooth muscle alpha-actin and calponin. On the contrary, disorganized smooth muscle cells and collagenous fibers were observed in the group under static culture without stimuli. Furthermore, the engineered vessels under dynamic culture exhibited significant improvements on biomechanical property over the one from static culture. Our results indicate that the approach developed in the current work is efficient for large vessel engineering. This approach may also be suitable for the engineering of other tissues with muscular tubular structure. PMID- 18155137 TI - Biologically active core/shell nanoparticles self-assembled from cholesterol terminated PEG-TAT for drug delivery across the blood-brain barrier. AB - Biologically active polymer core/shell nanoparticles (i.e. micelles) self assembled from TAT-poly(ethylene glycol) (PEG)-b-cholesterol (TAT-PEG-b-Chol) were fabricated and used as carrier for targeted blood-brain barrier delivery of antibiotics. Ciprofloxacin as a model antibiotic was efficiently loaded into the nanoparticles by a membrane dialysis method. The actual loading level of ciprofloxacin was dependent on initial loading of ciprofloxacin and fabrication temperature. The blank and ciprofloxacin-loaded nanoparticles were characterized using dynamic light scattering and SEM. The nanoparticles were spherical in nature, having an average size lower than 200 nm. The uptake of nanoparticles with TAT by human brain endothelial cells was greater than that of the nanoparticles without TAT. Most importantly, the nanoparticles with TAT were able to cross the blood-brain barrier (BBB), and located around the cell nucleus of neurons. These nanoparticles may provide a promising carrier to deliver antibiotics across the BBB for the treatment of brain infection. PMID- 18155138 TI - In vivo imaging of gene transfer to the respiratory tract. AB - Imaging of in vivo gene expression using luciferase expression in various organs has been used for several years. In contrast to other organs, in vivo imaging of the lung, particularly after non-viral gene transfer has not been extensively studied. The aim of this study was to address several questions: (1) Does in vivo light emission correlate with standard tissue homogenate-based luciferase detection in a dose-dependent manner? Recombinant Sendai virus (SeV) transduces airway epithelial cells very efficiently and was used to address this question, (2) Is the sensitivity of the assay sufficient to detect non-viral gene transfer? We treated mice with SeV-Lux vector using our standard "sniffing" protocol, a method that predominantly results in lung deposition. Dose-related in vivo light emission was visible in all animals. Importantly, there was a significant correlation (r>0.90, p<0.0001) between the in vivo and ex vivo assays in both the left and right lung. We next transfected the nasal epithelium via nasal perfusion or the lungs ("sniffing") of mice with a luciferase plasmid (pCIKLux) complexed to the cationic lipid GL67 (n=25-27/group) and imaged luciferase expression in vivo 24h after transfection. Gene expression was detectable in both organs. Correlation between the in vivo and ex vivo assays was significant (r=0.52, p<0.005) in the left, but not the right lung. The correlation in the nose was weaker (r=0.45, p<0.05). To our knowledge these studies show for the first time that this non-invasive method of assessing pulmonary gene transfer is viable for evaluating non-viral gene transfer agents. PMID- 18155139 TI - Scaffolds from electrospun polyhydroxyalkanoate copolymers: fabrication, characterization, bioabsorption and tissue response. AB - Polyhydroxyalkanoate (PHA) copolymers of poly[(R)-3-hydroxybutyrate-co-5mol%-(R) 3-hydroxyhexanoate], poly[(R)-3-hydroxybutyrate-co-7mol%-4-hydroxybutyrate] and poly[(R)-3-hydroxybutyrate-co-97mol%-4-hydroxybutyrate] were electrospun to fabricate scaffolds with enhanced biocompatibility and bioabsorption. Subcutaneous implantation of the fibers in rats was performed to investigate their bioabsorption behavior and tissue response. The fibers before and after the in vivo experiments were characterized using gel permeation chromatography, scanning electron microscopy, X-ray diffraction and tensile test. Histological evaluation was also performed to determine the tissue response. The structures and properties of the electrospun PHA copolymers were compared with those of the electrospun poly[(R)-3-hydroxybutyrate]. The content and type of the second monomer and the diameter of fiber significantly influence the bioabsorption. The tissue response was found to improve with the high content of 4-hydroxybutyrate. PMID- 18155140 TI - Sensitivity to implant materials in patients with total knee arthroplasties. AB - Materials used for total knee arthroplasty (TKA), may elicit an immune response whose role in the outcome of the arthroplasty is still unclear. The aim of this study was to evaluate the frequency of sensitization in patients who had undergone TKA, and the clinical impact of this event on the outcome of the implant. Ninety-four subjects were recruited, including 20 patients who had not yet undergone arthroplasty, 27 individuals who had a well-functioning TKA, and 47 patients with loosening of TKA components. Sensitization was detected by using patch testing including haptens representative of cobalt-based alloys (CoCrMo), titanium-based alloys (TiAlV), and bone cements. The frequency of positive skin reactions to metals increased significantly after TKA, either stable or loosened (No Implant 20%; Stable TKA 48.1%, p=0.05; Loosened TKA 59.6%, p=0.001, respectively). We found a higher frequency of positive patch testing to vanadium in patients who had a Stable TKA with at least one TiAlV component (39.1%, p=0.01). The medical history for metal allergy seems to be a risk factor, because the TKA failure was fourfold more likely in patients who had symptoms of metal hypersensitivity before TKA. The prognostic value was supported by survival analysis, because in these individuals the outcome of the implant was negatively influenced (the logrank test Chi square 5.1, p=0.02). This study confirms that in patients with a TKA the frequency of positive patch testing is higher than in the normal population, although no predictive value is attributable to the sensitization because patch testing was not able to discriminate between stable and loose implants. On the contrary, the presence of symptoms of metal allergy before implantation should be taken into account as a potential risk factor for TKA failure. PMID- 18155141 TI - Sources for comparative studies of placentation. II. Genomic resources. AB - The genomes of over a dozen placental mammal species are now publicly available. These genome sequences have the potential to provide insight into the development and evolution of the placenta. In particular, the variable anatomy of the placenta has likely been affected by natural selection on the genomes of living and extinct mammals. In this note the current availability of mammal genome sequences is reviewed, and strengths and limitations of these data are discussed. Additionally, museums, zoos, and commercial entities are available to provide genomic resources to the placental research community. Recommendations for tissue storage conditions of placentas in genomic research are given. PMID- 18155142 TI - Effects of oxygen on cell turnover and expression of regulators of apoptosis in human placental trophoblast. AB - Pre-eclampsia (PE) and intrauterine growth restriction (IUGR) are associated with aberrant cell turnover, including increased apoptosis, in placental villous trophoblast. The increased apoptosis is associated with exaggerated expression of p53, which promotes cell cycle arrest or apoptosis via downstream proteins such as p21 or Bax. These changes in apoptosis and p53 expression are purported to result from exposure to altered oxygen tension. Using a model of villous trophoblast turnover, we examined the effect of 20%, 6% and 1% ambient oxygen (O(2)) on apoptosis, necrosis, proliferation and expression of p53 and related regulators of cell turnover, compared to both fresh tissue. Altered O(2) tension exerted an effect on cell turnover in cultured term villous tissue: cytotrophoblast proliferation was increased by culture in 20% O(2) and reduced in 1% O(2) (median proliferative index: fresh tissue=0.32%, 20% O(2)=0.9%, 6% O(2)=0.28%, 1% O(2)=0.07%). Apoptosis was increased in all culture environments, but was significantly enhanced by culture in 1% O(2) (median apoptotic index: fresh tissue=0.64%, 20% O(2)=2.96%, 6% O(2)=3.81%, 1% O(2)=9.2%). Necrotic cell death was also increased by culture in 1% O(2) compared to 6% and 20% O(2). The expression of p53, p21 and Mdm2 in both cytotrophoblast and stromal cells was increased following culture in 1% O(2). There was no alteration in the expression of Bax or Bcl-2. This study provides evidence that p53 is elevated in trophoblast following exposure to hypoxia. The potential role of the p53-pathway in the control of cell turnover in villous trophoblast and the regulation of p53 by altered O(2) tension merits further investigation. PMID- 18155143 TI - Lymphatic vessel dynamics in the uterine wall. AB - During pregnancy, maternal uterine blood vessels undergo dramatic vascular remodeling. However, until now, little was known about whether the lymphatic circulation experiences similar changes and whether these vessels interact with placental cells that invade maternal tissue. Recent studies demonstrate that lymphatic vessels in the uterine wall are highly compartmentalized where their presence is mostly restricted to the deeper layers. In humans, this arrangement changes during pregnancy when extensive lymphangiogenesis occurs at the maternal fetal interface. Placental cytotrophoblasts stimulate lymphatic growth in vivo and in vitro suggesting that they play a role in triggering pregnancy-induced decidual lymphangiogenesis. These data indicate that lymphatic vessels may have important functions at the implantation site during pregnancy. PMID- 18155145 TI - Effects of acute gamma irradiation on Folsomia candida (Collembola) in a standard test. AB - An understanding of the effects of ionizing radiation on non-human biota is required by the International Commission on Radiological Protection for the radiological protection of the environment. We examined dose-effect relationships for gamma radiation on survival, growth, and reproduction in the soil invertebrate Folsomia candida (Collembola) in a standard laboratory test. F. candida were acutely irradiated at increasing doses of gamma radiation, and subsequent survival, growth in body length, and number of neonates produced by irradiated specimens were examined. The 50% lethal dose was at 1356 Gy, and the 10% and 50% effective doses (ED10 and ED50) for growth were at 32 and 144 Gy, respectively. The ED10 and ED50 values for reproduction were at 7.1 and 21.9 Gy, respectively. These data establish important baselines for the radiological protection of terrestrial ecosystems based on scientific principles. PMID- 18155146 TI - Evaluating Microtox as a tool for biodegradability assessment of partially treated solutions of pesticides using Fe3+ and TiO2 solar photo-assisted processes. AB - To shorten phototreatment time is of major concern for the cost and energy benefits of the xenobiotics degradation performed by photocatalytic processes. Using photo-Fenton and TiO(2) phototreatments, partially photodegraded solutions of 6 separate pesticides (alachlor, atrazine, chlorfenvinphos, diuron, isoproturon and pentachlorophenol) were tested for biocompatibility, which was evaluated according to the Zahn-Wellens procedure. This study investigated if Microtox could be considered as a suitable global indicator capable of giving information on the evolution of biocompatibility of the water solution contaminated with organic pollutants during the phototreatment in order to promote biotreatment. The obtained results demonstrated that biodegradability increased significantly after short photo-Fenton treatment times for alachlor, diuron and pentachlorophenol. Uncertain results were obtained with atrazine and isoproturon. Microtox acute toxicity testing was shown to correctly represent dynamics and efficiency of phototreatment. PMID- 18155144 TI - Recognition of facial emotions among maltreated children with high rates of post traumatic stress disorder. AB - OBJECTIVE: The purpose of this study is to examine processing of facial emotions in a sample of maltreated children showing high rates of post-traumatic stress disorder (PTSD). Maltreatment during childhood has been associated independently with both atypical processing of emotion and the development of PTSD. However, research has provided little evidence indicating how high rates of PTSD might relate to maltreated children's processing of emotions. METHOD: Participants' reaction time and labeling of emotions were measured using a morphed facial emotion identification task. Participants included a diverse sample of maltreated children with and without PTSD and controls ranging in age from 8 to 15 years. Maltreated children had been removed from their homes and placed in state custody following experiences of maltreatment. Diagnoses of PTSD and other disorders were determined through combination of parent, child, and teacher reports. RESULTS: Maltreated children displayed faster reaction times than controls when labeling emotional facial expressions, and this result was most pronounced for fearful faces. Relative to children who were not maltreated, maltreated children both with and without PTSD showed enhanced response times when identifying fearful faces. There was no group difference in labeling of emotions when identifying different facial emotions. CONCLUSIONS: Maltreated children show heightened ability to identify fearful faces, evidenced by faster reaction times relative to controls. This association between maltreatment and atypical processing of emotion is independent of PTSD diagnosis. PMID- 18155147 TI - Diacetone alcohol, a dispersant solvent, contributes to acute toxicity of a fipronil-based insecticide in a passerine bird. AB - Fipronil, a phenyl pyrazole pesticide, is aerially applied in eastern Australia to control locust outbreaks, usually as "Adonis 3UL Insecticide" (BASF), an ultra low (UL) volume formulation containing 0.3% active pesticide. We tested the toxicities of technical-grade fipronil, the Adonis 3UL formulation and its components in zebra finch, a native bird at risk of exposure in locust control regions. We estimated oral-dose LD50 by the Up-and-Down method. Under laboratory conditions, we identified unexpectedly high toxicities due exclusively to diacetone alcohol (DAA), a solvent making up 12.5% of the Adonis 3UL formulation. In contrast, finches were asymptomatic when exposed to 0.3% technical grade fipronil dissolved in a minimum amount of acetone. Depending upon the behaviour and persistence of DAA under field conditions, this formulation of Adonis 3UL may pose a far greater threat to the health of small birds and possibly other vertebrates than expected for fipronil alone. PMID- 18155148 TI - [Isolated infarct of the corpus callosum: a misleading appearance]. AB - We report here the case of an isolated corpus callosum infarct in a 48-year-old woman. Characteristics of this unusual condition are illustrated by multiple imaging modalities on follow-up. We discuss the pathophysiology of this rare entity and the more important differential diagnoses. PMID- 18155149 TI - [Microbleeds in thrombotic thrombocytopenic purpura]. PMID- 18155150 TI - Levels and trends of persistent organic pollutants in ringed seals (Phoca hispida) from Central West Greenland, with particular focus on polybrominated diphenyl ethers (PBDEs). AB - Polybrominated diphenyl ethers (PBDEs) and the organochlorine compounds polychlorinated biphenyls (PCBs), DDTs, HCB, chlordane-related pesticides, HCH and toxaphene were analysed in blubber of juvenile ringed seals from Central West Greenland collected between 1982 and 2006. The longest time series could be established for PBDEs, partly based on archived material, while PCBs and DDTs covered a study period from 1994-2006. All organochlorines showed decreasing trends, most pronounced for DDT and HCH with an annual change of 8%. BDE-47 had a significantly increasing trend of 5% annually. It was the only BDE congener consistently above the detection limit, with annual median concentrations between 0.78 ng/g lw to 3.54 ng/g lw, i.e. about 10 times lower than values from East Greenland observed in a similar time trend study on ringed seal blubber [Riget F, Vorkamp K, Dietz R, Rastogi SC. Temporal trend studies on polybrominated diphenyl ethers (PBDEs) and polychlorinated biphenyls (PCBs) in ringed seals from East Greenland. J Environ Monit 2006; 8: 1000-5]. A clear East>West difference was also found for PCBs and DDTs, but not for chlordanes, toxaphene or HCHs. Sigma 10 PCB, Sigma DDT and Sigma Chlordanes had similar annual median concentrations, typically exceeding SigmaPBDE by two orders of magnitude. The concentrations of HCH and toxaphene were in an intermediate group, with highest annual median concentrations of 135 ng/g lw and 20 ng/g lw, respectively. For most compound groups, the circumpolar trend previously established under for example the Arctic Monitoring and Assessment Programme was confirmed, but apparently, more data are needed for chlordane-related compounds and toxaphene. Statistical analyses of the compound patterns in the ringed seal samples revealed significantly greater differences between seals from East and West than between different sampling years. Higher proportions of PCBs and DDTs and lower proportions of chlordanes and HCHs were found in seals from East Greenland than in those from West Greenland. Based on principal component analysis of individual congener and compounds, seals from East Greenland were found to contain higher proportions of the higher chlorinated CB congeners. Varying patterns between sampling locations may be caused by different exposure situations related to contaminant emissions and transport, but different feeding habits may also affect the contaminant composition. PMID- 18155151 TI - Human and crab exposure to mercury in the Caribbean coastal shoreline of Colombia: impact from an abandoned chlor-alkali plant. AB - Human hair samples from male and female people aged 6-85 years, as well as muscle of crabs (Callinectes sapidus and Callinectes bocourti) were collected from different fishing places along the Caribbean coastal shoreline of Colombia and analyzed for total mercury (T-Hg) in order to establish the impact of mercury polluted sediments in Cartagena bay on the ecosystem. Hair T-Hg in inhabitants varied between 0.1 and 21.8 microg/g, with average and median of 1.52 microg/g and 1.1 microg/g, respectively. Differences between sampling locations were significant (P<0.01) and median values decreased in the order: Cano del Oro (1.5 microg/g)6 months were significantly higher in the GSTM1- than GSTM1+ genotype. The GGT levels were significantly higher in the older subjects receiving polytherapy, and the effects of the polytherapy and age were greater in the GSTM1 genotype. CONCLUSIONS: The GSTM1- and GSTM1-/GSTT1- genotypes may be a genetic risk factor for the increase of GGT in VPA-treated patients. However, it was not possible to clarify whether the GGT increase was caused by VPA-induced hepatotoxicity or not. PMID- 18155167 TI - LPS-induced Toll-like receptor 4 signalling triggers cross-talk of apoptosis signal-regulating kinase 1 (ASK1) and HIF-1alpha protein. AB - Toll-like receptor 4 (TLR4) is required for recognition of lipopolysaccharide (LPS) of Gram-negative bacteria and induction of the innate immune response to them. Nevertheless, the involvement of some crucial pathways in TLR4 signalling is poorly understood. Here, we report that LPS-induced TLR4 signalling triggers cross talk of HIF-1alpha and ASK1 in THP-1 human myeloid monocytic leukaemia cells. Both pathways are activated via redox-dependent mechanism associated with tyrosine kinase/phospholipase C-1gamma-mediated activation of protein kinase C alpha/beta, which are known to activate NADPH oxidase and the production of reactive oxygen species that activate both HIF-1alpha and ASK1. ASK1 contributes to the stabilisation of HIF-1alpha, most likely via activation of p38 MAP kinase. PMID- 18155168 TI - Heat shock protein 90 regulates stabilization rather than activation of soluble guanylate cyclase. AB - Endothelium-derived nitric oxide (NO) activates the heterodimeric heme protein soluble guanylate cyclase (sGC) to form cGMP. In different disease states, sGC levels and activity are diminished possibly involving the sGC binding chaperone, heat shock protein 90 (hsp90). Here we show that prolonged hsp90 inhibition in different cell types reduces protein levels of both sGC subunits by about half, an effect that was prevented by the proteasome inhibitor MG132. Conversely, acute hsp90 inhibition affected neither basal nor NO-stimulated sGC activity. Thus, hsp90 is a molecular stabilizer for sGC tonically preventing proteasomal degradation rather than having a role in short-term activity regulation. PMID- 18155169 TI - Involvement of S100A6 (calcyclin) and its binding partners in intracellular signaling pathways. PMID- 18155171 TI - Different roles of SHIP1 according to the cell context: the example of blood platelets. PMID- 18155170 TI - Src family kinases and the MEK/ERK pathway in the regulation of myeloid differentiation and myeloid leukemogenesis. PMID- 18155172 TI - Emerging aspects of membrane traffic in neuronal dendrite growth. AB - Polarized growth of the neuron would logically require some form of membrane traffic to the tip of the growth cone, regulated in conjunction with other trafficking processes that are common to both neuronal and non-neuronal cells. Unlike axons, dendrites are endowed with membranous organelles of the exocytic pathway extending from the cell soma, including both rough and smooth endoplasmic reticulum (ER) and the ER-Golgi intermediate compartment (ERGIC). Dendrites also have satellite Golgi-like cisternal stacks known as Golgi outposts that have no membranous connections with the somatic Golgi. Golgi outposts presumably serve both general and specific local trafficking needs, and could mediate membrane traffic required for polarized dendritic growth during neuronal differentiation. Recent findings suggest that dendritic growth, but apparently not axonal growth, relies very much on classical exocytic traffic, and is affected by defects in components of both the early and late secretory pathways. Within dendrites, localized processes of recycling endosome-based exocytosis regulate the growth of dendritic spines and postsynaptic compartments. Emerging membrane traffic processes and components that contribute specifically to dendritic growth are discussed. PMID- 18155173 TI - DNA-DNA cross-linking mediated by bifunctional [SalenAlIII]+ complex. AB - The aluminum (III) complex [SalenAl(III)]Cl (1), (Salen=(R,R)-N,N'-bis[5-methyl-3 (4-methylpiperazinyl)-salicylidene]-1,2-diphenylethanediamine) has been synthesized and characterized by elemental analysis, FT-IR, (1)H and (13)C NMR measurements. The interaction of complex (1) with calf thymus (CT) DNA has been studied extensively by experimental techniques. Thermal denaturation study of DNA with (1) revealed the DeltaT(m) of 5+/-0.2 degrees C. Viscosity and steady-state fluorescence measurements showed that the complex cross-links DNA and the metal center is interacting with DNA during the cross-linking. Also, the phenyl ring in the complex may intercalate between the base pairs of the DNA during the cross linking. Competitive binding study shows that the enhanced emission intensity of ethidium bromide (EB) in the presence of DNA was quenched by the addition of the metal complex indicating that it displaces EB from its binding site in DNA and the apparent binding constant has been estimated to be (2.8+/-0.2)x10(5) M(-1). Further, time-resolved fluorescence experiments confirm the binding of (1) with DNA and its cross-linking nature. Aluminum ions shown to precipitate DNA completely above the pH 6.0, but no such precipitation was observed with complex (1). The DNA-DNA cross-linking mediated by (1) is further confirmed by gel electrophoresis. PMID- 18155174 TI - Over-expression of mammalian sialidase NEU3 reduces Newcastle disease virus entry and propagation in COS7 cells. AB - The paramyxovirus Newcastle Disease Virus (NDV) binds to sialic acid-containing glycoconjugates, sialoglycoproteins and sialoglycolipids (gangliosides) of host cell plasma membrane through its hemagglutinin-neuraminidase (sialidase) HN glycoprotein. We hypothesized that the modifications of the cell surface ganglioside pattern determined by over-expression of the mammalian plasma membrane associated, ganglioside specific, sialidase NEU3 would affect the virus host cell interactions. Using COS7 cells as a model system, we observed that over expression of the murine MmNEU3 did not affect NDV binding but caused a marked reduction in NDV infection and virus propagation through cell-cell fusion. Moreover, since GD1a was greatly reduced in COS7 cells following NEU3-over expression, we added [(3)H]-labelled GD1a to COS7 cells under conditions that block intralysosomal metabolic processing, and we observed a marked increase of GD1a cleavage to GM1 during NDV infection, indicating a direct involvement of the virus sialidase and host cell GD1a in NDV infectivity. Therefore, the decrease of GD1a in COS7 cell membrane upon MmNEU3 over-expression is likely to be instrumental to NDV reduced infection. Evidence was also provided for the preferential association of NDV-HN at 4 degrees C to detergent resistant microdomains (DRMs) of COS7 cells plasma membranes. PMID- 18155175 TI - Glycated human serum albumin enhances macrophage inflammatory protein-1beta mRNA expression through protein kinase C-delta and NADPH oxidase in macrophage-like differentiated U937 cells. AB - BACKGROUND: In a previous report (Higai K et al., Biol Pharm Bull, 2007), glycated human serum albumin (Glc-HSA) was found to induce interleukin-8 (IL-8) mRNA expression in human monocyte-derived U937 cells through a reactive oxygen species (ROS)-dependent pathway; however, Glc-HSA signaling has not been elucidated in macrophages. METHODS: U937 cells were differentiated by treatment with 50 ng/mL phorbol 12-myristate 13-acetate (PMA) for 2 days and the macrophage like differentiated U937 (differentiated U937) cells were stimulated with Glc-HSA and glycolaldehyde dimer-modified HSA (GA-HSA) in the presence of various signaling inhibitors. Macrophage inflammatory protein-1beta (MIP-1beta) mRNA expression was determined by real-time PCR. Intracellular ROS generation was estimated by confocal laser microscopy. RESULTS: Glc-HSA and GA-HSA markedly enhanced MIP-1beta mRNA expression in differentiated U937 cells. Enhanced MIP 1beta mRNA expression was completely suppressed by the ROS scavenger N-acetyl-l cysteine, the NADPH oxidase inhibitors diphenylene iodonium and apocynin, and the protein kinase C (PKC)-delta inhibitor rottlerin. Furthermore, ROS generation was suppressed completely by rottlerin but not by the PKC-gamma inhibitor Ro318425 or the PKC-alpha, -beta1 and -micro inhibitor Go6976. CONCLUSION: Glc-HSA and GA-HSA enhance MIP-1beta mRNA expression in differentiated U937 cells through PKC-delta dependent activation of NADPH oxidase. PMID- 18155176 TI - 2-Deoxyglucose combined with wild-type p53 overexpression enhances cytotoxicity in human prostate cancer cells via oxidative stress. AB - Overexpression of the tumor suppressor gene, wild-type p53 (wtp53), using adenoviral vectors (Adp53) has been suggested to kill cancer cells by hydroperoxide-mediated oxidative stress [1,2] and nutrient distress induced by the glucose analog, 2-deoxyglucose (2DG), has been suggested to enhance tumor cell killing by agents that induce oxidative stress via disrupting hydroperoxide metabolism [3,4]. In the current study clonogenic cell killing of PC-3 and DU-145 human prostate cancer cells (lacking functional p53) mediated by 4 h exposure to 50 plaque forming units (pfus)/cell of Adp53 (that caused the enforced overexpression of wtp53) was significantly enhanced by treatment with 2DG. Accumulation of glutathione disulfide was found to be significantly greater in both cell lines treated with 2DG+Adp53 and both cell lines treated with 2DG+Adp53 showed a approximately 2-fold increases in dihydroethidine (DHE) and 5-(and-6) carboxy-2',7'-dichlorodihydrofluorescein diacetate (CDCFH(2)) oxidation, indicative of increased steady-state levels of O(2)(.-) and hydroperoxides, respectively. Finally, overexpression of catalase or glutathione peroxidase using adenoviral vectors partially, but significantly, protected DU-145 cells from the toxicity induced by 2DG+Adp53 treatment. These results show that treatment of human prostate cancer cells with the combination of 2DG (a nutrient stress) and overexpression of the tumor suppressor gene, wtp53, enhances clonogenic cell killing by a mechanism that involves oxidative stress as well as allowing for the speculation that inhibitors of glucose and hydroperoxide metabolism can be used in combination with Adp53 gene therapy to enhance therapeutic responses. PMID- 18155178 TI - Iodination of salicylic acid improves its binding to transthyretin. AB - Transthyretin (TTR) is a plasma homotetrameric protein associated with senile systemic amyloidosis and familial amyloidotic polyneuropathy. In theses cases, TTR dissociation and misfolding induces the formation of amyloidogenic intermediates that assemble into toxic oligomeric species and lead to the formation of fibrils present in amyloid deposits. The four TTR monomers associate around a central hydrophobic channel where two thyroxine molecules can bind simultaneously. In each thyroxine binding site there are three pairs of symmetry related halogen binding pockets which can accommodate the four iodine substituents of thyroxine. A number of structurally diverse small molecules that bind to the TTR channel increasing the protein stability and thereafter inhibiting amyloid fibrillogenesis have been tested. In order to take advantage of the high propensity to interactions between iodine substituents and the TTR channel we have identified two iodinated derivatives of salicylic acid, 5 iodosalicylic acid and 3,5-diiodosalicylic acid, available commercially. We report in this paper the relative binding affinities of salicylic acid and the two iodinated derivatives and the crystal structure of TTR complexed with 3,5 diiodosalicylic acid, to elucidate the higher binding affinity of this compound towards TTR. PMID- 18155177 TI - Cytochrome c-mediated oxidation of hydroethidine and mito-hydroethidine in mitochondria: identification of homo- and heterodimers. AB - Here we report that ferricytochrome c (cyt c(3+)) induces oxidation of hydroethidine (HE) and mitochondria-targeted hydroethidine (Mito-HE or MitoSOX Red) forming highly characteristic homo- and heterodimeric products. Using an HPLC-electrochemical (EC) method, several products were detected from cyt c(3+) catalyzed oxidation of HE and Mito-HE and characterized by mass spectrometry and NMR techniques as follows: homodimers (HE-HE, E(+)-E(+), Mito-HE-Mito-HE, and Mito-E(+)-Mito-E(+)) and heterodimers (HE-E(+) and Mito-HE-Mito-E(+)), as well as the monomeric ethidium (E(+)) and mito-ethidium (Mito-E(+)). Similar products were detected when HE and Mito-HE were incubated with mitochondria. In contrast, mitochondria depleted of cyt c(3+) were much less effective in oxidizing HE or Mito-HE to corresponding dimeric products. Unlike E(+) or Mito-E(+), the dimeric analogs (E(+)-E(+) and Mito-E(+)-Mito-E(+)) were not fluorescent. Superoxide (O(2)(*-)) or Fremy's salt reacts with Mito-HE to form a product, 2-hydroxy-mito ethidium (2-OH-Mito-E(+)) that was detected by HPLC. We conclude that HPLC-EC but not the confocal and fluorescence microscopy is a viable technique for measuring superoxide and cyt c(3+)-dependent oxidation products of HE and Mito-HE in cells. Superoxide detection using HE and Mito-HE could be severely compromised due to their propensity to undergo oxidation. PMID- 18155179 TI - On the relationship between flanker interference and localized attentional interference. AB - The flanker interference (FI) effect suggests that visual attention operates like a mental spotlight, enhancing all stimuli within a selected region. In contrast, other data suggest difficulty dividing attention between objects near one another in the visual field, an effect termed localized attentional interference (LAI). The present experiment examined the relationship between these phenomena. Observers made speeded identity judgments of a colored target letter embedded among gray fillers. A response-compatible or -incompatible flanker of a non target color appeared at varying distances from the target. Data gave evidence of LAI and spatially-graded FI, with mean RTs and flanker effects both decreasing with target-flanker separation. Both effects were reduced when target location was pre-cued and when the target was of higher salience than the flanker. Results suggest that the distribution of spatial attention modulates the strength of objects competing for selection, with this competition underlying both the FI and LAI effects. PMID- 18155180 TI - Retention of mosquito larvicidal activity of lyophilized cells and WDP formulation of Bacillus thuringiensis var. israelensis on long-term storage. AB - Lyophilized cells (sealed and unsealed) and water dispersible powders (WDPs) of two indigenous isolates of Bacillus thuringiensis var.israelensis were stored at 10, 4, 30 and 40 degrees C for up to 4 years and checked for activity. Lyophilized cells stored in sealed condition at -10, 4 and 30 degrees C and WDPs stored at -10 and 4 degrees C were found to maintain the activity fairly well. The lyophilized cells stored at 30 degrees C and WDPs stored at 4 degrees C maintained their larvicidal property for up to 20 years. Hence, lyophilization and WDP formulations are reliable methods for long-term storage of B. t. var. israelensis. PMID- 18155181 TI - Gene polymorphisms of matrix metalloproteinase-2, -9 and -12 in periodontal health and severe chronic periodontitis. AB - AIM: Matrix metalloproteinases (MMPs) are involved in periodontal tissue remodeling and degradation. MMP polymorphisms could alter transcription and function of these enzymes. The aim of this study was to investigate MMP-2, MMP-9 and MMP-12 gene polymorphisms in relation to susceptibility to severe chronic periodontitis (CP). METHODS: Genomic DNA was obtained from peripheral blood of 87 severe CP patients and 107 periodontally healthy subjects. MMP-2 -735C/T, MMP-9 1562C/T and MMP -12357Asn/Ser gene polymorphisms were genotyped by polymerase chain reaction and restriction fragment length polymorphism. Probing depth, clinical attachment loss, supragingival plaque accumulation and bleeding on probing were recorded. The data were analyzed by chi-square, logistic regression and Mann-Whitney-U-tests. RESULTS: The genotype distributions and allele frequencies of MMP-2, MMP-9 and MMP-12 genes were similar in CP and healthy subjects (p>0.05). Differences between rare allele carriage rates of CP and healthy groups regarding MMP-2, MMP-9 and MMP-12 gene polymorphisms were not significant (p>0.05). However, T allele carriers of MMP-9 -1562 gene had less risk for CP (OR=0.36; 95% CI=0.16-0.81). CONCLUSION: These data suggest that MMP 2 -735C/T, MMP-9 -1562C/T and MMP-12 357Asn/Ser polymorphisms are not associated with susceptibility to severe CP in Turkish population. However, T allele of MMP 9 -1562 gene might be associated with decreased susceptibility to severe CP. PMID- 18155182 TI - Correlation between salivary IL-1beta levels and periodontal clinical status. AB - OBJECTIVE: To assess the concentration of the proinflammatory cytokine IL-1beta in saliva of periodontally diseased and healthy patients and their relationship with the periodontal status. DESIGN: Unstimulated whole saliva samples from patients with chronic periodontitis (n=30), aggressive periodontitis (n=18) and healthy controls (n=18) were obtained for the study. The periodontal status of each subject was assessed by criteria based on probing depth, clinical attachment loss and the extent/severity of periodontal breakdown. The levels of IL-1beta were measured in saliva samples with a high sensitivity enzyme-linked immunosorbent assay (ELISA). RESULTS: Although no significant difference (P=0.624) was found for salivary IL-1beta levels between periodontitis groups, they were significantly greater (P<0.01) than those detected for healthy controls. Furthermore, Spearman correlation analysis showed statistically significant correlations (P<0.01) between data from salivary IL-1beta levels and clinical measurements. CONCLUSION: The findings of the present study reemphasize the importance of whole saliva as sampling method in terms of immunological purposes in periodontal disease and suggest that the elevated IL-1beta concentration may be one of the host-response components associated to the clinical manifestations of periodontal disease. PMID- 18155184 TI - Development of inhibitory synaptic transmission to the superior salivatory nucleus in rats. AB - The primary parasympathetic center of the submandibular and sublingual salivary glands is the superior salivatory (SS) nucleus, neurons of which receive excitatory (glutamatergic) and inhibitory (GABAergic and glycinergic) synaptic transmissions in rats. In the present study, to examine postnatal neural development, we focused on inhibitory transmission to the SS neurons in neonatal rats from postnatal day 2 (P2) to P14. Conventional and gramicidin-perforated whole-cell patch-clamp techniques were applied to the neurons in brainstem slices. The decay time constants of GABAergic and glycinergic postsynaptic currents (PSCs) consisted of fast (tau(fast)) and slow (tau(slow)) components. Both tau(fast) and tau(slow) of PSC components tended to become faster with development. The equilibrium potential of Cl(-) (E(Cl-)) was estimated from the reversal potentials of total PSCs (GABAergic plus glycinergic). The E(Cl-) in the P8-P14 group was significantly more negative than E(Cl-) in the P2-P7 group. Exogenous GABA application at the resting potentials produced depolarization in 83% of SS neurons at P2-P7 and accompanied the action potential in some neurons. In contrast, at P8-P14, GABA evoked hyperpolarization in 78% of SS neurons; therefore, SS neurons did not acquire mature inhibitory systems until P14. The development of SS neurons is discussed as compared with the development of peripheral salivary gland tissue and brainstem neurons that participate in oral motor and sensory functions. PMID- 18155183 TI - The rostral anterior cingulate cortex modulates the efficiency of amygdala dependent fear learning. AB - BACKGROUND: The rostral anterior cingulate cortex (rACC) and the amygdala consistently emerge from neuroimaging studies as brain regions crucially involved in normal and abnormal fear processing. To date, however, the role of the rACC specifically during the acquisition of auditory fear conditioning still remains unknown. The aim of this study is to investigate a possible top-down control of a specific rACC sub-region over amygdala activation during pavlovian fear acquisition. METHODS: We performed excitotoxic lesions, temporal inactivation, and activation of a specific sub-region of the rACC that we identified by tracing studies as supporting most of the connectivity with the basolateral amygdala (r(Amy)-ACC). The effects of these manipulations over amygdala function were investigated with a classical tone-shock associative fear conditioning paradigm in the rat. RESULTS: Excitotoxic lesions and transient inactivation of the r(Amy) ACC pre-training selectively produced deficits in the acquisition of the tone shock associative learning (but not context). This effect was specific for the acquisition phase. However, the deficit was found to be transient and could be overcome by overtraining. Conversely, pre-training transient activation of the r(Amy)-ACC facilitated associative learning and increased fear expression. CONCLUSIONS: Our results suggest that a subregion of the rACC is key to gating the efficiency of amygdala-dependent auditory fear conditioning learning. Because r(Amy)-ACC inputs were confirmed to be glutamatergic, we propose that recruitment of this brain area might modulate overall basolateral amygdala excitatory tone during conditioned stimulus-unconditioned stimulus concomitant processing. In the light of clinical research, our results provide new insight on the effect of inappropriate rACC recruitment during emotional events. PMID- 18155185 TI - Effects of early binocular enucleation on auditory and somatosensory coding in the superior colliculus of the rat. AB - The present study aimed at investigating the effects of early visual deprivation (bilateral neonatal enucleation) on auditory and somatosensory coding in the polysensory deep layers of the superior colliculus of the rat. The proportion of cells responding to auditory and somatosensory stimulation and the receptive field properties of single neurons were assessed in both normal and enucleated rats. As expected, in enucleated rats there was a drastic increase in the number of unresponsive units and visual responses could no longer be evoked. Most importantly, the proportion of cells that responded to auditory stimulation was drastically reduced. However, the few cells that remained responsive to auditory stimulation were well tuned to noise stimuli presented in both azimuth and elevation, principally in the contralateral hemifield. Enucleation also increased the proportion of cells responding to somatosensory stimulation, particularly to the vibrissae. Implications in terms of neural plasticity and functionality are discussed. PMID- 18155186 TI - Direct determination of selenium in rat blood plasma by Zeeman atomic absorption spectrometry. AB - The method was developed to be applied for direct determination of selenium in rat plasma by graphite-furnace atomic absorption spectrometry with Zeeman background correction. Blood was obtained from CD rats of both sexes 2h after dosing in weeks 7 and 13 in order to acquire data on the levels of selenium in these animals during 13-week gavage administration of l-seleno methylselenocysteine (SeMC), a new candidate chemopreventive agent under development. Application of the commonly used method of standard addition was found to be unsuitable to calculate the selenium content in rat plasma (within run and between-run accuracy and precision parameters were less than 85%). Therefore, a new analytical method was developed. In this method, samples of rat plasma (50 microL) were diluted 10-fold with a reducing agent containing l ascorbic acid, a modifier solution containing palladium chloride and Triton X 100. Samples were atomized in pyrolytically coated graphite tubes and peak height signals were measured. Selenium concentrations were determined by linear least squares regression analysis based on the standard curve generated in pooled rat blank plasma. Since selenium is normally present in plasma, a three-step approach was used to calculate selenium plasma levels. Initially selenium levels were determined based on the standard curve with selenium-spiked pool plasma. In the second step, background selenium levels in the pooled plasma were determined based on the same standard curve. In the third step, background level was added to the previously derived number. The relative errors were in the range from -4.6 to 11.4% (intra-day assay) and from -0.4 to 8.8% (inter-day assay) which proved good accuracy. The relative standard deviations were in the range from 1.88 to 4.70% (intra-day precision) and from 3.28 to 5.38% (inter-day precision). In rat plasma, the following dose-dependent selenium levels (mean+/-S.D.) in males and females, respectively, were observed at 13 weeks: 655.5+/-48.8 and 595.8+/-43.9 ng/mL (control group), 927.9+/-85.3 and 859.3+/-164.3 ng/mL (0.4 mg/kg per day dose group), 1238.9+/-182.4 and 1169.9+/-112.6 ng/mL (0.8 mg/kg per day dose group), and 1476.5+/-138.1 and 1320.1+/-228.6 ng/mL (2.0mg/kg per day dose group). No significant sex differences in selenium plasma levels were seen in the SeMC-treated groups. No significant differences in selenium plasma levels were seen between mean plasma levels at 7 and 13 weeks. The described method is simple, rapid, accurate, precise and can be easily applied in other laboratories for a large number of samples. PMID- 18155187 TI - Cryopreservation of ovarian tissues temporarily suppresses the proliferation of granulosa cells in mouse preantral follicles. AB - Cryopreservation of ovarian tissue has been reported to delay the development of preantral follicles during in vitro culture, but the mechanism causing this impairment has not been brought to light. In order to elucidate the underlying mechanism of delayed follicular development, we evaluated the effects of cryopreservation on the proliferation of granulosa cells during culture of mouse preantral follicles, as a sufficient population of granulosa cells is critical for normal follicular development. Additionally the initial cell death of granulosa cells was estimated immediately after cryopreservation. The ovarian tissues obtained from 12-day-old female mice were cryopreservation by vitrification. The granulosa cell proliferation was evaluated by measuring the PCNA expression and the expression of cell cycle regulators such as cyclin D2, CDK4, cyclin E and CDK2 in preantral follicles isolated from fresh and cryopreserved ovarian tissues that were cultured for 48 h. The viability of granulosa cells was evaluated by measuring the proportion of necrotic areas. The granulosa cell proliferation of the cryopreserved preantral follicles was decreased significantly compared to that of the fresh controls at 0 and 24h after culture (P<0.05), and this was increased to the control levels after 48 h of culture. The expressions of cyclin D2, Cdk4, cyclin E and Cdk2 were also decreased in the cryopreserved ovarian tissues at 0 and 24h after culture (P<0.05), but they were increased to the control levels after 48 h of culture. The proportion of the necrotic area was significantly higher in cryopreserved preantral follicles compared to that of the fresh preantral follicles (P<0.05). This suggests that cryopreservation of ovarian tissues may delay the preantral follicle development by temporary suppressing the granulosa cell proliferation through the cell cycle regulators (cyclin D2, Cdk4, cyclin E and Cdk2) and by granulosa cell death immediately after warming. PMID- 18155188 TI - Effects of dipole polarization of water molecules on ice formation under an electrostatic field. AB - Experiments were carried out to clarify the effects of an electrostatic field on ice formation. Distilled water was used as the test sample and was kept in a special container and cooled down to a constant temperature of -30 degrees C. The strength of the electrostatic field used in the experiments was in the range of 1.0 x 10(3)-1.0 x 10(5)V/m. The results indicated that the electrostatic field was capable of inducing nucleation in water supercooled at a relatively high temperature and raising the temperature of supercooling by up to 1.6 degrees C. The analysis indicated that dipole polarization of the water molecules by the electrostatic field is the primary factor in this phenomenon. Under an electrostatic field, water molecules have a tendency to align with the electrostatic field. Water molecules with dipole moments along the direction of the electrostatic field are the most stable, and have the maximum value for the Boltzmann distribution function. These properties are conducive to nucleation. A special method was used to determine the dependence of the phase transformation time on the application of an electrostatic field. It was found that the phase transformation time was unaffected by the application of an electrostatic field and only the supercooling temperature was affected. PMID- 18155190 TI - Loss of Fgfr2 leads to partial XY sex reversal. AB - In mammals, sex is determined in the bipotential embryonic gonad by a balanced network of gene actions which when altered causes disorders of sexual development (DSD, formerly known as intersex). In the XY gonad, presumptive Sertoli cells begin to differentiate when SRY up-regulates SOX9, which in turn activates FGF9 and PGDS to maintain its own expression. This study identifies a new and essential component of FGF signaling in sex determination. Fgfr2 mutant XY mice on a mixed 129/C57BL6 genetic background had either normal testes, or developed ovotestes, with predominantly testicular tissue. However, backcrossing to C57BL6 mice resulted in a wide range of gonadal phenotypes, from hypoplastic testes to ovotestes with predominantly ovarian tissue, similar to Fgf9 knockout mice. Since typical male-specific FGF9-binding to the coelomic epithelium was abolished in Fgfr2 mutant XY gonads, these results suggest that FGFR2 acts as the receptor for FGF9. Pgds and SOX9 remained expressed within the testicular portions of Fgfr2 mutant ovotestes, suggesting that the Prostaglandin pathway acts independently of FGFR2 to maintain SOX9 expression. We could further demonstrate that double heterozygous Fgfr2/Sox9 knockout mice developed ovotestes, demonstrating that both Fgfr2 and Sox9 can act as modifier intersex genes in the heterozygous state. In summary, we provide evidence that FGFR2 is important for male sex determination in mice, thereby rendering human FGFR2 a candidate gene for unsolved DSD cases such as 10q26 deletions. PMID- 18155189 TI - Notch2 is required for maintaining sustentacular cell function in the adult mouse main olfactory epithelium. AB - Notch receptors are expressed in neurons and glia in the adult nervous system, but why this expression persists is not well-understood. Here we examine the role of the Notch pathway in the postnatal mouse main olfactory system, and show evidence consistent with a model where Notch2 is required for maintaining sustentacular cell function. In the absence of Notch2, the laminar nature of these glial-like cells is disrupted. Hes1, Hey1, and Six1, which are downstream effectors of the Notch pathway, are down-regulated, and cytochrome P450 and Glutathione S-transferase (GST) expression by sustentacular cells is reduced. Functional levels of GST activity are also reduced. These disruptions are associated with increased olfactory sensory neuron degeneration. Surprisingly, expression of Notch3 is also down-regulated. This suggests the existence of a feedback loop where expression of Notch3 is initially independent of Notch2, but requires Notch2 for maintained expression. While the Notch pathway has previously been shown to be important for promoting gliogenesis during development, this is the first demonstration that the persistent expression of Notch receptors is required for maintaining glial function in adult. PMID- 18155191 TI - Pbx3 is required for normal locomotion and dorsal horn development. AB - The transcription cofactor Pbx3 is critical for the function of hindbrain circuits controlling respiration in mammals, but the perinatal lethality caused by constitutively null mutations has hampered investigation of other roles it may play in neural development and function. Here we report that the conditional loss of Pbx3 function in most tissues caudal to the hindbrain resulted in progressive deficits of posture, locomotion, and sensation that became apparent during adolescence. In adult mutants, the size of the dorsal horn of the spinal cord and the numbers of calbindin-, PKC-gamma, and calretinin-expressing neurons in laminae I-III were markedly reduced, but the ventral cord and peripheral nervous system appeared normal. In the embryonic dorsal horn, Pbx3 expression was restricted to a subset of glutamatergic neurons, but its absence did not affect the initial balance of excitatory and inhibitory interneuron phenotypes. By embryonic day 15 a subset of Meis(+) glutamatergic neurons assumed abnormally superficial positions and the number of calbindin(+) neurons was increased three fold in the mutants. Loss of Pbx3 function thus leads to the incorrect specification of some glutamatergic neurons in the dorsal horn and alters the integration of peripheral sensation into the spinal circuitry regulating locomotion. PMID- 18155192 TI - Plectin regulates the signaling and trafficking of the HIV-1 co-receptor CXCR4 and plays a role in HIV-1 infection. AB - The CXC chemokine CXCL12 and its cognate receptor CXCR4 play an important role in inflammation, human immunodeficiency virus (HIV) infection and cancer metastasis. The signal transduction and intracellular trafficking of CXCR4 are involved in these functions, but the underlying mechanisms remain incompletely understood. In the present study, we demonstrated that the CXCR4 formed a complex with the cytolinker protein plectin in a ligand-dependent manner in HEK293 cells stably expressing CXCR4. The glutathione-S-transferase (GST)-CXCR4 C-terminal fusion proteins co-precipitated with the full-length and the N-terminal fragments of plectin isoform 1 but not with the N-terminal deletion mutants of plectin isoform 1, thereby suggesting an interaction between the N-terminus of plectin and the C terminus of CXCR4. This interaction was confirmed by confocal microscopic reconstructions showing co-distribution of these two proteins in the internal vesicles after ligand-induced internalization of CXCR4 in HEK293 cells stably expressing CXCR4. Knockdown of plectin with RNA interference (RNAi) significantly inhibited ligand-dependent CXCR4 internalization and attenuated CXCR4-mediated intracellular calcium mobilization and activation of extracellular signal regulated kinase 1/2 (ERK1/2). CXCL12-induced chemotaxis of HEK293 cells stably expressing CXCR4 and of Jurkat T cells was inhibited by the plectin RNAi. Moreover, CXCR4 tropic HIV-1 infection in MAGI (HeLa-CD4-LTR-Gal) cells was inhibited by the RNAi of plectin. Thus, plectin appears to interact with CXCR4 and plays an important role in CXCR4 signaling and trafficking and HIV-1 infection. PMID- 18155193 TI - The mechanism of increasing outflow facility by rho-kinase inhibition with Y 27632 in bovine eyes. AB - Rho-kinase inhibitor Y-27632 (Y-27) affects actomyosin cytoskeletal networks and has been shown to significantly increase outflow facility (C) in enucleated porcine and rabbit eyes, as well as in vivo monkey eyes without obvious toxicity. The mechanisms underlying these responses remain largely unknown. In this study, we investigate how Y-27 affects aqueous humor C, the hydrodynamic patterns of outflow, and the morphology of the inner wall (IW) and juxtacanalicular connective tissue (JCT). 12 bovine eyes were perfused at 15 mmHg with Dulbecco's PBS containing 5.5 mM glucose (DPBS) to establish stable baseline C. The anterior chamber was exchanged and perfused with DPBS containing 50 microM Y-27 in 7 eyes, while 5 eyes received DPBS alone. Eyes were then perfused with DPBS containing fluorescent microspheres (0.5 microm; 0.002% v/v) at a fixed volume to deliver equivalent amounts of tracer to label the hydrodynamic filtration patterns. All eyes were perfusion-fixed with Karnovsky's fixative. Radial and frontal sections were prepared in all quadrants and confocal images were taken along the IW of the aqueous plexus (AP). The total length (TL) and filtration length (FL) of the IW were measured in > or =16 images/eye, and the average percent effective filtration length (PEFL=FL/TL) was calculated. Sections with AP were processed and examined by light and electron microscopy. The TL of the IW and length exhibiting JCT/IW separation (SL) were measured in > or =16 micrographs/eye, and the average percent separation length (PSL=SL/TL) was also calculated. After Y-27 treatment, C increased from 1.54+/-0.34 (+/-SEM) to 2.36+/-0.54 microL/min per mmHg (58.2+/-18.9%) while control eyes changed from 1.67+/-0.41 to 1.71+/-0.39 microl/min per mmHg (6.0+/-9.3%) and the percent changes between the Y-27-treated and control eyes were significant (p=0.03). Control eyes showed segmental distribution of tracer in the trabecular meshwork tending to cluster near collector channel ostia, whereas Y-27-treated eyes showed a more uniform pattern and extensive labeling along the IW. In Y-27-treated eyes, PEFL was 3-fold larger (57.6+/-3.7%) compared to control eyes (18.2+/-4.5%; p<0.001). Light microscopic examination revealed that, with Y-27, the IW and JCT were significantly distended compared to control eyes, with discernible separation between the IW and JCT. PSL was 2.8-fold larger in Y-27-treated eyes (59.3+/-3.6%) than in controls (20.8+/ 2.0%; p<0.001). A significant positive correlation was found between PEFL and PSL (p=0.003) suggesting that as connectivity between the JCT and IW decreases the available area for aqueous humor drainage increases along the AP. Our study also demonstrates a significant positive correlation between C and the PSL (p=0.01), a finding identical to what we reported to occur during the "washout" effect in bovine eyes. Our data suggests the structural correlate to the increase in C and PEFL after Y-27-treatment is physical separation between the JCT and IW. The increase in C after Y-27-treatment may share a similar mechanism comparable with the washout effect that occurs in bovine eyes. Overall, these findings support our hypothesis that JCT/IW connectivity influences local outflow hydrodynamics that regulate C, and suggest that strategies targeting JCT/IW connectivity are promising anti-glaucoma therapies to reduce IOP. PMID- 18155194 TI - Presence of EGF growth factor ligands and their effects on cultured rat conjunctival goblet cell proliferation. AB - The amount of mucin on the ocular surface is regulated by the rate of mucin synthesis, mucin secretion, and the number of goblet cells. We have previously shown that cholinergic agonists are potent stimuli of mucin secretion. In contrast, there have been no studies on the control of goblet cell proliferation. In this study we investigate the presence of the EGF family of growth factors and their receptors in rat conjunctiva and cultured rat conjunctival goblet cells as well as their effects on activation of signaling intermediates and goblet cell proliferation. Rat conjunctival goblet cells were grown in organ culture and identified as goblet cells by their morphology and positive staining for the lectin UEA-1 and cytokeratin 7. In the rat conjunctiva, the presence of the EGF family members epidermal growth factor (EGF), transforming growth factor alpha (TGF-alpha), heparin binding EGF (HB-EGF), and heregulin was determined by RT PCR. The receptors for these ligands, EGF receptor (EGFR), erbB2, erbB3, and erbB4 were detected in both rat conjunctiva and goblet cells by Western blot analysis. Immunofluorescence microscopy of conjunctival tissue determined that EGFR was present as punctate staining in the cytoplasm of conjunctival goblet cells while ErbB2 was present in the basolateral and lateral membranes of goblet cells. ErbB3 was localized to the cytosol of rat conjunctival goblet cells. In cultured goblet cells, EGFR and ErbB2 were present in the perinuclear area of the cells. ErbB3 was widely distributed throughout the cytoplasm of the cells. ErbB4 was not detected in either the conjunctiva or goblet cells by immunofluorescence microscopy. Using a multiplex assay system we measured phosphorylation (activation) of p44/p42 mitogen-activated protein kinase (MAPK), also known as ERK, Jun N-terminal kinase (JNK), p38 MAPK and AKT (also known as protein kinase B), molecules known to be activated by EGF receptor members. EGF, TGF-alpha and HB-EGF activated the signaling intermediate proteins whereas heregulin did not. No EGF family member significantly activated AKT. Consistent with these findings, EGF, TGF-alpha and HB-EGF each stimulated goblet cell proliferation as measured by WST-1 assay or immunofluorescence microscopy using an antibody against Ki-67, a protein expressed in dividing cells. Heregulin did not cause goblet cell proliferation. We conclude that multiple members of the EGF family, EGF, TGF alpha and HB-EGF, and heregulin are present with three of the four erbB receptor subtypes. EGF, TGF-alpha and HB-EGF all stimulated the activation of signaling intermediates and caused goblet cell proliferation. PMID- 18155196 TI - Leishmania amazonensis: biosynthesis of polyprenols of 9 isoprene units by amastigotes. AB - The isoprenoid metabolic pathway in protozoa of the Leishmania genus exhibits distinctive characteristics. These parasites, as well as other members of the Trypanosomatidae family, synthesize ergosterol, instead of cholesterol, as the main membrane sterol lipid. Leishmania has been shown to utilize leucine, instead of acetate as the main precursor for sterol biosynthesis. While mammalian dolichols are molecules containing 15-23 isoprene units, Leishmania amazonensis promastigotes synthesize dolichol of 11 and 12 units. In this paper, we show that the intracellular stages of L. amazonensis, amastigotes, synthesize mainly polyprenols of 9 isoprene units, instead of dolichol. PMID- 18155195 TI - Titrating Theileria parva: single stocks against combination of stocks. AB - Theileria parva is the causative agent of East Coast fever (ECF), an important cattle disease in East and Central Africa. One of the methods for control of ECF is 'infection and treatment', a procedure in which an animal is infected with the live parasite and at the same time treated with a long-acting oxytetracycline formulation, restraining the infection and allowing a protective cellular immune response to develop. Optimal immunizing doses were estimated using models of trichotomous response: dysimmunization (death or severe reaction during immunization), immunization failure (death or severe reaction during lethal challenge) and successful immunization (neither dysimmunization nor immunization failure). In this paper we present methods of interpreting immunization trials and apply these methods to previously unpublished data from two such trials: one with a mixture of three T. parva stocks and one with a single T. parva stock. We explain why titration trials conducted with a cocktail of antigens could predict a suboptimal immunization dose. Indeed it is possible for a combination of three individually efficient stocks to result in a mixture with which optimal immunization response might be difficult to achieve, because of averaging effects. The corresponding interpretation provides insights into why standard immunization trials for T. parva have not yielded the results that might be expected of them. The results of this work may also have implications for the use of antigen cocktails in cancer, HIV and malaria vaccine trials. PMID- 18155197 TI - Babesia gibsoni: Serodiagnosis of infection in dogs by an enzyme-linked immunosorbent assay with recombinant BgTRAP. AB - The thrombospondin-related adhesive protein of Babesia gibsoni (BgTRAP) is known as an immunodominant antigen and is, therefore, considered as a candidate for the development of a diagnostic reagent for canine babesiosis. The recombinant BgTRAP (rBgTRAP) expressed in Escherichia coli was tested in an enzyme-linked immunosorbent assay (ELISA) for detecting antibodies to B. gibsoni in dogs. The ELISA with rBgTRAP clearly differentiated between B. gibsoni-infected dog sera and specific pathogen-free (SPF) dog sera. The sera collected from dogs experimentally infected with closely related parasites, B. canis canis, B. canis vogeli, B. canis rossi, and Neospora caninum, showed no cross-reactivity by the ELISA with rBgTRAP. A total of 107 blood samples collected from dogs that had been diagnosed as having babesiosis at veterinary hospitals in Japan were examined for the diagnosis of B. gibsoni infection by the ELISA and PCR. Ninety six (89.7%) and 89 (83.2%) of the tested samples were positive by the ELISA and PCR, respectively, while 11 (10.3%) and 4 (3.7%) were ELISA+/PCR- and ELISA /PCR+, respectively. In addition, the sensitivity of the ELISA with rBgTRAP was much higher than that of previously established ELISAs with rBgP50, rBgSA1, and rBgP32. These results indicate that the rBgTRAP is the most promising diagnostic antigen for the detection of an antibody to B. gibsoni in dogs and that the combined ELISA/PCR approach could provide the most reliable diagnosis for clinical sites. PMID- 18155198 TI - Autotransplantation of frozen-thawed ovarian tissue in a young woman: ultrastructure and viability of grafted tissue. AB - This is the first report of the presence of ultrastructurally normal primordial and primary follicles, 13 months after autotransplantation of frozen-thawed human ovarian tissue. The stroma contained numerous viable and ultrastructurally normal blood vessels but showed poor cellular density. PMID- 18155199 TI - Pregnancy after in vitro fertilization-intracytoplasmic sperm injection obtained with a modified natural cycle in a BRCA1 mutation carrier. AB - OBJECTIVE: To report a successful pregnancy after a semi-natural IVF cycle for a BRCA1 gene mutation carrier. DESIGN: Case report. SETTING: University hospital. PATIENT(S): A 26-year-old patient with BRCA1 gene mutation. INTERVENTION(S): Semi natural IVF cycle and intracytoplasmic sperm injection. MAIN OUTCOME MEASURE(S): Pregnancy rate. RESULT(S): A modified natural IVF cycle was performed, resulting in pregnancy and delivery. CONCLUSION(S): A modified natural IVF cycle is an effective and safe solution for BRCA1 or BRCA2 mutation gene carrier women with couple infertility. PMID- 18155200 TI - The uterus and fertility. AB - OBJECTIVE: To review the current understanding of the role the uterus plays in embryo implantation and to outline congenital anomalies and acquired diseases that impact normal uterine function. DESIGN: The publications related to the embryo implantation, Mullerian anomalies, uterine polyps, uterine synechiae, and myomas were identified through Medline and reviewed. CONCLUSION(S): Congenital anomalies and acquired diseases of the uterus may negatively impact on the complex processes of embryo implantation. Hysteroscopic surgery to correct uterine septa, intrauterine synechiae, and myomas that distort the uterine cavity may benefit women with infertility or recurrent pregnancy loss. The effect of endometrial polyps on fertility is uncertain, but their removal, once identified, is justifiable. Complex congenital anomalies such as unicornuate uterus and uterus didelphys may negatively affect fertility and pregnancy outcome, and surgical treatment may benefit select patients. PMID- 18155201 TI - Menstrual cycle length is an age-independent marker of female fertility: results from 6271 treatment cycles of in vitro fertilization. AB - OBJECTIVE: To investigate whether menstrual cycle length correlates with success rates at IVF/intracytoplasmic sperm injection (ICSI) and could be used as a marker of ovarian reserve. DESIGN: Prospective observational study. SETTING: Private infertility centre. PATIENT(S): A total of 6271 IVF/ICSI treatment cycles. INTERVENTION(S): Self-reported mean number of menstrual days during the last year was recorded before initiation of IVF/ICSI treatment. MAIN OUTCOME MEASURE(S): Relations between menstrual cycle length and pregnancy and delivery rates. RESULT(S): Increasing age was associated with a subtle shortening of mean menstrual cycle length. Menstrual cycle length correlated linearly with pregnancy and delivery rates, even after age adjustment. The chance of delivery after IVF/ICSI was almost doubled for women with a menstrual cycle length >34 days compared with women with a menstrual cycle length <26 days. Menstrual cycle length was also significantly associated with ovarian response to FSH/hMG stimulation and embryo quality. CONCLUSION(S): Mean menstrual cycle length is highly related to success rates in assisted reproduction, independently of age. A precise menstrual cycle history could be used as a simple marker of ovarian reserve. PMID- 18155202 TI - Pre-cycle saline infusion sonography minimizes assisted reproductive technologies cycle cancellation due to endometrial polyps. AB - Pre-ART cycle screening with saline infusion sonohysterography is effective at limiting cycle cancellation caused by endometrial polyps to 0.5%. Although a thickened lining at the time of baseline ultrasound can be indicative of a uterine polyp, a normal endometrial lining does not eliminate the possibility that a polyp will be discovered during the cycle. PMID- 18155203 TI - Superior mesenteric artery syndrome (with video). PMID- 18155204 TI - Jumbo forceps are superior to standard large-capacity forceps in obtaining diagnostically adequate inflammatory bowel disease surveillance biopsy specimens. AB - BACKGROUND: In inflammatory bowel disease (IBD) surveillance colonoscopy, an increased number of biopsy specimens correlates with a higher dysplasia detection rate. Larger biopsy specimens may also increase the diagnostic yield. OBJECTIVE: To compare a new jumbo forceps with a standard large-capacity forceps in obtaining diagnostically adequate IBD surveillance biopsy specimens. DESIGN: Prospective single-center study. PATIENTS AND METHODS: Twenty-four patients who were undergoing an IBD surveillance colonoscopy were enrolled. As part of standard IBD surveillance, 8 paired biopsy specimens were obtained from the rectosigmoid by using the jumbo forceps and a standard large-capacity forceps. OUTCOME MEASUREMENTS: Biopsy specimens were deemed adequate if they met all 3 of the following criteria: (1) length > or =3 mm, (2) penetration into the muscularis mucosa, and (3) < 20% crush artifact. RESULTS: The proportion of adequate biopsy specimens obtained with the jumbo forceps was significantly higher than that obtained with the large-capacity control forceps (67% vs 48%, P < .0001). The average length of the biopsy specimen obtained with the jumbo forceps was 4.00 mm (95% CI, 3.81-4.20 mm) compared with 3.19 mm (95% CI, 2.99 3.38 mm) with the large-capacity (control) forceps. LIMITATIONS: (1) No validated outcome measurement for the quality of GI biopsy specimens exists and (2) in this study, interobserver variability between pathologists was high. CONCLUSIONS: The jumbo forceps was superior to a standard large-capacity forceps in obtaining diagnostically adequate IBD surveillance biopsy specimens. Because biopsy specimens obtained with the jumbo forceps were larger, the use of this forceps for IBD surveillance will allow the endoscopist to sample a larger colonic mucosal surface area, potentially resulting in an increased dysplasia detection rate. PMID- 18155205 TI - Comparison of EUS and ERCP in the investigation with suspected biliary obstruction caused by choledocholithiasis: a randomized study. AB - BACKGROUND: EUS may be used to reduce the need of diagnostic ERCP. OBJECTIVE: Our purpose was to investigate the benefits and safety of an EUS-guided versus an ERCP-guided approach in the management of suspected biliary obstructive diseases caused by choledocholithiasis, in whom a US study is not diagnostic. DESIGN: A randomized study. SETTING: A university medical unit. PATIENTS: Patients with clinical, biochemical, or radiologic suspicion of biliary obstruction. INTERVENTIONS: In the EUS group, therapeutic ERCP was performed at the same EUS session if a lesion was found. In the ERCP group, therapeutic treatment was carried out at the discretion of the endoscopist. MAIN OUTCOME MEASUREMENTS: The number of ERCPs avoided, procedure-related complications, and recurrent biliary symptoms on follow-up at 1 year. RESULTS: Thirty-three patients were randomized to EUS and 32 to ERCP. Three patients (9.4%) had failed ERCPs, whereas all EUS procedures were successful. Nine (27.3%) patients in the EUS group were found to have biliary lesions that were all treated by ERCP. In the ERCP group, 7 (22%) patients had biliary lesions detected that were treated in the same session. More patients had serious complications (bleeding, acute pancreatitis, and umbilical abscess) in the ERCP group. One patient in each group had recurrent biliary symptoms during follow-up. With EUS used as a triage tool, diagnostic ERCP and its related complications could be spared in 49 (75.4%) patients. CONCLUSIONS: In patients suspected to have biliary obstructive disease, EUS is a safe and accurate test to select patients for therapeutic ERCP. PMID- 18155206 TI - Endoscopic visualization of embolization coil in a duodenal ulcer. PMID- 18155207 TI - Anemia caused by a gastric inflammatory fibroid polyp. PMID- 18155208 TI - Multiple cavernous hemangiomas with iron deficiency anemia successfully treated with double-balloon enteroscopy. PMID- 18155209 TI - Superior vena cava syndrome: diagnosis of etiology with EUS-guided FNA. PMID- 18155210 TI - Narrow-band imaging colonoscopy--a pilot feasibility study for the detection of polyps and correlation of surface patterns with polyp histologic diagnosis. AB - BACKGROUND: Colonoscopy is the preferred screening method for colorectal cancer. However, it has a substantial miss rate for colon polyps, and several techniques have been attempted to improve this limitation. Narrow-band imaging (NBI) is a novel technology that enhances the visualization of surface mucosal and vascular patterns. OBJECTIVE: The aim of this study was to determine the detection rate of additional polyps by NBI after removal of polyps visualized by standard white light colonoscopy (WLC) and to correlate the surface mucosal and vascular patterns with polyp histologic diagnosis. DESIGN: This was a prospective pilot feasibility study. SETTING: Kansas City Veterans Affairs Medical Center. PATIENTS: Subjects referred for screening colonoscopy were prospectively enrolled. METHODS: Subjects underwent colonoscopy after enrollment. After intubation of the cecum, colonic segments were sequentially examined, initially with WLC with removal of polyps followed by re-examination of the same segment with NBI. Additional polyps seen with NBI were photographed for their surface patterns and then removed. The total number of polyps visualized by WLC and NBI was calculated and the surface patterns were then correlated with polyp histologic features. RESULTS: Forty patients were enrolled in the study, all men, 32 white. The mean age was 62 years. A total of 72 polyps were detected by WLC (43 tubular adenoma, 28 hyperplastic polyps), whereas NBI detected an additional 51 polyps, of which 29 were tubular adenomas and 22 were hyperplastic. Five different surface/vascular patterns were observed: fine capillary network with absent mucosal pattern, circular pattern with dots, round/oval pattern, tubular pattern, and gyrus pattern. The sensitivity, specificity, and overall accuracy of the first two patterns for hyperplastic polyps were 86%, 96%, and 92%, respectively, and of the latter three patterns for tubular adenomas were 96%, 86%, and 92%, respectively. CONCLUSIONS: This pilot study demonstrates the feasibility of polyp detection and histologic correlation with NBI. These findings need to be confirmed in future randomized controlled trials. PMID- 18155211 TI - Diagnosis of colopulmonary fistula by virtual colonoscopy. PMID- 18155212 TI - Pyogenic liver abscess complicating colonoscopic polypectomy. PMID- 18155213 TI - An unusual gall bladder. PMID- 18155214 TI - Histologic evaluation of resection specimens obtained at 293 endoscopic resections in Barrett's esophagus. AB - BACKGROUND: Evidence-based selection criteria for endoscopic resection (ER) of Barrett's neoplasia are scarce. OBJECTIVE: To study the histopathology of ER specimens of Barrett's neoplasia and correlate this with endoscopic characteristics to make recommendations for patient management. DESIGN, SETTING, INTERVENTIONS: Histology and correlating endoscopy reports of specimens obtained at 293 consecutive ERs performed at a Dutch tertiary referral center between 2000 and 2006 were reviewed. MAIN OUTCOME MEASUREMENTS: Histologic findings in ER specimens and their relation with endoscopic characteristics. RESULTS: A total of 150 ERs were performed for focal lesions: 16% type 0-I, 23% 0-IIa, 7% 0-IIb, 3% 0 IIc, 9% 0-IIa-IIb, and 42% 0-IIa-IIc; and 143 for flat mucosa. Histology revealed no dysplasia in 57 ERs, low-grade intraepithelial neoplasia in 52, high-grade intraepithelial neoplasia in 104, T1m in 61, and T1sm in 17; in two cancers, infiltration depth was not assessable because of artifacts. Type 0-I and 0-IIc lesions significantly more often penetrated the submucosa (P = .009): 60% were G1 cancers, 23% were G2 cancers, and 18% were G3 cancers. G2-G3 cancers significantly more often invaded the submucosa (P < .001) or had positive vertical margins (P = .015). Histology of ER specimens led to a change in diagnosis in 49% of the focal lesions and a relevant change in treatment policy in 30%. LIMITATIONS: A retrospective study. CONCLUSIONS: ER is a valuable diagnostic tool that frequently leads to a change in treatment policy. Most endoscopically resected early Barrett's neoplasia are 0-II type, G1 mucosal neoplasia. Submucosal infiltration is more often encountered in type 0-I and 0 IIc lesions and in G2-G3 cancers. PMID- 18155215 TI - Self-training in unsedated transnasal EGD by endoscopists competent in standard peroral EGD: prospective assessment of the learning curve. AB - BACKGROUND: Training programs in unsedated transnasal (UT) EGD are scarce. OBJECTIVE: To prospectively assess the learning curve for unsupervised UT-EGD. SETTING: Endoscopy service, without experience in UT-EGD. SUBJECTS: Consecutive patients referred for diagnostic EGD. INTERVENTION: UT-EGD was attempted in 140 study patients by 2 endoscopists who trained by themselves in UT-EGD (skilled endoscopist [n = 70]; a trainee having recently achieved competency in conventional EGD [n = 70]) and in 10 controls (endoscopist skilled in UT-EGD) by using a 4.9-mm-diameter videoendoscope. MAIN OUTCOME MEASUREMENTS: Technical success, sedation administered, patient tolerance acceptance, procedure duration for each decade of 10 consecutive patients investigated by the same endoscopist; intention-to-treat analysis. RESULTS: Both self-trained endoscopists fulfilled predefined criteria of competency in UT-EGD since the first attempts. They completed examinations of adequate quality with exclusive transnasal scope insertion (n = 139 [99.3%]), no sedation (n = 138 [98.6%]), and patient accepting repeat procedure (n = 135 [96.4%]) in proportions not significantly different from controls for all decades. Compared with a median procedure duration of 5.5 minutes (interquartile range [IQR] 5.0-8.5 minutes) in controls, procedures were significantly longer for all trainee's decades (eg, first decade 20.0 minutes [IQR 15.0-29.0 minutes], P < .001) but none for the skilled endoscopist. Overall discomfort, pain, gagging, and belching were not significantly different for study patients versus controls. Fifty-six of 69 study patients (81%) with a previous history of conventional EGD preferred UT-EGD. LIMITATIONS: Generalizability to other small-caliber endoscopes. CONCLUSIONS: Endoscopists competent in conventional EGD may obtain excellent results with UT-EGD (except for procedure duration) beginning with their first attempts, even without supervision or structured training. PMID- 18155216 TI - Usefulness and safety of 0.4% sodium hyaluronate solution as a submucosal fluid "cushion" in endoscopic resection for gastric neoplasms: a prospective multicenter trial. AB - BACKGROUND: Sodium hyaluronate (SH) solution has been used for submucosal injection in endoscopic resection to create a long-lasting submucosal fluid "cushion." OBJECTIVES: Our purpose was to assess the usefulness and safety of 0.4% SH solution in endoscopic resection. DESIGN: A prospective multicenter randomized controlled trial. SETTING: Six referral hospitals in Japan. PATIENTS: One hundred forty patients with 5- to 20-mm gastric intramucosal neoplastic lesions. INTERVENTIONS: Patients were randomized into 0.4% SH and control groups. Endoscopic resection was performed with 0.4% SH or normal saline solution for submucosal injection. MAIN OUTCOME MEASUREMENTS: PRIMARY OUTCOME MEASURE: The usefulness of 0.4% SH solution was assessed by en bloc complete resection and the formation and maintenance of mucosal lesion-lifting during endoscopic resection. SECONDARY OUTCOME MEASURES: (1) steepness of mucosal lesion lifting, (2) complications, (3) time required for mucosal resection, (4) volume of submucosal injection solution, and (5) ease of mucosal resection. Safety was assessed by analyzing adverse events during the study period. RESULTS: The usefulness rate was significantly higher for the 0.4% SH group (88.4%, 61/69) than for the control group (58.6%, 41/70). As secondary outcome measures, significant intergroup differences (P < .001) were noted for (1) steepness of mucosal lesion lifting, (2) volume of submucosal injection solution, and (3) ease of mucosal resection. No serious adverse events were encountered in either group. LIMITATIONS: Lack of blinding. Safety was not a powered outcome measure. CONCLUSIONS: Using 0.4% SH as a submucosal injection solution in endoscopic resection enabled the formation and maintenance of sufficient mucosal lesion lifting for gastric intramucosal lesions, reducing the need for additional injections and simplifying mucosal resection. Use of 0.4% SH thus simplifies the complicated procedures involved in endoscopic resection. PMID- 18155217 TI - Laparoscopic appearance of Cruveilhier-Baumgarten syndrome, dilated Sappey's veins, and early caput medusae. PMID- 18155218 TI - Is fledging in king penguin chicks related to changes in metabolic or endocrinal status? AB - This study examines the possibility that metabolic or endocrinal factors initiate fledging in the king penguin, a semi-altricial seabird species breeding a single chick on the ground. Chick fledging (departure to sea) occurred 5d after completion of the molt. It was preceded by a 16d fasting period and by a 7-fold increase in locomotor activity. From the measurement of the plasma concentration of metabolites and of glucagon and insulin, pre-fledging king penguin chicks were found to adapt to fasting in a classical way, i.e. by sparing body protein and mobilizing fat stores. At fledging, chicks were in phase II of fasting and their departure to sea was not stimulated by reaching critical energy depletion (phase III), in contrast to that which has been reported in breeding-fasting adults. The plasma level of corticosterone remained unchanged throughout the whole pre fledging period, providing no support for a role of this stress-hormone in the facilitation of fledging. Thus, king penguin fledglings did not appear to be environmentally or nutritionally stressed. The plasma levels of thyroid hormones were elevated during the pre-fledging molt, in accordance with their key role in molt control in adult penguins. These levels declined by the time of the molt end, the plasma level of T4 thereafter being directly related to the time left before fledging. These results do not support the view that chronically elevated levels of thyroid hormones are required for the energy-demanding transition between being ashore and in cold water, but they suggest that the maintenance of high T4 levels may delay fledging. PMID- 18155219 TI - Haemostatic efficacy of an ethyl-2-cyanoacrylate-based aerosol in combination with tourniquet application in a large wound model with an arterial injury. AB - BACKGROUND: Tourniquet application is the standard method for the control of severe trauma haemorrhage. However, it may result in severe ischaemic injuries when used for a long time. In this study, we developed a modified ethyl-2 cyanoacrylate-based aerosol (ECA) aerosol spray and determined its efficacy for short-time control of bleeding of large wounds in pigs when used in combination with tourniquet application. METHODS: A large wound model with a femoral arterial injury was made in the middle of either thigh of the pig. Thirty white female hybrid pigs were divided evenly and randomly into three groups, including tourniquet application only group (group A), tourniquet-ECA group (group B, a combination of ECA with tourniquet application) and tourniquet-ECA with wound cleaning group (group C, a combination of ECA with tourniquet application plus wound cleaning). RESULTS: The success rates of haemostasis were 0%, 30%and 90% in groups A, B and C, respectively (P<0.05). The incidence of haematoma and the membrane forming time were 100% and 20%, and 5.9+/-1.0min and 8.3+/-1.1min, respectively, in groups B and C (both P<0.05). The haemostatic time and the thickness of membrane were 11.9+/-1.8min and 10.2+/-1.4min, and 0.68+/-0.29mm and 0.79+/-0.25mm, respectively, in the two groups (P>0.05, both). CONCLUSION: The ECA spray achieves haemostasis within a very short time when it is used in combination with tourniquet application in a large wound model with an arterial injury. It may effectively prevent the wound from bleeding without the need for any long-term pressure bandage to wrap the wound, and it is easy to be disposed in debridement. Therefore, it may serve as an optimal choice for the first aid of large wounds with an arterial injury. PMID- 18155220 TI - Determination of methylmercury and phenylmercury in water samples by liquid liquid-liquid microextraction coupled with capillary electrophoresis. AB - A novel method for determination of methylmercury (MeHg) and phenylmercury (PhHg) by liquid-liquid-liquid microextraction (LLLME) coupled with capillary electrophoresis (CE) with ultraviolet (UV) technique was developed. The method based on MeHg and PhHg was complexed with 1-(2-pyridylazo)-2-naphthol (PAN) to form hydrophobic complexes. When the sample solution was stirred, analytes were extracted into the organic layer (200 microL toluene) and back-extracted simultaneously into the 4.0 microL 0.1% (w/v) l-cysteine microdrop. The factors affecting on the LLLME of two mercury species, including sample pH, complex reagent concentration, extraction time, volume of organic solvent, stirring rate and phase volume ratio, were investigated. Under the optimized conditions, the detection limits (S/N=3) of MeHg and PhHg were 0.94 and 0.43 ngmL(-1) (as Hg), respectively. The precisions (RSDs, c=10 ngmL(-1), n=7) were in the range of 3.3 3.4% for migration time, 6.1-7.2% for peak area response, and 6.7-7.5% for peak height response for the two mercury species. The enrichment factors of 324 for MeHg and 210 for PhHg were obtained with 40 min LLLME. The developed method was successfully applied to the determination of trace amounts of MeHg and PhHg in water samples. PMID- 18155221 TI - Editorial on "Peak capacity in unidimensional chromatography" by U.D. Neue. PMID- 18155222 TI - In-tube extraction for enrichment of volatile organic hydrocarbons from aqueous samples. AB - In-tube extraction (ITEX) is a novel solventless extraction technique in which a headspace syringe with a needle body filled with a sorbent (here: Tenax TA) is used. The analytes are extracted from sample headspace by dynamic extraction. The needle body is surrounded by a separate heater, which is used for thermal desorption of analytes into the injection port of a GC system. We report here for the first time the optimization and evaluation of a fully automated analytical method based on ITEX. As target analytes, 19 common groundwater contaminants such as halogenated volatiles and monoaromatic compounds have been chosen. Method related parameters such as extraction temperature, number of extraction cycles, extraction and desorption volume as well as extraction and desorption flow rates were investigated in detail. The linear dynamic range of the ITEX method ranged over six orders of magnitude between 0.028 microg/L and 1218 microg/L with linear correlation coefficients between 0.990 and 0.998 for the investigated compounds. Method detection limits for monoaromatic compounds were between 28 ng/L (ethylbenzene) and 68 ng/L (1,2,4-trimethylbenzene). For halogenated volatile organic compounds, method detection limits between 48 ng/L (chloroform) and 799 ng/L (dichloromethane) were obtained. The precision of the method with external calibration was between 3.1% (chloroform ethylbenzene) and 7.4% (1,2,3 trimethylbenzene). PMID- 18155223 TI - Higher mass loadability in comprehensive two-dimensional gas chromatography-mass spectrometry for improved analytical performance in metabolomics analysis. AB - A major challenge in metabolomics analysis is the accurate quantification of metabolites in the presence of (extremely) high abundant metabolites. Quantification of metabolites at low concentrations can be complicated by co elution and/or peak distortion when these metabolites elute close to high abundant metabolites. To increase the separation efficiency a comprehensive two dimensional gas chromatographic-mass spectrometric method (GC x GC-MS) was set up, in which a polar first dimension column and an apolar second dimension column were used to maximize the peak capacity. The feasibility of using wider bore, thicker film columns in the second dimension to improve the mass loadability and inertness of the analytical system was investigated. Several column combinations with varying second dimension column dimensions were compared with a setup with a narrow bore column (0.1mm I.D.) in the second dimension. With a wider bore column (0.32 mm I.D.) in the second dimension the mass loadability was improved 10-fold, and the more inert column surface of the thicker film second dimension column resulted in a more accurate (automated) quantification and improved linearity in the presence of high concentrations of matrix compounds or metabolites. These benefits amply compensated the observed decrease in peak capacity of 40% compared to the narrow bore (0.1mm I.D.) thin film second dimension column. Compared to GC MS and conventional GC x GC-MS, better performance for quantification of metabolites for typical metabolomics samples was achieved. PMID- 18155224 TI - Large volume injection techniques in capillary gas chromatography. AB - Large volume injection (LVI) is a prerequisite of modern gas chromatographic (GC) analysis, especially when trace sample components have to be determined at very low concentration levels. Injection of larger than usual sample volumes increases sensitivity and/or reduces (or even eliminates) the need for extract concentration steps. Also, an LVI technique can serve as an interface for on-line connection of GC with a sample preparation step or with liquid chromatography. This article reviews the currently available LVI techniques, including basic approaches to their optimization and important real-world applications. The most common LVI methods are on-column and programmed temperature vaporization (PTV) in solvent split mode. Newer techniques discussed in this article include direct sample introduction (DSI), splitless overflow, at-column, and "through oven transfer adsorption desorption" (TOTAD). PMID- 18155225 TI - Determination of volatile organic acids in oriental tobacco by needle-based derivatization headspace liquid-phase microextraction coupled to gas chromatography/mass spectrometry. AB - A method coupling needle-based derivatization headspace liquid-phase microextraction with gas chromatography-mass spectrometry (HS-LPME/GC-MS) was developed to determine volatile organic acids in tobacco. The mixture of N,O bis(trimethylsilyl)trifluoroacetamide and decane was utilized as the solvent for HS-LPME, resulting that extraction and derivatization were simultaneously completed in one step. The solvent served two purposes. First, it pre concentrated volatile organic acids in the headspace of tobacco sample. Second, the volatile organic acids extracted were derivatized to form silyl derivatives in the drop. The main parameters affecting needle-based derivatization HS-LPME procedure such as extraction and derivatization reagent, microdrop volume, extraction and derivatization time, and preheating temperature and preheating time were optimized. The standard addition approach was essential to obtain accurate measurements by minimizing matrix effects. Good linearity (R(2)> or =0.9804) and good repeatability (RSDs< or =15.3%, n=5) for 16 analytes in spiked standard analytes sample were achieved. The method has the additional advantages that at the same time it is simple, fast, effective, sensitive, selective, and provides an overall profile of volatile organic acids in the oriental tobacco. This paper does offer an alternative approach to determine volatile organic acids in tobacco. PMID- 18155226 TI - Anomalous low-frequency electro-optic behavior of ferric oxide particles in the presence of poly(ethylene oxide). AB - Electro-optic techniques were used to investigate the influence of poly(ethylene oxide) (PEO) on the surface electric state of positively charged oxide particles. The variations in particle electrophoretic mobility of beta-FeOOH particles in the presence of PEO indicate significant changes in the surface electric state of the particles in the concentration interval of PEO 10(-2)-10(-1) g dm(-3). The electro-optic results for the same conditions were unexpected: no significant difference is observed in the value and the relaxation frequency of particle electric polarizability in the frequency domain of the alpha-relaxation (detected in the kilohertz range); particle rotational relaxation time also remains unchanged; considerable changes are detected only in the relaxation interval of particle rotation (detected in the hertz range). The obtained results reject the possibility of the formation on the particle surface of a thick polymer layer. A thin adsorption layer cannot explain the significant decrease in particle electrophoretic mobility. The variations in electrophoretic mobility are well correlated with the effects in the domain of particle rotation. A possible explanation of the observed effects is proposed, based on our previous investigations of the effects in the low-frequency domain. The presented results demonstrate that the important information on the electrokinetic charge distribution is not found in the domain of the alpha-dispersion, but in the domain of particle rotation. PMID- 18155227 TI - Low polydispersed copper-sulfide nanocrystals derived from various Cu-alkyl amine complexes. AB - Copper-sulfides, Cu2-xS nanocrystals (NCs) have been synthesized using the reaction between a Cu-alkyl amine complex and a sulfur/1-dodecanethiol. Here, 1 dodecanthiol plays an important role to reduce the reaction temperature of sulfuration. The Cu/S composition (the Cu-defect density) of Cu2-xS NCs depends on the stability of Cu-alkyl amine complex. XPS analyses reveal that the substance of Cu-defect is attributed to an introducing of Cu+2S2-2 species. There is a good correlation between an intensity of a near IR absorption peak and a Cu defect density estimated by XPS analyses. These results demonstrate that optical properties of Cu2-xS NCs in a near IR region are tunable. PMID- 18155228 TI - Universal electro-osmosis formulae for porous media. AB - Approximate analytical formulae valid for any porous media with elongated pores are derived for the electro-osmotic coefficient alpha and for the average ionic concentration n . A macroscopic Debye-Huckel length kappa (-)(-1) based on n is introduced. Simultaneously, the electro-osmotic coefficient alpha is systematically calculated for various media, zeta potentials and electrolyte concentrations by solving the local equations. Numerical results show that kappa (-)(-1) and alpha follow universal curves valid whatever the porous medium; these curves can be approximated by the analytical formulae previously derived. These formulae can be used to provide a priori estimates of the electro-osmotic coefficient. PMID- 18155229 TI - Determination of the concentration dependence of polyelectrolyte diffusion coefficients by application of the Boltzmann gradient method. AB - The concentration dependence of a polyelectrolyte diffusion coefficient in aqueous low salt solution (KCl, 1 mM) is determined from a single dynamic gradient experiment. The Boltzmann method is applied to calculate the diffusion coefficient. A special diffusion cell is constructed that minimizes aberrations in the optical detection of the polyion concentration profile. Bovine serum albumin (BSA) is chosen as a model polyion. To get information about the diffusion process down to very small polyion concentrations, the BSA molecule is fluorescently labeled. The fluorescence intensity is used as a measure of the polyion concentration. The change of the polyion net charge caused by labeling is discussed. The cell is illuminated by an LED, and the fluorescence intensity profile is detected by a CCD camera. Experiments at 5 and 17 degrees C show that the diffusion coefficient of labeled BSA remains constant in the very low polyion concentration range below a threshold of about 1.5 g/l. This is in contradiction to the linear concentration dependence of polyion diffusion coefficients at very low concentrations often postulated in the literature without reference to direct experimental evidence. Our finding is confirmed by dynamic light scattering experiments published recently. An explanation for this behavior based on a modified Donnan osmotic compressibility approach is given. PMID- 18155230 TI - Prevalence of pathogenic bee viruses in Hungarian apiaries: situation before joining the European Union. AB - A survey on the occurrence of six honeybee-pathogenic viruses was carried out using one-step RT-PCR assays. Samples were collected between 1999 and 2004 in 52 Hungarian apiaries located in different regions of the country. The results of the assays on samples of adult honeybees and Varroa destructor mites were compared to similar surveys from France and Austria. The study demonstrates geographical differences in the prevalence of honeybee viruses between Hungary and the older EU member states. The results could serve as a basis for monitoring further changes in the distribution of honeybee viruses in Europe. PMID- 18155231 TI - Adoptive passive transfer of rabbit beta1-adrenoceptor peptide immune cardiomyopathy into the Rag2-/- mouse: participation of the ER stress. AB - Auto-antibodies against the beta(1)-adrenoceptors are present in 30-40% of patients with dilated cardiomyopathy. Recently, a synthetic peptide corresponding to a sequence of the second extracellular loop of the human beta(1)-adrenoceptor (beta(1)-EC(II)) has been shown to produce endoplasmic reticulum (ER) stress, myocyte apoptosis and cardiomyopathy in immunized rabbits. To study the direct cardiac effects of anti-beta(1)-EC(II) antibody in intact animals and if they are mediated via beta(1)-adrenoceptor stimulation, we administered IgG purified from beta(1)-EC(II)-immunized rabbits to recombination activating gene 2 knock-out (Rag2(-/-)) mice every 2 weeks with and without metoprolol treatment. Serial echocardiography and cardiac catheterization showed that beta(1)-EC(II) IgG reduced cardiac systolic function after 3 months. This was associated with increase in heart weight, myocyte apoptosis, activation of caspase-3, -9 and -12, and increased ER stress as evidenced by upregulation of GRP78 and CHOP and cleavage of ATF6. The Rag2(-/-) mice also exhibited increased phosphorylation of CaMKII and p38 MAPK. Metoprolol administration, which attenuated the phosphorylation of CaMKII and p38 MAPK, reduced the ER stress, caspase activation and cell death. Finally, we employed the small-interfering RNA technology to reduce caspase-12 in cultured rat cardiomyocytes. This reduced not only the increase of cleaved caspase-12 but also of the number of myocyte apoptosis produced by beta(1)-EC(II) IgG. Thus, we conclude that ER stress plays an important role in cell death and cardiac dysfunction in beta(1)-EC(II) IgG cardiomyopathy, and the effects of beta(1)-EC(II) IgG are mediated via the beta(1)-adrenergic receptor. PMID- 18155232 TI - The absence of endogenous lipid oxidation in early stage heart failure exposes limits in lipid storage and turnover. AB - Intramyocardial lipid handling in pressure-overload-induced heart failure remains poorly understood, and the balance between endogenous and exogenous lipid utilization for mitochondrial ATP production is essentially unknown. In this study, we determined the contribution of endogenous triacylglycerols (TAG) to mitochondrial oxidation relative to that of exogenous palmitate, glucose, and endogenous glycogen in the failing, pressure-overloaded rat heart. TAG content and turnover were also assessed to determine if lipid availability and mobility were altered. Dynamic-mode (13)C NMR was performed in intact hearts from aortic banded and sham operated Spraque-Dawley rats perfused with (13)C-labeled palmitate or glucose to assess TAG turnover rate and palmitate oxidation rate. The fractional contributions from palmitate, glucose, glycogen, and TAG to mitochondrial ATP production were determined from NMR analysis of heart extracts. TAG oxidation was not evident in HF, whereas the contribution of TAG to oxidative ATP production was significant in shams. TAG content was 39% lower in HF compared to sham, and TAG turnover rate was 60% lower in HF. During adrenergic challenge, TAG sources were again not oxidized in the HF group. In early cardiac failure, endogenous TAG oxidation was reduced in parallel to increased carbohydrate oxidation, with no change in exogenous palmitate oxidation. This finding was consistent with reduced TAG storage and mobilization. These data further elucidate the role of intermediary and lipid metabolism in the progression of LVH to failure, and contribute to emerging evidence linking the disruption of myocardial substrate use to cardiomyopathies. PMID- 18155233 TI - An unstable head-rod junction may promote folding into the compact off-state conformation of regulated myosins. AB - The N-terminal region of myosin's rod-like subfragment 2 (S2) joins the two heads of this dimeric molecule and is key to its function. Previously, a crystal structure of this predominantly coiled-coil region was determined for a short fragment (51 residues plus a leucine zipper) of the scallop striated muscle myosin isoform. In that study, the N-terminal 10-14 residues were found to be disordered. We have now determined the structure of the same scallop peptide in three additional crystal environments. In each of two of these structures, improved order has allowed visualization of the entire N-terminus in one chain of the dimeric peptide. We have also compared the melting temperatures of this scallop S2 peptide with those of analogous peptides from three other isoforms. Taken together, these experiments, along with examination of sequences, point to a diminished stability of the N-terminal region of S2 in regulated myosins, compared with those myosins whose regulation is thin filament linked. It seems plain that this isoform-specific instability promotes the off-state conformation of the heads in regulated myosins. We also discuss how myosin isoforms with varied thermal stabilities share the basic capacity to transmit force efficiently in order to produce contraction in their on states. PMID- 18155235 TI - Fluorescence resonance energy transfer between residues on troponin and tropomyosin in the reconstituted thin filament: modeling the troponin-tropomyosin complex. AB - Troponin (Tn), in association with tropomyosin (Tm), plays a central role in the calcium regulation of striated muscle contraction. Fluorescence resonance energy transfer (FRET) between probes attached to the Tn subunits (TnC, TnI, TnT) and to Tm was measured to study the spatial relationship between Tn and Tm on the thin filament. We generated single-cysteine mutants of rabbit skeletal muscle alpha Tm, TnI and the beta-TnT 25-kDa fragment. The energy donor was attached to a single-cysteine residue at position 60, 73, 127, 159, 200 or 250 on TnT, at 98 on TnC and at 1, 9, 133 or 181 on TnI, while the energy acceptor was located at 13, 146, 160, 174, 190, 209, 230, 271 or 279 on Tm. FRET analysis showed a distinct Ca(2+)-induced conformational change of the Tm-Tn complex and revealed that TnT60 and TnT73 were closer to Tm13 than Tm279, indicating that the elongated N terminal region of TnT extends beyond the beginning of the next Tm molecule on the actin filament. Using the atomic coordinates of the crystal structures of Tm and the Tn core domain, we searched for the disposition and orientation of these structures by minimizing the deviations of the calculated FRET efficiencies from the observed FRET efficiencies in order to construct atomic models of the Tn-Tm complex with and without bound Ca(2+). In the best-fit models, the Tn core domain is located on residues 160-200 of Tm, with the arrowhead-shaped I-T arm tilting toward the C-terminus of Tm. The angle between the Tm axis and the long axis of TnC is approximately 75 degrees and approximately 85 degrees with and without bound Ca(2+), respectively. The models indicate that the long axis of TnC is perpendicular to the thin filament without bound Ca(2+), and that TnC and the I-T arm tilt toward the filament axis and rotate around the Tm axis by approximately 20 degrees upon Ca(2+) binding. PMID- 18155234 TI - A new twist in TCR diversity revealed by a forbidden alphabeta TCR. AB - We report crystal structures of a negatively selected T cell receptor (TCR) that recognizes two I-A(u)-restricted myelin basic protein peptides and one of its peptide/major histocompatibility complex (pMHC) ligands. Unusual complementarity determining region (CDR) structural features revealed by our analyses identify a previously unrecognized mechanism by which the highly variable CDR3 regions define ligand specificity. In addition to the pMHC contact residues contributed by CDR3, the CDR3 residues buried deep within the V alpha/V beta interface exert indirect effects on recognition by influencing the V alpha/V beta interdomain angle. This phenomenon represents an additional mechanism for increasing the potential diversity of the TCR repertoire. Both the direct and indirect effects exerted by CDR residues can impact global TCR/MHC docking. Analysis of the available TCR structures in light of these results highlights the significance of the V alpha/V beta interdomain angle in determining specificity and indicates that TCR/pMHC interface features do not distinguish autoimmune from non autoimmune class II-restricted TCRs. PMID- 18155237 TI - Oxidation-sensitive residues mediate the DNA bending abilities of the architectural MC1 protein. AB - The Methanosarcina thermophila MC1 protein is a small basic protein that is able to bend DNA sharply. When this protein is submitted to oxidative stress through gamma irradiation, it loses its original DNA interaction properties. The protein can still bind DNA but its ability to bend DNA is decreased dramatically. Here, we used different approaches to determine the oxidations that are responsible for this inactivation. Through a combination of proteolysis and mass spectrometry we have identified the three residues that are oxidized preferentially. We show by site directed mutagenesis that two of these residues, Trp74 and Met75, are involved in the DNA binding. Their substitution by alanine leads to a strong reduction in the protein capacity to bend DNA, and a total loss of its ability to recognize bent DNA. Taken together, these results show that oxidation of both these residues is responsible for the protein inactivation. Furthermore, the results confirm the strong relationship between DNA bending and recognition of DNA sequences by the MC1 protein. PMID- 18155236 TI - Nucleotide-mediated conformational changes of monomeric actin and Arp3 studied by molecular dynamics simulations. AB - Members of the actin family of proteins exhibit different biochemical properties when ATP, ADP-P(i), ADP, or no nucleotide is bound. We used molecular dynamics simulations to study the effect of nucleotides on the behavior of actin and actin related protein 3 (Arp3). In all of the actin simulations, the nucleotide cleft stayed closed, as in most crystal structures. ADP was much more mobile within the cleft than ATP, despite the fact that both nucleotides adopt identical conformations in actin crystal structures. The nucleotide cleft of Arp3 opened in most simulations with ATP, ADP, and no bound nucleotide. Deletion of a C-terminal region of Arp3 that extends beyond the conserved actin sequence reduced the tendency of the Arp3 cleft to open. When the Arp3 cleft opened, we observed multiple instances of partial release of the nucleotide. Cleft opening in Arp3 also allowed us to observe correlated movements of the phosphate clamp, cleft mouth, and barbed-end groove, providing a way for changes in the nucleotide state to be relayed to other parts of Arp3. The DNase binding loop of actin was highly flexible regardless of the nucleotide state. The conformation of Ser14/Thr14 in the P1 loop was sensitive to the presence of the gamma-phosphate, but other changes observed in crystal structures were not correlated with the nucleotide state on nanosecond timescales. The divalent cation occupied three positions in the nucleotide cleft, one of which was not previously observed in actin or Arp2/3 complex structures. In sum, these simulations show that subtle differences in structures of actin family proteins have profound effects on their nucleotide driven behavior. PMID- 18155238 TI - X-ray structure of Candida antarctica lipase A shows a novel lid structure and a likely mode of interfacial activation. AB - In nature, lipases (EC 3.1.1.3) catalyze the hydrolysis of triglycerides to form glycerol and fatty acids. Under the appropriate conditions, the reaction is reversible, and so biotechnological applications commonly make use of their capacity for esterification as well as for hydrolysis of a wide variety of compounds. In the present paper, we report the X-ray structure of lipase A from Candida antarctica, solved by single isomorphous replacement with anomalous scattering, and refined to 2.2-A resolution. The structure is the first from a novel family of lipases. Contrary to previous predictions, the fold includes a well-defined lid as well as a classic alpha/beta hydrolase domain. The catalytic triad is identified as Ser184, Asp334 and His366, which follow the sequential order considered to be characteristic of lipases; the serine lies within a typical nucleophilic elbow. Computer docking studies, as well as comparisons to related structures, place the carboxylate group of a fatty acid product near the serine nucleophile, with the long lipid tail closely following the path through the lid that is marked by a fortuitously bound molecule of polyethylene glycol. For an ester substrate to bind in an equivalent fashion, loop movements near Phe431 will be required, suggesting the primary focus of the conformational changes required for interfacial activation. Such movements will provide virtually unlimited access to solvent for the alcohol moiety of an ester substrate. The structure thus provides a basis for understanding the enzyme's preference for acyl moieties with long, straight tails, and for its highly promiscuous acceptance of widely different alcohol and amine moieties. An unconventional oxyanion hole is observed in the present structure, although the situation may change during interfacial activation. PMID- 18155239 TI - Structural determinants of glutathione transferases with azathioprine activity identified by DNA shuffling of alpha class members. AB - A library of alpha class glutathione transferases (GSTs), composed of chimeric enzymes derived from human (A1-1, A2-2 and A3-3), bovine (A1-1) and rat (A2-2 and A3-3) cDNA sequences was constructed by the method of DNA shuffling. The GST variants were screened in bacterial lysates for activity with the immunosuppressive agent azathioprine, a prodrug that is transformed into its active form, 6-mercaptopurine, by reaction with the tripeptide glutathione catalyzed by GSTs. Important structural determinants for activity with azathioprine were recognized by means of primary structure analysis and activities of purified enzymes chosen from the screening. The amino acid sequences could be divided into 23 exchangeable segments on the basis of the primary structures of 45 chosen clones. Segments 2, 20, 21, and 22 were identified as primary determinants of the azathioprine activity representing two of the regions forming the substrate-binding H-site. Segments 21 and 22 are situated in the C-terminal helix characterizing alpha class GSTs, which is instrumental in their catalytic function. The study demonstrates the power of DNA shuffling in identifying segments of primary structure that are important for catalytic activity with a targeted substrate. GSTs in combination with azathioprine have potential as selectable markers for use in gene therapy. Knowledge of activity-determining segments in the structure is valuable in the protein engineering of glutathione transferase for enhanced or suppressed activity. PMID- 18155240 TI - Ordered multi-site phosphorylation of the splicing factor ASF/SF2 by SRPK1. AB - The human alternative splicing factor ASF/SF2, an SR (serine-arginine-rich) protein involved in mRNA splicing control, is activated by the multisite phosphorylation of its C-terminal RS domain, a segment containing numerous arginine-serine dipeptide repeats. The protein kinase responsible for this modification, SR-specific protein kinase 1 (SRPK1), catalyzes the selective phosphorylation of approximately a dozen serines in only the N-terminal portion of the RS domain (RS1). To gain insights into the nature of selective phosphate incorporation in ASF/SF2, region-specific phosphorylation in the RS domain was monitored as a function of reaction progress. Arg-to-Lys mutations were made at several positions to produce unique protease cleavage sites that separate the RS domain into identifiable N- and C-terminal phosphopeptides upon treatment with lysyl endoproteinase. These studies reveal that SRPK1 docks near the C-terminus of the RS1 segment and then moves in an N-terminal direction along the RS domain. Multiple quadruple Ser-to-Ala and deletion mutations did not disrupt the phosphorylation of other sites regardless of position, suggesting that the active site of SRPK1 docks in a flexible manner at the center of the RS domain. Taken together, these data suggest that SRPK1 uses a unique 'grab-and-pull' mechanism to control the regiospecific phosphorylation of its protein substrate. PMID- 18155241 TI - Architecture and assembly of poly-SUMO chains on PCNA in Saccharomyces cerevisiae. AB - Posttranslational modifications of proliferating cell nuclear antigen (PCNA), the eukaryotic processivity clamp for DNA polymerases, regulate the pathways by which replication problems are resolved. In the budding yeast Saccharomyces cerevisiae, ubiquitylation of PCNA in response to DNA damage facilitates the replicative bypass of lesions, whereas conjugation of the ubiquitin-related modifier (SUMO) prevents unscheduled crossover events during S phase. We have analyzed the SUMO modification pattern of budding yeast PCNA in vivo and in vitro and found that most aspects of our in vitro sumoylation reactions reflect the situation under physiological conditions. We show that two oligomeric SUMO chains of two to three moieties each, linked via internal sumoylation consensus motifs within the SUMO sequence, are assembled on PCNA. The SUMO-specific ligase Siz1 both stimulates the overall efficiency of sumoylation and selects the modification site on PCNA. Furthermore, ubiquitin and SUMO chains are assembled independently, and we found evidence that both modifiers can coexist in vivo on a common PCNA subunit. Our results demonstrate for the first time the in vivo assembly of polymeric SUMO chains of defined linkage on a physiological substrate in yeast, but they also indicate that SUMO-SUMO polymers are dispensable for PCNA(SUMO) function in replication and recombination. PMID- 18155242 TI - Determination of electrostatic interaction energies and protonation state populations in enzyme active sites. AB - The pH-dependence of the NMR chemical shift for titratable groups in proteins often deviate from a standard Henderson-Hasselbalch (HH) titration curve. A non HH dependence of the chemical shift for a given residue can arise from a single site, non-HH titrational event for that residue, or if the chemical shift of the group is influenced by additional titrational events occurring in other residues. We show that simultaneous fits of several non-HH NMR titration curves of interacting protein residues to a statistical mechanical model can be used to distinguish between these two cases. From fitting of non-HH titrations, we can extract electrostatic interaction energies between protein residues. Furthermore, by performing simultaneous fits of NMR titration curves and enzymatic pH-activity profiles, we can gain information on the identity and populations of the catalytically competent protonation states in enzymes. We apply the global fitting of titrational events (GloFTE) method to experimental data on five enzyme systems and on a single non-enzyme system, and show that the extracted electrostatic interaction energies and effective dielectric constants for a subset of these systems agree excellently with experimentally determined values as well as with theoretical calculations. In the case of reduced Escherichia coli thioredoxin we use GloFTE analysis to distinguish between two possible interpretations of the NMR titration curves of the active site residues. We also show that for the strongly coupled system of titratable groups in the active site of the Bacillus circulans xylanase (BCX) N35D mutant, GloFTE fits of a single titration curve and an enzymatic pH-activity profile can give a full description of the energetics of the titrational events in the enzyme's active site. Using only the X-ray crystallographic structure of the enzyme and the electrostatic interaction energies extracted from such a GloFTE fit, we can uniquely identify the three catalytic groups in this system. This raises the prospect of completely characterising active site titrational events from a single unassigned NMR titration curve and an enzymatic pH-activity profile. PMID- 18155243 TI - Crystal structure of Aspergillus niger isopullulanase, a member of glycoside hydrolase family 49. AB - An isopullulanase (IPU) from Aspergillus niger ATCC9642 hydrolyzes alpha-1,4 glucosidic linkages of pullulan to produce isopanose. Although IPU does not hydrolyze dextran, it is classified into glycoside hydrolase family 49 (GH49), major members of which are dextran-hydrolyzing enzymes. IPU is highly glycosylated, making it difficult to obtain its crystal. We used endoglycosidase H(f) to cleave the N-linked oligosaccharides of IPU, and we here determined the unliganded and isopanose-complexed forms of IPU, both solved at 1.7-A resolution. IPU is composed of domains N and C joined by a short linker, with electron density maps for 11 or 12 N-acetylglucosamine residues per molecule. Domain N consists of 13 beta-strands and forms a beta-sandwich. Domain C, where the active site is located, forms a right-handed beta-helix, and the lengths of the pitches of each coil of the beta-helix are similar to those of GH49 dextranase and GH28 polygalacturonase. The entire structure of IPU resembles that of a GH49 enzyme, Penicillium minioluteum dextranase (Dex49A), despite a difference in substrate specificity. Compared with the active sites of IPU and Dex49A, the amino acid residues participating in subsites +2 and +3 are not conserved, and the glucose residues of isopanose bound to IPU completely differ in orientation from the corresponding glucose residues of isomaltose bound to Dex49A. The shape of the catalytic cleft characterized by the seventh coil of the beta-helix and a loop from domain N appears to be critical in determining the specificity of IPU for pullulan. PMID- 18155245 TI - Differential recognition of phosphorylated transactivation domains of p53 by different p300 domains. AB - Histone acetyltransferases form crucial links in transducing extrinsic signals to actual initiation of transcription. A multitude of stress signal integrations occur through the interaction of p300 with p53 phosphorylated at different residues of the transactivation domain. How such interactions activate different gene expression programs remains largely unknown. p300 contains at least five domains that are known to interact with p53, but their role in transcription regulation is not known. We measured the binding affinity of various phosphorylated transactivation domains towards several p53 binding domains of p300 by fluorescence anisotropy. The binding affinities of different phosphorylated transactivation domains of p53 towards different domains of p300 vary by several orders of magnitude, indicating that interactions of different post-translationally modified forms of p53 may occur through different domains of p300. Thus, different post-translationally modified p53 fragments may form transcription-initiating complexes of different configurations, leading to the activation of different promoters and pathways. PMID- 18155244 TI - K+/Na+ selectivity in K channels and valinomycin: over-coordination versus cavity size constraints. AB - Potassium channels and valinomycin molecules share the exquisite ability to select K(+) over Na(+). Highly selective K channels maintain a special local environment around their binding sites devoid of competing hydrogen bond donor groups, which enables spontaneous transfer of K(+) from states of low coordinations in water into states of over-coordination by eight carbonyl ligands. In such a phase-activated state, electrostatic interactions from these 8 fold binding sites, constrained to maintain high coordinations, result in K(+)/Na(+) selectivity with no need for a specific cavity size. Under such conditions, however, direct coordination from five or six carbonyl ligands does not result in selectivity. Yet, valinomycin molecules achieve selectivity by providing only six carbonyl ligands. Does valinomycin use additional coordinating ligands from the solvent or does it have special structural features not present in K channels? Quantum chemical investigations undertaken here demonstrate that valinomycin selectivity is due to cavity size constraints that physically prevent it from collapsing onto the smaller sodium ion. Valinomycin enforces these constraints by using a combination of intramolecular hydrogen bonds and other structural features, including its specific ring size and the spacing between its connected ligands. Results of these investigations provide a consistent explanation for the experimental data available for the ion-complexation properties of valinomycin in solvents of varying polarity. Together, investigations of these two systems reveal how nature, despite being popular for its parsimony in recycling functional motifs, can use different combinations of phase, coordination number, cavity size, and rigidity (constraints) to achieve K(+)/Na(+) selectivity. PMID- 18155246 TI - Threonine 429 of Escherichia coli sigma 70 is a key participant in promoter DNA melting by RNA polymerase. AB - Initiation of transcription is an important target for regulation of gene expression. In bacteria, the formation of a transcription-competent complex between RNA polymerase and a promoter involves DNA strand separation over a stretch of about 14 base pairs. Aromatic and basic residues in conserved region 2.3 of Escherichia coli sigma(70) had been found to participate in this process, but it is still unclear which amino acid residues initiate it. Here we report an essential role for threonine (T) at position 429 of sigma(70): its substitution by alanine (T429A) results in the largest decrease in open complex formation yet observed for any single substitution in region 2.3. Promoter recognition itself is not affected by T429A substitution, thus providing evidence for a role of T429 in the strand-separation step. Our data are consistent with a model where the T429 would act as a competitor for the hydrogen bonding that stabilizes the highly conserved -11A-T base pairs of the promoter DNA, thus facilitating initiation of strand separation at this particular position in the -10 region. This model suggests an active role for RNA polymerase in disrupting the -11 base pair, rather than just capturing the -11A subsequent to spontaneous unpairing. PMID- 18155248 TI - Morphine postconditioning protects against reperfusion injury in the isolated rat hearts. AB - BACKGROUND: Postconditioning is a novel strategy of attaining cardioprotection. Previous studies have suggested morphine mimics the effects of ischemic preconditioning. Whether it is also capable of producing postconditioning or not is still unclear. The purpose of this study was to determine (1) whether morphine postconditioning (MPostcond) would protect the heart against reperfusion injury and the subtype(s) of opioid receptors (OR) involved, (2) whether combining MPostcond with morphine preconditioning (MPC) would afford additive cardioprotection, and (3) to evaluate the role mitochondrial adenosine triphosphate-sensitive potassium (mito-K atp) channel played in MPostcond. MATERIALS AND METHODS: Isolated perfused rat hearts were subjected to 45 min of ischemia followed by 1 h of reperfusion. First, three morphine concentrations (0.3, 3.0 and 30 microM) were used to study the protective effect of MPostcond. Second, the effect of blockade of OR subtypes by three antagonists (nonselective OR antagonist naloxone, kappa-OR antagonist nor-binaltorphimine, and delta-OR antagonist naltrindole) on MPostcond was investigated. Third, the protective effects of MPC, MPostcond and the combining MPC with MPostcond on reperfusion injury were compared. Last, the effect of blockade of mito-K atp by 5 hydroxydecanoate on MPostcond was studied. MPostcond was induced by a 10-min perfusion of morphine in Krebs-Ringer's solution performed at the onset of reperfusion, and MPC was produced by a 20-min perfusion of morphine 10 min before ischemia. Infarct size (IS/AAR, as a percentage of the area at risk) was determined by 2,3,5-triphenyltetrazolium staining. RESULTS: IS/AAR was significantly reduced after MPostcond from 58% +/- 8% (control) to 37% +/- 6% (morphine 3.0 microM, P < 0.01). This effect was abolished by coadministering naloxone (58% +/- 7%), nor-binaltorphimine (52% +/- 5%), but not naltrindole (34% +/- 5%). MPC and MPostcond had similar extent of protective effect on IS/AAR, and combining MPC with MPostcond did not afford further cardiprotection. 5 Hydroxydecanoate also abolished the cardioprotection of MPostcond. Unexpectedly, all three OR antagonists and 5-hydroxydecanoate themselves also afforded some extent of cardioprotection. CONCLUSIONS: MPost confers cardioprotection via activating kappa-OR but not delta-OR and opening mito-K atp channels. MPost and MPC have no additive protection. kappa-OR and mito-K atp channel may play a dual role in protecting ischemia-reperfusion injury. PMID- 18155247 TI - Effects of medications on plasma amyloid beta (Abeta) 42: longitudinal data from the VITA cohort. AB - In the course of cognitive deterioration leading to Alzheimer's disease (AD) the increase of amyloid beta (Abeta42) in cerebrospinal fluid or plasma might be an initial event. We previously reported about the associations between concomitant medication and plasma Abeta42 levels in the non-demented population cohort of the Vienna transdanube aging study at baseline. In the present study, the longitudinal influence of insulin, gingko biloba, non-steroidal anti-inflammatory drugs (NSAIDs), oral anti-diabetics (sulfonylurea and biguanides), estrogens, fibrates, and statins on plasma Abeta42 are presented. Associated with medial temporal lobe atrophy (MTA), users of insulin showed significantly increased levels of Abeta42. Long-term users of gingko biloba, independent of their MTA, had significantly decreased plasma Abeta42 and the age-dependent increase of plasma Abeta42 was significantly smaller in long-term gingko biloba treated subjects. The use of fibrates also decreased plasma Abeta42 levels. In multiple testing considering interactions between medications, gender, APOE-epsilon4 presence and creatinine, insulin long-term users again showed significantly increased levels; fibrate and gingko biloba users showed a trend to rather decreased plasma Abeta42 levels compared to the non-users (p=0.05-0.08). Neither statins nor NSAIDs showed a significant effect on plasma Abeta42 in this model. Measuring the effect on cognition, no single medication studied was a significant predictor of conversion to AD or mild cognitive impairment (MCI). Whether the use of gingko biloba might prevent the conversion to MCI or AD needs to be proven in prospective, clinical trials. PMID- 18155249 TI - Matrix metalloproteinases in critical limb ischemia. AB - Critical limb ischemia (CLI) is most commonly the result of arterial occlusive disease, specifically atherosclerotic plaque formation and rupture within the infrainguinal arteries. The physiological response to CLI is partial limb reperfusion via the distinct processes of angiogenesis and arteriogenesis. Matrix metalloproteinases (MMPs) are extracellular matrix-remodeling enzymes that play an important role in both the occlusion and reperfusion processes associated with CLI. This article provides a review of the recent literature, summarizing the current understanding of the role of MMPs in both the arterial occlusion and limb reperfusion associated with CLI. Specifically, the functions of MMPs in atherosclerosis, angiogenesis, and arteriogenesis are discussed. PMID- 18155250 TI - Feasibility of new heating method of hepatic parenchyma using a sintered MgFe2O4 needle under an alternating magnetic field. AB - BACKGROUND: Magnetic metal particles such as magnesium ferrite (MgFe2O4) induce heat energy under an alternating magnetic field that was produced by electric current. We have developed a new heating device using a sintered MgFe2O4 needle under an alternating magnetic field. This device can repeatedly heat target tissue at lower temperatures than that for radiofrequency ablation therapy. This study aims to assess whether the new heating device has the ability to heat rat liver tissue. METHOD: A small needle made from MgFe2O4 particles was prepared by sintering at 1100 degrees C and inserted into rat liver tissue. The rat liver was then heated under an alternating magnetic field, 4 kA/m, for 30 min. We measured the temperature of rat tissue during the heat treatment, and sequentially evaluated histological changes and hepatocyte cellular activity after heat stimulus by using nicotinamide adenine dinucleotide diaphorase staining and terminal deoxynucleotidyl transferase-mediated dUTP nick end labeling staining. RESULTS: The mean temperature of the liver tissue during heating was 60.7 +/- 1.1 degrees C. Immediately after heating, nuclei of the hepatocytes were hyper chromatin, with hepatocytes negative for nicotinamide adenine dinucleotide diaphorase activity in the heat-injury area. The injury area spread progressively until 3 d after heating, when the area was surrounded by fibroblasts, with hepatocytes positive for terminal deoxynucleotidyl transferase-mediated dUTP nick end labeling staining. CONCLUSIONS: This is the first time that a ferromagnetic metal heating device under an alternating magnetic field has achieved a temperature beyond 60 degrees C and led hepatocytes to complete cell death. This device would be of future use as a local heat-treatment for human liver cancer. PMID- 18155252 TI - Dynamics of an HBV model with diffusion and delay. AB - In this paper we model and analyze the hepatitis B virus (HBV) infection in a diffusion model confined to a finite domain, induced by intracellular time delay between infection of a cell and production of new virus particles. The equilibrium solutions are obtained and the stability is analyzed if the space is assumed as homogeneous. When the space is inhomogeneous, the effects of diffusion and intracellular time delay are obtained by computer simulations. PMID- 18155251 TI - Intrahepatic venous collaterals formation following outflow block in adult-to adult living donor liver transplantation. AB - A right liver graft without the middle hepatic vein (MHV) trunk is now commonly used in adult-to-adult living donor liver transplantation (LDLT), but it is unclear whether hepatic venous collaterals would develop in clinical patient just after occlusion of hepatic veins. Between January 2005 and October 2006, 56 consecutive adult patients underwent LDLT using right lobe grafts without MHV in our center. Twenty-four patients (42.9%) had MHV tributaries reconstruction. Vascular flow in the graft and interposition vein graft patency was checked by Doppler ultrasonography (US) daily during hospital stay and monthly follow-up after discharge for 2 y. Among 24 cases with MHV reconstruction, interpositional graft block occurred in one case within 7 d after transplantation. A reversed flow in MHV tributaries and collaterals between MHV and right hepatic vein (RHV) was detected by Doppler US. Vessel graft blocks were found in 10 of 22 cases of MHV tributaries reconstruction between 4 to 9 mo after transplantation. Collaterals formation between MHV and RHV developed in 4 of 10 cases of vessel graft block, and their graft function did not deteriorate. In conclusion, nearly half of the patients needed reconstruction of MHV tributaries when a right lobe graft without MHV was used in LDLT. The authors thought that the reconstruction of MHV tributaries should be established when the congested area was dominant by the clamping test or when the diameter of the tributaries was >5 mm. It was found that there may not be any problems if reconstructed vessel graft obstruction was found 3 mo after transplantation, as intrahepatic venous collaterals between MHV and RHV could develop. PMID- 18155253 TI - OGG1 expression and OGG1 Ser326Cys polymorphism and risk of lung cancer in a prospective study. AB - Oxidative DNA damage is believed to be implicated in lung carcinogenesis. 8-OxodG is a mutagenic and abundant oxidative modification induced in DNA. OGG1, NEIL1 and MUTYH are all involved in the repair and prevention of 8-oxodG-derived mutations and may be up-regulated by oxidative stress. The polymorphism OGG1 Ser326Cys has in some studies been associated with risk of lung cancer. In a population-based cohort of 57,053 Danes, we examined associations between mRNA levels of OGG1, NEIL1, MUTYH and NUDT in buffy coat material and subsequent lung cancer risk. 260 cases with lung cancer were identified and a sub-cohort of 263 individuals was matched on sex, age and smoking duration. We found that OGG1 mRNA levels in healthy individuals were not associated with risk of subsequent getting lung cancer. However, subjects with the OGG1 Cys326/Cys326 genotype had a higher expression level of OGG1 mRNA than wildtype-allele carriers. For homozygous Cys326 carriers, the incidence rate ratio (IRR) was 1.51 (95% CI: 1.09-2.08) for a doubling of the OGG1 mRNA level and there was a statistically significant interaction between the genotype and mRNA level. Among never-smokers, the IRR was 4.29 (1.09-16.9) per doubling of the OGG1 mRNA level, which was not found among smokers. Furthermore, we found a positive correlation between OGG1 mRNA expression and urinary excretion of 8-oxodG (RS=0.18; p<0.005). NUDT1 mRNA levels were omitted due to low and unreliable expression levels. The results suggest that OGG1 mRNA levels should be regarded as a biomarker of exposure to oxidative stress with induction of DNA rather than a marker of inborn DNA repair capacity. PMID- 18155254 TI - Prefrontal contributions to domain-general executive control processes during temporal context retrieval. AB - Neuroimaging studies have reported increased prefrontal cortex (PFC) activity during temporal context retrieval versus recognition memory. However, it remains unclear if these activations reflect PFC contributions to domain-general executive control processes or domain-specific retrieval processes. To gain a better understanding of the functional roles of these various PFC regions during temporal context retrieval we propose it is necessary to examine PFC activity across tasks from different domains, in which parallel manipulations are included targeting specific cognitive processes. In the current fMRI study, we examined domain-general and domain-specific PFC contributions to temporal context retrieval by increasing stimulus (but maintaining response number) and increasing response number (but maintaining stimulus number) across temporal context memory and ordering control tasks, for faces. The control task required subjects to order faces from youngest to oldest. Our behavioral results indicate that the combination of increased stimulus and response numbers significantly increased task difficulty for temporal context retrieval and ordering tasks. Across domains, increasing stimulus number, while maintaining response numbers, caused greater right lateral premotor cortex (BA 6/8) activity; whereas increasing response number, while maintaining stimulus number, caused greater domain-general left DLPFC (BA 9) and VLPFC (BA 44/45) activity. In addition, we found domain specific right DLPFC (BA 9) activity only during retrieval events. These results highlight the functional heterogeneity of frontal cortex, and suggest its involvement in temporal context retrieval is related to its role in various cognitive control processes. PMID- 18155255 TI - Impaired memory for scenes but not faces in developmental hippocampal amnesia: a case study. AB - Item recognition for unfamiliar faces and scenes was tested in Jon, who has developmental amnesia resulting from bilateral hippocampal pathology. Performance and confidence judgements in healthy adults showed that both tests were equated for difficulty and had similar receiver operating characteristics (ROCs). Jon's performance on the faces test was indistinguishable from the controls, in both sensitivity and the shape of the ROC curve. In contrast his performance on the scenes test was markedly poor, and his ROC was inconsistent with both a standard dual process (DP; recollection and familiarity) model and an unequal variance signal detection model of recognition memory. Jon's data were as well fitted as controls' data by a DP model that included two recollection parameters, but required counter-intuitive parameter values corresponding to normal recollection and impaired familiarity, which likely reflect an idiosyncratic use of confidence judgements when his memory for the material is weak. The results highlight a limitation in using ROCs to estimate recollection and familiarity in patients who may have developed compensatory strategies for material that they have difficulty remembering (scenes, but not faces in this case). Overall, these data are difficult to reconcile with domain-general accounts of the hippocampal role in memory, including dual process models and the declarative model. Instead, the data indicate that the hippocampus plays a preferential role in the processing of topographical memoranda over faces memoranda. PMID- 18155256 TI - Neuroanatomical specificity of conditioned responses to cocaine versus food in mice. AB - Neural circuits implicated in drug conditioning, craving and relapse overlap extensively with those involved in natural reward and reinforcement. To determine whether specificity could be detected in conditioned brain responses to drugs versus food, male outbred HSD:ICR mice were conditioned to a common environment using either 20 mg/kg cocaine (ip) or a familiar food (under food restriction). The mice were then re-exposed to the same environment without the reinforcer and patterns of brain activation were compared using immunohistochemical detection of Fos. Conditioned place preference tests were conducted first to establish relative potency of each reward and facilitate analysis of correlations between Fos and motivation. Place preference was stronger for cocaine than food. Food- but not cocaine-paired cues increased Fos in the paraventricular hypothalamic nucleus whereas the opposite occurred for prefrontal, cingulate and piriform cortices. Individual differences in cocaine place preference were negatively correlated with Fos in the prefrontal cortex. One difference between drugs and natural reinforcers may be lack of feedback from the periphery for drugs which may circumvent control from the hypothalamus in the development of reinforcement circuits. PMID- 18155259 TI - Amide-esters from Aglaia tenuicaulis--first representatives of a class of compounds structurally related to bisamides and flavaglines. AB - Six amide-esters and two sulphur-containing bisamides were isolated from the leaves, stem and root bark of Aglaia tenuicaulis together with two bisamides from the leaves of A. spectabilis. Their structures were elucidated by spectroscopic methods. The co-occurrence of amide-esters and bisamides suggests close biosynthetic connections replacing only one nitrogen atom of putrescine with oxygen. Putrescine appears to be the common building block linked to various acids from which the cinnamoyl moiety represents the prerequisite for an incorporation of bisamides into flavaglines. Corresponding amide-esters are apparently not incorporated, but closely related amide-alcohol derivatives were found as part of benzopyran and benzofuran flavaglines. The structure of a amide alcohol is described, representing an artifact due to hydrolysis of an amide ester during TLC purification. A hypothetical amide-amine building block is suggested to form the characteristic pyrimidinone structures only found in benzofuran flavaglines. Structural and biosynthetic connections between amide esters, bisamides and flavaglines are discussed and the chemotaxonomic significance of accumulating specific derivatives within the genus Aglaia is highlighted. PMID- 18155257 TI - Pharmacotherapeutic targeting of the endocannabinoid signaling system: drugs for obesity and the metabolic syndrome. AB - Endogenous signaling lipids ("endocannabinoids") functionally related to Delta(9) tetrahydrocannabinol, the psychoactive ingredient of marijuana (Cannabis), are important biomediators and metabolic regulators critical to mammalian (patho)physiology. The growing family of endocannabinoids, along with endocannabinoid biosynthetic and inactivating enzymes, transporters, and at least two membrane-bound, G-protein coupled receptors, comprise collectively the mammalian endocannabinoid signaling system. The ubiquitous and diverse regulatory actions of the endocannabinoid system in health and disease have supported the regulatory approval of natural products and synthetic agents as drugs that alter endocannabinoid-system activity. More recent data support the concept that the endocananbinoid system may be modulated for therapeutic gain at discrete pharmacological targets with safety and efficacy. Potential medications based on the endocannabinoid system have thus become a central focus of contemporary translational research for varied indications with important unmet medical needs. One such indication, obesity, is a global pandemic whose etiology has a pathogenic component of endocannabinoid-system hyperactivity and for which current pharmacological treatment is severely limited. Application of high affinity, selective CB1 cannabinoid receptor ligands to attenuate endocannabinoid signaling represents a state-of-the-art approach for improving obesity pharmacotherapy. To this intent, several selective CB1 receptor antagonists with varied chemical structures are currently in advanced preclinical or clinical trials, and one (rimonabant) has been approved as a weight-management drug in some markets. Emerging preclinical data suggest that CB1 receptor neutral antagonists may represent breakthrough medications superior to antagonists/inverse agonists such as rimonabant for therapeutic attenuation of CB1 receptor transmission. Since obesity is a predisposing condition for the cluster of cardiovascular and metabolic derangements collectively known as the metabolic syndrome, effective endocannabinoid-modulatory anti-obesity therapeutics would also help redress other major health problems including type-2 diabetes, atherothrombosis, inflammation, and immune disorders. Pressing worldwide healthcare needs and increasing appreciation of endocannabinoid biology make the rational design and refinement of targeted CB1 receptor modulators a promising route to future medications with significant therapeutic impact against overweight, obesity, obesity-related cardiometabolic dysregulation, and, more generally, maladies having a reward-supported appetitive component. PMID- 18155258 TI - Anti-inflammatory 5-(11'Z-heptadecenyl)- and 5-(8'Z,11'Z-heptadecadienyl) resorcinols from mango (Mangifera indica L.) peels. AB - Bioassay directed extraction and purification of mango peels revealed the 5-(11'Z heptadecenyl)-resorcinol (1) and the known 5-(8'Z,11'Z-heptadecadienyl) resorcinol (2) previously not described in Mangifera indica L. The structures of both compounds were determined by extensive 1D and 2D NMR studies and MS. Both compounds exhibited potent cyclooxygenase (COX)-1 and COX-2 inhibitory activity with IC(50) values ranging from 1.9 (2) to 3.5 microM (1) and from 3.5 (2) to 4.4 (1) microM, respectively, coming close to the IC(50) values of reference drugs. 5 Lipoxygenase (5-LOX) catalyzed leukotriene formation was only slightly inhibited. Structure-activity studies by referring to synthetic saturated homologues indicated that the degree of unsaturation in the alkyl chain plays a key role for COX inhibitory activity, whereas the influence of chain length was less significant. PMID- 18155260 TI - Nonenolides and cytochalasins with phytotoxic activity against Cirsium arvense and Sonchus arvensis: a structure-activity relationships study. AB - A structure-activity relationships study was conducted assaying 15 natural analogues and derivatives belonging to two groups of organic compounds, nonenolides and cytochalasins, for their toxicity against the composite perennial weeds Cirsium arvense and Sonchus arvensis occurring through the temperate region of world. The toxic nonenolides (stagonolide, putaminoxin, pinolidoxin) and cytochalasins (deoxaphomin, cytochalasins A, B, F, T, Z2 and Z3) were isolated from phytopathogenic Stagonospora, Phoma and Ascochyta spp. The pinolidoxin (7,8 O,O'-diacetyl- and 7,8-O,O'-isopropylidene-pinolidoxin) and cytochalasins B (21,22-dihydro-, 7-O-acetyl- and 7,20-O,O'-diacetyl-cytochalasin B) derivatives were obtained by chemical modifications of the corresponding toxins. Among the 15 compounds tested, stagonolide and deoxaphomin proved to be the most phytotoxic to C. arvense and S. arvensis leaves, respectively. The tested phytotoxic nonenolides were stronger inhibitors of photosynthesis in C. arvense leaves than cytochalasines A and B. Stagonolide had less effect on membrane permeability in C. arvense leaves than cytochalasin B. Significant changes of light absorption by C. arvense leaves in visible and infrared spectra were caused by stagonolide. The functional groups and the conformational freedom of the ring, appear to be important structural features for the nonenolides toxicity, whereas and the presence of the hydroxy group at C-7, the functional group at C-20 and the conformational freedom of the macrocyclic ring are important for the cytochalasins toxicity. PMID- 18155261 TI - Comparison of blood serum proteins in water buffaloes with traumatic reticuloperitonitis and sequellae. AB - In this study, 73 cows with different types of traumatic reticuloperitonitis (TRP) and sequellae along with 25 healthy buffalo cows were used to evaluate the total blood serum protein and protein electrophoresis. According to rumenotomy or necropsy findings, the affected buffalo cows were classified into acute local TRP (AL-TRP), chronic local TRP (CL-TRP), reticular abscess (RA), acute diffuse TRP (AD-TRP), purulent pericarditis (PPC) and fibrinous pericarditis (FPC). Polyclonal gammopathy was characteristic for the electrophoretogram of buffalo cows with CL-TRP (55%), RA (61.1%) and PPC (62.5%). Various degrees of hypoalbuminaemia, hyper-alpha-globulinaemia and low A/G ratios were the associated changes in all cases of TRP and sequellae. Hyper-beta-globulinaemia was noticed in cases with CL-TRP, RA and PPC. Hyper-gamma-globulinaemia was evident in cases with AL-TRP, CL-TRP, RA and PPC. Hyperproteinaemia was noticed in buffalo cows with local complications of TRP including AL-TRP, CL-TRP and RA. Hypoproteinaemia associated with severe hypoalbuminaemia (>50% reduction compared to controls) and very low A/G ratios (<0.4) characterized buffalo cows with AD TRP, PPC or FPC. In conclusion, the concentrations and electrophoretic patterns of serum proteins in buffaloes differ according to the anatomical location of the foreign body and the associated pathological lesions. PMID- 18155262 TI - Activation of estrogen receptor signaling by the dioxin-like aryl hydrocarbon receptor agonist, 3,3',4,4',5-pentachlorobiphenyl (PCB126) in salmon in vitro system. AB - Available toxicological evidence indicates that environmental contaminants with strong affinity to the aryl hydrocarbon receptor (AhR) have anti-estrogenic properties in both mammalian and non-mammalian in vivo and in vitro studies. The primary objective of the present study was to investigate the interactions between the AhR and estrogen receptor (ER) in salmon in vitro system. Two separate experiments were performed and gene expression patterns were analyzed using real-time PCR, while protein analysis was done by immunoblotting. Firstly, salmon primary hepatocytes were exposed to the dioxin-like PCB126 at 1, 10 and 50 nM [corrected] and ER agonist nonylphenol (NP) at 5 and 10 microM, singly or in combination. Our data showed increased levels of ER-mediated gene expression (vitellogenin: Vtg, zona radiata protein: Zr-protein, ERalpha, ERbeta and vigilin) as well as increased cellular ERalpha protein levels after treatment with NP and PCB126, singly or in combination. PCB126 treatment alone produced, as expected, increased transcription of AhR nuclear translocator (Arnt), CYP1A1 and AhR repressor (AhRR) mRNA, and these responses were reduced in the presence of NP concentrations. PCB126 exposure alone did not produce significant effect on AhR2alpha mRNA but increased (at 1 and 50 pM) and decreased (at 10 pM) AhR2beta mRNA below control level. For AhR2delta and AhR2gamma isotypes, PCB126 (at 1 nM) [corrected] produced significant decreases (total inhibition for AhR2gamma) of mRNA levels but was indifferent at 10 and 50 pM, compared to control. NP exposure alone produced concentration-dependent significant decrease of AhR2beta mRNA. In contrast, while 5 microM NP produced an indifferent effect on AhR2delta and AhR2gamma, 10 microM NP produced significant decrease (total inhibition for AhR2gamma) and the presence of NP produced apparent PCB126 concentration-specific modulation of all AhR isotypes. A second experiment was performed to evaluate the involvement of ER isoforms in PCB126 mediated estrogenicity. Here, cells were treated with the different concentrations of PCB126, alone or in combination with ICI182,780 (ICI) and sampled at 12, 24 and 48 h post-exposure. Our data showed that PCB126 produced a time- and concentration-specific increase of ERalpha and Vtg expressions and these responses were decreased in the presence of ICI. In general, these responses show a direct PCB126 induced transcriptional activation of ERalpha and estrogenic responses in the absence of ER agonists. Although not conclusive, our findings represent the first study showing the activation of estrogenic responses by a dioxin-like PCB in fish in vitro system and resemble the "ER-hijacking" hypothesis that was recently proposed. Thus, the direct estrogenic actions of PCB126 observed in the present study add new insight on the mechanisms of ER-AhR cross-talk, prompting a new wave of discussion on whether AhR-mediated anti-estrogenicity is an exception rather than rule of action. PMID- 18155263 TI - Genetic changes that affect the virulence of measles virus in a rhesus macaque model. AB - To identify genetic changes that lead to the attenuation of measles virus (MV), a strain of MV that is pathogenic in rhesus macaques was adapted to grow in Vero cells, Vero/hSLAM cells and, to simulate the process used to derive live attenuated vaccines, in primary chicken embryo fibroblasts (CEF). Comparison of the complete genomic sequences of the pathogenic wild-type (Davis87-wt) and four cell culture-adapted strains derived from it showed complete conservation of sequence in the Vero/hSLAM-passaged virus. Viruses adapted to Vero cells and CEF had predicted amino acid changes in the nucleocapsid protein, phosphoprotein, V protein, C protein, matrix protein, and the cytoplasmic tail of the hemagglutinin protein. All four cell culture-adapted strains, including the Vero/hSLAM cell passaged virus, were able to productively infect Vero cells, but the peak viral titers differed. The Vero cell-adapted strains were unable to replicate in Chinese Hamster Ovary cells expressing CD46, indicating that they had not adapted to use the CD46 receptor. The Vero/hSLAM cell-passaged virus retained pathogenicity in rhesus macaques as measured by the appearance of a skin rash while the Vero cell-adapted and CEF-adapted strains had lost the ability to cause a rash. There were no significant differences in viral titers in peripheral blood mononuclear cells among monkeys infected with any of the viral stocks tested. These results identify a limited number of genetic changes in the genome of MV that lead to attenuation in vivo. PMID- 18155264 TI - Selective downmodulation of HLA-A and -B by Nef alleles from different groups of primate lentiviruses. AB - It has been demonstrated that the HIV-1 NL4-3 and IIIB Nef alleles downregulate HLA-A and -B but not -C or -E from the cell surface. It remained elusive, however, whether selective modulation of specific HLA molecules is conserved between different groups of human and simian immunodeficiency viruses, respectively. To address this, we analyzed a large panel of primate lentiviral Nef proteins and we found that this property is conserved among nef alleles from the M, N and O groups of HIV-1, as well as those from SIVcpz, the precursor of HIV-1, and a variety of other highly divergent primate lentiviruses. In conclusion, our data indicate that Nef's ability to selectively downregulate HLA A and -B alleles to prevent CTL lysis and NK killing of virally infected cells is conserved among different primate lentiviral lineages and preceded the zoonotic transmission of SIVcpz from chimpanzees to humans. PMID- 18155266 TI - Demonstration of nitrogen removal via nitrite in a sequencing batch reactor treating domestic wastewater. AB - Nitrogen removal via nitrite, as opposed to the traditional nitrate, may be beneficial for carbon-limited biological wastewater treatment plants. However, reliable termination of nitrification at nitrite (nitritation) has proved difficult in the treatment of domestic wastewater. In this study, nitritation was attained in a sequencing batch reactor (SBR) with pre-denitrification treating domestic wastewater (total Kjeldahl nitrogen (TKN) concentration of about 43 mg NL(-1)) by aerobic duration control. The aerobic duration control strategy terminates aeration upon completion of ammonium oxidation with accumulated nitrite still remaining. The SBR was purposefully operated such that the influence of other known selection factors for nitritation was absent. The process proved effective in achieving a steady state whereby over 80% nitritation was sustained. Investigation of the cause of nitritation by a calibrated ammonium and nitrite oxidation model showed aerobic duration control as the key factor leading to nitritation. PMID- 18155265 TI - Amplitude changes in response to target displacements during human eye-head movements. AB - Sensorimotor adaptation, the ability to adjust motor output in response to persistent changes in sensory input, is a key function of the central nervous system. Although a great deal is known about vestibulo-ocular reflex and saccadic adaptation, relatively little is known about the behavior and neural mechanisms underlying gaze adaptation when the head is free to move. In an attempt to understand the mechanisms of gaze adaptation, and constrain hypotheses concerning the locus at which changes in gaze control may be implemented, we altered the size of large, head-unrestrained gaze shifts made to visual targets by surrepetitiously moving the visual target forward (30 degrees -->60 degrees ) or backwards (60 degrees -->30 degrees ) during gaze shifts. In our 10 human subjects, after a few hundred back-step trials, gaze amplitudes were reduced by between 6 degrees and 27 degrees. Similarly, after a few hundred forward adaptation trials, our subjects increased gaze amplitude by between 0 degrees and 26 degrees. Changes in the amplitude of primary gaze shifts occurred regardless of the particular combinations of eye and head movements that made up the amplitude-altered gaze shifts. When gaze shifts were initiated with the eyes in systematically different positions relative to the head, the resulting changes in gaze, eye and head movement amplitudes were consistent with the hypothesis that gaze adaptation occurs at the level of a gaze shift command and not by altering separately the signals that produce eye and head movements. PMID- 18155267 TI - Comparative study of protozoan communities in full-scale MWTPs in Beijing related to treatment processes. AB - The potential influence of process principles and system conditions on shaping protozoan community structures in eight full-scale municipal wastewater treatment systems in Beijing, including four process types, i.e., anaerobic/anoxic/aerobic or anoxic/anaerobic/aerobic process (A2O), anoxic/aerobic or anaerobic/aerobic process (AO), oxidation ditch (OD) and sequencing batch reactor (SBR), was evaluated with the aid of cluster analysis and principal components analysis (PCA). The species richness and abundance distribution of protozoa varied significantly with the process types: the A2O ecosystems harbored more diverse protozoan communities with higher relative abundance of crawling and sessile ciliates than the other systems. Cluster analysis revealed that the protozoan community structures were in high coordination with the process types, i.e., different systems with the same process principles exhibited similar community structures. The A2O processes displayed a distinctively higher similarity of protozoan community structures than the AO processes, suggesting that the A2O ecosystems were more stable than those of AO. The PCA analyses demonstrated that swimming and carnivorous ciliates were correlated with poor settleability of sludge, and that amoebae were sensitive to DO level. We therefore concluded that protozoan community structures were primarily shaped by treatment process principles, whilst they were also modified by system conditions in terms of operational properties and water quality. PMID- 18155268 TI - Changes in humic acid conformation during coagulation with ferric chloride: implications for drinking water treatment. AB - Electrophoretic mobility, pyrene fluorescence, surface tension measurements, transmission electron microscopy on resin-embedded samples, and X-ray microscopy (XRM) were combined to characterize the aggregates formed from humic colloids and hydrolyzed-Fe species under various conditions of pH and mixing. We show that, at low coagulant concentration, the anionic humic network is reorganized upon association with cationic coagulant species to yield more compact structures. In particular, spheroids about 80nm in size are evidenced by XRM at pH 6 and 8 just below the optimal coagulant concentration. Such reorganization of humic colloids does not yield surface-active species, and maintains negative functional groups on the outside of humic/hydrolyzed-Fe complex. We also observe that the humic network remains unaffected by the association with coagulant species up to the restabilization concentration. Upon increasing the coagulant concentration, restructuration becomes limited: indeed, the aggregation of humic acid with hydrolyzed-Fe species can be ascribed to a competition between humic network reconformation rate and collision rate of destabilized colloids. A decrease in stirring favors the shrinkage of humic/hydrolyzed-Fe complexes, which then yields a lower sediment volume. Elemental analyses also reveal that the iron coagulant species are poorly hydrolyzed in the destabilization range. This suggests that destabilization mechanisms such as sweep flocculation or adsorption onto a hydroxyde precipitate are not relevant to our case. A neutralization/complexation destabilization mechanism accompanied by a restructuration of flexible humic network is then proposed to occur in the range of pHs investigated. PMID- 18155269 TI - Transient behavior of heavy metals in soils during electrokinetic remediation. AB - This paper presents a systematic bench-scale laboratory study performed to assess the transient behavior of chromium, nickel, and cadmium in different soils during electrokinetic remediation. A series of laboratory electrokinetic experiments was conducted using two different clayey soils, kaolin and glacial till. For each type of soil, four electrokinetic experiments with 1, 2, 4, and 10 d of treatment time were performed. In all tests, the contaminants were Cr(VI), Ni(II), and Cd(II) combined in the soil. A geochemical assessment was performed using the geochemical model MINEQL(+) to determine the partitioning of the heavy metals in soils as precipitated, adsorbed, and aqueous forms. Results showed that in kaolin, the extent of Ni(II) and Cd(II) migration towards the cathode increased as the treatment time increased. Unlike kaolin, in glacial till treatment time had no effect on nickel and cadmium migration because of its high buffering capacity. In both kaolin and glacial till, the extent of Cr(VI) migration towards the anode increased as the treatment time increased. However, Cr(VI) migration was higher in glacial till as compared to kaolin because of the high pH conditions that existed in glacial till. In all tests, some Cr(VI) was reduced to Cr(III), and the Cr(VI) reduction rate to Cr(III) as well as the Cr(III) migration were significantly affected by the treatment time. Overall, this study showed that the electroosmotic flow as well as the direction and extent of contaminant migration and removal depend on the polarity of the contaminant, the type of soil, and the treatment duration. PMID- 18155271 TI - Probabilistic assessment of safe groundwater utilization in farmed fish ponds of blackfoot disease hyperendemic areas in terms of the regulation of arsenic concentrations. AB - This work probabilistically explored a safe utilization ratio (UR) of groundwater in fish ponds located in blackfoot disease hyperendemic areas in terms of the regulation of arsenic (As) concentrations. Sequential indicator simulation was used to reproduce As concentrations in groundwater and to propagate their uncertainty. Corresponding URs of groundwater were obtained from the relationship of mass balance between reproduced As concentrations in groundwater and the As regulation in farmed fish ponds. Three levels were adopted to evaluate the UR - UR> or =0.5, 0.5>UR> or =0.1 and UR<0.1. The high probability of the UR> or =0.5 level presents in the northern and southern regions where groundwater can be a major water source. The high probability of the 0.5>UR> or =0.1 level is mainly distributed in the central-coastal, central-eastern and southeastern regions where groundwater should be considered as a subordinate water source. Being available, extra surface water has priority over providing aquacultural needs of the regions with the high probability of the UR> or =0.5 and 0.5>UR> or =0.1 levels. In the regions with the high probability of the UR<0.1 level, in the central-coastal and southwestern regions, groundwater utilization should be reduced substantially or even prohibited completely for no adverse effects on human health. PMID- 18155270 TI - Comparative analysis of microarray data identifies common responses to caloric restriction among mouse tissues. AB - Caloric restriction has been extensively investigated as an intervention that both extends lifespan and delays age-related disease in mammals. In mice, much interest has centered on evaluating gene expression changes induced by caloric restriction (CR) in particular tissue types, but the overall systemic effect of CR among multiple tissues has been examined less extensively. This study presents a comparative analysis of microarray datasets that have collectively examined the effects of CR in 10 different tissue types (liver, heart, muscle, hypothalamus, hippocampus, white adipose tissue, colon, kidney, lung and cochlea). Using novel methods for comparative analysis of microarray data, detailed comparisons of the effects of CR among tissues are provided, and 28 genes for which expression response to CR is most shared among tissues are identified. These genes characterize common responses to CR, which consist of both activation and inhibition of stress-response pathways. With respect to liver tissue, transcriptional effects of CR exhibited surprisingly little overlap with those of aging, and a variable degree of overlap with the potential CR-mimetic drug resveratrol. These analyses shed light on the systemic transcriptional activity associated with CR diets, and also illustrate new approaches for comparative analysis of microarray datasets in the context of aging biology. PMID- 18155272 TI - Immunohistochemical study of flotillin-1 in the rat testis during postnatal development. AB - The level and cellular localization of fotillin-1, a lipid raft protein, was examined in the testis of rats during postnatal development and spermatogenesis in order to determine if flotillin-1 is involved in testicular development. The testes of rats were sampled on postnatal days 7, 14, 21, 40, and 60, and analyzed by Western blot and immunohistochemistry. Western blot analysis detected flotillin-1 in the testes at days 7 and 14 after birth but the level decreased significantly at postnatal days 21, 40 and 60. At postnatal days 7, 14, 21, and 40, flotillin-1 immunolocalization was observed mainly in the Sertoli cells. However, there was little flotillin-1 immunolabeling in the spermatogenic cells from the seminiferous tubule of the testes. In the seminiferous tubule of the testes at postnatal day 60, flotillin-1 immunoreactivity in the Sertoli cells varied according to the stages of the spermatogenic cycle; intense immunoreactivity being observed in stages IX-III and less in stages IV-VIII. These results suggest that flotillin-1 participates in the developmental process of Sertoli cells and is involved in the regulation of spermatogenesis. PMID- 18155273 TI - Neoadjuvant chemotherapy for low-grade serous carcinoma of the ovary or peritoneum. AB - OBJECTIVE: To evaluate the response of women with low-grade serous carcinoma of the ovary or peritoneum to platinum-based neoadjuvant chemotherapy. METHODS: Using institutional databases, we identified 25 women with advanced low-grade serous carcinoma of the ovary or peritoneum treated with neoadjuvant platinum based chemotherapy between 1989 and 2006. Demographic and clinical variables were abstracted from the medical records. Progression-free survival (PFS) and overall survival (OS) were estimated using the method of Kaplan and Meier. RESULTS: Median patient age at diagnosis was 45 years (range 29-81). The majority of patients (n=19, 76%) received a combination of a taxane and platinum drug. A median of six cycles of chemotherapy was administered (range 2-16). Of the 20 patients for whom pre- and post-neoadjuvant chemotherapy CA-125 levels were available, 50% had a >50% reduction after neoadjuvant chemotherapy. However, radiographic survey of the 24 patients evaluable at the completion of neoadjuvant chemotherapy demonstrated one patient (4%) with a complete response, 21 (88%) with stable disease and 2 (8%) with progression following neoadjuvant chemotherapy. Median PFS and OS for all patients were 21.4 and 56.1 months, respectively. CONCLUSIONS: The low response rate to platinum-based neoadjuvant chemotherapy observed indicates that low-grade serous carcinoma is not as responsive to conventional chemotherapy as high-grade serous carcinoma. Prospective clinical trials focused specifically on low-grade serous carcinoma are needed to make meaningful advances in the treatment of this disease. PMID- 18155274 TI - Demographic, clinical, and treatment trends among women diagnosed with vulvar cancer in the United States. AB - OBJECTIVE: Describe the treatment and survival patterns among a population-based sample of vulvar cancer patients diagnosed in the United States in 1999. METHODS: Cases were identified for the National Cancer Institute's Patterns of Care Study (POC) using the Surveillance, Epidemiology, and End Results Program (SEER). A stratified random sample of non-Hispanic white, non-Hispanic black, and Hispanic women age 20 years and older was selected from cases reported by 11 SEER registries. Analyses of the association between vulvar cancer and key demographic, clinical, and hospital characteristics by stage were performed. Cox proportional hazards was used to estimate the odds of death due to cancer. All estimates were weighted, and analyses were conducted with SUDAAN. RESULTS: Ninety percent of cases were diagnosed with in situ or early-stage invasive disease. Older patients were more likely to present at advanced stages. Twenty-five percent of women with Stage III-IV vulvar cancer received chemotherapy plus radiation. We noted widespread use of radical local excision among women with Stage I/II cancer, but 46-54% with invasive disease underwent a radical or total vulvectomy. Factors associated with cancer death were limited to age and stage. Women 75 years and older were at higher risk compared to women aged 20-49 years and the risk of death increased with advancing stage. CONCLUSIONS: Vulvar cancer is diagnosed at early stages. Late-stage disease is associated with a significant increase in mortality. Radical surgery was still commonly performed in 1999. Radiation was more common in women diagnosed at late stage, while the use of chemoradiation remained limited. PMID- 18155275 TI - Interactive effects of steroids and beta-agonists on accumulation of type 2 T cells. AB - BACKGROUND: Airway inflammation associated with asthma has been reported to be either unaffected or slightly increased by inhaled beta-agonist monotherapy, and concerns regarding disease exacerbations with continuous long-acting beta-agonist monotherapy have prompted the recommendation of concomitant steroid treatment. OBJECTIVES: Using peripheral blood lymphocytes from asthmatic subjects, we aimed to determine (1) whether short- or long-acting beta-agonists increase IL-13 producing (IL-13+ or IFN-gamma-producing (IFN-gamma+ T-cell numbers and (2) the ability of the corticosteroid budesonide to reverse these effects. METHODS: Peripheral blood lymphocytes from asthmatic subjects were cultured 6 days ex vivo with IL-2 and various concentrations of albuterol, formoterol, and budesonide. Numbers of IL-13+ and IFN-gamma+ T cells were determined by means of flow cytometric analysis. RESULTS: Both albuterol and formoterol increased IL-2 stimulated accumulation of IL-13+ T cells, and this increase was highest at concentrations approximating the dissociation constant of each beta-agonist for the beta(2)-adrenergic receptor. Budesonide at greater than 1 nmol/L reversed the augmenting effects of beta-agonists on IL-13+ T-cell accumulation, and budesonide at greater than 10 nmol/L inhibited increases in IL-13+ T cells stimulated by IL 2. Budesonide decreased, whereas beta-agonist did not affect, numbers of total and IFN-gamma+ T cells in IL-2-stimulated cultures. CONCLUSION: beta-Agonists at physiologically and clinically relevant concentrations stimulate increased antigen-independent, cytokine-stimulated accumulation, specifically of type 2 T cells from asthmatic subjects. The corticosteroid budesonide potently reverses this effect. PMID- 18155276 TI - Thunderstorm-related asthma: not only grass pollen and spores. PMID- 18155277 TI - Are allergy advisory statements helpful to patients with food allergy? PMID- 18155278 TI - Is eczema really on the increase worldwide? AB - BACKGROUND: It is unclear whether eczema prevalence is truly increasing worldwide. OBJECTIVE: We sought to investigate worldwide secular trends in childhood eczema. METHODS: Children (n = 302,159) aged 13 to 14 years in 105 centers from 55 countries and children aged 6 to 7 years (n = 187,943) in 64 centers from 35 countries were surveyed from the same study centers taking part in Phase One and Three of the International Study of Asthma and Allergies in Childhood by using identical validated and translated questionnaires. Eczema was defined as an itchy, relapsing, flexural skin rash in the last 12 months, and it was termed severe eczema when it was associated with 1 or more disturbed nights per week. RESULTS: Annual prevalence changes in relation to average prevalence across Phase One and Three were generally small and differed in direction according to the age of the participants and world region. For children 13 to 14 years old, eczema symptom prevalence decreased in some previously high-prevalence centers from the developed world, such as the United Kingdom and New Zealand, whereas centers with previously high prevalence rates from developing countries continued to increase. In the children 6 to 7 years old, most centers showed an increase in current eczema symptoms. Similar patterns to these were present for severe eczema at both ages. CONCLUSION: The epidemic of eczema seems to be leveling or decreasing in some countries with previously high prevalence rates. The picture elsewhere is mixed, with many formerly low-prevalence developing countries experiencing substantial increases, especially in the younger age group. PMID- 18155279 TI - Genetic polymorphism regulating ORM1-like 3 (Saccharomyces cerevisiae) expression is associated with childhood atopic asthma in a Japanese population. PMID- 18155280 TI - Usefulness of specific IgE levels in predicting cow's milk allergy. PMID- 18155281 TI - Helminthic infection as a factor in new-onset coffee allergy in a father and daughter. PMID- 18155282 TI - What the 21st century does not know about asthma-yet. PMID- 18155283 TI - Dysregulation of innate immune receptors on neutrophils in chronic granulomatous disease. AB - BACKGROUND: Chronic granulomatous disease (CGD) is the most common inherited disorder of neutrophil function, is caused by mutations in the reduced nicotinamide adenine dinucleotide phosphate (NADPH) oxidase, and results in recurrent bacterial infections. OBJECTIVE: We sought to investigate the expression and function of innate immune receptors on neutrophils in patients with CGD. METHODS: We quantified mRNA and protein expression of Toll-like receptors (TLRs), complement receptors, and chemokine receptors on neutrophils from 15 patients with CGD compared with that seen in healthy control subjects (n = 15) and control patients with bacterial pneumonia (n = 15). Phagocytosis, chemotaxis, and TLR function of isolated neutrophils were analyzed. The effect of NADPH oxidase inhibition on receptor expression and function was analyzed in control neutrophils. RESULTS: Neutrophils from patients with CGD had lower expression levels of TLR5, TLR9, CD11b, CD18, CD35, and CXCR1 compared with those from healthy control subjects, whereas similar or increased receptor expressions were found in patients without CGD but with bacterial pneumonia. Reduced TLR5 expression resulted in impaired neutrophil activation by bacterial flagella, reduced CD11b/CD18 expression was associated with impaired phagocytosis of Staphylococcus aureus, and reduced CXCR1 expression was associated with decreased chemotaxis. TLR5 and CD18 expression levels correlated with disease severity in patients with CGD. TLR5 and TLR9 expression were greater in patients with residual NADPH oxidase activity. Inhibition of the NADPH oxidase in control neutrophils in vitro decreased TLR5 and TLR9 expression and impaired TLR5 function. CONCLUSION: These results provide the first evidence that innate immune receptors are dysregulated in patients with CGD. PMID- 18155284 TI - Sublingual grass allergen tablet immunotherapy provides sustained clinical benefit with progressive immunologic changes over 2 years. AB - BACKGROUND: This is an interim analysis of a randomized, double-blind, placebo controlled phase III trial with 3 years of daily treatment with grass tablet immunotherapy (GRAZAX; ALK-Abello A/S, Horsholm, Denmark) or placebo, followed by 2 years of follow-up to assess the persistent efficacy. OBJECTIVE: We sought to evaluate the efficacy and safety of specific immunotherapy with grass allergen tablets compared with placebo after treatment covering 2 consecutive grass pollen seasons. METHODS: The interim analyses included 351 adult participants with moderate-to-severe allergic rhinoconjunctivitis caused by grass pollen. Participants were treated with active (n = 189) or placebo (n = 162) tablets for an average of 22 months. All participants were allowed to use symptomatic rescue medication. RESULTS: The primary efficacy analysis showed highly significant mean reductions of 36% in rhinoconjunctivitis symptom score (P < .0001; median reduction, 44%) and 46% in rhinoconjunctivitis medication score (P < .0001; median reduction, 73%) in the active group relative to the placebo group. Mean rhinoconjunctivitis quality of life was 33% better (P < .0001; median, 40%). Clinical improvements were paralleled by significant changes in allergen-specific immunoglobulins. The treatment was well tolerated, and adverse events led to withdrawal in less than 1% of participants. There were no serious adverse events related to treatment. CONCLUSION: Grass allergen tablet immunotherapy showed progressive immunologic changes and highly significant efficacy over 2 years of continued treatment. PMID- 18155285 TI - The health effects of non-industrial indoor air pollution. AB - BACKGROUND: There is growing public awareness regarding the risk associated with poor indoor air quality in the home and workplace. Because Americans spend approximately 22 hours every day indoors, susceptible individuals are at much greater risk of adverse health effects from chronic low levels of exposure to indoor air pollutants over time. Along with particulate matter, gases such as ozone, nitrogen dioxide, carbon monoxide, and sulfur dioxide; microbial and chemical volatile organic compounds; passive smoke; and outdoor ambient air are the most common types of air pollutants encountered indoors. OBJECTIVE: To provide the allergists with necessary information that will assist them in making useful recommendations to patients seeking advice regarding indoor environmental triggers beyond traditional perennial allergens. METHODS: Review of the literature pertaining to indoor exposure and health effects of gaseous and particular matter. RESULTS: Indoor pollutants act as respiratory irritants, toxicants, and adjuvants or carriers of allergens. CONCLUSION: The allergist should be prepared to evaluate patient exposure to allergic and nonallergic triggers and understand how outdoor air pollution is affecting indoor environments. This requires being familiar with methodologies for monitoring and interpreting indoor air quality and interpreting results in the context of the patients exposure history and advising patients about rational environmental control interventions. PMID- 18155286 TI - Contribution of allergen-specific and nonspecific nasal responses to early-phase and late-phase nasal responses. AB - BACKGROUND: The relative contributions of the allergen-specific early-phase nasal response and nonspecific nasal response and mast cells to the pathophysiology of allergic rhinitis are not well defined. OBJECTIVES: To determine the contributions of specific reactivity, nonspecific reactivity, and mast cells to the development of early-phase and late-phase responses using a mouse model of allergic rhinitis. METHODS: Sensitized wild-type and FcvarepsilonRI-deficient (FcvarepsilonRI-/-) mice were exposed to allergen for 3, 5, or 12 days. As indicators of nasal reactivity, respiratory frequency and nasal resistance were monitored. RESULTS: Sensitized mice exposed to 3 days of nasal allergen challenge showed a nonspecific early-phase response. As the number of allergen exposures increased, there was progressive diminution in nonspecific responses with increased allergen-specific early-phase responses and a late-phase response. Sensitized FcvarepsilonRI-/- mice did not develop nonspecific nasal responses or late-phase responses, but transfer of in vitro-differentiated wild-type mast cells into FcvarepsilonRI-/- mice restored nonspecific early-phase nasal responses but not the late-phase response. CONCLUSION: These data identify the nonspecific nasal response as a major contributor to the early-phase response, especially during initial allergen exposure, and is dependent on mast cells. Increasing allergen exposure results in increasing allergen-specific responses, converting the nonspecific early-phase response to a late-phase response that is allergen-specific and mast cell-independent. PMID- 18155287 TI - Initial efficacy of MI, TTM tailoring and HRI's with multiple behaviors for employee health promotion. AB - OBJECTIVE: This study was designed to compare the initial efficacy of Motivational Interviewing (MI), Online Transtheoretical Model (TTM)-tailored communications and a brief Health Risk Intervention (HRI) on four health risk factors (inactivity, BMI, stress and smoking) in a worksite sample. METHOD: A randomized clinical trial assigned employees to one of three recruitment strategies and one of the three treatments. The treatment protocol included an HRI session for everyone and in addition either a recommended three TTM online sessions or three MI in person or telephone sessions over 6 months. At the initial post-treatment assessment at 6 months, groups were compared on the percentage who had progressed from at risk to taking effective action on each of the four risks. RESULTS: Compared to the HRI only group, the MI and TTM groups had significantly more participants in the Action stage for exercise and effective stress management and significantly fewer risk behaviors at 6 months. MI and TTM group outcomes were not different. CONCLUSION: This was the first study to demonstrate that MI and online TTM could produce significant multiple behavior changes. Future research will examine the long-term impacts of each treatment, their cost effectiveness, effects on productivity and quality of life and process variables mediating outcomes. PMID- 18155288 TI - Long-term dentin retention of etch-and-rinse and self-etch adhesives and a resin modified glass ionomer cement in non-carious cervical lesions. AB - OBJECTIVES: The aim of this study was to evaluate the clinical long-term retention to dentin of seven adhesive systems. METHODS: A total of 270 Class V restorations of four etch-and-rinse, one self-etch adhesive system and a resin modified glass ionomer cement were placed in non-carious cervical lesions without intentional enamel involvement. The restorations were evaluated at baseline, 6, 12, 18, and 24 months and then every year during a 13-year follow-up. Dentin bonding efficiency was determined by the percentage of lost restorations. RESULTS: During the 13 years, 215 restorations could be evaluated. The cumulative loss rate at 13 years was 53.0%, with significant different failures rates for the different systems varying between 35.6 and 86.8%. Four systems fulfilled the ADA 18-month full acceptance retention criteria. Two systems showed at 18 months and earlier high debonding rates. The annual failure rates for the etch-and-rinse systems were Optibond 3.1%, Permagen 13.0%, Scotchbond MP 4.8%, Syntac classic 2.8%; for the self-etch system P&S 4.4%; and the resin-modified glass ionomer cement Vitremer 2.7%. CONCLUSION: It can be concluded that all systems showed a continuous degradation of the bond with a wide variation, which was independent of the adhesion strategy. Three bonding systems showed a cumulative failure rate after 13 years between 36 and 41% with the best retention for the resin-modified glass ionomer cement and a four-step etch-and-rinse system. PMID- 18155289 TI - SEM evaluation of resin-carious dentin interfaces formed by two dentin adhesive systems. AB - OBJECTIVES: We investigated the influence of dentin tubule direction and identifiable zone of carious dentin on the microstructure and the thickness of the hybrid-like layer (HL) formed by self-etch and etch-rinse adhesive systems. METHODS: An etch-rinse and a self-etching adhesive were bonded to dentin carious zones divided into groups with parallel or perpendicular orientation relative to the dentin tubules at the resin-carious dentin interface (N=5/variable). Bonds were prepared to each of the four zones of carious dentin apparent after staining with Caries Detector: pink, light pink, transparent and apparently normal; six non-carious third molars were controls. The microstructure and thickness of the HL were determined by SEM and compared using three-way ANOVA and Tukey's multiple comparisons (p<0.05). RESULTS: Etch-rinse controls gave thicker HLs than self etching systems; orientation did not affect thickness for the self-etch system. Perpendicular orientations gave thicker HLs than parallel for the pink zone bonded with the etch-rinse system. For both adhesives, HL thickness in the pink zone was significantly greater than in light pink for the perpendicular group, but no significant differences were found among other variables. HL microstructure was more granular and rougher for the etch-rinse than for the self etching system. Pores and cracks were obvious in the more demineralized zones. Resin tags were shorter and irregular in the transparent zone and often were completely absent in the outer demineralized zones (pink, light pink). SIGNIFICANCE: Microstructure of bonded interfaces varies markedly depending on adhesive system, tubule orientation and carious zone. PMID- 18155290 TI - Benzoyl germanium derivatives as novel visible light photoinitiators for dental materials. AB - OBJECTIVES: The objective of this study was to investigate the use of benzoyl germanium derivatives as a novel visible light photoinitiator of resin-based dental composites. Selected mechanical properties, such as flexural strength and flexural modulus, setting time, storage stability, and UV light stability, of the composites based on the novel photoinitiators benzoyltrimethylgermane (BTMGe) or dibenzoyldiethylgermane (DBDEGe) were investigated and compared to the properties of materials that are cured with a mixture of camphorquinone (CQ) and ethyl 4 (N,N-dimethylamino)benzoate (EMBO). METHODS: The flexural strength and flexural modulus of elasticity were determined according to ISO 4049. For this purpose, test specimens (2 mm x 2 mm x 25 mm) of the composites investigated were prepared in stainless steel moulds and light-cured (150 mW/cm2, 2 s x 180 s). The flexural strength and flexural modulus of elasticity were measured after immersing the cured specimens in water for 24h at 37 degrees C and in certain cases, after they had been boiled for 24h in water. In addition, the setting time, curing depth, storage and UV stability of selected composites were determined. RESULTS: The novel photoinitiators BTMGe or DBDEGe can be used to substitute the binary photoinitiator CQ/EMBO in visible light-cured restorative composites. Especially, DBDEGe showed a significantly higher photocuring activity in composites with a filler load of about 60 wt. % in comparison to that of CQ/EMBO. In addition, composites based on BTMGe or DBDEGe showed an improved UV stability and a storage stability comparable to that of CQ/EMBO-based composites. PMID- 18155291 TI - Palladium adsorbing properties of UV-curable chitosan derivatives and surface analysis of chitosan-containing paint. AB - The results of X-ray photoelectron spectroscopy (XPS) analyses indicated that palladium chloride was adsorbed on a plastic surface coated with a chitosan containing paint (C-Paint), and was completely reduced to Pd(0) after reduction with dimethylamine-borane. To improve the stability and hardening properties of C Paint, UV-curable chitosan derivatives, such as N-[3-methoxy-4-(2-hydroxy-3 methacryloyloxypropoxy)phenyl]methylated chitosan and N-(3-methoxy-4 methacryloyloxyphenyl)methylated chitosan, were synthesized. The derivatives showed better affinity for organic solvents. After UV irradiation for 20s, an acidic solution of these derivatives was transformed to a gel, and the dried films exhibited good palladium(II) adsorption at pH 1.1. PMID- 18155292 TI - Surface modification of a perfluorinated ionomer using a glow discharge deposition method to control protein adsorption. AB - Nafion is the membrane material preferred for in situ glucose sensors. Unfortunately, surface properties of Nafion promote random protein adsorption and eventual foreign body encapsulation thus leading to loss of glucose signal over time. Here we detail surface modifications made by RF plasma deposition to Nafion with the intent to prevent random protein adsorption while providing enough functional sites (hydroxyl groups) to bind a biologically active peptide known to induce cellular adhesion (YRGDS). Nafion surfaces were modified by RF plasma polymerizing five different combinations of (1) tetraethylene glycol dimethyl ether (tetraglyme) and (2) 2-hydroxyethyl methacrylate (HEMA): pure tetraglyme, 2.5% HEMA with 97.5% tetraglyme, 5% HEMA with 95% tetraglyme, 10% HEMA with 90% tetraglyme, and pure HEMA. Resultant surfaces were characterized by XPS (low and high resolution), dynamic contact angle, and atomic force microscopy. Protein adsorption and retention was determined and correlated to surface layer composition. The ability to bind a cell adhesion peptide was also determined and correlated well with surface layer composition. PMID- 18155293 TI - Stem cells from fetal membranes - a workshop report. AB - Stem cells that can be derived from fetal membranes represent an exciting field of research that bears tremendous potential for developmental biology and regenerative medicine. In this report we summarize contributions to a workshop in which newest insights into the characteristics, subtypes and molecular determinants of stem cells from trophoblast and endometrial tissues were presented. PMID- 18155294 TI - Behaviors of youth involved in the child welfare system. AB - OBJECTIVE: Using data from a nationally representative panel study, the National Survey of Child and Adolescent Well-Being (NSCAW), we address the following questions: (a) What are the youth, family, community, and child welfare system risk factors that place youth (ages 11-14 years) living at home, who are referred for maltreatment, at increased risk of delinquent behaviors over time? and (b) What promotive factors at the youth, family, community, and child welfare system levels appear to minimize the risk of delinquent behaviors for these youth over time? METHODS: The study uses the NSCAW data collected at baseline (Wave 1) and 18 months later (Wave 3). The multivariate analyses were conducted using a tobit model adjusted for longitudinal data and a complex survey sample. RESULTS: Several significant risk and promotive factors were found to influence the risk of delinquent behaviors over time. Older youth were more likely to engage in delinquent behaviors than younger youth. Girls were less likely to engage in delinquent behaviors than boys. Race or ethnicity did not have a statistically significant relationship with engaging in delinquent behaviors. Compared with neglected youth, youth who were physically abused were more likely to engage in delinquent behaviors. Increases in caregiver monitoring and in the quality of relationship with caregivers were associated with decreases in delinquent behaviors. Youth at greatest risk and those who engaged in more delinquent behaviors received more child welfare services then youth who did not engage in delinquent behaviors. CONCLUSIONS: The current child welfare delivery system emphasizes provision of services to youth experiencing the more serious problems and less on preventive services. The study findings suggest that preventive services when youth first enter the child welfare system that focus on enhancing caregiver skills in building positive relationships with their youth and increased monitoring of the youth's activity may alter the pathway to delinquent behaviors for these youth. PMID- 18155295 TI - Sensation seeking and risk-taking propensity as mediators in the relationship between childhood abuse and HIV-related risk behavior. AB - OBJECTIVES: Although a wealth of literature suggests that childhood physical, emotional, and sexual abuse are related to later-life HIV-related risk behaviors, few studies have explored disinhibition (e.g., impulsivity, risk-taking propensity, and sensation-seeking) as a risk factor in this relationship. METHOD: This cross-sectional study examined impulsivity, risk-taking propensity, and sensation seeking as mediators in the relationship between abuse history and engagement in HIV-related risk behaviors among a sample of 96 inner-city African American adolescents. RESULTS: Findings indicated that abuse history was positively related to self-reported engagement in HIV-related risk behaviors (B=.027, SE .008, beta=.32, sr(2)=.105, p=.001), as well as risk-taking propensity (B=.35, SE .11, beta=.30, sr(2)=.090, p=.003) and sensation seeking (B=.17, SE .05, beta=.35, sr(2)=.124, p=.0004). Abuse history was not related to impulsivity. Further, while sensation-seeking and risk-taking propensity (to a lesser extent) mediated this relationship, impulsivity did not. CONCLUSIONS: These findings provide an initial step in the examination of the mechanisms underlying the relationship between childhood abuse and engagement in HIV-related risk behaviors. PMID- 18155296 TI - Glycosylation changes in hFUT1 transgenic mice increase TCR signaling and apoptosis resulting in thymocyte maturation arrest. AB - Glycosylation of cell surface proteins is important in thymocyte maturation. In particular, the level of sialylation of key glycoproteins such as CD45 is believed to play a major role in regulating TCR signaling, adhesion and apoptosis of developing thymocytes. We show here that transgenic expression of human alpha1 2 fucosyltransferase (hFUT1) in mice resulted in a marked shift from sialylation to fucosylation of thymocyte glycoproteins. This was associated with a significant reduction in thymocyte number, an increased rate of apoptosis in double positive and single positive thymocytes, and a maturation arrest at TCR dependent developmental transitions reminiscent of CD45 deficiency. Indeed, CD45RB dimerization was elevated in hFUT1 thymocytes, consistent with its hyposialylation, and there was a corresponding increase in phosphorylation of the TCR-associated protein Lck. However, contrary to the reduced TCR signaling in CD45 null mice, basal and stimulated TCR signaling was higher in hFUT1 thymocytes than in wild type thymocytes. Our results therefore demonstrate that aberrant expression of a single glycosyltransferase can profoundly affect thymopoiesis, although the relative involvement of CD45-dependent and -independent mechanisms is yet to be determined. PMID- 18155297 TI - Tumor necrosis factor antagonist mechanisms of action: a comprehensive review. AB - During the past 30 years, elucidation of the pathogenesis of rheumatoid arthritis, Crohn's disease, psoriasis, psoriatic arthritis and ankylosing spondylitis at the cellular and molecular levels has revealed that these diseases share common mechanisms and are more closely related than was previously recognized. Research on the complex biology of tumor necrosis factor (TNF) has uncovered many mechanisms and pathways by which TNF may be involved in the pathogenesis of these diseases. There are 3 TNF antagonists currently available: adalimumab, a fully human monoclonal antibody; etanercept, a soluble receptor construct; and infliximab, a chimeric monoclonal antibody. Two other TNF antagonists, certolizumab and golimumab, are in clinical development. The remarkable efficacy of TNF antagonists in these diseases places TNF in the center of our understanding of the pathogenesis of many immune-mediated inflammatory diseases. The purpose of this review is to discuss the biology of TNF and related family members in the context of the potential mechanisms of action of TNF antagonists in a variety of immune-mediated inflammatory diseases. Possible mechanistic differences between TNF antagonists are addressed with regard to their efficacy and safety profiles. PMID- 18155298 TI - Noninvasive reflection mode photoacoustic imaging through infant skull toward imaging of neonatal brains. AB - The feasibility of functional imaging of neonatal brains was studied in a noninvasive transcranial manner by using reflection mode photoacoustic technique for the first time. Experiments were conducted to examine the quality of photoacoustic signals and consequent images across a newborn infant skull. With the designed system, photoacoustic imaging of blood vessels through the infant skull has been achieved with an axial resolution up to 50mum and a lateral resolution up to 420mum. Experimental results also indicate that photoacoustic imaging of neonatal brain with a depth of 21mm or more beneath the skull is feasible when working with near-infrared light. Moreover, the performance of this technique for measuring and monitoring the changes in blood oxygenation level through the newborn infant skull has also been explored. This study suggests that reflection mode photoacoustic imaging holds promise to become a novel and powerful tool for noninvasive diagnosis, monitoring and prognosis of disorders in neonatal brains. PMID- 18155299 TI - Graded reversible opening of the rat blood-brain barrier by intracarotid infusion of sodium caprate. AB - The fatty acid salt, sodium caprate (C10) is a well recognized drug absorption enhancer in intestine because of its ability to widen tight junctions in the epithelial cell lining. Caprate's potential usefulness to similarly alter the blood-brain barrier (BBB) tight junctions of brain vasculature and enhance CNS drug delivery has undergone little investigation. Adult SD rats were anesthetized and C10 was infused into the left internal carotid artery (dosing parameters: 10 30 mM, 1 or 2 ml min(-1), for 0.5-1.5 min). Beginning 5 or 60 min after infusion an i.v. bolus of [3H]mannitol was allowed to circulate for 30 min and degree of BBB leakiness measured as magnitude of the transfer constant (Ki, nl g(-1)s(-1)) for blood to brain mannitol permeation determined from brain and plasma samples. In initial experiments identical C10 infusions caused dramatic BBB opening in some rats, e.g., 10-fold increase in Ki, but not in others. Higher dosing produced consistent opening measured 5-35 or 60-90 min post-infusion but was also toxic as shown by severe brain edema and cardio-respiratory failure. The variable effect of moderate doses was attributed to the fact that arterial blood pressure markedly increased during C10 infusion and may have altered the flow dynamics of cerebrovascular caprate distribution from rat to rat. We modified the procedure by temporarily withdrawing blood to produce hypovolemia and systemic arterial hypotension during C10 infusion. Caprate infusions of 15-25 mM, 2 ml min(-1) for 1 min, produced reliable dose-related openings that lasted as much as an hour, were reversible, and accompanied by little or moderate edema, depending on dose. These findings confirm an earlier report showing that intracarotid caprate infusion opens the BBB but also show that control of the temporary hypertensive response produced by intracarotid caprate infusion is key to tailoring the dosage to consistently achieve graded, reversible BBB opening. PMID- 18155300 TI - Susceptibility to tuberculosis: composition of tuberculous granulomas in Thorbecke and outbred New Zealand White rabbits. AB - We sought to characterize the lung cellular immune responses to inhaled Mycobacterium tuberculosis (Mtb) of the susceptible inbred Thorbecke rabbit (the genomically sequenced strain, now unavailable) and compare it to outbred, Mtb resistant, New Zealand White rabbits. Using Mtb CDC1551, we confirmed that the inbred rabbits allowed establishment of infection with this low virulence strain, compared to poor establishment in outbred rabbits. With a more virulent strain, Mtb Erdman, that establishes infection well in both rabbit strains, we analyzed granulomas from rabbit lungs 5 weeks after aerosol infection. The lung granulomas of inbred rabbits had significantly higher frequencies of cells expressing MHC Class II and CD11b, and lower frequencies of CD8+ T cells than the outbred controls. Macrophage-sized cells expressing MHC Class II in inbred rabbit granulomas showed significantly decreased intensity of expression, suggesting impaired maturation. Although the inbred dermal tuberculin reactions were decreased, the in vitro IFN-gamma mRNA responses of hilar node lymphocytes to tuberculin were higher than those of outbred rabbits. Further delineation of the outbred rabbit's resistant immune response to Mtb infection is warranted. PMID- 18155302 TI - Adenoid as a source of lymphocytes in the surface secretions of nasopharynx. AB - OBJECTIVE: The significance and protective efficacy of surface secretions on mucosal membranes in the upper airways are well recognized. The aim of our study was to reveal the role of the adenoids as a source of cellular components in the mucosal secretion. METHODS: The adenoid removed because of its hypertrophy and the samples of surface secretions taken by "imprint method" described by Ebenfelt et al. from the group of 38 children were examined by flow cytometry. The lymphocyte subsets with following antigens: CD3, CD4, CD8, CD19, CD23, CD16+56, CD45RA, CD45RO, HLA-DR were analyzed. Two groups were studied: (1) AH, children with adenoid hyperplasia without otitis media; (2) OME, children with adenoid hyperplasia and persistent otitis media with effusion. Age-related changes in percentages of lymphocyte subpopulations were analyzed. RESULTS: The percentage of lymphocyte subsets in adenoid and secretion were similar, however, in the surface secretion there was higher proportion of lymphocytes B and NK and lower of T. There was no correlation between percentages of lymphocyte in adenoid and surface secretion except for lymphocytes Th with memory phenotype and lymphocytes B with marker CD23(+). In adenoid the percentage of T and Th lymphocytes increased with age and the percentage of B lymphocytes decreased. In the secretion age-related changes were less pronounced and only the percentage of lymphocytes B CD23(+) showed positive correlation with age. In cases of otitis media with effusion there was higher proportion of lymphocytes B (CD19(+) and CD19(+)CD23(+)) and lower of lymphocytes Ts and Th with naive phenotype in the secretion. In adenoid however, the cases of OME revealed lower percentage of lymphocytes B and higher of lymphocytes Ts. CONCLUSIONS: Similar proportions of lymphocyte subpopulations in surface secretion and in adenoid imply that adenoid is the source of those cells. However, lack of correlation between the percentages of lymphocytes in secretion and in adenoid suggest that the process of lymphocyte migration has active and selective character. PMID- 18155301 TI - Regulation of B-cell-activating factor (BAFF)/B lymphocyte stimulator (BLyS) expression in human neutrophils. AB - The expression and production of cytokines by cells of the innate immune system, including monocytes/macrophages, dendritic and NK cells, play a critical role not only in defensive and inflammatory but also in immunoregulatory and anti-/pro tumoral processes. Studies performed in the last years have well ascertained that polymorphonuclear neutrophils can also be induced to express and produce chemokines, proinflammatory, anti-inflammatory, immunoregulatory, angiogenic and fibrogenic cytokines, as well as ligands belonging to the TNF superfamily. Among the latter group of molecules, B-cell-activating factor (BAFF)/B lymphocyte stimulator (BLyS), known to be essential for B lymphocyte homeostasis and related pathologies, has recently been identified as one of the factors potentially expressed by human neutrophils. The addition of this novel TNF superfamily member, and more recently also of the closely related "A Proliferation-Inducing Ligand" (APRIL), to the list of cytokines produced by neutrophils not only testifies to the continuous growth of this area of investigation, but also implies the involvement of neutrophils in B-cell-dependent autoimmune diseases and tumors. PMID- 18155303 TI - Vestibular nerve functions in children with auditory neuropathy. AB - In disorders affecting the cochlear nerve it is highly probable that the vestibular nerve is involved as well. The caloric test and VEMP (vestibular evoked myogenic potentials) enable a separate evaluation of the inferior and superior vestibular nerve. In the present study we evaluated the inferior and superior vestibular nerves in three children with auditory neuropathy. Electrophysiological tests, VEMP and caloric tests were carried out in these three cases with the preliminary diagnosis of auditory neuropathy. Magnetic resonance imaging was obtained which revealed an intact cochlear nerve in all three patients. The caloric tests were all normal, while in two out of the three cases the VEMP test yielded abnormal results. Since the caloric test may prove abnormal as well, as reported in the literature, it would be valuable to carry out both of the tests in the vestibular evaluation of children with auditory neuropathy, in our opinion. PMID- 18155304 TI - Anxiolytic-like effects of DOI microinjections into the hippocampus (but not the amygdala nor the PAG) in the mice four plates test. AB - Anxiolytic-like effects of DOI, a 5-HT(2A/2C) agonist have been observed in the four plates test (FPT) after intra-peritoneal administrations. In the present study, DOI (1 microg, 2 microg or 5 microg per mice) was directly injected to three brain structures, the hippocampus, the amygdala and the periaqueductal gray matter (PAG). Tests were carried out immediately after injections. In amygdala and PAG, DOI exerted an anxiogenic-like effect. In the hippocampus, a strong anxiolytic-like effect was found only when injecting 5 microg DOI/mice in the FPT, with a size effect comparable to the anxiolytic-like effect of diazepam 1mg/kg injected intra-peritoneally. DOI or vehicle injections did not affect locomotor activity. These results help us to understand mechanisms of action of DOI in animal models of anxiety, probably through an interaction with other neurotransmitter system, which may take place in the hippocampus. PMID- 18155306 TI - Bi-directional flow in coronary-to-left ventricular fistula. AB - Coronary artery fistulae are rare congenital anomalies occasionally observed during coronary angiography. We present a case of retrograde coronary opacification during left ventriculography. This is the first reported case of angiographically documented bi-directional flow in these structures. Due to advanced age and personal wishes, the patient was treated medically. The epidemiology, pathophysiology, and therapy for coronary fistulae are briefly discussed. PMID- 18155307 TI - The effect of becoming BVDV-free on fertility and udder health in Dutch dairy herds. AB - The aim of the study was to investigate the effect of BVDV-free certification of dairy herds on fertility and udder health. Cases were defined as dairy herds that had at least one BVDV-antigen positive animal, subsequently gained the BVDV-free status by participating in the BVDV-control programme of the Animal Health Service (AHS) and maintained this status for at least 2 years. Controls had an unknown status for BVDV and two controls were matched to one case by region and herd size. Data concerning fertility and milk production of all herds were provided by The Dutch Royal Cattle Syndicate (NRS). After validation, data of 79,607 cows of 392 case herds and 124,831 cows of 730 control herds were analysed on ten fertility and three udder health parameters. For the analyses all observations were aggregated at herd level. To account for the matching, differences for fertility parameters were calculated between each of the two pairs of case-control within a matching code. The analyses were performed with these differences as dependent variables. Mixed models and GEE models were used for the statistical analyses of fertility and udder health. Case herds had a significantly lower abortion rate in the BVDV-free period than controls herds (10.3% versus 11.6%, P<0.01) while there was no significant difference for the other fertility parameters. There was no effect on mastitis prevalence or bulk milk SCC but the mastitis incidence significantly decreased for case herds in the BVDV-free period (cases 0.6 % lower than controls, P<0.05). In our study the effect of getting the BVDV-free status may have been underestimated for several reasons like an unknown status for control herds, not knowing when an acute infection occurred in case herds and not knowing the management for both cases and controls. Interestingly, both significant variables, being abortions and mastitis incidence, are parameters that are more difficult to influence by the farmer than the other parameters (e.g. calving interval). PMID- 18155305 TI - Diversity and evolution of the rhoph1/clag multigene family of Plasmodium falciparum. AB - A complex of high-molecular-mass proteins (PfRhopH) of the human malaria parasite Plasmodium falciparum induces host protective immunity and therefore is a candidate for vaccine development. Understanding the level of polymorphism and the evolutionary processes is important for advancements in both vaccine design and knowledge of the evolution of cell invasion in this parasite. In the present study, we sequenced the entire open reading frames of seven genes encoding the proteins of the PfRhopH complex (rhoph2, rhoph3, and five rhoph1/clag gene paralogs). We found that four rhoph1/clag genes (clag2, 3.1, 3.2, and 8) were highly polymorphic. Amino acid substitutions and indels are predominantly clustered around amino acid positions 1000-1200 of these four rhoph1/clag genes. An excess of nonsynonymous substitutions over synonymous substitutions was detected for clag8 and 9, indicating positive selection. The McDonald-Kreitman test with a Plasmodium reichenowi orthologous sequence also supports positive selection on clag8. Based on the ratio of interspecific genetic distance to intraspecific distance, the time to the most recent common ancestor of the clag2 and 8 polymorphisms was estimated to be 1.89 and 0.87 million years ago, respectively, assuming divergence of P. falciparum and P. reichenowi 6 million years ago. In addition to a copy number polymorphism, gene conversion events were detected for the rhoph1/clag genes on chromosome 3, which likely play a role in increasing the diversity of each locus. Our results indicate that a high diversity of the PfRhopH1/Clag multigene family is maintained by diversifying selection forces over a considerably long period. PMID- 18155309 TI - Clinical implications of the implementation of advanced treatment planning algorithms for thoracic treatments. AB - BACKGROUND AND PURPOSE: Radiotherapy treatment planning algorithms continue to develop and current planning systems typically offer simpler, but faster, algorithms, which may be 2, 2.5 or 3D in modelling scatter, but which do not model electron transport (type a) and more accurate algorithms which aim to be fully 3D, i.e. which model 3D scatter and also model electron transport (type b). A range of comparative planning studies and experiments indicate that the main situation where the changes are significant between the two types of algorithm is where lung tissue is involved. However, more generally, interface areas between materials of different electron density and composition are expected to show differences between the two types of algorithms. These are likely to pose potentially significant clinical consequences when a centre changes from using older simpler algorithms to more accurate fully 3D ones and require careful consideration. MATERIALS AND METHODS: Some modelling is presented using the different type algorithms for a recently available novel design of linear accelerator treatment head, as part of the commissioning of that machine and in preparing for a change in TPS algorithm. The TPS data are compared to measurements and to Monte Carlo calculations. RESULTS AND DISCUSSION: The results add to the evidence of other studies that 3D planning techniques and type b dose calculation algorithms lead to systematic changes in computation and delivery of radiotherapy dose and in dose distributions, as compared to simpler methods, and that these changes are more pronounced in treatments involving lung tissue. The type b algorithms agree well with Monte Carlo modelling. CONCLUSIONS: Careful analysis of the changes is required before adopting new algorithms into clinical treatment planning practice. Discussion is needed between physicists and oncologists to fully understand the effects and potential consequences. These include changes in delivered dose to the reference point, to coverage of the PTV and to the dose distribution and also to dosimetric parameters used to constrain toxicity for lung, e.g. V20, and other tissues. There are consequences for assessment of dose-effect relationships and of parameters used in treatment planning decisions and this is an opportune time to re-evaluate this information. PMID- 18155308 TI - Construction of a new plasmid for surface display on cells of Yarrowia lipolytica. AB - In this study, a new surface display plasmid (pINA1317-YlCWP110) was constructed in Yarrowia lipolytica using C-terminal anchor domain of YlCWP1 from Y. lipolytica based on plasmid pINA1317, a pre-existing auto-cloning system for heterologous protein production in Y. lipolytica. When the genes encoding enhanced green fluorescent protein (EGFP) and haemolysin derived from the bacterium Vibrio harveyi were cloned into the newly constructed surface display plasmid, respectively, and expressed in cells of Y. lipolytica, we found that the target proteins were successfully displayed on the yeast cells and 100% of the yeast cell had anchoring target proteins. It was also shown that the yeast cells displaying haemolysin had haemolytic activity towards erythrocytes from flounder, indicating that the fusion protein remained functional. Therefore, the newly constructed surface display plasmid will have many applications in different fields such as in immobilized biocatalyst, bioconversion, bioremediation, live vaccine development and ultra-high-throughput screening for the identification of novel biocatalysts because it has many unique characteristics. To our knowledge, this work constitutes the first report of a surface display expression system in Y. lipolytica. PMID- 18155310 TI - Method for reliable isolation of Lactobacillus sakei strains originating from Tunisian seafood and meat products. AB - In Tunisia, several food products derived from meat or seafood are naturally processed, without any addition of bacterial starters. Such fermented, dried cured, salted, or marinated products, as well as the raw meat or fish may thus provide a source to isolate the natural microflora colonizing such environments. We isolated lactic acid bacteria from a representative range of flesh-foods sold or manufactured in different parts of Tunisia, and selectively searched for Lactobacillus sakei, a lactic acid bacterium potentially useful as starter or protective culture. Eighty six (86) strains were isolated from various seafood (anchovy, sardine, sole, mullet, and octopus), or meat (pork, veal, beef, sheep, chicken, and turkey) products that were either fresh, or transformed by different traditional processes. Several methods were used in order to develop a rapid and reliable protocol for the direct identification of L. sakei. Amplified ribosomal DNA restriction analysis (ARDRA) classified the various isolates into 9 distinct groups. Search for the presence of the L. sakei specific katA gene indicated that all positive isolates were grouped in the same ARDRA group. Sequencing of 16S rDNA confirmed those isolates as L. sakei. Those 22 different L. sakei strains represent 25.6% of the total isolates, while other isolates found in the different ARDRA groups were tentatively ascribed to Lactobacillus plantarum, Lactococcus lactis/garviae, Enterococcus avium, Streptococcus parauberis, Hafnia alvei, Pediococcus pentosaceus, and Lactobacillus curvatus through 16S rDNA sequencing. A fast and reliable method to isolate and discriminate L. sakei from complex food environments is proposed. PMID- 18155311 TI - Use of results of microbiological analyses for risk-based control of Listeria monocytogenes in marinated broiler legs. AB - Microbial risk assessment provides a means of estimating consumer risks associated with food products. The methods can also be applied at the plant level. In this study results of microbiological analyses were used to develop a robust single plant level risk assessment. Furthermore, the prevalence and numbers of Listeria monocytogenes in marinated broiler legs in Finland were estimated. These estimates were based on information on the prevalence, numbers and genotypes of L. monocytogenes in 186 marinated broiler legs from 41 retail stores. The products were from three main Finnish producers, which produce 90% of all marinated broiler legs sold in Finland. The prevalence and numbers of L. monocytogenes were estimated by Monte Carlo simulation using WinBUGS, but the model is applicable to any software featuring standard probability distributions. The estimated mean annual number of L. monocytogenes-positive broiler legs sold in Finland was 7.2x10(6) with a 95% credible interval (CI) 6.7x10(6)-7.7x10(6). That would be 34%+/-1% of the marinated broiler legs sold in Finland. The mean number of L. monocytogenes in marinated broiler legs estimated at the sell-by date was 2 CFU/g, with a 95% CI of 0-14 CFU/g. Producer-specific L. monocytogenes strains were recovered from the products throughout the year, which emphasizes the importance of characterizing the isolates and identifying strains that may cause problems as part of risk assessment studies. As the levels of L. monocytogenes were low, the risk of acquiring listeriosis from these products proved to be insignificant. Consequently there was no need for a thorough national level risk assessment. However, an approach using worst-case and average point estimates was applied to produce an example of single producer level risk assessment based on limited data. This assessment also indicated that the risk from these products was low. The risk-based approach presented in this work can provide estimation of public health risk on which control measures at the plant level can be based. PMID- 18155312 TI - Optimal selection of organic solvents for biocompatible extraction of beta carotene from Dunaliella salina. AB - In the aim of beta-carotene biocompatible extraction, toxicity of various pure solvents belonging to different homologous series has been investigated for Dunaliella salina. The results showed that solvents having logP(oct) > 5 or having a molecular weight over 150 g/mol can be considered biocompatible for this microalga. The membrane critical solvent concentration for each series of solvents has been calculated applying Osborne's model, showing that the aliphatic chlorinated hydrocarbon is the most toxic family studied. Mixtures of a biocompatible solvent (decane) with a toxic solvent (CH(2)Cl(2), MEK, MTBE) have been studied. The beta-carotene extraction ability of CH(2)Cl(2)-decane mixture was found six times more efficient than with pure decane. It has been demonstrated that the extraction ability of solvent depends on its affinity with the product extracted and on its concentration incorporated in the cellular membrane. PMID- 18155313 TI - Enzymatic synthesis of butyl hydroxycinnamates and their inhibitory effects on LDL-oxidation. AB - The potential of the Aspergillus niger type A feruloyl esterase (AnFaeA) for the synthesis of various phenolic acid esters was examined using a ternary-organic reaction system consisting of a mixture of n-hexane, 1- or 2-butanol and water. Reaction parameters including the type of methyl hydroxycinnamate, the composition of the reaction media, the temperature, and the substrate concentration were investigated to evaluate their effect on initial rate and conversion to butyl esters of sinapic acids. Optimisation of the reaction parameters lead to 78% and 9% yield for the synthesis of 1-butyl and 2-butyl sinapate, respectively. For the first time, a feruloyl esterase was introduced in the reaction system as cross-linked enzyme aggregates (CLEAs), after optimisation of the immobilisation procedure, allowing the recycling and reuse of the biocatalyst. The inhibition of copper-induced LDL oxidation by hydroxycinnamic acids and their corresponding butyl esters was investigated in vitro. Kinetic analysis of the antioxidation process demonstrates that sinapate derivatives are effective antioxidants indicating that esterification increases the free acid's antioxidant activity especially on dimethoxylated compounds such as sinapic acid compared to methoxy-hydroxy-compounds such as ferulic acid. PMID- 18155314 TI - Viral hepatitis and HIV coinfection. AB - Persons at high risk for human immunodeficiency virus (HIV) infection are also likely to be at risk for other infectious pathogens, including hepatitis B virus (HBV) or hepatitis C virus (HCV). These are bloodborne pathogens transmitted through similar routes; for example, via injection drug use (IDU), sexual contact, or from mother to child during pregnancy or birth. In some settings, the prevalence of coinfection with HBV and/or HCV is high. In the context of effective antiretroviral therapy (ART), liver disease has emerged as a major cause of morbidity and mortality in HIV-infected persons. Further, coinfection with viral hepatitis may complicate the delivery of ART by increasing the risk of drug-related hepatoxicity and impacting the selection of specific agents (e.g., those dually active against HIV and HBV). Expert guidelines developed in the United States and Europe recommend screening of all HIV-infected persons for infection with HCV and HBV and appropriate management of those found to be chronically infected. Treatment strategies for HBV infection include the use of nucleos(t)ide analogues with or without anti-HIV activity and/or peginterferon alfa (PegIFN) whereas HCV treatment is limited to the combination of PegIFN and ribavirin (RBV). Current approaches to management of HIV-infected persons coinfected with HBV or HCV are discussed in this review. PMID- 18155315 TI - Enhancing the cellular uptake of siRNA duplexes following noncovalent packaging with protein transduction domain peptides. AB - The major limitation in utilizing information rich macromolecules for basic science and therapeutic applications is the inability of these large molecules to readily diffuse across the cellular membrane. While this restriction represents an efficient defense system against cellular penetration of unwanted foreign molecules and thus a crucial component of cell survival, overcoming this cellular characteristic for the intracellular delivery of macromolecules has been the focus of a large number of research groups worldwide. Recently, with the discovery of RNA interference, many of these groups have redirected their attention and have applied previously characterized cell delivery methodologies to synthetic short interfering RNA duplexes (siRNA). Protein transduction domain and cell penetrating peptides have been shown to enhance the delivery of multiple types of macromolecular cargo including peptides, proteins and antisense oligonucleotides and are now being utilized to enhance the cellular uptake of siRNA molecules. The dense cationic charge of these peptides that is critical for interaction with cell membrane components prior to internalization has also been shown to readily package siRNA molecules into stable nanoparticles that are capable of traversing the cell membrane. This review discusses the recent advances in noncovalent packaging of siRNA molecules with cationic peptides and the potential for the resulting complexes to successfully induce RNA interference within both in vitro and in vivo settings. PMID- 18155316 TI - Lipid-based delivery systems and intestinal lymphatic drug transport: a mechanistic update. AB - After oral administration, the majority of drug molecules are absorbed across the small intestine and enter the systemic circulation via the portal vein and the liver. For some highly lipophilic drugs (typically log P>5, lipid solubility>50 mg/g), however, association with lymph lipoproteins in the enterocyte leads to transport to the systemic circulation via the intestinal lymph. The attendant delivery benefits associated with lymphatic drug transport include a reduction in first-pass metabolism and lymphatic exposure to drug concentrations orders of magnitude higher than that attained in systemic blood. In the current review we briefly describe the mechanisms by which drug molecules access the lymph and the formulation strategies that may be utilised to enhance lymphatic drug transport. Specific focus is directed toward recent advances in understanding regarding the impact of lipid source (both endogenous and exogenous) and intracellular lipid trafficking pathways on lymphatic drug transport and enterocyte-based first-pass metabolism. PMID- 18155317 TI - Preliminary study on biomarkers for the fungal resistance in Vitis vinifera leaves. AB - We examined the leaf chemical composition of six seedlings obtained by self pollination of the Bulgarian wine-making variety Storgozia as well as the cultivar Bouquet, which is the susceptible parent of Storgozia. The chemical composition was investigated in the framework of a program for identification of metabolites associated with disease resistance in grape-vine. Acetone, dichloromethane and butanol extracts, as well as volatiles obtained from fresh material were analyzed by GC/MS. Based on the correlations of the GC/MS data and estimated resistance of the leaves towards the etiological agents of powdery mildew, downy mildew and botrytis as biomarkers for the fungal resistance, we proposed 16 individual metabolites--alpha- and gamma-tocopherol, squalene, alpha amyrine, stigmasta-3,5-diene-7-one, hexahydrofarnesyl acetone, glycolic acid, 3 hydroxybutanoic acid, 3-hydroxycaproic acid, malic acid, tartaric acid, erythronic acid, arabinoic acid, monoethyl phosphate, undecyl laurate and isopropyl myristate. The obtained correlations were confirmed by cluster analysis. PMID- 18155318 TI - Morphological analysis of seed shape in Arabidopsis thaliana reveals altered polarity in mutants of the ethylene signaling pathway. AB - The shape of Arabidopsis thaliana dry seed is described here as a prolate spheroid. The accuracy of this approximation is discussed. Considering its limitations, it allows a geometric approximation to the analysis of changes occurring in seed shape during imbibition prior to seed germination as well as the differences in shape between genotypes and their changes during imbibition. The triple mutant ein2-1, ers1-2, etr1-7 presents notable alterations in seed shape. In addition, seeds of this and other mutants in the ethylene signaling pathway (ctr1-1, eto1-1, etr1-1, ein2-1) show different response to imbibition than the wild type. Imbibed seeds of the wild type increase their asymmetry compared with the dry seeds. This is detected by the relative changes in the curvature values in both poles. Thus, during imbibition of the wild-type seeds, the reduction in curvature values observed in the basal pole gives them an ovoid shape. In contrast, in the seeds of the ethylene mutants, reduction in curvature values occurs in both basal and apical poles, and its shape remains as a prolate spheroid. Our data indicate that the ethylene signaling pathway is involved, in general, in the complex regulation of seed shape and, in particular, in the establishment of polarity in seeds, controlling curvature values in the seed poles. PMID- 18155319 TI - Nail degloving, a polyetiologic condition with 3 main patterns: A new syndrome. AB - Nail degloving refers to partial or total avulsion of the nail and surrounding tissue (perionychium). Typically it appears as a thimble-shaped nail shedding or a partial or total loss of the nail organ with soft tissue. Nail degloving represents the end result of a variety of insults to the nail apparatus, including trauma, dermatologic diseases, and drug reactions. PMID- 18155320 TI - Diabetic dermopathy: A subtle sign with grave implications. AB - Diabetic dermopathy (DD) is the most common cutaneous manifestation of diabetes mellitus. DD refers to atrophic, hyperpigmented macules characteristically located on the shins of patients with diabetes. They have an unfavorable association with the 3 most common microangiopathic complications of diabetes mellitus: neuropathy, nephropathy, and retinopathy. A relationship between DD and coronary artery disease has also been demonstrated. Thus, the presence of DD should prompt aggressive intervention to detect diabetes mellitus and prevent the development of ensuing complications. PMID- 18155321 TI - Cholinergic regulation of neuropeptide Y synthesis and release in human neuroblastoma cells. AB - The biosynthesis and release of neuropeptide Y (NPY) is regulated by several factors. Here, the effect of the muscarinic agonist carbachol on NPY biosynthesis and release was analyzed utilizing the SH-SY5Y human neuroblastoma cell line. We observed that: (a) carbachol moderately increased the post-translational cleavage of proNPY to NPY; (b) carbachol treatment stimulated NPY accumulation into the medium in a time- and dose-related manner; (c) protein kinase C activation is involved in carbachol-mediated NPY synthesis/release (>6h). In conclusion, the present observations support the hypothesis that muscarinic receptor activation regulates the biosynthesis and secretion of NPY. PMID- 18155322 TI - Biological properties and functional determinants of the urotensin II receptor. AB - The urotensin II receptor (UT) is a member of the G protein-coupled receptor (GPCR) family and binds the cyclic undecapeptide urotensin II (U-II) as well as the octapeptide urotensin II-related peptide (URP). The active UT mediates pleiotropic effects through various signal transduction pathways, including coupling to G proteins and activating the mitogen-activated protein kinase pathway. Several highly conserved residues and motifs of class A GPCRs that are important for activity are found in UT. This review highlights some of the putative roles of these motifs in the binding, activation and desensitization of UT. PMID- 18155323 TI - Age differences in perception and awareness of emotion. AB - We investigated the effects of age and gender on emotional perception and physiology using electrodermal skin conductance response (SCR) and examined whether SCR is related to subjective perceptions of emotional pictures. Older adults found pictures to be more positive and arousing than younger participants. Older women rated pictures more extremely at both ends of the valence continuum: they rated positive pictures more positively and negative pictures more negatively. Elders were less likely to show measurable SCRs. However, magnitude of SCRs when a response occurred did not differ between young and old. Subjective ratings of emotion correlated with physiological responses in younger participants, but they were unrelated in older participants. Thus, in older adults the perception of emotional events was disconnected from the physiological state induced by emotion. PMID- 18155325 TI - Improving the cellular pertussis vaccine: increased potency and consistency. AB - Although Europe, Canada and the US have switched from cellular to acellular pertussis vaccines, most developing countries will continue to use the more cost effective cellular vaccine. Consistency of production however is the typical problem inherent to cellular vaccines. Optimising the production process of cellular pertussis bulk suspensions using product potency as a measure is not possible, since the mandatory animal test to measure potency has little discriminatory power. To circumvent this problem, this study focussed on measuring process parameters related to consistency and potency instead, even though the extent of those relationships could not be quantified. Critical evaluation and modification of individual process steps lead to 2 optimised production processes, NVP-96 and NVP-THIJS. These were compared to the original NVP production process in terms of antigen and biomass content, potency, toxicity and immunogenicity in mice. The batch to batch variation for both optimised products was clearly less than the original product for all parameters tested. The biomass content of the NVP-THIJS product was 15% lower than that of the NVP 96 product, while the immunogenicity in mice was twofold to threefold higher. The stability of the NVP-THIJS product remained higher than the NVP-96 product over a period of 2 years, while the decline of the potency of both suspensions was comparable. PMID- 18155324 TI - APOE genotype-specific differences in the innate immune response. AB - Apolipoprotein-E protein is an endogenous immunomodulatory agent that affects both the innate and the adaptive immune responses. Since individuals with the APOE4 gene demonstrate worsened pathology and poorer outcomes in many neurological disorders, we examined isoform-specific differences in the response of microglia, the primary cellular component of the brain's innate immune response, in detail. Our data demonstrate that microglia derived from APOE4/4 targeted replacement mice demonstrate a pro-inflammatory phenotype that includes altered cell morphology, increased NO production associated with increased NOS2 mRNA levels, and higher pro-inflammatory cytokine production (TNFalpha, IL-6, IL12p40) compared to microglia derived from APOE3/3 targeted replacement mice. The effect is gene dose-dependent and increases with the number of APOE4 gene alleles. The APOE genotype-specific immune profile observed in the microglial immune response is also observed in the cortex of aged APOE3/3 and APOE4/4 mice treated with lipopolysacchride (LPS) and in peripheral (peritoneal) macrophages. To determine if APOE4's action resulted from an isoform-specific difference in effective levels of the apolipoproteins, we generated mice expressing only a single allele of APOE3. Immune-stimulated macrophages from APOE3/0 mice demonstrated an increased inflammatory response compared to APOE3/3 mice, but less than in APOE4/4 mice. These data suggest that inhibition of inflammation depends upon the dose of apoE3 protein available and that apoE4 protein may alter inflammation partly by dose effects and partly by being qualitatively different than apoE3. Overall, these data emphasize the important role of apolipoprotein E and of the APOE genotype on the immune responses that are evident in most, if not all, neurological disease. PMID- 18155326 TI - Incidence of mumps and immunity to measles, mumps and rubella among US military recruits, 2000-2004. AB - Recent mumps outbreaks have evoked concerns of decreasing mumps immunity among adolescents and adults, including US military recruits subject to differing mumps immunization policies. To compare mumps incidence and to assess initial measles, mumps and rubella seropositivity, we conducted a cohort study among recruits from 2000 to 2004. Mumps incidence in the targeted MMR and universal MMR cohorts was 4.1 and 3.5 per 100,000 person-years, respectively, giving an incidence rate ratio of 1.16 (P=0.67). Measles, mumps, and rubella seropositivity was 84.6%, 89.5%, and 93.2%, respectively. Among recruits with measles and rubella immunity, 92.8% were mumps immune. These findings support the policy of targeting MMR immunization based upon measles and rubella serology alone. PMID- 18155327 TI - Recombinant Saccharomyces cerevisiae (yeast-CEA) as a potent activator of murine dendritic cells. AB - Recombinant Saccharomyces cerevisiae (yeast) represents a unique and attractive vehicle to deliver antigens in vaccine immunotherapy protocols for cancer or infectious disease, in that it has been shown to be extremely safe and can be administered multiple times to hosts. In the studies reported here, we describe the effects of treatment with recombinant yeast on murine immature dendritic cells (DCs). Yeast expressing human carcinoembryonic antigen (CEA) as a model antigen was studied. Injection of mice subcutaneously with yeast-CEA resulted in rapid increases in MHC class II(+) cells and total antigen-presenting cells in draining lymph nodes. Post-treatment with yeast-CEA, DCs rapidly elevated both MHC class I and class II, numerous costimulatory molecules and other DC maturation markers, and secreted a range of Type I inflammatory cytokines. Gene expression arrays also revealed the rapid up-regulation of numerous cytokine and chemokine mRNAs, as well as genes involved in signal transduction and antigen uptake. Functional studies demonstrated enhanced allospecific reactivity of DCs following treatment with yeast-CEA or control yeast. Additionally, treatment of DCs with yeast-CEA resulted in specific activation of CEA-specific CD8(+) T cells in an MHC-restricted manner in vitro. Lastly, vaccination of CEA-transgenic mice with yeast-CEA elicited antigen-specific CD4(+) and CD8(+) immune responses in vivo. Thus, these studies taken together form a scientific rationale for the use of recombinant yeast in vaccination protocols for cancer or infectious diseases. PMID- 18155329 TI - Watershed wash-off of atmospherically deposited radionuclides: review of the fluxes and their evolution with time. AB - Radionuclide transport with water from contaminated watersheds is an intermittent flux--also called watershed wash-off--which causes radionuclide redistribution in terrestrial ecosystems, and more critically radionuclide delivery to downstream waterbodies. Mean wash-off fluxes and their evolution with time have been generally quantified with transfer functions, which can be seen as transfer factors varying with time. But unfortunately the published quantifications rely on many analytical formulations for the transfer function. This paper aims at unifying the heterogeneous information concerning radionuclide wash-off. A generic transfer function model was proposed. Published wash-off quantifications were gathered in a database and converted within this new framework. This extensive review covered various radionuclides, source terms, processes, time and space scales reported in the literature since 1960. It demonstrated the feasibility of a generic wash-off model. Intervals of variations for the introduced coefficients were summarised and the influence of wash-off conditions were discussed. In some cases, the influence of wash-off conditions should be clarified to propose narrower parameter intervals for practical assessments. PMID- 18155328 TI - Complete rejection of a T-cell lymphoma due to synergism of T-cell receptor costimulatory molecules, CD80, CD40L, and CD40. AB - The equal importance of the qualitative and quantitative characteristics of antigen presentation as well as the set of costimulatory signals provided by antigen presenting cells to T-cells in determining the outcome of T-cell responses at the time of antigen recognition is now clear. Moreover, an important function in innate mechanisms has been recently attributed to costimulatory molecules demonstrating their relevant role in different stages of immune response. In this paper, we demonstrated the ability of CD40L (CD154) and CD80 costimulatory molecules expression in a T-cell lymphoma to induce both T-cell dependent and independent immune responses leading to an important anti-tumor effect. CD40 expression by LBC cells enhanced only T-cell dependent anti-tumor immune response resulting in tumor rejection. Furthermore, this work represents the first report to describe complete tumor rejection after co-inoculation of lymphoma cells transfected with CD40L and CD80 in either presence or absence of CD40 expressing lymphoma cells. In addition, this synergistic effect resulted in long lasting immunity to parental tumor cells. Co-inoculation of tumor cells each genetically modified to express a different costimulatory molecule circumvents the need to co-transfect genetically unstable tumor cells and represents an option for those weakly or non-immunogenic tumors where either treatment alone proved to be inefficient. This strategy represents a promising approach for inducing anti-tumor immunity and provides a new rational design of cancer therapies. PMID- 18155330 TI - The influence of temperature and hydration on the sorption properties of bentonite. AB - The effects of exposure to synthetic groundwater at elevated temperature gradients on the sorption properties of bentonite were investigated using the Mock-Up-Cz experiment. This experiment simulated the vertical placement of a container of radioactive waste according to the Swedish KBS-3 system for a period of more than 3 years. The mineralogical composition, as well as its chemical and physico-chemical properties, including the uptake of (99)TcO(4)(-) and (134)Cs(+), was used to evaluate the chemical changes caused by the long-term exposure of bentonite buffer to thermal and hydration gradients. It was found that the bentonite material was predominantly stable. No more than 2% of the montmorillonite was transformed due to thermal and moisture gradients. It was concluded that the new-formed mineral phases have no significant influence on the ion exchange and sorption properties of bulk bentonite samples. PMID- 18155332 TI - Use of satellite imagery to assess the trophic state of Miyun Reservoir, Beijing, China. AB - The objective of this research is to explore an appropriate way of monitoring and assessing water quality by satellite remote sensing techniques in the Miyun reservoir of Beijing, China. Two scene Thematic Mapper images in May and October of 2003 were acquired and simultaneous in situ measurements, sampling and analysis were conducted. Statistical analysis indicates that satellite-based normalized ratio vegetation index (NRVI) and in situ measured water chlorophyll a (Chl-a) concentration have very high correlation. Two linear regression models with high determination coefficients were constructed for NRVI and Chl-a of sample points. According to the modified trophic state index map, water quality in the western section of Miyun reservoir was consistently higher than in the eastern section during the two months tested. The trophic grade of the eastern reservoir remained mesotrophic with a tendency for eutrophication. PMID- 18155331 TI - Effects of Parkinson's disease and levodopa on functional limits of stability. AB - BACKGROUND: The voluntary, maximum inclined posture reflects the self-perceived limits of stability. Parkinson's disease is associated with small, bradykinetic postural weight shifts while standing but it is unclear whether this is due to reduced limits of stability and/or to the selection of abnormal strategies for leaning. The aim of this study was to investigate the effects of Parkinson's disease and levodopa medication on voluntary limits of stability and strategies used to reach these limits. METHODS: Fourteen subjects with Parkinson's disease (OFF and ON levodopa) and 10 age-matched controls participated in the study. Functional limits of stability were quantified as the maximum center of pressure excursion during voluntary forward and backward leaning. Postural strategies to achieve functional limits of stability were assessed by (i) body segments alignment, (ii) the difference between center of pressure and center of mass in preparation for a lean, (iii) the timing and the velocity of the preparation phase. FINDINGS: Functional limits of stability were significantly smaller in subjects with Parkinson's disease compared to control subjects. Subjects with Parkinson's disease maintained their stooped posture while leaning, initiated leaning with a smaller difference between center of pressure and center of mass and had a slower leaning velocity compared to control subjects. Levodopa enlarged the limits of stability in subjects with Parkinson's disease because of an increase in maximum forward, but not backward leans, but did not significantly improve postural alignment, preparation for a leaning movement, or velocity of leaning. INTERPRETATION: Parkinson's disease reduces functional limits of stability as well as the magnitude and velocity of postural preparation during voluntary, forward and backward leaning while standing. Levodopa improves the limits of stability but not the postural strategies used to achieve the leaning. PMID- 18155333 TI - A biological method to monitor early effects of the air pollution caused by the industrial exploitation of geothermal energy. AB - The suitability of a set of ecophysiological parameters, to be used as early warning indicator to detect signs of a worsening environment around geothermal power plants, was tested by comparison with the diversity of epiphytic lichens, a well-established indicator of geothermal air pollution. Samples of the lichen Evernia prunastri were transplanted around a geothermal power plant at Larderello (Tuscany, Italy) and at a control site, and integrity of cell membranes, concentration of chlorophyll a, b and carotenoids, chlorophyll integrity and variations in pH of thalli were measured. The results showed that cell membrane damage, expressed by changes in electrical conductivity, could be used to detect early (exposure periods as short as 1 month) deleterious effects of geothermal air pollution. PMID- 18155334 TI - "We grandmothers know plenty": breastfeeding, complementary feeding and the multifaceted role of grandmothers in Malawi. AB - This paper has two purposes: first of all, we examine grandmothers' role and views of child feeding practices in northern Malawi, and their influence on younger women's practices. Secondly, we consider the implications of these findings for health promotion activities and models of health education. Data were collected from semi-structured interviews, focus groups and a participatory workshop. Findings demonstrate that, to address child feeding practices which have an effect on nutrition, attention must be paid to the broader context that influences child nutrition, including extended family relations. Paternal grandmothers have a powerful and multifaceted role within the extended family in northern Malawi, both in terms of childcare and in other arenas such as agricultural practices and marital relations. Grandmothers often differ in their ideas about early child feeding from conventional Western medicine. Some practices have existed in the area at least since colonial times, and have strong cultural significance. Despite the important integrated role, older women have within households and communities in this part of Malawi, hospital personnel often have disparaging and paternalistic attitudes towards 'grannies' and their knowledge. Health education rarely involves grandmothers, and even if they are involved, their perspectives are not taken into consideration. Hospital staff often reject grandmother knowledge as part of a broader modernization paradigm which views 'traditional knowledge' as backward. Grandmothers view current child health conditions within a broader context of changing livelihood conditions and a high prevalence of HIV/AIDS. The paper concludes by discussing the challenges of involving grandmothers in health education, and the difficulties of incorporating local knowledge into a medical system that largely rejects it. PMID- 18155335 TI - Social capital in its place: using social theory to understand social capital and inequalities in health. AB - Social capital has been controversially linked to public health benefits, particularly as an explanation for the relationship between economic inequalities and health. This paper focuses on social capital in this context, particularly a recent emphasis on social capital in neighbourhoods and growing use of Bourdieu's social theory in empirical investigations. A review of some of this work is used to suggest the need for a more coherent theoretical approach to using Bourdieu and to introduce an ethnographic study of social connections in New Zealand. Forty-six residents of, a rural town, a deprived city suburb, or an affluent suburb, volunteered to be interviewed about their social connections. Their talk was transcribed and analysed in terms of everyday practice. The results of this study suggest that social connections are not necessarily located in neighbourhoods, and that social capital will be better understood in a broader social context which includes competition for resources between deprived and non deprived groups, and the practices of all citizens across neighbourhoods. When considering social capital, an exclusive focus on deprived neighbourhoods as sites for research and intervention is not helpful. PMID- 18155336 TI - Social and structural violence and power relations in mitigating HIV risk of drug using women in survival sex work. AB - High rates of violence among street-level sex workers have been described across the globe, while in cities across Canada the disappearance and victimization of drug-using women in survival sex work is ongoing. Given the pervasive levels of violence faced by sex workers over the last decades, and extensive harm reduction and HIV prevention efforts operating in Vancouver, Canada, this research aimed to explore the role of social and structural violence and power relations in shaping the HIV risk environment and prevention practices of women in survival sex work. Through a participatory-action research project, a series of focus group discussions were conceptualized and co-facilitated by sex workers, community and research partners with a total of 46 women in early 2006. Based on thematic, content and theoretical analysis, the following key factors were seen to both directly and indirectly mediate women's agency and access to resources, and ability to practice HIV prevention and harm reduction: at the micro-level, boyfriends as pimps and the 'everyday violence' of bad dates; at the meso-level, a lack of safe places to take dates, and adverse impacts of local policing; and at the macro-level, dopesickness and the need to sell sex for drugs. Analysis of the narratives and daily lived experiences of women sex workers highlight the urgent need for a renewed HIV prevention strategy that moves beyond a solely individual-level focus to structural and environmental interventions, including legal reforms, that facilitate 'enabling environments' for HIV prevention. PMID- 18155337 TI - Socioeconomic status and health-related quality of life among elderly people: results from the Joint Canada/United States Survey of Health. AB - The objective of this study was to assess the independent effect of income on health-related quality of life (HRQL) among older adults in Canada and the United States. Data were obtained from the 2002-2003 Joint Canada/United States Survey of Health. The sample consisted of 755 Canadians and 1,151 Americans aged 65 years or older. HRQL was measured with the multidimensional Health Utilities Index Mark 3 (HUI3). The results indicated that in the elderly population, HRQL was significantly associated with household income in the United States but not in Canada, controlling for sociodemographic and health indicators. Various explanations for the positive linear relationship between HRQL and income in the elderly population are discussed, including the roles of access to health care and socioeconomic inequalities in the United States and Canada. PMID- 18155338 TI - Reconsidering patient empowerment in chronic illness: a critique of models of self-efficacy and bodily control. AB - Studies that focus on patient empowerment tend to address more specifically two issues of patients' experience of illness: managing regimens and relating to health-care providers. Other aspects of illness experience, such as coming to terms with disrupted identities, tend to be overlooked. The outcome of empowerment is therefore usually referred to as achieving self-efficacy, mastery and control. We conducted an inductive exploratory study, based on individual in depth interviews with 40 chronically ill patients in Belgium and Italy, in order to understand the process of empowerment as it may occur in patients whose experience of illness has at some point induced a feeling of powerlessness, which we conceptualised as a threat to their senses of security and identity. Our findings show that empowerment and control are not one and the same thing. We describe patient empowerment as a process of personal transformation which occurs through a double process of (i) "holding on" to previous self-representations and roles and learning to control the disease and treatment, so as to differentiate one's self from illness on the one hand, and on the other hand (ii) "letting go", by accepting to relinquish control, so as to integrate illness and illness-driven boundaries as being part of a reconciled self. Whereas the process of separating identities ("holding on") was indeed found to be linked to efforts aimed at taking control and maintaining or regaining a sense of mastery, the process of reconciling identities ("letting go") was found to be linked to a need for coherence, which included a search for meaning and the acceptance that not everything is controllable. We argue that the process of relinquishing control is as central to empowerment as is the process of gaining control. As a "successful" process of empowerment occurs when patients come to terms with their threatened security and identity, not only with their treatment, it may be facilitated by health-care providers through the use of narratives. PMID- 18155339 TI - Early top-down influences on bistable perception revealed by event-related potentials. AB - A longstanding debate exists in the literature concerning bottom-up vs. top-down influences on bistable perception. Recently, a technique has been developed to measure early changes in brain activity (via ERPs) related to perceptual reversals (Kornmeier & Bach, 2004). An ERP component, the reversal negativity (RN) has been identified, and is characterized as an increase in negative potential over the posterior scalp from 150 to 350 ms for perceptual reversals compared to perceptual stability. This finding, although interesting, has not helped resolve issues related to the bottom-up vs. top-down debate because top down influences have not been directly manipulated. The current study focused on resolving some of these issues by measuring the RN while observers maintained one of three 'intentional approaches', (1) try to reverse perception as often as possible, (2) try to stabilize perception for as long as possible, and (3) maintain a passive approach. Enhancements in RN amplitude were found for the intention-to-reverse condition compared to the passive condition. This finding suggests an early influence (150 ms) of top-down control on perceptual reversals of bistable figures. Results are discussed in terms of competing attention shifting vs. fatigue-based theories of bistable perception. PMID- 18155340 TI - A pilot study of evaluation of the antioxidative activity of resveratrol and its analogue in a 6-month feeding test in young adult mice. AB - Resveratrol, a polyphenolic phytoalexin, has free-radical scavenging activity and we found that it induces chromosomal aberrations, micronuclei, and sister chromatid exchanges in vitro. We synthesized its analogue 4-hydroxy-trans stilbene (4-OH) and found that it has the same in vitro clastogenic activities as resveratrol, suggesting that the 4' hydroxy group of resveratrol is responsible for the effect. We fed resveratrol and 4-OH to young adult ICR mice at 0, 0.2, 2, or 20 ppm in their standard powder diet for 6 months and investigated the antioxidative effects. Half of each group was given 3000 ppm potassium bromate (KBrO(3)) in water for the last week to cause oxidative damage. Body weight gain tended to increase in males at 0.2 ppm resveratrol or 4-OH, and in females at 2 ppm 4-OH. Micronucleus (MN) analysis in bone marrow erythrocytes showed that the KBrO(3) tendency to induce MN was not prevented by the dietary resveratrol or 4 OH, which themselves did not induce MN under the present conditions. In this pilot study, resveratrol and 4-OH showed no obvious effect, either beneficial or adverse, at doses that are feasible in daily life for humans. PMID- 18155341 TI - Gene expression profiling in human lung fibroblast following cadmium exposure. AB - Cadmium is a naturally occurring metallic element with food and smoking being the main sources of exposure in the non-occupationally exposed population. Chronic exposure to cadmium leads to tumors in a number of tissues including lung. In the present study we investigated genes whose expression is modified by Cd exposure in human lung fibroblast WI38-VA13 cells. We employed a cDNA microarray hybridization method to identify changes in the gene expression profile. Thirty five genes were identified as cadmium-responsive. Their level of expression differed significantly from controls (significance analysis of microarray; SAM, q<5%). The largest groups of gene products affected by cadmium exposure were those involved in cell cycle, immunity and defense, nucleoside metabolism and signal transduction. Repressed expression of E2f1, Tubb and Actg2 following cadmium exposure may contribute to the cell cycle arrest. Down-regulation of Eno1 indicates a potential for causing protooncogene expression and possibly for cadmium-induced carcinogenicity. These results may contribute to better understand the toxic mechanism of cadmium toxicity. Moreover, the gene expression profile of cadmium could provide potential biomarkers for cadmium exposure. PMID- 18155342 TI - Effect of naturally occurring phenolic acids on the expression of glutathione S transferase isozymes in the rat. AB - Naturally occurring plant phenols, protocatechuic and tannic acids, have been reported to be inhibitors of chemical mutagenesis and carcinogenesis in experimental models. Our previous studies, have shown that these compounds modulate the activity of phases 1 and 2 enzymes in rodents. The aim of the present study was to investigate whether these compounds affect protein levels of rat hepatic and renal glutathione S-transferase (GST) isozymes. Male Wistar rats were treated intraperitoneally with protocatechuic or tannic acid at 50 mg/kg body weight five times during 14 days. 3-Methylcholanthrene (MC) was administered at 20 mg/kg body weight on day 13 (the last treatment with phenolic compounds) and on day 14. Tissues were obtained from rats terminated 24 h after the last treatment. Western blot analysis with specific antibodies showed significant differences in the effect of the phenolic compounds in the liver and kidney. In the liver, protocatechuic acid significantly increased the constitutive GSTmicro, while tannic acid reduced the GSTalpha protein level by 60%. Both plant phenols decreased all classes of constitutive GST isozymes in the kidney including GSTpi, and also the MC-induced GSTalpha and/or pi protein levels. These results, as well as our previous reports, suggest that protocatechuic and tannic acids interfere with the pathways related to xenobiotic toxicities and carcinogenesis. This effect may be important for chemoprotective activity of these plant phenols. PMID- 18155343 TI - Nordihydroguaiaretic acid attenuates potassium dichromate-induced oxidative stress and nephrotoxicity. AB - Larrea tridentata also known as Creosote bush, Larrea, chaparral, greasewood or gobernadora has been used in the folk medicine for the treatment of several illnesses. The primary product that is present at high concentrations in the leaves from this plant is nordihydroguaiaretic acid (NDGA) which is a powerful antioxidant. On the other hand, potassium dichromate (K(2)Cr(2)O(7))-induced nephrotoxicity is associated with oxidative stress. The aim of this work was to study the effect of NDGA on K(2)Cr(2)O(7)-induced nephrotoxicity and oxidative stress. Nephrotoxicity was induced by a single injection of K(2)Cr(2)O(7) (15 mg/Kg). A group of K(2)Cr(2)O(7)-treated rats was administered NDGA by mini osmotic pumps (17 mg/Kg/day). The results show that NDGA was able to ameliorate the structural and functional renal damage evaluated by histopathological analysis and by measuring proteinuria, urinary excretion of N-acetyl-beta-d glucosaminidase, serum creatinine, and serum glutathione peroxidase activity. In addition, immunostaining of 4-hydroxy-2-nonenal and 3-nitrotyrosine, markers of oxidative and nitrosative stress, respectively, was ameliorated by the NDGA treatment. These data strongly suggest that the antioxidant properties of NDGA are involved in its renoprotective effect in K(2)Cr(2)O(7)-treated rats. PMID- 18155344 TI - Safety assessment of ellagic acid, a food additive, in a subchronic toxicity study using F344 rats. AB - Ellagic acid is a phenolic acid compound, used as a food additive for its antioxidative properties. Because of its chemical characteristics, use is also to be expected in cosmetics. The present 90-day subchronic toxicity study was performed in F344 rats at dose levels of 0, 1.25, 2.5 and 5% in powdered basal diet, with actual doses of 9.4, 19.1, 39.1 g/kg b.w., respectively, in males, and 10.1, 20.1, 42.3 g/kg b.w. in females. No mortality or treatment-related clinical signs were observed throughout the experimental period. Body weight gain was significantly reduced from weeks 3 (5% group), 6 (2.5% group) and 7 (1.25% group) to the end of the experiment (except week 8 in the lowest group) in the treated females, the final body weights being decreased in the 5% (92.5%), 2.5% (94.2%) and 1.25% (94.8%) treated groups as compared to the control. Changes in MCV and serum AST, ALP, Ca, Cl and P were sporadically observed, but these were not considered to be treatment-related alterations. There were no obvious histopathological changes in any of the groups. The no-observed-effect level (NOEL) was estimated to be 5% (3011 mg/kg b.w./day) for males and the no-observed adverse-effect level (NOAEL) and NOEL in females were estimated to be 5% (3254 mg/kg b.w./day) and <1.25% (778 mg/kg b.w./day), respectively. PMID- 18155345 TI - Yessotoxin induces the accumulation of altered E-cadherin dimers that are not part of adhesive structures in intact cells. AB - We have studied the alteration induced by yessotoxin in the E-cadherin-catenin system of epithelial cells by stabilizing the protein-protein interactions in oligomers, through the introduction of covalent bonds between subunits in vitro and in vivo. The E-cadherin-catenin complexes that we have stabilized by crosslinking comprise multiple forms of dimeric, trimeric, tetrameric and hexameric complexes, with different subunit compositions. A 1-day treatment of MCF-7 cells with yessotoxin resulted in an increase in cellular levels of the complexes including a 100kDa fragment of E-cadherin (ECRA100), with a relative increase in cellular E-cadherin .ECRA100 heterodimers, as opposed to the E cadherin homodimer that represents the core structure of the E-cadherin-catenin system of adhesive structures in normal cells. The high MW oligomers of cell adhesive structures, in turn, were not appreciably altered by cell treatment with yessotoxin. Most of these oligomers partitioned in a fraction that cannot be solubilized by non-ionic detergents after crosslinking of intact cells. Yessotoxin treatment did not significantly alter the levels of ECRA100 in the Triton X-100 resistant fraction of plasma membrane, but increased the relative abundance of ECRA100 in the Triton X-100 soluble pool of crosslinked cells. We have concluded that cell exposure to yessotoxin leads to increased cellular contents of E-cadherin .ECRA100 heterodimers that are not participating to cell adhesive structures but are located in other membranous fractions of intact cells. PMID- 18155346 TI - Yessotoxin inhibits the complete degradation of E-cadherin. AB - Previous in vitro and in vivo toxicological studies on the effects of yessotoxin (YTX) on E-cadherin have provided conflicting results with regard to alterations of its turnover. We have then studied the effects of YTX on the degradation pathway of E-cadherin in intact cells under controlled conditions, and found that the 100kDa E-cadherin fragment (ECRA100) accumulated in cells exposed to YTX is an intermediate degradation product, detectable when the process is altered by agents interfering with endocytosis and lysosomal functioning. Cell treatment with YTX slows down the degradation of ECRA100, without affecting the half-lives of intact E-cadherin and its associated proteins beta-catenin and gamma-catenin. When cells have been treated with an inhibitor of proteasomes (lactacystin), the accumulation of ECRA100 induced by YTX was reduced. Accumulation of ECRA100, in turn, was observed after cells were exposed to inhibitors of lysosomal functioning (chloroquine) and of clathrin-mediated endocytosis (chloropromazine), but not to agents interfering with the caveolae-mediated pathway (nystatin and filipin III). The actin cytoskeleton was involved in endocytosis of ECRA100, because its accumulation was detected after MCF-7 cells had been treated with cytochalasin D. Nocodazole treatment of MCF-7 cells, in turn, did not lead to detection of ECRA100, indicating that microtubules should not be involved in its degradation. We have concluded that YTX interferes with the degradation pathway of E-cadherin by slowing down the endocytosis and complete disposal of the ECRA100 intermediate proteolytic fragment, whose cell levels are consequently increased in cells exposed to the toxin. These findings reconcile the apparent contradictions of previous studies, showing that YTX does not promote E-cadherin degradation per se, but interferes with its complete disposal. PMID- 18155348 TI - Are numbers special? An overview of chronometric, neuroimaging, developmental and comparative studies of magnitude representation. AB - There is a current debate whether the human brain possesses a shared representation for various types of magnitude such as numerical quantities, physical size, or loudness. Here, we critically review evidence from chronometric, neuroimaging, developmental and comparative fields, and supplement it with a meta-analysis of the neuroimaging data. Together, based on such an integrative overview, we discuss limitations inherent in each approach, and the possibility whether shared, or distinct magnitude representation, or both representations exist. PMID- 18155347 TI - Characterization of chlorpyrifos-induced apoptosis in placental cells. AB - The mechanism by which chlorpyrifos exerts its toxicity in fetal and perinatal animals has yet to be elucidated. Since the placenta is responsible for transport of nutrients and is a major supplier hormone to the fetus, exposure to xenobiotics that alter the function or viability of placenta cells could ostensibly alter the development of the fetus. In this study, JAR cells were used to determine if CPF and the metabolites 3,5,6-trichloro-2-pyridinol (TCP) and chlorpyrifos-oxon (CPO) are toxic to the placenta. Our results indicate that chlorpyrifos (CPF), and its metabolite chlorpyrifos-oxon (CPO) caused a dose dependent reduction in cellular viability with CPF being more toxic than its metabolites. Chlorpyrifos-induced toxicity was characterized by the loss of mitochondrial potential, the appearance of nuclear condensation and fragmentation, down-regulation of Bcl-2 as well as up-regulation of TNFalpha and FAS mRNA. Pharmacological inhibition of FAS, nicotinic and TNF-alpha receptors did not attenuate CPF-induced toxicity. Atropine exhibited minimal ability to reverse toxicity. Furthermore, signal transduction inhibitors PD98059, SP600125, LY294002 and U0126 failed to attenuate toxicity; however, SB202190 (inhibitor of p38alpha and p38beta MAPK) sensitized cells to CPF-induced toxicity. Pan-caspase inhibitor Q-VD-OPh produced a slight but significant reversal of CPF-induced toxicity indicating that the major caspase pathways are not integral to CPF induced toxicity. Taken collectively, these results suggest that chlorpyrifos induces apoptosis in placental cells through pathways not dependent on FAS/TNF signaling, activation of caspases or inhibition of cholinesterase. In addition, our data further indicates that activation of p38 MAPK is integral to the protection cells against CPF-induced injury. PMID- 18155349 TI - Disulfiram-like effect of cyproterone acetate. PMID- 18155350 TI - Genetic influence on stress urinary incontinence and pelvic organ prolapse. AB - OBJECTIVES: To determine the genetic and environmental influence on the liability for stress urinary incontinence and pelvic organ prolapse surgery. METHODS: We used the Swedish Twin Registry to identify all same-sex female twin pairs with known zygosity born from 1926 to 1958. Occurrence of stress urinary incontinence and pelvic organ prolapse surgery was determined by cross-linkage to the Swedish Inpatient Registry. By comparing mono- and dizygotic female twins, we determined twin similarity and the relative proportions of phenotypic variance resulting from genetic and environmental factors. Using statistical modelling, the liability for pelvic floor surgery explained by heritability versus shared and non-shared environmental effects was estimated. RESULTS: We identified 3376 complete monozygotic and 5067 dizygotic same-sex female twin pairs. There was greater twin similarity among monozygotic compared with dizygotic twins, which indicates the influence of a genetic component to the aetiology of both stress urinary incontinence and pelvic organ prolapse surgery. For both disorders, genetic and non-shared environmental factors equally contributed about 40% of the variation in liability. Shared environment accounted for approximately one fifth of the total variance for the two disorders. CONCLUSIONS: Genetic effects contribute to the occurrence of both stress urinary incontinence and pelvic organ prolapse, but the influence of environmental factors is substantial. Significant environmental effects suggest that the liability for benign pelvic floor surgery is amenable to intervention. PMID- 18155351 TI - Editorial comment on: Genetic influence on stress urinary incontinence and pelvic organ prolapse. PMID- 18155352 TI - Sleep improves sequential motor learning and performance in patients with prefrontal lobe lesions. AB - OBJECTIVES: Motor skill learning involves both practice and a latent, sleep dependent process of consolidation that develops after training ("off-line" learning). Sleep consolidation is linked to reduced brain activation in prefrontal areas, along with strong involvement of parietal regions. The objective in this study was to investigate the influence of sleep on the consolidation process of a motor task in patients with prefrontal damage. PATIENTS AND METHODS: For that purpose 14 patients with acquired focal prefrontal lesions, 15 age-matched healthy controls, and five patients with parietal lesions were evaluated on a serial reaction time task, SRTT, before and after a night of monitored sleep. Verbal and working memory was also tested. We anticipated that patients with prefrontal lesions, who are impaired in the acquisition of motor tasks, would benefit greater from sleep than the other two groups, since consolidation does not depend on prefrontal regions. RESULTS: Prefrontal patients showed an erratic learning curve at night, with great inter- and intrasubject variability that normalized after sleep. They also showed higher overnight learning of the motor skill and improvement on speed performance on the SRTT. No differences in the other memory tests were found between sessions. CONCLUSION: Prefrontal-injured patients benefit from night sleep in terms of motor task learning and performance, likely related to an advantageous off-line learning. Sleep could play a role in motor rehabilitation programs in prefrontal patients. PMID- 18155353 TI - Flow injection preconcentration system using a new functionalized resin for determination of cadmium and nickel in tobacco samples. AB - A solid-phase extraction method combined with flow injection (FI) on-line flame atomic absorption spectrometry (FAAS) for the determination of cadmium and nickel in tobacco samples is presented. The 2-aminothiophenol functionalized Amberlite XAD-4 (AT-XAD) resin was synthesized by covalent coupling of the ligand with the copolymer through a methylene group. A minicolumn packed with AT-XAD was connected into the automated on-line preconcentration system. Elution of metal ions from minicolumn can be made with 0.50 mol L(-1) hydrochloric acid solution. With a consumption of 21.0 mL of sample solution, detection limits (3 s) of 0.3 (Cd) and 0.8 microg L(-1) (Ni) were achieved at a sample throughput of 18 h(-1). Enrichment factors (EF) of 99 (cadmium) and 43 (nickel) were obtained compared with the slope of the linear portion of the calibration curves before and after preconcentration. The contents of Cd and Ni in a certified reference material (NIST 1570a, spinach leaves) determined by the present method was in good agreement with the certified value. The developed procedure was also successfully applied to the determination of Cd and Ni in local tobacco samples. PMID- 18155354 TI - Flame atomic absorption spectrometric determination of trace amounts of heavy metal ions after solid phase extraction using modified sodium dodecyl sulfate coated on alumina. AB - A sensitive and selective solid phase extraction procedure for the determination of traces of Cu(II), Zn(II), Pb(II) and Fe(III) has been developed. An alumina sodium dodecyl sulfate (SDS) coated on with meso-phenyl bis(indolyl) methane (MPBIM) was used for preconcentration and determination of Cu(II), Zn(II), Pb(II) and Fe(III) ions by flame atomic absorption spectrometry. The analyte ions were adsorbed quantitatively on adsorbent due to their complexation with MPBIM. Adsorbed metals were quantitatively eluted using 6 mL of 4 mol L(-1) nitric acid. The effects of parameters such as pH, amount of alumina, amount of MBITP, flow rate, type and concentration of eluting agent were examined. The effects of interfering ions on the separation-preconcentration of analytes were also investigated. The relative standard deviation of the method was found to be less than 3.0%. The presented procedure was successfully applied for determination of analytes in real samples. PMID- 18155355 TI - Carbon-enriched coal fly ash as a precursor of activated carbons for SO2 removal. AB - Carbon-enriched coal fly ash was evaluated in this work as a low-cost adsorbent for SO2 removal from stack gases. The unburned carbon in coal fly ash was concentrated by mechanical sieving and vegetal oil agglomeration. The carbon concentrates were activated with steam at 900 degrees C in order to develop porosity onto the samples. The performance of these samples in the SO2 abatement was tested in the following conditions: 100 degrees C, 1000 ppmv SO2, 5% O2, 6% water vapor. A good SO2 removal capacity was shown by some of the studied samples that can be related to their textural properties. Cycles of SO2 adsorption/regeneration were carried out in order to evaluate the possibility of thermal regeneration and re-use of these carbons. Regeneration of the exhausted carbons was carried out at 400 degrees C of temperature and a flow of 25 ml/min of Ar. After each cycle, the SO2 removal capacity of the sample decreases. PMID- 18155356 TI - Decolourization of dye-containing effluent using mineral coagulants produced by electrocoagulation. AB - The colour and colour causing-compounds has always been undesirable in water for any use, be it industrial or domestic wastewaters. The discharge of such effluents causes excessive oxygen demand in the receiving water and then a treatment is required before discharge into ecosystems. This study examined the possibility to remove colour causing-compounds from effluent by chemical coagulation, in comparison with direct electrocoagulation. The inorganic coagulants (C1, C2 and C3) in the form of dry powder tested, were respectively produced from electrolysis of S1=[NaOH (7.5 x 10(-3)M)], S2=[NaCl (10(-2)M)], and S3=[NaOH (7.5 x 10(-3)M)+NaCl (10(-2)M)] solutions, using sacrificial aluminium electrodes operated at an electrical potential of 12 V. Reactive textile dye (CI Reactive Red 141) was used as model of colour-causing compound prepared at a concentration of 50 mgl(-1). The best performances of dye removal were obtained with C(2) having a chemical structure comprised of a mixture of polymeric specie (Al45O45(OH)45Cl) and monomeric species (AlCl(OH)2.2H2O and Al(OH)3). The removal efficiency (R(A)) evaluated by measuring the yields of 540 nm-absorbance removal varied from 41 to 96% through 60 min of treatment by imposing a concentration of C2 ranging from 100 to 400 mg l(-1). The effectiveness of the treatment increased and the effluent became more and more transparent while increasing C(2) concentration. The comparison of chemical treatment using C2 coagulant and direct electrocoagulation of CI Reactive Red 141 containing synthetic solution demonstrated the advantage of chemical treatment during the first few minutes of treatment. A yield of 88% of absorbance removal was recorded using C2 coagulant (400 mg l(-1)) over the first 10 min of treatment, compared to 60% measured using direct electrocoagulation while imposing either 10 or 15 V of electrical potential close to the value (12 V) required during C2 production. However, at the end of the treatment (after 60 min of treatment), CI Reactive Red 141 pollutant was completely removed from solution (540 nm-absorbance removal of 100%) using direct electrochemical treatment, compared to 96.4% of absorbance removed while treating dye-containing synthetic solution by means of C2 coagulant. PMID- 18155358 TI - A phenomenological model of fluctuation electron microscopy for a nanocrystal/amorphous composite. AB - Fluctuation electron microscopy (FEM) is a quantitative electron microscopy technique in which we use the variance V of spatial fluctuations in nanodiffraction as a function of the diffraction vector magnitude k and real space resolution R to detect medium-range order in amorphous materials. We have developed a model for V(k, R) from a nanocrystal/amorphous composite, which is an idealized form of the medium-range order in various amorphous materials found by previous FEM measurements. The resulting expression for V(k, R) as a function of the nanocrystal size, nanocrystal volume fraction, and the sample thickness connects the FEM signal to well-defined aspects of the material's structure, emphasizes the need for samples of controlled thickness, and explains in some cases the relative height of peaks in V(k). We give an example of interpreting FEM data in terms of this model using recent experiments on amorphous Al88Y7Fe5. PMID- 18155357 TI - Test-item sequence affects false memory formation: an event-related potential study. AB - False memories arise when people 'remember' experiences that have never occurred. Using the Deese-Roediger-McDermott (DRM) paradigm, researchers have demonstrated that participants tend to falsely recognize non-studied words (lures) that are associated to previously studied words. Several questions, however, remain regarding the neurocognitive basis of false memory formation. Various encoding manipulations have been shown to affect the behavioral and electrophysiological correlates of false memories, but little is known about whether false memory formation and its neurophysiological correlates are influenced by different test contexts. We recorded event-related potentials (ERPs) during the DRM paradigm, wherein the test included lures that were either preceded by semantically related words or not. Results indicated more false recognitions for lures preceded by related words than for lures that were not preceded by related words at test. Furthermore, the former elicited more positive parietal potentials at 300-600 ms relative to the latter. These findings suggest that test context critically affects behavioral and neurophysiological responses for false memory, providing further insight into the neurocognitive basis of human memory. PMID- 18155359 TI - PMN-mediated immune reactions against Eimeria bovis. AB - For successful in vivo infection, Eimeria bovis sporozoites have to traverse the mucosal layer of the ileum to infect lymphatic endothelial cells and may, thereby, be exposed to the interstitial fluid and to the lymph representing potential targets for leukocytes. To mimic this situation in vitro, we exposed E. bovis sporozoites to bovine PMN and found enhanced elimination of the parasites. Addition of immune serum clearly increased these reactions, whereas neonatal calf serum had no effect, thus proposing a PMN-derived antibody-dependent cytotoxicity. Scanning and transmission electron microscopy showed PMN engulfing sporozoites or extending filopodia towards them and occasionally incorporating the parasites. PMN reacted with enhanced transcription of IL-6, MCP-1, GROalpha, TNF-alpha, and iNOS genes after exposure to sporozoites while stimulation with merozoite-antigen, in addition, upregulated IL-8, IP-10 and IL-12 gene transcription. Furthermore, enhanced in vitro oxidative burst and phagocytic activities were observed after contact of PMN with viable sporozoites. To verify the potential role of PMN in the in vivo situation, we analysed the general phagocytic and oxidative burst activities of PMN obtained ex vivo from E. bovis experimentally infected calves. Enhanced levels of both activities were found early p.i. (1-5 days) and towards the end of the first schizogony (days 13-22 p.i.) underlining the in vitro data. Our results suggest that PMN-mediated, innate immune reactions play an important role in the early immune response to E. bovis infections in calves. PMID- 18155360 TI - Oral administration of moxidectin for treatment of murine acariosis due to Radfordia affinis. AB - A field trial was conducted to assess the safety and efficacy of oral administration of moxidectin in mice naturally infected with the fur mites Radfordia affinis. The natural infection was diagnosed in two colonies within a large academic institution by direct hair examination. Animals received moxidectin (1% Cydectin, FortDodge) at an oral dosage of approximately 2 mg/kg body weight by micropipette; administration was repeated after 15 days. Forty mice served as an untreated control group. Moxidectin treatment resulted in clinical improvement within a few days after initial treatment, and mites were eradicated from all infested animals at day 30. No side effects or signs of ill health were observed in any of the treated animals. To our knowledge, this is the first report of oral moxidectin for treatment of murine acariosis. PMID- 18155362 TI - Exploration of basal diurnal salivary cortisol profiles in middle-aged adults: associations with sleep quality and metabolic parameters. AB - The use of saliva samples is a practical and feasible method to explore basal diurnal cortisol profiles in free-living research. This study explores a number of psychological and physiological characteristics in relation to the observed pattern of salivary cortisol activity over a 12-h period with particular emphasis on sleep. Basal diurnal cortisol profiles were examined in a sample of 147 volunteers (mean age 46.21+/-7.18 years). Profiles were constructed for each volunteer and explored in terms of the area under the curve (AUC) of the cortisol awakening response with samples obtained immediately upon waking (0, 15, 30 and 45 min post waking) and at 3, 6, 9 and 12h post waking to assess diurnal decline. Diurnal mean of cortisol was based on the mean of cortisol at time points 3, 6, 9 and 12h post waking. Psychological measures of perceived stress and sleep were collected with concurrent biological assessment of fasting plasma glucose, insulin, blood lipids and inflammatory markers. Blunted cortisol profiles, characterised by a reduced AUC, were observed in the majority (78%) of a middle aged sample and were associated with significantly poorer sleep quality and significantly greater waist-hip ratio (WHR). Blunted cortisol profiles were further associated with a tendency to exhibit a less favourable metabolic profile. These findings suggest that reduced cortisol secretion post waking may serve as an additional marker of psychological and biological vulnerability to adverse health outcomes in middle-aged adults. PMID- 18155363 TI - Effects of learning on song preferences and Zenk expression in female songbirds. AB - Male songbirds learn to produce their songs, and females attend to these songs during mate choice. The evidence that female song preferences are learned early in life, however, is mixed. Here we review studies that have found effects of early song learning on adult song preferences, and those that have not. In at least some species, early experience with song can modify adult song preferences. Whether this learning needs to occur during an early sensitive phase, akin to male imitative vocal learning, or not remains an open question. Studies of the neural bases for female song preferences highlight activity (as measured by immediate-early gene induction) in regions of the auditory forebrain as often, but not always, being associated with song preferences. Immediate-early gene induction in these regions, however, is not specific to songs experienced early in life. On the whole, inherited factors, early experience, and adult experience all appear to play a role in shaping female songbirds preferences for male songs. PMID- 18155361 TI - Endogenous neurotensin is involved in estrous cycle related alterations in prepulse inhibition of the acoustic startle reflex in female rats. AB - Ovarian hormones regulate prepulse inhibition (PPI) of the acoustic startle reflex. Results from studies in intact female rodents investigating sex, estrous cycle and ovarian hormone regulation of PPI are inconsistent. In experiment #1, we investigated whether PPI in female rats is influenced by the time of day of testing and the estrous cycle stage of the rat. PPI was examined across the day of proestrus (P) and diestrus 1 (D1) in female rats and compared to males. PPI in males and P females was significantly higher than in D1 females. PPI in males and D1 females was significantly affected by the time of day of testing with PPI being reduced in the afternoon and evening compared to morning. PPI in P females was not significantly affected by the time of day of testing. Previous studies have demonstrated estrous cycle regulation of central nervous system neurotensin (NT) neurons and peripherally administered NT receptor agonists regulate PPI in a manner similar to antipsychotic drugs. Experiment #2 of this study was designed to examine whether endogenous NT is involved in estrous cycle regulation of PPI. The NT receptor antagonist SR 142948A reduced the high levels of PPI during D1 and P. In contrast, when tested at a time of day in which PPI was low in D1 females, administration of both the typical antipsychotic drug haloperidol and the NT receptor antagonist significantly increased PPI. These data support an effect of time of day and estrous cycle stage on PPI in female rats. The estrous cycle variations in PPI are mediated in part by endogenous NT. PMID- 18155364 TI - Mortality prior to, during and after opioid maintenance treatment (OMT): a national prospective cross-registry study. AB - BACKGROUND: Opioid maintenance treatment (OMT) is generally considered to reduce mortality in opiate dependents. However, the level of mortality reduction is still uncertain. This study investigates mortality reductions in an "intention-to treat" perspective including all dropouts. The mortality reducing effects of OMT are examined both within treatment and post-treatment. The study separates overdose and total mortality reductions. METHODS: The study is a prospective cross-registry study with up to 7 years follow-up. All opiate dependents in Norway who applied for OMT (a total of 3789 subjects) were cross-linked with data from the death registry from Statistics Norway. Date and cause of death were crossed with dates for initiation and termination of OMT, and subjects' age and gender. A baseline was established from the waiting list mortality rate. Intention-to-treat was investigated by analysing mortality among the entire population that started OMT. RESULTS: Mortality in treatment was reduced to RR 0.5 (relative risk) compared with pre-treatment. In the "intention-to-treat" perspective, the mortality risk was reduced to RR 0.6 compared with pre treatment. The patients who left the treatment programme showed a high-mortality rate, particularly males. CONCLUSIONS: OMT significantly reduces risk of mortality also when examined in an intention-to-treat perspective. Studies that evaluate effects of OMT only in patients retained in treatment tend to overestimate benefits. Levels of overdose mortality will influence the risk reduction. Cross-registry studies as the current one are an important supplement to other observational designs in this field. PMID- 18155365 TI - MMsat--a database of potential micro- and minisatellites. AB - We present MMsat-a database of DNA sequences from GenBank possessing the latent periodicity at high level of statistical significance and having the period length in a range from 2 to 100 bases. The periodicity was found by analytical method of information decomposition. These sequences can be considered as potential micro- and minisatellites and thus can be useful for PCR analysis and evolutional studies. Distribution, properties, and potential functions of periodicity are discussed. PMID- 18155366 TI - Examination for a viral co-factor in postweaning multisystemic wasting syndrome (PMWS). AB - In order to test the hypothesis that a putative co-factor for the development of postweaning multisystemic wasting syndrome (PMWS) in pigs could be of viral origin, we performed extensive virological examinations on organ material from pigs diagnosed with PMWS originating from within a Danish PMWS-transmission study. Virus isolation attempts were carried out on a large panel of different cell types including primary pig kidney cells and lung macrophages, primary rabbit kidney cells and seven established cell lines (MARC-145, ST117, PK15, BHK21, HeLa, Vero, and MDCK). Although these represent cells with susceptibility to a wide range of known viruses, the results did not provide evidence for a specific virus other than PCV2 contributing to the development of PMWS. Furthermore, in order to test whether specific genotypes of PCV2 may trigger the switch from PCV2 infection to clinical disease, we compared complete DNA genome sequences of PCV2 derived from PMWS-positive as well as PMWS-negative pigs. On the basis of the DNA sequences, the PCV2 isolates were divided into two groups. Group 1 consisting of one isolate originating from a herd unaffected by PMWS, with group 2 consisting of nine isolates originating from four PMWS-affected herds, four PMWS-positive pigs plus one unaffected herd. The PCV2 genomes from the two groups showed 95.5% identity. Alignment analyses of the sequences encoding the replicase and capsid protein from group 1 and group 2 PCV2 isolates showed two amino acid differences encoded in the replicase protein, while 19 amino acid differences were predicted among the capsid protein sequences. The PCV2 DNA sequence analysis supports recent observations from studies in USA as well as Europe, which suggest that strain variations may influence the clinical outcome of PCV2 infection. PMID- 18155367 TI - West Nile virus in the endangered Spanish imperial eagle. AB - The Spanish imperial eagle (Aquila adalberti) is considered to be the most endangered European eagle. The species is an endemic resident in the Southwestern Iberian Peninsula. We used RT-PCR, immunohistochemistry and seroneutralization to test samples from 13 wild and 18 captive eagles. WNV was detected by RT-PCR in tissues and/or oropharyngeal swabs of eight of 10 (80%) imperial eagles analyzed, and both in apparently clinically healthy birds, and in animals that died due to secondary infections but had symptoms/lesions compatible with WNV. Immunohistochemistry detected WNV antigen in Purkinje cells in the cerebellum, epithelial cells of the gizzard and duodenum, perivascular inflammatory cells, and in Kupffer-cells and hepatocytes. Serum antibodies against WNV were detected in a total of five out of 21 imperial eagles (23.8%), including free-living nestlings (two out of nine samples, 22.2%) and captive adult eagles (three out of 12 samples, 25%). Our results evidence WNV circulation among free-living and captive Spanish imperial eagles in South-central Spain, a dry inland region with no previous WNV evidence, throughout 6 consecutive years. They also indicate the need for further research into this important zoonosis in order to better understand its epidemiology in the Mediterranean ecosystem and in order to understand the role of WNV in the population dynamics of the critically endangered Spanish imperial eagle. PMID- 18155368 TI - The relationship between the viral RNA level and upregulation of innate immunity in spleen of cattle persistently infected with bovine viral diarrhea virus. AB - Persistent infection in cattle with bovine viral diarrhea virus (BVDV), which is classified in the genus Pestivirus, family Flaviviridae, may result in growth retardation and immunosuppression. In vitro infection with noncytopathogenic (ncp) BVDV has been shown to suppress interferon (IFN) responses, whereas ncpBVDV induces transient strong IFN responses in vivo following acute infection of naive cattle. In this study, the innate immune response of the spleen, a crucial organ for immune system homeostasis, from PI cattle was analyzed. The transcription of five IFN- and apoptosis-related mRNAs (Mx1, iNOS, OAS-1, PKR, and TNF-alpha), which was upregulated in response to BVDV replication in our previous in vitro studies, and the level of viral RNA were quantified using real-time RT-PCR. Upregulation of Mx1, OAS-1, PKR, and TNF-alpha mRNA expression was detected in the spleens of PI cattle regardless of their age, and induction of apoptosis was also upregulated in the spleens of PI cattle compared with those of nonPI cattle. Although it cannot be excluded that the innate immune responses may be activated in response to any secondary infections in immunosuppressed cattle, the absence of any pathogenic microorganisms in the PI cattle and the statistically significant correlation between innate immune responses and the viral RNA level indicates that there may be a positive relationship between the increased level of viral RNA replication and upregulation of innate immunity in vivo. PMID- 18155369 TI - A metronomic schedule of cyclophosphamide combined with PEGylated liposomal doxorubicin has a highly antitumor effect in an experimental pulmonary metastatic mouse model. AB - Metronomic chemotherapy is a novel approach to the control of advanced cancer, as it appears to preferentially inhibit endothelial cell activity in the growing vasculature of tumors. Doxorubicin-containing sterically stabilized liposomes (DXR-SL) accumulate in large amounts in tumor tissue, resulting in enhanced antitumor effects of the encapsulated DXR. In the present study, it was hypothesized that metronomic chemotherapy may further augment the accumulation of DXR-SL, improving its therapeutic efficacy. This study tests the antitumor efficacy for the combination of a metronomic cyclophosphamide (CPA)-dosing schedule with sequential intravenous injections of DXR-SL in the treatment of lung metastatic B16BL6 melanoma-bearing mice. Three dosing schedules for the combination of metronomic CPA injections (s.c. 170 mg/kg every 6 days) plus either a low or a high dose of DXR-SL (i.v. 1 or 5 mg/kg every 6 days) were set: Schedule I, DXR-SL was given 3 days before the first CPA treatment; Schedule II, DXR-SL and CPA were given simultaneously; and, Schedule III, DXR-SL was given 3 days after the first CPA treatment. Lung weight and median survival time (MST) were evaluated. As expected, both the dosing schedule as well as the dose of DXR SL improved therapeutic efficacy. Schedule I with the low DXR dose and Schedule II with the low or high DXR dose significantly increased MST, compared with regular metronomic CPA therapy. Under the dosing schedules (Schedule I with the low DXR dose and Schedule II with the high DXR), there was a strong relationship between increased MST and decreased lung weight. However, Schedule I with high DXR dose resulted in significantly lower lung weights, but did not increase MST, suggesting that chemotherapy may result in increased toxicity in some conditions. Although treatment regimens require optimization, the results of the present study may prove useful in further explorations of combining metronomic chemotherapy with liposomal anticancer drugs in the treatment of solid tumors. PMID- 18155370 TI - Preparation and evaluation of N(3)-O-toluyl-fluorouracil-loaded liposomes. AB - This study was aimed at developing a liposome delivery system for a new and potential antitumor lipophilic prodrug of 5-fluorouracil (5-Fu)-N(3)-O-toluyl fluorouracil (TFu), intended to improve the bioavailability and therapeutic efficacy of 5-Fu by oral and intravenous administration. TFu-loaded liposomes were prepared by a modified film dispersion-homogenization technique, the formulation and manufacture parameters were optimized concerning the drug encapsulation efficiency. TFu-loaded liposomes were characterized according to particle size, size distribution, zeta potential, drug entrapment efficiency, drug loading and physical stability, respectively. In vitro release characteristics, in vivo pharmacokinetic properties and bioavailabilities were also investigated. The formulated liposomes were found to be relatively uniform in size (400.5 +/- 9.6 nm) with a negative zeta potential (-6.4 +/- 0.8 mV). The drug entrapment efficiency and loading were (88.87 +/- 3.25%) and (8.89 +/- 0.19%), respectively. The physical stability experiments results indicated that lyophilized TFu-loaded liposomes were stable for at least 9 months at 4 degrees C. In vitro drug release profile of TFu-loaded liposomes followed the bi exponential equation. The results of the pharmacokinetic studies in mice indicated that the bioavailability of TFu-loaded liposomes was higher than the suspension after oral administration, and was bioequivalent comparing with TFu 50% alcohol solution after intravenous (i.v.) administration. These results indicated that TFu-loaded liposomes were valued to develop as a practical preparation for oral or i.v. administration. PMID- 18155371 TI - Hydroxyethylated cationic cholesterol derivatives in liposome vectors promote gene expression in the lung. AB - Three cationic cholesterol derivatives (CCDs), which differ in their types of amine and bear a hydroxyethyl group at the amine group, were synthesized and formulated into liposomes and nanoparticles as gene delivery vectors. In vitro transfection into A549 cells proved that liposomes formulated with CCDs and dioleoylphosphatidylethanolamine (DOPE) of 1/2 molar ratio were more effective than the corresponding nanoparticles with CCDs and Tween 80 at charge ratios (+/ ) of 1/2, 3/1 and 5/1. Among the liposomal formulations, non-hydroxyethylated CCDs were more effective than hydroxyethylated ones in vitro. However, gene transfection in the lung through intratracheal injection showed opposite results to those in vitro, with liposomes containing hydroxyethylated CCDs being more potent than those containing non-hydroxyethylated CCDs. Transfection by liposomes with N,N-methyl hydroxyethyl aminopropane carbamoyl cholesterol iodide (MHAPC) showed the highest luciferase activity, resulting in 2- and 60-fold higher gene expression than jet-PEI and naked DNA, respectively. The distribution of MHAPC lipoplex after intratracheal injection was heterogeneous, and luciferase was expressed in epithelial cells lining the bronchi and bronchioles. All the lipoplexes led to higher TNF-alpha levels in the lung compared to the nanoplex and jet-PEI, but our findings suggested that modification of the cationic cholesterol with a hydroxyethyl group at the tertiary amine terminal, MHAPC, promoted gene expression in the lung without increasing the toxicity compared with other CCDs. This work firstly proved that liposomes containing hydroxyethylated CCDs could promote gene expression in the lung through intratracheal injection. PMID- 18155372 TI - The spectrophotometric study of the binding of vitamin E to water + dimethyl sulfoxide and water + diethyl sulfoxide containing reversed micelles. AB - The effect of dimethyl sulfoxide (DMSO) and its nearest homologue diethyl sulfoxide (DESO) as a polar cosolvents on the binding of vitamin E to water + DMSO (DESO) containing reversed micelles of sodium bis(2-ethylhexyl) sulfosuccinate (AOT) has been investigated by a spectrophotometric method. The results suggest that compare with water without organic cosolvent-containing reversed micelles in this case an increase of binding constant of vitamin E in reversed micelles takes place. The results obtained shown that with the addition of DMSO and DESO it will be possible to monitoring a penetration of vitamin E into micellar core. PMID- 18155373 TI - Comparative pharmacokinetics and distribution kinetics in brain of phencynonate enantiomers in rats. AB - To investigate the pharmacokinetics in blood and the distribution kinetics in brain of enantiomers of novel anticholinergic agent phencynonate (N-methyl-9alpha (3-azabicyclo[3,3,1]nonanyl)-2'-cyclopentyl-2'-hydroxyl-2'-phenylacetate), we collected blood and implanted microdialysis probes in the cerebral frontal cortex of rats. Phencynonate enantiomers (0.35 mg/kg, i.m.) were then cross administered, and the microdialysates were collected using in situ microdialysis sampling in the brain of freely moving rats, and the concentration of phencynonate enantiomers was determined by the validated method of liquid chromatography-mass spectrometry. Pharmacokinetic parameters were calculated from the blood and the brain dialysate concentrations of phencynonate enantiomers versus time data. The disposition profiles of the phencynonate enantiomers were best fitted to a first order absorption, two-compartment open model in rats. In general, there were some differences when comparing the mean kinetic parameters of S- and R-phencynonate in the blood and brain, but the distinct diversity between individual animals made the statistical difference not obvious. Therefore, stereoselective disposition of phencynonate isomers was not obviously observed in rat. PMID- 18155374 TI - Antinociceptive and anti-inflammatory activities of ethanolic extracts of Lychnophora species. AB - Extracts from Lychnophora species are traditionally used in Brazil as anti inflammatory, and to treat bruise, pain and rheumatism. The ethanolic extract of aerial parts of five species of Lychnophoras and one specie of Lychnophoriopsis were examined for the antinociceptive (hot-plate and writhing tests) and anti inflammatory (carrageenan-induced paw oedema test) activity in mice, by oral and topical routes, respectively. In the hot-plate test, the Lychnophora pinaster (0.75 g/kg) and Lychnophora ericoides (1.50 g/kg) extracts significantly increased the time for licking of the paws. The species Lychnophora passerina, Lychnophoriopsis candelabrum and Lychnophora pinaster, using the dose of 0.75 g/kg, and Lychnophora ericoides and Lychnophora trichocarpha in both doses evaluated (0.75 and 1.50 g/kg) significantly reduced the number of writhes induced by acetic acid. The administration of Lychnophora pinaster and Lychnophora trichocarpha ointments, in both concentrations evaluated (5 and 10%, w/w), and Lychnophora passerina and Lychnophoriopsis candelabrum, in the concentration of 10%, significantly reduced the paw oedema measured 3 h after carrageenan administration, suggesting, for the first time, an anti-inflammatory activity upon topical administration of these species. The present work comparatively demonstrated the antinociceptive and anti-inflammatory activities of some Brazilian Lychnophoras. PMID- 18155375 TI - Determination of a newly encountered designer drug "p-methoxyethylamphetamine" and its metabolites in human urine and blood. AB - A newly synthesized designer drug, para-methoxyethylamphetamine (PMEA) was unexpectedly detected in the postmortem specimens of fatality involving drug intoxication in 2005, Japan. For unequivocal identification, the isomeric discrimination of PMEA and its positional-isomers was performed by GC/MS with the trifluoroacetylation. In order to prove the intake of PMEA, the characteristic metabolites of PMEA were also identified by GC/MS analysis of the urine specimen with trifluoroacetylation. As a result, para-methoxyamphetamine, para hydroxyethylamphetamine (POHEA) and para-hydroxyamphetamine were identified as the major metabolites of PMEA. For the quantitative analyses of PMEA and its three metabolites in body fluids, an automated column-switching LC/MS procedure was developed, and applied to the postmortem blood and urine specimens. In this fatal case, blood concentration of PMEA was estimated to be 12.2 microg/mL and this level seemed extremely high in comparison with lethal blood-levels of its analogues, representing acute-intoxication of the victim. Based on the quantitative results, PMEA was found to be extensively metabolized to POHEA via O demethylation, partly followed by its conjugation. PMID- 18155376 TI - Biochemical and genetic analysis of Leigh syndrome patients in Korea. AB - Sixteen Korean patients with Leigh syndrome were identified at the Seoul National University Children's Hospital in 2001-2006. Biochemical or molecular defects were identified in 14 patients (87.5%). Thirteen patients had respiratory chain enzyme defects; 9 had complex I deficiency, and 4 had combined defects of complex I+III+IV. Based on the biochemical defects, targeted genetic studies in 4 patients with complex I deficiency revealed two heteroplasmic mitochondrial DNA mutations in ND genes. One patient had the mitochondrial DNA T8993G point mutation. No mitochondrial DNA defects were identified in 11 (68.7%) of our LS patients, who probably have mutations in nuclear DNA. Although a limited study based in a single tertiary medical center, our findings suggest that isolated complex I deficiency may be the most common cause of Leigh syndrome in Korea. PMID- 18155378 TI - HPLC-DAD-ESI-MS analysis of the constituents of aqueous preparations of verbena and lemon verbena and evaluation of the antioxidant activity. AB - Verbena and lemon verbena aqueous preparations were investigated for their content of constituents, especially polyphenols by HPLC/DAD/ESI/MS analysis because they are used worldwide as herbal teas. The main class of compounds of these plants were phenylpropanoids (from 16 to 120 mg/g of dried extract), being verbascoside the most abundant in all the preparations up to 97% of the total phenylpropanoids. Also iridoids, hastatoside and verbenalin together with flavonoids, mono- and di-glucuronidic derivatives of luteolin and apigenin were found. These simple preparations, especially that obtained from infusion of lemon verbena, could be lyophilized to obtain a powder having interesting technological properties to be used as ingredients of cosmetics, food supplements and herbal medicinal products do to the many biological properties of verbascoside. In addition, the antioxidant property of the lemon verbena infusion was evaluated by the DPPH test using Trolox as the reference compound. PMID- 18155379 TI - Determination of Ziprasidone in pharmaceutical formulations by capillary zone electrophoresis. AB - The atypical antipsychotic drug Ziprasidone was determined by capillary zone electrophoresis in pharmaceutical formulations. Extraction of the drug from the formulation consisted in a simple dissolution step with methanol as solvent, and enables determination of the drug without any interference from the excipients. It was found that at pH of the background electrolyte above 5 the peak of the drug exhibited a tailing, at pH 6 or higher even a disappearance of the peak in the electropherogram was observed. This behaviour was related to the concomitant reduction of the solubility of the drug in the background electrolyte upon deprotonation at higher pH. As a consequence, analyses were carried out with formate buffer, pH 3.0, and enabled run times of about 3 min. The method was validated in terms of stability, specificity, precision, accuracy, linearity, quantitation limits, and robustness, and was applied to the analysis of different commercial capsules. PMID- 18155380 TI - Impact of abdominal helical computed tomography on the rate of negative appendicitis. AB - Helical abdominal computed tomography (HCT) is a common test in the evaluation of patients with presumed appendicitis. Studies have demonstrated HCT to have high sensitivity, specificity, and positive and negative predictive value. Despite this, there has not been consistent demonstration that HCT has had beneficial effect on patient outcome. The objective of this study was to assess the impact of HCT on patient outcome as measured by the rate of negative appendicitis and perforated appendicitis. Patients were identified from a pathology department database that included all patients taken to the operating room with a pre operative diagnosis of appendicitis. Pathologic specimen analysis was used to determine the presence of appendicitis and perforation. Two periods were studied: Period A, a 4-year interval before the arrival of HCT; and Period B, a 3-year period several years after the incorporation of HCT into the evaluation of suspected appendicitis. Primary outcome measures were the rates of negative appendicitis and perforated appendicitis. During Period A, 316 patients were identified; 12% had conventional computed tomography, none had HCT. The negative appendicitis rate was 15.5%; the perforated appendicitis rate was 11.6%. During Period B, 477 patients were identified; 81.5% had HCT. The negative appendicitis rate was 7.9%; the perforated appendicitis rate was 14.4%. The difference in negative appendicitis rates was 7.6% (3.0%, 12.4%), and in perforated appendicitis it was -2.8% (95% CI -8.0%, 2.1%). At the study institution, there was a 48% decrease in the rate of negative appendicitis encountered in association with the common use of HCT. PMID- 18155381 TI - Satisfactory outcome after severe ethanol-induced lactic acidosis and hypoglycemia. PMID- 18155382 TI - Trauma scissors vs. the rescue hook, exposing a simulated patient: a pilot study. AB - The objective of this study was to compare the exposure times using trauma scissors vs. the rescue hook on a simulated patient. This was a prospectively randomized, parallel group comparison study with two arms. The control group used trauma scissors (15 cycles), and the intervention group used rescue hooks (15 cycles). The uniform and footwear were standardized for each cycle. Ten participants were trained on each instrument. For each cycle, four participants were randomly chosen, and the use of either instrument was randomized. Each participant was then queried about their preferences for either instrument and why. The rescue hook's mean time of exposure was 24 s with a SD of 7 s and a 95% confidence interval (CI) of 20-28 s. The trauma scissors' mean exposure time was 42 s with a SD of 5 s and a 95% CI of 39-45 s. The mean difference was 18 s, with a 95% CI of 13-23 s. On average, the rescue hook was 43% faster. Nine of 10 participants preferred the rescue hook, stating that it was faster, easier, smaller, and more durable. The rescue hook was found to be faster than trauma scissors when exposing a simulated patient, and it was the instrument preferred by the majority of participants. PMID- 18155383 TI - Aneurysmal subarachnoid hemorrhage: update for emergency physicians. AB - Aneurysmal subarachnoid hemorrhage (SAH) is a serious cause of stroke that affects 30,000 patients in North America annually. Due to a wide spectrum of presentations, misdiagnosis of SAH has been reported to occur in a significant proportion of cases. Headache, the most common chief complaint, may be an isolated finding; the neurological examination may be normal and neck stiffness absent. Emergency physicians must decide which patients to evaluate beyond history and physical examination. This evaluation--computed tomography (CT) scanning and lumbar puncture (LP)--is straightforward, but each test has important limitations. CT sensitivity falls with time from onset of symptoms and is lower in mildly affected patients. Traumatic LP must be distinguished from true SAH. Cerebrospinal fluid analysis centers on measuring xanthochromia. Debate exists about the best method to measure it--visual inspection or spectrophotometry. An LP-first strategy is also discussed. If SAH is diagnosed, the priority shifts to specialist consultation and cerebrovascular imaging to define the offending vascular lesion. The sensitivity of CT and magnetic resonance angiography are approaching that of conventional catheter angiography. Emergency physicians must also address various management issues to treat or prevent early complications. Endovascular therapy is being increasingly used, and disposition to neurovascular centers that offer the full range of treatments leads to better patient outcomes. Emergency physicians must be expert in the diagnosis and initial stabilization of patients with SAH. Treatment in a hospital with both neurosurgical and endovascular capability is becoming the norm. PMID- 18155384 TI - A right scrotal abscess and foreign body ingestion in a schizophrenic patient. AB - A 38-year-old man with a history of schizophrenia presented with pain and swelling of his testicles, with the right side worse than the left. Physical examination was remarkable for a very firm, large, right-sided scrotal mass. Testicular ultrasound was suspicious for neoplasm or abscess. On the pelvic computed tomography (CT) scan, which was obtained as part of a metastatic cancer work-up, two metallic foreign bodies were identified in the pelvis. On further questioning, the patient admitted to ingesting the nails 2 days prior, in a suicide attempt. We review the evaluation of unilateral scrotal pain and swelling, and incidental foreign body ingestion. PMID- 18155385 TI - Subdural empyema complicating sinusitis. AB - Acute sinusitis is a common childhood illness most often involving the ethmoid and maxillary sinuses. Diagnosis is usually based on a history of an upper respiratory tract infection lasting longer than 7 days with a prominent nasal component. Treatment involves 10-14 days of antibiotics. Intracranial complications of pediatric sinusitis are rare, but potentially life-threatening. These include cavernous sinus thrombosis, orbital and intracranial extension, and meningitis. Children with these complications may experience significant morbidity from their infection. In such cases, delay in diagnosis and treatment may lead to irreparable brain damage or death. We report a case of sinusitis causing a subdural empyema in an otherwise healthy immunocompetent adolescent boy. PMID- 18155386 TI - The ethical attitude of emergency physicians toward resuscitation in Korea. AB - This study was conducted to assess the various ethical attitudes of emergency specialists in Korea toward resuscitation. A questionnaire investigating the following key topics concerning the ethics of resuscitation was sent to emergency specialists in Korea: when not to attempt resuscitation, when to stop resuscitation, withdrawal of life-sustaining treatment, diagnosis of death by non physicians, permission for family members to stay with the patient during resuscitation, and teaching with the body of the recently deceased patient. We found broad variation in medical practice at patient death and in the ethical considerations held and followed by emergency physicians (EPs) during resuscitation in Korea. Initiating and concluding resuscitation attempts were practiced according to ethical and cultural norms, as well as medical conditions. Guidelines for resuscitation ethics that are based on the Korean medico-legal background need to be developed. Education of EPs to solve the ethical dilemma in resuscitation is needed. PMID- 18155388 TI - "Timing It Right": a conceptual framework for addressing the support needs of family caregivers to stroke survivors from the hospital to the home. AB - OBJECTIVE: Discuss family caregivers of stroke survivors' changing needs for education and support across the care continuum. METHODS: Conceptual review. RESULTS: Stroke is a serious, sudden onset illness requiring care across the care continuum. The focus of care, the individuals primarily responsible for providing that care, and patients' self-care abilities change across care environments. Often family members who provide support also experience changes in their caregiving role. To date, however, interventions for family caregivers have not explicitly considered their changing support needs. Our "Timing It Right" framework highlights family caregivers changing experiences and corresponding support needs across the care continuum. Five different phases of caregiver support are discussed: (1) event/diagnosis; (2) stabilization; (3) preparation; (4) implementation; (5) adaptation. The first two phases occur during acute care, the third occurs during acute care and/or in-patient rehabilitation, and the final two phases occur in the community. CONCLUSIONS: Application of this framework has the potential to benefit future intervention efforts by identifying gaps in caregiver education, training, and support. PRACTICE IMPLICATIONS: Recognition of family caregivers changing support needs across the care continuum will assist health care professionals to provide more timely and appropriate support. PMID- 18155389 TI - Laparoscopic versus open colorectal resection for cancer: a meta-analysis of results of randomized controlled trials on recurrence. AB - AIMS: Laparoscopic resection for colorectal cancer remains controversial. This is because it is uncertain whether recurrence rates after laparoscopic-assisted surgery is comparable to those reported after open surgery. We performed a meta analysis of the published literature in an attempt to answer this question. METHODS: Eligible articles were identified by searches of MEDLINE, EMBase and the Cochrane database. Prospective randomized clinical trials were eligible if they included patients with colorectal cancer treated by laparoscopic surgery versus open surgery and followed for recurrence. RESULTS: Ten trials with information on disease recurrence on 2474 patients were included. In the combined results, no statistically significant difference in the OR for overall recurrence between the laparoscopic surgery and open surgery group was found (OR 0.93, 95% CI 0.71-1.21, P=0.58). Stratified by recurrence type, the combined results of the individual reports show no statistically significant difference for local recurrence (OR 0.80, 95% CI 0.50-1.29, P=0.36), distant metastases (OR 0.90, 95% CI 0.62-1.29, P=0.56) and port or wound-site recurrence (OR 1.04, 95% CI 0.18-6.03, P=0.97) between the two surgical techniques. CONCLUSION: This meta-analysis supports that the recurrence rates for patients with colorectal cancer treated by laparoscopic surgery do not differ from those for open surgery. Longer follow-up studies will further define outcomes, comparing the two techniques in the treatment of colorectal cancer. PMID- 18155390 TI - [Perioperative management of a patient with an acquired von Willebrand syndrome]. AB - We report the case of a man suffering from a monoclonal gammapathy with an acquired von Willebrand disease in a perioperative context. This pathology is rare, but is important to diagnose because of the possible haemorrhagic complications encountered. We describe the main therapeutic options available today to prevent bleeding during major surgery. PMID- 18155391 TI - [Immunomodulation in severe leptospirosis with multiple organ failure: plasma exchange, intravenous immunoglobulin or corticosteroids?]. AB - We report a case of severe leptospirosis complicated with a multiple organ failure syndrome. A 62-year-old patient presented a picture associating fever, asthenia and myalgias, particularly intense on the calves. The assessment showed acute renal failure, hyperbilirubinemia, severe rhabdomyolysis and thrombocytopenia. Although initial management associating amoxicilline and continuous veino-venous hemodiafiltration, evolution was unfavourable, with SDRA and increase of hyperbilirubinemia. Administration of a bolus of 500 mg of methylprednisolone, associated with intravenous immunoglobulin (0,4 g/kg per day during five days), led to a rapid clinical and biological improvement. Immunomodulation aspects during leptospirosis are discussed. PMID- 18155392 TI - [Ventricular fibrillation following deodorant spray inhalation]. AB - We report one case of out-of-hospital cardiac arrest with ventricular fibrillation following butane poisoning after inhalation of antiperspiration aerosol. An early management using semi-automatic defibrillator explained the success of the resuscitation. The mechanism of butane toxicity could be an increased sensitivity of cardiac receptors to circulating catecholamines, responsible for cardiac arrest during exercise and for resuscitation difficulties. The indication of epinephrine is discussed. PMID- 18155393 TI - [Occupational hazards related to the practice of anaesthesia]. AB - OBJECTIVE: To evaluate the occupational hazards related to the practice of anaesthesia and to give the preventing measures related to these risks. DATA SOURCES: The Medline data bank, the specialized reviews of Occupational medicine and the bank of data of the Regional Case Disease in "Ile-de-France" were consulted. The key words employed separately or in combination were: anaesthesia, occupational hazards, anaesthetic gas, stress, working conditions, burnout, addiction, occupational blood exposure, latex allergy, ionizing radiation, electrocution, explosion. STUDY SELECTION: General reviews and original articles were selected. We also selected isolated clinical cases and letters to editor according to their relevance compared with the existing literature. DATA EXTRACTION: After grouping the data according to the nature of the risk, the articles were analyzed for description, the analysis and the prevention of the risk. DATA SYNTHESIS: There are several occupational hazards related to the practice of anaesthesia. The toxicity of anaesthetic gases and particularly of nitrous oxide was highlighted at the beginning of their use. Most toxic gases were abandoned and the application of collective protection measures (system of evacuation of anaesthetic gas, ventilation of operating rooms, use of closed circuit for anaesthesia) made it possible to decrease considerably the risk related to inhalational anaesthesia. Occupational blood exposure also decreases thanks to a better observance of safety rules and the use of protected material. The risk of latex allergy has decreased considerably with the substitution of latex by other material. The risk related to the exposure to ionizing radiations is better controlled because very strict regulations have been implemented. The operating room environment involves risks of electrification, fire and explosion. New risks have been identified: drug-addiction and the painfulness of work or burnout. Their frequency is difficult to evaluate but they can have serious consequences for the patients and the anaesthetists. Their prevention relies on early tracking by the members of the team, the improvement of working conditions and a better professional recognition. CONCLUSION: Toxicity of anaesthetic gases, occupational blood exposure, exposure to ionizing radiations, latex allergy, electrification and the risk of explosion in the operating room are well identified professional risks of anaesthesia. Measures have been implemented to reduce their incidence. Two risks are increasingly recognized: drug-addiction and burnout. Early tracking, the improvement of working conditions and a better professional recognition are the best way to prevent them. PMID- 18155395 TI - Toremifene decreases type I, type II and increases type III receptors in desmoid and fibroma and inhibits TGFbeta1 binding in desmoid fibroblasts. AB - Tissue infiltration is different in desmoid and fibroma tumours. Both produce high levels of transforming growth factor beta1 (TGFbeta1), which is related to extracellular matrix (ECM) accumulation which in turn regulates cell function and cell migration. Interactions between collagen, proteoglycans and cell surface fibronectin are involved in the assembly and functions of the ECM. As toremifene inhibits collagen and TGFbeta1 synthesis, we tested it in normal, desmoid and fibroma fibroblasts. We will report the changes in glycosaminoglycan (GAG) and collagen synthesis, TGFbeta1 activity, fibronectin mRNA expression and TGFbeta1 receptors after toremifene treatment in normal, fibroma and desmoid fibroblasts. We evaluated GAG and collagen synthesis with 3H-glucosamine and 3H-proline incorporation, TGFbeta1 activity with the ELISA method, TGFbeta1 receptor affinity with 125I-TGFbeta1 binding and total RNA with Northern blot analysis. GAG and collagen synthesis, TGFbeta1 activity and fibronectin levels were higher in fibroma and desmoid than normal fibroblasts. The increase was greater in desmoid than fibroma tumour cells. Toremifene treatment reduced GAG and collagen synthesis, TGFbeta1 activity and fibronectin levels in all cell cultures. The percentage reduction in GAG was similar in all cultures; the reduction in collagen synthesis and TGFbeta1 activity was the highest in desmoid fibroblasts. TGFbeta1 receptors were higher in fibroma and desmoid cells than controls. Toremifene reduced TGFbeta1 receptors only in desmoid fibroblasts, with no effect on the changes in type I, II, and III receptors. Our data show that toremifene modifies the ECM components that regulate cytokine activity and cell migration. The reduction in receptor number only in desmoid cells suggests that toremifene may reduce TGFbeta1's affinity for its receptors. Synthesis of a substance regulating protein kinase activity, which is directly involved in the link between TGFbeta1 and its receptors, cannot be excluded. PMID- 18155398 TI - [Improving the physician-dental surgeon relationship to improve patient care]. AB - AIMS: This study had two aims: to assess the nature of the relationship between general practitioners (GPs) and dental surgeons in relation to patient care and to evaluate qualitatively their interest in the changes that health networks and shared patient medical files could bring. METHODS: Questionnaires were completed by 12 GPs belonging to ASDES, a private practitioner-hospital health network that seeks to promote a partnership between physicians and dental surgeons, and by 13 private dental surgeons in the network catchment area. RESULTS: The GPs and dentists had quite different perceptions of their relationship. Most dentists rated their relationship with GPs as "good" to "excellent" and did not wish to modify it, while GPs rated their relationship with dentists as nonexistent and expressed a desire to change the situation. Some GPs and some dentists supported data exchange by sharing personal medical files through the network. CONCLUSION: Many obstacles hinder communication between GPs and dentists. There is insufficient coordination between professionals. Health professionals must be made aware of how changes in the health care system (health networks, personal medical files, etc) can help to provide patients with optimal care. Technical innovations in medicine will not be beneficial to patients unless medical education and training begins to include interdisciplinary and holistic approaches to health care and preventive care. PMID- 18155399 TI - [Current pharmacotherapies and immunotherapy in cocaine addiction]. AB - Cocaine is more and more used and abused in France. Cocaine dependence is quite serious and is associated with numerous adverse health consequences. No effective pharmacotherapy for cocaine dependence is yet available. Recent advances in neurobiology, brain imaging and some clinical trials suggest that certain medications that modulate GABAergic, dopaminergic, and glutamatergic systems, as well as immunotherapy, show promise in the treatment of cocaine addiction. Recent controlled clinical studies have tested some of these drugs, which act on the various neurobiological circuits modified by cocaine exposure and clinically improve patients' symptoms. Pharmacological agents such as modafinil, GABAergic agents (baclofen, topiramate, tiagabin, and vigabatrin), disulfiram, aripiprazole, N-acetylcysteine and cocaine vaccine seem very promising in the treatment of cocaine dependence. However, this must be confirmed in larger patient populations. PMID- 18155400 TI - Female temperament, tumor development and life span: relation to glucocorticoid and tumor necrosis factor alpha levels in rats. AB - Behavioral characteristics closely associated with specific physiological profiles present an important area of research in understanding health disparities. In particular, glucocorticoid overproduction may be an important factor moderating disease progression; natural variance in production of this steroid has been proposed as one mechanism underlying individual differences in health and disease. In the current paper, we examined immune parameters in female rats of two different behavioral types previously shown to have differential glucocorticoid production and life spans. We categorized young female rats according to their behavioral response to novelty (high- or low-locomotion), and compared their glucocorticoid production, adrenal size, thymus size, tumor necrosis factor-alpha (TNF-alpha) production, tumor development and life span. As expected, high-locomotion females produced more glucocorticoids and had larger adrenal glands during young adulthood than did low-locomotion females. High locomotion females had significantly smaller thymuses and reduced TNF-alpha levels compared to low-locomotion, suggesting altered immune function in young adulthood. Finally, high-locomotion females had shorter life spans than did low locomotion females, and this was particularly true in females that developed pituitary tumors, but not in those that developed mammary tumors. These results, along with other published findings, suggest that high-locomotion rodent females experience life-long elevations in glucocorticoid responses to novelty, and that these elevated levels may be comparable to chronic stress. This naturally occurring endocrine profile may influence immune responses which in turn could affect disease susceptibility. Variance in immune function across personality types may be partially moderated by natural variance in glucocorticoid production. PMID- 18155404 TI - Trends in speciation analysis of vanadium in environmental samples and biological fluids--a review. AB - A comprehensive review is presented addressing recent trends in the speciation and determination of vanadium in environmental and biological sample matrices, including important analytical aspects such as sample clean up, pre-concentration and method development. Methodology based on both separation and spectroscopic techniques for the determination of vanadium speciation is discussed. A brief outline of analytical principles, together with an overview of the recent developments and applications of vanadium speciation determination is included. The newer methods for detecting metal ions including hyphenated spectroscopic techniques and sample preparation schemes are also discussed. PMID- 18155405 TI - A review of the recent achievements in capacitively coupled contactless conductivity detection. AB - Capacitively coupled contactless conductivity detection (C(4)D) in the axial electrode configuration was introduced in 1998 as a quantification method for capillary electrophoresis. Its universality allows the detection of small inorganic ions as well as organic and biochemical species. Due to its robustness, minimal maintenance demands and low cost the popularity of this detector has been steadily growing. Applications have recently also been extended to other analytical methods such as ion chromatography, high-performance liquid chromatography and flow-injection analysis. C(4)D has also found use for detection on electrophoresis based lab-on-chip devices. Theoretical aspects of C(4)D in both the capillary and microchip electrophoresis format have been comprehensively investigated. Commercial devices are now available and the method can be considered a mature detection technique. In this article, the achievements in C(4)D for the time period between September 2004 and August 2007 are reviewed. PMID- 18155403 TI - Dopamine binds to alpha(2)-adrenergic receptors in the song control system of zebra finches (Taeniopygia guttata). AB - A commonly held view is that dopamine exerts its effects via binding to D1- and D2-dopaminergic receptors. However, recent data have emerged supporting the existence of a direct interaction of dopamine with adrenergic but this interaction has been poorly investigated. In this study, the pharmacological basis of possible in vivo interactions between dopamine and alpha(2)-adrenergic receptors was investigated in zebra finches. A binding competition study showed that dopamine displaces the binding of the alpha(2)-adrenergic ligand, [(3)H]RX821002, in the brain. The affinity of dopamine for the adrenergic sites does not differ between the sexes and is 10- to 28-fold lower than that for norepinephrine. To assess the anatomical distribution of this interaction, binding competitions were performed on brain slices incubated in 5nM [(3)H]RX821002 in the absence of any competitor or in the presence of norepinephrine [0.1microM] or dopamine [1microM]. Both norepinephrine and dopamine displaced the binding of the radioligand though to a different extent in most of the regions studied (e.g., area X, the lateral part of the magnocellular nucleus of anterior nidopallium, HVC, arcopallium dorsale, ventral tegmental area and substantia grisea centralis) but not in the robust nucleus of the arcopallium. Together these data provide evidence for a direct interaction between dopamine and adrenergic receptors in songbird brains albeit with regional variation. PMID- 18155406 TI - Direct electrochemistry of hemoglobin and myoglobin at didodecyldimethylammonium bromide-modified powder microelectrode and application for electrochemical detection of nitric oxide. AB - Hemoglobin (Hb) and myoglobin (Mb) were immobilized at the didodecyldimethylammonium bromide (DDAB)-modified powder microelectrode (PME) to fabricate Hb-DDAB-PME and Mb-DDAB-PME. Direct electrochemistry of Hb and Mb were achieved on the DDAB-modified PME. The formal potential was -0.224 V for Hb and 0.212 V for Mb (vs. SCE). The apparent surface concentration of Hb and Mb at the electrode surface was 2.83 x 10(-8) and 9.94 x 10(-8) mol cm(-2). The Hb-DDAB-PME and Mb-DDAB-PME were successfully applied for measurement of NO in vitro. The anodic current peaks for NO oxidation at +0.7 V and the cathodic current peaks for NO reduction at -0.85 V on the CV curves were obtained on the modified electrodes. For detection of NO at +0.7 V, the sensitivity is 3.31 mA microM(-1) cm(-2) for Hb-DDAB-PME and 0.6 mA microM(-1) cm(-2) for Mb-DDAB-PME. The detection limit is 5 nM for Hb-DDAB-PME and 9 nM for Mb-DDAB-PME. The linear response range is 9-100 and 28-330 nM for Hb- and Mb-modified PME, respectively. For the electrochemical detection of NO at -0.85 V by using Hb-DDAB-PME, the detection sensitivity is 39.56 microA microM(-1) cm(-2); the detection limit is as low as 0.2 microM; and the linear response range is 1.90-28.08 microM. PMID- 18155407 TI - Analysis of emerging contaminants in sewage effluent and river water: comparison between spot and passive sampling. AB - Passive sampling is highly complimentary to spot sampling in environmental analysis. A polar organic chemical integrative sampler (POCIS) was extensively tested to optimize its performance under both controlled and field conditions. The passive sampler was subsequently used for the sampling and analysis of estrone, 17beta-estradiol, 17alpha-ethynylestradiol, bisphenol A, propranolol, sulfamethoxazole, meberverine, thioridazine, carbamazepine, tamoxifen, indomethacine, diclofenac and meclofenamic acid in sewage effluent and river water. Under laboratory conditions, the kinetics of compound uptake by POCIS were linear during 10-day of exposure. POCIS sampling rates of the target compounds were significantly greater by using polyethersulfone instead of polysulfone membrane, and enhanced with increasing sorbent exposure area. Together with spot water sampling, the optimized POCIS was deployed in the River Ouse, West Sussex, UK to obtain field-derived sampling rates which, for endocrine disrupting chemicals (EDCs), were significantly higher than those from laboratory experiments. Both spot and passive sampling demonstrated that most of the target chemicals were frequently detected in sewage effluent and river waters, and that the daily changes in the pollutant concentrations were greater for pharmaceuticals than for EDCs. The aqueous concentrations of all compounds were elevated at a sewage outfall, which is confirmed to be an important source of the target compounds in the river. The validated POCIS was then successfully used to estimate the concentrations of the target compounds in effluent and river water, which were in good agreement with those from spot sampling for pharmaceuticals. PMID- 18155408 TI - A microfluidic hollow fiber membrane extractor for arsenic(V) detection. AB - Microfluidic membrane extraction using a conventional hollow fiber membrane is presented for continuous, on-line extraction of arsenic. Previously reported micro-scale devices used flat membranes. These modules were relatively complex, difficult to seal, and high pressure drops made them prone to leaks. The present design is simpler, has higher active surface area per unit volume, and allows faster flow rates leading to enhanced mass transfer. On-line membrane extraction of As(V) via chelation through a supported liquid membrane was followed by conventional colorimetric detection with a UV-vis spectrophotometer. Enrichment factors were close to 30, and the detection limit was 27 microg L(-1). The extraction was linear and reproducible. The relative standard deviation of six repeat extractions was less than 3%. PMID- 18155409 TI - Non-invasive detection of cocaine dissolved in beverages using displaced Raman spectroscopy. AB - We demonstrate the potential of Raman spectroscopy to detect cocaine concealed inside transparent glass bottles containing alcoholic beverages. A clear Raman signature of cocaine with good signal-to-noise was obtained from a approximately 300 g solution of adulterated cocaine (purity 75%) in a 0.7 L authentic brown bottle of rum with 1 s acquisition time. The detection limit was estimated to be of the order of 9 g of pure cocaine per 0.7 L (approximately 0.04 moles L(-1)) with 1 s acquisition time. The technique holds great promise for the fast, non invasive, detection of concealed illicit compounds inside beverages using portable Raman instruments, thus permitting drug trafficking to be combated more effectively. PMID- 18155410 TI - Design of molecular imprinted polymers compatible with aqueous environment. AB - The main problem of poor water compatibility of molecularly imprinted polymers (MIPs) was addressed in examples describing design of synthetic receptors with high affinity for drugs of abuse. An extensive potentiometric titration of 10 popular functional monomers and corresponding imprinted and blank polymers was conducted in order to evaluate the subtleties of functional groups ionisation under aqueous conditions. It was found that polymers prepared using 2 trifluoromethacrylic acid (TFMAA) in combination with toluene as porogen possess superior properties which make them suitable for effective template recognition in water. The potential impact of phase separation during polymerisation on formation of high quality imprints has been discussed. Three drugs of abuse such as cocaine, deoxyephedrine and methadone were used as template models in polymer preparation for the practical validation of obtained results. The polymer testing showed that synthesized molecularly imprinted polymers have high affinity and selectivity for corresponding templates in aqueous environment, with imprinting factors of 2.6 for cocaine and 1.4 for methadone and deoxyephedrine. Corresponding blank polymers were unable to differentiate between analytes, suggesting that imprinting phenomenon was responsible for the recognition properties. PMID- 18155411 TI - Potentiometric determination of the 'formal' hydrolysis ratio of aluminium species in aqueous solutions. AB - The 'formal' hydrolysis ratio (h = C(OH-)added/C(Al)total) of hydrolysed aluminium-ions is an important parameter required for the exhaustive and quantitative speciation-fractionation of aluminium in aqueous solutions. This paper describes a potentiometric method for determination of the formal hydrolysis ratio based on an automated alkaline titration procedure. The method uses the point of precipitation of aluminium hydroxide as a reference (h = 3.0) in order to calculate the initial formal hydrolysis ratio of hydrolysed aluminium ion solutions. Several solutions of pure hydrolytic species including aluminium monomers (AlCl3), Al13 polynuclear cluster ([Al13O4(OH)24(H2O)12]7+), Al30 polynuclear cluster ([Al30O8(OH)56(H2O)26]18+) and a suspension of nanoparticulate aluminium hydroxide have been used as 'reference standards' to validate the proposed potentiometric method. Other important variables in the potentiometric determination of the hydrolysis ratio have also been optimised including the concentration of aluminium and the type and strength of alkali (Trizma-base, NH3, NaHCO3, Na2CO3 and KOH). The results of the potentiometric analysis have been cross-verified by quantitative 27Al solution nuclear magnetic resonance (27Al NMR) measurements. The 'formal' hydrolysis ratio of a commercial basic aluminium chloride has been measured as an example of a practical application of the developed technique. PMID- 18155412 TI - Solid-phase microextraction (SPME) for the determination of pyrethroids in cucumber and watermelon using liquid chromatography combined with post-column photochemically induced fluorimetry derivatization and fluorescence detection. AB - A sensitive and efficient solid-phase microextraction (SPME) method for the determination of seven pyrethroid insecticides including fenpropathrin, lambda cyhalothrin, deltamethrin, fenvalerate, permethrin, tau-fluvalinate and bifenthrin in cucumber and watermelon samples using high performance liquid chromatography combined with post-column photochemically induced fluorimetry derivatization and fluorescence detection (SPME-HPLC-PIF-FD) was developed and validated. The optimum SPME conditions were used for the extraction of samples of both matrices (extraction time 30 min, stirring rate 1100 rpm, extraction temperature 65 degrees C, sample pH 3, soaking time 7 min, desorption time 5 min, ACN content 25%, desorption and soaking solvent was the mobile phase and in static mode). The method was validated in terms of limits of detection (LODs) and the limits of quantification (LOQs) in both IUPAC and EURACHEM criteria. LODs and LOQs were achieved in values lower than the maximum residue levels (MRLs) established in the Spanish regulations for all pesticides in this study (MRLs range between 0.01 and 0.1 mg kg(-1) for all pyrethroid insecticides in both matrices). LOQs according to the second criterion were between 1.5 and 5 microg kg(-1) for cucumber; and between 1.3 and 5 microg kg(-1) for watermelon samples. Precision and recovery studies were evaluated at two concentration levels for each matrix. Good precision was obtained and relative standard deviation values were less than 10% in all cases. Recovery values were calculated at 0.05 and 0.5 mg kg(-1) levels (n=6) and they ranged between 93% and 108% for cucumber and between 91% and 110% for watermelon samples. Applicability of the method to pyrethroids in cucumber and watermelon of commercial samples was demonstrated. PMID- 18155413 TI - Analytical artefacts in the speciation of arsenic in clinical samples. AB - Urine and blood samples of cancer patients, treated with high doses of arsenic trioxide were analysed for arsenic species using HPLC-HGAFS and, in some cases, HPLC-ICPMS. Total arsenic was determined with either flow injection-HGAFS in urine or radiochemical neutron activation analysis in blood fractions (in serum/plasma, blood cells). The total arsenic concentrations (during prolonged, daily/weekly arsenic trioxide therapy) were in the microg mL(-1) range for urine and in the ng g(-1) range for blood fractions. The main arsenic species found in urine were As(III), MA and DMA and in blood As(V), MA and DMA. With proper sample preparation and storage of urine (no preservation agents/storage in liquid nitrogen) no analytical artefacts were observed and absence of significant amounts of alleged trivalent metabolites was proven. On the contrary, in blood samples a certain amount of arsenic can get lost in the speciation procedure what was especially noticeable for the blood cells although also plasma/serum gave rise to some disappearance of arsenic. The latter losses may be attributed to precipitation of As(III)-containing proteins/peptides during the methanol/water extraction procedure whereas the former losses were due to loss of specific As(III)-complexing proteins/peptides (e.g. cysteine, metallothionein, reduced GSH, ferritin) on the column (Hamilton PRP-X100) during the separation procedure. Contemporary analytical protocols are not able to completely avoid artefacts due to losses from the sampling to the detection stage so that it is recommended to be careful with the explanation of results, particularly regarding metabolic and pharmacokinetic interpretations, and always aim to compare the sum of species with the total arsenic concentration determined independently. PMID- 18155414 TI - Direct hapten coated immunoassay format for the detection of atrazine and 2,4 dichlorophenoxyacetic acid herbicides. AB - A novel immunoassay format employing direct coating of small molecular hapten on microtiter plates is reported for the detection of atrazine and 2,4 dichlorophenoxyacetic (2,4-D). In this assay, the polystyrene surface of microtiter plates was first treated with an acid to generate -NO2 groups on the surface. Acid treated plates were further treated with 3 aminoprpyltriethoxysilane (APTES) to functionalize the plate surface with amino groups for covalent linkage to small molecular hapten with carboxyl groups. The modified plates showed significantly high antibody binding in comparison to plates coated with hapten-carrier protein conjugates and presented excellent stability as a function of the buffer pH and reaction time. The developed assay employing direct hapten coated plates and using affinity purified atrazine and 2,4-D antibodies demonstrated very high sensitivity, IC50 values for atrazine and 2,4-D equal to 0.8 ng mL(-1) and 7 ng mL(-1), respectively. The assay could detect atrazine and 2,4-D levels in standard water samples even at a very low concentration upto 0.02 and 0.7 ng mL(-1) respectively in the optimum working range between 0.01 and 1000 ng mL(-1) with good signal reproducibility (p values: 0.091 and 0.224 for atrazine and 2,4-D, respectively). The developed immunoassay format could be used as convenient quantitative tool for the sensitive screening of pesticides in samples. PMID- 18155415 TI - Development of an enzyme-linked immunosorbent assay (ELISA) using highly-specific monoclonal antibodies against plumbagin. AB - Plumbagin (PL; 5-hydroxy-2-methyl-1,4-naphthoquinone) is a natural compound mainly isolated from Plumbago zeylanica. This plant is distributed in Southeast Asia, and well known as Ayurvedic medicine in India for its medicinal properties. PL has been shown to have various pharmacological activities. We have successfully prepared monoclonal antibodies against PL, and developed an enzyme linked immunosorbent assay (ELISA) system for determination of PL. 3-(5-Hydroxy-2 methyl-1,4-naphthoquinone-3-yl) propanoic acid was synthesized and purified to prepare PL-bovine serum albumin conjugate (PL-BSA), which was used as an immunogen. PL-BSA conjugate was administered into BALB/c male mice for production of monoclonal antibodies against PL. The monoclonal antibody against PL which is secreted from established hybridoma cell line 3A3 (MAb 3A3) has been proven to have highly-specific to PL resulting from cross-reactivities test. The range for calibration of PL by ELISA was 0.2-25 microg mL(-1). Based on validation analysis, this analytical method by ELISA is a precise, accurate, and sensitive method for the determination of PL in plant. PMID- 18155416 TI - Development and validation of a sensitive enzyme immunoassay for surveillance of Cry1Ab toxin in bovine blood plasma of cows fed Bt-maize (MON810). AB - The increasing global adoption of genetically modified (GM) plant derivatives in animal feed has provoked a strong demand for an appropriate detection method to evaluate the existence of transgenic protein in animal tissues and animal by products derived from GM plant fed animals. A highly specific and sensitive sandwich enzyme immunoassay for the surveillance of transgenic Cry1Ab protein from Bt-maize in the blood plasma of cows fed on Bt-maize was developed and validated according to the criteria of EU-Decision 2002/657/EC. The sandwich assay is based on immuno-affinity purified polyclonal antibody raised against Cry1Ab protein in rabbits. Native and biotinylated forms of this antibody served as capture antibody and detection antibody for the ELISA, respectively. Streptavidin-horseradish peroxidase conjugate and TMB substrate provided the means for enzymatic colour development. The immunoassay allowed Cry1Ab protein determination in bovine blood plasma in an analytical range of 0.4-100 ng mL(-1) with a decision limit (CCalpha) of 1.5 ng mL(-1) and detection capability (CCbeta) of 2.3 ng mL(-1). Recoveries ranged from 89 to 106% (mean value of 98%) in spiked plasma. In total, 20 plasma samples from cows (n=7) fed non-transgenic maize and 24 samples from cows (n=8) fed transgenic maize (collected before and, after 1 and 2 months of feeding) were investigated for the presence of the Cry1Ab protein. There was no difference amongst both groups (all the samples were below 1.5 ng mL(-1); CCalpha). No plasma sample was positive for the presence of the Cry1Ab protein at CCalpha and CCbeta of the assay. PMID- 18155417 TI - Does the BAFF dysregulation play a major role in the pathogenesis of systemic lupus erythematosus? AB - Given the prominent role currently assigned to B lymphocytes in systemic lupus erythematosus, it is not surprising that the B cell activity factor belonging to the tumor necrosis factor family (BAFF) is involved in its pathogenesis. This cytokine is produced in excess, and inserted into its receptors on the surface of circulating B cells. Up-regulation of BAFF is most likely to lead to breach of tolerance by aberrant survival of B cells directed to the self. Trials aimed at blocking BAFF have thus been set out. Yet the results are awaited. PMID- 18155418 TI - Epigenetic clues to rheumatoid arthritis. AB - The innate immune response needs to be tightly regulated to balance elimination of microorganisms with the magnitude of inflammation. The rupture of this balance is crucial for the outcome of diseases such as rheumatoid arthritis (RA) in which an overflowed proinflammatory response is associated with self-damage. Epigenetics alludes to systems controlling gene expression and silencing independent of the germline, but stable enough to be inherited by daughter cells upon mitosis. We will show in this review how pathological processes in RA can be shaped by epigenetics, which may in turn explain differences in phenotypes between subgroups of patients and also between subsets of fibroblasts within the joint. On the whole, the concourse of epigenetic mechanisms can precipitate the aggressive behaviour of cells and the rupture of peripheral tolerance. Targeting these emerging regulatory pathways is a promising approach for RA therapeutics. PMID- 18155419 TI - Modifications in endoscopic practice for pediatric patients. PMID- 18155421 TI - Removable endoprosthetics in the management of esophageal pathology: all strictures and fistulae are not created equal... PMID- 18155422 TI - Diagnosis of intra-abdominal and mediastinal sarcoidosis with EUS-guided FNA. AB - BACKGROUND: In the presence of a compatible clinical picture, the diagnosis of sarcoidosis requires pathologic confirmation of noncaseating epithelioid granuloma in affected tissues. The standard procedure of choice for most patients is a bronchoscopy with transbronchial biopsy (TBB), which has a diagnostic yield of 40% to 90%. The lowest yield with TBB is in cases that present with predominant mediastinal or intra-abdominal lymphadenopathy (LN) and minimal parenchymal lung involvement. OBJECTIVE: To study the diagnostic yield of EUS guided FNA in diagnosing sarcoidosis with predominant LN or masses. DESIGN: Retrospective chart review. SETTING: Teaching university hospital. PATIENTS: Analysis of 21 consecutive patients with sarcoidosis and predominant mediastinal and/or intra-abdominal LN or masses who underwent EUS-guided FNA. RESULTS: EUS guided FNA diagnosed sarcoidosis in 18 of 21 patients (86%). In 3 patients, EUS guided FNA was either not diagnostic or inconclusive, and patients underwent mediastinoscopy with lymphadenectomy, which established the diagnosis of sarcoidosis. Seven of the 21 patients (33%) had intra-abdominal LN and/or masses, and EUS-guided FNA of the intra-abdominal pathology was diagnostic of sarcoidosis in 4 of the 7 patients (57%). Four of the 21 patients (19%) had a history of malignancy, and use of EUS-guided FNA helped in ruling out the recurrence of malignancy in 3 of the 4 patients (75%). LIMITATIONS: Mycobacterial and fungal culture was not obtained in all patients. CONCLUSIONS: EUS-guided FNA offers a practical, minimally invasive technique for the diagnosis of sarcoidosis in patients who present with predominant mediastinal and/or intra-abdominal LN or masses. PMID- 18155423 TI - Hemoclips: which is the pick of the bunch? PMID- 18155424 TI - EUS-guided FNA diagnosis of pancreatic endocrine tumors: new trends identified. AB - BACKGROUND: Pancreatic endocrine tumors (PETs) are rare (1 per 100,000 population) and are thought to be functioning in up to 85% of cases and are generally less than 2 cm in size. By previous reports, 15% to 50% of PETs are nonfunctioning and are discovered either incidentally or by symptom evaluation from a mass effect. EUS-guided FNA (EUS-FNA) has been shown to accurately diagnose PETs and to localize tumors for surgical resection. OBJECTIVE: To describe a single-center experience of EUS-FNA diagnosis of PETs and its impact on surgical management. DESIGN: Retrospective cohort study. SETTING: University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania. PATIENTS: Patients with PETs diagnosed via EUS-FNA over a 4-year period were identified through the authors' EUS database. Clinical history, laboratory values, diagnostic studies, EUS findings, cytology, pathology, operative records, and surgical pathology records were reviewed. MAIN OUTCOME MEASUREMENT: Impact of definitive preoperative diagnosis of PET on surgical management. RESULTS: Forty-one patients were diagnosed by EUS-FNA with PET. Thirty-five PETs were nonfunctioning PET; 6 were functioning PET. The mean tumor sizes of functioning and nonfunctioning PETs were 19 mm and 28 mm, respectively. The majority of tumors were located in the pancreatic head. Surgery was performed in 78% of patients; of these, 34% were resected laparoscopipcally. LIMITATIONS: Retrospective design and selection bias. CONCLUSIONS: In this study, nonfunctioning PETs were more commonly diagnosed compared with functioning PETs. In addition, the PETs were smaller than previously reported, likely because of increasing detection of incidental lesions through widespread use of abdominal imaging. PMID- 18155425 TI - Cutting the sphincter in the presence of a normal cholangiogram. PMID- 18155426 TI - Capsule endoscopy is useful and safe for small-bowel surveillance in familial adenomatous polyposis. AB - BACKGROUND: Duodenal cancer and ampullary cancer are major causes of death after a prophylactic colectomy in patients with familial adenomatous polyposis (FAP). Forward-viewing endoscopy and side-viewing endoscopy are recommended in patients with FAP for surveillance of periampullary and duodenal polyposis. The study of polyps distal to the duodenum in FAP is limited. A capsule endoscopy (CE) allows visualization of the mucosa of the entire small bowel. OBJECTIVE: The objective was to detect whether CE has clinical value or any utility for the surveillance of small-bowel polyps in patients with FAP and to evaluate whether there are genotypic factors that predict which patients are at a lower risk of small-bowel polyps. SETTING: Two Italian tertiary-referral centers. PATIENTS: Twenty-three patients with FAP who presented for a CE. MAIN OUTCOME MEASUREMENTS: Patients with FAP were examined by CE to assess the location, size, and number of small bowel polyps. Patient age at CE, sex, years of observation after surgery, type of surgery, duodenal adenomas, and colorectal cancer at surgery were analyzed. All patients were selected for mutation analysis, and the germline adenomatous polyposis coli (APC) gene mutation was detected. RESULTS: Eleven of 23 patients with FAP had duodenal polyps. During CE, jejunal-ileal polyps were detected in 7 of 23 FAPs, with a total number of 15 polyps in the ileum. The presence of duodenal adenomas was the only clinical feature predictive of small-bowel polyps. Identification of the ampulla of Vater was not achieved with CE; duodenal polyps were only seen in 4 of 11 patients identified endoscopically, with an underestimation of polyp numbers. APC mutations between codons 499 and 805 were associated with the absence of small-bowel polyps. CONCLUSIONS: CE is useful and safe for the surveillance of jejunal-ileal polyps in selected patients with FAP. CE is not useful in the surveillance of the duodenum where the majority of small bowel cancers occur. PMID- 18155427 TI - WallFlex colonic stent placement for management of malignant colonic obstruction: a prospective study at two centers. AB - BACKGROUND: Self-expanding metal stents (SEMSs) can alleviate malignant colonic obstruction and avoid emergency decompressive surgery. The use of colonic larger diameter SEMSs may improve bowel function and reduce migration risk. OBJECTIVE: To evaluate the effectiveness and safety of a novel large-diameter SEMS (WallFlex) designed for delivery through the endoscope in treating malignant colonic obstruction. DESIGN: Prospective clinical cohort study. SETTING: Two Italian study centers. PATIENTS: Forty-two consecutive patients with malignant colonic obstruction: 23 requiring palliation and 19 bridging to surgery. INTERVENTIONS: Colorectal SEMS placement. MAIN OUTCOME MEASUREMENTS: Technical success, defined as accurate SEMS deployment across the stricture on the first attempt; clinical success, ie, complete relief of bowel obstruction without complications; and bridging to surgery, denoting the performance of elective one stage surgery. RESULTS: The rate of technical success was 93% (95% CI, 81%-99%) and of initial clinical success was 95% (95% CI, 84%-99%). In 58% (95% CI, 40% 84%) of the palliation group, clinical success was maintained after 6 months. All 19 patients with operable tumors were successfully bridged to one-stage elective surgery within a median of 5 days. One perforation and one stent migration occurred. All complications could be resolved nonsurgically. LIMITATIONS: No control group was included. CONCLUSIONS: In a prospective study of through-the scope WallFlex stent placement for malignant colonic obstruction, high rates of technical and initial clinical success, and bridging to surgery were achieved. Complications could be readily managed. PMID- 18155428 TI - Making sense out of colonic stents. PMID- 18155429 TI - Colonoscopy appropriateness: education is important to identify the right patient, at the right time, for the right reason. PMID- 18155430 TI - Prolongation of the period between biopsy and EMR can influence the nonlifting sign in endoscopically resectable colorectal cancers. AB - BACKGROUND: The nonlifting sign is widely used for evaluating the invasion depth of colorectal tumors, and it is commonly accepted that EMR is contraindicated for colorectal tumors with a nonlifting sign because of the probability of massive submucosal invasion. OBJECTIVE: To identify the clinicopathologic factors that affect the nonlifting sign in submucosal invasive colorectal carcinoma (SICC). DESIGN: Details regarding a history of biopsy, postbiopsy days, tumor location, tumor configuration, tumor size, depth of submucosal invasion, histologic type, adenomatous remnants, and angiolymphatic invasion were studied in relation to the nonlifting sign. SETTING: National Cancer Center, Korea. PATIENTS: The study involved 76 patients with SICC treated by endoscopic or surgical resection, in whom the tumor was examined for the nonlifting sign from 2001 to 2006. RESULTS: The nonlifting sign was observed in 15 cases (19.7%). A deep submucosal invasion, a history of biopsy, and the absence of adenomatous remnants were identified as factors affecting the nonlifting sign in univariate and multivariate analyses (P < .05). An increase in the number of postbiopsy days was associated with the nonlifting sign in endoscopically resectable SICC, and all 11 sm1 cancer cases with fewer than 21 postbiopsy days showed lifting. CONCLUSIONS: A history of biopsy and the absence of adenomatous remnants, in addition to deep submucosal invasion, were found to influence the nonlifting sign in SICC. It may be best that mechanical stimulation such as forceps biopsies are minimized before EMR, and EMR should be tried as soon as possible if biopsy was performed. PMID- 18155431 TI - Providing an endoscopy report to patients after a procedure: a low-cost intervention with high returns. AB - BACKGROUND: Providing a procedure report to patients after endoscopy is inconsistently practiced by clinicians. OBJECTIVE: To evaluate the effect of providing a procedure report to patients after an outpatient endoscopy. OUTCOME MEASUREMENTS: Demographic data, including age, sex, race, and endoscopic procedures. Assessments one week after the procedure included anxiety, satisfaction, recall of endoscopic findings and recommendations, and compliance. DESIGN: A prospective, randomized, single-center, investigator-blinded study. Anxiety was measured by using the Beck Anxiety Inventory; satisfaction was measured with a modified American Society for Gastrointestinal Endoscopy survey, which was validated as part of this study, and recall and compliance was measured by a patient interview, during which responses were compared with the original endoscopy report. SETTING AND PATIENTS: Single university outpatient endoscopy laboratory. Between June and September 2005, 115 patients were randomized, and 83 completed this protocol. RESULTS: The two groups were equally matched, except the intervention group (received report) was older (54.4 vs 50.7 years; P = .037). Receipt of an endoscopy report reduced postprocedure anxiety (P = .001) and improved recall of findings and recommendations (P = .001 for both). Satisfaction was very high for all patients and was unaffected by receipt of a report. Patients older than 60 years had significantly lower satisfaction scores by approximately 6 points (P = .004). Some subcategories of compliance were significantly better in the intervention group, but there was no effect on the number of patients who complied with all recommendations. LIMITATION: Small number of patients. CONCLUSIONS: The receipt of an endoscopy report at discharge reduces postprocedure anxiety, improves recall of findings and recommendations, and may increase compliance. This inexpensive and safe practice should be routinely adopted. PMID- 18155432 TI - A new device to simplify flexible endoscopic treatment of Zenker's diverticulum. AB - BACKGROUND: Endoscopic treatment of a Zenker's diverticulum (ZD) is challenged by maintaining a stable position and visual field. An oblique transparent cap and an overtube have been used with success. The porcine hypopharyngeal pouch is similar to a ZD. While using the widespread EMR device (WEMR) in the esophagus, we realized that the design may be advantageous for treatment of a ZD. OBJECTIVE: To use the WEMR cap device to incise the porcine hypopharyngeal pouch septum. DESIGN: WEMR cap incision of the porcine hypopharyngeal pouch septum. SETTINGS: Animal laboratory. INTERVENTIONS/METHODS: Six female domestic pigs underwent endoscopy with the prototype WEMR cap. The cutting wire incised the hypopharyngeal-esophageal septum. Three pigs were immediately euthanized and underwent neck dissection. Three pigs were keep alive for 3 weeks and then underwent excisional neck dissection. RESULTS: The procedure was technically easy. The average time was 10 minutes. Limited bleeding occurred by using cutting current and was eliminated by blended current. The entire septum could be incised with the cap edges working as a stopper, until the septum almost completely disappeared. No overt complications occurred. A follow-up endoscopy showed a small residual septum and scar. A barium swallow revealed no pouch, with ready passage into the esophageal lumen. CONCLUSIONS: The WEMR wire-cutting cap can incise the hypopharyngeal septum in an animal model simulating ZD. This device has the advantage of providing a stable position throughout the procedure and a protective rim that controls the incision. The device facilitates this procedure. PMID- 18155433 TI - Quality in endoscopy: it starts during fellowship. PMID- 18155434 TI - Exploring the use of the sham design for interventional trials: implications for endoscopic research. PMID- 18155435 TI - Peroral cholecystoscopy with electrohydraulic lithotripsy for treatment of symptomatic cholelithiasis in end-stage liver disease (with videos). AB - BACKGROUND: Patients with end-stage liver disease have an increased risk of symptomatic gallstone disease, as well as complications associated with cholecystectomy. We hypothesized that peroral transpapillary cholecystoscopy with electrohydraulic lithotripsy of gallbladder stones is technically feasible and beneficial in patients who are high operative risks. DESIGN: Observational, descriptive. PATIENTS: Patients with Child's class C cirrhosis and with gallstone symptoms who were awaiting liver transplantation. INTERVENTIONS: Gallbladder stenting, dilation of the cystic duct, cholecystoscopy, electrohydraulic lithotripsy, ursodiol therapy. MAIN OUTCOME MEASUREMENTS: Gallbladder access and visualization, stone clearance, symptom relief, and complications. RESULTS: The gallbladder wall and stones were adequately visualized. Electrohydraulic lithotripsy achieved stone clearance after two sessions. Mild postprocedure pancreatitis occurred after the first treatment. The patient remained symptom free, stent free, and stone free until a liver transplantation, which was performed 25 months later. LIMITATIONS: Proof of concept performed in a single patient. CONCLUSIONS: Peroral transpapillary cholecystoscopy is technically feasible. Electrohydraulic lithotripsy of gallbladder stones under direct vision can achieve stone clearance. Patients with cirrhosis who are awaiting transplantation and other high-risk surgical candidates with symptomatic gallstone disease may benefit from this treatment option. Studies to assess the efficacy and safety of this novel technique are needed before routine clinical use can be recommended. PMID- 18155436 TI - EUS-guided drainage of bilomas: a new alternative? AB - BACKGROUND: Bilomas have traditionally been treated by either percutaneous drainage or surgery. However, percutaneous drainage is associated with discomfort and infection, whereas surgery, which is usually reserved for refractory cases, has high morbidity and mortality rates. Recently, endoscopic drainage of bilomas adjacent to the GI lumen has been reported in isolated reports. OBJECTIVE: We analyzed our 4 years' experience with this innovative technique. DESIGN: Patients with symptomatic bilomas were offered EUS-guided drainage and were followed up prospectively for clinical and radiologic responses. SETTING: Tertiary care center with long-standing experience in EUS-guided drainage. PATIENTS: A total of 5 patients underwent EUS-guided transenteric drainage of symptomatic bilomas. INTERVENTION: The technique included transenteric EUS-guided puncture, placement of a guidewire into the biloma, and creation of an enteral-biloma fistula with placement of a plastic endoprosthesis after balloon dilation. In 4 cases, the stents were removed at a mean of 6.8 +/- 4.3 weeks. In one patient with malignancy, the stent was left in place for palliation. MAIN OUTCOME MEASUREMENTS: Efficacy and safety of EUS-guided drainage of bilomas. RESULTS: EUS guided transenteric biloma drainage was successfully performed in 5 patients without any significant morbidity. Biloma resolution was confirmed in all 5 patients, and none of the 4 patients relapsed after stent removal (mean follow-up of 12.8 +/- 6.1 months). CONCLUSIONS: EUS-guided drainage of bilomas is technically feasible, appears safe, and provides an attractive alternative to percutaneous or surgical drainage. PMID- 18155437 TI - A novel perfusion imaging technique of the pancreas: contrast-enhanced harmonic EUS (with video). AB - BACKGROUND: Contrast-enhanced harmonic-imaging techniques have been unavailable for EUS because of the limited frequency bandwidth and acoustic power output of current echoendoscopes. OBJECTIVE: To investigate the contrast harmonic imaging technique by using a prototype echoendoscope equipped with an adequate broad-band transducer that can detect harmonic signals from the US contrast agents. DESIGN: Identification of optimal settings (study I) and preliminary clinical investigations (study II). SETTING: Bethesda General Hospital Bergedorf. PATIENTS: A total of 104 patients undergoing standard EUS examinations. INTERVENTIONS: Contrast-enhanced harmonic EUS (CEH-EUS) was performed by using a prototype echoendoscope and extended pure harmonic detection mode, a specific mode for contrast harmonic imaging. MAIN OUTCOME MEASUREMENTS: In study I, time intensity curves for peak signal intensity were calculated after infusion of a contrast agent, SonoVue, and the changes in echo intensity were compared for different mechanical indices and interval times. In study II, intermittent and real-time continuous images of pancreatobiliary and gastroduodenal diseases obtained by CEH-EUS were evaluated in comparison with contrast-enhanced power Doppler EUS (CED-EUS). RESULTS: In study I, with the optimal mechanical index (0.4), homogeneous parenchymal perfusion images of the pancreas were obtained by intermittent imaging, and finely branching vessels of the pancreas were obtained with real-time continuous imaging. In study II, apparent perfusion and vessel images were observed in pancreatobiliary carcinomas, GI stromal tumors, and lymph node metastases. CED-EUS failed to depict images of the fine vessels and parenchymal perfusion. LIMITATIONS: The subjective nature of the findings, with a limited number of patients. CONCLUSIONS: CEH-EUS successfully visualized parenchymal perfusion and microvasculature in the pancreas and may play an important role in the differential diagnosis of digestive diseases. PMID- 18155438 TI - A case series of symptomatic intraluminal duodenal duplication cysts: presentation, endoscopic therapy, and long-term outcome (with video). AB - BACKGROUND: Duodenal duplication cysts are rare congenital anomalies. Symptomatic cases have classically been treated by surgical resection, which can be complex because of the close proximity of the cysts to the papilla. OBJECTIVE: To describe a series of 8 patients with symptomatic duodenal duplication cysts who were treated endoscopically, with a special focus on the long-term outcome. DESIGN: Retrospective case series. SETTING: Three tertiary-care European academic hospitals. PATIENTS: Eight patients, age 8 to 72 years, were treated endoscopically for symptomatic intraluminal duodenal duplication cysts between 1981 and 2006. Seven patients presented with acute pancreatitis, and one patient presented with jaundice. INTERVENTION: Endoscopic incision and marsupialization of the cysts was performed by using a variety of endoscopic tools (needle-knife and regular sphincterotomes, cystotomes, and polypectomy snares). MAIN OUTCOME MEASUREMENTS: Technical success of endoscopic intervention and long-term clinical recurrence of symptoms. RESULTS: No major complications occurred. All patients remained asymptomatic at a median follow-up of 7.3 years. LIMITATIONS: Retrospective study; the small number of patients. CONCLUSIONS: The endoscopic treatment of symptomatic intraluminal duodenal duplication cysts is a safe and effective technique, with excellent long-term results. It represents a minimally invasive alternative to surgical resection and might be considered the preferred therapeutic modality for these cases. PMID- 18155439 TI - Endoscopic classification of vascular lesions of the small intestine (with videos). AB - BACKGROUND: Small-intestinal vascular lesions observed by endoscopy vary in appearance. Angioectasia is a venous lesion that requires cauterization; a Dieulafoy's lesion and arteriovenous malformation may cause arterial bleeding, which requires clipping or laparotomy. For selection of the appropriate treatment, it is necessary to distinguish between venous and arterial lesions. PATIENTS AND METHODS: We classified these lesions into the following 6 groups: type 1a, punctulate erythema (< 1 mm), with or without oozing; type 1b, patchy erythema (a few mm), with or without oozing; type 2a, punctulate lesions (< 1 mm), with pulsatile bleeding; type 2b, pulsatile red protrusion, without surrounding venous dilatation; type 3, pulsatile red protrusion, with surrounding venous dilatation; type 4, other lesions not classified into any of the above categories. Types 1a and 1b are considered angioectasias. Types 2a and 2b are Dieulafoy's lesions. Type 3 represents an arteriovenous malformation. Type 4 is unclassifiable. Three endoscopists independently reviewed images and video to classify 102 vascular lesions into the above types. The rate of concordance among the 3 endoscopists was calculated. RESULTS: Eighty-four lesions (82%) were classified into the same type by all of 3 endoscopists. The mean kappa value (standard deviation) for the concordance was 0.72 +/- 0.07, which confirmed substantial interobserver concordance. LIMITATIONS: This classification is applicable only to endoscopic findings. It was desirable to correlate the histopathologic findings with endoscopic observations. CONCLUSIONS: This classification will be useful for selecting the hemostatic procedure and outcome studies. PMID- 18155440 TI - Endoscopic band ligation for cardiac variceal bleeding: safe or fatal? PMID- 18155441 TI - What is the most effective way to communicate results after endoscopy? PMID- 18155442 TI - Somatostatin bolus injection for post-ERCP pancreatitis prevention: a need for further study. PMID- 18155444 TI - Endoscopic snare resection of papillary-type early bile duct cancers. PMID- 18155445 TI - Relative influences of adjunctive topiramate and adjunctive lamotrigine on scanning and the effective field of view. AB - A subsample of 67 adult patients with partial seizures participating in a randomized, double-blind study comparing the cognitive effects of adjunctive lamotrigine (LTG) and adjunctive topiramate (TPM) was administered Performance On Line (POL) in addition to a battery of neuropsychological tests at baseline, week 8 and week 16 of treatment. The POL is a self-administered computer task that measures scanning, divided-attention, and the effective field of view. Although the POL does not measure driving performance, POL scores are correlated with driving performance. The results show that adjunctive TPM, but not adjunctive LTG, negatively impacted cognition. Both simple target identification and divided attention performance on POL were compromised in the TPM group but not in the LTG group. The relative POL impairment associated with chronic TPM treatment was similar to that observed with the acute effects of alcohol with a breath level of .045% or a low dose of alprazolam (0.5mg). Thus, driving-related visual and cognitive skills were compromised by adjunctive TPM treatment. Therapeutic doses of adjunctive TPM pose a potential risk of impaired scanning and divided attention skills. PMID- 18155446 TI - Automatization and working memory capacity in schizophrenia. AB - Working memory (WM) dysfunction in schizophrenia is characterized by inefficient WM recruitment and reduced capacity, but it is not yet clear how these relate to one another. In controls practice of certain cognitive tasks induces automatization, which is associated with reduced WM recruitment and increased capacity of concurrent task performance. We therefore investigated whether inefficient function and reduced capacity in schizophrenia was associated with a failure in automatization. FMRI data was acquired with a verbal WM task with novel and practiced stimuli in 18 schizophrenia patients and 18 controls. Participants performed a dual-task outside the scanner to test WM capacity. Patients showed intact performance on the WM task, which was paralleled by excessive WM activity. Practice improved performance and reduced WM activity in both groups. The difference in WM activity after practice predicted performance cost in controls but not in patients. In addition, patients showed disproportionately poor dual-task performance compared to controls, especially when processing information that required continuous adjustment in WM. Our findings support the notion of inefficient WM function and reduced capacity in schizophrenia. This was not related to a failure in automatization, but was evident when processing continuously changing information. This suggests that inefficient WM function and reduced capacity may be related to an inability to process information requiring frequent updating. PMID- 18155447 TI - Impaired theory of mind in first-episode schizophrenia: comparison with community, university and depressed controls. AB - First order theory of mind, as measured by the 'Reading the Mind in the Eyes Test' Revised, is impaired in schizophrenia. However, no study has investigated whether this occurs in first-episode schizophrenia. Also, it is unclear whether such a deficit is specific to schizophrenia, and whether convenience control samples, particularly undergraduate university students, represent valid comparison groups. This study investigated theory of mind ability, measured by the 'Reading the Mind in the Eyes Test' Revised, in a group of first-episode schizophrenia outpatients (n=13) and three control groups: outpatients with non psychotic major depression (n=14), individuals from the general community (n=16) and from an undergraduate university course (n=27). The schizophrenia group exhibited significant theory of mind impairments compared to both non-psychiatric control groups but not the depression group. Unexpectedly, the depression group was not significantly impaired compared to the community control group, and the university control group exhibited superior theory of mind ability relative to all three groups. The findings indicate theory of mind deficits in first episode schizophrenia and support the implementation of theory of mind interventions in first-episode schizophrenia treatment programs. Results also indicate that community rather than university control groups represent more valid comparison groups in first-episode schizophrenia research. PMID- 18155448 TI - Effects of acute metabolic stress on the dopaminergic and pituitary-adrenal axis activity in patients with schizophrenia, their unaffected siblings and controls. AB - A genetically mediated abnormal sensitivity to stress is thought to play a role in the onset, exacerbation and relapse of schizophrenia. In a double blind, placebo-controlled crossover study, peak increases in plasma ACTH (Delta ACTH) and homovanillic-acid, a dopamine metabolite, (Delta HVA) following exposure to a metabolic stressor(2DG) were studied in unaffected siblings of patients with schizophrenia (n=15), their patient relatives (n=15) and healthy controls (n=14). Siblings showed a stress response (both Delta ACTH and Delta HVA) that was significantly greater compared to controls and significantly less pronounced compared to patients. The results suggest that the genetic risk for schizophrenia may be characterized by an enhanced sensitivity to stress. PMID- 18155449 TI - Cell wall deficiency and its effect on methicillin heteroresistance in Staphylococcus aureus. AB - Clinical strains of Staphylococcus aureus with different phenotypic methicillin susceptibility characteristics, bearing or lacking the mecA gene, were tested for their ability to transform into a cell wall-deficient state under special conditions of cultivation. Conversion to L-form growth with formation of typical L-form 'fried egg' colonies and expression of oxacillin resistance was observed in sensitive (mecA-negative) and heteroresistant (mecA-positive) strains. Transmission electron microscopy observation of these strains revealed pleomorphic populations of cell wall-deficient cells with ultrastructure morphology similar to that of a control stable L-form strain of S. aureus. The results demonstrate that expression of phenotypic methicillin resistance could be associated with cell wall deficiency in S. aureus strains and could underlie the phenomenon of heteroresistance. PMID- 18155450 TI - Effect of chain length on binding of fatty acids to Pluronics in microemulsions. AB - We investigated the effect of fatty acid chain length on the binding capacity of drug and fatty acid to Pluronic F127-based microemulsions. This was accomplished by using turbidity experiments. Pluronic-based oil-in-water microemulsions of various compositions were synthesized and titrated to turbidity with concentrated Amitriptyline, an antidepressant drug. Sodium salts of C(8), C(10), or C(12) fatty acid were used in preparation of the microemulsion and the corresponding binding capacities were observed. It has been previously determined that, for microemulsions prepared with sodium caprylate (C(8) fatty acid soap), a maximum of 11 fatty acid molecules bind to the microemulsion per 1 molecule of Pluronic F127 and a maximum of 12 molecules of Amitriptyline bind per molecule of F127. We have found that with increasing the chain length of the fatty acid salt component of the microemulsion, the binding capacity of both the fatty acid and the Amitriptyline to the microemulsion decreases. For sodium salts of C(8), C(10) and C(12) fatty acids, respectively, a maximum of approximately 11, 8.4 and 8.3 molecules of fatty acid molecules bind to 1 Pluronic F127 molecule. We propose that this is due to the decreasing number of free monomers with increasing chain length. As chain length increases, the critical micelle concentration (cmc) decreases, thus leading to fewer monomers. Pluronics are symmetric tri-block copolymers consisting of propylene oxide (PO) and ethylene oxide (EO). The polypropylene oxide block, PPO is sandwiched between two polyethylene oxide (PEO) blocks. The PEO blocks are hydrophilic while PPO is hydrophobic portion in the Pluronic molecule. Due to this structure, we propose that the fatty acid molecules that are in monomeric form most effectively diffuse between the PEO "tails" and bind to the hydrophobic PPO groups. PMID- 18155451 TI - Self-assembled monolayers: solidification of carbamazepine in Form II at an interface. AB - A self-assembled monolayer incorporating well-spaced biphenyl moieties initiates solidification of carbamazepine at its interface. A detailed analysis of the resulting crystals using X-ray powder diffraction, FTIR-ATR as well as thermomicroscopy, indicates a preference for its crystallization in trigonal (Form II) polymorph. PMID- 18155452 TI - [Poor adherence in chronic conditions during adolescence: understand in order to act]. AB - Poor adherence is a concern for every health professionals taking care of chronic conditions patients. That kind of trouble appears especially during adolescence for various reasons we need to understand: rebellion, consciousness of disease, depression... Parents must be included in this analysis, because they are very concerned by the illness experience of their children, from the announcement until the autonomy. The medical staff also deals with this process. There are many solutions, often complex (medical, educative, psychosocial) to improve adherence, but their effectiveness is hard to show on a long-term basis. We describe in this article the holding of young patients during adolescence and the adjustements in order to help them accomplishing their usual adolescent development and the needs of life with chronic disease. PMID- 18155453 TI - Mid-term outcome of positron emission tomography/computed tomography-assisted radiofrequency ablation in primary and secondary liver tumours--a single-centre experience. AB - AIMS: To determine the mid-term results of percutaneous radiofrequency ablation (RFA) of malignant liver tumours when using FDG-positron emission tomography (FDG PET)/computed tomography for tumour evaluation and follow-up. MATERIALS AND METHODS: Between January 2002 and June 2006, 55 patients (mean age 63 years) with 78 liver lesions (39 colorectal metastases, 39 hepatocellular carcinoma [HCC] nodules) were treated with RFA. All patients received PET/computed tomography before intervention. RFA was performed under computed tomography guidance with conscious sedation. Post-interventional PET/computed tomography was carried out in PET-positive patients 24h after the ablation and was repeated at 1, 3 and 6 months and every 6 months after the intervention. PET-negative patients received contrast-enhanced computed tomography at the same time points. The rate of local tumour progression (LTP) and survival rates were assessed for the whole patient population. RESULTS: The 78 lesions (mean size 2.3 cm, range 0.8-5 cm) were treated with 101 consecutive ablation procedures resulting in a technical success rate of 96%. The mean time of follow-up was 25+/-12 months. Thirty-five of 78 tumours (45%) developed LTP. At the end of follow-up, LTP was found in 22 patients (40%), with intra- and extrahepatic recurrence in 11 patients. Twenty two patients remained free of hepatic tumours. The 1-, 2- and 3-year survival rates were 85, 74 and 58%, respectively. Tumour entity, lesion size and localisation were significant risk factors for LTP. CONCLUSIONS: Computed tomography-guided RFA of malignant liver tumours is effective, but shows a high rate of LTP. PET/computed tomography supports RFA by early identification of residual tumour or LTP. PMID- 18155454 TI - Efficacy of combination chemotherapy with irinotecan (CPT-11) plus capecitabine in patients with metastatic or advanced colorectal carcinoma--a dual-centre phase II study: the MAC-6. AB - AIMS: A phase II trial was initiated to evaluate the efficacy and toxicity of combination chemotherapy with irinotecan (CPT-11) plus capecitabine in patients with metastatic colorectal cancer. PATIENTS AND METHODS: Patients received a combination of CPT-11 plus capecitabine. CPT-11 was infused intravenously on day 1 every 2 weeks and oral capecitabine was taken twice daily for 5 days every 7 days. Efficacy and toxicities were assessed. RESULTS: Between 2004 and 2005, 43 patients were enrolled. The overall response rate was 51.35%. With a median follow-up of 13 months, the median time to progression was 10 months (95% confidence interval 7.6-12.3 months); the median survival was 15 months (95% confidence interval 13.9-16.9 months). The most common grade 3 haematological and non-haematological toxicities were neutropenia (5.4%), diarrhoea (8.1%) and hand foot syndrome (2.7%). CONCLUSIONS: CPT-11 plus capecitabine with a 14 day cycle showed a comparable response with international phase II data with a 3 weekly regimen and was well tolerated as a first-line palliative chemotherapy in patients with metastatic colorectal cancer. The data should be interpreted with caution due to the limited sample size and should be further confirmed by a phase III randomised trial. PMID- 18155456 TI - Autofluorescent proteins. AB - Autofluorescent proteins (AFPs) have revolutionized molecular cell biology, and applications continue to harness the power of these genetically encoded fluorescent tags. Here, we review the discovery and physical properties of AFPs as well as their development through mutational optimization for several functional parameters. A practical guide to selection and use of major AFPs is provided as well as an overview of techniques for experimental applications. PMID- 18155457 TI - Functional fusion proteins by random transposon-based GFP insertion. AB - Fusions with fluorescent proteins are usually created by fusing the ends of two coding sequences. Appending the coding region of a fluorescent protein to the N- or C-terminus of another protein is typically the easiest way of creating a functional, fluorescent fusion protein. Another strategy involves placing the fluorescent protein in the middle of another protein. Such sandwich fusions are feasible, and there are many reasons for creating these fusion proteins. For example, sandwich fusions can be used to place two fluorescent proteins close to one another for optimization of a biosensor based on fluorescence resonance energy transfer, or they can be used to place the fluorescent protein in a region that moves during conformational changes of the host protein. Designing a sandwich fusion that produces a functional, fluorescent fusion protein is often challenging. This protocol describes an alternative approach. A simple, in vitro, transposon reaction is used to randomly insert the sequence encoding a fluorescent fusion protein into a target protein. This random labeling strategy makes it possible to create a small library of sandwich fusion proteins that can then be screened for activity. The approach makes it possible to test many possible solutions to the complex problem of building new biosensors. PMID- 18155458 TI - Fluorescent proteins for photoactivation experiments. AB - The discoveries, improvements, and alterations of fluorescent protein (FP) variants are having a profound impact on the ability of investigators to observe and quantify the behavior of proteins within cells and organisms. Among the most promising of FPs are photoactivatable fluorescent proteins (PA-FPs). Invisible at the imaging wavelength until activated by irradiation at a different wavelength, PA-FPs allow the controlled highlighting of distinct molecular populations within the cell. This chapter introduces the different types of PA-FPs and discusses their use for monitoring protein movement, protein turnover, protein interactions, and high-resolution protein localization. PMID- 18155459 TI - Design and optimization of genetically encoded fluorescent biosensors: GTPase biosensors. AB - This chapter details the design and optimization of biosensors based on a design used successfully to study nucleotide loading of small GTPase proteins in living cells. This design can be generalized to study many other protein activities, using a single, genetically encoded chain incorporating the protein to be studied, an "affinity reagent" which binds only to the activated form of the targeted protein, and mutants of the green fluorescent protein (GFP) that undergo fluorescence resonance energy transfer (FRET). Specific topics include procedures and caveats in the design and cloning of single-chain FRET sensors, in vitro and in vivo validation, expression in living cell systems for biological studies, and some general considerations in quantitative fluorescence imaging. PMID- 18155460 TI - Fast 4D Microscopy. AB - Many cellular processes involve fast movements of weakly labeled cellular structures in all directions, which should be recorded in 3D time-lapse microscopy (4D microscopy). This chapter introduces fast 4D imaging, which is used for sampling the cell's volume by collecting focal planes in time-lapse mode as rapidly as possible, without perturbing the sample by strong illumination. The final images should contain sufficient contrast allowing for the isolation of structures of interest by segmentation and the analysis of their intracellular movements by tracking. Because they are the most sensitive, systems using wide field microscopy and deconvolution techniques are discussed in greater depth. We discuss important points to consider, including system components and multifunctionality, spatial resolution and sampling conditions, and mechanical and optical stability and how to test for it. We consider image formation using high numerical aperture optics and discuss the influence of optical blur and noise on image formation of living cells. Spherical aberrations, their consequences for axial image quality, and their impact on the success of deconvolution of low intensity image stacks are explained in detail. Simple protocols for acquiring and treating point spread functions (PSFs) and live cells are provided. A compromise for counteracting spherical aberration involving the use of a kit of immersion oils for PSF and cell acquisition is illustrated. Recommendations for evaluating acquisition conditions and deconvolution parameters are given. Finally, we discuss future developments based on the use of adaptive optics which will push back many of today's limits. PMID- 18155461 TI - Single-molecule imaging of fluorescent proteins. AB - Single molecule imaging techniques overcome the averaging effects inherent in ensemble measurements and enable characterization of the enormous heterogeneity that exists in biomolecular systems. Though long the domain of a few highly specialized labs, optical imaging of single molecules in living cells is becoming a widely accessible technique. The development of commercially available microscopes, robust analysis tools, and sensitive, low-noise detectors has contributed to this dissemination, as has the ever-growing array of fluorescent proteins. The relative ease with which genetically-tagged proteins can be created and introduced into a cell has largely eliminated more cumbersome and less precise means of particle labeling. A number of special considerations apply when using genetically encoded fluorophores for single molecule experiments, however. We discuss the means by which fluorescent proteins can be transfected into living cells to obtain the low particle densities required for single molecule imaging, and consider the limitations that are placed on single molecule analysis by the fluorophore's photophysical properties. We also discuss the types of morphology and subcellular localization that make certain preparations more amenable to single particle imaging than others. Last, we discuss some common pitfalls involved in analyzing single molecule datasets, and consider some of the unique information that can be obtained using these techniques. PMID- 18155462 TI - Counting kinetochore protein numbers in budding yeast using genetically encoded fluorescent proteins. AB - Genetically encoded fluorescent proteins are an essential tool in cell biology, widely used for investigating cellular processes with molecular specificity. Direct uses of fluorescent proteins include studies of the in vivo cellular localization and dynamics of a protein, as well as measurement of its in vivo concentration. In this chapter, we focus on the use of genetically encoded fluorescent protein as an accurate reporter of in vivo protein numbers. Using the challenge of counting the number of copies of kinetochore proteins in budding yeast as a case study, we discuss the basic considerations in developing a technique for the accurate evaluation of intracellular fluorescence signal. This discussion includes criteria for the selection of a fluorescent protein with optimal characteristics, selection of microscope and image acquisition system components, the design of a fluorescence signal quantification technique, and possible sources of measurement errors. We also include a brief survey of available calibration standards for converting the fluorescence measurements into a number of molecules, since the availability of such a standard usually determines the design of the signal measurement technique as well as the accuracy of final measurements. Finally, we show that, as in the case of budding yeast kinetochore proteins, the in vivo intracellular protein numbers determined from fluorescence measurements can also be employed to elucidate details of cellular structures. PMID- 18155463 TI - Fluorescent protein applications in plants. AB - Study of plant cell biology has benefited tremendously from the use of fluorescent proteins (FPs). Development of well-established techniques in genetics, by transient expression or by Agrobacterium-mediated plant cell transformation, makes it possible to readily create material for imaging molecules tagged with FPs. Confocal microscopy of FPs is routine and, in highly scattering tissues, multiphoton microscopy improves deep imaging. The abundance of autofluorescent compounds in plants in some cases potentially interferes with FP signals, but spectral imaging is an effective tool in unmixing overlapping signals. This approach allows separate detection of DsRed and chlorophyll, DsRed and GFP, and green fluorescent protein (GFP) and yellow fluorescent protein (YFP). FPs have been targeted to most plant organelles. Free (untargeted) FPs in plant cells are not only cytoplasmic, but also go into the nucleus due to their small size. FP fluorescence is potentially unstable in acidic vacuoles. FPs have been targeted to novel compartments, including protein storage vacuoles in seeds. Endoplasmic reticulum (ER)-targeted GFP has identified novel inclusion bodies that are surprisingly dynamic. FP-tagged Rab GTPases have allowed documentation of the dynamics of membrane trafficking. Investigation of virus infections has progressed significantly with the aid of FP-tagged virus proteins. Advanced techniques are giving plant scientists the ability to quantitatively analyze the behavior of FP-tagged proteins. Fluorescence lifetime microscopy is becoming the method of choice for fluorescence resonance energy transfer (FRET) analysis of FP tagged proteins. Fluorescence correlation spectroscopy (FCS) of FPs provides information on molecular diffusion and intermolecular interactions. Use of FPs in elucidating the behavior of plant cells has a bright future. PMID- 18155464 TI - Expression and imaging of fluorescent proteins in the C. elegans gonad and early embryo. AB - The Caenorhabditis elegans gonad and early embryo have recently emerged as an attractive metazoan model system for studying cell and developmental biology. The success of this system is attributable to the stereotypical architecture and reproducible cell divisions of the gonad/early embryo, coupled with penetrant RNAi-mediated protein depletion. These features have facilitated the development of visual assays with high spatiotemporal resolution to monitor specific subcellular processes. Assay development has relied heavily on the emergence of methods to circumvent germline silencing to allow the expression of transgenes encoding fluorescent fusion proteins. In this chapter, we discuss methods for the expression and imaging of fluorescent proteins in the C. elegans germline, including the design of transgenes for optimal expression, the generation of transgenic worm lines by ballistic bombardment, the construction of multimarker lines by mating, and methods for live imaging of the gonad and early embryo. PMID- 18155465 TI - Fluorescent proteins in zebrafish cell and developmental biology. AB - The zebrafish is a compelling vertebrate model for understanding cellular processes in the context of the developing embryo and for analysis of cellular defects that lead to diseases such as cancer. Major advances in fluorescent protein technology have been, and will continue to be, combined with novel experimental strategies to explore these biological phenomena. Furthermore, fluorescent proteins can be used in the design of forward genetic and chemical modifier screens of ever increasing sophistication. Here I review three noteworthy applications of fluorescent proteins in zebrafish: (1) analysis of kinesin motor function in the cleaving zebrafish embryo, (2) determination of the roles of semaphorins in axonal guidance, and (3) creation of transgenic models of leukemia and other cancers. PMID- 18155466 TI - Identifying and quantitating neural stem and progenitor cells in the adult brain. AB - Adult brain contains neural stem and progenitor cells that are capable of generating new neurons. Active continuous neurogenesis is limited to the subventricular zone of the lateral ventricles and the subgranular zone of the hippocampal dentate gyrus. Newborn neurons gradually become fully functional and integrated into the existing circuitry of the olfactory bulb and the hippocampus. Transition from stem cells to fully differentiation neurons, the neuronal differentiation cascade, occurs through defined steps, and different classes of neuronal precursors can be distinguished by their morphology, expressed markers, and mitotic activity. Cells in these classes can be identified by immunophenotyping, labeling with thymidine analogues, and infection with retro- and lentiviral vectors. We here describe a transgenic approach that allows identification, in vivo visualization, isolation, and accurate enumeration of various classes of stem and progenitor cells in the adult brain. We generated a series of reporter mouse lines in which neural stem and progenitor cells express various fluorescent proteins (GFP, CFPnuc, H2B-GFP, DsRedTimer, and mCherry) under the control of the regulatory elements of the nestin gene. Using these lines, we were able to dissect the neuronal differentiation cascade into several discrete steps and to evaluate the changes induced by various neurogenic and antineurogenic stimuli. In particular, nuclear localization of the fluorescent signal in nestin-CFPnuc mice greatly simplifies the distribution pattern of neural stem and progenitor cells and allows accurate quantitation of changes induced by neurogenic agents in distinct classes of neuronal precursors. We present protocols for applying confocal microscopy, stereology, and electron microscopy to evaluate changes in the neurogenic compartments of the adult brain. PMID- 18155467 TI - Using fluorescent proteins to study mRNA trafficking in living cells. AB - This chapter presents the MS2-GFP system, a method to study the trafficking of RNA molecules in living cells. This system is based on two components: a fusion of the MS2 coat protein to a fluorescent protein and a reporter mRNA containing multimers of the RNA stem-loop recognized by the MS2 coat protein. The MS2-GFP protein bound to the RNA stem-loops acts as a beacon that allows the detection of this mRNA within a cell by epifluorescence or confocal microscopy. This chapter focuses on the use of this system in mammalian fibroblast cells and in yeast cells, and discusses several technical considerations of the MS2-GFP system. Detailed protocols for validating the MS2-GFP signal in fixed cells by fluorescent in situ hybridization of the target RNA using fluorophore-labeled oligonucleotide probes are also provided. PMID- 18155468 TI - Visualizing mRNA localization and local protein translation in neurons. AB - Fluorescent proteins (FPs) have been successfully used to study the localization and interactions of proteins in living cells. They have also been instrumental in analyzing the proteins involved in the localization of RNAs in different cell types, including neurons. With the development of methods that also tag RNAs via fluorescent proteins, researchers now have a powerful tool to covisualize RNAs and associated proteins in living neurons. Here, we review the current status of the use of FPs in the study of transport and localization of ribonucleoprotein particles (RNPs) in neurons and provide key protocols used to introduce transgenes into cultured neurons, including calcium-phosphate-based transfection and nucleofection. These methods allow the fast and efficient expression of fluorescently tagged fusion proteins in neurons at different stages of differentiation and form the basis for fluorescent protein-based live cell imaging in neuronal cultures. Additional protocols are given that allow the simultaneous visualization of RNP proteins and cargo RNAs in living neurons and aspects of the visualization of fluorescently tagged proteins in neurons, such as colocalization studies, are discussed. Finally, we review approaches to visualize the local synthesis of proteins in distal dendrites and axons. PMID- 18155469 TI - Quantitative FRAP in analysis of molecular binding dynamics in vivo. AB - Fluorescence recovery after photobleaching (FRAP) reveals the dynamics of fluorescently tagged molecules within live cells. These molecular dynamics are governed by diffusion of the molecule and its in vivo binding interactions. As a result, quantitative estimates of the association and dissociation rates of binding can be extracted from the FRAP. This chapter describes a systematic procedure to acquire the FRAP data, and then fit it with appropriate mathematical models to estimate in vivo association and dissociation rates of binding. Also discussed are the applicability and limitations of the models, the utility of the estimated parameters, and the prospects for increased accuracy and confidence in the estimates. PMID- 18155470 TI - Quantitative and qualitative analysis of plant membrane traffic using fluorescent proteins. AB - Fluorescent proteins have had a great impact on the way in which plant membrane traffic is studied. Here we review the uses to which these molecules have been put in this field of research and discuss the advantages and pitfalls of particular fluorescent protein derivatives in various applications and plant species. We discuss in detail the need for quantitative estimates of expression level and the potential of fluorescent proteins for quantitative assays of biosynthetic membrane traffic. Detailed descriptions and protocols are provided for the use of the newly developed 2A-based ratiometric polyprotein probes of membrane traffic in conjunction with semiautomated image analysis software packages for quantitative analyses. The ratiometric probes and software are available from the authors. PMID- 18155471 TI - Engineering FRET constructs using CFP and YFP. AB - Fluorescence resonance energy transfer (FRET) technology has been used to develop genetically encoded fluorescent indicators for various cellular functions. Here we discuss how to engineer constructs for FRET between the cyan- and yellow emitting variants of green fluorescent protein (GFP) from Aequorea victoria (CFP and YFP, respectively). Throughout this chapter, we stress the fact that FRET is highly sensitive to the relative orientation and distance between the donor and the acceptor. The chapter consists of two parts. First, we discuss FRET-based indicators encoded by single genes, which were developed in our laboratory. In this approach, a number of different constructs can be made for a comparative assessment of their FRET efficiencies. For example, the length and sequence of the linker between the fluorescent protein and the host protein should be optimized for each specific application. In the second part, we describe the use of long and flexible linkers for engineering FRET constructs, including an introduction to a general and efficient tool for making successful fusion proteins with long and flexible linkers. When CFP and YFP are fused through floppy linkers to two protein domains that interact with each other, the two fluorescent proteins will associate due to the weak dimerization propensity of Aequorea GFP, which results in moderate FRET. This approach has become even more powerful due to the construction of a new pair of fluorescent proteins for FRET: CyPet and YPet. PMID- 18155472 TI - Fluorescence anisotropy imaging microscopy for homo-FRET in living cells. AB - In this chapter, we present the basic physical principles of the fluorescence anisotropy imaging microscopy (FAIM) and its application to study FP-tagged protein dynamics and interaction in live cells. The Forster mechanism of electronic energy transfer can occur between like chromophores (homo-fluorescence resonance energy transfer, homo-FRET) inducing fluorescence depolarization and can be monitored by fluorescence anisotropy. The energy transfer rate is fast compared to the rotational time of proteins, and therefore its detection as a fast depolarization process in the fluorescence anisotropy can be easily discriminated from rotational motion. Quantitative analysis of fluorescence anisotropy decays provides information on structural parameters: distance between the two interacting chromophores and spatial orientation between the chromophores within dimeric proteins. Fluorescence anisotropy decay is not easy to measure in living cells under the microscope and the instrumentations are necessarily sophisticated. In contrast, any type of microscope can be used to measure the steady-state anisotropy. Interestingly, two-photon excitation steady-state FAIM is a powerful tool for qualitative analysis of macromolecule interactions in living cells and can be used easily for time-lapse homo-FRET. PMID- 18155473 TI - FRET by fluorescence polarization microscopy. AB - The widespread success in using genetically encoded fluorescent proteins (FPs) to track protein motion in living cells has led to extensive interest in measuring Forster resonance energy transfer (FRET) between two FPs of different colors. FRET occurs over distances less than 10-nm and can thus be used to detect protein protein interactions and changes in protein conformation. However, FP-FRET measurements are complicated by the spectral properties of FPs. Consequently, extensive correction or photo-destructive approaches have been used to detect the presence of FRET. Since these methods limit the temporal and spatial resolution of FRET measurements, they are not well suited for many live-cell imaging applications. Here, we describe an alternative approach to detect FP-FRET by measuring fluorescence anisotropies (AFRET). Since FPs are large in size, excitation of FPs with polarized light results in highly polarized emission. In this case, FRET to a second FP that lies outside the photoselection plane will depolarize the fluorescence. This method provides high contrast and unambiguous indication of FRET using a simple image collection strategy that can be easily adapted to any modality including widefield and laser scanning approaches. In this chapter, we will discuss the theory behind AFRET imaging, calculation of FP anisotropies using fluorescent microscopes, and configuration of microscopes for AFRET experiments. PMID- 18155475 TI - Protein-protein interactions determined by fluorescence correlation spectroscopy. AB - Fluorescence correlation spectroscopy (FCS) is an emerging technique where the interaction between biomolecules is detected through their correlated motion. It offers the advantage of high (single-molecule) sensitivity; independence of molecular orientation or distance; and simultaneous measurement of molecular interactions, concentrations, and mobilities. Here we introduce the principle of the technique and review some recent examples from the literature where FCS has been used with autofluorescent proteins for measuring protein-protein interactions and mobilities in living cells. PMID- 18155474 TI - Bimolecular fluorescence complementation: visualization of molecular interactions in living cells. AB - A variety of experimental methods have been developed for the analysis of protein interactions. The majority of these methods either require disruption of the cells to detect molecular interactions or rely on indirect detection of the protein interaction. The bimolecular fluorescence complementation (BiFC) assay provides a direct approach for the visualization of molecular interactions in living cells and organisms. The BiFC approach is based on the facilitated association between two fragments of a fluorescent protein when the fragments are brought together by an interaction between proteins fused to the fragments. The BiFC approach has been used for visualization of interactions among a variety of structurally diverse interaction partners in many different cell types. It enables detection of transient complexes as well as complexes formed by a subpopulation of the interaction partners. It is essential to include negative controls in each experiment in which the interface between the interaction partners has been mutated or deleted. The BiFC assay has been adapted for simultaneous visualization of multiple protein complexes in the same cell and the competition for shared interaction partners. A ubiquitin-mediated fluorescence complementation assay has also been developed for visualization of the covalent modification of proteins by ubiquitin family peptides. These fluorescence complementation assays have a great potential to illuminate a variety of biological interactions in the future. PMID- 18155476 TI - Recent advances on in vivo imaging with fluorescent proteins. AB - In vivo imaging with green fluorescent protein (GFP) and other fluorescent proteins is revolutionizing cancer biology and other fields of in vivo biology (Hoffman, 2005; Hoffman and Yang, 2006a,b,c). Our laboratory pioneered the use of GFP for in vivo imaging in 1997 (Chishima et al., 1997). This chapter highlights recent developments from our laboratory on both macro and micro in vivo imaging by using fluorescent proteins. PMID- 18155477 TI - Computational processing and analysis of dynamic fluorescence image data. AB - With the many modes of live cell fluorescence imaging made possible by the rapid advances of fluorescent protein technology, researchers begin to face a new challenge: How to transform the vast amounts of unstructured image data into quantitative information for the discovery of new cell behaviors and the rigorous testing of mechanistic hypotheses? Although manual and semiautomatic computer assisted image analysis are still used extensively, the demand for more reproducible and complete image measurements of complex cellular dynamics increases the need for fully automatic computational image processing approaches for both mechanistic studies and screening applications in cell biology. This chapter provides an overview of the issues that arise with the use of computational algorithms in live cell imaging studies, with particular emphasis on the close coordination of sample preparation, image acquisition, and computational image analysis. It also aims to introduce the terminology and central concepts of computer vision to facilitate the communication between cell biologists and computer scientists in collaborative imaging projects. PMID- 18155478 TI - Automated classification of mitotic phenotypes of human cells using fluorescent proteins. AB - High-throughput screens of the gene function provide rapidly increasing amounts of data. In particular, the analysis of image data acquired in genome-wide cell phenotype screens constitutes a substantial bottleneck in the evaluation process and motivates the development of automated image analysis tools for large-scale experiments. In this chapter, we present a computational scheme to process multicell time-lapse images as they are produced in high-throughput screens. We describe an approach to automatically segment and classify cell nuclei into different mitotic phenotypes. This enables automated identification of cell cultures that show an abnormal mitotic behavior. Our scheme proves high classification accuracy, suggesting a promising future for automating the evaluation of high-throughput experiments. PMID- 18155479 TI - Open tools for storage and management of quantitative image data. AB - The explosion in quantitative imaging has driven the need to develop tools for storing, managing, analyzing, and viewing large sets of data. In this chapter, we discuss tools we have built for storing large data sets for the lifetime of a typical research project. As part of the Open Microscopy Environment (OME) Consortium, we have built a series of open-source tools that support the manipulation and visualization of large sets of complex image data. Images from a number of proprietary file formats can be imported and then accessed from a single server running in a laboratory or imaging facility. We discuss the capabilities of the OME Server, a Perl-based data management system that is designed for large-scale analysis of image data using a web browser-based user interface. In addition, we have recently released a lighter weight Java-based OME Remote Objects Server that supports remote applications for managing and viewing image data. Together these systems provide a suite of tools for large-scale quantitative imaging that is now commonly used throughout cell and developmental biology. PMID- 18155480 TI - Metabolic syndrome: its prevalence and relationship to socio-economic parameters in an Iranian population. PMID- 18155481 TI - Platelet nitric oxide production and IR: relation with obesity and hypertriglyceridemia. AB - BACKGROUND AND AIM: Three NOS isoforms are responsible for nitric oxide production in various tissues. Endothelial constitutive NOS is expressed in vascular endothelium and in platelets, contributing to vascular tone regulation and platelet aggregation. The aim of the present work was to examine eNOS polymorphism, to find a correlation with platelet NO production and degree of insulin resistance (IR) in non-diabetic subjects and in patients affected by type 2 diabetes. METHODS AND RESULTS: Seventy-one non-diabetic subjects and 37 patients affected by Type 2 diabetes were recruited. The subjects were subdivided into 3 groups as cut-off for the definition of an insulin resistant state: IR non diabetic subjects, insulin sensitive subjects, and insulin-resistant patients affected by Type 2 diabetes. Plasma glyco-metabolic parameters, platelet nitric oxide production, endothelial nitric oxide synthase (eNOS) gene polymorphism were measured in all subjects enrolled. Significant differences between groups were found in BMI, fasting glycaemia, fructosamine and HbA(1c), triglycerides and HDL cholesterol levels. Evaluating all the subjects, platelet NO production was significantly related with BMI, waist circumference, and triglycerides concentrations, thus suggesting an association between increased platelet NO production, obesity and hypertriglyceridemia, independent of the degree of insulin-resistance. CONCLUSION: The modified platelet NO synthesis does not seem to be due to eNOS Glu298Asp polymorphism, while it can be hypothesized that it is caused by an iNOS induction, present in obesity, hypertriglyceridemia and in type 2 diabetes. PMID- 18155482 TI - Evaluation of mineral trioxide aggregate and calcium hydroxide cement as pulp capping agents in human teeth. AB - This study evaluated the histomorphologic response of human dental pulps capped with mineral trioxide aggregate (MTA) and Ca(OH)2 cement (CH). Pulp exposures were performed on the occlusal floor of 40 human permanent premolars. After that, the pulp was capped either with CH or MTA and restored with composite resin. After 30 and 60 days, teeth were extracted and processed for histologic exam and categorized in a histologic score system. The data were subjected to Kruskal Wallis and Conover tests (alpha = .05). All groups performed well in terms of hard tissue bridge formation, inflammatory response, and other pulpal findings. However, a lower response of CH30 was observed for the dentin bridge formation, when compared with MTA30 and MTA60 groups. Although the pulp healing with calcium hydroxide was slower than that of MTA, both materials were successful for pulp capping in human teeth. PMID- 18155483 TI - Quantification of neural protein in extirpated tooth pulp. AB - Because the pulp tissue extirpated during root canal procedures might serve as a valuable resource with which to assess underlying mechanisms of persistent pain, we sought to determine whether standard Western blotting techniques could be used to quantify neural proteins in pulp extirpated from teeth with irreversible pulpitis. Pulp harvested from healthy intact teeth extracted for orthodontic reasons was used for comparison. The neural marker PGP9.5 was detectable in all samples tested. A membrane enrichment protocol enabled detection of even low abundance, high molecular weight proteins such as the sodium channel alpha subunit NaV1.8. Importantly, it was possible to quantify a approximately 6-fold increase in the relative density of NaV1.8 in inflamed pulp compared with control pulp. Our results suggest that it should be possible to use extirpated tooth pulp to validate mechanisms of persistent pain implicated in preclinical studies as well as evaluate the therapeutic efficacy of novel antinociceptive interventions. PMID- 18155484 TI - An evaluation of buccal infiltrations and inferior alveolar nerve blocks in pulpal anesthesia for mandibular first molars. AB - We compared the anesthetic efficacy of inferior alveolar nerve blocks (IANBs) with that of buccal infiltrations (BIs) in mandibular first molars. Using a crossover design, all subjects received a standard IANB or a BI of 1.7 mL of 4% articaine with 1:100,000 adrenaline (Septanest; Septodont, Saint-Maru-des-Fosses, France) on two appointments separated by at least 1 week. Pulpal anesthesia was determined by using an electric pulp tester. Electric pulp testing was repeated at 5, 8, 11, 15, 20, 25, and 30 minutes after the injections. Anesthesia was considered successful if the subject did not respond to the maximum output of the pulp tester at two or more consecutive time points. Fifty-four percent of the BI and 43% of the IANB were successful; the difference was not significant (p = 0.34). The onset of pulpal anesthesia was significantly faster with BI (p = 0.03). In conclusion, BI with 4% articaine for mandibular first molars can be a useful alternative for clinicians because compared with IANB it has a faster onset and a similar success rate. PMID- 18155485 TI - Profiling of radicular cyst and odontogenic keratocyst cytokine production suggests common growth mechanisms. AB - The aim of this study was to compare the cytokine expression profiles of cyst fluids (CFs) and tissue culture supernatants (SUPs) from 7 radicular cysts (RCs) and 7 odontogenic keratocysts (OKCs) by using Human Cytokine Antibody Array to identify the specific cytokines involved in formation and expansion of RCs and OKCs, respectively. There were significant differences in relative expression levels of IL-1 beta, MCP1, MIP1 beta, FGF-9, GDNF, HGF, IGFBP-3, Ang, IP-10, MIF, OPG, and TGF-beta2 between RC-CF and OKC-CF (P < .05). On the other hand, the cytokine expression patterns of RC-SUP (HGF, IL-8, NAP-2, IL-6, TIMP-1 and 2, GRO, IP-10, and Ang) were similar to those of OKC-SUP. Only the relative expression level of GRO differed between RC-SUP and OKC-SUP (P < .05). The similarities of cytokine production by tissue cultures derived from RC and OKC indicate that the expansion mechanisms of RC and OKC might involve similar biologic mechanisms other than infection. PMID- 18155486 TI - Correlation between the expression of c-Fos and osteoclasts in induced periapical lesions in rats. AB - The experiment was undertaken to observe the correlation between the expression of c-Fos and osteoclasts in experimental periapical lesions in rats. Apical periodontitis was induced in Wistar rats by occlusal exposure of the pulp of their mandibular first molars. After the exposure, 25 Wistar rats were killed on days 0, 7, 14, 21, and 28. The jaws that contained the first molar were obtained and routinely prepared for immunohistochemistry and enzyme histochemistry. A few c-Fos-positive cells and osteoclasts could be observed on day 7, and both climaxed on day 14. In the 21-day and 28-day samples, the expression of c-Fos decreased, and fewer osteoclasts could be observed. From day 7 to day 28, a significant positive correlation was found between the expression of c-Fos and osteoclasts. These findings demonstrated that c-Fos might be associated with the differentiation of osteoclasts in the periapical lesions. PMID- 18155487 TI - Wound healing process of injured pulp tissues with emdogain gel. AB - This study aimed to investigate the wound healing process of injured pulp tissues with Emdogain gel (EMD). Pulpotomy was performed for the first molars of the mandibles in rats. EMD or Vitapex (VIT)-containing calcium hydroxide was applied to the exposed pulp tissues. The treated teeth were extracted after 7, 14, and 28 days and prepared for histologic examination. In the VIT-treated group, the number of interleukin-1 beta (IL-1 beta)-expressing macrophages initially increased, followed by that of transforming growth factor-beta1 (TGF-beta1) expressing macrophages. The number of cells expressing bone morphogenetic proteins (BMPs) gradually increased with reparative dentin formation. Meanwhile, in the EMD-treated group, cells expressing IL-1 beta or TGF-beta1 were few. However, the number of BMP-expressing cells, partly macrophages, increased in the early phase, and large amounts of reparative dentin were observed. This study demonstrated that different healing processes existed for EMD and VIT. BMP expressing macrophages might play important roles in reparative dentin formation. PMID- 18155488 TI - Interferon-gamma, interleukin-10, Intercellular adhesion molecule-1, and chemokine receptor 5, but not interleukin-4, attenuate the development of periapical lesions. AB - This study examines the role of Th1 (interferon-gamma [IFN-gamma]) and Th2 (interleukin-4 [IL-4] and IL-10) cytokines, an intercellular adhesion molecule (ICAM-1), and a chemokine receptor (CCR5) in the pathogenesis of periapical lesions at different stages of development in knockout mice. For lesion induction, the first molar was opened and inoculated with 4 bacterial strains and left open to the oral environment. After 21 and 42 days, the IFN-gamma, IL-10, ICAM-1, and CCR5 knockout animals presented periapical lesions larger than those of wild-type animals. There was no statistically significant difference between periapical lesions induced in IL-4 knockout and wild-type animals during the periods evaluated. Our findings suggest an important role for IFN-gamma, IL-10, ICAM-1, and CCR5 in the pathogenesis of experimentally induced pulp infection and bone destruction as endogenous suppressor of periapical lesion development, whereas IL-4 appears to present a nonsignificant effect on periapical lesion modulation. PMID- 18155489 TI - New Portland cement-based materials for endodontics mixed with articaine solution: a study of cellular response. AB - The biocompatibility of innovative tetrasilicate cements proposed for root-end filling restorations was tested. White ProRoot-MTA and AH Plus were used as control. The new cements were mixed with a local anesthetic solution (4% articaine) to form a paste. Human osteoblast-like cells Saos-2 were challenged in short-term cultures (72 hours) with solid materials and with material extracts prepared in culture medium. Cell growth and viability, cellular attachment, and morphologic features were assessed to verify cell/material interactions. No acute toxicity was exerted by the experimental cements in the assay systems. On solid samples Saos-2 adhered and proliferated on all the experimental cements and on MTA. The ultrastructural findings revealed that Saos-2 were able to adhere and to spread. The maintenance of the osteoblastic phenotype on the innovative cements was confirmed by the alkaline phosphatase assay. All experimental cements prepared with articaine supported the growth of bone-like cells, showing suitable properties to be used as canal sealers and root-end filling materials. PMID- 18155490 TI - Analysis of mineral trioxide aggregate surface when set in the presence of fetal bovine serum. AB - Understanding the chemical and physical characteristics of set mineral trioxide aggregate (MTA) surface can provide insight into its bioactivity. The purpose of this study was to describe the surface chemistry and morphology of gray and white MTA set in the presence of fetal bovine serum (FBS). Eight MTA blocks were prepared: four set in the presence of water and four in FBS. The surface morphologic characteristics were studied via scanning electron microscopy. The surface chemical composition of the set cement was investigated by energy dispersive x-ray spectroscopy and x-ray fluorescence. No difference was found between gray and white MTA when set in the same solution. However, MTA/FBS and MTA/water present differing surface morphology and chemical distributions. When set in FBS, MTA's surface had a homogenous distribution of chemicals and a relatively smooth globular appearance. MTA/water's surface was biphasic, containing large hexagonal crystalline plates composed of calcium embedded in a pool of globular crystals. PMID- 18155491 TI - Effect of irrigants and cementum injury on diffusion of hydroxyl ions through the dentinal tubules. AB - This study measured hydroxyl ion diffusion through dentinal tubules into a bathing solution. Eighty single-canal, instrumented teeth were divided into 8 groups. Control groups 1 and 3 were irrigated with 10 mL 0.9% saline and 10 mL 6% sodium hypochlorite (NaOCl), respectively. Control groups 5 and 7 were irrigated with 3 mL and 1 mL 17% ethylenediaminetetraacetic acid (EDTA) and then 10 mL 6% NaOCl, respectively. Experimental groups 2, 4, 6, and 8 were irrigated as groups 1, 3, 5, and 7, followed by placement of calcium hydroxide (Ca(OH)2) into canals. Bathing solution pH was recorded for 30 days, a cementum defect was made, and then pH was recorded for another 30 days. With a paired difference test, average pH during steady state was statistically different and higher after the defect (P < .001). With Tukey multiple comparisons, post-defect pH for group 6 was found to be significantly greater (P < .01) than in other groups. This study indicated final canal irrigation with 3 mL 17% EDTA and 10 mL 6% NaOCl before Ca(OH)2 placement allowed the greatest hydroxyl ion diffusion to the root surface. PMID- 18155492 TI - Quantitative and qualitative elemental analysis of different nickel-titanium rotary instruments by using scanning electron microscopy and energy dispersive spectroscopy. AB - This study was designed to determine if the alloy composition shares an influence with the geometric design on the physical behavior of nickel-titanium rotary endodontic instruments. ProTaper, HERO, and K3 files were selected. After sterilized and cleaning with alcohol, surface analysis was performed using energy dispersive spectroscopy. Measurements were performed on the active part and on the shank. SEM images of fractured instruments were also obtained and assessed. All three types of instruments were composed mainly of Nickel (54.3%, SD +/- 0.8) and Titanium (45.2%, SD +/- 0.9). SEM images revealed similar aspect with the presence of Kirkendall voids regularly distributed in the alloy. The results indicate that the difference in properties and behavior of these three endodontic rotary shaping instruments is solely related to the respective geometric characteristics of the instrument design. PMID- 18155493 TI - Microleakage of accelerated mineral trioxide aggregate and Portland cement in an in vitro apexification model. AB - The purpose of this study was to evaluate the microleakage of accelerated mineral trioxide aggregate (MTA) and Portland cement by flow porometry analysis in an in vitro apexification model. Sixty-four single-rooted, extracted teeth were divided into 4 groups (group 1, MTA; group 2, MTA with accelerator; group 3, Portland cement; and group 4, Portland cement with accelerator). In an in vitro apexification model, MTA or Portland cement mixed with or without 10% CaCl2 was condensed to 2-mm thickness. The negative control group (n = 4) had the apical foramen sealed with epoxy resin. The maximum and mean flow pore diameters of the samples were tested by capillary flow porometry at 90 minutes and 48 hours after obturation. The addition of accelerator significantly reduced the maximum pore diameters of MTA and Portland cement at the initial setting phase. After 48 hours of obturation, the maximum and mean flow pore diameters of the accelerated samples were significantly reduced compared with the normal samples. There was no statistically significant difference in the maximum pore diameter of MTA and Portland cement between the measurements at 90 minutes and 48 hours. The results imply that the addition of accelerator into MTA or Portland cement can be useful in a one-visit apexification by reducing microleakage even in an early setting time. PMID- 18155494 TI - ProRoot MTA, MTA-Angelus and IRM used to repair large furcation perforations: sealability study. AB - The ability of two mineral trioxide aggregate (MTA) compounds and Intermediate Restorative Material (IRM) to seal large furcation perforations were evaluated using a dye-extraction leakage method. The furcation perforations were repaired with and without the use of internal matrix before placement of repair material. Eighty extracted human mandibular first molars were divided into positive (n = 10), negative (n = 10), and three experimental groups (n = 20) according to the repair material used. Each experimental group was divided into two subgroups (n = 10) according to whether internal matrix was used or not. Dye leakage was tested from an orthograde direction, and dye extraction was performed using full concentration nitric acid. Dye absorbance was measured at 550 nm using spectrophotometer. ProRoot MTA (Maillfer, Dentsply, Switzerland) with and without internal matrix and MTA-Angelus (Angelus, Londrina, PR, Brazil) with internal matrix showed the least dye absorbance. IRM (Caulk, Dentsply, Milford, DE) without internal matrix showed the highest dye absorbance. IRM with internal matrix and MTA-Angelus without internal matrix had insignificant difference and came at intermediate level between the other groups. PMID- 18155495 TI - Mineral trioxide aggregate but not light-cure mineral trioxide aggregate stimulated mineralization. AB - The purpose of this study was to evaluate the subcutaneous response of rat connective tissue to light-cure MTA and Angelus MTA. These materials were placed in polyethylene and dentin tubes and implanted into dorsal connective tissue of Wistar rats for 30 and 60 days. The specimens were prepared to be stained with hematoxylin-eosin, Von Kossa, and without stain for polarized light and evaluated in an optic microscope. The Angelus MTA showed a mild inflammatory response at 30 days and none at 60 days, characterized by organized connective tissue, presence of some chronic inflammatory cells, and induction of mineralized tissue formation. Light-cure MTA presented a moderate chronic inflammatory response at 30 days that decreased at 60 days but was more intense than with Angelus MTA and without dystrophic calcifications. It was possible to conclude that light-cure MTA was similar to MTA at 60 days, but it did not stimulate mineralization. PMID- 18155496 TI - Evaluation of Morinda citrifolia as an endodontic irrigant. AB - The purpose of this study was to compare the in vitro effectiveness of Morinda citrifolia juice (MCJ) with sodium hypochlorite (NaOCl) and chlorhexidine gluconate (CHX) to remove the smear layer from the canal walls of endodontically instrumented teeth. Sixty extracted, single-rooted, mature, permanent, human premolar teeth with a single canal were inoculated with Enterococcus faecalis at 37 degrees C in a CO2 atmosphere for 30 days. The teeth were randomly allocated to 6 treatment groups; the pulp chamber was accessed, cleaned, and shaped by using ProTaper and ProFile rotary instrumentation to a size 35. During instrumentation the irrigation was provided by MCJ, NaOCl, CHX, MCJ/CHX, followed by a final flush of 17% ethylenediaminetetraacetic acid (EDTA). MCJ irrigation was also followed by a final flush of saline, and saline irrigation was also used as a negative control. The teeth were then processed for scanning electron microscopy, and the removal of smear layer was examined. Data were analyzed by chi2 statistical tests (P values) at a significance of 95%. The most effective removal of smear layer occurred with MCJ and NaOCl, both with a rinse of 17% EDTA. Both MCJ and NaOCl treatments were similarly effective with a rinse of 17% EDTA (P < .2471) to completely remove up to 80% of the smear layer from some aspects of the root canal. MCJ was more effective than CHX for removing smear layer (P < .0085) and saline as the negative control (P < .0001). The efficacy of MJC was similar to NaOCl in conjunction with EDTA as an intracanal irrigant. MJC appears to be the first fruit juice to be identified as a possible alternative to the use of NaOCl as an intracanal irrigant. PMID- 18155497 TI - Longitudinal co-site optical microscopy study on the chelating ability of etidronate and EDTA using a comparative single-tooth model. AB - In the present study the smear layer dissolution kinetics of 18% etidronate (HEBP), 9% HEBP, and 17% ethylenediaminetetraacetic acid (EDTA) on human dentin were quantitatively and longitudinally analyzed by using a single-tooth comparative model. Coronal dentin disks were prepared from 3 maxillary human molars. A standardized smear layer was produced on the pulpal side of each disk. The smear layer-covered surface was divided into 3 similar areas. Each of these was then exposed to 1 of the 3 irrigants under investigation, whereas the others were covered with adhesive tape. Co-site image sequences of the areas under investigation were obtained after several cumulative demineralization times. Sixteen images were obtained from each dentin area of each tooth for each experimental time at 1000x magnification. An image processing and analysis sequence measured sets of images, providing data of area fraction for thousands of tubules over time and allowing us to quantitatively follow the effect of the chelating substances. The Kruskal-Wallis H test and Dunn multiple comparison test were used to analyze the data. Overall, it can be concluded that the demineralization kinetics promoted by both 9% HEBP and 18% HEBP were significantly slower than those of 17% EDTA (P < .05). In addition, the single tooth model is advantageous over the first co-site optical microscopy dentin assessments when different chelator solutions are compared. PMID- 18155498 TI - Significance of moist root canal dentin with the use of methacrylate-based endodontic sealers: an in vitro coronal dye leakage study. AB - This in vitro study compared the effect of different levels of moisture of root canals, from none to wet, on the coronal seal after filling with resin-coated gutta-percha cones/EndoRez [RGPC/ER (groups 1-4)], Resilon/Epiphany [RE/EP (groups 5-8)], and gutta-percha/Grossman's cement [GP/G (groups 9-12)]. The length of 76 single-rooted extracted human teeth was standardized to approximately 17 mm. After instrumentation with size 10 K-Files, #2 and #3 Gates Glidden burs, and preparation to the working length with K-Type files, the smear layer was removed with 17% ethylenediaminetetraacetic acid followed by flooding with distilled water. On the basis of similarities of canal shape determined by x rays, roots were assigned to the groups (n = 5 per group) and treated according to one of the following protocols. (I) ETOH: excess distilled water was removed with paper points followed by dehydration with 95% ethanol; (II) PAPER POINTS: the canals were blot-dried with paper points with the last one appearing dry; (III) MOIST: the canals were dried with low vacuum by using a luer adapter for 5 seconds followed by 1 paper point for 1 second; and (IV) WET: the canals remained totally flooded. The roots were then filled with one of the obturation systems outlined above. The teeth were coated with 2 layers of nail varnish and 1 layer of sticky wax, except for the coronal access. In addition, positive and negative controls were added. After immersion in 2% methylene blue dye for 7 days, the samples were embedded in clear orthodontic resin and cross-sectioned at 0.5-mm intervals along the length of the roots. Dye penetration was evaluated by an independent investigator with a stereomicroscope at 40x magnification. The results indicated that dye leakage was affected by the degree of moisture. All materials evaluated showed some evidence of dye penetration, however, root canals filled with resin-coated gutta-percha/EndoRez and Resilon/Epiphany demonstrated significantly less leakage (P < .05) when moist conditions II and III were present. PMID- 18155499 TI - Setting expansion of gray and white mineral trioxide aggregate and Portland cement. AB - One possible reason for the sealing ability of mineral trioxide aggregate (MTA) is its slight expansion upon setting. Both gray mineral trioxide aggregate (GMTA) and white mineral trioxide aggregate (WMTA) are composed of approximately 75% Portland cement (PC). WMTA differs from GMTA in its lower content of tetracalcium aluminoferrite. This difference in composition may affect setting expansion. The purpose of this study was to compare the hydroscopic linear setting expansions of GMTA, WMTA, and PC with a new device. Materials were mixed with water, placed into a cylindrical mold, and covered with sterile water or Hank's balanced salt solution (HBSS). Expansion changes were measured by using a linear variable displacement transformer dilatometer. One-way analysis of variance and post hoc tests (alpha = 0.05) showed the mean expansion at 24 hours was 1.02% for GMTA, 0.29% for PC, and 0.08% for WMTA in water immersion and 0.68% for GMTA and 0.11% for WMTA in HBSS immersion. GMTA expanded significantly more than WMTA in either water or HBSS immersion. PMID- 18155500 TI - Post space cleaning using a new nickel titanium endodontic drill combined with different cleaning regimens. AB - This study compared the effect of two drills and five cleaning regimens on post space debridement. One hundred extracted premolars were instrumented and obturated with warm vertical compaction of gutta percha. The teeth were divided into two groups according to the drill used to remove gutta percha/sealer and for post space preparation: a Largo drill (Largo; Dentsply, St Quentin en Yvelines, France) or a MTwo-PF drill (Sweden&Martina, Due Carrare, Padova, Italy). The following cleaning regimens were used: EDTA, ultrasonics, ultrasonics + EDTA, phosphoric acid, and distilled water. Scanning electron microscopic images of the post spaces were taken, and the presence of debris and of open dentin tubules were evaluated. The ultrasonics + EDTA, phosphoric acid, and EDTA groups were comparable in open tubules scores for both drills and in debris scores after the use of MTwo-PF (p > 0.05). The ultrasonics and control groups performed significantly worse (p < 0.05). The MTwo-PF drill resulted as effective as the Largo drill in obtaining a good post space cleaning, especially when followed by ultrasonics + EDTA irrigant regimen. PMID- 18155501 TI - Use of cone-beam computed tomography to identify root canal systems in vitro. AB - This study investigated the use of cone-beam computed tomography (CBCT) as a diagnostic tool for identifying root canal systems (RCSs) when compared with images obtained by using charged coupled device (CCD) and photostimulable phosphor plate (PSP) digital radiography in vitro. Seventy-two extracted teeth were exposed with CCD, PSP, and CBCT radiography. Specimens included 24 maxillary molars, mandibular premolars, and mandibular incisors each. Tooth-type selections were based on the greater possibility of multiple RCSs. Three board-certified endodontists evaluated CCD and PSP images to determine the number of RCSs. CBCT images were used to establish "ground truth" for the comparisons and were evaluated by a board-certified oral and maxillofacial radiologist who determined the number of RCSs. Descriptive statistical analysis revealed that the endodontists consistently agreed among themselves. When compared with CBCT evaluation, the endodontists, on average, failed to identify 1 or more RCSs in 41% of the teeth with CCD and 40% of the time with PSP. CBCT evaluations identified an average of 3.58 RCSs per maxillary molar, 1.21 per mandibular premolar, and 1.5 per mandibular incisor. Evaluation of CCD images demonstrated an average number of 1.0 RCSs per mandibular incisor, 1.0 per mandibular first premolar, and 3.1 per maxillary molar. Evaluation of PSP images demonstrated an average number of 1.3 RCSs per mandibular incisor, 1.1 per mandibular first premolar, and 3.0 per maxillary molar. In summary, endodontist evaluators with either CCD or PSP methods failed to identify at least 1 RCS in approximately 4 of 10 teeth, which can result in a less optimal healing outcome if a missed RCS is left uninstrumented and unobturated. PMID- 18155502 TI - Extended setting shrinkage behavior of endodontic sealers. AB - The aim of this study was to investigate the polymerization shrinkage behavior of newly introduced root canal sealers. Three recently developed sealers; EndoRez (dual cure resin-based), RealSeal (dual cure resin-based), and GuttaFlow (silicon based) were tested and compared with TubliSeal (zinc oxide-eugenol-based). The bonded disk method was used. Sixty specimens were tested at body and room temperatures. Dual cure resin-based sealers were tested as chemically cured only and as dual cured. Samples were tested for 24 hours. It was found that there were statistically significant differences between the tested sealers. EndoRez had the highest shrinkage-strain value, followed by RealSeal, whereas TubliSeal had the lowest. GuttaFlow exhibited expansion on polymerization. It was concluded that shrinkage associated with setting might jeopardize the seal of the root canal, leading to root canal failure. PMID- 18155503 TI - Comparative analysis of the particle size and shape of commercially available mineral trioxide aggregates and Portland cement: a study with a flow particle image analyzer. AB - The aim of this study is to characterize the particle size distribution and circularity of various Mineral Trioxide Aggregates (MTA) (ProRoot MTA/ MTA Angelus/Gray and White) and Portland cements with effective size ranges of 1.5 160 microm using a flow particle analyzer (Sysmex FPIA-3000, Kobe, Japan). Cumulative percentage of particles between 6 and 10 microm were, 65, 73, 48, 53, and 70 %, for Gray ProRoot MTA, White ProRoot MTA, Gray MTA Angelus, White MTA Angelus, and Portland cement, respectively. ProRoot MTA contains fewer large particles than MTA Angelus. MTA Angelus contains a higher number of small particles than ProRoot MTA. White MTA contains smaller particles with a narrower range of size distribution than Gray MTA. MTA Angelus particles have relatively low circularity and wide size distribution and are less homogeneous than ProRoot MTA. PMID- 18155504 TI - Comparison of rotary instrumentation and continuous wave obturation to reciprocating instrumentation and single cone obturation with a hydrophilic sealer. AB - This in vitro study compared the effectiveness between ProFile 29 Series rotary system followed by continuous wave obturation and the Endo-Eze system. Thirty-six human mandibular canine and premolar teeth were randomly separated into 2 groups of 18. Each tooth was embedded in resin and sectioned at 2, 6, and 12 mm from the apex and viewed under the scanning electron microscope at 50-150x magnification. The percentages of canal space occupied by gutta-percha, sealer, debris, and voids were measured and analyzed with Image J software. Results were calculated by using an analysis of variance model with fixed effects for method, distance, and distance interaction. Repeatability of measurements and intraclass correlation coefficients were calculated. These results demonstrated that obturation with the continuous wave technique achieved significantly more gutta percha occupying the canal space than the Endo-Eze system. Under the conditions of this study, the continuous wave technique was less likely to exhibit voids than the Endo-Eze technique. Furthermore, neither the Profile Series 29 nor the Endo-Eze system cleaned and shaped elliptical canals consistently. PMID- 18155505 TI - Root resorption associated with mandibular bone erosion in a patient with scleroderma. AB - A rare feature of mandibular bone erosion and external apical resorption of a mandibular left third molar (tooth #17) in a patient with scleroderma is described. Scleroderma is characterized by vascular and fibrous changes of the mucocutaneous surfaces and viscera caused by immunologically mediated connective tissue disorders. A dental panoramic tomogram of the patient revealed notable erosion of the left ramus, the inferior border of the mandible, and the left coronoid process. Resorption of the distal root of the tooth #17 was notable, coincident with the mandibular erosive process, and such association has not yet been reported. The report details the possible cause of this unusual presentation of tooth root resorption. The increased physical pressure of the tight facial mucocutaneous tissues from the scleroderma is likely to have participated in the resorptive process. PMID- 18155506 TI - Endodontic management of a mandibular second premolar with four roots and four root canals with the aid of spiral computed tomography: a case report. AB - Aberrations in the root canal anatomy are a commonly occurring phenomenon. A thorough knowledge of the basic root canal anatomy and its variations is necessary for successful completion of the endodontic treatment. Mandibular second premolars usually have a single root and a single root canal. The incidence of three separate roots itself in this tooth is quite rare, and the presence of four separate roots and four distinct root canals has never been reported in literature so far. The use of spiral computed tomography scan in this rare case greatly contributed towards making a confirmatory diagnosis and successful nonsurgical endodontic management thereafter. PMID- 18155507 TI - Echium oil reduces plasma lipids and hepatic lipogenic gene expression in apoB100 only LDL receptor knockout mice. AB - We tested the hypothesis that dietary supplementation with echium oil (EO), which is enriched in stearidonic acid (SDA; 18:4 n-3), the product of Delta-6 desaturation of 18:3 n-3, will decrease plasma triglyceride (TG) concentrations and result in conversion of SDA to eicosapentaenoic acid (EPA) in the liver. Mildly hypertriglyceridemic mice (apoB100-only LDLrKO) were fed a basal diet containing 10% calories as palm oil (PO) and 0.2% cholesterol for 4 weeks, after which they were randomly assigned to experimental diets consisting of the basal diet plus supplementation of 10% of calories as PO, EO or fish oil (FO) for 8 weeks. The EO and FO experimental diets decreased plasma TG and VLDL lipid concentration, and hepatic TG content compared to PO, and there was a significant correlation between hepatic TG content and plasma TG concentration among diet groups. EO fed mice had plasma and liver lipid EPA enrichment that was greater than PO-fed mice but less than FO-fed mice. Down-regulation of several genes involved in hepatic TG biosynthesis was similar for mice fed EO and FO and significantly lower compared to those fed PO. In conclusion, EO may provide a botanical alternative to FO for reduction of plasma TG concentrations. PMID- 18155509 TI - Supplementation with vitamins C and E improves mouse lung repair. AB - Cigarette smoke (CS) induces emphysema by tissue destruction through the production of oxidants and metalloproteinases [matrix metalloproteinases (MMPs)]. The possibility of lung repair after emphysema remains unclear. Our aim was to study the effects of vitamins C and E on mouse lung repair evaluated by catalase (CAT), superoxide dismutase (SOD) and MMP-9 activities; by the amount of tumor necrosis factor (TNF)-alpha in lung homogenates; by cell quantification in bronchoalveolar lavage (BAL) fluid; and by lung histology. Male C57BL/6 mice (n=25) were exposed to nine cigarettes per day, 7 days/week, for 60 days in a whole-body exposure chamber. The control group was sham smoked (n=10). After 60 days of CS exposure, a group of animals was sacrificed (n=5) and the others were divided into two groups: (a) CSv (n=10) supplemented with saline and olive oil (vehicles) for 60 days and (b) CSr (n=10) supplemented with vitamins C and E (50 mg/kg/day) for 60 days. These mice were then sacrificed; BAL was performed and the lungs were removed for biochemical and histological analysis. The results demonstrated that CAT activity was decreased in the CSv and CSr groups compared to the control group. SOD activity was higher in the CSv group than in the control and CSr groups. The CSv group showed a higher neutrophil count in BAL fluid, associated with more TNF-alpha in lung homogenates, than the control or CSr groups. Finally, emphysema in the CSv group was associated with fewer collagen and elastic fibers than in the control and CSr groups. These results indicate a possible role of vitamins C and E in lung repair after emphysema induced by long-term CS exposure in mice. PMID- 18155508 TI - Allicin inhibits cell growth and induces apoptosis through the mitochondrial pathway in HL60 and U937 cells. AB - In this article, the effects of allicin, a biological active compound of garlic, on HL60 and U937 cell lines were examined. Allicin induced growth inhibition and elicited apoptotic events such as blebbing, mitochondrial membrane depolarization, cytochrome c release into the cytosol, activation of caspase 9 and caspase 3 and DNA fragmentation. Pretreatment of HL60 cells with cyclosporine A, an inhibitor of the mitochondrial permeability transition pore (mPTP), inhibited allicin-treated cell death. HL60 cell survival after 1 h pretreatment with cyclosporine A, followed by 16 h in presence of allicin (5 microM) was approximately 80% compared to allicin treatment alone (approximately 50%). Also N acetyl cysteine, a reduced glutathione (GSH) precursor, prevented cell death. The effects of cyclosporine A and N-acetyl cysteine suggest the involvement of mPTP and intracellular GSH level in the cytotoxicity. Indeed, allicin depleted GSH in the cytosol and mitochondria, and buthionine sulfoximine, a specific inhibitor of GSH synthesis, significantly augmented allicin-induced apoptosis. In HL60 cells treated with allicin (5 microM, 30 min) the redox state for 2GSH/oxidized glutathione shifted from EGSH -240 to -170 mV. The same shift was observed in U937 cells treated with allicin at a higher concentration for a longer period of incubation (20 microM, 2 h). The apoptotic events induced by various concentrations of allicin correlate to intracellular GSH levels in the two cell types tested (HL60: 3.7 nmol/10(6) cells; U937: 7.7 nmol/10(6) cells). The emerging mechanistic basis for the antiproliferative function of allicin, therefore, involves the activation of the mitochondrial apoptotic pathway by GSH depletion and by changes in the intracellular redox status. PMID- 18155510 TI - Troglitazone but not conjugated linoleic acid reduces gene expression and activity of matrix-metalloproteinases-2 and -9 in PMA-differentiated THP-1 macrophages. AB - Gene expression and activity of matrix-metalloproteinases (MMP)-2 and -9 in macrophages are reduced through peroxisome proliferator-activated receptor gamma (PPARgamma)-dependent inhibition of NF-kappaB. Since conjugated linoleic acids (CLAs) are PPARgamma ligands and known to inhibit NF-kappaB via PPARgamma, we studied whether CLA isomers are capable of reducing gene expression and gelatinolytic activity of MMP-2 and -9 in PMA-differentiated THP-1 macrophages, which has not yet been investigated. Incubation of PMA-differentiated THP-1 cells with either c9t11-CLA, t10c12-CLA or linoleic acid (LA), as a reference fatty acid, resulted in a significant incorporation of the respective fatty acids into total cell lipids relative to control cells (P<.05). Treatment of PMA differentiated THP-1 cells with 10 and 20 micromol/L troglitazone but not with 10 or 100 micromol/L c9t11-CLA, t10c12-CLA or LA reduced relative mRNA concentrations and activity of MMP-2 and MMP-9 compared to control cells (P<.05). DNA-binding activity of NF-kappaB and PPARgamma and mRNA expression of the NF kappaB target gene cPLA2 were not influenced by treatment with CLA. In contrast, treatment of PMA-differentiated THP-1 cells with troglitazone significantly increased transactivation of PPARgamma and decreased DNA-binding activity of NF kappaB and relative mRNA concentration of cPLA2 relative to control cells (P<.05). In conclusion, the present study revealed that CLA isomers, in contrast to troglitazone, did not reduce gene expression and activity of MMP-2 and -9 in PMA-differentiated THP-1 macrophages, which is probably explained by the observation that CLA isomers neither activated PPARgamma nor reduced DNA-binding activity of NF-kappaB. This suggests that CLA isomers are ineffective in MMP associated extracellular matrix degradation which is thought to contribute to the progression and rupture of advanced atherosclerotic plaques. PMID- 18155511 TI - Long-term phytosterol treatment alters gene expression in the liver of apo E deficient mice. AB - Dietary phytosterols significantly reduce plasma cholesterol concentrations and atherosclerosis in apolipoprotein E-knockout (apo E-KO) mice. We investigated the long-term effects of phytosterol treatment on gene expression in the liver of these mice. Male apo E-KO mice were fed an atherogenic diet supplemented with (n=6) or without (n=6) 2% (wt/wt) phytosterol mixtures for 14 weeks. Liver specimens were collected and stored in RNAlater immediately. mRNA was extracted and subjected to microarray analyses and real-time quantitative reverse transcription-polymerase chain reaction (RT-PCR) assay for confirmation. Oligonuleotide microarray analysis of pooled samples (n=3) revealed that the expression of 132 genes/transcripts was significantly altered in treated animals, considering the false discovery rate (FDR) of 0.23. Real-time RT-PCR techniques confirmed these alterations in the expression of several of these genes, including Hmgcr (2.16-fold; P=.0002), Hmgcs1 (1.79-fold; P=.001), Hsd17b7 (2.11 fold; P=.028), Sqle (2.03-fold; P=.01), Cyp51 (1.8-fold; P=.001), Fads1 (1.55 fold; P=.031), Fads2 (2.17-fold; P=.047), Lpin1 (3.67-fold; P=.001), Ppargc1b (PGC-1beta; a coactivator of sterol-regulatory element-binding proteins; 1.66 fold; P=.007) and Cyp7B1 (1.81-fold; P=.025). In summary, our data suggest that long-term dietary phytosterols can alter the expression of a number of hepatic genes that regulate sterol metabolism in apo E-KO mice. It is possible that these changes are due to inhibition of cholesterol absorption, but are not a direct effect of plant sterols. Further multivariate correlation or association analysis is needed to establish the relations between changes in the expression of these genes and prevention of atherosclerosis by phytosterols. PMID- 18155512 TI - Epigallocatechin-3-gallate inhibits interleukin-1beta-induced MUC5AC gene expression and MUC5AC secretion in normal human nasal epithelial cells. AB - It has been reported that the proinflammatory cytokine interleukin-1beta (IL 1beta) induces mucus hypersecretion in normal human nasal epithelial (NHNE) cells and that the MAP kinase pathway may be an important signal pathway in IL-1beta induced MUC5AC gene expression. Green tea (Camellia sinensis) polyphenols are potent anti-inflammatory agents and have been shown to inhibit inflammation in tumor cell lines and cultured respiratory epithelial cells. In this study, we examined the effect of (-)-epigallocatechin-3-gallate (EGCG), a green tea polyphenol, on IL-1beta-induced MUC5AC gene expression and secretion in NHNE cells. After cells had been treated with IL-1beta (10 ng/ml) and pretreated with EGCG (10, 50 and 100 microM), mRNA expression of MUC5AC was determined by real time polymerase chain reaction. The suppression of each signal pathway protein was determined by Western blot analysis after treatment with IL-1beta and EGCG, respectively. IL-1beta increased MUC5AC gene expression and MUC5AC secretion. EGCG markedly suppressed IL-1beta-induced MUC5AC gene expression and MUC5AC secretion via suppression of the phosphorylation of ERK MAP kinase, MSK1, and transcription factor, cAMP response element-binding protein. IL-1beta increased the number of cells staining positive with MUC5AC antibodies, and EGCG treatment decreased this number. Our data suggest that EGCG may be an effective inhibitor of IL-1beta-induced mucus hypersecretion. PMID- 18155514 TI - Marfan syndrome-diagnosis and management. AB - Marfan syndrome (MFS) is the most common inherited disorder of connective tissue that affects multiple organ systems. This autosomal-dominant condition has an incidence of 2-3 per 10,000 individuals. Although genetic testing is available, the diagnosis is still primarily made using the Ghent criteria. Early identification and appropriate management is critical for patients with MFS who are prone to the life-threatening cardiovascular complications of aortic dissection and rupture. Advances in the understanding of the cause of MFS, early recognition of the disorder, and subsequent institution of medical and surgical therapy has resulted in dramatic improvement in the prognosis of this patient population over the past few decades. Beta-blockers have been demonstrated to slow aortic growth and thus delay the time to aortic surgery. Operative intervention has markedly changed the prognosis of patients with MFS and can be safely performed on an elective basis. Identification of presymptomatic patients is critical to reduce the frequency of catastrophic aortic events. PMID- 18155515 TI - Different needs: women's drug use and treatment in the UK. AB - The experiences of female drug users are often very different from that of their male counterparts. Female, and especially pregnant, drug users suffer greater social stigma than men, and often suffer a greater severity of addiction with physical and psychological reactions. This paper explores how women's experience of drug use differs from men, and the implication that this has for delivering drug treatment and drug services in the UK, including in the prison setting. It is argued that drug services in the UK need to be better tailored to meet the specific needs of women. PMID- 18155516 TI - A hand-held surface plasmon resonance biosensor for the detection of ricin and other biological agents. AB - There is an ongoing need for field-deployable biosensor devices. We have constructed a fully self-contained, hand-held biosensor, based on the surface plasmon resonance technique. The dimensions of the sensor unit are 15 x 8 cm, the weight is 600 g and it is powered by a 9 V battery. We have characterised the responsiveness of the sensor using calibrated sucrose solutions and were able to measure changes as small as 3.3 x 10(-6) refractive index units. To demonstrate functionality of the sensor, we have prepared surfaces with an antibody fragment specific for the biological toxin ricin. We were able to detect ricin at 200 ng/mL in 10 min, which is approximately 2500 times less than the minimum lethal dose. We were also able to verify positive binding within a second 10 min window. This sensor demonstrates important steps required for the development of fully integrated, hand-held sensor devices and will form the basis of a multi-analyte system, to be developed in the near future. It also represents the first completely hand-held SPR device, not requiring external power or a computer connection to operate. PMID- 18155517 TI - Lactic acid production by mixed cultures of Kluyveromyces marxianus, Lactobacillus delbrueckii ssp. bulgaricus and Lactobacillus helveticus. AB - Lactic acid production using Kluyveromyces marxianus (IFO 288), Lactobacillus delbrueckii ssp. bulgaricus (ATCC 11842) and Lactobacillus helveticus (ATCC 15009) individually or as mixed culture on cheese whey in stirred or static fermentation conditions was evaluated. Lactic acid production, residual sugar and cell biomass were the main features examined. Increased lactic acid production was observed, when mixed cultures were used in comparison to individual ones. The highest lactic acid concentrations were achieved when K. marxianus yeast was combined with L. delbrueckii ssp. bulgaricus, and when all the strains were used revealing possible synergistic effects between the yeast and the two lactic acid bacteria. The same synergistic effects were further observed and verified when the mixed cultures were applied in sourdough fermentations, proving that the above microbiological system could be applied in the food fermentations where high lactic acid production is sought. PMID- 18155518 TI - Optimizing edible fungal growth and biodegradation of inedible crop residues using various cropping methods. AB - Long-term manned space flights to Mars require the development of an advanced life support (ALS) ecosystem including efficient food crop production, processing and recycling waste products thereof. Using edible white rot fungi (EWRF) to achieve effective biomass transformation in ALS requires optimal and rapid biodegradative activity on lignocellulosic wastes. We investigated the mycelial growth of Lentinula edodes and Pleurotus ostreatus on processed residues of various crops under various cropping patterns. In single cropping, mycelial growth and fruiting in all strains were significantly repressed on sweet potato and basil. However, growth of the strains was improved when sweet potato and basil residues were paired with rice or wheat straw. Oyster mushroom (Pleurotus) strains were better than shiitake (L. edodes) strains under single, paired, and mixed cropping patterns. Mixed cropping further eliminated the inherent inhibitory effect of sweet potato, basil, or lettuce on fungal growth. Co cropping fungal species had a synergistic effect on rate of fungal growth, substrate colonization, and fruiting. Use of efficient cropping methods may enhance fungal growth, fruiting, biodegradation of crop residues, and efficiency of biomass recycling. PMID- 18155519 TI - Chemical resolution of +/- -calanolide A, +/- -cordatolide A and their 11 demethyl analogues. AB - The chemical resolution of (+/-)-calanolide A and (+/-)-cordatolide A into their corresponding optically active enantiomers is described. Their inhibitory activities against HIV-1 are tested in vitro. PMID- 18155520 TI - 3D-QSAR models on clinically relevant K103N mutant HIV-1 reverse transcriptase obtained from two strategic considerations. AB - Clinically relevant Lys103Asn (K103N) mutant frequently observed in HIV-1 reverse transcriptase (RT) confers drug resistance. To obtain useful structural information necessary for targeted-inhibitor design, molecular docking combined with 3D-QSAR CoMFA and CoMSIA was applied to a set of 53 structurally diverse HIV RT inhibitors. Two strategies were applied to generate 3D-QSAR models. The first strategy is the flexibility-based molecular alignment (FMA), similar to receptor based alignment, which samples the biological space of K103N mutant HIV-RT. FMA was conducted by docking the compounds to four structural data of mutant HIV-RT with PDB codes: 1SV5, 2IC3, 1FKP and 1FKO, which are co-crystallized according to NNRTI inhibitors such as etravirine, HBY-097, nevirapine, and efavirenz. The best superposition of the compounds to the active site of 1FKP structure suggests specific inhibition of nevirapine-resistance. The second strategy is the dataset division which employs the principal component analysis (PCA) to classify the dataset into training and test sets that yields statistically significant and robust models. The PCA design selection tool by the most descriptive compounds (MDC) outperforms the largest minimum distance (LMD) for the present dataset. Overall, the results demonstrated the feasibility of the two strategies to the present case and hold a promise for its general applicability to future QSAR studies. The generated models are predictive based on reproducible values of the predicted compared with experimental activities. Further, the complementary analysis of contour maps to the mutant HIV-RT binding site suggested the anchor points for binding affinity. The present study introduced the concept 'clamp flex' for the rational design of targeted-inhibitor to overcome the K103N pan class resistance mutation. The predictive models offer new insights into binding modes involving the hydrophobicity and flexibility of the active site. PMID- 18155521 TI - Synthesis, SAR, and antibacterial activity of novel oxazolidinone analogues possessing urea functionality. AB - The syntheses of a number of novel oxazolidinone analogues possessing an urea functionality are reported. While the urea derivatives possessing aliphatic and aromatic groups were prepared by the more conventional isocyanate method, the derivatives possessing heterocyclic rings were synthesized by a relatively uncommon but otherwise efficient carbamate chemistry. Though the SAR resulted in novel compounds possessing in vitro activity equivalent to Linezolid, the compounds possess a range of substituents that are amenable for altering physicochemical properties of the resultant drug. The antibacterial activity was found to be not sensitive to the functional groups attached to the urea site regardless of the size and electronic characteristics. Based on in vivo results, one molecule has been identified as a candidate and additional work such as salt selection, scale-up, etc., are currently underway to take the molecule further through development. PMID- 18155522 TI - A new splice site mutation in the SMN1 gene causes discrepant results in SMN1 deletion screening approaches. AB - In most patients with infantile spinal muscular atrophy (SMA) both exons 7 and 8 of the SMN1 gene are deleted, but the deletion may also be restricted to exon 7. We report on an SMA type I patient who was initially diagnosed to be homozygous for an exon 7 deletion only. However, multiplex ligation-dependent probe amplification (MLPA) analyses revealed a heterozygous deletion of exons 7 and 8 of the SMN1 gene. By sequencing a new subtle splice site mutation (IVS6-2A>G) was identified. This variant affects the target sequence of oligonucleotides of all applied tests in a way that it has contrary effects on the efficiencies of the different assays. The results have major impacts on genetic counselling and carrier detection of the patient's paternal relatives. PMID- 18155523 TI - Mesenchymal stem cells from umbilical cord: do not discard the cord! PMID- 18155524 TI - Altered mental status in a kidney transplant recipient receiving tacrolimus. PMID- 18155525 TI - Primary hyperoxaluria: clinical course, diagnosis, and treatment after kidney failure. AB - Primary hyperoxaluria type 1 (PH1) is a rare autosomal recessive metabolic disorder resulting in the overproduction of plasma oxalate. Although the enzymatic defect is in hepatocyte peroxisomes, uncontrolled levels of oxalate result in calcium oxalate deposition in multiple organs. Because the primary route of elimination of oxalate is renal excretion, high levels are found in urine, which results in supersaturation and crystal nucleation. Patients typically present with recurrent nephrolithiasis and nephrocalcinosis. If not diagnosed early, end-stage renal disease (ESRD) and systemic calcium oxalate deposition can occur. Once ESRD develops, intensive dialysis therapy is unable to keep pace with the high oxalate production, and the preferred therapeutic intervention is combined kidney-liver transplantation. Here, we report a young man with a history of recurrent nephrolithiasis who presented to us with ESRD and subsequently developed manifestations of systemic oxalosis. The diagnosis of PH1 must be considered in the differential diagnosis of patients presenting with ESRD with a history of recurrent nephrolithiasis. The diagnosis of PH1 is more challenging in patients with ESRD, for whom urinary oxalate levels are often normal or only modestly increased because of decreased glomerular filtration, and recurrent nephrolithiasis is no longer the dominant clinical feature. PMID- 18155526 TI - Weight for gestational age as a baseline predictor of kidney function in adulthood. PMID- 18155527 TI - Brain natriuretic peptide therapy to prevent acute kidney injury after cardiac surgery. PMID- 18155528 TI - Effect of intrauterine growth restriction on kidney function at young adult age: the Nord Trondelag Health (HUNT 2) Study. AB - BACKGROUND: The hypothesis of intrauterine origin of adult disease is debated. We tested whether intrauterine growth restriction is associated with later kidney function. STUDY DESIGN: Prospective cohort study. SETTING & PARTICIPANTS: 7,457 Norwegian adults aged 20 to 30 years participating in the population-based Nord Trondelag Health Study (1995-1997) with data for birth weight, gestational age, and maternal and perinatal risk factors registered at the Medical Birth Registry of Norway. PREDICTOR: Birth weight expressed as an SD score (SDS) to adjust for gestational age and sex. Subjects with a birth weight SDS less than -2.0, -2.0 to -1.3, and -1.3 to 1.3 were defined as very small, small, and appropriate for gestational age, corresponding to less than the 3rd, 3rd to 10th, and 10th to 90th percentiles, respectively. OUTCOME & MEASUREMENTS: Kidney function estimated using the Cockcroft-Gault and isotope dilution mass spectrometry-traceable 4 variable Modification of Diet in Renal Disease (MDRD) Study equation. Values less than the sex-specific 10th percentile were defined as low-normal kidney function. RESULTS: Compared with men with birth weight appropriate for gestational age (n = 2,755), odds ratios for low-normal creatinine clearance (<100 mL/min) were 1.66 (95% confidence interval [CI], 1.16 to 2.37) if small for gestational age (n = 261) and 2.40 (95% CI, 1.46 to 3.94) if very small for gestational age (n = 101). Kidney function estimated using the MDRD Study equation gave similar results. Women (n = 3,126, 283, and 112, respectively) had odds ratios of 1.65 (95% CI, 1.17 to 2.35) and 2.00 (95% CI, 1.21 to 3.29) for low-normal creatinine clearance (<80 mL/min), whereas the association was not significant using the MDRD Study equation. Using linear regression, creatinine clearance decreased by 4.0 mL/min (95% CI, 3.3 to 4.6) in men and 2.9 mL/min (95% CI, 2.2 to 3.5) in women per 1 SDS decrease. Adjusting for possible confounders did not influence results. LIMITATIONS: Selection bias could be a problem because the participation rate was 49%, but there were no statistically significant differences between participants and nonparticipants regarding maternal and perinatal characteristics. Adjusting kidney function for body size can be a special problem in people with intrauterine growth restriction. CONCLUSIONS: Although effects were still small in young adulthood, intrauterine growth restriction was significantly associated with low-normal kidney function. The effect was weaker and less consistent in women compared with men. PMID- 18155529 TI - Metabolic syndrome and the development of CKD in American Indians: the Strong Heart Study. AB - BACKGROUND: Metabolic impairments that precede type 2 diabetes, such as metabolic syndrome, may contribute to the development of chronic kidney disease (CKD). This study documents the prevalence and incidence of CKD and the prospective association between metabolic syndrome and CKD in American Indians without diabetes in the Strong Heart Study. STUDY DESIGN: Prospective cohort study. SETTING & PARTICIPANTS: American Indians aged 45 to 74 years from 3 geographic regions were recruited by using tribal records and were assessed every 3 years from 1989 to 1999 as part of the Strong Heart Study. Participants with type 2 diabetes, on dialysis therapy, or who received a kidney transplant at baseline examination were excluded. PREDICTOR: Metabolic syndrome, defined using Adult Treatment Panel III criteria. OUTCOMES & MEASUREMENTS: CKD was measured by using estimated glomerular filtration rate (eGFR) and urinary albumin-creatinine ratio (ACR) dichotomized at conventional cutoff values. The association between metabolic syndrome and incident CKD was evaluated by using multivariable Cox proportional hazards models and binomial regression, with statistical adjustment for confounders (age, sex, study center, education, and smoking). RESULTS: Metabolic syndrome was present in 896 (37.7%) and absent in 1,484 participants (62.3%) at baseline. The prevalence of ACR of 30 mg/g or greater at baseline examination was 12.1%, with 290 new cases and an incidence of 233/10,000 person years. The prevalence of eGFR less than 60 mL/min/1.73 m(2) was 7.8%, with 189 new cases and an incidence of 138/10,000 person-years. The prevalence of CKD was 17.8%, with 388 new cases and an incidence of 342/10,000 person-years. The adjusted hazard ratio for CKD associated with metabolic syndrome was 1.3 (95% confidence interval [CI], 1.1 to 1.6). Equivalent hazard ratios for ACR greater than 30 mg/g and eGFR less than 60 mL/min/1.73 m(2) were 1.4 (95% CI, 1.0 to 1.9) and 1.3 (95% CI, 1.0 to 1.6), respectively. The relationship between metabolic syndrome and kidney outcomes was stronger in those who developed diabetes during follow-up. LIMITATIONS: Intraindividual variability in serum creatinine and ACR measures may have resulted in some misclassification of participants by outcome status. CONCLUSIONS: Metabolic syndrome is associated with an increased risk of developing CKD in American Indians without diabetes. The mechanism through which metabolic syndrome may cause CKD in this population likely is the development of diabetes. PMID- 18155530 TI - Risk factors for development and progression of diabetic kidney disease and treatment patterns among diabetic siblings of patients with diabetic kidney disease. AB - BACKGROUND: Diabetic siblings of patients with treated kidney failure from diabetic kidney disease are at a 5-fold increased risk of future kidney failure. The objective of this study is to define risk factors for kidney disease, clinical features, and treatment patterns in diabetic siblings of patients with diabetes with diabetic kidney disease. STUDY DESIGN: Cross-sectional analysis using data collected from diabetic siblings of patients with diabetic kidney disease. SETTING & PARTICIPANTS: 295 diabetic siblings with mean diabetes duration of 15 years from within a 400-mile radius of Cleveland, OH, or Winston Salem, NC. PREDICTORS: Demographic data, diabetes duration, blood pressure (BP), access to health care, and diabetes control. OUTCOMES: Albuminuria (defined as urinary albumin-creatinine ratio >or= 30 mg/g, with microalbuminuria with albumin of 30 to 300 mg/g and macroalbuminuria with albumin > 300 mg/g), renal function. MEASUREMENTS: BP, urinary albumin-creatinine ratio, serum creatinine, glycosylated hemoglobin (HbA(1c)), estimated glomerular filtration rate. RESULTS: Mean diabetes duration was 14.6 +/- 10.6 years. Albuminuria was present in 46% of participants. In individuals with diabetes duration of 11 to 15 years, 25% had microalbuminuria and 18.2% had macroalbuminuria. Despite a positive family history and a high prevalence of albuminuria, only 35.3% of participants had a target systolic BP less than 130 mm Hg. HbA(1c) levels were 7% or greater in 57.4% of patients, and 26.4% of participants were smokers. Only 58% of patients received angiotensin-converting enzyme inhibitors or receptor blockers. In microalbuminuric participants, HbA(1c) level was greater than 10% in 28.6% versus 13.3% in those without albuminuria (P = 0.02). LIMITATIONS: A control group of diabetic siblings without a family history of diabetic kidney disease was not obtained. CONCLUSIONS: Diabetic siblings of patients with diabetic kidney disease have a high prevalence of albuminuria and poor glycemic and BP control. Targeting these high-risk individuals for interventions to improve their BP and blood glucose control might prevent or slow the progression of diabetic kidney disease. PMID- 18155531 TI - Increased risk of hip fracture among men with CKD. AB - BACKGROUND: Patients with chronic kidney disease (CKD) have disturbances in mineral metabolism. Those requiring dialysis therapy are at substantially increased risk of fracture. However, fracture risk in patients with CKD not requiring dialysis has not been well studied. STUDY DESIGN: Retrospective cohort. SETTING & PARTICIPANTS: We identified men who sought care at 8 Veterans Affairs Medical Centers located in the Northwest from July 1999 to March 2006 who had a glomerular filtration rate (GFR) less than 60 mL/min/1.73 m(2). Patients who received long-term dialysis therapy or had a previous organ transplant, diagnosis of cancer, or history of hip fracture were excluded. Proportional hazards models were used to estimate the association of GFR stage with relative risk of hip fracture. PREDICTOR: GFR estimated on the basis of 2 or more consecutively abnormal outpatient serum creatinine measurements during a 6-month period. OUTCOME: Hip fracture ascertained from patient medical records. RESULTS: In 33,091 veterans, 176 hip fractures were identified. After adjustment for age, body mass index, diabetes, and use of selected medications, relative risks of hip fracture for men with a GFR of 30 to 59 and 15 to 29 mL/min/1.73 m(2) were 1.28 (95% confidence interval, 0.88 to 1.66) and 3.98 (95% confidence interval, 2.25 to 7.74), respectively. LIMITATIONS: Retrospective study of men only. CONCLUSIONS: These results suggest that the risk of hip fracture in men with CKD stage 4 is increased to a degree similar to that of dialysis patients. PMID- 18155532 TI - Periodontal disease and other nontraditional risk factors for CKD. AB - BACKGROUND: Chronic kidney disease, undiagnosed in a significant number of adults, is a public health problem. Given the systemic inflammatory response to periodontal disease, we hypothesized that periodontal disease could be associated with chronic kidney disease. STUDY DESIGN: Cross-sectional. SETTING & PARTICIPANTS: We identified 12,947 adults 18 years or older with information for kidney function and at least one risk factor in the Third National Health and Nutrition Examination Survey. PREDICTOR: The main predictor was periodontal status. Other nontraditional and traditional risk factors included socioeconomic status, health status, health behavior, biomarker levels, anthropometric assessment, and health care utilization. OUTCOMES & MEASUREMENTS: Chronic kidney disease was defined using the Kidney Disease Outcomes Quality Initiative stages 3 and 4 with a moderate to severe decrease in kidney function (glomerular filtration rate, 15 to 59 mL/min/1.73 m(2)). Univariable and multivariable logistic regression models assessed the associations between chronic kidney disease and periodontal disease and other nontraditional risk factors. RESULTS: Chronic kidney disease prevalence was 3.6%; periodontal disease prevalence was 6.0%; and edentulism prevalence was 10.5%. Adults with periodontal disease and edentulous adults were twice as likely to have chronic kidney disease (adjusted odds ratio, 1.60; 95% confidence interval, 1.16 to 2.21; adjusted odds ratio, 1.85; 95% confidence interval, 1.34 to 2.56, respectively) after simultaneously adjusting for other traditional and nontraditional risk factors. LIMITATIONS: Temporal association is unknown. CONCLUSIONS: Periodontal disease and its severe consequence, edentulism, were independently associated with chronic kidney disease after adjusting for other traditional and nontraditional risk factors. This model could contribute to identifying individuals at risk of chronic kidney disease and reduce its burden. PMID- 18155533 TI - Circadian variation of death in hemodialysis patients. AB - BACKGROUND: There is a circadian variation of death in nondialysis populations, with more cardiovascular events occurring in the morning. Whether this holds true in hemodialysis patients was never investigated. STUDY DESIGN: Case series. SETTING & PARTICIPANTS: All prevalent (>3 months on hemodialysis therapy) and incident (50% luminal narrowing) and underwent percutaneous transluminal angioplasty, with a 93% success rate. LIMITATIONS: Retrospective nature of the study and potential selection bias. CONCLUSION: In our population, swing-segment stenosis is the most common lesion in dysfunctional AVFs; juxta-anastomotic stenosis is the predominant lesion independent of fistula type. Whether the occurrence of swing-segment stenosis is caused by mobilization of the vein during surgery is not clear. PMID- 18155538 TI - Comparison of hemodialysis blood access flow rates using online measurement of conductivity dialysance and ultrasound dilution. AB - BACKGROUND: Routine access flow (AF) surveillance is recommended by the Kidney Disease Outcomes Quality Initiative as one of several components for an arteriovenous vascular access maintenance program. A reliable, but affordable, measurement tool is needed for outpatient hemodialysis facilities. STUDY DESIGN: Diagnostic test study. SETTING & PARTICIPANTS: 50 adult patients with 27 grafts and 23 fistulas from a single center who consented to sequential AF measurements, all performed within the first 90 minutes of the hemodialysis treatment. INDEX TEST: AF measured by using online conductivity dialysance (OLC-AF). REFERENCE TEST: AF measured by using ultrasound dilution (UD-AF). RESULTS: Mean UD-AF was 1,086 +/- 629 mL/min, and mean OLC-AF was 951 +/- 575 mL/min, with a mean difference of 135 +/- 229 mL/min. OLC-AF correlated significantly with UD-AF (0.93; P < 0.0001), becoming tighter for flows less than 1,000 mL/min (0.95; P < 0.0001). The coefficient of variation for sequential measurement by using UD was 6.4%, and for OLC, 11.5%, with the difference becoming insignificant (7.6% versus 8.8%; P = 0.5) for flows less than 1,000 mL/min. The average of 2 sequential UD AF measurements correlated tightly with that of OLC-AF (0.99; P < 0.0001). LIMITATIONS: Tests were performed by 2 highly trained coordinators in a single clinic with a small sample size, and clinical outcomes were not evaluated. CONCLUSION: The OLC method is a reasonable alternative to UD for flow surveillance of arteriovenous hemodialysis accesses and provides an option for widespread implementation of a vascular access surveillance program. Additional studies are needed to determine whether routine use impacts on clinical outcomes. PMID- 18155539 TI - Blood lead levels, malnutrition, inflammation, and mortality in patients with diabetes treated by long-term hemodialysis. AB - BACKGROUND: Blood lead levels (BLLs) are associated with mortality in the general population. The clinical significance of BLLs in long-term hemodialysis (HD) patients with diabetes is unknown. STUDY DESIGN: A cross-sectional and 1-year prospective study. SETTINGS & PARTICIPANTS: 211 patients with diabetes on long term HD therapy at 3 centers. PREDICTOR: BLLs measured before HD at baseline, categorized as abnormal (>20 microg/dL), high normal (10 to 20 microg/dL), and low normal (<10 microg/dL). OUTCOMES & MEASUREMENTS: Malnutrition, defined as serum albumin level less than 3.6 g/dL, and inflammation, defined as high sensitivity C-reactive protein level greater than 3 mg/dL, for cross-sectional analyses. Mortality and cause of death for longitudinal analyses. RESULTS: 34, 112, and 65 patients had abnormal, high-normal, and low-normal BLLs at baseline. At baseline, patients with abnormal BLLs had a greater proportion of malnutrition (14.7% versus 1.5% and 11.6%; P = 0.01) and inflammation (76.5% versus 52.3% and 50.9%; P = 0.01) than those with low- and high-normal BLLs. Backward stepwise regression analysis found that high-sensitivity C-reactive protein level correlated positively and albumin level correlated negatively with BLLs after other confounders were adjusted. At the end of follow-up, 16 patients had died. Kaplan-Meier analysis showed that patients with an abnormal BLL had greater mortality than those with low and low-normal BLLs (P = 0.004). LIMITATIONS: Small sample size, sparse outcomes, and limited follow-up. CONCLUSIONS: BLL may contribute to inflammation and nutritional status in long-term HD patients with diabetes on long-term HD therapy and may relate to 1-year mortality in these patients. PMID- 18155540 TI - Bilateral infiltrating renal inflammatory pseudotumor responsive to corticosteroid therapy. AB - Inflammatory pseudotumor (IPT) is a quasi-neoplastic lesion that most commonly involves the lung, but has been shown to occur in nearly every tissue type. Renal involvement is very uncommon. We report the second case of IPT ever published presenting as bilateral infiltrating renal masses. Although most renal IPTs were treated with nephrectomy, our patient was managed successfully with conservative steroid treatment, thereby avoiding the alternative of dialysis or kidney transplantation. PMID- 18155541 TI - A case report of adenovirus-related acute interstitial nephritis in a patient with AIDS. AB - In immunosuppressed individuals, such as hematopoietic stem cell transplant recipients, adenoviruses (ADVs) are a well-known cause of morbidity and mortality, with limited treatment options. However, only a few cases were reported in patients with acquired immunodeficiency syndrome (AIDS), and little is known about the relevance of such an infection in these patients with many other concomitant opportunistic infections. We report the case of a 34-year-old man with AIDS presenting with gross hematuria, right flank pain, and acute decrease in kidney function superimposed on chronic kidney disease. His CD4 count was 0/muL despite highly active antiretroviral therapy. A computed tomographic scan showed enlargement of the right renal pelvis. Cystoscopy showed no clots or macroscopic lesions. Urine analysis showed no bacteria or abnormal epithelial cells. ADV was found in viral culture and by using real-time polymerase chain reaction in the patient's urine and later in blood. The renal biopsy specimen showed ADV-related tubulointerstitial nephritis with intranuclear inclusions in tubular cells stained by anti-ADV antibodies, in addition to chronic tubular and vascular changes. The ADV serotype belonged to subgroup B. Cidofovir therapy was contraindicated for this patient; therefore, he was administered intravenous ribavirin. The efficiency of this treatment could not be assessed because he rapidly developed neutropenia and disseminated aspergillosis and died. This case illustrates another cause of acute kidney disease in very immunosuppressed patients with AIDS, probably underdiagnosed. PMID- 18155542 TI - Antibody-mediated rejection with a striking interstitial monocyte/macrophage infiltration in a renal allograft under FTY720 treatment. AB - FTY720, a novel immunomodulator, causes rapid temporary depletion of peripheral blood lymphocytes, inducing their sequestration in secondary lymphoid organs. FTY720 is effective in animal models of transplantation and is under evaluation for use in human transplantation. We report a 48-year-old renal transplant recipient who developed acute antibody-mediated rejection under a high-dose FTY720 (5 mg/d), low-dose cyclosporine A, and prednisone treatment protocol. A T cell antihuman globulin and National Institutes of Health extended B-cell cross match with donor cells were negative before transplantation. At 10 weeks posttransplantation, serum creatinine level increased and a renal biopsy showed a striking interstitial CD68(+) monocyte/macrophage infiltration with C4d staining of peritubular capillaries. Flow panel reactive antibody levels were positive in the recipient's serum for class I (9%) and class II (75%). The positive panel reactive antibody levels and presence of C4d in peritubular capillaries justified the diagnosis of antibody-mediated rejection. However, the presence of macrophage rich interstitial infiltrate suggested a contribution of cellular rejection. The morphological characteristic of rejection with a striking interstitial CD68(+) monocyte/macrophage infiltration with paucity of T cells is very unusual and may reflect a unique effect of FTY720 therapy. PMID- 18155543 TI - Cellular senescence, cardiovascular risk, and CKD: a review of established and hypothetical interconnections. AB - Cellular senescence is associated with shortened or damaged telomeres and is characterized by permanent exit from the cell cycle, morphological changes, and altered function. It develops after repeated cell divisions and also can be induced prematurely by stress conditions. The senescent phenotype, depending on cell type and atherosclerosis phase, seems to be a proatherosclerotic one: it promotes endothelial dysfunction and appears to be implicated in plaque destabilization, as well as in endothelial progenitor cell alteration. Many traditional and nontraditional cardiovascular disease risk factors induce senescence in a variety of vascular cells. Several of these factors, such as diabetes, hypertension, oxidative stress, and inflammation, are clustered in patients with chronic kidney disease. In a limited number of recent studies, stress-induced premature cellular senescence in this biologically aged population also was described. The hypothesis that premature cellular senescence might be considered an additional atherosclerosis-inducing factor in patients with chronic kidney disease is proposed. PMID- 18155544 TI - Who we are and might be: in global health, excellence demands equity. AB - About the Author: Dr Edward O'Neil Jr earned his medical degree from George Washington University, and completed a residency and chief residency in internal medicine at Boston Medical Center. Dr O'Neil completed the 3-year Kellogg National Leadership Program, studying leadership, international development, and politics. In 1998, he founded the nonprofit organization Omni Med (www.omnimed.org), which focuses on health volunteerism and ethical leadership. To date, over 120 physicians have gone abroad through Omni Med's innovative, cooperatively designed programs in Belize, Guyana, and Kenya. Omni Med also compiles data on global health service opportunities, making it easier for anyone so interested to serve. Dr O'Neil is the author of 2 books published by the American Medical Association in 2006, Awakening Hippocrates: A Primer on Health, Poverty, and Global Service and A Practical Guide to Global Health Service. In 2007, Dr O'Neil was appointed Chair of a Brookings Institution Taskforce on Health Service in Sub-Saharan Africa. He is a practicing emergency physician at Caritas St. Elizabeth's Medical Center in Boston, an assistant professor of emergency medicine at Tufts University School of Medicine, and Adjunct Faculty at George Washington University School of Medicine. PMID- 18155545 TI - Hypertension and proteinuria in a 17-year-old at 19 weeks' gestation. PMID- 18155546 TI - Low protein diet supplemented with ketoanalogues makes hemodialysis withdrawal possible. PMID- 18155547 TI - Standards and precision of thought: what might Galbraith say? PMID- 18155548 TI - An innovative strategy to effectively prevent ESRD. PMID- 18155550 TI - Immediate breast reconstruction for phyllodes tumors. AB - Phyllodes tumors are rare breast tumors. Surgery is the mainstay of treatment and mastectomy has been the traditional procedure adopted for these tumors. Although wide excision with adequate margins gives equivalent results, mastectomy may still be required if the tumors are very large. There are very few reports on the use of breast reconstruction after mastectomy for phyllodes tumors. We present a series of 7 patients with phyllodes tumors who were treated with mastectomy and immediate breast reconstruction. Mastectomy was conventional in 4 patients and skin sparing in 3. Reconstruction was performed with latissimus dorsi (LD) musculocutaneous flap in 4 patients and transverse rectus abdominis musculocutaneous (TRAM) flap in 3 patients. The mean follow-up was 40.1 months. One patient developed recurrence, 1 year after the surgery, which was treated with excision and radiotherapy. The cosmetic results were acceptable to all patients. Skin sparing mastectomy was associated with better cosmetic results. PMID- 18155551 TI - Weaning from ventilation: does a care bundle approach work? AB - There has been renewed interest in weaning from mechanical ventilation in critical care since the publication of the Modernisation Agency paper in 2002. There have been many papers reporting ways of improving the weaning process but these are specific to single elements and neglect the contextual issues that influence the weaning process. Care bundles have been introduced nationally to standardise patient care and improve patient outcome. Examples in critical care are the ventilator care bundle and sepsis care bundle. However, since care bundles have become linked with targets and part of the 10 High Impact Changes there is a tendency to want to call everything a care bundle. A care bundle is a small but critical set of processes that when implemented together improve outcome. One critical care network has written a weaning care bundle. This is an example of a service improvement initiative the aim of which was to improve weaning from mechanical ventilation. This paper reviews this approach and presents results from a pilot in one teaching hospital. PMID- 18155553 TI - Reliability of a method for analyzing three-dimensional knee kinematics during gait. AB - BACKGROUND: Different attachment systems have been proposed in an effort to reduce skin movement artifacts when recording knee bone movement during gait. One such system, called exoskeleton, has shown promising accuracy but little is known concerning its reliability. The objective of this study was to determine the intra- and inter-observer reliability of this attachment system for recording 3D knee kinematics during gait. METHODS: Two separate studies were conducted. The intra-observer study involved one observer who reinstalled the exoskeleton on 15 healthy subjects and recorded gait kinematics four times for each subject. The inter-observer study also involved 15 healthy subjects and for each of these subjects, three observers reinstalled and recorded gait kinetics three times in randomized order. FINDINGS: In the intra-observer setting, ICC values were 0.92, 0.94 and 0.88 for knee flexion/extension, abduction/adduction and internal/external tibial rotation, respectively. In the inter-observer setting, the corresponding values were 0.94, 0.92 and 0.89. INTERPRETATION: The high ICC values found indicate very high reliability of the exoskeleton for recording 3D knee kinematics despite reinstallation. Moreover, the values between both settings are very similar which indicates that reliability is independent of the observer who performs the installation. Therefore, evaluations may be carried out by several different clinicians without impacting reliability. PMID- 18155552 TI - Generation of functional natural killer and dendritic cells in a human stromal based serum-free culture system designed for cord blood expansion. AB - OBJECTIVE: We have previously reported on the ability of a mesenchymal stem cell based serum-free culture system to expand human cord blood (CB) hematopoietic stem cells along the myeloid pathway and simultaneously generate a CD7(+)CD34(-) population. In this study, we investigated the ability of the CD7(+)CD34(-) population to differentiate into natural killer and dendritic cells (DCs). MATERIALS AND METHODS: CB CD34(+) cells were expanded over a mesenchymal stem cell layer in serum-free medium supplemented with stem cell factor, basic fibroblast growth factor, leukemia inhibitor factor, and Flt-3 ligand for 2 weeks. Cultured cells were harvested and CD7(+)CD34(-)Lin(-) cells sorted and plated for 2 additional weeks in either natural killer- or DC-inductive medium. RESULTS: Culture of CD34(+) cells for the first 2 weeks in this system resulted in expansion of the stem cell pool and the myeloid component of the graft, and also produced a 58-fold increase in the CD7(+)CD34(-) cell population. When sorted CD7(+)CD34(-)Lin(-) cells were induced toward a natural killer cell phenotype, further expansion was observed during this time in culture, and differentiation was confirmed by cytotoxic activity and by flow cytometry, with cells displaying CD16 and CD56 in the absence of CD3. Generation of DC cells in culture was also verified by observing both the characteristic dendritic morphology and the dendritic phenotypes HLA-DR(bright)CD123(bright)CD11c(-) and HLA-DR(bright)CD11c(+). CONCLUSION: These results demonstrate the ability of an ex vivo culture system to drive expansion of human CB hematopoietic stem cells, while promoting the immune maturation of the graft and generation of DC and natural killer cells that could then be utilized for adoptive cancer cellular immunotherapy. PMID- 18155554 TI - Synthesis and structure-activity relationships of thiadiazole-derivatives as potent and orally active peroxisome proliferator-activated receptors alpha/delta dual agonists. AB - Replacement of the methyl-thiazole moiety of GW501516 (a PPARdelta selective agonist) with [1,2,4]thiadiazole gave compound 21 which unexpectedly displayed submicromolar potency as a partial agonist at PPARalpha in addition to the high potency at PPARdelta. A structure-activity relationships study of 21 resulted in the identification of 40 as a potent and selective PPARalpha/delta dual agonist. Compound 40 and its close analogs represent a new series of PPARalpha/delta dual agonists. The high potency, high selectivity, significant gene induction, excellent PK profiles, low P450 inhibition or induction, and good in vivo efficacy in four animal models support 40 being selected as a pre-clinical study candidate, and may render 40 as a valuable pharmacological tool in elucidating the complex roles of PPARalpha/delta dual agonists, and the potential usage for the treatment of metabolic syndrome. PMID- 18155555 TI - Omega filter installed in the 1MV microscope of Kyushu University. AB - A 1.25MV high-voltage electron microscope with a B-type omega filter has been successfully installed at Kyushu University. An image detection chamber has been set inside a concrete block below the ground level without changing the frame structure for anti-vibration. Nearly the same design as that for the 200kV microscope has been kept for the present omega filter except for its size. A new pre- and post-filter lens system with rotation-free imaging has been designed. Energy resolution, beam shape and stability of the filter have been measured. Some application data have been obtained to demonstrate the performance of the filter. PMID- 18155556 TI - Localised malignant pleural mesothelioma: a separate clinical entity requiring aggressive local surgery. AB - OBJECTIVE: Localised malignant pleural mesotheliomas are very rare and although there are sporadic reports in the literature showing that they have a different biological behaviour compared to diffuse MPM there is no major series published demonstrating results of surgical treatment. We present our experience in treating these tumours. METHODS: Over an 8-year period we performed radical or debulking surgery in 218 patients with MPM. Ten of these patients had localised chest wall tumours and a biopsy either highly suspicious or confirming malignant pleural mesothelioma. They were all male with an average age of 65.9 (56-80) years. Three of the tumours were epithelioid, three biphasic and three sarcomatoid. They all had chest wall resections, with limited lung resections where the tumours were infiltrating the lung and reconstruction using a double prolene mesh and orthopaedic cement. Perioperative events and long-term survival were analysed and survival was compared to survival following operations for diffuse malignant pleural mesothelioma. RESULTS: There was no 30-day mortality with only two patients suffering from pleural collections that required ultrasound guided drainage 2 and 8 weeks after the operation. Two patients died from disease progression 3 and 10 months after the operation. Using Kaplan-Meier analysis the mean survival was 56 months. CONCLUSION: Our results suggest that surgery is indicated in treating localised MPM even in T4 (diffuse chest wall involvement) tumours but pleuropneumonectomy is not necessary. These tumours seem to have a different biological behaviour compared to diffuse MPM but further research, including identification of possibly different biological markers is necessary. PMID- 18155557 TI - The hypothalamic-pituitary-adrenal axis in asthmatic children. AB - Reduced responsiveness of the hypothalamic-pituitary-adrenal (HPA) axis in patients with various chronic allergic inflammatory disorders and a blunted HPA axis response of poorly controlled asthmatics before long-term treatment with inhaled corticosteroids (ICS) have been reported. It seems that pro- and anti inflammatory cytokines might be involved in the attenuation of cortisol and adrenocorticotropic hormone (ACTH) responses to stress in these patients. Although long-term ICS treatment might produce mild adrenal suppression in some asthmatic children, improvement of adrenal function has been detected in the majority of cases. We postulate that the anti-inflammatory effects of ICS result both in asthma remission and HPA axis improvement. Adrenal suppression of some asthmatic patients on maintenance ICS seems to be a separate phenomenon, possibly constitutionally or genetically determined. PMID- 18155558 TI - Contrasting effects of P2 receptor agonists on spontaneous contractility of human fallopian tubes with and without acute inflammation. AB - Two groups of women were used to compare effects of P2 receptor agonists on the contractile activity of isolated human fallopian tubes with and without acute purulent inflammation. A control group included women with uterine tubes without inflammation (n=15). A study group included women, operated for unsuccessful conservative anti-inflammatory treatment of acute purulent tuboovarial formations (group with acute purulent salpingitis, n=16). Division into two groups was done according to pathohistological diagnosis. Spontaneous contractions of the isolated tubes were registered isometrically with electromechanical transducer before and after incubation of the tissues with agonists of P2 receptors-ATP, UTP, 2-methylthio-ATP and alpha,beta-methylene-ATP. In the control group neither of the agonists produced any significant effect on fallopian tube contractility. In the study group, ATP, 2-methylthio-ATP and alpha,beta-methylene-ATP significantly increased the spontaneous contractility of isolated tubes. It is suggested that higher activity of P2 receptor agonists in the uterine tubes with acute purulent inflammation is due to expression of several subtypes of P2 receptors during inflammation. PMID- 18155559 TI - Water-mediated protein-fluorophore interactions modulate the affinity of an ABC ATPase/TNP-ADP complex. AB - TNP-modified nucleotides have been used extensively to study protein-nucleotide interactions. In the case of ABC-ATPases, application of these powerful tools has been greatly restricted due to the significantly higher affinity of the TNP nucleotide for the corresponding ABC-ATPase in comparison to the non-modified nucleotides. To understand the molecular changes occurring upon binding of the TNP-nucleotide to an ABC-ATPase, we have determined the crystal structure of the TNP-ADP/HlyB-NBD complex at 1.6A resolution. Despite the higher affinity of TNP ADP, no direct fluorophore-protein interactions were observed. Unexpectedly, only water-mediated interactions were detected between the TNP moiety and Tyr(477), that is engaged in pi-pi stacking with the adenine ring, as well as with two serine residues (Ser(504) and Ser(509)) of the Walker A motif. Interestingly, the side chains of these two serine residues adopt novel conformations that are not observed in the corresponding ADP structure. However, in the crystal structure of the S504A mutant, which binds TNP-ADP with similar affinity to the wild type enzyme, a novel TNP-water interaction compensates for the missing serine side chain. Since this water molecule is not present in the wild type enzyme, these results suggest that only water-mediated interactions provide a structural explanation for the increased affinity of TNP-nucleotides towards ABC-ATPases. However, our results also imply that in silico approaches such as docking or modeling cannot directly be applied to generate 'affinity-adopted' ADP- or ATP analogs for ABC-ATPases. PMID- 18155562 TI - National trends in adolescent bariatric surgical procedures and implications for surgical centers of excellence. AB - BACKGROUND: Bariatric surgery is indicated for severely obese adolescents who have failed nonsurgical treatment. Our objective was to examine national trends in the use of bariatric operations among adolescents. STUDY DESIGN: The Kids' Inpatient Database was used to identify bariatric surgery patients in the pediatric population (age younger than 18 years) for 1997, 2000, and 2003. Patients were identified by procedure codes for bariatric operations with confirmatory diagnosis codes for obesity. Nationally representative estimates of trends in bariatric procedures, patient characteristics, hospital characteristics, and in-hospital complication rates were calculated. We augmented our analysis with the 2003 Nationwide Inpatient Sample, to ascertain hospitals' overall bariatric surgical volume (adolescents and adults). RESULTS: From 1997 to 2003, the estimated number of adolescent bariatric procedures performed nationally increased 5-fold from 51 to 282 (p < 0.01). More than 100 hospitals performed bariatric procedures on adolescents in 2003, most of which (87%) performed 4 or fewer adolescent bariatric operations annually. Operations were predominantly performed in adult hospitals (85%). Although most hospitals had high overall bariatric operation volumes (> 200 bariatric procedures for patients of any age), 39% of adolescent bariatric procedures were performed at lower volume centers. Patients were predominantly Caucasian (68%) and female (72%), with a mean age of 16 years (minimum age 12 years). In-hospital complications occurred in 6% of patients. There were no in-hospital deaths. CONCLUSIONS: Our findings indicate a recent, rapid increase in the frequency of adolescent bariatric procedures. Most hospitals that performed bariatric procedures on adolescents had limited experience with adolescent bariatric patients, although many of these hospitals appear to have been experienced adult centers with high overall bariatric volume (adolescents and adults). Future research must better clarify the institutional qualifications considered mandatory for treatment of eligible adolescents. PMID- 18155563 TI - The zero mortality paradox in surgery. AB - BACKGROUND: Patients considering where to have surgery may reasonably believe that their chances of survival are highest at hospitals whose reported operative mortality is zero. We sought to determine if hospitals with zero mortality over 3 years also have lower than average mortality in the subsequent year. STUDY DESIGN: We obtained national Medicare data on five operations with high operative mortality (> 4.0%): coronary artery bypass grafting, abdominal aortic aneurysm repair, and resections for colon, lung, and pancreatic cancer. For each procedure, we defined zero mortality hospitals as those with no inpatient or 30 day deaths during the 3-year period 1997 to 1999. To determine whether these hospitals actually have lower mortality than other hospitals, we compared their mortality during the next year (2000) with the mortality at all other hospitals. RESULTS: For four procedures, operative mortality in zero mortality hospitals in the subsequent year was no different than that in other hospitals: abdominal aortic aneurysm repair (6.3% zero mortality hospitals versus 5.8% other hospitals; (adjusted relative risk [RR]=1.09; 95% CI 0.92 to 1.29); lobectomy for lung cancer (5.1% versus 5.3%; RR=0.96; 95% CI 0.80 to 1.15); colon cancer resection (6.0% versus 6.6%; RR=0.91; 95% CI 0.80 to 1.03); and coronary artery bypass surgery (4.0% versus 5.0%; RR=0.81; 95% CI 0.61 to 1.04). In the case of pancreatic cancer resection, zero mortality hospitals had substantially higher mortality than other hospitals (11.2% versus 8.7%; RR=1.29; 95% CI 1.04 to 1.59). CONCLUSIONS: Paradoxically, hospitals with a history of zero mortality subsequently experience mortality rates that are the same or higher than those of other hospitals. Patients considering surgery should not consider a reported mortality of zero as being a reliable indicator of future performance. PMID- 18155564 TI - How useful are clinical, biochemical, and cross-sectional imaging features in predicting potentially malignant or malignant cystic lesions of the pancreas? Results from a single institution experience with 220 surgically treated patients. AB - BACKGROUND: This study aims to determine the use of preoperative clinical, biochemical, and cross-sectional imaging features for predicting malignancy in cystic lesions of the pancreas (CLP). STUDY DESIGN: Two hundred twenty patients who underwent operations for CLP or suspected CLP were reviewed. Patients were divided into two groups, patients undergoing operations for pseudocysts and patients undergoing operations for suspected cystic neoplasms. The predictive effect of various preoperative factors on the malignant potential of CLP was evaluated. RESULTS: Forty-four patients with a preoperative diagnosis of pseudocysts underwent operations for complications of pseudocyst. Forty-two were confirmed pathologically to have pseudocysts, but two were found, unexpectedly, to harbor malignant lesions. One hundred seventy-six patients underwent operations for suspected pancreatic cystic neoplasms. There were 70 benign, 51 potentially malignant, and 55 malignant CLP. On multivariate analysis, three factors, ie, elevated serum carcinoembryonic antigen (CEA) or carbohydrate antigen 19-9; cyst size > 3 cm; and presence of one or more of three morphologic features, such as solid component; peripheral calcification; and main duct dilation on cross-sectional imaging were independent predictors of malignancy. Presence of two or three of these factors had a positive predictive value of 88% in predicting a premalignant or malignant CLP. CONCLUSIONS: Most pancreatic pseudocysts can be accurately diagnosed preoperatively. In patients with suspected pancreatic cystic neoplasms, elevated serum CEA or carbohydrate antigen 19-9, cyst size > 3 cm, and presence of suspicious morphologic features on imaging are predictors of potentially malignant or malignant CLP. Patients with a high likelihood of a potentially malignant or malignant lesion based on these three factors should undergo operation without additional investigations. PMID- 18155565 TI - Trends in adoption of laparoscopic cholecystectomy in rural versus urban hospitals. AB - BACKGROUND: For many general surgeons, the professional isolation of rural practice serves as an obstacle to the adoption of new techniques. Whether this obstacle impeded the dissemination of laparoscopy in rural settings is not known. STUDY DESIGN: We performed a retrospective, descriptive comparison of the adoption rate of laparoscopic cholecystectomy in small rural versus urban hospitals in the US using the Nationwide Inpatient Sample from 1988 to 1997. Additionally, we examined differences in in-hospital mortality, length of hospital stay, and in-hospital reintervention rates. RESULTS: There were 4,985,465 cholecystectomies performed nationwide from 1988 to 1997. Over this time period, the proportion of procedures done laparoscopically increased from 2.5% to 76.6% for elective cholecystectomy and from 0.7% to 67.5% for urgent cholecystectomy. The proportion of elective procedures done laparoscopically increased sharply from 1989 to 1992, from 3.5% to 73.7%, and remained high in both rural and urban areas, with negligible difference in timing of adoption. Use of the laparoscopic approach for urgent cholecystectomy increased sharply from 1990 to 1992 (4.9% to 54.6%) and, since 1992, has increased similarly in both rural and urban areas. The adjusted in-hospital mortality rate for laparoscopic cholecystectomy did not differ significantly between rural and urban hospitals (0.47% and 0.57%, respectively, p=0.6). The in-hospital reintervention rate was 0.88% for both rural and urban hospitals (p=0.98). There were no significant differences in mortality or reintervention rates when cases were stratified by admission type (elective versus urgent). CONCLUSIONS: Most rural surgeons successfully overcame professional isolation in learning and adopting laparoscopic cholecystectomy. PMID- 18155566 TI - Cardiopulmonary bypass with cardioplegic arrest activates protein kinase C in the human myocardium. AB - BACKGROUND: The protein kinase C (PKC) family consists of 12 isoforms, 6 of which have been found in human myocardium (PKC alpha, beta I/beta II, delta, epsilon, eta, and lambda/iota). These kinases function in regulation of contractility, ion channels, and in cellular protection or damage during ischemia-reperfusion injury. This study investigated the effects of controlled ischemia-reperfusion injury through cardioplegic arrest on PKC activity in patients undergoing cardiac surgery. STUDY DESIGN: Myocardium and skeletal muscle were harvested from patients before and after cardiopulmonary bypass and cardioplegic arrest. Total PKC (n=12) was isolated and specifically, the PKC delta (n=8) and PKC epsilon (n=8) isoforms were immunoprecipitated for use in functional kinase assays. Cellular fractions (n=4) were separated by differential ultracentrifugation and analyzed by Western blotting for membrane translocation (an indirect indicator of increased activity). Immunofluorescent staining for PKC delta and PKC epsilon was performed on myocardial sections. An in vitro assay of hypoxic cardioplegic arrest followed by reoxygenation was performed using isolated cardiomyocytes, and apoptosis was assessed. RESULTS: Cardioplegic arrest was associated with a 24.4% +/- 4.6% increase (p < 0.05) in total PKC activity, a 26.7% +/- 4.9% increase (p < 0.05) in PKC delta activity, and a 35.3% +/- 14% increase (p < 0.05) in PKC epsilon activity in myocardium. Cardioplegic arrest induced migration of PKC delta and epsilon to the z-line of the cardiomyocyte. Inhibition of PKC delta in the in vitro studies demonstrated a considerable reduction in apoptotic cells. CONCLUSIONS: PKC delta and epsilon have previously been shown to mediate and protect, respectively, from ischemia-reperfusion injury after myocardial ischemia. Demonstration of increases in their activity after cardioplegic arrest provides support for their possible role in myocardial function after cardiac surgery. Isoform-specific modulators may be of potential therapeutic value in treating postoperative myocardial dysfunction. PMID- 18155567 TI - Transthoracic echocardiography for pulmonary embolism in the ICU: finding the "right" findings. AB - BACKGROUND: Use of transthoracic echocardiography (TTE) in documenting cardiac disorders is well accepted. This study reviews institutional experience with TTE in the clinical setting of pulmonary embolism (PE). STUDY DESIGN: Retrospective review of surgical ICU patients who underwent TTE within 72 hours of diagnosis of PE, from January 2005 to March 2007. Collected data included symptoms, clinical suspicion of PE, preexisting conditions, operative procedures, TTE findings, presence of deep venous thrombosis, and treatments used for PE. Preexisting TTEs, when available, were compared with those obtained after acute PE. TTEs subsequent to the first post-PE study were analyzed for change in severity of findings. RESULTS: Thirty-one patients (12 men, 19 women, mean age 66 years, APACHE II 18.1) were included. Twenty-two had high, and nine had moderate, clinical suspicion for PE. Radiographic diagnosis of PE was made by computed tomography (25 of 31) and by ventilation-perfusion scans (6 of 31). Twelve of 31 patients had extremity deep venous thrombosis by duplex ultrasonography. Tricuspid regurgitation was the most common TTE finding (28 of 31), followed by pulmonary hypertension (24), dilated right ventricle (23), right heart strain (19), and underfilled, hyperdynamic left ventricle (17). Seventeen patients had previous or "baseline" echocardiograms, and when compared with the post-PE TTE, all patients demonstrated worsening in at least one TTE finding. CONCLUSIONS: This study identified findings that can be used in prospective evaluation of TTE for suspected PE. The importance of baseline TTE has also been emphasized. Additional prospective evaluation of TTE in diagnosis of suspected PE in the ICU is warranted. PMID- 18155568 TI - Have surgical outcomes of pathologic T4 esophageal squamous cell carcinoma really improved? Analysis of 268 cases during 45 years of experience. AB - BACKGROUND: Because invasion to an adjacent organ (T4) indicates highly advanced disease, and most surgeons avoid esophagectomy, the prognostic impact of clinicopathologic factors for survival of these patients after esophagectomy has rarely been analyzed. STUDY DESIGN: From 1960 to 2005, a total of 268 patients with esophageal squamous cell carcinoma underwent esophagectomy for pathologic T4 disease (pT4). The impact of clinicopathologic factors on survival was evaluated by univariate and multivariate analysis. Changes in surgical outcomes and longterm survival between the earlier period (1960 to 1989) and the later period (1990 to 2005) were analyzed. RESULTS: Overall survival rates of all patients were 25% at 1 year, 10% at 3 years, and 5% at 5 years. The survival curve of the later group was significantly better than that of the earlier group (p < 0.01). Multivariate analysis indicated that venous invasion (hazards ratio, 1.76; 95% CI, 1.33 to 2.33, p < 0.01) and presence of a postoperative complication (hazards ratio, 2.62; 95% CI, 1.96 to 3.51, p < 0.01) were independent risk factors for poor overall survival. Presence of residual cancer was also an independent risk factor for poor cause-specific survival (hazards ratio, 2.40; 95% CI, 1.23 to 4.69, p=0.01). Venous invasion and intramural metastasis were risk factors for residual cancer. A total of 38 (14%) patients, 15 in the early period and 23 in the later period, underwent complete resection (R0). Although overall survival after R0 resection in the later period improved slightly, cancer-related survival rates were similar in both periods. CONCLUSIONS: Although overall survival of patients with pT4 improved after 1990, this improvement might be mainly dependent on curability of the resection. PMID- 18155569 TI - 18F-fluorodeoxyglucose positron emission tomography influences management decisions in patients with biliary cancer. AB - BACKGROUND: Although (18)F-fluorodeoxyglucose positron emission tomography (PET) has widespread clinical use, its role in cancers of the biliary tract is ill defined. The aim of this study was to determine if preoperative PET provided additional staging information in patients with biliary tract cancer, beyond that obtained through conventional anatomic imaging. The role of PET in detecting disease recurrence after resection was also examined. STUDY DESIGN: Between March 2001 and October 2003, 126 patients with biopsy-proved or presumed biliary tract cancer (intrahepatic or extrahepatic cholangiocarcinoma and gallbladder carcinoma) underwent PET in addition to standard imaging evaluation. Histologic confirmation of the diagnosis was used as the reference standard with which PET results were compared. Patient followup information and serial imaging were reviewed for progression of lesions detected by PET. RESULTS: Of the 126 study patients, 93 (74%) underwent preoperative staging PET scans, the results of which changed the stage and treatment in 22 patients (24%): 15 of 62 (24%) with cholangiocarcinoma and 7 of 31 (23%) with gallbladder carcinoma. When used to assess for cancer recurrence (n=33), PET identified disease in 86% of patients but altered treatment in only 9%. So, of the entire study group, the findings of PET influenced management in 20% of patients (24% preoperative staging and 9% cancer recurrence). The sensitivity of PET for identifying the primary tumor was 80% overall: 78% for cholangiocarcinoma, 86% for gallbladder carcinoma. CONCLUSIONS: Most biliary tract cancers are (18)F-fluorodeoxyglucose avid tumors. In patients with potentially resectable tumors based on conventional imaging, PET identified occult metastatic disease and changed management in nearly one-fourth of all patients. PET also helped confirm recurrent cancer after resection. PMID- 18155570 TI - Mortality impact of less-than-standard therapy in older breast cancer patients. AB - BACKGROUND: The purpose of this study was to compare the rates of all-cause and breast cancer-specific mortality after breast-conserving surgery (BCS) only, BCS plus radiation therapy (RT), mastectomy, and the receipt of adjuvant tamoxifen in a large population-based cohort of older women with early-stage disease. STUDY DESIGN: This cohort study was conducted within six US integrated health-care delivery systems. Automated administrative databases, medical records, and tumor registries were used to identify women aged 65 years or older who received BCS or mastectomy to treat stage I or II breast cancer diagnosed from January 1, 1990, through December 31, 1994. We compared cause-specific 10-year mortality rates across treatment categories by fitting Cox proportional hazards models adjusted for demographics and tumor characteristics. RESULTS: We identified 1,837 women having operations for stage I or II breast cancer. Compared with women receiving mastectomy, those receiving BCS without RT were twice as likely to die of breast cancer (adjusted hazards ratio [HR]=2.19, 95% confidence interval [CI], 1.51 to 3.18). Breast cancer mortality rates were similar between women receiving BCS plus RT and women receiving mastectomy (adjusted HR=1.08, 95% CI, 0.79 to 1.48). In the subset of 886 chemotherapy-naive women treated with tamoxifen, those treated with tamoxifen for less than 1 year had a substantially higher breast cancer mortality rate than those exposed 5 years or more (adjusted HR=6.26, 95% CI, 3.10 to 12.64). CONCLUSIONS: Our findings indicate that older women receiving BCS alone have higher rates of breast cancer death than those receiving BCS + RT or mastectomy and that the survival benefit from tamoxifen increases with increasing duration of treatment. PMID- 18155571 TI - Influence of frozen-section analysis of sentinel lymph node and lumpectomy margin status on reoperation rates in patients undergoing breast-conservation therapy. AB - BACKGROUND: Frozen-section analysis (FS) of the sentinel lymph node (SLN) is performed to avoid reoperation for axillary lymph node dissection (ALND), but it can miss micrometastatic disease, is labor intensive for the pathologist, and does not alter the number of breast-conservation therapy (BCT) patients needing reoperation for positive margins. The purpose of this study was to determine if eliminating FS would change reoperation rates in BCT patients. STUDY DESIGN: Between January 2004 and December 2005, 1,218 patients had simultaneous BCT and SLN biopsy for invasive breast cancer. FS of the SLN was used selectively at the surgeon's discretion. Clinical and pathologic data were collected. RESULTS: Overall, 542 of 1,218 (44%) patients had positive margins. FS of the SLN was performed in 931 of 1,218 (76%) patients. In those having FS, the SLN positivity rate was 33% (306 of 931). FS identified the positive SLN in 170 of 306 (56%) patients with positive nodes, allowing for immediate ALND. But 101 of these 170 patients had positive lumpectomy margins; and FS of the SLN saved 69 of 931 (7%) patients a second operation. Of patients not having FS, 48 of 287 (17%) had a positive SLN on final pathology. Only 18 of 48 (those seen on routine hematoxylin and eosin) might have been seen on FS, potentially sparing reoperation. Half of patients not having FS required reexcision for positive margins. FS would have spared reoperation for only 8 of 287 (3%) patients in this group. Overall, of 354 of 1,218 patients with SLN metastases, 170 had immediate ALND and 98 had delayed ALND. Of those having delayed ALND, 68 of 98 also had positive margins. CONCLUSIONS: Among patients having BCT with SLN biopsy, FS identified the positive SLN in 56% of patients with positive SLNs, allowing immediate ALND, and was false negative in 44%. Margin status remains a frequent indication for reoperation in BCT; routine FS analysis of the SLN ultimately saves only a minority of patients a second operation. PMID- 18155572 TI - Technique and outcomes of abdominal incisional hernia repair using a synthetic composite mesh: a report of 455 cases. AB - BACKGROUND: Abdominal wall hernias are a frequent and formidable challenge for general surgeons. Several different surgical techniques and types of mesh prosthetics are available for repair. We evaluated outcomes of an open ventral hernia repair using a synthetic composite mesh. STUDY DESIGN: We prospectively collected data on consecutive patients undergoing open ventral hernia repair using a synthetic composite mesh from January 1, 2000 to December 31, 2005 at four large medical centers. Four surgeons used a standardized surgical procedure for all patients. RESULTS: The study consisted of 455 patients with an average age of 56 years; 54% were men. Sixty-nine percent of the patients underwent repairs for recurrent hernias. Mean defect size was 44 cm(2), and mean mesh size was 213 cm(2). Average length of hospital stay was 1.1 days. Thirty-one patients had 33 early complications (7%), and 3 patients (0.7%) required reoperation (one each for seroma, bowel injury, and wound breakdown). Early infection occurred in four patients (0.9%), and one patient required reoperation and graft removal. Late complications occurred in nine patients (2%), with two patients requiring reoperation. Late infections occurred in two patients (0.4%); both required antibiotic treatment. Recurrent hernias were observed in 6 patients (1%; 6 of 450 because of 5 patients with unknown recurrence) at a mean followup of 29.3 months. CONCLUSIONS: In this large multicenter series, open ventral hernia repair using a composite mesh resulted in a short hospital stay, moderate complication rate, low infection rate, and low recurrence rate. PMID- 18155573 TI - Incremental costs of post-liver transplantation complications. AB - BACKGROUND: Complications after liver transplantation are common and expensive. The incremental costs of adult posttransplantation liver transplantation complications and who pays for these complications (center or payor) is unknown. STUDY DESIGN: We reviewed the medical and financial records (first 90 postoperative days) of all adult liver transplant recipients at our center between July 1, 2002, and October 30, 2005 (N = 214). The association of donor, recipient, and financial data points (total costs, reimbursements, and profits) was assessed using standard univariable analyses. The incremental costs of complications were determined with multiple linear regression models to control for the costs inherent to donor and recipient characteristics. RESULTS: Univariate analyses demonstrated that both total hospital costs and reimbursements were substantially increased in patients with several different complications. Multiple linear regression analysis, controlling for recipient (age, gender, race, and laboratory Model for End-Stage Liver Disease [MELD]) and donor factors (donor risk index), noted that increased hospital costs and hospital reimbursements were independently associated with laboratory MELD (incremental costs of $3,368 and $2,787, respectively, per MELD point) and pneumonia ($83,718 and $68,214, respectively). A negative profit margin for the medical center was independently associated with peritonitis ($21,760). Commercial insurance was associated with no changes in total costs when compared with public insurer, but it was associated with decreased reimbursement and profit. CONCLUSIONS: The incremental costs of complications in liver transplantation are high for both the medical center and payor, but medical center profits are not affected substantially. The payor bears the financial burden for post-liver transplantation complications. PMID- 18155575 TI - Teamwork and communication in surgical teams: implications for patient safety. AB - BACKGROUND: As part of a national program in the Department of Veterans Affairs to improve communication within the health-care environment, the Medical Team Training questionnaire was developed to assess organizational culture, communication, teamwork, and awareness of human factors engineering principles. STUDY DESIGN: The Medical Team Training questionnaire was pilot tested with 300 health-care clinicians. The final version of the Medical Team Training questionnaire was administered to an interdisciplinary group of 384 surgical staff members in 6 facilities as part of the Medical Team Training pilot project in the Department of Veterans Affairs. RESULTS: The results revealed a pattern of discrepancies among physicians and nurses in which surgeons perceive a stronger organizational culture of safety, better communication, and better teamwork than either nurses or anesthesiologists do. CONCLUSIONS: The Medical Team Training questionnaire was helpful in identifying hidden problems with communication before formal team training learning sessions, and it will be useful in focusing efforts to improve communication and teamwork in the operating room. PMID- 18155576 TI - An enzyme-mediated assay to quantify inoculation volume delivered by suture needlestick injury: two gloves are better than one. AB - BACKGROUND: Acquiring a blood-borne disease is a risk of performing operations. Most data about seroconversion are based on hollow-bore needlesticks. Some studies have examined the inoculation volumes of pure blood delivered by suture needles. There is a lack of data about the effect of double-gloving on contaminant transmission in less viscous fluids that are not prone to coagulation. STUDY DESIGN: We used enzymatic colorimetry to quantify the volume of inoculation delivered by a suture needle that was coated with an aqueous contaminant. Substrate color change was measured using a microplate reader. Both cutting and tapered suture needles were tested against five different glove types and differing numbers of glove layers (from zero to three). RESULTS: One glove layer removed 97% of contaminant from tapered needles and 65% from cutting needles, compared with the no-glove control data. Additional glove layers did not significantly improve contaminant removal from tapered needles (p > 0.05). For the cutting needle, 2 glove layers removed 91% of contaminant, which was significantly better than a single glove (p = 0.002). Three glove layers did not afford statistically significant additional protection (p = 0.122). There were no statistically significant differences between glove types (p = 0.41). CONCLUSIONS: With an aqueous needle contaminant, a single glove layer removes contaminant from tapered needles as effectively as multiple glove layers. For cutting needles, double-glove layering offers superior protection. There is no advantage to triple-glove layering. A surgeon should double-glove for maximum safety. Additionally, a surgeon should take advantage of other risk-reduction strategies, such as sharps safety, risk management, and use of sharpless instrumentation when possible. PMID- 18155574 TI - Addition of bevacizumab to irinotecan- and oxaliplatin-based preoperative chemotherapy regimens does not increase morbidity after resection of colorectal liver metastases. AB - BACKGROUND: Although commonly used in combination with irinotecan or oxaliplatin (iri/oxal) for treatment of colorectal liver metastases before extirpation, the effects of preoperative bevacizumab on surgical outcomes are not established. The objective of this retrospective study was to determine if addition of bevacizumab to iri/oxal preoperative chemotherapy increases morbidity after hepatic resection. STUDY DESIGN: We compared demographics, clinicopathologic data, treatments, and postoperative outcomes between patients given preoperative iri/oxal with and without bevacizumab and patients who underwent hepatic resection within and after 8 weeks from the last dose of bevacizumab. RESULTS: From 1996 to 2006, 96 patients were treated with preoperative iri/oxal; 39 (40.6%) received concurrent bevacizumab. Preoperative bevacizumab treatment was associated with less blood loss (median 425 mL versus 600 mL, p=0.01) and lower RBC transfusion rates (43.9% versus 23.1%, p=0.06) after partial hepatectomy on univariable analysis. Only age>or=70 years (hazard ratio=8.52, 95% CI [2.00 to 36.45]) and concurrent extrahepatic procedures (hazard ratio=4.12, 95% CI [1.49 to 11.39]) independently predicted RBC transfusion and overall complications, respectively. There were no differences in overall (43.6% versus 38.6%), severe (28.2% versus 24.6%), hepatic (17.9% versus 26.3%), wound (10.3% versus 7%), or thromboembolic or bleeding (2.6% versus 5.3%) complications (all p > 0.05). For patients treated with iri/oxal and bevacizumab, overall complications were more common when resection was performed within 8 weeks after the last bevacizumab dose (62.5% versus 30.4%), but this difference was not statistically significant (p=0.06). CONCLUSIONS: If discontinued at least 8 weeks before hepatic resection, addition of bevacizumab to preoperative iri/oxal does not increase morbidity after hepatic resection. PMID- 18155577 TI - Elucidating mechanisms of recurrent laryngeal nerve injury during thyroidectomy and parathyroidectomy. AB - BACKGROUND: Intraoperative nerve monitoring during thyroidectomy, parathyroidectomy, or related central neck procedures can elucidate actual or potential mechanisms of recurrent laryngeal nerve (RLN) injury, especially visually intact nerves, which were previously unknown to the endocrine surgeon. STUDY DESIGN: In this prospective evaluation study, 373 patients underwent 380 consecutive thyroidectomy- or parathyroidectomy-related operations using intraoperative nerve monitoring, with 666 RLNs at risk. The success of visual and functional identification of the RLN, persistent loss of RLN function to nerve stimulation, the mechanism and location of RLN injury, and anatomy of the RLN or technical difficulties that appeared potentially risky for RLN injury were recorded. RESULTS: RLN was identified visually or functionally in 98.2% of nerves at risk. Initial intraoperative injury to the RLN occurred in 25 nerves at risk (3.75%). It was significantly more likely to be a visually intact RLN (n = 22; 3.3%) than a transected RLN (n = 3; 0.45%), p < 0.001. Paralysis persisted in 2 RLNs (0.3%). Visual misidentification accounted for only 1 RLN injury; the most common cause of injury resulted from traction to the anterior motor branch of a bifurcated RLN near the ligament of Berry (n = 7; 28%), then paratracheal lymph node dissection (n = 6; 24%), incorporating ligature (n = 4; 16%), and adherent cancer (n = 4; 16%). Fifty nerves at risk (7.5%) were identified as particularly at risk for injury, most notably those with anatomic variants (n = 26; 52%) and large or vascular thyroid lobes (n = 19; 38%). CONCLUSIONS: RLN injury during thyroidectomy or parathyroidectomy occurs intraoperatively significantly more often to a visually intact RLN than to a transected nerve. The anterior motor branch of an RLN bifurcating near the ligament of Berry is particularly at risk of traction injury. PMID- 18155578 TI - Secondary overtriage: a consequence of an immature trauma system. AB - BACKGROUND: Trauma systems are designed to bring the injured patient to definitive care in the shortest practical time. This depends on prehospital destination criteria (primary triage) and interfacility transfer guidelines (secondary triage). Although primary undertriage is associated with increased costs and worse outcomes for selected injuries, secondary overtriage can overwhelm system resources and delay definitive care. The purpose of this study was to determine the incidence of secondary overtriage in a region without a formal trauma system. STUDY DESIGN: Retrospective cohort study of trauma registry data at an American College of Surgeons Committee on Trauma-verified Level I trauma center and regional referral center. Secondary overtriage was defined as patients transferred from another hospital emergency department to our trauma receiving unit who had an injury severity score < 10, did not require an operation, and who were discharged to home within 48 hours of admission. RESULTS: Data on 9,064 patients were reviewed; 6,875 (76%) arrived directly from the scene and 2,189 (24%) were transferred. Although the transferred group was more severely injured, the majority (64%) had minor injuries and 824 (39%) met secondary overtriage criteria. The degree of secondary overtriage and injury pattern varied with respect to referring facility. Peak admission day and times for overtriage patients coincided with scene admissions trauma receiving unit closure events. Patient payor mix and facility cost and reimbursement profiles did not differ between scene and transfer overtriage patients. CONCLUSIONS: A substantial proportion of transferred trauma patients require only brief diagnostic or observational care. Excessive overtriage calls for development of a regional inclusive trauma system with established primary and secondary triage guidelines to improve access to care and trauma system efficiency. PMID- 18155579 TI - Longterm outcomes of early-stage gastric carcinoma patients treated with laparoscopy-assisted surgery. AB - BACKGROUND: Laparoscopy-assisted approaches have become popular for dissecting early-stage gastric cancer in Japan, but the outcomes after 5 years of followup have not been reported. STUDY DESIGN: Between January 1998 and March 2002, 94 patients with histologically proved early-stage gastric carcinoma participated in clinical studies and underwent gastrectomy with regional lymphadenectomy to evaluate feasibility and safety of the laparoscopy-assisted approach. Outcomes and pattern of disease failure during followup up to 5 years were evaluated in all patients. Multivariable analysis was performed to identify relevant prognostic factors. RESULTS: Conversion to open procedures occurred in three patients. Median blood loss was 90 mL (interquartile range, 160 mL), and duration of operation was 230 minutes (interquartile range, 60 minutes). Operative morbidity and mortality were 22.3% and 0%, respectively. Nine patients died during the course of followup, for an overall 5-year survival rate of 90%. Two patients died of recurrent disease, and 2 other patients have been diagnosed with recurrences, for a 5-year recurrence-free survival of 95.6%. Three patients with recurrent cancer, including 1 with port-site recurrence, had stage IA disease (pT1pN0) at operation. Diabetes mellitus as a comorbidity was prominent as a prognostic factor. CONCLUSIONS: Outcomes of patients with a preoperative diagnosis of early-stage cancer were excellent when treated with a laparoscopy assisted approach, although rare patterns of disease failure were observed. PMID- 18155580 TI - Digital fecal occult blood testing in the ambulatory urology clinic. AB - BACKGROUND: This study was designed to evaluate the use and yield of fecal occult blood testing (FOBT) in an ambulatory urology clinic. STUDY DESIGN: Patients seen in the ambulatory urology clinic were prospectively evaluated with FOBT. The test was performed only on patients when a rectal examination was indicated as part of their urologic evaluation. Patients who were found to have a positive FOBT were then referred for additional gastrointestinal evaluation. RESULTS: One hundred eight patients were evaluated, including 57 men and 51 women. Eight patients (7%), including six men and two women, were found to be positive for fecal occult blood. Two patients were found to have upper gastrointestinal sources of bleeding (one gastritis with Barrett's esophagitis and one with a duodenal ulcer). Two patients had benign lower gastrointestinal sources of bleeding, including one with hyperplastic polyps and one with a tubular adenoma. One patient was diagnosed with a moderately differentiated adenocarcinoma of the sigmoid colon. One had negative followup fecal occult blood test, and two were lost to followup. CONCLUSIONS: Addition of FOBT to routine digital rectal examination performed in the ambulatory urology clinic is an inexpensive and simple test that can detect otherwise asymptomatic underlying gastrointestinal pathology. Although the six sample test is a preferred test for colorectal cancer screening, a digital FOBT during routine urologic evaluation can detect a clinically significant upper or lower gastrointestinal lesion, at the same time increase compliance with FOBT. Larger, prospective studies are needed to confirm the benefit of digital FOBT during a routine urologic visit. PMID- 18155581 TI - Partial matrix excision or orthonyxia for ingrowing toenails. AB - BACKGROUND: We wanted to evaluate whether partial matrix excision and orthonyxia are equally effective in the treatment of ingrown toenails of the hallux. STUDY DESIGN: We conducted a prospective randomized clinical trial with 12-month observer-blinded followup, in the surgical outpatient department of a teaching hospital. We randomized 105 consecutive patients with a total of 109 ingrown toenails to either partial matrix excision (n=58) or an orthonyxia procedure (n=51). The main outcomes measurements were rate of recurrence after 12 months, postoperative morbidity, and time to complete recovery. RESULTS: The 12-month followup was completed in 55 of 58 patients undergoing partial matrix excision and 47 of 51 patients having orthonyxia. There were four ingrown toenails, four recurrences in the partial matrix excision group, and eight in the orthonyxia group (NS, p=0.14). Postoperative morbidity parameters (redness, pus, postoperative bleeding); time to complete recovery, wearing shoes (p < 0.01), and performing activities of daily living and hobbies; postoperative symptoms; and patient satisfaction all favored orthonyxia. CONCLUSIONS: Partial matrix excision and orthonyxia are equally effective treatments for ingrown toenails. But the orthonyxia procedure showed better results, with less postoperative morbidity, shorter time to complete recovery, fewer postoperative symptoms, and greater patient satisfaction. PMID- 18155582 TI - Management and therapy for sports hernia. PMID- 18155583 TI - Medicare physician payment reform: changing incentives to maintain access to quality surgical services. PMID- 18155584 TI - The journey of a foreign-trained physician to a United States residency: controversies surrounding the impact of this migration to the United States. PMID- 18155585 TI - Elizabeth Blackwell and the 150th anniversary of the New York Infirmary for Indigent Women and Children. PMID- 18155586 TI - Traumatic bilateral thoracic facet dislocation without fracture. PMID- 18155587 TI - Ulnar artery thrombosis: hypothenar hammer syndrome. PMID- 18155588 TI - A new technique for successful management of a complete suprahepatic caval transection. PMID- 18155589 TI - Grey's Ghimenton gastropexy: an anatomic make-up for management of gastric volvulus. PMID- 18155591 TI - Bovine thrombin and the clinical consequence of antibody development. PMID- 18155593 TI - Methodological variance associated with normalization of occupational upper trapezius EMG using sub-maximal reference contractions. AB - OBJECTIVES: To quantify the variance introduced to trapezius electromyography (EMG) through normalization by sub-maximal reference voluntary exertions (RVE), and to investigate the effect of increased normalization efforts as compared to other changes in data collection strategy on the precision of occupational EMG estimates. METHODS: Women performed four RVE contractions followed by 30 min of light, cyclic assembly work on each of two days. Work cycle EMG was normalized to each of the RVE trials and seven exposure parameters calculated. The proportions of exposure variance attributable to subject, day within subject, and cycle and normalization trial within day were determined. Using this data, the effect on the precision of the exposure mean of altering the number of subjects, days, cycles and RVEs during data collection was simulated. RESULTS: For all exposure parameters a unique component of variance due to normalization was present, yet small: less than 4.4% of the total variance. The resource allocation simulations indicated that marginal improvements in the precision of a group exposure mean would occur above three RVE repeats for EMG collected on one day, or beyond two RVEs for EMG collected on two or more days. PMID- 18155594 TI - The rationale and method for autoclaving anesthetic cartridges for surgical trays. AB - This review assesses the effectiveness of alcohol wiping of anesthetic cartridges prior to their use on surgical trays. Based on the referenced studies of alcohol disinfectants, it is clear that alcohol does not qualify for surgical use. A dedicated method of autoclaving anesthetic cartridges, which are vertically held with their plungers upward, followed by a no-pressure-released cooling-off period, is discussed and recommended. The processed cartridges are dry, sterile, ready for use, and fully functional. PMID- 18155595 TI - Radiographic and histomorphometric analysis of bone healing using autogenous graft associated with platelet-rich plasma obtained by 2 different methods. AB - The aim of this study was to conduct radiographic and histomorphometric analysis of bone healing in the calvaria of rabbits, using an autogenous graft associated with PRP obtained by 2 different methods. Thirty rabbits were divided into control and experimental groups. Lesions were produced in the calvaria and filled with autogenous graft (control) or autogenous graft and PRP obtained by the Anitua or modified Sonnleitner methods. The animals were humanely killed 15 days after surgery and the calvarias were radiographed. The radiographs were digitized to assess the radiographic density. By histologic images of the lesion, the bone matrix was quantified. There were no significant differences in the radiographic density and the bone matrix area between the groups. The association of PRP with autogenous bone did not improve the healing process, irrespective of the method used early during healing. PMID- 18155596 TI - Articular disc position in association with mandibular setback surgery. AB - OBJECTIVE: The purpose of this study was to evaluate the influence of orthognathic surgery on articular disc position and temporomandibular disorder symptoms of skeletal class III patients by means of clinical and radiographic evaluation of the temporomandibular joint. STUDY DESIGN: Thirty-six patients with skeletal class III malocclusion, who were treated at Kangnam St. Mary's Hospital between January 2005 and January 2006, were evaluated by clinical examination and pre- and postoperative magnetic resonance imaging. RESULTS: The change of articular disc position after mandibular setback surgery by means of sagittal split ramus osteotomy was not statistically significant, but it tended to be positioned posteriorly. CONCLUSION: It can be suggested that orthognathic surgery does not significantly change the position of the articular disc. PMID- 18155597 TI - Burning mouth syndrome and burning mouth in hypothyroidism: proposal for a diagnostic and therapeutic protocol. AB - BACKGROUND: Burning mouth syndrome (BMS) is a common disorder frequently affecting women past the 5th decade of age. It is characterized by oral burning, mainly involving the tongue, lip, and anterior palate, but without oral lesions or alteration showing in blood tests and/or instrumental findings. OBJECTIVE: We proposed to exclude alterations due to thyroid function and echographic abnormality in formulating BMS diagnosis. The aim of this study was to propose a blood and instrumental protocol including thyroid function and echography to obtain a correct BMS diagnosis. In the absence of such an assessment, a number of patients with oral burning and hypothyroidism may erroneously be considered BMS patients. STUDY DESIGN: For this study, a group of 123 patients initially diagnosed with BMS was selected, following use of the current preliminary diagnostic protocol for BMS (study group). A further 123 patients with dental problems and without oral burning were selected as a control group. All patients were submitted to further protocol based on a study of their thyroid function and echography. RESULTS: Thirteen control patients showed some thyroid alteration compared with 85 patients of the study group. In relation to these further examinations, a therapeutic protocol based on use of thyroxine, lipoic acid, or clonazepam was applied for patients belonging to the study group. Fifty-eight patients (47%) showed hypothyroidism and were treated with thyroxine, and 37 (64%) of these showed a positive response (VAS 1 and 0). Twenty-seven patients (22%) evinced euthyroidism with an inhomogeneous parenchyma thyroid echographic pattern. These were treated with lipoic acid, and 23 (85%) of them responded positively (VAS 1 and 0). Thirty-eight patients (31%) showed euthyroidism and no echographic alteration. Only these were considered to be true BMS patients and were treated with lipoic acid. Only 10 (26%) of these patients responded positively (VAS 1 and 0). CONCLUSIONS: This study reveals that subjects with thyroid alterations are often considered to be BMS patients and that hypothyroidism could be responsible for oral burning and/or dysgeusia in some supertaster subjects. For these reasons, we propose that the study of thyroid function be inserted in the diagnostic process for BMS patients. PMID- 18155598 TI - Papillary cystadenoma of a minor salivary gland: report of a case involving cytological analysis and review of the literature. AB - A 91-year-old man presented with an asymptomatic swelling in the roof of his mouth. Clinically the lesion was nontender and appeared cystic. A CT scan showed a soft tissue swelling of his palate with no bony involvement. An orthopantogram and blood tests were noncontributory. A fine-needle aspiration biopsy was suggestive of a minor salivary gland neoplasm. An excision biopsy showed papillary cystadenoma of the minor salivary gland, with numbers of psammoma bodies. A stepwise approach is demonstrated in the diagnosis of this rare minor salivary gland neoplasm. To the authors' best knowledge, this is the 12th case of this tumor seen in the palate. Furthermore, no previous case has included a fine needle aspiration biopsy in the work-up, the cytological features of which will be described. PMID- 18155599 TI - Granulocytic sarcoma of the lips: report of an unusual case. AB - Granulocytic sarcoma (GS) is a rare localized, extramedullary tumor composed of immature cells of granulocyte series. It is capable of marked local tissue destruction. This condition can be a precursor of acute myeloid leukaemia by months or years making its diagnosis critical. Its occurrence has been described in multiple sites including skin, lymph nodes, bone, and visceral organs. It is extremely rare in the oral cavity and only 30 cases have been reported in the literature to date and often as a lump in the gingiva, palate, and extraction sockets. We describe the first reported case of GS presenting as a solitary lump in the lip and review the pertinent literature. PMID- 18155600 TI - Oral undifferentiated high-grade pleomorphic sarcoma: report of a case. AB - The current World Health Organization classification considers the existence of an undifferentiated unclassifiable category of pleomorphic sarcomas, defined as a group of pleomorphic high-grade sarcomas. Undifferentiated high-grade pleomorphic sarcoma represents about 5% of all soft tissue sarcomas in adults and occurs more commonly in the extremities. In the oral cavity, undifferentiated pleomorphic sarcoma is extremely rare. We report a case of undifferentiated high-grade pleomorphic sarcoma located in the floor of the mouth in a man 56 years old. Microscopically, spindle-shaped cells with accented pleomorphism arranged in a storiform pattern, several bizarre giant cells, and frequent atypical mitoses were observed. The tumor cells were positive only for vimentin, with focal positivity for CD68. The patient was treated by surgery and postoperative radiation therapy, and after 25 months, no recurrence was observed. PMID- 18155601 TI - Talon cusps, macrodontia, and aberrant tooth morphology in Berardinelli-Seip syndrome. AB - Berardinelli-Seip syndrome is a congenital form of generalized lipodystrophy, transmitted as an autosomal recessive trait. It is well documented in medicine and skin. It is a rare disorder caused by mutations of AGPAT2 gene or BSCL2 gene. We present an interesting case of Seip-Berardinelli syndrome in female siblings aged 12 years and 14 years who presented with endocrine disturbances along with dental manifestations including talon cusps, macrodontia, aberrant tooth morphology, and severe generalized crowding. The presence of such dental abnormalities may represent an interesting association with endocrine disturbances. Such cases require thorough investigations and appropriate treatment. PMID- 18155602 TI - Bacterial leakage in root canals obturated by different techniques. Part 1: microbiologic evaluation. AB - OBJECTIVE: This study compared the coronal bacterial leakage of root canals obturated by different techniques and with different lengths of obturation. STUDY DESIGN: The canals of palatal roots of 160 maxillary molars were instrumented and divided into different groups according to the obturation technique used (lateral condensation, Microseal system, Touch 'n Heat + Ultrafil system, or Tagger's hybrid technique) and the length of obturation (5 mm or 10 mm). The roots were impermeabilized, sterilized in ethylene oxide, and mounted on a device for evaluation of the bacterial leakage. RESULTS: Tagger's hybrid technique produced a statistically greater number of specimens with coronal leakage than the other techniques. There was no statistically significant difference between the lateral condensation, Touch 'n Heat + Ultrafil, and Microseal groups. Root canals with 10 mm of obturation produced a statistically significantly smaller number of specimens with leakage than root canals with 5 mm of obturation. CONCLUSION: Tagger's hybrid technique produced a greater number of specimens with coronal leakage than the other techniques, and a greater number of root canals with 5 mm of obturation leaked than root canals with 10 mm of obturation. PMID- 18155603 TI - Evaluation of factors that can modify platelet-rich plasma properties. AB - OBJECTIVE: The aim of this article is to discuss a protocol for obtaining platelet-rich plasma (PRP) and evaluate which factors, derived from its preparation method and from whole blood, modify PRP cytometry and coagulation time. STUDY DESIGN: Whole blood, harvested from 50 rabbits, was centrifuged at 300g for 10 minutes. Supernatant was recentrifuged at 5000g for 5 minutes. PRP was clotted with calcium chloride. Whole blood and PRP cytometry were obtained through automatic measurement. The amount of erythrocyte- and platelet-poor plasma drawn from whole blood was measured. Hematocrit, platelet and leukocyte count, mean corpuscular volume (MCV) and mean platelet volume (MPV), mean, standard deviation, and median were also calculated at whole blood and PRP. PRP coagulation time was also analyzed. Mean values between groups were analyzed using Student t test. Correlations were evaluated using Pearson's correlation coefficient. The significance level was set at P < .05. A linear regression was performed to investigate the relationship among the correlated variables. RESULTS: From whole blood, 2.68 mL of erythrocytes and 5.72 mL of platelet-poor plasma (PPP) were removed. PRP platelet count was 2,324,080 cells/microL. Whole blood hematocrit influenced the amount of cells and PPP removed, as well as PRP platelet count. PRP platelet count was dependent on whole blood hematocrit and platelet count, and does not interfere in PRP coagulation time. A linear interaction was confirmed between the variables that presented significant Pearson correlation. CONCLUSIONS: The protocol evaluated produces a good PRP. Whole-blood parameters can predict PRP features. Whole-blood hematocrit is an important variable for PRP preparation and PRP cytometry characterization. PRP platelet count is dependent upon whole-blood platelet count. PMID- 18155604 TI - Evaluation of the radiopacity and cytotoxicity of Portland cements containing bismuth oxide. AB - OBJECTIVE: This study aimed at evaluating the radiopacity and cytotoxicity of Portland cements containing bismuth oxide (PcBo) in varying ratios. STUDY DESIGN: Specimens measuring 10 mm in diameter and 1 mm in thickness were radiographed with an aluminum step wedge using an occlusal film. The radiographs were digitized, and the radiopacity of each material was compared to the different thicknesses of the aluminum step wedge. Using the 3-(4,5-dimethylthiazol-2-yl) 2,5-diphenyltetrazolium bromide (MTT) assay, the cytotoxicity of each material was determined in immortalized human periodontal ligament (IPDL) cells. RESULTS: The results demonstrated that Portland cement with 20% bismuth oxide presented greater radiopacity (P < .05) compared to the mixtures with less bismuth oxide. The cell viabilities of all PcBo groups were statistically similar (P > .05) throughout the experimental period. CONCLUSION: These results indicate that Portland cement with 20% bismuth oxide has a greater potential for being used as a root-end filling material compared to Portland cement with less bismuth oxide. PMID- 18155605 TI - Periapical health related to the type of coronal restorations and quality of root canal fillings in a Turkish subpopulation. AB - OBJECTIVE: The purpose of this study was to evaluate the relationship between the quality of root canal fillings and type of permanent coronal restorations and their association with the periapical status in a Turkish subpopulation. STUDY DESIGN: There were 1268 endodontically treated teeth from 280 panoramic radiographs that were evaluated. Two observers assessed the radiographs using an x-ray viewer with 2 times magnification. Teeth were classified according to the type of restorations. The quality of root canal fillings were evaluated according to the criteria determined by Tronstad et al. Apical status was assessed by the Periapical Index scores (PAI) proposed by Orstavik et al. Chi-square test was used for statistical analysis. RESULTS: There were 59.5% of endodontically treated teeth that showed healthy periapex. Teeth with good endodontic treatment showed statistically significant high healthy periapex rates regardless of the type of the restoration. In addition, the evaluation of the entire material also showed that the roots with posts had significantly more periapical pathosis than roots without posts (P = .001). CONCLUSIONS: It can be concluded that, although the quality of the root canal filling plays a key role in the outcome of endodontic therapy, the type of restoration can also be a contributing factor in the treatment outcome. PMID- 18155606 TI - Innovation in dental education: empty buzzword or real movement? PMID- 18155607 TI - On the issue of uncultivated bacteria and dead cell detection by molecular methods: Reply to Dr. Nair's commentary. PMID- 18155609 TI - Validation of instruments to measure the symptoms and signs of oral lichen planus. AB - OBJECTIVE: The aim of this study was to validate the visual analog scale (VAS), numeric rating scale (NRS), and change in symptoms scale (CSS) in measuring symptoms of oral lichen planus, and the modified oral mucositis index (MOMI) in measuring the signs of oral lichen planus. STUDY DESIGN: Criterion validity, construct validity, and internal consistency reliability were evaluated using data from a randomized, double blind, placebo-controlled clinical trial of curcuminoids in oral lichen planus. RESULTS: Moderate to high correlations were found between VAS, NRS, and CSS. Correlations of symptom scores with clinical signs ranged from minimal to high. Correlation of NRS with clinical signs was stronger than that of VAS with clinical signs. Significant changes from baseline at each follow-up in NRS, VAS, and MOMI scores were seen. The Cronbach alpha for erythema and ulceration scores from the MOMI were 0.66. CONCLUSIONS: This study gives some evidence of the validity of NRS, VAS, CSS, and MOMI for use in oral lichen planus. The NRS has better construct validity than VAS, based on higher correlations with clinical signs. Erythema plus ulceration is a better measure than ulceration alone. PMID- 18155610 TI - Oral posttransplantation lymphoproliferative disorder: an uncommon site for an uncommon disorder. AB - In 2001, the World Health Organization (WHO) published its new classification of tumors of hematopoietic and lymphoid tissues, including an entity named posttransplantation lymphoproliferative disorder (PTLD). Because oral PTLD is of clinical relevance to oral health providers, the importance of distinguishing between PTLD and nontransplantation related lymphoma is outlined, and the clinical implications of oral PTLD are discussed. PMID- 18155611 TI - The topographical distribution of tissue injury in benign MS: a 3T multiparametric MRI study. AB - We compared the global and regional distribution of white matter (WM) and gray matter (GM) damage and T2-visible lesion between patients with benign (B) and relapsing remitting (RR) multiple sclerosis (MS). BMS and RRMS patients did not differ in terms of global volumes and diffusion tensor (DT) MRI metrics of the WM and GM. Compared to controls, BMS and RRMS patients had bilateral thalamic loss. Compared to controls, BMS and RRMS patients had lower WM fractional anisotropy (FA) in the corpus callosum (CC) and in several regions of temporal and occipital lobes. BMS also had a decreased WM FA in the parietal lobes. RRMS patients had also lower WM FA in several regions of the frontal lobes. Compared to BMS, RRMS patients had decreased WM FA in the frontal lobes, while the opposite comparison showed lower WM FA in the CC, the temporal lobes and the cuneus in BMS. Contrasted to controls, both MS groups showed several regions of increased MD in WM and GM, but no difference was found between MS sub-groups. T2-visible lesions were mainly located in the posterior regions of the brain in BMS patients, while they involved also regions in the frontal lobes, in RRMS patients. BMS and RRMS patients differ in terms of the topographical distribution of WM damage rather than in the overall extent of brain structural changes. The less prominent involvement of the frontal lobe WM and of the NAWM in general in BMS might be associated to their favorable clinical status. PMID- 18155612 TI - Optimising experimental design for MEG beamformer imaging. AB - In recent years, the use of beamformers for source localisation has significantly improved the spatial accuracy of magnetoencephalography. In this paper, we examine techniques by which to optimise experimental design, and ensure that the application of beamformers yields accurate results. We show that variation in the experimental duration, or variation in the bandwidth of a signal of interest, can significantly affect the accuracy of a beamformer reconstruction of source power. Specifically, power will usually be underestimated if covariance windows are made too short, or bandwidths too narrow. The accuracy of spatial localisation may also be reduced. We conclude that for optimum accuracy, experimenters should aim to collect as much data as possible, and use a bandwidth spanning the entire frequency distribution of the signal of interest. This minimises distortion to reconstructed source images, time courses and power estimation. In the case where experimental duration is short, and small covariance windows are therefore used, we show that accurate power estimation can be achieved by matrix regularisation. However, large amounts of regularisation cause a loss in the spatial resolution of the MEG beamformer, hence regularisation should be used carefully, particularly if multiple sources in close proximity are expected. PMID- 18155614 TI - Light fluence rate and chloroplasts are sources of signals controlling mesophyll cell morphogenesis and division. AB - As part of the acclimation of the photosynthetic apparatus to high fluence rates of light, mesophyll (photosynthetic) leaf cells change in morphology (they elongate anticlinally or perpendicular to the leaf surface) and undergo extra cell divisions. This results in increased leaf thickness and internal, protective shading among chloroplasts. Here we have examined whether the chloroplasts themselves are sources of intracellular signals that trigger these changes, by monitoring the Arabidopsis thaliana chm1 variegated mutant, in which albino (chloroplast-defective) and green (with functional chloroplasts) sectors coexist in one leaf. Our results have uncovered two separable responses. The increase in mesophyll cell elongation was substantially reduced but still observable in albino sectors, indicating that chloroplasts contribute to the cell morphogenesis response, but a chloroplast-independent light sensory mechanism must exist. In contrast the change in number of mesophyll cell layers was completely abolished when plastids were dysfunctional, indicating that plastids are sole sources of signals for the cell division response. These data highlight the importance of plastid-derived signals in the cellular responses associated with photosynthetic acclimation. PMID- 18155613 TI - The exploration of rotenone as a toxin for inducing Parkinson's disease in rats, for application in BBB transport and PK-PD experiments. AB - INTRODUCTION: In search for a suitable rat model to study potentially affected blood-brain barrier (BBB) transport mechanisms in the course of Parkinsons disease (PD) progression, experiments were performed to characterise Parkinsons disease markers following subcutaneous (SC) and intracerebral (IC) infusion of the toxin rotenone in the rat. METHODS: Studies were performed using Male Lewis rats. SC infusion of rotenone (3 mg/kg/day) was performed via an osmotic minipump. IC infusion of rotenone occurred directly into the right medial forebrain bundle at three different dosages. At different times following rotenone infusion, behaviour, histopathology (tyrosine hydroxylase and alpha synuclein immunocytochemistry), peripheral organ pathology (adrenals, heart, kidney, liver, lung, spleen and stomach) were assessed. In part of the SC and IC rats, BBB transport profiles of the permeability marker sodium fluorescein were determined using microdialysis. RESULTS: SC rotenone failed to produce dopaminergic lesions and led to extensive peripheral organ toxicity. BBB permeability for fluorescein following SC rotenone was changed, however due peripheral toxicity. In contrast, IC rotenone produced a progressive lesion of the nigrostrial dopaminergic pathway over 28 days with no associated peripheral toxicity. IC rotenone also exhibited a large increase in amphetamine induced rotational behaviour. In addition, a few IC rats showed alpha-synuclein immunoreactivity and aggregation. Following IC rotenone, no changes in BBB permeability were detected after 14 days. DISCUSSION: SC rotenone only produced peripheral toxicity. IC rotenone appeared to create a progressive lesion of the rat nigrostrial pathway, and may therefore be a more appropriate model of Parkinson's disease progression, compared with the most commonly used 6-OH-DA rat model. PMID- 18155615 TI - Microtubules spatial alterations in root cells of Brassica rapa under clinorotation. AB - Organization of tubulin cytoskeleton in epidermis and cortex cells in different root growth zones in Brassica rapa L. 6-day-old seedlings under clinorotation has been investigated. It was shown that changes in cortical microtubules orientation occur only in the distal elongation zone. In control, cortical microtubule arrays oriented transversely to the root long axis. Whereas under clinorotation an appearance of shorter randomly organized cortical microtubules was observed. Simultaneously, a significant decrease in a cell length in the central elongation zone under clinorotation was revealed. It is suggested that the decline of anisotropic growth, typical for central elongation zone cells, is connected with cortical microtubules disorientation under clinorotation. PMID- 18155617 TI - Genetic transformation of Aloe barbadensis Miller by Agrobacterium tumefaciens. AB - Despite the importance of aloe in cosmetic and pharmaceutical industries, improvement of aloe (Aloe barbadensis Miller) by genetic engineering was seldom reported previously. In this study, regeneration and transformation conditions, including explant selection and surface sterilization, use of different Agrobacterium strains, and co-culture processing, are optimized. The use of 20.0% sodium hypochloride (25 min) for sterilization was less detrimental to the health of explant than 0.1% mercuric chloride (10 min). Regeneration frequency from stems was much higher than that from leaves or sheaths. Explants were infected by Agrobacterium (30 min) in liquid co-cultural medium, and this was followed by three days co-culture on sterile filter papers with light for 10 h per day at 24 degrees C. Histochemical data demonstrated that the transient expression of GUS gene in the stem explants of aloe infected with Agrobacterium strains EHA105 and C58C1 was 80.0% and 30.0%, respectively, suggesting the higher sensitivity of the explants to EHA105 than to C58C1. Infected tissues were selected using G418 (10.0 25.0 mg/L) to generate transformants. Sixty-seven G418 resistant plantlets were generated from the infected explants. Southern blotting, PCR, and ELISA analyses indicated that the alien gene were successfully transferred into aloe and was expressed in the transgenic plants. This newly established transformation system could be used for the genetic improvement of aloe. PMID- 18155618 TI - Population genetic diversity in Chinese pomegranate (Punica granatum L.) cultivars revealed by fluorescent-AFLP markers. AB - Eighty-five pomegranate (Punica granatum L.) cultivars from six geographical populations located at Shandong, Anhui, Shaanxi, Henan, Yunnan, and Xinjiang Provinces were studied for its population genetic diversity by means of fluorescent-AFLP markers. The results indicated that 135-185 polymorphic loci were amplified by eight pairs of primers at species level. An average of 158.25 polymorphic loci was amplified for each primer combination. The polymorphism percentage ranged from 62.5% to 86.11%, and the average polymorphism percentage was 73.26%. This indicated that there was plentiful genetic diversity in pomegranate cultivars. The genetic diversity at the species level was higher than that at the population level. The order of the genetic diversity was Henan population > Xinjiang population > Shaanxi population > Anhui population > Shandong population > Yunnan population. Variance analysis showed that there was significant difference between populations in genetic diversity. The genetic differentiation coefficient between populations (G(ST)) was 0.2018, which indicated that gene differentiation was mainly within the population, and between populations, it accounted for 20.18% of the total variation. Gene flow (Nm) between the populations measured was 1.9027 based on the genetic differentiation coefficient between populations, indicating that there was mild gene flow between populations. The UPGMA cluster analysis showed that most accessions from the same population were clustered together, but there was partly gene exchange. All genetic parameters indicated that there was plentiful genetic diversity in pomegranate cultivars in China, of which Henan population was significantly higher than the other populations, and it had wide application foreground in pomegranate breeding in China. PMID- 18155619 TI - Genetic relationships among four minorities in Guangxi revealed by analysis of 15 STRs. AB - The aim of this study is to investigate the genetic diversity in 15 STRs (short tandem repeats) loci of four minorities in Guangxi Province and to probe into the genetic variation and relationships among these ethnic groups. Allele frequencies of 15 STR loci were collected from 766 unrelated Mulao, Maonan, Miao, and Yao ethnic individuals by PCR-STR and sequencing, and their allele-frequency distribution were compared with each other. The genetic parameters and genetic distances were calculated, and the phylogenetic tree was constructed. Based on the results from this study, 135, 134, 148, and 145 alleles and 424, 432, 445, and 436 genotypes for 15 STR loci were observed in the Mulao, Maonan, Miao, and Yao minorities, respectively. The average heterozygosity of all ethnic groups analyzed was above 0.7; the cumulative power of discrimination (DP), the probabilities of paternity exclusion (EPP), and the polymorphic information content (PIC) were greater than 0.99999. Comparison of the allele-frequency distribution indicated that there were significant differences at most loci between Maonan vs. Miao, Yao vs. other groups, but no distinct differences between Mulao vs. Maonan, and Mulao vs. Miao minorities. The NJ tree based on the genetic distance showed that the four minorities were separated into two groups. Mulao and Maonan were clustered into one group, whereas Miao and Yao into the other. Our results revealed that 15 STR loci of the four minorities possessed high genetic diversities. Therefore, the combination of these 15 STRs is a powerful tool for forensic individual identification and paternity investigation, as well as anthropologic and genetic researches. The genetic variation and relationships among the 4 populations revealed by 15 STRs are basically consistent with their linguistic culture and ethical history. PMID- 18155620 TI - Prediction of subcellular localization of eukaryotic proteins using position specific profiles and neural network with weighted inputs. AB - Subcellular location is one of the key biological characteristics of proteins. Position-specific profiles (PSP) have been introduced as important characteristics of proteins in this article. In this study, to obtain position specific profiles, the Position Specific Iterative-Basic Local Alignment Search Tool (PSI-BLAST) has been used to search for protein sequences in a database. Position-specific scoring matrices are extracted from the profiles as one class of characteristics. Four-part amino acid compositions and 1st-7th order dipeptide compositions have also been calculated as the other two classes of characteristics. Therefore, twelve characteristic vectors are extracted from each of the protein sequences. Next, the characteristic vectors are weighed by a simple weighing function and inputted into a BP neural network predictor named PSP-Weighted Neural Network (PSP-WNN). The Levenberg-Marquardt algorithm is employed to adjust the weight matrices and thresholds during the network training instead of the error back propagation algorithm. With a jackknife test on the RH2427 dataset, PSP-WNN has achieved a higher overall prediction accuracy of 88.4% rather than the prediction results by the general BP neural network, Markov model, and fuzzy k-nearest neighbors algorithm on this dataset. In addition, the prediction performance of PSP-WNN has been evaluated with a five-fold cross validation test on the PK7579 dataset and the prediction results have been consistently better than those of the previous method on the basis of several support vector machines, using compositions of both amino acids and amino acid pairs. These results indicate that PSP-WNN is a powerful tool for subcellular localization prediction. At the end of the article, influences on prediction accuracy using different weighting proportions among three characteristic vector categories have been discussed. An appropriate proportion is considered by increasing the prediction accuracy. PMID- 18155621 TI - cDNA cloning, bioinformatic and tissue-specific expression analysis of porcine JARID1C gene. AB - Jumonji, AT-rich interactive domain 1C (JARID1C) protein belongs to the highly conserved ARID protein family, which is involved in chromatin remodeling and transcriptional regulation during cell growth, differentiation, and development. In humans, this gene plays a vital role in normal brain development and function. Using an in silico approach in combination with 5' rapid amplification of cDNA ends (5' RACE), the full-length cDNA of JARID1C (GenBank accession No. EF139241) from porcine ovary, which contains 5,908 bp nucleotides, with an open reading frame (ORF) of 4,548 bp, has been cloned. The putative porcine JARID1C protein, which is located in the nucleus, encodes 1,516 amino acids with a molecular weight of 170 kDa and a pI of 5.44. Bioinformatic prediction indicates that the protein contains several conserved domains: a JmjN domain, an ARID domain, a JmjC domain, a C5HC2 zinc finger domain, and a PHD zinc finger domain. Similarity comparisons for nucleic and amino acid sequences reveal that the porcine JARID1C protein shares a high identity with its dog, mouse, rat, and human counterparts. The phylogenetic tree of the JARID1 subfamily proteins has been constructed to reveal the evolutionary relationship of various species. Real-time PCR analysis shows that the JARID1C gene is expressed in various tissues, but at different levels. The expression levels of this gene are higher in the brain and gonad than in other tissues, suggesting that the JARID1C protein plays a role in porcine brain and gonad functions. PMID- 18155622 TI - Analysis on the origin and phylogenetic status of Tong sheep using 12 blood protein and nonprotein markers. AB - This study is based on the Tong sheep obtained by the random sampling method of typical colonies in the central area of Baishui County in Shaanxi Province, China. An investigation was undertaken to clarify the gene constitution of blood protein and nonprotein types of Tong sheep. Twelve genetic markers were examined by starch-gel electrophoresis and cellulose acetate electrophoresis. Polymorphism in Tong sheep was found at the following 10 loci, transferrin (Tf), alkaline phosphatase (Alp), leucine aminopeptidase (Lap), arylesterase (Ary-Es), hemoglobin-beta (Hb-beta), X-protein (X-p), carbonic anhydrase (CA), catalase (Cat), malate dehydrogenase (MDH), and lysine (Ly), whereas, albumin (Al) and postalbumin (Po) loci were monomorphic. Genetic approach degree method and phylogenetic relationship clustering method were used to judge the origin and phylogenetic status of Tong sheep. Results from both methods maintained that Tong sheep belonged to the "Mongolia group", and Mongolia sheep was the origin of Tong sheep. This was also supported by the history of Tong sheep breeding. Compared to the phylogenetic relationship clustering method, the genetic approach degree method was more reliable for the extraction from East and South of Central Asia, and was more effective in reflecting the breeding course of Tong sheep. PMID- 18155623 TI - Effects of downregulation of inhibin alpha gene expression on apoptosis and proliferation of goose granulosa cells. AB - Inhibin alpha is one of the candidate genes that control the ovulation in poultry. To study the genetic effects of inhibin alpha on apoptosis and proliferation of goose granulosa cells cultured in vitro, two RNA interference (RNAi) expression vectors, psiRNA-INH alpha 1 and psiRNA-INH alpha 2, were constructed to knock down inhibin alpha gene expression. After 48 h of transfection, the efficiency of these two RNAi expression vectors was examined by fluorescence microscopy. Meanwhile, inhibin protein expression levels, apoptosis indexes (AI) and proliferation indexes (PI) of granulosa cells were analyzed by flow cytometry. In addition, the supernatants were collected to assay the concentrations of estrogen (E2) and progesterone (P) by radioimmunoassay. The results showed that the expression level of inhibin alpha in the RNAi group were decreased 30%-40% than those in the control groups (P < 0.05) and the apoptosis indexes and proliferation indexes in the RNAi groups were significantly higher than those in the control groups (P < 0.05). However, the E2 concentrations in the RNAi groups were lower than those in the control groups (P < 0.05). These results indicate that inhibin alpha has antagonistic effect on granulosa cell apoptosis. PMID- 18155624 TI - Genetic variation of wild and hatchery populations of the Pacific oyster Crassostrea gigas assessed by microsatellite markers. AB - Microsatellite DNA technique was used to detect the genetic variation between five hatchery populations of the Pacific oyster from China and two wild populations from Japan. Seven microsatellite loci screened in this study showed high polymorphism in both hatchery and wild populations, as observed in an average number of allele per locus (19.1-29.9) and average expected heterozygosity (0.916-0.958). No significant difference in average allelic richness or expected heterozygosity was observed between Chinese hatchery populations and Japanese wild populations. Pairwise FST values and heterogeneity tests of allele frequencies showed significant genetic differentiation between all populations. According to the neighbor-joining tree constructed on the basis of the DC distance, the seven populations fell into three groups showing a clear division between hatchery and wild populations, and between the northern and southern hatchery populations. Assignment tests correctly assigned high percentages (97%-100%) of individuals to their original populations and demonstrated the feasibility of microsatellite analysis for discrimination between populations. The information obtained in this study is useful for designing suitable management guidelines and selective breeding programs for the Pacific oyster in China. PMID- 18155625 TI - Mapping of a major stripe rust resistance gene in Chinese native wheat variety Chike using microsatellite markers. AB - Chike (accession number Su1900), a Chinese native wheat (Triticum aestivum L.) variety, is resistant to the currently prevailing physiological races of Puccinia striiformis Westend. f. sp. tritici in China. Genetic analysis indicated that resistance to the physiological race CY32 of the pathogen in the variety was controlled by one dominant gene. In this study, BSA (bulked segregant analysis) methods and SSRs (simple sequence repeats) marker polymorphic analysis are used to map the gene. The resistant and susceptible DNA bulks were prepared from the segregating F2 population of the cross between Taichung 29, a susceptible variety as maternal parent, and Chike as paternal parent. Over 400 SSR primers were screened, and five SSR markers Xwmc44, Xgwm259, Xwmc367, Xcfa2292, and Xbarc80 on the chromosome arm 1BL were found to be polymorphic between the resistant and the susceptible DNA bulks as well as their parents. Genetic linkage was tested on segregating F2 population with 200 plants, including 140 resistant and 60 susceptible plants. All the five SSR markers were linked to the stripe rust resistance gene in Chike. The genetic distances for the markers Xwmc44, Xgwm259, Xwmc367, Xcfa2292, and Xbarc80 to the target gene were 8.3 cM, 9.1 cM, 17.2 cM, 20.6 cM, and 31.6 cM, respectively. Analysis using 21 nulli-tetrasomic Chinese Spring lines further confirmed that all the five markers were located on chromosome 1B. On the basis of the above results, it is reasonable to assume that the major stripe rust resistance gene YrChk in Chike was located on the chromosome arm 1BL, and its comparison with the other stripe rust resistance genes located on 1B suggested that YrChk may be a novel gene that provides the resistance against stripe rust in Chike. Exploration and utilization of resources of disease resistance genes in native wheat varieties will be helpful both to diversify the resistance genes and to amend the situation of resistance gene simplification in the commercial wheat cultivars in China. PMID- 18155626 TI - Disrupted OmpC causes osmosis sensitivity of Escherichia coli in alkaline medium. AB - The Escherichia coli strain DH42 is sensitive to high osmolarity in an alkaline medium. Using mini-Tn5 mutagenesis, construction of mutant strains by homologous recombination and subcloning of DNA fragment techniques, gene ompC was identified as the key factor that, once disrupted, caused osmosis-sensitivity of E. coli strain DH42 grown in an alkaline medium. Through P1 transduction, a mutant strain, D9 (W3110 ompC:kan), was constructed and growth comparison was performed between DH42 and D9 under different pHs and salt concentrations. The result showed that ompC was necessarily required for hyperosmotic adaptation of E. coli in the alkaline medium. PMID- 18155627 TI - Frequency of feline diabetes mellitus and breed predisposition in domestic cats in Australia. AB - The frequency of diabetes mellitus is described for cats that received veterinary care from two large feline-only clinics in Brisbane, Australia. Frequency was estimated using period prevalences (the proportion of the population at risk that was affected by diabetes at any point during a specified time period). Of the 12,576 study cats, 93 were affected with diabetes during the 5-year study period, resulting in a 5-year period prevalence of 7.4 per 1000 cats. Period prevalence was significantly higher in Burmese cats (22.4 cats per 1000) than domestic short and longhaired cats (7.6 cats per 1000) and the mean age at first diagnosis during the study period was significantly higher amongst Burmese cats (13.6 years) compared to domestic short and longhaired cats (10.9 years). Further investigations into the apparent predisposition of Burmese cats to diabetes mellitus are indicated. PMID- 18155628 TI - Solid state 19F NMR parameters of fluorine-labeled amino acids. Part II: aliphatic substituents. AB - A representative set of amino acids with aliphatic 19F-labels has been characterized here, following up our previous compilation of NMR parameters for single 19F-substituents on aromatic side chains. Their isotropic chemical shifts, chemical shift tensor parameters, intra-molecular 19F dipole-dipole couplings and temperature-dependent T1 and T2 relaxation times were determined by solid state NMR on twelve polycrystalline amino acid samples, and the corresponding isotropic 19F chemical shifts and scalar couplings were obtained in solution. Of particular interest are amino acids carrying a trifluoromethyl-group, because not only the 19F chemical shift but also the intra-CF3 homonuclear dipolar coupling can be used for structural studies of 19F-labeled peptides and proteins. The CF3-groups are further compared with CH2F-, CD2F-, and CD3-groups, using both 19F and 2H NMR to describe their motional behavior and to examine the respective linebroadening effects of the protonated and deuterated neighbors. We have also characterized two unnatural amino acids in which a CF3-label is rigidly connected to the backbone by a phenyl or bicyclopentyl moiety, and which are particularly well suited for structure analysis of membrane-bound polypeptides. The 19F NMR parameters of the polycrystalline amino acids are compared with data from the correspondingly labeled side chains in synthetic peptides. PMID- 18155629 TI - Aromatase expression in testes of XY, YY, and XX rainbow trout (Oncorhynchus mykiss). AB - The main goal of the present study was to show whether testicular cells of rainbow trout (Oncorhynchus mykiss Walbaum) either hormonally manipulated (XX males) or produced by using gamma irradiation and pressure shock (YY males, "supermales") are able to aromatize androgens into estrogens compared with the control (XY males). The expression of aromatase gene at the level of the protein and its presence in testicular tissue was investigated by means of immunohistochemistry and Western blot analysis, respectively. The positive staining for aromatase was detected in testicular cells of all trout and in efferent duct cells of XY and YY males. However, the staining intensity varied among particular trout, being strong in YY males, moderate in XY males, and weak in XX trout. It was confirmed by quantitative image analysis in which the staining intensity was expressed as relative optical density (ROD) of diaminobenzidine deposits. Significant differences were found between XY and YY trout ((**)p<0.01) and XY and XX trout ((*)p<0.05). Such differences could reflect various levels of estrogens, possibly dependent on the genetic background of the trout studied. It seems likely that differential expression of the enzyme, especially that of weak or strong intensity, causes some alterations in testicular morphology of homogametic trout. Additionally, the results indicate that an imbalance in sex hormone biosynthesis may provoke the functional alterations in testes of YY males, and, in consequence, negatively affect the fertility of "supermales". PMID- 18155630 TI - A Delphi-based consensus clinical practice protocol for the diagnosis and management of 3-methylcrotonyl CoA carboxylase deficiency. AB - 3-MCC deficiency is among the most common inborn errors of metabolism identified on expanded newborn screening (1:36,000 births). However, evidence-based guidelines for diagnosis and management of this disorder are lacking. Using the traditional Delphi method, a panel of 15 experts in inborn errors of metabolism was convened to develop consensus-based clinical practice guidelines for the diagnosis and management of 3-MCC screen-positive infants and their mothers. The Oxford Centre for Evidence-based Medicine system was used to grade the literature review and create recommendations graded from A (evidence level of randomized clinical trials) to D (expert opinion). Panelists reviewed the initial evaluation of the screen-positive infant-mother dyad, diagnostic guidelines, and management of diagnosed patients. Grade D consensus recommendations were made in each of these three areas. The panel did not reach consensus on all issues. This consensus protocol is intended to assist clinicians in the diagnosis and management of screen-positive newborns for 3-MCC deficiency and to encourage the development of evidence-based guidelines. PMID- 18155631 TI - Novel isoforms of intracellular platelet activating factor acetylhydrolase (PAFAH1b2) in human testis; encoded by alternatively spliced mRNAs. AB - Platelet activating factor acetylhydrolase (paf-ah), a potent regulator of platelet activating factor activity, plays an important role in various physiological and pathophysiological functions including development, reproduction, inflammation, hemostasis, and apoptosis. Intracellular paf-ah (paf ah-Ib) is composed of a regulatory subunit, Pafah1b1, and two highly conserved but non-identical catalytic subunits, Pafah1b2 and Pafah1b3. The present study identifies new splice variants of the Pafah1b2 gene transcript. The splice variants retain exons 1-5 and replace exon 6 with alternative exons derived from genomic sequence 3' to exon 6. Splice variants encode two proteins with different novel carboxy termini. One of the isoforms is expressed exclusively in testis. These new isoforms of pafah1b2 retain the ability to form higher order complexes while replacing known key catalytic residues, which raises the possibility that they may alter the subunit composition and catalytic function of paf-ah-Ib. PMID- 18155633 TI - Treatment of patients with unresectable squamous head and neck cancer with induction chemotherapy followed by hyperfractionated radiotherapy. AB - PURPOSE: The contribution of induction chemotherapy (CT) followed by hyperfractionated radiotherapy (hfRT) in unresectable squamous head and neck cancer has been evaluated in a single institution as an assistencial protocol. PATIENTS AND METHODS: From March 1994 to June 2000 all consecutive patients with unresectable disease were treated with four courses of platin plus fluorouracil based CT followed by hfRT. Tumor resectability and response was assessed by a multidisciplinary committee. RESULTS: Ninety-nine patients (pts) were treated. All of them had stage IV-M0 disease: 67 T4, 88 N2-N3. Tumor location: 62 oropharynx, 22 hypopharynx, eight oral cavity and seven larynx. Tumor response at the end of treatment: 61 patients complete response, 17 partial response, two stable disease, 10 progressive disease and nine unevaluated. With a median follow up of 70 months the 5-year loco-regional control and overall survival was 30.3% (95% CI: 21.9-38.6) and 21.6% (95% CI: 13.4-29.8), respectively. Loco-regional control and overall survival is significantly influenced by prior response to induction CT. Main grade 3-4 toxicity related to CT was stomatitis, but there were five patients with an ischemic event. Grade 3-4 acute toxicity related to hfRT: 47 stomatitis, 20 epithelitis. Chronic toxicity related to hfRT: six emergency tracheotomies due to laryngeal edema, five pneumonia and one mucous/soft-tissue necrosis. There were eight toxic related deaths. CONCLUSION: Induction CT followed by hfRT might increase the overall survival rate in unresectable disease. HfRT resulted in a high rate of acute toxicity and its use would not be warranted in those patients with no response to induction CT who had a low probability of long-term control. PMID- 18155634 TI - The nuclear pore comes to the fore. AB - The nuclear pore complex is the gateway of macromolecular trafficking between the nucleus and the cytoplasm. Although its composition is well characterized in yeast and mammalian systems, little is known about the plant nuclear pore. Several recent reports describe complex whole-organism phenotypes based on mutations in plant nucleoporins. The pathways affected include plant-microbe interactions, auxin response, cold-stress tolerance and flowering-time regulation. The effects are probably based, at least in part, on changes in protein import and/or RNA export (including regulatory small RNAs). Here, we review these new findings while comparing and contrasting them with what is known about nucleoporin functions from non-plant organisms, including nucleoporin activities not linked to nucleocytoplasmic transport. PMID- 18155635 TI - Challenges in plant cellular pathway reconstruction based on gene expression profiling. AB - Microarrays are used to profile transcriptional activity, providing global cell biology insight. Particularly for plants, interpretation of transcriptional profiles is challenging because many genes have unknown functions. Furthermore, many plant gene sequences do not have clear homologs in other model organisms. Fortunately, over the past five years, various tools that assist plant scientists have been developed. Here, we evaluate the currently available in silico tools for reconstruction of cellular (metabolic, biochemical and signal transduction) pathways based on plant gene expression datasets. Furthermore, we show how expression-profile comparison at the level of these various cellular pathways contributes to the postulation of novel hypotheses which, after experimental verification, can provide further insight into decisive elements that have roles in cellular processes. PMID- 18155636 TI - Highway or byway: the metabolic role of the GABA shunt in plants. AB - Much of the recent work on the gamma-aminobutyrate (GABA) shunt in plants has concentrated on stress/pest-associated and signalling roles. However, fifty years after the structural elucidation of the pathway, aspects of its regulation and even of its biological significance remain largely obscure. Here, we assess the importance of GABA metabolism in plants, reviewing relevant biological circumstances and taking advantage of high-throughput data accessibility and computational approaches. We discuss the premise that GABA metabolism plays a major role in carbon and nitrogen primary metabolism. We further evaluate technological developments that will likely allow us to address the quantitative importance of this shunt within the biological processes to which it contributes. PMID- 18155637 TI - Protective effects of vanadium against DMH-induced genotoxicity and carcinogenesis in rat colon: removal of O(6)-methylguanine DNA adducts, p53 expression, inducible nitric oxide synthase downregulation and apoptotic induction. AB - Previous studies have shown that dietary micronutrient vanadium can protect neoplastic development induced by chemical carcinogens. Current investigation is an attempt to evaluate the role of vanadium (4.27 micro mol/l) in inhibiting 1,2 dimethyhydrazine (DMH) (20 mg/kg body weight) induced rat colon carcinogenesis. We investigated the effect of vanadium against the formation of DMH-induced O(6) methylguanine (O(6)-Meg) DNA adduct, a potent cytotoxic and mutagenic agent for colon cancer. Supplementation of vanadium significantly reduced the hepatic (P<0.05), and colonic (at three sequential time points; ANOVA, F=4.96, P<0.05) O(6)-Meg DNA adduct levels in rats, indicating vanadium's potency in limiting the initiation event of colon carcinogenesis. Removal of initiated and damaged precancerous cells by apoptosis can prevent tumorigenesis and further malignancy. DNA fragmentation study revealed the vanadium-mediated apoptotic induction in colon tumors. The increased value of apoptotic index (AI) (62.27%; P<0.01) in subsequent TUNEL assay further confirmed the apoptosis induction by vanadium. This paralleled the nuclear immunoexpression of p53. A significant positive correlation between p53 immunoexpression and AI (P=0.0026, r=0.83, r(2)=0.69) links its association with vanadium-mediated apoptotic induction. Vanadium treatment also abated the mRNA expression of iNOS (54.03%), reflecting its protective effect against nitric oxide-mediated genotoxicity and colon tumorigenesis. These studies cumulatively provide strong evidence for the inhibitory actions of vanadium against DMH-induced genotoxicity and carcinogenesis in rat colon. PMID- 18155638 TI - In vivo radioprotection by 5-aminosalicylic acid. AB - The radioprotective effect of 5-aminosalicylic acid (5ASA) was investigated in mouse bone marrow. The present study was aimed at investigating the radioprotective effect of pre-irradiation treatment with 5ASA against a range of whole-body lethal (8-11 Gy) and sublethal (1-4 Gy) doses of gamma-radiation (RT) in adult Swiss albino mice. Protection against lethal irradiation was evaluated from 30-day mouse survival and against sublethal doses was assessed from chromosomal aberrations in the bone marrow 24 h after irradiation. An intraperitoneal injection of 5ASA at a dose of 25mg/kg body weight (b. wt.) 30 min before lethal RT increased survival, giving a dose modification factor (DMF) of 1.08. Injection of 5ASA (25 mg/kg b. wt.) 60 or 30 min before or within 15 min after 3 Gy whole body RT resulted in a significant decrease in the radiation induced aberrant metaphases, at 24 h post-irradiation. Maximum effect was seen when the drug was administered 30 min before irradiation. 5ASA (25 mg/kg b. wt.) significantly reduced the number of aberrant metaphases and the different types of aberrations at all the radiation doses (1-4 Gy) tested, giving a DMFs of 1.43 for number of aberrant metaphases. 5ASA pretreatment also significantly enhanced the endogenous spleen colonies in mouse exposed to 11 Gy RT. Pretreatment with 5ASA, protected plasmid DNA (pGEM-7Zf) against breakage induced by RT and Fenton reactants. Using nanosecond pulse radiolysis technique, the bimolecular rate constant of the reaction of 5ASA with hydroxyl radical was found to be 6.7x10(9)M(-1)s(-1). The p53 and p21 protein levels of bone marrow and spleen were evaluated to identify the specific molecular mechanisms. Both p53 and p21 increased 24h after 6 Gy irradiation, while treatment with 5ASA inhibited this RT induced increase. Therefore, the present data suggest that 5ASA pretreatment decreases death caused by RT-induced gastrointestinal and hemopoeitic syndromes. The proposed mechanism of radioprotection by 5ASA is through the inhibition of damage to DNA, lipids, and proteins; and prevention of RT-induced increased expression of p53 and p21. PMID- 18155639 TI - Synthesis, electronic and ESR spectral studies on copper(II) nitrate complexes with some acylhydrazines and hydrazones. AB - This paper describes the preparation of [Cu(bh)2(H2O)2](NO3)2], [Cu(ibh)2(NO3)2], [Cu(ibh)2(H2O)2](NO3)2 and [Cu(iinh)2(NO3)2] (bh = benzoyl hydrazine (C6H5CONHNH2); ibh = isonicotinoyl hydrazine (NC5H4CONHNH2); ibh = isopropanone benzoyl hydrazone (C6H5CONHN=C(CH3)2; iinh = isopropanone isonicotinoyl hydrazone (NC5H4CONHN=C(CH3)2). These copper(II) complexes are characterized by elemental analyses, molar conductances, dehydration studies, ESR, IR and electronic spectral studies. The electronic and ESR spectra indicate that each complex exhibits a six-coordinate tetragonally distorted octahedral geometry in the solid state and in DMSO solution. The ESR spectra of most of the complexes are typically isotropic type at room temperature (300 K) in solid state as well as in DMSO solution. However, all the complexes exhibit invariably axial signals at 77 K in DMSO solution. The trend g(||) > g(perpendicular) > g(e,) observed in all the complexes suggests the presence of an unpaired electron in the d x2-y2 orbital of the Cu(II). The bh and inh ligands bond to Cu(II) through the >C=O and -NH2 groups whereas, ibh and iinh bond through >C=O and >C=N- groups. The IR spectra of bh and ibh complexes also show H-O-H stretching and bending modes of coordinated water. PMID- 18155640 TI - Nondestructive determination of compound amoxicillin powder by NIR spectroscopy with the aid of chemometrics. AB - Near-infrared (NIR) spectroscopy, in combination with chemometrics, enables nondestructive analysis of solid samples without time-consuming sample preparation methods. A new method for the nondestructive determination of compound amoxicillin powder drug via NIR spectroscopy combined with an improved neural network model based on principal component analysis (PCA) and radial basis function (RBF) neural networks is investigated. The PCA technique is applied to extraction relevant features from lots of spectra data in order to reduce the input variables of the RBF neural networks. Various optimum principal component analysis--radial basis function (PCA-RBF) network models based on conventional spectra and preprocessing spectra (standard normal variate (SNV) and multiplicative scatter correction (MSC)) have been established and compared. Principal component regression (PCR) and partial least squares (PLS) multivariate calibrations are also used, which are compared with PCA-RBF neural networks. Experiment results show that the proposed PCA-RBF method is more efficient than PCR and PLS multivariate calibrations. And the PCA-RBF approach with SNV preprocessing spectra is found to provide the best performance. PMID- 18155641 TI - Emergency treatment of obstructive sleep apnea: a new option in the treatment of a refractory acute heart failure episode. PMID- 18155642 TI - Clinical characteristics of physician-diagnosed patients with multiple chemical sensitivity in Japan. AB - Multiple chemical sensitivity (MCS), a syndrome in which multiple symptoms occur with low-level chemical exposure, has not been clarified in detail. The aim of our study was to clarify the clinical characteristics of physician-diagnosed MCS patients in Japan. We analyzed patient characteristics based on the medical records of 106 patients diagnosed with MCS according to the 1999 Consensus and the Japanese diagnostic criteria for MCS. We evaluated subjective symptoms using the Quick Environment Exposure Sensitivity Inventory (QEESI) and compared the QEESI scores with those of four MCS patient groups in the US reported by Miller and Prihoda [Miller, C.S., Prihoda, T.J., 1999b. A controlled comparison of symptoms and chemical intolerances reported by Gulf War veterans, implant recipients, and persons with multiple chemical sensitivity. Toxicol Ind Health 15, 386-397]. Female patients accounted for 74.0%. Most male patients were in their 30s, whereas female ages ranged widely from 10 to 65 years. Among estimated onset factors, those seen in males tended to be workplace related, while female patients showed a variety of factors. Co-morbid allergic disease was present in 84.0% of patients. A significant difference in the QEESI score between male and female patients was found in only one item out of 10 in symptom severity and life impact. However, all 10 items in chemical intolerance were significantly higher in females than in males. The mean QEESI score in the patient group in our study was lower than those in any of the four self-reported patient groups in the US. PMID- 18155643 TI - Exposure of Prague's homeless population to lead and cadmium, compared to Prague's general population. AB - Homelessness is a growing problem in the Czech Republic where homeless people represent a specific minority group beset by many problems linked to their divergent lifestyle. It was therefore expected that the homeless population would be at greater risk of exposure to environmental pollutants than the general population. The aim of our study was to compare blood lead (B-Pb) and blood cadmium (B-Cd) levels in the homeless population (HP) with those obtained from the Human Biomonitoring Project (CZ-HBM), which used blood donors considered representative of the general population (GP). We present data obtained between 2004 and 2006 for B-Pb and B-Cd in 257 Prague homeless adults and compare them to B-Pb and B-Cd levels in 104 Prague adult blood donors from the CZ-HBM project in 2005. The mean (geometric) B-Pb levels in men were 36.5 (HP) and 35.4microg/l (GP), which is not significantly different. However, statistically significant differences were observed between men and women in the GP (P<0.001), but not in HP; B-Pb levels in women (34.8microg/l) did not differ from those of HP men (36.5microg/l), but were significantly (P<0.001) higher than those of GP women (25.8microg/l). B-Pb levels were not influenced by smoking. B-Cd levels in the homeless nonsmokers (geometric means 1.06 and 1.18microg/l in men and women, respectively) were more than 2.5 times higher than in the nonsmoking GP (0.36 and 0.38microg/l for men and women, respectively). B-Cd levels were significantly (P<0.001) influenced by smoking in both groups, but, surprisingly, the values in GP smokers (men=0.96microg/l, women=0.93microg/l) were lower than those in HP nonsmokers (men=1.06microg/l, women=1.18microg/l). A positive correlation was found between cadmium and lead in both men (P<0.05) and women (P<0.01). Our results indicate that the homeless population under study might be exposed to lead and cadmium more extensively than the general population of Prague and that homeless women represent a particularly vulnerable population group. PMID- 18155644 TI - Peripheral cell wall lipids of Mycobacterium tuberculosis are inhibitory to surfactant function. AB - The transmission of Mycobacterium tuberculosis (TB) requires extensive damage to the lungs to facilitate bacterial release into the airways, and it is therefore likely that the microorganism has evolved mechanisms to exacerbate its local pathology. This study examines the inhibitory effects of lipids extracted and purified chromatographically from TB on the surface-active function of lavaged bovine lung surfactant (LS) and a clinically relevant calf lung surfactant extract (CLSE). Total lipids from TB greatly inhibited the surface activity of LS and CLSE on the pulsating bubble surfactometer at physical conditions applicable for respiration in vivo (37 degrees C, 20 cycles/min, 50% area compression). Minimum surface tensions for LS (0.5 mg/ml) and CLSE (1 mg/ml) were raised from <1 mN/m to 15.7+/-1.2 and 18.7+/-1.3 mN/m after 5 min of bubble pulsation in the presence of total TB lipids (0.15 mg/ml). TB mixed waxes (0.15 mg/ml) and TB trehalose monomycolates (TMMs, 0.15 mg/ml) also significantly inhibited the surface activity of LS and CLSE (minimum surface tensions of 10-16 mN/m after 5 min of bubble pulsation), as did purified trehalose 6,6'-dimycolate (TDM, cord factor). Phosphatidylinositol mannosides (PIMs, 0.15 mg/ml) from TB had no inhibitory effect on the surface activity of LS or CLSE. Concentration dependence studies showed that LS was also inhibited significantly by total TB lipids at 0.075 mg/ml, with a smaller activity decrease apparent even at 0.00375 mg/ml. These findings document that TB contains multiple lipids that can directly impair the biophysical function of endogenous and exogenous lung surfactants. Direct inhibition by TB lipids could worsen surfactant dysfunction caused by plasma proteins or other endogenous substances induced by inflammatory injury in the infected lungs. TB lipids could also inhibit the effectiveness of exogenous surfactants used to treat severe acute respiratory failure in TB patients meeting criteria for clinical acute lung injury (ALI) or the acute respiratory distress syndrome (ARDS). PMID- 18155645 TI - Nanocryosurgery and its mechanisms for enhancing freezing efficiency of tumor tissues. AB - We proposed for the first time a surgical term, the nanocryosurgery, for efficient tumor treatment through combining the theories of cyrosurgery and nanotechnology. Simulations were performed on the combined phase change bioheat transfer problems in a single cell level and its surrounding tissues, to explicate the difference of transient temperature response between conventional cyrosugery and nanocyrosurgery. According to theoretical interpretation and existing experimental measurements, intentional loading of nanoparticles with high thermal conductivity into the target tissues can lower the final temperature significantly, increase the maximum freezing rate, and enlarge the ice volume obtained in the absence of nanoparticles. In addition, introduction of nanoparticle-enhanced freezing could also make conventional cyrosurgery more flexible in many aspects such as artificially interfering in the size, shape, image and direction of iceball formation. The concepts of nanocyrosurgery may offer new opportunities for future tumor treatment. PMID- 18155646 TI - Oxidation of mitochondrial deoxynucleotide pools by exposure to sodium nitroprusside induces cell death. AB - Human MutT homolog (hMTH1) hydrolyzes oxidized purine nucleoside triphosphates to monophosphates, thereby avoiding incorporation of such oxidized purines into DNA or RNA. We examined whether hMTH1 prevents cellular dysfunction induced by sodium nitroprusside, a spontaneous NO donor. Exposure to sodium nitroprusside caused an 8-oxoguanine (8-oxoG) buildup in DNA of proliferating MTH1-null cells which underwent mitochondrial degeneration and subsequently died. Quiescent MTH1-null cells also died with 8-oxoG buildup but only when the buildup affected mitochondrial and not nuclear DNA. In both proliferative and quiescent conditions, the accumulation of 8-oxoG in DNA and cell death was effectively prevented by hMTH1. Knockdown of MUTYH in quiescent MTH1-null cells significantly prevented the cell death, suggesting that 8-oxoG incorporated into mitochondrial DNA is a main cause of this form of cell death. To verify this possibility, an artificially modified hMTH1, namely mTP-EGFP-hMTH1, which localizes exclusively in mitochondria, was expressed in MTH1-null cells. mTP-EGFP-hMTH1 selectively prevented buildup of 8-oxoG in mitochondrial but not nuclear DNA after exposure of proliferating cells to sodium nitroprusside, and also efficiently prevented cell death. We thus concluded that exposure of cells to sodium nitroprusside causes oxidation of mitochondrial deoxynucleotide pools, and that buildup of oxidized bases in mitochondrial DNA initiates cell death. PMID- 18155647 TI - 8-OH-DPAT suppresses spontaneous central apneas in the C57BL/6J mouse strain. AB - Apneas are common and prognostically relevant disorders of the central control of breathing, but pharmacological interventions are dissatisfying. The respiratory phenotype of C57BL/6J mice is characterized by the occurrence of spontaneous central apneas with laryngeal closure. In the present study we investigated the impact of the 5-HT(1A) receptor agonist 8-OH-DPAT on apneas in C57BL/6J mice, because of the important role of serotonin in the regulation of breathing and previous reports showing that serotonergic drugs can affect central apneas. Whole body plethysmography in awake, unrestrained mice revealed that intraperitoneal application of 8-OH-DPAT (10microgkg(-1)) decreased the occurrence of spontaneous apneas from 1.91+/-0.25 to 1.05+/-0.05 apneas min(-1). The efficacy of 5-HT(1A) receptor activation was further verified in the in situ working heart-brainstem preparation. Here the apneas occurred at a frequency of 1.33+/-0.19min(-1). Intra arterial perfusion with 1-2microM 8-OH-DPAT completely abolished spontaneous apneas. These results suggest that 5-HT(1A) receptor activation may be a potential treatment option for central apneas. PMID- 18155648 TI - Enantiospecific gas chromatographic-mass spectrometric analysis of urinary methylphenidate: implications for phenotyping. AB - A chiral derivatization gas chromatographic-mass spectrometric (GC-MS) method for urine methylphenidate (MPH) analysis was developed and validated to investigate preliminary findings regarding a novel MPH poor metabolizer (PM). Detection was by electron impact (EI) ionization-selected ion monitoring of the N trifluoroacetylprolylpiperidinium fragments from MPH and the piperidine deuterated MPH internal standard. The PM eliminated approximately 70 times more l MPH in urine (9% of the dose over 0-10h), and approximately 5 times more of the d isomer (10% of the dose), than the mean values determined from 10 normal metabolizers of MPH. Only minor amounts of the metabolite p-hydroxy-MPH were found in the urine of both the PM and normal metabolizers, while the concentration of MPH lactam was not high enough to be detectable. The described method indirectly gauges the functional carboxylesterase-1 status of patients receiving MPH based on the evaluation of relative urine concentrations of d-MPH:l MPH. Clinical implications concerning rational drug selection for an identified or suspected MPH PM are discussed. PMID- 18155649 TI - Liquid chromatography-mass spectrometric assay for quantitation of the short chain fatty acid, 2,2-dimethylbutyrate (NSC 741804), in rat plasma. AB - 2,2-Dimethylbutyrate (DMB) is a potential treatment for thalassemia and hemoglobinopathies. To facilitate pharmacokinetic evaluation of DMB, we developed an LC-MS assay and quantitated DMB in plasma of rats after an oral dose of 500mg/kg. After acetonitrile protein precipitation, DMB and dimethylvaleric acid (DMV) internal standard were derivatized to benzylamides, chromatographed on a Hydro-RP column with acetonitrile, water, and 0.1% formic acid, and detected by electrospray positive-mode ionization mass spectrometry. The assay was accurate (97-107%) and precise (3.4-6.2%) between 100 and 10,000ng/mL. Recovery from plasma was >62%. Plasma freeze-thaw and room temperature stability were acceptable. PMID- 18155650 TI - Analytical methods applied to the determination of heterocyclic aromatic amines in foods. AB - Analytical aspects concerning the heterocyclic aromatic amines (HAAs) determination in foods are reviewed. Sample pre-treatment procedures such as liquid-liquid extraction (LLE), supercritical fluid extraction, solid-phase extraction (SPE), solid-phase microextraction (SPME), and the mainly used LLE-SPE tandem extraction are discussed. The analytical methods used for the identification and quantification are HPLC, HPLC combined with single or tandem MS detection (HPLC-MS, HPLC-MS/MS), GC-MS and capillary electrophoresis. Advantages and figures of merit for each technique are discussed. PMID- 18155651 TI - Designer drug 2,5-dimethoxy-4-methyl-amphetamine (DOM, STP): involvement of the cytochrome P450 isoenzymes in formation of its main metabolite and detection of the latter in rat urine as proof of a drug intake using gas chromatography-mass spectrometry. AB - The designer drug 2,5-dimethoxy-4-methyl-amphetamine (DOM, STP) is known to be extensively metabolized in various species. The current study showed that cytochrome P450 2D6 was the only isoenzyme involved in formation of the main metabolite hydroxy DOM. In addition, the authors' systematic toxicological analysis (STA) procedure using full-scan GC-MS was suitable to prove an intake of a common drug users' dose of DOM by detection of hydroxy DOM in rat urine. Assuming similar metabolism, the described STA procedure should be suitable for proof of an intake of DOM in human urine. However, DOM and/or other metabolites such as deamino-oxo-hydroxy DOM might be the target analyte in urine of CYP2D6 poor metabolizers. PMID- 18155652 TI - High-resolution manometry. AB - Recently, high-resolution oesophageal manometry was added to the armamentarium of researchers and gastroenterologists. Current studies suggest that the yield of high-resolution oesophageal manometry is higher than that of conventional pull through manometry and is at least comparable to that of sleeve sensor manometry. Probably the most important advantage of solid-state high-resolution manometry is that it makes oesophageal manometry faster and easier to perform. Topographic plotting of high-resolution manometry signals facilitates their interpretation. It is concluded that high-resolution manometry is a promising technique for the evaluation of oesophageal motor function. Further studies will have to determine whether high-resolution manometry is superior to conventional manometry in the diagnostic work-up of patients with oesophageal symptoms. PMID- 18155653 TI - Comment on 'Reconstruction of orbital floor and maxilla with divided vascularised calvarial bone flap in one session'. PMID- 18155654 TI - Salvage of a DIEP flap using a retrograde flow anastomosis. PMID- 18155655 TI - Plastic surgical options for HIV-associated lipodystrophy. AB - With the reported prevalence of HIV-associated lipodystrophy approaching 80%, this patient group presents an increasing challenge to plastic surgeons. Based on a literature search conducted using OVID Medline, this review shall describe the various treatment options employed by plastic surgeons to deal with the problems of fat distribution in patients suffering from HIV-lipodystrophy, and examine the evidence for each treatment. PMID- 18155656 TI - Hypoxic osteocytes recruit human MSCs through an OPN/CD44-mediated pathway. AB - Little is known about the role or identity of signaling molecules released by osteocytes to recruit MSCs to areas of matrix damage. Vascular disruption at fracture sites results in hypoxia which is known to up-regulate genes involved in cell migration including osteopontin (OPN). We examined the effect of conditioned media from hypoxic osteocytes on MSC migration. Hypoxic osteocyte media significantly increased MSC migration and expression of OPN was significantly increased in hypoxic osteocytes. OPN and CD44 neutralizing antibodies significantly reduced MSC migration. Further, recombinant OPN significantly increased MSC migration in a dose-dependent manner. Our data support the hypothesis that hypoxia at a fracture site stimulates the release of chemotactic factors, such as OPN, from osteocytes, that induce MSC migration to aid in fracture repair. To our knowledge, these are the first data to suggest a role for osteocytes and OPN in the recruitment of MSCs to aid in fracture repair. PMID- 18155657 TI - Wnt-10b, uniquely among Wnts, promotes epithelial differentiation and shaft growth. AB - Although Wnts are expressed in hair follicles throughout life from embryo to adult, and considered to be critical for their development and maturation, their roles remain largely unknown. In the present study, we investigated the effects of Wnts (Wnt-3a, Wnt-5a, Wnt-10b, and Wnt-11) on epithelial cell differentiation using adult mouse-derived primary skin epithelial cell (MPSEC) cultures and hair growth using hair follicle organ cultures. Only Wnt-10b showed evident promotion of epithelial cell differentiation and hair shaft growth, in contrast to Wnt-3a, 5a, and 11. Our results suggest that Wnt-10b is unique and plays an important role in differentiation of epithelial cells in the hair follicle. PMID- 18155658 TI - Ubiquitin-dependent and -independent proteasomal degradation of hepatitis B virus X protein. AB - The hepatitis B virus X protein (HBX) plays key regulatory roles in viral replication and the development of hepatocellular carcinoma. HBX is an unstable protein; its instability is attributed to rapid degradation through the ubiquitin proteasome pathway. Here, we show that the middle and carboxyl-terminal domains of HBX, independently fused to GFP, render the recombinant proteins susceptible to proteasomal degradation, while the amino-terminal domain has little effect on the ubiquitination or stability of HBX. Mutation of any single or combination of up to five of six lysine residues, all located in the middle and carboxyl terminal domain, did not prevent HBX from being ubiquitinated, ruling out any specific lysine as the sole site of ubiquitination. Surprisingly, HBX in which all six lysines were mutated and showed no evidence of ubiquitination, was still susceptible to proteasomal degradation. These results suggest that both ubiquitin dependent and -independent proteasomal degradation processes are operative in HBX turnover. PMID- 18155659 TI - A molecular modeling approach defines a new group of Nodulin 26-like aquaporins in plants. AB - The three-dimensional models built for the Nod26-like aquaporins all exhibit the typical alpha-helical fold of other aquaporins containing the two ar/R and NPA constriction filters along the central water channel. Besides these structural homologies, they readily differ with respect to the amino acid residues forming the ar/R selective filter. According to these discrepancies in both the hydrophilicity and pore size of the ar/R filter, Nod26-like aquaporins can be distributed in three subgroups corresponding to NIP-1, NIP-II and a third subgroup of Nod26-like aquaporins exhibiting a highly hydrophilic and widely open filter. However, all Nod26-like aquaporins display a bipartite distribution of electrostatic charges along the water channel with an electropositive extracellular vestibular portion followed by an electronegative cytosolic vestibular portion. The specific transport of water, non-ionic solutes (glycerol, urea, ammoniac), ions (NH4+) and gas (NH(3)) across the Nod26-like obviously depends on the electrostatic and conformational properties of their central water channel. PMID- 18155660 TI - Regulation of the functional interactions between archaeal eukaryote-like Cdc6/Orc1 proteins on the replication origin by two different mechanisms. AB - The crenarchaeon Sulfolobus solfataricus contains three active origins of replication and three eukaryote-like Cdc6/Orc1 proteins known as SsoCdc6 proteins. It has the potential to become a powerful model system in understanding the central mechanism of the eukaryotic DNA replication. In this research, we designed a group of duplex DNA substrates containing specific origin recognition boxes (ORBs) of the archaeon and identified the DNA-binding activities of different SsoCdc6 proteins. Furthermore, we showed that the DNA-protein interaction between the DNA substrate and the SsoCdc6-1 or SsoCdc6-3 strikingly regulated their DNA-binding activities of each other on the origin. On the other hand, the protein-protein interactions between SsoCdc6-1 and SsoCdc6-2 were observed to mutually modulate the stimulating or inhibitive effects on the DNA binding activities of each other. Thus, two different mechanisms were demonstrated to be involved in the regulations of the functions of the SsoCdc6 proteins on the replication origins. The results of this study imply that the interactions between multiple SsoCdc6 proteins and origin DNA collectively contribute to the positive or negative regulation of DNA replication initiation in the archaeon species. PMID- 18155661 TI - Myosin phosphatase target subunit: Many roles in cell function. AB - Phosphorylation of myosin II is important in many aspects of cell function and involves a myosin kinase, e.g. myosin light chain kinase, and a myosin phosphatase (MP). MP is regulated by the myosin phosphatase target subunit (MYPT1). The domain structure, properties, and genetic analyses of MYPT1 and its isoforms are outlined. MYPT1 binds the catalytic subunit of type 1 phosphatase, delta isoform, and also acts as an interactive platform for many other proteins. A key reaction for MP is with phosphorylated myosin II and the first process shown to be regulated by MP was contractile activity of smooth muscle. In cell division and cell migration myosin II phosphorylation also plays a critical role and these are discussed. However, based on the wide range of partners for MYPT1 it is likely that MP is implicated with substrates other than myosin II. Open questions are whether the diverse functions of MP reflect different cellular locations and/or specific roles for the MYPT1 isoforms. PMID- 18155662 TI - Increased activity of phosphatase PP2A in the presence of the PlA2 polymorphism of alphaIIbbeta3. AB - Polymorphisms in alphaIIbbeta3 are important genetic factors that alter platelet biology and have been associated with susceptibility to thromboembolic disorders. To define the molecular mechanisms that lead to variance in thrombotic diathesis dictated by the beta3 polymorphism, we examined regulation of intracellular signaling by alphaIIbbeta3, and studied the effects of a common beta subunit PlA2 polymorphism. We found that PP2A regulates alphaIIbbeta3 control of the ERK signaling in a polymorphism specific fashion. In CHO cells, exogenous expression of alphaIIbbeta3 reduced ATP-stimulated ERK phosphorylation and more so for PlA2 than PlA1. Interestingly, reduced level of ERK phosphorylation correlated with an increase in PP2A activity, with higher activity associated with PlA2 than PlA1. We tested the effect of PP2A on alphaIIbbeta3-dependent adhesion, and found that PP2A overexpression increased cell adhesion, while phosphatase inhibitors decreased cell adhesion. We propose that PlA2 alters cell signaling at least in part by increasing beta3-associated PP2A activity. PMID- 18155663 TI - PPARgamma-dependent and -independent effects of rosiglitazone on lipotoxic human pancreatic islets. AB - We explored the in vitro effects of Rosiglitazone (RZG), a PPARgamma agonist, on human pancreatic islet dysfunctions induced by chronic free fatty acid exposure. We demonstrated that RZG beneficial effects on insulin secretion and apoptosis did not imply PDX-1 or insulin gene modulation. It rather involved, through a PPARgamma-dependent mechanism, a reduction of iNOS overexpressed in lipotoxic islets. This reduction likely led to the restoration of ATP level and insulin secretion as well as the decrease in apoptosis. More interestingly, we also demonstrated that RZG beneficial effects involved PPARgamma-independent mechanisms. RZG treatment led to a limitation of oxidative stress exemplified by an increase of GPx and SOD expression. It also increased UCP2 expression that seemed to display antioxidant action in this model. Thus, RZG did not appear to exert a direct action on insulin expression but rather an indirect action on insulin secretion and apoptosis, through PPARgamma-dependent and -independent mechanisms, via regulation of nitrogen and oxygen reactive species injury. PMID- 18155664 TI - Upstream open reading frames regulate the expression of the nuclear Wnt13 isoforms. AB - Wnt proteins control cell survival and cell fate during development. Although Wnt expression is tightly regulated in a spatio-temporal manner, the mechanisms involved both at the transcriptional and translational levels are poorly defined. We have identified a downstream translation initiation codon, AUG(+74), in Wnt13B and Wnt13C mRNAs responsible for the expression of Wnt13 nuclear forms. In this report, we demonstrate that the expression of the nuclear Wnt13C form is translationally regulated in response to stress and apoptosis. Though the 5' leaders of both Wnt13C and Wnt13B mRNAs have an inhibitory effect on translation, they did not display an internal ribosome entry site activity as demonstrated by dicistronic reporter assays. However, mutations or deletions of the upstream AUG( 99) and AUG(+1) initiation codons abrogate these translation inhibitory effects, demonstrating that Wnt13C expression is controlled by upstream open reading frames. Since long 5'-untranslated region with short upstream open reading frames characterize other Wnt transcripts, our present data on the translational control of Wnt13 expression open the way to further studies on the translation control of Wnt expression as a modulator of their subcellular localization and activity. PMID- 18155665 TI - Cloning and characterization of the promoter of Hugl-2, the human homologue of Drosophila lethal giant larvae (lgl) polarity gene. AB - The human lgl gene, Hugl-2 (llgl2, Lgl2), codes for a cytoskeletal protein involved in regulating cell polarity. Here, we report the identification and functional characterization of the promoter region ( approximately 1.2kb) of the Hugl-2 gene. Luciferase expression assays show a high basal Hugl-2 promoter activity in different cell lines and primary human hepatocytes. Truncations of the promoter identified a GC-rich region important for this activity. Alignment of human and mouse genomic sequences demonstrate that this is an evolutionary conserved region fcontaining putative binding sites for several transcription factors including Elk-1 and Sp-1. Mithramycin A reduces Hugl-2 expression indicating Sp-1 transcription factors activate Hugl-2. Treatment of primary hepatocytes with epidermal growth factor (EGF) suppresses Hugl-2, suggesting regulation by the EGF-signaling pathway. Downregulation of Hugl-2 by EGF may contribute to loss of cell polarity and tumour progression, therefore supporting a tumour suppressor role for Hugl-2. PMID- 18155666 TI - Relationship between age-related reference values of serum osteoprotegerin and leptin in native Chinese women and compared with those in women of other races. AB - BACKGROUND: Osteoprotegerin (OPG) and leptin are important cellular factors in the regulation of bone remodeling. We investigated the serum OPG and leptin in Chinese women. METHODS: The serum OPG and leptin in 690 Chinese women aged 20-81 y were measured by an ELISA. The values of OPG and leptin in women of other races were acquired from previous reports on the same. RESULTS: The geometric mean values (+/- SD) of the serum OPG and leptin in Chinese women were 3.42+/-1.91 pmol/l and 10.5+/-1.99 microg/l, respectively. Further, the serum OPG (4.39+/ 1.85 vs 2.74+/-1.81) and leptin (11.4+/-2.21 vs 9.68+/-1.81) in postmenopausal women were significantly higher than in premenopausal women. The serum OPG in middle-aged Chinese women was significantly higher than that in middle-aged Austrian and Icelandic women; however, this is quite contrary to the results obtained in the case of old-aged women. The values of serum leptin in Chinese women were significantly lower than those in white, black, and Mexican American women. CONCLUSIONS: These results provide reliable reference values for OPG and leptin in Chinese adult women. The serum of OPG and leptin differ with ethnicity. PMID- 18155667 TI - Effect of tumor necrosis factor alpha on cholesterol efflux in adipocytes. AB - BACKGROUND: The pro-inflammatory cytokine tumor necrosis factor-alpha (TNF-alpha) has multiple effects on adipocyte, including cell differentiation, lipolysis and the production of adipokines. It is not known whether TNF-alpha has effect on cholesterol efflux in adipocyte. METHODS: Rabbit subcutaneous adipocytes were incubated with 5, 10, 20 ng/ml TNF-alpha for 24 h. The cholesterol efflux onto apoAI was assessed, and the related peroxisome proliferators-activated receptor (PPAR) gamma, liver X receptor (LXR) alpha and ATP binding cassette transporter A1 (ABCA1) mRNA expression in adipocytes were quantified by reverse transcription polymerase chain reaction. RESULTS: Treatment of adipocytes with 5 or 10 ng/ml TNF-alpha for 24 h increased cholesterol efflux, and the effect of 10 ng/ml TNF alpha was significant higher than the control group. In contrast, 20 ng/ml TNF alpha decreased cholesterol efflux compared with 10 ng/ml TNF-alpha. The expression of ABCA1 was increased by 5 ng/ml or 10 ng/ml TNF-alpha compared with control group, and was inhibited by 20 ng/ml TNF-alpha. The PPARgamma and LXRalpha mRNA were also significantly induced by 10 ng/ml TNF-alpha and down regulated by higher TNF-alpha concentration. After pre-treated by GW9662, the expression of PPARgamma induced by TNF-alpha was partially prevented, subsequent to the down-regulation of LXRalpha and ABCA1. CONCLUSIONS: TNF-alpha affects cholesterol efflux and ABCA1 expression of adipocytes, and the pathway of PPARgamma-LXRalpha-ABCA1 is probably involved. PMID- 18155668 TI - Biochemical detection of myocardial damage in scleroderma. PMID- 18155669 TI - A HIF-1alpha-related gene involved in cell protection from hypoxia by suppression of mitochondrial function. AB - Recently, we reported that acetylcholine-induced hypoxia-inducible factor-1alpha protects cardiomyocytes from hypoxia; however, the downstream factors reducing hypoxic stress are unknown. We identified apoptosis inhibitor (AI) gene as being differentially expressed between von Hippel Lindau (VHL) protein-positive cells with high levels of GRP78 expression and VHL-negative cells with lower GRP levels, using cDNA subtraction. AI decreased GRP78 level, suppressed mitochondrial function, reduced oxygen consumption and, ultimately, suppressed hypoxia-induced apoptosis. By contrast, knockdown of the AI gene increased mitochondrial function. Hypoxic cardiomyocytes and ischemic myocardium showed increased AI mRNA expression. These findings suggest that AI is involved in suppressing mitochondrial function, thereby leading to cellular stress eradication and consequently to protection during hypoxia. PMID- 18155670 TI - SREBP1 interaction with prelamin A forms: a pathogenic mechanism for lipodystrophic laminopathies. PMID- 18155671 TI - The Erv family of sulfhydryl oxidases. AB - The Erv flavoenzymes contain a compact module that catalyzes the pairing of cysteine thiols into disulfide bonds. High-resolution structures of plant, animal, and fungal Erv enzymes that function in different contexts and intracellular compartments have been determined. Structural features can be correlated with biochemical properties, revealing how core sulfhydryl oxidase activity has been tailored to various functional niches. The introduction of disulfides into cysteine-containing substrates by Erv sulfhydryl oxidases is compared with the mechanisms used by NADPH-driven disulfide reductases and thioredoxin-like oxidoreductases to reduce and transfer disulfides, respectively. PMID- 18155672 TI - Nonequilibrium thermodynamics of thiol/disulfide redox systems: a perspective on redox systems biology. AB - Understanding the dynamics of redox elements in biologic systems remains a major challenge for redox signaling and oxidative stress research. Central redox elements include evolutionarily conserved subsets of cysteines and methionines of proteins which function as sulfur switches and labile reactive oxygen species (ROS) and reactive nitrogen species (RNS) which function in redox signaling. The sulfur switches depend on redox environments in which rates of oxidation are balanced with rates of reduction through the thioredoxins, glutathione/glutathione disulfide, and cysteine/cystine redox couples. These central couples, which we term redox control nodes, are maintained at stable but nonequilibrium steady states, are largely independently regulated in different subcellular compartments, and are quasi-independent from each other within compartments. Disruption of the redox control nodes can differentially affect sulfur switches, thereby creating a diversity of oxidative stress responses. Systems biology provides approaches to address the complexity of these responses. In the present review, we summarize thiol/disulfide pathway, redox potential, and rate information as a basis for kinetic modeling of sulfur switches. The summary identifies gaps in knowledge especially related to redox communication between compartments, definition of redox pathways, and discrimination between types of sulfur switches. A formulation for kinetic modeling of GSH/GSSG redox control indicates that systems biology could encourage novel therapeutic approaches to protect against oxidative stress by identifying specific redox-sensitive sites which could be targeted for intervention. PMID- 18155673 TI - Increased oxidative stress created by adenoviral MnSOD or CuZnSOD plus BCNU (1,3 bis(2-chloroethyl)-1-nitrosourea) inhibits breast cancer cell growth. AB - Superoxide dismutases (SODs) have been found to decrease tumor formation and angiogenesis. SOD gene therapy, as with many other gene transfer strategies, may not completely inhibit tumor growth on its own. Thus, concomitant therapies are necessary to completely control the spread of this disease. We hypothesized that intratumoral injection of AdSOD in combination with 1,3-bis(2-chloroethyl)-1 nitrosourea (BCNU) chemotherapy would synergistically inhibit breast cancer growth. Our data indicate that BCNU when combined with SOD overexpression increased oxidative stress as suggested by elevated glutathione disulfide (GSSG) production in one of three breast cancer cell lines tested, at least in part due to glutathione reductase (GR) inactivation. The increased oxidative stress caused by BCNU combined with adenovirally expressed SODs, manganese or copper zinc SOD, decreased growth and survival in the three cell lines tested in vitro, but had the largest effect in the MDA-MB231 cell line, which showed the largest amount of oxidative stress. Delivery of MnSOD and BCNU intratumorally completely inhibited MDA-MB231 xenograft growth and increased nude mouse survival in vivo. Intravenous (iv) BCNU, recapitulating clinical usage, and intratumoral AdMnSOD delivery, to provide tumor specificity, provided similar decreased growth and survival in our nude mouse model. This cancer therapy produced impressive results, suggesting the potential use of oxidative stress-induced growth inhibitory treatments for breast cancer patients. PMID- 18155675 TI - Plasma glucosylceramide and ceramide in type 1 Gaucher disease patients: correlations with disease severity and response to therapeutic intervention. AB - The concentrations of plasma glucosylceramide (GlcCer) and ceramide (Cer) were determined in a cohort of type 1 Gaucher disease patients. In plasma of untreated patients, GlcCer concentrations were on average 3-fold increased (median Gaucher: 17.5 nmol/ml, range: 6.5-45.5 (n=27); median control: 5.9 nmol/ml, range 4.0-8.6 (n=15)). Although plasma Cer concentrations were not significantly different between the two groups (median Gaucher: 7.2 nmol/ml, range: 4.2-10.9 (n=27); median control: 7.8 nmol/ml, range 5.7-11.9 (n=15)) in individual patients plasma GlcCer/Cer ratio yields slightly better discrimination between Gaucher disease patients and normal individuals than the GlcCer levels. Positive correlations were detected between plasma GlcCer concentration and GlcCer/Cer ratio and severity of disease, plasma chitotriosidase and CCL18, surrogate markers of storage cells. Gaucher disease is treated by enzyme replacement and substrate reduction therapy. Both therapies were found to result in decreases in plasma GlcCer already within 6 months, without causing abnormal plasma GlcCer or Cer concentrations. The corrections in plasma GlcCer were most robust in patients with a pronounced clinical response. In conclusion, plasma GlcCer concentration and GlcCer/Cer ratio is of value to monitor Gaucher disease manifestation and response to therapeutic intervention. PMID- 18155674 TI - New trends for metal complexes with anticancer activity. AB - Medicinal inorganic chemistry can exploit the unique properties of metal ions for the design of new drugs. This has, for instance, led to the clinical application of chemotherapeutic agents for cancer treatment, such as cisplatin. The use of cisplatin is, however, severely limited by its toxic side-effects. This has spurred chemists to employ different strategies in the development of new metal based anticancer agents with different mechanisms of action. Recent trends in the field are discussed in this review. These include the more selective delivery and/or activation of cisplatin-related prodrugs and the discovery of new non covalent interactions with the classical target, DNA. The use of the metal as scaffold rather than reactive centre and the departure from the cisplatin paradigm of activity towards a more targeted, cancer cell-specific approach, a major trend, are discussed as well. All this, together with the observation that some of the new drugs are organometallic complexes, illustrates that exciting times lie ahead for those interested in 'metals in medicine'. PMID- 18155676 TI - Simultaneous refolding, purification and immobilization of xylanase with multi walled carbon nanotubes. AB - Multi-walled carbon nanotubes were used as refolding aid for xylanase unfolded with 8 M urea. The hydrophobic surface of the nanotubes enabled the binding, refolding, purification and simultaneous immobilization of the enzyme. While 55% activity could be regained while working with the denatured form of a purified preparation of xylanase, 92% activity could be obtained with the commercial preparation of xylanase in 8 M urea. These activities were obtained with refolded xylanase bound to the carbon nanotubes. Hence an immobilization efficiency of 0.92 was observed. The FT-IR spectroscopy showed that alpha-helical content of xylanase decreased from 17% to 14%, beta-sheet content increased from 53% to 61% and beta-turns decreased from 20% to 15% upon immobilization on the nanotubes. The refolded xylanase molecule bound to the carbon nanotube gave various secondary structure contents very similar to the bound (to carbon nanotubes) native xylanase. PMID- 18155677 TI - The DRE/DREF transcriptional regulatory system: a master key for cell proliferation. AB - The coordinate expression of many cell proliferation-related genes is required for the cellular shift from the resting state into the proliferating state. One regulatory factor involved in this process, the transcription regulatory factor named DREF (DNA replication-related element-binding factor) was discovered in Drosophila and later found to have orthologues in other species including human. Drosophila DREF is a homo-dimer of a polypeptide of 709 amino acid residues, and shares about 22% identity in its amino acid sequence with the human homolog of 694 amino acid residues. The Drosophila DREF homo-dimer binds specifically to the DRE sequence (5'-TATCGATA) in the promoters of many DNA replication/ cell proliferation-related genes to activate their transcription, and the N-terminal region of DREF carries a domain for specific DRE-binding and homo-dimer formation. Ectopic expression of DREF in eye imaginal discs induces abnormal DNA synthesis, apoptosis and failure to differentiate. Conversely, expression of the dominant negative N-terminal region in larval salivary glands reduces endo replication. Furthermore, RNA interference-mediated knockdown of DREF in vivo demonstrated its requirement for normal progression through the cell cycle and consequently for growth of imaginal discs and the endoreplicating organs. Both Drosophila and human DREF's interact genetically and physically with regulatory factors related to chromatin structures, suggesting that DREF activates the expression of proliferation-related genes through modification of the 3-D conformation of DNA. A search of the Drosophila genome database identified about 150 genes carrying DRE sequences in their promoter regions, many of which are related to reactions required for cell proliferation such as DNA replication, transcriptional regulation, cell cycle regulation, growth signal transduction and protein metabolism. Thus, DREF appears to be a master key-like factor for cell proliferation. Several differentiation-related transcription factors containing homeodomains down-regulate the function or expression of DREF by distinct mechanisms, suggesting a differentiation-coupled repression of cell proliferation via the DRE/DREF system. PMID- 18155678 TI - The effects of cortisol increase on long-term memory retrieval during and after acute psychosocial stress. AB - In this study the effects of stress-induced cortisol increases on long-term memory retrieval during and after acute psychosocial stress were examined. Seventy male students were exposed to either a psychosocial stress task or to a non-stressful control task. During and after this task, retrieval was tested for idiosyncratic emotionally negative and neutral word pair associations that were learned 1 day or 5 weeks earlier. Within the stress condition, retrieval of negative words, 5 weeks after learning, was impaired both during and after the stress task compared to the control group. Further, during the stress task, when sympathetic activity was enhanced, impaired retrieval of both neutral and emotional words was significantly related to enhanced cortisol response. In contrast, after the stress task, when cortisol levels were still increased but sympathetic activity was low again, no association was found between cortisol increase and retrieval of either neutral or emotional material. These results are in line with the previous animal research showing that when arousal is high, cortisol increase can impair memory retrieval. PMID- 18155680 TI - Glucosylceramide synthase decrease in frontal cortex of Alzheimer brain correlates with abnormal increase in endogenous ceramides: consequences to morphology and viability on enzyme suppression in cultured primary neurons. AB - Abnormal increase in native long-chain ceramides (lcCer) in AD implicates roles in neuronal atrophy and cognitive dysfunction especially in view of divergent roles this second messenger plays in cell function. Since clearance is mediated by glucosylceramide synthase (GCS, EC 2.4.1.80) levels of the enzyme were compared for 18 samples of AD Brodmann area 9/10 frontal cortex with 11 age matched controls. Western analysis for (ir)GCS showed a significant decrease in AD brain (p<0.01) consistent with the hypothesis that enzyme dysfunction contributes to neuronal decay. To examine kinetics and consequences to morphology, cerebellar granule cells were treated in vitro with d-threo-P4 (P4). This potent inhibitor of GCS induced a time- and concentration-dependent increase in lcCer parallel to loss of viability and dramatic changes in neuron/neurite morphology via caspase-independent pathways distinct from those of apoptosis or necrosis. Fluorescent labeling with NBD-sphingolipids or immunostaining with anti synaptic or cytoskeletal markers showed unusual formation of globular swellings along neurites rich in synaptophysin that may resemble formation of dystrophic neurites in AD. Effects of the inhibitor were verified by changes in lcCer mass and turnover of (14)[C]-acetate and -galactose or NBD-labeled anabolic products. Addition of a panel of inhibitors of other pathways confirms GCS as the major route for clearance in the present model. Pretreatment with GM(1) whose turnover is compromised was protective and pointed to useful therapeutic applications by supplementing existing membrane stores prior to GSC dysfunction. PMID- 18155681 TI - Variant synthetic pathway to glucuronic acid-containing di- and trisaccharide thioglycoside building blocks for continued synthesis of Cryptococcus neoformans capsular polysaccharide structures. AB - An alternative pathway to glucuronic acid-containing di- and trisaccharide thioglycoside building blocks, suitable for the synthesis of Cryptococcus neoformans capsular polysaccharide structures, has been developed. As opposed to our earlier synthesis, this approach features the introduction of the glucuronic acid motif at the di- and trisaccharide level through oxidation of a glucose residue. This approach circumvents problems encountered in glycosylations with glucuronic acid donors and benzylation of glucuronic acid-containing derivatives. Selective protection of primary alcohols was obtained at the di- and trisaccharide stage using TBDMS or trityl protecting groups, respectively. After benzylation of the secondary hydroxyl groups and subsequent removal of the TBDMS or trityl group, oxidation of the free primary alcohols to carboxylic acids was performed in high yield using the TEMPO-BAIB reagent mixture, which does not tend to oxidize thioglycosides. The new approach requires a number of extra steps, but has proven to be more reliable and easily reproducible. PMID- 18155679 TI - Altered vesicular glutamate transporter expression in the anterior cingulate cortex in schizophrenia. AB - BACKGROUND: Schizophrenia is a chronic, severe mental illness with profound emotional and economic burdens for those afflicted and their families. An increasing number of studies have found that schizophrenia is marked by dysregulation of glutamatergic neurotransmission. While numerous studies have found alterations of postsynaptic molecules in schizophrenia, a growing body of evidence implicates presynaptic factors. Vesicular glutamate transporters (VGLUTs) have been identified and are known to package glutamate into vesicles in the presynaptic terminal for subsequent release into the synaptic cleft. Recent studies have shown that VGLUTs regulate synaptic activity via the amount of glutamate released. Accordingly, we hypothesized that VGLUTs are altered in schizophrenia, contributing to dysfunction of presynaptic activity. METHODS: Using in situ hybridization and Western blot analysis, we investigated alterations in VGLUT1 and VGLUT2 transcript and protein expression in the anterior cingulate cortex (ACC) and dorsolateral prefrontal cortex (DLPFC) of subjects with schizophrenia and a comparison group. RESULTS: We found increased VGLUT1 transcript and reduced VGLUT1 protein expression in the ACC, but not DLPFC, in schizophrenia. Vesicular glutamate transporter 2 was unchanged at both levels of gene expression. We did not find changes in VGLUT1 messenger RNA (mRNA) or protein levels following 28-day treatment of rats with haloperidol (2 mg/kg/day), suggesting that our findings in schizophrenia are not due to an effect of antipsychotic treatment. CONCLUSIONS: Overall, our data suggest decreased glutamate release in the ACC, as well as discordant regulation of VGLUT1 expression at different levels of gene expression. PMID- 18155682 TI - Synthesis of an anthrose derivative and production of polyclonal antibodies for the detection of anthrax spores. AB - A straightforward synthesis of a derivative of anthrose, the non-reducing terminal fragment of the antigenic tetrasaccharide from Bacillus anthracis, was achieved starting from d-galactose. This hapten is able to induce a highly specific and sensitive immune response in rabbit when attached to a carrier protein. PMID- 18155683 TI - Towards the synthesis of new benzimidazolone derivatives with surfactant properties. AB - New water-soluble benzimidazolone derivatives were synthesized. In the first approach, di-N-glycosyl and mono-N-alkyl-N-glycosyl compounds were obtained by grafting C-6-activated glycosides onto benzimidazolone. In the second approach, benzimidazolone derivatives bearing a glucosyl unit were synthesized using an efficient glycosylation method. Every compound structure was confirmed by means of NMR spectroscopy and elemental analysis. The preliminary surfactant properties of some compounds were evaluated. PMID- 18155684 TI - MALDI-QTOFMS/MS identification of glycoforms from the urine of a CDG patient. AB - Identification of single glycoconjugate components in a complex mixture from the urine of a patient suffering from a congenital disorder of glycosylation was probed by MALDIMS analysis on a hybrid quadrupole time-of-flight instrument. In negative ion mode, complex maps containing more than 50 ionic species were obtained and a number of molecular ions directly as-signed using a previously developed computer-assisted algorithm. To confirm the data and determine the carbohydrate sequence, single molecular ions were selected and submitted to fragmentation experiments. Interpretation of fragmentation spectra was also assisted by the soft-ware using alignment with spectra generated in silico. According to fragmentation data, the majority of glycoconjugate ionic species could be assigned to free oligosaccharides along with ten species tentatively assigned to glycopeptides. Following this approach for glycan identification by a combination of MALDI-QTOFMS and MS/MS experiments, computer-assisted assignment and fragment analysis, data for a potential glycan data base are produced. Of high benefit for this approach are two main factors: low sample consumption due to the high sensitivity of ion formation, and generation of only singly charged species in MALDIMS allowing interpretation with-out any deconvolution. In this experimental set-up, sequencing of single components from the MALDI maps by low energy CID followed by computer-assisted assignment and data base search is proposed as a most efficient strategy for the rapid identification of complex carbohydrate structures in clinical glycomics. PMID- 18155685 TI - Opposing roles of RNA receptors TLR3 and RIG-I in the inflammatory response to double-stranded RNA in a Kaposi's sarcoma cell line. AB - Kaposi's sarcoma (KS) is strongly associated with KS herpes virus infection, and inflammation plays an important role in this disease. We have shown that human KS biopsy-derived SLK cells, which are of endothelial origin and form KS-like tumors in nude mice, express the viral RNA pattern recognition receptors Toll-like receptor 3 (TLR3), retinoic acid-inducible gene-I (RIG-I), and melanoma differentiation-associated gene 5 (MDA5). Furthermore, SLK cells have enhanced release of IL-6, IL-8 (CXCL8), RANTES (CCL5), and IP-10 (CXCL10) proteins in response to the synthetic viral RNA analog poly(I:C). SiRNA knockdowns demonstrated that TLR3 mediates this inflammatory response to poly(I:C) in SLK cells. Furthermore, knockdown of the RNA receptor RIG-I resulted in enhanced chemokine release, in a TLR3 pathway-dependent manner. Thus, exposure of KS cells to viral RNA ligands can result in a TLR3-mediated increase in the secretion of inflammatory proteins associated with KS cell growth that may contribute to disease. PMID- 18155687 TI - Determination of the membrane permeability characteristics of Pacific oyster, Crassostrea gigas, oocytes and development of optimized methods to add and remove ethylene glycol. AB - In order for cryopreservation to become a practical tool for aquaculture, optimized protocols must be developed for each species and cell type. Knowledge of a cell's osmotic tolerance and membrane permeability characteristics can assist in optimized protocol development. In this study, these characteristics were determined for Pacific oyster oocytes and modified methods for loading and unloading ethylene glycol (EG) were tested. Oocytes were found to behave as ideal osmometers and their osmotically inactive fraction (V(b)) was calculated to be 0.48. Oocytes exposed to NaCl solutions of 0.6 to 2.3 Osm fertilized at rates equivalent to oocytes left in seawater. This corresponds to volume changes of +27.3 and -38.1+/-1.2%. The permeability of the oocytes to water (L(p)) was determined to be 3.8+/-0.4 x 10(-2), 5.7+/-0.8 x 10(-2), and 13.2+/-1.3 x 10(-2) microm min(-1)atm(-1), when measured at temperatures of 5, 10 and 20 degrees C. The respective EG permeability values (P(s)) were 9.5+/-0.1 x 10(-5), 14.6+/-1.2 x 10(-5), and 41.7+/-2.4 x 10(-5) cm min(-1). The activation energies for L(p) and P(s) were determined to be 14.5 and 17.5 kcal mol(-1), respectively. Different models for EG loading and unloading from oocytes were developed and tested. Post-thaw fertilization did not differ significantly between a published step addition method and single step addition at 20 degrees C. This represents a considerable reduction in handling. The results of this study demonstrate that the cryobiological characteristics of a given cell type should be taken into account when developing cryopreservation methods. PMID- 18155686 TI - Changing ratios of omega-6 to omega-3 fatty acids can differentially modulate polychlorinated biphenyl toxicity in endothelial cells. AB - Exposure to persistent organic pollutants, such as polychlorinated biphenyls (PCBs) can cause endothelial cell (EC) activation by inducing pro-inflammatory signaling pathways. Our previous studies indicated that linoleic acid (LA, 18:2), a major omega-6 unsaturated fatty acid in the American diet, can potentiate PCB77 mediated inflammatory responses in EC. In addition, omega-3 fatty acids (such as alpha-linolenic acid, ALA and 18:3) are known for their anti-inflammatory properties. We tested the hypothesis that mechanisms of PCB-induced endothelial cell activation and inflammation can be modified by different ratios of omega-6 to omega-3 fatty acids. EC were pretreated with LA, ALA, or different ratios of these fatty acids, followed by exposure to PCB77. PCB77-induced oxidative stress and activation of the oxidative stress sensitive transcription factor nuclear factor kappaB (NF-kappaB) were markedly increased in the presence of LA and diminished by increasing the relative amount of ALA to LA. Similar protective effects by increasing ALA were observed by measuring NF-kappaB-responsive genes, such as vascular cell adhesion molecule-1 (VCAM-1) and cyclooxygenase-2 (COX-2). COX-2 catalyzes the rate limiting step of the biosynthesis of prostaglandin E(2) (PGE(2)). PCB77 exposure also increased PGE(2) levels, which were down-regulated with relative increasing amounts of ALA to LA. The present studies suggest that NF-kappaB is a critical player in the regulation of PCB-induced inflammatory markers as modulated by omega-6 and omega-3 fatty acids. PMID- 18155688 TI - Comet assay of fresh and cryopreserved bull spermatozoa. AB - In this study, we describe DNA fragmentation of fresh and cryopreserved bull spermatozoa using the comet assay. Cryopreservation caused a significant but low (3.8%) decrease in the percentage of DNA in the comet head and an increase (5.3%) in the tail length. Our results suggest that in addition to motility and viability, low levels of DNA fragmentation after cryopreservation is a characteristic of bull spermatozoa and can be a part of remarkable cryoresistance of bull spermatozoa. PMID- 18155689 TI - A spatial bias for the origins of interneuron subgroups within the medial ganglionic eminence. AB - Although it is well established that the ventral telencephalon is the primary source of GABAergic cortical interneurons in rodents, little is known about the specification of specific interneuron subtypes. It is also unclear whether the potential to achieve a given fate is established at their place of origin or by signals received during their migration to or during their maturation within the cerebral cortex. Using both in vivo and in vitro transplantation techniques, we find that two major interneuron subgroups have largely distinct origins within the MGE. Somatostatin (SST)-expressing interneurons are primarily generated within the dorsal MGE, while parvalbumin (PV)-expressing interneurons primarily originate from the ventral MGE. In addition, we show that significant heterogeneity exists between gene expression patterns in the dorsal and ventral MGE. These results suggest that, like the spinal cord, neuronal fate determination in the ventral telencephalon is largely the result of spatially segregated, molecularly distinct microdomains arranged on the dorsal-ventral axis. PMID- 18155691 TI - Effects of pentoxifylline and its metabolites on platelet aggregation in whole blood from healthy humans. AB - It is known that pentoxifylline inhibits platelet aggregation in vitro, but the effects from pentoxifylline and its main metabolites: 3,7-dimetyl-1(5 hydroxyhexyl)xanthine (R-M1 and S-M1), 3,7-dimetyl -1(4-carboxybutyl)xanthine (M4), 3,7-dimetyl -1(3-carboxypropyl)xanthine (M5), on platelet aggregation in whole blood in vitro and in vivo have not been studied. We found that pentoxifylline, rac-M1, R-M1, S-M1 and M4 significantly inhibit ADP induced platelet aggregation in whole blood in vitro in a concentration-dependent manner, R-M1 being the most potent followed by rac-M1, S-M1, pentoxifylline, and M4. In this series of experiments the effects on aggregation induced ATP-release were less pronounced and were only significant after treatment with pentoxifylline, rac-M1 and R-M1, but the potency order appears to be the same. Since the metabolites are not available for use in humans, and also since each substance would be extensively metabolised in vivo, we made an attempt to estimate the relative contribution of each substance to the total effect of pentoxifylline in vivo. Previously published concentrations of pentoxifylline and these metabolites in humans, after administration of pentoxifylline, were used in combination with the potency ratios from this study. The findings from these calculations were that the main effect in vivo comes from S-M1 followed by pentoxifylline, the other metabolites contribute less than 10% each. IN CONCLUSION: in the following potency order R-M1, rac-M1, pentoxifylline, S-M1 and M4 all have significant effects on platelet aggregation in whole blood in vitro. However, it appears that the main effects in vivo are caused by S-M1 and pentoxifylline. PMID- 18155690 TI - pdx-1 function is specifically required in embryonic beta cells to generate appropriate numbers of endocrine cell types and maintain glucose homeostasis. AB - The pdx1 gene is essential for pancreatic organogenesis in humans and mice; pdx1 mutations have been identified in human diabetic patients. Specific inactivation of pdx1 in adult beta cells revealed that this gene is required for maintenance of mature beta cell function. In the following study, a Cre-lox strategy was used to remove pdx1 function specifically from embryonic beta cells beginning at late gestation, prior to islet formation. Animals in which pdx1 is lost in insulin producing cells during embryogenesis had elevated blood glucose levels at birth and were overtly diabetic by weaning. Neonatal and adult mutant islets showed a dramatic reduction in the number of insulin(+) cells and an increase in both glucagon(+) and somatostatin(+) cells. Lineage tracing revealed that excess glucagon(+) and somatostatin(+) cells did not arise by interconversion of endocrine cell types. Examination of mutant islets revealed a decrease in proliferation of insulin-producing cells just before birth and a concomitant increase in proliferation of glucagon-producing cells. We propose that pdx1 is required for proliferation and function of the beta cells generated at late gestation, and that one function of normal beta cells is to inhibit the proliferation of other islet cell types, resulting in the appropriate numbers of the different endocrine cell types. PMID- 18155692 TI - Role of K+ and Ca2+ fluxes in the cerebroarterial vasoactive effects of sildenafil. AB - The aim of this study was to assess the role of K(+) and Ca(2+) fluxes in the cerebroarterial vasoactive effects of the phosphodiesterase-5 inhibitor sildenafil. We used isolated rabbit basilar arteries to assess the effects of extracellular K(+) raising on sildenafil-induced vasodilatation, and studied the pharmacological interaction of sildenafil with selective modulators of membrane K(+) and Ca(2+) channels. Expression of Kv1 subunits of K(+) channels was assessed at messenger and protein levels. Parallel experiments were carried out with zaprinast for comparison. Sildenafil (10 nM-0.1 mM) induced concentration dependent relaxation of endothelin-1 (10 nM)-precontracted arteries, which was partially inhibited by depolarization with KCl (50 mM), 3 mM tetraethylammonium (non-selective K(+) channel blocker) or 1 mM aminopyridine (inhibitor of K(v) channels), but not by 1 microM glibenclamide (inhibitor of K(ATP) channels) or 50 nM iberiotoxin (inhibitor of K(Ca) channels). Arterial smooth muscle expressed messengers for Kv1.2, Kv1.3, Kv1.4, Kv1.5 and Kv1.6, and proteins of Kv1.1, Kv1.2 and Kv1.4. CaCl(2) (10 microM- 10 mM) induced concentration-dependent contraction in Ca(2+)-free, depolarizing (50 mM KCl) medium. Sildenafil (0.1-100 microM) produced reversible concentration-dependent inhibition of the response to CaCl(2), which was completely abolished by the highest sildenafil concentration. By contrast, only 100 microM zaprinast inhibited the response to CaCl(2). The L type Ca(2+) channel activator Bay K 8644 (0.1 nM-1 microM) induced concentration dependent potentiation of the response to CaCl(2) inhibited by 100 microM sildenafil. Moreover, Bay K 8644 (0.1 nM-1 microM) induced concentration dependent contraction in slightly depolarizing (15 mM) medium, which was inhibited to the same extent and in a concentration-dependent way by sildenafil (0.1-100 microM) and zaprinast (1 or 100 microM). These results show that sildenafil relaxes the rabbit basilar artery by increasing K(+) efflux through K(v) channels, which in turn may affect Ca(2+) signalling. Expression of Kv1 subunits involved in this pharmacological effect occurs at the messenger and, in some cases, at the protein level. In addition to this phosphodiesterase-5-related effect, sildenafil and zaprinast inhibit cerebroarterial vasoconstriction at least in part by directly blocking L-type Ca(2+) channels, although a decrease in the sensitivity of the contractile apparatus to Ca(2+) can not be discarded. PMID- 18155693 TI - Intrathecal high-dose histamine induces spinally-mediated nociceptive behavioral responses through a polyamine site of NMDA receptors. AB - Previous research has demonstrated that a high dose of histamine (1600 pmol) injected i.t. in mice can evoke nociceptive behaviors consisting of biting/licking along with occasional scratching. The present study was undertaken to examine the involvement of spinal N-methyl-d-aspartate (NMDA) and histamine H(1) and H(2) receptors in the nociceptive behaviors evoked by high-dose histamine. Co-administration of the histamine H(1) receptor antagonists, d chlorpheniramine and pyrilamine, or the histamine H(2) receptor antagonists, ranitidine and zolantidine, failed to suppress the histamine-evoked nociceptive behaviors. Moreover, following histamine administration, nociceptive behaviors in histamine H(1) receptor-knockout and histamine H(2) receptor-knockout mice were indistinguishable from those in wild-type mice, suggesting that histamine-induced nociceptive behaviors are not mediated through histamine H(1) and H(2) receptors in the spinal cord. The histamine-induced nociceptive behaviors were inhibited by co-administration of the competitive NMDA receptor antagonists, d-(-)-2-amino-5 phosphonovaleric acid (D-APV) and 3-((+)-2-carboxypiperazin-4-yl)-propyl-1 phosphonic acid (CPPA), and the ion channel blocker, (5R,10S)-(+)-5-methyl-10,11 dihydro-5H-dibenzo[a,d]cycloheptene-5,10-imine maleate (MK-801). Co administration of ifenprodil, an antagonist for both the polyamine site and the NR2B subunit of NMDA receptors, also inhibited the histamine-induced nociceptive behaviors. (R-[R, S])-alpha-(4-hydroxyphenyl)-beta-methyl-4-(phenylmethyl)-1 piperidinepropanol hydrochloride (Ro25-6981), an antagonist of the NMDA receptor subtype containing the NR2B subunit, did not inhibit histamine-induced nociceptive behaviors, whereas these behaviors were attenuated by pretreatment with an antisense oligodeoxynucleotide against the mRNA for the NR1 subunit of the NMDA receptor. Moreover, agmatine and arcaine, antagonists for a polyamine site on the NMDA receptor, inhibited nociceptive behaviors induced by histamine. These results suggest that a polyamine site on spinal NMDA receptors is involved in eliciting the nociceptive behavioral episode following intrathecal injection of histamine. PMID- 18155694 TI - The effects of physiological and pharmacological weight loss on adiponectin and leptin mRNA levels in the rat epididymal adipose tissue. AB - In subjects with obesity, diabetes and coronary artery disease, circulating levels of leptin increased while that of adiponectin is decreased. In this study we have investigated effects of physiological and pharmacological weight reduction on leptin and adiponectin mRNA expression. Wistar rats were fed either standard laboratory chow for 16 weeks (chow-fed) or given a fat-enriched, glucose enriched diet (diet-fed) for 8 weeks. After 8 weeks, diet-fed group was subdivided into three subgroups, namely, an untreated obese, or were returned to chow diet, or treated with fenofibrate for further 8 week. After 16 weeks, compared with chow-fed group, diet-fed rats had significantly higher body weight, epididymal fat pad mass, and plasma levels of insulin, leptin, adiponectin, non esterified fatty acids and triglycerides (P<0.001, for all). Moreover, untreated obese rats had significantly (P<0.01, for both) raised levels of Ob mRNA but reduced adiponectin mRNA levels in epididymal fat pads compared with chow-fed group. These changes were corrected by chronic removal of the high-energy diet and fenofibrate treatment. These findings indicate that physiological or pharmacological lowering of body weight together with circulating plasma lipids play a significant role in leptin and adiponectin synthesis and metabolism. PMID- 18155695 TI - Behavioral effects of amphetamine in streptozotocin-treated rats. AB - Experimentally-induced diabetes can modify the behavioral and neurochemical effects of drugs acting on dopamine systems, possibly through insulin-related regulation of dopamine transporter activity. In this study, several behavioral procedures were used to examine possible changes in sensitivity to amphetamine and other drugs in rats rendered diabetic by a single injection of streptozotocin. Conditioned place preference developed to food (Froot Loops) in both control and diabetic rats, demonstrating that conditioned place preference with tactile stimuli can occur in streptozotocin-treated rats. Baseline locomotion was lower in streptozotocin-treated as compared to control rats, although amphetamine significantly increased locomotion in all rats. Conditioned place preference developed to amphetamine regardless of whether rats had received streptozotocin or saline. A second study compared the potency of drugs to decrease lever pressing maintained by food, before and after streptozotocin treatment. Gamma-hydroxybutyrate and amphetamine were less potent after streptozotocin while the potency of raclopride, quinpirole, ketamine, haloperidol and cocaine was not significantly changed by streptozotocin. While markedly affecting locomotion, body weight and blood glucose, streptozotocin only modestly affected sensitivity to the behavioral effects of amphetamine and other drugs; these results fail to confirm previous reports of decreased behavioral actions of stimulants in diabetic rats. PMID- 18155696 TI - Selective serotonin reuptake inhibitors fluvoxamine and paroxetine restore forced exercise-induced temperature dysregulation in ovariectomized mice. AB - Hot flushes are one of the most frequent symptoms in menopausal women. Selective serotonin reuptake inhibitors (SSRIs) are considered to be first-line therapy for the treatment of hot flushes in women for whom hormone therapy is contraindicated. Recently, we have proposed forced exercise-induced flushing of tail skin in ovariectomized mice as a new experimental model of temperature dysregulation in menopausal hot flushes. In the present study, to validate this animal model as a tool for testing potential compounds for the treatment of menopausal hot flushes, we examined the effects of two SSRIs (fluvoxamine and paroxetine) on forced exercise-induced flushing of tail skin in ovariectomized mice, and compared it with that of estradiol replacement (1 mg/kg/week for 3 weeks, i.m.). Treatment with fluvoxamine (20 mg/kg, i.p.) or paroxetine (10 mg/kg, i.p.) completely inhibited forced exercise-induced flushing of tail skin in ovariectomized mice, and the effect of each was comparable to that of estradiol replacement. It is believed that the present findings provide the first experimental evidence to support the anti-flushing effects of SSRIs, such as fluvoxamine and paroxetine, in a clinical setting. An animal model with forced exercise probably serves as a useful experimental tool for evaluating the effects of different agents on hot flushes. PMID- 18155697 TI - Functional role of beta 1 integrin-mediated signalling in the human hair follicle. AB - Integrins are transmembrane adhesion proteins that convey critical topobiological information and exert crucial signalling functions. In skin and hair follicle biology, beta1 integrins and their ligands are of particular interest. It is not yet known whether beta1 integrins play any role in the regulation of human hair growth and the expression pattern of beta1 integrin in the human pilosebaceous unit remains ill-defined. Here, we show that pilosebaceous immunoreactivity for beta1 integrin is most prominent in the outermost layer of the outer root sheath and the surrounding connective tissue sheath of human scalp hair follicles in situ and in vitro. Sites of beta1 integrin immunoreactivity co-express fibronectin and tenascin-C. Contrary to previous reports, beta1 integrin immunoreactivity in situ was not significantly upregulated in the human bulge region. Functionally, two beta1 integrin-activating antibodies (12G10, TS2/16) and ligand-mimicking RGD peptides promoted the growth of microdissected, organ cultured human scalp hair follicles in vitro and inhibited spontaneous hair follicle regression. This supports the concept that beta1 integrin-mediated signalling is also important in human hair growth control. The physiologically relevant organ culture assay employed here is a potential research tool for exploring whether targeted stimulation of beta1 integrin-mediated signalling is a suitable candidate for human hair loss management. PMID- 18155698 TI - Histomonas meleagridis: immunohistochemical localization of parasitic cells in formalin-fixed, paraffin-embedded tissue sections of experimentally infected turkeys demonstrates the wide spread of the parasite in its host. AB - In the present investigation, a polyclonal antibody-based immunohistochemical technique was developed to localize Histomonas meleagridis in formalin-fixed, paraffin-embedded tissues of experimentally infected turkeys. The developed technique was highly specific for histomonads as no immunohistochemical reaction was observed with cultures of Tetratrichomonas gallinarum, Trichomonas gallinae and Blastocystis sp. In addition, tissues positive for various other protozoan parasites and fungi were also tested to evaluate the specificity of the technique. It was possible to detect immunohistochemically histomonad antigens in all the tested samples (n=5) of caecum, liver, spleen and lung from infected turkeys, 3 out of 5 bursa of Fabricius, 1 out of 2 bone marrow, 2 out of 5 heart and 1 out of 5 each of proventriculus, pancreas and cerebellum. An immunohistochemical reaction indicative of presence of histomonads was also detected in blood vessels of various organs that indicated a possible hematogenous route of spread of the parasite in the host. A comparative study with routine diagnostic staining techniques indicated a high sensitivity and specificity of the newly developed immunohistochemical technique. Altogether, the technique developed can be used to study the sequential pathogenesis of histomonosis in turkeys and to obtain new insights into the mechanisms of interaction with the host tissues. PMID- 18155699 TI - Sperm nuclear DNA fragmentation and mitochondrial activity in men with varicocele. AB - OBJECTIVE: To verify the impact of varicocele on semen quality and sperm function (DNA integrity and mitochondrial activity). DESIGN: Prospective study. SETTING: Patients in an academic research environment. PATIENT(S): Seventeen patients with a clinical diagnosed varicocele of grade II or III and 20 men without a varicocele. MAIN OUTCOME MEASURE(S): Rate of sperm DNA fragmentation as assessed by the Comet assay and categorized as classes I (no DNA fragmentation), II (little DNA fragmentation), III (meaningful DNA fragmentation), and IV (high DNA fragmentation). Rate of mitochondrial activity as assessed by the diaminobenzidine (DAB) assay and categorized as grades I (all mitochondria active), II (most mitochondria active), III (most mitochondria inactive), and IV (all mitochondria inactive). RESULT(S): No statistically significant differences were found between the study and control groups with respect to age, ejaculatory abstinence, and round cell count. Men with varicocele had significantly higher ejaculate volume, concentration of immotile sperm, and neutrophil count and lower mean percentage of sperm concentration, progressive motility, and morphology than men in the control group. The study group presented a lower percentage of sperm with little DNA fragmentation (class II) and a higher percentage of sperm with DNA fragmentation (class IV). In addition, the study group presented a greater percentage of sperm with inactive mitochondria (class III). CONCLUSION(S): Compared with men without varicocele, men with varicocele had a higher percentage of cells with DNA fragmentation and sperm with inactive mitochondria. Indeed, varicocele causes a decrease in motility, concentration, and morphology and an increase in volume and concentration of immotile sperm and neutrophils. The sperm functional evaluation (DNA fragmentation and mitochondrial activity) could be important factors in deciding treatment options for men with varicocele. PMID- 18155700 TI - Influencing factors of adhesion development and the efficacy of adhesion preventing agents in patients undergoing laparoscopic myomectomy as evaluated by a second-look laparoscopy. AB - OBJECTIVE: To examine the factors influencing the development of adhesions after laparoscopic myomectomy (LM) and the efficacy of adhesion-preventing agents. DESIGN: Prospective nonrandomized study. SETTING: University-affiliated hospital. PATIENT(S): Three hundred seventy-two patients who underwent LM alone by the same surgeon between 2000 and 2005 were included for the analysis in this study. INTERVENTION(S): Video tape recording was performed during the second-look laparoscopy (SLL) to evaluate the postoperative uterine wound adhesions and adhesions around the uterine adnexa. Statistical workup was conducted using logistic regression analysis. MAIN OUTCOME MEASURE(S): Evaluation of adhesions at the uterine wound and of de novo adhesions of the uterine adnexa by SLL. RESULT(S): The SLL revealed uterine surgical wound adhesions in 141 patients (37.9%) and de novo adhesions of the uterine adnexa in 33 patients (8.9%). The results of analysis to determine the factors influencing the development of postoperative adhesions revealed that the diameter of the largest myoma, number of myomas, and type of adhesion-preventing agent used (except for fibrin sheath, which had no effect) influenced the incidence of postoperative adhesions at the surgical wound, but only the diameter of the largest myoma influenced the incidence of de novo adhesions of the uterine adnexa. CONCLUSION(S): Development of surgical wound adhesions after LM can be prevented by the use of an appropriate adhesion-preventing agent. PMID- 18155701 TI - Pregnancy outcomes after uterine artery occlusion: prospective multicentric study. AB - OBJECTIVE: To assess the reproductive outcomes after laparoscopic uterine artery occlusion (LUAO) and uterine artery embolization (UAE) in women with symptomatic fibroids. DESIGN: Prospective, clinical multicentric study. SETTING: Endoscopic center in the department of obstetrics and gynecology at a hospital in the Czech Republic. PATIENT(S): Thirty-eight pregnant women after LUAO and 20 pregnant women after UAE. INTERVENTION(S): Laparoscopic uterine artery occlusion and UAE. MAIN OUTCOME MEASURE(S): Pregnancy, abortion, preterm delivery, and live-birth rates. RESULT(S): Pregnancies after uterine embolization had a statistically significantly higher rate for spontaneous abortion (56%) than did pregnancies after surgical uterine artery occlusion (10.5%). The risk of malpresentation (20%) and the rate for cesarean section (80%) after UAE similarly were higher than was the risk after laparoscopic occlusion; however, these differences were not statistically significant. Also, there were no significant differences between the groups in preterm deliveries (15.3% in the LUAO group vs. 20% in the UAE group). CONCLUSION(S): Pregnancies of women who were treated with uterine embolization were at significantly increased risk for spontaneous abortion when compared with pregnancies of women treated with LUAO. PMID- 18155702 TI - An advanced flexible laparoscope with wide optic angle for observing diaphragmatic lesions associated with catamenial pneumothorax. AB - OBJECTIVE: To explore diaphragmatic lesions that are potentially associated with catamenial pneumothorax by using an advanced flexible laparoscope with wide optic angle. DESIGN: Case report. SETTING: University hospital. PATIENT(S): A 30-year old woman who was scheduled for thoracoscopic surgery because of recurrent right sided catamenial pneumothorax. INTERVENTION(S): The peritoneal surface of the diaphragm was explored with an advanced flexible laparoscope that was equipped with a charge-coupled device on the tip, concurrently with thoracoscopic surgery. MAIN OUTCOME MEASURE(S): Lesions associated with endometriosis on the peritoneal surface of the posterior diaphragm abutting the posterior abdominal wall and liver. RESULT(S): When the flexible laparoscope was inserted via an umbilical trocar and the peritoneal surface of the right-sided diaphragm was explored, guided by illumination from the thoracoscope, scattered specific lattice lesions and fenestrations were identified in the central tendon of the posterior diaphragm, a region that cannot be visualized with the conventional rigid laparoscope. CONCLUSION(S): By using the flexible laparoscope, endometriotic lesions potentially related to catamenial pneumothorax were identified on the posterior diaphragm. PMID- 18155703 TI - Corpus luteum across the first trimester: size and laterality as observed by ultrasound. AB - OBJECTIVE: To study the site and size of the corpus luteum (CL) across the first trimester of pregnancy. DESIGN: Retrospective observational study of 1,806 ultrasound scans performed at 5 to 9 (+6 d) weeks' gestation, as well as a prospective study (n = 313) performed at 10 to 13 (+6 d) weeks' gestation. SETTING: Four ultrasound practices across Victoria, Australia. PATIENT(S): Two thousand one hundred nineteen pregnant women. INTERVENTION(S): Transvaginal ultrasound. MAIN OUTCOME MEASURE(S): Side and size (diameter) of the CL. RESULT(S): At 5 to 9 weeks' gestation, the mean CL diameter was 19.3 mm, with no statistically significant variation across each gestational week. Corpus luteum size then statistically significantly declined at 10 to 13 weeks' gestation, with a mean diameter of 16.85 mm. Of 237 women in whom both ovaries were visualized at 10 to 13 weeks' gestation, a CL was seen in 82% of cases. A statistically significant right-sided bias was observed in both groups (54% at 5-9 wk gestation, 56% at 10-13 wk). CONCLUSION(S): The CL remains static in size across 5 to 9 weeks' gestation, then its size declines or it disappears from 10 to 13 weeks. A novel right-sided ovulation bias occurs in human beings. PMID- 18155705 TI - Caspase 3 activation in human spermatozoa in response to hydrogen peroxide and progesterone. AB - OBJECTIVE: To determine the role of calcium signaling on apoptosis evoked by the reactive oxygen species H2O2 and by the physiological agonist P in human ejaculated spermatozoa. DESIGN: Laboratory study. SETTING: Center for assisted human reproduction in a hospital in Spain. PATIENT(S): Forty-five healthy volunteers. INTERVENTION(S): Spermatozoa were treated with increasing concentrations of hydrogen peroxide (H2O2; 10 microM, 100 microM, and 1 mM) or with 20 microM of P for 5-120 minutes. MAIN OUTCOME MEASURE(S): Activation of caspase-3 and -9 as well as phosphatidylserine externalization were examined in human ejaculated spermatozoa by fluorescence methods. RESULT(S): Hydrogen peroxide and P induced activation of caspase-3 and -9. In addition, the effect of H2O2 and P was time dependent. Dimethyl-1,2-bis (aminophenoxy) ethane-N,N,N',N' tetraacetic acid loading was able to inhibit H2O2- and P-induced caspase-3 activation and phosphatidylserine externalization. Pretreatment of spermatozoa with Ru360, to block the calcium uptake into mitochondria, also was able to decrease the activation of caspase-3 and phosphatidylserine exposure that was stimulated by either H2O2 or P. CONCLUSION(S): These findings suggest that H2O2- and P-induced mitochondrial apoptosis is dependent on calcium signaling. PMID- 18155704 TI - Effect of mifepristone on the expression of endometrial secretory leukocyte protease inhibitor in new medroxyprogesterone acetate users. AB - The effect of mifepristone on the expression of secretory leukocyte protease inhibitor (SLPI) in the endometrium of women using depot medroxyprogesterone acetate (DMPA) was investigated in this randomized, placebo-controlled trial. The study showed that the administration of DMPA led to a substantial inhibition of endometrial SLPI protein and mRNA, and that the addition of mifepristone to DMPA exposed endometrium partially restored the expression of glandular SLPI. PMID- 18155706 TI - Circulating anti-follicle-stimulating hormone immunoglobulin A in women: a sperm prone reaction of mucosal tolerance? AB - Antibodies against follicle-stimulating hormone (anti-FSH) are present in infertile female sera. Follicle-stimulating hormone as antigen is present in female sera and introduced to the genital tract mucosa as a constituent of semen. The female immune system is activated by semen constituents during insemination to induce mucosal tolerance. We found that circulating anti-FSH IgA correlated with IgA against sperm surface antigens in female patients undergoing IVF. Our results suggest that anti-FSH and anti-sperm IgA could share antigenic origin, being induced possibly by mucosal tolerance to semen. PMID- 18155707 TI - Substitution of aspartic acid at position 57 of the DQbeta1 affects relapse of autoimmune pancreatitis. AB - BACKGROUND & AIMS: Although autoimmune pancreatitis (AIP) responds well to corticosteroid therapy, relapse during maintenance corticosteroid therapy or after the withdrawal of corticosteroid treatment is not uncommon. To date, the factors related to relapse of AIP have not been fully explored. METHODS: To determine the clinical and genetic predictors relating to the relapse of AIP, we evaluated clinical factors, HLA polymorphisms, and the amino acid sequences in 40 patients with AIP. RESULTS: At a median follow-up period of 40 months (range, 12 67 months), relapse developed in 13 of 40 patients with AIP (33%), in whom complete remission was achieved with oral corticosteroid therapy. Among demographics, clinical characteristics in the initial diagnosis of AIP, we could not find any clinical predictor for relapse of AIP; however, in amino acid sequence analysis for relapse of AIP, the substitution of aspartic acid to nonaspartic acid at residue 57 of DQbeta1 showed a significant association with relapse of AIP (nonrelapse group, 29.6%; relapse group, 100%; P = .00003; odds ratio, 3.38; 95% confidence interval, 1.9-6.0). There was a significant difference in the timing of relapse of AIP, according to density of the nonaspartic acid residue at DQbeta1 57 (nonaspartic acid homozygosity: mean +/- SD, 6.7 +/- 4.2 months; nonaspartic acid heterozygosity: mean +/- SD, 33 +/- 11 months; P < .001). CONCLUSIONS: Substitution of aspartic acid to nonaspartic acid at DQbeta1 57 appears to represent a key genetic factor for relapse of AIP (ClinicalTrials.gov number, NCT00444444). PMID- 18155709 TI - Improved resistance to serum oxidation in Gilbert's syndrome: a mechanism for cardiovascular protection. AB - Bilirubin is a potent antioxidant, however, uncertainty surrounds its physiological importance. Individuals with Gilbert's syndrome (GS) have increased circulating bilirubin and a reduced prevalence of cardiovascular disease (CVD). The aim of this study was to investigate mechanisms that may link bilirubin to protection from CVD seen in GS by examining markers of antioxidant and oxidative stress status and the susceptibility of serum to oxidation. Nine individuals with GS and twelve controls, matched for age, height and weight, were assessed for plasma antioxidant status, red blood cell antioxidant enzyme activities, plasma malondialdehyde, the susceptibility of serum to copper (Cu(2+)) induced oxidation and blood lipid profile. Individuals with GS had significantly elevated unconjugated bilirubin (GS: 26.0+/-6.4; control: 9.7+/-3.0 micromol/L; P<0.001), increased trolox equivalent antioxidant capacity (GS: 1.59+/-0.07; control: 1.52+/-0.07 mmol/L trolox Equ; P=0.035) and ferric reducing ability of plasma (GS: 1.09+/-0.16; control: 0.92+/-0.14 mmol/L Fe(2+) Equ; P=0.024). The lag phase of serum oxidation was significantly longer in the GS group (GS: 121.4+/-10.5; control: 106.8+/-14.6 min; P=0.020) and was positively correlated with the bilirubin concentration (r=0.451, P=0.040). A trend toward elevated HDL:LDL ratio was observed in GS (GS 0.96+/-0.31; control: 0.73+/-0.21; P=0.072). In summary, individuals with GS have an increased circulating antioxidant status and an improved resistance to serum oxidation which may partially explain their reduced prevalence of CVD. PMID- 18155708 TI - Protein kinase C theta plays a fundamental role in different types of chronic colitis. AB - BACKGROUND & AIMS: Dysregulated host/microbial interactions induce the development of colitis by activating deleterious acquired immune responses. Activation of CD4(+) T cells is mainly induced through signaling machinery associated with immunologic synapse (IS). A key molecule associated with the IS is protein kinase C (PKC) theta. However, the role of PKCtheta in the pathogenesis of colitis has not fully been defined. METHODS: The role of PKCtheta for the acquired-immune responses involved in the development of different types of colitis (CD45RB model, T-cell receptor [TCR] alpha knockout [KO] mice and interleukin [IL]-2KO mice) was examined by generating double KO mice and by utilizing cell transfer approaches. RESULTS: Adoptive transfer of PKCtheta deficient naive CD4(+) T cells failed to induce T helper cell (Th) 1-mediated colitis in the immune-deficient host (CD45RB model). Development of Th2-mediated colitis in TCRalphaKO mice was also inhibited by the absence of PKCtheta. In IL 2KO mice, which develop colitis because of dysregulated T-cell homeostasis, deficiency of PKCtheta in CD4(+) T cells failed to induce the development of severe colitis. Interestingly, absence of PKCtheta led to a remarkable decrease in the proliferation, but not apoptosis, of colonic memory CD4(+) T cells. This impaired proliferation resulted in a marked decrease in the colonic CD4(+) T cells that are capable of producing IL-17. In addition, deficiency of PKCtheta inhibited the production of Th2 cytokines by colonic CD4(+) T cells. CONCLUSIONS: PKCtheta serves as a common and fundamental signaling molecule in the development of different types of colitis and may represent an attractive target for treating inflammatory bowel disease. PMID- 18155710 TI - Separation of amino acid enantiomers VIA chiral derivatization and non-chiral gas chromatography. AB - Two GC-MS methods for the enantioselective separation of the 20 proteinogenic amino acids are compared. Ethyl chloroformate and 2-chloropropanol were used to derivatize amino acid enantiomers. The diastereomers formed were separated on a non-chiral column by capillary gas chromatography. The separation performances were compared to those obtained when using non-chiral derivatization on a chiral column. PMID- 18155711 TI - Ionic liquids in separation techniques. AB - The growing interest in ionic liquids (ILs) has resulted in an exponentially increasing production of analytical applications. The potential of ILs in chemistry is related to their unique properties as non-molecular solvents: a negligible vapor pressure associated to a high thermal stability. ILs found uses in different sub-disciplines of analytical chemistry. After drawing a rapid picture of the physicochemical properties of selected ILs, this review focuses on their use in separation techniques: gas chromatography (GC), liquid chromatography (LC) and electrophoretic methods (CE). In LC and CE, ILs are not used as pure solvents, but rather diluted in aqueous solutions. In this situation ILs are just salts. They are dual in nature. Too often the properties of the cations are taken as the properties of the IL itself. The lyotropic theory is recalled and the effects of a chaotropic anion are pointed out. Many results can be explained considering all ions present in the solution. Ion-pairing and ion exchange mechanisms are always present, associated with hydrophobic interactions, when dealing with IL in diluted solutions. Chromatographic and electrophoretic methods are also mainly employed for the control and monitoring of ILs. These methods are also considered. ILs will soon be produced on an industrial scale and it will be necessary to develop reliable analytical procedures for their analysis and control. PMID- 18155712 TI - Optimisation of a gas chromatographic method for trace gaseous impurities in nitrogen trifluoride by column sequence reversal. AB - Highly reactive fluorinated gaseous matrices require special equipment and techniques for the gas chromatographic analysis of trace impurities in these gases. The impurities that were analysed at the low mg/L levels included dioxygen (O2), dinitrogen (N2), carbon dioxide (CO2), carbon monoxide (CO), sulfur hexafluoride (SF6), methane (CH4) and nitrous oxide (N2O). Carbon tetrafluoride (CF4) is also present in the product at levels of 20-400mg/L and had to be analysed as well. This paper compares the use of a custom-built dual-channel gas chromatograph utilising single column back flush switching on one channel for the determination of O2, N2, CH4 and CO with column sequence reversal on a second channel for the determination of CO2, N2O, SF6 and CF4 to a similar system using a combination of dual-column back flush and heart-cut configurations. Pulsed discharge helium ionisation detectors were used on both channels in both configurations. PMID- 18155713 TI - Linear solvation energy relationships of anionic dimeric surfactants in micellar electrokinetic chromatography II. Effect of the length of a hydrophilic spacer. AB - Anionic dimeric surfactants with hydrophilic spacers containing two to six oxygen atoms were synthesized and applied as pseudostationary phases in micellar electrokinetic chromatography. Their selectivity was determined via linear solvation energy relationships. There were no differences in cohesiveness, polarizability or dipolarity with increasing spacer length, but there was a clear trend in increasing hydrogen bond accepting ability, and a concomitant decrease in hydrogen bond donating ability. The different selectivity of these dimeric surfactants compared to sodium dodecylsulfate can be useful for optimizing separations of mixtures of solutes for which these types of interactions are important. Their critical micelle concentrations were in the range of 0.2-0.3mM, except for the surfactant with the shortest spacer (<0.03 mM), and are much lower than those of conventional surfactants used in micellar electrokinetic chromatography. PMID- 18155714 TI - Analysis of basic compounds by reversed-phase liquid chromatography-electrospray mass spectrometry in high-pH mobile phases. AB - The separation of basic compounds in high-pH mobile phases results in extended retention, excellent peak shapes and good chromatographic efficiency. A severe decrease in sensitivity with electrospray mass spectrometric detection in positive ion mode (ESI+-MS) is expected under conditions that suppress analyte ionization in solution. We compared the responses of a large number of various basic drugs covering a wide range of hydrophobic (log P 0.09 to 7.6) and basic character (pKa 6.8-10) in LC-ESI+-MS/MS in 0.1% formic acid in water and acetonitrile, to responses in 10mM ammonium hydrogencarbonate buffers of different pH (7.8-11), and acetonitrile. Contrary to common expectations, high-pH mobile phases do not affect negatively the responses of basic compounds in ESI+. Analyte responses and limits of detection are comparable, or most often better in high pH compared to acidic mobile phases. PMID- 18155715 TI - Adsorption of alpha amino acids at the water/goethite interface. AB - The adsorption of amino acids onto mineral surfaces plays an important role in a wide range of areas, e.g., low-temperature aqueous geochemistry, bone formation and protein-bone interactions. In this work, the adsorption of three alpha aminoacids (sarcosine, MIDA and EDDA) onto goethite (alpha-FeOOH) was studied as a function of pH and background electrolyte concentration at 25.0 degrees C, and the molecular structures of the surface complexes formed were analyzed by means of ATR-FTIR spectroscopy. The results showed that adsorption of alpha amino acids were strongly dependent on the functionality and structure of the ligands. No adsorption was detected for the zwitterionic sarcosine indicating that simple alpha amino acids without other ionizable and/or functional groups display insignificant affinity for mineral surfaces such as goethite. With respect to the more complex amino acids, which are surface reactive, the number and relative positions of carboxylate and amine groups determine the types of surface interactions. These interactions range from non-specific outer-sphere to specific inner-sphere interactions as shown by the MIDA and EDDA results, respectively. The results presented herein suggest that isomerically-selective adsorption might only occur for amino acids that are capable of specific surface interactions, either through site-specific hydrogen bonding or inner-sphere complexation. PMID- 18155717 TI - In situ synthesis of surfactant/silane-modified hydrotalcites. AB - In this study, anionic surfactant and silane-modified hydrotalcites were synthesized through a soft chemical in situ method. The resulting materials were characterized using X-ray diffraction (XRD), high-resolution thermogravimetric analysis (HRTG), Fourier transform infrared spectroscopy (FTIR), transmission electron microscopy (TEM), scanning electron microscopy (SEM), and N2 adsorption desorption. The Mg-Al hydrotalcite (LDH) and the only surfactant-modified hydrotalcite (LDH-2) display similar XRD patterns while both surfactant and silane-modified hydrotalcite (LDH-3) show two distinct series of reflections, corresponding to hydrotalcite and smectite-like materials, respectively. The smectite-like materials show a series of regular (001) reflections with d 001=12.58 A. Further supporting evidence was obtained from FTIR and TG, for example, the vibration at 1198 cm(-1) corresponds to SiOSi-stretching mode and the mass loss at ca. 861 degrees C to dehydroxylation. In LDH-2, the loaded surfactants are located in both the interlayer space and the interparticle pores with a "house of cards" structure as supported by FTIR, TG, and N2 adsorption desorption isotherms. Both electron microscopy (SEM and TEM) micrographs and N2 adsorption-desorption isotherms show that in situ modification with surfactant and silane has a significant influence on the morphology and porous parameters of the resulting hydrotalcite materials. PMID- 18155716 TI - Application of the Polanyi potential theory to phthalates adsorption from aqueous solution with hyper-cross-linked polymer resins. AB - The adsorption equilibria of dimethyl phthalate (DMP) and diethyl phthalate (DEP) on two hyper-cross-linked polymer resins (NDA-99 and NDA-150) in aqueous solution were investigated at 298 K. And a coal-based granular activated carbon (AC-750) was chosen for comparison. All the adsorption equilibrium data of DMP were well fitted by the Polanyi-based isotherm modeling (Polanyi-Manes (PM) equation), and the characteristic curves of the three adsorbents were obtained. It is noteworthy that a reasonably good agreement was obtained between the combined micropore and mesopore volume of adsorbents and the corresponding adsorption volume capacity for phthalates. Compared to the granular activated carbon (AC-750), the greater adsorption performances of the two resins (NDA-99 and NDA-150) were assumed to result from their more abundant micro- and mesopore structure, where phthalates can be intensively adsorbed by pore-filling mechanism. According to the exponent b value of the PM equation, NDA-99 and NDA-150 show the more micro- and mesopore heterogeneity than AC-750. On the other hand, the functional groups on the adsorbent surfaces did not take a notable effect on the adsorption equilibria of phthalates. The theory equilibrium adsorption amounts of DEP, predicted by the specific characteristic curve of each adsorbent, agree well with the experimental ones, respectively. The characteristic curve of hyper-cross-linked polymer resins and its prediction of phthalates adsorption calculated by Polanyi-based isotherm modeling have a potential applicability for field applications. PMID- 18155718 TI - EXAFS studies on adsorption irreversibility of Zn(II) on TiO2: temperature dependence. AB - Adsorption irreversibility of Zn(II) on TiO2 at various temperatures was studied using a combination of classical macroscopic methods and extended X-ray absorption fine structure (EXAFS) spectroscopy. When the temperature was increased from 5 to 40 degrees C, the Zn(II) adsorption capacity increased by 130%, and adsorbed Zn(II) became more reversible. The standard Gibbs free energy change (DeltaG 0) of the adsorption reaction at 5, 20, and 40 degrees C was determined to be -19.58+/-0.30, -22.28+/-0.10, and -25.14+/-0.21 kJ mol(-1), respectively. And the standard enthalpy (DeltaH 0) and entropy (DeltaS 0) were 24.55+/-2.91 kJ mol(-1) and 159.13+/-0.53 J mol(-1)K(-1), respectively. EXAFS spectra results showed that the hydrated Zn(II) was adsorbed through fourfold coordination with an average ZnO bond distance of 1.98+/-0.01 A. Two ZnTi atomic distances of 3.25+/-0.02 and 3.69+/-0.03 A were observed, which corresponded to an edge-sharing linkage mode (strong adsorption) and a corner-sharing linkage mode (weak adsorption), respectively. As the temperature increased from 5 to 40 degrees C, the number of strong adsorption sites (N1) remained relatively constant while the number for the weak adsorption sites (N2) increased by 31%. These results indicate that the net gain in adsorption capacity and the decreased adsorption irreversibility at elevated temperatures were due to the increase in available weak adsorption sites (N2) or the decrease in the ratio of N1/N2. Both the macroscopic sorption/desorption equilibrium data and the molecular level evidence of this study suggest that in a given environmental system (e.g., soils or natural waters) zinc and other similar heavy metals are likely more mobile at higher temperatures. PMID- 18155719 TI - Rumor mongering and remembering: how rumors originating in children's inferences can affect memory. AB - This study examined how rumors originating in 3- to 6-year-olds' causal inferences can affect their own and their peers' memories for a personally experienced event. This was accomplished by exposing some members of classrooms to contextual clues that were designed to induce inferences about the causes of two unresolved components of the event. After a 1-week delay, a substantial number of children who were exposed to the clues misremembered their inferences as actual experiences. Causal inferential memory errors were most pronounced among 5- and 6-year-olds. Also, many of the children whose classmates were exposed to the clues mistakenly incorporated their classmates' causal inferences into their own accounts, with 3- and 4-year-olds being most likely to make this error. PMID- 18155720 TI - Analysis of innate immune signal transduction with autocatalytic expression vectors. AB - Signalling pathways modulated by the family of IL-1/TLR receptors are central to innate immune responses. Novel components playing key regulatory roles in these pathways continue to be isolated. Here we describe the use of autocatalytic vectors for identifying critical components of these signalling pathways. The method was tested with a vector system where cDNA clones are expressed as EGFP fusion proteins, or in an IRES containing mRNA, combined with a transcription reporter. These constructs are placed under the control of an inducible promoter, responsive to activation of TIR receptors such as IL-1RI or TLR-4. cDNAs which activate the promoter will, when transcribed, form a positive feedback loop. We introduced TIR signalling pathway components into both types of vectors. The components tested regulated reporter (EGFP/luciferase) expression in both cases. Our data suggest that this type of system is capable of selective identification of components from signal transduction pathways once the promoter of a relevant inducible gene is identified from, for example, micro-array experiments. PMID- 18155721 TI - Cellular therapies for heart disease: unveiling the ethical and public policy challenges. AB - Cellular therapies have emerged as a potential revolutionary treatment for cardiovascular disease. Promising preclinical results have resulted in a flurry of basic research activity and spawned multiple clinical trials worldwide. However, the optimal cell type and delivery mode have not been determined for target patient populations. Nor have the mechanisms of benefit for the range of cellular interventions been clearly defined. Experiences to date have unveiled a myriad of ethical and public policy challenges which will affect the way researchers and clinicians make decisions for both basic and clinical research. Stem cells derived from embryos are at the forefront of the ethical and political debate, raising issues of which derivation methods are morally and socially permissible to pursue, as much as which are technically feasible. Adult stem cells are less controversial; however, important challenges exist in determining study design, cell processing, delivery mode, and target patient population. Pathways to successful commercialization and hence broad accessibility of cellular therapies for heart disease are only beginning to be explored. Comprehensive, multi-disciplinary and collaborative networks involving basic researchers, clinicians, regulatory officials and policymakers are required to share information, develop research, regulatory and policy standards and enable rational and ethical cell-based treatment approaches. PMID- 18155722 TI - Elucidation of the structural determinants responsible for the specific formation of heterodimeric Mxd1/Max b-HLH-LZ and its binding to E-box sequences. AB - The proteins of the Mxd family (formally known as Mad) are antagonists of the oncoprotein c-Myc. They compete with c-Myc for their obligate partner Max to prevent the c-Myc/Max heterodimer from binding to E-box sequences in the target gene promoters. In cancer cells, where Myc is overexpressed, the expression of Mxd proteins is usually insufficient or abrogated. However, the reintroduction of Mxd1 expression in these cells prevents growth and proliferation. While the antagonism of c-Myc functions by Mxd proteins is of potential relevance for the development of cancer treatment strategies, the structural determinants responsible for the specific heterodimerization between the Mxd and the Max b helix-loop-helix-leucine zippers are not fully understood. Moreover, whether the heterodimer is assembled on DNA or in the nucleoplasm prior to DNA binding is under debate. In this article, we demonstrate that Mxd1 D112a and Max N78a and H81d, which are located in the leucine zippers of the proteins, can dictate the specificity of heterodimerization and whether or not the Mxd1/Max/DNA complex forms. Our results also indicate that additional specific determinants exist in the helix-loop-helix domains of Max and Mxd1. Finally, we provide evidence that heterodimerization must precede DNA binding in vivo. PMID- 18155723 TI - Thiol compounds inhibit the formation of amyloid fibrils by beta 2-microglobulin at neutral pH. AB - Dialysis-related amyloidosis frequently develops in patients undergoing long-term hemodialysis, in which the major component of fibrils is beta(2)-microglobulin (beta2-m). To prevent the disease, it is important to stop the formation of fibrils. beta2-m has one disulfide bond, which stabilizes the native structure, and amyloid fibrils. Here, the effects of reductants (i.e., dithiothreitol and cysteine) on the formation of beta2-m amyloid fibrils were examined at neutral pH. Fibrils were generated by three methods: seed-dependent, ultrasonication induced, and salt-and-heat-induced fibrillation. Thioflavin T fluorescence, electron microscopy, and far-UV circular dichroism revealed that the addition of reductants significantly inhibits seed-dependent and ultrasonication-induced fibrillation. For salt-and-heat-induced fibrillation, where the solution of beta2 m was strongly agitated, formation of amyloid fibrils was markedly reduced in the presence of reductants, although a small number of fibrils formed even after the reduction of the disulfide bond. The results suggest that reductants such as cysteine and dithiothreitol would be useful for preventing the formation of beta2 m amyloid fibrils under physiological conditions. PMID- 18155724 TI - A Flexible peptide tether controls accessibility of a unique C-terminal RNA binding domain in leucyl-tRNA synthetases. AB - A unique C-terminal domain extension is required by most leucyl-tRNA synthetases (LeuRS) for aminoacylation. In one exception, the enzymatic activity of yeast mitochondrial LeuRS is actually impeded by its own C-terminal domain. It was proposed that the yeast mitochondrial LeuRS has compromised its aminoacylation activity to some extent and adapted its C terminus for a second role in RNA splicing, which is also essential. X-ray crystal structures of the LeuRS-tRNA complex show that the 60 residue C-terminal domain is tethered to the main body of the enzyme via a flexible peptide linker and allows interactions with the tRNA(Leu) elbow. We hypothesized that this short peptide linker would facilitate rigid body movement of the C-terminal domain as LeuRS transitions between an aminoacylation and editing complex or, in the case of yeast mitochondrial LeuRS, an RNA splicing complex. The roles of the C-terminal linker peptide for Escherichia coli and yeast mitochondrial LeuRS were investigated via deletion mutagenesis as well as by introducing chimeric swaps. Deletions within the C terminal linker of E. coli LeuRS determined that its length, rather than its sequence, was critical to aminoacylation and editing activities. Although deletions in the yeast mitochondrial LeuRS peptide linker destabilized the protein in general, more stable chimeric enzymes that contained an E. coli LeuRS C-terminal domain showed that shortening its tether stimulated aminoacylation activity. This suggested that limiting C-terminal domain accessibility to tRNA(Leu) facilitates its role in protein synthesis and may be a unique adaptation of yeast mitochondrial LeuRS that accommodates its second function in RNA splicing. PMID- 18155725 TI - The crystal structure of guamerin in complex with chymotrypsin and the development of an elastase-specific inhibitor. AB - Guamerin, a canonical serine protease inhibitor from Hirudo nipponia, was identified as an elastase-specific inhibitor and has potential application in various diseases caused by elevated elastase concentration. However, the application of guamerin is limited because it also shows inhibitory activity against other proteases. To improve the selectivity of guamerin as an elastase inhibitor, it is essential to understand the binding mode of the inhibitor to elastase and to other proteases. For this purpose, we determined the crystal structure of guamerin in complex with chymotrypsin at 2.5 A resolution. The binding mode of guamerin on elastase was explored from the model structure of guamerin/elastase. Guamerin binds to the hydrophobic pocket of the protease in a substrate-like manner using its binding loop. In order to improve the binding selectivity of guamerin to elastase, several residues in the binding loop were mutated and the inhibitory activities of the mutants against elastase and chymotrypsin were monitored. The substitution of the Met36 residue for Ala in the P1 site increased the inhibitory activity against elastase up to 14-fold, while the same mutant showed 7-fold decreased activity against chymotrypsin compared to the wild-type guamerin. Furthermore, the M36A guamerin mutant more effectively protected endothelial cells against cell damage caused by elastase than the wild type guamerin. PMID- 18155726 TI - Trapping of an acyl-enzyme intermediate in a penicillin-binding protein (PBP) catalyzed reaction. AB - Class A penicillin-binding proteins (PBPs) catalyze the last two steps in the biosynthesis of peptidoglycan, a key component of the bacterial cell wall. Both reactions, glycosyl transfer (polymerization of glycan chains) and transpeptidation (cross-linking of stem peptides), are essential for peptidoglycan stability and for the cell division process, but remain poorly understood. The PBP-catalyzed transpeptidation reaction is the target of beta lactam antibiotics, but their vast employment worldwide has prompted the appearance of highly resistant strains, thus requiring concerted efforts towards an understanding of the transpeptidation reaction with the goal of developing better antibacterials. This goal, however, has been elusive, since PBP substrates are rapidly deacylated. In this work, we provide a structural snapshot of a "trapped" covalent intermediate of the reaction between a class A PBP with a pseudo-substrate, N-benzoyl-D-alanylmercaptoacetic acid thioester, which partly mimics the stem peptides contained within the natural, membrane-associated substrate, lipid II. The structure reveals that the D-alanyl moiety of the covalent intermediate (N-benzoyl-d-alanine) is stabilized in the cleft by a network of hydrogen bonds that place the carbonyl group in close proximity to the oxyanion hole, thus mimicking the spatial arrangement of beta-lactam antibiotics within the PBP active site. This arrangement allows the target bond to be in optimal position for attack by the acceptor peptide and is similar to the structural disposition of beta-lactam antibiotics with PBP clefts. This information yields a better understanding of PBP catalysis and could provide key insights into the design of novel PBP inhibitors. PMID- 18155727 TI - Human platelet 12-lipoxygenase, new findings about its activity, membrane binding and low-resolution structure. AB - Human platelet 12-lipoxygenase (hp-12LOX, 662 residues+iron nonheme cofactor) and its major metabolite 12S-hydroxyeicosatetraenoic acid have been implicated in cardiovascular and renal diseases, many types of cancer and inflammatory responses. However, drug development is slow due to a lack of structural information. The major hurdle in obtaining a high-resolution X-ray structure is growing crystals, a process that requires the preparation of highly homogenous, reproducible and stable protein samples. To understand the properties of hp 12LOX, we have expressed and studied the behavior, function and low-resolution structure of the hp-12LOX His-tagged recombinant enzyme and its mutants in solution. We have found that it is a dimer easily converted into bigger aggregates, which are soluble/covalent-noncovalent/reversible. The heavier oligomers show a higher activity at pH 8, in contrast to dimers with lower activity showing two maxima at pH 7 and pH 8, indicating the existence of two different conformers. In the seven-point C-->S mutant, aggregation is diminished, activity has one broad peak at pH 8 and there is no change in specificity. Truncation of the N(t)-beta-barrel domain (PLAT, residues 1-116) reduces activity to approximately 20% of that shown by the whole enzyme, does not affect regio- or stereospecificity and lowers membrane binding by a factor of approximately 2. "NoPLAT" mutants show strong aggregation into oligomers containing six or more catalytic domains regardless of the status of the seven cysteine residues tested. Time-of-flight mass spectrometry suggests two arachidonic acid molecules bound to one molecule of enzyme. Small angle X-ray scattering studies (16 A resolution, chi approximately 1) suggest that two hp-12LOX monomers are joined by the catalytic domains, with the PLAT domains floating on the flexible linkers away from the main body of the dimer. PMID- 18155728 TI - Folding and assembly of proteorhodopsin. AB - Proteorhodopsins (PRs), the recently discovered light-driven proton pumps, play a major role in supplying energy for microbial organisms of oceans. In contrast to PR, rhodopsins found in Archaea and Eukarya are structurally well characterized. Using single-molecule microscopy and spectroscopy, we observed the oligomeric assembly of native PR molecules and detected their folding in the membrane. PR showed unfolding patterns identical with those of bacteriorhodopsin and halorhodopsin, indicating that PR folds similarly to archaeal rhodopsins. Surprisingly, PR predominantly assembles into hexameric oligomers, with a smaller fraction assembling into pentamers. Within these oligomers, PR arranged into radial assemblies. We suggest that this structural assembly of PR may have functional implications. PMID- 18155729 TI - Mutational and energetic studies of Notch 1 transcription complexes. AB - Notch proteins constitute the receptors of a highly conserved signaling pathway that influences cell fate decisions both during development and in adulthood. A proteolytic cascade induced by ligand stimulation results in release of the intracellular Notch domain from the cell membrane, allowing it to enter the nucleus and form a complex with a DNA-bound transcription factor called CSL (CBF 1/RBP-J kappa, Suppressor of Hairless, and Lag-1) and a coactivator of the Mastermind family. Assembly of this Notch nuclear complex is the key step in the transcriptional response to a Notch signal. In the studies reported here, we mapped residues important for the stabilization of this multiprotein-DNA complex using site-directed mutagenesis, determined the affinity of the three-domain form of CSL for its various partners, and investigated sources of cooperativity in complex formation by monitoring the influence of various components of the complex on the interactions of CSL with its other partners. Our findings are consistent with a model for complex assembly in which the RBP-J kappa-associated molecule domain of Notch increases the effective concentration of the ankyrin domain for its binding site on the Rel-homology region of CSL, enabling docking of the ankyrin domain and subsequent recruitment of the Mastermind-like coactivator. PMID- 18155730 TI - Islet amyloid polypeptide forms rigid lipid-protein amyloid fibrils on supported phospholipid bilayers. AB - Islet amyloid polypeptide (IAPP) forms fibrillar amyloid deposits in the pancreatic islets of Langerhans of patients with type 2 diabetes mellitus, and its misfolding and aggregation are thought to contribute to beta-cell death. Increasing evidence suggests that IAPP fibrillization is strongly influenced by lipid membranes and, vice versa, that the membrane architecture and integrity are severely affected by amyloid growth. Here, we report direct fluorescence microscopic observations of the morphological transformations accompanying IAPP fibrillization on the surface of supported lipid membranes. Within minutes of application in submicromolar concentrations, IAPP caused extensive remodeling of the membrane including formation of defects, vesiculation, and tubulation. The effects of IAPP concentration, ionic strength, and the presence of amyloid seeds on the bilayer perturbation and peptide aggregation were examined. Growth of amyloid fibrils was visualized using fluorescently labeled IAPP or thioflavin T staining. Two-color imaging of the peptide and membranes revealed that the fibrils were initially composed of the peptide only, and vesiculation occurred in the points where growing fibers touched the lipid membrane. Interestingly, after 2-5 h of incubation, IAPP fibers became "wrapped" by lipid membranes derived from the supported membrane. Progressive increase in molecular-level association between amyloid and membranes in the maturing fibers was confirmed by Forster resonance energy transfer spectroscopy. PMID- 18155731 TI - Cell type-specific cleavage of nucleocapsid protein by effector caspases during SARS coronavirus infection. AB - The epidemic outbreak of severe acute respiratory syndrome (SARS) in 2003 was caused by a novel coronavirus (CoV), designated SARS-CoV. The RNA genome of SARS CoV is complexed by the nucleocapsid protein (N) to form a helical nucleocapsid. Besides this primary function, N seems to be involved in apoptotic scenarios. We show that upon infection of Vero E6 cells with SARS-CoV, which elicits a pronounced cytopathic effect and a high viral titer, N is cleaved by caspases. In contrast, in SARS-CoV-infected Caco-2 cells, which show a moderate cytopathic effect and a low viral titer, this processing of N was not observed. To further verify these observations, we transiently expressed N in different cell lines. Caco-2 and N2a cells served as models for persistent SARS-CoV infection, whereas Vero E6 and A549 cells did as prototype cell lines lytically infected by SARS CoV. The experiments revealed that N induces the intrinsic apoptotic pathway, resulting in processing of N at residues 400 and 403 by caspase-6 and/or caspase 3. Of note, caspase activation is highly cell type specific in SARS-CoV-infected as well as transiently transfected cells. In Caco-2 and N2a cells, almost no N processing was detectable. In Vero E6 and A549 cells, a high proportion of N was cleaved by caspases. Moreover, we examined the subcellular localization of SARS CoV N in these cell lines. In transfected Vero E6 and A549 cells, SARS-CoV N was localized both in the cytoplasm and nucleus, whereas in Caco-2 and N2a cells, nearly no nuclear localization was observed. In addition, our studies indicate that the nuclear localization of N is essential for its caspase-6-mediated cleavage. These data suggest a correlation among the replication cycle of SARS CoV, subcellular localization of N, induction of apoptosis, and the subsequent activation of caspases leading to cleavage of N. PMID- 18155732 TI - Angiogenesis in bone fracture healing: a bioregulatory model. AB - The process of fracture healing involves the action and interaction of many cells, regulated by biochemical and mechanical signals. Vital to a successful healing process is the restoration of a good vascular network. In this paper, a continuous mathematical model is presented that describes the different fracture healing stages and their response to biochemical stimuli only (a bioregulatory model); mechanoregulatory effects are excluded here. The model consists of a system of nonlinear partial differential equations describing the spatiotemporal evolution of concentrations and densities of the cell types, extracellular matrix types and growth factors indispensable to the healing process. The model starts after the inflammation phase, when the fracture callus has already been formed. Cell migration is described using not only haptokinetic, but also chemotactic and haptotactic influences. Cell differentiation is controlled by the presence of growth factors and sufficient vascularisation. Matrix synthesis and growth factor production are controlled by the local cell and matrix densities and by the local growth factor concentrations. Numerical simulations of the system, using parameter values based on experimental data obtained from literature, are presented. The simulation results are corroborated by comparison with experimental data from a standardised rodent fracture model. The results of sensitivity analyses on the parameter values as well as on the boundary and initial conditions are discussed. Numerical simulations of compromised healing situations showed that the establishment of a vascular network in response to angiogenic growth factors is a key factor in the healing process. Furthermore, a correct description of cell migration is also shown to be essential to the prediction of realistic spatiotemporal tissue distribution patterns in the fracture callus. The mathematical framework presented in this paper can be an important tool in furthering the understanding of the mechanisms causing compromised healing and can be applied in the design of future fracture healing experiments. PMID- 18155733 TI - Early responses of the left ventricle to pressure overload in Wistar rats. AB - The early events leading to the establishment of left ventricular hypertrophy associated to pressure overload (PO) are not well characterized. To explore these early events, aortic banding (AB) was performed in rats to induce left ventricle (LV) PO. Animals were sacrificed after 24, 48 h or 14 days. An echocardiogram was performed before the procedure and at sacrifice. LVs were preserved for the evaluation of fibrosis, angiotensin II (AT) receptors expression and stress related MAP kinases (ERK 1/2, JNK and p38) pathways. We observed that concentric LV hypertrophy was established after only 14 days. Collagen I and fibronectin gene expressions were decreased the first 2 days after AB induction whereas AT receptors mRNA levels were sharply increased. ERK 1/2 and JNK activities in LV homogenates were decreased 24 h after AB but came back to normal after 14 days. p38 activity however was stable during the period studied. We also evaluated the presence of two phosphorylated transcription factors related to JNK signaling pathway (ATF-2 and c-Jun) in cardiomyocyte nuclei. The proportion of LV cell nuclei positive for these two activated transcription factors was significantly reduced in AB rats compared to sham. These results suggest that the early response of the LV to acute PO is to attenuate the expression of some pro fibrotic and pro-hypertrophic signaling pathways and possibly AT signaling by decreasing ERK 1/2 and JNK relative activities. PMID- 18155734 TI - Simulating the migration of drifters deployed in the Bay of Biscay, during the Prestige crisis. AB - A main conclusion following the oil spill from the Prestige tanker was that improvements in ocean circulation models were necessary; this was in order to predict, more accurately, the trajectories followed by the oil slicks and hence assist in fight against oil pollution operations. In this contribution, the results of the validation of a semi-empirical ocean circulation model, parameterised for the Bay of Biscay and forced with operational oceano meteorological remote sensing observations, are shown. The model results have been validated with observations from drifting buoys, deployed in the Bay of Biscay during the crisis. The results show that the model explains a relatively large percentage of the current variability. The comparisons between the real and the estimated drifter trajectories indicate that for 3, 5 and 7 day-long trajectories, the drifter position is estimated with errors of approximately 23, 35 and 46km, respectively. The model reproduces relatively well the trajectory followed by the drifter with the shortest period (23 days). PMID- 18155735 TI - Single neuron studies of inferior temporal cortex. AB - This paper reviews our experiments on the response properties of single neurons in inferior temporal (IT) cortex in the monkey that were carried out starting in 1965. It describes situational factors that led us to find neurons sensitive to images of faces and hands and summarizes the basic sensory properties of IT neurons. Subsequent developments on the cognitive properties of IT neurons and on imaging the responses of human temporal cortex to facial images are outlined. Finally, this paper summarizes recent results on fMRI imaging of the responses of temporal cortex to facial images. PMID- 18155736 TI - Super-size me: Portion size effects on young children's eating. AB - Large portions of energy-dense foods are believed to favor obesity-promoting eating behaviors in young children. The following review presents evidence on food portion size effects on children's eating behavior and eating regulation, with comparison of findings to adult studies of portion size. Individual differences in children's susceptibility to portion size, particularly associations with weight status, are addressed. Finally, potential mechanisms of effects and strategies to offset the intake promoting effects of portion size are considered. PMID- 18155737 TI - Treatment of anorexia nervosa: insights and obstacles. AB - Anorexia nervosa is a behavioral disorder characterized by ego-syntonic self starvation, denial of illness and ambivalence towards treatment. Treatment refusal and drop-out rates are high and relapse is common. Treatment is best viewed as comprised of two phases, weight restoration and normalization of eating behavior followed by relapse prevention. Most patients verbalize a desire to change, however they seek treatment on their own terms, ideally with minimal or no weight gain. Successful treatment must therefore convince patients to overcome their drive to diet. Evidence-based data on treatment interventions for anorexia nervosa are scarce and methodological problems afflict the few published, controlled trials. Taken together, clinical expertise and data from correlational and controlled trials suggest that chronicity and adult status are associated with a worse prognosis. Outpatient family therapy is effective in weight restoring the majority of adolescent patients whereas older patients, or those with severe medical or psychiatric comorbidity, often require intensive treatment on an inpatient eating disorders behavioral specialty unit. Correlational data suggest that weight-restored patients are less likely to relapse. Despite limitations of the current knowledge-base, several new areas of research hold promise in elucidating risk factors, in identifying the pathophysiology that sustains anorectic behavior, and in developing more targeted and effective treatments. PMID- 18155738 TI - Age-series characteristics of locomotor activities in spontaneously hypertensive rats: a comparison with the Wistar-Kyoto strain. AB - This study was to investigate the behavioral specificities of spontaneously hypertensive rats (SHR) and compare them with Wistar-Kyoto (WKY) controls using a 1-year longitudinal study of locomotor activity. Rat locomotor activity was examined every week at 4-12 weeks of age and every month at 4-12 months of age using an Automated Digiscan Activity Monitor system. Six behavioral variables were collected and analyzed: horizontal activity (HA), total distance (TD), movement time (MT), vertical activity (VA), stereotypy count (SC), and margin time (MGT). In general, a significant weekly and monthly age-dependent change (p<0.01) in SHR was shown in the HA, TD, VA, SC and MT variables, whereas MGT showed no significant differences (p>0.05). However, except for the first observations, SHR was significantly hyperactive relative to WKY for HA, VA, TD, MT and SC (p<0.01) before 6 months of age. MGT in SHR were significantly lower than those of WKY (p<0.01) before 3 months of age. Only for VA, SHR was more hyperactive than WKY (p<0.01) and sustained for 12 months in age. From the present results, by extending the observations of locomotor activity testing from 4 weeks to 12 months of life, we were able to observe an interesting strain difference between SHR and WKY in the development pattern of spontaneous activity levels. PMID- 18155739 TI - Synthesis and antimitotic activity of novel 2-methoxyestradiol analogs. Part III. AB - The syntheses and antimitotic activity of several novel analogs of 2 methoxyestradiol are described. Structural modifications include ring-D homologation, aromatization of the six-membered ring-D to a chrysine type molecule, and introduction of unsaturation in five-membered ring-D along with substitution of alkyl and ethynyl groups for the 17beta-hydroxy function. Of nine analogs synthesized, five have demonstrated superior antiproliferative activities compared to 2-methoxyestradiol. PMID- 18155740 TI - Synthesis and antimitotic activity of novel 2-methoxyestradiol analogs--Part II. AB - The syntheses and antimitotic activity of several novel 18a-homo-analogs of 2 methoxyestradiol are described. Structural modifications of the parent 2-methoxy 18a-homoestradiol include introduction of unsaturation in the D-ring and methylation of the 17-OH. Of seven analogs synthesized, one has demonstrated superior biological activities compared to 2-methoxyestradiol. The relationship between biological activity and the conformational preference of the 13-ethyl group as determined by computational analysis is discussed. PMID- 18155741 TI - Formation of dimethylthioarsenicals in red blood cells. AB - The bladder and skin are the primary targets for arsenic-induced carcinogenicity in mammals. Thioarsenicals dimethylmonothioarsinic (DMMTA(V)) and dimethyldithioarsinic (DMDTA(V)) acids are common urinary metabolites, the former being much more toxic than non-thiolated dimethylarsinic acid (DMA(V)) and comparable to dimethylarsinous acid (DMAIII) in epidermoid cells, suggesting that the metabolic production of thioarsenicals may be a risk factor for the development of cancer in these organs. To reveal their production sites (tissues/body fluids), we examined the uptake and transformation of the four dimethylated arsenicals by incubation with rat and human red blood cells (RBCs). Although DMA(V) and DMDTA(V) were not taken up by either type of RBCs, DMAIII and DMMTA(V) were taken up by both (more efficiently by rat ones), though DMMTA(V) was taken up slowly, and then the arsenic transformed into DMDTA(V) was excreted from both types of animal RBCs. On the other hand, although DMA(III) taken up rapidly by rat RBCs was retained in the RBCs, that taken up by human RBCs was immediately transformed into DMMTA(V) and then excreted into the incubation medium without being retained in the RBCs. In a separate experiment, arsenic remaining in primary rat hepatocytes after incubation with 1.5 microM DMAIII was recovered from the incubation medium in the forms of DMA(V) and DMMTA(V) in the presence of human RBCs, but not in the presence of rat RBCs (in which the arsenic was bound to hemoglobin). Thus, DMMTA(V) was detected in the medium only in the presence of human RBCs and increased with incubation time. It was proposed that arsenic is excreted from hepatocytes into the bloodstream in the form of DMAIII and then taken up by RBCs in humans, where it is transformed into DMMTA(V) and then excreted again into the bloodstream. PMID- 18155742 TI - One more probable structural transition in potato virus X virions and a revised model of the virus coat protein structure. AB - We found that a 2-h incubation of potato virus X (PVX) virions in 10 mM Tris-HCl buffer pH 7.5 at -20 degrees C results in a strong but reversible drop in virion stability. Under these conditions, the PVX virions are completely disrupted by low (starting from 50 mM) concentrations of LiCl and CaCl(2) but not of NaCl. Incubation of PVX samples with 0.05-2 M LiCl at +4 degrees C did not result in virion disassembly and the virions were not disrupted upon incubation at -20 degrees C in 10 mM Tris-HCl buffer pH 7.5 without LiCl. We suggest that a 2-h incubation of the PVX virions at -20 degrees C in 10 mM Tris-HCl pH 7.5 results in a structural transition in the virus particles. A revised model of the three dimensional organization of coat protein subunits in the PVX virions is proposed. This two-domain model explains better the high plasticity of the PVX CP structure. PMID- 18155744 TI - Effect of the filter feeder Daphnia on the particle size distribution of inorganic colloids in freshwaters. AB - To quantify the effect of the filter feeder Daphnia on the aggregation of mineral particles, temporal changes in the particle size distribution of inorganic colloids were experimentally determined both in the presence and in the absence of Daphnia in water samples of Lake Brienz, Switzerland, an oligotrophic lake rich in suspended inorganic colloids. The results obtained show that daphnids favour the aggregation of mineral colloids, but only for particle sizes above the Daphnia filter mesh size. However, the number concentration of particles smaller than the Daphnia filter mesh size simultaneously increases in the presence of the filter feeder, suggesting either the break-down of existing aggregates or the aggregation of particles with initial sizes below the measured size range. The density of daphnids in this lake is currently too low to have any significant effect on the fate of inorganic colloidal particles as compared with aggregation due to physical processes of particle collision. However, in more productive water bodies where Daphnia is more abundant, they may play a significant role. PMID- 18155743 TI - Analysis of the human immunodeficiency virus type 1 gp41 membrane proximal external region arrayed on hepatitis B surface antigen particles. AB - Vaccine immunogens derived from the envelope glycoproteins of the human immunodeficiency virus type 1 (HIV-1) that elicit broad neutralizing antibodies remain an elusive goal. The highly conserved 30 amino-acid membrane proximal external region (MPER) of HIV gp41 contains the hydrophobic epitopes for two rare HIV-1 broad cross-reactive neutralizing antibodies, 2F5 and 4E10. Both these antibodies possess relatively hydrophobic HCDR3 loops and demonstrate enhanced binding to their epitopes in the context of the native gp160 precursor envelope glycoprotein by the intimate juxtaposition of a lipid membrane. The hepatitis B surface antigen (HBsAg) S1 protein forms nanoparticles that can be utilized both as an immunogenic array of the MPER and to provide the lipid environment needed for enhanced 2F5 and 4E10 binding. We show that recombinant HBsAg particles with MPER (HBsAg-MPER) appended at the C-terminus of the S1 protein are recognized by 2F5 and 4E10 with high affinity compared to positioning the MPER at the N terminus or the extracellular loop (ECL) of S1. Addition of C-terminal hydrophobic residues derived from the HIV-1 Env transmembrane region further enhances recognition of the MPER by both 2F5 and 4E10. Delipidation of the HBsAg MPER particles decreases 2F5 and 4E10 binding and subsequent reconstitution with synthetic lipids restores optimal binding. Inoculation of the particles into small animals raised cross-reactive antibodies that recognize both the MPER and HIV-1 gp160 envelope glycoproteins expressed on the cell surface; however, no neutralizing activity could be detected. Prime:Boost immunization of the HBsAg MPER particles in sequence with HIV envelope glycoprotein proteoliposomes (Env PLs) did not raise neutralizing antibodies that could be mapped to the MPER region. However, the Env-PLs did raise anti-Env antibodies that had the ability to neutralize selected HIV-1 isolates. The first generation HBsAg-MPER particles represent a unique means to present HIV-1 envelope glycoprotein neutralizing determinants to the immune system. PMID- 18155745 TI - Magnetic ion-exchange resin treatment: impact of water type and resin use. AB - Three raw waters of fundamentally different natural organic matter (NOM) character were treated by magnetic resin using a bench-scale method designed to mimic how the resin is used in continuous operation. Increasing water hydrophobicity resulted in reduced dissolved organic carbon (DOC) removal with removal of 56%, 33% and 25% for waters containing 21%, 50% and 75% hydrophobic NOM, respectively. Study of consecutive resin uses showed that the NOM in the hydrophobic water had high affinity for the resin shown by DOC removal of 65% after the first use of the resin. This dropped to 25% DOC removal after 15 consecutive resin uses. For the more hydrophilic waters, NOM removal remained consistent after each resin use. The hydrophobic sample contained higher MW NOM that was capable of blocking resin sites that prevented continual adsorption of organics on to the resin. The hydrophilic NOM containing a large proportion of hydrophilic acids was consistently removed to around 60%. The water containing algogenic-derived NOM was poorly removed by magnetic resin. Subsequent coagulation showed higher removal with increasing hydrophobicity. PMID- 18155746 TI - Pyrolysis of tetrabromobisphenol-A containing paper laminated printed circuit boards. AB - Tetrabromobisphenol-A (TBBA) is the most common brominated fire retardant. In this study, a TBBA containing paper laminated printed circuit board (PCB) prepared from novolac was pyrolysed by both TGA and in a quartz glass reactor between 40 and 1,000 degrees C. The products were online detected by MS. It was found that the PCB degraded in three steps. Step one (<270 degrees C) consisted of the evolution of water and CO(2) from the paper laminate. In the second step, between 270 and 370 degrees C, the fire retardant decomposed, releasing HBr and brominated aromatics. In the third step, at temperatures above 370 degrees C, the phenol resin decomposed and char was formed. Compared to pure TBBA, which mainly produces brominated phenols, the brominated products enclosed in the char released HBr during the last degradation step as well as during the second step. Most of the bromine left the resin in the form of HBr, with about 14% of the bromine being fixed in brominated aromatics and less than 2% remaining in the residue. PMID- 18155747 TI - Environmental fate and non-target impact of glyphosate-based herbicide (Roundup) in a subtropical wetland. AB - Mai Po Nature Reserve (Hong Kong) is an internationally important wetland for waterbirds. Roundup, a formulation based on glyphosate, has been used to control the widespread weeds within the reserve for many years but the fate and non target impact of the herbicide is unknown. To fill this knowledge gap, we applied Roundup by hand-held sprayer to an estuarine and a freshwater pond in the dry season of year 2002. The surface water and sediment were sampled routinely for glyphosate concentrations following one month of application. In situ bioassays using local edible fish species were performed along with the herbicide application. Up to 52% of glyphosate in the surface water was transported to the unapplied regions by wind-driven current in the estuarine pond at 1 DPT (day post treatment). For both ponds, glyphosate concentrations in the water decreased rapidly after 1-3 DPT, but then decreased gradually over time. Both physical adsorption to the bottom sediments and microbial degradation are thought to contribute to these decreases. Interestingly, the persistence of glyphosate in the freshwater pond was longer than in the estuarine system, which is likely due to the considerably higher concentrations of chelating metals (i.e. Cu and Fe) present in the sediment (4.5 and 11-fold higher, respectively) which potentially reduced the bioavailability of glyphosate to the microbial decomposers. Lastly, fishes used in the in situ bioassays (both in applied and unapplied areas) showed similar survival rates, indicating that the use of Roundup at the provided application rate posed no serious hazard. PMID- 18155748 TI - Probabilistic intake assessment of multiple compounds as a tool to quantify the nutritional-toxicological conflict related to seafood consumption. AB - Seafood represents a natural source of valuable nutrients (e.g., long chain omega 3 poly-unsaturated fatty acids (LC n-3 PUFAs), vitamin D, and iodine), but the favourable health perception is troubled by the presence of contaminants (e.g., PCBs, dioxin-like compounds, and (methyl) mercury (MeHg)). This dualism forms the basis for an important public health conflict. The objective of this study was to calculate and evaluate the simultaneous intake of multiple beneficial and harmful compounds (LC n-3 PUFAs, vitamin D, iodine, (Me)Hg, PCBs, and dioxin-like compounds) via seafood consumption in Belgium. A methodology and a software module were developed for executing probabilistic assessments of the simultaneous intake of multiple compounds leading to better insight in the problematic nature of food items involving both health benefits and risks. The simulations concerning seafood consumption in Belgium predicted that, as far as only seafood consumption is concerned, the considered populations do not reach a sufficiently high intake for the three nutrients considered (LC n-3 PUFAs, vitamin D, and iodine). Regarding the contaminants, (Me)Hg contamination of seafood on the Belgian market does not seem to be an issue of major toxicological concern. In contrast, for dioxin-like compounds the tolerable daily intake is reached by people with high seafood consumption. PMID- 18155749 TI - Levels of inorganic constituents in raw nuts and seeds on the Swedish market. AB - The levels of approximately 70 elements were determined in different culinary nuts (hazelnuts, walnuts, almonds, bitter almonds, pecans, cashews, Brazil nuts, pistachios, pine nuts, peanuts and coconuts) and seeds (pumpkin and sunflower) available on the Swedish market. The study was limited to raw, virtually unprocessed nuts and seeds (both shelled and unshelled) excluding mixed, roasted or salted products. In total, 44 products from different suppliers were analyzed, with the number of samples per nut/seed variety reflecting the availability of unprocessed products in retail outlets, varying from two for bitter almonds and pistachios to six for hazelnuts and walnuts. This selection includes samples from at least 11 different countries of origin. The optimized analytical procedure consists of microwave-assisted sample digestion using a HNO3/HF mixture, followed by multi-elemental analysis by double focusing, sector field inductively coupled plasma mass spectrometry. The analyses were accompanied by rigorous quality control measures including thorough control of potential sample contamination at all analytical stages, participation in inter-laboratory performance assessment schemes, and the analysis of certified reference materials of plant origin. Concentrations thus obtained were compared with data from product labels (where available), food composition tables and other relevant surveys, demonstrating, depending on the elements in question, close agreement as well as considerable differences. PMID- 18155750 TI - The influence of N load and harvest intensity on the risk of P limitation in Swedish forest soils. AB - Nitrogen (N) is often considered to be the major factor limiting tree growth in northern forest ecosystems. An increased N availability, however, increases the demand for other nutrients such as base cations and phosphorous (P) which in turn may change which nutrient is the limiting factor. If P or base cations become limiting, N will start to leach which means a risk of increased eutrophication of surface waters. As many studies focus on base cations, this study instead aims at estimating P budgets on a regional scale for different harvesting scenarios relevant for Swedish conditions. P budget calculations were carried out for 14,550 coniferous sites from the Swedish National Forest Inventory, as weathering+deposition-harvesting-leaching. Three scenarios with different harvest intensities were used: 1) no harvesting, 2) stem harvesting and 3) whole-tree harvesting. The input data were derived from measurements and model results. The P budget estimates indicate that harvesting, especially whole-tree harvesting, result in net losses of P in large parts of Sweden. The highest losses were found in southern Sweden due to high growth rate in this area. In the whole-tree harvesting scenario the losses exceeded 1 kg ha(-1) y(-1) on many sites. N budget calculations on the same sites indicate that N generally accumulates in the whole country and especially in the southern parts. Consequently, the N and P budget calculations indicate that the forests in southern Sweden are in a transition phase from N-to P-limitation to growth. This transition will proceed as long as the accumulation of N continues. These results are important in a sustainable forestry context, as a basis for assessing the risk of future N leaching, and in designing recommendations for abatement strategies of N deposition and for application of wood ash recycling and N fertilization. PMID- 18155751 TI - Prenatal exposure to mercury in a prospective mother-infant cohort study in a Mediterranean area, Valencia, Spain. AB - BACKGROUND: Mercury (Hg) is a ubiquitous pollutant that negatively affects fetal and child neurodevelopment at accidental high-dose exposure. Some studies indicate that Mediterranean populations could be at risk of prenatal exposure to mercury through fish consumption. OBJECTIVES: To assess the prenatal exposure to total mercury (T-Hg), both inorganic and organic, in newborns by analyzing the T Hg concentration in cord blood, and to evaluate the role of maternal fish consumption in this exposure. METHODS: In the context of a multi-center project (INMA project), a prospective birth cohort was set up in Valencia, Spain, from 2005 to 2006. A total of 253 newborns were included in this study. We compared cord blood T-Hg concentration by levels of fish intake assessed by a food frequency questionnaire completed at 28-32 weeks of gestation. Maternal covariates were obtained through a questionnaire. RESULTS: The geometric mean of T-Hg at birth was 9.9 microg/L (95% CI: 9.0, 10.8). Seventy five percent of cord blood samples were above the estimated level assumed to be without appreciable harm (5.8 microg/L). Women who consumed a portion of large oily fish, lean fish, or mixed fried fish two or more times per week had mean cord blood levels 1.6, 1.4 and 1.3 times higher, respectively, than those who rarely or never consumed fish. Other factors such as the mother's age, country of origin, smoking and season of delivery were also significantly and independently associated with cord blood T-Hg concentrations. CONCLUSIONS: Newborns from a Mediterranean area presented elevated levels of T-Hg in cord blood. Higher concentrations of T-Hg were related to maternal fish intake, particularly in the case of large oily fish species. PMID- 18155752 TI - Variable responsiveness to clopidogrel and aspirin among patients with acute coronary syndrome as assessed by platelet function tests. AB - Unresponsiveness to clopidogrel or aspirin has been reported in patients with acute coronary syndrome (ACS). Platelet aggregometry (PA) and the Impact-R [Cone and Plate(let) Analyzer (CPA) technology, measuring whole blood platelet adhesion under flow conditions] were compared in detecting laboratory unresponsiveness to clopidogrel and aspirin among ACS patients. Platelet-rich plasma (PRP) samples were evaluated in 404 patients by PA using adenosine diphosphate (ADP) and arachidonic acid (AA) and whole blood samples by the Impact-R ADP- and AA response tests. The first cohort (n=114) was assayed by PA on days 1 and 4 of the onset of ACS. A patient with relative decrease of /=70%. A patient with an absolute value of AA-induced maximal aggregation >/=60% was defined as laboratory NR patient to aspirin. The second cohort (n=290) was tested on day 4 by both systems and results analyzed by receiver operating characteristic curve. The following cut-off values of the Impact-R surface coverage were obtained: 244 to >476 IU/day. Qualitatively similar findings were observed for dietary calcium. Only two studies provided estimates for calcium supplements (random effects OR=0.62, 95% CI 0.39-0.99; fixed effects OR=0.62, 95% CI 0.42-0.93, for top vs. bottom category, p for heterogeneity=0.25). CONCLUSIONS: The limited epidemiological evidence suggests no relation between endometrial cancer in the ranges of dietary vitamin D examined, and suggests a possible inverse association for calcium from supplements. Prospective studies, ideally including plasma 25(OH) D to estimate vitamin D input from diet and sun exposure, are needed to further explore these hypotheses. PMID- 18155759 TI - Bond strength of adhesive systems to dentin and enamel--human vs. bovine primary teeth in vitro. AB - OBJECTIVES: This in vitro study compared the bonding performance of four adhesive luting agents to dentin and enamel of human and bovine primary teeth, in order to evaluate the suitability of primary bovine hard tissues for replacement of those of human origin for bond testing. METHODS: A composite (Clearfil AP-X) was bonded to specimens from 167 extracted human (n=88) and bovine (n=88) primary teeth using the following adhesive systems: Syntac Assortment (SY), Adaper Prompt L-Pop (PLP), iBond Gluma inside (IB) and Clearfil Protect Bond (PB). After 24h storage in distilled water, shear bond strength was determined according to ISO/TS 11405:2003. The data (n=11 per group) were statistically analyzed with the Mann Whitney U-test and the error-rates method (ERM). The fracture modes were analyzed with the chi2-test. RESULTS: Bond strength data (ERM) and fracture modes (chi2 test) using human primary teeth were, in general, not statistically different from those of bovine origin. With few exceptions, pair wise comparisons showed the same results. The bond strength data for SY, PLP and PB bonded to primary human and bovine enamel were higher than those to primary human and bovine dentin, for IB vice versa. SIGNIFICANCE: Bovine teeth may be considered as a suitable alternative to human teeth in bond strength tests for primary dentition. PMID- 18155760 TI - Effects of settling organic matter on the bioaccumulation of cadmium and BDE-99 by Baltic Sea benthic invertebrates. AB - Settling organic matter (OM) is the major food source for heterotrophic benthic fauna. The high sorption affinity of many contaminants for OM implies that OM can influence both the distribution and bioavailability of contaminants. Here, we experimentally examine the role of settling OM of various nutritional qualities on the bioaccumulation of cadmium and the flame retardant BDE-99 by three benthic invertebrates; Macoma balthica, Monoporeia affinis and Marenzelleria sp. Contaminants were associated with three types of OM; a microalgae (Tetraselmis spp.), lignin and sediment. Bioaccumulation of Cd was proportional to OM nutritional quality for all three species, and was species-specific in the order Marenzelleria>M. balthica>M. affinis. BDE-99 bioaccumulation was highest in the treatment with the most nutritious OM (Tetraselmis). Consequently, both benthic species composition and the nutritive value of organic matter settling to the seafloor can have a substantial effect on the bioaccumulation of both metals and organic contaminants. PMID- 18155761 TI - The role of actively released fibrin-conjugated VEGF for VEGF receptor 2 gene activation and the enhancement of angiogenesis. AB - A major challenge for therapeutic delivery of angiogenic agents such as vascular endothelial growth factor (VEGF) is to achieve sustained, low dose signaling leading to durable neovessel formation. To this end, we recently created a variant of VEGF(121), TG-VEGF(121) that directly binds to fibrin and gets released locally in proteolysis-triggered manner. Here we combined noninvasive biophotonic monitoring of VEGF receptor 2 gene activation in transgenic VEGFR2 luc mice and histomorphometry to compare endothelial activation and long-term neovascularization by actively released TG-VEGF(121)versus passively released, diffusible wild-type VEGF(121) in subcutaneous fibrin implants. Monitoring in real-time over 3 weeks of luciferase signal driven by the VEGFR2 promoter revealed endothelial activation in skin exposed to wild-type VEGF(121), but no detectable elevation over fibrin alone by TG-VEGF(121). Histology at 3 weeks, however, demonstrated that TG-VEGF(121) promoted vessel growth significantly more effectively and reliably than wild-type VEGF(121). The majority of vessels surviving to 3 weeks contained stabilizing smooth muscle cells. Yet, by 6 weeks, no extra vessels induced by exogenous VEGF were left. In conclusion, release of fibrin-conjugated variant TG-VEGF(121) elicited lower VEGFR2-luc activation than wild-type VEGF(121) yet significantly more vascularization. In the absence of true physiological demand, even stabilized vessels are ultimately regressed. PMID- 18155762 TI - Tailoring the surface properties of Ti6Al4V by controlled chemical oxidation. AB - Many efforts have been made to promote cell activity at the surface of implants, mainly by modifying their topography and physicochemical properties. Here we demonstrate the feasibility of creating Ti6Al4V surfaces having both a microtexture and a nanotexture, and show that their properties can be tailored by controlling the length of exposure to a mixture of H2SO4 and H2O2. Scanning electron microscopy (SEM), combined with energy-dispersive X-ray spectroscopy (EDX), indicated that beta-phase grains, which surround larger alpha-phase grains, are etched more rapidly, resulting in a surface composed of microscale cavities with alpha-grain boundaries. Furthermore, high-resolution SEM and atomic force microscopy (AFM) revealed the presence on the surfaces of both alpha- and beta-phase grains of a network of nanopits with mean diameters ranging between 13 and 21 nm. The grain surface roughness increases from about 4 nm on untreated samples to about 12 nm after 4h of treatment. AFM analysis showed that the depth of microscale cavities can be varied in the 10-180 nm range by controlling the extent of chemical etching. Fourier transform infrared spectroscopy (FT-IR), combined with ellipsometry, established that the etching generated an oxide layer with a thickness in the range 15-45 nm. The resulting new surfaces selectively promote the growth of osteoblasts while inhibiting that of fibroblasts, making them promising tools for regulating the activities of cells in biological environments. PMID- 18155763 TI - Surface tethering of phosphorylcholine groups onto poly(dimethylsiloxane) through swelling--deswelling methods with phospholipids moiety containing ABA-type block copolymers. AB - The surface modification of poly(dimethylsiloxane) (PDMS) substrates by using ABA type block copolymers comprising poly(2-methacryloyloxyethyl phosphorylcholine (MPC)) (PMPC) and PDMS segments was investigated. The hydrophobic interaction between the swelling-deswelling nature of PDMS and PDMS segments in block copolymers was the main mechanism for surface modification. Block copolymers with various compositions were synthesized by using the atom transfer radical polymerization (ATRP) method. The kinetic plots revealed that polymerization could be initiated by PDMS macroinitiators and it proceeds in a well-controlled manner; therefore, the compositions of the block copolymers were controllable. The obtained block copolymers were dissolved in a chloroform/ethanol mixed solvent. The surface of the PDMS substrate was modified using block copolymers by the swelling-deswelling method. Static contact angle and X-ray photoelectron spectroscopy (XPS) measurements revealed that the hydrophobic surface of the PDMS substrate was converted to a hydrophilic surface because of modification by surface-tethered PMPC segments. Protein adsorption test and L929 cell adhesion test were carried out for evaluating the biocompatibility. As observed, the amount of adsorbed proteins and cell adhesion were drastically reduced as compared to those in the non-treated PDMS substrate. We conclude that this procedure is effective in fabricating biocompatible surfaces on PDMS substrates. PMID- 18155764 TI - An immunological method for the detection of BCR-ABL fusion protein and monitoring its activation. AB - We have developed a simplified sandwich immunoassay to measure free circulating total and phosphorylated fusion BCR-ABL protein in patients with the t(9;22)(q34;q11) chromosomal translocation. The assay is based on immunoprecipitating BCR-ABL protein using beads coated with anti-BCR antibody and detecting the fusion protein with anti-ABL antibody and flow cytometry. We show that this method allows the quantification of this protein in the plasma and may allow the measurement of tumor load. This method also allows the measurement of the level of phosphorylation of the immunoprecipitated BCR-ABL using antibodies against phosphorylated ABL protein, which can be used for monitoring of therapy with kinase inhibitors. The sensitivity of this immunoassay was comparable to the sensitivity of reverse transcription-polymerase chain reaction (RT-PCR) assay. This technique is useful in monitoring patients with chronic myeloid leukemia (CML) or acute lymphoblastic leukemia (ALL), but the same approach can be used in other translocations and has the potential of multiplexing. PMID- 18155765 TI - Sexual reconviction rates in the United Kingdom and actuarial risk estimates. AB - OBJECTIVE: Assessing the risk of further offending behavior by adult sexual perpetrators of children is highly relevant and important to professionals involved in child protection. Recent progress in assessing risk in sexual offenders has established the validity of actuarial measures, although there continues to be some debate about the application of these instruments. This paper summarizes the debate between clinical and actuarial approaches and reviews the "base rate" for United Kingdom sexual offense reconviction. METHOD: A review of the literature revealed 16 UK sexual reconviction studies, 8 using incarcerated samples (N=5,915) and 8 using non-incarcerated samples (N=1,274). UK estimates of sexual reconviction rates are compared with European and North American studies. RESULTS: The mean sexual reconviction rates for the incarcerated sample at 2 years (6.0%), 4 years (7.8%) and 6 years or more (19.5%) were higher than that of the comparative non-incarcerated sample at 2 years (5.7%), up to 4 years (5.9%), and 6 years or more (15.5%). The overall sexual reconviction rate for both samples combined was 5.8% at 2 years, and 17.5% at 6 years or more. CONCLUSIONS: The sexual reconviction rate for incarcerated sexual offenders is higher than that of non-incarcerated sexual offenders. The UK sexual reconviction rates were comparable with European and North American studies. PMID- 18155766 TI - DC-SIGN mediates adhesion and rolling of dendritic cells on primary human umbilical vein endothelial cells through LewisY antigen expressed on ICAM-2. AB - Immature dendritic cells (DCs) are recruited from blood into tissues to patrol for foreign antigens. After antigen uptake and processing, DCs mature and migrate to the secondary lymphoid organs where they initiate immune responses. DC-SIGN is a DC-specific C-type lectin that acts both as a pattern recognition receptor and as an adhesion molecule. As an adhesion molecule, DC-SIGN is able to mediate rolling and adhesion over endothelial cells under shear flow. In this study, we show that the binding partner of DC-SIGN on endothelial cells is the glycan epitope Lewis(Y) (Le(Y)), expressed on ICAM-2. The interaction between DC-SIGN on dendritic cells and ICAM-2 on endothelial cells is strictly glycan-specific. ICAM 2 expressed on CHO cells only served as a ligand for DC-SIGN when properly glycosylated, underscoring its function as a scaffolding protein. The expression of Le(Y) in endothelial cells is directed by the enzyme FUT1. Silencing of FUT1 results in a decrease in the rolling and adhesion of immature DCs over endothelial cells. The identification of Le(Y) as the carbohydrate ligand of DC SIGN in endothelial cells opens new possibilities for the manipulation of DC migration. PMID- 18155767 TI - Glycodelin A triggers mitochondrial stress and apoptosis in T cells by a mechanism distinct and independent of TCR signaling. AB - Glycodelin A is one of the progesterone inducible endometrial factors that protect the fetal semiallograft from maternal immune rejection. Our previous studies demonstrate that glycodelin A induces apoptosis in activated T lymphocytes. Here, we report that glycodelin A initiates the intrinsic apoptotic program in T cells. Glycodelin A treatment triggers a stress response leading to mitochondrial membrane permeabilization and activation of initiator caspase 9. The kinetics of mitochondrial depolarization precede onset of DNA fragmentation in both Jurkat cells and peripheral blood T cells treated with glycodelin A. Overexpression of the antiapoptotic protein Bcl-2 is sufficient to protect from glycodelin A-induced cell death. It has been reported earlier that glycodelin A desensitizes T cell receptor (TCR) signaling, probably by its association with the tyrosine phosphatase CD45. Here, we provide evidence that the apoptogenic activity of glycodelin A is not a consequence of this phenomenon. Glycodelin A induced apoptosis does not depend on components of the TCR signal cascade, including CD45. We observe that glycodelin A is inhibitory to T cells even upon phorbol ester and ionophore stimulation which bypasses the TCR-proximal signaling events, and that glycodelin A treatment does not interfere with T cell activation as evidenced from induction of the activation marker CD69. Thus, glycodelin A initiates mitochondrial stress-mediated apoptosis in T cells by a pathway that is distinct and independent from the TCR signaling pathway. PMID- 18155768 TI - Long-term outcomes of pediatric ocular myasthenia gravis. AB - PURPOSE: To review the presenting signs, therapeutic interventions, and clinical outcomes of purely ocular myasthenia gravis in a preadolescent population treated primarily with pyridostigmine bromide. DESIGN: Retrospective case series. PARTICIPANTS: Twenty-one consecutive patients younger than 12 years with purely ocular myasthenia gravis at initial presentation. METHODS: The clinical charts were reviewed retrospectively. MAIN OUTCOME MEASURES: Time to generalization, stabilization, or resolution; prism cover test results; and visual acuity. RESULTS: Median age at onset was 26 months. The mean duration of follow-up was 6.5 years (range, 2-15). Presenting signs included ptosis (95%), strabismus (76%), limitation of ductions (17%), and Cogan's lid twitch (76%). The most common form of strabismus was exotropia. Pyridostigmine monotherapy was the initial treatment for all patients. Corticosteroids were added to the therapy for 6 patients. Generalization to systemic disease occurred in 3 patients. Two of those required intravenous immunoglobulin and thymectomy. Complete resolution off of medical therapy occurred in 4 patients. All patients had stabilization of the ocular motor deficits regardless of treatment. Eleven patients were treated for amblyopia; 2 had residual amblyopia. CONCLUSIONS: Ocular myasthenia in preadolescent children generally presents before age 5 and is clinically distinguished from the disease as it affects adults. Although the presenting signs of strabismus, ptosis, and Cogan's lid twitch are common in children or adults, the response to treatment and eventual outcomes differ. Most children can be safely treated with pyridostigmine alone. Generalization to systemic disease occurs at a much lower rate than in adults. Ocular manifestations stabilize in all children and completely resolve in some. PMID- 18155769 TI - Effect of an experimental proteasome inhibitor on the cytoskeleton, cytosolic protein turnover, and induction in the neuronal cells in vitro. AB - GT-1 murine neuronal cells exposed to an experimental proteasome inhibitor (EPI) for 24h showed increased cell death via a non-apoptotic mechanism, as assessed by TUNEL and DNA fragmentation assays. Immunofluorescence staining demonstrated that EPI induced reorganization and relocation of non-ubiquinated actin microfilaments and microtubules to the perinuclear region in EPI treated cells. Immunohistochemistry analysis also demonstrated that other non-cytoskeletal proteins became ubiquitinated and/or upregulated including ubiquitin and other stress proteins. Perinuclear-centrosomal accumulation of gamma-tubulin and vimentin, key components of aggresomes, was observed in the EPI treated cells. Biochemical analysis indicated that EPI-induced accumulation of ubiquitinated protein aggregates in GT-1 cells was detergent - and mechanical - disruption resistant, a feature of aggresomes. Similar results were observed in GT-1 cells treated with lactacystin, a prototypical proteasome inhibitor, which is structurally dissimilar to EPI indicating a pharmacologic effect. In conclusion, EPI causes cytoskeletal reorganization and accumulation of diverse ubiquitinated and non-ubiquitinated proteins in the perinuclear region and potentially overloads the endoplasmic reticulum-dependent quality control mechanism. These processes acting alone, or in combination, are hypothesized to affect axonal transport or other aspects of cellular homeostasis and thus, represent events potentially relevant to the development of peripheral neuropathy associated with administration of proteasome inhibitors in nonclinical studies. PMID- 18155770 TI - Invasive fungal sinusitis in patients treated with fludarabine. PMID- 18155771 TI - Preparation of chitosan particles suitable for enzyme immobilization. AB - Macro-, micro- and nanosized chitosan particles suitable as immobilization carriers were prepared by precipitation, emulsion cross-linking and ionic gelation methods, respectively. Effects of particle preparation parameters on particle size were investigated. Activities of beta-galactosidase covalently attached to differently sized particles have been evaluated and compared. The highest activity was shown by the biocatalyst immobilized on nanoparticles obtained by means of the ionotropic gelation method with sodium sulphate as gelation agent. beta-Galactosidase fixed on macro- and microspheres exhibited excellent storage stability in aqueous solution, with no more than 5% loss of activity after 3 weeks storage at 4 degrees C and pH 7.0. PMID- 18155772 TI - Biomolecules/gold nanowires-doped sol-gel film for label-free electrochemical immunoassay of testosterone. AB - A direct, rapid, and label-free electrochemical immunoassay method for testosterone has been described based on encapsulating testosterone antibody into polyvinyl butyral sol-gel film doped with gold nanowires. Gold nanowires prepared by using nanopore polycarbonate membrane were used to conjugate testosterone antibody onto the probe surface. The presence of gold nanowires provided a biocompatible microenvironment for biomolecules, greatly amplified the immobilized amount of biomolecules on the electrode surface, and improved the sensitivity of the immunosensor. In comparison with gold nanoparticle-conjugating probe, the gold nanowire-functionalized probe could avoid the leakage of biomolecules from the composite film, and enhanced the stability of the sensor. The performance and factors influencing the performance of the resulting immunosensor were investigated in detail. Under optimal conditions, the developed immunosensor exhibited a good linear relationship with testosterone ranging from 1.2 to 83.5 ng mL(-1) with a detection limit of 0.1 ng mL(-1) (at 3delta). Moreover, the proposed immunosensor exhibited high sensitivity, good reproducibility and long-term stability. The as-prepared immunosensors were used to analyze testosterone in human serum specimens. Analytical results suggest that the developed immunoassay has a promising alternative approach for detecting testosterone in the clinical diagnosis. Compared with the conventional ELISAs, the proposed immunoassay method was simple and rapid without multiple labeling and separation steps. Importantly, the route provides an alternative approach to incorporate gold nanowires into the solid matrix for biosensing application. PMID- 18155773 TI - A micro-optrode for simultaneous extracellular electrical and intracellular optical recording from neurons in an intact oscillatory neuronal network. AB - Fluorescent dyes and proteins have become ubiquitous tools for the study of intracellular function. However, standard techniques used to visualize these indicators in the brain usually require cellular dissociation or fine sectioning of the specimen into slices for viewing under a fluorescence microscope. These actions remove cells from their natural physiological environment and in the case of neurons, sever synaptic connections from other regions of the central and peripheral nervous system. Even with the use of multi-photon excitation microscopy, resolution of neurons in the intact brain beyond depths of around 500 microm is technically difficult to achieve. We have developed a relatively inexpensive small fiber optic probe ('micro-optrode') to simultaneously record extracellular electrical activity and intracellular fluorescence changes in real time from structures deep within the intact brain. The micro-optrode was tested during experiments in the in situ working heart-brainstem preparation (WHBP) of rat, which allows the study of the intact ponto-medullary neuronal network that controls breathing. In conjunction with calcium-sensitive indicators, we successfully validated the utility of the micro-optrode by recording, for the first time, intracellular calcium dynamics in respiratory neurons of the intact respiratory network under normal conditions and during physiological and pharmacological manipulations. PMID- 18155774 TI - Measurement of variability dynamics in cortical spike trains. AB - We propose a method for the time-resolved joint analysis of two related aspects of single neuron variability, the spiking irregularity measured by the squared coefficient of variation (CV(2)) of the ISIs and the trial-by-trial variability of the spike count measured by the Fano factor (FF). We provide a calibration of both estimators using the theory of renewal processes, and verify it for spike trains recorded in vitro. Both estimators exhibit a considerable bias for short observations that count less than about 5-10 spikes on average. The practical difficulty of measuring the CV(2) in rate modulated data can be overcome by a simple procedure of spike train demodulation which was tested in numerical simulations and in real spike trains. We propose to test neuronal spike trains for deviations from the null-hypothesis FF=CV(2). We show that cortical pyramidal neurons, recorded under controlled stationary input conditions in vitro, comply with this assumption. Performing a time-resolved joint analysis of CV(2) and FF of a single unit recording from the motor cortex of a behaving monkey we demonstrate how the dynamic change of their quantitative relation can be interpreted with respect to neuron intrinsic and extrinsic factors that influence cortical variability in vivo. Finally, we discuss the effect of several additional factors such as serial interval correlation and refractory period on the empiric relation of FF and CV(2). PMID- 18155775 TI - The prevalence of anxiety in older adults: methodological issues and a review of the literature. AB - BACKGROUND: Despite the relative neglect of anxiety in older adults, the growing literature on its prevalence suggests that anxiety is highly prevalent and associated with considerable distress and morbidity in this age group. This review provides a comprehensive overview of this literature and discusses some unresolved controversies in the field. METHODS: A systematic search of articles published from 1980-2007 was performed. Articles were included for review if they reported the prevalence of anxiety symptoms, anxiety disorder or specified anxiety disorders in adults aged >60 in either community or clinical settings. RESULTS: The prevalence of anxiety in community samples ranges from 1.2% to 15%, and in clinical settings from 1% to 28%. The prevalence of anxiety symptoms is much higher, ranging from 15% to 52.3% in community samples, and 15% to 56% in clinical samples. These discrepancies are partly attributable to the conceptual and methodological inconsistencies that characterise this literature. Generalised Anxiety Disorder is the commonest anxiety disorder in older adults. LIMITATIONS: The methodologies used in the studies are so variable as to make comparisons difficult. CONCLUSIONS: Although anxiety disorder, particularly Generalised Anxiety Disorder is common, issues in relation to comorbidity and the nature of anxiety in old age remain unresolved. This hampers the design of intervention programmes, and highlights the need for further research with a primary focus on anxiety. PMID- 18155776 TI - Serum leptin and cholesterol values in violent and non-violent suicide attempters. AB - Earlier studies have linked lipid metabolism to suicide and impulsive-aggressive behaviors. We previously reported that suicide attempters had significantly lower leptin and cholesterol levels than controls. Since lower cholesterol levels have been related to violence alone, we decided to evaluate serum total cholesterol and leptin levels in violent and non-violent suicide attempters. In the present study, 19 violent, 16 non-violent suicide attempters, and 20 age- and sex-matched healthy controls were compared for serum total cholesterol and leptin levels. Violent suicide attempters had significantly lower total cholesterol and leptin levels compared with those with non-violent suicide attempts. Our results suggest that low serum cholesterol and leptin levels are related to the following two dimensions of suicide attempts: suicidality and violence. PMID- 18155777 TI - A functional serotonin transporter promoter gene polymorphism increases ADHD symptoms in delinquents: interaction with adverse childhood environment. AB - Although attention-deficit/hyperactivity disorder (ADHD) is highly heritable, environmental conditions play an important role in its manifestation during childhood development. Here, we report the results of an investigation on the interaction of adverse childhood environment with a functional polymorphism of the serotonin transporter promoter gene (5-HTTLPR) and its impact on ADHD psychopathology in young adult delinquents. Standardized instruments were used to assess childhood and current ADHD and adverse childhood environment in 184 male delinquents. Each subject was genotyped for 5-HTTLPR long (L) and small (S) alleles. Logistic regression analysis revealed independent effects of high childhood environmental adversity and the 5-HTTLPR LL-genotype on self-reported childhood ADHD and on persistent ADHD. In addition, a significant gene by environment interaction was found, indicating that carriers of at least one 5 HTTLPR short allele are more sensitive to childhood environment adversity than carriers of the LL-genotype. The results support prior findings of association between ADHD and 5-HTTLPR LL-genotype and adverse childhood environment, and they underline the need for further investigation of gene by environment interaction with respect to ADHD. PMID- 18155778 TI - Comparison of cellular and humoral immunoassays for the assessment of summer eczema in horses. AB - The objective of this study was to compare and analyze three common diagnostic methods for summer eczema (SE) in horses, an allergic dermatitis caused by bites of Culicoides spp. Nine horses with a medical history of SE and nine control animals were intradermally challenged with whole body extracts (WBE) and the saliva of a native (C. nubeculosus) and exotic (C. sonorensis) Culicoides species. Blood and serum samples of the horses were examined for basophil reactivity by a histamine release test (HRT) and for Culicoides-specific serum immunoglobulin E (IgE) and G (IgG) by enzyme-linked immunosorbent assay (ELISA). The results of intradermal testing (IDT) at 30min (immediate reactivity) and 4h (late-phase reactivity) post challenge with most insect preparations revealed significant differences between horses with and without SE. Overall, the HRT showed the most accurate results with a sensitivity of 1.00 for all Culicoides preparations and specificities of 0.78 (WBE) and 1.00 (saliva). By contrast, delayed reactions of the IDT (24h), and levels of Culicoides-specific IgE and IgG in the native serum showed little or no distinction between allergic and non allergic horses. However, the use of purified serum IgE and IgG indicated the possibility for elevated titers of insect-specific serum immunoglobulins in horses with SE. The IDT and HRT did not reveal obvious differences in onset and intensity of positive reactions for the native verses exotic Culicoides species, whereas the ELISA showed slightly higher numbers of positive reactions for serum IgG with the indigenous species. Saliva, as compared to WBE, was found to have improved sensitivity and/or specificity for the HRT and for the late-phase immune reactions as measured by the IDT. Overall, the results indicate that allergy tests utilizing effector cells (mast cells, basophils) are more accurate in diagnosing SE in horses than serological analysis by ELISA. PMID- 18155779 TI - Differential effects of decoy chemokine (7ND) gene therapy on acute, biphasic and chronic autoimmune encephalomyelitis: implication for pathomechanisms of lesion formation. AB - Multiple sclerosis (MS) exhibits several clinical subtypes such as the relapsing remitting (RR) and secondary progressive (SP) forms. In accordance with this, formation of demyelinating plaques in the central nervous system (CNS) occurs by different mechanisms. In the present study, we induced acute, biphasic and chronic (RR or SP) EAE in rats and examined the effects of decoy chemokine (7ND) gene therapy, which inhibits the migration of macrophages, to address the above issue. Interestingly, it was demonstrated that the clinical signs of acute EAE and the first attack of biphasic EAE were minimally affected, whereas chronic EAE and the relapse of biphasic EAE were completely suppressed with 7ND treatment. In the CNS, the number of infiltrating macrophages was reduced in all the stages of the three types of EAE. These findings suggest that in acute EAE and in the first attack of biphasic EAE, where anti-macrophage migration therapy was almost ineffective, pathogenic T cells are mainly involved in lesion formation. In contrast, the relapse of biphasic EAE and chronic EAE macrophages play a major role in the disease process. Thus, the mechanisms of lesion formation are not uniform and immunotherapy should be performed on the basis of information about the pathomechanisms of autoimmune diseases. PMID- 18155780 TI - Correlation of specialized CD16(+) gammadelta T cells with disease course and severity in multiple sclerosis. AB - gammadelta T cells may be important innate immune system contributors to the immunopathogenesis of multiple sclerosis (MS), though the mechanisms are not yet fully understood. CD16 is a low affinity Fcgamma receptor, an activation receptor for gammadelta T cells, and a mediator of cytotoxicity. In this study, we found that the percentage of CD16(+) gammadelta T cells is elevated in MS patients compared with healthy controls. The increase is especially pronounced in patients with a progressive course of the disease, and the extent of this elevation shows a positive correlation with the time of disease progression and severity. In vitro cultured gammadelta T cells can be shown to upregulate the expression of CD16 in response to inflammatory cytokines such as IL-2 and -15, that have been shown to be elevated in progressive disease. These results suggest that CD16 expressing gammadelta T cells are somehow involved in the process of disease progression. Understanding more about these cells and their particular function in progressive vs. non-progressive disease could provide important clues to the mechanism of immune-mediated MS disease progression. PMID- 18155781 TI - Chikungunya virus induced sudden sensorineural hearing loss. AB - The aim of this study is to demonstrate the association of Chikungunya virus and sudden sensorineural hearing loss. In the case report described we had a case which developed sudden unilateral sensorineural hearing loss following chikungunya fever. A 15-year-old female presented to us with the complains of unilateral sudden onset of hearing loss following an episode of fever, arthralgia and rashes 1 month ago. At the time of these symptoms there were many cases of chikungunya fever in the city, three being in her locality. Clinically Chikungunya fever was suspected and a positive serological test further confirmed our diagnosis. The hearing loss could thus be attributed to Chikungunya virus. Viruses have always been implicated in causing sudden sensorineural hearing loss but Chikungunya virus as a cause has not been documented earlier making this case report a unique one. PMID- 18155782 TI - "Learned baduse" limits recovery of skilled reaching for food after forelimb motor cortex stroke in rats: a new analysis of the effect of gestures on success. AB - Trauma or stroke to motor cortex (MtCx) results in motor impairments that include movements of the contralateral forelimb in reaching for food that is to be placed in the mouth for eating (skilled reaching). In the rat, post-lesion recovery of success is incomplete and achieved using compensatory movements. A striking and puzzling feature of post-lesion performance is an increase in the numbers of reaching attempts. Whereas successful movements, whether normal or compensatory, have been extensively described, there has been no previous analysis of the movements comprising reach attempts, especially those that are unsuccessful. Here, rats pretrained in a single pellet reaching task received MtCx stroke via pial removal contralateral to the preferred-for-reaching forelimb. They then received daily physical rehabilitation and assessment in reaching. In addition to conventional end-point measures of performance, reaching behavior was evaluated by a new measure, gestures, derived from Laban Movement Analysis. Gestural analysis describes all non-weight bearing limb movements and so can document movements not explicitly directed to, or successful in, grasping food. In the acute post-stroke period, MtCx rats made few gestures, but thereafter gesture number escalated with recovery time, and eventually exceeded preoperative levels. Gestures were frequently repetitive and included combinations not used prior to stroke. The escalation in gestures number with recovery training suggests that excessive and inappropriate gestures may represent motor habits that substitute for, and compete with, successful movements. This description of "learned baduse" furthers the understanding of MtCx contributions to skilled movements and could potentially contribute to the modification of rehabilitative strategies for the treatment of stroke. PMID- 18155783 TI - Toxic effects of new antifouling compounds on tunicate haemocytes I. Sea-nine 211 and chlorothalonil. AB - After the definitive ban on tin-based antifouling substances, new organic compounds have recently been introduced in antifouling paint formulations, as either principal or booster biocides. In most cases, previous risk assessment of these biocides has been inadequate so that their possible effects on aquatic ecosystems is a matter of great concern. We studied the effects of two new organic biocides often associated in paint formulations, Sea-Nine 211 (4,5 dichloro-2-n-octyl-4-isothiazoline-3-one) and chlorothalonil (2,4,5,6 tetrachloroisophthalonitrile), on haemocytes of the compound ascidian Botryllus schlosseri exposed for 60 min to various concentrations (from 0.1 to 10 microM) of the xenobiotics. This species had previously proved to be a good bioindicator of organotin compounds. Both compounds, at concentrations of 1 and 10 microM, altered the morphology of phagocytes, and these changes were closely related to disrupting effects on cytoskeletal components. At the same concentrations, phagocytosis, which requires cytoskeletal modifications for pseudopod formation, was severely hindered. Both compounds were able to induce apoptosis of Botryllus blood cells, probably as a consequence of severe oxidative stress related to the reported decrease of intracellular reduced glutathione (GSH) content. In the case of Sea-Nine 211, a substantial increase in intracellular Ca(2+) and a negative effect on Ca(2+)-ATPase activity may also be involved in the activation of the cell death machinery. Cytochrome-c-oxidase was also significantly inhibited by the two biocides, indicating perturbation of the mitochondrial respiratory chain. Isodynamic mixtures of Sea-Nine 211 and chlorothalonil were used to evaluate the occurrence of interactions between the two compounds. Results suggest the combined action of partial additivity when cell-spreading and cytochrome-c oxidase activity were considered, and were indicative of antagonism in the case of the GSH depletion. On the whole, our results indicate that short-term in vitro exposure of haemocytes to high concentrations of Sea-Nine 211 and chlorothalonil provokes a marked reduction in haemocyte functionality, higher than or comparable to that of TBT. These assays of acute toxicity stress the immunosuppressive potential of these compounds, which, although counterbalanced by their short half life in the marine environment, can lead to biocoenosis dismantling through rapid bioaccumulation by filter-feeding non-target benthic organisms. PMID- 18155784 TI - Native vessel angioplasty as treatment strategy for left internal mammary artery to pulmonary vasculature fistula producing coronary steal phenomenon. AB - Formation of fistulous connection between internal mammary graft and pulmonary vasculature after coronary artery bypass graft (CABG) is a rare event, which can result in recurrence of symptoms ranging from stable angina to myocardial infarction related to coronary steal. We hereby report a case of a 56-year-old man who was detected to have such a fistulous communication leading to coronary steal as the cause of effort angina 3 years after CABG. Coronary angioplasty and stenting of left anterior descending artery resulted in resolution of symptoms. Native vessel percutaneous coronary intervention as a treatment strategy for internal mammary artery to pulmonary artery fistula has not been reported previously. PMID- 18155786 TI - Alteration of myocardial characteristics and function in patients with obstructive sleep apnea. AB - The aim of the present study was to examine subclinical effect of the severity of obstructive sleep apnea (OSA) on myocardial structural changes and function using echocardiographic integrated backscatter and tissue Doppler imaging. Fifty patients with suspected OSA underwent overnight polysomnography and echocardiographic assessment. The myocardial reflectivity and mitral annular velocity were obtained as measures of subclinical myocardial disease. The OSA patients had lower annular velocity and higher myocardial reflectivity compared with non-OSA subjects, although global systolic function was similar. In conclusion, OSA can affect myocardial integrity as well as myocardial diastolic function. PMID- 18155787 TI - Statin-associated focal myositis. AB - Myositis is an infrequent side effect of statin therapy, usually presenting as diffuse myositis with muscle weakness and cramping involving multiple body parts. We report a case of focal myositis of a hip muscle diagnosed on magnetic resonance imaging, as the underlying pathology was suspected to be related to an orthopaedic disease due to isolated hip symptoms, and which was finally attributed to statin intake. Awareness to this rare cause of musculoskeletal symptoms is indicated in case a patient presents with probable orthopaedic disease and is on statin therapy. PMID- 18155788 TI - Confusion in Chinese authors' names. PMID- 18155789 TI - Comparison of multiple methods for quantification of microbial biofilms grown in microtiter plates. AB - In the present study six assays for the quantification of biofilms formed in 96 well microtiter plates were optimised and evaluated: the crystal violet (CV) assay, the Syto9 assay, the fluorescein diacetate (FDA) assay, the resazurin assay, the XTT assay and the dimethyl methylene blue (DMMB) assay. Pseudomonas aeruginosa, Burkholderia cenocepacia, Staphylococcus aureus, Propionibacterium acnes and Candida albicans were used as test organisms. In general, these assays showed a broad applicability and a high repeatability for most isolates. In addition, the estimated numbers of CFUs present in the biofilms show limited variations between the different assays. Nevertheless, our data show that some assays are less suitable for the quantification of biofilms of particular isolates (e.g. the CV assay for P. aeruginosa). PMID- 18155790 TI - A simple binomial test for estimating sequencing errors in public repository 16S rRNA sequences. AB - Sequences in public databases may contain a number of sequencing errors. A double binomial model describing the distribution of indel-excluded similarity coefficients (S) among repeatedly sequenced 16S rRNA was previously developed and it produced a confidence interval of S useful for testing sequence identity among sequences of 400-bp length. We characterized patterns in sequencing errors found in nearly complete 16S rRNA sequences of Vibrionaceae as highly variable in reported sequence length and containing a small number of indels. To accommodate these characteristics, a simple binomial model for distribution of the similarity coefficient (H) that included indels was derived from the double binomial model for S. The model showed good fit to empirical data. By using either a pre determined or bootstrapping estimated standard probability of base matching, we were able to use the exact binomial test to determine the relative level of sequencing error for a given pair of duplicated sequences. A limitation of the method is the requirement that duplicated sequences for the same template sequence be paired, but this can be overcome by using only conserved regions of 16S rRNA sequences and pairing a given sequence with its highest scoring BLAST search hit from the nr database of GenBank. PMID- 18155791 TI - Evaluation of an atlas-based automatic segmentation software for the delineation of brain organs at risk in a radiation therapy clinical context. AB - BACKGROUND AND PURPOSE: Conformal radiation therapy techniques require the delineation of volumes of interest, a time-consuming and operator-dependent task. In this work, we aimed to evaluate the potential interest of an atlas-based automatic segmentation software (ABAS) of brain organs at risk (OAR), when used under our clinical conditions. MATERIALS AND METHODS: Automatic and manual segmentations of the eyes, optic nerves, optic chiasm, pituitary gland, brain stem and cerebellum of 11 patients on T1-weighted magnetic resonance, 3-mm thick slice images were compared using the Dice similarity coefficient (DSC). The sensitivity and specificity of the ABAS were also computed and analysed from a radiotherapy point of view by splitting the ROC (Receiver Operating Characteristic) space into four sub-regions. RESULTS: Automatic segmentation of OAR was achieved in 7-8 min. Excellent agreement was obtained between automatic and manual delineations for organs exceeding 7 cm3: the DSC was greater than 0.8. For smaller structures, the DSC was lower than 0.41. CONCLUSIONS: These tests demonstrated that this ABAS is a robust and reliable tool for automatic delineation of large structures under clinical conditions in our daily practice, even though the small structures must continue to be delineated manually by an expert. PMID- 18155792 TI - Expression of protein gene product 9.5, tyrosine hydroxylase and serotonin in the pineal gland of rats with streptozotocin-induced diabetes. AB - Hyperglycemia is a well-known factor in reducing nocturnal pineal melatonin production. However, the mechanism underlying diabetes-induced insufficiency of pineal melatonin has remained uncertain. This study was undertaken to examine the structure, innervation and functional activity of the pineal gland in streptozotocin (STZ)-induced diabetes in rats by immunohistochemistry, Western blotting and image analysis. The number of the pinealocytes and the volume of pineal were also estimated using stereologic quantification including the optical fractionator and Cavalieri's method. It has also shown a progressive reduction of the total area of the pineal gland and the nuclear size of pinealocytes beginning at 4 weeks of induced diabetes. Surprisingly, the immunoreactive intensities and protein amounts of serotonin (5-HT) and protein gene product (PGP) 9.5 in the pineal gland were progressively increased from 4 weeks of diabetes. Meanwhile, nerve fibers immunoreactive for PGP 9.5 had disappeared. Diabetes-induced neuropathy was observed in nerve fibers containing tyrosine hydroxylase (TH). The affected nerve fibers appeared swollen and smooth in outline but they showed a distribution pattern, packing density and protein levels comparable to those of the age-matched control animals. Ultrastructural observations have revealed diabetes-induced deformity of Schwann cells and basal lamina, accumulation of synaptic vesicles and deprivation of the dense-core vesicles in the axon terminals and varicosities. The increase in immunoreactivities in 5-HT and PGP 9.5 and shrinkage of pineal gland in the diabetic rats suggest an inefficient enzyme activity of the pinealocytes. This coupled with the occurrence of anomalous TH nerve fibers, may lead to an ineffective sympathetic innervation of the pinealocytes resulting in reduced melatonin production in STZ-induced diabetes. PMID- 18155793 TI - The effects of a biocide and a surfactant on the detachment of Pseudomonas fluorescens from glass surfaces. AB - Application of antimicrobial chemicals is a general procedure in the cleaning and disinfection of food-contacting surfaces. Adhesion to glass surfaces and chemically induced detachment of Pseudomonas fluorescens ATCC 13525(T) were studied in situ, under flow conditions, in a well-controlled parallel plate flow chamber (PPFC). Ortho-phthalaldehyde (OPA) and cetyltrimethyl ammonium bromide (CTAB) were applied separately, at several concentrations, to attached bacteria and their subsequent detachment was monitored. Following treatments the remaining adhered bacteria were characterized in terms of viability and cell size. Simultaneously, the planktonic cell surface was characterized in order to correlate PPFC results with thermodynamic approaches for adhesion evaluation, and surface free energy of chemically treated cells with adhesion strength. About 2.8x10(6) cells/cm(2) adhered to the glass surface after 30 min of bacterial flow, although thermodynamic analyses evidenced unfavourable adhesion. The independent application of OPA and CTAB promoted bacterial detachment to a small extent (16% of total cells). The remaining adhering bacteria were totally non viable for OPA> or =0.75 mM and CTAB> or =0.25 mM, showing a lack of correlation between bacterial viability and detachment. The cellular size decreased as attachment proceeded and with chemical treatment. Both chemicals altered the cell surface properties, increasing the cell-glass adhesion strength, and promoting the emergence of polar characteristics. The overall results emphasize that OPA and CTAB were markedly ineffective in removing glass-attached P. fluorescens, demonstrating that bacteria can be non-viable but remain strongly attached to the adhesion surface. PMID- 18155794 TI - Ammonia disinfection of animal feeds --laboratory study. AB - Animal feeds may be contaminated, accidentally or maliciously, with a number of zoonotic bacteria. Animal infections with these bacterial agents, whether or not they cause animal disease, may lead to human illnesses. Anhydrous ammonia was introduced on farms in developed countries as a high-nitrogen soil amendment, but later found use in enhancing crude protein in low-quality roughage fed to ruminants and in neutralizing mycotoxins in fungus-infested feed grains. Although ammonia has been known to be effective against bacteria in other contexts (e.g., manure, community sewage sludge, seeds for sprouting, and boneless lean beef trimmings), it appears that the antibacterial effect of ammoniating animal feeds had not been tested. In the present study, samples of roughage (wheat straw, corn silage) and concentrates (corn grain, cottonseed) produced as animal feed were contaminated with dried-on zoonotic bacteria (Salmonella Newport in all; Campylobacte jejuni, E. coli O157:H7, Listeria monocytogenes, Yersinia enterocolitica in corn grain only). Disinfection with anhydrous ammonia gas was conducted for 24 h at room temperature ( 25 degrees C). The treatment was least effective in silage because the silage alone showed strong antibacterial activity, which may have been slightly reduced by ammoniation. In the other three feeds, depending on the initial level of contamination, ammonia destruction of >or= 5 log10 cfu/g (99.999%) of the selected contaminant was usually observed. PMID- 18155795 TI - A new hydrotropic block copolymer micelle system for aqueous solubilization of paclitaxel. AB - Paclitaxel (PTX), a potent anti-cancer drug, is poorly soluble in water, and this has been a major limitation in developing patient friendly formulations for clinical applications. Recent studies on polymeric micelles, especially hydrotropic polymer micelles, have suggested an alternative formulation of PTX based on their high loading capacity and physical stability in aqueous media. The present study aims at aqueous solubilization of PTX in polymer micelles without using any organic solvents that is usually required for solubilization in polymer micelles. Poly(ethylene glycol) was used as a hydrophilic block and, as a hydrotropic block, poly(4-(2-vinylbenzyloxy-N-picolylnicotinamide)) (P(2-VBOPNA)) was synthesized by atom transfer radical polymerization. The hydrotropic block copolymers did not form a micellar structure at pH 2 or below due to protonation of PNA groups, but the aqueous solubility of PTX increased significantly by the hydrotropic activity of P(2-VBOPNA). At pH values higher than 2, the PTX solubility increased even further due to deprotonation of 2-VBOPNA, leading to effective polymer micellization. A longer hydrotropic block resulted in higher aqueous PTX solubility, and slightly slower release rate from the micelles. The hydrotropic block copolymers synthesized in this study are able to form PTX loaded polymeric micelles in aqueous solution without using any organic solvents. PMID- 18155797 TI - Predicting failure to control bleeding and mortality in acute variceal bleeding. PMID- 18155796 TI - Small proline-rich proteins (SPRR) function as SH3 domain ligands, increase resistance to injury and are associated with epithelial-mesenchymal transition (EMT) in cholangiocytes. AB - BACKGROUND/AIMS: Deficient biliary epithelial cell (BEC) expression of small proline-rich protein (SPRR) 2A in IL-6(-/-) mice is associated with defective biliary barrier function after bile duct ligation. And numerous gene array expression studies show SPRR2A to commonly be among the most highly up-regulated genes in many non-squamous, stressed and remodeling barrier epithelia. Since the function of SPRR in these circumstances is unknown, we tested the exploratory hypothesis that BEC SPRR2A expression contributes to BEC barrier function and wound repair. METHODS: The effect of SPRR2A expression was studied in primary mouse BEC cultures; in a BEC cell line after forced overexpression of SPRR2A; and in human livers removed at the time of liver transplantation. RESULTS: Forced SPRR2A overexpression showed that it functions as a SH3 domain ligand that increases resistance to oxidative injury and promotes wound restitution by enhancing migration and acquisition of mesenchymal characteristics. Low confluency non-neoplastic mouse BEC cultures show a phenotype similar to the stable transfectants, as did spindle-shaped BEC participating in atypical ductular reactions in primary biliary cirrhosis. CONCLUSIONS: These observations suggest that SPRR2A-related BEC barrier modifications represent a novel, but widely utilized and evolutionarily conserved, response to stress that is worthy of further study. PMID- 18155798 TI - Bio-artificial liver devices--tentative, but promising progress. PMID- 18155799 TI - Computational dose predictions for combined treatment of hemofiltration with weekly hemodialysis. AB - Hemodialysis (HD) has sufficient efficacy as a conventional diffusive treatment for removing small molecules, whereas hemofiltration (HF), which is a convective treatment, has an improved the clearance of intermediate-sized molecules. This paper reports a combined treatment (CT) which combines the diffusive and convective efficacies of HF several times weekly with HD weekly. CT modalities with various schedules and prescriptions are described mathematically using a variable-volume two-compartment kinetics model, and the kinetic parameters were obtained from previous clinical reports and a hemodialysis-related database. The blood concentration profiles of the three waste molecules for 52 weeks were calculated in order to compare the capability of removing small and intermediate sized molecules to those of other renal treatments. The results by a computer simulation show that CT can reduce the frequency of sessions and the volume of replacement fluid compared with daily convective treatment, and achieve the adequate treatment efficiency with both small and intermediate-sized molecules for chronic renal failure patients. PMID- 18155800 TI - Biopharmaceutical challenges associated with drugs with low aqueous solubility- the potential impact of lipid-based formulations. AB - The percentage of new chemical entities synthesised with low aqueous solubility and high therapeutic efficacy is growing, this presents major challenges for the drug delivery scientists. The role of physicochemical properties in identification of suitable drug candidates for oral lipid-based delivery systems is discussed. A knowledge of the interplay of physicochemical and biopharmaceutical drug properties with the physiological environment of the gastro-intestinal tract (GIT), as a prerequisite to successful formulation design, is reviewed. The importance of excipient selection with an emphasis on bioactive excipients is stressed. The need for more examples of in vitro-in vivo correlations as a means of maximizing the development potential and commercial future for lipid-based formulations, and, promoting confidence within the industry for these delivery systems is highlighted. PMID- 18155801 TI - Enhancing intestinal drug solubilisation using lipid-based delivery systems. AB - Lipid-based delivery systems are finding increasing application in the oral delivery of poorly water-soluble, lipophilic drugs. Whilst lipidic dose forms may improve oral bioavailability via several mechanisms, enhancement of gastrointestinal solubilisation remains argueably the most important method of absorption enhancement. This review firstly describes the mechanistic rationale which underpins the use of lipid-based delivery systems to enhance drug solubilisation and briefly reviews the available literature describing increases in oral bioavailability after the administration of lipid solution, suspension and self-emulsifying formulations. The use of in vitro methods including dispersion tests and more complex models of in vitro lipolysis as indicators of potential in vivo performance are subsequently described, with particular focus on recent data which suggests that the digestion of surfactants present in lipid based formulations may impact on formulation performance. Finally, a series of seven guiding principles for formulation design of lipid-based delivery systems are suggested based on an analysis of recent data generated in our laboratories and elsewhere. PMID- 18155802 TI - The number of residual metastatic lymph nodes following neoadjuvant chemotherapy predicts survival in patients with stage III NSCLC. AB - The prognosis of patients with stage III non-small-cell lung cancer (NSCLC) who achieve a pathological complete response or downstaging following neoadjuvant therapies are better than the prognosis of patients with residual metastatic lymph nodes (LN). However, the prognostic significance of the number of residual metastatic LNs remains unclear. From January 2001 to January 2006, 42 consecutive patients with stage IIIAN2 (22 patients) and IIIB without pleural effusion (20 patients) were treated with neoadjuvant chemotherapy. Thirty-four (81.0%) of the 42 patients were pathologically staged by mediastinoscopy. Neoadjuvant chemotherapy consisted of 3 cycles of platinum-based doublet (21 patients with gemcitabine, 15 with paclitaxel, and 6 with docetaxel). After neoadjuvant chemotherapy, a pathological complete response was achieved in one patient and downstaging was achieved in 24 patients. Pathological LN metastasis was absent in 9 patients (21.4%) and present in 33 patients (78.6%). With a median follow-up of 23 months, the 2-year disease-free survival (DFS) rate of patients without residual LN metastasis was statistically better than that of patients with residual LN metastasis (46% vs. 18% respectively, P=0.03). Among 33 patients with residual LN metastasis, age (P=0.01), pathological downstaging (P=0.098) and the number of residual metastatic LNs (median 14 months in 1-4 LN vs. median 5 months in LN > or =5; P=0.011) were significant predictors of DFS in univariate analysis. In multivariate analysis, the number of residual metastatic LNs was an independent predictor of DFS among patients with residual LN metastasis, irrespective of pathological downstaging. The number of residual metastatic lymph nodes following neoadjuvant chemotherapy is an independent predictor of DFS in patients with stage III NSCLC. PMID- 18155803 TI - Drought, but not salinity, determines the apparent effectiveness of halophytes colonized by arbuscular mycorrhizal fungi. AB - The halophytes Plantago maritima, Aster tripolium, Artemisia santonicum, Puccinellia limosa, Festuca pseudovina and Lepidium crassifolium from two different saline soils of the Hungarian steppe were examined for colonization by arbuscular mycorrhizal fungi (AMF). The salt aster (A. tripolium) and the sea plantain (P. maritima) were examined more thoroughly by recording root colonization parameters, the salt content in the soil and monthly precipitations in 2001 and 2002. Mycorrhizal colonization was maximal in late spring to early summer and had a second peak later in the autumn. Arbuscule formation and overall mycorrhizal colonization appeared to be inversely correlated with the intensity of rainfall at the investigated sites. The results suggest that, in addition to seasonality, drought may play an important role in governing mycorrhizal activity in saline habitats. In greenhouse experiments, conditions in which AMF could overcome the inhibitory effects of sodium chloride on establishing plant mycorrhizal symbiosis were not met. PMID- 18155804 TI - Water stress and cell wall polysaccharides in the apical root zone of wheat cultivars varying in drought tolerance. AB - Glycosyl composition and linkage analysis of cell wall polysaccharides were examined in apical root zones excised from water-stressed and unstressed wheat seedlings (Triticum durum Desf.) cv. Capeiti ("drought-tolerant") and cv. Creso ("drought sensitive"). Wall polysaccharides were sequentially solubilized to obtain three fractions: CDTA+Na(2)CO(3) extract, KOH extract and the insoluble residue (alpha-cellulose). A comparison between the two genotypes showed only small variations in the percentages of matrix polysaccharides (CDTA+Na(2)CO(3) plus KOH extract) and of the insoluble residues (alpha-cellulose) in water stressed and unstressed conditions. Xylosyl, glucosyl and arabinosyl residues represented more than 90 mol% of the matrix polysaccharides. The linkage analysis of matrix polysaccharides showed high levels of xyloglucans (23-39 mol%), and arabinoxylans (38-48 mol%) and a low amount of pectins and (1-->3), (1-->4)-beta D-glucans. The high level of xyloglucans was supported by the release of the diagnostic disaccharide isoprimeverose after Driselase digestion of KOH-extracted polysaccharides. In the "drought-tolerant" cv. Capeiti the mol% of side chains of rhamnogalacturonan I and II significantly increased in response to water stress, whereas in cv. Creso, this increase did not occur. The results support a role of the pectic side chains during water stress response in a drought-tolerant wheat cultivar. PMID- 18155805 TI - Gas exchange and photosynthetic water use efficiency in response to light, CO2 concentration and temperature in Vicia faba. AB - Light and temperature-response curves and their resulting coefficients, obtained within ecophysiological characterization of gas exchanges at the leaf level, may represent useful criteria for breeding and cultivar selection and required tools for simulation models aimed at the prediction of potential plant behaviour in response to environmental conditions. Leaf-scale gas exchanges, by means of an IRGA open-flow system, were measured in response to light intensity (8 levels from 0 up to 2000 micromol m(-2) s(-1)), CO(2) concentrations (ambient-350 micromol mol(-1) and short-term enriched-700 micromol mol(-1)) and air temperature (from 7 up to 35 degrees C) on three Vicia faba L. genotypes, each representing one of the three cultivated groups: major, equina and minor. The net assimilation rate response to light intensity was well described by an exponential rise to max function. The short-term CO(2) enrichment markedly increased the values of light response curve parameters such as maximum photosynthetic rate (+80%), light saturation point (+40%) and quantum yield (+30%), while less homogenous behaviour was reported for dark respiration and light compensation point. For each light intensity level, the major and minor genotypes studied showed assimilation rates at least a 30% higher than equina. The positive effects of short-term CO(2) enrichment on photosynthetic water use efficiency (WUE) indicate a relevant advantage in doubling CO(2) concentration. In the major and minor genotypes studied, similar assimilation rates, but different WUE were observed. The optimum leaf temperature for assimilation process, calculated through a polynomial function, was 26-27 degrees C and no relevant limitations were observed in the range between 21 and 32 degrees C. Analysis at the single leaf level provided both rapid information on the variations in gas exchange in response to environmental factors and selection criteria for the screening of genotypes. PMID- 18155806 TI - Alterations of the gene expression, lipid peroxidation, proline and thiol content along the barley root exposed to cadmium. AB - Barley seedlings grown on filter paper moistened with 1mM Cd showed 50% root growth inhibition within 24h of exposure. The amount of cadmium after 24h Cd treatment was highest in the first 2mm-long apical root segment, while it was slightly higher in the fourth segment, 6-8mm behind the root tip, after 48h. In recovery experiments, when Cd-treated plants were transferred onto filter paper moistened with distilled water, a large amount of Cd was localised in the apoplast and considerable cell death was detected even though root growth was renewed. This indicates that cell death is likely an active physiological process that contributes to the removal of Cd from the root during root growth recovery. Elevated lipid peroxidation and thiol contents were detected in all individual segments of Cd-treated barley root. On the other hand, proline accumulation was disturbed during Cd stress, showing a significant decrease in all of the studied segments except the first. Cd-induced alteration in the expression of genes involved in metal signalling and detoxification and in drought and oxidative stress responses indicates that Cd-induced water and oxidative stress is responsible for the root growth inhibition, probably through an accelerated differentiation of root tissues. PMID- 18155807 TI - Food preferences do not influence adolescent high-level athletes' dietary intake. AB - To assess the influence of preferences on food and nutritional intake in a group of adolescent high-level athletes, 22 male soccer players (14-16 years) were recruited. Individuals were asked to fill in a specific questionnaire including 15 food groups that had to be ranked according to their preferences. Three categories were established: "Like" (ranked 1-5), "Indifferent" (6-10), and "Dislike" (11-15). Dietary intake was assessed using the weighed food method (for nutrient intake) and a quantitative open-ended food frequency questionnaire (for the number of standard portions of each food group ingested daily). The main preferences were Meat, poultry and derivates (ranked 1-5 in 83% of individuals) and Pasta (58%), while Vegetables (ranked 11-15 in 82%) and Fish (64%) were the main dislikes. The most frequently consumed food groups were Fruits and fruit juices (3.9 portions/day), Bread (3.0), and Biscuits, confectionery and sweets (3.0). No statistical differences were found in food consumption between preference groups, and no relation was found between preferences and nutritional intake, except for those individuals who especially like Bread, which had statistically higher energy and carbohydrate intake. Food preferences and food and nutritional intake of adolescent high-level soccer players were, effectively, unrelated. PMID- 18155808 TI - Effect of pregnancy on food consumption and consciousness factors associated with food satisfaction. AB - To examine the effect of pregnancy on food consumption, we surveyed the recall of past experience of two groups of women, those who had been pregnant (PY, n=188) and those who never had (PN, n=111), regarding their food consumption and related dietary behaviors. The questionnaire, answered with regard to potato chips, contained 135 objective components expressing sensorial stimuli and 103 subjective consciousness components, including knowledge, education, faith, memory, experience, lifestyle, family values, imagination, and mental state. In the PY group, 86% of the women change in food consumption and preference during pregnancy, and 60% experienced decreased food consumption during emesis gravidarum (EG). The change in food consumption during and after periods of EG was influenced by the number of previous births for the women in the PY group; in women pregnant for a second or third time, the change in food intake was less than during the previous pregnancy. The difference in food satisfaction with regard to potato chips between the PY and PN groups showed that overall food satisfaction could not be explained by a combination of objective sensorial components; the only objective components that were directly related to overall satisfaction were taste and texture. Multidimensional analysis with strength of sensorial stimulus, preference, and overall satisfaction revealed differences in patterns between the PN and PY groups. The effect of the consciousness components on food preference and satisfaction was comparable to that of the sensorial components. PMID- 18155809 TI - Effects of selective modulation of the central melanocortin-3-receptor on food intake and hypothalamic POMC expression. AB - Hypothalamic POMC neurons regulate energy balance via interactions with brain melanocortin receptors (MC-Rs). POMC neurons express the MC3-R which can function as an inhibitory autoreceptor in vitro. We now demonstrate that central activation of MC3-R with ICV infusion of the specific MC3-R agonist, [D-Trp(8)] gamma-MSH, transiently suppresses hypothalamic Pomc expression and stimulates food intake in rats. Conversely, we also show that ICV infusion of a low dose of a selective MC3-R antagonist causes a transient decrease in feeding and weight gain. These data support a functional inhibitory role for the MC3-R on POMC neurons that leads to changes in food intake. PMID- 18155810 TI - Synthesis and structure guided evaluation of estrogen agonist and antagonist activities of some new tetrazolyl indole derivatives. AB - Several regioisomeric tetrazolyl indole derivatives with structurally modified alkyl substituents at the tetracyclic indole nitrogen containing N-ethyl amino tetrazole moiety have been synthesized and screened for their ER binding affinity, agonist (estrogenic), antagonist (antiestrogenic) and anti-implantation activities. N-2 regioisomers were found to be moderately antagonists and one compound showed 100% contraceptive efficacy at 10 mg/kg dose. Molecular docking studies carried out in comparison to estradiol and raloxifene showed different binding modes of the two regioisomers to the binding site. PMID- 18155811 TI - Immunogenicity and safety of combined intradermal recombinant Hepatitis B with BCG vaccines at birth. AB - This randomized, prospective, non-inferiority study aimed to quantify anti-HBs titers induced by recombinant Hepatitis B vaccine from healthy infants vaccinated with combined Hepatitis B and Bacillus Calmette-Guerin (BCG) vaccines (HbsAg 10 microg plus BCG suspension 0.1mg) and compare them to titers obtained with separated vaccines. Infants were immunized at birth either with combined intradermal (ID) BCG and Hepatitis B or ID BCG alone and intramuscular (IM) Hepatitis B. Both groups received IM Hepatitis B at 1 and 6 months of age. After the third dose anti-HBs titers > or =10 IU/mL were observed in 99% of vaccinees and > or =1000 IU/mL in 71%. There were no adverse events in both groups. Combination of HbsAg with BCG as first dose did not modify the profile of the humoral immune response for Hepatitis B indicating safety and immunogenicity of this vaccine in newborn. PMID- 18155812 TI - Alpha C protein-specific immunity in humans with group B streptococcal colonization and invasive disease. AB - Alpha C protein, found in 76% of non-type III strains of group B Streptococcus (GBS), elicits antibodies protective against alpha C-expressing strains in experimental animals, making it an appealing carrier for a GBS conjugate vaccine. We determined whether natural exposure to alpha C elicits antibodies in women. Geometric mean concentrations of alpha C-specific IgM and IgG were similar by ELISA in sera from 58 alpha C GBS strain colonized and 174 age-matched non colonized women (IgG 245 and 313 ng/ml; IgM 257 and 229 ng/ml, respectively), but acute sera from 13 women with invasive alpha C-expressing GBS infection had significantly higher concentrations (IgM 383 and IgG 476 ng/ml [p=0.036 and 0.038, respectively]). Convalescent sera from 5 of these women 16-49 days later had high alpha C-specific IgM and IgG concentrations (1355 and 4173 ng/ml, respectively). In vitro killing of alpha C-expressing GBS correlated with total alpha C-specific antibody concentration. Invasive disease but not colonization elicits alpha C-specific IgM and IgG in adults. PMID- 18155814 TI - Sorption behavior of selenium on humic acid under increasing selenium concentration or increasing solid/liquid ratio. AB - The sorption of selenium (Se) on humic acid (HA) was investigated in order to better understand the fate of stable and radioactive Se in soils and sediments. An ultrafiltration technique was used to determine size distributions of HA sorbed-Se when increasing Se concentration and solid/liquid ratio. The results showed that the Se sorption onto HA followed the Freundlich isotherm. No solid/liquid ratio-dependence was observed especially when <3 kDa molecular size fraction was used from solid/liquid separation. The Freundlich isotherm parameters K(F) and n obtained using the <3 kDa molecular size fraction for solid/liquid separation were 3.7 x 10(2) and 0.82, respectively. In addition, since dissolved HA increased with decreased ionic strength in the HA suspension, ionic strength could promote aggregation of HA. The conformational change of HA could affect the sorption behavior of Se on HA. PMID- 18155813 TI - Correlation of immunogenicities and in vitro expression levels of recombinant modified vaccinia virus Ankara HIV vaccines. AB - The purpose of the present study was to correlate the in vitro level of HIV Env expression by recombinant modified vaccinia virus Ankara (rMVA) with immunogenicity in mice. A 5-fold difference in Env synthesis was achieved at the translational level by the presence or absence of an out-of-frame initiation codon upstream of the env gene. This perturbation had no effect on the size or processing of Env. In contrast to the variation in Env synthesis, the rMVAs produced similar amounts of HIV Gag, which were expressed from identical cassettes. Mice immunized with the higher Env expressing rMVAs had about 15-fold higher titers of Env antibodies and several fold higher frequencies of Env specific CD8+ and CD4+ T cells than mice immunized with the low expresser. The greater immune response achieved by high expression was maintained over a 100 fold dose range. Importantly, enhanced Env immune responses did not come at the expense of lower Gag T cell responses. These data suggest that for high immunogenicity, rMVAs should be engineered to produce the most recombinant protein that can be achieved without compromising the growth and stability of the rMVA. PMID- 18155815 TI - Testicular carcinoma presenting as cutaneous nasal metastasis: case report and review of the literature. AB - Testicular choriocarcinoma is a highly malignant germ cell neoplasm, which metastasises to lungs, and brain. Spread to the skin, however, is rare, with only 11 cases reported to our knowledge. This is the second reported case of a skin metastasis of choriocarcinoma to the head and neck, and the third in which a cutaneous metastasis was the first finding at initial presentation. A review of published reports showed that it had been described as individual firm, reddish or violaceous subcutaneous nodules with typical histological features. PMID- 18155816 TI - A comparison of labour and birth outcomes in Jordan with WHO guidelines: a descriptive study using a new birth record. AB - AIM: to examine data collected during the testing of a new birth record in Jordan from 1 July to 31 August 2004, and to compare these practices with guidelines from the World Health Organization (WHO) and evidence-based recommendations. This was part of a larger study that used an action research approach to engage practitioners in implementation of the new record. DESIGN: descriptive, comparative design. SETTING: three Ministry of Health hospitals in Jordan. PARTICIPANTS: the birth records of 1254 mothers and babies were used. MEASUREMENTS: data on selected labour and birth practices were collected from the records. Comparisons were made using recognised evidence-based guidelines. FINDINGS: the rates of a number of labour and birth practices were inappropriately high, and differed from WHO guidelines and evidence-based recommendations. The rates of augmentation of labour (46%) and episiotomy (53%) were particularly high, and seem to be in excess of the WHO recommendations, which state that neither of these practices should be undertaken routinely. IMPLICATIONS FOR PRACTICE: information on labour and birth practices can assist clinicians working in these three hospitals to reflect upon their care and outcomes. Clinicians may be able to use this information to change practice to improve care for women and babies. Organisational support and clinical leadership are necessary in order to provide health professionals with time and resources to access research data and undertake comparisons that can lead to health service and system-level improvement. PMID- 18155817 TI - The use of chelating agents in the remediation of metal-contaminated soils: a review. AB - This paper reviews current remediation technologies that use chelating agents for the mobilization and removal of potentially toxic metals from contaminated soils. These processes can be done in situ as enhanced phytoextraction, chelant enhanced electrokinetic extraction and soil flushing, or ex situ as the extraction of soil slurry and soil heap/column leaching. Current proposals on how to treat and recycle waste washing solutions after soil is washed are discussed. The major controlling factors in phytoextraction and possible strategies for reducing the leaching of metals associated with the application of chelants are also reviewed. Finally, the possible impact of abiotic and biotic soil factors on the toxicity of metals left after the washing of soil and enhanced phytoextraction are briefly addressed. PMID- 18155818 TI - The contribution of parental and grandparental childhood social disadvantage to circulatory disease diagnosis in young Swedish men. AB - Men born out of wedlock in early twentieth century Sweden who never married have previously been shown to have a doubled mortality risk from ischaemic heart disease compared to the corresponding group of men born to married parents. This study further explores the question of childhood social disadvantage and its long term consequences for cardiovascular health by examining the two subsequent generations. The question posed is whether the sons and grandsons of men and women born out of wedlock in early twentieth century Sweden have an increased risk of circulatory disease compared with the corresponding descendants of those born inside marriage. We examined this by use of military conscription data. The material used is the Uppsala Birth Cohort Multigenerational database consisting of individuals born at Uppsala University Hospital between 1915 and 1929 (UG1), their children (UG2) and grandchildren (UG3). Conscription data were available for UG2s born between 1950 and 1982 (n=5,231) and UG3s born between 1953 and 1985 (n=10,074) corresponding to 72.1% and 73.6%, respectively, of all males born in each time-period. Logistic regression showed that significant excess risk of circulatory disease diagnoses was present only among descendants of men born outside marriage, with sons and grandsons demonstrating odds ratios of 1.64 and 1.83, respectively, when BMI and height at the time of conscription, father's social class in mid-life and father's or grandfather's history of circulatory disease had been adjusted for. Separate analyses showed that the effect of the maternal and paternal grandfather was of approximately the same magnitude. Further analyses revealed an interaction between the father's social class and the grandfather's legitimacy status at birth on UG3-men's likelihood of having a circulatory disease, with elevated odds only among those whose fathers were either manual workers or self-employed. The results of this study suggest that social disadvantage in one generation can be linked to health disadvantage in the subsequent two generations. PMID- 18155819 TI - Mental-physical comorbidity in an ethnically diverse population. AB - The relationship between mental disorders and chronic physical conditions is well established, but the possibility of ethnic group differences in mental-physical associations has seldom been investigated. This study investigated ethnic differences in associations between four physical conditions (chronic pain, cardiovascular disease, diabetes, and respiratory disease) and 12-month mood and anxiety disorders. A nationally representative face-to-face household survey was carried out in New Zealand from 2003 to 2004 with 12,992 participants aged 16 and older, achieving a response rate of 73.3%. The current study is of the subsample of 7,435 participants who were assessed for chronic physical conditions (via a standard checklist), and compares Maori, Pacific and Other New Zealanders. DSM-IV mental disorders were measured with the Composite International Diagnostic Interview (CIDI 3.0). The ethnic groups differed significantly in prevalences of both physical and mental disorders, but almost no ethnic differences in mental physical associations were found. Independent of ethnicity, associations were observed between chronic pain and mood and anxiety disorders, cardiovascular disease and anxiety disorders, respiratory disease and mood and anxiety disorders. Despite differences in mental and physical health status between ethnic groups in New Zealand, mental-physical disorder associations occur with considerable consistency across the groups. These results suggest that whatever factors are conducive to the development of a mental disorder from a physical disorder (or vice versa), they are either unaffected by the cultural differences manifest in these ethnic groups, or, any cultural factors operating serve to both increase and decrease comorbidity such that they cancel each other out. PMID- 18155820 TI - Capillary electrophoresis mass spectrometry as a potential tool to detect lithium induced nephropathy: Preliminary results. AB - Lithium remains the treatment of choice for many patients suffering from bipolar disorder. However, long-term treatment with lithium carries the potential to cause renal and thyroid dysfunction. Lithium-induced nephropathies are characterised by deterioration of urinary concentrating ability as well as, less frequently, a progressive and potentially irreversible decrease in glomerular filtration rate (GFR). Pathological changes after treatment with lithium include both tubulointerstitial and glomerular changes. Besides monitoring of the kidney function, no screening-instruments exist for early identification of patients at risk of lithium-induced nephropathy. CE-MS (capillary electrophoresis coupled to a mass spectrometer) is a new technique that has been applied to the differential diagnosis of nephropathies. We sought to determine if CE-MS can be used to identify lithium-induced renal changes. A urine-sample was obtained from 14 subjects (7 males, 7 females, mean age 51.1 years) under long-term treatment with lithium (mean duration 17.4 years, range 8-35 years) without known nephropathy (mean creatinine 0.96 mg/dl; range 0.7-1.6). Urine samples were stored at -20 degrees C until analysis. CE-MS was performed according to standard procedures and a screen for nephropathies was used. Among the 14 urine samples, two subjects tested positive for a nephropathy. One further subject had a borderline result. Since 3/14 subjects with no known nephropathy showed some degree of pathological findings, CE-MS from a urine-sample may be helpful for the early detection of renal damage under treatment with lithium. However, a specific screen for lithium induced nephropathies still needs to be developed. PMID- 18155821 TI - Neonatal co-exposure to low doses of an ortho-PCB (PCB 153) and methyl mercury exacerbate defective developmental neurobehavior in mice. AB - Epidemiological studies have shown a discrepancy between children in the Faeroe Islands and children in the Seychelles with regard to neuropsychological defects during early development. Both populations have a high consumption of MeHg contaminated fish. The defective neuropsychological differences seen in children from the Faeroe Islands could be attributed to PCBs via the mother's dietary consumption of whale meat and blubber in addition to MeHg. We have previously reported that certain persistent environmental toxicants like PCBs, DDT and PBDEs can induce permanent developmental neurotoxic effects in mice when these agents are present during a critical period of the neonatal brain development. The present study investigates whether PCB 153 (an ortho-substituted PCB) can interact with MeHg to enhance developmental neurotoxic effects on spontaneous behavior and habituation. Neonatal NMRI male mice were exposed at 10 days of age to a single oral dose of one of the following doses: PCB 153 (1.4micromol/kg body weight), MeHg (0.08, 0.40, or 4.0mg/kg body weight), PCB 153 plus MeHg, or a vehicle (20% fat emulsion). Spontaneous behavior, habituation, and cognitive function were observed in 2- and 4-month-old mice. The present study demonstrates that an interaction from co-exposure to low doses of PCB 153 and MeHg enhances developmental neurotoxic effects. These effects are manifested as disrupted spontaneous behavior, lack of habituation, and reduced cognitive functions. These effects occur at doses within the same order of magnitude as reported for exposed children. PMID- 18155822 TI - A framework for valuing the health benefits of improved bathing water quality in the River Irvine catchment. AB - A simple model predicting bathing water concentrations of Escherichia coli from livestock in the Irvine catchment in SW Scotland has been adapted for intestinal enterococci (IE). This has been used to predict risk of bather illness by extrapolation of published data on bather IE exposure vs incidence of gastro enteritis. Simulated reduction in the risk of illness by reduced faecal loading was multiplied by a willingness to pay for risk reduction to estimate the annual benefits of mitigation. Health benefits of reducing loading by 75% at Irvine Beach were estimated by a willingness to pay method to be about pound 276k pa. Estimated annualised costs of diffuse pollution mitigation measures across the catchment were higher (> pound 1m), and it is very unlikely that 75% mitigation is achievable with current stocking rates. Further work should explore the influence of uncertainty of model parameters, and use emerging epidemiological information on specific zoonotic pathogens such as E. coli O157 and Cryptosporidium. Other components of the value of clean water should also be included to obtain a complete estimate of the cost:benefit of mitigation. PMID- 18155823 TI - Editorial comment on: cold-knife incision of anastomotic strictures after radical retropubic prostatectomy with bladder neck preservation: efficacy and impact on urinary continence status. PMID- 18155824 TI - Cold-knife incision of anastomotic strictures after radical retropubic prostatectomy with bladder neck preservation: efficacy and impact on urinary continence status. AB - OBJECTIVES: To evaluate the incidence and characteristics of anastomotic strictures (AS) after radical retropubic prostatectomy (RRP) with bladder-neck preservation (BNP), the efficacy of management with cold-knife incision (CKI), and its impact on urinary continence. METHODS: Seven hundred five consecutive patients who underwent RRP with BNP were prospectively followed with uroflowmetry at postoperative months 1, 3, 6, 9, 12, and investigated for urinary incontinence with the 1-h pad test at AS diagnosis obtained with urethroscopy. If the instrument could not dilate the stricture, CKI was subsequently performed. Follow up after treatment was performed with uroflowmetry and 1-h pad test at months 1, 3, 6, 9, 12. Recurrent AS was always treated with repeated CKI. RESULTS: Six hundred forty-eight patients were assessable. After a median time of 3.8 mo from RRP, 46 (7.1%) patients developed AS. Urinary incontinence was present in 21 (46%) men at AS diagnosis. Three (7%) patients were successfully managed by urethroscopic dilation only, whereas 43 (93%) required CKI. Eleven (26%) of the latter had recurrent AS. After a median follow-up of 48 mo from the last AS treatment, all patients are stricture-free, de novo urinary incontinence was never documented, and of the 21 originally incontinent men, 11 became continent, 8 improved and 2 remained unchanged. CONCLUSIONS: In our experience, BNP does not decrease the incidence of AS after RRP; however, AS can be effectively managed with repeated CKI with a final 100% success rate. CKI has a possible positive impact on urinary continence in 90% of patients, without causing de novo incontinence. PMID- 18155825 TI - The use of lingual mucosal graft in adult anterior urethroplasty: surgical steps and short-term outcome. AB - OBJECTIVES: Investigate the tolerability, safety, and efficacy of using the lingual mucosal graft (LMG) for anterior urethroplasty. METHODS: Ten patients (average age, 41 yr) underwent substitution urethroplasty LMG. Harvesting the graft from the tongue was performed by either the oral surgeon or the urologist. In five patients with penile urethral strictures, the grafts were placed on the dorsal urethral surface as a "dorsal inlay." In five patients with bulbar urethral strictures, the grafts were used as a "dorsal inlay" (3 cases) or "ventral onlay" (2 cases). The average follow-up was 5 mo (range: 3-12 mo). RESULTS: Nine cases (90%) were successful and one (10%) was a failure. Three patients who underwent bulbar urethroplasty showed prior failed repair using buccal mucosal grafts harvested from a single cheek (1 case), from both cheeks (1 case), or from the lip (1 case). The length of the lingual grafts was 4-6cm (mean: 4.5cm) with a width of 2.5cm. No patient developed early or late postoperative complications on the harvest site related to the tongue surgery. No difference was observed in patients in whom the graft harvesting was performed by the oral surgeon compared to the patients in whom the procedure was performed by the urologist. CONCLUSIONS: The surgical technique for harvesting a graft from the tongue is simple and safe. The tongue may be the best alternative donor site to the lip when a thin graft is required for urethroplasty or when the cheek harvesting is not possible. PMID- 18155826 TI - Editorial comment on: the use of lingual mucosal graft in adult anterior urethroplasty: surgical steps and short-term outcome. PMID- 18155827 TI - Editorial comment on: cold-knife incision of anastomotic strictures after radical retropubic prostatectomy with bladder neck preservation: efficacy and impact on urinary continence status. PMID- 18155828 TI - The mutations and potential targets of the forkhead transcription factor FOXL2. AB - Mutations of FOXL2, a gene encoding a forkhead transcription factor, have been shown to cause the blepharophimosis-ptosis-epicanthus inversus syndrome (BPES). This genetic disorder is characterized by eyelid and mild craniofacial abnormalities that can appear associated with premature ovarian failure. FOXL2 is one of the earliest ovarian markers and it offers, along with its targets, an excellent model to study ovarian development and function in normal and pathological conditions. In this review we summarize recent data concerning FOXL2, its mutations and its potential targets. Indeed, many mutations have been described in the coding sequence of FOXL2. Among them, polyalanine expansions and premature nonsense mutations have been shown to induce protein aggregation. In the context of the ovary, FOXL2 has been suggested to be involved in the regulation of cholesterol and steroid metabolism, apoptosis, reactive oxygen species detoxification and inflammation processes. The elucidation of the impact of FOXL2 mutations on its function will allow a better understanding of the pathogenic mechanisms underlying the BPES phenotype. PMID- 18155829 TI - Morphogenesis of the mammalian blastocyst. AB - The first 4 days of mouse pre-implantation development are characterized by a period of segmentation, including morphogenetic events that are required for the divergence of embryonic and extra-embryonic lineages. These extra-embryonic tissues are essential for the implantation into the maternal uterus and for the development of the foetus. In this review, we first discuss data showing unambiguously that no essential axis of development is set up before the late blastocyst stage, and explain why the pre-patterning described during the early phases (segmentation) of development in other vertebrates cannot apply to mammalian pre-implantation period. Then, we describe important cellular and molecular events that are required for the morphogenesis of the blastocyst. PMID- 18155830 TI - Antibodies directed against L1-CAM synergize with Genistein in inhibiting growth and survival pathways in SKOV3ip human ovarian cancer cells. AB - Antibodies directed against the L1 cell adhesion protein inhibit growth of SKOV3ip human ovarian cancer cells in vitro and in vivo. Responses of SKOV3ip cells in vitro to anti-L1 mAb chCE7 and Genistein were investigated. Genistein potentiated the anti-proliferative and pro-apoptotic effects of chCE7 in SKOV3ip cells. A combination of mAb chCE7 and Genistein strongly reduced the sensitivity of p44/42 (Erk1,2) kinase, Src kinase and Akt kinase to extracellular stimulation with serum, Epidermal Growth Factor and Hepatocyte Growth Factor. The observed synergy of antibodies directed against L1 with Genistein could lead to a new therapeutic option for ovarian cancer. PMID- 18155831 TI - Ezrin silencing by small hairpin RNA reverses metastatic behaviors of human breast cancer cells. AB - Ezrin primarily acts as a linker between the plasma membrane and the cytoskeleton and is a key component in tumor metastasis. In the present study, RNA interference (RNAi) using ezrin small hairpin RNAs (ezrin shRNAs) was used to define the roles of ezrin in the regulation of malignant behaviors of human breast cancer. The highly metastatic human breast cancer cell MDA-MB-231, in which ezrin mRNA and protein levels are the highest, was selected as a cell model in vitro. In addition, we also found that ezrin expression was up-regulated and its immuno-staining trans-located from cell membrane to cytoplasm, whereas E cadherin expression decreased and showed the same cell distribution as ezrin in lymphatic metastases of human breast carcinomas. After repression of ezrin by more than 85% of G3PDH and 75% of beta-actin in mRNA and protein levels was maintained in the stable expressing ezrin shRNAs MDA-MB-231 cell clones, the abilities of cell motility and invasiveness were obviously inhibited with a 4 fold and 2-fold, respectively, and the altered cell polarity was observed. Western blot analyses further revealed that the silencing of ezrin induced an increased E-cadherin expression and a decreased phosphorylation of beta-catenin by inhibiting phosphorylation levels of c-src. These data indicate that ezrin overexpression positively correlated with metastatic potentials of human breast cancer cells, especially lymphatic system metastasis. Decreased ezrin expression by shRNA reversed metastatic behaviors of human breast cancer cells by inducing c src-mediated E-cadherin expression, suggesting that ezrin may have potential values in assessing lymphatic metastasis of human breast cancers. PMID- 18155832 TI - Photodegradation kinetics of formaldehyde using light sources of UVA, UVC and UVLED in the presence of composed silver titanium oxide photocatalyst. AB - This study investigated the surface modification of photocatalyst and photodecomposition of formaldehyde from indoor pollution source. This study explored the feasibility of the application of the ultraviolet light emitting diode (UVLED) instead of the traditional ultraviolet (UV) lamp to treat the formaldehyde. The photocatalytic decomposition of formaldehyde at various initial concentrations was elucidated according to the Langmuir-Hinshelwood model. The reaction rate constant (k) and adsorption equilibrium constant (K(L)) over 0.334 g silver titanium oxide photocatalyst (Ag/TiO2) coated on glass sticks with 254 nm ultraviolet lamp (UVC), 365 nm ultraviolet lamp (UVA), and UVLED are 650 ppmv min(-1) and 2 x 10(-4)ppmv(-1), 500 ppmv min(-1) and 1.04 x 10(-4)ppmv(-1), and 600 ppmv min(-1) and 2.52 x 10(-5)ppmv(-1), respectively. A comparison of the simulation results with the experimental data was also made, indicating good agreement. The magnitudes of energy effectiveness (E(e)) are in the order of UVLED (0.6942 mg kW(-1)h(-1))>UVA (0.007 mg kW(-1)h(-1))>UVC (0.0053 mg kW(-1)h( 1)). The E(e) of UVLED is 131 times larger than that of UVC. The UVLED can save a lot of energy in comparison with the traditional UV lamps. Thus, this study showed the feasible and potential use of UVLED in photocatalysis. PMID- 18155833 TI - On-site spectrophotometric determination of antimony in water, soil and dust samples of Central India. AB - A new, selective and sensitive on-site spectrophotometric method for the determination of antimony at trace level in water, soil and dust samples of Central India has been demonstrated. It is based on the color reaction of Sb(III) with I(-) ions in the presence of a cationic surfactant cetylpyridinium chloride (CPC) in acidic media, and subsequent extraction of the complex with N phenylbenzimidoylthiourea (PBITU) into chloroform to give a yellow colored complex. The value of apparent molar absorptivity of the complex in the terms of Sb is (7.84) x 10(4)l mol(-1)cm(-1) at 440 nm. The detection limit of the method is 5 ng ml(-1). In addition, the present method is free from interferences of all metal ions that are associated during the determination of antimony in environmental samples. PMID- 18155834 TI - Environmental conditions affecting exopolysaccharide production by Pseudomonas aeruginosa, Micrococcus sp., and Ochrobactrum sp. AB - Three different chromium-resistant microorganisms (Pseudomonas aeruginosa, Micrococcus sp., and Ochrobactrum sp.) were tested with regard to their EPS production at different pH levels, temperatures, Cr(VI) concentrations, and incubation periods. The optimum pH level was 7 for P. aeruginosa and Micrococcus sp., while it was 8 for Ochrobactrum sp. according to the highest EPS amount at 100 mg/L Cr(VI) concentration. The highest production of EPSs by the three bacteria was obtained under different environmental conditions. P. aeruginosa produced the highest EPS (863.3 mg/L) after incubation for 96 h on media with 50 mg/L Cr(VI) at 20 degrees C, Micrococcus sp. gave the highest yield (444.6 mg/L) after incubation for 72 h on media with 100 mg/L Cr(VI) at the same temperature, and Ochrobactrum sp. had the highest production (430.5 mg/L) on media with 150 mg/L Cr(VI) at 30 degrees C at the end of 48 h of incubation. PMID- 18155835 TI - 5-HT reuptake and 5-HT2 receptors modulate capsaicin-evoked hypothermia in rats. AB - Numerous studies support a role for the endogenous 5-hydroxytryptamine (5-HT) system in the hypothermic effect of capsaicin. None of those studies, however, selectively delineate a role for 5-HT reuptake or 5-HT receptors in this regard. In the present investigation, we determined if the blockade of 5-HT reuptake or the activation of 5-HT(1A) or 5-HT(2) receptors modulates capsaicin-evoked hypothermia. The administration of capsaicin (0.2-1mg/kg, i.m.) produced dose related hypothermia. Fluoxetine (10mg/kg, i.p.), a selective serotonin reuptake inhibitor (SSRI), did not affect body temperature. For combined administration, pretreatment with fluoxetine (10mg/kg, i.p.) significantly attenuated the hypothermia caused by capsaicin (0.5 and 1mg/kg, i.m.). For the 5-HT receptor experiments, we pretreated rats with either WAY 100635, a 5-HT(1A) receptor antagonist, or mianserin, a 5-HT(2) receptor antagonist, and then administered a fixed, hypothermic dose of capsaicin (1mg/kg, i.m.). WAY 100635 (1mg/kg, s.c.) administration did not affect capsaicin-evoked hypothermia. This indicates that 5 HT(1A) receptor activation does not play a major role in the hypothermic effect of capsaicin. In contrast, pretreatment with mianserin (10mg/kg, i.p.) enhanced the hypothermic effect of capsaicin (1mg/kg, i.m.). The present data reveal that capsaicin-evoked hypothermia in rats is attenuated by the blockade of 5-HT reuptake and enhanced by the antagonism of 5-HT(2) receptors. PMID- 18155836 TI - PrPSc level and incubation time in a transgenic mouse model expressing Borna disease virus phosphoprotein after intracerebral prion infection. AB - Our previous studies have shown that the persistent expression of Borna disease virus phosphoprotein (BDV P) in mice leads to behavioral abnormalities resembling those in BDV-infected animals. In this study, we investigated whether the neurobehavioral abnormalities genetically induced by BDV P influence experimental prion disease. The effect of the phosphoprotein on prion diseases was evaluated based on the incubation time and survival curve, as well as the abnormal isoform of prion protein (PrP(Sc)) levels in brains of BDV P Tg mice treated with proteinase K (PK) treatment and subjected to western blotting. Increased expression of the BDV P transgene had no effect on the PrP(Sc) level, incubation time, or survival curve. The abnormalities induced by BDV P are different from those induced by prion diseases, indicating that the signaling cascades induced by the phosphoprotein differ from those induced by prion diseases. PMID- 18155837 TI - P300 and categorization in brand extension. AB - Brand extension is the behavior of applying an established brand to enter new product categories. Its success depends on the perception of attribute similarity between the original brand and the extension product. In this study, 16 participants were required to decide the suitability of extending the brand in stimulus 1 to the product category in stimulus 2 during a S1-S2 paradigm. S1 consists of 15 well-known beverage brands. S2 consists of products in two categories: beverage and non-beverage. P300 - an important component of ERP - was elicited in all probes. The P300 amplitude was larger and distributed over almost all parietal and occipital regions when S2 is a beverage product. The P300 amplitude, however, was smaller and presented predominantly over the right regions when S2 is a non-beverage product. We speculate that the participants' decision process is a categorization process: they tried to classify the product in S2 into brand category in S1. In this process, the brand name in prime evoked the memory of specific products, and the neurons in corresponding cortex areas were activated. The higher similarity and coherence between the brand name in prime and the product name in probe produced an overlap of the similar stimuli in prime and probe, which resulted in larger P300. Otherwise, there is no overlap, resulting in smaller P300. Hence, the P300 may potentially be used in marketing research as an endogenous neural indicator of measuring consumers' attitude towards an intended brand extension. PMID- 18155838 TI - Gene silencing of ribosomal protein P0 is lethal to the tick Haemaphysalis longicornis. AB - Ribosomal protein P0 has been demonstrated to be a multifunctional protein in the large subunit of eukaryotic ribosome. In this study, a gene encoding ribosomal protein P0 termed HlP0 was isolated from a full-length salivary gland cDNA library previously constructed from the tick Haemaphysalis longicornis. The full length cDNA of the HlP0 gene is 1141 bp, with an open reading frame (ORF) of 963 bp. The ORF of the HlP0 gene encodes a putative protein of 320 amino acid residues, with a predicted molecular mass of 35 kDa. Reverse transcription polymerase chain reaction (RT-PCR) analysis indicated that the HlP0 gene transcript was expressed in all developmental stages and all tissues dissected from 4-day-fed adult ticks. Antibodies raised against recombinant HlP0 recognized a native protein with an expected molecular size of 35 kDa in all tested tissues. RNA interference of HlP0 gene was carried out by injecting ticks with PBS, green fluorescent protein (GFP) dsRNA, and HlP0 dsRNA. The results showed that ticks treated with HlP0 dsRNA obtained a strikingly lower body weight (2.63+/-1.21 mg vs. 226.75+/-74.80 mg in the PBS-injected group and 231.15+/-51.32 mg in the GFP dsRNA-injected group, Student's t-test, P<0.01), a lower engorgement rate (4% vs. 100% and 94.11%, respectively), and higher mortality (96% vs. 2.5% and 10.4%, respectively) after blood-sucking than the control groups. This suggests that ribosomal protein P0 is required for the blood ingestion and subsequent viability of H. longicornis. This is the first report of ribosomal protein P0 from ticks. PMID- 18155839 TI - Development and evaluation of a recombinant antigen-based ELISA for serodiagnosis of cattle lungworm. AB - An optimised enzyme-linked immunosorbent assay (ELISA) for the detection of Dictyocaulus viviparous-specific antibodies was developed and evaluated following the testing of various microtitration plates and anti-bovine Ig-conjugates. Based on recombinant major sperm protein (MSP) expressed as a glutathione-S-transferase (GST) fusion protein in Escherichia coli, sera collected from 112 cattle experimentally infected with D. viviparus, from 129 helminth-naive calves, 8 calves experimentally infected with Ostertagia ostertagi, and 2 calves infected with Cooperia oncophora were tested. ELISA results showed a calculated specificity and sensitivity as well as positive and negative predictive values of >99%. No cross-reactions with sera from calves infected with O. ostertagi or C. oncophora were observed. Lungworm-specific immunoglobulins were first detected from 28 to 35 days post-infection onwards. To differentiate between antibody binding to the MSP-part or the GST-part of the fusion protein, additional ELISAs were performed using pure recombinant MSP or GST. Optical densities obtained from the ELISAs with the MSP showed a similar pattern to optical densities measured in the ELISAs with the fusion protein, whereas GST gave only a low background. By testing serum samples from naturally infected calves, it was found that the MSP ELISA is positive even for sera from calves showing very low faecal larval counts. Thus, we conclude that the ELISA using the recombinant MSP-fusion protein appears to be a suitable method for routine diagnosis and epidemiological studies of cattle lungworm. PMID- 18155840 TI - Mixed infection by Libyostrongylus douglassii and L. dentatus (Nematoda: Trichostrongylidae) in Struthio camelus (Ratites: Struthioniformes) from Brazil with further morphological characterization of adults. AB - The genus Libyostrongylus includes three species, L. douglassii, L. dentatus and L. magnus that occur as parasites in the proventriculus of Struthio camelus. We confirmed a mixed infection by L. douglassii and L. dentatus in farmed ostriches from the southeast of Brazil for the first time, and provided new information on some morphological characters that differentiate these species. Adult nematodes collected from the proventriculus of ostriches were observed by light and scanning electron microscopy. Morphologic characterization and morphometric analysis of the nematodes enabled the distinction of both species and corroborated results of prior studies. Specimens of L. dentatus have a buccal capsule with a prominent esophageal tooth. Furthermore, males and females of L. dentatus were larger (4954 and 9347 microm) than those of L. douglassii (3411 and 4229 microm), but measurements for most characters in both species were smaller then those previously reported. Besides, the cephalic structure based on scanning electron microscopy differs, and L. dentatus has thick lips with round papillae, whereas L. douglassii has fine lips with lengthened papillae. The confirmation of both species in South America strongly suggests that the mixed infection may be common in farmed ostriches. PMID- 18155841 TI - Genetic diversity among sea otter isolates of Toxoplasma gondii. AB - Sea otters (Enhydra lutris) have been reported to become infected with Toxoplasma gondii and at times succumb to clinical disease. Here, we determined genotypes of 39 T. gondii isolates from 37 sea otters in two geographically distant locations (25 from California and 12 from Washington). Six genotypes were identified using 10 PCR-RFLP genetic markers including SAG1, SAG2, SAG3, BTUB, GRA6, c22-8, c29-2, L358, PK1, and Apico, and by DNA sequencing of loci SAG1 and GRA6 in 13 isolates. Of these 39 isolates, 13 (33%) were clonal Type II which can be further divided into two groups at the locus Apico. Two of the 39 isolates had Type II alleles at all loci except a Type I allele at locus L358. One isolate had Type II alleles at all loci except the Type I alleles at loci L358 and Apico. One isolate had Type III alleles at all loci except Type II alleles at SAG2 and Apico. Two sea otter isolates had a mixed infection. Twenty-one (54%) isolates had an unique allele at SAG1 locus. Further genotyping or DNA sequence analysis for 18 of these 21 isolates at loci SAG1 and GRA6 revealed that there were two different genotypes, including the previously identified Type X (four isolates) and a new genotype named Type A (14 isolates). The results from this study suggest that the sea otter isolates are genetically diverse. PMID- 18155842 TI - Comparative efficacy assessment of pentamidine isethionate and diminazene aceturate in the chemotherapy of Trypanosoma brucei brucei infection in dogs. AB - The chemotherapeutic efficacy of diminazene aceturate (Berenil)--a standard veterinary trypanocide and pentamidine isethionate (PMI)--a human trypanocide was compared in dogs experimentally infected with Trypanosoma brucei brucei. Also, the activities of the drugs on some serum liver enzymes were evaluated before and after treatment to ascertain the relative safety of the drugs. Fifteen local dogs (mongrels) were used for the study. Three of the dogs were uninfected controls, and twelve were infected with a stock of T. brucei brucei. Three of the infected dogs were untreated controls, three were given diminazene aceturate (DA) at 7 mg/kg body weight intramuscularly (i/m), another three received pentamidine isethionate (PMI) at 4 mg/kg i/m on days 14, 17, 19, 27, 29, and 31 post infection (PI) and the remaining three dogs were also given same dose of PMI on days 14, 16, 18, 20, 22, 24 and 26 PI. Both trypanocides effectively cleared the parasites from the blood of the infected treated dogs. However, the infection subsequently relapsed at day 42 PI in one of the dogs in the DA treated group which later died at day 70 PI. Relapse infection was not recorded with the PMI treated groups although two dogs died in the PMI treated group II (treatment at days 14, 17, 19, 27, 29, and 31 PI) without showing relapsed parasitaemia. The packed cell volume (PCV), red blood cell (RBC) count, and haemoglobin (Hb) level which decreased significantly following infection, were reversed by the trypanocidal treatment. The reversal in the red cell values was faster in the PMI treated groups than in the DA treated group. The serum alkaline phosphate (SAP), aspartate aminotransferase (AST), and alanine aminotransferase (ALT) levels increased following infection and drug administration. The increase in the enzyme levels was greater in the DA treated groups than PMI treated groups. It was thus concluded that PMI given at 4 mg/kg i/m at days 14, 16, 18, 20, 22, 24, and 26 PI constituted a safe and efficient trypanocide and exhibited a superior trypanocidal action than DA in T. brucei brucei infected dogs. PMID- 18155843 TI - A global overview of burns research highlights the need for forming networks with the developing world. PMID- 18155844 TI - Amputation of the penis due to electrical burn--role of prefabricated urethra in penile reconstruction. AB - Amputation of the penis due to electrical burns is not rare in India. There are many methods of penile reconstruction and same is true for urethral reconstruction. We describe the use of prefabricated radial fascial urethra with good results in such patients. PMID- 18155845 TI - Oxidative stress and the deleterious consequences to the rat cochlea after prenatal chronic mild exposure to carbon monoxide in air. AB - Pregnant rats (starting on E5) were exposed chronically to carbon monoxide (CO) from gestational days 5-20. In the postnatal period, rat pups were grouped as follows: group A: prenatal exposure to CO only; group B: prenatal exposure to CO then exposed to CO from postnatal day (P) 5 to P20; group C, control (air without CO). Groups A and B showed similar deleterious effects after CO exposure. At P3, rat pup cochlea from group A showed a normal organization of the organ of Corti. There was no morphological deterioration, or loss of inner or outer hair cells. At P20, animals from group A and B showed vacuolization on the afferent terminals at the basal portion of the cochlea. We found synapsin-1 immunoreactivity (IR) to be decreased in efferent nerve terminals in CO-exposed pups at P3. From P12 to P20, synapsin-1-IR is low in efferent terminals. At P20, type I spiral ganglia neurons and afferent nerve fibers showed decreased neurofilament-IR in CO-exposed groups when compared with controls. Heme oxygenase-1 and superoxide dismutase-1 IR were elevated in the stria vascularis and blood vessels from CO-exposed rat pups at P12 and P20 in group B; in contrast group A showed a comparable expression to controls. Inducible nitric oxide synthase (iNOS) and nitrotyrosine IR were increased in blood vessels of the cochlea in CO-exposed groups, from P3 to P20. iNOS up-regulation and the presence of nitrotyrosine in blood vessels of the cochlea indicated that CO exposure activates the production of nitric oxide via increased iNOS activity. Prenatal chronic CO exposure promotes oxidative stress in the cochlea blood vessels that in turn is reflected in damage to spiral ganglia neurons and inner hair cells, suggesting for the first time that prenatal exposure to CO at concentrations expected in poorly ventilated environments impairs the development of the inner ear. PMID- 18155846 TI - Plaque-bearing mice with reduced levels of oligomeric amyloid-beta assemblies have intact memory function. AB - The amyloid-beta (Abeta) protein exists in the aging mammalian brain in diverse assembly states, including amyloid plaques and soluble Abeta oligomers. Both forms of Abeta have been shown to impair neuronal function, but their precise roles in Alzheimer's disease (AD) -associated memory loss remain unclear. Both types of Abeta are usually present at the same time in the brain, which has made it difficult to evaluate the effects of plaques and oligomers individually on memory function. Recently, a particular oligomeric Abeta assembly, Abeta 56, was found to impair memory function in the absence of amyloid plaques. Until now it has not been possible to determine the effects of plaques, in the absence of Abeta oligomers, on memory function. We have identified Tg2576 mice with plaques but markedly reduced levels of Abeta oligomers, which enabled us to study the effects of plaques alone on memory function. We found that animals with amyloid plaques have normal memory function throughout an episode of reduced Abeta oligomers, which occurs during a period of accelerated amyloid plaque formation. These observations support the importance of Abeta oligomers in memory loss and indicate that, at least initially, amyloid plaques do not impair memory. PMID- 18155847 TI - Dopamine and cyclic-AMP regulated phosphoprotein-32-dependent modulation of prefrontal cortical input and intercellular coupling in mouse accumbens spiny and aspiny neurons. AB - The roles of dopamine and cyclic-AMP regulated phosphoprotein-32 (DARPP-32) in mediating dopamine (DA)-dependent modulation of corticoaccumbens transmission and intercellular coupling were examined in mouse accumbens (NAC) neurons by both intracellular sharp electrode and whole cell recordings. In wild-type (WT) mice bath application of the D2-like agonist quinpirole resulted in 73% coupling incidence in NAC spiny neurons, compared with baseline (9%), whereas quinpirole failed to affect the basal coupling (24%) in slices from DARPP-32 knockout (KO) mice. Thus, D2 stimulation attenuated DARPP-32-mediated suppression of coupling in WT spiny neurons, but this modulation was absent in KO mice. Further, whole cell recordings revealed that quinpirole reversibly decreased the amplitude of cortical-evoked excitatory postsynaptic potentials (EPSPs) in spiny neurons of WT mice, but this reduction was markedly attenuated in KO mice. Bath application of the D1/D5 agonist SKF 38393 did not alter evoked EPSP amplitude in WT or KO spiny neurons. Therefore, DA D2 receptor regulation of both cortical synaptic (chemical) and local non-synaptic (dye coupling) communications in NAC spiny neurons is critically dependent on intracellular DARPP-32 cascades. Conversely, in fast-spiking interneurons, blockade of D1/D5 receptors produced a substantial decrease in EPSP amplitude in WT, but not in KO mice. Lastly, in putative cholinergic interneurons, cortical-evoked disynaptic inhibitory potentials (IPSPs) were attenuated by D2-like receptor stimulation in WT but not KO slices. These data indicate that DARPP-32 plays a central role in 1) modulating intercellular coupling, 2) cortical excitatory drive of spiny and aspiny GABAergic neurons, and 3) local feedforward inhibitory drive of cholinergic-like interneurons within accumbens circuits. PMID- 18155848 TI - Calcium-signaling networks in olfactory receptor neurons. AB - The olfactory neuroepithelium represents a unique interface between the brain and the external environment. Olfactory function comprises a distinct set of molecular tasks: sensory signal transduction, cytoprotection and adult neurogenesis. A multitude of biochemical studies has revealed the central role of Ca(2+) signaling in the function of olfactory receptor neurons (ORNs). We set out to establish Ca(2+)-dependent signaling networks in ORN cilia by proteomic analysis. We subjected a ciliary membrane preparation to Ca(2+)/calmodulin affinity chromatography using mild detergent conditions in order to maintain functional protein complexes involved in olfactory Ca(2+) signaling. Thus, calmodulin serves as a valuable tool to gain access to novel Ca(2+)-regulated protein complexes. Tandem mass spectrometry (nanoscale liquid-chromatography electrospray injection) identified 123 distinct proteins. Ninety-seven proteins (79%) could be assigned to specific olfactory functions, including 32 to sensory signal transduction and 40 to cytoprotection. We point out novel perspectives for research on the Ca(2+)-signaling networks in the olfactory system of the rat. PMID- 18155849 TI - Fos expression in pontomedullary catecholaminergic cells following rapid eye movement sleep-like episodes elicited by pontine carbachol in urethane anesthetized rats. AB - Pontine noradrenergic neurons of the locus coeruleus (LC) and sub-coeruleus (SubC) region cease firing during rapid eye movement sleep (REMS). This plays a permissive role in the generation of REMS and may contribute to state-dependent modulation of transmission in the CNS. Whether all pontomedullary catecholaminergic neurons, including those in the A1/C1, A2/C2 and A7 groups, have REMS-related suppression of activity has not been tested. We used Fos protein expression as an indirect marker of the level of neuronal activity and linear regression analysis to determine whether pontomedullary cells identified by tyrosine hydroxylase (TH) immunohistochemistry have reduced Fos expression following REMS-like state induced by pontine microinjections of a cholinergic agonist, carbachol in urethane-anesthetized rats. The percentage of Fos-positive TH cells was negatively correlated with the cumulative duration of REMS-like episodes induced during 140 min prior to brain harvesting in the A7 and rostral A5 groups bilaterally (P < 0.01 for both), and in SubC neurons on the side opposite to carbachol injection (P < 0.05). Dorsal medullary A2/C2 neurons did not exhibit such correlation, but their Fos expression (and that in A7, rostral A5 and SubC neurons) was positively correlated with the duration of the interval between the last REMS-like episode and the time of perfusion (P < 0.05). In contrast, neither of these correlations was significant for A1 /C1 or caudal A5 neurons. These findings suggest that, similar to the prototypic LC neurons, neurons of the A7, rostral A5 and A2/C2 groups have reduced or abolished activity during REMS, whereas A1 /IC1 and caudal A5 neurons do not have this feature. The reduced activity of A2/C2, A5 and A7 neurons during REMS, and the associated decrements in norepinephrine release, may cause state-dependent modulation of.transmission in brain somato- and viscerosensory, somatomotor, and cardiorespiratory pathways. PMID- 18155851 TI - Modification of membrane excitability of neurons in the rat's dorsal cortex of the inferior colliculus by preceding hyperpolarization. AB - The inferior colliculus (IC) is among the largest nuclei in the central auditory system and is considered to be a major integration center in the auditory pathway. To understand how IC contributes to auditory processing, we investigated the effects of preceding hyperpolarization on membrane excitability and firing behavior of neurons located in the dorsal cortex of the inferior colliculus (ICD). We made whole-cell patch clamp recordings from ICD neurons (n=96) in rat brain slices. We classified ICD neurons into three types, i.e. sustained-regular, sustained-adapting and buildup, according to their responses to depolarizing current injection. Nearly 91% of the neurons had sustained firing throughout the period of current injection, showing either regular or adapting pattern. About 9% of the neurons exhibited a buildup pattern, in which sustained firing started after a long delay. Rebound depolarization and spikes after hyperpolarization were seen in 51.7% of the sustained neurons, but were not seen in buildup neurons. When depolarizing current was preceded by a hyperpolarizing current, various forms of the modification on membrane excitability were observed. For non rebound neurons, the membrane excitability was either suppressed or unchanged after pre-hyperpolarization. The first spike latency lengthened in neurons whose firing changed to a buildup pattern, shortened in those whose firing changed to a pauser pattern, and remained unchanged in those whose discharge pattern remained sustained. For rebound neurons, the firing rate decreased in neurons whose firing pattern was changed to onset or pauser, increased in neurons whose firing was changed to adapting, or remained unchanged in neurons whose firing became irregular. The first spike latency was shortened in all the rebound cells. The results suggest that intrinsic membrane properties can play an important role in integration of excitatory and inhibitory inputs and thereby in determination of the output of ICD neurons. PMID- 18155850 TI - Encoding of temporal features of auditory stimuli in the medial nucleus of the trapezoid body and superior paraolivary nucleus of the rat. AB - Neurons in the superior paraolivary nucleus (SPON) of the rat respond to the offset of pure tones with a brief burst of spikes. Medial nucleus of the trapezoid body (MNTB) neurons, which inhibit the SPON, produce a sustained pure tone response followed by an offset response characterized by a period of suppressed spontaneous activity. This MNTB offset response is duration dependent and critical to the formation of SPON offset spikes [Kadner A, Kulesza RJ Jr, Berrebi AS (2006) Neurons in the medial nucleus of the trapezoid body and superior paraolivary nucleus of the rat may play a role in sound duration coding. J Neurophysiol. 95:1499-1508; Kulesza RJ Jr, Kadner A, Berrebi AS (2007) Distinct roles for glycine and GABA in shaping the response properties of neurons in the superior paraolivary nucleus of the rat. J Neurophysiol 97:1610-1620]. Here we examine the temporal resolution of the rat's MNTB/SPON circuit by assessing its capability to i) detect gaps in tones, and ii) synchronize to sinusoidally amplitude modulated (SAM) tones. Gap detection was tested by presenting two identical pure tone markers interrupted by gaps ranging from 0 to 25 ms duration. SPON neurons responded to the offset of the leading marker even when the two markers were separated only by their ramps (i.e. a 0 ms gap); longer gap durations elicited progressively larger responses. MNTB neurons produced an offset response at gap durations of 2 ms or longer, with a subset of neurons responding to 0 ms gaps. SAM tone stimuli used the unit's characteristic frequency as a carrier, and modulation rates ranged from 40 to 1160 Hz. MNTB neurons synchronized to modulation rates up to approximately 1 kHz, whereas spiking of SPON neurons decreased sharply at modulation rates >or=400 Hz. Modulation transfer functions based on spike count were all-pass for MNTB neurons and low-pass for SPON neurons; the modulation transfer functions based on vector strength were low-pass for both nuclei, with a steeper cutoff for SPON neurons. Thus, the MNTB/SPON circuit encodes episodes of low stimulus energy, such as gaps in pure tones and troughs in amplitude modulated tones. The output of this circuit consists of brief SPON spiking episodes; their potential effects on the auditory midbrain and forebrain are discussed. PMID- 18155853 TI - Looking for the answer: the mind's eye in number space. AB - Human subjects' answer to questions like "what number is halfway between 2 and 8" provides insights into spatial attention mechanisms involved in numerical processing. Here we show that mental numerical bisections are accompanied by a systematic pattern of horizontal eye movements: processing of a large number followed by a small number is accompanied with leftward eye movements, a tendency less pronounced or even reversed for the processing of a small number followed by a large number. The eyes thus appear to move along a left-to-right-oriented number line, indicating that shifts of attention in representational space are accompanied by an ocular motor orienting response. These results add to the growing evidence for a convergence of numerical processing, spatial attention, and movement planning in the parietal and frontal lobes. They also demonstrate the homologous relationship between our internal representations of numbers and space, and show that the concept of "number space" is more than a mere metaphor. PMID- 18155852 TI - Projections of low spontaneous rate, high threshold auditory nerve fibers to the small cell cap of the cochlear nucleus in cats. AB - The marginal shell of the anteroventral cochlear nucleus houses small cells that are distinct from the overlying microneurons of the granule cell domain and the underlying projection neurons of the magnocellular core. This thin shell of small cells and associated neuropil receives auditory nerve input from only the low (<18 spikes/s) spontaneous rate (SR), high threshold auditory nerve fibers; high SR, low threshold fibers do not project there. It should be noted, that most of these auditory nerve terminations reside in the neuropil and intermix with dendrites that originate outside the shell. Consequently, electron microscopy is necessary to determine the synaptic targets. For this report, the terminations of intracellularly labeled low SR auditory nerve fibers in the small cell of cats cap were mapped through serial sections using a light microscope. The terminals were then examined with an electron microscope and found to form synapses with the somata and dendrites of small cells. Moreover, the small cell dendrites were identifiable by an abundance of microtubules and the presence of polyribosomes that were free or associated with membranous cisterns. These data contribute to the concept of a high threshold feedback circuit to the inner ear, and reveal translational machinery for local control of activity-dependent synaptic modification. PMID- 18155854 TI - The mood-induced activation of implicit alcohol cognition in enhancement and coping motivated drinkers. AB - In two experiments, we investigated whether different mood states activate specific types of implicit alcohol cognition among undergraduates classified as enhancement (EM) or coping (CM) motivated drinkers. Participants completed a Stroop task in Experiment 1 (n=81), and an Extrinsic Affective Simon Task (EAST; [De Houwer, J. (2003). The Extrinsic Affective Simon Task. Experimental Psychology, 50, 77-85.]) in Experiment 2 (n=79) following random assignment to listen to positive or negative musical mood induction procedures (MMIP). Consistent with hypotheses, only EM, and not CM, drinkers displayed an activation of implicit attention to alcohol cues (Experiment 1) and reward-alcohol implicit associations (Experiment 2) following exposure to positive MMIP. Contrary to hypotheses for CM drinkers, none of the groups, in either experiment, showed an activation of implicit alcohol processing following exposure to negative MMIP. Confidence that positive mood activates implicit alcohol cognition among EM drinkers is increased since this result emerged across two studies involving quite different methodologies. This research has implications for experimental cognitive research and it highlights the potential utility of treatment matching according to drinking motives (e.g., EM) to improve clinical outcomes. PMID- 18155855 TI - Thymectomy: a potential therapeutic method for autoimmune diseases besides myasthenia gravis. PMID- 18155857 TI - Molecular evolution of the MLO gene family in Oryza sativa and their functional divergence. AB - The present study identified 12 MLO genes in rice that were located on chromosomes 1, 2, 3, 4, 5, 6, 10, and 11 respectively without any obvious clustering. On a genome scale we showed that the expansion of rice MLO gene family was primarily attributed to segmental duplication produced by polyploidy, rather than through tandem amplification. Gene conversion events should also play important roles in the evolution of MLO genes. The results of relative rate ratio test and maximum likelihood analysis suggested that positive selection should have occurred after gene duplication and/or speciation, prompting the formation of distinct MLO subfamilies. Functional divergence analysis provided statistical evidence for shifted evolutionary rate after gene duplication. Compared to extracellular loop 3 and Ca(2+)-binding domain, much stronger functional constraints should impose on intracellular loop 2, although all of the three regions might be under purifying selection. The sliding window analysis of d(N)/d(S) ratio values identified one sequence region where strong functional constraints must impose on, and consequently should be crucial for functionality of MLO genes. PMID- 18155856 TI - Interactions between implicit and explicit cognition and working memory capacity in the prediction of alcohol use in at-risk adolescents. AB - Dual process models of addiction suggest that the influence of alcohol-related cognition might be dependent on the level of executive functioning. This study investigated if the interaction between implicit and explicit alcohol-related cognitions and working memory capacity predicted alcohol use after 1 month in at risk youth. Implicit and explicit alcohol-related cognitions were assessed in 88 Dutch at-risk adolescents ranging in age from 14 to 20 (51 males) with an adapted version of the Implicit Association Test (IAT) and an expectancy questionnaire. Working memory capacity was assessed using the computer-based version of the Self Ordered Pointing Task (SOPT). Alcohol use and alcohol-related problems were measured at baseline and after 1 month with self-report questionnaires. The hierarchical regression analysis showed that both the interaction between implicit positive-arousal cognitions and working memory capacity and the interaction between explicit positive-arousal cognitions and working memory capacity predicted unique variance in alcohol use after 1 month. Implicit positive-arousal cognitions predicted alcohol use after 1 month more strongly in students with lower levels of working memory capacity, whereas explicit positive arousal cognitions predicted 1-month follow-up alcohol use more strongly in students with higher levels of working memory capacity. This could imply that different intervention methods could be effective for different subgroups of at risk youth. PMID- 18155858 TI - ISWpi1 from Wolbachia pipientis defines a novel group of insertion sequences within the IS5 family. AB - Insertion sequences are transposable elements that can represent substantial proportions of prokaryotic genomes and play a substantial role in shaping host genome evolution. As such, evaluating and understanding insertion sequence diversity is an important task to fulfill, because it is expected to yield new insight into the evolution of bacterial transposable elements and contribute to improve genome annotations. Here, I characterized an insertion sequence, termed ISWpi1, for which the taxonomic distribution appears to be restricted to the obligate intracellular alpha-Proteobacterium Wolbachia pipientis. ISWpi1 exhibits approximately 46% identity at the amino acid level with members of the IS1031 group of insertion sequences from the IS5 family. However, the IS1031 group is characterized by a transposase gene encoded by a single open reading frame, whereas the ISWpi1 transposase gene consists of two overlapping open reading frames presumably translated as a single protein via programmed translational frameshifting. Such structure suggests that ISWpi1 may instead be related to the IS427 group of insertion sequences from the IS5 family. Altogether, these data indicate that ISWpi1 extends the known spectrum of diversity of the IS5 family, and I propose to define a novel group of insertion sequences within the IS5 family typified by ISWpi1. Probable transpositional activity, relevant insertion site preferences and taxonomic specificity make ISWpi1 a promising tool for experimentally manipulating W. pipientis bacteria, especially in light of the increasing interest in developing these bacteria as tools for controlling insect disease vectors and agricultural pests. PMID- 18155859 TI - Bisphenol A is released from polycarbonate drinking bottles and mimics the neurotoxic actions of estrogen in developing cerebellar neurons. AB - The impact of endocrine disrupting chemical (EDC) exposure on human health is receiving increasingly focused attention. The prototypical EDC bisphenol A (BPA) is an estrogenic high-production chemical used primarily as a monomer for the production of polycarbonate and epoxy resins. It is now well established that there is ubiquitous human exposure to BPA. In the general population, exposure to BPA occurs mainly by consumption of contaminated foods and beverages that have contacted epoxy resins or polycarbonate plastics. To test the hypothesis that bioactive BPA was released from polycarbonate bottles used for consumption of water and other beverages, we evaluated whether BPA migrated into water stored in new or used high-quality polycarbonate bottles used by consumers. Using a sensitive and quantitative competitive enzyme-linked immunosorbent assay, BPA was found to migrate from polycarbonate water bottles at rates ranging from 0.20 ng/h to 0.79 ng/h. At room temperature the migration of BPA was independent of whether or not the bottle had been previously used. Exposure to boiling water (100 degrees C) increased the rate of BPA migration by up to 55-fold. The estrogenic bioactivity of the BPA-like immunoreactivity released into the water samples was confirmed using an in vitro assay of rapid estrogen signaling and neurotoxicity in developing cerebellar neurons. The amounts of BPA found to migrate from polycarbonate drinking bottles should be considered as a contributing source to the total "EDC-burden" to which some individuals are exposed. PMID- 18155860 TI - Attenuation of eNOS expression in cadmium-induced hypertensive rats. AB - Cadmium (Cd) has been reported to induce hypertension in both humans and animals; however, its mechanism has not been clearly elucidated. Vascular tone is one of the factors contributing to hypertension. This study was conducted to investigate the effects of Cd exposure on vascular muscarinic receptor responses to acetylcholine (ACh) in isolated aortas. Male Sprague-Dawley rats were exposed to Cd via drinking water (5, 10 and 50 ppm) for 3 months. Cd 10 and 50 ppm exposure caused significant decreases in the sensitivity of vascular muscarinic receptors to ACh. However, Cd exposure did not alter the vascular relaxation induced by sodium nitroprusside (SNP) which is a nitric oxide donor. Consistent with the reduction of ACh-induced relaxation, treatment with Cd decreased endothelial nitric oxide synthase (eNOS) protein level in blood vessels. These results suggested that Cd suppressed ACh-induced vascular relaxation by interfering with muscarinic receptor function, and its downstream signaling pathway may be one of the contributing factors for the development of hypertension. PMID- 18155862 TI - Variation in male sexual behavior. AB - Relaxation of natural selection on sexual performance traits in male ruminants has increased phenotypic variation in these heritable traits. Thus, males with sub-standard sexual performance continue to reproduce. This has created a "dud" phenomenon that is costly to animal agriculture. Identification and culling of these lesser performers at an early age and identification of high performing males are critical management goals that must be addressed, and for which greater research priority is needed. PMID- 18155861 TI - Impact of environmental pollutants on the male: effects on germ cell differentiation. AB - A variety of so-called innocuous chemicals can have insidious and long lasting effects on the developing male reproductive system. Developmental exposures of male rabbits to common industrial contaminants in drinking water (a mixture of arsenic, chromium, lead, benzene, chloroform, phenol, and trichloroethylene); alkyl phenols (e.g. octylphenol); water disinfection by-products (e.g. dibromoacetic acid); anti-androgenic pesticides (e.g. p,p'-DDT and vinclozolin); and plasticizers (e.g. dibutyl phthalate) produce testicular dysgenesis. The lesions include testicular carcinoma in situ, also called intratubular germ cell neoplasia--the precursor lesion of germ cell tumors in men, and acrosomal dysgenesis--characterized by sharing of a dysplastic acrosome by two or more spermatids resulting in characteristic sperm acrosomal-nuclear malformations. Certain manifestations of testicular dysgenesis arch across environmental agents, and sequelae of intentional developmental exposures of rabbits duplicate what has been encountered in deer, horses, and humans for which the etiology is uncertain. PMID- 18155863 TI - Testicular and epididymal sperm reserves and sperm production of pubertal boars fed dietary fumonisin B(1). AB - Twenty-four male Large White weaning pigs of 8-9 weeks of age averaging 6.94+/ 0.26 kg were used to evaluate the effect of dietary fumonisin B(1) (FB(1)) on sperm reserves and production of pubertal boars. The animals were randomly assigned to 4 diets containing 0.2, 5.0, 10.0 and 15.0 mg FB(1)/kg constituting the control, diets 1, 2 and 3, respectively, in a 6-month feeding trial. Dietary FB(1) above 5mg/kg significantly (P<0.05) reduced testicular and epididymal sperm reserves as well as the daily sperm production (DSP) per boar. The total caudal sperm reserves of the animals on diets 2 and 3 were about 70% of those on the control diet. The DSP of the animals on the control diet and diet 1 were significantly (P<0.05) higher than those on diets 2 and 3. The study revealed that male weaning pigs for breeding should not be exposed to dietary FB(1) higher than 5mg/kg for no suppression in sperm production and reproductive performance. PMID- 18155865 TI - Preliminary study of the anti-inflammatory activity of hexane extract and fractions from Bursera simaruba (Linneo) Sarg. (Burseraceae) leaves. AB - Bursera simaruba (L.) Sarg. leaves hexane extracts display anti-inflammatory activity on the adjuvant-carrageenan-induced inflammation in rats. In order to isolate and identify the active compounds of the hexane extract, we performed a preliminary phytochemical study and a bioassay-directed fractionation using the carrageenan-induced paw oedema test in mice. From the nine fractions (A-I) obtained, of an initial chromatographic separation, fractions A and E (doses equivalents to 1.50 g dry plant/kg body weight) showed the strongest anti inflammatory activity comparable to that of the reference drug phenylbutazone (80 mg/kg). The isolation and characterization of 3-methylene-7,11,15 trimethylhexadec-1-ene (neophytadiene) (1), ergost-5-en-3beta-ol (2), 24S stigmast-5,22E-dien-3beta-ol (3), 24S-stigmast-5-en-3beta-ol (4) and alpha-amyrin (5), from these fractions is reported. PMID- 18155864 TI - Effect of Bauhinia forficata aqueous extract on the maternal-fetal outcome and oxidative stress biomarkers of streptozotocin-induced diabetic rats. AB - ETHNOPHARMACOLOGICAL RELEVANCE: Bauhinia forficata Link, commonly known as "paw of-cow", is widely used in Brazilian folk medicine for the treatment of diabetes. AIM OF THIS STUDY: To evaluate the effect of Bauhinia forficata treatment on maternal-fetal outcome and antioxidant systems of streptozotocin-induced diabetic rats. MATERIALS AND METHODS: Virgin female Wistar rats were injected with 40 mg/kg streptozotocin before mating. Oral administration of an aqueous extract of Bauhinia forficata leaves was given to non-diabetic and diabetic pregnant rats at increasing doses: 500 mg/kg from 0 to 4th day of pregnancy, 600 mg/kg from 5th to 14th day and 1000 mg/kg from 15th to 20th day. At day 21 of pregnancy the rats were anaesthetized with ether and a maternal blood sample was collected for the determination superoxide dismutase (SOD) and reduced glutathione (GSH). The gravid uterus was weighed with its contents and fetuses were analyzed. RESULTS AND CONCLUSION: The data showed that the diabetic dams presented an increased glycemic level, resorption, placental weight, placental index, and fetal anomalies, and reduced GSH and SOD determinations, live fetuses, maternal weight gain, gravid uterine weight, and fetal weight. It was also verified that Bauhinia forficata treatment had no hypoglycemic effect, did not improve maternal outcomes in diabetic rats, but it contributed to maintain GSH concentration similarly to non-diabetic groups, suggesting relation with the decreased incidence of visceral anomalies. PMID- 18155866 TI - Comparison of FDG-PET, PET/CT and MRI for follow-up of colorectal liver metastases treated with radiofrequency ablation: initial results. AB - PURPOSE: Morphologic imaging after radiofrequency ablation (RFA) of liver metastases is hampered by rim-like enhancement in the ablation margin, making the identification of local tumor progression (LTP) difficult. Follow-up with PET/CT is compared to follow-up with PET alone and MRI after RFA. METHODS AND MATERIALS: Sixteen patients showed 25 FDG-positive colorectal liver metastases in pre interventional PET/CT. Post-interventional PET/CT was performed 24h after ablation and was repeated after 1, 3 and 6 months and then every 6 months. PET and PET/CT data were compared with MR data sets acquired within 14 days before or after these time points. Either histological proof by biopsy or resection, or a combination of contrast-enhanced CT at fixed time points and clinical data served as a reference. RESULTS: The 25 metastases showed a mean size of 20mm and were treated with 39 RFA sessions. Ten lesions which developed LTP received a second round of RFA; four lesions received three rounds of treatment. The mean follow-up time was 22 months. Seventy-two PET/CT and 57 MR examinations were performed for follow-up. The accuracy and sensitivity for tumor detection was 86% and 76% for PET alone, 91% and 83% for PET/CT and 92% and 75% for MRI, respectively. CONCLUSIONS: In comparison to PET alone, PET/CT was significantly better for detecting LTP after RFA. There were no significant differences between MRI and PET/CT. These preliminary results, however, need further verification. PMID- 18155867 TI - Cardiac cine MRI: comparison of 1.5 T, non-enhanced 3.0 T and blood pool enhanced 3.0 T imaging. AB - INTRODUCTION: Cardiac cine imaging using balanced steady state free precession sequences (bSSFP) suffers from artefacts at 3.0 T. We compared bSSFP cardiac cine imaging at 1.5 T with gradient echo imaging at 3.0 T with and without a blood pool contrast agent. MATERIALS AND METHODS: Eleven patients referred for cardiac cine imaging underwent imaging at 1.5 T and 3.0 T. At 3.0 T images were acquired before and after administration of 0.03 mmol/kg gadofosveset. Blood pool signal to-noise ratio (SNR), temporal variations in SNR, ejection fraction and myocardial mass were compared. Subjective image quality was scored on a four point scale. RESULTS: Blood pool SNR increased with more than 75% at 3.0 T compared to 1.5 T (p<0.001); after contrast administration at 3.0 T SNR increased with 139% (p<0.001). However, variations in blood pool SNR at 3.0 T were nearly three times as high versus those at 1.5 T in the absence of contrast medium (p<0.001); after contrast administration this was reduced to approximately a factor 1.4 (p=0.21). Saturation artefacts led to significant overestimation of ejection fraction in the absence of contrast administration (1.5 T: 44.7+/-3.1 vs. 3.0 T: 50.7+/-4.2 [p=0.04] vs. 3.0 T post contrast: 43.4+/-2.9 [p=0.55]). Subjective image quality was highest for 1.5 T (2.8+/-0.3), and lowest for non enhanced 3.0 T (1.7+/-0.6; p=0.006). CONCLUSIONS: GRE cardiac cine imaging at 3.0 T after injection of the blood pool agent gadofosveset leads to improved objective and subjective cardiac cine image quality at 3.0 T and to the same conclusions regarding cardiac ejection fraction compared to bSSFP imaging at 1.5 T. PMID- 18155868 TI - Thyroid cancer and CT. PMID- 18155869 TI - Simultaneous determination of metoprolol succinate and amlodipine besylate in pharmaceutical dosage form by HPLC. AB - A simple, precise, specific and accurate reverse phase HPLC method has been developed for the simultaneous determination of metoprolol succinate (MS) and amlodipine besylate (AB) in tablet dosage form. The chromatographic separation was achieved on Hypersil BDS cyano (250 mm x 4.6 mm, 5 microm) column using PDA detector. The mobile phase consisting of buffer (aqueous triethylamine pH 3) and acetonitrile in the ratio of 85:15 (v/v) at a flow rate of 1.0 mL/min was used. The method was validated according to the ICH guidelines with respect to specificity, linearity, accuracy, precision and robustness. PMID- 18155870 TI - Electrical/electrochemical impedance for rapid detection of foodborne pathogenic bacteria. AB - The realization of rapid, sensitive, and specific methods to detect foodborne pathogenic bacteria is central to implementing effective practice to ensure food safety and security. As a principle of transduction, the impedance technique has been applied in the field of microbiology as a means to detect and/or quantify foodborne pathogenic bacteria. The integration of impedance with biological recognition technology for detection of bacteria has led to the development of impedance biosensors that are finding wide-spread use in the recent years. This paper reviews the progress and applications of impedance microbiology for foodborne pathogenic bacteria detection, particularly the new aspects that have been added to this subject in the past few years, including the use of interdigitated microelectrodes, the development of chip-based impedance microbiology, and the use of equivalent circuits for analysis of the impedance systems. This paper also reviews the significant developments of impedance biosensors for bacteria detection in the past 5 years, focusing on microfabricated microelectrodes-based and microfluidic-based Faradaic electrochemical impedance biosensors, non-Faradaic impedance biosensors, and the integration of impedance biosensors with other techniques such as dielectrophoresis and electropermeabilization. PMID- 18155871 TI - Long-term safety of cilostazol in patients with peripheral artery disease: the CASTLE study (Cilostazol: A Study in Long-term Effects). AB - BACKGROUND: Cilostazol, a phosphodiesterase III inhibitor, is indicated to treat the symptoms of intermittent claudication and increase walking distance in patients with peripheral arterial disease (PAD). At the time of approval, the United States Food and Drug Administration required an additional long-term safety study to evaluate the effect cilostazol on mortality. METHODS: A total of 1899 subjects with a clinical diagnosis of PAD and symptoms of claudication were screened for participation in a randomized, double-blinded, placebo-controlled safety study of cilostazol. The intent-to-treat (ITT) population, which was the primary analysis (n = 1435), was defined as all randomized patients who received at least one dose of study medication and included patients who were followed up >30 days after discontinuation of study drug. A total of 717 patients received cilostazol and 718 received placebo. Cilostazol was administered at a primary dose of 100 mg twice daily. The dose could be reduced to 50 mg twice daily if patients experienced an adverse event that might have been drug related. RESULTS: Long-term adherence to study medication was poor, with >60% of participants discontinuing therapy by 36 months. The mortality analysis therefore focused on deaths during the period on-treatment, defined as the period during which the study drug was taken plus a 30-day follow-up period after dosing. Total patient years of exposure were 1046 on-treatment for cilostazol and 1090 for placebo. On treatment, there were 18 deaths on cilostazol and 19 deaths on placebo for a hazard ratio of 0.99 (95% confidence interval [CI], 0.52-1.88). Cardiovascular deaths on-treatment occurred in 14 patients on cilostazol and 14 on placebo. In the full ITT population at 36 months, there were 101 deaths, 49 on cilostazol and 52 on placebo, with hazard ratio of 0.94 (95% CI, 0.64-1.39). Thus, most deaths occurred >30 days after study drug discontinuation. Serious bleeding events affected 18 patients taking cilostazol in the on-treatment population and 22 taking placebo. The rates of bleeding events were similar in patients who used aspirin, aspirin plus clopidogrel, or anticoagulants at anytime during the course of the study CONCLUSIONS: This long-term study demonstrated no safety signal for cilostazol on all-cause or cardiovascular mortality. The study, however, was underpowered to detect a small adverse impact of cilostazol on mortality (hazard ratio upper bound of the 95% CI was 1.88 in the on-treatment population). Serious bleeding events appeared not to be increased by cilostazol. PMID- 18155873 TI - Durability of surgery for restenosis after carotid endarterectomy. AB - BACKGROUND: The role of carotid surgery for the management of restenosis after carotid endarterectomy (CEA) is challenged by carotid artery stenting (CAS). We reviewed redo CEA in a consecutive series of patients to determine the safety, durability, and long-term benefit associated with repeat surgical treatment for restenosis. METHODS: A consecutive series of 73 redo procedures in 72 patients (57% men) with a mean age 66 years (range, 49-81 years) was analyzed. The mean interval between prior CEA and redo CEA was 53 months (range, 8-192 months). Operative indications included symptomatic restenosis in 28 patients (38%). A patch angioplasty was performed in 62 patients (85%). The main outcome measures included perioperative and late stroke and death, and the development of secondary restenosis. RESULTS: There were no perioperative deaths or strokes. During a mean follow-up of 52 months (range, 12-144 months), the Kaplan-Meier cumulative survival was 85% at 5 years. At 5 years, the cumulative rate of freedom from all strokes was 98%, and the freedom from ipsilateral stroke was 100%. After secondary procedures, re-recurrent stenosis > or =50% occurred in 10 patients (13.7%). The cumulative freedom from re-restenosis (> or =50%) was 85% at 5 years. Five patients (7%) received tertiary carotid reconstructions. CONCLUSION: Repeat CEA for recurrent stenosis can be performed safely with excellent long-term protection from stroke. These data provide a standard against which the results of CAS can be compared. PMID- 18155872 TI - A randomized multicenter study of the outcome of brachial-basilic arteriovenous fistula and prosthetic brachial-antecubital forearm loop as vascular access for hemodialysis. AB - BACKGROUND: Vascular access is a necessity for patients with end-stage renal disease who need chronic intermittent hemodialysis. According to Kidney Disease Outcomes Quality Initiative (KDOQI) guidelines, radial-cephalic (RC) and brachial cephalic (BC) arteriovenous fistulas (AVF) are the first and second choice for vascular access, respectively. If these options are not possible, an autogenous brachial-basilic fistula in the upper arm (BBAVF) or a prosthetic brachial antecubital forearm loop (PTFE loop) may be considered. Until now, it was not clear which access type was preferable. We have performed a randomized study comparing BBAVF and prosthetic implantation in patients without the possibility for RCAVF or BCAVF. METHODS: Patients with failed primary/secondary access or inadequate arterial and/or venous vessels were randomized for either BBAVF or PTFE loop creation. The numbers of complications and interventions were recorded. Kaplan-Meier method was used to calculate primary, assisted-primary and secondary patency rates. The patency rates were compared with the log-rank test. Complication and intervention rates were compared with the Mann-Whitney test. RESULTS: A total of 105 patients were randomized for a BBAVF or PTFE loop (52 vs 53, respectively). Primary and assisted-primary 1-year patency rates were significantly higher in the BBAVF group: 46% +/- 7.4% vs 22% +/- 6.1% (P = .005) and 87% +/- 5.0% vs 71% +/- 6.7% (P = .045) for the BBAVF and PTFE group, respectively. Secondary patencies were comparable for both groups; 89% +/- 4.6% vs 85% +/- 5.2% for the BBAVF and PTFE group, respectively. The incidence rate of complications was 1.6 per patient-year in the BBAVF group vs 2.7 per patient-year in the PTFE group. Patients in the BBAVF group needed a total of 1.7 interventions per patient-year vs 2.7 per patient-year for the PTFE group. CONCLUSION: These data show a significantly better primary and assisted-primary patency in the BBAVF group compared with the PTFE group. Furthermore, in the BBAVF group, fewer interventions were needed. Therefore, we conclude that BBAVF is the preferred choice for vascular access if RCAVF or BCAVF creation is impossible, or when these types of access have already failed. PMID- 18155874 TI - Equivalent secondary patency rates of upper extremity Vectra Vascular Access Grafts and transposed brachial-basilic fistulas with aggressive access surveillance and endovascular treatment. AB - OBJECTIVES: The 2006 update of the DOQI guidelines has stated that in patients with end-stage renal disease, autogenous radial-cephalic, or brachial-cephalic fistulas are the preferred access modalities, followed by transposed brachial basilic (TBB) fistulas and prosthetic arteriovenous (AV) grafts. AV grafts are in general least preferred; however, there is very limited data comparing directly the last two modalities. The aim of the present study is to compare outcomes of the TBB fistula and the Vectra Vascular Access Graft. METHODS: Seventy-six patients had a prosthetic brachial-axillary Vectra graft placed, while in 41 patients brachial-basilic upper arm transposition was performed. Graft surveillance to detect a failing/failed access was followed by endovascular treatment, rheolytic thrombectomy (AngioJet, Possis Medical), and/or angioplasty +/- stenting of the responsible anatomical lesion(s). RESULTS: Use of Vectra grafts and TBB fistulas started after a median (interquartile range) of 14 (7-30) and 70 (52-102) days, respectively (P < .001), as early as the operative day in some patients with grafts. Postoperative complications were more frequent in TBB fistulas and late complications (mainly access thrombosis) in Vectra grafts. Total number of thrombectomy sessions performed for graft or fistula occlusion was 45 and 7, respectively (P = .032); total number of isolated angioplasty sessions, performed for failing graft or fistula was 31 and 45, respectively (P = .004). Although primary patency of the two access modalities was equivalent, primary assisted patency was significantly reduced in Vectra grafts (70% at 12 months and 58% at 18 months), compared with TBB fistulas (82% at 12 months and 78% at 18 months, P = .033); however, as a result of endovascular intervention, secondary patency rates at 12 months (87% vs 88%) and 18 months (87% vs 83%) were equivalent (P = .91). Presence of arterial anastomosis stenosis treated with angioplasty at any stage had a significant negative predictive value on secondary patency rates at 12 and 18 months which were 61%, compared with 96% for Vectra grafts that had any intra-graft, venous outflow, draining or central vein stenosis treated with angioplasty at any stage (P = .010). CONCLUSIONS: Aggressive graft surveillance and endovascular treatment methods can yield equivalent long-term secondary patency rates between Vectra graft and TBB fistulas. The advantage of earlier use of Vectra graft must be balanced against the need for more frequent secondary interventions and the risk of graft infection. PMID- 18155875 TI - "Medical high risk" designation is not associated with survival after carotid artery stenting. AB - BACKGROUND: While medical high risk (MHR) has been proposed as an indication for carotid artery stenting (CAS), the impact of MHR on long-term survival and stroke after CAS has not been described. METHODS: A retrospective chart review of CAS procedures at our institution was performed. One hundred seventy-nine consecutive patients who underwent 196 CAS procedures were classified by MHR status based on cardiac, pulmonary, and renal criteria routinely used in high-risk clinical trials. Survival and stroke rates were compared after 90 CAS procedures in MHR patients vs 106 CAS procedures in normal risk patients. Survival results were also compared with 365 contemporaneous carotid endarterectomy (CEA) procedures in 346 patients. RESULTS: The mean age of CAS patients was 72 years, with 87% having a smoking history, 85% hypertension, 38% diabetes, 39% symptomatic, and 74% documented coronary artery disease. Mean follow-up was 23 months. Recurrent stenosis after CEA comprised 21% of all CAS procedures. During the 30-day post procedure period, there were five minor strokes, one major stroke, and one death, for a combined stroke/death rate of 3.6%. Kaplan-Meier analysis demonstrated mortality of 5% at 1 year and 21% at 3 years for the entire cohort. Cox regression analysis found that MHR designation was not associated with increased mortality or an increase in a composite end point of death or stroke. MHR patients had mortality of 4% at 1 year and 22% at 3 years. Normal risk patients had mortality of 6% at 1 year and 20% at 3 years. Preoperative age over 80 years old, low density lipoprotein (LDL) > or =160 mg/dL, and serum creatinine > or =1.5 mg/dL conferred statistically significant risk for death (Hazard ratios: 2.9, 4.3, and 2.4, respectively). As a point of comparison, a contemporaneous group of CEA patients were analyzed similarly. After adjusting for age over 80 years old and serum creatinine > or =1.5 mg/dL, there was no survival difference between MHR patients undergoing CAS or CEA. CONCLUSIONS: The presence of MHR did not impact long-term survival or stroke rate after CAS, and overall survival of MHR patients in our series was comparable with risk-adjusted controls undergoing CEA. These results suggest the need for more refined predictors of medical risk to optimally guide patients in selecting carotid revascularization strategies. PMID- 18155876 TI - [Initial presentation and course of lupus membranous glomerulonephritis]. AB - INTRODUCTION: Lupus membranous nephropathy (MN) is associated with a substantial risk of developing end-stage renal disease and may thus be fatal. There is currently no consensus about specific immunosuppressive treatment. We describe the presentation of lupus MN and its course according to type of immunosuppressive treatment. PATIENTS AND METHODS: This retrospective study included all patients with lupus MN (only, not associated with any proliferative nephropathy) hospitalized in the nephrology unit of Ibn Sina University Hospital in Rabat from 1994 through 2005. RESULTS: MN was found in 18 patients, 16.7% of our patients with lupus. The average age at first admission of these 18 was 29+/ 2.1 years (17-52), with a sex ratio of 0.12. The mean follow-up period was 54+/ 31 months (3-130). The initial clinical presentation of MN was marked by the presence of proteinuria, nephrotic in 11 cases. Mean serum creatinine was 18.6+/ 3.9 mg/L. Leukocyturia was noted in 12 cases (67%) and microscopic hematuria in 8 cases (44%). Extrarenal signs were cutaneous (14 cases), articular (14 cases), hematologic (8 cases), cardiac (6 cases) and neurological (4 cases). Patients were treated by corticosteroids only (group 1=7 cases) or by corticosteroids combined with cyclophosphamide in cases of renal insufficiency or neurological signs (group 2=11 cases). Complete remission occurred in 11 cases, and partial remission in the others. Four relapses were observed, including three in group 2. Mean serum creatinine blood levels were comparable in the 2 groups. Four patients died of extrarenal causes. Only one patient, in group 2, progressed to end-stage renal disease. CONCLUSION: The initial presentation of lupus MN is variable. Cyclophosphamide has favorable renal effects, but does not prevent lethal complications, especially neurological complications. PMID- 18155877 TI - [Neuropathic pain: a neglected entity that must be managed]. PMID- 18155878 TI - Enhancement of percutaneous penetration of aniline and o-toluidine in vitro using skin barrier creams. AB - Aniline (ANI) and the human carcinogen o-toluidine (OT) are released at the workplace during the production and processing of rubber. Recently, we showed in rubber industry workers that a frequent use of skin barrier creams (SBC) increased the internal exposure of ANI and OT. In the present study, diffusion cells were used to investigate the effects of two SBC and one skin care cream (SCC) on percutaneous penetration of neat ANI and OT as well as of OT from a mixture with a workplace specific lubricant. The experiments were carried out with untreated and with skin creams treated human skin. A considerable percutaneous penetration enhancement of test compounds was observed for treated skin compared with untreated skin; the highest enhancement (mean factors 6.2 12.3) was found for SBC (based on oil in water emulsion) treated skin. The lowest penetration enhancement showed SCC treated skin (mean factors 4.2-9.7). The in vitro data support our findings in workers that the percutaneous absorption of aromatic amines significantly increases in presence of skin creams. The efficacy of skin creams to protect the percutaneous penetration of aromatic amines is not confirmed by our own experiments. PMID- 18155880 TI - Effect of retrieval effort and switching demand on fMRI activation during semantic word generation in schizophrenia. AB - Verbal fluency deficits in schizophrenia are difficult to interpret because the tasks are multi-factorial and groups differ in total words generated. We manipulated retrieval and switching demands by requiring alternation between over learned sequences in which retrieval is relatively automatic (OS) and semantic categories requiring increased retrieval effort (SC). Controlled processing was also manipulated by including switching and non-switching conditions, and formal thought disorder (FTD) was assessed with the communication disorders index (CDI). The OS/SC semantic fluency paradigm was administered during fMRI to 13 patients with schizophrenia and 14 matched controls. Images were acquired on a 3 Tesla Siemens scanner using compressed image acquisition to allow for cued overt word production. Subjects alternated between OS, SC, OS-switch, SC-switch, and baseline blocks. Images were pre-processed in SPM-2, and a two-stage random effects analysis tested within and between group contrasts. There were no group performance differences. fMRI analysis did not reveal any group differences during the OS non-switching condition. Both groups produced expected activation in bilateral prefrontal and inferior parietal regions. However, during the SC condition patients had greater activation than controls in left prefrontal, right anterior cingulate, right superior temporal, bilateral thalamus, and left parietal regions. There was also evidence of patient over-activation in prefrontal, superior temporal, superior parietal, and visual association areas when a switching component was added. FTD was negatively correlated with BOLD response in the right anterior cingulate, cuneus and superior frontal gyrus during increased retrieval demand, and positively correlated with fMRI activation in the left lingual gyrus, right fusiform gyrus and left superior parietal lobule during increased switching demand. These results indicate that patients are able to successfully perform effortful semantic fluency tasks during non-speeded conditions. When retrieval is relatively automatic there does not appear to be an effect of schizophrenia on fMRI response. However, when retrieval and controlled processing demands increase, patients have greater activation than controls despite unimpaired task performance. This inefficient BOLD response may explain why patients are slower and less accurate on standard self-paced fluency tasks. PMID- 18155882 TI - A novel structure of Tn4001-truncated element, type V, in clinical enterococcal isolates and multiplex PCR for detecting aminoglycoside resistance genes. AB - A multiplex polymerase chain reaction (PCR) was established for detecting aacA aphD, aph(2'')-Ib, aph(2'')-Ic and aph(2'')-Id, encoding high-level gentamicin resistance (HLGR), and aadA and aadE, encoding high-level streptomycin resistance (HLSR), in enterococci. The assay was implemented for 419 enterococcal blood and urine isolates recovered from patients at a university hospital in Thailand. Among the isolates tested, 56.1% (235 isolates) and 58.9% (247 isolates) contained aacA-aphD and aadE, respectively. The aph(2'')-Ib, aph(2'')-Ic, aph(2'')-Id and aadA genes were not found in any isolate. Among the isolates carrying the aacA-aphD gene, 99.1% exhibited a HLGR phenotype. All 235 enterococcal isolates containing aacA-aphD were further studied by PCR to characterise the structure of the resistance determinants carrying the aacA-aphD gene. The result revealed that only 22.6% carried Tn4001-related element, whereas the remaining isolates contained Tn4001-truncated element. No Tn4001-IS257 hybrid structure was detected. The majority of isolates carrying Tn4001-related element were Enterococcus faecalis (77.4%). Among Tn4001-truncated elements detected, all previously reported types (types I-IV) were found. Furthermore, a novel Tn4001 truncated type, designated type V, was also identified. PMID- 18155881 TI - Suicide and severe mental illnesses. Cohort study within the UK general practice research database. AB - We aimed to evaluate suicide risk across the life-course in severe mental illnesses (SMI) including schizophrenia. Using survival analysis, we compared suicide risk in cohorts of 46,136 people with SMI and 300,426 without. The overall unadjusted hazard ratio (HR) for suicide in SMI was 12.97 (95% CI: 9.75 17.25). The unadjusted HRs differed by age band: 18-30 years: 19.56 (9.76-39.17); 30-50 years: 13.14 (8.64-19.99); 50-70 years: 16.39 (9.15-29.37); 70+: 3.25 (1.33 7.94). In schizophrenia, risk was significantly higher when young but marked risk persisted until age 70. Greatest risk was associated with: increased consultation rates; antidepressant prescriptions and living in less deprived areas. PMID- 18155883 TI - Novel chemotherapy for tuberculosis: chemotherapeutic potential of econazole- and moxifloxacin-loaded PLG nanoparticles. AB - The potential of econazole (ECZ) and moxifloxacin (MOX) individually against tuberculosis (TB) caused by multidrug-resistant and latent Mycobacterium tuberculosis has been demonstrated. In this study, poly-(dl-lactide-co-glycolide) (PLG) nanoparticle-encapsulated ECZ and MOX were evaluated against murine TB (drug susceptible) in order to develop a more potent regimen for TB. PLG nanoparticles were prepared by the multiple emulsion and solvent evaporation technique and were administered orally to mice. A single oral dose of PLG nanoparticles resulted in therapeutic drug concentrations in plasma for up to 5 days (ECZ) or 4 days (MOX), whilst in the organs (lungs, liver and spleen) it was up to 6 days. In comparison, free drugs were cleared from the same organs within 12-24h. In M. tuberculosis-infected mice, eight oral doses of the formulation administered weekly were found to be equipotent to 56 doses (MOX administered daily) or 112 doses (ECZ administered twice daily) of free drugs. Furthermore, the combination of MOX+ECZ proved to be significantly efficacious compared with individual drugs. Addition of rifampicin (RIF) to this combination resulted in total bacterial clearance from the organs of mice in 8 weeks. PLG nanoparticles appear to have the potential for intermittent therapy of TB, and combination of MOX, ECZ and RIF is the most potent. PMID- 18155884 TI - Novel antibiotics for the management of diabetic foot infections. AB - Foot infections are a major cause of morbidity in diabetic patients. Staphylococcus aureus is the most important pathogen in mild infections; moderate to severe infections are frequently polymicrobial. Multidrug resistance is an increasing problem in isolates from diabetic feet. Worldwide, up to 30% of patients with diabetic foot infection (DFI) are colonised with methicillin resistant S. aureus (MRSA), whilst extended-spectrum beta-lactamase-producing Gram-negative bacteria are also common in some countries. This emergence of drug resistance has coincided with the launch or imminent availability of many new antibiotics. Most of these were developed to target multidrug-resistant Gram positive bacteria, although some have a spectrum of activity that includes Gram negative bacteria and anaerobes. There is a variable amount of experience with these agents in treating skin and skin-structure infections (SSSIs), especially for DFI. However, at least some have a spectrum of activity and/or pharmacological properties that suggest that they may be of value in managing DFIs. The aim of this paper is to review evidence for the efficacy of new antibiotics in the management of SSSIs, including any data relating specifically to the diabetic foot, and to consider where they might fit into the therapeutic armory against DFI. PMID- 18155885 TI - Pharmacokinetics/pharmacodynamics of levofloxacin 750 mg once daily in young women with acute uncomplicated pyelonephritis. AB - This pilot study was undertaken to characterise the pharmacokinetics, pharmacodynamics and potential clinical efficacy of levofloxacin 750 mg once daily for 5 days for treatment of women with acute uncomplicated pyelonephritis. Four women diagnosed with acute pyelonephritis were enrolled. Following pre therapy specimen collection, an initial oral dose of 750 mg levofloxacin was administered. The mean pharmacokinetic parameters for the first dose were: maximum serum concentration (C(max)) 12.5+/-4.7 mg/L (range 5.6-16.0mg/L) (fC(max) 8.8+/-3.3, where f indicates the levofloxacin free or non-protein-bound fraction), area under the serum concentration-time curve (AUC) 85.4+/-14.1 mgh/L (range 66.2-96.8 mgh/L) (fAUC 59.8+/-9.9) and serum half-life (t(1/2)) 6.7+/ 0.5h. Mean urine concentrations were 88.0+/-100mg/L at the 0-3 h collection, 307+/-143 mg/L at 3-6 h, 170+/-107 mg/L at 6-12 h and 85+/-8 mg/L at 12-24 h. Mean levofloxacin serum pharmacodynamics for infecting Escherichia coli were: C(max)/minimum inhibitory concentration (MIC) 323+/-185(fC(max)/MIC 226+/-129); and AUC/MIC 2339+/-830(fAUC/MIC 1647+/-579). Mean urine levofloxacin concentration/MIC ratios were: 900+/-1389 for 0-3 h, 12100+/-4950 for 3-6 h, 5922+/-3912 for 6-12 h and 2233+/-1037 for 12-24 h. Levofloxacin eradicated E. coli from the urine by 3-6 h after the first dose. Levofloxacin 750 mg once daily for 5 days has pharmacodynamics that support further evaluation of this regimen for treatment of women with acute uncomplicated pyelonephritis. PMID- 18155886 TI - A class IIa peptide from Enterococcus mundtii inhibits bacteria associated with otitis media. AB - Peptide ST4SA, produced by Enterococcus mundtii ST4SA, inhibits the growth of Acinetobacter baumannii, Enterococcus faecalis, Enterococcus faecium, Staphylococcus aureus, Streptococcus pneumoniae and Gram-positive bacteria isolated from patients diagnosed with middle ear infections. The peptide adsorbed at a level of 94% to S. pneumoniae 40, Pseudomonas aeruginosa 25 and E. faecium HKLHS. Low concentrations of peptide ST4SA (51200 arbitrary units (AU)/mL) caused DNA and enzyme leakage from target cells, whilst 1638400AU/mL caused cell lysis. No decrease in antimicrobial activity was observed when tested on solid medium with human blood as base. Peptide ST4SA revealed a similar level of activity compared with tetracycline (30 microg), but much higher activity compared with nasal sprays, aminoglycosides, cephalosporins, fluoroquinolones, lincosamides, macrolides, nitroimidazole, penicillin, quinolones, sulphonamides, chloramphenicol, furazolidone, fusidic acid, rifampicin, trimethoprim, trimethoprim/sulfamethoxazole and vancomycin when tested in vitro. Peptide ST4SA dissipates the proton-motive force and may be used in the treatment of multidrug resistant strains where antibiotics are excluded from cells by efflux pumps dependent on the membrane proton gradient. PMID- 18155887 TI - Immobilization of paracetamol and benzocaine pro-drug derivatives as long-range self-organized monolayers on graphite. AB - We show here by means of scanning tunneling microscopy (STM) at the liquid/solid interface that paracetamol and benzocaine molecules bearing a long aliphatic chain can be immobilized on highly oriented pyrolitic graphite (HOPG) as perfectly ordered two-dimensional domains extending over several hundreds of nanometers. In both cases, high-resolution STM images reveal that compounds 1 and 2 self-assemble into parallel lamellae having a head-to-head arrangement. The paracetamol heads of 1 are in a zigzag position with entangled n-dodecyloxy side chains while benzocaine heads of compound 2 are perfectly aligned as a double row and have their palmitic side chains on either sides of the head alignment. We attribute the very long-range ordering of these two pro-drug derivatives on HOPG to the combined effects of intermolecular H-bonding on one side and Van der Waals interactions between aliphatic side chains and graphite on the other side. The 2D immobilization of pro-drug derivatives via a non-destructive physisorption mechanism could prove to be useful for applications such as drug delivery if it can be realized on a biocompatible substrate. PMID- 18155888 TI - Optimization of cross-linking parameters during production of transglutaminase hardened spherical multinuclear microcapsules by complex coacervation. AB - Gelatin-gum arabic spherical multinuclear microcapsules (SMMs) encapsulating peppermint oil were prepared by complex coacervation. Transglutaminase (TG) was used to harden the SMMs by complex coacervation instead of traditional reagents such as formaldehyde or glutaraldehyde. The effect of various cross-linking parameters on the hardening effectiveness of SMMs containing peppermint oil was investigated. The optimum parameters were as follows: hardening for 6h at 15 degrees C and pH 6.0 with a TG concentration of 15 U/g gelatin. Compared with formaldehyde, TG exhibits similar microcapsule hardening effectiveness. PMID- 18155889 TI - Effect of surfactants on casein structure: a spectroscopic study. AB - Fluorescence and circular dichroism spectroscopy were used to study the effect of two surfactants having oppositely charged head groups - cationic cetyltrimethyl ammonium bromide (CTAB) and anionic sodium dodecyl sulphate (SDS) - on the structure of the intrinsically unstructured proteins alpha s-, beta- and kappa caseins. Although globular proteins are generally known to denature on interacting with surfactants, the caseins were found to adopt more ordered conformations in presence of both SDS and CTAB. The folding induced by CTAB was more efficient than by SDS, as implied by the behaviour of fluorescence and circular dichroic spectra of the caseins in solutions containing varying concentrations of the surfactants. The differential response of the proteins to the two surfactants may lie in the fact that the negatively charged caseins experience a repulsive electrostatic interaction with the negatively charged head groups of SDS, while their interaction with the positively charged head groups of CTAB is attractive in nature. Our results are consistent with two different types of the 'necklace and bead' model for the structure of surfactant-casein complexes: while groups of SDS molecules converge tail first around exposed hydrophobic surfaces of the caseins to form micelle-like structures, the protein itself wraps around micellar aggregates of CTAB that have cationic head groups in close association with its negatively charged/polar residues. PMID- 18155890 TI - [Acute hemiparesis revealing a neuroborreliosis in a child]. AB - We report on a 11-year-old boy who had 2 acute hemiparesis episodes over a period of 1 month. He suffered from headache and fatigue since 1 year. He could not remember neither a tick bite nor a local erythematous skin lesion. The diagnosis of neuroborreliosis was based on intrathecal production of specifics antibodies. Furthermore, the CSF/blood glucose ratio was decreased (0.14), which was rarely described. Cranial MRI showed left capsulothalamic inflammation and a vasculitis. The patient was successfully treated by ceftriaxone. Neuroborreliosis should be considered in all children with stroke-like episode, even in the absence of a history of a tick bite. PMID- 18155891 TI - [From Ipex to foxp3: a new contribution of pediatrics to the understanding of the immune system]. AB - In 10 years, the neonatal autoimmune enteropathy has been individualized from other causes of neonatal severe protracted diarrheas as a syndrome called Ipex for Immunodysregulation, Polyendocrinopathy, Enteropathy, X-linked. Thanks to linkage analyses in affected families, this rare paediatric syndrome with fatal outcome has been correlated to mutations of the foxp3 gene. Homozygous loss of function of foxp3 gene results in the absence of development of a crucial subpopulation of lymphocytes with CD4+CD25+ phenotype, called regulatory T-cells. The study of these lymphocytes allows a better understanding of the immune system homeostasis and of the physiopathology of Ipex syndrome, which is a prerequisite for treatment. Achieving ex vivo manipulation of such lymphocytes will end up on promising applications of cell therapy. PMID- 18155892 TI - [Changes in continuity]. PMID- 18155893 TI - Optimum overall times II: Extended modelling for head and neck radiotherapy. AB - AIMS: A previous paper in this journal (part I) concluded that there was no pronounced optimum overall time, at least up to 70 fractions of 1.15 Gy at two fractions/day in 50 days. The maximum tolerable tumour doses increased only 2% from the best short schedules of 21 or 23 days to those of 50 days. Only this range was modelled in part I because it covered the fewest and the most fractions, and the longest overall times that will probably be used in practice. Most UK schedules, typically using five fractions a week, yield tumour effective doses about 10% less than the best schedules in other developed countries. The present paper covers a much wider range of fraction numbers from one to 115, and from 1 to 80 days. Some numerical errors in the Tables in part I are also corrected in the present appendix. These made no difference to the main conclusions just described. MATERIALS AND METHODS: Standard linear quadratic modelling was used, assuming at first alpha/beta=10 Gy, alpha=0.35 ln/Gy, Tk=21 days, Tp=3 days for tumours, but with Tk=7 days, Tp=2.5 Gy for acute mucosal reactions, as before. A late complications constraint of 70 Gy was accepted, and an acute constraint of 51 Gy (both at 2 Gy fractions). Alternative values of more rapid or slower repopulation were also explored (Tp=2 days or Tp=5 days, respectively). RESULTS: Optimal values were shown at 22-32 days for one fraction/day five times a week, and at 42-49 days for two fractions/day at 10 fractions/week. Repopulation caused a rapid fall in tumour dose after 30 days with one fraction/day, but not until after 50 days with two fractions/day, and so was not seen in part I with its too-practical end time. CONCLUSIONS: Biological modelling can extrapolate calculations outside the borders of published treatment schedules to clarify borderline situations. Optimum schedules in radiotherapy can reliably give more tumour control if two fractions/day are used. The potential gains are equivalent to about two fractions of 2 Gy as given by this modelling. However, the late complications will be less with some nearly tumour equivalent shorter schedules if optimally designed. PMID- 18155894 TI - When would you like to be treated?--A short survey of radiotherapy outpatients. AB - AIMS: To determine whether patients undergoing radiotherapy would choose to attend appointments for a course of treatment scheduled outside the normal working day and working week. MATERIALS AND METHODS: A survey of radiotherapy outpatients was conducted on two single days in late 2005 and early 2006. There were four departments in the first cohort and five in the second cohort. Departments were selected from across the UK and were chosen to reflect both city centre and out of town locations. Six of the nine departments were working extended hours at the time of the survey. The second cohort received a modified questionnaire that included two additional questions relating to appointments at weekends. RESULTS: In total, 471 and 332 questionnaires were returned by the first and second cohorts, respectively. For all age groups, 9.00 am to 12.00 pm was the most preferred time for treatment. Outside the normal working day, the 8.00-9.00 am interval was the most selected, being chosen by 23.4% of respondents. Overall, 32.8% (n=260) of respondents would attend a reasonable appointment time outside the normal working day and 10.7% (n=85) were unsure. On Saturdays, 39.3% (n=130) would attend and 11.5% (n=38) were unsure. For Sundays, 31.1% (n=103) would attend and 10.9% (n=36) were unsure. CONCLUSIONS: There is sufficient support from patients for attendance outside the normal working day to ensure appointment slots would not go unfilled during a moderate extension to the working day. However, the percentage of patients that would attend varied between departments. This demonstrates the need for local evaluation of patient preference before the introduction of extended working hours. PMID- 18155895 TI - Anaerobic co-digestion of aquatic flora and quinoa with manures from Bolivian Altiplano. AB - Quinoa stalk (Chenopodium quinoa Willd.) from agricultural crop residue, totora (Schoenoplectus tatora) and o-macrophytes (aquatic flora) from Lake Titicaca (on the Bolivian Altiplano) were studied in a wet anaerobic co-digestion process together with manure from llama, cow and sheep. Anaerobic semi-continuous experiments were performed in (10) 2-l reactors at a temperature of 25 degrees C with 30 days of hydraulic retention time (HRT) and an organic loading rate (OLR) of 1.8 kg VS m(-3) d(-1). Totora was found to be the best co-substrate. In mixture ratios of 1:1 (VS basis), it increased the biogas productivity by 130% for llama manure, 60% for cow manure, and 40% for sheep manure. It was possible to use up to 58% (VS basis) of totora in the substrate. Higher concentrations (including pure totora) could not be digested, as that caused acidification problems similar to those caused by other lignocellulosic materials. When quinoa and o-macrophytes were used as co-substrates, the increase in biogas productivity was slightly less. However, these co-substrates did not cause any operational problems. An additional advantage of quinoa and o-macrophytes was that they could be used in any proportion (even in pure form) without causing any destabilization problems in the anaerobic digestion process. PMID- 18155896 TI - Reproducible and reliable microarray results through quality control: good laboratory proficiency and appropriate data analysis practices are essential. AB - Over a few short years, microarray gene expression profiling has permeated most areas of biomedical research. Microarrays are now poised to enter the more demanding realm of clinical applications. The prospect of using microarray data to derive biomarkers of disease or toxicity, predict prognosis, or select treatments raises the validity and reliability bar substantially higher. The potential future payoffs are huge in terms of faster approval of more efficacious and safer medical interventions, and a more personalized implementation of them. Arriving at the future sooner rather than later is the motivation for the FDA-led MicroArray Quality Control (MAQC) project. The widespread collaboration aims to assess achievable technical performance of microarrays and capabilities and limitations of methods for microarray data analysis. PMID- 18155897 TI - Evaluation of an inflammation-based prognostic score in patients with advanced ovarian cancer. AB - BACKGROUND: There is increasing evidence that the presence of an ongoing systemic inflammatory response is associated with poor outcome in patients with advanced cancer. The aim of this study was to validate whether an inflammation-based prognostic score (Glasgow Prognostic Score, GPS) is associated with survival in patients with advanced stage (stage III/IV) ovarian cancer. PATIENTS AND METHODS: An audit was conducted of patients with a new diagnosis of stage III or IV ovarian cancer presenting to the West London Gynae-Oncology Centre between October 2003 and June 2006 (n=154). The GPS was constructed as follows: Patients with both an elevated C-reactive protein (>10 mg/l) and hypoalbuminaemia (<35 g/l) were allocated a score of 2. Patients in whom only one or none of these biochemical abnormalities was present were allocated a score of 1 or 0, respectively. RESULTS: On univariate analysis GPS, histological type, ALP, performance status, primary surgery and ascites were predictors of overall survival. On multivariate a high GPS score, non-serous histology, high ALP and no initial surgery were independent predictors of worse overall survival in this population. CONCLUSIONS: The presence of a systemic inflammatory response, as measured by the GPS, is an independent predictor of poor overall survival in patients with advanced ovarian cancer independent of treatment received. PMID- 18155898 TI - Incidence of primary liver cancer in Italy between 1988 and 2002: an age-period cohort analysis. AB - We conducted in Italy a study to evaluate trends of primary liver cancer (PLC) and to disentangle the period from birth-cohort effects on PLC incidence. Cases aged<80 years and diagnosed between 1988 and 2002 in 20 areas covered by population-based Cancer Registries were included. Age-standardised incidence rates and age-period-cohort effects were estimated. In 1998-2002, incidence rates of PLC were 21.1/100,000 men and 6.0/100,000 women. In both genders, incidence rates increased slightly between 1988-1992 and 1993-1997 but did not rise thereafter. Amongst men, PLC risk increased in every cohort born after 1913 and the rise became steeper for cohorts born in 1948. In women, an upward trend appeared only in the cohorts born after 1953. Incidence of PLC over the last two decades in Italy did not substantially change but huge geographical variability emerged, mainly due to different times and modalities of spread of hepatitis C virus. PMID- 18155899 TI - Hmga1 null mice are less susceptible to chemically induced skin carcinogenesis. AB - The HMGA1 proteins have a critical role in the process of carcinogenesis. They are overexpressed in most human malignant neoplasias, and the inhibition of their expression has been shown to prevent cell transformation and results in malignant cell death. To determine whether HMGA1 proteins are also required for in vivo carcinogenesis, we compared the tumour susceptibility of mice wild-type or knockout for the Hmga1-null allele using a two-stage chemical skin carcinogenesis protocol. Hmga1-/- mice exhibited a decreased number and a delayed onset of skin papillomas in comparison with wild-type mice. Moreover, the progression of skin papillomas to carcinomas was observed in only 5% of Hmga1-/- compared to 18% of wild-type mice. These results suggest a lower susceptibility of Hmga1-/- mice to skin carcinogenesis induced by chemical agents. PMID- 18155900 TI - Accessibility to targeted oncology drugs in Slovenia and selected European countries. AB - AIM: The aim of the study is to compare the accessibility to targeted oncology drugs in Slovenia and selected European countries. METHODS: Accessibility of targeted oncology drugs was assessed by using their sales data, expressed in mg per individual dying of the cancer for which the drug was indicated. RESULTS: The time of introduction of targeted oncology drugs in Slovenia was in most cases similar to the comparison countries, except for alemtuzumab and rituximab. The utilisation of targeted oncology drugs in Slovenia was in most cases lower than in other comparison countries. Ibritumomab had not been used in Slovenia until 2005, similar to France, Switzerland and UK. After 2003 the utilisation of trastuzumab in Slovenia started to rise substantially, approaching the average uptake in comparison countries. CONCLUSION: The utilisation of targeted oncology drugs in Slovenia was in most cases lower than in comparison countries. PMID- 18155901 TI - Investigation of methanogen population structure in biogas reactor by molecular characterization of methyl-coenzyme M reductase A (mcrA) genes. AB - The methanogen community in biogas reactor running on cattle dung was investigated in two different seasons; summer (April, 36 degrees C) and winter (December, 24 degrees C), in the year 2004 by a culture-independent approach. Community structure was determined by phylogenetic analyses of 343 and 278 mcrA clones belonging to summer and winter month libraries, respectively. In summer month's library, 41.7% clones were affiliated to Methanomicrobiales, 30% to Methanosarcinales, 19% to Methanobacteriales, 5% to Methanococcales and a total of 4.3% clones belonged to unclassified euryarchaeotal lineages. In winter month's library, Methanomicrobiales encompassed 98.6% clones, and Methanobacteriales included 1.4% of total clone diversity. Biogas plant performance data collected during the winter month indicated significant reduction in daily biogas produced as compared to summer month because of lowering in ambient temperature and associated shift in microbial community. Results from this molecular study showed the existence of highly diverse and complex methanogens communities present in biogas plant. PMID- 18155902 TI - Nitrogen removal from purified swine wastewater using biogas by semi-partitioned reactor. AB - Nitrate and ammonium removal from purified swine wastewater using biogas and air was investigated in continuous reactor operation. A novel type of reactor, a semi partitioned reactor (SPR), which enables a biological reaction using methane and oxygen in the water phase and discharges these unused gases separately, was operated with a varying gas supply rate. Successful removal of NO(3)(-) and NH(4)(+) was observed when biogas and air of 1L/min was supplied to an SPR of 9L water phase with a NO(2,3)(-)-N and NH(4)(+)-N removal rate of 0.10 g/L/day and 0.060 g/L/day, respectively. The original biogas contained an average of 77.2% methane, and the discharged biogas from the SPR contained an average of 76.9% of unused methane that was useable for energy like heat or electricity production. Methane was contained in the discharged air from the SPR at an average of 2.1%. When gas supply rates were raised to 2L/min and the nitrogen load was increased, NO(3)(-) concentration was decreased, but NO(2)(-) accumulated in the reactor and the NO(2,3)(-)-N and NH(4)(+)-N removal activity declined. To recover the activity, lowering of the nitrogen load and the gas supply rate was needed. This study shows that the SPR enables nitrogen removal from purified swine wastewater using biogas under limited gas supply condition. PMID- 18155903 TI - Microbial dynamics and enzyme activities during rapid composting of municipal solid waste - a compost maturity analysis perspective. AB - An investigation was carried out in the laboratory to find out the microbial dynamics and enzyme activities during rapid composting of municipal solid waste (MSW). Various treatments such as aeration (A), addition of chemical agents (glucose (G) and acetic acid (AA) and application of cellulolytic microbial (M) inoculum (Phanerochaete chrysosporium and Trichoderma reesei) were used to facilitate the decomposition of MSW. The result of the present investigation revealed that the degradation of organic substrates were quick (within 9-12 days) in case of rapid composting as indicated by the reduction (below 20) in C/N ratio. Whereas, normal composting took more than 20 days to attain C/N ratio of below 20. Estimation of selected enzymes (amylase, protease, phosphatase and cellulase) provided information on the substrate specific degradation profiles of various labile substrates contained in organic waste. PMID- 18155904 TI - Polyphenol contents and antioxidant activity of soybean seed extracts. AB - The antioxidant activity and contents of various polyphenol classes in the seeds of 20 soybean hybrids were evaluated. Total polyphenols, tannins and proanthocyanidins were determined after extraction of plant material with 70% aqueous acetone. In addition, flavonoid content was determined. Antioxidant activity of seed extracts was evaluated by DPPH free radical scavenging activity assay. A positive linear correlation between antioxidant activity and contents of total phenols, tannins and proanthocyanidins was established. The highest antioxidant activity was observed in the extracts of hybrids which have higher levels of all polyphenol classes examined. The most of the single-cross hybrids were poor in tannins which recommend them as good source for ensiled livestock feed. Results suggested that polyphenol content should be considered as an important feature of the soybean seed. PMID- 18155905 TI - Production and characterization of a bioflocculant by Proteus mirabilis TJ-1. AB - A bioflocculant TJ-F1 with high flocculating activity, produced by strain TJ-1 from a mixed activated sludge, was investigated with regard to its production and characterization. By 16S rDNA sequence and biochemical and physiological characteristics, strain TJ-1 was identified as Proteus mirabilis. The most preferred carbon source, nitrogen source and C/N ratio (w/w) for strain TJ-1 to produce the bioflocculant were found to be glucose, peptone and 10, respectively. TJ-F1 production could be greatly stimulated by cations Ca(2+), Mg(2+) and Fe(3+). The optimal conditions for TJ-F1 production were inoculum size 2 per thousand (v/v), initial pH 7.0, culture temperature 25 degrees C, and shaking speed 130r/min, under which the flocculating activity of the bioflocculant reached 93.13%. About 1.33 g of the purified bioflocculant, whose molecular weight (MW) was 1.2 x 10(5) Da, could be recovered from 1.0 l of fermentation broth. Chemical analysis of bioflocculant TJ-F1 indicated that it contained protein (30.9%, w/w) and acid polysaccharide (63.1%, w/w), including neutral sugar, glucuronic acid and amino sugar as the principal constituents in the relative weight proportions of 8.2:5.3:1. Scanning electron microscopy (SEM) image of the purified solid-state TJ-F1 showed that it had a crystal-linear structure. Spectroscopic analysis of the bioflocculant by Fourier-transform infrared (FTIR) spectrometry indicated the presence of carboxyl, hydroxyl and amino groups preferred for the flocculation process. PMID- 18155906 TI - Hepatoselectivity of statins: design and synthesis of 4-sulfamoyl pyrroles as HMG CoA reductase inhibitors. AB - 4-Sulfamoyl pyrroles were designed as novel hepatoselective HMG-CoA reductase inhibitors (statins) to reduce myalgia, a statin-induced adverse effect. The compounds were prepared via a [3+2] cycloaddition of a Munchnone with a sulfonamide-substituted alkyne. We identified compounds with greater selectivity for hepatocytes compared to L6-myocytes than rosuvastatin and atorvastatin. There was an inverse correlation of myocyte potencies and ClogP values. A number of analogs were effective at reducing cholesterol in acute and chronic in vivo models but they lacked sufficient chronic in vivo activity to warrant further development. PMID- 18155907 TI - Cy3-3-acylcholine: a fluorescent analogue of acetylcholine for single molecule detection. AB - We synthesized a novel fluorescent analogue of acetylcholine, Cy3-3-acylcholine. The molecular weight of the products agreed with structural predictions. Discrete intensity changes of fluorescent spots due to a single ligand binding/unbinding to nAChR were visualized by TIRF microscopy. The agonist effect of the Cy3-3 acylcholine on nicotinic acetylcholine receptor (nAChR) was confirmed electrophysiologically. This newly synthesized fluorescent analogue will enable us to conduct more elaborate studies on single channel interaction processes between nAChR and ligands. PMID- 18155908 TI - Synthesis of benzamide derivatives as TRPV1 antagonists. AB - From hit compounds identified by high throughput screening (HTS), we have found compound 1 as a lead TRPV1 antagonist and confirmed its potential as a treatment for pain. Compound 1 has led to potent TRPV1 antagonistic benzamide derivatives ((+/-)-2: human IC(50)=23 nM, (+/-)-3: human IC(50)=14 nM in the capsaicin induced calcium influx assay) containing indole and naphthyl moieties, obtained by elaboration of the tryptamine scaffold or via bioisosteric replacements. PMID- 18155909 TI - On the conversion of structural analogues of (S)-2-hydroxypropylphosphonic acid to epoxides by the final enzyme of fosfomycin biosynthesis in S. fradiae. AB - 2-Hydroxyethyl- and (S)-2-hydroxybutylphosphonic acid were prepared, starting in the latter case from (S)-2-aminobutyric acid. They were fed to cultures of Streptomyces fradiae producing fosfomycin. Only the latter (150 microg/mL of medium) was converted to the ethyl analogue of fosfomycin, isolated as 2-amino-1 hydroxybutylphosphonic acid (3%) in admixture with 2-amino-1 hydroxypropylphosphonic acid (97%) derived from fosfomycin. PMID- 18155910 TI - A graftable LDV peptidomimetic: design, synthesis and application to a blood filtration membrane. AB - A graftable LDV (Leu-Asp-Val) peptidomimetic molecule (B-c) has been prepared from 3-(5-amino-2-hydroxy)phenyl-propionic acid, as alpha(4)beta(1) (VLA-4) integrin ligand. For that purpose, the mechanism of 3-(4-azidophenyl)propionic acid rearrangement has been revisited. Activation of Durapore DVPP-hydrophilic membrane, by surface wet chemistry using triazine trifluoride, followed by covalent coupling of B-c produced a modified filter (0.8% of derivatisation from XPS analysis) with improved capacity of leukocyte retention. PMID- 18155911 TI - Differential diagnosis of muscular hypotonia in infants: the kyphoscoliotic type of Ehlers-Danlos syndrome (EDS VI). AB - The kyphoscoliotic type of Ehlers-Danlos syndrome (EDS VI) (OMIM 225400) is an inherited connective tissue disorder characterized by hypotonia and kyphoscoliosis at birth, joint hypermobility, and skin hyperelasticity and fragility. Biochemically, it is characterized by a deficiency of collagen lysyl hydroxylase (EC 1.14.11.4) due to mutations in PLOD1. This deficiency results in underhydroxylation of collagen lysyl residues and, hence, an abnormal pattern of lysyl pyridinoline (LP) and hydroxylysyl pyridinoline (HP) crosslinks excreted in the urine. Because of hypotonia and delay in gross motor development, a neuromuscular disease is usually suspected, and in most cases the diagnosis is considered only very late, after performing an invasive neuromuscular work-up with normal results. We report a 12-month-old boy with kyphoscoliosis and delayed gross motor development, in whom the differential diagnosis of kyphoscoliotic type of Ehlers-Danlos syndrome (EDS VI) was initially suspected and successively confirmed by the abnormal urinary ratio of total pyridinolines (LP to HP), and by mutation analysis. We advocate the analysis of urinary pyridinolines in all infants with severe hypotonia which is highly specific and sensitive, quick and inexpensive. PMID- 18155912 TI - Nutritionally essential fatty acids and biologically indispensable cyclooxygenases. AB - The study of cyclooxygenases (COXs), targets of aspirin and related drugs, is rooted in the discovery of essential fatty acids (EFAs). There are two COXs that convert EFAs, primarily arachidonic acid, to prostaglandins. Each COX is involved with distinct biologies. COX-1 expression is constitutive while COX-2 is inducible. The two COXs might have evolved partly to permit prostaglandin formation at different tissue sites. However, COX-2 is sometimes induced in cells already expressing COX-1, and in these instances, COX-2 functions while COX-1 is latent. This can occur because of unique biochemical properties of COX-2 that enable cells to form prostaglandins when arachidonic acid comprises a small fraction of available fatty acids and the concentrations of peroxides that are necessary for COX to function are low. PMID- 18155913 TI - Local crystal anisotropy obtained in the small probe geometry. AB - A brief review of the scattering mechanisms of spatially resolved EELS is given. This discussion shows that the sensitivity of EELS to scattering angle and to the symmetry or parity of a specimen excitation is closely related to spatial resolution. In the past, large probe, angle resolved experiments have been used to show that EELS can be used to obtain specimen anisotropy. It is pointed out here that under certain conditions, a small probe experiment can also be used for this purpose. This suggestion is illustrated with an analysis of EXELFS scattering in graphite in the small probe geometry. PMID- 18155914 TI - Synthesis of new carbon-11 labeled cyclofenil derivatives for PET imaging of breast cancer estrogen receptors. AB - Carbon-11 labeled cyclofenil derivatives, [(11)C]methyl-2-{4-[bis(4 hydroxyphenyl)methylene]cyclohexyl}acetate ([(11)C]16a), [(11)C]methyl-4-[bis(4 hydroxyphenyl)methylene]cyclohexanecarboxylate ([(11)C]16b), [(11)C]methyl-2-{3 [bis(4-hydroxyphenyl)methylene]cyclohexyl}acetate ([(11)C]18a), and [(11)C]methyl 3-[bis(4-hydroxyphenyl)methylene]cyclohexanecarboxylate ([(11)C]18b), have been synthesized as new potential PET agents for imaging breast cancer estrogen receptors. The target tracers were prepared by O-[(11)C]methylation of their corresponding precursors using [(11)C]CH(3)OTf and isolated by a simplified SPE purification procedure in 35-50% radiochemical yields decay corrected to EOB, 15 20 min overall synthesis time, and 74-111 GBq/micromol specific activity at EOS. PMID- 18155915 TI - Facile synthesis of new carbon-11 labeled conformationally restricted rivastigmine analogues as potential PET agents for imaging AChE and BChE enzymes. AB - Rivastigmine is a newer-generation inhibitor with a dual inhibitory action on both acetylcholinesterase (AChE) and butyrylcholinesterase (BChE) enzymes, and is used for the treatment of AChE- and BChE-related diseases such as brain Alzheimer's disease and cardiovascular disease. New carbon-11 labeled conformationally restricted rivastigmine analogues radiolabeled quaternary ammonium triflate salts, (3aR,9bS)-1-[(11)C]methyl-1-methyl-6 (methylcarbamoyloxy)-2,3,3a,4,5,9b-hexahydro-1H-benzo[g]indolium triflate ([(11)C]8) and (3aR,9bS)-1-[(11)C]methyl-1-methyl-6-(heptylcarbamoyloxy) 2,3,3a,4,5,9b-hexahydro-1H-benzo[g]indolium triflate ([(11)C]9), were designed and synthesized as potential positron emission tomography (PET) agents for imaging AChE and BChE enzymes. The appropriate precursors were labeled with [(11)C]CH(3)OTf through N-[(11)C]methylation, and the target tracers were isolated by solid-phase extraction (SPE) using a cation-exchange CM Sep-Pak cartridge in 40-50% radiochemical yields decay corrected to end of bombardment (EOB), 15-20 min overall synthesis time, and 148-222 GBq/micromol specific activity at EOB. PMID- 18155916 TI - Location, location: protein trafficking and lipolysis in adipocytes. AB - The storage and mobilization of lipid are central functions of fat cells. Recent proteomic studies suggest that intracellular triglyceride storage droplets are dynamic organelles, and that the signaling events underlying lipid mobilization alter protein trafficking to a specialized subset of these droplets. Here we review recent research that has identified new players in hormone-stimulated lipolysis, and the role of perilipin A, a lipid droplet scaffold protein, in organizing and directing lipolytic protein trafficking. PMID- 18155917 TI - Melatonin in the skin: synthesis, metabolism and functions. AB - Melatonin, a ubiquitous methoxyindole, is produced by and metabolized in the skin. Melatonin affects skin functions and structures through actions mediated by cell-surface and putative-nuclear receptors expressed in skin cells. Melatonin has both receptor-dependent and receptor-independent effects that protect against oxidative stress and can attenuate ultraviolet radiation-induced damage. The widespread expression and pleiotropic activity of the cutaneous melatoninergic system provides for a high level of cell-specific selectivity. Moreover, intra-, auto- and para-crine mechanisms equip this system with exquisite functional selectivity. The properties of endogenous melatonin suggest that this molecule is an important effector of stress responses in the skin. In this way, melatonin actions may counteract or buffer both environmental and endogenous stressors to maintain skin integrity. PMID- 18155918 TI - Histone deacetylases and repression of the gonadotropin genes. AB - The roles of chromatin modifications in transcription have been studied extensively; however, there remains a dearth of information explaining how extracellular signals induce changes in chromatin at a specific gene locus. The gonadotropins provide an example of genes that undergo significant fluctuations in their expression, and are regulated by gonadotropin-releasing hormone (GnRH) through a membrane-bound receptor. GnRH displaces histone deacetylases (HDACs) from gonadotropin genes in immature mouse gonadotropes, and some of the pathways have been elucidated. This GnRH effect likely comprises a mechanism involved in altering reproductive potential and provides a model for studying the regulation of derepression. This paper reviews the role of HDACs in repression of the gonadotropin genes and the mechanisms through which GnRH overcomes their actions. PMID- 18155919 TI - Simultaneous determination of ginkgo flavonoids and terpenoids in plasma: ammonium formate in LC mobile phase enhancing electrospray ionization efficiency and capacity. AB - Extracts from Ginkgo biloba leaves confer their therapeutic effects through the synergistic actions of flavonoid and terpenoid components. We herein describe the development of an LC-MS/MS-based method for simultaneous determination of flavonoids (quercetin, kaempferol, and isorhamnetin) and terpenoids (bilobalide, ginkgolides A, B, C, and J) in acid-hydrolyzed plasma by circumventing cross interference between the flavonoids and terpenoids identified. Notably, inclusion of ammonium formate (0.2 mM) in the mobile phase generated beneficial LC electrolyte effects, including increased ESI efficiency and capacity, with the result that the newly developed procedure exhibits the highest analytical performance reported to date for ginkgo-associated studies. The method yields high sensitivity, negligible matrix interference and cross-interference, wide linear dynamic ranges, high sample throughput, and quite small initial sample size. The assay utility to dog pharmacokinetic measurements of commercial ginkgo products yielded the most comprehensive data on systemic exposure to the ginkgo compounds to date. The newly developed multi-analyte procedure should be widely useful. PMID- 18155920 TI - Parameters contributing to efficient ion generation in aerosol MALDI mass spectrometry. AB - The Bioaerosol Mass Spectrometry (BAMS) system was developed for the real-time detection and identification of biological aerosols using laser desorption ionization. Greater differentiation of particle types is desired; consequently MALDI techniques are being investigated. The small sample size ( approximately 1 microm3), lack of substrate, and ability to simultaneously monitor both positive and negative ions provide a unique opportunity to gain new insight into the MALDI process. Several parameters known to influence MALDI molecular ion yield and formation are investigated here in the single particle phase. A comparative study of five matrices (2,6-dihydroxyacetophenone, 2,5-dihydroxybenzoic acid, alpha cyano-4-hydroxycinnamic acid, ferulic acid, and sinapinic acid) with a single analyte (angiotensin I) is presented and reveals effects of matrix selection, matrix-to-analyte molar ratio, and aerosol particle diameter. The strongest analyte ion signal is found at a matrix-to-analyte molar ratio of 100:1. At this ratio, the matrices yielding the least and greatest analyte molecular ion formation are ferulic acid and alpha-cyano-4-hydroxycinnamic acid, respectively. Additionally, a significant positive correlation is found between aerodynamic particle diameter and analyte molecular ion yield for all matrices. SEM imaging of select aerosol particle types reveals interesting surface morphology and structure. PMID- 18155921 TI - Comparison of the thioester domain and adjacent regions of the alpha2 macroglobulin from different South Atlantic crustaceans. PMID- 18155922 TI - Molecular cloning of leucocyte cell-derived chemotaxin-2 gene in croceine croaker (Pseudosciaena crocea). AB - Leucocyte cell-derived chemotaxin-2 (LECT2) was originally demonstrated to have a chemotactic activity against human neutrophils in vitro. Current evidence suggests that LECT2 may be a multifunctional protein involved in cell growth, differentiation and autoimmune. A full-length cDNA clone of the LECT2 gene, 595bp in size, was isolated from the fish croceine croaker (Pseudosciaena crocea). It's 3'-UTR was much shorter (112nts) than that of trout LECT2 gene (210nts). Its deduced amino acid sequence of 151 residues had 39.7-75.5% identity to that of other animals. Phylogenetic analysis shows that croceine croaker LECT2 (pLECT2) is clustered tightly with other fish LECT2. The relationships of the different LECT2 coincided well with the evolutionary relationships of their organisms. In healthy fish, the expression levels of pLECT2 gene from different tissues were similar, while that in Vibrio alginolyticus-infected fish were significantly increased in liver and spleen comparing to those in healthy fish, and were a little higher in the other tissues. PMID- 18155923 TI - Clinical and electrophysiologic findings in dialysis patients. AB - The aim of this study was to quantitatively determine the electrophysiologic changes occurring in the peripheral nerves and muscles in patients with chronic renal failure (CRF) treated with haemodialysis (HD) or continuous ambulatory peritoneal dialysis (CAPD), and to determine which electrophysiologic parameters are most commonly abnormal in uraemic patients. We investigated the relationship between the parameters of neurography and quantitative electromyography (QEMG) and clinical findings. The study included 42 patients with CRF (30 on HD and 12 on CAPD). Nerve conduction studies (NCSs) of the median, ulnar, tibial, peroneal, and sural nerves, and QEMG of the tibialis anterior and biceps brachii muscles were performed. We found axonal and/or demyelinating polyneuropathies in 97.6% of the patients (100% of HD and 91.7% of CAPD patients), but were not able to verify any significant differences between the HD and CAPD patients using NCS or QEMG. Median, ulnar, sural sensory nerve action potential (SNAP) amplitudes, peroneal CV and F-latency were the most common abnormal parameters in sensory and motor NCSs, respectively. The clinical findings only correlated with the parameters of neurography, and not with the parameters of QEMG. Sural SNAP amplitudes, peroneal and tibial CVs, F-latencies also correlated with the severity of the clinical findings in these patients, suggesting that these parameters can be used in follow up studies in these patients. In this study, most of the uraemic patients were found to have already mild or moderate neuropathies in which the objective clinical signs might be absent, even if they have some clinical symptoms. NCS showed abnormality indicating polyneuropathy in 24 out of 25 patients with clinical neuropathy signs and in 17 out of 17 patients with no clinical signs. Thus, in subclinical conditions NCS is useful to detect the abnormalities in peripheral nerves of the ureamic patients under chronic dialysis. PMID- 18155924 TI - Gastric distention activates satiety circuitry in the human brain. AB - Gastric distention during meal ingestion activates vagal afferents, which send signals from the stomach to the brain and result in the perception of fullness and satiety. Distention is one of the mechanisms that modulates food intake. We measured regional brain activation during dynamic gastric balloon distention in 18 health subjects using functional magnetic resonance imaging and the blood oxygenation level-dependent (BOLD) responses. The BOLD signal was significantly changed by both inflow and outflow changes in the balloon's volume. For lower balloon volumes, water inflow was associated with activation of sensorimotor cortices and right insula. The larger volume condition additionally activated left posterior amygdala, left posterior insula and the left precuneus. The response in the left amygdala and insula was negatively associated with changes in self-reports of fullness and positively with changes in plasma ghrelin concentration, whereas those in the right amygdala and insula were negatively associated with the subject's body mass index. The widespread activation induced by gastric distention corroborates the influence of vagal afferents on cortical and subcortical brain activity. These findings provide evidence that the left amygdala and insula process interoceptive signals of fullness produced by gastric distention involved in the controls of food intake. PMID- 18155926 TI - A hippocampal-parietal network for learning an ordered sequence. AB - The dynamics of the neural network that underlies learning transitive structures of an ordered sequence remains poorly understood. To address this, in the present study we used fMRI to track the time course of transitive inference learning. The hippocampus and the angular gyrus were each shown to be closely related to the learning trajectory, but differentially so. Hippocampal activity was shown to consistently increase with learning but no correlation was found between performance and hippocampal activation, suggesting a general role for the hippocampus. Left angular gyrus activity was also found to consistently increase with training, but, in addition, correlated significantly with behavioral performance. This suggests an involvement of the angular gyrus in learning the ordinal associations between the stimuli. PMID- 18155925 TI - Study of the development of fetal baboon brain using magnetic resonance imaging at 3 Tesla. AB - Direct observational data on the development of the brains of human and nonhuman primates is on remarkably scant, and most of our understanding of primate brain development is extrapolated from findings in rodent models. Magnetic resonance imaging (MRI) is a promising tool for the noninvasive, longitudinal study of the developing primate brain. We devised a protocol to scan pregnant baboons serially at 3 T for up to 3 h per session. Seven baboons were scanned 1-6 times, beginning as early as 56 days post-conceptional age, and as late as 185 days (term approximately 185 days). Successful scanning of the fetal baboon required careful animal preparation and anesthesia, in addition to optimization of the scanning protocol. We successfully acquired maps of relaxation times (T(1) and T(2)) and high-resolution anatomical images of the brains of fetal baboons at multiple time points during the course of gestation. These images demonstrated the convergence of gray and white matter contrast near term, and furthermore demonstrated that the loss of contrast at that age is a consequence of the continuous change in relaxation times during fetal brain development. These data furthermore demonstrate that maps of relaxation times have clear advantages over the relaxation time weighted images for the tracking of the changes in brain structure during fetal development. This protocol for in utero MRI of fetal baboon brains will help to advance the use of nonhuman primate models to study fetal brain development longitudinally. PMID- 18155927 TI - Is our self based on reward? Self-relatedness recruits neural activity in the reward system. AB - Every organism has to evaluate incoming stimuli according to their current and future significance. The immediate value of stimuli is coded by the reward system, but the processing of their long-term relevance implements a valuation system that implicates self-relatedness. The neuronal relationship between reward and self-relatedness remains unclear though. Using event-related functional MRI, we investigated whether self-relatedness induces neural activity in the reward system. Self-relatedness induced signal changes in the same regions that were recruited during reward including the bilateral nucleus accumbens (NACC), ventral tegmental area (VTA) and ventromedial prefrontal cortex (VMPFC). The fMRI signal time courses revealed no differences in early BOLD signals between reward and self-relatedness. In contrast, both conditions differed in late BOLD signals with self-relatedness showing higher signal intensity. In sum, our findings indicate sustained recruitment of the reward system during self-relatedness. These findings may contribute to a better understanding of the reward-based nature of our self. PMID- 18155928 TI - Improving MEG source localizations: an automated method for complete artifact removal based on independent component analysis. AB - The major limitation for the acquisition of high-quality magnetoencephalography (MEG) recordings is the presence of disturbances of physiological and technical origins: eye movements, cardiac signals, muscular contractions, and environmental noise are serious problems for MEG signal analysis. In the last years, multi channel MEG systems have undergone rapid technological developments in terms of noise reduction, and many processing methods have been proposed for artifact rejection. Independent component analysis (ICA) has already shown to be an effective and generally applicable technique for concurrently removing artifacts and noise from the MEG recordings. However, no standardized automated system based on ICA has become available so far, because of the intrinsic difficulty in the reliable categorization of the source signals obtained with this technique. In this work, approximate entropy (ApEn), a measure of data regularity, is successfully used for the classification of the signals produced by ICA, allowing for an automated artifact rejection. The proposed method has been tested using MEG data sets collected during somatosensory, auditory and visual stimulation. It was demonstrated to be effective in attenuating both biological artifacts and environmental noise, in order to reconstruct clear signals that can be used for improving brain source localizations. PMID- 18155929 TI - Preictal short-term plasticity induced by intracerebral 1 Hz stimulation. AB - Short-term changes of intrinsic properties of neural networks play a critical role in brain dynamics. In that context, epilepsy is a typical pathology where the fast transition between interictal and ictal states is probably associated to intrinsic modifications of underlying networks. In this study, we focused on the correlates of plastic neural mechanisms in the intracerebral electroencephalogram (iEEG). Data were obtained during 1 Hz electrical stimulation in twenty patients suffering from temporal lobe epilepsy and implanted with intracerebral electrodes for clinical evaluation before resective surgery. First, we developed a procedure of analysis for localisation of the seizure onset zone based on brain excitability and plasticity defined as the average, and as the first-order (linear) modulation respectively, of the standard deviation of iEEG responses over stimulations. Our results suggest that the candidate epileptic focus is particularly prone to exhibiting short-term plasticity. Second, we used Dynamic Causal Modelling (DCM) to model explicitly short-term plasticity as a fast modulation of synaptic efficacies in either intrinsic or extrinsic connections to the focus. We found the two types of modulation both likely. Third, we used DCM to study the fast modulation of synaptic connectivity of long-range connections in neuronal networks restricted to the temporal lobe. Using DCM, we were able to estimate which structures expressed a strong modulatory input to the epileptic focus. Such early changes in interregional connectivity might be important for the initiation of electrically-induced seizures. They may also reflect some aspects of the pathogenesis of epilepsy in those patients. PMID- 18155930 TI - Phylogenetic analysis of P5 P-type ATPases, a eukaryotic lineage of secretory pathway pumps. AB - Eukaryotes encompass a remarkable variety of organisms and unresolved lineages. Different phylogenetic analyses have lead to conflicting conclusions as to the origin and associations between lineages and species. In this work, we investigated evolutionary relationship of a family of cation pumps exclusive for the secretory pathway of eukaryotes by combining the identification of lineage specific genes with phylogenetic evolution of common genes. Sequences of P5 ATPases, which are regarded to be cation pumps in the endoplasmic reticulum (ER), were identified in all eukaryotic lineages but not in any prokaryotic genome. Based on a protein alignment we could group the P5 ATPases into two subfamilies, P5A and P5B that, based on the number of negative charges in conserved trans membrane segment 4, are likely to have different ion specificities. P5A ATPases are present in all eukaryotic genomes sequenced so far, while P5B ATPases appear to be lost in three eukaryotic lineages; excavates, entamoebas and land plants. A lineage-specific gene expansion of up to four different P5B ATPases is seen in animals. PMID- 18155931 TI - Long-term levetiracetam treatment affects reproductive endocrine function in female Wistar rats. AB - PURPOSE: Several antiepileptic drugs (AEDs) induce changes in endocrine function in women with epilepsy. Levetiracetam (LEV) is one of the newer AEDs, and to date no endocrine side-effects have been reported in humans. However, a recent study on ovarian follicular cells from prepubertal pigs showed that LEV affected basal steroid hormone secretion. The aim of the present study was to investigate possible effects of the drug on endocrine function and ovarian morphology in non epileptic rats. METHODS: Thirty female Wistar rats were fed per-orally with either 50mg/kg LEV (n=15) or 150 mg/kg LEV (n=15) twice daily for 90-95 days. Twenty rats received a control solution. The rats were killed in the dioestrus phase of the oestrous cycle. Serum concentrations of testosterone, 17beta oestradiol, progesterone, follicle stimulating hormone (FSH), luteinizing hormone (LH) and LEV were measured, and the ovaries examined histologically. RESULTS: Mean ovarian weight showed a significant, dose-dependent increase after LEV treatment. Mean numbers of ovarian follicular cysts were not changed, but the numbers of corpora lutea and secondary follicles were significantly higher in the treated animals. Serum testosterone was significantly increased in treated animals (0.50 nmol/l versus 0.16 nmol/l in controls, p<0.05), while oestradiol was reduced (67.4 compared to 257.5 pmol/l in controls, p<0.05). The low-dose group had significantly lower serum progesterone concentrations than the control group (56.8 nmol/l versus 34.7 nmol/l, respectively, p<0.05). FSH was reduced in the treated animals (3.3 ng/ml versus 5.5 ng/ml, p<0.05) while LH was unaffected. CONCLUSION: Our findings indicate a possible effect of LEV on the hypothalamic pituitary-gonadal (HPG) axis and ovarian morphology in non-epileptic rats. The effects differ from those previously described for other AEDs. Caution must be taken before these results can be applied to humans. PMID- 18155932 TI - Disorders of reproduction in epilepsy--what can we learn from animal studies? AB - Several animal studies have shown that both the epilepsy itself and many antiepileptic drugs (AEDs) affect reproductive endocrine function in both males and females. Epileptic activity may lead to arrested ovarian cyclicity, anovulatory cycles, polycystic ovaries, and endocrine changes in female animals. In males, seizures disturb normal reproductive physiology by inducing endocrine changes, alterations in gonadal size, and hyposexuality. Several AEDs also affect endocrine function, fertility, and gonadal morphology in both sexes. This paper reviews the literature regarding animal studies related to reproductive disorders in epilepsy. Although care should always be taken when applying data from animal experiments to the human situation, animal models provide a unique possibility for investigating the independent effects of the epilepsy itself and the effects of AEDs in isolation, without confounding factors. By constantly comparing results from clinical and animal studies, and by developing appropriate animal models, several mechanistic questions regarding the complex interplay between epilepsy, hormones, and AEDs can be explored. Animal experiments should play an integral part in the study of reproductive endocrine disorders in epilepsy. PMID- 18155933 TI - Nuclear actin in plants. AB - Actins constitute a wide family of proteins that are major components of the cytoskeleton. Animal cells have nuclear G-actin forms that assemble into several nuclear macromolecular complexes and are substrates for myosin I beta (NMI). The nuclear actin related proteins (ARPs) are part of the chromatin-remodelling complex, while nuclear acting binding proteins (nABPs) comprise either nuclear forms of cytoplasmic ABPs (as NMI) or specific nABPs. No evidence of the presence of nuclear actin exists in plants, which lack orthologues of the main animal structural nABPs. Here we prove the presence of actin forms with different solubility, and their associated protein NMI in the plant nucleus, as components of the transcription complexes and the nucleoskeleton. For this, WB and confocal immunofluorescence with antibodies against human actin and NMI were used. PMID- 18155934 TI - A randomized controlled trial of exposure in vivo for patients with spinal pain reporting fear of work-related activities. AB - BACKGROUND: Pain-related fear is related to disability in persistent pain conditions. Exposure treatment has been reported to be of great benefit in replicated single case experiments. AIM: To evaluate the effects of exposure in vivo on fear and function in patients with persistent pain and work disability. METHOD: We recruited 46 patients suffering from long-term back pain and reduced function, who also were deemed fearful according to standardized measures. Participants were randomized into either an exposure plus usual treatment or waiting list control plus usual treatment group. After the waiting period the control group crossed over and received the exposure treatment. RESULTS: Between group comparisons showed a significantly better result for the exposure group on function, but not for fear or pain and effect sizes were modest (function=.6; fear=.4; pain=.1). When the control group crossed over to treatment significant treatment effects were noted for fear and function. For all patients treated, the pre to post-treatment effect sizes were large (function=.7; fear=1.1; pain=.9). There were 12 dropouts (8 in exposure and 4 in the control) during the first treatment phase and an additional 4 when the control group crossed over to exposure. CONCLUSIONS: Compared to a group receiving usual treatment and waiting for exposure, the exposure in vivo group demonstrated a significantly larger improvement on function. Overall exposure had moderate effects on function, fear and pain intensity. We conclude that exposure may be important in treatment, but is not recommended as a "stand alone" adjunct to usual treatment. PMID- 18155935 TI - CONTRA: improving the performance of dynamic investigations in natural abundance organic solids by mirror-symmetric constant-time CODEX. AB - We present a minor but essential modification to the CODEX 1D-MAS exchange experiment. The new CONTRA method, which requires minor changes of the original sequence only, has advantages over the previously introduced S-CODEX, since it is less sensitive to artefacts caused by finite pulse lengths. The performance of this variant, including the finite pulse effect, was confirmed by SIMPSON calculations and demonstrated on a number of dynamic systems. PMID- 18155936 TI - Solid state 19F NMR parameters of fluorine-labeled amino acids. Part I: aromatic substituents. AB - Structural parameters of peptides and proteins in biomembranes can be directly measured by solid state NMR of selectively labeled amino acids. The 19F nucleus is a promising label to overcome the low sensitivity of 2H, 13C or 15N, and to serve as a background-free reporter group in biological compounds. To make the advantages of solid state 19F NMR fully available for structural studies of polypeptides, we have systematically measured the chemical shift anisotropies and relaxation properties of the most relevant aromatic and aliphatic 19F-labeled amino acids. In this first part of two consecutive contributions, six different 19F-substituents on representative aromatic side chains were characterized as polycrystalline powders by static and MAS experiments. The data are also compared with results on the same amino acids incorporated in synthetic peptides. The spectra show a wide variety of lineshapes, from which the principal values of the CSA tensors were extracted. In addition, temperature-dependent T(1) and T(2) relaxation times were determined by 19F NMR in the solid state, and isotropic chemical shifts and scalar couplings were obtained in solution. PMID- 18155937 TI - Community-acquired methicillin-resistant Staphylococcus aureus orbital cellulitis in a non-immunocompromised child. AB - Methicillin-resistant Staphylococcus aureus (MRSA) has recently become a significant pathogen in ocular and systemic disease. Both community- and nosocomial-acquired MRSA orbital cellulitis have been reported in adults. However, there exist only very few published case reports of pediatric MRSA orbital cellulitis, and it is unclear whether these infections were hospital or community acquired and if these children were immunocompromised. We report the first documented case of orbital cellulitis secondary to community-acquired MRSA in a non-immunocompromised child. PMID- 18155938 TI - The age-dependent effect of anisometropia magnitude on anisometropic amblyopia severity. AB - INTRODUCTION: Anisometropia is an important cause of amblyopia. The relationship between anisometropia depth and amblyopia magnitude is not well characterized, as previous studies have been limited to patients identified because of their amblyopia. We analyzed results from anisometropic patients identified with photoscreening to eliminate this selection bias. METHODS: We performed a retrospective observational study of preschool children with anisometropia >1.0 D identified during a statewide photoscreening program. Nine hundred seventy-four children with anisometropia were detected over a 9-year period. Visual acuity, cycloplegic refraction data, and patient age from a formal follow-up examination were analyzed. Effect of anisometropia magnitude on amblyopia was measured by ordinal logistic regression, taking age into account. RESULTS: Six hundred forty (65.7%) children had amblyopia > or =2 lines. Three hundred sixty-four (37.4%) had > or =4 lines amblyopia. There was a statistically significant increase in risk of amblyopia with increasing magnitude of anisometropia. Calculated odds ratios for amblyopia with maximal meridional anisometropia of > or =2 to <4 D compared with >1 to <2 D was 2.13 (95% CI [1.63, 2.78], p < 1 x 10(-7)), and 2.34 (95% CI [1.67, 3.28], p < 1 x 10(-6)) when comparing > or =4 D to > or =2 to <4 D. Odds ratios for spherical equivalent anisometropia were also highly statistically significant. CONCLUSIONS: Children with higher magnitudes of anisometropia had higher prevalence and greater depth of amblyopia. Older children had an increased risk of amblyopia compared with younger children for moderate levels of anisometropia. Low magnitude anisometropia in young children may not predispose to amblyopia; these findings have implications for vision screening criteria at various ages. PMID- 18155939 TI - Postoperative povidone-iodine prophylaxis in strabismus surgery. AB - PURPOSE: While antibiotic/steroid combinations are routinely administered during the first week after strabismus surgery, they can be costly and inconvenient and may be unnecessary. This study compares the use of single-dose 5% povidone-iodine drops versus a week-long course of antibiotic/steroid as a prophylaxis against postoperative infection in extraocular muscle surgery. METHODS: Retrospective chart review was performed of 1871 patients undergoing routine strabismus surgery. Patients received either a single application of 5% povidone-iodine solution to the operative eye(s) at the conclusion of the surgical procedure or a week-long course of topical antibiotic/steroid. Postoperative records were then reviewed to identify abnormalities or complications occurring during the first 2 months after surgery. RESULTS: Complete documentation was found for 1603 patients. Single-dose povidone-iodine prophylaxis was used in 953 cases (59.5%), and a postoperative course of topical antibiotic/steroid combination was used in 650 cases (40.5%). Of the 1603 cases, possible infection occurred in 46 patients (2.87%). Of the 46 possible infections, 20 (3.08%) occurred in 650 patients on an antibiotic/steroid combination and 26 (2.83%) occurred in the 953 patients treated with single-dose povidone-iodine prophylaxis. This difference was not statistically significant (p = 0.6815). No cases of orbital cellulitis or endophthalmitis occurred in either group. CONCLUSIONS: Single-dose povidone iodine is an inexpensive alternative to postoperative antibiotic/steroid prophylaxis following routine strabismus surgery performed through a fornix incision. Patients who had reoperations and limbal incisions were more likely to have complicated postoperative courses: antibiotic/steroid use in these groups may be beneficial. PMID- 18155940 TI - Amblyopia beyond acuity. PMID- 18155941 TI - A comparison of photorefraction and retinoscopy in children. PMID- 18155942 TI - Optical iridectomy in children with corneal opacities. AB - BACKGROUND: Optical iridectomy creates a clear entrance pupil, improving vision in patients with segmental corneal opacities. An area of clear peripheral cornea can produce retinal images compatible with good visual acuity. MATERIALS AND METHODS: The records of 22 children who underwent optical iridectomy from January 2002 to June 2004 were reviewed retrospectively. The optical iridectomy site was selected after slit-lamp examination. Visual acuity was assessed pre- and postoperatively by an age-appropriate method. RESULTS: Twenty-two children with central corneal opacities underwent the procedure. Mean age was 10.4 +/- 12.6 months (range, 8-24 months). Mean follow-up period was 22.2 +/- 56.2 months (range, 8-140 months). No intraoperative or postoperative complications were observed. Visual acuity improved to near normal in 4 children (18.2%). However, 4 children (18.2%) did not show any improvement, and 1 child lost vision. Two patients (9.1%) showed no improvement in vision despite maintaining a clear line of sight. CONCLUSIONS: Optical iridectomy is an alternative when penetrating keratoplasty cannot or should not be performed. PMID- 18155943 TI - Normative pediatric visual acuity using single surrounded HOTV optotypes on the Electronic Visual Acuity Tester following the Amblyopia Treatment Study protocol. AB - PURPOSE: To provide normative pediatric visual acuity data using HOTV optotypes presented on the Electronic Visual Acuity Tester following the Amblyopia Treatment Study (ATS) protocol. METHODS: Monocular testing was conducted on 384 healthy full-term children ranging from 3 to 10 years of age (mean, 5.4 years; SD, 1.8 years). A total of 373 children completed monocular testing of each eye. In addition, 23 adults (mean, 28.7 years; SD, 4.9 years) were tested for comparison. Both monocular visual acuity and interocular acuity differences were recorded. RESULTS: Mean visual acuity improved by slightly more than one line (0.12 logMAR) from 3 years of age to adulthood, increasing from 0.08 logMAR to 0.04 logMAR (F(6,400) = 26.3, p < 2.0 x 10(-26)). At all ages, mean interocular acuity difference was less than one line on a standard acuity chart (overall mean difference = 0.04 logMAR; SD, 0.06 logMAR). CONCLUSIONS: These results represent the first normative data reported for HOTV optotypes using the ATS protocol on the Electronic Visual Acuity Tester. These data may play an important role in clinical practice, screening, and clinical research. PMID- 18155944 TI - Neuro-ophthalmologic findings in patients with rhombencephalosynapsis. AB - Rhombencephalosynapsis is a rare, sporadic, posterior fossa malformation characterized by agenesis of the cerebellar vermis, dorsal fusion of the cerebellar hemispheres, and fusion of the dentate nuclei and superior cerebellar peduncles. Ophthalmologic findings in patients with rhombencephalosynapsis have not been described in detail. Optic nerve and chiasmal hypoplasia were reported in two patients. Strabismus has been noted in several patients; however, specific details were not provided. We describe the association of A-pattern strabismus and superior oblique overaction with rhombencephalosynapsis. PMID- 18155945 TI - Persistence of eye movement following disinsertion of extraocular muscle. AB - BACKGROUND: It is widely assumed that the insertion of the extraocular muscle is the sole site of force translation from muscle to eye. Our aim was to test this assumption by examining ocular motility after disinsertion of the extraocular muscle. METHODS: Forty-two adults (age, 20-45 years; median age, 26 years) underwent strabismus surgery. All surgeries were completed under topical anesthesia with lidocaine 2% jelly or peribulbar sensorimotor differential blocking anesthesia with ropivacaine 0.2%. Sixty-six rectus muscles and six oblique muscles were suture-locked and disinserted. After disinsertion of each muscle, the patient was asked to move the eye in the field of action of the muscle; eye movement was recorded as normal, reduced, or absent. RESULTS: For 50 rectus muscles (76%), eye movement was normal after disinsertion, while for 14 rectus muscles (21%), eye movement was reduced after disinsertion. For only two rectus muscles (3%), eye movement was absent after disinsertion. For all six oblique muscles (100%), eye movement was normal after disinsertion. CONCLUSIONS: The unexpected, strong persistence of eye movement in the direction of action of the disinserted muscle indicates that anatomic insertion not only occurs at the point at which the muscle blends into the sclera but also involves the surrounding connective tissue. Orbital connective tissue can be considered an additional and important locomotor system. PMID- 18155947 TI - Effect of acclimation temperature on routine metabolic rate in triploid salmonids. AB - The objective of this research was to determine whether triploid fish differ from diploids in their routine metabolic rates across a range of acclimation temperatures. Sibling diploids and triploids were acclimated to 12, 15 and 18 degrees C (Atlantic salmon; Salmo salar) and to 9, 12 and 15 degrees C (brook charr; Salvelinus fontinalis) prior to experimentation. Routine metabolic rates were then determined three times over a two-month period. Triploids of both species had higher metabolic rates than diploids at lower temperatures, and lower metabolic rates than diploids at higher temperatures, demonstrating that triploids have different (i.e., lower) thermal optima than diploids. This likely explains prior observations of high mortality of triploids at chronically elevated, but sub-lethal, rearing temperatures for sibling diploids. PMID- 18155948 TI - Purification and properties of major midgut leucyl aminopeptidase of Morimus funereus (Coleoptera, Cerambycidae) larvae. AB - The major leucyl aminopeptidase (LAP) from the midgut of Morimus funereus larvae was purified and characterised. Specific LAP activity was increased 292-fold by purification of the crude midgut extract. The purified enzyme had a pH optimum of 7.5 (optimum pH range 7.0-8.5) and preferentially hydrolysed p-nitroanilides containing hydrophobic amino acids in the active site, with the highest V(max)/K(M) ratio for leucine-p-nitroanilide (LpNA). Among a number of inhibitors tested, the most efficient were 1,10-phenanthroline having a K(i) value of 0.12 mM and cysteine with K(i) value of 0.31 mM, while EGTA stimulated LAP activity. Zn(2+), Mg(2+) and Mn(2+) all showed bi-modal effects on LAP activity (activated at low concentrations and inhibited at high concentrations). The purified LAP (after gel filtration on Superose 6 column) had molecular mass of 400 kDa with an isoelectric point of 6.2. Sodium dodecylsulphate-polyacrylamide gel electrophoresis (SDS-PAGE) revealed one band of 67 kDa, suggesting that the enzyme is a hexamer. Six peptide sequences from protein band were obtained using ESI/MS-MS analysis. Comparison of the obtained peptide sequences with the EMBL EBI sequence analysis toolbox and the BLASTP database showed a high degree of identity with other insect aminopeptidases. PMID- 18155949 TI - Engineering the Saccharomyces cerevisiae isoprenoid pathway for de novo production of aromatic monoterpenes in wine. AB - Grape musts contain a variety of terpenols that significantly affect wine aroma. The amounts of these metabolites depend on the grape variety, and many cultivars are non-aromatic. Yeasts like Saccharomyces cerevisiae cannot produce and excrete monoterpenes efficiently, mainly due to their lack of monoterpene synthases. By metabolic engineering we have modified the isoprenoid biosynthesis pathway in a wine yeast strain of S. cerevisiae expressing the Clarkia breweri S-linalool synthase gene. Under microvinification conditions, without compromising other desirable and useful fermentative traits, the recombinant yeast efficiently excreted linalool to levels exceeding the threshold of human perception. Bearing in mind the possibility of (co-)expressing other genes that encode enzymes leading to the production of various aroma compounds and the feasibility of controlling the levels of their expression, the potential of this achievement for future genetic manipulation of wine varietal aroma or for use in other alcoholic drinks seems very promising. PMID- 18155950 TI - Detection of virulent feline herpesvirus-1 in the corneas of clinically normal cats. AB - To evaluate the clinically normal feline cornea for the presence of virulent feline herpesvirus-1 (FHV-1), corneas from 31 cats (25 with normal eyes and six with active disease or corneal scarring) euthanased at a shelter were collected. Corneas from two specific pathogen-free cats were included as negative controls. Virus isolation (VI), fluorescent antibody (FA) staining and real-time polymerase chain reaction (rt-PCR) were performed on all samples. The presence or absence of dexamethasone in the media was evaluated for its effect on VI. VI was positive for FHV-1 in six corneas from five cats, all with clinically normal eyes. One cornea was positive for feline calicivirus (FCV) in addition to FHV-1, but only in media that included dexamethasone. Eight corneas were positive on rt-PCR for FHV-1, all from cats with clinically normal eyes. All positive VI samples were confirmed with FA staining. VI and rt-PCR were negative for FHV-1 and FCV in cats with active disease or corneal scarring. Data from this study indicate that virulent FHV-1 and FCV can be present in feline corneas that are clinically normal. Dexamethasone may enhance viral spread through a cell receptor mechanism. PMID- 18155951 TI - Requirement of hydrogen peroxide and Sp1 in the stimulation of Na,K-ATPase by low potassium in MDCK epithelial cells. AB - We have previously implicated reactive oxygen species oxygen (ROS) as a critical signal transducer in the upregulation of Na,K-ATPase by low K+ in MDCK cells, but how ROS mediate this process has not been well defined. We reported here that both of hydrogen peroxide (H2O2) and superoxide anion (O2*(-)) were rapidly produced at the early stage of low K+-treated MDCK cells. Further analysis revealed that NADP/NADPH oxidase-derived H2O2 was specifically involved in low K+ induced Na,K-ATPase alpha1 gene transcription as well as alpha1 and beta1 subunits expressions. Exogenous H2O2 even mimicked the stimulatory effect of low K+ on Na,K-ATPase alpha1 gene transcription. Low K+ triggered a H2O2-dependent ERK1/2 phosphorylation in MDCK cells, nonetheless, this ERK1/2 activation did not finally lead to the upregulation of Na,K-ATPase. Similar to previous findings that Na,K-ATPase beta1 gene transcription was mediated by Sp1, Na,K-ATPase alpha1 gene transcription in low K+-treated MDCK cells was also closely relevant to Sp1 participation, as confirmed by siRNA as well as PCR mutagenesis technologies. Furthermore, Sp1 activation was dependent on H2O2 generation triggered by low K+. Taken together, the data described in this study outlines an essential role of H2O2 and Sp1 in mediating the upregulation of Na,K-ATPase in MDCK cells by low external K+. PMID- 18155952 TI - Dendritic cells and innate defense against tumor cells. AB - Tumor growth results from a delicate balance between intrinsic dysregulation of oncogenes, tumor suppressor and stability genes counteracted by extrinsic defenses composed of immune cells shaping tumor immunogenicity. Although immune subversion might be the ultimate outcome of this process, a complex network of cellular interactions take place eventually leading to tumor specific cognate immune responses. The links between innate and cognate antitumor immunity eliciting protective T cell responses are instigated by cytokines, chemokines and damage associated molecular patterns. The intricate differentiation pathway whereby dendritic cells could undergo an efficient maturation program in the tumor microenvironment appears crucial. We will discuss the role of innate effectors and cancer therapies in the process of defense against tumor cells. PMID- 18155953 TI - High susceptibility of neonatal mice to molecular, biochemical and cytogenetic alterations induced by environmental cigarette smoke and light. AB - Our recent studies have shown that both cigarette smoke and UV-containing light, which are the most widespread and ubiquitous mutagens and carcinogens in the world, cause systemic genotoxic damage in hairless mice. Further studies were designed with the aim of evaluating the induction of genotoxic and carcinogenic effects in Swiss albino mice exposed to smoke and/or light since birth. We observed that a 4-month whole-body exposure of mice to mainstream cigarette smoke, starting at birth, caused an early and potent carcinogenic response in the lung and other organs. Our further experiments showed that exposure of mice to environmental cigarette smoke, during the first 5 weeks of life, resulted in a variety of significant alterations of intermediate biomarkers, including cytogenetic damage in bone marrow and peripheral blood, formation of lipid peroxidation products, increase of bulky DNA adduct levels, induction of oxidative DNA damage, and overexpression of OGG1 gene in lung, stimulation of apoptosis, hyperproliferation and loss of Fhit protein in pulmonary alveolar macrophages and/or bronchial epithelial cells, and early histopathological alterations in the respiratory tract. Moreover, exposure of mice to UV-containing light, mimicking solar irradiation, significantly enhanced oxidative DNA damage and bulky DNA adduct levels in lung, and synergized with smoke in inducing molecular alterations in the respiratory tract. The baseline OGG1 expression in lung was particularly high at birth and decreased in post-weanling mice. Oxidative DNA damage and other investigated end-points exhibited differential patterns in post-weanling mice and adult mice. The findings of these studies provide a mechanistic clue to the general concept that the neonatal period and early stages of life are critical in affecting susceptibility to carcinogens. PMID- 18155954 TI - Genomic damage in children accidentally exposed to ionizing radiation: a review of the literature. AB - During the last decade, our knowledge of the mechanisms by which children respond to exposures to physical and chemical agents present in the environment, has significantly increased. Results of recent projects and programmes focused on children's health underline a specific vulnerability of children to environmental genotoxicants. Environmental research on children predominantly investigates the health effects of air pollution while effects from radiation exposure deserve more attention. The main sources of knowledge on genome damage of children exposed to radiation are studies performed after the Chernobyl nuclear plant accident in 1986. The present review presents and discusses data collected from papers analyzing genome damage in children environmentally exposed to ionizing radiation. Overall, the evidence from the studies conducted following the Chernobyl accident, nuclear tests, environmental radiation pollution and indoor accidental contamination reveals consistently increased chromosome aberration and micronuclei frequency in exposed than in referent children. Future research in this area should be focused on studies providing information on: (a) effects on children caused by low doses of radiation; (b) effects on children from combined exposure to low doses of radiation and chemical agents from food, water and air; and (c) specific effects from exposure during early childhood (radioisotopes from water, radon in homes). Special consideration should also be given to a possible impact of a radiochemical environment to the development of an adaptive response for genomic damage. Interactive databases should be developed to provide integration of cytogenetic data, childhood cancer registry data and information on environmental contamination. The overall aim is to introduce timely and efficient preventive measures, by means of a better knowledge of the early and delayed health effects in children resulting from radiation exposure. PMID- 18155955 TI - Lack of genotoxic effects in hematopoietic and gastrointestinal cells of mice receiving chromium(VI) with the drinking water. AB - Chromium(VI) is genotoxic when tested in vitro or injected parenterally in such a way to escape detoxification mechanisms. However, its genotoxicity and potential carcinogenicity are lost, depending on dose and administration route, due to efficient reduction in body fluids and nontarget cells. Chromium(VI) is a Group 1 IARC carcinogen, but only in the respiratory tract and in well-defined occupational settings that involved heavy exposures. Recently, concern has been expressed that oral chromium(VI) may be a gastric carcinogen. We demonstrated that administration of very high doses of chromium(VI) with the drinking water does not induce any clastogenic effect in hematopoietic cells of adult mice and their fetuses. Thereafter, we investigated whether administration of chromium(VI) with the drinking water may induce local genotoxic effects in the gastrointestinal tract. Sodium dichromate dihydrate was administered to mice for 9 consecutive months, at doses corresponding to 5 and 20 mg chromium(VI)/l, which exceed drinking water standards by 100 and 400 times, respectively. Under these conditions, chromium(VI) failed to enhance the frequency of DNA-protein crosslinks and did not cause oxidative DNA damage, measured in terms of 8-oxo-2' deoxyguanosine, in the forestomach, glandular stomach and duodenum. When cells from the same organs were isolated and challenged in vitro with chromium(VI), as positive controls, the same genotoxicity biomarkers were evidently affected. Thus, consistently with the knowledge accumulated in 50 years of research on chromium(VI) kinetics and metabolism, oral chromium(VI) appears to be devoid of genotoxicity in the gastrointestinal tract. After 9 months, we did not observe any variation of tumor yield in skin, lung, forestomach, glandular stomach, and duodenum of chromium(VI)-treated mice. These results are discussed in the light of literature data, also including a recent 2-year carcinogenicity study performed by the National Toxicology Program. PMID- 18155956 TI - Synthesis and spectroscopic characterization of gold nanoparticles. AB - Photoluminescent nanoparticles of gold with size 3, 4, 6, and 9 nm are prepared by borohydride/citrate reduction in presence of polyethylene glycol (PEG)/tannic acid. The prepared nanomaterials are characterized by UV-vis spectroscopy and dynamic light scattering (DLS) technique. Intense photoluminescence (PL) is observed in nanoparticles prepared by fast reduction with borohydride in presence of PEG. A red shift of PL emission from 408 to 456 nm is observed for the change of size from 4 to 6 nm. Increase in PL intensity is observed for all the nanoparticles on the addition of KCl. Citrate reduced gold colloid which consists of large particles of size approximately 35 nm with anisotropic shapes showing two plasmon peaks is also prepared. The anisotropy is confirmed by TEM measurement. SERS activity of this colloid is tested using glutamic acid as an adsorbate probe. Assignment of the observed bands is given. PMID- 18155958 TI - Drinking water nitrate and prevalence of methemoglobinemia among infants and children aged 1-7 years in Moroccan areas. AB - CONTEXT: Nitrate is ubiquitous in environmental media (air, water and soil) and other sources (some medicines, inorganic fertilizers and household's chemicals). It is a hemoglobin-oxidizing agent that can cause methemoglobinemia. The effect of nitrate on infants is well known but less is known about nitrate-induced methemoglobinemia in young children. METHOD: Two cross-sectional studies were carried out in Sale, Morocco to determine the prevalence of methemoglobinemia among 411 infants and children aged 1-7 years in two adjacent areas that were similar in terms of the air quality, available vegetables and medicines but different in terms of the drinking water quality (nitrate-contaminated well water versus municipal water). RESULTS: In the exposed area, nitrate concentration was measured in 78 wells and ranged from 15.39 to 246.90mg/l as NO3-. Nitrate levels were higher than 50mg/l in 69.2% of the surveyed wells, and 64.2% of the participants were drinking nitrate contaminated well waters. The prevalence of methemoglobinemia among study children was 36.2% in the exposed area, and 27.4% in the non-exposed area. Study children drinking well water with a nitrate concentration >50mg/l were significantly more likely to have methemoglobinemia than those drinking well water with a nitrate concentration <50mg/l (p=0.001 at 95% CI=[1.22-2.64]) or than those drinking municipal water (p<0.01 at 95% CI=[1.16-2.21]). In the exposed area, the mean methemoglobin (MetHb) level increased with age (R2= 0.79, p=0.04), whereas in the unexposed area, the mean MetHb level remained relatively stable in the first 6 years of life (R2=0.21, p=0.44). Mean MetHb was normal when the nitrate concentration in water was below 50mg/l as NO3-, and reached an abnormal level, when the nitrate concentration in water ranged between 50 and 90mg/l as NO3-. This last level was statistically similar to mean MetHb at nitrate level above 90mg/l as NO3- (up to 246.9mg/l as NO3-). No association was observed between methemoglobinemia prevalence and gender. This is the first study about methemoglobinemia conducted in Morocco. PMID- 18155959 TI - Domestic allergens and endotoxin in three hospitals offering in-patient rehabilitation for allergic diseases in the alpine mountain climate of Bavaria - The AURA study. AB - Endotoxins and allergens represent the major relevant contents of the atmospheric bioaerosol with regard to the triggering and exacerbation of allergic diseases. In this study, mattress concentrations of endotoxin and indoor allergens were measured in three hospitals in the alpine climate of Bavaria and in adjacent homes. Dust was collected from each of 10 mattresses according to a standardized protocol, and endotoxin was analyzed with the Limulus Amebocyte Lysate (LAL) test, indoor allergens Der p 1, Der f 1 and Fel d 1 were analyzed by ELISAs. The concentration of endotoxin in the mattresses did not differ significantly between different cities. The percentiles of endotoxin were significantly higher in hospitals than in homes. The concentrations of mite allergens (Der p 1 and Der f 1) in the dust were significantly lower in all hospitals than in homes. There was no significant difference of mite allergens between different time points. The concentrations of Fel d 1 were significantly higher in the autumn than in the summer (median: 1376 vs. 478ng/g). No significant differences of Fel d 1 were found between hospitals and homes or between different hospitals. As Fel d 1 concentrations reached levels at which cat allergic patients can experience symptoms, efforts had to be made to reduce the concentrations of Fel d 1 especially in hospitals. In contrast, mite allergens were low in hospitals, which can be clinically beneficial for patients with mite allergies. PMID- 18155960 TI - Particulate matter and carbon dioxide in classrooms - the impact of cleaning and ventilation. AB - The objective of the study was to measure the indoor air quality in classrooms with special emphasis on particulate matter (PM 10) and carbon dioxide (CO(2)) and the impact of cleaning and ventilation. MATERIAL AND METHOD: PM 10 was analysed via gravimetric method and by laser beam technology. CO(2) was analysed by infrared sensors. Measurements were collected for 3 weeks; first week: "normal" cleaning (twice a week) and ventilation; second week: intensified cleaning (five times a week); third week: intensified cleaning and intensified ventilation. RESULTS: Levels of PM 10 in the classrooms during the 3 weeks were 69+/-19microg/m(3) and they were dominated by occupancy and the persons' activity. Intensified cleaning showed a significant decrease in all classrooms (79+/-22 to 64+/-15microg/m(3)). The effect of ventilation on levels of PM10 was inconsistent - levels of CO(2) were very high in all schools and could be diminished by intensified ventilation (mean 1459 to 1051ppm). CONCLUSION: Although further investigation is needed to study detailed characteristics of the PM 10 (size distribution, chemical identity) the data are sufficient to improve the cleaning and the ventilation in schools. PMID- 18155961 TI - New reference value and the background exposure for the PAH metabolites 1 hydroxypyrene and 1- and 2-naphthol in urine of the general population in Germany: basis for validation of human biomonitoring data in environmental medicine. AB - Reference values for environmental pollutants in the German population are established continuously by the Human Biomonitoring Commission of the German Federal Environment Agency. The reference value for 1-hydroxypyrene in urine was derived from the representative adult population data collection of the 1998 German Environmental Survey (GerES III) and the representative data collection for children of the German Environmental Survey on Children, 2003/06 (GerES IV). For the non-smoking general population (aged 3-69 years) the commission derived a reference value of 0.5 microg/l (corresponding to 0.3 microg/g creatinine) for 1 hydroxypyrene in urine. For 1- and 2-naphthol levels in urine the amount of data is small and not representative of the German population. Therefore, the commission recommends the following upper margins of background exposures for adult non-smokers: 1-naphthol less than 30 microg/l, 2-naphthol less than 20 microg/l. PMID- 18155962 TI - Trends in organised sport membership: impact on sustainability. AB - Sporting clubs play a key role in community-level physical activity. This study investigated participation trends in sport club membership. A survey of 50 State sports governing bodies in Victoria, Australia collected information on factors affecting membership trends. The records for four of these sports were analysed for the 6 years, 1998-2003. Three sports reported increases in total membership (average annual rates (AARs): 0.3, 1.9 and 12.4%), and one reported a decrease (AAR: -1.0%). There was a decrease in both the absolute number (AARs: -1.1%, 2.3%, and -3.5%) and the proportion (AARs: -0.5%, -0.7%, -1.7% and -2.3%) of adult members. The number of junior club members increased slightly over the 6 year period in two sports (AARs: 0.5% and 0.7%), increased substantially in one (AAR: 12.2%) and decreased in one (AAR: -6.7%). The number of members playing modified sports increased in two sports (AARs: 2.8% and 3.3%), increased substantially in one (AARs: 53.1%) and decreased in one (AAR: -16.3%). The introduction of modified sport for younger participants is relatively new, resulting in sports accessing a new market to maintain or increase their total membership. However, the influx of younger members was not matched by associated increases in adult members. This places increased pressure upon adult members to maintain the infrastructure to support younger members. The issues of decreased adult membership and increased junior membership need to be addressed in order to ensure that community sporting clubs can be sustained and fulfil their potential to act as a vehicle for public health initiatives. PMID- 18155963 TI - Double-blind randomized Phase I study comparing rdESAT-6 to tuberculin as skin test reagent in the diagnosis of tuberculosis infection. AB - Limited specificity of the tuberculin skin test incited the development of in vitro assays based on Mycobacterium tuberculosis-specific antigens such as ESAT-6 that are lacking in Bacillus Calmette Guerin (BCG). In animal studies, intradermal ESAT-6 was safe and induced specific skin test responses. The aim of the study was to assess the safety of intradermal recombinant dimer ESAT-6 (rdESAT-6) compared with tuberculin and to determine the human dose. The study design was a double-blind Phase I study with intra-subject randomization to the left and right forearm, comparing 2 Tuberculin Units (TU) intradermal tuberculin (RT23) with 0.01, 0.1, 1 or 10 microg rdESAT-6 in groups of five healthy controls or treated tuberculosis (TB) patients. The risk of sensitization after skin testing was assessed in healthy volunteers. All doses were tolerated well by healthy volunteers and responses to rdESAT-6 were limited to transient redness after 24 h only at the highest dose. No sensitization was observed. Because 1 microg rdESAT-6 induced large responses with local side effects in some TB patients, the 10 microg dose of rdESAT-6 was not tested. Mean responses to 0.01, 0.1 and 1 microg rdESAT-6 measured 14.0, 19.8 and 38.8 mm of redness, respectively, and 7.0, 13.4 and 14.6 mm of induration. The response to tuberculin was similar to the responses to 0.1 microg rdESAT-6. Mild local side effects due to tuberculin and rdESAT-6 were observed in 8/15, respectively, 6/15 patients, more pronounced at the highest rdESAT-6 dose. In conclusion, this pilot Phase I study of safety, feasibility and dose finding of intradermal rdESAT-6 provides proof of principle of a specific skin test for human use. No serious adverse events were observed but the study was not sufficiently powered to demonstrate complete safety. Intradermal rdESAT-6 did not seem to sensitize healthy volunteers. In treated TB patients, responses to rdESAT-6 were optimal at 0.1 microg. Further studies are needed to evaluate sensitization after repeated doses and to study the effect of additional CFP-10 on the sensitivity of a TB-specific skin test. PMID- 18155965 TI - The effects of cognitive rehabilitation on memory outcome after temporal lobe epilepsy surgery. AB - OBJECTIVE: Epilepsy surgery is a valuable treatment option for patients with pharmacoresistant epilepsy, but seizure freedom is often achieved at the cost of cognitive impairments caused by surgery. The aim of this study was to investigate the short-term effects of cognitive rehabilitation on memory outcome after temporal lobe epilepsy surgery. METHODS: Two groups of patients who underwent temporal lobe resection, one followed (n=55) and one not followed (n=57) by postoperative rehabilitation, were evaluated with respect to memory and attention before and 3 months after temporal lobe surgery. The groups came from different epilepsy centers, but were largely matched with respect to age, sex, type of surgery, and seizure outcome. RESULTS: After surgery, 78% of the patients were seizure-free. Repeated-measures MANOVA revealed a significant "side x surgery" effect on verbal recognition and a "rehabilitation x surgery" effect on verbal learning and recognition. There were no effects for loss in verbal delayed recall or figural memory. Detailed analyses indicated gains as a result of rehabilitation, particularly after right temporal lobe surgery. Attention generally improved. The risk of manifesting losses in verbal memory was about four times higher without than with rehabilitation. CONCLUSIONS: Rehabilitation can counteract the verbal memory decline that is normally seen after temporal lobe resection. Its positive effects were evident particularly with respect to the more cortically associated aspects of verbal learning rather than to the mesial aspects of long-term consolidation/retrieval. Figural memory was not affected at all, and attention improved independent of rehabilitation. Interestingly, left temporal lobe-resected patients, who were most in need of an efficacious rehabilitation, profited less than right temporal lobe-resected patients, indicating that left-sided surgery may reduce the capacity needed for efficient training of verbal memory. Thus, rehabilitation has a positive effect on memory outcome, but its usefulness for risk groups and the question of whether training should be performed after or possibly before surgery are debatable. Further research should also address different interventions, longer-term outcome, and the carryover effects on everyday functioning. PMID- 18155964 TI - Long-term tolerance to allogeneic thymus transplants in complete DiGeorge anomaly. AB - Thymus transplantation in subjects with complete DiGeorge anomaly using postnatal allogeneic HLA-nonmatched cultured thymus tissue provides immunoreconstitution. Tolerance of the newly developed T cells toward the donor thymus has not previously been studied. Mixed lymphocyte cultures were used to test 12 thymus transplant recipients for long-term tolerance toward their thymus allografts. Two subjects tested for responses toward thymus donor peripheral blood mononuclear cells showed significantly less reactivity toward the donors compared to responses against third-party allogeneic cells. Peripheral blood mononuclear cells from 10 other subjects were less responsive toward cryopreserved donor thymic cells than toward allogeneic cells (P=0.00007). Adult control peripheral blood mononuclear cells proliferated strongly in response to the donor thymic cells. Both the subjects and controls showed similar proliferative responses against allogeneic cells and phytohemagglutinin. This study provides in vitro evidence for long-term tolerance of complete DiGeorge anomaly thymus transplantation recipients toward their HLA-nonmatched thymus grafts. PMID- 18155967 TI - The effects of UV radiation on anodic wave of human serum. AB - Polarographic anodic oxidation wave that can be correlated to total antioxidant capacity (TAC) in Human serum corresponds to 2H+ and 2e process. The limiting current of the wave, which is proportional to TAC, is strongly influenced by UV light intensity and irradiation time. A mechanism has been proposed to explain the effects of UV on anodic wave related to antioxidant behavior. Results show that decomposition processes follow to the excitation a transitory product at three different light intensities at 340 nm. The number of decomposition products increase with increasing light intensity. The rate of oxygen radical capture ability of the serum antioxidants might be estimated by comparing the changes of anodic wave in the absence and presence of naturally dissolved oxygen. PMID- 18155966 TI - Clinical trials attitudes and practices of Latino physicians. AB - BACKGROUND: Ethnic differences in physicians' attitudes and behaviors related to clinical trials might partially account for disparities in clinical trial participation among Latino patients. Literature regarding Latino physicians' clinical trials attitudes and practices, in comparison to White physicians, was lacking. METHODS: Cross-sectional data from randomly selected physicians (N=695), stratified by ethnicity, were analyzed to test associations of ethnicity with physicians' participation in and attitudes toward referral of patients to clinical trials. RESULTS: Chi-square analyses showed significant (p<0.05) associations of physician race/ethnicity and clinical trials involvement, type of trial for which the physician is likely to recommend a patient, belief in scientific value, and factors that would influence recommendation for a patient to participate. Multivariate analyses resulted in several significant (p<0.05) predictors of clinical trials outcomes, including physician race/ethnicity. CONCLUSIONS: Latino physicians were significantly less involved in clinical trials than White physicians and found less scientific value in them, highlighting areas for future education and intervention. PMID- 18155968 TI - Electropolymerization of negatively charged Ni(II) complex for the selective determination of dopamine in the presence of ascorbic acid. AB - Electrodes for the dopamine (DA) determination in biological samples have been developed with improved selectivity and sensitivity in an excess of ascorbic acid (AA). Negatively charged Ni(II) complex was synthesized and electropolymerized on the glassy carbon electrode to impart the surface with anionic characteristics that could act both as a catalyst and as a discriminating layer against AA based on the electrostatic interaction. Thus prepared electrodes enabled selective determination of DA even in a large excess of AA by differential pulse voltammetry at physiological pH. Linear response was found down to 1.0 x 10(-7) M with 5.0 x 10(-9) M of LOD (Limit of Detection). In a flow injection analysis performed in an amperometric mode, the detection limit was lowered by two orders of magnitude down to 1.0 x 10(-9) M with a linear range of 1.0 x 10(-9) to 1.0 x 10(-6) M. The relative standard deviation was found to be 3.36% from 25 independent measurements for 1.0 x 10(-5) M of DA. Stable oxidation current of DA was observed even after 30 days storage in air. The recoveries of DA in the 100 fold diluted human urine samples were 97.7% for 4 measurements. The rate constant for the DA oxidation was 1.3 x 10(-3) cm s(-1) from hydrodynamic experiments using a rotating disk electrode. PMID- 18155969 TI - Synthesis and characterization of new electroactive polypyrrole-chondroitin sulphate A substrates. AB - Novel composite polypyrrole/chondroitin-4-sulphate films with cation-exchange properties were synthesized by the electrochemical polymerization of pyrrole in the presence of chondroitin-4-sulphate (CSA) sodium salt, acting as dopant anion at neutral pH. The negatively charged biomolecule was found to be permanently entrapped in the polypyrrole (PPy) membrane which resulted, as expected, facilitated in the mass transport by mobile cationic counterions. The porous nature of the substrates was identified as the most influential factor controlling the morphology. The morphology, in turn, affects the interaction between the material surface and the tissues on a cellular level. In this work in vitro analyses of human fibroblast response to polypyrrole/chondroitin-4-sulphate films were performed to focus on the different steps of cell reactions towards defined surface properties. PMID- 18155970 TI - Repair of radiation induced DNA double strand breaks by backup NHEJ is enhanced in G2. AB - In higher eukaryotes DNA double strand breaks (DSBs) are repaired by homologous recombination (HRR) or non-homologous end joining (NHEJ). In addition to the DNA PK dependent pathway of NHEJ (D-NHEJ), cells employ a backup pathway (B-NHEJ) utilizing Ligase III and PARP-1. The cell cycle dependence and coordination of these pathways is being actively investigated. We examine DSB repair in unperturbed G1 and G2 phase cells using mouse embryo fibroblast (MEF) mutants defective in D-NHEJ and/or HRR. WT and Rad54(-/-) MEFs repair DSBs with similar efficiency in G1 and G2 phase. LIG4(-/-), DNA-PKcs(-/-), and Ku70(-/-) MEFs show more pronounced repair defects in G1 than in G2. LIG4(-/-)/Rad54(-/-) MEFs repair DSBs as efficiently as LIG4(-/-) MEFs suggesting that the increased repair efficiency in G2 relies on enhanced function of B-NHEJ rather than HRR. In vivo and in vitro plasmid end joining assays confirm an enhanced function of B-NHEJ in G2. The results show a new and potentially important cell cycle regulation of B NHEJ and generate a framework to investigate the mechanistic basis of HRR contribution to DSB repair. PMID- 18155972 TI - Simultaneous enantioselective quantification of methadone and of 2-ethylidene-1,5 dimethyl-3,3-diphenyl-pyrrolidine in oral fluid using capillary electrophoresis. AB - A capillary electrophoresis method was developed for the enantioselective quantification of methadone (MTD) and its main metabolite, 2-ethylidene-1,5 dimethyl-3,3-diphenyl-pyrrolidine (EDDP). The enantiomers of MTD and EDDP were resolved by CE in 5min using 0.2% highly sulphated gamma-cyclodextrins as chiral selectors and a 50mM phosphate solution at pH 4.5 as background electrolyte. The optimized method was applied and validated for oral fluid testing. Linear relationships were obtained for MTD enantiomers in the range of 8.1-625ng/mL and in the range of 7.6-500ng/mL for EDDP enantiomers. The detection limits ranged from 2.3 to 2.4ng/mL, whereas the limits of quantification ranged from 7.6 to 8.1ng/mL. Intra- and inter-assay precision and accuracy were acceptable, respectively. The method was applied to the analyses of 60 oral fluid specimens obtained from patients enrolled in a MTD maintenance programme. Our data pointed out that higher concentrations of (R)-MTD and the enantioselective excess of (S) EDDP in OF may reflect the free fraction of MTD and EDDP enantiomers in plasma. PMID- 18155974 TI - HPLC fingerprinting and LC-TOF-MS analysis of the extract of Pseudostellaria heterophylla (Miq.) Pax root. AB - High-performance liquid chromatographic (HPLC) was developed for fingerprint analysis of Pseudostellaria heterophylla (Miq.) Pax. Liquid chromatography electrospray ionization-time-of-flight mass spectrometry (LC-TOF-MS) technique was first employed to identify the components of the fingerprint. Twelve major peaks in chromatographic fingerprint were analyzed by on-line LC-TOF-MS analysis; one cyclic peptide was unequivocally identified and five cyclic peptides were tentatively assigned based on their MS data. These cyclic peptides served as the marker peaks in the HPLC fingerprints. The chromatographic fingerprints have been analyzed by similarity index calculations and hierarchical clustering analysis (HCA). The result showed that the HPLC fingerprints could be used to determine the optimal harvest time for P. heterophylla (Miq.) Pax and to authenticate the species of the herb. PMID- 18155973 TI - Quantitative determination of cyclic phosphatidic acid in human serum by LC/ESI/MS/MS. AB - An LC/ESI/MS/MS method for cyclic phosphatidic acid (cPA) quantification in serum is established in the present report. The limit of quantitation of the assay reaches low nanomolar level in human serum and the CV% are within 10%. Using this method, we successfully quantify the levels of two cPA species, 16:0 and 18:1, in human serum. We find that the concentrations of 16:0 cPA in the serum of normal subjects and post-surgery ovarian cancer patients are significantly higher than its corresponding concentration in pre-surgery ovarian cancer patients, supporting the observation that cPA has anti-cancer activity. Another discovery is that the addition of strong acids (such as hydrochloric acid) in human serum may lead to the production of artificial cPA. Therefore, strong acids should be avoided in the extraction of cPA present in a complex matrix. Based on this observation, a new lipid extraction method was developed and used to extract cPA. The extraction recovery is close to 80%, guaranteeing an accurate quantification of cPA by LC/ESI/MS/MS can be performed. PMID- 18155975 TI - Development of a liquid chromatography/negative-ion electrospray tandem mass spectrometry assay for the determination of cilnidipine in human plasma and its application to a bioequivalence study. AB - A simple method using a one-step liquid-liquid extraction (LLE) with methyl-t butyl ether (MTBE) followed by high-performance liquid chromatography (HPLC) with negative-ion electrospray ionization tandem mass spectrometric (ESI-MS/MS) detection was developed for the determination of cilnidipine in human plasma using benidipine as an internal standard (IS). Acquisition was performed in multiple reaction monitoring (MRM) mode, by monitoring the transitions: m/z 491.1>121.8 for cilnidipine and m/z 504.2>122.1 for IS, respectively. Analytes were chromatographed on a CN column by isocratic elution using 10mM ammonium acetate buffer-methanol (30:70, v/v; adjusted with acetic acid to pH 5.0). Results were linear (r2=0.99998) over the studied range (0.1-20ng/ml) with a total LC-MS/MS analysis time per run of 3min. The developed method was validated and successfully applied to a cilnidipine bioequivalence study in 24 healthy male volunteers. PMID- 18155976 TI - The politics of midwifery education and training in New South Wales during the last decades of the 19th Century. AB - This paper focuses on the introduction and development of midwifery education and training in Sydney during the last decades of the 19th century. The aim of the training, it is argued, was to displace the lay midwives by trained midwifery nurses who would work under medical control. The lay midwives were one of the largest occupational groups among women and two-thirds of births in NSW were being delivered by them in the late 19th century. It was a period of professionalisation of medicine and medical men laid claim to midwifery as a legitimate sphere of their practice and saw it as the gateway for establishing a family practice. The lay midwife stood in the way of their claim. The training programs were established purportedly to control maternal mortality. From the beginning in 1887 medical men were in control of midwifery nurse training. In addition to training at the Benevolent Society Asylum, three more women's hospitals were established in the 1890s in Sydney making it possible to train a stream of midwifery nurses. The midwifery nurses were charged exorbitant fees for their training; the fees contributed substantially towards running the new hospitals that delivered birth services to the poor and destitute women mostly in their homes. The midwifery nurses worked hard in miserable conditions under the guise of clinical experience required for training. When a critical mass of poorly trained midwifery nurses were in the offing, a Bill was introduced into the Parliament in 1895, restricting registration to midwifery nurses and this would have eliminated the lay midwife if passed. It took more than two decades to get a Registration Bill passed in the NSW Parliament. PMID- 18155978 TI - Access, achievement, autonomy: the future of dietetics education. PMID- 18155979 TI - Drawing attention to your web site. PMID- 18155980 TI - Getting started in private practice: a checklist to your entrepreneurial path. PMID- 18155981 TI - Obesity PSAs: are they working as a public service? PMID- 18155982 TI - When ethics collide: an independent dietetic consultant's perspective on balancing professional ethics with the wishes of your clients. PMID- 18155983 TI - Health care reform: an interview with Congressman Xavier Becerra. Interview by Jennifer Teters. PMID- 18155984 TI - Limitations in study of sugar-sweetened beverages. PMID- 18155985 TI - Heart health and diet. PMID- 18155987 TI - Ethical and legal issues in nutritional genomics. AB - Advances in the ability to study how common variations in genes affect the metabolism of drugs and foods suggest that genetic information about individuals is of increasing relevance to clinical practitioners, including registered dietitians. The acquisition, storage, and use of genetic information in nutrition counseling will pose difficult ethical and legal questions involving the maintenance of confidentiality, the right to privacy, and the risks of discrimination in decisions about insurance coverage and employment. In addition, genetic analysis of children poses new questions about the limits of parental authority. Although the field of nutritional genomics is in its infancy, it is appropriate for registered dietitians to begin now to fashion a code of conduct about the proper use of genetic information. Relevant legal topics, such as federal and state legislation and judicial decisions, are discussed. PMID- 18155988 TI - Reducing the energy density of an entree decreases children's energy intake at lunch. AB - BACKGROUND: Strategies need to be developed to reduce preschool children's energy intake. OBJECTIVE: To test the effect of reducing the energy density of an entree on children's ad libitum energy intake. SUBJECTS: Subjects were 2- to 5-year-old children (37 boys and 40 girls) in a university day-care facility. INTERVENTION: In this within-subjects crossover study, children were served a test lunch once per week for 6 weeks. Two versions of a macaroni and cheese entree were formulated to differ in energy density while maintaining similar palatability. Each version was served to children three times. The higher-energy-density entree had 2.0 kcal/g and the other entree was 30% lower in energy density. Lunch, consumed ad libitum, also included broccoli, applesauce, and milk. MAIN OUTCOME MEASURES: Food intake and energy intake were measured. STATISTICAL ANALYSES: A mixed linear model tested effect of energy density of the entree on food intake and energy intake. Results are reported as mean+/-standard error. RESULTS: Decreasing the energy density of the entree by 30% significantly (P<0.0001) reduced children's energy intake from the entree by 25% (72.3+/-8.3 kcal) and total lunch energy intake by 18% (71.8+/-7.9 kcal). Children consumed significantly more of the lower-energy-density entree (10.1+/-4.2 g; P<0.05). Children's sex-specific body mass index-for-age percentiles did not affect the relationship between energy density of the entree and children's intakes. CONCLUSIONS: Decreasing the energy density of a lunch entree resulted in a reduction in children's energy intake from the entree and from the total meal. Reducing the energy density of foods may be an effective strategy to moderate children's energy intake. PMID- 18155989 TI - Overweight and obesity are associated with emotion- and stress-related eating as measured by the eating and appraisal due to emotions and stress questionnaire. AB - OBJECTIVE: Identify if constructs from the Eating and Appraisal Due to Emotions and Stress Model, including Emotion and Stress Related Eating, Appraisal of Ability and Resources to Cope, and Appraisal of Outside Influences and Stressors, were related to overweight and obesity. DESIGN: Data were collected from a cross sectional study using the Eating and Appraisal Due to Emotions and Stress Questionnaire. SUBJECTS/SETTING: Convenience sample from a southeastern public university, including staff and faculty (n=822) with ages ranging from 18 to 83 years and 55.8% of the sample being overweight or obese. STATISTICAL ANALYSIS PERFORMED: Total sum scores were given to each construct and converted to quartiles. Lower quartiles represented higher stress- or emotion-related eating and more compromised appraisal skills or resources to cope. chi(2) Analyses were used to identify variables associated with overweight and obesity. Forward stepwise logistic regression (n=783) was used to identify the independent association of each significant variable with overweight and obesity. RESULTS: A model including race, sex, life stage, and job category as covariates, with a cumulative R(2) of 0.075 was produced. Emotion- and Stress-Related Eating remained in the model during stepwise regression producing a cumulative R(2)=0.265. Individuals scoring in the lowest quartiles for Emotion- and Stress Related Eating were 13.38 times more likely to be overweight or obese, compared with individuals scoring in the highest quartiles. CONCLUSIONS: The Eating and Appraisal Due to Emotions and Stress Model construct of Emotion- and Stress Related Eating as measured by the Eating and Appraisal Due to Emotions and Stress Questionnaire can be used to assess nontraditional factors that contribute to overweight and obesity. PMID- 18155990 TI - One-year ad libitum consumption of diacylglycerol oil as part of a regular diet results in modest weight loss in comparison with consumption of a triacylglycerol control oil in overweight Japanese subjects. AB - OBJECTIVE: The objective of this study was to investigate the effect of 1-year ad libitum consumption of diacylglycerol oil on body weight and serum triglyceride in Japanese men and women. DESIGN/SUBJECTS/INTERVENTION: In a 1-year double blind, placebo-controlled parallel trial with clinic visits at month 0, 3, 6, 9, and 12, a total of 312 Japanese men (n=174) and women (n=138) (aged 22 to 73 years) with body mass index (calculated as kg/m(2)) > or =25 and/or fasting serum triglyceride level > or =150 mg/dL (1.70 mmol/L) (aged 22 to 73 years) were randomly assigned to the diacylglycerol (n=155) or triacylglycerol (n=157) group. Participants substituted their usual home cooking oil with the assigned test oils. MAIN OUTCOME MEASURES: Changes in anthropometrics and serum triglyceride level were monitored at 3-month intervals across a 12-month period. RESULTS: In the intention-to-treat analysis, body weight decreased significantly in the diacylglycerol group when compared to the triacylglycerol group (P=0.013). Changes in body weight and body mass index during the study period differed between the two groups by 0.87 kg (P=0.002) and 0.32 kg (P=0.002), respectively. Participants with higher initial body mass index or greater percentage of total fat intake as diacylglycerol exhibited greater reduction in body weight. Total energy intake and physical activity were not significantly different between the groups during the study. Serum triglyceride levels decreased significantly from values in individuals with hypertriglyceridemia, but did not differ between groups. CONCLUSIONS: Modest body weight reduction was observed after 1-year ad libitum consumption of diacylglycerol oil as part of a regular diet in comparison to that of triacylglycerol oil; weight loss was greatest in participants who were obese at baseline. The weight reduction observed in diacylglycerol group was attributed to the substitution of usual home cooking oil with diacylglycerol, because total energy intake and physical activity did not differ between groups. PMID- 18155991 TI - Resistant starch intakes in the United States. AB - OBJECTIVE: Dietary fiber represents a broad class of undigested carbohydrate components. The components vary in chemical and physical nature and in their physiological outcomes. Resistant starch is starch that escapes digestion in the small intestine and that may be fermented in the large intestine. The purpose of this study was to estimate consumption of resistant starch by the US population and to identify key sources of dietary resistant starch. DESIGN: A database of resistant starch concentrations in foods was developed from the publicly available literature. These concentrations were linked to foods reported in 24 hour dietary recalls from participants in the 1999-2002 National Health and Nutrition Examination Surveys and estimates of resistant starch intakes were generated. SUBJECTS: The study population included 18,305 nonbreastfeeding individuals in the United States. STATISTICAL ANALYSIS: The dietary intake of resistant starch was determined for 10 US subpopulations defined by age, sex, and race/ethnicity. Three estimates of resistant starch intake were made for each person based on the minimum, mean, and maximum concentrations of resistant starch in the foods consumed. RESULTS: Americans aged 1 year and older were estimated to consume approximately 4.9 g resistant starch per day based on mean resistant starch concentrations (range 2.8 to 7.9 g resistant starch per day). Breads, cooked cereals/pastas, and vegetables (other than legumes) contributed 21%, 19%, and 19% of total resistant starch intake, respectively, and were top sources of resistant starch. CONCLUSIONS: Findings from this study suggest that the estimated intake of resistant starch by Americans is approximately 3 to 8 g per person per day. These estimates of resistant starch intake provide a valuable reference for researchers and food and nutrition professionals and will allow for more accurate estimates of total intakes of carbohydrate compounds that escape digestion in the small intestine. PMID- 18155992 TI - Metabolically obese normal weight and phenotypically obese metabolically normal youths: the CASPIAN Study. AB - OBJECTIVES: The objectives of this study were to estimate the prevalence and distribution of cardiovascular risk factors and the metabolic syndrome in children with generalized, central, or combined types of obesity and to possibly discover if a phenotypically obese metabolically normal and a metabolically obese normal weight phenotype could be identified in children and adolescents. DESIGN: This cross-sectional study is the baseline survey of a national longitudinal study. SUBJECT/SETTING: Overall 4,811 nationally representative children, aged 6 to 18 years, were recruited from the community through randomly selected schools within six provinces in Iran. In addition to physical examination, fasting glucose and lipid profile were assessed. MAIN OUTCOME MEASURE: Obesity type was considered the independent variable, cardiovascular risk factors and the metabolic syndrome were dependent variables. Prevalence of risk factors in different types of obesity was compared by multivariate analysis of variance and post-hoc tests. Logistic regression analysis was used to examine the associations between obesity type and the metabolic syndrome. RESULTS: Varying with age and sex groups, 6% to 9% of children were categorized into the isolated central obesity group, 7.5% to 11% into the isolated generalized obesity, and 14% to 16.5% into the combined type group. The prevalence of dyslipidemia, high blood pressure, and metabolic syndrome was higher in those children with combined obesity than in those with the other two types of obesity, as well as in the central than in the generalized obesity groups. Phenotypically obese metabolically normal subjects were more prevalent in the generalized obesity group. The likelihood of metabolic syndrome was highest in those with combined obesity (odds ratio 3.7, 95% confidence interval 3.1 to 4), and lowest in generalized obesity group (odds ratio 2.1, 95% confidence interval 1.8 to 2.5). CONCLUSIONS: This study complements recent research about the adverse health hazards of abdominal obesity in children. The finding of metabolically obese normal weight children suggests that additional investigation for cardiovascular risk factors may be warranted in normal-weight children with an ethnic predisposition to chronic diseases. PMID- 18155993 TI - Restricted-carbohydrate diets in patients with type 2 diabetes: a meta-analysis. AB - Many current popular weight-loss diets advocate restricting carbohydrates, but risks and benefits of these diets for patients with diabetes is unclear. We searched for articles published in English between 1980 and April 2006 regarding carbohydrate-restricted diets that included and reported separate results for adult, nonpregnant patients with type 2 diabetes. Articles were limited to studies completed in the United States and Canada. Available data on study design; carbohydrate composition of diet; duration of diet; and the outcomes of weight, lipid levels (total, low-density lipoprotein and high-density lipoprotein cholesterol, and triglycerides), hemoglobin A1c percent and/or fasting glucose were extracted. A total of 56 studies or reviews were evaluated. Thirteen studies met our inclusion criteria. Meta-regression analyses show that hemoglobin A1c, fasting glucose, and some lipid fractions (triglycerides) improved with lower carbohydrate-content diets. Overall effect on weight was equivocal among the studies evaluated in this meta-analysis. Randomized, controlled studies of restricted-carbohydrate diets in patients with diabetes need to be conducted in order to evaluate the overall sustainability of outcomes and long-term safety. PMID- 18155994 TI - Development, implementation, and evaluation of a computerized self-administered diet history questionnaire for use in studies of American Indian and Alaskan native people. AB - Collection of dietary intake in epidemiologic studies involves using methods that are comprehensive yet appropriate for the population being studied. Here we describe a diet history questionnaire (DHQ) that was developed using an audio self-administered computer-assisted interview technique. The DHQ was developed for use in a cohort of American Indians and Alaskan Natives with tribal input and area-specific modules to incorporate local food availability. The DHQ includes 54 main food group questions, specific food items within the main food group, and food preparation and general eating practice questions. The questionnaire was programmed to be self-administered using a computer with a touch screen. The average time for the first 6,604 participants to complete the questionnaire was 36 minutes. Almost 100% of participants had complete DHQ data and the average number of food items selected was 70. The methods developed for collection of dietary data appear to be appropriate for the targeted population and may have usefulness for other populations where collecting dietary data in a self administered format is desirable. PMID- 18155995 TI - Intensive diet instruction by registered dietitians improves weight-loss success. AB - Multiple factors influence long-term weight-loss success, as shown by the National Weight Control Registry. We evaluated the influence of two of those factors, diet instruction by a registered dietitian (RD) and frequency of weigh in visits, on initial weight-loss success. Twenty-six overweight subjects with a baseline body mass index of 33.2+/-3.7 and a mean age of 43+/-12 years were enrolled in a weight-loss study. The 11-week weight loss period included 33 total visits, with weekly RD-instructed classes with a weigh-in, and 22 semiweekly related weigh-in visits without an RD present. Classes covered topics in the areas of energy restriction, dietary change, exercise, and behavior modification. Subjects were enrolled at different time points within the class topic rotation but all completed the 11-week program. The mean weight loss for all subjects was 3.8+/-2.8 kg (P<0.001). Weight loss (%) was significantly correlated with attendance of RD-instructed classes (r=0.451, P=0.021) but not attendance at weigh-ins that did not include RD-instructed classes (r=0.329, P=0.101). We conclude that RD-led dietary instruction was more beneficial than frequent weigh in visits alone in promoting weight loss. PMID- 18155996 TI - Psychosocial and behavioral profile and predictors of self-reported energy underreporting in obese middle-aged women. AB - Energy underreporting is a concern with dietary intake data; therefore, subject characteristics associated with underreporting energy intake should be elucidated. Baseline self-reported dietary intake and measures of diet and weight history, life status, weight-loss readiness, psychology, eating behavior, physical activity, and self-image of obese middle-aged women (mean body mass index [calculated as kg/m(2)]=31.0) enrolled in a lifestyle weight-loss program were evaluated. Of the 155 participating, 71 women were identified as underreporting energy intake using the Goldberg cutoff values. Comparison of means between psychosocial and behavioral measures from energy underreporters and energy accurate reporters were used to help develop logistic regression models that could predict likelihood to underreport energy intake based on baseline measures. Characteristics most predictive of energy underreporting included fewer years of education (P=0.01), less-realistic weight-loss goals (P=0.02), higher perceived exercise competence (P=0.07), more social support to exercise (P=0.04), more body-shape concern (P=0.01), and higher perception of physical condition (P=0.03). These results highlight distinct psychosocial and behavioral characteristics that, at baseline, can help identify the likelihood an overweight middle-aged woman entering a weight-loss intervention will underreport energy intake. These results can help provide a framework for screening study participants for probability of energy underreporting, based on baseline psychosocial and behavioral measures. This knowledge can help researchers target at-risk subjects and, through education and training, improve the accuracy of self-reported energy intake and, ultimately, the accuracy of energy and nutrient intake relationships with health and disease. PMID- 18155997 TI - Short-term effectiveness of an outcomes research training curriculum within a coordinated program. AB - The fourth edition of the Commission on Accreditation for Dietetics Education Standards of Education mandated outcomes research training. Our objective was to determine the short-term effectiveness (<5 years) of the outcomes research training curriculum in the Coordinated Program in Dietetics (CP) at the University of Missouri-Columbia, which exceeds these minimum standards. Toward this end, a survey tool was administered to University of Missouri-Columbia CP graduates before the implementation of the fourth edition of Standards of Education and to University of Missouri-Columbia CP graduates with two semesters of outcomes research training; graduates of two other CPs from different universities from the same years were also surveyed. Graduates who went through CPs after implementation of the fourth edition of the Standards of Education showed notable improvement in attitudes, interest, and participation in most of the outcomes research skills queried, compared with those who completed their education under the earlier standards; knowledge was only slightly improved. Of these areas, only enhancements in attitudes and interest were consistently more pronounced in food and nutrition professionals trained using the University of Missouri-Columbia's outcomes research curriculum compared with other CP graduates. Both the Commission on Accreditation for Dietetics Education and program directors can use the findings described herein to further assess and develop the research competencies and/or to strengthen their programs. PMID- 18155998 TI - Predictors of diet quality among overweight and obese postmenopausal women. AB - Previous studies have shown that sociodemographic characteristics can be determinants of healthful eating. However, health characteristics such as smoking status have not been well studied. The objective of this research, therefore, was to determine predictors of diet quality in postmenopausal women. We included 164 overweight or obese postmenopausal women aged 50 to 75 years living in and around Seattle, WA, and intake, measured by food frequency questionnaire, was used to calculate scores for the Diet Quality Index and Healthy Eating Index. Information on sociodemographic factors and health behaviors was collected by self administered questionnaire. Body mass index was computed using duplicate measures of height and weight. Percent body fat was measured by dual-energy x-ray absorptiometry. Following data collection, one-way analysis of variance, chi(2), and Pearson correlations were used to compare means of diet quality scores across participant characteristics. We found that predictors of better diet quality in this study population were higher education and former smoking history (compared to never-smokers); there was no evidence for a relationship with income level. Individuals with higher-quality diets were more likely to have lower body mass index or percent body fat. Based on the results of this study, education level and smoking history are predictors of diet quality among overweight and obese postmenopausal women. These findings add to the increasing evidence for targeting public health interventions to individuals with lower education because this group stands to benefit from improved dietary intake. In addition, these results suggest that the timing of smoking cessation is a possible teachable moment for food and nutrition professionals. PMID- 18155999 TI - Plausible reports of energy intake may predict body mass index in pre-adolescent girls. AB - Inaccurate reporting of energy intake makes it difficult to study the associations between diet and weight status. This study examined reported energy intake at age 9 years as a predictor of girls' body mass index (BMI) at age 11 years, before and after adjusting for parents' BMI and girls' pubertal status. This prospective, observational cohort study included 177 non-Hispanic white girls and their parents. When the subjects were 9 years of age, three 24-hour recalls were used to categorize girls as plausible or implausible over-reporters and under-reporters based on previously published methods. Height and weight was measured to calculate BMI. Linear and hierarchical regression analyses were used to predict girls' BMI. Results revealed that girls who under-reported had significantly higher BMIs than plausible and overreporters. Among the total sample and among implausible reporters, reported energy intake was not a significant predictor of BMI; however, among plausible reporters, reported energy intake explained 14% of the variance in BMI and remained a significant predictor after adjusting for parental BMI and girls' pubertal status. Systematic bias related to underreporting in dietary data can obscure relationships with weight status, even among young girls. A relatively simple analytical procedure can be used to identify the magnitude and nature of reporting bias in dietary data. PMID- 18156000 TI - Predictive validity of four bioelectrical impedance equations in determining percent fat mass in overweight and obese children. AB - Bioelectrical impedance equations are frequently used by food and nutrition professionals to estimate percent fat mass in overweight and obese children. However, it is not known whether they are accurate for such children, as they have been primarily developed for children of varying body weights. The aim of this cross-sectional study was to evaluate the predictive validity of four previously published prediction equations developed for the pediatric population, among a sample of overweight and obese children. Thirty overweight or obese children (mean age=7.57+/-1.28 years) underwent measurement of fat mass, percent fat mass, and fat-free mass using dual-energy x-ray absorptiometry (DEXA) and bioelectrical impedance analysis (BIA). Impedance values from the BIA were entered into the four prediction equations and Pearson correlations used to determine the significance of associations between each of the BIA prediction equations and DEXA for percent fat mass, fat mass, and fat-free mass. For percent fat mass, paired t tests were used to assess differences between the methods and the technique of Bland and Altman was used to determine bias and error. Results showed that the mean percent fat mass as determined by DEXA for this age group was 40.79%. In comparison with other BIA prediction equations, the Schaefer equation had the closest mean value of 41.98%, and was the only equation not to significantly differ from the DEXA (P=0.121). This study suggests that the Schaefer equation is the only accurate BIA prediction equation for assessing percent fat mass in this sample of overweight and obese children from primarily white backgrounds. PMID- 18156001 TI - Impact of portion-size control for school a la carte items: changes in kilocalories and macronutrients purchased by middle school students. AB - We assessed the impact of a pilot middle school a la carte intervention on food and beverage purchases, kilocalories, fat, carbohydrate, and protein sold per student, and nutrient density of the foods sold. A la carte sales were obtained from six middle schools in three states for 1 baseline week and daily during the 6-week intervention. Intervention goals included reducing sizes of sweetened beverages and chips, and increasing the availability of water and reduced fat/baked chips. Nutrients sold per day were computed and weekly nutrient means per student and per number of items sold were calculated and compared between baseline and week 6. Five schools achieved all goals at 6 weeks. Four schools showed increases in the percentage of kilocalories from protein and decreases in the amount of sweetened beverages sold; five showed substantial increases in water sales. Changes in regular chips varied by school. There were significant changes in energy density of foods sold. School foodservice changes in middle school snack bar/a la carte lines can be implemented and can lead to a reduction in the caloric density of foods purchased. PMID- 18156003 TI - What is the latest research on the connection between selenium and diabetes? PMID- 18156002 TI - Obesity-related hypoferremia is not explained by differences in reported intake of heme and nonheme iron or intake of dietary factors that can affect iron absorption. AB - Hypoferremia is more prevalent in obese than nonobese adults, but the reason for this phenomenon is unknown. To elucidate the role dietary factors play in obesity related hypoferremia, the intake of heme and nonheme iron and the intake of other dietary factors known to affect iron absorption were compared cross-sectionally from April 2002 to December 2003 in a convenience sample of 207 obese and 177 nonobese adults. Subjects completed 7-day food records, underwent phlebotomy for serum iron measurement, and had body composition assessed by dual-energy x-ray absorptiometry, during a 21-month period. Data were analyzed by analysis of covariance and multiple linear regression. Serum iron (mean+/-standard deviation) was significantly lower in obese than nonobese individuals (72.0+/-61.7 vs 85.3+/ 58.1 microg/dL [12.888+/-11.0443 vs 15.2687+/-10.3999 micromol/L]; P<0.001). The obese cohort reported consuming more animal protein (63.6+/-34.5 vs 55.7+/-32.5 g/day; P<0.001) and more heme iron (3.6+/-2.8 vs 2.7+/-2.6 mg/day; P<0.001). Groups did not differ, however, in total daily iron consumption, including supplements. Obese subjects reported consuming less vitamin C (77.2+/-94.9 vs 91.8+/-89.5 mg/day; P=0.01), which may increase absorption of nonheme iron, and less calcium (766.2+/-665.0 vs 849.0+/-627.2 mg/day; P=0.038), which may decrease nonheme iron absorption, than nonobese subjects. Groups did not significantly differ in intake of other dietary factors that can impact absorption of iron, including phytic acid, oxalic acid, eggs, coffee, tea, zinc, vegetable protein, or copper. After accounting for demographic covariates and dietary factors expected to affect iron absorption, fat mass (P=0.007) remained a statistically significant negative predictor of serum iron. This cross-sectional, exploratory study suggests that obesity-related hypoferremia is not associated with differences in reported intake of heme and nonheme iron or intake of dietary factors that can affect iron absorption. PMID- 18156004 TI - Management of hypertension in peripheral arterial disease. PMID- 18156005 TI - A review of therapeutic strategies for risk reduction of recurrent stroke. AB - Although cardiovascular disease (CVD) is a major source of morbidity and mortality in the United States, a relatively small percentage of deaths related to CVD result from ischemic stroke. However, the impairment and costs associated with stroke are large--and largely preventable. Large-scale trials have demonstrated benefit with antihypertensive therapy for secondary prevention, showing significantly reduced rates of stroke and cardiovascular events. Statins have shown efficacy in primary stroke prevention, and one trial showed reduced incidence of stroke and cardiovascular events in patients with recent stroke or transient ischemic attack (TIA). The merits of antiplatelet therapy in primary and secondary stroke prevention have been demonstrated across numerous trials and meta-analyses. Trials assessing aspirin plus clopidogrel or aspirin plus extended release dipyridamole for preventing secondary stroke have produced somewhat contradictory findings. This review discusses the relationship between CVD and risk of secondary stroke or TIA and summarizes secondary prevention strategies, focusing on antiplatelet agents, to provide guidance for the practicing cardiologist. Certain combination therapies appear to be more effective for secondary prevention of stroke or TIA than therapy with single antiplatelet agents. The choice of agents may be important, based on results of several trials. The ongoing, large-scale, comparative Prevention Regimen for Effectively Avoiding Second Strokes (PR. FESS) trial should provide cardiologists with more definitive recommendations. PMID- 18156006 TI - Prosthetic valve endocarditis: current approach and therapeutic options. AB - Despite improvements in medical and surgical therapy, prosthetic valve endocarditis is still associated with a severe prognosis, and remains a diagnostic and therapeutic challenge. Diagnosis of prosthetic valve endocarditis is more difficult than that of the native valve endocarditis and the application of Duke criteria is less useful in this setting. Therapeutic strategies are not guided by evidence-based recommendations and are mainly based on a careful prognostic evaluation, which allows the identification of high-risk subgroups. Continuous effort have to be made to detect early this severe complication of valve replacement and to prevent it using systematic prophylaxis. PMID- 18156008 TI - The pathophysiology and clinical course of the normal coronary angina syndrome (cardiac syndrome X). PMID- 18156007 TI - Arrhythmogenic right ventricular cardiomyopathy/dysplasia: risk stratification and therapy. PMID- 18156009 TI - The science of government. PMID- 18156010 TI - Access to health care for undocumented migrants in Europe. PMID- 18156011 TI - The devil in the dark chocolate. PMID- 18156012 TI - Targeted drugs for metastatic renal cell carcinoma. PMID- 18156013 TI - Mechanical bowel preparation before colorectal surgery? PMID- 18156014 TI - ADRB2 polymorphisms and beta2 agonists. PMID- 18156015 TI - Chronic diseases in developing countries. PMID- 18156016 TI - International cooperation to combat chronic diseases. PMID- 18156017 TI - Clinical update: treating osteoarthritis. PMID- 18156018 TI - Martin Evans: joint winner of 2007 Nobel Prize in medicine. PMID- 18156019 TI - War on white coats. PMID- 18156020 TI - War on white coats. PMID- 18156021 TI - War on white coats. PMID- 18156022 TI - Calcium and vitamin D for prevention of osteoporotic fractures. PMID- 18156023 TI - War on white coats. PMID- 18156024 TI - War on white coats. PMID- 18156025 TI - Safety of drug-eluting stents: demystifying network meta-analysis. PMID- 18156027 TI - Asthma guidelines on house dust mites are not evidence-based. PMID- 18156028 TI - Lamotrigine and the risk of fulminant hepatic failure. PMID- 18156029 TI - A framework convention on alcohol control. PMID- 18156030 TI - Medical ethical violations in Gaza. PMID- 18156032 TI - Mechanical bowel preparation for elective colorectal surgery: a multicentre randomised trial. AB - BACKGROUND: Mechanical bowel preparation is a common practice before elective colorectal surgery. We aimed to compare the rate of anastomotic leakage after elective colorectal resections and primary anastomoses between patients who did or did not have mechanical bowel preparation. METHODS: We did a multicentre randomised non-inferiority study at 13 hospitals. We randomly assigned 1431 patients who were going to have elective colorectal surgery to either receive mechanical bowel preparation or not. Patients who did not have mechanical bowel preparation had a normal meal on the day before the operation. Those who did were given a fluid diet, and mechanical bowel preparation with either polyethylene glycol or sodium phosphate. The primary endpoint was anastomotic leakage, and the study was designed to test the hypothesis that patients who are given mechanical bowel preparation before colorectal surgery do not have a lower risk of anastomotic leakage than those who are not. The median follow-up was 24 days (IQR 17-34). We analysed patients who were treated as per protocol. This study is registered with ClinicalTrials.gov, number NCT00288496. FINDINGS: 77 patients were excluded: 46 who did not have a bowel resection; 21 because of missing outcome data; and 10 who withdrew, cancelled, or were excluded for other reasons. The rate of anastomotic leakage did not differ between both groups: 32/670 (4.8%) patients who had mechanical bowel preparation and 37/684 (5.4%) in those who did not (difference 0.6%, 95% CI -1.7% to 2.9%, p=0.69). Patients who had mechanical bowel preparation had fewer abscesses after anastomotic leakage than those who did not (2/670 [0.3%] vs 17/684 [2.5%], p=0.001). Other septic complications, fascia dehiscence, and mortality did not differ between groups. INTERPRETATION: We advise that mechanical bowel preparation before elective colorectal surgery can safely be abandoned. PMID- 18156031 TI - Bevacizumab plus interferon alfa-2a for treatment of metastatic renal cell carcinoma: a randomised, double-blind phase III trial. AB - BACKGROUND: Vascular endothelial growth factor (VEGF) inhibition is a valid therapeutic approach in renal cell carcinoma. Therefore, an investigation of the combination treatment of the humanised anti-VEGF monoclonal antibody bevacizumab with interferon alfa was warranted. METHODS: In a multicentre, randomised, double blind, phase III trial, 649 patients with previously untreated metastatic renal cell carcinoma were randomised to receive interferon alfa-2a (9 MIU subcutaneously three times weekly) and bevacizumab (10 mg/kg every 2 weeks; n=327) or placebo and interferon alfa-2a (n=322). The primary endpoint was overall survival. Secondary endpoints included progression-free survival and safety. An interim analysis of overall survival was prespecified after 250 deaths. On the basis of new second-line therapies that became available while the trial was in progress, which could have confounded analyses of overall survival data, we agreed with regulatory agencies that the pre-planned final analysis of progression-free survival would be acceptable for regulatory submission. The protocol was amended to allow the study to be unblinded at this point. The final analysis of progression-free survival is reported here. Efficacy analyses were done by intention to treat. This trial is registered with centerwatch.com, number BO17705E. FINDINGS: 325 patients in the bevacizumab plus interferon alfa group and 316 in the placebo plus interferon alfa group received at least one dose of study treatment. At the time of unblinding, 230 progression events had occurred in the bevacizumab plus interferon alfa group and 275 in the control group; there were 114 deaths in the bevacizumab plus interferon alfa group and 137 in the control group. Median duration of progression-free survival was significantly longer in the bevacizumab plus interferon alfa group than it was in the control group (10.2 months vs 5.4 months; HR 0.63, 95% CI 0.52-0.75; p=0.0001). Increases in progression-free survival were seen with bevacizumab plus interferon alfa irrespective of risk group or whether reduced-dose interferon alfa was received. Deaths due to adverse events were reported in eight (2%) patients who received one or more doses of bevacizumab and seven (2%) of those who did not receive the drug. Only three deaths in the bevacizumab arm were considered by investigators to be possibly related to bevacizumab. The most commonly reported grade 3 or worse adverse events were fatigue (40 [12%] patients in the bevacizumab group vs 25 [8%] in the control group) and asthenia (34 [10%] vs 20 [7%]). INTERPRETATION: The combination of bevacizumab with interferon alfa as first-line treatment in patients with metastatic renal cell carcinoma results in a significant improvement in progression-free survival, compared with interferon alfa alone. PMID- 18156033 TI - Effect of ADRB2 polymorphisms on response to longacting beta2-agonist therapy: a pharmacogenetic analysis of two randomised studies. AB - BACKGROUND: New evidence has suggested that people with asthma who are homozygous for arginine at aminoacid 16 of the beta2-adrenergic receptor (ADRB2) might not benefit from longacting beta2-agonist therapy. We, therefore, investigated whether ADRB2 polymorphisms affect response to longacting beta2-agonists in combination with inhaled corticosteroids. METHODS: Asthmatics were stratified by ADRB2 genotype in two studies to assess the effects of inhaled corticosteroids plus longacting beta2-agonists on asthma exacerbations. In study 1 (double blind), 2250 asthmatics were randomly assigned to budesonide plus formoterol maintenance and reliever therapy, fixed-dose budesonide plus formoterol, or fixed dose fluticasone plus salmeterol for 6 months. Study 2 (open-label) consisted of 405 asthmatics and compared an adjustable regimen of budesonide plus formoterol with fixed-dose budesonide plus formoterol and fixed-dose fluticasone plus salmeterol for 7 months. The relation between ADRB2 polymorphism, severe asthma exacerbations, and other asthma outcomes was analysed. Primary endpoints for studies 1 and 2 were severe asthma exacerbation and asthma control as assessed by measures of exacerbations, respectively. FINDINGS: In study 1, Gly16Arg genotype had no effect on the percentage of participants with severe exacerbations across all treatment groups (99 [12%] of 833 Gly/Gly, 110 [11%] of 1028 Gly/Arg, and 32 [9%] of 361 Arg/Arg participants). Secondary endpoints, including forced expiratory volume in 1 s, peak expiratory flow, use of as-needed medication, and number of nights with awakenings were similar between genotype groups. No relation was recorded between ADRB2 haplotype and primary and secondary endpoints. In study 2, the frequency of asthma exacerbations (15 [9%] of 168 Gly/Gly, 13 [8%] of 169 Gly/Arg, and 6 [9%] of 67 Arg/Arg participants) and other study endpoints were closely similar for all ADRB2 genotypes. INTERPRETATION: Since we showed no pharmacogenetic effect of ADRB2 variation on therapeutic response in asthma, patients, irrespective of their genotype, can continue to receive inhaled corticosteroids plus longacting beta2-agonists. PMID- 18156034 TI - Arson, an attractive monk, and our vertigo clinic. PMID- 18156035 TI - Genital herpes. AB - Genital herpes is the main cause of genital ulcers worldwide; the prevalence of herpes simplex virus (HSV) type 2 infections in the general population ranges from 10% to 60%. Most genital herpes is caused by HSV-2, although HSV-1 accounts for about half of new cases in developed countries. The risk of HIV acquisition is three times higher in people with HSV-2. Neonatal herpes is an uncommon but serious complication of genital herpes. Most genital HSV-2 infections are unrecognised and undiagnosed; infected individuals, even with mild symptoms, shed HSV, and can infect sexual partners. Since clinical diagnosis is neither sensitive nor specific, virological and type-specific serological tests should be used routinely. Oral antiviral drugs for HSV infections are safe and effective and can be used both to treat episodes and to prevent recurrences. Antiviral treatment of the infected partners and condom use reduce the risk of sexual transmission of HSV-2. PMID- 18156036 TI - Are COX-2 inhibitors preferable to non-selective non-steroidal anti-inflammatory drugs in patients with risk of cardiovascular events taking low-dose aspirin? AB - Cyclo-oxygenase-2 selective inhibitors and non-selective non-steroidal anti inflammatory drugs (NSAIDs) are associated with increased risk of acute cardiovascular events. Only aspirin offers primary and secondary cardiovascular prophylaxis, but trials have not answered directly whether low-dose aspirin is cardioprotective with COX-2 inhibitors. A large inception cohort study showed that concomitant use of aspirin reduced risk of cardiovascular events when given with rofecoxib, celecoxib, sulindac, meloxicam, and indometacin but not when given with ibuprofen. In large trials assessing gastrointestinal safety, there were fewer gastrointestinal events in patients using both COX-2 inhibitors and aspirin than in those using non-selective NSAIDs and aspirin; significantly fewer uncomplicated upper gastrointestinal events took place in the MEDAL trial. Analysis of VIGOR and two capsule endoscopy studies showed significantly less distal gastrointestinal blood loss with COX-2 inhibitors than with non-selective NSAIDs. Endoscopy trials showed that low-dose aspirin does not diminish the gastrointestinal benefits of COX-2 inibitors over non-selective NSAIDs. In an elderly epidemiological cohort receiving aspirin, both celecoxib and rofecoxib reduced risk of admission for gastrointestinal events. Comparison of the cardiovascular and gastrointestinal risks is difficult: likelihood and severity of cardiovascular events differ between individuals, agents, and exposure. Mortality associated with gastrointestinal events is less frequent than with cardiovascular events, but asymptomatic ulcers can result in severe complications. Data support the conclusion that COX-2 inhibitors are preferable to non-selective NSAIDs in patients with chronic pain and cardiovascular risk needing low-dose aspirin, but relative risks and benefits should be assessed individually for each patient. PMID- 18156037 TI - Genital herpes in Africa: time to rethink treatment. PMID- 18156038 TI - Responding to HIV in Afghanistan. PMID- 18156039 TI - Smoking the pipe of peace. PMID- 18156040 TI - Seizures on hearing the alarm clock. PMID- 18156042 TI - Epidemiology and demographics for primary vertebral tumors. AB - The vertebral column is the most common osseous site for secondary malignancy. Conversely, primary tumors of the vertebral column are relatively rare, comprising only 10% or less of all tumors to the spine. This article outlines benign and malignant tumors of the spine in children and adults. PMID- 18156043 TI - Chordoma of the spinal column. AB - Chordomas are the most common primary malignant tumor of the mobile spine and of the sacrum. Although considered not to possess significant metastatic potential, such lesions are locally aggressive, leading to neurologic compromise and lytic destruction of bone. En bloc resection has afforded patients the greatest chance of local control and disease-free survival. Such radical resections may be associated with significant surgical morbidity, however. Although considered generally resistant to radiation therapy and chemotherapy, recent advances in photon and proton radiation therapy and use of monoclonal antibodies may provide improved outcomes for poor surgical candidates and for tumors that recur after surgery. PMID- 18156044 TI - Comprehensive management of symptomatic and aggressive vertebral hemangiomas. AB - Conservative surgical strategies are appropriate for most symptomatic hemangiomas causing cord compression without instability or deformity. Even so, complete intralesional spondylectomy following embolization of aggressive vertebral hemangiomas with circumferential vertebral involvement can be safely accomplished. Such a spondylectomy can also prevent recurrence of hemangiomas. Transarterial embolization without decompression is an effective treatment for painful intraosseous hemangiomas. Vertebroplasty is useful for improving pain symptoms, especially when vertebral body compression fracture has occurred in patients without neurological deficit, but is less effective in providing long term pain relief. PMID- 18156045 TI - Multiple myeloma: primary bone tumor with systemic manifestations. AB - Multiple myeloma is a plasma cell dyscrasia that frequently involves the bone marrow of the spine. These tumors are typically chemosensitive and radiation sensitive. Multiple myeloma promotes osteoclast activation and osteoblast inhibition, resulting in osteolysis of the vertebral bodies and subsequent compression fractures. Rarely is open surgery for decompression and instrumentation indicated. The presence of diffuse osteoporosis in patients with multiple myeloma increases the probability of failed fixation in this population. PMID- 18156046 TI - Aneurysmal bone cysts of the spine. AB - The article reviews aneurysmal bone cysts of the spine and current diagnostic tests approaches and therapeutic interventions are discussed. PMID- 18156047 TI - Giant cell tumor of the spine. AB - Giant cell tumors are benign but locally aggressive neoplasms that typically affect the extremities. When involving the spine, the tumors occur predominantly in the sacrum. Gross total resection of the tumor with wide margins yields good results in terms of survival. However, it carries a significant potential for morbidity and disability. Subtotal resection with adjuvant radiation carries a risk for recurrence or, more concerning, sarcomatous malignant transformation. Endovascular tumor embolizations have also been attempted to control unresectable tumors, and have been performed with moderate degrees of success. Outcomes are analyzed outcomes following surgery, radiation therapy, and tumor embolization. PMID- 18156048 TI - Chondroma/Chondrosarcoma of the spine. AB - Chondromas and chondrosarcomas are cartilage-forming tumors that occur rarely in the spine. These neoplasms exist on opposite ends of the pathologic spectrum, ranging from the benign chondroma to the malignant, high-grade chondrosarcoma. Unlike other sarcomas, a patient's long-term prognosis is influenced by the grade of the tumor. A complete en bloc resection is the ideal method of surgical management. This method holds especially true for chondrosarcomas, and can result in prolonged survival. These tumors are resistant to conventional chemotherapy and radiation therapy. Hypofractionated stereotactic radiation therapy may slow tumor progression, although the long-term effect of this modality is unknown. PMID- 18156049 TI - Osteoid osteoma and osteoblastoma of the spine. AB - Osteoid osteomas and osteoblastomas of the spine are rare primary spine tumors consisting of osteoblasts that produce osteoid and woven bone. They often involve the posterior spinal elements, with the thoracolumbar spine being the most common site of involvement. The authors review the clinical presentation, radiologic findings, and treatment in osteoid osteoma and osteoblastoma of the spine, with an emphasis on surgical management and outcomes in recent years. PMID- 18156050 TI - Sarcoma and the spinal column. AB - Primary sarcomas are rare in the spine. Common primary sarcomas include osteosarcoma, Ewing's sarcoma, chondrosarcomas, and retroperitoneal soft-tissue sarcomas. These tumors tend to occur in adolescents and young adults. Surgery remains the mainstay of treatment, although the anatomy of spine and spinal cord often limits complete surgical resection with a wide margin. Chemotherapy and radiation therapy have variable effects on these tumors. With recent advances in surgical techniques and development of new chemotherapy protocols, survival and local control are both improving. PMID- 18156051 TI - Pediatric tumors involving the spinal column. AB - Primary pediatric spinal column tumors are rare lesions, but they can lead to serious morbidity if left untreated. Progressive pain, deformity, and neurologic decline may result from destructive and compressive insults on neighboring structures. In addition, histologic diagnosis is paramount in determining overall survival and management options. Evolution of spinal instrumentation has allowed safe and effective application of spinal reconstruction to the developing spine. As a result, aggressive surgical decompression, deformity correction, fusion, and gross total tumor resections may improve functional and oncologic outcomes without sacrifice of spinal stability. PMID- 18156052 TI - Inflammatory and dysplastic lesions involving the spine. AB - Dysplastic lesions of the spinal column include a wide spectrum of disorders that can occur secondary to metabolic, degenerative, and inflammatory processes. The clinical presentations are highly variable, depending on the location of the lesion and the extent of the systemic disease process. Common signs and symptoms include pain, scoliosis, myelopathy, and weakness. Surgical decision making is based on patient status, comorbidities, and extent of disease. PMID- 18156053 TI - Surgery for primary vertebral tumors: en bloc versus intralesional resection. AB - The decision to select en bloc resection or intralesional resection needs to be tailored to each individual patient and circumstance. Though complete resection with long-term progression-free survival is the goal, it is not always feasible, nor advisable, depending on what the patient's expectations are and what the risk of complications may be. However, in cases with favorable circumstances and consensus agreement between physicians, surgeons, and patients, aggressive en bloc removal of spinal tumors can be extremely valuable and may offer the only chance at cure for otherwise devastating malignancies. PMID- 18156054 TI - Radiation for primary spine tumors. AB - Malignant primary tumors of the spine present difficult management problems because of the complexities of en bloc resection and their chemoresistance and radioresistance. A combination of radiation techniques and advances in systemic therapy may ultimately provide improved local tumor control and cure for these treatment-resistant tumors. PMID- 18156055 TI - Adjunct and minimally invasive techniques for the diagnosis and treatment of vertebral tumors. AB - As more minimally invasive modalities for the diagnosis and treatment of primary spinal column tumors are developed, patients increasingly have the option of procedures that reduce the risk for morbidity and mortality and shorten recovery times. This review demonstrates a wide range of innovative techniques used in the diagnosis and nonoperative and operative treatment of primary spinal tumors. Some techniques facilitate actual tumor resection, whereas others provide symptomatic relief and clinical improvements. PMID- 18156057 TI - In vivo comparison of screw versus plate and screw fixation for first metatarsophalangeal arthrodesis: does augmentation of internal compression screw fixation using a semi-tubular plate shorten time to clinical and radiologic fusion of the first metatarsophalangeal joint (MTPJ)? AB - A retrospective analysis of first metatarsophalangeal joint fusion in 26 consecutive patients (34 feet), treated between April 1998 and February 2002, comparing single compression screw versus a compression screw supplemented with a dorsal quarter tubular plate, was undertaken. The study aimed to assess whether or not plate augmentation of the single interfragmental compression screw lead to an earlier fusion. There were 18 women and 8 men with a mean age of 54.6 +/- 11.02 years and a mean follow-up of 2.9 +/- 1.1 years. Successful fusion was determined clinically and radiologically by means of identifying transarticular trabeculation. The overall incidence of fusion was 97.06% (33/34 fusions). Observed complications included 4 cases of superficial wound infection, each of which resolved with antibiotic therapy; 3 cases of paraesthesia involving the dorsomedial aspect of the big toe; and 2 cases of transfer metatarsalgia. Statistical analyses did not reveal any significant associations between the type of fixation and time to fusion, patient satisfaction, and complications. In regard to the methods of osteosynthesis compared in this investigation, the choice of first metatarsophalangeal fusion fixation can be determined based on surgeon's preference. ACFAS Level of Clinical Evidence: 2c. PMID- 18156058 TI - A preliminary study on the effects of acellular tissue graft augmentation in acute Achilles tendon ruptures. AB - Acute Achilles tendon rupture injuries present surgical challenges because of the mechanical forces placed on this tendon. The purpose of this study was to evaluate the effectiveness of an acellular human dermal tissue matrix, GraftJacket Matrix (Wright Medical Technology, Inc., Arlington, TN), as an augmentation material in acute Achilles tendon repair. Eleven consecutive patients with acute tendon ruptures were evaluated and followed up (20-31 months). Primary repair was followed by augmentation with the graft sutured circumferentially around the tendon. Patients were placed in an early functional rehabilitation program with postoperative evaluation at 3, 6, and 12 months. Outcome scores were calculated based on the American Orthopaedic Foot and Ankle Society ankle-hindfoot scoring system. At 20-month postoperative follow-up, there have been no cases of rerupture or recurrent pain. The average return-to-activity time was 11.8 +/- 0.75 weeks. These retrospective clinical results suggest that with an acellular human dermal tissue matrix to augment acute Achilles tendon, primary repair offers a desirable return-to-activity time without any rerupture or complications. ACFAS Level of Clinical Evidence: 2c. PMID- 18156059 TI - Cost comparison of crossed screws versus dorsal plate construct for first metatarsophalangeal joint arthrodesis. AB - Expensive surgical implants can significantly add to the cost of a procedure. We performed a crude cost analysis to evaluate and compare the crossed screw technique versus dorsal plating for first metatarsophalangeal arthrodesis. First metatarsophalangeal arthrodeses performed over a 20-month period were selected. Exclusion criteria included diabetes, neuroarthropathy, revision surgery, or alternate fixation. Hospital records were reviewed for each case to determine implant charges. Patient charts and radiographs were also reviewed to determine time to fusion, delayed union/nonunion, revision surgery, or hardware removal. Fifty-five first metatarsophalangeal arthrodeses were performed during the study period. Ten fusions were excluded, leaving 45 fusions for review. The overall fusion rate was 91.1%. The average time to fusion in crossed screw versus plating technique was 73.2 +/- 32.5 days (range, 43 to 162) and 69.3 +/- 37.3 days (range, 44 to 238), respectively, and not statistically significant. The mean implant cost in the crossed screw versus dorsal plating technique was $374.05 +/- 76.3 (range, 278.72 to 530.00) and $603.57 +/- 234.7 (range, 543.40 to 1677.00) respectively and was strongly significant (P = .0002). Complications included 2 delayed unions (1 screw, 1 plate), 4 nonunions (1 screw, 3 plate), 2 revisions (1 screw, 1 plate), and 2 hardware removals (1 screw, 1 plate). SUMMARY: A cost comparison of crossed screws versus dorsal plate construct for first metatarsophalangeal arthrodesis is performed. No statistical difference was found in the time to fusion between the 2 constructs but there was strong statistical difference in hardware cost. This information may aid in the cost management of this procedure without compromising clinical results. ACFAS Level of Clinical Evidence: 2c. PMID- 18156060 TI - Dynamic and functional gait analysis of severely displaced intra-articular calcaneus fractures treated with a hinged external fixator or internal stabilization. AB - The purpose of this article was to assess functional gait outcome. Fifty-five patients with severely displaced intra-articular calcaneus fractures and soft tissue damage were evaluated prospectively with computerized dynamic pedography and a clinical scoring scale. The treatment protocol assigned 30 patients to open reduction and internal fixation (ORIF) and 25 to closed reduction and stabilization with a biomechanically tested hinged external fixator. Gait parameter was evaluated by measuring plantar pressure distribution, length of a double-step, double-step duration, standing duration, effective foot length, and width of gait. Pedographic measurements were performed with a custom-made gait analysis system (medilogic Gangas, Berlin, Germany). Results were graded by an extended protocol of questionnaires and the American Orthopaedic Foot and Ankle Society (AOFAS) ankle and hindfoot scales. Radiographs were reviewed according to the Sanders classification at the time of follow-up (7.3 years). All measurements were statistically analyzed (t test; Mann-Whitney U test). Aberrations were associated with all calcaneal fractures in both groups. Dynamic gait analysis showed gait asymmetry in all patients. The type of treatment (ORIF or a hinged fixator) of severely displaced calcaneus fractures did not affect gait analysis nor result in significantly different (P > .05) patient outcome scores. The gait analysis system allows a valid dynamic pedographic measurement. The hinged external fixator can be recommended in displaced intra-articular calcaneal fractures with severe soft tissue damage to reduce complications associated with ORIF. ACFAS Level of Clinical Evidence: 2c. PMID- 18156061 TI - A biomechanical evaluation to optimize the configuration of a hinged external fixator for the primary treatment of severely displaced intraarticular calcaneus fractures with soft tissue damage. AB - The purpose of this investigation was to develop an optimized hinged external fixator for the primary treatment of dislocated, intra-articular calcaneus fractures with associated soft tissue damage. To this end, a calcaneus model was made out of a polyurethane block, and a steel cylinder served as the ankle joint and was connected to a synthetic model of the tibia via a metal clamp. A saw cut served as the fracture in the model. A Steinmann nail and Schanz screw were placed in defined positions in the model and connected medially and laterally with longitudinal support rods. The fixator allowed a total of 20 degrees of plantar- and dorsiflexion, with rotation in the virtual axis of the upper ankle joint. Changes in the model fracture were measured during cyclical strain, and at different screw positions in the model tibia and calcaneus. Miniature force sensors located on the longitudinal support rods, and a plantar tension spring, were used to measure pressure and tension. Reproducible values were determined and, with the optimal configuration, shifting within the osteotomy was minimal. In the experimental configuration, optimal tibial screw placement was 70 mm proximal to the rotation axis of the upper ankle joint, and optimal placement of the Steinmann nail was in the posterior surface of the calcaneus. These findings indicated that the hinged fixator allows 20 degrees of ankle movement without alteration of the rotation axis, and suggest that this type of external fixator can be used in all types of calcaneal fracture regardless of the soft tissue damage. ACFAS Level of Clinical Evidence: 5c. PMID- 18156062 TI - Effect of knee flexion angle on Achilles tendon force and ankle joint plantarflexion moment during passive dorsiflexion. AB - Early mobilization exercises are advocated following Achilles tendon (AT) repair, but forces on the repair during passive range of motion are unknown. The extent to which these forces change with flexion of the knee is also not known. Estimated AT forces were measured using 3 models: cadaveric, uninjured subjects, and in both legs of subjects 6 weeks following unilateral AT repair. For cadaveric testing, estimated AT force was recorded using a force transducer while cycling the ankle from 10 degrees plantarflexion to maximum dorsiflexion at 3 different knee flexion angles (0 degrees , 45 degrees , and 90 degrees ). For in vivo testing, subjects were seated in an isokinetic dynamometer, and their ankles passively cycled from plantarflexion to dorsiflexion with the knee extended and flexed 50 degrees . Passive plantarflexion moment recorded by the dynamometer was converted to AT force by estimating the AT moment arm. In the cadaveric model, knee flexion reduced estimated AT forces during dorsiflexion by more than 40% (P < .036). In vivo testing showed that estimated AT force was reduced in knee flexion in healthy subjects (P < .001) and in the uninvolved leg AT repair subjects (P = .021), but not in the AT repaired leg (P = .387). Normal AT showed a marked reduction in estimated AT force with knee flexion which was not present in repaired AT. This could be because of elongation of the repair, causing more slack in the tendon that would need to be taken up before force transmission occurs. ACFAS Level of Clinical Evidence: 4. PMID- 18156063 TI - Nonoperative treatment of bimalleolar equivalent ankle fractures: a retrospective review of 51 patients. AB - The purpose of this retrospective study was to determine the outcome of bimalleolar equivalent ankle fractures in patients who were treated nonoperatively. The charts of 214 patients with isolated Weber B (supination external rotation pattern) fibula fractures were reviewed. Fifty-one patients met the inclusion criteria and were administered the American Orthopaedic Foot and Ankle Society Ankle and Hindfoot Functional Survey by telephone or personal interview. The average medial clear space was 5.09 mm; the average American Orthopaedic Foot and Ankle Society Ankle and Hindfoot Functional Survey score was 84.22. A medial clear space of 4, 5, 6, and 7 mm resulted in American Orthopaedic Foot and Ankle Society Ankle and Hindfoot Functional Survey scores of 90.22, 89.4, 72.0 and 63.17, respectively. Further analysis showed significant differences in American Orthopaedic Foot and Ankle Society Ankle and Hindfoot Functional Survey scores between the 4 mm medial clear space group and the 6 mm and 7 mm medial clear space groups; the 5 mm medial clear space group and the 6 mm and 7 mm groups. Our results suggest that medial tenderness and ecchymosis alone are not sufficient to meet operative criteria, a higher medial clear space on stress gravity views correlates with a lower American Orthopaedic Foot and Ankle Society Ankle and Hindfoot Functional Survey score, and that there are significant differences in American Orthopaedic Foot and Ankle Society Ankle and Hindfoot Functional Survey scores between groups with medial clear space 4 to 7 mm. ACFAS Level of Clinical Evidence: 2b. PMID- 18156064 TI - Use of external fixation and primary wound closure in an open comminuted first metatarsal fracture: a case report. AB - Management of open, comminuted fractures presents a challenge for the foot and ankle surgeon. Reconstructive surgery for such injuries has a high potential for the development of serious complications, and factors such as the extent of soft tissue injury, neurovascular status to the foot, and fracture stability must be taken into consideration before determining a surgical plan. This article describes the case of a patient who presented with an open, comminuted first metatarsal fracture as a result of a chainsaw injury. The patient was treated with a uniplanar mini-external fixator, demineralized bone matrix, primary wound closure, and external bone growth stimulation. At 1-year follow-up, the interview and examination revealed the patient to be pain free with a functional first ray. ACFAS Level of Clinical Evidence: 4. PMID- 18156065 TI - Dermatobia hominis (botfly) infestation of the lower extremity: a case report. AB - We present a report of myiasis, which is the infestation of the body by the larva of flies. In this particular case the patient traveled to Belize and was infested in her foot and leg by Dermatobia hominis or the human botfly. Treatment was initiated once she returned to the United States. She ultimately underwent surgical excision of the larva, which was noted to be alive and moving upon removal. This is a rare larval infestation in humans, but is frequently seen in domestic and livestock animals in Central and South America. With increased international travel, the foot and ankle surgeon should be aware of this parasitic infection in recent travelers to Central and South American countries. ACFAS Level of Clinical Evidence: 4. PMID- 18156066 TI - Lateral peritalar dislocation: a case report. AB - Peritalar dislocation is a term that has been described as an injury involving a simultaneous dislocation to both the subtalar and talonavicular joints without a fracture of talar neck or tibiotalar disruption. It often results from high energy trauma but may also result from sports injuries. It occurs most frequently with a medial dislocation and less frequently with a lateral, anterior, or posterior dislocation. The treatment for most peritalar dislocations is closed reduction, although surgical intervention may be a requirement in cases where reduction is unobtainable. We present a rare lateral peritalar dislocation requiring open reduction. ACFAS Level of Clinical Evidence: 4. PMID- 18156068 TI - Parkour: a new extreme sport and a case study. AB - Parkour is an extreme sport that has been popular in Europe for a few years. This sport has now made it across the Atlantic and is quickly gaining popularity in the United States. Participants of this activity, known as parkouristes, try to overcome obstacles in their environment in the most efficient manner possible. This can be accomplished by simply jumping or scaling an obstacle, but sometimes this is done in a very acrobatic manner. The sport had a longtime underground following but has now gained media exposure through various television advertisements, and it has even been featured in recent blockbuster films. As a result, many amateurs are attempting to recreate these dangerous stunts without proper protection or guidance. We will review the case of an 18-year-old male who sustained multiple fracture/dislocations of his left foot while practicing parkour. ACFAS Level of Clinical Evidence: 4. PMID- 18156067 TI - Dorsal dislocation of the intermediate cuneiform with fracture of the Lisfranc joint: a case report. AB - Tarsal cuneiform dislocation in association with Lisfranc fracture-dislocation is a rare pedal injury. In this report, we describe the case of a patient who sustained a dorsal dislocation of the intermediate cuneiform in association with tarsometatarsal fracture-dislocation following traumatic axial loading and torsion of his foot. A satisfactory outcome was achieved by treating the injury by means of closed reduction and percutaneous Kirschner wire fixation. ACFAS Level of Clinical Evidence: 4. PMID- 18156069 TI - Pressurized air injection causing subcutaneous emphysema in a pediatric patient. AB - This report describes the case of a young boy who sustained a bicycle-spoke puncture wound during which the tire air nozzle penetrated the cutaneous barrier about the ankle. Pressurized air was injected into the tissues resulting in subcutaneous emphysema. The subcutaneous gas was confirmed by roentgenogram, and a full recovery resulted after local wound care and antibiotic therapy. Care was taken to distinguish traumatic air injection from gas gangrene. ACFAS Level of Clinical Evidence: 4. PMID- 18156070 TI - Interference screw fixation for flexor hallucis longus tendon transfer for chronic Achilles tendonopathy. AB - Chronic Achilles tendinosis can be a challenging problem to the foot and ankle surgeon. Multiple surgical treatment options have been described for this condition including transfer of the Flexor Hallucis Longus (FHL) tendon for an incompetent Achilles tendon. Our technique describes FHL tendon transfer into the calcaneus to replace or supplement the Achilles tendon using a single posterior incision, a "short harvest" and interference screw fixation. PMID- 18156071 TI - Diagnostic and prognostic value of erythrocyte sedimentation rate in contiguous osteomyelitis of the foot and ankle. PMID- 18156072 TI - Re: "Diagnostic and prognostic value of erythrocyte sedimentation rate in contiguous osteomyelitis of the foot and ankle". PMID- 18156078 TI - Share and share alike. PMID- 18156079 TI - Clinical burden of chikungunya virus infection. PMID- 18156080 TI - Chikungunya and respiratory viral infections. PMID- 18156081 TI - Seasonality of mosquitoes and chikungunya in Italy. PMID- 18156082 TI - Leishmania donovani leishmaniasis in Cyprus. PMID- 18156083 TI - Dengue control. PMID- 18156084 TI - Neurological involvement during Katayama syndrome. PMID- 18156086 TI - Pharmacists lend a hand. PMID- 18156087 TI - Infection control in paediatrics. AB - Infection control has a particularly important role in paediatric hospitals and must take into account the specificity of the needs and environment of the paediatric patient. Children are susceptible to infections that are prevented in older patients by vaccination or previous natural exposure. Consequently, the nosocomial pathogens and most common health-care-associated infection sites in children differ from those observed among adults. The immunological naivety of young children, especially neonates, translates into an enhanced susceptibility to many infections with important health consequences as well as higher rates and longer duration of microorganism shedding. In particular, respiratory virus infections, rotavirus, varicella zoster virus, and pertussis represent persistent challenges in children's hospitals. Specific factors such as the use of breastmilk, toys, or therapy animals are associated with an increased risk for health-care-associated infections. We review the emergence of antimicrobial resistant organisms and strategies to prevent health-care-associated infections in the paediatric setting. PMID- 18156088 TI - Influenza vaccination in pregnancy: current evidence and selected national policies. AB - In several countries, pregnant women are recommended seasonal influenza vaccination and identified as a priority group for vaccination in the event of a pandemic. We review the evidence for the risks of influenza and the risks and benefits of seasonal influenza vaccination in pregnancy. Data on influenza vaccine safety in pregnancy are inadequate, but the few published studies report no serious side-effects in women or their infants, including no indication of harm from vaccination in the first trimester. National policies differ widely, mainly because of the limited data available, particularly on vaccination in the first trimester. The evidence of excess morbidity during seasonal influenza supports vaccinating healthy pregnant women in the second or third trimester and those with comorbidities in any trimester. The evidence of excess mortality in two previous influenza pandemics supports vaccinating in any trimester during a pandemic. PMID- 18156089 TI - Linezolid versus glycopeptide or beta-lactam for treatment of Gram-positive bacterial infections: meta-analysis of randomised controlled trials. AB - Linezolid has been approved for the treatment of patients with infections caused by Gram-positive cocci that are resistant to traditionally used antibiotics, including glycopeptides. This oxazolidinone antibiotic has been reported to have excellent pharmacokinetics and effectiveness. We did a meta-analysis of randomised controlled trials (RCTs) to clarify whether linezolid is superior to glycopeptides or beta-lactams for the treatment of Gram-positive infections. 12 RCTs, involving 6093 patients, were included. Overall, with respect to treatment success, linezolid was more effective than glycopeptides or beta-lactams (odds ratio [OR] 1.41 [95% CI 1.11-1.81]). Mortality was similar between the groups (OR 0.97 [0.79-1.19]). Linezolid was more effective than comparators in patients with skin and soft-tissue infections (OR 1.67 [1.31-2.12]) and bacteraemia (OR 2.07 [1.13-3.78]). However, there was no difference in treatment success for patients with pneumonia (OR 1.03 [0.75-1.42]). Treatment with linezolid was not associated with more adverse effects in general (OR 1.40 [0.95-2.06]); however, thrombocytopenia was recorded more commonly in patients receiving linezolid (OR 11.72 [3.66-37.57]). Although linezolid is more effective than its comparators for the empirical treatment of selected patients, several points, such as the use of less potent antistaphylococcal beta-lactams, the same all-cause mortality, and the higher probability of thrombocytopenia, should be taken into account and may limit the use of linezolid to specific patient populations or infections that are difficult to treat with other antibiotics. PMID- 18156090 TI - "The future ain't what it used to be". PMID- 18156091 TI - Magnification labels for stand magnifiers: always misleading and usually unachievable. AB - BACKGROUND: Stand magnifiers (SMs) are traditionally labeled with F/4 or (F/4) + 1 magnification. This study addresses whether SMs are configured so that the assumptions associated with the labeled magnification can be realized. METHODS: Three catalogs were examined to obtain the type of magnification label used for each of 66 different SMs. Image locations were acquired from published tables compiled by independent investigators when available. Otherwise, they were taken from manufacturer-provided information in the catalogs. The image location was used to determine how many magnifiers could be used in a manner that fulfills the assumptions underlying the labeled magnification. RESULTS: For F/4 magnification, the page is assumed to be at the focal point of the SM and the image at infinity. No SMs met this condition. (F/4) + 1 magnification assumes the magnifier is close to the eye and the image is at 25 cm. Only 18% of the SMs have a 25 cm image distance. CONCLUSION: Most SMs do not have image locations that meet the conditions underlying the marked magnification. The current labeling system is inaccurate, misleading, and inefficient for clinicians. Magnification labels on SMs should be replaced with markings that include equivalent power, enlargement ratio, and image location. PMID- 18156092 TI - Vision therapy for oculomotor dysfunctions in acquired brain injury: a retrospective analysis. AB - BACKGROUND: Oculomotor dysfunctions are among the most common abnormalities found in the brain-injured population. The purpose of the current study was to determine retrospectively the effectiveness of conventional optometric vision therapy for oculomotor disorders of vergence and version in a sample of ambulatory, visually symptomatic, predominantly adult outpatients who had either mild traumatic brain injury (TBI) or cerebrovascular accident (CVA). METHODS: A computer-based query for acquired brain injury patients examined between the years of 2000 and 2003 was conducted in our clinic. This yielded 160 individuals with mild TBI and 60 with CVA. Of these patients, only those for whom vision therapy was prescribed and who completed an optometric vision therapy program for remediation of their oculomotor dysfunctions were selected. This included 33 with TBI and 7 with CVA. The criterion for treatment success was denoted by marked/total improvement in at least 1 primary symptom and at least 1 primary sign. RESULTS: Ninety percent of those with TBI and 100% of those with CVA were deemed to have treatment success. These improvements remained stable at retesting 2 to 3 months later. CONCLUSION: Nearly all patients in the current clinic sample exhibited either complete or marked reduction in their oculomotor-based symptoms and improvement in related clinical signs, with maintenance of the symptom reduction and sign improvements at the 2- to 3-month follow-up. These findings show the efficacy of optometric vision therapy for a range of oculomotor abnormalities in the primarily adult, mild brain-injured population. Furthermore, it shows considerable residual neural plasticity despite the presence of documented brain injury. PMID- 18156093 TI - Contact lenses purchased over the internet place individuals potentially at risk for harmful eye care practices. AB - BACKGROUND: Individuals are increasingly purchasing contact lenses over the Internet. No studies exist regarding Internet purchase of contact lenses and eye care health practices. METHODS: One hundred fifty-one college students were surveyed regarding contact lenses purchase category (doctor's office, store, Internet). Pearson chi-square analyses compared purchase category with responses regarding U.S. Food and Drug Administration (FDA) recommendations for purchasing contact lenses online. Analysis of variance compared contact lenses purchase category with the Time Pressure Scale (TPS). Also, correlation analyses compared the TPS with Internet eye-health statements. RESULTS: Contact lens purchase categories included doctor's office (43.0%), store (55.0%), and Internet (22.5%), with individuals purchasing at multiple venues. With regard to the FDA recommendations, those who purchased contact lenses at a doctor's office more often adhered to the recommendations, whereas those who purchased contact lenses at a store or the Internet did so less often. Those who purchased contact lenses over the Internet had significantly higher TPS scores. In addition, higher TPS scores were significantly correlated with various statements regarding the Internet. CONCLUSIONS: Those who purchase contact lenses via the Internet or store do not follow a number of FDA contact lenses recommendations. Also, those with higher TPS scores trust possible non-evidence-based contact lenses Internet information. Implications with regard to the Fairness to Contact Lens Consumers Act are discussed. PMID- 18156094 TI - The effects of cell phone use on peripheral vision. AB - BACKGROUND: Cell phone use and its distraction on a person's cognitive ability to assess information from a complex visual task, such as driving, have been demonstrated. Does talking on a cell phone cause a decrease in visual field awareness? METHODS: Goldmann visual fields were measured twice, with and without a cell phone conversation taking place. A College of Optometrists in Vision Development quality-of-life questionnaire (COVD-QOL) was administered to identify visually related symptoms. RESULTS: Forty subjects (21 women and 19 men) aged 22 to 71 (mean age, 39.9 years) participated in the study. Significant overall constriction between the visual field isopters plotted during cell phone use, when compared with no cell phone use, was shown. Analysis of individuals with visual symptoms (COVD-QOL score of 20 or greater), were compared with those without visual symptoms (<20 on COVD-QOL). Both groups showed significant visual field constriction with cell phone use. The percentage of constriction was not significantly different between the 2 groups. Subjects with visual symptoms initially measured a more constricted visual field than did the nonvisual symptom group. The percentage of constriction of the nonvisual symptom group, while using a cell phone, was almost identical to the visual field constriction of the visual symptom group without cell phone use. CONCLUSION: Cell phone conversations tend to artificially constrict the peripheral awareness as measured by a visual field. This suggests that cell phone use while driving can decrease the perceptual visual field, making the driver less aware of the surroundings and more susceptible to accident. PMID- 18156095 TI - Efficiency of automation and electronic health records in optometric practice. AB - BACKGROUND: Health information technology (HIT) consists of technological advancements in health care instrumentation, integration, and documentation. It is now beginning to reach a level of consistency, and its benefits are being realized in clinical practice. Comparisons between paper and digital documentation have been conducted in various specialties. There have also been studies comparing manual and automated documentation. Our study was designed to compare the overall benefit of an electronic health record (EHR) and clinical automation accompanied with HIT advancements to traditional modes of practice within the Optometry Clinic at Walter Reed Army Medical Center. PATIENTS AND METHODS: All processes and procedures used in the study were equivalent to those used in patient visits common to most optometric practices. They included patient check-in, pretesting by an ophthalmic technician, and a comprehensive eye examination by an optometrist. In addition to the quantitative time measurements for these procedures, the frequency of certain events was recorded to ascertain the value of automation versus conventional methods of patient management, testing, treatment, and documentation. RESULTS: Although no process time showed any statistically significant difference, some trends were evident. There was a trend toward increased efficiency in the automated group during "Doctor Examination" and "Total Time" subsections. Also, there was a trend toward decreased efficiency with the automated group during the "Check-In" section. CONCLUSIONS: Automation and EHR technology will likely improve over time and surpass the medical efficiency of conventional modes of care. It is impressive that the early stage of HIT used in this study showed no detraction from clinical efficiency while potentially offering many patient, provider, and administrative benefits. PMID- 18156096 TI - Methodologic ramifications of paying attention to sex and gender differences in clinical research. AB - BACKGROUND: Methodologic standards for studies on sex and gender differences should be developed to improve reporting of studies and facilitate their inclusion in systematic reviews. The essence of these studies lies within the concept of effect modification. OBJECTIVE: This article reviews important methodologic issues in the design and reporting of pharmacogenetic studies. RESULTS: Differences in effect based on sex or gender should preferably be expressed in absolute terms (risk differences) to facilitate clinical decisions on treatment. Information on the distribution of potential effect modifiers or prognostic factors should be available to prevent a biased comparison of differences in effect between genotypes. Other considerations included the possibility of selective nonavailability of biomaterial and the choice of a statistical model to study effect modification. CONCLUSION: To ensure high study quality, additional methodologic issues should be taken into account when designing and reporting studies on sex and gender differences. PMID- 18156097 TI - Gender, a significant factor in the cross talk between genes, environment, and health. AB - BACKGROUND: Although men and women share most genetic information, they have significantly different disease susceptibilities that go well beyond the expected gender-specific diseases. Sex influences the risk of nearly all common diseases that affect both men and women, including atherosclerosis and diabetes and their preceding risk factors (eg, hyperlipidemia, insulin resistance, and obesity). OBJECTIVE: The goal of this article was to examine the interplay between genes, gender, and disease susceptibility, and assess it in the context of the added complexity of environmental factors (ie, dietary habits, smoking, alcohol consumption) in the modulation of the balance between health and disease. METHODS: Original and review articles published by the author were reexamined for evidence of gene-gender interactions. RESULTS: Evidence from some key factors in lipid metabolism (apolipoprotein E [APOE])and obesity (perilipin [PLIN]) indicates that the interplay between genes, gender, and environmental factors modulates disease susceptibility. In the Framingham Heart Study, complex interactions have been shown between a promoter polymorphism at the apolipoprotein A1 gene, gender, and dietary poly-unsaturated fatty acid intake that modulate plasma concentrations of high-density lipoprotein cholesterol. Likewise, highly and clinically relevant interactions have been observed between the APOE gene common alleles APOE2 , APOE3, and APOE4 , gender, and smoking that determine cardiovascular disease risk. Most interesting is the gender-dependent association between common polymorphisms at the PLIN locus and obesity risk that has been replicated in several populations around the world. CONCLUSIONS: These data support the idea that gender-specific differences in morbidity and mortality may be mediated in part by genetic factors and by their differential response to the environment. The new knowledge generated by a more careful and complete elucidation of the complex interactions predisposing to common diseases will result in an increased ability to provide successful personalized behavioral recommendations to prevent chronic disorders. PMID- 18156098 TI - A tool for developing gender research in medicine: examples from the medical literature on work life. AB - BACKGROUND: Interest is growing both in implementing a gender perspective in medical research and in developing gender research. However, few models exist that can help researchers who want to develop gender research. OBJECTIVES: The objectives of this article were to analyze gender research compared with sex/gender blind research as well as with research on sex/gender differences in work-life research, and to propose a tool that can be used by researchers who want to develop gender research. METHODS: Using the PubMed database, the search period for the main analyses covered January 1, 2000, to November 1, 2006. In the first of 2 searches, the search criteria were English language and the term unemployment. In the second search, the criteria used were English language and 3 combinations of search terms: (1) underemploy or employ and (fixed-term or types or temporary or atypical or precarious or casual); (2) labor market and (attachment or core periphery or trajectory); and (3) job and (flexibility or casual). RESULTS: The number of articles about women and gender in unemployment research that are available in PubMed steadily increased during the 1990s. The proposed model could be regarded as a tool that by necessity is simplified. The tool should not be interpreted as if all research fulfills all the characteristics in the model; rather, the tool illustrates the potentials with gender research. Whereas gender research questions the dominating epistemology of medicine (eg, through challenging biological determinism), the other 2 research traditions are often performed within the dominating medical paradigm. Gender is an analytic category, and structural analyses of gender relations are central in medical gender research, whereas sex/gender is often analyzed as a variable on the individual level in other research. Masculinity research constitutes a dynamic part of gender research. However, in other research, men as well as women are often analyzed as one of several variables. Through questioning the existing field of knowledge, gender research, with its base in power analyses and theoretical development, can provide new and different knowledge about men and women. In gender research, there has been an increasing awareness of the need for vigilance to avoid exaggerating differences (both biological and sociocultural) between men and women. Thus, the risk of essentialism (ie, the tendency to regard differences between men and women as constant, pervasive, and unchangeable) is lower than in other research. CONCLUSION: A model has been suggested that may be used to implement gender research. This tool needs continuous development through active dialogue between gender researchers. PMID- 18156099 TI - Gender differences in asthma development and progression. AB - BACKGROUND: Asthma is a chronic inflammatory airway disease that has a higher prevalence in boys than in girls before puberty and a higher prevalence in women than in men in adulthood. Because of the complexity of the disease, no single straightforward mechanism can explain the gender differences found in asthma. OBJECTIVE: This article reviews the effects of sex on the development and outcome of atopy and asthma. METHODS: English-language articles were identified by a PubMed database search from 1980 to 2007 using the terms asthma, gender, sex, hormones, and lung development. RESULTS: It is likely that hormonal changes and genetic susceptibility both contribute to the change in prevalence that occurs about the time of puberty. Severe asthma is also more predominant in females. In adulthood, women are more susceptible to the effects of smoking and more likely to develop asthma. CONCLUSIONS: It is important to determine whether asthma is a social, cultural, hormonal, and/or genetic issue. A number of topics on gender differences in asthma development and progression require additional research. For example, the interaction of fetal lung development and hormonal factors needs to be studied because it has consequences throughout life. Genetic studies of asthma should be stratified by sex, because some polymorphisms are particularly related to asthma in females. Further studies should be conducted on hormone-gene interactions (eg, X-chromosome genes) in relation to asthma and atopy. In addition, cellular hormonal influences in asthma and atopy in relation to innate and acquired immunity in both sexes need to be examined. This would benefit patients not only with asthma but also with many other diseases that show gender differences in prevalence, severity, and treatment response. Animal models investigating observed gender differences in humans should focus on susceptibility to environmental and hormonal factors in relation to lung and immune development. Differences in treatment response in asthma need to be examined as well. Double-blind studies need to be stratified by sex, and treatment responses in females and males should be investigated separately. Furthermore, interaction between gender and behavioral change in relation to asthma development and management should be studied. PMID- 18156100 TI - Integrating a gender dimension into osteoporosis and fracture risk research. AB - BACKGROUND: Sex (referring to the strict biological sense) and gender (referring to the sociocultural dimension) are major determinants of health and disease. OBJECTIVE: This review examines similarities and differences between the sexes in the prevalence of osteoporosis and fractures, bone- and fall-related risk factors for incident fractures, and the possibilities of fracture prevention, as well as gender differences in the perception of osteoporosis. METHODS: We reviewed recent English-language publications on sex and gender differences in the context of osteoporosis and fracture risk. We refer to several reviews that provide extensive reference lists on the topics discussed. RESULTS: The incidence of fractures is higher in boys than in girls. The burden of fractures in adults increases with age, and it starts earlier and is higher in adult women than in adult men. With life expectancy increasing, the annual number of fractures is likely to increase substantially. Fractures in adults contribute to increased mortality (more in men than in women), increased morbidity (equal in men and women), and high costs (greater for women than for men). Adult men experience fewer fractures than women do. Men build larger bones with better microarchitecture while they are growing and thereafter have less increase in bone remodeling. Furthermore, they develop bone loss at a later age. Compared with their female counterparts, fewer older men are hypogonadic, and life expectancy is shorter for men than for women. There are multiple reasons for the differences in the incidences of fractures between men and women, related to the many factors associated with both bone and falls that influence fracture risk from the molecular and cellular level to the organ level. Sex hormones play a central and essential role in the physiology of bone by direct and indirect mechanisms (eg, by interfering with the growth hormone and insulin-like growth factor-1 axis). Case-finding strategies to identify patients at highest risk for fractures, including bone densitometry and clinical risk factors, are much better documented at the population level in women than in men. Drug therapies that reduce the risk of a broad spectrum of fractures, even in the short term, are more clearly demonstrated in randomized controlled studies in women than in men. Drug therapy is more widely available for women with osteoporosis,but it is rarely given to men with osteoporosis. Differences in the perception of osteoporosis between men and women are even less well documented. CONCLUSIONS: In general, osteoporosis is underdiagnosed and undertreated in women but even more so in men, and is related to limits in the patient's and the physician's awareness at all clinical stages, from case finding to compliance with and persistence of therapy. Furthermore, the lay perception of a healthy lifestyle, the level of social isolation, networking within the health care system, and opportunities for screening appear to contribute to gender differences in participating in osteoporosis prevention and therapy. These aspects of health care deserve further attention and research. PMID- 18156101 TI - Gender aspects of the role of the metabolic syndrome as a risk factor for cardiovascular disease. AB - BACKGROUND: The interaction of the risk factors of abdominal obesity, disturbed glucose homeostasis, dyslipidemia, and hypertension is believed to represent a distinct entity, termed the metabolic syndrome (MetS), that leads to a greater increase in cardiovascular risk than does the sum of its components. OBJECTIVE: We reviewed currently available information regarding gender differences in the role of the MetS as a risk factor for cardiovascular disease (CVD). METHODS: Using the search terms women, men, sex, gender, sex differences, and gender differences in combination with the metabolic syndrome, we conducted a systematic review of the available literature on sex differences in the MetS. The National Institutes of Health, PubMed, and MEDLINE databases were searched retrospectively from 2007 to 1987. Reference lists of identified articles were also used as a source, and articles were not restricted to the English language. RESULTS: In recent years, the MetS has been more prevalent in men than in women but has risen particularly in young women, where it is mainly driven by obesity. Diagnostic criteria for the MetS vary for the cutoff points and definition of its components in a gender-specific manner. Based on the definition of impaired glucose homeostasis and pathologic abdominal circumference or waist/hip ratio, more or fewer women are included. Glucose and lipid metabolism are directly modulated by estrogen and testosterone, with a lack of estrogen or a relative increase in testosterone inducing insulin resistance and a proatherogenic lipid profile. Hypertension is a strong risk factor in both sexes, but the prevalence of hypertension increases more rapidly in aging women than in men. Menopause and polycystic ovary syndrome contribute to the development of MetS by the direct effects of sex hormones. Some components of the MetS (eg, diabetes and hypertension) carry a greater risk for CVD in women. CONCLUSIONS: Future gender related clinical and research activities should focus on the identification of sex- and gender-specific criteria for risk management in patients with the MetS. We propose small, focused, mechanistic studies on sex-specific surrogate end points and sex-specific studies in animal models for diabetes and aging. PMID- 18156102 TI - Anxiety disorders: sex differences in prevalence, degree, and background, but gender-neutral treatment. AB - BACKGROUND: Anxiety disorders are more prevalent among women than among men. OBJECTIVE: The aim of this paper was to investigate to what degree current psychological theories and treatment of anxiety disorders incorporate sex and gender considerations. METHODS: Relevant English, Dutch, German, or French empirical articles published until November 2006 were identified using the PsycINFO and PubMed databases as well as manual searches. The following search terms were used: anxiety disorders and sex differences, anxiety disorders and gender, anxiety disorders and women, anxiety disorders and men; combinations of these terms were used with prevalence, phenotypes, treatment, and therapy. In addition to all the aforementioned combinations, we replaced anxiety disorders with agoraphobia, panic disorder, social phobia, specific phobia, obsessive compulsive disorder, posttraumatic stress disorder, acute stress disorder, and generalized anxiety disorder. RESULTS: Whereas widespread attention has been paid to sex differences in the prevalence of anxiety disorders and their possible origins, scant attention has been given to these differences in terms of treatment. CONCLUSIONS: Prevention and treatment of anxiety disorders might be more effective if the available knowledge about sex and gender specificity was implemented. Concomitantly, treatment effect studies could be improved by greater consideration of sex and gender throughout the research process. More fundamental research is needed regarding the relationship between sex, gender, and anxiety disorders, particularly in association with other mental disorders that have an unequal prevalence between the sexes. PMID- 18156103 TI - Bringing gender expertise to biomedical and health-related research. PMID- 18156104 TI - Integrating the dimensions of sex and gender into basic life sciences research: methodologic and ethical issues. AB - BACKGROUND: The research process -- from study design and selecting a species and its husbandry, through the experiment, analysis, peer review, and publication -- is rarely subject to questions about sex or gender differences in mainstream life sciences research. However, the impact of sex and gender on these processes is important in explaining biological variations and presentation of symptoms and diseases. OBJECTIVE: This review aims to challenge assumptions and to develop opportunities to mainstream sex and gender in basic scientific research. METHODS: Questions about the mechanisms of sex and gender effects were reviewed in relation to biological, environmental, social, and psychological interactions. Gender variations, in respect to aging, socializing, and reproduction, that are present in human populations but are rarely featured in laboratory research were considered to more effectively translate animal research into clinical health care. RESULTS: Methodologic approaches to address the present lack of a gender dimension in research include actively reducing variations through attention to physical factors, biological rhythms, and experimental design. In addition, through genomic and acute nongenomic activity, hormones may compound effects through multiple small sex differences that occur during the course of an acute pathologic event. Furthermore, the many exogenous sex steroid hormones and their congeners used in medicine (eg, in contraception and cancer therapies) may add to these effects. CONCLUSIONS: The studies reviewed provide evidence that sex and gender are determinants of many outcomes in life science research. To embed the gender dimension into basic scientific research, a broad approach -- gender mainstreaming -- is warranted. One example is the use of review boards (eg, animal ethical review boards and journal peer-review boards) in which gender related standardized questions can be asked about study design and analysis. A more fundamental approach is to question the relevance of present-day laboratory models to design methods to best represent the age-related changes, comorbidity, and variations experienced by each sex in clinical medicine. PMID- 18156105 TI - Sexually dimorphic gene expression in mammalian somatic tissue. AB - BACKGROUND: The sexually dimorphic differentiation of the bipotential gonad into testis or ovary initiates the sexually dimorphic development of mammals and leads to divergent hormone concentrations between the sexes throughout life. However, despite the fact that anatomic and hormonal differences between the sexes are well described, only a few studies have investigated the manifestation of these differences at the transcriptional level in mammalian somatic tissue. OBJECTIVE: This review focuses on basic regulatory mechanisms of sex-specific gene expression and examines recent gene expression profiling studies to outline basic differences between the sexes at the transcriptome level in somatic tissues. METHODS: To identify gene expression profiling studies addressing sexually dimorphic gene expression, the PubMed database was searched using the terms sex and dimorp and gene expression not drosophila not elegans. Abstracts of all identified publications were screened for studies explicitly using microarrays to identify sex differences in somatic tissues of rodents or humans. The search was restricted to English-language articles published in the past 5 years. Reference lists of identified articles as well as microarray databases (Gene Expression Omnibus and ArrayExpress) were also used. RESULTS: The application of microarray technology has enabled the systematic assessment of sex-biased gene expression on the transcriptome level, indicating that the regulatory pathways underlying sexual differentiation give rise to extensive differences in somatic gene expression across organisms. CONCLUSION: Sustainable annotation of sex-biased gene expression provides a key to understanding basic physiological differences between healthy males and females as well as those with diseases. PMID- 18156106 TI - Methodologic and ethical ramifications of sex and gender differences in public health research. AB - BACKGROUND: Experience and investigative studies have shown that inequalities still exist between the sexes as well as in how public health policies and strategies approach the needs of the sexes. Sufficient attention has not been given to gender in public health research. Gender-based differences and similarities need to be promoted, and more structured guidelines are needed to build gender into public health research models. OBJECTIVE: The aim of this review was to investigate and discuss public health research and to answer several related questions on gender biases, ethics and methodologies, and the establishment of guidelines. METHODS: Using the search terms public health research and gender , or ethics , gender , and public health, a literature search was conducted predominately with, but not limited to, the PubMed database. English- or German-language articles were identified that examined the current status of gender in public health research as well as any relevant ethical guidelines. RESULTS: A review of the current literature showed that much work has been undertaken to promote the inclusion of gender in health research. However, deficiencies in the extent of gender-oriented research have been found in a number of key areas, including ethics committees and public health research methodology. Women were found to be underrepresented in ethics committees, which lack clear guidance, particularly in the European Union, to ensure the inclusion of gender issues in public health research. Data are often not sex disaggregated, and information on gender and social circumstances are frequently lacking. Furthermore, some methodologies, such as those used in the field of occupational health, underestimate men's or women's burden of disease. CONCLUSIONS: Recommendations include establishing guidelines for researchers on how to incorporate gender in health research, ensuring that the composition of ethics committees is more representative of society, and recommending that data collection systems or bodies ensure that data are disaggregated by sex and include socioeconomic aspects. PMID- 18156107 TI - The cost-effectiveness of alendronate in the management of osteoporosis. AB - The National Institute for Health and Clinical Excellence (NICE) in the UK has recently issued health economic appraisals for the primary and secondary prevention of osteoporotic fracture that are more restrictive than previous guidelines for the management of osteoporosis despite a marked reduction of the cost of intervention. The aim of the present study was to examine the cost effectiveness of the bisphosphonate, alendronate for the prevention and treatment of fractures associated with osteoporosis. A second aim was to investigate reasons for any disparities in cost-effectiveness between our findings and the NICE appraisals. We compared the effects of alendronate 70 mg weekly by mouth for 5 years with no treatment in postmenopausal women with clinical risk factors for fracture and computed the incremental cost-effectiveness ratio (ICER) using a lifetime simulation model based on Markov cohort methodology. A sensitivity analysis examined other common interventions. Using a threshold of pound sterling 30,000 and pound sterling 20,000 per quality of life-year (QALY) gained to determine cost-effectiveness, alendronate was cost-effective for the primary prevention of fracture in women with osteoporosis irrespective of age as was treatment of women with a prior fragility fracture irrespective of BMD. Cost effective scenarios were also found in women with strong risk factors for fracture with a bone mineral density value above the threshold for osteoporosis. The results were robust over reasonable assumptions in sensitivity analysis. We conclude that alendronate is a cost-effective agent for the prevention and treatment of fractures associated with osteoporosis. These findings, suitable for informing practice guidance, contrast with recent appraisals from NICE. PMID- 18156108 TI - [Surgical oncology by minimal access]. PMID- 18156109 TI - [A new model of metastatic dissemination of breast cancer bringing into play mesenchymal stem cells]. PMID- 18156110 TI - [Ethical and epistemologic aspects of laparoscopy in surgery and carcinologic surgery]. AB - The first endoscopic gall-bladder ablation was performed in France, twenty years ago. NOTES (natural orifices transluminal endoscopic surgery) is a new step towards surgery leaving no scar. Is surgery's paradigm changing now ? This short study will focus on the epistemologic and ethical changes which have been generated by the increasing use of endoscopic techniques in visceral and carcinologic surgery. These changes will certainly imply, in the near future, other deep evolutions in the speciality organization. PMID- 18156111 TI - [Peritoneum and laparoscopic environment]. AB - Laparoscopic surgery takes place in a closed environment, the peritoneal cavity distended by the pneumoperitoneum whose parameters, such as pressure, composition, humidity and temperature of the gas, may be changed and adapted to influence the intra and postoperative surgical processes. Such changes were impossible in the "open" environment. This review includes recent data on peritoneal physiology, which are relevant for surgeons, and on the effects of the pneumoperitoneum on the peritoneal membrane. The ability to work in a new surgical environment, which may be adapted to each situation, opens a new era in endoscopic surgery. Using nebulizers, the pneumoperitoneum may become a new way to administer intraoperative treatments. Most of the current data on the consequences of the pneumoperitoneum were obtained using poor animal models so that it remains difficult to estimate the progresses, which will be brought to the operative theater by this new concept. However this revolution will likely be used by thoracic or cardiac surgeon who are also working in a serosa. This approach may even appear essential to all the surgeons who are using endoscopy in a retroperitoneal space such as urologists or endocrine surgeons. PMID- 18156112 TI - [Colon cancer and laparoscopy: state of the art in 2007]. AB - From 2002 to 2007, the scientific validation of laparoscopic colectomy for colon cancer favorably evolved. The advantages awaited on the short term outcome were confirmed although that they are limited. The integration of the laparoscopy in multimodal protocols of rehabilitation must be evaluated. In parallel, tangible evidence of oncologic safety, integral of the long-term results, was brought now. The impact of training and experience as well as volume of patients were described and are important. At the time of validation of this technique by the medical communities, stress should be laid on the teaching accompanying a broad diffusion. PMID- 18156113 TI - [Treatment of rectal cancer by laparoscopie]. AB - Initiated later than for colon cancer, the evaluation of the use of laparoscopy in rectal cancer is still ongoing. Data on its feasibility and clinical tolerance are available. Evaluation has been based on better vision of total mesorectal excision down to the pelvic floor with laparoscopy. Laparoscopy may be recommended as standard practice except in the case of T4 tumours, recurrences and after certain former colorectal procedures. The conversion rate decreases with the acquisition of experience and should reach a figure below 15 %. The main causes are haemorrhages or high tumoral volume. Operating time is longer but this difference also decreases with experience. Blood loss is no different for the two techniques for identical tumoural stages. Mortality (< 3,5%) and morbidity (22 to 48 %) are also equivalent. The surgical quality of laparoscopic TEM has been contested by the Clasicc Trial data which showed a slight and non significant trend towards greater spreading of the circumferential margin for laparoscopy taking into account the fact that most of the surgeons were at the beginning of their learning curves. There was no differences in the number of lymphatic nodes retrieved. It seems that short term functional results are better with laparoscopy (bowel movements, duration of hospitalisation). Although better dissection of the hypogastric nerves was expected, worse sexual outcomes were reported thus highlighting the risk of supraradical resection. In the next few years, data from the Color II study should definitively confirm the equivalence or otherwise of laparoscopy to laparotomy in the treatment of rectal cancer. PMID- 18156114 TI - [Laparoscopic surgery and gynaecological cancers]. AB - The use of laparoscopic staging and/or surgery in the field of gynaecological oncology was pioneered in the late 80's and the first reports were published in the early 90's. The issue has been initially most controversial, and is still debated, with some justification considering the possible adverse consequences of surgical mismanagement of gynaecologic malignancy. Since then, a number of papers have confirmed the absence of significant adverse effects on survival after laparoscopic diagnosis or surgery in gynaecological cancers. New developments cover virtually all the basic techniques in cancer surgery, including major exenterative surgery. The use of extraperitoneal technique for aortic dissections is emerging as a new tool. New indications, such as radical vaginal trachelectomy (Dargent operation), radical parametrectomy, pelvic sentinel node identification, decisional laparoscopy in adnexal malignancies, or the use of pretherapeutic surgical staging of uterine cancers, have been developed in direct relation with the use of laparoscopic techniques. Worldwide interest clearly demonstrates that laparoscopic techniques must now be part of the armamentarium of the gynaecologic oncologist. Postoperative morbidity and recurrence risk do not seem to be affected. Cost-efficiency of laparoscopic procedures is based on the reduction of hospital stay and recovery time, particularly in obese patients. Combined training in gynaecologic oncology and in laparoscopic and/or vaginal surgery is more than ever mandatory to reduce the operating time, which is becoming similar to laparotomy in experiences hands, and avoid the risk of inadequate staging or management of pelvic malignancies. PMID- 18156115 TI - [Laparoscopy in the treatment of urologic cancers]. AB - Laparoscopy in the treatment of urologic cancers. Over the past 20 years, laparoscopy has established its place in the treatment of urologic cancers. Beginning with pelvic (ilio-obturator) lymph node dissection and nephrectomy soon thereafter, the application of laparoscopy quickly expanded to include adrenalectomy, retroperitoneal lymph node dissection for testicular cancer, and later, radical prostatectomy and cystectomy. Currently, the oncologic results of laparoscopy are comparable to those of open surgery. The functional results, with laparoscopic nephrectomy in particular, have continued to improve over the past 20 years. At this time, there is no oncologic contra indication for laparoscopy in the field of urology. PMID- 18156116 TI - [Laparoscopic surgery and robot]. AB - Twenty years ago, laparoscopic surgery entirely changed the traditional style of surgical operations. However, it was difficult to perform some interventions, particularly in restricted space or if acts of reconstruction are necessary. It was necessary to develop new technologies such robotic surgery. We detail the different technologies and we precise the place of the robotic surgery in oncological surgery. In conclusion, we believe that, in the near future as robotic technology continues to develop, it could replace traditional surgery not only in the treatment of benign diseases but also in malignant illnesses. PMID- 18156117 TI - [Transoral laser resection for head and neck cancers]. AB - Transoral laser surgery has become a therapeutic option and even a standard for certain tumors of the larynx and pharynx. The postoperative course after this type of minimally invasive surgery has been shown to be significantly simpler, with less need for temporary tracheotomy and enteral feeding. For selected tumors amenable to this approach, the oncologic results have been shown to be equivalent to those obtained by classic external approaches. Transoral laser surgery requires specific equipment and training of the surgeon, the anaesthesiologist, the operating room team and the pathologist. Despite this specificity, but because of the simplified postoperative course, transoral laser surgery has already supplanted several external approaches and will in the future probably replace other techniques, as experience with the technique increases and the indications evolve. PMID- 18156118 TI - [Minimally-invasive surgery in cancer children]. AB - Minimally-invasive surgery, or video-assisted surgery, includes laparoscopy, retroperitoneoscopy and thoracoscopy, can be used for diagnosis (biopsies) and treatment (resections) in various malignant solid tumours in children. Potential advantages of MIS techniques include a decreased parietal trauma (cosmetic benefit, bowel adhesions) and less postoperative discomfort (postoperative pain, analgesics requirement, postoperative ileus, length of hospital stay). Main indications of MIS techniques are represented by diagnostic biopsies (mediastinal or lung tumors, retroperitoneal extrarenal masses), resection of the primary tumor in thoracic and abdominal neuroblastic tumors and in post-treatment residual mass in lymphoma. PMID- 18156119 TI - [Frontiers in interventional endoscopy]. AB - Digestive endoscopy, including endoscopic ultrasound, plays actually an important role in oncology concerning early diagnosis, tumor staging, and therapeutic procedures. Indeed, improvement of endoscope and dedicated accessories allow to increase applications of therapeutic endoscopy in oncologic indications : curative resection of early carcinoma ant submucosa tumor ; palliative treatment of tumoral bilio-digestive obstruction. Possibilities to resect sessile or flat polyps allow to treat curatively well-differentiated carcinoma without infiltration of the muscularis mucosae, the risk of lymph nodes invasion being null in this cases. In case of invasion of muscularis mucosae, this risk is inferior to 1% for colorectal cancer when submucosal invasion do not exceed 1000 microm but this risk is between 6 and 22% in case of oeso-gastric carcinoma invading the third part of the submucosa. Mortality of endoscopic resection was null in almost published series. Morbidity was 15-20% for colorectal resection with 5-6% of severe complications and up to 23% after oesophageal tumor ablation. Moreover, improvement of echoendoscope dedicated to therapeutic procedures allow from now to achieve non-anatomic pancreatic or biliary drainage through the gastric wall when the retrograde route is not suitable (whipple resection, duodenal stricture) or when drainage of the left hepatic lobe is difficult via the retrograde approach. The aim of this technique is to realize an anastomosis between the left hepatic duct and the stomach. Permanence of this fistula is ensured by insertion of one or two stent. Efficacy and safety of this procedure were recently retrospectively evaluated with a technical success in 91% of cases. Therapeutic endoscopy made many progress during the last years and development of new generation of endoscope and accessories would allow a real endoluminal surgical approach for superficial tumor, bilio-digestive anastomosis or gastro enteroanastomosis by example. PMID- 18156120 TI - [Surveillance Bulletin 2007. Guidelines for clinical practice: management of patients with malignant epithelial tumors of the ovary. First line medical treatment]. PMID- 18156121 TI - [Translational research and Cancer Plan]. AB - The French Cancer Plan 2003-2007 has made translational research central to its research programme, to ensure the care-research continuum and the quickest application possible for the most recent discoveries, for the patients' benefit. This is a new field of research, still little-known or ill-understood. A working group, composed of physicians and researchers from academic research and industrial research, sought to define translational research in cancerology and define the issues at stake in it. Translational research needs to develop in close connection with the patients in order to enable a bi-directional flow of knowledge from cognitive research toward medical applications and from observations made on patients toward cognitive research. Placed under the aegis of the French National Cancer Institute and Leem Research, the group has put forth a strategy for implementing translational research in cancerology in France to make it attractive, competitive and efficient and to foster the development of public-private partnerships. PMID- 18156124 TI - Friction between solids. AB - The theoretical examination of the friction between solids is discussed with a focus on self-assembled monolayers, carbon-containing materials and antiwear additives. Important findings are illustrated by describing examples where simulations have complemented experimental work by providing a deeper understanding of the molecular origins of friction. Most of the work discussed herein makes use of classical molecular dynamics (MD) simulations. Of course, classical MD is not the only theoretical tool available to study friction. In view of that, a brief review of the early models of friction is also given. It should be noted that some topics related to the friction between solids, i.e. theory of electronic friction, are not discussed here but will be discussed in a subsequent review. PMID- 18156123 TI - The 1918-1919 influenza pandemic in England and Wales: spatial patterns in transmissibility and mortality impact. AB - Spatial variations in disease patterns of the 1918-1919 influenza pandemic remain poorly studied. We explored the association between influenza death rates, transmissibility and several geographical and demographic indicators for the autumn and winter waves of the 1918-1919 pandemic in cities, towns and rural areas of England and Wales. Average measures of transmissibility, estimated by the reproduction number, ranged between 1.3 and 1.9, depending on model assumptions and pandemic wave and showed little spatial variation. Death rates varied markedly with urbanization, with 30-40% higher rates in cities and towns compared with rural areas. In addition, death rates varied with population size across rural settings, where low population areas fared worse. By contrast, we found no association between transmissibility, death rates and indicators of population density and residential crowding. Further studies of the geographical mortality patterns associated with the 1918-1919 influenza pandemic may be useful for pandemic planning. PMID- 18156125 TI - Using surface force apparatus, diffusion and velocimetry to measure slip lengths. AB - Determining the slip lengths for liquids flowing close to smooth walls is challenging. The reason lies in the fact that the scales that must be addressed range between a few and hundreds of nanometres. Several techniques have been used over the last few years. Here, we consider three of them based on surface force apparatus, diffusion and velocimetry, respectively. The descriptions offered here incorporate recent instrumental progress made in the field. PMID- 18156126 TI - Nanotribology, nanomechanics and nanomaterials characterization. AB - Nanotribology and nanomechanics studies are needed to develop fundamental understanding of interfacial phenomena on a small scale and to study interfacial phenomena in magnetic storage devices, nanotechnology and other applications. Friction and wear of lightly loaded micro/nanocomponents are highly dependent on the surface interactions (a few atomic layers). These structures are generally coated with molecularly thin films. Nanotribology and nanomechanics studies are also valuable in the fundamental understanding of interfacial phenomena in macrostructures and provide a bridge between science and engineering. An atomic force microscope (AFM) tip is used to simulate a single-asperity contact with a solid or lubricated surface. AFMs are used to study the various tribological phenomena that include surface roughness, adhesion, friction, scratching, wear and boundary lubrication. In situ surface characterization of local deformation of materials and thin coatings can be carried out using a tensile stage inside an AFM. Mechanical properties such as hardness, Young's modulus of elasticity and creep/relaxation behaviour can be determined on micro- to picoscales using a depth-sensing indentation system in an AFM. PMID- 18156127 TI - Principles of atomic friction: from sticking atoms to superlubric sliding. AB - Tribology-the science of friction, wear and lubrication-is of great importance for all technical applications where moving bodies are in contact. Nonetheless, little progress has been made in finding an exact atomistic description of friction since Amontons proposed his empirical macroscopic laws over three centuries ago. The advent of new experimental tools such as the friction force microscope, however, enabled the investigation of frictional forces occurring at well-defined contacts down to the atomic scale. This research field has been established as nanotribology. In the present article, we review our current understanding of the principles of atomic-scale friction based on recent experiments using friction force microscopy. PMID- 18156128 TI - Nanoscale friction and wear maps. AB - Friction and wear are part and parcel of all walks of life, and for interfaces that are in close or near contact, tribology and mechanics are supremely important. They can critically influence the efficient functioning of devices and components. Nanoscale friction force follows a complex nonlinear dependence on multiple, often interdependent, interfacial and material properties. Various studies indicate that nanoscale devices may behave in ways that cannot be predicted from their larger counterparts. Nanoscale friction and wear mapping can help identify some 'sweet spots' that would give ultralow friction and near-zero wear. Mapping nanoscale friction and wear as a function of operating conditions and interface properties is a valuable tool and has the potential to impact the very way in which we design and select materials for nanotechnology applications. PMID- 18156129 TI - Using light to study boundary lubrication: spectroscopic study of confined fluids. AB - Several instrumental developments to examine the spectroscopic response of molecularly thin fluids confined between mica sheets are described. They are predicated on using a redesigned surface forces apparatus where dielectric coatings, transparent to light at needed optical wavelengths, retain the ability to measure interferometric thickness at other optical wavelengths. Examples of recent measurements are presented using confocal laser Raman spectroscopy to evaluate how molecules orient as well as to perform chemical imaging. Other examples are presented using confocal fluorescence recovery after photobleaching to evaluate translational diffusion of confined polymer melts. The advantage of separating the mechanical average (force and friction) from direct information about structure and mobility at the molecular level is stressed. PMID- 18156130 TI - Adhesion mechanisms at soft polymer interfaces. AB - Based on several significant examples, we analyse the adhesion mechanisms at soft polymer interfaces with a special emphasis first on the role of connector molecules, that is, polymer chains bound to the interface and which transmit stress through a stretching and extraction mechanism, and second on the necessary relay that must be taken by additional dissipation mechanisms acting at larger scales if one wants to reach typical fracture toughnesses in the range of a few 10 J m(-2). Examples of such bulk dissipation mechanisms will be discussed for interfaces between polymer melts and for pressure-sensitive adhesives in contact with a solid surface. We shall particularly point out the fact that the level of adhesion results from a competition between adhesive failure usually driven by both the interactions and the friction properties of the interface and bulk strong deformations which take place in the bulk of the adhesive layer. Controlling the friction properties of the interface then becomes a tool to finely tune adhesive properties. PMID- 18156131 TI - Preface: tribology - the science and technology of interacting surfaces in relative motion and of their related subjects and practices. PMID- 18156132 TI - Defense-related signaling by interaction of arabinogalactan proteins and beta glucosyl Yariv reagent inhibits gibberellin signaling in barley aleurone cells. AB - Arabinogalactan proteins (AGPs) are hydroxyproline-rich glycoproteins present at the plasma membrane and in extracellular spaces. A synthetic chemical, beta glucosyl Yariv reagent (beta-GlcY), binds specifically to AGPs. We previously reported that gibberellin signaling is specifically inhibited by beta-GlcY treatment in barley aleurone protoplasts. In the present study, we found that beta-GlcY also inhibited gibberellin-induced programmed cell death (PCD) in aleurone cells. We examined the universality and specificity of the inhibitory effect of beta-GlcY on gibberellin signaling using microarray analysis and found that beta-GlcY was largely effective in repressing gibberellin-induced gene expression. In addition, >100 genes were up-regulated by beta-GlcY in a gibberellin-independent manner, and many of these were categorized as defense related genes. Defense signaling triggered by several defense system inducers such as jasmonic acid and a chitin elicitor could inhibit gibberellin-inducible events such as alpha-amylase secretion, PCD and expression of some gibberellin inducible genes in aleurone cells. Furthermore, beta-GlcY repressed the gibberellin-inducible Ca2+-ATPase gene which is important for gibberellin dependent gene expression, and induced known repressors of gibberellin signaling, two WRKY genes and a NAK kinase gene. These effects of beta-GlcY were also phenocopied by the chitin elicitor and/or jasmonic acid. These results indicate that gibberellin signaling is under the regulation of defense-related signaling in aleurone cells. It is also probable that AGPs are involved in the perception of stimuli causing defense responses. PMID- 18156133 TI - The FLX gene of Arabidopsis is required for FRI-dependent activation of FLC expression. AB - The Arabidopsis FLOWERING LOCUS C (FLC) gene encodes a MADS box protein that acts as a dose-dependent repressor of flowering. Mutants and ecotypes with elevated expression of FLC are late flowering and vernalization responsive. In this study we describe an early flowering mutant in the C24 ecotype, flc expressor (flx), that has reduced expression of FLC. FLX encodes a protein of unknown function with putative leucine zipper domains. FLX is required for FRIGIDA (FRI)-mediated activation of FLC but not for activation of FLC in autonomous pathway mutants. FLX is also required for expression of the FLC paralogs MADS AFFECTING FLOWERING 1 (MAF1) and MAF2. PMID- 18156134 TI - Modulation of the phagosome proteome by interferon-gamma. AB - Macrophages are immune cells that function in the clearance of infectious particles. This process involves the engulfment of microbes into phagosomes where these particles are lysed and degraded. In the current study, we used a large scale quantitative proteomics approach to analyze the changes in protein abundance induced on phagosomes by interferon-gamma (IFN-gamma), an inflammatory cytokine that activates macrophages. Our analysis identified 167 IFN-gamma modulated proteins on phagosomes of which more than 90% were up-regulated. The list of phagosomal proteins regulated by IFN-gamma includes proteins expected to alter phagosome maturation, enhance microbe degradation, trigger the macrophage immune response, and promote antigen loading on major histocompatibility complex (MHC) class I molecules. A dynamic analysis of IFN-gamma-sensitive proteins by Western blot indicated that newly formed phagosomes display a delayed proteolytic activity coupled to an increased recruitment of the MHC class I peptide-loading complex. These phagosomal conditions may favor antigen presentation by MHC class I molecules on IFN-gamma-activated macrophages. PMID- 18156136 TI - Back to the future: coronary CT angiography using prospective ECG triggering. AB - This editorial refers to Feasibility of low dose coronary CT angiography: first experience with prospective ECG gating by L. Husmann et al., on page 191. PMID- 18156135 TI - Characterization of anaerobic catabolism of p-coumarate in Rhodopseudomonas palustris by integrating transcriptomics and quantitative proteomics. AB - In this study, the pathway for anaerobic catabolism of p-coumarate by a model bacterium, Rhodopseudomonas palustris, was characterized by comparing the gene expression profiles of cultures grown in the presence of p-coumarate, benzoate, or succinate as the sole carbon sources. Gene expression was quantified at the mRNA level with transcriptomics and at the protein level with quantitative proteomics using (15)N metabolic labeling. Protein relative abundances, along with their confidence intervals for statistical significance evaluation, were estimated with the software ProRata. Both -omics measurements were used as the transcriptomics provided near-full genome coverage of gene expression profiles and the quantitative proteomics ascertained abundance changes of over 1600 proteins. The integrated gene expression data are consistent with the hypothesis that p-coumarate is converted to benzoyl-CoA, which is then degraded via a known aromatic ring reduction pathway. For the metabolism of p-coumarate to benzoyl CoA, two alternative routes, a beta-oxidation route and a non-beta-oxidation route, are possible. The integrated gene expression data provided strong support for the non-beta-oxidation route in R. palustris. A putative gene was proposed for every step in the non-beta-oxidation route. PMID- 18156137 TI - Myeloperoxidase, but not C-reactive protein, predicts cardiovascular risk in peripheral arterial disease. AB - AIMS: The prognostic role of inflammation in peripheral arterial disease (PAD) remains to be conclusively established. Accordingly, in these patients we investigated the impact of myeloperoxidase (MPOx) and C-reactive protein on the incidence of myocardial infarction and stroke. METHODS AND RESULTS: Of 156 PAD patients, 10 had a myocardial infarction and seven a stroke, during follow-up. We used the receiver operating characteristic curve analysis and the bootstrap approach to identify the MPOx, C-reactive protein, and ankle brachial index (ABI) threshold levels that provided the best cut-off to predict the outcome. For MPOx a cut-off > or =183.7 pM was independently associated with a poor outcome (HR = 6.80, 95% CI 1.20-38.69, P = 0.031). The result remained unmodified when MPOx was used as a continuous variable (HR = 1.03, 95% CI 1.01-1.05, P = 0.031). Conversely, C-reactive protein was not a prognostic determinant in our series (HR = 0.88, 95% CI 0.60-1.29, P = 0.514). Kaplan-Meier curves for the four groups of patients delineated according to ABI and MPOx values identified using the bootstrap approach showed that the addition of MPOx measurement to ABI improved the ability to identify patients at risk for myocardial infarction and stroke. CONCLUSION: In PAD, MPOx, but not C-reactive protein, predicts an increased risk of major cardiovascular events, and adds to the prognostic value of ABI, currently the most powerful prognostic indicator in these patients. PMID- 18156138 TI - Peri-coronary epicardial adipose tissue is related to cardiovascular risk factors and coronary artery calcification in post-menopausal women. AB - AIMS: To determine whether peri-coronary epicardial adipose tissue (EAT) is associated with vascular risk factors and coronary atherosclerosis. METHODS AND RESULTS: In this study, 573 healthy post-menopausal women underwent a cardiac CT scan to assess coronary calcification. Peri-coronary EAT thickness was measured in the areas of right coronary artery (RCA), left anterior descending (LAD) artery, and left circumflex (LCX) coronary artery. Average EAT thickness was 16.5 +/- 4.3 mm (range 5.9-34.6) in the RCA area, 6.4 +/- 2.2 mm (range 2.0-14.0) in the LAD area, and 10.8 +/- 3.0 mm (range 2.8-29.1) in the LCX area. Overall average thickness was 11.2 +/- 2.2 mm (range 5.4-19.1). EAT was positively related to age (P = 0.002). In age-adjusted linear regression models, EAT was positively related to weight (P< 0.001), waist circumference (P< 0.001), waist-to hip ratio (P< 0.001), body mass index (P< 0.001), glucose (P< 0.001), triglycerides (P = 0.001), use of anti-hypertensive drugs (P = 0.007), and systolic blood pressure (P = 0.034), and inversely to HDL cholesterol (P = 0.005). In multivariable models, age, weight, waist circumference, smoking, and glucose were the main determinants of EAT. EAT showed a graded relation with coronary calcification (P = 0.026). CONCLUSION: EAT is strongly related to vascular risk factors and coronary calcification. Our findings support the hypothesis that EAT affects coronary atherosclerosis and possibly coronary risk. PMID- 18156139 TI - Non-invasive detection and quantification of acute myocardial infarction in rabbits using mono-[123I]iodohypericin microSPECT. AB - AIMS: Mono-[(123)I]iodohypericin ([(123)I]MIH) has been reported to have high avidity for necrosis. In the present study, by using rabbit models of acute myocardial infarction, we explored the suitability of [(123)I]MIH micro single photon emission computed tomography (microSPECT) for non-invasive visualization of myocardial infarcts in comparison with [(13)N]ammonia micro positron emission tomography (microPET) imaging, postmortem histomorphometry, and [(123)I]MIH autoradiography. METHODS AND RESULTS: Fourteen rabbits were divided into four groups. The left circumflex coronary artery was permanently occluded in group A (n = 3), reperfused by releasing the ligature after 15 min in group B (n = 3) or 90 min in group C (n = 6), or not occluded in group D (n = 2). Animals received [(13)N]ammonia microPET perfusion imaging 18 h after infarct induction followed by microSPECT imaging at 2-3.5, 9-11, and 22-24 h post injection (p.i.) of [(123)I]MIH. The cardiac images were assembled into polar maps for assessment of tracer uptake. Animals were sacrificed and the excised heart was sliced for autoradiography, triphenyl tetrazolium chloride, and haematoxylin-eosin staining. Using [(123)I]MIH microSPECT, infarcts were well delineated at 9 h p.i. Mean microSPECT infarct size was 38.8 and 32.7% of left ventricular area for groups A and C, respectively, whereas group B showed low uptake of [(123)I]MIH. Highest mean infarct/viable tissue activity ratio of 61/1 was obtained by autoradiography in group C animals at 24 h p.i. CONCLUSION: The study indicates the suitability of [(123)I]MIH for in vivo visualization of myocardial infarcts. PMID- 18156140 TI - Enhanced functional response of CD133+ circulating progenitor cells in patients early after acute myocardial infarction. AB - AIMS: Circulating progenitor cells (PC) may contribute to myocardial recovery following infarction. Growth factors including VEGF are produced during ischaemia and stimulate PC release and activation. In this study, we focused on the functional chemotactic response of PC to VEGF in subjects early after myocardial ischaemia. METHODS AND RESULTS: Number and phenotype of PC were characterized using flow-cytometry. CD133(+)PC were isolated from peripheral blood using positive MACS isolation. The chemotactic response towards members of the VEGF family (VEGF-A, PlGF-1, and VEGF-E) was analysed in three groups: (i) early period following acute myocardial infarction (days 2-4) treated with primary PCI (AMI) (n = 35), (ii) stable coronary artery disease (CAD) (n = 35), and (iii) controls (CTR) (n = 20). CD133(+)PC number was 2-fold higher in AMI when compared with CAD and CTR (P = 0.0001), whereas CAD was not different from CTR. The chemotactic response of CD133(+)PC to VEGF-A, PlGF-1, and VEGF-E was significantly enhanced (2-fold) in AMI when compared with CAD (P = 0.0001). While the increase of the VEGFR-1-mediated/PlGF-triggered response was rapid (2 days following infarction), the VEGFR-2-mediated/VEGF-E-triggered response was maximally increased on day 4 post-AMI, thus correlating with the kinetics of maximal inflammatory activation reflected by increased CRP levels (P = 0.019). CONCLUSION: The enhanced chemotactic response of CD133(+)PC following myocardial infarction represents a novel principle potentially involved in cardiovascular repair early after myocardial infarction. Acute inflammatory processes are closely associated with this increased cellular function. PMID- 18156142 TI - Prolonged control of progressive castration-resistant metastatic prostate cancer with testosterone replacement therapy: the case for a prospective trial. PMID- 18156141 TI - Differential effects of black versus green tea on risk of Parkinson's disease in the Singapore Chinese Health Study. AB - Data from Asian populations on dietary and lifestyle factors associated with Parkinson's disease are sparse. In 1993-2005, the authors examined these factors in relation to Parkinson's disease in the Singapore Chinese Health Study, a prospective cohort of 63,257 Chinese men and women. Baseline data were collected through in-person interviews using structured questionnaires. All 157 incident Parkinson's disease cases were identified either through follow-up interviews or via linkage with hospital discharge databases and Parkinson's disease outpatient registries and were confirmed by review of medical records. Current versus never smokers exhibited a reduced risk of Parkinson's disease (relative risk = 0.29, 95% confidence interval: 0.16, 0.52). Total caffeine intake was inversely related to Parkinson's disease risk (p for trend = 0.002); the relative risk for the highest versus lowest quartile was 0.55 (95% confidence interval: 0.35, 0.88). Black tea, a caffeine-containing beverage, showed an inverse association with Parkinson's disease risk that was not confounded by total caffeine intake or tobacco smoking (p for trend = 0.0006; adjusted relative risk for the highest vs. lowest tertile of intake = 0.29, 95% confidence interval: 0.13, 0.67). Green tea drinking was unrelated to Parkinson's disease risk. Diet had no strong influence on risk. Ingredients of black tea other than caffeine appear to be responsible for the beverage's inverse association with Parkinson's disease. PMID- 18156143 TI - Low-grade mucosa-associated lymphoid tissue lymphoma: a retrospective analysis of 97 patients by the Hellenic Cooperative Oncology Group (HeCOG). AB - BACKGROUND: The aim was to examine characteristics and treatment results of patients with mucosa-associated lymphoid tissue (MALT) non-Hodgkin's lymphomas. PATIENTS AND METHODS: Epidemiological and clinical features of 97 patients with MALT lymphoma from the Hellenic Cooperative Oncology Group registry were analysed retrospectively for their prognostic significance in progression-free survival (PFS) and overall survival (OS). Comparisons were made between patients with gastric and nongastric sites of primary lymphoma and between different therapeutic modalities. RESULTS: Sixty-five patients presented with gastric and 32 with nongastric lymphomas. The most frequent locations of nongastric lymphomas were the bowel, lung and parotid. Gastric lymphomas occurred more frequently in males and younger patients compared with nongastric lymphomas. Seventy-four per cent of patients had early (Ann Arbor stages I-II) and 26% had advanced (stages III-IV) disease. The median PFS for the entire population was 44 months. At 5 years, 47% of patients were progression free and the OS rate was 80%. The most reliable prognostic factor for PFS and OS was the Ann Arbor stage; 5-year PFS was 67% versus 13% and 5-year OS 91% versus 51% for patients with early versus advanced disease, respectively (P < 0.001). Of the patients treated with chemotherapy only, 87% achieved an objective response and 71% complete response. Surgery did not offer survival benefit compared with chemotherapy in localised gastric lymphoma. CONCLUSION: MALT lymphomas represent a distinct disease entity with widespread extranodal origin, indolent clinical course and high chemosensitivity. Ann Arbor stage was the most reliable prognostic and predictive factor. PMID- 18156144 TI - Phase II study of pemetrexed in combination with carboplatin in patients with malignant pleural mesothelioma (MPM). AB - BACKGROUND: The aim of this study was to evaluate the activity and toxicity of pemetrexed and carboplatin combination as first-line chemotherapy in malignant pleural mesothelioma (MPM). PATIENTS AND METHODS: Patients with measurable advanced MPM and a zero to two Eastern Cooperative Oncology Group (ECOG) performance status (PS) were enrolled. The schedule was pemetrexed 500 mg/m(2) in combination with carboplatin area under the curve 5, every 21 days. In all, 76 patients were treated. Median age was 65 years; median ECOG PS was zero. RESULTS: Grade 3 hematological toxicity according to World Health Organization criteria was seen in 36 (47.3%) patients; grade 4 hematological toxicity in 5 (6.5%) patients. There were 16 (21%) partial responses and 3 (4%) complete responses, for an overall response rate of 19 (25%) [95% confidence interval (CI) 15.3 34.7]. In all, 29 (39%) (95% CI 28-48) patients reported stable disease. The median survival was estimated at 14 months. CONCLUSION: This combination of carboplatin and pemetrexed is moderately active and the toxicity is acceptable. PMID- 18156146 TI - 'Imagine all that smoke in their lungs': parents' perceptions of young children's tolerance of tobacco smoke. AB - Despite knowing the risks to their children's health, parents continue to expose their children to tobacco smoke prior to and after their birth. This study explores the factors influencing parent's behaviour in preventing the exposure of their (unborn) children to environmental tobacco smoke (ETS) and any changes to their smoking behaviour in the home during the first years of their children's lives. Whether or not they stopped smoking during pregnancy, the women did not protect themselves from breathing in other people's smoke. Yet once the baby was born, parents actively protected the baby from environmental tobacco, believing that the lungs of newborn babies were too immature to tolerate smoke. This protection lasted only for a matter of weeks for some babies, or stopped when they were 6-12 months old, linked to their parent's belief that older babies could tolerate or avoid smoke. These findings suggest that changes made to smoking during the first weeks of a baby's life are unlikely to be sustained, and key messages about the risks if ETS exposure need to be delivered repeatedly over the first 2 years of life and re-enforced as the child gets older. PMID- 18156147 TI - Appreciation and implementation of a school-based intervention are associated with changes in fruit and vegetable intake in 10- to 13-year old schoolchildren- the Pro Children study. AB - The purpose was to investigate the degree of implementation and appreciation of a comprehensive school-randomized fruit and vegetable intervention program and to what extent these factors were associated with changes in reported fruit and vegetable intake. The study was conducted among 10- to 13-year old children exposed to the intervention during the school year 2003-04 in Norway, Spain and the Netherlands. Children, parents and teachers completed questionnaires regarding (i) the implementation of the school curriculum, (ii) parental involvement, (iii) distribution of fruit and vegetables at school, (iv) children's appreciation of the project and (v) children's intake levels. Univariate analyses of covariance and multilevel multivariate regression analyses indicated that teacher-reported level of implementation of the school curriculum and schoolchildren's appreciation of the project were important determinants of changes in intake. The results point to the importance of optimal implementation of an attractive school curriculum. PMID- 18156148 TI - Social comparison and body image in adolescence: a grounded theory approach. AB - This study explored the use of social comparison appraisals in adolescents' lives with particular reference to enhancement appraisals which can be used to counter threats to the self. Social comparison theory has been increasingly used in quantitative research to understand the processes through which societal messages about appearance influence adolescents' body image. Little is known about the comparison processes used in their daily lives-to whom individuals compare (the target), on what individuals compare (the attribute) and how they compare (comparison appraisal). Based on the analysis of 20 in-depth grounded theory interviews with 12- to 14-year old boys and girls, we suggest that comparison processes are used for the purpose of identity development (core category). Given the opportunity, adolescents spontaneously describe a variety of targets, comparison attributes and comparison appraisals. Peers play an important part in making sense of media images and messages and provide comparison targets themselves. Adolescents are aware of societal standards and pressures and use a range of enhancement appraisals. The positive impact of these might depend on individual characteristics. Findings suggest that enhancement appraisals might have a protective function and should be considered in designing health promotion and prevention programmes. PMID- 18156145 TI - Nonadditive effects of PAHs on Early Vertebrate Development: mechanisms and implications for risk assessment. AB - Polycyclic aromatic hydrocarbons (PAHs) are ubiquitous environmental contaminants. Traditionally, much of the research has focused on the carcinogenic potential of specific PAHs, such as benzo(a)pyrene, but recent studies using sensitive fish models have shown that exposure to PAHs alters normal fish development. Some PAHs can induce a teratogenic phenotype similar to that caused by planar halogenated aromatic hydrocarbons, such as dioxin. Consequently, mechanism of action is often equated between the two classes of compounds. Unlike dioxins, however, the developmental toxicity of PAH mixtures is not necessarily additive. This is likely related to their multiple mechanisms of toxicity and their rapid biotransformation by CYP1 enzymes to metabolites with a wide array of structures and potential toxicities. This has important implications for risk assessment and management as the current approach for complex mixtures of PAHs usually assumes concentration addition. In this review we discuss our current knowledge of teratogenicity caused by single PAH compounds and by mixtures and the importance of these latest findings for adequately assessing risk of PAHs to humans and wildlife. Throughout, we place particular emphasis on research on the early life stages of fish, which has proven to be a sensitive and rapid developmental model to elucidate effects of hydrocarbon mixtures. PMID- 18156149 TI - LPS-activated monocytes suppress T-cell immune responses and induce FOXP3+ T cells through a COX-2-PGE2-dependent mechanism. AB - Monocytes initiate innate immune responses and interact with T cells to induce antigen-specific immune responses by antigen presentation and secretion of humoral factors. We have previously shown that adaptive regulatory T cells inhibit T-cell effector functions in a cyclooxygenase (COX)-2-prostaglandin E(2) (PGE(2))-dependent manner and that PGE(2) converts resting CD4+CD25- T cells into FOXP3+ T cells with a suppressive phenotype. Here, we demonstrate that stimulation of monocytes with LPS leads to suppression of T-cell immune responses by a COX-2-PGE(2)-dependent mechanism that is reversible with COX-2 inhibitors as well as PGE(2)-neutralizing antibody and cAMP antagonist. Furthermore, we show that LPS-activated monocytes induce FOXP3 expression in resting CD4+CD25- T cells by the same pathway. These results suggest that monocytes are able to efficiently suppress T-cell immune responses in a regulatory manner and elicit an inhibitory immune profile. PMID- 18156150 TI - Auto-antibodies, HLA and PTPN22: susceptibility markers for rheumatoid arthritis. AB - OBJECTIVE: To analyse the relationship between the presence of auto-antibodies [rheumatoid factor (RF) and anti-cyclic citrullinated peptide (anti-CCP)], HLA DRB1 alleles and PTPN22 1858 C/T polymorphism and test the value of their combination as susceptibility markers for rheumatoid arthritis (RA). METHODS: Patients with early arthritis were included. At entry in the cohort or during follow-up, 191 patients fulfilled the criteria for RA and 184 individuals suffered from other arthropathies. RF was measured by nephelometry and anti-CCP antibody by enzyme-linked immunosorbent assay. HLA class II alleles were determined by polymerase chain reaction. Samples were genotyped for PTPN22 1858C/T variants using a TaqMan 5'-allele discrimination assay. RESULTS: The presence of shared epitope (SE) alleles was strongly associated with anti-CCP and RF-positive RA [P = 7.05 x 10(-10), odds ratio (OR) 4.57, 95% confidence interval (CI) 2.76-7.57 and P = 1.68 x 10(-6), OR 2.99, 95% CI 1.89-4.74, respectively). The combination of the PTPN22 1858T variant and anti-CCP antibodies gave a high specificity for the disease, and was significantly associated with RA (P = 8.86 x 10(-5), OR 10.05, 95% CI 1.88-53.73). CONCLUSION: The combination of the T variant of the 1858 polymorphism of the PTPN22 gene in combination with the presence of anti-CCP antibodies, preferentially in a SE-positive individual, is associated with the development of RA. PMID- 18156151 TI - Complete heart block after infliximab therapy. PMID- 18156152 TI - Arterial elasticity: asset or liability? PMID- 18156153 TI - Chromosomal profiles of gene expression in Huntington's disease. AB - Recent studies suggested that Huntington's disease is due to aberrant interactions between mutant huntingtin protein, transcription factors and transcriptional co-activators resulting in widespread transcriptional dysregulation. Mutant huntingtin also interacts with histone acetyltransferases, consequently interfering with the acetylation and deacetylation states of histones. Because histone modifications and chromatin structure coordinate the expression of gene clusters, we have applied a novel mathematical approach, Chromowave, to analyse microarray datasets of brain tissue and whole blood to understand how genomic regions are altered by the effects of mutated huntingtin on chromatin structure. Results show that, in samples of caudate and whole blood from Huntington's disease patients, transcription is indeed deregulated in large genomic regions in coordinated fashion, that transcription in these regions is associated with disease progression and that altered chromosomal clusters in the two tissues are remarkably similar. These findings support the notion of a common genome-wide mechanism of disruption of RNA transcription in the brain and periphery of Huntington's disease patients. PMID- 18156154 TI - Robot-based hand motor therapy after stroke. AB - Robots can improve motor status after stroke with certain advantages, but there has been less emphasis to date on robotic developments for the hand. The goal of this study was to determine whether a hand-wrist robot would improve motor function, and to evaluate the specificity of therapy effects on brain reorganization. Subjects with chronic stroke producing moderate right arm/hand weakness received 3 weeks therapy that emphasized intense active movement repetition as well as attention, speed, force, precision and timing, and included virtual reality games. Subjects initiated hand movements. If necessary, the robot completed movements, a feature available at all visits for seven of the subjects and at the latter half of visits for six of the subjects. Significant behavioural gains were found at end of treatment, for example, in Action Research Arm Test (34 +/- 20 to 38 +/- 19, P< 0.0005) and arm motor Fugl-Meyer score (45 +/- 10 to 52 +/- 10, P < 0.0001). Results suggest greater gains for subjects receiving robotic assistance in all sessions as compared to those receiving robotic assistance in half of sessions. The grasp task practiced during robotic therapy, when performed during functional MRI, showed increased sensorimotor cortex activation across the period of therapy, while a non-practiced task, supination/pronation, did not. A robot-based therapy showed improvements in hand motor function after chronic stroke. Reorganization of motor maps during the current therapy was task-specific, a finding useful when considering generalization of rehabilitation therapy. PMID- 18156155 TI - Anti-inflammatory mechanism of intravascular neural stem cell transplantation in haemorrhagic stroke. AB - Neural stem cell (NSC) transplantation has been investigated as a means to reconstitute the damaged brain after stroke. In this study, however, we investigated the effect on acute cerebral and peripheral inflammation after intracerebral haemorrhage (ICH). NSCs (H1 clone) from fetal human brain were injected intravenously (NSCs-iv, 5 million cells) or intracerebrally (NSCs-ic, 1 million cells) at 2 or 24 h after collagenase-induced ICH in a rat model. Only NSCs-iv-2 h resulted in fewer initial neurologic deteriorations and reduced brain oedema formation, inflammatory infiltrations (OX-42, myeloperoxidase) and apoptosis (activated caspase-3, TUNEL) compared to the vehicle-injected control animals. Rat neurosphere-iv-2 h, but not human fibroblast-iv-2 h, also reduced the brain oedema and the initial neurologic deficits. Human NSCs-iv-2 h also attenuated both cerebral and splenic activations of tumour necrosis factor-alpha (TNF-alpha), interleukin-6 (IL-6), and nuclear factor-kappa B (NF-kappaB). However, we observed only a few stem cells in brain sections of the NSCs-iv-2 h group; in the main, they were detected in marginal zone of spleens. To investigate whether NSCs interact with spleen to reduce cerebral inflammation, we performed a splenectomy prior to ICH induction, which eliminated the effect of NSCs-iv-2 h transplantation on brain water content and inflammatory infiltrations. NSCs also inhibited in vitro macrophage activations after lipopolysaccharide stimulation in a cell-to-cell contact dependent manner. In summary, early intravenous NSC injection displayed anti-inflammatory functionality that promoted neuroprotection, mainly by interrupting splenic inflammatory responses after ICH. PMID- 18156156 TI - The blood-brain barrier induces differentiation of migrating monocytes into Th17 polarizing dendritic cells. AB - Trafficking of antigen-presenting cells into the CNS is essential for lymphocyte reactivation within the CNS compartment. Although perivascular dendritic cells found in inflammatory lesions are reported to polarize naive CD4+ T lymphocytes into interleukin-17-secreting-cells, the origin of those antigen-presenting cells remains controversial. We demonstrate that a subset of CD14+ monocytes migrate across the inflamed human blood-brain barrier (BBB) and differentiate into CD83+CD209+ dendritic cells under the influence of BBB-secreted transforming growth factor-beta and granulocyte-macrophage colony-stimulating factor. We also demonstrate that these dendritic cells secrete interleukin-12p70, transforming growth factor-beta and interleukin-6 and promote the proliferation and expansion of distinct populations of interferon-gamma-secreting Th1 and interleukin-17 secreting Th17 CD4+ T lymphocytes. We further confirmed the abundance of such dendritic cells in situ, closely associated with microvascular BBB-endothelial cells within acute multiple sclerosis lesions, as well as a significant number of CD4+ interleukin-17+ T lymphocytes in the perivascular infiltrate. Our data support the notion that functional perivascular myeloid CNS dendritic cells arise as a consequence of migration of CD14+ monocytes across the human BBB, through the concerted actions of BBB-secreted transforming growth factor-beta and granulocyte-macrophage colony-stimulating factor. PMID- 18156157 TI - Point mutations in a distant sonic hedgehog cis-regulator generate a variable regulatory output responsible for preaxial polydactyly. AB - Precise spatial and temporal control of developmental genes is crucial during embryogenesis. Regulatory mutations that cause the misexpression of key developmental genes may underlie a number of developmental abnormalities. The congenital abnormality preaxial polydactyly, extra digits, is an example of this novel class of mutations and is caused by ectopic expression of the signalling molecule Sonic Hedgehog (SHH) in the developing limb bud. Mutations in the long distant, limb-specific cis-regulator for SHH, called the ZRS, are responsible for the ectopic expression which underlies the abnormality. Here, we show that populations of domestic cats which manifest extra digits, including the celebrated polydactylous Hemingway's cats, also contain mutations within the ZRS. The polydactylous cats add significantly to the number of mutations previously reported in mouse and human and to date, all are single nucleotide substitutions. A mouse transgenic assay shows that these single nucleotide substitutions operate as gain-of-function mutations that activate Shh expression at an ectopic embryonic site; and that the sequence context of the mutation is responsible for a variable regulatory output. The plasticity of the regulatory response correlates with both the phenotypic variability and with species differences. The polydactyly mutations define a new genetic mechanism that results in human congenital abnormalities and identifies a pathogenetic mechanism that may underlie other congenital diseases. PMID- 18156158 TI - Recurrent 16p11.2 microdeletions in autism. AB - Autism is a childhood neurodevelopmental disorder with a strong genetic component, yet the identification of autism susceptibility loci remains elusive. We investigated 180 autism probands and 372 control subjects by array comparative genomic hybridization (aCGH) using a 19K whole-genome tiling path bacterial artificial chromosome microarray to identify submicroscopic chromosomal rearrangements specific to autism. We discovered a recurrent 16p11.2 microdeletion in two probands with autism and none in controls. The deletion spans approximately 500-kb and is flanked by approximately 147-kb segmental duplications (SDs) that are >99% identical, a common characteristic of genomic disorders. We assessed the frequency of this new autism genomic disorder by screening an additional 532 probands and 465 controls by quantitative PCR and identified two more patients but no controls with the microdeletion, indicating a combined frequency of 0.6% (4/712 autism versus 0/837 controls; Fisher exact test P = 0.044). We confirmed all 16p11.2 deletions using fluorescence in situ hybridization, microsatellite analyses and aCGH, and mapped the approximate deletion breakpoints to the edges of the flanking SDs using a custom-designed high-density oligonucleotide microarray. Bioinformatic analysis localized 12 of the 25 genes within the microdeletion to nodes in one interaction network. We performed phenotype analyses and found no striking features that distinguish patients with the 16p11.2 microdeletion as a distinct autism subtype. Our work reports the first frequency, breakpoint, bioinformatic and phenotypic analyses of a de novo 16p11.2 microdeletion that represents one of the most common recurrent genomic disorders associated with autism to date. PMID- 18156159 TI - Clonal expansion of mutated mitochondrial DNA is associated with tumor formation and complex I deficiency in the benign renal oncocytoma. AB - Mutations in mitochondrial DNA (mtDNA) are frequent in cancers but it is not yet clearly established whether they are modifier events involved in cancer progression or whether they are a consequence of tumorigenesis. Here we show a benign tumor type in which mtDNA mutations that lead to complex I (CI) enzyme deficiency are found in all tumors and are the only genetic alteration detected. Actually renal oncocytomas are homogeneous tumors characterized by dense accumulation of mitochondria and we had found that they are deficient in electron transport chain complex I (CI, NADH-ubiquinone oxidoreductase). In this work total sequencing of mtDNA showed that 9/9 tumors harbored point mutations in mtDNA, seven in CI genes, one in complex III, and one in the control region. 7/8 mutations were somatic. All tumors were somatically deficient for CI. The clonal amplification of mutated mtDNA in 8/9 tumors demonstrates that these alterations are selected and therefore favor or trigger growth. No nuclear DNA rearrangement was detected beside mtDNA defects. We hypothesize that functional deficiency of the oxidative phosphorylation CI could create a loop of amplification of mitochondria during cell division, impair substrates oxidation and increase intermediary metabolites availability. PMID- 18156160 TI - The occurrence of Brugada syndrome and isolated cardiac conductive disease in the same family could be due to a single SCN5A mutation or to the accidental association of both diseases. AB - AIMS: The distinct cardiac arrhythmia diseases, Brugada syndrome (BS) and isolated cardiac conduction disease (ICCD) are caused by heterozygous mutations in the SCN5A gene. Previous studies have demonstrated an intriguing association between ICCD and BS with the same mutation in the SCN5A gene. METHODS AND RESULTS: The proband of a multigenerational family presented BS and a familial history of sudden death. We performed clinical evaluations in family members including drug testing and screening for SCN5A mutations. Based on electrocardiogram features, we identified four individuals with BS, two with ICCD and one compatible with both. For five individuals, one with BS and ICCD, three with BS and one with ICCD, we characterized a heterozygous C- to T- mutation at position 4313 (P1438L) in the SCN5A gene. Expression studies of the P1438L mutation showed non-functional channels. The proband's father with the BS phenotype was not a carrier of the new SCN5A mutation. CONCLUSION: We report the case of a family with BS and/or ICCD and describe a novel mutation, the P1438L SCN5A mutation. In this family, the occurrence of BS and ICCD could be due to this single mutation but also to the accidental association of both diseases. PMID- 18156161 TI - Has donor prioritization of HIV/AIDS displaced aid for other health issues? AB - Advocates for many developing-world health and population issues have expressed concern that the high level of donor attention to HIV/AIDS is displacing funding for their own concerns. Even organizations dedicated to HIV/AIDS prevention and treatment have raised this issue. However, the issue of donor displacement has not been evaluated empirically. This paper attempts to do so by considering donor funding for four historically prominent health agendas--HIV/AIDS, population, health sector development and infectious disease control--over the years 1992 to 2005. The paper employs funding data from the Organization for Economic Cooperation and Development's (OECD) Development Assistance Committee, supplemented by data from other sources. Several trends indicate possible displacement effects, including HIV/AIDS' rapidly growing share of total health aid, a concurrent global stagnation in population aid, the priority HIV/AIDS control receives in US funding, and HIV/AIDS aid levels in several sub-Saharan African states that approximate or exceed the entirety of their national health budgets. On the other hand, aggregate donor funding for health and population quadrupled between 1992 and 2005, allowing for funding growth for some health issues even as HIV/AIDS acquired an increasingly prominent place in donor health agendas. Overall, the evidence indicates that displacement is likely occurring, but that aggregate increases in global health aid may have mitigated some of the crowding-out effects. PMID- 18156162 TI - Islet1 cardiovascular progenitors: a single source for heart lineages? AB - The creation of regenerative stem cell therapies for heart disease requires that we understand the molecular mechanisms that govern the fates and differentiation of the diverse muscle and non-muscle cell lineages of the heart. Recently, different cardiac cell types have been reported to arise from a common, multipotent Islet1 (Isl1)-positive progenitor, suggesting that a clonal model of heart lineage diversification might occur that is analogous to hematopoiesis. The ability to isolate, renew and differentiate Isl1(+) precursors from postnatal and embryonic hearts and from embryonic stem cells provides a powerful cell-based system for characterizing the signaling pathways that control cardiovascular progenitor formation, renewal, lineage specification and conversion to specific differentiated progeny. PMID- 18156163 TI - Maternal-zygotic medaka mutants for fgfr1 reveal its essential role in the migration of the axial mesoderm but not the lateral mesoderm. AB - The medaka fish (Oryzias latipes) is an emerging model organism for which a variety of unique developmental mutants have now been generated. Our recent mutagenesis screening of the medaka identified headfish (hdf), a null mutant for fgf receptor 1 (fgfr1), which fails to develop structures in the trunk and tail. Despite its crucial role in early development, the functions of Fgfr1-mediated signaling have not yet been well characterized due to the complexity of the underlying ligand-receptor interactions. In our present study, we further elucidate the roles of this pathway in the medaka using the hdf (fgfr1) mutant. Because Fgfr1 is maternally supplied in fish, we first generated maternal-zygotic (MZ) mutants by transplanting homozygous hdf germ cells into sterile interspecific hybrids. Interestingly, the host hybrid fish recovered their fertility and produced donor-derived mutant progeny. The resulting MZ mutants also exhibited severe defects in their anterior head structures that are never observed in the corresponding zygotic mutants. A series of detailed analyses subsequently revealed that Fgfr1 is required for the anterior migration of the axial mesoderm, particularly the prechordal plate, in a cell-autonomous manner, but is not required for convergence movement of the lateral mesoderm. Furthermore, fgfr1 was found to be dispensable for initial mesoderm induction. The MZ hdf medaka mutant was thus found to be a valuable model system to analyze the precise role of fgfr1-mediated signaling in vertebrate early development. PMID- 18156164 TI - AML1-ETO reprograms hematopoietic cell fate by downregulating scl expression. AB - AML1-ETO is one of the most common chromosomal translocation products associated with acute myelogenous leukemia (AML). Patients carrying the AML1-ETO fusion gene exhibit an accumulation of granulocyte precursors in the bone marrow and the blood. Here, we describe a transgenic zebrafish line that enables inducible expression of the human AML1-ETO oncogene. Induced AML1-ETO expression in embryonic zebrafish causes a phenotype that recapitulates some aspects of human AML. Using this highly tractable model, we show that AML1-ETO redirects myeloerythroid progenitor cells that are developmentally programmed to adopt the erythroid cell fate into the granulocytic cell fate. This fate change is characterized by a loss of gata1 expression and an increase in pu.1 expression in myeloerythroid progenitor cells. Moreover, we identify scl as an early and essential mediator of the effect of AML1-ETO on hematopoietic cell fate. AML1-ETO quickly shuts off scl expression, and restoration of scl expression rescues the effects of AML1-ETO on myeloerythroid progenitor cell fate. These results demonstrate that scl is an important mediator of the ability of AML1-ETO to reprogram hematopoietic cell fate decisions, suggesting that scl may be an important contributor to AML1-ETO-associated leukemia. In addition, treatment of AML1-ETO transgenic zebrafish embryos with a histone deacetylase inhibitor, Trichostatin A, restores scl and gata1 expression, and ameliorates the accumulation of granulocytic cells caused by AML1-ETO. Thus, this zebrafish model facilitates in vivo dissection of AML1-ETO-mediated signaling, and will enable large-scale chemical screens to identify suppressors of the in vivo effects of AML1-ETO. PMID- 18156165 TI - Long-term effects of type 2 diabetes mellitus on heart rhythm in the Goto Kakizaki rat. AB - In vivo biotelemetry studies have demonstrated a variety of heart rhythm disturbances in type 1 diabetes mellitus. In the streptozotocin (STZ)-induced diabetic rat, these disturbances have included reductions in heart rate (HR) and heart rate variability (HRV) and an electrocardiogram that displays prolonged QRS duration and Q-T interval. The aim of this study was to investigate the chronic effects of type 2 diabetes mellitus on heart rhythm in the Goto-Kakizaki (GK) rat. Transmitter devices were surgically implanted in the peritoneal cavity of young male GK and age-matched Wistar control rats. Electrodes from the transmitter were arranged in Einthoven bipolar lead II configuration. Electrocardiogram, physical activity and body temperature data were recorded in rats from age 2 to 15 months. Data were acquired for 2 weeks each month. Non fasting blood glucose, glucose tolerance and body weight were measured periodically. In GK rats, growth rate and maximal attained body weight were significantly reduced and non-fasting blood glucose was progressively increased compared with age-matched Wistar control animals. Heart rate was significantly lower in GK compared with control rats at 2, 7 and 15 months of age. At 2 months of age, HR was 316 +/- 6 beats min(-1) in GK rats compared with 370 +/- 7 beats min(-1) in Wistar control animals. There was a progressive age-dependent decline in HRV in Wistar control rats; however, HRV in GK rats did not alter significantly with age. Heart rate variability was significantly reduced in GK compared with Wistar control rats at 2 and 7 months. At 2 months of age, HRV was 28 +/- 2 beats min(-1) in GK rats compared with 38 +/- 3 beats min(-1) in Wistar control rats. Reduced HR in GK rats may be an inherited characteristic. The absence of age-dependent reductions in HRV in GK rats may be a consequence of an underlying impairment of autonomic control which manifests at early age. PMID- 18156166 TI - Time-dependent changes in caspase-3 activity and heat shock protein 25 after spinal cord transection in adult rats. AB - Chronic reductions in muscle activation and loading are associated with decreased heat shock protein 25 (Hsp25) expression and phosphorylation (pHsp25) which, in turn, may contribute to elevated caspase-3-mediated muscle protein breakdown. Thus, the purpose of the present study was to determine whether there are any changes in Hsp25, pHsp25 and caspase-3 activity among rat muscles having different fibre type compositions and functions [soleus, adductor longus (AL), plantaris and tibialis anterior (TA)] at 0 (control), 1, 8 or 28 days after a complete spinal cord transection (ST). The Hsp25 levels were unaffected on days 1 and 8 in all muscles, except for a significant reduction on day 8 in plantaris. The Hsp25 levels were lower than control values in all muscles except TA on day 28. The pHsp25 levels were lower than control values after 8 and 28 days in plantaris and AL and after 28 days in soleus, but higher than control in TA after 8 and 28 days. Caspase-3 activity was higher in ST than control rats on day 8 in all muscles except TA. Caspase-3 activity was negatively correlated with muscle mass for all muscles. In plantaris, Hsp25 and pHsp25 were negatively correlated with caspase-3 activity and Hsp25 was correlated with muscle mass. These relationships were not observed in other muscles. Thus, the effects of ST on Hsp25 and caspase-3 are muscle specific and time dependent, factors that should be considered in developing any intervention to maintain muscle mass after a spinal cord injury. PMID- 18156167 TI - Transformation of adult rat cardiac myocytes in primary culture. AB - We characterized the morphological, electrical and mechanical alterations of cardiomyocytes in long-term cell culture. Morphometric parameters, sarcomere length, T-tubule density, cell capacitance, L-type calcium current (I(Ca,L)), inward rectifier potassium current (I(K1)), cytosolic calcium transients, action potential and contractile parameters of adult rat ventricular myocytes were determined on each day of 5 days in culture. We also analysed the health of the myocytes using an apoptotic/necrotic viability assay. The data show that myocytes undergo profound morphological and functional changes during culture. We observed a progressive reduction in the cell area (from 2502 +/- 70 microm(2) on day 0 to 1432 +/- 50 microm(2) on day 5), T-tubule density, systolic shortening (from 0.11 +/- 0.02 to 0.05 +/- 0.01 microm) and amplitude of calcium transients (from 1.54 +/- 0.19 to 0.67 +/- 0.19) over 5 days of culture. The negative force-frequency relationship, characteristic of rat myocardium, was maintained during the first 2 days but diminished thereafter. Cell capacitance (from 156 +/- 8 to 105 +/- 11 pF) and membrane currents were also reduced (I(Ca,L), from 3.98 +/- 0.39 to 2.12 +/- 0.37 pA pF; and I(K1), from 34.34p +/- 2.31 to 18.00 +/- 5.97 pA pF(-1)). We observed progressive depolarization of the resting membrane potential during culture (from 77.3 +/- 2.5 to 34.2 +/- 5.9 mV) and, consequently, action potential morphology was profoundly altered as well. The results of the viability assays indicate that these alterations could not be attributed to either apoptosis or necrosis but are rather an adaptation to the culture conditions over time. PMID- 18156168 TI - Alterations in in vitro function and protein oxidation of rat sarcoplasmic reticulum Ca2+-ATPase during recovery from high-intensity exercise. AB - The hypothesis tested in this study was that the extent to which sarcoplasmic reticulum (SR) Ca(2+)-ATPase is oxidized would correlate with a decline in its activity. For this purpose, changes in the SR Ca(2+)-sequestering ability and the contents of carbonyl and sulfhydryl groups during recovery after exercise were examined in the superficial portions of vastus lateralis muscles from rats subjected to 5 min running at an intensity corresponding to maximal oxygen uptake (50 m min(-1), 10% gradient). A single bout of exercise elicited a 22.4% reduction (P < 0.05) in SR Ca(2+)-ATPase activity. The decreased activity progressively reverted to normal levels during recovery after exercise, reaching normal levels after 60 min of recovery. This change was paralleled by a depressed SR Ca(2+)-uptake rate, and the proportional alteration in these two variables resulted in no change in the ratio of Ca(2+)-uptake rate to Ca(2+)-ATPase activity. The contents of SR Ca(2+)-ATPase protein and sulfhydryl groups in microsomes were unchanged after exercise and during recovery periods. In contrast, the content of carbonyl groups in SR Ca(2+)-ATPase behaved in an opposite manner to that of SR Ca(2+)-ATPase activity. An approximately 80% augmentation (P < 0.05) in the carbonyl group content occurred immediately after exercise. The elevated carbonyl content decreased towards normal levels during 60 min of recovery. These results are strongly suggestive that oxidation of SR Ca(2+)-ATPase is responsible, at least in part, for a decay in the SR Ca(2+) pumping function produced by high-intensity exercise and imply that oxidized proteins may be repaired during recovery from exercise. PMID- 18156169 TI - Genetically altered animal models for Mas and angiotensin-(1-7). AB - Mas is the receptor for angiotensin-(1-7) and is involved in cardiovascular and neuronal regulation, in which the heptapeptide also plays a major role. Mas deficient mice have been generated by us, and their characterization has shown that Mas has important functions in behaviour and cardiovascular regulation. These mice exhibit increased anxiety but, despite an enhanced long-term potentiation in the hippocampus, do not perform better in learning experiments. When Mas-deficient mice are backcrossed to the FVB/N genetic background, a cardiovascular phenotype is uncovered, in that the backcrossed animals become hypertensive. Concordant with our detection by fluorescent in situ hybridization of Mas mRNA in mouse endothelium, this phenotype is caused by endothelial dysfunction based on a dysbalance between nitric oxide and reactive oxygen species in the vessel wall. In agreement with these data, transgenic spontaneously hypertensive stroke-prone rats overexpressing ACE2 in the vessel wall exhibit reduced blood pressure as a result of improved endothelial function. Moreover, angiotensin-(1-7) overexpression in transgenic rats has cardioprotective and haemodynamic effects. In conclusion, the angiotensin-(1-7) Mas axis has important functional implications for vascular regulation and blood pressure control, particularly in pathophysiological situations. PMID- 18156170 TI - Origin and propagation of individual slow waves along the intact feline small intestine. AB - The pattern of propagation of slow waves in the small intestine is not clear. Specifically, it is not known whether propagation is determined by a single dominant ICC-MP (Interstitial cells of Cajal located in the Myenteric Plexus) pacemaker unit or whether there are multiple active pacemakers. To determine this pattern of propagation, waveforms were recorded simultaneously from 240 electrodes distributed along the whole length of the intact isolated feline small intestine. After the experiments, the propagation patterns of successive individual slow waves were analysed. In the intact small intestine, there was only a single slow wave pacemaker unit active, and this was located at or 6-10 cm from the pyloric junction. From this site, slow waves propagated in the aboral direction at gradually decreasing velocities. The majority of slow waves (73%) reached the ileocaecal junction while the remaining waves were blocked. Ligation of the intestine at one to four locations led to: (a) decrease in the distal frequencies; (b) disappearance of distal propagation blocks; (c) increase in velocities; (d) emergence of multiple and unstable pacemaker sites; and (e) propagation from these sites in the aboral and oral directions. In conclusion, in the quiescent feline small intestine a single pacemaker unit dominates the organ, with occasional propagation blocks of the slow waves, thereby producing the well known frequency gradient. PMID- 18156171 TI - Bortezomib in combination with conventional chemotherapeutic agents for multiple myeloma compared with bortezomib alone. AB - BACKGROUND: Recent studies have demonstrated synergy between bortezomib and a number of conventional cytotoxic agents. This study examined whether or not the speed of the response, progression and safety from a combination treatment of bortezomib with common chemotherapeutic drugs is superior to bortezomib monotherapy. METHODS: Fifty-seven patients with relapsed, refractory multiple myeloma (MM) who had received at least two cycles of treatment including bortezomib were enrolled in this study. The median age was 56 (35-79) years and 49.1% were male. Thirty-two patients were treated with bortezomib alone and 25 were treated with chemotherapeutic agents that were given in combination with bortezomib. The monoclonal immunoglobulin (mIg) or free light chain (FLC) concentrations were determined in the sera before and after two cycles of bortezomib treatment. The adverse events were assessed and graded according to the NCI Common Toxicity Criteria (version 2.0). RESULTS: Thirty-one of the 57 patients (54.4%) attained an early objective response (EOR) after the second bortezomib treatment, defined as a >/=50% decrease in the serum mIg or FLC concentration. Improvements in the response were observed when common chemotherapeutic agents were added to bortezomib monotherapy. In patients who received bortezomib combined with chemotherapeutic agents, 19 out of 25 patients (76%) showed an EOR, whereas 12 out of 32 patients (37.5%) given bortezomib monotherapy achieved an EOR after the second cycle of bortezomib treatment (P = 0.004); the median decrease from the baseline in the paraprotein level was 74.6 +/- 5.9 and 39.7 +/- 4.2%, respectively (P = 0.003). A statistically significant elevation of serum lactic dehydrogenase (P = 0.007) and alkaline phosphatase (P = 0.027) from baseline within two cycles of bortezomib treatment was observed in responding patients. With the combination treatment, peripheral neuropathy of >/=Grade II occurred in 12 out of 25 patients (48%) compared with 12 of 32 (37.5%) in those given bortezomib alone (P = 0.589). The median time to progression of disease was similar in the two groups (359 +/- 43.5 versus 365 +/- 103.5, P = 0.688). The multivariate Cox regression model showed that a high serum albumin and low beta2-microglobulin are favorable factors for the progression free survival following bortezomib treatment. CONCLUSIONS: Bortezomib in combination with common chemotherapeutic agents is more active in the treatment of relapsed, refractory MM than with bortezomib alone. However, more effective post-bortezomib treatment is needed to reduce the rate of disease progression particularly in patients with high tumor burden. PMID- 18156172 TI - Prognostic significance of O6-methylguanine-DNA methyltransferase protein expression in patients with recurrent glioblastoma treated with temozolomide. AB - BACKGROUND: Temozolomide (TMZ) is active against newly diagnosed glioblastoma (GBM), and O(6)-methylguanine-DNA methyltransferase (MGMT) is implicated in resistance to TMZ and nitrosoureas. We evaluated the efficacy and safety of the standard 5-day TMZ regimen in patients with recurrent GBM after initial therapy including nitrosourea-based chemotherapy, in conjunction with an analysis of the prognostic value of MGMT protein expression regarding response to TMZ and survival. METHODS: From September 2003 to January 2007, 30 patients having recurrent GBM received 150-200 mg/m(2)/day of TMZ for five consecutive days every 28 days. Tumor tissue from 19 patients was analysed for MGMT protein expression using western blotting, and 17 of them were assessable for a response. RESULTS: The overall response rate was 23.5% (one complete response and three partial responses). Six patients had stable disease (35.3%). Median progression-free survival (PFS) time was 2.2 months, and median overall survival (OS) time was 9.9 months from the initiation of TMZ therapy. Patients with low MGMT protein expression had a significantly improved PFS (P = 0.016) and OS (P = 0.019) compared to those with high expression. Both low MGMT expression (P = 0.040) and re-resection at relapse (P = 0.014) persisted as significant independent favorable prognostic factors for OS. The most common grade 3 and 4 hematological toxicity was lymphopenia (22.2%). CONCLUSIONS: The standard 5-day TMZ regimen resulted in moderate antitumor activity with an acceptable safety profile in patients with nitrosourea-pretreated recurrent GBM, and protein expression of MGMT is an important prognostic factor for patients treated with TMZ even after recurrence. PMID- 18156173 TI - Involvement of RNA-binding protein Hfq in the post-transcriptional regulation of invE gene expression in Shigella sonnei. AB - The temperature-dependent regulation of Shigella virulence genes is believed to be accomplished at the transcriptional stage by the regulators VirF and InvE. Several lines of evidence herein described indicate that post-transcriptional regulation of InvE expression plays a key role in the temperature-dependent regulation of virulence gene expression: (i) a considerable amount of invE mRNA continues to be transcribed under low temperature conditions, where the production of InvE protein is tightly repressed; (ii) the stability of invE mRNA markedly decreases, because its decay rate is significantly increased under the repressing conditions. Strikingly, in the hfq mutant of Shigella sonnei, a considerable amount of InvE protein was produced even at low temperature. This increase in the InvE level was found to be associated with the improved stability of invE mRNA, in agreement with the finding that the RNA chaperon Hfq influences post-transcriptional regulations of various genes. Consistently, overexpression of the Hfq protein decreased the production of InvE protein even under the expressing condition at 37 degrees C. The binding in vitro of purified Hfq protein to invE RNA was shown to be stronger at 30 degrees C than at 37 degrees C in two experiments, gel shift analysis and surface plasmon resonance (Biacore) analysis. These results altogether suggest that Hfq plays an important role in the temperature-dependent regulation of invE expression at the post transcriptional step. PMID- 18156174 TI - Epidermal growth factor stimulates RSK2 activation through activation of the MEK/ERK pathway and src-dependent tyrosine phosphorylation of RSK2 at Tyr-529. AB - The Ser/Thr kinase ribosomal S6 kinase 2 (RSK2) has been demonstrated to phosphorylate transcription factor CREB (cyclic AMP-responsive-binding protein) and histone H3 in response to mitogenic stimulation by epidermal growth factor (EGF). EGF activates the MEK/ERK pathway to activate RSK2. We recently reported that receptor tyrosine kinase fibroblast growth factor receptor 3 (FGFR3) directly tyrosine phosphorylates RSK2 at Tyr-529, which consequently regulates RSK2 activation by facilitating inactive ERK binding to RSK2 that is required for ERK-dependent phosphorylation and activation of RSK2 (Kang, S., Dong, S., Gu, T. L., Guo, A., Cohen, M. S., Lonial, S., Khoury, H. J., Fabbro, D., Gilliland, D. G., Bergsagel, P. L., Taunton, J., Polakiewicz, R. D., and Chen, J. (2007) Cancer Cell 12, 201-214). Here we report that upon treatment of EGF, RSK2 was tyrosine phosphorylated at Tyr-529 and activated in 293T and COS7 cells that do not express FGFR3. In contrast to FGFR3, the receptor tyrosine kinase EGF receptor did not directly phosphorylate RSK2 at Tyr-529 in an in vitro kinase assay using recombinant RSK2 and active EGF receptor or FGFR3. By mass spectroscopy-based studies, we identified Src tyrosine kinase family members Src and Fyn as upstream kinases of RSK2 Tyr-529. Treatment of Src inhibitor PP2 effectively attenuated EGF-dependent activation and Tyr-529 phosphorylation of RSK2, suggesting that Src family members are the kinases that phosphorylate RSK2 at Tyr-529 in response to EGF. Src and Fyn were able to directly phosphorylate RSK2 at Tyr-529 in the in vitro kinase assay. In vitro reconstitution of Tyr-529 phosphorylation by Src in glutathione S-transferase-tagged RSK2 enhanced inactive ERK binding to RSK2 wild type, but not the Y529F mutant. Together, our findings suggest that Src-dependent phosphorylation at Tyr-529 facilitates inactive ERK binding to RSK2, which might be a general requirement for RSK2 activation by EGF through the MEK/ERK pathway. PMID- 18156175 TI - An integrin phosphorylation switch: the effect of beta3 integrin tail phosphorylation on Dok1 and talin binding. AB - Integrins play a fundamental role in cell migration and adhesion; knowledge of how they are regulated and controlled is vital for understanding these processes. Recent work showed that Dok1 negatively regulates integrin activation, presumably by competition with talin. To understand how this occurs, we used NMR spectroscopy and x-ray crystallography to investigate the molecular details of interactions with integrins. The binding affinities of beta3 integrin tails for the Dok1 and talin phosphotyrosine binding domains were quantified using 15N-1H hetero-nuclear single quantum correlation titrations, revealing that the unphosphorylated integrin tail binds more strongly to talin than Dok1. Chemical shift mapping showed that unlike talin, Dok1 exclusively interacts with the canonical NPXY motif of the beta3 integrin tail. Upon phosphorylation of Tyr 747 in the beta3 integrin tail, however, Dok1 then binds much more strongly than talin. Thus, we show that phosphorylation of Tyr 747 provides a switch for integrin ligand binding. This switch may represent an in vivo mechanism for control of integrin receptor activation. These results have implications for the control of integrin signaling by proteins containing phosphotyrosine binding domains. PMID- 18156176 TI - Transcription factor epiprofin is essential for tooth morphogenesis by regulating epithelial cell fate and tooth number. AB - In tooth morphogenesis, the dental epithelium and mesenchyme interact reciprocally for growth and differentiation to form the proper number and shapes of teeth. We previously identified epiprofin (Epfn), a gene preferentially expressed in dental epithelia, differentiated ameloblasts, and certain ectodermal organs. To identify the role of Epfn in tooth development, we created Epfn deficient mice (Epfn-/-). Epfn-/- mice developed an excess number of teeth, enamel deficiency, defects in cusp and root formation, and abnormal dentin structure. Mutant tooth germs formed multiple dental epithelial buds into the mesenchyme. In Epfn-/- molars, rapid proliferation and differentiation of the inner dental epithelium were inhibited, and the dental epithelium retained the progenitor phenotype. Formation of the enamel knot, a signaling center for cusps, whose cells differentiate from the dental epithelium, was also inhibited. However, multiple premature nonproliferating enamel knot-like structures were formed ectopically. These dental epithelial abnormalities were accompanied by dysregulation of Lef-1, which is required for the normal transition from the bud to cap stage. Transfection of an Epfn vector promoted dental epithelial cell differentiation into ameloblasts and activated promoter activity of the enamel matrix ameloblastin gene. Our results suggest that in Epfn-deficient teeth, ectopic nonproliferating regions likely bud off from the self-renewable dental epithelium, form multiple branches, and eventually develop into supernumerary teeth. Thus, Epfn has multiple functions for cell fate determination of the dental epithelium by regulating both proliferation and differentiation, preventing continuous tooth budding and generation. PMID- 18156177 TI - Proteomic analysis of a nutritional shift-up in Saccharomyces cerevisiae identifies Gvp36 as a BAR-containing protein involved in vesicular traffic and nutritional adaptation. AB - Yeast cells undergoing a nutritional shift-up from a poor to a rich carbon source take several hours to adapt to the novel, richer carbon source. The budding index is a physiologically relevant "global" parameter that reflects the complex links between cell growth and division that are both coordinately and deeply affected by nutritional conditions. We used changes in budding index as a guide to choose appropriate, relevant time points during an ethanol to glucose nutritional shift up for preparation of samples for the analysis of proteome by two-dimensional electrophoresis/mass spectrometry. About 600 spots were detected. 90 spots, mostly comprising proteins involved in intermediary metabolism, protein synthesis, and response to stress, showed differential expression after glucose addition. Among modulated proteins we identified a protein of previously unknown function, Gvp36, showing a transitory increase corresponding to the drop of the fraction of budded cells. A gvp36Delta strain shares several phenotypes (including general growth defects, heat shock, and high salt sensitivity, defects in polarization of the actin cytoskeleton, in endocytosis and in vacuolar biogenesis, defects in entering stationary phase upon nutrient starvation) with secretory pathway mutants and with mutants in genes encoding the two previously known yeast BAR proteins (RSV161 and RSV167). We thus propose that Gvp36 represents a novel yeast BAR protein involved in vesicular traffic and in nutritional adaptation. PMID- 18156178 TI - Molecular mechanism of mitotic Golgi disassembly and reassembly revealed by a defined reconstitution assay. AB - In mammalian cells, flat Golgi cisternae closely arrange together to form stacks. During mitosis, the stacked structure undergoes a continuous fragmentation process. The generated mitotic Golgi fragments are distributed into the daughter cells, where they are reassembled into new Golgi stacks. In this study, an in vitro assay has been developed using purified proteins and Golgi membranes to reconstitute the Golgi disassembly and reassembly processes. This technique provides a useful tool to delineate the mechanisms underlying the morphological change. There are two processes during Golgi disassembly: unstacking and vesiculation. Unstacking is mediated by two mitotic kinases, cdc2 and plk, which phosphorylate the Golgi stacking protein GRASP65 and thus disrupt the oligomer of this protein. Vesiculation is mediated by the COPI budding machinery ARF1 and the coatomer complex. When treated with a combination of purified kinases, ARF1 and coatomer, the Golgi membranes were completely fragmented into vesicles. After mitosis, there are also two processes in Golgi reassembly: formation of single cisternae by membrane fusion, and restacking. Cisternal membrane fusion requires two AAA ATPases, p97 and NSF (N-ethylmaleimide-sensitive fusion protein), each of which functions together with specific adaptor proteins. Restacking of the newly formed Golgi cisternae requires dephosphorylation of Golgi stacking proteins by the protein phosphatase PP2A. This systematic study revealed the minimal machinery that controls the mitotic Golgi disassembly and reassembly processes. PMID- 18156179 TI - Role of Ser-340 and Thr-341 in transmembrane domain IX of the Na+/proline transporter PutP of Escherichia coli in ligand binding and transport. AB - The Na+/solute symporter family comprises more than 400 members of pro- and eukaryotic origin. Using the Na+/proline transporter PutP of Escherichia coli as a model, the role of two conserved residues, Ser-340 and Thr-341, is investigated to obtain insights into the mechanism of transport catalyzed by members of this family. Substitution of these amino acids alters the transport kinetics of cells and proteoliposomes containing the PutP variants significantly. In particular, the apparent affinities for Na+ and Li+ are reduced by 2 orders of magnitude or more. Also proline binding is affected, albeit to a lesser extent than ion binding. Thereby, the presence of a hydroxyl group at position 341 is essential for high affinity ligand binding. Furthermore, Cys placed at position 340 or 341 reacts with sulfhydryl reagents of different polarity, indicating accessibility from the water phase. In addition, Cys cross-linking suggests proximity of the residues to other amino acids previously shown to be crucial for ligand binding. For these reasons it is suggested that Ser-340 and Thr-341 are located in a ligand translocation pathway. Furthermore, it is proposed that the side chain of Thr-341 directly participates in Na+ binding. PMID- 18156180 TI - Interactions of hepatocyte growth factor/scatter factor with various glycosaminoglycans reveal an important interplay between the presence of iduronate and sulfate density. AB - Hepatocyte growth factor/scatter factor (HGF/SF) has a cofactor requirement for heparan sulfate (HS) and dermatan sulfate (DS) in the optimal activation of its signaling receptor MET. However, these two glycosaminoglycans (GAGs) have different sugar backbones and sulfation patterns, with only the presence of iduronate in common. The structural basis for GAG recognition and activation is thus very unclear. We have clarified this by testing a wide array of natural and modified GAGs for both protein binding and activation. Comparisons between Ascidia nigra (2,6-O-sulfated) and mammalian (mainly 4-O-sulfated) DS species, as well as between a panel of specifically desulfated heparins, revealed that no specific sulfate isomer, in either GAG, is vital for interaction and activity. Moreover, different GAGs of similar sulfate density had comparable properties, although affinity and potency notably increase with increasing sulfate density. The weaker interaction with CS-E, compared with DS, shows that GlcA-containing polymers can bind, if highly sulfated, but emphasizes the importance of the flexible IdoA ring. Our data indicate that the preferred binding sites in DS in vivo will be comprised of disulfated, IdoA(2S)-containing motifs. In HS, clustering of N-/2-O-/6-O-sulfation in S-domains will lead to strong reactivity, although binding can also be mediated by the transition zones where sulfates are mainly at the N- and 6-O- positions. GAG recognition of HGF/SF thus appears to be primarily driven by electrostatic interactions and exhibits an interesting interplay between requirements for iduronate and sulfate density that may reflect in part a preference for particular sugar chain conformations. PMID- 18156181 TI - Local Ca2+ influx through Ca2+ release-activated Ca2+ (CRAC) channels stimulates production of an intracellular messenger and an intercellular pro-inflammatory signal. AB - Ca2+ entry through store-operated Ca2+ channels drives the production of the pro inflammatory molecule leukotriene C4 (LTC4) from mast cells through a pathway involving Ca2+-dependent protein kinase C, mitogen-activated protein kinases ERK1/2, phospholipase A2, and 5-lipoxygenase. Here we examine whether local Ca2+ influx through store-operated Ca2+ release-activated Ca2+ (CRAC) channels in the plasma membrane stimulates this signaling pathway. Manipulating the amplitude and spatial extent of Ca2+ entry by altering chemical and electrical gradients for Ca2+ influx or changing the Ca2+ buffering of the cytoplasm all impacted on protein kinase C and ERK activation, generation of arachidonic acid and LTC4 secretion, with little change in the bulk cytoplasmic Ca2+ rise. Similar bulk cytoplasmic Ca2+ concentrations were achieved when CRAC channels were activated in 0.25 mm external Ca2+ versus 2 mm Ca2+ and 100 nm La3+, an inhibitor of CRAC channels. However, despite similar bulk cytoplasmic Ca2+, protein kinase C activation and LTC4 secretion were larger in 2 mm Ca2+ and La3+ than in 0.25 mm Ca2+, consistent with the central involvement of a subplasmalemmal Ca2+ rise. The nonreceptor tyrosine kinase Syk coupled CRAC channel opening to protein kinase C and ERK activation. Recombinant TRPC3 channels also activated protein kinase C, suggesting that subplasmalemmal Ca2+ rather than a microdomain exclusive to CRAC channels is the trigger. Hence a subplasmalemmal Ca2+ increase in mast cells is highly versatile in that it triggers cytoplasmic responses through generation of intracellular messengers as well as long distance changes through increased secretion of paracrine signals. PMID- 18156182 TI - Ucma, a novel secreted cartilage-specific protein with implications in osteogenesis. AB - Here we report on the structure, expression, and function of a novel cartilage specific gene coding for a 17-kDa small, highly charged, and secreted protein that we termed Ucma (unique cartilage matrix-associated protein). The protein is processed by a furin-like protease into an N-terminal peptide of 37 amino acids and a C-terminal fragment (Ucma-C) of 74 amino acids. Ucma is highly conserved between mouse, rat, human, dog, clawed frog, and zebrafish, but has no homology to other known proteins. Remarkable are 1-2 tyrosine sulfate residues/molecule and dense clusters of acidic and basic residues in the C-terminal part. In the developing mouse skeleton Ucma mRNA is expressed in resting chondrocytes in the distal and peripheral zones of epiphyseal and vertebral cartilage. Ucma is secreted into the extracellular matrix as an uncleaved precursor and shows the same restricted distribution pattern in cartilage as Ucma mRNA. In contrast, antibodies prepared against the processed C-terminal fragment located Ucma-C in the entire cartilage matrix, indicating that it either diffuses or is retained until chondrocytes reach hypertrophy. During differentiation of an MC615 chondrocyte subclone in vitro, Ucma expression parallels largely the expression of collagen II and decreases with maturation toward hypertrophic cells. Recombinant Ucma-C does not affect expression of chondrocyte-specific genes or proliferation of chondrocytes, but interferes with osteogenic differentiation of primary osteoblasts, mesenchymal stem cells, and MC3T3-E1 pre-osteoblasts. These findings suggest that Ucma may be involved in the negative control of osteogenic differentiation of osteochondrogenic precursor cells in peripheral zones of fetal cartilage and at the cartilage-bone interface. PMID- 18156183 TI - Subunit H of the vacuolar (H+) ATPase inhibits ATP hydrolysis by the free V1 domain by interaction with the rotary subunit F. AB - The vacuolar (H+) ATPases (V-ATPases) are large, multimeric proton pumps that, like the related family of F1F0 ATP synthases, employ a rotary mechanism. ATP hydrolysis by the peripheral V1 domain drives rotation of a rotary complex (the rotor) relative to the stationary part of the enzyme (the stator), leading to proton translocation through the integral V0 domain. One mechanism of regulating V-ATPase activity in vivo involves reversible dissociation of the V1 and V0 domains. Unlike the corresponding domains in F1F0, the dissociated V1 domain does not hydrolyze ATP, and the free V0 domain does not passively conduct protons. These properties are important to avoid generation of an uncoupled ATPase activity or an unregulated proton conductance upon dissociation of the complex in vivo. Previous results (Parra, K. J., Keenan, K. L., and Kane, P. M. (2000) J. Biol. Chem. 275, 21761-21767) showed that subunit H (part of the stator) inhibits ATP hydrolysis by free V1. To test the hypothesis that subunit H accomplishes this by bridging rotor and stator in free V1, cysteine-mediated cross-linking studies were performed. Unique cysteine residues were introduced over the surface of subunit H from yeast by site-directed mutagenesis and used as the site of attachment of the photo-activated cross-linking reagent maleimido benzophenone. After UV-activated cross-linking, cross-linked products were identified by Western blot using subunit-specific antibodies. The results indicate that the subunit H mutant S381C shows cross-linking between subunit H and subunit F (a rotor subunit) in the free V1 domain but not in the intact V1V0 complex. These results indicate that subunits H and F are proximal in free V1, supporting the hypothesis that subunit H inhibits free V1 by bridging the rotary and stator domains. PMID- 18156184 TI - Calcium homeostasis and mitochondrial dysfunction in striatal neurons of Huntington disease. AB - Dysfunctions of Ca2+ homeostasis and of mitochondria have been studied in immortalized striatal cells from a commonly used Huntington disease mouse model. Transcriptional changes in the components of the phosphatidylinositol cycle and in the receptors for myo-inositol trisphosphate-linked agonists have been found in the cells and in the striatum of the parent Huntington disease mouse. The overall result of the changes is to delay myo-inositol trisphosphate production and to decrease basal Ca2+ in mutant cells. When tested directly, mitochondria in mutant cells behave nearly normally, but are unable to handle large Ca2+ loads. This appears to be due to the increased Ca2+ sensitivity of the permeability transition pore, which dissipates the membrane potential, prompting the release of accumulated Ca2+. Harmful reactive oxygen species, which are produced by defective mitochondria and may in turn stress them, increase in mutant cells, particularly if the damage to mitochondria is artificially exacerbated, for instance with complex II inhibitors. Mitochondria in mutant cells are thus peculiarly vulnerable to stresses induced by Ca2+ and reactive oxygen species. The observed decrease of cell Ca2+ could be a compensatory attempt to prevent the Ca2+ stress that would irreversibly damage mitochondria and eventually lead to cell death. PMID- 18156185 TI - Cigarette smoke stimulates the production of chemokines in mast cells. AB - Chronic obstructive pulmonary disease is a major health problem and will become the third largest cause of death in the world by 2020. It is currently believed that an exaggerated inflammatory response to inhaled irritants, in particular, cigarette smoke (CS), causes the progressive airflow limitation, in which macrophages and neutrophils are attracted by chemokines, leading to oxidative stress, emphysema, small airways fibrosis, and mucus hypersecretion. Smoking is also associated with an increase in mast cell numbers in bronchial mucosa. This study was conducted to determine the direct effects of CS on mast cell function, using murine bone marrow-derived mast cells (BMMC) as an in vitro model. BMMC were cultured from BALB/cBy mice for 3 weeks. Cells were treated with CS medium (CSM) for 30 min or 16 h. The effects of CSM on mast cell degranulation and chemokine production were measured. Moreover, we investigated the effect of CSM on IkappaB-alpha degradation and p38, Erk1/2, p65, and CREB expression by Western blotting. We found that CSM stimulated the release of chemokines in a noncytotoxic manner but did not induce mast cell degranulation. CSM induced phosphorylation of Erk1/2, p38, and CREB and increased translocation of p65 without degradation of IkappaB-alpha NF-kappaB in mast cells. The induction of chemokine production by CSM in mast cells could promote and prolong the inflammatory process. Our observations suggest that mast cells may contribute to the pathogenesis of emphysema through a direct effect of CS on the production of proinflammatory chemokines. PMID- 18156186 TI - Injection of lipopolysaccharide induces the migration of splenic neutrophils to the T cell area of the white pulp: role of CD14 and CXC chemokines. AB - There is increasing evidence that neutrophils are involved in the regulation of adaptive immunity. We therefore tested whether these cells may colocalize with T lymphocytes in lymphoid organs. Our results demonstrate that administration of the microbial product LPS induces the migration of neutrophils in the spleen from the red pulp and the marginal zone to the area of the white pulp where T cells reside. This movement is CD14-dependent, whereas the recruitment of neutrophils in the peritoneal cavity is increased in the absence of CD14. Our data further suggest the involvement of the chemokine MIP-2 and keratinocyte-derived chemokine and their receptor CXCR2. We conclude that neutrophils may interact with naive T cells upon infection/inflammation and that the migration of neutrophils in the lymphoid organs and in the periphery is regulated differently by a signal transduced by CD14. PMID- 18156187 TI - Early and preferential induction of IL-1 receptor-associated kinase-M in THP-1 cells by LPS derived from Porphyromonas gingivalis. AB - LPS of Porphyromonas gingivalis (P. gingivalis) is suggested to be a virulence factor in periodontitis, stimulating host cells to produce proinflammatory mediators. However, P. gingivalis LPS has been reported to show lower biological activity compared with Escherichia coli (E. coli) LPS. Although differences in the chemical structure of lipid A and the receptor conferring LPS signaling are thought to account for these characteristics, the precise reason is unknown. Here, we demonstrate that P. gingivalis LPS up-regulates IL-1R-associated kinase (IRAK)-M, a negative regulator of the TLR signaling pathway, in a THP-1-derived macrophage more robustly than E. coli LPS. Although down-regulation of IRAK-M by small interfering (si)RNA augmented transcription and translation of TNF-, IL-6, and IL-12 p40 in LPS-stimulated macrophages, the effect of siRNA was more prominent in P. gingivalis LPS-stimulated cells. Degradation of IRAK-1 was more obvious in E. coli LPS-stimulated macrophages than the cells stimulated with P. gingivalis LPS, suggesting that P. gingivalis LPS-induced IRAK-M suppressed dissociation of IRAK-1 from the receptor complex, resulting in escape from subsequent degradation. This activity may be involved in the chronic infection of this bacterium in periodontal tissue by serving as an escape mechanism from immune surveillance. PMID- 18156188 TI - Sensing danger--Hsp72 and HMGB1 as candidate signals. AB - Molecules that behave as danger signals are produced when the body is perceived to be under attack, and they alert the immune system to the problem. The immune system can then mount an appropriate response. Two molecules that have received attention as potential danger signals are heat shock protein 72 (Hsp72) and high mobility group box 1 (HMGB1), which are intracellular proteins but are released when cells are under stress, in particular, when necrosis occurs. This review considers the similarities between these two molecules and then contrasts their mechanism of action and problems that can arise when they are overpresented in the extracellular environment. It is proposed that Hsp72 and HMGB1 are members of a suite of danger molecules that provide a fingerprint of the threat, or stressor, to tissue or organism integrity. PMID- 18156189 TI - Copulsing tumor antigen-pulsed dendritic cells with zoledronate efficiently enhance the expansion of tumor antigen-specific CD8+ T cells via Vgamma9gammadelta T cell activation. AB - We demonstrate that Vgamma9gammadelta T cells activated by zoledronate can link innate and acquired immunity through crosstalk with dendritic cells (DCs) in a way that can amplify activation and proliferation of tumor antigen-specific CD8+ T cells. DCs pulsed with antigen alone or antigen plus zoledronate were used to stimulate the in vitro expansion of antigen-specific CD8+ T cells. MART-1 modified peptide (A27L peptide) and apoptotic HLA-A*0201-positive, MART-1 positive JCOCB tumor cell lines were used as tumor antigen sources. The percentage of A27L-specific CD8+ T cells within the responding lymphocytes on Day 7 when immature DCs (imDCs) were cultured in the presence of A27L peptide and 0.01 microM zoledronate was significantly higher (P=0.002, n=11) than that observed when imDCs were cultured with the lymphocytes in the presence of the A27L peptide alone. This enhancing effect of zoledronate was significantly reduced when gammadelta T cells were depleted from responding lymphocytes (P=0.030, n=5), indicating that the effect is mediated mainly through Vgamma9gammadelta T cells activated by zoledronate-pulsed imDCs. When imDCs copulsed with zoledronate and apoptotic JCOCB tumor cell lines were used, the percentage of A27L-specific CD8+ T cells was higher than that observed using imDCs with the apoptotic JCOCB lines alone, suggesting that zoledronate treatment of imDCs enhances the cross-presentation ability of DCs. These findings suggest a potentially valuable role for Vgamma9gammadelta T cell activation for expanding antigen-specific CD8+T cells using DCs copulsed with tumor antigen and zoledronate in the design of vaccine therapies for malignancy. PMID- 18156191 TI - All-trans retinoic acid prevents development of cardiac remodeling in aortic banded rats by inhibiting the renin-angiotensin system. AB - This study was designed to determine the effect of all-trans retinoic acid (RA) on the development of cardiac remodeling in a pressure overload rat model. Male Sprague-Dawley rats were subjected to sham operation and the aortic constriction procedure. A subgroup of sham control and aortic constricted rats were treated with RA for 5 mo after surgery. Pressure-overloaded rats showed significantly increased interstitial and perivascular fibrosis, heart weight-to-body weight ratio, and gene expression of atrial natriuretic peptide and brain natriuretic peptide. Echocardiographic analysis showed that pressure overload induced systolic and diastolic dysfunction, as evidenced by decreased fractional shortening, ejection fraction, stroke volume, and increased E-to-E(a) ratio and isovolumic relaxation time. RA treatment prevented the above changes in cardiac structure and function and hypertrophic gene expression in pressure-overloaded rats. RA restored the ratio of Bcl-2 to Bax, inhibited cleavage of caspase-3 and 9, and prevented the decreases in the levels of SOD-1 and SOD-2. Pressure overload-induced phosphorylation of ERK1/2, JNK, and p38 was inhibited by RA, via upregulation of mitogen-activated protein kinase phosphatase (MKP)-1 and MKP-2. The pressure overload-induced production of angiotensin II was inhibited by RA via upregulation of expression of angiotensin-converting enzyme (ACE)2 and through inhibition of the expression of cardiac and renal renin, angiotensinogen, ACE, and angiotensin type 1 receptor. Similar results were observed in cultured neonatal cardiomyocytes in response to static stretch. These results demonstrate that RA has a significant inhibitory effect on pressure overload-induced cardiac remodeling, through inhibition of the expression of renin-angiotensin system components. PMID- 18156192 TI - 20-hydroxyeicosatetraenoic acid causes endothelial dysfunction via eNOS uncoupling. AB - Nitric oxide (NO), generated from L-arginine by endothelial nitric oxide synthase (eNOS), is a key endothelial-derived factor whose bioavailability is essential to the normal function of the endothelium. Endothelium dysfunction is characterized by loss of NO bioavailability because of either reduced formation or accelerated degradation of NO. We have recently reported that overexpression of vascular cytochrome P-450 (CYP) 4A in rats caused hypertension and endothelial dysfunction driven by increased production of 20-hydroxyeicosatetraenoic acid (20-HETE), a major vasoconstrictor eicosanoid in the microcirculation. To further explore cellular mechanisms underlying CYP4A-20-HETE-driven endothelial dysfunction, the interactions between 20-HETE and the eNOS-NO system were examined in vitro. Addition of 20-HETE to endothelial cells at concentrations as low as 1 nM reduced calcium ionophore-stimulated NO release by 50%. This reduction was associated with a significant increase in superoxide production. The increase in superoxide in response to 20-HETE was prevented by N(G)-nitro-L-arginine methyl ester, suggesting that uncoupled eNOS is a source of this superoxide. The response to 20 HETE was specific in that 19-HETE did not affect NO or superoxide production, and, in fact, the response to 20-HETE could be competitively antagonized by 19(R) HETE. 20-HETE had no effect on phosphorylation of eNOS protein at serine-1179 or threonine-497 following addition of calcium ionophore; however, 20-HETE inhibited association of eNOS with 90-kDa heat shock protein (HSP90). In vivo, impaired acetylcholine-induced relaxation in arteries overexpressing CYP4A was associated with a marked reduction in the levels of phosphorylated vasodilator-stimulated phosphoprotein, an indicator of bioactive NO, that was reversed by inhibition of 20-HETE synthesis or action. Because association of HSP90 with eNOS is critical for eNOS activation and coupled enzyme activity, inhibition of this association by 20-HETE may underlie the mechanism, at least in part, by which increased CYP4A expression and activity cause endothelial dysfunction. PMID- 18156193 TI - Role of iPLA2 and store-operated channels in agonist-induced Ca2+ influx and constriction in cerebral, mesenteric, and carotid arteries. AB - Store-operated channels (SOC) and store-operated Ca2+ entry are known to play a major role in agonist-induced constriction of smooth muscle cells (SMC) in conduit vessels. In microvessels the role of SOC remains uncertain, in as much as voltage-gated L-type Ca2+ (Ca2+L) channels are thought to be fully responsible for agonist-induced Ca2+ influx and vasoconstriction. We present evidence that SOC and their activation via a Ca2+-independent phospholipase A2 (iPLA2)-mediated pathway play a crucial role in agonist-induced constriction of cerebral, mesenteric, and carotid arteries. Intracellular Ca2+ in SMC and intraluminal diameter were measured simultaneously in intact pressurized vessels in vitro. We demonstrated that 1) Ca2+ and contractile responses to phenylephrine (PE) in cerebral and carotid arteries were equally abolished by nimodipine (a Ca2+L) inhibitor) and 2-aminoethyl diphenylborinate (an inhibitor of SOC), suggesting that SOC and Ca2+L channels may be involved in agonist-induced constriction of cerebral arteries, and 2) functional inhibition of iPLA2beta totally inhibited PE induced Ca2+ influx and constriction in cerebral, mesenteric, and carotid arteries, whereas K+-induced Ca2+ influx and vasoconstriction mediated by Ca2+L channels were not affected. Thus iPLA2-dependent activation of SOC is crucial for agonist-induced Ca2+ influx and vasoconstriction in cerebral, mesenteric, and carotid arteries. We propose that, on PE-induced depletion of Ca2+ stores, nonselective SOC are activated via an iPLA2-dependent pathway and may produce a depolarization of SMC, which could trigger a secondary activation of Ca2+L channels and lead to Ca2+ entry and vasoconstriction. PMID- 18156194 TI - Heterogeneous transmural proteoglycan distribution provides a mechanism for regulating residual stresses in the aorta. AB - The arterial wall contains a significant amount of charged proteoglycans, which are inhomogeneously distributed, with the greatest concentrations in the intimal and medial layers. The hypothesis of this study is that the transmural distribution of proteoglycans plays a significant role in regulating residual stresses in the arterial wall. This hypothesis was first tested theoretically, using the framework of mixture theory for charged hydrated tissues, and then verified experimentally by measuring the opening angle of rat aorta in NaCl solutions of various ionic strengths. A three-dimensional finite element model of aortic ring, using realistic values of the solid matrix shear modulus and proteoglycan fixed-charge density, yielded opening angles and changes with osmolarity comparable to values reported in the literature. Experimentally, the mean opening angle in isotonic saline (300 mosM) was 15 +/- 17 degrees and changed to 4 +/- 19 degrees and 73 +/- 18 degrees under hypertonic (2,000 mosM) and hypotonic (0 mosM) conditions, respectively (n = 16). In addition, the opening angle in isotonic (300 mosM) sucrose, an uncharged molecule, was 60 +/- 16 degrees (n = 11), suggesting that the charge effect, not cellular swelling, was the major underlying mechanism for these observations. The extent of changes in opening angle under osmotic challenges suggests that transmural heterogeneity of fixed-charge density plays a crucial role in governing the zero-stress configuration of the aorta. A significant implication of this finding is that arterial wall remodeling in response to altered wall stresses may occur via altered deposition of proteoglycans across the wall thickness, providing a novel mechanism for regulating mechanical homeostasis in vascular tissue. PMID- 18156195 TI - Genes overexpressed in cerebral arteries following salt-induced hypertensive disease are regulated by angiotensin II, JunB, and CREB. AB - Although changes in gene expression are necessary for arterial remodeling during hypertension, the genes altered and their mechanisms of regulation remain uncertain. The goal of this study was to identify cerebral artery genes altered by hypertension and define signaling pathways important in their regulation. Intact cerebral arteries from Dahl salt-sensitive normotensive and hypertensive high-salt (HS) rats were examined by immunostaining, revealing an increased phosphorylation of extracellular signal-regulated kinase 1/2 (ERK1/2) and expression of the proliferative marker Ki-67 in arteries from hypertensive animals. Arterial RNA analyzed by microarray and validated with RT-quantitative PCR revealed that jun family member junB and matricellular genes plasminogen activator inhibitor-1 (PAI-1) and osteopontin (OPN) were significantly overexpressed in HS arteries. Fisher exact test and annotation-based gene subsets showed that genes upregulated by Jun and Ca(2+)/cAMP-response element-binding protein (CREB) were overrepresented. A model of cultured rat cerebrovascular smooth muscle cells was used to test the hypothesis that angiotensin II (ANG II), JunB, and CREB are important in the regulation of genes identified in the rat hypertension model. ANG II induced a transient induction of junB and a delayed induction of PAI-1 and OPN mRNA levels, which were reduced by ERK inhibition with U-0126. Silencing junB using small-interfering RNA reduced mRNA levels of OPN but not PAI-1. The silencing of CREB reduced PAI-1 induction by ANG II but enhanced the transcription of OPN. Together, these results suggest that salt-induced hypertensive disease promotes changes in matricellular genes that are stimulated by ANG II, regulated by ERK, and selectively regulated by JunB and CREB. PMID- 18156196 TI - Hypoxic preconditioning increases survival and angiogenic potency of peripheral blood mononuclear cells via oxidative stress resistance. AB - Cell-based angiogenesis is a promising treatment for ischemic diseases; however, the survival of implanted cells is impaired by oxidative stress in the ischemic microenvironment. We tested the hypothesis that hypoxic preconditioning of implanted cells enhances their resistance against oxidative stress, increasing cell survival and angiogenic potency after implantation into ischemic tissue. Mouse peripheral blood mononuclear cells (PBMNCs) were collected and subjected to hypoxic preconditioning by culture for 24 h in 2% O(2) at 33 degrees C. Hypoxic preconditioning of PBMNCs increased the expression of various genes related to antioxidant and survival signals remarkably. Compared with cells cultured under normoxia, the hypoxia-preconditioned PBMNCs showed significantly lower reactive oxygen species (ROS) accumulation and higher cell survival under oxidative stress induced by LY-83583 (a superoxide generator). Three days after intramuscular implantation into the ischemic hindlimbs of mice, survival of the hypoxia preconditioned PBMNCs was high, whereas that of the normoxia-cultured PBMNCs was relatively low. Furthermore, 28 days after treatment microvessel density and blood flow in the ischemic hindlimbs were significantly better in the mice implanted with hypoxia-preconditioned PBMNCs than in those implanted with normoxia-cultured PBMNCs. Hypoxic preconditioning increased the survival and angiogenic potency of PBMNCs, through oxidative stress resistance mechanisms. PMID- 18156197 TI - Disruption of the circadian clock within the cardiomyocyte influences myocardial contractile function, metabolism, and gene expression. AB - Virtually every mammalian cell, including cardiomyocytes, possesses an intrinsic circadian clock. The role of this transcriptionally based molecular mechanism in cardiovascular biology is poorly understood. We hypothesized that the circadian clock within the cardiomyocyte influences diurnal variations in myocardial biology. We, therefore, generated a cardiomyocyte-specific circadian clock mutant (CCM) mouse to test this hypothesis. At 12 wk of age, CCM mice exhibit normal myocardial contractile function in vivo, as assessed by echocardiography. Radiotelemetry studies reveal attenuation of heart rate diurnal variations and bradycardia in CCM mice (in the absence of conduction system abnormalities). Reduced heart rate persisted in CCM hearts perfused ex vivo in the working mode, highlighting the intrinsic nature of this phenotype. Wild-type, but not CCM, hearts exhibited a marked diurnal variation in responsiveness to an elevation in workload (80 mmHg plus 1 microM epinephrine) ex vivo, with a greater increase in cardiac power and efficiency during the dark (active) phase vs. the light (inactive) phase. Moreover, myocardial oxygen consumption and fatty acid oxidation rates were increased, whereas cardiac efficiency was decreased, in CCM hearts. These observations were associated with no alterations in mitochondrial content or structure and modest mitochondrial dysfunction in CCM hearts. Gene expression microarray analysis identified 548 and 176 genes in atria and ventricles, respectively, whose normal diurnal expression patterns were altered in CCM mice. These studies suggest that the cardiomyocyte circadian clock influences myocardial contractile function, metabolism, and gene expression. PMID- 18156198 TI - Neonatal rat cardiac fibroblasts express three types of voltage-gated K+ channels: regulation of a transient outward current by protein kinase C. AB - Cardiac fibroblasts regulate myocardial development via mechanical, chemical, and electrical interactions with associated cardiomyocytes. The goal of this study was to identify and characterize voltage-gated K(+) (Kv) channels in neonatal rat ventricular fibroblasts. With the use of the whole cell arrangement of the patch clamp technique, three types of voltage-gated, outward K(+) currents were measured in the cultured fibroblasts. The majority of cells expressed a transient outward K(+) current (I(to)) that activated at potentials positive to -40 mV and partially inactivated during depolarizing voltage steps. I(to) was inhibited by the antiarrhythmic agent flecainide (100 microM) and BaCl(2) (1 mM) but was unaffected by 4-aminopyridine (4-AP; 0.5 and 1 mM). A smaller number of cells expressed one of two types of kinetically distinct, delayed-rectifier K(+) currents [I(K) fast (I(Kf)) and I(K) slow (I(Ks))] that were strongly blocked by 4-AP. Application of phorbol 12-myristate 13-acetate, to stimulate protein kinase C (PKC), inhibited I(to) but had no effect on I(Kf) and I(Ks). Immunoblot analysis revealed the presence of Kv1.4, Kv1.2, Kv1.5, and Kv2.1 alpha-subunits but not Kv4.2 or Kv1.6 alpha-subunits in the fibroblasts. Finally, pretreatment of the cells with 4-AP inhibited angiotensin II-induced intracellular Ca(2+) mobilization. Thus neonatal cardiac fibroblasts express at least three different Kv channels that may contribute to electrical/chemical signaling in these cells. PMID- 18156199 TI - Role of asymmetric dimethylarginine for angiotensin II-induced target organ damage in mice. AB - The aim of the present study was to investigate the role of the endogenous nitric oxide synthase inhibitor asymmetric dimethylarginine (ADMA) and its degrading enzyme dimethylarginine dimethylaminohydrolase (DDAH) in angiotensin II (ANG II) induced hypertension and target organ damage in mice. Mice transgenic for the human DDAH1 gene (TG) and wild-type (WT) mice (each, n = 28) were treated with 1.0 microg kg(-1) min(-1) ANG II, 3.0 microg kg(-1) min(-1) ANG II, or phosphate buffered saline over 4 wk via osmotic minipumps. Blood pressure, as measured by tail cuff, was elevated to the same degree in TG and WT mice. Plasma levels of ADMA were lower in TG than WT mice and were not affected after 4 wk by either dose of ANG II in both TG and WT animals. Oxidative stress within the wall of the aorta, measured by fluorescence microscopy using the dye dihydroethidium, was significantly reduced in TG mice. ANG II-induced glomerulosclerosis was similar between WT and TG mice, whereas renal interstitial fibrosis was significantly reduced in TG compared with WT animals. Renal mRNA expression of protein arginine methyltransferase (PRMT)1 and DDAH2 increased during the infusion of ANG II, whereas PRMT3 and endogenous mouse DDAH1 expression remained unaltered. Chronic infusion of ANG II in mice has no effect on the plasma levels of ADMA after 4 wk. However, an overexpression of DDAH1 alleviates ANG II-induced renal interstitial fibrosis and vascular oxidative stress, suggesting a blood pressure-independent effect of ADMA on ANG II-induced target organ damage. PMID- 18156200 TI - A profound decrease in maternal arginine uptake provokes endothelial nitration in the pregnant rat. AB - While a specific role for nitric oxide (NO) in inducing the hemodynamic alterations of pregnancy is somewhat controversial, it is widely accepted that excess NO is generated during pregnancy. L-Arginine is the sole precursor for NO biosynthesis. Among several transporters that mediate L-arginine uptake, cationic amino acid transporter-1 (CAT-1) acts as the specific arginine transporter for endothelial NO synthase. The present study was designed to test the hypothesis that, during pregnancy, when arginine consumption by the fetus is significantly increased, compensatory changes in maternal arginine uptake affect the endothelium. Uptake of radiolabeled arginine (L-[3H]arginine) by freshly harvested maternal aortic rings from pregnant rats decreased by 65 and 30% in mid and late pregnancy, respectively, compared with those obtained from virgin animals. This decrease was associated with a significant increase in endothelial protein nitration (the footprint of peroxynitrite generation), as shown by both Western blotting and immunohistochemistry utilizing anti-nitrotyrosine antibodies, reflecting endothelial damage. Northern blot analysis revealed that steady-state aortic CAT-1 mRNA levels did not change throughout pregnancy, whereas CAT-1 protein abundance was significantly increased, peaking at mid pregnancy. Protein content of protein kinase C (PKC)-alpha, which was previously shown to decrease CAT-1 activity, increased significantly in the pregnant animals and was associated with a significant increase in CAT-1 phosphorylation. Intraperitoneal injection of alpha-tocopherol, a PKC-alpha inhibitor, prevented the decrease in arginine transport and attenuated protein nitration. In conclusion, aortic arginine uptake is reduced during pregnancy, through posttranslational modulation of CAT-1 protein, presumably via upregulation of PKC alpha. The aforementioned findings are associated with an increase in protein nitration and, therefore, in selected individuals, may lead to the development of certain forms of endothelial dysfunction, like preeclampsia. PMID- 18156201 TI - Microtopography and flow modulate the direction of endothelial cell migration. AB - The migration of vascular endothelial cells under flow can be modulated by the addition of chemical or mechanical stimuli. The aim of this study was to investigate how topographic cues derived from a substrate containing three dimensional microtopography interact with fluid shear stress in directing endothelial cell migration. Subconfluent bovine aortic endothelial cells were seeded on fibronectin-coated poly(dimethylsiloxane) substrates patterned with a combinatorial array of parallel and orthogonal microgrooves ranging from 2 to 5 microm in width at a constant depth of 1 microm. During a 4-h time-lapse observation in the absence of flow, the majority of the prealigned cells migrated parallel to the grooves with the distribution of their focal adhesions (FAs) depending on the groove width. No change in this migratory pattern was observed after the cells were exposed to moderate shear stress (13.5 dyn/cm(2)), irrespective of groove direction with respect to flow. After 4-h exposure to high shear stress (58 dyn/cm(2)) parallel to the grooves, the cells continued to migrate in the direction of both grooves and flow. By contrast, when microgrooves were oriented perpendicular to flow, most cells migrated orthogonal to the grooves and downstream with flow. Despite the change in the migration direction of the cells under high shear stress, most FAs and actin microfilaments maintained their original alignment parallel to the grooves, suggesting that topographic cues were more effective than those derived from shear stress in guiding the orientation of cytoskeletal and adhesion proteins during the initial exposure to flow. PMID- 18156202 TI - G(o) controls the hyperpolarization-activated current in embryonic stem cell derived cardiocytes. AB - Hyperpolarization current (I(f)) is an important player in controlling heart rate and is stimulated by cAMP and inhibited by members of the pertussis toxin sensitive G-protein G(i)/G(o) family. We have successfully derived cardiocytes from embryonic stem cells lacking G(o) or G(i2) and G(i3). We have established that both basal and isoproterenol-stimulated activities of I(f) in these cardiocytes have typical nodal-atrial characteristics and are unaffected by targeted gene inactivation of the G proteins G(o) or G(i2) and G(i3). Under basal conditions, both G(o) and G(i) are required for muscarinic inhibition of I(f) activity via a mechanism that involves the generation of nitric oxide, whereas, with prior stimulation by beta-agonists, only G(o) is required and G(i) and nitric oxide production are not. Our findings establish an essential role for G(o) in the antiadrenergic effect of muscarinic agent on I(f). PMID- 18156203 TI - Determinants of coronary microvascular dysfunction in symptomatic hypertrophic cardiomyopathy. AB - Impaired hyperemic myocardial blood flow (MBF) in hypertrophic cardiomyopathy (HCM), despite normal epicardial coronary arteries, results in microvascular dysfunction. The aim of the present study was to determine the relative contribution of extravascular compressive forces to microvascular dysfunction in HCM. Eighteen patients with symptomatic HCM and normal coronary arteries and 10 age-matched healthy volunteers were studied with PET to quantify resting and hyperemic MBF at a subendocardial and subepicardial level. In HCM patients, MRI was performed to determine left ventricular (LV) mass index (LVMI) and volumes, echocardiography to assess diastolic perfusion time, heart catheterization to measure LV outflow tract gradient (LVOTG) and LV pressures, and serum NH(2) terminal pro-brain natriuretic peptide (NT-proBNP) as a biochemical marker of LV wall stress. Hyperemic MBF was blunted in HCM vs. controls (2.26 +/- 0.97 vs. 2.93 +/- 0.64 ml min(-1) g(-1), P < 0.05). In contrast to controls (1.38 +/- 0.15 to 1.25 +/- 0.19, P = not significant), the endocardial-to-epicardial MBF ratio decreased significantly in HCM during hyperemia (1.20 +/- 0.11 to 0.88 +/- 0.18, P < 0.01). This pattern was similar for hypertrophied septum and lateral wall. Hyperemic MBF was inversely correlated with LVOTG, NT-proBNP, left atrial volume index, and LVMI (all P < 0.01). Multivariate regression analysis, however, revealed that only LVMI and NT-proBNP were independently related to hyperemic MBF, with greater impact at the subendocardial myocardial layer. Hyperemic MBF is more severely impaired at the subendocardial level in HCM patients. The level of impairment is related to markers of increased hemodynamic LV loading conditions and LV mass. These observations suggest that, in addition to reduced capillary density caused by hypertrophy, extravascular compressive forces contribute to microvascular dysfunction in HCM patients. PMID- 18156204 TI - Interleukin-17 production in central nervous system-infiltrating T cells and glial cells is associated with active disease in multiple sclerosis. AB - Recent findings in the animal model for multiple sclerosis (MS), experimental autoimmune encephalomyelitis, implicate a novel CD4+ T-cell subset (TH17), characterized by the secretion of interleukin-17 (IL-17), in disease pathogenesis. To elucidate its role in MS, brain tissues from patients with MS were compared to controls. We detected expression of IL-17 mRNA (by in situ hybridization) and protein (by immunohistochemistry) in perivascular lymphocytes as well as in astrocytes and oligodendrocytes located in the active areas of MS lesions. Further, we found a significant increase in the number of IL-17+ T cells in active rather than inactive areas of MS lesions. Specifically, double immunofluorescence showed that IL-17 immunoreactivity was detected in 79% of T cells in acute lesions, 73% in active areas of chronic active lesions, but in only 17% of those in inactive lesions and 7% in lymph node control tissue. CD8+, as well as CD4+, T cells were equally immunostained for IL-17 in MS tissues. Interestingly, and in contrast to lymph node T cells, no perivascular T cells showed FoxP3 expression, a marker of regulatory T cells, at any stage of MS lesions. These observations suggest an enrichment of both IL-17+CD4+ and CD8+ T cells in active MS lesions as well as an important role for IL-17 in MS pathogenesis, with some remarkable differences from the experimental autoimmune encephalomyelitis model. PMID- 18156205 TI - Severe intrauterine growth restriction pregnancies have increased placental endoglin levels: hypoxic regulation via transforming growth factor-beta 3. AB - Endoglin, a co-receptor for transforming growth factor (TGF)-beta 1 and -beta 3 is expressed in the human placenta and plays an important role in the pathogenesis of preeclampsia. Because preeclampsia is associated with hypoxia, and because TGF-beta 3 is overexpressed in preeclamptic pregnancies, we examined the effect of oxygen and TGF-beta 3 on placental endoglin expression and investigated its expression in pathological models of placental hypoxia such as intrauterine growth restriction (IUGR) pregnancies. Endoglin expression was high at 4 to 9 weeks of gestation, when oxygen tension is low, and decreased after 10 weeks, when oxygen tension increases. Exposure of villous explants to low oxygen (3% O2) resulted in elevated expression of both membrane and soluble endoglin compared to standard conditions (20% O2). Moreover, addition of TGF-beta 3 to villous explants under low oxygen conditions increased the expression of endoglin compared to nontreated explants whereas addition of TGF-beta 3-neutralizing antibodies inhibited the low oxygen stimulatory effect on endoglin expression. Endoglin and soluble endoglin expression were significantly increased in placentas of IUGR singletons compared to controls and in the IUGR twin placentas relative to both the control co-twin and the normal twins. These data demonstrate that oxygen regulates the placental expression of endoglin via TGF-beta 3. Reduced placental perfusion leading to placental hypoxia might contribute to the increased expression of endoglin in IUGR pregnancies. PMID- 18156206 TI - Acute modulations in permeability barrier function regulate epidermal cornification: role of caspase-14 and the protease-activated receptor type 2. AB - Stratum corneum comprises corneocytes, derived from outer stratum granulosum during terminal differentiation, embedded in a lipid-enriched extracellular matrix, secreted from epidermal lamellar bodies. Permeability barrier insults stimulate rapid secretion of preformed lamellar bodies from the outer stratum granulosum, regulated through modulations in ionic gradients and serine protease (SP)/protease-activated receptor type 2 (PAR2) signaling. Because corneocytes are also required for barrier function, we hypothesized that corneocyte formation could also be regulated by barrier function. Barrier abrogation by two unrelated methods initiated a wave of cornification, assessed as TdT-mediated dUTP nick end labeling-positive cells in stratum granulosum and newly cornified cells by electron microscopy. Because cornification was blocked by occlusion, corneocytes formed specifically in response to barrier, rather than injury or cell replacement, requirements. SP inhibitors and hyperacidification (which decreases SP activity) blocked cornification after barrier disruption. Similarly, cornification was delayed in PAR2(-/-) mice. Although classical markers of apoptosis [poly(ADP-ribose)polymerase and caspase (Casp)-3] remained unchanged, barrier disruption activated Casp-14. Moreover, the pan-Casp inhibitor Z-VAD-FMK delayed cornification, and corneocytes were structurally aberrant in Casp14(-/-) mice. Thus, permeability barrier requirements coordinately drive both the generation of the stratum corneum lipid-enriched extracellular matrix and the transformation of granular cells into corneocytes, in an SP- and Casp-14 dependent manner, signaled by PAR2. PMID- 18156207 TI - Prolactin drives estrogen receptor-alpha-dependent ductal expansion and synergizes with transforming growth factor-alpha to induce mammary tumors in males. AB - Male breast cancer is rare and has been the focus of limited research. Although the etiology is unclear, conditions increasing circulating prolactin (PRL), as well as estrogen, increase the risk of tumorigenesis. We modeled exposure to elevated PRL in transgenic mice, using the mammary-selective, estrogen insensitive promoter neu-related lipocalin (NRL), to drive PRL expression. Male NRL-PRL mice did not develop mammary tumors. However, in cooperation with the well-characterized oncogene transforming growth factor-alpha (TGF-alpha), PRL induced mammary tumors in 100% of male bitransgenic mice. Similar to disease in human males, these tumors expressed variable levels of estrogen receptor-alpha (ER-alpha) and androgen receptors. However, carcinogenesis was not responsive to testicular steroids because castration did not alter latency to tumor development or tumor ER-alpha expression. Interestingly, both NRL-TGF-alpha/PRL and NRL-PRL males demonstrated increased ductal development, which occurred during puberty, similar to female mice. This outgrowth was diminished in NRL-PRL males treated with ICI 182,780, suggesting that PRL enhances ER-mediated growth. Treatment of MCF-7-derived cells with PRL increased phosphorylation of ER-alpha at residues implicated in unliganded ER-alpha activity. Together, these studies suggest that PRL expands the pool of cells susceptible to tumorigenesis, which is then facilitated by PRL and TGF-alpha cross talk. Activation of ER-alpha is one mechanism by which PRL may contribute to breast cancer and points to other therapeutic strategies for male patients. PMID- 18156208 TI - Eosinophil activation of fibroblasts from chronic allergen-induced disease utilizes stem cell factor for phenotypic changes. AB - In the present studies the role of stem cell factor (SCF) in mediating eosinophil and fibroblast activation during their interaction was investigated. SCF was significantly higher in fibroblasts grown from lungs of chronic allergen challenged mice compared to fibroblasts grown from normal mice. When eosinophils were layered onto fibroblasts from allergic mice, a significant increase in SCF was detected compared to fibroblasts from nonallergic mice. The interaction of fibroblasts with eosinophils also increased the production of asthma-associated chemokines, CCL5 and CCL6, was dependent on cell-to-cell interaction, and was observed only with fibroblasts derived from lungs of chronic allergen-challenged mice and not from those derived from unchallenged normal mice. Chemokine production was significantly decreased when anti-SCF antibodies were added during eosinophil-fibroblast interaction. The interaction of fibroblasts from chronic allergen-challenged mice with eosinophils also increased alpha-smooth muscle cell actin and procollagen I expression as well as induced transforming growth factor beta. The changes in myofibroblast activation were dependent on SCF-mediated pathways because anti-SCF antibody treatment reduced the expression of all three of these latter fibrosis-associated markers. Thus, our data suggest that SCF mediates an important activation pathway for fibroblasts during chronic allergic responses on interaction with recruited eosinophils and suggest a potential mechanism of airway remodeling during chronic disease. PMID- 18156209 TI - Epigenetic changes and suppression of the nuclear factor of activated T cell 1 (NFATC1) promoter in human lymphomas with defects in immunoreceptor signaling. AB - The nuclear factor of activated T cell 1 (Nfatc1) locus is a common insertion site for murine tumorigenic retroviruses, suggesting a role of transcription factor NFATc1 in lymphomagenesis. Although NFATc1 is expressed in most human primary lymphocytes and mature human T- and B-cell neoplasms, we show by histochemical stainings that NFATc1 expression is suppressed in anaplastic large cell lymphomas and classical Hodgkin's lymphomas (HLs). In HL cell lines, NFATc1 silencing correlated with a decrease in histone H3 acetylation, H3-K4 trimethylation, and Sp1 factor binding but with an increase in HP1 binding to the NFATC1 P1 promoter. Together with DNA hypermethylation of the NFATC1 P1 promoter, which we detected in all anaplastic large cell lymphoma and many HL lines, these observations reflect typical signs of transcriptional silencing. In several lymphoma lines, methylation of NFATC1 promoter DNA resulted in a "window of hypomethylation," which is flanked by Sp1-binding sites. Together with the under representation of Sp1 at the NFATC1 P1 promoter in HL cells, this suggests that Sp1 factors can protect P1 DNA methylation in a directional manner. Blocking immunoreceptor signaling led to NFATC1 P1 promoter silencing and to a decrease in H3 acetylation and H3-K4 methylation but not DNA methylation. This shows that histone modifications precede the DNA methylation in NFATC1 promoter silencing. PMID- 18156210 TI - Stimulation of prostate cancer cellular proliferation and invasion by the androgen receptor co-activator ARA70. AB - ARA70 was first identified as a gene fused to the ret oncogene in thyroid carcinoma and subsequently as a co-activator for androgen receptor (AR). Two isoforms of ARA70 have been identified: a 70-kDa version called ARA70 alpha and an internally spliced 35-kDa variant termed ARA70 beta. We have previously reported that ARA70 alpha expression is reduced in prostate cancer, and its overexpression inhibits proliferation of LNCaP prostate cancer cells. However, the function of the ARA70 beta isoform in prostate cancer is not understood. In this report we examined the effects of ARA70 beta on AR transcriptional regulation as well as prostate cancer cellular proliferation and invasion. Although both ARA70 alpha and ARA70 beta functioned as transcriptional co activators of AR in cell-based reporter assays, ARA70 beta overexpression, in contrast to ARA70 alpha, promoted prostate cancer cellular proliferation and invasion through Matrigel. Interestingly, genome-wide expression profiling of cells expressing ARA70 beta revealed an increase in the expression of genes involved in the control of cell division and adhesion, compatible with a role for ARA70 beta in proliferation and invasion. Consistent with its function in promoting cell growth and invasion, ARA70 beta expression was increased in prostate cancer. Our findings implicate ARA70 beta as a regulator of tumor cell growth and metastasis by affecting gene expression. PMID- 18156211 TI - Regulation of endothelial cell cytoskeletal reorganization by a secreted frizzled related protein-1 and frizzled 4- and frizzled 7-dependent pathway: role in neovessel formation. AB - Consistent with findings of Wnt pathway members involved in vascular cells, a role for Wnt/Frizzled signaling has recently emerged in vascular cell development. Among the few Wnt family members implicated in vessel formation in adult, Wnt7b and Frizzled 4 have been shown as involved in vessel formation in the lung and in the retina, respectively. Our previous work has shown a role for secreted Frizzled-related protein-1 (sFRP-1), a proposed Wnt signaling inhibitor, in neovascularization after an ischemic event and demonstrated its role as a potent angiogenic factor. However the mechanisms involved have not been investigated. Here, we show that sFRP-1 treatment increases endothelial cell spreading on extracellular matrix as revealed by actin stress fiber reorganization in an integrin-dependent manner. We demonstrate that sFRP-1 can interact with Wnt receptors Frizzled 4 and 7 on endothelial cells to transduce downstream to cellular machineries requiring Rac-1 activity in cooperation with GSK-3beta. sFRP-1 overexpression in endothelium specifically reversed the inactivation of GSK-3 beta and increased neovascularization in ischemia-induced angiogenesis in mouse hindlimb. This study illustrates a regulated pathway by sFRP-1 involving GSK-3beta and Rac-1 in endothelial cell cytoskeletal reorganization and in neovessel formation. PMID- 18156212 TI - Dissociation of epithelial and neuroendocrine carcinoma lineages in the transgenic adenocarcinoma of mouse prostate model of prostate cancer. AB - The transgenic adenocarcinoma of mouse prostate (TRAMP) model is widely used in prostate cancer research because of rapid tumor onset and progression. The transgenic mouse is on a C57BL/6 (B6) background and expresses SV40 T-antigen under the probasin promoter. The strong genetic component of susceptibility to prostate cancer in humans prompted us to investigate the effect of mouse strain background (FVB and B6) on incidence, progression, and pathology of prostate cancer in this model. Because TRAMP lesions are unique but differ from conventional prostatic intraepithelial neoplasia because the epithelium and stroma are affected diffusely, we designated them as "atypical hyperplasia of Tag." Although the incidence and severity of atypical hyperplasia of Tag is similar, FVB-TRAMP mice live significantly shorter lives than B6-TRAMP mice because of the rapid development and progression of neuroendocrine carcinomas. This is associated with an increased frequency of neuroendocrine precursor lesions in young TRAMP mice, detectable at 4 weeks after birth. These lesions show properties of bipotential stem cells and co-express markers of epithelial (E cadherin) and neuroendocrine (synaptophysin) lineages, as well as the transcription factors Foxa1 and Foxa2. Transplantation studies using TRAMP prostatic ducts suggested that neuroendocrine carcinomas arise independently from atypical hyperplasias or other epithelial lesions. Adenocarcinomas were not seen in our cohort. Thus, neuroendocrine carcinomas are the principal malignancy in this model and may develop from bipotential progenitor cells at an early stage of prostate tumorigenesis. PMID- 18156213 TI - Evidence of a role for osteoprotegerin in the pathogenesis of pulmonary arterial hypertension. AB - Pulmonary artery smooth muscle cell (PA-SMC) migration and proliferation are key processes in the pathogenesis of pulmonary arterial hypertension (PAH). Recent information suggests that abnormalities in the bone morphogenetic protein (BMP) receptor 2 (BMP-R2) signaling pathway are important in PAH pathogenesis. It remains unclear whether and how this pathway interacts with, for example, serotonin (5-HT) and inflammation to trigger and/or sustain the development of PAH. The secreted glycoprotein osteoprotegerin (OPG) is emerging as an important regulatory molecule in vascular biology and is modulated by BMPs, 5-HT, and interleukin-1 in other cell types. However, whether OPG is expressed by PA-SMCs within PAH lesions and plays a role in PAH is unknown. Immunohistochemistry of human PAH lesions demonstrated increased OPG expression, and OPG was significantly increased in idiopathic PAH patient serum. Recombinant OPG stimulated proliferation and migration of PA-SMCs in vitro, and BMP-R2 RNA interference increased OPG secretion. Additionally, both 5-HT and interleukin-1 also increased OPG secretion. These data are the first to demonstrate that OPG is increased in PAH and that it can regulate PA-SMC proliferation and migration. OPG may provide a common link between the different pathways associated with the disease, potentially playing an important role in the pathogenesis of PAH. PMID- 18156214 TI - Galectin-3 gene inactivation reduces atherosclerotic lesions and adventitial inflammation in ApoE-deficient mice. AB - This study has examined the role of galectin-3 (GaL3), a multicompartmented N acetyllactosamine-binding chimeric lectin, on atherogenesis in the ApoE-deficient mouse model of atherosclerosis. Pathological changes consisting of atheromatous plaques, atherosclerotic microaneurysms extending into periaortic vascular channels, and adventitial and periaortic inflammatory infiltrates were assessed in an equal number (n = 36) of apolipoprotein (Apo)E-deficient mice and ApoE-GaL3 double-knockout mice. These mice were divided into three age groups, 21 to 23 weeks, 25 to 31 weeks, and 36 to 44 weeks of age. Results of this morphological analysis have shown an age-related increase in the incidence of aorta atheromatous plaques and periaortic vascular channels in ApoE-deficient mice. By contrast ApoE/GaL3 double-knockout mice did not show an increase in pathological changes with age. The 36- to 44-week group of ApoE(-/-)/GaL3(-/-) mice had a significantly lower number of atherosclerotic lesions (P < 0.004) and fewer atheromatous plaques (P < 0.008) when compared with ApoE(-/-)/GaL3+/+ mice of the same age. ApoE(-/-)/GaL3(-/-) mice had a lower number of perivascular inflammatory infiltrates and mast cells than those found in ApoE(-/-)/GaL3+/+ mice. The reduced number of perivascular mast cells may have resulted in a low level of interleukin-4 that contributed to the reduction in the morphological parameters of atherogenesis correlated with the lack of GaL3 expression. The effect of GaL3 deficiency on atherogenesis decrease could be related to its function as a multifunctional protein implicated in macrophage chemotaxis, angiogenesis, lipid loading, and inflammation. PMID- 18156215 TI - Regulation of rice NADPH oxidase by binding of Rac GTPase to its N-terminal extension. AB - Reactive oxygen species (ROS) produced by NADPH oxidase play critical roles in various cellular activities, including plant innate immunity response. In contrast with the large multiprotein NADPH oxidase complex of phagocytes, in plants, only the homologs of the catalytic subunit gp91phox and the cytosolic regulator small GTPase Rac are found. Plant homologs of the gp91phox subunit are known as Rboh (for respiratory burst oxidase homolog). Although numerous Rboh have been isolated in plants, the regulation of enzymatic activity remains unknown. All rboh genes identified to date possess a conserved N-terminal extension that contains two Ca2+ binding EF-hand motifs. Previously, we ascertained that a small GTPase Rac (Os Rac1) enhanced pathogen-associated molecular pattern-induced ROS production and resistance to pathogens in rice (Oryza sativa). In this study, using yeast two-hybrid assay, we found that interaction between Rac GTPases and the N-terminal extension is ubiquitous and that a substantial part of the N-terminal region of Rboh, including the two EF hand motifs, is required for the interaction. The direct Rac-Rboh interaction was supported by further studies using in vitro pull-down assay, a nuclear magnetic resonance titration experiment, and in vivo fluorescence resonance energy transfer (FRET) microscopy. The FRET analysis also suggests that cytosolic Ca2+ concentration may regulate Rac-Rboh interaction in a dynamic manner. Furthermore, transient coexpression of Os Rac1 and rbohB enhanced ROS production in Nicotiana benthamiana, suggesting that direct Rac-Rboh interaction may activate NADPH oxidase activity in plants. Taken together, the results suggest that cytosolic Ca2+ concentration may modulate NADPH oxidase activity by regulating the interaction between Rac GTPase and Rboh. PMID- 18156216 TI - RAR1 and HSP90 form a complex with Rac/Rop GTPase and function in innate-immune responses in rice. AB - A rice (Oryza sativa) Rac/Rop GTPase, Os Rac1, is involved in innate immunity, but its molecular function is largely unknown. RAR1 (for required for Mla12 resistance) and HSP90 (a heat shock protein 90 kD) are important components of R gene-mediated disease resistance, and their function is conserved in several plant species. HSP90 has also recently been shown to be important in mammalian innate immunity. However, their functions at the molecular level are not well understood. In this study, we examined the functional relationships between Os Rac1, RAR1, and HSP90. Os RAR1-RNA interference (RNAi) rice plants had impaired basal resistance to a compatible race of the blast fungus Magnaporthe grisea and the virulent bacterial blight pathogen Xanthomonas oryzae. Constitutively active Os Rac1 complemented the loss of resistance, suggesting that Os Rac1 and RAR1 are functionally linked. Coimmunoprecipitation experiments with rice cell culture extracts indicate that Rac1 forms a complex with RAR1, HSP90, and HSP70 in vivo. Studies with Os RAR1-RNAi and treatment with geldanamycin, an HSP90-specific inhibitor, showed that RAR1 and HSP90 are essential for the Rac1-mediated enhancement of pathogen-associated molecular pattern-triggered immune responses in rice cell cultures. Furthermore, the function of HSP90, but not RAR1, may be essential for their association with the Rac1 complex. Os Rac1 also regulates RAR1 expression at both the mRNA and protein levels. Together, our results indicate that Rac1, RAR1, HSP90, and HSP70 form one or more protein complexes in rice cells and suggest that these proteins play important roles in innate immunity in rice. PMID- 18156217 TI - P-glycoprotein4 displays auxin efflux transporter-like action in Arabidopsis root hair cells and tobacco cells. AB - ATP binding cassette (ABC) transporters transport diverse substrates across membranes in various organisms. However, plant ABC transporters have only been scantily characterized. By taking advantage of the auxin-sensitive Arabidopsis thaliana root hair cell and tobacco (Nicotiana tabacum) suspension cell systems, we show here that Arabidopsis P-glycoprotein4 (PGP4) displays auxin efflux activity in plant cells. Root hair cell-specific overexpression of PGP4 (PGP4ox) and known auxin efflux transporters, such as PGP1, PGP19, and PIN-FORMEDs, decreased root hair elongation, whereas overexpression of the influx transporter AUXIN-RESISTANT1 enhanced root hair length. PGP4ox-mediated root hair shortening was rescued by the application of auxin or an auxin efflux inhibitor. These results indicate that the increased auxin efflux activity conferred by PGP4 reduces auxin levels in the root hair cell and consequently inhibits root hair elongation. PGP4ox in tobacco suspension cells also increased auxin efflux. PGP4 proteins were targeted to the plasma membrane of Arabidopsis root hair cells and tobacco cells without any clear subcellular polarity. Brefeldin A partially interfered with the trafficking of PGP4 reversibly, and this was rescued by pretreatment with auxin. These results suggest that PGP4 is an auxin efflux transporter in plants and that its trafficking to the plasma membrane involves both BFA-sensitive and -insensitive pathways. PMID- 18156218 TI - 3-hydroxy-3-methylglutaryl coenzyme a reductase 1 interacts with NORK and is crucial for nodulation in Medicago truncatula. AB - NORK in legumes encodes a receptor-like kinase that is required for Nod factor signaling and root nodule development. Using Medicago truncatula NORK as bait in a yeast two-hybrid assay, we identified 3-hydroxy-3-methylglutaryl CoA reductase 1 (Mt HMGR1) as a NORK interacting partner. HMGR1 belongs to a multigene family in M. truncatula, and different HMGR isoforms are key enzymes in the mevalonate biosynthetic pathway leading to the production of a diverse array of isoprenoid compounds. Testing other HMGR members revealed a specific interaction between NORK and HMGR1. Mutagenesis and deletion analysis showed that this interaction requires the cytosolic active kinase domain of NORK and the cytosolic catalytic domain of HMGR1. NORK homologs from Lotus japonicus and Sesbania rostrata also interacted with Mt HMGR1, but homologous nonsymbiotic kinases of M. truncatula did not. Pharmacological inhibition of HMGR activities decreased nodule number and delayed nodulation, supporting the importance of the mevalonate pathway in symbiotic development. Decreasing HMGR1 expression in M. truncatula transgenic roots by RNA interference led to a dramatic decrease in nodulation, confirming that HMGR1 is essential for nodule development. Recruitment of HMGR1 by NORK could be required for production of specific isoprenoid compounds, such as cytokinins, phytosteroids, or isoprenoid moieties involved in modification of signaling proteins. PMID- 18156219 TI - An endoplasmic reticulum stress response in Arabidopsis is mediated by proteolytic processing and nuclear relocation of a membrane-associated transcription factor, bZIP28. AB - Stresses leading to the accumulation of misfolded proteins in the endoplasmic reticulum (ER) elicit a highly conserved ER stress response in plants called the unfolded protein response (UPR). While the response itself is well documented in plants, the components of the signaling pathway are less well known. We have identified three membrane-associated basic domain/leucine zipper (bZIP) factors in Arabidopsis thaliana that are candidates for ER stress sensors/transducers. One of these factors, bZIP28, an ER-resident transcription factor, is activated in response to treatment by tunicamycin (TM), an agent that blocks N-linked protein glycosylation. Following TM treatment, bZIP28 is processed, releasing its N-terminal, cytoplasm-facing domain, which is translocated to the nucleus. Expression of a truncated form of bZIP28, containing only the cytoplasmic domain of the protein, upregulated the expression of ER stress response genes in the absence of stress conditions. Thus, bZIP28 serves as a sensor/transducer in Arabidopsis to mediate ER stress responses related to UPR. PMID- 18156221 TI - Reducing the harms of alcohol in the UK. PMID- 18156222 TI - Combating poverty: the charade of development aid. PMID- 18156220 TI - Systemic and intracellular responses to photooxidative stress in Arabidopsis. AB - As the sun tracks daily through the sky from east to west, different parts of the canopy are exposed to high light (HL). The extent of and mechanisms by which a systemic acquired acclimation (SAA) response might preacclimate shaded leaves that will be subsequently exposed to full sunlight is largely undefined. We investigated the role of an Arabidopsis thaliana zinc finger transcription factor, ZAT10, in SAA. ZAT10 overexpression resulted in enhanced tolerance to photoinhibitory light and exogenous H2O2, increased expression of antioxidative genes whose products are targeted to multiple subcellular compartments. Partial HL exposure of a leaf or leaves rapidly induced ZAT10 mRNA in distal, shaded photosynthetic tissues, including the floral stem, cauline leaves, and rosette, but not in roots. Fully 86% of fivefold HL-upregulated and 71% of HL downregulated genes were induced and repressed, respectively, in distal, shaded leaves. Between 15 and 23% of genes whose expression changed in the HL and/or distal tissues were coexpressed in the ZAT10 overexpression plants, implicating ZAT10 in modulating the expression of SAA-regulated genes. The SAA response was detectable in plants with mutations in abscisic acid, methyl jasmonate, or salicylic acid synthesis or perception, and systemic H2O2 diffusion was not detected. Hence, SAA is distinct from pathogen-stimulated systemic acquired resistance and apparently involves a novel signal or combination of signals that preacclimate photosynthetic tissues to HL. PMID- 18156223 TI - Web 3.0 and medicine. PMID- 18156224 TI - Competing risks of mortality with marathons: retrospective analysis. AB - OBJECTIVE: To determine from a societal perspective the risk of sudden cardiac death associated with running in an organised marathon compared with the risk of dying from a motor vehicle crash that might otherwise have taken place if the roads had not been closed. DESIGN: Population based retrospective analysis with linked ecological comparisons of sudden death. SETTING: Marathons with at least 1000 participants that had two decades of history and were on public roads in the United States, 1975-2004. MAIN OUTCOME MEASURES: Sudden death attributed to cardiac causes or to motor vehicle trauma. RESULTS: The marathons provided results for 3,292,268 runners on 750 separate days encompassing about 14 million hours of exercise. There were 26 sudden cardiac deaths observed, equivalent to a rate of 0.8 per 100,000 participants (95% confidence interval 0.5 to 1.1). Because of road closure, an estimated 46 motor vehicle fatalities were prevented, equivalent to a relative risk reduction of 35% (95% confidence interval 17% to 49%). The net reduction in sudden death during marathons amounted to a ratio of about 1.8 crash deaths saved for each case of sudden cardiac death observed (95% confidence interval: 0.7 to 3.8). The net reduction in total deaths could not be explained by re-routing traffic to other regions or days and was consistent across different parts of the country, decades of the century, seasons of the year, days of the week, degree of competition, and course difficulty. CONCLUSION: Organised marathons are not associated with an increase in sudden deaths from a societal perspective, contrary to anecdotal impressions fostered by news media. PMID- 18156225 TI - Effect of altitude on physiological performance: a statistical analysis using results of international football games. AB - OBJECTIVE: To assess the effect of altitude on match results and physiological performance of a large and diverse population of professional athletes. DESIGN: Statistical analysis of international football (soccer) scores and results. DATA RESOURCES: FIFA extensive database of 1460 football matches in 10 countries spanning over 100 years. RESULTS: Altitude had a significant (P<0.001) negative impact on physiological performance as revealed through the overall underperformance of low altitude teams when playing against high altitude teams in South America. High altitude teams score more and concede fewer goals with increasing altitude difference. Each additional 1000 m of altitude difference increases the goal difference by about half of a goal. The probability of the home team winning for two teams from the same altitude is 0.537, whereas this rises to 0.825 for a home team with an altitude difference of 3695 m (such as Bolivia v Brazil) and falls to 0.213 when the altitude difference is -3695 m (such as Brazil v Bolivia). CONCLUSIONS: Altitude provides a significant advantage for high altitude teams when playing international football games at both low and high altitudes. Lowland teams are unable to acclimatise to high altitude, reducing physiological performance. As physiological performance does not protect against the effect of altitude, better predictors of individual susceptibility to altitude illness would facilitate team selection. PMID- 18156226 TI - Champagne: the safer choice for celebrations. PMID- 18156227 TI - Comparison of energy expenditure in adolescents when playing new generation and sedentary computer games: cross sectional study. AB - OBJECTIVE: To compare the energy expenditure of adolescents when playing sedentary and new generation active computer games. DESIGN: Cross sectional comparison of four computer games. SETTING: Research laboratories. PARTICIPANTS: Six boys and five girls aged 13-15 years. Procedure Participants were fitted with a monitoring device validated to predict energy expenditure. They played four computer games for 15 minutes each. One of the games was sedentary (XBOX 360) and the other three were active (Wii Sports). MAIN OUTCOME MEASURE: Predicted energy expenditure, compared using repeated measures analysis of variance. RESULTS: Mean (standard deviation) predicted energy expenditure when playing Wii Sports bowling (190.6 (22.2) kJ/kg/min), tennis (202.5 (31.5) kJ/kg/min), and boxing (198.1 (33.9) kJ/kg/min) was significantly greater than when playing sedentary games (125.5 (13.7) kJ/kg/min) (P<0.001). Predicted energy expenditure was at least 65.1 (95% confidence interval 47.3 to 82.9) kJ/kg/min greater when playing active rather than sedentary games. CONCLUSIONS: Playing new generation active computer games uses significantly more energy than playing sedentary computer games but not as much energy as playing the sport itself. The energy used when playing active Wii Sports games was not of high enough intensity to contribute towards the recommended daily amount of exercise in children. PMID- 18156228 TI - "Did you see it? Where did it go?". PMID- 18156229 TI - Accuracy of comparing bone quality to chocolate bars for patient information purposes: observational study. AB - OBJECTIVE: To test whether standard information for patients using Crunchie and Aero chocolate bars to explain bone health and risk of fracture is robust. DESIGN: Observational study. SETTING: Domestic kitchen in rural west Wales. PARTICIPANTS: 10 Crunchie bars and 10 Aero bars. MAIN OUTCOME MEASURE: Fracture after falls from varying heights. RESULTS: Both Crunchie and Aero bars exhibited the same T and Z scores for bone density. Crunchie bars had a lower chocolate mass index than the Aero bars. Crunchie bars are more liable to fracture. CONCLUSIONS: Using Crunchie and Aero chocolate bars to explain bone structure to patients may be visually attractive but oversimplifies the situation. PMID- 18156230 TI - Dissent of the testis. PMID- 18156231 TI - Medical myths. PMID- 18156232 TI - Screening programme evaluation applied to airport security. PMID- 18156233 TI - Excuse me! PMID- 18156234 TI - Street slang and schizophrenia. PMID- 18156235 TI - Pimp my slang. PMID- 18156236 TI - Death messengers. PMID- 18156237 TI - Ghost in the machine? PMID- 18156239 TI - Classically intoxicated: correlations between quantity of alcohol consumed and alcohol related problems in a classical Greek text. PMID- 18156238 TI - Origins of magic: review of genetic and epigenetic effects. AB - OBJECTIVE: To assess the evidence for a genetic basis to magic. DESIGN: Literature review. SETTING: Harry Potter novels of J K Rowling. PARTICIPANTS: Muggles, witches, wizards, and squibs. INTERVENTIONS: Limited. MAIN OUTCOME MEASURES: Family and twin studies, magical ability, and specific magical skills. RESULTS: Magic shows strong evidence of heritability, with familial aggregation and concordance in twins. Evidence suggests magical ability to be a quantitative trait. Specific magical skills, notably being able to speak to snakes, predict the future, and change hair colour, all seem heritable. CONCLUSIONS: A multilocus model with a dominant gene for magic might exist, controlled epistatically by one or more loci, possibly recessive in nature. Magical enhancers regulating gene expressionmay be involved, combined with mutations at specific genes implicated in speech and hair colour such as FOXP2 and MCR1. PMID- 18156240 TI - Death delusion. PMID- 18156241 TI - The strange malady of Alessandro's uncle. PMID- 18156242 TI - The beautiful skull and Blumenbach's errors: the birth of the scientific concept of race. PMID- 18156243 TI - Public health activism: lessons from history? PMID- 18156244 TI - London's last remaining Georgian workhouse infirmary under threat. PMID- 18156245 TI - Enduring beliefs about effects of gassing in war: qualitative study. AB - OBJECTIVES: To discover the content of enduring beliefs held by first world war veterans about their experience of having been gassed. DESIGN: Collection and thematic analysis of written and reported statements from a sample of veterans about gassing. SUBJECTS: 103 veterans with a war pension. RESULTS: Twelve themes were identified, which were related to individual statements. The systemic nature of chemical weapons played a key part in ideas and beliefs about their capacity to cause enduring harm to health. Unlike shrapnel or a bullet that had a defined physical presence, gas had unseen effects within the body, while its capacity to cause damage was apparent from vesicant effects to skin and eyes. The terror inspired by chemical weapons also served to maintain memories of being gassed, while anti-gas measures were themselves disconcerting or a source of discomfort. CONCLUSIONS: Chronic symptoms and work difficulties maintained beliefs about the potency of chemical weapons. In the period after the war, gas continued to inspire popular revulsion and was associated with a sense of unfairness. PMID- 18156246 TI - Visiting times. PMID- 18156247 TI - Climate change--2057. PMID- 18156248 TI - Sex, aggression, and humour: responses to unicycling. PMID- 18156249 TI - Life after retirement. PMID- 18156250 TI - Function of a mycobacterial major facilitator superfamily pump requires a membrane-associated lipoprotein. AB - The lprG-Rv1410c operon is critical for the survival of Mycobacterium tuberculosis during infection, but very little is known about the functions of its proteins. LprG is a lipoprotein, and Rv1410c encodes the major facilitator superfamily small molecule transporter P55. P55 likely exports small molecules outside of the bacterial cell, but the function of LprG is unclear. A deletion of the homologous operon in Mycobacterium smegmatis is more susceptible to ethidium bromide, and drug resistance is restored by the intact operon from M. tuberculosis. The multidrug resistance pump inhibitor reserpine inhibits resistance to ethidium bromide in both wild-type M. smegmatis and the complemented mutant, suggesting that P55-mediated transport is responsible for drug resistance and that ethidium bromide is a novel substrate for P55. In addition to hypersensitivity to ethidium bromide, cells that lack the lprG Rv1410c operon display abnormal colony morphology and are defective for sliding motility, properties that suggest an alteration of cell wall composition. Strikingly, both ethidium bromide transport and normal cell surface properties require functional P55 and LprG, as neither alone is sufficient to restore function to the deletion mutant. Thus, P55 requires the cell surface lipoprotein for normal function. PMID- 18156251 TI - Ammonia-induced formation of an AmtB-GlnK complex is not sufficient for nitrogenase regulation in the photosynthetic bacterium Rhodobacter capsulatus. AB - A series of Rhodobacter capsulatus AmtB variants were created and assessed for effects on ammonia transport, formation of AmtB-GlnK complexes, and regulation of nitrogenase activity and NifH ADP-ribosylation. Confirming previous reports, H193 and H342 were essential for ammonia transport and the replacement of aspartate 185 with glutamate reduced ammonia transport. Several amino acid residues, F131, D334, and D335, predicted to be critical for AmtB activity, are shown here for the first time by mutational analysis to be essential for transport. Alterations of the C-terminal tail reduced methylamine transport, prevented AmtB-GlnK complex formation, and abolished nitrogenase switch-off and NifH ADP-ribosylation. On the other hand, D185E, with a reduced level of transport, was capable of forming an ammonium-induced complex with GlnK and regulating nitrogenase. This reinforces the notions that ammonia transport is not sufficient for nitrogenase regulation and that formation of an AmtB-GlnK complex is necessary for these processes. However, some transport-incompetent AmtB variants, i.e., F131A, H193A, and H342A, form ammonium-induced complexes with GlnK but fail to properly regulate nitrogenase. These results show that formation of an AmtB-GlnK complex is insufficient in itself for nitrogenase regulation and suggest that partial ammonia transport or occupation of the pore by ammonia is essential for this function. PMID- 18156252 TI - The target for the Pseudomonas putida Crc global regulator in the benzoate degradation pathway is the BenR transcriptional regulator. AB - Crc protein is a global regulator involved in catabolite repression control of several pathways for the assimilation of carbon sources in pseudomonads when other preferred substrates are present. In Pseudomonas putida cells growing exponentially in a complete medium containing benzoate, Crc strongly inhibits the expression of the benzoate degradation genes. These genes are organized into several transcriptional units. We show that Crc directly inhibits the expression of the peripheral genes that transform benzoate into catechol (the ben genes) but that its effect on genes corresponding to further steps of the pathway (the cat and pca genes of the central catechol and beta-ketoadipate pathways) is indirect, since these genes are not induced because the degradation intermediates, which act as inducers, are not produced. Crc inhibits the translation of target genes by binding to mRNA. The expression of the ben, cat, and pca genes requires the BenR, CatR, and PcaR transcriptional activators, respectively. Crc significantly reduced benABCD mRNA levels but did not affect those of benR. Crc bound to the 5' end of benR mRNA but not to equivalent regions of catR and pcaR mRNAs. A translational fusion of the benR and lacZ genes was sensitive to Crc, but a transcriptional fusion was not. We propose that Crc acts by reducing the translation of benR mRNA, decreasing BenR levels below those required for the full expression of the benABCD genes. This strategy provides great metabolic flexibility, allowing the hierarchical assimilation of different structurally related compounds that share a common central pathway by selectively regulating the entry of each substrate into the central pathway. PMID- 18156253 TI - Glycerate 2-kinase of Thermotoga maritima and genomic reconstruction of related metabolic pathways. AB - Members of a novel glycerate-2-kinase (GK-II) family were tentatively identified in a broad range of species, including eukaryotes and archaea and many bacteria that lack a canonical enzyme of the GarK (GK-I) family. The recently reported three-dimensional structure of GK-II from Thermotoga maritima (TM1585; PDB code 2b8n) revealed a new fold distinct from other known kinase families. Here, we verified the enzymatic activity of TM1585, assessed its kinetic characteristics, and used directed mutagenesis to confirm the essential role of the two active site residues Lys-47 and Arg-325. The main objective of this study was to apply comparative genomics for the reconstruction of metabolic pathways associated with GK-II in all bacteria and, in particular, in T. maritima. Comparative analyses of approximately 400 bacterial genomes revealed a remarkable variety of pathways that lead to GK-II-driven utilization of glycerate via a glycolysis/gluconeogenesis route. In the case of T. maritima, a three-step serine degradation pathway was inferred based on the tentative identification of two additional enzymes, serine-pyruvate aminotransferase and hydroxypyruvate reductase (TM1400 and TM1401, respectively), that convert serine to glycerate via hydroxypyruvate. Both enzymatic activities were experimentally verified, and the entire pathway was validated by its in vitro reconstitution. PMID- 18156254 TI - The intracellular pathogen Rhodococcus equi produces a catecholate siderophore required for saprophytic growth. AB - Little is known about the iron acquisition systems of the soilborne facultative intracellular pathogen Rhodococcus equi. We previously reported that expression of iupABC, encoding a putative siderophore ABC transporter system, is iron regulated and required for growth at low iron concentrations. Here we show that disruption of iupA leads to the concomitant accumulation of catecholates and a chromophore with absorption maxima at 341 and 528 nm during growth under iron replete conditions. In contrast, the wild-type strain produces these compounds only in iron-depleted medium. Disruption of iupU and iupS, encoding nonribosomal peptide synthetases, prevented growth of the corresponding R. equi SID1 and SID3 mutants at low iron concentrations. However, only R. equi SID3 did not produce the chromophore produced by the wild-type strain during growth at low iron concentrations. The phenotype of R. equi SID3, but not that of R. equi SID1, could be rescued by coculture with the wild type, allowing growth at low iron concentrations. This strongly suggests that the product of the iupS gene is responsible for the synthesis of a diffusible compound required for growth at low iron concentrations. Transcription of iupU was constitutive, but that of iupS was iron regulated, with an induction of 3 orders of magnitude during growth in iron depleted compared to iron-replete medium. Neither mutant was attenuated in vivo in a mouse infection model, indicating that the iupU- and iupS-encoded iron acquisition systems are primarily involved in iron uptake during saprophytic life. PMID- 18156255 TI - In situ growth rates and biofilm development of Pseudomonas aeruginosa populations in chronic lung infections. AB - The growth dynamics of bacterial pathogens within infected hosts are a fundamental but poorly understood feature of most infections. We have focused on the in situ distribution and growth characteristics of two prevailing and transmissible Pseudomonas aeruginosa clones that have caused chronic lung infections in cystic fibrosis (CF) patients for more than 20 years. We used fluorescence in situ hybridization (FISH) directly on sputum specimens to examine the spatial distribution of the infecting P. aeruginosa cells. Mucoid variants were present in sputum as cell clusters surrounded by an extracellular matrix, whereas nonmucoid variants were present mainly as dispersed cells. To obtain estimates of the growth rates of P. aeruginosa in CF lungs, we used quantitative FISH to indirectly measure growth rates of bacteria in sputum samples (reflecting the in vivo lung conditions). The concentration of rRNA in bacteria isolated from sputa was measured and correlated with the rRNA contents of the same bacteria growing in vitro at defined rates. The results showed that most cells were actively growing with doubling times of between 100 and 200 min, with some growing even faster. Only a small stationary-phase subpopulation seemed to be present in sputa. This was found for both mucoid and nonmucoid variants despite their different organizations in sputum. The results suggest that the bacterial population may be confronted with selection forces that favor optimized growth activities. This scenario constitutes a new perspective on the adaptation and evolution of P. aeruginosa during chronic infections in CF patients in particular and on long-term infections in general. PMID- 18156256 TI - lfnA from Pseudomonas aeruginosa O12 and wbuX from Escherichia coli O145 encode membrane-associated proteins and are required for expression of 2,6-dideoxy-2 acetamidino-L-galactose in lipopolysaccharide O antigen. AB - The rare sugar 2,6-dideoxy-2-acetamidino-L-galactose (L-FucNAm) is found only in bacteria and is a component of cell surface glycans in a number of pathogenic species, including the O antigens of Pseudomonas aeruginosa serotype O12 and Escherichia coli O145. P. aeruginosa is an important opportunistic pathogen, and the O12 serotype is associated with multidrug-resistant epidemic outbreaks. O145 is one of the classic non-O157 serotypes associated with Shiga toxin-producing, enterohemorrhagic E. coli. The acetamidino (NAm) moiety of L-FucNAm is of interest, because at neutral pH it contributes a positive charge to the cell surface, and we aimed to characterize the biosynthesis of this functional group. The pathway is not known, but expression of NAm-modified sugars coincides with the presence of a pseA homologue in the relevant biosynthetic locus. PseA is a putative amidotransferase required for synthesis of a NAm-modified sugar in Campylobacter jejuni. In P. aeruginosa O12 and E. coli O145, the pseA homologues are lfnA and wbuX, respectively, and we hypothesized that these genes function in L-FucNAm biosynthesis. Sodium dodecyl sulfate-polyacrylamide gel electrophoresis, Western blotting, and nuclear magnetic resonance analysis of the lfnA mutant O antigen structure indicated that the mutant expresses 2,6-dideoxy-2-acetamido-L galactose (L-FucNAc) in place of L-FucNAm. The mutation could be complemented by expression of either His(6)-tagged lfnA or wbuX in trans, confirming that these genes are functional homologues and that they are required for NAm moiety synthesis. Both proteins retained their activity when fused to a His(6) tag and localized to the membrane fraction. These data will assist future biochemical investigation of this pathway. PMID- 18156257 TI - Pseudomonas syringae BetT is a low-affinity choline transporter that is responsible for superior osmoprotection by choline over glycine betaine. AB - The plant pathogen Pseudomonas syringae derives better osmoprotection from choline than from glycine betaine, unlike most bacteria that have been characterized. In this report, we identified a betaine/carnitine/choline family transporter (BCCT) in P. syringae pv. tomato strain DC3000 that mediates the transport of choline and acetylcholine. This transporter has a particularly low affinity (K(m) of 876 microM) and high capacity (V(max) of 80 nmol/min/mg of protein) for choline transport relative to other known BCCTs. Although BetT activity increased in response to hyperosmolarity, BetT mediated significant uptake under low-osmolarity conditions, suggesting a role in transport for both osmoprotection and catabolism. Growth studies with mutants deficient in BetT and other choline transporters demonstrated that BetT was responsible for the superior osmoprotection conferred to P. syringae by choline over glycine betaine when these compounds were provided at high concentrations (>100 microM). These results suggest that P. syringae has evolved to survive in relatively choline rich habitats, a prediction that is supported by the common association of P. syringae with plants and the widespread production of choline, but genus- and species-specific production of glycine betaine, by plants. Among the three putative BCCT family transporters in Pseudomonas aeruginosa and six in Pseudomonas putida, different transporters were predicted to function based on similarity to Escherichia coli BetT than to P. syringae BetT. Functional P. putida and P. aeruginosa transporters were identified, and their possession of a long C-terminal tail suggested an osmoregulatory function for this tail; this function was confirmed for P. syringae BetT using deletion derivatives. PMID- 18156259 TI - Altered utilization of N-acetyl-D-galactosamine by Escherichia coli O157:H7 from the 2006 spinach outbreak. AB - In silico analyses of previously sequenced strains of Escherichia coli O157:H7, EDL933 and Sakai, localized the gene cluster for the utilization of N-acetyl-D galactosamine (Aga) and D-galactosamine (Gam). This gene cluster encodes the Aga phosphoenolpyruvate:carbohydrate phosphotransferase system (PTS) and other catabolic enzymes responsible for transport and catabolism of Aga. As the complete coding sequences for enzyme IIA (EIIA)(Aga/Gam), EIIB(Aga), EIIC(Aga), and EIID(Aga) of the Aga PTS are present, E. coli O157:H7 strains normally are able to utilize Aga as a sole carbon source. The Gam PTS complex, in contrast, lacks EIIC(Gam), and consequently, E. coli O157:H7 strains cannot utilize Gam. Phenotypic analyses of 120 independent isolates of E. coli O157:H7 from our culture collection revealed that the overwhelming majority (118/120) displayed the expected Aga+ Gam- phenotype. Yet, when 194 individual isolates, derived from a 2006 spinach-associated E. coli O157:H7 outbreak, were analyzed, all (194/194) displayed an Aga- Gam- phenotype. Comparison of aga/gam sequences from two spinach isolates with those of EDL933 and Sakai revealed a single nucleotide change (G:C-->A:T) in the agaF gene in the spinach-associated isolates. The base substitution in agaF, which encodes EIIA(Aga/Gam) of the PTS, changes a conserved glycine residue to serine (Gly91Ser). Pyrosequencing of this region showed that all spinach-associated E. coli O157:H7 isolates harbored this same G:C-->A:T substitution. Notably, when agaF+ was cloned into an expression vector and transformed into six spinach isolates, all (6/6) were able to grow on Aga, thus demonstrating that the Gly91Ser substitution underlies the Aga- phenotype in these isolates. PMID- 18156258 TI - Role of accessory DNA polymerases in DNA replication in Escherichia coli: analysis of the dnaX36 mutator mutant. AB - The dnaX36(TS) mutant of Escherichia coli confers a distinct mutator phenotype characterized by enhancement of transversion base substitutions and certain (-1) frameshift mutations. Here, we have further investigated the possible mechanism(s) underlying this mutator effect, focusing in particular on the role of the various E. coli DNA polymerases. The dnaX gene encodes the tau subunit of DNA polymerase III (Pol III) holoenzyme, the enzyme responsible for replication of the bacterial chromosome. The dnaX36 defect resides in the C-terminal domain V of tau, essential for interaction of tau with the alpha (polymerase) subunit, suggesting that the mutator phenotype is caused by an impaired or altered alpha tau interaction. We previously proposed that the mutator activity results from aberrant processing of terminal mismatches created by Pol III insertion errors. The present results, including lack of interaction of dnaX36 with mutM, mutY, and recA defects, support our assumption that dnaX36-mediated mutations originate as errors of replication rather than DNA damage-related events. Second, an important role is described for DNA Pol II and Pol IV in preventing and producing, respectively, the mutations. In the system used, a high fraction of the mutations is dependent on the action of Pol IV in a (dinB) gene dosage-dependent manner. However, an even larger but opposing role is deduced for Pol II, revealing Pol II to be a major editor of Pol III mediated replication errors. Overall, the results provide insight into the interplay of the various DNA polymerases, and of tau subunit, in securing a high fidelity of replication. PMID- 18156261 TI - Genetic evidence for the actin homolog gene mreBH and the bacitracin resistance gene bcrC as targets of the alternative sigma factor SigI of Bacillus subtilis. AB - The Bacillus subtilis sigI gene, which is a member of the class VI heat shock genes of the B. subtilis heat shock stimulon, encodes an alternative sigma factor whose regulon is poorly defined. In this study, by using a binary vector system, we showed that B. subtilis SigI could drive expression of a transcriptional fusion between the sigI regulatory region from Bacillus licheniformis, Bacillus sp. strain NRRL B-14911, B. subtilis, or Bacillus thuringiensis and the xylE reporter gene in B. subtilis. The transcriptional initiation sites of these fusions in B. subtilis were mapped by primer extension analyses. A putative consensus promoter sequence probably recognized by the B. subtilis SigI was thus deduced. Using a consensus sequence-based search procedure, we found putative sigmaI promoters preceding the actin homolog gene mreBH and the bacitracin resistance gene bcrC of B. subtilis. Overexpression of the B. subtilis sigI gene could specifically stimulate expression of both an mreBH promoter region-bgaB fusion and a bcrC promoter region-bgaB fusion. Expression of these two fusions at the amyE locus of the B. subtilis chromosome was heat inducible and SigI dependent as revealed by sigI gene disruption experiments. Primer extension analysis showed that the identified mreBH and bcrC transcriptional start sites were at appropriate distances from their sigmaI promoter elements. This further supports the notion that SigI can directly regulate mreBH and bcrC expression. Taken together, these results strongly suggest that mreBH and bcrC are new members of the SigI regulon. PMID- 18156260 TI - Transcriptome analysis of sorbic acid-stressed Bacillus subtilis reveals a nutrient limitation response and indicates plasma membrane remodeling. AB - The weak organic acid sorbic acid is a commonly used food preservative, as it inhibits the growth of bacteria, yeasts, and molds. We have used genome-wide transcriptional profiling of Bacillus subtilis cells during mild sorbic acid stress to reveal the growth-inhibitory activity of this preservative and to identify potential resistance mechanisms. Our analysis demonstrated that sorbic acid-stressed cells induce responses normally seen upon nutrient limitation. This is indicated by the strong derepression of the CcpA, CodY, and Fur regulon and the induction of tricarboxylic acid cycle genes, SigL- and SigH-mediated genes, and the stringent response. Intriguingly, these conditions did not lead to the activation of sporulation, competence, or the general stress response. The fatty acid biosynthesis (fab) genes and BkdR-regulated genes are upregulated, which may indicate plasma membrane remodeling. This was further supported by the reduced sensitivity toward the fab inhibitor cerulenin upon sorbic acid stress. We are the first to present a comprehensive analysis of the transcriptional response of B. subtilis to sorbic acid stress. PMID- 18156262 TI - The AraC-like transcriptional regulator DhbR is required for maximum expression of the 2,3-dihydroxybenzoic acid biosynthesis genes in Brucella abortus 2308 in response to iron deprivation. AB - Phenotypic evaluation of isogenic mutants derived from Brucella abortus 2308 indicates that the AlcR homolog DhbR (2,3-dihydroxybenzoic acid [2,3-DHBA] biosynthesis regulator) modulates the expression of the genes involved in 2,3 DHBA production, employing 2,3-DHBA or brucebactin as a coinducer. PMID- 18156263 TI - Staphylococcus aureus CodY negatively regulates virulence gene expression. AB - CodY is a global regulatory protein that was first discovered in Bacillus subtilis, where it couples gene expression to changes in the pools of critical metabolites through its activation by GTP and branched-chain amino acids. Homologs of CodY can be found encoded in the genomes of nearly all low-G+C gram positive bacteria, including Staphylococcus aureus. The introduction of a codY null mutation into two S. aureus clinical isolates, SA564 and UAMS-1, through allelic replacement, resulted in the overexpression of several virulence genes. The mutant strains had higher levels of hemolytic activity toward rabbit erythrocytes in their culture fluid, produced more polysaccharide intercellular adhesin (PIA), and formed more robust biofilms than did their isogenic parent strains. These phenotypes were associated with derepressed levels of RNA for the hemolytic alpha-toxin (hla), the accessory gene regulator (agr) (RNAII and RNAIII/hld), and the operon responsible for the production of PIA (icaADBC). These data suggest that CodY represses, either directly or indirectly, the synthesis of a number of virulence factors of S. aureus. PMID- 18156264 TI - LuxG is a functioning flavin reductase for bacterial luminescence. AB - The luxG gene is part of the lux operon of marine luminous bacteria. luxG has been proposed to be a flavin reductase that supplies reduced flavin mononucleotide (FMN) for bacterial luminescence. However, this role has never been established because the gene product has not been successfully expressed and characterized. In this study, luxG from Photobacterium leiognathi TH1 was cloned and expressed in Escherichia coli in both native and C-terminal His6-tagged forms. Sequence analysis indicates that the protein consists of 237 amino acids, corresponding to a subunit molecular mass of 26.3 kDa. Both expressed forms of LuxG were purified to homogeneity, and their biochemical properties were characterized. Purified LuxG is homodimeric and has no bound prosthetic group. The enzyme can catalyze oxidation of NADH in the presence of free flavin, indicating that it can function as a flavin reductase in luminous bacteria. NADPH can also be used as a reducing substrate for the LuxG reaction, but with much less efficiency than NADH. With NADH and FMN as substrates, a Lineweaver-Burk plot revealed a series of convergent lines characteristic of a ternary-complex kinetic model. From steady-state kinetics data at 4 degrees C pH 8.0, Km for NADH, Km for FMN, and kcat were calculated to be 15.1 microM, 2.7 microM, and 1.7 s(-1), respectively. Coupled assays between LuxG and luciferases from P. leiognathi TH1 and Vibrio campbellii also showed that LuxG could supply FMNH- for light emission in vitro. A luxG gene knockout mutant of P. leiognathi TH1 exhibited a much dimmer luminescent phenotype compared to the native P. leiognathi TH1, implying that LuxG is the most significant source of FMNH- for the luminescence reaction in vivo. PMID- 18156265 TI - Anaerobic metabolism of catechol by the denitrifying bacterium Thauera aromatica- a result of promiscuous enzymes and regulators? AB - The anaerobic metabolism of catechol (1,2-dihydroxybenzene) was studied in the betaproteobacterium Thauera aromatica that was grown with CO2 as a cosubstrate and nitrate as an electron acceptor. Based on different lines of evidence and on our knowledge of enzymes and genes involved in the anaerobic metabolism of other aromatic substrates, the following pathway is proposed. Catechol is converted to catechylphosphate by phenylphosphate synthase, which is followed by carboxylation by phenylphosphate carboxylase at the para position to the phosphorylated phenolic hydroxyl group. The product, protocatechuate (3,4-dihydroxybenzoate), is converted to its coenzyme A (CoA) thioester by 3-hydroxybenzoate-CoA ligase. Protocatechuyl-CoA is reductively dehydroxylated to 3-hydroxybenzoyl-CoA, possibly by 4-hydroxybenzoyl-CoA reductase. 3-Hydroxybenzoyl-CoA is further metabolized by reduction of the aromatic ring catalyzed by an ATP-driven benzoyl CoA reductase. Hence, the promiscuity of several enzymes and regulatory proteins may be sufficient to create the catechol pathway that is made up of elements of phenol, 3-hydroxybenzoate, 4-hydroxybenzoate, and benzoate metabolism. PMID- 18156266 TI - The LysR-type transcriptional regulator LeuO controls expression of several genes in Salmonella enterica serovar Typhi. AB - LeuO is a LysR-type transcriptional regulator that has been implicated in the bacterial stringent response and in the virulence of Salmonella. A genomic analysis with Salmonella enterica serovar Typhi revealed that LeuO is a positive regulator of OmpS1, OmpS2, AssT, and STY3070. In contrast, LeuO down-regulated the expression of OmpX, Tpx, and STY1978. Transcriptional fusions supported the positive and negative LeuO regulation. Expression of ompS1, assT, and STY3070 was induced in an hns mutant, consistent with the notion that H-NS represses these genes; transcriptional activity was lower for tpx and STY1978 in an hns background, suggesting that this global regulatory protein has a positive effect. In contrast, ompS2 and ompX expression appeared to be H-NS independent. LeuO specifically bound to the 5' intergenic regions of ompS2, assT, STY3070, ompX, and tpx, while it was not observed to bind to the promoter region of STY1978, suggesting that LeuO regulates in direct and indirect ways. In this work, a novel set of genes belonging to the LeuO regulon are described; interestingly, these genes are involved in a variety of biological processes, suggesting that LeuO is a global regulator in Salmonella. PMID- 18156267 TI - A common virulence plasmid in biotype 2 Vibrio vulnificus and its dissemination aided by a conjugal plasmid. AB - Strains of Vibrio vulnificus, a marine bacterial species pathogenic for humans and eels, are divided into three biotypes, and those virulent for eels are classified as biotype 2. All biotype 2 strains possess one or more plasmids, which have been shown to harbor the biotype 2-specific DNA sequences. In this study we determined the DNA sequences of three biotype 2 plasmids: pR99 (68.4 kbp) in strain CECT4999 and pC4602-1 (56.6 kb) and pC4602-2 (66.9 kb) in strain CECT4602. Plasmid pC4602-2 showed 92% sequence identity with pR99. Curing of pR99 from strain CECT4999 resulted in loss of resistance to eel serum and virulence for eels but had no effect on the virulence for mice, an animal model, and resistance to human serum. Plasmids pC4602-2 and pR99 could be transferred to the plasmid-cured strain by conjugation in the presence of pC4602-1, which was self transmissible, and acquisition of pC4602-2 restored the virulence of the cured strain for eels. Therefore, both pR99 and pC4602-2 were virulence plasmids for eels but not mice. A gene in pR99, which encoded a novel protein and had an equivalent in pC4602-2, was further shown to be essential, but not sufficient, for the resistance to eel serum and virulence for eels. There was evidence showing that pC4602-2 may form a cointegrate with pC4602-1. An investigation of six other biotype 2 strains for the presence of various plasmid markers revealed that they all harbored the virulence plasmid and four of them possessed the conjugal plasmid in addition. PMID- 18156268 TI - Genetic analysis of lipooligosaccharide core biosynthesis in Campylobacter jejuni 81-176. AB - We report isolation and characterization of Campylobacter jejuni 81-176 lgtF and galT lipooligosaccharide (LOS) core mutants. It has been suggested that the lgtF gene of C. jejuni encodes a two-domain glucosyltransferase that is responsible for the transfer of a beta-1,4-glucose residue on heptosyltransferase I (Hep I) and for the transfer of a beta-1,2-glucose residue on Hep II. A site-specific mutation in the lgtF gene of C. jejuni 81-176 resulted in expression of a truncated LOS, and complementation of the mutant in trans restored the core mobility to that of the wild type. Mass spectrometry and nuclear magnetic resonance of the truncated LOS confirmed the loss of two glucose residues, a beta 1,4-glucose on Hep I and a beta-1,2-glucose on Hep II. Mutation of another gene, galT, encoding a glycosyltransferase, which maps outside the region defined as the LOS biosynthetic locus in C. jejuni 81-176, resulted in loss of the beta (1,4)-galactose residue and all distal residues in the core. Both mutants invaded intestinal epithelial cells in vitro at levels comparable to the wild-type levels, in marked contrast to a deeper inner core waaC mutant. These studies have important implications for the role of LOS in the pathogenesis of Campylobacter mediated infection. PMID- 18156269 TI - Mutation at different sites in the Nostoc punctiforme cyaC gene, encoding the multiple-domain enzyme adenylate cyclase, results in different levels of infection of the host plant Blasia pusilla. AB - The filamentous cyanobacterium Nostoc punctiforme forms symbioses with plants. Disruption of the catalytic domain of the N. punctiforme adenylate cyclase (CyaC) significantly increased symbiotic competence, whereas reduced infectivity was observed in a mutant with a disruption close to the N terminus of CyaC. The total cellular cyclic AMP levels were significantly reduced in both mutants. PMID- 18156270 TI - RhaU of Rhizobium leguminosarum is a rhamnose mutarotase. AB - Of the nine genes comprising the L-rhamnose operon of Rhizobium leguminosarum, rhaU has not been assigned a function. The construction of a Delta rhaU strain revealed a growth phenotype that was slower than that of the wild-type strain, although the ultimate cell yields were equivalent. The transport of L-rhamnose into the cell and the rate of its phosphorylation were unaffected by the mutation. RhaU exhibits weak sequence similarity to the formerly hypothetical protein YiiL of Escherichia coli that has recently been characterized as an L rhamnose mutarotase. To characterize RhaU further, a His-tagged variant of the protein was prepared and subjected to mass spectrometry analysis, confirming the subunit size and demonstrating its dimeric structure. After crystallization, the structure was refined to a 1.6-A resolution to reveal a dimer in the asymmetric unit with a very similar structure to that of YiiL. Soaking a RhaU crystal with L rhamnose resulted in the appearance of beta-L-rhamnose in the active site. PMID- 18156271 TI - Localization and interactions of teichoic acid synthetic enzymes in Bacillus subtilis. AB - The thick wall of gram-positive bacteria is a polymer meshwork composed predominantly of peptidoglycan (PG) and teichoic acids, both of which have a critical function in maintenance of the structural integrity and the shape of the cell. In Bacillus subtilis 168 the major teichoic acid is covalently coupled to PG and is known as wall teichoic acid (WTA). Recently, PG insertion/degradation over the lateral wall has been shown to occur in a helical pattern. However, the spatial organization of WTA assembly and its relationship with cell shape and PG assembly are largely unknown. We have characterized the localization of green fluorescent protein fusions to proteins involved in several steps of WTA synthesis in B. subtilis: TagB, -F, -G, -H, and -O. All of these localized similarly to the inner side of the cytoplasmic membrane, in a pattern strikingly similar to that displayed by probes of nascent PG. Helix-like localization patterns are often attributable to the morphogenic cytoskeletal proteins of the MreB family. However, localization of the Tag proteins did not appear to be substantially affected by single disruption of any of the three MreB homologues of B. subtilis. Bacterial and yeast two-hybrid experiments revealed a complex network of interactions involving TagA, -B, -E, -F, -G, -H, and -O and the cell shape determinants MreC and MreD (encoded by the mreBCD operon and presumably involved in the spatial organization of PG synthesis). Taken together, our results suggest that, in B. subtilis at least, the synthesis and export of WTA precursors are mediated by a large multienzyme complex that may be associated with the PG-synthesizing machinery. PMID- 18156272 TI - Precise region and the character of the pathogenicity island in clinical Vibrio parahaemolyticus strains. AB - In this study, we determined the borders of the pathogenicity island in V. parahaemolyticus RIMD2210633 (Vp-PAI). Vp-PAI has features in common with Tn7 and other related elements at both terminal ends. Our findings indicate that the mobile element with a transposase which contains the DDE motif may have been involved in Vp-PAI formation. PMID- 18156273 TI - The bifunctional flavokinase/flavin adenine dinucleotide synthetase from Streptomyces davawensis produces inactive flavin cofactors and is not involved in resistance to the antibiotic roseoflavin. AB - Streptomyces davawensis synthesizes the antibiotic roseoflavin, one of the few known natural riboflavin analogs, and is roseoflavin resistant. It is thought that the endogenous flavokinase (EC 2.7.1.26)/flavin adenine dinucleotide (FAD) synthetase (EC 2.7.7.2) activities of roseoflavin-sensitive organisms are responsible for the antibiotic effect of roseoflavin, producing the inactive cofactors roseoflavin-5'-monophosphate (RoFMN) and roseoflavin adenine dinucleotide (RoFAD) from roseoflavin. To confirm this, the FAD-dependent Sus scrofa D-amino acid oxidase (EC 1.4.3.3) was tested with RoFAD as a cofactor and found to be inactive. It was hypothesized that a flavokinase/FAD synthetase (RibC) highly specific for riboflavin may be present in S. davawensis, which would not allow the formation of toxic RoFMN/RoFAD. The gene ribC from S. davawensis was cloned. RibC from S. davawensis was overproduced in Escherichia coli and purified. Analysis of the flavokinase activity of RibC revealed that the S. davawensis enzyme is not riboflavin specific (roseoflavin, kcat/Km = 1.7 10( 2) microM(-1) s(-1); riboflavin, kcat/Km = 7.5 10(-3) microM(-1) s(-1)). Similar results were obtained for RibC from the roseoflavin-sensitive bacterium Bacillus subtilis (roseoflavin, kcat/Km = 1.3 10(-2) microM(-1) s(-1); riboflavin, kcat/Km = 1.3 10(-2) microM(-1) s(-1)). Both RibC enzymes synthesized RoFAD and RoFMN. The functional expression of S. davawensis ribC did not confer roseoflavin resistance to a ribC-defective B. subtilis strain. PMID- 18156274 TI - Reinvestigation of the steady-state kinetics and physiological function of the soluble NiFe-hydrogenase I of Pyrococcus furiosus. AB - Pyrococcus furiosus has two types of NiFe-hydrogenases: a heterotetrameric soluble hydrogenase and a multimeric transmembrane hydrogenase. Originally, the soluble hydrogenase was proposed to be a new type of H2 evolution hydrogenase, because, in contrast to all of the then known NiFe-hydrogenases, the hydrogen production activity at 80 degrees C was found to be higher than the hydrogen consumption activity and CO inhibition appeared to be absent. NADPH was proposed to be the electron donor. Later, it was found that the membrane-bound hydrogenase exhibits very high hydrogen production activity sufficient to explain cellular H2 production levels, and this seems to eliminate the need for a soluble hydrogen production activity and therefore leave the soluble hydrogenase without a physiological function. Therefore, the steady-state kinetics of the soluble hydrogenase were reinvestigated. In contrast to previous reports, a low Km for H2 (approximately 20 microM) was found, which suggests a relatively high affinity for hydrogen. Also, the hydrogen consumption activity was 1 order of magnitude higher than the hydrogen production activity, and CO inhibition was significant (50% inhibition with 20 microM dissolved CO). Since the Km for NADP+ is approximately 37 microM, we concluded that the soluble hydrogenase from P. furiosus is likely to function in the regeneration of NADPH and thus reuses the hydrogen produced by the membrane-bound hydrogenase in proton respiration. PMID- 18156276 TI - Distinct roles for two CYP226 family cytochromes P450 in abietane diterpenoid catabolism by Burkholderia xenovorans LB400. AB - The 80-kb dit cluster of Burkholderia xenovorans LB400 encodes the catabolism of abietane diterpenoids. This cluster includes ditQ and ditU, predicted to encode cytochromes P450 (P450s) belonging to the poorly characterized CYP226A subfamily. Using proteomics, we identified 16 dit-encoded proteins that were significantly more abundant in LB400 cells grown on dehydroabietic acid (DhA) or abietic acid (AbA) than in succinate-grown cells. A key difference in the catabolism of DhA and AbA lies in the differential expression of the P450s; DitU was detected only in the AbA-grown cells, whereas DitQ was expressed both during growth on DhA and during growth on AbA. Analyses of insertion mutants showed that ditQ was required for growth on DhA, ditU was required for growth on AbA, and neither gene was required for growth on the central intermediate, 7-oxo-DhA. In cell suspension assays, patterns of substrate removal and metabolite accumulation confirmed the role of DitU in AbA transformation and the role of DitQ in DhA transformation. Spectral assays revealed that DitQ binds both DhA (dissociation constant, 0.98 +/ 0.01 microM) and palustric acid. Finally, DitQ transformed DhA to 7-hydroxy-DhA in vitro. These results demonstrate the distinct roles of the P450s DitQ and DitU in the transformation of DhA and AbA, respectively, to 7-oxo-DhA in a convergent degradation pathway. PMID- 18156275 TI - Large-scale transposon mutagenesis of Photobacterium profundum SS9 reveals new genetic loci important for growth at low temperature and high pressure. AB - Microorganisms adapted to piezopsychrophilic growth dominate the majority of the biosphere that is at relatively constant low temperatures and high pressures, but the genetic bases for the adaptations are largely unknown. Here we report the use of transposon mutagenesis with the deep-sea bacterium Photobacterium profundum strain SS9 to isolate dozens of mutant strains whose growth is impaired at low temperature and/or whose growth is altered as a function of hydrostatic pressure. In many cases the gene mutation-growth phenotype relationship was verified by complementation analysis. The largest fraction of loci associated with temperature sensitivity were involved in the biosynthesis of the cell envelope, in particular the biosynthesis of extracellular polysaccharide. The largest fraction of loci associated with pressure sensitivity were involved in chromosomal structure and function. Genes for ribosome assembly and function were found to be important for both low-temperature and high-pressure growth. Likewise, both adaptation to temperature and adaptation to pressure were affected by mutations in a number of sensory and regulatory loci, suggesting the importance of signal transduction mechanisms in adaptation to either physical parameter. These analyses were the first global analyses of genes conditionally required for low-temperature or high-pressure growth in a deep-sea microorganism. PMID- 18156277 TI - Transcriptional regulation of the Clostridium cellulolyticum cip-cel operon: a complex mechanism involving a catabolite-responsive element. AB - The cip-cel cluster of genes plays an important role in the catabolism of the substrate cellulose by Clostridium cellulolyticum. It encodes several key components of the cellulosomes, including the scaffolding protein CipC and the major cellulase Cel48F. All the genes of this cluster display linked transcription, focusing attention on the promoter upstream from the first gene, cipC. We analyzed the regulation of the cipC promoter using a transcriptional fusion approach. A single promoter is located between nucleotides -671 and -643 with respect to the ATG start codon, and the large mRNA leader sequence is processed at position -194. A catabolite-responsive element (CRE) 414 nucleotides downstream from the transcriptional start site has been shown to be involved in regulating this operon by a carbon catabolite repression mechanism. This CRE is thought to bind a CcpA-like regulator complexed with a P-Ser-Crh-like protein. Sequences surrounding the promoter sequence may also be involved in direct (sequence-dependent DNA curvature) or indirect (unknown regulator binding) regulation. PMID- 18156278 TI - Rapid identification and antimicrobial susceptibility testing reduce antibiotic use and accelerate pathogen-directed antibiotic use. AB - INTRODUCTION: Rapid bacterial identification and susceptibility tests can lead to earlier microbiological diagnosis and pathogen-directed, appropriate therapy. We studied whether accelerated diagnostics affected antibiotic use and patient outcomes. PATIENTS AND METHODS: A prospective randomized clinical trial was performed over a 2-year period. Inpatients were selected on the basis of a positive culture from normally sterile body fluids and randomly assigned to either a rapid intervention arm or the control arm. The intervention arm used the Vitek 2 automated identification and susceptibility testing device, combined with direct inoculation of blood cultures. In the control arm, the Vitek 1 system inoculated from subcultures was used. Follow-up was 4 weeks after randomization. RESULTS: A total of 1498 patients were randomized: 746 in the intervention arm and 752 in the control arm. For susceptibility testing, the rapid arm was 22 h faster than the control arm, and for identification, it was 13 h faster (P < 0.0001). In the rapid arm, antibiotic use was 6 defined daily doses lower per patient than in the control arm (P = 0.012). Whereas antibiotics were switched more in the rapid group on the day of randomization (P = 0.006), in the control group they were switched more on day two (P = 0.02). Mortality rates did not differ significantly between the two groups (17.6% versus 15.2%). CONCLUSIONS: While rapid bacterial identification and susceptibility testing led to earlier changes and a significant reduction in antibiotic use, they did not reduce mortality. PMID- 18156279 TI - Prevalence and characterization of macrolide-lincomycin-streptogramin B-resistant Staphylococcus aureus in Korean hospitals. PMID- 18156280 TI - Clinical impact of reducing routine susceptibility testing in chronic Pseudomonas aeruginosa infections in cystic fibrosis. AB - BACKGROUND Susceptibility testing results are not predictive of clinical response to antibiotic therapy in chronic Pseudomonas aeruginosa infections in cystic fibrosis (CF). We assessed the impact of reducing the number of routine susceptibility tests performed on clinical outcome in these cases. METHODS In June 2006, we introduced a protocol whereby susceptibility tests of P. aeruginosa isolates obtained from respiratory samples of people with CF were limited to those taken at the commencement of antibiotic therapy, when there was evidence of clinical failure or routinely if not tested in the previous 3 months. At all other times, isolates were identified and reported as normal but P. aeruginosa isolates were not subjected to susceptibility testing. RESULTS Over a 6 month period, P. aeruginosa was isolated on at least one occasion from 193 patients attending the Adult Cystic Fibrosis Unit. In this period, we reduced the number of routine susceptibility tests by 56% (from a projected 2231 tests on 872 samples to an actual 972 tests on 427 samples). We assessed the response to courses of intravenous antibiotic treatment administered during the 6 month study period in 2006 and for courses administered in the same patients during the same calendar months in 2005. No significant differences in median change of FEV1, FVC, C-reactive protein (CRP), white cell count, weight or duration of intravenous antibiotics were observed. The projected savings of this intervention were 3500 euros in consumables and 170 h (costed at 6500 euros) of laboratory staff time per annum, a total annual saving of 10,000 euros (6500 pounds sterling). CONCLUSIONS For CF units sending regular, routine sputum samples, a reduction in the number of susceptibility tests performed in cases of chronic P. aeruginosa infection can be carried out without impacting on short-term clinical outcomes. PMID- 18156281 TI - Association of circulating lactoferrin concentration and 2 nonsynonymous LTF gene polymorphisms with dyslipidemia in men depends on glucose-tolerance status. AB - BACKGROUND: Lactoferrin, an innate immune protein with antiinflammatory properties, shows considerable antiatherosclerosis activity in animal studies. We investigated the relationship between circulating lactoferrin, lactoferrin gene (LTF, lactotransferrin) polymorphisms, dyslipidemia, and vascular reactivity in the context of glucose-tolerance status in men. METHODS: We evaluated 2 nonsynonymous LTF polymorphisms (rs1126477 and rs1126478) and measured circulating lactoferrin concentrations by ELISA under nonstressed conditions in healthy Caucasian men (n = 188) and male patients with an altered glucose tolerance (n = 202). We also studied the association of lactoferrin concentration with vascular reactivity via high-resolution ultrasound analysis of the brachial artery in a subsample of study participants. RESULTS: Circulating lactoferrin concentration was inversely associated with fasting triglyceride concentration (r = -0.24; P = 0.001), body mass index (BMI) (r = -0.20; P = 0.007), waist-to-hip ratio (r = -0.35; P <0.001), and fasting glucose concentration (r = -0.18; P = 0.01), and directly correlated with HDL cholesterol concentration (r = 0.21; P = 0.004). Control AG heterozygotes for rs1126477 had significantly decreased fasting triglyceride concentrations (P = 0.001). Similarly, control individuals who were G carriers for rs1126478 had significantly lower fasting triglyceride concentrations (P = 0.044) and significantly higher HDL cholesterol concentrations (P = 0.028) than AA homozygotes. These associations remained significant after controlling for age, BMI, waist-to-hip ratio, fasting glucose concentration, smoking status, and alcohol intake. Circulating lactoferrin concentration was not significantly associated with endothelium-dependent vasodilatation (EDVD) in the individuals studied (n = 95); however, lactoferrin was positively associated with EDVD in obese participants with an altered glucose tolerance (r = 0.54; P = 0.04). CONCLUSIONS: We have identified associations among LTF polymorphisms, circulating lactoferrin concentration, fasting triglyceride concentration, and vascular reactivity in humans. PMID- 18156282 TI - Electric field-enhanced sensitivity of grafted ligands and receptors. AB - BACKGROUND: Particle-based agglutination tests consisting of receptors grafted to colloidal microparticles are useful for detecting small quantities of corresponding ligands of interest in fluid test samples, but detection limits of such tests are limited to a certain concentration and it is most desirable to lower the detection limits and to enhance the rate of recognition of ligands. METHODS: A mixture of receptor-coated colloidal microparticles and corresponding ligand was sandwiched between 2 indium tin oxide-coated glass plates. Electrohydrodynamic drag from an alternating-current electric field applied perpendicular to the plates increased the local concentration of the colloidal particles, improving the chances of ligand-receptor interaction and leading to the aggregation of the colloidal particles. RESULTS: With this technique the sensitivity of the ligand-receptor recognition was increased by a factor as large as 50. CONCLUSIONS: This method can improve the sensitivity of particle-based agglutination tests used in immunoassays and many other applications such as immunoprecipitation and chemical sniffing. PMID- 18156283 TI - C-reactive protein and all-cause mortality in a large hospital-based cohort. AB - BACKGROUND: C-reactive protein (CRP), an acute-phase protein, is a sensitive systemic marker of inflammation and acute-phase reactions. Testing CRP concentrations at hospital admission may provide information about disease risk and overall survival. METHODS: All first-ever transmittals to the department of medical and chemical laboratory diagnostics for determination of low-sensitivity CRP (n = 274 515, 44.5% male, median age 51 years) between January 1991 and July 2003 were included [median follow-up time: 4.4 years (interquartile range, 2.3 7.4 years)]. The primary endpoint was all-cause mortality. Multivariate Cox regression adjusted for sex and age was applied for analysis. RESULTS: Compared to individuals within the reference category (CRP <5 mg/L), hazard ratios (HR) for all-cause mortality increased from 1.4 (5-10 mg/L category) to 3.3 in the highest category (>80 mg/L, all P <0.001). CRP was associated with various causes of death. The relation of CRP to cancer death was stronger than to vascular death. Younger patients with increased CRP had relatively far worse outcome than older patients (maximal HR: < or =30 years: 6.7 vs >60 years: 1.7-3.7). Interestingly, both short- and long-term mortality were associated with increasing CRP concentrations (>80 mg/L: HR 22.8 vs 1.4). CONCLUSION: Measurement of low-sensitivity CRP at hospital admission allowed for the identification of patients at increased risk of unfavorable outcome. Our findings indicate that close attention should be paid to hospitalized patients with high CRP not only because of very substantial short-term risk, but also long-term excess risk, the basis for which needs to be determined. PMID- 18156284 TI - Prospective study of high-sensitivity C-reactive protein as a determinant of mortality: results from the MONICA/KORA Augsburg Cohort Study, 1984-1998. AB - BACKGROUND: C-reactive protein (CRP), an exquisitely sensitive systemic marker of inflammation, has emerged as an independent predictor of cardiovascular diseases (CVD). Because other chronic diseases are also associated with an inflammatory response, we sought to assess the association of high-sensitivity CRP (hsCRP) with total and cause-specific mortality in a large cohort of middle-aged men. METHODS: We measured hsCRP at baseline in 3620 middle-aged men, randomly drawn from 3 samples of the general population in the Augsburg area (Southern 0Germany) in 1984-85, 1989-90, and 1994-95. Outcome was defined as all deaths, fatal CVD, fatal coronary heart disease (CHD) including sudden cardiac deaths, and cancer deaths. RESULTS: During an average follow-up of 7.1 years, 408 deaths occurred (CVD 196, CHD 129, cancer 127). In multivariable Cox regression analysis, subjects with hsCRP >3 mg/L at baseline showed an almost 2-fold increased risk to die vs those with hsCRP <1 mg/L [hazard ratio (HR) 1.88, 95% CI 1.41-2.52]. HRs were 2.15 (95% CI 1.39-3.34) for fatal CVD, 1.74 (1.04-2.92) for fatal CHD, and 1.65 (1.01-2.68) for cancer mortality. In contrast, neither total nor HDL cholesterol significantly predicted all-cause or cancer mortality, and cholesterol had only modest effects on CVD mortality. CONCLUSIONS: Our results suggest that increased circulating hsCRP concentrations are associated with an increased risk of death from several widespread chronic diseases. Persistently increased hsCRP is a sensitive and valuable nonspecific indicator of an ongoing disease process that deserves serious and careful medical attention. PMID- 18156285 TI - Hyperinsulinism in infancy and childhood: when an insulin level is not always enough. AB - BACKGROUND: Hypoglycemia in infants and children can lead to seizures, developmental delay, and permanent brain damage. Hyperinsulinism (HI) is the most common cause of both transient and permanent disorders of hypoglycemia. HI is characterized by dysregulated insulin secretion, which results in persistent mild to severe hypoglycemia. The various forms of HI represent a group of clinically, genetically, and morphologically heterogeneous disorders. CONTENT: Congenital hyperinsulinism is associated with mutations of SUR-1 and Kir6.2, glucokinase, glutamate dehydrogenase, short-chain 3-hydroxyacyl-CoA dehydrogenase, and ectopic expression on beta-cell plasma membrane of SLC16A1. Hyperinsulinism can be associated with perinatal stress such as birth asphyxia, maternal toxemia, prematurity, or intrauterine growth retardation, resulting in prolonged neonatal hypoglycemia. Mimickers of hyperinsulinism include neonatal panhypopituitarism, drug-induced hypoglycemia, insulinoma, antiinsulin and insulin-receptor stimulating antibodies, Beckwith-Wiedemann Syndrome, and congenital disorders of glycosylation. Laboratory testing for hyperinsulinism may include quantification of blood glucose, plasma insulin, plasma beta-hydroxybutyrate, plasma fatty acids, plasma ammonia, plasma acylcarnitine profile, and urine organic acids. Genetic testing is available through commercial laboratories for genes known to be associated with hyperinsulinism. Acute insulin response (AIR) tests are useful in phenotypic characterization. Imaging and histologic tools are also available for diagnosing and classifying hyperinsulinism. The goal of treatment in infants with hyperinsulinism is to prevent brain damage from hypoglycemia by maintaining plasma glucose levels above 700 mg/L (70 mg/dL) through pharmacologic or surgical therapy. SUMMARY: The management of hyperinsulinism requires a multidisciplinary approach that includes pediatric endocrinologists, radiologists, surgeons, and pathologists who are trained in diagnosing, identifying, and treating hyperinsulinism. PMID- 18156286 TI - Blastocystis ratti contains cysteine proteases that mediate interleukin-8 response from human intestinal epithelial cells in an NF-kappaB-dependent manner. AB - Blastocystis is a ubiquitous enteric protozoan found in the intestinal tracts of humans and a wide range of animals. Evidence accumulated over the last decade suggests association of Blastocystis with gastrointestinal disorders involving diarrhea, abdominal pain, constipation, nausea, and fatigue. Clinical and experimental studies have associated Blastocystis with intestinal inflammation, and it has been shown that Blastocystis has potential to modulate the host immune response. Blastocystis is also reported to be an opportunistic pathogen in immunosuppressed patients, especially those suffering from AIDS. However, nothing is known about the parasitic virulence factors and early events following host parasite interactions. In the present study, we investigated the molecular mechanism by which Blastocystis activates interleukin-8 (IL-8) gene expression in human colonic epithelial T84 cells. We demonstrate for the first time that cysteine proteases of Blastocystis ratti WR1, a zoonotic isolate, can activate IL 8 gene expression in human colonic epithelial cells. Furthermore, we show that NF kappaB activation is involved in the production of IL-8. In addition, our findings show that treatment with the antiprotozoal drug metronidazole can avert IL-8 production induced by B. ratti WR1. We also show for the first time that the central vacuole of Blastocystis may function as a reservoir for cysteine proteases. Our findings will contribute to an understanding of the pathobiology of a poorly studied parasite whose public health importance is increasingly recognized. PMID- 18156287 TI - Genome-wide analysis of sterol-lipid storage and trafficking in Saccharomyces cerevisiae. AB - The pandemic of lipid-related disease necessitates a determination of how cholesterol and other lipids are transported and stored within cells. The first step in this determination is the identification of the genes involved in these transport and storage processes. Using genome-wide screens, we identified 56 yeast (Saccharomyces cerevisiae) genes involved in sterol-lipid biosynthesis, intracellular trafficking, and/or neutral-lipid storage. Direct biochemical and cytological examination of mutant cells revealed an unanticipated link between secretory protein glycosylation and triacylglycerol (TAG)/steryl ester (SE) synthesis for the storage of lipids. Together with the analysis of other deletion mutants, these results suggested at least two distinct events for the biogenesis of lipid storage particles: a step affecting neutral-lipid synthesis, generating the lipid core of storage particles, and another step for particle assembly. In addition to the lipid storage mutants, we identified mutations that affect the localization of unesterified sterols, which are normally concentrated in the plasma membrane. These findings implicated phospholipase C and the protein phosphatase Ptc1p in the regulation of sterol distribution within cells. This study identified novel sterol-related genes that define several distinct processes maintaining sterol homeostasis. PMID- 18156288 TI - Regulation of Cryptococcus neoformans capsule size is mediated at the polymer level. AB - The fungal pathogen Cryptococcus neoformans regulates its polysaccharide capsule depending on environmental stimuli. To investigate whether capsule polymers change under different growth conditions, we analyzed shed capsules at physiological concentrations without physical perturbation. Our results indicate that regulation of capsule size is mediated at the level of individual polysaccharide molecules. PMID- 18156289 TI - A Botrytis cinerea emopamil binding domain protein, required for full virulence, belongs to a eukaryotic superfamily which has expanded in euascomycetes. AB - A previous transcriptomic analysis of 3,032 fungal genes identified the Botrytis cinerea PIE3 (BcPIE3) gene to be up-regulated early in planta (A. Gioti, A. Simon, P. Le Pecheur, C. Giraud, J. M. Pradier, M. Viaud, and C. Levis, J. Mol. Biol. 358:372-386, 2006). In the present study, BcPIE3 was disrupted in order to determine its implication in pathogenicity. BcPIE3 was shown to be a virulence factor, since the DeltaBcPIE3 mutant was blocked during the colonization of tomato and bean leaves, giving lesions reduced in size by at least 74%. Within the emopamil binding domain (EBD), BcPIE3 shows significant structural similarities to mammalian emopamil binding proteins (EBPs). Mammalian EBPs function as sterol isomerases, but an analysis of the sterol content and the results of growth inhibition experiments with the DeltaBcPIE3 strain indicated that BcPIE3 is dispensable for ergosterol biosynthesis. The systematic identification of EBD-containing proteins included in public databases showed that these proteins constitute a protein superfamily present only in eukaryotes. Phylogenetic analysis showed that the ancestral EBD-encoding gene was duplicated in the common ancestor of animals and fungi after the split from plants. Finally, we present evidence that the EBP phylogenetic clade of this superfamily has further expanded exclusively in euascomycetes, especially in B. cinerea, which contains three copies of the EBP gene. PMID- 18156290 TI - Cryptococcus neoformans capsular polysaccharide and exopolysaccharide fractions manifest physical, chemical, and antigenic differences. AB - The human pathogenic fungus Cryptococcus neoformans has a large polysaccharide (PS) capsule and releases copious amounts of PS into cultures and infected tissues. The capsular PS is a major virulence factor that can elicit protective antibody responses. PS recovered from culture supernatants has historically provided an ample and convenient source of material for structural and immunological studies. Two major assumptions in such studies are that the structural features of the exopolysaccharide material faithfully mirror those of capsular PS and that the isolation methods do not change PS properties. However, a comparison of exopolysaccharide made by two isolation techniques with capsular PS stripped from cells with gamma radiation or dimethyl sulfoxide revealed significant differences in glycosyl composition, mass, size, charge, viscosity, circular-dichroism spectra, and reactivity with monoclonal antibodies. Our results strongly suggest that exopolysaccharides and capsular PS are structurally different. A noteworthy finding was that PS made by cetyltrimethylammonium bromide precipitation had a larger mass and a different conformation than PS isolated by concentration and filtration, suggesting that the method most commonly used to purify glucuronoxylomannan alters the PS. Hence, the method used to isolate PS can significantly influence the structural and antigenic properties of the product. Our findings have important implications for current views of the relationship between capsular PS and exopolysaccharides, for the generation of PS preparations suitable for immunological studies, and for the formulation of PS based vaccines for the prevention of cryptococcosis. PMID- 18156291 TI - Protein kinase A, TOR, and glucose transport control the response to nutrient repletion in Saccharomyces cerevisiae. AB - Nutrient repletion leads to substantial restructuring of the transcriptome in Saccharomyces cerevisiae. The expression levels of approximately one-third of all S. cerevisiae genes are altered at least twofold when a nutrient-depleted culture is transferred to fresh medium. Several nutrient-sensing pathways are known to play a role in this process, but the relative contribution that each pathway makes to the total response has not been determined. To better understand this, we used a chemical-genetic approach to block the protein kinase A (PKA), TOR (target of rapamycin), and glucose transport pathways, alone and in combination. Of the three pathways, we found that loss of PKA produced the largest effect on the transcriptional response; however, many genes required both PKA and TOR for proper nutrient regulation. Those genes that did not require PKA or TOR for nutrient regulation were dependent on glucose transport for either nutrient induction or repression. Therefore, loss of these three pathways is sufficient to prevent virtually the entire transcriptional response to fresh medium. In the absence of fresh medium, activation of the cyclic AMP/PKA pathway does not induce cellular growth; nevertheless, PKA activation induced a substantial fraction of the PKA-dependent genes. In contrast, the absence of fresh medium strongly limited gene repression by PKA. These results account for the signals needed to generate the transcriptional responses to glucose, including induction of growth genes required for protein synthesis and repression of stress genes, as well as the classical glucose repression and hexose transporter responses. PMID- 18156292 TI - Role of heme in the antifungal activity of the azaoxoaporphine alkaloid sampangine. AB - Sampangine, a plant-derived alkaloid found in the Annonaceae family, exhibits strong inhibitory activity against the opportunistic fungal pathogens Candida albicans, Cryptococcus neoformans, and Aspergillus fumigatus. In the present study, transcriptional profiling experiments coupled with analyses of mutants were performed in an effort to elucidate its mechanism of action. Using Saccharomyces cerevisiae as a model organism, we show that sampangine produces a transcriptional response indicative of hypoxia, altering the expression of genes known to respond to low-oxygen conditions. Several additional lines of evidence obtained suggest that these responses could involve effects on heme. First, the hem1Delta mutant lacking the first enzyme in the heme biosynthetic pathway showed increased sensitivity to sampangine, and exogenously supplied hemin partially rescued the inhibitory activity of sampangine in wild-type cells. In addition, heterozygous mutants with deletions in genes involved in five out of eight steps in the heme biosynthetic pathway showed increased susceptibility to sampangine. Furthermore, spectral analyses of pyridine extracts indicated significant accumulation of free porphyrins in sampangine-treated cells. Transcriptional profiling experiments were also performed with C. albicans to investigate the response of a pathogenic fungal species to sampangine. Taking into account the known differences in the physiological responses of C. albicans and S. cerevisiae to low oxygen, significant correlations were observed between the two transcription profiles, suggestive of heme-related defects. Our results indicate that the antifungal activity of the plant alkaloid sampangine is due, at least in part, to perturbations in the biosynthesis or metabolism of heme. PMID- 18156293 TI - Arabidopsis genes AS1, AS2, and JAG negatively regulate boundary-specifying genes to promote sepal and petal development. AB - Boundary formation is crucial for organ development in multicellular eukaryotes. In higher plants, boundaries that separate the organ primordia from their surroundings have relatively low rates of cell proliferation. This cellular feature is regulated by the actions of certain boundary-specifying genes, whose ectopic expression in organs can cause inhibition of organ growth. Here, we show that the Arabidopsis thaliana ASYMMETRIC LEAVES1 and 2 (AS1 and AS2) and JAGGED (JAG) genes function in the sepal and petal primordia to repress boundary specifying genes for normal development of the organs. Loss-of-function as1 jag and as2 jag double mutants produced extremely tiny sepals and petals. Analysis of a cell-cycle marker HISTONE4 revealed that cell division in sepal primordia of the double mutant was inhibited. Moreover, these abnormal sepals and petals exhibited ectopic overexpression of the boundary-specifying genes PETAL LOSS (PTL) and CUP-SHAPED COTYLEDON1 [corrected] and 2 (CUC1 and CUC2). Loss of PTL or CUC1 and CUC2 functions in the as1 jag background could partially rescue the tiny sepal and petal phenotypes, supporting the model that the tiny sepal/petal phenotypes are caused, at least in part, by ectopic expression of boundary specifying genes. Together, our data reveal a previously unrecognized fundamental regulation by which AS1, AS2, and JAG act to define sepal and petal from their boundaries. PMID- 18156294 TI - Dual targeting of Arabidopsis holocarboxylase synthetase1: a small upstream open reading frame regulates translation initiation and protein targeting. AB - Protein biotinylation is an original and very specific posttranslational modification, compartmented in plants, between mitochondria, plastids, and the cytosol. This reaction modifies and activates few carboxylases committed in key metabolisms and is catalyzed by holocarboxylase synthetase (HCS). The molecular bases of this complex compartmentalization and the relative function of each of the HCS genes, HCS1 and HCS2, identified in Arabidopsis (Arabidopsis thaliana) are mainly unknown. Here, we showed by reverse genetics that the HCS1 gene is essential for plant viability, whereas disruption of the HCS2 gene in Arabidopsis does not lead to any obvious phenotype when plants are grown under standard conditions. These findings strongly suggest that HCS1 is the only protein responsible for HCS activity in Arabidopsis cells, including the cytosolic, mitochondrial, and plastidial compartments. A closer study of HCS1 gene expression enabled us to propose an original mechanism to account for this multiplicity of localizations. Located in the HCS1 messenger RNA 5'-untranslated region, an upstream open reading frame regulates the translation initiation of HCS1 and the subsequent targeting of HCS1 protein. Moreover, an exquisitely precise alternative splicing of HCS1 messenger RNA can regulate the presence and absence of this upstream open reading frame. The existence of these complex and interdependent mechanisms creates a rich molecular platform where different parameters and factors could control HCS targeting and hence biotin metabolism. PMID- 18156295 TI - Evolutionary radiation pattern of novel protein phosphatases revealed by analysis of protein data from the completely sequenced genomes of humans, green algae, and higher plants. AB - In addition to the major serine/threonine-specific phosphoprotein phosphatase, Mg(2+)-dependent phosphoprotein phosphatase, and protein tyrosine phosphatase families, there are novel protein phosphatases, including enzymes with aspartic acid-based catalysis and subfamilies of protein tyrosine phosphatases, whose evolutionary history and representation in plants is poorly characterized. We have searched the protein data sets encoded by the well-finished nuclear genomes of the higher plants Arabidopsis (Arabidopsis thaliana) and Oryza sativa, and the latest draft data sets from the tree Populus trichocarpa and the green algae Chlamydomonas reinhardtii and Ostreococcus tauri, for homologs to several classes of novel protein phosphatases. The Arabidopsis proteins, in combination with previously published data, provide a complete inventory of known types of protein phosphatases in this organism. Phylogenetic analysis of these proteins reveals a pattern of evolution where a diverse set of protein phosphatases was present early in the history of eukaryotes, and the division of plant and animal evolution resulted in two distinct sets of protein phosphatases. The green algae occupy an intermediate position, and show similarity to both plants and animals, depending on the protein. Of specific interest are the lack of cell division cycle (CDC) phosphatases CDC25 and CDC14, and the seeming adaptation of CDC14 as a protein interaction domain in higher plants. In addition, there is a dramatic increase in proteins containing RNA polymerase C-terminal domain phosphatase-like catalytic domains in the higher plants. Expression analysis of Arabidopsis phosphatase genes differentially amplified in plants (specifically the C-terminal domain phosphatase-like phosphatases) shows patterns of tissue-specific expression with a statistically significant number of correlated genes encoding putative signal transduction proteins. PMID- 18156296 TI - Salicylic acid and systemic acquired resistance play a role in attenuating crown gall disease caused by Agrobacterium tumefaciens. AB - We investigated the effects of salicylic acid (SA) and systemic acquired resistance (SAR) on crown gall disease caused by Agrobacterium tumefaciens. Nicotiana benthamiana plants treated with SA showed decreased susceptibility to Agrobacterium infection. Exogenous application of SA to Agrobacterium cultures decreased its growth, virulence, and attachment to plant cells. Using Agrobacterium whole-genome microarrays, we characterized the direct effects of SA on bacterial gene expression and showed that SA inhibits induction of virulence (vir) genes and the repABC operon, and differentially regulates the expression of many other sets of genes. Using virus-induced gene silencing, we further demonstrate that plant genes involved in SA biosynthesis and signaling are important determinants for Agrobacterium infectivity on plants. Silencing of ICS (isochorismate synthase), NPR1 (nonexpresser of pathogenesis-related gene 1), and SABP2 (SA-binding protein 2) in N. benthamiana enhanced Agrobacterium infection. Moreover, plants treated with benzo-(1,2,3)-thiadiazole-7-carbothioic acid, a potent inducer of SAR, showed reduced disease symptoms. Our data suggest that SA and SAR both play a major role in retarding Agrobacterium infectivity. PMID- 18156300 TI - Diabetic nephropathy: mechanisms of renal disease progression. AB - Diabetic nephropathy is characterized by excessive amassing of extracellular matrix (ECM) with thickening of glomerular and tubular basement membranes and increased amount of mesangial matrix, which ultimately progress to glomerulosclerosis and tubulo-interstitial fibrosis. In view of this outcome, it would mean that all the kidney cellular elements, i.e., glomerular endothelia, mesangial cells, podocytes, and tubular epithelia, are targets of hyperglycemic injury. Conceivably, high glucose activates various pathways via similar mechanisms in different cell types of the kidney except for minor exceptions that are related to the selective expression of a given molecule in a particular renal compartment. To begin with, there is an obligatory excessive channeling of glucose intermediaries into various metabolic pathways with generation of advanced glycation products (AGEs), activation of protein kinase C (PKC), increased expression of transforming growth factor-beta (TGF-beta), GTP-binding proteins, and generation of reactive oxygen species (ROS). The ROS seem to be the common denominator in various pathways and are central to the pathogenesis of hyperglycemic injury. In addition, there are marked alterations in intraglomerular hemodynamics, i.e., hyperfiltration, and this along with metabolic derangements adversely compounds the hyperglycemia-induced injury. Here, the information compiled under various subtitles of this article is derived from an enormous amount of data summarized in several excellent literature reviews, and thus their further reading is suggested to gain in-depth knowledge of each of the subject matter. PMID- 18156301 TI - 5'-AMP-activated protein kinase signaling in Caenorhabditis elegans. AB - 5'-AMP-activated protein kinase (AMPK) has been called "the metabolic master switch" because of its central role in regulating fuel homeostasis. AMPK, a heterotrimeric serine/threonine protein kinase composed of alpha, beta, and gamma subunits, is activated by upstream kinases and by 5'-AMP in response to various nutritional and stress signals. Downstream effects include regulation of metabolism, protein synthesis, cell growth, and mediation of the actions of a number of hormones, including leptin. However, AMPK research represents a young and growing field; hence, there are many unanswered questions regarding the control and action of AMPK. This review presents evidence for the existence of AMPK signaling pathways in Caenorhabditis elegans, a genetically tractable model organism that has yet to be fully exploited to elucidate AMPK signaling mechanisms. PMID- 18156302 TI - Nuclear factor-kappaB activation: from bench to bedside. AB - Nuclear factor-kappaB (NF-kappaB) is a proinflammatory transcription factor that has emerged as an important player in the development and progression of malignant cancers. NF-kappaB targets genes that promote tumor cell proliferation, survival, metastasis, inflammation, invasion, and angiogenesis. Constitutive or aberrant activation of NF-kappa is frequently encountered in many human tumors and is associated with a resistant phenotype and poor prognosis. The mechanism of such persistent NF-kappaB activation is not clear but may involve defects in signaling pathways, mutations, or chromosomal rearrangements. Suppression of constitutive NF-kappaB activation inhibits the oncogenic potential of transformed cells and thus makes NF-kappaB an interesting new therapeutic target in cancer. PMID- 18156303 TI - Angiotensin-converting enzyme gene polymorphism is associated with anemia in non small-cell lung cancer. AB - The angiotensin-converting enzyme (ACE) plays an important role not only in the regulation of vascular homeostasis but also in stimulation of hematopoiesis. We aimed to evaluate the association between insertion/deletion (I/D) polymorphism of the ACE gene and anemia at the time of the diagnosis. We enrolled 75 patients with non-small-cell lung cancer (NSCLC) and 85 age- and sex-matched healthy control participants. The I/D polymorphism of ACE was identified by using polymerase chain reaction from peripheral blood samples. Statistical analyses were performed with SPSS for Windows. The distributions of the ACE genotypes and alleles are similar in patients and in healthy participants (P=0.29 and P=0.08, respectively). In patients with NSCLC, 34 (45.3%) had anemia; of whom 3 (8.8%) had genotype II, 24 (70.6%) had genotype ID, and 7 (20.6%) had genotype DD (P=0.001). The patients with the II and ID genotypes had more frequent anemia at the time of the diagnosis (odds ratio = 6.02; P=0.001). Our findings suggest that I/D polymorphism of the ACE gene may influence the development of anemia in patients with NSCLC. PMID- 18156304 TI - Moderately high folic acid supplementation exacerbates experimentally induced liver fibrosis in rats. AB - Under certain clinical circumstances, folic acid can have undesirable effects. We investigated the following: (i) the effects of moderately high folic acid supplementation on the course of liver impairment in CCl(4)-treated rats and (ii) the influence of folic acid supplements on the hepatic recovery following the interruption of the CCl(4)-induced toxic injury. Four experimental groups of rats were used: CCl(4)-treated rats (0.5 ml of CCl(4) twice a week i.p.) fed standard chow for up to 12 weeks (Group A); treated rats fed chow supplemented with 25 mg/kg folic acid from weeks 6 to 12 (Group B); treated rats fed a standard diet but with CCl(4) discontinued after 6 weeks to allow for tissue recovery over 4 weeks (Group C); rats as Group C but fed a diet supplemented with 25 mg/kg folic acid from weeks 6 to 10 (Group D). Liver and blood samples were obtained for biochemical, histological, and gene expression analyses. Animals that received the supplement had a higher content of collagen, activated stellate cells, and apoptotic parenchymal cells in biopsy tissue at weeks 8 and 10 of treatment and more extensive alterations in serum albumin and bilirubin concentrations (Group B vs. Group A). In some of the time periods analyzed, alterations were observed in the expression of genes related to apoptosis (B-cell leukemia/lymphoma 2, inhibitor of apoptosis 2) and to fibrosis (procollagen I, matrix metalloproteinase 7). In the recovery period (Groups C and D), folic acid administration was associated with increased hepatic inflammation and apoptosis and with a decrease in the tissue inhibitor of metalloproteinase-3 expression following 1 week of recovery. We conclude that folic acid administration aggravates the development of fibrosis in CCl(4)-treated rats. Follow-up studies are needed to determine whether folic acid treatment would be contraindicated in patients with chronic liver diseases. PMID- 18156305 TI - Suppression of intestinal mucosal apoptosis by ghrelin in fasting rats. AB - Ghrelin is mainly produced in the stomach and has several physiologic functions. The aim of this study was to investigate whether ghrelin regulates apoptosis in the small intestinal mucosa of fasting rats. Intestinal mucosal apoptosis was evaluated as the percentage of fragmented DNA, villus height, and terminal deoxynucleotidyl transferase-mediated dUDP-biotin nick end-labeling (TUNEL) staining and by Western blot analysis of caspase-3 in 48-hr fasting rats. Crypt cell proliferation was evaluated by counting the number of 5-bromo-2-deoxyuridine (BrdU) positive cells. Ghrelin was administered intraperitoneally at dosages of 2.5, 25, and 250 microg/kg per 48 hrs by continuous infusion via an Alzet micro osmotic pump or injections at 12-hr intervals. Ghrelin was also infused in rats that underwent truncal vagotomy. The lowest dosage of ghrelin (2.5 microg/kg per 48 hrs) was administered into the third cerebroventricle. Ghrelin treatment attenuated the percentage of fragmented DNA in the small intestinal mucosa in 48 hr fasting rats in a dose-dependent manner. Continuous infusion of ghrelin and injections of ghrelin at 12-hr intervals suppressed intestinal apoptosis almost equally. This effect on apoptosis was not attenuated by truncal vagotomy. Cerebroventricular infusion of ghrelin also attenuated intestinal apoptosis. The antiapoptotic effect of ghrelin was confirmed by decreased TUNEL staining, recovery of the villus height, and decreased expression of caspase-3. BrdU uptake indicated that ghrelin enhanced cell proliferation in the intestinal crypt. Taken together, these data indicate that ghrelin enhanced intestinal growth with the suppression of small intestinal mucosal apoptosis in 48-hr fasting rats, suggesting that ghrelin controls intestinal function through the regulation of intestinal apoptosis. PMID- 18156306 TI - Neonatal low-protein diet changes deiodinase activities and pituitary TSH response to TRH in adult rats. AB - Protein malnutrition during neonatal programs for a lower body weight and hyperthyroidism in the adult offspring were analyzed. Liver deiodinase is increased in such animals, contributing to the high serum triiodothyronine (T3) levels. The level of deiodinase activities in other tissues is unknown. We analyzed the effect of maternal protein restriction during lactation on thyroid, skeletal muscle, and pituitary deiodinase activities in the adult offspring. For pituitary evaluation, we studied the in vitro, thyrotropin-releasing hormone (TRH)-stimulated thyroid-stimulating hormone (TSH) secretion. Lactating Wistar rats and their pups were divided into a control (C) group, fed a normal diet (23% protein), and a protein-restricted (PR) group, fed a diet containing 8% protein. At weaning, pups in both groups were fed a normal diet until 180 days old. The pituitary gland was incubated before and after TRH stimulation, and released TSH was measured by radioimmunoassay. Deiodinase activities (D1 and D2) were determined by release of (125)I from [(125)I]reverse triiodothyronine (rT3). Maternal protein malnutrition during lactation programs the adult offspring for lower muscle D2 (-43%, P<0.05) and higher muscle D1 (+83%, P<0.05) activities without changes in thyroidal deiodinase activities, higher pituitary D2 activity (1.5 times, P<0.05), and lower TSH response to in vitro TRH (-56%, P<0.05). The evaluations showed that the lower in vivo TSH detected in adult PR hyperthyroid offspring, programmed by neonatal undernutrition, may be caused by an increment of pituitary deiodination. As described for liver, higher skeletal muscle D1 activity suggests a hyperthyroid status. Our data broaden the knowledge about the adaptive changes to malnutrition during lactation and reinforce the concept of neonatal programming of the thyroid function. PMID- 18156307 TI - Contribution of fucose-containing capsules in Klebsiella pneumoniae to bacterial virulence in mice. AB - Bacterium Klebsiella pneumoniae (KP) contains a prominent capsule. Clinical infections usually are associated with pneumonia or urinary tract infection (UTI). Emerging evidence implicates KP in severe liver abscess especially in diabetic patients. The goal of this study was to investigate the capsular polysaccharides from KP of liver abscess (hepatic-KP) and of UTI-KP. The composition of capsular polysaccharides was analyzed by capillary high performance liquid chromatography (HPLC, Dionex system). The terminal sugars were assayed by binding ability to lectins. The results showed that the capsule of a hepatic KP (KpL1) from a diabetic patient contained fucose, while the capsule from UTI-KP (KpU1) did not. The absence of fucose was verified by the absence of detectable polymerase chain reaction (PCR) fragment for fucose synthesis genes, gmd and wcaG in KpU1. Mice infected with the KpL1 showed high fatality, whereas those infected with the KpU1 showed high survival rate. The KpL1 capsule was reactive to lectins AAA and AAL, which detect fucose, while the KpU1 capsule was reactive to lectin GNA, which detects mannose. Phagocytosis experiment in mouse peritoneal cavity indicated that the peritoneal macrophages could interact with KpU1, while rare association of KpL1 with macrophages was observed. This study revealed that different polysaccharides were displayed on the bacterial capsules of virulent KpL1 as compared with the less virulent KpU1. Interaction of KpU1 with mice peritoneal macrophages was more prominent than that of KpL1. The possession of fucose might contribute to KpL1 virulence by avoiding phagocytosis since fucose on bacteria had been implicated in immune evasion. PMID- 18156308 TI - Chemoprevention of arylamine-induced colorectal aberrant crypts. AB - Since recombinant human cyclooxygenase (COX) enzymes have been shown to activate environmental and dietary carcinogens implicated in human colorectal cancer etiology, we hypothesized that COX-2 inhibitors reduce arylamine-induced aberrant crypts (AC) and foci (ACF), preneoplastic lesions of colorectal cancer. Male weanling F344 inbred rats were fed modified AIN-76A control diet or the same diets supplemented with 320 ppm sulindac or 500, 1000, or 1500 ppm celecoxib. At 7 weeks of age, rats received a subcutaneous injection of 3,2'-dimethyl-4 aminobiphenyl (DMABP), an aryl-amine colon carcinogen, once weekly for two weeks. Ten weeks after the initial DMABP or vehicle treatment (at 17 weeks of age), rats were euthanized with CO(2), and the entire colorectum was removed and scored for ACF and AC. ACF possessing one to five AC were identified in the colorectum of rats administered DMABP, whereas no AC/ACF were identified in vehicle-treated controls. Significant reductions (p<0.001) in ACF and AC frequencies were observed in DMABP-treated rats supplemented with sulindac or celecoxib. Celecoxib reduced AC and ACF more than sulindac, but this difference was not significant (p>0.05). Reductions in both AC and ACF were highest following treatment with 1000 ppm celecoxib. These results provide additional experimental support for the chemopreventive effects of COX inhibitors in arylamine-induced colorectal cancer. PMID- 18156309 TI - Erythropoietin pretreatment protects against acute chemotherapy toxicity in isolated rat hearts. AB - The use of chemotherapeutic agents, such as anthracycline or trastuzumab, in oncology is limited by their cardiac toxicity. Recent experimental studies suggest that recombinant human erythropoietin (rhEPO) can be considered as a protective agent because its administration protects against cardiac ischemic injury, improving functional recovery, and reducing cell death. The aim of this study was to investigate whether pretreatment by rhEPO protects against acute cardiotoxicity induced by doxorubicin and trastuzumab, using the isolated rat heart model. Rats were treated with rhEPO (5000 IU/kg, intraperitoneally [i.p.]) or vehicle. One hour later, hearts were isolated and retrogradely perfused at constant flow. Following 20 mins of stabilization, hearts were perfused for 60 mins with modified-Krebs solution containing 6 mg/l doxorubicin or 10 mg/l trastuzumab. Hearts receiving doxorubicin were paced; those receiving trastuzumab were unpaced. Control hearts were perfused with modified-Krebs solution only. Doxorubicin exposure decreased left ventricular developed pressure (LVDP; approximately -40% of baseline) and increased end diastolic pressure (EDP; approximately +390% of baseline) and coronary perfusion pressure (CPP; approximately +70% of baseline). Incidence of ventricular tachycardia or fibrillation (VT/VF) was also significantly enhanced (86% vs. 0% in control group). Trastuzumab exposure increased CPP and EDP (approximately +70% of baseline for the both) without affecting LVDP. Prior rhEPO treatment significantly prevented doxorubicin-induced deleterious effects on LVDP, EDP, and VT/VF incidence. rhEPO administration also prevented trastuzumab-induced deleterious effects on CPP and EDP. This study shows that pretreatment by rhEPO protects myocardium against functional damage and electrophysiologic injury induced by acute doxorubicin or trastuzumab exposure. Further investigations are required to elucidate the precise mechanisms involved. PMID- 18156310 TI - Impact of ischemia and reperfusion times on myocardial infarct size in mice in vivo. AB - The murine in vivo model of acute myocardial infarction is increasingly used to study signal transduction pathways. However, methodological details of this model are rarely published, and durations of ischemia and reperfusion (REP) time vary considerably among different laboratories. In this study, we tested the hypothesis that infarct size (IS) is dependent on both duration of ischemia and REP time. Pentobarbital-anesthetized male C57BL/6 mice were intubated, mechanically ventilated, and instrumented for continuous monitoring of mean arterial blood pressure and heart rate. After left fourth thoracotomy, the left anterior descending coronary artery was ligated. Mice were randomly assigned to receive 30, 45, or 60 mins of coronary artery occlusion (CAO) and 120, 180, or 240 mins of REP, respectively. IS was determined with triphenyltetrazolium chloride and area at risk (AAR) with Evans blue, respectively. Arterial blood gas analysis and hemodynamics were not different among groups. Prolongation of CAO from 30 to 60 mins significantly (*P<0.05) increased IS from 18% +/- 5% to 69% +/ 3%*, from 20% +/- 2% to 69% +/- 6%* and from 42% +/- 10% to 75% +/- 2%* after 120, 180, and 240 mins REP, respectively. Moreover, IS was increased from 18% +/- 5% to 42% +/- 10%* (30 mins CAO) and from 40% +/- 3% to 72% +/- 6%* (45 mins CAO) when REP time was prolonged from 120 to 240 mins. IS was not increased when REP was prolonged from 120 to 240 mins at 60 mins CAO (69% +/- 3% vs. 75% +/- 2%). In the present study, we describe important methodological aspects of the murine in vivo model of acute myocardial infarction and provide evidence that, in this model, IS depends both on duration of ischemia and on REP time. PMID- 18156311 TI - Mechanistic analysis of electroporation-induced cellular uptake of macromolecules. AB - Pulsed electric field has been widely used as a nonviral gene delivery platform. The delivery efficiency can be improved through quantitative analysis of pore dynamics and intracellular transport of plasmid DNA. To this end, we investigated mechanisms of cellular uptake of macromolecules during electroporation. In the study, fluorescein isothiocyanate-labeled dextran (FD) with molecular weight of 4,000 (FD-4) or 2,000,000 (FD-2000) was added into suspensions of a murine mammary carcinoma cell (4T1) either before or at different time points (ie, 1, 2, or 10 sec) after the application of different pulsed electric fields (in high voltage mode: 1.2-2.0 kV in amplitude, 99 microsec in duration, and 1-5 pulses; in low-voltage mode: 100-300 V in amplitude, 5-20 msec in duration, and 1-5 pulses). The intracellular concentrations of FD were quantified using a confocal microscopy technique. To understand transport mechanisms, a mathematical model was developed for numerical simulation of cellular uptake. We observed that the maximum intracellular concentration of FD-2000 was less than 3% of that in the pulsing medium. The intracellular concentrations increased linearly with pulse number and amplitude. In addition, the intracellular concentration of FD-2000 was approximately 40% lower than that of FD-4 under identical pulsing conditions. The numerical simulations predicted that the pores larger than FD-4 lasted <10 msec after the application of pulsed fields if the simulated concentrations were on the same order of magnitude as the experimental data. In addition, the simulation results indicated that diffusion was negligible for cellular uptake of FD molecules. Taken together, the data suggested that large pores induced in the membrane by pulsed electric fields disappeared rapidly after pulse application and convection was likely to be the dominant mode of transport for cellular uptake of uncharged macromolecules. PMID- 18156312 TI - Distinctions between dopamine transporter antagonists could be just around the bend. AB - Abuse of psychostimulants such as cocaine and amphetamines has a tremendous social and economic impact. Although replacement therapies are offered for addiction to opioids, nicotine, and alcohol, there is no approved replacement treatment for psychostimulant addiction. Recent studies on an emerging group of benztropine- and rimcazole-based compounds provide hope that replacement therapies for cocaine and amphetamine addiction may come in the near future. A new study (p. 813) now investigates the molecular interaction of the benztropine and rimcazole compounds with their target, the dopamine transporter, and provides an intriguing explanation as to why use of these compounds, unlike cocaine, do not lead to locomotor stimulation and drug discrimination behaviors in animal models. PMID- 18156313 TI - Midazolam metabolism in cytochrome P450 3A knockout mice can be attributed to up regulated CYP2C enzymes. AB - The cytochrome P450 3A (CYP3A) enzymes represent one of the most important drug metabolizing systems in humans. Recently, our group has generated cytochrome P450 3A knockout mice to study this drug-handling system in vivo. In the present study, we have characterized the Cyp3a knockout mice by studying the metabolism of midazolam, one of the most widely used probes to assess CYP3A activity. We expected that the midazolam metabolism would be severely reduced in the absence of CYP3A enzymes. We used hepatic and intestinal microsomal preparations from Cyp3a knockout and wild-type mice to assess the midazolam metabolism in vitro. In addition, in vivo metabolite formation was determined after intravenous administration of midazolam. We were surprised to find that our results demonstrated that there is still marked midazolam metabolism in hepatic (but not intestinal) microsomes from Cyp3a knockout mice. Accordingly, we found comparable amounts of midazolam as well as its major metabolites in plasma after intravenous administration in Cyp3a knockout mice compared with wild-type mice. These data suggested that other hepatic cytochrome P450 enzymes could take over the midazolam metabolism in Cyp3a knockout mice. We provide evidence that CYP2C enzymes, which were found to be up-regulated in Cyp3a knockout mice, are primarily responsible for this metabolism and that several but not all murine CYP2C enzymes are capable of metabolizing midazolam to its 1'-OH and/or 4-OH derivatives. These data illustrate interesting compensatory changes that may occur in Cyp3a knockout mice. Such flexible compensatory interplay between functionally related detoxifying systems is probably essential to their biological role in xenobiotic protection. PMID- 18156314 TI - Inhibition of sodium channel gating by trapping the domain II voltage sensor with protoxin II. AB - ProTx-II, an inhibitory cysteine knot toxin from the tarantula Thrixopelma pruriens, inhibits voltage-gated sodium channels. Using the cut-open oocyte preparation for electrophysiological recording, we show here that ProTx-II impedes movement of the gating charges of the sodium channel voltage sensors and reduces maximum activation of sodium conductance. At a concentration of 1 microM, the toxin inhibits 65.3 +/- 4.1% of the sodium conductance and 24.6 +/- 6.8% of the gating current of brain Na(v)1.2a channels, with a specific effect on rapidly moving gating charge. Strong positive prepulses can reverse the inhibitory effect of ProTx-II, indicating voltage-dependent dissociation of the toxin. Voltage dependent reversal of the ProTx-II effect is more rapid for cardiac Na(v)1.5 channels, suggesting subtype-specific action of this toxin. Voltage-dependent binding and block of gating current are hallmarks of gating modifier toxins, which act by binding to the extracellular end of the S4 voltage sensors of ion channels. The mutation L833C in the S3-S4 linker in domain II reduces affinity for ProTx-II, and mutation of the outermost two gating-charge-carrying arginine residues in the IIS4 voltage sensor to glutamine abolishes voltage-dependent reversal of toxin action and toxin block of gating current. Our results support a voltage-sensor-trapping model for ProTx-II action in which the bound toxin impedes the normal outward gating movement of the IIS4 transmembrane segment, traps the domain II voltage sensor module in its resting state, and thereby inhibits channel activation. PMID- 18156315 TI - Analysis of promoter regions regulating basal and interleukin-4-inducible expression of the human CB1 receptor gene in T lymphocytes. AB - The majority of effects of cannabinoids are mediated by the two receptors CB1 and CB2. In addition to neuronal cells, CB1 receptors are expressed in T lymphocytes, in which they are involved in cannabinoid-induced T helper cell biasing. Although basally expressed only weakly in T cells, CB1 receptors are up-regulated in these cells by stimuli such as cannabinoids themselves. This effect is mediated by interleukin-4. In this study, we investigated basal and interleukin-4-inducible expression of the CB1 gene in T lymphocytes. In a promoter analysis, two regions [nucleotides (nts) -3086 to -2490 and nts -1950 to -1653] were identified, which suppress basal transcription of the gene in Jurkat T cells, whereas the region between nts -648 and -559 enhanced basal CB1 transcription. Interleukin-4 markedly induced transcription of CB1 in Jurkat cells and primary human T cells. Experiments using transcription factor decoy oligonucleotides demonstrated that STAT6 mediates regulation of the gene by interleukin-4. Using reporter gene assays and the transcription factor decoy oligonucleotide approach, a binding site for STAT6 was identified at nt -2769 on the human CB1 gene promoter. Interleukin-4 also caused up-regulation of functional CB1 receptor proteins. In interleukin-4 pretreated, but not in naive Jurkat cells, the CB1 agonist R(+) methanandamide caused a significant inhibition of forskolin-induced cAMP formation. This effect was blocked by the CB1-selective antagonists N-(piperidin 1-yl)-5-(4-iodophenyl)-1-(2,4-dichlorophenyl)-4-methyl-1H-pyrazole-3-carboxamide (AM251) and 1-(2,4-dichlorophenyl)-5-(4-iodophenyl)-4-methyl-N-4-mo rpholinyl-1H pyrazole-3-carboxamide (AM281). Taken together, these data show that CB1 receptors are expressed and up-regulated by interleukin-4 in T lymphocytes, which enables CB1-mediated communication to cells of other systems, such as neuronal cells. PMID- 18156316 TI - Combined effects of sulindac and suberoylanilide hydroxamic acid on apoptosis induction in human lung cancer cells. AB - Histone deacetylase (HDAC) inhibitors represent a promising group of anticancer agents. Treatment of cancer cells with HDAC blockers, such as suberoylanilide hydroxamic acid (SAHA), leads to the activation of apoptosis-promoting genes. To enhance proapoptotic efficiency, SAHA has been used in conjunction with radiation, kinase inhibitors, and cytotoxic drugs. In the present study, we show that at the suboptimal dose of 250 muM, sulindac [2-[6-fluoro-2-methyl-3-[(4 methylsulfinylphenyl)methylidene]inden-1-yl]-acetic acid] significantly enhances SAHA-induced growth suppression and apoptosis of A549 human non-small cell lung cancer cells, primarily via enhanced collapse of the mitochondrial membrane potential, release of cytochrome c, and caspase activation. Furthermore, sulindac/SAHA cotreatment induced marked down-regulation of survivin at both the mRNA and protein levels and stimulated the production of reactive oxygen species (ROS), which were blocked by the antioxidant N-acetyl-l-cysteine. Overexpression of survivin was associated with reduced sulindac/SAHA-induced apoptosis of A549 cells, whereas suppression of survivin levels with antisense oligonucleotides or small interfering RNA further sensitized cells to sulindac/SAHA-induced cell death. Our results collectively demonstrate that sulindac/SAHA-induced apoptosis is mediated by ROS-dependent down-regulation of survivin in lung cancer cells. PMID- 18156317 TI - Extracellular expression of a functional recombinant Ganoderma lucidium immunomodulatory protein by Bacillus subtilis and Lactococcus lactis. AB - Bacillus subtilis and Lactococcus lactis are ideal hosts for the production of extracellular heterologous proteins of major commercial importance. A recombinant gene for the novel Ganoderma lucidium immunomodulatory protein LZ-8, recombinant LZ-8, was designed encoding the same amino acid sequence but using the preferred codons for both strains and was synthesized by overlapping extension PCR. Using the signal peptide (SP) from subtilisin YaB (SP(YaB)), recombinant LZ-8 was expressed extracellularly in Bacillus subtilis and Lactococcus lactis. In the absence of SP(YaB), recombinant LZ-8 was expressed extracellularly in B. subtilis, but not in L. lactis. The three expressed recombinant LZ-8s showed different capacities for modulating the production of Th1 and Th2 cytokines by peripheral blood mononuclear cells and of tumor necrosis factor alpha by a macrophage cell line. PMID- 18156318 TI - Genetic tools for select-agent-compliant manipulation of Burkholderia pseudomallei. AB - Because of Burkholderia pseudomallei's classification as a select agent in the United States, genetic manipulation of this bacterium is strictly regulated. Only a few antibiotic selection markers, including gentamicin, kanamycin, and zeocin, are currently approved for use with this bacterium, but wild-type strains are highly resistant to these antibiotics. To facilitate routine genetic manipulations of wild-type strains, several new tools were developed. A temperature-sensitive pRO1600 broad-host-range replicon was isolated and used to construct curable plasmids where the Flp and Cre recombinase genes are expressed from the rhamnose-regulated Escherichia coli P(BAD) promoter and kanamycin (nptI) and zeocin (ble) selection markers from the constitutive Burkholderia thailandensis ribosomal P(S12) or synthetic bacterial P(EM7) promoter. Flp and Cre site-specific recombination systems allow in vivo excision and recycling of nptII and ble selection markers contained on FRT or loxP cassettes. Finally, expression of Tn7 site-specific transposase from the constitutive P1 integron promoter allowed development of an efficient site-specific chromosomal integration system for B. pseudomallei. In conjunction with a natural transformation method, the utility of these new tools was demonstrated by isolating an unmarked delta(amrRAB-oprA) efflux pump mutant. Exploiting natural transformation, chromosomal DNA fragments carrying this mutation marked with zeocin resistance were transferred between the genomes of two different B. pseudomallei strains. Lastly, the deletion mutation was complemented by a chromosomally integrated mini-Tn7 element carrying the amrAB-oprA operon. The new tools allow routine select-agent-compliant genetic manipulations of B. pseudomallei and other Burkholderia species. PMID- 18156320 TI - Characterization of a novel angular dioxygenase from fluorene-degrading Sphingomonas sp. strain LB126. AB - In this study, the genes involved in the initial attack on fluorene by Sphingomonas sp. strain LB126 were investigated. The alpha and beta subunits of a dioxygenase complex (FlnA1-FlnA2), showing 63 and 51% sequence identity, respectively, to the subunits of an angular dioxygenase from the gram-positive dibenzofuran degrader Terrabacter sp. strain DBF63, were identified. When overexpressed in Escherichia coli, FlnA1-FlnA2 was responsible for the angular oxidation of fluorene, 9-hydroxyfluorene, 9-fluorenone, dibenzofuran, and dibenzo p-dioxin. Moreover, FlnA1-FlnA2 was able to oxidize polycyclic aromatic hydrocarbons and heteroaromatics, some of which were not oxidized by the dioxygenase from Terrabacter sp. strain DBF63. The quantification of resulting oxidation products showed that fluorene and phenanthrene were the preferred substrates of FlnA1-FlnA2. PMID- 18156321 TI - Contribution of copper ion resistance to survival of Escherichia coli on metallic copper surfaces. AB - Bacterial contamination of touch surfaces poses a serious threat for public health. The use of bactericidal surface materials, such as copper and its alloys, might constitute a way to aid the use of antibiotics and disinfectants, thus minimizing the risk of emergence and spread of multiresistant germs. The survival of Escherichia coli on metallic copper surfaces has been studied previously; however, the mechanisms underlying bacterial inactivation on copper surfaces have not been elucidated. Data presented in this study suggest that bacteria are killed rapidly on dry copper surfaces. Several factors, such as copper ion toxicity, copper chelators, cold, osmotic stress, and reactive oxygen species, but not anaerobiosis, influenced killing rates. Strains deleted in copper detoxification systems were slightly more sensitive than was the wild type. Preadaptation to copper enhanced survival rates upon copper surface exposure. This study constitutes a first step toward understanding the reasons for metallic copper surface-mediated killing of bacteria. PMID- 18156319 TI - Changes in bacterial communities of the marine sponge Mycale laxissima on transfer into aquaculture. AB - The changes in bacterial communities associated with the marine sponge Mycale laxissima on transfer to aquaculture were studied using culture-based and molecular techniques. M. laxissima was maintained alive in flowthrough and closed recirculating aquaculture systems for 2 years and 1 year, respectively. The bacterial communities associated with wild and aquacultured sponges, as well as the surrounding water, were assessed using 16S rRNA gene clone library analysis and denaturing gradient gel electrophoresis (DGGE). Bacterial richness and diversity were measured using DOTUR computer software, and clone libraries were compared using S-LIBSHUFF. DGGE analysis revealed that the diversity of the bacterial community of M. laxissima increased when sponges were maintained in aquaculture and that bacterial communities associated with wild and aquacultured M. laxissima were markedly different than those of the corresponding surrounding water. Clone libraries of bacterial 16S rRNA from sponges confirmed that the bacterial communities changed during aquaculture. These communities were significantly different than those of seawater and aquarium water. The diversity of bacterial communities associated with M. laxissima increased significantly in aquaculture. Our work shows that it is important to monitor changes in bacterial communities when examining the feasibility of growing sponges in aquaculture systems because these communities may change. This could have implications for the health of sponges or for the production of bioactive compounds by sponges in cases where these compounds are produced by symbiotic bacteria rather than by the sponges themselves. PMID- 18156322 TI - Contribution of citrate metabolism to the growth of Lactococcus lactis CRL264 at low pH. AB - Lactococcus lactis subsp. lactis biovar diacetylactis CRL264 is a natural strain isolated from cheese (F. Sesma, D. Gardiol, A. P. de Ruiz Holgado, and D. de Mendoza, Appl. Environ. Microbiol. 56:2099-2103, 1990). The effect of citrate on the growth parameters at a very acidic pH value was studied with this strain and with derivatives whose citrate uptake capacity was genetically manipulated. The culture pH was maintained at 4.5 to prevent alkalinization of the medium, a well known effect of citrate metabolism. In the presence of citrate, the maximum specific growth rate and the specific glucose consumption rate were stimulated. Moreover, a more efficient energy metabolism was revealed by analysis of the biomass yields relative to glucose consumption or ATP production. Thus, it was shown that the beneficial effect of citrate on growth under acid stress conditions is not primarily due to the concomitant alkalinization of the medium but stems from less expenditure of ATP, derived from glucose catabolism, to achieve pH homeostasis. After citrate depletion, a deleterious effect on the final biomass was apparent due to organic acid accumulation, particularly acetic acid. On the other hand, citrate metabolism endowed cells with extra ability to counteract lactic and acetic acid toxicity. In vivo 13C nuclear magnetic resonance provided strong evidence for the operation of a citrate/lactate exchanger. Interestingly, the greater capacity for citrate transport correlated positively with the final biomass and growth rates of the citrate-utilizing strains. We propose that increasing the citrate transport capacity of CRL264 could be a useful strategy to improve further the ability of this strain to cope with strongly acidic conditions. PMID- 18156323 TI - Determination of glycosyltransferase specificities for the Escherichia coli O111 O antigen by a generic approach. AB - We describe a bacterial strain developed to facilitate the determination of glycosyltransferase (GT) specificities for O antigens of known structure and gene cluster sequence. For proof of principle for the approach, the strain was used to determine the specificity of the Escherichia coli O111 O-antigen GT genes. PMID- 18156324 TI - Genomic differences between Fibrobacter succinogenes S85 and Fibrobacter intestinalis DR7, identified by suppression subtractive hybridization. AB - Fibrobacter is a highly cellulolytic genus commonly found in the rumen of ruminant animals and cecum of monogastric animals. In this study, suppression subtractive hybridization was used to identify the genes present in Fibrobacter succinogenes S85 but absent from F. intestinalis DR7. A total of 1,082 subtractive clones were picked, plasmids were purified, and inserts were sequenced, and the clones lacking homology to F. intestinalis were confirmed by Southern hybridization. By comparison of the sequences of the clones to one another and to those of the F. succinogenes genome, 802 sequences or 955 putative genes, comprising approximately 409 kb of F. succinogenes genomic DNA, were identified that lack similarity to those of F. intestinalis chromosomal DNA. The functional groups of genes, including those involved in cell envelope structure and function, energy metabolism, and transport and binding, had the largest number of genes specific to F. succinogenes. Low-stringency Southern hybridization showed that at least 37 glycoside hydrolases are shared by both species. A cluster of genes responsible for heme, porphyrin, and cobalamin biosynthesis in F. succinogenes S85 was either missing from or not functional in F. intestinalis DR7, which explains the requirement of vitamin B12 for the growth of the F. intestinalis species. Two gene clusters encoding NADH-ubiquinone oxidoreductase subunits probably shared by Fibrobacter genera appear to have an important role in energy metabolism. PMID- 18156325 TI - Melanin-based high-throughput screen for L-tyrosine production in Escherichia coli. AB - We present the development of a simple, high-throughput screen for identifying bacterial strains capable of L-tyrosine production. Through the introduction of a heterologous gene encoding a tyrosinase, we were able to link L-tyrosine production in Escherichia coli with the synthesis of the black and diffusible pigment melanin. Although melanin was initially produced only at low levels in morpholinepropanesulfonic acid (MOPS) minimal medium, phosphate supplementation was found to be sufficient for increasing both the rates of synthesis and the final titers of melanin. Furthermore, a strong linear correlation between extracellular L-tyrosine content and melanin formation was observed by use of this new medium formulation. A selection strategy that utilizes these findings has been developed and has been shown to be effective in screening large combinatorial libraries in the search for L-tyrosine-overproducing strains. PMID- 18156326 TI - Enrichment, isolation, and phylogenetic identification of polycyclic aromatic hydrocarbon-degrading bacteria from Elizabeth River sediments. AB - The diversity of indigenous bacteria in sediments from several sites in the Elizabeth River (Virginia) able to degrade multiple polycyclic aromatic hydrocarbons (PAHs) was investigated by the use of classical selective enrichment and molecular analyses. Enrichment cultures containing naphthalene, phenanthrene, fluoranthene, or pyrene as a sole carbon and energy source were monitored by denaturing gradient gel electrophoresis (DGGE) to detect changes in the bacterial community profile during enrichment and to determine whether the representative strains present were successfully cultured. The DGGE profiles of the final enrichments grown solely on naphthalene and pyrene showed no clear relationship with the site from which the inoculum was obtained. The enrichments grown solely on pyrene for two sample sites had >80% similarity, which suggests that common pyrene-degrading strains may be present in these sediments. The final enrichments grown on fluoranthene and phenanthrene remained diverse by site, suggesting that these strains may be influenced by environmental conditions. One hundred and one isolates were obtained, comprising representatives of the actinomycetes and alpha , beta-, and gammaproteobacteria, including seven novel isolates with 16S rRNA gene sequences less than 98% similar to known strains. The ability to degrade multiple PAHs was demonstrated by mineralization of 14C-labeled substrate and growth in pure culture. This supports our hypothesis that a high diversity of bacterial strains with the ability to degrade multiple PAHs can be confirmed by the combined use of classical selective enrichment and molecular analyses. This large collection of diverse PAH-degrading strains provides a valuable resource for studies on mechanisms of PAH degradation and bioremediation. PMID- 18156327 TI - Microbiological quality of bagged cut spinach and lettuce mixes. AB - Analysis of 100 bagged lettuce and spinach samples showed mean total bacterial counts of 7.0 log(10) CFU/g and a broad range of < 4 to 8.3 log10 CFU/g. Most probable numbers (MPN) of > or = 11,000/g coliforms were found in 55 samples, and generic Escherichia coli bacteria were detected in 16 samples, but no E. coli count exceeded 10 MPN/g. PMID- 18156328 TI - Blackbirds and song thrushes constitute a key reservoir of Borrelia garinii, the causative agent of borreliosis in Central Europe. AB - Blackbirds (Turdus merula) and song thrushes (Turdus philomelos) were found to carry 95% of all spirochete-infected tick larvae among 40 bird species captured in Central Europe. More than 90% of the infections were typed as Borrelia garinii and Borrelia valaisiana. We conclude that thrushes are key players in the maintenance of these spirochete species in this region of Central Europe. PMID- 18156329 TI - Utilization of DNA as a sole source of phosphorus, carbon, and energy by Shewanella spp.: ecological and physiological implications for dissimilatory metal reduction. AB - The solubility of orthophosphate (PO4(3-)) in iron-rich sediments can be exceedingly low, limiting the bioavailability of this essential nutrient to microbial populations that catalyze critical biogeochemical reactions. Here we demonstrate that dissolved extracellular DNA can serve as a sole source of phosphorus, as well as carbon and energy, for metal-reducing bacteria of the genus Shewanella. Shewanella oneidensis MR-1, Shewanella putrefaciens CN32, and Shewanella sp. strain W3-18-1 all grew with DNA but displayed different growth rates. W3-18-1 exhibited the highest growth rate with DNA. While strain W3-18-1 displayed Ca2+-independent DNA utilization, both CN32 and MR-1 required millimolar concentrations of Ca2+ for growth with DNA. For S. oneidensis MR-1, the utilization of DNA as a sole source of phosphorus is linked to the activities of extracellular phosphatase(s) and a Ca2+-dependent nuclease(s), which are regulated by phosphorus availability. Mass spectrometry analysis of the extracellular proteome of MR-1 identified one putative endonuclease (SO1844), a predicted UshA (bifunctional UDP-sugar hydrolase/5' nucleotidase), a predicted PhoX (calcium-activated alkaline phosphatase), and a predicted CpdB (bifunctional 2',3' cyclic nucleotide 2' phosphodiesterase/3' nucleotidase), all of which could play important roles in the extracellular degradation of DNA under phosphorus limiting conditions. Overall, the results of this study suggest that the ability to use exogenous DNA as the sole source of phosphorus is widespread among the shewanellae, and perhaps among all prokaryotes, and may be especially important for nutrient cycling in metal-reducing environments. PMID- 18156330 TI - Predictive model for inactivation of feline calicivirus, a norovirus surrogate, by heat and high hydrostatic pressure. AB - Noroviruses, which are members of the Caliciviridae family, represent the leading cause of nonbacterial gastroenteritis in developed countries; such norovirus infections result in high economic costs for health protection. Person-to-person contact, contaminated water, and foods, especially raw shellfish, vegetables, and fruits, can transmit noroviruses. We inactivated feline calicivirus, a surrogate for the nonculturable norovirus, in cell culture medium and mineral water by heat and high hydrostatic pressure. Incubation at ambient pressure and 75 degrees C for 2 min as well as treatment at 450 MPa and 15 degrees C for 1 min inactivated more than 7 log10 PFU of calicivirus per ml in cell culture medium or mineral water. The heat and pressure time-inactivation curves obtained with the calicivirus showed tailing in the logarithmic scale. Modeling by nth-order kinetics of the virus inactivation was successful in predicting the inactivation of the infective virus particles. The developed model enables the prediction of the calicivirus reduction in response to pressures up to 500 MPa, temperatures ranging from 5 to 75 degrees C, and various treatment times. We suggest high pressure for processing of foods to reduce the health threat posed by noroviruses. PMID- 18156332 TI - The genetically remote pathogenic strain NVH391-98 of the Bacillus cereus group is representative of a cluster of thermophilic strains. AB - Bacteria of the Bacillus cereus group are known to cause food poisoning. A rare phylogenetically remote strain, NVH391-98, was recently characterized to encode a particularly efficient cytotoxin K presumably responsible for food poisoning. This pathogenic strain and its close relatives can be phenotypically distinguished from other strains of the B. cereus group by the inability to grow at temperatures below 17 degrees C and by the ability to grow at temperatures from 48 to 53 degrees C. A temperate phage, phBC391A2, residing in the genome of NVH391-98 allows us to distinguish the three known members of this thermophilic strain cluster. PMID- 18156333 TI - Intergeneric coaggregation among drinking water bacteria: evidence of a role for Acinetobacter calcoaceticus as a bridging bacterium. AB - Intergeneric coaggregation of drinking water bacteria was tested. Acinetobacter calcoaceticus was found not only to autoaggregate but also to coaggregate with four of the five other isolates (Burkholderia cepacia, Methylobacterium sp., Mycobacterium mucogenicum, Sphingomonas capsulata, and Staphylococcus sp.). In its absence, no coaggregation was found. Interactions were lectin-saccharide mediated. The putative bridging function of A. calcoaceticus was evidenced by multispecies biofilm studies, through a strain exclusion process. PMID- 18156331 TI - Genetic diversity of hydrogen-producing bacteria in an acidophilic ethanol-H2 coproducing system, analyzed using the [Fe]-hydrogenase gene. AB - Hydrogen gas (H2) produced by bacterial fermentation of biomass can be a sustainable energy source. The ability to produce H2 gas during anaerobic fermentation was previously thought to be restricted to a few species within the genera Clostridium and Enterobacter. This work reports genomic evidence for the presence of novel H2-producing bacteria (HPB) in acidophilic ethanol-H2 coproducing communities that were enriched using molasses wastewater. The majority of the enriched dominant populations in the acidophilic ethanol-H2 coproducing system were affiliated with low-G+C-content gram-positive bacteria, Bacteroidetes, and Actinobacteria, based on the 16S rRNA gene. However, PCR primers designed to specifically target bacterial hydA yielded 17 unique hydA sequences whose amino acid sequences differed from those of known HPB. The putative ethanol-H2-coproducing bacteria comprised 11 novel phylotypes closely related to Ethanoligenens harbinense, Clostridium thermocellum, and Clostridium saccharoperbutylacetonicum. Furthermore, analysis of the alcohol dehydrogenase isoenzyme also pointed to an E. harbinense-like organism, which is known to have a high conversion rate of carbohydrate to H2 and ethanol. We also found six novel HPB that were associated with lactate-, propionate-, and butyrate-oxidizing bacteria in the acidophilic H2-producing sludge. Thus, the microbial ecology of mesophilic and acidophilic H2 fermentation involves many other bacteria in addition to Clostridium and Enterobacter. PMID- 18156334 TI - Adherence of Helicobacter pylori to abiotic surfaces is influenced by serum. AB - Helicobacter pylori bacteria cultured in a chemically defined medium without serum readily adhere to a variety of abiotic surfaces. Growth produces microcolonies that spread to cover the entire surface, along with a planktonic subpopulation. Serum inhibits adherence. Initial attachment is protein mediated, but other molecules are responsible for more permanent attachment. PMID- 18156335 TI - Risk of gastrointestinal disease associated with exposure to pathogens in the sediments of the Lower Passaic River. AB - High levels of pathogenic microorganisms have been documented previously in waters of the Lower Passaic River in northern New Jersey. The purpose of this study was to characterize the microbial contamination of river sediments near combined sewer overflows (CSOs), a known source of pathogens. Concentrations of fecal coliform, total coliform, fecal Streptococcus, fecal Enterococcus, Pseudomonas aeruginosa, Staphylococcus aureus, Giardia lamblia, and Cryptosporidium parvum organisms were measured in 16 samples from three mudflat locations along the Lower Passaic River, as well as from an upstream location. Selected samples were also analyzed for antibiotic resistance. All of the samples contained high concentrations of total coliform, fecal coliform, fecal Streptococcus, and fecal Enterococcus organisms. Analysis of isolates of Staphylococcus aureus, Pseudomonas aeruginosa, and Escherichia coli from several samples indicated that each strain was resistant to at least one antibiotic typically used in clinical settings. Eight of 16 samples contained Giardia, and one sample contained Cryptosporidium. With these sampling data, a quantitative microbial risk assessment was conducted to evaluate the probability of infection or illness resulting from incidental ingestion of contaminated sediments over a 1 year period. Three potential exposure scenarios were considered: visitor, recreator, and homeless person. Single-event risk was first evaluated for the three individual exposure scenarios; overall risk was then determined over a 1 year period using Monte Carlo techniques to characterize uncertainty. For fecal Streptococcus and Enterococcus, annualized risk estimates for gastrointestinal illness ranged from approximately 0.42 to 0.53 for recreators, 0.07 to 0.10 for visitors, and 0.62 to 0.72 for homeless individuals across the three sampling locations. Annualized risk of Giardia infection ranged from 0.14 to 0.64 for recreators, 0.01 to 0.1 for visitors, and 0.30 to 0.87 for homeless individuals, across all locations where detected. Cryptosporidium was detected at one location, and the corresponding annualized risk of infection was 0.32, 0.05, and 0.51 for recreators, visitors, and homeless individuals, respectively. This risk assessment suggests that pathogen-contaminated sediments near areas of CSO discharge in the Lower Passaic River could pose a health risk to individuals coming into contact with sediments in the mudflat areas. PMID- 18156336 TI - Poly(3-hydroxybutyrate) (PHB) depolymerase PhaZa1 is involved in mobilization of accumulated PHB in Ralstonia eutropha H16. AB - The recently finished genome sequence of Ralstonia eutropha H16 harbors nine genes that are thought to encode functions for intracellular depolymerization (mobilization) of storage poly(3-hydroxybutyrate) (PHB). Based on amino acid similarities, the gene products belong to four classes (PhaZa1 to PhaZa5, PhaZb, PhaZc, and PhaZd1/PhaZd2). However, convincing direct evidence for the in vivo roles of the gene products is poor. In this study, we selected four candidate genes (phaZa1, phaZb, phaZc, and phaZd1) representing the four classes and investigated the physiological function of the gene products (i) with recombinant Escherichia coli strains and (ii) with R. eutropha null mutants. Evidence for weak but significant PHB depolymerase activity was obtained only for PhaZa1. The physiological roles of the other potential PHB depolymerases remain uncertain. PMID- 18156337 TI - Functional-genomics-based identification and characterization of open reading frames encoding alpha-glucoside-processing enzymes in the hyperthermophilic archaeon Pyrococcus furiosus. AB - Bioinformatics analysis and transcriptional response information for Pyrococcus furiosus grown on alpha-glucans led to the identification of a novel isomaltase (PF0132) representing a new glycoside hydrolase (GH) family, a novel GH57 beta amylase (PF0870), and an extracellular starch-binding protein (1,141 amino acids; PF1109-PF1110), in addition to several other putative alpha-glucan-processing enzymes. PMID- 18156338 TI - System using tandem repeats of the cA peptidoglycan-binding domain from Lactococcus lactis for display of both N- and C-terminal fusions on cell surfaces of lactic acid bacteria. AB - Here, we established a system for displaying heterologous protein to the C terminus of the peptidoglycan-binding domain (cA domain) of AcmA (a major autolysin from Lactococcus lactis). Western blot and flow cytometric analyses revealed that the fusion proteins (cA-AmyA) of the cA domain and alpha-amylase from Streptococcus bovis 148 (AmyA) are efficiently expressed and successfully displayed on the surfaces of L. lactis cells. AmyA was also displayed on the cell surface while retaining its activity. Moreover, with an increase in the number of cA domains, the quantity of cA-AmyA fusion proteins displayed on the cell surface increased. When three repeats of the cA domain were used as an anchor protein, 82% of alpha-amylase activity was detected on the cells. The raw starch-degrading activity of AmyA was significantly higher when AmyA was fused to the C terminus of the cA domain than when it was fused to the N terminus. In addition, cA-AmyA fusion proteins were successfully displayed on the cell surfaces of Lactobacillus plantarum and Lactobacillus casei. PMID- 18156339 TI - The inhibitory spectrum of thermophilin 9 from Streptococcus thermophilus LMD-9 depends on the production of multiple peptides and the activity of BlpG(St), a thiol-disulfide oxidase. AB - The blp(St) cluster of Streptococcus thermophilus LMD-9 was recently shown to contain all the genetic information required for the production of bacteriocins active against other S. thermophilus strains. In this study, we further investigated the antimicrobial activity of S. thermophilus LMD-9 by testing the susceptibility of 31 bacterial species (87 strains). We showed that LMD-9 displays an inhibitory spectrum targeted toward related gram-positive bacteria, including pathogens such as Listeria monocytogenes. Using deletion mutants, we investigated the contribution of the three putative bacteriocin-encoding operons blpD(St)-orf2, blpU(St)-orf3, and blpE(St)-blpF(St) (bac(St) operons) and of the blpG(St) gene, which encodes a putative modification protein, to the inhibitory spectrum and immunity of strain LMD-9. Our results present evidence that the blp(St) locus encodes a multipeptide bacteriocin system called thermophilin 9. Among the four class II bacteriocin-like peptides encoded within the bac(St) operons, BlpD(St) alone was sufficient to inhibit the growth of most thermophilin 9-sensitive species. The blpD(St) gene forms an operon with its associated immunity gene(s), and this functional bacteriocin/immunity module could easily be transferred to Lactococcus lactis. The remaining three Bac(St) peptides, BlpU(St), BlpE(St), and BlpF(St), confer poor antimicrobial activity but act as enhancers of the antagonistic activity of thermophilin 9 by an unknown mechanism. The blpG(St) gene was also shown to be specifically required for the antilisteria activity of thermophilin 9, since its deletion abolished the sensitivities of most Listeria species. By complementation of the motility deficiency of Escherichia coli dsbA, we showed that blpG(St) encodes a functional thiol disulfide oxidase, suggesting an important role for disulfide bridges within thermophilin 9. PMID- 18156340 TI - Improvement of the thermostability and activity of a pectate lyase by single amino acid substitutions, using a strategy based on melting-temperature-guided sequence alignment. AB - In the vast number of random mutagenesis experiments that have targeted protein thermostability, single amino acid substitutions that increase the apparent melting temperature (Tm) of the enzyme more than 1 to 2 degrees C are rare and often require the creation of a large library of mutated genes. Here we present a case where a single beneficial mutation (R236F) of a hemp fiber-processing pectate lyase of Xanthomonas campestris origin (PL(Xc)) produced a 6 degrees C increase in Tm and a 23-fold increase in the half-life at 45 degrees C without compromising the enzyme's catalytic efficiency. This success was based on a variation of sequence alignment strategy where a mesophilic amino acid sequence is matched with the sequences of its thermophilic counterparts that have established Tm values. Altogether, two-thirds of the nine targeted single amino acid substitutions were found to have effects either on the thermostability or on the catalytic activity of the enzyme, evidence of a high success rate of mutation without the creation of a large gene library and subsequent screening of clones. Combination of R236F with another beneficial mutation (A31G) resulted in at least a twofold increase in specific activity while preserving the improved Tm value. To understand the structural basis for the increased thermal stability or activity, the variant R236F and A31G R236F proteins and wild-type PL(Xc) were purified and crystallized. By structure analysis and computational methods, hydrophobic desolvation was found to be the driving force for the increased stability with R236F. PMID- 18156341 TI - Fermentative utilization of glycerol by Escherichia coli and its implications for the production of fuels and chemicals. AB - Availability, low prices, and a high degree of reduction make glycerol an ideal feedstock to produce reduced chemicals and fuels via anaerobic fermentation. Although glycerol metabolism in Escherichia coli had been thought to be restricted to respiratory conditions, we report here the utilization of this carbon source in the absence of electron acceptors. Cells grew fermentatively on glycerol and exhibited exponential growth at a maximum specific growth rate of 0.040 +/- 0.003 h(-1). The fermentative nature of glycerol metabolism was demonstrated through studies in which cell growth and glycerol utilization were observed despite blocking several respiratory processes. The incorporation of glycerol in cellular biomass was also investigated via nuclear magnetic resonance analysis of cultures in which either 50% U-13C-labeled or 100% unlabeled glycerol was used. These studies demonstrated that about 20% of the carbon incorporated into the protein fraction of biomass originated from glycerol. The use of U-13C labeled glycerol also allowed the unambiguous identification of ethanol and succinic, acetic, and formic acids as the products of glycerol fermentation. The synthesis of ethanol was identified as a metabolic determinant of glycerol fermentation; this pathway fulfills energy requirements by generating, in a redox balanced manner, 1 mol of ATP per mol of glycerol converted to ethanol. A fermentation balance analysis revealed an excellent closure of both carbon (approximately 95%) and redox (approximately 96%) balances. On the other hand, cultivation conditions that prevent H2 accumulation were shown to be an environmental determinant of glycerol fermentation. The negative effect of H2 is related to its metabolic recycling, which in turn generates an unfavorable internal redox state. The implications of our findings for the production of reduced chemicals and fuels were illustrated by coproducing ethanol plus formic acid and ethanol plus hydrogen from glycerol at yields approaching their theoretical maximum. PMID- 18156342 TI - Risk of gastrointestinal disease associated with exposure to pathogens in the water of the Lower Passaic River. AB - During precipitation events, untreated human sewage is often intentionally discharged to surface water bodies via combined sewer overflow (CSO) systems in order to avoid overloading wastewater treatment plants. The purpose of this analysis was to evaluate the risk of pathogen-related disease associated with CSO discharges into the Lower Passaic River. Concentrations of fecal coliform, total coliform, fecal Streptococcus, and fecal Enterococcus bacteria were measured at six river locations on six different days in 2003 (n = 36). In addition, water samples (n = 2) were collected directly from and in the immediate vicinity of a discharging CSO in Newark, NJ. These samples were analyzed for fecal coliforms, total coliforms, fecal Streptococcus, fecal Enterococcus, Giardia lamblia, Cryptosporidium parvum, and several viruses. Risk estimates for gastrointestinal illness and Giardia infection resulting from indirect and direct ingestion of contaminated water were calculated for three potential exposure scenarios: visitor, recreator, and homeless person. Single-event risk was first evaluated for the three individual exposure scenarios; overall risk was then determined over a 1-year period. Monte Carlo techniques were used to characterize uncertainty. Nearly all of the pathogen concentrations measured in the Passaic River exceeded health-based water quality criteria and in some cases were similar to levels reported for raw sewage. The probability of contracting gastrointestinal illness due to fecal Streptococcus and Enterococcus from incidental ingestion of water over the course of a year ranged from 0.14 to nearly 0.70 for the visitor and recreator scenarios, respectively. For the homeless person exposure scenario, the risk for gastrointestinal illness reached 0.88 for fecal Streptococcus and Enterococcus, while the probability of Giardia infection was 1.0. This risk analysis suggests that, due to the levels of pathogens present in the Lower Passaic River, contact with the water poses, and will continue to pose, significant human health risks until CSO discharges are adequately controlled or abated. PMID- 18156343 TI - Effect of low doses of Aspergillus niger phytase on growth performance, bone strength, and nutrient absorption and excretion by growing and finishing swine fed corn-soybean meal diets deficient in available phosphorus and calcium. AB - Two experiments were conducted to evaluate the efficacy of low doses of Aspergillus niger (AN) phytase for growing and finishing pigs fed corn-soybean meal (SBM) diets with narrow Ca:P ratios that were about 0.9 g/kg deficient in available P and Ca. Experiment 1 utilized 120 pigs with an early finisher period from 51.5 +/- 0.2 to 89.7 +/- 0.9 kg of BW and a late finisher period that ended at 122.5 +/- 2.0 kg of BW. During each period, treatments were the low-P diets with 0, 150, 300, or 450 units (U) of AN phytase added/kg of diet, and a positive control (PC) diet. There were linear increases (P < or = 0.001) in bone strength and ash weight, the absorption of P (g/d and %) and Ca (%), and overall ADG (P = 0.01) with increasing concentration of AN phytase. Pigs fed the diets with 150, 300, or 450 U of AN phytase/kg did not differ from pigs fed the PC diet in growth performance overall, and pigs fed the diets with 300 or 450 U of AN phytase did not differ in P and Ca absorption (g/d) or bone ash weight from pigs fed the PC diet. However, only pigs fed the diet with 450 U of AN phytase/kg had bone strength similar to that of pigs fed the PC diet. Experiment 2 utilized 120 pigs in a grower phase from 25.3 +/- 0.1 to 57.8 +/- 0.8 kg of BW and a finisher phase that ended at 107.6 +/- 1.0 kg of BW. Treatments were the low-P diet with AN phytase added at 300, 500, or 700 U/kg of grower diet, and 150, 250, or 350 U/kg of finisher diet, respectively, resulting in treatments AN300/150, AN500/250, and AN700/350. Growth performance and the absorption (g/d) of P and Ca for the grower and finisher phases were not different for pigs fed the diets containing AN phytase and pigs fed the PC diets. However, pigs fed the PC diets excreted more fecal P (g/d, P < or = 0.01) during the grower and more P and Ca (g/d, P < 0.001) during the finisher phases than the pigs fed the diets with phytase. There were linear increases (P < or = 0.05) in bone strength and bone ash weight with increasing concentration of AN phytase. However, pigs fed the PC diets had a greater bone strength and bone ash weight than pigs fed diets AN300/150, AN500/250 (P < or = 0.02), or AN700/350 (P < or = 0.08). There were no treatment responses for N or DM digestibility in either experiment. Phytase supplementation reduced fecal P excretion from 16 to 38% and fecal Ca excretion from 21 to 42% in these experiments. In conclusion, 450 U of AN phytase/kg was effective in replacing 0.9 g of the inorganic P/kg of corn-SBM diet for finishing swine based on bone strength, whereas 300 or 150 U of AN phytase/kg of diet maintained growth performance of grower or finisher pigs, respectively. PMID- 18156344 TI - Effects of supplemental fat source on nutrient digestion and ruminal fermentation in steers. AB - Five Holstein steers (235 kg of BW) fitted with ruminal, duodenal, and ileal cannulas were used in a 5 x 5 Latin square design experiment to determine the effects of supplemental fat source on site and extent of nutrient digestion and ruminal fermentation. Treatments were diets based on steam-flaked corn containing no supplemental fat (control) or 4% (DM basis) supplemental fat as tallow, dried full-fat corn germ (corn germ), corn oil, or flax oil. Fat supplementation decreased (P < 0.08) ruminal starch digestion but increased (P < 0.03) small intestinal starch digestion as a percentage of intake. Feeding corn germ decreased (P < 0.09) ruminal starch digestion and increased (P < 0.03) large intestinal starch digestion compared with steers fed corn oil. Large intestinal starch digestion was less (P < 0.04), and ruminal NDF digestion was greater (P < 0.09) for steers fed tallow compared with steers fed other fat sources. Small intestinal (P < 0.08) and total tract NDF digestibilities were greater (P < 0.02) for steers fed corn germ than for those fed corn oil. Feeding tallow increased total ruminal VFA (P < 0.03) and NH(3) (P < 0.07) concentrations compared with steers fed the other fat sources. Feeding corn germ led to a greater (P < 0.02) rate of ruminal liquid outflow compared with corn oil. A diet x hour interaction (P < 0.04) occurred for ruminal pH, with steers fed corn oil having the greatest ruminal pH 18 h after feeding, without differences at other time points. Fat supplementation increased (P < 0.09) ruminal concentrations of Fusobacterium necrophorum. Duodenal flow of C18:3n-3 was greater (P < 0.01) for steers fed flax oil compared with those fed corn oil. Feeding corn germ led to less (P < 0.01) ruminal biohydrogenation of fatty acids compared with corn oil. Steers fed tallow had greater small intestinal digestibility of C14:0 (P < 0.02) and C16:1 (P < 0.04) than steers fed the other fat sources. Fat supplementation decreased (P < 0.06) small intestinal digestibility of C18:0. Feeding corn germ decreased (P < 0.10) small intestinal digestibility of C18:1 compared with corn oil. It appears that source of supplemental fat can affect the site and extent of fatty acid and nutrient digestion in steers fed diets based on steam-flaked corn. PMID- 18156345 TI - Alpharma Beef Cattle Nutrition symposium: manipulation of nutrient synchrony. PMID- 18156346 TI - Reducing phosphorus inputs for grazing Holstein steers. AB - A 2-yr study was conducted to confirm that managed pastures can provide Holstein steers adequate P to meet their daily requirement. Treatments offered were trace mineralized salt with or without additional P. In the first year, 80 Holstein steers (248 kg of BW) were assigned to 4 grazing groups. Treatments were trace mineralized salt only or a 67:33 mixture of trace mineralized salt and dicalcium phosphate. Steers rotationally grazed a cool-season grass/legume mixture for 137 d. Fecal bags were placed on 3 steers from each grazing group (n = 12) over a 4-d period for estimation of forage DMI and forage contribution to daily P intake twice during the grazing season. Analyzed pasture samples contained 3.28 mg of P/g of DM. During the second year, 72 Holstein steers (297 kg of BW) were blocked into 2 BW groups and subsequently assigned to 1 of 4 pasture groups. Steers rotationally grazed the same forage base as the first year for 126 d. Pasture samples contained 3.27 mg of P/g of DM. No significant differences (P > 0.10) were detected for BW, ADG, or free-choice supplemental mineral intake. Forage provided 126% of the recommended NRC P requirement. Thus, supplemental phosphorous was not required for Holstein steers grazing mixed, cool-season, grass/legume pastures. PMID- 18156347 TI - Net joint kinetics in the limbs of pigs walking on concrete floor in dry and contaminated conditions. AB - In pigs (Sus scrofa), joint disorders are frequent leg problems, and inappropriate pigpen floors and slippery floor conditions may contribute to these problems. Therefore, this study first aimed to quantify the net joint kinetics (net joint moments and net joint reaction forces) in the forelimbs and hindlimbs of healthy pigs walking on solid concrete floors. Second, this study aimed to examine the effect of floor condition on the net joint kinetics. Kinematic (50-Hz video recordings) and kinetic (1-kHz force plate measurements) data were collected from 30 pigs and combined with body segment parameters from a cadaver study. Net joint kinetics was calculated by using a 2-dimensional inverse dynamic solution. Inverse dynamics have, to our knowledge, not been applied in pigs before. Dry, greasy, and wet floor conditions were tested with 10 pigs each. In the forelimbs, peak joint moment was less (P < 0.01) on greasy (0.184 +/- 0.012 Nm/kg, moment of force per kg of BW) than on dry (0.232 +/- 0.012 Nm/kg) or wet (0.230 +/- 0.012 Nm/kg) conditions. Additionally, the minimum forelimb joint moment was more negative (P < 0.05) on greasy (-0.119 +/- 0.009 Nm/kg) than on dry or wet (both -0.091 +/- 0.009 Nm/kg) conditions. The forelimb joint reaction forces and the hindlimb joint kinetics were unaffected by floor condition. The greatest (P < 0.001) joint moments occurred in the shoulder (-0.376 +/- 0.007 Nm/kg), elbow (0.345 +/- 0.009 Nm/kg), hip (0.252 +/- 0.009 Nm/kg), and tarsal (0.329 +/- 0.009 Nm/kg) joints, which may be related to the greater incidence of joint diseases in some of these joints. In conclusion, the forelimb joints of the pigs responded more markedly to floor condition than did their hindlimb joints, probably because the forelimbs carry more weight. In particular, between the dry and greasy floor conditions, the joint loading differed, most likely because the pigs adapted to a potentially slippery surface. PMID- 18156348 TI - Immunological signaling networks: integrating the body's immune response. AB - The role of the immune system is to protect against infection and to eliminate disease from the host. Nonimmune cells can not only act as physical barriers, but also respond to microbial stimulation to release antimicrobial molecules, whereas immune cells are primarily responsible for eliminating pathogens or cancerous cells. In addition, immune cells regulate the immune response affecting the types of cells that are activated or suppressed. The following discussion is an overview of the immune system and its interconnection with the host. How nonimmune cells and innate and adaptive immune cells work separately and together to respond to a pathogenic challenge is discussed. In addition, how the immune system can be affected by factors such as nutrition and stress, and how the immune system can affect factors such as fertility demonstrates the integration of the immune system in processes other than elimination of pathogens. PMID- 18156349 TI - Relationship between myosin heavy chain isoform expression and muscling in several diverse pig breeds. AB - The objective of this study was to examine the relationship of the relative abundance of transcripts of myosin heavy chain (MyHC) isoforms and muscling in several diverse pig breeds. The animals used were from 3 pure breeds (Pietrain, Duroc, and Mongcai) and 2 crosses [Duroc x Pietrain (DUPI) and Duroc x Berlin Miniature pigs (DUMI)]. Real-time PCR quantification of MyHC isoforms I, IIa, IIx, and IIb showed that the relative expression of MyHC IIb was greater in pigs with large LM areas in both DUPI (69.6 vs. 53.0%) and DUMI (60.5 vs. 47.5%). In DUPI, similar transcript levels of MyHC I were found in both large and small LM (14.7 and 15.2%), whereas in DUMI animals, these values were 18.4 and 33.5% (P < 0.05). The groups of animals with large and small LM area in the DUPI also tended to differ in MyHC IIa and IIx transcripts. The comparison among different breeds confirmed the trend of high MyHC IIb transcript abundance together with high muscularity. In Pietrain, Duroc, DUPI, and DUMI, MyHC IIb accounted for more than half of the MyHC transcripts (65.4, 59.7, 54.0, and 54.0%). Mongcai showed low MyHC IIb (11.4%) but high type I, IIa, and IIx relative RNA levels (24.1, 28.5, and 35.9%). Frequencies of fibers, determined by muscle fiber staining with ATPase, and relative abundance of MyHC isoforms, determined by quantitative reverse transcription-PCR, of corresponding pairs of type I, IIa, and IIx/ IIb were correlated (r = 0.71, 0.67, and 0.52, respectively). The study demonstrates that MyHC IIb fibers are the most prominent in pigs having large LM area and implies that MyHC IIb is the determining fiber contributing to the differentiation of large and small loin eye muscle area in the pig. PMID- 18156351 TI - Sheep symposium: biology and management of low-input lambing in easy-care systems. PMID- 18156350 TI - A decade of developments in the area of fat supplementation research with beef cattle and sheep. AB - Supplementing ruminant animal diets with fat has been investigated as a means to influence a variety of physiological processes or to alter fatty acid composition of food products derived from ruminant animals. Several digestion experiments have been conducted with beef cattle and sheep to elucidate the effects of supplemental fat on utilization of other dietary components. Negative associative effects are not likely to be observed in ruminants consuming forage-based diets with supplemental fat at < or = 2% of DMI. Inclusion of supplemental fat at < or = 3% of DM is recommended to obtain the most benefit from the energy contained within the fat and other dietary components in high-forage diets. For ruminants fed high-concentrate diets, supplementing fat at 6% of diet DM is expected to have minimal impacts on utilization of other dietary components. Although there is greater potential to supply the ruminant animal with unsaturated fatty acids from dietary origin if fat is added to high-concentrate diets, incomplete ruminal biohydrogenation of C18 unsaturated fatty acids results in an increase in duodenal flow of 18:1 trans fatty acids regardless of basal diet consumed by the animal. The biohydrogenation intermediate 18:1 trans-11 (trans-vaccenic acid) is the likely precursor to cis-9, trans-11 CLA because the magnitude of increase in CLA content in tissues or milk of ruminants fed fat is much greater than the increase in CLA presented to the small intestine of ruminants fed fat supplements. Duodenal flow of trans-vaccenic acid is also substantially greater than CLA. Increasing unsaturated fatty acids status of ruminants imparts physiological responses that are separate than the energy value of supplemental fat. Manipulating maternal diet to improve unsaturated fatty acid status of the neonate has practical benefits for animals experiencing stress due to exposure to cold environments or conditions which mount an immune response. Supplementing fat to provide an additional 16 to 18 g/d of 18:2n-6 to the small intestine of beef cows for the first 60 to 90 d of lactation will have negative impacts on reproduction and may impair immune function of the suckling calf. Consequences of the suckling animal increasing its intake of unsaturated fatty acids because of manipulation of maternal diet warrants further investigation. PMID- 18156352 TI - Reproductive performance and genetic parameters in first cross ewes from different maternal genotypes. AB - The reproduction of 2,846 crossbreed ewes with 7,899 records is reported. The ewes were progeny of mainly Merino dams and 91 sires from several maternal sire breeds including Border Leicester, East Friesian, Finnsheep, Coopworth, Corriedale, Booroola Leicester, and several others. There were 3 cohorts of ewes at each of 3 sites that were bred naturally to meat-type rams for each of 3 yr to evaluate reproduction and lamb production. At 2 sites, the ewes were mated in the autumn, first at 7 mo of age, and at 2 sites the ewes were mated in the spring, first at 14 or 17 mo of age. The cohorts of ewes and sites were genetically linked by 3 common sires. Mixed linear models were used to analyze ultrasound scanned pregnancy rate, fetal number, fertility (ewes lambing), litter size, lamb survival, number of lambs born (NLBj), number of lambs weaned (NLWj), and total weight of lamb weaned (TWWj) per ewe bred. Fixed effects included sire breed (1 to 10), environment (1 to 4, site and season of breeding: autumn, spring), breeding (1 to 3), cohort (1 to 3), and their interactions. The REML procedures were used to estimate (co)variance components. Ewe sire breed effects were significant (P < 0.01) for all the reproductive traits and breed means ranged from 0.75 to 0.96 for fertility, 1.22 to 2.08 for litter size, 0.70 to 0.90 for lamb survival, 0.99 to 1.66 for NLBj, 0.87 to 1.26 for NLWj, and 22.9 to 33.8 kg for TWWj, with the ranking of sire breeds varying for different traits. For all traits except lamb survival, the contrast between breeding 1 vs. 2 and 3 was considerably greater than the contrast between breeding 2 vs. 3, with significant environment x breeding interactions (P < 0.01). Estimates of heritability for the components of reproduction ranged from 0.03 +/- 0.02 for lamb survival to 0.19 +/ 0.05 for litter size, and those for the composite traits were 0.17 +/- 0.04 for NLBj, 0.13 +/- 0.04 for NLWj, and 0.17 +/- 0.04 for TWWj, with repeatability ranging from 0.10 to 0.19. Genetic and phenotypic correlations among the traits are reported. The significant variation among sire breeds of the crossbred ewes can be used to improve reproduction, although there was a change in the rank of the breeds for the various traits. There was considerable overlap between the breeds, and additional improvement could be achieved by exploiting the genetic variation between sires within breeds for all the ewe reproductive traits. PMID- 18156353 TI - An evaluation of natural (RRR-alpha-tocopheryl acetate) and synthetic (all-rac alpha-tocopheryl acetate) vitamin E fortification in the diet or drinking water of weanling pigs. AB - Three experiments conducted with weanling pigs evaluated the effects of vitamin E added to the drinking water or diet on plasma and tissue alpha-tocopherol concentrations. When natural or synthetic vitamin E was used, it was added at an IU-equivalent basis, but natural vitamin E was 73.5% (mg basis) of the synthetic vitamin E. Experiment 1 used 18-d-old weanling pigs (n = 120) in a 3 x 2 factorial arrangement of treatments in a randomized complete block design with 4 replicates. The first factor evaluated the dietary levels of natural vitamin E (RRR-alpha-tocopheryl acetate) added at 0, 50, or 300 IU/kg, whereas the second factor was the natural vitamin E added to the drinking water at 0 or 100 IU/L. Pigs were bled at periodic intervals, and 1 pig per pen was killed at the end of the 21-d trial and tissues (liver, heart, lung, and loin) were collected for alpha-tocopherol analysis. When vitamin E was not added to the diet or water, plasma alpha-tocopherol declined over the 21-d period. Although there were some interactions (P < 0.01), tissue and plasma alpha-tocopherol concentrations increased linearly when vitamin E was added to the diet or water. Experiment 2 was a 3 x 2 factorial in a randomized complete block design with 4 replicates. A total of 96 pigs weaned at 18 d of age, with an initial BW of 6.2 kg, were fed a nonvitamin E fortified diet, but natural or synthetic (all-rac-alpha-tocopheryl acetate) vitamin E was added to their drinking water at 50, 100, or 150 IU/L. Pigs were bled at 0, 3, 7, 10, 14, and 21 d postweaning, with tissues (liver, lung, heart, and loin) collected for alpha-tocopherol analysis at d 21. The results indicated that plasma alpha-tocopherol concentrations increased (P < 0.01) as vitamin E increased, with greater tissue alpha-tocopherol concentrations (P < 0.01) when natural vitamin E was provided. Experiment 3 was conducted in 2 replicates, but pigs (n = 60) were not provided vitamin E in the diet or water for 7 d postweaning, and then natural or synthetic vitamin E was added to the drinking water as in Exp. 2 (50, 100, or 150 IU/L). Pigs were bled at 0, 2, 4, 6, 8, 10, and 24 h after being provided vitamin E to evaluate the absorption from each vitamin E source and level. Plasma alpha-tocopherol increased quadratically (P < 0.01) and plateaued at 8 to 10 h for each treatment group. These results indicate that adding vitamin E to the pig's water supply at weaning was more effective in increasing plasma alpha-tocopherol than when it was added to the diet during the initial 14 d postweaning, and that natural vitamin E was a superior source compared with synthetic vitamin E. PMID- 18156354 TI - Caspase 3 is not likely involved in the postmortem tenderization of beef muscle. AB - Postmortem proteolysis is an important determinant of beef tenderness. Caspase 3 is a protease that functions in apoptosis and has been shown to degrade myofibrillar proteins. Our objective was to evaluate whether caspase 3 activity is related to beef tenderness and muscle growth, and whether caspase 3 is activated in postmortem beef muscle. In experiment 1, longissimus thoracis (LT) and sternomandibularis muscle samples were obtained at 0, 0.25, 1, 3, 24, 72, and 240 h postmortem from 5 steers. In experiment 2, a group of 40 beef cattle was slaughtered at the University of Wyoming Meat Lab with 10 steers of different tenderness and growth characteristics chosen for the analysis of caspase 3 activity in the LT. In experiment 3, 10 steers with different tenderness but matched growth characteristics were chosen for analyses. In experiment 1, no significant activation (P = 0.70) of caspase 3 activity was detected; only a decreased activity at 72 (P = 0.05) and 240 h (P = 0.02) postmortem was observed. Western blot analysis of both muscle samples showed only the pro-caspase 3 form and failed to detect the activated enzyme. In experiment 2, caspase 3 activity in the LT immediately postmortem was greater (P = 0.05) for the cattle with increased Warner-Bratzler shear force values. No difference in caspase 3 activity was detected for experiment 3. Our results demonstrate that caspase 3 activity is not activated, with its activity decreasing with time postmortem, and caspase 3 activity is not associated with Warner-Bratzler shear force at slaughter. Therefore, caspase 3 is not anticipated to be involved in postmortem tenderization of beef. PMID- 18156355 TI - Effects of dietary arginine supplementation during gestation and lactation on the performance of lactating primiparous sows and nursing piglets. AB - A 2 x 2 factorial arrangement of treatments in a randomized block design was used to determine the effects of dietary Arg supplementation during gestation and lactation on the lactation performance of 38 first-parity sows. At 30 d of gestation, pregnant gilts were allotted based on BW to 1 of 2 diets supplemented with 1% L-Arg.HCl or 1.7% L-Ala (isonitrogenous control). After farrowing, sows were further allotted based on BW within previous gestation treatment groups to 1 of 2 lactation diets supplemented with 1% L-Arg.HCl or 1.7% L-Ala (isonitrogenous control). All gestation diets contained 3.1 Mcal/kg and 12.2% CP (as is) and were fed 2 kg/d in 2 equally sized meals, whereas all lactation diets contained 3.2 Mcal/kg and 18.6% CP (as is) and were fed ad libitum. Litter size was standardized to 10 piglets by cross-fostering within 24 h postfarrowing. On a weekly basis, BW and backfat (BF) thickness of sows, as well as piglet BW were measured, and blood and milk samples were obtained from the sows. Number of days from weaning to estrus and ADFI were also recorded. There were no differences in BW, BF thickness, ADFI, or days until return to estrus among treatment groups. There was no effect of the gestation diet or a gestation x lactation diet interaction on any parameter measured. On d 7 of lactation, plasma concentrations of Arg and insulin in sows, as well as concentrations of most AA in milk, were greater (P < 0.05) in response to Arg supplementation during lactation compared with the control. Weight gain of piglets from sows fed the Arg-supplemented diet during lactation was greater between d 0 and 7 (P < 0.01) and between d 0 and 21 (P < 0.05) of lactation compared with piglets from sows fed the control diet. Collectively, results from this study indicate the potential beneficial effects of dietary Arg supplementation in improving the lactation performance of first parity sows. PMID- 18156356 TI - Apoptosis and antioxidant status are influenced by age and exercise training in horses. AB - Eight mature (12 +/- 2 yr; MAT) and 5 older (22 +/- 2 yr; OLD) Standardbred mares were used to test the hypothesis that aging and exercise training would alter apoptosis in white blood cells and antioxidant status. The horses were housed indoors overnight (16 h/d) in 3 m x 3 m stalls and were turned out in a drylot during the day. They were fed a diet consisting of total mixed ration, hay cubes fed ad libitum or an equine senior diet plus grass hay. Horses were trained for 20 to 30 min/d, 3 to 5 d/wk for 8 wk at a submaximal work intensity between 60 to 70% of maximal heart rate. A graded exercise test (GXT; stepwise test until exhaustion) was performed before (GXT1) and after (GXT2) the 8 wk of training. During the GXT, blood samples and heart rate were taken at rest, 6 m/s, fatigue, and at 5 and 60 min postfatigue. Fatigue plasma lactate concentration was greater in MAT (19.3 +/- 1.5 at 10 m/s) compared with the OLD (10.9 +/- 1.2 mmol/L at 9 m/s; P = 0.008) horses. There was no effect of age or training on plasma lipid hydroperoxide (LPO) concentration. However, there was a positive correlation between LPO and plasma lactate concentration (r = 0.27, P = 0.006) during acute exercise. There was a greater concentration of total glutathione after GXT1 than after GXT2 (111.8 +/- 5.0 vs. 98.6 +/- 3.4 microM, respectively; P = 0.0002) for both age groups. Apoptosis was less (P = 0.002) in white blood cells of the MAT vs. the OLD group. These results demonstrate that older horses are under similar amounts of oxidative stress, measured by LPO, and have similar levels of glutathione in their systems compared with mature horses. The observation that more glutathione was needed during GXT1 for both groups of horses indicates that training helps horses adapt their system for the intense post-training exercise tests. The greater level of white blood cell apoptosis also indicates that older horses may be immune-compromised during exercise. However, research still needs to be performed regarding dietary supplementation in the aged horse. PMID- 18156357 TI - Effect of ovulatory follicle size and expression of estrus on progesterone secretion in beef cows. AB - Induced ovulation of small dominant follicles (SF, < 12 mm; CO-Synch protocol) in postpartum beef cows resulted in formation of corpora lutea (CL) that exhibited a delayed rise in progesterone (P4) compared with CL from large dominant follicles (LF, > 12 mm). Experiment 1 characterized P4 concentrations from ovulation to subsequent estrus among GnRH-induced or spontaneously ovulated SF (or= 12 mm) to determine if P4 secretion by CL formed from GnRH-induced SF remains lower postovulation in nonlactating beef cows. Nonlactating beef cows were induced to ovulate 48 h after PGF(2alpha) (CO-Synch; GnRH on d - 9, PGF(2alpha) on d - 2, and GnRH on d 0) or exhibited estrus and spontaneously ovulated after PGF(2alpha). Follicle size was measured at the second GnRH in cows induced to ovulate or approximately 3 h after the onset of estrus for cows that ovulated spontaneously. Cows were classified into 1 of 4 groups: 1) GnRH-induced ovulation-SF (or= 12 mm; Ind-LF; n = 16); 3) spontaneous ovulation-SF (or= 12 mm; Spon-LF; n = 22). Serum concentrations of P4 from d 3 to 15 were reduced in the Ind-SF compared with the Ind-LF (P = 0.05), Spon-SF (P = 0.07), and Spon-LF (P = 0.03). Experiment 2 characterized P4 concentrations (0 to 60 d postAI) among GnRH-induced or spontaneously ovulated SF (or= 13 mm) to determine if P4 secretion by CL formed from GnRH-induced SF remained lower during early gestation. Ovulation was induced with GnRH 48 h after PGF(2) (CO-Synch) or occurred spontaneously, and ovulatory follicle size was measured at AI. Lactating cows were classified into 1 of 3 groups: 1) GnRH-induced ovulation-SF (or= 13 mm; Ind-LF; n = 43); or 3) spontaneous ovulation-LF (>or= 13 mm; Spon-LF; n = 27). The increase in P4 concentrations was greater (P = 0.06) in pregnant (d 2 to 12) compared with nonpregnant cows. Also, the increase in P4 from d 2 to 12 was greater (P = 0.01) in the Ind-LF compared with the Ind SF groups, but there was no difference (P = 0.94) among groups in P4 from d 14 to 60 in pregnant cows. Follicle size at AI influenced the increase in P4 in cows that failed to conceive (P = 0.007), but not among cows that became pregnant (P = 0.32) to AI. In summary, P4 secretion after GnRH-induced ovulation of SF was decreased from d 2 to 12 compared with that of LF, but was similar among pregnant cows from d 14 to 60 postAI (d 0). PMID- 18156358 TI - Inheritance of pulmonary arterial pressure in Angus cattle and its correlation with growth. AB - Pulmonary arterial pressure (PAP) is an indicator of resistance to blood flow through the lungs and when measured at high altitude is a reliable predictor of susceptibility of an animal to brisket disease, a noninfectious cardiac pulmonary condition. (Co)-variance components for PAP, birth weight, and adjusted 205-d weaning weight were estimated from 2,305 spring-born, registered Angus cattle from a Colorado ranch at an elevation of 1,981 m. A single measure of PAP was collected after weaning on animals born from 1984 to 2003. The same licensed veterinarian measured every animal. Multitrait animal models with and without PAP maternal effects were fitted for a pedigree including 132 sires and 793 dams. The interaction of year x sex was a significant fixed effect (P <0.05) for PAP, but age of dam was not. Age at PAP testing was a significant (P <0.1) linear covariate for PAP, and scores increased 0.012 +/- 0.007 mmHg X d(-1) of age. Heritability of PAP direct was 0.34 +/- 0.05. Maternal heritability converged to a boundary at 0.0, and the model with maternal genetic effects for PAP was not significantly better than a model with only direct effects. Phenotypically, PAP was uncorrelated with birth or weaning weights. Genetically, PAP appeared to have positive, unfavorable relationships with direct effects for birth (0.49 +/- 0.12) and weaning weight (0.50 +/- 0.18). Positive correlations imply sires whose offspring exhibited resistance to brisket disease had lower weights and gains. A model that evaluated PAP in females and males as different traits had heritability estimates for each sex of 0.38 +/- 0.07 and 0.46 +/- 0.09, respectively, with a genetic correlation of 0.64 +/- 0.12 between the sexes and was not significantly better than the model assuming homogeneity by sex and a unit genetic correlation between sexes. The results suggest that PAP is moderately heritable in spring-born Angus cattle acclimatized and tested at high altitude, and selection for low PAP scores would be effective. Selection for growth at low altitude will produce cattle less suited to high altitude. PMID- 18156359 TI - Intramuscular fat content has little influence on the eating quality of fresh pork loin chops. AB - Fresh pork loins (n = 290) were selected from a commercial packing facility based on subjective marbling of the intact loin and 24-h pH to determine the influence of marbling on sensory attributes. The study was designed using pigs from a similar genetic background, raised in similar production facilities, and slaughtered on a single kill day to minimize the effects of genetics, management, environment, and slaughter day. Loins were vacuum-packaged, transported to the University of Illinois Meat Science Laboratory, and aged for 7 d, after which a chop was removed from the area of the tenth rib for proximate analysis. Quality measurements, including National Pork Producers Council color, marbling, and firmness, ultimate pH, Minolta L*, a*, and b*, and drip loss, were determined after aging. After the proximate composition was completed, 150 loins were selected to provide a continuous and uniform distribution of extractable lipid, ranging from 1 to 8%, and a pH range from 5.5 to 5.8. Trained sensory panel analyses (end point cooking temperatures of 62, 71, or 80 degrees C) as well as measurement of Warner-Bratzler shear force (cooked to 71 degrees C) were performed on chops from the 150 loins. Consumer evaluation was also conducted on a subset (n = 40) of these loins, which were broken down into 5 discrete levels of intramuscular lipid, with averages of 1.6, 2.5, 3.6, 4.5, and 5.7% extractable lipid. Consumers were also asked to select the chops they would most prefer from a retail display case based on the amount of marbling present. Results from the consumer portion of the study indicated that intramuscular fat content had limited effects on perceived tenderness, juiciness, pork flavor, and oiliness; some significant differences (P < 0.05) were detectable, but they were numerically small. Most consumers also selected lean chops from the retail case, with nearly 50% selecting chops with less than 1.7% extractable lipid. Warner Bratzler shear force was negatively related (P < 0.0001) to extractable lipid, with an R(2) value of 0.10. Results from the trained panel sensory analysis indicate that the percentage of extractable lipid did not correlate strongly with perceived tenderness, juiciness, or pork flavor for this group of pork loins that was controlled for genetics, pH, management, and day of slaughter. PMID- 18156360 TI - Milk yield of primiparous beef cows from three calving systems and varied weaning ages. AB - Primiparous beef cows produced in 3 calving systems were used in a 2-yr study with a completely random design to measure milk yield throughout a 190-d lactation (2002, n = 20; 2003, n = 24 per calving system). Calving occurred in late winter (average calving date = February 4 +/- 2 d), early spring (average calving date = March 30 +/- 2 d), and late spring (average calving date = May 26 +/- 1 d). Additionally, cows used in this study had been weaned at varied ages as calves, creating 6 dam treatments. Dam age at weaning was 140 (late spring), 190 (late winter, early spring, late spring), or 240 (late winter, early spring) d of age. Milk production was measured by using the weigh-suckle-weigh technique at an average of 20, 38, 55, 88, 125, 163, and 190 d in milk. Milk yield for the 190-d lactation period was calculated as area under the curve by trapezoidal summation. Data were analyzed with a model containing treatment, year, and their interaction. Orthogonal contrasts were used to separate effects when treatment was significant (P < 0.10). Total milk yield did not differ (P = 0.42) between cows in the late winter and early spring systems, but cows in the late spring system tended to differ (P = 0.09) from the average of the other 2 systems. Cows in the late spring calving system had increased milk yield in 2002 and lesser milk yield in 2003 compared with the other calving systems (treatment x year interaction, P < 0.001). Cows born in late spring that had been weaned at 140 d of age produced more (P = 0.05) total milk than those weaned at 190 d of age. Peak milk yield was affected (P < 0.001) by treatment and showed a treatment x year interaction (P = 0.006). Day of peak lactation differed among treatments (P = 0.002), with cows in the late winter system peaking later (P = 0.007) than early spring cows, and late spring cows peaking earlier (P = 0.004) than the average of late winter and early spring cows. The average date of peak lactation was May 4 for the late winter system, May 31 for the early spring system, and July 19 for the late spring system. Calf ADG differed (P < 0.001) for the late spring system compared with the average of the late winter and early spring systems, but the relationship interacted with year (P < 0.001). Cow BW and BW change differed among treatments (P < 0.004), with much of the difference associated with the amount of milk produced or the timing of peak lactation. Season of calving affects milk yield of primiparous cows grazing Northern Great Plains rangelands and ADG of their calves. PMID- 18156361 TI - BOARD-INVITED REVIEW: Use of distillers by-products in the beef cattle feeding industry. AB - The ethanol industry is expanding rapidly. This expansion in production of renewable energy also increases production of by-products. These byproducts, primarily distillers grains plus solubles (DGS), are utilized very efficiently by ruminants. When the starch in corn is fermented to produce ethanol, the remaining nutrients (protein, fat, fiber) are concentrated about 3-fold. Whereas DGS is an excellent protein source for ruminants, the large supply and the price relative to corn make DGS an attractive energy source as well. This is especially important with reduced availability and higher price of corn because of demand by the ethanol industry. A meta-analysis of 9 experiments, where various levels of wet DGS were fed to feedlot cattle, shows that wet DGS produced higher ADG and G:F compared with cattle fed corn-based diets without DGS. A similar analysis with dry DGS showed similar type of responses but with less apparent feeding value for dry DGS compared with wet DGS. Metabolism studies suggest the fat in DGS may be partially protected from ruminal degradation leading to greater proportion of unsaturated fatty acids at the duodenum and greater total tract fat digestibility. Both the fat and the undegradable protein in DGS appear to explain some but not all of the greater feeding value of DGS compared with corn. Lower quality roughages may be used in feedlot diets containing wet DGS because of the protein, moisture, and physical characteristics the DGS contains. The feeding value of DGS is greater than dry-rolled corn or high moisture corn; however, the feeding value of DGS appears to be less when fed in finishing diets based on steam-flaked corn than in those based on dry-rolled or high-moisture corn. PMID- 18156362 TI - Prolonged, moderate nutrient restriction in beef cattle results in persistently elevated circulating ghrelin concentrations. AB - Four ruminally cannulated steers (BW 581 +/- 12.8 kg) were used in a crossover design to determine the effects of prolonged, moderate nutrient restriction on plasma ghrelin concentrations and to establish the relationship of plasma ghrelin concentrations with hormones and metabolites indicative of nutritional status and end products of rumen fermentation. A high-grain diet was offered at 240% of the intake needed for BW maintenance (2.4xM) or 80% of the intake needed for BW maintenance (0.8xM). To standardize, all steers were acclimated to 2.4xM before initiation of the treatment periods. During period 1, 2 steers continued at 2.4xM, whereas intake for the remaining 2 steers was restricted to 0.8xM. On d 7, 14, and 21 after initiation of the restriction, serial blood samples were collected at 15-min intervals via indwelling jugular catheter and were assayed for ghrelin, GH, NEFA, insulin, and glucose concentrations. Rumen fluid was collected at hourly intervals for evaluation of pH and VFA concentrations. After period 1, steers were weighed, the treatments were switched between steer groups, and the intake amounts were recalculated. Intake of 2.4xM was established for previously restricted cattle, and period 2 was then conducted as described for period 1. Data were analyzed statistically as repeated measures in time, and stepwise regression was used to define the relationship of plasma ghrelin with hormones, metabolites, and end products of rumen fermentation. Throughout the 21 d treatment period, plasma ghrelin concentrations were elevated (P 0.05) by treatment. The wash loss fractions in hays treated with Ec and Eb were lower than that in the control hay, but the potentially degradable fraction, total degradable fraction, and the effective degradability were increased (P < 0.01) by NH(3) treatment. Application at cutting was the most promising method of enzyme treatment, and this treatment was almost as effective as ammonia for enhancing forage quality. PMID- 18156365 TI - P-glycoprotein: so many ways to turn it on. AB - Expression of the ABC transporter P-glycoprotein (P-gp or ABCB1) is associated with resistance to chemotherapy in cancer. However, early investigations into the regulation of ABCB1 expression revealed that the process is not a classical induction as observed for certain metabolizing enzymes. The process involves the cellular stress response pathway initiated by either inflicted (e.g., chemotherapy damage) or endogenous (e.g., hypoxia) factors. However, ABCB1 is also expressed in a number of noncancerous tissues. In particular, the protein is found at tissues providing a barrier or secretory function. The localization of ABCB1 in normal tissues will impact significantly on drug pharmacokinetics, in particular the absorption and elimination processes. This review also describes the mechanism underlying ABCB1 expression in noncancerous tissue, a process that does not involve the stress response. PMID- 18156366 TI - Amplified temperature dependence in ecosystems developing on the lava flows of Mauna Loa, Hawai'i. AB - Through its effect on individual metabolism, temperature drives biologically controlled fluxes and transformations of energy and materials in ecological systems. Because primary succession involves feedbacks among multiple biological and abiotic processes, we expected it to exhibit complex dynamics and unusual temperature dependence. We present a model based on first principles of chemical kinetics to explain how biologically mediated temperature dependence of "reactant" concentrations can inflate the effective temperature dependence of such processes. We then apply this model to test the hypothesis that the temperature dependence of early primary succession is amplified due to more rapid accumulation of reactants at higher temperatures. Using previously published data from the lava flows of Mauna Loa, HI, we show that rates of vegetation and soil accumulation as well as rates of community compositional change all display amplified temperature dependence (Q(10) values of approximately 7-50, compared with typical Q(10) values of 1.5-3 for the constituent biological processes). Additionally, in young ecosystems, resource concentrations increase with temperature, resulting in inflated temperature responses of biogeochemical fluxes. Mauna Loa's developing ecosystems exemplify how temperature-driven, biologically mediated gradients in resource availability can alter the effective temperature dependence of ecological processes. This mechanistic theory should contribute to understanding the complex effects of temperature on the structure and dynamics of ecological systems in a world where regional and global temperatures are changing rapidly. PMID- 18156369 TI - Congenital glaucoma surgery: a neglected field in ophthalmology? PMID- 18156367 TI - Mammalian acyl-CoA:lysophosphatidylcholine acyltransferase enzymes. AB - The mammalian RBC lacks de novo lipid synthesis but maintains its membrane composition by rapid turnover of acyl moieties at the sn-2 position of phospholipids. Plasma-derived fatty acids are esterified to acyl-CoA by acyl-CoA synthetases and transferred to lysophospholipids by acyl-CoA:lysophospholipid acyltransferases. We report the characterization of three lysophosphatidylcholine (lysoPC) acyltransferases (LPCATs), products of the AYTL1, -2, and -3 genes. These proteins are three members of a LPCAT family, of which all three genes are expressed in an erythroleukemic cell line. Aytl2 mRNA was detected in mouse reticulocytes, and the presence of the product of the human ortholog was confirmed in adult human RBCs. The three murine Aytl proteins generated phosphatidylcholine from long-chain acyl-CoA and lysoPC when expressed in Escherichia coli membranes. Spliced variants of Aytl1, affecting a conserved catalytic motif, were identified. Calcium and magnesium modulated LPCAT activity of both Aytl1 and -2 proteins that exhibit EF-hand motifs at the C terminus. Characterization of the product of the Aytl2 gene as the phosphatidylcholine reacylating enzyme in RBCs represents the identification of a plasma membrane lysophospholipid acyltransferase and establishes the function of a LPCAT protein. PMID- 18156370 TI - Pilocytic astrocytomas as hamartomas: implications for treatment. PMID- 18156371 TI - The efficacy and harm of prostaglandin analogues for IOP reduction in glaucoma patients compared to dorzolamide and brimonidine: a systematic review. AB - AIM: To systematically review the literature on the efficacy and harm of prostaglandin analogues (PGAs) compared to brimonidine and dorzolamide in treating elevated intraocular pressure (IOP). METHODS: Keywords were searched in major literature databases to identify relevant randomised clinical trials (RCTs) of PGAs for ophthalmic use. The study quality of RCTs was assessed using the Jadad scale. Outcomes assessed included reduction in IOP in individual patients, adverse events (AEs) and withdrawals due to AEs. RESULTS: Eight unique RCTs evaluating a total of 1,722 individuals were included in this systematic review. Analysis did not show a significant reduction in the mean IOP from patients receiving latanoprost compared with those receiving brimonidine (WMD = -1.04; p = 0.30). On the other hand, the latanoprost group showed a significant reduction in mean IOP compared to the dorzolamide group (WMD = -2.64; p<0.00001). The number of ocular AEs (excluding hyperaemia) was significantly higher in the brimonidine group compared with the latanoprost group (RR = 0.66; p = 0.0005). CONCLUSION: Latanoprost was found to be significantly superior to dorzolamide but not brimonidine. However, ocular adverse events were significantly fewer in latanoprost users than in brimonide users. Neither travoprost nor bimatoprost was compared to dorzolamide or brimonidine in the present literature. PMID- 18156372 TI - Two strategies for correcting refractive errors in school students in Tanzania: randomised comparison, with implications for screening programmes. AB - PURPOSE: To compare whether free spectacles or only a prescription for spectacles influences wearing rates among Tanzanian students with un/undercorrected refractive error (RE). METHODS: DESIGN: Cluster randomised trial. SETTING: 37 secondary schools in Dar es Salaam, Tanzania. PARTICIPANTS: Distance visual acuity was measured in 6,904 year-1 students (90.2% response rate; median age 14 years; range 11-25 years) using a Snellen E-chart. 135 had RE requiring correction. INTERVENTIONS: Schools were randomly allocated to free spectacles (arm A) or prescription only (arm B). PRIMARY OUTCOME: Spectacle use at 3 months. RESULTS: The prevalence of un/undercorrected RE was 1.8% (95% CI: 1.5 to 2.2%). At 3 months, 27/58 (47%) students in arm A were wearing spectacles or had them at school compared with 13/50 (26%) in arm B (adjusted OR 2.4, 95% CI 1.0 to 6.7). Free spectacles and myopia were independently associated with spectacle use. CONCLUSIONS: The low prevalence of un/undercorrected RE and poor uptake of spectacles, even when provided free, raises doubts about the value of vision screening programmes in Tanzanian secondary schools. Policy decisions on school vision screening in middle- and low-income countries should take account of the cost-effectiveness as well as competing demands for scarce resources. PMID- 18156373 TI - Incidence of occludable angles in a high-risk Mongolian population. AB - BACKGROUND: Primary angle closure glaucoma (PACG) accounts for nearly 50% of global glaucoma blindness. There are currently no public health strategies to deal with this problem. Screening and prophylactic treatment of primary angle closure suspects (PACS) with laser peripheral iridotomy (LPI) may form a feasible population-level intervention. However, more information about the natural history of PACS is required before such an approach could be considered. METHODS: Six hundred and forty-four participants aged 50 years with a central anterior chamber depth (cACD) of <2.53 mm underwent a full slit-lamp examination in 1999. Of these, 160 participants diagnosed as having occludable angles by gonioscopy (ISGEO classification) were excluded from all further analysis, leaving 484 for follow-up. Six years later, 95/484 (19.6%) had died. A total of 201 of 389 participants traced (51.7%) were re-examined. The potential risk factors for the development of an occludable angle were assessed using the chi squared test, t test and the Wilcoxon rank sum test. RESULTS: At follow-up, 41 participants (20.4%, 95% CI: 14.8 to 25.7) were diagnosed as having incident PACS. Narrower angles, identified by grading of limbal chamber depth and gonioscopy at baseline, were strongly associated with incident occludable angles (p = 0.01 and p<0.01, respectively). There was weak evidence of an association with change in cACD (p = 0.05), and no evidence of an association with age, gender, and baseline cACD for the development of occludable angles. CONCLUSIONS: Narrower angles as determined by limbal chamber depth grading and gonioscopy at baseline were the main risk factors identified for the development of occludable angles. PMID- 18156374 TI - Characterisation and management of vitreous and nerve amyloid in familial amyloid polyneuropathy due to variant transthyretin, Phe33Val. PMID- 18156375 TI - Long-term results of viscotrabeculotomy in congenital glaucoma: comparison to classical trabeculotomy. AB - BACKGROUND: To evaluate the outcomes of viscotrabeculotomy in patients with primary congenital glaucoma and to compare the success and complications rates with classical trabeculotomy. PATIENTS AND METHODS: Patients who were selected for this study had all presented with primary congenital glaucoma before the age of 12 months, and they were divided into two groups. Group 1 consisted of 58 eyes of 34 patients who underwent viscotrabeculotomy, and group 2 consisted of 51 eyes of 30 patients who underwent classical trabeculotomy. Pre-and postoperative intraocular pressures (IOPs), mean antiglaucoma medication, mean corneal diameter, success rates, intra-and postoperative complications were compared between two groups. RESULTS: Mean preoperative IOP was 30.6 (SD 5.7) mm Hg in group 1 and 29.9 (4.9) mm Hg in group 2. At the last visits, it was 16.2 (2.9) mm Hg and 17.3 (2.8) mm Hg, respectively (p<0.001). The mean number of antiglaucoma medications used after surgery was significantly lower in group 1 (p<0.05). At the last visits, the success rates of group 1 and group 2 were 91.3% and 68.6%, respectively, and the difference was statistically significant (p = 0.02). The most common early postoperative complication was transient IOP elevation in group 1 and hyphaema in group 2 (for each, p<0.001). CONCLUSION: Use of viscoelastic materials during trabeculotomy may increase the success rate of the procedure by prevention of postoperative haemorrhage, adhesion of the incision lips or fibroblastic proliferation. PMID- 18156376 TI - Combined Pegaptanib sodium (Macugen) and photodynamic therapy in predominantly classic juxtafoveal choroidal neovascularisation in age related macular degeneration. AB - AIMS: This prospective, open label, non-comparative, observational case series evaluates 6-month results of Pegaptanib Sodium (Macugen) and Photodynamic Therapy (PDT) in predominantly classic juxtafoveal choroidal neovascularisation (CNV) in age-related macular degeneration (AMD) in seven eyes of seven patients. RESULTS: Best corrected visual acuity (BCVA) diminished with a mean of five letters. Initial area of CNV increased significantly from 1.4 mm2 to 2.7 mm2. There was a significant increase in the greatest linear dimension (GLD) from 1280.3 microm to 2065.7 microm at the 24-week follow-up. CONCLUSION: Predominantly classic juxtafoveal CNVs are highly aggressive lesions that demonstrate poor response despite combined therapy using PDT and Macugen. PMID- 18156377 TI - Fluorophotometric measurement of the precorneal residence time of topically applied hyaluronic acid. AB - PURPOSE: This study was performed to separately assess the aqueous flow applied with hyaluronic acid, and the behaviour of hyaluronic acid itself on the ocular surface. METHODS: Two different fluorescent dyes, fluorescein sodium dissolved in 0.1% hyaluronic acid (HA) solution and 0.1% fluorescein conjugated with hyaluronic acid (F-HA) dissolved in saline, were used. A volume of 20 mul of tested solution was applied to the eye of 10 healthy volunteers. Fluorescein sodium dissolved in saline served as a control. The fluorescent intensity of the precorneal tear film was measured at the central cornea every minute for 10 min. The turnover rate was calculated using the equation that plots fluorescent intensity against time in a semilog plot and expressed as %/min. RESULTS: Turnover rates of topically applied 0.1% F-HA, 0.1% HA and saline were 8.1 (SD 3.6)%/min, 21.6 (2.8)%/min, and 31.0 (3.7)%/min, respectively. The turnover rate of F-HA was significantly lower than those of HA and saline (p = 0.00012 and p = 0.00000022, respectively; Mann-Whitney test). The turnover rate of HA was significantly lower than that of saline (p = 0.00001; Mann-Whitney test). CONCLUSION: Our results indicate that the bulk aqueous flow applied with HA and the turnover of HA itself are different. HA molecules may adhere to the ocular surface by surface-chemical and/or biochemical properties. The long retention time of HA on the ocular surface may explain the mechanism in which hyaluronic acid has been shown to enhance tear film stability for a few hours. PMID- 18156378 TI - Differences in meibomian fatty acid composition in patients with meibomian gland dysfunction and aqueous-deficient dry eye. AB - AIMS: To evaluate the differences in meibomian fatty acid composition in healthy subjects and in patients suffering from meibomian gland dysfunction or aqueous deficient dry eye. METHODS: We collected meibomian oil using a sterile Schirmer paper in healthy individuals (n = 20), dry eye patients (aqueous-deficient) (n = 32) and meibomian gland dysfunction (MGD) patients (n = 25) after gentle massage of the lid margin. Meibomian fatty acids were directly transmethylated and analysed using gas chromatography (GC) and GC mass spectrometry. RESULTS: Meibomian fatty acids were similar in healthy individuals and in dry eye patients but were different in MGD patients, who showed significantly higher levels of branched-chain fatty acids (29.8% vs 20.2%) (p<0.0001) and lower levels of saturated fatty acids (9.3 vs 24.6%) (p<0.0001), in particular lower levels of palmitic (C16) and stearic (C18) acids. CONCLUSION: The increase in branched chain fatty acids may reflect greater quantities of wax and cholesterol esters and triglycerides in meibomian gland excreta. Since wax and cholesterol esters are the main lipids of meibum, these differences may have physical consequences for tear-film lipid-layer fluidity and stability. Meibomian fatty acid composition and particularly the increase in branched chains could be a marker for meibomian gland dysfunction. PMID- 18156379 TI - Polymorphisms of the glucocorticoid receptor gene in Graves ophthalmopathy. AB - BACKGROUND/AIMS: Glucocorticoids have an important role in the regulation of the immune system, and alterations in glucocorticoid signaling may have an impact on the pathophysiology of autoimmune and inflammatory disorders. Because polymorphisms of the glucocorticoid receptor (GR) gene, including the N363S, ER22/23EK, A3669G and BclI variants were found to influence glucocorticoid signalling, we examined whether these polymorphisms could be associated with the development or clinical manifestations of Graves ophthalmopathy (GO). METHODS: The carrier and allelic frequencies of the N363S, ER22/23EK, A3669G, and BclI polymorphisms of the GR were determined in 95 Hungarian outpatients with GO and 160 healthy controls. RESULTS: No significant changes were found in carrier frequencies of the four polymorphisms between GO patients and healthy controls. However, when GO patients were divided into two subgroups (American Thyroid Association Committee, ATA I-II vs ATA III or greater), the frequency of the polymorphic BclI allele was significantly higher in patients with ATA I-II compared with those with ATA III or more (p = 0.009). CONCLUSION: The significant association between the frequency of the polymorphic BclI allele and ATA stage distribution suggests that this polymorphism of the GR gene may affect clinical manifestations of GO, presumably due to an increased signaling of endogenous glucocorticoids. PMID- 18156381 TI - Half-top-hat--a new wound configuration for penetrating keratoplasty. AB - AIMS: To describe a new, simpler method of achieving the advantages of a lamellar wound configuration in penetrating keratoplasty (PKP)--the half-top-hat (HTH) configuration. METHODS: The donor corneal button was prepared in a top-hat configuration, as previously described. It consisted of a central, full-thickness part, 7-8 mm in diameter, surrounded by a peripheral lamellar wing of deep stroma and endothelium that was 0.5 mm in width (wing diameter 8-9 mm). The recipient bed was prepared by a straight full thickness trephination with a suction trephine. The donor button was positioned by sliding the peripheral wing under the recipient bed. Sixteen 10-0 interrupted sutures and a single continuous 16 bite 11-0 nylon sutures were placed. The interrupted sutures were passed so as to go through the wing, in order to ensure a good apposition of the wing to the inner corneal surface of the recipient. Anterior segment optical coherence tomography (Visante OCT) was used to image the position and alignment of the corneal graft postoperatively. RESULTS: Ten eyes of 10 patients (mean (SD) age: 73.7 (11.4) years, 7 females) underwent HTH PKP. The donor lenticule diameter was 7.7 (0.3) mm (wing diameter 8.7 (0.3) mm). The mean follow-up time was 2.4 (0.7) months. The last median visual acuity was 20/200 (range 20/80-counting fingers), and the last IOP was 18.2 (8.8) mm Hg. No major intraoperative complications were noted. No postoperative events of graft rejection were documented. No anterior surface misalignment was noted either clinically or by OCT. One patient had a rise in IOP postoperatively. CONCLUSIONS: Half-top-hat wound configuration is a valid alternative in penetrating keratoplasty. Its advantages include better apposition of donor and recipient corneas, improved tectonic strength to prevent graft dehiscence, the possibility of early sutures removal and being a simpler procedure to perform. PMID- 18156382 TI - Vasocentric fascicular uveal melanoma. Incidence and re-appraisal of the histological features. PMID- 18156383 TI - Anterior scleritis as the presenting sign of metastatic lung cancer. PMID- 18156384 TI - Patient use of Visine (tetrahydrozoline) masks Horner syndrome. PMID- 18156385 TI - Cocaine-induced chorioretinal infarction. PMID- 18156386 TI - The incidence of Purtscher retinopathy in acute pancreatitis. PMID- 18156387 TI - Resolution of conjunctival Kaposi sarcoma after institution of highly active antiretroviral therapy alone. PMID- 18156388 TI - Intracranial hypotension and abducens palsy following upper spinal manipulation. PMID- 18156389 TI - Clinical studies: visual acuities beyond Snellen. PMID- 18156390 TI - Unremitting sympathetic ophthalmia associated with homozygous interleukin-10 1082A single nucleotide polymorphism. PMID- 18156391 TI - Choroidal metastasis from gastrointestinal stromal tumour: a case report. PMID- 18156392 TI - Impression cytology: implications for ocular surface squamous neoplasia. PMID- 18156393 TI - Expression of p27(KIP1) and cyclin D1, and cell proliferation in human pterygium. PMID- 18156395 TI - Bioactive food components that enhance gammadelta T cell function may play a role in cancer prevention. AB - Gammadelta T cells are found largely within the epithelium and recognize antigens differently than their alphabeta T cell counterparts. TCR delta-/- knock out mice exhibit a rapid tumor onset, along with increased tumor incidence. Although limited, research demonstrates that nutrients and bioactive food components can influence gammadelta T cell cytotoxicity, cytokine secretion, and proliferative capacity, and the results are nonetheless intriguing. Among other functions, gammadelta T cells play a role in immunosurveillance against malignant cells, as shown by the T cell receptor (TCR)delta-/- knock out mice that exhibit a rapid tumor onset and increased tumor incidence. Some common dietary modifiers of gammadelta T cell numbers or activity are apple condensed tannins, dietary nucleotides, fatty acids, and dietary alkylamines. A recent clinical study demonstrated that ingesting a fruit and vegetable juice concentrate increased the number of circulating gammadelta T cells. Clinical studies also document that the oral consumption of a tea component, L-theanine, enhances gammadelta T cell proliferation and interferon-gamma secretion. The significance of these studies awaits additional examination of the influence of exposures and duration on these and other food components. Adoptive transfer and TCRdelta-/- knock out mice models should be used more extensively to determine the physiological impact of the number and activity of these cells as a function of dietary component exposures. While clarifying the diet and gammadelta T interrelationship may not be simple, the societal implications are enormous. PMID- 18156396 TI - Modified MyPyramid for Older Adults. AB - In 1999 we proposed a Modified Food Guide Pyramid for adults aged 70+ y. It has been extensively used in a variety of settings and formats to highlight the unique dietary challenges of older adults. We now propose a Modified MyPyramid for Older Adults in a format consistent with the MyPyramid graphic. It is not intended to substitute for MyPyramid, which is a multifunctional Internet-based program allowing for the calculation of individualized food-based dietary guidance and providing supplemental information on food choices and preparation. Pedagogic issues related to computer availability, Web access, and Internet literacy of older adults suggests a graphic version of MyPyramid is needed. Emphasized are whole grains and variety within the grains group; variety and nutrient density, with specific emphasis on different forms particularly suited to older adults' needs (e.g. frozen) in the vegetables and fruits groups; low-fat and non-fat forms of dairy products including reduced lactose alternatives in the milk group; low saturated fat and trans fat choices in the oils group; and low saturated fat and vegetable choices in the meat and beans group. Underlying themes stress nutrient- and fiber-rich foods within each group and food sources of nutrients rather than supplements. Fluid and physical activity icons serve as the foundation of MyPyramid for Older Adults. A flag to maintain an awareness of the potential need to consider supplemental forms of calcium, and vitamins D and B-12 is placed at the top of the pyramid. Discussed are newer concerns about potential overnutrition in the current food landscape available to older adults. PMID- 18156397 TI - Conjugated linoleic acid suppresses myogenic gene expression in a model of human muscle cell inflammation. AB - Proinflammatory cytokines, such as tumor necrosis factor (TNF)-alpha, contribute to muscle wasting in inflammatory disorders, where TNFalpha acts to regulate myogenic genes. Conjugated linoleic acid (CLA) has shown promise as an antiproliferative and antiinflammatory agent, leading to its potential as a therapeutic agent in muscle-wasting disorders. To evaluate the effect of CLA on myogenesis during inflammation, human primary muscle cells were grown in culture and exposed to varying concentrations of TNFalpha and the cis-9, trans-11 and trans-10, cis-12 CLA isomers. Expression of myogenic genes (Myf5, MyoD, myogenin, and myostatin) and the functional genes creatine kinase (CK) and myosin heavy chain (MHC IIx) were measured by real-time PCR. TNFalpha significantly downregulated MyoD and myogenin expression, whereas it increased Myf5 expression. These changes corresponded with a decrease in both CK and MHC IIx expression. Both isomers of CLA mimicked the inhibitory effect of TNFalpha treatment on MyoD and myogenin expression, whereas myostatin expression was diminished in the presence of both isomers of CLA either alone or in combination with TNFalpha. Both isomers of CLA decreased CK and MHC IIx expression. These findings demonstrate that TNFalpha can have specific regulatory effects on myogenic genes in primary human muscle cells. A postulated antiinflammatory role of CLA in myogenesis appears more complex, with an indication that CLA may have a negative effect on this process. PMID- 18156398 TI - 3,3'-Diindolylmethane suppresses the inflammatory response to lipopolysaccharide in murine macrophages. AB - 3,3'-Diindolylmethane (DIM), a major acid-condensation product of indole-3 carbinol, has been shown to have multiple anticancer effects in experimental models. Because recurrent or chronic inflammation has been implicated in the development of a variety of human cancers, this study examined the antiinflammatory effects of DIM and the underlying mechanisms using lipopolysaccharide (LPS)-stimulated RAW264.7 murine macrophages. DIM significantly decreased the release of nitric oxide (NO), prostaglandin (PG)E2, tumor necrosis factor alpha, interleukin (IL)-6, and IL-1beta by RAW264.7 cells treated with LPS. DIM inhibited LPS-induced increases in protein levels of inducible NO synthase (iNOS), which were accompanied by decreased iNOS mRNA levels and transcriptional activity. The mRNA levels of phospholipase A2 decreased, whereas neither cyclooxygenases-2 protein nor transcript was altered by DIM. In addition, DIM suppressed LPS-induced nuclear factor-kappaB (NF-kappaB) transcriptional activity, NF-kappaB DNA-binding activity, translocation of p65 (RelA) to the nucleus, and degradation of inhibitor of kappaB alpha. Furthermore, DIM decreased LPS-induced transcriptional activity of activator protein (AP)-1, AP-1 DNA-binding activity, and phosphorylation of stress-activated protein kinase/Jun-N-terminal kinase and c-Jun. We demonstrate that DIM inhibits LPS induced release of proinflammatory mediators in murine macrophages. Downregulation of NF-kappaB and AP-1 signaling may be one of the mechanisms by which DIM inhibits inflammatory responses. PMID- 18156399 TI - Arginine activates intestinal p70(S6k) and protein synthesis in piglet rotavirus enteritis. AB - We previously showed that phosphorylation of p70 S6 kinase (p70(S6k)) in the intestine is increased during viral enteritis. In this study, we hypothesized that during rotavirus infection, oral Arg, which stimulates p70(S6k) activation, will further stimulate intestinal protein synthesis and mucosal recovery, whereas the p70(S6k) inhibitor rapamycin (Rapa) will inhibit mucosal recovery. Newborn piglets were fed a standard milk replacer diet supplemented with Arg (0.4 g x kg( 1) x d(-1), twice daily by gavage), Rapa (2 mg x m(-2) x d(-1)), Arg + Rapa, or saline (controls). They were infected on d 6 of life with porcine rotavirus. Three days postinoculation, we measured the piglets' body weight, fecal rotavirus excretion, villus-crypt morphology, epithelial electrical resistance in Ussing chambers, and p70(S6k) activation by Western blotting and immunohistochemistry. We previously showed a 2-fold increase in jejunal protein synthesis during rotavirus diarrhea. In this experiment, Arg stimulated jejunal protein synthesis 1.3-fold above standard medium, and the Arg stimulation was partially inhibited by Rapa. Small bowel stimulation of p70(S6k) phosphorylation and p70(S6k) levels were inhibited >80% by Rapa. Immunohistochemistry revealed a major increase of p70(S6k) and ribosomal protein S6 phosphorylation in the crypt and lower villus of the infected piglets. However, in Arg-treated piglets, p70(S6k) activation occurred over the entire villus. Jejunal villi of the Rapa-treated group showed inactivation of p70(S6k) and a decrease in mucosal resistance (reflecting increased permeability), the latter of which was reversed by Arg. We conclude that, early in rotavirus enteritis, Arg has no impact on diarrhea but augments intestinal protein synthesis in part by p70(S6k) stimulation, while improving intestinal permeability via a mammalian target of rapamycin/p70(S6k)-independent mechanism. PMID- 18156400 TI - Docosahexaenoic acid supplementation decreases remnant-like particle-cholesterol and increases the (n-3) index in hypertriglyceridemic men. AB - Plasma remnant-like particle-cholesterol (RLP-C) and the RBC (n-3) index are novel risk factors for cardiovascular disease. Effects of docosahexaenoic acid (DHA) supplementation on these risk factors in hypertriglyceridemic men have not been studied. We determined effects of DHA supplementation on concentrations of plasma RLP-C, the RBC (n-3) index, and associations between concentrations of plasma RLP-C with those of plasma lipids and fatty acids. Hypertriglyceridemic men aged 39-66 y, participated in a randomized, placebo-controlled, parallel study. They received no supplements for 8 d and then received either 7.5 g/d DHA oil (3 g DHA/d) or olive oil (placebo) for the last 90 d. Fasting blood samples were collected on study d -7, 0 (baseline), 45 (mid-intervention), 84, and 91 (end-intervention). DHA supplementation for 45 d decreased (P < 0.05) fasting RLP C (36%) and increased plasma eicosapentaenoic acid (EPA):arachidonic acid (AA) (100%) and the RBC (n-3) index (109%). Continued supplementation with DHA between d 45 and 91 further increased the RBC (n-3) index (162%) and plasma EPA:AA (137%) compared with baseline values. RLP-C concentration was positively associated (P < 0.01) with the plasma concentrations of triacylglycerols (Kendall's correlation coefficient or r = 0.46), triacylglycerol:HDL cholesterol (HDL-C) (r = 0.44), total cholesterol:HDL-C (r = 0.26), Apo B (r = 0.22), C III (r = 0.41), and E (r = 0.17), and 18:1(n-9) (r = 0.32); it was negatively associated (P < 0.05) with plasma concentrations of DHA (r = -0.32), EPA (r = -0.25), HDL-C (r = -0.21), LDL cholesterol:Apo B (r = -0.30), and HDL-C:Apo A (r = -0.25). Supplementation with placebo oil did not alter any of the response variables tested. Decreased atherogenic RLP-C and increased cardio-protective (n-3) index may improve cardio vascular health. PMID- 18156401 TI - Administration of minor polar compound-enriched extra virgin olive oil decreases platelet aggregation and the plasma concentration of reduced homocysteine in rats. AB - We investigated the effect of extra virgin olive oil (EVOO) on platelet aggregation and plasma concentrations of homocysteine (Hcy) redox forms in rats in relation to the minor polar compound (MPC) concentration of EVOO. We used 3 olive oil samples with similar fatty acid but different MPC concentrations: refined olive oil (RF) with traces of MPC (control oil), native EVOO with low MPC concentration (LC), and EVOO with high MPC concentration (HC) enriching LC with its own MPC. Oil samples were administered to rats by gavage (1.25 mL/kg body weight) using 2 experimental designs: acute (24-h food deprivation and killed 1 h after EVOO administration) and subacute (12-d treatment, a daily dose of oil for 12 d, and killed after 24 h of food deprivation). Platelet aggregation was induced by ADP (ex vivo tests) and a reduction in platelet reactivity occurred in cells from rats given LC in the subacute study and in cells from rats administered HC in both studies as indicated by an increase in the agonist half maximal effective concentration. HC inhibited platelet aggregation induced by low ADP doses (reversible aggregation) in cells of rats in both the acute and subacute studies, whereas LC had this effect only in the subacute experiment. Moreover, in rats administered HC in both experiments, the plasma concentration of free reduced Hcy (rHcy) was lower and Hcy bound to protein by disulfide bonds (bHcy) was greater than in RF-treated rats. bHcy was also greater in rats given LC than in RF-treated rats in the subacute experiment. Plasma free-oxidized Hcy was greater in rats given LC and HC than in those administered RF only in the subacute experiment. In conclusion, these results show that MPC in EVOO inhibit platelet aggregation and reduce the plasma rHcy concentration, effects that may be associated with cardiovascular protection. PMID- 18156402 TI - Inhibition of cell cycle progression by hydroxytyrosol is associated with upregulation of cyclin-dependent protein kinase inhibitors p21(WAF1/Cip1) and p27(Kip1) and with induction of differentiation in HL60 cells. AB - Recent evidence indicates that the cancer preventive activity of olive oil can be mediated by the presence of minor components, such as antioxidant phenolic compounds. However, their mechanisms of action remain largely unknown. In this study, we investigated the in vitro effects of one of the main olive oil phenols, hydroxytyrosol [3,4-dihydroxyphenylethanol (3,4-DHPEA)], on proliferation, cell cycle progression, apoptosis, and differentiation of HL60 human promyelocytic leukemia cells. 3,4-DHPEA showed a potent inhibitory activity on DNA synthesis, as evidenced by a 92% reduction of [3H]-thymidine incorporation at 100 micromol/L, and an induced apoptosis, as evidenced by the release of cytosolic nucleosomes and flow cytometry. This phenol, 3,4-DHPEA, was also able to inhibit the progression of the cell cycle in synchronized HL60 cells, which accumulated in the G0/G1 phase of the cell cycle after 25 h of treatment. Furthermore, 3,4 DHPEA induced differentiation on HL60 cells with a maximum effect (22% of cells) at 100 micromol/L after 72 h of treatment. Among the different proteins involved in the regulation of the cell cycle, 3,4-DHPEA reduced the level of cyclin dependent kinase (CDK) 6 and increased that of cyclin D3. With regard to the CDK inhibitors, p15 was not altered by 3,4-DHPEA treatment, whereas the expression of p21(WAF1/Cip1) and p27(Kip1) was increased at both protein and mRNA levels. To our knowledge, these results provide the first evidence that 3,4-DHPEA may effect the expression of genes involved in the regulation of tumor cell proliferation and differentiation. PMID- 18156403 TI - Lycopene inhibits disease progression in patients with benign prostate hyperplasia. AB - Lycopene is a promising nutritional component for chemoprevention of prostate cancer (PCa). A possibly beneficial role of lycopene in patients diagnosed with benign prostate hyperplasia (BPH), who are at increased risk of developing PCa, has been suggested, although clinical data are lacking. Therefore, this pilot study aimed to investigate the effects of lycopene supplementation in elderly men diagnosed with BPH. A total of 40 patients with histologically proven BPH free of PCa were randomized to receive either lycopene at a dose of 15 mg/d or placebo for 6 mo. The effects of the intervention on carotenoid status, clinical diagnostic markers of prostate proliferation, and symptoms of the disease were assessed. The primary endpoint of the study was the inhibition or reduction of increased serum prostate-specific antigen (PSA) levels. The 6-mo lycopene supplementation decreased PSA levels in men (P < 0.05), whereas there was no change in the placebo group. The plasma lycopene concentration increased in the group taking lycopene (P < 0.0001) but other plasma carotenoids were not affected. Whereas progression of prostate enlargement occurred in the placebo group as assessed by trans-rectal ultrasonography (P < 0.05) and digital rectal examination (P < 0.01), the prostate did not enlarge in the lycopene group. Symptoms of the disease, as assessed via the International Prostate Symptom Score questionnaire, were improved in both groups with a significantly greater effect in men taking lycopene supplements. In conclusion, lycopene inhibited progression of BPH. PMID- 18156404 TI - A nutritional intervention promoting a Mediterranean food pattern does not affect total daily dietary cost in North American women in free-living conditions. AB - The purpose of this study was to evaluate the impact of adopting a Mediterranean diet on dietary cost and energy density in free-living conditions. The 12-wk nutritional intervention consisted of 2 group courses and 7 individual sessions with a dietician in a sample of 73 healthy women. To evaluate the dietary response to the nutritional intervention, a registered dietician administered a FFQ at 0, 6, 12, and 24 wk. Total daily dietary cost was calculated using a price list including all items from the FFQ. Our findings indicated that daily energy cost evaluated at wk 12 vs. wk 0 [1046 +/- 217 vs. 967 +/- 192 kJ/Canadian dollars (CAN$), respectively, P = 0.18] and total daily dietary cost (8.61 +/- 2.13 vs. 8.75 +/- 2.50 CAN$/d per participant, respectively, P = 0.58) did not change. Total daily energy density at wk 12 decreased compared with wk 0 (2.56 +/ 0.76 vs. 2.20 +/- 0.67 kJ/g; P < 0.0001). Adherence to the Mediterranean diet led to increased cost related to vegetables, fruits, legumes, nuts and seeds, canola/olive oil, whole grains, poultry, and fish (P < or = 0.01) and to reduced dietary cost for red meat, refined grains, desserts and sweets, and fast food (P < or = 0.008). In conclusion, these data suggest that adherence to a nutritional intervention program promoting the Mediterranean food pattern is not associated with increased daily dietary cost or energy cost but led to a reduction in energy density. Consequently, increased cost should not be considered a barrier to the promotion and adoption of a Mediterranean diet. PMID- 18156405 TI - Intrauterine growth restriction affects the proteomes of the small intestine, liver, and skeletal muscle in newborn pigs. AB - Efficiency of nutrient utilization is high in neonates with normal birth weights but is reduced in those with intrauterine growth restriction (IUGR). However, the underlying mechanisms are largely unknown. This study was conducted with the piglet model and proteomics technology to test the hypothesis that IUGR affects expression of key proteins that regulate growth and development of the small intestine, liver, and muscle, the major organs involved in the digestion, absorption, and metabolism of dietary nutrients. Jejunum, liver, and gastrocnemius muscle were obtained from IUGR and normal birth-weight piglets at birth for analysis of proteomes using the 2-dimensional-PAGE MS technology. The results indicate that IUGR decreased the levels of proteins that regulate immune function (immunoglobulins and annexin A1), oxidative defense (peroxiredoxin 1, transferrin, and zeta-crystallin), intermediary metabolism (creatine kinase, alcohol dehydrogenase, L-lactate dehydrogenase, prostaglandin F synthase, apolipoprotein AI, catecho O-methyltransferase, and phosphoglycerate kinase 1), protein synthesis (eukaryotic translation initiation factor-3), and tissue growth (beta-actin, desmin, and keratin 10) in a tissue-specific manner. In addition, IUGR increased the levels of proteins that are involved in proteolysis (proteasome alpha-5 and alpha-1 subunits), response to oxidative stress (scavenger-receptor protein and alpha-1 acid glycoprotein), and ATP hydrolysis (F1-ATPase). These novel findings suggest that cellular signaling defects, redox imbalance, reduced protein synthesis, and enhanced proteolysis may be the major mechanisms responsible for abnormal absorption and metabolism of nutrients, as well as reduced growth and impaired development of the small intestine, liver, and muscle in IUGR neonates. PMID- 18156406 TI - Folate intake at RDA levels is inadequate for Mexican American men with the methylenetetrahydrofolate reductase 677TT genotype. AB - Since the establishment of the 1998 folate recommended dietary allowance (RDA), the methylenetetrahydrofolate reductase (MTHFR) 677C-->T variant has emerged as a strong modifier of folate status. This controlled feeding study investigated the adequacy of the RDA, 400 microg/d as dietary folate equivalents (DFE), for Mexican American men with the MTHFR 677CC or TT genotype. Because of the interdependency between folate and choline, the influence of choline intake on folate status was also assessed. Mexican American men (n = 60; 18-55 y) with the MTHFR 677CC (n = 31) or TT (n = 29) genotype consumed 438 microg DFE/d and total choline intakes of 300, 550 (choline adequate intake), 1100, or 2200 mg/d for 12 wk. Folate status response was assessed via serum folate (SF), RBC folate, plasma total homocysteine (tHcy), and urinary folate. SF decreased (P < 0.001) 66% to 7.9 +/- 0.7 nmol/L (means +/- SEM) in men with the 677TT genotype and 62% to 11.3 +/- 0.9 nmol/L in the 677CC genotype. Plasma tHcy increased (P < 0.0001) 170% to 31 +/- 3 micromol/L in men with the 677TT genotype and 18% to 11.6 +/- 0.3 micromol/L in the 677CC genotype. At the end of the study, 34% (677TT) and 16% (677CC) had SF concentrations <6.8 nmol/L and 79% (677TT) and 7% (677CC) had tHcy concentrations >14 micromol/L. Choline intake did not influence the response of the measured variables. These data showed that the folate RDA is not adequate for men of Mexican descent, particularly for those with the MTHFR 677TT genotype, and demonstrated a lack of influence of choline intake on the folate status variables measured in this study. PMID- 18156407 TI - Maternal dietary intake of polyunsaturated fatty acids modifies the relationship between lead levels in bone and breast milk. AB - Whereas dietary fats are known to influence bone mineral density, little is known about their effect on the skeletal stores of lead that are a pervasive source of fetal and infant lead exposure from heightened mobilization during pregnancy and lactation. This cross-sectional study examined the potential influence of maternal dietary intake of saturated and unsaturated fats on the relationship of lead levels in bone and breast milk during lactation. Lead was measured in blood, breast milk, and bone (patella and tibia) at 1 mo postpartum in 310 women in Mexico City. Dietary nutrient intake was assessed using a validated FFQ. Multivariate linear regression analyses were used to study the influence of dietary saturated and unsaturated fats on the association between bone and breast milk lead. In multivariate models that included both the dietary intake of SFA and PUFA, an interquartile range increase in patella lead [approximately 20 microg/g (0.097 micromol/g)] was associated with a 24% (95% CI = 5-43) higher increase in breast milk lead in women in the lowest tertile of PUFA intake compared with those in the highest tertile of PUFA intake. Monounsaturated fatty acids did not modify the relationship between lead levels in patella and breast milk. In conclusion, higher maternal dietary intake of PUFA may limit the transfer of lead from bone to breast milk. PMID- 18156408 TI - A positive association of lumbar spine bone mineral density with dietary protein is suppressed by a negative association with protein sulfur. AB - Dietary protein is theorized to hold both anabolic effects on bone and demineralizing effects mediated by the diet acid load of sulfate derived from methionine and cysteine. The relative importance of these effects is unknown but relevant to osteoporosis prevention. Postmenopausal women (n = 161, 67.9 +/- 6.0 y) were assessed for areal bone mineral density (aBMD) of lumbar spine (LS) and total hip (TH) using dual X-ray absorptiometry, and dietary intakes of protein, sulfur-containing amino acids, and minerals using a USDA multiple-pass 24-h recall. The acidifying influence of the diet was estimated using the ratio of protein:potassium intake, the potential renal acid load (PRAL), and intake of sulfate equivalents from protein. aBMD was regressed onto protein intake then protein was controlled for estimated dietary acid load. A step-down procedure assessed potential confounding influences (weight, age, physical activity, and calcium and vitamin D intakes). Protein alone did not predict LS aBMD (P = 0.81); however, after accounting for a negative effect of sulfate (beta = -0.28; P < 0.01), the direct effect of protein intake was positive (beta = 0.22; P = 0.04). At the TH, protein intake predicted aBMD (beta = 0.18; P = 0.03), but R2 did not improve with adjustment for sulfate (P = 0.83). PRAL and the protein:potassium ratio were not significant predictors of aBMD. Results suggest that protein intake is positively associated with aBMD, but benefit at the LS is offset by a negative impact of the protein sulfur acid load. If validated experimentally, these findings harmonize conflicting theories on the role of dietary protein in bone health. PMID- 18156409 TI - An index of diet and eating patterns is a valid measure of diet quality in an Australian population. AB - Diet indices represent an integrated approach to assessing eating patterns and behaviors. The aim of this study was to develop a comprehensive food-based dietary index to reflect adherence to healthy eating recommendations, evaluate the construct validity of the index using nutrient intakes, and evaluate this index in relation to sociodemographic factors, health behaviors, risk factors, and self-assessed health status. Data were analyzed from adult participants of the Australian National Nutrition Survey who completed a 108-item FFQ and a food habits questionnaire (n = 8220). The dietary guideline index (DGI) consisted of 15 items reflecting the dietary guidelines, including dietary indicators of vegetables and legumes, fruit, total cereals, meat and alternatives, total dairy, beverages, sodium, saturated fat, alcoholic beverages, and added sugars. Diet quality was incorporated using indicators relating to whole-grain cereals, lean meat, reduced/low fat dairy, and dietary variety. We investigated associations between the DGI score, sociodemographic factors, health behaviors, chronic disease risk factors, and nutrient intakes. We found associations between the DGI scores and sex, age, income, area-level socioeconomic disadvantage, smoking, physical activity, waist:hip ratio, systolic blood pressure (males only), and self-assessed health status (females only) (all P < 0.05). Higher DGI scores were associated with lower intakes of energy, total fat, and saturated fat and higher intakes of fiber, beta-carotene, vitamin C, folate, calcium, and iron (P < 0.05). This food-based dietary index is able to discriminate across a variety of sociodemographic factors, health behaviors, and self-assessed health and reflects intakes of key nutrients. PMID- 18156410 TI - Tracking of dietary intake patterns is associated with baseline characteristics of urban low-income African-American adolescents. AB - Young peoples' dietary habits may persist over time. However, few studies have examined the dynamic patterns in urban low-income African-American adolescents' intakes. This study examined these dynamic patterns and their predictors and explored the association between the patterns and BMI over time. Dietary data were collected from 181 low-income African-American adolescents using a 152-item FFQ at baseline and 1-y follow-up. High intakes and high BMI were defined as the top quartile and high-fat intake as >35% of energy from fat. Multinomial logistic regression models were fit to study the association between study variables. Correlation coefficients (0.4 < r < 0.6; P < 0.05) between participants' intakes at baseline and at 1-y follow-up suggested tracking, particularly intakes of energy, fat, fiber, calcium, vegetables and fruits, fried food, and snack food. However, the tracking of percentage of energy from fat and sugar-sweetened beverages was weak (0.2 < or = r < 0.3; P < 0.01). Proportion of agreement (>30%) and k-values (>0.2) also indicated tracking. Adjustment for tracking of energy changed little the observed tracking for other micronutrients and food groups. Factor analysis showed moderate tracking in a Western diet pattern (r = 0.47; P < 0.001) but was weaker in 2 healthier diet patterns (r = 0.31-0.36; P < 0.001). Age, gender, physical activity, and BMI predicted dietary changes (P < 0.05). Adolescents who tracked high intakes of energy, fiber, fried food, and snacks were less likely to track high BMI. Decreased energy and snack intakes were negatively related to tracking of high BMI. Overall, urban low-income African American adolescents tracked their dietary patterns over time. The tracking was affected by baseline characteristics. PMID- 18156411 TI - Dietary and physical activity patterns in French children are related to overweight and socioeconomic status. AB - Sedentary behavior (SED) has already been identified as a risk factor of childhood overweight (OW) but less is known about the dietary patterns related to adiposity. Our objective was to investigate if lifestyle patterns combining overall diet and physical activity were associated with childhood OW and if they were involved in the reverse association between socioeconomic status (SES) and OW. Dietary intake was assessed using a 7-d food record in 748 French children aged 3-11 y from the 1998-1999 cross-sectional French Enquete Individuelle et Nationale sur les Consommations Alimentaires national food consumption survey. Weight and height, leisure time physical activity, SED (television viewing), and SES were reported by parents or children by answering questionnaires. Scores for lifestyle patterns were assessed with factor analysis and their relationship with OW was explored by logistic regression analysis. Two similar lifestyle patterns were identified in children aged 3-6 y and 7-11 y: "snacking and sedentary" and "varied food and physically active." The snacking and sedentary pattern was positively associated with OW in the youngest children (P-trend = 0.0161) and partly mediated the negative association of SES to OW. The varied food and physically active pattern was inversely correlated with OW in the eldest children only (P-trend = 0.0401). A third pattern called "big eaters at main meals" was derived in children aged 7-11 y and was positively correlated with OW (P-trend = 0.0165). From a public health perspective, the combinations of identifiable dietary and physical activity behaviors may be useful as a basis for recommendations on preventing OW. PMID- 18156412 TI - Additional zinc delivered in a liquid supplement, but not in a fortified porridge, increased fat-free mass accrual among young Peruvian children with mild to-moderate stunting. AB - The exact mechanism whereby zinc influences growth is unknown, although it has been postulated that zinc may stimulate appetite and energy intake or enhance fat free mass (FFM) accrual directly. We compared energy intake, reported appetite, and body composition of 6- to 8-mo-old Peruvian children with initial length-for age Z-score (LAZ) < -0.5 SD who were randomly assigned to receive daily for 6 mo: 1) 3 mg/d zinc in a liquid supplement; 2) 3 mg/d zinc in a fortified porridge; or 3) no extra zinc in either the supplement or porridge. There were no group-wise differences in changes in dietary energy intakes or body composition or in the prevalence of reported poor appetite. However, among children with an initial LAZ less than the median (-1.1 SD), those who received zinc as a liquid supplement had a 0.41 kg greater increase in FFM than those who did not receive zinc (P < 0.05). We concluded that daily provision of 3 mg of supplemental zinc did not affect energy intake or reported appetite. Among children with initial mild-to moderate stunting, those who received the zinc supplement had a greater increase in FFM than those who did not receive additional zinc. It is possible that the growth-restricted children were more likely to be zinc deficient and that FFM accrual may be an early growth response to supplemental zinc. Zinc supplements may be more efficacious than the same dose of zinc provided in fortified food; therefore, further research is needed on the optimal level of zinc fortification that will result in improved health outcomes in populations with high rates of zinc deficiency. PMID- 18156413 TI - Energy restriction and exercise differentially enhance components of systemic and mucosal immunity in mice. AB - The prevalence of obesity, an established risk factor for several chronic diseases, including cancer, has risen dramatically over the past 4 decades. Dietary change and/or increased physical activity are the most commonly recommended lifestyle-based strategies for preventing or reversing obesity. One of several physiological systems that may be enhanced by dietary change and exercise is the immune system. In this study, we examined the effects of energy restriction (ER; 30% reduction relative to control energy intake) and/or exercise (EX; voluntary wheel running) on systemic and mucosal immune function. Female C57BL/6 mice were randomized into 4 treatment conditions: 1) controls consumed ad libitum (AL); 2) AL with access to running wheels (AL + EX); 3) 30% ER; and 4) 30% ER with access to running wheels (ER + EX). Both ER and EX reduced spleen weight and the number of splenic T and B lymphocytes (P < 0.05). ER enhanced natural killer (NK) cell function, but reduced concanavalin A (Con A)-induced T cell proliferation (P < 0.05). In contrast, EX enhanced Con A-induced proliferation and cytokine production from Peyer's patch cells (P < 0.05). These data suggest that ER and EX enhance some, but not all, components of the immune system and are likely working via different biological mechanisms to regulate NK and T-cell function. PMID- 18156414 TI - Feeding a diet containing a fructooligosaccharide mix can enhance Salmonella vaccine efficacy in mice. AB - Fructooligosaccharides (FOS) are considered prebiotics because of their ability to promote growth of specific beneficial gut bacteria, such as bifidobacteria. Some studies reported potential immune-modulating properties. The aim of this study was to investigate the effect of FOS:inulin mix on murine response to Salmonella vaccine and evaluate the relevance toward protection against Salmonella infection. Balb/c mice were fed a diet containing 5% FOS:inulin mix or a control diet 1 wk before oral immunization with a suboptimal dose of live attenuated Salmonella typhimurium vaccine. Four weeks after vaccination, mice were infected with LD100 of virulent S. typhimurium. Specific blood Salmonella immunoglobulin G and fecal immunoglobulin A significantly increased in mice fed the diet containing prebiotics compared with control mice 4 wk postimmunization. Peritoneal macrophage phagocytic activity also significantly increased in FOS:inulin-fed mice at 1 wk postimmunization compared with control mice. No detectable effects were observed on the percentage of lymphoid cell subsets in the spleen. However, production of cytokines, interferon-gamma, interleukin-12, and tumor necrosis factor alpha, was numerically increased in spleen cell cultures stimulated with mitogens from FOS:inulin-fed mice 1 and 4 wk postimmunization. Salmonella translocation to lymphoid organs was not affected by feeding FOS:inulin. However, the improved response to Salmonella vaccine was concomitant with an increase in the survival rate of FOS:inulin-fed mice upon challenge with virulent Salmonella. No detectable effects were observed on the composition or the metabolic activity of the microbiota. Overall, the data suggest that a diet supplemented with FOS:inulin mix stimulates mucosal immunity and seems to improve efficacy of an oral vaccine. PMID- 18156415 TI - The immune response to herpes simplex virus encephalitis in mice is modulated by dietary vitamin E. AB - Herpes simplex virus encephalitis (HSE) is the most common fatal sporadic encephalitis in humans. HSE is primarily caused by herpes simplex virus (HSV)-1 infection of the brain. HSE results in increased levels of oxidative stress, including the production of reactive oxygen species, free radicals, and neuroinflammation. The most biologically active form of vitamin E (VE) is alpha tocopherol (alpha-TOC). In cellular membranes, alpha-TOC prevents lipid peroxidation by scavenging free radicals and functioning as an antioxidant. Supplementation with VE has been shown to decrease immunosenescence, improve immune function, and may be neuroprotective. To determine how VE deficiency and VE supplementation would alter the pathogenesis of HSE, we placed weanling male BALB/cByJ mice on VE-deficient (VE-D), VE-adequate (VE-A), or 10x VE-supplemented diets for 4 wk, and then infected the mice intranasally with HSV-1. VE-D mice had more severe symptoms of encephalitis than VE-A mice, including weight loss, keratitis, hunched posture, and morbidity. VE-D mice had increased cytokine and chemokine expression in the brain and increased viral titers. In contrast, VE supplementation failed to decrease cytokine production and had no effect on viral titer. We demonstrated that adequate levels of VE are important in limiting HSE pathology and that 10x supplementation does not enhance protection. PMID- 18156416 TI - Weak association between sweeteners or sweetened beverages and diabetes. PMID- 18156417 TI - The use of whey or skimmed milk powder in fortified blended foods for vulnerable groups. AB - Fortified blended foods (FBF), especially corn soy blend, are used as food aid for millions of people worldwide, especially malnourished individuals and vulnerable groups. There are only a few studies evaluating the effect of FBF on health outcomes, and the potential negative effect of antinutrients has not been examined. Different lines of evidence suggest that dairy proteins have beneficial effects on vulnerable groups. Here we review the evidence on the effects of adding whey or skimmed milk powder to FBF used for malnourished infants and young children or people living with HIV or AIDS. Adding whey or skimmed milk powder to FBF improves the protein quality, allowing a reduction in total amount of protein, which could have potential metabolic advantages. It also allows for a reduced content of soy and cereal and thereby a reduction of potential antinutrients. It is possible that adding milk could improve weight gain, linear growth, and recovery from malnutrition, but this needs to be confirmed. Bioactive factors in whey might have beneficial effects on the immune system and muscle synthesis, but evidence from vulnerable groups is lacking. Milk proteins will improve flavor, which is important for acceptability in vulnerable groups. The most important disadvantage is a considerable increase in price. Adding 10-15% milk powder would double the price, which means that such a product should be used only in well-defined vulnerable groups with special needs. The potential beneficial effects of adding milk protein and lack of evidence in vulnerable groups call for randomized intervention studies. PMID- 18156418 TI - The importance of calcium, potassium, and acid-base homeostasis in bone health and osteoporosis prevention. PMID- 18156419 TI - Nutrient effects on the calcium economy: emphasizing the potassium controversy. AB - The calcium economy is a dynamic state influenced by fluxes in dietary calcium intake, intestinal calcium absorption, and renal calcium conservation. The relationship of selected bone-related nutrients to these calcium fluxes exhibits both constructive and destructive interactions that affect the overall state of calcium balance. The basis of the calcium requirement and the impact of vitamin D, protein, phosphorus, sodium, and caffeine on the calcium economy are reviewed. Against this background, emerging data on potassium are presented. Data from balance studies of healthy white women at midlife were reviewed to assess the effect of diet potassium on the calcium economy under steady-state conditions. Potassium was inversely associated with both urinary calcium excretion and intestinal calcium absorption, yielding no significant net change in calcium balance. In the population reported on here, dairy, meat, and cereal grains together contributed 56%, and fruits and vegetables 44%, of total dietary potassium. To the extent that fruit and vegetable potassium is a surrogate for high bicarbonate, this cohort did not have a dietary intake pattern allowing for measurement or interpretation of the potential effect of a high-bicarbonate containing diet on long-term steady-state calcium balance. Potassium itself is uniformly well absorbed regardless of the dietary source. Mean 24-h urinary potassium averaged 92% of dietary intake. According to nationwide food consumption surveys, milk is the number 1 single food source of potassium in all age groups in the United States. PMID- 18156420 TI - The balance of bone health: tipping the scales in favor of potassium-rich, bicarbonate-rich foods. AB - Public health nutrition strategies to develop and maintain bone health throughout the lifecycle as well as to prevent osteoporosis in later life are urgently needed. In the United States, approximately 10 million Americans have osteoporosis, with costs estimated at $17.9 billion per year and costs in Europe well in excess of 13.9 billion euros. This review article outlines the current evidence available in the literature linking potassium-rich, bicarbonate-rich foods to osteoporosis prevention. The health-related benefits of a high intake of potassium-rich, bicarbonate-rich foods (e.g., fruits and vegetables) on disease prevention (e.g., cancer, heart disease) have been gaining increasing attention in the literature, and there is growing belief, from a variety of observational, experimental, clinical, and intervention studies, that a positive link exists between potassium-rich, bicarbonate-rich foods and indices of bone health. However, observational studies are not hypothesis proving and can only suggest the potential mechanisms of action. We now urgently need data from randomized controlled trials to determine for certain whether a potassium-rich, bicarbonate rich diet or supplement is important to the skeleton. A 1-mo dietary intervention study involving 23- to 76-y-old men and women has shown that a diet high in bicarbonate (high fruits and vegetables) and potassium (high in milk and dairy products) (Dietary Approaches to Stopping Hypertension) significantly reduces bone turnover. Longer-term dietary studies are critical. In addition, the mechanisms underlying a positive effect of a potassium-rich, bicarbonate-rich diet on bone need to be fully determined. These currently include, but are not limited to, 1) the potential role of the skeleton in acid-base homeostasis; 2) other nutrient or dietary components found in abundance in fruits and vegetables such as vitamin K, beta-carotene, and vitamin C; and 3) other as yet "unidentified" dietary components. The road ahead is a challenging one. PMID- 18156422 TI - The examination of two short dietary assessment methods, within the context of multiple behavioral change interventions in adult populations. Introduction. PMID- 18156423 TI - Baseline design elements and sample characteristics for seven sites participating in the Nutrition Working Group of the Behavior Change Consortium. AB - The purpose of this article is to describe the baseline design elements and sample characteristics of the Behavior Change Consortium (BCC) Dietary Measurement studies for each of the 7 sites that comprised the BCC Nutrition Working Group (NWG). This article summarizes the project designs, including descriptions of diverse study populations, primary assessment methods, and study outcomes. Common measures used across sites included the National Cancer Institute (NCI) Fruit and Vegetable Screener, NCI Percentage Energy from Fat Screener, 24-h dietary recalls, and a single- or 2-item fruit and vegetable measure. Data on sociodemographic characteristics, body weight and height, smoking status, and serum carotenoids were also collected. Study design information such as assessment time points, as well as baseline sample characteristics, is also described. This paper provides the overall framework and descriptive information and serves as the reference for the BCC NWG special supplement. PMID- 18156424 TI - Evaluation of a short dietary assessment instrument for percentage energy from fat in an intervention study. AB - The need for an inexpensive measure of dietary intake in intervention studies led to evaluation of the National Cancer Institute (NCI) Percentage Energy from Fat short instrument (PFat) in a subgroup of the Behavioral Change Consortium (BCC) intervention sites. The PFat's performance was evaluated using multiple nonconsecutive 24-h dietary recalls (24HR) as a reference instrument among participants at baseline in 4 demographically diverse intervention sites of the BCC. Mean estimates of percentage energy from fat for 24HR and PFat were within 2.1 percentage points of each other in all but 2 site/gender comparisons. 24HR and PFat estimates were not significantly different (P < 0.05) among men for 2 of 3 sites, and among women for 2 of 4 sites. Deattenuated Pearson correlation coefficients for the PFat and true intake (as estimated from the 24HR using a measurement error model) were significantly different from 0 (P < 0.05) for men and women in all sites, ranging from 0.52 to 0.77 among men and 0.36 to 0.59 among women. Besides gender and site, no other factors examined (age, education, smoking status, and BMI) consistently moderated validity estimates. If accurate assessment of diet at baseline (and presumably at follow-up) is essential, a more detailed instrument such as multiple 24HR may be warranted. The question of whether the PFat adequately measures change in diet is addressed in another article in this supplement. PMID- 18156425 TI - Correspondence of the NCI Fruit and Vegetable Screener to repeat 24-H recalls and serum carotenoids in behavioral intervention trials. AB - Five sites participating in the NCI Behavior Change Consortium administered the NCI Fruit and Vegetable Screener (FVS) and multiple, nonconsecutive 24-h dietary recall interviews (24HR) to 590 participants. Three sites also obtained serum carotenoids (n = 295). Participants were primarily female, ethnically diverse, and varied by age and education. Correlations between 24HR and FVS by site ranged from 0.31 (P = 0.07) to 0.47 (P < 0.01) in men and from 0.43 to 0.63 (P < 0.01) in women. Compared with 24HR, FVS significantly (P < 0.05) overestimated intake at 2 of 4 sites for men and all 4 sites for women. Differences in estimated total servings of fruits and vegetables/d ranged from 0.16 to 3.06 servings. On average, the FVS overestimated intake by 1.76 servings in men and 2.11 servings in women. Alternative FVS scoring procedures and a 1-item screener lowered correlations with 24HR as well as serum carotenoids but alternate scoring procedures generally improved estimations of servings. PMID- 18156426 TI - Use of signal detection methodology to identify subgroups of dietary supplement use in diverse populations. AB - Despite widespread use of dietary supplements, little is known about correlates and determinants of their use. Using a diverse sample from 7 interventions participating in the Behavior Change Consortium (n = 2539), signal detection methodology (SDM) demonstrated a method for identifying subgroups with varying supplement use. An SDM model was explored with an exploratory half of the entire sample (n = 1268) and used 5 variables to predict dietary supplement use: cigarette smoking, fruit and vegetable intake, dietary fat consumption, BMI, and stage of change for physical activity. A comparison of rates of supplement use between the exploratory model groups and comparably identified groups in the reserved, confirmatory sample (n = 1271) indicates that these analyses may be generalizable. Significant indicators of any supplement use included smoking status, percentage of energy from fat, and fruit and vegetable consumption. Although higher supplement use was associated with healthy behaviors overall, many of the identified groups exhibited mixed combinations of healthy and unhealthy behaviors. The results of this study suggest that patterns of dietary supplement use are complex and support the use of SDM to identify possible population characteristics for targeted and tailored health communication interventions. PMID- 18156427 TI - Performance of a short percentage energy from fat tool in measuring change in dietary intervention studies. AB - Measurement of percentage energy from fat is important in surveillance of populations and in epidemiologic studies examining relationships between diet and disease as well as for behavioral intervention studies seeking to change dietary behavior. The NCI percentage energy from fat screener (PFat) has adequately predicted percentage of energy from fat compared with 24-h recalls (24HR) in cross-sectional analyses. However, the instrument has not been evaluated for its ability to assess change of percentage energy from fat over time or in response to interventions to change dietary intake of fat. The objective of this analysis is to evaluate the performance of the PFat in assessing change in percentage energy intake from fat in a behavioral intervention setting. Four individual sites participating in the Behavior Change Consortium Nutrition Working Group administered both the PF at and multiple 24HR at baseline and follow-up to 278 participants. A measurement error model was used to assess agreement between the PFat and 24HR at baseline and follow-up. The PFat was consistent with 24HR in finding there was no significant change in percentage energy from fat as a result of the intervention. Both male and female participants in the intervention group demonstrated a significant increase in the correlation between PFat and 24HR from baseline to follow-up. Percentage energy from fat measured by PFat may be useful to provide estimates of change in mean intake of populations over time in longitudinal studies. Further methodologic research is called for in interventions producing significant changes and in diverse populations with adequate sample size. PMID- 18156428 TI - Accuracy and precision of two short screeners to assess change in fruit and vegetable consumption among diverse populations participating in health promotion intervention trials. AB - Two short frequency questionnaires, the NCI 19-item Fruit and Vegetable Screener (FVS) and a single question on overall fruit and vegetable consumption (1-item), were evaluated for their ability to assess change in fruit and vegetable (FV) consumption over time and in response to intervention among participants in 5 health promotion trials in the Behavior Change Consortium. Cross-sectional differences and correlations of FV estimates at baseline and at follow-up were compared for the FVS (n = 315) and the 1-item (n = 227), relative to multiple 24 h recall interviews (24HR). The FVS significantly overestimated daily intake by 1.27 servings at baseline among men and by 1.42 and 1.59 servings at baseline and follow-up, respectively, in women, whereas the 1-item measure significantly underestimated intake at both time points in men (0.98 serving at baseline, 0.75 serving at follow-up) and women (0.61 and 0.41 serving). Cross-sectional deattenuated correlations with 24HR at follow-up were 0.48 (FVS) and 0.50 (1 item). To evaluate the capacity of the 2 screeners to assess FV change, we compared mean posttest effects with 24HR by treatment group overall and by gender. Treatment group differences were not significant for either 24HR or 1 item. Among 315 subjects, the FVS treatment group differences were significant both overall and within gender but not when repeated in the sample of 227. Findings suggest multiple 24HR at multiple time points in adequate sample sizes remain the gold standard for FV reports. Biases in FVS estimates may reflect participants' lifestyles and sociodemographic characteristics and require further examination in longitudinal samples representative of diverse populations. PMID- 18156429 TI - Social desirability trait influences on self-reported dietary measures among diverse participants in a multicenter multiple risk factor trial. AB - Data collected at 4 Behavioral Change Consortium sites were used to assess social desirability bias in self-reports derived from a dietary fat screener (PFat), a dietary fruit and vegetable screener (FVS), and a 1-item question on fruit and vegetable intake. Comparisons were made with mean intakes derived from up to 3 24 h recall interviews at baseline and follow-up (at 12 mo in 3 sites, 6 mo in the fourth). A social-desirability-related underestimate in fat intake on the PFat relative to the 24HR (percentage energy as fat) was evident in women [baseline b = -0.56 (P = 0.005); follow-up b = -0.62 (P < 0.001)]. There was an overestimate in FVS-derived fruit and vegetable consumption (servings/week) in men enrolled in any intervention at follow-up (b = 0.39, P = 0.05) vs. baseline (b = 0.04, P = 0.75). The 1-item fruit and vegetable question was associated with an overestimate at baseline in men according to SD score (b = 0.14, P = 0.02), especially men with less than college education (b = 0.23, P = 0.01). Women with less than college education expressed a similar bias at follow-up (b = 0.13, P = 0.02). Differences in the magnitude of bias according to gender, type of instrument used, and randomization condition are comparable to what has been seen for other instruments and have important implications for both measuring change in studies of diet and health outcomes and for developing methods to control for such biases. PMID- 18156430 TI - Diagnostic and prognostic significance of cyclin A expression in low-grade astrocytomas: comparison with astrogliosis and high-grade tumours. AB - AIM: Definitive distinction between low-grade astrocytoma and astrogliosis is a long-standing difficulty due to their similar histopathological characteristics. To clarify differences in biological significance, this study focused on various components of the cell cycle machinery and proliferation as key parameters, comparing expression in astrogliosis, as well as low- and high-grade astrocytomas. METHODS: The expression of p16, p21 and p27, and cyclin A, cyclin D1, cyclin E, Rb and Ki-67 was immunohistochemically examined in 40 cases of astrogliosis and 48 cases of low-grade astrocytomas (grade II), as well as 50 high-grade tumours (grades III and IV). The results were also compared with survival data for the astrocytomas. RESULTS: Cell proliferation determined by Ki 67 immunoreactivity did not differ between astrogliosis and low-grade tumours. Average labelling indices (LIs) for p16, p21, Rb, cyclin A and cyclin E showed a stepwise increase from astrogliosis, through low- to high-grade astrocytomas, indicating the possibility that over 9%, 6% and 4% of LIs for p16, p21 and cyclin A, respectively, may be useful predictors in the case of the latter, in contrast to significant decrease in p27 LIs. Significantly higher mean LI values for cyclin D1 were also evident in astrogliosis (12.42) as compared with astrocytomas (low grade, 2.26; high grade, 4.60). Positive correlations between LIs for Rb and Ki-67 were observed with astrogliosis and low- but not high-grade tumours. In addition, high cyclin A LI values were independently associated with poor outcome in low-grade tumours. CONCLUSION: These findings provide evidence that expression of cell-cycle-related molecules may be a reliable parameter for differential diagnosis of low-grade astrocytomas and astrogliosis. Moreover, detection of cyclin A appears to be useful for predicting behaviour of low-grade astrocytomas. PMID- 18156431 TI - Reduction of E-cadherin expression is associated with non-lobular breast carcinomas of basal-like and triple negative phenotype. AB - AIM: E-cadherin inactivation in breast cancer has been shown to be strongly associated with lobular breast cancer. However, little is known about the levels of E-cadherin expression according to the breast cancer "molecular" subtypes. The aim of this study was to address the distribution of E-cadherin expression according to the different molecular subtypes of breast cancer. METHODS: E cadherin expression was immunohistochemically analysed in a tissue microarray containing duplicate cores of 245 invasive breast carcinomas, of which 182 cases were of non-lobular histology, using a semi-quantitative scoring system based on the percentage of cells showing membrane immunopositivity. RESULTS: In non lobular breast carcinomas, reduced and/or negative E-cadherin expression was significantly associated with lack of oestrogen receptor expression, low levels of CCND1 expression, positivity for cytokeratins 5/6 and 17, epidermal growth factor receptor and caveolins 1 and 2, p53 expression, high MIB-1 proliferation indices, basal-like phenotype and triple negative phenotype. CONCLUSION: This study demonstrates that in the group of non-lobular breast cancers, reduction/lack of E-cadherin expression is preferentially found in basal-like breast carcinomas. PMID- 18156432 TI - Can cause of death be predicted from the pre-necropsy information provided in coroners' cases? AB - AIM: To determine whether the cause of death can be accurately predicted from the pre-necropsy information available in coroners' cases, before carrying out a postmortem examination. METHODS: In this prospective study pathologists read the clinical summary provided by the Coroner's Office and formulated a predicted cause of death. An external examination was then conducted and any relevant information recorded, together with any changes to the original predicted cause of death. They then carried out a complete necropsy before recording a final cause of death, which was subsequently compared with their prediction. RESULTS: A total of 95 necropsies were included in the study. The cause of death was deemed to have been correctly predicted from the history in 62 cases (65.3%). In 33 cases (34.7%) an unexpected cause of death was found. Findings from the external examination were noteworthy in only 8 cases (8.4%), and did not alter the cause of death in any case. CONCLUSIONS: In certain circumstances an accurate cause of death may be given with confidence without the apparent need for necropsy. However, many common causes of death can present with similar or misleading scenarios. This study indicates that performing necropsies, despite seemingly predictable circumstances, is advisable if an accurate cause of death is to be recorded. PMID- 18156433 TI - Asymptomatic polypoidal intracavitary cardiac metastases from pulmonary adenocarcinoma. PMID- 18156434 TI - Cardiac pathology of fatal trastuzumab therapy. PMID- 18156435 TI - Metastatic papillary carcinoma of thyroid masquerading as a renal tumour. PMID- 18156436 TI - Comparison of X-chromosome inactivation patterns in multiple tissues from human females. AB - BACKGROUND: X-chromosome inactivation (XCI) is the mechanism by which gene dosage uniformity is achieved between female mammals with two X chromosomes and male mammals with a single X chromosome, and is thought to occur randomly. For molecular genetic testing, accessible tissues (eg blood) are commonly studied, but the relationship with inaccessible tissues (eg brain) is poorly understood. For accessible tissues to be informative for genetic analysis, a high degree of concordance of genetic findings among tissue types is required. OBJECTIVE: To determine the relationship among multiple tissues within females at different ages (fetus to 82 years). METHODS: XCI patterns were analysed using the polymorphic androgen receptor (AR) gene assay. DNA was isolated from 26 different human females without history of malignancy, using 34 autopsy tissues representing the three embryonic germ layers. RESULTS: 33 of the 280 tissue samples analysed from 13 of the 26 females showed skewed XCI values (>80:20%). Average XCI value was not significantly different among the tissues, but a trend for increasing XCI variability was observed with age in blood and other tissues studied (eg the SD for all tissues studied for the 0-2 years group was 9.9% compared with 14.8% in the >60 years group). We found a significant correlation (r(s) = 0.51, p = 0.035) between XCI values for blood and/or spleen and brain tissue, and in most other tissues representing the three embryonic germ layers. CONCLUSIONS: In our study, XCI data were comparable among accessible (eg blood) and inaccessible tissues (eg brain) in females at various ages, and may be useful for genetic testing. A trend was seen for greater XCI variability with increasing age, particularly in older women (>60 years). PMID- 18156437 TI - Evidence for the association of Y-chromosome haplogroups with susceptibility to spermatogenic failure in a Chinese Han population. AB - INTRODUCTION: Y chromosomes are genetically highly variable due to frequent structural rearrangements. The variations may create a genetic background for the susceptibility to Y-related spermatogenic impairment, although few data have been accumulated about the possible correlation between the Y-chromosome haplotype and the predisposition of men to spermatogenic failure. OBJECTIVE: To investigate the possible association of Y-chromosome background with spermatogenic failure. METHODS: The distribution of 18 Y-chromosome haplogroups was compared between 414 infertile men with azoospermia or oligozoospermia and 262 normozoospermic men with or without AZFc deletions in a Han population of Southwest China. RESULTS: A significant population difference in Y-haplogroup distribution was found between the groups of normozoospermia and azoospemia or oligozoospermia, and between the patient groups with oligozoospermia and azoospermia without AZFc deletions. Interpopulation comparison of Y haplogroup frequencies showed that the distribution of the haplogroups C, K* and O3* were significantly different between the groups. CONCLUSION: This study provides evidence for the association of Y-chromosome background with impaired spermatogenesis, suggesting that Y variations play a role in the occurrence and even the severity of spermatogenic failure. Furthermore, both AZFc deletions and other Y-chromosome structural variations may be important for determining the susceptibility to spermatogenic failure. Our findings emphasise the necessity of more extensive study on Y chromosome variations for better understanding of spermatogenesis and its pathology. PMID- 18156438 TI - The genetic aetiology of Silver-Russell syndrome. AB - Silver-Russell syndrome (SRS MIM180860) is a disorder characterised by intrauterine and/or postnatal growth restriction and typical facies. However, the clinical picture is extremely diverse due to numerous diagnostic features reflecting a heterogeneous genetic disorder. The mode of inheritance is variable with sporadic cases also being described. Maternal uniparental disomy (mUPD) of chromosome 7 accounts for 10% of SRS cases and many candidate imprinted genes on 7 have been investigated. Chromosome 11 has moved to the forefront as the key chromosome in the aetiology, with reports of methylation defects in the H19 imprinted domain associated with the phenotype in 35-65% of SRS patients. Methylation aberrations have been described in a number of other imprinted growth related disorders such as Beckwith-Wiedmann syndrome. This review discusses these recent developments as well as the previous work on chromosome 7. Other candidate genes/chromosomal regions previously investigated are tabled. PMID- 18156439 TI - Animal models of pulmonary fibrosis: how far from effective reality? PMID- 18156440 TI - Inflammation and ischemia-induced lung angiogenesis. AB - A role for inflammation in modulating the extent of angiogenesis has been shown for a number of organs. The present study was undertaken to evaluate the importance of leukocyte subpopulations for systemic angiogenesis of the lung after left pulmonary artery ligation (LPAL) in a mouse model of chronic pulmonary thromboembolism. Since we (24) previously showed that depletion of neutrophils did not alter the angiogenic outcome, we focused on the effects of dexamethasone pretreatment (general anti-inflammatory) and gadolinium chloride treatment (macrophage inactivator) and studied Rag-1(-/-) mice (T/B lymphocyte deficient). We measured inflammatory cells in bronchoalveolar lavage fluid and lung homogenate macrophage inflammatory protein-2 (MIP-2) and IL-6 protein levels within 24 h after LPAL and systemic blood flow to the lung 14 days after LPAL with labeled microspheres as a measure of angiogenesis. Blood flow to the left lung was significantly reduced after dexamethasone treatment compared with untreated control LPAL mice (66% decrease; P < 0.05) and significantly increased in T/B lymphocyte-deficient mice (88% increase; P < 0.05). Adoptive transfer of splenocytes (T/B lymphocytes) significantly reversed the degree of angiogenesis observed in the Rag-1(-/-) mice back to the level of control LPAL. Average number of lavaged macrophages for each group significantly correlated with average blood flow in the study groups (r(2) = 0.9181; P = 0.01 different from 0). Despite differences in angiogenesis, left lung homogenate MIP-2 and IL-6 did not differ among study groups. We conclude that inflammatory cells modulate the degree of angiogenesis in this lung model where lymphocytes appear to limit the degree of neovascularization, whereas monocytes/macrophages likely promote angiogenesis. PMID- 18156441 TI - Identification of Nrf2-dependent airway epithelial adaptive response to proinflammatory oxidant-hypochlorous acid challenge by transcription profiling. AB - In inflammatory diseases of the airway, a high level (estimated to be as high as 8 mM) of HOCl can be generated through a reaction catalyzed by the leukocyte granule enzyme myeloperoxidase (MPO). HOCl, a potent oxidative agent, causes extensive tissue injury through its reaction with various cellular substances, including thiols, nucleotides, and amines. In addition to its physiological source, HOCl can also be generated by chlorine gas inhalation from an accident or a potential terrorist attack. Despite the important role of HOCl-induced airway epithelial injury, the underlying molecular mechanism is largely unknown. In the present study, we found that HOCl induced dose-dependent toxicity in airway epithelial cells. By transcription profiling using GeneChip, we identified a battery of HOCl-inducible antioxidant genes, all of which have been reported previously to be regulated by nuclear factor erythroid-related factor 2 (Nrf2), a transcription factor that is critical to the lung antioxidant response. Consistent with this finding, Nrf2 was found to be activated time and dose dependently by HOCl. Although the epidermal growth factor receptor-MAPK pathway was also highly activated by HOCl, it was not involved in Nrf2 activation and Nrf2-dependent gene expression. Instead, HOCl-induced cellular oxidative stress appeared to lead directly to Nrf2 activation. To further understand the functional significance of Nrf2 activation, small interference RNA was used to knock down Nrf2 level by targeting Nrf2 or enhance nuclear accumulation of Nrf2 by targeting its endogenous inhibitor Keap1. By both methods, we conclude that Nrf2 directly protects airway epithelial cells from HOCl-induced toxicity. PMID- 18156442 TI - IL-1beta, BK, and TGF-beta1 attenuate PGI2-mediated cAMP formation in human pulmonary artery smooth muscle cells by multiple mechanisms involving p38 MAP kinase and PKA. AB - We have previously shown that interleukin (IL)-1beta, transforming growth factor (TGF)-beta1, or bradykinin (BK) impair cAMP generation in response to prostacyclin analogs in human pulmonary artery smooth muscle (PASM), suggesting that inflammation can impair the effects of prostacyclin analogs on PASM in pulmonary hypertension. Here we explored the biochemical mechanisms involved. We found that IL-1beta, BK, and TGF-beta1 reduced adenylyl cyclase isoform 1, 2, and 4 mRNA, increased Galphai protein levels, and reduced prostacyclin receptor (IP receptor) mRNA expression. In contrast, Galphas protein levels were unchanged. Protein kinase A (PKA) (H-89, KT-2750, PKIm) and p38 mitogen-activated protein (MAP) kinase (SB-202190) inhibitors attenuated these effects, but protein kinase C (bisindolylmaleide) or phosphoinositol 3-kinase (LY-294002) inhibitors did not. Fluorescent kemptide assay and Western blotting confirmed that PKA and p38 MAP kinase were activated by IL-1beta, BK, and TGF-beta1. These studies suggest that IL-1beta, BK, and TGF-beta1 impair IP receptor-mediated cAMP accumulation by multiple effects on different components of the signaling pathway and that these effects are PKA and p38 MAP kinase dependent. PMID- 18156443 TI - Provider selection of evidence-based contraception guidelines in service provision: a study in India, Peru, and Rwanda. AB - Providers underutilize evidence-based practice guidelines as they prescribe contraceptives. To discern biases in guideline utilization by 172 providers of three countries, this study used observations from simulated clients trained to choose oral contraceptives. Providers implemented less than one third of the guideline set, but they addressed, more frequently than other guidelines, items categorized as essential by expert opinion (p < .01). Indian providers emphasized instructions on method use in 9-minute consultations, Rwandan providers emphasized contraindications in 29-minute sessions, and Peruvian providers did not emphasize any single guideline category. Providers should use job aids to improve guideline utilization. Those pressed for time need an evidence-based, rather than arbitrary, selection of essential guidelines that optimizes client outcomes. Practice-based research must be generated to meet this need. PMID- 18156444 TI - Beyond sweetness and warmth: transition of the preterm infant. PMID- 18156445 TI - Severe chest recession causing translucency on an x ray. PMID- 18156446 TI - Fishing for brain power? PMID- 18156447 TI - Comparison between rectal and infrared skin temperature in the newborn. AB - The reliability of measurement of body temperature using a new infrared skin thermometer was evaluated in 107 newborns. The use of the device was associated with low operator-related variability and acceptable limits of agreement with the temperature measured with a rectal mercury thermometer. Use of the infrared skin thermometer is a comfortable and reliable way of measurement of body temperature in newborns. PMID- 18156448 TI - Perforated colonic duplication masquerading as necrotising enterocolitis. PMID- 18156449 TI - Evaluation of the use of equipment competency check lists. PMID- 18156450 TI - Pulse oximetry: not a sensitive screening tool for congenital heart disease. PMID- 18156451 TI - The optimal time to clamp the umbilical cord. PMID- 18156453 TI - Discontinuation of neonatal resuscitation in term babies. PMID- 18156454 TI - Dr Helen Taussig (1898 1986): pioneering American paediatric cardiologist. AB - In 1944, Helen Taussig in collaboration with Alfred Blalock initiated the first surgical treatment of cyanotic congenital malformations of the heart. She may be regarded as the founder of paediatric cardiology. PMID- 18156455 TI - Differences in solute removal by two high-flux membranes of nominally similar synthetic polymers. AB - BACKGROUND: Membranes fabricated from nominally similar polymers may be markedly different in chemical composition, morphology and geometry. To examine the relative importance of these factors to dialyzer performance, the removal of small and large uraemic toxins was determined for dialyzers containing 'polysulfone' membranes of different composition and morphology, with and without fibre undulations. METHODS: Total removal and instantaneous clearances of urea, phosphorus, beta(2)-microglobulin, leptin, angiogenin, complement factor D and immunoglobulin kappa light chain were determined in randomized cross-over studies. Total solute removal was assessed from the pre- to post-dialysis change in plasma concentration and the total amount of solute recovered in the dialysate. Trapping of solute at the membrane was determined as the difference between solute lost from plasma water and solute recovered in the dialysate. RESULTS: Total removal of urea and phosphorus was independent of the membrane composition and structure. Large molecule removal differed significantly between the two membranes, particularly for beta(2)-microglobulin. The importance of trapping at the membrane as a mechanism of beta(2)-microglobulin removal also differed significantly between the two membranes, with trapping being less important for the membrane with the greatest beta(2)-microglobulin removal. As molecular size increased, the contribution of trapping at the membrane to solute removal increased and the difference between the two membranes decreased. CONCLUSIONS: High-flux membranes fabricated from nominally similar polymers may differ significantly in their ability to remove low molecular weight protein uraemic toxins. PMID- 18156456 TI - Occurrence of peritonitis in APD versus CAPD: methodologic problems. PMID- 18156457 TI - The clinical evaluation of low-dose heparin in haemodialysis: a prospective study using the heparin-coated AN69 ST membrane. AB - BACKGROUND: The AN69 ST haemodialysis membrane, a new membrane resulting from coating polyethyleneimine upon the polyacrylonitrile surface, binds heparin. In patients at risk of bleeding, a pilot study has demonstrated the efficient anticoagulant effect of this heparin-coated membrane. Study design. In chronic haemodialyzed patients, we evaluated whether this anticoagulant effect can be validated in a controlled, prospective, open study. Pragmatically, we tested the hypothesis of no difference of the massive clotting rate in two groups of patients haemodialyzed either with 50% reduced standard doses of nonfractionated heparin using the heparin-coated AN69 ST or with a full dose of heparin (100%) using another type of dialysis membrane that does not bind heparin. Secondary objectives included evaluation of partial clotting, changes in haemoglobin levels, erythropoietin consumption and dialyzer performances. RESULTS: One hundred and eighty-four patients were elected and 170 finally included in an 18 month follow-up study. They were allocated to one of the two arms of the study. In the heparin-reduced group (n = 85, mean age: 73 +/- 11 years), 12 472 sessions were performed after priming the AN69 ST dialyzer with 2 L of heparinized saline (5000 IU/L heparin) and using 50% reduced doses of previously administered heparin. In the control group with standard heparin (n = 85, mean age: 74 +/- 13 years), 14 154 sessions were analysed (NS), and mean heparin doses were 2718 +/- 1388 and 4800 +/- 1564 IU per session, respectively (P < 0.001). In the heparin reduced group, massive clotting occurred in 1.4 per 1000 sessions, whereas it occurred in 1.6 per 1000 sessions in the standard heparin group (P < 0.05). Mild to moderate partial clotting in the venous drip chamber and in the dialyzer was evaluated in a subset of patients, on a visual scale. It was more frequent in the experimental group than in the control group (P < 0.001). Platelets, haemoglobin levels, erythropoietin needs and dialyzer performances remained unchanged in both groups. The global mean death rate was 16.8% per year and did not differ significantly between groups. CONCLUSION: The use of the heparin-coated AN69 ST membrane allows a 50% reduction of standard doses of nonfractionated heparin administration for routine haemo- dialysis without increasing the risk of massive clotting of the extracorporeal circuit. This result needs confirmation since massive clotting questions clinical practice and is team dependent. PMID- 18156458 TI - Altered fibrin clot properties in patients on long-term haemodialysis: relation to cardiovascular mortality. AB - BACKGROUND: Haemodialysis patients are at an increased risk of cardiovascular (CV) morbidity and mortality. Both end-stage renal disease (ESRD) and thromboembolic coronary events have been shown to be associated with the formation of dense fibrin clots resistant to fibrinolysis. The aim of the present study was to investigate the effect of long-term haemodialysis on clot structure/function and analyse an influence of markers of inflammation, oxidative stress and lipoprotein(a). We sought also to investigate if clot features might be related to CV events and mortality in haemodialysis patients. Subjects and methods. In 33 patients (19 males, 14 females), aged 27 to 89 years, on long-term haemodialysis and 33 age- and sex-matched apparently healthy controls, we investigated fibrin clot properties and susceptibility to lysis using recombinant tissue plasminogen activator by using permeation and turbidity assays. RESULTS: Haemodialysis patients produced fibrin clots that had less porous structure (P < 0.0001) were less susceptible to fibrinolysis (P < 0.0001), began fibrin protofibril formation more quickly (P < 0.0001) and showed increased overall fibre thickness (P < 0.0001) compared with controls. Clot permeability and lysis time correlated with F2-isoprostanes (P < 0.01), Lp(a) (P < 0.0001) and fibrinogen (P < 0.01). None of the clot variables showed associations with the duration of haemodialysis treatment or the cause of ESRD. During a 36-month follow-up, 10 CV deaths were recorded. Mortality was associated with reduced clot permeability (P < 0.0001), prolonged lysis time (P < 0.0001), faster fibrin protofibril formation (P = 0.0004), thicker fibres (P < 0.0001) and increased fibrin clot mass (P < 0.0001). CONCLUSIONS: Unfavourably altered clot properties can be detected in haemodialysis patients and may be associated with increased CV mortality. PMID- 18156459 TI - A differential diagnostic model of diabetic nephropathy and non-diabetic renal diseases. AB - BACKGROUND: Renal diseases in diabetes include diabetic nephropathies (DN) and non-diabetic renal diseases (NDRD). The clinical differentiation between these two categories is usually not so clear and effective. This study aims to develop a quantified differential diagnostic model. METHODS: We consecutively screened the diabetic patients with overt proteinuria but no severe renal failure for kidney biopsy from 1993 to 2003. The finally enrolled 110 patients were divided into two groups according to pathological features (60 in DN group and 50 in NDRD group). Clinical and laboratory data were compared between two groups. Then a diagnostic model was developed based on the logistic regression analysis. RESULTS: Forty-six percent of patients were NDRD including a variety of pathological types. Many differences between DN and NDRD were found by comparison of the clinical indices. In the final logistic regression analysis, only diabetes duration (Dm), systolic blood pressure (Bp), HbA1c (Gh), haematuria (Hu) and diabetic retinopathy (Dr) showed statistical significance. Based on the logistic regression model: pi = e(z)/(1 + e(z)), a diagnostic model was constructed as follows: P(DN) = exp(-13.5922 + 0.0371Dm + 0.0395Bp + 0.3224Gh - 4.4552Hu + 2.9613Dr)/ [1 + exp(-13.5922 + 0.0371Dm + 0.0395Bp + 0.3224Gh - 4.4552Hu + 2.9613Dr)]. P(DN) was the probability of DN diagnosis (P(DN) >or= 0.5 as DN, P(DN) < 0.5 as NDRD). Validation tests showed that this model had good sensitivity (90%) and specificity (92%). CONCLUSIONS: This diagnostic model may be helpful to clinical differentiation of DN and NDRD in type 2 diabetic patients with overt proteinuria. PMID- 18156460 TI - Association between body mass index and chronic kidney disease in men and women: population-based study of Malay adults in Singapore. AB - BACKGROUND: In contrast to previous studies from western populations, studies from Japan reported a positive association between body mass index (BMI) and chronic kidney disease (CKD) among men but not women. In this context, we examined the relationship between BMI and CKD, by gender, in a study of Malay adults from Singapore. METHODS: This was a population-based cross-sectional sample of adults (n = 2783, 53% women, aged 49-80 years), free of clinical cardiovascular disease. The outcome of interest was presence of CKD [estimated glomerular filtration rate (eGFR) <60 mL/min per 1.73 m(2) (n = 517)]. The statistical methods used were logistic and nonparametric logistic regressions. RESULTS: Higher BMI levels were found to be positively associated with CKD among Malay men. Among men, compared to BMI quartile 1 (<23 kg/m(2)), the multivariable odds ratio (OR) [95% confidence intervals (CI)] of CKD was 3.12 (1.97-4.94) in quartile 2 (23-24.9 kg/m(2)), 2.49 (1.63-3.79) in quartile 3 (25-29.9 kg/m(2)) and 3.70 (2.13-6.42) in quartile 4 (>or=30 kg/m(2)); P-trend < 0.0001. In contrast, among women BMI levels were not associated with CKD; P-trend = 0.32. In nonparametric models, among men, the observed positive association between BMI and CKD appeared to be present across the full range of BMI values, without any threshold. In contrast, among women, results from nonparametric models were consistent with the conclusion of a lack of association between BMI and CKD. CONCLUSIONS: Higher BMI levels were positively associated with CKD among men but not women in a population-based study from Singapore. These results are consistent with the hypothesis of a male gender-specific association between BMI and CKD among Asians. PMID- 18156461 TI - Presence of autoantibodies against tubular and uveal cells in a patient with tubulointerstitial nephritis and uveitis (TINU) syndrome. PMID- 18156462 TI - Highly concentrated calcitriol and its analogues induce apoptosis of parathyroid cells and regression of the hyperplastic gland--study in rats. AB - BACKGROUND: Controlling hyperplasia of the parathyroid gland (PTG) is important in the management of secondary hyperparathyroidism (SHPT). Regression of the hyperplastic PTG requires a decrease in the number of parathyroid cells (PTCs), so the present study investigated cell death caused by toxic agents or by clinically usable vitamin D metabolites. METHODS: The PTGs of Sprague-Dawley rats, which had been 5/6-nephrectomized and fed a high-phosphate diet for 12 weeks, were treated with two consecutive direct injections (DI) of calcitriol, maxacalcitol, paricalcitol, doxercalciferol or phosphate-buffered saline containing either 0.01% or 90% ethanol (0.01-ET or 90-ET, respectively). Laboratory data, including serum levels of intact parathyroid hormone (intact PTH), were obtained before and after the treatments. The PTGs were excised 24 h after the final injection and evaluated for PTC apoptosis using light and electron microscopy, terminal deoxynucleotidyl transferase-mediated dUTP nick end labelling (TUNEL) method and DNA electrophoresis. RESULTS: Treatment with any of the vitamin D metabolites and 90-ET significantly decreased the serum intact-PTH level, but only the latter significantly decreased the serum Ca level. Either treatment markedly increased the number of TUNEL-positive PTCs, but not in PTG treated with 0.01-ET. In PTGs treated with DI of any vitamin D metabolites was there ladder formation on DNA electrophoresis, as well as the characteristic morphological features of apoptosis in both the light and electron microscopic studies. CONCLUSIONS: DI of vitamin D metabolites may be effective in controlling not only the PTH level, but also PTG hyperplasia, in advanced SHPT by, at least in part, apoptosis-induced cell death. Our study was performed in rats. PMID- 18156463 TI - Identification and design of peptides as a new drug delivery system for the brain. AB - By controlling access to the brain, the blood-brain barrier (BBB) restricts the entry of proteins and potential drugs to cerebral tissues. We demonstrate here the transcytosis ability of aprotinin and peptides derived from Kunitz domains using an in vitro model of the BBB and in situ brain perfusion. Aprotinin transcytosis across bovine brain capillary endothelial cell (BBCEC) monolayers is at least 10-fold greater than that of holo-transferrin. Sucrose permeability was unaffected by high concentrations of aprotinin, indicating that transcytosis of aprotinin was unrelated to changes in the BBCEC monolayer integrity. Alignment of the amino acid sequence of aprotinin with the Kunitz domains of human proteins allowed the identification and design of a family of peptides, named Angiopeps. These peptides, and in particular Angiopep-2, exhibit higher transcytosis capacity and parenchyma accumulation than aprotinin. Overall, these results suggest that these Kunitz-derived peptides could be advantageously used as a new brain delivery system for pharmacological agents that do not readily enter the brain. PMID- 18156464 TI - In vivo beta-secretase 1 inhibition leads to brain Abeta lowering and increased alpha-secretase processing of amyloid precursor protein without effect on neuregulin-1. AB - beta-Secretase (BACE) cleavage of amyloid precursor protein (APP) is one of the first steps in the production of amyloid beta peptide Abeta42, the putative neurotoxic species in Alzheimer's disease. Recent studies have shown that BACE1 knockdown leads to hypomyelination, putatively caused by a decline in neuregulin (NRG)-1 processing. In this study, we have tested a potent cell-permeable BACE1 inhibitor (IC(50) approximately 30 nM) by administering it directly into the lateral ventricles of mice, expressing human wild-type (WT)-APP, to determine the consequences of BACE1 inhibition on brain APP and NRG-1 processing. BACE1 inhibition, in vivo, led to a significant dose- and time-dependent lowering of brain Abeta40 and Abeta42. BACE1 inhibition also led to a robust brain secreted (s)APPbeta lowering that was accompanied by an increase in brain sAPPalpha levels. Although an increase in full-length NRG-1 levels was evident in 15-day old BACE1 homozygous knockout (KO) (-/-) mice, in agreement with previous studies, this effect was also observed in 15-day-old heterozygous (+/-) mice, but it was not evident in 30-day-old and 2-year-old BACE1 KO (-/-) mice. Thus, BACE1 knockdown led to a transient decrease in NRG-1 processing in mice. Pharmacological inhibition of BACE1 in adult mice, which led to significant Abeta lowering, was without any significant effect on brain NRG-1 processing. Taken together, these results suggest that BACE1 is the major beta-site cleavage enzyme for APP and that its inhibition can lower brain Abeta and redirect APP processing via the potentially nonamyloidogenic alpha-secretase pathway, without significantly altering NRG-1 processing. PMID- 18156466 TI - DNA inhibits catalysis by the carboxyltransferase subunit of acetyl-CoA carboxylase: implications for active site communication. AB - Acetyl-CoA carboxylase (ACC) catalyzes the first committed step in the synthesis of long-chain fatty acids. The crystal structure of the Escherichia coli carboxyltransferase component of ACC revealed an alpha(2)beta(2) subunit composition with two active sites and, most importantly, a unique zinc domain in each alphabeta pair that is absent in the eukaryotic enzyme. We show here that carboxyltransferase binds DNA. Half-maximal saturation of different single stranded or double-stranded DNA constructs is seen at 0.5-1.0 muM, and binding is cooperative and nonspecific. The substrates (malonyl-CoA and biocytin) inhibit DNA:carboxyltransferase complex formation. More significantly, single-stranded DNA, double-stranded DNA, and heparin inhibit the reaction catalyzed by carboxyltransferase, with single-stranded DNA and heparin acting as competitive inhibitors. However, double-inhibition experiments revealed that both DNA and heparin can bind the enzyme in the presence of a bisubstrate analog (BiSA), and the binding of BiSA has a very weak synergistic effect on the binding of the second inhibitor (DNA or heparin) and vice versa. In contrast, DNA and heparin can also bind to the enzyme simultaneously, but the binding of either molecule has a strong synergistic effect on binding of the other. An important mechanistic implication of these observations is that the dual active sites of ACC are functionally connected. PMID- 18156467 TI - Folding thermodynamics and kinetics of the leucine-rich repeat domain of the virulence factor Internalin B. AB - Although the folding of alpha-helical repeat proteins has been well characterized, much less is known about the folding of repeat proteins containing beta-sheets. Here we investigate the folding thermodynamics and kinetics of the leucine-rich repeat (LRR) domain of Internalin B (InlB), an extracellular virulence factor from the bacterium Lysteria monocytogenes. This domain contains seven tandem leucine-rich repeats, of which each contribute a single beta-strand that forms a continuous beta-sheet with neighboring repeats, and an N-terminal alpha-helical capping motif. Despite its modular structure, InlB folds in an equilibrium two-state manner, as reflected by the identical thermodynamic parameters obtained by monitoring its sigmoidal urea-induced unfolding transition by different spectroscopic probes. Although equilibrium two-state folding is common in alpha-helical repeat proteins, to date, InlB is the only beta-sheet containing repeat protein for which this behavior is observed. Surprisingly, unlike other repeat proteins exhibiting equilibrium two-state folding, InlB also folds by a simple two-state kinetic mechanism lacking intermediates, aside from the effects of prolyl isomerization on the denatured state. However, like other repeat proteins, InlB also folds significantly more slowly than expected from contact order. When plotted against urea, the rate constants for the fast refolding and single unfolding phases constitute a linear chevron that, when fitted with a kinetic two-state model, yields thermodynamic parameters matching those observed for equilibrium folding. Based on these kinetic parameters, the transition state is estimated to comprise 40% of the total surface area buried upon folding, indicating that a large fraction of the native contacts are formed in the rate-limiting step to folding. PMID- 18156468 TI - Identification of transient hub proteins and the possible structural basis for their multiple interactions. AB - Proteins that can interact with multiple partners play central roles in the network of protein-protein interactions. They are called hub proteins, and recently it was suggested that an abundance of intrinsically disordered regions on their surfaces facilitates their binding to multiple partners. However, in those studies, the hub proteins were identified as proteins with multiple partners, regardless of whether the interactions were transient or permanent. As a result, a certain number of hub proteins are subunits of stable multi-subunit proteins, such as supramolecules. It is well known that stable complexes and transient complexes have different structural features, and thus the statistics based on the current definition of hub proteins will hide the true nature of hub proteins. Therefore, in this paper, we first describe a new approach to identify proteins with multiple partners dynamically, using the Protein Data Bank, and then we performed statistical analyses of the structural features of these proteins. We refer to the proteins as transient hub proteins or sociable proteins, to clarify the difference with hub proteins. As a result, we found that the main difference between sociable and nonsociable proteins is not the abundance of disordered regions, in contrast to the previous studies, but rather the structural flexibility of the entire protein. We also found greater predominance of charged and polar residues in sociable proteins than previously reported. PMID- 18156469 TI - Contributions of a disulfide bond to the structure, stability, and dimerization of human IgG1 antibody CH3 domain. AB - Recombinant human monoclonal antibodies have become important protein-based therapeutics for the treatment of various diseases. The antibody structure is complex, consisting of beta-sheet rich domains stabilized by multiple disulfide bridges. The dimerization of the C(H)3 domain in the constant region of the heavy chain plays a pivotal role in the assembly of an antibody. This domain contains a single buried, highly conserved disulfide bond. This disulfide bond was not required for dimerization, since a recombinant human C(H)3 domain, even in the reduced state, existed as a dimer. Spectroscopic analyses showed that the secondary and tertiary structures of reduced and oxidized C(H)3 dimer were similar, but differences were observed. The reduced C(H)3 dimer was less stable than the oxidized form to denaturation by guanidinium chloride (GdmCl), pH, or heat. Equilibrium sedimentation revealed that the reduced dimer dissociated at lower GdmCl concentration than the oxidized form. This implies that the disulfide bond shifts the monomer-dimer equilibrium. Interestingly, the dimer-monomer dissociation transition occurred at lower GdmCl concentration than the unfolding transition. Thus, disulfide bond formation in the human C(H)3 domain is important for stability and dimerization. Here we show the importance of the role played by the disulfide bond and how it affects the stability and monomer-dimer equilibrium of the human C(H)3 domain. Hence, these results may have implications for the stability of the intact antibody. PMID- 18156470 TI - Crystal structure of 5-methylthioribose 1-phosphate isomerase product complex from Bacillus subtilis: implications for catalytic mechanism. AB - The methionine salvage pathway (MSP) plays a crucial role in recycling a sulphahydryl derivative of the nucleoside. Recently, the genes and reactions in MSP from Bacillus subtilis have been identified, where 5-methylthioribose 1 phosphate isomerase (M1Pi) catalyzes a conversion of 5-methylthioribose 1 phosphate (MTR-1-P) to 5-methylthioribulose 1-phosphate (MTRu-1-P). Herein, we report the crystal structures of B. subtilis M1Pi (Bs-M1Pi) in complex with its product MTRu-1-P, and a sulfate at 2.4 and 2.7 A resolution, respectively. The electron density clearly shows the presence of each compound in the active site. The structural comparison with other homologous proteins explains how the substrate uptake of Bs-M1Pi may be induced by an open/closed transition of the active site. The highly conserved residues at the active site, namely, Cys160 and Asp240 are most likely to be involved in catalysis. The structural analysis sheds light on its catalytic mechanism of M1Pi. PMID- 18156471 TI - Selenoproteinless animals: selenophosphate synthetase SPS1 functions in a pathway unrelated to selenocysteine biosynthesis. AB - Proteins containing the 21st amino acid, selenocysteine (Sec), have been described in all three domains of life, but the composition of selenoproteomes in organisms varies significantly. Here, we report that aquatic arthropods possess many selenoproteins also detected in other animals and unicellular eukaryotes, and that most of these proteins were either lost or replaced with cysteine containing homologs in insects. As a result of this selective selenoproteome reduction, fruit flies and mosquitoes have three known selenoproteins, and the honeybee, Apis mellifera, a single detected candidate selenoprotein. Moreover, we identified the red flour beetle, Tribolium castaneum, and the silkworm, Bombyx mori, as the first animals that lack any Sec-containing proteins. These insects also lost the Sec biosynthesis and insertion machinery, but selenophosphate synthetase 1 (SPS1), an enzyme previously implicated in Sec biosynthesis, is present in all insects, including T. castaneum and B. mori. These data indicate that SPS1 functions in a pathway unrelated to selenoprotein synthesis. Since SPS1 evolved from a protein that utilizes selenium for Sec biosynthesis, an attractive possibility is that SPS1 may define a new pathway of selenium utilization in animals. PMID- 18156472 TI - Protein folding transition states probed by loop extension. AB - We propose a new way to characterize protein folding transition states by (1) insertion of one or more residues into an unstructured protein loop, (2) measurement of the effect on protein folding kinetics and thermodynamics, and (3) analysis of the results in terms of a rate-equilibrium free energy relationship, alpha(Loop). alpha(Loop) reports on the fraction of molecules that form the perturbed loop in the transition state. Interpretation of the changes in equilibrium free energy using standard polymer theory can help detect residual structure in the unfolded state. We illustrate our approach with data for the model proteins CI2 and the alpha spectrin SH3 domain. PMID- 18156473 TI - Every disabled child matters--but do they all benefit from benefits? PMID- 18156474 TI - Complaints in child protection. PMID- 18156475 TI - Newborn screening for cystic fibrosis: evidence for benefit. PMID- 18156476 TI - Safeguarding, child protection and mental health. AB - The term "safeguarding" is widely used but its meaning and its relationship to child protection have not been precisely defined. It is a more inclusive concept than child protection and emphasises not only the diagnosis and management of child abuse as conventionally understood but also the importance of recognising children in distress and intervening where possible to prevent a range of adverse outcomes. Achieving these goals will depend in part on greater awareness and more extensive training in psychosocial issues and the mental health of children and young people, and their parents. PMID- 18156477 TI - Preventing or accelerating emergency care for children with complex healthcare needs. AB - OBJECTIVE: A subgroup of children with special health care needs (CSHCN) have chronic and complex medical conditions and frequently attend the emergency department (ED). Some of these ED visits could be prevented through appropriate clinician advice or, if an ED visit is unavoidable, the management time could be decreased. We set out to determine whether an ED-based advice and coordination programme was feasible and could prevent or accelerate ED care for these patients. METHODS, SETTING AND PATIENTS: We identified CSHCN who frequently attended the ED at a large tertiary children's hospital. These patients were enrolled in an ED-based coordination programme, the Accelerated Care through Emergency (ACE) programme providing 24-hour mobile-phone access to experienced ED nurses. We prospectively tracked usage patterns and determined the rate of ED visits after receiving phone advice and the waiting time for patients to be seen in ED. Parental satisfaction and cost of the programme were also assessed. RESULTS: After a pilot phase in 2002, enrollment in the programme increased from 125 in 2003 to 220 patients in 2006. Patients had a broad range of medical conditions. All had two or more and up to 22 medical services involved in their care. 80% of patients used a technical device or implant. Phone calls increased from an initial average of 31 per month in 2003 (0.24 calls per participant) to 66 per month in 2006 (0.3 calls per participant), 60% of which were after hours. The percentage of ED reviews per phone call dropped from an initial 74.2% (95% CI 55.2%-88.1%) in 2003 to 50.0% (95% CI 37.4%-62.5%) in 2006 (p = 0.02). However, decreases in ED visits and admissions as a percentage of enrolled patients and as a percentage of phone calls to ACE staff were not statistically significant. Mean waiting time for enrolled patients remained below 30 minutes. Parent satisfaction with the programme was rated 8.3 on a 0-10 scale (0 meaning poor, 10 meaning excellent). The approximate cost of the programme per child was AU$750 (292 pounds sterling) per year. CONCLUSION: We have developed a coordinated approach towards the provision of healthcare for a group of families with diverse severe chronic medical conditions who frequently present to the ED. Through a comprehensive programme including the development of patient-care plans, care coordination and 24-hour mobile-phone access we were able to enhance families' capacities to manage their children's conditions in the community. PMID- 18156478 TI - Topical lignocaine for pain relief in acute otitis media: results of a double blind placebo-controlled randomised trial. AB - OBJECTIVE: Acute otitis media (AOM) is common in children, yet the optimal management of ear pain associated with AOM has not been well studied. We set out to determine the efficacy of topical aqueous 2% lignocaine eardrops compared with a placebo (saline) for pain relief of AOM in children. DESIGN: Double-blind, randomised, placebo-controlled trial. SETTING: Tertiary children's hospital emergency department. PATIENTS AND INTERVENTIONS: Children aged between 3 and 17 years with earache and AOM without evidence of perforation were eligible. Patients were randomised to receive either 2% lignocaine or saline eardrops (placebo). MAIN OUTCOME MEASURES: Pain scores were measured before and after ear drop administration. Patient and physician-interpreted pain scores were measured by using the Bieri faces pain scale and visual analogue scale at 10, 20 and 30 minutes. The primary outcome measure was reduction in patient-measured pain scores by 50% from the baseline. Secondary outcome measures were reduction in patient-measured pain scores by 25% or by at least two points. Telephone follow up occurred after 1 day and 1 week. Analysis was by intention to treat. RESULTS: 63 children (31 were treated with lignocaine, 32 with placebo) aged 3 to 12 years were enrolled. The groups were demographically and clinically similar, with similar proportions having received analgesia in the preceding 4 hours. Children receiving lignocaine showed significantly lower patient-measured pain scores with a reduction by 50% from baseline at 10 minutes (RR 2.06, 95% CI 1.03-4.11, p = 0.03) and 30 minutes (RR 1.44, 95% CI 1.07-1.93, p = 0.009) but not at 20 minutes (RR 1.35 95% CI 0.88-2.06). The response to lignocaine treatment showed significantly lower patient-measured pain scores for 25% reduction at all time points and for two-point reduction at 10 minutes and favoured lignocaine at 20 minutes and 30 minutes without reaching statistical significance. There were no serious adverse events during the 30 minute follow-up period. CONCLUSION: This study suggests that topical aqueous 2% lignocaine eardrops provide rapid relief for many young children presenting with ear pain attributed to AOM. The concurrent use of simple oral analgesia is a likely contributor to effective management of this painful childhood condition. PMID- 18156479 TI - The aetiology and treatment of developmental stammering in childhood. PMID- 18156480 TI - Management of positional plagiocephaly. PMID- 18156481 TI - Sleep duration and metabolic dysregulation in overweight children and adolescents. PMID- 18156482 TI - Inhalation with spacer. PMID- 18156484 TI - A very useful new statistical method. PMID- 18156489 TI - Long-term maintenance of human hematopoietic stem/progenitor cells by expression of BMI1. AB - The polycomb group (PcG) gene BMI1 has been identified as one of the key epigenetic regulators of cell fates during different stages of development in multiple murine tissues. In a clinically relevant model, we demonstrate that enforced expression of BMI1 in cord blood CD34(+) cells results in long-term maintenance and self-renewal of human hematopoietic stem and progenitor cells. Long-term culture-initiating cell frequencies were increased upon stable expression of BMI1 and these cells engrafted more efficiently in NOD-SCID mice. Week 5 cobblestone area-forming cells (CAFCs) were replated to give rise to secondary CAFCs. Serial transplantation studies in NOD-SCID mice revealed that secondary engraftment was only achieved with cells overexpressing BMI1. Importantly, BMI1-transduced cells proliferated in stroma-free cytokine-dependent cultures for more than 20 weeks, while a stable population of approximately 1% to 5% of CD34(+) cells was preserved that retained colony-forming capacity. Whereas control cells lost most of their NOD-SCID engraftment potential after 10 days of ex vivo culturing in absence of stroma, NOD-SCID multilineage engraftment was retained by overexpression of BMI1. Thus, our data indicate that self-renewal of human hematopoietic stem cells is enhanced by BMI1, and we classify BMI1 as an intrinsic regulator of human stem/progenitor cell self-renewal. PMID- 18156490 TI - U1-snRNA-mediated rescue of mRNA processing in severe factor VII deficiency. AB - Small nuclear U1-RNAs (snRNAs), the spliceosome components selectively recognizing donor splice sites (5'ss), were engineered to restore correct mRNA processing in a cellular model of severe coagulation factor VII (FVII) deficiency, caused by the IVS7 9726 + 5g/a change. Three U1-snRNAs, complementary to the mutated 5'ss (U1 + 5a) or to neighboring sequences were expressed with FVII minigenes in a hepatoma cell line. The U1-snRNAs reduced from 80% to 40% the exon 7 skipping, thus increasing exon definition. The U1 + 5a construct also dramatically increased recognition of the correct 5'ss over the 37-bp downstream cryptic site preferentially activated by the mutation, thus inducing appreciable synthesis of normal transcripts (from barely detectable to 50%). This effect, which was dose-dependent, clearly demonstrated that impaired recognition by the U1-snRNA was the mechanism responsible for FVII deficiency. These findings suggest compensatory U1-snRNAs as therapeutic tools in coagulation factor deficiencies caused by mutations at 5'ss, a frequent cause of severe defects. PMID- 18156491 TI - The MMSET protein is a histone methyltransferase with characteristics of a transcriptional corepressor. AB - MMSET, identified by its fusion to the IgH locus in t(4;14)-associated multiple myeloma, possesses domains found within chromatin regulators, including the SET domain. MMSET protein is overexpressed and highly associated with chromatin in myeloma cell lines carrying t(4;14). MMSET possesses methyltransferase activity for core histone H3 lysine 4 and histone 4 lysine 20, whereas MMSET made in cells only modified H4. Segments of MMSET fused to the Gal4 DNA binding domain repressed transcription of a chromatin-embedded Gal4 reporter gene. MMSET mediated repression was associated with increased H4K20 methylation gene and loss of histone acetylation. Consistent with this repressive activity, MMSET could form a complex with HDAC1 and HDAC2, mSin3a, and the histone demethylase LSD1, suggesting that it is a component of corepressor complexes. Furthermore, MMSET coexpression enhances HDAC1- and HDAC2-mediated repression in transcriptional reporter assays. Finally, shRNA-mediated knockdown of MMSET compromised viability of a myeloma cell line, suggesting a biologic role for the protein in malignant cell growth. Collectively, these data suggest that, by acting directly as a modifier of chromatin as well as through binding of other chromatin-modifying enzymes, MMSET influences gene expression and potentially acts as a pathogenic agent in multiple myeloma. PMID- 18156492 TI - Impact of cytogenetics on the outcome of adult acute lymphoblastic leukemia: results of Southwest Oncology Group 9400 study. AB - We examined the prognostic impact of cytogenetics on the outcome of 200 acute lymphoblastic leukemia (ALL) patients 15 to 65 years of age enrolled in Southwest Oncology Group (SWOG)-9400 study. Evaluable cytogenetics or fluorescence in situ hybridization studies were available in 140 (70%) patients. Four karyotype categories (normal [n = 31, 22%], t(9;22)/BCR/ABL1 [n = 36, 26%], other unfavorable [-7, +8, or 11q23 rearrangement, n = 19, 13%], and miscellaneous [n = 54, 39%]) and the biologically and clinically relevant ALL ploidy subgroups were prospectively defined. Overall survival (OS) decreased significantly with increasing age (P = .009) and varied with karyotype category (P < .001). OS was worst for t(9;22)/BCR/ABL1 followed by other unfavorable karyotypes, with hazard ratios (HR) of 3.45 (95% confidence interval [CI], 1.88-6.31) and 2.14 (95% CI, 1.04-4.04), respectively, compared with normal diploid group. OS of the miscellaneous group was similar to that of the normal diploid group (HR = 0.82; 95% CI, 0.44-1.53). Relapse-free survival (RFS) was not significantly associated with age (P = .30) but was heterogeneous among karyotype categories (P < .001) primarily because of poor RFS in t(9;22)/BCR/ABL1 (HR = 3.49; 95% CI, 1.80-6.75) compared with the normal diploid group. After accounting for the variation among karyotype groups, age was not a significant prognostic factor for OS or RFS, highlighting cytogenetics as the most important prognostic factor in adult ALL. This trial was registered at www.ClinicalTrials.gov as #NCT00002665. PMID- 18156493 TI - IL6/sIL6R complex contributes to emergency granulopoietic responses in G-CSF- and GM-CSF-deficient mice. AB - Mice defective in both granulocyte colony-stimulating factor (G-CSF) and granulocyte-macrophage colony-stimulating factor (GM-CSF) have severely impaired neutrophil production and function, yet these mice respond to acute pathogen challenge with a significant neutrophil response. We have recently reported the development of an in vitro system to detect granulopoietic cytokines secreted from cells isolated from G-CSF, GM-CSF double knockout mice. The conditioned media produced by these cells after stimulation with lipopolysaccharide or Candida albicans supports the production and differentiation of granulocytes (ie, the conditioned media contains neutrophil promoting activity [NPA]). We now show that the NPA in the G-CSF(-/-)/GM-CSF(-/-) conditioned media requires interleukin 6 (IL6), is abolished by soluble gp130, and can be specifically immunodepleted by an anti-IL6R antibody. NPA effects on bone marrow cells are also mimicked by Hyper-IL6, and the soluble IL6R is present in NPA. These results show that the IL6/sIL6R complex is the major effector of NPA. NPA production by mice defective for both G-CSF and GM-CSF uncovers an alternative pathway to granulocyte production, which is activated after exposure to pathogens. PMID- 18156494 TI - Gas6 promotes inflammation by enhancing interactions between endothelial cells, platelets, and leukocytes. AB - The role of Gas6 in endothelial cell (EC) function remains incompletely characterized. Here we report that Gas6 amplifies EC activation in response to inflammatory stimuli in vitro. In vivo, Gas6 promotes and accelerates the sequestration of circulating platelets and leukocytes on activated endothelium as well as the formation and endothelial sequestration of circulating platelet leukocyte conjugates. In addition, Gas6 promotes leukocyte extravasation, inflammation, and thrombosis in mouse models of inflammation (endotoxinemia, vasculitis, heart transplantation). Thus, Gas6 amplifies EC activation, thereby playing a key role in enhancing the interactions between ECs, platelets, and leukocytes during inflammation. PMID- 18156496 TI - BMS-214662 potently induces apoptosis of chronic myeloid leukemia stem and progenitor cells and synergizes with tyrosine kinase inhibitors. AB - Chronic myeloid leukemia (CML), a hematopoietic stem-cell disorder, cannot be eradicated by conventional chemotherapy or the tyrosine kinase inhibitor imatinib mesylate (IM). To target CML stem/progenitor cells, we investigated BMS-214662, a cytotoxic farnesyltransferase inhibitor, previously reported to kill nonproliferating tumor cells. IM or dasatinib alone reversibly arrested proliferation of CML stem/progenitor cells without inducing apoptosis. In contrast, BMS-214662, alone or in combination with IM or dasatinib, potently induced apoptosis of both proliferating and quiescent CML stem/progenitor cells with less than 1% recovery of Philadelphia-positive long-term culture-initiating cells. Normal stem/progenitor cells were relatively spared by BMS-214662, suggesting selectivity for leukemic stem/progenitor cells. The ability to induce selective apoptosis of leukemic stem/progenitor cells was unique to BMS-214662 and not seen with a structurally similar agent BMS-225975. BMS-214662 was cytotoxic against CML blast crisis stem/progenitor cells, particularly in combination with a tyrosine kinase inhibitor and equally effective in cell lines harboring wild-type vs mutant BCR-ABL, including the T315I mutation. This is the first report of an agent with activity in resistant and blast crisis CML that selectively kills CML stem/progenitor cells through apoptosis and offers potential for eradication of chronic phase CML. PMID- 18156495 TI - Activin-A: a novel dendritic cell-derived cytokine that potently attenuates CD40 ligand-specific cytokine and chemokine production. AB - Activin-A is a transforming growth factor-beta (TGF-beta) superfamily member that plays a pivotal role in many developmental and reproductive processes. It is also involved in neuroprotection, apoptosis of tumor and some immune cells, wound healing, and cancer. Its role as an immune-regulating protein has not previously been described. Here we demonstrate for the first time that activin-A has potent autocrine effects on the capacity of human dendritic cells (DCs) to stimulate immune responses. Human monocyte-derived DCs (MoDCs) and the CD1c(+) and CD123(+) peripheral blood DC populations express both activin-A and the type I and II activin receptors. Furthermore, MoDCs and CD1c(+) myeloid DCs rapidly secrete high levels of activin-A after exposure to bacteria, specific toll-like receptor (TLR) ligands, or CD40 ligand (CD40L). Blocking autocrine activin-A signaling in DCs using its antagonist, follistatin, enhanced DC cytokine (IL-6, IL-10, IL 12p70, and tumor necrosis factor-alpha [TNF-alpha]) and chemokine (IL-8, IP-10, RANTES, and MCP-1) production during CD40L stimulation, but not TLR-4 ligation. Moreover, antagonizing DC-derived activin-A resulted in significantly enhanced expansion of viral antigen-specific effector CD8(+) T cells. These findings establish an immune-regulatory role for activin-A in DCs, highlighting the potential of antagonizing activin-A signaling in vivo to enhance vaccine immunogenicity. PMID- 18156497 TI - Genetic endothelial systems biology of sickle stroke risk. AB - Genetic differences in endothelial biology could underlie development of phenotypic heterogeneity among persons afflicted with vascular diseases. We obtained blood outgrowth endothelial cells from 20 subjects with sickle cell anemia (age, 4-19 years) shown to be either at-risk (n=11) or not-at-risk (n=9) for ischemic stroke because of, respectively, having or not having occlusive disease at the circle of Willis. Gene expression profiling identified no significant single gene differences between the 2 groups, as expected. However, analysis of Biological Systems Scores, using gene sets that were predetermined to survey each of 9 biologic systems, showed that only changes in inflammation signaling are characteristic of the at-risk subjects, as supported by multiple statistical approaches. Correspondingly, subsequent biologic testing showed significantly exaggerated RelA activation on the part of blood outgrowth endothelial cells from the at-risk subjects in response to stimulation with interleukin-1beta/tumor necrosis factoralpha. We conclude that the pathobiology of circle of Willis disease in the child with sickle cell anemia predominantly involves inflammation biology, which could reflect differences in genetically determined endothelial biology that account for differing host responses to inflammation. PMID- 18156498 TI - Expansion of immunoglobulin autoreactive T-helper cells in multiple myeloma. AB - Activation and expansion of T helper (Th) cells followed by regulation of activation are essential to the generation of immune responses while limiting concomitant autoreactivity. In order to characterize T cells reactive towards myeloma-derived monoclonal immunoglobulin (mIg), an autologous coculture assay for single-cell analysis of mIg-responding cells was developed. When cultured with dendritic cells loaded with mIg, CD4(+) Th cells from patients with progressing multiple myeloma (MM) showed a proliferative MHC class II-dependent response. CD8(+) T-cell reactivity and Th1 activation were consistently low or absent, and Th2 and regulatory cytokines were expressed. The presence of such non Th1 CD4(+) T cells in peripheral blood was independent of treatment status, while the frequencies of responding cells varied between patients and reached the same order of magnitude as those measured for tetanus toxoid-specific Th memory cells. Furthermore, investigations of T-cell subpopulations indicated a possible regulatory role on the mIg responsiveness mediated by suppressive CD25(high)FOXP3(+)CD4(+) T cells. It is proposed from the present results that a predominant in vivo activation of non-Th1 mIg-reactive CD4(+) T cells constitute an Ig-dependent autoregulatory mechanism in human MM, with possible tumor growth supporting or permissive effects. PMID- 18156500 TI - The American Society of Hematology: a success at age 50. AB - The American Society of Hematology (ASH) turns 50 years old in 2008, and we have much to celebrate. Over those years the Society established its principles: to promote both the art and science of hematology and to hold a high-quality Educational Meeting. ASH membership has grown from a few hundred curious attendees at a planning meeting in 1957 to more than 15,000 members today, and the annual meeting has grown from a scientific session of 5 papers at the planning meeting to more than 500 oral presentations and nearly 2,500 poster presentations at the 2007 meeting. The modern ASH promotes cutting-edge science, sponsors research by scholars from all over the globe, helps train the next generation of clinician-scientists, lobbies Congress and several other governmental agencies on behalf of its clinician and scientist members, and publishes the foremost scholarly journal in the field of hematology, Blood, designed to provide its readership with timely reviews, expert opinion on clinical hematology, practice-changing clinical trials, and insightful basic science. The next 50 years of ASH are likely to see many profound changes, but one thing is almost certain-our dedication to fostering clinical and scientific excellence in hematology will continue as the Society's raison d'etre. PMID- 18156501 TI - Glucose-6-phosphate dehydrogenase deficiency: a historical perspective. AB - Glucose-6-phosphate dehydrogenase deficiency serves as a prototype of the many human enzyme deficiencies that are now known. Since its discovery more than 50 years ago, the high prevalence of the defect and the easy accessibility of the cells that manifest it have made it a favorite tool of biochemists, epidemiologists, geneticists, and molecular biologists as well as clinicians. In this brief historical review, we trace the discovery of this defect, its clinical manifestations, detection, population genetics, and molecular biology. PMID- 18156502 TI - Attack on the clones? Human FOXP3 detection by PCH101, 236A/E7, 206D, and 259D reveals 259D as the outlier with lower sensitivity. PMID- 18156504 TI - Prognostic assessment of BCL2-938C>A polymorphism in chronic lymphocytic leukemia. PMID- 18156505 TI - Continue to study childhood ALL. PMID- 18156507 TI - Linking affect to action: critical contributions of the orbitofrontal cortex. Preface. PMID- 18156508 TI - Linking affect to action: critical contributions of the orbitofrontal cortex, March 11-14, 2007, New York City, NY, USA. Proceedings and abstracts. PMID- 18156509 TI - Thick as thieves - the Norwegian medical association attempts to stifle ethical debate. PMID- 18156510 TI - "Allow natural death" versus "do not resuscitate": three words that can change a life. AB - Physician-written "do not resuscitate" DNR orders elicit negative reactions from stakeholders that may decrease appropriate end-of-life care. The semantic significance of the phrase has led to a proposed replacement of DNR with "allow natural death" (AND). Prior to this investigation, no scientific papers address the impact of such a change. Our results support this proposition due to increased likelihood of endorsement with the term AND. PMID- 18156511 TI - Developing the duty to treat: HIV, SARS, and the next epidemic. AB - SARS, like HIV, placed healthcare workers at risk and raised issues about the duty to treat. But philosophical accounts of the duty to treat that were developed in the context of HIV did not adequately address some of the ethical issues raised by SARS. Since the next epidemic may be more like SARS than HIV, it is important to illuminate these issues. In this paper, we sketch a general account of the duty to treat that arose in response to HIV. Our purpose is not to defend or criticise this account, but to show that it needs to be developed in order to address three important issues. The first issue concerns how risks should be distributed among healthcare professionals. The second issue concerns the conflicts that arise between professional duties and family duties. The third issue concerns the forms of support that societies owe healthcare workers during epidemics. Our descriptions of these issues are drawn from our experience of the SARS epidemic in Taiwan. PMID- 18156512 TI - Debating disability. AB - This paper responds to the reviews by Edwards, Holm, Koch, Thomas and Vehmas of Disability Rights and Wrongs (2006). After summarising the recent history of disability studies as a discipline, it explores: the political nature of disability research, questions of ontology and definition, and the uses and abuses of the expressivist argument. Disability is an emerging field of enquiry and constructive debate is to be welcomed. PMID- 18156513 TI - Disability: getting it "right". PMID- 18156514 TI - Is Tom Shakespeare disabled? PMID- 18156515 TI - Philosophy and science: the axes of evil in disability studies? PMID- 18156516 TI - The expressivist objection to prenatal diagnosis: can it be laid to rest? PMID- 18156517 TI - The impairment/disability distinction: a response to Shakespeare. AB - Tom Shakespeare's important new book includes, among other topics, a persuasive critique of the social model of disability. A key component in his case against that model consists in an argument against the impairment/disability distinction as this is understood within the social model. The present paper focuses on the case Shakespeare makes against that distinction. Three arguments mounted by Shakespeare are summarised and responded to. It is argued that the responses adequately rebut Shakespeare's case on this specific issue. Moreover, as the engagement with Shakespeare's argument illustrates, his claim to employ a critical realist perspective appears to be in considerable tension with the case he offers against the impairment/disability distinction. PMID- 18156518 TI - A role for doctors in assisted dying? An analysis of legal regulations and medical professional positions in six European countries. AB - OBJECTIVES: To analyse legislation and medical professional positions concerning the doctor's role in assisted dying in western Europe, and to discuss their implications for doctors. METHOD: This paper is based on country-specific reports by experts from European countries where assisted dying is legalised (Belgium, The Netherlands), or openly practiced (Switzerland), or where it is illegal (Germany, Norway, UK). RESULTS: Laws on assisted dying in The Netherlands and Belgium are restricted to doctors. In principle, assisted suicide (but not euthanasia) is not illegal in either Germany or Switzerland, but a doctor's participation in Germany would violate the code of professional medical conduct and might contravene of a doctor's legal duty to save life. The Assisted Dying for the Terminally Ill Bill proposed in the UK in 2005 focused on doctors, whereas the Proposal on Assisted Dying of the Norwegian Penal Code Commission minority in 2002 did not. Professional medical organisations in all these countries except The Netherlands maintain the position that medical assistance in dying conflicts with the basic role of doctors. However, in Belgium and Switzerland, and for a time in the UK, these organisations dropped their opposition to new legislation. Today, they regard the issue as primarily a matter for society and politics. This "neutral" stance differs from the official position of the Royal Dutch Medical Association which has played a key role in developing the Dutch practice of euthanasia as a "medical end-of-life decision" since the 1970s. CONCLUSION: A society moving towards an open approach to assisted dying should carefully identify tasks to assign exclusively to medical doctors, and distinguish those possibly better performed by other professions. PMID- 18156519 TI - Lifestyle, responsibility and justice. PMID- 18156520 TI - Low risk research using routinely collected identifiable health information without informed consent: encounters with the Patient Information Advisory Group. AB - Current UK legislation is impacting upon the feasibility and cost-effectiveness of medical record-based research aimed at benefiting the NHS and the public heath. Whereas previous commentators have focused on the Data Protection Act 1998, the Health and Social Care Act 2001 is the key legislation for public health researchers wishing to access medical records without written consent. The Act requires researchers to apply to the Patient Information Advisory Group (PIAG) for permission to access medical records without written permission. We present a case study of the work required to obtain the necessary permissions from PIAG in order to conduct a large scale public health research project. In our experience it took eight months to receive permission to access basic identifying information on individuals registered at general practices, and a decision on whether we could access clinical information in medical records without consent took 18 months. Such delays pose near insurmountable difficulties to grant funded research, and in our case 560,000pound of public and charitable money was spent on research staff while a large part of their work was prohibited until the third year of a three year grant. We conclude by arguing that many of the current problems could be avoided by returning PIAG's responsibilities to research ethics committees, and by allowing "opt-out" consent for many public health research projects. PMID- 18156521 TI - Effect of social support on informed consent in older adults with Parkinson disease and their caregivers. AB - PURPOSE: To evaluate the effects of social support on comprehension and recall of consent form information in a study of Parkinson disease patients and their caregivers. DESIGN AND METHODS: Comparison of comprehension and recall outcomes among participants who read and signed the consent form accompanied by a family member/friend versus those of participants who read and signed the consent form unaccompanied. Comprehension and recall of consent form information were measured at one week and one month respectively, using Part A of the Quality of Informed Consent Questionnaire (QuIC). RESULTS: The mean age of the sample of 143 participants was 71 years (SD = 8.6 years). Analysis of covariance was used to compare QuIC scores between the intervention group (n = 70) and control group (n = 73). In the 1-week model, no statistically significant intervention effect was found (p = 0.860). However, the intervention status by patient status interaction was statistically significant (p = 0.012). In the 1-month model, no statistically significant intervention effect was found (p = 0.480). Again, however, the intervention status by patient status interaction was statistically significant (p = 0.040). At both time periods, intervention group patients scored higher (better) on the QuIC than did intervention group caregivers, and control group patients scored lower (worse) on the QuIC than did control group caregivers. IMPLICATIONS: Social support played a significant role in enhancing comprehension and recall of consent form information among patients. PMID- 18156522 TI - Informed consent in Ghana: what do participants really understand? AB - OBJECTIVES: To explore how subjects in a placebo-controlled vitamin A supplementation trial among Ghanaian women aged 15-45 years perceive the trial and whether they know that not all trial capsules are the same, and to identify factors associated with this knowledge. METHODS: 60 semistructured interviews and 12 focus groups were conducted to explore subjects' perceptions of the trial. Steps were taken to address areas of low comprehension, including retraining fieldworkers. 1971 trial subjects were randomly selected for a survey measuring their knowledge that not all trial capsules are the same. The subjects' fieldworkers were also interviewed about their characteristics and trial knowledge. Factors associated with knowledge were explored using multi-level modeling. RESULTS: Although subjects knew they were taking part in research, most thought they were receiving an active and beneficial medication. Variables associated with knowledge were education and district of residence. Radio broadcasts benefited those with some schooling. Fieldworkers' characteristics were not associated with subjects' knowledge. CONCLUSIONS: Research and debate on new or improved consent procedures are urgently required, particularly for subjects with little education. PMID- 18156523 TI - Against the principle that the individual shall have priority over science. AB - This paper highlights a feature common to many ethical guidelines--namely, the idea that the interests of the individual shall always prevail over the interests of science and society. The paper presents how some major ethical guidelines treat the balancing of research interests against those of research subjects and spells out the difficulties in interpreting the principle of the primacy of the individual in a way that can be action-guiding. It suggests various alternative interpretations of the primacy of the individual and argues that they do not hold. Finally, the implications of this analysis for ethical guidelines are discussed. PMID- 18156524 TI - Unesco's Ethics Education Programme. AB - Unesco initiated the Ethics Education Programme in 2004 at the request of member states to reinforce and increase the capacities in the area of ethics teaching. The programme is focused on providing detailed information about existing teaching programmes. It also develops and promotes teaching through proposals for core curricula, through a training course for ethics teachers and by distributing educational resources to support programmes. PMID- 18156525 TI - Teaching rounds and the experience of death as a medical ethicist. PMID- 18156526 TI - Defining what we do. PMID- 18156527 TI - The Surviving Sepsis Campaign (SSC) and the emergency department. PMID- 18156528 TI - Consultations in the emergency department: a systematic review of the literature. AB - OBJECTIVES: Consultation is a common and important aspect of emergency department (ED) practice which can lead to delays in patient flow. Little is known about ED consultations and this review systematically evaluated the literature on ED consultations. METHODS: Comprehensive searches of MEDLINE, PUBMED, SCIRUS, Cochrane Library, Web of Science, Health Star and other databases from 1966 to 2007 were performed. The grey literature and reference lists were searched and authors were contacted to identify other eligible studies. Published and unpublished studies reporting the proportion of consultations in the ED using any type of design were considered for this review. Eligible studies were required to involve patients presenting to the ED. Studies reporting on the proportion of consultation in a specific subpopulation of patients and interventions to improve consultations were also considered for inclusion. Two reviewers independently selected studies and extracted data from included studies regarding the proportion of consultations in the ED or the patient subgroup. Individual study proportions were calculated together with 95% confidence intervals (CI). RESULTS: From more than 15,000 pre-screened citations, 12 studies were finally included in the review. All but three of the included studies were published. Overall, four studies examined ED consultation proportions, six identified the rate of consultation for special populations of ED presentations and two examined interventions to improve consultations. Consultation varied from 20% to 40% for all patients, with lower proportions in the selected populations studied and a high rate of hospitalisation for consulted patients. Limited research on interventions to improve the ED consultation process has also been completed. CONCLUSIONS: Consultation research in the emergency setting is limited and variable; however, high consultation rates exist in some centres. This systematic review outlines the current state of the literature and suggests that further research is urgently needed. PMID- 18156530 TI - Determination of the size of the different sepsis categories presenting to a UK teaching hospital emergency department. AB - AIM: To establish the size of the population of patients presenting to a UK emergency department (ED) with systemic inflammatory response syndrome (SIRS), sepsis, severe sepsis and septic shock and to determine their mortality and length of stay. SETTING: Southampton General Hospital Emergency Department, a teaching hospital treating 90,000 patients per annum. METHOD: A retrospective audit of all patients attending the ED for a 1-month period was undertaken in order to classify them into the different sepsis groups. Length of stay and mortality data were abstracted from the Patient Administration System, a computerised database. RESULTS: 137 (SIRS), 123 (sepsis) and 50 (severe sepsis or septic shock) patients were classified from 5832 new patients attending. The median length of stay was 5, 3 and 7.5 days, respectively, and the mortality was 6.6%, 4.1% and 26%, respectively. The incidence of severe sepsis or septic shock was 30 per 1000 patients admitted. CONCLUSION: The high incidence of severe sepsis and septic shock with its attendant high mortality and length of stay is highlighted. If the figures are annualized, this would equate to 650 cases of severe sepsis or septic shock, of which 169 would die. The ED is well placed to improve this outcome by earlier detection and the use of goal directed therapy. PMID- 18156531 TI - Intravenous amiodarone for the pharmacological termination of haemodynamically tolerated sustained ventricular tachycardia: is bolus dose amiodarone an appropriate first-line treatment? AB - OBJECTIVE: To examine the efficacy of bolus dose intravenous amiodarone for the pharmacological termination of haemodynamically-tolerated sustained monomorphic ventricular tachycardia (VT). DESIGN, SETTING AND PARTICIPANTS: Retrospective case series of consecutive emergency admissions with haemodynamically-tolerated sustained monomorphic VT administered bolus dose intravenous amiodarone 300 mg, according to current UK advanced life support practice guidelines. MAIN OUTCOME MEASURES: Pharmacological termination rates within 20 min and 1 h and incidence of hypotension requiring emergency direct current cardioversion (DCCV) during this period. RESULTS: 41 patients (35 men) of mean (SD) age 68 (10) years, the majority (85%) with ischaemic heart disease and impaired left ventricular function (mean (SD) ejection fraction 0.31 (0.11)), were enrolled in the study. The median VT duration was 70 min (range 15-6000), mean heart rate was 174 (34) bpm and systolic and diastolic blood pressures were 112 (22) and 73 (19) mm Hg, respectively. Pharmacological VT termination occurred within 20 min in 6/41 patients (15%; 95% CI 7% to 29%) and within 1 h in 12/41 patients (29%; 95% CI 18% to 45%). Haemodynamic deterioration requiring emergency DCCV occurred in 7/41 patients (17%; 95% CI 8% to 32%). CONCLUSIONS: Although advocated by advanced life support guidelines, bolus dose intravenous amiodarone was relatively ineffective for acutely terminating haemodynamically-tolerated sustained monomorphic VT with a significant incidence of haemodynamic destabilisation requiring emergency DCCV. Previous studies in the identical clinical setting suggest that alternative antiarrhythmic agents, particularly intravenous procainamide and sotalol, may be superior. A prospective randomised trial is required to determine the optimal drug treatment for stable sustained monomorphic VT in the emergency setting. PMID- 18156532 TI - A persistently painful hand. PMID- 18156533 TI - Abnormal response of the extremities to pain stimulation immediately after the return of spontaneous circulation from cardiopulmonary arrest. AB - OBJECTIVE: A study was undertaken to investigate retrospectively whether or not the appearance of an extensor reaction to pain stimulation immediately after the return of spontaneous circulation (ROSC) from cardiopulmonary arrest (CPA) is a sign of a favourable outcome. METHODS: Eighty-six patients, all of whom obtained ROSC and survived more than 1 week, were included in the study. They were divided into three groups: (1) patients with at least one abnormal response of the extremities to pain stimulation within 120 min after CPA (M = 2,3 group); (2) patients with no motor response to pain stimulation (M = 1 group); and (3) patients with only motor responses >3 on the Glasgow Coma Scale (M = 4-6 group). The following variables were investigated: prehospital setting, neurological findings on arrival, use of induced hypothermic therapy and outcome. The outcome was defined as the best cerebral performance achieved at any time within 1 month of the CPA and classified by analogy with cerebral performance category (CPC) into two groups: (1) good recovery, CPC 1-3; (2) poor recovery, CPC 4-5. RESULTS: The proportion of patients given induced hypothermic therapy in the M = 2,3 group was greater than in the M = 1 and M = 4-6 groups. Convulsions occurred more frequently in the M = 1 group than in the M = 2,3 and M = 4-6 groups. The proportion of patients making a good recovery in the M = 1 group (16%; 95% CI 6% to 26%) was smaller than in the M = 2,3 (81%; 95% CI 68% to 95%) and M = 4-6 groups (88%; 95% CI 72% to 100%). The proportion who survived in each group was similar (M = 1 group: 75% (95% CI 60% to 89%); M = 2,3 group: 90% (95% CI 81% to 100%); M = 4-6 group: 76% (95% CI 55% to 97%)). In the M = 2,3 group, four of the five subjects with convulsions did not regain consciousness while 93% (95% CI 83% to 100%) of the subjects in this group without convulsions did regain consciousness. CONCLUSION: An abnormal response of the extremities to pain stimulation immediately after ROSC tends to be a sign of a favourable outcome in patients without convulsions. PMID- 18156534 TI - A novel method to assist nasogastric tube insertion. AB - BACKGROUND: It can sometimes be difficult to insert a nasogastric tube (NGT) in a patient in whom intubation has been performed. Because of the patient's inability to swallow and the presence of the inflated cuff of the endotracheal tube, the NGT will often become coiled in the oral cavity. A previous study showed that rigid tubes require fewer insertion attempts than flexible tubes. An attempt was therefore made to increase the rigidity of NGTs by filling the tube with water (water-fill method). The objective of this study was to investigate whether water filled NGTs would facilitate tube insertion. METHODS: Sixty-six patients intubated with rapid sequence induction in the emergency department were consecutively recruited over a study period of 4 months in 2006. In the first 2 months the patients underwent NGT insertion by the water-fill method (water-fill group) and in the subsequent 2 months NGT insertion was undertaken by the traditional method (control group). Successful NGT insertion for each patient was defined as the passage of the tube in or = 18 years) who self-reported symptoms of asthma in the past 5 years. A total of 3095 patients were divided into the following BMI categories: 1080 (35%) non-overweight (BMI < 25), 993 (32%) overweight (BMI > or = 25 and < 30) and 1022 (33%) obese (BMI > or = 30). Asthma severity measures included respiratory symptoms, healthcare utilisation, medication use, missed work days and the Global Initiative for Asthma (GINA) severity classification. Models were adjusted for: gender, race, age, education, income, employment status, smoking status, family history of asthma, state of residence and residence in a metropolitan statistical area. RESULTS: Compared with non-overweight subjects, obese subjects with asthma were more likely to report continuous symptoms (OR 1.66, 95% CI 1.09 to 2.54), miss more work days (OR 1.35, 95% CI 1.01 to 1.81), use short acting beta agonists (OR 1.36, 95% CI 1.06 to 1.75), use inhaled corticosteroids (OR 1.34, 95% CI 1.01 to 1.79) and use any controller medication according to GINA guidelines (OR 1.37, 95% CI 1.01 to 1.85). Also, obese respondents were less likely to be in asthma remission (OR 0.56, 95% CI 0.38 to 0.82) and were more likely to have severe persistent asthma (GINA IV) (OR 1.42, 95% CI 1.05 to 1.90). CONCLUSIONS: In a large, diverse sample of adults with asthma, obesity was associated with measures of asthma severity after adjusting for potential confounders. PMID- 18156570 TI - A large chest wall tumour in an asymptomatic 15-year-old girl. PMID- 18156572 TI - Challenges in pulmonary fibrosis: 6--Problematic granulomatous lung disease. AB - Granulomatous inflammation in lung biopsies is a relatively non-specific finding that can occur in a range of inflammatory and neoplastic conditions. This review focuses on the patterns of granulomatous inflammation that can cause diffuse lung disease, highlighting histopathological features helpful in differential diagnosis. PMID- 18156574 TI - Early-life pulmonary arterial hypertension with subsequent development of diffuse pulmonary arteriovenous malformations in hereditary haemorrhagic telangiectasia type 1. AB - The case history is presented of a male infant who was thought to have idiopathic pulmonary arterial hypertension (PAH) at 3 months of age. Subsequently the PAH decreased unexpectedly and diffuse pulmonary arteriovenous malformations (PAVMs) were seen at 6.9 years of age for the first time. Hereditary haemorrhagic telangiectasia type 1 (HHT1) related to an endoglin mutation was diagnosed. At 10.3 years of age a lung biopsy showed diffuse PAVMs as well as pulmonary arteriopathy with medial hypertrophy. This is the first case of HHT1 presenting with PAH at such a young age. The subsequent decrease in pulmonary arterial pressure (PAP) was probably caused by the development of PAVMs. In the presence of PAVMs, measurement of the PAP may underestimate the extent of PAH-related vasculopathy. PMID- 18156575 TI - Diagnostic value of soluble mesothelin in malignant mesothelioma. PMID- 18156577 TI - Population screening for lung cancer using CT. PMID- 18156578 TI - Innate immune activation in neutrophilic asthma. PMID- 18156580 TI - Asthma exacerbations. PMID- 18156581 TI - Bronchial hyperresponsiveness (BHR) and physical activity. PMID- 18156582 TI - Repeated thrombolytic therapy after initial unsuccessful thrombolysis in massive pulmonary embolism. PMID- 18156583 TI - Propionibacterium acnes in granulomas of a patient with necrotising sarcoid granulomatosis. PMID- 18156584 TI - Bronchial responsiveness and airway inflammation in trained subjects. PMID- 18156585 TI - Symptoms limiting activity in cancer patients with breathlessness on exertion: ask about muscle fatigue. PMID- 18156586 TI - Tracheal bronchus in a 6-month-old infant identified by CT with three-dimensional airway reconstruction. PMID- 18156588 TI - Doing unto future selves as you would do unto others: psychological distance and decision making. AB - Four experiments showed that the decisions people make for future selves and other people are similar to each other and different from their decisions for present selves. Experiments involved decisions to drink a disgusting liquid for scientific purposes (Experiment 1), tutor peers during exam week (Experiment 2), receive e-mails for charity (Experiment 3), and defer a lottery prize for a larger one (Experiment 4). These findings seemed to be at least partially rooted in the tendency for decisions regarding the ongoing, present self to be uniquely influenced by internal subjective experience. Specifically, these effects emerged for real, but not hypothetical, decisions. Also, they were mitigated by manipulations that altered participants' attention to present or future subjective experience. In addition, when participants' subjective experience primarily involved empathy for others (Experiment 3), their decisions on behalf of present selves were more generous than their decisions for future selves and others. Applications are discussed. PMID- 18156590 TI - Ceramide kinase promotes Ca2+ signaling near IgG-opsonized targets and enhances phagolysosomal fusion in COS-1 cells. AB - Ceramide-1-phosphate (C1P) is a novel bioactive sphingolipid formed by the phosphorylation of ceramide catalyzed by ceramide kinase (CERK). In this study, we evaluated the mechanism by which increased C1P during phagocytosis enhances phagocytosis and phagolysosome formation in COS-1 cells expressing hCERK. Stable transfectants of COS-1 cells expressing FcgammaRIIA or both FcgammaRIIA/hCERK expression vectors were created. Cell fractionation studies demonstrated that hCERK and the transient receptor potential channel (TRPC-1) were enriched in caveolae fractions. Our data establish that both CERK and TRPC-1 localize to the caveolar microdomains during phagocytosis and that CERK also colocalizes with EIgG in FcgammaRIIA/hCERK-bearing COS-1 cells. Using high-speed fluorescence microscopy, FcgammaRIIA/hCERK transfected cells displayed Ca2+ sparks around the phagosome. In contrast, cells expressing FcgammaRIIA under identical conditions displayed little periphagosomal Ca2+ signaling. The enhanced Ca2+ signals were accompanied by enhanced phagolysosome formation. However, the addition of pharmacological reagents that inhibit store-operated channels (SOCs) reduced the phagocytic index and phagolysosomal fusion in hCERK transfected cells. The higher Ca2+ signal observed in hCERK transfected cells as well as the fact that CERK colocalized with EIgG during phagocytosis support our hypothesis that Ca2+ signaling is an important factor for increasing phagocytosis and is regulated by CERK in a manner that involves SOCs/TRPCs. PMID- 18156591 TI - Identification and characterization by electrospray mass spectrometry of endogenous Drosophila sphingadienes. AB - Sphingolipids comprise a complex group of lipids concentrated in membrane rafts and whose metabolites function as signaling molecules. Sphingolipids are conserved in Drosophila, in which their tight regulation is required for proper development and tissue integrity. In this study, we identified a new family of Drosophila sphingolipids containing two double bonds in the long chain base (LCB). The lipids were found at low levels in wild-type flies and accumulated markedly in Drosophila Sply mutants, which do not express sphingosine-1-phosphate lyase and are defective in sphingolipid catabolism. To determine the identity of the unknown lipids, purified whole fly lipid extracts were separated on a C18 HPLC column and analyzed using electrospray mass spectrometry. The lipids contain a LCB of either 14 or 16 carbons with conjugated double bonds at C4,6. The Delta(4,6)-sphingadienes were found as free LCBs, as phosphorylated LCBs, and as the sphingoid base in ceramides. The temporal and spatial accumulation of Delta(4,6)-sphingadienes in Sply mutants suggests that these lipids may contribute to the muscle degeneration observed in these flies. PMID- 18156592 TI - Comparison of production and calving data for 10 Irish dairy herds in the vicinity of an industrial chemical complex and 10 herds in rural, non industrialised areas. AB - Production and calving data for 2001 to 2004 inclusive were collated for 10 dairy herds located in the vicinity of a complex of chemical industries in the Cork harbour region (target herd) and 10 herds located in rural, non-industrialised areas (control herds). The average milk yield per cow, stocking rates and culling rates were similar for the two groups of herds. The prime reasons for the disposal of animals from both groups of herds were infertility, 'old age', mastitis, lameness and low milk production, and the proportions of deaths recorded were similar. Overall, significantly more male calves were born (52 per cent), but there were no significant differences between the groups in the sex ratio, the incidence of calving difficulty or the incidence of retained placentas. A higher proportion (P<0.05) of stillbirths was observed in the control herds (5.7 per cent) than in the target herds (4.7 per cent), but there was no significant difference in perinatal mortality. There was a higher proportion of multiple births (P<0.05) in the target herds (3.93 per cent) than in the control herds (2.27 per cent). No cause-and-effect relationships between location and multiple birth rate or location and stillbirth incidence were found. PMID- 18156593 TI - Ossification of the infraspinatus tendon-bursa in 13 dogs. AB - Ossification of the infraspinatus tendon-bursa was diagnosed in 13 labrador retrievers, 12 of which were lame in one thoracic limb and the other in both. They ranged in age from 28 to 121 months (mean 69.4 months). The lameness developed gradually and was progressive in 11 of the 14 affected joints. Scapular muscle atrophy and signs of pain on direct pressure over the infraspinatus tendon of insertion were key clinical signs. Caudocranial radiographs revealed multiple mineralised masses lateral to the proximal humerus or glenohumeral joint in 11 of the 26 joints and single masses in 12. An arthroscopic examination revealed concomitant ligament or tendon abnormalities in six of seven shoulders. The dogs were followed up from one to 55 months (mean 20 months). Of five shoulders treated with non-steroidal anti-inflammatory drugs (nsaids), one resolved, two improved and two were managed surgically. Of six shoulders treated by the injection of long-acting intra-articular corticosteroid (five before and one after surgery), three resolved, two improved and one was unchanged. Of six shoulders treated by the surgical resection of the infraspinatus tendon and bursa (three before and two after treatment with nsaids, and one after treatment with a long-acting intra-articular corticosteroid), four improved, one was unchanged and one was managed with an intra-articular long-acting corticosteroid. One shoulder was managed by restricted exercise and the lameness resolved. Histological examination of the excised tissues revealed heterotopic bone within the infraspinatus tendon and/or bursa. PMID- 18156594 TI - Carboxyl terminus of the 34 kDa protein of Mycobacterium paratuberculosis shares homologous B-cell epitopes with Mycobacterium avium and Mycobacterium intracellulare. AB - Monoclonal antibodies (mAbs) against a recombinant carboxyl terminus of the 34 kDa protein of Mycobacterium paratuberculosis were produced in mice. Two of the mAbs cross-reacted with Mycobacterium avium and Mycobacterium intracellulare in both an elisa and immunoblot. The recombinant protein also reacted with polyclonal sera produced in rabbits against all three mycobacteria, indicating the presence of cross-reactive epitopes in the protein. To determine the reactivity of cattle sera against epitopes recognised by the mAbs, competition assays between bovine sera and the mAbs were carried out. Two mAbs were significantly inhibited by sera from cattle that were naturally infected with M paratuberculosis. The results indicate that epitopes on the carboxyl terminus of the 34 kDa protein common to M paratuberculosis, M avium and M intracellulare readily induce antibody production in naturally infected cattle. These epitopes reduce the diagnostic specificity of the carboxyl terminus of the 34 kDa protein, which was originally thought to contain only M paratuberculosis-specific epitopes. PMID- 18156595 TI - Clinical differentiation of malignant catarrhal fever, mucosal disease and bluetongue. PMID- 18156596 TI - Humoral response to H5N2 vaccination in exotic birds in the United Arab Emirates. PMID- 18156597 TI - Labial fusion causing urinary tract obstruction in an alpaca cria. PMID- 18156598 TI - Foot-and-mouth disease and the use of face masks. PMID- 18156599 TI - Favourable response to electric collar aversion training. PMID- 18156600 TI - Treatment of histomonosis in turkeys with tiamulin. PMID- 18156601 TI - Re: Letter to the editor on "Bias in clinical intervention research". PMID- 18156602 TI - Maternal thyroid autoantibodies during the third trimester and hearing deficits in children: an epidemiologic assessment. AB - Elevated maternal thyroid autoantibodies during pregnancy are linked to infertility, miscarriage, and neurodevelopmental deficits such as in cognitive function. It has not been established whether autoantibodies to thyroid peroxidase are associated with sensorineural hearing loss (SNHL). The authors tested stored third-trimester maternal serum specimens of 1,736 children for thyroid peroxidase autoantibodies (TPOaAb) by using an enzyme-linked immunosorbent assay technique. The children participated at the Baltimore, Maryland, site of the Collaborative Perinatal Project, which enrolled pregnant women in 1959-1965. An audiology examination was administered to the children at 8 years of age and was used to identify cases of SNHL. Compared with 4.3% of the other children, 22.7% of the children whose mothers had elevated TPOaAb (> or =62.5 IU/ml) had SNHL. The difference was significant after controlling for maternal race, age, and hypothyroidism (exact prevalence odds ratio = 7.5, 95% confidence interval: 2.4, 23.3). When a lower cutoff of TPOaAb > or =31.25 IU/ml was used, there continued to be an association with SNHL (exact prevalence odds ratio = 5.7, 95% confidence interval: 2.1, 15.6). The direction and magnitude of the association were similar when an alternative case definition of SNHL was used. These data suggest that antenatal exposure to maternal TPOaAb during the third trimester of pregnancy is associated with impaired auditory development. PMID- 18156603 TI - Immunohistochemical localization of cystic fibrosis transmembrane regulator and clara cell secretory protein in taste receptor cells of rat circumvallate papillae. AB - Taste receptor cells (TRCs) are the sensory cells of taste transduction and are organized into taste buds embedded in the epithelium of the tongue, palate, pharynx, and larynx. Several studies have demonstrated that TRCs involved in sweet as well as bitter and umami responses express alpha-gustducin, an alpha subunit of the G-protein complex. It has been further demonstrated that this typical taste protein is a potent marker of chemosensory cells located in several tissues, including gastric and pancreatic mucosa and the respiratory apparatus. We recently observed that alpha-gustducin and phospholipase C beta 2 immunoreactive cells were colocalized in the airways with cystic fibrosis transmembrane regulator (CFTR) and Clara cell-specific secretory protein of 10 (CC10) and 26 kDa (CC26). This finding suggests that TRCs might themselves express secretory markers. To test this hypothesis, we investigated the expression of CFTR, CC10, and CC26 in rat circumvallate papillae using reverse transcriptase-polymerase chain reaction analysis, immunohistochemistry, and confocal laser microscopy. The results showed that secretory markers such as CFTR, CC10, and CC26 are present in taste cells of rat circumvallate papillae, and their immunoreactivity is expressed, to a different extent, in subsets of taste cells that express alpha-gustducin. The presence of CFTR, CC10, and CC26 in taste bud cells and their coexpression pattern with alpha-gustducin confirms and extends our previous findings in airway epithelium, lending further credence to the notion that chemoreception and secretion may be related processes. PMID- 18156605 TI - Treatment of external ventricular drain-associated ventriculitis caused by Enterococcus faecalis with intraventricular daptomycin. PMID- 18156604 TI - The candidate sour taste receptor, PKD2L1, is expressed by type III taste cells in the mouse. AB - The transient receptor potential channel, PKD2L1, is reported to be a candidate receptor for sour taste based on molecular biological and functional studies. Here, we investigated the expression pattern of PKD2L1-immunoreactivity (IR) in taste buds of the mouse. PKD2L1-IR is present in a few elongate cells in each taste bud as reported previously. The PKD2L1-expressing cells are different from those expressing PLCbeta2, a marker of Type II cells. Likewise PKD2L1 immunoreactive taste cells do not express ecto-ATPase which marks Type I cells. The PKD2L1-positive cells are immunoreactive for neural cell adhesion molecule, serotonin, PGP-9.5 (ubiquitin carboxy-terminal transferase), and chromogranin A, all of which are present in Type III taste cells. At the ultrastructural level, PKD2L1-immunoreactive cells form synapses onto afferent nerve fibers, another feature of Type III taste cells. These results are consistent with the idea that different taste cells in each taste bud perform distinct functions. We suggest that Type III cells are necessary for transduction and/or transmission of information about "sour", but have little or no role in transmission of taste information of other taste qualities. PMID- 18156606 TI - Identification of tet(S) gene area in tetracycline-resistant Streptococcus dysgalactiae subsp. equisimilis clinical isolates. PMID- 18156607 TI - Altered expression of isoniazid-regulated genes in drug-treated dormant Mycobacterium tuberculosis. AB - OBJECTIVES: Despite having potent activity against actively replicating Mycobacterium tuberculosis, isoniazid has very limited activity against dormant bacilli. In order to investigate the lack of bactericidal activity of this drug under conditions leading to mycobacterial dormancy, we studied the transcriptional pattern of M. tuberculosis in different physiological states following exposure to isoniazid. METHODS: Global gene expression analysis was used to study M. tuberculosis treated with isoniazid in dormancy models of nutrient depletion and progressive hypoxia in vitro, as well as in an in vivo hollow fibre model of dormancy. Mycobacterial expression of the drug's putative transcriptional signature was investigated by RT-PCR in each dormancy model, and during the early and chronic phases of infection in the mouse aerosol model. Transcriptional responses were correlated with the bactericidal activity of isoniazid in the respective models. RESULTS: A small group of genes directly relevant to the mechanism of action of isoniazid was confirmed to constitute a transcriptional signature of the drug, as differential regulation of these genes was abrogated in an isoniazid-resistant, katG-deficient M. tuberculosis strain following isoniazid exposure. Isoniazid-induced expression of this transcriptional signature was abolished in dormant bacilli which had acquired phenotypic tolerance to isoniazid, regardless of the specific conditions responsible for the induction of the dormancy phenotype. Quantitative RT-PCR revealed that expression of isoniazid-regulated genes (IRGs) is dramatically altered under conditions of nutrient depletion and progressive hypoxia in vitro. Although these IRGs are highly induced following drug exposure early in infection in the mouse hollow fibre and aerosol models, correlating with potent bactericidal activity of the drug, their expression levels are markedly diminished during late-stage infection in these two models, coinciding with the greatly reduced bactericidal activity of isoniazid against these organisms. CONCLUSIONS: The reduced susceptibility of bacilli to the bactericidal drug isoniazid, as well as lack of expression of IRGs upon exposure to the drug, may be defining features of M. tuberculosis dormancy. PMID- 18156608 TI - Minor emtricitabine intolerance in treatment-stable patients switched from tenofovir/lamivudine to a fixed-dose combination of tenofovir/emtricitabine (Truvada). PMID- 18156609 TI - Significant effects of tipranavir on platelet aggregation and thromboxane B2 formation in vitro and in vivo. AB - OBJECTIVES: In the past, bleeding events have been described for patients with haemophilia taking HIV-1 protease inhibitors. Recently, the FDA published a warning concerning intracranial haemorrhage in patients taking the HIV-1 protease inhibitor tipranavir co-administered with ritonavir. METHODS: We investigated (i) platelet aggregation in vivo in HIV-1-infected adult patients (n = 5) immediately before and 2 and 4 h after dosing of tipranavir/ritonavir 500/200 mg. To further characterize the effects, we then evaluated (ii) platelet aggregation and (iii) thromboxane B2 (TxB2) formation (ELISA) with increasing tipranavir concentrations (TPV(conc)) in vitro of up to 100,000 ng/mL. Platelet aggregation was stimulated either with 2 microM ADP (ADP) or 10 mg/L collagen (COL). TPV(conc) were measured with validated EPI-LC-MS/MS. Intraindividual comparisons of values at time points and TPV(conc), respectively, were carried out with repeated samples ANOVA. RESULTS: Platelet aggregation (mean, maximal light transmission A(max)) was significantly decreased in patients 4 h post-dose in collagen- (from 79.8% to 57.1%; P < 0.001) and in ADP-stimulated (from 58.5% to 54.0%; not significant) samples at a median (range) TPV(conc) of 62 500 ng/mL (22,990-67,500). These results could be reproduced in vitro at TPV(conc) 50,000 ng/mL (A(max)ADP/A(max)COL = 20.7/36.9%; P = 0.003/<0.001) and 100 000 ng/mL (A(max)ADP/A(max)COL = 14.5/17.1%; P < 0.001/<0.001). Median (range) TxB2 concentrations were reduced (P = 0.07) from 327 ng/mL (187-500) at baseline to 265 ng/mL (152-428) at 5000 ng/mL and were significantly reduced (P < 0.001) to 187 ng/mL (81-362) at a TPV(conc) of 50,000 ng/mL, respectively. CONCLUSIONS: Five HIV-1-infected patients on tipranavir-containing highly active antiretroviral therapy presented marked decreases in platelet aggregation. In vitro these effects were reproduced and decreased TxB2 formation was also demonstrated. Inhibition of platelet aggregation while receiving tipranavir treatment might contribute to increased risk of bleeding. PMID- 18156610 TI - Anti-gene padlocks eliminate Escherichia coli based on their genotype. AB - OBJECTIVES: Several therapeutic strategies that target nucleic acids exist; however, most approaches target messenger RNA, rather than genomic DNA. We describe a novel oligonucleotide-based strategy, called anti-gene padlocks (AGPs), which eliminate Escherichia coli based on their genotype. METHODS: The strategy employs an oligonucleotide with a double hairpin structure where both strands of the AGP are complementary to both strands of a target gene. We tested AGPs for in vitro binding and inhibition of DNA polymerization. AGPs were electroporated into bacterial cells with and without gene targets along with an ampicillin resistance plasmid, and cell survival was measured. RESULTS: In vitro, AGPs bound the DNA target in a sequence-dependent fashion and inhibited DNA synthesis. When transformed into bacterial cells containing 10, 20 or 30 bp lacZ or 20 bp proA DNA targets in their genomes, AGPs selectively killed or otherwise inhibited growth of these cells, while those lacking the target demonstrated little, if any, toxicity. A single transformation resulted in approximately 30% to 40% loss of target-bearing cells. Structure-function experiments were performed to define essential AGP requirements. CONCLUSIONS: These results suggest that AGPs may be a useful tool to eliminate specific cell populations. PMID- 18156611 TI - Glucose lowering treatment in patients with coronary artery disease is prognostically important not only in established but also in newly detected diabetes mellitus: a report from the Euro Heart Survey on Diabetes and the Heart. AB - AIMS: Glucose lowering (GL) therapy in patients with diabetes mellitus (DM) and coronary artery disease (CAD) is prognostically important. This report from the Euro Heart Survey on Diabetes and the Heart describes present practice in relation to 1 year prognosis. METHODS AND RESULTS: The survey enrolled 4676 patients with CAD from 110 centres out of whom 1425 had known and 452 newly detected DM. The impact of different GL modalities on cardiovascular events (CVE: death, myocardial infarction, or stroke) was followed. Insulin treated patients with known DM (n = 378) had an adjusted 1 year hazard ratio (HR) for mortality of 2.23 (95% CI 1.24-4.03; P = 0.006) and for CVE of 1.27 (95% CI 0.85-1.87; P = 0.230) compared with those on oral GL drugs (n = 675). Of patients with newly detected DM 77 (17%) were started on GL drugs. None of them died compared with 25 (P = 0.002) among those without such treatment and their 1 year CVE HR was 0.22 (95% CI 0.05-0.97; P = 0.041) compared with untreated subjects. CONCLUSION: Insulin therapy may relate to a more serious prognosis in CAD-patients with DM. There was a pronounced decrease in cardiovascular events in patients with newly detected DM prescribed GL drugs compared with those not receiving such treatment. PMID- 18156612 TI - Beat-to-beat variability of QT intervals is increased in patients with drug induced long-QT syndrome: a case control pilot study. AB - AIMS: Torsades de pointes arrhythmias (TdP) occur by definition in the setting of prolonged QT intervals. Animal models of drug induced Long-QT syndrome (dLQTS) have shown higher predictive value for proarrhythmia with beat-to-beat variability of repolarization duration (BVR) when compared with QT intervals. Here, we evaluate variability of QT intervals in patients with a history of drug induced long QT syndrome (dLQTS) and TdP in absence of a mutation in any of the major LQTS genes. METHODS AND RESULTS: Twenty patients with documented TdP under drugs with QT-prolonging potential were compared with 20 matched control individuals. An observer blinded to diagnosis manually measured lead-II, RR, and QT intervals from 30 consecutive beats. BVR was determined from Poincare plots of QT intervals as short-term variability (STV(QT) = Sigma|QT(n)(+1) - QT(n)|/[30 x radical2]). QRS interval and cycle length was comparable between study groups and controls. No difference was found in QTc between dLQTS and controls (428 +/- 25 vs. 421 +/- 34 ms, P = 0.26), whereas STV(QT) was significantly higher in dLQTS when compared with controls (8.1 +/- 3.7 vs. 3.6 +/- 1.3 ms, P = 0.001). Proarrhythmic predictive power of STV(QT) was superior to that of the QTc interval (AUC: 0.89 vs. 0.57, 95% CI: 0.79-0.99 vs. 0.39-0.75). CONCLUSION: In the absence of QTc prolongation, baseline STV(QT) characterized patients with documented drug-induced proarrhythmia. STV(QT) could prove to be a useful non invasive, easily obtainable parameter aiding the identification of the patient at risk for potentially life threatening arrhythmia in the context of drugs with QT prolonging potential. PMID- 18156613 TI - Haemoptysis and complete atrioventricular block. PMID- 18156614 TI - The impact of glucose lowering treatment on long-term prognosis in patients with type 2 diabetes and myocardial infarction: a report from the DIGAMI 2 trial. AB - AIMS: To explore the impact of glucose lowering treatment on prognosis in diabetic patients with myocardial infarction. METHODS AND RESULTS: 1181 type 2 diabetic patients (mean age 68 years; 67% males) discharged after myocardial infarction were followed (median of 2.1 years). At discharge, 436 patients (37%) had oral glucose lowering agents whereof 268 sulphonylureas and 200 metformin, while 690 patients (58%) were on insulin. The impact of treatment was analysed by an updated Cox proportional hazards regression model, correcting for confounders. Cardiovascular mortality was not influenced by metformin [Hazard ratio (HR) 0.93, 95% CI 0.60-1.43; P = 0.73], sulphonylureas (HR 1.15, 95% CI 0.80-1.64; P = 0.45), or insulin (HR 1.05, 95% CI 0.75-1.46; P = 0.77). The risk for non-fatal myocardial infarction and stroke increased significantly in patients on insulin (HR 1.73, 95% CI 1.26-2.37; P = 0.0007), whereas this risk was lower among those on metformin (HR 0.63, CI 0.42-0.95; P = 0.03) and unchanged with sulphonylureas (HR 0.81, 95% CI 0.57-1.14; P = 0.23). This finding remained analysing only patients with newly instituted insulin and those randomly allocated to newly instituted insulin. CONCLUSION: Controlling for confounders including glycemic control, there was no significant difference in mortality between sulphonylureas, metformin, and insulin. In this post hoc analysis, the risk of non-fatal myocardial infarction and stroke increased significantly by insulin treatment while metformin was protective. It is emphasized that this observation is done in an epidemiological analysis and should encourage to further confirmation in randomized trials. PMID- 18156615 TI - Non-ST-segment elevation acute coronary syndromes: an algorithm for decision. PMID- 18156616 TI - Peripheral arterial disease enters the biomarker era. Does risk stratification tell us something that we don't already know? AB - This editorial refers to Myeloperoxidase, but not C-reactive protein, predicts cardiovascular risk in peripheral arterial disease by G. Brevetti et al., on page 224. PMID- 18156617 TI - Revisiting definition and classification of cardiomyopathies in the era of molecular medicine. PMID- 18156618 TI - Prognosis of heart failure with preserved ejection fraction: a 5 year prospective population-based study. AB - AIMS: This study was designed to identify the characteristics and long-term prognosis of heart failure with preserved ejection fraction (HFPEF) in patients hospitalized for a first episode of HF. METHODS AND RESULTS: Consecutive patients (n = 799) hospitalized for a first episode of HF during 2000 in the Somme department (France) were recruited. EF was available in 662 (83%) patients, representing the study population. Patients with HFPEF (55.6% of cases) were significantly older, with a high proportion of women. During the 5 year follow up, 370 patients (56%) died. Patients with HFPEF had a significantly lower 5 year survival than the age- and sex-matched general population (43 vs. 72%). Five year survival rates were not significantly different in patients with preserved and reduced EF (43 vs. 46%; P = 0.95). Both groups had similar relative 5 year survival rates compared with the general population. Multivariable analysis identified age, stroke, chronic obstructive pulmonary disease, cancer, diabetes, low glomerular filtration rate, and hyponatraemia as independent predictors of 5 year mortality in patients with HFPEF. CONCLUSIONS: Heart failure with preserved ejection fraction has a poor prognosis, comparable with that of HF with reduced EF, with a 5 year survival rate after a first episode of 43% and a high excess mortality compared with the general population. PMID- 18156619 TI - Inconsistencies of echocardiographic criteria for the grading of aortic valve stenosis. AB - AIM: The present study tests the consistency of echocardiographic criteria for the grading of aortic valve stenosis. METHODS AND RESULTS: Current guidelines/recommendations define severe stenosis as an aortic valve area (AVA) <1 cm2 (or <0.6 cm2 adjusted for body surface area), mean pressure gradient (DeltaPm) >40 mmHg, or peak flow velocity (Vmax) >4 m/s. We tested the consistency of the three criteria for the grading of aortic valve stenosis in 3483 echocardiography studies performed in 2427 patients with normal left ventricular (LV) systolic function and a calculated AVA of < or =2 cm2. We calculated curve fits for the relationship between AVA and DeltaPm using the Gorlin equation and between AVA and Vmax based on the continuity equation for our study population. An AVA of 1.0 cm2 correlated to a DeltaPm of 21 mmHg and a Vmax of 3.3 m/s. Conversely, a DeltaPm of 40 mmHg corresponds to an AVA of 0.75 cm2 and a Vmax of 4.0 m/s to an AVA of 0.82 cm2. Consequently, severe stenosis was diagnosed in 69% of patients based on AVA, 45% on Vmax, and 40% on DeltaPm. Stroke volume was lower in inconsistently graded patients (65 +/- 11 mL vs. consistently graded: 70 +/- 14 mL, P < 0.001). CONCLUSION: The criteria for the grading of aortic stenosis are inconsistent in patients with normal systolic LV function. On the basis of AVA, a higher proportion of patients is classified as having severe aortic valve stenosis compared with mean pressure gradient and peak flow velocity. Discrepant grading in these patients may be partly due to reduced stroke volume. PMID- 18156620 TI - Dual right coronary artery associated coronary artery fistula. PMID- 18156621 TI - IL-27 inhibits the development of regulatory T cells via STAT3. AB - Regulatory CD4+ T cells are important for the homeostasis of the immune system and their absence correlates with autoimmune disorders. Here, we investigate the capacity of IL-27, a cytokine with pro- and anti-inflammatory properties, to regulate the generation of transforming growth factor beta (TGFbeta)-inducible forkhead box P3 (Foxp3)-positive regulatory T (Treg) cells. Our results demonstrate that IL-27 inhibits the acquisition of the Treg phenotype at the level of Foxp3, CD25 and CTLA-4 (CD152) expression as well as the suppressive function. In contrast to TGFbeta-induced Treg cells, the cells generated after differentiation in the presence of TGFbeta and IL-27 maintained the ability for IL-2 and tumour necrosis factor alpha (TNFalpha) production. The inhibitory effect of IL-27 on Treg generation was at least partially signal transducer and activator of transcription 3 (STAT3) dependent as examined by targeted STAT3 protein inhibition using small interfering RNA (siRNA), while STAT1-dependent signals seemed to oppose the STAT3 signals. In turn, TGFbeta blocked IL-27 induced T(h)1 differentiation. Thus, IL-27 and TGFbeta mutually control their effects on CD4+ T-cell differentiation, whereby IL-27 favours inflammatory conditions through a STAT3-dependent inhibition of Treg generation. PMID- 18156622 TI - CpG-ODN inhibits airway inflammation at effector phase through down-regulation of antigen-specific Th2-cell migration into lung. AB - Allergic airway inflammation is one of the most typical characteristic features of bronchial asthma. T(h)2 cells, which produce IL-4, IL-5 and IL-13, are well known as major effector lymphocytes of the inflammation. In the present work, we found that subcutaneous injection of Toll-like receptor-9-ligand, CpG oligodeoxynucleotides (CpG-ODN), remarkably suppressed eosinophilia and mucus hyper-production in T(h)2 cell-dependent airway inflammation model at the effector phase. The injection of CpG-ODN significantly blocked T(h)2 cell migration into lung. The inhibitory effects of CpG-ODN were observed even when IFN-gamma-deficient T(h)2 cells were transferred into IFN-gamma(-/-) mice. In contrast, the administration of neutralizing mAbs against type I cytokines such as IFN-alpha, IFN-beta and IL-12 significantly suppressed the inhibitory effect of CpG-ODN on airway inflammation and T(h)2 cell migration into the lung. We further demonstrated that the production of T(h)2 chemokines, thymus and activation-regulated chemokine (TARC) and macrophage-derived chemokine (MDC), was significantly reduced by the CpG-ODN. The reduction of both TARC and MDC was also inhibited by the blockade of IFN-alpha, IFN-beta and IL-12 with mAbs. Thus, we revealed here that IFN-alpha, IFN-beta and IL-12, but not IFN-gamma, were required for the inhibitory effect of CpG-ODN in T(h)2 cell-mediated allergic airway inflammation. The present evidence strongly suggest that induction of type I cytokines would be promising therapeutic targets in T(h)2-dependent allergic diseases such as bronchial asthma. PMID- 18156623 TI - LPS differentially regulates adhesion and transendothelial migration of human monocytes under static and flow conditions. AB - One of the key components of the innate immune response is the recognition of microbial products such as LPS by Toll-like receptors on monocytes and neutrophils. We show here that short-term stimulation of primary human monocytes with LPS led to an increase in adhesion of monocytes to endothelial cells and a dramatic decrease in transendothelial migration under static conditions. In contrast, under normal physiological flow, monocyte adhesion and migration across a human umbilical vein endothelial cell monolayer appeared to be unaffected by LPS treatment. LPS stimulation of monocytes activated beta(1) and beta(2) integrins, but did not increase their surface expression levels. During septic shock, reduction in blood flow as a result of vasodilation and vascular permeability leads to adhesion and accumulation of LPS-stimulated circulating monocytes onto the blood vessel walls. The different findings of monocyte migration under static and flow conditions in our study may offer one explanation for this phenomenon. The rapid engagement of LPS-activated monocytes preventing transendothelial migration could represent a novel mechanism of bacterial exclusion from the vasculature. This occurs during the early stages of sepsis, and in turn may modulate the severity of the pathophysiology. PMID- 18156624 TI - Differential roles for IFN-gamma and IL-17 in experimental autoimmune uveoretinitis. AB - IL-17-producing CD4(+) T cells, so called T(h)17 cells, constitute a newly identified inflammatogenic cell population, which is critically involved in some inflammatory diseases. To explore the role of T(h)17 cells in murine experimental autoimmune uveoretinitis (EAU), a model of human autoimmune uveitis where T(h)1 responses predominantly participate in the pathogenesis, IL-17(-/-) mice were immunized with interphotoreceptor retinoid-binding protein peptide 1-20 for disease induction. Funduscopic examination revealed that EAU was induced in IL 17(-/-) mice just like in wild-type (WT) mice at early phases of the disease. However, at later/maintenance phases, the severity was significantly reduced in IL-17(-/-) mice. Expression of IFN-gamma and MCP-1 was comparable between WT and IL-17(-/-) mice during the time course. In vivo blockade of IFN-gamma and IL-4 resulted in exacerbation of EAU at later phases with augmented IL-17 production. Taken together, our data demonstrated that IL-17/T(h)17 participates in the late phases of EAU and also that T(h)1 and T(h)17 responses are differentially required for EAU. PMID- 18156625 TI - Selective silencing of disease-associated B-lymphocytes by chimeric molecules targeting their Fc gamma IIb receptor. AB - The presently used approaches to silence autoreactive disease-associated B cells act indiscriminately and more specific therapies are obviously needed. In the present study, we analyze the ability of a chimeric antibody to suppress selectively pathological autoreactive B-lymphocytes in lupus-prone mice by cross linking their surface Ig receptors with the inhibitory IgG Fc gamma RIIb receptors. The chimera was constructed by coupling an immunodominant mouse Histone 1 peptide to a rat monoclonal anti-mouse CD32 (Fc gamma RIIb) antibody. The administration of these chimeric molecules to MRL/lpr mice with initial and with full-blown disease resulted in the reduction of the levels of IgG anti Histone 1 antibodies, of the albuminuria levels, of the size of lymphoid organs and in prevention of the development of skin lesions. The observed effect was limited to lupus-associated B cells only, as the treatment did not decrease the IgG antibody response to an administered foreign antigen. This study demonstrates the possibility to silence selectively autoreactive B cells and to delay the progression of an autoimmune disease using chimeric antibody molecules. PMID- 18156626 TI - After 'Unit 1421': an exploratory study into female students' attitudes and behaviours towards binge drinking at Leeds University. AB - BACKGROUND: Binge drinking has been highlighted as a growing problem in the UK, particularly amongst females aged 18-25 years. University of Leeds is situated within a population that has one of the highest reported statistics of binge drinking in the UK. In September 2006, the 'Unit 1421' campaign was launched at University of Leeds with the aim to promoted sensible drinking amongst students. The aim of this study is to explore female perspectives on binge drinking and on 'Unit 1421' campaign in the University of Leeds. METHODS: Using a purposive sample, two focus groups were conducted with 12 female students aged 18-23 years within university grounds. Participants were recruited via email and poster advertisements on campus. RESULTS: Four main themes emerged from the data: (i) lay perception of binge drinking; (ii) pressures of matching the drinking patterns of male peers; (iii) student rite of passage; (iv) evaluation of the 'Unit 1421' campaign. CONCLUSION: The social context of student life impacts greatly upon students' choices to binge drink. The norms, beliefs and morals governing student culture and the use of alcohol to assert identity should be considered when tailoring health promotion efforts to this target audience. Larger qualitative and ultimately quantitative studies are warranted to extrapolate and test the social pressures on drinking in this age group. PMID- 18156627 TI - Plant sterols cause macrothrombocytopenia in a mouse model of sitosterolemia. AB - Mutations in either ABCG5 or ABCG8 cause sitosterolemia, an inborn error of metabolism characterized by high plasma plant sterol concentrations. Recently, macrothrombocytopenia was described in a number of sitosterolemia patients, linking hematological dysfunction to disturbed sterol metabolism. Here, we demonstrate that macrothrombocytopenia is an intrinsic feature of murine sitosterolemia. Abcg5-deficient (Abcg5(-/-)) mice showed a 68% reduction in platelet count, and platelets were enlarged compared with wild-type controls. Macrothrombocytopenia was not due to decreased numbers of megakaryocytes or their progenitors, but defective megakaryocyte development with deterioration of the demarcation membrane system was evident. Lethally irradiated wild-type mice transplanted with bone marrow from Abcg5(-/-) mice displayed normal platelets, whereas Abcg5(-/-) mice transplanted with wild-type bone marrow still showed macrothrombocytopenia. Treatment with the sterol absorption inhibitor ezetimibe rapidly reversed macrothrombocytopenia in Abcg5(-/-) mice concomitant with a strong decrease in plasma plant sterols. Thus, accumulation of plant sterols is responsible for development of macrothrombocytopenia in sitosterolemia, and blocking intestinal plant sterol absorption provides an effective means of treatment. PMID- 18156628 TI - HtrA1 inhibits mineral deposition by osteoblasts: requirement for the protease and PDZ domains. AB - HtrA1 is a secreted multidomain protein with serine protease activity. In light of increasing evidence implicating this protein in the regulation of skeletal development and pathology, we investigated the role of HtrA1 in osteoblast mineralization and identified domains essential for this activity. We demonstrate increased HtrA1 expression in differentiating 2T3 osteoblasts prior to the appearance of mineralization. HtrA1 is subsequently down-regulated in fully mineralized cultures. The functional role of HtrA1 in matrix calcification was investigated using three complementary approaches. First, we transfected a full length HtrA1 expression plasmid into 2T3 cells and showed that overexpression of HtrA1 delayed mineralization, reduced expression of Cbfa1 and collagen type I mRNA, and prevented BMP-2-induced mineralization. Second, knocking down HtrA1 expression using short interfering RNA induced mineral deposition by 2T3 cells. Third, by expressing a series of recombinant HtrA1 proteins, we demonstrated that the protease domain and the PDZ domain are essential for the inhibitory effect of HtrA1 on osteoblast mineralization. Finally, we tested whether HtrA1 cleaves specific matrix proteins that are known to regulate osteoblast differentiation, mineralization, and/or BMP-2 activity. Full-length recombinant HtrA1 cleaved recombinant decorin, fibronectin, and matrix Gla protein. Both the protease domain and the PDZ domain were necessary for the cleavage of matrix Gla protein, whereas the PDZ domain was not required for the cleavage of decorin or fibronectin. Type I collagen was not cleaved by recombinant HtrA1. These results suggest that HtrA1 may regulate matrix calcification via the inhibition of BMP-2 signaling, modulating osteoblast gene expression, and/or via the degradation of specific matrix proteins. PMID- 18156629 TI - Altered histone H1 stoichiometry and an absence of nucleosome positioning on transfected DNA. AB - The packaging of DNA with histones to form chromatin represents an important and powerful mechanism to regulate gene expression. Critical aspects of chromatin specific contributions to gene regulation have been revealed by the comparison of the activities from DNA regulatory elements examined both as transiently transfected reporters and stably integrated reporters organized as chromatin. Using the mouse mammary tumor virus (MMTV) promoter as a model, we probed the structural differences between transiently transfected and stably integrated DNA templates. We demonstrated that all four core histones and the linker histone (H1) are associated with the transient template. However, whereas the core histones were present at a similar stoichiometry between the transient and the stable templates, we found that linker histone H1 molecules are fewer on the transient template. By using supercoiling assay, we show that the transient template shows intermediate levels of nucleosomal assembly. Overexpression of H1 resulted in repression of MMTV transcriptional activity and reduced accessibility to restriction endonucleases on the transient MMTV promoter. However, the addition of exogenous H1 failed to impose a normal chromatin structure on the transient template as measured by micrococcal nuclease digestion pattern. Thus, our results suggest that while transiently transfected DNA acquires a full complement of core histones, the underrepresentation of H1 on the transient template is indicative of structural differences between the two templates that may underlie the differences in the mechanisms of activation of the two templates. PMID- 18156630 TI - Perindoprilat modulates the activity of lipoprotein receptor-related protein in human mesangial cells. AB - Low density lipoprotein receptor-related protein (LRP) is a multifunctional endocytic receptor implicated in the modulation of a number of cellular processes, including the turnover of proteases and the degradation of extracellular matrix proteins. As such, it can play a key role in the control of fibrosis. The aim of this investigation was to ascertain whether the anti fibrotic effects exerted by the angiotensin-converting enzyme inhibitor (ACE-I) perindoprilat on macrophage-conditioned medium (MPCM)-injured human mesangial cells can be modulated by this receptor. Addition of receptor-associated protein to MPCM-injured mesangial cells with and without ACE-I increased the amount of tissue plasminogen activator protein detected in mesangial cell culture supernatants without affecting the protein levels of plasminogen activator inhibitor-1. The ability of ACE-I to reduce fibronectin was diminished in the presence of receptor-associated protein. ACE-I induced an increase in mesangial cell MMP9 mRNA, but reduced the MMP9 enzyme activity detected in mesangial cell supernatants. Mesangial cell lysates from ACE-I-treated cells were able to bind immobilized fibronectin at higher dilutions than cell lysates from untreated cells. Flow cytometry showed that MPCM induced an increase in LRP surface expression in mesangial cells over that in control cells and that this expression was further increased by ACE-I treatment. The increase in LRP expression in response to ACE-I was also observed by Western blotting. Northern blot analysis of RNA extracted from cells following a 24-h exposure to MPCM with and without ACE-I demonstrated that there was no change in LRP mRNA expression upon ACE-I treatment. In conclusion, we show that ACE-I treatment is able to modulate mesangial cell-surface expression of LRP, providing an additional mechanism whereby ACE-Is can mediate anti-fibrotic actions independent of their hemodynamic actions. PMID- 18156631 TI - Functional differences of the catalytic and non-catalytic domains in human ADAMTS 4 and ADAMTS-5 in aggrecanolytic activity. AB - ADAMTS-4 (aggrecanase-1) and ADAMTS-5 (aggrecanase-2) are multidomain metalloproteinases belonging to the ADAMTS family. We have previously reported that human ADAMTS-5 has much higher aggrecanolytic activity than human ADAMTS-4. To investigate the different proteolytic activity of the two enzymes, we generated a series of chimeras by exchanging various non-catalytic domains of the two proteinases. We found that the catalytic domain of ADAMTS-5 has higher intrinsic catalytic ability than that of ADAMTS-4. The studies also demonstrated that the non-catalytic domains of ADAMTS-5 are more effective modifiers than those of ADAMTS-4, making both catalytic domains more active against aggrecan, an Escherichia coli-expressed interglobular domain of aggrecan and fibromodulin. Addition of the C-terminal thrombospondin type I motif of ADAMTS-5 to the C terminus of ADAMTS-4 increased the activity of ADAMTS-4 against aggrecan and fibromodulin severalfold. In contrast to previous reports (Kashiwagi, M., Enghild, J. J., Gendron, C., Hughes, C., Caterson, B., Itoh, Y., and Nagase, H. (2004) J. Biol. Chem. 279, 10109-10119 and Gao, G., Plaas, A., Thompson, V. P., Jin, S., Zuo, F., and Sandy, J. D. (2004) J. Biol. Chem. 279, 10042-10051), our detailed investigation of the role of the C-terminal spacer domain of ADAMTS-4 indicated that full-length ADAMTS-4 is approximately 20-times more active against aggrecan than its spacer domain deletion mutant, even at the Glu373-Ala374 site of the interglobular domain. This discrepancy is most likely due to selective inhibition of full-length ADAMTS-4 by heparin, particularly for cleavage at the Glu373-Ala374 bond. However, removal of the spacer domain from ADAMTS-4 greatly enhanced more general proteolytic activity against non-aggrecan substrates, e.g. E. coli-expressed interglobular domain, fibromodulin, and carboxymethylated transferrin. PMID- 18156632 TI - NOTCH1 regulates osteoclastogenesis directly in osteoclast precursors and indirectly via osteoblast lineage cells. AB - NOTCH signaling is a key regulator of cell fate decisions in prenatal skeletal development and is active during adult tissue renewal. In addition, its association with neoplasia suggests that it is a candidate therapeutic target. We find that attenuated NOTCH signaling enhances osteoclastogenesis and bone resorption in vitro and in vivo by a combination of molecular mechanisms. First, deletion of Notch1-3 in bone marrow macrophages directly promotes their commitment to the osteoclast phenotype. These osteoclast precursors proliferate more rapidly than the wild type in response to macrophage colony-stimulating factor and are sensitized to RANKL and macrophage colony-stimulating factor, undergoing enhanced differentiation in response to low doses of either cytokine. Conforming with a role for NOTCH in this process, presentation of the NOTCH ligand JAGGED1 blunts the capacity of wild-type bone marrow macrophages to become osteoclasts. Combined, these data establish that NOTCH suppresses osteoclastogenesis via ligand-mediated receptor activation. Although NOTCH1 and NOTCH3 collaborate in regulating osteoclast formation, NOTCH1 is the dominant paralog. In addition, NOTCH1 deficiency promotes osteoclastogenesis indirectly by enhancing the ability of osteoblast lineage cells to stimulate osteoclastogenesis. This is achieved by decreasing the osteoprotegerin/RANKL expression ratio. Thus, NOTCH1 acts as a net inhibitor of bone resorption, exerting its effect both directly in osteoclast precursors and indirectly via osteoblast lineage cells. These observations raise caution that therapeutic inhibition of NOTCH signaling may adversely accelerate bone loss in humans. PMID- 18156633 TI - 'What if they ask how I got it?' Dilemmas of disclosing parental HIV status and testing children for HIV in Uganda. AB - BACKGROUND: Limited research has been conducted outside Western settings on how HIV-positive parents decide to test and disclose their own HIV status to children. We conducted a qualitative study in 2001 and 2005 to assess parent attitudes and current counselling policy and practice regarding child testing and parental disclosure in Uganda prior to the roll-out of antiretroviral therapy. METHODS: Parent perspectives were obtained through extended in-depth interviews with 10 HIV-positive parents recruited from The AIDS Support Organization (TASO), Entebbe branch. Counselling policy and practice were explored through key informant interviews with directors and two counsellors from each of five Ugandan counselling institutions with national or regional coverage. RESULTS: Respondents had 51 children ranging from 4 to 36 years with a median age of 13. Five of 10 parents had disclosed their status to their children, usually to all, and four of these had tested one child for HIV. All those who tested any child had also disclosed their status to some or all of their children. Parents regularly worried that their children may be infected, but all preferred to wait for emergence of symptoms before considering HIV tests, citing fear of children's emotional reaction and lack of perceived benefits from knowing status. Counselling policy directors confirmed the absence of policy and training guidelines on the subject of parent-child disclosure. Counsellors reported improvising and giving inconsistent advice on this common concern of clients. CONCLUSIONS: Concerns over disclosure to children of parent's HIV status and testing children for HIV represent a major psychological burden for HIV-positive parents. Further research is needed, but current counselling practice could be improved now by adapting lessons learned from existing research. PMID- 18156634 TI - Direct observation and adherence to tuberculosis treatment in Chongqing, China: a descriptive study. AB - INTRODUCTION: China has an estimated 5 million people with tuberculosis (TB). Official policy is that treatment of all patients is directly observed by health workers; completion rates are reported to be in excess of 90%, and drugs should be supplied for free. However, some research suggests there is a gap between the official policies and practice. METHODS: Survey of TB patients in four counties of one municipality; record assessment at one TB centre; patient and village doctor in-depth interviews. RESULTS: Sixteen per cent (64/401) reported being directly observed every time they took treatment; less than 5% of TB patients (17/401) were observed by health staff. Overall, 12.5% (50/401) reported they had not taken any TB drugs in the previous week, but this varied between the four counties (range 6.2 to 21.7%). We used survival analysis with medical records at one centre: 74.1% of new patients collected their drugs for their sixth month of treatment, and 50.3% attended the final visit at 6 months. Qualitative research indicated direct observation is neither well understood nor thought to be necessary, and that patients reported being charged expensive fees for ancillary treatments, such as liver protection drugs. CONCLUSION: In China, direct observation is not well implemented and may not be a feasible policy option. Official completion rates are higher than we found in this study. The concept of free treatment has become blurred, with charges for additional tests and drugs, especially liver protection drugs. The government is already actively tackling these issues, and involvement of managers and others in this process will be helpful. PMID- 18156635 TI - Streptomyces aminopeptidase P: biochemical characterization and insight into the roles of its N-terminal domain. AB - We purified and characterized the aminopeptidase P from Streptomyces costaricanus TH-4 (thAPP). This enzyme has a tetramer structure, a metal-ion preference toward Zn, broad substrate specificity and a narrow pH dependency for activity. The primary structure of thAPP, respectively, exhibits 91% and 65% identity with those of two other APPs-APP I and APP II-from Streptomyces lividans (slAPP I and slAPP II). We next overexpressed the genes encoding thAPP and slAPP II in Escherichia coli and characterized them. Two differences were apparent in their properties: slAPP II formed a dimer, whereas thAPP formed a tetramer; also, the alkaline side pKa for the catalytic action of slAPP II is higher than that of thAPP. Investigation using chimeras of both enzymes revealed that the N-terminal domain is associated with the determination of pKa values for catalytic action and quaternary structure. PMID- 18156636 TI - Fatal work-related accidents in UK merchant shipping from 1919 to 2005. AB - BACKGROUND: Historically, merchant seafaring was the most hazardous occupation in Britain. However, fatal accident rates have fallen sharply in the last 30 years. AIMS: To establish the causes of all fatal accidents and their trends among seafarers who were employed in UK merchant shipping from 1919 to 2005 and to compare with those in the general workforce and in other industries. METHODS: A historical study, based on examinations of death inquiry files from 1976 to 2005 and official mortality returns from 1919 to 1975, with a total population of 11.90 million seafarer-years at risk. RESULTS: From 1919 to 2005, there were 17,386 deaths from accidents in UK shipping, 6,074 from shipping disasters and 11,312 from personal accidents. Over time, there were large reductions in mortality rates for all the main types of fatal accident, except accidents on deck. Major causes of mortality from shipping disasters were vessels foundering in typhoons, storms and severe gales, explosions in cargo holds and collisions in poor visibility. Fatal accident rates were higher among British seafarers than among Lascars. The relative risk of an accident in UK shipping-compared with the general British workforce-was similar in 2001 to that in 1961. CONCLUSIONS: There have been major improvements in health and safety that have led to substantial reductions in fatal accident rates in UK merchant shipping throughout most of the last 90 years. This mirrors comparable improvements in the fatal accident rate among the general workforce of Great Britain. PMID- 18156637 TI - Is schizophrenia a syndrome of accelerated aging? AB - Schizophrenia is associated with a number of anatomical and physiological abnormalities outside of the brain, as well as with a decrease in average life span estimated at 20% in the United States. Some studies suggest that this increased mortality is not entirely due to associated causes such as suicide and the use of psychotropic medications. In this article, in order to focus greater attention on the increased mortality associated with schizophrenia, we present a special case of the hypothesis that physiological abnormalities associated with schizophrenia make a contribution to the increased mortality of schizophrenia: specifically, the hypothesis that schizophrenia is a syndrome of accelerated aging. Evidence consistent with this hypothesis comes from several areas. The biological plausibility of the hypothesis is supported by the existence of established syndromes of accelerated aging and by the sharing of risk factors between schizophrenia and other age-related conditions. We propose methods for testing the hypothesis. PMID- 18156638 TI - Results from a hypothesis generating case-control study: herpes family viruses and schizophrenia among military personnel. AB - BACKGROUND: Herpes family viruses can cause central nervous system inflammatory changes that can present with symptoms indistinguishable from schizophrenia and therefore are of interest in schizophrenia research. Most existing studies of herpes viruses have used small populations and postdiagnosis specimens. As part of a larger research program, we conducted a hypothesis-generating case-control study of selected herpes virus antibodies among individuals discharged from the US military with schizophrenia and pre- and postdiagnosis sera. METHODS: Cases (n = 180) were servicemembers hospitalized and discharged from military service with schizophrenia. Controls, 3:1 matched on several factors, were members not discharged. The military routinely collects and stores members' serum specimens. We used microplate enzyme immunoassay to measure immunoglobulin G (IgG) antibody levels to 6 herpes viruses in pre- and postdiagnosis specimens. Conditional logistic regression was used, and the measure of association was the hazard ratio (HR). RESULTS: Overall, we found a significant association between human herpes virus type 6 and schizophrenia, with an HR of 1.17 (95% confidence interval [CI] = 1.04, 1.32). Women and blacks had significant negative associations with herpes simplex virus type 2 and cytomegalovirus; among blacks, there was a significant positive association with herpes simplex virus type 1. Among men, there was a HHV 6 temporal effect with an HR of 1.41 (95% CI = 1.02, 1.96) for sera drawn 6-12 months before diagnosis. DISCUSSION: Findings from previous studies of herpes family viruses and schizophrenia have been inconsistent. Our study is based on a larger population than most previous studies and used serum specimens collected before onset of illness. This study adds to the body of knowledge and provides testable hypotheses for follow-on studies. PMID- 18156641 TI - Anemia reduction in preschool children with the addition of low doses of iron to school meals. AB - BACKGROUND: In developing countries there is high prevalence of iron deficiency anemia, which causes negative impact on growth, development and quality of life for infant population. Currently several strategies are being elaborated and tested to tackle this problem. OBJECTIVE: To measure anemia prevalence in preschool children. To evaluate fortification effectiveness with 5 or 10 mg of elemental iron/daily added to school meals by increasing hemoglobin levels in anemic children. METHODS: Double-blind, cluster randomized intervention study with 728 students from public network. Blood count was taken at beginning of study, to evaluate anemia prevalence, those anemic were selected for intervention, after intervention new blood count was taken to evaluate fortification effectiveness. Ferrous Sulphate was added in individual dosage of 5 or 10 mg of elemental iron/daily to usual school meal. From 35 schools 3 were randomized to receive 5 mg/daily (group A) and 3 to receive 10 mg/daily (group B). Hemoglobin and hematocrit averages before and after intervention were compared in each group and between them. RESULTS: In group A, the anemia prevalence reduced 34.9 to 12.4%, and in group B 39.0 to 18.7%. In both groups a significant increase in hemoglobin was observed: in group A from 10.1 to 11.5 g/dl (p < 0.01) and in group B from 10.0 to 11.0 g/dl (p < 0.01). There was no statistically significant difference in final levels of hemoglobin among groups. CONCLUSIONS: Both dosages of elemental iron were equally effective in increasing hemoglobin levels, and reducing anemia prevalence. Fortification of school meals was shown to be an effective, low cost and easy to manage intervention. PMID- 18156639 TI - Estrogen and comprehension of metaphoric speech in women suffering from schizophrenia: results of a double-blind, placebo-controlled trial. AB - OBJECTIVE: The effects of estrogen on comprehension of metaphoric speech, word fluency, and verbal ability were investigated in women suffering from schizophrenia. The issue of estrogen-dependent neuropsychological performance could be highly relevant because women with schizophrenia frequently suffer from hypoestrogenism. METHOD: A placebo-controlled, double-blind, crossover study using 17beta-estradiol for replacement therapy and as an adjunct to a naturalistic maintenance antipsychotic treatment was carried out over a period of 8 months. Nineteen women (mean age = 38.0 years, SD = 9.9 years) with schizophrenia were included in the study. Comprehension of metaphoric speech was measured by a lexical decision paradigm, word fluency, and verbal ability by a paper-and-pencil test. RESULTS: Significant improvement was seen for the activation of metaphoric meaning during estrogen treatment (P = .013); in contrast, no difference was found for the activation of concrete meaning under this condition. Verbal ability and word fluency did not improve under estrogen replacement therapy either. CONCLUSIONS: This is the very first study based on estrogen intervention instead of the physiological hormone changes to examine the estrogen effects on neuropsychological performance in women with schizophrenia. In addition, it is the first time that the effect of estrogen on metaphoric speech comprehension was investigated in this context. While in a previous study estrogen therapy as adjunct to a naturalistic maintenance treatment with antipsychotics did not show an effect on psychopathology measured by a rating scale, a significant effect of estrogen on the comprehension of metaphoric speech and/or concretism, a main feature of schizophrenic thought and language disturbance, was found in the present study. Because the improvement of formal thought disorders and language disturbances is crucial for social integration of patients with schizophrenia, the results may have implications for the treatment of these individuals. PMID- 18156640 TI - Clinical, functional, and economic ramifications of early nonresponse to antipsychotics in the naturalistic treatment of schizophrenia. AB - OBJECTIVE: Early nonresponse to antipsychotics appears to predict subsequent nonresponse to treatment when assessed in randomized controlled trials of predominately acute inpatients treated for schizophrenia. This study assessed the predictive accuracy of early nonresponse to treatment and its clinical, functional, and economic ramifications in the naturalistic treatment of predominately chronic outpatients treated for schizophrenia. METHODS: This post hoc analysis used data from a 1-year, randomized, open-label study of olanzapine, risperidone, and typical antipsychotics in the treatment of schizophrenia. If clinically warranted, patients could switch antipsychotics following 8 weeks of treatment. Patients completing 8 weeks of treatment (n = 443 of 664 enrollees) were included. Patients with early response (> or = 20% improvement from baseline on the Positive and Negative Syndrome Scale at 2 weeks) were compared with early nonresponders on symptom remission, functionality, perceptions of medication influence, and total health care costs at 8 weeks. RESULTS: Early response/nonresponse at 2 weeks predicted subsequent response/nonresponse at 8 weeks with a high level of accuracy (72%) and specificity (89%). After 8 weeks, early nonresponders were less likely to achieve symptom remission (P < .001), improved less on functional domains (P < .05), perceived medication as less beneficial (P = .004), and incurred total heath care costs over twice that of early responders ($4349 vs $2102, P = .010). CONCLUSIONS: In the usual care of schizophrenia patients, early nonresponse appears to reliably predict subsequent nonresponse to continued treatment with the same medication to be associated with poorer outcomes and higher health care costs. Identifying early nonresponders may minimize prolonging exposure to suboptimal or ineffective treatment strategies. PMID- 18156642 TI - Low body mass index, anaemia and poor perinatal outcome in a rural hospital in eastern Sudan. AB - BACKGROUND: The first step in improving early neonatal survival is to document rate of these deaths, identify the common causes. OBJECTIVES: the study was conducted at New Halfa hospital, eastern Sudan to investigate the prevalence and possible risk factors for a poor perinatal outcome, mainly low birth weight (LBW), APGAR score <5 at 1 min, fetal anaemia and perinatal mortality. RESULTS: LBW occurred in 15.3%, the perinatal death was 9.2%. Maternal low body mass index (BMI) was significantly associated with LBW (OR = 1.8, 95% CI = 1.0-3.2; p = 0.02), which was a risk factor for APGAR score <5 at 1 min (OR = 11.5, 95% CI = 5.9-22.5; p < 0.001) and perinatal mortality (OR = 6.5, 95% CI = 2.9-14.8, p < 0.00001). Maternal anaemia was a risk factor for fetal anaemia (OR = 2.1, 95% CI = 1.4-3.1; p < 0.001). CONCLUSION: More attention to maternal nutrition and in an attempt to prevent anaemia may lead to improvement in the perinatal outcome. PMID- 18156643 TI - Treatment of anal achalasia after transanal endorectal pull-through for Hirschsprung's disease with topical botulinum toxin. PMID- 18156644 TI - Hypertriglyceridemic waist phenotype and associated lifestyle factors in a national population of youths: CASPIAN Study. AB - The objectives of the current study, that is the first of its kind, were to determine the prevalence of the hypertriglyceridemic waist (HW) phenotype in a nationally representative sample of children, as well as the metabolic risk factors identified by HW, and to identify lifestyle habits related to this phenotype. This national survey was conducted on 4811 representative school students. We assessed the sensitivity and specificity of the HW phenotype for abnormal anthropometric and biochemical factors by using receiver operator characteristic curves. We determined the association of dietary patterns (obtained by factor analysis), physical activity level and some environmental factors with the HW phenotype. Overall, 8.52% of participants had the HW phenotype. Those children with the HW phenotype were more likely to have cardiovascular risk factors, notably for overweight and hypercholesterolemia. The dietary pattern characterized by junk foods increased the odds of having the HW phenotype, OR = 1.426 (95%CI, 1.109, 1.892), whereas the other dietary pattern including healthy foods decreased this odds, OR = 0.874 (95%CI, 0.765, 0.998). The risk of the HW phenotype rose with the consumption of solid hydrogenated fat as well as white-flour bread. Low education of parents and a positive family history of diabetes mellitus, obesity and or premature cardiovascular disease were the other risk factors for the HW phenotype. Low levels of physical activity significantly increased the risk of having the HW phenotype. The HW phenotype can be used as an accurate and easy tool for screening children at metabolic risk in population-based studies. PMID- 18156645 TI - Growth of very low birth weight infants at 12 months corrected age in southern Brazil. AB - The objective of this article is to describe growth of very low birth weight infants born in southern Brazil. All infants weighing < or =1500 g were followed up until 12 months corrected age (CA). Growth was recorded at 40 weeks, 6 and 12 months CA. Catch up was considered if the measures were > or =-2 SD of World Health Organization growth charts for weight and length; and of National Center for Health Statistics for head circumference. One hundred and ninety three infants born were followed up for the study. At 40 weeks CA, 57.8% patients achieved catch-up in weight and 50.9% in length. At 6 months CA, 82.2% achieved catch-up for weight and length and at 1 year CA, 92% achieved catch-up in weight and 86.9% in length. Catch-up in head circumference was achieved for 93.4%, 85.9% and 85% patients at 40 weeks, 6 months and 12 months CA, respectively. At 12 months CA, no catch-up in weight, length and head circumference was related to higher SNAPPE-II (P = 0.046) and periventricular leukomalacia (PVL) (P = 0.003); longer time to achieve full enteral nutrition at the neonatal intensive care unit (NICU) (P = 0.037), lower maternal education (P = 0.018) and PVL (P = 0,003); higher SNAPPE-II (P = 0,004), PVL (P = 0.005) and longer time to achieve full enteral nutrition at the NICU (P = 0.044), respectively. In conclusion, PVL and higher SNAPPE-II were important factors to catch-up delay. Catch-up growth was high at 12 months CA. PMID- 18156646 TI - Early introduction of solids and pneumonia in young infants in Papua new Guinea: a case control study. AB - A prospective case control study to determine the association of early introduction of solids with admission to hospital with pneumonia was undertaken at Mount Hagen General Hospital (MHGH) in the highlands of Papua New Guinea (PNG) over a 3-month period in 2005. Twenty three infants up to 6 months of age admitted with radiologically confirmed pneumonia were compared with 24 infants of similar age attending the well baby clinic for immunization and with 35 infants admitted to the hospital with conditions other than pneumonia or meningitis. There was a highly significant difference in feeding patterns between the groups. Children with pneumonia were much more likely than the control children to have started solids before the age of 2 months [OR = 18.06 (4.8-72.86)]. They were also significantly more likely to have been admitted previously with a diagnosis of pneumonia (P < 0.001). The children in each group were of comparable age and weight and there were no obvious confounding factors. This study provides clear evidence for the association between early introduction of solids and pneumonia in PNG highlands children. The findings are consistent with other international data. While the reasons for the association remain speculative, the association strongly reinforces the need to educate the community on best infant feeding practices and to discourage the early introduction of solids. PMID- 18156647 TI - Human touch vs. axillary digital thermometry for detection of neonatal hypothermia at community level. AB - We examined the diagnostic accuracy of human touch (HT) method in assessing hypothermia against axillary digital thermometry (ADT) by a trained non-medical field investigator (who supervised activities of community health volunteers) in seven villages of Agra district, Uttar Pradesh, India. Body temperature of 148 newborns born between March and August 2005 was measured at four points in time for each enrolled newborn (within 48 h and on days 7, 30 and 60) by the field investigator under the axilla using a digital thermometer and by HT method using standard methodology. Total observations were 533. Hypothermia assessed by HT was in agreement with that assessed by ADT (<36.5 degrees C) in 498 observations. Hypothermia assessed by HT showed a high diagnostic accuracy when compared against ADT (kappa 0.65-0.81; sensitivity 74%; specificity 96.7%; positive predictive value 22; negative predictive value 0.26). HT is a simple, quick, inexpensive and programmatically important method. However, being a subjective assessment, its reliability depends on the investigator being adequately trained and competent in making consistently accurate assessments. There is also a need to assess whether with training and supervision even the less literate mothers, traditional birth attendants and community health volunteers can accurately assess mild and moderate hypothermia before promoting HT for early identification of neonatal risk in community-based programs. PMID- 18156648 TI - Human ovarian biopsies as a viable source of pre-antral follicles. AB - BACKGROUND: Our knowledge of the early pre-antral stage of human folliculogenesis is still poor due to small follicle size and the limited availability of human ovarian tissue. Our aim was to determine the utility of ovarian biopsy for pre antral follicle research. METHODS: Ovarian cortical biopsies were obtained from women (28-46 years old) undergoing elective Caesarean sections or total abdominal hysterectomy/bilateral salpingo-oophorectomy for a variety of benign gynaecological conditions. Follicle isolation and staging was performed according to a well-established protocol, involving enzymatic digestion, isolation using fine needles and image capture analysis software. RNA was also isolated for reverse transcription. RESULTS: More than 351 follicles were retrieved from 19 patients and 249 were classifiable into follicle stages: 80 primordial, 53 transitional, 82 primary, 26 secondary and 8 multilaminar. All samples, except two from women aged over 40 years, yielded follicles. The average yield of classifiable follicles/patient was 13. There was an age-related decline in mean follicle numbers/patient (r(2) = -0.986). Microgram quantities of complementary DNA per follicle were synthesized. CONCLUSIONS: Despite the heterogeneous distribution of follicles throughout the cortex and the significant age-related decline in the numbers of follicles retrieved, biopsy samples of ovarian cortical tissue provide a useful source of pre-antral follicles. This, coupled with the sensitivity of genomic technology, makes this method a viable research approach. PMID- 18156649 TI - Diagnostic efficiency, embryonic development and clinical outcome after the biopsy of one or two blastomeres for preimplantation genetic diagnosis. AB - BACKGROUND: Preimplantation genetic diagnosis or screening (PGD, PGS) involves embryo biopsy on Day 3. Opting for one- or two-cell biopsy is a balance between the lowest risk for misdiagnosis on the one hand and the highest chance for a pregnancy on the other hand. METHODS: A prospective controlled trial was designed and 592 ICSI cycles were randomly assigned to the one-cell (group I) or the two cell group (group II). Primary outcomes were diagnostic efficiency and embryonic development to delivery with live birth (analysed by cycle). The false-positive rate for the PCR cycles is presented as a secondary outcome (analysed by embryo). RESULTS: A strong significant correlation was observed between embryonic developmental stage on Day 3 and post-biopsy in vitro development on Day 5 (P < 0.0001). The influence of the intervention on Day 3 was less significant (P = 0.007): the biopsy of one cell is less invasive than the biopsy of two cells. PCR diagnostic efficiency was 88.6% in group I and 96.4% in group II (P = 0.008). For the fluorescence in situ hybridization (FISH) PGD cycles no significant difference in efficiency was obtained (98.2 and 97.5% in group I and II, respectively). Similar delivery rates with live birth per started cycle were obtained [58/287 or 20.2% in group I versus 52/303 or 17.2% in group II, P = 0.358; the absolute risk reduction = 3.05%; 95% confidence interval (CI): -3.24, 9.34]. Post-PGD PCR reanalysis showed six false positives in 97 embryos (6.2%) in group II and none in group I (91 embryos reanalysed). No false negatives were found. CONCLUSIONS: While removal of two blastomeres decreases the likelihood of blastocyst formation, compared with removal of one blastomere, Day 3 in vitro developmental stage is a stronger predictor for Day 5 developmental potential than the removal of one or two cells. The biopsy of only one cell significantly lowers the efficiency of a PCR-based diagnosis, whereas the efficiency of the FISH PGD procedure remains similar whether one or two cells are removed. Delivery rates with live birth per started cycle were not significantly different. PMID- 18156650 TI - Proteomic analysis of human omental adipose tissue in the polycystic ovary syndrome using two-dimensional difference gel electrophoresis and mass spectrometry. AB - BACKGROUND: Our aim was to study the protein expression profiles of omental adipose tissue biopsies obtained from morbidly obese women with or without polycystic ovary syndrome (PCOS) at the time of bariatric surgery to evaluate the possible involvement of visceral adiposity in the development of PCOS. METHODS: Ten PCOS patients and nine control samples were included. We used two-dimensional difference gel electrophoresis (2D-DIGE) followed by in-gel digestion, and mass spectrometry (MS) of selected protein spots. RESULTS: The 2D-DIGE technology allowed the analysis of approximately 1840 protein spots in the comparative study of control and patient proteomes, revealing 15 statistically significant spot changes (>2-fold, P < 0.05). Unambiguous protein identification was achieved for 9 of these 15 spots by MS. This preliminary study revealed differences in expression of proteins that may be involved in lipid and glucose metabolism, oxidative stress processes and adipocyte differentiation; they include proapolipoprotein Apo-A1, annexin V, glutathione S-transferase M3 (GSTM3), triosephosphate isomerase, peroxiredoxin 2 isoform a, actin and adipocyte plasma membrane-associated protein. The most relevant finding was an increase of GSTM3 in the omental fat of PCOS patients confirming previous studies conducted by our group. CONCLUSIONS: Proteomic analysis of omental fat reveals differential expression of several proteins in PCOS patients and non-hyperandrogenic women presenting with morbid obesity. The application of this novel methodology adds further evidence to support the role of visceral adiposity in the pathogenesis of PCOS. PMID- 18156651 TI - Weighted clustering of called array CGH data. AB - Array comparative genomic hybridization (aCGH) is a laboratory technique to measure chromosomal copy number changes. A clear biological interpretation of the measurements is obtained by mapping these onto an ordinal scale with categories loss/normal/gain of a copy. The pattern of gains and losses harbors a level of tumor specificity. Here, we present WECCA (weighted clustering of called aCGH data), a method for weighted clustering of samples on the basis of the ordinal aCGH data. Two similarities to be used in the clustering and particularly suited for ordinal data are proposed, which are generalized to deal with weighted observations. In addition, a new form of linkage, especially suited for ordinal data, is introduced. In a simulation study, we show that the proposed cluster method is competitive to clustering using the continuous data. We illustrate WECCA using an application to a breast cancer data set, where WECCA finds a clustering that relates better with survival than the original one. PMID- 18156652 TI - Long-term functional outcome and performance status after intensive care unit re admission: a prospective survey. AB - BACKGROUND: Intensive care unit (ICU) re-admission identifies a high-risk group in terms of hospital mortality, length of stay, and resource utilization. Only hospital and ICU mortality are well described in the literature on critically ill patients needing re-admission. METHODS: With ethical committee approval, from a prospectively collected database of all admissions to a combined medical and surgical ICU from January 1 to December 31, 2004, we identified all ICU re admissions from within the hospital and analysed the factors associated with increased incidence of re-admission. At 2-3 yr after discharge, we evaluated the functional outcome of the surviving re-admitted patients as Glasgow Outcome Score (GOS) and Karnofsky index and identified determinants of both mortality and good functional outcome. RESULTS: Seventy-three (7.4%) of the 1061 patients who survived their first ICU stay were re-admitted during the study period. Of the 73 re-admitted patients, 14 died in ICU, 17 died later in the same hospital stay, and 10 died in the interim. Thus, 32 (43.8%) were alive 2-3 yr after discharge. The median [IQR] GOS of the survivors was 4 (see Mackle and colleagues in One year outcome of intensive care patients with decompensated alcoholic liver disease. CONCLUSIONS: Although the ICU, hospital, and subsequent mortalities are high in patients after ICU re-admission, most survivors at 2-3 yr had by then made a good functional recovery and were independent. PMID- 18156654 TI - Quality of care and survival of haemodialysed patients in western Switzerland. AB - BACKGROUND: Many factors affect survival in haemodialysis (HD) patients. Our aim was to study whether quality of clinical care may affect survival in this population, when adjusted for demographic characteristics and co-morbidities. METHODS: We studied survival in 553 patients treated by chronic HD during March 2001 in 21 dialysis facilities in western Switzerland. Indicators of quality of care were established for anaemia control, calcium and phosphate product, serum albumin, pre-dialysis blood pressure (BP), type of vascular access and dialysis adequacy (spKt/V) and their baseline values were related to 3-year survival. The modified Charlson co-morbidity index (including age) and transplantation status were also considered as a predictor of survival. RESULTS: Three-year survival was obtained for 96% of the patients; 39% (211/541) of these patients had died. The 3 year survival was 50, 62 and 69%, respectively, in patients who had 0-2, 3 and >or=4 fulfilled indicators of quality of care (test for linear trend, P < 0.001). In a Cox multivariate analysis model, the absence of transplantation, a higher modified Charlson's score, decreased fulfilment of indicators of good clinical care and low pre-dialysis systolic BP were independent predictors of death. CONCLUSION: Good clinical care improves survival in HD patients, even after adjustment for availability of transplantation and co-morbidities. PMID- 18156655 TI - Donor-reactive cytokine profiles after HLA-identical living-related kidney transplantation. AB - BACKGROUND: After HLA-identical living-related (LR) kidney transplantation, only non-HLA antigen mismatches between donor and recipient may exist. We questioned whether donor-reactive responses against non-HLA antigens could be found after HLA-identical LR kidney transplantation, and wondered whether donor reactivity in the HLA-identical setting was different from the HLA-mismatched setting during immunological quiescence. Healthy individuals served as controls. METHODS: Elispot assays were performed to determine the number of alloreactive IFN-gamma producing cells (pc), IL-10 pc, granzyme B (GrB) pc and IL-13 pc from peripheral blood mononuclear cells (PBMC) of HLA-identical, HLA-mismatched LR kidney transplant recipients and healthy individuals. RESULTS: The frequency of alloreactive IFN-gamma pc, IL-13 pc and GrB pc was higher in healthy individuals compared to both transplant patient groups. In the HLA-identical group, significantly higher numbers of donor-reactive IL-10 pc were found compared to their autologous control. These frequencies were also higher compared to the HLA mismatched and healthy control group. The number of donor-reactive GrB pc was higher in the HLA-mismatched group than in the HLA-identical group. Donor reactive IFN-gamma pc and IL-13 pc were comparable in both transplant groups. CONCLUSIONS: In recipients of HLA-identical LR kidney transplant, high donor reactive IL-10 pc, in combination with low donor-reactive IFN-gamma pc, IL-13 pc and GrB pc, suggests active downregulation of reactivity against non-HLA molecules. PMID- 18156656 TI - Antithrombin activity and disaccharide composition of dermatan sulfate from different bovine tissues. AB - Dermatan sulfate is a glycosaminoglycan that selectively inhibits the action of thrombin through interaction with heparin cofactor II. Unlike heparin it does not interact with other coagulation factors and is able to inhibit thrombin associated with clots. This property has made dermatan sulfate an attractive candidate as an antithrombotic drug. Previous studies have showed that dermatan sulfate derived from porcine/bovine intestinal mucosa/skin or marine invertebrates is capable of stimulating heparin cofactor II-mediated thrombin inhibition in vitro. This biological activity is reported for the first time in this study using dermatan sulfate derived from mammalian tissues other than intestinal mucosa or skin. Ten different bovine tissues including the aorta, diaphragm, eyes, large and small intestine, esophagus, skin, tendon, tongue, and tongue skin were used to prepare dermatan sulfate-enriched fractions by anion exchange chromatography and acetone precipitation. Heparin cofactor II/dermatan sulfate-mediated thrombin inhibition measured in vitro revealed activity comparable to or higher than the commercial standard with 2-fold differences observed between some tissues. Analysis of the extracted dermatan sulfate using fluorophore-assisted carbohydrate electrophoresis revealed significant differences in the relative percentage of all the mono-sulfated disaccharides, in particular the predominant mammalian disaccharide uronic acid-->N-acetyl-D galactosamine-4-O-sulfate, confirming previous reports regarding variations in sulfation in dermatan sulfate from different tissues. Overall, these findings demonstrate that dermatan sulfate extracted from a range of bovine tissues exhibits in vitro antithrombin activity equivalent to or higher than that observed for porcine intestinal mucosa, identifying additional sources of dermatan sulfate as potential antithrombotic agents. PMID- 18156657 TI - An arsenate-activated glutaredoxin from the arsenic hyperaccumulator fern Pteris vittata L. regulates intracellular arsenite. AB - To elucidate the mechanisms of arsenic resistance in the arsenic hyperaccumulator fern Pteris vittata L., a cDNA for a glutaredoxin (Grx) Pv5-6 was isolated from a frond expression cDNA library based on the ability of the cDNA to increase arsenic resistance in Escherichia coli. The deduced amino acid sequence of Pv5-6 showed high homology with an Arabidopsis chloroplastic Grx and contained two CXXS putative catalytic motifs. Purified recombinant Pv5-6 exhibited glutaredoxin activity that was increased 1.6-fold by 10 mm arsenate. Site-specific mutation of Cys(67) to Ala(67) resulted in the loss of both GRX activity and arsenic resistance. PvGrx5 was expressed in E. coli mutants in which the arsenic resistance genes of the ars operon were deleted (strain AW3110), a deletion of the gene for the ArsC arsenate reductase (strain WC3110), and a strain in which the ars operon was deleted and the gene for the GlpF aquaglyceroporin was disrupted (strain OSBR1). Expression of PvGrx5 increased arsenic tolerance in strains AW3110 and WC3110, but not in OSBR1, suggesting that PvGrx5 had a role in cellular arsenic resistance independent of the ars operon genes but dependent on GlpF. AW3110 cells expressing PvGrx5 had significantly lower levels of arsenite when compared with vector controls when cultured in medium containing 2.5 mm arsenate. Our results are consistent with PvGrx5 having a role in regulating intracellular arsenite levels, by either directly or indirectly modulating the aquaglyceroporin. To our knowledge, PvGrx5 is the first plant Grx implicated in arsenic metabolism. PMID- 18156658 TI - Effect of carbohydrate intake during recovery from eccentric exercise on interleukin-6 and muscle-damage markers. AB - The purpose of this investigation was to determine whether carbohydrate supplementation during the first 2 d postexercise recovery influenced the inflammation (IL-6, C-reactive protein [CRP], and cortisol) and muscle-damage responses. Eight participants performed a high-force eccentric elbow-flexion exercise to induce muscle soreness and inflammation and then consumed carbohydrate (0.25 g.kg(-1).h(-1)) or an equal volume of placebo during hours 0 12 and 24-36 postexercise in a double-blind, crossover protocol. Muscle soreness; midbrachial arm circumference; blood glucose, IL-6, CRP, cortisol, and creatine kinase (CK) activity; and maximal force production were measured preexercise and 4, 8, 12, 24, 48, and 120 h postexercise. Plasma IL-6 increased, F(5) = 5.27, P < 0.05, 8 h postexercise, with no difference between carbohydrate and placebo conditions. Changes in muscle soreness, arm circumference, strength, and serum CK activity were consistent with small amounts of muscle damage and did not differ between conditions. The authors conclude that carbohydrate supplementation during recovery from soreness-inducing exercise does not influence the delayed IL-6 response temporally linked to inflammation or indications of muscle damage. Thus, increased carbohydrate consumption at levels consistent with recommendations for replenishing glycogen stores does not impair or promote the immune and muscle responses. PMID- 18156659 TI - Effect of protein-rich feeding on recovery after intense exercise. AB - Carbohydrate ingestion after prolonged strenuous exercise enhances recovery, but protein might also be important. In a crossover with 2-wk washout, 10 cyclists completed 2.5 h of intervals followed by 4-h recovery feeding, provided 218 g protein, 435 g carbohydrate, and 79 g fat (protein enriched) or 34 g protein, 640 g carbohydrate, and 79 g fat (isocaloric control). The next morning, cyclists performed 10 maximal constant-work sprints on a Velotron cycle ergometer, each lasting approximately 2.5 min, at approximately 5-min intervals. Test validity was established and test reliability and the individual response to the protein enriched condition estimated by 6 cyclists'repeating the intervals, recovery feeding, and performance test 2 wk later in the protein-enriched condition. During the 4-h recovery, the protein-enriched feeding had unclear effects on mean concentrations of plasma insulin, cortisol, and growth hormone, but testosterone was 25% higher (90% confidence limits, +/- 14%). Protein enrichment also reduced plasma creatine kinase by 33% (+/-38%) the next morning and reduced tiredness and leg-soreness sensations during the sprints, but effects on mean sprint power were unclear (-1.4%, +/-4.3%). The between-subjects trial-to-trial coefficient of variation in overall mean sprint power was 3.1% (+/-3.4%), whereas the variation in the protein-enriched condition was 5.9% (+/-6.9%), suggesting that individual responses to the protein-enriched treatment contributed to the unclear performance outcome. To conclude, protein-enriched recovery feeding had no clear effect on next-day performance. PMID- 18156660 TI - Effect of protein ingestion on energy expenditure and substrate utilization after exercise in middle-aged women. AB - Research suggests that ingesting protein after resistance exercise (RE) increases muscle protein synthesis and results in greater muscle gains. The effect on energy expenditure and substrate utilization, however, is unclear. This study evaluated the effect of RE and postexercise protein on recovery energy expenditure and substrate utilization in 17 women (age 46.5 +/- 1.2 y). A whey protein supplement (120 kcal, 30 g protein) was ingested immediately after 1 bout of RE (PRO) and a noncaloric placebo after another (PLA).VO2 and respiratory exchange ratio (RER) were measured before and for 120 min after each exercise session. RE resulted in a significant increase in VO2 that persisted through 90 min of recovery (P < 0.01) and was not affected by protein supplementation. RE significantly lowered RER, resulting in an increase in fat oxidation for both PLA and PRO (P < 0.01). For PRO, however, RER returned to baseline values earlier than for PLA, resulting in a reduced fat-oxidation response (P = 0.02) and earlier return to preexercise baseline values than for PLA. Substrate utilization was significantly different between conditions (P = 0.02), with fat contributing 77.76% +/- 2.19% for PLA and 72.12% +/- 2.17% for PRO, while protein oxidation increased from 17.18% +/- 1.33% for PLA to 20.82% +/- 1.47% for PRO. Postexercise protein did not affect energy expenditure, but when protein was available as an alternate fuel fat oxidation was diminished. Based on these findings it might be beneficial for middle-aged women to delay protein intake after RE to maximize fat utilization. PMID- 18156661 TI - Multiple bouts of resistance exercise and postprandial triacylglycerol and serum C-reactive-protein concentrations. AB - The present study examined how multiple bouts of resistance exercise, performed over 1 d, influence 2 risk factors--postprandial triacylglycerol (TAG) and serum C-reactive-protein (CRP) concentrations--associated with coronary heart disease. Twenty-four men age 23.5 (SD 3.4) y completed two 2-d trials, exercise and control, at least 1 wk apart in a counterbalanced randomized design. On day 1 of the exercise trials participants completed 20 sets of 15 repetitions of 5 different resistance exercises divided into five 45-min bouts of exercise--100 sets and 1500 repetitions in total for all exercises. Exercises were performed at 30-40% of 1-repetition maximum. Blood samples were taken before and after exercise. On day 1 of the control trial participants were inactive, with blood samples taken at time points corresponding to the exercise trial. On day 2 of both trials participants consumed a test meal (0.89 g fat, 1.23 g carbohydrate, 0.4 g protein, 60 kJ per kg body mass). Blood samples were obtained fasted and for 6 h postprandially. Total area under the postprandial TAG concentration versus time curve was 12% lower in the exercise than in the control trial (8.76 [3.54] vs. 9.94 [4.31] mmol.L(-1).6 h-1, respectively; P = 0.037). Serum CRP concentrations did not change over the 2 d in the control trial but increased in the exercise trial: trial x time interaction (P = 0.028). Multiple bouts of resistance exercise reduce postprandial TAG concentrations but increase serum CRP concentrations. The extent to which these findings are clinically relevant requires further study. PMID- 18156662 TI - Sweat mineral-element responses during 7 h of exercise-heat stress. AB - CONTEXT: Uncertainty exists regarding the effect of sustained sweating on sweat mineral-element composition. PURPOSE: To determine the effect of multiple hours of exercise-heat stress on sweat mineral concentrations. METHODS: Seven heat acclimated subjects (6 males, 1 female) completed 5 x 60 min of treadmill exercise (1.56 m/s, 2% grade) with 20 min rest between exercise periods in 2 weather conditions (27 degrees C, 40% relative humidity, 1 m/s and 35 degrees C, 30%, 1 m/s). Sweat was collected from a sweat-collection pouch attached to the upper back during exercise bouts 1, 3, and 5. Mineral elements were determined by using inductively coupled plasma-emission spectrography. RESULTS: At 27 degrees C, sweat sodium (863 [563] microg/mL; mean [SD]), potassium (222 [48] microg/mL), calcium (16 [7]) microg/mL), magnesium (1265 [566] ng/mL), and copper (80 [56] ng/mL) remained similar to baseline over 7 h of exercise-heat stress, whereas sweat zinc declined 42-45% after the initial hour of exercise-heat stress (Ex1 = 655 [362], Ex3 = 382 [168], Ex5 = 355 [288] microg/mL, P < 0.05). Similar outcomes were observed for sweat zinc at 35 degrees C when sweat rates were higher. Sweat rate had no effect on sweat trace-element composition. CONCLUSIONS: Sweat sodium, potassium, and calcium losses during multiple hours of sustained sweating can be predicted from initial sweat composition. Estimates of sweat zinc losses, however, will be overestimated if sweat zinc conservation is not accounted for in sweat zinc-loss estimates. PMID- 18156663 TI - Water balance and salt losses in competitive football. AB - Fluid balance and sweat electrolyte losses were measured in the players and substitutes engaged in an English Premier League Reserve competitive football match played at an ambient temperature of 6-8 degrees C (relative humidity 50 60%). Intake of water and/or sports drink and urine output were recorded, and sweat composition was estimated from absorbent swabs applied to 4 skin sites for the duration of the game. Body mass was recorded before and after the game. Data were obtained for 22 players (age 21 y, height 180 cm, mass 78 kg) and 9 substitutes (17 y, 181 cm, 72 kg). All were male. Two of the players were dismissed during the game, and none of the substitutes played any part in the game. Mean +/- SD sweat loss of players amounted to 1.68 +/- 0.40 L, and mean fluid intake was 0.84 +/- 0.47 L (n = 20), with no difference between teams. Corresponding values for substitutes, none of whom played in the match, were 0.40 +/- 0.24 L and 0.78 +/- 0.46 L (n = 9). Prematch urine osmolality was 678 +/- 344 mOsm/kg: 11 of the 31 players provided samples with an osmolality of more than 900 mOsm/kg. Sweat sodium concentration was 62 +/- 13 mmol/L, and total sweat sodium loss during the game was 2.4 +/- 0.8 g. These descriptive data show a large individual variability in hydration status, sweat losses, and drinking behaviors in a competitive football match played in a cool environment, highlighting the need for individualized assessment of hydration status to optimize fluid-replacement strategies. PMID- 18156664 TI - Branched-chain amino acid supplementation and indicators of muscle damage after endurance exercise. AB - The purpose of this study was to determine whether branched-chain amino acid (BCAA) supplementation attenuates indirect indicators of muscle damage during endurance exercise as compared with an isocaloric, carbohydrate (CHO) beverage or a noncaloric placebo (PLAC) beverage. Nine untrained men performed three 90 min cycling bouts at 55% VO 2peak. Subjects, blinded to beverage selection, ingested a total of 200 kcal of energy via the CHO or BCAA beverage before and at 60 min of exercise, or they drank the PLAC beverage. Creatine kinase (CK), lactate dehydrogenase (LDH), isokinetic leg-extension and -flexion torque, and muscle soreness were assessed before and immediately, 4 h, 24 h, and 48 h postexercise. The trials were separated by 8 wk. CK activities were significantly lower after the BCAA trial than in the PLAC trial at 4, 24, and 48 h postexercise, as well as lower than the CHO beverage at 24 h postexercise. CK was lower in the CHO trial at the 24- and 48-h time points than in the PLAC trial. LDH activities were lower in the BCAA trial at 4 h than in the PLAC trial. As compared with the CHO and PLAC trials, ratings of perceived soreness were lower at 24 h postexercise, and leg-flexion torque was higher at the 48-h time point after the BCAA trial. The present data suggest that BCAA supplementation attenuates muscle damage during prolonged endurance exercise in untrained college-age men. CHO ingestion attenuates CK activities at 24 and 48 h postexercise as compared with a placebo beverage. PMID- 18156665 TI - Effects of an amino acid/creatine energy supplement on the acute hormonal response to resistance exercise. AB - The authors aimed to examine the acute hormonal and performance responses to resistance exercise with and without prior consumption of an amino acid/creatine/energy supplement. Eight men performed a resistance-exercise protocol at baseline (BL), 20 min after consuming a supplement (S) consisting of essential amino acids, creatine, taurine, caffeine, and glucuronolactone or a maltodextrin placebo (P). Venous blood samples were obtained before and immediately after (IP), 15 min (15P), and 30 min (30P) after each protocol. Area under the curve of resistance-exercise volume revealed that BL was significantly less than S (10%) and P (8.6%). For fatigue rate, only S (18.4% +/- 12.0%) was significantly lower than BL (32.9% +/- 8.4%). Total testosterone (TT) and growth hormone (GH) were significantly elevated at IP and 15P in all conditions. The GH response was significantly lower, however, in S and P than in BL. The TT and GH responses did not differ between S and P. These results indicated that a supplement consisting of amino acids, creatine, taurine, caffeine, and glucuronolactone can modestly improve high-intensity endurance; however, the anabolic-hormonal response was not augmented. PMID- 18156666 TI - Parallel increases in phosphocreatine and total creatine in human vastus lateralis muscle during creatine supplementation. AB - Short-term creatine supplementation is reported to result in a decreased ratio of phosphocreatine (PCr) to total creatine (TCr) in human skeletal muscle at rest. Assuming equilibrium of the creatine kinase reaction, this decrease in PCr:TCr implies increased cytoplasmic ADP and decreased Gibbs free energy of ATP hydrolysis in muscle, which seems contrary to the reported ergogenic benefits of creatine supplementation. This study measured changes in PCr and TCr in vastus lateralis muscle of adult men (N = 6, 21-35 y old) during and 1 day after 5 d of creatine monohydrate supplementation (0.43 g.kg body weight(-1).d(-1)) using noninvasive 31P and 1H magnetic-resonance spectroscopy (MRS). Plasma and red blood-cell creatine increased by 10-fold and 2-fold, respectively, by the third day of supplementation. MRS-measured skeletal muscle PCr and TCr increased linearly and in parallel throughout the 5 d, and there was no significant difference in the percentage increase in muscle PCr (11.7% +/- 2.3% after 5 d) vs. TCr (14.9% +/- 4.1%) at any time point. The results indicate that creatine supplementation does not alter the PCr:TCr ratio, and hence the cytoplasmic Gibbs free energy of ATP hydrolysis, in human skeletal muscle at rest. PMID- 18156667 TI - Fascinating quasicrystals. AB - It took Dan Shechtman more than two years to get his discovery of an Al-Mn phase with icosahedral diffraction symmetry and sharp Bragg reflections published. A paradigm shift had to take place before this novel ordering state of matter - seemingly contradicting crystallographic laws - could be accepted. Today, more than 25 years later, the existence of quasicrystals is beyond doubt. However, not everything is settled yet. All the factors governing formation, growth, stability and structure of quasicrystals are still not fully understood, nor is it resolved whether their structures are strictly or only on average quasiperiodic, and it is still an open question why only quasicrystals with 5-, 8-, 10- and 12-fold rotational symmetry have been experimentally observed so far. These points will be addressed in this review article. PMID- 18156668 TI - Neutron protein crystallography: beyond the folding structure of biological macromolecules. AB - Neutron diffraction provides an experimental method of directly locating H atoms in proteins, a technique complementary to ultra-high-resolution X-ray diffraction. Three different types of neutron diffractometers for biological macromolecules have been constructed in Japan, France and the USA, and they have been used to determine the crystal structures of proteins up to resolution limits of 1.5-2.5 A. Results relating to H-atom positions and hydration patterns in proteins have been obtained from these studies. Examples include the geometrical details of hydrogen bonds, the role of H atoms in enzymatic activity, CH3 configuration, H/D exchange in proteins and oligonucleotides, and the dynamical behavior of hydration structures, all of which have been extracted from these structural results and reviewed. Other techniques, such as the growth of large single crystals and a database of hydrogen and hydration in proteins, are described. PMID- 18156669 TI - The interpretation and analysis of diffuse scattering using Monte Carlo simulation methods. AB - Studies of diffuse scattering had a prominent place in the first issue of Acta Crystallographica 60 years ago at a time when conventional crystallography (determination of the average structure from Bragg peaks) was in its infancy. Since that time, conventional crystallography has developed enormously while diffuse-scattering analysis has seemingly lagged well behind. The paper highlights some of the extra difficulties involved in the measurement, interpretation and analysis of diffuse scattering and plots the progress that has been made. With the advent of the latest X-ray and neutron sources, area detectors and the ever-increasing power of computers, most disorder problems are now tractable. Two recent contrasting examples are described which highlight what can be achieved by current methods. PMID- 18156670 TI - Report on a project on three-dimensional imaging of the biological cell by single particle X-ray diffraction. AB - Single-particle X-ray diffraction is an extension of X-ray crystallography which allows the specimen to be any small solid-state bounded object; in Shapiro et al. [Proc. Natl Acad. Sci. USA (2005), 102, 15343-15346] and Thibault et al. [Acta Cryst. (2006), A62, 248-261], the reader can find descriptions of a recent StonyBrook/Berkeley/Cornell two-dimensional imaging of a yeast cell by this technique. Our present work is aimed at extending the technique to the three dimensional imaging of a cell. However, the usual method of doing that, namely rotating the specimen into many orientations in the X-ray beam, has not as yet given sufficiently good three-dimensional diffraction data to allow the work to go forward, the largest problem being the difficulty of preventing unwanted levels of change in the specimen through the extended exposure to a hostile environment of X-rays and, in some cases, high vacuum and/or extreme cold. The present paper discusses possible methods of dealing with this problem. PMID- 18156671 TI - Report on a project on three-dimensional imaging of the biological cell by single particle X-ray diffraction. Addendum. AB - In the paper by Sayre [Acta Cryst. (2008), A64, 33-35], a proposal is made to use stereoscopy as a short-term means of overcoming the primarily technological hurdles involved in three-dimensional imaging of the biological cell by soft X ray diffraction microscopy. This addendum provides a broader perspective on the techniques used by this rapidly maturing community to investigate structural problems in the biological and material sciences. PMID- 18156672 TI - Crystallographic publishing in the electronic age. AB - The journals of the International Union of Crystallography have grown in size and number over the past 60 years to match developments in scientific practice and technique. High quality of publication has always been at the forefront of editorial policy and ways in which this has been achieved are described. In particular, the development of standard exchange and archive formats for crystallographic data has allowed the editorial office to conduct automated analyses of structural data supporting articles submitted for publication and these analyses assist the scientific editors in careful and critical peer review. The new information technologies of the Internet age have allowed the IUCr journals to flourish and to provide a wide range of powerful services to authors, editors and readers alike. The integration of literature and supporting structural data is of particular importance. The new technologies have also brought fresh economic and cultural challenges, and offer completely new opportunities to disseminate the results of scientific research. The journals continue to respond to these challenges and take advantage of new opportunities in innovative ways. PMID- 18156673 TI - Structure determination from powder diffraction data. AB - Advances made over the past decade in structure determination from powder diffraction data are reviewed with particular emphasis on algorithmic developments and the successes and limitations of the technique. While global optimization methods have been successful in the solution of molecular crystal structures, new methods are required to make the solution of inorganic crystal structures more routine. The use of complementary techniques such as NMR to assist structure solution is discussed and the potential for the combined use of X-ray and neutron diffraction data for structure verification is explored. Structures that have proved difficult to solve from powder diffraction data are reviewed and the limitations of structure determination from powder diffraction data are discussed. Furthermore, the prospects of solving small protein crystal structures over the next decade are assessed. PMID- 18156674 TI - Busting out of crystallography's Sisyphean prison: from pencil and paper to structure solving at the press of a button: past, present and future of crystallographic software development, maintenance and distribution. AB - The history of crystallographic computing and use of crystallographic software is one which traces the escape from the drudgery of manual human calculations to a world where the user delegates most of the travail to electronic computers. In practice, this involves practising crystallographers communicating their thoughts to the crystallographic program authors, in the hope that new procedures will be implemented within their software. Against this background, the development of small-molecule single-crystal and powder diffraction software is traced. Starting with the analogue machines and the use of Hollerith tabulators of the late 1930's, it is shown that computing developments have been science led, with new technologies being harnessed to solve pressing crystallographic problems. The development of software is also traced, with a final caution that few of the computations now performed daily are really understood by the program users. Unless a sufficient body of people continues to dismantle and re-build programs, the knowledge encoded in the old programs will become as inaccessible as the knowledge of how to build the Great Pyramid at Giza. PMID- 18156675 TI - The Protein Data Bank: a historical perspective. AB - The Protein Data Bank began as a grassroots effort in 1971. It has grown from a small archive containing a dozen structures to a major international resource for structural biology containing more than 40000 entries. The interplay of science, technology and attitudes about data sharing have all played a role in the growth of this resource. PMID- 18156676 TI - Does mathematical crystallography still have a role in the XXI century? AB - Mathematical crystallography is the branch of crystallography dealing specifically with the fundamental properties of symmetry and periodicity of crystals, topological properties of crystal structures, twins, modular and modulated structures, polytypes and OD structures, as well as the symmetry aspects of phase transitions and physical properties of crystals. Mathematical crystallography has had its most evident success with the development of the theory of space groups at the end of the XIX century; since then, it has greatly enlarged its applications, but crystallographers are not always familiar with the developments that followed, partly because the applications sometimes require some additional background that the structural crystallographer does not always possess (as is the case, for example, in graph theory). The knowledge offered by mathematical crystallography is at present only partly mirrored in International Tables for Crystallography and is sometimes still enshrined in more specialist texts and publications. To cover this communication gap is one of the tasks of the IUCr Commission on Mathematical and Theoretical Crystallography (MaThCryst). PMID- 18156677 TI - A short history of SHELX. AB - An account is given of the development of the SHELX system of computer programs from SHELX-76 to the present day. In addition to identifying useful innovations that have come into general use through their implementation in SHELX, a critical analysis is presented of the less-successful features, missed opportunities and desirable improvements for future releases of the software. An attempt is made to understand how a program originally designed for photographic intensity data, punched cards and computers over 10000 times slower than an average modern personal computer has managed to survive for so long. SHELXL is the most widely used program for small-molecule refinement and SHELXS and SHELXD are often employed for structure solution despite the availability of objectively superior programs. SHELXL also finds a niche for the refinement of macromolecules against high-resolution or twinned data; SHELXPRO acts as an interface for macromolecular applications. SHELXC, SHELXD and SHELXE are proving useful for the experimental phasing of macromolecules, especially because they are fast and robust and so are often employed in pipelines for high-throughput phasing. This paper could serve as a general literature citation when one or more of the open-source SHELX programs (and the Bruker AXS version SHELXTL) are employed in the course of a crystal-structure determination. PMID- 18156678 TI - The charge flipping algorithm. AB - This paper summarizes the current state of charge flipping, a recently developed algorithm of ab initio structure determination. Its operation is based on the perturbation of large plateaus of low electron density but not directly on atomicity. Such a working principle radically differs from that of classical direct methods and offers complementary applications. The list of successful structure-solution cases includes periodic and aperiodic crystals using single crystal and powder diffraction data measured with X-ray and neutron radiation. Apart from counting applications, the paper mainly deals with algorithmic issues: it describes and compares new variants of the iteration scheme, helps to identify and improve solutions, discusses the required data and the use of known information. Finally, it tries to foretell the future of such an alternative among well established direct methods. PMID- 18156679 TI - High-pressure crystallography. AB - Since the late 1950's, high-pressure structural studies have become increasingly frequent, following the inception of opposed-anvil cells, development of efficient diffractometric equipment (brighter radiation sources both in laboratories and in synchrotron facilities, highly efficient area detectors) and procedures (for crystal mounting, centring, pressure calibration, collecting and correcting data). Consequently, during the last decades, high-pressure crystallography has evolved into a powerful technique which can be routinely applied in laboratories and dedicated synchrotron and neutron facilities. The variation of pressure adds a new thermodynamic dimension to crystal-structure analyses, and extends the understanding of the solid state and materials in general. New areas of thermodynamic exploration of phase diagrams, polymorphism, transformations between different phases and cohesion forces, structure-property relations, and a deeper understanding of matter at the atomic scale in general are accessible with the high-pressure techniques in hand. A brief history, guidelines and requirements for performing high-pressure structural studies are outlined. PMID- 18156680 TI - Electron crystallography: imaging and single-crystal diffraction from powders. AB - The study of crystals at atomic level by electrons - electron crystallography - is an important complement to X-ray crystallography. There are two main advantages of structure determinations by electron crystallography compared to X ray diffraction: (i) crystals millions of times smaller than those needed for X ray diffraction can be studied and (ii) the phases of the crystallographic structure factors, which are lost in X-ray diffraction, are present in transmission-electron-microscopy (TEM) images. In this paper, some recent developments of electron crystallography and its applications, mainly on inorganic crystals, are shown. Crystal structures can be solved to atomic resolution in two dimensions as well as in three dimensions from both TEM images and electron diffraction. Different techniques developed for electron crystallography, including three-dimensional reconstruction, the electron precession technique and ultrafast electron crystallography, are reviewed. Examples of electron-crystallography applications are given. There is in principle no limitation to the complexity of the structures that can be solved by electron crystallography. PMID- 18156681 TI - An easy non-invasive X-ray diffraction method to determine the composition of Na pyroxenes from high-density ;greenstone' implements. AB - A large number of polished stone implements from Palaeolithic to Bronze Age sites of Northern Italy and Southern France are made of high-pressure (HP) metamorphic rocks (eclogite and related rocks), mainly consisting of Na-pyroxene (jadeite to omphacite) from the metamorphic belt of the Western Alps. The standard archaeometric study of prehistoric stone implements follows a procedure that is invasive, expensive and time-consuming. Since Na-pyroxenes may show a large compositional range, a thorough study of the variations affecting the dhkl values, obtained by X-ray diffraction, of three selected reflections as a function of different chemical composition was carried out, in order to determine the chemistry of Na-pyroxene isomorphic mixtures and roughly evaluate their relative amounts. These reflections (?bar221, 310, 002) are sharp, intense and sensitive to the variation of pyroxene chemical composition. Using such dhkl values measured on pyroxenes of known chemistry, a Ca-pyroxene(Di)-jadeite(Jd) aegirine(Ae) compositional diagram was constructed, from which the composition of an unknown pyroxene can be estimated within an error of about 5%. When the size of the object is relatively small and a flat polished surface is present, the proposed analytical procedure becomes totally non-invasive. The data obtained shed light on the provenance sources of such implements and the prehistoric trade routes. PMID- 18156682 TI - Powder crystallography on macromolecules. AB - Following the seminal work of Von Dreele, powder X-ray diffraction studies on proteins are being established as a valuable complementary technique to single crystal measurements. A wide range of small proteins have been found to give synchrotron powder diffraction profiles where the peak widths are essentially limited only by the instrumental resolution. The rich information contained in these profiles, combined with developments in data analysis, has stimulated research and development to apply the powder technique to microcrystalline protein samples. In the present work, progress in using powder diffraction for macromolecular crystallography is reported. PMID- 18156683 TI - Small-angle scattering and its interplay with crystallography, contrast variation in SAXS and SANS. AB - Methods of contrast variation are tools that are essential in macromolecular structure research. Anomalous dispersion of X-ray diffraction is widely used in protein crystallography. Recent attempts to extend this method to native resonant labels like sulfur and phosphorus are promising. Substitution of hydrogen isotopes is central to biological applications of neutron scattering. Proton spin polarization considerably enhances an existing contrast prepared by isotopic substitution. Concepts and methods of nuclear magnetic resonance (NMR) become an important ingredient in neutron scattering from dynamically polarized targets. PMID- 18156684 TI - Stability of ferroic phases in the highly piezoelectric Pb(ZrxTi1-x)O3 ceramics. AB - The morphotropic phase boundary in the phase diagram of the technologically important Pb(ZrxTi1-x)O3 (PZT) ceramics has been traditionally believed to separate ferroelectric tetragonal and rhombohedral phase regions. This old picture has come under close scrutiny during the last eight years following the discovery of new monoclinic phases in the Cm and Cc space groups. This article presents a brief overview of these discoveries in which the use of multiple diffraction probes (X-ray, electron, neutron diffraction) in conjunction with physical property measurements has played a crucial role. A new phase diagram of PZT showing the stability fields of these structures below room temperature is also presented. PMID- 18156685 TI - The search for a structural basis for therapeutic intervention against the SARS coronavirus. AB - The 2003 outbreak of severe acute respiratory syndrome (SARS), caused by a previously unknown coronavirus called SARS-CoV, had profound social and economic impacts worldwide. Since then, structure-function studies of SARS-CoV proteins have provided a wealth of information that increases our understanding of the underlying mechanisms of SARS. While no effective therapy is currently available, considerable efforts have been made to develop vaccines and drugs to prevent SARS CoV infection. In this review, some of the notable achievements made by SARS structural biology projects worldwide are examined and strategies for therapeutic intervention are discussed based on available SARS-CoV protein structures. To date, 12 structures have been determined by X-ray crystallography or NMR from the 28 proteins encoded by SARS-CoV. One key protein, the SARS-CoV main protease (M(pro)), has been the focus of considerable structure-based drug discovery efforts. This article highlights the importance of structural biology and shows that structures for drug design can be rapidly determined in the event of an emerging infectious disease. PMID- 18156686 TI - Nexus, crystallographic computing all around the world. AB - Crystallographic Nexus CD-ROMs, containing a range of free crystallographic software for single-crystal and powder diffraction available on the Internet, have been distributed on request since 1996. The free CD is made in the form of a ;virtual Internet' with the main intent of benefiting crystallographers with inadequate Internet access. The IUCr funds an annual/biennial update which is distributed to known previous recipients. Feedback from current recipients indicates the CD is still useful. The most current IUCr-funded CD is being produced by the CCP14 project at University College London and The Royal Institution UK for distribution to the ECM 2007 and AsCA 2007 conferences. PMID- 18156687 TI - High-pressure diffraction studies of molecular organic solids. A personal view. AB - This paper discusses the trends in the experimental studies of molecular organic solids at high pressures by diffraction techniques. Crystallization of liquids, crystallization from solutions and solid-state transformations are considered. Special attention is paid to the high-pressure studies of pharmaceuticals and of biomimetics. PMID- 18156688 TI - The MEM/Rietveld method with nano-applications - accurate charge-density studies of nano-structured materials by synchrotron-radiation powder diffraction. AB - Structural studies of materials with nano-sized spaces, called nano-structured materials, have been carried out by high-resolution powder diffraction. Our developed analytical method, which is the combination of the maximum-entropy method (MEM) and Rietveld refinement, the so-called MEM/Rietveld method, has been successfully applied to the analysis of synchrotron-radiation (SR) powder diffraction data measured at SPring-8, a third-generation SR light source. In this article, structural studies of nano-porous coordination polymers and endohedral metallofullerenes are presented with the advanced technique of SR powder experiment. The structure of the adsorbed guest molecule in the coordination polymer and encapsulated atoms in the fullerene cage are clearly revealed by the MEM charge density. The methodology of MEM/Rietveld analysis is also presented. PMID- 18156689 TI - On wine, chirality and crystallography. AB - As the first centennial of X-ray diffraction is inevitably drawing closer, it is tempting to reflect on the impact that this fascinating discipline has had on natural sciences and how it has changed the world we live in. Also, next year is the 160th anniversary of the fateful April afternoon when Louis Pasteur separated D- from L-tartrate crystals, an event that many science historians recognize as the birth of stereochemistry, and the first step that the barely nascent field of crystallography took on the road to elucidate a fundamental phenomenon of chemistry and biology - chirality. Many great minds - Pasteur, Van 't Hoff, Fischer, Lord Kelvin, the Braggs, Astbury and Bijvoet, to mention just a few - contributed along the way. But one central inanimate character was there at all times - an inconspicuous somewhat obscure organic compound found in wine: tartaric acid. This is the story of its contribution to science. PMID- 18156690 TI - Photocrystallography. AB - This review describes the development and application of a new crystallographic technique that is starting to enable the three-dimensional structural determination of molecules in their photo-activated states. So called ;photocrystallography' has wide applicability, particularly in the currently exciting area of photonics, and a discussion of this applied potential is put into context in this article. Studies are classified into four groups: photo structural changes that are (i) irreversible; (ii) long-lived but reversible under certain conditions; (iii) transient with photo-active lifetimes of the order of microseconds; (iv) very short lived, existing at the nanosecond or even picosecond level. As photo-structural changes relative to the ;ground state' can be subtle, this article necessarily concentrates on small-molecule single-crystal X-ray diffraction given that high atomic resolution is possible. That said, where it is pertinent, references are also made to related major advances in photo induced macromolecular crystallography. The review concludes with an outlook on this new research area, including the future possibility of studying even more ephemeral, femtosecond-lived, photo-active species. PMID- 18156691 TI - [Evaluation of COSMOsensor Glucose Monitoring System.]. AB - BACKGROUND: Glucometer is a most widely-used point-of-care testing (POCT) analyzer and plays an important role in diabetes management. We evaluated the performance of the recently developed glucometer, COSMOsensor (Cosmogenome Inc., Seoul, Korea), comparing it with three foreign-made glucometers. METHODS: COSMOsensor was evaluated for linearity, precision, comparison of method and analysing time as well as the effect of operator. Other glucometers, Accu-Chek inform (Roche Diagnostics LTD., Mannheim, Germany), Precision(TM)PCx (Abbott Laboratories, Bedford, MA, USA), and SureStep(R)Flexx (LifeScan Inc., Milpitas, CA, USA) were evaluated for the same categories according to NCCLS guidelines. RESULTS: All four glucometers showed a good linearity (r>/=0.9814) and the within run and total-run coefficients of variation (CVs) were within 3.5%. A high correlation (r>/=0.9659) was also found between the glucometers and Hitachi 7600 (Hitachi Co., Tokyo, Japan) in the central laboratory. Although differences with the reference method were within an allowable range, all glucometers showed variable bias compared with the reference method. CONCLUSIONS: The COSMOsensor showed a good analytical performance in linearity, precision, and correlation with the reference method, when compared with other foreign-made glucometers. Its rapid turnaround time and easy operation are appropriate for diabetes management and a rapid POCT analyzer. All glucometers showed variable biases, which might be due to different calibration status. PMID- 18156692 TI - [Detection of enterovirus in cerebrospinal fluid by real-time nested reverse transcription polymerase chain reaction.]. AB - BACKGROUND: Enterovirus is a common cause of aseptic meningitis, respiratory disease and nonspecific febrile illness. The conventional methods for laboratory diagnosis of enterovirus infections have been virus culture and serotyping by an immunofluorecent test. We studied a new and more rapid approach for enterovirus detection in cerebrospinal fluid (CSF) by real-time nested PCR. METHODS: This study was performed on 50 CSF specimens from patients suspected of aseptic meningitis. Enterovirus was detected in CSF by PCRs for 3 different targets and real-time nested PCR. Enterovirus culture was also performed in 44 CSF specimens. RESULTS: The positive rate of PCRs for each of the 3 different targets was 26.0%, 40.0%, or 46.0%, and that of real-time nested PCR was 86.0%. Only 6.8% were positive in culture. Thus, the positive rate of real-time nested PCR was much higher than other methods. CONCLUSIONS: Our study revealed that the real-time nested PCR should be useful for diagnosis of enterovirus infections because of a high sensitivity and rapid detection. PMID- 18156693 TI - [Prevalence of Class A Extended-Spectrum beta-Lactamases in Clinical Isolates of Acinetobacter baumannii and Pseudomonas aeruginosa.]. AB - BACKGROUND: Prevalence of class A extended-spectrum beta-lactamases (ESBLs) has been investigated repeatedly in members of family Enterobacteriaceae in Korea, but only rarely in Acinetobacter baumannii and Pseudomonas aeruginosa. The aims of this study were to determine the prevalence of class A ESBL-producing A. baumannii and P. aeruginosa and to characterize the genotypes. METHODS: During the period of June to September 2004, clinical isolates of A. baumannii and P. aeruginosa were collected from patients in Kosin University Gospel Hospital, Busan, Korea. Antimicrobial susceptibility was determined by the disk diffusion and the agar dilution methods, and ESBLproduction by the double-disk synergy test. Transferability of ceftazidime-resistance of ESBL-producers were tested by conjugation. The isoelectric points of ESBLs were determined by isoelectric focusing. Searches for bla(TEM), bla(SHV), bla(CTX-M), bla(PER-1), bla(VEB), and bla(GES/IBC) genes were performed by PCR amplification, and the genotypes of ESBLs were determined by a direct nucleotide sequence analysis of the amplified products. RESULTS: A total of 58 clinical isolates of A. baumannii and 77 P. aeruginosa were collected. Three (5.2%) isolates of A. baumannii and four (5.2%) P. aeruginosa isolates showed positive results in the double-disk synergy test using ceftazidime and imipenem disks, and one (1.7%) A. baumannii and two (2.6%) P. aeruginosa isolates showed positive results in that test using ceftazidime and cefoxitin disks. The most prevalent class A ESBL genotype in A. baumannii isolates was bla(PER-1) (n=6), and bla(SHV-12) gene was also found in one P. aeruginosa isolate. CONCLUSIONS: It is concluded that class A PER-1 ESBL producing A. baumannii isolates are spreading, and SHV-12-producing P. aeruginosa has emerged in Korea. The spread of class A ESBLs could compromise the future usefulness of expanded-spectrum beta-lactam antibiotics for the treatment of A. baumannii and P. aeruginosa infections. PMID- 18156694 TI - [Emergence of CTX-M-12 and A Novel CTX-M Type Extended-Spectrum beta Lactamaseproducing Klebsiella pneumoniae.]. AB - BACKGROUND: The aims of this study were to survey the nation-wide susceptibilities of Klebsiella pneumoniae isolates against ceftazidime and cefotaxime and to determine the prevalence of class A extended-spectrum beta lactamases (ESBLs). METHODS: During the period of February to July 2004, K. pneumoniae isolates intermediate or resistant to ceftazidime and/or cefotaxime were collected from 12 hospitals in Korea. Antimicrobial susceptibilities were determined by the disk diffusion and the agar dilution methods and ESBL production was by double-disk synergy test. Ceftazidime or cefotaxime-resistance determinants of the ESBLproducers were transfered to Escherichia coli J53 by transconjugation. Searches for class A ESBL genes were performed by PCR amplication. RESULTS: Among 212 clinical K. pneumoniae isolates, 172 (81%) isolates showed positive results in double-disk synergy test; the most prevalent ESBL was SHV-12 (n=104). Genes encoding ESBLs including SHV-2 (n=6), SHV-2a (n=17), CTX-M-3 (n=18), CTX-M-9 (n=6), CTX-M-12 (n=1), CTX-M- 14 (n=27), CTX-M-15 (n=3), and a novel CTX-M-type beta-lactamases were also detected. CONCLUSIONS: It is concluded that diversity of ESBLs in K. pneumoniae isolates are increasing in Korea. CTX-M-12 has never been reported in Asia, and a novel CTX-M-type ESBL has emerged. PMID- 18156695 TI - [Characterization of a Toxin A-Negative, Toxin B-Positive Variant Strain of Clostridium difficile.]. AB - BACKGROUND: Clostridium difficile is one of the most important pathogens responsible for nosocomial diarrhea. Recently, we have frequently experienced culture positive, toxin A enzyme immunoassay negative strains. Therefore, we evaluated the strains with several PCR primer sets to characterize them. METHODS: A total of 351 stool specimens were examined for toxin A using enzyme linked fluorescent immunoassay (ELFA) and also cultured for C. difficile using cycloserine cefoxitine fructose agar incubated under anaerobic conditions. Spore stain and Vitek ANA identification card (BioMerieux, France) were used for identification of C. difficile. We amplified toxin A and toxin B genes in 81 isolates using primers NK1- NK2, NK3-NK2, NK9- NK11, and NK104-NK105. RESULTS: The concordance rate between ELFA and culture was 65.2% (229/351). PCR for the toxin A gene using NK1-NK2, NK3-NK2 and for the toxin B gene using NK104-NK105 showed almost the same results. However, toxin A gene PCR using NK9-NK11 showed that 45.7% (37/81) of the evaluated strains were toxin A (-)/ toxin B(+) variant strains; thus, the corrected sensitivity and specificity of the ELFA based on the PCR results for toxin A and B genes were 65.6% and 100%, respectively. CONCLUSIONS: The low sensitivity of the ELFA results for toxin A was due to the toxin A(-)/toxin B(+) variants of C. difficile, suggesting that the prevalence of the variant strains could be higher in Korea than was expected. PMID- 18156696 TI - [Infection with Scopulariopsis brevicaulis after Cosmetic Surgery of the Face.]. AB - Scopulariopsis brevicaulis is a ubiquitous soil saprophyte that commonly causes onychomycosis, accounting for 1-10% of such infections. Rarely, it may be responsible for cutaneous lesions or more severe infections, especially after traumatic or surgical injuries. We report of a 54-year-old female patient who developed facial cellulitis caused by S. brevicaulis, which occurred one year after the patient underwent cosmetic surgery of the face. The patient suffered from febrile sense, pain and a growing mass lesion on her left cheek, which were diagnosed as facial cellulitis associated with foreign material that had been implanted at the time of cosmetic surgery. Three pus cultures from the mass lesion which performed at a week interval yielded the same S. brevicaulis. Surgical removal and drainage by using liposuction procedure resulted in a favorable outcome. To our knowledge this is the first report of S. brevicaulis infection associated with cosmetic surgery in Korea. PMID- 18156697 TI - [Endogenous endophthalmitis by Aspergillus in a patient with multiple myeloma.]. AB - A 40-year-old man who had been treated for multiple myeloma, complained of decreased visual acuity of the left eye on the 30th day of admission. The nucleotide sequences of a fungal PCR product from vitreous fluid showed 99% homology with Aspergillus fumigatus (AY373851). Aspergillus spp. was isolated from vitreous fluid culture, also. Rapid diagnosis and intervention are critical elements for the Aspergillus endophthalmitis; therefore, it would be helpful to combine the fungal PCR with conventional fungus culture for clinically indicated specimens. PMID- 18156698 TI - [Evaluation of Abbott Fourth Generation HIV Antigen and Antibody Assays.]. AB - BACKGROUND: In order to reduce the diagnostic window period between the time of human immunodeficiency virus (HIV) infection and serological diagnosis, new fourth generation screening assays which detect HIV p24 antigen and specific antibody simultaneously have been developed. In this study, we evaluated the performance of a new fourth generation assay. METHODS: We compared a new fourth generation assay, Architect HIV Ag/Ab combo, with another fourth generation assay AxSYM HIV Ag/Ab combo and a third generation assay, AxSYM HIV 1/2 gO for their performance. The assays were evaluated using 3 HIV seroconversion panels, 305 sera of healthy subjects and 100 sera of patients with HBsAg or anti-HCV antibodies. Within-run and total coefficient variations of the three screening assays were analyzed for the evaluation of precision. RESULTS: Architect HIV Ag/Ab combo shortened the window period by 8.7+/-2.1 days relative to AxSYM HIV 1/2 gO and 2.0+/-2.0 days relative to AxSYM HIV Ag/Ab combo in seroconversion panels. Architect HIV Ag/Ab combo presented the best performance in precision among the three reagents; total CV for positive control was 3.6%, 9.6% and 4.6% for Architect HIV Ag/Ab combo, AxSYM HIV Ag/Ab combo and AxSYM HIV 1/2 gO, respectively. Specificities of three assays were not different in this study. CONCLUSIONS: HIV Ag/Ab combined assays reduced the diagnostic window as compared to the third generation screening assays, enabling an earlier diagnosis of HIV infection. A new fourth generation assay, Architect HIV Ag/Ab combo presents a better performance than AxSYM HIV Ag/Ab combo, showing improved seroconversion sensitivity and precision. PMID- 18156699 TI - [Experimental Application of Whole Blood Flow Cytometry to HLA Crossmatch for Renal Transplantation.]. AB - BACKGROUND: The lymphocytes separated from whole blood are used in HLA flow cytometry crossmatch (FCXM) for renal transplantation. In this study, the methodology of whole blood flow cytometry was applied to FCXM, omitting lymphocyte separation step. METHODS: In the 20 cases (including positive 5 cases) of T cell FCXM for renal transplantation, the standard assay using the separated mononuclear cells (MNC) was compared with the two variant assays using whole blood. In the latter assay, the donor whole blood was incubated with the excessive recipient serum. The red cells were lysed (lysed whole blood, LWB). Otherwise, instead of red cell lysis, the signals of T cells among whole blood (WB) were acquired using fluorescence triggering. The sample/negative control mean fluorescence intensity (MFI) ratio was calculated for the interpretation. RESULTS: The MFI ratio of the 20 cases by MNC, LWB and WB assay were 4.9+/-8.1, 5.4+/-9.7 and 4.8+/-7.8, respectively. Both LWB and WB assay were not significantly different from MNC assay (P= 0.313, 0.831, respectively, paired t test). The qualitative determinations were concordant in all cases, except for one case which was weakly positive with MFI ratio 2.2 by LWB assay. CONCLUSIONS: The assays using whole blood were comparable to the standard assay in FCXM for renal transplantation. This study indirectly supports that the variant methods can be used reliably in the case of the MNC preparation erroneously mixed with other blood cells. PMID- 18156700 TI - [Evaluation of indigenously manufactured immunochromatographic assay systems for rapid detection of hepatitis B surface antigen and antibody.]. AB - BACKGROUND: We evaluated three indigenously produced immunochromatography (ICA) kits for the rapid detection of hepatitis B surface antigen (HBsAg) and antibody to HBsAg (anti-HBs) by comparing them with a microparticle enzyme immunoassay (MEIA). METHODS: HBsAg and anti-HBs were tested by the ICA kits manufactured by three domestic companies, SD HBsAg and Anti-HBs (Standard Diagnostics, Inc., Yongin, Korea); Asan Easy Test(R) HBsAg and Anti-HBs (Asan Pharm Co., Ltd., Whasung, Korea); and GENEDIA(R) HBsAg Rapid Device and Anti-HBs Rapid Device (Green Cross MS, Inc., Yongin, Korea). RESULTS: Results by ICA agreed completely with those of MEIA in all the 20 HBsAg-negative sera and in all the anti-HBs negative sera except one sample. Among the 20 HBsAg-positive sera by MEIA, 17 were positive by ICA using Green Cross MS, 16 using Asan Pharm Co., and 13 using SD and reverse passive hemagglutination. Among the 20 anti-HBs-positive sera by MEIA, 19 were positive by ICA using Green Cross MS and Asan Pharm Co., 17 using SD, and 18 by passive hemagglutination. Elapsed time for the control and test line to be visualized in ICA might be longer and the color of the lines lighter when using SD than Green Cross MS or Asan Pharm Co. CONCLUSIONS: Three indigenously produced ICA kits are as sensitive as MEIA for the detection of anti HBs, but are less sensitive than MEIA for HBsAg. The ICA kits for the rapid detection of HBsAg might be recommended for a limited use in the clinical laboratory. PMID- 18156701 TI - [The -308 and -238 Polymorphisms of the TNF-alpha Promoter Gene in Type 2 Diabetes Mellitus.]. AB - BACKGROUND: Recently, two G --> A polymorphisms at positions -308 and -238, in the promoter of the tumor necrosis factor-alpha (TNF-alpha) gene, have been identified. These variants have been linked to estimates of insulin resistance and obesity in different ethnic groups. The objective of the present study was to investigate whether these genetic variants of TNF-alpha were associated with features of the insulin resistance in two study populations comprising type 2 diabetic patients and healthy control subjects. METHODS: We analyzed the polymorphisms of TNF-alpha gene in 198 type 2 diabetes mellitus (DM) patients and 169 healthy control subjects. We used five primers and two separate polymerase chain reaction (PCR) to detect the TNF-alpha polymorphism by the multiplex amplification refractory mutation system (ARMS) technique. RESULTS: No statistically significant difference in the -308A and -238A allele frequencies was found between patients with type 2 DM and normal controls. CONCLUSIONS: Our study does not support a major role of the nucleotide -308 or -238 substitutions of the TNF-alpha gene in the pathogenesis of insulin resistance. PMID- 18156702 TI - [Incidence and types of constitutional chromosomal abnormalities in patients with hematologic malignancies.]. AB - BACKGROUND: It is important to distinguish between the constitutional and acquired chromosomal abnormality in bone marrow of the patients with the hematologic malignancies, since the constitutional chromosomal abnormality will be continuously observed, even though in remission status of the disease. In this study, we investigated the incidence and types of constitutional chromosomal abnormalities in patients with the hematologic malignancies. METHODS: This study included 396 patients with benign hematologic disorders and 634 with hematologic malignancies. The cytogenetic analysis of bone marrow aspirates were performed by direct or/and short term culture (24-48 hours). The constitutional chromosomal abnormality was confirmed by phytohemagglutinin-stimulated 72 hour culture with peripheral blood lymphocytes. RESULTS: The incidence of constitutional chromosomal abnormalities was 2.8% in patients with benign hematologic disorders and 2.4% in patients with hematologic malignancies. Among the patients with constitutional chromosomal abnormalities and hematologic malignancies, 12 were males and 3 females. Eleven patients had an age greater than 20 years. One patient had trisomy 21, 1 reciprocal translocation, 1 robertsonian translocation, 3 sex chromosome aneuploidy and 9 inv(9). Two patients showed both constitutional and acquired chromosomal abnormalities on the same chromosome. The constitutional chromosomal abnormality was continuously observed in remission status of hematologic malignancies. CONCLUSIONS: The incidence of the constitutional chromosomal abnormalities was low in patients with hematologic malignancies, but the chromosome study with peripheral blood or skin fibroblasts may be necessary for determining accurate cytogenetic response during follow up. PMID- 18156703 TI - [Association of NQO1 Polymorphism with Multiple Myeloma Risk in Koreans.]. AB - BACKGROUND: NAD(P)H:quinone oxidoreductase 1 (NQO1) is an important enzyme in the metabolism of xenobiotics. NQO1 (609)C --> T (NQO1*2) has been reported to be associated with reduced enzyme activity, benzene-induced hematotoxicity, and acute leukemia. Incidences of multiple myeloma show interethnic variation and exposure to asbestos, petroleum products, and diesel exhaust is a risk factor for multiple myeloma. We studied the associations of NQO1 polymorphism with multiple myeloma risk, stage, and prognostic factors (hemoglobin, calcium, beta(2) microglobulin, M-protein and creatinine). METHODS: The frequency of NQO1 polymorphism was investigated in 117 myeloma patients and 166 controls. NQO1 genetic polymorphism was determined by TaqMan allelic discrimination assay. Prognostic factors were obtained from the patients' medical records. RESULTS: The frequencies of the NQO1*1/*1, *1/*2, and *2/*2 genotypes were 31.6%, 63.2%, and 5.1% in the patients, whereas the respective figures in the controls were 31.9%, 48.3%, and 19,9%. The frequency of NQO1*2/*2 was significantly lower in patients than in controls and the odds ratio (OR) was 0.24 (95% confidence interval: 0.01 0.68) to NQO1*1/*1 genotype, indicating a decreased risk for multiple myeloma. There were no significant differences in tumor stages and other prognostic factors among NQO1 genotypes. CONCLUSIONS: A risk for multiple myeloma decreased in NQO1*2/*2 genotype in Koreans. We report, for the first time, that NQO1 polymorphism is associated with multiple myeloma risk. PMID- 18156704 TI - [Three Cases of Pseudoeosinophilia Associated with Malaria Determined in the Sysmex XE-2100 Automated Hematology Analyzer.]. AB - In Korea, the incidence of malaria has been increasing in the civilian population and in the areas previously considered as noninfected. Malaria can be suspected based on the patient's symptoms and the physical findings at examination. However, for a definitive diagnosis to be made, the malaria parasites or their components must be demonstrated by laboratory tests, which will take time and require expertise. Since general screening tests, such as a complete blood cell count, are always done for patients with a fever, it can be expected that the attention of laboratory hematologists drawn to any abnormalities found in automated hematology analyzers can help reduce delays in the diagnosis of malaria even if such a diagnosis was not initially considered. We report three cases of malaria that had thrombocytopenia and pseudoeosinophilia shown in the Sysmex XE 2100 (TOA Medical Electronics, Kobe, Japan) automated hematology analyzer. It is feasible that the pseudoeosinophilia presented as a result of hemozoin-containing white blood cells may contribute to the diagnosis of malaria, especially for patients unsuspected of the disease. PMID- 18156705 TI - Comparison Between a New Low Dose Urea Capsule Test and the Conventional UBiT(R) Tablet Test for the Detection of Helicobacter pylori Infection. AB - BACKGROUND: The urea breath test (UBT) is regarded as a highly reliable, noninvasive tool for diagnosing Helicobacter pylori infection. We compared a recently developed low-dose 38 mg (13)C-urea capsule, which is able to eliminate oral urease effects and does not require positional changes during the test, with the conventionally used 100 mg (13)C-urea tablet method. METHODS: Thirty-nine volunteers were tested under informed consent with both (13)C-UBT methods, Helifinder(R) and UBiT-IR300(R), with a minimum 2-week washout period. The pre ingestion and 20-minute post-ingestion breath samples were analyzed with an isotope ratio mass spectrometer for Helifinder, and a nondispersive isotope selective infrared spectrophotometer for UBiT samples. RESULTS: Helifinder method showed excellent agreement with UBiT among 19 positive and 20 negative cases (weighted kappa value, 1.0). Helifinder results (y) showed good agreement but with a proportional bias compared to UBiT results (x) by Passing and Bablok method (y=0.551x-0.255, r=0.74, P<0.0001). CONCLUSIONS: Since the low-dose 38 mg (13)C-urea capsule (Helifinder) test, which is more convenient and economic, showed comparable results with the conventional UBiT method, it can be used as an alternative for the diagnosis of H. pylori infection. PMID- 18156706 TI - [Comparison of clinical characteristics of patients with rotavirus gastroenteritis relative to the infecting rotavirus g-p genotype.]. AB - BACKGROUND: Group A rotavirus is a major cause of severe diarrhea in children throughout the world. For the proper management of rotavirus infections, it will be helpful to know their clinical characteristics according to the G and P genotypes of the infecting virus. METHODS: The diarrheal stool specimens from patients hospitalized in Chosun University Hospital during 2002-2003 were tested for rotavirus by Dipstick 'Eiken' Rota kit. Rotavirus antigen-positive stool specimens were analyzed for group A rotavirus by RT-PCR, and the group A-positive PCR products were genotyped for P and G types by PCR. RESULTS: Among the 119 specimens analyzed for genotypes, the predominant strain was genotype G4P[6] (51.3%), followed by G2P[4] (19.3%), G1P[8] (7.6%), G3P[8] (5.0%), and G9P[8] (4.2%). To examine the characteristics of each rotavirus genotype, a clinico epidemiological study was performed for 100 patients whose medical records were available. The frequencies of diarrhea, vomiting, dehydration, and fever; the rates of nosocomial infection and transfer from other hospitals; and the mean severity scores were significantly different among the patients infected with different types of rotavirus. Especially, patients with G4P[6] type were more likely than those infected with other genotypes to show the following distinct features: Most patients showed milder symptoms and were neonates transferred from other obstetric hospitals and 68.4% of the cases were nosocomial infection. G4P[6] strains were isolated almost all along the year. The mean severity scores of patients infected by G4P[6], G2P[4], G1P[8], G3P[8], and G9P[8] strains were 6.8, 9.5, 8.0, 9.0, and 10.8, respectively. CONCLUSIONS: Many features of rotavirus infections including the epidemic period, rate of nosocomial infection, age and severity of symptoms were different according to the genotypes of the infecting virus. PMID- 18156707 TI - [Clinical Relevance of Positive NOW(TM) Legionella Urinary Antigen Test in a Tertiary-Care Hospital in Korea.]. AB - BACKGROUND: The morbidity and mortality of Legionnaires' disease are not established in Korea, because patients with community-acquired pneumonia (CAP) have rarely been investigated for Legionella. An assay for Legionella antigen in urine has been approved as one of the diagnostic criteria of Legionnaires' disease. Binax Now(TM) Legionella Urinary Antigen Test (LUA) was introduced in Asan Medical Center in July 2002. The purpose of this study was to evaluate the clinical relevance of positive LUA. METHODS: During the 39-month period from July 2002 to September 2005, the medical records of LUA-positive patients were reviewed for demographic findings, laboratory findings, clinical diagnosis, antimicrobial treatment, outcome, and acquisition of infections. Diagnosis of Legionnaires' disease was based on National Nosocomial Infections Surveillance (NNIS) criteria for defining nosocomial pneumonia. RESULTS: Seven (0.3%) of the 2443 patients tested for LUA were positive. All 7 patients were consistent with the diagnostic criteria of Legionnaires' disease; six patients were diagnosed with CAP and one patient was admitted due to nosocomial pneumonia. Six patients were treated with azithromycin or ciprofloxacin but one patient was not treated for Legionella infection. With the report of LUApositive results, a Legionella targeted treatment was started in two patients and an inappropriate empirical therapy was ceased in one patient. All patients treated with Legionella-targeted treatment improved clinically except one who died of adult respiratory distress syndrome at the first hospital day. CONCLUSIONS: Positive LUA is useful in diagnosing Legionnaire's disease at an early stage and in helping to initiate appropriate treatments in a tertiary-care hospital in Korea. PMID- 18156708 TI - [Production of Antibody against Helicobacter pylori HP0231.]. AB - BACKGROUND: Stool antigen detection kits for diagnosis of infection of Helicobacter pylori have been widely used for their convenience, but are mostly imported. Since Helicobacter pylori strains show a distinctive genetic diversity, it is important to find a protein that is a common antigen among various strains and shows a strong immunogenicity for the development of a stool antigen detection kit. HP0231 protein strongly reacts with the sera of patients suffering from gastritis and peptic ulcer. Therefore, HP0231 is an excellent candidate as a target gene for this study. METHODS: Chromosomal DNA from H. pylori was isolated. HP0231 gene was amplified by PCR, cloned into pET28a(+) vector, and overexpressed using isopropyl-beta-D-thiogalactopyranoside in E. coli BL21 (DE3). HP0231 protein was purified by Ni-NTA affinity chromatography followed by electroelution after SDS-PAGE. Rabbits were immunized with the purified HP0231 protein for the production of antibodies. Rabbit anti-HP0231 antibody was partially purified and tested for the sensitivity and specificity using ELISA and Western Blot Analysis. RESULTS: The sequence of the cloned HP0231 gene was identical with the gene sequence from Genbank (AA216016). HP0231 gene was overexpressed and HP0231 protein was purified. Rabbit anti-HP0231 antibody produced after immunization with the purified HP0231 protein reacted with the purified HP0231 protein, cell extracts from cultured H. pylori, and stomach biopsy tissue from patients, but not with cell extracts from cultured E. coli used as a negative control. After 1 million fold dilution, rabbit anti-HP0231 antibody still reacted with 1 microg of HP0231 protein. CONCLUSIONS: Rabbit anti-HP0231 antibody was produced to detect HP0231 protein of H. pylori and will be tested for the development of a stool antigen detection kit for H. pylori. PMID- 18156709 TI - [A Case of Catheter-Related Bacteremia by Arthrobacter woluwensis.]. AB - Arthrobacter woluwensis, a catalase-positive coryneform bacterium recognized as an opportunistic pathogen, was repeatedly isolated from the blood of a 56-year old male patient with metastatic colon cancer. The isolate was identified by various phenotypic tests and by sequencing analysis of 16S rRNA. Antimicrobial susceptibility testing was performed by E-test; the MICs to vancomcyin, cefotamine, and penicillin were 1.5 microg/mL, >64 microg/mL, and 4 microg/mL, respectively. The patient was treated with vancomycin, and the subclavian catheter, which was presumed to be the source of the infection, was removed. Thereafter, repeated blood cultures did not grow the organism. The infections of human caused by A. woluwensis have not been reported previously in Korea, probably because of the difficulty of identifying Arthrobacter strains by conventional biochemical tests. PMID- 18156710 TI - [Resolution of ABO Discrepancies by ABO Genotyping.]. AB - BACKGROUND: Before a blood transfusion, both red cell and serum typing need to be matched for ABO tests on the donor and patient (recipient). When a mismatch exists in the tests, additional ABO genotyping and serological tests are required for the resolution of the discrepancy. We performed ABO genotyping on a series of blood donors and patients with ABO discrepancies to assist in resolving their blood groups. METHODS: We examined 46 samples with ABO discrepancies from a random pool of donors recruited at Gwangju-Chonnam Red Cross Blood Center and from patients at Chonnam National University Hospital between May 2004 and July 2005. ABO genotyping was performed on all samples with an allele specific polymerase chain reaction for differentiation of A, B,O, cis-AB, A(var) (784 G>A), and B(var) (547 G>A) alleles; routine serologic tests were also performed. Exon 6 and 7 of ABO gene from five samples were sequenced. RESULTS: The genotypes of 18 donors/patients with weakened A or B antigen expressions consisted of 4 cases of cis-AB/O (3 A(2)B(3), 1 A(2)B); 5 cases of cis-AB/A (5 A(1)B(x or el)); 2 cases of A/O (1 O, 1 A(m or x)); 1 case of B/O (1 B(m or x)); 4 cases of A/B (1 A(2)B , 1 A(1)B(x or el), 2 A(1)B(3)); and 2 cases of A(var)/B (2 A(w)B). On the other hand, the genotypes of 28 samples with unexpected serum reactions included 18 cases of A/O (16 A(1), 2 A(int)); 7 cases of A/A (5 A(1), 1 A(1)B(x or el), 1 A(1)B(w)); and 3 cases of O/O (1 O, 2 B(w)). CONCLUSIONS: ABO genotyping is useful for differentiating the ABO discrepancies that were difficult to resolve by serological tests. The most frequent unusual red cell reactions were weak A and B antigen expressions, which were resulted from the ABO subgroup alleles including cis-AB allele, whereas the most frequent unusual serum reactions were caused by decreased anti-B titers. PMID- 18156711 TI - Gene frequencies of human neutrophil antigens 4a and 5a in the korean population. AB - BACKGROUND: In Korean population, antigen frequencies of HNA-1a, HNA-1b, and HNA 2a are determined using a serological and genotyping method. However, no study has been done to assess the gene frequencies of HNA-4a and HNA-5a. It has been reported that the antibody against HNA-4a is associated with alloimmune neutropenia and autoimune neutropenia; however, there is no confirmed clinical report on anti-HNA-5a-related disorders. The aim of this study was to determine HNA-4a and HNA-5a gene frequencies among the Korean population. METHODS: Genotyping of HNA-4a and HNA-5a genes of 110 healthy and unrelated Korean donors was performed using a polymerase chain reaction with sequence-specific primers and an allelespecific restriction enzyme analysis. RESULTS: We found that the gene frequencies of HNA-4a and HNA-5a were 0.99 (107/110) and 0.96 (3/110), respectively, among the Korean population. But only the ones of the latter was significantly higher (P<0.01) than in the one of Caucasians. CONCLUSIONS: The gene frequencies of HNA-4a and HNA-5a were determined. We also identified an individual who was the HNA-5a-negative homozygote for the granulocyte panel that could be used for anti-HNA-5a antibody identification. PMID- 18156712 TI - [A splenectomy in plasma exchange refractory thrombotic thrombocytopenia purpura.]. AB - Thrombotic thrombocytopenic purpura (TTP) is characterized by microangiopathic hemolytic anemia, thrombocytopenia, fever, and variable abnormalities in renal function and mental status. The pathogenesis of TTP is related to an inhibitor or deficiency of the von Willebrand factor (vWF)-cleaving protease (a disintegrin and metalloprotease with thrombospondin type 1 repeats; ADAMTS-13) that cleaves the large vWF multimers. Uncleaved, large vWF molecules are present in TTP and induce thrombosis in small vessels. Even though plasma exchange was proven effective in TTP, 20-40% of the cases showed refractory to plasma exchange. We describe a 41 years old female with plasma exchange refractory TTP who was completely recovered from anemia, thrombocytopenia, and accompanying symptoms following splenectomy. PMID- 18156713 TI - [Amniotic chromosomal analysis in pregnant women identified by triple-marker testing as screen positive.]. AB - BACKGROUND: Maternal serum triple marker screening (alpha-fetoprotein, human chorionic gonadotropin, and unconjugated estriol) can detect 60-70% of Down syndrome and 60% of Edwards syndrome. Previous studies have reported that positive serum screening is related to other fetal chromosomal abnormalities, pregnancy complications, and adverse outcomes. We determined the incidence and karyotype of chromosomal abnormalities in screen positive women and evaluated a relationship between chromosomal and ultrasonographic abnormalities. METHODS: Of the 49,806 pregnant women between 15 and 23 weeks' gestational age who received prenatal serum screening with a cut-off value (a risk of 1:270 for Down and 1:100 for Edwards syndrome), 2,116 (4.2%) and 196 (0.4%) were screen positive for Down syndrome and for Edwards syndrome, respectively. Chromosomal analysis in amniotic fluid was performed for 1,893 (89.5%) of the Down positive and 140 (71.4%) of the Edwards positive pregnant women. Ultrasonographic examination was performed to detect fetal abnormalities. RESULTS: Eighty-three cases of chromosomal abnormalities including 40 trisomy 21 (2.1%) and 43 other chromosomal abnormalities (2.3%) were identified in the Down screen positive. Other chromosomal abnormalities included 9 numerical and 34 structural abnormalities. Ten cases of chromosomal abnormalities (9 trisomy 18 and 1 trisomy 9) were detected in the Edwards screen positive. Ultrasonographic abnormalities were found more frequently in the women who had chromosomal aberrations. CONCLUSIONS: These data suggest that 4.4% of the Down screen and 7.1% of the Edwards screen positive pregnancy have fetal chromosomal abnormalities. Positive Down screening results reflect a relatively high probability of other abnormalities except trisomy 21. Edwards screen positive group show a low frequency of other chromosomal abnormalities except trisomy 18. A simultaneous use of maternal serum screening and ultrasonograms could be useful for the diagnosis of fetal abnormalities. PMID- 18156714 TI - [Identification of Y-chromosome by Molecular Analysis in Patients with Turner Syndrome.]. AB - BACKGROUND: It is known that the Y chromosome or Y-specific sequence is present in about 6% of Turner syndrome (TS) patients and that it predisposes them to gonadoblastoma formation with an estimated risk of 15-25%. In this study, we performed a polymerase chain reaction (PCR) in 32 patients with TS to detect Y specific sequence. The results were compared with those obtained by the fluorescence in situ hybridaization (FISH) method. METHODS: Cytogenetic analysis was performed by phytohaemagglutinin (PHA)-stimulated peripheral lymphocyte cultures, using G-banding. DNA was extracted from peripheral blood for PCR. Seven different sets of oligonucleotide primers, sex determining region Y (SRY), zinc finger gene on the Y chromosome (ZFY), testis specific protein Y (TSPY), DYZ3, DYF49S1, RNA binding motif protein (RBM), and DYZ1, spanning on centromeres and short and long arms of the Y chromosome were used for PCR. FISH was carried out using X and Y chromosome enumeration probe for Xp11.1-q11.1 (DXZ1 locus) and Yp11.1-q11.1 (DYZ3 locus), respectively. RESULTS: Among 32 patients with TS, four (12.5%) were positive for Y specific sequence by PCR. Of these, two patients were detected previously by a cytogenetic analysis: 45,X/47,XYY and 45,X/46,XY. Only one Y specific sequence, DYZ3, was detected by PCR in the other two patients without cytogenetically obvious Y chromosome. Y signal was not detected by FISH for the last two patients. CONCLUSIONS: It may be reasonable to consider using a PCR method to screen for Y-specific sequences in all patients with TS. Even though we did not demonstrate Y-signal by FISH in patients with PCR positive and cytogenetically no obvious Y chromosome, FISH may be another useful method in TS patient, and futher investigation is nessessary. PMID- 18156715 TI - [Establishment and management of medical genetic clinic based on genetic testing network.]. AB - BACKGROUND: With the progress of the Human Genome Project, genetic testing has become widely available and useful for the confirmation and treatment planning of various conditions. Additionally, the need for genetic counseling and consultation service has been increasing. We tried to establish and manage a medical genetic clinic within the department of laboratory medicine by using a genetic testing network. METHODS: An Inter-laboratory network has been organized between Soonchunhyang University Bucheon Hospital and Samsung Medical Center since January, 2005. As clinical laboratory physicians, we provide medical services ranging from genetic counseling to genetic testing. In this study we surveyed the need and demand for genetic consultation services using a questionnaire. RESULTS: Of the 30 cases that were requested to receive a genetic consultation, 24 were referred to the genetic clinic during the last 11 months. Of these, 18 underwent genetic tests. The request for genetic consultation came mainly from neurology, obstetrics, and pediatrics departments and the distribution of requested disease entities was very heterogeneous. Operating processes became more settled compared to the early period and specific work fields were secured in the genetic consultation services. Over 80% of the respondents replied that a medical genetic clinic was important and that public relations campaign should be continued. CONCLUSIONS: Establishment of a medical genetic clinic by using a genetic testing network has led to important changes that the department of laboratory medicine is most suitable for genetic testing and medical genetic consultations and laboratory physicians should be concerned in that field. A medical genetic consultation system based on extensive genetic information and knowledge could enhance opportunities for cooperation in genetic research. PMID- 18156716 TI - [A granulocytic sarcoma of right uterine adnexa region as an extramedullary relapse in a patient with chronic myeloid leukemia.]. AB - Granulocytic sarcoma of the uterine adnexa is a rare event. A 50-year-old woman, who had previously been diagnosed as chronic myeloid leukemia (CML), but had a complete hematologic response, presented with lower abdominal pain and a large pelvic mass involving the right uterine adnexa region and extending to the right posterior wall of the bladder and right distal ureter. A biopsy of the uterine adnexa revealed granulocytic sarcoma, and a subsequent bone marrow biopsy confirmed the diagnosis of CML in the blastic phase. PMID- 18156717 TI - [Laboratory evaluation of bone metabolism index using elecsys 2010.]. AB - BACKGROUND: Bone markers can provide a prognostic information about the risk of osteoporotic fracture and are useful tools for monitoring the efficacy of antiresorptive therapy. We evaluated the analytical performance of the bone markers of Elecsys 2010 (Roche Diagnostics Corp., Indianapolis, USA). METHODS: We evaluated the analytical performance of the Elecsys 2010 for serum parathyroid hormone (PTH), osteocalcin, and serum bone-derived degradation products of type I collagen C-telopeptide (S-CTX) using control material and patients' specimens. For the comparison studies, an immunoradiometric assay was used for PTH and an ELISA for serum osteocalcin and serum bone-derived degradation products of type I collagen N-telopeptide (S-NTX). We established the reference intervals of S-CTX and serum osteocalcin by analyzing 4569 Korean healthy subjects according to sex and age. RESULTS: Within-run and total CV of most items were below 5% except S CTX low level (5.42%). Elecsys 2010 showed a good linearity (r>/=0.99, P<0.01). Good correlations with other methods were found in osteolcalcin (r=0.95, P<0.01) and PTH (r=0.96, P<0.01). S-CTX showed a good correlation with S-NTX (r=0.76, P<0.01). Reference intervals of serum osteocalcin (ng/mL) and S-CTX (ng/mL) were 9.58-33.62 and 0.18-0.89, respectively, in adult male, 8.00-31.46 and 0.11-0.81 in 31-50 years old female, and 8.30-43.50 and 0.11-1.00 in 51-80 years old female. CONCLUSIONS: Elecsys 2010 bone markers showed a satisfactory precision, linearity, and a good correlation with other methods. With its 'one system-many capabilities' features, Elecsys 2010 would be a useful tool for measuring bone metabolism indices. PMID- 18156718 TI - [Identification of Nontuberculous Mycobacteria by Sequence Analysis of the 16S Ribosomal RNA, the Heat-shock Protein 65 and the RNA Polymerase beta-Subunit Genes.]. AB - BACKGROUND: The diagnosis of diseases caused by nontuberculous mycobacteria (NTM) is difficult, because NTM are prevalent in the environment such as soil and water, and because they have fastidious properties. In this study we investigated clinical isolates of NTM for their distribution pattern and accurate species identification. METHODS: We selected presumptive NTM isolates negative for probe hybridization for M. tuberculosis complex, cultured in a third referral hospital from 21 January 2003 to 20 January 2004. Ninety seven-isolates were identified to the species level by direct sequencing of fragments of 16S rRNA, hsp65 and rpoB genes. A total of 120 isolates were studied for the distribution analysis. RESULTS: Frequently identified NTM species were M. avium (30.8%), M. intracellulare (23.3%) and M. abscessus (18.3%). Others were M. gordonae, M. senegalense, M. fortuitum, M. peregrinum, M. kansasii, M. terrae complex, M. lentiflavum, M. chelonae, and M. szulgai. Three M. tuberculosis complex (2.5%) were also identified among the presumptive NTM isolates. The identification rate by sequencing of 16S rRNA, rpoB, and hsp65 were 65%, 82% and 87%, respectively. The hsp65 or rpoB gene was more efficient than 16S rRNA for the identification of NTM by sequencing. CONCLUSIONS: Some NTM are increasingly considered to be the causative organisms in clinical diseases. Thus, direct sequencing could be adapted to routine work of clinical laboratories for accurate identification of NTM to the species level. PMID- 18156719 TI - [Isolation of nontuberculous mycobacteria using polymerase chain reaction restriction fragment length polymorphism.]. AB - BACKGROUND: The isolation rate of nontuberculous mycobacteria (NTM) in clinical laboratories and the incidence of NTM infections are on the increase recently in Korea, but there have been only a few studies that reveal the general aspect of NTM isolation or species distribution. Therefore, this study was performed to examine the isolation rate of NTM, species identification, and the clinical significance of mycobacterial cultures. METHODS: From August 2004 to May 2005, we examined mycobacterial isolates by AccuProbe test to differentiate NTM from Mycobacterium tuberculosis complex. NTM was then identified by polymerase chain reaction-restriction fragment length analysis (PCR-RFLP). RESULTS: A total of 6,742 specimens from 2,784 patients were requested for mycobacterial culture. Mycobacteria were isolated from 776 specimens (11.5%). The isolation rates of NTMs among the total culture positive specimens and culture positive sputum specimens were 24.4% (189/776) and 25.3% (169/667), respectively. Fourteen species of NTM identified in 172 of the 175 specimens tested included M. avium (39.0%), M. intracellulare (22.7%), and M. abscessus (19.8%). CONCLUSIONS: Using AccuProbe tests and PCR-RFLP method for mycobacterial cultures processed in a clinical laboratory, we were able to identify NTMs to the species level. The isolation rate of NTM in this study was similar to that reported in past studies in Korea. In addition, we found that some of the NTMs isolated in this study could cause pulmonary diseases. PMID- 18156720 TI - [Clinical Characteristics of Extended-spectrum beta-lactamase Producing Shigella sonnei Infection Outbreaked in Chungju Area.]. AB - BACKGROUND: An outbreak of extended-spectrum beta-lactamase (ESBL)-producing Shigella sonnei enteritis, especially in pediatric populations, was unprecedented not only in Korea, but also throughout the world in the past. This study was intended to devise a management guideline for shigellosis caused by an ESBL producing strain based on analysis of the clinical manifestations and response to therapy. METHODS: We examined 24 strains of S. sonnei isolated from stool cultures of patients with acute enteritis, between November 2004 and February 2005, for antimicrobial susceptibility and ESBL production, and we also performed DNA sequencing with PCR for the typing of ESBL genes. In addition, we retrospectively analyzed the clinical characteristics, laboratory results, and therapeutic responses to antibiotics of the 103 patients who grew S. sonnei on stool cultures. RESULTS: All 24 isolates showed a very similar antibiotic sensitivity pattern and were ESBL gene type of CTX-M-14. The most frequent clinical symptom in the 103 patients was a fever, followed by diarrhea, abdominal pain, headache, vomiting, and nausea. Leukocytosis and CRP were positive in 53.4% and 78.6% of the patients, respectively. On stool direct smears, 11.7% showed more than 50 WBCs per HPF and 71% were positive on stool occult blood. Microbiological eradication rates were as follows: azithromycin and ciprofloxacin, 100%; imipenem-cilastatin, 68.8%; ampicillin-sulbactam, 42.9%; amoxicillin-clavulanic acid, 20%; ceftizoxime, 12.5%; cefdinir, 6.9%; and ceftriaxone and trimethoprim-sulfamethoxazole, 0%. CONCLUSIONS: We presumed that, given its cost-effectiveness and safety, azithromycin can be an attractive option for the treatment of ESBL-producing S. sonnei enteritis in pediatric populations. Although ciprofloxacin is another cost-effective agent, its use in pediatric populations is not recommended. PMID- 18156721 TI - [Comparison of In-house Polymerase Chain Reaction Assay with Conventional Techniques for the Detection of Mycobacterium tuberculosis.]. AB - BACKGROUND: The polymerase chain reaction (PCR) assay, introduced as a fast and sensitive diagnostic method, has been known to be useful in detecting Mycobacterium tuberculosis. Therefore the purpose of this study was to evaluate the usefulness of an in-house PCR assay in the detection of Mycobacterium tuberculosis by comparing PCR results with those of conventional diagnostic techniques. METHODS: We assessed the diagnostic yield of the in-house PCR assay retrospectively based on the patient's medical records using data from previously evaluated specimens submitted for PCR amplification IS6110 sequences by GeneAmp PCR system 9600 (Perkin Elmer, CT, USA). All samples had been examined for detection of M. tuberculosis by acid-fast stain and culture assay and the results from the 3 methods were analyzed. RESULTS: The majority of cases (1,727 cases, 96.6%) showed concordant results between in-house PCR, AFB stain, and culture methods; only 60 cases (3.4%) displayed discordant results. The sensitivities, specificities and positive and negative predictive values of each method were as follows: 81.0%, 99.6%, 95.0% and 98.4%, respectively for the in-house PCR; 63.4%, 100%, 100% and 96.9%, respectively for AFB staining method; and 83.8%, 100%, 100% and 98.6%, respectively for culture assays. CONCLUSIONS: The PCR assay shows a high sensitivity and specificity and is a reliable test for an early diagnosis of tuberculosis. PMID- 18156722 TI - [Clinical Usefulness of Antimicrobial Susceptibility Test for Helicobacter pylori.]. AB - BACKGROUND: Antimicrobial resistance of Helicobacter pylori is considered as the main cause of failure of eradication therapy. Because resistance to metronidazole has been reported in 25.8% to 66.2% of H. pylori, a combination of proton pump inhibitors (PPI), amoxicillin, and clarithromycin is currently recommended as a primary therapy. We investigated the prevalence of antimicrobial resistance to the primary drugs and the impact of antimicrobial resistance on eradication rates. METHODS: Between May and August 2005, H. pylori isolates from 93 patients were tested for antimicrobial susceptibility at Asan Medical Center. Susceptibility tests of clarithromycin and amoxicillin were performed by the disk diffusion method and those of metronidazole and tetracycline by Etest (AB Biodisk, Solna, Sweden). The medical records of the patients were reviewed to collect the data such as demographic findings, previous and current eradication therapies, and bacteriological outcome. The appropriate therapy was defined as three-drug-combination including susceptible drugs only, or four-drug-combination including metronidazole in the case of metronidazole-resistance. RESULTS: Resistance rates to clarithromycin and metronidazole were 17.2% and 33.3%, respectively, but there was no resistance to tetracycline and amoxicillin. The eradication was successful in 32 of the 36 patients (88.9%) who received the appropriate therapy, but none of 4 patients who received an inappropriate therapy (P<0.01). CONCLUSIONS: Resistance to clarithromycin seemed to increase and contribute to the failure of eradication therapy. For the appropriate therapy of H. pylori infection, the susceptibility results should be reported before initiation of the eradication therapy. PMID- 18156723 TI - [Development of enzyme linked immunosorbent assay for erythropoietin.]. AB - BACKGROUND: The aim of our study was to optimize and establish erythropoietin (EPO) enzyme linked immunosorbent assay (ELISA) system. METHODS: We prepared several monoclonal and polyclonal antibodies specific to human-EPO. The best combinations of antibodies for coating and detecting antibodies were selected for the establishment of ELISA. We tested several methods such as a competitive EIA and a sandwich ELISA. RESULTS: The best sandwich ELISA was optimized compared to competitive EIA when purified polyclonal antibody (PoAb) was used as a coating antibody and biotinylated PoAb as a detecting antibody. This sandwich ELISA easily detected EPO when PoAb pairs were used compared to the ELISA using monoclonal antibody and PoAb. There were no significant differences between the effects of various blocking solutions on the performance of sandwich ELISA using biotinylated antibody. The ELISA system using PBST containing 3% BSA as a blocking solution can sensitively detect EPO (10 mU/mL) in a broad range of EPO concentrations (10-2,000 mU/mL) and there were cross-reactions with other cytokines). CONCLUSIONS: EPO can be easily determined by using biotinylated PoAb as a detecting antibody and another PoAb as a coating antibody. PMID- 18156724 TI - [Detection of platelet specific antibodies by modified antigen capture ELISA test.]. AB - BACKGROUND: Autoimmune thrombocytopenia (AITP) is characterized by autoantibody induced platelet destruction. Although several studies have shown that pathogenic autoantibodies are mainly IgG directed platelet glycoproteins (GP), a platelet GP specific test is not available in clinical laboratories. The aim of this study was to evaluate the clinical usefulness of a Modified Antigen Capture Enzyme linked immunosorbent assay (MACE) test in the diagnosis of AITP. METHODS: We investigated fifty-seven patients who showed a platelet count lower than 100 x 10(9)/L and underwent a bone marrow examination. They were classified into primary AITP (P-AITP) (n=21), secondary AITP (S-AITP) (n=15), and non-immune thrombocytopenia (NITP) (n=21) by bone marrow findings and clinical diagnosis. Platelet GP (IIb/IIIa, Ia/IIa, Ib/IX, IV)-specific antibodies and anti-HLA class I antibody were detected by MACE test. RESULTS: Among 57 samples, platelet GP specific antibodies were detected in 8 (22.2%) of 36 patients with AITP and 1 (4.8%) of 21 patients with NITP. The specificities were as follows: GP IIb/IIIa (n=4), GP Ia/IIa (n=5), GP Ib/IX (n=3) and GPIV (n=2). Of the nine patients with platelet GP specific antibodies, four (44.4%) had more than two platelet GP specific antibodies. The sensitivity, specificity, positive predictive value and negative predictive values of the MACE test for AITP were 22.2%, 95.2%, 88.9%, 41.7%, respectively. A previous transfusion history was associated with a higher detection rate of anti-HLA class I antibodies (P<0.05). CONCLUSIONS: The MACE test is a convenient method to detect platelet GP specific antibody and is very specific to diagnose AITP. In clinical practice, even though it is not sensitive, the MACE test would be useful in differentiating AITP from NITP. PMID- 18156725 TI - [CD56/CD16 Expression on Mononuclear Cells and Concentration of Serum TNF-alpha in Recurrent Spontaneous Abortion.]. AB - BACKGROUND: Recurrent spontaneous abortion (RSA) is defined as the occurrence of three or more consecutive spontaneous abortion before 20 gestational weeks. But, 40-50% of RSA still remain "unex-plained". Cytokines seem to play a critical role in the pathogenesis of unexplained RSA, and Th1 cytokines have been shown to exert deleterious effects on pregnancy. NK cytotoxicity has been reported to be predictive of subsequent abortion in women who had unexplained recurrent abortions. The aim of this study was to investigate immunophenotypic characteristics of peripheral blood mononu-clear cells and evaluate Th1 cytokine (TNF-alpha) production in women with RSA. METHODS: The study group comprised 93 women with RSA, and the control group consisted of 40 healthy pregnant women. The population of CD56/CD16 cells was observed by using a two-color scattergram in FACScan (Becton Dickinson, San Jose CA, USA). Concentration of TNF-alpha was measured by an enzyme-linked immunoabsorbant assay (ELISA) using commercial kits (NEOGEN corporation, Lexington KY, USA). RESULTS: The percentage of CD56+/CD16 cells were significantly higher (P<0.05) in the patients with RSA (13.40+/-7.95%) than in the pregnant control group (9.12+/-3.93%). We observed a significantly higher level of TNF-alpha (medians: 85.59+/-8.29 pg/mL versus 44.80+/-9.78 pg/mL; P<0.05) in RSA women compared to controls. CONCLUSIONS: This study indicates that an increased proportion of CD56+/CD16-mononuclear cells and increased level of serum TNF-alpha are related to RSA. Thus, the two factors could be used as an indicator of subsequent successful implantation and maintenance of gestation. PMID- 18156726 TI - [Usefulness of NaCl/Enzyme Gel Test for the Identification of Unexpected Antibodies.]. AB - BACKGROUND: The microcolumn assay technique offers significant advances in identification of unexpected antibodies; however, some erythrocyte antibodies still remain unidentified. To see if NaCl/Enzyme test is useful for the identification of antibodies, we compared the LISS/Coombs and NaCl/Enzyme tests for identification rates, and investigated an association between the frequency of each antibody and a history of transfusion or gestation. METHODS: From June 2004 to June 2005, antibody screening tests were carried out on 5,517 patients using the LISS/Coombs gel test (DiaMed AG, Switzerland). When antibodies were detected, antibody identification tests were carried out with the LISS/Coombs and NaCl/Enzyme gel tests (DiaMed AG) simultaneously. RESULTS: Unexpected antibodies were detected in 79 patients (1.43%). These antibodies were identified in 39 (49.4%), 59 (74.7%), and 68 patients (86.1%) by the LISS/Coombs test, the NaCl/Enzyme test, and the two tests combined, respectively. With the addition of the NaCl/ Enzyme test, unexpected antibodies were further identified in 29 cases (anti-Lewis, 14; anti-Rhesus, 13; and anti-P1, 2). On the other hand, 9 cases (anti-M, 5; anti-Fy(b), 3; and anti-N, 1) were identified by the LISS/Coombs test only. Of the unexpected antibodies found in patients without a previous history of transfusion or gestation, anti-Lewis (50.0%, 10/20) was the most common, while in patients with the history anti-Rhesus (48.1%, 26/54) was the most frequent. CONCLUSIONS: The NaCl/Enzyme combined with LISS/Coombs gel test was useful for the identification of unexpected antibodies, and antibodies found in patients without a previous history of transfusion or gestation were clinically less relevant than those found in patients with the history. PMID- 18156727 TI - Apolipoprotein e polymorphism in ischemic stroke patients with different pathogenetic origins. AB - BACKGROUND: The association of apolipoprotein E (apoE) polymorphism with interindividual variability of serum lipid concentrations and the initiation and progression of atherosclerosis is inconclusive. This study was performed to explore the associations of apoE with lipid concentrations and ischemic stroke in patients with large artery atherosclerosis (LAA) subgroup or without atherosclerotic vascular lesions (small artery occlusion, SAO) subgroup through a case-control study among the Korean population. METHODS: The ischemic stroke group (n=194) was subdivided into an LAA subgroup (n=112) and a SAO without atherosclerotic lesion subgroup (n=82). An age-matched healthy control group (n=168) was recruited. Serum lipid concentrations were measured and apoE genotypes were determined by real-time PCR and melting curve analysis with the LightCycler (Roche Diagnostics). RESULTS: The frequency of the epsilon4 carriers was significantly higher in the ischemic stroke group (22.7%) than in the control group (11.9%) (P=0.01). However, the frequency of epsilon4 carriers showed no difference between the LAA and SAO subgroups (22.3% vs 23.2%, P=0.89). The adjusted low density lipoprotein cholesterol (LDLc) concentration was significantly higher in ischemic stroke group than in control group (P=0.04), but showed no significant differences in all lipid concentrations between the LAA and SAO subgroups. LDLc concentrations were lower in epsilon2 carriers than in epsilon3 and epsilon4 alleles, but showed no difference between the epsilon4 carriers and epsilon3 allele. CONCLUSIONS: Although there was an association between the epsilon4 allele and ischemic stroke and between the LDLc concentration and ischemic stroke, there was no significant difference in the lipid concentrations and distribution of apoE genotypes between the LAA and SAO subgroups. Therefore, the epsilon4 allele may have different effects on the ischemic stroke that are independent of the atherosclerotic mechanism by high LDLc concentration. PMID- 18156728 TI - [Comparison between Real-Time PCR and Agarose Gel Electrophoresis for DNA Quantification.]. AB - BACKGROUND: Real-time polymerase chain reaction (PCR) is generally regarded as a very accurate and time-saving method, but it is expensive to run. We evaluated the reliability of an inexpensive and a researcher-friendly gel electrophoresis based PCR method for the quantification of mRNA, and the results were compared with those obtained by real-time PCR. METHODS: We compared the results of relative quantification for MMP-1 measured by real-time PCR and by ethidium bromide stained-agarose gel electrophoresis after end-point PCR. RESULTS: There was significant but very weak correlation between real-time PCR and end-point PCR for relative quantification of MMP-1 (r=0.16, P<0.01). CONCLUSIONS: Our results suggest that the use of the gel electrophoresis-based end-point PCR is inappropriate for quantifying mRNA. Therefore, in order to confirm the result of relative quantification by end-point PCR, the newly established real-time PCR method or northern hybridization should be applied. PMID- 18156729 TI - [A Case of Acute Lymphoblastic Leukemia with ider(9)(q10)t(9;22)(q34;q11.2).]. AB - ider(9)(q10)t(9;22)(q34;q11.2) is an isochromosome for the long arm of a derivative chromosome 9 generated by a t(9;22), resulting from the deletion of the short arm of chromosome 9. It is known to be rarely observed in acute lymphoblastic leukemia (ALL) or lymphoblastic crisis transformed from chronic myelogenous leukemia. We herein describe a 26-year-old female patient with precursor B-cell ALL, cytogenetically characterized by ider(9)(q10)t(9;22). Fluorescence in situ hybridization analysis showed two ABL-BCR fusion signals on the derivative chromosome 9 and one BCR-ABL fusion signal on the derivative chromosome 22. Although a t(9;22) and a deletion of the short arm of chromosome 9 are known to be associated with a poor prognostic factor in acute lymphoblastic leukemia, a larger study is needed to determine the prognosis of ider(9)(q10)t(9;22) cases. PMID- 18156730 TI - [Correlation of In-training Examination Score with the Residency Program or the Score of the Board Examination of Laboratory Medicine.]. AB - BACKGROUND: An in-training examination is given annually to the all laboratory medicine residents of in Korea. The purpose of this study was to evaluate the results of the in-training examinations according to the examinees' postgraduate years, a number of teaching faculty members and hospital beds, and the score of the board examination. METHODS: A total number of examinees during the 5-year period from 2001 to 2005 were 311. All residents took the same in-training examinations given each year irrespective of the postgraduate year (PGY). RESULTS: The scores of in-training examinations increased with advance in the examinees' PGY (P<0.01). The scores were not different according to the size of teaching faculty or hospital beds (P>0.05). The correlation coefficients of each PGY scores were from 0.474 to 0.755 (P<0.01). The scores of the 4th PGY were correlated with those of the board examinations (r=0.627, P<0.001). CONCLUSIONS: These results suggest that the scores of the in-training examinations may be a valid measure of knowledge acquired by residents during their training years and provide a useful information for improving the laboratory medicine residency training program. PMID- 18156731 TI - [FLT3 Gene Mutations as a Prognostic Factor for Acute Myeloid Leukemia.]. AB - BACKGROUND: Two distinct types of fms-like tyrosine kinase 3 (FLT3) gene mutations have been identified in acute myeloid leukemia (AML): D835 and internal tandem duplication (ITD) mutations. These mutations are known to cause the proliferation of leukemic cells and inhibit the apoptosis of leukemic cells due to ligand-independent activation of their receptors. Therefore, the current study attempted to investigate the frequency of FLT3 gene mutations and their prognostic implications for AML in terms of treatment response, survival, and relapse. METHODS: Polymerase chain reaction (PCR) was performed to detect D835 and ITD mutations in 84 newly diagnosed AML patients from February 2001 to October 2004. Restriction fragment length polymorphism (RFLP) and direct sequencing were performed to analyze the D835 mutations. The results were examined based on a comparison with previously known prognostic factors, and the treatment outcomes analyzed according to the existence of the mutations in relation to the event free survival (EFS), overall survival (OS), and complete remission (CR) rates. RESULTS: D835 and IDT mutations were detected in 4.7% (4/84) and 19.0% (16/84), respectively, of the AML patients. The FLT3 gene mutations were not found to be associated with previously known prognostic factors, such as the WBC count, age, and cytogenetic risk group, but were associated with the lactate dehydrogenase levels. The EFS and OS rates were also significantly lower in the FLT3 gene mutation group, especially in AML with normal karyotypes. CONCLUSIONS: FLT3 gene mutations were observed in 23.8% of AML patients and appeared to have a prognostic implication on patient survival. Accordingly, the presence of FLT3 gene mutations, which could be tested easily by using PCR/RFLP methods, should be investigated routinely at the time of diagnosis. PMID- 18156732 TI - [Diagnostic Usefulness of SD Malaria Antigen and Antibody Kits for Differential Diagnosis of vivax Malaria in Patients with Fever of Unknown Origin.]. AB - BACKGROUND: Examination of peripheral blood smear (PBS) is the gold standard for the diagnosis of malaria; however, its diagnostic utility will be dependent on the examiner's microscopic experience, the quality of the smear, and the degree of parasitemia. Therefore, it is essential to have available a rapid and simple test that is as sensitive and specific as PBS, at a small-middle range medical center, a health care center, and a military hospital in a malaria endemic area. METHODS: Malaria antigen and antibody tests were performed on 120 febrile patients who were requested for complete blood count (CBC) and PBS at two military hospitals from May 2004 to August 2005. RESULTS: Of the 45 patients who were diagnosed with malaria by examination of peripheral blood smears, 42 were positive on both malaria antigen and antibody tests, and 2 were positive on either antigen or antibody test. Only 1 patient was negative on the both test. Furthermore, all 75 patients with negative microscopic examinations also had negative malaria antigen and antibody tests. CONCLUSIONS: The results of this study show that a rapid differential diagnosis of malaria can be made by performing malaria antigen and antibody tests on febrile patients at hospitals in malaria endemic areas. Moreover, the test is simple and convenient enough to be performed without any special equipment or experience. PMID- 18156733 TI - [Chronic Myelogenous Leukemia with a Variant Philadelphia Translocation: t(11;22)(q25;q11.2).]. AB - We report a case of chronic myelogenous leukemia displaying a variant Philadelphia translocation t(11;22)(q25;q11.2). Breakpoint 11q25 has not previously been reported. Reverse transcriptase polymerase chain reaction and fluorescence in-situ hybridization demonstrated the BCR/ABL rearrangement. PMID- 18156734 TI - [Biphenotypic Acute Leukemia with BCR-ABL mRNA Transcript b3a2 Type: A Case Report with Review of the Literature.]. AB - Biphenotypic acute leukemia (BAL) is a subtype of leukemia of ambiguous lineage in the World Health Organization classification system. About one third of the cases have the Philadelphia chromosome, and some cases are associated with other structural abnormalities involving 11q23. BAL is known to have a poor prognosis in both children and adults. According to the previously reported BAL cases with positive BCR-ABL fusion gene, most of the BCR-ABL mRNA transcript type was e1a2. So, we describe here a 30-year-old adult BAL case with the karyotype 46,XY,t(9;22)(q34;q11.2) resulting in a very rare b3a2 type of BCR-ABL mRNA transcript. PMID- 18156735 TI - [Erythroleukemic blast crisis of chronic myeloid leukemia.]. AB - Erythroleukemic blast crisis of chronic myeloid leukemia (CML) is very rare. We report two cases of erythroleukemic blast crisis of CML resistant to imatinib treatment. Both patients made a rapid progression to blast crisis 6 and 4 months after diagnosis while being treated with imatinib 400 mg/day. Bone marrow aspiration revealed predominant erythroid precursors with 65.4% and 54.8% each. There were significant proportions (more than 20%) of myeloblasts among non erythroid cells. Immunophenotyping revealed expression of glycophorin A confirming erythroleukemic blast crisis. The karyotyping result of patient 1 was 46,XX,t(9;22)(q34;q11.2)[3]/52,idem,+8,+12,+18,+21,+22,+der(22)t(9;22)[17] and that of patient 2 was 46,XX,inv(3)(q21q26.2),t(9;22)(q34;q11.2)[20]. Patient 1 showed no response to imatinib and BMS-354825 in the following bone marrow study. She died of septic shock as a complication of an infection after 69 days of blast crisis. Patient 2 received allogeneic bone marrow transplantation (BMT) in the cytogenetically no response state, but she also died of graft-versus-host disease 9 weeks after BMT. The poor prognosis and rapid progression of disease in both cases were correspondent to most of the reported cases. During the course of the disease of the two patients, we monitored the BCR-ABL chimeric mRNA with real time quantitative polymerase chain reaction (RT-PCR), and it was found useful in predicting the imatinib response and progression to blast crisis of CML. Although both of our cases showed the typical bad prognosis and findings of erythroleukemic blast crisis of CML, the karyotypes were different from the expected type of t(3;21)(q26;q22). But the relationship between additional changes of EVI1 on chromosome 3q26 shown in case 2, and progression to the erythroleukemic blast crisis need further investigation. PMID- 18156736 TI - [Evaluation of Plasma Homocysteine Assay by ADVIA Centaur Analyzer.]. AB - BACKGROUND: Hyperhomocysteinemia is a risk factor for the cardiovascular diseases that can be usually reversed with vitamin supplements. Quantitative analysis of homocysteine helps to identify patients who might get benefits from the intervention therapy. Recently, as the automated homocysteine assay (ADVIA Centaur, Bayer, USA) by direct chemiluminesence method has been developed, we evaluated the performance of the ADVIA Centaur immunoassay analyzer for homocysteine. METHODS: The total plasma homocysteine concentrations were measured by ADVIA Centaur and by HPLC (HP1100 series with FLD, Hewlett Packard Co., Germany). To test the linearity, a dilution series was prepared. Between-run and total precision of the ADVIA Centaur assay were evaluated with Bio-Rad Homocysteine Controls for 10 days. The correlation was evaluated using 100 plasma samples from patients. NCCLS guidelines (EP5-A, EP6-P, and EP9-T) were followed to evaluate the ADVIA Centaur homocysteine assay. RESULTS: In the precision study, within-run and total run coefficients of variation (CV) of ADVIA Centaur assay were below 5%. The linearity was maintained well (R(2)=0.9978). The comparison study indicated a good correlation between the HPLC and ADVIA Centaur assay, and its correlation coefficient (R) was 0.9690. CONCLUSIONS: Since the ADVIA Centaur homocysteine immunoassay showed an excellent correlation with the HPLC method and is more convenient, automatic, and rapid than the HPLC method, it should be potentially beneficial in the clinical laboratories. PMID- 18156737 TI - [Distribution of T types and emm Genotypes of Streptococcus pyogenes in Jinju, 2004.]. AB - BACKGROUND: T antigens and emm genotypes are useful markers for epidemiologic investigation of Streptococcus pyogenes infections. Epidemiologic studies of S. pyogenes were performed on a large scale in Jinju. This was the third study being carried out in the same area over the past 10 years. METHODS: A total of 328 S. pyogenes were isolated from throat cultures obtained from asymptomatic schoolchildren in the Jinju area in 2004. T typing was performed by a slide agglutination, and emm genotyping by PCR and DNA sequencing. We compared the results of this study with those of the previous ones performed in 1995 and 2002. RESULTS: T5/27/44 were the most prevalent, accounting for 29.6% of all isolates; T12 and T6 were 13.4% and 10.7%, respectively, and T nontypeable was 3.4%. The emm44/61 type was the most prevalent accounting for 29.3%, and emm6 and emm1 were 11.6% and 9.8%, respectively. CONCLUSIONS: Newly recognized T5/27/44 and emm44/61 were the most prevalent, accounting for about 30% of all isolates, while T12 and emm12 were significantly decreased in 2004 compared to the results of previous years. This study demonstrated divergent features of S. pyogenes epidemiology over the past 10 years in the Jinju area. PMID- 18156738 TI - [In vitro susceptibilities to caspofungin and micafungin of clinical isolates of Candida species.]. AB - BACKGROUND: Caspofungin and micafungin are echinochandins with potent activities against Candida species. However, in vitro susceptibility to these agents of clinical Candida isolates in Korea has not been fully surveyed. We determined minimum inhibitory concentrations (MICs) of caspofungin and micafungin against clinical isolates of Candida species. METHODS: A total of 107 blood isolates of Candida species (24 C. albicans, 25 C. tropicalis, 24 C. glabrata, 20 C. parapsilosis, 8 C. krusei, and 6 other Candida species) were tested by using the National Committee for Clinical Laboratory Standards M27-A2 broth microdilution methods. The in vitro antifungal activities and spectrum of caspofungin and micafungin were compared with those of amphotericin B, fluconazole, and itraconazole. RESULTS: Caspofungin and micafungin exhibited a broad-spectrum activity against Candida species: caspofungin MIC ranged from 0.125 to 1 microg/mL and micafungin MIC from /=6. Among the 117 patients with positive anti-HCV, but with negative HCV RT-PCR, 64 had liver diseases such as chronic hepatitis C, chronic hepatitis B, or hepatocellular carcinoma. Twelve patients showed positive HCV RT-PCR, but negative anti-HCV results; of these 9 had hepatic dysfunction. CONCLUSIONS: In the patients who were positive for anti-HCV ELISA with a low S/CO, HCV RT-PCR positivity was shown in a low proportion. Therefore, in such cases, the results should be confirmed by RIBA or HCV RT-PCR. The liver function test showed increased levels of hepatic enzymes in patients with positive HCV RT-PCR, but negative anti-HCV. Such findings correlate to an early phase of chronic hepatitis C, suggesting the necessity of continuous follow up. PMID- 18156762 TI - [HBV DNA Quantitation Using Real-time PCR.]. AB - BACKGROUND: Accurate measurement of the concentration of hepatitis B virus (HBV) DNA in clinical samples is important for the appropriate treatment of patients and evaluation of their therapeutic responses. In addition, the concentration of HBV DNA in the serum of patients with chronic HBV infection has a very broad range. Real-time PCR is very sensitive and useful to detect HBV DNA in a wide range of concentrations. We designed new primers and probes for real-time PCR to detect HBV DNA. METHODS: Primers and probes specific for HBV were designed. EUROHEP HBV DNA standards (NIBSC, Hertfordshire, UK) with the HBV DNA concentration of 7.0 x 10(4) copies/mL was used to determine the calibration curve and efficacy for the real-time PCR assay. Sensitivity, dynamic range, and precision were evaluated. The correlation between the real-time PCR and Cobas Amplicor HBV Monitor(TM) assay in the measurement of serum HBV DNA concentrations in 52 patients with chronic HBV infection was evaluated. RESULTS: The sensitivity of the assay was approximately 6.08 x 10(2) copies/mL for HBV, and the quantitation was accurate and reproducible over a wide dynamic range from 6.1 x 0(2) to 6.5 x 10(9) copies/mL without any dilution of specimens. The assay showed low coefficients of variation of repeatability (3.7-24.9%) and reproducibility (7.8-24.7%). The results were found to correlate well with those obtained by Cobas Amplicor HBV Monitor(TM) kit. CONCLUSIONS: We provide a new in-house method for the measurement of serum HBV DNA using real-time PCR, which enables us to detect HBV DNA rapidly, sensitively, and accurately. PMID- 18156763 TI - [Comparison of three assay systems for qualitative and quantitative results of hepatitis B surface antibody.]. AB - BACKGROUND: With a technical improvement of the assay system, automated immunoassay analyzers for hepatitis B surface antibody (anti-HBs) are widely used. However, some discrepancies between assays are still being reported. We compared the qualitative and quantitative results of three kinds of anti-HBs assays. METHODS: Serum samples were collected from 517 patients and anti-HBs were determined using AxSYM AUSAB, Bayer ADVIA Centaur, and Roche Elecsys assay systems. RESULTS: The concordance rates between the three assays were 95.1% (543/571). The concordance rates were 97.7% between Centaur and Elecsys, 96.3% between AxSYM and Centaur, and 95.6% between AxSYM and Elecsys. Their correlation coefficients for quantitative results were 0.97, 0.94, and 0.93 in the same order. Twenty-eight specimens showed discrepant results, and all of them had antibody values below 31.5 mIU/mL. CONCLUSIONS: Three immunoassays for anti-HBs presented a high concordance and correlation; however, the results should be interpreted with caution, because there were still significant differences between assay methods, especially for a low-level of anti-HBs. PMID- 18156764 TI - [Evaluation of HBs Ag, HCV and HIV Ag-Ab Assays using Bio-Rad Elite Microplate Analyzer.]. AB - BACKGROUND: In this study, we evaluated the performance of Elite microplate analyzer (Bio-Rad Laboratories, France) and the related assays (ULTRA line) for the detection of hepatitis B virus (HBV), hepatitis C virus (HCV) and human immunodeficiency virus (HIV). METHODS: Seroconversion panels, HBsAg positive/HBsAg negative (n=99/n=1,422), anti-HCV positive/negative (n=97/n=1,670), and anti-HIV positive/negative (n=112/n=1,704) samples were used to evaluate the performance of Monolisa HBsAg ULTRA, Monolisa HCV Ag-Ab ULTRA, and Genscreen ULTRA HIV Ag-Ab, respectively. The agreement of Elite microplate analyzer with CODA analyzer (Bio-Rad Laboratories, CA, USA) was also evaluated. RESULTS: The detection limit of Monolisa HBsAg ULTRA was 0.034 IU/mL. For Monolisa HBsAg ULTRA, Monolisa HCV Ag-Ab ULTRA, and Genscreen ULTRA HIV Ag-Ab, diagnostic sensitivities were all 100%, diagnostic specificities were 100%, 99.8% and 99.9%, and total CVs (coefficients of variation) were 13.8-17.5%, 3.4-5.2%, and 7.5-9.5%, respectively. The agreement of Elite microplate analyzer with CODA analyzer was 99.5%. CONCLUSIONS: The performance of Elite microplate analyzer and the related assays on analytical sensitivity, precision, early detection, diagnostic sensitivity and specificity was all adequate for a mass screening. However, further large multi-center studies should be performed to validate our results. PMID- 18156765 TI - [Performance evaluation of real-q HBV quantification kit for HBV DNA by real-time PCR.]. AB - BACKGROUND: Hepatitis B virus (HBV) DNA quantification is important for the management of HBV infection and identification of the development of resistance. The susceptibility to contamination and more variable reproducibility of results with the conventional HBV DNA quantification method have raised the need of a more simple and accurate method for HBV DNA quantification. Real-time quantitative PCR assays recently introduced in the laboratory can meet these needs. In this study, we evaluated the performance of the Real-Q HBV Quantification kit developed in Korea. METHODS: We evaluated the recovery of DNA extraction, the interference of internal control, an analytical sensitivity, specificity, and reproducibility, a clinical specificity, and a reportable range of the Real-Q HBV Quantification kit. The quantification result was also compared to that obtained by the Digene Hybrid-Capture II. RESULTS: The mean percent recovery was 108.6% and there was no interference with the internal control on DNA extraction. None of HIV, hepatitis C virus, or cytomegalovirus showed a cross reactivity with HBV. This assay detected HBV DNA in a linear range from 10(2) to 10(10) copies/mL, with the detection limit of 56 copies/mL. The assay exhibited a low within-run CV (coefficient of variation) (8.7-11.9%), between-run CV (10.5 14.7%), and between-day CV (13.2-21.4%). No HBV DNA was detected in any of 100 samples without HBV, resulting in a clinical specificity of 100%. The levels of HBV DNA showed a good correlation with those determined with Digene Hybrid Capture II (R(2)=0.9827). CONCLUSIONS: The Real-Q HBV Quantification kit showed a good analytical sensitivity, specificity, and high reliability with a broad reportable range. This assay should be clinically useful in managing patients with HBV infection. PMID- 18156766 TI - [A korean family with Wilson disease occurred in two consecutive generations.]. AB - Wilson disease (WD) is one of the most common inborn errors of metabolism characterized by degenerative changes in the brain, liver and kidney dysfunction, and Kayser-Fleischer rings due to toxic accumulation of copper. We investigated a Korean family with WD occurred in two consecutive generations. The proband, a 14 yr-old girl, was noticed to have abnormal liver function on a routine health examination at school and was diagnosed of having WD by further laboratory tests and liver biopsy. Molecular genetic analysis of ATP7B gene demonstrated that she was homozygous for Ala-874Val mutation, one of the three common mutations in Korean patients with WD. Further study for her family members revealed that the proband's father, a paternal uncle, and the youngest sister were compound heterozygous for Ala874Val and Asn1270Ser mutations of the ATP7B gene. In addition, the proband's mother and a younger sister were heterozygous carriers of Ala874Val mutation. Therefore, WD occurred in two consecutive generations due to a WD father and a heterozygous mother. Actually, abnormal results on liver function tests were found in the proband's father and a paternal uncle a few years ago but a diagnosis of WD has not been made. Therefore, although WD has been thought to be uncommon in Korea, it should be considered in a differential diagnosis of patients exhibiting abnormal liver function with unknown cause. PMID- 18156767 TI - [The Relationship between High Sensitivity C-Reactive Protein and Metabolic Syndrome according to the Fasting Glucose Level at Medical Checkups.]. AB - BACKGROUND: This study was performed to investigate the difference in high sensitivity C-reactive protein (hsCRP) and metabolic syndrome according to the fasting glucose level, especially between the groups of less than 100 mg/dL and 100-109 mg/dL, which were conventionally categorized into normal levels. METHODS: Those who underwent routine medical checkups aged above 20 (male, 3,221; female, 3,334) at a Health Promotion Center (Seoul, Korea) were divided into normal fasting glucose group I (glucose <100 mg/dL), normal fasting glucose group II (glucose, 100-109 mg/dL), impaired fasting glucose group, and diabetes mellitus group. The hsCRP, obesity index, blood pressure, total cholesterol, triglyceride, high density lipoprotein-cholesterol (HDL-C), low density lipoprotein-cholesterol (LDL-C) and lipoprotein(a) [Lp(a)] were compared among the groups. The hsCRP and the components of metabolic syndrome were compared. RESULTS: The hsCRP level, age, obesity index, blood pressure, total cholesterol and triglyceride significantly increased along with the increment in fasting glucose level in the 4 groups. The hsCRP had a positive correlation with the fasting glucose level, age, and systolic blood pressure, while it had a negative correlation with HDL-C. The metabolic syndrome was more common in the group with a higher level of glucose. CONCLUSIONS: The group with glucose level of less than 110 mg/dL, conventionally categorized into normal range, needs to be subdivided into a group of 100-109 mg/dL and a group of less than 100 mg/dL. The former group seems to require more efforts to have the glucose level to be maintained under the level of 100 mg/dL. PMID- 18156768 TI - [Experience of a Break-Even Point Analysis for Make-or-Buy Decision.]. AB - BACKGROUND: Cost containment through continuous quality improvement of medical service is required in an age of a keen competition of the medical market. Laboratory managers should examine the matters on make-or-buy decision periodically. On this occasion, a break-even point analysis can be useful as an analyzing tool. In this study, cost accounting and break-even point (BEP) analysis were performed in case that the immunoassay items showing a recent increase in order volume were to be in-house made. METHODS: Fixed and variable costs were calculated in case that alpha fetoprotein (AFP), carcinoembryonic antigen (CEA), prostate-specific antigen (PSA), ferritin, free thyroxine (fT4), triiodothyronine (T3), thyroid-stimulating hormone (TSH), CA 125, CA 19-9, and hepatitis B envelope antibody (HBeAb) were to be tested with Abbott AxSYM instrument. Break-even volume was calculated as fixed cost per year divided by purchasing cost per test minus variable cost per test and BEP ratio as total purchasing costs at break-even volume divided by total purchasing costs at actual annual volume. RESULTS: The average fixed cost per year of AFP, CEA, PSA, ferritin, fT4, T3, TSH, CA 125, CA 19-9, and HBeAb was 8,279,187 won and average variable cost per test, 3,786 won. Average break-even volume was 1,599 and average BEP ratio was 852%. Average BEP ratio without including quality costs such as calibration and quality control was 74%. CONCLUSIONS: Because the quality assurance of clinical tests cannot be waived, outsourcing all of 10 items was more adequate than in-house make at the present volume in financial aspect. BEP analysis was useful as a financial tool for make-or-buy decision, the common matter which laboratory managers meet with. PMID- 18156772 TI - Inhibition of melanogenesis by dioctyl phthalate isolated from Nigella glandulifera Freyn. AB - Although a number of melanogenesis inhibitors have recently been reported and used as cosmetic additives, none is completely satisfactory, leaving a need for novel skin-depigmenting agents. Thus, to develop a novel skin-depigmenting agent from natural sources, the inhibition of melanogenesis by Chinese plants was evaluated. A methanolic extract of Nigella glandulifera Freyn was found to inhibit the melanin synthesis of murine B16F10 melanoma cells by 43.7% and exhibited a low cytotoxicity (8.1 %) at a concentration of 100 microg/ml. Thus, to identify the melanogenesis-inhibiting mechanism, the inhibitory activity towards tyrosinase, the key enzyme of melanogenesis, was further evaluated, and the results showed inhibitory effects on the activity of intracellular tyrosinase yet not on mushroom tyrosinase. Finally, to isolate the compounds with a hypopigmenting capability, activity-guided isolation was performed, and Dioctyl phthalate identified as inhibiting melanogenesis. PMID- 18156773 TI - Fatty acid and carotenoid production by Sporobolomyces ruberrimus when using technical glycerol and ammonium sulfate. AB - The production of carotenoids, lipid content, and fatty acid composition were all studied in a strain of Sporobolomyces ruberrimus when using different concentrations of technical glycerol as the carbon source and ammonium sulfate as the nitrogen source. The total lipids represented an average of 13% of the dry weight, and the maximum lipids were obtained when using 65.5 g/l technical glycerol (133.63 mg/ g). The optimal conditions for fatty acid production were at 27 degrees C using 20 g of ammonium sulfate and a pH range from 6 to 7, which produced a fatty acid yield of 32.5+/-1 mg/g, including 1.27+/- 0.15 mg of linolenic acid (LNA), 7.50+/-0.45 mg of linoleic acid (LLA), 5.50+/-0.35 mg of palmitic acid (PA), 0.60+/-0.03 mg of palmitoleic acid (PAL), 1.28+/-0.11 mg of stearic acid (SA), 9.09+/-0.22 mg of oleic acid, 2.50+/-0.10 mg of erucic acid (EA), and 4.25+/-0.20 mg of lignoceric acid (LCA), where the palmitic, oleic, and linoleic acids combined formed about 37% of the total fatty acids. The concentration of total carotenoids was 2.80 mg/g when using 20 g of ammonium sulfate, and consisted of torularhodin (2.70 mg/g) and beta-carotene (0.10 mg/ g), at 23 degrees C and pH 6. However, the highest amount with the maximum specific growth rate was obtained (micromax=0.096 h(-1)) with an ammonium sulfate concentration of 30 g/l. PMID- 18156774 TI - Molecular modeling, synthesis, and screening of new bacterial quorumsensing antagonists. AB - Abstract A new series comprising 7 analogs of N-(sulfanyl ethanoyl)-L-HSL derivatives, 2 analogs of N-(fluoroalkanoyl)- L-HSL derivatives, N (fluorosulfonyl)-L-HSL, and 2,2-dimethyl butanoyl HSL were synthesized using a solid-phase organic synthesis method. Each of the 11 synthesized compounds was analyzed using NMR and mass spectroscopies, and molecular modeling studies of the 11 ligands were performed using SYBYL packages. Thereafter, a bacterial test was designed to identify their quorum-sensing inhibition activity and antifouling efficacy. Most of the synthesized compounds were found to be effective as quorum sensing antagonists, where antagonist screening revealed that 10 among the 11 synthesized ligands were able to antagonize the quorum sensing of A. tumefaciens. PMID- 18156775 TI - Bacterial beta-lactamase fragmentation complementation strategy can be used as a method for identifying interacting protein pairs. AB - We investigated the applicability of the TEM-1 beta- lactamase fragment complementation (BFC) system to develop a strategy for the screening of protein protein interactions in bacteria. A BFC system containing a human Fas-associated death domain (hFADD) and human Fas death domain (hFasDD) was generated. The hFADD hFasDD interaction was verified by cell survivability in ampicillin-containing medium and the colorimetric change of nitrocefin. It was also confirmed by His pull-down assay using cell lysates obtained in selection steps. A coiled-coil helix coiled-coil domain-containing protein 5 (CHCH5) was identified as an interacting protein of human uracil DNA glycosylase (hUNG) from the bacterial BFC cDNA library strategy. The interaction between hUNG and CHCH5 was further confirmed with immunoprecipitation using a mammalian expression system. CHCH5 enhanced the DNA glycosylase activity of hUNG to remove uracil from DNA duplexes containing a U/G mismatch pair. These results suggest that the bacterial BFC cDNA library strategy can be effectively used to identify interacting protein pairs. PMID- 18156776 TI - Direct detection of Shigella flexneri and Salmonella typhimurium in human feces by real-time PCR. AB - We have established a SYBR Green-based realtime PCR method using AnyDirect solution, which enhances PCR from whole blood, for direct amplification of the virA gene of Shigella flexneri and the invA gene of Salmonella typhimurium from human feces without prior DNA purification. When we compared the efficiency of conventional or realtime PCR amplification of the virA and invA genes from the supernatant of boiled feces supplemented with S. flexneri and S. typhimurium in the presence or absence of AnyDirect solution, amplification products were detected only in reactions to which AnyDirect solution had been added. The detection limit of real-time PCR was 1 x 10(4) CFU/g feces for S. flexneri and 2 x 10(4) CFU/g feces for S. typhimurium this sensitivity level was comparable to other studies. Our real-time PCR assay with AnyDirect solution is simple, rapid, sensitive, and specific, and allows simultaneous detection of S. flexneri and S. typhimurium directly from fecal samples without prior DNA purification. PMID- 18156777 TI - Removal of Serratia marcescens aerosols using an electrostatic precipitator. AB - We characterized the efficacy of an electrostatic precipitator (ESP) air-cleaner in reducing the concentration of Serratia marcescens in an enclosed space. We used an experimental room (4.5 x 3 x 2.9 m) in which electrostatic aircleaners were located. Two air-cleaners enhanced the equivalent ventilation rates in the chamber by about 3.3 air changes per hour (ACH) over the 2 ACH provided by the mechanical ventilation system. Natural die-off of the organisms provided an additional equivalent of 3 ACH, so that the total ventilation rate with the ESP air-cleaners was 8.3 ACH. We also examined whether the ESP air-cleaners altered the deposition of Serratia marcescens aerosols on the experimental room surfaces. We did not find any significant differences in the number of colony forming units recovered from surfaces with and without the air-cleaners. We installed UV lights inside the ESPs and determined if UV light, in addition to electrical fields, increased the efficacy of the ESPs. The presence of UV light inside the ESP reduced S. marcescens aerosols by approximately 2 ACH. Finally, a box model indicates that the efficiency of the air-cleaner increases for both biological and nonbiological particles at ventilation rates of 0.2-1, which are typical for residential settings. PMID- 18156779 TI - Lipase activity and tacrolimus production in Streptomyces clavuligerus CKD 1119 mutant strains. AB - The effect of carbon sources on tacrolimus production by a mutant strain of Streptomyces clavuligerus CKD 1119, an isolate from soil, was examined. Among the carbohydrates and oils tested in this work, a mixed carbon source of soluble starch and corn oil was the best. An analysis of the culture kinetics also showed that, in contrast to the carbohydrates, the corn oil was consumed later in the antibiotic production phase, implying that the oil substrate was the principal carbon source for the biosynthesis of tacrolimus, and this was directly proven by experiments using 14C-glucose and 14C-oleate substrates. Furthermore, corn oil induced the formation of lipase by the mutant strain, whereas the addition of glucose significantly repressed lipase activity. The lipase activity exhibited by the FK-506-overproducing mutants was also observed to be directly proportional to their tacrolimus yield, indicating that a high lipase activity is itself a crucial factor for tacrolimus production. A feasibility study with a 200-l pilot scale fermentor and the best strain (Tc-XII- 15322) identified in this work revealed a high volumetric and specific productivity of about 495 mg/l and 0.34 mg/mg dry mycelium, respectively. PMID- 18156778 TI - Development of immunochromatography strip-test using nanocolloidal gold-antibody probe for the rapid detection of aflatoxin B1 in grain and feed samples. AB - An immunochromatography (ICG) strip test using a nanocolloidal gold-antibody probe was developed and optimized for the rapid detection of aflatoxin B1 (AFB1). A monoclonal antibody specific to AFB1 was produced from the cloned hybridoma cell (AF78), coupled with nanocolloidal gold, and distributed on the conjugate pad of the ICG strip test. The visual detection limit of the ICG strip test was 0.5 ng/ml, and this method showed a cross-reaction to aflatoxin B2, G1, and G2. In total, 172 grain and feed samples were collected and analyzed by both the ICG strip test and HPLC. The results of the ICG strip test showed a good agreement with those obtained by HPLC. These results indicated that the ICG strip test has a potential use as a rapid and cost-effective screening tool for the determination of AFB1 in real samples and could be applied to the preliminary screening of mycotoxin in food and agricultural products, generating results within 15 min without complicated steps. PMID- 18156780 TI - Influence of plant species and environmental conditions on epiphytic and endophytic pink-pigmented facultative methylotrophic bacterial populations associated with field-grown rice cultivars. AB - The total methylotrophic population associated with rice plants from different cultivars was enumerated at three different stages: vegetative, flowering, and harvesting. The bacterial population in the leaf, rhizosphere soil, endophytic in the stem and roots, and epiphytic in the florets and grains were determined from four rice cultivars, Il-mi, Nam-pyeoung, O-dae, and Dong-jin, sampled from three different field sites. The methylotrophic bacteria isolated on AMS media containing 0.5% methanol as the sole carbon source uniformly showed three distinct morphologies, which were recorded as separate groups and their distribution among the various samples was determined using the ecophysiological index. The growth stage at the time of sampling had a more significant effect on the methylotrophic population and their distribution than the field site or cultivar. A similar effect was also observed for the PPFMs, where their population in different plant parts increased from V10 to R4 and then decreased towards stage R9. A canonical discriminant analysis of the PPFM population from different parts of rice showed clear variations among the cultivars, sampled sites, and growth stages, although the variations were more prominent among the growth stages. PMID- 18156781 TI - Selection and characterization of forest soil metagenome genes encoding lipolytic enzymes. AB - A metagenome is a unique resource to search for novel microbial enzymes from the unculturable microorganisms in soil. A forest soil metagenomic library using a fosmid and soil microbial DNA from Gwangneung forest, Korea, was constructed in Escherichia coli and screened to select lipolytic genes. A total of seven unique lipolytic clones were selected by screening of the 31,000-member forest soil metagenome library based on tributyrin hydrolysis. The ORFs for lipolytic activity were subcloned in a high copy number plasmid by screening the secondary shortgun libraries from the seven clones. Since the lipolytic enzymes were well secreted in E. coli into the culture broth, the lipolytic activity of the subclones was confirmed by the hydrolysis of p-nitrophenyl butyrate using culture broth. Deduced amino acid sequence analysis of the identified ORFs for lipolytic activity revealed that 4 genes encode hormone-sensitive lipase (HSL) in lipase family IV. Phylogenetic analysis indicated that 4 proteins were clustered with HSL in the database and other metagenomic HSLs. The other 2 genes and 1 gene encode non-heme peroxidase-like enzymes of lipase family V and a GDSL family esterase/lipase in family II, respectively. The gene for the GDSL enzyme is the first description of the enzyme from metagenomic screening. PMID- 18156782 TI - Wound healing activity of gamma-aminobutyric Acid (GABA) in rats. AB - Gamma-aminobutyric acid (GABA) is a non-protein amino acid. It is well known for its role as an inhibitory neurotransmitter of developing and operating nervous systems in brains. In this study, a novel function of GABA in the healing process of cutaneous wounds was presented regarding anti-inflammation and fibroblast cell proliferation. The cell proliferation activity of GABA was verified through an MTT assay using murine fibroblast NIH3T3 cells. It was observed that GABA significantly inhibited the mRNA expression of iNOS, IL-1beta, and TNF-alpha, in LPS-stimulated RAW 264.7 cells. To evaluate in vivo activity of GABA in wound healing, excisional open wounds were made on the dorsal sides of Sprague-Dawley rats under anesthesia, and the healing of the wounds was apparently assessed. The molecular aspects of the healing process were also investigated by hematoxylineosin staining of the healed skin, displaying the degrees of reepithelialization and linear alignment of the granulation tissue, and immunostaining and RT-PCR analyses of fibroblast growth factor and platelet derived growth factor, implying extracellular matrix synthesis and remodeling of the skin. The GABA treatment was effective to accelerate the healing process by suppressing inflammation and stimulating reepithelialization, compared with the epidermal growth factor treatment. The healing effect of GABA was remarkable at the early stage of wound healing, which resulted in significant reduction of the whole healing period. PMID- 18156783 TI - Effects of PEGylated scFv antibodies against Plasmodium vivax duffy binding protein on the biological activity and stability in vitro. AB - Duffy binding protein (DBP) plays a critical role in Plasmodium vivax invasion of human red blood cells. We previously reported a single-chain antibody fragment (scFv) that was specific to P. vivax DBP (PvDBP). However, the stabilization and the half-life of scFvs have not been studied. Here, we investigated the effect of PEGylated scFvs on their biological activity and stability in vitro. SDS-PAGE analysis showed that three clones (SFDBII-12, -58, and -92) were formed as dimers (about 70 kDa) with PEGylation. Clone SFDBII-58 gave the highest yield of PEGylated scFv. Binding analysis using BIAcore between DBP and scFv showed that both SFDBII-12 and -58 were decreased approximately by two folds at the level of binding affinity to DBP after PEGylation. However, the SFDBII-92 clone still showed a relatively high level of binding affinity (KD=1.02 x 10(-7) M). Binding inhibition assay showed that PEGylated scFv was still able to competitively bind the PvDBP and play a critical role in inhibiting the interactions between PvDBP protein expressed on the surface of Cos-7 cells and Duffy receptor on the surface of erythrocytes. When both scFvs and their PEGylated counterparts were exposed to trypsin, scFv was completely degraded only after 24 h, whereas 35% of PEGylated scFvs remained intact, maintaining their stability against the proteolytic attack of trypsin until 72 h. Taken together, these results suggest that the PEGylated scFvs retain their stability against proteolytic enzymes in vivo, with no significant loss in their binding affinity to target antigen, DBP. PMID- 18156784 TI - Expression and characterization of trehalose biosynthetic modules in the adjacent locus of the salbostatin gene cluster. AB - The pseudodisaccharide salbostatin, which consists of valienamine linked to 2 amino-1,5-anhydro-2-deoxyglucitol, is a strong trehalase inhibitor. From our Streptomyces albus ATCC 21838 genomic library, we identified thirty-nine ORFs in a 40-kb gene cluster. Twenty-one genes are supposed to be a complete set of modules responsible for the salbostatin biosynthesis. Through sequence analysis of the gene cluster, some of the upstream gene products (SalB, SalC, SalD, SalE, and SalF) revealed functional resemblance with trehalose biosynthetic enzymes. On the basis of this rationale, we isolated the five genes (salB, salC, salD, salE, and salF) from the S. albus ATCC 21838 and cloned them into the expression vector pWHM3. We demonstrated the noticeable expression and accumulation of trehalose, using only the five upstream biosynthetic gene cluster of salbostatin, in the transformed Streptomyces lividans TK24. Finally, 490 mg/l trehalose was produced by fermentation of the transformant with sucrosedepleted R2YE media. PMID- 18156785 TI - Determination of differences in the nonvolatile metabolites of pine-mushrooms (Tricholoma matsutake Sing.) according to different parts and heating times using 1H NMR and principal component analysis. AB - The differences in the nonvolatile metabolites of pine-mushrooms (Tricholoma matsutake Sing.) according to different parts and heating times were analyzed by applying principal component analysis (PCA) to 1H nuclear magnetic resonance (NMR) spectroscopy data. The 1H NMR spectra and PCA enabled the differences of nonvolatile metabolites among mushroom samples to be clearly observed. The two parts of mushrooms could be easily discriminated based on PC 1, and could be separated according to different heattreated times based on PC 3. The major peaks in the 1H NMR spectra that contributed to differences among mushroom samples were assigned to trehalose, succinic acid, choline, leucine/isoleucine, and alanine. The content of trehalose was higher in the pileus than in the stipe of all mushroom samples, whereas succinic acid, choline, and leucine/isoleucine were the main components in the stipe. Heating resulted in significant losses of alanine and leucine/isoleucine, whereas succinic acid, choline, and trehalose were the most abundant components in mushrooms heat-treated for 3 min and 5 min, respectively. PMID- 18156786 TI - Cloning and strong expression of a Bacillus subtilis WL-3 mannanase gene in B. subtilis. AB - A gene encoding the mannanase of Bacillus subtilis WL-3, which had been isolated from Korean soybean paste, was cloned into Escherichia coli and the nucleotide sequence of a 2.7-kb DNA fragment containing the mannanase gene was subsequently determined. The mannanase gene, designated manA, consisted of 1,080 nucleotides encoding polypeptide of 360 amino acid residues. The deduced amino acid sequence was highly homologous to those of mannanases belonging to glycosyl hydrolase family 26. The manA gene was strongly expressed in B. subtilis 168 by cloning the gene downstream of a strong B. subtilis promoter of plasmid pJ27Delta 88U. In flask cultures, the production of mannanase by recombinant B. subtilis 168 reached maximum levels of 300 units/ml and 450 units/ml in LB medium and LB medium containing 0.3% locust bean gum, respectively. Based on the zymogram of the mannanase, it was found that the mannanase produced by recombinant B. subtilis could be maintained stably without proteolytic degradation during the culture time. PMID- 18156787 TI - Functional assembly of recombinant human ferritin subunits in Pichia pastoris. AB - Ferritin is an iron storage protein found in most living organisms as a natural assembled macromolecule. For studying the functional ability of the ferritin assembly, human H- and L-ferritins were expressed and purified from Pichia pastoris strain GS115. The recombinant H- and L-ferritins showed a globular form with transmission electron microscopy. The rate of iron uptake for H-ferritin was significantly faster than that for the L-ferritin in vitro. By gel permeation chromatography analysis, recombinant ferritins were confirmed as multimeric subunits with high molecular weight and it was indicated that assembled subunits were able to store iron in vivo. PMID- 18156788 TI - Soybean oil-degrading bacterial cultures as a potential for control of green peach aphids (Myzus persicae). AB - Microorganisms capable of degrading crude oil were isolated and grown in soybean oil as a sole carbon source. The microbial cultures were used to control green peach aphids in vitro. Approximately 60% mortality of aphids was observed when the cultures were applied alone onto aphids. To examine the cultures as a pesticide formulation mixture, the cultures were combined with a low dose of the insecticide imidacloprid (one-fourth dose of recommended field-application rate) and applied onto aphids. The cultures enhanced significantly the insecticidal effectiveness of imidacloprid, which was higher than imidacloprid alone applied at the low dose. The isolated microorganisms exhibited high emulsifying index values and decreased surface tension values after being grown in soybean oil media. GC/MS analyses showed that microorganisms degraded soybean oil to fatty acids. The cultures were suggested to play the roles of wetting, spreading, and sticking agents to improve the effectiveness of imidacloprid. This is the first report on the control of aphids by using oil-degrading microbial cultures. PMID- 18156789 TI - Population dynamics of phage-host system of Microlunatus phosphovorus indigenous in activated sludge. AB - Monitoring of the phage-host system of Microlunatus phosphovorus indigenous in activated sludge was attempted. A laboratory-scale activated sludge process was operated for 5 weeks with synthetic wastewater. The phage-host system population in the process was monitored by plaque assay and FISH methods at every 3 days. During the process operation, the phage-host system populations were more or less steady, except for 1 week in the middle of the operation. In that period, initially M. phosphovorus decreased significantly and its lytic bacteriophages increased, and then M. phosphovorus increased back to its original level while its lytic bacteriophages decreased. This observation suggests that lytic bacteriophages should be considered as one of the biological factors affecting the bacterial population dynamics in activated sludge processes. PMID- 18156790 TI - Heterogeneous rRNA molecules encoded by Streptomyces coelicolor M145 genome are all expressed and assembled into ribosomes. AB - The Streptomyces coelicolor M145 genome harbors six copies of divergent rRNA operons that differ at ~0.2% and ~0.6% of the nucleotide positions in small subunit (SSU) and large subunit (LSU) rRNA genes, respectively. When these rRNA genes are expressed, a single cell may harbor three different kinds of SSU rRNA and five kinds of LSU rRNA. Primer extension analyses revealed that all of the heterogeneous rRNA molecules are expressed and assembled into ribosomes. This finding and the maintenance of the intragenomic variability of rRNA operons imply the existence of functional divergence of rRNA species in this developmentally complex microorganism. PMID- 18156791 TI - Discovery of cyclin-dependent kinase inhibitor, CR229, using structurebased drug screening. AB - To generate new scaffold candidates as highly selective and potent cyclin dependent kinase (CDK) inhibitors, structure-based drug screening was performed utilizing 3D pharmacophore conformations of known potent inhibitors. As a result, CR229 (6-bromo-2,3,4,9-tetrahydro-carbolin-1-one) was generated as the hit compound. A computational docking study using the X-ray crystallographic structure of CDK2 in complex with CR229 was evaluated. This predicted binding mode study of CR229 with CDK2 demonstrated that CR229 interacted effectively with the Leu83 and Glu81 residues in the ATP-binding pocket of CDK2 for the possible hydrogen bond formation. Furthermore, biochemical studies on inhibitory effects of CR229 on various kinases in the human cervical cancer HeLa cells demonstrated that CR229 was a potent inhibitor of CDK2 (IC50: 3 microM), CDK1 (IC50: 4.9 microM), and CDK4 (IC50: 3 microM), yet had much less inhibitory effect (IC50: >20 microM) on other kinases, such as casein kinase 2-1 (CK2- alpha1), protein kinase A (PKA), and protein kinase C (PKC). Accordingly, these data demonstrate that CR229 is a potent CDK inhibitor with anticancer efficacy. PMID- 18156792 TI - Cyclo(Dehydrohistidyl-L-tryptophyl), an inhibitor of nitric oxide production from a fungal strain, Fb956. AB - In the course of screening for nitric oxide inhibitors in activated microglial BV 2 cells, cyclo(dehydrohistidyl-Ltryptophyl) was isolated from solid-state fermentation cultures of an unidentified fungal strain, Fb956. Its structure was determined by spectroscopic methods including 2D NMR and chiral TLC analyses. Cyclo(dehydrohistidyl-L-tryptophyl) was found to have an inhibitory activity on nitric oxide production with an IC50 of 6.5 muM in activated BV-2 cells. The structure determination and biological activity of cyclo(dehydrohistidyl- L tryptophyl) was reported for the first time in this study. PMID- 18156793 TI - Morphological discretion of basidiospores of the puffball mushroom Calostoma by electron and atomic force microscopy. AB - Comparative morphology among species of the genus Calostoma, including C. cinnabarina, C. ravenelii, and C. japonicum, was investigated by scanning electron microscopy and atomic force microscopy. Spore morphology of cinnabarina and C. ravenelii showed no dramatic differences by light microcopy and scanning electron microscopy. To differentiate these species, atomic force microscopy was employed. Quantitative analysis of the surface roughness basidiospores revealed subtle differences in height fluctuation at the nanometer scale between the species of Calostoma. Basidiospores of C. cinnabarina had a relatively rougher surface than those of C. ravenelii at 2.0 x 2.0 micro m2 scan areas. PMID- 18156794 TI - A green fluorescent protein-based whole-cell bioreporter for the detection of phenylacetic acid. AB - Phenylacetic acid (PAA) is produced by many bacteria as an antifungal agent and also appears to be an environmentally toxic chemical. The object of this study was to detect PAA using Pseudomonas putida harboring a reporter plasmid that has a PAA-inducible promoter fused to a green fluorescent protein (GFP) gene. Pseudomonas putida KT2440 was used to construct a green fluorescent protein-based reporter fusion using the paaA promoter region to detect the presence of PAA. The reporter strain exhibited a high level of gfp expression in minimal medium containing PAA; however, the level of GFP expression diminished when glucose was added to the medium, whereas other carbon sources, such as succinate and pyruvate, showed no catabolic repression. Interestingly, overexpression of a paaF gene encoding PAACoA ligase minimized catabolic repression. The reporter strain could also successfully detect PAA produced by other PAA-producing bacteria. This GFP-based bioreporter provides a useful tool for detecting bacteria producing PAA. PMID- 18156795 TI - Investigation of beta-lactamase-producing multidrug-resistant Pseudomonas aeruginosa isolated from non-tertiary care hospitals in Korea. AB - A total of 2,280 nonduplicate clinical isolates of Pseudomonas aeruginosa, obtained nationwide from Korean non-tertiary care hospitals from 2002 to 2005, were identified and their susceptibilities to aminoglycosides, antipseudomonal penicillins, carbapenems, cephalosporins, monobactams, and quinolones were studied, together with their production of beta- lactamases. Using disk diffusion and minimum inhibitory concentration tests, it was found that 2.9% of isolates were multidrug-resistant (MDR) P. aeruginosa. An EDTA-disk synergy test, PCR amplification with specifically designed primers, and direct sequencing of the PCR products showed that the blaOXA-10, blaVIM-2, blaOXA-2, blaOXA-17, blaPER-1, blaSHV-12, and blaIMP-1 genes were carried by 34.3%, 26.9%, 3.0%, 3.0%, 1.5%, 1.5%, and 1.5% of 67 MDR P. aeruginosa isolates, respectively. The prevalence of MDR P. aeruginosa was three-fold higher, compared with that from the United States. More than two types of beta-lactamase genes were carried by 10.4% of isolates. The most prevalent beta-lactamase genes were blaVIM-2 and blaOXA-10. This study is the first description of MDR P. aeruginosa from non-tertiary care hospitals in Korea and the coexistence of the blaOXA-10 gene with blaVIM-2, blaIMP-1, or blaPER-1 in these clinical isolates. PMID- 18156796 TI - Study of cell-mediated response in mice by HPV16 L1 virus-like particles expressed in Saccharomyces cerevisiae. AB - The first vaccine against human papillomaviruses (HPV) formulated with HPV16 L1 virus-like particles (VLPs) produced in yeast was approved by the FDA in June 2006. Nevertheless, there have been few studies of the immunogenicity in mice of VLPs. In this study, we evaluated the cell-mediated immune response to VLPs produced in Saccharomyces cerevisiae. After immunization of mice with HPV16 L1 VLPs, we measured splenocytes proliferation and the levels of IFNgamma, IL2, IL4, and IL5. Splenocytes proliferation was significantly increased and a mixed Th1/Th2 response was indicated. IgG subtype immunoresponses were strongly induced and IgG1 titers were higher than those of IgG2a. PMID- 18156798 TI - A functional link between SIRT1 deacetylase and NBS1 in DNA damage response. AB - In mammalian cells, DNA is often subjected to stresses such as ionizing radiation (IR) that can induce DNA double strand breaks (DSBs). In response to DNA DSBs, mammalian cells activate a rapid phosphorylation signaling cascade through the protein kinases, Ataxia-Telangiectasia Mutated (ATM) and ATM- and Rad3-Related (ATR). Many well-characterized DNA repair factors are phosphorylated by ATM in response to DSBs, and the sequential phosphorylation of some of these factors, including NBS1, delay cell cycle progression (checkpoint arrest) to allow time for DNA damage repair. Results from a new study suggest that phosphorylation of NBS1 is regulated by the acetylation status of the protein, which is modulated by SIRT1 deacetylase. PMID- 18156799 TI - Inhibition of cyclin-dependent kinase-2 induces apoptosis in human diffuse large B-cell lymphomas. AB - Cyclin-dependent kinase (cdk) inhibitors have the potential to induce growth arrest and apoptosis in cancer cells. The genes encoding cdks involved in G1-S progression are often amplified in B-cell malignancies, including diffuse large B cell lymphoma (DLBCL). Here, we evaluated the in vitro cytotoxic activity of the cdk2 inhibitor CVT-313 against several human DLBCL cells. Treatment of DLBCL cells with CVT-313 resulted in apoptosis. CVT-313 treatment reduced cdk2-mediated phosphorylation of the retinoblastoma gene product (Rb) on T821, but did not affect cyclin D-cdk4/6-mediated Rb phosphorylation on S807/811. Depletion of endogenous cdk2 by short interfering (si)RNA also resulted in apoptosis in human LY3, LY8 and LY18 DLBCL cells. Importantly, inhibition of cdk2 with CVT-313 or knockdown of endogenous cdk2 with siRNA resulted in down-regulation of the anti apoptotic factor Myeloid cell leukemia-1 (Mcl-1), suggesting that decreased levels of cellular Mcl-1 contribute to apoptosis. In support of this, siRNA mediated knockdown of Mcl-1 was sufficient to induce apoptosis in LY3 and LY18 DLBCL. Further, cdk2 inhibition led to decreased Mcl-1 mRNA levels, which was proceeded by reduced phosphorylation of serine 2 on the carboxyl terminal domain (CTD) of RNA polymerase II. Taken together, these data suggest that cdk2 activity is necessary for the survival of human DLBCL. PMID- 18156800 TI - Homeostatic and maturation-associated proliferation in the peripheral B-cell compartment. AB - B lymphocytes contribute to the immune system by the production of antigen specific antibodies. When naive mature B-lymphocytes recognize antigen with their specific Ig receptors, they will undergo clonal proliferation and differentiation, thereby generating a large number of long-lived memory B cells and plasma cells that produce and secrete antigen-specific antibodies. Recently, we generated new insights on the peripheral B-cell compartment in mice and man, supported by the introduction of a novel molecular assay that quantifies the replication history of B lymphocytes. Our data indicate that naive mature B lymphocytes are able to undergo antigen-independent homeostatic proliferation. Furthermore, the extent of proliferation differs substantially between T-cell dependent and T-cell independent B-cell responses. Thus, three unique proliferation stages occur in the peripheral B-cell compartment. Now that we have identified the B-cell subsets that undergo proliferation, it is a challenge to investigate the initiation and regulation of the proliferation processes. To support the understanding of each of the three proliferation stages, we present our view on the impact of the different proliferation stages on B-cell maturation, the potential molecular mechanisms underlying these processes, and the potential implications in human immunological diseases. PMID- 18156801 TI - The birth of the centromere. AB - The centromere is the region of the eukaryotic chromosome that determines kinetochore formation and sister chromatid cohesion. Centromeres interact with spindle microtubules to ensure chromatid segregation during mitosis and homologous chromosome segregation during meiosis I. In recent years, the overall organization of centromeres in several eukaryotic species has been described, yet the mechanisms of centromere definition remain elusive. Understanding the evolutionary origin of the centromere may well elucidate aspects of its function. With such intention, we hypothesize that centromeres were derived from telomeres during the evolution of the eukaryotic chromosome. We propose that the proto eukaryotic cell could not have evolved a nucleus without concurrently evolving a new tubulin-based cytoskeleton, the microtubules and a specific chromosomal region that enabled the chromosome-microtubule interaction, the centromere. The repetitive nature of the subtelomeric regions that gave rise to the centromeres forced the concerted evolution of the centromeres. Although this implies the absence of a conserved primary sequence, a conserved centromere-specific structural motif could still exist and determine where in the chromosome the centromere is to be formed. To support the "centromeres-from-telomeres" hypothesis, we discuss several situations, in meiosis and mitosis, where telomeric regions took over centromeric roles. The recently discovered phenomenon of centromere repositioning is also discussed because it has revealed new insights into how neocentromeres evolve. PMID- 18156803 TI - Linkage of curcumin-induced cell cycle arrest and apoptosis by cyclin-dependent kinase inhibitor p21(/WAF1/CIP1). AB - We have recently shown that curcumin induces apoptosis in prostate cancer cells through Bax translocation to mitochondria and caspase activation, and enhances the therapeutic potential of TRAIL. However, the molecular mechanisms by which it causes growth arrest are not well-understood. We studied the molecular mechanism of curcumin-induced cell cycle arrest in prostate cancer androgen-sensitive LNCaP and androgen-insensitive PC-3 cells. Treatment of both cell lines with curcumin resulted in cell cycle arrest at G1/S phase and that this cell cycle arrest is followed by the induction of apoptosis. Curcumin induced the expression of cyclin dependent kinase (CDK) inhibitors p16(/INK4a), p21(/WAF1/CIP1) and p27(/KIP1), and inhibited the expression of cyclin E and cyclin D1, and hyperphosphorylation of retinoblastoma (Rb) protein. Lactacystin, an inhibitor of 26 proteasome, blocks curcumin-induced down-regulation of cyclin D1 and cyclin E proteins, suggesting their regulation at level of posttranslation. The suppression of cyclin D1 and cyclin E by curcumin may inhibit CDK-mediated phosphorylation of pRb protein. The inhibition of p21(/WAF1/CIP1) by siRNA blocks curcumin-induced apoptosis, thus establishing a link between cell cycle and apoptosis. These effects of curcumin result in the proliferation arrest and disruption of cell cycle control leading to apoptosis. Our study suggests that curcumin can be developed as a chemopreventive agent for human prostate cancer. PMID- 18156802 TI - Pleiotrophin, a multifunctional tumor promoter through induction of tumor angiogenesis, remodeling of the tumor microenvironment, and activation of stromal fibroblasts. AB - Pleiotrophin (PTN, Ptn) is a widely expressed, developmentally regulated 136 amino acid secreted heparin-binding cytokine. It signals through a unique signaling pathway; the PTN receptor is the transmembrane receptor protein tyrosine phosphatase (RPTP)beta/zeta. RPTPbeta/zeta is inactivated by PTN, which leads to increased tyrosine phosphorylation of the downstream targets of the PTN/RPTPbeta/zeta signaling pathway. Pleiotrophin gene expression is found in cells in early differentiation during different developmental periods. It is upregulated in cells with an early differentiation phenotype in wound repair. The Ptn gene also is a proto-oncogene; PTN is expressed in human tumor cells, and, in cell lines derived from human tumors that express Ptn, Ptn expression is constitutive and thus "inappropriate". Importantly, properties of different cells induced by PTN in PTN-stimulated cells are strikingly similar to properties of highly malignant cells. Furthermore, transformed cells into which Ptn is introduced undergo "switches" to malignant cells of higher malignancy with properties that are strikingly similar to properties of PTN-stimulated cells. These unique features of PTN support the conclusion that constitutive PTN signaling in malignant cells that inappropriately express Ptn functions as a potent tumor promoter. Recently, in confirmation, Ptn targeted by the mouse mammary tumor virus (MMTV) promoter in a transgenic mouse model was found to promote breast cancers to a more aggressive breast cancer cell phenotype that morphologically closely resembles scirrhous carcinoma in human; in addition, it promoted a striking increase in tumor angiogenesis and a remarkable degree of remodeling of the micro-environment. Pleiotrophin thus regulates both different normal and pathological functions; collectively, the different studies have uncovered the unique ability of a single cytokine PTN, which signals through the unique PTN/RPTPbeta/zeta signaling pathway, to induce the many properties associated with tumor promotion in the malignant cells that constitutively express Ptn and in their microenvironment. PMID- 18156804 TI - ErbB-2 receptor cooperates with E6/E7 oncoproteins of HPV type 16 in breast tumorigenesis. AB - The ErbB-2 receptor is overexpressed in roughly 30% of human breast cancers. Moreover, approximately 50% of breast cancers are positive for high-risk human papillomaviruses (HPVs), specifically types 16 and 18. Recently, we reported that ErbB-2 cooperates with E6/E7 oncoproteins of HPV type 16 to induce neoplastic transformation of human normal oral epithelial cells. We also demonstrated that E6/E7 of HPV type 16 converts non-invasive breast cancer cells to an invasive form. In order to investigate the effect of ErbB-2/E6/E7 cooperation in breast carcinogenesis, we generated double transgenic mice carrying ErbB-2 and E6/E7 of HPV type 16 under mouse mammary tumor virus (MMTV) and human keratin 14 promoters, respectively. Within six months, these double transgenic mice developed large and extensive invasive breast cancer in comparison to ErbB-2 or E6/E7 singly transgenic mice. Histological analysis of ErbB-2/E6/E7 transgenic mice tumors showed the presence of invasive breast carcinomas. However, the breast tissues from ErbB-2 and E6/E7 transgenic mice showed only in-situ cancer and normal mammary phenotype, respectively. In parallel, we examined the cooperation effect of ErbB-2 and E6/E7 in the human breast cancer cell line, BT20; in comparison to ErbB-2 and E6/E7 alone as well as wild type cells, we found that ErbB 2/E6/E7 together stimulate colony formation and cell migration in the BT20 cell line. Furthermore, we found that beta-catenin is constitutively phosphorylated by c-Src and consequently trans-located to the nucleus in ErbB 2/E6/E7-breast cancer cells. These findings provide evidence that the ErbB-2 receptor cooperates with high-risk HPVs in breast tumorigenesis via beta-catenin activation. PMID- 18156805 TI - Mutation of zebrafish caf-1b results in S phase arrest, defective differentiation, and p53-mediated apoptosis during organogenesis. AB - The cell cycle of multicellular organisms must be tightly coordinated with organogenesis and differentiation. Experiments done in vitro have identified chromatin assembly factor 1 (CAF-1) as a protein complex promoting chromatin assembly during DNA replication, but the in vivo role of CAF-1 in multicellular animals is still poorly understood. Here we describe the characterization of a zebrafish mutant disrupting CAF-1b activity, and show that it leads to defective cell cycle progression and differentiation in several organs, including the retina, optic tectum, pectoral fins, and head skeleton. Retinal precursor cells mutant for caf-1b arrest in S phase and undergo p53-mediated apoptosis. While p53 deficiency is able to rescue apoptosis in caf-1b mutants, it fails to rescue differentiation, indicating that CAF-1 activity is essential for differentiation in these organs. In addition, we also show that regulation of caf-1b expression in the retina depends on a group of genes that regulate the switch from proliferation to differentiation. PMID- 18156806 TI - N-terminal proteolysis of full-length mutant huntingtin in an inducible PC12 cell model of Huntington's disease. AB - Proteolytic cleavage of mutant huntingtin may play a key role in the pathogenesis of Huntington's disease; however the steps in huntingtin proteolysis are not fully understood. Huntingtin was shown to be cleaved by caspases and calpains within a region between 460-600 amino acids from the N-terminus. Two smaller N terminal fragments produced by unknown protease have been previously described as cp-A and cp-B. To further investigate the huntingtin proteolytic pathway, we used an inducible PC12 cell model expressing full-length huntingtin with either normal or expanded polyglutamine. This cell model recapitulates several steps of huntingtin proteolysis: proteolysis mediated by caspases within the region previously mapped for caspase cleavage, and cleavage generating two novel N terminal fragments (cp-1 approximately 90-105 residues long and cp-2 extending beyond 115-129 epitope of huntingtin). Interestingly, the deletion of amino acids 105-114 (mapped previously as a cleavage site for cp-A) failed to affect the production of cp-1 or cp-2. Therefore, we conclude that these new fragments are distinct from previously described cp-A and cp-B. We demonstrate that cp-1 and cp 2 fragments are produced and accumulate within nuclear and cytoplasmic inclusions prior to huntingtin-induced cell toxicity, and these fragments can be formed by caspase-independent proteolytic cleavage of huntingtin in PC12 cells. In addition, inhibition of calpains leads to decreased subsequent degradation of cp 1 and cp-2 fragments, and accelerated formation of inclusions. Further delineation of huntingtin cleavage events may lead to novel therapeutic targets for HD. PMID- 18156807 TI - Paradoxes of aging. AB - Insightful articles by Kirkwood and other outstanding scientists reveal paradoxes of aging. The source of paradoxes is an assumption that aging is caused by random, cumulative molecular damage. Here I demonstrate that a concept of TOR driven program-like aging almost automatically resolves eleven paradoxes of aging. This article discusses why the accumulation of molecular damage does not limit life span, why calorie restriction and inhibition of protein synthesis extend life span, why the non-existing 'program' for aging is nevertheless robust, why a key gene for aging cannot be found by knocking it out, why low insulin is associated with good health but low insulin response with bad health, why aging is not a disease but can be treated as a disease, why 'healthy' aging is slow aging, and how we know that calorie restriction actually slows aging in humans. PMID- 18156808 TI - Distinguishing benign dissecting mucin (stromal mucin pools) from invasive mucinous carcinoma. AB - Mucin dissecting stroma suggests the presence of an invasive mucinous (colloid) carcinoma. However, in virtually every organ in which invasive mucinous carcinoma exists, there exist benign mimickers associated with dissecting mucin. This article reviews diagnostic criteria for the differential diagnosis of mucinous lesions of the breast, pancreas, biliary tract, colon, appendix, and bladder, emphasizing practical points, which we find helpful in daily diagnostic surgical pathology practice. PMID- 18156809 TI - The most common, clinically significant misdiagnoses in testicular tumor pathology, and how to avoid them. AB - Testicular tumors are both increasing in frequency and disproportionately occur in young men; furthermore, different forms of neoplasm require different treatments. These considerations make the accurate diagnosis of testicular tumors especially important. Many of the critical distinctions involve the differentiation of seminoma from one or more potential mimics because seminoma is not only the most common testicular neoplasm but it is also the only malignant testicular tumor that is commonly treated with radiation, which is ineffective in other malignancies of the testis. For the most part, accurate diagnosis can be achieved by careful light microscopic evaluation, although appropriate immunostains can provide diagnostic assistance if doubt persists. This article discusses a number of clinically important differential diagnoses in the testis that are common sources of misinterpretations. These include: seminoma versus embryonal carcinoma, seminoma versus yolk sac tumor, seminoma versus Sertoli cell tumor, seminoma with syncytiotrophoblast cells versus choriocarcinoma, granulomatous seminoma versus granulomatous orchitis, intertubular seminoma versus orchitis, lymphoma versus seminoma or embryonal carcinoma, dermoid cyst versus teratoma, scar versus regressed germ cell tumor, and "anaplastic" spermatocytic seminoma versus usual seminoma or embryonal carcinoma. PMID- 18156810 TI - Renal epithelial neoplasms: diagnostic applications of gene expression profiling. AB - Renal cell carcinoma (RCC) is the most common form of kidney cancer in adults. RCC is a significant challenge for pathologic diagnosis and clinical management. The primary approach to diagnosis is by light microscopy, using the World Health Organization (WHO) classification system, which defines histopathologic tumor subtypes with distinct clinical behavior and underlying genetic mutations. However, light microscopic diagnosis of RCC subtypes can be difficult due to variable histology, morphologic features shared by tumor subtypes, and a growing frequency of small tumor biopsies with limited morphologic information. In addition to these diagnostic problems, the clinical behavior of RCC is highly variable, and therapeutic response rates are poor. Few clinical assays are available to predict outcome in RCC or correlate behavior with histology. Therefore, novel RCC classification systems based on gene expression should be useful for diagnosis, prognosis, and treatment. Recent microarray studies have shown that renal tumors are characterized by distinct gene expression profiles, which can be used to discover novel diagnostic and prognostic biomarkers. Here, we review clinical features of kidney cancer, the WHO classification system, and the growing role of molecular classification for diagnosis, prognosis, and therapy of this disease. PMID- 18156811 TI - Solid pseudopapillary tumor of the pancreas: a review of salient clinical and pathologic features. AB - Solid pseudopapillary tumor (SPT) of the pancreas is a rare tumor of uncertain histogenesis characterized, as the name suggests, by a cystic and solid pattern of growth with formation of pseudopapillae. Accounting for only a small percentage of pancreatic neoplasms, SPT occurs primarily in young women, although cases in older patients and men have been reported. The tumor is thought to have low-grade malignant potential, as the majority of the cases are cured by simple but complete surgical resection. Knowledge of the unique morphologic and demographic characteristics of this neoplasm is essential for accurate diagnosis. Herein, we review the clinical and pathologic features, which can help separate SPTs from other primary pancreatic tumors. PMID- 18156812 TI - GRIM-19 in Health and Disease. AB - GRIM-19, a gene associated with retinoid interferon-induced mortality, was originally identified as a critical regulatory protein for interferon-beta and retinoic acid-induced cell death. It was also demonstrated that GRIM-19 is involved in mitochondrial metabolism, as an integrant component of complex I of the mitochondrial respiratory chain. GRIM-19 appears, therefore, as a dual function protein involved in cell death and mitochondrial metabolism. GRIM-19 knock out leads to Complex I assembly disruption and embryonic lethality in mice, showing that it is a crucial component of the mitochondrial respiratory chain essential for early embryonic development. Recently, mutations in GRIM-19 were described in Hurthle cell (mitochondrion-rich) tumors of the thyroid and down regulation or loss of its expression were found in renal cell carcinomas, suggesting a role for GRIM-19 in tumorigenesis. As GRIM-19 binds and inhibits the signal transducer and activator of transcription-3 (STAT3), which has been shown to be activated in several human tumors it is tempting to advance that GRIM-19 may function as a tumor suppressor gene in tumors in which STAT3 plays a major role. PMID- 18156813 TI - Molecular basis of autosomal recessive polycystic kidney disease (ARPKD). AB - Autosomal recessive polycystic kidney disease (ARPKD) is a serious genetic disease characterized by cystic changes in the collecting ducts of the kidney and bile ducts within the liver. The gene for ARPKD (PKHD1) is located on chromosome 6p12 and encodes a protein called fibrocystin/polyductin (FPC), 1 of many proteins that are normally present at the primary cilia of the renal tubules and intrahepatic bile ducts. The severity of the clinical disease depends on the type of genetic mutations. Although exact function of FPC is not fully known, it is generally felt that like many of the other ciliary proteins, it plays a vital role in maintaining the structural integrity of organs such as kidney and liver, by modulating important cellular functions, including proliferation, secretion, apoptosis, and terminal differentiation. FPC probably works in conjunction with cellular proteins involved in autosomal dominant polycystic kidney disease that is, polycystin-1 and polycystin-2, which are also located in the primary cilia. Genetic abnormalities in PKHD1 may result in structural and functional abnormalities of FPC, leading to cystic phenotype. PMID- 18156819 TI - Expanding the rationale for occlusion? PMID- 18156824 TI - Hidden sounds and busy bubbles: ultrasound therapy and applications for wound care. PMID- 18156825 TI - Measuring toe brachial index. PMID- 18156826 TI - Copayment collection is not an option! PMID- 18156827 TI - Bioengineering models of deep tissue injury. PMID- 18156828 TI - Increasing heel skin perfusion by elevation. AB - OBJECTIVE: To determine the efficacy of elevation in the primary prevention and treatment of pressure ulcers by studying the blood flow in tissue at risk of ulceration. DESIGN: A prospective study was used to compare different preventative devices with an elevating prosthesis. SETTING: : Wollongong Hospital Wollongong, New South Wales, Australia. PARTICIPANTS: Normal subjects and subjects with vasculopathy were tested with their heel resting on a hospital bed, medical-grade lamb's wool, or a viscoelastic gel overlay, with or without the test prosthesis. Skin perfusion was measured throughout using a laser Doppler monitor. INTERVENTION: A device designed to elevate the heel off the bed and distribute the weight of the leg and foot on the calf. MAIN OUTCOME MEASURE: Heel capillary blood perfusion. MAIN RESULTS: Perfusion in the heel was significantly greater when elevated than when using the other devices tested. The differences in mean red blood cell flux were significant, with P < .0001 for bed-normals, ie, subjects with no peripheral vascular disease on an alpha Xcell mattress overlay as the control with flux increasing from 7.6 to 163.1 arbitrary units (AU); P < .005 bed-vasculopathy, ie, subjects with peripheral vascular disease on an alpha Xcell mattress overlay as the control with flux increasing from 31.6 to 224.7 AU; P < .0001 viscoelastic overlay subjects where the viscoelastic overlay was the control with flux increasing from 26.6 to 291.4 AU; and P < .01 lamb's wool subjects where the lamb's wool was the control with flux increasing from 27.7 AU to 169.2 AU. CONCLUSION: In this study, when the heels were elevated, tissue perfusion to that area was substantially increased. When the heel was transferred to the elevating splint, the heel capillary bed underwent reactive hyperemia, indicating the alleviation of tissue hypoxia. Elevation is therefore an important technique in pressure ulcer prevention and treatment and should be incorporated into health care practice. PMID- 18156829 TI - Measuring wound length, width, and area: which technique? AB - PURPOSE: To provide practitioners with evidence-based recommendations for measuring wound size. TARGET AUDIENCE: This continuing education activity is intended for physicians and nurses with an interest in wound care. OBJECTIVES: After reading this article and taking this test, the reader should be able to: 1. Describe different methods of measuring wound size and their advantages and disadvantages. 2. Discuss a research study conducted to determine the most accurate ruler technique for measuring wounds. 3. Identify evidence-based wound measurement data and recommendations for clinical practice. PMID- 18156831 TI - Supply and demand. AB - A national project focuses on using technology to reduce the demand for nurses. PMID- 18156832 TI - Nurses are missing from health care policy. PMID- 18156833 TI - New nurses' orientation. PMID- 18156842 TI - Unwanted treatment. PMID- 18156849 TI - No place like a medical home? PMID- 18156850 TI - Caring for patients on kidney dialysis in a disaster. PMID- 18156851 TI - Safeguarding seniors during hurricanes. PMID- 18156852 TI - Maintaining supplemental oxygen during transport. PMID- 18156858 TI - Recognition of dementia in hospitalized older adults. AB - Many hospital patients with dementia have no documented dementia diagnosis. In some cases, this is because they have never been diagnosed. Recognition of Dementia in Hospitalized Older Adults proposes several approaches that hospital nurses can use to increase recognition of dementia. This article describes the Try This approaches, how to implement them, and how to incorporate them into a hospital's current admission procedures. For a free online video demonstrating the use of these approaches, go to http://links.lww.com/A216. PMID- 18156861 TI - How to try this: Delirium superimposed on dementia. AB - Delirium is common in older adults who have dementia, but too often nurses confuse the symptoms of delirium with those of dementia and it goes unrecognized and untreated. Delirium can signal a serious underlying condition such as infection or dehydration and can increase the risk of falling and the length of hospitalization. This article presents an algorithm meant to guide nurses in the assessment and treatment of delirium superimposed on dementia. For a free online video demonstrating the use of this algorithm, go to http://links.lww.com/A211 [corrected]. PMID- 18156863 TI - Nurse staffing and patient, nurse, and financial outcomes. AB - Because there's no scientific evidence to support specific nurse-patient ratios, and in order to assess the impact of hospital nurse staffing levels on given patient, nurse, and financial outcomes, the author conducted a literature review. The evidence shows that adequate staffing and balanced workloads are central to achieving good outcomes, and the author offers recommendations for ensuring appropriate nurse staffing and for further research. PMID- 18156870 TI - Nurses at the CDC. PMID- 18156872 TI - Taking the lead in research into postoperative cognitive dysfunction. PMID- 18156873 TI - Liars, damn liars, and propensity scores. PMID- 18156874 TI - Radicular low back pain: what have we learned from recent animal research? PMID- 18156876 TI - Paradoxical effects of midazolam in the very young. PMID- 18156878 TI - Predictors of cognitive dysfunction after major noncardiac surgery. AB - BACKGROUND: The authors designed a prospective longitudinal study to investigate the hypothesis that advancing age is a risk factor for postoperative cognitive dysfunction (POCD) after major noncardiac surgery and the impact of POCD on mortality in the first year after surgery. METHODS: One thousand sixty-four patients aged 18 yr or older completed neuropsychological tests before surgery, at hospital discharge, and 3 months after surgery. Patients were categorized as young (18-39 yr), middle-aged (40-59 yr), or elderly (60 yr or older). At 1 yr after surgery, patients were contacted to determine their survival status. RESULTS: At hospital discharge, POCD was present in 117 (36.6%) young, 112 (30.4%) middle-aged, and 138 (41.4%) elderly patients. There was a significant difference between all age groups and the age-matched control subjects (P < 0.001). At 3 months after surgery, POCD was present in 16 (5.7%) young, 19 (5.6%) middle-aged, and 39 (12.7%) elderly patients. At this time point, the prevalence of cognitive dysfunction was similar between age-matched controls and young and middle-aged patients but significantly higher in elderly patients compared to elderly control subjects (P < 0.001). The independent risk factors for POCD at 3 months after surgery were increasing age, lower educational level, a history of previous cerebral vascular accident with no residual impairment, and POCD at hospital discharge. Patients with POCD at hospital discharge were more likely to die in the first 3 months after surgery (P = 0.02). Likewise, patients who had POCD at both hospital discharge and 3 months after surgery were more likely to die in the first year after surgery (P = 0.02). CONCLUSIONS: Cognitive dysfunction is common in adult patients of all ages at hospital discharge after major noncardiac surgery, but only the elderly (aged 60 yr or older) are at significant risk for long-term cognitive problems. Patients with POCD are at an increased risk of death in the first year after surgery. PMID- 18156877 TI - Type and severity of cognitive decline in older adults after noncardiac surgery. AB - BACKGROUND: The authors investigated type and severity of cognitive decline in older adults immediately and 3 months after noncardiac surgery. Changes in instrumental activities of daily living were examined relative to type of cognitive decline. METHODS: Of the initial 417 older adults enrolled in the study, 337 surgery patients and 60 controls completed baseline, discharge, and/or 3-month postoperative cognitive and instrumental activities of daily living measures. Reliable change methods were used to examine three types of cognitive decline: memory, executive function, and combined executive function/memory. SD cutoffs were used to grade severity of change as mild, moderate or severe. RESULTS: At discharge, 186 (56%) patients experienced cognitive decline, with an equal distribution in type and severity. At 3 months after surgery, 231 patients (75.1%) experienced no cognitive decline, 42 (13.6%) showed only memory decline, 26 (8.4%) showed only executive function decline, and 9 (2.9%) showed decline in both executive and memory domains. Of those with cognitive decline, 36 (46.8%) had mild, 25 (32.5%) had moderate, and 16 (20.8%) had severe decline. The combined group had more severe impairment. Executive function or combined (memory and executive) deficits involved greater levels of functional (i.e., instrumental activities of daily living) impairment. The combined group was less educated than the unimpaired and memory groups. CONCLUSION: Postsurgical cognitive presentation varies with time of testing. At 3 months after surgery, more older adults experienced memory decline, but only those with executive or combined cognitive decline had functional limitations. The findings have relevance for patients and caregivers. Future research should examine how perioperative factors influence neuronal systems. PMID- 18156879 TI - Are blood transfusions associated with greater mortality rates? Results of the Sepsis Occurrence in Acutely Ill Patients study. AB - BACKGROUND: Studies have suggested worse outcomes in transfused patients and improved outcomes in patients managed with restricted blood transfusion strategies. The authors investigated the relation of blood transfusion to mortality in European intensive care units (ICUs). METHODS: The Sepsis Occurrence in Acutely Ill Patients study was a multicenter, observational study that included all adult patients admitted to 198 European ICUs between May 1 and May 15, 2002 and followed them until death, until hospital discharge, or for 60 days. Patients were classified depending on whether they had received a blood transfusion at any time during their ICU stay. RESULTS: Of 3,147 patients, 1,040 (33.0%) received a blood transfusion. These patients were older (mean age, 62 vs. 60 yr; P = 0.035) and were more likely to have liver cirrhosis or hematologic cancer, to be a surgical admission, and to have sepsis. They had a longer duration of ICU stay (5.9 vs. 2.5 days; P < 0.001) and a higher ICU mortality rate (23.0 vs. 16.3%; P < 0.001) but were also more severely ill on admission (Simplified Acute Physiology Score II, 40.2 vs. 34.7; P < 0.001; Sequential Organ Failure Assessment score, 6.5 vs. 4.5; P < 0.001). There was a direct relation between the number of blood transfusions and the mortality rate, but in multivariate analysis, blood transfusion was not significantly associated with a worse mortality rate. Moreover, in 821 pairs matched according to a propensity score, there was a higher 30-day survival rate in the transfusion group than in the other patients (P = 0.004). CONCLUSION: This observational study does not support the view that blood transfusions are associated with increased mortality rates in acutely ill patients. PMID- 18156880 TI - On-demand rather than daily-routine chest radiography prescription may change neither the number nor the impact of chest computed tomography and ultrasound studies in a multidisciplinary intensive care unit. AB - BACKGROUND: Elimination of daily-routine chest radiographs (CXRs) may influence chest computed tomography (CT) and ultrasound practice in critically ill patients. METHODS: This was a retrospective cohort study including all patients admitted to a university-affiliated intensive care unit during two consecutive periods of 5 months, one before and one after elimination of daily-routine CXR. Chest CT and ultrasound studies were identified retrospectively by using the radiology department information system. Indications for and the diagnostic/therapeutic yield of chest CT and ultrasound studies were collected. RESULTS: Elimination of daily-routine CXR resulted in a decrease of CXRs per patient day from 1.1 +/- 0.3 to 0.6 +/- 0.4 (P < 0.05). Elimination did not affect duration of stay or mortality rates. Neither the number of chest CT studies nor the ratio of chest CT studies per patient day changed with the intervention: Before elimination of daily-routine CXR, 52 chest CT studies were obtained from 747 patients; after elimination, 54 CT studies were obtained from 743 patients. Similarly, chest ultrasound practice was not affected by the change of CXR strategy: Before and after elimination, 21 and 27 chest ultrasound studies were performed, respectively. Also, timing of chest CT and ultrasound studies was not different between the two study periods. During the two periods, 40 of 106 chest CT studies (38%) and 18 of 48 chest ultrasound studies (38%) resulted in a change in therapy. The combined therapeutic yield of chest CT and ultrasound studies did not change with elimination of daily-routine CXR. CONCLUSIONS: Elimination of daily-routine CXRs may not affect chest CT and ultrasound practice in a multidisciplinary intensive care unit. PMID- 18156881 TI - Mechanical ventilation with lower tidal volumes and positive end-expiratory pressure prevents pulmonary inflammation in patients without preexisting lung injury. AB - BACKGROUND: Mechanical ventilation with high tidal volumes aggravates lung injury in patients with acute lung injury or acute respiratory distress syndrome. The authors sought to determine the effects of short-term mechanical ventilation on local inflammatory responses in patients without preexisting lung injury. METHODS: Patients scheduled to undergo an elective surgical procedure (lasting > or = 5 h) were randomly assigned to mechanical ventilation with either higher tidal volumes of 12 ml/kg ideal body weight and no positive end-expiratory pressure (PEEP) or lower tidal volumes of 6 ml/kg and 10 cm H2O PEEP. After induction of anesthesia and 5 h thereafter, bronchoalveolar lavage fluid and/or blood was investigated for polymorphonuclear cell influx, changes in levels of inflammatory markers, and nucleosomes. RESULTS: Mechanical ventilation with lower tidal volumes and PEEP (n = 21) attenuated the increase of pulmonary levels of interleukin (IL)-8, myeloperoxidase, and elastase as seen with higher tidal volumes and no PEEP (n = 19). Only for myeloperoxidase, a difference was found between the two ventilation strategies after 5 h of mechanical ventilation (P < 0.01). Levels of tumor necrosis factor alpha, IL-1alpha, IL-1beta, IL-6, macrophage inflammatory protein 1alpha, and macrophage inflammatory protein 1beta in the bronchoalveolar lavage fluid were not affected by mechanical ventilation. Plasma levels of IL-6 and IL-8 increased with mechanical ventilation, but there were no differences between the two ventilation groups. CONCLUSION: The use of lower tidal volumes and PEEP may limit pulmonary inflammation in mechanically ventilated patients without preexisting lung injury. The specific contribution of both lower tidal volumes and PEEP on the protective effects of the lung should be further investigated. PMID- 18156882 TI - Echocardiographic Doppler estimation of pulmonary artery pressure in critically ill patients with severe hypoxemia. AB - BACKGROUND: In spontaneously breathing cardiac patients, pulmonary artery pressure (PAP) can be accurately estimated from the transthoracic Doppler study of pulmonary artery and tricuspid regurgitation blood flows. In critically ill patients on mechanical ventilation for acute lung injury, the interposition of gas between the probe and the heart renders the transthoracic approach problematic. This study was aimed at determining whether the transesophageal approach could offer an alternative. METHODS: Fifty-one consecutive sedated and ventilated patients with severe hypoxemia (arterial oxygen tension/fraction of inspired oxygen < 300) were prospectively studied. Mean PAP measured from the pulmonary artery catheter was compared with several indices characterizing pulmonary artery blood flow assessed using transesophageal echocardiography: preejection time, acceleration time, ejection duration, preejection time on ejection duration ratio, and acceleration time on ejection duration ratio. In a subgroup of 20 patients, systolic PAP measured from the pulmonary artery catheter immediately before withdrawal was compared with Doppler study of regurgitation tricuspid flow performed immediately after pulmonary artery catheter withdrawal using either the transthoracic or the transesophageal approach. RESULTS: Weak and clinically irrelevant correlations were found between mean PAP and indices of pulmonary artery flow. A statistically significant and clinically relevant correlation was found between systolic PAP and regurgitation tricuspid flow. In 3 patients (14%), pulmonary artery pressure could not be assessed echocardiographically. CONCLUSIONS: In hypoxemic patients on mechanical ventilation, mean PAP cannot be reliably estimated from indices characterizing pulmonary artery blood flow. Systolic PAP can be estimated from regurgitation tricuspid flow using either transthoracic or transesophageal approach. PMID- 18156883 TI - Bispectral index, entropy, and quantitative electroencephalogram during single agent xenon anesthesia. AB - BACKGROUND: The aim was to evaluate the performance of anesthesia depth monitors, Bispectral Index (BIS) and Entropy, during single-agent xenon anesthesia in 17 healthy subjects. METHODS: After mask induction with xenon and intubation, anesthesia was continued with xenon only. BIS, State Entropy and Response Entropy, and electroencephalogram were monitored throughout induction, steady state anesthesia, and emergence. The performance of BIS, State Entropy, and Response Entropy were evaluated with prediction probability, sensitivity, and specificity analyses. The power spectrum of the raw electroencephalogram signal was calculated. RESULTS: The mean (SD) xenon concentration during anesthesia was 66.4% (2.4%). BIS, State Entropy, and Response Entropy demonstrated low prediction probability values at loss of response (0.455, 0.656, and 0.619) but 1 min after that the values were high (0.804, 0.941, and 0.929). Thereafter, equally good performance was demonstrated for all indices. At emergence, the prediction probability values to distinguish between steady-state anesthesia and return of response for BIS, State Entropy, and Response Entropy were 0.988, 0.892, and 0.992. No statistical differences between the performances of the monitors were observed. Quantitative electroencephalogram analyses showed generalized increase in total power (P < 0.001), delta (P < 0.001) and theta activity (P < 0.001), and increased alpha activity (P = 0.003) in the frontal brain regions. CONCLUSIONS: Electroencephalogram-derived depth of sedation indices BIS and Entropy showed a delay to detect loss of response during induction of xenon anesthesia. Both monitors performed well in distinguishing between conscious and unconscious states during steady-state anesthesia. Xenon induced changes in electroencephalogram closely resemble those induced by propofol. PMID- 18156884 TI - The effects of mild perioperative hypothermia on blood loss and transfusion requirement. AB - BACKGROUND: Anesthetic-induced hypothermia is known to reduce platelet function and impair enzymes of the coagulation cascade. The objective of this meta analysis and systematic review was to evaluate the hypothesis that mild perioperative hypothermia increases surgical blood loss and transfusion requirement. METHODS: The authors conducted a systematic search of published randomized trials that compared blood loss and/or transfusion requirements in normothermic and mildly hypothermic (34-36 degrees C) surgical patients. Results are expressed as a ratio of the means or relative risks and 95% confidence intervals (CI); P < 0.05 was considered statistically significant. RESULTS: Fourteen studies were included in analysis of blood loss, and 10 in the transfusion analysis. The median (quartiles) temperature difference between the normothermic and hypothermic patients among studies was 0.85 degrees C (0.60 degrees C versus 1.1 degrees C). The ratio of geometric means of total blood loss in the normothermic and hypothermic patients was 0.84 (0.74 versus 0.96), P = 0.009. Normothermia also reduced transfusion requirement, with an overall estimated relative risk of 0.78 (95% CI 0.63, 0.97), P = 0.027. CONCLUSION: Even mild hypothermia (<1 degree C) significantly increases blood loss by approximately 16% (4-26%) and increases the relative risk for transfusion by approximately 22% (3-37%). Maintaining perioperative normothermia reduces blood loss and transfusion requirement by clinically important amounts. PMID- 18156885 TI - Intrathecal magnesium sulfate administration at the time of experimental ischemia improves neurological functioning by reducing acute and delayed loss of motor neurons in the spinal cord. AB - BACKGROUND: In this study, the authors determined the effect of magnesium sulfate on intrathecal glutamate concentrations, hindlimb motor function, and histopathology after a transient episode of spinal cord ischemia. METHODS: Fifty two New Zealand White rabbits underwent spinal cord ischemia for 30 min. Fifteen minutes before ischemia, animals received intrathecal magnesium sulfate (MgSO4) (3 mg/kg) or placebo (artificial cerebrospinal fluid). Intrathecal microdialysis samples were measured for glutamate using high-performance liquid chromatography. Neurologic function and spinal cord histopathology were assessed throughout the recovery period. RESULTS: Intrathecal glutamate levels in placebo-treated animals were higher after spinal cord ischemia compared with sham- and MgSO4-treated animals. MgSO4-treated animals had increased lower extremity motor function compared with the placebo group (64.7% vs 14.3%, P < 0.01). Histologic examination of placebo-treated animals revealed significant motor neuron cell loss at thoracolumbar levels by Day 7 (P < 0.05), whereas lower lumbar regions displayed significant neuron loss on Day 1. Spinal cords from MgSO4-treated animals exhibited less neuronal loss in lumbar regions. Similar effects were present in the thoracolumbar segments on Day 7. A significant correlation existed between diminished neuronal loss and hind leg movement (Tarlov score) and demonstrates that the neurologic outcome after MgSO4 treatment was related to lower lumbar ventral horn cell survival (r2 = 0.812, P < 0.001). CONCLUSIONS: These results demonstrate that MgSO4 affords significant spinal cord motor neuron protection by diminishing acute neuronal loss at the foci of the ischemic injury (L3-L6) with delayed neuronal degeneration in adjacent spinal cord regions (T7 L2). PMID- 18156886 TI - Persistent depression of contractility and vasodilation with propofol but not with sevoflurane or desflurane in rabbits. AB - BACKGROUND: Propofol, sevoflurane, and desflurane may cause hemodynamic compromise during anesthesia and critical care management. The aim of the study was to compare these anesthetics during increased dose and recovery to maintenance level. METHODS: Anesthetized, open-chest New Zealand White rabbits were used to acquire dose-response curves with sevoflurane, desflurane, and propofol, followed by reduction to baseline infusion. Simultaneous high-fidelity left ventricular pressure and volume data were acquired during caval occlusion with a dual-field conductance catheter inserted via an apical stab. The preload recruitable stroke work and the end-diastolic pressure-volume relationship were used as the primary measures of contractility and diastolic function. RESULTS: The time-matched controls were stable over time. Propofol and desflurane but not sevoflurane caused dose-dependent reductions in myocardial contractility, although sevoflurane reduced contractility more at 1 minimal alveolar concentration. All anesthetics reduced mean arterial pressure, and significant recovery occurred for sevoflurane and desflurane but not for propofol. The end diastolic pressure-volume relationship was increased by sevoflurane. Ejection fraction decreased with sevoflurane only. All anesthetics caused dose-dependent vasodilation, with recovery for desflurane and sevoflurane but not propofol. Heart rate was decreased with propofol without significant recovery. Propofol plasma concentrations remained elevated after dose return to baseline infusion rate, suggestive of distribution compartment saturation. CONCLUSION: All three anesthetics caused dose-dependent decreases in cardiovascular function. Recovery of cardiovascular function occurred rapidly with sevoflurane and desflurane, but persistent depression of contractility, vasodilation, mean arterial pressure, and heart rate occurred with propofol during a 30-min recovery period. PMID- 18156887 TI - Dexmedetomidine reduces long-term potentiation in mouse hippocampus. AB - BACKGROUND: Dexmedetomidine (Precedex; Abbott Laboratories, Abbott Park, IL) is a selective alpha2-adrenergic agonist that also has affinity for imidazoline receptors. In clinical studies, dexmedetomidine has sedative effects and impairs memory, but the action of dexmedetomidine on synaptic plasticity in the brain has yet to be established. In the present study, the authors investigated the effects of dexmedetomidine on two forms of synaptic plasticity-long-term potentiation (LTP) and paired-pulse facilitation-in the CA1 region of mouse hippocampal slices. METHODS: The authors recorded Schaffer collateral-evoked field excitatory postsynaptic potentials from mouse hippocampal slices in CA1 stratum radiatum. The slope of the rising phase of the field excitatory postsynaptic potential was used to estimate the strength of synaptic transmission. RESULTS: Application of dexmedetomidine for 20 min before "theta burst" stimulation dose-dependently attenuated LTP, and half-inhibitory concentration of dexmedetomidine was 28.6 +/- 5.7 nm. The inhibitory effect of dexmedetomidine on LTP was not abolished by an alpha2-adrenoceptor antagonist (yohimbine), an imidazoline type 1 receptor and alpha2-adrenoceptor antagonist (efaroxan), an alpha1-adrenoceptor antagonist (prazosin), or a gamma-aminobutyric acid type A receptor antagonist (picrotoxin). However, an imidazoline type 2 receptor and alpha2-adrenoceptor antagonist (idazoxan) completely blocked the dexmedetomidine-induced attenuation. Furthermore, 2-benzofuranyl-2-imidaloline, a selective imidazoline type 2 receptor ligand, reduced LTP. 2-(4,5-dihydroimidaz-2-yl)-quinoline, another imidazoline type 2 receptor ligand, abolished the 2-benzofuranyl-2-imidaloline induced attenuation, but the inhibitory effect of dexmedetomidine on LTP was not abolished by 2-(4,5-dihydroimidaz-2-yl)-quinoline. Dexmedetomidine did not affect paired-pulse facilitation. CONCLUSION: Dexmedetomidine impairs LTP in area CA1 of the mouse hippocampus via imidazoline type 2 receptors and alpha2-adrenoceptors. PMID- 18156889 TI - A rat model of radicular pain induced by chronic compression of lumbar dorsal root ganglion with SURGIFLO. AB - BACKGROUND: Radicular pain is a common and debilitating clinical pain condition. To date, the mechanisms of radicular pain remain unclear, partly because of the lack of suitable preclinical models. The authors report a modified rat model of radicular pain that could mimic a subset of clinical radicular pain conditions induced by the soft tissue compression on dorsal root ganglion. METHODS: A rat model of radicular pain was produced by infiltrating the L5 intervertebral foramen with 60 microl of a hemostatic matrix (SURGIFLO; Johnson & Johnson, Somerville, NJ) resulting in chronic compression of lumbar dorsal root ganglion. Thermal hyperalgesia and mechanical allodynia were measured with or without epidural treatment with triamcinolone. Western blot was used to assess the expression of the NR1 subunit of the N-methyl-D-aspartate receptor and inhibitory factor kappabeta-alpha, an inflammatory marker, within the affected L5 dorsal root ganglion and spinal cord dorsal horn. RESULTS: Chronic compression of lumbar dorsal root ganglion resulted in: (1) persistent mechanical allodynia and thermal hyperalgesia up to 4 or 5 postoperative weeks and (2) up-regulation of the N methyl-D-aspartate receptor and inhibitory factor kappabeta-alpha within the ipsilateral L5 dorsal root ganglion and spinal cord dorsal horn. Epidural administration of triamcinolone (6.25-100 microg) on postoperative day 3 dose dependently attenuated both thermal hyperalgesia and mechanical allodynia in rats with chronic compression of lumbar dorsal root ganglion. CONCLUSION: The data suggest that this modified rat model of chronic compression of lumbar dorsal root ganglion may be a useful tool to explore the mechanisms as well as new therapeutic options of radicular pain. PMID- 18156888 TI - Photo-activated azi-etomidate, a general anesthetic photolabel, irreversibly enhances gating and desensitization of gamma-aminobutyric acid type A receptors. AB - BACKGROUND: The general anesthetic etomidate acts via gamma-aminobutyric acid type A (GABA(A)) receptors, enhancing activation at low GABA and prolonging deactivation. Azi-etomidate is a photo-reactive etomidate derivative with similar pharmacological actions, which has been used to identify putative binding sites. The authors examine the irreversible effects of azi-etomidate photo-modification on functional GABA(A) receptors in cell membranes. METHODS: GABA(A) receptors (alpha1beta2gamma2L) were expressed in both Xenopus oocytes and human embryonic kidney cells exposed to 365 nm light-activated azi-etomidate with or without GABA, then extensively washed. Receptor-mediated chloride currents were measured using voltage clamp electrophysiology to assess the ratio of peak responses at 10 microm and 1 mm GABA (I10/I1000) and deactivation time course. RESULTS: After azi etomidate photo-modification, I10/I1000 ratios were persistently enhanced and deactivation was prolonged, mimicking reversible azi-etomidate actions. Azi etomidate and ultraviolet light were required to produce irreversible receptor modulation. Adding GABA during photo-modification greatly enhanced irreversible modulation. Azi-etomidate modification also dose-dependently reduced maximal GABA activated currents, consistent with accumulation of permanently desensitized receptors. Excess etomidate during azi-etomidate photo-modification competitively reduced permanent desensitization. Persistent channel modulation was blocked by 320-fold excess etomidate but enhanced when 32-fold excess etomidate was present. CONCLUSIONS: Azi-etomidate efficiently photo-modifies etomidate sites on GABA(A) receptors in intact cells, producing persistent functional changes that mimic its reversible effects. The results demonstrate sequential modification at more than one etomidate site per receptor. The sites display reciprocal positive cooperativity. In combination with focal photo-activation, azi-etomidate may prove useful for studies of anesthetic actions in neural circuits. PMID- 18156890 TI - Midazolam potentiates nociceptive behavior, sensitizes cutaneous reflexes, and is devoid of sedative action in neonatal rats. AB - BACKGROUND: The significant postnatal maturation of gamma-aminobutyric acid signaling in the developing brain is likely to have important implications for infant pain processing. Gamma-aminobutyric acid receptor activation evokes analgesia and sedation in the adult, but the impact of immature gamma aminobutyric acid signaling on modulators of the gamma-aminobutyric acid type A receptor, such as the benzodiazepines, is not known in infants. METHODS: Nociceptive processing was measured using behavioral and electrophysiological recordings of hind limb flexor withdrawal threshold and magnitude to mechanical and thermal stimulation of the hind paw. The effects of midazolam (0.1-10 mg/kg subcutaneously, 0.1 mg/kg intrathecally) or saline treatment were compared in rats aged 3, 10, 21, and 40 days (adult). The sedative action of midazolam was assessed at each age using righting reflex latencies. RESULTS: Midazolam dose dependently decreased mechanical reflex thresholds and increased mechanical and thermal reflex magnitudes in neonates. In older rat pups and adults, midazolam had the reverse effect, increasing thresholds and decreasing reflex magnitude. These differences were mediated supraspinally; intrathecal administration of midazolam did not affect flexion reflexes at any age. Midazolam had no sedative action in the youngest rats; sedation increased gradually through postnatal development. CONCLUSIONS: The results show a striking reversal in the effects of midazolam on nociception and sedation in rats between postnatal days 3 and 10. Midazolam fails to sedate young rats and sensitizes their flexor reflex activity. The sedative and desensitizing effects of midazolam are not observed until later in life after maturation in supraspinal centers. The results indicate a need to better understand the pharmacology of drugs used routinely in neonatal intensive care. PMID- 18156891 TI - Bacterial colonization of epidural catheters used for short-term postoperative analgesia: microbiological examination and risk factor analysis. AB - BACKGROUND: The authors conducted this prospective study to determine the incidence, potential routes, and risk factors of microbial colonization of epidural catheter used for postoperative pain control. METHODS: Two-hundred five patients with epidural analgesia for postoperative pain were studied. On removal of the catheter, five samples were sent for culture: the infusate, a swab from inside the hub of the epidural catheter connector, a swab from the skin around the catheter insertion site, the subcutaneous segment, and the tip of the catheter. Clinical data related to the catheter insertion, management, and general patient conditions were collected. RESULTS: The positive culture rates for the subcutaneous and tip segments of the catheter were 10.5% and 12.2%, respectively. The most common organism in the culture was coagulase-negative staphylococcus. There was a strong linear relationship between bacterial colonization in the skin around the catheter insertion site and growth from the subcutaneous and tip segments of catheter (P = 0.000). Catheter-related events at ward, blood transfusion, and positive culture from the skin at the insertion site were risk factors for bacterial colonization of epidural catheters. Inflammation at catheter insertion site, catheter indwelling time, and level of catheter insertion were not predicators for epidural catheter colonization. CONCLUSIONS: The authors' results suggest that bacterial migration along the epidural catheter track is the most common route of epidural catheter colonization. Maintaining sterile skin around the catheter insertion site will reduce colonization of the epidural catheter tip. PMID- 18156892 TI - Equipment-related electrocardiographic artifacts: causes, characteristics, consequences, and correction. AB - Interference of the monitored or recorded electrocardiogram is common within operating room and intensive care unit environments. Artifactual signals, which corrupt the normal cardiac signal, may arise from internal or external sources. Electrical devices used in the clinical setting can induce artifacts by various different mechanisms. Newer diagnostic and therapeutic modalities may generate artifactual changes. These artifacts may be nonspecific or may resemble serious arrhythmia. Clinical signs, along with monitored waveforms from other simultaneously monitored parameters, may provide the clues to differentiate artifacts from true changes on the electrocardiogram. Simple measures, such as proper attention to basic principles of electrocardiographic measurement, can eliminate some artifacts. However, in persistent cases, expert help may be required to identify the precise source and minimize interference on the electrocardiogram. Technological advancements in processing the electrocardiographic signal may be useful to detect and eliminate artifacts. Ultimately, an improved understanding of the artifacts generated by equipment, and their identifying characteristics, is important to avoid misinterpretation, misdiagnosis, and iatrogenic complication. PMID- 18156893 TI - 2007 in review: a dozen steps forward in Anesthesiology. PMID- 18156894 TI - Malignant hyperthermia. 1962. PMID- 18156895 TI - Management of low tracheal rupture in patients requiring mechanical ventilation for acute respiratory distress syndrome. PMID- 18156896 TI - Unsuccessful cardiopulmonary resuscitation during neurosurgery: is the supine position always optimal? PMID- 18156897 TI - Variable effect of positive end-expiratory pressure on oxygenation in patients with acute respiratory distress syndrome. PMID- 18156900 TI - John Quincy Adams Ward did not create the Ether Monument. PMID- 18156902 TI - The use of simulation education in competency assessment: more questions than answers. PMID- 18156905 TI - Hyperoxia-induced decrease in organ blood flow. PMID- 18156907 TI - Anesthesia-related maternal deaths: where is "regional anesthesia"? PMID- 18156909 TI - Surprises in plethysmography. PMID- 18156910 TI - Herniation of the laryngeal mask airway classic. PMID- 18156911 TI - A complication associated with the use of a drug injection catheter through a fiberscope. PMID- 18156915 TI - Accuracy of plain abdominal radiographs in the detection of retained surgical needles in the peritoneal cavity. AB - OBJECTIVE: To determine the accuracy of plain abdominal radiographs in the detection of retained surgical needles of varying size in the peritoneal cavity. SUMMARY BACKGROUND DATA: Accidental retention of surgical foreign bodies in the peritoneal cavity is estimated to occur once in every 1000 to 1500 abdominal operations and early prevention and identification of retained foreign bodies is increasingly important because of mounting public awareness. Most of the existing literature on the imaging detection of surgical foreign bodies has focused on retained sponges, even though retained needles may account for up to 50% of such objects and the true accuracy of plain abdominal radiographs in the detection of retained needles is not well established. METHODS: Eight plain radiographs were obtained of a 41 kg pig cadaver after placement of a total of 39 surgical needles of varying size (4-77 mm in length) in a randomized selection of the 9 segments of the peritoneal cavity. Five radiologists independently reviewed the radiographs and indicated the location of all suspected retained needles. Analyses were performed using the known site and size of placed needles as the standard of reference. RESULTS: In total for all readers, 195 needles were detectable in 360 abdominal segments. The overall mean accuracy, sensitivity, and specificity for plain radiographs in the detection of retained surgical needles were 74% (267 of 360), 69% (135 of 195), and 80% (132 of 165), respectively. Sensitivity for needles 25 mm or more in length was significantly (P < 0.0001) higher than that for needles of 11 to 24 mm or 10 mm or less, with respective values of 99% (69 of 70), 84% (46 of 55), and 29% (20 of 70). Readers demonstrated moderate interobserver agreement, with a multireader kappa value of 0.60. CONCLUSIONS: Abdominal radiographs have high sensitivity and interobserver agreement in the detection of retained surgical needles over 10 mm in length, but smaller needles are detected with significantly lower sensitivity and the utility of plain abdominal radiographs in this setting is more debatable. PMID- 18156916 TI - Managing the prevention of retained surgical instruments: what is the value of counting? AB - OBJECTIVE: Preventing retained foreign bodies is critical for patient safety. However, the value of counting surgical instruments and the reliability of the information provided have never been quantified. This study examines the diagnostic characteristics of counting and its impact on surgical costs. METHODS: We examined data from the Medical Event Reporting System-Total HealthSystem (MERS TH), administrative hospital, and the New York State Cardiac Surgery Report databases (2000-2004). The cost per count discrepancy was examined by studying a cohort of patients undergoing coronary artery bypass graft (CABG) surgery. Linear and logistic multivariable regression models were used for statistical analysis. RESULTS: Of 153,263 operations, there were 1062 count discrepancies. The rate of retained items was 1 of 7000 surgeries or 1 of 70 discrepancy cases. Final count discrepancies identified 77% and prevented 54% of retained items. The sensitivity of counting was 77.2%, specificity was 99.2%, but the positive predictive value was only 1.6%. Count discrepancies increased with surgery duration, late time procedures, and number of nursing teams. Bypass time, intravenous nitroglycerin injections, or myocardial infarction in the previous 24 hours were independent predictors of count discrepancies in CABG surgery. The incremental OR cost for CABG because of a count discrepancy was $932. Nationally, this would amount to an additional $24 million/yr in OR CABG cost. CONCLUSIONS: This study, for the first time, quantifies the diagnostic accuracy of counting and defines the parameters against which alternative strategies of prevention should be measured, before being adopted in standard practice. PMID- 18156917 TI - Beyond counting: current evidence on the problem of retaining foreign bodies in surgery? PMID- 18156918 TI - Survival and changes in comorbidities after bariatric surgery. AB - OBJECTIVE: To evaluate survival rates and changes in weight-related comorbid conditions after bariatric surgery in a high-risk patient population as compared with a similar cohort of morbidly obese patients who did not undergo surgery. SUMMARY BACKGROUND DATA: Morbid obesity is increasingly becoming a major public health issue. Existing studies are limited in their ability to assess the risks and benefits of bariatric surgery because few studies compare surgical patients to a similar, morbidly obese, nonsurgical cohort, especially in high-risk populations like the elderly and disabled. METHODS: A retrospective cohort analysis using Medicare fee-for-service patients from 2001 to 2004. Survival rates and diagnosed presence of 5 conditions commonly comorbid with morbid obesity were examined for morbidly obese patients who did and did not undergo bariatric surgery, with up to 2 years follow-up. RESULTS: Morbidly obese Medicare patients who underwent bariatric surgery had increased survival rates over the 2 years of this study when compared with a similar morbidly obese nonsurgical group (P < 0.001). For patients under the age of 65, this survival advantage started at 6 months postoperatively and for patients over age 65, at 11 months. The surgical group also experienced significant improvements in the diagnosed prevalence of 5 weight-related comorbid conditions (diabetes, sleep apnea, hypertension, hyperlipidemia, and coronary artery disease) relative to the nonsurgical cohort after 1 year postsurgery (P < 0.001). CONCLUSIONS: Bariatric surgery appears to increase survival even in the high-risk, Medicare population, both for individuals aged 65 and older and those disabled and under 65. In addition, the diagnosed prevalence of weight-related comorbid conditions declined after bariatric surgery relative to a control cohort of morbidly obese patients who did not undergo surgery. PMID- 18156919 TI - Lifting the unbearable weight of morbid obesity. PMID- 18156920 TI - Statins for surgical patients. AB - OBJECTIVE: To evaluate perioperative statin treatment, to explore the rapidly increasing body of literature on the pleiotropic effects of statins, and to suggest a rational strategy of perioperative risk reduction. SUMMARY OF BACKGROUND DATA: Vascular, cerebrovascular, and cardiovascular complications are all too common in surgery. Although treatment with beta-blockers is a well established strategy for perioperative cardiac risk reduction, prophylaxis with statins enjoys a firm pathophysiologic basis. METHODS: A PubMed search for studies evaluating outcomes of statin treatment in surgical series was accomplished by evaluating all articles found with the keyword "surgery" and the MeSH term for statins "hydroxymethylglutaryl-CoA reductase inhibitors." Studies where no outcome was relatable to statin treatment were excluded as were studies dealing primarily with transplant surgery. An overview of the medical literature on statin use and cardiac outcome was also performed. Basic science investigations elucidating the mechanisms and effects of statins that may reduce perioperative risk were included. RESULTS: The pharmacology and pleiotropic effects of statins are delineated. Multiple beneficial outcomes are elucidated and explored. Statins prescribed in the perioperative period appear beneficial though only one clinical trial is available from which to make clinical recommendations. CONCLUSION: Evidence supports a rebound effect. Statin treatment should be instituted and must not be discontinued in surgical patients. Current literature suggests that statins are protective in the preoperative period. PMID- 18156921 TI - Randomized trial of division versus nondivision of the short gastric vessels during laparoscopic Nissen fundoplication: 10-year outcomes. AB - BACKGROUND: Although laparoscopic Nissen fundoplication is an effective procedure for the treatment of gastroesophageal reflux, in some patients it is followed by troublesome side effects, such as dysphagia, abdominal bloating, and inability to belch. It has been claimed that dividing the short gastric blood vessels during laparoscopic Nissen fundoplication minimizes the risk of these problems. We have previously reported the 6-month and 5-year outcomes from a randomized trial, which have shown no advantages after division of these vessels. In this study, we determined the longer-term (10 years) outcomes from this trial. METHODS: From May 1994 to October 1995, 102 patients with gastroesophageal reflux disease who underwent a laparoscopic Nissen fundoplication were entered into this randomized trial (vessels divided in 50, not divided in 52). At 10-year follow-up, 88 patients provided clinical follow-up information. Follow-up was obtained by telephone interview conducted by an independent and blinded investigator who applied a standardized questionnaire. RESULTS: At 10-year follow-up no significant differences between the 2 groups could be identified. Heartburn, dysphagia, and overall satisfaction were similar for both study groups. CONCLUSIONS: The 10-year clinical outcomes from this trial have shown no benefit for division of the short gastric vessels during laparoscopic Nissen fundoplication. PMID- 18156922 TI - Adjuvant intra-arterial iodine-131-labeled lipiodol for resectable hepatocellular carcinoma: a prospective randomized trial-update on 5-year and 10-year survival. AB - OBJECTIVE: In this prospective randomized trial, we attempted to find out if 1 dose of postoperative adjuvant intra-arterial iodine-131-labeled lipiodol could reduce the rate of local recurrence, and increase disease-free and overall survival for patients with hepatocellular carcinoma (HCC). This study evaluated the long-term outcome. BACKGROUND: Resection of HCC is potentially curative, but local recurrence is common. However, there is currently no effective adjuvant therapy. Early results after closing the trial (Lau et al. Lancet 1999;353:797 801) showed that 1 dose of intra-arterial I-lipiodol given after curative resection significantly decreased the rate of recurrence, and increased disease free and overall survival. METHODS: Patients who underwent curative resection for HCC and recovered within 6 weeks were randomly assigned one 1850 MBq dose of I lipiodol or no further treatment (controls). We compared rates of recurrence, and long-term disease-free and overall survival (the primary endpoints) between the 2 groups by intention-to-treat. RESULTS: Between April 1992 and August 1997, we recruited 43 patients: 21 were randomized to receive intra-arterial I-lipiodol and 22 to receive no adjuvant treatment. I-lipiodol had no significant toxic effects. During a median follow-up of 66 (range, 3-198) months, there were 10 (47.6%) recurrences among the 21 patients in the adjuvant treatment group, compared with 14 (63.6%) in the control group (P = 0.29). The actuarial 5-year disease-free survival in the treatment and control groups was 61.9% and 31.8%, respectively (P = 0.0397). The actuarial 5-year overall survival in the treatment and control groups was 66.7% and 36.4%, respectively (P = 0.0433). The actuarial 7-year disease-free survival in the treatment and control groups was 52.4% and 31.8%, respectively (P = 0.0224). The actuarial 7-year overall survival in the treatment and control groups was 66.7% and 31.8%, respectively (P = 0.0243). The actuarial 10-year disease-free survival in the treatment and control groups was 47.6% and 27.3%, respectively (P = 0.0892). The actuarial 10-year overall survival in the treatment and control groups was 52.4% and 27.3%, respectively (P = 0.0905). CONCLUSIONS: In patients with HCC, adjuvant intra-arterial I-lipiodol after curative liver resection provided survival benefit on the disease-free survival and overall survival, although the difference became statistically insignificant at 8 years after randomization. PMID- 18156923 TI - Preoperative portal vein embolization for major liver resection: a meta-analysis. AB - INTRODUCTION: Preoperative portal vein embolization (PVE) is used clinically to prevent postoperative liver insufficiency. The current study examined the impact of portal vein embolization on liver resection. METHOD: A comprehensive Medline search to identify all registered literature in the English language on portal vein embolization. Meta-analysis was performed to assess the result of PVE and its impact on major liver resection. RESULT: A total of 75 publications met the search criteria but only 37 provided data sufficiently enough for analysis involving 1088 patients. The overall morbidity rate for PVE was 2.2% without mortality. Four weeks following PVE, 85% patients underwent the planned hepatectomy (n = 930). Twenty-three patients had transient liver failure following resection after PVE (2.5%) but 7 patients developed acute liver failure and died (0.8%). The reason for nonresection following PVE (n = 158, 15%) included inadequate hypertrophy of remnant liver (n = 18), severe progression of liver metastasis (n = 43), extrahepatic spread (n = 35), refusal to surgery (n = 1), poor general condition (n = 1), altered treatment to transcatheter artery embolization or chemotherapy (n = 24), complete remission after treatment with 3 cycles of fluoracil and interferon alpha in a patient with hepatocellular carcinoma (n = 1), incomplete pre- or postembolization scanning (n = 8). Of those who underwent laparotomy without resection, (n = 27) reasons included intraoperative finding of peritoneal dissemination (n = 15), portal node metastasis (n = 2), severe invasion of the tumor to the hepatic artery and portal vein (n = 1), and gross tumoral extension precluding curative resection (n = 9). Two techniques were used for portal vein embolization: percutaneous transhepatic portal embolization, (PTPE) and transileocolic portal embolization, (TIPE). The increase in remnant liver volume was much greater in PTPE than TIPE group (11.9% vs. 9.7%; P = 0.00001). However, the proportion of patients who underwent resection following PVE was 97% in TIPE and 88% PTPE, respectively (P = <0.00001). Although there was no significant difference in patients who had major complications post-PVE, the rate for minor complications was significantly higher among patients who had PTPE (53.6% vs. 0%, P = <0.0001). CONCLUSION: PVE is a safe and effective procedure in inducing liver hypertrophy to prevent postresection liver failure due to insufficient liver remnant. PMID- 18156924 TI - Laparoscopic versus open live donor nephrectomy in renal transplantation: a meta analysis. AB - OBJECTIVE: The aim of this study was to compare laparoscopic versus open live donor nephrectomy using meta-analytical techniques. SUMMARY BACKGROUND DATA: Laparoscopic live donor nephrectomy has gained widespread acceptance and is increasingly performed. The body of evidence assessing the safety and efficacy of laparoscopic compared with established open techniques is growing; however, very few randomized control trials exist and individual studies often have small patient numbers with varying results. We combined the available raw data to strengthen the current literature in comparing these techniques. METHODS: A literature search was performed and comparative studies published between 1997 and 2006 of open versus laparoscopic donor nephrectomy were included. Outcomes evaluated were operative and warm ischemia times, blood loss, donor complications, length of hospital stay, time to return to work, and delayed graft function. RESULTS: Seventy-three studies matched the selection criteria and included 6594 patients, 3751 (57%) had undergone laparoscopic surgery and 2843 (43%) open nephrectomy. The open nephrectomy group had shorter operative and warm ischemia times by 52 minutes (P < 0.001) and 102 seconds (P < 0.001), respectively. This did not translate into higher delayed graft function or graft loss rates between the 2 groups. Patients in the laparoscopic group had a shorter hospital stay and a faster return to work by 1.58 days (P < 0.001) and 2.38 weeks (P < 0.001), respectively. There was a significantly higher rate of overall donor complications in the open group (P = 0.007), a finding not reproduced in any subsequent sensitivity analyses. When only randomized control trials were considered, there were shorter operative times (P = 0.002) for the open group but nonsignificantly different warm ischemia times. In contrast to the main analysis there were no differences in the overall complication rate, postoperative analgesia, hospital stay, or time taken to return to work. CONCLUSIONS: Laparoscopic nephrectomy in live donor transplantation is a safe alternative to the open technique. Although open nephrectomy may be associated with shorter operative and warm ischemia times, patients undergoing laparoscopic nephrectomy may benefit from a shorter hospital stay and faster return to work without compromising graft function. PMID- 18156925 TI - Postoperative complications after esophagectomy for adenocarcinoma of the esophagus are related to timing of death due to recurrence. AB - BACKGROUND: Esophagectomy is frequently accompanied by substantial complications with secondary disturbance of the immune system. After esophagectomy for adenocarcinoma of the distal esophagus and/or gastroesophageal junction, the majority of patients develops an early recurrence and dies within 2 years. The aim of this study was to determine the relevance of perioperative complications on the timing of death due to recurrence. METHODS: A consecutive series of 351 patients who underwent esophagectomy for adenocarcinoma of the esophagus and gastroesophageal junction was reviewed. RESULTS: Of the 351 included patients, 191 patients (54%) died due to recurrence of esophageal adenocarcinoma. Of these 191 patients, 77 (40%), 138 (72%), and 186 patients (97%) died before 12, 24, and 60 months, respectively. Multivariate Cox regression analysis demonstrated that T stage, lymph node ratio >0.20, the presence of extracapsular lymph node involvement, but not complications were significant factors for the prediction of death due to cancer recurrence. However, in the patients who died, multivariate Cox regression analysis demonstrated that not only the presence of extracapsular lymph node involvement but also the occurrence of complications were significantly related with a shorter time interval until death due to recurrence. CONCLUSION: The relation between perioperative complications and cancer recurrence per se is not causal. However, postoperative complications are independently associated with the early timing of death due to cancer recurrence. A possible explanation for this phenomenon is that immunologic host factors enhance microscopic residual disease to develop more rapidly into clinically manifest recurrence. PMID- 18156926 TI - A national perspective on the decline of abdominoperineal resection for rectal cancer. AB - OBJECTIVE: To assess rates of abdominoperineal excision of the rectum (APER) for rectal cancer between centers and over time, and to evaluate the influence of patient characteristics, including social deprivation, on APER rate. METHODS: Data on patients undergoing APER or anterior resection (AR) in England were extracted from a national administrative database for the years 1996 to 2004. The primary outcome was the proportion of patients presenting with rectal cancer undergoing APER. Hierarchical logistic regression was used to identify independent factors associated with a nonrestorative resection. RESULTS: Data on 52,643 patients were analyzed, 13,109(24.9%) of whom underwent APER. The APER rate significantly reduced over the study period from 29.4% to 21.2% (P < 0.001). Operative mortality following AR decreased significantly during the period of study (5.1% to 4.2%, P = 0.002), while that following APER did not (P = 0.075). Male patients were more likely to undergo APER (P < 0.001), whereas those with an emergency presentation more commonly underwent AR (P < 0.001). Independent predictors of increased APER rate were male gender (odds ratio [OR] = 1.239, P < 0.001) and social deprivation (most vs. least deprived; OR = 1.589, P < 0.001), whereas increasing patient age (OR = 0.977, P = 0.027 per 10-year increase), year of study (2003/4 vs. 1996/7; OR = 0.646, P < 0.001) and initial presentation as an emergency (OR = 0.713, P < 0.001) were associated with lower APER rates. After accounting for case-mix, there was significant between-center variability in APER rates. CONCLUSION: Socially deprived patients were more likely to undergo abdominoperineal resection. Significant improvements in rates of nonrestorative resection were seen over time but although short-term outcomes following AR have improved, those following APER have not. Permanent stoma rates following rectal cancer surgery may be considered a surrogate marker of surgical quality. PMID- 18156927 TI - Anti-beta1 integrin antibody reduces surgery-induced adhesion of colon carcinoma cells to traumatized peritoneal surfaces. AB - OBJECTIVE: To study the mechanisms behind surgery-induced augmentation of tumor outgrowth. SUMMARY BACKGROUND DATA: Surgery provides the best chance of cure for most primary intra-abdominal carcinomas. Effective treatment is however relatively frequent complicated by peritoneal recurrences, which often originate from free-floating intraperitoneal tumor cells that implant on peritoneal surfaces. We previously reported that surgical trauma promotes development of peritoneal metastases. METHODS: Evaluation of adhesion of CC531s rat colon carcinoma cell line intraperitoneally after laparotomy using in vivo, ex vivo, and in vitro models. Also, human ex vivo models were used to study peritoneal tumor cell adhesion. RESULTS: Peritoneal imprints of operated rats showed that direct damaging of the peritoneum resulted in enhanced adhesion of rat CC531 colon carcinoma cells to submesothelial extracellular matrix (ECM) proteins in vivo, which was confirmed by electron microscopy. Additionally, the inflammatory reaction of the peritoneal cavity led to retraction of mesothelial cells, hereby also exposing ECM at peritoneal surfaces that had not been traumatized directly. Furthermore, we demonstrated that beta1 integrin subunits represented the primary mediators involved in adherence to either isolated ECM components or excised traumatized rat and human peritoneum. Importantly, incubation of CC531s cells with anti-beta1 integrin antibodies resulted in a significant decrease of tumor cell adhesion in vivo. CONCLUSIONS: Surgical trauma results in exposure of ECM at directly and nondirectly damaged peritoneal surfaces, leading to increased beta1 integrin-dependent tumor cell adhesion. Perioperative therapies, which aim to block beta1 integrin subunits, might therefore serve as new clinical tools for the prevention of peritoneal recurrences. PMID- 18156928 TI - Long-chain saturated fatty acids consumption and risk of gallstone disease among men. AB - BACKGROUND: Various saturated fatty acids have different effects on blood lipids and insulin secretion in experiments. The effect of long-term consumption of specific and different classes of saturated fatty acids on the risk of gallstone disease in humans is unknown. METHODS: We prospectively studied consumption of saturated fatty acids and risk of gallstone disease in a cohort of 44,524 US men from 1986 to 2002. Intake of saturated fatty acids was assessed using a validated semiquantitative food frequency questionnaire. Newly diagnosed gallstone disease was ascertained biennially. RESULTS: During 584,679 person-years of follow-up, we documented 2350 incident cases of gallstone disease, of which 1387 cases required cholecystectomy. Compared with men in the lowest quintile of dietary intake of long-chain saturated fats, after adjustment for age and other potential risk factors, the relative risk of gallstone disease for men in the highest quintile was 1.24 [95% confidence interval (CI), 1.02, 1.50, P for trend = 0.03], and the relative risk of cholecystectomy for men in the highest quintile was 1.41 (CI, 1.09, 1.82, P for trend = 0.008). Consumption of medium-chain saturated fatty acids or short-chain saturated fatty acids was unrelated to the risk. CONCLUSIONS: Our results suggest that a higher consumption of long-chain saturated fatty acids may enhance the risk of gallstone disease in men. PMID- 18156929 TI - Benefits of reoperation of T2 and more advanced incidental gallbladder carcinoma: analysis of the German registry. AB - OBJECTIVE: The aim of this study was to determine which T stages of incidental gallbladder carcinoma (IGBC) actually benefit from an early reresection (ERR). BACKGROUND: The IGBC is a carcinoma first detected by the pathologist. The indication for the cholecystectomy was a benign disease. The indication for an ERR is debated in the literature, and different recommendations are often drawn based on data collected from only small groups. METHODS: A register was founded in 1997 to prospectively record all IGBCs in Germany. All the patients who had a reresection in this study were treated according to the German Guidelines of Surgery and Oncology. This study analyzes 439 cases of IGBC. RESULTS: There was a significant benefit for the 85 of 200 T2 patients who did have an ERR. There was no benefit though for the 32 of 85 T3 patients who did have an ERR. There is a significantly better survival rate for T2 patients with negative lymph nodes, and there is a trend for better survival for T3 patients with negative lymph nodes. CONCLUSION: An ERR should be highly recommended for patients with IGBC in the T2 stage, because it improves their survival positive. Without an ERR, it is almost impossible to definitively determine the nodal status or to obtain exact staging for estimating the prognosis. PMID- 18156930 TI - Increased use of parenchymal-sparing surgery for bilateral liver metastases from colorectal cancer is associated with improved mortality without change in oncologic outcome: trends in treatment over time in 440 patients. AB - OBJECTIVE: The aim of this study was to determine the results of liver resection for patients with bilateral hepatic metastases from colorectal cancer. We aimed to assess the evolution of the technical approach over time and correlations with morbidity, mortality, and oncologic outcome. SUMMARY BACKGROUND DATA: Although hepatic resection for isolated colorectal metastases to the liver is thought to be beneficial when feasible, resection of bilateral liver metastases carries unique technical issues and is often associated with more aggressive tumor biology. Little has been written specifically about the results achieved in this subset of patients. METHODS: Data from a prospectively maintained database of patients undergoing hepatic resection at a single institution over an 11-year time period were reviewed. RESULTS: Resection of bilateral liver metastases from colorectal cancer was accomplished in 443 cases (440 patients) with a 29% incidence of major complications and a 5.4% 90-day mortality. Kaplan-Meier estimated 5-year disease-specific survival was 30% and 5-year recurrence-free survival was 18%. Operative technique changed over time toward a parenchymal sparing approach as evidenced by the greater use of multiple simultaneous liver resections, wedge resections, and ablations. Similarly, there was a decrease in the use of major hepatectomies. This correlated with decreased mortality without change in disease-specific survival or liver recurrence. CONCLUSIONS: Resection of bilateral colorectal liver metastases can be accomplished with acceptable morbidity, mortality, and oncologic results. Increased use of a parenchymal sparing approach is associated with decreased mortality without compromise in cancer-related outcome. PMID- 18156931 TI - Sinusoidal injury increases morbidity after major hepatectomy in patients with colorectal liver metastases receiving preoperative chemotherapy. AB - OBJECTIVE: To investigate whether sinusoidal injury (SI) was associated with a worse outcome after hepatectomy in patients with colorectal liver metastases (CRLM). BACKGROUND: Correlation between SI and oxaliplatin-based chemotherapy (OBC) was recently shown in patients with CRLM. However, it has yet to be fully clarified whether SI affects liver functional reserve and outcome after hepatectomy. PATIENTS AND METHODS: Between 2003 and 2005, 90 patients with CRLM who underwent an elective hepatectomy after preoperative chemotherapies were included. Diagnosis of SI was established pathologically in the nontumoral liver parenchyma of the resected specimens, and perioperative data were assessed in these patients. RESULTS: OBC was significantly associated with a higher incidence of SI. Preoperative indocyanine green retention rate at 15 minutes (ICG-R15) and postoperative value of total-bilirubin were significantly higher, and hospital stay was significantly longer in patients presenting with SI. Multivariate analysis showed that female gender, administration of 6 cycles or more of OBC, abnormal value of preoperative aspartate aminotransferase >36 IU/L, or abnormal value of preoperative ICG-R15 (>10%) were preoperative factors significantly associated with SI. Among patients undergoing a major hepatectomy, SI was significantly associated with higher morbidity and longer hospital stay. CONCLUSION: The present study suggests that SI resulted in a poorer liver functional reserve and in a higher complication rate after major hepatectomy. Therefore, female patients who received 6 cycles or more of OBC, or presenting with abnormal preoperative aspartate aminotransferase and ICG-R15 values should be carefully selected before deciding to undertake a major hepatectomy. PMID- 18156932 TI - Evaluation of long-term survival after hepatic resection for metastatic colorectal cancer: a multifactorial model of 929 patients. AB - OBJECTIVE: To identify risk factors associated with cancer-specific survival and develop a predictive model for patients undergoing primary hepatic resection for metastatic colorectal cancer. BACKGROUND: No published studies investigated collectively the inter-relation of factors related to patient cancer-specific survival after hepatectomy for metastatic colorectal cancer. METHODS: Clinical, pathologic, and complete follow-up data were prospectively collected from 929 consecutive patients undergoing primary (n = 925) or repeat hepatic resection (n = 80) for colorectal liver metastases at a tertiary referral center from 1987 to 2005. Parametric survival analysis was used to identify predictors of cancer specific survival and develop a predictive model. The model was validated using measures of discrimination and calibration. RESULTS: Postoperative mortality and morbidity were 1.5% and 25.9%, respectively. 5-year and 10-year cancer-specific survival were 36% and 23%. On multivariate analysis, 7 risk factors were found to be independent predictors of poor survival: number of hepatic metastases >3, node positive primary, poorly differentiated primary, extrahepatic disease, tumor diameter > or =5 cm, carcinoembryonic antigen level >60 ng/mL, and positive resection margin. The first 6 of these criteria were used in a preoperative scoring system and the last 6 in the postoperative setting. Patients with the worst postoperative prognostic criteria had an expected median cancer-specific survival of 0.7 years and a 5-year cancer-specific survival of 2%. Conversely, patients with the best prognostic postoperative criteria had an expected median cancer-specific survival of 7.4 years and a 5-year cancer-specific survival of 64%. When tested both predictive models fitted the data well with no significant differences between observed and predicted outcomes (P > 0.05). CONCLUSION: Resection of liver metastases provides good long-term cancer-specific survival benefit, which can be quantified pre- or postoperatively using the criteria described. The "Basingstoke Predictive Index" may be used for risk-stratifying patients who may benefit from intensive surveillance and selection for adjuvant therapy and trials. PMID- 18156933 TI - Comparative evaluation of an extensive histopathologic examination and a real time reverse-transcription-polymerase chain reaction assay for mammaglobin and cytokeratin 19 on axillary sentinel lymph nodes of breast carcinoma patients. AB - OBJECTIVE: To assess the accuracy of a commercially available real-time reverse transcription-polymerase chain reaction assay for mammaglobin and cytokeratin 19 mRNAs [GeneSearch Breast Lymph Node (BLN) Assay, Veridex LLC, Warren, NJ] in the detection of axillary sentinel lymph nodes (SLNs) metastases in patients with breast carcinoma. SUMMARY BACKGROUND DATA: Because of the lack of standardized and widely accepted protocols for a truly accurate histopathologic examination of SLN, the relative merits of alternative assays based on the identification of tumor specific mRNA markers deserve further assessment. METHODS: : A prospective series of 293 consecutive SLNs from 293 patients was evaluated. The BLN assay results were compared with those of an extensive histopathologic examination of the entire SLNs performed on serial frozen sections cut at 40 to 50 microm intervals. RESULTS: The BLN assay correctly identified 51 of 52 macrometastatic and 5 of 20 micrometastatic SLNs, with a sensitivity of 98.1% to detect metastases larger than 2 mm, 94.7% for metastases larger than 1 mm, and 77.8% for metastases larger than 0.2 mm. The overall concordance with histopathology was 90.8%, with specificity of 95.0%, positive predictive value of 83.6%, and negative predictive value of 92.9%. When the results were evaluated according to the occurrence of additional metastases to non-SLN in patients with histologically positive SLNs, the assay was positive in 33 (91.7%) of the 36 patients with additional metastases and in 22 (66.6%) of the 33 patients without further echelon involvement. CONCLUSIONS: The sensitivity of the reverse transcription -polymerase chain reaction assay is comparable to that of the histopathologic examination of the entire SLN by serial sectioning at 1.5 to 2 mm. PMID- 18156934 TI - Does the benefit of sentinel node frozen section vary between patients with invasive duct, invasive lobular, and favorable histologic subtypes of breast cancer? AB - BACKGROUND: Although many questions regarding sentinel lymph node (SLN) biopsy in breast cancer have been answered by observational studies and, increasingly, by prospective trials, the role of intraoperative SLN assessment remains a matter of debate. Here we report in detail the results of intraoperative SLN assessment by frozen section (FS), with particular attention to variations in sensitivity and yield by histologic subtype, by tumor size, and by other clinicopathologic parameters. METHODS: Five thousand two hundred ninety-eight consecutive patients with clinical stage T1-3N0 invasive breast carcinoma had SLN biopsy with intraoperative FS at Memorial Sloan Kettering Cancer Center between 1996 and 2004. We report the results of FS by sensitivity (the proportion of all positive SLN detected by FS) and by yield (the proportion of all FS procedures in which the FS was positive). RESULTS: The sensitivity of FS was 61% overall, was higher for invasive duct (ID) than for invasive lobular (IL) cancers (62% vs. 52%; P = 0.006), and was marginally lower for favorable subtypes (46%; P = 0.26). The yield of FS was 21% overall, with no difference between ID and IL cancers (22% vs. 21%; P = 0.49), and with a substantially lower yield for favorable subtypes (3%; P < 0.001). The yield of FS increased with tumor size for ID and IL cancers (P < 0.001), but not for favorable subtypes. For both ID and IL cancers, the sensitivity and yield of FS were significantly higher with younger patient age, increasing tumor size, and lymphovascular invasion. The yield of FS was <10% for all patients with ID or IL tumors < or =1 cm in size who were older than 60 years of age. Among all FS-positive patients, only 45% were identified by the first FS, whereas 91% were cumulatively identified by the first, second, or third FS. CONCLUSIONS: For patients with ID and IL cancers, the overall sensitivity of FS is >50%, but the yield of FS is <10% for individuals > or =60 years of age with T1a/b tumors. Intraoperative FS may not be worthwhile for this low-yield subset, especially for patients with invasive breast cancer of favorable type. PMID- 18156935 TI - Axillary recurrence rate after negative sentinel node biopsy in breast cancer: three-year follow-up of the Swedish Multicenter Cohort Study. AB - BACKGROUND: Sentinel lymph node biopsy is an established staging method in early breast cancer. After a negative biopsy, most institutions will not perform a completion axillary dissection. The present study reports the current axillary recurrence (AR) rate, overall and disease-free survival in the Swedish Multicenter Cohort Study. METHODS: From 3534 patients with primary breast cancer < or =3 cm prospectively enrolled in the Swedish multicenter cohort study, 2246 with a negative sentinel node biopsy and no further axillary surgery were selected. Follow-up consisted of annual clinical examination and mammography. Twenty-six hospitals and 131 surgeons contributed to patient accrual. RESULTS: After a median follow-up time of 37 months (0-75), the axilla was the sole initial site of recurrence in 13 patients (13 of 2246, 0.6%). In another 7 patients, axillary relapse occurred after or concurrently with a local recurrence in the breast, and in a further 7 cases, it coincided with distant or extra axillary lymphatic metastases. Thus, a total of 27 ARs were identified (27 of 2246, 1.2%). The overall 5-year survival was 91.6% and disease-free survival 92.1%. CONCLUSIONS: This is the first report from a national multicenter study that covers, not only highly specialized institutions but also small community hospitals with just a few procedures per year. Despite this heterogeneous background, the results lie well within the range of AR rates published internationally (0%-3.6%). The sentinel node biopsy procedure seems to be safe in a multicenter setting. Nevertheless, long-term follow-up data should be awaited before firm conclusions are drawn. PMID- 18156936 TI - Loss of heterozygosity of 17p13, with possible involvement of ACADVL and ALOX15B, in the pathogenesis of adrenocortical tumors. AB - OBJECTIVE: To determine the minimal common region of loss on 17p13 in a cohort of adrenocortical carcinomas (ACCs) (defined by a Weiss score > or =3) and adrenocortical adenomas (ACAs) (defined by a Weiss score <3) and subsequently to assess 3 genes in this region that could be involved in adrenocortical tumorigenesis. SUMMARY BACKGROUND DATA: Loss of heterozygosity (LOH) of 17p13 has been demonstrated to occur more frequently in ACCs compared with ACAs. METHODS: Using 12 microsatellite markers across 17p13, LOH analysis was performed on 37 paired blood and adrenocortical tumor samples (23 ACC and 14 ACA samples) to determine the minimal common region of loss for ACCs and ACAs. From this minimal region of loss, 3 genes were selected for quantitative real time reverse transcription polymerase chain reaction analysis on 20 ACCs and 30 ACAs. RESULTS: LOH at 17p13 was found in 74% of ACCs compared with 14% of ACAs. There was a 10.4 Mb common minimal region of loss in ACCs whereas no minimal region of loss in ACAs could be demonstrated. Expression of Acyl coenzyme-A dehydrogenase very long chain (ACADVL) and Arachidonate 15-lipoxygenase second type (ALOX15B) was significantly down-regulated in ACCs compared with ACAs whereas there was no difference in expression of Potassium channel tetramerization domain containing 11 (KCTD11) in ACCs and ACAs. CONCLUSIONS: We demonstrated a minimal common region of loss of 10.4-Mb on 17p13 in ACCs and within this region, we found that ACADVL and ALOX15B expression are good discriminators between ACCs and ACAs. PMID- 18156937 TI - Improved contemporary surgical management of insulinomas: a 25-year experience at the Massachusetts General Hospital. AB - OBJECTIVE: To determine changes in the management strategy of patients with insulinomas and identify critical factors in patient outcome. BACKGROUND: Pancreatic insulinomas are rare neoplasms that are present in various ways. The optimal approach to localization, operative management, and follow-up of insulinomas is undetermined. METHODS: Sixty-one patients with a diagnosis of insulinoma requiring surgery at a tertiary care center between 1983 and 2007 were reviewed. Demographic details, mode of presentation, preoperative localization, operative procedures, and pathology data were assessed. The effect of different factors on survival was determined. RESULTS: Seven of 61 (11%) patients had a diagnosis of multiple endocrine neoplasia-type 1 (MEN-1). Multiple insulinomas were noted in 8% of cases and were more common in MEN-1 patients. The overall rate of malignancy was 8%. Confusion (67%), visual disturbances (42%), and diaphoresis (30%) were the most common presenting symptoms. Weight gain was noted in 44% of patients. The median duration of symptoms before diagnosis was 18 (1 240) months. The sensitivity of preoperative imaging of tumors before 1994 was 75%, compared with 98% after this period, which included use of endoscopic ultrasound scanning (P = 0.012). A combination of palpation and intraoperative ultrasound detected 92% of tumors. Distal pancreatectomy (40%), enucleation (34%), and pancreaticoduodenectomy (16%) were the most common procedures and pancreatic fistula occurred in 18% of patients. Three patients underwent noncurative distal pancreatectomy in the early period. The 10-year disease specific and disease-free survival was 100% and 90% respectively. There were 5 patients with disease recurrence. Lymph node metastases (P < 0.001), lymphovascular invasion (P < 0.001), and the presence of MEN-1 (P = 0.035) were prognostically significant adverse factors in disease-free survival. Lymphovascular invasion was the only significant factor on multivariate analysis (P = 0.002). CONCLUSION: Pancreatic insulinomas can be readily localized preoperatively with modern imaging to avoid unsuccessful blind pancreatic resection. Surgical resection is associated with low morbidity and mortality and achieves long-term disease-free survival in the absence of lymphovascular invasion. PMID- 18156938 TI - The rupture rate of large abdominal aortic aneurysms: is this modified by anatomical suitability for endovascular repair? AB - BACKGROUND: There are no precise estimates of the rate of rupture of large abdominal aortic aneurysms (AAA). There is recent suspicion that anatomic suitability for endovascular repair may be associated with a decreased risk of AAA rupture. METHODS: Systematic literature review of rupture rates of AAA with initial diameter > or =5 cm in patients not considered for open repair, with stratification by size (<6.0 cm and 6.0+ cm), and gender, combined using random effects meta-analysis. Proportional hazards regression to analyze factors (including gender, diabetes, initial AAA diameter, aneurysm neck, and sac lengths) associated with rupture in patients anatomically suitable for endovascular repair (EVAR 2 trial). RESULTS: Previous studies (2 prospective, 2 retrospective, and 1 mixed) were identified for meta-analysis and patients with elective repair excluded. The pooled rupture rates was 18.2 [95% confidence interval (CI) 13.7-24.1] per 100 person-years. There was a 2.5-fold increase in rupture rates for patients with AAA of 6.0+ cm versus <6.0 cm, rupture rates = 2.54 (95% CI 1.69-3.85). The pooled rupture rates was nonsignificantly higher in women than men, rupture rates = 1.21 (95% CI 0.77-1.90). For EVAR 2 patients with 6+ cm aneurysms the rupture rates was 17.4 [95% CI 12.9-23.4] per 100 person years significantly lower than the pooled rate from the meta-analysis, rupture rates = 27.0 [95% CI 21.1-34.7] per 100 person-years, P = 0.026. Patients with shorter neck lengths appeared to have a higher rupture rates than those with longer necks, but this was of borderline significance P = 0.10. CONCLUSIONS: Rupture rates of large AAAs reported in different studies are highly variable. There is emerging evidence that patients anatomically suitable for endovascular repair have lower rupture rates. PMID- 18156939 TI - Blockade of thrombospondin-1-CD47 interactions prevents necrosis of full thickness skin grafts. AB - BACKGROUND: Skin graft survival and healing requires rapid restoration of blood flow to the avascular graft. Failure or delay in the process of graft vascularization is a significant source of morbidity and mortality. One of the primary regulators of blood flow and vessel growth is nitric oxide (NO). The secreted protein thrombospondin-1 (TSP1) limits NO-stimulated blood flow and growth and composite tissue survival to ischemia. We herein demonstrate a role for TSP1 in regulating full thickness skin graft (FTSG) survival. METHODS AND RESULTS: FTSG consistently fail in wild type C57BL/6 mice but survive in mice lacking TSP1 or its receptor CD47. Ablation of the TSP1 receptor CD36, however, did not improve FTSG survival. Remarkably, wild type FTSG survived on TSP1 null or CD47 null mice, indicating that TSP1 expression in the wound bed is the primary determinant of graft survival. FTSG survival in wild type mice could be moderately improved by increasing NO flux, but graft survival was increased significantly through antibody blocking of TSP1 binding to CD47 or antisense morpholino oligonucleotide suppression of CD47. CONCLUSIONS: TSP1 through CD47 limits skin graft survival. Blocking TSP1 binding or suppressing CD47 expression drastically increases graft survival. The therapeutic applications of this approach could include burn patients and the broader group of people requiring grafts or tissue flaps for closure and reconstruction of complex wounds of diverse etiologies. PMID- 18156940 TI - Forgotten pioneers of pancreatic surgery: beyond the favorite few. PMID- 18156941 TI - Bisphosphonates may increase peritoneal fibrinolytic activity by inhibiting the mevalonate pathway. PMID- 18156942 TI - The optimal format of professional quality, high definition, digital video capture of open/laparoscopic surgery. PMID- 18156944 TI - Weight gain after short- and long-limb gastric bypass in patients followed for longer than 10 years. PMID- 18156946 TI - Critical importance of controlling energy status to understand the effects of "exercise" on metabolism. PMID- 18156947 TI - Exercise and insulin resistance in youth. AB - In parallel with the pediatric obesity epidemic, the incidence of impaired glucose tolerance and type 2 diabetes has increased among youth. Insulin resistance is thought to be central to the pathophysiology of these obesity related disorders. A growing body of literature suggests that exercise may ameliorate insulin resistance and thus potentially reduce the long-term diabetes risk in overweight youth. PMID- 18156948 TI - Autonomic regulation of the association between exercise and diabetes. AB - The inverse association between physical activity and diabetes is attributable to a number of biologically plausible mechanisms. We hypothesize that physical activity-induced improvements in autonomic function are one mechanism by which higher levels of activity are inversely associated with diabetes development. Evidence in support of our hypothesis is derived from a combination of observational studies and clinical trials. PMID- 18156949 TI - Sarcopenia: the role of apoptosis and modulation by caloric restriction. AB - The mechanisms of sarcopenia have been slowly unraveled and likely involve activation of apoptosis. It is hypothesized that caloric restriction may, in part, attenuate sarcopenia by affecting apoptotic signaling. The signaling pathways responsible for the execution of apoptosis in aging muscle and the modulation of these pathways by caloric restriction are discussed. PMID- 18156950 TI - Rapid vascular responses to muscle contraction. AB - Continuous measurements reveal that muscle blood flow increases within the first second after contraction. The increase in blood flow is attributable to rapid vasodilation as confirmed by direct observations of arterioles within contracting muscles. New evidence suggests that mechanical deformation of the vascular wall during contraction may be a causative factor. PMID- 18156951 TI - Osteoarthritis: what we have been missing in the patellofemoral joint. AB - Patellofemoral osteoarthritis is common clinically and often independent of tibiofemoral disease. Intriguingly, the patella demonstrates more severe degeneration earlier in the disease process compared with the juxtaposed femoral groove. Here, we consider three hypotheses influencing this disparity and thus discover crucial insights into the etiology of osteoarthritis. PMID- 18156952 TI - Beneficial role of exercise on scuba diving. AB - Exercising before, during, or after diving is proscribed because of the assumption that it would increase incidence of decompression sickness. Our findings show that exercise performed in a timely fashion before diving or during decompression will reduce the number of venous gas bubbles formed. Exercise after diving did not increase the number of bubbles. Nitric oxide seems to play a protective role. PMID- 18156953 TI - Can exercise treat eating disorders? AB - Exercise is not a standard intervention for patients with eating disorders. In this article, six studies are reviewed that examined exercise interventions in populations with eating disorders. The key conclusion is that exercise may improve a range of biopsychosocial outcomes in patients with eating disorders, but more research is needed. PMID- 18156954 TI - Reflections on the year. PMID- 18156955 TI - Bowel preparation effectiveness: inpatients and outpatients. AB - This study describes colon visibility and case cancelations of patients taking self-administered outpatient colonoscopy preparation or inpatient preparation at a large north central Texas hospital. The convenience sample of 120 adult patients who were scheduled for a colonoscopy ranged in age from 25 to 88 years. A 33-item investigator-developed questionnaire was used to record patient demographics, type of bowel preparation, signs and symptoms, and colon visualization score obtained during the procedure. On the basis of the visualization scores, there was no significant difference between the outpatient self-administered bowel preparation and the inpatient preparation administered in the hospital setting. There were clinical findings indicating that specific preparation solutions had a slightly higher incidence of nausea or vomiting. Additionally, an opportunity for documentation improvement was identified and reported to the nursing documentation committee for further investigation. PMID- 18156956 TI - How reflective practice improves nurses' critical thinking ability. AB - Purposeful reflection is consistent with adult learning theory. It is known to lead to a deeper understanding of issues and to develop judgment and skill. Required by law to ensure members' competence in their professional practice, the College of Nurses of Ontario recommends and has developed a tool for evaluating reflective practice. The tool focuses on key attributes said to be demonstrated by competent practitioners, including critical thinking (CT) and job knowledge. This study aimed to determine whether nurses engage in reflective practice and whether they perceive that it enhances their CT ability. Surveys were sent to 60 gastroenterology nurses at a large teaching hospital; 34 surveys were anonymously returned. All respondents engaged in reflective practice, and 24 reported using the college's tool. Nineteen respondents strongly agreed that their nursing practice had improved as a result. Critical thinking is difficult to assess because of a lack of clear-cut performance criteria. Improvement of CT was difficult to evaluate from the responses, even though all respondents participated in reflective practice. Both CT and reflective practice need to be better defined in order to examine and explain their relationship. PMID- 18156957 TI - The use of carbon dioxide monitoring to determine orogastric tube placement in premature infants: a pilot study. AB - Enteral nutrition, frequently given through gastric tubes inserted through the nose or mouth, is an important part of supportive care for children unable to maintain adequate nutrition orally. To provide safe enteral nutrition, however, correct tube position must be achieved. Capnography, a noninvasive monitoring technique designed to measure expired carbon dioxide (CO2) levels, has been used previously to identify respiratory placement of nasogastric tubes in adults; however, its use in children is understudied. The purpose of this pilot study was to determine the potential of CO2 monitoring to differentiate respiratory from gastric placement of nasogastric/orogastric (NG/OG) tubes in the youngest, most fragile children-premature infants. Immediately prior to chest radiograph, CO2 levels in 7 premature infants were measured at the open ends of both the endotracheal and NG/OG tubes by using a bedside capnography monitor. The 14 CO2 readings from the correctly placed endotracheal tubes ranged from 32 to 61 mmHg (M = 47.6 mmHg, SD = 10.0). CO2 readings were zero in all 14 correctly placed NG/OG tubes. The results of this pilot study provide evidence that capnography may be useful in differentiating respiratory from gastrointestinal tube placement in premature infants. PMID- 18156958 TI - The use of a nursing model to understand diarrhea and the role of probiotics in patients with inflammatory bowel disease. AB - Inflammatory bowel disease, an umbrella term used for Crohn disease and ulcerative colitis, is often accompanied with the presenting symptom of diarrhea. This symptom can be a great nuisance and emotionally distressing to the individual with inflammatory bowel disease. Although the exact etiology of inflammatory bowel disease is still unknown, interactions between the host susceptibility, mucosal immunity, and intestinal microflora are thought to be major factors. One intervention that is gaining increasing support by the research and medical community is the use of probiotics, which work on the intestinal flora by altering the bacterial composition and thereby rendering the environment unfavorable to pathogenic organisms. The human response to illness model provides an ideal organizing framework to gain a comprehensive understanding of the human response of diarrhea in the inflammatory bowel disease population. By examining the physiological, pathophysiological, behavioral, and experiential perspectives as well as individual vulnerabilities, this model establishes sound rationale to guide nursing interventions to help the individual better cope with the physical and emotional effects of having diarrhea. This model also facilitates the provision of holistic and personalized care, which may include the use of probiotics to help alleviate this distressing symptom. PMID- 18156960 TI - Postprocedural effects of gastrointestinal endoscopy performed as a day case procedure in children: implications for patient and family education. AB - A prospective design that included a survey tool, nursing care records, and telephone interview was used to determine postprocedural effects experienced by children and families following gastrointestinal endoscopy performed as a day procedure. One hundred twenty-one children attending a pediatric gastroenterology unit for endoscopy under general anesthesia participated in the study. Physical symptoms, day care/school attendance, behavioral issues, and economic factors in the 72 hours post procedure were identified. Over half the children (n = 69, 57%) experienced pain in the hospital post procedure. Pain was reported by 73 children (60%) at home on the day of the procedure, by 55 children (45%) on Day 1 post procedure, and by 37 children (31%) on Day 2 post procedure. The throat was the most common site of pain. Nausea or vomiting was experienced by 37 children (31%) at some time following their procedure but was not associated with procedure type, age, or fasting time. Over half the children (n = 53, 51%) who usually attended day care or school did not attend the day following their procedure. Twenty-four parents (40%) who would normally have worked on the day after the procedure did not attend employment. These findings have been used to improve the preprocedural information and discharge management of patients treated in a pediatric gastroenterology ambulatory setting. PMID- 18156964 TI - My baby is bleeding! PMID- 18156965 TI - Where is the theory in evidence-based practice? PMID- 18156966 TI - Discharge instructions. PMID- 18156967 TI - Serous carcinogenesis in the fallopian tube: a descriptive classification. AB - The fimbria is the most common site of early serous cancer (tubal intraepithelial carcinoma or STIC) in women with BRCA mutations (BRCA+). A candidate serous cancer precursor--the p53 signature--has been found in nonneoplastic secretory cells of the fimbria, suggesting serous carcinogenesis in the tube (SCAT). This study surveyed fallopian tubes from 3 populations to characterize the morphological and immunohistochemical correlates of SCAT. The SCAT sequence was defined by strong nuclear p53 staining and DNA damage (gamma-H2AX+) in secretory cells and subdivided morphologically by (1) degree of nuclear stratification, (2) proliferative index, and (3) degree of disorganized growth. Fallopian tubes from women without a current ovarian cancer, women with BRCA mutations, and women with a coexisting pelvic serous cancer were completely examined. p53 signatures exhibited cuboidal to pseudostratified, polarized p53+ epithelial segments with variable nuclear enlargement and a MiB1 index of 0% to 30%. Tubal intraepithelial carcinomas contained from single (uncommon) to multilayered, poorly polarized, uninterrupted neoplastic cell populations that completely displaced the normal mucosa; MiB1 index exceeded 45% and was usually more than 70%. An uncommon third category, p53-positive foci with features intermediate between p53 signatures and STICs, exhibited preserved epithelial polarity, pseudostratification, incomplete replacement of the adjacent normal ciliated cells, and a MiB1 index between 40% and 75%. Transitions from 1 category to another were documented. Combined with recent reports associating STICs with pelvic serous cancer, this continuum of epithelial change validates the SCAT sequence and the fimbrial secretory cell as the site of origin for many serous carcinomas. PMID- 18156968 TI - Defining an appropriate threshold for the diagnosis of serous borderline tumor of the ovary: when is a full staging procedure unnecessary? AB - How much borderline change in an otherwise typical ovarian serous cystadenoma should warrant classification as a serous ovarian "borderline tumor?" We correlated estimated volume and percent borderline change with stage in 56 cases of serous ovarian neoplasms (excluding carcinomas) diagnosed as at least focal borderline change to see if we could define an appropriate threshold for the diagnosis of borderline tumor that would justify full surgical staging. Forty three cases were completely staged, 6 had "fertility-sparing" but otherwise complete staging, and 7 cases had "limited" staging. Thirty-eight cases were stage 1a-1c, and 18 were greater than stage 1. Cases with stage 1 disease had a significantly lower mean volume of borderline change sampled of 2.0 compared with 5.6 cm in cases with greater than stage 1 disease (P = 0.0002). All high-stage cases had at least 1.0 cm or more of borderline change sampled (range, 1.0-12). Cases with stage 1 disease had a significantly lower mean estimated total percent borderline change of 34.8% compared with 77.2% in cases with greater than stage 1 disease (P < 0.0001). All high-stage cases had 20% or more total borderline change (range, 20%-100%). In addition, a grossly exophytic growth pattern component was highly predictive of high stage (P < or = 0.0001). Two cases recurred-both were advanced-stage and high-percent borderline change. There were no deaths due to disease (mean follow-up, 85 months). Our study supports a conservative 10% cutoff for classification as a "borderline tumor," and that complete surgical staging is not necessary when a serous neoplasm with an intracystic growth pattern has less than 10% or 0.5-cm borderline change. PMID- 18156969 TI - No metastatic cervical adenocarcinomas in a series of p16INK4a-positive mucinous or endometrioid advanced ovarian carcinomas: an analysis of the AGO Ovarian Cancer Study Group. AB - Epithelial ovarian cancers may represent secondary manifestations of occult extraovarian carcinomas. Such tumors may be misdiagnosed as primary ovarian carcinomas clinically and pathologically. In a recent study, several cases of cervical cancer metastases with primary manifestation as mucinous or endometrioid ovarian carcinomas were described. In all cases, human papillomavirus (HPV) DNA and diffuse p16 immunostaining were detected in the ovarian tumor tissues. To estimate the frequency of occult metastatic endocervical adenocarcinomas in a series of mucinous or endometrioid ovarian carcinomas, 24 ovarian cancers with mucinous and 50 with endometrioid differentiation from the Arbeitsgemeinschaft Gynaekologische Onkologie OVAR-3 database were analyzed for HPV and p16 positivity. The p16 immunostaining was performed using the p16 histology kit (Dako, Glostrup, Denmark), and both nuclear and cytoplasmic staining results were considered positive. Human papillomavirus polymerase chain reaction analysis was performed using 2 consensus primer systems (GP5/GP6 and PGMY09/11) and HPV-16- and HPV-18-specific primers from the L1 and the E6 regions. Six (8%) of 74 tumors were p16-negative, 13 (18%) of 74 showed single positive cells, 28 (38%) of 74 showed focal homogeneous staining, and 27 (36%) of 74 showed complete diffuse staining. In several independent amplifications of different regions of the HPV genome, none of the 73 tumors available for analysis showed the presence of HPV DNA. No ovarian metastases of endocervical adenocarcinomas were found among mucinous and endometrioid adenocarcinomas from a large chemotherapy trial of advanced stage ovarian carcinomas. The p16 staining detected in many primary ovarian adenocarcinomas in the present series seems independent from HPV oncogene activity. PMID- 18156970 TI - Expression of DNA damage checkpoint protein Hus1 in epithelial ovarian tumors correlates with prognostic markers. AB - Hus1 and Rad9 are proteins involved in DNA damage checkpoint regulation, which is required for the maintenance of genomic stability. In addition to checkpoint activation, mammalian cells also use apoptosis to eliminate cells with severe DNA damage. Interestingly, Rad9 was shown to be directly involved in apoptosis as well. Despite the knowledge of molecular mechanisms on how Hus1 and Rad9 act in response to DNA damage, little is known about the role of these 2 proteins in cancer progression. In this study, we analyzed the expression of Rad9 and Hus1 in epithelial ovarian tumors and correlated them to clinopathological parameters and apoptotic biomarkers (p53, Bcl-2, and Bax). Histological sections from 114 primary ovarian epithelial tumors were stained with antibodies using the streptavidin-biotin method. In addition, mitotic and apoptotic indices (both hematoxylin-eosin staining and terminal deoxynucleotidyl transferase-mediated dUTP-biotin end labeling assay) were also measured. We found that Rad9 expression correlated closely to significance only with the apoptotic and mitotic indices (P = 0.056 and 0.059, respectively). Hus1 levels correlated significantly with the clinicopathologic factors of bad prognosis, including FIGO (International Federation of Gynecology and Obstetrics) stage (P < 0.002) and with the p53 expression (P < 0.001), Bax expression (P < 0.008), mitotic index (P < 0.001), and apoptotic index (P < 0.003). PMID- 18156971 TI - Primary or secondary? Genotyping confirmation of an ovarian primary carcinoid tumor. AB - Ovarian primary carcinoid tumors of pure histological type can pose a significant diagnostic challenge in its separation from metastatic carcinoids from the gastrointestinal tract. Yet, their clinical management and prognosis are drastically different. At the molecular level, ovarian primary carcinoid tumors are thought to be of germ cell origin, frequently after the first meiotic division. We report a 21.5-cm ovarian insular carcinoid tumor in a 50-year-old woman who had no evidence of extraovarian tumor. The absence of teratomatous components and the presence of lymphovascular invasion prompted additional studies to rule out a metastatic tumor. The nature of this primary ovarian tumor was eventually confirmed by demonstration of its germ cell origin through DNA genotyping. PMID- 18156972 TI - Cryptococcosis masquerading as a tuboovarian abscess. AB - This report describes a 25-year-old human immunodeficiency virus- seropositive patient who initially presented with clinical features of a tuboovarian abscess. After a poor response to antibiotic therapy, laparotomy and excision of a right sided, unilocular, pseudocystic ovarian mass measuring 140 x 80 x 60 mm were undertaken. Mucoid gelatinous material, with a glistening appearance and slimy consistency, coated the inner surface of the thick wall. The cyst contained clear, viscid fluid with a similar slimy consistency. Although the macroscopic diagnosis was that of an ovarian mucinous cystadenocarcinoma, histopathologic assessment confirmed a well-circumscribed pseudocystic cryptococcoma with a wall of granulation and fibrous tissue and compressed ovarian stroma. The inner surface was covered by large, paucireactive, extracellular "yeast lakes" of carminophilous Cryptococcus neoformans yeasts of varying shape and size. To the best of our knowledge, this is the first documentation of ovarian cryptococcosis in the English language literature. Despite their rarity in the female genital tract, fungal infections must be considered in the differential diagnosis of patients presenting with pelvic pain of obscure origin and a pelvic mass that is refractory to antibiotic therapy. PMID- 18156973 TI - Ovarian mucinous tumor arising in mature cystic teratoma associated with pseudomyxoma peritonei: a case with possible respiratory epithelial differentiation. PMID- 18156974 TI - Endometrial hyperplasia and carcinoma in endometrial polyps: clinicopathologic and follow-up findings. AB - The objectives of this study were: 1) to evaluate findings in follow-up hysterectomy specimens after a diagnosis of complex atypical hyperplasia or carcinoma in endometrial polyps (EMPs) for possible significance in management strategies; and 2)to identify features in these polyps, that are predictive of the presence of endometrial hyperplasia or carcinoma in subsequent hysterectomy. Records of all cases of EMPs with endometrial hyperplasia were retrieved from the files of New York University Medical Center from 1993 to 2005. Those cases with follow-up hysterectomy were selected for the study. Of the 29 patients with complex atypical hyperplasia within the polyp, 19 out of 29 (66%) patients had hyperplasia of the non-polyp endometrium, and adenocarcinoma was observed in 9 out of 29 (31%) patients on follow-up hysterectomy. The percentage of polyp area involved by the hyperplasia was predictive of finding endometrial disorder in subsequent hysterectomy (P = 0.005). Of the 8 patients with adenocarcinoma in situ (AIS) within the polyp 3 (38%) had myoinvasive adenocarcinoma. In contrast, in cases without AIS, 4 out of 21 (19%) had myoinvasive adenocarcinoma in follow up hysterectomy. Eight of the nine cases with carcinoma in endometrial polyp had endometrial pathology on hysterectomy. Approximately two thirds of the patients with hyperplasia and 90% of patients with adenocarcinoma in endometrial polyps show endometrial pathology on subsequent hysterectomy. The above findings reinforce the need for hysterectomy especially in postmenopausal women with atypical complex hyperplasia or carcinoma in endometrial polyps even if these changes appear confined to the polyp in initial sampling. PMID- 18156975 TI - Combined large cell neuroendocrine and endometrioid carcinoma of the endometrium. AB - We present the surgical and pathological findings and follow-up of 5 women diagnosed with combined endometrioid and high-grade neuroendocrine carcinoma of large cell type (LCNEC) arising in the endometrium. The mean age of the women was 75 years (range, 50-88 years). Of the 5 tumors, 4 formed polypoid endometrial masses associated with extensive lymphovascular involvement of the myometrium by neoplastic cells. A single endometrial tumor was formed by LCNEC alone, and 4 tumors were composite with varying proportions formed by endometrioid (4/5) and small cell neuroendocrine carcinoma (1/5). In all 5 LCNEC tumor components, an insular growth pattern was noted, whereas a diffuse (solid) pattern was found in 4 tumors, a trabecular in 2, and rosettes/pseudorosettes in another 2. In all 5 tumors, the LCNEC tumor components were labeled with neuron-specific enolase (NSE). Four tumors were reactive for chromogranin A, CAM 5.2, and p53. Three tumors were labeled for AE1/AE3, CD56 (NCAM), p16, and cytokeratin 7. Synaptophysin was reactive in 2 tumors, and CD117 was found in only a single tumor. Of the 3 endometrioid tumor components examined, all were reactive for NSE. Two tumors were reactive for p16 and p53, 1 for CD56, but none for synaptophysin orchromogranin A. We conclude that LCNEC of the endometrium is a distinct clinicopathological entity with a poor prognosis irrespective of stage. The gross and histomorphological features are often suggestive, but confirmation requires immunoperoxidases, including NSE, synaptophysin, chromogranin A, p16, and p53. Combined endometrioid and high-grade LCNEC possess more characteristics of a type II than a type I endometrial carcinoma. PMID- 18156976 TI - Uterine tumor resembling an ovarian sex cord tumor associated with metastasis. AB - Uterine tumors resembling ovarian sex-cord tumors (UTROSCT) are very rare, usually benign uterine tumors, and are probably derived from uterine mesenchymal stem cells. In this case report, a unique case of a malignant UTROSCT is described. Four years after a diagnosis of UTROSCT of the uterine corpus, the patient developed obstructive ileus due to a large infiltrating tumor within the small bowel with the same morphology and expression pattern as the previously diagnosed UTROSCT. In addition, 2 benign gastrointestinal stromal tumors were detected in the same patient. This case indicates that although the majority of UTROSCT are benign tumors, some of them might undergo malignant transformation and have a metastatic potency. PMID- 18156977 TI - Endometrial microcalcifications detected by ultrasonography: clinical associations, histopathology, and potential etiology. AB - Endometrial microcalcifications are uncommon, with alleged clinical implications ranging from innocuous to ominous. We reviewed the histopathologic slides from 29 patients who had endometrial echogenic foci on pelvic ultrasound and found many endometrial microcalcifications. The extent of microcalcifications in each specimen was graded on a semiquantitative scale from 0 to 3. The mean patient age was 54 years (range, 34-81 years). The specimens included endometrial biopsies, curettages, and hysterectomies. Most of the patients had presented with abnormal vaginal bleeding. Fifteen patients (51.7%) were postmenopausal, 10 (34.5%) were premenopausal, and the rest were perimenopausal. The most frequent endometrial types were atrophic (39.5%), inactive (23.3%), and proliferative (14%). Six specimens (14%) showed benign endometrial polyps. One patient had well differentiated endometrioid carcinoma of the endometrium without myometrial invasion. Specimens from 16 patients (55.2%) had microcalcifications. The patients with calcifications were older than those without calcifications (mean age, 60 vs. 47 years, respectively; P = 0.017). The extent of microcalcifications positively correlated with the presence of endometrial polyps (P = 0.00076), postmenopausal state (P = 0.004), atrophic endometrium (P = 0.002), and hormone replacement therapy (P = 0.013). The microcalcifications were concentric or amorphous, intraglandular or stromal. They were focally associated with minute papillary epithelial projections or with degenerated endometrial glands. Follow up was available on 26 patients (89.7%). Except for the patient with endometrioid carcinoma, none has developed uterine, adnexal, or peritoneal malignancy. In summary, endometrial microcalcifications are histologically heterogeneous and are associated with older patient age, postmenopausal state, atrophic endometrium, and endometrial polyps. Those found incidentally by means of pelvic ultrasonography, in our experience, did not portend malignancy. PMID- 18156978 TI - Differential Immunoreactivity of p16 in leiomyosarcomas and leiomyoma variants. AB - Several studies have now examined the cDNA expression profiles of healthy myometrium, leiomyomas (LM), and leiomyosarcomas (LMS). This has produced a list of candidate genes that might be useful tools for distinguishing these entities from each other. The potential candidates identified from this body of research include insulinlike growth factor 1, h-caldesmon, cytokeratin 18, and the cyclin dependent kinase 4 inhibitor, p16. To determine whether the immunohistochemical expression of these proteins could aid in the diagnosis of LMS and LM variants, we constructed a tissue microarray consisting of cases of healthy myometrium (n = 10), LM (not otherwise specified and variants; n = 47), and LMS (n = 8), and then measured the immunoreactivity of each of these proteins. The cases were scored on the basis of staining intensity (weak, moderate, or strong) and extent (focal or diffuse) and were assigned a final score from 0 to +3. Immunostaining for p16 was statistically stronger in LMS than in LM and its subtypes (P < 0.001). Specifically, the p16 immunostaining score in LMS cases (n = 8) was at least +2, whereas the p16 immunostaining scores in all LM cases (n = 47) were either 0 (n = 35) or +1 (n = 12). The expression of the remaining antibodies did not show a statistically significant difference between the 2 groups. Furthermore, none of the markers studied showed any differences among the LM variants. The results of this study confirm the overexpression of p16 in LMS and suggest that p16 can serve as a reliable immunohistochemical marker in distinguishing uterine LMS from LM and its benign variants. PMID- 18156979 TI - Pathological findings associated with the presence of a mirena intrauterine system at hysterectomy. AB - The Mirena intrauterine system (IUS) has improved the options available to women with menorrhagia. However, in some women, IUS treatment fails to reduce menstrual flow, and surgical treatment, including hysterectomy, is necessary. We have reviewed the histopathological findings on the uteri of 44 women undergoing hysterectomy because of menorrhagia after unsuccessful IUS treatment to assess whether a potentially unresponsive cohort could be identified. A retrospective review of 44 hysterectomy specimens was performed between October 1999 and April 2006 on women who underwent unsuccessful treatment of menorrhagia with the IUS. The patients' ages ranged from 30 to 53 years (median age, 43 years; all were premenopausal). Most women (60%) had the expected appearance of atrophy of the endometrial glands and pseudodecidual stromal reaction. Thirty hysterectomy specimens contained benign leiomyomata with associated reduced reactivity in the uterine cavity and incomplete suppression of the endometrium. In some cases (n = 10), the fibroids had displaced the IUS in the uterine cavity. Fourteen specimens showed adenomyosis, of which 8 also contained fibroids. In addition to leiomyomas, 1 specimen had an atypical polypoid adenomyoma and 1 had a benign adenomatoid tumor. Two specimens had endometrial hyperplasia for which the IUS was unsuccessful in controlling bleeding. Two specimens showed intrauterine misplacement of the IUS. Only 6 women (13.6%) had no histological abnormalities. Most women (86%) undergoing hysterectomy because of abnormal uterine bleeding with a Mirena IUS in situ had uterine abnormalities, as revealed by pathological review. Although recent reports have indicated that the IUS can be used successfully in the treatment of menorrhagia due to uterine fibroids, most cases of hysterectomies in this series after failed IUS suppression of menorrhagia contained uterine fibroids. PMID- 18156980 TI - Fetal polymorphisms in anti-inflammatory cytokine and beta-adrenergic receptor genes associated with placental pathological lesions. AB - Prematurity is the leading cause of infant morbidity and mortality. Altered intra amniotic levels of anti-inflammatory cytokines, interleukin (IL) 1ra and IL-4, and beta2-adrenergic receptor (beta2AR) production have been associated with preterm labor and delivery. The aim of this study was to evaluate potential associations of polymorphisms in these genes with specific placental pathological findings. Maternal and fetal DNA were analyzed for a length polymorphism in the IL-1ra gene and for single nucleotide polymorphisms in the IL-4 and beta2AR genes. Placentas were evaluated for pathological abnormalities in the following major categories: meconium, malperfusion, acute deciduitis, chorioamnionitis, umbilical cord problems, villitis, and fetal vascular thrombosis. In fetal DNA, homozygosity for the IL-1ra 2 allele (P = 0.029) and carriage of the IL-4 T allele (P < 0.01) were associated with acute deciduitis. In addition, carriage of the beta2AR A allele (P = 0.036) was associated with umbilical cord problems. There were no associations between placental lesions and any maternal gene polymorphisms. Although susceptibility to premature delivery is multifactorial, the present study provides pathological evidence for a connection between specific alleles and placental abnormalities. Carriage of these alleles may render the fetus more susceptible to the adverse consequences of infection and inflammation. PMID- 18156981 TI - "Malignant" uterine perivascular epithelioid cell tumor, pelvic lymph node lymphangioleiomyomatosis, and gynecological pecomatosis in a patient with tuberous sclerosis: a case report and review of the literature. AB - We report a case of uterine perivascular epithelioid cell tumor (PEComa) with malignant histological features in a 59-year-old woman with tuberous sclerosis (TBS). The patient also had extrapulmonary lymphangioleiomyomatosis involving pelvic lymph nodes, myometrium, cervix, and ovary ("pecomatosis"). The uterine tumor measured 2.6 cm and had marked nuclear pleomorphism, necrosis, and 2 mitoses per 50 high-powered field, with an occasional atypical mitosis and infiltrative borders. The nonneoplastic myometrium, the cervical wall, and the hilum of the ovary had multiple clusters of bland-looking epithelioid clear cells that ranged from 1 to 5 mm (pecomatosis). The uterine tumor cells were positive for HMB-45 (90%), Melan-A (70%), smooth muscle actin (50%), and estrogen receptor (30%). Of the 16 pelvic lymph nodes excised, 3 were involved with lymphangioleiomyomatosis that was positive for HMB-45 and estrogen receptor. This is only the second reported PEComa associated with pecomatosis and the fourth PEComa described in a patient with TBS. The clinical significance of pecomatosis is still uncertain but seems to be seen only in patients with TBS. PMID- 18156982 TI - Intestinal-type cervical adenocarcinoma in situ and adenocarcinoma exhibit a partial enteric immunophenotype with consistent expression of CDX2. AB - Most cases of cervical adenocarcinoma in situ (AIS) and adenocarcinoma are of the usual or endocervical type. However, intestinal types of AIS and adenocarcinoma exist. With an intestinal-type adenocarcinoma in the cervix, the question may arise as to whether one is dealing with a primary cervical neoplasm or direct or secondary spread from an intestinal adenocarcinoma. In organs such as the ovary, urinary bladder, esophagus, and gallbladder, intestinal-type glandular epithelium often expresses enteric markers, but this has hardly been studied in the cervix. The purpose of this study was to investigate whether intestinal-type AIS and adenocarcinoma in the cervix express enteric markers and to ascertain whether these antibodies are of value in the distinction from a metastatic intestinal adenocarcinoma. We compared the immunophenotype of these lesions with that of usual-type AIS and adenocarcinomain the cervix. Cases included were AIS of usual type (n = 6), primary cervical adenocarcinoma of usual type (n = 6), AIS of intestinal type (n = 21), primary cervical adenocarcinoma of intestinal type (n = 3), primary cervical adenocarcinoma with signet ring cells (n = 2), and colorectal adenocarcinoma involving the cervix (n = 5). All cases were stained with cytokeratin (CK) 7, CK20, monoclonal carcinoembryonic antigen (CEA), p16, and CDX2. Staining was categorized as negative, focally positive (<50% cells), or diffusely positive (50% or more cells). Usual-type AIS was always diffusely CK7 positive, typically diffusely CEA and p16 positive, and always CK20 negative. CDX2 was positive in 1 case. All usual cervical adenocarcinomas were diffusely CK7 and p16 positive, and all were immunoreactive with CEA. Five and 2 cases were CK20 and CDX2 positive, respectively. Intestinal-type AIS was diffusely CK7 positive (all cases) and typically CK20 negative and diffusely CEA and p16 positive. All but 1 case exhibited diffuse nuclear positivity with CDX2. In addition, usual-type AIS adjacent to intestinal type was CDX2 positive in 13 of 21 cases. The 3 cases of primary cervical intestinal-type adenocarcinoma were diffusely CK7 positive, focally or diffusely positive with CK20 and CDX2, and focally positive with CEA. One case was diffusely p16 positive, 1 focal and 1 negative. The foci of signet ring cells in the 2 primary cervical adenocarcinomas were diffusely CK7 and p16 positive and negative with CK20 and CDX2. Colorectal adenocarcinomas involving the cervix were typically diffusely positive with CK20, CEA, and CDX2; negative with CK7; and negative or focally positive with p16. Intestinal types of cervical AIS and adenocarcinoma exhibit a partial enteric immunophenotype, usually with diffuse expression of CDX2 and, in some cases, staining with CK20. They maintain their CK7 immunoreactivity and are usually p16 positive. Although there is immunophenotypic overlap, focal staining with CK20 together with diffuse CK7 and sometimes p16 positivity helps to distinguish intestinal types of cervical adenocarcinoma from involvement by a colorectal adenocarcinoma; CEA and CDX2 are of no value in this regard. CDX2 positivity in usual-type AIS adjacent to intestinal type and in occasional cases of pure usual type AIS may be a reflection of early intestinal differentiation before this is morphologically apparent. Using a set of cases of AIS diagnosed in a single institution over a 7-year period (77 usual type; 13 intestinal type), intestinal type was more likely to be associated with early invasive adenocarcinoma than usual type (31% vs 17%), suggesting that intestinal differentiation may be a risk factor for invasion in premalignant cervical glandular lesions. PMID- 18156983 TI - Reproducibility of the histological diagnosis of cervical dysplasia among pathologists from 4 continents. AB - The reliable histological diagnosis of cervical squamous intraepithelial lesions (SILs), especially low-grade SIL, is known to be problematic. Poor diagnostic reproducibility can complicate studies addressing its appropriate management. As part of an international study comparing expectant management of histologically proven low-grade SIL with immediate loop electrocautery excisional procedure, this study was carried out to assess interobserver agreement on the histological diagnosis of SILs among a group of 22 pathologists from 5 countries and the intraobserver reliability among a subset of 7 Canadian pathologists. Fifty-six histological slides from colposcopically obtained cervical biopsies were circulated to each of the 22 pathologists. To assess intraobserver reliability, 7 Canadian pathologists assessed 40 of the slides once and 16 of the slides twice. Kappa values were used to measure interobserver agreement with an overall kappa value of 0.61 (95% confidence interval, 0.60-0.62) corresponding to moderate reliability. The weighted kappa values for interobserver agreement ranged from 0.46 to 0.88 (median, 0.79). The intraobserver reliability of 7 Canadian pathologists ranged from substantial to excellent based upon the weighted kappa values ranging from 0.62 to 0.94 (median, 0.72). This degree of reliability is comparable to that found in similar studies. In an individual case, there can be considerable disparity in diagnosis that can result in disparate management strategies. This adds a layer of complexity to any trial that attempts to assess optimal treatment strategies or the natural history of this disease. PMID- 18156984 TI - Longitudinal cytological follow-up of patients with a papanicolaou test interpretation of "atypical squamous cells of undetermined significance" that was followed by a negative reflex test for high-risk human papillomavirus types. AB - The 2001 consensus guidelines essentially equated the follow-up management of patients with a Papanicolaou (Pap) test interpretation of negative for intraepithelial lesion or malignancy and those with an interpretation of atypical squamous cells of undetermined significance (ASC-US) that was followed by a negative reflex test for high-risk human papillomavirus (HR HPV) types: follow-up cytology in 12 months. As several years have elapsed since these guidelines attained some measure of widespread implementation, we sought to determine whether, in routinely diagnosed cases, the full spectrum of follow-up cytological findings are indeed identical in these 2 groups. Clinical and pathological data of consecutive patients with a Pap test interpretation of ASC-US during a 6-week period (n = 587), in which reflex human papillomavirus testing was performed (n = 497) and in which HR HPV types were not detected (n = 300), were reviewed (study group). A randomly selected control group of 300 patients whose Pap tests were reported as negative (negative for intraepithelial lesion or malignancy) during the same period were similarly reviewed. The follow-up Pap tests were classified into the various Bethesda 2001 diagnostic categories, and both groups were compared. The average follow-up duration in the study and control groups was 26.03 and 25.9 months, respectively. When all of the follow-up Pap tests in each group (study, n = 555; control, n = 356) were used for the comparisons, patients in the study group were significantly more likely to have an abnormal follow-up Pap test result than the control group patients (24.9% vs 7.6%, P < 0.0001); this was primarily attributable to the more frequent repeat interpretations of ASC-US in the former group (20.5% vs 5.1%, P < 0.0001). The HR HPV detection rates in the follow-up ASC-US cases were not significantly different between the study and control groups. There were no significant differences between both groups regarding the diagnostic frequencies of low-grade squamous intraepithelial lesion and atypical squamous cells-cannot exclude high-grade squamous intraepithelial lesion (HGSIL). No examples of HGSIL or invasive cancer were identified in the follow-up of either group. All comparisons of statistical significance retained their significance when only 1 follow-up Pap test per patient, the most severe interpretation, was used. Our findings suggest that some significant differences exist between these 2 groups, most notably the comparatively increased frequency of repeat ASC-US interpretations in the study group. However, the extraordinary rarity of the most clinically significant interpretations of HGSIL and carcinoma in this setting can be confirmed because no such cases were identified during the follow-up of either group. PMID- 18156985 TI - Late breast cancer recurrence to the uterine cervix with a review of the literature. AB - The cervix is a possible site of metastasis from any primary malignancy, but no specific indication on follow-up examination is present. We present an asymptomatic patient with isolated breast cancer cervical recurrence diagnosed by colposcopy after 11 years from primary disease. After a PubMed search and a review of current guidelines, no indication to follow-up examination regarding the cervix is present. The adoption of colposcopy in cancer survivors might be an aid to gynecologists in diagnosing cancer recurrence. Cancer survivors might benefit from a more thorough gynecologic examination as compared with the simple Papanicolaou test. PMID- 18156986 TI - Pagetoid squamous cell carcinoma in situ of the vulva: comparison with extramammary paget disease and nonpagetoid squamous cell neoplasia. AB - Pagetoid squamous cell carcinoma in situ (PSSCIS) is a variant of squamous cell intraepithelial neoplasia. Although PSSCIS is well-documented in the cutaneous skin and esophagus, cases of vulvar PSSCIS are rare. In the vulva, the main differential diagnosis is extramammary Paget disease (EMPD). We report 2 cases of vulvar PSSCIS along with the immunohistochemical and human papillomavirus (HPV) status of this disease compared with primary cutaneous EMPD of the vulva. Although PSSCIS and EMPD share CK7 and CK19 expression, PSSCIS is consistently mucin and carcinoembryonic antigen negative. In contrast to EMPD, both cases of PSSCIS strongly expressed p16 (INK4A) protein, consistent with RB1 protein dysregulation. However, integration of high-risk HPV was found in only 1 of the 2 PSSCIS cases. Given the morphological and immunohistochemical findings, we suggest that PSSCIS arises from a bidirectional stem cell capable of both squamous and glandular differentiation. Additionally, as with nonpagetoid squamous cell neoplasias of the vulvar, integration of high-risk HPV may occur in some, but not all, cases of PSSCIS. PMID- 18156987 TI - Differentiated intraepithelial neoplasia of the vulva. AB - We present the clinical and pathological findings of 6 women with intraepithelial neoplasia of differentiated or simplex type (DVIN). The mean age was 68 years (range 55-82). One lesion was still in situ, whereas 5 were associated with squamous carcinoma, 4 of well-differentiated keratinizing type and 1 of poorly differentiated spindle-cell type. The invasive depth of the squamous carcinomas ranged from 0.6 to 8 mm and the surgical margins of all of the resection specimens were uninvolved by neoplastic cells. In contrast, DVIN involved the surgical margins in 5 specimens while the remaining specimen had normal surgical margins. In all 6 vulvar specimens, DVIN showed intense immunoreactivity for Ki 67 in the basal and parabasal cells while only 4 specimens showed reactivity for p53. In 5 surgical specimens with DVIN the number of CD1a cells was increased but little if any immunoreactivity could be found amongst the corresponding invasive neoplastic cells. Four squamous carcinomas also showed diffuse p53 reactivity. There was little difference in the pattern of Ki-67 expression between DVIN and squamous carcinoma. For a number of reasons, DVIN present diagnostic difficulty and considerable interobserver variation also exists. Our study suggests that Ki 67 and p16 are useful for distinguishing DVIN and classical VIN 3, whereas p53 and CD1a are useful for distinguishing DVIN and invasive squamous carcinoma. Furthermore, p53 appears to have higher specificity than sensitivity for distinguishing DVIN from normal squamous epithelium. PMID- 18156988 TI - Involvement of heparanase in the pathogenesis of localized vulvodynia. AB - Recently, we have shown that vestibular hyperinnervation and the presence of 8 or more mast cells in a 10 x 10 microscopic field can be used as diagnostic criteria in localized vulvodynia (vulvar vestibulitis). We have also documented that degranulation of mast cells occurs in these cases. The present study further examines the characteristics of vestibular hyperinnervation and mast cell function in localized vulvodynia to elucidate if the 2 processes-hyperinnervation and mast cell increase and degranulation-are related. We examined vestibular tissue from 7 women aged 18 to 48 with severe localized vulvodynia and from 7 healthy control women. Parallel sections were stained by Giemsa and then immunostained for CD117 and heparanase. Nerve fibers that expressed protein gene product 9.5 were examined. Tissues from women with localized vulvodynia documented a significant increase in vestibular mast cells, subepithelial heparanase activity, and intraepithelial hyperinnervation compared with healthy women. This is the first documentation of heparanase activity in localized vulvodynia. Heparanase, which is degranulated from mast cells, is capable of degrading the vestibular stroma and epithelial basement membrane, thus permitting stromal proliferation and intraepithelial extension of nerve fibers, as seen in the present study. The hyperinnervation has been thought to cause the vestibular hyperesthesia distinctive of localized vulvodynia. PMID- 18156989 TI - Malignant clear cell hidradenoma of the vulva: report of a unique case and review of the literature. AB - Clear cell hidradenoma (CCH) is a rare tumor derived from eccrine sweat glands with a predilection for the head, face, and upper extremities. Its biologic behavior is unpredictable, although frank malignant transformation is reportedly rare (prevalence rate, 6.7% in a review). Malignant CCH (MCCH) exists only as case reports or very small series in the literature. We present a unique case of MCCH of the vulva with completely bland cytological features. A previously healthy 39-year-old woman underwent marsupialization of a presumed left-side vulval Bartholin gland cyst. Microscopy revealed a tumor with the features of CCH; no atypia, necrosis, or mitoses were observed. Ten months later, she developed enlarging left groin nodes, one of which contained a metastatic clear cell tumor. Radiological examination did not reveal any other primary source, and the diagnosis of MCCH was confirmed through an expert review. A reexcision of the vulval primary site, which contained residual tumor, was performed. The patient is currently free of any further recurrence 10 months after the excision of the lymph node metastasis. The case highlights the difficulty in predicting the behavior of CCH on the basis of histological examination alone. It also highlights the importance of considering MCCH in the differential diagnosis of a lymph node containing a metastatic clear cell tumor or an apparent metastatic clear cell lesion in the skin. We review the current literature on MCCH and discuss the problems in the differential diagnosis and treatment of this rare tumor. PMID- 18156990 TI - Effect of baseline CD4 cell count on the efficacy and safety of peginterferon Alfa-2a (40KD) plus ribavirin in patients with HIV/hepatitis C virus coinfection. AB - OBJECTIVE: The impact of baseline CD4 status on hepatitis C virus (HCV) treatment response among patients with HIV/HCV coinfection was investigated using data from a randomized study of peginterferon alfa-2a (40KD) + ribavirin (Peg-IFN/RBV). METHODS: Of 860 patients treated with conventional interferon alfa-2a + ribavirin (IFN/RBV), peginterferon alfa-2a (40KD) + placebo (Peg-IFN), or Peg-IFN/RBV for 48 weeks, 857 patients had baseline CD4 data available and were included in the analysis. Efficacy and safety were analyzed according to baseline CD4 status as absolute cell count and proportion of total lymphocytes. RESULTS: Sustained virologic response (SVR) rates were highest with Peg-IFN/RBV across all CD4 strata. With Peg-IFN/RBV, SVR rates were independent of baseline CD4 in genotype 2/3 patients, but in genotype 1 patients, they tended to be higher with higher CD4 or CD4%. Frequencies of adverse events (AEs) and serious AEs were similar among treatment arms and CD4 strata. Withdrawal and dose reduction rates attributable to safety were highest with CD4 <200 cells/muL. CONCLUSIONS: Peg IFN/RBV could be effective and well tolerated in HIV/HCV-coinfected individuals with stable HIV. With Peg-IFN/RBV, response tended to increase with higher CD4 counts in genotype 1; however, because of the paucity of patients with CD4 <200 cells/muL, these data require corroboration. PMID- 18156993 TI - Low prevalence of peripheral arterial disease in HIV-infected patients with multiple cardiovascular risk factors. PMID- 18156991 TI - Baseline CD4 cell count and outcome of pegylated interferon plus ribavirin therapy in HIV/hepatitis C virus-coinfected patients. AB - OBJECTIVE: When to start hepatitis C treatment in HIV/hepatitis C virus (HCV) coinfected patients remains unresolved. Our objective was to determine if a baseline CD4 count >/=350 cells/mm predicts a sustained HCV response to pegylated interferon plus ribavirin. METHODS: We conducted a multicenter cohort study of HIV/HCV-coinfected patients treated for HIV in hospitals in Nice, Tourcoing, and Marseille (France). Sustained viral response (SVR) was defined as undetectable HCV RNA 24 weeks after treatment. The relation between CD4 cell count and SVR was examined separately for patients with HCV genotype 1 or non-1. RESULTS: One hundred seventy-five patients were included. In patients with HCV genotype 1, the rate of SVR was 13% and was not related to baseline CD4 cell count (odds ratio [OR] = 1.0, 95% confidence interval [CI]: 0.1 to 9.3). In patients with HCV genotype non-1, the rate of SVR was 46% and was not significantly increased by a baseline CD4 count >/=350 cells/mm (OR = 1.8, 95% CI: 0.6 to 5.9). CONCLUSIONS: Higher CD4 cell count at treatment initiation with pegylated interferon plus ribavirin did not improve treatment success probability, regardless of HCV genotype. PMID- 18156992 TI - Infrared coagulator treatment of high-grade anal dysplasia in HIV-infected individuals: an AIDS malignancy consortium pilot study. AB - OBJECTIVE: To evaluate prospectively the safety of the infrared coagulator (IRC) as a treatment for anal high-grade squamous intraepithelial lesions (HSILs) in HIV-infected individuals and to seek preliminary evidence for efficacy. METHODS: HIV-infected patients with 10-fold, whereas T-cell expansion after the selection boost the frequency of tumor antigen specific T cells by another approximately 10-fold. More importantly, these T cells are generated under more physiologic conditions. This new T-cell selection system is superior to traditional repeated stimulation methods in generating tumor antigen-specific T cells for adoptive cell immunotherapy. This inexpensive and simple T-cell selection system can produce large quantity of highly purified Melan-A-specific T cells within 2 weeks after T-cell activation. PMID- 18157016 TI - Development of a potency assay for human dendritic cells: IL-12p70 production. AB - The development of potency assays for characterization of cellular products used for human therapy throughout early-phase clinical trials is recommended by FDA. We present the results of the development of a standardized IL-12p70 production assay, which is applicable to small samples or large lots of dendritic cell (DC) vaccines generated under a variety of conditions. The assay measures the DC ability to secrete IL-12p70 and respond to helper T-cell signals (CD40L) with or without additional innate immunity signals. It then quantifies IL-12p70 using an immunobead multiplex platform. This 2-step functional assay provides a controlled, reproducible, robust, and cost-effective potency measure for human DC. It discriminates between DC matured in the presence of different cytokine cocktails and between DC obtained from normal donors and patients with human immunodeficiency virus-1 or cancer. It defines the stability of DC vaccines. It's application to DC assessments in several on-going early-phase clinical trials is expected to provide data defining the assay value in predicting in vivo efficacy of DC-based vaccines. PMID- 18157017 TI - Analysis and characterization of antitumor T-cell response after administration of dendritic cells loaded with allogeneic tumor lysate to metastatic melanoma patients. AB - The primary goal of cancer vaccines is to induce CD8+ T cells specific for tumor associated antigens (TAA) but the characterization of these cells has been difficult because of the low sensitivity of ex vivo assays. Here, we focused on TAA-specific CD8+ T-cell responses in melanoma patients after vaccination with autologous dendritic cells loaded with lysates derived from allogeneic tumor-cell lines (Lysate-DC). Out of 40 patients treated, 16 patients developed immune response to tumor-cell lysate and/or CD8+ T cells specific for differentiation and cancer-testis antigens. TAA-specific CD8+ T-cell responses were detected by interferon (IFN)-gamma enzyme-linked immunospot after in vitro sensitization and were, either transient during the treatment period or delayed, that is, observed after completion of all vaccinations. We could not correlate these immune responses to clinical data as none of the patients achieved an overall objective response according to Response Evaluation Criteria in Solid Tumors criteria. Three patients were reported as stable disease and 10 patients presented evidence of antitumor activity. We found that TAA-specific T cells characterized in 4 patients produced perforin ex vivo, but no IFN-gamma in enzyme-linked immunospot. Differential expression of IFN-gamma and perforin was also observed for viral specific T cells. Altogether, our results show that Lysate-DC therapy elicited tumor-specific CD8+ T cells nonlimited to human leukocyte antigen-A2+ patients, with some T cells secreting perforin ex vivo and IFN-gamma only after restimulation. The differential expression of perforin and IFN-gamma by antitumor and antiviral CD8+ T cells supports that the sole use of IFN-gamma production to monitor T cells overlooks functional T-cell subpopulations triggered by vaccines. PMID- 18157018 TI - Stewart's physicochemical approach in neurosurgical patients with hyperchloremic metabolic acidosis during propofol anesthesia. AB - There is both in vitro and clinical evidence that high-dose propofol can inhibit mitochondrial respiration, resulting in metabolic acidosis. The purpose of this study was to evaluate the effects of propofol anesthesia on the acid-base status in neurosurgical patients with large amount of normal saline administration. Thirty patients undergoing clipping of cerebral aneurysm were randomly assigned to receive propofol (n=15) or isoflurane (n=15). Propofol dose (mean+/-standard error) infused for maintenance was 5.7+/-0.2 mg/kg/h in propofol group. Acid-base parameters such as PaCO2, pH, serum bicarbonate concentration, standard base excess, serum electrolyte concentration, total protein, albumin, lactate, and phosphate were measured before and 4 hours after the induction of anesthesia, and after surgery. The apparent strong ion difference (SIDa), the effective SID (SIDe), and the amount of weak plasma acid were calculated using the Stewart equation. There were no significant differences in pH, PaCO2, bicarbonate, and lactate between 2 groups throughout the whole investigation period. After surgery, standard base excess significantly decreased in both groups without intergroup difference. SIDa and SIDe significantly decreased in both groups, and lactate and strong ion gap significantly increased after surgery in propofol group, but there were no significant differences between 2 groups. Both propofol and isoflurane were associated with hyperchloremic metabolic acidosis in neurosurgical patients with large amount of normal saline administration. The acid-base balance between the 2 anesthetics was similar using Stewart's physicochemical approach. PMID- 18157019 TI - The accuracy of jugular bulb venous monitoring in detecting cerebral ischemia in awake patients undergoing carotid endarterectomy. AB - To investigate the accuracy of jugular bulb venous monitoring in detecting cerebral ischemia, we performed ipsilateral jugular bulb venous monitoring in 48 patients undergoing carotid surgery under regional anesthesia. Cerebral ischemia was assumed when neurologic deterioration occurred. During carotid clamping, the maximal arterial-jugular venous oxygen content difference [AJDO2 (max)], the minimal jugular venous oxygen saturation [SjO2 (min)], the maximal arterial jugular venous lactate content difference [AJDL (max)], the maximal lactate oxygen index [LOI (max)], and the maximal modified LOI [mLOI (max)] were determined. To quantify the selectivity of each parameter, we performed receiver operating characteristic analysis and determined the area under the curve. The cutoff points providing the highest accuracy and the corresponding sensitivity (Se) and specificity (Spec) were determined. Neurologic deterioration occurred in 12 patients. All parameters, except AJDO2 (max), showed significant ability to distinguish between ischemic and nonischemic patients. The area under the curve for AJDL (max) was 0.840, for SjO2 (min) 0.766, for LOI 0.745, for mLOI 0.748, and for AJDO2 (max) 0.672. We found cutoff points of > or =0.16 mmol/L for AJDL (max) (Se=67%; Spec=86%) and < or =55% for SjO2 (Se=75%; Spec=83%). In conclusion, the present investigation shows that AJDL, SjO2, LOI, and mLOI provide the ability to detect cerebral hypoperfusion. The highest accuracy was found for AJDL. Neither the calculation of LOI nor of mLOI showed improved results. PMID- 18157020 TI - Disseminated intravascular coagulation after craniotomy. AB - Disseminated intravascular coagulation (DIC) is reported in neurosurgical patients; however, the incidence of DIC after craniotomy procedures is unknown. Using a surgical database, we identified 3164 patients who underwent primary craniotomy at Mayo Clinic Rochester between January 1, 2000 and December 31, 2004. Potential cases of DIC in this population were identified using 3 search triggers, patients: (1) in whom the diagnosis of DIC was noted on their hospital discharge summary, (2) who received red blood cell-free blood products, or (3) in whom a blood fibrinogen or d-dimer concentration was assessed. Using criteria based on laboratory values, we estimated the incidence of DIC developing within 72 hours of primary craniotomy to be between 13 and 44 per 10,000 patients. Despite a low incidence of DIC, the associated mortality rate was 43% to 75%. Traumatic head injury was a significant risk factor for the development of DIC [odds ratio of trauma was in the range of 16 (95% confidence interval (CI)=5.3 49) to 29 (CI=4.0-204)]. Autologous salvaged blood was administered intraoperatively to 44 patients, and 1 of these developed DIC. Although this small sample of patients receiving salvaged blood requires caution in interpreting the results, the risk of DIC seemed to be greater with salvaged blood than without [odds ratio 24 (CI=2.5-237)]. In children, 2 of 3 patients who developed DIC had congenital malformations of the brain. Findings from this study suggest that DIC is rare after craniotomy, but is often associated with mortality. PMID- 18157021 TI - Isoflurane-induced neuroapoptosis in the developing brain of nonhypoglycemic mice. AB - Drugs that suppress neuronal activity, including general anesthetics used in pediatric and obstetric medicine, trigger neuroapoptosis in the developing rodent brain. Exposure of infant rats for 6 hours to a combination of anesthetic drugs (midazolam, nitrous oxide, isoflurane) reportedly causes widespread apoptotic neurodegeneration, followed by lifelong cognitive deficits. Isoflurane, the dominant ingredient in this triple cocktail, has not been evaluated individually for apoptogenic potential. It was recently reported that (1) the minimum alveolar concentration (MAC) for anesthetizing infant mice with isoflurane is 2.26%, and; (2) that infant mice, without assisted respiration, maintain normal arterial oxygen values but become hypoglycemic when exposed to isoflurane 3% for 30 minutes, then 1.8% for 1 hour (1.46 MAC-hours). In the present experiments, infant mice were exposed to isoflurane at various sub-MAC concentrations and durations, and the brains were evaluated quantitatively 5 hours after initiation of anesthesia exposure to determine the number of neuronal profiles undergoing apoptosis. Blood glucose values were also determined under each of these conditions. All conditions tested (isoflurane at 0.75% for 4 h, 1.5% for 2 h, 2.0% for 1 h) triggered a statistically significant increase in neuroapoptosis compared with the rate of spontaneous apoptosis in littermate controls. Blood glucose determinations ruled out hypoglycemia as a potential cause of the brain damage. It is concluded that exposure to sub-MAC concentrations of isoflurane for one or more hours triggers neuroapoptosis in the infant mouse brain. These findings are consistent with other recent evidence demonstrating that brief exposure to ethanol, ketamine, or midazolam triggers neuroapoptosis in the developing mouse brain. PMID- 18157022 TI - Vagus nerve stimulation therapy for seizures. AB - Of the 3 million patients with seizures in North America approximately 70% have effective seizure control with medications. In the group refractory to medical treatment only a minority fit the criteria for surgical therapy. Vagus nerve stimulation therapy seems to be a suitable nonpharmacologic therapy for reducing seizure frequency in these cases. It is a simple device with 2 electrodes and an anchor loop implanted on the midcervical portion of left vagus nerve and the impulse generator is implanted subcutaneously in the left infraclavicular region. The left vagus is the preferred site as the right vagus innervates the sinoatrial node and influences the heart rate. Data from laboratory studies suggest that it most probably works by increasing the release of norepinephrine in the locus ceruleus, which in turn increases the seizure threshold. More than 32,000 devices have been implanted since it was approved in 1997. There is class I evidence that vagus nerve stimulator reduces the frequency of seizures. In addition it also elevates the patients' mood-independent of seizure control. In one of the studies 50% reduction in seizure frequency was 37% in the first year and 44% in the second and third year. The side effects commonly reported are constriction in the throat, change in voice, and throat pain which most patients are able to tolerate and continue the use of the device. In conclusion VNS seems to be an effective nonpharmacologic therapy for medically refractory partial onset seizures. PMID- 18157023 TI - Perioperative events during deep brain stimulation: the experience at cleveland clinic. AB - BACKGROUND: Deep brain stimulation (DBS) of the basal ganglia is an evolving technique for managing intractable movement disorders such as those due to Parkinson disease. We conducted a retrospective review of the DBS procedures that have been performed at our institution to determine the frequency and types complications that occurred. METHODS: After Institutional Review Board approval, 258 procedures involving 250 patients were retrospectively reviewed. Univariate analysis using the chi test for the categorical variables and a t-test for the continuous variables was performed on patients with and without complications to determine potential risk factors. RESULTS: The most common anesthesia technique used for DBS procedures was monitored anesthesia care using a propofol infusion during the early part of the case. Airway, respiratory, neurologic, and psychologic/psychiatric complications occurred. Age was found to be an independent risk factor for complications during DBS. CONCLUSION: This retrospective study demonstrates that age is an independent risk factor for complications during DBS procedures. Monitored anesthesia care using propofol seems to be a safe technique for DBS procedures; however, dexmedetomidine can also be used. PMID- 18157024 TI - Human cerebral blood volume (CBV) measured by dynamic susceptibility contrast MRI and 99mTc-RBC SPECT. AB - BACKGROUND: Patients with elevated intracranial pressure risk compromising their cerebral blood flow, resulting in ischemia. Lowering of the raised intracranial pressure, is therefore, mandatory. Reduction of the cerebral blood volume (CBV) might be target. In finding ways to do so, one has to be able to measure CBV. Measurement of CBV is, however, difficult. Radio(99mTc-)labeled erythrocytes (99mTcRBC) single photon emission computer-aided tomography (SPECT) is one established method used for CBV measurement. Recently, dynamic susceptibility contrast (DSC) magnetic resonance imaging (MRI), has also been successfully used for this purpose. The aim of this study was to validate the use of DSC-MRI for the measurement of CBV by the investigation of the correlation between the regional distributions of 99mTc-RBC SPECT and DSC-MRI measurement of CBV in humans. If possible, the aim was also to find a conversion constant that will enable the DCS-MRI to be interpreted as CBV (percent of brain volume). METHODS: CBV of 8 volunteers were studied under normocapnic and hypocapnic conditions. CBV was measured with both 99mTc-RBC SPECT and DSC-MRI. RESULTS: There were significant correlations between the regional distributions of CBV measured by 99mTc-RBC SPECT and DSC-MRI (rest: F=4.53, P<0.05; hypocapnia: F=9.61, P<0.005). The derived conversion factor between DSC-MRI voxel values and 99mTc-RBC SPECT CBV (percent of brain volume) at rest was 0.0059+/-0.0013. Global CBV during normocapnia was 4.3%+/-0.6% of brain volume as measured by SPECT of brain volume and 4.5%+/-0.9% as measured by MRI. Decreasing the end-tidal pCO2 by 1.8 kPa by spontaneous hyperventilation reduced the global CBV significantly to 3.9%+/-0.5% in the SPECT group and to 3.5%+/-0.6% in the MRI group. CONCLUSIONS: The comparison of 99mTc-RBC SPECT and DSC-MRI measurements in our study indicates that DSC-MRI can be a useful method to measure CBV as a percent of brain volume. PMID- 18157025 TI - Perioperative complications of blood brain barrier disruption under general anesthesia: a retrospective review. AB - Blood brain barrier disruption enhances drug delivery in primary central nervous system lymphoma. In this study, we report adverse events that were encountered intraoperatively and in the postoperative period in these patients. A retrospective analysis of 17 patients documenting demographic data, preprocedure medical history, intraoperative, and postoperative anesthetic complications was conducted between January 2002 and December 2004. Seventeen patients underwent 210 treatments under general anesthesia with a mean of 12.4+/-7.2 treatments per patient. Focal seizures occurred in 13% of patients. Generalized motor seizures occurred in 4 treatment sessions in 2 different patients. The incidence of seizures was significantly higher when the internal carotid artery was used for injection, as opposed to the vertebral artery (20.8% and 6.02%, respectively, P=0.0034). Tachycardia associated with ST segment depression occurred 9 times (4.3%) in 3 patients. One patient had significant ST segment elevation (more than 1.5 mm). Transient cerebral vasospasm after methotrexate injection occurred in 9% of patients. Postoperative nausea and vomiting were observed in 11.9% of patients. After emergence, lethargy and obtundation occurred in 7.6% of the cases. The incidence of postoperative headache and reversible motor deficits was 6% and 3.8%, respectively. Our review highlights the problems that were encountered during blood brain barrier disruption under anesthesia and in the postoperative period. Further prospective studies are required for comprehensive evaluation of intraprocedure and postprocedure complications that will allow development of an optimal anesthetic plan and will improve patient outcome by preventing potential complications. PMID- 18157026 TI - Epidural blood patch for severe postoperative intracranial hypotension. AB - Brain sag is a rare but serious postoperative complication after craniotomy. It is a clinical entity that refers to severe cerebrospinal fluid hypovolemia causing acute neurologic decompensation and obtundation. The established treatment is trendelenberg positioning. We present 3 cases of severe brain sag in which patients developed acute neurologic deterioration unresponsive to conventional treatment. An epidural blood patch was performed emergently to prevent further neurologic decline. The administration of epidural blood patch resulted in immediate and dramatic reversal of obtundation in each of these patients. Epidural blood patch may be a life-saving intervention in postcraniotomy patients presenting with refractory brain sag. It should be offered in patients who meet the criteria for brain sag and are unresponsive to conventional treatment modalities, despite the clinical presentation of herniation and coma. PMID- 18157030 TI - Intraoperative metabolic acidosis induced by chronic topiramate intake in neurosurgical patients. PMID- 18157031 TI - An unusual arterial waveform. PMID- 18157032 TI - Neck hematoma causing acute airway and hemodynamic compromise after anterior cervical spine surgery. PMID- 18157033 TI - Tramadol and severe hypertension during anesthesia. PMID- 18157034 TI - Conjunctival edema and head position after prone spinal surgery. PMID- 18157035 TI - Balloon dissection: an unusual source of venous air embolism during brain surgery. PMID- 18157036 TI - Intractable hypotension and bradycardia during surgical positioning in atlantoaxial dislocation. PMID- 18157037 TI - Major trauma with multiple injuries in German children: a retrospective review. AB - BACKGROUND: The aim of this study was to evaluate the demographics, mechanisms, pattern, injury severity, and the outcome (ie, length of intensive care unit [ICU] stay, length of mechanical ventilation, total length of stay, mortality) in multiple-injured children based on a review from the German trauma registry study ("Traumaregister") of the German Society of Trauma Surgery (Deutsche Gesellschaft fur Unfallchirurgie e.V.). METHODS: One hundred three German trauma centers took part in the German trauma registry study from January 1997 to December 2003. Five hundred seventeen children (aged 0-15 years) with multiple injuries and an Injury Severity Score of more than 15 in comparison to 11,025 adults were included. Sex, age, and mechanisms and pattern of injury were assessed. The mechanisms of trauma and the anatomical distribution of severe injury (Abbreviated Injury Scale of 3 or more) were analyzed. The Injury Severity Score, the Revised Trauma Score, and the Trauma Score Injury Severity Score were calculated to estimate the severity of injury and mortality. RESULTS: The predominant sex was male. Most cases were caused by traffic-related accidents. Head injuries were most common in children, and severe thoracic injuries increased with age. Mean length of ICU treatment, mechanical ventilation, and total length of stay were shorter in children than in adults. A total of 22.6% of the children aged 0 to 5 years died in the hospital in comparison with in-hospital mortality rate of 13.7% in the 6- to 10-, 20.3% in the 11- to 15-, and 17.0% in the 16- to 55-year-old patients. CONCLUSIONS: There were differences between multiple-injured children and adults concerning injury mechanisms and pattern of injuries. Adults needed a longer mechanical ventilation and a longer ICU therapy. Most deaths could be seen in the youngest patients aged 0 to 5 years. PMID- 18157038 TI - Locking plate fixation for pediatric femur fractures. AB - BACKGROUND: The use of locking plates for pediatric femur fractures has not been studied. Locking plate applications for fractures associated with comminution, osteopenia, or minimal bone available for purchase have been well studied in the adult trauma population. METHODS: We conducted a retrospective review of children at our institution treated with a locking plate for a femur fracture. We identified 32 patients treated at an average age of 11 years (6-15 years of age). Locking plates were chosen for comminution in 13 patients, nonmalignant pathologic fracture in 9 patients, fracture location in 7 patients, and osteopenia in 3 patients. All patients were treated with a locking plate and followed up until definitive radiologic union. RESULTS: There were no intraoperative complications related to this technology. All patients were healed with near-anatomic alignment with the exception of 1 patient who had valgus malalignment of 12 degrees, which was of no clinical concern and required no intervention. Seven patients had the plates removed with no noted complications. CONCLUSIONS: Locking plates are a safe and effective treatment for children and adolescents with femur fractures that may not be amenable to other current means of stabilization. PMID- 18157039 TI - Remodeling of birth fractures of the humeral diaphysis. AB - BACKGROUND: Birth fractures of the humeral diaphysis are encountered at most pediatric medical centers and pediatric orthopaedic practices. The treatment strategy of these fractures is uniformly nonoperative. However, we have not found sufficient studies in the literature demonstrating the extent to which remodeling is possible and therefore how much deformity is acceptable in the treatment of these fractures. METHODS: We reviewed the records of our institution's Orthopaedic Surgery Clinic and identified all children seen for birth fractures of the humerus from 2001 to 2005. The angulation and displacement at presentation and at follow-up were measured. RESULTS: All patients were treated nonoperatively, and most were managed by swaddling. In 9 patients with more than 4 months of radiographic follow-up, the mean initial angulation was 26 degrees in the coronal plane and 25 degrees in the sagittal plane. The mean angulation at final follow-up was 5 degrees in the coronal plane and 7 degrees in the sagittal plane. The maximum angulation at presentation was 66 degrees, which remodeled to 5 degrees at 7.3 months' follow-up. CONCLUSIONS: Our findings suggest that attempts to obtain an anatomical reduction or the use of more than the simplest immobilization methods are not necessary given the tremendous capacity for remodeling of these fractures in infants. PMID- 18157040 TI - Elastic stable intramedullary nailing in pediatric femur and lower leg shaft fractures: intraoperative radiation load. AB - BACKGROUND: Elastic stable intramedullary nailing (ESIN) is currently the therapy of choice in unstable, transverse and short oblique femoral and tibial-fibular shaft fractures in childhood and adolescence. As with every intramedullary technique, it requires a greater intraoperative reliance on radiological imaging. Literature concerning intraoperative radiation load in ESIN is rare, results having a wide range from less than 1 minute to more than 15 minutes. METHODS: We performed a retrospective analysis of 53 femoral and 24 tibial shaft fractures. In addition, image intensifier times of several steps of the operative procedure in 10 femoral shaft fractures were evaluated prospectively. RESULTS: The average radiation time in femoral fractures was 70.3 (range, 12-193) seconds, in tibial shaft fractures, 42.4 (range, 16-108) seconds. The prospective analysis of femur shaft fractures was able to show the most intense use of imaging during fracture passage (43.2%) and placement of the nail tips (26.6%). Image intensifier times in educational operations were not significantly higher than in operations performed by experienced surgeons. CONCLUSIONS: The actual intraoperative radiation load is influenced by bone mass and soft tissue coverage. Surgeons are able to reduce it only by decreasing the fluoroscopy time. According to our results, image intensifier time should not exceed 3 minutes in ESIN of femoral shaft fractures and 2 minutes in ESIN of lower-leg fractures. Low intraoperative radiation times are a mark of quality with respect to the interests of patients, surgeons, and operation theater staff. PMID- 18157041 TI - Femural shaft fracture in a newborn infant treated with axial external fixator: a case report. AB - BACKGROUND: The authors present a case of femural shaft fracture inanewborn infant treated with axial external fixator. METHODS: The patient presented at the time of birth with a lumbar myelomeningocele and right femural shaft fracture. The common methods of treatment cannot be used, so 24 hours after birth before neurosurgery, we applied a Mini Penning Orthofix External Fixator for fracture stabilization. RESULTS: The external fixator was maintained for 30 days and removed after taking a radiograph that showed fracture healing. At the last follow-up (2 years), the patient did not present axial or torsional defects of right lower limb. CONCLUSIONS: External fixation is not a traditional method for treatment of femural shaft fractures in patients younger than 6 years, but we think that in some cases, when traditional methods (splinting, cast, Pavlik harness) cannot be used, an external fixator is also a good option in patients younger than 2 years and in newborn infants. PMID- 18157042 TI - Musculoskeletal manifestations in pediatric acute leukemia. AB - BACKGROUND: In children, acute leukemia (AL) at presentation can mimic several orthopaedic pathologies, so that a variable delay of the correct diagnosis is often reported. METHODS: To define more clearly the clinical and radiological musculoskeletal manifestations of leukemia in children, 122 affected children referred from 1984 to 1999 to our Pediatric Onco-Hematologic Clinic were retrospectively reviewed. Average age at diagnosis was 6.6 years (from 7 months to 17 years). Seventy-three (60%) were boys and adolescent boys, 49 (40%) were girls and adolescent girls. One hundred two (83.6%) had acute lymphoblastic leukemia, 20 (16.4%) had acute myeloid leukemia. The mean follow-up was 8.2 years for the 104 survivors and 2.5 years for the 18 nonsurvivors. The chi2 test was used to perform the statistical analyses. RESULTS: At presentation, complaints related to the musculoskeletal system were frequent (38.3%), including pain (34.4%), functional impairment (22.9%), limping (12.3%), swelling (10.6%), and joint effusion (5.7%). At presentation, 40.2% of children had at least 1 radiographic abnormality. In order, they were osteolysis (13.1%), metaphyseal bands (9.8%), osteopenia (9%), osteosclerosis (7.4%), permeative pattern (5.7%), pathological fractures (5.7%), periosteal reactions (4.1%), and mixed lysis sclerosis lesions (2.5%). Different from previous reports, late radiographic lesions were uncommon (5.7%), probably because of milder newer medication protocols. They included avascular necrosis (3.3%), vertebral collapses (1.6%), and osteolysis (0.8%). CONCLUSIONS: Both clinical and radiological changes had various and no uniform localization. Poor correlation was found between symptoms and radiological lesions. Survival rates in children with AL were 95.8% at 1 year, 89.6% at 3 years, 85.8% at 5 years, and 83.4% at 10 and at 13 years. Radiographic abnormalities (P = 0.400), type of leukemia (P = 0.291), sex (P = 0.245), and white blood cell count at presentation (P = 0.877) were not prognostic factors. The presence of multiple bone lesions did not affect the survival rate (P=0.632). As early diagnosis significantly decreases morbidity and mortality of AL, the orthopaedist should suspect AL in any child with unexplained persistent skeletal pain or radiographic alterations. Accurate history, general physical examination, and complete blood cell count tests should address the suspicion, which is confirmed by a peripheral and/or iliac crest bone marrow biopsy. PMID- 18157043 TI - Incidence of biopsy-proven bone tumors in children: a report based on the Dutch pathology registration "PALGA". AB - INTRODUCTION: Data on childhood bone tumors are mainly confined to reports on malignant tumors or on institutional registries. Incidence figures on both benign and malignant bone tumors in childhood are lacking. METHODS: From January 1999 to December 2003, 1474 newly diagnosed bone tumors in children up to 18 years were registered in Pathologisch Anatomisch Landelijk Geautomatiseerd Archief (the nationwide network and registry of histopathology and cytopathology in The Netherlands). Data provided were diagnosis, date of birth, age at diagnosis, and localization. For incidence calculations, data on age and sex in each year of investigation were obtained from the StatLine database of Statistics Netherlands (www.cbs.nl). RESULTS/CONCLUSIONS: Incidence of pathology-proven bone tumors in children is low. Incidence of pathology-proven bone tumors in The Netherlands is 79.3 per 1,000,000. From the very first year of life, incidence increases from 3.9 per 1,000,000 to a peak at 13 to 15 years of 142.9 per 1,000,000. Osteochondromas are the most prevalent tumors, followed by aneurysmal bone cysts. The overall incidence is higher for male compared with female patients, mainly due to different frequencies found in aneurysmal bone cysts, Ewing sarcoma, and osteochondroma. Shifts in incidence differ among the various tumors. In infants, bone tumors are mainly chondromas and fibrous dysplasia, which both show a steady increase at older ages. Tumors most prevalent at older ages are osteochondromas, osteosarcomas, osteoid osteomas, and chondromas. A peak incidence at approximately the age of 10 is noted for solitary bone cysts, nonossifying fibromas, and osteoblastomas. Small children more often have localizations in the skull and facial bones. Comparison with literature data showed significant differences due to referral-based institutionally bias, whereas tumor registries only give data for specific tumor types. PMID- 18157044 TI - Transarticular stabilization of the immature femoral head: assessment of a novel surgical approach to the dislocating pediatric hip in a porcine model. AB - BACKGROUND: Acetabular dysplasia and hip instability are common in neuromuscular diseases such as spina bifida and cerebral palsy due to deranged muscle function around the hip. Occasionally in developmental dysplasia of the hip, persistent instability may be difficult to manage by standard treatments. It is in these contexts that we wished to investigate whether a dislocatable hip could be stabilized by means of a transarticular suture acting as a reconstructed ligamentum teres. The aim of this study was to investigate and assess the iatrogenic damage caused by such a procedure on the immature proximal femoral physis, epiphysis, and hip joint. METHODS: Four- to 6-week-old mixed breed European pigs (n = 18) were used in the study. Six animals with normal hips underwent the stabilization procedure to the right hip joint, the left hips serving as controls. The remaining 12 pigs were subjected to a model of hip dysplasia on the right hip. After 6 weeks, the dysplasia stimulus was removed, and half of the animals underwent the hip stabilization procedure, the remaining 6 animals served as a control for "untreated dysplasia." Animals underwent serial pelvic radiography until euthanasia at 18 weeks of age. Postoperative, morphometric, radiographic, and histological analyses were performed. RESULTS: The dysplasia model consistently produced an increase in the acetabular index, femoral head subluxation, and growth retardation of the capital epiphysis. We observed no detrimental effect on the capital ossific nucleus, proximal femoral physis, or acetabular development in terms of radiographic, morphometric, or histological findings after the transarticular suture procedure. CONCLUSIONS: The surgical technique of drilling across the immature porcine hip did not result in avascular necrosis of the femoral head, osseous bar formation across the proximal femoral physis, proximal femoral metaphyseal growth disturbance, chondrolysis, or disturbance in normal acetabular development. CLINICAL RELEVANCE: The described technique may be a useful augment to the definitive stabilization of the recalcitrant dysplastic or unstable hip where standard operative measures alone are likely to be unsuccessful. PMID- 18157045 TI - Simultaneous biplanar fluoroscopy for the surgical treatment of slipped capital femoral epiphysis. AB - BACKGROUND: The current standard of care for treatment of slipped capital femoral epiphysis (SCFE) is in situ placement of a single, cannulated screw across the physis under direct fluoroscopic guidance. Previous studies have reported the theoretical advantages of shorter operative time and improved accuracy of screw placement when 2 fluoroscopy units are used simultaneously. METHODS: A retrospective review was performed to compare the use of 1 versus 2 C-arms in the surgical stabilization of SCFE. Data analysis, including demographics, surgical setup times, operative times, and precision of screw placement was performed in 77 consecutive hips (69 patients). RESULTS: No significant differences were found between the single and dual C-arm techniques with respect to operating room setup and surgery times. Center-center positioning of the screw was more precise when using the simultaneous dual C-arm technique. Surgical times were longer in obese children, irrespective of the number of C-arms used. CONCLUSIONS: Efficient operating room setup time for the dual C-arm technique is possible. Precision of screw placement is improved when using simultaneous biplanar fluoroscopy for the in situ pinning of SCFE. PMID- 18157046 TI - Biomechanical comparison of fully and partially threaded screws for fixation of slipped capital femoral epiphysis. AB - BACKGROUND: Previous data have shown that an equal number of threads on each side of the physis maximizes stability for slipped capital femoral epiphysis (SCFE) fixation. The purpose of the current study was to determine if a fully threaded cancellous screw provides greater stability compared with a partially threaded screw in a porcine model. METHODS: Twenty skeletally immature porcine femurs were sectioned, and a 30-degree angular wedge was resected from the femoral neck to simulate SCFE. Femora were randomly assigned to partially threaded (16 mm) or fully threaded screw groups (n = 10/group). Kirschner wires were inserted in a retrograde fashion to stabilize the proximal fragment. Each 7.3-mm-diameter screw was placed using fluoroscopic guidance to obtain 3 threads crossing the physis. Specimens were fixed in custom fixation rigs, and the epiphyseal fragment was loaded at 0.5 mm/s in a posterior-inferior direction to simulate slip progression. Data for displacement (in millimeters) and force (in newtons) were collected for the entire test. Forces at 2, 4, 6, and 8 mm of fragment displacement were compared between groups using a 1-way analysis of variance (p < 0.05). RESULTS: Increasing epiphyseal displacements were associated with incremental increases in loading. There were no significant differences between fully threaded or partially threaded screws for loads at each displacement. Each stepwise increase in displacement was associated with approximately 325 N of force. CONCLUSION: There was no biomechanical benefit when using a fully threaded screw for stabilization of an in vitro SCFE model. CLINICAL RELEVANCE: Although there were no differences between screw types in an in vitro model, bone healing around the fully threaded screw may eventually provide greater stability. The use of fully threaded screw remains a reasonable option in the treatment of SCFE, and implant removal may be easier with such a system. Further studies are warranted to verify these 2 points. PMID- 18157047 TI - Ultrasound evaluation of clubfoot correction during Ponseti treatment: a preliminary report. AB - BACKGROUND: The Ponseti method of manipulation is widely used in the treatment of clubfoot. Monitoring of correction is usually based on clinical judgment, and there is a need for an objective method of evaluation. The small bones of the newborn foot are essentially cartilaginous and can be visualized well on sonography as against radiographs. METHODS: A prospective study was conducted on 32 clubfeet (26 subjects; age range, 12 days to 3 months) using ultrasound. Sonography was performed using the coronal medial projection at the start of treatment, when midfoot Pirani score was zero (foot fully abducted), and at the end of treatment. The medial malleolus to navicular distance and the talo cuneiform angle were measured with foot position at rest and during the simulated Ponseti maneuver. The normal feet in unilateral cases served as controls. RESULTS: With the Ponseti method of manipulation, there was a significant increase in the medial malleolus to navicular distance and improvement in the talo-cuneiform angle at the end of treatment, when compared with the pretreatment values (P < 0.001). All feet were clinically well corrected. However, 5 feet (15%) showed a "spurious correction," which was only detected on ultrasound. This was identified by the fact that the navicular was not fully reduced over the head of the talus, and there was a break in the naviculo-cuneiform joint. It was difficult to predict which feet were likely to develop a spurious correction, although the 5 feet in our study were stiffer, more severely deformed, and showed less correction on initial manipulation as compared with the feet that corrected well. CONCLUSIONS: Clubfoot correction during serial manipulation can be monitored using sonography. An accurate realignment of the talo-navicular joint can be demonstrated, and presence of spurious correction can be detected early. PMID- 18157048 TI - The 3-dimensional configuration of the typical foot and ankle in diastrophic dysplasia. AB - BACKGROUND: Surgical correction of the foot and ankle in patients with diastrophic dysplasia is extremely difficult secondary to the markedly distorted pathoanatomy. Several authors have described superficially some of the clinical and radiographic findings typical of the foot and ankle with diastrophic dysplasia; however, no description of the specific osseous deformities has been described in the literature. The purpose of this article was to provide such a model, detailing the nature of deformity of each of the bones and joints in the foot and ankle and their relationship to each other from a pathoanatomical standpoint. METHODS: A 3-dimensional sculpted model and detailed drawings were developed based on radiographs, computed tomography reconstructions, and direct observation both in and out of surgery. Fifty-three patients representing 106 feet formed the basis of this analysis (age, 3 days to 32 years). An additional 12 feet of the senior author's cases provided further confirmation of these deformities. RESULTS: Superficially, the apparent deformity most closely resembles a Z-type foot or serpentine foot. The overall deformity bears no true resemblance to the idiopathic clubfoot. Typically, the hindfoot is in severe equinus with the subtalar joint being deformed into valgus and moving more posteriorly. In contrast to the idiopathic clubfoot, the navicular was markedly angulated laterally on the talus. The medial cuneiform was deviated medially on the navicular articulation. The forefoot was foreshortened and in marked varus positioning with varus of the entire metatarsals. The second to fifth metatarsals bend and curve near their bases as they tilt toward the first metatarsal. CONCLUSION: The disturbed pathoanatomy of the diastrophic dysplasia foot and ankle reflects the difficulties in achieving any substantial surgical correction without customization. Surgical management of the foot and ankle in diastrophic dysplasia must be individualized and based on a clear understanding of the unique segmental malalignment of the foot and ankle. PMID- 18157049 TI - The Akron dome midfoot osteotomy as a salvage procedure for the treatment of rigid pes cavus: a retrospective review. AB - OBJECTIVE: In the early 1970s, the Akron dome osteotomy was developed as a salvage surgical option to manage rigid cavus deformity of the foot. This study represents an updated review of surgical cases between 1972 and 2001 constituting 89 patients representing 139 feet who were followed at least 2 years after the index operative procedure. Only cases achieving an unsatisfactory result followed less than 2 years were included. STUDY DESIGN: A retrospective review of cases (all operated by D.S.W.) was conducted by clinical examination and chart review of all 89 cases representing 139 feet. RESULTS: A satisfactory result was considered pain-free, at least 75% plantigrade foot in contact with the floor without abnormal symptomatic pressure areas, free of any significant deformity requiring surgical management. A satisfactory result was obtained in 106 (76%) and unsatisfactory result in 33 feet (24%). When separating the patients into those younger than 8 years and those older than 8 years, 67% of the patients younger than 8 years had a satisfactory result, and 82% older than 8 years had a satisfactory result. No significant complications were encountered. Because the surgery is located at the apex of the deformity in frontal, lateral, and plantar planes at the confluence of the longitudinal and transverse arches, multiplanar surgical correction was obtained in all cases at the time of the initial surgery. Currently, the most common causes of cavus deformity seen in our series were the sequelae of idiopathic talipes equinus varus clubfoot, congenital metatarsus varus, and assorted neuromuscular disorders, including Charcot-Marie-Tooth disease, cerebral palsy, and arthrogryposis. CONCLUSIONS: On the basis of this review, the Akron dome midfoot osteotomy is a very valuable salvage procedure in the management of the rigid cavus deformity in children. PMID- 18157050 TI - The results of tenodermodesis for severe chronic mallet finger deformity in children. AB - BACKGROUND: The treatment of soft-tissue mallet fingers in children can be challenging because of delays in diagnosis and noncompliance with extension splinting or casting. The purpose of this investigation was to assess the results of tenodermodesis for the treatment of chronic soft-tissue mallet fingers in children. METHODS: A retrospective analysis of 10 patients younger than 18 years was performed. All had extensor lag greater than 45 degrees, absent active distal interphalangeal joint (DIPJ) extension, and full passive DIPJ motion. All patients had failed trails of nonoperative treatment. Tenodermodesis was performed using established techniques with 4 to 6 weeks of postoperative DIPJ immobilization. Patients were evaluated for active and passive DIPJ motion, deformity, pain, limitations in activities of daily living, and the need for additional treatment. Average age at the time of surgery was 7.4 years (range, 1.4-17.8 years). RESULTS: At average 6.5-year follow-up (range, 1-12.8 years), all patients demonstrated restoration of active DIPJ extension and improvements in extensor lag. Two patients (20%) achieved full active DIPJ extension, whereas 8 patients (80%) had persistent extensor lag of 20 degrees or less. Seven patients (70%) maintained full active DIPJ flexion. Eight (80%) of the 10 patients reported full return to activities with no limitations. No patients required additional surgical treatment for their mallet fingers. CONCLUSIONS: Tenodermodesis is a safe and effective technique for the treatment of severe chronic soft-tissue mallet finger deformities in children. Although patients and families should be advised of mild persistent extensor lag and limitations in DIPJ motion, active DIPJ extension and improved clinical appearance can be achieved with this procedure. PMID- 18157051 TI - The lengthening of short upper extremity amputation stumps. AB - BACKGROUND: Short upper extremity amputation stumps are difficult to fit with an appropriate-level prosthesis. Fitting at a more proximal level generally results in decreased function. Options in the past have included stump and prosthetic modification, both of which provide limited improvement in function. Anecdotal reports of lengthening short amputation stumps have been published. This article reviews our experience with lengthening short upper extremity amputation stumps in children. METHODS: All patients who underwent an upper extremity stump lengthening at Shriners Hospital Los Angeles with at least 1-year follow-up were included. Charts and radiographs were retrospectively reviewed and prosthetic use preoperatively and postoperatively, complications, and additional procedures were documented. Stump length was measured on radiographs as the length between the proximal flexion crease and the tip of the bone. RESULTS: Eleven patients with 14 amputation stumps underwent lengthening. Mean stump length increase was 264% (4 cm). Nine patients desired prosthetic fitting; all except 1 were able to be fit with an appropriate-level prosthesis. Two of the 9 patients reported only using the prosthesis on rare occasions. The 2 remaining patients underwent lengthening to improve function but did not desire a prosthesis preoperatively. CONCLUSIONS: Lengthening is a viable but controversial option for very short upper extremity amputation stumps and may result in better function and/or more appropriate prosthetic fitting. Complications and additional procedures are common. Soft tissue coverage seems to be the main limiting factor to lengthening. PMID- 18157052 TI - Upper limb function after intrathecal baclofen treatment in children with cerebral palsy. AB - BACKGROUND: The literature shows that intrathecal baclofen (ITB) treatment in patients with cerebral palsy (CP) is able to reduce spasticity. The purpose of this work is to evaluate the motor function of the upper limbs in patients with CP treated with ITB. METHODS: A consecutive series of 20 patients with spastic CP (mean age at implant, 11.4 years) implanted with pumps in our center was studied. These patients were classified using the Gross Motor Function Classification System. The patients were followed up over a 12-month period for assessment of the upper limb function with the Melbourne Assessment of Unilateral Upper Limb Function scale. RESULTS: The data show a reduction of upper limb spasticity in all 20 patients (P < 0.05). The Melbourne scale shows a statistically significant improvement of the total score (P < 0.05) and an improvement of the subskills of range of movement, target accuracy, and fluency. Twenty-five percent of patients showed a clinically significant improvement. CONCLUSION: The subjects with CP of different degrees of severity had an improvement in the quality of the upper limb function and showed overall satisfaction with the results achieved. The study also shows the importance of evaluating the quality of upper limb function in children with CP treated with ITB therapy. PMID- 18157053 TI - Pediatric outcomes data collection instrument scores in ambulatory children with cerebral palsy: an analysis by age groups and severity level. AB - BACKGROUND: The Pediatric Outcomes Data Collection Instrument (PODCI) was developed in 1994 as a patient-based tool for use across a broad age range and wide array of musculoskeletal disorders, including children with cerebral palsy (CP). The purpose of this study was to establish means and SDs of the Parent PODCI measures by age groups and Gross Motor Function Classification System (GMFCS) levels for ambulatory children with CP. METHODS: This instrument was one of several studied in a prospective, multicenter project of ambulatory patients with CP between the aged 4 and 18 years and GMFCS levels I through III. Participants included 338 boys and 221 girls at a mean age of 11.1 years, with 370 diplegic, 162 hemiplegic, and 27 quadriplegic. Both baseline and follow-up data sets of the completed Parent PODCI responses were statistically analyzed. RESULTS: Age was identified as a significant predictor of the PODCI measures of Upper Extremity Function, Transfers and Basic Mobility, Global Function, and Happiness With Physical Condition. Gross Motor Function Classification System levels was a significant predictor of Transfers and Basic Mobility, Sports and Physical Function, and Global Function. Pattern of involvement, sex, and prior orthopaedic surgery were not statistically significant predictors for any of the Parent PODCI measures. Mean and SD scores were calculated for age groups stratified by GMFCS levels. Analysis of the follow-up data set validated the findings derived from the baseline data. Linear regression equations were derived, with age as a continuous variable and GMFCS levels as a categorical variable, to be used for Parent PODCI predicted scores. CONCLUSIONS: The results of this study provide clinicians and researchers with a set of Parent PODCI values for comparison to age- and severity-matched populations of ambulatory patients with CP. PMID- 18157054 TI - Changes in gait velocity, mean knee flexion in stance, body mass index, and popliteal angle with age in ambulatory children with cerebral palsy. AB - BACKGROUND: The purpose of this study was to explore changes in body mass index (BMI), gait velocity, mean knee flexion in stance, and popliteal angle with age in ambulatory children with cerebral palsy. METHODS: A cross-sectional sample of 188 ambulatory children with cerebral palsy Gross Motor Function Classification System II or III who had a motion analysis evaluation. Subjects had no previous surgical interventions and were between the ages of 4 and 21. Velocity was normalized to limb length, and BMI was converted to age-adjusted percentile scores (BMI-a). RESULTS: For GMFCS level II children, age and normalized velocity demonstrated a moderate and significant relationship (r = -0.4; P = 0.000). Age explained 20% of the variance in normalized velocity (P = 0.000). Weak but significant relationships were found between mean knee flexion in stance and normalized velocity (r = -0.3; P = 0.000) and popliteal angle and age (r = 0.3; P < 0.002). For GMFCS level III children, the following variables demonstrated a weak but significant association: normalized velocity and BMI-a (r = 0.3; P < 0.006), popliteal angle, and mean knee flexion in stance (r = 0.3; P < 0.022). Age was not associated with velocity, mean knee flexion in stance, BMI-a, or popliteal angle. CONCLUSIONS: For GMFCS level II children, as age increases, there is a slight decrease in normalized velocity, and with decreasing normalized velocity, there is slightly increased mean knee flexion in stance. For GMFCS level III children, age was not associated with slower velocities, increased mean knee flexion in stance, or increased popliteal angle. Increased BMI-a was not associated with slower gait velocities or increased mean knee flexion in stance. Increasing BMI-a was not associated with increasing age. PMID- 18157055 TI - Diagnostic evaluation using whole-body technetium bone scan in children with cerebral palsy and pain. AB - BACKGROUND: Pain in noncommunicative children can be difficult to localize and diagnose. The purpose of this study is to report our experience using a 3-phase whole-body technetium bone scan as a screening tool in identifying the source of persistent pain in children with profound disabilities who cannot communicate. METHODS: We reviewed the medical and imaging records of 45 patients who met the inclusion criteria of the study, which included a diagnosis of spastic quadriplegic cerebral palsy with severe motor and cognitive impairment, persistent pain of more than 1 week in duration with no recognizable source, and a 3-phase whole-body bone scan as part of the pain workup. RESULTS: The study group included 26 females and 19 males with an average age at presentation of 13.5 years (range, 3-20 years). A positive bone scan was seen in 24 patients (53%). The diagnosis and the source of pain were identified in all 24 patients with a positive bone scan, with the bone scan being instrumental in establishing a diagnosis or localization in 22 patients. An orthopaedic diagnosis was not established in the 21 other patients with a negative bone scan. Based on the bone scan results, additional imaging was obtained at the anatomical location indicated. The bone scan was used to establish a diagnosis of fracture in 10 of 24 patients. Other diagnoses included 3 patients with painful internal hardware, 2 with sinusitis, 2 with infections, and 1 with an obstructed kidney. CONCLUSIONS: Whole-body bone scan is a viable imaging option to identify the source of persistent pain in children who are noncommunicative. The bone scan can assist in localizing the source of pain and direct the location for further imaging as needed. PMID- 18157056 TI - Long-term functional outcome after lateral patellar retinacular release in adolescents: an observational cohort study with minimum 5-year follow-up. AB - BACKGROUND: Lateral patellar retinacular release has been recommended for patients with patellar tilt, tight lateral retinaculum, patellar subluxation, patellar dislocation, and patellofemoral pain. Studies of long-term outcomes after lateral release are limited, especially for differing indications. HYPOTHESIS: Adolescents do well after lateral retinacular release in the 5- to 22 year time frame. METHODS: Patients having undergone lateral retinacular release between the years of 1981 and 1999 were contacted. Evaluation was by the Cincinnati and Lysholm scales and by level of satisfaction and need for reoperation. RESULTS: One hundred forty knees were studied. Mean age at operation was 15.4 years (SD, 2.7 years). Average follow-up was 8.5 (SD, 4.1 years; range, 5.2-22.5 years). Twenty-five patients had needed reoperation, indicating failure of the index operation. Kaplan-Meier survivorship was 78% at 15 years. Cincinnati and Lysholm scores indicated well-functioning knees in those not requiring reoperation. Overall satisfaction improved as time from operation increased. Comparisons were made between the group requiring reoperation and those who did not. Focus was placed on knees with patellar maltracking or tilt versus patellar instability and between males and females. No differences were found among groups for reoperation rate, level of satisfaction, average Lysholm score, or average Cincinnati score. There were no differences in demographics or outcome measures between patients with patellar instability and those with tilt. Instability patients trended toward higher reoperation rates than did tilt patients, but the difference was not significant. There were no differences between males and females. CONCLUSION: The majority of patients are satisfied with their knee 5 to 22 years after lateral patellar retinacular release and scored well on questions rating knee health and function. PMID- 18157057 TI - Streptococcal toxic shock syndrome presenting as septic knee arthritis in a 5 year-old child. AB - Group A streptococci, also known as Streptococcus pyogenes, is a common cause of infection in the pediatric population. Recently, the incidence of streptococcal toxic shock syndrome, a serious and often deadly manifestation of group A streptococci infection, has increased. Streptococcal toxic shock syndrome often presents with complaints of musculoskeletal pain, which frequently leads to early involvement of an orthopaedic surgeon. In this case report, we present a 5-year old child who presented with a septic arthritis of the knee, whose final diagnosis was streptococcal toxic shock syndrome. A review of the literature and the aspects of this case report emphasize the emergent nature of streptococcal joint infections and the judicious use of orthopaedic intervention in such patients. PMID- 18157058 TI - Radiological presentations in relation to curve severity in scoliosis associated with syringomyelia. AB - BACKGROUND: Few radiographic guidelines are available to assist clinicians in deciding when to order magnetic resonance imaging in patients with a normal history and physical examination. Most of the recent reports on the radiographic characteristics of scoliosis are limited by a small number of patients and a shortage of large curves. The association between radiological features and the severity of scoliosis has little been elaborated. The purpose of this study is to further explore the radiological presentations in relation to curve severity in scoliosis associated with Chiari malformation and syringomyelia. METHODS: A total of 87 children and adolescents were divided into 3 groups: group 1 (10 degrees < or = Cobb angle < or = 30 degrees), group 2 (30 degrees < Cobb angle < or = 60 degrees), and group 3 (Cobb angle > 60 degrees). Curves were classified into typical and atypical patterns in the coronal plane, and the sagittal profile was measured. Cerebellar tonsillar descent or syrinx patterns in relation to curve severity and the frequency of atypical curves were also investigated. RESULTS: The frequency of atypical curve patterns from groups 1 to 3 was 46.2%, 45.2%, and 40.7%, respectively. A total of 65.3% of patients with typical curve patterns had atypical features in all of the 3 groups. There was a significant difference of kyphotic angle among the 3 groups showing that the larger curves tended to have greater thoracic kyphosis. Both the degree of cerebellar tonsillar descent and syrinx patterns had no correlation with the curve severity or the frequency of atypical curves. CONCLUSIONS: These results show that radiographic presentations including atypical curve patterns, atypical features in typical curve patterns, and a normal to hyperkyphotic thoracic spine may suggest the need for a preoperative magnetic resonance imaging. Kyphosis may be indicative of progressive scoliosis. There is no evidence to suggest that the degree of cerebellar tonsillar descent and syrinx patterns have an effect on the progress of scoliosis and the frequency of atypical curves. PMID- 18157060 TI - Scientific monogamy: thirty years dancing with the same bug: 2007 Thomas Parran Award Lecture. PMID- 18157061 TI - From the NIH: proceedings of a workshop on the importance of self-obtained vaginal specimens for detection of sexually transmitted infections. AB - On June 27, 2006, the NIH conducted a workshop to review published data and current field practices supporting the use of self-obtained vaginal swabs (SOVs) as specimens for diagnosis of sexually transmitted infections (STIs). The workshop also explored the design of studies that could support FDA clearance of SOVs for STI testing, particularly for specimens collected in nonclinical settings including patients' homes. This report summarizes the workshop findings and recommendations. Participants concluded that self-obtained vaginal swabs are well accepted by women of all ages and that SOVs perform as well as or better than other specimen types for Chlamydia trachomatis and Neisseria gonorrhoeae detection using transcription-mediated amplification. In addition, workshop participants recommended the validation of SOV testing by public health practitioners and manufacturers of STI diagnostic tests to expedite incorporation of SOVs as a diagnostic option in clinical and nonclinical settings for Chlamydia trachomatis and Neisseria gonorrhoeae testing. Similarly, SOVs should be explored for use in the diagnosis of other sexually transmitted pathogens. PMID- 18157062 TI - Assessing neonatal herpes reporting in the United States, 2000-2005. AB - OBJECTIVES: We describe neonatal herpes reporting and the number of cases reported in states with reporting requirements in the United States, 2000-2005. METHODS: A national assessment of neonatal herpes reporting practices was conducted using an e-mail and phone query. RESULTS: Neonatal herpes was a reportable condition in 9 states in the United States from 2000-2005: CT, MA, FL, OH, NE, LA, SD, DE, and WA. There was no standard surveillance case definition in 5 states and in 4 states there was no specific form for reporting neonatal herpes. Few cases were reported in any state (range, 0-13 cases per year). A total of 112 cases were reported in these 9 states over 5 years (2000-2004); the overall incidence rate was 4 cases/100,000 live births. CONCLUSIONS: Although reportable in some states, neonatal herpes is not currently a nationally reportable disease. As currently employed by individual states during this time frame, neonatal herpes reporting does not appear to be a reliable way to assess burden of disease. Development of a standard case definition and assessment of the best approaches for local and national neonatal herpes surveillance may improve performance of such reporting. PMID- 18157063 TI - Neonatal herpes - the forgotten perinatal infection. PMID- 18157064 TI - Inferring mechanisms for sexual partnership formation from the distribution of sexual partner numbers. PMID- 18157065 TI - The arrested immunity hypothesis and the epidemiology of chlamydia control. PMID- 18157066 TI - The distribution of people seeking STD services in the various types of health care facilities in Chao Yang District, Beijing, China. PMID- 18157068 TI - Evaluation of intestinal preconditioning in a porcine model using classic ischemic preconditioning or lung recruitment maneuvers. AB - To test the hypotheses that repeated brief intestinal ischemic insults would elicit an intestinal preconditioning response to a subsequent intestinal I/R injury and that a similar response would be elicited by repeated lung recruitment maneuvers (RMs). Randomized experimental controlled animal study. University hospital animal laboratory. Eighteen anesthetized pigs. Animals were randomized to one of three groups, with six animals in each group. Control group 75-min superior mesenteric artery (SMA) occlusion followed by 60-min reperfusion. Ischemic preconditioning group, three 5-min-long SMA occlusions preceding 75-min SMA occlusion and 60-min reperfusion. Recruitment maneuver (RM) group, three 2 min-long RMs preceding 75-min SMA occlusion and 60-min reperfusion. We measured systemic and mesenteric hemodynamic parameters, jejunal mucosal perfusion, net mesenteric lactate flux, jejunal tissue oxygen tension, and mesenteric oxygenation. Every 15 min, jejunal microdialysate samples were collected and analyzed for glucose, lactate, and glycerol. Jejunal tissue samples were collected postmortem. After occlusion of SMA, regional parameters in all groups indicated abolished perfusion and gradually increasing intraluminal microdialysate lactate and glycerol levels. At reperfusion, regional parameters indicated mesenteric hyperperfusion, whereas microdialysis markers of mucosal anaerobic metabolism and cell injury decreased, although not reaching baseline. Histological examination revealed severe mucosal injury in all groups. There were no significant differences between groups in the observed parameters. No protective preconditioning response could be observed when performing repeated brief intestinal ischemic insults or repeated lung RMs before an intestinal I/R injury. PMID- 18157069 TI - A mathematical simulation of the inflammatory response to anthrax infection. AB - Bacillus anthracis (anthrax) can trigger an acute inflammatory response that results in multisystem organ failure and death. Previously, we developed a mathematical model of acute inflammation after gram-negative infection that had been matched qualitatively to literature data. We modified the properties of the invading bacteria in that model to those specific to B. anthracis and simulated the host response to anthrax infection. We simulated treatment strategies against anthrax in a genetically diverse population including the following: (1) antibiotic treatment initiated at various time points, (2) antiprotective antigen vaccine, and (3) a combination of antibiotics and vaccine. In agreement with studies in mice, our simulations showed that antibiotics only improve survival if administered early in the course of anthrax infection. Vaccination that leads to the formation of antibodies to protective antigen is anti-inflammatory and beneficial in averting shock and improving survival. However, antibodies to protective antigen alone are predicted not to be universally protective against anthrax infection. Rather, our simulations suggest that an optimal strategy would require both vaccination and antibiotic administration. PMID- 18157070 TI - Effect of highly active antiretroviral therapy on incidence of early syphilis in HIV-infected patients. AB - OBJECTIVES: To evaluate the incidence of early syphilis based on time from initiation of highly active antiretroviral therapy (HAART) in human immunodeficiency virus (HIV)-infected patients. STUDY DESIGN: Five hundred thirty nine HIV-positive patients undergoing HAART were followed up to 4 years to identify early (primary or secondary) syphilis. Incidence rate trends according to time from HAART initiation were evaluated by Poisson regression after adjustment for calendar year. RESULTS: With median follow-up of 2.9 years, 56 (10.4%) patients experienced early syphilis, 17 (3.2%) with primary syphilis, and 39 (7.2%) with secondary syphilis. The overall incidence rate of early syphilis for 4 years after the start of HAART was 4.57 per 100 person-years (95% confidence interval, 3.45-5.93). The incidence rate of early syphilis significantly increased in proportion to the years after the start of HAART (3.4 6.1 per 100 person-year, P for trend <0.001). CONCLUSIONS: Early syphilis incidence in HIV-infected patients increased in proportion to HAART duration. The finding suggests that screening for syphilis in HIV-infected patients who initiate HAART should be encouraged with attention to the time passed since HAART initiation. PMID- 18157071 TI - The effect of daily valacyclovir suppression on herpes simplex virus type 2 viral shedding in HSV-2 seropositive subjects without a history of genital herpes. AB - BACKGROUND: A substantial number of HSV-2 seropositive individuals lack a history of clinically recognized genital herpes. These individuals can transmit disease during periods of asymptomatic viral shedding. The frequency of asymptomatic shedding and the efficacy of antiviral therapy in reducing shedding has not been assessed in this population. OBJECTIVE: To compare the effect of valacyclovir 1 g once daily for 60 days versus placebo on asymptomatic viral shedding in immunocompetent, HSV-2 seropositive subjects without a history of symptomatic genital herpes infection. STUDY DESIGN: Seventy-three subjects were randomized to receive valacyclovir 1 g daily or placebo for 60 days each in a 2-way crossover design. A daily swab of the genital area was self-collected for HSV-2 detection by polymerase chain reaction. RESULTS: Fifty-six subjects with at least 1 polymerase chain reaction measurement in both treatment periods comprised the primary efficacy population. Valacyclovir significantly reduced shedding during subclinical days compared to placebo [mean, 1.5% vs. 5.1% of subclinical days (P <0.001), a 71% reduction]. Eighty-four percent of subjects had no shedding while receiving valacyclovir versus 54% of subjects on placebo (P <0.001). Eighty-eight percent of patients receiving valacyclovir had no recognized signs or symptoms versus 77% for placebo (P = 0.033). Valacyclovir was not associated with any safety risk compared with placebo. CONCLUSIONS: In this study, asymptomatic viral shedding occurred in a substantial number of HSV-2 seropositive subjects without a history of genital herpes. Valacyclovir 1 g daily significantly reduced asymptomatic shedding compared with placebo in this population. PMID- 18157072 TI - [Metastatic process and therapies]. AB - Tumor progression is now relatively well understood with changes at cellular and molecular levels. However mechanisms of the metastatic process are still not well elucidated. Several important questions remain unsolved to established new therapies. Moreover we need experimental animal models mimicking human metastatic disease to investigate and discover new targets for future therapies. These experimental approaches have to be coupled with pathological and clinical researches. Different experts will present the state of our knowledge in this domain. PMID- 18157073 TI - [Bioluminescent imaging to monitor tumor progression and metastasis in live animal]. AB - Animal models allowing more sensitive and early detection of tumorigenesis and metastasis are instrumental in the fight for developing effective therapies against aggressive forms of cancer. In the present chapter, the advantages and limitations of the bioluminescent imaging (BLI) approach are discussed. Although BLI provides rapid, highly sensitive, noninvasive and quantitative detection of small tumors and micrometastases, several issues like the low anatomic resolution or the attenuation of the luminescent signal with tissue depth must be considered when using this technology. PMID- 18157074 TI - [Mechanisms of bone metastasis formation]. AB - Bone is a common metastatic site for many cancers. Tumor cells located in the bone marrow cavity disturb the natural balance (bone remodelling) established between new bone formation performed by osteoblasts and bone resorption carried out by osteoclasts. Tumor cells produce many factors including growth factors and cytokines (PTHrP, ET-1, BMPs, others...) that stimulate either ostoclast activity leading to osteolytic lesions or osteoblast activity generating osteosclerotic bone metastases. Growth factors released from resorbed bone matrix or throughout osteoblastic bone formation sustain tumor growth. Therefore, bone metastases are the site of vicious cycles wherein tumor growth and bone metabolism sustain each other. PMID- 18157075 TI - [Metastatic spread: mechanisms and therapies]. AB - Although metastatic spread is the most frequent cause of deaths in cancer patients, there are very few drugs specifically targeting this process. Bases for a new antimetastatic drug discovery strategy are weak because a great number of unknowns characterizes the whole understanding of the metastatic cascade mechanisms. Moreover, the current experimental models are too simplistic and do not account for the complexity of the phenomenon. Some targets have been identified but too few are validated. Among them, metastasis suppressor genes seem to be the most promising. In spite of this, during the last years, a dozen of molecules which fulfill the definition of a specific metastatic drug, namely that inhibit metastases without altering growth of the primary tumor (which can be eradicated by surgery), have been identified and tried out to assess the proof of the concept. The continuation of this effort would be more efficient if the objectives were defined more precisely. It is particularly important to distinguish molecules aimed at preventing metastic cell spreading at the primary tumour early stage and molecules which have to induce a regression of established metastases or to inhibit the transition from disseminated occult tumour cells to dormant micrometastasis. This second goal is a priori more relevant in the current clinical setting where detection of the early metastatic spread is very difficult, and therefore it should focus a greater effort of the scientific community. PMID- 18157076 TI - [Roscoff biological station]. PMID- 18157077 TI - [Chemoautotrophic endosymbioses: contemporary models for symbiogenesis?]. AB - Oxygen appears to be one of the key factors in understanding the evolution of life on Earth. Almost absent during more than 2 billion years, its subsequent increase is correlated with the emergence of oxygenic photosynthesis by Cyanobacteria, followed by aerobic Prokaryotes and eventually Eukaryotes, all primitively aerobic, and more recently, the development of complex multicellular organisms. However, in some reduced environments, still present at the surface of the Earth and even more so in ocean depths (hydrothermal vents, cold seeps, massive organic falls,...), anaerobic or micro-aerobic Prokaryotes continue to grow, including some chemoautotrophic bacteria deriving energy from sulfide oxidation for instance. A few Metazoa have managed to collaborate with such chemoautotroph Prokaryotes, the most abundant species forming endosymbiotic associations. The most studied of these endosymbioses (the mussels Bathymodiolus, the vestimentiferan tubeworm Riftia pachyptila, or the clams Calyptogena) have revealed important differences in the degree of interdependence between host and symbionts, and in the mode of symbiont transmission. The evolutive process of these symbioses is reminiscent of the primary endosymbioses which have given rise to the organelles of heterotrophic Eukaryotes (mitochondria) and phototrophic Eukaryotes (chloroplasts). The study of these modern days biological models could shed light on symbiogenesis itself and also potentially reveal thiotrophic Eukaryotes as a new lineage. PMID- 18157078 TI - [Introduction and establishment processes of marine species: a study case with the Japanese brown kelp Undaria pinnatifida]. AB - The number of biological introductions has increased since the 1970's and is now considered as the second major cause of the biodiversity erosion, after fragmentation or disappearance of habitat. Beyond the threat they represent for the ecosystem equilibrium, introduced species are interesting models to study fundamental issues in ecology and evolution like the processes of dispersal and adaptation to novel environments. In this context, species introduced over a large geographic range and spectrum of habitats provide an excellent opportunity for comparing the mechanisms that promote introduction and settlement between different environments. In this paper, based on a case study, the worldwide introduction of the brown alga Undaria pinnatifida, and on the use of molecular tools, we aim at examining several processes promoting or occurring during biological introductions. Our results showed that i) multiple processes can account for the success of the pandemic introduction of this alga, highlighting the necessity to study introduced species in relation with the ecosystem they invaded, ii) the recurrence of introductions is a critical component in the dynamics of settlement and iii) human activities can play a major role not only during the primary introduction but also for the sustainable settlement of introduced species in natural environments by providing reservoir of migrants. Taken together, these results demonstrate that the complexity of mechanisms occurring in biological invasion require spatial but also long-term analysis. PMID- 18157079 TI - [A Picasso among brown algae: the arduous conquest of symmetry by Ectocarpus]. AB - In response to environmental constraints, living organisms organise their body according to axes, rotation and translation plans, or asymmetries. Cellular and molecular processes are involved in the establishment of this architecture. Hence, this review aims at presenting the molecular mechanisms controlling the main symmetries and axes in plants. Several genes, coding for transcription factors, have been identified in land plants (mainly Arabidopsis thaliana), as controlling the establishment of apico-basal and adaxial-abaxial axes mainly. The establishment of these axes allows the development in other spatial directions of radial or bilateral symmetries. These processes seem in most cases to be under the control of the phytohormone auxin. In brown algae, which are all multicellular marine plants, polarity plans are less obvious than in land plants. The development of the model brown alga Ectocarpus siliculosus is currently being studied. E. siliculosus develops a filamentous architecture, and primary observations show that branching along the main axis occurs in a non-stereotyped and regular way, even though it is mainly centred. However, more detailed morphometrical studies, accompanied by probabilistic analyses, have shown that, among the overall population of individuals, organisms obey yet unidentified biological constraints, that aim at refining the radial symmetry as the organism grows. The role of this symmetry in the adaptation of E. siliculosus to its environment, as well as the molecular actors involved in this process, are currently under study in our laboratory. PMID- 18157080 TI - [Encounters with marine bacteria]. AB - Various aspects of the social life of bacteria are exposed here, in the light of recently published discoveries on the adaptive mechanisms of bacterial adhesion and biofilm formation, and on their importance at all ecological levels. There is now a need for studying models such as macrophytic algae and their associated microbial flora in order to integrate observations on simple laboratory models into the spatio-temporal perspective afforded by evolutionarily stable biocenoses. PMID- 18157081 TI - [Polysaccharides enzymatic degradation in heterogeneous phase: example of agarases and carrageenases]. AB - Agars and carrageenans are sulphated galactans which assemble in the red algal cell wall as a dense network of semi-crystalline fibers. These polysaccharides are degraded in heterogeneous phase by bacterial enzymes, namely agarases and carageenases. Crystallographic as well as enzymologic investigations of the sulphated galactans/galactanases systems highlight that the properties of these catalysts are well adapted to the degradation of solid polyanionic substrates. Indeed, as for cellulases or amylases, they are able to depolymerize their respective substrates according to a processive mode of action. However, at the molecular level, they are distinguished by the ionic nature of the interactions involved which do not allow the direct transposition of the processivity models developed for the degradation of neutral polysaccharides. PMID- 18157082 TI - [Gene expression regulation at the translational level: contribution of marine organisms]. AB - Gene expression regulation is crucial for organism survival. Each step has to be regulated, from the gene to the protein. mRNA can be stored in the cell without any direct translation. This process is used by the cell to control protein synthesis rapidly at the right place, at the right time. Protein synthesis costs a lot of energy for the cell, so that a precise control of this process is required. Translation initiation represents an important step to regulate gene expression. Many factors that can bind mRNA and recruit different partners are involved in the inhibition or stimulation of protein synthesis. Oceans contain an important diversity of organisms that are used as important models to analyse gene expression at the translational level. These are useful to study translational control in different physiological processes for instance cell cycle (meiosis during meiotic maturation of starfish oocytes, mitosis following fertilization of sea urchin eggs) or to understand nervous system mechanisms (aplysia). All these studies will help finding novel actors involved in translational control and will thus be useful to discover new targets for therapeutic treatments against human diseases. PMID- 18157083 TI - [Initiation factors eIF4: from sea urchin embryonic development to chronic lymphocytic leukemia]. AB - mRNA translation is now recognized as a important regulatory step for gene expression in different physiological and pathophysiological processes including cell proliferation and apoptosis. B-cell chronic lymphocytic leukemia (B-CLL) is characterized by the accumulation of resting lymphocytes and defective apoptosis. The mRNA cap-binding protein eIF4E (eukaryotic Initiation Factor 4E) and its repressor 4E-BP (eIF4E Binding protein) are crucial translational regulators that have been involved in survival and apoptosis processes of cells. We have shown that the release of eIF4E from its translational repressor 4E-BP is an important event for the first mitotic division triggered by fertilization and that the degradation of 4E-BP is a new means to regulate 4E-BP function that has to be analyzed in other physiological and physiopathological processes. In this chapter, we describe recent advances illustrating the importance of eIF4E and 4E BP in cancer processes, suggesting that these actors can be targeted for potential therapy against cancer in general and LLC in particular. PMID- 18157084 TI - [Sea urchin embryo, DNA-damaged cell cycle checkpoint and the mechanisms initiating cancer development]. AB - Cell division is an essential process for heredity, maintenance and evolution of the whole living kingdom. Sea urchin early development represents an excellent experimental model for the analysis of cell cycle checkpoint mechanisms since embryonic cells contain a functional DNA-damage checkpoint and since the whole sea urchin genome is sequenced. The DNA-damaged checkpoint is responsible for an arrest in the cell cycle when DNA is damaged or incorrectly replicated, for activation of the DNA repair mechanism, and for commitment to cell death by apoptosis in the case of failure to repair. New insights in cancer biology lead to two fundamental concepts about the very first origin of cancerogenesis. Cancers result from dysfunction of DNA-damaged checkpoints and cancers appear as a result of normal stem cell (NCS) transformation into a cancer stem cell (CSC). The second aspect suggests a new definition of "cancer", since CSC can be detected well before any clinical evidence. Since early development starts from the zygote, which is a primary stem cell, sea urchin early development allows analysis of the early steps of the cancerization process. Although sea urchins do not develop cancers, the model is alternative and complementary to stem cells which are not easy to isolate, do not divide in a short time and do not divide synchronously. In the field of toxicology and incidence on human health, the sea urchin experimental model allows assessment of cancer risk from single or combined molecules long before any epidemiologic evidence is available. Sea urchin embryos were used to test the worldwide used pesticide Roundup that contains glyphosate as the active herbicide agent; it was shown to activate the DNA-damage checkpoint of the first cell cycle of development. The model therefore allows considerable increase in risk evaluation of new products in the field of cancer and offers a tool for the discovery of molecular markers for early diagnostic in cancer biology. Prevention and early diagnosis are two decisive elements of human cancer therapy. PMID- 18157085 TI - Antifungal drugs. PMID- 18157086 TI - Dynamic histone H3 methylation during gene induction: HYPB/Setd2 mediates all H3K36 trimethylation. AB - Understanding the function of histone modifications across inducible genes in mammalian cells requires quantitative, comparative analysis of their fate during gene activation and identification of enzymes responsible. We produced high resolution comparative maps of the distribution and dynamics of H3K4me3, H3K36me3, H3K79me2 and H3K9ac across c-fos and c-jun upon gene induction in murine fibroblasts. In unstimulated cells, continuous turnover of H3K9 acetylation occurs on all K4-trimethylated histone H3 tails; distribution of both modifications coincides across promoter and 5' part of the coding region. In contrast, K36- and K79-methylated H3 tails, which are not dynamically acetylated, are restricted to the coding regions of these genes. Upon stimulation, transcription-dependent increases in H3K4 and H3K36 trimethylation are seen across coding regions, peaking at 5' and 3' ends, respectively. Addressing molecular mechanisms involved, we find that Huntingtin-interacting protein HYPB/Setd2 is responsible for virtually all global and transcription-dependent H3K36 trimethylation, but not H3K36-mono- or dimethylation, in these cells. These studies reveal four distinct layers of histone modification across inducible mammalian genes and show that HYPB/Setd2 is responsible for H3K36 trimethylation throughout the mouse nucleus. PMID- 18157087 TI - The structure of the C-terminal actin-binding domain of talin. AB - Talin is a large dimeric protein that couples integrins to cytoskeletal actin. Here, we report the structure of the C-terminal actin-binding domain of talin, the core of which is a five-helix bundle linked to a C-terminal helix responsible for dimerisation. The NMR structure of the bundle reveals a conserved surface exposed hydrophobic patch surrounded by positively charged groups. We have mapped the actin-binding site to this surface and shown that helix 1 on the opposite side of the bundle negatively regulates actin binding. The crystal structure of the dimerisation helix reveals an antiparallel coiled-coil with conserved residues clustered on the solvent-exposed face. Mutagenesis shows that dimerisation is essential for filamentous actin (F-actin) binding and indicates that the dimerisation helix itself contributes to binding. We have used these structures together with small angle X-ray scattering to derive a model of the entire domain. Electron microscopy provides direct evidence for binding of the dimer to F-actin and indicates that it binds to three monomers along the long pitch helix of the actin filament. PMID- 18157089 TI - Phospho-S6 ribosomal protein: a potential new predictive sarcoma marker for targeted mTOR therapy. AB - Metastatic sarcomas are commonly resistant to chemotherapy. The serine/threonine kinase, mammalian target of rapamycin (mTOR), is a protein kinase of the phosphatidylinositol 3-kinase (PI3K)/AKT signaling pathway thought to have a key role in controlling cancer growth and thus is an important target for cancer therapy. Several inhibitors of mTOR are in clinical trials, including AP23573, which is being tested on metastatic sarcomas and other tumors. We hypothesized that a marker for the activity of mTOR, phosphorylated S6 ribosomal protein, would be predictive of clinical response to the drug, that is, high tumor expression would signify better response than low expression. This was a blinded study. Of 26 patients treated, 20 remained on study, with available paraffin blocks. Fourteen patients received AP23573 alone and six patients received AP23573 in combination with adriamycin. An antibody to the phosphorylated S6 ribosomal protein was used to stain the tumors, all high-grade sarcomas. Pretreatment biopsy or resection material was tested: the original tumor (n=6) or tumor recurrence/metastasis (n=14); either of these may have been after treatment with other agents. Staining was scored for both quantity/percentage of tumor cells and intensity. Scoring was performed without knowledge of tumor response. Staining quantity could be categorized into two natural groups: high expressors (> or =20% of tumor cells, 11 cases) and low expressors (0-10% of tumor cells, 9 cases). The high-expression group had eight stable and three progressive cases (73% stable disease); the low-expression group had three stable and six progressive cases (67% progressive disease). Chi-square analysis showed statistical significance (P< or =0.05) at this initial cutoff (10%) selected blindly. The level of phosphorylated S6 ribosomal protein expression was predictive of early tumor response to the mTOR inhibitor, suggesting that this is a promising new predictive sarcoma marker for targeted mTOR inhibitor therapy. PMID- 18157088 TI - Cooperative control of striated muscle mass and metabolism by MuRF1 and MuRF2. AB - The muscle-specific RING finger proteins MuRF1 and MuRF2 have been proposed to regulate protein degradation and gene expression in muscle tissues. We have tested the in vivo roles of MuRF1 and MuRF2 for muscle metabolism by using knockout (KO) mouse models. Single MuRF1 and MuRF2 KO mice are healthy and have normal muscles. Double knockout (dKO) mice obtained by the inactivation of all four MuRF1 and MuRF2 alleles developed extreme cardiac and milder skeletal muscle hypertrophy. Muscle hypertrophy in dKO mice was maintained throughout the murine life span and was associated with chronically activated muscle protein synthesis. During ageing (months 4-18), skeletal muscle mass remained stable, whereas body fat content did not increase in dKO mice as compared with wild-type controls. Other catabolic factors such as MAFbox/atrogin1 were expressed at normal levels and did not respond to or prevent muscle hypertrophy in dKO mice. Thus, combined inhibition of MuRF1/MuRF2 could provide a potent strategy to stimulate striated muscles anabolically and to protect muscles from sarcopenia during ageing. PMID- 18157090 TI - Platelet-derived growth factor receptor expression and amplification in choroid plexus carcinomas. AB - Platelet-derived growth factor (PDGF) receptor signaling has been implicated in the development of glial tumors, but not yet been examined in choroid plexus carcinomas, pediatric tumors with dismal prognosis for which novel treatment options would be desirable. Therefore, protein expression of PDGF receptors alpha and beta as well as amplification status of the respective genes, PDGFRA and PDGFRB, were examined in a series of 22 patients harboring choroid plexus carcinoma using immunohistochemistry and chromogenic in situ hybridization (CISH). The majority of choroid plexus carcinomas expressed PDGF receptors with 6 cases (27%) displaying high staining scores for PDGF receptor alpha and 13 cases (59%) showing high staining scores for PDGF receptor beta. Correspondingly, copy number gains of PDGFRA were observed in 8 cases out of 12 cases available for CISH and 1 case displayed amplification (six or more signals per nucleus). The proportion of choroid plexus carcinomas with amplification of PDGFRB was even higher (5/12 cases). PDGFRB amplification status and PDGF receptor beta protein expression scores were significantly correlated (P=0.01, Spearman). Expression status of PDGF receptor alpha or PDGF receptor beta was not significantly associated with progression-free survival. To conclude, expression and amplification of PDGF receptors, particularly PDGF receptor beta, are frequent in choroid plexus carcinomas, providing a first rationale for the development of treatments targeting PDGF receptor signaling in these rare malignant pediatric tumors. PMID- 18157091 TI - CpG island methylation profile of pancreatic intraepithelial neoplasia. AB - Infiltrating adenocarcinoma of the pancreas is thought to develop through well defined precursor lesions called pancreatic intraductal neoplasia (PanIN). Despite the exponential growth in our understanding of genetic events that characterize the progression of PanINs to invasive carcinoma, little is known about the role of epigenetic alterations in these precursor lesions. To define the timing and prevalence of methylation abnormalities during early pancreatic carcinogenesis, we investigated the CpG island methylation profile in the various grades of PanINs. Using methylation-specific PCR, we analyzed DNA samples from 65 PanIN lesions for methylation status of eight genes recently identified by microarray approach as aberrantly hypermethylated in invasive pancreatic cancer. Aberrant methylation at any of the eight genes was identified in 68% of all the PanIN lesions examined, and, notably, aberrant methylation was identified in more than 70% of the earliest lesions (PanIN-1A). The average number of methylated loci was 1.1 in PanIN-1A, 0.8 in PanIN-1B, 1.1 in PanIN-2, and 2.9 in PanIN-3 lesions (P=0.01 for PanIN -3 vs earlier PanINs). Among the genes analyzed, NPTX2 demonstrated an increase in methylation prevalence from PanIN-1 to PanIN-2 (P=0.0008), and from PanIN-2 to PanIN-3 for SARP2 (P=0.001), Reprimo (P=0.01), and LHX1 (P=0.03). These results suggest that aberrant CpG island hypermethylation begins in early stages of PanINs, and its prevalence progressively increases during neoplastic progression. PMID- 18157092 TI - Abstracts of the United States and Canadian Academy of Pathology Annual Meeting, February 2006, Atlanta, Georgia, USA. PMID- 18157115 TI - Reprogramming of human somatic cells to pluripotency with defined factors. AB - Pluripotency pertains to the cells of early embryos that can generate all of the tissues in the organism. Embryonic stem cells are embryo-derived cell lines that retain pluripotency and represent invaluable tools for research into the mechanisms of tissue formation. Recently, murine fibroblasts have been reprogrammed directly to pluripotency by ectopic expression of four transcription factors (Oct4, Sox2, Klf4 and Myc) to yield induced pluripotent stem (iPS) cells. Using these same factors, we have derived iPS cells from fetal, neonatal and adult human primary cells, including dermal fibroblasts isolated from a skin biopsy of a healthy research subject. Human iPS cells resemble embryonic stem cells in morphology and gene expression and in the capacity to form teratomas in immune-deficient mice. These data demonstrate that defined factors can reprogramme human cells to pluripotency, and establish a method whereby patient specific cells might be established in culture. PMID- 18157117 TI - Switching constant domains enhances agonist activities of antibodies to a thrombopoietin receptor. AB - We enhanced the activities of two agonist antibodies specific for the thrombopoietin receptor (c-MPL) by switching domains within their constant regions to those of different antibody isotypes. Our results suggest the importance of the hinge region in modulating agonist activity. The antibodies' thrombopoietin-like activity in vitro and in vivo, as well as the desirable pharmacokinetic profile conferred by retaining the whole-IgG structure, suggests that they provide a valuable option for treating thrombocytopenia. PMID- 18157118 TI - Fluorogen-activating single-chain antibodies for imaging cell surface proteins. AB - Imaging of live cells has been revolutionized by genetically encoded fluorescent probes, most famously green and other fluorescent proteins, but also peptide tags that bind exogenous fluorophores. We report here the development of protein reporters that generate fluorescence from otherwise dark molecules (fluorogens). Eight unique fluorogen activating proteins (FAPs) have been isolated by screening a library of human single-chain antibodies (scFvs) using derivatives of thiazole orange and malachite green. When displayed on yeast or mammalian cell surfaces, these FAPs bind fluorogens with nanomolar affinity, increasing green or red fluorescence thousands-fold to brightness levels typical of fluorescent proteins. Spectral variation can be generated by combining different FAPs and fluorogen derivatives. Visualization of FAPs on the cell surface or within the secretory apparatus of mammalian cells can be achieved by choosing membrane permeant or impermeant fluorogens. The FAP technique is extensible to a wide variety of nonfluorescent dyes. PMID- 18157119 TI - In vivo tumor targeting and spectroscopic detection with surface-enhanced Raman nanoparticle tags. AB - We describe biocompatible and nontoxic nanoparticles for in vivo tumor targeting and detection based on pegylated gold nanoparticles and surface-enhanced Raman scattering (SERS). Colloidal gold has been safely used to treat rheumatoid arthritis for 50 years, and has recently been found to amplify the efficiency of Raman scattering by 14-15 orders of magnitude. Here we show that large optical enhancements can be achieved under in vivo conditions for tumor detection in live animals. An important finding is that small-molecule Raman reporters such as organic dyes were not displaced but were stabilized by thiol-modified polyethylene glycols. These pegylated SERS nanoparticles were considerably brighter than semiconductor quantum dots with light emission in the near-infrared window. When conjugated to tumor-targeting ligands such as single-chain variable fragment (ScFv) antibodies, the conjugated nanoparticles were able to target tumor biomarkers such as epidermal growth factor receptors on human cancer cells and in xenograft tumor models. PMID- 18157120 TI - Developmentally regulated transcription of mammalian telomeres by DNA-dependent RNA polymerase II. AB - Mammalian telomeres consist of non-coding TTAGGG repeats that are bound by the multi-protein complex 'shelterin', thus protecting chromosome ends from DNA repair mechanisms and degradation. Mammalian telomeric chromatin is enriched for the constitutive heterochromatin marks H3K9me3, H4K20me3 and HP1 (refs 2, 3, 4, 5, 6, 7). Similar to pericentric heterochromatin, telomeric heterochromatin is thought to be fundamental for the maintenance of chromosomal integrity. Here, we report that telomeric repeats are transcribed by DNA-dependent RNA polymerase II, which, in turn, interacts with the TRF1 shelterin protein. Telomeric RNAs (TelRNAs) contain UUAGGG repeats, are polyadenylated and are transcribed from the telomeric C-rich strand. Transcription of mammalian telomeres is regulated by several mechanisms, including developmental status, telomere length, cellular stress, tumour stage and chromatin structure. Using RNA-flourescent in situ hybridization (FISH), we show that TelRNAs are novel structural components of telomeric chromatin. Importantly, we provide evidence that TelRNAs block the activity of telomerase in vitro, suggesting that TelRNAs may regulate telomerase activity at chromosome ends. Our results indicate that TelRNAs are novel components of mammalian telomeres, which are anticipated to be fundamental for understanding telomere biology and telomere-related diseases, such as cancer and ageing. PMID- 18157121 TI - A beta-catenin gradient links the clock and wavefront systems in mouse embryo segmentation. AB - Rhythmic production of vertebral precursors, the somites, causes bilateral columns of embryonic segments to form. This process involves a molecular oscillator--the segmentation clock--whose signal is translated into a spatial, periodic pattern by a complex signalling gradient system within the presomitic mesoderm (PSM). In mouse embryos, Wnt signalling has been implicated in both the clock and gradient mechanisms, but how the Wnt pathway can perform these two functions simultaneously remains unclear. Here, we use a yellow fluorescent protein (YFP)-based, real-time imaging system in mouse embryos to demonstrate that clock oscillations are independent of beta-catenin protein levels. In contrast, we show that the Wnt-signalling gradient is established through a nuclear beta-catenin protein gradient in the posterior PSM. This gradient of nuclear beta-catenin defines the size of the oscillatory field and controls key aspects of PSM maturation and segment formation, emphasizing the central role of Wnt signalling in this process. PMID- 18157122 TI - High-content single-cell drug screening with phosphospecific flow cytometry. AB - Drug screening is often limited to cell-free assays involving purified enzymes, but it is arguably best applied against systems that represent disease states or complex physiological cellular networks. Here, we describe a high-content, cell based drug discovery platform based on phosphospecific flow cytometry, or phosphoflow, that enabled screening for inhibitors against multiple endogenous kinase signaling pathways in heterogeneous primary cell populations at the single cell level. From a library of small-molecule natural products, we identified pathway-selective inhibitors of Jak-Stat and MAP kinase signaling. Dose-response experiments in primary cells confirmed pathway selectivity, but importantly also revealed differential inhibition of cell types and new druggability trends across multiple compounds. Lead compound selectivity was confirmed in vivo in mice. Phosphoflow therefore provides a unique platform that can be applied throughout the drug discovery process, from early compound screening to in vivo testing and clinical monitoring of drug efficacy. PMID- 18157123 TI - Site selectivity of platinum anticancer therapeutics. AB - X-ray crystallographic and biochemical investigation of the reaction of cisplatin and oxaliplatin with nucleosome core particle and naked DNA reveals that histone octamer association can modulate DNA platination. Adduct formation also occurs at specific histone methionine residues, which could serve as a nuclear platinum reservoir influencing adduct transfer to DNA. Our findings suggest that the nucleosome center may provide a favorable target for the design of improved platinum anticancer drugs. PMID- 18157124 TI - Cu(I) recognition via cation-pi and methionine interactions in CusF. AB - Methionine-rich motifs have an important role in copper trafficking factors, including the CusF protein. Here we show that CusF uses a new metal recognition site wherein Cu(I) is tetragonally displaced from a Met2His ligand plane toward a conserved tryptophan. Spectroscopic studies demonstrate that both thioether ligation and strong cation-pi interactions with tryptophan stabilize metal binding. This novel active site chemistry affords mechanisms for control of adventitious metal redox and substitution chemistry. PMID- 18157125 TI - Focal brain damage protects against post-traumatic stress disorder in combat veterans. AB - Post-traumatic stress disorder (PTSD) is an often debilitating mental illness that is characterized by recurrent distressing memories of traumatic events. PTSD is associated with hypoactivity in the ventromedial prefrontal cortex (vmPFC), hyperactivity in the amygdala and reduced volume in the hippocampus, but it is unknown whether these neuroimaging findings reflect the underlying cause or a secondary effect of the disorder. To investigate the causal contribution of specific brain areas to PTSD symptoms, we studied a unique sample of Vietnam War veterans who suffered brain injury and emotionally traumatic events. We found a substantially reduced occurrence of PTSD among those individuals with damage to one of two regions of the brain: the vmPFC and an anterior temporal area that included the amygdala. These results suggest that the vmPFC and amygdala are critically involved in the pathogenesis of PTSD. PMID- 18157126 TI - Bilateral olfactory sensory input enhances chemotaxis behavior. AB - Neural comparisons of bilateral sensory inputs are essential for visual depth perception and accurate localization of sounds in space. All animals, from single cell prokaryotes to humans, orient themselves in response to environmental chemical stimuli, but the contribution of spatial integration of neural activity in olfaction remains unclear. We investigated this problem in Drosophila melanogaster larvae. Using high-resolution behavioral analysis, we studied the chemotaxis behavior of larvae with a single functional olfactory neuron on either the left or right side of the head, allowing us to examine unilateral or bilateral olfactory input. We developed new spectroscopic methods to create stable odorant gradients in which odor concentrations were experimentally measured. In these controlled environments, we observed that a single functional neuron provided sufficient information to permit larval chemotaxis. We found additional evidence that the overall accuracy of navigation is enhanced by the increase in the signal-to-noise ratio conferred by bilateral sensory input. PMID- 18157128 TI - Identification and characterization of high-flux-control genes of yeast through competition analyses in continuous cultures. AB - Using competition experiments in continuous cultures grown in different nutrient environments (glucose limited, ammonium limited, phosphate limited and white grape juice), we identified genes that show haploinsufficiency phenotypes (reduced growth rate when hemizygous) or haploproficiency phenotypes (increased growth rate when hemizygous). Haploproficient genes (815, 1,194, 733 and 654 in glucose-limited, ammonium-limited, phosphate-limited and white grape juice environments, respectively) frequently show that phenotype in a specific environmental context. For instance, genes encoding components of the ubiquitination pathway or the proteasome show haploproficiency in nitrogen limited conditions where protein conservation may be beneficial. Haploinsufficiency is more likely to be observed in all environments, as is the case with genes determining polar growth of the cell. Haploproficient genes seem randomly distributed in the genome, whereas haploinsufficient genes (685, 765, 1,277 and 217 in glucose-limited, ammonium-limited, phosphate-limited and white grape juice environments, respectively) are over-represented on chromosome III. This chromosome determines a yeast's mating type, and the concentration of haploinsufficient genes there may be a mechanism to prevent its loss. PMID- 18157127 TI - Mutations in pericentrin cause Seckel syndrome with defective ATR-dependent DNA damage signaling. AB - Large brain size is one of the defining characteristics of modern humans. Seckel syndrome (MIM 210600), a disorder of markedly reduced brain and body size, is associated with defective ATR-dependent DNA damage signaling. Only a single hypomorphic mutation of ATR has been identified in this genetically heterogeneous condition. We now report that mutations in the gene encoding pericentrin (PCNT)- resulting in the loss of pericentrin from the centrosome, where it has key functions anchoring both structural and regulatory proteins--also cause Seckel syndrome. Furthermore, we find that cells of individuals with Seckel syndrome due to mutations in PCNT (PCNT-Seckel) have defects in ATR-dependent checkpoint signaling, providing the first evidence linking a structural centrosomal protein with DNA damage signaling. These findings also suggest that other known microcephaly genes implicated in either DNA repair responses or centrosomal function may act in common developmental pathways determining human brain and body size. PMID- 18157129 TI - Impaired glycosylation and cutis laxa caused by mutations in the vesicular H+ ATPase subunit ATP6V0A2. AB - We identified loss-of-function mutations in ATP6V0A2, encoding the a2 subunit of the V-type H+ ATPase, in several families with autosomal recessive cutis laxa type II or wrinkly skin syndrome. The mutations result in abnormal glycosylation of serum proteins (CDG-II) and cause an impairment of Golgi trafficking in fibroblasts from affected individuals. These results indicate that the a2 subunit of the proton pump has an important role in Golgi function. PMID- 18157130 TI - Closing gaps in the human genome with fosmid resources generated from multiple individuals. AB - The human genome sequence has been finished to very high standards; however, more than 340 gaps remained when the finished genome was published by the International Human Genome Sequencing Consortium in 2004. Using fosmid resources generated from multiple individuals, we targeted gaps in the euchromatic part of the human genome. Here we report 2,488,842 bp of previously unknown euchromatic sequence, 363,114 bp of which close 26 of 250 euchromatic gaps, or 10%, including two remaining euchromatic gaps on chromosome 19. Eight (30.7%) of the closed gaps were found to be polymorphic. These sequences allow complete annotation of several human genes as well as the assignment of mRNAs. The gap sequences are 2.3 fold enriched in segmentally duplicated sequences compared to the whole genome. Our analysis confirms that not all gaps within 'finished' genomes are recalcitrant to subcloning and suggests that the paired-end-sequenced fosmid libraries could prove to be a rich resource for completion of the human euchromatic genome. PMID- 18157131 TI - Interleukin 17-producing T helper cells and interleukin 17 orchestrate autoreactive germinal center development in autoimmune BXD2 mice. AB - Interleukin 17 (IL-17) is a cytokine associated with inflammation, autoimmunity and defense against some bacteria. Here we show that IL-17 can promote autoimmune disease through a mechanism distinct from its proinflammatory effects. As compared with wild-type mice, autoimmune BXD2 mice express more IL-17 and show spontaneous development of germinal centers (GCs) before they increase production of pathogenic autoantibodies. We show that blocking IL-17 signaling disrupts CD4+ T cell and B cell interactions required for the formation of GCs and that mice lacking the IL-17 receptor have reduced GC B cell development and humoral responses. Production of IL-17 correlates with upregulated expression of the genes Rgs13 and Rgs16, which encode regulators of G-protein signaling, and results in suppression of the B cell chemotactic response to the chemokine CXCL12. These findings suggest a mechanism by which IL-17 drives autoimmune responses by promoting the formation of spontaneous GCs. PMID- 18157132 TI - Activated leukocyte cell adhesion molecule promotes leukocyte trafficking into the central nervous system. AB - Adhesion molecules of the immunoglobulin superfamily are crucial effectors of leukocyte trafficking into the central nervous system. Using a lipid raft-based proteomic approach, we identified ALCAM as an adhesion molecule involved in leukocyte migration across the blood-brain barrier (BBB). ALCAM expressed on BBB endothelium localized together with CD6 on leukocytes and with BBB endothelium transmigratory cups. ALCAM expression on BBB cells was upregulated in active multiple sclerosis and experimental autoimmune encephalomyelitis lesions. Moreover, ALCAM blockade restricted the transmigration of CD4+ lymphocytes and monocytes across BBB endothelium in vitro and in vivo and reduced the severity and delayed the time of onset of experimental autoimmune encephalomyelitis. Our findings indicate an important function for ALCAM in the recruitment of leukocytes into the brain and identify ALCAM as a potential target for the therapeutic dampening of neuroinflammation. PMID- 18157133 TI - Smad3 and NFAT cooperate to induce Foxp3 expression through its enhancer. AB - The transcription factor Foxp3 is involved in the differentiation, function and survival of CD4+CD25+ regulatory T (T(reg)) cells. Details of the mechanism underlying the induction of Foxp3 expression remain unknown, because studies of the transcriptional regulation of the Foxp3 gene are limited by the small number of T(reg) cells in mononuclear cell populations. Here we have generated a model system for analyzing Foxp3 induction and, by using this system with primary T cells, we have identified an enhancer element in this gene. The transcription factors Smad3 and NFAT are required for activity of this Foxp3 enhancer, and both factors are essential for histone acetylation in the enhancer region and induction of Foxp3. These biochemical properties that define Foxp3 expression explain many of the effects of transforming growth factor-beta on the function of Foxp3+ T(reg) cells. PMID- 18157134 TI - Mechanical annealing and source-limited deformation in submicrometre-diameter Ni crystals. AB - The fundamental processes that govern plasticity and determine strength in crystalline materials at small length scales have been studied for over fifty years. Recent studies of single-crystal metallic pillars with diameters of a few tens of micrometres or less have clearly demonstrated that the strengths of these pillars increase as their diameters decrease, leading to attempts to augment existing ideas about pronounced size effects with new models and simulations. Through in situ nanocompression experiments inside a transmission electron microscope we can directly observe the deformation of these pillar structures and correlate the measured stress values with discrete plastic events. Our experiments show that submicrometre nickel crystals microfabricated into pillar structures contain a high density of initial defects after processing but can be made dislocation free by applying purely mechanical stress. This phenomenon, termed 'mechanical annealing', leads to clear evidence of source-limited deformation where atypical hardening occurs through the progressive activation and exhaustion of dislocation sources. PMID- 18157135 TI - High-capacity hydrogen storage in lithium and sodium amidoboranes. AB - The safe and efficient storage of hydrogen is widely recognized as one of the key technological challenges in the transition towards a hydrogen-based energy economy. Whereas hydrogen for transportation applications is currently stored using cryogenics or high pressure, there is substantial research and development activity in the use of novel condensed-phase hydride materials. However, the multiple-target criteria accepted as necessary for the successful implementation of such stores have not yet been met by any single material. Ammonia borane, NH3BH3, is one of a number of condensed-phase compounds that have received significant attention because of its reported release of approximately 12 wt% hydrogen at moderate temperatures (approximately 150 degrees C). However, the hydrogen purity suffers from the release of trace quantities of borazine. Here, we report that the related alkali-metal amidoboranes, LiNH2BH3 and NaNH2BH3, release approximately 10.9 wt% and approximately 7.5 wt% hydrogen, respectively, at significantly lower temperatures (approximately 90 degrees C) with no borazine emission. The low-temperature release of a large amount of hydrogen is significant and provides the potential to fulfil many of the principal criteria required for an on-board hydrogen store. PMID- 18157136 TI - Targeted patch-clamp recordings and single-cell electroporation of unlabeled neurons in vivo. AB - Here we describe an approach for making targeted patch-clamp recordings from single neurons in vivo, visualized by two-photon microscopy. A patch electrode is used to perfuse the extracellular space surrounding the neuron of interest with a fluorescent dye, thus enabling the neuron to be visualized as a negative image ('shadow') and identified on the basis of its somatodendritic structure. The same electrode is then placed on the neuron under visual control to allow formation of a gigaseal ('shadowpatching'). We demonstrate the reliability and versatility of shadowpatching by performing whole-cell recordings from visually identified neurons in the neocortex and cerebellum of rat and mouse. We also show that the method can be used for targeted in vivo single-cell electroporation of plasmid DNA into identified cell types, leading to stable transgene expression. This approach facilitates the recording, labeling and genetic manipulation of single neurons in the intact native mammalian brain without the need to pre-label neuronal populations. PMID- 18157137 TI - GraFix: sample preparation for single-particle electron cryomicroscopy. AB - We developed a method, named GraFix, that considerably improves sample quality for structure determination by single-particle electron cryomicroscopy (cryo-EM). GraFix uses a glycerol gradient centrifugation step in which the complexes are centrifuged into an increasing concentration of a chemical fixation reagent to prevent aggregation and to stabilize individual macromolecules. The method can be used to prepare samples for negative-stain, cryo-negative-stain and, particularly, unstained cryo-EM. PMID- 18157138 TI - Successful treatment of canine leukocyte adhesion deficiency by foamy virus vectors. AB - Recent successes in treating genetic immunodeficiencies have demonstrated the therapeutic potential of stem cell gene therapy. However, the use of gammaretroviral vectors in these trials led to insertional activation of nearby oncogenes and leukemias in some study subjects, prompting studies of modified or alternative vector systems. Here we describe the use of foamy virus vectors to treat canine leukocyte adhesion deficiency (CLAD). Four of five dogs with CLAD that received nonmyeloablative conditioning and infusion of autologous, CD34+ hematopoietic stem cells transduced by a foamy virus vector expressing canine CD18 had complete reversal of the CLAD phenotype, which was sustained more than 2 years after infusion. In vitro assays showed correction of the lymphocyte proliferation and neutrophil adhesion defects that characterize CLAD. There were no genotoxic complications, and integration site analysis showed polyclonality of transduced cells and a decreased risk of integration near oncogenes as compared to gammaretroviral vectors. These results represent the first successful use of a foamy virus vector to treat a genetic disease, to our knowledge, and suggest that foamy virus vectors will be effective in treating human hematopoietic diseases. PMID- 18157139 TI - Langerhans cell histiocytosis reveals a new IL-17A-dependent pathway of dendritic cell fusion. AB - IL-17A is a T cell-specific cytokine that is involved in chronic inflammations, such as Mycobacterium infection, Crohn's disease, rheumatoid arthritis and multiple sclerosis. Mouse models have explained the molecular basis of IL-17A production and have shown that IL-17A has a positive effect not only on granuloma formation and neurodegeneration through unknown mechanisms, but also on bone resorption through Receptor activator of NF-kappaB ligand (RANKL) induction in osteoblasts. Langerhans cell histiocytosis (LCH) is a rare disease of unknown etiology, lacking an animal model, that cumulates symptoms that are found separately in various IL-17A-related diseases, such as aggressive chronic granuloma formation, bone resorption and soft tissue lesions with occasional neurodegeneration. We examined IL-17A in the context of LCH and found that there were high serum levels of IL-17A during active LCH and unexpected IL-17A synthesis by dendritic cells (DCs), the major cell type in LCH lesions. We also found an IL-17A-dependent pathway for DC fusion, which was highly potentiated by IFN-gamma and led to giant cells expressing three major tissue-destructive enzymes: tartrate resistant acidic phosphatase and matrix metalloproteinases 9 and 12. IFN-gamma expression has been previously documented in LCH and observed in IL-17A-related diseases. Notably, serum IL-17A-dependent fusion activity correlates with LCH activity. Thus, IL-17A and IL-17A-stimulated DCs represent targets that may have clinical value in the treatment of LCH and other IL-17A related inflammatory disorders. PMID- 18157140 TI - Adenosine is crucial for deep brain stimulation-mediated attenuation of tremor. AB - Deep brain stimulation (DBS) is a widely used neurosurgical approach to treating tremor and other movement disorders. In addition, the use of DBS in a number of psychiatric diseases, including obsessive-compulsive disorders and depression, is currently being tested. Despite the rapid increase in the number of individuals with surgically implanted stimulation electrodes, the cellular pathways involved in mediating the effects of DBS remain unknown. Here we show that DBS is associated with a marked increase in the release of ATP, resulting in accumulation of its catabolic product, adenosine. Adenosine A1 receptor activation depresses excitatory transmission in the thalamus and reduces both tremor- and DBS-induced side effects. Intrathalamic infusion of A1 receptor agonists directly reduces tremor, whereas adenosine A1 receptor-null mice show involuntary movements and seizure at stimulation intensities below the therapeutic level. Furthermore, our data indicate that endogenous adenosine mechanisms are active in tremor, thus supporting the clinical notion that caffeine, a nonselective adenosine receptor antagonist, can trigger or exacerbate essential tremor. Our findings suggest that nonsynaptic mechanisms involving the activation of A1 receptors suppress tremor activity and limit stimulation-induced side effects, thereby providing a new pharmacological target to replace or improve the efficacy of DBS. PMID- 18157141 TI - Rapid conditional targeted ablation of cells expressing human CD59 in transgenic mice by intermedilysin. AB - Conditional targeted cell ablation is a powerful approach for investigating the pathogenesis of human diseases and in vivo cellular functions. Intermedilysin (ILY) is a cytolytic pore-forming toxin secreted by Streptococcus intermedius that lyses human cells exclusively, owing to its receptor specificity for human CD59. We generated two transgenic mouse strains that express human CD59 either on erythrocytes (strain ThCD59(RBC)) or on endothelia (strain ThCD59(END)). Intravenous injection of ILY in ThCD59(RBC) mice induced acute intravascular hemolysis, leading to reduced nitric oxide bioavailability, increased platelet activation and rapid death. In ThCD59(END) mice, ILY induced rapid endothelial damage, leading to acute death and disseminated intravascular coagulation. Additionally, we show that human serum contains ILY-specific neutralizing antibodies not found in any other animal species. Together, these results suggest that this new rapid conditional targeted ILY-mediated cell ablation technique can be used in combination with any available transgenic expression system to study the physiologic role of specific cell populations. PMID- 18157142 TI - Endothelin B receptor mediates the endothelial barrier to T cell homing to tumors and disables immune therapy. AB - In spite of their having sufficient immunogenicity, tumor vaccines remain largely ineffective. The mechanisms underlying this lack of efficacy are still unclear. Here we report a previously undescribed mechanism by which the tumor endothelium prevents T cell homing and hinders tumor immunotherapy. Transcriptional profiling of microdissected tumor endothelial cells from human ovarian cancers revealed genes associated with the absence or presence of tumor-infiltrating lymphocytes (TILs). Overexpression of the endothelin B receptor (ET(B)R) was associated with the absence of TILs and short patient survival time. The ET(B)R inhibitor BQ-788 increased T cell adhesion to human endothelium in vitro, an effect countered by intercellular adhesion molecule-1 (ICAM-1) blockade or treatment with NO donors. In mice, ET(B)R neutralization by BQ-788 increased T cell homing to tumors; this homing required ICAM-1 and enabled tumor response to otherwise ineffective immunotherapy in vivo without changes in systemic antitumor immune response. These findings highlight a molecular mechanism with the potential to be pharmacologically manipulated to enhance the efficacy of tumor immunotherapy in humans. PMID- 18157143 TI - Recovery of supraspinal control of stepping via indirect propriospinal relay connections after spinal cord injury. AB - Spinal cord injuries (SCIs) in humans and experimental animals are often associated with varying degrees of spontaneous functional recovery during the first months after injury. Such recovery is widely attributed to axons spared from injury that descend from the brain and bypass incomplete lesions, but its mechanisms are uncertain. To investigate the neural basis of spontaneous recovery, we used kinematic, physiological and anatomical analyses to evaluate mice with various combinations of spatially and temporally separated lateral hemisections with or without the excitotoxic ablation of intrinsic spinal cord neurons. We show that propriospinal relay connections that bypass one or more injury sites are able to mediate spontaneous functional recovery and supraspinal control of stepping, even when there has been essentially total and irreversible interruption of long descending supraspinal pathways in mice. Our findings show that pronounced functional recovery can occur after severe SCI without the maintenance or regeneration of direct projections from the brain past the lesion and can be mediated by the reorganization of descending and propriospinal connections. Targeting interventions toward augmenting the remodeling of relay connections may provide new therapeutic strategies to bypass lesions and restore function after SCI and in other conditions such as stroke and multiple sclerosis. PMID- 18157144 TI - New highly potent and specific E6 and E7 siRNAs for treatment of HPV16 positive cervical cancer. AB - Persistent infection by high-risk types of human papillomaviruses (HPV) is a necessary cause of cervical cancer, with HPV16 the most prevalent, accounting for more than 50% of reported cases. The virus encodes the E6 and E7 oncoproteins, whose expression is essential for maintenance of the malignant phenotype. To select efficacious siRNAs applicable to RNAi therapy for patients with HPV16+ cervical cancer, E6 and E7 siRNAs were designed using siDirect computer software, after which 10 compatible with all HPV16 variants were selected, and then extensively examined for RNAi activity and specificity using HPV16+ and HPV16 cells. Three siRNAs with the highest RNAi activities toward E6 and E7 expression, as well as specific and potent growth suppression of HPV16+ cancer cells as low as 1 nM were chosen. Growth suppression was accompanied by accumulation of p53 and p21(WAF1/CIP1), as well as morphological and cytochemical changes characteristic of cellular senescence. Antitumor activity of one of the selected siRNAs was confirmed by retarded tumor growth of HPV16+ cells in NOD/SCID mice when locally injected in a complex with atelocollagen. Our results demonstrate that these E6 and E7 siRNAs are promising therapeutic agents for treatment of virus-related cancer. PMID- 18157145 TI - A simplified system for generating oncolytic adenovirus vector carrying one or two transgenes. AB - Oncolytic adenoviruses, also called conditionally replicating adenoviruses (CRADs), have been widely applied in cancer gene therapy. However, the construction of CRADs is still time-consuming. In this study, we attempted to establish a simplified method of generating CRADs based on AdEasy system. A novel plasmid pTE-TPE-GM was constructed, containing sequentially positioned promoter of telomerase reverse transcriptase (TERTp), coding sequence of E1A gene, promoter of E1B gene, granulocyte-macrophage colony-stimulating factor (GM-CSF) gene, internal ribosome entry site sequence and coding sequence of E1B55K gene. The CRAD-generating system reported here include three plasmids: pTE-TPE-GM, pShuttle-CMV and AdEasy-1, one Escherichia coli strain BJ5183, and the packaging cell line 293. Using this system, an oncolytic adenovirus carrying B7-1 (CD80) and GM-CSF genes was successfully constructed and designated as Ad-CD80-TPE-GM. The expression of GM-CSF increased more than 9000 times in tumor cell lines infected by Ad-CD80-TPE-GM at a multiplicity of infection (MOI) of 5, compared with the cells infected by replication-defective control virus. Similarly, the expression of CD80 also increased 9-140 times. Ad-CD80-TPE-GM selectively replicates in TERT-positive tumor cells, and the progeny viruses can reach up to 375 infection units (IU) per cell. In vitro study showed that the Ad-CD80-TPE-GM induced an obvious oncolytic effect at MOI of 0.1, and killed about 80% TERT positive tumor cells within 7 days at an MOI of 1. The antitumor effect of this vector was also investigated in Hep2 xenograft model of nude mice, and the tumor inhibition rate reached 74% at day 30 after the administration with a total dose of 1 x 10(9) IU Ad-CD80-TPE-GM. Intratumoral injection of Ad-CD80-TPE-GM slightly induced neutralizing antibody against the oncolytic adenovirus in nude mice, which might contribute to the virus clearance in vivo. In conclusion, we successfully constructed an oncolytic CRAD carrying GM-CSF and CD80 gene. More importantly, this system can be modified to generate novel transcriptionally regulated CRADs with different tissue-specific promoters or transgenes. PMID- 18157146 TI - Resveratrol is an effective inducer of CArG-driven TNF-alpha gene therapy. AB - We report the anticarcinogenic, anti-aging polyphenol resveratrol activates the radio- and chemo-inducible cancer gene therapy vector Ad.Egr.TNF, a replication deficient adenovirus that expresses human tumor necrosis factor alpha (TNF-alpha) under control of the Egr-1 promoter. Like ionizing radiation or chemotherapeutic agents previously shown to activate Ad.Egr.TNF, resveratrol also induces Egr-1 expression from its chromosomal locus with a possible role for Egr-1 promoter CC(A+T)richGG sequences in the expression of TNF-alpha. Resveratrol induction of TNF-alpha in Ad.Egr.TNF-infected tumor xenografts demonstrated antitumor response in human and rat tumor models comparable to that of radio- or chemotherapy induced TNF-alpha. Although sirtuins are known targets of resveratrol, in vitro inhibition of SIRT1 activity did not abrogate resveratrol induction of Egr-1 expression. This suggests that SIRT1 is not essential to mediate resveratrol induction of Egr-1. Nevertheless, control of transgene expression via resveratrol activation of Egr-1 may extend use of Ad.Egr.TNF to patients intolerant of radiation or cytotoxic therapy and offer a novel tool for development of other inducible gene therapies. PMID- 18157147 TI - Tumor targeting carboxylesterase fused with anti-CEA scFv improve the anticancer effect with a less toxic dose of irinotecan. AB - Irinotecan (CPT-11) is a key drug for the treatment of various cancers. CPT-11 can be considered to be a prodrug, since it needs to be activated into the toxic drug SN-38 by the enzyme carboxylesterase. However, CPT-11 may induce severe diarrhea and bone marrow suppression as adverse effects, thus leading to treatment interruption. The tumor-specific activation of CPT-11 is a possible strategy to avoid the severe toxicities by reducing the serum concentration of CPT-11. In this study, we constructed human liver carboxylesterase-2 fused with anticarcinoembryonic antigen (CEA) scFv as a targeting molecule. The recombinant enzyme anchors onto the tumor cell surface CEA, and thus metabolize CPT-11 extracellularly. In addition a secreted tumor-targeted form of carboxylesterase should help prevent the leakage of the enzyme from the site of the tumor into the circulation. This fusion protein showed CPT-11 activation to SN-38 and specific binding to CEA-expressing cells. In combination with CPT-11, the recombinant carboxylesterase protein exerted antiproliferative effects on human cancer cells. This recombinant enzyme is, therefore, a promising new tool in enzyme prodrug therapy for the treatment of carcinoma with CPT-11. PMID- 18157148 TI - The structure of a DnaB-family replicative helicase and its interactions with primase. AB - Helicases are essential enzymes for DNA replication, a fundamental process in all living organisms. The DnaB family are hexameric replicative helicases that unwind duplex DNA and coordinate with RNA primase and other proteins at the replication fork in prokaryotes. Here, we report the full-length crystal structure of G40P, a DnaB family helicase. The hexamer complex reveals an unusual architectural feature and a new type of assembly mechanism. The hexamer has two tiers: a three fold symmetric N-terminal tier and a six-fold symmetric C-terminal tier. Monomers with two different conformations, termed cis and trans, come together to provide a topological solution for the dual symmetry within a hexamer. Structure-guided mutational studies indicate an important role for the N-terminal tier in binding primase and regulating primase-mediated stimulation of helicase activity. This study provides insights into the structural and functional interplay between G40P helicase and DnaG primase. PMID- 18157149 TI - Identification and characterization of the Schizosaccharomyces pombe TER1 telomerase RNA. AB - Although the catalytic subunit of the Schizosaccharomyces pombe telomerase holoenzyme was identified over ten years ago, the unusual heterogeneity of its telomeric DNA made it difficult to identify its RNA component. We used a new two step immunoprecipitation and reverse transcription-PCR technique to identify the S. pombe telomerase RNA, which we call TER1. TER1 RNA was 1,213 nucleotides long, similar in size to the Saccharomyces cerevisiae telomerase RNA, TLC1. TER1 RNA associated in vivo with the two known subunits of the S. pombe telomerase holoenzyme, Est1p and Trt1p, and neither association was dependent on the other holoenzyme component. We present a model to explain how telomerase introduces heterogeneity into S. pombe telomeres. The technique used here to identify TER1 should be generally applicable to other model organisms. PMID- 18157150 TI - RNA polymerase II pauses and associates with pre-mRNA processing factors at both ends of genes. AB - We investigated co-transcriptional recruitment of pre-mRNA processing factors to human genes. Capping factors associate with paused RNA polymerase II (pol II) at the 5' ends of quiescent genes. They also track throughout actively transcribed genes and accumulate with paused polymerase in the 3' flanking region. The 3' processing factors cleavage stimulation factor and cleavage polyadenylation specificity factor are maximally recruited 0.5-1.5 kilobases downstream of poly(A) sites where they coincide with capping factors, Spt5, and Ser2 hyperphosphorylated, paused pol II. 3' end processing factors also localize at transcription start sites, and this early recruitment is enhanced after polymerase arrest with the elongation factor DRB. These results suggest that promoters may help specify recruitment of 3' end processing factors. We propose a dual-pausing model wherein elongation arrests near the transcription start site and in the 3' flank to allow co-transcriptional processing by factors recruited to the pol II ternary complex. PMID- 18157151 TI - tRNA-mRNA mimicry drives translation initiation from a viral IRES. AB - Internal ribosome entry site (IRES) RNAs initiate protein synthesis in eukaryotic cells by a noncanonical cap-independent mechanism. IRESes are critical for many pathogenic viruses, but efforts to understand their function are complicated by the diversity of IRES sequences as well as by limited high-resolution structural information. The intergenic region (IGR) IRESes of the Dicistroviridae viruses are powerful model systems to begin to understand IRES function. Here we present the crystal structure of a Dicistroviridae IGR IRES domain that interacts with the ribosome's decoding groove. We find that this RNA domain precisely mimics the transfer RNA anticodon-messenger RNA codon interaction, and its modeled orientation on the ribosome helps explain translocation without peptide bond formation. When combined with a previous structure, this work completes the first high-resolution description of an IRES RNA and provides insight into how RNAs can manipulate complex biological machines. PMID- 18157152 TI - TER1, the RNA subunit of fission yeast telomerase. AB - Telomerase is the ribonucleoprotein complex that adds telomeric repeats to the ends of chromosomes. Its protein subunit TERT is highly conserved among eukaryotes, whereas the RNA subunit varies greatly in size and sequence, hindering the identification of telomerase RNAs in some important model organisms. Here we report the identification and functional characterization of TER1, the telomerase RNA component from fission yeast Schizosaccharomyces pombe. Deletion of ter1+ caused progressive shortening of telomeres and cellular senescence followed by chromosome circularization. Interactions between Est1 and Trt1, the two known protein components of fission yeast telomerase, were dependent on TER1, supporting its role as a scaffold for the assembly of protein subunits. Using a series of template mutations, we show that translocation or dissociation site variability and template-primer slippage account for the sequence heterogeneity of fission yeast telomeres. PMID- 18157153 TI - Morphological plasticity as a bacterial survival strategy. AB - Bacteria have evolved complex systems to maintain consistent cell morphologies. Nevertheless, in certain circumstances, bacteria alter this highly regulated process to transform into filamentous organisms. Accumulating evidence attributes important biological roles to filamentation in stressful environments, including, but not limited to, sites of interaction between pathogenic bacteria and their hosts. Filamentation could represent an intended response to specific environmental cues that promote survival amidst the threats of consumption and killing. PMID- 18157154 TI - CRISPR--a widespread system that provides acquired resistance against phages in bacteria and archaea. AB - Arrays of clustered, regularly interspaced short palindromic repeats (CRISPRs) are widespread in the genomes of many bacteria and almost all archaea. These arrays are composed of direct repeats that are separated by similarly sized non repetitive spacers. CRISPR arrays, together with a group of associated proteins, confer resistance to phages, possibly by an RNA-interference-like mechanism. This Progress discusses the structure and function of this newly recognized antiviral mechanism. PMID- 18157155 TI - DNA polymerase zeta (pol zeta) in higher eukaryotes. AB - Most current knowledge about DNA polymerase zeta (pol zeta) comes from studies of the enzyme in the budding yeast Saccharomyces cerevisiae, where pol zeta consists of a complex of the catalytic subunit Rev3 with Rev7, which associates with Rev1. Most spontaneous and induced mutagenesis in yeast is dependent on these gene products, and yeast pol zeta can mediate translesion DNA synthesis past some adducts in DNA templates. Study of the homologous gene products in higher eukaryotes is in a relatively early stage, but additional functions for the eukaryotic proteins are already apparent. Suppression of vertebrate REV3L function not only reduces induced point mutagenesis but also causes larger-scale genome instability by raising the frequency of spontaneous chromosome translocations. Disruption of Rev3L function is tolerated in Drosophila, Arabidopsis, and in vertebrate cell lines under some conditions, but is incompatible with mouse embryonic development. Functions for REV3L and REV7(MAD2B) in higher eukaryotes have been suggested not only in translesion DNA synthesis but also in some forms of homologous recombination, repair of interstrand DNA crosslinks, somatic hypermutation of immunoglobulin genes and cell-cycle control. This review discusses recent developments in these areas. PMID- 18157156 TI - Structure and mechanism for DNA lesion recognition. AB - A fundamental question in DNA repair is how a lesion is detected when embedded in millions to billions of normal base pairs. Extensive structural and functional studies reveal atomic details of DNA repair protein and nucleic acid interactions. This review summarizes seemingly diverse structural motifs used in lesion recognition and suggests a general mechanism to recognize DNA lesion by the poor base stacking. After initial recognition of this shared structural feature of lesions, different DNA repair pathways use unique verification mechanisms to ensure correct lesion identification and removal. PMID- 18157157 TI - Mechanisms and functions of DNA mismatch repair. AB - DNA mismatch repair (MMR) is a highly conserved biological pathway that plays a key role in maintaining genomic stability. The specificity of MMR is primarily for base-base mismatches and insertion/deletion mispairs generated during DNA replication and recombination. MMR also suppresses homeologous recombination and was recently shown to play a role in DNA damage signaling in eukaryotic cells. Escherichia coli MutS and MutL and their eukaryotic homologs, MutSalpha and MutLalpha, respectively, are key players in MMR-associated genome maintenance. Many other protein components that participate in various DNA metabolic pathways, such as PCNA and RPA, are also essential for MMR. Defects in MMR are associated with genome-wide instability, predisposition to certain types of cancer including hereditary non-polyposis colorectal cancer, resistance to certain chemotherapeutic agents, and abnormalities in meiosis and sterility in mammalian systems. PMID- 18157158 TI - Eukaryotic DNA damage tolerance and translesion synthesis through covalent modifications of PCNA. AB - In addition to well-defined DNA repair pathways, all living organisms have evolved mechanisms to avoid cell death caused by replication fork collapse at a site where replication is blocked due to disruptive covalent modifications of DNA. The term DNA damage tolerance (DDT) has been employed loosely to include a collection of mechanisms by which cells survive replication-blocking lesions with or without associated genomic instability. Recent genetic analyses indicate that DDT in eukaryotes, from yeast to human, consists of two parallel pathways with one being error-free and another highly mutagenic. Interestingly, in budding yeast, these two pathways are mediated by sequential modifications of the proliferating cell nuclear antigen (PCNA) by two ubiquitination complexes Rad6 Rad18 and Mms2-Ubc13-Rad5. Damage-induced monoubiquitination of PCNA by Rad6 Rad18 promotes translesion synthesis (TLS) with increased mutagenesis, while subsequent polyubiquitination of PCNA at the same K164 residue by Mms2-Ubc13-Rad5 promotes error-free lesion bypass. Data obtained from recent studies suggest that the above mechanisms are conserved in higher eukaryotes. In particular, mammals contain multiple specialized TLS polymerases. Defects in one of the TLS polymerases have been linked to genomic instability and cancer. PMID- 18157159 TI - A brief history of the DNA repair field. AB - The history of the repair of damaged DNA can be traced to the mid-1930s. Since then multiple DNA repair mechanisms, as well as other biological responses to DNA damage, have been discovered and their regulation has been studied. This article briefly recounts the early history of this field. PMID- 18157160 TI - Redox status of thioredoxin-1 (TRX1) determines the sensitivity of human liver carcinoma cells (HepG2) to arsenic trioxide-induced cell death. AB - Intracellular redox homeostasis plays a critical role in determining tumor cells' sensitivity to drug-induced apoptosis. Here we investigated the role of thioredoxin-1 (TRX1), a key component of redox regulation, in arsenic trioxide (As(2)O(3))-induced apoptosis. Over-expression of wild-type TRX1 in HepG(2) cells led to the inhibition of As(2)O(3)-induced cytochrome c (cyto c) release, caspase activation and apoptosis, and down-regulation of TRX1 expression by RNAi sensitized HepG(2) cells to As(2)O(3)-induced apoptosis. Interestingly, mutation of the active site of TRX1 from Cys(32/35) to Ser(32/35) converted this molecule from an apoptotic protector to an apoptotic promoter. In an effort to understand the mechanisms of this conversion, we used isolated mitochondria from mouse liver and found that recombinant wild-type TRX1 could protect mitochondria from the apoptotic changes. In contrast, the mutant form of TRX1 alone elicited mitochondria-related apoptotic changes, including the mitochondrial permeability transition pore (mPTP) opening, loss of mitochondrial membrane potential, and cyto c release from mitochondria. These apoptotic effects were inhibited by cyclosporine A (CsA), indicating that mutant TRX1 targeted to mPTP. Alteration of TRX1 from its reduced form to oxidized form in vivo by 2,4-dinitrochlorobenzene (DNCB), a specific inhibitor of TRX reductase, also sensitized HepG(2) cells to As(2)O(3)-induced apoptosis. These data suggest that TRX1 plays a central role in regulating apoptosis by blocking cyto c release, and inactivation of TRX1 by either mutation or oxidization of the active site cysteines may sensitize tumor cells to As(2)O(3)-induced apoptosis. PMID- 18157161 TI - Regulation of DNA double-strand break repair pathway choice. AB - DNA double-strand breaks (DSBs) are critical lesions that can result in cell death or a wide variety of genetic alterations including large- or small-scale deletions, loss of heterozygosity, translocations, and chromosome loss. DSBs are repaired by non-homologous end-joining (NHEJ) and homologous recombination (HR), and defects in these pathways cause genome instability and promote tumorigenesis. DSBs arise from endogenous sources including reactive oxygen species generated during cellular metabolism, collapsed replication forks, and nucleases, and from exogenous sources including ionizing radiation and chemicals that directly or indirectly damage DNA and are commonly used in cancer therapy. The DSB repair pathways appear to compete for DSBs, but the balance between them differs widely among species, between different cell types of a single species, and during different cell cycle phases of a single cell type. Here we review the regulatory factors that regulate DSB repair by NHEJ and HR in yeast and higher eukaryotes. These factors include regulated expression and phosphorylation of repair proteins, chromatin modulation of repair factor accessibility, and the availability of homologous repair templates. While most DSB repair proteins appear to function exclusively in NHEJ or HR, a number of proteins influence both pathways, including the MRE11/RAD50/NBS1(XRS2) complex, BRCA1, histone H2AX, PARP 1, RAD18, DNA-dependent protein kinase catalytic subunit (DNA-PKcs), and ATM. DNA PKcs plays a role in mammalian NHEJ, but it also influences HR through a complex regulatory network that may involve crosstalk with ATM, and the regulation of at least 12 proteins involved in HR that are phosphorylated by DNA-PKcs and/or ATM. PMID- 18157162 TI - Rimonabant (SR141716) exerts anti-proliferative and immunomodulatory effects in human peripheral blood mononuclear cells. AB - BACKGROUND AND PURPOSE: Rimonabant (SR141716) is the first selective cannabinoid receptor CB(1) antagonist described. Along with its anti-obesity action, emerging findings show potential anti-proliferative and anti-inflammatory action of SR141716 in several in vitro and in vivo models. In this study we have investigated the anti-proliferative and immunomodulatory effects of SR141716 in human peripheral blood mononuclear cells (PBMCs). EXPERIMENTAL APPROACH: We have evaluated in vitro the effect of SR141716 in human PBMCs stimulated with different mitogens. Cell proliferation was assessed by (3)H-thymidine incorporation. Cell cycle, cell death and apoptosis were analysed by flow cytometry. Protein expression was investigated by Western blot. KEY RESULTS: SR141716 significantly inhibited the proliferative response of PBMCs and this effect was accompanied by block of G(1)/S phase of the cell cycle without induction of apoptosis and cell death. SR141716 used in combination with 2-methyl arachidonyl-2'-fluoro-ethylamide (Met-F-AEA), a stable analogue of the endogenous cannabinoid anandamide, showed synergism rather than antagonism of the inhibition of cell proliferation. The immunomodulatory effects of SR141716 were associated with increased expression of IkappaB, phosphorylated AKT (p-AKT) and decreased expression of NF-kappaB, p-IkappaB, p-ERK, COX-2 and iNOS. CONCLUSIONS AND IMPLICATIONS: Our findings suggest SR141716 is a novel immunomodulatory drug with anti-inflammatory properties. PMID- 18157163 TI - alpha7 nicotinic acetylcholine receptor agonist properties of tilorone and related tricyclic analogues. AB - BACKGROUND AND PURPOSE: The alpha7 nicotinic acetylcholine receptor (nAChR) has attracted considerable interest as a target for cognitive enhancement in schizophrenia and Alzheimer's Disease. However, most recently described alpha7 agonists are derived from the quinuclidine structural class. Alternatively, the present study identifies tilorone as a novel alpha7-selective agonist and characterizes analogues developed from this lead. EXPERIMENTAL APPROACH: Activity and selectivity were determined from rat brain alpha7 and alpha4beta2 nAChR binding, recombinant nAChR activation, and native alpha7 nAChR mediated stimulation of ERK1/2 phosphorylation in PC12 cells. KEY RESULTS: Tilorone bound alpha7 nAChR (IC(50) 110 nM) with high selectivity relative to alpha4beta2 (IC(50) 70 000 nM), activated human alpha7 nAChR with an EC(50) value of 2.5 microM and maximal response of 67% relative to acetylcholine, and showed little agonist effect at human alpha3beta4 or alpha4beta2 nAChRs. However, the rat alpha7 nAChR maximal response was only 34%. Lead optimization led to 2-(5-methyl hexahydro-pyrrolo[3,4-c]pyrrol-2-yl)-xanthen-9-one (A-844606) with improved binding (alpha7 IC(50) 11 nM, alpha4beta2 IC(50)>30 000 nM) and activity at both human and rat alpha7 nAChR (EC(50)s 1.4 and 2.2 microM and apparent efficacies 61 and 63%, respectively). These compounds also activated native alpha7 nAChR, stimulating ERK1/2 phosphorylation in PC12 cells. CONCLUSIONS AND IMPLICATIONS: Tilorone, known as an interferon inducer, is a selective alpha7 nAChR agonist, suggesting utility of the fluorenone pharmacophore for the development of alpha7 nAChR selective agonists. Whether alpha7 stimulation mediates interferon induction, or whether interferon induction may influence the potential anti inflammatory properties of alpha7 nAChR agonists remains to be elucidated. PMID- 18157164 TI - Skeletal muscle expresses the extracellular cyclic AMP-adenosine pathway. AB - BACKGROUND AND PURPOSE: cAMP is a key intracellular signalling molecule that regulates multiple processes of the vertebrate skeletal muscle. We have shown that cAMP can be actively pumped out from the skeletal muscle cell. Since in other tissues, cAMP efflux had been associated with extracellular generation of adenosine, in the present study we have assessed the fate of interstitial cAMP and the existence of an extracellular cAMP-adenosine signalling pathway in skeletal muscle. EXPERIMENTAL APPROACH: cAMP efflux and/or its extracellular degradation were analysed by incubating rat cultured skeletal muscle with exogenous cAMP, forskolin or isoprenaline. cAMP and its metabolites were quantified by radioassay or HPLC, respectively. KEY RESULTS: Incubation of cells with exogenous cAMP was followed by interstitial accumulation of 5'-AMP and adenosine, a phenomenon inhibited by selective inhibitors of ecto phosphodiesterase (DPSPX) and ecto-nucleotidase (AMPCP). Activation of adenylyl cyclase (AC) in cultured cells with forskolin or isoprenaline increased cAMP efflux and extracellular generation of 5'-AMP and adenosine. Extracellular cAMP adenosine pathway was also observed after direct and receptor-dependent stimulation of AC in rat extensor muscle ex vivo. These events were attenuated by probenecid, an inhibitor of ATP binding cassette family transporters. CONCLUSIONS AND IMPLICATIONS: Our results show the existence of an extracellular biochemical cascade that converts cAMP into adenosine. The functional relevance of this extracellular signalling system may involve a feedback modulation of cellular response initiated by several G protein-coupled receptor ligands, amplifying cAMP influence to a paracrine mode, through its metabolite, adenosine. PMID- 18157165 TI - Attenuation of inflammation and cytokine production in rat colitis by a novel selective inhibitor of leukotriene A4 hydrolase. AB - BACKGROUND AND PURPOSE: Leukotriene B(4) (LTB(4)), formed by the sequential actions of the 5-lipoxygenase (5-LO) and leukotriene A(4) hydrolase (LTA(4)H), is a pro-inflammatory mediator implicated in the pathogenesis of inflammatory bowel disease. However, inhibitors of 5-LO have not proved to be consistent in their therapeutic efficacy in colitis. Another approach to inhibiting LTB(4) synthesis is through the use of inhibitors of LTA(4)H, such as the novel, potent and selective compound, JNJ 26993135. EXPERIMENTAL APPROACH: The effect of oral administration of JNJ 26993135 has been evaluated in a rat model of colitis provoked by colonic instillation of trinitrobenzenesulphonic acid (TNBS). The extent and severity of the macroscopic inflammatory response, the colonic levels of myeloperoxidase (MPO) and LTB(4) and of the pro-inflammatory cytokines, tumour necrosis factor-alpha (TNF-alpha) and interleukin-6 (IL-6) were measured. KEY RESULTS: Oral administration of JNJ 26993135 (5, 15 and 30 mg kg(-1), twice a day) dose-dependently reduced both the extent and intensity of the colonic inflammatory damage observed 3 days after TNBS challenge. JNJ 26993135 also dose dependently reduced the elevated colonic levels of LTB(4), as well as the inflammatory biomarkers, MPO, IL-6 and TNF-alpha. This dosing regimen was supported by the pharmacokinetic profile of JNJ 26993135, along with the demonstration of the inhibition of ex vivo production of LTB(4) in whole blood following oral administration. CONCLUSIONS AND IMPLICATIONS: These results with JNJ 26993135 in the rat TNBS model support the role of LTB(4) in colitis and the potential value of targeting LTA(4)H for the treatment of inflammatory bowel diseases. PMID- 18157166 TI - A study of antagonist affinities for the human histamine H2 receptor. AB - BACKGROUND AND PURPOSE: Ligand affinity has been a fundamental concept in the field of pharmacology and has traditionally been considered to be constant for a given receptor-ligand interaction. Recent studies have demonstrated that this is not true for all three members of the G(s)-coupled beta-adrenoceptor family. This study evaluated antagonist affinity measurements at a different G(s)-coupled receptor, the histamine H(2) receptor, to determine whether antagonist affinity measurements made at a different family of GPCRs were constant. EXPERIMENTAL APPROACH: CHO cells stably expressing the human histamine H(2) receptor and a CRE SPAP reporter were used and antagonist affinity was assessed in short-term cAMP assays and longer term CRE gene transcription assays. KEY RESULTS: Nine agonists and seven antagonists, of sufficient potency at the H(2) receptor to examine in detail, were identified. Measurements of antagonist affinity were the same regardless of the efficacy of the competing agonist, time of agonist incubation, cellular response measured or presence of a PDE inhibitor. CONCLUSIONS AND IMPLICATIONS: Antagonist affinity at the G(s)-coupled histamine H(2) receptor obeys the accepted dogma for antagonism at GPCRs. This study further confirms that something unusual is indeed happening with the beta-adrenoceptors and is not an artefact related to the transfected cell system used. As the human histamine H(2) receptor does not behave in a similar manner to any of the human beta adrenoceptors, it is clear that information gathered from one GPCR cannot be simply extrapolated to predict the behaviour of another GPCR. Each GPCR therefore requires careful and detailed evaluation on its own. PMID- 18157167 TI - Different mechanisms underlie the analgesic actions of paracetamol and dipyrone in a rat model of inflammatory pain. AB - BACKGROUND AND PURPOSE: The analgesics, paracetamol and dipyrone are weak inhibitors of the cyclooxygenase isoforms 1 or 2 (COX-1, COX-2) but more potent on COX-3. Both are also weak anti-inflammatory agents, relative to their analgesic and antipyretic activities. In a model of inflammatory pain mediated by prostaglandins, both compounds were analgesic. We have analysed this shared effect further in order to elucidate the underlying mechanisms. EXPERIMENTAL APPROACH: Inflammation was induced in one hind paw of rats by intraplantar injection of 250 microg lambda-carrageenan (CG) and the contralateral paw injected with saline. Nociceptive thresholds to mechanical stimulation were measured immediately before and for 6 h after, injection of CG. The analgesics were s.c. or locally (intraplantar) injected either 30 min before or 2 h after CG. In some groups, naltrexone was injected (s.c. or intraplantar), 1 h before CG. KEY RESULTS: Pretreatment with paracetamol or dipyrone (60-360 mg kg(-1)) reversed hyperalgesia induced by CG and increased nociceptive threshold in the inflamed paw above the basal level (hypoalgesia). Paracetamol, but not dipyrone, also raised nociceptive thresholds in the non-inflamed paw. Subcutaneous, but not local, administration of naltrexone, a specific opioid antagonist, reversed the hypoalgesia induced by paracetamol, but similar naltrexone treatment had no effect on dipyrone-induced analgesia. CONCLUSIONS AND IMPLICATIONS: Although both paracetamol and dipyrone are inhibitors of COX isoforms and thus of prostaglandin biosynthesis and were analgesic in our model, their analgesic actions were functionally and mechanistically different. Satisfactory mechanisms of action for these analgesics still remain to be established. PMID- 18157168 TI - Experimental models, neurovascular mechanisms and translational issues in stroke research. AB - Numerous failures in clinical stroke trials have led to some pessimism in the field. This short review examines the following questions: Can experimental models of stroke be validated? How can combination stroke therapies be productively pursued? Can we achieve neuroprotection without reperfusion? And finally, can we move from a pure neurobiology view of stroke towards a more integrative approach targeting all cell types within the entire neurovascular unit? Emerging data from both experimental models and clinical findings suggest that neurovascular mechanisms may provide new opportunities for treating stroke. Ultimately, both bench-to-bedside and bedside-back-to-bench interactions may be required to overcome the translational hurdles for this challenging disease. PMID- 18157171 TI - The neurobiology of cell death in glaucoma. AB - Glaucoma is an optic neuropathy in which the optic nerve axons are damaged, resulting in death of retinal ganglion cells (RGCs). The primary region of damage is thought to be the optic nerve head (ONH), with the lateral geniculate nucleus (LGN) and optic radiations to the visual cortex being secondarily affected. Neurotrophin deprivation resulting from optic nerve injury is thought to cause RGCs to die by apoptosis by inhibition of cell survival pathways. However, disruption of retrograde axonal transport is not the only mechanism associated with optic nerve damage and RGC death, and thus, an additional mechanism of injury is likely to be involved in glaucomatous optic neuropathy. PMID- 18157169 TI - Testosterone protects rat hearts against ischaemic insults by enhancing the effects of alpha(1)-adrenoceptor stimulation. AB - BACKGROUND AND PURPOSE: Testosterone alleviates symptoms in patients with ischaemic heart disease. Androgen receptors are present in the heart, and testosterone upregulates gene expression of cardiac beta(1)-adrenoceptors. We hypothesize that testosterone may confer cardioprotection by interacting with adrenoceptors. EXPERIMENTAL APPROACH: In isolated perfused hearts and ventricular myocytes from orchidectomized rats without or with testosterone (200 microg/100 g) replacement, we first determined the effect of ischaemia/reperfusion in the presence of noradrenaline (10(-7) M). Then we determined the contribution of interactions between testosterone and alpha(1)- or beta(1)-adrenoceptors in cardiac injury/protection (infarct size, release of lactate dehydrogenase, viability of myocytes, recovery of contractile function and incidence of arrhythmias) upon ischaemia/reperfusion by pharmacological manipulation using selective adrenoceptor agonists (alpha(1)-adrenoceptor agonist: phenylephrine 10( 6) M; non-selective beta-adrenoceptor agonist: isoprenaline 10(-7) M) and antagonists (alpha(1): prazosin or benoxathian 10(-6) M; beta(1): CGP 20712A 5 x 10(-7) M). We also determined the expression of alpha(1) and beta(1)-adrenoceptor in the hearts from rats with and without testosterone. KEY RESULTS: Testosterone reduced injury induced by ischaemia/reperfusion and noradrenaline. This was achieved by enhancing the beneficial effect of alpha(1)-adrenoceptor stimulation, which was greater than the deleterious effect of beta(1)-adrenoceptor stimulation (also enhanced by testosterone). The effects of testosterone were abolished or attenuated by blockade of androgen receptors. Testosterone also enhanced the expression of alpha(1A) and beta(1)-adrenoceptor. CONCLUSIONS AND IMPLICATIONS: Testosterone conferred cardioprotection by upregulating the cardiac alpha(1) adrenoceptor and enhancing the effects of stimulation of this adrenoceptor. The effect of testosterone was at least partly mediated by androgen receptors. PMID- 18157175 TI - Tools for studying early events in optic neuropathies. AB - Most optic nerve injuries are axonal. Neurotrophin deprivation induces death of retinal ganglion cells (RGCs) in such cases, but this is probably not the only mechanism that causes their death. Various fluorophores and agents that block mitochondrial electron transport have been used to show that superoxide generated in the mitochondrial electron transport chain could act, in addition to neurotrophin deprivation, to signal cell death after axonal injury. More specifically, sulphydryls--probably on proteins--are downstream regulators of this signalling pathway, as shown by the neuroprotective effects of inhibition of sulphydryl oxidation by tris(2-carboxyethyl)phosphine in in vivo rat models. Other tools used to study early events in RGC death include novel reducing agents, inducible superoxide dismutase, and differentiation of the RGC-5 cell line. PMID- 18157184 TI - World Glaucoma Day, March 6, 2008--what can you do? PMID- 18157186 TI - Smacking--are we being too heavy-handed? Findings from the Pacific Islands Families Study. AB - AIMS: To report the types, frequency, and concordance of physical punishments employed by parents on their Pacific children at ages 1, 2, and 4 years. METHODS: A cohort of Pacific infants born during 2000 in South Auckland, New Zealand, was followed. Separate home interviews that included questions about child discipline were undertaken at 1-year, 2-years, and 4-years postpartum for mothers, and 1 year and 2-years postpartum for fathers. RESULTS: Maternal interviews were completed from 1224, 1144, and 1048 mothers and 825 and 757 fathers respectively. Over these measurement waves, the prevalence of smacking was 21.5%, 52.0%, and 77.1% for mothers and 24.4% and 78.4% for fathers, while the prevalence of hitting with an object (such as a spoon or belt) was 0.2%, 6.6%, and 24.3% for mothers and 1.3% and 13.2% for fathers. There was poor statistical agreement in physical punishment administered between mothers and fathers, and significant asymmetry with fathers more likely to employ harsher punishment than mothers. CONCLUSIONS: Smacking is a widespread form of discipline administered to Pacific children, and hitting with objects is common. If the use of objects constitutes a consequential assault in the newly ratified Crimes (Substituted Section 59) Amendment Act 2007 then many parents within this cohort are in breach of this law. We believe that guidelines for corporal punishment which is legally acceptable needs to be made explicit to all, and widespread culturally sensitive efforts to teach parents positive parent management strategies is urgently required. PMID- 18157187 TI - Punishment of children in relation to the new anti-smacking law in New Zealand. PMID- 18157188 TI - Parental and adolescent smoking: does the association vary with gender and ethnicity? AB - AIM: Determine whether parental smoking is a consistent risk factor for adolescent smoking in a multi-ethnic sample, and whether maternal and paternal effects combine additively or multiplicatively. METHODS: Annual national cross sectional surveys (2002-2004 combined) with multi-ethnic sample of 91,219 Year 10 students from New Zealand who answered a questionnaire on personal and parental smoking. RESULTS: Maternal smoking and paternal smoking were associated separately with increased risk of daily adolescent smoking in all ethnic groups except paternal smoking in Asian youth. The relative risk of adolescent daily smoking (adjusted for age and sex) was significantly higher for maternal only smoking compared with paternal only smoking in each ethnic group: Asians 5.50 (95% CI: 3.55-8.52), Europeans 1.38 (1.26-1.52), Pacific Islanders 1.38 (1.10 1.73), and Maori 1.10 (1.00-1.21). The excess maternal effect varied inversely with smoking prevalence. The net effects of maternal and parental smoking are additive among European, Maori, and Pacific Island students, but multiplicative in Asian. Overall, about 40% of adolescent daily smokers could be attributed to parental smoking. CONCLUSIONS: These results show that parental smoking is a consistent risk factor for adolescent smoking in all ethnic groups. Prevention strategies targeted at parents may help limit the uptake of smoking by adolescents. PMID- 18157189 TI - Non-fatal work-related motor vehicle traffic crash injuries in New Zealand: analysis of a national claims database. AB - OBJECTIVES: This study describes event rates and associated costs from non-fatal work-related motor vehicle traffic crash (WR MVTC) injuries on public roads in New Zealand based on an analysis of the Accident Compensation Corporation (ACC) entitlement claims database. METHODS: WR MVTC injury claims between July 2004 and June 2006 were identified from the ACC Motor Vehicle Account. Cross-sectional analyses were performed to describe the characteristics of the claims. Injury rates were estimated where appropriate. RESULTS: The overall age-standardised rate of non-fatal WR MVTC injury claims during the study period was 109 per 100,000 workers per year. The majority of claimants were male (75%) and New Zealand (NZ) European (67%), and one in three of these injuries occurred among plant and machine operators and assemblers. In contrast to rates of road traffic injury resulting in deaths and hospital admissions in NZ, younger and older workers had similar proportionate representation in the claims data. The total cost associated with the 1968 claims made during the 12 months from July 2004 to June 2005 was approximately NZ$6 million, with an average cost per claim of NZ$2884. CONCLUSIONS: To our knowledge this is the first published analysis of non-fatal WR MVTC injury claims in New Zealand. These analyses identify industry and demographic groups that appear to be at increased risk of WR MVTC injuries that could be targeted for preventive interventions. However, a number of limitations in the database, including uncertainties regarding the definition and coding of crashes deemed as "work-related", under-reporting of claims, and lack of a reliable indicator of injury severity significantly compromised our ability to interpret the results. Considerable improvement in the quality and reporting of claims data is required to facilitate the utility of this information to inform injury prevention strategies. PMID- 18157190 TI - Young people, money, and access to tobacco. AB - INTRODUCTION: The social and family processes involved in children's sources and use of money in relation to buying cigarettes are not well understood. Hence this study investigated how Maori, Pacific Island, European, and Asian school students access cigarettes, with a special focus on their disposable income. METHOD: Students aged 11-15 years, recruited through schools, participated in 12 focus groups run by ethnically matched senior student facilitators and researchers. Topics discussed included sources of student money, parental monitoring of the use of money and student access to cigarettes. RESULTS: Students reported that young people can easily buy cigarettes from tobacco retailers. They could also be bought cheaply (50 cents for a roll-your-own) and/or on an "I owe you" basis from friends and social suppliers. Students used money from family, and money that was earned, "scabbed", and borrowed from friends. Cigarettes were also obtained freely from family members or from adults on the street. Whilst parents monitored students' use of large amounts of money, participants experienced relative freedom to spend small amounts which they saved out of money provided by parents for lunches and other purposes. Students were open to parental advice on how to use money but felt they should have the final say. CONCLUSION: Cigarettes continue to be accessible to children free or at affordable prices. Adults and family members must be discouraged from supplying cigarettes to children. Parents should be made aware of the way children use small amounts of money and advised to monitor, educate, and guide them to discourage cigarette purchase. PMID- 18157191 TI - Raising non-smokers. PMID- 18157192 TI - Punitive parenting practices of contemporary young parents. AB - AIMS: To describe the punitive parenting practices of a cohort of young (<25 years) New Zealand parents and to examine the life course risk factors that placed these parents at increased risk of severe child physical punishment/abuse. METHODS: The data were gathered as part of the Christchurch Health and Development Study. At age 25, all respondents who had become a parent were interviewed about their parenting practices and family circumstances, including an assessment of child physical punishment/abuse using the Parent-Child Conflict Tactics Scale. The present analysis was confined to those young parents (n=155) who were living full-time with their children at the time of assessment. RESULTS: Amongst this high-risk group of young parents, 77% reported having physically punished a child and almost 12% reported having severely physically assaulted a child in the past year. Although higher rates of child physical punishment were reported for parents of older children, a substantial proportion of parents reported having physically disciplined an infant (37%) or preschooler (84%) in their care. Risks of severe physical punishment/abuse were greatest amongst those young parents from lower socioeconomic status family backgrounds whose own parents were controlling, restrictive, and over-protective, and who (as young adult parents) were responsible for the care of larger numbers of children under conditions of socioeconomic and family functioning stress. CONCLUSIONS: The use of physical punishment and more severe forms of physical assault/abuse are relatively common amongst contemporary young parents. Implications of study findings for social policy aimed at reducing levels of family violence in New Zealand are considered. PMID- 18157193 TI - Medical images. Cardiac stab injury. PMID- 18157194 TI - Texting tenosynovitis. PMID- 18157196 TI - Medical images. An unusual manifestation of Henoch-Schonlein purpura: haemorrhagic bullous lesions. PMID- 18157195 TI - Two cases of parotid tuberculosis. PMID- 18157197 TI - Ten citation classics from the New Zealand Medical Journal. AB - Although their contribution may go unrecognised at the time, if journal citations are indeed the "currency" of science, then citation classics could justifiably be regarded as the "gold bullion". This article examines the 10 most highly-cited articles published by the New Zealand Medical Journal (NZMJ), as of August 2007. By topic, the top cited article described a study of risk factors for sudden infant death syndrome among New Zealand infants, while 3 of the remaining 9 articles focused on asthma. Most citation classics from the NZMJ were comparatively recent, with the top cited article being published in 1991, 7 having been published in the 1980s, and 2 in the 1970s. Overall, this study clearly demonstrates the international relevance of New Zealand medical researchers, and the significant global impact of their findings for human health. PMID- 18157198 TI - The new International Health Regulations: a revolutionary change in global health security. AB - The International Health Regulations 2005 (IHR 2005) came into force in June 2007. These revised Regulations contain many important changes compared with the previous agreement that they replaced (IHR 1969). This revision was driven by concerns about increasing global health threats and the need to respond with more effective surveillance and control practices. The IHR 2005 agreement: greatly expands the range of events which states must notify to the World Health Organization (WHO) and to which the Regulations apply; introduces a new class of event, the Public Health Emergency of International Concern (PHEIC) which is defined based on modern risk assessment principles; recognises a wide range of surveillance sources that WHO may use; requires states to establish National IHR Focal Points which are responsible for communication with WHO and for the collation and dissemination of information within each state; introduces processes for WHO to investigate, assess, and declare PHEIC; introduces mechanisms for WHO to formally recommend health measures; requires WHO to seek external advice regarding operation of the IHR; obliges states to develop core capacities for surveillance, response, and points of entry; applies human rights principles; updates provisions for borders, travellers, and conveyances; and specifies situations where international collaboration should occur. With collective national and international effort to implement these new Regulations, the IHR 2005 will support greater global health security for all. PMID- 18157199 TI - Adenosine challenge in the diagnosis of inapparent accessory pathways. PMID- 18157201 TI - Salamol--was it worth it? PMID- 18157200 TI - Is Salamol less effective than Ventolin? A randomised, blinded, crossover study in New Zealand. AB - AIM: The effectiveness of the fully subsidised bronchodilator in New Zealand, Salamol, has recently been questioned. We compared the efficacy of Salamol and Ventolin inhalers in relieving acute bronchospasm. We also tested the efficacy of partially used Salamol inhalers because of concerns that the device may become blocked during use. METHODS: 12 asthmatic subjects were enrolled in this randomised, single-blind, 3-way crossover study. Subjects inhaled methacholine to produce a 20% fall in forced expiratory volume at 1 second (FEV1) on 3 different days. Salbutamol was given post-bronchoconstriction as Ventolin, Salamol (new), or Salamol (used) in random order. Inhalations of 100, 100, and 200 mcg salbutamol were delivered at 5 minute intervals via spacer and FEV1 was measured 5 minutes after each dose. The main outcome variable was the area under the salbutamol dose response curve. RESULTS: There was no significant difference in the bronchodilator response to salbutamol whether delivered as Ventolin or Salamol (p=0.63). Furthermore, there was no difference in bronchodilator response between used Salamol inhalers and new Salamol inhalers (p=0.60) or between used Salamol inhalers and Ventolin (p=0.08). The final FEV1s at 15 minutes (after a total of 400mcg salbutamol) were also similar for the different inhalers. CONCLUSIONS: We found no evidence that either new or partially used Salamol inhalers are less effective at relieving acute bronchoconstriction than Ventolin. PMID- 18157202 TI - Multiple lipomatosis--a rare cause for small bowel intussusception. PMID- 18157203 TI - Mind games. PMID- 18157204 TI - Complaint against Medsafe on the matter of antidepressants for adolescents. PMID- 18157205 TI - Electromagnetic modified Bessel-Gauss beams and waves. AB - The transverse magnetic (TM) modified Bessel-Gauss beams and their full-wave generalizations are treated. Attention is paid to the spreading properties on propagation of the null in the radiation intensity pattern for the azimuthal mode numbers m=0 and 1. The rate of spreading of the null in the propagation direction is significantly less for the TM modified Bessel-Gauss waves than those for the corresponding TM Bessel-Gauss waves. The total power transported by the waves is determined and compared with that of the corresponding paraxial beam to estimate the quality of the paraxial beam approximation of the wave. The dependence of the quality of the paraxial beam approximation on the azimuthal mode number, the beam shape parameter, and the ratio of the beam waist to the wavelength has a regular pattern for the TM Bessel-Gauss wave and not for the TM modified Bessel-Gauss wave. PMID- 18157206 TI - Statistics of local speckle contrast. AB - In describing the first-order properties of laser speckle under polarized illumination conditions, it is almost an article of faith that the contrast is unity. In many processing schemes, however, the contrast defined as the quotient of the standard deviation and the mean is calculated over a localized spatial region. In such cases, this local contrast displays a distribution of values that can depart substantially from unity. Properties of this distribution depend on details of the data acquisition and on the size of the local neighborhood over which the contrast is calculated. We demonstrate that this local contrast can be characterized in terms of a log-normal distribution. Further, we show that the two defining parameters of this model can in turn be expressed in terms of the minimum speckle size and the extent of the local neighborhood. Performance of the model is illustrated with some typical optical coherence tomography data. PMID- 18157207 TI - Statistics of the depth-scan photocurrent in time-domain optical coherence tomography. AB - We derive the time-variant second-order statistics of the depth-scan photocurrent in time-domain optical coherence tomography (TD-OCT) systems using polarized thermal light sources and superluminescent diodes (SLDs). Since the asymptotic joint-probability-distribution function (JPDF) of the photocurrent due to polarized thermal light is Gaussian and the signal-noise-ratio in TD-OCT is typically high (>80 dB), the JPDF of the depth-scan photocurrent could be approximated as a Gaussian random process that is completely determined by its second-order statistics. We analyze both direct and differential light detection schemes and include the effect of electronic thermal fluctuations. Our results are a necessary prerequisite for future development of statistical image processing techniques for TD-OCT. PMID- 18157208 TI - Spreading and directionality of partially coherent Hermite-Gaussian beams propagating through atmospheric turbulence. AB - The closed-form expression for the mean-squared beam width of partially coherent Hermite-Gaussian (H-G) beams propagating through atmospheric turbulence is derived. The influence of turbulence on the spreading of partially coherent H-G beams is studied quantitatively by examining the mean-squared beam width. It is found that the smaller the coherence length sigma(0) of the source is, and the larger the beam order m and the wavelength lambda are, the less partially coherent H-G beams are affected by the turbulence, although the beams with smaller sigma(0), larger m, and larger lambda have greater spreading in free space. In addition, it is shown that two partially coherent H-G beams may generate the same angular spread and that there exist equivalent partially coherent H-G beams that may have the same directionality as a fully coherent Gaussian beam in free space and also in turbulence. The results are illustrated by examples, and a comparison with previous work is also made. PMID- 18157209 TI - Development of a sky imager for cloud cover assessment. AB - Based on a CCD camera, we have developed an in-house sky imager system for the purpose of cloud cover estimation and characterization. The system captures a multispectral image every 5 min, and the analysis is done with a method based on an optimized neural network classification procedure and a genetic algorithm. The method discriminates between clear sky and two cloud classes: opaque and thin clouds. It also divides the image into sectors and finds the percentage of clouds in those different regions. We have validated the classification algorithm on two levels: image level, using the cloud observations included in the METAR register performed at the closest meteorological station, and pixel level, determining whether the final classification is correct. PMID- 18157210 TI - Pseudo-Fourier modal analysis of two-dimensional arbitrarily shaped grating structures. AB - The pseudo-Fourier modal analysis of two-dimensional arbitrarily shaped grating structures is described. It is shown that the pseudo-Fourier modal analysis has an advantage of improved structure modeling over the conventional rigorous coupled-wave analysis. In the conventional rigorous coupled-wave analysis, grating structures are modeled by the staircase approximation, which is well known to have inherent significant errors under TM polarization. However, in the pseudo-Fourier modal analysis, such a limitation of the staircase approximation can be overcome through the smooth-structure modeling based on two-dimensional Fourier representation. The validity of the claim is proved with some comparative numerical results from the proposed pseudo-Fourier modal analysis and the conventional rigorous coupled-wave analysis. PMID- 18157211 TI - Chiral nihility effects on energy flow in chiral materials. AB - The propagation of electromagnetic plane waves in an isotropic chiral medium is characterized, and a special interest is shown in chiral nihility and the effects of chirality on energy transmission. In particular, the wave impedance is matched to that of free space. Moreover, the refractive index n is also matched in impedance to that of free space when an appropriate value of the chirality is chosen. A "chiral nihility" medium is explored in which both the permittivity and the permeability tend to zero. Some specific case studies of chiral nihility are presented, and Brewster angles are found to cover an extremely wide range. The E field distributions in these different cases where the chiral slab is placed in free space are analyzed by using the appropriate constitutive relations. It is shown from numerical calculations that one can obtain some critical characteristics of the effects of chirality on energy transmission and reflection, such as transparency and power tunneling. PMID- 18157212 TI - Light propagation in two-layer tissues with an irregular interface. AB - We study light propagation in a half-space composed of two homogeneous layers each having different optical properties from the other. This problem is a model for light propagation in tissues composed of a thin epithelial layer supported from below by a thick stromal layer. The interface between the two layers is irregular. Assuming that this interface is a small perturbation of a plane that is parallel to the boundary surface, we obtain an asymptotic approximation to the solution. We give a numerical method to compute this asymptotic approximation. Finally, we show how to recover this irregular interface surface from boundary measurements when the optical properties of the two layers are known. PMID- 18157213 TI - Propagation of a general multi-Gaussian beam in turbulent atmosphere in a slant path. AB - The propagation of a multi-Gaussian beam in turbulent atmosphere in a slant path is studied. The analytical expression for the average intensity of a general multi-Gaussian beam is derived. As special cases the average intensities of a two and a four-Gaussian beam are investigated and numerically calculated. The investigation reveals that at lower altitude and with large sigma the intensity distribution at the receiver plane can have a shape (multiple peaks) similar to that at the source plane. But with increase in altitude or decrease in sigma, the multiple peaks gradually disappear and evolve into the profile of a fundamental Gaussian beam. From the comparisons between the different propagations we can see that the beam spreading due to wavelength and initial waist width in a slant path is much slower than that in a horizontal path. PMID- 18157214 TI - Gaussian-beam mode analysis of reflection and transmission in multilayer dielectrics. AB - The analysis of reflections from thin films or dielectric materials can be approached by a matrix method that treats any thin-layer device as a cascade of sequential, zero-thickness reflecting thin-layer surfaces [J. Opt. Soc. Am. A2, 1363 (1985)]. Our paper presents an alternative method for predicting the reflection/transmission characteristics of such dielectric films in a Fabry-Perot interferometer configuration based on a Gaussian-beam modal analysis within a scattering-matrix framework [in Proceedings of IEE 7th International Conference on Antennas and Propagation (IEE, 1991), Issue 15, p. 201.] We present and validate a scalar Gaussian-beam modal scattering-matrix approach using long wavelength examples, where diffraction effects are important to model total transmission and reflection characteristics that also include a waveguide modal description of a corrugated horn. For optical beams the same technique is equally applicable, but diffraction is less severe within this framework. This approach is flexible and has many applications within laser optics and in far-infrared or submillimeter-instrumentation optical analysis, where it is possible to incorporate reflections in both waveguide and free space within the description of a whole system. To conclude and verify the accuracy of the technique, experimental measurements taken at 94 GHz are compared with theoretical predictions for a dielectric cavity of polyethylene sheets between corrugated source and detector antennas. PMID- 18157215 TI - Scattering from rough thin films: discrete-dipole-approximation simulations. AB - We investigate the wave-optical light scattering properties of deformed thin circular films of constant thickness using the discrete-dipole approximation. Effects on the intensity distribution of the scattered light due to different statistical roughness models, model dependent roughness parameters, and uncorrelated, random, small-scale porosity of the inhomogeneous medium are studied. The suitability of the discrete-dipole approximation for rough-surface scattering problems is evaluated by considering thin films as computationally feasible rough-surface analogs. The effects due to small-scale inhomogeneity of the scattering medium are compared with the analytic approximation by Maxwell Garnett, and the results are found to agree with the approximation. PMID- 18157216 TI - Reflection symmetry of a sphere's internal field and its consequences on scattering: a microphysical approach. AB - We examine the reflection symmetries of the electromagnetic wave inside of a uniform spherical particle and identify the consequences of the symmetries for the Stokes parameters describing the polarization state of the far-field scattered wave. The connection between the two waves is described from a microphysical perspective that illustrates the wavelet-superposition origin of the scattered wave. In contrast to more conventional approaches, this microphysical perspective yields new insight into the physical character of the scattering of a plane wave by a sphere. The results of simulations are presented, which graphically demonstrate the relation between the symmetries present in the internal wave and the polarization state of the scattered wave. PMID- 18157217 TI - Noninterferometric phase retrieval using a fractional Fourier system. AB - The signal extraction method based on intensity measurements in two close fractional Fourier domains is examined by using the phase space formalism. The fractional order separation has a lower bound and an upper bound that depend on the signal at hand and the noise in the optical system used for measurement. On the basis of a theoretical analysis, it is shown that for a given optical system a judicious choice of fractional order separation requires some a priori knowledge of the signal bandwidth. We also present some experimental results in support of the analysis. PMID- 18157218 TI - Fundamental radar properties. II. Coherent phenomena in space-time. AB - A previous publication [J. Opt. Soc. Am. A19, 946-956 (2002)] presented a general formulation of radiative systems based on special relativity, and properties of imaging radar were derived as examples. Complex and diverse properties of radar images were shown to have a simple and unified origin when viewed as lower dimensional (temporal) projections of the space-time structure of a radar observation. A diagram was developed that could be manipulated for a simple, intuitive view of the underlying structure of radar observations and phenomena. That treatment is here extended to include coherent phenomena as they appear in the lower time dimensions of the image. Various known coherent properties of imaging radar and interferometry are derived. The formulation is shown to be a generalization of a conventional echo correlation and is extended to a second spatial dimension. From this perspective, coherent properties also have a surprisingly simple and unified structure; their observed complexity is somewhat illusory, also a consequence of projection onto the lower temporal dimension of the receiver. While this formulation and the rules governing it are quite different from the standard treatments, they have the considerable advantage of providing a much simpler, intuitive, and unified description of radiative (radar and optical) systems that is rooted in fundamental physics. PMID- 18157219 TI - Uniform line integral representation of edge-diffracted fields. AB - A uniform line integral representation is derived for edge-diffracted fields by using the modified theory of physical optics and uniform asymptotic evaluation methods. The method is applied to the problem of diffraction of plane waves by a semi-infinite edge, which creates tip-diffracted fields with edge-diffracted waves. The uniform diffracted fields are plotted and examined numerically. PMID- 18157220 TI - Wide-angle, finite-difference beam propagation in oblique coordinate system. AB - The one-way wave equation in the oblique coordinate system in terms of the square root operator is derived. This equation forms the basis for the development of efficient algorithms using the beam propagation method for the design and optimization of integrated optical devices. In an illustrative example, using the derived one-way wave equation, Anada's very-wide-angle algorithm is generalized to the oblique coordinate system. Since in the oblique coordinate system the direction of propagation can be selected freely to follow the path of the optical beam and to minimize the stair-casing errors, the algorithm is expected to show superior performance, which is confirmed by the results obtained. PMID- 18157221 TI - Localization and characterization of simple defects in finite-sized photonic crystals. AB - Structured materials like photonic crystals require for optimal use a high degree of precision with respect to both position and optical characteristics of their components. Here we present a simple tomographic algorithm, based on a specific Green's function together with a first-order Born approximation, which enables us to localize and characterize identical defects in finite-sized photonic crystals. This algorithm is proposed as a first step to the monitoring of such materials. Illustrative numerical results show in particular the possibility of focalization beyond the Rayleigh criterion. PMID- 18157222 TI - Optimization algorithm for ultrabroadband multichannel aperiodic fiber Bragg grating filters. AB - We consider an approach to designing complex multichannel filters for ultrabroadband applications. In contrast to earlier approaches that are restricted to specific problems, our generalized method can be applied to any conceivable fiber Bragg grating (FBG) multichannel design. Our method accommodates hundreds of filter channels that are spaced unevenly in wavelength, with variable widths, depths, and shapes. We demonstrate the power of the method for an FBG design with 150 narrow channels over the region 1400-1800 nm. PMID- 18157223 TI - Measurement of the point-spread function of a noisy imaging system. AB - The averaged point-spread function (PSF) estimation of an image acquisition system is important for many computer vision applications, including edge detection and depth from defocus. The paper compares several mathematical models of the PSF and presents an improved measurement technique that enables subpixel estimation of 2D functions. New methods for noise suppression and uneven illumination modeling were incorporated. The PSF was computed from an ensemble of edge-spread function measurements. The generalized Gaussian was shown to be an 8 times better fit to the estimated PSF than the Gaussian and a 14 times better fit than the pillbox model. PMID- 18157224 TI - Symmetric array of off-axis singular beams: spiral beams and their critical points. AB - We consider conditions of structural stability under which the array of singular beams preserves its topological structure and intensity distribution while slightly perturbing its intrinsic parameters. The orbital angular momentum of the array as a function of the array parameters is a characteristic function, and its extreme points correspond to stable and unstable array states. PMID- 18157225 TI - Analysis of diffraction from the occulter edges of a giant externally occulted solar coronagraph. AB - A technique is described for the calculation of the intensity of the light diffracted by the occulter of an externally occulted solar coronagraph. This technique can be applied to an occulter of generic shape, but the attention is here focused on a specific application; that is, the case of a giant space solar coronagraph, in which the occulter is located at 100 m from the telescope aperture. By means of the code developed, it has been possible to simulate the effects of various shapes of the occulter edge with the aim of analyzing in detail the best apodization for the coronagraph. The results obtained show that an occulter with a circular serrated edge allows a remarkable reduction of the amount of diffracted light on the coronagraph's entrance aperture with respect to a simpler circular disk case. PMID- 18157226 TI - Gestalt and phenomenal transparency. AB - Phenomenal transparency is commonly studied by using a stimulus configuration introduced by Metelli: a bipartite patch, divided into equal left and right halves is overlaid with a smaller, concentric bipartite patch, divided along the same line. Observers are instructed to report either a transparent patch over an opaque bipartite field or a mosaic of four opaque patches. We show theoretically and empirically that these are only two of five generic perceptual categories, namely, transparent patch, transparent annulus (hole), mosaic, partial transparency, and multiple transparency (ambiguous) cases. Thus Gestalt factors complicate the interpretation "phenomenal transparency." We propose a framework that avoids this complication. There is excellent agreement between predictions and results. PMID- 18157227 TI - Reciprocal vector theory for diffractive self-imaging. AB - A reciprocal vector theory for analysis of the Talbot effect of periodic objects is proposed. Using this method we deduce a general condition for determining the Talbot distance. Talbot distances of some typical arrays (a rectangular array, a centered-square array, and a hexagonal array) are derived from this condition. Further, the fractional Talbot effect of a one-dimensional grating, a square array, a centered-square array, and a hexagonal array is analyzed and some simple analytical expressions for calculation of the complex amplitude distribution at any fractional Talbot plane are deduced. Based on these formulas, we design some Talbot array illuminators with a high compression ratio. Finally, some computer simulated results consistent with the theoretical analysis are given. PMID- 18157228 TI - Summing Pauli asymptotic series to solve the wedge problem. AB - The use of the asymptotic treatment for the wedge diffraction problem established long ago by Pauli [Phys. Rev.54, 924 (1938)] is here revisited and proposed in the character of a powerful computational tool for accurately retrieving the total electromagnetic field even in the near zone. After proving its factorial divergent character, the Pauli series is summed through the Weniger transformation, a nonlinear resummation scheme particularly efficient in the case of factorial divergence. Numerical results are carried out to show the accuracy and effectiveness of the proposed approach. PMID- 18157229 TI - Equal-frequency surface analysis of two-dimensional photonic crystals. AB - This paper presents an analytical treatment of equal-frequency surface analysis of a two-dimensional photonic crystal. We first define the equal-frequency surface in terms of plane waves, which can be numerically evaluated. Then one- and two-plane-wave approximations are proposed, which consequently lead to analytical expressions of the equal-frequency surface. The approach presented is well suited to two-dimensional photonic crystals of weak dielectric modulation. For photonic crystals with a large modulation, the approach can be used to gain a general idea of the shape of the bands. PMID- 18157230 TI - Vortex beam propagation through atmospheric turbulence and topological charge conservation. AB - The propagation of vortex beams through weak-to-strong atmospheric turbulence is simulated and analyzed. It is demonstrated that the topological charge of such a beam is a robust quantity that could be used as an information carrier in optical communications. The advantages and limitations of such an approach are discussed. PMID- 18157231 TI - The copula: a tool for simulating speckle dynamics. AB - Use of a copula for generating a sequence of correlated speckle patterns is introduced. The chief characteristic of this algorithm is that it generates a continuous speckle sequence with a specified evolution of the correlation and does so with just two arrays of random numbers. Thus, physically realistic temporally varying speckle patterns with proper first- and second-order statistics are easily realized. We illustrate use of the algorithm for generating sequences with prescribed Gaussian, exponential, and equal-interval correlations and demonstrate how correlation times can be specified independently. This approach to generating sequences of random realizations with prescribed correlations should prove useful in modeling such phenomena as dynamic light scatter, flow-dependent laser speckle contrast, and propagation of spatial coherence. PMID- 18157232 TI - Near-field behavior of zone-plate-like plasmonic nanostructures. AB - The near-field behavior of a new plasmonic structure, the plasmonic micro-zone plate (PMZP), is presented. The PMZP can realize superfocusing at a working distance on the micrometer scale and a resolving power beyond the diffraction limit. Compared with conventional Fresnel zone plates (CFZPs), its unique characteristics of a significantly elongated depth of focus (DOF) and focal length will make autofocusing easier for the relevant optical systems. These characteristics imply that it is possible to realize a free feedback control system for autofocusing systems in which probe scanning is performed with a constant working distance from the probe to the sample surface, provided that the flatness variation of the sample substrate is within the DOF. Moreover, unlike the CFZPs, there is no series of focal points appearing for beam propagation in the near-field region with a propagation distance ranging from lambda to 8 lambda or even longer. In addition, transmission properties in the near-field region are investigated by means of a computational simulation based on a finite-difference time-domain numerical algorithm. Peak transmission wavelength shifts were observed while the metal film thickness was changed. Focusing characteristics were analyzed for different numerical apertures of the PMZPs. PMID- 18157233 TI - Single dispersive gradient-index profile for the aging human lens. AB - We provide a single gradient-index (GRIN) profile for the crystalline lens in an updated age-dependent emmetropic-eye model. The parameters defining the GRIN profile include their variation with age and the dispersion of the refractive index in order to account for the increase in the positive-wave spherical aberration, for the constant chromatic difference in the refraction of the human eye, as well as for the decrease in the retinal-image quality with aging. In accounting for these ocular properties, the results show that first, the value of the dispersion parameters are invariant with age. Second, those parameters defining the distribution of the lens index cause the lens-center-index value to decrease slightly, and its position along the lens axis changes with age. Furthermore, these findings are in agreement with the lens paradox. PMID- 18157234 TI - Family of hypergeometric laser beams. AB - We discuss a three-parameter family of paraxial coherent light fields that originate from a complex amplitude composed of the following four cofactors: the Gaussian beam, a logarithmic axicon, a spiral phase plate (angular harmonic), and an amplitude power function with a possible singularity at the origin of coordinates. For such types of beams, the near-field complex amplitude is proportional to the degenerate hypergeometric function, prompting the beams' name -hypergeometric (HyG) beams. When the Gaussian beam is replaced by a plane wave, the above beams change to generalized HyG modes that preserve their structure up to scale upon propagation. The intensity profile of the HyG beams is similar to that of the Bessel modes, forming a set of alternating bright and dark rings. However, the thickness of the rings of the HyG beams decreases with increasing ring number. PMID- 18157235 TI - Phaseless imaging with experimental data: facts and challenges. AB - Two-dimensional target characterization using inverse profiling approaches with total-field phaseless data is discussed. Two different inversion schemes are compared. In the first one, the intensity-only data are exploited in a minimization scheme, thanks to a proper definition of the cost functional. Specific normalization and starting guess are introduced to avoid the need for global optimization methods. In the second scheme [J. Opt. Soc. Am. A21, 622 (2004)], one exploits the field properties and the theoretical results on the inversion of quadratic operators to derive a two-step solution strategy, wherein the (complex) scattered fields embedded in the available data are retrieved first and then a traditional inverse scattering problem is solved. In both cases, the analytical properties of the fields allow one to properly fix the measurement setup and identify the more convenient strategy to adopt. Also, indications on the number and types of sources and receivers to be used are given. Results from experimental data show the efficiency of these approaches and the tools introduced. PMID- 18157238 TI - Near-field amplitude and phase measurements using heterodyne optical feedback on solid-state lasers. AB - Heterodyne optical feedback on a solid-state laser is experimentally investigated as an efficient tool to characterize coherently near-field evanescent waves. A well-known topography of evanescent field is obtained via a total internal reflection of the light beam emitted by a class B Yb:Er glass laser. A subwavelength size optical fiber tip is scanned to locally probe the resulting evanescent wave in the near field. After a frequency shifting using a pair of acousto-optic modulators, the collected light is optically reinjected to excite the relaxation oscillations of the laser. The resulting dynamical response simultaneously allows very sensitive measurements of the amplitude and the phase of the evanescent wave. Extension of these preliminary results to near-field optical microscopy is suggested and discussed. PMID- 18157239 TI - Proposal of a uniform fiber Bragg grating as an ultrafast all-optical integrator. AB - It is demonstrated that a uniform fiber Bragg grating (FBG) working in the linear regime inherently behaves as an optical temporal integrator over a limited time window. Specifically, the reflected temporal waveform from a weak-coupling uniform FBG is proportional to the time integral of an (arbitrary) optical pulse launched at the component input. This integration extends over a time window fixed by the duration of the squarelike temporal impulse response of the FBG. Ultrafast all-optical integrators capable of accurate operation over nanosecond time windows can be implemented using readily feasible FBGs. The introduced concepts are demonstrated by numerical simulations. PMID- 18157240 TI - Preparation, characterization, and heat resistance studies of a holographic photopolymer based on SU-8 epoxy resin. AB - A holographic photopolymer based on SU-8 epoxy resin as the binder and trimethylolpropane ethoxylate triacrylate as the monomer with an iodonium salt photoinitiator was studied. A diffraction efficiency of 93% and a refractive index modulation (Delta n) of 1.3 x 10(-2) were obtained from a 16 microm thick sample with write beam intensities of 50 mW/cm(2) at a wavelength of 514.5 nm, an exposure time of 60 s, and a postbaking at 65 degrees C for 1 h. The material exhibits good heat resistance in the range from 40 degrees C to 160 degrees C and long projected life. PMID- 18157241 TI - Imaging with an array of adaptive subapertures. AB - An imaging system composed of an array of adaptive optics subapertures referred to as a conformal imaging system is considered. A conformal image of an object viewed through atmospheric turbulence is obtained using the following sequential steps: adaptive compensation of phase distortions through optimization of image quality metrics at each subaperture, measurements of the phase and intensity distributions corresponding to the compensated subaperture images, digital combining and processing of the obtained data, computation of a conformal image using arbitrary phase shifts between subapertures, and correction of these phase shifts through conformal image quality optimization using the stochastic parallel gradient descent algorithm. Numerical simulation results of a dual-star conformal image through atmospheric turbulence are presented. PMID- 18157242 TI - Self-focusing dynamics of polarization vortices in Kerr media. AB - We investigate numerically and experimentally the spatial collapse dynamics and polarization stability of radially and azimuthally polarized vortex beams in pure Kerr medium. These beams are unstable to azimuthal modulation instabilities and break up into distinct collapsing filaments. The polarization of the filaments is primarily linear with weak circular components at the filaments' boundaries. This unique hybrid linear-circular polarization collapse pattern persists to advanced stages of collapse and appears to be a general feature of beams with spatially variant linear polarization. PMID- 18157243 TI - Dual-frequency Brillouin fiber laser for optical generation of tunable low-noise radio frequency/microwave frequency. AB - We demonstrate a new approach, i.e., a cw dual-frequency Brillouin fiber laser pumped by two independent single-frequency Er-doped fiber lasers, for the generation of tunable low-noise rf/microwave optical signals. Its inherent features of both linewidth narrowing effect in a Brillouin fiber cavity and common mode noise cancellation between two laser modes sharing a common cavity allow us to achieve high frequency stability without using a supercavity. Beat frequency of the dual-frequency Brillouin fiber laser can be tuned from tens of megahertz up to 100 GHz by thermally tuning the wavelengths of the two pump lasers with tuning sensitivity of approximately 1.4 GHz/ degrees C. Allan variance measurements show the beat signals have the hertz-level frequency stability. PMID- 18157244 TI - Frequency-domain modal delay measurement for higher-order mode fiber based on stretched pulse interference. AB - We propose and demonstrate a novel modal delay measurement technique for a higher order mode fiber (HOF) based on optical frequency-domain reflectometry (OFDR) using an extremely simple, entirely passive, and ultrafast wavelength sweeping mechanism, namely, dispersion-induced optical pulse stretching. We obtained a high temporal resolution of approximately 1.12 ps, which was sufficient for discerning the four excited modes in an HOF with a length of only approximately 5 m. The results from our measurements were very consistent with those obtained by using a traditional time-domain measurement method and a conventional OFDR measurement based on a tunable CW laser. Our proposed technique can be also easily adapted to perform conventional time-domain modal delay measurements for very long HOFs. PMID- 18157245 TI - Simultaneous imaging of human cone mosaic with adaptive optics enhanced scanning laser ophthalmoscopy and high-speed transversal scanning optical coherence tomography. AB - We describe a novel instrument capable of acquiring, simultaneously, adaptive optics enhanced scanning laser ophthalmoscopy and optical coherence tomography (OCT) images of the human cone mosaic in vivo. The OCT system is based on transversal scanning of the sample with a line scan rate of 14 kHz, approximately 20 times faster than a previously reported instrument. We demonstrate the capability of this instrument with the measurement of the human cone spacing in perifoveal retina. PMID- 18157246 TI - Blind deconvolution: multiplicative iterative algorithm. AB - A new algorithm has been developed for performing blind deconvolution on degraded images. The algorithm naturally preserves the nonnegative constraint on the iterative solutions of blind deconvolution and can produce a restored image of high resolution. Furthermore, benefiting from the multiplicative form, the algorithm is free from the instability of numerical computation. Results of applying the algorithm to simulated and real degraded images are reported. PMID- 18157247 TI - Visible continuum generation using a femtosecond erbium-doped fiber laser and a silica nonlinear fiber. AB - Supercontinuum extending to visible wavelengths is generated in a hybrid silica nonlinear fiber pumped at 1560 nm by a femtosecond, erbium-doped fiber laser. The hybrid nonlinear fiber consists of a short length of highly nonlinear, germano silicate fiber (HNLF) spliced to a length of photonic crystal fiber (PCF). A 2 cm length of HNLF provides an initial stage of continuum generation due to higher order soliton compression and dispersive wave generation before launching into the PCF. The visible radiation is generated in the fundamental mode of the PCF. PMID- 18157248 TI - Very-high-resolution tandem Fabry-Perot etalon cylindrical beam volume hologram spectrometer for diffuse source spectroscopy. AB - We demonstrate a compact and slitless spectrometer with high resolution formed by cascading a Fabry-Perot etalon (FPE) and a cylindrical beam volume hologram (CBVH). The most significant advantage of this combined spectrometer is that we can independently encode spectral information of a diffuse beam in a 2D plane. Also, we show that in this slitless configuration we can simultaneously benefit from the advantages of both elements: the high resolution of the FPE and the large spectral range of the CBVH. Here, we report on the experimental demonstration of a spectrometer with better than 0.2 nm resolution. PMID- 18157249 TI - Single-body lensed photonic crystal fibers as side-viewing probes for optical imaging systems. AB - We report the fabrication and performance of a lensed photonic crystal fiber (PCF) designed as a compact but effective side-viewing optical imaging probe. The lensed-PCF probe was implemented in a single body without using any other fibers or additional optics. The beam expansion region and a focusing ball lens, necessary for a focuser, were simultaneously formed along a small piece of PCF by applying arc discharges. The side-viewing ability was provided by polishing the ball lens with a femtosecond laser to form a total internal reflection surface. The working distance and the transverse resolution of the fabricated single-body lensed-PCF were experimentally measured to be 570 and 6.8 microm, respectively. With the proposed lensed-PCF probe, optical coherence tomography images of an in vitro biological sample were successfully obtained. PMID- 18157250 TI - Fiber-optic hydrophone using a cylindrical Helmholtz resonator as a mechanical anti-aliasing filter. AB - Two Michelson interferometric fiber-optic hydrophones that use panda polarization maintaining fibers and devices have been constructed and tested. The low frequency acoustic sensitivities of both hydrophones are -159 dB re 1 rad/microPa. One of the hydrophones tested has a small cylindrical Helmholtz resonator that has a break point near 1200 Hz and a measured roll-off of approximately 50 dB/octave, and it is a hydrostatic-pressure-insensitive design. This hydrophone is a prototype device for a class of sensors that can be used to eliminate aliasing in future sonar systems. To our knowledge, this is the first time that such a fiber-optic hydrophone has been reported. PMID- 18157251 TI - Application of Huygens-Fresnel diffraction principle for high aspect ratio SU-8 micro-/nanotip array. AB - A high-aspect-ratio (approximately 30) SU-8 micro-/nanotip array whose shape is defined by diffraction was fabricated by a single UV photolithography procedure and its exposed dose control. The fabrication result of the tip agrees well with the Rayleigh-Sommerfeld solution of the Huygens-Fresnel principle at wide observation distances. In a near field below distance 2 microm (only several times of wavelength), necking points also agree with the solution, although it is assumed that the distance is much larger than wavelength. It can be also applied to control the shape of the tip and to determine the critical dose D(c) of SU-8 and other photocurable polymers. PMID- 18157252 TI - Engineering space for light via transformation optics. AB - Conceptual studies and numerical simulations are performed for imaging devices that transform a near-field pattern into magnified far-zone images and are based on high-order spatial transformation in cylindrical domains. A lens translating a near-field pattern from an almost circular input boundary onto a magnified far field image at a flat output boundary is considered. The lens is made of a metamaterial with anisotropic permittivity and permeability both depending on a single "scaling" parameter of the transformation. Open designs of the lens with a truncated body (3/4-body and 1/4-body lenses) are suggested and analyzed. It is shown that the ideal full lens and the 3/4-body lens produce identical images. Numerical simulations of 1/4-body designs indicate that further truncation of the lens could limit its performance. A light concentrator "focusing" far-zone fields into a nanometer-scale area is also considered. PMID- 18157253 TI - Slow light with cavity electromagnetically induced transparency. AB - We report an experimental observation of slow light propagation in cold Rb atoms exhibiting cavity electromagnetically induced transparency (EIT). The steep slope of the atomic dispersion manifested by EIT reduces the light group velocity. The cavity filtering and feedback further contribute to the slowdown and delay of the light pulse propagation. A combination of the cavity and the EIT atomic system significantly improves the performance of the slow light propagation. A propagation time delay of approximately 200 ns was observed in the cavity and Rb EIT system, which is approximately 70 times greater than the time delay calculated for the light pulse propagation through the same Rb EIT system without the cavity. PMID- 18157254 TI - Focusing of partially coherent Bessel-Gaussian beams through a high-numerical aperture objective. AB - The focusing properties of partially coherent Bessel-Gaussian beams passing through a high-numerical-aperture objective are studied based on vectorial Debye theory. Expressions for the intensity distribution, degree of coherence |mu|, and degree of polarization P are derived near the focus. Numerical calculations are performed to analyze the influences of varying corresponding parameters on the intensity distribution, |mu|, and P in the focal region. It is shown that the intensity, |mu|, and P in the focal region are all influenced by varying the effective coherent length L(c) of incident beams and maximal angle alpha determined by the numerical aperture of the objective. Also, the linearly polarized incident field is found to be depolarized after it is focused by a high numerical-aperture objective. PMID- 18157255 TI - High-efficiency mid-infrared ZnGeP2 optical parametric oscillator directly pumped by a lamp-pumped, Q-switched CrTmHo:YAG laser. AB - We report a singly resonant optical parametric oscillator (SRO) based on a ZnGeP(2) crystal directly pumped by a lamp-pumped Q-switched CrTmHo:YAG laser. The IR was tunable from 4.7 to 7.8 microm via crystal angle tuning. A maximum optical to optical efficiency of 56% was obtained from the pump (2.09 microm) to total IR at a pump energy of 6.5 mJ. The corresponding idler energy was 1.45 mJ. The SRO was measured to have a slope efficiency of 64% and a threshold of 1 mJ. The spatial beam quality of the idler, characterized by the M(2) parameter, was 1.38 when the SRO was pumped at 2.5 times threshold. These results show that ZnGeP(2) optical parametric oscillators directly pumped by a CrTmHo:YAG laser can be operated efficiently, while maintaining good IR beam quality. PMID- 18157256 TI - Spectrally efficient slow light using multilevel phase-modulated formats. AB - A phase-preserving and spectrally efficient slow-light scheme has been proposed and demonstrated by utilizing advanced multilevel phase-modulated formats. A 60 ps symbol delay with error-free demodulation of both I and Q channels for 10 Gbit/s return-to-zero differential-quadrature-phase-shift-keyed (DQPSK) signals via a broadband stimulated Brillouin scattering-based slow-light medium is achieved experimentally. Simulation results on 20 Gbit/s DQPSK and 30 Gbit/s D8PSK propose to transmit very high spectrally efficient multilevel formats through a bandwidth-limited slow-light element. PMID- 18157257 TI - Time-resolved off-axis digital holography for characterization of ultrafast phenomena in water. AB - We present the application of time-resolved off-axis digital holography for the investigation of refractive index/transmission properties of laser-induced plasma filaments in water. Time evolution of both amplitude- and phase-contrast images of the self-focused beam in water was characterized with temporal resolution better than 50 fs. To the best of our knowledge, this is the first attempt to characterize the propagation of femtosecond laser pulse in nonlinear media using off-axis digital holography. PMID- 18157258 TI - Mechanism of mode coupling in multicore fiber lasers. AB - We present what is believed to be the first experimental demonstration of a new mechanism of mode coupling in multicore fibers (MCFs) based on their indirect interaction inside the fiber via intermediate mode, analogous to the Bragg mode, which is very sensitive to bending of the fiber. Very strong coupling between the core modes regardless of large spacing (approximately 28 microm) between them has been demonstrated in the MCF laser as well as in the probe beam schemes. 70% of power conversion from one core to another with beating length of tens of centimeters in 4-core MCF is measured. PMID- 18157259 TI - All-fiber bidirectional passively mode-locked ring laser. AB - We report the design and operation of a novel all-fiber bidirectional passively mode-locked ring laser. An erbium-doped fiber was chosen as the active element in a ring cavity arrangement. A short segment of a fiber taper embedded in carbon nanotubes/polymer composite, acting as a saturable absorber, was used to enable bidirectional mode locking. The laser generates two stable femtosecond pulse trains in opposite directions. A beat note of about 2 MHz, having a bandwidth of less than 2 kHz, is measured when the pulses propagating in opposite directions are (temporally) overlapped at a photodetector. We believe this device will find important applications in precision rotation sensing. PMID- 18157260 TI - Path and phase determination for an interfering photon with orbital angular momentum. AB - A polarized photon with well-defined orbital angular momentum that emerges from a Mach-Zehnder interferometer (MZI) is shown to seemingly circumvent wave-particle duality constraints. For certain phase differences between the MZI arms, this pattern yields both reliable which-path information and high phase sensitivity. PMID- 18157262 TI - Characteristics of a Q-switched multicore photonic crystal fiber laser with a very large mode field area. AB - We model and characterize the behavior of a Q-switched fiber laser. The fiber is a doped multicore photonic crystal fiber having six cores in a ring-type geometry. The fiber laser is Q-switched using an intracavity acousto-optic modulator. Using a mode filtering technique in the far field, a mode very close to the fundamental in-phase supermode is obtained with a mode field area of 4200 microm(2) and a divergence of 9 mrad. Pulses with energies of up to 2.2 mJ and durations of 26 ns (limited by end facet damage) at a repetition rate of 10 kHz are obtained. PMID- 18157263 TI - Memory-efficient iterative process on a two-dimensional first-order regular graph. AB - We present a parallel and memory-efficient iterative algorithm based on 2D first order regular graphs. For an M x N regular graph with L iterations, a carefully chosen computation order can reduce the memory resources from O(MN) to O(ML). This scheme can achieve a memory reduction of 4 to 27 times in typical computation-intensive problems such as stereo and motion. PMID- 18157264 TI - Numerical study of the effects of scatterer sizes and distributions on multiple backscattered intensity patterns of polarized light. AB - We investigate numerically the effects of scatterer sizes on backscattered polarization patterns using the third-order scattering model developed. The calculated results show that both parallel and cross polarization patterns from water suspensions of polystyrene spheres have four-lobe structures of the azimuth dependence of intensities. Particularly, the parallel polarization pattern is sensitive to scatterer sizes, exhibiting good agreement with prior experimental measurements. Furthermore, the polarization patterns from the dysplastic and normal cells with different size distribution widths are calculated and analyzed. The results show that the polarization patterns of dysplastic and normal cells have distinct differences, which might be used for identification of the morphological structure changes of cancer, dysplasia, and regeneration cells. PMID- 18157266 TI - Diode-pumped passively mode-locked Er,Yb:YAl3(BO3)4 laser at 1.5-1.6 microm. AB - We report the first demonstration to our knowledge of passive mode locking in a diode-pumped Er(3+) and Yb(3+) codoped YAl(3)(BO(3))(4) laser operating in the 1.5-1.6 microm spectral region. Low-loss GaInNAs quantum-well semiconductor saturable absorber mirrors are used for the initiation and stabilization of the ultrashort-pulse generation. Pulses as short as 4.8 ps were generated at 1530 nm with an average output power up to 280 mW for 2 W of absorbed pump power produced by a high-brightness tapered 980 nm laser diode. Passive mode locking has also been demonstrated around 1555 nm with typical average powers of around 100 mW and pulse durations of 5.1 ps. PMID- 18157265 TI - High sensitivity gas spectroscopy of porous, highly scattering solids. AB - We present minimalistic and cost-efficient instrumentation employing tunable diode laser gas spectroscopy for the characterization of porous and highly scattering solids. The sensitivity reaches 3 x 10(-6) (absorption fraction), and the improvement with respect to previous work in this field is a factor of 10. We also provide the first characterization of the interference phenomenon encountered in high-resolution spectroscopy of turbid samples. Revealing that severe optical interference originates from the samples, we discuss important implications for system design. In addition, we introduce tracking coils and sample rotation as new and efficient tools for interference suppression. The great value of the approach is illustrated in an application addressing structural properties of pharmaceutical materials. PMID- 18157267 TI - Time-resolved refractive index and absorption mapping of light-plasma filaments in water. AB - By means of a quantitative shadowgraphic method, we performed a space-time characterization of the refractive index variation and transient absorption induced by a light-plasma filament generated by a 120 fs laser pulse in water. The formation and evolution of the plasma channel in the proximity of the nonlinear focus were observed with a 23 fs time resolution. PMID- 18157268 TI - Mapping phases of singular scalar light fields. AB - We implement experimentally a simple method for accurate measurements of phase distributions of scalar light fields. The method is based on the polarimetric technique for recording the polarization maps of vector fields, where coaxial superposition of orthogonally polarized reference and signal beams allows the signal phase to be reconstructed from the polarization map of the total field. We demonstrate this method by resolving topologically neutral pairs of closely positioned vortices in a speckle field and recovering the positions of vortices within a Laguerre-Gaussian beam with the topological charge three. PMID- 18157269 TI - Improving the quality of phase maps in phase object digital holographic interferometry by finding the right reconstruction distance. AB - Improved quality of phase maps in pulsed digital holographic interferometry is demonstrated by finding the right reconstruction distance. The objective is to improve the optical phase information when the object under study is a phase object and when it is out of focus, leading to low contrast fringes in the phase map. A numerical refocusing is performed by introducing an ideal lens as a multiplication by a phase field in the Fourier domain, and then a region of maximum speckle correlation is found by comparing undisturbed and disturbed subimages in different refocused imaging planes. After finding the right reconstruction distance, a phase map of high visibility is constructed. By this technique a 30% reduction of the phase error for a flow of helium gas and a 50% reduction of the phase error for a weak thin lens were obtained, which resulted in a significant improvement of the visual appearance of the phase maps. PMID- 18157270 TI - Two-photon recording of microholograms in undoped lithium tantalate. AB - Two-photon recording of microholograms was demonstrated in undoped congruent lithium tantalate crystal with high holographic sensitivity, large refractive index change, and fast hologram writing time. Nonvolatile heterodyne readout was carried out at a wavelength of 660 nm. Recording of a 3 x 3 x 3 matrix of microholograms was realized and it showed the cross-talk effect was negligibly small. PMID- 18157271 TI - Quantitative structured-illumination phase microscopy. AB - We introduce a quantitative phase imaging method for homogeneous objects with a bright field transmission microscope by using an amplitude mask and a digital processing algorithm. A known amplitude pattern is imaged on the sample plane containing a thick phase object by placing an amplitude mask in the field diaphragm of the microscope. The phase object distorts the amplitude pattern according to its optical path length (OPL) profile, and the distorted pattern is recorded in a CCD detector. A digital processing algorithm then estimates the object's quantitative OPL profile based on a closed form analytical solution, which is derived using a ray optics model for objects with small OPL gradients. PMID- 18157272 TI - Method for producing correct fingerprints. AB - The conventional method of producing fingerprints by total internal reflection using a right-angle prism does not give true size images. In this case an anamorphic real image is formed by the Scheimpflug condition with keystone distortion. A method of combining a single prism with the right-angle prism for anamorphic stretching to get the correct fingerprint image is described. The method of constructing such a type of an optical system is discussed in detail. The method is useful to directly obtain the correct fingerprints using a CCD camera. PMID- 18157273 TI - Analysis and fabrication of hybrid metal-dielectric omnidirectional Bragg reflectors. AB - We describe chalcogenide glass and polymer based Bragg reflectors with a metallic underlayer and use a transfer matrix model to analyze their performance. The angle-averaged reflectance of a hybrid mirror approaches unity for only a few periods and is much higher than that for a nonmetallized Bragg reflector or for the metallic layer alone. For an angle-averaged reflectance greater than 0.99, the addition of a metallic underlayer enables nearly a tripling of the omnidirectional bandwidth (from approximately 110 to approximately 305 nm) concurrent with a significant reduction in the number of required periods (from 10.5 to 4.5). Hybrid mirrors of 4.5 periods, with a 50 nm Au underlayer and overall thickness of approximately 2 microm, were fabricated atop silicon substrates and characterized. They exhibit an omnidirectional stop band in the 1450-1750 nm wavelength range, in good agreement with theoretical predictions. PMID- 18157274 TI - Design of an ultrashort Si-nanowaveguide-based multimode interference coupler of arbitrary shape. AB - A design procedure for an arbitrarily tapered multimode interference (MMI) coupler based on Si nanowaveguides is presented. First a series of the effective indices of the zeroth and first eigenmodes in multimode waveguides are obtained as the core width increases by using a full-vectorial finite-difference method. Two polynomial functions are used to fit the two relations between the effective indices and the core width. The phase difference Delta phi between the zeroth and first eigenmodes can then be easily calculated when the light goes through any given arbitrarily tapered MMI section. By making the phase difference Delta phi equal to a certain value Delta phi 0 required for an N-fold self-imaging, the length of a MMI coupler is determined. With the present design procedure, an ultrashort 2 x 2 parabolic MMI coupler is designed as an example. The size of the designed ultrashort MMI section is only approximately 1.4 microm x 4.7 microm. PMID- 18157275 TI - Double Wigner distribution function of a first-order optical system with a hard edge aperture. AB - The effect of an apertured optical system on Wigner distribution can be expressed as a superposition integral of the input Wigner distribution function and the double Wigner distribution function of the apertured optical system. By introducing a hard aperture function into a finite sum of complex Gaussian functions, the double Wigner distribution functions of a first-order optical system with a hard aperture outside and inside it are derived. As an example of application, the analytical expressions of the Wigner distribution for a Gaussian beam passing through a spatial filtering optical system with an internal hard aperture are obtained. The analytical results are also compared with the numerical integral results, and they show that the analytical results are proper and ascendant. PMID- 18157276 TI - Highly efficient acousto-optic diffraction in Sn2P2S6 crystals. AB - We have studied the acousto-optic (AO) diffraction in Sn2P2S6 crystals and found that they manifest high values of an AO figure of merit. The above crystals may therefore be used as highly efficient materials in different AO applications. PMID- 18157277 TI - Sensitivity study of two high-throughput resolution metrics for photoresists. AB - The resolution of chemically amplified resists is becoming an increasing concern, especially for lithography in the extreme ultraviolet (EUV) regime. Large-scale screening is currently under way to identify resist platforms that can support the demanding specifications required for EUV lithography. Current screening processes would benefit from the development of metrics that can objectively quantify resist resolution in a high-throughput fashion. Here we examine two high throughput metrics for resist resolution determination. After summarizing their details and justifying their utility, we characterize the sensitivity of both metrics to known uncertainties in exposure tool aberrations and focus control. For an implementation at EUV wavelengths, we report aberration and focus-limited error bars in extracted resolution of approximately 1.25 nm rms for both metrics, making them attractive candidates for future screening and downselection efforts. PMID- 18157278 TI - Narrow-linewidth megahertz-repetition-rate optical parametric oscillator for high speed flow and combustion diagnostics. AB - We demonstrate the ability to generate ultra-high-frequency sequences of broadly wavelength-tunable, high-intensity laser pulses using a custom-built optical parametric oscillator pumped by the third-harmonic output of a "burst-mode" Nd:YAG laser. Burst sequences consisting of 6-10 pulses separated in time by 6-10 mus are obtained, with average total conversion efficiency from the 355 nm pump to the near-IR signal and idler wavelengths of approximately 33%. Typical individual pulse output energy for the signal and idler beams is in the range of 4-6 mJ, limited by the available pump energy. Line narrowing is demonstrated by means of injection seeding the idler wave using a low-power external-cavity diode laser at 827 nm. It is shown that seeding reduces the time-averaged linewidth of both the signal and idler outputs to approximately 300 MHz, which is near the 220 MHz Fourier transform limit. Line narrowing is achieved without recourse to active cavity stabilization. PMID- 18157279 TI - Nondestructive evaluation of cork enclosures using terahertz/millimeter wave spectroscopy and imaging. AB - Natural cork enclosures, due to their cell structure, composition, and low moisture are fairly transparent to terahertz (THz) and millimeter waves enabling nondestructive evaluation of the cork's surface and interior. It is shown that the attenuation coefficient of the defect-free cork can be modeled with a Mie scattering model in the weakly scattering limit. Contrast in the THz images is a result of enhanced scattering of THz radiation by defects or voids as well as variations in the cork cell structure. The presence of voids, defects, and changes in grain structure can be determined with roughly 100-300 microm resolution. PMID- 18157280 TI - Improving the performance of a pyramid wavefront sensor with modal sensitivity compensation. AB - We describe a solution to increase the performance of a pyramid wavefront sensor (P-WFS) under bad seeing conditions. We show that most of the issues involve a reduced sensitivity that depends on the magnitude of the high frequency atmospheric distortions. We demonstrate in end-to-end closed loop adaptive optics simulations that with a modal sensitivity compensation method a high-order system with a nonmodulated P-WFS is robust in conditions with the Fried parameter r 0 at 0.5 microm in the range of 0.05-0.10 m. We also show that the method makes it possible to use a modal predictive control system to reach a total performance improvement of 0.06-0.45 in Strehl ratio at 1.6 microm. Especially at r 0=0.05 m the gain is dramatic. PMID- 18157281 TI - Analytical light-ray tracing in two-dimensional objects for light-extraction problems in light-emitting diodes. AB - Light extraction from two-dimensional objects is discussed. Analytical calculations in terms of three different parameters have been applied to equiangular polygons to trace light rays during multiple reflections in a polygon. Based on the result that there are a finite number of incident angles in a polygon for a light ray, it was found that the triangle has the least chance to trap light rays among the polygons. The discussion has been extended to parallelograms, which have an advantage in light extraction to rectangles. Placement of a possible light source in polygons is discussed. PMID- 18157282 TI - Image storage based on circular-polarization holography in an azobenzene side chain liquid-crystalline polymer. AB - Image storage was investigated in a liquid-crystalline azobenzene polymer film based on circular-polarization holographic recording. An image was stored in pure polarization holograms using two orthogonal circularly polarized 532 nm beams and was reconstructed with a 633 nm beam. The polarization holograms showed high stability and a high diffraction efficiency of 31.8%. Moreover, the polarization holograms could convert arbitrary probe polarization state into circular polarization, and the diffraction efficiency was dependent on the probe polarization state, which was favorable for controlling the reconstructed images. PMID- 18157283 TI - [Therapy of rheumatic polymyalgia: the pathophysiologic management]. AB - Polymyalgia rheumatica (PMR) is an inflammatory syndrome affecting older people whose prevalence has increased in recent years. The suppression of the hypothalamic-pituitary-adrenal axis (HPA) and ageing may contribute to the pathogenesis of PMR. Chronic stress (i.e. interpersonal, chronic infections etc.) in elderly people may represent a risk factor for the development of PMR. In fact, elderly represent per se a condition of endocrine senescence including adrenal hypofunction, in addition chronic stress represents a further harmful stimulus to seriously compromise endogenous glucocorticoid production. Synovitis and vasculitis characterize the majority of the patients. Serum cytokine and steroidal hormone patterns suggest that patients with PMR have an intensive inflammatory reaction. As a matter of fact, glucocorticoids represent the most useful temporary "replacement" treatment during the active phase of PMR. The use of modified-release glucocorticoids that might induce higher levels during the night (circadian rhythms as in physiological conditions), will represent another important approach to optimize PMR treatment and reduce the side effects. Combination therapy between glucocorticoids and inhibitors of pro-inflammatory cytokines should be tested in large studies and early cases of PMR. PMID- 18157284 TI - [Pharmacological treatment of fibromyalgia]. AB - Fibromyalgia syndrome (FM) is a condition of chronic and diffuse muscular pain affecting particularly middle aged women. The aetiology of FM is not completely understood and it is currently considered a disorder of pain regulation. The most efficacious compounds include the tricyclic drugs and mixed reuptake inhibitors. Recent works suggest that the anticonvulsant medications pregabalin and gabapentin are also effective. Moreover, two serotonin and norepinephrine reuptake inhibitors-duloxetine and milnacipran show encouraging results in treating FM symptoms. The results of clinical trials of anti-inflammatory medications have been generally disappointing, but three RCTs have found that tramadol (with or without acetaminophen) is effective in FM. PMID- 18157285 TI - Ro60 and La ribonucleoproteins become self-aggregated by cell stress. AB - Ro and La antigens are of clinical interest in subacute cutaneous lupus erythematosus because skin lesions appear after UV irradiation, which induces the translocation of intracellular Ro and La ribonucleoproteins and trigger autoantibody production. Present studies address the question whether cellular stressors modify molecular characteristics and distribution of Ro60 and La proteins. To accomplish our goal HEp-2 cells were stressed by heat and UV irradiation and Ro and La expression was studied by indirect immunofluorescence and Western blot and crossed-immunoprecipitation using monoclonal anti-Ro/La or anti-HSP70 linked to CNBr-Sepharose 4B. Results of present studies confirm that Ro60 and La were located in the nuclei of non stressed cells; however under stress, both ribonucleoproteins were redistributed within cytoplasm and nucleoplasm, interestingly the stress induces self aggregation of both ribonucleoproteins, as demonstrated the Western blot assays. Ro and La proteins interact with the cytoskeleton protein via HSP70. In conclusion, the cell stress redistributes Ro and La proteins whiting nucleo-cytoplasmic compartments. This redistribution is accompanied by self aggregation of Ro and La which became associated with HSP70. Finally, the cell stress is an important factor for antigenic redistribution. PMID- 18157286 TI - [Two-years therapy with bosentan of pulmonary arterial hypertension related to connective tissue diseases]. AB - OBJECTIVE: Pulmonary arterial hypertension (PAH) is a rare but severe complication of connective tissue diseases (CTD), with a negative impact on patients survival. Bosentan, a receptor antagonist of endothelin, has been proved effective for the treatment of PAH. The aim of this study was to evaluate the effects and the safety of bosentan administered for 2 years in a group of patients with PAH related to CTD. METHODS: Twelve patients with PAH related to systemic sclerosis (8 cases), SLE (2 cases), mixed connective tissue disease (1 case) and polymyositis (1 case) attending the Rheumatology Unit of Padova University were treated with bosentan for two years. Distance walked in 6 minutes, right ventricular systolic pressure and mean pulmonary artery pressure estimated by doppler echocardiography were evaluated at baseline and after 6, 12, 18 and 24 months of treatment. Safety was assessed by laboratory tests performed every two months. RESULTS: During bosentan treatment, a significant decrease of right ventricular systolic pressure was observed after 6, 12, 18 and 24 months in comparison to baseline, whereas pulmonary artery mean pressure remained unchanged. Distance walked in 6 minutes slightly increased after 6 and 12 months, but significantly decreased after 18 and 24 months, mostly because complications of CTD which compromised the ability to walk arose in 4 patients. Adverse events related to bosentan were observed in 2 cases. CONCLUSIONS: Bosentan has been demonstrated effective in reducing pulmonary arterial pressure in a two-year period of treatment. Exercise capacity improved only in the first year of therapy and worsened thereafter, suggesting the opportunity of a combination therapy for a long-term treatment of PAH related to CTD. PMID- 18157287 TI - [Hospital anxiety and depression]. AB - OBJECTIVE: The study investigate the presence of depressive disorders in patient who are taken in general hospital, to prevent and reduce the risk of developing a psychological pathology (anxious-depressive symptoms). METHODS: We used two tests: 1. General Health Questionnaire (GHQ-12) by Goldberg, a self-report questionnaire, consisting of 12 items, used to estimate the probability of detecting non-psychotic mental disorders and problems in every day's activity. 2. Personal Health Questionnaire (PHQ), a self-report questionnaire, consisting of 10 items. It is a new tool for detecting individuals with ICD-10 depressive disorders, used to estimate the probability to individuate the presence of major depression symptoms, and minor depression symptoms. Tests have been administered to 140 subjects (males' experimental group, 32 subjects; males' control group, 20 subjects; females' experimental group 58 subjects; females' control group, 30 subjects) from eight departments of university hospital, medical faculty, and social services. RESULTS: It can be noted that with GHQ-12, the presence of non psychotic mental disorders does not come out: just the females' group, experimental and control, shows some problems with insomnia and stress. On the other hand, with PHQ, the presence of no great entity depressive symptoms comes out for all groups. In the experimental groups the quantity of depressive symptoms is greater than in the control groups. CONCLUSIONS: We have find the presence of a number of depressive symptoms into a hospitalized population. It is known that detecting such symptoms is important for protection and care of depressive disorders in hospitalized and non-hospitalized populations. PMID- 18157288 TI - [Efficacy of Cellfood's therapy (deutrosulfazyme) in fibromyalgia]. AB - OBJECTIVE: To assess the efficacy of Cellfood's therapy in the treatment of fibromyalgia. METHODS: This study was a single-blind, cross-over, randomized placebo-controlled trial. Forty female were selected from 320 cases investigated in the period 2003-2005 of June. To be included in this study, it was required that the diagnosis of fibromyalgia was made by a specialist in according to the ACR classification criteria of 1990. The patient's age was between 35-47 years, the choice of criteria were the absence of improvements with the conventional therapy and the normality of medical check-up. The patients were divided into two different-groups of thirty-one and nine subjects, each-one (group A) treated with Cellfood for six months in according to the Eurodream's scheme, and each-other (group B) treated with placebo for three months and successively with Cellfood for three months. Besides we have estimated the tender points with algometer and the health status of women with the Fibromyalgia Impact Questionnaire (FIQ) at the baseline (T0) and at three (T1) and six month (T2). RESULT: The group A had an appreciable improvement of the parameters at T1 statistically significant compared to the group B, while we observed a stability of they at T2 on the group A and an improvement of the parameters of the group B statistically non significant compared to each-one. CONCLUSION: Our result suggest that the Cellfood's therapy improve fibromyalgia symptoms and health-related quality of life. PMID- 18157289 TI - Total temporomandibular joint prosthesis as a surgical option for severe mouth opening restriction. A case report of a bilateral intervention. AB - Several conservative treatment approaches to the disorders of the temporomandibular joint (TMJ) have been described in the literature. Nonetheless, in a minority of cases not respondent to reversible conservative therapies a surgical approach to the TMJ is needed. In recent years, a total temporomandibular joint replacement with alloplastic prosthesis have been introduced as a treatment option in the presence of a severely damaged or mutilated joint, mainly resulting from severe joint diseases, as in the case of complex inflammatory-degenerative diseases, or failure of previous surgeries. The present paper described a case report of a bilateral temporomandibular joint replacement intervention in a female patient with severe mouth opening restriction and pain in the TMJ area. Also, a discussion of the potential indications for TMJ replacement has been provided, along with the description of the surgical procedure. PMID- 18157290 TI - [Diffused suberitrodermic psoriasis induced by infliximab]. AB - The case of a young male is described, affected by Crohn disease with reactive Spondylarthritis essay with Infliximab to the dose of 3 mg/kgs. After 15 days from the third infusion, the patient developed a first psoriasis eruption to the palm of the hands and the plant of the feet, for which was begun topical therapy with cortisone. After an initial improvement, the patient suffered a diffusion of the psoriasis eruption to the whole trunk and the limbs with a suberitrodermic aspect. The possible pathogenesis of this paradoxical effect of the anti-TNF is considered. Also being still partly the causes, is important the inhibition of the TNF-alpha with consequent expansion of the INF-alpha, in turn potential inductor of psoriasis. PMID- 18157291 TI - [Wars in the history of rheumatology]. AB - Some important discoveries in the history of rheumatology happened during war periods. It is well known that arthritis associated with conjunctivitis and urethritis, following dysenteric episodes, has been described during the First World War from the German Hans Reiter and, nearly contemporarily, from the French Noel Fiessinger and Edgar Leroy. Less known is instead the fact that the first cases of sympathetic algoneurodystrophy have been reported by the American Silas Weir Mitchell in soldiers wounded by fire-arms, during the Civil War of Secession. Other war episodes have been crucial for the development of some drugs now abundantly applied to the care of rheumatic diseases. The discovery of therapeutic effects of immunosuppressive agents, in fact, happened as an indirect consequence of the use of poison gas, already during the First World War (mustard gas), but above all after an episode in the port of Bari in 1943, where an American cargo boat was sunk. It had been loaded with a quantity of cylinders containing a nitrogenous mustard, whose diffusion in the environment provoked more than 80 deaths owing to bone marrow aplasia.Moreover, the history of the cortisone shows a strict link to the Second World War, when Germany imported large quantities of bovine adrenal glands from Argentina, with the purpose of producing some gland extracts for the Luftwaffe aviators, in order to increase their performance ability. PMID- 18157292 TI - [Is crystalline lens extraction experimental?]. PMID- 18157294 TI - [Evaluation of fundus autofluorescence in hereditary retinal diseases using Heidelberg Retina Angiograph2]. AB - PURPOSE: To define characteristics of the fundus autofluorescence examination, verifying usefulness in the diagnosis and care of hereditary retinal diseases. METHODS: 28 patients, adults, divided equally into four groups with diagnoses of Stargardt macular dystrophy, cone dystrophy, retinitis pigmentosa and healthy volunteers for the establishment of the normality pattern. An average of nine images with the filter for fluorescein angiography was obtained for the formation of the image autofluorescence using Heidelberg Retina Angiograph2. The images of each group of patients were analyzed to verify common characteristics. RESULTS: The fundus autofluorescence of healthy volunteers showed the foveal area darker than the surrounding retina. The images of Stargardt macular dystrophy, in general, presented an oval central lesion, with reduced autofluorescence. The main alterations of the autofluorescence in patients with cone dystrophy were reduced foveal autofluorescence with a parafoveal ring of increased autofluorescence. In general, the images of retinitis pigmentosa showed outlying pigments with reduced autofluorescence, and of the foveal area, in some cases disorganization or reduced autofluorescence. CONCLUSION: The study showed the existence of patterns of fundus autofluorescence in the hereditary retinal diseases that allow the diagnosis and better interpretation of the pathogenesis of these diseases. PMID- 18157295 TI - [Evaluation of the modified capsular tension ring in cases of traumatic lens subluxation]. AB - PURPOSE: To evaluate the behavior of the modified capsular tension ring (MCTR) in traumatic subluxated cataracts analyzing the visual acuity, centration of the capsular bag, pseudophacodonesis, postoperative follow-up and intra- and postoperative complications. SETTING: Cincinnati Eye Institute, Cincinnati, Ohio, USA. METHODS: Twenty-two eyes of 22 patients with traumatic loss of zonular support had phacoemulsification using PCIOL and MCTR implantation. The preoperative examination included best correct visual acuity (BCVA) and the presence or absence of phacodonesis, lens decentration and vitreous prolapse. The postoperative evaluation included BCVA, the presence of pseudophacodonesis, PCIOL centration, necessity of vitrectomy and other complications. RESULTS: 21 eyes (95.45%) had an improvement in BCVA. The preoperative examination disclosed phacodonesis in 11 eyes (50%) and no eye presented pseudophacodonesis in the postoperative period. Preoperatively, symptomatic decentration was presented by 10 eyes (45.45%) and 22 eyes (100%) had no decentration after surgery. The preoperative examination revealed vitreous prolapse in the anterior chamber in 9 eyes (40.90%). Vitrectomy was required in 11 eyes (50%). CONCLUSIONS: The use of the MCTR resulted in a good centration of the capsular bag and the PC IOL in 22 eyes with traumatic cataract and loss of zonular support. PMID- 18157296 TI - [Anophthalmic cavity and implant extrusion]. AB - PURPOSE: To evaluate the characteristics of patients with anophthalmic cavity who developed sphere extrusion. METHODS: A retrospective observational study was done evaluating 37 patients with anophthalmic cavity and sphere extrusion at the "Faculdade de Medicina de Botucatu-UNESP". RESULTS: Extrusion was observed in enucleated and eviscerated cavities. The majority of the patients had the eye removed because of phthisis bulbi or trauma and the extrusion happened 1 or 2 years after the surgery. Extrusion was preceded by conjunctival dehiscence and exposure of the sphere and occurred with all used implants. CONCLUSION: Complications after orbital implant placement are a possibility. Dehiscence and sphere extrusion may happen and another surgery would be necessary. The patient and the ophthalmologist have to be prepared for this. PMID- 18157297 TI - [Ultrastructural and growth factor analysis of amniotic membrane preserved by different methods for ocular surgery]. AB - PURPOSE: To compare the anatomical structure and the presence of growth factors and cytokines of amniotic membrane preserved in glycerol/MEM (1:1) or undiluted dimethyl sulfoxide through electron microscopy. METHODS: Amniotic membrane preserved in glycerol/MEM (1:1) or undiluted dimethyl sulfoxide were processed for transmission and scanning electron microscopy. As control, freshly collected amniotic membrane was fixed and processed for electron microscopy. The cytokines and growth factors assessed were: TGF-beta (transforming growth factor beta); TGF beta activ (activated transforming growth factor beta); EGF (epidermal growth factor); FGF-4 (fibroblast growth factor 4); bFGF (basic fibroblast growth factor); IL-4 (interleukin 4); PGE2 (prostaglandin E2); IL-10 (interleukin 10); KGF (keratinocyte growth factor); HGF (hepatocyte growth factor). RESULTS: Amniotic membrane from the control group showed intact epithelium, with surface microvilli and junctional complexes between the cells and the basal membrane. Glycerol/MEM preserved amniotic membrane had similar aspect to the control, with higher epithelial cells. Those amniotic membranes preserved in dimethyl sulfoxide disclosed less intercellular junction and detachment of the epithelium from the basal membrane. The cytokines and growth factors did not disclose significant differences, except for FGF-4, bFGF, PGE2 and KGF. CONCLUSIONS: Amniotic membrane preserved in glycerol/MEM showed a better tissue structure, with less detachment of the epithelium from the basal membrane, in comparison to undiluted dimethyl sulfoxide. The majority of the growth factors and cytokines were kept with both techniques of preservation. PMID- 18157298 TI - [Contrast sensitivity in diabetic retinopathy treated with argon laser panphotocoagulation]. AB - PURPOSE: To evaluate contrast sensitivity in patients with diabetic retinopathy (DR) treated with argon laser panphotocoagulation. METHODS: Prospective study of patients with diabetic retinopathy and 20/20 visual acuity, treated with retinal panphotocoagulation, following ETDRS criteria. The patients were submitted, initially, to complete ophthalmologic evaluation and contrast sensitivity testing (Vision Contrast Test System). After 3 months of treatment, they were reevaluated by means of visual acuity and contrast sensitivity. RESULTS: The sample comprised 28 patients (28 eyes), all with type II diabetes. A ranged from 45 to 77 years (mean 57.8+/-8.0), 19 (67.9%) patients were male and 9 (32.1%) female. Regarding the type of retinopathy, 18 (64.3%) had proliferative DR and 10 (35.7%) very severe non proliferative RD. No visual acuity alteration was observed after treatment. In relation to contrast sensitivity, there were no alterations between pre and post-treatment in all evaluated spacial frequencies 1.5 (p=0.191); 3.0 (p=0.850); 6.0 (p=0.374); 12.0 (p=0.674) e 18.0 (p=0.443). CONCLUSION: There was no significant alteration in the contrast sensitivity of patients with diabetic retinopathy after panphotocoagulation with argon laser in the studied period. PMID- 18157299 TI - [Ophthalmologic findings in cardiac transplant recipients]. AB - PURPOSE: To evaluate findings of ophthalmologic examinations in cardiac transplant recipients, searching especially for changes in the retinal nerve fiber layer by means of Scanning Laser Polarimetry. METHODS: Fifteen cardiac transplant recipients were examined from September 2003 to July 2004. All of them underwent ophthalmologic examination, which consisted of visual acuity (VA), biomicroscopy, tonometry and fundoscopy. Fiber layer analyzer-GDx-examination was performed in eleven patients. Twelve patients were men. The mean age was 55.0+/ 13.5 years. The follow-up since transplantation lasted from 3 to 74 months; mean value 29.7+/-20.8 months. RESULTS: VA with best correction in all patients attained at least 20/40. Subcapsular posterior cataract was seen in one patient; another presented corneal nubeculae secondary to herpes zoster. In one case a scar suggesting retinocoroiditis was seen at fundoscopy. Biomicroscopic and the fundoscopic findings were expected because of immunosuppressive treatment, following transplantation. GDx examination disclosed loss of fibers in the superior retinal fiber layer in 12 of the 22 examined eyes. CONCLUSION: These results support the hypothesis that reduction of oxygen inflow in retinal circulation before or during heart transplantation could lead to loss of fibers in the retinal nerve fiber layer. PMID- 18157300 TI - Comparison of the original Amsler grid with the preferential hyperacuity perimeter for detecting choroidal neovascularization in age-related macular degeneration. AB - PURPOSE: To compare the preferential hyperacuity perimeter (Preview PHP; Carl Zeiss Meditec, Dublin, CA) with the original Amsler grid in the detection of choroidal neovascularization (CNV) in patients with age-related macular degeneration (AMD). METHODS: Patients were classified into groups, based on the severity of the age-related macular degeneration and underwent preferential hyperacuity perimeter and Amsler grid testing. High sensitivity and or high specificity of a method were defined as the observation of at least 80% of each one the parameters. RESULTS: Sixty-five patients (65 eyes) were analyzed statistically. The sensitivity of detection of choroidal neovascularization was 70% by the Amsler grid and 90% by the preferential hyperacuity perimeter and the specificity of the Amsler grid was 85.5% and that of the preferential hyperacuity perimeter 81.8%. CONCLUSIONS: The preferential hyperacuity perimeter has greater sensitivity than the Amsler grid in the detection of choroidal neovascularization among patients over 50 years of age and is a promising method for monitoring patients with age-related macular degeneration. Although the original Amsler grid is less sensitive, it is a portable method, not expensive, accessible and presents reasonable sensitivity and high specificity in the diagnosis of choroidal neovascularization. Its use can be recommended for self-monitoring in patients with age-related macular degeneration as an alternative to preferential hyperacuity perimeter and when this method is not available. PMID- 18157301 TI - [Use of anatomical measures of idiopathic macular hole obtained through optical coherence tomography as a predictive factor in visual results: a pilot study]. AB - PURPOSE: To evaluate the anatomy of idiopathic macular hole (IMH) using Optical Coherence Tomography (OCT) and to construct a prognostic index that can be correlated with the visual outcomes and the anatomical closing. METHODS: Prospective study, in which 22 eyes with IMH had been evaluated through OCT in the daily postoperative period of IMH surgery. The Prognostic of Macular Hole Index (PMHI) was created which was correlated with the anatomical result and the postoperative visual acuity (VA) six months after surgery. RESULTS: Sixteen eyes (72.7%) got anatomical closing at the end of six months of follow-up. On analysis of PMHI, there was significant difference between group 1 (open MH) and group 2 (closed MH) (p=0.0018). The risk for failure of anatomical closing is 11 times greater when the diameter of the internal base is over 600 microm or IPBM is less than 0.6 (p=0.0495). Regarding final VA, it was observed that the IPBM had a significant negative correlation with AV (p=0.001). CONCLUSIONS: IPBM showed to be the best predictor of anatomical closing and postoperative visual acuity among the studied variables. It predicted 41% of the postoperative final visual acuity, leading us to believe that other factors, such as the time of history and the degeneration of photoreceptors in these older BM, can be involved in the visual outcomes. PMID- 18157302 TI - [Macular thickness analysis by optic coherence tomography in refractory diabetic macular edema treated with intravitreous triamcinolone]. AB - PURPOSE: To assess the effect of intravitreal injections of triamcinolone on macular thickness (Stratus-OCT), intra-ocular pressure and visual acuity, in the treatment of diabetic macular edema non-responsive to previous laser photocoagulation, over a 6-month period. METHODS: The study included 21 subjects (22 eyes) who underwent complete ophthalmologic examination, measurements of visual acuity and intraocular pressure, and OCT, previously treated with at least 2 laser applications. The study participants were treated with 4 mg/0.1 ml intravitreal triamcinolone. Follow-up visits were scheduled for the 1st day after treatment, and after 1, 3 and 6 months. Visual and anatomical results, as well as possible complications associated with the intravitreal injection procedure were studied. RESULTS: The study showed a significant reduction in mean macular thickness, assessed by OCT at 1, 3 and 6 months post-treatment (p=0.001), combined with an improvement of the mean visual acuity (p<0.001). Central macular thickness mean+/-SD value on the first visit was 399 (+/-121 microm); it was reduced by 39.9% (239+/-53 microm) at the first month (p<0.001), 35.5% (255+/-93 microm) at the third month (p<0.001), and 18.1% (326+/-135 microm) at the sixth month (p=0.001). The improvement in mean visual acuity was of 18 and 16 letters on the ETDRS table, on the 3rd and 6th month, respectively. Reported complications were an increase in intraocular pressure in seven eyes (33.3% of the cases). CONCLUSIONS: A reduction in mean retinal thickness was observed throughout the entire follow-up period, with significant increase in macular thickness between the 3rd and 6th month. The mean visual acuity showed statistically significant improvement at the end of the follow-up period, but no change was noticed between the 3rd and 6th month. PMID- 18157303 TI - [The diagnostic communication of keratoconus and its influence on the social representation that the patient has of his/her illness]. AB - PURPOSE: To analyze the influence of diagnostic and prognostic communication and the awareness and affectivity of the patient with keratoconus and to verify the possible modifications in the social representation that the individual has of the disease, of himself and of his life. METHODS: The sample was consisted of 44 subjects, both genders, aged 13 to 53 years, with diagnosis of keratoconus who agreed to participate in this study. The study was carried out at the "Hospital das Clinicas", University of Sao Paulo Medical School, and at the "Hospital de Olhos Sadalla Amin Ghanem" (Eye Hospital), in Joinville, state of Santa Catarina. A questionnaire used to assess the information received by patients with keratoconus was specially developed for this study. A quantitative and qualitative analysis of the collected data was performed through descriptive and demonstrative analyses of speech, based mainly on Social-Historical Theory. RESULTS: In general, the patients did not consider the information provided by the doctors as being satisfactory. This fact may be related to how the information is transmitted and its contents. This is influenced by several variables, such as professional training, structural characteristics of the provided care, awareness by the doctor of the importance of language and social representation related to the condition of the patient, the socioeconomic and cultural level of the physician and the patient, etc. CONCLUSION: This study indicates that the way the information is transmitted influences the social representation that the individual has of the illness and of himself. PMID- 18157304 TI - [One month in an eye emergency clinic in Brasilia]. AB - PURPOSE: To evaluate all the visits to the ophthalmic emergency service in Brasilia, Distrito Federal, Brazil, through a 1-month period. METHODS: A retrospective chart review was carried out of all patients attending the ophthalmology emergency department of the "Hospital de Base de Brasilia" during September 1 to 30, 2003. RESULTS: Mean age was 32.9+/-18.0 years (ranging from zero to 90). Seventy per cent of patients were of the working age category (from 20 to 59 years-old). Sixty-two per cent of the patients were male (n=1,777) and 38% female (n=1,067). Seventeen per cent of the patients lived in another state, and 83% lived in the Distrito Federal itself. In 3% of the charts, no address was informed. In the group of patients residents of the Distrito Federal, 84% lived at least 30 km away from the "Hospital de Base". Ocular traumas of any nature were the most frequent occurrence (n=730/30%), followed by conjunctivitis (n=568/24%). Doctors have not filled out 457 charts (16%). CONCLUSION: The ophthalmic emergency service of the "Hospital de Base" de Brasilia is not properly located. The great majority of patients presented with common pathologies, emphasizing the need for a primary care system. This aspects plus the lack of information in a great number of charts suggests that the ophthalmic public health system in the "Distrito Federal" requires changes. PMID- 18157305 TI - [Topographically-guided photorefractive keratectomy for the management of secondary hyperopia following radial keratectomy]. AB - PURPOSE: To describe a topographically guided photorefractive keratectomy technique for the management of secondary hyperopia following radial keratectomy. METHODS: A retrospective study was carried out in patients where a topographically guided photorefractive keratectomy technique was performed for the management of secondary hyperopia following radial keratectomy. The patients had preoperatively at least 3 diopters of hyperopia. The minimum follow-up was 3 months. RESULTS: Twenty-four eyes of 21 patients were evaluated. The mean age was 45.54+/-6.03 years (range 36 to 55 years). The average follow-up was 7.71+/-4.6 months (range 3 to 17 months). Preoperatively the average spherical equivalent was +3.92+/-1.57 (range +1.25 D to +7.75 D), and postoperatively it was -0.29+/ 1.43 (range -3.75 D to +2.50 D) (p<0.01). Visual acuity of 20/25 or better was achieved in 45.83% of the eyes, 20/40 or better in 83.33% and 20/60 or better in 100%. All patients were satisfied with the results and stated subjective improvement in visual quality. CONCLUSION: Considering that it is a retreatment procedure performed in unstable and irregular corneas with high degrees of hyperopia, topographically guided photorefractive keratectomy showed good results and was safe and effective for the management of secondary hyperopia following radial keratectomy. PMID- 18157306 TI - [Socioeconomic profile of individuals presenting with glaucoma in the service of ophthalmology of the University Hospital of the Federal University of Juiz de Fora - Minas Gerais - Brazil]. AB - PURPOSE: To assess the socioeconomic profile of individuals presenting with primary glaucoma at the ophthalmology service of the university hospital of the Feredal University of Juiz de Fora (MG), Brazil. METHODS: Submission of a questionnaire to 100 individuals during consultation in the ophthalmology service of the university hospital of Federal University of Juiz de Fora (MG), Brazil. RESULTS: Eighty-four per cent of individuals were pensioners or retired, 86% had a monthly income of 1 to 2 salaries, 29% had been spending 26 to 75 reais per month with glaucoma therapy, 78% presented with comorbidities and 41% had already abandoned treatment due to financial difficulties in buying the medication. CONCLUSION: The low-socioeconomic-level studied population presents with therapeutic compliance difficulties mainly due to financial situation and presence of comorbidities. The authors reinforce the urgent need of adopting sociopolitical measures that facilitate access to antiglaucoma medication, which prompts a better therapeutic compliance. PMID- 18157307 TI - [Clinical treatment of diffuse unilateral subacute neuroretinitis with albendazole]. AB - PURPOSE: To describe the evolution of a series of cases of diffuse unilateral subacute neuroretinitis (DUSN) treated with albendazole. METHODS: Interventional case series. The authors developed a non-randomized clinical trial protocol to investigate the clinical evolution of diffuse unilateral subacute neuroretinitis cases treated with albendazole. According to protocol criteria up to now, six patients were selected that will be described separately. RESULTS: Of the six studied patients, four presented the worm. All six patients treated with the antiparasitic drug showed improvement of visual acuity and of chorioretinal scars. During the weeks of treatment, evidence of worm inactivation was documented for the four patients with visible worms. No adverse drug side effects were observed. CONCLUSIONS: The antiparasitic drug albendazole seems to be beneficial and safe in patients with diffuse unilateral subacute neuroretinitis. More studies are necessary to evaluate the effectiveness of albendazole in the treatment of diffuse unilateral subacute neuroretinitis. PMID- 18157308 TI - ["Vision through the hands": experience of a project]. AB - PURPOSE: The Project "Vision through the hands" was performed by the Altino Ventura Foundation, with the purpose of investigating the present child situation with multiple disabilities in the state of Pernambuco, Brazil. METHODS: Birth and social conditions, social problems, and difficulty in accessing the specialized services were evaluated, aiming to collect relevant data with the goal of posterior implantation of a specialized diagnosis and treatment center. Ophthalmologic care and proper treatment were offered. RESULTS: Three hundred and nine children from five reference institutions in disabilities were attended, on six non consecutive days. All cases underwent ophthalmologic examinations and parent interviews. During the waiting time between the ophthalmologic visits and parent interviews the patients performed activities with artists. A multidisciplinary team of 31 professionals was available. According to parent information 83.1% of the patients were considered included in the society and only 45.4% attended school (normal or special). The difficulty to get access to ophthalmologic service was reported by 51.1%. Two hundred and seventy children with multiple disabilities were identified, 154 (56.2%) of whom underwent an ophthalmologic examination for the first time, and 33.0% had low visual acuity (inferior to 20/60 Snellen). The most frequent diagnoses were: refraction error, strabismus, ambliopia, alterations of optic nerve (glaucoma and atrophy), and cataract. Eighty-four glasses were prescribed. CONCLUSION: This project was pioneer in the region, allowing to obtain the information about important problems regarding multiple disabilities, and making possible ophthalmologic care and specialized treatment to the children. PMID- 18157309 TI - [Uveitis and spondyloarthritis: prevalence and relationship with joint disease]. AB - PURPOSE: To study uveitis prevalence in the local population with spondyloarthritis and its temporal relationship with joint complaints. METHODS: We reviewed seventy-seven charts of spondyloarthropathy patients from the rheumatology clinic of the "Hospital Universitario Evangelico de Curitiba" for spondyloarthritis class, patients' sex and age, occurrence of uveitis and its location and relationship between the first episode of uveitis and initial joint complaints. RESULTS: Uveitis was found in 12 of 77 patients (15.6%) which was anterior in 83.3% of the cases, without preference for spondyloarthropathy class (p=0.72) and patients' sex (p=0.74). In patients with reactive arthritis, the mean time between uveitis appearance and joint complaints was 4.04 months and in ankylosing spondylitis 73 months (p=0.009). CONCLUSION: Spondyloarthropathy patients have uveitis that is anterior in most of the cases and that appears earlier in reactive arthritis than in ankylosing spondylitis. PMID- 18157310 TI - Artificial eye amplitudes and characteristics in enucleated socket with porous polyethylene spherical and quad-motility implant. AB - PURPOSE: To compare artificial eye amplitudes in enucleated socket with porous polyethylene either spherical or quad-motility implant and study the characteristics of artificial eyes fit with the two orbital implants. METHODS: A total of 21 patients were prospectively studied who underwent enucleation because of an intraocular melanoma and the randomization defined a porous polyethylene either spherical or quad-motility orbital implant. Measurements of the amplitude of the artificial eye were obtained with prism and digital photos. The software Scion Image analyzed the digital photos (www.scioncorp.com) and the quantitative data were allocated to groups. The measurements (height, length, thickness) and weight of the 21 artificial eyes were analyzed. Student's t-test was performed to determine the significance of difference between groups (p<0.05). RESULTS: There was no statistically significant difference of the artificial eye amplitude analyzed by means of prisms between both orbital implants (p>0.05 for all directions). On analyzing the digital photos, the artificial eye with spherical implant showed higher artificial eye amplitude downward (p=0.009) among patients older than 55 years old, rightward (p=0.036) and downward (p=0.008) among the 9 patients with enucleated right eye. Height and length were similar in the 21 artificial eyes but those artificial eyes fit with quad-motility orbital implants were statistically significant thicker (p<0.001) and heavier (p=0.001). CONCLUSIONS: The similar amplitude of movement of artificial eyes was observed with both spherical and quad-motility orbital implants. Artificial eyes fit with quad-motility orbital implant are significantly thicker and heavier than those fit with spherical orbital implant. PMID- 18157311 TI - Evaluation of Internet websites about floaters and light flashes in patient education. AB - PURPOSE: Flashes of light and floaters are most commonly caused by posterior vitreous separation but may be associated with sight-threatening disorders. Prevention of severe sequelae requires prompt dilated eye examination. Thus, information dissemination is crucial. This study aimed to evaluate the quality of information about floaters and light flashes available for patients on the Internet. METHODS: Cross-sectional study. In July 2005 we evaluated information available on the Internet regarding floaters and light flashes, using two search engines (MetaCrawler and MSN) and three key terms ("floaters", "dark spots eye", and "light flashes eye"). The quality of each website was evaluated using a score system. The sites were classified as academic, organizational or commercial. Readability, general quality of the website (based on: ownership, purpose, authorship, author qualification, attribution, interactivity, and currency) and quality of the specific content (definition, causes, epidemiology, diagnosis, treatment, and prognosis) were analyzed. RESULTS: Of 145 websites evaluated, 49 were included. Four sites (8.2%) were academic, 9 (18.4%) organizational, and 36 (73.4%) commercial. In the majority of the sites (53.0%) information was poor and quality was not correlated with website classification. CONCLUSIONS: Information about floaters and light flashes available on the Internet is poor. PMID- 18157312 TI - [Evaluation of macular perimetry in patients with age-related macular degeneration using the scanning laser ophthalmoscope]. AB - PURPOSES: To evaluate the correlation between anatomical changes (hard druses, soft druses, hyperpigmentation, new vessels, detachment of retinal pigment epithelium, hypopigmentation and chorioretinal atrophy) and light sensitivity in patients with age-related macular degeneration (ARMD); analyze macular sensitivity in areas with no anatomical lesions in patients with ARMD and compared them to the control group in order to detect if there was any functional lesion in areas with no anatomical changes. METHODS: A cross-sectional, comparative, descriptive and analytic study was performed. The case group consisted of 31 subjects with ARMD aged between 51 and 88 years. The control group consisted of 31 "healthy" subjects, without ARMD aged between 61 and 80 years. The groups were matched for gender and age. We performed static macular perimetry, red-red, using a scanning laser ophthalmoscope (SLO). Results of macular perimetry were correlated with the anatomic lesion identified in the same site by infrared laser and color photographs. RESULTS: Areas with new vessels or atrophy showed a significantly different sensitivity in relation to areas without anatomical lesions in patients with ARMD. There was significant functional loss in areas with no anatomical lesions in patients with ARMD in relation to the control group. CONCLUSIONS: Areas with new vessels or atrophy could be distinct factors for worsening of the localized macular sensitivity. There might be functional loss even in areas with no apparent anatomical changes in ARMD patients. PMID- 18157313 TI - [Central retinal artery occlusion secondary to brachial cineangiocoronography: case report]. AB - The authors report a case of a patient with coronary insufficiency who developed central retinal artery occlusion following cardiac catheterism through the brachial artery and cineangiocoronography. This procedure can lead to embolic phenomena like that which was reported. PMID- 18157314 TI - [The use of latex biomembrane in exenteration: case report]. AB - The latex biomembrane is a material from Hevea brasiliensis and has angiogenic properties, cellular adhesion and extracellular matrix formation. It has been used for the treatment of ulcers in the inferior extremities caused by diabetes, chronic vascular insufficiency and timpanic perforations. In this study we report a case of biomembrane use to promote granulation in the orbital cavity after exenteration in a male, 72 years, who came into our service with a left eyelid lesion for two years. The ocular examination revealed a hyperemic conjunctiva, corneal thinning, cataract and ocular perforation in the left eye. The right eye had no alterations. There was an expansive and ulcerated lesion with orbital septum, frontal bone and lamina papiracea invasion confirmed by tomography. A total exenteration of the cavity was made and the biomembrane was applied to the affected site. Changes were made every 24 hours in the first seven days, and every other day in the following seven days. The biomembrane had to be taken from the patient because no granulation could be seen. Just one occurred and a half month later. Exenteration is a procedure in which all of the orbital content is removed. If the eyelids are included it is called total exenteration. There are many exenteration techniques as spontaneous granulation, skin grafts, miocutaneous flap, etc. In this case we used a material which has been successfully applied for other wounds, but with no efficiency in our experience. More studies are necessary so that we can present benefits to our patients in the ophthalmologic area with the latex biomembrane. PMID- 18157315 TI - Macular edema associated with gyrate atrophy managed with intravitreal triamcinolone: a case report. AB - PURPOSE: To describe the use of 4 mg intravitreal triamcinolone acetonide (IVTA) for gyrate atrophy-related macular edema (ME) and to report anatomic and functional outcomes, during a nine-month period. CASE REPORT: A 27-year-old female complained of decreased vision since diagnosis of gyrate athrophy (GA), six years before admission. At presentation visual acuity was 20/100 in OD and 20/80 in OS. Ophthalmological examination disclosed significant cataract in OD, pseudophakia in OS and typical GA findings. Fluorescein angiography (FA) disclosed ME that was confirmed by optical coherence tomography (OCT), which also showed subfoveal fluid. OS was treated with a 4-mg IVTA injection. One month later, vision improved to 20/50+1 and foveal thickness decreased, with less leakage in FA. This picture was maintained up to six months, when there was recurrence of ME to a level similar to the baseline. At nine months, visual acuity dropped to 20/80, and ME was maintained, with remodeling in macular profile. CONCLUSION: There is a transient therapeutic effect with 4-mg IVTA injection for GA-related ME. After drug clearance, edema recurs, with return of visual acuity to pretreatment level. PMID- 18157316 TI - [Intraocular involvement in Erdheim-Chester disease--first report in the literature: case report]. AB - Erdheim-Chester disease (ECD) is a granulomatous and infiltrative disorder of unknown etiology with proliferation of cholesterol-containing histiocytes and peculiar bone involvement. It is very similar to Langerhans cell histiocytosis (LCH) on histology but with a different immunohistochemical profile. This is the first report of intraocular involvement in this disease. MPSG, a 46 y.o. woman, presented with proptosis of the OD. She referred ulcerated lesions on the hard palate, symmetrical and bilateral osteosclerosis of the fibulae and tibiae and a nodule in the right breast (biopsy: xantomatous histiocytic infiltrate CD68+, S 100 and CD1a negative on immunohistochemistry compatible with ECD). MRI studies demonstrated an extraconal tumor in the juxta-bulbar temporal portion of the right orbit close to the lacrimal gland and hyperintense on T1. Vision was 20/20 OU, with numerous drusen in the posterior pole, similar to basal laminar drusen. Two regions of orange subretinal infiltrates that showed progressive staining on the angiogram were seen in the peripapillary region and also close to the fovea in the OD. Choroidal neovascular membranes were seen 2 years later in OU leading to severe visual loss in the OS and to a slight visual field loss in the OD, which retained 20/20 vision. This pioneer report depicts in vivo characteristics of histiocytic granulomas in ECD. Caution should be taken with patients with ECD as potentially blinding intraocular complications may arise. PMID- 18157317 TI - Central retinal artery occlusion associated with traumatic carotid cavernous fistula: case report. AB - Carotid cavernous fistulas are a rare entity occurring as result of head trauma and also spontaneously. The authors report a rare case of central retinal artery occlusion complicating traumatic carotid-cavernous fistula, resulting in severe visual acuity loss. Spontaneous closure of the fistula was observed. The possible mechanisms responsible for this complication are discussed. PMID- 18157318 TI - [Leber's miliary aneurysms associated with vitreomacular traction syndrome: case report]. AB - Retinal telangiectasias are idiopathic vascular abnormalities of the retina characterized by irregular dilatation of the retinal vessels, intraretinal and subretinal exudation. The aim of this article is to describe the uncommon association of Leber's miliary aneurysms and vitreomacular traction syndrome in a female patient. The diagnosis was established with angiofluoresceinography and optic coherence tomography. The patient was treated with focal photocoagulation with argon green laser directed to the perimacular aneurysms and pars plana posterior vitrectomy. The visual acuity showed great improvement after a four month follow-up. The present report supports the importance of optic coherence tomography in cases where the vitreoretinal interface must be evaluated, including vascular pathologies, which allowed us to offer a better treatment to this patient. PMID- 18157319 TI - [Brazilian guidelines proposal for screening and treatment of retinopathy of prematurity (ROP)]. AB - Retinopathy of prematurity is one of the main causes of childhood blindness. Worldwide, there are more than 50,000 children blind due to retinopathy of prematurity. Visual impairment is a consequence of retinal detachment. It can be detected by serial ophthalmologic examination of infants at risk, and those identified with the severe form of the disease can be treated by laser or cryotherapy, which can decrease significantly the blindness due to ROP. The Brazilian Society of Pediatrics, Brazilian Council of Ophthalmology and Brazilian Society of Pediatric Ophthalmology suggest a guideline for the detection and treatment of retinopathy of prematurity in Brazil. This document was based on the results of the I Workshop of Retinopathy of Prematurity and presents the attributes for the implementation of an efficient diagnostic and treatment program. PMID- 18157320 TI - A fibrin-related line of research and theoretical possibilities for the use of fibrin glue as a temporary basal membrane in non-perforated corneal ulcers and in photorefractive keratectomy (PRK)-operated corneas. AB - PURPOSE: To report a specific line of research developed at the University of Sao Paulo/Brazil on fibrin glue used for sealing corneal perforations and the perspectives of use on non-perforated corneal ulcers and photorefractive keratectomy-operated corneas. METHODS: To describe fibrin glue manufacture, development of a device to test the glued perforated corneal area resistance, subsequent experimental investigations of the use of the fibrin glue in corneal perforations, reporting its efficacy, mechanical resistance experiments and histological study. Finally, the medical literature basis is searched to propose studies on the use of fibrin as a temporary basal membrane on non-perforated corneal surfaces like non-infectious corneal ulcers and on post-photorefractive keratectomy corneal surfaces. RESULTS: The development of fibrin glue, the device for resistance experiments, the efficacy, resistance and histological studies on fibrin glue used for sealing corneal perforations are reported as well as the scientific literature basis for the proposed studies on the use of fibrin as a temporary basal membrane on non-perforated corneas like non-perforated corneal ulcers and photorefractive keratectomy corneal surfaces. CONCLUSION: A specific line of research was reported on fibrin glue to seal corneal perforations at the University of Sao Paulo/Brazil and the theoretical perspectives for the use of fibrin in non-perforated corneal ulcers and on photorefractive keratectomy operated corneas in an attempt to reduce corneal haze. PMID- 18157321 TI - [Potential use of "wikis"to continuous update and medical knowledge improvement]. PMID- 18157322 TI - Visibility, the current challenge for publishing policy! PMID- 18157323 TI - [Caffeine consumption during pregnancy and prevalence of low birth weight and prematurity: a systematic review]. AB - This article reports on a systematic review of studies on caffeine intake during pregnancy and prevalence of low birth weight and prematurity, focusing on methods to quantify intake and control for confounding. The review consisted of an article search from 1996 to 2006 in MEDLINE, LILACS, and PubMed, using the key words: "caffeine", "coffee", "low birth weight", "birth weight", "preterm", "premature", and "prematurity". Ten articles were selected. Methods used to quantify caffeine consumption were: semi-quantitative food frequency questionnaires for diet or only caffeinated products, including one self-applied questionnaire; food recall; questions on type and method of preparation; analysis of samples; and urine and plasma caffeine levels. In three studies, high caffeine consumption was associated with low birth weight and/or prematurity. Contradictions between studies may be due to difficulties in measuring caffeine consumption; assessment of different caffeine sources; variations in the mode of preparation and amount consumed; and sample size. Association between moderate caffeine consumption and fetal growth was not demonstrated, so a more precise measurement of caffeine intake is necessary. PMID- 18157324 TI - Access to health care in developing countries: breaking down demand side barriers. AB - Effective health care interventions are underutilized in the developing world, and income-related disparities in use are large. The evidence concerning this access problem is summarized and its demand side causes are identified. Broad strategies that have been proposed to tackle the access problem through changes in economic incentives are considered. It is argued that there is a need to go beyond the identification of broad strategies to the design and evaluation of specific policy measures. Only through experimentation and evaluation will we learn what works in raising health care utilization, particularly among the poor in the developing world. PMID- 18157325 TI - DDT reintroduction for malaria control: the cost-benefit debate for public health. AB - DDT is a persistent insecticide that was widely used in the world from the 1940s until the 70s, when it was banned in the United States and other countries. Most of its toxic effects are not observed in the acute forms, but particularly after chronic exposure. These long-term issues include reproductive effects, varying according to the time of life in which the individuals were exposed. The aims of the current study were to review the principal toxicological effects of DDT on reproduction, stratifying by physiological periods of exposure, and based on the magnitude of these effects, to discuss the cost-benefit relationship of reintroducing DDT with the specifically defined vector control criteria. PMID- 18157326 TI - Patterns in the use of medicines by university students in Maputo, Mozambique. AB - Patterns in the use of medicines are expected to reflect distinct health features between populations. This study aimed to describe the self-reported use of medication by a sample of university students in Maputo, Mozambique. We conducted a survey of 797 students in a private university in Maputo. Participants completed a questionnaire including socio-demographic data and pattern of medication use in the preceding month. Information was collected on the number and names of drugs, duration of use, and prescription. The drugs were grouped according to therapeutic indication. In the previous month, 56% of students had used at least one pharmaceutical drug, with higher prevalence for women (65.2% vs. 42.2%) and men attending health-related courses (67.4% vs. 53.2%). The most commonly used medicines were anti-inflammatory/analgesic drugs (62.2%), anti infectives (25.9%), and vitamins/minerals (13.6%). The most frequently used single drugs were paracetamol (42.8%), amoxicillin (12.6%), and ibuprofen (8.4%). Duration of use was lowest for anti-inflammatory/analgesic drugs and highest for oral contraceptives. Use of medication by Mozambican students was similar to that observed in other university populations. PMID- 18157327 TI - [Risk factors for perinatal mortality in Recife, Pernambuco State, Brazil, 2003]. AB - The aim of this study was to identify and analyze risk factors for perinatal mortality in Recife, Pernambuco State, Brazil, in 2003, using a multilevel hierarchical model. In this case-control study, cases consisted of all perinatal deaths in 2003 in singleton infants with birth weight > 500g and without congenital malformations. The controls were live births from December 26, 2002, to December 31, 2003, with the same characteristics as the study group, but who survived > 6 days. By using record linkage techniques, 403 cases and 1,612 controls were obtained. All variables, when submitted jointly to multiple logistic regression, showed statistical significance in decreasing order of risk, as follows: prematurity (OR = 18.23), low birth weight (OR = 4.90), maternal age > 35 (OR = 1.97), delivery in public hospitals (OR = 1.93), and maternal schooling < 4 years (OR = 1.78). PMID- 18157328 TI - Use of contraceptive methods by sexually active teenagers in Pelotas, Rio Grande do Sul State, Brazil. AB - This study aimed to assess the prevalence of contraceptive use by adolescents. A cross-sectional study was performed from March to September 2002 in a representative sample of adolescents 15 to 18 years of age in the urban area of Pelotas, Rio Grande do Sul State, Brazil. Multiple-stage sampling was used, and in the 448 census tracts located in the urban area, 90 were sampled and households were visited in each tract. Information was collected on sexual initiation and use of contraceptive methods. Chi-square test was used to compare proportions. The sample included 960 adolescents. 88% of subjects reported the use of any contraceptive method. Condoms were the most commonly used method (63.2%). Low adolescent schooling was the only variable associated with increased risk of non-use of contraceptives. Condom use was higher among males, adolescents whose mothers had 9 or more years of schooling, and those reporting several sexual partners in the previous year. Condoms were the most commonly used contraceptive method. PMID- 18157329 TI - [Risk factors associated with very low birth weight in a low-income population]. AB - This study aimed to identify risk factors associated with very low birth weight in a general hospital in Caxias do Sul, Rio Grande do Sul State, Brazil. This was a case-control study of 200 newborns with birth weight from 500 to 1,499 g (cases) and 400 with birth weight from 3,000 to 3,999 g (controls). Infants were from singleton pregnancies, and their mother had received prenatal care at public health services. The dependent variable was birth weight, and independent variables included socioeconomic status, schooling, and gestational and birth status. Univariate and multivariate analyses were performed with a 5% level of significance. Mortality in very low birth weight newborns was 32.5%. The limits of viability were 600 g for birth weight and 26 weeks for gestational age. Variables related to very low birth weight were: maternal age > 35 years (p = 0.01), lack of prenatal care (p < 0.0001), illness during the index pregnancy (p = 0.03), maternal hypertension (p = 0.007), hospitalization during pregnancy (p < 0.0001), and prior history of low birth weight (p < 0.0001). Many premature births were due to avertable factors. PMID- 18157330 TI - Heterogeneity of malaria prevalence in alluvial gold mining areas in Northern Mato Grosso State, Brazil. AB - This paper analyzes factors affecting the risk of malaria among individuals working in wildcat gold mining camps (garimpos) in northern Mato Grosso State in the Brazilian Amazon. Historically, such mining camps have the locations with the highest malaria prevalence in the Brazilian Amazon. However, little attention has focused on understanding the disease from the internal perspective of the mining camps themselves, such as the mining population's characteristics and its spatial organization. This paper adopts a stepwise logistic model to identify spatial, occupational-exposure, and cultural factors that affect malaria prevalence. According to the results, differences among individuals working and/or living in the gold mining areas could produce different exposure to the disease and thus to different risk of malaria prevalence. Understanding these differences may provide an important tool for identifying risk profiles in the gold mining and related population and for informing programs for prevention and treatment of malaria in the Amazon. PMID- 18157331 TI - [Trends in body fat and muscle mass among elderly individuals in Fortaleza, Ceara State, Brazil]. AB - The aim of this study was to describe trends in body fat and muscle mass among elderly individuals in Fortaleza, Ceara State, Brazil. This was a population based, cross-sectional, household survey of elderly individuals (> 60 years) (n = 483) in Fortaleza. The variables analyzed were: triceps skinfold thickness (TST), upper arm fat area (UFA), mid upper arm circumference (MAC), arm muscle circumference (AMC), arm muscle area (AMA), and corrected arm muscle area (CAMA). Mean TST and UFA were significantly higher in women than men (p < 0.05). Mean AMC, AMA, and CAMA were higher in men than women (p < 0.05). For all the variables, the mean and 50th percentile decreased with age, except the TST percentile for women. Anthropometric and body composition patterns in the elderly in this study showed similar trends to those of other studies, but with different values. The values could thus be useful as references for the elderly in Fortaleza. PMID- 18157332 TI - [Meanings and practices related to HIV risk according to the sexual scripts of women from a low-income neighborhood in Salvador, Bahia State, Brazil]. AB - A growing number of studies have connected sexuality, gender, and power to discuss the increasing spread of HIV in women, but the epidemic still poses significant theoretical and programmatic challenges. The current study focuses on how cultural codes underlying sexual experience are manifested in women's subjectivity and orient their interpretations and practices related to the risk of HIV infection. In-depth interviews with 15 women ranging from 18 to 30 years of age led to the reconstitution of three life histories, focusing on their sexual scripts The data were organized using the Nud-Ist software and submitted to hermeneutic analysis. The meanings and practices associated with HIV risk vary according to the moment in life, the sociability network, and the type of bond established with the partner. The findings point to the need to understand the shared sexual meanings in specific contexts, in order to develop more culturally sensitive prevention programs. PMID- 18157333 TI - [Voluntary surgical sterilization in Greater Metropolitan Campinas, Sao Paulo State, Brazil, before and after legal regulation of the procedure]. AB - This cross-sectional study compared the provision of surgical sterilization in public health services in Greater Metropolitan Campinas, Sao Paulo State, Brazil, and the characteristics of women and men who underwent sterilization before and after its legal regulation. Structured and pre-tested questionnaires were applied to 398 women, 15 directors of municipal family planning programs, and 15 coordinators of basic health units. Eight municipalities in Greater Metropolitan Campinas provided tubal ligation and nine performed vasectomy. Approximately half reported following the guidelines of the prevailing family planning legislation. There were no significant differences before or after legal regulation in terms of the characteristics of women and men sterilized or the waiting time for surgery. Most tubal ligations were still performed in combination with cesarean sections (the additional payment for sterilization had decreased, but the difference was not significant). There is strong evidence that in Greater Metropolitan Campinas the changes expected from legal regulation of surgical sterilization did not materialize. Although progress has been made, several distortions still need to be corrected. PMID- 18157334 TI - Cysticercosis-related mortality in the State of Sao Paulo, Brazil, 1985-2004: a study using multiple causes of death. AB - Cysticercosis-related mortality has not been studied in Brazil. Deaths recorded in the State of Sao Paulo from 1985 to 2004 in which cysticercosis was mentioned on any line or in any part of the death certificate were studied. Causes of death were processed using the Multiple Cause Tabulator. Over this 20-year period, cysticercosis was identified in 1,570 deaths: as the underlying cause in 1,131 and as an associated cause of death in 439. Standardized mortality rates with cysticercosis as the underlying cause showed a downward trend and were higher among men and older individuals. Intracranial hypertension, cerebral edema, hydrocephalus, inflammatory diseases of the central nervous system, and cerebrovascular diseases were the main associated causes in deaths due to cysticercosis. AIDS was the principal underlying cause of death in which cysticercosis was an associated cause. The counties (municipalities) with the most cysticercosis-related deaths were Sao Paulo, Campinas, Ribeirao Preto, and Santo Andre. Wide variation was observed between counties regarding the value ascribed to cysticercosis as the underlying cause of death. This leads to underestimation of the disease's importance in planning health interventions. PMID- 18157335 TI - [Socioeconomic factors, nutritional risk, and enamel defects in children from Joao Pessoa, Paraiba State, Brazil]. AB - This study focused on factors related to nutritional risk in children over one year of age from low-income families in Joao Pessoa, Paraiba State, Northeast Brazil, and the frequency of related enamel defects. The study included 117 children, 56 at nutritional risk and 61 with normal growth. Nutritional evaluation, clinical dental examination, and interviews with mothers were conducted at the homes. Gestational and birth records were examined in the maternity hospital. Data were analyzed using the chi-square, Fisher's exact tests, and logistic regression. Enamel defects were associated with nutritional risk after the first year of life. Nutritional risk was associated with per capita family income, birth weight, and intrauterine growth index. These are relevant factors for individual nutritional planning and formation of dental enamel. PMID- 18157336 TI - [Treatment of patients with American cutaneous leishmaniasis: health services evaluation in northwestern Parana State, Brazil]. AB - The current study focuses on outpatient treatment of patients (n = 229) with American cutaneous leishmaniasis from 2001 to 2004, before and after decentralization of treatment to the municipal level in northwestern Parana State, Brazil. While the treatment was still centralized, clinical evaluation and medical records were more complete and detailed, treatment was initiated earlier, and follow-up of the outcome was evaluated in 95% of patients and 100% of cases that received two treatment cycles. Treatment also complied with the guidelines of the American Cutaneous Leishmaniasis Control Manual. After decentralization, treatment was less rigorous: 32% of patients were treated with two cycles of N methyl glucamine antimoniate without complying with the guidelines; 72.6% of patients received inadequate treatment; 84% of cases failed to received proper clinical follow-up. Lack of information on patient clinical records posed a serious obstacle to evaluation. The current study failed to identify any benefit in decentralizing treatment of American cutaneous leishmaniasis to the local level. PMID- 18157337 TI - [Economic restructuring and impacts on health and mental distress: the case of a state-owned bank in Minas Gerais State, Brazil]. AB - Restructuring of the Brazilian financial sector was consolidated through the combination of mass lay-offs, automation, and outsourcing, in addition to business re-engineering with leveling of hierarchical echelons, labor casualization, and multi-function jobs. In order to comply and deal with the new demands, bank employees had to increase their schooling, become multi-functional and expert sales attendants, and submit to substandard conditions in the workplace, increased workload, overtime, and low wages. The purpose of the current study was to examine the restructuring process in a state-owned bank in Minas Gerais State, Brazil, and its impacts on workers' health. The study also analyzes absenteeism rates from 1998 to 2003, when there was an increase in diseases such as repetitive stress injury (RSI)/work-related musculoskeletal disorders (WRMD) and mental/behavioral disorders, accounting for 56% and 19% of sick leaves. The process has continued to the present, with a restrictive recruitment policy. Further study is needed to confirm the results. PMID- 18157338 TI - [Distribution of species from genus Anopheles (Diptera, Culicidae) in the State of Maranhao, Brazil]. AB - We studied the distribution and diversity of Anopheles species in 123 counties (municipalities) in the State of Maranhao, Brazil. The basic method consisted of capturing female specimens inside and around human dwellings between 6 PM and 6 AM from January 1992 to December 2001. A total of 84,467 specimens belonging to 24 species were captured, with a predominance of A. triannulatus sensu lato (20,788), A. darlingi (19,083), A. nuneztovari (16,884), A. albitarsis s.l. (14,352), A. aquasalis (8.202), and A. evansae (2,885). The other 18 species together accounted for only 2.7% of the total. The species found in the most counties were A. albitarsis s.l. (109 counties), A. triannulatus s.l. (106), A. nuneztovari (93), A. darlingi (87), and A. evansae (64). The richness and wide distribution of anopheline species in Maranhao agree with the State's geographic position among Brazil's macro-regions, resulting in a mixed fauna with representative elements from these regions. PMID- 18157339 TI - [Trends in graduate courses on the evaluation of public food and nutrition programs in Brazil, 1980-2004]. AB - In recent years, public policy evaluation in Brazil has become a strategic tool for improving the performance of public action, capable of contributing effectively to social welfare. Despite this recognition, evaluative practice has still not been incorporated into the programs' "life cycle", especially in the social area. Programs that lack significant evaluative practice include those related to food and nutrition. This article thus aimed to characterize the field of evaluation of public food and nutrition interventions in graduate studies programs in Brazil. The study focused primarily on theses and dissertations from 1980 to 2004, converging on the functioning of interventions with a predominance of documental research and case studies. Analytically, the principal thematic categories in these theses and dissertations have shifted from a more biological focus to the socio-political dimension. PMID- 18157340 TI - [Structural and functional aspects of social support for the elderly in the city of Sao Paulo, Brazil]. AB - This study aimed to describe the distribution of social support networks for the elderly in the City of Sao Paulo, Brazil, based on socioeconomic and demographic characteristics. A probability sample of 1,568 elderly persons (> 60 years) was studied (SABE query), focusing on structural and functional dimensions of social networks. Univariate and multiple logistic regression models were used to analyze the data. The best conditions in social networks were in the lowest income levels and the worst among older and unmarried people. For women, unmarried marital status was significantly associated with lower schooling. Cohabiting had the strongest influence on the functional dimension, while "living alone" significantly decreased the odds of social exchange. Multiple logistic regression by gender suggested that age, marital status, per capita income, and schooling were associated with social networks among elderly people. However, these relationships were expressed unevenly between the genders and depending on the socio-demographic characteristics of the different dimensions of the social support network. PMID- 18157341 TI - Diagnosis of overweight and obesity in adolescents from the 1993 Pelotas Birth Cohort Study, Rio Grande do Sul State, Brazil: comparison of two diagnostic criteria. AB - Various cut-off points for body mass index have been proposed to assess nutritional status in adolescents. The aim of this study was to compare two methods for evaluating overweight and obesity. In 2004-5, 4,452 adolescents from the 1993 Pelotas (Brazil) birth cohort study were evaluated, representing 87.5% of the original cohort. Overweight and obesity were evaluated using the methods proposed by the World Health Organization (WHO) and International Obesity Task Force (IOTF). Prevalence of overweight was similar when comparing the two methods (WHO: 23.2%; IOTF: 21.6%). Prevalence of obesity was higher according to the WHO criterion (total sample: 11.6%; boys: 15.1%; girls: 8.2%) as compared to IOTF (total sample: 5.0%; boys: 5.6%; girls: 4.4%). The kappa statistic was around 0.9 for determining overweight and 0.4 for obesity. The IOTF classification showed high specificity in comparison to the WHO criterion for determining overweight and obesity. However, sensitivity was high for overweight but low for obesity. Our data show that the IOTF classification underestimates the prevalence of obesity in early adolescence. PMID- 18157342 TI - [Pediatric practice in public emergency services and factors affecting care]. AB - This qualitative empirical study discusses the material and organizational conditions of work by pediatricians in a public emergency service, with the aim of identifying factors that affect care. The work was studied using group interviews and direct observation in the emergency unit. The results were compared with statistical and historical data from documental research. Forty four pediatricians from seven teams were interviewed, and seven of the pediatricians were observed while on duty. The precarious referral and counter referral system was a determinant factor leading to the heavy demand on the emergency unit. Agglomeration of patients and families at the entrance to the emergency service led to time pressure and interfered directly in the pediatric care. The study identified informal strategies devised and implemented by these physicians in attempts to guarantee the quality of care in keeping with pediatric principles. PMID- 18157343 TI - [Work process and workers' health in a food and nutrition unit: prescribed versus actual work]. AB - This study focuses on the relationship between the work process in a food and nutrition unit and workers' health, in the words of the participants themselves. Direct observation, a semi-structured interview, and focus groups were used to collect the data. The reference was the dialogue between human ergonomics and work psychodynamics. The results showed that work organization in the study unit represents a routine activity, the requirements of which in terms of the work situation are based on criteria set by the institution. Variability in the activities is influenced mainly by the available equipment, instruments, and materials, thereby generating improvisation in meal production that produces both a physical and psychological cost for workers. Dissatisfaction during the performance of tasks results mainly from the supervisory style and relationship to immediate superiors. Workers themselves proposed changes in the work organization, based on greater dialogue and trust between supervisors and the workforce. Finally, the study identifies the need for an intervention that encourages workers' participation as agents of change. PMID- 18157344 TI - [Scientific articles and scientific output in Public Health in Brazil: introduction]. PMID- 18157345 TI - [Output and citation in public health: a perspective based on the journals Cadernos de Saude Publica and Revista de Saude Publica]. AB - This is a comparative bibliometric study of the two main scientific journals in the Public Health field in Brazil: Cadernos de Saude Publica (CSP) and Revista de Saude Publica (RSP). Twenty-four issues of each periodical were analyzed, published from 1996 to 2003, comprising a sample of 819 articles (496 from CSP and 323 from RSP). The following elements in the articles were identified and analyzed: thematic area of the article and citation pattern of publications (articles in periodicals, books and/or book chapters, theses/dissertations, Internet documents, "gray" literature, and other types of publications). The resulting data showed that the majority of the articles represent the sub-area of "epidemiology". The citation pattern in the journals showed articles in periodicals in first place, followed by citations of books and/or book chapters. Papers in the sub-area "social sciences in health" published in CSP are exceptions, since books and chapters are the most frequently cited. The authors discuss the implications of the findings for the characterization and evaluation of scientific output in Public Health in Brazil. PMID- 18157346 TI - [SciELO Public Health: the performance of Cadernos de Saude Publica and Revista de Saude Publica]. AB - The aim of this paper was to analyze two Brazilian scientific journals included in the SciELO Library of Public Health, using a group of bibliometric indicators and scrutinizing the articles most viewed. Cadernos de Saude Publica was accessed 3,743.59 times per month, with an average of 30.31 citations per article. The 50 articles most viewed (6.72 to 524.5 views) were mostly published in Portuguese (92%). 42% were theoretical essays, 20% surveys, and 16% descriptive studies. 42% used argumentative techniques, 34% quantitative techniques, 18% qualitative techniques, and 6% mathematical modeling. The most common themes were: health and work (50%), epidemiology (22%), and environmental health (8%). Revista de Saude Publica was accessed 1,590.97 times per month, with an average of 26.27 citations per article. The 50 articles most viewed (7.33 and 56.50 views) were all published in Portuguese: 46% were surveys, 14% databases analysis, and 12% systematic reviews. Quantitative techniques were adopted in 66% of such articles, while mathematical modeling was the same as observed in Cadernos de Saude Publica, as were qualitative techniques. The most common themes were health services organization (22%), nutrition (22%), health and work (18%), epidemiology (12%), and environmental health (12%). PMID- 18157347 TI - [Between fetishism and survival: are scientific articles a form of academic merchandise?]. AB - This article discusses the possible meanings of the intense prevailing concern in academic circles over the notion of research productivity, as reflected in an excess number of articles published in various scientific journals. The numerical accounting of articles published by researchers in scientific journals with renowned academic status serves to legitimize academics in their fields of work, in various ways. In this sense, we suggest that scientific articles take on aspects of merchandise-as-fetish, according to Marx's theory of use-value and exchange-value and Benjamin's exposure value. Meanwhile, the biological notions of selection and evolution are used as metaphorical elements in "bibliographic Darwinism". There are references as to the possibility many of the prevailing bibliometric concerns serve as instruments for econometric analysis, especially to orient and enhance cost-effectiveness analysis in research investments of various orders and types, from the point of view of their economic return. PMID- 18157348 TI - [Scientific articles and scientific production in Public Health: postscript]. PMID- 18157349 TI - [Pediatric victims of traffic accidents admitted to a university hospital: epidemiological and clinical aspects]. AB - This study analyzes epidemiological and clinic characteristics of victims of traffic accidents. Data were obtained from medical records of children under 15 years of age (n = 1,123) admitted to a university hospital in Uberlandia, Minas Gerais State, Brazil, from 1999 to 2003. Mean age was eight years, 65.7% were boys, 76.6% were cyclists or pedestrians, 45.9% suffered head injuries, and 9% remained in hospital for more than two weeks. Fourteen (1.2%) died, 78.6% of these within 48 hours of hospitalization, and 85.7% with brain injuries. Among the passengers of motorcycles and larger vehicles, 58.8% were not using security devices properly at the time of the accident. Among the cyclists, 61% suffered isolated limb injuries. Meanwhile, pedestrians tended to suffer multiple lesions (57.5%) and be admitted to intensive care (7.1%), and represented 66.7% of the deaths. Epidemiological data on pediatric traffic victims can be useful for accident prevention programs. PMID- 18157350 TI - [Social representations of eating and nutrition by residents of homes for the elderly in Sao Paulo, Brazil]. AB - This study analyzed social representations of institutional eating and nutritional patterns among residents of long-term homes for the elderly, in order to identify conditioning factors for eating behavior that may interfere in their nutritional status. A qualitative exploratory study was performed in five homes for the elderly in Sao Paulo, Brasil, including 40 elderly participants of both sexes, without cognitive disorders, residing in these institutions for at least six months. The study selected 20 subjects who were undernourished or at risk of malnutrition and 20 without risk of malnutrition. Semi-structured interviews were conducted, and the data were analyzed according to the collective subject discourse technique. As perceived by these elderly, the institutional eating routine, the routine menus, and insufficient supply of fruits and vegetables have a negative interference on their eating. They also recognize that balanced nutrition improves health and quality of life. They report that lack of appetite among some residents is related to unpleasing meals, health problems, and inadequate help during meals. This study identified psychological and social factors that may lead to malnutrition among the elderly in institutions. PMID- 18157351 TI - [ Scientific production, post-graduate education and Revista da Associacao Medica Brasileira]. PMID- 18157352 TI - [Is there any benefit in the use of ranitidine in hospitalized patients, under a minor regimen of stress, in the prophylaxis of peptic ulcer or gastrointestinal bleeding?]. PMID- 18157353 TI - [Which is the best palliative procedure for unresectable pancreatic cancer? ]. PMID- 18157354 TI - [What are the clinical objectives that determine the effectiveness of treatments in oncology?]. PMID- 18157355 TI - [Prenatal care - part II]. PMID- 18157357 TI - [ Hypertrophic pyloric stenosis in children:]. PMID- 18157356 TI - [Traumatic events in alcoholics: the importance of research in primary care]. PMID- 18157359 TI - [Giant hydrosyringomyelia in a patient with Chiari syndrome ]. PMID- 18157360 TI - [Cost estimates of chronic hepatitis B virus for the Brazilian unified health system in 2005]. AB - BACKGROUND: Chronic Hepatitis B Virus (CHBV) is a disease that places a large financial burden on healthcare systems and society. OBJECTIVE: The aim of this study was to estimate patient management patterns, and associated medical resource utilization and expenses, for each of the four stages of chronic HBV infection in the public unified healthcare system settings, in 2005. METHODS. An expert panel comprised of ten physicians, leading specialists in hepatology and infectious diseases, was convened to obtain information regarding management of CHBV patients in Brazil. Expense inputs were mainly obtained from government fee schedules and pharmaceutical price tables. Costs were estimated under the perspective of the public health system. Data were analyzed using Windows SPSS version 12.0. RESULTS: Estimated patient expenses were calculated for the four stages of CHBV infection. The estimated annual expenses per patient were: R$ 980.89 (US$ 392) for chronic hepatitis B with no cirrhosis and without antiviral therapy; R$ 1,243.17 (US$ 496) for compensated cirrhosis without antiviral therapy; R$ 22,022.61 (US$ 8809) for decompensated cirrhosis; R$ 4,764.95 (US$ 1,905) for hepatocellular carcinoma; and R$ 87,372.60 (US$ 34,948) for liver transplant. CONCLUSION: Estimated expenses associated with drugs and procedures represented the main components of the expenses of CHBV infection. In this model, expenses increase dramatically as the disease progresses to more advanced stages, suggesting that over the long term delaying progression may reduce costs. PMID- 18157361 TI - Sleep disturbances in patients on maintenance hemodialysis: role of dialysis shift. AB - OBJECTIVES: Subjective sleep complaints have been reported in up to 80% of patients with end stage renal disease (ESRD). In these patients, sleep disturbances manifesting as insomnia, sleep apnea syndrome, restless leg syndrome (RLS), periodic limb movement disorder and excessive daytime sleepiness (EDS) have been frequently reported. Moreover, studies about the role of dialysis shift on sleep abnormalities, morbidity and mortality are still scarce. The aim of this study was to investigate the influence of dialysis shift on the quality of sleep and sleep abnormalities in patients with ESRD. METHODS: We studied one hundred consecutive patients from a dialysis center. Quality of sleep was assessed by the Pittsburgh Sleep Quality Index and subjective EDS by the Epworth Sleepiness Scale. Restless leg syndrome was diagnosed using the four minimum criteria defined by the International Restless Legs Syndrome Study Group. Clinical and laboratory parameters were obtained by interview and chart review. Adequacy of dialysis was evaluated by the Kt/V index. RESULTS: Poor quality sleep (PSQI>6) was found in 75% of cases and was associated with RLS (p=0.004) and with snoring (p=0.016). EDS (ESS>10) was present in 28% of cases. Patients with EDS (1.33+/ 0.29) had lower values of the Kt/v index (P=0.01) than those without EDS (1.52+/ 0.32). RLS was present in 48% of cases. Irrespective of dialysis shift, poor quality sleep, EDS and RLS were not different among patients. CONCLUSION: Poor quality sleep, EDS and RLS were common and not related to dialysis shift. PMID- 18157362 TI - [Correlation between burden on caregiver and clinical characteristics of patients with dementia]. AB - OBJECTIVE: To verify the correlation between caregiver burden in dementia and characteristics of patients and caregivers. METHODS: Analysis of medical records. Patient data: socio-demographic characteristics, comorbidities, medications (previous and current), onset of diagnosis and symptoms, type of dementia and severity (cognitive impairment and functional abilities), behavioral disorders. Caregiver data: socio-demographic characteristics, kinship, duration of caregiving and co-residency with the patient. Caregiver burden assessed by the Zarit interview. RESULTS: Sixty seven patients (76.8 years (+/-6.2), 53.7% women) and 82% female caregivers were surveyed. Correlation between burden and behavior disorders (p<0.001), dependencies (p=0.003), onset of symptoms (p=0.016) and of caregiving (p<0.001), previous diagnosis (p=0.016) and co-residency (p=0.002) was studied. Cognitive test scores (Mini Mental and CAMCOG) were inversely proportional to distress (p=0.005 and p=0.023). Black caregivers demonstrated lower levels of stress (p=0.012). CONCLUSION: Burden was associated with behavioral disorders, dependencies, cognitive impairment, and onset of symptoms, caregiving and co-residency. Black caregivers demonstrated lower levels of stress. PMID- 18157363 TI - [Haemodynamic effects of intoxication with bupivacaine and enantiomeric excess mixture. Experimental study in swine]. AB - BACKGROUND: Racemic bupivacaine has been the local anaesthetic of choice in regional blocks due to quality and duration of anesthesia. However its cardiovascular toxicity has been a source of concern and research has been made for lesser impact drugs. One choice is its levogyre isomer, levobupivacaine, apparently less cardiotoxic due a lower affinity to the heart sodium channels. In Brazil, a drug containing 75% of levogyre isomer and 25% of dextrogyre isomer, called enantiomeric excess mixture, is available. This study intends to evaluate haemodynamic effects of the intravascular injection of a toxic dose of both agents in swine. METHODS: Large White pigs were anaesthetized with thiopental, intubated and placed on mechanical ventilation. Haemodynamic monitoring was performed with an invasive blood pressure and Swan-Ganz catheter on a pulmonary artery. After a 30 minute rest period, animals were randomly divided in two groups and the intoxication was performed on a double-blind method with 4 mg.kg-1 of one of the drugs. Haemodynamic parameters were then evaluated at 1, 5, 10, 15, 20 and 30 minutes. RESULTS: The enantiomeric excess mixture caused greater haemodynamic effects than the racemic bupivacaine. These results diverge from those found in humans with levogyre isomer but are similar to recent results reported in animals. Care should be taken when extrapolating data obtained in swine to humans and further research is necessary. CONCLUSION: When high doses are injected in swine, the enantiomeric excess mixture was more toxic than the racemic bupivacaine. PMID- 18157364 TI - [Comparisons of quality of life measures between women and men on hemodialysis]. AB - OBJECTIVE: To compare men and women on chronic hemodialysis in relation to their scores in health-related quality of life (HRQOL) and evaluate the potential influence of age and comorbidities on the comparison. METHODS: Cross-section of the baseline data of 254 women and 349 men, participants of the PROHEMO Study that has been developed in dialysis units of Salvador. By using the version of the Kidney Disease Quality of Life Short Form KDQOL-SF, validated for the Brazilian population, the following scores were determined: physical component summary (PCS), mental component summary [MCS] and the scale for symptoms/problems related to renal disease. The PCS and MCS scores were derived from the eight generic KDQOL-SF scales. Multiple linear regression was used to estimate differences in the scores of men and women (DS), adjusted for age, years on hemodialysis, heart failure, cerebrovascular disease, peripheral vasculopathy, diabetes, serum hemoglobin and serum albumin. RESULTS: Mean ages were 48.1+/-14.1 and 49.4+/-14.0 years for women and men, respectively. Women had lower scores for all generic HRQOL scales. They also had significantly (P<0.001) lower scores for PCS (DS=2.4 points), MCS (DS=3 points) and symptoms/problems (DS = 6.6 points). Differences were independent of comorbidties and greater in the group over 49 years of age. CONCLUSION: Data indicate that for several scales of HRQOL, women treated chronically by hemodialysis had lower scores than men. Lower scores in women were observed for different age groups, independently of comorbidities. PMID- 18157365 TI - [Evaluation of oral condition of patients with chronic renal failure submitted to hemodialysis]. AB - BACKGROUND: Evaluate the oral conditions of patients with chronic renal failure submitted to hemodialysis in the city of Sao Luis, by comparing three reference centers and the times of hemodialysis. METHODS: The sample consisted of 107 patients, distributed among the centers. Plaque Index (IP) and Dental Caries Prevalence (DMF-T) were evaluated. Patients were subdivided into three groups according to time of hemodialysis (3 months to <1 year, 1 the 3 years and >3 years). Data were analyzed using the ANOVA and the Kruskal-Wallis test with a level of significance of 5%. RESULTS: Plaque index averages in the groups were respectively, 0.91+/-0.67; 1.04+/-0.60; 1.25+/-0.61. The averages of DMF-T in the respective groups were 13.63+/-8.91; 13.89+/-8.12; 16.79+/-7.31. There were no significant differences between the centers of reference and the times of hemodialysis. CONCLUSION: Time of treatment of the disease did not change or interfere on plaque accumulation and prevalence of the dental caries. There was uniformity in the patients' oral condition in the three reference centers under study. PMID- 18157366 TI - [Accuracy of different body mass index cutoffs to predict excessive body fat and abdominal obesity in adolescents]. AB - OBJECTIVE: To analyze the agreement and accuracy of three body mass index cutoffs in the identification of excessive body fat and abdominal obesity in adolescents. METHODS: Cross-sectional analysis was carried out for which 807 adolescents of both sexes (11 to 17 years old) were recruited and their body mass, stature, waist circumference and body fat percentage measured. The ROC evaluated the accuracy of the body mass index cutoffs. RESULTS: The cutoffs analyzed showed a moderate level of agreement in the indication of abdominal obesity (0.54 to 0.66), and high rates of sensitivity (77.4% to 92.8%) and specificity (75.6% to 91.6%) for indication of the nutritional status. Cutoff of Brazilians was more sensitive in the indication of associated excessive body fat and abdominal obesity (97.8%). CONCLUSION: All cutoffs analyzed showed similar accuracy in the indication of nutritional status and abdominal obesity, however, the cutoff of Brazilians was more sensitive in the identification of obese individuals with high cardiovascular risk. PMID- 18157367 TI - [Prevalence of breastfeeding in Brazilian capital cities]. AB - OBJECTIVE: To estimate the prevalence of breastfeeding and of exclusive breastfeeding in Brazilian capital cities, in the 5 major geographical areas of Brazil and in the whole country, at the ages of 30, 120 and 180 days, as agreed among specialists. METHODS: Restudy of data from the population inquiry about breastfeeding in 25 capital cities and in the Federal District during a mass immunization campaign, on October 16th, 1999, National Day of Vaccination, supervised by one of the authors. The random sample of this study refers to 10,778 children, according to the ages mentioned above. The point and interval estimates (95% CI) were given for the capital cities and then extrapolated to the major geographical areas and to Brazil. The regression analysis was used on the SAS statistical program. RESULTS: The estimated prevalence of breastfeeding in Brazil was 87.3% (CI 95%: 86.8-87.7) at the age of 30 days, 77.5% (77.1-78.0) at the age of 120 days and 68.6% (68.2-69.1) at the age of 180 days. The exclusive breastfeeding prevalence was 47.5% (46.4-48.5), 17.7% (17.2-18.3) and 7.7% (7.2 8.2) at the ages mentioned. At the age of 30 days, variation of the frequency of exclusive breastfeeding was wide, from 73.4% (Fortaleza) to 25.2% (Cuiaba). At the age of 180 days, the prevalence ranged from 16.9% in Belem to 2.8% in Cuiaba. CONCLUSION: There was a moderate reduction of the prevalence of breastfeeding and a steep decline of the prevalence of exclusive breastfeeding from birth to the age of 180 days. Important differences were noted in the frequency of exclusive breastfeeding among the capital cities surveyed. PMID- 18157368 TI - Current practice in the management of symptoms of endometriosis: a survey of Brazilian gynecologists. AB - OBJECTIVE: The purpose is to assess current medical practice in the diagnosis of endometriosis by Brazilian gynecologists. METHODS: A Cross-sectional study using questionnaires was sent to all gynecologists of the Sao Paulo State Ob/Gyn Association. RESULTS: A total of 1,660 (31.8%) replies was received. Multiple logistic regression showed that physicians who stated that endometriosis can affect women of all ages was the variable significantly associated with suspicion of endometriosis. Diagnosis was delayed less than 12 months after the first consultation when patients complained of: infertility (OR=1.81, 95% CI 1.01 3.22), dysmenorrhea (OR=2.16, 95% CI 1.18-3.93) or chronic pelvic pain (CPP) (OR=2.17, 95% CI 1.17-4.00). Time until diagnosis was shorter when the complaint was dysmenorrhea (OR=1.33, 95% CI 1.05-1.69) or CPP (OR=1.51, 95% CI 1.19-1.91) and when physicians had participated in congresses and lectures on gynecological endoscopy and endometriosis. CONCLUSION: Gynaecologists who are better informed suspect and diagnose endometriosis at an early stage. PMID- 18157369 TI - [Association between high risk HPV viral load, p16ink4a expression and intra epithelial cervical lesions]. AB - OBJECTIVE: To determine the (HR-HPV) high risk HPV viral load in squamous intra epithelial lesions and association with p16INK4a expression. METHODS: A series of 109 cervical biopsies were studied (57 normal tissue, 26 low grade squamous intra epithelial lesions [LSIL] and 26 high grade squamous intra-epithelial lesions [HSIL]). Detection of high risk HPV and viral load in cervical cells was made by molecular biology using hybrid capture 2nd generation collected before the biopsy. The p16INK4a was identified by immunohistochemistry using the p16INK4a kit (clone E6H4). RESULTS: High risk HPV was positive in 57.8% of all cases (29.8% in normal tissue, 80.8% in LSIL and 96.1% in HSIL). Protein p16INK4a was expressed in 23.8% of squamous intra-epithelial lesions (15.4% in LSIL and 84.6% in HSIL). In normal tissue all cases were negative to p16INK4a. The viral load was higher in p16 positive cases than in negative cases (positive p16INK4a mean of 669.9 RLU/PCB [9.47-2814.9] and negative p16INK4a mean of 253.94 RLU/PCB [1.07 1882.21] (p<0.05). However when studying just the HSIL cases differences were not significant. CONCLUSION: In this study although the HR-HPV viral load had shown a significant difference between p16 positive and negative cases, in HSIL cases this finding was not confirmed. New studies with a larger number of cases are necessary for consistent conclusions. PMID- 18157370 TI - [Pneumothorax after acupuncture: clinical presentation and management]. AB - INTRODUCTION: Pneumothorax is a rare but dangerous complication of acupuncture. Because of its rarity, there are few reports in literature and, therefore little information regarding clinical and therapeutic aspects. This article aims to analyze the clinical presentation, management and follow-up of patients with pneumothorax after acupuncture. METHODS: Retrospective study of patients with post-acupuncture pneumothorax evaluated in a tertiary hospital during a five-year period (2001-2006). RESULTS: Five patients (3 male and 2 female), mean age 46 years (30-73) were included. All patients but one (who had a bilateral pneumothorax) had left-sided pneumothorax . Chest pain, which was the initial symptom in all patients was severe in three cases and mild in two. Four patients underwent tube thoracostomy (pig-tail catheter), three of them immediately after admission and the other after a failed 12-hour conservative treatment period. One patient had a successful conservative management. All had an excellent outcome and were asymptomatic and exhibited a normal chest X-ray at 6-month follow-up CONCLUSION: In all patients, the initial symptom was chest pain, of varying intensity. Tube thoracostomy was the therapeutic modality most frequently employed. All patients had a successful outcome with no further complications. PMID- 18157371 TI - [Positive/total dissected lymph nodes ratio as a prognostic factor in colon cancer]. AB - BACKGROUND: To evaluate the prognostic value of the ratio between positive and total dissected lymph nodes in patients with colon cancer who underwent primary tumor surgical resection. METHODS: Retrospective chart review of consecutive patients with colon cancer treated at hospitals affiliated to the ABC Foundation School of Medicine, Santo Andre. Demographic data were collected as well as information on colon cancer, treatment and clinical outcomes. RESULTS: One hundred and six patients were included. Mean age was 62.82+/-11.6 years and most were men (53.8%). Median number of lymph nodes dissected per patient was 11.5 (3 45 lymph nodes) and 58.5% had more than 10 dissected lymph nodes. The median follow-up was 25.05+/-15.21 months (2-64 months). In univariate analysis for overall survival, lymph node ratio (p=0.044), tumor stage (p=0.001) and tumor recurrence (p=0.058) were considered significant. In multivariate analysis only tumor stage was significantly associated with overall survival (p=0.001). CONCLUSION: In this limited retrospective series, the ratio between positive and dissected lymph nodes was not independently associated with overall survival among patients with colon cancer, when considered together with the pathological stage. Larger and prospective studies are warranted to define the impact of such ratio on the overall survival of colon cancer patients. PMID- 18157372 TI - [Brazilian scientific production in the 40 psychiatric journals with high impact factor in 2006]. AB - OBJECTIVE: The Brazilian scientific production published in 2006 in the twenty psychiatric journals with high impact factor (IF) according to the Journal of Citation Report (JCR), 2006, was evaluated. METHODS: All articles from 94 journals with an IF higher than the average (n=40) were selected. We assessed the articles that had at least one author affiliated to a Brazilian institution as well as those with only Brazilian authors or a first/senior author belonging to a Brazilian institution. Secondly, the distribution of the author(s) by state was determined. RESULTS: Among 7996 articles surveyed 96 (1.20%) had at least one author from a Brazilian institution and in eight, the first senior author belonged to a Brazilian institution, not including the 59 publications that were written only by Brazilian authors. The distribution by state showed Sao Paulo as ranking first with 46 articles (47.91%) and absolute predominance of the South Southeast region (98.95%). CONCLUSION: Although, Brazilian publications on psychiatry had demonstrated apparent quantitative and qualitative growth, scientific production on the subject remains highly concentrated in a few states. PMID- 18157373 TI - [Homeopathy: a humanistic approach to medical practice]. AB - During the last decade, the traditional medical model has endeavoured to retrieve an improvement in the patient-physician relationship by means of propositions for humanization in the areas of education, medical care and policies. To enhance holistic characteristics of non-conventional practices in health, the incorporation of several aspects of humanities in understanding the process of the individual's illness, stressing that the physician's interest in aspects apparently not related to the impaired organ (history of the patients life, personality, interests, etc.) should be added to the technical and less humanized consultation. Since homeopathy embraces this wide semiological approach as inherent practice, using the totality of characteristic symptoms to evaluate organic unbalance and choose means of treatment, homeopathic clinical practice can significantly contribute to humanism in medicine. PMID- 18157374 TI - [Obesity and sleep respiratory disorder, an association of risk factors]. PMID- 18157375 TI - [Therapy with 131I to hyperthyroidism Graves disease resolution: dose selection]. PMID- 18157376 TI - [Interactions between obstructive sleep apnea syndrome and insulin resistance]. AB - Previous studies have shown Obstructive Sleep Apnea (OSA) as a risk factor for development of cardiovascular and cerebrovascular disease. However, controversies remain as to whether these changes are consequences of the associated obesity or OSA itself results in endocrine and metabolic changes, including impairment of insulin sensitivity, growth hormone, secretion inflammatory cytokines alterations, activation of peripheral sympathetic activity, and hypothalamic pituitary-adrenal (HPA) axis, that may predispose to vascular disease. Furthermore many cardiovascular risk factors, such as hypertension, obesity, insulin resistance and type 2 diabetes, are strongly associated with OSA. In this article, we will review the evidence and discuss possible mechanisms underlying these links and the pathophysiology of OSA morbidities. PMID- 18157377 TI - [Relation between sleep and obesity: a literature review]. AB - Reduction in sleep time has become an endemic condition in modern society and current literature has found important epidemiological associations between damage in the habitual standard of sleep and obesity. On this basis, the present revision analyzed the role of sleep and its alteration in the promotion of obesity. Diverse studies indicate that subjects that sleep less have greater possibility of becoming obese, and the shortening of sleep increases the leptin/ghrelin reason, generating increase of the appetite and hunger. This can be associated to the biggest caloric intake and promotion of obesity. An adequate standard of sleep becomes basic for the regulation of body mass and must be stimulated by health professionals. PMID- 18157378 TI - [Pathogenic aspects of the periodontal disease associated to diabetes mellitus]. AB - OBJECTIVE: Systematic review of present knowledge about the association between diabetes mellitus (DM) and periodontal disease (PD) with emphasis on their physiopathogenesis. DATA SOURCES: Bibliographic search through MEDLINE and LILACS databases, in the last five years, using the following descriptors: "diabetes mellitus", "periodontal disease", and "periodontitis". SUMMARY OF DATA: Periodontal tissues are the oral structures most affected by DM. DM predisposes to the development of PD, which leads to loss of glycemic control, which emphasizes the importance of the two-way relationship between these two diseases. Several mechanisms are involved in the physiopathology of PD associated with DM: production of advanced glycosilation products, deficient immune response, inheritance of certain genetic polymorphisms, alterations in blood vessels, conjunctive tissue and salivary composition. In the initial phase, gingivitis and periodontitis predominate. If not detected early, these problems can develop into advanced periodontal disease. Puberty, with its hormonal alterations, longer duration of the disease, poor metabolic control and inadequate oral hygiene are factors that contribute to PD progression and aggressiveness. CONCLUSION: Better knowledge about the mechanisms involved in the physiopathogenesis of PD associated with DM would help to institute early preventive and therapeutic measures. It is important for doctors and dentists to instruct their patients with DM about the need for good glycemic control and adequate oral hygiene, to minimize the risks for the appearance of periodontal disease and consequent loss of glycemic control. PMID- 18157379 TI - [Hormone therapy in menopause: when not to use]. AB - Menopause is defined as the permanent cessation of menses, as a result of the loss of ovarian follicular function or of surgical removal of ovaries. The mean age for occurrence of natural menopause is around 50 years. Estrogen deficiency has been associated with vasomotor symptoms, urogenital atrophy, and cognitive impairment, as well as increased risk of chronic degenerative diseases such as osteoporosis and Alzheimer's disease. Estrogen therapy remains the most effective treatment for the management of vasomotor symptoms and urogenital atrophy. Progesterone or progestins should be added to estrogen treatment in women with uterus, in order to antagonize the estrogen-induced endometrial proliferation. In turn, in specific clinical conditions hormone therapy is not recommended. In the present article, the authors critically focus these clinical conditions in which hormone therapy should not be used. PMID- 18157380 TI - [Clinical presentation of obese patients with polysomnographic diagnosis of obstructive sleep apnea]. AB - AIM: To evaluate the symptoms of obese patients with polysomnographic diagnosis of obstructive sleep apnea (OSA). METHODS: All obese patients (BMI > or =30 kg/m(2)) that accomplished overnight polysomnography in two sleep laboratories in the city of Salvador, BA, Brazil, in the period of July to December of 2004, and had an apnea hypopnea index (AHI) > or =5. The considered symptoms were excessive daytime sleepiness, awakenings during the night and nocturnal choking or gasping. RESULTS: 73 patients were included, being 57.5% male, with mean age and BMI of 45.2 years old and 38.0 kg/m(2), respectively. The majority (49.3%) was classified as having severe OSA (AHI > or =30). Data revealed that 19.2% of the patients did not have any symptoms, while 28.8% had one symptom, 30.1% had two and 21.9% had three. There was no statistically significant difference in the severity of OSA between the subjects with and without symptoms. There was a higher prevalence of asymptomatic patients in the subgroup with severe obesity- BMI > or =35 kg/m(2) (30.8% vs. 5.9%; p = 0.007). CONCLUSIONS: The polysomnography seems to be a fundamental exam in the evaluation of obese patients due to the elevated prevalence of asymptomatic individuals with OSA in this group, especially the severely obese. PMID- 18157381 TI - [Evaluation of radioiodine therapy with fixed doses of 10 and 15 mCi in patients with Graves' disease]. AB - The treatment options for the hyperthyroidism of Graves disease are antithyroid drugs, surgery and radioiodine, none of which is considered ideal, as they do not act directly on the etiopathogenesis of the disease. Radioiodine has been increasingly used as the treatment of choice because it is a safe and definitive therapy whose administration is very easy. Some authors prefer to administer higher doses in order to deliberately induce hypothyroidism, while others recommend lower doses that result in a lower incidence of hypothyroidism and a greater incidence of euthyroidism. There is no consensus for the optimal regimen of fixed doses to be used and this is the main focus of the present study, where doses of 10 and 15 mCi of (131)I were compared. Among the 164 patients analyzed, 61 (37.2%) were submitted to 10 mCi and 103 (62.8%) to 15 mCi. In the longitudinal analysis it was observed that remission of the hyperthyroidism was statistically different in the sixth month (p < 0.001), being higher in the group that used the dose of 15 mCi, but similar in both groups at 12 and 24 months. It may be concluded that the administration of fixed doses of 10 and 15 mCi of (131)I brought about a similar remission of the hyperthyroidism after 12 months of treatment. Moreover, the remission rate of the hyperthyroidism had no association with age, sex or previous therapy with antithyroid drugs. PMID- 18157382 TI - [Assessment of association between autoimmune thyroid disease and chronic urticaria]. AB - Several studies found a higher prevalence of Autoimmune Thyroid Disease (ATD) in patients with Chronic Urticaria (CU). This relationship may be due to the possible autoimmune etiology in up to one third of the cases of Chronic Idiopathic Urticaria (CIU). However, the frequency of ATD ranged from 1.14% to 28.6%. The study began by determining whether there is an association between ATD and CU, in a population seen at the same clinic. We compared the frequency of anti-thyroid antibodies and thyroid dysfunction in 49 patients with CIU (group 1) and 112 controls (group 2). In order to support the result found, we studied the prevalence of CIU in 60 patients with ATD (group 3) and compared with 29 patients who had non-immune thyroid disease (NITD) (group 4). We did not find a statistical difference for the presence of anti-thyroid antibodies or thyroid dysfunction between groups 1 and 2 (12.24% x 9.82% and 12.24% x 7.14%, respectively). The same occurred for the presence of CIU among groups 3 and 4 (3.33% x 3.44%). In our study it was not possible to demonstrate a relationship between ATD and CIU, which means that different populations may present a higher or lower degree of association between these illnesses. PMID- 18157383 TI - [Bone mineral density of children and adolescents with congenital hypothyroidism]. AB - A cross sectional study was made on 60 patients (9.9 +/- 1.8 yr-old) with congenital hypothyroidism (CH) (group A): 40 girls (23 prepubertal) and 20 boys (18 prepubertal). Control group (group B) was constituted of 28 healthy children (10.4 +/- 2.1 yr-old): 18 girls (8 prepubertal) and 10 boys (9 prepubertal). AIMS: To evaluate bone mineral density (BMD) and content (BMC) and to correlate them with chronological and bone age (BA), sex, sexual maturation, l-T4 dose, TSH, TT4, FT4, and CH etiology. BA, total body BMD, and BMC (DXA) were obtained of both groups. TSH, TT4, and FT4 were measured in patients only. BMD was lower in group A (0.795 +/- 0.075 g/cm(2) vs. 0.832 +/- 0.092; p = 0.04) and higher in pubertal than in prepubertal girls (p = 0.004). There was no significant difference between BMD and BMC related to sex and CH etiology. Our data demonstrated that BMD was significantly lower in children with CH, different from what has been published in the literature. PMID- 18157384 TI - [Growth hormone (GH) deficiency treatment in children: comparison between uses of pen versus bottles/syringes on GH administration]. AB - The aim of this study was to compare two preparations of recombinant human GH (rGH) in the treatment of GH deficient patients. Ten prepubertal GH-deficient children were followed during 6 months. They received injections with syringe for 3 months, followed by pen administration for the subsequent 3 months. Acceptability was evaluated through a questionnaire. Waste of medication was calculated by the difference between the number of used bottles or refills and the calculated amount for the period. Treatment response was evaluated by SDS gain of height measured each 3 months. After 6 months, 90% of patients/family members declared they preferred the pen regarding technical facility and local pain, and all patients considered the pen easier to transport and store. The waste of medication was lower with pen administration, as was the final cost. We concluded that pen-administered rGH treatment is more convenient, better accepted by the patients, and leads to less waste of medication when compared to the syringe administration. PMID- 18157385 TI - Molecular analysis of PROP1, PIT1, HESX1, LHX3, and LHX4 shows high frequency of PROP1 mutations in patients with familial forms of combined pituitary hormone deficiency. AB - Combined Pituitary Hormone Deficiency (CPHD) is a prevalent disease in Neuroendocrinology services. The genetic form of CPHD may originate from mutations in pituitary transcription factor (PTF) genes and the pituitary image in these cases may give a clue of what PTF is most probably mutated: defects in LHX4 are usually associated with ectopic posterior pituitary (EPP); defects in LHX3, PIT1, and PROP1, with normally placed posterior pituitary (NPPP); HESX1 mutations are associated with both. OBJECTIVE: To identify mutations in PTF genes in patients with idiopathic hypopituitarism followed in our service, based on the presence or absence of EPP on sellar MRI. METHODS: Forty patients with idiopathic hypopituitarism (36 families, 9 consanguineous), followed in the Neuroendocrinology Outpatient Clinic of UNIFESP, Brazil, were submitted to sequencing analyses of PTF genes as follows: LHX3, HESX1, PIT1, and PROP1 were sequenced in patients with NPPP (26/40) and HESX1 and LHX4 in patients with EPP (14/40). RESULTS: We identified only PROP1 mutations in 9 out of 26 patients with CPHD and NPPP (35%). Since eight of them came from 4 consanguineous families, the prevalence of PROP1 mutations was higher when only consanguineous families were considered (44%, 4/9). At the end of the study, we decided to sequence PROP1 in patients with EPP, just to confirm that they were not candidates for PROP1 mutations. No patients with EPP had PROP1 or other PTF mutations. CONCLUSIONS: Patients with idiopathic CPHD and NPPP, born from consanguineous parents, are the strong candidates for PROP1 mutations. Other developmental gene(s) may be involved in the genesis of idiopathic hypopituitarism associated with EPP. PMID- 18157386 TI - Impact of body mass index on blood pressure levels in patients with polycystic ovary syndrome. AB - As there is controversy about the prevalence of hypertension in patients with polycystic ovary syndrome (PCOS) and, up to the present moment, no studies have evaluated the impact of body mass index (BMI) on blood pressure levels (BP) in these patients, we studied retrospectively sixty-nine patients with PCOS, with BMI of 29.0 +/- 6.7 kg/m(2) and aged 25.6 +/-5.6 yr, subdivided into three groups according to BMI (normal, overweight and obese) and evaluated regarding BP (mercury sphygmomanometer), basal hormonal profile, fasting glucose, and insulin sensitivity (HOMA-IR). Mean systolic blood pressure (SBP) and diastolic blood pressure (DBP) were normal (118.1 +/- 17.0 and 74.7+/- 11.5 mmHg, respectively), with a hypertension prevalence of 20.3%. Of these patients, 78.6% were obese and 21.4% were overweight. When the groups were compared according to BMI, a significant increase in SBP and DBP was observed (higher in overweight and obese patients for SBP and higher in obese for DBP), as well as a significant progressive increase in glucose, insulin, homeostatic model assessment, and a significant progressive decline in LH levels. When the patients were subdivided as normotensive or hypertensive, a significant difference was observed only for BMI (28.2 +/- 6.1 and 34.7 +/- 8.6 kg/m(2), respectively; p = 0.007). In conclusion, we observed a significant and progressive impact of BMI on blood pressure levels in our patients with polycystic ovary syndrome. PMID- 18157387 TI - Effect of one month ketoconazole treatment on GH, cortisol and ACTH release after ghrelin, GHRP-6 and GHRH administration in patients with Cushing's disease. AB - GH responses to ghrelin, GHRP-6, and GHRH in Cushing's disease (CD) are markedly blunted. There is no data about the effect of reduction of cortisol levels with steroidogenesis inhibitors, like ketoconazole, on GH secretion in CD. ACTH levels during ketoconazole treatment are controversial. The aims of this study were to compare the GH response to ghrelin, GHRP-6, and GHRH, and the ACTH and cortisol responses to ghrelin and GHRP-6 before and after one month of ketoconazole treatment in 6 untreated patients with CD. Before treatment peak GH (microg/L; mean +/- SEM) after ghrelin, GHRP-6, and GHRH administration was 10.0 +/- 4.5; 3.8 +/- 1.6, and 0.6 +/- 0.2, respectively. After one month of ketoconazole there was a significant decrease in urinary cortisol values (mean reduction: 75%), but GH responses did not change (7.0 +/- 2.0; 3.1 +/- 0.8; 0.9 +/- 0.2, respectively). After treatment, there was a significant reduction in cortisol (microg/dL) responses to ghrelin (before: 30.6 +/- 5.2; after: 24.2 +/- 5.1). No significant changes in ACTH (pg/mL) responses before (ghrelin: 210.9 +/- 69.9; GHRP-6: 199.8 +/- 88.8) and after treatment (ghrelin: 159.7 +/- 40.3; GHRP-6: 227 +/- 127.2) were observed. In conclusion, after short-term ketoconazole treatment there are no changes in GH or ACTH responses, despite a major decrease of cortisol levels. A longer period of treatment might be necessary for the recovery of pituitary function. PMID- 18157388 TI - Increased diagnostic probability of subclinical Cushing's syndrome in a population sample of overweight adult patients with type 2 diabetes mellitus. AB - Endogenous Cushing's Syndrome (CS) is unusual. Patients with subclinical CS (SCS) present altered cortisol dynamics without obvious manifestations. CS occurs in 2 3% of obese poorly controlled diabetics. We studied 103 overweight adult outpatients with type 2 diabetes to examine for cortisol abnormalities and SCS. All collected salivary cortisol at 23:00 h and salivary and serum cortisol after a 1 mg dexamethasone suppression test (DST). Patients whose results were in the upper quintile for each test (253 ng/dL, 47 ng/dL, and 1.8 microg/dL, respectively for the 23:00 h and post-DST saliva and serum cortisol) were re investigated. Average values from the upper quintile group were 2.5-fold higher than in the remaining patients. After a confirmatory 2 mg x 2 day DST the investigation for CS was ended for 61 patients with all normal tests and 33 with only one (false) positive test. All 8 patients who had two abnormal tests had subsequent normal 24h-urinary cortisol, and 3 of them were likely to have SCS (abnormal cortisol tests and positive imaging). However, a final diagnosis could not to be confirmed by surgery or pathology. Although not confirmatory, the results of this study suggest that the prevalence of SCS is considerably higher in populations at risk than in the general population. PMID- 18157389 TI - Association between proinsulin, insulin, proinsulin/insulin ratio, and insulin resistance status with the metabolic syndrome. AB - The Metabolic Syndrome (MS) constitutes an independent risk factor of cardiovascular disease. There is evidence that proinsulin blood levels and the proinsulin/insulin ratio are associated to the MS. The purpose of this study was to compare proinsulin and insulin, insulin resistance index, and the proinsulin/insulin ratio as predictors of MS. This is a cross-sectional study involving 440 men and 556 women with a mean age of 24 years. Diagnosis of MS was made according to the National Cholesterol Education Program Adult Treatment Panel III. Blood levels of insulin and proinsulin were measured, and the insulin resistance status was estimated using the homeostatic model assessment (HOMA-IR). The prevalence of MS was 10.1%. HOMA-IR was the best MS risk factor for both women and men (OR = 2.04; 95% CI: 1.68-2.48 and 1.09; 95% CI: 1.05-1.13, respectively). HOMA-IR presented the best positive predictive value for MS: 22% and 36% for men and women, respectively, and was the best MS indicator. The proinsulin/insulin ratio did not show significant association with MS. HOMA-IR, proinsulin, and insulin presented good negative predictive values for both genders that could be used to identify an at-risk population. PMID- 18157390 TI - [Analysis of factors associated with extremity ulceration in diabetic subjects with peripheral neuropathy]. AB - Peripheral neuropathy is the main risk factor for foot ulceration in diabetic subjects. This study examined the association of peripheral arterial disease (PAD) with foot ulceration in a sample of diabetic subjects with peripheral neuropathy, and also if inflammatory markers would be associated with this event. We evaluated 32 type 2 diabetic individuals with abnormal 10-g monofilament exam, who were stratified in 2 groups according to history or presence of lower extremities ulcer. The group "with ulcer" (n = 18) included the ones that had active or cicatrized ulcer, or some lower-extremity amputation due to ulcer complications. In addition to the neurological examination and monofilament test, they were submitted to biothesiometry, lower extremity vascular assessment with Doppler, and laboratory determinations. No difference between the groups was found concerning sex distribution, mean age, and duration of diabetes diagnosis. The group with ulcer showed higher mean values of height (1.70 +/- 0.06 vs. 1.63 +/- 0.11 m, p = 0.044), vibration perception threshold measured in medial malleolli (40.9 +/- 13.0 vs. 30.6 +/-12.3 V, p = 0.040) than the group without ulcer. The groups did not differ regarding the mean values of the inflammatory markers. Response to patellae reflex was worse in the group with ulcer (p = 0.047), in which a higher proportion of individuals with abnormal toe-brachial index (p = 0.030) was observed as compared to those without ulcer. We concluded that PAD is associated with the presence of ulcer in neuropathic subjects. The assessment of digital arteries flow in lower limbs (in great toe) contributed to detect such association. Association of diabetic foot ulcers and inflammatory markers was not observed, but cannot be excluded due to limitations of sample size. Prospective studies should examine the sensitivity of the toe-brachial index to identify PAD in diabetic individual at risk of ulceration. PMID- 18157391 TI - [Prevalence of metabolic syndrome in population-based study, Vitoria, ES-Brazil]. AB - Metabolic Syndrome (MS) is a complex disorder including several factors predisposing to development of cardiovascular diseases and diabetes. Despite the importance of MS for the health system, the epidemiological characteristics of this condition in the Brazilian population are still scarce. The prevalence of MS as a function of gender, age and socioeconomic level was determined in a population-based study in Vitoria, ES, Brazil, by using the NCEP-ATPIII diagnosis criteria. Socioeconomic, biochemical, anthropometric, and hemodynamic data were obtained in 1,663 individuals from a random sample of Vitoria population (25-64 y). The estimated prevalence of MS was 29,8% (CI95 = 28-32%). No significant sex related differences were observed. Prevalence increased from the youngest (26-34 y) to the oldest (55-64 y) group (15.8% and 48.3%, respectively). A progressive increase of MS frequency was observed in women from the higher to the lowest socioeconomic level. The most frequent trait of MS in males was high blood pressure, followed by hypertriglyceridemia, low HDL-c levels, hyperglycemia, and central obesity. In females, hypertension was also the most frequent factor, followed by low HDL-c levels, abdominal obesity, hypertriglyceridemia and hyperglycemia. Our data show that prevalence of MS is high in the studied population, even in the youngest group. Moreover, high blood pressure gives a significant contribution to the diagnosis of this syndrome in both sexes. The precocious control of risk factors is necessary to reduce the impact of cardiovascular morbidity and mortality. PMID- 18157392 TI - [QTc interval and traditional risk factors to atherosclerotic disease in patients with type 1 diabetes]. AB - To evaluate the QTc interval and its relation with clinical, laboratorial variables and LDL susceptibility to in vitro oxidation in patients with type 1 DM, we studied 40 diabetics and 33 non diabetics with 24.83 +/- 10.21 and 23.51 +/- 7.28 years old, respectively matched by sex, age and body mass index (BMI). We evaluated metabolic control, A and B apolipoproteins, LDL oxidation coefficient for spectrophotometry and electrocardiogram (ECG). Interval QTc was calculated by the Bazetts formula. There was no difference in QTc between diabetic and non diabetic groups (394.43 +/- 19.98 ms versus 401.31 +/- 17.83 ms; p = 0.2065). Five diabetics showed increased QTc (396.76 +/- 14.63 ms versus 429.75 +/- 1.89 ms; p < 0.001) and lesser A apolipoprotein levels than rest of diabetic group (74.60 +/- 25.42 mg/dL versus 113.64 +/- 29.79 mg/dL; p = 0,011). In pooled sample, there was correlation between QTc and BMI (rho = -0.288; p = 0.045), pot-prandial glycemia (rho = 0.357; p = 0.016) and 3 h oxidation coefficient (OxC3h) (r = -0.293; p = 0.039). In diabetics, there was correlation between QTc and triglycerides (rho = -0.420; p = 0.023) and OxC3h (r = -0.427; p = 0.021). Although there was no difference between QTc of diabetics and the non diabetics subjects studied, there was correlation with risk factors for the atherosclerotic disease. Further studies are necessary to establish the real predictive value of QTc for this type of disease in the patients with type 1 DM. PMID- 18157393 TI - Apo B/Apo A-I ratio in central and peripheral arterial diseases. AB - BACKGROUND: The apo B/apo A-I ratio represents the balance between atherogenic particles, rich in apo B, and the antiatherogenic ones, apo A-I rich. This study investigated the association between atherosclerotic diseases in different anatomical sites and apo B/apo A-I ratio. METHODS: Lipids, lipoproteins, and apolipoproteins A-I and B were assessed in 30 subjects with coronary artery disease (CAD), 26 with ischemic stroke (IS), 30 with peripheral arterial obstructive disease (PAOD), and 38 healthy subjects (controls). RESULTS: HDLc and Apo A-I were significantly lower in PAOD and CAD groups, respectively, than in other groups. Significantly higher levels of triglycerides were observed for CAD and PAOD groups than for controls. Apo B was significantly higher in IS group than in control and PAOD groups. The apo B/apo A-I ratio showed significantly higher in CAD and IS groups when compared to control and PAOD groups (p < 0.001). CONCLUSION: The apo B/apo A-I ratio was important for identifying an increased trend for coronary and cerebral atherosclerosis. In spite of the increased trend for apo B/apo A-I ratio in IS and CAD groups, the studied variables cannot be considered in an isolated way, given as those parameters were analyzed together by a binary logistic regression, no association has been demonstrated. PMID- 18157394 TI - Discordant results in Tc-99m tetrofosmin and Tc-99m sestamibi parathyroid scintigraphies. AB - Parathyroid scintigraphies have been used to detect pathological parathyroid glands either before as well as after the parathyroid resection surgery in patients with hyperparathyroidism. One of the most utilized techniques to perform the studies is the double-phase images with Tc-99m sestamibi, which has been shown to be very accurate in the localization of enlarged parathyroid glands. Similar to Tc-99m sestamibi, Tc-99m tetrofosmin is a radiopharmaceutical initially developed to perform myocardial perfusion study that has been used to perform parathyroid scintigraphies. Although most of the papers suggest that the overall sensitivities of both radiopharmaceuticals are similar, there are some papers questioning the accuracy of Tc-99m tetrofosmin to detect abnormal parathyroid glands. In the present article, we report a case with discordant results by both methods. PMID- 18157395 TI - [Comparison between continuous subcutaneous insulin infusion and multiple daily injection regimens in adolescent with type 1 diabetes from a public health care system approach to severe hypoglycemia]. AB - OBJECTIVE: We compared the incidence of severe hypoglycemia episodes with therapy with multiple doses of insulin (MDI) and after changing to pump (CSII). PATIENTS AND METHODS: 7 T1DM patients with 14 years median and median duration of diabetes of 8 years. We analyzed insulin requirement (U/kg/day), BMI (Kg/m(2)), HbA1c (normal range: 3.5-6.7%) one year before and one year after changing therapy. The severe hypoglycemia episodes decreased from 1.3 to 0 episodes/patient/year; p = 0.00). The insulin requirement decreased from 1.33 +/- 0.26 U/Kg/day to 0.87 +/- 0.17 U/kg/day; p = 0.04 and HbA1c decreased from 8.7 +/- 0.7% to 7.8 +/- 0.9%; p = 0.05. CONCLUSION: CSII is efficient in decreasing severe hypoglycemia in a subgroup of T1DM using MDI also in Public Health Care System (PHCS) conditions. However, these finding should be reproduced by other Diabetes Care centers and cost studies are necessary to confirm the viability and possibility of this therapy, when necessary, to T1DM patients, which correspond to the majority of these individuals in our country, seeing in the PHCS. PMID- 18157396 TI - Severe rhabdomyolysis due to adipsic hypernatremia after craniopharyngioma surgery. AB - The association of diabetes insipidus and adipsia after craniopharyngioma surgery has high morbidity. Hypernatremia can be caused by adipsia and be aggravated by diabetes insipidus. Rhabdomyolysis rarely occurs. CASE REPORT: This is the first report of a diabetic patient with craniopharyngioma who developed diabetes insipidus and adipsia after surgery, evolving with severe hypernatremia that caused considerable rhabdomyolysis. CONCLUSION: The importance of the evaluation of muscle integrity when under hypernatremic states is pointed out. Although adipsia may have a simple solution through volunteer water ingestion, serious consequences such as repeated severe hypernatremia episodes and intense rhabdomyolysis with high morbidity could occur, if adipsia is not diagnosed. PMID- 18157397 TI - Prevalence of intestinal microsporidiosis in human immunodeficiency virus infected patients with diarrhea in major United States cities. AB - To determine the prevalence of intestinal microsporidiosis in HIV-infected patients, we performed a prospective study of HIV-infected patients with diarrheal illnesses in three US hospitals and examined an observational database of HIV-infected patients in 10 US cities. Among 737 specimens from the three hospitals, results were positive for 11 (prevalence 1.5%); seven (64%) acquired HIV through male-to-male sexual contact, two (18%) through male-to-male sexual contact and injection drug use, and one (9%) through heterosexual contact; one (9%) had an undetermined mode of transmission. Median CD4 count within six months of diagnosis of microsporidiosis was 33 cells/microL (range 3 to 319 cells/microL). For the national observational database (n = 24,098), the overall prevalence of microsporidiosis was 0.16%. Prevalence of microsporidiosis among HIV-infected patients with diarrheal disease is low, and microsporidiosis is most often diagnosed in patients with very low CD4+ cell counts. Testing for microsporidia appears to be indicated, especially for patients with very low CD4+ cell counts. PMID- 18157398 TI - Frequency of Toxocara infection in children attended by the health public service of Maringa, south Brazil. AB - The lack of specific laboratorial diagnosis methods and precise symptoms makes the toxocariasis a neglected disease in Public Health Services. This study aims to determine the frequency of Toxocara spp. infection in children attended by the Health Public Service of Hospital Municipal de Maringa, South Brazil. To evaluate the association of epidemiological and clinical data, an observational and cross section study was carried out. From 14,690 attended children/year aged from seven month to 12 years old, 450 serum samples were randomly collected from September/2004 to September/2005. A questionnaire was used to evaluate epidemiological, clinical and hematological data. An ELISA using Toxocara canis larval excretory-secretory products as antigen detected 130 (28.8%) positive sera, mainly between children from seven month to five years old (p = 0.0016). Significant correlation was observed between positive serology for Toxocara, and frequent playing in sandbox at school or daycare center (p = 0.011) and the presence of a cat at home (p = 0.056). From the families, 50% were dog owners which exposed soil backyards. Eosinophilia (p = 0.776), and signs and symptoms analyzed (fever p = 0.992, pneumonia p = 0.289, cold-like symptoms p = 0.277, cough p = 0.783, gastrointestinal problems p = 0.877, migraine p = 0.979, abdominal pain p = 0.965, joint pain p = 0.686 and skin rash p = 0.105) could not be related to the presence of anti-Toxocara antibodies. Therefore, two asthmatics children showed titles of 1:10,240 and accentuated eosinophilia (p = 0.0001). The authors emphasize the needs of prevention activities. PMID- 18157399 TI - Candiduria in a public hospital of Sao Paulo (1999-2004): characteristics of the yeast isolates. AB - The study involved 100 yeast isolates, obtained from urine samples provided by a Public Pediatric Hospital of Sao Paulo, Brazil, from 1999 to 2004. The most frequent species was Candida albicans, followed by C. tropicalis, C. glabrata and C. parapsilosis. In regard to virulence, 97% of the isolates showed index 3 for proteinase and 63% index 2 for phospholipase. The most frequent killer biotypes were 511 and 888. PMID- 18157401 TI - Occurrence of Proteus mirabilis associated with two species of venezuelan oysters. AB - The fecal contamination of raw seafood by indicators and opportunistic pathogenic microorganisms represents a public health concern. The objective of this study was to investigate the presence of enteric bacteria colonizing oysters collected from a Venezuelan touristic area. Oyster samples were collected at the northwestern coast of Venezuela and local salinity, pH, temperature, and dissolved oxygen of seawater were recorded. Total and fecal coliforms were measured for the assessment of the microbiological quality of water and oysters, using the Multiple Tube Fermentation technique. Analyses were made using cultures and 16S rRNA gene sequencing. Diverse enrichment and selective culture methods were used to isolate enteric bacteria. We obtained pure cultures of Gram-negative straight rods with fimbriae from Isognomon alatus and Crassostrea rhizophorae. Our results show that P. mirabilis was predominant under our culture conditions. We confirmed the identity of the cultures by biochemical tests, 16S rRNA gene sequencing, and data analysis. Other enterobacteria such as Escherichia coli, Morganella morganii and Klebsiella pneumoniae were also isolated from seawater and oysters. The presence of pathogenic bacteria in oysters could have serious epidemiological implications and a potential human health risk associated with consumption of raw seafood. PMID- 18157402 TI - Performances of HTLV serological tests in diagnosing HTLV infection in high-risk population of Sao Paulo, Brazil. AB - Testing problems in diagnosing human T-lymphotropic virus (HTLV) infection, mostly HTLV-II, have been documented in HIV/AIDS patients. Since December 1998, the Immunology Department of Instituto Adolfo Lutz (IAL) offers HTLV-I/II serology to Public Health Units that attend HTLV high-risk individuals. Two thousand, three hundred and twelve serum samples: 1,393 from AIDS Reference Centers (Group I), and 919 from HTLV out-patient clinics (Group II) were sent to IAL for HTLV-I/II antibodies detection. The majority of them were screened by two enzyme immunoassays (EIAs), and confirmed by Western Blot (WB 2.4, Genelabs). Seven different EIA kits were employed during the period, and according to WB results, the best performance was obtained by EIAs that contain HTLV-I and HTLV II viral lysates and rgp21 as antigens. Neither 1st and 2nd, nor 3rd generation EIA kits were 100% sensitive in detecting truly HTLV-I/II reactive samples. HTLV I and HTLV-II prevalence rates of 3.3% and 2.5% were detected in Group I, and of 9.6% and 3.6% in Group II, respectively. High percentages of HTLV seroindeterminate WB sera were detected in both Groups. The algorithm testing to be employed in HTLV high-risk population from Sao Paulo, Brazil, needs the use of two EIA kits of different formats and compounds as screening, and because of high seroindeterminate WB, may be another confirmatory assay. PMID- 18157403 TI - Predictive factors of mortality in burn patients. AB - Burn mortality statistics may be misleading unless they account properly for the many factors that can influence outcome. Such estimates are useful for patients and others making medical and financial decisions concerning their care. This study aimed to define the clinical, microbiological and laboratorial predictors of mortality with a view to focus on better burn care. Data were collected using independent variables, which were analyzed sequentially and cumulatively, employing univariate statistics and a pooled, cross-sectional, multivariate logistic regression to establish which variables better predict the probability of mortality. Survivors and non-survivors among burn patients were compared to define the predictive factors of mortality. Mortality rate was 5.0%. Higher age, larger burn area, presence of fungi in the wound, shorter length of stay and the presence of multi-resistant bacteria in the wound significantly predicted increased mortality. The authors conclude that those patients who are most apt to die are those with age > 50 years, with limited skin donor sites and those with multi-resistant bacteria and fungi in the wound. PMID- 18157404 TI - Portal CD4+ and CD8+ T lymphocyte correlate to intensity of interface hepatitis in chronic hepatitis C. AB - BACKGROUND: The pathogenesis of chronic hepatitis C is still a matter of debate. CD4+ and CD8+ T lymphocytes (TL) are typically observed within the portal and periportal spaces of affected livers, but their functional role in hepatitis C progression has not been fully elucidated. METHODS: CD4+ and CD8+ TL were quantified by immunohistochemistry in portal and periportal spaces of 39 liver biopsies from patients with chronic hepatitis C. They were associated to demographic data, histological parameters, laboratory findings of patients and hepatitis C genotypes. RESULTS: There was high numbers of CD4+ and CD8+ TL from which the density of CD4+ T was higher than CD8+ TL in portal and periportal spaces. CD4+ and CD8+ TL were directly correlated to intensity of interface hepatitis. CD8+ TL correlated to serum enzyme levels. CONCLUSION: The high numbers of CD4+ and CD8+ TL in portal and periportal spaces and their correlation to interface hepatitis suggest that hepatitis C evolution depends on the action of intrahepatic T lymphocytes, lending support to the notion of an immune mediated mechanism in the pathogenesis of chronic hepatitis C. PMID- 18157405 TI - A comparison of the immune parameters of dogs infected with visceral leishmaniasis using Western blot and neutralization techniques. AB - The Western blot technique was used to demonstrate the presence of antibodies in the blood of dogs that presented canine visceral leishmaniasis. This technique was used against some specific molecules present in the lysate of the promastigote form of Leshmania chagasi. Through the association of the results of the Western blot technique with the morphological alterations seen as a result of the serum neutralization technique performed in McCoy cells (which mimetizes the macrophage) it was possible to observe the role of some molecules of great relevance in determining the disease in symptomatic dogs as well as that of some other molecules associated with asymptomatic infected dogs that may become transmitters as well as differentiating them as asymptomatic resistant dogs. In the sera analyses carried out during the immunobloting a variation of 9 to 27 immunoreacting bands was observed, which were then compared using Dice's similarity coefficient. In the dendrogram constructed on the basis of the coefficient, 50% similarity was observed among the total number of reagent bands with the promastigote lysate, thus creating five groups. The main difference observed related to the clinical condition of the dogs: symptomatic and asymptomatic dogs were found in separate groups. The asymptomatic group of dogs was distributed in two different places in the dendrogram because they presented two different behavior patterns regarding the cellular morphology in the serum neutralization reaction: the presence or absence of cellular lysis. According to this analysis it is possible to evaluate the immune status and associate it with specific markers observed in the reaction found in the Western blot strips. PMID- 18157406 TI - Partial characterization of proteolytic activity in Giardia duodenalis purified proteins. AB - This report describes a preliminary characterization of proteolytic activity of proteins isolated from lysate of Giardia trophozoites of an axenic Brazilian strain. Fractions obtained by high-performance liquid chromatography (FPLC) were tested in SDS-polyacrylamide gel for the protein profiles, and the proteases activity was analyzed using gelatin impregnated SDS-PAGE. The proteases characterization was based on inhibition assays employing synthetic inhibitors for cysteine (E-64, IAA), serine (PMSF, TPCK, TLCK, and elastatinal), metalo (EDTA) and aspartic (pepstatin) proteases. Among thirty eluted fractions, polypeptide bands were observed in eight of them, however, proteolytic activity was detected in four ones (F23, F24, F25 and F26). Protein profiles of these fractions showed a banding pattern composed by few bands distributed in the migration region of 45 to < 18 kDa. The zymograms revealed proteolytic activity in all the four fractions assayed, mainly distributed in the migration region of 62 to 35 kDa. Among the profiles, the main pronounced zones of proteolysis were distinguished at 62, 55, 53, 50, 46 and 40 kDa. In inhibition assays, the protease activities were significantly inhibited by cysteine (E-64) and serine proteases (TPCK, TLCK and elastatinal) inhibitors. Gels incubated with other cysteine and serine protease inhibitors, IAA and PMSF, respectively, showed a decrease in the intensity of hydrolysis zones. Indeed, in the assays with the inhibitors EDTA for metalloproteases and pepstatin for aspartic proteases, none inhibition was detected against the substrate. These observations are relevants, especially if we consider that to define the real role of the proteases in host parasite interaction, the purification of these enzymes for detailed studies may be warranted. PMID- 18157407 TI - First report of rabies in vampire bats (Desmodus rotundus) in an urban area, Ubatuba, Sao Paulo state, Brazil. AB - The purpose of this report is to record the first case of a hematophagous bat (Desmodus rotundus) infected with rabies virus in an urban area in Brazil. To the authors' knowledge, this is the first such case in Latin America. After discovering a bat in his garden at 10 o'clock in the morning, a resident of Ubatuba municipality asked the Zoonosis Control Center team to visit his home. The animal was caught alive on the same day and sent to the Pasteur Institute laboratory, where it was identified as a Desmodus rotundus specimen. Standard tests for rabies diagnosis were carried out (direct immunofluorescence and viral isolation), and the results were positive. The presence of different species of (primarily insectivorous) bats in urban areas represents a serious public health problem. This case, however, is indicative of a much greater risk because the species in question has hematophagous habits, what means this animals has a low energy reserves and, therefore, its need to feed daily. PMID- 18157409 TI - Ekbom syndrome (delusory parasitosis): ponderations on two cases. PMID- 18157408 TI - Fatal septicemia caused by Chromobacterium violaceum in a child from Colombia. AB - A 4-year old child living in Colombia presented with a history of fever and severe abdominal pain for four days. The patient developed pneumonia, septic shock, multiple organ failure and died on the fifth day of hospitalization. Chromobacterium violaceum was isolated from admission blood cultures and was resistant to ampicillin, cephalosporins, carbapenems and aminoglycosides. PMID- 18157412 TI - Clinical and hemodynamic outcome following coronary artery bypass surgery in diabetic patients using glucose-insulin-potassium (GIK) solution: a randomized clinical trial. AB - OBJECTIVE: This study was undertaken to determine whether GIK infusion improves hemodynamic performance by reducing the use of inotropic agents, as well as the morbidity of diabetic patients submitted to CABG. METHODS: Patients with type 2 DM referred for CABG were randomized to receive GIK or subcutaneous insulin from anesthetic induction up to 12 hours postoperatively. The primary clinical outcome was the cardiac index (CI) and the secondary clinical outcomes were the remaining hemodynamic parameters; the use of inotropics and vasodilators, the glycemic control (maintenance of plasma glucose levels), and the postoperative morbidity. Hemodynamic and laboratory measurements were performed in the first 24 hours postoperatively, and the patients were followed up for 30 days to detect any surgery-related complications. RESULTS: Twenty-four patients were randomly included in the study. IC did not show significant difference (mean cardiac index at 24 hours in both GIK group 3.49+/-0.94 and Control group 3.38+/-0.75; p=0.74). The GIK group revealed lower blood glucose levels in the infusion period (glucose at 12 hours GIK group 195.6+/-68.25 versus Control group 269.6+/-78.48; p=0.02), with a lower incidence of hyperglycemia in the GIK group, two (16%) against eight (64%) in the control group (RR 0.25; 95% CI 0.07-0.94; p=0.03). Postoperative infectious complications were less frequent in the GIK group than in Control group, three (25%) against 10 (80%), respectively (RR 0.30; 95% CI 0.11-0.83; p=0.01). CONCLUSIONS: Studies have proven that GIK improves hemodynamic performance of both patients with or without DM submitted to CABG, what was not confirmed in this study. The use of GIK neither improved the CI improvement nor reduced the use of inotropic drugs, but it provided better glucose control. Secondary clinical outcome, including postoperative infections, was more frequent in the control group. PMID- 18157413 TI - Minimally invasive thoracotomy (muscle-sparing thoracotomy) for occlusion of ligamentum arteriosum (ductus arteriosus) in preterm infants. AB - OBJECTIVES: To analyze the feasibility, the safety, and the primary outcomes of a minimally invasive thoracotomy for the occlusion of ligamentum arteriosum (ductus arteriosus) in preterm infants. METHODS: Between October 1991 and June 2003, 273 preterm infants and very low birth weight preterm infants were submitted to a surgical occlusion of the ligamentum arteriosum (ductus arteriosus) through muscle-sparing thoracotomy under general anesthesia in the neonatal ICU. Pre operative demographic data, mortality outcomes, and adverse events were retrospectively analyzed through medical records consultation. RESULTS: There were no deaths related to surgery, and 234 (86%) patients were discharged from hospital. Thirty-nine deaths have occurred between the 1st and the 51st days. The cause of death was sepsis (14 patients); intracranial bleeding (11 patients); and necrotizing enterocolitis (9 patients). All causes were related to prematurity. In five patients the cause of death was not established or could not be found in the medical records. The most frequent adverse events related to the surgery were: pneumothorax: 3.3% (9 patients), bleeding: 1.4% (4 patients). CONCLUSIONS: The minimally invasive thoracotomy technique for the occlusion of the ligamentum arteriosum (ductus arteriosus) when performed in preterm infants and very low birth weight infants is feasible, safe, efficient, related to low morbidity, and not dependent of hospital resources. PMID- 18157414 TI - Coronary artery bypass grafting using both internal mammary arteries in patients with diabetes mellitus. AB - OBJECTIVE: We sought to describe the use of both internal mammary arteries (IMA) in patients with diabetes mellitus (DM) submitted to coronary artery bypass grafting (CABG). METHOD: Between January of 1995 to August of 2005, 4.569 patients received isolated CABG in our institution, of these, 1.298 had DM. Mean sample age was 62 years, and total mortality was 2.18% (100 patients). We have used both IMA's in 700 patients, that here are split in two groups, with DM (group I, 148 patients), and without DM (group II, 552 patients). Patient selection for double IMA grafting was based on coronary artery anatomy and sternal bone quality, the later was evaluated during sternal transsection. When these two factors were considered favorable, we harvested both IMA's, not mattering if the patient had or had not DM. During IMA's harvest, care was taken not to open the pleural spaces. RESULTS: There was small difference between the two groups in terms of morbidity and mortality. CONCLUSION: Our data suggest that patients with DM can benefit of double IMA's grafting, with little increase in risk for complications if its application is carefully indicated. PMID- 18157415 TI - Influence of the practice physical activity in the coronary artery bypass graft surgery results. AB - OBJECTIVE: To evaluate the frequency changes of physical activity practice in pre and postoperative of the patients submitted to coronary artery bypass graft surgery (CABG) and the frequency influence on the physical activity practice in the patients' preoperative prognosis. METHODS: Cases studies of 55 patients submitted to CABG divided into active and sedentary regarding physical activity practices. RESULTS: After CAGB, 14 (47%) patients classified as sedentary before surgery were practicing exercises (p = 0.03). Seventeen (59%) sedentary patients in the preoperative period presented complications after the surgery compared to 8 (31%) active patients (p = 0.04). The hospital length of stay among sedentary patients versus active patients before surgery was 15 (SD=8) and 12 (SD=5) days; p=0.03, respectively. CONCLUSION: The present study showed the importance of physical activity practice in the preoperative stage on the outcomes of coronary artery bypass surgery. The patients physically active had a shorter hospital length of stay and a lower number of both trans- and postoperative complications within 1 year. The cardiac surgery promoted the patients' change of habits, increasing the number of physically active patients during the 1-year follow-up. PMID- 18157416 TI - L-glutamic acid in the prevention of the calcification of bovine pericardial fixed in glutaraldehyde: study in rats. AB - OBJECTIVE: To evaluate the efficiency of L-glutamic acid to prevent calcification of glutaraldehyde bovine pericardium implanted in rats' subcutaneous tissues. METHODS: Fifty four Wistar rats were divided in six groups according to the type of the bovine pericardium implanted. At first, all pericardia were initially cross-linked with 0.5% glutaraldehyd (GDA) fixative for 72 h. In Group I, after the initial fixation, the pericardia were preserved in 0.2% GDA fixative until the implantation, whereas in Group II they were stocked in Paraben solution. In Groups III and IV, after the initial fixation in 0.5% GDA fixative, the pericardia were treated with 8% L-glutamic acid at pH 7.4 and 3.5, respectively, being subsequently stocked in Paraben solution. Groups V and VI were similar to III and IV, except for the concentration of L-Glutamic acid which was 0.8%. Explantation was done at 15, 30, and 60 days, and the specimens submitted to histological analysis with Hematoxylin and eosin (HE) and Von Kossa stains, besides calcium quantification with atomic spectrofotometry. RESULTS: Microscopic analysis demonstrated severe and progressive calcification in groups I, II, and III, whereas in groups IV, V, and VI calcification, when present, was mild and focal. Spectrofotomety confirmed these findings, revealing calcium contents of 1.93 microg/mg of tissue at 60 days in the control group. Groups IV and VI showed the least calcium contents (0.063 e 0.066, respectively). CONCLUSIONS: The use of L-glutamic acid in segments of bovine pericardium with glutaraldehyde fixative was effective in preventing the calcification when implanted in rats' subcutaneous up to 60 days. PMID- 18157417 TI - Analysis of the immediate outcomes of a comparative randomized study between aorto-saphenous mechanical anastomosis versus conventional anastomosis. AB - OBJECTIVE: To evaluate the immediate results of mechanical aorto-saphenous anastomosis compared with conventional anastomosis. METHOD: We evaluated 12 patients. The mean age ranged from 62.33 +/- 7.30 years. Of 12 patients submitted to surgery without extracorporeal circulation, 10 (83.3%) patients were male. Thirty-three proximal anastomoses were evaluated, 21 of them being performed through the conventional manner and 12 with the St. Jude Symmetry aortic connector. The time spent on anastomosis, and free flow and patency on the 4th day postoperative were analysed. RESULTS: The mechanical anastomosis was successfully performed in all patients. Electrocardiographic alteration compatible with myocardial infarctation (MI) on the 2nd day postoperative was observed only in one patient. The patient was referred to angiographic restudy, becoming evident a conventional proximal anastomosis occlusion for the marginal branch. Three patients had atrial fibrillation. The average time spent to perform the mechanical anastomosis was 44.08 +/- 9.26 seconds against 3.86 +/- 0.61 minutes of the conventional anastomosis (p = 0.0022). The average blood free flow observed in the mechanical anastomosis was 302.75 +/- 82.76 mL/min versus 190.75 +/- 51.53 mL/min (p = 0.0022). In the angiographic restudy performed on the 4th postoperative day, it was detected the occlusin of three mechanical anastomosis. There was no new conventional anastomosis (p = 0.2500). CONCLUSION: The present study showed a statistically significant superiority for mechanical anastomosis of the saphenous vein with the aorta when evaluated the blood free flow and the time to perform the anastomosis. In relation to the artery condition in the postoperative angiography, one cannot say there was statistically significant difference between the procedures studied. PMID- 18157418 TI - Morphometrical quantification of Chlamydia pneumoniae and Mycoplasma pneumoniae in human atherosclerotic abdominal aortic aneurysms. AB - OBJECTIVE: Atherosclerotic inflammation with a possible role of infectious agents can contribute to the pathogenesis of abdominal aortic aneurysms (AAA). The finding of Chlamydia pneumoniae (CP) in these lesions in previous non-quantifying studies ranged from 0-100%. The objective is to quantify the presence of CP and Mycoplasma pneumoniae (MP) in AAA. METHODS: The thickness, and the number of cells positive for CP detected by the immunohistochemistry (immunoperoxidase, which is a type of immunohistochemical stain used in molecular biology, medical research, and clinical diagnostics), and the percentage of the area occupied by the Mycoplasma pneumoniae detected by in situ hybridization in three layers of the aorta were measured using an image-analysis system in 10 necropsies of abdominal aneurysmatic aortas. Three groups were used as controls: 1) samples of the same aortas, outside the aneurysms, except if the dilatation took the whole sub-renal portion of the artery (n=7); 2) aortas with severe atherosclerosis but without aneurysms (n=10); 3) aortas without or with mild atherosclerosis (n=10). All specimens were obtained at necropsies. Wald's test was used to compare groups; significance level was established at 5%. RESULTS: The tunica intima was thinner and the tunica media was thicker in the normal cases than in the other groups (p<0.01). Positive cells for CP were found in all groups, more frequently at the adventitia; no significant difference was detected between the groups (p>0.05). MP was also detected in all groups. This agent predominated in the group of patients with atherosclerosis, but without aneurysms at both tunica intima and adventitia; nevertheless, there were no significant differences between the groups (p>0.05). CONCLUSIONS: Our data suggested that the bacteria we focused to, does not play an important role in the pathogenesis of AAA. PMID- 18157419 TI - Effect of temporary right atrial pacing in prevention of atrial fibrillation after coronary artery bypass graft surgery. AB - OBJECTIVE: To evaluated the effects of temporary atrial pacing to prevent the atrial fibrillation following coronary artery bypass graft surgery and the risk factors to the occurrence of this arrhytmia. METHODS: We have studied 160 patients who, at the end of coronary artery bypass graft surgery, were submitted to epicardial electrode implantation in the right atrium lateral wall. They were randomized into two groups: non-pacing (NP) group and right atrial (RA) pacing group. The cardiac rhythm was monitorized over 72 hours following to the end of surgery and the variables studied were as follow: incidence of atrial fibrillation; the risk factors pre-, intra-, and postoperative for its occurrence, and postoperative events. RESULTS: There were 21 (13.1%) episodes of atrial fibrillation, 20 in the NP group and one in the RA group. The relative risk (RR) for the development of atrial fibrillation was 0.18 (95% CI; 0.05-0.60) for the RA group when compared to the NP group. The logistic regression identified that the study variables, such as younger age; use of beta-blockers in the preoperative, and the presence of right atrial pacing had been associated to a lower Odds ratios (ORs) for the occurrence of atrial fibrillation in the postoperative. CONCLUSIONS: The temporary atrial pacing reduced the incidence of atrial fibrillation after the CABG surgery. Older age and a non-atrial pacing were the independent predictive factors of the occurrence of this arrhythmia. PMID- 18157420 TI - Left thoracotomy for reoperations in myocardium revascularization. AB - OBJECTIVE: To describe patient selection criteria, surgical technique and early outcomes in patients undergoing reoperative coronary artery bypass surgery (RECABG) through a left thoracotomy without cardiopulmonary bypass (CPB). METHODS: Eight patients with patent grafts to the anterior interventricular branch of left coronary artery (four of which had also patent grafts to the right coronary artery) requiring revascularization of the circumflex coronary system had redo-CABG without CPB through a left posterolateral thoracotomy. RESULTS: There was no in-hospital mortality or serious postoperative complications. All patients are angina-free. CONCLUSIONS: An off-pump redo-CABG through a left posterolateral thoracotomy may reduce risks attributable to resternotomy in patients who met the selection criteria. PMID- 18157421 TI - Coronary artery bypass grafting in a patient with situs inversus totalis and dextrocardia. AB - Situs inversus totalis is a rare congenital anomaly. We report a case of a 78 year-old woman with this condition and ischemic coronary artery disease who underwent myocardial revascularization. The cardiac catheterism showed severe proximal stenosis with aneurysms in the anterior interventricular branch, diagonal artery, and right coronary artery. The procedure was done with the surgeon positioned in the left hand side of the patient, with the right internal thoracic artery anastomosed to the anterior interventricular branch, and to two more vein grafts. Very few cases have been reported in the world and this is the third case in Brazil, and the first in the world with coronary aneurysms. PMID- 18157422 TI - Giant pericardial cyst: case report. AB - Pericardial cysts are uncommon congenital abnormalities. Most are asymptomatic and are found incidentally on chest roentgenograms. Giant cysts are an even more uncommon finding, and reports of their natural history, presentation and management are few. In this report the authors describe a case of a giant pericardial cyst with symptoms of mediastinal compression for which the surgical excision guaranteed a 12-month follow-up of complete remission of the symptomatology. PMID- 18157423 TI - Vascular ring related to Kommerell diverticula: case report. AB - Report of a surgical treatment for vascular ring (right aortic arch and the anomalous origin of the left subclavian artery) related to Kommerell diverticulum with resection of the ligamentum arteriosum (ductus arteriosus), suture of the Kommerell diverticulum, and reimplantation of left subclavian artery in the ipsilateral carotid artery through left thoracotomy in a 13-year-old female. PMID- 18157425 TI - Lung nodule, tracheal stenoses and coronary disease: how to approach when are all associated to? AB - A 67-year-old male patient underwent exploratory thoracotomy for pulmonary nodule resection. The patient presented a cardiorespiratory arrest during anesthesia due to myocardium infarction. After reanimation the patient was referred to ICU where he remained intubated for 7 days. Subsequently, he developed cervical tracheal stenosis. At first, the patient underwent a myocardium revascularization followed by surgical resection of tracheal stenosis through tracheoplasty. PMID- 18157424 TI - Simultaneous repair of congenital heart defect and pectus excavatum. AB - The author describes the simultaneous treatment of pectus excavatum and congenital intracardiac defect (atrial septal defect) represented by the interatrial foramen secundum. An 8-year-old boy, with clinical and echocardiography diagnosis of atrial septal defect associated with pectus excavatum was referred to a simultaneous surgical treatment of both abnormalities. The simultaneous surgical treatment of both pectus excavatum and congenital intracardiac defects make it difficult to access the heart. In this case, the simultaneous surgical treatment of atrial septal defect and pectus excavatum was a valuable alternative to surgical repair of both abnormalities, mainly due to its cosmetic outcome. PMID- 18157426 TI - Partial absence of the inferior vena cava associated with bowel malformation. AB - A 6-year-old female child sought medical service due to a gastrointestinal malformation. During medical follow-up, partial absence of the inferior vena cava was diagnosed, a rare congenital alteration affecting the vascular drainage from the inferior segment of the body. Imaging exams were accomplished, contributing to evaluation and description of the case. Conservative treatment with oral anticoagulant was maintained. The patient presents good evolution after long-term cardiovascular follow-up. PMID- 18157427 TI - Case 6/2007--the uncommon association between the aortopulmonary window and the aortic coarctation. PMID- 18157428 TI - Case 7/2007--a child with transposition of the great arteries submitted to surgical correction at preschool age. PMID- 18157430 TI - Effects of cocaine, methamphetamine and modafinil challenge on sleep rebound after paradoxical sleep deprivation in rats. AB - Sleep loss is both common and critically relevant to our society and might lead to the abuse of psychostimulants such as amphetamines, cocaine and modafinil. Since psychoactive substance abuse often occurs within a scenario of sleep deficit, the purpose of this investigation was to compare the sleep patterns of rats challenged with cocaine (7 mg/kg, ip), methamphetamine (7 mg/kg, ip), or modafinil (100 mg/kg, ip) subsequent to paradoxical sleep deprivation (PSD) for 96 h. Our results show that, immediately after 96 h of PSD, rats (10 per group) that were injected with a psychostimulant presented lower percentages of paradoxical sleep compared to those injected with saline (P < 0.01). Regarding slow wave sleep (SWS), rats injected with psychostimulants after PSD presented a late rebound (on the second night subsequent to the injection) in the percentage of this phase of sleep when compared to PSD rats injected with saline (P < 0.05). In addition, the current study has produced evidence of the characteristic effect of each drug on sleep architecture. Home cage control rats injected with modafinil and methamphetamine showed a reduction in SWS compared with the saline group. Methamphetamine affected sleep patterns most, since it significantly reduced paradoxical sleep, SWS and sleep efficiency before and after PSD compared to control (P < 0.05). Cocaine was the psychostimulant causing the least changes in sleep pattern in relation to those observed after saline injection. Therefore, our results suggest that abuse of these psychostimulants in a PSD paradigm aggravates their impact on sleep patterns. PMID- 18157431 TI - Sildenafil delays the intestinal transit of a liquid meal in awake rats. AB - Sildenafil slows down the gastric emptying of a liquid test meal in awake rats and inhibits the contractility of intestinal tissue strips. We studied the acute effects of sildenafil on in vivo intestinal transit in rats. Fasted, male albino rats (180-220 g, N = 44) were treated (0.2 mL, iv) with sildenafil (4 mg/kg) or vehicle (0.01 N HCl). Ten minutes later they were fed a liquid test meal (99m technetium-labeled saline) injected directly into the duodenum. Twenty, 30 or 40 min after feeding, the rats were killed and transit throughout the gastrointestinal tract was evaluated by progression of the radiotracer using the geometric center method. The effect of sildenafil on mean arterial pressure (MAP) was monitored in a separate group of rats (N = 14). Data (medians within interquartile ranges) were compared by the Mann-Whitney U-test. The location of the geometric center was significantly more distal in vehicle-treated than in sildenafil-treated rats at 20, 30, and 40 min after test meal instillation (3.3 (3.0-3.6) vs 2.9 (2.7-3.1); 3.8 (3.4-4.0) vs 2.9 (2.5-3.1), and 4.3 (3.9-4.5) vs 3.4 (3.2-3.7), respectively; P < 0.05). MAP was unchanged in vehicle-treated rats but decreased by 25% (P < 0.05) within 10 min after sildenafil injection. In conclusion, besides transiently decreasing MAP, sildenafil delays the intestinal transit of a liquid test meal in awake rats. PMID- 18157432 TI - [Discussing resistant and refractory cases in psychiatry]. PMID- 18157433 TI - [Refractory schizophrenia]. AB - OBJECTIVE: The aim of the present paper is to review the various aspects of refractory schizophrenia regarding issues such as definitions, clinical aspects, psychobiological correlates, pharmacological and non-pharmacological treatment options and predictors of treatment response. METHOD: Medline search as well as articles of the authors. RESULTS AND CONCLUSIONS: Refractory schizophrenia affects at least one third of patients with schizophrenia and the best evidence shows that is monotherapy with clozapine remains the mainstay for the treatment of such condition. Antipsychotic polipharmacy is not supported by current evidence and recent clinical trials have shown that clozapine augmentation with antipsychotics has no benefit over placebo. PMID- 18157434 TI - [Treatment-resistant anxiety disorders: social phobia, generalized anxiety disorder and panic disorder]. AB - OBJECTIVES: Anxiety disorders are common psychiatric conditions that cause significant disability, poor quality of life and enormous social cost. Although treatments with demonstrable efficacy are available a great number of patients fail to respond or remains with clinically significant residual symptoms after treatment. The objective of this study is to review aspects related to treatment resistance and pharmacological strategies to deal with anxiety disorders resistant to treatment. METHOD: Narrative review. RESULTS: We discuss conceptual aspects related to treatment resistance or refractoriness, predictors of poor treatment outcome, and finally, some strategies to deal with anxiety disorders (including social anxiety disorder, generalized anxiety disorder and panic disorder) that do not respond to standard therapeutic interventions. CONCLUSION: Treatment resistance in anxiety disorders remains a challenge to clinical practice going from non standardized concepts of response and resistance to a paucity of controlled studies concerning therapeutic strategies. PMID- 18157435 TI - [Antipsychotics, anticonvulsants, antiadrenergics and other drugs: what to do when posttraumatic stress disorder does not respond to selective serotonin reuptake inhibitors?]. AB - OBJECTIVES: In this narrative review, we aimed to describe different pharmacological strategies for the treatment of patients with post-traumatic stress disorder who display different levels of intolerance, resistance, refractoriness, or who are unable to take to antidepressants, especially serotonin reuptake inhibitors. METHOD: We searched the ISI web of science and the PubMed for original studies focusing in the treatment of PTSD in different clinical scenarios. RESULTS: Preliminary evidence pointed towards the efficacy of drugs such as risperidone, olanzapine, lamotrigine and prazosin as strategies to be employed in the above mentioned clinical scenarios. The choice of a specific "second line" drug should take into account not only symptoms, but also pattern of comorbidities, previous response to other treatments, pharmacological interactions, side-effects, and patient's physical conditions. CONCLUSIONS: Future randomized controlled trials should be performed in order to unveil which drugs should be prescribed in the absence of adequate treatment and response to serotonin reuptake inhibitors. PMID- 18157436 TI - [Somatic therapies for treatment-resistant psychiatric disorders]. AB - OBJECTIVE: This paper reviews the current knowledge of somatic treatment in psychiatry, with a focus on treatment-resistant psychiatric disorders. METHOD: A computerized search of the literature was conducted on Medline using the words "electroconvulsive therapy", "transcranial magnetic stimulation", "vagus nerve stimulation", "deep brain stimulation" and "magnetic seizure therapy". References from each paper were also screened. RESULTS: The development of new non pharmacological psychiatric interventions in the past decades has renewed the clinical and research interest in somatic therapies. Although electroconvulsive therapy remains the only somatic treatment with undisputed efficacy, transcranial magnetic stimulation, magnetic seizure therapy, vagus nerve stimulation and deep brain stimulation all offer potential as novel means of psychiatric treatment. CONCLUSIONS: New treatment modalities still have an insufficient body of data. Notwithstanding, biological strategies continue to hold promise as a safer and more effective approach to psychiatric treatment. PMID- 18157437 TI - Social insertion of nursing graduate programs. PMID- 18157438 TI - Family dynamics from the perspective of parents and children involved in domestic violence against children and adolescents. AB - We sought, in this investigation, to understand the family dynamics in the view of parents and children involved in Domestic Violence against children and adolescents institutionalized in the Center of Assistance to the Victimized Child and Adolescent (CACAV), in Ribeirao Preto-SP, Brazil. This is a qualitative study with semi-structured interviews applied to parents and children from six families involved in domestic violence. The data were analyzed through content analysis. Ecology of human development was used as theoretical reference. Domestic violence was reported, though it is understood as common practice for the families. We identified that the parents' view favors the denial of the violence perpetrated. The children, on the other hand, point that love ties and affection are more significant for their development than blood relations. We believe that the knowledge acquired as how violence is experienced, can contribute with intervention strategies capable of breaking the perverse cycle of violent family relationships. PMID- 18157439 TI - Political project of adolescent care in Sao Carlos, Brazil. AB - The Brazilian Child and Adolescent Statute was established in 1990. Since then many institutions have been created to attend adolescents. This study aimed to understand how these institutions have been organized in Sao Carlos, Northeast of Sao Paulo, Brazil. This is a descriptive study, whose data were collected through interviews with the directors of 20 institutions. They reported differences in terms of objectives, target public age, religious orientation, etc. While most institutions have focused on leisure activities and professional education, some of them attend only adolescents who have committed some kind of illegal act. Although there are many different ways to assist adolescents, it seems that their actions are not integrated towards the implementation of the Child and Adolescent Statute. PMID- 18157440 TI - The routine of families with nursing infants. AB - This descriptive study investigates the routine of families with nursing infants ages between six months and two years old, involving working mothers users of a Basic Health Unit in a city in the South of Brazil. The theoretical discussion is based on the families' routine approach. A total of 25 mothers were interviewed through a semi-structured questionnaire. The qualitative data analysis followed the phases of organization, codification, categorization and interpretation. The findings suggest that childcare routines vary according to the periodicity, schedule and occupation of the mother. Different alternatives to childcare were identified, and although most of the women interviewed reported to be married, they almost did not mention the husband's participation in the routine. The investigation based on family routines allows the identification of family roles, the social relations and the health care organization. PMID- 18157441 TI - Lifestyle changes in descendants of parents with diabetes type 2. AB - This study aimed to explore the disposition of diabetic parents' descendents in changing eating and physical activity patterns. It was based on the heritability concept and Prochaska's Transtheoretical Model. This is a descriptive correlational study; participants included 30 parents, randomly selected, and 60 children. RESULTS AND CONCLUSION: 68% of the children was classified as obese, 42% with insulin resistance, and 15% with carbohydrate intolerance. None of the risk factors was associated with the stages of change. The heritability factor was 1.37%; more people younger than 40 and women report decreasing in the consumption of fat food (Xi(2)=6.04, p=.020; and 4.41, p=.040, respectively). These results suggest a high influence of environmental factors on the participants' unhealthy life styles. PMID- 18157442 TI - Care needs of pregnant women with a private health insurance: a comprehensive social phenomenology approach. AB - This study aimed to understand the meanings women who possess health plans hold regarding pregnancy and get to know their care needs in this phase of the vital cycle. It was based on the qualitative research of phenomenological inspiration. The discourses analysis was based on the sociologist and fenomenologist Alfred Schutz's thought. Having health plans and being attended in private institutions were defined as inclusion criteria. The following categories emerged from the discourses: having new responsibilities; experiencing a special situation; experiencing insecurity, anxiety and expectations; feeling limited; trusting the health professional. It was found, through the analysis of categories, that the experience of the pregnant women who participated in the study is similar to those who do not possess health plans. However, in the category "trusting the health professional" it was possible to perceive the importance of possessing health plan, which allows the intersubjectivity between the woman and the health professional. PMID- 18157443 TI - Investigating oral healthcare in the elderly using Grounded Theory. AB - The present article aimed to describe the foundations and adequacy of the Grounded Theory (GT) to the construction of the substantive theory on the phenomenon of oral health care of institutionalized elderly people. GT is a methodology that allows formulating orderly abstractions from the real life data. Through this referential is possible to elaborate a relevant and functional theory in order to understand the meaning of the elderly oral health care practices. GT allowed an extensive and rich production of information codes submitted to a process of Comparative Analysis. The immersion in the actors' subjective and private view, through interviews performed with the participants, allowed by the open and flexible character of the method, permitted the formulation of comprehensive analysis categories. The text demonstrates the validity of this alternative methodology to the scientific investigation of this complex phenomenon. PMID- 18157444 TI - Can the socioeconomic level influence the characteristics of a group of hypertensive patients? AB - A total of 440 hypertensive patients participated in the study (57 years old +/ 12, 66% women, 51% white, 57% married, 52% with primary school and 44% with income from 1 to 3 minimum salaries) to characterize biosocial, beliefs, attitudes and knowledge variables, absence to consultation and treatment interruption, and to associate the socioeconomic level to the variables studied. An index of accumulated goods, from the possession of household appliances converted in minimum salaries/mo., was elaborated in order to evaluate the economic status. The hypertensive people who disagreed with "there is nothing you can do to prevent high blood pressure" presented significantly higher levels of accumulated goods; those who affirmed never getting late to their consultations presented lower levels of accumulated goods; in the subjective well-being evaluation, sadness was associated to a lower accumulated goods index (p<0,05). Results showed that low economic status was associated with factors that can influence the attitude and adherence to anti-hypertensive treatment. PMID- 18157445 TI - Time series of tuberculosis mortality in Brazil (1980-2001). AB - This descriptive study aimed to describe Tuberculosis-related mortality in Brazil between 1980 and 2001, through time series analysis of data from the DATASUS related to cases in which Tuberculosis was the basic cause of death. The mortality rates were calculated per 100,000 inhabitants according to gender and age. We found a decrease in Tuberculosis mortality of approximately 42% for men and 54% for women across the period analyzed. The International Classification of Diseases was used: ICD-9, for the period of 1980 to 1995; ICD-10 for 1996 to 2001. Deaths are related to late diagnosis, which is a problem of organization of the primary health care, as neither prevention actions nor case detections by active search for respiratory symptoms were incorporated into the health professionals' practice which contributes to higher death rates in more vulnerable groups. PMID- 18157446 TI - The triggering of psychosis and its clinical treatment in substitutive mental health equipment: a theoretical contribution in the Freudian perspective. AB - The present study goal was to build a framework based on the Freudian psychoanalysis in order to understand the psychosis mode of production. The methodology consisted of content analysis of terms related to the concept studied. Based on the assumption that the psychotic symptoms are a result of a fixation on the primary narcissism, we conclude that the fusion of life and death pulses, as well as the egoic constitution through identification processes in the oral phase, can keep the individual tied to primitive figures of identification and prevent him(er) from making new libidinal investments, which lead the individual to feel a constant threat and death in life. The attempts made by the psychotic person to escape from this state of death and to relate with external reality are expressed in forms known as symptoms, such as delusions and aggressiveness. PMID- 18157447 TI - Themes and time use by participants in general team meetings at a psychiatric day hospital. AB - This naturalistic study was realized through observation and aimed to characterize general staff meetings held at a day hospital regarding theme and the professionals' participation in the use of time. We observed 21 meetings, during which 144 announcements were made and 46 issues were discussed, with greater participation in discussions by fixed team members. In 18 of these meetings, the discussed themes corresponded to daily situations registered during the weeks preceding the meetings. Our findings reveal that these meetings are inserted in the service on a regular basis. Power relations and differences in experience and technical knowledge between the different professionals seem to contribute to the higher or lower number of announcements and issues presented. As this space favors exchanges, we suggest these meetings to be used in other health services working with assistance teams. PMID- 18157448 TI - Risk factors for pressure ulcer development in institutionalized elderly. AB - This study aimed to analyze the risk factors for the development of Pressure Ulcers (PU) in old people living in Long Staying Institutions. It is a prospective and cohort study carried out in four Institutions. A total of 94 old people composed the sample and were assessed during three consecutive months. The total scores of the Braden Scale were different between the groups with and without PU, at the first (p=0.030) and last assessments (p=0.001); humidity, nutrition and friction/shearing were significantly different between those with and without PU, and were always worst among the first. Female gender and previous PU were confirmed as predictive for the development of PU (r(2)=0.311). PMID- 18157449 TI - Communication between nursing staff and clients unable to communicate verbally. AB - This is an experience developed during the Master program in Nursing at UFSC. It aimed to reflect on the nursing care delivered to the patient unable to verbally communicate, based on Paterson and Zderad's Theory and to analyze the communicational process between nursing and client. The experience was carried out in the Intensive Care Center of a private hospital in two stages: non participating observation and three existential workshops, involving nine nursing technicians. Each participant acquired self knowledge and was known by other participants in the intuitive dialogue. Alternatives of non-verbal dialogue were suggested during the scientific dialogue. The scientific-intuitive fusion emerged when there was a need of each one to position themselves about the totality. The study on the communicational process revealed the need to enlarge the approach regarding the care to the client unable to verbally communicate, especially training the team for the interpersonal and dialogical relationship. PMID- 18157450 TI - Hospital care: assessment of users' satisfaction during hospital stay. AB - Health care teams have followed the National Health System's (SUS) principles to ensure quality improvement in healthcare, and patient satisfaction is one of the instruments used to evaluate quality. This study aimed to evaluate patient satisfaction regarding the assistance to their needs during hospitalization, in a general hospital of a city in the interior of Sao Paulo. Data were collected through participant observation and use of focal group techniques in this qualitative research. A theme guide was used and a total of 20 subjects participated in the study. Data were analyzed through content analysis and interpreted through triangulation. Study results demonstrate that patients were satisfied with the care rendered. However, the researcher concluded that the institution's work organization is not directed to the attainment of quality. PMID- 18157451 TI - Patient classification system: a proposal to complement the instrument by Fugulin et al. AB - Analysis of patient classification instruments available in the literature shows that many significant aspects related to the assistance to patients with wounds are not approached, evidencing the importance to elaborate criteria to assess these patients. This study proposes the development of new of areas of care to complement the Fugulin et al. instrument, validated by the Federal Nursing Council (COFEN). The construction of new areas to evaluate wounds was based on a bibliographic search on the operational models of the Patient Classification System (PCS), as well as on several instruments of wound classification. New areas of care were established, as follows: tissue impairment, number of dressing changes and time taken to their preparation. Values were also redefined indicating the patient's assistance category. The complementation of the Fugulin et al. instrument, proposed here, favors the application of this instrument in a more diversified group of patients since it adds a relevant assistance aspect, as the dressing issue. PMID- 18157452 TI - The maintenance care of potential organ donors: ethnographic study on the experience of a nursing team. AB - This ethnographic study aimed to understand a nursing team's experience on the maintenance of potential organ donors. Data were collected through ethnographic interview, participative observation and documental analysis and analyzed in thematic, cultural domain and taxonomical terms. The research enabled us to identify the meaning of brain death, revealing the interrelation between the categories (units, nursing team and patient), which constituted this study main theme: "it is not a person". The transplant meaning held by the nursing team is marked by disbelief due to some previous experiences in the Intensive Therapy Unit. Thus, beliefs and values of this subculture interfere or determine a distancing from the patient with a consequent loss in the maintenance of the potential donor and quality of the organs donated. PMID- 18157453 TI - Evaluation of underreported surgical site infection evidenced by post-discharge surveillance. AB - The Surgical Site Infection (SSI) has been pointed as one of the most important infection sites. This study aimed to determine the surgical site infection incidence during hospitalization and the impact of notification after discharge through two methods. This prospective study was carried out in the digestive system surgery service (DSS) of two general hospitals of Sao Paulo, in the period from August, 2001 to March, 2002. Incidence levels of 6.7% and 4.5% were notified in the institutions A and B respectively. The incidence of SSI after discharge in the institution A was 27% and 13.4% in the institution B. Surveillance after discharge evidenced global rates of 33.7% and 17.9% for institutions A and B respectively. The rates of infection increased 5.02 and 3.98 times respectively in institutions A and B. PMID- 18157454 TI - Adaptation of the visual analog sleep scales to Portuguese. AB - This article reports the adaptation of the Visual Analog Sleep (VAS) Scales developed to assess patients' perception about their sleep on the previous 24 hours. Original scales, translated to Portuguese and submitted to content validation, were tested for reliability and validity. Convenience sample was composed of 180 patients on the first postoperative day (mean age 39.3+/-12.3 years; 68.3% female). The Disturbance Scale was kept with 7 items (alpha=.80) and the Effectiveness Scale with 5 items (alpha=.78); both maintained the original structure. Item 13 (Wake after final arousal) had to be excluded from Supplementation Scale, that kept 3 out of its 4 items (alpha=.72). There was negative correlation between Disturbance and Effectiveness (r=-.68 p<.001), as it was expected. The adapted version is suitable to sleep assessment of postoperative patients. The behavior of the excluded item has to be analyzed with other samples. PMID- 18157455 TI - Staff cost in direct nursing care at an intensive care unit. AB - This quantitative case study aimed to learn and analyze the personnel cost in nursing direct care in the intensive care unit. We opted to use a therapeutic intervention score index, TISS-28, for the analysis of the indirect gravity of patients and the dimension of the nursing staff working time. Evaluating the cost by a gravity score presented to be a logical and relatively simple method to allocate costs per patient in the intensive care unit. In this exploratory and descriptive study, the average TISS-28 per patient was 31 points, requiring a daily expenditure of care hours of R$ 298.69. It was evidenced in this study that personnel costs are variable since there are patients with different complexities. Therefore is possible to estimate the nursing staff cost by assessing its work load. PMID- 18157456 TI - Medication preparation and administration: analysis of inquiries and information by the nursing team. AB - This study analyzed questions presented by nursing technicians and auxiliaries during medication preparation and administration. Data were collected through a form in which nurses who worked in the hospitalization unit of a general hospital in Sao Paulo, Brazil, were asked to take notes of any questions asked to them. Most of the 255 questions were related to medication dilution (103). Regarding the answers source, only 7.5% of answers were obtained from pharmaceutical professionals, 35.5% of the answers given by nurses was incorrect or partially correct, which can constitute a factor for medication administration errors. In addition, there are no pharmacists present in hospitalization units of Brazilian hospitals. These professionals could, jointly with nurses, facilitate medication orientation to nursing professionals during preparation and administration, as well as to patients themselves. PMID- 18157457 TI - Surgery cancelling at a teaching hospital: implications for cost management. AB - This study discusses the problem of surgery cancellation on the economic financial perspective. It was carried out in the Surgical Center Unit of a school hospital with the objective to identify and analyze the direct costs (human resources, medications and materials) and the opportunity costs that result from the cancellation of elective surgeries. Data were collected during three consecutive months through institutional documents and a form elaborated by the researchers. Only 58 (23.3%) of the 249 cancelled scheduled surgeries represented costs for the institution. The cancellations direct total cost was R$ 1.713.66 (average cost per patient R$ 29.54); distributed as follows: expenses with consumption materials R$ 333.05; sterilization process R$201.22; medications R$149.77 and human resources R$1,029.62. The human resources costs represented the greatest percentile in relation to the total cost (60.40%). It was observed that most of the cancellations could be partially avoided. Planning on management; redesigning work processes, training the staff and making early clinical evaluation can be strategies to minimize this occurrence. PMID- 18157458 TI - Cancer in children: the diagnostic itinerary. AB - This study aims to describe the trajectory children and adolescents experience from the beginning of cancer signs and symptoms until the confirmation of the diagnosis, based on their parents' report. A total of eight mothers and two fathers participated in the study. Data were collected through semi structured interviews, and data were subject to qualitative analysis. We found that this period is significant for parents, who are capable of recognizing that something wrong started to happen to their children, expressed through signs and symptoms. They precisely reported the chronological time of this trajectory. The challenges they mentioned refer to the different diagnostic hypotheses, the difficulty to performing specific diagnostic exams and to be referred to specialized care services. This search for health service care revealed to be a difficult journey, which permits to identify that the Brazilian Basic Health System's principles of accessibility and problem-solving capacity are jeopardized. PMID- 18157459 TI - Brazilian nursing and professionalization at technical level: a retrospective analysis. AB - This article presents a retrospective analysis of the Brazilian Nursing concerning the professionalization of workers at technical level. It also provides some indication about the trends of professional education. There is a clear indication of increased intellectual and conceptual accumulation in the four decades the professional education in nursing at technical level has been part of the public policy agenda. This experience serves as reference for the formulation of new actions directed to other professionals of technical level who deliver direct care to the population. The study shows that there was reformulation of the nursing professional qualification issue, including in the discussion the need to improve the quality of educational processes and extensive supply of continuous education to workers already inserted in the process, in order to keep the constant changes in the Brazilian Health system. PMID- 18157460 TI - Lipodystrophy syndrome associated with antiretroviral therapy in HIV patients: considerations for psychosocial aspects. AB - Several side effects have been strongly associated with antiretroviral therapy in HIV patients. Among them, the lipodystrophy syndrome which presents alterations in body shape with central adipose hypertrophy and peripheral lipoatrophy, reported by patients as a visible marker identifying them as HIV patients. This manuscript presents an analysis of current literature regarding the psychosocial aspects of HIV patients with lipodystrophy associated with antiretroviral therapy. The results show that the alterations in body shape can be disturbing in terms of psychosocial well being, affecting quality of life and increasing the stigma associated with the disease, with consequent disturbances in social relations. This analysis provides a preliminary review of the psychosocial aspects of lipodystrophy and further studies are needed for a better understanding of this complex syndrome, which could provide new information to be used in nursing care for HIV patients affected by this problem. PMID- 18157461 TI - An overview of research designs relevant to nursing: Part 3: mixed and multiple methods. AB - This third article of the series "An Overview of Research Designs Relevant to Nursing" presents the use of mixed or multiple methods in nursing research. The use of mixed or multiple methods is a growing trend that offers another option for researchers in addressing the complex health problems faced in nursing today. Understanding of all methods and all combinations of methods facilitate the conduction and dissemination of research to serve nursing practice. PMID- 18157463 TI - Imaging the neuromuscular junction over the past centuries. AB - The neuromuscular junction (NMJ) has been studied for over a century as a model system for synaptic anatomy, physiology and development. Much of our knowledge of the NMJ has been obtained through imaging techniques, some of which were developed particularly to visualize this synapse's structure and function. In this paper we review the historical development of research on some key aspects of the NMJ, including its structure, nicotinic acetylcholine receptor distribution, the process of synaptic vesicle release, and its development. PMID- 18157462 TI - The use of exhaled nitric oxide monitoring in primary care asthma clinics: a pilot study. AB - AIM: Although asthma is defined as a chronic inflammatory disease, inflammation is rarely assessed. The fraction of exhaled nitric oxide (FeNO) is a biomarker of airways inflammation. We assessed the feasibility of FeNO monitoring in general practice. METHODS: Prospective observational study of volunteers attending primary care asthma clinics. Consenting subjects were seen at their own surgery for 2-weekly reviews over 12 weeks, with assessment of FeNO, lung function, symptoms and health status. RESULTS: 22 adults and 15 children provided informed consent. Two subjects were unable to perform the FeNO expiratory manoeuvre. In the remaining subjects, measurements conforming to highest ERS/ATS recommendations were made on 211 of 236 occasions, and on 21 further occasions acceptable readings were made. Acceptability was high to subjects and staff. Correlations between FeNO readings and other parameters were weak and non significant except for statistically significant correlation between longitudinal FeNO changes and changes in lung function (r= -0.33, p<0.001) and health status (r= -0.22, p=0.022). CONCLUSIONS: Exhaled nitric oxide monitoring is technically feasible and acceptable to staff and patients within the context of a primary care asthma clinic. PMID- 18157464 TI - Cell adhesion and synaptogenesis. AB - Synapses are inter-neuronal connections that are fundamental working units in neural networks. How synapses are molecularly constructed is a fascinating question, which attracted scientists' attention for many decades. Neuromuscular junction, a field pioneered by Te-Pei FENG and many others, has been an excellent model for studying synaptogenesis and paved the way for our understanding of the synapse formation in the central nervous system. Recent studies shed new light on the molecular mechanisms of central synapse formation by discovering a group of cell adhesion molecules exerting potent synaptogenic effects. This review will focus on those cell adhesion molecules which can induce central synapse formation when expressed in non-neuronal cells. PMID- 18157465 TI - The alpha(2A)-adrenoceptor agonist guanfacine improves spatial learning but not fear conditioning in rats. AB - It is known that stimulation of the alpha(2A)-adrenoceptors (alpha(2A)-ARs) by the selective alpha(2A)-AR agonist guanfacine produces an important and beneficial influence on prefrontal cortical (PFC) cognitive functions such as spatial working memory and selective attention. However, it is unclear whether stimulation of the alpha(2A)-ARs has a similar effect on fear conditioning that involves the amygdala and hippocampus. Here, we show that systemically administered guanfacine significantly enhances spatial learning of rats in the Lashley maze: compared with controls, the rats treated with guanfacine required significantly fewer trials and made significantly fewer errors to reach learning criterion. However, guanfacine produced no effect on acquisition of contextual and auditory fear memories. The present study suggests that beneficial effect of alpha(2A)-AR stimulation is task-dependent: guanfacine improves spatial learning but not fear conditioning. PMID- 18157466 TI - Cannabinoids inhibit ATP-activated currents in rat trigeminal ganglionic neurons. AB - The present study aimed to investigate whether cannabinoids could modulate the response mediated by ATP receptor (P2X purinoceptor). Whole-cell patch-clamp recording was performed on cultured rat trigeminal ganglionic (TG) neurons. The majority of TG neurons were sensitive to ATP (67/75, 89.33%). Extracellular pretreatment with WIN55212-2, a cannabinoid receptor 1 (CB1 receptor) agonist, reduced ATP-activated current (I(ATP)) significantly. This inhibitory effect was concentration-dependent and was blocked by AM281, a specific CB1 receptor antagonist. Pretreatment with WIN55212-2 at 1*10(-13), 1*10(-12), 1*10(-11), 1*10(-10), 1*10(-9) and 1*10(-8) mol/L reduced I(ATP) (induced by 1*10(-4) mol/L ATP) by (8.14+/-3.14)%, (20.11+/-2.72)%, (46.62+/-3.51)%, (72.16+/-5.64)%, (80.21+/-2.80)% and (80.59+/-3.55)%, respectively. The concentration-response curves for I(ATP) pretreated with and without WIN55212-2 showed that WIN55212-2 shifted the curve downward, and decreased the maximal amplitude of I(ATP) by (58.02+/-4.21)%. But the threshold value and EC(50) (1.15*10(-4) mol/L vs 1.27*10(-4) mol/L) remained unchanged. The inhibition of I(ATP) by WIN55212-2 was reversed by AM281, suggesting that the inhibition was mediated via the CB1 receptor. Pretreatment with forskolin [an agonist of adenylyl cyclase (AC)] or 8 Br-cAMP reversed the inhibition of I(ATP) by WIN55212-2. These results suggest that the inhibitory effect of cannabinoids on I(ATP) is mediated via the CB1 receptors, that lead to inhibition of the AC-cAMP-PKA signaling pathway. PMID- 18157467 TI - [Sexual dimorphisms of dopaminergic neurons in rat substantia nigra]. AB - There are sex differences in some brain areas in mammalians. Parkinson's disease (PD), caused by the mesencephalic substantia nigra (SN) dopaminergic neuronal loss, displays sexual difference, i.e., the incidence is higher and the symptoms are more intense in males than that in females. However, it has not been known whether sexual dimorphisms exist in the SN. Sixty adult Sprague-Dawley rats were randomly divided into 5 groups: (1) Female intact group (F-INT group); (2) Male intact group (M-INT group); (3) Ovariectomized group (OVX group); (4) Castration group (CAST group); (5) Ovariectomized + estrogen-replaced group (OVX-E(2) group): The rats received sequentially physiological dose of estrogen for 3 d from the 7th day after ovariectomization. P50 auditory evoked potential (P50) was recorded for 14 d from electrodes inserted in the rat right SN in quiet and awake state. After recording, the brain tissues were dissected and the tyrosine hydroxylase (TH)-expressing neurons in the compact zone of the SN were counted using immunohistochemical method. The results showed that the number of TH positive (TH(+)) cells in the SN of normal male animals was less than that in normal female rats (P<0.05), and the T/C ratio of P50 in normal males was significantly less than that in normal females (P<0.01), indicating that there exists sexual difference in function and structure in the SN. No differences in the T/C ratio of P50 or the number of TH(+) cells were found between M-INT and CAST groups. The T/C ratio of P50 and the number of TH(+) cells in the SN in OVX group were reduced significantly compared with those in F-INT group (P<0.01). There was no significant difference in the T/C ratio of P50 and the number of TH(+) cells in the SN between OVX- E(2) and F-INT groups 15-20 d after estrogen replacement, suggesting that estrogen can promote the survival and functional recovery of dopaminergic neurons in the SN. The results suggest that there exist sex-specific differences in the dopaminergic neurons in the SN structurally and functionally. The difference of estrogen level in cerebra between male and female animals may account for the sexual differences. Endogenous estrogen plays an important role in maintaining the integrity and modulating the functional activity of dopamine system in the SN. PMID- 18157468 TI - Effect of lysophosphatidic acid on differentiation of embryonic neural stem cells into neuroglial cells in rats in vitro. AB - To study the effect of lysophosphatidic acid (LPA) on the differentiation of embryonic neural stem cells (NSCs) into neuroglial cells in rats in vitro, both oligodendrocytes and astrocytes were detected by their marker proteins galactocerebroside (Gal-C) and glial fibrillary acidic protein (GFAP), respectively, using double-labeling immunocytochemistry. RT-PCR assay was also used for analyzing the expression of LPA receptors in NSCs. Our results showed that: (1) LPA at different concentrations (0.01-3.0 mumol/L) was added to culture medium and cell counting was carried out on the 7th day in all groups. Exposure to LPA led to a dose-dependent increase of oligodendrocytes with the response peaked at 1.0 mumol/L, with an increased percentage of 32.6% (P<0.01) of total cells as compared to that of 8.5% in the vehicle group. (2) LPA showed no effect on the differentiation of NSCs into astrocytes. (3) RT-PCR assay showed that LPA(1) and LPA(3) receptors were strongly expressed while LPA(2) receptor expressed weakly in NSCs. These results suggest that LPA at low concentration might act as an extracellular signal through the receptors in NSCs, mainly LPA(1) and LPA(3) receptors, to promote the differentiation of NSCs into oligodendrocytes, while it exhibits little, if any, conceivable effect on the differentiation of NSCs into astrocytes. PMID- 18157469 TI - [Effect of melatonin on the content of beta-endorphin in the hypothalamic arcuate nucleus and periaqueductal grey of midbrain in morphine withdrawal mice]. AB - The present study was undertaken to investigate the effect of melatonin on the content of beta-endorphin (beta-EP) in the hypothalamic arcuate nucleus (Arc) and periaqueductal grey (PAG) of midbrain in morphine withdrawal mice. Male Kunming mice were injected subcutaneously (s.c.) with an increasing dose of morphine continuously for 8 d to establish morphine dependence model. Withdrawal response was induced by naloxone (3 mg/kg body weight, s.c.). The potency of withdrawal response was evaluated according to the jumping times and body weight loss. Ninty minutes prior to the precipitation of naloxone, 80 mg/kg body weight of melatonin (MEL) was injected intraperitoneally (i.p.) to observe its antagonistic effect on the withdrawal response in morphine-dependent mice. After behavioral observation, radioimmunoassay was used to determine the content of beta-EP in the PAG of midbrain, and immunohistochemical assay was used to observe the intensity of beta EP-like immunoreactivity in the Arc in mice. It was shown that MEL inhibited the naloxone-precipitated withdrawal responses in mice significantly (P<0.05). In the meantime, MEL increased the content of beta-EP in the PAG of midbrain significantly (P<0.05) and attenuated the intensity of beta-EP-like immunoreactivity in the Arc in mice (P<0.05). The results suggest that MEL increases the content of beta-EP in the PAG of midbrain, decrease the content of beta-EP in the Arc in morphine withdrawal mice. PMID- 18157470 TI - Selective revealing of gap junction currents in single inspiratory tracheal motor neurons. AB - Little is known about how gap junctions are involved in the respiratory-related or other types of physiological neuronal activity since physiologically active gap junction currents (GJCs) have never been characterized from single respiratory-related neurons or from single neurons of any other types. In the present study we hypothesized that GJCs could be selectively revealed from single neurons by elimination of transmembrane electrochemical gradients in voltage patch-clamp recording, and this hypothesis was tested in single inspiratory tracheal preganglionic vagal motor neurons (I-TPVMs). The results showed that GJCs were selectively revealed in all I-TPVMs when the transmembrane electrochemical gradients were eliminated in voltage patch-clamp recording, and were rhythmically activated by central inspiratory activity. Therefore, this method may be used as a fast way to detect GJCs within spontaneously active neuronal networks. PMID- 18157471 TI - Effect of stimulation and lesion of the thalamic nucleus submedius on formalin evoked nociceptive behavior in rats. AB - The aim of the present study was to examine whether the thalamic nucleus submedius (Sm) was involved in the modulation of persistent nociception. Using an automated movement detection system to measure nociceptive behavior (agitation) induced by subcutaneous injection of formalin into the hind paw pad, the effects of electrical stimulation or electrolytic lesion of the Sm on the agitation response were examined in conscious rats. Unilateral stimulation (100 MUA, 5 min) of the Sm ipsilateral or contralateral to the formalin-injected paw produced a significant inhibition of agitation response in the second phase, while stimulation of thalamic structures more than 0.5 mm away from the Sm had no effect on agitation response. Bilaterally electrolytic lesion of the Sm did not significantly influence the number of agitation events induced by formalin injection in the first phase or the second phase. These results suggest that the Sm is not only involved in the modulation of phase nociception, as reported previously, but also of persistent nociception. The present study provides novel evidence for the participation of the Sm in descending modulation of pain. PMID- 18157472 TI - Modulation of frequency receptive field plasticity in rat auditory cortical neurons by electrical stimulation of medial prefrontal cortex. AB - Using conventional electrophysiological technique, we investigated the effects of stimulating the medial prefrontal cortex (mPFC) on plasticity of frequency receptive field (RF) in auditory cortical (AC) neurons in rats. When the mPFC was electrically stimulated, the RF plasticity of 51 (27.2%) neurons was not affected and that of 137 neurons (72.8%) was either inhibited (71 neurons, 37.7%) or facilitated (66 neurons, 35.1%). The modulation of RF plasticity by the stimulation of mPFC was dependent upon the time interval between acoustic and electrical stimuli. The best interval time that produced optimal modulation (inhibition or facilitation) ranged from 5 to 30 ms. The inhibitory modulation of mPFC prolonged RF shifting time and shortened RF recovery time. Conversely, the facilitatory modulation of mPFC shortened RF shifting time and prolonged RF recovery time. Our results suggest that the mPFC may affect the plasticity of functional activity in AC neurons, and also may participate in the process of auditory learning and memory. PMID- 18157473 TI - GPI-1046 stimulates chicken dorsal root ganglion neurite outgrowth in the presence of nerve growth factor at low concentration in vitro. AB - The purpose of this investigation was to re-evaluate the neurotrophic effect of GPI-1046 on neurite outgrowth in vitro. GPI-1046 was synthesized and identified with mass spectrometry, nuclear magnetic resonance and elemental analysis. Chicken dorsal root ganglions (DRGs) were removed and divided into three groups: (1) The DRGs were cultured in DMEM containing different concentrations of GPI 1046; (2) The DRGs were cultured in DMEM containing nerve growth factor (NGF) alone at 0.8 and 8 ng/mL, respectively; (3) The DRGs were cultured in DMEM containing both different concentrations of GPI-1046 and NGF at 0.8 ng/mL. The results showed that GPI-1046 alone could not stimulate chicken DRG neurite outgrowth; however, GPI-1046 stimulated DRG neurite outgrowth only in the presence of NGF at low concentration in the culture medium. PMID- 18157474 TI - [Expression of renin/prorenin receptor in rat kidney and cultured mesangial cells]. AB - The renin/prorenin receptor (RnR) has recently been cloned and demonstrated to exist in different cells in the cardiovascular and renal systems, playing an important role in physiological and pathophysiological situations. In the present study, we used immunofluorescence method to identify whether and where the RnR expressed in cultured rat renal mesangial cells (MCs) and rat kidney. By using the prorenin handle region peptide (HRP) as a decoy peptide of the RnR, we observed the distribution of the HRP-RnR complex in the MCs. Our results showed that the RnR was localized in the perinuclear zone and plasma membrane of the MCs. At the organ level, the RnR was observed in the mesangium of cortical glomeruli in rat kidney. The FITC-labeled HRP (FITC-HRP) translocated from cell culture medium into the cytoplasm within 30 s. Colocalization of the HRP and RnR was observed mainly on the cell membrane and in the perinuclear zone of cytoplasm by using immunofluorescence and confocal microscopy. At 30 min the FITC-HRP was mainly observed in the nucleus while the RnR remained in the perinuclear zone of cytoplasm. Taken together, our results confirm the expression of RnR in the renal MCs. It is suggested that internalization of the RnR after binding with its ligand is at least one of the pathways through which the RnR exerts its biological actions. PMID- 18157475 TI - GABAergic inhibition modulates intensity sensitivity of temporally patterned pulse trains in the inferior collicular neurons in big brown bats. AB - The echolocating big brown bats (Eptesicus fuscus) emit trains of frequency modulated (FM) biosonar signals with duration, amplitude, repetition rate, and sweep structure changing systematically during interception of their prey. In the present study, the sound stimuli of temporally patterned pulse trains at three different pulse repetition rates (PRRs) were used to mimic the sounds received during search, approach, and terminal stages of echolocation. Electrophysiological method was adopted in recordings from the inferior colliculus (IC) of midbrain. By means of iontophoretic application of bicuculline, the effect of GABAergic inhibition on the intensity sensitivity of IC neurons responding to three different PRRs of 10, 30 and 90 pulses per second (pps) was examined. The rate-intensity functions (RIFs) were acquired. The dynamic range (DR) of RIFs was considered as a criterion of intensity sensitivity. Comparing the average DR of RIFs at different PRRs, we found that the intensity sensitivity of some neurons improved, but that of other neurons decayed when repetition rate of stimulus trains increased from 10 to 30 and 90 pps. During application of bicuculline, the number of impulses responding to the different pulse trains increased under all stimulating conditions, while the DR differences of RIFs at different PRRs were abolished. The results indicate that GABAergic inhibition was involved in modulating the intensity sensitivity of IC neurons responding to pulse trains at different PRRs. Before and during bicuculline application, the percentage of changes in responses was maximal in lower stimulus intensity near to the minimum threshold (MT), and decreased gradually with the increment of stimulus intensity. This observation suggests that GABAergic inhibition contributes more effectively to the intensity sensitivity of the IC neurons responding to pulse trains at lower sound level. PMID- 18157476 TI - Noradrenaline release by activation of kappa-bungarotoxin-sensitive nicotinic acetylcholine receptors participates in long-term potentiation-like response induced by nicotine. AB - Nicotine enhances the function of learning and memory, but the underlying mechanism still remains unclear. Hippocampal long-term potentiation (LTP) is assumed to be a cellular mechanism of learning and memory. Our previous experiments showed that with the single pulses evoking 80% of the maximal population spike (PS) amplitude, nicotine (10 MUmol/L) induced LTP-like response in the hippocampal CA1 region. In the present study, the nicotinic acetylcholine receptor (nAChR) subtypes and relevant neurotransmitter releases involved in LTP like response induced by nicotine were investigated by extracellularly recording the PS in the pyramidal cell layer in the hippocampal CA1 region in vitro. LTP like response induced by nicotine was blocked by mecamylamine (1 MUmol/L) or kappa-bungarotoxin (0.1 MUmol/L), but not by dihydro-beta-erythtroidine (DHbetaE, 10 MUmol/L). Moreover, it was inhibited by propranolol (10 MUmol/L), but not by phentolamine (10 MUmol/L) or atropine (10 MUmol/L). The results suggest that noradrenaline release secondary to the activation of kappa-bungarotoxin-sensitive nAChRs participates in LTP-like response induced by nicotine in the hippocampal CA1 region. PMID- 18157477 TI - [Chronic blockade of angiotensin II type 1 receptor cannot completely prevent structural adaptation in vessels of simulated weightless rats]. AB - Our previous studies suggest that the vascular local renin-angiotensin system (L RAS) plays a pivotal role in the region-specific vascular adaptation due to simulated weightlessness. The present study was designed to determine whether simulated weightlessness still induced adaptive changes in rat vessels when angiotensin II type 1 receptor (AT(1)R) was chronically blocked by the administration of losartan, and whether the expressions of key elements in the L RAS in the large arteries would change. Tail suspension for 4 weeks was used to simulate the physiological effect of weightlessness. The responses of the basilar, anterior tibial, carotid arteries and abdominal aorta were observed by morphometric technique with light microscopy. The expressions of angiotensinogen (AGT) and AT(1)R in the walls of common carotid artery and abdominal aorta were determined using immunohistochemical technique. The results showed that simulated weightlessness induced hypertrophy of the media of basilar artery and smooth muscle layers of carotid artery, but atrophic change in the anterior tibial artery and abdominal aorta. After 4 weeks of losartan treatment, all these arteries showed significant atrophic changes. However, simulated weightlessness still induced relative hypertrophy of the basilar artery and carotid artery and atrophy of the abdominal aorta when AT(1)R was blocked. After 4 weeks of simulated weightlessness, the expressions of AGT and AT(1)R were upregualted in the wall of carotid artery, but downregulated in the wall of abdominal aorta and perivascular tissues. Losartan decreased AGT and AT(1)R expressions only in the wall of abdominal aorta; whereas simulated weightlessness further decreased AT(1)R expression in the wall of abdominal aorta when AT(1)R was blocked. We conclude that simulated weightlessness for 4 weeks still induces structural changes and upregulates or downregulates the key elements in L-RAS in the large and medium-sized arteries from fore and hind body parts of rats when AT(1)R is blocked. The results suggest that the L-RAS in arterial tissue plays a pivotal role in these differential structural changes. However, there still exist other regulatory pathways to mediate the adaptive regulation of cerebral vessels when AT(1)R is blocked. PMID- 18157478 TI - [Concentration polarization of low density lipoprotein at the distal end of carotid stenosis promotes atherogenesis]. AB - To test the hypothesis that concentration polarization of atherogenic lipids may occur in the arterial system and play an important role in localization of atherosclerosis, we simulated and measured in vitro the luminal surface concentration of low density lipoprotein (LDL) in local stenosis at the distal end of carotid artery by number simulation and laser scanning confocal microscopy, then we designed carotid stenosis model to test the role of LDL concentration polarization in atherogenesis. The in vitro experiment showed that the luminal surface LDL concentration was higher than the bulk concentration as predicted by the concentration polarization theory. The relative luminal surface LDL concentration changed with the flow velocity and ratio of stenosis. The wall concentration of LDL was highest in the round tube with 40% stenosis at the same velocity, while the wall concentration of LDL was higher when Re was 250 than Re was 500 at the same extent of narrowness. The animal experiment also revealed that general atherogenic plaques obviously occurred at the distal end of local stenosis where concentration polarized. The results strongly support our hypothesis that concentration polarization of lipoproteins occurs in local stenosis at the distal end of carotid artery, and this in turn promotes the localization of atherosclerosis which develops in the arterial system. PMID- 18157479 TI - Electrophysiologic effects of 17beta-estradiol on pacemaker cells in sinoatrial nodes of rabbits. AB - To investigate the electrophysiological effects of 17beta-estradiol on pacemaker cells in sinoatrial (SA) nodes of rabbits and the underlying mechanism, intracellular microelectrode technique was used to record action potential (AP) in SA node cells of rabbits. The results showed that: (1) 17beta-estradiol (1, 10, 100 MUmol/L) not only significantly decreased the amplitude of action potential (APA) and the maximal rate of depolarization (V(max)), but also decreased the velocity of diastolic (phase 4) depolarization (VDD) and rate of pacemaker firing (RPF) in a concentration-dependent manner. The AP duration at 50% repolarization (APD(50)) and at 90% repolarization (APD(90)) were prolonged. But the maximal diastolic potential (MDP) was not affected. (2) Pretreatment with tamoxifen (10 MUmol/L), an inhibitor of estrogen receptor, did not block the electrophysiological effects of 17beta-estradiol (10 MUmol/L) on SA node cells. (3) Pretreatment with N(G)-nitro-L-arginine methyl ester (L-NAME, 100 MUmol/L), a nitric oxide (NO) synthase inhibitor, completely abolished the electrophysiological effects of 17beta-estradiol (10 MUmol/L) on SA node cells. The results suggest that 17beta-estradiol inhibits the electrophysiological activity of pacemaker cells in SA nodes of rabbits in a concentration-dependent manner possibly through a non-genomic mechanism related with NO. PMID- 18157480 TI - [Depressed responsiveness of cardiomyocytes to isoproterenol in simulated weightlessness rats]. AB - The present study aimed to observe the changes of contractile function and responsiveness to isoproterenol (ISO) in tail-suspended rat cardiomyocytes under simulated weightlessness condition. Tail-suspended rat model was used to simulate weightlessness on the ground. Twenty-four male Sprague-Dawley rats were randomly divided into the control and tail-suspended groups. After 4 weeks of suspension, the rats were injected with heparin (100 IU/100 g body weight, i.p.) and anesthetized with pentobarbital sodium (40 mg/kg body weight). The hearts were removed and the aortas were cannulated rapidly. The cannulated hearts were mounted on a Langendorff perfusion apparatus and perfused with constant flow. The perfusion pressure was monitored. The hearts were digested by 0.08% collagenase I at 37 degrees C. The ventricular tissues were chopped and the single myocytes were dispersed gently by a wide-tipped pipette. The contractile function was measured in the Edge Detector system within 6 h after isolation. The length and width of cardiomyocytes were measured without electric stimulation. Contractile curves of the single cardiomyocytes were recorded at stimulation frequency of 1.0, 2.0 and 4.0 Hz. To observe the responsiveness of cardiomyocytes to ISO, 1, 5 and 10 nmol/L ISO in Kreb's solution was perfused at a stimulation frequency of 2.0 Hz. The length and width of the left and right ventricular cardiomyocytes in tail-suspended group had little difference from that in the control group. The unloaded shortening amplitude increased as stimulation frequency elevated in both the control and tail-suspended groups. It was increased by (8.50+/-1.26)%, (9.00+/-1.38)%, (9.23+/-1.83)% in the left ventricular cardiomyocytes, and (9.80+/-2.48)%, (10.03+/-2.48)%, (10.28+/-2.27)% in the right ventricular cardiomyocytes in the control group at stimulation frequency of 1.0, 2.0 and 4.0 Hz. Compared with that in the control group, the unloaded shortening amplitude decreased by 12.2% and 10.9% in the left ventricular cardiomycytes (P<0.05), and 16.5% and 16.3% in the right ventricular cardiomyocytes (P<0.05) at stimulation frequency of 1.0 and 2.0 Hz in tail-suspended group. There was no significant difference in unloaded shortening amplitude at stimulation frequency of 4.0 Hz between the control and tail-suspended groups. Time to peak shortening (TPS) in tail-suspended group significantly reduced in both the left and right ventricular cardiomyocytes (P<0.05). Time from peak to 75% relaxation (TR(75)) in tail suspended group significantly prolonged in both the left and right ventricular cardiomyocytes (P<0.05). No significant differences in shortening and relaxation rate (+/-dL/dt(max)) were observed between the control and tail-suspended groups. The unloaded shortening amplitude increased by (10.63+/-0.83)%, (35.06+/-5.22)% and (71.64+/-6.83)% in the control cardiomyocytes, but increased by (5.75+/ 0.76)%, (23.97+/-4.50)% and (26.38+/-8.13)% in tail-suspended group during perfusion with 1, 5 and 10 nmol/L ISO (P<0.05, P<0.01). The unloaded shortening amplitude increased by (3.04+/-0.27)%, (9.81+/-2.66)% and (20.20+/-3.47)% in the control cardiomyocytes, but increased by (1.42+/-0.53)%, (3.83+/-1.71)% and (5.49+/-4.08)% in tail-suspended group during perfusion with 10, 50 and 100 nmol/L forskolin (P<0.05). The results obtained suggest that the unloaded shortening amplitude and responsiveness to ISO decrease in rat cardiomyocytes after 4-week tail-suspension. PMID- 18157481 TI - [In vivo extracellular neural recording for the study of cortical plasticity]. AB - Neural network plasticity is fundamental for learning and memory. Its abnormal change underlies some neural diseases. Measurement of the plasticity of cortex can help understand the mechanism of plasticity, and provide a quantitative way to observe the neural process of natural aging and neurodegenerative diseases, which may lead to a new approach for evaluation of anti-aging drugs and new medical treatments for neurodegenerative diseases. In this study, a systematic method was established based on whisker pairing (WP) experiment to measure the network plasticity in the barrel cortex in rat. WP experiment is a classical experiment to study the effect of innocuous bias of the flow of sensory activity from the whiskers for certain periods in awake and behaving rats on the receptive field organization in S1 barrel cortex neurons. In the experiment, one pair of adjacent whiskers D2 and D3 remained intact while others were being trimmed throughout a certain period. After that, receptive fields of single cells in the contralateral barrel were analyzed by post-stimulus time histogram after certain days of WP and compared with the controls. In the control group, response magnitudes to surrounding whiskers D1 and D3 deflection were not significantly different. However, after WP, a bias occurred in response to paired surrounding whisker D3 relative to the opposite trimmed surrounding whisker D1. In this study, by comparing the bias degree in rats in different groups after WP, a quantitative method was established to compare cortical plasticity. Example of corical plasticity comparison between adolescent and mature rats was employed in this paper to illustrate our method. The key techniques of this method such as the identification of D2 barrels, supragranular (L2-3) and barrel layer (L4) in real-time were described in details. The feasibility of this approach was further verified by compendious report of results and our previous study regarding cortical plasticity comparison between adolescent and mature rats. PMID- 18157482 TI - [An improved method for isolation of single atrial myocyte from human heart]. AB - To approach the method of isolation of tolerant human atrial myocytes, single myocytes were isolated by modified procedure of enzymatic dissociation with protease (type XXIV) and collagenase (type V). L-type calcium channel current (I(Ca-L)), sodium current (I(Na)), transient outward potassium current (I(to1)), and inward rectifier potassium current (I(K1)) in isolated atrial myocytes were recorded by using whole-cell patch-clamp techniques. Single cardiocytes isolated by this method were smooth, well-striated and rod-shaped. The yields of recordable myocytes, which viable and calcium-tolerant for electrophysiological studies, were 50%-60% of the total isolated cells. Compared with other isolation methods, this method was simple and steady, but with yield of a great number of qualified myocytes. The currents recorded in these cells were functional and active. Our research suggests that the myocytes isolated by the described method in this paper have normal electrophysiological function and are appropriate for patch-clamp experiments. PMID- 18157483 TI - [Real-time measurement of noradrenaline release in central nervous system]. AB - In order to investigate the central nervous mechanism and the diseases involved in catecholamine transmitter secretion, the dynamics of catecholamine release is studied in single cell, brain slice or in vivo. Noradrenaline is an important neurotransmitter and modulator in the central nervous system (CNS) and the peripheral nervous system (PNS). In the present paper, we first compared three real-time methods used to measure noradrenaline secretion in single cells (membrane capacitance, amperometry and confocal fluorescence microscopy imaging). Compared to the electrophysiological method and fluorescence microscopy, the basic usage of the carbon fiber electrode (CFE) in neuroscience research was presented as an example. Then, we presented a primary description of ion channels, including voltage-gated Na(+), K(+) and Ca(2+) channels in locus coeruleus (LC) neurons in rat brain slices. Finally, we presented example recordings of combined patch-clamp and amperometry measurements in LC neurons, indicating Ca(2+)-dependent quantal noradrenaline release following Ca(2+) influx through Ca(2+) channels. PMID- 18157484 TI - The world's major religions' points of view on end-of-life decisions in the intensive care unit. AB - OBJECTIVE: Recent research has shown that the religious affiliation of both physicians and patients markedly influences end-of-life decisions in the intensive care unit in the Western world. The world's major religions' standings on withholding and withdrawing of therapy, on hastening of the death process when providing pain relief (double effect) and on euthanasia are described. This review also discusses whether nutrition should be provided to patients in a permanent vegetative state, and the issues of brain death and organ donation. DESIGN: The review is based on literature research and a description of the legislature in countries where religious rulings do influence secular law. RESULTS: Not all religions have distinct rulings on all the above-mentioned issues, but it is pointed out that all religions will probably have to develop rulings on these questions. The importance of patient autonomy in the Western (Christian) world is not necessarily an issue among other ethnic and religious groups, and guidelines are presented with methods to uncover and deal with different ethnic and religious views. CONCLUSION: Many religious groupings are now spread world-wide (most notably Muslims), and with increasing globalization it is important that health-care systems take into account the religious beliefs of a wide variety of ethnic and religious groups when contemplating end-of-life decisions. PMID- 18157485 TI - Acetylcysteine and enzymatic creatinine: beware of laboratory artefact! PMID- 18157486 TI - Performance-based functional outcome for children 12 years or younger following anterior cruciate ligament injury: a two to nine-year follow-up study. AB - There is limited scientific knowledge on ACL injuries in children 12 years or younger. Substantial controversy exists on treatment algorithms and there are no published data on performance-based functional outcome. Classification of adult ACL injured subjects as copers and non-copers is common, but no study has classified knee function in children using performance-based functional test after ACL injury. The aim of the present study was to evaluate the medium-term functional outcome among children with ACL injury and to classify them as copers and non-copers. Children 12 years or younger who were referred to our institution from 1996 to 2004 with an ACL injury were included. Twenty non-operated subjects (21 knees) and six ACL reconstructed subjects (7 knees) were examined at a minimum of 2 years after ACL injury or reconstruction. Four single-legged hop tests, isokinetic muscle strength measurements, and three functional questionnaires (IKDC 2000, KOS-ADLS and Lysholm) were used as outcome measurements. Children who had resumed their pre-injury activity level and performed above 90% on all hop tests were classified as copers following non operative treatment and ACL reconstruction. The 26 children were on average 10.1 years at the time of injury. Of the non-operated children, 65% had returned to pre-injury activity level, and 50% were classified as copers. Copers scored significantly better than non-copers on single hop for distance, IKDC 2000, and Lysholm score. Of the non-operated children, 9.5% had suffered a secondary meniscus injury. Of the ACL reconstructed subjects, 67% were classified as copers at follow-up. Non-operated ACL-deficient children demonstrated excellent knee function on performance-based single-legged hop tests and 65% had returned to pre injury activity level. Delayed ACL reconstruction resulted in success for a majority of the ACL-reconstructed children. Treatment algorithms for ACL-injured children are discussed. PMID- 18157487 TI - Patients' perspective on controversial issues in total knee arthroplasty. AB - We investigated the level of patient knowledge and preferences over the currently controversial issues in TKA. One hundred patients who had decided to undergo TKA for advanced osteoarthritis were asked to complete a questionnaire inquiring their knowledge and preferences over three controversial issues: (1) computer assisted surgery (CAS), (2) minimal invasive surgery (MIS), and (3) ceramic femoral component. The patient preferences over the three issues were questioned again after they had been informed of advantages and disadvantages of each option using an explanatory document. Most (more than 75%) of the patients did not have sufficient knowledge and their knowledge was based on non-professional sources (more than 85%). Before the information was given, most (more than 80%) of the patients preferred a new option. After the information was provided, more patients preferred a standard option in the issues of CAS (60%) and MIS (88%). This study prompts health care providers to become more active in providing accurate information and to consider patients perspective in making decisions which will influence the benefits and risk of the patients. PMID- 18157488 TI - Arthroscopic fixation of anterior cruciate ligament tibial avulsion fractures using bioabsorbable suture anchors. AB - This article describes a new technique for the arthroscopic reduction and fixation of anterior cruciate ligament (ACL) tibial avulsion fractures using bioabsorbable suture anchors. This described technique requires the use of anterolateral, anteromedial, medial mid-patellar, and lateral mid-patellar portals. A suture hook loaded with No. 2 polydioxanone (PDS) was used to pierce the ACL through the anteromedial or anterolateral portal, and bioabsorbable suture anchors were inserted through the medial and lateral mid-patellar portals. The five patients treated using this technique were evaluated at 1 year postoperatively. All patients showed bony union without anterior laxity or flexion contracture. The described technique provides firm fixation of fracture fragment and can be used in both skeletally immature and mature patients. PMID- 18157489 TI - Contributory factors to the results of gravity-assisted pivot-shift test for anterior cruciate ligament injury: the significance of muscle torque around the knee. AB - Gravity-assisted pivot-shift (GAPS) test is a newly advocated test for anterior cruciate ligament (ACL) injury. It induces anterolateral rotatory instability with valgus stress to the knee applied by gravitational force during patient's active knee motion. We investigated prospectively the relationships between the results of the GAPS test and the possible contributory factors and sought to clarify the determinant factors of the GAPS test. A total of 54 knee joints of 54 patients with unilateral ACL injury (29 males, 25 females, average 23.4 +/- 9.0 years old) were enrolled in this study and were divided into two groups, i.e., positive GAPS test group and negative GAPS test group. Muscle torque around the knee joints measured before surgery, configuration of the femoral condyle and tibial posterior slope angle measured on lateral radiograph, and other clinical factors were compared between the two groups using Mann-Whitney U test or chi square test. According to the results of these analyses, factors having a statistically significant difference were additionally evaluated using multiple logistic regression analysis to reveal items with strong relevance to a positive GAPS test. The results of the multiple logistic regression analysis showed that the flexor/extensor peak torque ratio of contralateral uninjured knees and sex had a significant correlation with the results of the GAPS test. The relatively less flexor muscle torque compared with extensor muscle torque, and being a female patient were considered to be the determinant factors of a positive GAPS test. PMID- 18157490 TI - ACL reconstruction using the Rigidfix femoral fixation device via the anteromedial portal: a cadaver study to evaluate chondral injuries. AB - The aim of this anatomic descriptive cadaver study is to evaluate the entrance points of cross-pins and the possible chondral damages, using a two cross-pin femoral fixation device via anteromedial portal, during anterior cruciate ligament (ACL) reconstruction. Twenty fresh-frozen cadaver knees (12 cadavers) were tested. We employed the Rigidfix Cross Pin device (Mitek, Norwood, MA), designed to use two biodegradable pins (PLA, length 42 mm, diameter 2.7 mm). Instead of PLA pins, we used color coded metallic pins. Femoral tunnel drilling and cross-pin guide insertions were performed through the anteromedial portal. We gave three positions to the cross-pin guide: 0 degrees , 45 degrees and 90 degrees slope, referring to the horizontal plane. Per each position, we inserted two metallic pins. We recorded and subdivided the pin holes, in three different groups: Group A (0 degrees ); B (45 degrees ); C (90 degrees of slope). Then a wide dissection has been implemented. Group A: 6 knees (30%) had two pins inside the cartilage of the lateral femoral condyle; 10 knees (50%) had one pin inside the cartilage; and 4 knees (20%) had both pins out of the cartilage. Group B: 7 knees (35%) had two pins inside the cartilage; 12 knees (60%) had one pin inside the cartilage; and one knee (5%) had both pins out of the cartilage. Group C: 7 knees (35%) had two pins inside the cartilage; and 13 knees (65%) had one pin inside the cartilage. The risk of chondral injury, using this technique, is high: from 80% (group A) to 100% (Group C) to have at least one pin inside the cartilage. The use of Rigidfix via AM portal is not recommended for routine ACL reconstruction. PMID- 18157491 TI - Ultrasound measurement of rotator cuff thickness and acromio-humeral distance in the diagnosis of subacromial impingement syndrome of the shoulder. AB - The usefulness of ultrasound measurements in the diagnosis of the subacromial impingement syndrome of the shoulder was evaluated. Fifty-seven patients with unilateral symptoms of the impingement syndrome underwent ultrasound examination of both shoulder joints, which included assessment of rotator cuff integrity, measurement of rotator cuff thickness and the distance between the infero-lateral edge of acromion and the apex of the greater tuberosity of humerus (AGT distance) in the standard ultrasonographic positions. As a control group, 36 volunteers (72 shoulders) with no history of shoulder pain were examined sonographically. Ultrasonographic assessment of humeral head elevation, measured as the AGT distance, proved to be useful in establishing the diagnosis of the subacromial impingement syndrome of the shoulder. A difference in rotator cuff thickness of more than 1.1 mm and a difference in the AGT distance of more than 2.1 mm between both shoulder joints may reflect dysfunction of rotator cuff muscles. PMID- 18157492 TI - The anterior surface of the femur as a new landmark for femoral component rotation in total knee arthroplasty. AB - Femoral component rotation is very important in avoiding complications and maximizing knee function following total knee arthroplasty. There is continuing debate over the most accurate axis to select intraoperatively to obtain the best results. There is considerable doubt over the ability of commonly used bony landmarks to produce a line parallel to the flexion-extension axis of the femur, either due to anatomical variation or due to poor reproducibility of the axes. Computer navigation was used to accurately measure the relative rotation indicated intraoperatively between bony landmarks, including a previously uninvestigated axis on the anterior surface of the femur. Measurements were taken during 193 total knee arthroplasties. There was a significant association between the Whiteside's Line and the axis on the anterior surface of the femur. The Posterior Condlylar Axis was extremely variable when compared with the other measurements, with a wide range centered on a mean value of 4.1 degrees internally rotated to the perpendicular of Whiteside's Line. There were significant differences in both the Posterior Condylar Axis and Anterior Femoral Axis when comparing varus and valgus knees. The Posterior Condylar Axis was shown to be an inconsistent measurement in comparison to other bony landmarks, particularly in valgus knees. The strong correlation between the Whiteside's Line and the Anterior Femoral Axis raises the possibility that the Anterior Femoral Axis maybe a useful landmark in identifying correct femoral component rotation. PMID- 18157493 TI - Improved accuracy of component alignment with the implementation of image-free navigation in total knee arthroplasty. AB - Accuracy of implant positioning and reconstruction of the mechanical leg axis are major requirements for achieving good long-term results in total knee arthroplasty (TKA). The purpose of the present study was to determine whether image-free computer navigation technology has the potential to improve the accuracy of component alignment in TKA cohorts of experienced surgeons immediately and constantly. One hundred patients with primary arthritis of the knee underwent the unilateral total knee arthroplasty. The cohort of 50 TKAs implanted with conventional instrumentation was directly followed by the cohort of the very first 50 computer-assisted TKAs. All surgeries were performed by two senior surgeons. All patients received the Zimmer NexGen total knee prosthesis (Zimmer Inc., Warsaw, IN, USA). There was no variability regarding surgeons or surgical technique, except for the use of the navigation system (StealthStation) Treon plus Medtronic Inc., Minnesota, MI, USA). Accuracy of implant positioning was measured on postoperative long-leg standing radiographs and standard lateral X-rays with regard to the valgus angle and the coronal and sagittal component angles. In addition, preoperative deformities of the mechanical leg axis, tourniquet time, age, and gender were correlated. Statistical analyses were performed using the SPSS 15.0 (SPSS Inc., Chicago, IL, USA) software package. Independent t-tests were used, with significance set at P < 0.05 (two-tailed) to compare differences in mean angular values and frontal mechanical alignment between the two cohorts. To compute the rate of optimally implanted prostheses between the two groups we used the chi(2) test. The average postoperative radiological frontal mechanical alignment was 1.88 degrees of varus (range 6.1 degrees of valgus-10.1 degrees of varus; SD 3.68 degrees ) in the conventional cohort and 0.28 degrees of varus (range 3.7 degrees -6.0 degrees of varus; SD 1.97 degrees ) in the navigated cohort. Including all criteria for optimal implant alignment, 16 cases (32%) in the conventional cohort and 31 cases (62%) in the navigated cohort have been implanted optimally. The average difference in tourniquet time was modest with additional 12.9 min in the navigated cohort compared to the conventional cohort. Our findings suggest that the experienced knee surgeons can improve immediately and constantly the accuracy of component orientation using an image-free computer-assisted navigation system in TKA. The computer-assisted technology has shown to be easy to use, safe, and efficient in routine knee replacement surgery. We believe that navigation is a key technology for various current and future surgical alignment topics and minimal-invasive lower limb surgery. PMID- 18157494 TI - Selective embolization of the superior vesical artery for the treatment of a severe retroperitoneal pelvic haemorrhage following Endo-Stitch sacrospinous colpopexy. AB - Pelvic haemorrhage is a rare but important complication that may follow sacrospinous fixation of the vaginal vault. When such complication occurs, packing and clipping of the involved artery is often suggested as the first-line treatment, while arterial embolization is considered only after failure of surgery. In this report, we describe the successful super-selective embolization of a variant of the superior vesical artery in a patient who underwent Endo Stitch sacrospinous colpopexy. Based on our experience, we suggest that when a well-trained radiological staff is available, endovascular embolization is an effective and less invasive option. PMID- 18157495 TI - Primary antiphospholipid syndrome in Latin American mestizo patients: clinical and immunologic characteristics and comparison with European patients. AB - A great variety of clinical and immunological features have been described in patients with the antiphospholipid syndrome (APS), but information on their prevalence and characteristics in Latin American mestizo patients with the primary APS is scarce. To analyze the prevalence and characteristics of the main clinical and immunological manifestations in a cohort of patients with primary APS of mestizo origin from Latin America and to compare them with the European white patients, clinical and serological characteristics of 100 patients with primary APS from Colombia, Mexico, and Ecuador were collected in a protocol form that was identical to that used to study the "Euro-Phospholipid" cohort. The cohort consisted of 92 female patients (92.0%) and eight (8.0%) male patients. They were all mestizos. The most common manifestations were deep vein thrombosis (DVT; 23.0%), livedo reticularis (18.0%), migraine (18.0%), and stroke (18.0%). The most common pregnancy morbidity was early pregnancy losses (54.1% of pregnancies). Several clinical manifestations were more prevalent in the Latin American mestizo than in the European patients (transient global amnesia, pulmonary microthrombosis, arthralgias, and early pregnancy losses) and vice versa (DVT, stroke, pulmonary embolism, and thrombocytopenia). Latin American mestizo patients with primary APS have a wide variety of clinical and immunological manifestations with several differences in their prevalence in comparison with European white patients. PMID- 18157496 TI - Plasma cholinesterase levels and health symptoms in peruvian farm workers exposed to organophosphate pesticides. AB - The purpose of this study was to examine plasma cholinesterase (PChE) changes and the adverse health effects associated with chronic low-dose exposure to organophosphates (OPs) in a Peruvian agricultural population. A cross-sectional study with a clinical interview and blood tests was performed among 213 farm workers from two subtropical valleys in Peru. The control group consisted of 78 nonexposed workers from the same areas. PChE levels from the two exposed subgroups (pesticide applicators and other agricultural jobs) were significantly lower than those of controls (1554 +/- 315 U/l, 1532 +/- 340 U/l, and 1787 +/- 275 U/l, respectively). Fifteen percent of the exposed population reported a past poisoning by pesticides, all of them needing medical evaluation and treatment. They had significantly lower PChE levels as compared to those without this antecedent. Approximately 61% of the exposed workers reported pesticide-related symptoms, but no significant difference was found in their PChE as compared to workers without symptoms. On the other hand, the use of personal protective equipment (PPE) was significantly associated with higher PChE levels and with a lower risk of reporting pesticide-related symptoms, which supports the benefit from using appropriate protective measures. In conclusion, data indicate that farm workers exposed to OPs in developing countries need to be monitored by means of PChE and an examination of their clinical status, which would allow identification of farm workers most at risk from pesticide toxicity. The use of correct PPE is highly recommended. PMID- 18157497 TI - Activation of cytotoxic T lymphocytes against CML28-bearing tumors by dendritic cells transduced with a recombinant adeno-associated virus encoding the CML28 gene. AB - Induction of anti-tumor immune responses by dendritic cells (DCs) transduced with a recombinant adeno-associated virus type 2 (rAAV2) encoding tumor antigens is considered a promising approach for cancer vaccine development. CML28, a novel antigen with the properties of cancer/ testis (CT) antigens, is an attractive target for antigen-specific immunotherapy. Here we investigated the feasibility of inducing CML28-specific cytotoxic T lymphocyte (CTL) responses using DCs transduced with the rAAV2 vectors containing the CML28 gene (rAAV/CML28). Using an adenovirus-free packaging system, rAAV/CML28 was generated. The transduction efficiency of rAAV/CML28 in DCs increased in a multiplicity of infection (MOI) dependent manner. The rAAV/CML28 transduction did not impair DC maturation, but even enhanced the CD80 expression. The rAAV/CML28-transduced DCs induced CML28 specific CTLs which exhibited a MHC class I-mediated antigen-specific lytic activity against CML28-bearing tumor cell lines (HepG2 and MCF-7) as well as the primary leukemia blasts. These findings suggest that rAAV/CML28-transduced DCs vaccine may serve as a feasible approach for the treatment of CML28-associated cancers. PMID- 18157498 TI - An investigation of the fine structure, cell surface carbohydrates, and appeal of the diatom Extubocellulus sp. as prey for small flagellates. AB - The fine structure and surface exopolymers of a coastal planktonic nanodiatom of the sparsely reported genus Extubocellulus were studied respectively by scanning electron microscopy and confocal microscopy in conjunction with fluorescent lectins. Monitoring the suitability of the species as prey food for other protists was also investigated by video microscopy coupled with digital film. Cells are rectangular in girdle view, with a pervalvar axis longer than the apical axis. Valves are almost circular with a diameter of 2.8 to 3.6 microm. The valve face bears randomly distributed areolae (ca. 50 in 10 microm), which may be either open or occluded. Two small raised ocelluli occur at the apices, with a rim devoid of perforations and about 6-7 porelli. Glucose and N-acetyl glucosamine moieties present on the surface of the live diatom were labelled with fluorescent lectins, and a differential pattern of distribution for both carbohydrates was observed. The potential role of fluorescent lectins as cellular probes of taxonomic value in small diatoms is compared with that of nucleotide and antibody probes. We provide the first illustrative evidence of the presence of Extubocellulus sp. in the cytoplasm of the nanoflagellate Goniomonas amphinema and of the egestion of diatom frustules. Results obtained are discussed in the light of the present knowledge of the role of carbohydrate-protein interactions in phagocytosis of prey by free-living protozoa. PMID- 18157499 TI - Relationships between transcription, silver staining, and chromatin organization of nucleolar organizers in Secale cereale. AB - The nucleolar organizer regions (NORs) are composed of hundreds of rRNA genes, typically spanning several megabases. Cytologically, NORs include regions that are highly condensed and regions that are decondensed, the latter corresponding to regions at which associated proteins stain intensively with silver (Ag-NORs) and where active rRNA gene transcription is thought to occur. To test the relationship between rRNA gene activity, NOR silver staining, and rDNA (genes coding for rRNA) chromatin condensation, we used the DNA methyl-transferase inhibitor 5-azacytidine to evaluate the correlation between the epigenetic regulation of rRNA genes and NOR silver staining in the plant Secale cereale. Following 5-azacytidine treatment, we observed an increase in rRNA gene transcription as well as a reduction in the number of cells showing a significant difference in the size of the silver-stained domains in the two NORs. These transcriptional changes occurred concomitantly with an increase in nuclear and nucleolar size and were associated with the reallocation of most of the rDNA from perinucleolar heterochromatin into the nucleolus. Collectively, these results suggest that rRNA gene transcription, silver staining, and NOR decondensation are interrelated in S. cereale. PMID- 18157500 TI - Ultrastructural and biochemical analysis of a new mutation in Chlamydomonas reinhardtii affecting the central pair apparatus. AB - We present a new Chlamydomonas reinhardtii flagellar mutant in which central pair projections are missing and the central pair microtubules are twisted along the length of the flagellum. We have named this mutant tcp1 for twisted central pair. Immunoblots using an antibody that recognizes the heavy chain of sea urchin kinesin reveal that a 70 kDa protein present in wild-type and pf18 (central pairless) axonemes is absent in tcp1, suggesting the presence of an uncharacterized kinesin associated with the central pair apparatus. We demonstrate that the kinesin-like protein Klp1 is not attached to central pair microtubules in tcp1, but rather is located in, or is part of, a region we have termed the internal axonemal matrix. It is proposed that this matrix acts as a scaffold for axonemal proteins that may also be associated with the central pair apparatus. PMID- 18157502 TI - Characterization of three putative Lon proteases of Thermus thermophilus HB27 and use of their defective mutants as hosts for production of heterologous proteins. AB - In the genome of a thermophilic bacterium, Thermus thermophilus HB27, three genes, TTC0418, TTC0746 and TTC1975, were annotated as ATP-dependent protease La (Lon). Sequence comparisons indicated that TTC0418 and TTC0746 showed significant similarities to bacterial LonA-type proteases, such as Escherichia coli Lon protease, especially in regions corresponding to domains for ATP-binding and hydrolysis, and for proteolysis, but TTC1975 exhibited a similarity only at the C terminal proteolytic domain. The enzymatic analyses, using purified recombinant proteins produced by E. coli, revealed that TTC0418 and TTC0746 exhibited peptidase and protease activities against two synthetic peptides and casein, respectively, in an ATP-dependent manner, and at the same time, both the enzymes had significant ATPase activities in the presence of substrates. On the other hand, TTC1975 possessed a protease activity against casein, but addition of ATP did not enhance this activity. Moreover, a T. thermophilus mutant deficient in both TTC0418 and TTC0746 showed a similar growth characteristic to an E. coli lon mutant, i.e., a growth defect lag after a nutritional downshift. These results indicate that TTC0418 and TTC0746 are actually members of bacterial LonA-type proteases with different substrate specificities, whereas TTC1975 should not be classified as a Lon protease. Finally, the effects of mutations deficient in these proteases were assessed on production of several heterologous gene products from Pyrococcus horikoshii and Geobacillus stearothermophilus. It was shown that TTC0746 mutation was more effective in improving production than the other two mutations, especially for production of P. horikoshii alpha-mannosidase and G. stearothermophilus alpha-amylase, indicating that the TTC0746 mutant of T. thermophilus HB27 may be useful for production of heterologous proteins from thermophiles and hyperthermophiles. PMID- 18157503 TI - Effect of growth temperature on ether lipid biochemistry in Archaeoglobus fulgidus. AB - The archaea are distinguished by their unique isoprenoid ether lipids, which typically consist of the sn-2,3-diphytanylglycerol diether or sn-2,3 dibiphytanyldiglycerol tetraether core modified with a variety of polar headgroups. However, many hyperthermophilic archaea also synthesize tetraether lipids with up to four pentacyclic rings per 40-carbon chain, presumably to improve membrane thermal stability at temperatures up to approximately 110 degrees C. This study aimed to correlate the ratio of tetraether to diether core lipid, as well as the presence of pentacyclic groups in tetraether lipids, with growth temperature for the hyperthermophilic archaeon, Archaeoglobus fulgidus. Analysis of the membrane core lipids of A. fulgidus using APCI-MS analysis revealed that the tetraether-to-diether lipid ratio increases from 0.3 +/- 0.1 for cultures grown at 70 degrees C to 0.9 +/- 0.1 for cultures grown at 89 degrees C. Thin-layer chromatography (TLC) followed by APCI-MS analysis provided evidence for no more than one pentacycle in the hydrocarbon chains of tetraether lipid from cultures grown at 70 degrees C and up to 2 pentacycles in the tetraether lipid from cultures grown at higher temperatures. Analysis of the polar lipid extract using TLC and negative-ion ESI-MS suggested the presence of diether and tetraether phospholipids with inositol, glycosyl, and ethanolamine headgroup chemistry. PMID- 18157504 TI - Clinical ethics and confidentiality: opinions of experts and ethics committees. PMID- 18157505 TI - Greater patient, family and surrogate involvement in clinical ethics consultation: the model of clinical ethics liaison service as a measure for preventive ethics. PMID- 18157506 TI - Sodium selenite enhances glutathione peroxidase activity and DNA strand breaks in hepatoma induced by N-nitrosodiethylamine and promoted by phenobarbital. AB - An element/compound that acts as an antioxidant as well as, can increase the oxidative stress offers a new approach in differentiation therapy. Experiments were carried out to determine the effect of selenite on DNA damage and glutathione peroxidase (GPx) activity in N-nitrosodiethylamine (DEN) induced, phenobarbital promoted rat hepatoma. Supra-nutritional level of selenite (4 ppm) was supplemented at either, before-initiation/after-initiation and/or during entire period of the study. At the end of experiment period (20 weeks), extent of DNA damage (alkaline comet assay), selenium concentration, and GPx activity were assessed on nodular tissue (NL) cells, surrounding liver (SL) cells, and whole liver tissue (control) cells. Hepatic selenium level and GPx activity were decreased in DEN and PB-administered animals, whereas the DNA damage was found to be increased in both NL and SL cells compared with control group. However, the DNA damage is more in SL cells than in NL cells. Pre-supplementation of selenite did not show any difference in DNA (strand breaks) damage, selenium, and GPx activity. Increased hepatic selenium concentration and GPx activity were observed in both NL and SL cells in post-supplementation and entire period of selenite supplemented animals compared to DEN + PB treated animals. However, DNA damage was increased in NL but decreased in SL cells. Supplementation of selenite alone for 16 or 20 weeks had shown increased DNA damage, selenium concentration, and GPx activity compared to normal control animals. In summary, cancer bearing animals increased DNA damage and decreased Se level and GPx activity in NL and SL cells and other organs in cancer bearing animals, supplementation of Se further provoked DNA damage (no change in pretreatment) in NL cells, however it decreased DNA damage SL cells and other organs (kidney, lungs, and spleen). On the other hand Se levels and GPx activity were increased in NL and SL cells and other organs of Se-supplemented rats (no difference in group 3 animals). These results demonstrate that, in addition to chemopreventive and chemotherapeutic role of selenite, it also prevents cellular DNA damage induced in cancerous condition. PMID- 18157507 TI - Surface energy of hydroxyapatite and beta-tricalcium phosphate ceramics driving serum protein adsorption and osteoblast adhesion. AB - The main objective of this work was to evaluate the specific role of calcium phosphates surface energy on serum protein adsorption and human osteoblast adhesion, by isolating chemical effects from those caused by topography. Highly dense phosphate ceramics (single-phase hydroxyapatite HA and beta-tricalcium phosphates beta-TCP) presenting two distinct nano roughnesses were produced. Some samples were gold-sputter coated in order to conveniently mask the surface chemical effects (without modification of the original roughness) and to study the isolated effect of surface topography on cellular behavior. The results indicated that the nano topography of calcium phosphates strongly affected the protein adsorption process, being more important than surface chemistry. The seeding efficacy of osteoblasts was not affected nor by the topography neither by the calcium phosphate chemistries but the beta-TCP chemistry negatively influenced cell spreading. We observed that surface hydrophobicity is another way to change protein adsorption on surfaces. The decrease of the polar component of surface energy on gold-coated samples leaded to a decreased albumin and fibronectin adsorption but to an increased cell adhesion. Overall, this work contributes to better understand the role of topography and surface chemistry of calcium phosphates in serum protein adsorption and osteoblast adhesion. PMID- 18157508 TI - Biological control of apatite growth in simulated body fluid and human blood serum. AB - The surface transformation reactions of bioactive ceramics were studied in vitro in standard K9-SBF solution and in human blood serum (HBS)-containing simulated body fluid (SBF). The calcium phosphate ceramics used for this study were stoichiometric hydroxyapatite (HA), beta-tricalcium phosphate (beta-TCP) and brushite. Immersion of each calcium phosphate tested in this study, in simulated body fluid, led to immediate surface precipitation of apatite. The use of HBS resulted in a delay in the onset of precipitation and a significant inhibition of the dissolution reaction normally observed for brushite in solution. However, apatite formation still occurred. The use of HBS and SBF in this investigation, which has shown the ability to induce similar crystal growth as that observed in vivo, suggests that there is scope for the use of serum proteins in simulated body fluid in order to create a protein-rich surface coating on biomedical substrates. PMID- 18157509 TI - Effects of human hair and nail proteins and their films on rat mast cells. AB - Human hair and nail are valuable materials for producing individual corresponding biocompatible materials. A rapid and convenient protein extraction method (Shindai method) and novel procedures for preparing their protein films from their extracts have been developed using human hair and nail. The effects of the human hair and nail proteins and their films on histamine release from rat peritoneal mast cells were investigated. Both protein solutions and their films, mainly consisting of keratins and matrix proteins, did not induce histamine release from the mast cells. Scanning electron microscopy (SEM) also showed that the mast cells were only slightly affected by adding the human hair and nail proteins or by incubating on their protein films. The IgE-dependent histamine release was inhibited by the hair and nail proteins and their films. Incubation of the mast cells with the hair and nail proteins prior to the addition of the IgE serum resulted in a high inhibition (50%) of the histamine release, while the inhibition was approximately 10% when the protein solutions were mixed with the mast cells after incubation with the IgE serum. These results suggest that the human hair and nail proteins and their films will be useful materials for antiallergic actions. PMID- 18157510 TI - Mechanical properties of human enamel as a function of age and location in the tooth. AB - Aging and the related changes in mechanical behavior of hard tissues of the human body are becoming increasingly important. In this study the influence of aging on the mechanical behavior of human enamel was evaluated using 3rd molars from young (18 < or = age < or = 30 years) and old (55 < or = age) patients. The hardness and elastic modulus were quantified using nanoindentation as a function of distance from the Dentin-Enamel Junction (DEJ) and within three different regions of the crown (i.e. cervical, cuspal and inter-cuspal enamel). Results of the evaluation showed that the elastic modulus and hardness increased with distance from the DEJ in all three regions examined, regardless of patient age. The largest increases with distance from the DEJ occurred within the cervical region of the old enamel. Overall, the results showed that there were no age-dependent differences in properties of enamel near the DEJ. However, near the tooth's surface, both the hardness (p < 0.025) and elastic modulus (p < 0.0001) were significantly greater in the old enamel. At the surface of the tooth the average elastic modulus of "old" enamel was nearly 20% greater than that of enamel from the young patients. PMID- 18157511 TI - Sonoelectrochemical deposition of calcium phosphates on carbon materials: effect of current density. AB - Calcium phosphate (CaP) coatings on carbon fabric substrate were produced by sonoelectrodeposition at different current densities (5, 8, 13, 20 and 34 mA/cm2). The surface morphology and chemical composition of the coatings were characterized by SEM, Raman and FTIR spectra. The results showed that at 5 mA/cm2 current density, the coating exhibits plate-like morphology, indicating an octacalcium phosphate (OCP) phase was pre-formed in the deposits and then converted into hydroxyapatite (HA). When the current density was increased to 8 mA/cm2 and higher, the coatings exhibited needle-like morphology corresponding to a HA phase. Furthermore, the sonoelectrodeposited CaP coating exhibited denser and more uniform structures with smaller crystal sizes as the current density increased. Cathodic reaction mechanisms of CaP coatings on carbon in the sonoelectrochemical processes are proposed to explain the different kinds of calcium phosphate obtained. PMID- 18157512 TI - Functionally graded bioactive glass coating on magnesia partially stabilized zirconia (Mg-PSZ) for enhanced biocompatibility. AB - The coating of magnesia partially stabilized zirconia (Mg-PSZ) with a bioactive glass was investigated for enhancing the bioactivity and bone-bonding ability of Mg-PSZ orthopedic implants. Individual coatings of three different bioactive glasses were prepared by depositing a concentrated suspension of the glass particles on Mg-PSZ substrates, followed by sintering at temperatures between 750 degrees C and 850 degrees C. Two silicate-based glass compositions (designated 13 93 and 6P68), and a borosilicate glass composition (H12) were investigated. The microstructure and adhesive strength of the coatings were characterized, and the in vitro bioactivity of the glasses was compared by measuring their conversion kinetics to hydroxyapatite in an aqueous phosphate solution at 37 degrees C. The 6P68 glass provided the highest adhesive strength (40 +/- 2 MPa) but showed very limited bioactivity, whereas the H12 glass had lower adhesive strength (18 +/- 2 MPa) but the highest bioactivity. A functionally graded coating, consisting of a 6P68 interfacial layer and an H12 surface layer, was developed to provide a coating with high adhesive strength coupled with rapid in vitro bioactivity. PMID- 18157513 TI - Skewed X-chromosome inactivation in scleroderma. AB - Scleroderma is a female-prevalent autoimmune disease of unclear etiology. Two fundamental gender differences, skewed X-chromosome inactivation (XCI) and pregnancy-related microchimerism, have been implicated in scleroderma. We investigated the XCI patterns of female scleroderma patients and the parental origin of the inactive X chromosome in those patients having skewed XCI patterns (>80%). In addition, we investigated whether a correlation exists between XCI patterns and microchimerism in a well-characterized cohort. About 195 female scleroderma patients and 160 female controls were analyzed for the androgen receptor locus to assess XCI patterns in the DNA extracted from peripheral blood cells. Skewed XCI was observed in 67 (44.9%) of 149 informative patients and in 10 of 124 healthy controls (8.0%) [odds ratio (OR) = 9.3 (95% confidence interval (CI) 4.3-20.6, P < 0.0001)]. Extremely skewed XCI (>90%) was present in 44 of 149 patients (29.5%) but only in 3 of 124 controls (2.4%; OR = 16.9; 95% CI 4.8-70.4, P < 0.0001). Parental origin of the inactive X chromosome was investigated for ten patients for whom maternal DNA was informative, and the inactive X chromosome was of maternal origin in eight patients and of paternal origin in two patients. Skewed XCI mosaicism could be considered as an important risk factor in scleroderma. PMID- 18157514 TI - Mutational analysis and overcoming imatinib resistance in chronic myeloid leukemia with novel tyrosine kinase inhibitors. PMID- 18157515 TI - Attitudes towards suicide among Kurdish people in Iran. AB - BACKGROUND: Attitudes towards suicide represent a key stage in the pathway leading to suicide. A deeper understanding of the social, psychological and treatment-related factors influencing the development of attitudes towards suicide could guide suicide prevention strategies especially in a neglected population like Kurds. METHODS: In a cross-sectional study in Iranian Kurdistan, 1,000 households participated in the investigation from April to May 2006 selected by a cluster random sampling process. A questionnaire on attitudes towards suicide (ATTS) was used to measure suicide related attitudes and thoughts. RESULTS: Suicide related experiences were more often reported from the wider social network (relative, friends, acquaintances) than from family members. There is a significant accumulation of suicide related experiences when a related event was reported in the close family. The level of suicide related attitudes is related to age, gender, marital status, level of education and employment status. DISCUSSION: Openness towards the topic of suicide as well as abilities to communicate about it should be improved by educating the public and additionally be promoted by changing conservative value systems. PMID- 18157516 TI - Distribution and excretion of arsenic in cynomolgus monkey following repeated administration of diphenylarsinic acid. AB - Diphenylarsinic acid (DPAA), a possible product of degradation of arsenic containing chemical weapons, was detected in well water in Kamisu City, Ibaraki Prefecture, Japan, in 2003. Although some individuals in this area have been affected by drinking DPAA-containing water, toxicological findings on DPAA are limited. To elucidate the mechanism of its toxicity, it is necessary to determine the metabolic behavior of DPAA in the body. In this study, pregnant cynomolgus monkeys at the 50th day of pregnancy were used. The monkeys were treated daily with 1.0 mg DPAA/kg body weight using a nasogastric tube, and the distribution and excretion of arsenic were examined after the repeated administration and 198 237 days after the last administration of DPAA. Fecal excretion was higher than urinary excretion (ca. 3:2 ratio), and arsenic accumulated in the hair and erythrocytes. Distribution of DAPP to plasma and hemolyzed erythrocytes was also examined by high-performance liquid chromatography-inductively coupled argon plasma mass spectrometry (HPLC-ICP MS). Two peaks were found in the elution profile of arsenic, due to free and probably protein-bound DPAA. The protein bound arsenic compounds were presumably trivalent diphenylarsenic compounds, since free DPAA was recovered after treatment of heat-denatured samples with hydrogen peroxide. PMID- 18157517 TI - Behavioral impairments related to lead-induced developmental neurotoxicity in chicks. AB - Lead intoxication affects the central nervous system and produces structural disorders and behavioral deficits in several animal species. Although lead neurotoxicity is a well-reported phenomenon, studies on the developmental neurotoxicity induced by this metal in avian are scarce. The aim of this study was to evaluate how a single dose of 28 mug lead acetate administered into the yolk sac on the fifth incubation day of Gallus domesticus can affect the behavior and the brain tissue in the first postnatal week. Several behavioral tests, mainly those related to the motor and exploratory functions were evaluated at fifth and sixth postnatal days (PN). The lead deposition into mesencephalon and cerebellum was investigated by autometallography (AMG) method. Congenital anomalies, as failure on closure of body's ventral midline and leg dysfunction, were observed in treated chicks. During the first postnatal week, inactivity and anomalous movements were significantly high in lead treated chicks in comparison to control animals. Lead impregnation was observed in both mesencephalon and cerebellum and the cerebellar molecular layer presented higher lead deposition in comparison to granular layer and Purkinje cells. Our results indicate that the in ovo exposure to lead induces important deficits on motor behavior of chicks during the first postnatal week and such phenomena are related to lead deposition in the cerebellar tissue during embryonic development. The proposed exposure schedule represents an interesting experimental approach for studding behavioral and cellular mechanisms related to lead-induced developmental neurotoxicity. PMID- 18157518 TI - Vectorial transport of the plant alkaloid berberine by double-transfected cells expressing the human organic cation transporter 1 (OCT1, SLC22A1) and the efflux pump MDR1 P-glycoprotein (ABCB1). AB - An important function of hepatocytes is the biliary elimination of endogenous and xenobiotic small molecules, many of which are organic cations. To study this vectorial transport of organic cations, we constructed a double-transfected Madin Darby canine kidney strain II (MDCKII) cell line permanently expressing the human organic cation transporter 1 (OCT1, SLC22A1) in the basolateral membrane and MDR1 P-glycoprotein (MDR1 P-gp, ABCB1), an adenosine triphosphate (ATP)-dependent efflux pump for organic cations, in the apical membrane. Additionally, MDCKII single transfectants stably expressing OCT1, MDR1 P-gp, or human organic cation transporter 2 (OCT2, SLC22A2) were generated. Antisera directed against OCT1 or OCT2 specifically detected OCT1 in the basolateral membrane of human hepatocytes, OCT2 in tubular epithelial cells of human kidney, and the respective recombinant transporter in the basolateral membrane of MDCKII transfectants. We identified the lipophilic organic cation berberine, a fluorescent plant alkaloid exhibiting a broad range of biological activities, as substrate of OCT1 and OCT2 with Michaelis-Menten constants of 14.8 microM and 4.4 microM, respectively. Berberine also inhibited the uptake of the prototypic cations tetraethylammonium and 1 methyl-4-phenylpyridinium by MDCK-OCT1 and MDCK-OCT2 transfectants. When transfected cells were grown polarized on permeable filter supports, berberine was transferred from the basolateral to the apical compartments many times faster by MDCK-OCT1/MDR1 P-gp double transfectants than by MDCK-OCT1 or MDCK-MDR1 P-gp single transfectants. The specific MDR1 P-gp inhibitor, zosuquidar trihydrochloride (LY335979), strongly inhibited berberine efflux into the apical compartment. The MDCK-OCT1/MDR1 P-gp double transfectants may be useful to identify additional cationic substrates and inhibitors of OCT1 and MDR1 P-gp, including drug candidates. PMID- 18157519 TI - Effects of ursodeoxycholic acid on the pharmacokinetics and pharmacodynamics of intravenous and oral midazolam in healthy volunteers. AB - Animal and in vitro studies suggest that ursodeoxycholic acid (UDCA) can induce cytochrome P450 3A (CYP3A) expression and enhance its activities. On the other hand, Becquemont et al. demonstrated that UDCA had no influence on intestinal CYP3A activities. The aim of this study was to investigate the effects of UDCA on the intestinal and hepatic CYP3A activities by administration of midazolam (MDZ), as a specific probe for CYP3A activity, in humans. This was a randomized, open label, crossover study with two phases in 14 healthy volunteers. The volunteers received UDCA (300 mg/day) or placebo orally for 9 days. The pharmacokinetics and pharmacodynamics of intravenous MDZ (5 microg/kg) and oral MDZ (15 microg/kg) were assessed on days 8 and 9, respectively. The pharmacodynamics of MDZ was estimated by measuring peak saccadic velocity, postural away length, critical fusion flicker frequency, and visual analogue scale. UDCA did not affect the pharmacokinetic and pharmacodynamic parameters of intravenous and oral MDZ administrations. Our study suggests that the clinical dosage of UDCA could not affect both hepatic and intestinal CYP3A activities and that the drug interaction between UDCA and substrates for CYP3A is unlikely in humans. PMID- 18157520 TI - Obituary: Dr Ann E. Kelley (1954-2007). PMID- 18157523 TI - Results of a European inter-laboratory comparison study on the determination of EU priority polycyclic aromatic hydrocarbons (PAHs) in edible vegetable oils. AB - A collaborative study on the analysis for 15 + 1 EU priority PAHs in edible oils was organised to investigate the state-of-the-art of respective analytical methods. Three spiked vegetable oils, one contaminated native sunflower oil, and one standard solution were investigated in this study. The results of 52 laboratories using either high-performance liquid chromatography with fluorescence detection or gas chromatography with mass-selective detectors were evaluated by application of robust statistics. About 95% of the laboratories were able to quantify benzo[a]pyrene together with five other PAHs included in the commonly known list of 16 US-EPA PAHs. About 80% of the participants also quantified seven additional PAHs in most samples, two of which were benzo[b]fluoranthene and benzo[k]fluoranthene, which were also known from the EPA list. Only about 50% of the participants quantified cyclopenta[cd]pyrene, benzo[j]fluoranthene, and benzo[c]fluorene. The robust relative standard deviations of the submitted results without discrimination between the methods applied ranged between 100% for 5-methylchrysene in spiked olive oil and 11% for the same analyte in spiked sunflower oil. The results clearly showed that for these analytes the methods of analysis are not yet well established in European laboratories, and more collaborative trials are needed to promote further development and to improve the performances of the respective methods. PMID- 18157522 TI - Anticonvulsant and anxiolytic-like effects of compounds isolated from Polygala sabulosa (Polygalaceae) in rodents: in vitro and in vivo interactions with benzodiazepine binding sites. AB - RATIONALE: Polygala sabulosa, a folk medicine, presents dihydrostyryl-2-pyrones (DST) and styryl-2-pyrones (STY), compounds structurally similar to kavalactones. Our previous study showed that the ethyl acetate fraction (EA) and these constituents present anxiolytic-like, hypno-sedative, and anticonvulsant effects in mice. OBJECTIVES: This study investigated the role of benzodiazepine binding site (BDZ-bs) in the central effects of either EA or three DST (1, 2, and 3) and three STY (4, 5, and 7), using in vivo and in vitro assays. METHODS AND RESULTS: In the elevated plus-maze (EPM), flumazenil (FMZ), a BDZ antagonist, partially blocked the anxiolytic-like effect of DST-3 or STY-4 and STY-7, but not DST-1. Using electroencephalogram (EEG), EA protected against pentylenetetrazole (PTZ) induced convulsion in rats, an effect partially blocked by FMZ, suggesting the participation of the BDZ-bs in this action. EA also protected against the maximal electroshock (MES)-induced convulsions in mice, a profile distinct from diazepam (DZP). DST and STY compounds inhibited the [(3)H]-flunitrazepam ([(3)H]-FNZ) binding to BDZ-bs in rat cortical synaptosomes with K (i) higher than 100 microM (DST-1), 41.7 microM (DST-2), 35.8 microM (DST-3), 90.3 microM (STY-4), 31.0 microM (STY-5) and 70.0 microM (STY-7). In the saturation assay, DST-3 and STY-7 competitively inhibited the binding of [(3)H]-FNZ to BDZ-bs with a significant decrease in apparent affinity (K (d)) and no change in maximal binding (B (max)). CONCLUSIONS: The present data support a partial BDZ-bs mediation of the anxiolytic-like and anticonvulsant effects of EA of P. sabulosa and its main isolated constituents, DST and STY. PMID- 18157521 TI - Comparison of ethanol locomotor sensitization in adolescent and adult DBA/2J mice. AB - RATIONALE: The mammalian adolescent period is characterized by enhanced vulnerability to drug-induced neuroadaptations. Epidemiological evidence indicates that individuals who start drinking alcohol during adolescence are four times more likely to develop alcohol dependence in adulthood, but little is known about the adaptive mechanism(s) that may underlie this observation. Behavioral sensitization in rodents is a model of neurobehavioral plasticity that occurs following repeated drug exposure and may underlie components of addiction. OBJECTIVES: The goal of this study was to determine if adolescent mice are differentially sensitive to ethanol-induced locomotor sensitization as compared to adults. MATERIALS AND METHODS: Adolescent and adult DBA/2J mice were treated with saline or ethanol (1.0, 1.5, 2.0, 2.5 g/kg) for 7, 11, or 15 days and tested for acute and sensitized locomotor activity. Blood ethanol clearance (BEC) was also assessed 10, 60, and 180 min following treatment with ethanol 2 g/kg. RESULTS: Adolescent mice were more sensitive than adult mice to the acute locomotor activating effects of ethanol. However, adolescent mice were less sensitive than adult mice to locomotor sensitization, as only the highest dose of ethanol (2.5 g/kg) induced sensitization in the adolescent mice, while lower doses of ethanol elicited sensitization in the adult mice. The differential response to ethanol sensitization was not related to duration of treatment or differential BEC. CONCLUSIONS: These results indicate that adolescent mice are less sensitive to ethanol sensitization, and this blunted behavioral response in adolescents might reflect differential ethanol-induced neurobehavioral adaptations. PMID- 18157524 TI - Gold nanoparticles for the development of clinical diagnosis methods. AB - The impact of advances in nanotechnology is particularly relevant in biodiagnostics, where nanoparticle-based assays have been developed for specific detection of bioanalytes of clinical interest. Gold nanoparticles show easily tuned physical properties, including unique optical properties, robustness, and high surface areas, making them ideal candidates for developing biomarker platforms. Modulation of these physicochemical properties can be easily achieved by adequate synthetic strategies and give gold nanoparticles advantages over conventional detection methods currently used in clinical diagnostics. The surface of gold nanoparticles can be tailored by ligand functionalization to selectively bind biomarkers. Thiol-linking of DNA and chemical functionalization of gold nanoparticles for specific protein/antibody binding are the most common approaches. Simple and inexpensive methods based on these bio-nanoprobes were initially applied for detection of specific DNA sequences and are presently being expanded to clinical diagnosis. Figure Colorimetric DNA/RNA detection using salt induced aggregation of AuNP-DNA nanoprobes. PMID- 18157525 TI - Induction of CYP1A2 by heavy coffee consumption in Serbs and Swedes. AB - OBJECTIVES: To investigate the influence of coffee consumption on CYP1A2 enzyme activity controlling for the effects of smoking and oral contraceptive (OC) use among Serbs and Swedes and to compare CYP1A2 activity between the two populations. METHODS: Data on oral contraceptive use, habitual coffee consumption and smoking habits were obtained from 100 Serbian and 149 Swedish healthy volunteers using a detailed questionnaire. CYP1A2 activity was estimated by plasma paraxanthine/caffeine (17X/137X) ratio analysed by reversed-phase HPLC after oral administration of 100 mg caffeine. RESULTS: Daily consumption of at least three cups of coffee significantly increased CYP1A2 enzyme activity in both Serbs (P=0.0002) and Swedes (P<0.0001). Among non-smokers and non-OC users, heavy coffee consumption significantly increased CYP1A2 activity in Serbs (mean difference 0.11; 95% CI of the mean difference 0.04, 0.18; P=0.003) and Swedes (mean difference 0.07; 95% CI of the mean difference 0.01, 0.12; P=0.02). Significantly higher 17X/137X ratio was detected in Serbian smokers compared to non-smokers. There was no significant gender difference in CYP1A2 activity in Serbs. Controlling for the effect of smoking, heavy coffee consumption habit and oral contraceptive use, significantly lower 17X/137X ratio was observed in Serbs than in Swedes (P=0.0003). CONCLUSIONS: Habitual heavy coffee consumption increases CYP1A2 activity. Polycyclic aromatic hydrocarbons formed during roasting of coffee beans might partly be responsible for this effect. The reason for the observed lower CYP1A2 activity in Serbs as compared to Swedes remains to be investigated. PMID- 18157526 TI - Topical tacrolimus and pimecrolimus in the treatment of cutaneous lupus erythematosus: an evidence-based evaluation. AB - BACKGROUND: Lesions of cutaneous lupus erythematosus (CLE) are refractory to a wide range of topical or systemic therapies. The pathogenesis of CLE is multifactorial and polygenic, and many of its details remain unclear. However, immunologic evidence suggests the possible therapeutic use of tacrolimus and pimecrolimus. CLE is one of the most common dermatological autoimmune disorders worldwide, which includes systemic lupus erythematosus (SLE) with malar rash, subacute cutaneous lupus erythematosus (SCLE) and discoid lupus erythematosus (DLE). OBJECTIVE: Our aim was to determine the efficacy of topical pimecrolimus and tacrolimus in the treatment of cutaneous lupus erythematosus. METHODS: The literature was systematically reviewed. Medline, Embase, and the Cochrane Database were searched for systemic reviews, randomised controlled trials and nonrandomised clinical trials using the search terms "pimecrolimus", "Elidel", "SDZ ASM 981", "tacrolimus", "Protopic", "FK506" and "cutaneous lupus erythematosus". Studies were assessed independently by two authors. RESULTS: Five studies were eligible for inclusion in this review. Only one of them was a randomised controlled trial (RCT). There was no significant difference between tacrolimus and clobetasol; however, evidence indicates the highest tolerability of tacrolimus compared with corticosteroids. This review indicates the efficacy of tacrolimus and pimecrolimus in, at least initial, cutaneous lesions of SLE. However, in SCLE and DLE lesions, the efficacy appears to be lower, perhaps due to the chronicity of those lesions. CONCLUSION: The lack of RCTs is characteristic. Future studies should focus on efficacy, short- and long-term effects and cost-effectiveness. However, tacrolimus and pimecrolimus show efficacy, and such effort is worthwhile. PMID- 18157527 TI - PA2663 (PpyR) increases biofilm formation in Pseudomonas aeruginosa PAO1 through the psl operon and stimulates virulence and quorum-sensing phenotypes. AB - Previously, we identified the uncharacterized predicted membrane protein PA2663 of Pseudomonas aeruginosa PAO1 as a virulence factor using a poplar tree model; PA2663 was induced in the poplar rhizosphere and, upon inactivation, it caused 20 fold lower biofilm formation (Attila et al., Microb Biotechnol, 2008). Here, we confirmed that PA2663 is related to biofilm formation by restoring the wild-type phenotype by complementing the PA2663 mutation in trans and investigated the genetic basis of its influence on biofilm formation through whole-transcriptome and -phenotype studies. Upon inactivating PA2663 by transposon insertion, the psl operon that encodes a galactose- and mannose-rich exopolysaccharide was highly repressed (verified by RT-PCR). The inactivation of PA2663 also repressed 13 pyoverdine genes, which eliminated the production of the virulence factor pyoverdine in P. aeruginosa. The inactivation of PA2663 also affected other quorum-sensing-related phenotypes in that it repressed the Pseudomonas quinolone signal (PQS) genes, which abolished PQS production, and repressed lasB, which decreased elastase activity sevenfold. Genes were also induced for motility and attachment (PA0499, PA0993, PA2130, and PA4549) and for small molecule transport (PA0326, PA1541, PA1632, PA1971, PA2214, PA2215, PA2678, and PA3407). Phenotype arrays also showed that PA2663 represses growth on D: -gluconic acid, D: mannitol, and N-phthaloyl-L: -glutamic acid. Hence, the PA2663 gene product increases biofilm formation by increasing the psl-operon-derived exopolysaccharides and increases pyoverdine synthesis, PQS production, and elastase activity while reducing swarming and swimming motility. We speculate that PA2663 performs these myriad functions as a novel membrane sensor. PMID- 18157528 TI - Characterisation of mutagenised acid-resistant alpha-amylase expressed in Bacillus subtilis WB600. AB - Based on the original thermostable alpha-amylase gene from Bacillus licheniformis, two amino acids were site-directed mutagenised by polymerase chain reaction to obtain a new gene. This gene, with Leu134-->Arg and Ser320-->Ala, was substituted for acid-resistant capability previously. To favor purification of the product, high-level expression and secretion of mature, authentic and stable recombinant mutagenised alpha-amylase were achieved with protease-deficient strain Bacillus subtilis WB600 as the host. The recombinant mutagenised alpha amylase with the activity of 4,700 U/mL was then purified by ammonium sulphate fractionation, anion exchange and gel filtration, consecutively. By multi-step purification, the specific activity of the recombinant protein was up to 916.7 U/mg with a 187.1-fold purification. The mutagenised protein was found to be more acid resistant than the native protein. The optimum pH and stable range of pH with the mutagenised protein was 4.5 and 4.0 to 6.5, respectively, compared with pH 6.5 and 5.5 to 7.0 as the favorite pH and pH stability range of the native protein. PMID- 18157529 TI - Temporal relation between temperature change and FDG uptake in brown adipose tissue. AB - OBJECTIVES: It has been reported that the prevalence of (18)F fluorodeoxyglucose (FDG) uptake in brown adipose tissue (BAT) is related to outdoor temperature, i.e., more frequent during the colder periods of the year. The purpose of this study was to assess the temporal relationship between BAT FDG uptake and temperature. We correlated the prevalence of BAT with average temperatures (divided into five temperature ranges) of seven different durations. METHODS: One thousand four hundred ninety-five consecutive FDG Positron emission tomography (PET) studies in 1,159 patients (566 male and 593 female, mean age = 60.4 years) were retrospectively reviewed. FDG uptake with distinct patterns compatible with BAT was identified by a consensus of two readers. The local daily average temperature from January 2000 to November 2003 (beginning 60 days before the date of first PET scan) were obtained, and 2-, 3-, 7-, 14-, 30-, and 60-day average temperatures before the date of a PET study were calculated. The prevalence of BAT FDG uptake was correlated with these various average temperatures. RESULTS: The daily, 2-day, 3-day, and 7-day average temperature had an inverse relation with the prevalence of BAT, i.e., the lower the temperature, the higher prevalence of BAT. When the temperature was averaged over 14 days or longer, this inverse relationship between the temperature and the prevalence of BAT was no longer preserved. CONCLUSIONS: Our data suggest that increased FDG uptake in BAT occurs more often as an acute response to cold weather (1-7 days) rather than to prolonged periods of average cold weather. PMID- 18157530 TI - Combined use of zoledronic acid and 153Sm-EDTMP in hormone-refractory prostate cancer patients with bone metastases. AB - PURPOSE: (153)Sm-ethylenediaminetetramethylenephosphonic acid (EDTMP; Quadramet) is indicated for the treatment of painful bone metastases, whereas zoledronic acid (Zometa) is indicated for the prevention of skeletal complications. Because of the different therapeutic effects, combining the treatments may be beneficial. Both, however, accumulate in areas with increased osteoblastic activity. Possible drug interactions were investigated. METHODS: Patients with hormone-refractory prostate cancer were treated with 18.5 MBq/kg (153)Sm-EDTMP in weeks 1 and 3 and with 37 MBq/kg in week 15. Treatment with 4 mg zoledronic acid began in week 3 and continued every 4 weeks through week 23. In weeks 3 and 15, zoledronic acid was administered 2 days before (153)Sm-EDTMP treatment. Urine was collected 48 h after injection of (153)Sm-EDTMP, and whole-body images were obtained 6, 24 and 48 h post-injection. The effect of zoledronic acid on total bone uptake of (153)Sm-EDTMP was measured indirectly by the cumulative activity excreted in the urine in weeks 1, 3 and 15. Biodistribution, safety, tolerability and effect on prostate-specific antigen level were also studied. RESULTS: The urinary excretion in week 3 divided by the urinary excretion in week 1 (baseline) times 100% was mean 98.4 +/- 11.6% (median 96.2%). From week 1 to 15, after four zoledronic acid treatments, the mean ratio was 101.9 +/- 10.7% (median 101.8%). Bioequivalence could be concluded by using a two-sample t test for both per-protocol (n = 13) and full-analysis sets (n = 18). Toxicity was comparable to of monotherapy with (153)Sm-EDTMP. CONCLUSION: Zoledronic acid treatment does not influence (153)Sm EDTMP skeletal uptake. Combined treatment is feasible and safe. PMID- 18157532 TI - GMP--three letters with many interpretations. Protection of patients or killing the clinical and research applications of PET? PMID- 18157531 TI - [18F]FBEM-Z(HER2:342)-Affibody molecule-a new molecular tracer for in vivo monitoring of HER2 expression by positron emission tomography. AB - PURPOSE: The expression of human epidermal growth factor receptor-2 (HER2) receptors in cancers is correlated with a poor prognosis. If assessed in vivo, it could be used for selection of appropriate therapy for individual patients and for monitoring of the tumor response to targeted therapies. We have radiolabeled a HER2-binding Affibody molecule with fluorine-18 for in vivo monitoring of the HER2 expression by positron emission tomography (PET). MATERIALS AND METHODS: The HER2-binding Z(HER2:342)-Cys Affibody molecule was conjugated with N-2-(4 [18F]fluorobenzamido)ethyl]maleimide ([18F]FBEM). The in vitro binding of the resulting radioconjugate was characterized by receptor saturation and competition assays. For in vivo studies, the radioconjugate was injected into the tail vein of mice bearing subcutaneous HER2-positive or HER2-negative tumors. Some of the mice were pre-treated with non-labeled Z(HER2:342)-Cys. The animals were sacrificed at different times post-injection, and the radioactivity in selected tissues was measured. PET images were obtained using an animal PET scanner. RESULTS: In vitro experiments indicated specific, high-affinity binding to HER2. PET imaging revealed a high accumulation of the radioactivity in the tumor as early as 20 min after injection, with a plateau being reached after 60 min. These results were confirmed by biodistribution studies demonstrating that, as early as 1 h post-injection, the tumor to blood concentration ratio was 7.5 and increased to 27 at 4 h. Pre-saturation of the receptors with unlabeled Z(HER2:342)-Cys lowered the accumulation of radioactivity in HER2-positive tumors to the levels observed in HER2-negative ones. CONCLUSION: Our results suggest that the [18F]FBEM-Z(HER2:342) radioconjugate can be used to assess HER2 expression in vivo. PMID- 18157533 TI - Postoperative acetabular retroversion causes posterior osteoarthritis of the hip. AB - We retrospectively reviewed 68 hips in 62 patients with acetabular dysplasia who underwent curved periacetabular osteotomy. Among the 68 hips, 33 had acetabular retroversion (retroversion group) and 35 had anteversion (control group) preoperatively. All hips were evaluated according to the Harris hip score. Radiographic evaluations of acetabular retroversion and posterior wall deficiency were based on the cross-over sign and posterior wall sign, respectively. The clinical scores of the two groups at the final follow-up were similar. In the retroversion group, 12 hips had anteverted acetabulum postoperatively. The posterior wall sign disappeared in these hips, but remained in 21 hips with retroverted acetabulum postoperatively. Among the 21 hips with retroverted acetabulum, posterior osteoarthritis of the hip developed postoperatively in five hips. When performing corrective osteotomy for a dysplastic hip with acetabular retroversion, it is important to correct the acetabular retroversion to prevent posterior osteoarthritis of the hip due to posterior wall deficiency. PMID- 18157534 TI - Imageless navigation of hip resurfacing arthroplasty increases the implant accuracy. AB - Surface arthroplasty of the hip is increasingly popular. Optimising the position of the femoral component is essential to avoid early implant failures such as femoral neck fractures. Sixty hip surface replacements were retrospectively analysed. In 30 patients imageless navigation was used, and 30 patients were operated upon using conventional jigs. Accuracy, implant position, operating time, and complications have been recorded. The navigation device improved the implant position with high accuracy. Implant-shaft angles <130 degrees and uncovered cancellous bone of the superior femoral neck could be safely avoided. After a significant learning curve, navigation took 15 minutes longer than conventional implantation. No complications were found in either group. Computer assisted navigation allowed accurate implantation of the femoral component avoiding pitfalls of hip surface replacement. From our point of view the optimal placement of the femoral component outweighs the disadvantage of a longer operating time. PMID- 18157535 TI - Osseointegration in arthroplasty: can simvastatin promote bone response to implants? AB - Cementless fixation depends on bone ingrowth for long-term success. Simvastatin as a lipid lowering agent has been demonstrated to have osteoanabolic effects. This study was designed to measure the possible effect of simvastatin on implant osseointegration. Bilateral femoral implantation of titanium cylinders was performed in 20 rabbits. Blood lipid levels were measured pre- and postoperatively. Scanning electron microscopy (SEM) was used to measure the percentage of the surface of each implant in contact with bone and mechanical pull-out testing was performed. The blood lipid levels were significantly reduced in the simvastatin group. Histomorphometric examination revealed increased bone ingrowth and mechanical examination showed increased interface strength in the simvastatin group. Mechanical and histological data showed superior stability and osseous adaptation at the bone/implant interface for the simvastatin group. We conclude that simvastatin has potential as a means of enhancing bone ingrowth, which is a key factor in the longevity of cementless implants. PMID- 18157536 TI - Focal cortical dysplasia with calcification: a case report. AB - CASE REPORT: Focal cortical dysplasia (FCD) with calcification is rare. We presented a 13-year-old epileptic patient with FCD and calcification in the left frontal lobe. At age 24, the FCD lesion and the surrounding epileptogenic cortex and underlying subcortex were removed after chronic subdural electrode recording. Histological examination showed that the calcified lesion was not independent of the FCD lesion but located in the subcortical area of the FCD lesion. A neoplastic nature was ruled out for the lesion. DISCUSSION: The pathophysiological mechanism involved in the coexistence of FCD and calcification is discussed. PMID- 18157537 TI - Assessment of chemotherapeutic response in children with proptosis due to optic nerve glioma. AB - INTRODUCTION: Some children with optic pathway gliomas present with proptosis related to intraorbital tumor extension. The radiological assessment of chemotherapeutic response in these patients can be complicated by irregular tumor shape and lack of relation between tumor volume and cosmetic effect. METHOD: We propose that proptosis measurements and derivation of a proptosis index can be a useful adjunct to the measurement of tumor volume in the radiological assessment of chemotherapeutic response. The proptosis index was derived as the ratio of the difference in proptosis between eyes postchemotherapy to that prechemotherapy. A series of six patients with proptosis and the diagnosis of an optic nerve tumor from an optic pathway glioma registry demonstrate by case example the correlation between the proptosis index and the clinical and radiographic response to chemotherapy. CONCLUSIONS: We have found that a proptosis index <1 correlates with a chemotherapeutic maintained response and an index >1 correlates with progressive disease. PMID- 18157538 TI - Surgical instruments utilized in foetal hydrocephalus to prevent the mother's death at the time of Serefeddin Sabuncuoglu (1385-1468 AD). PMID- 18157539 TI - Operative management of growing skull fractures: a technical note. AB - OBJECTS: Growing skull fractures can be a challenging surgical problem facing the pediatric neurosurgeon. The goal of this manuscript is to clarify effective surgical methods and to provide the rationale for these techniques. METHODS: We describe the surgical techniques for treatment of growing skull fractures. We clarify the underlying concepts, with respect to dural closure and repair of bony defects, that have led to these techniques. CONCLUSIONS: With effective surgical technique, the pediatric neurosurgeon can effectively treat growing skull fractures, with excellent outcomes in terms of bony coverage and cosmesis. PMID- 18157540 TI - Intramedullary spinal arteriovenous malformation in a boy of familial cerebral cavernous hemangioma. AB - OBJECT: The coexistence of spinal arteriovenous malformation (AVM) and a familial cerebral cavernous hemangioma (CCH) is extremely rare. METHODS: A 9-year-old boy suddenly developed severe paraplegia and urinary dysfunction. Spinal magnetic resonance imaging (MRI) scan revealed a cervical and upper thoracic intramedullary lesion. Due to acute neurological dysfunction, the patient underwent emergency surgical exploration. An intramedullary vascular lesion was found and excised. Pathologically, AVM was noted. After the surgery, the boy was ambulatory with left lower limb stiffness. MRI scan of the brain revealed multiple cerebral cavernous hemangioma. Symptomatic multiple CCH in his mother and grandmother were also noted. CONCLUSIONS: We concluded that the presence of spinal AVM should be suspected if the patient with familial CCH develops the signs of space-occupying lesion of the spinal cord, facilitating early diagnosis of the spinal AVM. PMID- 18157541 TI - Deformity correction for vitamin D-resistant hypophosphatemic rickets of adults. AB - We performed correction for bowing deformity of the lower extremities due to vitamin D-resistant hypophosphatemic rickets of three adults, six segments. The operative method was gradual correction and lengthening using distraction osteogenesis by Ilizarov external fixator or Heidelberg external fixator. The orders of the corrections were simultaneous correction of the bilateral femur for one patient, simultaneous correction of the ipsilateral leg for one patient, and diagonal correction of the bilateral leg for one patient. The mean correction angle was 30.5 degrees. The mean external fixation period was 146 days. Each orders of the corrections had its merits and demerits. All patients obtained a physiological alignment and good bone formation by taking Vitamin D and oral phosphate supplements even an adult patient. All the patients had articular pain, such as hip, knee, and ankle, however, these pains healed up. All the patients were satisfied with the outcomes at the time of the final follow-up interview in terms of their cosmetic improvement. Distraction osteogenesis for bowing deformity of the lower extremities due to vitamin D-resistant hypophosphatemic rickets was very effective method and could be applied to adult patients. However, the order of the corrections should be considered carefully depending on each patient. PMID- 18157542 TI - Lymphocyte subsets in peripheral blood of patients with moderate-to-severe versus mild plaque psoriasis. AB - In several studies peripheral blood T-cells have been quantified, yet few data are available on lymphocyte subsets in moderate-to-severe psoriasis (in terms of extent and activity of lesions) versus mild psoriasis. The objective is to compare lymphocyte subsets in peripheral blood of patients with moderate-to severe disease (PASI-score > or =12) to patients with mild disease (PASI-score <12) and to healthy subjects. By means of flow cytometry method, lymphocytes in peripheral blood of 27 patients with psoriasis and 10 healthy controls were characterized. The absolute number of total lymphocytes was markedly decreased in patients with moderate-to-severe psoriasis as compared to patients with mild disease and normal subjects. Cellcounts of all analysed subsets were found to be increased in more severe psoriasis, except for CD8+CD45RO+ cells. The under representation of CD8+CD45RO+ cells is compatible with the dynamics of acquired immunity, which requires a time log after the relapse of the lesions to differentiate from CD45RA+ naive cells. PMID- 18157543 TI - Cancer risk estimates from the combined Japanese A-bomb and Hodgkin cohorts for doses relevant to radiotherapy. AB - Most information on the dose-response of radiation-induced cancer is derived from data on the A-bomb survivors who were exposed to gamma-rays and neutrons. Since, for radiation protection purposes, the dose span of main interest is between 0 and 1 Gy, the analysis of the A-bomb survivors is usually focused on this range. However, estimates of cancer risk for doses above 1 Gy are becoming more important for radiotherapy patients and for long-term manned missions in space research. Therefore in this work, emphasis is placed on doses relevant for radiotherapy with respect to radiation-induced solid cancer. The analysis of the A-bomb survivor's data was extended by including two extra high-dose categories (4-6 Sv and 6-13 Sv) and by an attempted combination with cancer data on patients receiving radiotherapy for Hodgkin's disease. In addition, since there are some recent indications for a high neutron dose contribution, the data were fitted separately for three different values for the relative biological effectiveness (RBE) of the neutrons (10, 35 and 100) and a variable RBE as a function of dose. The data were fitted using a linear, a linear-exponential and a plateau-dose response relationship. Best agreement was found for the plateau model with a dose varying RBE. It can be concluded that for doses above 1 Gy there is a tendency for a nonlinear dose-response curve. In addition, there is evidence of a neutron RBE greater than 10 for the A-bomb survivor data. Many problems and uncertainties are involved in combing these two datasets. However, since very little is currently known about the shape of dose-response relationships for radiation induced cancer in the radiotherapy dose range, this approach could be regarded as a first attempt to acquire more information on this area. The work presented here also provides the first direct evidence that the bending over of the solid cancer excess risk dose response curve for the A-bomb survivors, generally observed above 2 Gy, is due to cell killing effects. PMID- 18157544 TI - Downregulation of PPARs and SREBP by acyl-CoA-binding protein overexpression in transgenic rats. AB - Acyl-CoA-binding protein (ACBP) acts as an acyl-CoA pool former, transporter, and regulator of gene transcription in vitro. We created a transgenic rat line overexpressing ACBP, as the physiological relevance of ACBP in lipid metabolism is unclear. Transgenic rats revealed increased levels of ACBP and significantly elevated acyl-CoA tissue levels while there was no effect on plasma triglyceride, cholesterol, or serum-free fatty acid levels. Metabolic regulators like peroxisome proliferator-activated receptors (PPARgamma, PPARdelta) and sterol regulatory element-binding protein-1 (SREBP-1) messenger RNA levels were significantly reduced (by 23-82%) in liver and adipose tissue of fed transgenic rats, whereas adenosine monophosphate-activated protein kinase (AMPK) protein levels were increased (by 60%). Fasting abolished PPAR downregulation in liver and caused an upregulation in adipose tissue. Administration of AMPK inhibitor reversed SREBP-1 but did not affect PPAR regulation. In conclusion, ACBP acts as an acyl-CoA pool former in transgenic rats and regulates lipid metabolism via SREBP-1 and PPAR regulation. Reduction of SREBP-1 is mediated via increased AMPK levels, whereas regulation of PPARs seems to be mediated by an AMPK-independent mechanism. ACBP itself is a target gene for both transcription factors demonstrating important feedback loops. PMID- 18157545 TI - High-speed AFM and nano-visualization of biomolecular processes. AB - Conventional atomic force microscopes (AFMs) take at least 30-60 s to capture an image, while dynamic biomolecular processes occur on a millisecond timescale or less. To narrow this large difference in timescale, various studies have been carried out in the past decade. These efforts have led to a maximum imaging rate of 30-60 ms/frame for a scan range of approximately 250 nm, with a weak tip sample interaction force being maintained. Recent imaging studies using high speed AFM with this capacity have shown that this new microscope can provide straightforward and prompt answers to how and what structural changes progress while individual biomolecules are at work. This article first compares high-speed AFM with its competitor (single-molecule fluorescence microscopy) on various aspects and then describes high-speed AFM instrumentation and imaging studies on biomolecular processes. The article concludes by discussing the future prospects of this cutting-edge microscopy. PMID- 18157546 TI - Swimming behaviour of Schistosoma mansoni cercariae: responses to irradiance changes and skin attractants. AB - The swimming behaviour of many cercarial species is governed by sensitive responses to light and dark stimuli. We studied the effect of irradiance changes on swimming behaviour of Schistosoma mansoni cercariae and found only insignificant responses. Decreasing light intensity results in a weak tendency of the cercariae to start swimming movements, and increasing light intensity tends to inhibit the start of swimming. These responses seem not suitable to increase the transmission success. Whether the cercariae show chemo-orientation towards human skin was studied by video-tracking their swimming movements around agar containing human-skin-surface extracts and when immersed into skin extracts. They showed no directed chemotactic orientation, as they did not correct their swimming paths in direction towards the skin-extract substrates, also not when shifting between forward and backward swimming. However, the cercariae shifted more between backward and forward swimming and therewith increased their rate of change of direction. This response may support an accumulation around the skin substrates and could guide the cercariae towards the host's skin surface when they are already in close proximity to it. PMID- 18157548 TI - Abstracts of the 59th Annual Congress of the German Society of Urology, 26-29 September 2007, Berlin, Germany. PMID- 18157547 TI - Chemical attractants of human skin for swimming Schistosoma mansoni cercariae. AB - Cercariae of Schistosoma mansoni approach towards their host's skin with a chemokinesis. They respond to human skin extracts by inserting shifts between backward and forward swimming and therewith increase the rate of change of direction (RCD). We identified the host attractants by fractionating human skin surface extracts, exposing the fractions and chemicals to the cercariae and recording cercarial swimming by video tracking. The cercariae responded specifically to three skin surface compounds by increasing the frequency of shifts in swimming direction. (1) Free fatty acids. The effectiveness was limited to chain lengths between 10 and 14 carbon atoms in saturated chains and increased by the number of double bonds. (2) Free L: -arginine at concentrations as low as 100 nM. (3) Small peptides with terminally located L: -arginine at concentrations as low as 50 microM. All chemokinesis stimuli are also involved in subsequent behavioural phases of host invasion: attachment and directed creeping on the skin surface, penetration and navigation within host tissues. The cercariae responded during swimming only to these small molecular water soluble cues and not to cues to which they respond in other behavioural phases of host invasion, but which are unsuitable as chemoattractants due to their chemical properties or distribution within the skin layers. This characterises the chemokinetic responses as adequate adaptation to advance transmission success. PMID- 18157551 TI - Fouling mediates grazing: intertwining of resistances to multiple enemies in the brown alga Fucus vesiculosus. AB - Macroalgae have to cope with multiple natural enemies, such as herbivores and epibionts. As these are harmful for the host, the host is expected to show resistance to them. Evolution of resistance is complicated by the interactions among the enemies and the genetic correlations among resistances to different enemies. Here, we explored genetic variation in resistance to epibiosis and herbivory in the brown alga Fucus vesiculosus, both under conditions where the enemies coexisted and where they were isolated. F. vesiculosus showed substantial genetic variation in the resistance to both epibiosis and grazing. Grazing pressure on the alga was generally lower in the presence than in the absence of epibiota. Furthermore, epibiosis modified the susceptibility of different algal genotypes to grazing. Resistances to epibiosis and grazing were independent when measured separately for both enemies but positively correlated when both these enemies coexisted. Thus, when the enemies coexisted, the fate of genotypes with respect to these enemies was intertwined. Genotypic correlation between phlorotannins, brown-algal phenolic secondary metabolites, and the amount of epibiota was negative, indicating that these compounds contribute to resistance to epibiosis. In addition, phlorotannins correlated also with the resistance to grazing, but this correlation disappeared when grazing occurred in the absence of epibiota. This indicates that the patterns of selection for the type of the resistance as well as for the resistance traits vary with the occurrence patterns of the enemies. PMID- 18157552 TI - Larval amphibian growth and development under varying density: are parasitized individuals poor competitors? AB - Population density and infection with parasites often are important factors affecting the growth and development of individuals. How these factors co-occur and interact in nature should have important consequences for individual fitness and higher-order phenomena, such as population dynamics of hosts and their interactions with other species. However, few studies have examined the joint effects of density and parasitism on host growth and development. We examined the co-influences of rearing density and parasitism, by the trematode Echinostoma trivolvis, on the growth and development of larval frogs, Rana (=Lithobates) pipiens. We also examined the potential role of parasite-mediated intraspecific competition by observing how unparasitized individuals performed when housed with other unparasitized tadpoles, versus housing with a combination of unparasitized and parasitized hosts. Mean mass and mean developmental stage were reduced under high rearing densities. The presence of parasitized conspecifics had no significant effect, but there was a significant interaction of density and parasitism presence on host mass, due to the fact that parasitized conspecifics grew poorly at high densities. Unparasitized individuals reared with parasitized and unparasitized conspecifics fared no better than unparasitized individuals reared only with one another. This result indicates that infected hosts compete as much as uninfected hosts for resources, even though infected individuals have reduced mass under high-density conditions. Resource acquisition and resource allocation are different processes, and parasitism, if it only affects the latter, might not have a discernible impact on competitive interactions. PMID- 18157553 TI - Patch edges and insect populations. AB - Responses of insect populations may be related to patch size and patch edge responses, but it is not clear how to identify these rapidly. We used a random walk model to identify three qualitative responses to edges: no edge effect (the null model), reflecting edges and absorbing edges. Interestingly, no edge effect meant that abundance was lower at edges than in the center of patches, and reflecting edges have similar abundance at edges and centers. We then characterized several insect species' response within maize plots to patch edges and patch size, using a simple, quick, qualitative experiment. Coleomegilla maculata and Trichogramma spp. were the only organisms that responded to patch size and edges as patch theory and the null edge model would predict. Ostrinia nubilalis larvae and possibly Rhopalosiphum maidis and eggs of Chrysopa spp. responded to patch size and edges as predicted by an attracting edge model. Estimation of predation rates suggested that the spatial distribution of these species might be determined by predators. Edge effects or the lack thereof relative to patch size may be rapidly determined for arthropod species, which could lead to understanding the mechanism(s) underlying these effects. This information may be useful in reaction diffusion models through a scaling-up approach to predict population structure of species among patches in a landscape. PMID- 18157554 TI - Online automatic tuning and control for fed-batch cultivation. AB - Performance of controllers applied in biotechnological production is often below expectation. Online automatic tuning has the capability to improve control performance by adjusting control parameters. This work presents automatic tuning approaches for model reference specific growth rate control during fed-batch cultivation. The approaches are direct methods that use the error between observed specific growth rate and its set point; systematic perturbations of the cultivation are not necessary. Two automatic tuning methods proved to be efficient, in which the adaptation rate is based on a combination of the error, squared error and integral error. These methods are relatively simple and robust against disturbances, parameter uncertainties, and initialization errors. Application of the specific growth rate controller yields a stable system. The controller and automatic tuning methods are qualified by simulations and laboratory experiments with Bordetella pertussis. PMID- 18157555 TI - The co-occurrence of ectomycorrhizal, arbuscular mycorrhizal, and dark septate fungi in seedlings of four members of the Pinaceae. AB - Although roots of species in the Pinaceae are usually colonized by ectomycorrhizal (EM) fungi, there are increasing reports of the presence of arbuscular mycorrhizal (AM) and dark septate endophytic (DSE) fungi in these species. The objective of this study was to determine the colonization patterns in seedlings of three Pinus (pine) species (Pinus banksiana, Pinus strobus, Pinus contorta) and Picea glauca x Picea engelmannii (hybrid spruce) grown in soil collected from a disturbed forest site. Seedlings of all three pine species and hybrid spruce became colonized by EM, AM, and DSE fungi. The dominant EM morphotype belonged to the E-strain category; limited colonization by a Tuber sp. was found on roots of Pinus strobus and an unknown morphotype (cf. Suillus Rhizopogon group) with thick, cottony white mycelium was present on short roots of all species. The three fungal categories tended to occupy different niches in a single root system. No correlation was found between the percent root colonized by EM and percent colonization by either AM or DSE, although there was a positive correlation between percent root length colonized by AM and DSE. Hyphae and vesicles were the only AM intracellular structures found in roots of all species; arbuscules were not observed in any roots. PMID- 18157556 TI - The effect of nitric oxide on metal release from metallothionein-3: gradual unfolding of the protein. AB - Metallothionein-3 (MT-3), or neuronal growth inhibitory factor, which exhibits growth inhibitory activity, is a brain-specific metallothionein. In this study, the effect of nitric oxide (NO) on metal release (using Cd2+ as a probe) from MT 3 was examined by 113Cd and 2D [1H-15N] heteronuclear single-quantum coherence NMR spectroscopy. The exposure of human MT-3 to NO leads to a nonselective release of the three metals from the beta-domain. In contrast to metallothionein 1 and metallothionein-2, two of the bound metals in the alpha-domain were also partially released, with the domain structure remaining almost unchanged. Further addition of NO resulted in the complete release of metals and concomitant unfolding of the protein. The preference of release of the two metals in the alpha-domain was attributed to the presence of two slightly different coordination environments for the four cadmium/zinc atoms. PMID- 18157557 TI - Matricellular molecules and odontoblast progenitors as tools for dentin repair and regeneration. AB - This review summarizes the in vivo experiments carried out by our group after implantation of bioactive molecules (matricellular molecules) into the exposed pulp of the first maxillary molar of the rat or the mandibular incisor of rats and mice. We describe the cascade of recruitment, proliferation and terminal differentiation of cells involved in the formation of reparative dentin. Cloned immortalized odontoblast progenitors were also implanted in the incisors and in vitro studies aimed at revealing the signaling pathways leading from undifferentiated progenitors to fully differentiated polarized cells. Together, these experimental approaches pave the way for controlled dentin regenerative processes and repair. PMID- 18157558 TI - Effects of Isomalt on enamel de- and remineralization, a combined in vitro pH cycling model and in situ study. AB - Isomalt is a non-cariogenic sweetener, which is widely used in sugar-free candy and chewing gum. Little is known about the effects of Isomalt on de- and remineralization. Binding between calcium and Isomalt has been reported, which could affect the mineral balance. The objective of this study was to examine the effects of Isomalt on de- and remineralization of bovine enamel lesions, both in vitro and in situ. In in vitro study, subsurface enamel lesions were subjected to 3-weeks pH-cycling. Treatments were 5-min rinses with 10% Isomalt solutions daily and 10% Isomalt additions to re- or demineralizing solutions. Standard pH-cycling conditions were used with a 0.2 ppm fluoride background during the remineralization phase. In in situ study, subsurface lesions were exposed 2 months in vivo and brushed three times daily with 10% Isomalt containing toothpaste. Treatment effects were assessed by chemical analysis of the solutions (in vitro) and transversal microradiography (in vitro and in situ). In in vitro study, while 5-min rinses with 10% Isomalt gave slightly increased remineralization, continuous presence of 10% Isomalt (in re- or demineralizing solutions) inhibited both de- and/or remineralization. This lead to significantly smaller overall mineral loss when Isomalt was added during demineralization. In in situ study, remineralization enhancement during short Isomalt treatments was confirmed. Isomalt had a positive effect on the de/remineralization balance when given under conditions relevant to practical use. PMID- 18157559 TI - The burden of rheumatoid arthritis and access to treatment: outcome and cost utility of treatments. AB - Within the series of articles investigating the burden of rheumatoid arthritis (RA), this paper reviews the methods used for economic assessment of the RA treatments by HTA agencies and other bodies involved in cost-effectiveness analysis and the current status of the field. The overall methods, as well as the challenges, of cost-effectiveness analysis in RA are common to all chronic progressive diseases where much of the treatment benefit is delayed, while costs occur immediately. Also, as in all disabling diseases, much of the costs occur outside the health-care system, due to the rapid loss of work capacity and the need for informal care in the later stages of the disease. Thus, it is essential to adopt a long-term view and consider costs from the perspective of society, rather than the health-care service, to increase the relevance of the results for policy making. PMID- 18157560 TI - The burden of rheumatoid arthritis and access to treatment: determinants of access. AB - As part of the study "The Burden of Rheumatoid Arthritis (RA) and Patient Access to Treatment", this paper reviews the impact on access to RA drugs of the approval processes, pricing and funding decisions and times to market (access) in different countries. In addition, an overview of health technology assessments (HTA) and the economic literature related to RA treatments is provided. The time from approval to market access ranged from immediate to over 500 days in the countries included in the study. A total of 55 HTA reports were identified, 40 of them in the period between 2002 and 2006; 29 were performed by European HTA agencies, 14 in Canada and 7 in the United States. A total of 239 economic evaluations related to RA were identified in a specialized health economic database (HEED). PMID- 18157564 TI - Photodynamic antimicrobial chemotherapy (PACT) with methylene blue increases membrane permeability in Candida albicans. AB - Photodynamic antimicrobial chemotherapy (PACT) is a potential antimicrobial therapy that combines light and a photosensitizing drug, promoting a phototoxic effect on the treated cells, in general via oxidative damage. In this work we studied the effect of PACT, using methylene blue (MB), on the permeability of Candida albicans membrane. Our results demonstrated that the combination of MB and laser (684 nm) promoted a decrease in Candida growth. The inhibition was more pronounced in the presence of 0.05 mg/ml MB and with an energy density of 28 J/cm(2). The decrease in Candida growth was associated with an increase in membrane permeabilization. Thus, we suggest that a PACT mechanism using MB can be related to damage in the plasma membranes of the cells. PMID- 18157565 TI - Coronary fistula as an unusual cause of angina in a middle-aged man. AB - Coronary artery fistulas are rare congenital anomalies, most often discovered as an isolated murmur during examination, typically discovered during childhood. We report the case of a middle-aged black man presented with angina pectoris and found to have a large coronary fistula between the left main stem and the right ventricle. The fistula was occluded using transcatheter coils. PMID- 18157566 TI - Endoscopic transaxillary capsular contracture treatment. AB - BACKGROUND: Traditionally, breast implant extraction and capsular contracture treatment are performed using the transareolar approach. However, this approach is not acceptable to Chinese patients because of the additional scar formation. The authors present their experience using capsular contracture treatment using transaxillary endoscopic assistance without the need for an additional incision. METHODS: The former transaxillary incisional scar for augmentation mammoplasty is used. Blunt dissection to the outer surface of the fibrous capsule is performed. A 30 degrees 10-mm endoscope is placed through the axillary incision for dissection of the capsule's outer surface. After completion of this procedure, the capsule is cauterized open, and extraction is completed. Transaxillary capsulectomy is performed under endoscopic control. The reimplantation is performed with the no-touch technique after an adequate pocket has been created. RESULTS: From October 2005 to September 2006, 11 patients were treated with the described procedure. The results were favorable during a follow-up period of 4 to 6 months. No scar was left on the breast, and no additional scarring occurred. CONCLUSIONS: Endoscopic transaxillary capsular contracture treatment through the axillary incision was possible, with successful removal of the fibrous capsule. The technique eliminated the incision on the breast and created one incision far from the breast area for completion of the procedure. PMID- 18157567 TI - Video-assisted thoracic surgery (VATS) lobectomy: 13 years' experience. AB - BACKGROUND: Major lung resection by video-assisted thoracic surgery (VATS) has been proven to be both safe and technically feasible, but is not routinely performed in most hospitals. The aim of this paper is to show our technique for VATS lobectomy and our experience and outcomes obtained. METHODS: We have performed a retrospective review included all patients undergoing major pulmonary resection by VATS at the General and Thoracic Surgery Unit, Virgen Macarena University Hospital, Seville (Spain) since 1992. The clinical records of all patients were drawn from the hospital archive and data for the following variables were recorded for analysis: age, sex, clinical diagnosis, clinical status, date of surgery, type of surgery, inoperability, conversion to conventional surgery and reasons, duration of surgery and intraoperative complications, postoperative and long-term complications, postoperative stay, diagnosis, definitive status, and mortality. We also describe our surgical technique for each lobectomy. RESULTS: A total of 237 major pulmonary resections were performed, on 203 males and 34 males, with a mean age of 61.43 years (non small-cell bronchogenic carcinoma: 204, benign processes: 24, carcinoid tumors: 4, and lobectomy due to metastases: 5). The overall conversion rate was 14.01%. Mean duration of lobectomy was 153 min, with a median of 98 min, and mean postoperative stay was 4.2 days. The morbidity rate was 15.18%, mostly involving minor complications. Perioperative mortality was 3.7%. The actuarial 5-year survival rate was 77.7%. CONCLUSIONS: VATS lobectomy is a viable safe procedure that meets oncological criteria for lung cancer surgery. In our experience, VATS is currently to be considered ideally indicated for certain benign processes and for T1-T2 N0 M0 bronchogenic carcinomas. PMID- 18157568 TI - Laparoscopic repair of incisional hernia: Outcomes of 100 consecutive cases comprising 25 wall defects larger than 15 cm. AB - BACKGROUND: Minimal access surgery for incisional hernia repair is still debated, especially for large and giant wall defects. This study was undertaken to analyze the results of the use of the laparoscopic technique in incisional hernias smaller and larger than 15 cm of diameter. METHOD: From 2002 to 2007 a total of 100 patients with incisional hernia were operated on by laparoscopy and were included in this study. As much as 38 patients were obese, with a body mass index (BMI) > 30 kg/m(2). The mean follow-up span was 24 months (range = 2-58). The fascial defect was recurrent in 19 patients, in 13 after previous repair with mesh and in 6 after repair without mesh. The wall defect was larger than 15 cm in 25 patients and in 6 of them it was 20 cm or larger as measured from within the peritoneal cavity. RESULTS: The mean operating time was 152 +/- 25 min (range = 45-275), and for defects larger than 15 cm it was 205 +/- 101 min (range = 85 540). Two patients with massive adhesions needed conversion to open surgery, one after an intraoperative injury of an intestinal loop. Postoperative complications occurred in 23 patients; local complications were 10. Pulmonary embolism caused death in one obese patient. Morbidity and hospital stay were similar in obese and nonobese patients and the differences were not statistically relevant (p > 0.05). The outcomes in patients with wall defects larger than 15 cm showed no significant difference with outcomes of the remaining patients with smaller defects (p > 0.05). Recurrence occurred in three cases, and in one case local infection led to removal of the mesh. CONCLUSIONS: Minimal access procedures can provide good results in the repair of incisional hernia, even when the diameter is larger than 15 cm. Obesity is not a contraindication to laparoscopic repair. Further studies are expected to confirm these promising results. PMID- 18157570 TI - Body mass index and diverticular disease: a 28-year follow-up study in men. AB - PURPOSE: Diverticular disease increased steadily concomitant with elevated rates of overweight and obesity during the 20th century. Therefore, the objective of this study was to investigate whether overweight and obesity in midlife predict future diverticular disease in men. METHODS: This was a prospective cohort study of a general population of men living in Goteborg, Sweden. A community-based sample of 7,494 men, investigated when aged 47 to 55 years, were followed from baseline in 1970 to 1973 for a maximum of 28 years. Hospitalization with a discharge diagnosis of diverticular disease according to the Swedish hospital discharge register was measured. RESULTS: Totally, 112 men (1.5 percent) were hospitalized with diverticular disease. A relationship between body mass index and diverticular disease was demonstrated; men with a body mass index between 20 and 22.5 kg/m2 had the lowest risk. After adjustment for covariates, the risk increased linearly in men who had a body mass index of 22.5 to 25 (multiple adjusted hazard ratio, 2.3; 95 percent confidence interval, 0.9-6; 25-27.5 (hazard ratio, 3 (1.2-7.6)), 27.5-30 (hazard ratio 3.2, (1.2-8.6)), and 30 or greater (hazard ratio 4.4, (1.6-12.3)) kg/m2 (P for linear trend = 0.004). Men with a body mass index of < or =20 kg/m2 had a nonsignificantly elevated risk (hazard ratio, 3 (0.7-12.5)). Smoking (hazard ratio, 1.6 (1.1-2.3) and diastolic blood pressure (hazard ratio, 1.02 (1.01-1.04) per mmHg) also were independently related to risk of diverticular disease. CONCLUSIONS: In a large community-based sample of middle-aged men, overweight and obesity were strongly linked to future severe diverticular disease leading to hospitalization. PMID- 18157571 TI - Laparoscopic resection for colon cancer: would all patients benefit? AB - PURPOSE: This study was designed to assess whether the exclusion criteria used in the Clinical Outcomes of Surgical Therapy and Colon Cancer Laparoscopic or Open Resection trials affected the generalizability of their findings. METHODS: A prospective database of consecutive laparoscopic resections performed for colon cancer was reviewed. Patients were categorized into two groups: inclusion group and exclusion group, based on the selection criteria used in the Clinical Outcomes of Surgical Therapy and Colon Cancer Laparoscopic or Open Resection trials. Baseline and perioperative data were analyzed by using t-tests, Wilcoxon's rank-sum, chi-squared, and Fisher's exact test. Kaplan-Meier survival curves, followed by adjustment for tumor nodes metastasis stage and age utilizing a Cox proportional hazard model, were performed. RESULTS: The inclusion group had 221 patients and the exclusion group had 166 (median age and gender distribution were similar). The exclusion group had a higher conversion rate (23 vs. 11.3 percent; P=0.0023). There was no difference in intraoperative complications (9 percent for exclusion group vs. 8.6 percent for inclusion group; P=0.8), operative time (180 minutes for exclusion group vs.172 minutes for inclusion group; P=0.24), or postoperative complication rates (33.7 percent for exclusion group vs. 26 percent for inclusion group; P=0.13). No difference was detected in perioperative mortality rates, length of stay, days to diet as tolerated, and adjusted two-year survival. CONCLUSIONS: No differences were found in outcomes between the two groups in terms of operative/postoperative complications, length of stay, perioperative mortality, and two-year survival. It seems that all patients with colon cancer can potentially benefit from a laparoscopic approach. PMID- 18157569 TI - Sox2 and JAGGED1 expression in normal and drug-damaged adult mouse inner ear. AB - Inner ear hair cells detect environmental signals associated with hearing, balance, and body orientation. In humans and other mammals, significant hair cell loss leads to irreversible hearing and balance deficits, whereas hair cell loss in nonmammalian vertebrates is repaired by the spontaneous generation of replacement hair cells. Research in mammalian hair cell regeneration is hampered by the lack of in vivo damage models for the adult mouse inner ear and the paucity of cell-type-specific markers for non-sensory cells within the sensory receptor epithelia. The present study delineates a protocol to drug damage the adult mouse auditory epithelium (organ of Corti) in situ and uses this protocol to investigate Sox2 and Jagged1 expression in damaged inner ear sensory epithelia. In other tissues, the transcription factor Sox2 and a ligand member of the Notch signaling pathway, Jagged1, are involved in regenerative processes. Both are involved in early inner ear development and are expressed in developing support cells, but little is known about their expressions in the adult. We describe a nonsurgical technique for inducing hair cell damage in adult mouse organ of Corti by a single high-dose injection of the aminoglycoside kanamycin followed by a single injection of the loop diuretic furosemide. This drug combination causes the rapid death of outer hair cells throughout the cochlea. Using immunocytochemical techniques, Sox2 is shown to be expressed specifically in support cells in normal adult mouse inner ear and is not affected by drug damage. Sox2 is absent from auditory hair cells, but is expressed in a subset of vestibular hair cells. Double-labeling experiments with Sox2 and calbindin suggest Sox2-positive hair cells are Type II. Jagged1 is also expressed in support cells in the adult ear and is not affected by drug damage. Sox2 and Jagged1 may be involved in the maintenance of support cells in adult mouse inner ear. PMID- 18157572 TI - Familial adenomatous polyposis in children younger than age ten years: a multidisciplinary clinic experience. AB - PURPOSE: Children with familial adenomatous polyposis have a greater mortality and morbidity in the first decade of life compared with the general population. Some children with a more severe disease phenotype present early with colorectal adenomata and may require colectomy at an early age. We present our multidisciplinary clinic experience with familial adenomatous polyposis in children younger than age ten years at the time of presentation. METHODS: A cross sectional analysis was performed on all patients with suspected or confirmed familial adenomatous polyposis presenting in the first decade of life and followed by the multidisciplinary Pediatric Hereditary Polyposis Clinic at our institutions. Analysis included demographics, clinical presentation and course, gene mutation testing, endoscopic-histologic findings, and surgical outcome. RESULTS: Twenty-two children (11 males) presented with suspected or confirmed familial adenomatous polyposis. Two were discharged from follow-up after negative adenomatous polyposis coli gene mutation testing. The rest underwent annual hepatoblastoma surveillance through age ten years with negative findings. Twelve patients presented with symptoms: six had de novo familial adenomatous polyposis. Seven had gastrointestinal hemorrhage and went on to colonoscopy. Four patients with adenomatous polyposis coli gene mutation at codon 1309 were referred for colectomy before age ten years. Referral to colectomy was earlier in patients with 1309 mutation and with de novo familial adenomatous polyposis. CONCLUSIONS: Children with familial adenomatous polyposis younger than age ten years may present presymptomatically for disease surveillance. Familial adenomatous polyposis with adenomatous polyposis coli gene mutation at codon 1309 entails a risk of a more aggressive phenotype; early colectomy may be indicated in children harboring this gene mutation. PMID- 18157573 TI - Variation of phlorotannins among three populations of Fucus vesiculosus as revealed by HPLC and colorimetric quantification. AB - In ecological studies, phlorotannins have conventionally been quantified as a group with similar functionality. Since this group consists of oligo- and polymers, the quantification of their pooled contents alone may not sufficiently describe the variation of these metabolites. Genetic variation, plastic responses to environment, and the ecological functions of separate phlorotannin oligo- and polymers may differ. Two analyses, i.e., the colorimetric Folin-Ciocalteu assay and a normal-phase high-performance liquid chromatographic (HPLC) method were used to study genetic and environmental variation in phlorotannins of the brown alga Fucus vesiculosus (L.). The colorimetric method provides the total phlorotannin content, the latter a profile of 14 separate traces from the phenolic extract that represent an individual or groups of phlorotannins. We reared the algae that originated from three separate populations in a common garden for 3 months under ambient and enriched-nutrient availability and found that they differed in both their total phlorotannin content and in phlorotannin profiles. Some individual traces of the profiles separated the populations more clearly than the colorimetric assay. Although nutrient enrichment decreased total phlorotannin content, it did not show a significant influence on the phlorotannin profile. This implies that plastic responses of compounds other than phlorotannins may interfere with the determination of total phlorotannins. However, the phlorotannin profile and the total content showed genetic variation among local populations of F. vesiculosus; therefore, phlorotannins may respond to natural selection and evolve both quantitatively and qualitatively. PMID- 18157574 TI - Raloxifene can reduce giant cell tumor recurrence: a new adjuvant therapy. PMID- 18157575 TI - ACE inhibitors: a novel treatment for neurofibroma. PMID- 18157576 TI - Phase I trial of pegylated liposomal doxorubicin with hyperthermic intraperitoneal chemotherapy in patients undergoing cytoreduction for advanced intra-abdominal malignancy. AB - BACKGROUND: Cytoreduction coupled with hyperthermic intraperitoneal chemotherapy (HIPEC) is an attractive treatment option for a select group of patients with abdominal-only malignancy. The present phase I study examined the safety and pharmacokinetics of intraperitoneal pegylated liposomal doxorubicin (PLD) used in the context of HIPEC in patients with advanced abdominal-only malignancies. METHODS: Patients with advanced abdominal malignancies underwent maximal cytoreduction and HIPEC with escalating doses of PLD (15-100 mg/m(2)). Perfusate, serum, and tissue doxorubicin levels were measured in five patients undergoing HIPEC at the maximum tolerated dose. RESULTS: Twenty-one patients were enrolled in this trial. The maximum dose evaluated in this trial was 100 mg/m(2) and was well tolerated. The most common grade 3/4 complications were superficial wound infection and prolonged ileus. One patient developed an anastomotic leak in the postoperative period, requiring re-exploration. The median postoperative length of stay was 7 days (range, 4-29 days), three patients required readmissions within 30 days, and there were no operative mortalities The median follow-up time for was 13.7 months (range, 3-38 months). The median overall survival was 30.6 months with a median disease-free survival of 25 months. CONCLUSIONS: We report that HIPEC with PLD following maximal cytoreduction in patients with advanced abdominal-only gastrointestinal or gynecologic malignancies is well tolerated. Encouraging survival after cytoreduction and HIPEC with PLD suggest that a phase II trial to verify activity is indicated. PMID- 18157577 TI - Morphological distribution of metastatic foci in sentinel lymph nodes with gastric cancer. AB - BACKGROUND: The TNM classification defines micrometastasis (MM) and isolated tumor cells (ITC) in lymph nodes (LN). Sentinel node (SN) navigation surgery has been introduced in gastrointestinal cancer. Few reports have examined the morphological distribution of MM and ITC of SN in gastric cancer. The purpose of this study was to clarify the clinical significance of the morphological distribution of cancer cells in SNs according to metastasis (MA), MM, and ITC. METHODS: All dissected LNs obtained from 160 consecutive patients with mapped SNs arising from cT1-2 N0 tumors were examined. Metastasis in these LNs was examined by histology and cytokeratin staining. The distribution of MA, MM, and ITC was classified as marginal sinus (MS), intermediate sinus (IS), parenchymal (PA), and diffuse types (DF). RESULTS: Nodal metastases were detected in 65 SNs from 30 patients and MA, MM, and ITC accounted for 53.9%, 21.5%, and 24.6%, respectively. MS, IS, PA, and DF accounted for 57%, 6%, 17%, and 20.0%, respectively. Patients with metastasis of non-MS had more nodal metastasis in non-SNs (P = .025) and had nodal metastasis in second tier (P = .009), compared with the patients with metastasis of MS. The incidence of metastasis in non-MS was higher in tumors larger than 40 mm than those smaller than 40 mm (P = .011). CONCLUSION: When performing SN navigation surgery in gastric cancer, we should keep in mind that the patients with tumor larger than 40 mm in size and nodal metastasis of non-MS may have non-SN metastasis and nodal metastasis in second tier. PMID- 18157578 TI - Isolated chemotherapeutic perfusion of pelvis as neoadjuvant or palliative therapy for advanced cancer of the rectum. AB - INTRODUCTION: Previously irradiated recurrent rectal cancer is a formidable patient threat with limited treatment options. Isolated pelvic perfusion (IPP) by the balloon-occlusion technique provides high-dose regional chemotherapy that may facilitate resection if appropriate or palliate pain and fungating tumor mass in the symptomatic patient. We currently report our results in 49 recurrent rectal cancer patients (26 had neoadjuvant IPP with intent to resect and 23 had IPP for palliation). METHODS: IPP was done for 1 hour with paclitaxel 30 mg/m(2), 5 fluorouracil 1500 mg/m(2), cisplatin/oxaliplatin 60-130 mg/m(2), and mitomycin C 10 to 15 mg/m(2) (the latter three achieving pelvic-to-systemic drug ratios of 6 9:1). RESULTS: Neoadjuvant perfusion in 26 patients achieved a response in 14 patients (made resectable). Seven had R0 resections (clear margins), six by abdominal sacral resection (ABSR), and one by an extended APR. Of seven other patients, one had a complete pathologic response negating planned resection, one had >50% tumor regression in pelvis (but developed distant metastases), and three refused ABSR. Planned ABSR in two patients was aborted because of complicating cardiovascular issues. A variety of medical and cancer issues precluded resection in the remaining 12 of these 26 neoadjuvant patients. Within the neoadjuvant group, median survival was 24 months in the responding (made resectable) group (14 patients) and it was 8 months in the non-resectable group (12 patients), p = 0.0001. In the responding (made resectable) group, seven patients had R0 resections (median survival 26 months) and seven patients were not resected (median survival 18 months), p = 0.0198. In the IPP group for palliation, 17 of 23 patients (74%) had significant relief of pain, and other tumor-related symptoms (mean survival 11 months). CONCLUSION: Isolated pelvic perfusion using a simplified balloon-occlusion technique has promise in palliation of or augmenting resectability of advanced rectal malignancy in patients not amenable to treatment with conventional modalities. PMID- 18157579 TI - Non-invasive PET imaging of EGFR degradation induced by a heat shock protein 90 inhibitor. AB - PURPOSE: The aim of this study is to non-invasively monitor the epidermal growth factor receptor (EGFR) response to a Hsp90 inhibitor-17-AAG treatment in a PC-3 prostate cancer model. PROCEDURES: Nude mice bearing PC-3 tumor were injected intraperitoneally with 17-AAG and then imaged with micro positron emission tomography (microPET) using (64)Cu-DOTA-cetuximab. Biodistribution studies, immunofluorescence staining, and Western blot were performed to validate the microPET results. RESULTS: PC-3 cells are sensitive to 17-AAG treatment in a dose dependent manner. Quantitative microPET showed that (64)Cu-DOTA-cetuximab has prominent tumor activity accumulation in untreated tumors (14.6 +/- 2.6%ID/g) but significantly lower uptake in 17-AAG-treated tumors (8.9 +/- 1.6% ID/g) at 24 h post-injection. Both immunofluorescence staining and Western blot confirmed the significantly lower EGFR expression level in the tumor tissue upon 17-AAG treatment. CONCLUSIONS: The early response to anti-Hsp90 therapy was successfully monitored by quantitative PET using (64)Cu-DOTA-cetuximab, which indicates that this approach may be valuable in monitoring the therapeutic response to Hsp90 inhibitor 17-AAG in EGFR-positive cancer patients. PMID- 18157580 TI - Semiautomated radiosynthesis and biological evaluation of [18F]FEAU: a novel PET imaging agent for HSV1-tk/sr39tk reporter gene expression. AB - 2'-deoxy-2'-[(18)F]fluoro-5-ethyl-1-beta-D-arabinofuranosyluracil ([(18)F]FEAU) is a promising radiolabeled nucleoside designed to monitor Herpes Simplex Virus Type 1 thymidine kinase (HSV1-tk) reporter gene expression with positron emission tomography (PET). However, the challenging radiosynthesis creates problems for being able to provide [(18)F]FEAU routinely. We have developed a routine method using a commercial GE TRACERlab FX-FN radiosynthesis module with customized equipment to provide [(18)F]FEAU. All radiochemical yields are decay corrected to end-of-bombardment and reported as means +/- SD. Radiofluorination (33 +/- 8%; n = 4), bromination (85 +/- 8%; n = 4), coupling reaction (83 +/- 6%; n = 4), base hydrolysis steps, and subsequent high-performance liquid chromatography purification afforded purified [(18)F]FEAU beta-anomer in 5 +/- 1% overall yield (n = 3 runs) after approximately 5.5 h and a beta/alpha-anomer ratio of 7.4. Radiochemical/chemical purities and specific activity exceeded 99% and 1.3 Ci/micromol (48 GBq/micromol), respectively. In cell culture, [(18)F]FEAU showed significantly (P < 0.05) higher accumulation in C6 cells expressing HSV1 tk/sr39tk as compared to wild-type C6 cells. Furthermore, [(18)F]FEAU showed slightly higher accumulation than 9-[4-[(18)F]fluoro-3 (hydroxymethyl)butylguanine ([(18)F]FHBG) in cells expressing HSV1-tk (P < 0.05), whereas [(18)F]FHBG showed significantly higher (P < 0.05) accumulation than [(18)F]FEAU in HSV1-sr39tk-expressing cells. micro-PET imaging of mice carrying tumor xenografts of C6 cells stably expressing HSV1-tk or HSV1-sr39tk are consistent with the cell uptake results. The [(18)F]FEAU mouse images also showed very low gastrointestinal signal with predominant renal clearance as compared to [(18)F]FHBG. The routine radiosynthesis of [(18)F]FEAU was successfully semiautomated using a commercial module along with customized equipment to provide the beta-anomer in modest yields. Although further studies are needed, early results also suggest [(18)F]FEAU is a promising PET radiotracer for monitoring HSV1-tk reporter gene expression. PMID- 18157581 TI - Community-based preferences for stool cards versus colonoscopy in colorectal cancer screening. AB - BACKGROUND: In the United States, compliance with colorectal cancer (CRC) screening recommendations remains suboptimal. Professional organizations advocate use of shared decision making in screening test discussions, but strategies to facilitate informed choice in CRC screening have not been well elucidated. OBJECTIVE: The objectives of the study were to determine screening test preference among colonoscopy-naive adults after considering a detailed, written presentation of fecal occult blood testing (FOBT) and colonoscopy and to assess whether their preferences are associated with demographic characteristics, attitudes, and knowledge. DESIGN: The design of the study was a cross-sectional survey. PARTICIPANTS: Colonoscopy-naive supermarket shoppers age 40-79 in low- and middle-income, multiethnic neighborhoods in Denver, CO, reviewed a detailed, side-by-side description of FOBT and colonoscopy and answered questions about test preference, strength of preference, influence of physician recommendation, basic knowledge of CRC, and demographic characteristics. MEASUREMENTS AND MAIN RESULTS: Descriptive statistics characterized the sample, and bivariate and multivariable logistic regression analyses identified correlates of screening test preference. In a diverse sample of 323 colonoscopy-naive adults, 53% preferred FOBT, and 47% preferred colonoscopy for CRC screening. Individuals of Latino ethnicity and those with lower educational attainment were more likely to prefer FOBT than non-Latino whites and those with at least some college. Almost half of the respondents felt "very strongly" about their preferences, and one third said they would adhere to their choice regardless of physician recommendation. CONCLUSION: After considering a detailed, side-by-side comparison of the FOBT and colonoscopy, a large proportion of community-dwelling, colonoscopy-naive adults prefer FOBT over colonoscopy for CRC screening. In light of professional guidelines and time-limited primary care visits, it is important to develop improved ways of facilitating informed patient decision making for CRC screening. PMID- 18157582 TI - Strength of the evidence: adjuvant therapy for resected pancreatic cancer. AB - Pancreatic cancer remains one of the greatest challenges within oncology. Among resected patients, 5-year survival is typically only 10-25%. Among eight major randomized trials for resected pancreas cancer, five (GITSG, EORTC, ESPAC-1, RTOG 9704, and CONKO-1), containing a total of over 1,200 patients, have shaped world opinion on this subject. These trials have many significant methodological differences. Major conclusions that can be drawn from these trials in composite are (1) adjuvant chemotherapy is superior to observation following pancreaticoduodenectomy for pancreatic cancer, (2) gemcitabine is superior to 5 FU as adjuvant chemotherapy, and (3) the benefit of adjuvant chemoradiation is uncertain. Additional randomized trials are needed to address significant areas of controversy within available data. PMID- 18157583 TI - Frequency with which surgeons undertake pancreaticoduodenectomy continues to determine length of stay, hospital charges, and in-hospital mortality. AB - INTRODUCTION: This study was undertaken to determine changes in the frequency of, volume of, and outcomes after pancreaticoduodenectomy 6 years after a study denoted that, in Florida, the frequency and volume of pancreaticoduodenectomy impacted outcome. METHODS: Using the State of Florida Agency for Health Care Administration database, the frequency and volume of pancreaticoduodenectomy was correlated with average length of hospital stay (ALOS), in-hospital mortality, and hospital charges for identical periods in 1995-1997 and 2003-2005. RESULTS: Compared to 1995-1997, 88% more pancreaticoduodenectomy was performed in 2003 2005 by 6% fewer surgeons; the majority of pancreaticoduodenectomies were conducted by surgeons doing <1 pancreaticoduodenectomy every 2 months. In hospital mortality rate did not decrease from 1995-1997 to 2003-2005 (5.1 to 5.9%); in-hospital mortality rate increased for surgeons undertaking <1 pancreaticoduodenectomy every 2 months (5.5 to 12.3%, p<0.01). For 2003-2005, frequency with which pancreaticoduodenectomy is conducted inversely correlates with ALOS (p=0.001), hospital charges (p=0.001), and in-hospital mortality (p=0.001). CONCLUSIONS: In Florida, more pancreaticoduodenectomies are carried out by fewer surgeons. Mortality has not decreased because of surgeons infrequently performing pancreaticoduodenectomy. Most pancreaticoduodenectomies are still undertaken by surgeons who conduct pancreaticoduodenectomy infrequently with greater lengths of stay, hospital costs, and in-hospital mortality rates. To an even greater extent than previously documented, patients are best served by surgeons frequently performing pancreaticoduodenectomy. PMID- 18157584 TI - Differential proteomic analysis of HeLa cells treated with Honokiol using a quantitative proteomic strategy. AB - Honokiol (HNK) is an active component purified from Magnolia officinalis. HNK exhibits antitumor effects by inducing apoptosis and inhibiting the growth of many cancer cell lines, while proteins involved in antitumor effects in proteomic level are still unclear. In our study, HNK could inhibit HeLa cell proliferation and induce apoptosis in a concentration- and time-dependent manner. We utilized a quantitative proteomic technique termed SILAC (Stable isotope labeling with amino acids in cell culture)-MS (mass spectrometry) to study the differential proteomic profiling of HeLa cells treated by HNK. A total of 85 proteins were changed after HeLa cells were treated with 12 microg/ml HNK for 8 h, and 8 proteins showed up regulation while 77 proteins down-regulated. The changed proteins were classified into 9 different categories, which covered a broad variety of cellular functions. In conclusion, HNK performs cytotoxicity to HeLa cells through co-operating of many proteins and different pathways. PMID- 18157585 TI - Recombinant tissue metalloproteinase inhibitor-3 protein induces apoptosis of murine osteoblast MC3T3-E1. AB - Tissue inhibitor of metalloproteinases (TIMPs) plays an essential role in the regulation of bone metabolism. Here we report that recombinant tissue metalloproteinase inhibitor-3 (TIMP-3) protein induces the apoptosis of MC3T3-E1 osteoblasts. Cell apoptosis was detected by sandwich-enzyme-immunoassay. Fas and Fasl protein levels were determined by Western blot analysis. The enzyme substrate was used to assess the activation of caspase-3 and caspase-8. The phosphorylation of JNK, p38 and ERK1/2 was examined by Western blot analysis. The ELISA suggested that TIMP-3 promoted MC3T3-E1 cell apoptosis. TIMP-3 treatment induced the expression of Fas and Fasl proteins, and the activation of caspase-8 and caspase-3. TIMP-3 treatment induced p38 and ERK phosphorylation. SB203580 and PD98059, the inhibitor of p38 and ERK, respectively, abolished the TIMP-3 effect on osteoblast apoptosis. In conclusion, the signal pathway through which TIMP-3 induces MC3T3-E1 cell apoptosis, mediated by Fas and involves the p38 and ERK signal transduction pathways. PMID- 18157586 TI - Identification and characterisation of arsenite (+3 Oxidation State) methyltransferase (AS3MT) in mouse neuroblastoma cell line N1E-115. AB - Handling and detoxification of metals by enzymes is a major issue that is not in the focus of current biomedical research concepts. The finding of the presence of arsenic (+3 Oxidation State) methyltransferase (AS3MT) in neuroblastoma cells NE 115 as a high abundance protein made us investigate primary structure of AS3MT reflecting an example of metal-handling in eucaryotes. Proteins extracted from NE 115 cells were run on 2-DE followed by two different mass spectrometrical methods. High sequence coverage was obtained by multiple protease digestion and a sequence conflict was solved at arginine 335. These findings are important when future studies on this enzyme are designed at the protein level and in particular, when antibodies against this protein will be generated. PMID- 18157587 TI - The role of heme oxygenase-1 in down regulation of PGE2 production by taurine chloramine and taurine bromamine in J774.2 macrophages. AB - Taurine chloramine (TauCl) and taurine bromamine (TauBr), products of myeloperoxidase halide system, exert anti-inflammatory properties. TauCl was demonstrated to inhibit the production of a variety of pro-inflammatory mediators including cyclooxygenase-2 (COX-2) dependent production of prostaglandin E(2) (PGE(2)). Recently we have demonstrated that both major leukocyte haloamines, TauCl and TauBr, induced expression of HO-1 in non-activated and LPS-activated J774.2 macrophages. In this study, we have shown that TauCl and TauBr, at non cytotoxic concentrations, inhibited the production of (PGE(2)) without altering the expression of COX-2 protein, in LPS/IFN-gamma stimulated J774.2 cells. The inhibitory effect of TauCl and TauBr was reversed by chromium III mesoporhyrin (CrMP), an inhibitor of HO-1 activity. Our data suggest that HO-1 might participate in anti-inflammatory effects of TauCl/TauBr possibly by inhibition of COX-2 activity and decrease of PGE(2) production. PMID- 18157588 TI - Improved prediction of subcellular location for apoptosis proteins by the dual layer support vector machine. AB - Apoptosis proteins play an important role in the development and homeostasis of an organism. The accurate prediction of subcellular location for apoptosis proteins is very helpful for understanding the mechanism of apoptosis and their biological functions. However, most of the existing predictive methods are designed by utilizing a single classifier, which would limit the further improvement of their performances. In this paper, a novel predictive method, which is essentially a multi-classifier system, has been proposed by combing a dual-layer support vector machine (SVM) with multiple compositions including amino acid composition (AAC), dipeptide composition (DPC) and amphiphilic pseudo amino acid composition (Am-Pse-AAC). As a demonstration, the predictive performance of our method was evaluated on two datasets of apoptosis proteins, involving the standard dataset ZD98 generated by Zhou and Doctor, and a larger dataset ZW225 generated by Zhang et al. With the jackknife test, the overall accuracies of our method on the two datasets reach 94.90% and 88.44%, respectively. The promising results indicate that our method can be a complementary tool for the prediction of subcellular location. PMID- 18157589 TI - [Bronchial carcinoma--light on the horizon!]. PMID- 18157590 TI - [Upcoming strategies in the treatment of non-small cell lung cancer stage IIIB/wet and IV]. AB - Non-small cell lung cancer (NSCLC) is the most common malign lung tumour. It is diagnosed in the majority of patients at an advanced stage without a chance for cure despite substantial progress in the therapeutic armamentarium. The therapeutic goals in this situation are prolongation of life and symptom palliation. Both the classical chemotherapy as well as modern therapeutic strategies (tyrosinkinase inhibitors, bevacizumab) are able to achieve these goals. It is currently unclear how to incorporate the new strategies into first line therapy. At the ASCO congress 2007 numerous studies were presented for first line therapy of advanced NSCLC. A large phase III study with bevacizumab and a study with Docetaxel maintenance therapy are to be discussed in detail, followed by a short presentation of a study with platinum-free combinations, a new platinum combination with pemetrexed/carboplatin, the chemotherapy of patients with PS (2/3), and interesting studies with cetuximab. PMID- 18157591 TI - [NSCLC: update on second line therapy following ASCO 2007]. AB - Since the year 2000 second line therapy for pre-treated non-small cell lung cancer patients has been established. There are currently two chemotherapeutic agents - docetaxel (Taxotere) and pemetrexed (Alimta) - which have been approved for second line treatment in Austria in addition to the tyrosinkinase-inhibitor erlotinib (Tarceva). In randomised trials these agents have shown a clear advantage over best supportive care in pre-treated patients in terms of overall survival and quality of life. However, these compounds also cause considerable drug-specific toxicities. Therefore there is an urgent need for new treatment options with higher efficacy and a lower burden of toxicity. At ASCO 2007, results of randomised trials were presented concerning new chemotherapeutic agents, such as vinflunine as well as targeting agents such as gefitinib, without affecting outcome. Another trial comparing a standard dose of pemetrexed with a higher dose also showed no improvement in outcome. A comparison of immediate application with delayed application of docetaxel after primary treatment demonstrated improved progression-free survival in selected patients in the immediate study arm but this did not translate to a survival benefit. The results of these trials may add further treatment options to the present portfolio of agents and concepts in this setting and give some optimism for the near future. At present, no changes need to be made in the options for standard second-line treatment of NSCLC in view of the results presented at ASCO 2007. PMID- 18157592 TI - ["Targeted Therapies" in NSCLC - present and future]. AB - During the last decades considerable progress has been made in the treatment of Non Small Cell Lung Cancer (NSCLC) especially resulting from the introduction of chemotherapy. Based on the results of basic-science, a new era of medical oncology has now been entered. Targets of pivotal importance for the development and perpetuation of malignant proliferation have been identified and pharmaceutical compounds against these structures have been developed ("Targeted Therapies"). The resulting broadening of the therapeutic armamentarium has already changed some of the treatment-guidelines. At the same time, a large number of new drugs has entered the stage of clinical development and every oncologist is confronted with a large amount of new data and the resulting difficulties to keep up to date. Accordingly, the aim of this review is to provide an update on the most important recent developments in the field of "Targeted Therapy" against NSCLC. PMID- 18157593 TI - [Biomarkers - the way towards individualized chemotherapy in non-small cell lung cancer (NSCLC)]. AB - Tumor biology is increasingly important when choosing the optimal therapy for patients with non-small cell lung cancer (NSCLC). A number of potential biomarkers is under investigation in the hope that it will be possible to identify markers that assist in the selection of patients for specific therapies in the future. Patients with an elevated DNA repair capacity, indicated by an increased tumoral expression of excision repair cross complementation group-1 (ERCC1) or ribonucleotid reductase subunit M1 (RRM1) may benefit less from cisplatin-based and gemcitabine-based chemotherapy, respectively. Overexpression of the cell cycle regulator p27 affects response to various anticancer drugs and increased levels of class III beta-Tubulin are associated with taxane resistance. Promising results so far suggest that customized therapy for individual patients with the help of predictive biomarkers is possible and it is likely that this strategy will improve treatment of NSCLC in the future. PMID- 18157594 TI - [Updated strategies in Small Cell Lung Cancer post ASCO 2007]. AB - Small Cell Lung Cancer (SCLC) is associated with intensive nicotine consumption and characterized by a very aggressive growth rate. Furthermore, metastases often appear very early. At the annual meeting of the "American Society of Clinical Oncology" (ASCO) 2007, recent issues which will influence the daily clinical practice were presented. New chemotherapy combinations such as carboplatin/irinotecan or pemetrexed as well as targeted therapies e.g. bevacizumab in combination with chemotherapy could extend our therapeutic options. A genetic polymorphism, which influences the pharmacokinetic of irinotecan, turned out to be one reason for the different outcome of an irinotecan/cisplatin therapy in a Japanese and Northern American population. In the field of radiotherapy, a phase III study showed for the first time a significant benefit in overall survival by prophylactic cranial radiation in the setting of extensive disease. PMID- 18157595 TI - [Wound healing effects of a Symphytum herb extract cream (Symphytum x uplandicum NYMAN: ): results of a randomized, controlled double-blind study]. AB - METHOD: Wound healing effects of a topically applied preparation (Traumaplant) containing a concentrate (10 % active ingredient) from the aerial parts of medicinal comfrey (Symphytum x uplandicum NYMAN: ) were examined in a randomized clinical double-blind study including 278 patients with fresh abrasions (verum: n = 137), among them 64 patients of up to 20 years of age (verum n = 29, reference product n = 35). An otherwise identical low-dose preparation (1 % active ingredient; n = 141) was used as a reference. RESULTS: After 2-3 days of application of the study medication a highly significantly and clinically relevantly faster initial reduction of wound size of 49 + or - 19 % versus 29 + or - 13 % per day in favour of verum (p < 5x10(-21)) was found. From linear regression time to complete healing was determined to be 2.97 days faster with verum than with reference (4.08 vs. 7.05 days, p = 7.4 x 10(-45) in the t-Test comparison of regression lines). The physicians rated efficacy as good to very good in 93.4 % of cases, as compared to 61.7 % in the group treated with the reference product (p = 2 x 10(-11)). On a scale of 0-100 verum was rated with 84.4 + or - 10.1 points by the patients themselves. The reference product was rated with 65.5 + or - 24.8 points (p = 6.1 x 10(-18)). In subgroup analyses no significant influence of abrasion area, gender and age on healing effects was found, albeit a tendency towards better effects with increasing age was observed. No adverse effects or problems with drug tolerability occurred. Specifically, cutaneous reactions were observed in none of the patients throughout the 10 day observation phase. CONCLUSIONS: Symphytum herb extract can be attributed distinct wound healing effects, effects that can explicitly be used in paediatry. PMID- 18157597 TI - [Bevacizumab in the first-line therapy of advanced NSCLC]. AB - The angiogenesis inhibitor bevacizumab, a VEGF antagonist, was approved in the European Union in August 2007 for the first-line therapy of inoperable, advanced or recurrent non-small-cell lung cancer, in combination with a platin-based chemotherapy regimen. Tumors with predominantly squamous-cell histology must be excluded. Two recent phase-III studies have shown that bevacizumab, combined with carboplatin and paclitaxel (E4599) or cisplatin and gemcitabine (AVAiL), significantly prolongs overall survival and/or progression-free survival. The most common adverse events during therapy with bevacizumab are hypertension and proteinuria - both are usually well manageable. By applying correct patient selection criteria the risk of pulmonary bleeding can be greatly reduced. PMID- 18157598 TI - [TRUST study: general practice relevant data on erlotinib in NSCLC]. PMID- 18157600 TI - Parasites and pregnancy. PMID- 18157601 TI - [From antiseptics to aseptic]. PMID- 18157603 TI - Bronchial adenoid cystic carcinoma presenting as unilateral hyperlucent lung (Swyer-James-McLeod syndrome). PMID- 18157602 TI - [Small cell lung cancer]. AB - With about 20% of all lung cancers small cell lung cancer (SCLC) represents a major subset of this entity. Although therapeutic improvements did not receive as much attention as in non small cell lung cancer (NSCLC), many small steps of clinical progress have been achieved within the last 20 years. An optimal treatment should be based on an interdisciplinary treatment plan. The standard treatment in localized stages represents combined radiation and chemotherapy. Cisplatin and etoposide are in this concern considered as a gold standard. 3D planned conformal radiotherapy should start as early as possible and should be applied concomitantly to chemotherapy and in certain cases even in a hyperfractionated treatment protocol. In very early stages surgical resection could be an option in selected cases. In advanced stages a platinum-based doublet offers high response rates. As already established in limited disease prophylactic cranial irradiation is now also indicated in extensive disease in case of any tumor remission. In the second line treatment and in patients with reduced performance status topotecan is recommended. Similar as in NSCLC pemetrexed might become an alternative treatment option in the second line setting. In the field of new targeted therapies bevacizumab achieved the most promising results. The present review highlights historical milestones and up-to date trends in radiotherapy, chemotherapy and surgery. Furthermore, the role of experimental strategies and the management of certain special clinical situations are discussed. PMID- 18157604 TI - Increased prevalence of intestinal helminth infection during pregnancy in a Sub Saharan African community. AB - Gestation is a unique physiologic state that carries with it several immunologic consequences and results in changing susceptibility to various diseases. In contrast to the well recognized excess vulnerability of primiparous women to Plasmodium falciparum infection in areas of high malaria transmission, it is not known whether pregnancy is associated with a higher prevalence of helminth infection. In Lambarene, Gabon, 105 pregnant women were recruited and matched with non-gravid female controls. The prevalence of intestinal helminths was 66% (n=58) in the pregnant participants and 36% (n=32) in the non-pregnant controls (P<0.001). In multivariate analysis the pregnancy status was an independent risk factor for being infected with intestinal helminths (AOR and 95% CI: 3.0 [1.4 5.9]). These data show a previously undescribed susceptibility pattern of pregnant women to intestinal helminth infection in a sub-Saharan African community. PMID- 18157605 TI - Outbreak of acute gastroenteritis of unknown etiology caused by contaminated drinking water in a rural village in Austria, August 2006. AB - BACKGROUND: In August 2006 a physician from a rural village reported an outbreak of acute gastroenteritis. An investigation was undertaken in order to determine the magnitude of the outbreak, the source of infection and to prevent further disease. This is the first published outbreak of acute gastroenteritis caused by contaminated drinking water in Austria. METHODS: For descriptive epidemiology, the investigators had to rely on voluntary cooperation from physicians and patients, data collected by a police officer and data on sick leave reported by physicians to the health insurance system. RESULTS: Microbiological testing of water samples indicated that this cluster was caused by fecal contamination of untreated drinking water. Age and sex distributions were available for 146 of 160 cases: ages ranged from 5 to 91 years (median 45) and 81 cases (55.5%) were female. Stool samples from 14 patients were sent for microbiological analysis: all tested negative for Salmonella, Campylobacter, Shigella and Yersinia enterocolitica. Specimens were not tested for viruses, parasites or enteropathogenic Escherichia coli. DISCUSSION: In this outbreak no identification was made of pathogenic microorganisms in stool samples from affected patients, despite the occurrence of fecal indicator organisms in samples of drinking water. In outbreaks of gastroenteritis, medical practitioners should encourage microbiological testing beyond the limited routine program. Public health officers must be made aware that the spectrum of routine laboratory tests on stool specimens does not cover the wide array of pathogens capable of causing waterborne outbreaks. The springs serving the affected village originate in a mountainous area of karst formations, and heavy falls of rain that occurred at the beginning of the outbreak may explain introduction of fecal bacteria. In view of the unsolved problem of possible future contamination of springs in karst areas, the water department of this district authority has issued an order requesting installation of a permanent ultraviolet water-treatment facility. PMID- 18157606 TI - Ten years of laparoscopic cholecystectomy: a comparison between a developed and a less developed country. AB - OBJECTIVE: To compare the specific features and outcomes of laparoscopic cholecystectomy in two university hospitals, one in a developing country, Bosnia Herzegovina, and the other in a well developed country, Italy. METHODS: Between January 1996 and December 2005, a total of 2018 patients underwent laparoscopic cholecystectomy in Mostar Clinical Hospital, Bosnia-Herzegovina (1066) and in Chieti University Hospital, Chieti, Italy (952). Differences in patients' presentations, diagnostic protocols, medication, surgical treatment, complications and outcomes were analyzed. RESULTS: The number of patients with life-threatening conditions was lower in Italy (15 or 1.5% vs. 53 or 4.9%; P<0.001), as was the use of analgesia and antibiotics (131 or 13.96% vs. 873 or 81.97%; P<0.001). Open-access biliary surgery was rare in Italy, where the vast majority of patients were operated laparoscopically; only 44 (4.41%) patients had open-access surgery, including 35 (3.61%) conversion patients. In comparison, 1669 (61%) patients in Bosnia-Herzegovina underwent open-access operations. There was a significant difference, in favor of the Italian hospital, in the number of surgical complications (8 or 0.84% vs. 40 or 3.75%; P<0.002) and also in the number of postoperative infections following surgical incision (0 or 0.0% vs. 6 or 0.56%; P<0.033). CONCLUSIONS: It is encouraging for surgeons in Bosnia Herzegovina to find that satisfactory results can be achieved in a developing country. However, the number of complications encountered in the Mostar hospital emphasizes the need for further improvement of surgical technique through better structured training combined with strict supervision of junior staff. The finding of postoperative infections in the Bosnia-Herzegovina hospital, despite that their occurrence was relatively rare, highlights the necessity for further improvement of hospital infection control. PMID- 18157607 TI - Chylous cyst formation following laparoscopic fundoplication. AB - Formation of an abdominal chylous cyst is a rare event, predominantly occurring after spinal, vascular or urologic retroperitoneal surgery. As far as we know, the presented case is the first report in the literature of chylous cyst formation after laparoscopic fundoplication. A 57-year-old man with a history of a conservatively treated spinal compression fracture (T11/12) underwent laparoscopic fundoplication in 1996 for recurrent heartburn with insufficient response to treatment with PPI. His reflux symptoms disappeared but over the following years he developed intermittent abdominal pain in the right upper quadrant. Gastroscopy in 2002 revealed a slight compression of the distal esophagus. CT scan revealed a cystic formation next to the distal esophagus which was initially interpreted to be part of the fundoplicate itself. Aggravation of symptoms and weight loss was noted in 2006. A further CT scan revealed a 7 cm cyst along the fundoplicate and the lesser curvature of the stomach. The cyst was subsequently drained laparoscopically. Cholesterol (351 mg/d), LDL-cholesterol (263 mg/dl), triglycerides (334 mg/dl) and chylomicrons led to the diagnosis chylous cyst and the patient was put on a medium-chain triglyceride diet. After 12 weeks the discharge stopped and the drain was removed. The patient remained symptom-free for seven months but then presented again with the same complaints. This time an even larger cyst was diagnosed, extending from the lesser curvature of the stomach through the esophageal hiatus up to the right atrium. A Roux-en-Y chylous cystojejunostomy was then performed and has solved the problem up to the present. A chylous cyst may develop after laparoscopic fundoplication. If simple drainage fails, a cystojejunostomy can solve this problem. PMID- 18157608 TI - [Steatohepatitis and cirrhosis: first manifestation 23 years after jejunoileal bypass surgery]. AB - Intestinal shunting procedures followed by gastrointestinal bypass surgery have been used as therapeutic modalities in the treatment of morbid obesity since the mid 1950s. Enthusiasm reached its peak in the early 1960s with the introduction of the jejunoileal bypass, however began to wane as various complications were identified in the remote postoperative period and later. Finally, the jejunoileal bypass was abandoned in the 1980s. Apart from renal disorders, it frequently resulted in abnormal liver function and liver failure which are attributed to fatty infiltration. We report a 56-year-old woman, who underwent jejunoileal bypass surgery 23 years ago. She was admitted to our ICU because of hepatic encephalopathy IV, caused by upper gastrointestinal bleeding. Beside hepatic encephalopathy there were signs of severe liver failure (INR 2.8, cholesterol 32 mg/dl, ICG PDR 5%). Liver biopsy showed fatty infiltration and cirrhosis. Excluding other causes of liver disease, severe fatty liver disease following jejunoileal bypass surgery was diagnosed. The very late onset of severe liver disease emphasizes the importance of lifelong follow-up of these patients. PMID- 18157609 TI - [Austrian Guidelines for Prophylaxis of Venous Thromboembolism]. AB - Venous thromboembolism occurs in a significant number of patients in typical risk situations (e.g. surgery or trauma). However, in these special high-risk situations anticoagulants, particularly low molecular weight heparin, allow for a decrease in the number of venous thromboses, pulmonary embolisms and deaths caused by pulmonary embolism. Only the wide-spread and adequate use of antithrombotics can safeguard against venous thromboembolism in these various risk situations. Guidelines constitute an integrative part of quality management and ensure the application of evidence-based medicine. The present consensus on thrombosis prophylaxis in Austria has been elaborated by 23 experts in the fields of hemostasis research, angiology, surgery, orthopedics, internal medicine, anaesthesiology and pharmacology. The recommendations for the management of thrombosis prophylaxis in the fields of general surgery, orthopaedic and trauma surgery and internal medicine have been elaborated drawing on the Guidelines issued by the American College of Chest Physicians. Included are recommendations on indications as well as the choice of antithrombotics, dose and duration of therapy for the various conditions. The Austrian Guidelines for Venous Thromboembolism Prophylaxis are meant to be a basis for standardising procedures in the above-mentioned fields, thus contributing to an improved management of risk situations by physicians and health care staff and providing more safety for patients. PMID- 18157610 TI - Total maximum daily load (TMDL) based sustainable basin growth and management strategy. AB - This study focused on the development and application of the new approach 'Total Maximum Daily Load (TMDL) based sustainable basin growth and management strategy' to give better insight for the management of surface waters. The establishment of the proposed decision process mainly comprised: beneficial use designations targets, interrogation of the ambient water quality, selection of variable(s) for TMDL analysis, water quality modeling, basin growth scenarios development and decision on the basin growth plan. The approach was validated through a systematic application study in a field case in Turkey, known as Tahtali Basin. Results revealed that decision process assists policy makers to develop realistic strategies that take into account the basin specific conditions. PMID- 18157611 TI - Environmental management plan (EMP) for Melamchi water supply project, Nepal. AB - More than 1.5 million people live in the Kathmandu valley. The valley is facing an extreme shortage of water supply. At the same time the demand is escalating rapidly. To address this issue of scarcity of water, the government of Nepal has proposed a project of inter-basin transfer of water from Melamchi River located 40 km north-east of the Kathmandu valley. The project will cover two districts and three municipalities and will potentially have significant impacts on the environment. In accordance with the Environmental Protection Regulation of Nepal (1997), the Melamchi Water Supply Project (MWSP) has undergone an EIA during the feasibility study stage of the proposed project. The recommendations contained in the EIA were integrated into the project design for implementation in 2006. This paper summarizes the background of MWSP, the environmental concerns described in the EIA and the status of Environmental Management Plan (EMP) developed to address environmental compliance and other issues involving participation and support of the local people. This paper also provides some lessons to learn on the modalities of addressing the demands and grievances of the local people concerning environmental management. PMID- 18157612 TI - Metal pollution assessment of sediment and water in the Shur River. AB - Intensified industrialization and human activities have resulted in the release of various contaminants into the environment. Among them, heavy metals are often present as a result of mining, milling and industrial manufacturing. In the present investigation, bulk concentrations Pb, Cd, Zn, Cu, Fe, Ca and Al in Shur River (Iran) bed sediments and water around the Sarcheshmeh copper mine were measured from several sample locations. In addition, partitioning was assessed to determine the proportions of metals in different forms. The degree of sediment contamination was evaluated using an Enrichment Factor (EF) and geo-accumulation index (I (geo)) and a newly developed pollution index (I (POLL)). Elevated metals in sediment and water were found to be correlated with areas of the river that were proximal to direct and indirect mining activities. Cadmium and Zn showed the highest pollution index. Cluster analysis was performed in order to assess heavy metal interactions between water and sediment. Chemical partitioning studies revealed that organic metallic bonds were not significantly present in the sediment of the Shur River. PMID- 18157613 TI - Dipyridamole stress echocardiography stratifies outcomes of asymptomatic patients with recent myocardial revascularization. AB - BACKGROUND: Patients with previous myocardial revascularization, even if symptom free, remain at risk of subsequent cardiac events, so that a non-invasive tool able to stratify this population is wishful. OBJECTIVES: To assess the prognostic value of dipyridamole stress echocardiography (DipSE) in a population of asymptomatic patients following complete myocardial revascularization, either by coronary artery bypass grafting (CABG) or percutaneous coronary intervention (PCI). METHODS: We retrospectively evaluated 104 consecutive symptom-free patients (mean age 67+/-9.3 years, 75 males) with recent (<12 months) complete myocardial revascularization (48% PCI, 52% CABG) undergoing DipSE. Ischemia was defined as the onset of a new or worsening wall motion abnormality during DipSE. The composite end point of the study was cardiac death and non-fatal acute coronary syndrome. RESULTS: Myocardial ischemia was identified in 23 patients (22.1%). During a mean follow up of 21 months, 7 (30.4%) out of these patients suffered cardiac events. Among the remaining 81 patients (77.9%) with negative DipSE results, 7 (8.6%) experienced cardiac events. At multivariable analysis only a positive DipSE (odds ratio 3.9, P=0.03), wall motion score index at peak of stress (OR 3.6, P=0.04) and a prior myocardial infarction (odds ratio 3.5, P=0.04) achieved statistical significance for cardiac events. Moreover, DipSE effectively stratified patients into a high and low risk group according to presence of inducible ischemia (event rate per year 16% vs 4.8%, P=0.02). CONCLUSIONS: DipSE yields appropriate risk stratification and provides incremental prognostic value over clinical variables even in asymptomatic patients with prior complete myocardial revascularization. A negative DipSE portends a benign prognosis (<5% event rate/year) in such population. PMID- 18157614 TI - mRNA secondary structure modulates the translation of organophosphate hydrolase (OPH) in E. coli. AB - Organophosphate hydrolases (OPHs), involved in hydrolytic cleavage of structurally diverse organophosphates are coded by a plasmid borne, highly conserved organophosphate degrading (opd) gene. An inverted repeat sequence found in the signal coding region of the opd gene was found to be responsible for inducing a stable stem loop structure with a DeltaG of -23.1 kcal/mol. This stem loop structure has shown significant influence on the expression levels of organophosphate hydrolase (OPH) in E. coli. When the signal coding region comprising the inverted repeat sequence was deleted a approximately 3.28 fold increase in the expression levels of OPH was noticed in E. coli BL21 cells. Mutations in the inverted repeat region, especially at the third position of the codon, to a non-complementary base destabilized the secondary structure of opd mRNA. When such opd variant, opd' was expressed, the expression levels were found to be similar to expression levels coded by the construct generated by deleting the signal peptide coding region. Deletion of signal peptide did not influence the folding and activity of OPH. Though high level induction has resulted in accumulation of OPH as inclusion bodies, modulation of expression levels by reducing the copy number of the expression plasmid, inducer concentration and growth temperature has produced majority of the protein in soluble and active form. PMID- 18157615 TI - Lifestyle at 3 years of age and quality of life (QOL) in first-year junior high school students in Japan: results of the Toyama Birth Cohort Study. AB - OBJECTIVE: The aim of this study was to determine whether some effects of childhood lifestyles at 3 years of age are associated with quality of life (QOL) in first-year junior high school students (JHSS). METHOD: Lifestyles including sleep, physical activity and dietary habits of 9,674 3-year-old children were obtained by questionnaire between 1992 and 1994. Assessments were undertaken with the Dartmouth Primary Care Co-operative Project charts in 9,574 first-year JHSS in 2002. Logistic regression analyses were used to explore the relationship between lifestyle in early childhood and QOL in first-year JHSS for the follow-up subjects. RESULTS: After adjusting for demographic and familial factors at baseline, the results showed that later bedtime [odds ratio (OR) = 1.17, P = 0.043], later waking time (OR = 1.19, P = 0.039), short sleep duration (OR = 1.15, P = 0.061), physical inactivity (OR = 1.48, P = 0.022), skipping breakfast (OR = 1.56, P = 0.003), irregular snacks (OR = 1.43, P < 0.001), and frequent instant noodle consumption (OR = 1.49, P = 0.007) in early childhood increased the risk of poor QOL in first-year JHSS. The relationships were reinforced by a significant linear trend for almost all factors considered at baseline to QOL in first-year JHSS. CONCLUSION: Early childhood lifestyle factors, especially dietary habits, at 3 years of age have significant effects on QOL in first-year JHSS. This suggests that interventions as early as 3 years of age should be considered. PMID- 18157616 TI - Impact of cognitive and physical impairment on carer burden and quality of life. AB - BACKGROUND AND PURPOSE: How the cognitive and/or physical impairment experienced by care recipients impacts on their carers is not well understood. This study investigated the effect of type of impairment of care recipients on the level of burden and quality of life (QOL) of elderly Australian carers. METHODS: This article describes a nested cross-sectional substudy of 276 older women (aged 78 83 years) enrolled in the Australian Longitudinal Study on Women's Health who indicated they were providing care for someone living with them. RESULTS: In this nationally representative sample of elderly women carers, 60% were looking after people (predominantly their husbands) who had both cognitive and physical impairments. Carers of people with both types of impairments had higher scores for objective burden of caring than those caring for people with either type of impairment alone. In contrast, scores for limitations on their own lives were higher among women caring for people with cognitive impairments (with or without physical impairments). CONCLUSIONS: The majority of elderly women caring for someone else are likely to suffer multifaceted burdens of caring. PMID- 18157618 TI - Sequence variations of mitochondrial DNA D-loop region are highly frequent events in familial breast cancer. AB - Mitochondrial DNA (mtDNA) is known for its high frequencies of polymorphisms and mutations. The non-coding displacement (D)-loop, especially a mononucleotide repeat (poly-C) between 303 and 315 nucleotides (D310), has been recently identified as a frequent hotspot of mutations in human neoplasia, including breast cancer. To further explore the sequence variations of mitochondrial D-loop region in familial breast cancer and their possible associations with breast cancer risk, PCR-SSCP and direct DNA sequencing methods were used to detect the variants of the mtDNA D-Loop in 23 familial breast cancer patients as well as three high-risk cancer families. Compared to that in sporadic breast tumors (53.3%, 16/30) and healthy blood donors (6.7%, 2/30), we identified a total of 126 sequence alterations in 23/23 (100%) of familial breast cancer patients, including eight novel nucleotide variants. Among these changes, A to G at nt.263, T to C at nt.489, T to C at nt.310, TC insertion at nt.311, CA deletion at nt.522, and C to G at nt.527 were highly frequent ones. In addition, among three high-risk cancer families, we found that individuals affected with breast cancer harbored more mtDNA sequence variants in mtDNA D310 area than other affected family members. Together, our data indicate that sequence variants within the mtDNA D-Loop region are frequent events in Chinese familial breast cancer patients. Some of these nucleotide abnormalities, particularly those in D310 segment, might be involved in the breast carcinogenesis and could be included in a panel of molecular biomarkers for cancer susceptibility early-detection strategy. PMID- 18157619 TI - Solid substrate-room temperature phosphorimetry for the determination of trace terbutaline sulfate based on its inhibition oxidation of rhodamine 6G by sodium periodate. AB - When 1.00 mol l(-1) I(-) is used as ion perturber, rhodamine 6G (Rh 6G) can emit strong and stable room temperature phosphorescence (RTP) on filter paper substrate in KHC(8)H(4)O(4)-HCl buffer solution (pH = 3.50), heated at 70 degrees C for 10 min. NaIO(4) can oxidize Rh 6G, which makes the RTP signal quench. Terbutaline sulfate (TBS) can inhibit NaIO(4) from oxidizing Rh 6G, which makes the RTP signal of Rh 6G enhance sharply. The content of TBS is linear correlation to DeltaIp of the system. Based on the facts above, a new inhibition solid substrate-room temperature phosphorimetry (SS-RTP) for the determination of trace TBS has been established. The linear range of this method is 0.0104-2.08 pg spot( 1) (corresponding concentration: 0.026-5.2 ng ml(-1), with a sample volume of 0.4 microl) with a detection limit (L.D.) of 2.6 fg spot(-1) (corresponding concentration: 6.5 x 10(-12) g ml(-1)), and the regression equation of working curve is DeltaIp = 2.040 + 54.54 m(TBS) (pg spot(-1)), n = 6, correlation coefficient is 0.9994. For the samples containing 0.0104 pg spot(-1) and 2.08 pg spot(-1) TBS, the relative standard deviation (RSD) are 3.8% and 2.3% (n = 8), respectively, indicating good precision. This method has been applied to determination of trace TBS in the practical samples with satisfactory results. The reaction mechanism of NaIO(4) oxidizing Rh 6G to inhibit SS-RTP for the determination of trace TBS is also discussed. PMID- 18157620 TI - Quenching of pyrene fluorescence by calix[4]arene and calix[4]resorcinarenes. AB - Interactions involving calixarene and its derivatives are of major importance due to their widespread applications as unique hosts. Fluorescence from a common probe pyrene is used to study interactions involving calix[4]resorcinarene [1a] and its tetra-morpholine derivative [1b] in 1 M aqueous NaOH. These compounds efficiently quench the pyrene fluorescence. A comparison with the fluorescence quenching behavior of N-methylmorpholine clearly indicates the presence of long range interactions involving 1a and 1b; the interactions are specific to the calixarene molecular framework. This is not the case for a tetra-nitro substituted calix[4]arene [2b], an electron/charge acceptor quencher, as p nitrophenol also shows similar interactions with pyrene. Effectiveness of cesium as the quencher of pyrene fluorescence is reduced in the presence of electron/charge donating 1b; fluorescence enhancement is observed upon addition of cesium as the concentration of 1b is increased in the solution. The role of calixarene framework in interactions involving such compounds is established. PMID- 18157621 TI - Curing atrial fibrillation: Two decades of progress. AB - Since the original description of the Cox-Maze procedure two decades ago, there has been considerable refinement and expansion of surgical techniques for atrial fibrillation (AF). During this same time, there has been a parallel evolution of catheter-based ablation techniques designed to cure AF. Recent guidelines have been developed to guide patient selection for pharmacologic and nonpharmacologic options for therapy of AF. Understanding the mechanisms of AF will lead to better management strategies and improved patient outcomes. PMID- 18157622 TI - Trimetazidine protective effect against ischemia-induced susceptibility to ventricular fibrillation in pigs. AB - PURPOSE: Ventricular fibrillation (VF) is a possible consequence of brief myocardial ischemia. Such a short ischemia does not provoke cell damage, but induces changes in intracellular cardiac metabolism due to diminished oxygen supply to the heart. Trimetazidine (TMZ) is a drug able to restore the metabolic balance between fatty acid and glucose oxidation in ischemic myocardial cells. The aim of this double-blind study was to investigate TMZ effect on VF in pigs during short-term ischemia. METHODS: Ischemia was induced after thoracotomy by complete, but brief (1 min) occlusion of the left anterior descending coronary artery under electrical stimulation. The ventricular fibrillation threshold (VFT), heart rate (HR), various hemodynamic parameters and malondialdehyde (MDA) blood levels were measured before and during ischemia in two groups of eight anesthetized pigs. The mass of ischemic myocardial tissue was also evaluated. RESULTS: No effects on either the HR or the hemodynamic parameters were observed during myocardial ischemia, whereas TMZ increased the VFT and decreased both MDA blood levels (an index of lipid peroxidation) and the ischemic area. CONCLUSIONS: TMZ limited ischemia-induced electrical dysfunction leading to cardiac susceptibility to VF by decreasing lipid peroxidation and maintaining ionic homeostasis. TMZ could therefore provide protection against ischemia-induced VF. PMID- 18157623 TI - Objectively measured physical activity between children with autism spectrum disorders and children without disabilities during inclusive recess settings in Taiwan. AB - The purpose of this study was to compare the percent time children with and without autism spectrum disorders (ASD) spent in moderate-to-vigorous physical activity (MVPA) during inclusive recess settings. Forty-eight children (ASD, 23 boys and 1 girl; Non-ASD, 23 boys and 1 girl) aged 7-12 years from 14 schools had their physical activity during recess quantified using a uniaxial accelerometer over a 5-day in school period. Children with ASD were less active during overall recess, lunchtime, first and second morning recess compared to those without disabilities (p < .01). All children in this study did not achieve 40% of recess time in physical activity, suggesting that interventions for increasing physical activity of children during inclusive recess settings are warranted. PMID- 18157625 TI - A case study of preferential bestiality. AB - In a previous article, we presented phallometric data to illustrate a case of preferential bestiality or zoophilia (Earls & Lalumiere, Sex Abuse: J Res Treat, 14:83-88, 2002). Based on the available literature, we argued that a marked preference for having sex with animals over sex with humans is extremely rare. In the present article, we describe a second case of zoophilia that challenges the widely held assumptions that men who have sex with animals are generally of below average intelligence and come from rural areas. In addition, we provide a brief review of a burgeoning quantitative literature using large groups of zoophiles recruited from internet sources. Although estimates of the prevalence of zoophilia are not possible at this time, it appears that zoophilia is not as rare as once thought and shares many features with other atypical sexual interests. PMID- 18157624 TI - Brief report: methods for acquiring structural MRI data in very young children with autism without the use of sedation. AB - We describe a protocol with which we achieved a 93% success rate in acquiring high quality MRI scans without the use of sedation in 2.5-4.5 year old children with autism, developmental delays, and typical development. Our main strategy was to conduct MRIs during natural nocturnal sleep in the evenings after the child's normal bedtime. Alternatively, with some older and higher functioning children, the MRI was conducted while the child was awake and watching a video. Both strategies relied heavily on the creation of a child and family friendly MRI environment and the involvement of parents as collaborators in the project. Scanning very young children with autism, typical development, and developmental delays without the use of sedation or anesthesia was possible in the majority of cases. PMID- 18157626 TI - Through evolution's eyes: extracting mate preferences by linking visual attention to adaptive design. AB - Information is crucial to decision-making, including mate choice decisions. Perceptual systems, such as attention, evolved in part to forage for reproductive information; consequently, these systems can be used to reveal mate preferences. Here, I consider the place of visual information in human mate choice and provide a rationale for pressing into service methods drawn from the attention literature for the study of mate choice decisions. Because visual attention is allocated automatically and selectively, it may be used to complement common methods of mate preference assessment, such as self-report questionnaires and measures of genital arousal, while avoiding some of the pitfalls of these methods. Beyond the utility of increasing confidence in extant research findings by employing relatively unobtrusive methods, visual attention paradigms can also allow researchers to explore a variety of questions that are rarely asked, such as those concerned with signal efficiency and tradeoffs in the assessment of mate value. PMID- 18157627 TI - Social perception of facial resemblance in humans. AB - Two lines of reasoning predict that highly social species will have mechanisms to influence behavior toward individuals depending on their degree of relatedness. First, inclusive fitness theory leads to the prediction that organisms will preferentially help closely related kin over more distantly related individuals. Second, evaluation of the relative costs and potential benefits of inbreeding suggests that the degree of kinship should also be considered when choosing a mate. In order to behaviorally discriminate between individuals with different levels of relatedness, organisms must be able to discriminate cues of kinship. Facial resemblance is one such potential cue in humans. Computer-graphic manipulation of face images has made it possible to experimentally test hypotheses about human kin recognition by facial phenotype matching. We review recent experimental evidence that humans respond to facial resemblance in ways consistent with inclusive fitness theory and considerations of the costs of inbreeding, namely by increasing prosocial behavior and positive attributions toward self-resembling images and selectively tempering attributions of attractiveness to other-sex faces in the context of a sexual relationship. PMID- 18157628 TI - Sexual orientation in women with classical or non-classical congenital adrenal hyperplasia as a function of degree of prenatal androgen excess. AB - 46,XX individuals with classical congenital adrenal hyperplasia (CAH) due to deficiency of the enzyme, 21-hydroxylase, show variable degrees of masculinization of body and behavior due to excess adrenal androgen production. Increased bisexuality and homosexuality have also been reported. This article provides a review of existing reports of the latter and presents a new study aimed at replicating the previous findings with detailed assessments of sexual orientation on relatively large samples, and at extending the investigation to the mildest form, non-classical (NC) CAH. Also, this is the first study to relate sexual orientation to the specific molecular genotypes of CAH. In the present study, 40 salt-wasters (SW), 21 SV (simple-virilizing), 82 NC, and 24 non-CAH control women (sisters and female cousins of CAH women) were blindly administered the Sexual Behavior Assessment Schedule (SEBAS-A, 1983 ed.; H. F. L. Meyer Bahlburg & A. A. Ehrhardt, Privately printed). Most women were heterosexual, but the rates of bisexual and homosexual orientation were increased above controls not only in women with classical CAH, but also in NC women, and correlated with the degree of prenatal androgenization. Classifying women by molecular genotypes did not further increase the correlation. Diverse aspects of sexual orientation were highly intercorrelated, and principal components analysis yielded one general factor. Bisexual/homosexual orientation was (modestly) correlated with global measures of masculinization of non-sexual behavior and predicted independently by the degree of both prenatal androgenization and masculinization of childhood behavior. We conclude that the findings support a sexual differentiation perspective involving prenatal androgens on the development of sexual orientation. PMID- 18157629 TI - Omega-3 fatty acids and multiple sclerosis: relationship to depression. AB - Depression is a common problem among patients with multiple sclerosis (MS). Previous research has shown differences between MS patients and controls in the levels of certain fatty acids, and differences in many of these same fatty acids have also been reported in psychiatric patients with major depression. The current study sought to determine whether fatty acid levels in MS patients might be associated with depression. Fatty acids were measured in red blood cells (RBCs) for 38 patients with relapsing-remitting MS and 33 healthy controls who also completed 3-day dietary records and depression questionnaires. Levels of certain omega-3 and omega-6 fatty acids were lower and levels of certain monounsaturated and saturated fatty acids were higher in the MS patients. These differences were generally of medium effect size and occurred despite the fact that no differences were found between the two groups in dietary intake of any fatty acids. However, neither RBC nor dietary fatty acid levels were related to depression in the MS sample. PMID- 18157630 TI - Modeling genetic and environmental factors to increase heritability and ease the identification of candidate genes for birth weight: a twin study. AB - Heritability estimates of birth weight have been inconsistent. Possible explanations are heritability changes during gestational age or the influence of covariates (e.g. chorionicity). The aim of this study was to model birth weights of twins across gestational age and to quantify the genetic and environmental components. We intended to reduce the common environmental variance to increase heritability and thereby the chance of identifying candidate genes influencing the genetic variance of birth weight. Perinatal data were obtained from 4232 live born twin pairs from the East Flanders Prospective Twin Survey, Belgium. Heritability of birth weights across gestational ages was estimated using a non linear multivariate Gaussian regression with covariates in the means model and in covariance structure. Maternal, twin-specific, and placental factors were considered as covariates. Heritability of birth weight decreased during gestation from 25 to 42 weeks. However, adjusting for covariates increased the heritability over this time period, with the highest heritability for first-born twins of multipara with separate placentas, who were staying alive (from 52% at 25 weeks to 30% at 42 weeks). Twin-specific factors revealed latent genetic components, whereas placental factors explained common and unique environmental factors. The number of placentas and site of the insertion of the umbilical cord masked the effect of chorionicity. Modeling genetic and environmental factors leads to a better estimate of their role in growth during gestation. For birth weight, mainly environmental factors were explained, resulting in an increase of the heritability and thereby the chance of finding genes influencing birth weight in linkage and association studies. PMID- 18157631 TI - Community resilience as a metaphor, theory, set of capacities, and strategy for disaster readiness. AB - Communities have the potential to function effectively and adapt successfully in the aftermath of disasters. Drawing upon literatures in several disciplines, we present a theory of resilience that encompasses contemporary understandings of stress, adaptation, wellness, and resource dynamics. Community resilience is a process linking a network of adaptive capacities (resources with dynamic attributes) to adaptation after a disturbance or adversity. Community adaptation is manifest in population wellness, defined as high and non-disparate levels of mental and behavioral health, functioning, and quality of life. Community resilience emerges from four primary sets of adaptive capacities--Economic Development, Social Capital, Information and Communication, and Community Competence--that together provide a strategy for disaster readiness. To build collective resilience, communities must reduce risk and resource inequities, engage local people in mitigation, create organizational linkages, boost and protect social supports, and plan for not having a plan, which requires flexibility, decision-making skills, and trusted sources of information that function in the face of unknowns. PMID- 18157633 TI - YKL-40 protein expression is not a prognostic marker in patients with primary breast cancer. AB - YKL-40 is a new biomarker in serum with a prognostic value in several localized and metastatic malignancies. The current knowledge regarding the biological functions of YKL-40 in cancer links YKL-40 to increased aggressiveness of the tumor. Utilizing tissue microarrays, YKL-40 protein expression in tumor tissue was assessed by immunohistochemistry in a cohort of 630 high-risk breast cancer patients with a median estimated potential follow-up time of 10 and 13 years for disease-free (DFS) and overall survival (OS), respectively. YKL-40 protein expression was found in malignant tumor cells and in inflammatory cells. High expression was associated with positive estrogen and progesterone receptor status and high tumor differentiation. Contrary to studies on serum YKL-40 as a prognostic biomarker, a high YKL-40 expression in tumor cells was not significantly associated with DSF and OS in univariate and multivariate analyses. PMID- 18157632 TI - Cross-talk between calpain and caspase-3 in penumbra and core during focal cerebral ischemia-reperfusion. AB - AIMS: Some data have shown the functional connection between calpain and caspase 3. Here, we investigated the cross-talk between calpain and caspase-3 in penumbra and core during focal cerebral ischemia-reperfusion. METHODS: The activities of calpain and the levels of calpastatin, microtubule-associated protein-2 (MAP-2), and spectrin in penumbra and core at 3 or 23 h of reperfusion (R 3 h or R 23 h) after 1-h focal cerebral ischemia in rats were determined in sham- or caspase-3 inhibitor z-DEVD-CHO-treated rats.On the other hand, the determination of the activities of caspase-3 and the levels of MAP-2 and spectrin was done in sham- or calpain-inhibitor I-treated rats. RESULTS: z-DEVD-CHO (600 ng/rat, i.c.v.) markedly reduced the mu- and m-calpain activities in penumbra and the m-calpain activities in core at R 3 h and R 23 h, and enhanced the calpastatin levels in penumbra at R 3 h and in core at R 3 h and R 23 h significantly; however, it had no significant effects on the mu-calpain activities in core and the calpastatin levels in penumbra at R 23 h. Calpain inhibitor I (0.8 mg/rat, i.c.v.) markedly reduced the caspase-3 activities in core at R 3 h and R 23 h, but not in penumbra. Both calpain and caspase-3 inhibitors increased the levels of MAP-2 and spectrin in penumbra and core significantly after focal cerebral ischemia reperfusion. CONCLUSIONS: Our data provide direct evidence to demonstrate the cross-talk between calpain and caspase-3 in penumbra and core during focal cerebral ischemia-reperfusion. PMID- 18157634 TI - Dickkopf-1 mediated tumor suppression in human breast carcinoma cells. AB - Dickkopf-1 (DKK-1) is a secreted inhibitor of the Wnt signaling pathway. We previously identified DKK-1 as a candidate tumor suppressor and demonstrated that ectopic expression of the DKK-1 suppressed the tumorigenicity of HeLa cells in vitro and in vivo. Since suppression of tumorigenicity of HeLa cells by DKK-1 overexpression was not mediated by effects on beta-catenin dependent transcription, we hypothesized that DKK-1 might also inhibit tumorigenicity of breast carcinoma cell lines lacking an activated canonical Wnt pathway. In the present study we show that ectopic expression of DKK-1 in various breast cancer cell lines resulted in a change in the cell phenotype, increased sensitivity to apoptosis, inhibition of anchorage independent growth in vitro, and suppression of tumorigenicity in vivo. Consistent with known effects of DKK-1 on the canonical Wnt signaling pathway, ectopic expression of DKK-1 in breast carcinoma cells was associated with increased phosphorylation and degradation of beta catenin. However, none of the breast tumor cells used in this study showed detectable levels of beta-catenin dependent activation of TCF/Lef promoter activity measured by reporter constructs. Consistent with the results of these transient transfection assays, we were unable to demonstrate the expected beta catenin dependent, TCF/Lef mediated inhibition of cyclin D1 and c-myc gene transcription in breast cells overexpressing DKK-1. However, we found that cells with DKK-1 overexpression have increased activity of CamKII pathway. Overexpression of the constitutively active form of CamKII (T286D) resulted in inhibition of breast cancer cell tumorigenicity. Thus, our study supports the hypothesis that DKK-1 mediated tumor suppressor effect is independent of beta catenin dependent transcription and identified the CamKII pathway that contributes into DKK-1 signaling. PMID- 18157635 TI - Ecotoxicological effects of jute retting on the survival of two freshwater fish and two invertebrates. AB - Severe deterioration of water quality occurs during jute retting in ponds, canals, floodplain lakes, and other inland water bodies in the rural areas of West Bengal in India. Attempts were made to evaluate changes in the physicochemical parameters of water caused by jute retting, and their impact on the survival of two species of freshwater fish (Labeo rohita and Hypophthalmicthys molitrix) and two species of freshwater invertebrate (Daphnia magna, a Cladocera, and Branchiura sowerbyi, an Oligochaeta). Results showed that jute retting in a pond for 30 days resulted in a sharp increase in the BOD (>1,000 times) and COD (>25 times) of the water, along with a sharp decrease in dissolved oxygen (DO). Free CO(2), total ammonia, and nitrate nitrogen also increased (three to five times) in water as a result of jute retting. Ninety-six hour static bioassays performed in the laboratory with different dilutions of jute-retting water (JRW) revealed that D. magna and B. sowerbyi were not susceptible to even the raw JRW whereas fingerlings of both species of fish were highly susceptible, L. rohita being more sensitive (96 h LC(50) 37.55% JRW) than H. molitrix (96 h LC(50) 57.54% JRW). Mortality of fish was significantly correlated with the percentage of JRW. PMID- 18157637 TI - Colonoscopic treatment of acute diverticular hemorrhage using endoclips. AB - Although colonoscopy is used in the diagnostic evaluation of patients with diverticular hemorrhage, data on colonoscopic treatment outcomes are limited. We reviewed records of inpatients undergoing colonoscopy to identify patients that were colonoscopically diagnosed and treated for acute diverticular hemorrhage. Eleven patients with acute diverticular hemorrhage had active bleeding (n = 7) or non-bleeding visible vessel (n = 4) at colonoscopy. Endoclip treatment (preceded by epinephrine injection in 64%) achieved hemostasis in all patients without procedural complications. Patients were discharged within three days without evidence of early rebleeding. During a median follow-up of 15 months, late recurrent bleeding occurred in two patients (18.2%). Colonoscopic treatment of patients with acute diverticular hemorrhage using endoclips appears to be effective and safe, with high rates of immediate and long-term success. Colonoscopy should be considered in patients with suspected acute diverticular hemorrhage, as it may enable definitive therapy without the need for more invasive treatment. PMID- 18157638 TI - Response to hepatitis B vaccination in patients with celiac disease. AB - Abnormal immune response to gliadin, genetic, and environmental factors play a role in the pathogenesis of celiac disease (CD). Non-responsiveness to hepatitis B virus (HBV) vaccination is related to genetic features. Certain human leukocyte antigen (HLA) genotypes are more prevalent among non-responders to HBV vaccination. There is also a strong relationship between CD and these HLA genotypes. This study investigates the relationship between CD and non responsiveness to HBV vaccination, with an emphasis on genotypic co-incidence. No statistically significant difference was noted between the ages and gender of CD patients and control subjects. Baseline serum IgA, IgM, and IgG levels of all CD patients were normal. Responsiveness to HBV vaccination was observed in 17 (68%) CD patients and all (100%) control subjects (P = 0.006). In conclusion, CD should also be sought in unresponders to HBV vaccine who are not immunosuppressed. PMID- 18157639 TI - Implementing a new physician manager curriculum into a psychiatry residency training program: the change process, barriers and facilitators. AB - The Physician Manager role has been identified as an essential competency for physicians. There are only a small number of training programs throughout Canada and the USA that offer formal curricula aimed at preparing psychiatry residents for their early career as Physician Managers. Given the expressed need arising from a wide range of stakeholders, our group at the University of Toronto embarked on the process of developing a Physician Manager curriculum for residents in psychiatry. This article describes the process we undertook to facilitate this curricular change, with a focus on select concepts in change management as it applies to curricular change, and the associated barriers and facilitators. Additionally, the article focuses on the role of the psychiatrist in the process. PMID- 18157640 TI - Addressing the need for access to culturally and linguistically appropriate HIV/AIDS prevention for Latinos. AB - This article reports a comprehensive national needs assessment of Latinos' access to HIV/AIDS prevention and education services in 14 cities throughout the United States and Puerto Rico. Interviews and focus groups were conducted with Latinos who were HIV-positive and at risk for HIV infection. The study explored risk behaviors, access to health care services, and exposure to HIV prevention messages. Differences in predictors of risk behaviors were noted by sex. For women, increased age, being married, foreign-born, and a U.S. resident, and having tested for HIV previously, were associated with reduced HIV/AIDS risk. Thematic analysis of qualitative findings revealed limited awareness of risk factors, and a need for culturally and linguistically appropriate, family centered HIV/AIDS education incorporating Latino values. Findings were incorporated into culturally relevant brochures featuring vignettes and quotes. Brochures were distributed and evaluated by 71 community-based organizations (CBOs) in the U.S. and Latin America. Evaluators responded positively to the brochures, and Latino-serving organizations in 48 states now use them for HIV/AIDS prevention outreach and education. PMID- 18157641 TI - Utilization of mental health services among adolescents in community-based substance abuse outpatient clinics. AB - This study examined the rates and correlates of self-reported receipt for mental health services among 1,190 adolescents, aged 12-19, who were admitted to community-based substance abuse outpatient clinics and had a co-occurring mental health problem. Utilization of mental health service was ascertained 3 months post-intake. About one third (35%) of adolescents with a co-occurring mental health problem identified at intake received mental health service in the 3 months after treatment entry. After holding other correlates constant, history of mental health treatment, suicidal behavior, family history of mental disorder and insurance coverage at intake were associated with mental health service utilization at the 3-month follow up. Predictors of service utilization varied by gender and racial/ethnic status. Implications for integrated substance use and mental health services are discussed. PMID- 18157642 TI - Where should bulking agents for female urodynamic stress incontinence be injected? AB - For bulking agents used for female stress urinary incontinence, the recommendation for the anatomical placement varies as some injectables are to be placed close to the bladder neck and others midurethrally. Aim of the study was to determine if there are differences concerning the outcome after transurethral collagen injections depending on the anatomical placement midurethrally or at the bladder neck. We randomly assigned 30 elderly female patients with urodynamic stress incontinence to either transurethral collagen injection midurethrally or to the bladder neck. Prior to injection and at ten month follow-up, maximum urethral closure pressure (MUCP), functional urethral length (FUL), maximum flow rate and cough test were performed and the patient was asked to estimate her bladder condition using a visual analogue scale. Postoperative contentness was 8 (median, 95% confidence interval 5-9) in the midurethral group and 8 (median, 95% confidence interval 7-10) in the bladder neck group with a p value of 0.012, 95% confidence interval -2.464 to -0.2859, in favour to midurethral injections. MUCP and FUL increased significantly in both groups and flow rate decreased in both groups. Continence was 66.6% in the midurethral group and 60% for the bladder neck group respectively. Both midurethral and bladder neck collagen injections improve patients' satisfaction almost equally with a small advantage for midurethral injections. PMID- 18157643 TI - Infected midurethral tape presenting as an ischiorectal abscess. AB - This is the first reported case of an ischiorectal abscess after a midurethral intravaginal slingplasty (IVS). The patient presented with recurrent ischiorectal abscess which was initially thought to be an unusual presentation of a fistula in ano. Subsequent examination under anaesthesia, however, revealed a fistulous tract extending from the right postero-lateral perianal opening to the vagina where the tape was noted to be eroded and infected. The abscess healed only after removal of the source of infection i.e. the IVS tape. In this report, we also discuss the two main types of meshes used as midurethral slings, the ways in which they differ and the arguments for and against using them. PMID- 18157644 TI - Subclinical valvulitis in children with acute rheumatic Fever. AB - Doppler echocardiography facility is now available in most parts of the world and its routine use for the initial diagnosis of acute rheumatic fever (ARF) might enhance its early detection and, hence, prevention of rheumatic recurrences. To add to the existing evidence and to reemphasize the need of including echocardiography as a diagnostic criterion for ARF, we investigated the pattern and prevalence of subclinical valvulitis by Doppler echocardiography in patients with ARF manifesting as either pure chorea or isolated arthritis but without clinical signs of carditis. This prospective study was carried out in a single center over a period of 6 months (June to December 2006). Thirty patients with ARF, 16 males and 14 females, aged 4-15 years (mean: 10 +/- 3.2) presenting with either chorea or isolated arthritis were included by convenience sampling. Evidence of carditis as detected by echocardiography was present in 21 patients (70%). Chorea was the presenting feature in 19 patients (63%), followed by migratory polyarthritis in 11 (37%). Among patients with chorea, 13 (68%) had evidence of carditis. Mitral regurgitation (MR) was present in all 13, being isolated in 11 and with aortic regurgitation (AR) in 2 patients. In patients with migratory polyarthritis, 8 (73%) had evidence of carditis, all with isolated MR. Echocardiography detected subclinical valvulitis in at least 70% of patients with ARF presenting with either rheumatic chorea or migratory arthritis but no clinical evidence of carditis. MR was the predominant lesion present in all patients either in isolation (90%) or in combination with AR (10%). We suggest that Doppler echocardiography be performed in all patients with suspected ARF and evidence of subclinical valvulitis be used as a diagnostic criterion. PMID- 18157645 TI - An approach for evaluating the effectiveness of various ozone air quality standards for protecting trees. AB - We demonstrate an approach for evaluating the level of protection attained using a variety of forms and levels of past, current, and proposed Air Quality Standards (AQSs). The U.S. Clean Air Act requires the establishment of ambient air quality standards to protect health and public welfare. However, determination of attainment of these standards is based on ambient pollutant concentrations rather than prevention of adverse effects. To determine if a given AQS protected against adverse effects on vegetation, hourly ozone concentrations were adjusted to create exposure levels that "just attain" a given standard. These exposures were used in combination with a physiologically-based tree growth model to account for the interactions of climate and ozone. In the evaluation, we used ozone concentrations from two 6-year time periods from the San Bernardino Mountains in California. There were clear differences in the level of vegetation protection achieved with the various AQSs. Based on modeled plant growth, the most effective standards were the California 8-hr average maximum of 70 ppb and a seasonal, cumulative, concentration-weighted index (SUM06), which if attained, resulted in annual growth reductions of 1% or less. Least effective was the 1-hr maximum of 120 ppb which resulted in a 7% annual reduction. We conclude that combining climate, exposure scenarios, and a process-based plant growth simulator was a useful approach for evaluating effectiveness of current or proposed air quality standards, or evaluating the form and/or level of a standard based on preventing adverse growth effects. PMID- 18157646 TI - A long-term evaluation of the modified mesh-plug hernioplasty in over 2,000 patients. AB - BACKGROUND: A modified technique for mesh-plug hernioplasty is a long-term, safe and efficacious treatment for primary unilateral inguinal herniorrhaphy. METHODS: Prospective analysis of 2,038 patients who underwent primary unilateral hernioplasty from 1997 to 2005 at a private university medical center. A modified technique using a mesh-plug was performed under local anesthesia with intravenous sedation. The modified technique consisted of placing the mesh plug into the preperitoneal space and suture fixation of the plug using the inner petals. The main outcome measures were Surgical morbidity, postoperative recovery, hernia recurrence, and chronic pain. RESULTS: There were 1,265 indirect and 773 direct hernias. Mean operative time was 28 min; mean recovery room time, 47 min. A total of 1,936 (95%) returned to normal activities within 3 days. Only 367 patients (18%) required prescription pain medication. Nine patients (0.4%) have been treated for chronic pain. No mesh infections or mesh migration have occurred. Three recurrences (0.15%) have been detected with a 99% follow-up over 2-10 years (mean 72 months). CONCLUSION: The modified mesh-plug hernioplasty is a safe and efficacious treatment option for the primary unilateral inguinal hernia patient. PMID- 18157647 TI - Polymyalgia rheumatica as the manifestation of unclassified aortitis. AB - Polymyalgia rheumatica (PMR) frequently occurs with giant cell arteritis (GCA). We report here two cases of PMR with aortitis in the absence of diminished pulse and manifestations related to GCA. Contrasted CT, MR angiography, and F-18 deoxyglucose positron emission tomography showed aortitis without stenosis that is not classified into any of large vasculitides. It should be acknowledged that aortitis might present as PMR and imaging studies are recommended. PMID- 18157648 TI - Microsurgery plus whole brain irradiation versus Gamma Knife surgery alone for treatment of single metastases to the brain: a randomized controlled multicentre phase III trial. AB - BACKGROUND: Is Gamma Knife surgery alone as effective as surgery plus whole brain irradiation (WBRT) for patients with a single, small-sized brain metastasis? METHODS: Patients aged between 18 and 80 years harboring a single, resectable metastasis < or =3 cm in diameter, a Karnofsky performance score (KPS) > or =70, and a stable systemic disease were randomly assigned to microsurgery plus WBRT or Gamma Knife surgery alone. The primary end point was length of survival, secondary end points were recurrence of tumor in the brain, health related quality of life, and treatment related toxicity. RESULTS: Due to poor patient accrual, the study was stopped prematurely. The final analysis was based on 33 patients in the surgery and 31 patients in the radiosurgery group. Treatment results did not differ in terms of survival (P = 0.8), neurological death rates (P = 0.3), and freedom from local recurrence (P = 0.06). Patients of the radiosurgery group experienced more often distant recurrences (P = 0.04); after adjustment for the effects of salvage radiosurgery this difference was lost (P = 0.4). Radiosurgery was associated with a shorter hospital stay, less frequent and shorter timed steroid application (P < or = 0.001), and lower frequency of grade 1/2 toxicities (according to the RTOG/EORTC CNS toxicity criteria, P < or = 0.01). Improved scores for role functioning and quality of life were seen 6 weeks after radiosurgery (P < 0.05); this difference was lost 6 months after treatment. CONCLUSIONS: In patients harboring a single, small-sized metastasis, Gamma Knife surgery alone is less invasive; local tumor control seems to be as high as after surgery plus WBRT. Distant tumor control, however, is significantly less frequently achieved (after radiosurgery alone). The role of radiosurgical salvage therapy (alternatively to WBRT) for distant tumor control deserves further prospective evaluation. PMID- 18157649 TI - Regucalcin is expressed in rat mammary gland and prostate and down-regulated by 17beta-estradiol. AB - Regucalcin is involved in maintenance of calcium homeostasis due to the activation of Ca2+ pumping enzymes in the plasma membrane. It has a suppressive effect in cell proliferation, DNA and RNA synthesis, and may be associated with the abnormal cell division on tumor tissues. On the other hand both estrogens and Ca2+ are implicated in breast and prostate cancer but there are no studies focused on the expression of regucalcin in rat mammary gland or prostate. Furthermore, it is known that the expression of regucalcin in rat liver and kidney is regulated by 17beta-estradiol (E2). The aim of this study is to analyze if regucalcin is expressed in rat mammary gland and prostate and if it is regulated by E2 in these tissues. We demonstrated for the first time that regucalcin mRNA and protein are present in rat mammary gland and prostate by in situ hybridization and immunohistochemistry, respectively. Furthermore, we show by Real-time PCR that E2 down-regulates regucalcin expression in rat mammary gland and prostate. PMID- 18157650 TI - Impact of land use and land cover changes on ecosystem services in Menglun, Xishuangbanna, Southwest China. AB - Changing the landscape has serious environmental impacts affecting the ecosystem services, particularly in the tropics. In this paper, we report changes in ecosystem services in relation to land use and land cover over an 18-year period (1988--2006) in the Menglun Township, Xishuangbanna, Southwest China. We used Landsat TM/ETM and Quickbird data sets to estimate changes in ten land use and land cover categories, and generalized value coefficients to estimate changes in the ecosystem services provided by each land category. The results showed that over the 18-year period, the land use and land cover in the study area experienced significant changes. Rubber plantations increased from 12.10% of total land cover to 45.63%, while forested area and swidden field decreased from 48.73 and 13.14 to 27.57 and 0.46%, respectively. During this period, the estimated value of ecosystem services dropped by US $11.427 million (approximately 27.73%). Further analysis showed that there were significant changes in ecological functions such as nutrient cycling, erosion control, climate regulation and water treatment as well as recreation; the obvious increase in the ecological function is provision of raw material (natural rubber). Our findings conclude that an abrupt shift in land use from ecologically important tropical forests and traditionally managed swidden fields to large scale rubber plantations result in a great loss of ecosystem services in this area. Further, the study suggests that provision of alternative economic opportunities would help in maintaining ecosystem services and for an appropriate compensation mechanisms need to be established based on rigorous valuation. PMID- 18157651 TI - Qualitative evaluation of Kanhan river and its tributaries flowing over central Indian plateau. AB - Water quality evaluation of Kanhan river and its tributaries viz. Pench and Nag rivers was carried out in order to assess the qualitative changes and possibility of point and non-point pollution loads in these rivers for the post monsoon and summer seasons. pH, turbidity, conductivity, total alkalinity and total hardness were found in the range 7.18.7, 0.835 (NTU), 227970 (microScm(-1)), 7.18.7, 158486 (mg/L) and 142246 (mg/L), respectively. Ca, Mg, Na and K were in the range 2462, 1328, 15183 and 333 mg/L, respectively. The respective ranges of Cl, SO(4), NO(3) and PO(4) were observed between 19102, 823, 332 and 0.11.4 mg/L. DO and COD in the rivers ranged between nil to 8.5 and 7172 mg/L, respectively. Absence of DO and higher COD in Nag river is due to its sewage content from Nagpur city. Nag river showed higher bacterial counts than Kanhan and Pench rivers. The temporal and spatial variability in the river water quality may be attributed to catchment characteristics, agricultural and urban activities in catchment and on the bank of the river. The values of RSC, ESP and SAR indicated that the water of Kanhan and Pench rivers are suitable, whereas that of Nag river is unsuitable for irrigation purpose. PMID- 18157652 TI - The environment, epigenetics and amyloidogenesis. AB - Alzheimer's Disease (AD) is a progressive, irreversible neurodegenerative disease. Despite several genetic mutations (Haass et al., J. Biol. Chem. 269:17741-17748, 1994; Ancolio et al., Proc. Natl. Acad. Sci. USA 96:4119-4124, 1999; Munoz and Feldman, CMAJ 162:65-72, 2000; Gatz et al., Neurobiol. Aging 26:439-447, 2005) found in AD patients, more than 90% of AD cases are sporadic (Bertram and Tanzi, Hum. Mol. Genet. 13:R135-R141, 2004). Therefore, it is plausible that environmental exposure may be an etiologic factor in the pathogenesis of AD. The AD brain is characterized by extracellular beta-amyloid (Abeta) deposition and intracellular hyperphosphorylated tau protein. Our lab has demonstrated that developmental exposure of rodents to the heavy metal lead (Pb) increases APP (amyloid precursor protein) and Abeta production later in the aging brain (Basha et al., J. Neurosci. 25:823-829, 2005a). We also found elevations in the oxidative marker 8-oxo-dG in older animals that had been developmentally exposed to Pb (Bolin et al., FASEB J. 20:788-790, 2006) as well as promotion of amyloidogenic histopathology in primates. These findings indicate that early life experiences contribute to amyloidogenesis in old age perhaps through epigenetic pathways. Here we explore the role of epigenetics as the underlying mechanism that mediates this early exposure-latent pathogenesis with a special emphasis on alterations in the methylation profiles of CpG dinucleotides in the promoters of genes and their influence on both gene transcription and oxidative DNA damage. PMID- 18157653 TI - The role of the prion protein in the molecular basis for synaptic plasticity and nervous system development. AB - The cellular prion protein (PrP(C)) is found prominently at the synapse. However, its role at the nerve termini and elsewhere is unknown. Here we discuss research presented at the 2005 International Institute for Complex Adaptive Matter (I2CAM) first Annual Amyloid Conference that provides insight into the role of synaptic PrP(C). The prion protein can interact and facilitate copper uptake at the synapse, is presumed to oligodimerize to facilitate putative cell-cell adhesion, and it transports toward the synapse by fast microtubule-based anterograde transport. While PrP(C) appears to be involved in all these processes, the mechanisms of PrP(C) function in each of them remain unclear. A role for PrP(C) in these distinct processes suggests a complex role for this protein at the synapse. Unraveling PrP(C) function will likely entail employing combined approaches that take into account its possible multifaceted functions. PMID- 18157654 TI - Origins and effects of extracellular alpha-synuclein: implications in Parkinson's disease. AB - Misfolding and abnormal aggregation of the neuronal protein alpha-synuclein has been implicated in the pathogenesis of Parkinson's disease and related neurological disorders, such as dementia with Lewy bodies. alpha-synuclein is a conventional cytosolic protein and is thought to exert its pathogenic function exclusively in the neuronal cytoplasm in a cell-autonomous manner. However, the current model is being challenged by a series of new observations that demonstrate the presence of alpha-synuclein and its aggregated forms in the extracellular fluid both in vivo and in vitro. Extracellular alpha-synuclein appears to be delivered by unconventional exocytosis of intravesicular alpha synuclein, although the exact mechanism has not been characterized. Compared to the cytosolic alpha-synuclein, intravesicular alpha-synuclein is prone to aggregation and the potential source of extracellular aggregates. A number of tissue culture studies suggest that exposure to extracellular alpha-synuclein aggregates induces microglial activation, release of pro-inflammatory cytokines from astrocytes, and neurotoxicity. Thus, exocytosis of alpha-synuclein may be an important mechanism for amplifying and spreading degenerative changes from a small group of cells to its surrounding tissues, and it potentially provides therapeutic targets for halting the progression of the disease. PMID- 18157656 TI - Studies on the role of amino acid stereospecificity in amyloid beta aggregation. AB - Amyloid beta (Abeta) deposition and neurodegeneration are the two related events in the pathogenesis of Alzheimer's disease. Several factors modulate the conformation and physical properties of Abeta, which in turn affects its biological functions. Among these, age-dependent changes in the stereospecificity of the amino acids comprising Abeta is one such factors. In the present study, we investigated the aggregation property of Abeta as a function of the stereospecificity of amino acids comprising the peptide. We carried out our study by comparing the physical properties of Abeta(1-40) all-L and Abeta(1-40) all-D enantiomers using various biophysical techniques. These results indicated that the aggregation and folding parameters of Abeta are stereospecific and the aggregation property strongly depends upon the amino acid sequence and their stereospecificity. This may possibly help to understand the stereospecific role of amino acids comprising Abeta in its aggregation and its relevance to neurodegeneration. PMID- 18157655 TI - Protein quality control in neurodegeneration: walking the tight rope between health and disease. AB - Most neurodegenerative disorders are characterised by deposits of aggregated proteins that are readily visualised by light microscopy. Although the presence of such a bulky structure inside the cell or in the extracellular space is likely not to be healthy, over recent years the idea has emerged that these end-stage aggregates are a relatively safe way to deposit harmful aberrant proteins. Protein quality control is a multi-level security system to safeguard cells from aberrant proteins and is therefore a protective response. However, protein quality control may turn destructive in case of impairment of protein quality control for example by aging or because of overflow of the quality control systems due to prolonged exposure. In many cases the medicine is worse than the cause and the "protective" response of the cell to aggregates kills the cell, rather than the aggregate itself. Here we review the role of protein quality control in neurodegeneration and aim to distinguish protective and destructive responses to aggregates in order to find targets for therapeutic intervention. PMID- 18157657 TI - ApoE distribution and family history in genetic prion diseases in Germany. AB - We analyzed the ApoE genotype in patients with genetic prion diseases (gPD) with respect to family history (FH) of dementia/prion disease (PD) compared to non demented controls. Fifty-nine gPD patients and 51 sex-/age-matched controls were included. A positive FH of dementia and PD (PFH) were evaluated. The prion protein gene (PRNP) codon 129 and ApoE genotype were determined by polymerase chain reaction (PCR). The frequency of FH of neurodegenerative disorder/prion disease/dementia varied in different PRNP mutations. PFH was found in 87% of D178N patients, but was rarer in others. Although the ApoE genotype distribution was not significantly different between gPD patients and controls, the protective E2 alleles were more frequent in controls than in patients without a PFH and even less frequent in those with a PFH (18, 16, and 11%). E4 alleles as a risk factor of Alzheimer's disease were more common in controls and patients with a PFH than in those without PFH (25, 21, and 13%). No effect of the codon 129 genotype was detected. Only about two-thirds of gPD patients had PFH of PD, while in one third, PFH of slowly progressive dementia was reported. Underreporting of PFH of gPD may play a role; however, the varying PFH frequency across various mutations is not explained by this factor only. PMID- 18157658 TI - Diffusion tensor imaging (DTI)-based white matter mapping in brain research: a review. AB - Diffusion tensor imaging (DTI) has become one of the most popular MRI techniques in brain research, as well as in clinical practice. The number of brain studies with DTI is growing steadily and, over the last decade, has produced more than 700 publications. Diffusion tensor imaging enables visualization and characterization of white matter fascicli in two and three dimensions. Since the introduction of this methodology in 1994, it has been used to study the white matter architecture and integrity of the normal and diseased brains (multiple sclerosis, stroke, aging, dementia, schizophrenia, etc.). Although it provided image contrast that was not available with routine MR techniques, unique information on white matter and 3D visualization of neuronal pathways, many questions were raised regarding the origin of the DTI signal. Diffusion tensor imaging is constantly validated, challenged, and developed in terms of acquisition scheme, image processing, analysis, and interpretation. While DTI offers a powerful tool to study and visualize white matter, it suffers from inherent artifacts and limitations. The partial volume effect and the inability of the model to cope with non-Gaussian diffusion are its two main drawbacks. Nevertheless, when combined with functional brain mapping, DTI provides an efficient tool for comprehensive, noninvasive, functional anatomy mapping of the human brain. This review summarizes the development of DTI in the last decade with respect to the specificity and utility of the technique in radiology and anatomy studies. PMID- 18157659 TI - Molecular cloning and characterization of the zebrafish (Danio rerio) telomerase catalytic subunit (telomerase reverse transcriptase, TERT). AB - Telomerase is an enzyme composed of a catalytic subunit (TERT) and RNA template (TR), which specifically elongates telomeres and prevents cellular senescence. Although telomerase cannot be detected in most human somatic tissues, including the nervous system, it can be detected in teleost tissues. To facilitate the investigation of telomerase function in the teleost visual system, the coding sequence of zebrafish TERT is revealed and cloned. Immunoblot, immunohistochemistry, reverse transcription polymerase chain reaction (RT-PCR), and telomeric repeats amplification protocol (TRAP) assay are used to assess the expression of telomerase at mRNA, protein, and functional levels in zebrafish retina. Based on the amino acid sequence of mouse TERT, a full-length telomerase reverse transcriptase cDNA of zebrafish has been isolated and cloned. The deduced protein sequence contains 1,091 amino acid residues and a predicted molecular mass of 126 kDa. Multiple alignment shows that the protein sequence contains the conserved motifs and residues found in TERT of other species. RT-PCR and TRAP assay has detected TERT mRNA expression and telomerase activity, respectively, in all tissues examined, including the retina and the brain. The presence of telomerase activity indicates that a fully functional form of telomerase can be found in the retina. Immunohistochemistry reveals that most neurons in zebrafish retina express TERT in the cell nucleus. The presence of telomerase in different tissues may be associated with the indeterminate growth of teleost. However, teleost retinal neurons are post-mitotic and do not further divide under normal situation. The expression of telomerase activity and TERT in retina implies that telomerase has functions other than the elongation of telomere. These findings could provide new insights on telomerase function in the nervous system. PMID- 18157660 TI - Involvement of CAPON and nitric oxide synthases in rat muscle regeneration after peripheral nerve injury. AB - Carboxy-terminal PDZ ligand of nNOS (CAPON) protein, as an adaptor, binds to nNOS via the PDZ domain helping regulate neuronal nitric oxide synthase (nNOS) activity at post-synaptic sites in neurons (Jaffrey et al., Neuron, 20, 115-124, 1998). Recently, it has been reported that CAPON is present in mouse muscle and may be involved in mouse muscle growth, injury, and repair possibly by regulating the stability, activity, or position of nNOS (Segalat et al., Experimental Cell Research, 302, 170-179, 2005). The present study was to explore the expression patterns and roles of CAPON as well as NOS in rat muscle regeneration after nerve injury. Normal Sprague-Dawley rats were subjected to right sciatic nerve crush injury. Walking track analysis, real time polymerase chain reaction, Western blotting, in situ hybridization, immunocytochemistry, and co-immunoprecipitation techniques were used. It revealed that CAPON mRNA increased, which peaked on days 1 and 28, whereas nNOS mRNA underwent a downregulation in the ipsilateral gastrocnemius muscles after sciatic nerve injury. Their proteins approximately paralleled the mRNA expression. CAPON and nNOS were identified in the activated satellite cells or myotubes and their in vivo interaction was verified. However, eNOS and iNOS proteins suffered an upregulation and were detected in activated satellite cells or myotubes. These data suggest that CAPON and all these three isoforms of NOS might be involved in muscle regeneration after nerve injury. Further study is necessary for a better understanding of the potential functional link between CAPON, NOS, and muscle regeneration, with possible application to therapy for skeletal muscle repair from nerve injury. PMID- 18157661 TI - The effects of type 1 diabetes on cerebral white matter. AB - AIM/HYPOTHESIS: Studies investigating the structure, neurophysiology and functional outcomes of white matter among type 1 diabetes patients have given conflicting results. Our aim was to investigate the relationship between type 1 diabetes and white matter hyperintensities. METHOD: We assessed white matter integrity (using magnetic resonance imaging), depressive symptoms and neuropsychological function in 114 type 1 diabetes patients and 58 age-matched non-diabetic controls. RESULTS: Only Fazekas grade 1 and 2 white matter hyperintensities were found among 114 long-duration, relatively young diabetes patients; the severity of lesions did not differ substantially from 58 healthy controls. White matter hyperintensities were not associated with depressive history or with clinical characteristics of diabetes, including retinopathy, severe hypoglycaemia or glycaemia control. CONCLUSIONS/INTERPRETATION: Our data do not support an association between diabetes characteristics and white matter hyperintensities among relatively young type 1 diabetes participants. PMID- 18157662 TI - Intra-abdominal hypertension and acute renal failure in critically ill patients. AB - OBJECTIVE: To investigate the relationship between intra-abdominal hypertension (IAH) and acute renal failure (ARF) in critically ill patients. DESIGN AND SETTING: Prospective, observational study in a general intensive care unit. PATIENTS: Patients consecutively admitted for >24 h during a 6-month period. INTERVENTIONS: None. MEASUREMENTS AND RESULTS: Intra-abdominal pressure (IAP) was measured through the urinary bladder pressure measurement method. The IAH was defined as a IAP > or =12 mmHg in at least two consecutive measurements performed at 24-h intervals. The ARF was defined as the failure class of the RIFLE classification. Of 123 patients, 37 (30.1%) developed IAH. Twenty-three patients developed ARF (with an overall incidence of 19%), 16 (43.2%) in IAH and 7 (8.1%) in non-IAH group (p<0.05). Shock (p<0.001), IAH (p=0.002) and low abdominal perfusion pressure (APP; p=0.046) resulted as the best predictive factors for ARF. The optimum cut-off point of IAP for ARF development was 12 mmHg, with a sensitivity of 91.3% and a specificity of 67%. The best cut-off values of APP and filtration gradient (FG) for ARF development were 52 and 38 mmHg, respectively. Age(p=0.002), cumulative fluid balance (p=0.002) and shock (p=0.006) were independent predictive factors of IAH. Raw hospital mortality rate was significantly higher in patients with IAH; however, risk-adjusted and O/E ratio mortality rates were not different between groups. CONCLUSIONS: In critically ill patients IAH is an independent predictive factor of ARF at IAP levels as low as 12 mmHg, although the contribution of impaired systemic haemodynamics should also be considered. PMID- 18157663 TI - Electrochemical sensor with flavin-containing monooxygenase for triethylamine solution. AB - A bioelectronic sensor for triethylamine (TEA) was developed with a flavin containing monooxygenase type 3 (FMO-3). The TEA biosensor consisted of a Clark type dissolved-oxygen electrode and an FMO-3 immobilized membrane. The FMO-3 solution was mixed with a poly(vinyl alcohol) containing stilbazolium groups (PVA SbQ), coated on to the dialysis membrane, and the membrane was irradiated with a fluorescent light to immobilize the enzyme. In order to amplify the biosensor output, a substrate regeneration cycle, obtained by coupling the monooxygenase with L-ascorbic acid (AsA) as reducing reagent system, was applied. The effect of pH on the determination of TEA was studied. The maximum response was achieved at pH >9.0. A drop of the phosphate buffer solution with the AsA was put on the sensing area of the oxygen electrode, and the FMO-3 immobilized membrane was placed on the oxygen electrode and covered with a supporting Nylon mesh net which was secured with a silicone O-ring. A measurement system for TEA solution was constructed using the FMO-3 biosensor, a personal computer, a computer-controlled potentiostat, and an A/D converter. The FMO-3 biosensor was used to measure TEA solution from 0.5 to 4.0 mmol L(-1) with 10.0 mmol L(-1) AsA. The biosensor also had good reproducibility, for example a 6.31% coefficient of variation for five measurements, and the output current was maintained over a few hours. In order to improve the selectivity of the TEA biosensor, three type of biosensor with FMO isomer types 1, 3, and 5 were constructed and used to measure nitrogen and sulfur compounds. The outputs of the isomer biosensors indicated individual patterns for each sample solution. The selectivity of TEA biosensor would be improved, and determination of sulfur and nitrogen compounds would be possible, by using the different output of biosensors prepared from different FMO isomers. PMID- 18157664 TI - Online UV-visible spectroscopy and multivariate curve resolution as powerful tool for model-free investigation of laccase-catalysed oxidation. AB - The laccase-catalysed transformation of indigo carmine (IC) with and without a redox active mediator was studied using online UV-visible spectroscopy. Deconvolution of the mixture spectra obtained during the reaction was performed on a model-free basis using multivariate curve resolution (MCR). Thereby, the time courses of educts, products, and reaction intermediates involved in the transformation were reconstructed without prior mechanistic assumptions. Furthermore, the spectral signature of a reactive intermediate which could not have been detected by a classical hard-modelling approach was extracted from the chemometric analysis. The findings suggest that the combined use of UV-visible spectroscopy and MCR may lead to unexpectedly deep mechanistic evidence otherwise buried in the experimental data. Thus, although rather an unspecific method, UV visible spectroscopy can prove useful in the monitoring of chemical reactions when combined with MCR. This offers a wide range of chemists a cheap and readily available, highly sensitive tool for chemical reaction online monitoring. PMID- 18157665 TI - In situ application of a cellulose bag and an ion exchanger for differentiation of labile and inert metal species in aquatic systems. AB - This work involved the development and application of a new analytical procedure for in-situ characterization of the lability of metal species in aquatic systems by using a system equipped with a diffusion membrane and cellulose organomodified with p-aminobenzoic acid groups (DM-Cell-PAB). To this end, the DM-Cell-PAB system was prepared by adding cellulose organomodified with p-aminobenzoic acid groups (Cell-PAB) to pre-purified cellulose bags. After the DM-Cell-PAB system was sealed, it was examined in the laboratory. The in-situ application involved immersing the DM-Cell-PAB system in two different rivers, enabling us to study the relative lability of metal species (Cu, Cd, Fe, Mn, and Ni) as a function of time and quantity of exchanger. The procedure is simple and opens up a new perspective for understanding environmental phenomena relating to the complexation, transport, stability, and lability of metal species in aquatic systems rich in organic matter. PMID- 18157666 TI - Whole-cell luminescence-based flow-through biodetector for toxicity testing. AB - A new type of biodetector was designed based on a bioluminescence test with the bacterium Vibrio fischeri performed in a liquid continuous flow-through system. Here we describe the modification of a commercial tube luminescence detector to work in the flow mode by building a new flow cell holder and a new case including "top cover" to connect the flow cell with the waste and the incubation capillary in a light-proof manner. As different samples were injected successively it was necessary to keep the individual peaks separated. This was done using an air segmented flow in the reaction coil. To afford fast screening, the incubation time of the sample and the Vibrio fischeri, which equaled the dead time of the detection system, was set at 5.6 min. Rapid monitoring of toxic substances is achieved by using 20 microL of sample and flow-rates of 110-150 microL min(-1). As a proof-of-principle, we show results for the detection of five selected di-, tri- and tetrachlorophenols at different concentrations varying from 1 to 200 mg L(-1). Calculation of inhibition rates and EC50 values were performed and compared with corresponding values from the DIN EN ISO 11348-2 microplate format. Compared with the latter, the inhibition rates obtained with our flow-through biodetector for the compounds tested were generally about twofold lower, but importantly, a much faster detection is possible. PMID- 18157667 TI - Complementary molecular and elemental detection of speciated thioarsenicals using ESI-MS in combination with a xenon-based collision-cell ICP-MS with application to fortified NIST freeze-dried urine. AB - The simultaneous detection of arsenic and sulfur in thioarsenicals was achieved using xenon-based collision-cell inductively coupled plasma (ICP) mass spectrometry (MS) in combination with high-performance liquid chromatography. In an attempt to minimize the (16)O(16)O(+) interference at m/z 32, both sample introduction and collision-cell experimental parameters were optimized. Low flow rates (0.25 mL/min) and a high methanol concentration (8%) in the mobile phase produced a fourfold decrease in the m/z 32 background. A plasma sampling depth change from 3 to 7 mm produced a twofold decrease in background at m/z 32, with a corresponding fourfold increase in the signal associated with a high ionization surrogate for sulfur. The quadrupole bias and the octopole bias were used as a kinetic energy discriminator between background and analyte ions, but a variety of tuning conditions produced similar (less than twofold change) detection limits for sulfur ((32)S). A 34-fold improvement in the (32)S detection limit was achieved using xenon instead of helium as a collision gas. The optimized xenon based collision cell ICP mass spectrometer was then used with electrospray ionization MS to provide elemental and molecular-based information for the analysis of a fortified sample of NIST freeze-dried urine. The 3sigma detection limits, based on peak height for dimethylthioarsinic acid (DMTA) and trimethylarsine sulfide (TMAS), were 15 and 12 ng/g, respectively. Finally, the peak area reproducibilities (percentage relative standard deviation) of a 5-ppm fortified sample of NIST freeze dried urine for DMTA and TMAS were 7.4 and 5.4%, respectively. PMID- 18157668 TI - Diamond-like carbon films for polyethylene femoral parts: Raman and FT-IR spectroscopy before and after incubation in simulated body liquid. AB - In artificial prosthetics for knee, hip, finger or shoulder joints, ultrahigh molecular weight polyethylene (UHMW-PE) is a significant material. Several attempts to reduce the wear rate of UHMW-PE, i.e. the application of suitable coatings, are in progress. A surface modification of polyethylene with wear resistant hydrogenated diamond-like carbon is favourable, owing to the chemical similarity of polyethylene (-C-H(2)-)(n) and C:H or amorphous C:H (a-C:H) coatings with diamond-like properties. In the present study, the microstructure of a-C:H coatings on UHMW-PE substrates was investigated by Raman and Fourier transform infrared (FT-IR) spectroscopy. FT-IR spectroscopy shows very broad absorption lines, which point to the disorder and diversity of different symmetric, asymmetric aromatic, olefin sp(2)-hybridized or sp(3)-hybridized C-H groups in the amorphous diamond-like carbon coating. Following a long incubation of 12 months in a simulated body liquid, the structural investigations were repeated. Furthermore, fractured cross-sections and the wetting behaviour with polar liquids were examined. After incubation in simulated body liquid, Raman spectroscopy pointed to a reduction of the C-H bonds in the diamond-like carbon coatings. On the basis of these findings, one can conclude that hydrogenated diamond-like carbon is able to interact with salt solutions by substituting the hydrogen with appropriate ions. PMID- 18157669 TI - Force microscopy analysis using chemometric tools. AB - In this paper we report the first application of multivariate data analysis techniques to force spectrometry measurement sets to enable the physicochemical assignment of spatially ordered multi-component systems. Principal component analysis (PCA) and hierarchical clustering techniques were used to reveal hidden chemical information within force-distance curves generated by high spatial resolution force microscopy. Two experimental samples were analyzed: (i) a two component system of cytochrome c proteins on a mica surface, and (ii) a three component system of avidin protein islands positioned on a gold and glass surface. PCA and hierarchical clustering techniques were used to discriminate the different components of the two-component system, whereas hierarchical clustering was found to be superior for the three-component system. Results were in good agreement with the topography and prior knowledge of the surface patterns. This research represents a formative step towards the combination of force spectrometry with chemometric tools for the high resolution physicochemical investigation of complex biochemical systems. PMID- 18157670 TI - Walking performance and its recovery in chronic stroke in relation to extent of lesion overlap with the descending motor tract. AB - We investigated the association between the degree of lesion overlap with the corticospinal tract and walking performance before and after 4-weeks of partial body weight support (PBWS) treadmill training in 18 individuals (ten male, eight female) with a mean age 59 +/- 13 years (mean +/- SD), range 32-74 years, who were ambulant and 6 months from a subcortical ischaemic stroke. Lesion volumes were manually defined on high resolution T1-weighted 3T-MRI scans and a probabilistic map of the corticospinal tract created using diffusion tensor imaging data collected previously in healthy subjects. The percentage overlap between the lesion and the corticospinal tract was calculated for each patient. Walking performance was determined by measures of 10 m speed, spatiotemporal parameters, percentage recovery of centre of mass (CoM), walking symmetry and 2 min endurance walk prior to and following 4 weeks of treadmill training with PBWS that emphasised normal fast walking. Lesion overlap measures weakly correlated with walking performance measures. Spatiotemporal and performance measures changed in response to training, but spatial symmetry and mechanical energy recovery did not. Walking speed at entry to the study predicted change in response to training of 10 m walk time and swing time asymmetry. Age and lesion overlap did not add to prediction of outcome models. The extent of lesion overlap with the corticospinal tract was not strongly associated with either walking performance or response to gait retraining, despite the correlation of these parameters with upper limb recovery. PMID- 18157671 TI - Trends in the consumption of opioid analgesics in Spain. Higher increases as fentanyl replaces morphine. AB - OBJECTIVE: During the past few years there have been changes in the availability of opioids in Spain, and new policies on palliative care have been implemented. The aim of this study was to describe the new pattern of opioid consumption in Spain and the associated economic impact. METHODS: A search in the ECOM (Especialidades Consumo de Medicamentos) database of the Ministry of Health and Consumer Affairs for the 1992-2006 period was carried out. This database contains information on prescriptions of primary care medicines that are covered by the National Health System in Spain. RESULTS: Since 1992, overall opioid consumption has increased 14-fold, from 0.3 DDD/1000 inhabitants per day to 4.4 DDD/1000 inhabitants per day. For the six drugs that require a special prescription form- morphine, methadone, oxycodone pethidine, tilidine and fentanyl--consumption increased from 0.1 DDD/1000 inhabitants per day in 1992 to 1.2 in 2006. During this same period, the total costs of these prescriptions increased by 36.8-fold, and the cost per day and per patient doubled. CONCLUSION: A huge increase in opioid consumption has occurred during the time period covered by this study, with fentanyl consumption accounting for most of that increase. Although oral morphine is the first-choice drug among strong opioids, fentanyl is currently the most consumed. PMID- 18157672 TI - Angioleiomyoma in the palm of an 11-year-old boy. AB - Angioleiomyoma is a solitary form of leiomyoma that usually occurs as a painful subcutaneous lesion, with a predilection for the lower extremities of middle-aged women. In this report the case of an 11-year-old boy with angioleiomyoma mimicking giant cell tumor of the tendon sheath (GCTTS) in the palm is presented. After marginal excision of the tumor, histopathologic and immunohistochemical studies confirmed a typical case of angioleiomyoma and ruled out the preoperative diagnosis of GCTTS. There was no evidence of local recurrence at the 1-year follow-up examination. PMID- 18157674 TI - Topical steroid application versus circumcision in pediatric patients with phimosis: a prospective randomized placebo controlled clinical trial. AB - OBJECTIVES: Topical steroids have been advocated as an effective alternative treatment to circumcision in boys with phimosis. We evaluated the effectiveness of topical steroid therapy compared to a placebo neutral cream in 240 patients with phimosis. METHODS: A prospective study was carried out over a 24-months period, on an out-patient basis on two groups of patients with phimosis. One hundred twenty patients applied a steroid cream twice a day for 4 weeks, and another group of 120 pts used a placebo cream twice a day for 4 weeks. Patients were assigned to either group by a computer-generated random choice. RESULTS: All patients in our series completed the two treatment periods without interruption. At a median follow-up of 20 months (6-30 months) therapeutic success was obtained in 43.75% (99/240) of cases, independently of the protocol. In particular, therapeutic success was obtained in 65.8% (79/120) of cases in the steroids group and in 16.6% (20/120) of cases in the placebo group, the difference being statistically significant (P < 0.0001, Mann-Withney test). CONCLUSION: Our study shows that topical steroids represent a good alternative to surgery in case of phimosis. Steroid therapy using monometasone furoate 0.1% in our series gave better results that placebo with an overall efficacy of 65.8%. In patients where a phimotic ring persist after steroid therapy, circumcision is mandatory. PMID- 18157673 TI - Peptides mimicking GD2 ganglioside elicit cellular, humoral and tumor-protective immune responses in mice. AB - INTRODUCTION: Because of its restricted distribution in normal tissues and its high expression on tumors of neuroectodermal origin, GD2 ganglioside is an excellent target for active specific immunotherapy. However, GD2 usually elicits low-titered IgM and no IgG or cellular immune responses, limiting its usefulness as a vaccine for cancer patients. We have previously shown that anti-idiotypic monoclonal antibody mimics of GD2 can induce antigen-specific humoral and cellular immunity in mice, but inhibition of tumor growth by the mimics could not be detected. METHODS AND RESULTS: Here, we isolated two peptides from phage display peptide libraries by panning with GD2-specific mAb ME361. The peptides inhibited binding of the mAb to GD2. When coupled to keyhole limpet hemocyanin (KLH) or presented as multiantigenic peptides in QS21 adjuvant, the peptides induced in mice antibodies binding specifically to GD2 and delayed-type hypersensitive lymphocytes reactive specifically with GD2-positive D142.34 mouse melanoma cells. Induction of delayed-type hypersensitivity (DTH) reaction was dependent on CD4-positive lymphocytes. The immunity elicited by the peptides significantly inhibited growth of GD2-positive melanoma cells in mice. CONCLUSION: Our study suggests that immunization with peptides mimicking GD2 ganglioside inhibits tumor growth through antibody and/or CD4-positive T cell mediated mechanisms. Cytolytic T lymphocytes most likely do not play a role. Our results provide the basis for structural analysis of carbohydrate mimicry by peptides. PMID- 18157675 TI - Local differences in sweat secretion from the head during rest and exercise in the heat. AB - The importance of the head in dissipating body heat under hot conditions is well recognised, although very little is known about local differences in sweat secretion across the surface of the head. In this study, we focused on the intra segmental distribution of head sweating. Ten healthy males were exposed to passive heating and exercise-induced hyperthermia (36 degrees C, 60% relative humidity, water-perfusion suit: 46 degrees C), with ventilated sweat capsules (3.16 cm(2)) used to measure sweat rates from the forehead and nine sites inside the hairline. Sweat secretion from both non-hairy (glabrous) and hairy areas of the head increased linearly with increments in work rate and core temperature, with heart rate and core temperature peaking at 175 b min(-1) (+/-6) b min(-1) and 39.2 degrees C (+/-0.1). The mean sweat rate during exercise for sites within the hairline was 1.95 mg cm(-2) min(-1). However, the evolution of this secretion pattern was not uniformly distributed within the head, with the average sweat rate for the top of the head being significantly lower than at the anterior lateral aspect of the head (P < 0.05), and representing only 30% of the forehead sweat rate (P < 0.05). It is hypothesised that these intra-segmental observations may reflect variations in the local adaptation of eccrine glands to differences in local evaporation associated either with bipedal locomotion, which will influence forehead sweating, or the hidromeiotic suppression of sweating, which impacts upon sweat glands within the hairline. PMID- 18157677 TI - Obtaining the Morse parameter for large bond-stretching using Murrell-Sorbie parameters. AB - Although the second derivative approach has been shown to provide good parameter relationships between any two interatomic potential functions, these relations are valid only at and near the equilibrium point. Arising from the significant discrepancy between connected potential functions for large stretching of covalent bonds by the second derivative approach, an integral approach is developed herein. By equating interatomic energy integral from equilibrium to bond dissociation, the overall discrepancy is minimized for that range between the Morse and Murrell-Sorbie potential functions. Plotted results reveal two observations. First of all, the second derivative approach is appropriate for bond compression and infinitesimal bond stretching, while the integral approach is more suitable when the extent of bond stretching is significant. Secondly, the Morse function exactly fits the Murrell-Sorbie curve when the Morse shape parameters based on the second derivative and integral approaches are equal. Hence a criterion for determining the accuracy level of Murrell-Sorbie parameters for conversion to Morse parameter is established. Finally, a demonstration was made for cases where a clear discrepancy was observed in the potential energy curves. It was found that the integral approach gives a more conservative and more realistic interatomic force curve than those of derivative approach. PMID- 18157676 TI - Allelic variation of the Waxy gene in foxtail millet [Setaria italica (L.) P. Beauv.] by single nucleotide polymorphisms. AB - The Waxy (Wx) gene product controls the formation of a straight chain polymer of amylose in the starch pathway. Dominance/recessiveness of the Wx allele is associated with amylose content, leading to non-waxy/waxy phenotypes. For a total of 113 foxtail millet accessions, agronomic traits and the molecular differences of the Wx gene were surveyed to evaluate genetic diversities. Molecular types were associated with phenotypes determined by four specific primer sets (non waxy, Type I; low amylose, Type VI; waxy, Type IV or V). Additionally, the insertion of transposable element in waxy was confirmed by ex1/TSI2R, TSI2F/ex2, ex2int2/TSI7R and TSI7F/ex4r. Seventeen single nucleotide polymorphims (SNPs) were observed from non-coding regions, while three SNPs from coding regions were non-synonymous. Interestingly, the phenotype of No. 88 was still non-waxy, although seven nucleotides (AATTGGT) insertion at 2,993 bp led to 78 amino acids shorter. The rapid decline of r (2) in the sequenced region (exon 1-intron 1-exon 2) suggested a low level of linkage disequilibrium and limited haplotype structure. K (s) values and estimation of evolutionary events indicate early divergence of S. italica among cereal crops. This study suggested the Wx gene was one of the targets in the selection process during domestication. PMID- 18157678 TI - Disseminated cryptococcosis in HIV-uninfected patients. AB - Cryptococcus neoformans usually causes disease in patients with human immunodeficiency virus (HIV) infection. This descriptive study was based on a retrospective review of 33 HIV-uninfected patients with disseminated cryptococcosis from 1998 to 2005. An underlying condition associated with immunocompromise was documented in 30 patients (90.9%), including liver cirrhosis (36.4%), diabetes mellitus (33.3%) and autoimmune disease (27.3%). Disseminated cryptococcosis carried a high mortality rate in this series, reaching 63% overall, with a median survival of 21 days. All patients (12/12) with liver cirrhosis died within the first month after the diagnosis of cryptococcosis. Otherwise, high Acute Physiology and Chronic Health Evaluation II (APACHE II) score, female gender and smoking history were associated with worse one-month outcome. PMID- 18157679 TI - Patient access to rheumatoid arthritis treatments. AB - This paper is an introduction to the study "The Burden of Rheumatoid Arthritis and Patient Access to Treatment". The objective of the study is to compare patient access to new drugs in Europe, North America and a selection of other countries, and to analyse the determinants of differences between countries, as basis for a discussion on how patients' access to new and effective treatments can be improved. There were few treatments available that could affect the progression of the disease prior to the introduction of the first TNF inhibitors in the late 1990s. Since the cost per patient treated with these biological drugs is high compared to previously available treatments, reimbursement through private and public insurance is an important determinant for access to treatment. PMID- 18157680 TI - Disease activity and the course of elbow joint deterioration over 10 years in the patients with early rheumatoid arthritis. AB - One hundred and eighteen elbows in 59 patients who started treatment using disease-modifying antirheumatic drugs (DMARDs) in the first year of the disease were followed-up for more than 10 years without biologic agents. Using annual radiographs of the elbow joint, Larsen grade (LG) was determined, and bone absorption ratio (BAR), cortical thickness ratio (CTR) in the humerus, and olecranon thickness ratio (OTR) were calculated. Disease activity was determined by disease activity score (DAS)28-C-reactive protein (CRP)(3) at 3- or 4-month interval throughout the follow-up period. At 10 years, 30 elbows were in LG III or more, the more deteriorated (MD) group, and 88 elbows were in LG II or less, the less deteriorated (LD) group. In the radiological assessment, the mean LG, BAR, CTR, and OTR progressed with time linearly during 10 years. In the comparison between the MD group and the LD group, there was a significant difference in the magnitude of change in CTR (DeltaCTR; P = 0.0064), BAR (DeltaBAR; P = 0.0100), and OTR (DeltaOTR; P = 0.0051). There was a significant difference in the mean DAS28-CRP(3) (0-2 and 0-10 years) between the two groups (P = 0.0017 and 0.00002). The cut-off value of mean DAS28-CRP(3) (0-2 years), which indicated further progress to the MD group at 10 years, was 3.15. It is important to keep disease activity in low level to prevent progression of the elbow joint deterioration in the patients with RA. PMID- 18157681 TI - Long-term follow-up after embolization of pulmonary arteriovenous malformations with detachable silicone balloons. AB - Long-term follow-up results after embolization of 13 pulmonary arteriovenous malformations in 10 patients by use of 14 detachable silicone balloons are given. Patients were followed for a mean of 99 months (range, 63-123 months) with chest x-rays and for a mean of 62 months (range, 3-101 months) with pulmonary angiography. Fifty-four percent of the balloons were deflated at latest radiographic chest film follow-up, but at pulmonary angiographic follow-up all embolized malformations were without flow irrespective of whether or not the balloons were visible. Detachable silicone balloons are not available anymore, but use of these balloons for embolization of pulmonary arteriovenous malformations has been shown to be a safe and precise method, with immediate occlusion of the feeding artery and with long-lasting occlusion, even though many balloons deflate with time, leaving a fibrotic scar replacing the pulmonary arteriovenous malformation. No case of recanalization has been discovered, and these results seem to justify a reduced number of controls of these balloon embolized malformations. PMID- 18157683 TI - Presence of side-population cells in an immortalized nontumorigenic human liver epithelial cell line. AB - Side-population (SP) cells have been shown to be highly enriched stem cells. We investigated whether an immortalized, nontumorigenic human liver cell line, THLE 5b, contains SP cells. Flow cytometry analysis after Hoechst 33342 staining demonstrated that the THLE-5b line contained a small component of SP cells. These SP cells were essentially eliminated by treatment with verapamil and expressed higher levels of ABCG2 mRNA than non-SP cells. In addition, the level of these SP cells detected by Hoechst 33342 staining was affected by the experimental conditions including the incubation medium. This is the first report of the presence of SP cells in the immortalized, nontumorigenic human liver cell line. PMID- 18157682 TI - Mycosporine-like amino acids extracted from scallop (Patinopecten yessoensis) ovaries: UV protection and growth stimulation activities on human cells. AB - Scallops (Patinopecten yessoensis) are extensively cultured and landed in Japan. During the processing of scallops, large amounts of internal organs and shells are discharged as industrial wastes. To reduce the burden on the environment, effective utilization and disposal methods of the wastes are required. Therefore, we have screened for useful materials in scallop internal organs, and found ultraviolet (UV) absorbing compounds from scallop ovaries. Based on UV absorption, electrospray ionization-mass spectrometry (ESI-MS), ESI-MS/MS, and nuclear magnetic resonance (NMR) spectra, three UV absorbing compounds were identified as mycosporine-like amino acids (MAAs): shinorine, porphyra-334 (P 334), and mycosporine-glycine. To investigate whether MAAs can act as a UV protector for human cells, we examined the protective effects of the three MAAs on human fibroblast cells from UV irradiation. All of the three examined MAAs protected the cells from UV-induced cell death. In particular, mycosporine glycine had the strongest effect. Further, we found a promotion effect of MAAs on the proliferation of human skin fibroblast cells. From these results, it was found that the three MAAs isolated from scallop ovaries have a protective effect on human cells against UV light. MAAs have potential applications in cosmetics and toiletries as a UV protectors and activators of cell proliferation. PMID- 18157684 TI - The relationship between female rank and reproductive parameters of the ringtailed lemur: a preliminary analysis. AB - We used data from a 13-year field study of wild ringtailed lemurs to analyze the relationship between female rank and reproductive parameters. In medium and small groups there were no significant differences in birth rate, infant mortality rate, and the number of surviving infants between the female rank categories. On the other hand, in large sized groups low-ranked females had a smaller number of surviving infants than middle-ranked females. This suggests that in large sized groups, within-group competition lowered the values of reproductive parameters of low-ranked females. On the other hand, high and low-ranked females of small sized groups tended to have a smaller number of surviving infants than high-ranked females of medium sized groups and middle-ranked females of large sized groups. Between-group competition should lower the values of their reproductive parameters. In sum, these results fit the expectation from Wrangham's (1980) inter group feeding competition model. PMID- 18157685 TI - The evaluation of some flexural properties of a denture base resin reinforced with various aesthetic fibers. AB - This study was performed to determine whether some flexural properties of a denture base resin material could be improved through reinforcement with five types of aesthetic fibers at 3% concentration by weight and in 2, 4, and 6 mm length. Five specimens of similar dimensions were prepared for each of the test groups; base resin and the same resin with glass, rayon, polyester, nylon 6 and nylon 6,6 fibers in three different lengths. Flexural properties were evaluated by using a 3-point bending test. A visual examination was also made to determine mode of fracture of the specimens. The incorporation of different fibers in varying lengths had no significant effect on flexural strength of the resin. The specimens reinforced with nylon 6,6 fibers of 6 mm length showed the highest flexural strength. Young's modulus and maximum load suggests that such reinforcement makes resin resistant to fracture. PMID- 18157686 TI - Biological evaluation of partially stabilized zirconia added HA/HDPE composites with osteoblast and fibroblast cell lines. AB - In the present study, the biocompatibility of partially stabilized zirconia (PSZ) added hydroxyapatite (HA)--high density polyethylene (HDPE) composites was evaluated by proliferation and cell attachment assays on two osteoblast cell lines (G-292, Saos-2) and a type of fibroblast cell isolated from bone tissue namely HBF in different time intervals. Cell-material interactions on the surface of the composites were observed by scanning electron microscopy (SEM). The effect of composites on the behavior of osteoblast and fibroblast cells was compared with those of HDPE and Tissue Culture Poly Styrene (TPS) (as negative control) samples. Results showed that the composite samples supported a higher proliferation rate of osteoblast cells in the presence of composite samples as compared to the HDPE and TPS samples after 3, 7 and 14 days of incubation period. It was showed that an equal or in some cases an even higher proliferation rate of G-292 and Saos-2 osteoblast cells on composite samples in compare to negative controls in culture period (P < 0.05). The number of adhered cells on the composite samples was equal and in some cases higher than the number adhered on the HDPE and TPS samples after the above mentioned incubation periods (P < 0.05). Adhered cells presented a normal morphology by SEM and many of the cells were seen to be undergoing cell division. PMID- 18157687 TI - Gelatin hydrogels: enhanced biocompatibility, drug release and cell viability. AB - Biodegradability and enhanced biocompatibility with pH-sensitivity of hydrogels are becoming very important issues for biomaterials applications so as to minimize the host-body reactions such as, inflammatory, antigenic, and immunogenic problems. This study involves development of hydrogel matrices of gelatin conjugated/modified with highly hydrophilic, pH-sensitive and biocompatible polymer, poly (2-ethyl-2-oxazoline) and glyoxylic acid respectively. Various compositions of gelatin conjugated/modified with poly (2 ethyl-2-oxazoline) (gp) and glyoxylic acid (gg) were synthesized. The swelling kinetics, cell viability and drug release capability from the gels at pH 4.5 and 7.4 were investigated. The results of swelling kinetics showed that, both the degree of swelling (DS) and the maximum degree of swelling (MDS) increased as function of modification (increase in modification) and pH with an increase of time, which is due to increase in ionic groups. The drug-release (1% chlorhexidine) studies at pH 7.4 and 4.5 confirmed a proportional drug release with an increase in degree of swelling. The results of in-vitro cytotoxicity tests using mouse embryonic 3T3 fibroblast cells indicated, an improved cell viability for gelatin gels conjugated/modified with poly (2-ethyl-2-oxazoline) (gp) and glyoxylic acid (gg) gels, when compared with 1% glutaraldehyde cross linked gelatin gels (gx). Hence, cross-linked gelatin gels can be replaced with gp/gg for potential use in biomedical applications as a matrix for drug delivery. PMID- 18157688 TI - Characterization of monoolein-based lipoplexes using fluorescence spectroscopy. AB - Lipoplexes are commonly used as delivery systems in vitro and in vivo, the role of a neutral lipid as helper being of extreme importance in these systems. Cationic liposomes composed of dioctadecyldimethylammonium bromide (DODAB) with monoolein (MO) as a helper, at different molar ratios (1:2; 1:1 and 1:0.5) were prepared, and subsequently titrated to DNA. The structural and physicochemical properties of the lipid/DNA complexes were assessed by ethidium bromide (EtBr) exclusion, 90 degrees static light scattering (90 degrees SLS) assays and fluorescence resonance energy transfer (FRET). In EtBr exclusion assays, the steady-state fluorescence spectra of EtBr were decomposed into the sum of two lognormal emissions, emanating from two different environments--H(2)O and DNA, and the effect of charge ratio (+/-) was observed. 90 degrees SLS assays gave an important contribution, detecting size variations in systems with different MO fractions on the lipoplexes. In FRET assays, 2-(3-(diphenylhexatrienyl)propanoyl) 1-hexadecanoyl-sn-glycero-3-phosphocholine (DPH-HPC) was used as donor and EtBr as acceptor. The DNA component previously calculated by EtBr exclusion, was used to determine the energy transfer efficiency, as an indirect measurement of the lipoplexes structural and physicochemical properties. Our results demonstrate that the inclusion of monoolein in the cationic liposomes formulation significantly modifies the rate of DNA complexation, being DODAB:MO (1:1) the system with higher DNA condensation efficiency. PMID- 18157689 TI - The association of benefit finding to psychosocial and health behavior adaptation among HIV+ men and women. AB - Psychological and behavioral adaptation to HIV is integral to long-term survival. Although most research on coping with HIV has focused on factors associated with poor adaptation, recent research has expanded to include positive concomitants of adaptation, such as benefit finding. This study examined the occurrence of benefit finding among HIV+ men and women and evaluated the potential relevance of benefit finding to positive health behavior and psychosocial adaptation. HIV+ participants (N = 221) recruited during outpatient care completed self-report assessments of benefit finding, social support, depression, HAART adherence, substance use, and physical activity. In a series of multivariate analyses that controlled for demographic and health status variables, benefit finding was associated with lower depression scores, greater social support, and more physical activity, but showed no association to HAART adherence or substance use. The association of benefit finding to depression was partially mediated by differences in social support. Thus, benefit finding may improve psychological adjustment by motivating patients who experience stress-related growth to seek social support. PMID- 18157690 TI - Strong genetic differentiation of Primula sikkimensis in the East Himalaya Hengduan Mountains. AB - The East Himalaya-Hengduan Mountains region is the center of diversity of the genus Primula, and P. sikkimensis is one of the most common members of the genus in the region. In this study, the genetic diversity and structure of P. sikkimensis populations in China were assessed using inter-simple sequence repeat (ISSR) and chloroplast microsatellite markers. The 254 individuals analyzed represented 13 populations. High levels of genetic diversity were revealed by ISSR markers. At the species level, the expected heterozygosity and Shannon's index were 0.4032 and 0.5576, respectively. AMOVA analysis showed that 50.3% of the total genetic diversity was partitioned among populations. Three pairs of chloroplast microsatellite primers tested yielded a total of 12 size variants and 15 chloroplast haplotypes. Strong cpDNA genetic differentiation (G (ST) = 0.697) and evidence for phylogeographic structure were detected (N (ST )= 0.788, significantly higher than G (ST)). Estimated rates of pollen-mediated gene flow are approximately 27% greater than estimated rates of seed-mediated gene flow in P. sikkimensis. Both seed and pollen dispersal, however, are limited, and gene flow among populations appears to be hindered by the patchiness of the species' habitats and their geographic isolation. These features may have played important roles in shaping the genetic structure of P. sikkimensis. A minimum-spanning tree of chloroplast DNA haplotypes was constructed, and possible glacial refugia of P. sikkimensis were identified. PMID- 18157691 TI - Sub-lethal effects of acetone on Daphnia magna. AB - There is increasing concern about the sub-lethal effect of hydrophobic chemicals in the water medium. Even though acetone is a commonly used solvent in toxicity testing, few studies have focussed on its chronic toxicity to Daphnia magna and the available results are often contradictory. In this study, acetone was tested on D. magna in a 21-day exposure experiment and the effects on mortality, fertility and morphology of exposed organisms (F(0)) and offspring (F(1)-F(2), reared without acetone) were evaluated. No significant reduction of survival was observed with increasing concentrations, and no significant reduction in fecundity in any treatment group in terms of average number of daphnids per mother was observed. Abnormal development of second antennae was observed on F(1) from F(0) exposed to 79 mg l(-1) solvent. The ET50 of acetone on the number of mothers that produced deformed offspring over time was 12.5 days. Our results suggest that the acetone concentration should not exceed 7.9 mg l(-1), which is 10 times less than the allowed concentration as determined by OECD chronic assays on D. magna. More attention should be paid to small, water-soluble molecules usually considered of low concern for chronic toxicity because they might affect other metabolic pathways. PMID- 18157692 TI - Neurotrophic effects of GnRH on neurite outgrowth and neurofilament protein expression in cultured cerebral cortical neurons of rat embryos. AB - The presence of GnRH receptor in cerebral cortical neurons of rat embryos and adult rats has been described. In this work, we studied the effects of GnRH on outgrowth and length of neurites and cytoskeletal neurofilament proteins expression (NF-68 and NF-200 kDa) by immunoblot of cultured cerebral cortical neurons of rat embryos. Our results show that GnRH increases both outgrowth and length of neurites accompanied by an increase in neurofilaments expression. It is conceivable that GnRH plays a role in neuronal plasticity parallel to its gonadal function. PMID- 18157693 TI - Workshop-based training in trauma-focused CBT: an in-depth analysis of impact on provider practices. AB - Despite evidence that more intensive methods are more effective, many clinical settings continue to train practitioners using workshops. To more fully understand the strengths and limitations of workshops, the present investigation studied changes in practitioner behavior following a workshop in trauma-focused cognitive-behavioral therapy (TF-CBT). A chart review indicated no changes in TF CBT use following the training, although therapists indicated that CBT was the most effective treatment for traumatized youths and was their primary approach to treating trauma. Analysis of client factors indicated weak relationships between technique use and treatment need. Implications of these findings for future training efforts are discussed. PMID- 18157694 TI - Effects of Lactobacillus salivarius 433118 on intestinal inflammation, immunity status and in vitro colon function in two mouse models of inflammatory bowel disease. AB - The probiotic, Lactobacillus salivarius subsp. salivarius 433118 (UCC118), was investigated for its potential to attenuate colitis, modulate immune responses and alter intestinal barrier dysfunction in two different mouse models of inflammatory bowel disease (IBD). Following oral treatment with UCC118, faecal microbial analysis indicated that viable intact bacteria reached the colons of interleukin (IL)-10(-/-) mice and dextran sodium sulphate (DSS)-treated mice. Neither prophylactic nor therapeutic UCC118 treatment significantly prevented or attenuated inflammation in either model. In all studies, the probiotic-treated mice had comparable cytokine responses as vehicle-treated animals. Mannitol permeability was increased across colonic mucosae mounted in Ussing chambers from DSS-treated mice, but not in IL-10(-/-) mice. However, colonic mucosae from UCC118-treated mice had unchanged transepithelial electrical resistance (TEER) values and mannitol fluxes compared to controls. In two different mouse colitis models examined under a range of histological and functional criteria, the data therefore suggest that this Lactobacillus subsp. has limited potential as a prophylactic or therapeutic treatment for inflammatory bowel disease. While several studies have shown therapeutic activity for this probiotic in mouse models of IBD, our data suggest that there are inter-study variables in formulation, study design, animal models and assessment criteria that may impact on interpretation of probiotic efficacy. PMID- 18157695 TI - In human entrocytes, GLN transport and ASCT2 surface expression induced by short term EGF are MAPK, PI3K, and Rho-dependent. AB - Glutamine, a key nutrient for the enterocyte, is transported among other proteins by ASCT2. Epidermal growth factor (EGF) augments intestinal adaptation. We hypothesized that short-term treatment of human enterocytes with EGF enhances glutamine transport by increasing membranal ASCT2. To elucidate EGF-induced mechanisms, monolayers of C2(BBe)1 w/wo siRho transfection were treated w/wo EGF and w/wo tyrphostin AG1478 (AG1478), wortmanin, or PD98059. Total and system specific (3)H-glutamine transports were determined w/wo 5 mmol/l amino acid inhibitors. Total and membranal ASCT2 proteins were measured by Westerns. EGF doubled glutamine transport by increasing B(0)/ASCT2 and B(0,+) activities. Despite the doubling of membranal ASCT2 protein with EGF treatment, total ASCT2 did not change. The increases in B(0)/ASCT2 activity and ASCT2 protein were eliminated by AG1478, PD98059, wortmanin, and siRho, while transport by B(0,+) was inhibited only by PD98059 and siRho. Thus, differential pathways are involved in EGF-induced increase in B(0)/ASCT2 glutamine transport and membranal ASCT2 compared to those involved in B(0,+) activity. PMID- 18157696 TI - Unprotected Tajik male migrant workers in Moscow at risk for HIV/AIDS. AB - This paper focuses on Tajik male migrant workers in Moscow and seeks to address the global public health problem of HIV prevention amongst male migrant workers. To develop feasible and effective preventive interventions for reducing HIV risk behaviors amongst Tajik male migrant workers in Moscow, this study aimed to characterize their HIV/AIDS risk and protective knowledge, attitudes, and behaviors, as well as key contextual factors that would likely impede or facilitate a preventive intervention. This was a collaborative multi-sited ethnography in Moscow that included minimally structured interviews with 16 participants and focus group discussions with an additional 14 participants. The results suggest that many Tajik male migrant workers in Moscow are having unprotected sex with commercial sex workers. Although some of the migrants have basic knowledge about HIV, the migrants' ability to protect themselves from acquiring HIV is compromised by harsh living and working conditions as a consequence of being unprotected by law in Russia. To respond to HIV/AIDS risks amongst Tajik male migrant workers in Moscow, preventive interventions must be developed that respond to their sense of being unprotected in the midst of harsh living and working conditions and that draw upon existing sources of religious, community, and family support. PMID- 18157697 TI - Intracerebroventricular administration of soy protein hydrolysates reduces body weight without affecting food intake in rats. AB - Some studies suggest that increased consumption of soy protein hydrolysates may cause body weight loss but the mechanism of action is unknown. The objective of this investigation was to determine whether intracerebroventricular (i.c.v.) infusion of soy protein hydrolysates decrease food intake and body weight. Adult male Sprague Dawley rats (n = 24) received i.c.v. injections of soy hydrolysate I (SH I) or soy hydrolysate II (SH II) three times weekly for 2 weeks. Krebs solution and leptin were used as negative and positive controls respectively. SH I (6.5-20 kDa with a strong band at 14 kDa) was produced by hydrolysis with alcalase, and SH II (approximately 2 kDa) was obtained by hydrolysis and ultrafiltration. Leptin successfully reduced body weight (-1.60 g) 24 h (p = 0.0093) after the third injection. SH I caused significant (p = 0.0009) decreases in body weight (-1.70 g) 24 h after the third injection but not after 48 h. SH II showed a tendency to prevent body weight gain but this effect was short of statistical significance (p < 0.40). Food intake was not affected by any of the soy hydrolysate treatments but leptin injection did cause significant decreases in food intake (p < 0.05). Data suggest that soy alcalase hydrolysate can decrease, in the short term, the rate of body weight gain independently of food consumption. This preliminary data show that soy peptides may play a role on body weight regulation, possibly by increasing energy utilization. PMID- 18157699 TI - Streptomyces sudanensis sp. nov., a new pathogen isolated from patients with actinomycetoma. AB - Nine strains isolated from mycetoma patients and received as Streptomyces somaliensis were the subject of a polyphasic taxonomic study. The organisms shared chemical markers consistent with their classification in the genus Streptomyces and formed two distinct monophyletic subclades in the Streptomyces 16S rRNA gene tree. The first subclade contained four organisms, including the type strain of S. somaliensis, and the second clade the remaining five strains which had almost identical 16S rRNA sequences. Members of the two subclades were sharply separated using DNA:DNA relatedness and phenotypic data which also showed that the subclade 1 strains formed an heterogeneous group. In contrast, the subclade 2 strains were assigned to a single genomic species and had identical phenotypic profiles. It is evident from these data that the subclade 2 strains should be recognised as a new species of Streptomyces. The name proposed for this new species is Streptomyces sudanensis sp. nov. The type strain is SD 504(T) (DSM = 41923(T) = NRRL B-24575(T)). PMID- 18157700 TI - Identification of two AFLP markers linked to bacterial wilt resistance in tomato and conversion to SCAR markers. AB - Tomato bacterial wilt (BW) incited by Ralstonia solanacearum is a constraint on tomato production in tropical, subtropical and humid regions of the world. In this paper, we present the results of a research aimed at the identification of PCR-based markers amplified fragment length polymorphism (AFLP) linked to the genes that confer resistance to tomato BW. To this purpose, bulked segregant analysis was applied to an F(2) population segregating for the BW resistant gene and derived from the pair-cross between a BW resistant cultivar T51A and the susceptible cultivar T9230. Genetic analysis indicated that tomato BW was conferred by two incomplete dominant genes. A CTAB method for total DNA extraction, developed by Murray and Thompson with some modifications was used to isolation the infected tomato leaves. Thirteen differential fragments were detected using 256 primer combinations, and two AFLP markers were linked to the BW resistance. Subsequently, the AFLP markers were converted to co-dominant SCAR markers, named TSCAR(AAT/CGA) and TSCAR(AAG/CAT). Linkage analysis showed that the two markers are on the contralateral side of TRSR-1. Genetic distance between TSCAR(AAT/CGA) and TRS-1 was estimated to 4.6 cM, while 8.4 cM between TSCAR(AAG/CAT) and TRS-1. PMID- 18157701 TI - Molecular cloning and characterization of a flower-specific class III peroxidase gene in G. hirsutum. AB - A fundamental focus of plant biology is to understand the relationship between flowering and plant reproduction, but it is also of practical interest in agriculture. To investigate the genes involved in flowering, reproduction and male sterility, DDRT-PCR was performed in vegetative and reproductive tissues of the cotton genic male sterile line LangA. A 683 bp partial peroxidase cDNA was amplified from cotton (G. hirsutum) pollen, using degenerate oligonucleotide primers and arbitrary primers in DDRT-PCR. The full-length cDNA clone, designated Ghpod (cDNA GenBank accession number: EU196676), was isolated using 5'-RACE strategy and a partial 5'-UTR was isolated applying TAIL-PCR. Ghpod was characterized as a mature 330 amino acid protein, containing all evolutionarily conserved residues present in different members of the plant peroxidase family. The molecular mass of this unprocessed and unmodified deduced protein was estimated to be 35.54 kDa, and the pI value was 4.34. According to the Ghpod protein localization prediction by PSORT, Ghpod may be secreted extracellularly. Unlike other cotton class III peroxidases, Ghpod was expressed exclusively in reproductive organs, particularly pollen. A genomic DNA fragment encoding Ghpod was also cloned and fully sequenced, revealing a "three intron" structural organization in a category of genes belonging to a normal class III plant secretory peroxidase. In conclusion, the flower-specific expression of Ghpod, predominantly in pollen, suggested that the peroxidase is involved in the male reproductive processes of angiosperms. PMID- 18157702 TI - Molecular cloning and expression analyses of a novel swine gene--ARF4. AB - The mRNA differential display technique was performed to investigate the differences of gene expression in the longissimus muscle tissues from Meishan and Large White pigs. One novel gene that was differentially expressed was identified through semi-quantitative RT-PCR and the cDNA complete sequence was then obtained using the rapid amplification of cDNA ends (RACE) method. The nucleotide sequence of the gene is not homologous to any of the known porcine genes. The sequence prediction analysis revealed that the open reading frame of this gene encodes a protein of 180 amino acids that contains the putative conserved domain of ADP ribosylation factor (ARF) which has high homology with the ADP-ribosylation factor 4 (ARF4) of six species-bovine (98%), human and orangutan (96%), African clawed frog (96%), mouse and rat (98%)-so that it can be defined as swine ADP ribosylation factor 4 (ARF4). This novel porcine gene was finally assigned to GeneID:595108. The phylogenetic tree analysis revealed that the swine ARF4 has a closer genetic relationship with the rat and mouse ARF4 than with those of human and African clawed frog. The tissue expression analysis indicated that the swine ARF4 gene is over expressed in muscle, fat, heart, spleen, liver, and ovary and moderately expressed in lung and kidney but weakly expressed in small intestine. Our experiment is the first to establish the primary foundation for further research on the swine ARF4 gene. PMID- 18157703 TI - Cloning and characterization of class 1 and class 2 insulin-like growth factor-I mRNA in Songliao black pig. AB - Insulin-like growth factor-I (IGF-I) plays a fundamental role in postnatal mammalian growth, development, and metabolism. The mammalian IGF-I gene contains at least six exons from which several different mRNAs are transcribed. In this study, IGF-I mRNA in Songliao black pig liver was investigated using RLM-RACE. Using a 3'-RACE technique, we determined that all mRNA transcripts lacked exon 5 sequence and contained only exon 6 sequence. Using a 5'-RACE technique, we investigated the presence of class 1 and class 2 IGF-I mRNAs. In several other species, the class 1 and class 2 IGF-I polypeptides are generated from mRNAs containing exon 1 or exon 2, respectively. Both class 1 and class 2 IGF-I mRNAs were identified in Songliao black pig liver. Transcription is initiatated upstream of exons 1 and 2 at multiple dispersed start sites to yield two distinct IGF-I mRNA transcript classes which differ in the precursor peptides predicted from their individual leader sequences. Tissue distribution of Songliao black pig class 1 and class 2 IGF-I mRNA was investigated by real-time RT-PCR. Both classes of IGF-I mRNA were expressed in a variety of tissues, however, class 1 IGF-I mRNA was more abundant than class 2 in all tissues. PMID- 18157698 TI - Acromegaly: re-thinking the cancer risk. AB - Acromegaly is characterized by sustained elevation of circulating growth hormone (GH) and insulin-like growth factor I (IGF-I), and is clearly associated with increased morbidity and overall mortality mainly due to cardiovascular, metabolic, and respiratory diseases. Although cancer-related mortality varies widely amongst retroperspective studies, it appears to be consistently elevated mainly in patients with uncontrolled disease. We review individual tumor types including neoplasms of the colon, breast, prostate, and thyroid where in vitro, animal studies, and studies in non-acromegalic cancer patients have established a role for the GH/IGF-I axis in tumor progression and possibly initiation. We highlight deficiencies in data in acromegalic patients where the evidence is less convincing. Instead, we explore the hypothesis that acromegaly, independent of hormone secretion, is a disease that heralds genetic and/or epigenetic alterations predisposing to cancer risk elsewhere. PMID- 18157705 TI - Pharmacokinetics of eslicarbazepine acetate in patients with moderate hepatic impairment. AB - OBJECTIVE: To evaluate the effect of moderate liver impairment on the pharmacokinetics of eslicarbazepine acetate (BIA 2-093, ESL), a novel voltage gated sodium channel blocker currently in clinical development. METHODS: The pharmacokinetics of ESL following an administration regimen of 800 mg once-daily for 8 days was characterized in patients with moderate liver impairment (n = 8) and in subjects with normal liver function (n = 8, control group). RESULTS: Eslicarbazepine acetate was rapidly and extensively metabolized by first-pass metabolism to its main active metabolite, eslicarbazepine (S-licarbazepine). There were more subjects with measurable plasma concentrations of the parent drug (ESL) in the hepatic impairment group than in the control group, suggesting that first-pass metabolism was slightly decreased by liver impairment. However, ESL plasma concentrations remained very low, representing only about 0.01% of total systemic exposure. No differences in the pharmacokinetics of eslicarbazepine or its metabolites were found between the hepatic impairment and control groups. Urinary excretion of eslicarbazepine and its glucuronide form was similar in the liver impaired and control subjects. The sum of drug moieties recovered in the urine corresponded to 91% of the administered dose in the control group and to 84% of the administered dose in the liver impairment group. CONCLUSION: The pharmacokinetics of ESL was not affected by moderate hepatic impairment. Therefore, patients with mild to moderate liver impairment treated with ESL do not require dosage adjustment. PMID- 18157704 TI - The role of anxiety in the development of levodopa-induced dyskinesias in an animal model of Parkinson's disease, and the effect of chronic treatment with the selective serotonin reuptake inhibitor citalopram. AB - INTRODUCTION: Levodopa-induced dyskinesia (LID) is an inevitable complication of the long-term treatment of Parkinson's disease (PD) with levodopa. In a rat model of LID, we observed that animals of almost identical genetic but slightly different environmental backgrounds displayed a very different profile in terms of their development and severity of LID. MATERIALS AND METHODS: We hypothesised that this heterogeneity can be attributed to different levels of anxiety in individual animals. We evaluated the basal anxiety level of rats in this study using the elevated plus maze (EPM), open field (OF) test, and plasma corticosterone level. These animals then received unilateral 6-hydroxydopamine lesions of the nigrostriatal pathway after which they were primed to develop LID. Finally, we manipulated the anxiety level of these animals by citalopram treatment over a 9-week period before they were killed. RESULTS: Although we could not establish an association between the anxiety level of rats with either the onset or severity of LID, our results showed that citalopram was able to mediate a partial alleviation in LID after chronic treatment, and the extent of recovery was negatively correlated to the anxiety measures of individual animals. Furthermore, this citalopram-mediated LID recovery appeared to be independent of any changes in striatal cAMP-regulated phosphoprotein of 32 kDa (DARPP-32) and cyclin-dependent kinase 5 (Cdk5) system, in contrast to our previous studies with fetal ventral mesencephalon transplants. However, chronic citalopram treatment almost completely abolished the expression of serotonin receptor 1B (5HT1B) in the striatum in animals exhibiting LID recovery. CONCLUSIONS: These results indicate a novel association of serotonin receptors in the development of LID and contributes to the evidence that the serotonergic system may play an important role in such movements. PMID- 18157706 TI - Microbial diversity in acid mineral bioleaching systems of dongxiang copper mine and Yinshan lead-zinc mine. AB - To understand the composition and structure of microbial communities in acid mineral bioleaching systems, the molecular diversity of 16S rDNA genes was examined using a PCR-based cloning approach. A total of 31 Operational Taxonomic Units (OTUs) were obtained from the four samples taken from four different bioleaching sites in Yinshan lead-zinc mine and Dongxiang copper mine in Jiangxi Province, China. The percentages of overlapping OTUs between sites ranged from 22.2 to 50.0%. Phylogenetic analysis revealed that the bacteria present at the four bioleaching sites fell into six divisions, alpha-Proteobacteria (1.1%), beta Proteobacteria (2.3%), gamma-Proteobacteria (30.8%), Firmicutes (15.4%), Actinobacteria (0.3%) and Nitrospira (50.1%). Organisms of genera Leptospirillum, Acidithiobacillus, and Sulfobacillus, which were in Nitrospira, gamma Proteobacteria, and Firmicutes divisions, respectively, were the most dominant. The results of principal component analysis based on the six phylogenetic divisions and biogeochemical data indicated that the microbial community structure of a site was directly related to the biogeochemical characteristic of that site. It follows therefore that sites with similar biogeochemical characteristics were comprised of similar microbial community structures. The results in our study also suggest that the elements copper and arsenic appear to be the key factors affecting the compositions and structures of microbial community in the four bioleaching sites. PMID- 18157707 TI - Past, present and future of extremophiles. PMID- 18157708 TI - Huntington disease mutation in Venezuela: age of onset, haplotype analyses and geographic aggregation. AB - The aggregation of patients with Huntington's disease (HD) around Lake Maracaibo, Zulia State, Venezuela, is widely recognized, but the epidemiology of HD in the whole country is relatively unstudied. We have examined 279 individuals from 60 unrelated affected families residing in various areas of Venezuela for the presence of CAG repeats and other features associated with HD. The number of expanded repeats in 139 carriers varied from 35 to 112. Based on our examination of 71 symptomatic individuals, we developed a log-transformed regression equation, y= -0.0238x + 2.6616, to enable the prediction of age of onset in asymptomatic carriers. Intragenic haplotypes were constructed with two VNTRs (variable number of tandem repeats) and two SNPs (single nucleotide polymorphisms) in the promoter region as well as CCG repeat and Delta2642 polymorphisms to assess kinship between families. In 43 of 45 tested families, the haplotype on the mutated chromosome was 1;G;C;7;(A). The other haplotypes observed, 1;G;C;7;(B) and 4;G;C;7;(A), were of Peruvian and French origins, respectively. The geographic source of the first affected ancestor was assessed in 54 families from 15 different states. Residents of the states of Miranda, Lara and Tachira, excluding those of Zulia, had a mutated allele prevalence five- to ninefold higher than that of other areas. A low (approx. 1/200,000) prevalence, a wide-spread distribution with aggregation in some states and a likely remote European Caucasoid origin are defining epidemiologic features of HD in Venezuela. PMID- 18157709 TI - Looking toward the future of plant biology and the Journal of Plant Research. PMID- 18157710 TI - Intravitreal pegaptanib sodium (Macugen) for refractory cystoid macular edema in pericentral retinitis pigmentosa. AB - The purpose of this paper was to describe a patient with pericentral retinitis pigmentosa (RP) and cystoid macular edema (CME) refractory to oral acetazolamide alone who was successfully treated with adjunctive pegaptanib sodium. A 33-year old man presented with decreased vision and a best-corrected visual acuity (BCVA) in his left eye of 20/200 due to CME secondary to RP. Although he had been treated daily for 1 month with 500 mg of oral acetazolamide, the edema was unresponsive. When informed of the available treatment options, the patient requested adjunctive intravitreal pegaptanib sodium. One month after receiving an injection of pegaptanib sodium 0.3 mg and continued daily acetazolamide, the patient's BCVA had improved to 20/40. At the 4-month follow-up visit, no recurrence of CME was found on fundus biomicroscopy, fundus-related perimetry, and optical coherence tomography. We conclude that intravitreal pegaptanib sodium combined with daily doses of acetazolamide appears to provide benefits in CME refractory to oral acetazolamide alone with regards to the improvement of visual acuity. PMID- 18157711 TI - Association between inflammatory gene polymorphisms and coronary artery disease in an Indian population. AB - BACKGROUND: Inflammation is one of the major components of atherosclerosis which is the underlying disorder that leads to various diseases including coronary artery disease (CAD). Genes that are involved in the inflammatory processes are therefore good candidates for the risk of CAD. Variations in the genes involved in various molecular pathways of inflammation have been implicated to exaggerated atherosclerosis and the risk of cardiovascular diseases. In this study, we performed a genetic association study on the single nucleotide polymorphisms (SNPs) present in the genes CD14 (-159 C/T), TNFalpha (-308 G/A), IL-1alpha (-889 C/T), IL-6 (-174 G/C), PSMA6 (-8 C/G), and PDE4D (SNP83 T/C, respectively) in order to discern their possible role in the susceptibility to CAD in a North Indian population. METHODS: Angiographically proven CAD patients (n = 210) and age, sex and ethnically matched normal healthy controls (n = 232) were recruited for this case-control study. Genotypes were determined by PCR-RFLP method. Chi square and logistic regression analyses were performed to compare the genotype and allele frequencies between the patient and the control groups. RESULTS: None of the SNPs showed significant association with CAD in the study population before and after adjustment for the confounding risk factors like age, sex, hypertension, smoking habit, and diabetes. CONCLUSION: This study was unable to demonstrate any association between the six gene variants tested and CAD in the North Indian population. PMID- 18157712 TI - Arterial thrombosis and drospirenone-containing pill (Yasmin). Is the pill to be absolutely avoided by women who smoke? PMID- 18157713 TI - Ti K-edge XANES study of the local environment of titanium in bioresorbable TiO2 CaO-Na2O-P2O5 glasses. AB - Ti K-edge XANES (X-ray absorption near edge structure) spectroscopy has been used to study the local coordination of titanium in biocompatible and bioresorbable TiO2-CaO-Na2O-P2O5 glasses. Both conventional melt-quenched glasses of composition (TiO2)x(CaO)0.30(Na2O)0.20-x(P2O5)0.50, where x = 0.01, 0.03 and 0.05, and sol-gel derived (TiO2)0.25(CaO)0.25(P2O5)0.50 glass have been studied. The results show that in all the materials studied, titanium is surrounded by an octahedron of oxygen atoms. Further analysis reveals that the TiO6 site in the amorphous samples is not heavily distorted relative to that in rutile, anatase or CaSiTiO5. The spectra from the (TiO2)0.25(CaO)0.25(P2O5)0.50 sol-gel samples reveal greater distortion in the TiO6 site in the dried gel compared to the heat treated sol-gel glass. The XANES spectra from melt-quenched glass samples soaked in distilled water for various times do not shown any evidence of degradation of the titanium site over periods of up to 14 days. PMID- 18157715 TI - Characterisation of major acidic anions in TSP and PM10 in Zagreb air. AB - This article presents the results of mass concentration of major acidic anions (chlorides, nitrates and sulphates) in TSP and PM(10) particle fraction in Zagreb air measured continuously at one measuring site in 2004. The annual average mass concentrations of the investigated anions followed the order chloride < nitrate < sulphate. Significant correlations were obtained between TSP and investigated anions and between PM(10) and investigated anions, the latter showing a higher correlation coefficient. The annual average mass ratio of (NO(3)(-))/(SO(4)(2-)) obtained in TSP and PM(10) was >0.8, which suggests that mobile source emission was an important contributor to particle mass. PMID- 18157716 TI - Development of a navigation system for minimally invasive esophagectomy. AB - BACKGROUND: A major challenge of minimally invasive esophagectomy is the uncertainty about the exact location of the tumor and associated lymph nodes. This study aimed to develop a navigation system for visualizing surgical instruments in relation to the tumor and anatomic structures in the chest. METHODS: An immobilization device consisting of a vacuum mattress fixed to a stretcher was built to decrease patient movement and organ deformation. Computer tomography (CT) markers were embedded in the stretcher at a defined distance to a detachable plate with optical markers on the side of the stretcher. A second plate of optical markers was fixed to the operating instrument. These two optical marker plates were tracked with an optical tracking system. Their positions were then registered in a preoperative CT data set using the authors' navigation software. This allowed a real-time visualization of the instrument and target structures. To assess the accuracy of the system, the authors designed a phantom consisting of a box containing small spheres in a specific three-dimensional layout. The positions of the spheres were first measured with the navigation system and then compared with the known real positions to determine the accuracy of the system. RESULTS: In the accuracy assessment, the navigation system showed a precision of 0.95 +/- 0.78 mm. In a test data set, the instrument could be successfully navigated to the tumor and target structures. CONCLUSION: The described navigation system provided real-time information about the position and orientation of the working instrument in relation to the tumor in an experimental setup. Consequently, it might improve minimally invasive esophagectomy and allow for surgical dissection in an adequate distance to the tumor margin and ease the location of affected lymph nodes. PMID- 18157717 TI - Laparoscopic surgery for Crohn's disease: a meta-analysis. PMID- 18157718 TI - Results, outcome predictors, and complications after stapled transanal rectal resection for obstructed defecation. AB - PURPOSE: Obstructed defecation may be treated by stapled transanal rectal resection, but different complications and recurrence rates have been reported. The present study was designed to evaluate stapled transanal rectal resection results, outcome predictive factors, and nature of complications. METHODS: Clinical and functional data of 123 patients were retrospectively analyzed. All patients had symptoms of obstructed defecation before surgery and had rectocele and/or intussusception. Of them, 85 were operated on by the authors and 38 were referred after stapled transanal rectal resection had been performed elsewhere. RESULTS: At a median follow-up of 17 (range, 3-44) months, 65 percent of the patients operated on by the authors had subjective improvement. Recurrent rectocele was present in 29 percent and recurrent intussusception was present in 28 percent of patients. At univariate analysis, results were worse in those with preoperative digitation (P<0.01), puborectalis dyssynergia (P<0.05), enterocele (P<0.05), larger size rectocele (P<0.05), lower bowel frequency (P<0.05), and sense of incomplete evacuation (P<0.05). Bleeding was the most common perioperative complication occurring in 12 percent of cases. Reoperations were needed in 16 patients (19 percent): 9 for recurrent disease. In the 38 patients referred after stapled transanal rectal resection, the most common problems were perineal pain (53 percent), constipation with recurrent rectocele and/or intussusception (50 percent), and incontinence (28 percent). Of these patients, 14 (37 percent) underwent reoperations: 7 for recurrence. Three patients presented with a rectovaginal fistula. One other patient died for necrotizing pelvic fasciitis. CONCLUSIONS: Stapled transanal rectal resection achieved acceptable results at the cost of a high reoperation rate. Patients with puborectalis dyssynergia and lower bowel frequency may do worse because surgery does not address the causes of their constipation. Patients with large rectoceles, enteroceles, digitation, and a sense of incomplete evacuation may have more advanced pelvic floor disease for which stapled transanal rectal resection, which simply removes redundant tissue, may not be adequate. This, together with the complications observed in patients referred after stapled transanal rectal resection, suggests that this procedure should be performed by colorectal surgeons and in carefully selected patients. PMID- 18157720 TI - Pancreatic cystic neuroendocrine tumors: preoperative diagnosis with endoscopic ultrasound and fine-needle immunocytology. AB - BACKGROUND: Pancreatic cystic neuroendocrine tumors (CNETs) are rare premalignant conditions. Computed tomography (CT) occasionally demonstrates the hypervascular border characteristic of NETs. Endoscopic ultrasound (EUS) with fine-needle aspiration and immunocytology may be a more consistent means to establish the diagnosis, but no data on the role of EUS are available. This report represents the largest series of CNETs treated to date, documents the role of EUS in preoperative diagnosis, and describes current management. METHODS: Retrospective review of our experience with CNETs treated at an academic center between 1999 and 2006. RESULTS: Thirteen patients with CNETs were identified. One had symptoms consistent with a functional tumor; the others were nonfunctional. Twelve were detected by CT; only three had peripheral hypervascularity. Nine were studied with preoperative EUS/immunocytology; each of these demonstrated strong staining for chromogranin and synaptophysin. All were resected: four by pancreaticoduodenectomy, one by total pancreatectomy, and one by enucleation. Perioperative morbidity occurred in 39%. Perioperative mortality was 0%. Average follow-up was 3.3 + 0.5 years. One patient had late hepatic recurrence and ultimately died of disease. Two developed recurrent NET in the context of MEN I and required additional surgery. Twelve are alive with no evidence of disease. CONCLUSIONS: EUS-guided immunocytology with staining for neuroendocrine markers is an accurate method to establish the diagnosis of CNET preoperatively. Short- and long-term outcomes after resection are excellent. PMID- 18157721 TI - Microbial production of ellagic acid and biodegradation of ellagitannins. AB - In the last years, tannin biodegradation has been the subject of a lot of studies due to its commercial importance and scientific relevance. Tannins are molecules of low biodegradation and represent the main chemical group of natural anti microbials occurring in the plants. Among the different kinds of tannins, ellagitannins represent the group less studied manly due to their diversity and chemical complexity. The general outline of this work includes information on tannins, their classification and properties, biodegradation, ellagic acid production, and potential applications. In addition, it describes molecular, catalytic, and functional information. Special attention has been focused on the biodegradation of ellagitannins describing the possible role of microbial enzymes in the production of ellagic acid. PMID- 18157722 TI - Conjoined lumbosacral nerve roots compromised by disk herniation: sagittal shoulder sign for the preoperative diagnosis. AB - OBJECTIVE: The objective was to determine the importance of the "sagittal shoulder sign" on magnetic resonance (MR) images for the diagnosis of conjoined lumbosacral nerve roots (CLNR) that are compromised by herniated disks. MATERIALS AND METHODS: Magnetic resonance images of 11 patients (6 men and 5 women; age range, 25-71 years; average age, 48.7 years) with surgically proven CLNR, which was compromised by herniated disks, were retrospectively evaluated by two musculoskeletal radiologists. MR images were evaluated for the presence or absence of the sagittal shoulder sign-a vertical structure connecting two consecutive nerve roots and overlying disk on the sagittal MR images. The radiologists noted the type of accompanying disk herniation and bony spinal canal changes, as well as other characteristic MR features of CLNR, the common passage of two consecutive nerve roots through the neural foramen on axial MR images. RESULTS: The sagittal shoulder sign was identified with a mean frequency of 90.9% by the two observers (in 10 of 11 patients). The common passage of two consecutive nerve roots through the neural foramen on axial MR images was identified with a mean frequency of 59.1% (in 7 and 6 out of 11 patients, by observers 1 and 2, respectively). Good interobserver agreement for the sagittal shoulder sign was present (k = 0.621, p < 0.05). CONCLUSION: Observation of the sagittal shoulder sign may prove helpful for diagnosing CLNR in patients with disk herniation. In particular, this sign appears to be useful when there is no evidence of CLNR on axial MR images. PMID- 18157723 TI - Acquired immune response to oncogenic human papillomavirus associated with prophylactic cervical cancer vaccines. AB - Human papillomavirus (HPV) is a common infection among women and a necessary cause of cervical cancer. Oncogenic HPV types infecting the anogenital tract have the potential to induce natural immunity, but at present we do not clearly understand the natural history of infection in humans and the mechanisms by which the virus can evade the host immune response. Natural acquired immune responses against HPV may be involved in the clearance of infection, but persistent infection with oncogenic virus types leads to the development of precancerous lesions and cancer. B cell responses are important for viral neutralization, but antibody responses in patients with cervical cancer are poor. Prophylactic vaccines targeting oncogenic virus types associated with cervical cancer have the potential to prevent up to 80% of cervical cancers by targeting HPV types 16 and 18. Clinical data show that prophylactic vaccines are effective in inducing antibody responses and in preventing persistent infection with HPV, as well as the subsequent development of high-grade cervical intraepithelial neoplasia. This article reviews the known data regarding natural immune responses to HPV and those developed by prophylactic vaccination. PMID- 18157724 TI - Phase I/II study of treatment with matured dendritic cells with or without low dose IL-2 in patients with disseminated melanoma. AB - BACKGROUND: In the present study, we have examined whether treatment of patients with metastatic melanoma with matured dendritic cell (DC) vaccines with or without low dose IL-2 may improve treatment outcomes. METHODS: Sixteen patients received DC vaccines (DCs) sensitized with autologous melanoma lysates and 18 patients received DCs sensitized with peptides from gp100, MART-1, tyrosinase, MAGE-3.A2, MAGE-A10 and NA17. IL-2 was given subcutaneously (sc) at 1 MU/m2 on the second day after each injection for 5-14 days in half of each group. DCs were given by intranodal injection. RESULTS: There were 2 partial responses (PR) and 3 with stable disease (SD) in the nine patients receiving DCs + peptides + IL-2, and 1 PR and 1 SD in nine patients treated with DCs + peptides without IL-2. There were only two patients with SD in the group receiving DCs + autologous lysates and no IL-2. Median overall survival for all patients was very good at 18.5 months but this was most probably due to selection of a favourable group of patients for the study. There was no significant difference in survival between the groups by log rank analysis. Treatment was not associated with significant side effects. The quality and yield of the DCs in the preparations were generally good. CONCLUSIONS: We conclude that mature DC preparations may be superior to immature DC preparations for presentation of melanoma peptides and that IL-2 may increase clinical responses to the DCs plus peptides. However, in our view the low response rates do not justify the cost and complexity of this treatment approach. PMID- 18157725 TI - Effects of cooling and clothing on vertical trajectories of the upper arm and muscle functions during repetitive light work. AB - The present study was designed to find out if cooling and/or clothing affect the vertical trajectories and muscle function of the upper arm during repetitive light work. Twelve female subjects performed a one-handed lifting task for 60 min while standing in front of a table with six target angles (30 degrees to 220 degrees ). The experiment was carried out in a climatic chamber in three different conditions: at 10 degrees C (C), at 25 degrees C (TN), and at 10 degrees C dressed in cold-protective clothing (C(p)). Skin and rectal temperatures were measured continuously. The vertical trajectories of the head, shoulder, elbow, and wrist on the right side of the body were recorded. Muscular strain (averaged EMG, a-EMG) and EMG gaps in eight muscles on the right upper arm were measured. The variation of the vertical trajectory amplitude of the upper arm measured from the elbow was significantly higher (at 200 degrees ) both at C and C(p) (50 and 25% respectively) and in shoulder (at 220 degrees angle) at C (33%) compared with TN (P < 0.05). Both C and C(p) increased a-EMG and reduced the number and duration of EMG gaps significantly in all muscles studied. In conclusion, in repetitive tasks the high mean vertical trajectory and changes in the amplitude of the trajectory of the upper arm at C and C(p) compared with TN were associated with increased muscular strain and reduced number of EMG gaps (more continuous activation of given muscle fibers). The changes in trajectories may serve as indicator of a risk for local muscle fatigue. PMID- 18157726 TI - Sweat secretion from the torso during passively-induced and exercise-related hyperthermia. AB - Thermal sweating from the human torso accounts for about half of the whole-body sweat secretion, yet its intra-segmental distribution has not been thoroughly examined. Therefore, the aim of the current study was to provide a detailed description of the distribution of eccrine sweating within the torso during passively-induced (water-perfusion garment: 40 degrees C) and progressively increasing, exercise-related thermal strain (36 degrees C, 60% relative humidity). Sudomotor function was measured in ten males using ventilated sweat capsules (3.16 cm(2)) attached to twelve sites on the ventral (four), lateral (three) and dorsal (four) torso, and upper shoulder surfaces. Sweating increased asymptotically in all sites, with the final core temperature averaging 39.7 degrees C (+/-0.1) and heart rates being 181 b min(-1) (+/-2). During exercise, the mean torso sweat rate averaged 1.35 mgcm(-2)min(-1), with sweating from the lateral torso surfaces generally being the lowest. Each of the between-site comparisons with the lateral torso differed significantly (P < 0.05), except for comparisons with the chest (P = 0.051) and shoulder (P > 0.05). The intra segmental differences between the lateral torso and the chest, abdomen, upper- and lower-back areas were significantly accentuated during exercise. From these data, it is evident that the torso is another region that does not have a uniform distribution of thermally-induced sweating. Thus, it is no longer acceptable for researchers, modellers, sweating manikins engineers or clothing manufacturers to assume that the sweat rates for all local sites within any body segment are equivalent. PMID- 18157727 TI - Recent progress in AFM molecular recognition studies. AB - During the past decade, remarkable advances have been made in using atomic force microscopy (AFM) for measuring the forces and the dynamics of the interaction between individual ligands and receptors, providing fundamental insights into molecular recognition processes. In addition, affinity imaging using either adhesion force mapping or dynamic recognition force mapping has offered a means to localize specific binding sites on model and cellular surfaces. These single molecule analyses provide novel insight into the structure-function relationships of molecular recognition systems. In this review, we describe the principles of molecular recognition studies using AFM and provide a flavor of recent progress made in the field. PMID- 18157728 TI - Muscarinic receptor expression and receptor-mediated detrusor contraction: comparison of juvenile and adult porcine tissue. AB - Urinary bladder function is known to mature during fetal and postnatal development, including changes in neurotransmitter regulation of detrusor contraction. However, only few experimental data are available about muscarinic receptor antagonist function in the urinary bladder from young animals. In the present study, we compare the muscarinic receptor-mediated contractions in juvenile and adult porcine detrusor and the effects of antimuscarinic compounds. Urinary bladders from young (8-12 weeks; 12- to 35-kg body weight) and mature pigs (>40 weeks; >100 kg) were compared. Muscarinic receptor expression was assessed by real time polymerase chain reaction and radioligand binding. Muscle contraction was measured with a force transducer; L-type Ca2+ currents (ICa,L) of isolated detrusor myocytes were recorded with standard voltage clamp technique. Juvenile and adult detrusor expressed similar quantities of the messenger RNA of M2 and M3 receptors. The number of [3H]QNB-binding sites and their affinity for the radioligand were also similar between juvenile and adult detrusor. In contrast, maximum contractile responses to the muscarinic receptor agonist carbachol were slightly larger in juvenile than adult bladders. On the other hand, carbachol was slightly less potent in juvenile than in adult tissue. The M3 antagonist DAU 5884 and the spasmolytic drug propiverine inhibited contractile responses with comparable efficacies and potencies in juvenile and adult tissue. ICa,L was somewhat smaller in juvenile than in adult cells. Taken together, these data suggest that expression and function of M2 and M3 receptors are similar in the detrusor of juvenile and mature pigs. Therefore, similar responses to antimuscarinic compounds could be expected in young and adult patients. PMID- 18157730 TI - Molecular and cellular detection of expression of vitellogenin and zona radiata protein in liver and skin of juvenile salmon (Salmo salar) exposed to nonylphenol. AB - In developing bioassays for estrogenic effects, vitellogenin (Vtg) induction and zona radiata protein (Zr-protein) induction in males and juveniles of oviparous vertebrates have been used as sensitive biomarkers for estrogenicity. Nonylphenol (NP) produces similar and parallel expression patterns of Vtg and Zr-protein levels in plasma and surface mucus of salmon, the response being concentration- and time-dependent. We have explored the potential mechanisms of Vtg and Zr protein expression in surface mucus by comparative molecular and cellular approaches. Liver, skin, blood, and surface mucus samples were collected from fish exposed to a single waterborne concentration of NP (10 and 60 microg/l), 3, 7, and 10 days post-exposure, for gene expression analysis (liver and skin; quantitative real-time polymerase chain reaction) and protein analysis (blood and surface mucus; enzyme-linked immunosorbent assay). Protein expression was localized by immunohistochemistry. NP produced concentration- and time-dependent increases of hepatic estrogen receptors (ERalpha and ERbeta), Vtg, and Zr-protein mRNA and plasma protein levels. These responses paralleled cellular detection of Vtg and Zr-protein in the liver with unique expression patterns in the cytoplasm of hepatocytes, hepatic sinusoids, and endothelial cells. ERalpha, Vtg, and Zr protein mRNA were detectable in the skin. ERbeta was the only skin response that was NP-concentration-dependent, especially at day 10 post-exposure. Immunohistochemistry for Vtg and Zr-protein in skin showed unique expression patterns in mucus vacuoles, epidermal cells, and scales in an NP-concentration- and time-specific manner. Thus, analysis of skin mRNA levels for xenoestrogen biomarker responses is a less-promising approach than protein analysis. The immunohistochemical localization of Vtg and Zr-protein levels in the skin further validates surface mucus as a sensitive biomarker source for estrogenic compounds. These responses represent an improvement for the detection of endocrine disrupting compounds and related pollutants in the environment. PMID- 18157729 TI - Expression of aromatase and estrogen receptors in human adrenocortical tumors. AB - We recently demonstrated that adrenocortical carcinoma cells express aromatase and estrogen receptors (ERs) and that 17beta-estradiol enhances adrenocortical cell proliferation. To provide a clue to the role of estrogens in adrenal tumorigenesis, we investigated the expression profile of genes involved in sex steroid hormone production and activity in a large series of normal and neoplastic human adrenocortical tissues. Quantitative reverse transcriptase polymerase chain reaction, Western blotting, and immunohistochemistry showed that ERalpha and ERbeta, androgen receptor (AR), and aromatase were expressed in the adrenal cortex and in adrenocortical tumors. ERbeta was the predominant ER subtype and was mainly expressed in the zona glomerulosa and fasciculata. Western blot analysis revealed the presence of a truncated form of AR in adrenocortical tissues. With respect to the normal adrenal cortex and adrenocortical adenomas, carcinomas were characterized by significantly lower ERbeta levels, ERalpha upregulation, and aromatase overexpression. ER expression correlated with expression of nuclear hormone receptors, suggesting they could be involved in ER modulation. In agreement with our in vitro findings, the results of this study suggest that estrogens, locally produced by aromatase, could enhance adrenocortical cell proliferation though autocrine/paracrine mechanisms. This study opens new perspectives on the potential use of antiestrogens and aromatase inhibitors as therapeutic agents against ACC. PMID- 18157732 TI - The burden of rheumatoid arthritis and access to treatment: health burden and costs. AB - As part of the study "The burden of rheumatoid arthritis and patient access to treatment", this paper reviews evidence on the health burden of rheumatoid arthritis (RA) in terms of morbidity (DALYs), mortality (% of deaths attributable to RA) and quality of life (utility and loss of QALYs), as well as the economic impact on society. Based on available literature on the prevalence and the cost of RA, combined with economic indicators, the annual cost per patient as well as the total national cost is estimated for Europe and North America (Canada and the United States), as well as Australia, Turkey, the Russian Federation and South Africa. Total costs to society were estimated at 45.3 billion in Europe and at 41.6 billion in the United States. Utility scores were found to be amongst the lowest compared to other diseases. PMID- 18157731 TI - Characterisation of cisplatin coordination sites in cellular Escherichia coli DNA binding proteins by combined biphasic liquid chromatography and ESI tandem mass spectrometry. AB - Combined multidimensional liquid chromatography and electrospray ionisation tandem mass spectrometry was employed to analyse platinated tryptic peptides from Escherichia coli cells treated with the anticancer drug cis-[PtCl2(NH3)2] at pH 7.0. Prerequisites for the LC/LC/MS/MS analysis of protein targets that are fulfilled by cisplatin are (a) that the original protein binding sites have a high kinetic stability over the range 2.3 < pH < 8.5, and (b) that the metal fragment remains coordinated to a significant number of b+ and y+ peptide ions under MS/MS fragmentation conditions. Matching the MS/MS spectra of the platinated tryptic peptides to sequences of proteins in the E. coli database enabled the identification of 31 protein targets for cisplatin. Whereas six of these are high-abundance enzymes and ribosomal proteins in E. coli cells, five low-abundance DNA-binding proteins were also identified as specific targets. These include the DNA mismatch repair protein mutS, the DNA helicase II (uvrD) and topoisomerase I (top1). Two efflux proteins (acrD, mdtA), the redox regulator thioredoxin 1 (thiO) and the external filament-like type-1 fimbrial protein A chain (fimA1) were also characterised as specific cisplatin-binding proteins. Kinetically favoured carboxylate (D, E) and hydroxy (S, T, Y) O atoms were identified as the Pt coordination sites in 18 proteins and methionyl S atoms in 9 proteins. PMID- 18157733 TI - The burden of rheumatoid arthritis and access to treatment: a medical overview. AB - As part of the investigation into the burden of rheumatoid arthritis (RA) and the access to treatment, this article reviews the medical aspects of the disease. RA is mediated by a variety of pathogenic events which culminate in the activation of B-cells, T-cells and other cell populations and lead to secretion of proinflammatory cytokines. These events result in signs and symptoms of active disease, such as pain and swelling, joint damage and disability, the three cornerstones of the clinical expression of RA. Active disease leads to joint damage and both to disability, whereby joint destruction is associated with the irreversible portion of disability. The diagnosis of RA is based on characteristic clinical and laboratory features, however, these may not be obvious in early disease. Therapy aims at interfering with disease activity, ideally leading to remission, as well as at retarding, ideally holding or even healing, joint destruction. This can be achieved by using disease modifying anirheumatic drugs (DMARDs). Among the chemical DMARDs, methotrexate is the anchor drug, although there exist many more such agents. Among the biological compounds, TNF-inhibitors have been in use for more than one decade, and co stimulation blockade and B-cell targeted therapy have been recent additions to the armamentarium. Therapeutic outcome can be predicted by clinical means. PMID- 18157735 TI - N-demethylation of neonicotinoid insecticide acetamiprid by bacterium Stenotrophomonas maltophilia CGMCC 1.1788. AB - Our previous study found that Stenotrophomonas maltophilia CGMCC 1.1788 could hydroxylate imidacloprid (IMI) to 5-hydroxy IMI. Here we first report that S. maltophilia CGMCC 1.1788 can demethylate acetamiprid (AAP) to form IM 2-1 that was characterized by HPLC-MS/MS and NMR. IM 2-1 retained only 10.5% contact activity and 13.1% oral activity of AAP against horsebean aphid. Time course of biotransformation under existing of sucrose revealed that 58.9% of AAP disappeared, but only 16.7% of reduced AAP was transformed to IM 2-1, after 8 days. Both demethylation and degradation of AAP contribute to the weak bioefficacy of AAP in soil application. The differences in metabolism and detoxification pathways between AAP and IMI are probably originated from the structural differences of these insecticides. PMID- 18157736 TI - Defining temporal spatial patterns of mega city Istanbul to see the impacts of increasing population. AB - Rapid land use change has taken place over the last few decades in Istanbul. As most of the metropolitan areas, Istanbul faces increasing problems connected to increasing population and urbanisation. In this study, temporal changes of Istanbul's land use/cover were defined using remotely sensed data and post classification change detection method. For the aim of the study, relevant information was derived from different dated Landsat Thematic Mapper (TM) satellite data by using Unsupervised Iterative Self-Organizing Data Analysis Technique (ISODATA) and results were examined with matrix analysis method. Ground truth data were used for the classification and accuracy assessment of the classification. Temporal changes of land use/cover classes of the mega city Istanbul between the years of 1992, 1997 and 2005 were examined for the management and decision making process. Landsat TM images were classified into six land use/cover types: forest-green area, bare land, water surface, road, urban area, and mining area. The results show that urban areas and road categories are increased greatly by 13,630 and 5,018ha, respectively, but forest green areas decreased by 77,722ha over 13years between 1992 and 2005. The reason for the decrease in green areas is mainly because of development of unplanned urbanization and unavoidable migration. PMID- 18157737 TI - pH fluorescent probes: chlorinated fluoresceins. AB - A series of regiospecific chlorinated fluoresceins have been synthesized by the reaction of the regiospecific chlorinated resorcinols with chlorinated phthalic anhydride. The regioisomers were successfully separated by chromatography. The photophysical properties of the obtained chlorinated fluoresceins were examined and found their absorption and emission maxima at long wavelength with high fluorescence quantum yield. Especially, pH-dependent properties of chlorinated fluoresceins have been studied in detail. These compounds show strongly pH sensitive range of 3.5-7.0, and have lower pK (a) values than fluorescein. Furthermore, their fluorescent intensity could reach the maximum in the physiological environment of pH range 6.8-7.4. Due to higher fluorescence quantum yield and lower pK (a) values, chlorinated fluoresceins will be expected to be used as excellent pH fluorescent probes for pH measurement of the acidic cell. PMID- 18157739 TI - Nucleotide sequence of the tripartite Fragaria chiloensis cryptic virus and presence of the virus in the Americas. AB - The plant used in the characterization of Fragaria chiloensis latent virus (FClLV) contained double-stranded RNA (dsRNA) bands that did not correspond in size to the genomic or subgenomic RNAs of known strawberry viruses. Using shotgun cloning, sequences of a cryptic virus, named Fragaria chiloensis cryptic virus (FCCV), were obtained. This communication presents the complete genome sequence of FCCV. The genome of FCCV consists of three monocistronic RNAs, an unusual feature for cryptic viruses that are normally bipartite. The largest molecule encodes an RNA-dependent RNA polymerase, while the other two encode closely related proteins predicted to be the coat proteins of the virus. Phylogenetic analysis showed that FCCV is related most closely to members of the fungi infecting Partitivirus genus rather than members of the plant-infecting Alphacryptovirus, providing a possible insight into the evolution of cryptic viruses. More than 300 strawberry plants from North and South America were tested for FCCV, and the virus was only detected in plants from South America. PMID- 18157738 TI - Anion sensing with luminescent quantum dots--a modular approach based on the Photoinduced Electron Transfer (PET) mechanism. AB - A CdSe-ZnS quantum dot (QD) has been surface functionalised with 1-(2-mercapto ethyl)-3-phenyl-thiourea in the fluorophore-spacer-receptor format typical of Photoinduced Electron Transfer (PET) based organic dye sensors. The resulting QD conjugate was tested for selectivity toward the tetrabutylammonium salts of fluoride, chloride, bromide, hydrogen sulfate and acetate. Addition of fluoride, chloride and acetate ions resulted in an approximate 90% quenching of the original fluorescence intensity, while bromide and hydrogen sulfate had almost no effect. The observed quench was attributed to an increase in the reduction potential of the receptor upon anion binding resulting in an increase in PET from the excited QD to the receptor and a concomitant reduction in fluorescence intensity. The selectivity and sensitivity were comparable to an analogous organic dye based sensor where a similar receptor was bound to an anthracene fluorophore. Thus a modular approach is evident where a receptor used in an organic dye based sensor can be adapted and successfully used with QD's. PMID- 18157740 TI - Sexual orientation and fluctuating asymmetry in men and women. AB - Previous research suggests that individuals' sexual orientation may be affected by developmental instability (DI) induced by exposure to prenatal stresses. We tested this relationship using fluctuating asymmetry (FA), the small random deviations from symmetry that arise in otherwise bilaterally symmetrical traits as a consequence of developmental noise and developmental instability. Differences among individuals reflect variation in their exposure to and ability to accommodate for stresses experienced during development as well as to developmental noise that arises due to cellular stocasticity. FA measurements for 156 heterosexual and 132 homosexual men and women participants provided strong support for the developmental instability hypothesis: FA was significantly higher in both male and female homosexuals (men: four of seven bilateral traits and composite FA values (cFA); women: five of seven bilateral traits and composite FA values). Although finger-length ratios (FLRs), an indirect marker for prenatal hormones, were sex-atypical (e.g., feminized) for homosexual men, we failed to detect any relationship between FA levels and 2D:4D finger-length ratios (FLRs). Hence, although elevated levels of developmental stress appear to be linked to shifts in sexual orientation, the underlying mechanism does not seem to be connected to sex-atypical prenatal hormones. Additional analyses with sex atypical individuals are needed to confirm this. PMID- 18157741 TI - Prevalence rates of attention deficit/hyperactivity disorder in a school sample of Venezuelan children. AB - A total of 1,535 4-12 year-old children were screened with the Conners' rating scales, followed by diagnostic confirmation by the diagnostic interview schedule for children-IV-parent version. The prevalence of ADHD was estimated to be 10.03%, and only 3.9% of children had received medication for the treatment of ADHD symptoms. Prevalence rates and demographic profile of Venezuelan children with ADHD are very similar to those found in samples from other countries. Authorities need to develop public health policies to correctly identify and treat affected subjects. Furthermore, clinicians must actively search for children with ADHD in order to provide the best-available treatment. PMID- 18157742 TI - Involvement of CD45 in DNA fragmentation in apoptosis induced by mitochondrial perturbing agents. AB - CD45 is a type I transmembrane molecule with phosphatase activity which comprises up to 10% of the cell surface area in nucleated haematopoietic cells. We have previously demonstrated the absence of nuclear apoptosis in CD45-negative T cells after chemical-induced apoptosis. The aim of this study was to characterize the role of CD45 in nuclear apoptosis. In contrast to wild type CD45-positive T cells, the CD45-deficient T cell lines are resistant to the induction of DNA fragmentation and chromatin condensation following tributyltin (TBT) or H2O2 exposure, but not to cycloheximide-induced apoptosis. CD45 transfection in deficient cell lines led to the restoration of chromatin condensation and DNA fragmentation following TBT exposure. In both CD45-positive and negative T cell lines, TBT exposure mediates intracellular calcium mobilization, caspase-3 activation and DFF45 cleavage. Moreover, DNA fragmentation was also induced by TBT in cells deficient in expression of p56lck, ZAP-70 and SHP-1. Subcellular partitioning showed a decrease in nuclear localisation of caspase-3 and DFF40. Together, these results demonstrate for the first time, that CD45 expression plays a key role in internucleosomal DNA fragmentation and chromatin condensation processes during apoptosis. CD45 activity or its substrates' activity, appears to be located downstream of caspase-3 activation and plays a role in retention of DFF40 in the nucleus. PMID- 18157743 TI - Antioxidant and antimicrobial activity of Zingiberaceae plants in Taiwan. AB - The rhizomes of the Zingiberaceae family are a vegetable widely used in many Asian countries, and their medicinal functions have been broadly discussed and accepted in many traditional recipes. In this study, 18 species of five genus of Zingiberaceae plants from Taiwan area were collected and analyzed for their functional properties. Methanolic extracts of the plants were analyzed for their total phenol compounds, alpha,alpha-diphenyl-beta-picrylhydrazyl (DPPH) scavenging activity, and reducing power. Antimicrobial activity of these samples was also determined. The results showed that the total phenol compounds of the Alpinia genus averaged 17, 30 mg/g for Curcumas, and the highest, 36.5 mg/g for Vanoverberghia sasakiana. Antioxidant performances were best observed in Vanoverberghia and Hedychium, both 89%, and DPPH scavenging activity followed similar trends. Particularly, Zingiber oligophyllum, considered as a traditional medicinal plant used in Taiwan exhibited low DPPH scavenging activity and reducing power. Most Zingiberaceae plant extracts exhibited antimicrobial activity against all tested food microorganisms. Hedychium and Vanoverberghia, did not show antimicrobial activities on Escherichia coli and Vibrio parahaemolyticus. This study is a positive demonstration of the utility of screening Taiwan's endemic Zingiberaceous plants for their food and medicinal uses. PMID- 18157744 TI - Contrast-enhanced ultrasound in fibro-lamellar hepatocellular carcinoma: a case report. PMID- 18157763 TI - [Methylphenidate of retard forms in children and adolescents with ADHD - an overview]. AB - As yet, stimulants remain the preferred means of treating attention deficit/hyperactivity disorder (ADHD) pharmacologically. They are indicated when measures based on behavioural therapy or psychoeducation alone are not sufficient. How-ever, the period of effectiveness of immediate release stimulants is often not satisfactory. A variety of retarded forms of methylphenidate have now been developed and approved for the German market. This paper presents an overview of clinical studies on effectiveness, period of effectiveness and the profile of side effects of different forms stimulants available in Germany. In clinical practice, the new retard products represent effective alternatives. There is an advantage in administering this drug in a once-daily single dose. At the same time, the side effects that are caused by an extended period of effectiveness have to be studied in detail. A more precise adaptation to the daily obligations and needs of children and adolescents is needed. Possibly, a combination with unretareded MPH might lead to a better effect/side-effect profile. PMID- 18157764 TI - Cellulitis with compartment syndrome as a complication of varicella zoster infection. AB - BACKGROUND: Varicella zoster infection (chickenpox) is a common and usually benign self limiting disease of childhood in non-vaccinated populations. Although varicella usually goes along with mild to moderate illness in immunocompetent patients, serious complications can arise. Varicella is highly infectious, with attack rates in susceptible individuals ranging from 61% to 100%. PATIENT: This case describes a rare but life threatening complication of varicella zoster infection in a child. CONCLUSIONS: High morbidity in non-vaccinated populations that led to rare cases of severe complications became a significant health burden all over the world. This aspect must be considered in the discussion about the importance and benefit of a population wide varicella vaccination programme as it was added to the childhood immunization schedule in Germany in 2004. The case described here might have been avoided by vaccination. PMID- 18157766 TI - [It unites, what belongs together...]. PMID- 18157765 TI - [MEDLINE listing and impact factor]. PMID- 18157767 TI - [Medicine and economics, orthopedics and trauma surgery--differences and commonalities]. PMID- 18157768 TI - [On rich orthopedists...]. PMID- 18157769 TI - [Significance of digital photography for expert assessment]. PMID- 18157770 TI - [The spine with the cross]. PMID- 18157792 TI - The counsellees' view of an unclassified variant in BRCA1/2: recall, interpretation, and impact on life. AB - OBJECTIVE: Unclassified variants (UVs, variants of uncertain clinical significance) are found in 13% of all BRCA1/2 mutation analyses. Little is known about the counsellees' recall and interpretation of a UV, and its psychosocial/medical impact. METHOD: Retrospective semi-structured interviews with open questions and five-point Likert scales were carried out in 24 counsellees who received a UV result 3 years before (sd=1.9). RESULTS: Sixty seven percent (16/24) recalled the UV result as a non-informative DNA result; 29% recalled a pathogenic result. However, 79% of all counsellees interpreted the UV result as a genetic predisposition for cancer. Variations in recall and interpretation were unexplained by demographics, cancer history of themselves and relatives, and communication aspects of UV disclosure. Sixty-seven percent perceived genetic counselling as completed, whereas 71% expected to receive new DNA information. Although most counsellees reported that UV disclosure had changed their lives in general little, one in three counsellees reported large changes in specific life domains, especially in surveillance behavior and medical decisions. Ten out of 19 participants who interpreted the UV as pathogenic had undergone preventive surgery against none of the 5 counsellees who interpreted the UV as non-informative. CONCLUSION: Counsellors and researchers need to address discrepancies between the counsellees' factual recall and their subjective interpretation of non-informative BRCA1/2-test results. PMID- 18157793 TI - C-peptide constricts pancreatic islet arterioles in diabetic, but not normoglycaemic mice. AB - BACKGROUND: Pancreatic islet blood flow is regulated separately from that of the exocrine pancreas, and a consistent finding during impaired glucose tolerance is an increased blood perfusion. The aim of the present study was to investigate whether C-peptide affects pancreatic islet arterioles in normal and diabetic mice. MATERIALS AND METHODS: Control and diabetic C57-Bl mice were studied after 2 weeks of alloxan-induced diabetes. Islet arterioles were dissected and microperfused with Dulbecco's modified Eagle medium (DMEM) solution. The effect of luminal application of mouse C-peptide was investigated. RESULTS: C-peptide reduced the diameter of islet arterioles from diabetic mice (-10+/-4%, P<0.05) compared to base-line values, whilst arterioles from normoglycaemic animals did not respond to C-peptide (P=0.2). CONCLUSION: These findings suggest a role for C peptide in the regulation of islet blood flow, especially during conditions with impaired glucose tolerance. PMID- 18157794 TI - Determinants of public satisfaction with the National Health Insurance in South Korea. AB - To explore the determinants of public satisfaction with the National Health Insurance, this study re-analyzed the 2004 public satisfaction survey with the Korean National Health Insurance (KNHI) conducted by Korean National Health Insurance Corporation (KNHIC). One thousand samples were selected with probability proportional to population size (by region/sex/age). The data collected by home-visit interview were transformed into the final data set by matching them to the insured's benefit database and the qualification database. The results showed that metropolitan residence, insured type, relationship between respondent and householder, subjective health status, benefit-cost ratio, and attitudes toward KNHI were direct determinants of satisfaction with KNHI. In addition, various demographic and socioeconomic variables and the health status of the respondent's family indirectly influenced satisfaction with KNHI. Among these variables, the attitude toward KNHI was the most vital factor to determine public satisfaction. The study results show that equity in monthly contributions and an enhanced quantity and quality of medical services are required to improve public satisfaction with KNHI. Furthermore, it is important to improve the public perception of social values and solidarity for increased public satisfaction with KNHI. PMID- 18157795 TI - Aberrant right subclavian artery at 11 + 0 to 13 + 6 weeks of gestation in chromosomally normal and abnormal fetuses. AB - OBJECTIVES: To establish the feasibility of examining the subclavian artery at 11 + 0 to 13 + 6 weeks of gestation, and to determine the prevalence of aberrant right subclavian artery (ARSA) in chromosomally normal and chromosomally abnormal fetuses. METHODS: Fetal echocardiography was performed prospectively in 516 patients before chorionic villus sampling at 11 + 0 to 13 + 6 weeks of gestation. Transabdominal sonography was carried out, and color flow mapping was used to identify the right subclavian artery and determine whether this was normal or aberrant (ARSA). Second-trimester fetal echocardiography was also carried out in a subgroup of 183 fetuses. RESULTS: The median gestational age was 12 weeks and the median crown-rump length was 68 mm. Successful assessment of the right subclavian artery was achieved in 425/516 (82.4%) cases and the rate of failure to do so was significantly associated with decreasing fetal crown-rump length (r = 0.174, P < 0.001) and increasing maternal body mass index (r = 0.275, P < 0.001). An ARSA was observed in 2/353 (0.6%) fetuses with a normal karyotype, in 4/51 (7.8%) cases with trisomy 21 and in 2/20 (10.0%) with other chromosomal defects. In a subgroup of 183 fetuses examined in both the first and second trimester there were three cases of ARSA observed at both scans and an additional case in which ARSA was detected only at the second scan. CONCLUSIONS: Assessment of the position of the right subclavian artery is feasible at the 11 + 0 to 13 + 6-week scan and ARSA is more common in chromosomally abnormal than normal fetuses. However, ARSA in the first trimester is unlikely to be a useful marker of trisomy 21. PMID- 18157796 TI - Doppler assessment of the aortic isthmus and perinatal outcome in preterm fetuses with severe intrauterine growth restriction. AB - OBJECTIVES: To evaluate the characteristics and association with perinatal outcome of the aortic isthmus (AoI) circulation as assessed by Doppler imaging in preterm growth-restricted fetuses with placental insufficiency. METHODS: This was a prospective cross-sectional study. Fifty-one fetuses with intrauterine growth restriction (IUGR) and either an umbilical artery (UA) pulsatility index (PI) > 95(th) centile or a cerebroplacental ratio < 5(th) centile were examined at 24-36 weeks' gestation. AoI impedance indices (PI and resistance index) and absolute velocities (peak systolic (PSV), end-diastolic and time-averaged maximum (TAMXV) velocities), were measured in all cases and compared with reference ranges by gestational age. Furthermore, fetuses were stratified into two groups according to the direction of the diastolic blood flow in the AoI: those with antegrade flow (n = 41) and those with retrograde flow (n = 10). Clinical surveillance was based on gestational age and Doppler assessment of the UA, middle cerebral artery and ductus venosus (DV). Adverse perinatal outcome was defined as stillbirth, neonatal death and severe morbidity (respiratory distress syndrome, bronchopulmonary dysplasia, Grade III/IV intraventricular hemorrhage, necrotizing enterocolitis and a neonatal intensive care unit stay > 14 days). RESULTS: Adverse perinatal outcome was significantly associated with an increased AoI-PI (area under the curve 0.77; 95% CI, 0.63-0.92; P < 0.005). A significant correlation (P < 0.001) was found between retrograde blood flow in the AoI and adverse perinatal outcome, the overall perinatal mortality being higher in the retrograde group (70% vs. 4.8%, P < 0.001). In 4/5 (80%) fetuses the reversal of flow in the AoI preceded that in the DV by 24-48 h. AoI-PSV and AoI-TAMXV were < 5(th) centile in 40/51 (78%) and 48/51 (94%) cases, respectively, whereas AoI-PI was > 95(th) centile in 21/51 (41%) cases. CONCLUSIONS: Retrograde flow in the AoI in growth-restricted fetuses correlates strongly with adverse perinatal outcome. Absolute velocities in the AoI are decreased in growth-restricted fetuses. The data suggest a potential role for Doppler imaging of the AoI in the clinical surveillance of fetuses with severe IUGR, which should be confirmed in larger prospective studies. PMID- 18157798 TI - The determination of 17O NMR parameters of hydroxyl oxygen: a combined deuteration and DOR approach. AB - The direct detection of hydroxyl oxygen (O-H) by (17)O double-rotation (DOR) NMR is very challenging because of the strong O-H dipole interaction. It is shown that deuteration of the hydroxyl site overcomes this using glycine.HCl as an illustration. Two well-separated sets of narrow (linewidth approximately 80-100 Hz) resonances with their spinning-sidebands are observed for the carboxyl and hydroxyl oxygens in the DOR spectrum of [(17)O,(2)H]glycine.HCl. The chemical shift anisotropy of these sites is obtained from a simulation of the DOR spinning sideband intensities. The chemical shift span (Omega) for the carboxyl oxygen is found to be much larger than that of the hydroxyl oxygen, with Omega values of 540 +/- 15 and 210 +/- 10 ppm, respectively. PMID- 18157797 TI - Maternal cardiovascular function in pregnancies complicated by intrauterine growth restriction. AB - OBJECTIVE: To investigate maternal cardiovascular function in pregnancies complicated by intrauterine growth restriction (IUGR). METHODS: Maternal echocardiography and ambulatory blood pressure monitoring were performed in pregnancies complicated by IUGR (n = 12) and controls (n = 12), all of whom were normotensive at enrollment. RESULTS: Compared to controls, maternal blood pressure (P = 0.016) and total vascular resistance (P = 0.008) were higher in IUGR pregnancies. Heart rate was lower (P = 0.003), as was systolic function expressed by midwall fractional shortening (P = 0.04). No significant differences between the two groups were observed for left atrial or left ventricular dimensions, nor for left ventricular geometry. Assessment of diastolic function by means of transmitral Doppler flow measurements revealed a significantly longer isovolumetric relaxation time in pregnancies with IUGR (P = 0.006). CONCLUSIONS: In normotensive pregnancies complicated by IUGR, as compared to controls, there is decreased diastolic and systolic maternal cardiac function, and a higher blood pressure. PMID- 18157799 TI - Modular design of receiver coil arrays. AB - We describe a modular and hence flexible system for connecting MR surface coils to create a receiver array. Up to 16 individual coils of different size and shape depending on the application are plugged into a connector box that houses the control electronics. Preamplification, matching and detuning circuitry are housed on a circuit board directly attached to each coil loop. Electrical adjustments for tuning or decoupling for each coil configuration are not needed thanks to effective preamplifier decoupling provided through a Pi matching network. Radio frequency safety and electrically stable cabling are ensured by multiple radio frequency traps. Array modules for 1.5 and 3 T have been simulated, constructed, tested, and used for imaging experiments. PMID- 18157800 TI - Whatever happened to bird flu? PMID- 18157802 TI - Dipolar recoupling of I = 1/2, S = 3/2 spin pairs with SEDOR for static and spinning samples. AB - Spin-echo, double-resonance (SEDOR) dipolar recoupling experiments are illustrated on an I = 1/2, S = 3/2 spin system for static and spinning samples. An (15)N-(23)Na spin system is used to show that the simple pulse sequence is very effective in causing (15)N dipolar dephasing using either a (23)Na pi/2 recoupling pulse or a long radio-frequency (r.f.) recoupling pulse. PMID- 18157803 TI - Dipolar double-quantum filtered rotational-echo double resonance. AB - The homonuclear dipolar coupling of a directly bonded (13)C-(13)C pair has been used to create a dipolar double-quantum filter (D-DQF) to remove the natural abundance (13)C background in (13)C[(2)H] rotational-echo double-resonance (REDOR) experiments. The most efficient version of this experiment has the D-DQF excitation and reconversion preceding the REDOR evolution period. Calculated and observed (13)C[(2)H]D-DQF-REDOR dephasings were in agreement for a test sample of mixed recrystallized labeled alanines. PMID- 18157804 TI - 15N solid-NMR and X-ray diffraction studies of N-confused porphyrins. AB - Using (15)N high-resolution solid-state NMR and X-ray diffraction, the structure of N-confused porphyrin (NCP) in the solid state was studied. A 1D (15)N magic angle spinning (MAS) experiment and a 2D dipolar assisted rotational resonance (DARR) (15)N-(15)N spin exchange experiment of N-confused tetratolylporphyrin (Tol) crystallized from CH(2)Cl(2)/hexane indicate that Tol is the inner 3H-type tautomer and has two magnetically different molecules in the unit cell. Further, a FSLG-2 & 4macr; 2 (1)H-(15)N dipolar recoupling NMR measurement indicates no fast ring flipping motion which is consistent with the planar structure in the X ray analysis. The planarity of Tol is ascribed to crystal packing enforced by pi pi stacking and CH-pi interactions. PMID- 18157805 TI - Quantitative measurement of differential 15N-H(alpha/beta)T2 relaxation rates in a perdeuterated protein by MAS solid-state NMR spectroscopy. AB - Dynamic parameters become more and more accessible in the study of uniformly isotopically enriched proteins by MAS solid-state NMR. We demonstrate that T(2) related relaxation properties can quantitatively be determined in a sample of a perdeuterated microcrystalline protein by the measurement of (15)N,(1)H dipole, (15)N CSA cross-correlated relaxation rates. We find that the measured cross correlated relaxation rates are independent of the MAS rotation frequency, and therefore reflect local dynamic fluctuations of the protein structure. PMID- 18157806 TI - Solid-state NMR studies of hydrogen bonding networks and proton transport pathways based on anion and cation dynamics. AB - Proton dynamics in polymer electrolyte membranes are multifaceted processes, and the relative contributions of various mechanisms can be difficult to distinguish. Judicious choices of model systems can aid in understanding the critical steps. In this study, we characterize anion dynamics in a series of benzimidazole-alkyl phosphonate salts, and compare those dynamics to a membrane prototype, built on a decane backbone. The series of salts are characterized, using high resolution (1)H solid-state magic angle spinning (MAS) NMR, DQ MAS NMR, and (31)P centreband only detection of exchange (CODEX) NMR spectroscopy, to determine the influence of the nature of the alkyl group on the rates and geometries of anion dynamics, and overall proton exchange processes. The alkyl group is shown to slow the correlation times for anion reorientation, when compared at ambient temperature. However, it is also apparent that the lowered lattice energy of the salt lowers the activation energy and allows good dynamics at intermediate temperatures in both the benzimidazolium ethylphosphonate and in the HBr adduct of 1,10-(1-H imidazol-5-yl)decanephosphonic acid (Imi-d-Pa). PMID- 18157807 TI - Long-range 19F-15N distance measurements in highly-13C, 15N-enriched solid proteins with 19F-dephased REDOR shift (FRESH) spectroscopy. AB - We present a novel rotational-echo double resonance (REDOR) method for detection of multiple (19)F-(15)N distances in solid proteins. The method is applicable to protein samples containing a single (19)F label, in addition to high levels of (13)C and (15)N enrichment. REDOR dephasing pulses are applied on the (19)F channel during an indirect constant time chemical shift evolution period on (15)N, and polarization is then transferred to (13)C for detection, with high power (1)H decoupling throughout the sequence. This four-channel experiment reports site-specifically on (19)F-(15)N distances, with highly accurate determinations of approximately 5 A distances and detection of correlations arising from internuclear distances of at least 8 A. We demonstrate the method on the well-characterized 56-residue model protein GB1, where the sole tryptophan residue (Trp-43) has been labeled with 5-(19)F-Trp, in a bacterial growth medium also including (13)C-glucose and (15)N ammonium chloride. In GB1, 11 distances are determined, all agreeing within 20% of the X-ray structure distances. We envision the experiment will be utilized to measure quantitative long-range distances for protein structure determination. PMID- 18157808 TI - Tailoring 13C labeling for triple-resonance solid-state NMR experiments on aligned samples of proteins. AB - In order to develop triple-resonance solid-state NMR spectroscopy of membrane proteins, we have implemented several different (13)C labeling schemes with the purpose of overcoming the interfering effects of (13)C-(13)C dipole-dipole couplings in stationary samples. The membrane-bound form of the major coat protein of the filamentous bacteriophage Pf1 was used as an example of a well characterized helical membrane protein. Aligned protein samples randomly enriched to 35% (13)C in all sites and metabolically labeled from bacterial growth on media containing [2-(13)C]-glycerol or [1,3-(13)C]-glycerol enables direct (13)C detection in solid-state NMR experiments without the need for homonuclear (13)C (13)C dipole-dipole decoupling. The (13)C-detected NMR spectra of Pf1 coat protein show a substantial increase in sensitivity compared to the equivalent (15)N-detected spectra. The isotopic labeling pattern was analyzed for [2-(13)C] glycerol and [1,3-(13)C]-glycerol as metabolic precursors by solution-state NMR of micelle samples. Polarization inversion spin exchange at the magic angle (PISEMA) and other solid-state NMR experiments work well on 35% random fractionally and metabolically tailored (13)C-labeled samples, in contrast to their failure with conventional 100% uniformly (13)C-labeled samples. PMID- 18157809 TI - Conformational constraints in solid-state NMR of uniformly labeled polypeptides from double single-quantum-filtered rotational echo double resonance. AB - A solid-state nuclear magnetic resonance (NMR) technique is described for obtaining constraints on the backbone conformation of a protein or peptide that is prepared with uniform (15)N,(13)C labeling of consecutive pairs of amino acids or of longer segments. The technique, called double single-quantum-filtered rotational echo double resonance (DSQ-REDOR), uses frequency-selective REDOR to prepare DSQ coherences involving directly bonded backbone (13)CO and (15)NH sites, to dephase these coherences under longer-range (15)NH-(13)CO dipole-dipole couplings in a conformationally dependent manner, and to convert the remaining DSQ coherences to detectable transverse (13)C-spin polarization. The efficacy of DSQ-REDOR is demonstrated in experiments on two isotopically labeled samples, the helical peptide MB(i + 4)EK and the amyloid-forming peptide Abeta(11-25). PMID- 18157810 TI - On the orientational dependence of resolution in 1H solid-state NMR, and its role in MAS, CRAMPS and delayed-acquisition experiments. AB - Numerical simulations and experiments are used to show that the spin dynamics of the dipolar-coupled networks in solids is often strongly dependent on crystallite orientation. In particular, different rates of dephasing of the magnetisation mean that NMR signals obtained at longer dephasing times are dominated by orientations in which the local dipolar coupling strength is relatively weak. This often leads to a distinct improvement in spectral resolution as the dephasing time is increased. The effects are particularly noticeable under magic angle spinning (MAS), but are also observed when homonuclear decoupling is used to reduce the rate of dipolar dephasing. Numerical simulation is seen to be a powerful and easily used tool for understanding the behaviour of solid-state NMR experiments involving dipolar-coupled networks. The implications for solid-state NMR spectra of abundant spins acquired under MAS and homonuclear decoupling are discussed, as well as insights provided into the performance of 'delayed acquisition' and 'constant-time' experiments. PMID- 18157811 TI - Magic angle spinning NMR spectroscopy of thioredoxin reassemblies. AB - Differentially isotopically enriched 1-73((13)C,(15)N)/74-108((15)N) and 1 73((15)N)/74-108((13)C,(15)N) Escherichia coli thioredoxin reassemblies prepared by fragment complementation were investigated by high-resolution magic angle spinning solid-state NMR spectroscopy. Nearly complete resonance assignments, secondary and tertiary structure analysis are reported for 1-73((13)C,(15)N)/74 108((15)N) reassembled thioredoxin. Temperature dependence of the dipolar assisted rotational resonance (DARR) spectra reveals the residues undergoing intermediate timescale motions at temperatures below - 15 degrees C. Analysis of the DARR intensity buildups as a function of mixing time in these reassemblies indicates that at long mixing times medium- and long-range cross-peaks do not experience dipolar truncation, suggesting that isotopic dilution is not required for gaining nontrivial distance restraints for structure calculations. PMID- 18157814 TI - Reflecting on HIV. PMID- 18157812 TI - Functional inhibition related to structure of a highly potent insulin-specific CD8 T cell clone using altered peptide ligands. AB - Insulin-reactive CD8 T cells are amongst the earliest islet-infiltrating CD8 T cells in NOD mice. Cloned insulin B15-23-reactive cells (designated G9C8), restricted by H-2K(d), are highly diabetogenic. We used altered peptide ligands (APL) substituted at TCR contact sites, positions (p)6 and 8, to investigate G9C8 T cell function and correlated this with structure. Cytotoxicity and IFN-gamma production assays revealed that p6G and p8R could not be replaced by any naturally occurring amino acid without abrogating recognition and functional response by the G9C8 clone. When tested for antagonist activity with APL differing from the native peptide at either of these positions, the peptide variants, G6H and R8L showed the capacity to reduce the agonist response to the native peptide. The antagonist activity in cytotoxicity and IFN-gamma production assays can be correlated with conformational changes induced by different structures of the MHC-peptide complexes, shown by molecular modeling. We conclude that p6 and p8 of the insulin B15-23 peptide are very important for TCR stimulation of this clone and no substitutions are tolerated at these positions in the peptide. This is important in considering the therapeutic use of peptides as APL that encompass both CD4 and CD8 epitopes of insulin. PMID- 18157815 TI - Fine-tuning CD4+ central memory T cell heterogeneity by strength of stimulation. AB - The memory T cell pool serves as a relatively long-lived heterogeneous repository of antigen-experienced T cells that "remember" previous encounters with antigen. While heterogeneity in the memory T cell pool is now well established, signals regulating the generation of this memory T cell heterogeneity are not fully understood. Two articles in this issue of the European Journal of Immunology highlight the importance of the strength of antigenic stimulation in regulating the generation of phenotypically and functionally distinct CD4(+) T cell memory subsets. New insights are also provided into key molecular players that likely mediate differences in homeostatic and secondary expansion between the memory subsets. PMID- 18157816 TI - Engagement of NOD2 has a dual effect on proIL-1beta mRNA transcription and secretion of bioactive IL-1beta. AB - Synthesis and release of pro-inflammatory cytokines, such as IL-1beta, play a crucial role in the intestinal inflammation that characterizes Crohn's disease. Mutations in the nucleotide oligomerization domain 2 (NOD2) gene are associated with an increased risk of Crohn's disease. Although it is known that NOD2 mediates cytokine responses to muramyl dipeptide (MDP), it is yet unclear whether NOD2 stimulation mediates only transcription of pro-IL-1beta mRNA, or whether NOD2 is also involved in the activation of caspase-1 and release of active IL 1beta. By investigating the response of MNC from Crohn's disease patients homozygous for the 3020insC NOD2 mutation, we were able to show that NOD2 signaling after stimulation with MDP has a dual effect by activating proIL-1beta mRNA transcription and inducing release of bioactive IL-1beta. Because NOD2 engagement amplifies TLR stimulation, we investigated whether activation of caspase-1 by MDP is involved in the NOD2/TLR synergism. The synergy in IL-1beta production between NOD2 and TLR is mediated at post-translational level in a caspase-1-dependent manner, which indirectly suggests that NOD2 also induces caspase-1 activation. In contrast, the synergy in TNF-alpha production after stimulation with MDP and LPS is induced at transcriptional level. This demonstrates that both caspase-1-dependent and -independent mechanisms are involved in the synergy between NOD2 and TLR. PMID- 18157817 TI - Identification and hormonal regulation of a novel form of NKp30 in human endometrial epithelium. AB - This study reports the discovery and steroid hormonal regulation of a novel glycosylated form of NKp30 in human endometrial epithelium. NKp30 is a member of the immunoglobulin superfamily and one of three existing natural cytotoxicity triggering receptors. NKp30 is a glycosylated protein and is thought to be selectively expressed in resting and activated natural killer cells. The aims of the present study were to fully characterize NKp30 mRNA and protein in human endometrium during the menstrual cycle, and to investigate the hormonal regulation of NKp30. NKp30 mRNA was significantly up-regulated in fresh tissues during late secretory phase of the menstrual cycle. Interestingly, NKp30 mRNA was also present in clonally derived endometrial epithelial cells (CEE) in comparable amounts to fresh tissue. NKp30 protein was predominantly found in the endometrial glands and luminal epithelia of the secretory phase endometrium. Western blotting and de-glycosylation studies show that a novel glycosylated form of NKp30 is present in endometrial epithelium and that it can dimerize. Further phenotyping of CEE by flow cytometry revealed that they are CK8(+)CD49f(+)NKp30(+)CD45( )CD56(-). The data also show that transcription and translation of the novel form of NKp30 can be induced by progesterone treatment after 48 h in endometrial explants in vitro. This is the first report to show the presence of both NKp30 mRNA and a novel glycosylated form of NKp30 protein in endometrial epithelial cells. PMID- 18157818 TI - Novel clinico-molecular insights in pseudoxanthoma elasticum provide an efficient molecular screening method and a comprehensive diagnostic flowchart. AB - Pseudoxanthoma elasticum (PXE) is a heritable connective tissue disorder characterized by ocular, cutaneous and cardiovascular manifestations. It is caused by mutations in the ABCC6 gene (chr. 16p13.1), encoding a transmembrane transporter protein, the substrate and biological function of which are currently unknown. A comprehensive clinical and molecular study of 38 Belgian PXE probands and 21 relatives (4 affected and 17 carriers) was performed. An extensive clinical evaluation protocol was implemented with serial fundus, skin and cardiovascular evaluation. We report on 14 novel mutations in the ABCC6 gene. We observed extensive variability in severity of both cutaneous and ocular lesions. The type of skin lesion however usually remained identical throughout the evolution of the disorder, while ophthalmological progression was mainly due to functional decline. Peripheral artery disease (53%) and stroke (15%) were significantly more prevalent than in the general population (10-30% and 0.3-0.5% respectively). Interestingly, we also observed a relatively high incidence of subclinical peripheral artery disease (41%) in our carrier population. We highlight the significance of peripheral artery disease and stroke in PXE patients as well as the subclinical manifestations in carriers. Through follow-up data we gained insight into the natural history of PXE. We propose a cost- and time-efficient two-step method of ABCC6 analysis which can be used in different populations. Additionally, we created a diagnostic flowchart and attempted to define the role of molecular analysis of ABCC6 in the work-up of a PXE patient. PMID- 18157819 TI - Molecular analysis of SUMF1 mutations: stability and residual activity of mutant formylglycine-generating enzyme determine disease severity in multiple sulfatase deficiency. AB - Multiple Sulfatase Deficiency (MSD) is a rare inborn autosomal-recessive disorder, which mainly combines clinical features of metachromatic leukodystrophy, mucopolysaccharidosis and X-linked ichthyosis. The clinical course ranges from neonatal severe to mild juvenile cases. MSD is caused by mutations in the SUMF1 gene encoding the formylglycine-generating enzyme (FGE). FGE posttranslationally activates sulfatases by generating formylglycine in their catalytic sites. We analyzed the functional consequences of missense mutations p.A177P, p.W179S, p.A279V and p.R349W with regard to FGE's subcellular localization, enzymatic activity, protein stability, intracellular retention and resulting sulfatase activities. All four mutations did not affect localization of FGE in the endoplasmic reticulum of MSD fibroblasts. However, they decreased its specific enzymatic activity to less than 1% (p.A177P and p.R349W), 3% (p.W179S) or 23% (p.A279V). Protein stability was severely decreased for p.A279V and p.R349W, and almost comparable to wild type for p.A177P and p.W179S. The patient with the mildest clinical phenotype carries the mutation p.A279V leading to decreased FGE protein stability, but high residual enzymatic activity and only slightly reduced sulfatase activities. In contrast, the most severely affected patient carries the mutation p.R349W leading to drastically decreased protein stability, very low residual enzymatic activity and considerably reduced sulfatase activities. Our functional studies provide novel insight into the molecular defect underlying MSD and reveal that both residual enzyme activity and protein stability of FGE contribute to the clinical phenotype. The application of improved functional assays to determine these two molecular parameters of FGE mutants may enable the prediction of the clinical outcome in the future. PMID- 18157820 TI - TLR7 stimulation augments T effector-mediated rejection of skin expressing neo self antigen in keratinocytes. AB - Immunotherapy generally fails to induce tumour regression in spontaneously arising tumours. Failure is attributed to both tumour-related factors and an ineffective immune response. As a model of tumour immunotherapy, without the confounding effects of potential tumour-determined mechanisms of immune evasion, we studied the requirements for rejection of skin grafts expressing a neo-self antigen in somatic cells and not in antigen-presenting cells. When antigen expression was restricted to somatic cells, both CD4(+) and CD8(+) effector cells were required for graft rejection. Although freshly placed grafts were spontaneously rejected, healed grafts established under the cover of T cell depletion were not rejected even after T cell numbers recovered to a level where freshly placed grafts on the same animal were rejected, suggesting that healed skin grafts expressing a neo-self antigen only in somatic cells could not be rejected by primed recipients with functional effector T cells. Local TLR7 ligation induced inflammatory responses and rejection of healed grafts exposed to the TLR agonist but did not induce rejection of untreated healed grafts on the same animal. Thus, local pro-inflammatory signalling via TLR7 can promote effector T cell function against skin cells displaying their nominal antigen. PMID- 18157828 TI - Recommendations for locus-specific databases and their curation. AB - Expert curation and complete collection of mutations in genes that affect human health is essential for proper genetic healthcare and research. Expert curation is given by the curators of gene-specific mutation databases or locus-specific databases (LSDBs). While there are over 700 such databases, they vary in their content, completeness, time available for curation, and the expertise of the curator. Curation and LSDBs have been discussed, written about, and protocols have been provided for over 10 years, but there have been no formal recommendations for the ideal form of these entities. This work initiates a discussion on this topic to assist future efforts in human genetics. Further discussion is welcome. PMID- 18157829 TI - Progranulin locus deletion in frontotemporal dementia. AB - Ubiquitin-positive, tau-negative, frontotemporal dementia (FTD) is caused by null mutations in progranulin (PGRN; HUGO gene symbol GRN), suggesting a haploinsufficiency mechanism. Since whole gene deletions also lead to the loss of a functional allele, we performed systematic quantitative analyses of PGRN in a series of 103 Belgian FTD patients. We identified in one patient (1%) a genomic deletion that was absent in 267 control individuals. The deleted segment was between 54 and 69 kb in length and comprised PGRN and two centromeric neighboring genes RPIP8 (HUGO gene symbol RUNDC3A) and SLC25A39. The patient presented clinically with typical FTD without additional symptoms, consistent with haploinsufficiency of PGRN being the only gene contributing to the disease phenotype. This study demonstrates that reduced PGRN in absence of mutant protein is sufficient to cause neurodegeneration and that previously reported PGRN mutation frequencies are underestimated. PMID- 18157830 TI - Understanding the impact of breast reconstruction on the surgical decision-making process for breast cancer. AB - BACKGROUND: Reconstruction is rarely incorporated into the decision-making process for surgical breast cancer treatment. We examined the importance of knowing about reconstruction to patients' surgical decision-making for breast cancer. METHODS: We surveyed women aged < or =79 years with breast cancer (N = 1844) who were reported to the Detroit and Los Angeles Surveillance, Epidemiology, and End Results (SEER) cancer registries (response rate, 77.4%). The dependent variables were 1) patients' report of having a discussion about breast reconstruction with their general surgeon (yes/no), 2) whether or not this discussion had an impact on their willingness to be treated with a mastectomy (yes/no), and 3) whether the patient received a mastectomy (yes/no). The independent variables included age, race, education, tumor size, tumor behavior, and presence of comorbidities. Chi-square, Student t test, and logistic regression were used for analyses. RESULTS: Only 33% of patients had a general surgeon discuss breast reconstruction with them during the surgical decision making process for their cancer. Surgeons were significantly more likely to have this discussion with younger, more educated patients with larger tumors. Knowing about reconstructive options significantly increased patients' willingness to consider a mastectomy (OR, 2.06; P <.01). In addition, this discussion influenced surgical treatment. Patients who discussed reconstruction with their general surgeon were 4 times more likely to receive a mastectomy compared with those who did not (OR, 4.48; P < .01). CONCLUSIONS: Most general surgeons do not discuss reconstruction with their breast cancer patients before surgical treatment. When it occurs, this discussion significantly impacts women's treatment choice, making many more likely to choose mastectomy. This highlights the importance of multidisciplinary care models to facilitate an informed surgical treatment decision-making process. PMID- 18157831 TI - Cost analysis of the National Breast and Cervical Cancer Early Detection Program: selected states, 2003 to 2004. AB - BACKGROUND: The National Breast and Cervical Cancer Early Detection Program (NBCCEDP) was established by the U.S. Congress in 1990. In recent years, there has been an emphasis on ascertaining the NBCCEDP's costs of delivering screening and diagnostic services to medically underserved, low-income women. The objective of this report was to address 3 economic questions: What is the cost per woman served in the program, what is the cost per woman served by program component, and what is the cost per cancer detected through the program? METHODS: The authors developed a questionnaire to systematically collect activity-based costs on screening for breast and cervical cancer from 9 participating programs. The questionnaire was developed based on well established methods of collecting cost data for program evaluation. Data were collected from July 2003 through June 2004. RESULTS: With in-kind contributions, the cost of screening services to women in 9 programs was estimated at $555 per woman served. Without in-kind contributions, this cost was $519. Among the program components, screening and coalitions/partnerships accounted for the highest and lowest cost per woman served, respectively. The median cost of screening a woman for breast cancer was $94, and the cost per breast cancer detected was $10,566. For cervical cancer, these costs were $56 and $13,340, respectively. CONCLUSIONS: Costs per woman served, screened, and cancers detected are needed for programs to accurately determine the resources required to reach and screen eligible women. With limited program resources, these cost estimates can provide useful information to assist programs in planning and implementing cost-effective activities that could maximize the allocation of program resources. PMID- 18157832 TI - Parental origin and somatic mosaicism of PHOX2B mutations in Congenital Central Hypoventilation Syndrome. AB - Heterozygous polyalanine repeat expansions of PHOX2B have been associated with Congenital Central Hypoventilation Syndrome, a rare neurocristopathy characterized by absence of adequate control of respiration during sleep. Here we report a PHOX2B mutational screening in 63 CCHS patients, 58 of whom presenting with poly-A expansions or frameshift, missense and nonsense mutations. To assess a somatic or germline occurrence of poly-A length variations, the relative amounts of mutant and wild type alleles have been quantified in 20 selected CCHS patients presenting with an expansion, and in their parents. Somatic mosaicism was shown in four parents, while no mosaic was found among CCHS patients. Moreover, while co-segregation analysis of the PHOX2B poly-A expansions with selected marker alleles in the same 20 CCHS trios has not demonstrated any parent of-origin effect of the mutations, it has provided further clues to clarify the molecular mechanism underlying the expansion occurrence. Finally, the segregation of PHOX2B poly-A anomalous tracts within family members has allowed us to exclude tendency of polymorphic variations towards expansion. This strengthens the notion that expanded polyalanine tracts, identified as frequent disease-causing mutations also in other human diseases, are mitotically and meiotically stable. PMID- 18157833 TI - An unusual case of hemochromatosis due to a new compound heterozygosity in HFE (p.[Gly43Asp;His63Asp]+[Cys282Tyr]): structural implications with respect to binding with transferrin receptor 1. AB - Most adults affected with HFE hereditary hemochromatosis (HH type 1, MIMmusical sharp 235200) are homozygous for the p.Cys282Tyr mutation in HFE (NC_000006.10, region 26195427 to 26205038). The aim of this study was to investigate the molecular basis of iron overload in a patient presenting with severe clinical HH with one c.845G>A (p.Cys282Tyr) allele only. Molecular and pedigree studies demonstrated the presence of the c.845G>A (p.Cys282Tyr) mutation in one allele whereas the other carried the c.187C>G (p.His63Asp) mutation plus a new c.128G>A (p.Gly43Asp) substitution in cis. A molecular modeling study of the p.[Gly43Asp;His63Asp] and p.His63Asp variants versus the wild type was carried out using molecular dynamics (MD) simulation in presence of implicit solvent. We found that the c.187C>G (p.His63Asp) mutation does not introduce any major change in the 1- domains of HFE whereas the c.128G>A (p.Gly43Asp) substitution is responsible for a modification of the dynamics and the structure of the Gln40 Ser45 loop, a critical region for HFE-TfR1 interaction thus impairing HFE-TfR1 normal contact. We conclude that the occurrence of complex alleles may be an alternative explanation for the variability of the phenotype in individuals who are compound heterozygous for c.[187C>G]+[845G>A] (p.[His63Asp]+[Cys282Tyr]). PMID- 18157834 TI - Repeated stress alters dendritic spine morphology in the rat medial prefrontal cortex. AB - Anatomical alterations in the medial prefrontal cortex (mPFC) are associated with hypothalamopituitary adrenal (HPA) axis dysregulation, altered stress hormone levels, and psychiatric symptoms of stress-related mental illnesses. Functional imaging studies reveal impairment and shrinkage of the mPFC in such conditions, and these findings are paralleled by experimental studies showing dendritic retraction and spine loss following repeated stress in rodents. Here we extend this characterization to how repeated stress affects dendritic spine morphology in mPFC through the utilization of an automated approach that rapidly digitizes, reconstructs three dimensionally, and calculates geometric features of neurons. Rats were perfused after being subjected to 3 weeks of daily restraint stress (6 hours/day), and intracellular injections of Lucifer Yellow were made in layer II/III pyramidal neurons in the dorsal mPFC. To reveal spines in all angles of orientation, deconvolved high-resolution confocal laser scanning microscopy image stacks of dendritic segments were reconstructed and analyzed for spine volume, surface area, and length using a Rayburst-based automated approach (8,091 and 8,987 spines for control and stress, respectively). We found that repeated stress results in an overall decrease in mean dendritic spine volume and surface area, which was most pronounced in the distal portion of apical dendritic fields. Moreover, we observed an overall shift in the population of spines, manifested by a reduction in large spines and an increase in small spines. These results suggest a failure of spines to mature and stabilize following repeated stress and are likely to have major repercussions on function, receptor expression, and synaptic efficacy. PMID- 18157835 TI - Herbal product use by persons enrolled in the hepatitis C Antiviral Long-Term Treatment Against Cirrhosis (HALT-C) Trial. AB - Herbal products, used for centuries in Far Eastern countries, are gaining popularity in western countries. Surveys indicate that persons with chronic hepatitis C (CHC) often use herbals, especially silymarin (milk thistle extract), hoping to improve the modest response to antiviral therapy and reduce side effects. The Hepatitis C Antiviral Long-Term Treatment Against Cirrhosis (HALT-C) Trial, involving persons with advanced CHC, nonresponders to prior antiviral therapy but still willing to participate in long-term pegylated interferon treatment, offered the opportunity to examine the use and potential effects of silymarin. Among 1145 study participants, 56% had never taken herbals, 21% admitted past use, and 23% were using them at enrollment. Silymarin constituted 72% of 60 herbals used at enrollment. Among all participants, 67% had never used silymarin, 16% used it in the past, and 17% used it at baseline. Silymarin use varied widely among the 10 participating study centers; men were more frequent users than women, as were non-Hispanic whites than African Americans and Hispanics. Silymarin use correlated strongly with higher education. No beneficial effect of silymarin was found on serum alanine aminotransferase or hepatitis C virus (HCV) RNA levels. Univariate analysis showed significantly fewer liver related symptoms and better quality-of-life parameters in users than nonusers, but after reanalysis adjusted for covariates of age, race, education, alcohol consumption, exercise, body mass index, and smoking, only fatigue, nausea, liver pain, anorexia, muscle and joint pain, and general health remained significantly better in silymarin users. In conclusion, silymarin users had similar alanine aminotransferase and HCV levels to those of nonusers but fewer symptoms and somewhat better quality-of-life indices. Because its use among these HALT-C participants was self-motivated and uncontrolled, however, only a well-designed prospective study can determine whether silymarin provides benefit to persons with chronic hepatitis C. PMID- 18157836 TI - Phyllanthus urinaria ameliorates the severity of nutritional steatohepatitis both in vitro and in vivo. AB - Hepatic oxidative stress plays a critical role in metabolic forms of steatohepatitis. Phyllanthus urinaria, an herbal medicine, has been reported to have potential antioxidant properties. We tested the effects of P. urinaria on nutritional steatohepatitis both in vitro and in vivo. Immortalized normal hepatocytes (AML-12) or primary hepatocytes were exposed to control, the methionine-and-choline-deficient (MCD) culture medium, in the presence or absence of P. urinaria for 24 hours. Hepatocyte triglyceride, release of alanine aminotransferase, lipoperoxides, and reactive oxygen species production were determined. Age-matched C57BL/6 and db/db mice were fed control or MCD diet for 10 days with or without P. urinaria. Hepatic steatosis, necroinflammation, triglycerides, and lipid peroxide levels were determined. Hepatic expression of inflammatory factors and lipid regulatory mediators were assayed. P. urinaria reduced steatosis and alanine aminotransferase (ALT) levels in culture of hepatocytes in a dose-dependent manner. Phyllanthus prevented MCD-induced hepatic fat accumulation and steatohepatitis in mice. This effect was associated with repressed levels of hepatic lipid peroxides, reduced expression of cytochrome P450-2E1, pro-inflammatory tumor necrosis factor alpha, interleukin-6, dampened activation of inflammatory c-Jun N-terminal kinase (JNK) and nuclear factor kappa B (NF-kappaB), increased expression of lipolytic cytochrome P450 (Cyp4a10), and suppressed transcriptional activity of lipogenic CCAAT/enhancer binding protein beta (C/EBPbeta). Hepatic acyl co-enzyme A oxidase that regulated hepatic beta oxidation of fatty acid and other lipid regulators were not affected by P. urinaria. In conclusion, P. urinaria effectively alleviated the steatohepatitis induced by the MCD, probably through dampening oxidative stress, ameliorating inflammation, and decreasing lipid accumulation. PMID- 18157838 TI - Using 17O solid-state NMR and first principles calculation to characterise structure and dynamics in inorganic framework materials. AB - The use of solid-state (17)O NMR to determine local chemical environment and to characterise oxygen dynamics is illustrated in studies of zirconium tungstate, ZrW(2)O(8), and tungsten oxide, WO(3). Simple 1D magic-angle spinning (MAS) NMR allows the chemical environments in ZrW(2)O(8) to be readily characterised, and the use of a combination of one- and two-dimensional experiments to characterise oxygen dynamics in its cubic phase is reviewed. Combining local information about structure and dynamics from NMR with long-range structural information from diffraction allows a comprehensive picture of the material to be developed. Recent work is described that uses first principles calculation of NMR parameters to probe subtle asymmetries in the WO(6) octahedra that form the structural motif in WO(3). NMR is shown to be a highly sensitive probe of local structure, allowing different models derived from high-quality neutron diffraction studies to be distinguished. The density functional theory (DFT) calculations allow clear correlations between (17)O chemical shifts and distortions of the structure to be established. PMID- 18157837 TI - Epithelial expression of angiogenic growth factors modulate arterial vasculogenesis in human liver development. AB - Intrahepatic bile ducts maintain a close anatomical relationship with hepatic arteries. During liver ontogenesis, the development of the hepatic artery appears to be modulated by unknown signals originating from the bile duct. Given the capability of cholangiocytes to produce angiogenic growth factors and influence peribiliary vascularization, we studied the immunohistochemical expression of vascular endothelial growth factor (VEGF), angiopoietin-1, angiopoietin-2, and their cognate receptors (VEGFR-1, VEGFR-2, Tie-2) in fetal human livers at different gestational ages and in mice characterized by defective biliary morphogenesis (Hnf6(-/-)). The results showed that throughout the different developmental stages, VEGF was expressed by developing bile ducts and angiopoietin-1 by hepatoblasts, whereas their cognate receptors were variably expressed by vascular cells according to the different maturational stages. Precursors of endothelial and mural cells expressed VEGFR-2 and Tie-2, respectively. In immature hepatic arteries, endothelial cells expressed VEGFR-1, whereas mural cells expressed both Tie-2 and Angiopoietin-2. In mature hepatic arteries, endothelial cells expressed Tie-2 along with VEGFR-1. In early postnatal Hnf6(-/-) mice, VEGF-expressing ductal plates failed to incorporate into the portal mesenchyma, resulting in severely altered arterial vasculogenesis. CONCLUSION: The reciprocal expression of angiogenic growth factors and receptors during development supports their involvement in the cross talk between liver epithelial cells and the portal vasculature. Cholangiocytes generate a VEGF gradient that is crucial during the migratory stage, when it determines arterial vasculogenesis in their vicinity, whereas angiopoietin-1 signaling from hepatoblasts contributes to the remodeling of the hepatic artery necessary to meet the demands of the developing epithelium. PMID- 18157839 TI - J-based 2D homonuclear and heteronuclear correlation in solid-state proteins. AB - Scalar-based two-dimensional heteronuclear experiments are reported for NCO and NCA chemical shift correlation in the solid state. In conjunction with homonuclear CACO correlation, these experiments form a useful set for tracing connectivities and assigning backbone resonances in solid-state proteins. The applicability of this approach is demonstrated on two proteins, the beta 1 immunoglobulin binding domain of protein G at 9.4 T and reassembled thioredoxin at 14.1 T, using different decoupling conditions and MAS frequencies. These constant-time J-based correlation experiments exhibit increased resolution in the indirect dimension owing to homonuclear and heteronuclear decoupling, and because the indirect evolution and transfer periods are combined into a single constant time interval, this increased resolution is not obtained at the cost of sensitivity. These experiments are also shown to be compatible with in-phase anti phase (IPAP) selection, giving increased resolution in the directly detected dimension. PMID- 18157840 TI - Investigation of finite-pulse radiofrequency-driven recoupling methods for measurement of intercarbonyl distances in polycrystalline and membrane-associated HIV fusion peptide samples. AB - Two finite-pulse radiofrequency-driven recoupling (RFDR) methods were compared and applied to the measurement of 3-6 A (13)CO-(13)CO distances in polycrystalline and membrane-associated HIV fusion peptide (HFP) samples. The RFDR methods were based on pi pulses and were relatively straightforward to implement and insensitive to pulse imperfections. The two tested methods were: (i) constant-time double-quantum buildup with finite pulses (fpCTDQBU) for which the pulse sequence maintained a constant transverse relaxation period while allowing a variable period of dipolar dephasing; and (ii) constant-time finite pulse rf-driven recoupling (fpRFDR-CT) for which the duration of transverse relaxation increased with increasing dephasing period. The fpRFDR-CT method yielded higher signal-to-noise and an accurate determination of a ~5 A intercarbonyl distance was made in a crystalline peptide which had T(2) ~ 55 ms. In some contrast, the HFP samples had T(2) ~ 15 ms and the fpRFDR-CT data were dominated by transverse relaxation. Examination of the fpCTDQBU sequence showed: (i) the most rapid signal buildup was obtained with application of one (13) C pi pulse per rotor period rather than one (13)C pi pulse per multiple rotor periods and (ii) the data were insensitive to ~15 ppm transmitter offset and to ~5 degrees variation of pi pulse nutation angle. For HFP samples which were (13)CO labeled at a single residue, analyses of the fpCTDQBU data were interpreted with a model of mixed parallel and antiparallel beta-strand arrangements in the N terminal region of HFP and loss of parallel beta-sheet structure in the C terminal region of HFP. PMID- 18157841 TI - Efficient low-power heteronuclear decoupling in 13C high-resolution solid-state NMR under fast magic angle spinning. AB - The use of a low-power two-pulse phase modulation (TPPM) sequence is proposed for efficient (1)H radio frequency (rf) decoupling in high-resolution (13)C solid state NMR (SSNMR) under fast MAS conditions. Decoupling efficiency for different low-power decoupling sequences such as continuous-wave (cw), TPPM, XiX, and pi pulse (PIPS) train decoupling has been investigated at a spinning speed of 40 kHz for (13)C CPMAS spectra of uniformly (13)C- and (15)N-labeled L-alanine. It was found that the TPPM decoupling sequence, which was originally designed for high power decoupling, provides the best decoupling efficiency at low power among all the low-power decoupling sequences examined here. Optimum performance of the low power TPPM sequence was found to be obtained at a decoupling field intensity (omega(1)) of ~omega(R)/4 with a pulse flip angle of ~pi and a phase alternation between +/- [Symbol: see text]([Symbol: see text] = 20 degrees ), where omega(R)/2pi is the spinning speed. The sensitivity obtained for (13) CO(2)(-), (13)CH, and (13)CH(3) in L-alanine under low-power TPPM at omega(1)/2pi of 10 kHz was only 5-15% less than that under high-power TPPM at omega(1) /2pi of 200 kHz, despite the fact that only 0.25% of the rf power was required in low-power TPPM. Analysis of the (13)CH(2) signals for uniformly (13) C- and (15) N-labeled L isoleucine under various low-power decoupling sequences also confirmed superior performance of the low-power TPPM sequence, although the intensity obtained by low-power TPPM was 61% of that obtained by high-power TPPM. (13)C CPMAS spectra of (13)C-labeled ubiquitin micro crystals obtained by low-power TPPM demonstrates that the low-power TPPM sequence is a practical option that provides excellent resolution and sensitivity in (13)C SSNMR for hydrated proteins. PMID- 18157842 TI - Chemical shift computations on a crystallographic basis: some reflections and comments. AB - Computations for chemical shifts of molecular organic compounds using the gauge including projector augmented wave method and the NMR-CASTEP code are reviewed. The methods are briefly introduced, and some general aspects involving the sources of uncertainty in the results are explored. The limitations are outlined. Successful applications of the computations to problems of interpretation of NMR results are discussed and the range of areas in which useful information is obtained is illustrated by examples. The particular value of the computations for comparing shifts between resonances where the same chemical site is involved is emphasised. Such cases arise for shifts between different crystallographically independent molecules of the same chemical species, between polymorphs and for shift anisotropies and asymmetries. PMID- 18157843 TI - Environmentally friendly flame retardants. A detailed solid-state NMR study of melamine orthophosphate. AB - We used solid-state NMR spectroscopy to gain detailed information about the proton positions, proximities and the hydrogen-bonding network in the environmentally friendly flame retardant melamine orthophosphate (MP). High resolution proton one- and two-dimensional solid-state NMR spectra were obtained at high external magnetic field in combination with fast magic angle spinning of the sample. Furthermore, we recorded homo- and heteronuclear correlation spectra of types (15)N-(15)N, (1)H-(13)C, (1)H-(15)N and (1)H-(31)P. In addition, we determined the geometry of the NH and NH(2) groups in MP by (15)N-(1)H heteronuclear recoupling experiments.We were able to completely assign the different isotropic chemical shifts in MP. Furthermore, we could identify the protonation of the melamine and orthophosphate moieties. The experimental results are discussed in connection with the structural model obtained by powder X-ray diffraction together with a combined molecular modeling-Rietveld refinement approach (De Ridder et al. Helv. Chim. Acta 2004; 87: 1894). We show that the geometry of the NH2 groups can only be successfully estimated by solid-state NMR. PMID- 18157844 TI - Optimizing ssNMR experiments for dilute proteins in heterogeneous mixtures at high magnetic fields. AB - Solid-state NMR spectroscopy at high magnetic fields is proving to be an effective technique in structural biology, particularly for proteins which are not amenable to traditional X-ray and solution NMR approaches. Several parameters can be selected to provide optimal sensitivity, improve sample stability, and ensure biological relevance for ssNMR measurements on protein samples. These include selection of sample conditions, NMR probe design, and design of pulse experiments. Here, we demonstrate and evaluate several engineering and experimental approaches for pursuing measurements on dilute proteins in heterogeneous mixtures. PMID- 18157845 TI - A comparison of salivary pH in sympatric wild lemurs (Lemur catta and Propithecus verreauxi) at Beza Mahafaly Special Reserve, Madagascar. AB - Chemical deterioration of teeth is common among modern humans, and has been suggested for some extinct primates. Dental erosion caused by acidic foods may also obscure microwear signals of mechanical food properties. Ring-tailed lemurs at the Beza Mahafaly Special Reserve (BMSR), Madagascar, display frequent severe tooth wear and subsequent tooth loss. In contrast, sympatric Verreaux's sifaka display far less tooth wear and infrequent tooth loss, despite both species regularly consuming acidic tamarind fruit. We investigated the potential impact of dietary acidity on tooth wear, collecting data on salivary pH from both species, as well as salivary pH from ring-tailed lemurs at Tsimanampesotse National Park, Madagascar. We also collected salivary pH data from ring-tailed lemurs at the Indianapolis Zoo, none of which had eaten for at least 12 hr before data collection. Mean salivary pH for the BMSR ring-tailed lemurs (8.098, n=41, SD=0.550) was significantly more alkaline than Verreaux's sifaka (7.481, n=26, SD=0.458). The mean salivary pH of BMSR (8.098) and Tsimanampesotse (8.080, n=25, SD=0.746) ring-tailed lemurs did not differ significantly. Salivary pH for the Indianapolis Zoo sample (8.125, n=16, SD=0.289) did not differ significantly from either the BMSR or Tsimanampesotse ring-tailed lemurs, but was significantly more alkaline than the BMSR Verreaux's sifaka sample. Regardless of the time between feeding and collection of pH data (from several minutes to nearly 1 hr), salivary pH for each wild lemur was above the "critical" pH of 5.5, below which enamel demineralization occurs. Thus, the high pH of lemur saliva suggests a strong buffering capacity, indicating the impact of acidic foods on dental wear is short lived, likely having a limited effect. However, tannins in tamarind fruit may increase friction between teeth, thereby increasing attrition and wear in lemurs. These data also suggest that salivary pH varies between lemur species, corresponding to broad dietary categories. PMID- 18157846 TI - Asymmetric doublets in MAS NMR: coherent and incoherent mechanisms. AB - It has been long noted that J-resolved doublets observed in solid-state MAS experiments are asymmetric. The asymmetry has been attributed to a coherent interference effect involving dipolar and CSA interactions. Recently, Bernd Reif and co-workers suggested that under fast MAS conditions the coherent portion of the effect is suppressed and it becomes possible to observe an incoherent mechanism reminiscent of TROSY. The researchers were able to observe the characteristic TROSY-type patterns in (15)N-(1)H(N) spectra of heavily deuterated protein samples (Chevlekov, Diehl, and Reif, previous article in this issue). In the present computer simulation study, we seek to obtain a unified picture of this phenomenon, including both coherent and incoherent aspects. The chosen model focuses on the (15)N-(1)H(N) pair from a polycrystalline sample subject to magic angle spinning. To mimic local dynamics, we assume that the corresponding peptide plane jumps between two orientations. The simulations demonstrate that this simple model reproduces both coherent and incoherent behavior, depending on the MAS speed and the time scale of local dynamics. Furthermore, semianalytical expressions can be derived for both coherent and incoherent (Redfield) limits. Of particular interest is the possibility to use solution-style Redfield results to probe internal protein motions, especially slower motions on the nanosecond time scale. Our simulations show that the differential relaxation measurement permits accurate determination of (15)N dipolar-CSA cross correlations already at moderately high MAS speed (ca 15 kHz). PMID- 18157847 TI - Potassium channels involved in human sperm volume regulation--quantitative studies at the protein and mRNA levels. AB - KCNE1, KCNA5 and KCNK5 have been identified, by using specific blockers, as K(+) channels involved in sperm volume regulation under physiological conditions. All three channels were localised on the cytoplasmic droplets and tail of human ejaculated spermatozoa by fluorescence microscopy. Using flow cytometric quantification, KCNE1 was found to be present in 80% or more spermatozoa and KCNK5 in only about 20%, with KCNA5 expressed by 20-90% of cells. Whereas the extents of such protein expression did not differ statistically between semen donors and subfertile patients, the former group exhibited higher capacities for sperm volume regulation which were correlated with other sperm qualities including normal morphology and motile sperm number in the ejaculate. Channel identification was further confirmed at the protein level using Western blotting. RT-PCR analysis of testicular and sperm RNA of proven quality indicated the presence of Kcne1, Kcna5 and Kcnk5 transcripts. Subsequent sequencing of PCR products demonstrated that the nucleotide sequences of the entire encoding regions of Kcne1 and Kcnk5 were identical to those published in the database, whereas that of Kcna5 mRNA showed a single nucleotide synonymous deviation that agrees with the published genomic sequence. Quantitative real-time PCR analysis of sperm RNA revealed the amounts of Kcne1 > Kcna5 > Kcnk5, in the same order as for protein expression. Thus, KCNE1 is probably the major K(+)-channel involved in regulatory volume decrease in human spermatozoa, and channel activity is regulated beyond the extent of protein expression. PMID- 18157848 TI - Development of normal mice after microinjection of round spermatids into oocytes stored at room temperature for one day. AB - Early studies have shown that some mouse cumulus-oocyte complexes (COCs) stored at room temperature for 24 hr still retained full developmental potential. In this study, we stored mouse COCs and denuded oocytes (DOs) at room temperature for 24 hr and activated these oocytes with 10 mM SrCl(2) or injected the oocytes with round spermatids. We found that DOs were better than COCs when stored at room temperature for 1 day and more normal oocytes were obtained when COCs were stored in more H-CZB medium at room temperature for 1 day. The rates of normal oocytes were significantly different after preservation with three schemes (90.01%, 55.81%, and 86.70%, P < 0.05). Our results also indicated that oocytes stored at room temperature for 1 day were fertilized normally (extrusion of the second polar body and formation of male and female pronuclei [PN]) after microinjection of round spermatid nuclei, and that the existence of cumulus cells (CCs) during oocyte storage did not significantly influence the early cleavage but had a detrimental effect on later embryo development and full-term development. After fertilization, most embryos developed to two-cell stage after being cultured for 24 hr, and the development rates of four- to eight-cell embryos between two experiments were similar. However, the rates of morula/blastocyst formation were significantly different (47.44% and 26.27%, respectively, P < 0.05). The birth of four healthy pups from stored DOs indicated that the storage of DOs at room temperature for 1 day might become a practical procedure in mammalian reproduction. PMID- 18157849 TI - Nicotine induces multinuclear formation and causes aberrant embryonic development in bovine. AB - The present study was designed to investigate the effects of nicotine on development of bovine embryos derived from parthenogenetic activation (PA) and in vitro fertilization (IVF). Nicotine caused disfigured secondary meiotic spindle structures and affected embryonic development in a dose-dependent manner. Concentrations at 0.01-0.5 mM resulted in cleavage and blastocyst rates similar to the controls for both PA and IVF embryos. Nicotine at 2.0 and 4.0 mM significantly decreased the cleavage rates and none of the embryos developed beyond the 16-cell stage. Nicotine might disrupt the polymerization of microfilaments leading to impaired chromosome alignment or segregation, and induce the formation of polynuclei with a variety of abnormal nuclear structures such as 2-6 nuclei, 2-4 metaphase plates, 2-4 sets of anaphase/telophase plates, and the co-existence of polynuclei and 2-4 sets of anaphase/telophase plates. Nicotine adversely affected blastocyst chromosomal composition. Fifty-six to 70% of the IVF blastocysts and 71-88% of the PA blastocysts were polyploid and/or mixoploid after culture in 0.2-1.0 mM nicotine-containing media, which were higher (P < 0.05 or P < 0.01) than the controls. Cell numbers of the nicotine cultured blastocysts were significantly lower than the control. In conclusion, nicotine induced disfigured spindles and irregular chromosome alignment and possibly impaired cytokinesis, which lead to decreased quality of the yielded blastocysts. PMID- 18157852 TI - The influence of process parameters on the characteristics of polyhydroxyalkanoates produced by mixed cultures. AB - The characterization of polyhydroxyalkanoates (PHA) produced by mixed cultures is fundamental for foreseeing the possible final applications of the polymer. In this study PHA produced under aerobic dynamic feeding (ADF) conditions are characterized. The PHA produced shows a stable average molecular weight ([symbol: see text]) in the range (1.0-3.0) x 10(6), along three years of reactor operation. Attempts to improve the amount of PHA produced did not introduce significant variations on the values [symbol: see text]. Along this period, the polydispersity indices (PDI) were between 1.3 and 2.2. The use of different carbon sources allowed the tailoring of polymer composition: homopolymers of poly(3-hydroxybutyrate), P(3HB), were obtained with acetate and butyrate, whereas a mixture of acetate and propionate, and propionate and valerate, gave terpolymers of 3-hydroxybutyrate (3HB), 3-hydroxyvalerate (3HV), and 2-methyl-3 hydroxyvalerate (2M3HV). All of these PHA had [symbol: see text] between 2.0 x 10(6) and 3.0 x 10(6). Thermal characterization of the produced polymers showed values of glass transition temperature, melting temperature, melting enthalpy, and crystallinity slightly lower than those obtained for PHA from pure cultures. The introduction of a purification step during the polymer extraction process allowed the elimination of possible contaminants but did not significantly improve the polymer quality. PMID- 18157854 TI - Heterologous expression and genetic engineering of the phenalinolactone biosynthetic gene cluster by using red/ET recombineering. AB - The heterologous expression of natural product biosynthetic pathways is of increasing interest in biotechnology and drug discovery. This approach enables the production of complex metabolites in more amenable host organisms and provides the basis for the generation of novel analogues through genetic engineering. Here we describe a straightforward strategy for the heterologous expression of the highly complex phenalinolactone biosynthetic pathway, which was recently cloned from Streptomyces sp. Tu6071. The biosynthetic gene cluster comprises at least 11 transcriptional units that harbor 35 genes, which together catalyze the assembly of structurally unique tricyclic terpene glycosides with antibacterial activity. By using Red/ET recombineering, the phenalinolactone pathway was reconstituted from two cosmids and heterologously expressed in several Streptomyces strains. The established expression system now provides a convenient platform for functional investigations of the biosynthetic genes and the generation of novel analogues, by genetic engineering of the pathway in Escherichia coli. Deletion of a modifying gene from the expression construct resulted in a novel, unglycosylated phenalinolactone derivative; this demonstrates the promise of this methodology. PMID- 18157853 TI - Characterization of the peroxidase activity of CYP119, a thermostable P450 from Sulfolobus acidocaldarius. AB - We report the cloning, expression, and purification of CYP119, a thermostable enzyme previously thought to derive from Sulfolobus solfataricus. Sequence analysis suggested that, in contrast to the conclusions of earlier studies, the enzyme stems from the closely related Sulfolobus acidocaldarius, and we were indeed able to clone the gene from the genomic DNA of this organism. For the first time, we report here on the peroxidase activity of this enzyme and the optimization of the associated reaction parameters. The optimized reaction conditions were then applied to the biocatalytic epoxidation of styrene. The values obtained for k(cat) (78.2+/-20.6 min(-1)) and K(M) (9.2+/-4.3 mM) indicated an approximately 100-fold increased catalytic activity over previously reported results. PMID- 18157855 TI - Small-molecule based delivery systems for alkylating antineoplastic compounds. AB - Alkylating agents are a major class of anticancer drugs for the treatment of various cancers including hematological malignancies. Targeting alkylating moieties to DNA by attachment of a DNA minor groove binding carrier such as distamycin, netropsin, or Hoechst 33252 reduces the loss of active drug due to reaction with other cell components and makes it possible to direct the alkylation both sequence specifically and regiospecifically. We reported the synthesis and structure-activity studies of amidine analogues of alkylating antineoplastic compounds, which appeared to be a new class of cytotoxic minor groove binders and topoisomerase II inhibitors. Another approach to overcome the toxicity of alkylating agents to normal tissue is to construct a prodrug with lower hydrophobicity and cytotoxicity but is preferentially activated in cancer cells. Overexpression of prolidase in some neoplastic cells suggests that the proline analogue of alkylating agents may serve as a prolidase convertible prodrugs. We have compared several aspects of pharmacological actions of proline analogues of chlorambucil and melphalan in breast cancer cells. The results suggest that prolidase could serve as a target enzyme for the selective action of anticancer agents. PMID- 18157856 TI - Synthesis, biological evaluation, and molecular modeling studies of rebeccamycin analogues modified in the carbohydrate moiety. AB - A new series of indolocarbazole glycosides containing disaccharides were synthesized and their in vitro antiproliferative activity was evaluated against three human cancer cell lines (A2780, H460, and GLC4). Cytotoxicity appeared to be remarkably affected by the regio- and stereochemical features of the disaccharide moiety. In vivo antitumor activity of the compounds studied, two of which having IC(50)<100 nm, was determined using ovarian cancer cell line A2780 xenografted on nude mice. One compound showed an efficacy similar to that of the reference compound edotecarin, though with a lower long-lasting activity. The topoisomerase I inhibitory properties of some compounds were also examined. Molecular dynamics simulations of the ternary topoisomerase I-DNA-ligand complexes were performed to analyze the structural features of topoisomerase I poisoning with this class of indolocarbazoles. A plausible explanation of their biological behavior was provided. These theoretical results were compared with the recently published crystal structure of an indolocarbazole monosaccharide bound to the covalent human topoisomerase I-DNA complex. PMID- 18157857 TI - Reduction of lipophilicity at the lipophilic domain of RXR agonists enables production of subtype preference: RXRalpha-preferential agonist possessing a sulfonamide moiety. AB - Retinoid X receptor agonists (RXR agonists, rexinoids) are interesting candidates for the treatment of cancers such as tamoxifen-resistant breast cancer and taxol resistant lung cancer. However, well-known RXR agonists possess a strong lipophilic character. In addition, although RXR has three subtypes, no subtype selective RXR agonists are known. Thus we aimed to produce less-lipophilic and subtype-selective RXR agonists. By designing sulfonamide-type RXR agonists, 4-[N methanesulfonyl-N-(5,5,8,8-tetramethyl-5,6,7,8-tetrahydro-2 naphthyl)amino]benzoic acid (8 a) was found to prefer RXRalpha over RXRbeta and RXRgamma, although the potency is less than the potencies of well-known RXR pan agonists. Moreover, our results suggest that the reduction of lipophilicity at the hydrophobic interaction region of RXR agonists enables production of RXR subtype preference. Our finding will be useful for the creation of more potent and less-lipophilic subtype-selective RXR agonists aimed at the reduction of undesirable side effects. PMID- 18157858 TI - Blubber morphology in wild bottlenose dolphins (Tursiops truncatus) from the Southeastern United States: influence of geographic location, age class, and reproductive state. AB - This study investigated blubber morphology and correlations of histological measurements with ontogeny, geography, and reproductive state in live, wild bottlenose dolphins (Tursiops truncatus) from the southeastern United States. Surgical skin-blubber biopsies (N=74) were collected from dolphins during capture release studies conducted in two geographic locations: Charleston, SC (N=38) and Indian River Lagoon, FL (N=36). Histological analysis of blubber revealed stratification into superficial, middle, and deep layers. Adipocytes of the middle blubber were 1.6x larger in Charleston subadults than in Indian River Lagoon subadults (4,590+/-340 compared to 2,833+/-335 microm2 per cell). Charleston subadult dolphins contained higher levels of total blubber lipids than Charleston adult animals (49.3%+/-1.9% compared to 34.2%+/-1.7%), and this difference was manifested in more adipocytes in the middle blubber layer (19.2+/ 0.9 compared to 14.9+/-0.5 cells per field). However, dolphins from Indian River Lagoon did not exhibit this pattern, and the adipocyte cell counts of subadults were approximately equal to those of the adults (16.0+/-1.4 compared to 13.4+/ 0.8 cells per field). The colder year-round water temperatures in Charleston compared to Indian River Lagoon may explain these differences. Adipocytes in the deep blubber layer were significantly smaller in lactating and simultaneously pregnant and lactating animals compared to pregnant dolphins (840+/-179, 627+/ 333, and 2,776+/-586 microm2 per cell, respectively). Total blubber lipid content and adipocyte size in the deep blubber of mothers with calves decreased linearly with calf length. Lactating females may utilize lipids from the deep blubber during periods of increased energetic demands associated with offspring care. This study demonstrates that ontogeny, geography, and reproductive state may influence morphological parameters such as structural fiber densities and adipocyte numbers and sizes, measured in bottlenose dolphin blubber. PMID- 18157859 TI - Myogenesis in Aplysia californica (Cooper, 1863) (Mollusca, Gastropoda, Opisthobranchia) with special focus on muscular remodeling during metamorphosis. AB - To date only few comparative approaches tried to reconstruct the ontogeny of the musculature in invertebrates. This may be due to the difficulties involved in reconstructing three dimensionally arranged muscle systems by means of classical histological techniques combined with light or transmission electron microscopy. Within the scope of the present study we investigated the myogenesis of premetamorphic, metamorphic, and juvenile developmental stages of the anaspidean opisthobranch Aplysia californica using fluorescence F-actin-labeling in conjunction with modern confocal laser scanning microscopy. We categorized muscles with respect to their differentiation and degeneration and found three true larval muscles that differentiate during the embryonic and veliger phase and degenerate during or slightly after metamorphosis. These are the larval retractor, the accessory larval retractor, and the metapodial retractor muscle. While the pedal retractor muscle, some transversal mantle fibers and major portions of the cephalopedal musculature are continued and elaborated during juvenile and adult life, the buccal musculature and the anterior retractor muscle constitute juvenile/adult muscles which differentiate during or after metamorphosis. The metapodial retractor muscle has never been reported for any other gastropod taxon. Our findings indicate that the late veliger larva of A. californica shares some common traits with veligers of other gastropods, such as a larval retractor muscle. However, the postmetamorphic stages exhibit only few congruencies with other gastropod taxa investigated to date, which is probably due to common larval but different adult life styles within gastropods. Accordingly, this study provides further evidence for morphological plasticity in gastropod myogenesis and stresses the importance of ontogenetic approaches to understand adult conditions and life history patterns. PMID- 18157860 TI - Structure of ivory. AB - Profiles with all orientations have been used to visualize the 3D structure of ivory from tusks of elephant, mammoth, walrus, hippopotamus, pig (bush, boar, and warthog), sperm whale, killer whale, and narwhal. Polished, forming, fractured, aged, and stained surfaces were prepared for microscopy using epi-illumination. Tusks have a minor peripheral component, the cementum, a soft derivative of the enamel layer, and a main core of dentine=ivory. The dentine is composed of a matrix of particles 5-20 microm in diameter in a ground substance containing dentinal tubules about 5 microm in diameter with a center to center spacing of 10 20 microm. Dentinal tubules may be straight (most) or curly (pigs). The main findings relate to the way that dentinal tubules align in sheets to form microlaminae in the length of the tusk. Microlaminae are sheets of laterally aligned dentinal tubules. They are axial but may be radial (most), angled to the forming face (pigs and hippopotamus canines), or radial but helical (narwhals). Within the microlaminae the dentinal tubules may be radial, angled to the axis (whales, walrus, and pigs), or may change their orientation from one microlamina to the next in helicoids (canines of hippopotamuses, incisors of proboscidea). In the nonbanded, featureless ivories from the hippopotamus incisors, the dentinal tubules form radial microlamina from which the arrangements in other ivories can be derived. In the canines of hippopotamuses and incisors of proboscidea, the dentinal tubule orientation changes incrementally from one microlamina to the next in a helicoid, a stack of dentinal tubules that change their orientation by 180 degrees anticlockwise. Dentinal tubules having different orientations are laid down concurrently, not layer by layer as in most examples of helicoidal architecture (e.g., insect cuticle). In proboscidean ivory, the microlaminae are radial, normal to the banding of growth layers marking the plane of deposition. They form radial segments with each 180 degrees turn in the orientation of their constituent dentinal tubules. Below the cementum they are almost complete 180 degrees helicoids, but nearer to the core they become narrower with the loss of radially oriented dentinal tubules. These truncated helicoidal patterns appear in longitudinal profile as VVVV feather patterns rather than intersection intersection intersection intersection, each V or intersection being the side view of a partial or complete helicoid. The Schreger pattern in proboscidean ivory consists of these helicoids divided tangentially into columns in the length of the tusk. Narwhals have the most abundant matrix particles with their radial/helical dentinal tubules having a twist opposite to that in the cementum. PMID- 18157861 TI - Fine structure of the spermatheca and of the accessory glands in Orchesella villosa (Collembola, Hexapoda). AB - The spermatheca and the accessory glands of the collembolan Orchesella villosa are described for the first time. Both organs exhibit ultrastructural differences, according to the time of the intermolt in which the specimens were observed. A thick cuticular layer lines the epithelial cells of the accessory glands. In the reproductive phase, they are involved in secretory activity; a moderately dense secretion found in the apical cell region opens into the gland lumen. Cells with an extracellular cistern are intermingled with the secretory cells. These cells could be involved in fluid secretion, with the secretory product opening into the cistern which is filled with an electron-transparent material. After the reproductive phase, the gland lumen becomes filled with a dense secretion. The accessory gland secretion may play a protective role towards the eggs. The spermatheca is located between the accessory glands; its epithelium is lined by a thin cuticle forming spine-like projections into the lumen and consists of cells provided with an extracellular cistern. Secretory cells, similar to those seen in the accessory glands, are missing. Cells with a cistern could be involved in the production of a fluid secretion determining sperm unrolling and sperm motility. PMID- 18157862 TI - Constructive episodic simulation: temporal distance and detail of past and future events modulate hippocampal engagement. AB - Behavioral, lesion and neuroimaging evidence show striking commonalities between remembering past events and imagining future events. In a recent event-related fMRI study, we instructed participants to construct a past or future event in response to a cue. Once an event was in mind, participants made a button press, then generated details (elaboration) and rated them. The elaboration of past and future events recruited a common neural network. However, regions within this network may respond differentially to event characteristics, such as the amount of detail generated and temporal distance, depending on whether the event is in the past or future. To investigate this further, we conducted parametric modulation analyses, with temporal distance and detail as covariates, and focused on the medial temporal lobes and frontopolar cortex. The analysis of detail (independent of temporal distance) showed that the left posterior hippocampus was responsive to the amount of detail comprising both past and future events. In contrast, the left anterior hippocampus responded differentially to the amount of detail comprising future events, possibly reflecting the recombination of details into a novel future event. The analysis of temporal distance revealed that the increasing recency of past events correlated with activity in the right parahippocampus gyrus (Brodmann area (BA) 35/36), while activity in the bilateral hippocampus was significantly correlated with the increasing remoteness of future events. We propose that the hippocampal response to the distance of future events reflects the increasing disparateness of details likely included in remote future events, and the intensive relational processing required for integrating such details into a coherent episodic simulation of the future. These findings provide further support for the constructive episodic simulation hypothesis (Schacter and Addis (2007) Philos Trans R Soc Lond B Biol Sci 362:773-786) and highlight the involvement of the hippocampus in relational processing during elaboration of future events. PMID- 18157863 TI - Female-specific increase in primordial germ cells marks sex differentiation in threespine stickleback (Gasterosteus aculeatus). AB - Gonadal sex differentiation is increasingly recognized as a remarkably plastic process driven by species-specific genetic or environmental determinants. Among aquatic vertebrates, gonadal sex differentiation is a frequent endpoint in studies of endocrine disruption with little appreciation of underlying developmental mechanisms. Work in model organisms has highlighted the diversity of master sex-determining genes rather than uncovering any broad similarities prompting the highly conserved developmental decision of testes versus ovaries. Here we use molecular genetic markers of chromosomal sex combined with traditional histology to examine the transition of the bipotential gonads to ovaries or testes in threespine stickleback (Gasterosteus aculeatus). Serially sectioned threespine stickleback fry were analyzed for qualitative and quantitative indications of sexual differentiation, including changes in gonadal morphology, number of germ cells and the incidence of gonadal apoptosis. We show that threespine stickleback sampled from anadromous and lacustrine populations are differentiated gonochorists. The earliest sex-specific event is a premeiotic increase in primordial germ cell number followed by a female-specific spike in apoptosis in the undifferentiated gonad of genetic females. The data suggest that an increase in PGC number may direct the undifferentiated gonad toward ovarian differentiation. PMID- 18157864 TI - Functional anatomy of the limbs of erethizontidae (Rodentia, Caviomorpha): Indicators of locomotor behavior in Miocene porcupines. AB - Functional analysis of the limb bones of the erethizontid Steiromys duplicatus, one of the most abundant Miocene porcupines from Patagonia, provides evidence to infer their locomotor behavior. Remains of the giant Neosteiromys pattoni (Late Miocene of Northeast Argentina) are also analyzed. Osteological and myological features of extant porcupines were evaluated and used as a model to interpret the functional significance of Miocene species' limbs. Several features in erethizontids are compatible with the ability to climb: the low humeral tuberosities indicate a mobile gleno-humeral joint; the prominent and distally extended deltopectoral crest indicates a powerful pectoral muscle, which is particularly active when climbing; the humero-ulnar and humero-radial joints are indicative of pronation-supination movements; the well-developed lateral epicondylar ridge and the medially protruding entepicondyle are in agreement with an important development of the brachioradialis, supinator, flexor digitorum profundus, and pronator teres muscles, acting in climbing and grasping functions; the mechanical advantage of the biceps brachii would be emphasized because of its distal attachment on the bicipital tuberosity. As with extant porcupines, in Miocene species, the large femoral head would have permitted a broad range of abduction of the femur, and the medially protruding lesser trochanter would have emphasized the abduction and outward rotation of the femur by the action of the ilio-psoas complex. In S. duplicatus, the shape of the hip, knee, and cruro astragalar, calcaneo-astragalar, and astragalo-navicular joints would have allowed lateral and rotational movements, although probably to a lesser degree than in extant porcupines. Foot features of S. duplicatus (e.g., great medial sesamoid bone, medial astragalar head, complete hallux) indicate that this species would have had grasping ability, but would not have achieved the high degree of specialization of Coendou. Steiromys duplicatus would have been a semiarboreal dweller, resembling Erethizon dorsatum. PMID- 18157865 TI - Observations of serotonin and FMRFamide-like immunoreactivity in palp sensory structures and the anterior nervous system of spionid polychaetes. AB - Evidence suggests that ciliated sensory structures on the feeding palps of spionid polychaetes may function as chemoreceptors to modulate deposit-feeding activity. To investigate the probable sensory nature of these ciliated cells, we used immunohistochemistry, epi-fluorescence, and confocal laser scanning microscopy to label and image sensory cells, nerves, and their organization relative to the anterior central nervous system in several spionid polychaete species. Antibodies directed against acetylated alphatubulin were used to label the nervous system and detail the innervation of palp sensory cells in all species. In addition, the distribution of serotonin (5-HT) and FMRFamide-like immunoreactivity was compared in the spionid polychaetes Dipolydora quadrilobata and Pygospio elegans. The distribution of serotonin immunoreactivity was also examined in the palps of Polydora cornuta and Streblospio benedicti. Serotonin immunoreactivity was concentrated in cells underlying the food groove of the palps, in the palp nerves, and in the cerebral ganglion. FMRFamide-like immunoreactivity was associated with the cerebral ganglia, nuchal organs and palp nerves, and also with the perikarya of ciliated sensory cells on the palps. PMID- 18157866 TI - Bone vascular supply in monitor lizards (Squamata: Varanidae): influence of size, growth, and phylogeny. AB - Bone vascular canals occur irregularly in tetrapods; however, the reason why a species has or lacks bone canals remains poorly understood. Basically, this feature could depend on phylogenetic history, or result from diverse causes, especially cortical accretion rate. The Varanidae, a monophyletic clade that includes species with impressive size differences but similar morphologies, is an excellent model for this question. Cortical vascularization was studied in 20 monitor species, on three bones (femur, fibula, and tibia) that differ in their shaft diameters, and in the absolute growth speed of their diaphyseal cortices. In all species smaller than 398 mm SVL (133-397 mm in sample), bone cortices lack vascular canals, whereas all larger species (460-1,170 mm in sample) display canals. The size 398-460 mm SVL is thus a threshold for the appearance of the canals. The distribution of vascular and avascular bone tissues among species does not precisely reflect phylogenetic relationships. When present, vascular canals always occur in the femur and tibia, but are less frequent, sparser, and thinner in the fibula. Vascular density increases linearly with specific size but decreases exponentially during individual growth. In most species, canal orientation varies between individuals and is diverse in a single section. No clear relationship exists between canal orientation and vascular density. These results suggest that: a) the occurrence and density of bone vascular canals are basically dependant on specific size, not phylogenetic relationships; b) vascular density reflects the absolute growth rates of bone cortices; c) the orientation of vascular canals is a variable feature independent of phylogeny or growth rate. PMID- 18157867 TI - Ontogeny of the chondrocranium in Corydoras aeneus (Gill, 1858) (Callichthyidae, Siluriformes). AB - Callichthyids take a basal position in the loricarioid evolutionary lineage leading up to an algae scraping feeding mechanism in the loricariid family. Therefore, the study of the morphology and development of a callichthyid representative would contribute to a better knowledge on the differences in cranial morphology and their impact on feeding ecology within this superfamily. Therefore, development in the chondrocranium of Corydoras aeneus was studied based on 22 cleared and stained specimens and 6 series of serial sections. The latter sections were also digitized and used for 3D reconstructions. Development overall follows the typical siluriform trends in chondrocranial development. Even the low complexity of the chondrocranium at hatching fits the trend observed in other siluriforms, although other studies showed loricarioid hatchlings to generally show more complex chondrocrania. In contrast to other catfish, in C. aeneus, the notochord was never found to protrude into the hypophyseal fenestra. In addition, also differing from other siluriforms, a commissura lateralis is present, a state also reported for Ancistrus cf. triradiatus (Geerinckx et al., [2005] J Morphol 266:331-355). The splanchnocranium again has the typical siluriform shape during its ontogeny, with the presence of a compound hyosymplectic-pterygoquadrate plate, although not fused to the neurocranium or interhyal at any time during ontogeny, a state described earlier for Callichthys callichthys (Hoedeman, [1960a] Bull Aquat Biol 1:73-84; Howes and Teugels, [1989] J Zool Lond 219:441-456). The most striking difference found in comparison to other catfishes, however, involves thebranchial basket, which arises as a single element with a further differentiation from the middle arches on in both a rostral and caudal direction. PMID- 18157868 TI - Activator protein 1-mediated expression of monocyte chemoattractant protein 1 in cultured rat luteal cells. AB - We have proposed that luteal cells undergo apoptosis-dependent phagocytosis by invading monocyte-derived macrophages in regressive corpora lutea of the rat. Accumulation of monocytes/macrophages seems to be mediated by monocyte chemoattractant protein 1 (MCP-1) or CCL2, because apoptosis and the production of MCP-1 mRNA occur simultaneously, but in different luteal cells, in a manner dependent on nuclear factor kappaB (NF-kappaB). In this study, we determined the mechanisms underlying the induction of these two events using primary cultures of rat luteal cells. We found that the activity of the transcription factor activator protein 1 (AP-1) increased during culturing concomitantly with an increase of MCP-1 mRNA. The increase of MCP-1 mRNA was abolished when cultures were maintained in the presence of an inhibitor of either AP-1 or c-Jun amino terminal kinase (JNK) that phosphorylates and activates c-Jun, a subunit of AP-1. Furthermore, the presence of an inhibitor of NF-kappaB abrogated an increase in the activity of both AP-1 and JNK. In contrast, the induction of apoptosis in cultured luteal cells required the action of JNK but appeared to be independent of AP-1. This may explain why apoptosis and MCP-1 mRNA production are concomitantly but differentially induced in distinct luteal cells. We therefore suggest the following signaling pathways for the induction of apoptosis and mcp-1 gene expression during involution of the corpus luteum; NF-kappaB's actions lead to the activation of JNK, and the active JNK, at one side, stimulates mcp-1 gene transcription by activating AP-1 and, at the other side, induces apoptosis. PMID- 18157870 TI - Efficient propagation of single cells Accutase-dissociated human embryonic stem cells. AB - Human embryonic stem cells (hESCs) hold great promise for cell-based therapies and drug screening applications. However, growing and processing large quantities of undifferentiated hESCs is a challenging task. Conventionally, hESCs are passaged as clusters, which can limit their growth efficiency and use in downstream applications. This study demonstrates that hESCs can be passaged as single cells using Accutase, a formulated mixture of digestive enzymes. In contrast to trypsin treatment, Accutase treatment does not significantly affect the viability and proliferation rate of hESC dissociation into single cells. Accutase-dissociated single cells can be separated by FACS and proliferate as fully pluripotent hESCs. An Oct4-eGFP reporter construct engineered into hESCs was used to monitor the pluripotency of hESCs passaged with Accutase. Compared to collagenase-passaged hESCs, Accutase-treated cultures contained a larger proportion of undifferentiated (Oct4-positive) cells. Additionally, Accutase passaged undifferentiated hESCs could be grown as monolayers without the need for monitoring and/or selection for quality hESC colonies. PMID- 18157869 TI - Ceramide inhibits development and cytokinesis and induces apoptosis in preimplantation bovine embryos. AB - Ceramide is a second messenger induced by various cellular insults that plays a regulatory role in apoptosis. The objective of the present study was to determine whether ceramide signaling can occur in the preimplantation embryo by testing (1) effects of ceramide on development, cytokinesis, and apoptosis and (2) whether heat shock, which can induce apoptosis in embryos, causes activation of neutral or acidic sphingomyelinases responsible for generation of ceramide. Treatment of embryos > or =16 cells collected at Day 5 after insemination with 50 microM C(2) ceramide increased caspase-9 activity and the proportion of blastomeres undergoing apoptosis but did not increase caspase-8 activity. Induction of apoptosis was more extensive when culture with ceramide was for 24 hr than for 9 hr. Ceramide also reduced the proportion of embryos that developed to the blastocyst stage when exposure was for 24 hr. At the two-cell stage, a period in development when apoptosis responses are blocked, culture of embryos with ceramide did not increase caspase-9 activity or the proportion of blastomeres that were apoptotic. However, culture with ceramide for 24 hr reduced cell proliferation and caused an increase in multinucleated cells because of inhibition of cytokinesis. Exposure of Day 5 embryos to a heat shock of 41 degrees C for 15 hr increased neutral sphingomyelinase activity but did not change acid sphingomyelinase activity. In conclusion, ceramide can regulate embryo development and apoptosis in a time and stage-of-development dependent manner and ceramide generation can be activated by cellular insult. Thus, the ceramide signaling pathway is present in the preimplantation embryo. PMID- 18157871 TI - Social integration between African American and European American children in majority black, majority white, and multicultural elementary classrooms. PMID- 18157872 TI - Statistical analysis of friendship patterns and bullying behaviors among youth. PMID- 18157873 TI - New perspectives on social networks in the study of peer relations. PMID- 18157874 TI - Using the Q-connectivity method to study frequency of interaction with multiple peer triads: do preschoolers' peer group interactions at school relate to academic skills? PMID- 18157875 TI - Features of groups and status hierarchies in girls' and boys' early adolescent peer networks. PMID- 18157876 TI - Early adolescent antisocial behavior and peer rejection: a dynamic test of a developmental process. PMID- 18157877 TI - Studying the individual within the peer context: are we on target? PMID- 18157878 TI - Bridging children's social development and social network analysis. PMID- 18157879 TI - Posttraumatic stress disorder and smoking relapse: A theoretical model. AB - Posttraumatic stress disorder (PTSD) is associated with a high prevalence of cigarette smoking, heavy cigarette consumption, and low cessation rates. To date, little is known about mechanisms impeding smoking cessation among this recalcitrant group of smokers. An important first step in improving smoking cessation treatment efficacy is the assessment of knowledge about mechanisms pertinent to relapse. This theoretical study addresses the gap in the literature regarding factors potentially influencing smoking relapse among individuals with PTSD. Mechanisms reviewed that may be particularly relevant to smoking relapse among PTSD smokers include negative affect, positive affect, attention, anxiety sensitivity, distress tolerance, and self-efficacy. Treatment implications as well as methodological advances that may be relevant to examining the proposed relapse model are discussed. PMID- 18157880 TI - Objective evidence of sleep disturbance in women with posttraumatic stress disorder. AB - Although sleep disturbance is considered a hallmark of posttraumatic stress disorder (PTSD), objective evidence for sleep disturbance in patients with PTSD has been equivocal. The goal of the current investigation was to objectively examine sleep disturbance among women with PTSD in their home environment. Women with PTSD (n = 30) and a control group (n = 22) completed three nights of actigraphy monitoring. Results from actigraphy indicated that women with PTSD had poorer sleep efficiency, increased sleep latency, and more restless sleep. Actigraphy measures were moderately correlated with self-report sleep-log data, but were unrelated to scores on the Pittsburgh Sleep Quality Index. The current study provides evidence that women with PTSD have objectively measured sleep disturbance in their normal environment at home. Disturbed sleep may have important implications for the health and well-being of individuals with PTSD. PMID- 18157881 TI - Psychometric analysis and refinement of the Connor-davidson Resilience Scale (CD RISC): Validation of a 10-item measure of resilience. AB - Resilience refers to an individual's ability to thrive despite adversity. The current study examined the psychometric properties of the Connor-Davidson Resilience Scale (CD-RISC). Three undergraduate samples (ns < 500) were used to determine the factor structure of the CD-RISC. The first two samples were used to conduct exploratory factor analysis (EFA), and the third was used for confirmatory factor analysis. The EFA showed that the CD-RISC had an unstable factor structure across two demographically equivalent samples. A series of empirically driven modifications was made, resulting in a 10-item unidimensional scale that demonstrated good internal consistency and construct validity. Overall, the 10-item CD-RISC displays excellent psychometric properties and allows for efficient measurement of resilience. PMID- 18157882 TI - Posttraumatic stress and depression symptoms in soldiers returning from combat operations in Iraq and Afghanistan. AB - The purpose of the present research was to identify rates of posttraumatic stress and depressive symptoms in soldiers returning from war. During reintegration training, U.S. Army soldiers, who recently returned from a 12-month deployment to either Iraq (Operation Iraqi Freedom, n = 2,275) or Afghanistan (Operation Enduring Freedom, n = 1,814), completed study materials. Surveys assessed self reported levels of depression, posttraumatic stress, and life satisfaction. Results indicated that approximately 44% of soldiers who volunteered to participate self-reported clinically significant levels of depressive symptoms, posttraumatic stress symptoms, or both. Although assessing symptoms and not disorders, these results suggest a potentially high rate of mental health concerns in soldiers immediately after returning from a combat zone. Further research should examine the utility of broad scale interventions. PMID- 18157883 TI - Appearance-related residual injury, posttraumatic stress, and body image: Associations within a sample of female victims of intimate partner violence. AB - One third of women who experience intimate partner violence (IPV) receive some form of injury. After acute injuries have healed, a victim's physical appearance may be altered with residual changes including marks or scars. This study included 56 female victims of IPV (31 with appearance-related residual injury and a comparison group of 25 with no appearance-related residual injury) and examined the associations between violence-related experiences, body image distress, and symptoms of posttraumatic stress disorder (PTSD). Appearance-related residual injury status moderated the relationship between body image distress and symptoms of PTSD. In addition, within the appearance-related residual injury group, body image distress emerged a unique predictor of PTSD explaining incremental variance beyond that explained by severity of psychological maltreatment. PMID- 18157884 TI - Contrasting approaches to psychological screening with U.S. combat soldiers. AB - Psychological screening can be conducted using global screens, single items, symptom-based scales, or composite measures. These four different approaches were evaluated against structured clinical interviews in studies with U.S. soldiers preparing to deploy and returning from combat operations in Iraq. Three samples (N = 337, N = 574, and N = 348) were screened to assess the effectiveness of a short global measure of distress, a single self-referral item, symptom-specific scales selected for the target population, and a composite instrument that included a combination of clinical domains. A composite screen with measures of posttraumatic stress, depression, and alcohol problems, along with a single self referral item, performed most effectively. PMID- 18157885 TI - Correlates of mental health services utilization 18 months and almost 4 years postdisaster among adults with mental health problems. AB - The authors assess the correlates of mental health services utilization (MHS) after a disaster among adults with mental health problems. Data of a three-wave longitudinal study among adult survivors of a fireworks disaster (T1: 2-3 weeks, T2: 18 months, T3: almost 4 years postdisaster) were linked with their electronic medical records (N = 649). Multivariate logistic regression analyses showed that triple comorbidity of PTSD and high levels of anxiety and depression symptoms were positively associated with self-reported MHS utilization at T2 (n = 270) and T3 (n = 216). Private insurance, predisaster psychological problems, and relocation were associated with MHS utilization at T2 while female gender, being single, and migrant status was associated with MHS utilization at T3. Receiving treatment at T2 was positively associated with receiving treatment at T3, as opposed to medium optimism at T2. PMID- 18157886 TI - Lifetime exposure to potentially traumatic events in a sample of alcohol dependent patients in Poland. AB - Recent studies show a high prevalence of traumatic events in samples of patients with a substance use disorder. In the present study, the lifetime exposure to potentially traumatic events (PTEs) was estimated in a sample of 458 patients recruited at 17 randomly chosen alcohol-dependence treatment units in the public healthcare sector in Poland. Eighty percent of the patients reported a history of at least one potentially traumatic event. Sixty percent of them reported experiencing more than one probable trauma. However, only the patients who experienced physical assault reported worse clinical severity in posttraumatic stress and alcohol-use related symptomatology. The findings confirm the importance of trauma assessment in alcohol-dependent patients and the inclusion of trauma-related issues in the treatment of alcohol dependence. PMID- 18157887 TI - Subjective well being of adolescents in boarding schools under threat of war. AB - How is subjective well being (SWB) of adolescents in boarding schools affected by threatened war, and related to perceived social support, self-control skills, and self-efficacy beliefs? Five hundred sixty-seven adolescents in five Israeli boarding schools completed questionnaires before the 2003 Iraq war. As expected, participants' fear of war affected SWB, and adolescents with high social support and self-control reported better SWB than low-scoring counterparts. Unexpectedly, self-efficacy regarding effective coping with upcoming war was unrelated to SWB. However, self-efficacy moderated links between social support and two SWB components (positive affect, life satisfaction). High-efficacy participants showed positive support-SWB correlations, whereas low-efficacy participants showed none. Findings highlighted personal resources as maintaining adolescents' SWB in boarding schools even under extreme stress. PMID- 18157888 TI - Pharmacotherapy to prevent PTSD: Results from a randomized controlled proof-of concept trial in physically injured patients. AB - Acute physical injury is frequently associated with mental health sequelae, which then accentuate disability and worsen functional outcomes. A pharmacological prevention approach to this problem has been proposed. This proof-of-concept study was a double-blind, randomized controlled trial of 14 days of the beta blocker propranolol (n = 17), the anxiolytic anticonvulsant gabapentin (n = 14), or placebo (n = 17), administered within 48 hours of injury to patients admitted to a surgical trauma center. Of 569 accessible, potentially eligible subjects, 48 (8%) participated. Outcomes assessments were conducted at 1, 4, and 8 months postinjury. Although well tolerated, neither study drug showed a significant benefit over placebo on depressive or posttraumatic stress symptoms. Implications are discussed for future pharmacological prevention studies in survivors of acute traumatic injury. PMID- 18157889 TI - Parental response and adolescent adjustment to the September 11, 2001 terrorist attacks. AB - This study examined adolescents' adjustment following the attacks of September 11, 2001 (9/11). A Web-based survey was administered 2 weeks and 7 months postattacks to a national sample of adolescents (N = 104). A randomly selected parent also completed a survey at the 7-month assessment. Although exposure to the attacks was indirect, over half the participants felt threatened. Adolescents' posttraumatic stress symptoms were associated with their acute stress symptoms, parental distress, parental coping advice, parental availability to discuss the attacks, and reports that 9/11-related discussions were unhelpful. Adolescents' distress symptoms were associated with a history of mental health problems, acute stress symptoms, and parental unavailability to discuss the attacks. PMID- 18157890 TI - The relationship between acute stress disorder and posttraumatic stress disorder in injured children. AB - This study indexed the relationship between acute stress disorder (ASD) and subsequent posttraumatic stress disorder (PTSD) in injured children. Consecutive children between 7-13 years admitted to a hospital after traumatic injury (n = 76) were assessed for ASD. Children were followed up 6-months posttrauma (n = 62), and administered the PTSD Reaction Index. Acute stress disorder was diagnosed in 10% of patients, and 13% satisfied criteria for PTSD. At 6-months posttrauma, PTSD was diagnosed in 25% of patients who were diagnosed with ASD. Acute stress reactions that did not include dissociation provided better prediction of PTSD than full ASD criteria. These findings suggest that the current ASD diagnosis is not optimal in identifying younger children who are high risk for PTSD development. PMID- 18157891 TI - Anger, hostility, and aggression among Iraq and Afghanistan War veterans reporting PTSD and subthreshold PTSD. AB - Iraq and Afghanistan War veterans were grouped by level of posttraumatic stress disorder (PTSD) symptomatology and compared on self-report measures of trait anger, hostility, and aggression. Veterans who screened positive for PTSD reported significantly greater anger and hostility than those in the subthreshold PTSD and non-PTSD groups. Veterans in the subthreshold-PTSD group reported significantly greater anger and hostility than those in the non-PTSD group. The PTSD and subthreshold-PTSD groups did not differ with respect to aggression, though both groups were significantly more likely to have endorsed aggression than the non-PTSD group. These findings suggest that providers should screen for anger and aggression among Iraq and Afghanistan War veterans who exhibit symptoms of PTSD and incorporate relevant anger treatments into early intervention strategies. PMID- 18157892 TI - Domains of quality of life and symptoms in male veterans treated for posttraumatic stress disorder. AB - This study examined the relationship between domains of quality of life and posttraumatic stress disorder (PTSD) symptoms in 319 male veterans in a randomized trial of group psychotherapy. Confirmatory factor analyses suggested a 4-factor model of quality of life (achievement, self-expression, relationships, and surroundings) fit better than a unidimensional model. Clinically meaningful symptom change was associated with greater change in all quality of life domains. At pretreatment, numbing symptoms uniquely predicted all quality of life domains. Change in avoidance and hyperarousal uniquely predicted change in achievement. Change in reexperiencing uniquely predicted change in self-expression. Change in numbing uniquely predicted change in relationships. Examining change in PTSD symptoms and quality of life domains may provide important information for treatment planning and evaluation. PMID- 18157893 TI - Trauma coping strategies and psychological distress: A meta-analysis. AB - The identification of adaptive and maladaptive coping strategies following traumatic events has been the subject of much scientific inquiry. The current study sought through meta-analysis to evaluate the relationship between the use of approach and avoidance strategies (both problem-focused and emotion/cognitive focused) following trauma and psychological distress. Thirty-nine studies of coping following two types of traumatic events (interpersonal violence and severe injury) were retained in the meta-analysis. There was a consistent association between avoidance coping and distress, overall r = .37, but no association between approach coping and distress, overall r = -.03, but some important moderators existed. Implications of the results for future research regarding coping and trauma recovery are discussed. PMID- 18157894 TI - The role of panic attacks in acute stress disorder in children. AB - This study examined the role of peritraumatic panic symptoms during trauma in childhood acute stress. Children (N = 60) who had suffered traumatic injury were administered the Child Acute Stress Reaction Questionnaire, the Child Depression Inventory, and the Physical Reactions Scale to index panic attacks that occurred during the trauma. Panic attacks were experienced during their trauma by 100% of participants with acute stress reactions and 24% of participants without stress reactions. Panic attacks during trauma accounted for 28% of the variance of acute stress reactions, with an additional variance accounted for by age, time since the accident, and dysphoria. These findings are discussed in terms of fear conditioning models of posttraumatic stress. PMID- 18157895 TI - Axon tracing in the adult rat optic nerve and tract after intravitreal injection of MnDPDP using a semiautomatic segmentation technique. AB - PURPOSE: To develop and validate an objective technique for 3D segmentation of manganese-enhanced MR images of the optic nerve/tract (ON) in adult rats to improve contrast-to-noise (CNR) calculations and use the technique to ascertain if manganese dipyridoxyl diphosphate (MnDPDP) gives sufficient Mn(2+) enhancement compared to MnCl(2) when used for functional imaging of the visual pathway. MATERIALS AND METHODS: Intravitreous injection of the manganese-releasing MR contrast agent MnDPDP (30 nmol Mn(2+)) was performed to trace the ON in adult rats (n = 4). A positive control group of rats (n = 5) received a standard preparation of MnCl(2) (200 nmol Mn(2+)), while gadodiamide (1500 nmol Gd(3+)) was administered in negative control rats (n = 2). An objective technique for 3D segmentation of the enhanced ON was developed. CNR profiles along the ON were calculated by resampling the 3D image-volume in 2D planes perpendicular to the Mn(2+) enhanced ON in 0.2 mm steps, 4 mm along the segmented ON measured from the lamina cribrosa. RESULTS: The ON was successfully segmented and CNR calculated accurately within 2 minutes in a representative 3D MR image volume. Intravitreal MnDPDP injection resulted in significant MRI contrast enhancement of the retina and ON after 12-24 hours similar to that of MnCl(2) injection. CONCLUSION: 3D semiautomated image segmentation and the use of MnDPDP can improve in vivo axon tracing based on MRI. Mn(2+) was found to be released from MnDPDP after intravitreal injection in sufficient amounts to obtain functional tracing of the adult rat primary visual pathway. PMID- 18157896 TI - Double common bile duct: curved-planar reformatted computed tomography (CT) and gadobenate dimeglumine-enhanced MR cholangiography. AB - We present the case of a 61-year-old female with double common bile duct (CBD) with an opening into the lesser curvature of the stomach. We discuss the role of curved-planar reformatted computed tomography (CT) and gadobenate dimeglumine (Gd BOPTA)-enhanced T1-weighted MRI in confirming the diagnosis of this uncommon disease. PMID- 18157898 TI - Feasibility of fluid volume conductance to assess bladder volume. AB - AIM: Ambulatory urodynamics has the potential to provide measurements of bladder function during activities of daily living; however, no method of real-time continuous bladder volume measurement exists. The present study was conducted to determine the feasibility of using fluid volume conductance to continuously assess bladder volume. METHODS: Prototype devices consisted of four electrodes mounted on a polymer body. Each was tested in an in vitro organ bath system using latex vessels filled to 500 ml with saline matching the conductivity of urine. One device was selected and used to test the effects of fluid concentration (25%, 50%, 100%, 200%, and 400% physiological saline) in latex vessels as well as the effects of fluid concentration (25%, 50%, 100%, 200%, and 400% Tyrodes solution) and temperature (32, 37, and 42 degrees C) in excised pig bladders. RESULTS: Conductance demonstrated a linear increase at low volumes but approached an asymptotic value at high volumes. Conductivity increased with increased temperature or concentration. With the exception of the differences between 25% and 50% concentrations, 32 degrees C and 37 degrees C, and 37 degrees C and 42 degrees C temperatures, each concentration and temperature produced statistically different conductance measurements from all others. CONCLUSIONS: The conductance method is sensitive to changes in both concentration and temperature of the intravesical solution, likely due to changes in solution conductivity. Clinical application of conductance for measurement of bladder volume will require real time conductivity compensation for the dynamically varying properties of urine. However, improved sensitivity at high volumes is necessary before this method has the potential to provide real-time bladder volume measurement for use in ambulatory urodynamics. PMID- 18157900 TI - Altered axial skeletal development. AB - The axial skeleton is routinely examined in standard developmental toxicity bioassays and has proven to be sensitive to a wide variety of chemical agents. Dysmorphogenesis in the skull, vertebral column and ribs has been described in both human populations and in laboratory animals used to assess potential adverse developmental effects. This article emphasizes vertebrae and rib anomalies both spontaneous and agent induced. Topics discussed include the morphology of the more common effects; incidences in both human and experimental animal populations; the types of anomalies induced in the axial skeleton by methanol, boric acid, valproic acid and others; the postnatal persistence of common skeletal anomalies; and the genetic control of the development of the axial skeleton. Tables of the spontaneous incidence of axial anomalies in both humans and animals are provided. PMID- 18157901 TI - Alternative experimental approaches for interpreting skeletal findings in safety studies. AB - Standard evaluations for characterizing selective developmental toxicity are traditionally undertaken in vivo. These studies incur significant cost in animal use, labor and compound, ultimately limiting the selection of compounds that can be evaluated in vivo. Such limitations hinder the ability to address questions regarding whether teratogenic outcome was caused by intended pharmacology or attributed to off-target effects associated with the structure of the small molecule. Ascertaining a better understanding of the published literature can enhance interpretation of existing in vivo datasets and hypotheses regarding critical windows of sensitivity and underlying mechanisms of teratogenicity. Thoughtful execution of investigative in vivo and in vitro studies can test and further define the underlying mechanism of teratogenicity. Skeletal variations and malformations are frequently encountered in in vivo studies and can be difficult to interpret in context of defining hazard assessment and mechanisms of abnormal development. This commentary reviews how investigative approaches can be integrated to better understand teratogenic mechanism as it pertains compounds that produce skeletal abnormalities. Approaches are discussed in context of how they could be used to study a compound that has been found to produce fused and wavy ribs in rat fetuses. An investigative approach is described that utilizes three strategies: 1) maximizing the data available from in vivo studies; 2) performing critical window studies in vivo; and 3) performing mechanism of action evaluations using gene expression studies and developmental model systems. PMID- 18157902 TI - Skeletal malformations and variations in developmental toxicity studies: interpretation issues for human risk assessment. PMID- 18157903 TI - Interpretation of skeletal variations for human risk assessment: delayed ossification and wavy ribs. AB - Delayed (or incomplete) ossification of developing fetal bones and wavy ribs are some of the most common skeletal variations encountered in regulatory guideline developmental toxicity studies. Although they tend to be regarded as minor effects, they can be quite sensitive and consequently may influence the study lowest-observed-adverse-effect levels (LOAELs), and thus, impact classification, labeling, and risk assessment. In this study, we review the underlying mechanisms of these skeletal variations, evaluate different scenarios in which they have been observed, offer guidance for their interpretation, and comment on their use for risk assessment. Both minor delays in ossification and wavy ribs seem to be readily repairable via postnatal skeletal remodeling, are not mechanistically linked to malformation, and often are seen in the presence of maternal or fetal toxicity. As such, these minor variations would not generally be considered adverse in and of themselves but should be interpreted in the context of other maternal and fetal findings, information available on normal skeletogenesis patterns, mode of action of the test agent, and historical control incidence using a weight of evidence approach. PMID- 18157906 TI - Axoneme specialization embedded in a "generalist" beta-tubulin. AB - The relationship between the primary structure of the beta-tubulin C-terminal tail (CTT) and axoneme structure and function is explored using the spermatogenesis-specific beta2-tubulin of Drosophila. We previously showed that all beta-tubulins used for motile 9 + 2 axonemes contain a conserved sequence motif in the proximal part of the CTT, the beta-tubulin axoneme motif. The differential ability of tubulin isoforms and abilities of beta2-tubulin C terminal truncations to form axonemes led us to hypothesize that the axoneme motif is essential for axoneme formation and the distal half of the CTT was less important. The studies we report here indicate that it is not that simple. Unexpectedly, some changes in the core sequence of the axoneme motif did not disrupt formation of motile axonemes. And, while deletion of the distal CTT did not disrupt the ability to produce functional sperm [Popodi et al., Cell Motil Cytoskeleton 2005;62:48-64], changing the amino acid sequence in this region can. Thus both regions are important. The deep conservation of the axoneme motif in all eukaryotic groups implies that the presence of the sequence motif confers a functional advantage. The central pair is the axoneme structure most sensitive to perturbations in tubulin molecules; we hypothesize central pair assembly is facilitated by the presence of this motif. Our data reveal that beta2-tubulin has robust properties for axoneme assembly, and that axonemal specializations are embedded in both the CTT and the body of the beta2 molecule. PMID- 18157907 TI - Building a radial spoke: flagellar radial spoke protein 3 (RSP3) is a dimer. AB - Radial spokes are critical multisubunit structures required for normal ciliary and eukaryotic flagellar motility. Experimental evidence indicates the radial spokes are mechanochemical transducers that transmit signals from the central pair apparatus to the outer doublet microtubules for local control of dynein activity. Recently, progress has been made in identifying individual components of the radial spoke, yet little is known about how the radial spoke is assembled or how it performs in signal transduction. Here we focus on radial spoke protein 3 (RSP3), a highly conserved AKAP located at the base of the radial spoke stalk and required for radial spoke assembly on the doublet microtubules. Biochemical approaches were taken to further explore the functional role of RSP3 within the radial spoke structure and for control of motility. Chemical crosslinking, native gel electrophoresis, and epitope-tagged RSP3 proteins established that RSP3 forms a dimer. Analysis of truncated RSP3 proteins indicates the dimerization domain coincides with the previously characterized axoneme binding domain in the N terminus. We propose a model in which each radial spoke structure is built on an RSP3 dimer, and indicating that each radial spoke can potentially localize multiple PKAs or AKAP-binding proteins in position to control dynein activity and flagellar motility. PMID- 18157899 TI - Molecular basis for skeletal variation: insights from developmental genetic studies in mice. AB - Skeletal variations are common in humans, and potentially are caused by genetic as well as environmental factors. We here review molecular principles in skeletal development to develop a knowledge base of possible alterations that could explain variations in skeletal element number, shape or size. Environmental agents that induce variations, such as teratogens, likely interact with the molecular pathways that regulate skeletal development. PMID- 18157908 TI - Trichloroethylene: Parkinsonism and complex 1 mitochondrial neurotoxicity. AB - OBJECTIVE: To analyze a cluster of 30 industrial coworkers with Parkinson's disease and parkinsonism subjected to long-term (8-33 years) chronic exposure to trichloroethylene. METHODS: Neurological evaluations were conducted on the 30 coworkers, including a general physical and neurological examination and the Unified Parkinson's Disease Rating Scale. In addition, fine motor speed was quantified and an occupational history survey was administered. Next, animal studies were conducted to determine whether trichloroethylene exposure is neurotoxic to the nigrostriatal dopamine system that degenerates in Parkinson's disease. The experiments specifically analyzed complex 1 mitochondrial neurotoxicity because this is a mechanism of action of other known environmental dopaminergic neurotoxins. RESULTS: The three workers with workstations adjacent to the trichloroethylene source and subjected to chronic inhalation and dermal exposure from handling trichloroethylene-soaked metal parts had Parkinson's disease. Coworkers more distant from the trichloroethylene source, receiving chronic respiratory exposure, displayed many features of parkinsonism, including significant motor slowing. Neurotoxic actions of trichloroethylene were demonstrated in accompanying animal studies showing that oral administration of trichloroethylene for 6 weeks instigated selective complex 1 mitochondrial impairment in the midbrain with concomitant striatonigral fiber degeneration and loss of dopamine neurons. INTERPRETATION: Trichloroethylene, used extensively in industry and the military and a common environmental contaminant, joins other mitochondrial neurotoxins, MPTP (1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine) and some pesticides, as a risk factor for parkinsonism. PMID- 18157910 TI - Adolescent depression: diagnosis, treatment, and educational attainment. AB - In this paper, I use nationally representative longitudinal data to examine adolescent depression and educational attainment. First, I examine the individual, family, and community-level determinants of adolescent depression, diagnosis, and treatment. I find that male and minority adolescents who score high on depression scales are less likely to be diagnosed as depressed or receive treatment than female and non-Hispanic white adolescents. Additionally, I find several community-level variables to be important determinants of depression, diagnosis, and treatment. Second, I examine the importance of adolescent depression for educational attainment. Although it is uncontroversial to expect a negative relationship, most previous research uses cross-sectional data, making it difficult to adequately determine the magnitude of the effect. I find that depressive symptoms are related to educational attainment along multiple margins: dropping out of high school, college enrollment, and college type. These relationships are only found for adolescent females, and there are several interesting results across income groups. Overall, these findings suggest that further attempts to diagnose and treat adolescents with depressive symptoms are needed and that additional treatment options may be required to combat the important relationship between adolescent depression and human capital accumulation for females. PMID- 18157909 TI - Neuropathological basis of magnetic resonance images in aging and dementia. AB - OBJECTIVE: Magnetic resonance (MR) imaging is used widely for assessment of patients with cognitive impairment, but the pathological correlates are unclear, especially when multiple pathologies are present. METHODS: This report includes 93 subjects from a longitudinally followed cohort recruited for the study of Alzheimer's disease (AD) and subcortical cerebrovascular disease (CVD). MR images were analyzed to quantify cortical gray matter volume, hippocampal volume, white matter hyperintensities, and lacunes. Neuropathological examination quantified CVD parenchymal pathology, AD pathology (defined as Consortium to Establish a Registry for Alzheimer's Disease scores and Braak and Braak stage), and hippocampal sclerosis. Subjects were pathologically classified as 12 healthy control subjects, 46 AD, 14 CVD, 9 mixed AD/CVD, and 12 cognitively impaired patients without significant AD/CVD pathology. Multivariate models tested associations between magnetic resonance and pathological findings across the entire sample. RESULTS: Pathological correlates of cortical gray matter volume were AD, subcortical vascular pathology, and arteriosclerosis. Hippocampal volume was related to AD pathology and hippocampal sclerosis, and the effects of hippocampal sclerosis were greater for subjects with low levels of AD pathology. White matter hyperintensities were related to age and to white matter pathology. Number of MRI lacunes was related to subcortical vascular pathology. INTERPRETATION: In this clinical setting, the presence of lacunes and white matter changes provide a good signal for vascular disease. The neuropathological basis of MR defined cerebral cortical and hippocampal atrophy in aging and dementia is complex, with several pathological processes converging on similar brain structures that mediate cognitive decline. PMID- 18157911 TI - Hospital financial condition and the quality of patient care. AB - Concerns about deficiencies in the quality of care delivered in US hospitals grew during a time period when an increasing number of hospitals were experiencing financial problems. Our study examines a six-year longitudinal database of general acute care hospitals in 11 states to assess the relationship between hospital financial condition and quality of care. We evaluate two measures of financial performance: operating margin and a broader profitability measure that encompasses both operating and non-operating sources of income. Our model specification allows for gradual adjustments in quality-enhancing activities and recognizes that current realizations of patient quality may affect future financial performance. Empirical results suggest that there is a relationship between financial performance and quality of care, but not as strong as suggested in earlier research. Overall, our results suggest that deep financial problems that go beyond the patient care side of business may be important to prompting quality problems. PMID- 18157912 TI - Hospital management in the context of health sector reform: a planning model in Ethiopia. AB - Through health sector reform in developing countries, Ministries of Health have sought to enhance health care through greater community governance and improved management effectiveness in their public hospitals. In this paper, we present a partnership-mentoring model for enhancing management capacity that has been piloted in Ethiopia and may be useful in other developing countries. The model included needs assessment and baseline evaluation using a hospital management indicator checklist, deployment of 24 Fellows (US and international hospital administrators) for 1 year to work as mentors with hospital management teams in 14 Ethiopian hospitals, continuing didactic and practical training in quality improvement methods for hospital management teams, and 24 management improvement projects to be completed during the year with plans for replication more broadly as appropriate. Surveys of Fellows and Ethiopian managers within the first quarter of onsite activity found high levels of trust in one another's abilities and intent to implement changes. The partnership-mentoring model promotes sustainability and may provide other countries with approaches for improving the quality of hospital care through improved hospital management. PMID- 18157913 TI - Measuring the regret of bereaved family members regarding the decision to admit cancer patients to palliative care units. AB - OBJECTIVE: The purposes of this study were to develop a bereaved family regret scale measuring decision-related regret of family members about the admission of cancer patients to palliative care units (PCUs) and to examine the validity and reliability of this scale. METHOD: Bereaved families of cancer patients who had died in one regional cancer center from September 2004 to February 2006 received a cross-sectional questionnaire by mail. The questionnaire contained seven items pertaining to decision-related regret about the patient's admission to the PCU, the Care Evaluation Scale (CES), an overall care satisfaction scale, and a health related quality-of-life (QOL) scale (SF-8). One month after receiving a completed questionnaire, we conducted a retest with the respondent. RESULTS: Of the 216 questionnaires successfully mailed to the bereaved families, we received 137 questionnaires and were able to analyze the responses for 127 of them, as the other 10 had missing data. By exploratory factor analysis and confirmatory factor analysis, we identified two key factors: intrusive thoughts of regret and decisional regret. This scale had sufficient convergent validity with CES, overall care satisfaction, SF-8, sufficient internal consistency, and acceptable test-retest reliability. CONCLUSION: We have developed and validated a new regret scale for bereaved family members, which can measure their intensity of regret and their self-evaluation about their decision to admit their loved ones to PCUs. PMID- 18157914 TI - Thyroid metastasis in a patient with hepatocellular carcinoma: case report and review of literature. AB - BACKGROUND: Despite the apparent low incidence of cancer metastatic to the thyroid, autopsy and clinical series suggest it is more common than generally. Although lung, renal, and breast cancer are probably the most common primary sites, a number of cancers have been reported to metastasize to the thyroid synchronously with diagnosis of primary tumor or years after apparently curative treatment. CASE PRESENTATION: We report a rare case of a hepatocellular carcinoma metasatic to the thyroid. The patient presented seven months after original diagnosis and treatment with hepatic lobectomy with multiple neck lesions producing a mass effect on the trachea and bilateral lymphadenopathy. Fine-needle aspiration revealed highly anaplastic carcinoma, and immunohistochemistry confirmed hepatocellular carcinoma. The patient received total thyroidectomy as palliative therapy because of the presence of multiple recurrent lesions in the liver. CONCLUSION: Clinicians should consider the possibility of metastatic cancer in each patient who presents with a new thyroid mass, especially those with a history of cancer, however remote. In cases where cytology or histology is not diagnostic, immunohistochemistry may be definitive in making the diagnosis. PMID- 18157915 TI - On the role of transforming growth factor-beta in the growth inhibitory effects of retinoic acid in human pancreatic cancer cells. AB - BACKGROUND: Retinoids are potent growth inhibitory and differentiating agents in a variety of cancer cell types. We have shown that retinoids induce growth arrest in all pancreatic cancer cell lines studied, regardless of their p53 and differentiation status. However, the mechanism of growth inhibition is not known. Since TGF-beta2 is markedly induced by retinoids in other cancers and mediates MUC4 expression in pancreatic cancer cells, we investigated the role of TGF-beta in retinoic acid-mediated growth inhibition in pancreatic cancer cells. RESULTS: Retinoic acid markedly inhibited proliferation of two cell lines (Capan-2 and Hs766T) in a concentration and time-dependent manner. Retinoic acid increased TGF beta2 mRNA content and secretion of the active and latent forms of TGF-beta2 (measured by ELISA and bioassay). The concentrations of active and TGF-beta2 secreted in response to 0.1 - 10 muM retinoic acid were between 1-5 pM. TGF-beta2 concentrations within this range also inhibited proliferation. A TGF-beta neutralizing antibody blocked the growth inhibitory effects of retinoic acid in Capan-2 cells and partially inhibitory the effects in Hs766T cells. CONCLUSION: These findings indicate that TGF-beta can cause growth inhibition of pancreatic cancer cells, in a p53-independent manner. Furthermore, it demonstrates the fundamental role of TGF-beta in growth inhibition in response to retinoic acid treatment is preserved in vitro. PMID- 18157916 TI - Evaluating deterministic motif significance measures in protein databases. AB - BACKGROUND: Assessing the outcome of motif mining algorithms is an essential task, as the number of reported motifs can be very large. Significance measures play a central role in automatically ranking those motifs, and therefore alleviating the analysis work. Spotting the most interesting and relevant motifs is then dependent on the choice of the right measures. The combined use of several measures may provide more robust results. However caution has to be taken in order to avoid spurious evaluations. RESULTS: From the set of conducted experiments, it was verified that several of the selected significance measures show a very similar behavior in a wide range of situations therefore providing redundant information. Some measures have proved to be more appropriate to rank highly conserved motifs, while others are more appropriate for weakly conserved ones. Support appears as a very important feature to be considered for correct motif ranking. We observed that not all the measures are suitable for situations with poorly balanced class information, like for instance, when positive data is significantly less than negative data. Finally, a visualization scheme was proposed that, when several measures are applied, enables an easy identification of high scoring motifs. CONCLUSION: In this work we have surveyed and categorized 14 significance measures for pattern evaluation. Their ability to rank three types of deterministic motifs was evaluated. Measures were applied in different testing conditions, where relations were identified. This study provides some pertinent insights on the choice of the right set of significance measures for the evaluation of deterministic motifs extracted from protein databases. PMID- 18157917 TI - Outdoor air pollution and emergency department visits for asthma among children and adults: a case-crossover study in northern Alberta, Canada. AB - BACKGROUND: Recent studies have observed positive associations between outdoor air pollution and emergency department (ED) visits for asthma. However, few have examined the possible confounding influence of aeroallergens, or reported findings among very young children. METHODS: A time stratified case-crossover design was used to examine 57,912 ED asthma visits among individuals two years of age and older in the census metropolitan area of Edmonton, Canada between April 1, 1992 and March 31, 2002. Daily air pollution levels for the entire region were estimated from three fixed-site monitoring stations. Similarly, daily levels of aeroallergens were estimated using rotational impaction sampling methods for the period between 1996 and 2002. Odds ratios and their corresponding 95% confidence intervals were estimated using conditional logistic regression with adjustment for temperature, relative humidity and seasonal epidemics of viral related respiratory disease. RESULTS: Positive associations for asthma visits with outdoor air pollution levels were observed between April and September, but were absent during the remainder of the year. Effects were strongest among young children. Namely, an increase in the interquartile range of the 5-day average for NO2 and CO levels between April and September was associated with a 50% and 48% increase, respectively, in the number of ED visits among children 2 - 4 years of age (p < 0.05). Strong associations were also observed with these pollutants among those 75 years of age and older. Ozone and particulate matter were also associated with asthma visits. Air pollution risk estimates were largely unchanged after adjustment for aeroallergen levels. CONCLUSION: Our findings, taken together, suggest that exposure to ambient levels of air pollution is an important determinant of ED visits for asthma, particularly among young children and the elderly. PMID- 18157918 TI - Diverse roles of actin in C. elegans early embryogenesis. AB - BACKGROUND: The actin cytoskeleton plays critical roles in early development in Caenorhabditis elegans. To further understand the complex roles of actin in early embryogenesis we use RNAi and in vivo imaging of filamentous actin (F-actin) dynamics. RESULTS: Using RNAi, we found processes that are differentially sensitive to levels of actin during early embryogenesis. Mild actin depletion shows defects in cortical ruffling, pseudocleavage, and establishment of polarity, while more severe depletion shows defects in polar body extrusion, cytokinesis, chromosome segregation, and eventually, egg production. These defects indicate that actin is required for proper oocyte development, fertilization, and a wide range of important events during early embryogenesis, including proper chromosome segregation. In vivo visualization of the cortical actin cytoskeleton shows dynamics that parallel but are distinct from the previously described myosin dynamics. Two distinct types of actin organization are observed at the cortex. During asymmetric polarization to the anterior, or the establishment phase (Phase I), actin forms a meshwork of microfilaments and focal accumulations throughout the cortex, while during the anterior maintenance phase (Phase II) it undergoes a morphological transition to asymmetrically localized puncta. The proper asymmetric redistribution is dependent on the PAR proteins, while both asymmetric redistribution and morphological transitions are dependent upon PFN-1 and NMY-2. Just before cytokinesis, actin disappears from most of the cortex and is only found around the presumptive cytokinetic furrow. Finally, we describe dynamic actin-enriched comets in the early embryo. CONCLUSION: During early C. elegans embryogenesis actin plays more roles and its organization is more dynamic than previously described. Morphological transitions of F-actin, from meshwork to puncta, as well as asymmetric redistribution, are regulated by the PAR proteins. Results from this study indicate new insights into the cellular and developmental roles of the actin cytoskeleton. PMID- 18157919 TI - Activation of the neurokinin-1 receptor by substance P triggers the release of substance P from cultured adult rat dorsal root ganglion neurons. AB - BACKGROUND: Although substance P (SP) is an important primary afferent modulator in nociceptive processes, it is unclear whether SP regulates its own release from primary sensory neurons. RESULTS: Using a highly sensitive radioimmunoassay for SP, we have demonstrated that the activation of neurokinin-1 receptor by SP or GR73632 (a potent neurokinin-1 receptor agonist) triggered an increase of SP release from cultured adult rat dorsal root ganglion (DRG) neurons depending on the dose and exposure time within 60 min, and thereafter, the SP release level gradually decreased over 360 min. Accompanying the SP release, a significant reduction in the percentage of neurons expressing neurokinin-1 receptor on their membranes during exposure to SP (200 pg/dish) occurred time dependently (56 +/- 5% and 32 +/- 2% at 180 and 360 min, respectively). The GR73632-evoked (10 nM, 60 min) SP release was attenuated by several inhibitors for mitogen-activated protein kinase kinase, p38 mitogen-activated protein (MAP) kinase and cyclooxygenase-2 (COX-2), protein kinase C (PKC), respectively. In contrast, a c Jun NH2-terminal kinase inhibitor increased the GR73632-evoked SP release. CONCLUSION: These results indicate that the neurokinin-1 receptor activation by its agonists regulates the SP release process involving the activation of MAP kinases, PKCs and COX-2 from cultured DRG neurons. PMID- 18157920 TI - Optimum sample size allocation to minimize cost or maximize power for the two sample trimmed mean test. AB - When planning a study, sample size determination is one of the most important tasks facing the researcher. The size will depend on the purpose of the study, the cost limitations, and the nature of the data. By specifying the standard deviation ratio and/or the sample size ratio, the present study considers the problem of heterogeneous variances and non-normality for Yuen's two-group test and develops sample size formulas to minimize the total cost or maximize the power of the test. For a given power, the sample size allocation ratio can be manipulated so that the proposed formulas can minimize the total cost, the total sample size, or the sum of total sample size and total cost. On the other hand, for a given total cost, the optimum sample size allocation ratio can maximize the statistical power of the test. After the sample size is determined, the present simulation applies Yuen's test to the sample generated, and then the procedure is validated in terms of Type I errors and power. Simulation results show that the proposed formulas can control Type I errors and achieve the desired power under the various conditions specified. Finally, the implications for determining sample sizes in experimental studies and future research are discussed. PMID- 18157921 TI - Cost effectiveness of duloxetine in the treatment of diabetic peripheral neuropathic pain in the UK. AB - OBJECTIVE: The objective of this analysis was to evaluate the cost-effectiveness of duloxetine when considered as an additional treatment option for UK-based patients suffering from diabetic peripheral neuropathic pain. RESEARCH DESIGN AND METHODS: A decision-analytic model was used to represent the sequential management of patients with diabetic peripheral neuropathic pain. The standard UK treatment strategy was defined as first-line tricyclic antidepressants (amitriptyline), second-line anticonvulsants (gabapentin) and lastly an opioid related treatment. The cost-effectiveness of duloxetine was evaluated as an additional first, second, third or fourth-line therapy over a 6-month treatment period for a cohort of 1000 patients. Treatment response was modelled based on changes from baseline pain severity using a standard 11-point pain scale (0-10); full response (>or= 50% change), partial response (30-49%) and no response (< 30%). The model was populated with efficacy and discontinuation data using indirect comparisons of treatment efficacy based on relative effects to a common placebo comparator. RESULTS: The second-line use of duloxetine resulted in cost savings of pound 77,071 for every 1000 treated patients, with an additional 29 patients achieving a full pain response when compared to standard UK treatment. Additional quality-adjusted life years (QALYs) were achieved at 1.88 QALYs per 1000 patients. CONCLUSIONS: This UK-based economic model suggests that second line use of duloxetine is a beneficial and cost-effective treatment strategy for diabetic peripheral neuropathic pain. PMID- 18157923 TI - Civilization in spite of ourselves. PMID- 18157922 TI - Intrinsic cytotoxic effects of fluoroquinolones on human corneal keratocytes and endothelial cells. AB - OBJECTIVE: To determine the intrinsic cytotoxicity of five fluoroquinolones (ciprofloxacin, gatifloxacin, levofloxacin, moxifloxacin, ofloxacin) on human corneal keratocytes (HCK) and human corneal endothelial cells (HCE). RESEARCH DESIGN AND METHODS: Cultures of replicating HCK and HCE were exposed to ciprofloxacin, gatifloxacin, levofloxacin, moxifloxacin, or ofloxacin concentrations of 1 mg/mL, 100 microg/mL, 10 microg/mL, 1 microg/mL, 100 ng/mL, or 10 ng/mL for 15, 30, 60, or 240 min. Each of the 24 fluoroquinolone concentration-time exposures was tested against its own serum-free minimal essential medium (MEM) control. Cell number was quantified with a fluorescence bioassay. MAIN OUTCOME MEASURE: Cytotoxicity was defined as a significant (p < 0.05) difference in cell number measured as mean calcein fluorescence product versus control for each fluoroquinolone concentration-time exposure. RESULTS: Fluoroquinolone-induced cytotoxicity was concentration- and time-dependent in HCK and HCE cultures. The number of cytotoxic concentration-time exposures was highest with ciprofloxacin (23 of 24 exposures in HCK and 24 of 24 exposures in HCE) and lowest with levofloxacin (10 of 24 exposures in both HCK and HCE). CONCLUSIONS: In vitro cell cultures are useful for evaluating cell response to potentially toxic insults, although cell cultures may lack tissue components that may prevent or ameliorate damage in vivo. In this assay, fluoroquinolones displayed the potential to be cytotoxic to human corneal keratocytes and endothelial cells, depending on drug concentration and duration of exposure. The potential for cytotoxicity may differ among fluoroquinolones. PMID- 18157924 TI - Spatial behavior analysis at the global level using fractal geometry. AB - Previous work has suggested that an estimate of fractal dimension can provide a useful metric for quantifying settlement patterns. This study uses fractal methods to investigate settlement patterns at a global scale showing that the scaling behavior of the pattern of the world's largest cities corresponds to that typically observed for coastlines and rivers. This serves to validate the use of fractal dimension as a scale-independent measure of settlement patterns which can be correlated with other physical features. Such a measure may be a useful validation criterion for models of human settlement and spatial behavior. PMID- 18157925 TI - The fractal city theory revisited: new empirical evidence from the distribution of Romanian cities and towns. AB - Some of the main ideas of the fractal city theory are briefly reviewed, and their applicability is tested for the medium and small-size Romanian urban settlements. The universality of Zipf law for cities and towns distribution is proved once again and a stochastic master equation is proposed in order to explain the empirical distribution. The urban structure of Bucharest is investigated as an example of medium-size city formed by merging some independent poles of growth. The Central Places Theory is found to be in disagreement with the real urban structure. Instead, the diffusion-limited aggregation and self-organized criticality mechanisms are investigated by means of some numerical simulations and are found to fit better the urban perimeter growth. PMID- 18157926 TI - Dynamics of a discrete population model for extinction and sustainability in ancient civilizations. AB - We analyze a discrete version of a recently developed ratio dependent population resource model. This model has been used to study the decline of the human and resource populations on Easter Island and the chaotic dynamics of moose and wolf populations in Canada. The dynamical system exhibits a rich behavior of fractal basins of attraction and a Neimark-Sacker bifurcation route to chaos. The model consists of a coupled pair of logistic equations, with the carrying capacity for the predators proportional to the number of prey. PMID- 18157927 TI - Prey-producing predators: the ecology of human intensification. AB - Economic growth theory and theoretical ecology represent independent traditions of modeling aggregate consumer-resource systems. Both focus on different but equally important forces underlying the dynamics of human societies. Though the two traditions have unknowingly converged in some ways, they each have curious conventions from the perspective of the other. These conventions are reviewed, and two separate modeling frameworks that integrate the two traditions in a simple and straightforward fashion are developed and analyzed. The resulting models represent a consumer species (e.g. humans) that both produces and consumes its resources and then reproduces biologically according to the consumption of its resources. Depending on the balance between production, consumption, and reproduction, the models can exhibit stagnant behavior, like some predator-prey models, or growth, like many mutualism and economic growth models. When growth occurs, in the long term it takes one of two forms. Either resources per capita grow and the human population size converges to a constant, which may be zero, or resources per capita converge to a constant and the human population grows. The difference depends on initial conditions and the particular mix of biological conditions and human technology. PMID- 18157928 TI - Dynamics of attitudes and genetic processes. AB - Relatively new discoveries of a genetic component to attitudes have challenged the traditional viewpoint that attitudes are primarily learned ideas and behaviors. Attitudes that are regarded by respondents as "more important" tend to have greater genetic components to them, and tend to be more closely associated with authoritarianism. Nonlinear theories, nonetheless, have also been introduced to study attitude change. The objective of this study was to determine whether change in authoritarian attitudes across two generations would be more aptly described by a linear or a nonlinear model. Participants were 372 college students, their mothers, and their fathers who completed an attitude questionnaire. Results indicated that the nonlinear model (R2 = .09) was slightly better than the linear model (R2 = .08), but the two models offered very different forecasts for future generations of US society. The linear model projected a gradual and continuing bifurcation between authoritarians and non authoritarians. The nonlinear model projected a stabilization of authoritarian attitudes. PMID- 18157929 TI - Violent societies: an application of orbital decomposition to the problem of human violence. AB - This study uses orbital decomposition to analyze the patterns of how governments lose their monopolies on violence, therefore allowing those societies to descend into violent states from which it is difficult to recover. The nonlinear progression by which the governing body loses its monopoly is based on the work of criminologist Lonnie Athens and applied from the individual to the societal scale. Four different kinds of societies are considered: Those where the governing body is both unwilling and unable to assert its monopoly on violence (former Yugoslavia); where it is unwilling (Peru); where it is unable (South Africa); and a smaller pocket of violent society within a larger, more stable one (Gujarat). In each instance, orbital decomposition turns up insights not apparent in the qualitative data or through linear statistical analysis, both about the nature of the descent into violence and about the progression itself. PMID- 18157930 TI - Biophilic fractals and the visual journey of organic screen-savers. AB - Computers have led to the remarkable popularity of mathematically-generated fractal patterns. Fractals have also assumed a rapidly expanding role as an art form. Due to their growing impact on cultures around the world and their prevalence in nature, fractals constitute a central feature of our daily visual experiences throughout our lives. This intimate association raises a crucial question - does exposure to fractals have a positive impact on our mental and physical condition? This question raises the opportunity for readers of this journal to have some visual fun. Each year a different nonlinear inspired artist is featured on the front cover of the journal. This year, Scott Draves's fractal art works continues this tradition. In May 2007, we selected twenty of Draves's artworks and invited readers to vote for their favorites from this selection. The most popular images will feature on the front covers this year. In this article, we discuss fractal aesthetics and Draves's remarkable images. PMID- 18157931 TI - Art feature for 2008: electric sheep. AB - The cover designs are still images from the Electric Sheep, a distributed screen saver that harnesses idle computers into a render farm with the purpose of animating and evolving artificial life-forms. The votes of the audience of 50,000 users form the basis for the fitness function for a genetic algorithm on a space of abstract animations, each known as a "sheep". Users also may design sheep by hand for inclusion in the gene pool, so crowd-sourcing, or intelligent design, collaborates and competes with evolution. The images were drawn with the Fractal Flame algorithm, a generalization and refinement of Iterated Function Systems. Essentially the images are interference patterns between groups of nonlinear geometric transformations of the plane. The hundreds of floating-point parameters of these transformations comprise the genome of each sheep. This nonlinear map from genome to image defines a visual language, whose search and incantation brings the machine to life. PMID- 18157932 TI - Proteolysis of purified IgGs by human and bacterial enzymes in vitro and the detection of specific proteolytic fragments of endogenous IgG in rheumatoid synovial fluid. AB - A comparative in vitro survey of physiologically relevant human and microbial proteinases defined a number of enzymes that induced specific hinge domain cleavage in human IgG1. Several of these proteinases have been associated with tumor growth, inflammation, and infection. A majority of the identified proteinases converted IgG to F(ab')(2), and a consistent feature of their action was a transient accumulation of a single-cleaved intermediate (scIgG). The scIgG resulted from the relatively rapid cleavage of the first hinge domain heavy chain, followed by a slower cleavage of the second chain to separate the Fc domain from F(ab')(2). Major sites of enzymatic cleavage were identified or confirmed from the mass of the F(ab')(2) or Fab fragments and/or the amino terminal amino acid sequence of the Fc for each enzyme including human matrix metalloproteinases (MMPs) 3 and 12, human cathepsin G, human neutrophil elastase (Fab), staphylococcal glutamyl endopeptidase I and streptococcal immunoglobulin degrading enzyme (IdeS). The cleavage sites in IgG1 by MMP-3, cathepsin G and IdeS were used to guide the synthesis of peptide analogs containing the corresponding carboxy-termini to be used as immunogens in rabbits. Rabbit antibodies were successfully generated that showed selective binding to different human F(ab')(2)s and other hinge-cleavage fragments, but not to intact IgG. In Western blotting studies of synovial fluids from individuals with rheumatoid arthritis, the rabbit antibodies yielded patterns consistent with the presence of endogenous IgG fragments including F(ab')(2) and the single-cleaved IgG intermediate. The detection in synovial fluid of IgG fragments similar to those observed in the in vitro biochemical studies suggests that proteolysis of IgG may contribute to localized immune dysfunction in inflammatory environments. PMID- 18157934 TI - High-performance liquid chromatography determination of 5-methyl-2' deoxycytidine, 2'-deoxycytidine, and other deoxynucleosides and nucleosides in DNA digests. AB - This work has undertaken liquid chromatographic separation of nucleosides and deoxynucleosides. Two different columns with three mobile phases (A, deionized water; B, 50 mM phosphate buffer (pH 4.0); C, methanol) and slightly different gradient programs were used. The elution order was as follows: cytidine (C), 2' deoxycytidine (dC), uridine (U), 5-methyl-2'-cytidine (5mC), 5-methyl-2' deoxycytidine (5mdC), guanosine (G), deoxyguanosine (dG), 2'-deoxythymidine (dT), adenosine (A), and 2'-deoxyadenine (dA). Using a Luna C18 Phenomenex column (150 x 4.6 mm, 5 microm), the separation was performed at 40 degrees C with a total flow rate of 1 ml/min and a run time of 10 min. The second column was an Agilent C18 (50 x 3 mm, 1.8 microm), for which the run time was 4.5 min with a flow rate of 0.6 ml/min (25 degrees C). In application to the DNA digests from human THP-1 cells, the quantification of C, dC, U, 5mC, 5mdC, G, dG, and A was performed. The percentages of global methylation were evaluated based on the 5mdC and dC concentrations (c(5mdC) / [c(5mdC)+c(dC)], where c is concentration in microg/ml) and compared with those calculated from the respective peak areas (A(5mdC) / [A(5mdC)+A(dC)], where A is peak area at 254 nm). For peak area measurements, excellent agreement was obtained with the results reported previously in the same cell line. In the quantitative approach, the results of DNA methylation were higher but consistent with the previous data obtained using mass spectrometric detection. Comparing the analytical features of the two procedures, the use of a smaller column could be recommended because it provides efficient separation (capacity factors in the range of 1.29-10.66), a short run time, and feasibility of nucleoside and deoxynucleoside quantification in real-world samples and because it also minimizes the use of reagents. PMID- 18157933 TI - Lsc activity is controlled by oligomerization and regulates integrin adhesion. AB - Lsc is a hematopoietic-restricted protein that functions as an effector of G alpha(12/13)-associated G-protein coupled receptors that activates RhoA. In the absence of Lsc leukocytes exhibit impaired migration and B lymphocytes inefficiently resolve integrin-mediated adhesion. Here, we demonstrate that Lsc exists physiologically in primary B lymphocytes as a large molecular weight complex resembling a homo-tetramer. Interfering with the assembly of this large molecular weight Lsc oligomer results in the activation of both Lsc functional activities and leads to cell rounding and inhibition of integrin-mediated adhesion. During cell migration on integrin ligands we find Lsc localizes predominantly toward the rear of migrating cells where we suggest it activates RhoA to resolve integin-mediated adhesion. Together these data demonstrate that Lsc regulates integrin-mediated adhesive events at the trailing edge of migrating cells. PMID- 18157935 TI - PCR-mediated deletion of plasmid DNA. AB - The PCR-mediated plasmid DNA deletion method is a simple approach to delete DNA sequences from plasmids using only one round of PCR, with two primers, and without ligation or purification prior to in vivo recombination. By using only PCR, the method is sequence independent and, as shown in this study, is applicable to various sizes of plasmids and deletions using minimal primer design. PMID- 18157936 TI - ALDH-2 deficiency increases cardiovascular oxidative stress--evidence for indirect antioxidative properties. AB - Mitochondrial aldehyde dehydrogenase (ALDH-2) reduces reactive oxygen species (ROS) formation related to toxic aldehydes; additionally, it provides a bioactivating pathway for nitroglycerin. Since acetaldehyde, nitroglycerin, and doxorubicin treatment provoke mitochondrial oxidative stress, we used ALDH-2(-/-) mice and purified recombinant human ALDH-2 to test the hypothesis that ALDH-2 has an indirect antioxidant function in mitochondria. Antioxidant capacity of purified ALDH-2 was comparable to equimolar doses of glutathione, cysteine, and dithiothreitol; mitochondrial oxidative stress was comparable in C57Bl6 and ALDH 2(-/-) mice after acute challenges with nitroglycerin or doxorubicin, whereas chronic acetaldehyde, nitroglycerin, and doxorubicin treatment dose-dependently increased mitochondrial ROS formation and impaired endothelial function to a greater extent in ALDH-2(-/-) mice. Maximal nitroglycerin dose applied in vivo lead to a "super-desensitized" nitroglycerin response in isolated ALDH-2(-/-) aortas, inaccessible in C57Bl6 mice. Our results suggest that ALDH-2 has an indirect antioxidative property independent of its thiol-moiety in disease states of cardiovascular oxidative stress. PMID- 18157937 TI - Immunohistochemical analysis of a novel dehydroepiandrosterone sulfotransferase like protein in Drosophila neural circuits. AB - Sulfotransferase (ST)-catalyzed sulfation plays an important role in various neuronal functions such as homeostasis of catecholamine neurotransmitters and hormones. Drosophila is a popular model for the study of memory and behavioral manifestations because it is able to mimic the intricate neuroregulation and recognition in humans. However, there has been no evidence indicating that cytosolic ST(s) is(are) present in Drosophila. The aim of this study is to investigate whether or not cytosolic ST(s) is(are) expressed in the Drosophila nervous system. Immunoblot analysis demonstrated the presence of dehydroepiandrosterone (DHEA) ST-like protein in Drosophila brain and a sensitive fluorometric assay revealed its sulfating activity toward DHEA. Immunohistochemical staining demonstrated this DHEA ST-like protein to be abundant in specific neurons as well as in several bundles of nerve fibers in Drosophila. Clarification of a possible link between ST and a neurotransmitter mediated effect may eventually aid in designing approaches for alleviating neuronal disorders in humans. PMID- 18157938 TI - Dock2 participates in bone marrow lympho-hematopoiesis. AB - Dock2 has been shown to be indispensable for chemotaxis of mature lymphocytes as a critical Rac activator. However, the functional expression of Dock2 in immature hematopoietic cells is unclear. In this study, we demonstrate that Dock2 is broadly expressed in bone marrow (BM) hematopoietic compartment, including hematopoietic stem/progenitor cell (HSC/HPC) fraction. Response of Dock2-/- HPCs to CXCL12 in chemotaxis and actin polymerization in vitro was impaired, although alpha4 integrin activation by CXCL12 was not altered. Myelosuppressive stress on HSCs in vivo, such as consecutive 5-FU administration and serial bone marrow transplantation, did not show hematopoietic defect in Dock2-/- mice. Long-term engraftment of transplanted Dock2-/- BM cells was severely impaired in competitive reconstitution. However, this was not intrinsic to HSCs but originated from the defective competition of Dock2-/- lymphoid precursors. These results suggest that Dock2 plays a significant role in BM lymphopoiesis, but is dispensable for HSC engraftment and self-renewal. PMID- 18157939 TI - Key events in the history of calcium regulation of striated muscle. PMID- 18157940 TI - The unit event of sliding of the chemo-mechanical enzyme composed of myosin and actin with regulatory proteins. AB - Various myosin-actin systems do not always show the same sliding behaviors. To make the situation clear, discussions are concentrated on the unit event of sliding of the chemo-mechanical enzyme composed of a single myosin head and a single actin filament with regulatory proteins. The popular idea of the one-to one correspondence between the chemical state and the physical state or between the chemical reaction step and the physical conformational change is reexamined. It is likely that the sites and the modes of interaction between myosin head and actin filament during the ATP hydrolysis are more multiple and variable, and the input-output coupling in the chemo-mechanical enzyme is loose. PMID- 18157941 TI - Troponin and cardiomyopathy. AB - The troponin complex was discovered over thirty years ago and since then much insight has been gained into how this complex senses fluctuating levels of Ca(2+) and transmits this signal to the myofilament. Advances in genetics methods have allowed identification of mutations that lead to the phenotypically distinct cardiomyopathies: hypertrophic cardiomyopathy (HCM), restrictive cardiomyopathy (RCM) and dilated cardiomyopathy (DCM). This review serves to highlight key in vivo studies of mutation effects that have followed many years of functional studies and discusses how these mutations alter energetics and promote the characteristic remodeling associated with cardiomyopathic diseases. Studies have been performed that examine alterations in signaling and genomic methods have been employed to isolate upregulated proteins, however these processes are complex as there are multiple roads to hypertrophy or dilation associated with genetic cardiomyopathies. This review suggests future directions to explore in the troponin field that would heighten our understanding of the complex regulation of cardiac muscle contraction. PMID- 18157942 TI - Phosphorylation of the C subunit (p66) of human DNA polymerase delta. AB - Of the four subunits constituting DNA polymerase delta, subunit C or p66 has been shown to mainly mediate polymerase interaction with PCNA, an auxiliary factor that greatly enhances DNA polymerase delta processivity on primed DNA templates. Here, we provide evidence that a highly conserved region located between amino acids 384 and 399 in the C-terminus of p66 is phosphorylated, most probably by Protein kinase CK2, and that another region, most probably located within the PCNA interacting domain in its extreme C-terminus, regulates its interaction with PCNA. Phosphorylation of p66 is associated with its co-localization with large subunit of DNA polymerase delta, p125, and PCNA, to the insoluble chromatin fraction at the beginning of S-phase. Taken together, the results provide evidence that concurrent phosphorylation events in p66 may positively and negatively regulate its activity and interactions with other components of the replisome during the cell cycle. PMID- 18157943 TI - Evaluation of point-of-care glucose testing accuracy using locally-smoothed median absolute difference curves. AB - BACKGROUND: We introduce locally-smoothed (LS) median absolute difference (MAD) curves for the evaluation of hospital point-of-care (POC) glucose testing accuracy. METHODS: Arterial blood samples (613) were obtained from a university hospital blood gas laboratory. Four hospital glucose meter systems (GMS) were tested against the YSI 2300 glucose analyzer for paired reference observations. We made statistical comparisons using conventional methods (e.g., linear regression, mean absolute differences). RESULTS: Difference plots with superimposed ISO 15197 tolerance bands showed bias, scatter, heteroscedasticity, and erroneous results well. LS MAD curves readily revealed GMS accuracy patterns. Performance in hypoglycemic and hyperglycemic ranges erratically exceeded the recommended LS MAD error tolerance limit (5 mg/dl). Some systems showed acceptable (within LS MAD tolerance) or nearly acceptable performance in and around a tight glycemic control (TGC) interval of 80-110 mg/dl. Performance patterns varied in this interval, creating potential for discrepant therapeutic decisions. CONCLUSIONS: Erroneous results demonstrated by ISO 15197-difference plots must be carefully considered. LS MAD curves draw on the unique human ability to recognize patterns quickly and discriminate accuracy visually. Performance standards should incorporate LS MAD curves and the recommended error tolerance limit of 5 mg/dl for hospital bedside glucose testing. Each GMS must be considered individually when assessing overall performance for therapeutic decision making in TGC. PMID- 18157944 TI - Isoniazid-rifampicin induced lipid changes in rats. AB - INTRODUCTION: Isoniazid (INH) and rifampicine (RIF) continues to be highly effective drugs in the chemoprophylaxis and treatment of tuberculosis. It is associated with hepatotoxicity in some individuals. Change in liver and serum lipids may be one of the reasons of hepatotoxicity. We examined isoniazid rifampicine induced lipid changes in liver and serum of rats. METHODS: In a rat model of INH-RIF induced hepatotoxicity we evaluated the effect of oral administration of INH-RIF (50 mg/kg body weight /day each) on hepatic marker enzymes, total lipids, cholesterol, triglycerides and phospholipids in serum and liver of experimental rats after 28 days. Enzymes, total lipids and lipid fractions were measured according to standard methods. RESULTS: Treatment with INH-RIF increased the hepatic marker enzymes after 28 days and altered the lipid levels in serum and liver. Administration of INH-RIF resulted in significantly increased liver and serum cholesterol and total Lipids as compared to control group, while triglycerides were significantly elevated in liver only. In contrast, phospholipids were significantly decreased in liver and no effect in serum was observed. CONCLUSION: Changes in lipids (both in serum and liver) are likely involved in the pathogenesis of INH-RIF induced hepatoxicity in rats. PMID- 18157945 TI - Stability of mycophenolic acid and glucuronide metabolites in human plasma and the impact of deproteinization methodology. AB - BACKGROUND: In recent years there is growing interest in therapeutic drug monitoring of mycophenolic acid (MPA) and its glucuronide metabolites MPAG and AcMPAG. Like other acyl glucuronide metabolites, AcMPAG has a limited stability, but this aspect has received little attention. METHODS: Plasma sample deproteinization with perchloric acid 2 M (method A) was compared to metaphosphoric acid 15% (method B). Stability of MPA, MPAG and AcMPAG in acidified and non-acidified plasma stored at room temperature, 4 degrees C, -20 degrees C and -80 degrees C was assessed over short and long time intervals using HPLC-UV methodology. RESULTS: The area ratio of AcMPAG/IS on spiked plasma at pH 2.5 with method A was 63% of the respective ratio in water, in contrast to 102% with method B, suggesting partial deconjugation and/or incomplete release of AcMPAG from proteins with method A. At room temperature, AcMPAG concentrations in both whole blood and non-acidified plasma decreased significantly after 2-5 h. MPA, MPAG and AcMPAG concentrations remained stable in acidified plasma stored at -20 degrees C and -80 degrees C, but not longer than 5 months after collection. CONCLUSIONS: It is concluded that adequate sample collection, storage measures and deproteinization methods should be applied in order to avoid deconjugation and hence underestimation of MPA, MPAG and AcMPAG concentrations. PMID- 18157946 TI - Recruitment and activation of phospholipase C (PLC)-delta1 in lipid rafts by muscarinic stimulation of PC12 cells: contribution of p122RhoGAP/DLC1, a tumor suppressing PLCdelta1 binding protein. PMID- 18157947 TI - Reciprocal relationship between the apoptosis pathway mediated by executioner caspases and the physiological NAD synthesis pathway. PMID- 18157948 TI - Diclofenac mediated derangement of neuroblastoma cell lipidomic profiles is accompanied by increased phosphatidylcholine biosynthesis. PMID- 18157949 TI - A lysophosphatidic acid receptor lacking the PDZ-binding domain is constitutively active and stimulates cell proliferation. AB - Lysophosphatidic acid (LPA) is an extracellular signaling lipid that regulates cell proliferation, survival, and motility of normal and cancer cells. These effects are produced through G protein-coupled LPA receptors, LPA(1) to LPA(5). We generated an LPA(1) mutant lacking the SerValVal sequence of the C-terminal PDZ-binding domain to examine the role of this domain in intracellular signaling and other cellular functions. B103 neuroblastoma cells expressing the mutant LPA(1) showed rapid cell proliferation and tended to form colonies under serum free conditions. The enhanced cell proliferation of the mutant cells was inhibited by exogenous expression of the plasmids inhibiting G proteins including G(betagamma), G(alphai) and G(alphaq) or G(alpha12/13), or treatment with pertussis toxin, phosphoinositide 3-kinase (PI3K) inhibitors or a Rho inhibitor. We confirmed that the PI3K-Akt and Rho pathways were intrinsically activated in mutant cells by detecting increases in phosphorylated Akt in western blot analyses or by directly measuring Rho activity. Interestingly, expression of the mutant LPA(1) in non-tumor mouse fibroblasts induced colony formation in a clonogenic soft agar assay, indicating that oncogenic pathways were activated. Taken together, these observations suggest that the mutant LPA(1) constitutively activates the G protein signaling leading to PI3K-Akt and Rho pathways, resulting in enhanced cell proliferation. PMID- 18157950 TI - Cross-talk between PDGF and S1P signalling elucidates the inhibitory effect and potential antifibrotic action of the immunomodulator FTY720 in activated HSC cultures. AB - Platelet-derived growth factor (PDGF) has been shown to be essential in the activation of hepatic stellate cells (HSCs), contributing to the onset and development of hepatic fibrosis. Recently, sphingosine-1-phosphate (S1P) has been shown to be a mitogen and stimulator of chemotaxis also for HSCs. Since it has been demonstrated in several cell types that cross-talk between PDGF and S1P signalling pathways occurs, our aim was to investigate the potential antifibrotic effect of FTY720, whose phosphorylated form acts as a potent S1P receptor (S1PR) modulator, on HSCs. FTY720 inhibits cell proliferation and migration after PDGF stimulation on HSCs in a concentration range between 0.1 and 1 muM. By using compounds that block S1P signalling (PTX and VPC23019), we assessed that FTY720 also acts in an S1P receptor-independent way by decreasing the level of tyrosine phosphorylation of PDGF receptor, with subsequent inhibition of the PDGF signalling pathway. In addition, inhibition of sphingosine kinase2 (SphK2), which is responsible for FTY720 phosphorylation, by DMS/siRNA unveils a mechanism of action irrespective of its phosphorylation, in particular decreasing the level of S1P(1) on the plasma membrane. These findings led us to hypothesize a potential use of FTY720 as a potential antifibrotic drug for further clinical application. PMID- 18157951 TI - Lipoic acid ameliorates oxidative stress and renal injury in alloxan diabetic rabbits. AB - The therapeutic potential of lipoic acid (LA) in diabetes and diabetic nephropathy treatment was elucidated. Alloxan diabetic rabbits were treated daily for three weeks with either 10 or 50 mg of LA per kg body weight (i.p.). The following parameters were measured: 1) serum glucose, urea, creatinine and hydroxyl free radical (HFR) levels; 2) blood glutathione redox state; 3) urine albumin concentration; 4) hepatic and renal HFR levels, GSH/GSSG ratios, cysteine contents and the activities of the enzymes of glutathione metabolism; and 5) the activity of renal NADPH oxidase. Histological studies of kidneys were also performed. The treatment of diabetic rabbits with 50 mg of LA resulted in lethal hypoglycaemia in 50% of animals studied. Although the low dose of LA did not change serum glucose concentration, it decreased serum urea and creatinine concentrations, attenuated diabetes-induced decline in GSH/GSSG ratio and abolished hydroxyl free radicals accumulation in serum, liver and kidney cortex. LA did not change the activities of the enzymes of glutathione metabolism, but it elevated hepatic content of cysteine, which limits the rate of glutathione biosynthesis. Moreover, LA lowered urine albumin concentration and attenuated glomerulopathy characteristic of diabetes. However, it did not affect diabetes stimulated activity of renal NADPH oxidase. In view of these data, it is concluded that low doses of LA might be useful for the therapy of diabetes and diabetic nephropathy. Beneficial action of LA seems to result mainly from direct scavenging of HFR and restoring glutathione redox state due to elevation of intracellular cysteine levels. PMID- 18157952 TI - Site-directed mutagenesis of the conserved Ala348 and Gly350 residues at the putative active site of Bacillus kaustophilus leucine aminopeptidase. AB - Leucine aminopeptidase (LAP) is an exopeptidase that catalyzes the hydrolysis of amino acid residues from the amino terminus of proteins and peptides. Sequence alignment shows that the conserved Ala348 and Gly350 residues of Bacillus kaustophilus LAP (BkLAP) are located right next to a coordinated ligand. We further investigated the roles of these two residues by performing computer modeling and site-directed mutagenesis. Based on the modeling, the carbonyl group of Ala348 interacts with Asn345 and Asn435, and that of Gly350 with Ile353 and Leu354, where these interactions might maintain the zinc-coordinated residues at their correct positions. Replacement of Ala348 with Arg resulted in a dramatic reduction in LAP activity. A complete loss of the activity was also observed in A348E, A348V, and the Gly350 variants. Measurement of intrinsic tryptophan fluorescence revealed alteration of the microenvironment of aromatic amino acid residues, while circular dichroism spectra were nearly identical for wild-type and all mutant enzymes. Protein modeling and site-directed mutagenesis suggest that residues Ala348 and Gly350 are essential for BkLAP in maintaining a stable active-site environment for the catalytic reaction. PMID- 18157953 TI - 920 MHz ultra-high field NMR approaches to structural glycobiology. AB - Although NMR spectroscopy has great potential to provide us with detailed structural information on oligosaccharides and glycoconjugates, the carbohydrate NMR analyses have been hampered by the severe spectral overlapping and the insufficiency of the conformational restraints. Recently, ultra-high field NMR spectrometers have become available for applications to structural analyses of biological macromolecules. Here we demonstrate that ultra-high fields offer not only increases in sensitivity and chemical shift dispersion but also potential benefits for providing unique information on chemical exchange and relaxation, by displaying NMR spectral data of oligosaccharide, glycoprotein, and glycolipid systems recorded at a 21.6 T magnetic field (corresponding to 920 MHz (1)H observation frequency). The ultra-high field NMR spectroscopy combined with sugar library and stable-isotope labeling approaches will open new horizons in structural glycobiology. PMID- 18157954 TI - Thermodynamics of the binding of cytotoxic protoberberine molecule coralyne to deoxyribonucleic acids. AB - The binding thermodynamics of the interaction of protoberberine molecule coralyne to various DNAs have been investigated. Thermodynamic data revealed that the binding was enthalpy driven in GC rich DNA and GC polynucleotides while the same was favored by both negative enthalpy and positive entropy changes in the AT rich DNA and AT polymers. Parsing the free energy change of the binding in terms of polyelectrolytic and nonpolyelectrolytic contribution showed the involvement of major contributions from the later. The heat capacity change (DeltaC(p) degrees ) for the binding of coralyne to calf thymus DNA and Micrococcus lysodeikticus DNA was - 147 and - 190cal/(mol K) respectively. The binding data in these systems also showed significant enthalpy-entropy compensation confirming the involvement of multiplicity of weak non-covalent interactions in agreement with the negative heat capacity data. Circular dichroic studies revealed that the binding was accompanied by moderate conformational change of B-form structure and more importantly the achiral alkaloid molecules acquired strong induced optical activity. These results contribute to the understanding of energetics of coralyne DNA complexation that will guide synthetic efforts of medicinal chemists for developing better therapeutic agents. PMID- 18157955 TI - 1.2A-resolution crystal structures reveal the second tetrahedral intermediates of streptogrisin B (SGPB). AB - Streptogrisin B (SGPB) has served as one of the models for studying the catalytic activities of serine peptidases. Here we report its native crystal structures at pH 4.2 at a resolution of 1.18A, and at pH 7.3 at a resolution of 1.23A. Unexpectedly, outstanding electron density peaks occurred in the active site and the substrate-binding region of SGPB in the computed maps at both pHs. The densities at pH 4.2 were assigned as a tetrapeptide, Asp-Ala-Ile-Tyr, whereas those at pH 7.3 were assigned as a tyrosine molecule and a leucine molecule existing at equal occupancies in both of the SGPB molecules in the asymmetric unit. Refinement with relaxed geometric restraints resulted in molecular structures representing mixtures of the second tetrahedral intermediates and the enzyme-product complexes of SGPB existing in a pH-dependent equilibrium. Structural comparisons with the complexes of SGPB with turkey ovomucoid third domain (OMTKY3) and its variants have shown that, upon the formation of the tetrahedral intermediate, residues Glu192A to Gly193 of SGPB move towards the alpha-carboxylate O of residue P1 of the bound species, and adjustments in the side-chain conformational angles of His57 and Ser195 of SGPB favor the progression of the catalytic mechanism of SGPB. PMID- 18157956 TI - Relation between plasma adiponectin, high-sensitivity C-reactive protein, and coronary plaque components in patients with acute coronary syndrome. AB - The present study investigated the relation between plasma high-sensitivity C reactive protein (hs-CRP) and adiponectin and coronary plaque components in patients with acute coronary syndrome (ACS). Previous studies showed a pivotal role of inflammation in the progression of atherosclerosis and the prognostic value of several biomarkers. However, relations among inflammatory biomarkers and plaque characteristics were unknown. Ninety-three culprit plaques (ACS n = 50, non-ACS n = 43) and 56 nonculprit plaques (ACS n = 28, non-ACS n = 28) were analyzed using Virtual Histology intravascular ultrasound to examine relations among plasma hs-CRP, adiponectin, and ratios of each coronary plaque component. Plasma adiponectin was significantly lower and plasma hs-CRP was significantly higher in patients with than without ACS. Culprit plaques in patients with ACS had greater amounts of necrotic core plaque than those in patients without ACS. There was an inverse relation between serum hs-CRP and adiponectin with regard to necrotic core ratio in both culprit and nonculprit lesions in patients with ACS, but not those without ACS. In conclusion, increased plasma hs-CRP and hypoadiponectinemia might be related to the progression of ACS. PMID- 18157957 TI - Head to head comparison between perfusion and function during accelerated high dose dipyridamole magnetic resonance stress for the detection of coronary artery disease. AB - The aim of this study was to compare the diagnostic accuracy of perfusion and wall motion (WM) during dipyridamole magnetic resonance in patients with chest pain syndrome. Ninety-three patients with normal baseline left ventricular function were referred for coronary angiography. Additional dipyridamole stress magnetic resonance testing (0.84 mg/kg over 6 minutes; using a Signa Cvi scanner) was performed. Cardiac-gated fast gradient-echo train sequences with a first pass of gadolinium contrast medium were used to assess myocardial perfusion. A perfusion reserve index was calculated as the ratio of dipyridamole to rest upslope. A perfusion reserve index value <1.54 in 2 contiguous myocardial segments was the perfusion positivity criterion. The WM positivity criterion was a segmental score increase of > or =1 grade in > or =2 segments. WM and the perfusion reserve index showed similar diagnostic accuracy for >50% quantitatively assessed coronary diameter reduction (86% for both), with WM having higher specificity (96% vs 66%, p <0.01) and lower sensitivity (82% vs 93%, p <0.05) than the perfusion reserve index. Perfusion had the highest accuracy values for coronary stenoses <75% (cutoff 59%) and WM for coronary stenoses > or =75% (cutoff 84%) (p <0.001). In conclusion, during dipyridamole magnetic resonance stress testing, perfusion and WM abnormalities have similar diagnostic accuracy, with perfusion showing higher sensitivity, particularly in the detection of moderate stenoses, and WM showing higher specificity. PMID- 18157958 TI - Usefulness of persistent symptoms of depression to predict physical health status 12 months after an acute coronary syndrome. AB - Previous research has focused on the relation between depression after an acute coronary syndrome (ACS) and subsequent cardiac morbidity and mortality. However, the relation between depression and quality of life during recovery remains unclear. We investigated whether symptoms of depression during hospitalization for ACS or the course of depressive symptoms after ACS predict physical health status 12 months after ACS, controlling for physical health status at the time of the ACS. This was a prospective study of 425 patients with ACS assessed with the Beck Depression Inventory (BDI) and Short Form 12 (SF-12) Health Survey during hospitalization and 12 months later. Linear regression was used to assess the relation between in-hospital BDI scores and BDI symptom trajectory after ACS with physical health status 12 months later, controlling for baseline physical health status, age, gender, Killip class, history of acute myocardial infarction, and cardiac diagnosis. Baseline BDI scores predicted 12-month physical health (p <0.001). Compared with nondepressed patients, only patients with persistent symptoms of depression were at risk for poorer physical health. Patients with newly developed depressive symptoms after ACS were at slightly increased risk for worsened physical health (p = 0.060), whereas patients with transient depressive symptoms were not at increased risk. In conclusion, these results underscore the importance of assessing depression at the time of ACS and on an ongoing basis. PMID- 18157959 TI - Gender-related differences in electrocardiographic parameters and their association with cardiac events in patients after myocardial infarction. AB - There are limited data regarding gender-related differences in electrocardiographic (ECG) presentation in patients after myocardial infarction (MI) and the prognostic value of ECG variables in women. A series of ECG parameters were analyzed in 838 patients (216 women, 622 men) using standard electrocardiography performed 5 to 7 days after first MI, and their associations with gender and risk for cardiac events, defined as cardiac death, nonfatal MI, or unstable angina, were evaluated. Heart rate was faster and QTc duration was longer, whereas QRS duration was shorter in women compared with men. Women had more lateral ST depressions and more T-wave inversions in the anterior and lateral regions. During mean 2-year follow-up, there were 138 events in men and 65 in women; women had a 38% greater risk for recurrent events (adjusted hazard ratio [HR] 1.38, p = 0.031). In multivariate Cox regression analysis, ST-segment elevation in leads V(1) to V(4) on the fifth to seventh day after MI was associated with increased risk for recurrent events in women (adjusted HR 2.16, p = 0.003) but not in men (adjusted HR = 0.81, p = 0.32). ST depressions in leads V(5), V(6), I, or aVL (adjusted HR 1.70, p = 0.006) in men but not in women (adjusted HR 0.98, p = 0.93) were identified as a risk factor for recurrent events. In conclusion, there are gender-related differences in ECG presentation and the prognostic significance of ECG findings after MI. ST-segment elevation in anterior leads is a significant predictor of events in women, whereas ST depression in lateral leads is a significant predictor in men. PMID- 18157960 TI - International variation in the use of blood transfusion in patients with non-ST segment elevation acute coronary syndromes. AB - The purpose of this study was to determine international patterns of blood transfusion in patients with acute coronary syndrome (ACS). Previous studies showed geographic heterogeneity in some aspects of ACS care. Data for variability in the use of blood transfusion in ACS management are limited. Pooled data from 3 international randomized trials of patients with non-ST-segment elevation ACS (n = 23,906) were analyzed to determine the association between non-United States (US) location and blood transfusion after stratifying by the use of invasive procedures. The analysis adjusted for differences in patient characteristics and was repeated using a 2-stage mixed-model approach and in patients who underwent in-hospital coronary artery bypass grafting. Compared with US patients, both unadjusted and adjusted hazards for blood transfusion were significantly lower in non-US patients who did not undergo invasive procedures (unadjusted hazard ratio [HR] 0.23, 95% confidence interval [CI] 0.17 to 0.33; adjusted HR 0.20, 95% CI 0.14 to 0.28). This was also true in non-US patients who underwent invasive procedures (unadjusted HR 0.34, 95% CI 0.27 to 0.44; adjusted HR 0.31, 95% CI 0.23 to 0.42). Results were similar in both validation analyses. In conclusion, there was substantial international variation in blood transfusion use in patients with ACS. These results, along with the controversy regarding the appropriate use of transfusion in patients with coronary heart disease, emphasize the need for understanding the role of blood transfusion in the management of patients with ACS and factors that influence transfusion decisions. PMID- 18157961 TI - Relation of recurrence of atrial fibrillation after non-ST-elevation acute myocardial infarction to left atrial abnormality. AB - Atrial fibrillation (AF) is common during the course of acute myocardial infarction and is associated with left atrial (LA) dilatation. However, the role of LA depolarization abnormality on the electrocardiogram (ECG) in the setting of LA dilatation was not studied in this context. Patients admitted with non-ST segment elevation myocardial infarction (NSTEMI) who developed new-onset AF (International Classification of Diseases, Ninth Revision code 427.31) were prospectively identified. Baseline ECGs and echocardiograms before the admission event were reviewed. Follow-up was directed toward pertinent cardiovascular events, atrial tachyarrhythmias, and death as end points. Of 101 patients with NSTEMI who had new-onset AF, 88 had current echocardiograms and 69 had LA dilatation (78%). Total follow-up was 24 months (mean 21.4). Prolonged P-wave duration (> or =110 ms) and decreased left ventricular fractional shortening were most significant in those with LA dilatation and were independently associated with AF. In those with LA dilatation, the prevalence of such abnormal atrial depolarization on ECGs was 56%. AF (43% vs 15%; p = 0.03) and heart failure (63% vs 35%; p = 0.03) occurred more often in this subset, but there was no difference in mortality. However, the overall prevalence of late cardiovascular complications in this subset was higher (71% vs 45%; p = 0.02) compared with that of immediate complications (20% vs 26%; p = 0.60). In conclusion, there is higher recurrence of AF in patients with NSTEMI who have a combination of electrocardiographic and echocardiographic LA abnormalities compared with those without. PMID- 18157962 TI - Pregnancy-associated plasma protein-A elevation in patients with acute coronary syndrome and subsequent atorvastatin therapy. AB - Pregnancy-associated plasma protein-A (PAPP-A) was associated with atherosclerotic plaque vulnerability, whereas statin therapy was associated with increased plaque stability. Eighty-six patients presenting with clinical indications (non-ST-elevation myocardial infarction, unstable angina, and stable angina) for invasive coronary angiography and subsequent verified coronary artery disease (CAD) were randomly assigned in a double-blind manner to atorvastatin 10 or 80 mg/day. PAPP-A, high-sensitivity C-reactive protein (hs-CRP), and lipids were measured at baseline (before statin therapy) and at 1 and 6 months. PAPP-A was significantly increased in 35 patients with acute coronary syndrome (ACS) compared with 51 patients with stable CAD (p <0.001). Patients randomly assigned to atorvastatin 10 mg did not show a significant decrease in PAPP-A from baseline at 1 or 6 months. Patients treated with atorvastatin 80 mg showed a significant decrease at 1 month compared with baseline, but not at 6 months. hs-CRP was not significantly different between the ACS and stable CAD groups. Patients receiving atorvastatin 10 mg showed no hs-CRP decrease at 1 or 6 months, whereas it significantly decreased in the 80-mg group at 6 months, but not at 1 month. In conclusion, PAPP-A significantly increased in patients with ACS compared with those with stable coronary disease. High-dose atorvastatin significantly decreased PAPP-A at 1 month and hs-CRP at 6 months in patients with verified CAD. Low-dose atorvastatin did not produce this effect. PMID- 18157963 TI - Anatomic correlates of a normal perfusion scan using 64-slice computed tomographic coronary angiography. AB - Both myocardial perfusion imaging (MPI) and multislice computed tomography (MSCT) are currently used to detect coronary artery disease (CAD). However, MSCT permits early detection of atherosclerosis while myocardial perfusion is still normal. In addition, MPI results can be normal despite the presence of high-risk CAD (left main and balanced 3-vessel CAD). In this study, the range of anatomic findings using MSCT in patients with normal MPI results was evaluated. In 180 patients presenting with chest pain, MPI (with gated single-photon emission computed tomography) and 64-slice MSCT were performed. In patients with normal MPI results, prevalences of completely normal coronary arteries, nonobstructive CAD, and obstructive CAD were determined using MSCT. The occurrence of high-risk CAD, including left main and 3-vessel disease, was also evaluated. Normal MPI and adequate MSCT findings were obtained in 97 patients (54%; 50% women; average age 58 +/- 12 years; 5% with known CAD). A total of 38 patients (39%) showed normal coronary anatomy, whereas nonsignificant and significant CAD were observed in 37 (38%) and 18 patients (19%), respectively. Importantly, only 4 patients (4%) presented with high-risk CAD using 64-slice MSCT, 2 with left main and 2 with 3 vessel disease. In conclusion, a normal MPI result can be associated with a wide range of anatomic observations and cannot exclude the presence of both nonobstructive and obstructive CAD. However, importantly, the prevalence of high risk CAD was rare. PMID- 18157964 TI - Contact-to-balloon time and door-to-balloon time after initiation of a formalized data feedback in patients with acute ST-elevation myocardial infarction. AB - For many patients with ST-segment elevation myocardial infarctions (STEMIs), the time from presentation to percutaneous coronary intervention exceeds established goals. This study was conducted to examine the effects of formalized data assessment and systematic feedback on treatment times. All patients with STEMIs treated with percutaneous coronary intervention in a semi-rural 3-hospital network from January 1, 2006, to December 31, 2006, were prospectively analyzed (n = 114). Patients presenting during the first 3-month period (January 1, 2006, to March 31, 2006) were included as the reference group (n = 33). Time points from initial contact with the medical system to revascularization were assessed, analyzed, and presented in an interactive session to hospital and emergency services staff members. Data from patients with STEMIs presenting during the next 3 quarters were presented in the same manner (n = 28, 25, and 28). The median contact-to-balloon time was 113 minutes in the reference quarter, decreasing to 83, 66, and 74 minutes in the intervention groups (p <0.0001), whereas the median door-to-balloon time decreased from 54 minutes in the reference group to 35, 31, and 26 minutes in the intervention groups (p <0.0001). The proportion of patients with contact-to-balloon times <90 minutes increased from 21% to 79% (p <0.0001). There were significant reductions in the durations of initial treatment on location and in the emergency room and in puncture-to-balloon-time in the catheterization laboratory, and more patients were transported directly to the catheterization laboratory, bypassing the emergency room (from 23% in the reference quarter to 76% in the last intervention quarter, p <0.0001). In conclusion, formalized data feedback leads to marked reduction in revascularization times in patients with STEMIs. PMID- 18157965 TI - Outcomes of 1,090 consecutive, elective, nonselected percutaneous coronary interventions at a community hospital without onsite cardiac surgery. AB - We evaluated the efficacy and safety of elective percutaneous coronary intervention (PCI) at a hospital without onsite cardiac surgery. A growing number of hospitals without onsite cardiac surgery perform elective PCI. Few hospitals have reported outcomes, despite controversy surrounding this practice. From August 2003 to December 2005, 1,090 elective PCI were performed at Saint Luke's South Hospital (SLS), a hospital without onsite cardiac surgery, for which the referral center is the Mid America Heart Institute (MAHI). The elective PCI program used experienced interventionalists, technicians, and nurses; a tested helicopter transport protocol; a well-equipped catheterization laboratory; and a quality assurance process. Baseline characteristics, procedural success, and adverse clinical outcomes were compared. Observed frequencies of in-hospital death, a combined end point of Q-wave myocardial infarction (MI)/emergency coronary artery bypass grafting (CABG) surgery, and vascular complications were compared with prediction models. SLS, with lower risk characteristics than MAHI, had unadjusted frequencies of procedural success (93% vs 94%, p = NS), Q-wave MI (0.3% vs 0.3%, p = NS), emergency CABG surgery (0.2% vs 0.03%, p = 0.09), vascular complications (0.6% vs 0.6%, p = NS), and in-hospital death (0.1% vs 0.8%, p = 0.002) that compared favorably with MAHI. Two patients transferred from SLS to MAHI for emergency CABG surgery without adverse effects. Fewer in-hospital deaths and vascular complications were observed at SLS than predicted by models. In conclusion, favorable clinical outcomes were achieved for elective PCI at a hospital without onsite cardiac surgery that used strict program requirements. PMID- 18157966 TI - Clinical outcomes after heterogeneous overlap stenting with drug-eluting stents and bare-metal stents for de novo coronary artery narrowings. AB - When it is difficult to deliver multiple drug-eluting stents (DES) or when size constraints limit DES implantation, bare-metal stents (BMS) may be implanted contiguous to DES. However, the clinical outcomes after overlapping DES and BMS implantation are not known. From September 2004 to June 2006, 4,872 consecutive patients who underwent percutaneous coronary intervention consented to be enrolled in a prospective registry. Of these patients, 44 (0.9%) with de novo lesions were treated with DES and BMS overlap stenting. All patients were followed to 12 months for the assessment of clinical outcomes. The average implanted stent diameter was 2.68 +/- 0.30 mm for DES and 2.35 +/- 0.38 mm for BMS. Overlapping BMS were implanted distal to DES in all but 1 case. One patient (2.3%) experienced acute stent thrombosis and died 2 days after the procedure. No other patient died or had a myocardial infarction during 12 months. The target vessel revascularization rate at 12 months, however, was 31.8%, mainly driven by diffuse in-stent restenosis in the BMS segments. In conclusion, the incidence of DES and BMS overlap stenting is rare in daily practice, but this procedure is associated with a high rate of target vessel revascularization. PMID- 18157968 TI - A geospatial analysis of emergency transport and inter-hospital transfer in ST segment elevation myocardial infarction. AB - Primary percutaneous coronary intervention (PCI) yields better outcomes than thrombolytic therapy in the treatment of patients with ST-segment elevation myocardial infarctions (STEMIs). Emergency medical service systems are potentially important partners in efforts to expand the use of PCI. This study was conducted to explore the probable impact on patient mortality and hospital volumes of competing strategies for the emergency transport of patients with STEMIs. Emergency transport was simulated for 2,000 patients with STEMIs from the Atlantic Cardiovascular Patient Outcomes Research Team (C-PORT) trial in a geospatial model of Dallas County, Texas. Patient mortality estimates were obtained from a recently developed predictive model comparing PCI and thrombolytic therapy. A strategy of transporting patients to the closest hospital and treating with PCI if available and thrombolytic therapy if not yielded a 5.2% 30-day mortality rate (95% confidence interval [CI] 4.2% to 6.3%). A strategy of universal PCI, in which patients were transported only to PCI-capable hospitals, yielded 4.4% (95% CI 3.6% to 5.4%) mortality and an increase in patient volume at 2 full-time PCI hospitals of >1,000%. A strategy of targeted PCI, in which high benefit patients were transported or transferred to PCI-capable hospitals, yielded 4.5% (95% CI 3.8% to 5.5%) mortality if transfers were decided in the emergency department and 4.2% (95% CI 3.4% to 5.1%) if transport was decided in the emergency vehicle. Targeted PCI strategies increased patient volumes at full time PCI hospitals by about 700%. In conclusion, the selection of high-benefit patients for transport or transfer to PCI-capable hospitals can reduce mortality while minimizing major shifts in hospital patient volumes. PMID- 18157967 TI - Short- and long-term outcomes after stent-assisted percutaneous treatment of saphenous vein grafts in the drug-eluting stent era. AB - Percutaneous treatment of saphenous vein graft (SVG) lesions has been associated with higher rates of periprocedural complications and restenosis compared with non-SVG lesions. Whether these outcomes are similar in contemporary clinical practice, particularly when drug-eluting stents are used, is unknown. We evaluated outcomes of 110 consecutive patients who were treated with stent assisted percutaneous coronary intervention for 145 SVG lesions (drug-eluting stents used in 91.0% of lesions). Embolic protection devices were used in 52.1% of treated grafts. Adverse events were recorded up to 1 year. Major or minor periprocedural myocardial necrosis occurred in 11 patients (10.9%). At 1-year clinical follow-up, we observed 13 myocardial infarctions (13.7%), 8 target lesion revascularizations (8.4%), 18 target vessel revascularizations (19.0%), 2 stent thromboses (2.1%), and 7 deaths (7.4%). The incidence of major adverse cardiac events, defined as death, myocardial infarction, or target vessel revascularization, was 30.5% at 1 year. By multivariable analysis, the presence of thrombus inside the graft before the procedure and the length of the stented segment were independent predictors of major adverse cardiac events at 1 year (hazard ratio for thrombus 4.07, 95% confidence interval 1.90 to 8.68, p = 0.0003; hazard ratio per millimeter of stented length 1.02, 95% confidence interval 1.01 to 1.03, p = 0.025). In conclusion, our data show that patients with SVG lesions remain a high-risk subgroup with worse outcomes after percutaneous coronary intervention compared with native vessel disease even in the era of drug-eluting stents. PMID- 18157969 TI - Results of percutaneous coronary intervention of the unprotected left main coronary artery in 143 patients and comparison of 30-day mortality to results of coronary artery bypass grafting. AB - Percutaneous coronary intervention (PCI) of the unprotected left main coronary artery (LMCA) is controversial. In 143 patients who underwent PCI of the unprotected LMCA, 30-day mortality was compared with predicted cumulative risk adjusted perioperative surgical mortality based on logistic European System for Cardiac Operative Risk Evaluation. One-year clinical follow-up was completed in all patients. The overall major adverse cardiac event rate at 1 year was 34.3%, reflecting the high-risk profile of the patient population. Twelve patients (8%) experienced an acute myocardial infarction and 16 (11%) underwent target lesion revascularization. In 31 patients (22%) who died during the first year, median logistic European System for Cardiac Operative Risk Evaluation was 30%. Calculated RRs showed significantly lower 30-day mortality using PCI compared with predicted surgical mortality (RR 0.54, 95% confidence interval 0.31 to 0.86). Angiographic follow-up in 90 of the 118 patients alive at 6 months showed binary restenosis of 6% in patients treated with drug-eluting stents versus 29% in patients receiving bare-metal stents (p < or =0.01). In conclusion, PCI for unprotected LMCA disease was associated with acceptable short- and medium-term outcomes in patients at low to intermediate risk of bypass surgery. Mortality remains high in very high-risk patients unsuitable for surgery. However, in selected indications, PCI of the LMCA can offer an alternative to surgery, especially when using drug-eluting stents. PMID- 18157970 TI - Metabolic syndrome, insulin resistance, and brachial artery vasodilator function in Framingham Offspring participants without clinical evidence of cardiovascular disease. AB - The metabolic syndrome (MS), a clustering of metabolic disturbances, is associated with increased cardiovascular risk. Limited information is available about the relations between MS, insulin resistance, and vascular function. We measured brachial artery flow-mediated dilation (n = 2,123) and reactive hyperemia (n = 1,521) in Framingham Offspring participants without diabetes or clinical cardiovascular disease (mean age 59 +/- 9 years, 57% women). MS, determined by National Cholesterol Education Program criteria, was present in 36% of participants. Insulin resistance was determined using Homeostatic Model Assessment. In age- and gender-adjusted models, MS was associated with lower flow mediated dilation and reactive hyperemia. There was progressively lower vasodilator function with increasing number of MS components (p for trend <0.0001). In multivariable models adjusting for the 5 MS components as continuous variables, MS (presence vs absence) remained associated with lower flow-mediated dilation (2.84 +/- 0.12% vs 3.17 +/- 0.08%, p = 0.0496) and reactive hyperemia (50.8 +/- 1.0 vs 54.4 +/- 0.7 cm/s, p = 0.009). Insulin resistance was inversely associated with flow-mediated dilation and reactive hyperemia in age- and gender adjusted models, but these relations were not significant in models adjusting for the MS components. In conclusion, our observations are consistent with the hypothesis that MS and insulin resistance impair vascular function predominantly through the influence of the component metabolic abnormalities that comprise MS. PMID- 18157971 TI - Association of traditional risk factors with cardiovascular death across 0 to 10, 10 to 20, and >20 years follow-up in men and women. AB - Previous studies have evaluated the strength of the association between traditional risk factors and cardiovascular disease (CVD) across varying lengths of follow-up in men. However, to our knowledge, little is known regarding the behavior of these risk factors across time in women. Thus, we sought to determine the association between traditional risk factors in men and women across follow up periods of 0 to 10, 10 to 20, and >20 years. We studied 9,033 men and 7,575 women (ages 40 to 59 years) from 1967 to 1973 from the Chicago Heart Association Detection Project in Industry. Multivariable-adjusted Cox proportional hazard models were constructed to compare the hazard ratios (HRs) and 95% confidence intervals (CI) for CVD risk factors measured at baseline across different periods of follow-up (0 to 10, 10 to 20, and >20 years). In women, the HRs for smoking and diabetes mellitus were strongest at 0 to 10 years (HR 5.38, 95% CI 2.99 to 9.67 and 3.84, 95% CI 1.82 to 8.13, respectively) but decreased at >20 years (HR 1.71, 95% CI 1.48 to 1.97 and 1.60, 95% CI 1.10 to 2.32, respectively). In men, the HR (per 4 kg/m(2)) for body mass index appeared to increase (0 to 10 years, 1.01, 95% CI 0.90 to 1.14; >20 years, 1.20, 95% CI 1.13 to 1.28). In women, the association was similar across all follow-up periods. For both men and women, the HR for total serum cholesterol remained unchanged across the follow-up. In conclusion, we found gender differences in the patterns of association between risk factors measured at baseline and CVD death across different periods of follow-up. In women, the increased risk associated with both diabetes mellitus and smoking was most prominent in the early follow-up periods. PMID- 18157972 TI - Relative safety of gemfibrozil and fenofibrate in the absence of concomitant cerivastatin use. AB - Previous analyses of fibrate safety may have been driven by a higher propensity for gemfibrozil to interact with cerivastatin, which is currently off the market because of safety concerns. We reviewed gemfibrozil- and fenofibrate-associated adverse event reports (AERs) submitted to the US Food and Drug Administration over a 5-year period. To control for cerivastatin's impact on fibrate-associated AERs, reports with concomitant cerivastatin use were excluded. Rates per million prescriptions were calculated for all AERs, serious AERs, rhabdomyolysis AERs, muscle-related AERs without rhabdomyolysis, and liver AERs. The rates of all AERs (odds ratio [OR] 0.76, 95% confidence interval [CI] 0.69 to 0.83), serious AERs (OR 0.72, 95% CI 0.65 to 0.81), and liver AERs (OR 0.37, 95% CI 0.28 to 0.50) were significantly lower for gemfibrozil compared with fenofibrate (p <0.001 for each). In contrast, rates of rhabdomyolysis AERs (OR 2.67, 95% CI 2.11 to 3.39, p <0.001) and muscle-related AERs without rhabdomyolysis (OR 1.36, 95% CI 1.12 to 1.71, p = 0.002) were significantly higher for gemfibrozil compared with fenofibrate. In conclusion, the safety profiles of fibrates differ, with a higher rate of liver-related AERs associated with fenofibrate and a higher rate of muscle-related AERs associated with gemfibrozil. Rates of all AERs and serious AERs were higher with fenofibrate, but well within the range observed with commonly used lipid-altering medications. PMID- 18157973 TI - Relation of cumulative weight burden to vascular endothelial dysfunction in obesity. AB - Although excess fat mass is linked to increased cardiovascular risk, the relation between vascular phenotype and degree of obesity in high weight categories is unknown. We examined brachial artery vasomotor responses using ultrasound in 203 consecutive patients with severe obesity (mean age 44 +/- 11 years; body mass index [BMI] 46 +/- 9 kg/m(2), range 30 to 72; and body weight 128 +/- 29 kg, range 69 to 207). We studied a unique population in which 71% of subjects were characterized as morbidly obese (BMI > or =40 kg/m(2)), which included a 31% group of super-obese subjects (BMI > or =50 kg/m(2)). Brachial artery flow mediated dilation (FMD) and nitroglycerin-mediated dilation were examined as measures of endothelium-dependent and -independent dilation, respectively, in relation to clinical, hemodynamic, and metabolic variables. Endothelial function was significantly impaired in the highest compared with the lowest tertile of body weight (FMD 6.5 +/- 4.6% vs 9.8 +/- 4.8%, p <0.001), whereas nitroglycerin mediated dilation was similar in all groups. Univariate correlates of FMD were gender, weight, waist circumference, BMI, diastolic blood pressure, and creatinine. In multivariate analysis, weight was a strong independent significant predictor of FMD (beta = -0.23, p = 0.005) in addition to gender. Within an overweight population, cumulative weight burden remains strongly linked to progressive arterial dysfunction. In conclusion, these results suggest that cardiovascular risks intensify with higher degrees of obesity and underscore the importance of therapeutic weight loss interventions. PMID- 18157974 TI - Association of uncomplicated electrocardiographic conduction blocks with subsequent cardiac morbidity in a community-based population (Olmsted County, Minnesota). AB - Ventricular conduction blocks (VCBs) identified on a 12-lead electrocardiogram (ECG) are associated with poor outcomes in patients with known cardiac disease. The prognostic implications of uncomplicated VCB (right or left bundle branch block [RBBB or LBBB], left anterior hemiblock) in patients without cardiac diagnoses, however, need to be reevaluated in the current therapeutic era. The purpose of this study was to determine long-term cardiac morbidity and mortality in a community-based population with electrocardiographically-identified VCB, documented normal left ventricular ejection fraction, and no diagnoses of cardiac disease at the time of the index ECG. A retrospective observational cohort study was undertaken of patients in Olmsted County, Minnesota, evaluated from 1975 to 1999. Kaplan-Meier survival analysis post-index electrocardiography was performed with median follow-up of 9.0 years; 706 patients (mean age 64 +/- 16 [SE] years) were identified. Of those, 12% had LBBB with left-axis deviation (LAD); 20% had LBBB without LAD; 26% had left anterior hemiblock; and 42% had RBBB. Kaplan-Meier analysis indicated a significant difference in cardiovascular morbidity risk among the VCB groups (p = 0.017) with left anterior hemiblock and LBBB with LAD, and these were associated with the highest 10-year cardiovascular morbidity risk (58% and 68%, respectively). The incidence of dilated cardiomyopathy was 3% in patients with LBBB with LAD compared with 0.85% in the overall cohort. Significant mortality differences were also demonstrated between LBBB with LAD compared with LBBB without LAD (p = 0.048), left anterior hemiblock compared with LBBB without LAD (p <0.0001), and left anterior hemiblock compared with RBBB (p = 0.0007). In conclusion, the identification of uncomplicated VCB with LAD is associated with increased long-term cardiac morbidity/mortality risk, including the development of dilated and ischemic cardiomyopathy. Isolated VCB is an early marker of cardiac co-morbidities and potentially identifies a high-risk group of patients who warrant preventive intervention. PMID- 18157975 TI - Three-dimensional shape analysis of right ventricular remodeling in repaired tetralogy of Fallot. AB - Understanding of right ventricular (RV) remodeling is needed to elucidate the mechanism of RV dysfunction in the overloaded right ventricle, but is hampered by the chamber's complex shape. We imaged 15 patients with repaired tetralogy of Fallot (TOF) and 8 normal subjects by magnetic resonance imaging in long- and short-axis views. We reconstructed the right ventricles in 3 dimensions using the piecewise smooth subdivision surface method. Shape was analyzed from cross sectional contours generated by intersecting the right ventricle with 20 planes evenly spaced from apex to tricuspid annulus. Patients with TOF had dilated right ventricles compared with normal (end-diastolic volume index 216 +/- 99 vs 81 +/- 16 ml/m(2), p <0.001) but near-normal function (ejection fraction 40 +/- 9% vs 48 +/- 12%, respectively, p = NS). RV shape in patients with TOF differed from normal subjects in several ways. First, the right ventricle had a larger normalized cross-sectional area in patients with TOF (p <0.01 in apical planes). Second, the cross-sectional shape was rounder in patients with TOF (p <0.05 in apical planes). Also, the interventricular septum underwent relatively less enlargement so that it comprised only 27 +/- 4% of total RV surface area in patients with TOF, compared with 33 +/- 2% in normal subjects (p = 0.0001). In addition, the right ventricle in patients with TOF exhibited bulging basal to the tricuspid valve (4 +/- 4% of total RV length), unlike normals (1 +/- 2%, p <0.001). This basal bulging was amplified by tilting of the tricuspid annulus (29 +/- 11 degrees vs 15 +/- 7 degrees , respectively, p <0.005). In conclusion, the right ventricle remodels in several directions rather than following a shape continuum. Characterization of RV remodeling from 3-dimensional reconstructions provides novel insights. PMID- 18157977 TI - Prevalence of an increased ascending thoracic aorta diameter diagnosed by two dimensional echocardiography versus 64-multislice cardiac computed tomography. AB - The prevalence of an enlarged ascending thoracic aortic diameter (AAD) diagnosed by 2-dimensional echocardiography compared with 64-slice cardiac computed tomography (MSCT) was investigated in 97 women and 117 men (mean age 65 +/- 12 years). Enlarged AADs were diagnosed in 42 of 214 patients (20%) by echocardiography and in 45 of 214 patients (21%) by MSCT (p = NS). The sensitivity, specificity, positive predictive value, and negative predictive value of echocardiography in diagnosing an enlarged AAD using MSCT were 69%, 93%, 74%, and 92%, respectively. A Bland-Altman plot showed that the agreement for AAD measured by echocardiography and MSCT was 95% inside the 2-SD limits. In conclusion, the sensitivity, specificity, positive predictive value, and negative predictive value of 2-dimensional echocardiography in diagnosing enlarged AAD using MSCT were 69%, 93%, 74%, and 92%, respectively. PMID- 18157976 TI - Risk factors for in-hospital mortality during infective endocarditis in patients with congenital heart disease. AB - Despite developments in preventative and medical therapy, infective endocarditis (IE) carries a high rate of mortality. Risk factors for mortality are unknown in pediatric and adult patients with congenital heart disease (CHD). We determined the risk factors for in-hospital mortality in pediatric and adult patients with CHD. A retrospective observational cohort study was conducted from January 1997 to December 2001 in Japan. Of the 239 patients for whom complete data were available, 216 patients with CHD were identified. Outcomes were alive or deceased. The proposed modified Duke's criteria identified 137 patients, aged 1 month to 62 years with a median of 12 years, with IE. In-hospital mortality was 10%. Four risk factors were independently associated with mortality by stepwise logistic regression analysis: (1) vegetation size > or =20 mm (odds ratio 40.6, 95% confidence interval 2.42 to 681); (2) age <1 year (odds ratio 19.5, 95% confidence interval 1.74 to 219); (3) presence of heart failure (odds ratio 7.16, 95% confidence ratio 1.34 to 38.4); and (4) Staphylococcus aureus as a causative organism (odds ratio 5.68, 95% confidence interval 1.16 to 27.9). Surgical intervention emerged as a predictive factor for lower in-hospital mortality (odds ratio 0.045, 95% confidence interval 0.003 to 0.70) by stepwise logistic regression analysis. In conclusion, surgical intervention, which decreases the risk of in-hospital mortality, should always be considered. PMID- 18157978 TI - Influence of renal function on the usefulness of N-terminal pro-B-type natriuretic peptide as a prognostic cardiac risk marker in patients undergoing noncardiac vascular surgery. AB - N-terminal pro-B-type natriuretic peptide (NT-pro-BNP) is related to stress induced myocardial ischemia and/or volume overload, both common in patients with renal dysfunction. This might compromise the prognostic usefulness of NT-pro-BNP in patients with renal impairment before vascular surgery. We assessed the prognostic value of NT-pro-BNP in the entire strata of renal function. In 356 patients (median age 69 years, 77% men), cardiac history, glomerular filtration rate (GFR, ml/min/1.73 m(2)), and NT-pro-BNP level (pg/ml) were assessed preoperatively. Troponin T and electrocardiography were assessed postoperatively on days 1, 3, 7, and 30. The end point was the composite of cardiovascular death, Q-wave myocardial infarction, and troponin T release. Multivariate analysis was used to evaluate the interaction between GFR, NT-pro-BNP and their association with postoperative outcome. Median GFR was 78 ml/min/1.73 m(2) and the median concentration of NT-pro-BNP was 197 pg/ml. The end point was reached in 64 patients (18%); cardiac death occurred in 7 (2.0%), Q-wave myocardial infarction in 34 (9.6%), and non-Q-wave myocardial infarction in 23 (6.5%). After adjustment for confounders, NT-pro-BNP levels and GFR remained significantly associated with the end point (p = 0.005). The prognostic value of NT-pro-BNP was most pronounced in patients with GFR > or =90 (odds ratio [OR] 1.18, 95% confidence interval [CI] 0.80 to 1.76) compared with patients with GFR 60 to 89 (OR 1.04, 95% CI 1.002 to 1.07), and with GFR 30 to 59 (OR 1.12, 95% CI 1.03 to 1.21). In patients with GFR <30 ml/min/1.73 m(2), NT-pro-BNP levels have no prognostic value (OR 1.00, 95% CI 0.99 to 1.01). In conclusion, the discriminative value of NT-pro-BNP is most pronounced in patients with GFR > or =90 ml/min/1.73 m(2) and has no prognostic value in patients with GFR <30 ml/min/1.73 m(2). PMID- 18157979 TI - Sorting through the relations among metabolic syndrome, insulin resistance, and endothelial dysfunction. PMID- 18157980 TI - Jean S. Kan, MD: a conversation with Colin K.L. Phoon, MPhil, MD. PMID- 18157992 TI - Psychological factors associated with self-reported sensitivity to mobile phones. AB - OBJECTIVE: Some people report symptoms associated with mobile phone use. A minority also report "electrosensitivity," experiencing symptoms following exposure to other electrical devices. Research suggests that electromagnetic fields do not trigger these symptoms. In this study, we examined the differences between these two "sensitive" groups and healthy controls. METHODS: Fifty-two people who reported sensitivity to mobile phones, 19 people who reported sensitivity to mobile phones and "electrosensitivity," and 60 nonsensitive controls completed a questionnaire assessing the following: primary reason for using a mobile phone, psychological health, symptoms of depression, modern health worries (MHW), general health status, symptom severity, and the presence of other medically unexplained syndromes. RESULTS: Perceived sensitivity was associated with an increased likelihood of using a mobile phone predominantly for work (3% of controls, 13% of those sensitive to mobile phones, and 21% of those reporting "electrosensitivity") and greater MHW concerning radiation [mean (S.D.) on a scale of 1-5: 2.0 (1.0), 2.7 (0.9), and 4.0 (0.8), respectively]. Participants who reported "electrosensitivity" also experienced greater depression, greater worries about tainted food and toxic interventions, worse general health on almost every measure, and a greater number of other medically unexplained syndromes compared to participants from the other two groups. No group differences were observed with regards to psychiatric cases. CONCLUSIONS: The data illustrate that patients reporting "electrosensitivity" experience substantially worse health than either healthy individuals or people who report sensitivity to mobile phones but who do not adopt the label "electrosensitivity." Clinicians and researchers would be wise to pay greater attention to this subdivision. PMID- 18157994 TI - A shared decision-making communication training program for physicians treating fibromyalgia patients: effects of a randomized controlled trial. AB - OBJECTIVE: Fibromyalgia syndrome (FMS) is a condition of chronic widespread pain that is difficult to control and is associated with strains in physician-patient interaction. Shared decision making (SDM) can be a potential solution to improve interaction. We evaluated the effects of an SDM intervention, including an SDM communication training program for physicians, in a randomized controlled trial with FMS patients. The main objective was to assess whether SDM improves the quality of physician-patient interaction from patients' perspective. METHODS: Patients were randomized to either an SDM group or an information-only group. The SDM group was treated by physicians trained in SDM communication and had access to a computer-based information package; the information-only group received only the information package and was treated by standard physicians. All patients were offered the same evidence-based treatment options for FMS. Patients were assessed with questionnaires on physician-patient interaction (main outcome criteria) and decisional processes. Physicians filled out a questionnaire on interaction difficulties. Assessment took place immediately after the initial consultation. RESULTS: Data from 85 FMS patients (44 in the SDM group and 41 in the information only group) were analyzed. The mean age was 49.9 years (S.D.=10.2), and 91.8% of patients were female. The quality of physician-patient interaction was significantly higher in the SDM group than in the information-only group (P<.001). We found no differences in secondary outcome measures. CONCLUSIONS: SDM with FMS patients might be a possible means to achieve a positive quality of physician-patient interaction. A specific SDM communication training program teaches physicians to perform SDM and reduces frustration in patients. PMID- 18157995 TI - Development of a paradigm for measuring somatic disturbance in clinical populations with medically unexplained symptoms. AB - OBJECTIVE: This study aimed to develop an experimental paradigm, using healthy controls, to measure change in tactile sensitivity and response bias for subsequent testing of patients with medically unexplained symptoms (MUS). METHODS: Participants judged whether or not they detected a weak tactile pulse (presented in 50% of trials). Performance in two conditions (tactile pulses presented with or without a concomitant light) was compared using signal detection analysis to assess whether a task-irrelevant light can invoke the sensation of touch, even in its absence. RESULTS: The results showed that the presence of a concurrent light significantly improved participants' detection of the tactile stimulus by 13.7% [t(18)=4.24, P<.001]. Also, more false alarms (perceiving that the touch was present when it was not) were made when the light was present [t(18)=2.10, P=.05]. Although differences in sensitivity between the light conditions were not significant [t(18)=1.14, P=.268], participants were more likely to report a touch, regardless of whether a touch was presented or not, in the light-present condition [t(18)=-3.84, P=.001]. CONCLUSION: When discriminating weak vibration pulses on the finger from no stimulation, a simultaneous light was capable of creating the sensation of touch, even when it was not present. The findings of this research will be of interest to those studying psychosomatic disorders or MUS, where patients experience physical symptoms without an identifiable organic cause. This paradigm provides an experimental measure of such distortions in perception, which may elucidate underlying mechanisms of action. PMID- 18157996 TI - Psychometric properties of the DASS-Depression scale among a Brazilian population with chronic pain. AB - BACKGROUND: Depression is a common contributor to suffering and disability in people with chronic pain. However, the assessment of depression in this population has been hampered by the presence of a number of somatic symptoms that are shared between chronic pain, treatment side-effects and traditional concepts of depression. As a result, the use of depression measures that do not contain somatic items has been encouraged. OBJECTIVE: This study examined the psychometric properties of the Depression sub-scale of the Depression Anxiety and Stress Scales (DASS) in a Brazilian chronic pain patient population. METHOD: Data on a number of measures were collected from 348 participants attending pain facilities. RESULTS: Principal components and exploratory factor analyses indicated the presence of only one factor. Item analyses indicated adequate item scale correlations. The Cronbach alpha was .96, which suggests an excellent internal consistency. CONCLUSION: The DASS-Depression scale has adequate psychometric properties and its further use with Brazilian chronic pain populations can now be supported. PMID- 18157997 TI - Trauma, PTSD, and physical health: an epidemiological study of Australian Vietnam veterans. AB - OBJECTIVE: This study aimed to examine the relative contributions to physical health of combat trauma exposure and posttraumatic stress disorder (PTSD), which have both been implicated separately in poorer physical health but whose unconfounded effects have not been teased out. METHODS: Data from an epidemiological study of Australian Vietnam veterans, which used personal interviews and standardized physical and psychiatric health assessments, provided the means to assess the independent and joint effects of psychological trauma exposure and PTSD on a wide range of self-reported measures of physical health. Trauma exposure was measured by published scales of combat exposure and peritraumatic dissociation. Logistic regression modeling was used to assess the relative importance of trauma exposure and PTSD to health while controlling for a set of potential confounders including standardized psychiatric diagnoses. RESULTS: Greater health service usage and more recent health actions were associated more strongly with PTSD, which was also associated with a range of illness conditions coded by the World Health Organization International Classification of Diseases, 9th Edition (asthma, eczema, arthritis, back and other musculoskeletal disorders, and hypertension) both before and after controlling for potential confounders. In contrast, combat exposure and peritraumatic dissociation were more weakly associated with a limited number of unconfounded physical health outcomes. CONCLUSIONS: This study provided evidence that PTSD, rather than combat exposure and peritraumatic dissociation, is associated with a pattern of physical health outcomes that is consistent with altered inflammatory responsiveness. PMID- 18157998 TI - Understanding different beliefs held by adherers, unintentional nonadherers, and intentional nonadherers: application of the Necessity-Concerns Framework. AB - OBJECTIVE: The objective of this study was to explore beliefs about medicines, using the Necessity-Concerns Framework, of patients who report adherence, unintentional nonadherence, and intentional nonadherence. METHOD: This study performed a cross-sectional survey of patients starting a new medication for a chronic condition. Self-reported adherence was assessed via telephone interview. The Necessity-Concerns Framework was operationalized using the Beliefs About Medicines Questionnaire, which assesses beliefs about the necessity of and concerns with taking medications. RESULTS: Intentional nonadherers, compared to adherers, had lower perceptions of the necessity of their new medication and higher levels of concerns about taking it. Conversely, unintentional nonadherers were not significantly different from adherers. Intentional nonadherers were more likely to rate their concerns as high relative to their need for treatment than both adherers and unintentional nonadherers. CONCLUSION: When patients start a new medication for a chronic condition, intentional nonadherers hold beliefs significantly different from those of adherers and unintentional nonadherers. These findings have implications for practice in helping clinicians to reduce this type of nonadherence. PMID- 18157999 TI - Beliefs about medicines predict refill adherence to inhaled corticosteroids. AB - OBJECTIVE: Despite the importance of the chronic use of inhaled corticosteroids (ICS) in maintaining asthma control, reported adherence varies between 40% and 60%. The Beliefs about Medicines Questionnaire (BMQ) has been shown to correlate with self-reported adherence. The aim of this study is to investigate whether beliefs about ICS (necessity and concerns), as measured by the BMQ, relate to adherence objectively measured by prescription-refill records. METHODS: In a cross-sectional study of patients aged 18-45 years who filled at least two ICS prescriptions in 11 community pharmacies in The Netherlands, perceptions of ICS were assessed using the BMQ. Additionally, self-reported adherence was assessed using the Medication Adherence Report Scale. ICS prescription-refill adherence rates for a 12-month period prior to the survey were obtained from automated pharmacy dispensing records. Four attitudinal groups were defined using the necessity and concerns constructs. Statistical tests were used to examine associations between ICS adherence (assessed by subjective self-report and objective pharmacy records), specific beliefs about and attitudes towards ICS, and more general beliefs about pharmaceuticals. RESULTS: Questionnaires were returned by 238 patients (51.1%). Both self-reported adherence (r=.38) and adherence by pharmacy records (rho=0.32) correlated with ICS necessity beliefs and concerns. Patients defined as skeptical, indifferent, ambivalent, or accepting, on the basis of these constructs, differed with respect to both their attitudes towards medicines in general and their adherence to medication. CONCLUSIONS: Patients' beliefs about ICS correlate not only with adherence by self-report but also with a more objective measure of medication adherence calculated by pharmacy dispensing records. The necessity-concerns constructs offer a potentially useful framework to help clinicians elicit key treatment beliefs influencing adherence to ICS. PMID- 18158000 TI - The effectiveness of the Training and Support Program for parents of children with disabilities: a randomized controlled trial. AB - OBJECTIVE: The Training and Support Program (TSP) was designed to equip parents of children with disabilities with a simple massage skill for use with their children in the home environment. The effectiveness of the TSP was examined in a randomized controlled trial with a wait-list control group. METHODS: Parents were trained in massage by suitably qualified therapists in eight weekly sessions, each lasting 1 h. The sample comprised 188 parents who were randomized to an intervention group (n=95), who attended the TSP with their children immediately, or a control group (n=93), who were offered the TSP after 4 months of follow-up. Data were collected by self-administered questionnaires at baseline and at 4 month follow-up. RESULTS: The majority of participants were mothers (88%), with a partner (88%), and White European (82%); 40% worked full-time or part-time, and 34% had health problems (e.g., chronic fatigue, cancer, and arthritis). The TSP demonstrated statistically significant positive effects on parental self-efficacy (PSE) for managing children's psychosocial well-being and depressed mood (0.004 and 0.007). There were trends toward improvement on parental satisfaction with life (P=.053), global health (P=.065), and parental ratings of children's sleeping (P=.074) and mobility (P=.012). Effect sizes were small (0.11-0.23). Levels of anxiety, depression, and perceived stress were all higher than published norms. CONCLUSION: The TSP is an effective means of improving PSE and depressed mood. Additional means of supporting parents need to be investigated. PMID- 18158001 TI - Type-D personality mechanisms of effect: the role of health-related behavior and social support. AB - OBJECTIVE: To (a) investigate the prevalence of type-D personality (the conjoint effects of negative affectivity and social inhibition) in a healthy British and Irish population; (b) to test the influence of type-D on health-related behavior, and (c) to determine if these relationships are explained by neuroticism. METHODS: A cross-sectional design was employed; 1012 healthy young adults (225 males, 787 females, mean age 20.5 years) from the United Kingdom and Ireland completed measures of type-D personality, health behaviors, social support, and neuroticism. RESULTS: The prevalence of type-D was found to be 38.5%, significantly higher than that reported in other European countries. In addition, type-D individuals reported performing significantly fewer health-related behaviors and lower levels of social support than non-type-D individuals. These relationships remained significant after controlling for neuroticism. CONCLUSION: These findings provide new evidence on type-D and suggest a role for health related behavior in explaining the link between type-D and poor clinical prognosis in cardiac patients. PMID- 18158002 TI - Personality and body mass index: a cross-sectional analysis from the Miyagi Cohort Study. AB - OBJECTIVE: Obesity is an increasingly prevalent public health problem worldwide, and is associated with a higher risk of developing various noncommunicable diseases. To further examine the association between personality and overweight, obesity, or underweight, we conducted a cross-sectional analysis in Japan. We hypothesized that extraversion and psychoticism would have a positive association with overweight, and that neuroticism and lie would have an inverse association with overweight, whereas the association between personality and underweight would be the reverse image of overweight. METHODS: In 1990, 30,722 subjects (40 64 years of age) completed a self-administered questionnaire including body weight and height and the Japanese version of the Eysenck Personality Questionnaire-Revised Short Form. Multivariate logistic regression analysis was used to calculate odds ratios for overweight [body mass index (BMI)> or =25.0 kg/m2] or underweight (BMI<18.5) relative to each category on the personality subscale. RESULTS: In men and women, extraversion and psychoticism had positive associations with overweight, whereas neuroticism had an inverse association. Lie had an inverse association with overweight in men. In men and women, only extraversion had an inverse association with underweight and neuroticism had a positive association with underweight. CONCLUSION: Our findings indicate that personality is associated with both overweight and underweight. These results may provide clues to devising more effective measures for preventing overweight, obesity, or underweight or for weight control intervention. PMID- 18158003 TI - The SCOFF-c: psychometric properties of the Catalan version in a Spanish adolescent sample. AB - OBJECTIVE: The objective of this study is to validate the Catalan version of the SCOFF questionnaire with a community sample of adolescents. METHOD: This study used a community sample of 954 participants (475 girls and 479 boys; aged between 10.9 and 17.3 years and from the city of Barcelona) and a risk group of 78 participants (35 men and 43 women; derived from the community sample) that have exceeded > or =95 percentile in at least two of the three scales of the Eating Disorders Inventory-2 (EDI-2): Drive for Thinness, Bulimia, and Body Dissatisfaction. RESULTS: There were significant differences in total SCOFF scores across gender and school grades. The SCOFF best cutoff point was 2 (sensitivity=73.08%; specificity=77.74%). Concurrent validity with the EDI-2 varied between low and moderate. The reliability of the SCOFF questionnaire was moderate. Exploratory factor analysis of the SCOFF questionnaire showed a two factor structure for the total sample and for girls, and one factor for boys. CONCLUSION: The best cutoff point for this community sample is 2. The data suggest that the SCOFF questionnaire could be a useful screening questionnaire to enable the detection of groups possibly at risk for eating disorders among adolescent Spanish community samples. PMID- 18158004 TI - Predicting changes in eating disorder symptoms among Chinese adolescents: a 9 month prospective study. AB - OBJECTIVES: Body image and eating disturbances have become global phenomena, yet prospective designs have rarely been employed in research on non-Western samples. This study tested the extent to which select features of the dual-pathway account of bulimic disturbances contributed to changes in eating disorder symptoms reported among adolescents from China. METHODS: A sample of 593 Chinese middle school and high school students (217 boys, 376 girls) completed measures of eating disorder symptoms, body image concerns, internalized physical appearance ideals, negative affect, and appearance-based social pressure, teasing, and comparison and returned 9 months later to complete the same measures. RESULTS: For both girls and boys, increases in eating disorder symptoms between Times 1 and 2 were predicted by higher baseline levels of fatness concern and perceived social pressure. Among the girls, negative affect also contributed marginally to changes in eating disorder symptoms. CONCLUSIONS: Findings suggest specific risk factors including personal concerns about being fat and negative social feedback about physical appearance, may help to explain changes in eating disturbances of adolescents over time and across specific cultures. PMID- 18158005 TI - Obesity and mental disorders in the adult general population. AB - OBJECTIVE: The aim of this study was to investigate (i) the associations between mental disorders (in particular the anxiety disorders) and obesity in the general population and (ii) potential moderators of those associations (ethnicity, age, sex, and education). METHODS: A nationally representative face-to-face household survey was conducted in New Zealand with 12,992 participants 16 years and older, achieving a response rate of 73.3%. Ethnic subgroups (Maori and Pacific peoples) were oversampled. Mental disorders were measured with the Composite International Diagnostic Interview (CIDI 3.0). Height and weight were self-reported. Obesity was defined as a body mass index (BMI) of 30 kg/m(2) or greater. RESULTS: Obesity was significantly associated with any mood disorder (OR 1.23), major depressive disorder (OR 1.27), any anxiety disorder (OR 1.46), and most strongly with some individual anxiety disorders such as post-traumatic stress disorder (PTSD) (OR 2.64). Sociodemographic correlates moderated the association between obesity and mood disorders but were less influential in obesity-anxiety disorder associations. Adjustment for the comorbidity between anxiety and mood disorders made little difference to the relationship between obesity and anxiety disorders (OR 1.36) but rendered the association between obesity and mood disorders insignificant (OR 1.05). CONCLUSION: Stronger associations were observed between anxiety disorders and obesity than between mood disorders and obesity; the association between PTSD and obesity is a novel finding. These findings are interpreted in light of research on the role of anxiety in eating pathology, and deserve the further attention of researchers and clinicians. PMID- 18158006 TI - Catatonia and psychosis associated with sibutramine: a case report and pathophysiologic correlation. AB - Sibutramine is a serotonin and norepinephrine reuptake intake inhibitor approved for the management of obesity. It has various CNS adverse effects and a few case reports of psychiatric manifestations. Here, we report a case of severe catatonic and psychotic symptoms associated with sibutramine overuse in the patient who had no prior psychiatric history. The symptoms subsequently resolved completely with cessation. Given the widespread use of sibutramine, this case would be of interest to practitioners of internal medicine and psychiatry. Moreover, as sibutramine may be used for weight management in patients on antipsychotic medications, the implications on psychotic symptoms need to be explored further. We also discuss possible pathophysiologic underpinnings. PMID- 18158008 TI - Laboratory and clinical development of single keyhole umbilical nephrectomy. AB - OBJECTIVE: To describe our initial experience with single keyhole nephrectomy in a porcine model and in human subjects. METHODS: Eight nonsurvival laparoscopic nephrectomies were performed in 4 female farm pigs. In 3 renal units, the laparoscopic nephrectomy was performed via a novel single 25-mm trocar, while the remaining 5 nephrectomies were performed using one 10-mm and two 5-mm adjacent trocars. Articulating laparoscopic graspers, conventional endoshears, clips, and a stapler were used for dissection. Three human subjects underwent a single keyhole umbilical laparoscopic nephrectomy with similar instrumentation. Indications for nephrectomy included chronic infection in a nonfunctioning kidney in 2 patients, and a 4.5-cm enhancing renal mass in the other patient. RESULTS: Single keyhole nephrectomy was successfully completed in all 8 porcine renal units and in all 3 human subjects. The mean operative time for the porcine nephrectomies was 49 minutes (range, 20 to 85), with a mean blood loss of 20 mL (range, 5 to 100). Incision size ranged from 3 to 5 cm. The mean operative time for the human nephrectomy cases was 133 minutes (range, 90 to 160). Estimated blood loss was 30 mL, and the kidneys were extracted through a solitary 2 to 4.5 cm periumbilical incision. There were no perioperative complications, and all 3 patients were discharged on hospital day 2. CONCLUSIONS: Keyhole umbilical nephrectomy utilizing articulating laparoscopic instrumentation to facilitate triangulation is feasible. We demonstrate safe and successful completion both in a porcine model and in the 3 human patients. Future studies will need to assess the benefits of single-access surgery in comparison to conventional laparoscopy. PMID- 18158009 TI - Shock wave lithotripsy success for renal stones based on patient and stone computed tomography characteristics. AB - OBJECTIVES: To determine the patient and noncontrast computed tomography (NCCT) stone characteristics that predict either of 2 extracorporeal shock wave lithotripsy (ESWL) outcomes: stone-free (SF) status or ESWL success. METHODS: The records of 200 consecutive patients with nephrolithiasis treated with ESWL were reviewed. Patient age, sex, stone laterality, body surface area, body mass index, maximal stone dimension, mean stone Hounsfield units (HU), stone Hounsfield density, skin-to-stone distance (SSD), and intrarenal stone location were studied as potential predictors. Patients with no calcifications on postoperative kidneys, ureters, and bladder (KUB) at 6 weeks were defined as SF. ESWL success was defined as SF or remaining stone fragments less than 4 mm. RESULTS: Intrarenal stone location was found to be the only predictor of SF status. Renal pelvic/ureteropelvic junction (UPJ) stones cleared better than calyceal stones, and upper/middle calyceal stones cleared better than lower calyceal stones. Stone size, mean HU, and location predicted ESWL fragmentation success. Smaller stones and stones with lower mean HU levels were more successfully fragmented. Higher SF and ESWL success rates were found with a shorter SSD among calyceal stones when renal pelvic/UPJ stones were excluded from analysis. CONCLUSIONS: Stone location is the most important factor in achieving SF status after ESWL. NCCT stone characteristics such as stone size, mean HU, and intrarenal location are important predictors of ESWL success. PMID- 18158011 TI - Endoscopic management of obstructive complications in ureterosigmoidostomy. AB - OBJECTIVES: Although rarely used today for supravesical urinary diversion, ureterosigmoidostomy remains useful in patients with bladder exstrophy. However, management of ureteral stricture and ureteral urolithiasis is challenging because of the lack of anatomic landmarks. METHODS: We reviewed our prospectively collected database from 1994 to 2006 for all patients requiring surgical treatment for obstructive complications associated with ureterosigmoidostomy. RESULTS: Our analysis revealed 3 patients (mean age 46 years; 2 men and 1 woman). All 3 patients had undergone ureterosigmoidostomy as a component of bladder exstrophy management. All patients presented with renal failure due to obstruction and required antegrade endoscopic management. Two patients had anastomotic strictures and one had obstructive urolithiasis. One patient in whom the stricture was judged to be chronic was treated with an endoureterotomy and Acucise balloon. The second patient, who had an acute obstruction after colonoscopic biopsy of his anastomosis, was treated with antegrade balloon dilation. Both patients had stents placed across the anastomosis for 6 weeks postoperatively. Despite reflux of stool into the collecting system, neither patient manifested with local or systemic signs of infection. The patient with urolithiasis required antegrade basket stone extraction. CONCLUSIONS: Obstructive complications after ureterosigmoidostomy should be managed using antegrade endoscopic techniques. PMID- 18158012 TI - Gum chewing stimulates bowel motility in patients undergoing radical cystectomy with urinary diversion. AB - OBJECTIVES: Several studies have shown that gum chewing may stimulate bowel motility after gastrointestinal surgery. Because urinary diversion typically uses a segment of bowel, it is conceivable that patients undergoing cystectomy and diversion may benefit from gum chewing. This study aimed to determine whether gum chewing in the immediate postoperative period facilitates a return to bowel function in patients undergoing cystectomy and urinary diversion. METHODS: A total of 102 patients underwent radical cystectomy and urinary diversion for clinically localized bladder cancer. Each patient followed our institution's perioperative cystectomy care plan. The first cohort of patients underwent surgery between July 2004 and August 2005 and served as a comparison (control) group in which no gum was dispensed. The second cohort underwent surgery during September 2005 to July 2006. These patients were given chewing gum to begin on postoperative day 1. Outcome measures included time to flatus, time to bowel movement, length of hospital stay, and complications. RESULTS: The time to flatus was shorter in patients who received gum compared with controls (2.4 versus 2.9 days; P <0.001). Also, time to bowel movement was reduced in patients who received gum (3.2 versus 3.9 days; P <0.001). There was no significant difference in length of hospital stay between gum-chewing patients and controls (4.7 versus 5.1 days, respectively; P = 0.067). Gum chewing was well tolerated in all patients. CONCLUSIONS: Gum chewing may speed the recovery of bowel function after cystectomy and diversion. These findings are consistent with outcomes in the colorectal surgery published data that support the use of chewing gum as an easy and inexpensive way to enhance recovery after surgery. PMID- 18158013 TI - Wire-based ureteral stents: impact on tensile strength and compression. AB - OBJECTIVES: To evaluate the performance of coil-based ureteral stents in terms of tensile strength and the radial compression force. METHODS: Three Cook Resonance (RES) metallic coil stents and three coil-reinforced Applied Medical Silhouette (SIL) ureteral stents were tested. An MTS MicroBionix Testing System using Testworks II software, vibration isolation table, and 5-N load cell were used to measure tensile and compressive strength. Stents were placed in hydraulic grips spaced 24 cm apart and stretched at a rate of 5 mm/s for 1 second under uniaxial tension. Extrinsic compression was exerted in 0.2-mm increments to maximum compression. The Young's modulus, E, was calculated for each trial using the engineering stress. Comparisons were made with the Cook C-flex, which in previous studies was shown to be stiffer and more resistant to compression than other traditional polymer stents. RESULTS: The RES and SIL stents demonstrated tensile strengths of 936 +/- 485 kPa and 770 +/- 82 kPa, respectively (P = 0.02). The elastic modulus required to cause extrinsic compression was lower for the RES (63,248 +/- 3218 Pa) than for the SIL (105,664 +/- 11,529 Pa) (P <0.001). Both stents were more resistant to stent compression than previously tested stents without coil-reinforcement, the strongest of which was the Cook C-Flex (E = 30,355 +/- 910 Pa; P <0.001). CONCLUSIONS: Both the Cook Resonance and Applied Medical Silhouette stents are more resistant to extrinsic stent compression than ureteral stents that are not coil-reinforced. The Cook Resonance has a higher tensile strength, whereas the Applied Medical Silhouette is more resistant to extrinsic compression. PMID- 18158014 TI - Laparoscopic living donor nephrectomy: a single-center sequential experience comparing hand-assisted versus standard technique. AB - OBJECTIVES: To analyzed our institution's 8-year experience (October 1997 through March 2006) with laparoscopic donor nephrectomy (LDN) and hand-assisted LDN (HALDN), comparing donor and recipient outcomes. METHODS: A total of 482 LDNs were compared with 318 HALDNs with respect to donor sex, age, body mass index, hospital length of stay, donor and recipient serum creatinine levels, and incidence and type of complications. All HALDN were performed using hand-assist devices. RESULTS: Mean (+/-SD) ages were similar in both groups (41 +/- 10 years versus 39 +/- 10 years; P = NS). Mean body mass index was greater in the HALDN compared with the LDN group (29 +/- 5 kg/m2 versus 27 +/- 5 kg/m2; P <0.01). Hospital length of stay was longer in the LDN group (1.6 +/- 0.7 days versus 1.2 +/- 0.6 days; P <0.01). Graft function and donor's 1-week serum creatinine levels were similar (1.9 +/- 1.6 mg/dL versus 1.2 +/- 0.4 mg/dL; P = NS). The intraoperative complication rate for LDN and HALDN was 3.3% and 2.2%, respectively (P = NS). Postoperative complications occurred in 3.3% of LDNs and 4.7% of HALDNs (P = NS). The conversion rate was 1.9% for LDN and 0.6% for HALDN (P <0.01). CONCLUSIONS: Both LDN and HALDN are safe and effective. Hand-assisted LDN was not associated with an increased risk of incisional morbidity, postoperative ileus, or delayed graft function. The HALDN group experienced as uneventful and as rapid a recovery as the LDN group. PMID- 18158015 TI - The role of partial nephrectomy for the management of sporadic renal angiomyolipoma. AB - OBJECTIVES: Angiomyolipoma is a benign renal tumor that has a propensity to grow over time and may cause local complications. Given the benign nature of these lesions, renal-preserving treatments are favored. We evaluated our experience with nephron-sparing surgery for renal angiomyolipoma. METHODS: We reviewed our institutional nephrectomy registry to identify patients treated with nephron sparing surgery for renal angiomyolipoma between 1970 and 2004. Patients with a diagnosis of tuberous sclerosis were excluded. Patient demographics, perioperative complications, and postoperative outcomes were recorded. RESULTS: We identified 58 patients treated with nephron-sparing surgery for sporadic renal angiomyolipoma, including 44 women and 14 men. The median tumor size was 3.9 cm (range, 0.8-12.5 cm). In 7 patients (12%), several ipsilateral angiomyolipomas were resected, whereas 2 patients were treated with nephron-sparing surgery for bilateral angiomyolipomas. The overall early complication rate was 12%, including a urine leak in 3 (5%) patients. At a median postoperative follow-up of 8 years (range, 1-31 years), 2 (3.4%) patients had radiographic evidence of local recurrence, although no patient experienced symptom recurrence. The median preoperative serum creatinine level was 1.0 mg/dL (range, 0.5-3.9 mg/dL), and the median creatinine level at last follow-up was 1.1 mg/dL (range, 0.6-3.6 mg/dL). No patient developed de novo chronic renal insufficiency after nephron-sparing surgery, including 4 patients treated for angiomyolipomas in a solitary kidney. CONCLUSIONS: Nephron-sparing surgery for sporadic renal angiomyolipomas offers preservation of renal function and is associated with acceptable complication and low local recurrence rates. The results of this study support nephron-sparing surgery for these lesions. PMID- 18158016 TI - Sacral neuromodulation: cost considerations and clinical benefits. AB - OBJECTIVES: To demonstrate the efficacy of sacral neuromodulation and compare voiding-related health care utilization costs before and after receiving an implant. METHODS: A retrospective review of patients receiving InterStim therapy (Medtronic Neurological, Minneapolis, Minn) was completed. Health care utilization was determined for the year before and the year after implantation, and included hospital and clinic visits, diagnostic and therapeutic procedures, and prescriptions. Utilization costs were derived from Medicare CPT coding and reimbursement data. Drug costs were derived from the actual pharmacy costs. Efficacy was assessed subjectively by patient-reported questionnaire and objectively by voiding diary, pad usage, and number of catheterizations. RESULTS: Sixty-five patients received InterStim therapy. Outpatient visits for urinary symptoms decreased in the 12 months after implantation with a mean decrease of 2.2 visits (P <0.0001). This resulted in a 73% reduction in average yearly office visit expenses from $994 to $265 per patient. After implant, diagnostic and therapeutic procedures performed decreased by 0.97 (P <0.0001). This translated into a decrease in the cost of therapeutic and diagnostic procedures from $733 to $59 per patient (P <0.0001). Drug costs were significantly decreased (P <0.02) from $693 to $483 per patient. These cost savings represent a 92% reduction in outpatient doctor visits and diagnostic and procedure costs along with and a 30% reduction in drug expenditures. CONCLUSION: After InterStim therapy, voiding related health care costs are reduced. InterStim therapy is an effective treatment option with high patient satisfaction for medically refractory voiding dysfunction. PMID- 18158020 TI - The safety and efficacy of different doses of bacillus Calmette Guerin in superficial bladder transitional cell carcinoma. AB - OBJECTIVES: To conduct a trial using three different doses of bacillus Calmette Guerin (BCG) to determine whether lowering the dose of BCG could reduce toxicity without compromising its efficacy in the treatment of superficial bladder cancer. METHODS: From July 2002 to June 2005, 152 patients with superficial bladder cancer entered the trial. The patients were randomized to receive three different doses of BCG: 40, 80, and 120 mg. There were no significant differences in clinical and pathologic characteristics among the three groups. Twenty-four patients could not be followed to the end of the study because of poor compliance. At completion of the study, 40 patients could be evaluated in group A (40 mg), 48 in group B (80 mg), and 40 in group C (120 mg). RESULTS: After treatment patients were evaluated for a mean follow-up period of 36 months (range 18 to 52 months). No significant difference in recurrence rate (20% versus 25% versus 20% respectively; P >0.05) was observed among the groups, and no progression of the disease was seen. Significant differences were observed among groups A, B, and C in local toxicity (30% versus 41.7% versus 70%, respectively; P <0.01). Systemic toxicity was more common in group C compared with groups B and A (P <0.01). CONCLUSIONS: Reduction in the dose of intravesical BCG can reduce the toxicity associated with the treatment of superficial bladder cancer without affecting the efficacy of therapy. PMID- 18158021 TI - Laparoscopic inguinal herniorrhaphy complicating radical cystoprostatectomy. AB - This report describes 2 patients who underwent cystoprostatectomy for bladder cancer after bilateral laparoscopic inguinal herniorrhaphy by using a sheet of mesh that obliterated the space of Retzius. Two men who had undergone bilateral laparoscopic herniorrhaphy with a sheet of polypropylene mesh presented with muscle-invasive bladder cancer. Their operative findings are presented. Despite reports suggesting that prostatectomy and, by implication, cystectomy could not be safely performed in this setting, both men underwent surgical exploration because of the lack of adequate potentially curative alternatives. Nerve sparing was possible in one man, leading to recovery of erections after surgery. Extended lymphadenectomy was possible in one man but was not completed in the other because of scarring throughout the pelvis that precluded safe removal of traditional node templates. Unlike prostate cancer, which is amenable to nonextirpative therapeutic options, bladder cancer is most definitively treated with removal of the bladder and prostate. Despite reports that prostatectomy could be impossible in this setting, we found that cystoprostatectomy was substantially more difficult but could be performed in this setting. PMID- 18158022 TI - Impact of urinary incontinence in morbidly obese women versus women seeking urogynecologic care. AB - OBJECTIVES: To determine the impact of urinary incontinence (UI) on quality of life in morbidly obese women seeking bariatric surgery compared with women seeking urogynecologic care. METHODS: Women undergoing consultation for weight loss surgery completed questionnaires assessing the presence and severity of UI using the Medical, Epidemiological, and Social Aspects of Aging questionnaire and the impact of their UI using the Incontinence Impact Questionnaire-7 and Urogenital Distress Inventory-6. The charts of the women with UI seen in a urogynecology center were reviewed. For these two samples, pairs were matched for UI severity using the total Medical, Epidemiological, and Social Aspects of Aging scores, and the women within pairs were compared concerning the impact of UI. RESULTS: A total of 93 pairs were matched. Morbidly obese women had lower scores on the Incontinence Impact Questionnaire-7 (mean 20.1 versus 42.0, P <0.0001) and the Urogenital Distress Inventory-6 (mean 30.4 versus 54.4, P <0.0001) compared with the urogynecology clinic patients. CONCLUSIONS: The results of our study have shown that the impact of UI is lower in morbidly obese women than in women seeking urogynecologic care. PMID- 18158023 TI - Patient-assessed outcomes in Swedish and Egyptian men undergoing radical cystectomy and orthotopic bladder substitution--a prospective comparative study. AB - OBJECTIVES: To compare two patient populations with assumed cultural differences undergoing radical cystectomy and orthotopic bladder substitution to determine whether these translate into differences in the answers to self-report instruments. METHODS: The questionnaires Functional Assessment of Cancer Therapy Bladder Cancer (FACT-BL), consisting of a general version (FACT-G) and a bladder cancer specific module, and Hospital Anxiety and Depression Scale (HADS) were used preoperatively and 3 and 12 months postoperatively to assess patient well being, urologic symptoms, depression, and anxiety in 29 and 32 Swedish and Egyptian male patients, respectively. RESULTS: Significant differences were found between the two groups. Higher FACT-G scores (ie, better outcomes) were obtained in the Swedish patients, both preoperatively and 3 months postoperatively, but not after 12 months. Differences were also seen in the urogenital assessment provided by the FACT-BL module. HADS revealed more depression among the Egyptian patients throughout the study period. Also, anxiety was more common preoperatively and 3 months postoperatively in the Egyptian patients, but not after 12 months. CONCLUSIONS: Swedish men scored better than Egyptian men on the FACT-BL and HADS, although the latter improved with time after surgery. These results show that patient-assessed outcomes differ in patients from different sociocultural backgrounds. This should be recognized when analyzing results from comparative studies. Also, the use of culture-fair instruments is important when assessing patients with different sociocultural backgrounds. PMID- 18158024 TI - Recurrence-free survival after radical cystectomy of patients downstaged by transurethral resection. AB - OBJECTIVES: The finding of bladder cancer invading the detrusor muscle on transurethral resection (TUR) is one of the clearest indications for radical cystectomy. To the extent that detrusor invasion is, in practical effect, a binary variable, the variety of outcomes after radical cystectomy in these patients belies the simplicity of this approach. In this context, we assessed bladder cancer recurrence-free survival among patients noted to have muscle invasive urothelial carcinoma (transitional cell cancer [TCC]) on staging TUR subsequently found to have non-muscle-invasive TCC at radical cystectomy (downstaged). METHODS: The records of 248 consecutive patients who underwent radical cystectomy for TCC at a single academic institution from 1994 to 2002 were retrospectively reviewed. Of these patients, 112 (45%) had documented muscle invasive disease by TUR and were clear of gross residual tumor on cystoscopy before radical cystectomy. RESULTS: Of the 112 patients, 25 (22.3%) were downstaged to non-muscle-invasive disease (Stage pT1 or less) at cystectomy and 87 (77.7%) had persistent muscle-invasive disease (Stage pT2 or greater) at cystectomy. Recurrence occurred in 4 downstaged patients (16.0%) compared with 29 patients (33.3%) who were not downstaged (P = 0.094). Kaplan-Meier analysis demonstrated a statistically significant improvement in recurrence-free survival with downstaging (log-rank P = 0.008). Multivariate analysis demonstrated a threefold reduction in recurrence risk with tumor downstaging (hazard ratio 0.33, 95% confidence interval 0.10 to 1.12) that approached statistical significance (P = 0.075). Nodal status was the strongest predictor of RFS. CONCLUSIONS: Downstaging from muscle-invasive TCC on TUR to non-muscle-invasive TCC at radical cystectomy can be associated with a reduced risk of recurrence even after adjusting for lymph node status and adjuvant chemotherapy. PMID- 18158025 TI - Clinical significance of intravesical prostatic protrusion in patients with benign prostatic enlargement. AB - OBJECTIVES: We evaluated a noninvasive method to predict bladder outlet obstruction (BOO) and bladder function in patients with benign prostatic enlargement (BPE) based on intravesical prostatic protrusion (IPP) using transabdominal ultrasound. METHODS: The records of 206 first-visit patients with BPE were reviewed. We divided patients into two groups based on the degree of IPP: the significant IPP group (greater than 10 mm) and the no significant IPP group (10 mm or less). We analyzed clinical data and urodynamic findings of the two groups to define the clinical significance of IPP. RESULTS: In the clinical data, increased prostate volume, serum prostate specific antigen, postvoiding residual urine volume (PVR), incidence of acute urine residual (AUR), and bladder trabeculation appeared more often in the significant IPP group (P <0.05). Positive correlation was found between IPP and prostate volume as well as PVR (Spearman's rho = 0.401 and 0.342, respectively). In the urodynamic findings, significantly lower peak flow rate (Qmax) and higher incidence of detrusor overactivity and low bladder compliance both existed in the significant IPP group (P <0.0l). In addition, maximum detrusor pressure (Pdet.max) and BOO index (BOOI) were significantly higher in the significant IPP group (P <0.05). The correlation coefficient (Spearman's rho) between IPP and Qmax, Pdet.max, and BOOI was -0.284, 0.252, and 0.456, respectively. CONCLUSIONS: Intravesical prostatic protrusion is a useful predictor for evaluating BOO and detrusor function. BOO and impaired detrusor function in significant IPP patients are more severe. The significant IPP patients, especially those presenting with AUR, may benefit from early surgical intervention. PMID- 18158026 TI - Prevalence of high-grade prostatic intraepithelial neoplasia in prostate gland of Korean men: comparisons between radical prostatectomy and cystoprostatectomy. AB - OBJECTIVES: To evaluate the prevalence of high-grade prostatic intraepithelial neoplasia (HGPIN) and its association with prostate cancer in Korean men. METHODS: A total of 160 patients who underwent radical prostatectomy for clinical prostate cancer were included as study subjects and 29 patients who underwent radical cystoprostatectomy for muscle-invasive bladder cancer were included as controls. Each intact prostate gland was serially sectioned at 3-mm intervals perpendicular to the posterior surface. The presence and prevalence of prostate cancer and HGPIN were assessed and their association evaluated. RESULTS: High grade prostatic intraepithelial neoplasia was present in 81 (70.4%) of 115 patients who underwent radical prostatectomy and in 8 (27.6%) of 29 patients who underwent cystoprostatectomy. This difference was statistically significant (P <0.001). Among the patients who underwent cystoprostatectomy, HGPIN was present in 5 (33.3%) of 15 patients with prostate cancer and in 3 (21.4%) of 14 patients with no evidence of prostate cancer. The presence of HGPIN had no correlation with prostate-specific antigen level, disease stage, tumor volume, grade, lymphovascular invasion, or surgical margin status. CONCLUSIONS: The prevalence of HGPIN in Korean men with clinical prostate cancer was as great as that of Western men. Previous studies, and our results, had demonstrated a lower prevalence of HGPIN in Asian men who underwent cystoprostatectomy. The different prevalence of HGPIN found in incidental prostate cancer, between Asian and Western men, suggests that factors could be preventing the progression of prostate cancer or different characteristics of the prostate cancer in Asian populations. PMID- 18158027 TI - Association between androgen-deprivation therapy and incidence of diabetes among males with prostate cancer. AB - OBJECTIVES: Previous research has documented an increase in metabolic syndrome among patients who use androgen-deprivation therapy (ADT). Given that metabolic syndrome is related to diabetes, this research examined whether use of ADT was associated with an increase in the incidence of diabetes. METHODS: A retrospective, claims database was used to compare men diagnosed with prostate cancer who received ADT (N = 1231) with men diagnosed with prostate cancer who did not receive ADT (N = 7250). Unjustified comparisons among the cohorts were examined using chi-square statistics for categorical variables and t-statistics for continuous variables. A multivariate logistic regression was estimated to examine the association between receipt of ADT and the incidence of diabetes, while controlling for a wide range of factors that also potentially affect the probability of being newly diagnosed with diabetes. RESULTS: Descriptive statistics revealed that the patients who initiated ADT were significantly older (P <0.01), in poorer health (P <0.01), and more likely to have a prior diagnosis of hypertension (P = 0.04). Results from the multivariate regression indicate that for men diagnosed with prostate cancer, demographic characteristics, comorbid conditions, prior statin use, and receipt of ADT all affect the probability of incident diabetes. While controlling for other factors, the estimated relative risk of incident diabetes associated with the receipt of ADT was 1.36 (P = 0.01). CONCLUSIONS: Results from this study suggest that among prostate cancer patients, those initiating ADT are more likely to develop incident diabetes within 1 year. This finding supports previous research that established the relationship between ADT and metabolic syndrome. PMID- 18158028 TI - Detection rate of prostate cancer according to prostate-specific antigen and digital rectal examination in Korean men: a nationwide multicenter study. AB - OBJECTIVES: To evaluate the detection rate of prostate cancer on biopsies taken according to levels of serum prostate-specific antigen (PSA), digital rectal examinations (DRE), and age of Korean men. METHODS: We examined 4967 Korean men over 40 years of age who underwent prostate biopsies in 25 hospitals from October 2004 to July 2006. Prostate biopsies were performed when PSA levels were more than 4.0 ng/mL or the DRE was suspect. RESULTS: Of the 4967 men examined, 1621 (32.7%) were diagnosed with prostate cancer. Further interpretation revealed that 19.6% of subjects with PSA levels between 4.0 and 9.9 ng/mL were diagnosed with cancer, whereas 53.7% were diagnosed at PSA levels greater than 10 ng/ml. Normal DRE findings with elevated serum PSA levels were divided into three subgroups: 4.0 to 9.9 ng/mL, 10.0 to 19.9 ng/mL, and more than 20.0 ng/mL. The corresponding rates of cancer detection ranged at 17.0%, 25.9%, and 58.6%, respectively. In addition, cancer was detected in 33.4% of subjects with serum PSA levels of 4.0 to 9.9 ng/mL and a DRE suspicious of cancer. The detection rate of prostate cancer in biopsies with normal DRE findings in subjects aged 40 to 49 years, 50 to 59 years, 60 to 69 years, and 70 or more years was 7.6%, 16.5%, 22.8%, and 29.8%, respectively. CONCLUSIONS: Detection rates of prostate cancer in biopsies were lower than those found for white men. The data thaws indicative that ethnic differences exist with regard to detection rates of prostate cancer. PMID- 18158029 TI - Age-specific prostate-specific antigen reference ranges in Korean men. AB - OBJECTIVES: The serum prostate-specific antigen (PSA) level varies widely among different races and increases with age. In this study, we evaluated the variation in serum PSA levels in a multicenter study population to determine a standard age specific PSA reference range for Korean men without clinically evident prostate cancer. METHODS: We retrospectively analyzed 120,439 Korean men, ranging in age from 30 to 79 years, whose serum PSA levels were measured at one of eight referral hospitals from November 1998 to July 2005. RESULTS: Our recommended age specific reference ranges (95th percentile) of serum PSA levels for Korean men were 0.32 to 1.88 ng/mL for men 30 to 39 years, 0.30 to 1.92 ng/mL for men 40 to 49 years, 0.30 to 2.37 ng/mL for men 50 to 59 years, 0.31 to 3.56 ng/mL for men 60 to 69 years, and 0.30 to 5.19 ng/mL for men 70 to 79 years old. The serum PSA level increased annually, corresponding to an increase of 0.0023 ng/mL for men in their 40s, 0.0175 ng/mL for men in their 50s, 0.0499 ng/mL for men in their 60s, and 0.0398 ng/mL for men in their 70s, with a steep increase for men in their 50s and the largest increase in men older than 60 years. CONCLUSIONS: The results of our study have shown that the age-specific reference ranges (95th percentile) for serum PSA levels in Korean men are lower than those for white men. Our newly proposed age-specific reference ranges from this multicenter study will be more valuable in the interpretation of PSA data for Korean men. PMID- 18158030 TI - Characteristics of prostate cancer detected by digital rectal examination only. AB - OBJECTIVES: To examine clinical and pathologic features and postoperative survival outcomes of men with prostate cancer detected by digital rectal examination (DRE) alone, elevated prostate-specific antigen (PSA) level alone, or abnormalities in both. METHODS: From 1989 to 2001, approximately 36,000 men participated in a prostate cancer screening study. We recommended biopsy for a PSA level greater than 4.0 ng/mL (until 1995) or greater than 2.5 ng/mL (after 1995) or DRE findings suspicious for cancer. The clinical and pathologic features were compared between patients with cancer detected by DRE alone and those with cancer detected by an elevated PSA level, regardless of DRE findings. We also evaluated progression-free survival, overall survival, and cancer-specific survival. RESULTS: Overall 303 men were diagnosed with prostate cancer by DRE alone, 1426 because of PSA level alone, and 504 by abnormal results on both tests. Of the cancers detected by DRE alone, 60 (20%) were non-organ-confined and 56 (20%) had a Gleason score of 7 or higher. Prostate cancers detected because of abnormalities in both PSA level and DRE results were significantly more likely to have adverse pathologic features, as well as lower rates of progression-free survival, overall survival, and cancer-specific survival than those detected by either test alone (all P <0.0001). CONCLUSIONS: A substantial proportion of prostate cancers detected by DRE at PSA levels less than 4 ng/mL have features associated with clinically aggressive tumors. The omission of DRE from screening protocols might compromise treatment outcomes because many of the cancers detected by DRE alone are potentially curable but may have worse outcomes by the time PSA also reaches a higher level. PMID- 18158031 TI - Risk factors for prostate cancer in men aged less than 60 years: a case-control study from Italy. AB - OBJECTIVES: To analyze the relationship between selected risk factors and prostate cancer risk in men younger than 60 years, using data from a large, multicenter, case-control study conducted in Italy. METHODS: Cases were 219 patients, aged 45 to 59 years, with histologically confirmed prostate cancer, and controls were 431 men of the same age group, admitted in hospital for acute, non neoplastic diseases. RESULTS: A family history of prostate cancer (odds ratio [OR] = 5.5), brain cancer (OR = 3.7), and leukemia (OR = 6.2) were associated with prostate cancer risk. A significantly increased risk was found for high education level (OR = 3.3 for 12 or more years versus less than 7 years) and a decreased risk for physical activity (OR = 0.5 for active versus inactive). Coffee consumption was directly associated with risk of prostate cancer (OR = 1.9 for the third versus the first tertile). Bread consumption was directly related (OR = 1.6) and consumption of raw and total vegetables inversely related (OR = 0.6) to prostate cancer risk, although these associations were of borderline significance. No association emerged with marital status, body mass index, history of diabetes, alcohol drinking, and other considered foods. CONCLUSIONS: This study confirms that some recognized risk factors, including family history of prostate cancer, high level of education, and low physical activity, are associated with prostate cancer risk in middle-aged men. PMID- 18158032 TI - Nerve-sparing surgery significantly affects long-term continence after radical prostatectomy. AB - OBJECTIVES: In this long-term prospective study we evaluated the factors affecting urinary continence after radical prostatectomy. METHODS: In this study, we recruited 156 patients (mean age, 64.1 +/- 6.7 years; follow-up, 7.8 +/- 1.3 years; prostate-specific antigen [PSA] level, 9.57 +/- 8.81 ng/mL) who underwent radical prostatectomy between 1995 and 1998. Long-term data were obtained on 152 patients, with 4 patients lost to follow-up. Incontinence was evaluated by the number of pads per day. Follow-up data were collected at 3, 6, 12, and 24 months and annually. The multivariate analysis included the following variables: preoperative PSA levels, nerve-sparing (NS) status (bilateral NS, unilateral NS, and non-NS), and age at the time of operation (< or = 65 or > 65 years). RESULTS: With a mean follow-up of 7.8 +/- 1.3 years, the overall incontinence rate was 17.7% (27 of 152). The incontinence rates were significantly higher in the non-NS group (18 of 61) compared with the bilateral NS group (6 of 66; P <0.05). No significant difference was seen between the unilateral NS and non-NS groups in terms of incontinence rates (P >0.05). When stratified by the NS status, the bilateral NS group had a significant improvement in overall continence. The association between age and incontinence was significant: P <0.05 for patients 65 years or younger (7 of 85) versus those older than 65 years (20 of 67). The association between the preoperative PSA levels and incontinence was not significant but showed a trend (the median PSA in the incontinence group was 8.75 ng/mL; in the continence group it was 5.9 ng/mL; P = 0.0534). CONCLUSIONS: Nerve sparing radical prostatectomy improves the time interval to regain continence and long-term continence rates. PMID- 18158033 TI - Saturation prostate needle biopsy and prostate cancer detection at initial and repeat evaluation. AB - OBJECTIVES: To evaluate the incidence of prostate cancer (PCa) in patients who underwent a saturation prostate biopsy (SPBx) as primary biopsy or in case of rebiopsy. METHODS: We assessed 189 patients (median age 60.3 years) submitted to a transrectal ultrasound-guided SPBx (range, 24 to 37 cores; median, 29). In 98 men the SPBx was performed as the primary procedure, in 75 as the second, and in 16 as the third biopsy set. Indications for biopsy were: abnormal DRE; total prostate specific antigen (PSA) (tPSA) greater than 10 ng/mL; tPSA equal to 4 to 10, 2.6 to 3.9, less than or equal to 2.5 ng/mL; and percent free PSA (%-fPSA) 25% or less, 20% or less, and 15% or less, respectively. The PCa detection using an SPBx as initial biopsy was compared retrospectively with that found in 256 and 116 patients who underwent 12- and 18-core biopsy, respectively, according to the same protocol. The results obtained in 75 patients submitted to an SPBx as the second biopsy set were compared retrospectively with those found in 73 men who underwent an 18-core re-biopsy. RESULTS: The PCa detection rate with SPBx as primary biopsy was 46.9%, greater than the 12-core biopsy (39.8%; P = 0.3) but lower than the 18-core biopsy (49%; P = 0.6). In the case of second and third biopsy, the incidence of PCa when using an SPBx compared with 18-core biopsy was 22% versus 10.9% (P = 0.003) and 6.2% versus 0%, respectively. The incidence of neoplastic microfoci was 34.7% at first and 45.5% at second biopsy set. In all patients who underwent a radical prostatectomy with a bioptic diagnosis of neoplastic microfocus, the pTNM revealed a clinically significant cancer (tumor volume greater than 0.5 mL or Gleason score of 6 or higher). CONCLUSIONS: As primary biopsy, SPBx does not increase the PCa detection rate compared with an 18 core scheme; in the case of rebiopsy, the SPBx is a recommended method as the PCa detection rate is doubled compared with 12- or 18-core biopsy sets. PMID- 18158034 TI - Targeted biopsy of the prostate: the impact of color Doppler imaging and elastography on prostate cancer detection and Gleason score. AB - OBJECTIVES: To compare detection of prostate cancer and distribution of Gleason scores with gray-scale, color Doppler, and elastographic imaging. METHODS: Prostate biopsy patients were evaluated with gray-scale, color Doppler, and elastographic imaging. Targeted biopsy cores were obtained along with six laterally directed systematic sextant cores. Pathologic results were correlated with imaging findings. RESULTS: Prostate cancer was detected in 60 of 137 patients (43.8%). Cancer was detected in 241 (14%) of 1703 biopsy cores, including 90 (20%) of 448 targeted cores, 106 (13%) of 818 sextant cores, and 45 (10%) of 437 transition zone cores. Sonographic abnormality was associated with cancer: gray-scale odds ratio (OR) = 3.19, P = 0.011; color Doppler OR = 1.86, P = 0.041; elastography OR = 2.53; P = 0.007. Although targeted cores were more likely than sextant cores to detect cancer (OR = 1.82, P = 0.004), no sonographic abnormality was found in 57 (53.8%) of 106 of positive sextant sites. A linear trend for increasing Gleason score was present with gray-scale (P <0.001) imaging, color Doppler imaging (P <0.005), and elastography (P <0.001). Abnormal color flow was strongly associated with Gleason score 8 to 10 lesions but not with lower-grade lesions. Elastography demonstrated a positive association with Gleason scores of 5 to 10. CONCLUSIONS: Targeted cores based on gray-scale, color Doppler, and elastographic imaging are more likely to return positive biopsy results as compared with systematic biopsy cores. Although color Doppler imaging and elastography are encouraging adjuncts to improve cancer detection, targeted biopsy alone is not sufficient to replace the traditional sextant biopsy technique. PMID- 18158035 TI - Prostate cancer laterality does not predict prostate-specific antigen recurrence after radical prostatectomy. AB - OBJECTIVES: To evaluate biologic behaviors of unilateral cancers compared with bilateral cancers on prostate-specific antigen (PSA) recurrence after radical prostatectomy. METHODS: Analysis included demographic, clinical, and pathologic parameters of 1184 men who underwent RP for clinically localized prostate cancer at our institution between 2002 and 2006. Final pathologic assessment was performed with particular attention to laterality and percentage of tumor involvement, along with other routine parameters. On the basis of percentage of tumor involvement, all cancer foci were ranked as 5% or less, 5.01% to 10%, 10.01% to 15%, or greater than 15%. Statistical analysis was performed with univariate and multivariate methods. RESULTS: Overall, 19.2% of 1184 patients had completely unilateral cancers. Prostate-specific antigen recurrence was revealed in 164 of 1184 patients (13.9%) at a mean (+/- standard deviation) follow-up of 2.7 +/- 2.4 years. Among men who had recurrence, 26 of 227 (11.5%) had unilateral tumors and 138 of 957 (14.4%) had bilateral disease (P = 0.25). The most common characteristics associated with PSA recurrence of unilateral tumors in the Cox model were diagnostic PSA level, prostate weight, and pathologic Gleason score (P <0.05). CONCLUSIONS: Unilateral or bilateral prostate cancer did not predict PSA recurrence in men receiving radical prostatectomy. In contrast, baseline PSA level and pathologic Gleason score strongly predicted PSA recurrence. PMID- 18158036 TI - A single-institution comparison between radical perineal and radical retropubic prostatectomy on perioperative and pathological outcomes for obese men: an analysis of the Duke Prostate Center database. AB - OBJECTIVES: To examine the association between body mass index (BMI) and operative time, estimated blood loss (EBL), and adverse pathologic features in patients undergoing either radical perineal prostatectomy (RPP) or radical retropubic prostatectomy (RRP). METHODS: We performed a retrospective analysis of 1006 patients treated with RPP or RRP at our institution from 1988 to 2005. Operative times and EBL were compared among BMI groups for both RPP and RRP. The odds ratio of positive surgical margins was estimated for the BMI categories using logistic regression after adjusting for preoperative and pathologic characteristics. RESULTS: Increased BMI was significantly associated with increased operative time and EBL for men treated with either RPP or RRP (all P < or = 0.03), though the associations were weak (all Spearman r < or = 0.19). After adjusting for multiple clinical preoperative characteristics, higher BMI was associated with positive surgical margins among all patients (P trend <0.001). The association between obesity and surgical margins remained after adjusting for pathologic characteristics (P trend = 0.001) with similar patterns among RRP (P trend = 0.03) and RPP (P trend = 0.01) patients. CONCLUSIONS: For mildly obese men, both RPP and RRP are associated with a similarly increased risk of higher EBL, longer operative time, and positive surgical margins. These data do not provide evidence to suggest that RPP should be preferred over RRP for mildly obese men. Further study is needed among men with a very high BMI. PMID- 18158037 TI - Inguinal hernia after radical perineal prostatectomy: comparison with the retropubic approach. AB - OBJECTIVES: To clarify the characteristics of inguinal hernia (IH) after radical perineal prostatectomy (RPP) compared with that after radical retropubic prostatectomy (RRP). METHODS: We retrospectively reviewed 285 and 311 men who underwent RPP and RRP, respectively, for clinically localized prostate cancer between August 2000 and June 2006, using medical records and a telephone survey. RESULTS: The incidence of postoperative IH after RPP was 1.8% (5 of 285) with a median follow-up time of 43 months; that after RRP was 10.3% (32 of 311) with a median follow-up of 36 months (P <0.0001). The cumulative IH-free rate was significantly higher after RPP than after RRP (P <0.0001, log-rank test). Three of the five RPP patients (60%) developed IH more than 24 months after surgery, whereas 25 of 32 (78%) of the RRP group did so within 24 months (P = 0.0742). The incidence rate of post-RPP IH did not differ between the standard (4 of 194 = 2.1%) and modified (1 of 91 = 1.1%) RPP procedures, where the endopelvic fascia was left intact and opened, respectively (P = 0.5638). CONCLUSIONS: The incidence of IH after RPP appears to be sporadic and about the same as that (2.0-2.4%) reported previously in men with prostate cancer treated nonsurgically. Although some kinds of procedures during RRP are speculated to affect the internal inguinal ring, prostatectomy with or without opening of the endopelvic fascia seems to be less implicated in the development of IH after RRP because it was not a significant variable in IH development after different techniques had been used in RPP. PMID- 18158038 TI - Transperineal ultrasound-guided saturation biopsies using 11-region template of prostate: report of 303 cases. AB - OBJECTIVES: To assess the prostate cancer detection rate and safety of transperineal ultrasound-guided saturation biopsies of the prostate using an 11 region template of the gland in a Chinese screening population. METHODS: A total of 303 patients (mean age, 69.7 years) were prospectively enrolled in this study to undergo an 11-region template-guided transperineal saturation biopsy of the prostate. The inclusion criteria included a prostate-specific antigen level of 4.0 ng/mL or greater, suspicious findings on the digital rectal examination, or abnormal prostate gland findings on ultrasonography, computed tomography, or magnetic resonance imaging. The median prostate-specific antigen level was 13.7 ng/mL (range, 0.2 to 100), and the median prostate volume was 47.0 cm3 (range, 7 to 190). RESULTS: A mean of 23.7 cores (range, 11 to 44) were obtained, with an overall prostate cancer detection rate of 37.6% (114 of 303). The cancer detection rate in the groups with a prostate-specific antigen level of 0 to 4.0, 4.1 to 10.0, 10.1 to 20.0, 20.1 to 30.0, 30.1 to 70.0, and greater than 70.1 ng/mL was 22.2% (4 of 18), 8.2% (6 of 73), 21.6% (22 of 102), 48.4% (15 of 31), 68.4% (26 of 38), and 100% (41 of 41), respectively. No serious complications occurred during the procedure. CONCLUSIONS: Transperineal ultrasound-guided saturation biopsy of the prostate is safe and feasible. Moreover, the application of an 11-region template of the prostate resulted in an encouraging cancer detection rate. PMID- 18158039 TI - Prostate cancer in the Baby Boomer generation: results from CaPSURE. AB - OBJECTIVES: Baby Boomers (those born in 1946 to 1964) are thought to place a high value on quality of life, and have a higher propensity to consume healthcare services than previous generations. We sought to characterize prostate cancer (CaP) presentation among this group, and determine whether treatment patterns differ between Baby Boomers and the preceding generation. METHODS: We defined two birth cohorts: men born in 1927 to 1945 (pre-Boomers) and Baby Boomers. Our study cohort included men less than 65 years old, diagnosed with CaP between 1999 and 2003 (Baby Boomers, n = 812; pre-Boomers, n = 1843). We compared the two groups for clinical presentation, sociodemographics, and primary treatment, controlling for age effects. The primary endpoint was selection of radical prostatectomy as primary treatment. RESULTS: Most Baby Boomers were diagnosed with stage T1 disease (466, 61%), biopsy Gleason sums less than 7 (572, 73%), and prostate specific antigen levels of 4.1 to 10.0 (509, 66%). This presentation was not clinically different from pre-Boomers. Baby Boomers had higher socioeconomic status than pre-Boomers. On multivariate analysis, Baby Boomers were more likely to undergo radical prostatectomy as primary therapy (odds ratio [OR] 1.63, 95% confidence interval [CI] 1.13 to 2.35). Controlling for age effects, however, there were no significant differences in treatment choice (OR 0.86, 95% CI 0.40 to 1.87) or sociodemographics between these groups. CONCLUSIONS: Differences in CaP presentation and treatment between Baby Boomers and pre-Boomers may be related to age at diagnosis rather than innate differences in behavior. As more Baby Boomers are diagnosed with CaP, further research will be required to characterize this generation's impact on CaP care. PMID- 18158040 TI - Oncologic efficacy of laparoscopic RPLND in treatment of clinical stage I nonseminomatous germ cell testicular cancer. AB - OBJECTIVES: To assess the oncologic efficacy of laparoscopic retroperitoneal lymph node dissection (LRPLND) for clinical Stage I nonseminomatous germ cell tumors (NSGCTs) in a large multi-institutional series. LRPLND is emerging as a less-invasive alternative in the adjuvant surgical treatment of patients with testicular cancer. METHODS: The medical records of 120 patients with clinical Stage I NSGCT who underwent LRPLND at one of four institutions in the United States were retrospectively analyzed. All patients had at least 12 months of postoperative follow-up. The modified template dissection was performed at all centers. For the purposes of analysis, the patients were divided into two groups: those with consonant clinical and pathologic Stage I disease (n = 74, 62%) and those upstaged to pathologic Stage II (n = 46, 38%). RESULTS: No patient, including those upstaged to pathologic Stage II disease undergoing surveillance (n = 10), presented with retroperitoneal recurrence after LRPLND. Two patients with consonant pathologic Stage I developed pelvic recurrence that was outside the standard dissection template. The median follow-up for the patients with pathologic Stage I was 28.5 months (range 12 to 144) and was 29 months (range 12 to 108) for those with pathologic Stage II. CONCLUSIONS: In this group of patients with clinical Stage I NSGCT, management at multiple institutions that included LRPLND provided excellent intermediate results, paralleling those historically achieved with open lymph node dissection. PMID- 18158041 TI - Recurrence in nonseminomatous germ cell testis tumor patients with no viable tumor at postchemotherapy retroperitoneal lymph node dissection. AB - OBJECTIVES: To determine disease-related outcomes in metastatic testis cancer patients with absence of viable cancer in the postchemotherapy retroperitoneal lymph node dissection (PC-RPLND) specimen and determine whether clinical variables can help predict disease progression. METHODS: Between 1980 and 2003, 195 patients had no viable tumor at the time of PC-RPLND. We retrospectively reviewed their medical records for pertinent clinical and treatment-related outcomes. At a median follow-up of 45 months (range, 6 to 236 months), 35 patients (18%) developed recurrences, and 18 (9%) died of disease. RESULTS: On multivariate analysis, predictors of recurrence-free survival in patients with no viable tumor were advanced clinical stage (P = 0.01) and poor-risk International Germ Cell Consensus Classification (IGCCC) group (P = 0.01), whereas predictors of disease-specific survival included an elevated serum beta-human chorionic gonadotropin (hCG) level before PC-RPLND (P = 0.002), pathologic diameter of the retroperitoneal mass (P = 0.05), and postoperative recurrence (P <0.0001). An hCG level greater than 1.2 mIU/mL before PC-RPLND trended toward statistical significance (P = 0.07), and pathologic diameter of the retroperitoneal mass greater than 2.5 cm was statistically significant (P = 0.05) in predicting a poorer disease-specific survival. CONCLUSIONS: Patients with no viable tumor at PC-RPLND remain at risk of recurrence. Several clinical variables, including advanced clinical stage, poor-risk IGCCC group, preoperative serum hCG level, diameter of the retroperitoneal mass on pathology, and postoperative recurrence, help better define which patients are at risk. PMID- 18158042 TI - Two cycles of etoposide/cisplatin cured all patients with stage I testicular seminoma: risk-adapted protocol of the Hellenic Cooperative Oncology Group. AB - OBJECTIVES: Adjuvant carboplatin is used as adjuvant therapy in Stage I testicular seminoma. Although cure is the rule, relapses still occur, especially in high-risk populations. We report the results of a risk-adapted strategy by the Hellenic Cooperative Oncology Group. METHODS: From 1996 to 2003, 64 patients with Stage I seminoma and one of two risk factors (maximal tumor diameter greater than 4 cm and/or age younger than 34 years) were prospectively included in a protocol of adjuvant chemotherapy. Treatment consisted of two 3-week courses of etoposide 120 mg/m2 and cisplatin 40 mg/m2 for three consecutive days with granulocyte colony-stimulating factor support. RESULTS: Of the 64 patients, 43 (67%) were younger than 34 years and 55 (86%) had a tumor diameter greater than 4 cm. Neutropenia and nausea and vomiting were the most frequent grade 3 or 4 toxicities (16.5% and 9.5%, respectively), apart from alopecia. After a median follow-up of 60 months (range 7 to 118), no disease relapses have occurred. A metachronous testicular carcinoma has been reported. One patient died of causes unrelated to his disease. CONCLUSIONS: The results of our study have shown that two cycles of etoposide and cisplatin is an effective and safe form of adjuvant therapy for Stage I testicular seminoma. Risk factors can be used to identify patients who could benefit from etoposide and cisplatin treatment. PMID- 18158043 TI - Testicular microlithiasis in patients with scrotal symptoms and its relationship to testicular tumors. AB - OBJECTIVES: To evaluate in a prospective study the coexistence of testicular microlithiasis with various scrotal pathologies and the relationship with testicular tumors in symptomatic patients presenting with various scrotal complaints. METHODS: A total of 197 male patients of reproductive age who applied to our clinic between December 2004 and June 2005 with various scrotal complaints were included in the study. Patient complaints were of pain, swelling, smallness of the testes, and infertility. Patients were evaluated according to their medical history, scrotal ultrasonograms, tumor markers, and hormone profiles after physical examination. Independent t test and Fisher's exact test were used for statistical analysis. RESULTS: The mean (+/-SD) age of the 197 patients was 28.3 +/- 8.5 years. Pathologic findings were testicular tumors (1.8%), cryptorchidism (3.5%), varicoceles (75%), hydroceles (9.8%), epididymal cysts (9%), and atrophic testes (0.9%). Testicular tumors were found in 4 patients, and testicular microlithiasis was observed in 3 (75%) of these patients. Testicular microlithiasis ratios were determined as 25% in cryptorchidism, 6.5% in varicocele, 23% in hydrocele, 10% in epididymal cyst, and 50% in atrophic testes. The rate of testicular microlithiasis was significantly higher in patients with testicular tumors. The mean follow-up of patients was 19.5 months (range, 16 to 23 months), during which no new cancer case was detected. CONCLUSIONS: Testicular microlithiasis was more frequently observed in patients presenting with mass lesions and testicular tumors. Our findings suggest that symptomatic patients should be warned and kept aware of this issue, particularly if they have risk factors for testicular cancer. PMID- 18158044 TI - Comparative analysis of effectiveness of two local anesthetic techniques in men undergoing no-scalpel vasectomy. AB - OBJECTIVES: To compare the effectiveness of two local anesthetic techniques in men undergoing no-scalpel vasectomy. METHODS: Before undergoing no-scalpel vasectomy, 50 men underwent separate forms of anesthesia to each side of their scrotum. One vas deferens was anesthetized with a high-pressure spray of 0.3 mL 2% lidocaine using the MadaJet Medical Injector, and the other vas deferens was anesthetized using the traditional vasal block performed with three 1.7-mL ampules of mepivacaine using a 27-gauge needle. The pain of the initial delivery of anesthesia and the pain with the subsequent vasectomy were recorded. RESULTS: Fifty men underwent no-scalpel vasectomy with a different anesthetic delivery system to each vas deferens separately. A statistically significant reduction was noted in the visual analog pain scores in favor of no-needle administration of anesthesia, 1.56 of 10 versus 2.12 of 10 (P <0.029). A reduction was noted in the visual analog pain score for the subsequent vasectomy after administration of anesthesia using the no-needle method, but this was not statistically significant (1.68 of 10 versus 1.86 of 10; P <0.66). CONCLUSIONS: No-needle anesthesia with jet injection reduced the pain associated with traditional delivery of anesthesia to the skin and vas deferens before no-scalpel vasectomy. Additional studies are needed with more subjects to evaluate whether the decrease in procedural pain is statistically significant when comparing the two types of anesthetics. PMID- 18158045 TI - Tadalafil (Cialis) and erectile dysfunction after radiotherapy for prostate cancer: an open-label extension of a blinded trial. AB - OBJECTIVES: To determine the efficacy of tadalafil (Cialis) in patients with erectile dysfunction after three-dimensional conformal external beam radiotherapy for prostate cancer in an extended open-label phase of the blinded trial. METHODS: Sixty patients entered a double-blind, placebo-controlled, cross-over study lasting 12 weeks. They received tadalafil 20 mg or placebo for 6 weeks and then crossed over to the alternate medication. Of these 60 patients, 51 (85%) entered a 6-week open-label extension phase. The data were collected using the International Index of Erectile Function (IIEF) questionnaire. Side effects were also recorded. RESULTS: All patients completed the double-blind cross-over study. The 9 patients who did not wish to enter the open-label phase had had significantly worse scores statistically on the erectile function domain of the IIEF with tadalafil in the blinded trial (P = 0.03). For all IIEF domains, except for sexual desire, tadalafil was equally effective in the double-blind phase as in the open-label phase. For nearly all the IIEF questions, tadalafil caused a significant increase in the mean scores from baseline in the run-in period of the blinded trial. The side effects were mild or moderate and had significantly decreased compared with tadalafil in the blinded trial. CONCLUSIONS: Tadalafil is effective in many patients with erectile dysfunction after three-dimensional conformal external beam radiotherapy for prostate cancer. In the open-label extension of the trial, tadalafil showed the same efficacy as in the blinded phase. PMID- 18158046 TI - Sexual symptoms in aging men indicate poor life satisfaction and increased health service consumption. AB - OBJECTIVES: The deterioration of sexual, physical, and mental performance in aging men has been used to measure the clinical manifestations of androgen decrement. However, their prevalence and relation to coexisting morbidities are unknown. METHODS: All men in Turku, Finland, aged 40 to 69 years (n = 28,622) in 2000 were mailed a questionnaire that included questions on general health, sociobehavioral factors, and the Aging Male Symptoms scale (17 questions, each yielded 1 to 5 points, from 1, no symptoms to 5, very severe). RESULTS: The participation rate was 54% (15,496 returned questionnaires). Moderate or severe sexual symptoms (decreased frequency of erections, libido, and potency) were observed in 20% of men of the youngest age group of 40 to 44 years. The proportion of men with significant symptoms increased linearly with age up to 67% in the oldest age group (65 to 69 years). Other symptoms did not show a similar age trend. On multifactor analysis, sexual symptoms were independently associated with decreased life satisfaction and increased visits to the physician after adjustment for coexisting morbidities. Visits to the physician were up to three times more frequent among men with moderate to severe sexual symptoms than among those with mild or no symptoms. CONCLUSIONS: Sexual symptoms in aging men are common and associated with decreased life satisfaction and an increased number of visits to the physician. These symptoms deserve more attention in the workup of aging male patients, because they offer a simple screening tool to detect impaired well-being associated with increased consumption of health services. PMID- 18158047 TI - Erectile dysfunction in patients with electrical injury. AB - OBJECTIVES: To estimate the prevalence of ED in electrical injury patients and correlate the results with the electric voltage and the pathway of electric current at the time of injury. METHODS: Mails and phone surveys had been undertaken to 416 electrical injury patients who had been admitted with electrical injury to our burn care center from November 1998 to December 2003. Patients were given a self-complete questionnaire, including international index of erectile function (IIEF-5). Also, we reviewed the voltage, the pathway of electric current and other disease history such as hypertension (HTN), diabetes mellitus (DM), and neurologic disease. Of 416 subjects, 276 agreed to participate. Of these 276 subjects, 20 were excluded for HTN, DM, and neurologic disease. RESULTS: Of the 256 patients, 52.7% had ED. There was no statistically significant difference among the age groups. Of the patients, 58.4% with high voltage injury had ED, 21.2% low voltage, and 33.3% unknown voltage, which was statistically significant. The prevalence of ED, according to the pathway of electric current, was 100% when the whole body was affected, 70.2% upper-lower body, 44.4% lower-lower body, 31.9% upper-upper body, 15.4% electrical spark burn, and 22.2 % unknown. CONCLUSIONS: This is the first study of ED in electrical injury patients. High-voltage injures showed the higher prevalence of ED than low voltage. Whole and upper-lower body pathway of the electric current showed a higher prevalence of ED compared with focal/local involvement (electrical spark burn), lower-lower body, and upper-upper body. PMID- 18158048 TI - Histologic evaluation of the testicular remnant associated with the vanishing testes syndrome: is surgical management necessary? AB - OBJECTIVES: There is controversy surrounding the optimal management of the testicular remnant associated with the vanishing testes syndrome. Some urologists advocate the need for surgical exploration, whereas others believe this is unnecessary. These differing opinions are based on the variable reports of viable germ cell elements found within the testicular remnants. To better understand the pathology associated with this syndrome and the need for surgical management, we reviewed our experience regarding the incidence of viable germ cell elements within the testicular remnant. METHODS: An institutional review board-approved, retrospective review was performed of all consecutive patients undergoing exploration for a nonpalpable testis at Eastern Virginia Medical School and Geisinger Medical Center between 1994 and 2006. Patients who were found to have spermatic vessels and a vas deferens exiting a closed internal inguinal ring were included in this analysis. RESULTS: Fifty-six patients underwent removal of the testicular remnant. Patient age ranged from 11 to 216 months. In 8 of the specimens (14%), we identified viable germ cell elements. In an additional 4 patients (7%), we identified seminiferous tubules without germ cell elements. CONCLUSIONS: In our review, we identified that a significant number of testicular remnants associated with the vanishing testes syndrome can harbor viable germ cell elements or seminiferous tubules. The exact fate of these residual elements remains unknown; however, there may exist the potential for malignant transformation. Given the potential for malignant degeneration, we believe that these remnants should be removed. PMID- 18158049 TI - Lymphatic-sparing laparoscopic varicocelectomy versus microscopic varicocelectomy: is there a difference? AB - OBJECTIVES: The ideal operation for the adolescent varicoceles has been debated for many years as new techniques or advances in existing technology develop. It is well acknowledged that the Palomo procedure has a negligible recurrence rate but a very high postoperative hydrocele rate compared with a microscopic varicocelectomy (MV). We sought to determine whether lymphatic-sparing laparoscopic varicocelectomy (LSLV) could provide similar negligible recurrence rates as the Palomo approach with the negligible postoperative hydrocele rate seen with MV. METHODS: We performed a retrospective chart review of patients who underwent either an MV (n = 31) or LSLV (n = 28). In the MV group, the artery and the lymphatics were spared, whereas in the LSLV group, the artery and veins were taken en masse. Statistical analysis included paired Student t-test and Chi square test for continuous and categorical variables, respectively. RESULTS: Preoperative testis volumes were not different nor were the postoperative testis volumes between groups. Mean operating time was significantly longer in the MV than the LSLV group (140 minutes versus 51 minutes, P <0.01). With a mean time since surgery of 2 years, we observed only one patient with a recurrent varicocele (MV group); only one patient developed a hydrocele requiring hydrocelectomy (LSLV group). CONCLUSIONS: Our early data indicate that LSLV and MV are comparable in preventing varicocele recurrence and formation of hydroceles. The primary difference between the procedures is the surgical time, with the LSLV being much faster to perform. PMID- 18158050 TI - Simultaneous augmentation ileo-cystoplasty in renal transplantation. AB - INTRODUCTION: Renal transplantation is not contraindicated in end-stage renal disease developing as a result of complication of overactive bladder with uninhibited detrusor contractions. As an amendatory surgical approach, augmentation ileo-cystoplasty is the preferred option to achieve a low intravesical storage pressure. However, the timing of the augmentation ileo cystoplasty in combination with renal transplantation is still controversial. TECHNICAL CONSIDERATIONS: We analyzed data from 3 of the 1100 renal transplantation patients treated at the Akdeniz University Transplantation Center in whom concomitant augmentation ileo-cystoplasty and renal transplantation were performed owing to hypocompliant bladder. CONCLUSIONS: The operation times were 360, 270, and 240 minutes. No perioperative major complication or rejection was detected. Bladder augmentation using ileum patch can be concomitantly performed with renal transplantation safely, and this approach avoids the requirement for a second operation in another session. PMID- 18158051 TI - Laparoscopic resection of a lower posterior mediastinal tumor: feasibility of using a transdiaphragmatic approach. AB - INTRODUCTION: Either video-assisted thoracoscopic surgery (VATS) or a thoracotomy is usually performed for a resection of posterior mediastinal tumors. We used a laparoscopic approach to resect a lower posterior mediastinal tumor mimicking a right adrenal tumor that had been identified by a preoperative computed tomography (CT) scan, because this approach is less invasive than VATS or a thoracotomy, regarding the potential to cause damage to the respiratory organs. TECHNICAL CONSIDERATIONS: A preoperative CT scan showed a paraspinal mass measuring 5.5 cm in diameter at the level of the 11th thoracic vertebra and gallbladder stones. A laparoscopic transdiaphragmatic excision of this lower posterior mediastinal tumor was attempted and accomplished safely. First, we used the usual laparoscopic transperitoneal approach. Thereafter, we accessed the lower posterior mediastinum by splitting the crural fibers of the diaphragm. The tumor was completely resected without damaging the pleura. We also simultaneously performed a laparoscopic cholecystectomy for gallbladder stones. The operating time was 229 minutes (mediastinal tumorectomy 164 minutes, cholecystectomy 65 minutes) and the bleeding volume was 100 mL. The postoperative course was uneventful. The pathological findings of the specimen demonstrated schwannoma. CONCLUSIONS: We found the laparoscopic approach to the lower posterior mediastinum by splitting the diaphragm to be a feasible and less invasive method than either VATS or a thoracotomy. This surgical modality can thus be performed on selected lower posterior mediastinal tumors. PMID- 18158052 TI - Diffusion-weighted magnetic resonance imaging of infected renal cysts in a patient with polycystic kidney disease. PMID- 18158053 TI - Ten-year-old girl with crossed-fused ectopic kidney and ectopic ureter to vagina. PMID- 18158054 TI - Case of seminoma with possible spontaneous regression without extragonadal metastatic lesion. AB - We present an extraordinarily rare finding of a testicular seminoma apparently in the process of spontaneous regression without accompanying metastatic lesion. A 35-year-old man visited our institute for persistent scrotal induration after the administration of antibiotics for several weeks. Ultrasonography and magnetic resonance imaging showed a capsulized tumor in his left atrophic testicle, without other visceral tumor or lymphadenopathy. We performed left radical orchiectomy. Histological examination revealed a fibrotic tumor with a small area of pure seminoma apparently undergoing spontaneous regression, and an intratubular germ cell neoplasia, unclassified, occurring diffusely. The patient is free of disease at 1 year after surgery. PMID- 18158055 TI - Primary malignant melanoma of the female urethra. AB - A case of primary urethral malignant melanoma of a 69-year-old Japanese woman is presented. A hemorrhagic tumor measuring 1 cm in diameter was diagnosed by the stamp method. Clinically, the primary lesion was a T4 tumor infiltrating to the bladder neck, vagina, and vulva. Computed tomography did not detect any inguinal lymph node swelling or metastases to other sites. We selected radical extirpation, including cystectomy, ureterostomy, and bilateral inguinal and pelvic lymph node dissection. Although she subsequently underwent immunochemotherapy, consisting of dacarbazine, nimustine, vincristine, and beta interferon, she died of the cancer 14 months postoperatively. PMID- 18158056 TI - Passage of embolization coil through urinary collecting system one year after embolization. AB - Vascular injury is an uncommon, but serious, complication of percutaneous nephrolithotomy. Hyperselective angioembolization is an effective means of managing this complication with few reported adverse sequelae. We report a case in which an embolization coil placed after renal hemorrhage subsequently eroded into the collecting system more than 1 year postoperatively and was passed through the patient's urinary tract. PMID- 18158057 TI - Renal pelvic hemorrhage and acute renal failure associated with carboplatin therapy. AB - A 44-year-old woman with ovarian cancer and normal renal function developed gross hematuria after carboplatin therapy. Laboratory investigation revealed elevated blood urea nitrogen and serum creatinine values. Computed tomography scan of the abdomen and pelvis with or without contrast revealed bilateral hydronephrosis with high-attenuation material within the left renal pelvis and both ureters consistent with blood. Delayed images at 3 hours revealed intense nephrogram with delayed excretion of contrast bilaterally. She underwent cystoscopy and placement of ureteral stent bilaterally. She had brisk diuresis with associated progressive decrease in serum creatinine to baseline value. PMID- 18158058 TI - Pathologically confirmed port site metastasis after laparoscopic radical prostatectomy: case report and literature review. AB - Laparoscopic port site metastases remain exceedingly rare for urologic tumors, despite the increasingly widespread use of laparoscopic techniques in the management of urologic malignancy. We report a case of port site metastases after transperitoneal laparoscopic radical prostatectomy. PMID- 18158059 TI - Sparganosis presenting as spermatic cord hydrocele in six-year-old boy. AB - Sparganosis is a zoonosis that can involve many different areas of the human body. Urogenital sparganosis usually presents as a palpable subcutaneous nodule in the groin, labia, or scrotum. It can also present as a tumor in the epididymis and testis. However, no previous cases have been reported of it presenting as a spermatic cord hydrocele. We present a case of sparganosis with spermatic cord hydrocele in a 6-year-old boy. PMID- 18158060 TI - Bilateral adrenal myelolipoma associated with hyperaldosteronism: report of a case and review of the literature. AB - Adrenal myelolipoma is a rare benign tumor composed of mature adipose cells and hematopoietic elements. Although they are not hormonally active, there is very rarely an association with functional adrenal disorders. We report a case of bilateral adrenal myelolipoma associated with primary hyperaldosteronism. To our knowledge, this is the first bilateral adrenal myelolipomas reported to date in association with primary hyperaldosteronism. PMID- 18158061 TI - Bladder and penile lesions with inguinal adenopathy after intravesical Bacillus Calmette-Guerin (BCG) treatment. AB - Intravesical Bacillus Calmette-Guerin (BCG) is usually a well-tolerated treatment strategy for transitional cell cancer of the bladder. We report a patient with penile and bladder mucosal lesions with inguinal adenopathy after six instillations of intravesical BCG. Pathology demonstrated inflammation with granulomatous changes. The lesions and adenopathy resolved with antituberculous drug treatment. We describe the patient's clinical presentation and review the complications of intravesical BCG treatment. PMID- 18158062 TI - Complete bladder duplication presenting as incontinence in an 11-year-old girl. AB - We describe the case of an 11-year-old girl with complete bladder duplication presenting as urinary incontinence. We discuss a unique surgical approach to the correction of her incontinence. PMID- 18158063 TI - Rare cystic mucinous cystadenoma presenting as a scrotal mass. AB - Recently, our institution reported on a rare primary retroperitoneal mucinous cystadenocarcinoma which was only the second type of this kind of tumor ever reported in a male patient. To our knowledge, we report the first male case of a primary mucinous cystadenoma presenting as an enlarging scrotal mass. These lesions are extremely rare and represent only 0.3% of all appendiceal specimens. Because the number of these tumors remains limited, proven treatment regimens and the necessary follow-up have yet to be elucidated. We hope to provide further insight in the monitoring and treatment of these tumors. PMID- 18158064 TI - Scrotal hysterectomy in a male patient with mixed gonadal dysgenesis 46,XY(75%)/45,X(25%). AB - We report on a 20-year-old man in whom endocrinological investigation owing to dysmorphic signs characteristic for Turner syndrome revealed mixed gonadal dysgenesis. The patient was referred to us for further diagnostic investigations on a right intrascrotal tumour. Both testes were intrascrotal and hypotrophic with normal testosterone production. Surgical investigation showed a circumscribed tumor that proved to be a rudimentary uterus without evidence of malignancy at histological examination. Biopsies from both tested showed no signs of malignant disease. After removal of the tumor, we decided not to remove the testes prophylactically because of the male phenotype and the sufficient testosterone production. PMID- 18158065 TI - Inguinal herniation of a transplant ureter: rare cause of obstructive uropathy. AB - We present a rare case of late renal allograft failure from ureteral obstruction resulting from inguinal herniation. A 72-year-old man presented with an elevated creatinine and hydroureteronephrosis of a transplanted kidney on ultrasound. Noncontrast computed tomography demonstrated an inguinal hernia containing ureter, and a nephrostomy tube was placed. The hernia and ureter were temporarily reduced during antegrade stent insertion. Creatinine normalized and we performed inguinal herniorrhaphy with polypropylene mesh. The ureter was not reimplanted. Renal function remained stable after nephrostomy tube removal. Simple herniorrhaphy without ureteral reimplantation may fix the case of ureteral obstruction from inguinal herniation. PMID- 18158066 TI - Higher tumor to benign ratio of the androgen receptor mRNA expression associates with prostate cancer progression after radical prostatectomy. AB - OBJECTIVES: Alterations of androgen receptor (AR) functions caused by overexpression, amplification, or mutation have been described in a significant subset of advanced prostate cancer (CaP). Because AR mutations or amplification are rare in early stage CaP, we hypothesized that altered AR expression in prostate tumor cells may provide a prognostic indicator of disease progression. METHODS: RNA from laser capture microdissected (LCM) tumor and benign epithelial cells from radical prostatectomy specimens of 115 hormone-naive patients were studied. Expression of AR and GAPDH genes were measured by duplex quantitative real-time polymerase chain reaction (RT-PCR) in 230 specimens. A ratio of the expression of AR gene, normalized to GAPDH gene expression in the same specimens, was compared in tumor and benign epithelial cells (tumor-to-benign ratio) and correlated with clinicopathologic features. RESULTS: Paired t test analysis revealed a 62% lower AR expression in tumor tissue compared with benign tissue (P = 0.0005). However, multivariate Cox proportional hazards regression analysis of time to PSA recurrence revealed that higher tumor cell associated AR expression (continuous, log-transformed), significantly increases odds of prostate-specific antigen (PSA) recurrence (P = 0.0139) when controlling for age at surgery, race, time from diagnosis to surgery, risk stratification, pathologic T stage, Gleason sum, and margin status. CONCLUSIONS: Quantitative determination of AR gene expression levels in prostate epithelial cells may be useful for predicting PSA recurrence. This study supports the accumulating data suggesting that gain of AR function may contribute to CaP progression. PMID- 18158067 TI - Tissue-targeted in vivo gene transfer coupled with histone deacetylase inhibitor depsipeptide (FK228) enhances adenoviral infection in rat renal cancer allograft model systems. AB - OBJECTIVES: Although the adenoviral vector represents an efficient delivery system, hepatotropic accumulation often has detrimental effects on adenoviral vector-mediated cancer therapy. To overcome this disadvantage, we performed in vivo local gene transfer, in combination with the histone deacetylase inhibitor, depsipeptide (FK228), in a rat renal cancer model. METHODS: Renal cancer cells induced by ferric nitrilotriacetate in ACI rats were used in this study. Adenoviral vectors containing luciferase cDNA were introduced into the tumor burdened kidney by way of a catheter placed in the renal artery. Subcutaneous tumors were treated by herpes simplex virus thymidine kinase cDNA followed by intraperitoneal ganciclovir. The levels of Coxsackie-adenovirus receptor in various tissue were determined by quantitative reverse transcriptase-polymerase chain reaction. Depsipeptide (1 mg/kg) was intravenously administered 24 hours before adenoviral vector transduction. RESULTS: The catheter-based adenoviral vector delivery enabled strong gene transduction of the tumor-burdened kidney. Moreover, depsipeptide treatment before adenoviral vector injection significantly improved transgene expression at tumor sites. Quantitative reverse transcriptase polymerase chain reaction analysis showed that depsipeptide increased the expression levels of the Coxsackie-adenovirus receptor in the renal tumor (13 fold), but not in other normal tissues. Furthermore, the use of herpes simplex virus thymidine kinase cDNA-expressing adenoviral vector followed by ganciclovir markedly inhibited the established tumor growth in combination with depsipeptide compared with herpes simplex virus thymidine kinase cDNA alone. CONCLUSIONS: The tissue-targeted in vivo gene transfer coupled with depsipeptide significantly enhanced adenoviral infection at tumor sites. Sensitization of tumor cells with depsipeptide can improve the efficacy of adenoviral vector-mediated suicide gene therapy. Thus, application of depsipeptide could be one of the beneficial adjunct for adenoviral vector-mediated cancer gene therapy. PMID- 18158068 TI - Beneficial effect of taurine on testicular ischemia-reperfusion injury in rats. AB - OBJECTIVES: To evaluate the effect of taurine, a potent antioxidant, on testicular ischemia-reperfusion injury due to excess reactive oxygen species produced by neutrophils after testicular torsion-detorsion. METHODS: A total of 60 adult male Sprague-Dawley rats were randomly divided into three groups, each containing 20 rats. The control group underwent a sham operation of the left testis. In the torsion-detorsion group, the left testis was rotated 720 degrees counterclockwise for 2 hours. The treatment group underwent the same surgical procedure as the torsion-detorsion group, but taurine was administered intravenously at repair of the testicular torsion. One half of the rats in each group underwent orchiectomy 4 hours after detorsion for measurement of myeloperoxidase activity, an indicator of neutrophil accumulation in the testis, and for evaluation of tissue malondialdehyde, an indicator of intratesticular reactive oxygen species content. The remainder were killed at orchiectomy 3 months after detorsion for analysis of testicular spermatogenesis. RESULTS: Unilateral testicular torsion-detorsion caused a significant increase in myeloperoxidase activity and the malondialdehyde level and a significant decrease in testicular spermatogenesis in the ipsilateral testes. The decrease in ipsilateral testicular spermatogenesis involved a reduction in testicular weight, mean seminiferous tubular diameter, number of germ cell layers, and mean testicular biopsy score. The rats treated with taurine had a significant decrease in myeloperoxidase activity and malondialdehyde level and a significant increase in testicular spermatogenesis in the ipsilateral testes compared with the torsion detorsion group. CONCLUSIONS: The results of our study have shown that the administration of taurine exerts a beneficial effect on testicular ischemia reperfusion injury. This effect might be partly the result of a reduction in reactive oxygen species generation by diminishing neutrophil recruitment to the testis. PMID- 18158069 TI - Oncolytic virotherapy for prostate cancer by E1A, E1B mutant adenovirus. AB - OBJECTIVES: To report our therapeutic results in prostate cancer using double mutated adenovirus AxdAdB-3, which has a mutation of E1A and deletion of E1B 55KD. Advanced prostate cancer can harbor multiple genetic alterations, including p53 and Rb/E2F/p16, and is often refractory to hormonal ablation. Virotherapy has been used to target these genetic abnormalities using mutant oncolytic adenovirus for the management of other cancers. METHODS: The cytopathic effects of AxdAdB-3 were examined in human prostate carcinoma cell lines (DU145, PC3, and LNCaP) and human normal prostate-derived cell lines (PrEC and PrSC) with AxE1AdB and dl922 947 by crystal violet staining and 3-(4,5-dimethylthiazol-2-yl)-2,5 diphenyltetrazolium bromide assay. The therapeutic efficacy of AxdAdB-3 for the treatment of prostate cancer was investigated in an orthotopic prostate cancer model established with DU145 in severe combined immunodeficiency (SCID) mice. RESULTS: AxdAdB-3 induced potent cytopathic effects in the prostate cancer cell lines tested. AxdAdB-3 showed no cytotoxicity in the normal prostate-derived cell lines PrEC and PrSC. In vivo, AxdAdB-3 showed apparent antitumor effect in the orthotopic prostate cancer model and significantly improved survival. CONCLUSIONS: These results suggest that AxdAdB-3 could be a promising tool for virotherapy against prostate cancer in patients with disease resistant to hormonal therapy. PMID- 18158070 TI - The effect of partial bladder outlet obstruction on carbonyl and nitrotyrosine distribution in rabbit bladder. AB - OBJECTIVES: Recent evidence indicates that ischemia and reperfusion (free radical generation) are major etiologic factors in the rabbit bladder subjected to partial outlet obstruction. The current investigation was designed to determine the time course of damage caused by reactive oxygen species (ROS) and reactive nitrogen species (RNS) by measuring the carbonyl and nitrotyrosine content of the bladder. METHODS: Male rabbits underwent surgical partial bladder outlet obstruction for durations of 1, 2, 4, and 8 weeks. Sham-operated rabbits served as controls. The contractile responses to field stimulation (32 Hz) and carbachol (20 micromol/L) were determined. The nerve density was determined by using immunohistochemical methods. The carbonyl and nitrotyrosine contents within the bladder body wall and mucosa were analyzed by Western blotting. RESULTS: Nerve density showed marked decrease in obstructed bladders. The responses to field stimulation and carbachol showed remarkable decrease in bladders after 8 weeks' obstruction. The protein carbonylation increased significantly in obstructed bladders when compared with controls, both in mucosa and muscles and reached the highest level in 4 weeks' obstruction. There was a 2-fold increase for nitrotyrosine in mucosa after 8 weeks of obstruction. The increased expression of nitrotyrosine in muscle was maximized at 4 weeks of obstruction. CONCLUSIONS: The free radicals mediated protein carbonylation and tyrosine nitration occurs to a significant degree in the partially obstructed rabbit bladder. This may be related with sensory and contractile dysfunction and can be used as markers for free radical damage and reperfusion injury. PMID- 18158071 TI - Role of recombinant human growth hormone in HIV-associated wasting and cachexia: pathophysiology and rationale for treatment. AB - BACKGROUND: Wasting, or cachexia, is a significant, debilitating, and potentially life-threatening complication of HIV infection. It is associated with reduced strength and functional ability, reduced ability to withstand opportunistic infections, and increased risk of mortality. Although the incidence of HIV associated wasting may have declined since the introduction of highly active antiretroviral therapy (HAART), it continues to be a concern in this patient population. OBJECTIVE: This paper reviews available data on the etiology and clinical impact of HIV-associated wasting, the role of the growth hormone/insulin like growth factor-I axis in the pathophysiology of this condition, and the rationale for its treatment with recombinant human growth hormone (rhGH). METHODS: MEDLINE was searched for articles published in English through August 2007 using the terms HIV, wasting (and related terms), and growth hormone. Preference was given to clinical studies (including randomized clinical studies), meta-analyses, and guidelines. Review articles were evaluated and the bibliographies examined for additional relevant articles. The analysis was restricted to studies conducted in developed countries. RESULTS: Alterations in the growth hormone/insulin like growth factor-I axis have been observed in patients with HIV-associated wasting, including elevated levels of the former and reduced levels of insulin-like growth factor I. In randomized, placebo-controlled studies, rhGH significantly improved lean body mass by approximately 3 kg compared with placebo (P < 0.001) and total body weight by approximately 3 kg (P < 0.001), and was associated with significant improvements in physical endurance and quality of life (P < 0.001). Common adverse events with rhGH therapy include blood glucose elevations, arthralgia (36.4%), myalgia (30.4%), and peripheral edema (26.1%), but these usually respond to dose reduction or drug discontinuation. CONCLUSIONS: Physicians should be alert to the possibility of wasting in HIV-infected patients receiving HAART and should consider treatment to improve patients' stamina and quality of life. The evidence supports a role for rhGH in the treatment of patients with HIV-associated wasting. Regular blood glucose monitoring is advised when treating wasting with rhGH. PMID- 18158072 TI - Dasatinib: a tyrosine kinase inhibitor for the treatment of chronic myelogenous leukemia and philadelphia chromosome-positive acute lymphoblastic leukemia. AB - BACKGROUND: The Philadelphia chromosome is formed from a translocation of genetic material involving human chromosomes 9 and 22. The resulting gene product, BCR ABL, encodes for an abnormal tyrosine kinase (TK) that is a factor in the pathology of chronic myelogenous leukemia (CML). Use of targeted therapy that inhibits BCR-ABL kinase activity may lead to hematologic and cytogenetic responses in affected individuals. The oral TK inhibitor dasatinib was approved in 2006 for use in patients with CML or Philadelphia chromosome-positive acute lymphoblastic leukemia (ALL) who are unable to tolerate or have not responded to other treatments. OBJECTIVE: This paper reviews the available data on dasatinib, including its pharmacokinetic and pharmacodynamic properties, findings of in vitro and in vivo studies, adverse effects, and potential place in therapy. METHODS: Pertinent information was identified through searches of MEDLINE (1966 May 2007), EMBASE (1980-first quarter 2007), and International Pharmaceutical Abstracts (1970-May 2007) using the terms dasatinib, BMS-354825, chronic myelogenous leukemia, Sprycel, Philadelphia chromosome, and acute lymphoblastic leukemia. All clinical studies and case reports published at the time of the search were included in this review. RESULTS: Observed mutations in the amino acid sequence of BCR-ABL cause the failure of treatment with existing TK inhibitors. Dasatinib has shown in vitro and in vivo activity against BCR-ABL, including mutations that are resistant to other available TK inhibitors. Preliminary results are available from several noncomparative studies of dasatinib in patients who were unable to tolerate or were resistant to previous therapies. The 5 phases of START (SRC/ABL Tyrosine kinase inhibition Activity Research Trials of dasatinib) represent the largest and most comprehensive evaluation of dasatinib in the treatment of patients in all stages of CML or Philadelphia chromosome-positive ALL who had undergone previous treatment for leukemia. Dasatanib had the greatest benefit in patients in the chronic phase of CML, with complete hematologic responses in 90% of patients, 52% of whom achieved a major hematologic response. Compared with those in the chronic phase, patients in the accelerated phase or blast crisis of CML, or with Philadelphia chromosome positive ALL had lower responses. In the START-R trial, which compared the response to dasatinib and high-dose imatinib (800 mg/d), both regimens had comparable ability to induce a complete hematologic response (95% and 93%, respectively), although more patients achieved a major cytogenetic response with dasatinib (32% vs 7%). Adverse effects include significant myelosuppression. Dasatinib may have the potential for use in the management of nonleukemic malignancies. CONCLUSIONS: Dasatinib has a wider spectrum of activity against a broader range of BCR-ABL forms than existing TK inhibitors. It has shown clinical benefit and tolerability in patients in all phases of CML, as well as in those with Philadelphia chromosome-positive ALL. Dasatinib illustrates the potential for targeted drug development based on an understanding of the genetic alterations leading to CML and the development of resistance to treatment. PMID- 18158073 TI - Tipranavir: the first nonpeptidic protease inhibitor for the treatment of protease resistance. AB - BACKGROUND: Despite the availability of a growing number of potent antiretroviral agents, efforts to completely suppress viral replication in patients with HIV-1 infection are limited because of the increasing risk of resistance. Tipranavir (TPV) is the first in a class of antiretroviral agents known as nonpeptidic protease inhibitors (PIs). TPV exhibits a resistance profile distinct from that of other currently available PIs, making it a potential option for treatment experienced patients with resistance to multiple Pls. OBJECTIVE: This article discusses the clinical pharmacology and efficacy of TPV in the treatment of HIV-1 infection in patients who are highly treatment experienced or harbor PI-resistant virus. METHODS: A search was conducted of English language, peer-reviewed articles and abstracts indexed on the MEDLINE and Current Contents databases (1966-May 2007) using the terms tipranavir, Aptivus, nonpeptidic protease inhibitor, human immunodeficiency virus, and protease resistance. Product information and abstracts from national and international AIDS and retrovirus meetings (2005-2006) were also reviewed. RESULTS: Use of TPV in combination with ritonavir (TPV/r) was approved by the US Food and Drug Administration based on 2 Phase III studies. In these studies, HIV-infected patients with extensive treatment experience with antiretroviral agents, including PIs, nucleoside analogues, and nonnucleoside reverse transcriptase inhibitors, were randomized to receive TPV/r or a ritonavir-boosted comparator PI. All patients had evidence of resistance to multiple PIs. The specific comparator (amprenavir, indinavir, lopinavir, or saquinavir) was selected for each patient with the aid of resistance testing. Each patient also received an optimized background regimen of antiretroviral agents, which could include enfuvirtide. At 24, 48, and 96 weeks, the TPV/r group had higher rates of virologic response (defined as > or =1 log10 decrease in HIV RNA) and viral suppression (to <400 and <50 copies/mL) than did the comparator group. CONCLUSIONS: Although TPV has a mechanism of action similar to that of earlier-generation PIs, it has activity against HIV-1 strains with resistance to multiple PIs. Currently, TPV/r is indicated for use in highly treatment experienced patients with multiple PI resistance. PMID- 18158074 TI - Efficacy and tolerability of escitalopram versus citalopram in major depressive disorder: a 6-week, multicenter, prospective, randomized, double-blind, active controlled study in adult outpatients. AB - BACKGROUND: The S-enantiomer of citalopram (escitalopram) is the active moiety linked to the anti-depressant effects associated with citalopram (the racemate). For escitalopram to be approved for the treatment of depression in Europe, findings from clinical trials of escitalopram are required to match previous results from studies of the racemate, citalopram. OBJECTIVE: The aim of this study was to compare the efficacy and tolerability of escitalopram and citalopram in outpatients with major depressive disorder (MDD). METHODS: This prospective, randomized, double-blind, active-controlled study was conducted at 8 psychiatric outpatient clinics in the Federation of Russia. Adult outpatients aged 25 to 45 years with MDD and a total score > or =25 on the Montgomery-Asberg Depression Rating Scale (MADRS) were eligible. Patients were randomly assigned to receive 6 weeks of treatment with fixed daily doses of escitalopram 10 mg, citalopram 10 mg, or citalopram 20 mg. Efficacy assessments were made at weeks 0 (baseline), 1, 4, and 6 (study end or last observation carried forward). The primary efficacy parameter was the change from baseline in MADRS total score. Secondary measures were the change from baseline in MADRS total score in a subgroup of severely depressed patients (baseline MADRS total score, > or =35), MADRS core depression subscale score, and Clinical Global Impression-Severity and Improvement (CGI-S and CGI-I) scores; and the proportions of patients classified as responders and remitters at study end. Tolerability was assessed using adverse events (AEs) recorded by the investigator. RESULTS: Of 330 assessable randomized patients, 8 withdrew, including 7 who withdrew consent and 1 who withdrew due to recurrence of a preexisting event. Thus, 322 patients were included in the assessment (mean age, 35 years; 41.6% male; all white; escitalopram 10 mg, 108 patients; citalopram 10 mg, 106; citalopram 20 mg, 108). At study end, the mean (SE) change from baseline in MADRS total score was significantly greater in the escitalopram arm than in the 10- and 20-rag citalopram arms (-28.70 [0.78] vs -20.11 [0.80] and -25.19 [0.78]; both, P < 0.001). Improvements were more marked in the severely depressed subgroup (-30.33 [0.95] vs -20.87 [0.99] and -26.34 [0.91]). Changes in the CGI-S and CGI-I scores and the rates of response and remission were significantly greater in the escitalopram group compared with those in the citalopram 10- and 20-mg groups (CGI-S: -2.60 [0.10] vs -1.61 [0.10] and -2.05 [0.10]; CGI-I: +1.58 [0.09] vs +2.35 [0.10] and +1.80 [0.09]; response: 95.4% vs 44.3% and 83.3%; remission: 89.8% vs 25.5% and 50.9% [all, P < 0.001]). Mean (SE) changes from baseline in core depression subscale score were -19.00 (0.59), 13.00 (0.60), and -16.52 (0.58) with escitalopram, citalopram 10 mg, and citalopram 20 mg, respectively. The prevalence of AEs was significantly lower in the escitalopram group (7) compared with the citalopram groups (16 and 19 in the 10- and 20-mg groups, respectively; both, P < 0.05). Nausea (2 [1.9%], 5 [4.7%], and 7 [6.5%] patients in the escitalopram and citalopram 10- and 20-mg groups, respectively) and headache (1 [0.9%], 2 [1.9%], and 4 [3.7%]) were the most frequently reported AEs. CONCLUSIONS: The results from this study suggest that escitalopram 10 mg was more effective than citalopram 10 and 20 mg at 6 weeks in these adult outpatients with MDD. All treatments were well tolerated. PMID- 18158075 TI - Tolerability and efficacy of exenatide and titrated insulin glargine in adult patients with type 2 diabetes previously uncontrolled with metformin or a sulfonylurea: a multinational, randomized, open-label, two-period, crossover noninferiority trial. AB - OBJECTIVE: This study was conducted to compare the efficacy and safety profiles of exenatide and insulin glargine therapy in patients with type 2 diabetes who had not achieved glucose control with metformin or sulfonylurea monotherapy. METHODS: This multinational, randomized, open-label, crossover noninferiority study compared the efficacy of exenatide 10 pg BID and insulin glargine QD (titrated targeting a fasting serum glucose (FSG) level < or =5.6 mmol/L) in patients with type 2 diabetes treated with a single oral antidiabetic agent. The study included two 16-week treatment periods. The primary a priori outcome variable was the change in glycosylated hemoglobin (HbA(lc)). Secondary outcomes included the proportion of patients achieving the American Diabetes Association (ADA) target HbA(lc) of < or =7% and the European Association for the Study of Diabetes target of < or =6.5%, the change in FSG, end-point values and change in the 7-point self-monitored glucose profile, and change in body weight. Adverse events were assessed based on standard laboratory tests and patient reports. RESULTS: One hundred thirty-eight patients were randomized to study treatment (52.9% female, 47.1% male; 79.7% white; mean [SEM] age, 54.9 [0.8] years; duration of diabetes, 7.4 [0.4] years; body mass index, 31.1 [0.4] kg/m(2); weight, 84.8 [1.4] kg) while continuing to receive metformin (55.1%) or a sulfonylurea (44.9%). The population had a baseline least squares (LS) mean (SEM) HbA(lc) of 8.95% (0.09%) and an LS mean FSG concentration of 12.0 (0.3) mmol/L. Both exenatide and titrated insulin glargine therapy were associated with similar significant changes from baseline in HbA(1c) (both, -1.36% [0.09%]; P < 0.001); the difference between groups was not statistically significant. The LS mean HbA(1c) at end point was above the ADA target with both treatments (exenatide, 7.57% [0.09%]; insulin glargine, 7.58% [0.09%]). Similar proportions of patients achieved an HbA(1c) < or =7% (37.5% and 39.8%, respectively; P = NS) or < or =6.5% (21.5% and 13.6%). Patients lost weight during exenatide treatment, whereas they gained weight during insulin glargine treatment; the between-group difference in weight change was statistically significant (LS mean difference, 2.2 [0.3] kg; 95% CI, -2.8 to-1.7; P < 0.001). Both exenatide and insulin glargine were associated with significant reductions from baseline in FSG (-2.9 [0.2] and -4.1 [0.2] mmol/L, respectively; both, P < 0.001), although the reduction was significantly greater with insulin glargine compared with exenatide (LS mean difference, 1.2 [0.3] mmol/L; 95% CI, 0.7 to 1.7; P < 0.001). Compared with insulin glargine, exenatide was associated with significantly lower 2-hour postprandial glucose (PPG) excursions (P < 0.016) and total daily mean glucose excursion (P < 0.001). The proportions of patients reporting nausea during exenatide and insulin glargine treatment were 42.6% and 3.1%, respectively; the proportions reporting vomiting were 9.6% and 3.1%. The incidence of hypoglycemia in the 2 groups was 14.7% and 25.2% (P = NS). CONCLUSIONS: In this open-label, crossover study, treatment with exenatide or insulin glargine for 16 weeks was associated with similar significant improvements from baseline in HbA(1c), independent of treatment order. The improvements in HbA(1c) from baseline did not differ significantly between treatment groups. Exenatide therapy was associated with significant reductions in body weight and PPG excursions compared with insulin glargine, whereas insulin glargine was associated with a significantly greater reduction in FSG compared with exenatide. These findings provide additional information to guide treatment decisions in patients with type 2 diabetes who are potential candidates for either therapy. PMID- 18158076 TI - Mealtime 50/50 basal + prandial insulin analogue mixture with a basal insulin analogue, both plus metformin, in the achievement of target HbA1c and pre- and postprandial blood glucose levels in patients with type 2 diabetes: a multinational, 24-week, randomized, open-label, parallel-group comparison. AB - BACKGROUND: In people without diabetes, approximately 50% of daily insulin secretion is basal and the remainder is postprandial. Hence, it would be expected that insulin replacement therapy in a 50/50 ratio with each meal would mimic physiologic insulin secretion better than treatment with once-daily basal insulin in patients with diabetes mellitus. Using lispro mix (LM) 50/50 before meals may be a logical approach to achieving glycemic targets (glycosylated hemoglobin [HbA(lc)] and pre- and postprandial blood glucose [BG] concentrations) in these patients. OBJECTIVE: The aim of this study was to test the hypothesis that treatment with a premixed insulin analogue containing 50/50 basal + prandial insulins administered before each meal would achieve lower overall and mealtime glycemic control than once-daily basal insulin analogue, both plus metformin (Met), in patients with type 2 diabetes mellitus. METHODS: This 24-week, randomized, open-label, parallel-group trial was conducted at 38 sites across Australia, Greece, India, The Netherlands, Poland, Puerto Rico, and the United States. Male and female patients aged 35 to 75 years with type 2 diabetes mellitus and an HbA(1c) level of 6.5% to 11.0%, who were receiving metformin and/or a sulfonylurea with a stable dose of 0 to 2 daily insulin injections over the previous 3 months were eligible. Patients were randomly assigned to receive LM50/50 (50% insulin lispro protamine suspension [ILPS] and 50% lispro) TID plus metformin (to a maximally tolerated daily dosage of 500-1000 mg BID) (LM50/50 + Met) or insulin glargine QD at bedtime plus metformin (500-1000 mg BID) (G + Met) for 24 weeks. With LM50/50 + Met, the insulin dose was titrated to target a fasting BG (FBG) level of <6.7 mmol/L (<120 mg/dL) and a 2-hour post-prandial BG (PPBG) level of <8.0 mmol/L (<144 mg/dL); those who did not reach the FBG target would be switched from presupper LM50/50 to LM75/25 (75% ILPS, 25% lispro). RESULTS: A total of 315 patients were randomized and received treatment (158 women, 157 men; mean age, 57.7 years; mean body mass index, 32.1 kg/m2; LM50/50 + Met, 157 patients; G + Met, 158 patients). At 24 weeks, the mean (SD)HbA(1c) level was significantly lower in the LM50/50 + Met group than in the G + Met group (7.1% [0.9%] vs 7.5% [1.0%]; P<0.001), and the proportion who reached an HbA(1c) target of < or = 7.0% was greater (88 [56.1%] vs 63 [39.9%]; P = 0.005). The G + Met group had a lower mean (SD)FBG value (6.5 [1.6] vs 8.1 [1.8] mmol/L; P<0.001). The LM50/50 + Met group had lower mean preprandial BG levels prelunch (7.4 [1.9] vs 7.9 [2.1] mmol/L; P=0.03) and presupper (8.3 [2.0] vs 8.9 [2.8] mmol/L; P=0.04). The LM50/50 + Met group also had lower mean 2-hour PPBG values postbreakfast (8.7 [2.2] vs 9.2 [2.5] mmol/L; P=0.03), postlunch (8.4 [1.9] vs 9.8 [2.6], mmol/L; p<0.001), and postsupper (8.7 [2.2] vs 10.7 [3.2], mmol/L; P<0.001). The mean (SD) total insulin doses at study end point were 0.7 (0.3) U/kg in the LM50/50 + Met group and 0.6 (0.3) U/kg in the G + Met group (P<0.001). The mean (SD)M-value (an expression of mean glycemia and the effect of glucose swings) was statistically similar between the 2 groups at baseline but significantly lower in the LM50/50 + Met group at end point (17.3 [13.8] vs 25.1 [24.8] mmol/L; P<0.001). During the entire treatment period, mean (SD) overall and nocturnal hypoglycemia rates (episodes per patient for 30 days) were statistically similar between the 2 groups (overall, 0.8 [1.4] vs 0.5 [1.0]; nocturnal, 0.2 [0.7] vs 0.3 [0.6]). At end point, the mean (SD) nocturnal hypoglycemia rates were similar between the 2 groups (0.2 [0.9] vs 0.2 [0.6]), but the overall and non-nocturnal hypoglycemia rates were higher with LM50/50 + Met (overall, 0.7 [1.7] vs 0.3 [0.8]; P=0.02; non-nocturnal, 0.5 [1.2] vs 0.1 [0.4]; P=0.002). CONCLUSION: In these patients with type 2 diabetes, mealtime LM50/50 + Met was associated with lower overall (HbA(1c)) and preprandial BG and PPBG levels (except for FBG), with similar nocturnal hypoglycemia and less glycemic variability, compared with G + Met. PMID- 18158077 TI - Comparison of the efficacy and tolerability of pitavastatin and atorvastatin: an 8-week, multicenter, randomized, open-label, dose-titration study in Korean patients with hypercholesterolemia. AB - BACKGROUND: Although previous studies have examined the efficacy of pitavastatin, its tolerability and effects on lipid concentrations have not been compared with those of atorvastatin in a multicenter, randomized study. OBJECTIVE: This trial compared the efficacy and tolerability of pitavastatin and atorvastatin in hypercholesterolemic Korean adults. METHODS: This 8-week, multicenter, randomized, open-label, dose-titration study was conducted at 18 clinical centers in Korea between May 2005 and February 2006. After a 4-week dietary lead-in period, patients with hypercholesterolemia were randomized to receive either pitavastatin 2 mg/d or atorvastatin 10 mg/d. Patients who had not reached the low density lipoprotein cholesterol (LDL-C) goal by week 4 received a double dose of the assigned medication for an additional 4 weeks. Efficacy was evaluated in terms of achievement of the National Cholesterol Education Program Adult Treatment Panel III LDL-C goals and changes from baseline in other lipids and high-sensitivity C-reactive protein (hs-CRP). The tolerability profile was assessed by physical and electro-cardiographic examinations, laboratory tests, and recording adverse reactions at all visits. RESULTS: A total of 268 patients were randomized to treatment, and 222 (82.8%) completed the study (149 women, 73 men; mean age, 59 years; mean weight, 63.5 kg). At the end of the study, there was no significant difference between the pitavastatin and atorvastatin groups in the proportion of patients achieving the LDL-C goal (92.7% [102/110] vs 92.0% [103/112], respectively). In addition, there were no significant differences between groups in terms of the percent changes from baseline in LDL-C, total cholesterol, triglycerides, high-density lipoprotein cholesterol (HDL-C), or hs CRP. Twenty-six of 136 patients (19.1%) taking pitavastatin reported 35 treatment emergent adverse reactions; 33 of 132 patients (25.0%) taking atorvastatin reported 39 treatment-emergent adverse reactions. Elevations in creatine kinase were observed in 6 patients (4.4%) in the pitavastatin group and 7 patients (5.3%) in the atorvastatin group. There were no serious adverse drug reactions in either group. CONCLUSIONS: In these adult Korean patients with hypercholesterolemia, pitavastatin and atorvastatin did not differ significantly in terms of the proportions of patients achieving the LDL-C goal; reductions in LDL-C, total cholesterol, and triglycerides; or increases in HDL-C. Both drugs were well tolerated. PMID- 18158078 TI - Comparison of biphasic insulin aspart 30 given three times daily or twice daily in combination with metformin versus oral antidiabetic drugs alone in patients with poorly controlled type 2 diabetes: a 16-week, randomized, open-label, parallel-group trial conducted in russia. AB - BACKGROUND: Modern premixed insulins offer a flexible approach to the initiation of insulin therapy in patients with poorly controlled type 2 diabetes. A disadvantage of twice-daily regimens of biphasic insulin aspart 30 (BIAsp 30) is that lunchtime control (when no insulin is administered) can be suboptimal. Therefore, it is possible that administering BIAsp 30 thrice daily might further optimize glycemic control and offer an option for patients in whom metformin (MET) is contraindicated. OBJECTIVE: This study evaluated the efficacy and safety profiles of 2 different regimens of BIAsp 30 compared with a regimen consisting of oral antidiabetic drugs (OADs) alone. METHODS: In this multicenter, randomized, open-label, parallel-group trial, insulin-naive patients with poorly controlled type 2 diabetes (baseline glycosylated hemoglobin [HbA(1c) > or =8.0%) who were taking OADs (a sulfonylurea or meglitinide with/without MET or MET only) were randomized to receive BIAsp 30 TID, BIAsp 30 BID + MET, or continuation of their current OAD therapy for 16 weeks. The primary end point was HbA(1c) at the end of the study. Secondary end points included reductions in HbA(1c), mean blood glucose (BG), prandial increment, mean 7-point self-monitored BG profile, weight changes, tolerability (hypoglycemia, adverse events), and satisfaction/quality of life (derived from 2 questionnaires completed at weeks 0, 8, and 16). RESULTS: The study enrolled 308 insulin-naive patients with type 2 diabetes (78.9% female; mean age, 58.3 years; body mass index, 29.4 kg/m(2); HbA(1c), 10.3%). Both BIAsp 30 TID and BIAsp 30 BID + MET were associated with significantly greater mean (SD) reductions in HbA(1c) relative to OADs alone (absolute percent reduction: 2.9% [1.5%], 3.0% [1.6%], and 2.1% [1.4%], respectively; P < 0.001, both insulin groups vs OAD group) and improved post-prandial glucose control (reduction in mean post-prandial glucose:-6.32 [4.07], -6.44 [4.70], and -3.59 [4.22] mmol/L; P < 0.001, both insulin groups vs OAD group). The mean decrease in the prandial increment was -1.26 mmol/L for BIAsp 30 TID, -2.15 mmol/L for BIAsp 30 BID + MET, and -0.44 mmol/L for OAD. The differences in reduction in the prandial increment were statistically significant for BIAsp 30 TID versus OAD (P = 0.047), BIAsp 30 BID + MET versus OAD (P < 0.001), and BIAsp 30 TID versus BIAsp 30 BID + MET (P = 0.042). Mean body weight increased significantly from baseline with both BIAsp 30 TID and BIAsp 30 BID + MET (+1.71 and +1.50 kg, respectively; both, P < 0.001), and decreased significantly in the OAD group (-0.75 kg; P = 0.003). There were no major hypoglycemic events, and most hypoglycemic events were recorded as symptoms only (144/158 [91.1%]). There were no significant differences in the mean frequency of overall hypoglycemic episodes between BIAsp 30 TID and BIAsp 30 BID + MET (0.73 and 0.69 episodes per patient-year, respectively). CONCLUSIONS: In these patients with type 2 diabetes that was poorly controlled by OADs, BIAsp 30 TID and BIAsp 30 BID plus MET were associated with significantly greater reductions in HbA(1c) and postprandial BG compared with OADs alone. The insulin regimens were associated with significantly more weight gain than OADs alone. There were no differences in rates of hypoglycemia between the insulin regimens. PMID- 18158079 TI - Titration patterns with rosuvastatin as compared with other statins in clinical practice: a retrospective observational cohort study using an electronic medical record database. AB - BACKGROUND: Lipid management in clinical practice has been suboptimal with a significant proportion of patients not achieving recommended cholesterol levels. A reason for low goal attainment may be the limited use of upward dose titration. OBJECTIVE: The aim of this study was to determine if, in routine clinical practice, a lower rate of titration is observed among rosuvastatin patients who achieved the National Cholesterol Education Program Adult Treatment Panel III (NCEP ATP III) target low-density lipoprotein cholesterol (LDL-C) goals as compared with patients achieving the target LDL-C goals on other statins. METHODS: This retrospective database study included the patients, aged > or =18 years, of approximately 3000 physicians across the United States, who were newly prescribed statin treatment from August 2003 to May 2005. Patients were excluded if they started on a maximum dose of statin, were at LDL-C goal at baseline (no clinical reason for titrating), or on fluvastatin (<70 patients). Titration rate with rosuvastatin was compared with other statins. Multivariate logistic regression models adjusted for baseline LDL-C, coronary heart disease risk, treatment duration, and target LDL-C goal attainment. RESULTS: This study assessed 12,041 patients for upward titration. Of the 5955 eligible patients (mean age, 63 years; male, 47%), 7.2% were prescribed rosuvastatin, 63.5% atorvastatin, 15.3% simvastatin, 7.2% pravastatin, and 6.9% lovastatin. Overall, 4337 patients (72.8%) attained the NCEP ATP III target LDL-C goal. Mean duration of statin treatment was 188 days for rosuvastatin compared with 238 to 260 days for the other statins (all, P < 0.05). Among patients attaining the target LDL-C goal, significantly fewer rosuvastatin patients (8.3%) had titration compared with atorvastatin (17.0%), simvastatin (20.0%), pravastatin (20.7%), and lovastatin (23.5%) (all, P < 0.05). After adjusting for baseline characteristics, patients attaining the target LDL-C goal on other statins were significantly more likely to be titrated as compared with rosuvastatin (odds ratios, 2.0-3.3; P < 0.05). Lower titration rates for rosuvastatin patients were also observed in the total population (P < 0.05). CONCLUSION: Our study found that rosuvastatin patients who attained the NCEP ATP III target LDL-C goal had significantly lower titration rates than patients receiving other statins. PMID- 18158080 TI - Meta-analysis of venous thromboembolism prophylaxis in medically Ill patients. AB - BACKGROUND: Venous thromboembolism (VTE) prophylaxis in medically ill patients has received a level 1A recommendation in previously published clinical guidelines. Pharmacologic prophylaxis for VTE includes unfractionated heparin (UFH), low-molecular-weight heparin (LMWH), and fondaparinux. Few direct comparisons between anticoagulants exist in medically ill patients. OBJECTIVE: This meta-analysis was conducted to assess UFH and LMWH (including the selective factor Xa inhibitor fondaparinux) in the reduction of in-hospital VTE in unselected medically ill patients. METHODS: We searched MEDLINE, EMBASE, and the Cochrane Controlled Trials Registry databases from January 1981 through September 2007 (English language) for randomized controlled trials using the following terms: dalteparin, enoxaparin, fondaparinux, nadroparin, and heparin. References of included articles and key review papers for additional studies were also searched. Data from studies were included in the analysis if the studies included medically ill patients with risk factors for VTE who had been followed up for 7 to 21 days. RESULTS: A total of 12,391 patients (of whom 8357 were in placebo controlled trials) from 9 studies were included. Mean age for the entire cohort was 72.8 years; mean (SD) body mass index, 25.6 kg/m2; and mean (SD) actual body weight, 68.2 kg. Deep vein thrombosis (DVT) was significantly reduced with the addition of an LMWH compared with placebo (odds ratio [OR], 0.60; 95% CI, 0.47 0.75; P < or = 0.001), but rates of DVT were similar when comparing LMWH with UFH (OR, 0.92; 95% CI, 0.56-1.52). No significant differences in pulmonary embolism (PE) or death were found among the UFH, LMWH, and placebo groups. LMWH was associated with a significant increased risk for minor bleeding compared with placebo (OR, 1.64; 95% CI, 1.18-2.29; P = 0.003). However, no significant difference was found between LMWH and UFH (OR, 0.68; 95% CI, 0.27-1.70). Major bleeding events were similar among all groups: LMWH/fondaparinux versus placebo, OR, 1.65 (95% CI, 0.8-3.4); LMWH/fondaparinux versus UFH, OR, 0.69 (95% CI, 0.29 1.68); LMWH/fondaparinux versus UFH or placebo, OR, 1.16 (95% CI, 0.66-2.04). CONCLUSIONS: This analysis suggests that VTE prophylaxis with an LMWH (including fondaparinux) or UFH is effective in reducing the rate of DVT, but this benefit did not extend to enhanced protection against PE. Additionally, LMWH and UFH had similar bleeding outcomes. PMID- 18158081 TI - Effectiveness and tolerability of administration of granulocyte colony stimulating factor on left ventricular function in patients with myocardial infarction: a meta-analysis of randomized controlled trials. AB - BACKGROUND: Clinical studies suggest that granulocyte colony-stimulating factor (G-CSF)-mobilized stem cells are recruited to ischemic myocardium and differentiate into specialized cells such as cardiomyocytes, endothelial cells, and smooth muscle cells, and may improve left ventricular function. OBJECTIVES: The aim of this study was to investigate the effectiveness and tolerability of G CSF treatment with regard to global left ventricular function in patients with myocardial infarction (MI). METHODS: A literature search was conducted of MEDLINE, Cochrane Controlled Trials Register, EMBASE, Science Citation Index, and PubMed (all from their inception to March 2007). Reference lists of papers and reviews on the topic were also searched. We selected the following criteria for trials included in this study: (1) randomized controlled trial (RCT) design of MI routine therapy comparing G-CSF with placebo or blank control in patients with MI; (2) > or =3 to < or =12 months' follow-up after G-CSF treatment; (3) diagnosis of acute MI (AMI) (< or =14 days from onset of new ST-segment elevation infarction) or old MI (OMI) (>14 days from onset); (4) complete left ventricular ejection fraction (LVEF) data and major adverse cardiovascular event (MACE) reports; and (5) the availability of demographic characteristics of patients and the duration and dose of G-CSF treatment. This information was independently extracted by 2 of the investigators using a standardized protocol. RESULTS: Of the 14 RCTs meeting the inclusion criteria, 7 RCTs were deemed eligible for further analysis. The remaining studies included 364 patients (G-CSF groups, 179; control groups, 185; mean age range, 49.8-63.0 years). A significant increase in follow-up LVEF (LVEF(follow-up)) was observed in the G-CSF groups compared with the control groups (2.96%; 95% CI, 0.98-4.94; P = 0.003), and the LVEF change from baseline to follow-up (LVEF(Delta)) also significantly increased (3.46%; 95% CI, 0.60-6.32; P = 0.018). The heterogeneity was significant across the studies with regard to LVEF(follow-up) (P = 0.068) and the LVEFA (P = 0.001). The relative risk (RR) for the prevalence of MACEs, including ventricular arrhythmia (RR, 0.65; 95% CI, 0.29-1.49), rehospitalization for heart failure (RR, 2.00; 95% CI, 0.36-11.17), and the composite of other cardiovascular events (ie, cardiac death, recurrent MI, infarct-vessel revascularization procedure, and stroke) (RR, 1.07; 95% CI, 0.71-1.60), was not significantly different in the G-CSF treatment groups compared with the control groups. The overall risk for MACE was also not significantly different between the 2 groups (RR, 0.93; 95% CI, 0.57-1.28). CONCLUSION: Based on the studies included in this meta-analysis, G-CSF treatment improved the LVEF in AMI (but not OMI) at 3 to 12 months follow-up. Treatment with G-CSF was generally well tolerated. PMID- 18158082 TI - Effects of ezetimibe/simvastatin on lipoprotein subfractions in patients with primary hypercholesterolemia: an exploratory analysis of archived samples using two commercially available techniques. AB - BACKGROUND: Cholesterol-rich lipoproteins, including low-density lipoprotein cholesterol (LDL-C), intermediate-density lipoprotein cholesterol (IDL-C), and very-low-density lipoprotein cholesterol (VLDL-C), are known to promote atherosclerosis. Ezetimibe/simvastatin (E/S) is an efficacious lipid-lowering treatment that inhibits both the intestinal absorption and biosynthesis of cholesterol. OBJECTIVE: The aim of the current analysis was to compare the effects of ezetimibe and simvastatin monotherapy and E/S treatment on lipoprotein subfractions and LDL particle size in patients with primary hypercholesterolemia. METHODS: This was an exploratory (hypothesis generating) analysis of archived plasma samples drawn from patients in a multicenter, randomized, double-blind, placebo-controlled, parallel-arm study. After a washout and diet/placebo run-in, patients with hypercholesterolemia (LDL-C, > or =145- < or =250 mg/dL; triglycerides, < or =350 mg/dL) were randomized equally to 1 of 10 daily treatments for 12 weeks: E/S (10/10, 10/20, 10/40, or 10/80 mg), simvastatin monotherapy (10, 20, 40, or 80 mg), ezetimibe monotherapy (10 mg), or placebo. A subset of patients had lipid subfraction measurements taken at baseline (week 0) and postrandomization (week 12). Plasma samples were used to quantify cholesterol associated with VLDL subfractions (VLDLI+2 and VLDL3), IDL, and 4 LDL subfractions (LDL1-4) via the Vertical Auto Profile II method. LDL-C particle size was determined using segmented gradient gel electrophoresis. The primary end point was median percent change in subfraction cholesterol for E/S versus ezetimibe or simvastatin monotherapy, pooled across doses. RESULTS: Of the 1528 patients randomized in the original study, 1397 (91%) had lipid subfraction measurements taken. E/S was associated with significant reductions in VLDL-CI+2, VLDL-C3, IDL-C, LDL-C1, LDL-C2, and LDL-C3 versus ezetimibe, simvastatin, and placebo. E/S resulted in near-additive reductions in VLDL-CI+2, VLDL-C3, IDL-C, LDL-C1, LDL-C2, and LDL-C3 versus ezetimibe and simvastatin monotherapy. Of the subfractions examined, with regard to E/S, the greatest reductions were observed in IDL-C and LDL-C1, LDL-C2, and LDL-C3. When compared with placebo, ezetimibe, simvastatin, and E/S did not shift the distribution of LDL particles toward a larger, more buoyant LDL subclass pattern. CONCLUSION: E/S was more effective than ezetimibe and simvastatin monotherapy in reducing atherogenic lipoprotein subfractions in these patients with primary hypercholesterolemia. PMID- 18158083 TI - Comparison of clinical cure rates in adults with ventilator-associated pneumonia treated with intravenous ceftazidime administered by continuous or intermittent infusion: a retrospective, nonrandomized, open-label, historical chart review. AB - BACKGROUND: Beta-lactam antibiotics are reported to exhibit time-dependent bactericidal activity. However, there are limited data on the clinical efficacy of ceftazidime administered by continuous infusion. OBJECTIVE: The objective of this study was to compare the clinical efficacy of ceftazidime administered by continuous infusion and by intermittent infusion in the treatment of ventilator associated pneumonia (VAP) caused by gram-negative bacteria. METHODS: This was a retrospective chart review of patients with VAP caused by gram-negative bacteria who were treated with initial empiric ceftazidime therapy in the intensive care unit (ICU) over a 5-year period (from June 2002 to June 2007). The intermittent infusion group received ceftazidime 2 g infused over 30 minutes every 12 hours; the continuous-infusion group received a ceftazidime loading dose of 1 g over 30 minutes, followed by 2 g infused over 720 minutes every 12 hours. Data extracted from patients' charts included sex, age, severity of the patient's condition at ICU admission (Acute Physiology and Chronic Health Evaluation II [APACHE II] score), diagnosis group, weight, creatinine clearance, MIC of the organism responsible for VAP, and severity of organ dysfunction at the time VAP was suspected (Sepsis-related Organ Failure Assessment [SOFA] score). Each clinical history was reviewed by a group of 6 staff intensivists who were blinded to whether the patient received ceftazidime by continuous or intermittent infusion. The clinical effect of treatment was categorized as cure (complete resolution of all clinical signs and symptoms of pneumonia) or failure (persistence or progression of any sign or symptom of pneumonia). RESULTS: The final sample consisted of 121 patients, of whom 88 (72.7%) were males. The mean (SD) age of the population was 62.87 (9.35) years. The mean APACHE II score on admission to the ICU was 16.08 (2.17), the SOFA score at suspicion of VAP was 8.80 (2.06), and the MIC of the organism responsible for VAP was 2.77 (2.24) microg/mL. There were no significant differences in these and other characteristics at baseline between those who received ceftazidime by continuous infusion (n = 56) and those who received ceftazidime by intermittent infusion (n = 65). On logistic regression analysis, continuous infusion was associated with a greater clinical cure rate than intermittent infusion (50/56 [89.3%] vs 34/65 [52.3%], respectively; odds ratio [OR] = 12.2; 95% CI, 3.47-43.21; P < 0.001). Patients with VAP caused by organisms with an MIC of 8 microg/mL had lower cure rates compared with those with VAP caused by organisms with an MIC < or =2 microg/mL (OR = 0.2; 95% CI, 0.04-0.71; P = 0.02) but not compared with those with an MIC of 4 microg/mL. No significant interaction was found between the type of ceftazidime infusion and the MIC of the causative organism. CONCLUSION: In this small, selected population of adult patients with VAP caused by gram-negative bacteria who were treated in a nonrandomized, open-label manner, ceftazidime administered by continuous infusion had greater clinical efficacy than ceftazidime administered by intermittent infusion. PMID- 18158084 TI - Community-phenotype-methicillin-resistant Staphylococcus aureus infections: a retrospective chart review of outcomes after treatment with daptomycin. AB - BACKGROUND: Daptomycin, a cyclic lipopeptide antibiotic, was approved by the US Food and Drug Administration (FDA) in September 2003 for the treatment of complicated skin and skin structure infections due to susceptible strains of certain gram-positive microorganisms, including methicillin-resistant Staphylococcus aureus (MRSA). In May 2006, daptomycin was approved by the FDA for treatment of bacteremia and right-sided endocarditis due to MRSA and methicillin sensitive S aureus. OBJECTIVE: The aim of this study was to assess the use of daptomycin in community-phenotype (CP)-MRSA infections. METHODS: This was a retrospective chart review of data from patients enrolled in a postlabeling registry who received daptomycin for MRSA infections from January to December 2005. CP-MRSA was defined as MRSA susceptible to clindamycin and trimethoprim/sulfamethoxazole; all other phenotypes were considered other phenotype MRSA (OP-MRSA). Success rates were calculated by dividing success (defined as cure plus improved) by success and failure (including non-evaluable patients). RESULTS: A database search identified 352 patients (100 patients with CP-MRSA [57 men; 43 women]; 252 patients with OP-MRSA [136 men, 116 women]) who met study criteria. Most patients (79.2%) received gram-positive antibiotics before daptomycin. Compared with OP-MRSA, a greater proportion of patients with CP-MRSA were <50 years of age (50.0% vs 35.7%; P = 0.014) and had fewer underlying diseases (mean [SD], 1.7 [1.3] vs 2.5 [1.5]; P < 0.001). Success rate, time to clinical response, and duration of therapy were similar in both groups. CONCLUSION: Daptomycin was found to be equally effective in treating CP-MRSA and OP-MRSA infections in this selected group of patients. PMID- 18158086 TI - Using indirect comparisons in pharmacoeconomic studies--time for implementation. PMID- 18158085 TI - Acute NSAID-related transmural duodenitis and extensive duodenal ulceration. AB - BACKGROUND: A 40-year-old previously healthy white man presented to the emergency department at American University of Beirut Medical Center, Beirut, Lebanon, with severe upper abdominal pain of 36-hour duration. The pain started a few hours after the intake of a single tablet of tiaprofenic acid and became more intense after the intake of another tablet 24 hours later. He had no other symptoms. He had no prior upper gastrointestinal (GI) symptoms, ulcer disease, steroidal or nonsteroidal anti-inflammatory drug use, or ethanol intake. Physical examination revealed mild upper abdominal tenderness. Complete blood count, amylase, lipase, and liver function tests were unremarkable. Computed tomography of the abdomen showed marked thickening of the duodenal wall with surrounding mesenteric streaking. Upper GI endoscopy revealed extensive ulceration involving the duodenal bulb, apex, and proximal D2, as well as a few gastric erosions. Histopathologic examination of duodenal biopsy samples showed extensive epithelial cell necrosis and infiltration of the lamina propria with neutrophils and eosinophils. The patient responded well to rabeprazole 20 mg BID and remains well 5 months later. METHODS: We performed a literature search of PubMed for all English-language articles published between January 1970 and present (June 2007) using the key words tiaprofenic acid, nonsteroidal anti-inflammatory drugs, NSAID, duodenitis, duodenal erosion, duodenal ulcer, gastritis, gastric erosion, gastric ulcer, or peptic ulcer. We reviewed all randomized controlled trials involving NSAIDs found using PubMed, with a focus on their GI adverse effects. RESULTS: Based on the PubMed search, there were no published reports of acute transmural duodenitis and complicated duodenal ulcers associated with short-term exposure to tiaprofenic acid or other NSAIDs. The Naranjo adverse drug reaction (ADR) probability scale was used and a score of 6 was obtained, indicating a probable ADR from tiaprofenic acid use. CONCLUSION: We report a patient who developed symptomatic severe transmural duodenitis and periduodenal mesenteric streaking, consistent with a complicated ulcer, probably associated with very short-term exposure to tiaprofenic acid. PMID- 18158087 TI - Utilization and costs of medical services and prescription medications for rheumatoid arthritis among recipients covered by a state Medicaid program: a retrospective, cross-sectional, descriptive, database analysis. AB - BACKGROUND: Rheumatoid arthritis (RA) is a chronic autoimmune disorder characterized by inflammation of synovial tissues that leads to joint swelling, stiffness and pain, and progressive joint destruction. There is currently limited information about demographic differences in the prevalence of RA and the utilization and costs of RA-related prescription medications and medical services among low-income populations. OBJECTIVES: This study assessed the prevalence of RA and the utilization and costs of RA-related medical services and prescription medications among recipients enrolled in a state Medicaid program. METHODS: A retrospective, cross-sectional, descriptive analysis of West Virginia (WV) Medicaid fee-for-service administrative claims data was conducted. Medical services claims for recipients aged between 15 and 64 years with a primary diagnosis code for RA during the calendar year 2003 were extracted. Unique recipient numbers obtained from these claims were used to extract the corresponding prescription claims. Prevalence and health care use rates were calculated by demographic categories. Costs were reported from the perspective of WV Medicaid. RESULTS: A total of 143,211 recipients aged between 15 and 64 years received WV Medicaid benefits. Among these, 1157 recipients (0.81%) had > or = 1 medical service claim (hospitalization, emergency department visit, or office visit) with a primary diagnosis of RA. The mean (SD) age of the sample was 47 (11.1) years. The highest rates of RA by age, sex, and race occurred among recipients aged 45 to 64 years (16.4:1000), females (10.1:1000), and whites (8.2:1000). Office visits accounted for the majority of medical services visits and costs. Among the sample, 67.8% had > or =1 prescription claim for a narcotic analgesic, 58.8% for an NSAID, 48.3% for an oral steroid, 40.1% for a disease modifying antirheumatic drug, and 12.4% for a biologic agent. Medicaid paid a mean of $2379 per recipient for RA-related health care services. Prescription claims accounted for 74.6% of the total cost of RA care. Biologic agents accounted for the largest proportion (54.1% ) of prescription costs. CONCLUSIONS: The prevalence of RA and rates of health care services utilization for RA among recipients of WV Medicaid differed with regard to demographic characteristics. Utilization of RA-related prescription medication among recipients varied by pharmacotherapy class. This study presents baseline information that might be used as a model for future surveillance RA studies using payer administrative datasets. PMID- 18158088 TI - Adoption of new antiglaucoma drugs in Finland: impact of changes in copayment. AB - BACKGROUND: Copayments are common measures intended to control drug expenditures and promote rational prescribing. In Finland, new antiglaucoma drugs start with a high copayment, but once sufficient clinical experience is available, they are reevaluated and can receive a lower copayment status. OBJECTIVE: This study assessed the effect of changes in copayment level on the adoption of 2 antiglaucoma drugs. METHODS: A retrospective analysis was performed from 1997 to 2001 using the Finnish national register of reimbursed drug purchases, which covers approximately 98% of all antiglaucoma drug purchases in the country. There were 172,293 purchases of dorzolamide (plain or combined with timolol) and 281,377 purchases of latanoprost. An interrupted time-series design from approximately 30 months before and 20 months after the change in copayment was used in the analysis. The main outcome measures were the numbers of defined daily doses (DDDs) purchased and the monthly numbers of patients who purchased the study drugs for the first time before and after the change in copayment. RESULTS: A substantial increase in consumption of both dorzolamide and latanoprost was seen immediately after the introduction of the lower copayment. The monthly consumption of dorzolamide was 60,713 DDDs higher and the monthly consumption of latanoprost was 49,330 DDDs higher than expected according to the utilization trend during the higher copayment period. Twelve months later, the observed consumption of dorzolamide was 109% higher and that of latanoprost was 21% higher than if the copayment had remained the same. The number of new patients using the study drugs peaked within 2 months of the lower copayment, but the amount consumed per patient per day remained quite stable. CONCLUSIONS: Decreasing the copayment of a new antiglaucoma drug to the same level as the copayments of alternative drugs accelerated the adoption of these new products in Finland. PMID- 18158089 TI - Principles and practical issues for cryopreservation of nerve cells. AB - Nerve cells isolated from the brain have a number of research and clinical applications, not the least of which is their transplantation to patients with Parkinson's disease. Neural primary and precursor cells of several areas of the brain are potential candidates for transplantation and research. However, supply of suitable tissue is one of the major problems associated with the widespread application of such techniques. The ability to store such tissue for prolonged periods would greatly alleviate this problem. Cryopreservation allows indefinite storage, provided the storage temperature is sufficiently low. Whilst many of the potentially usable cell types have been shown to be capable of surviving cryopreservation to some degree, survival post-thaw needs to be considerably improved. Cryopreservation techniques applied to date are mostly crude and often adopted from those used for unrelated cell types. Studies involving cryopreservation of primary neural cells and stem cells are reviewed, the basic principles of cryopreservation explained and suggestions made for improvements to the low temperature storage of these cells. PMID- 18158090 TI - The effects of CRF and the urocortins on [3H]GABA release from the rat amygdala- an in vitro superfusion study. AB - Corticotropin-releasing factor (CRF) is the major neuromodulator of the hypothalamic-pituitary-adrenal axis, regulating the behavioural, endocrine, autonomic and immune responses to stress. Together with the recently discovered members of the CRF peptide family, urocortin 1, urocortin 2 and urocortin 3, it also has neurotransmitter actions. Previous publication has demonstrated that stress induces CRF release in the paraventricular nucleus of the hypothalamus and the release of both CRF and GABA in the amygdala. Accordingly, the aim of the present study was to determine the effects of the members of the CRF peptide family on GABA release from the amygdala by using an in vitro superfusion system. In order to study the participation of different CRF receptors (CRF1 and CRF2) in this process, rat amygdalar slices were pretreated with selective CRF1 and CRF2 antagonists. CRF and urocortin 1 significantly increased the release of [(3)H]GABA from the slices following electrical stimulation, whereas urocortin 2 and urocortin 3 were ineffective. The actions of CRF and urocortin 1 were blocked by the selective CRF1 receptor antagonist antalarmin, but were not inhibited by the selective CRF2 receptor antagonist astressin 2B, both administered in equimolar doses. Our results demonstrate that the release of GABA from the amygdala is mediated by CRF and urocortin 1 through the activation of CRF1 receptors. PMID- 18158091 TI - Effect of manipulation of the feet and ankles on postural control in elderly adults. AB - The purpose of the present experiment was to investigate the effect of a therapeutic manipulation of the feet and ankles on postural control during quiet standing in elderly adults. Seventeen elderly adults stood barefeet on a force platform and were asked to sway as little as possible. Within a trial, vision was suppressed by eyes closure. The task was executed in two experimental sessions: before and after a therapeutic manipulation of the feet and ankles. Centre of feet pressure (COP) displacements along the mediolateral (ML) and anteroposterior (AP) axes were recorded. For the two experimental sessions, subjects exhibited comparable COP displacements when vision was available and were similarly affected by the suppression of vision. However, when subjects had to adapt to the absence of vision within a 10s temporal frame, postural behaviour became different in the two experimental sessions: the sum of the ML and AP COP displacements increased within the 10s temporal frame before the therapeutic manipulation of the feet and ankles, whereas it remained unchanged after it. These results suggested that the therapeutic manipulation of the feet and ankles allows the elderly adults to partially compensate for the destabilising effect induced by the suppression of vision. PMID- 18158092 TI - Effects of feedback on time production errors in aging participants. AB - In two experiments, healthy participants ages 60 years and older provided peak interval time production data for two target intervals (6 and 17s) over 2 days (baseline and retest sessions). In Experiment 1, three groups of participants were provided with two types of feedback during the baseline session that assisted either decision criteria setting or memory updating. During the retest session, run after a 24-h delay, each group received either one of the two types of feedback, or no feedback at all. Experiment 2 varied three additional groups' feedback during the baseline session only. Results indicated that the duration dependent timing errors previously associated with aging did not occur during the retest session with the decision-criteria feedback regimen, or during the baseline session even in the complete absence of feedback. Thus, testing following the delay and without decision-criteria feedback are the necessary and sufficient conditions for the expression the timing errors in aging. The efficacy of memory updating feedback could not be established. The discussion contrasts these results with the conditions that produce abnormal timing in Parkinson's disease patients in a similar procedure. PMID- 18158093 TI - Long-lasting descending and transitory short-term spinal controls on deep spinal dorsal horn nociceptive-specific neurons in response to persistent nociception. AB - Under intact and spinalized conditions, we compared the responses of deep spinal dorsal horn (DH) nociceptive-specific (NS) and wide-dynamic range (WDR) neurons to subcutaneous bee venom (BV, 0.2 mg/50 microl)-induced persistent nociception. In contrast to the monophasic, long-lasting (34-81 min) WDR neuron responses in both intact and spinalized conditions, BV in NS neurons elicited short-term (<10 min) firing in intact, and long-term (>1 h) biphasic firing in spinalized rats. The BV-induced long-term biphasic NS neuron activities in spinalized condition consisted of a first, early phase (4-13 min) of firing occurred immediately after the BV injection, and a second phase of tonic firing that lasted for 28-74 min. The two phases were separated by a period that lasted 4-11 min during which there was very little neuronal activity. The data suggest that in the presence of peripheral nociception, a transitory (about 5-13 min) spinal segmental inhibitory control and a long-lasting descending inhibitory control govern deep spinal NS neuron but not WDR neuron activity. Previous reports assessing spinally organized motor activities showed a spinal WDR neuron well-controlled monophasic long lasting withdrawal reflex in response to BV injection in both intact and spinalized conditions. In contrast, the current data suggest that unlike spinal WDR neurons, deep spinal DH NS neurons do not modulate spinal motor output during the persistent nociception. Using the neurokinin-1 (NK-1) receptor antagonist, L 703,606 we further found that only early (within 15 min) treatment with L-703,606 produced a significant inhibition of the enhanced mechanically evoked NS neuron responses in BV-induced nociception, suggesting a dynamic function of NK-1 receptor involvement for deep spinal NS neuron mediated central sensitisation. We conclude that deep spinal DH NS neurons are strictly governed by tonic inhibitory descending controls. As this descending inhibitory control either is absent or decays, deep spinal NS neurons may play a crucial role in the development of central sensitisation in pathological nociception, for instance in spinal cord injury-induced pathological pain. PMID- 18158094 TI - The early scaffold of axon tracts in the brain of a primitive vertebrate, the sea lamprey. AB - The development of the early axonal scaffold formed by early-differentiating neurons was studied in a primitive vertebrate (the sea lamprey), by immunohistochemistry against acetylated alpha-tubulin and a cell surface marker (HNK-1 antibodies), to determine the degree of conservation of this process in vertebrate evolution. The medial and dorsolateral longitudinal fascicles were the first longitudinal axonal bundles observed to develop in the neural tube, followed by the tract of the postoptic commissure and the supraoptic tract. Establishment of the first dorso-ventral tracts occurs after the appearance of the tract of the postoptic commissure and the medial longitudinal fascicle, the basal plate longitudinal axonal system. The dorsolateral longitudinal fascicle appears to be equivalent to the "descending tract" of the mesencephalic nucleus of the trigeminal nerve of mouse and birds; the possible homologies between other early scaffold tracts of the sea lamprey and those of other vertebrates are also discussed. In addition, present results suggest the presence of highly conserved brain regions that would allow for early neuronal differentiation and axonal pathfinding in vertebrates, which were probably defined before the divergence of Agnathans and Gnathostomes. PMID- 18158095 TI - Effects of photoperiod regimen on emotional behaviour in two tests for anxiolytic activity in Wistar rat. AB - Seasonal changes are often gone with mood and behaviour changes which are probably linked to change in day length or photoperiod. The experiments developed in this work are based on the hypothesis that changes in photoperiod affect emotionality in rats. To check this hypothesis, female rats were exposed to four different photoperiods (LP: 16L/8D; MP: 12L/12D; SP: 8L/16D; SP-F: 8L/16D with a light pulse in midpoint of the dark phase). Eight or 14 weeks later, rats were subjected to two behavioural tests to quantify anxiety level. Independently of duration, rats exposed to SP exhibited higher levels of anxious-like behaviour than rats raised in LP and SP-F, in an open field test (OFT) and in elevated plus maze (EPM). Significant differences in EPM are obtained only after 14 weeks of treatment. Moreover rats treated more long time showed greater suprarenal gland mass. Compared to all other groups, females exposed to SP had greater suprarenal gland. Our results indicate that changes in day length are associated with different levels of anxious-like behaviours consistent with the conjecture that short days may have an anxiogenic effect in female rats. PMID- 18158096 TI - Ontogenesis of brain aromatase P450 expression in the bovine hypothalamus. AB - Aromatase P450 (P450(AROM)), converting testosterone (T) into estradiol (E), plays an important role in sexual differentiation of neural structures in the developing mammalian brain. The aim of the present study was to characterize the qualitative and quantitative profile of P450(AROM) mRNA expression in the bovine hypothalamus (the region of the central nervous system in which the enzyme is mainly localized) using RT-PCR and quantitative real-time RT-PCR analysis, respectively. P450(AROM) expression was examined in the developing hypothalamus in a series of experimental groups investigated at 10 weeks interval one from the other. Our data indicate that in the bovine fetal hypothalamus P450(AROM) expression peaks at the second quarter of gestation. The presence of neural cells containing P450(AROM) in the bovine fetal hypothalamus was confirmed by immunohistochemistry, and localized in the medial preoptic area. We conclude that second quarter of the gestation is the developmental stage which represents a critical period for hypothalamic differentiation in bovine ontogenesis, an important difference with the rat and mouse, short gestation species in which P450(AROM) activity peaks around delivery. PMID- 18158097 TI - Body movements during night sleep and their relationship with sleep stages are further modified in very old subjects. AB - The night sleep of 12 healthy subjects aged 76-98 was polygraphically investigated in order to analyse body movements and their association with sleep stages at very old age; this group was compared with 11 healthy old subjects aged 61-75 years. In very old subjects sleep is less punctuated by body movements and the association of body movements with each sleep stage is further modified compared to less old subjects. Short-lasting movements emerge indifferently from stage 1, stage 2 and REM sleep, but are significantly less frequent in SWS. Furthermore, in very old subjects the probability of awakening after body movements is higher than in old subjects, suggesting that sleep is more vulnerable to the occurrence of body movements than at previous ages. The difficulty in the elderly to maintain a stable state expresses the inability to sustain and coordinate stable physiological activities characteristic of the old age. In addition, the presence of numerous awakenings, not preceded by movements, supports the hypothesis that the awakening in the very old people may be a sudden event, as should be confirmed by the study of other behavioural and physiological activities preceding awakening. PMID- 18158098 TI - Altered dopamine D2 receptor function and binding in obese OLETF rat. AB - A decrease in D2-like receptor (D2R) binding in the striatum has been reported in obese individuals and drug addicts. Although natural and drug rewards share neural substrates, it is not clear whether such effects also contribute to overeating on palatable meals as an antecedent of dietary obesity. Therefore, we investigated receptor density and the effect of the D2R agonist quinpirole (0.05, 0.5 mg/kg, S.C.) on locomotor activity and sucrose intake in a rat model of diet induced obesity, the CCK-1 receptor-deficient Otsuka Long Evans Tokushima Fatty (OLETF) rat. Compared to age-matched lean controls (LETO), OLETF rats expressed significantly lower [125I]-iodosulpride binding in the accumbens shell (-16%, p<0.02). Whereas the high dose of quinpirole increased motor activity in both strains equally, the low dose reduced activity more in OLETF. Both doses significantly reduced sucrose intake in OLETF but not LETO rats. These findings demonstrate an altered D2R signaling in obese OLETF rats similar to drug-induced sensitization and suggest a link between this effect and avidity for sucrose in this model. PMID- 18158099 TI - Myocardial ischemic nociceptive signaling mediated by P2X3 receptor in rat stellate ganglion neurons. AB - Adenosine 5'-triphosphate (ATP) is implicated in peripheral pain signaling through activation of P2X receptors. P2X(3) receptors have a high level of expression in, and selective location on sensory afferents. P2X receptors, particularly the P2X(3) subtype, are identified as targets for novel analgesics. The stellate ganglion (SG) is peripheral sympathetic ganglia involved in heart function. Surgical interventions of sympathetic afferent pathways abolish or relieve angina pectoris, so it is showed that cardiac pain is mediated by the activation of afferents in sympathetic nerves. The cervicothoracic sympathetic ganglia, including the stellate ganglion, are implicated in sensations associated with myocardial ischemia or cardiac pain. In the present study we have examined P2X(3) involvement in cardiac nociceptive transmission. P2X receptor agonists activated currents (I(ATP)) in SG neurons. The I(ATP) amplitude and P2X(3) mRNA expression in myocardial ischemic injury group were much larger than those obtained in control group. Prostaglandin E(2) (PGE(2)) and substance P (SP) increased ATP-activated currents. P2X(3) receptor antagonist A-317491 reduced P2X agonist activated currents and P2X(3) mRNA expression. The results revealed that the myocardial ischemia induced the upregulation of P2X(3) receptor in function and morphous and P2X(3) receptor antagonist A-317491 inhibited P2X agonist activated currents and P2X(3) mRNA expression. The facts indicated that P2X(3) receptor in SG neurons was involved in cardiac nociceptive transmission. PMID- 18158100 TI - Evidence for suppression of electroacupuncture on spinal glial activation and behavioral hypersensitivity in a rat model of monoarthritis. AB - Our previous study demonstrated that single intrathecal (i.t.) application of fluorocitrate, a glial metabolic inhibitor, synergized electroacupuncture (EA) antagonizing behavioral hypersensitivity in complete Freund's adjuvant (CFA) induced monoarthritic rat. To further investigate the relationship between spinal glial activation and EA analgesia, the present study examined the effects of multiple EA on spinal glial activation evoked by monoarthritis (MA). The results showed that (1) unilateral intra-articular injection of CFA produced a robust glial activation on the spinal cord, which was associated with the development and maintenance of behavioral hypersensitivity; (2) multiple EA stimulation of ipsilateral "Huantiao" (GB30) and "Yanglingquan" (GB34) acupoints or i.t. injection of fluorocitrate (1 nmol) significantly suppressed spinal glial activation; (3) inhibitory effects of EA on spinal glial activation and behavioral hypersensitivity were significantly enhanced when EA combined with fluorocitrate, indicating that disruption of glial function may potentiate EA analgesia in inflammatory pain states. These data suggested that analgesic effects of EA might be associated with its counter-regulation to spinal glial activation, and thereby provide a potential strategy for the treatment of arthritis. PMID- 18158101 TI - Sea urchin embryonic development provides a model for evaluating therapies against beta-amyloid toxicity. AB - Accumulation of beta-amyloid protein is an Alzheimer's disease hallmark but also may be mechanistically involved in neurodegeneration. One of its cleavage peptides, Abeta42, has been used to evaluate the mechanisms underlying amyloid induced cytotoxicity and targeting of acetylcholine systems. We studied Sphaerechinus granularis sea urchin embryos which utilize acetylcholine and other neurotransmitters as morphogens. At a threshold concentration of 0.1 microM Abeta42, there was damage to the larval skeleton, accumulation of ectodermal cells in the blastocoele and underdevelopment of larval arms. Raising the Abeta42 concentration to 0.2-0.4 microM produced anomalies depending on the stage at which Abeta42 was introduced: at the first cleavage divisions, abnormalities appeared within 1-2 cell cycles; at the mid-blastula stage, the peak period of sensitivity to Abeta42, gastrulation was blocked; at later stages, there was progressive damage to the larval skeleton, digestive tract and larval spicules, as well as regression of larval arms. Each of these anomalies could be offset by the addition of lipid-permeable analogs of acetylcholine (arachidonoyl dimethylaminoethanol), serotonin (arachidonoyl serotonin) and cannabinoids (arachidonoyl vanillylamine), with the greatest activity exhibited by the acetylcholine analog. These results indicate that sea urchin embryos provide a model suitable to characterize the mechanisms underlying the cytotoxicity of Abeta42, as well as providing a system that enables the rapid screening of potential therapeutic interventions. The protection provided by neurotransmitter analogs, especially that for acetylcholine, points to unsuspected advantages of existing therapies that enhance cholinergic function, as well as indicating novel approaches that may prove protective in Alzheimer's disease. PMID- 18158102 TI - Angiotensin II induces proliferation of cultured rat astrocytes through c-Jun N terminal kinase. AB - Previously we showed that tyrosine kinases and ERK1/2 mediate angiotensin II (Ang II)-induced cellular proliferation in astrocytes. In the current study, we investigated whether Ang II activates c-Jun N-terminal kinase (JNK) and determined if JNK mediates Ang II-induced astrocyte growth in cultured brainstem astrocytes. Ang II activated JNK in a time- and concentration-dependent manner. Maximal stimulation of 14-fold over basal occurred with 100 nM Ang II and was significantly apparent 5 min after treatment. Ang II-induced JNK phosphorylation was abolished by co-treatment with the AT(1) receptor antagonist, losartan, but not by PD123319 (an AT(2) receptor antagonist). The JNK inhibitor, SP600125 (10 microM), markedly inhibited Ang II-induced JNK phosphorylation (by 84%) and astrocyte proliferation (by over 90%). Pretreatment of astrocytes with 10 microM PP2 (Src inhibitor) inhibited Ang II stimulation of JNK (by 90%) whereas, the protein kinase C (PKC) inhibitor, Go6976, failed to inhibit Ang II-mediated JNK phosphorylation. In conclusion, we showed for the first time that JNK mediates Ang II-specific astrocyte proliferation. In addition, Ang II activation of the JNK pathway is mediated by Src and not through PKC activation. This study is the first to show that JNK mediates Ang II effects in astrocytes and may provide a better understanding of the functions of Ang II in astrocytes from brainstem in particular and of glial cells in general. PMID- 18158103 TI - Cortical and brainstem LTP-like plasticity in Huntington's disease. AB - Recent studies have reported abnormalities in short-term plasticity in patients with Huntington's disease (HD). However, is not known whether long-term potentiation (LTP)-like plasticity is also affected in these patients. We tested cortical and brainstem LTP-like plasticity in eight symptomatic HD patients and in 10 healthy age-matched controls. To probe motor cortex LTP-like plasticity we used paired associative stimulation (PAS), a technique that combines repetitive electric stimulation of the median nerve with subsequent transcranial magnetic stimulation (TMS) of the contralateral motor cortex at 25 ms. To investigate brainstem plasticity, we induced LTP-like phenomena in the trigeminal wide dynamic range neurons (WDR) of the blink reflex circuit by pairing an high frequency train of electrical stimuli (HFS) over the right supraorbital nerve (SO) coincident with the R2 response elicited by a preceding SO stimulus. Our results demonstrate impairment of both cortical and brainstem LTP-like plasticity in symptomatic HD patients which is similar to LTP deficits previously reported in HD animal models. These findings might well represent the neurophysiological correlates of memory deficits often present in HD. PMID- 18158104 TI - Visual cortical potentials of the mouse evoked by electrical stimulation of the retina. AB - An electrical evoked potential (EEP) of the visual system is a summed electrical record of the visual cortex in response to electrical stimulation of the retina. It is the primary method in the assessment of a visual prosthesis which targets at restoring vision to individuals with disease of the outer retina. However despite marked enthusiasm in the fabrication of such devices, little is known about the feasibility of such devices with the visually deprived brain. Recent research in visual plasticity has demonstrated that the adult brain retains marked plasticity following visual deafferentation. The deprived visual cortex may be recruited to process other sensory modality in a cross-modal manner, thus vitiating its capacity to process restored visual input. In this regard, the mouse benefited with a wealth of mutant models and transgenic technology may help to unravel many of the underlying mechanisms of neuroplasticity and provide novel avenues to manipulate such changes. Nevertheless, the feasibility of recording EEP in the mouse has not been established to date. In this study we successfully established a noninvasive technique for stimulation and recording mouse EEP. The approach provides a tool for not only investigating the plastic changes in visual processing following deafferentation but also longitudinal and live data collection for in vivo evaluation of a prosthetic device. PMID- 18158105 TI - Decreased proportion of GABA neurons accompanies age-related degradation of neuronal function in cat striate cortex. AB - Electrophysiological studies indicate that a decline of GABAergic inhibition in the visual cortex may underlie age-related degradation of visual function [A.G. Leventhal, Y. Wang, M. Pu, Y. Zhou, Y. Ma, GABA and its agonists improved visual cortical function in senescent monkeys, Science 300 (2003) 812-815; M.T. Schmolesky, Y. Wang, M. Pu, A.G. Leventhal, Degradation of stimulus selectivity of visual cortical cells in senescent rhesus monkeys, Nat. Neurosci. 3 (2000) 384 390]. To date, there is little direct evidence to support this hypothesis. Using Nissl staining and immunohistochemical techniques, we quantitatively compared the density of total neurons (Nissl-stained neurons) and GABA-immunoreactive neurons as well as the proportion of GABA-immunoreactive neurons to total neurons in the primary visual cortex between 4 young adult (1-3 year old) cats and 4 old (12 year old) cats, which had been previously examined in a single-unit recording study [T. Hua, X. Li, L. He, Y. Zhou, Y. Wang, A.G. Leventhal, Functional degradation of visual cortical cells in old cats, Neurobiol. Aging 27 (2006) 155 162]. In that study, we found the function of V(1) (area 17) neurons in the old cats was significantly degraded relative to young adult cats. Our present results indicate that the density of total neurons in each cortical layer of V(1) exhibit no significant difference in the two age groups of cats. However, the density of GABA-immunoreactive neurons in old cats is significantly lower than in young adults. Further, the ratio of GABA-immunoreactive neurons to total neurons in each layer of V(1) in old cats is also significantly decreased when compared to young adult cats. These results provide direct morphological evidence of decreased GABAergic inhibition in the striate visual cortex of old animals, which accompany the functional degradation of visual cortical neurons. PMID- 18158106 TI - Anticonvulsant property of Sutherlandia frutescens R. BR. (variety Incana E. MEY.) [Fabaceae] shoot aqueous extract. AB - Aerial parts of Sutherlandia frutescens R. BR. [family: Fabaceae] are extensively used in South African traditional medicines for the treatment, management and/or control of an array of human ailments, including childhood convulsions and epilepsy. In this study, we examined the anticonvulsant property of the plant's shoot aqueous extract (SFE, 25-400 mg/kg i.p.) against pentylenetetrazole (PTZ)-, picrotoxin (PCT)- and bicuculline (BCL)-induced seizures in mice. Phenobarbitone and diazepam were used as reference anticonvulsant drugs for comparison. Like the reference antiseizure drugs used, S. frurescens shoot aqueous extract (SFE, 50 400 mg/kg i.p.) significantly delayed (p<0.05-0.001) the onset of, and antagonized, pentylenetetrazole (PTZ)-induced seizures. The plant's shoot aqueous extract (SFE, 50-400 mg/kg i.p.) also profoundly antagonized picrotoxin (PCT) induced seizures, but only weakly antagonized bicuculline (BCL)-induced seizures. Although the data obtained in the present study do not provide conclusive evidence, it appears that S. frurescens shoot aqueous extract (SFE) produces its antiseizure effect directly by acting like GABA, or indirectly by enhancing GABAergic neurotransmission and/or action in the brain. The results of this laboratory animal study suggest that the herb may be used as a natural supplementary remedy in the management, control and/or treatment of childhood convulsions and epilepsy. In conclusion, the findings of this study indicate that S. frurescens shoot aqueous extract possesses anticonvulsant activity, and thus lend pharmacological credence to the suggested folkloric, ethnomedical uses of the herb in the management or treatment of childhood convulsions and epilepsy in some rural communities of South Africa. PMID- 18158107 TI - Ultrastructural study of the pituicytes in the pituitary gland of the teleost Diplodus sargus. AB - An electron microscopic study was performed on the pituitary gland of the Mediterranean teleost fish Diplodus sargus to analyse the morphological characteristics of the pituicytes. In this class of vertebrates, the pituicytes have, like other astroglial cells, a trophic and support function, but they may also play an active role in the release of neurohormones. Most of the pituicytes were of the Dark type. Their shape appeared irregular with long, thin processes protruding from the cellular body. The pituicytes protruded from the neurohypophysis as far as the adenohypophysis. Their cellular bodies were mainly located in the posterior neurohypophysis. In the adenohypophysis, pituicytic processes were intermingled with cells of the pars intermedia and pars distalis, though being more numerous in the former. These processes sometimes surrounded the whole adenohypophyseal cell. This provides further evidence for the possible role of the pituicytes in controlling the release of the pituitary hormones given that, in teleost fishes, there is no distinct portal system or true median eminence. PMID- 18158108 TI - Paracrine-like excitation of low-threshold mechanoceptive C-fibers innervating rat hairy skin is mediated by substance P via NK-1 receptors. AB - We reported previously that C-fibers innervating rat skin can be excited by short trains of electrical shocks ('tetanus') applied to neighboring nerves. Since these nerves were disconnected from the CNS, the cross-talk is located peripherally. Here we tested if low-threshold mechanoceptive (LTM) C-fibers can be excited by this cross-talk and if this process is mediated by substance P (SP) via neurokinin-1 (NK-1) receptors. In urethane anesthetized rats we found that 80% (56/71) of LTM C-fibers, recorded in the lateral cutaneous branch of the dorsal ramus (CBDR) of T10 spinal nerve, were excited by a 10s, 20 Hz tetanus of the T9 CBDR. Compared to the spontaneous pre-tetanic firing frequency of 1.62+/ 0.40 impulses/30s, the frequency significantly increased to 3.74+/-0.99, 3.17+/ 0.69 and 2.92+/-0.63 impulses/30s, at 30, 60 and 90 s after the tetanus, respectively, and declined to the baseline frequency thereafter. When injected into their receptive fields, SP mimicked the tetanically induced increase of firing rate, whereas the NK-1 receptor antagonist WIN 51708 blocked the excitation in most fibers. The excitation was significantly diminished in adult rats that were neonatally treated with capsaicin, a treatment that destroys most SP-expressing afferent fibers. Thus, we conclude that peptidergic primary afferents are functionally linked with adjacent LTM C-fibers in a non-synaptic, paracrine-like signaling pathway via SP and NK-1 receptors, and perhaps also other agents as well. We propose that this cross-talk has evolved as a mechanism regulating the mechanoceptive characteristics of LTM C-fibers, presumably contributing to pain sensation elicited by tactile stimuli ('allodynia'). PMID- 18158109 TI - Time-lapse analysis of aggregate formation in an inducible PC12 cell model of Huntington's disease reveals time-dependent aggregate formation that transiently delays cell death. AB - Huntington's disease (HD) is a progressive neurodegenerative disease caused by a CAG repeat expansion in the coding region of the HD gene. The translated polyglutamine expansion causes the formation of insoluble aggregates in the brains of HD patients and transgenic mouse models. However, the relationship between aggregate formation and neuropathology remains unknown. We used fluorescent protein tagging and live-cell time-lapse microscopy to study visible aggregate formation and its relationship to cell death in transgenic PC12 cells. We used cell lines expressing a fragment of huntingtin exon 1 with either 23 (wild type) or 74 (mutant) glutamines fused to enhanced green fluorescent protein under the control of an inducible promoter. Live cells were observed in real time after transgene induction for up to 96 h. We found that aggregate formation was time-dependent and predominantly nuclear in these cells. We followed inclusion formation in individual cells, examining the cells every 10 min for up to 48 h. This revealed new details of inclusion formation. Initial aggregate formation was rapid (often <1 h), but many (18->48) h were needed to establish a final aggregate phenotype. Aggregates formed in a dynamic manner and were in constant motion within cell nuclei throughout their maturation. The formation of large aggregates occurred more frequently in cells that survived longer. However, aggregate size was not a good predictor of cell death, since cells could die with either large (>2 microm), small (<0.5 microm) or no visible aggregates. Cells that formed large aggregates survived longer than cells that formed small aggregates or no aggregates at all. However, the time taken for a cell to die decreased as a function of increasing size of final aggregate formed. Further, cells that formed aggregates earlier tended to die earlier. Together our data are compatible with a toxic role for aggregates/aggregation and support the 'toxic precursor' hypothesis. However, they also suggest that at some stages, the process of aggregate formation is cytoprotective. PMID- 18158110 TI - Inflammatory system gene polymorphism and the risk of stroke: a case-control study in an Indian population. AB - Sequence variations in genes involved in inflammation system are known to contribute to the risk of cardiovascular diseases (CVD) including stroke. In this study, we performed a genetic association study on the single nucleotide polymorphisms (SNPs) present in the genes CD14 (-159 C/T), TNFalpha (-308 G/A), IL-1alpha (-889 C/T), IL-6 (-174 G/C), PSMA6 (-8 C/G), and PDE4D (SNP83 T/C, respectively) in order to discern their possible role in the susceptibility to stroke in a North Indian population. These SNPs were previously found to be associated with CVD through their contribution to inflammation. A case-control design was used to examine 176 stroke patients (112 ischemic and 64 hemorrhagic stroke patients) and 212 unrelated healthy control individuals. After adjustment for the confounding risk factors, the IL-1alpha -889 T allele carriers (TT+CT) were found to be strongly associated with both forms of stroke (OR=2.56; 95% CI=1.53-4.29; P=0.0004). The CC genotype of PDE4D was found to be associated only with ischemic stroke (OR=2.02; 95% CI=1.08-3.76; P=0.03). None of the variants tested for the CD14, TNFalpha, IL-6, and PSMA6 genes found to confer risk for stroke in the study population. In conclusion, the -889 C/T and SNP83 T/C SNPs of the IL-1alpha and PDE4D genes, respectively, appear to be genetic risk factors for stroke in our study population. PMID- 18158112 TI - Contradictory effects of GABA-B receptor agonists on cortical epileptic afterdischarges in immature rats. AB - Classical GABA-B receptor agonist baclofen exhibits anticonvulsant as well as proconvulsant effects and these effects change during postnatal development. Epileptic afterdischarges (ADs) elicited by stimulation of sensorimotor cortex were used to analyze if it is a specific feature of baclofen or if another agonist SKF97541 possesses the same properties. To study developmental point of view 12-, 18- and 25-day-old rats were used. Both agonists exhibited anticonvulsant (decreased intensity of motor phenomena) and proconvulsant (decreased threshold intensities necessary for transition of epileptic activity into limbic structures; prolongation of ADs) action and these actions changed with age. SKF97541 is much more potent than baclofen. In addition to similarities marked differences between the two drugs were found. SKF97541 was able to increase threshold intensities of stimulation current necessary for elicitation of movements directly bound to stimulation, spike-and-wave type of ADs and accompanying clonic seizures in 12- and 18-day-old rats, baclofen was without effect. Suppression of intensity of both motor phenomena (movements and clonic seizures) was marked with SKF97541 in 12- and 18-day-old rats; this effect was only marginal in baclofen-treated animals. We can speculate that different subsets of GABA-B receptors are influenced by the two agonists but further studies are necessary. PMID- 18158111 TI - Developmental diazinon neurotoxicity in rats: later effects on emotional response. AB - Developmental exposure to the organophosphorus pesticides chlorpyrifos and diazinon (DZN) alters serotonergic synaptic function at doses below the threshold for cholinesterase inhibition, however there are some indications that the two agents may differ in several important attributes. Previously, we found that low dose chlorpyrifos exposure in neonatal rats causes lasting changes in emotional response and in the current study we did a comparable evaluation for DZN. Male and female Sprague-Dawley rat pups (N=10-12 of each sex per treatment group) were given 0, 0.5 or 2 mg/(kg day) of DZN s.c. daily on postnatal days (PND) 1-4. These doses bracket the threshold for barely-detectable cholinesterase inhibition. Starting on PND 52, these rats began a battery of tests to assess emotional reactivity. In the elevated plus maze, there was a slight decrease in the time spent in the open arms for DZN-exposed males, while DZN-exposed females were not different from control females. In the novelty-suppressed feeding test, DZN-exposed males had significantly shorter latencies to begin eating than did control males, reducing the values to those normally seen in females. DZN-exposed rats of either sex showed reduced preference for chocolate milk in the anhedonia test that compared the consumption of chocolate milk to water. These findings show that neonatal exposures to DZN at a dose range below the threshold for cholinesterase inhibition nevertheless evokes specific, later alterations in emotional behaviors, particularly in males. The effects show not only some similarities to those of chlorpyrifos but also some differences, in keeping with neurochemical findings comparing the two agents. PMID- 18158113 TI - Voltage-gated sodium channel Nav1.1, Nav1.3 and beta1 subunit were up-regulated in the hippocampus of spontaneously epileptic rat. AB - The spontaneously epileptic rat (SER), a double mutant (zi/zi, tm/tm), exhibits both tonic convulsions and absence-like seizures from the age of 8 weeks. Since the first point mutation in the voltage-gated sodium channel (VGSC) beta(1) subunit in human generalized epilepsy with febrile seizures plus (GEFS+) was identified, more and more types of genetic epilepsy have been causally suggested to be related to gene changes in VGSC. However, there are no reports that can elucidate the effects of VGSC in SER. The present study was undertaken to detect sodium channel I alpha-isoform (Na(v)1.1), sodium channel III alpha-isoform (Na(v)1.3) and beta(1) subunit from both the level of mRNA and protein in SERs hippocampus compared with control Wistar rats. In this study, the mRNA expressions of Na(v)1.1, Na(v)1.3 and beta(1) subunit in SERs hippocampus were significantly higher than those in control rats hippocampus by real-time RT-PCR; The protein distributions and expressions of Na(v)1.1, Na(v)1.3 and beta(1) subunit in SERs hippocampus were detected by immunofluorescence, immunohistochemistry and western blot, and the protein expressions of Na(v)1.1, Na(v)1.3 and beta(1) subunit were significantly increased. In conclusion, our study suggested for the first time that sodium channel Na(v)1.1, Na(v)1.3 and beta(1) subunit up-regulation at the mRNA and protein levels of SER hippocampus might contribute to the generation of epileptiform activity and underlie the observed seizure phenotype in SER. The results of this study may be of value in revealing components of the molecular mechanisms of hippocampal excitation that are related to genetic epilepsy. PMID- 18158114 TI - Studies on naive CD4+CD25+T cells inhibition of naive CD4+CD25- T cells in mixed lymphocyte cultures. AB - BACKGROUND: Naive CD4+CD25+T cells suppress immune responses in a non-antigen specific manner. The effects of naive CD4+CD25+T cells in suppressing alloimmune responses as assayed in the mixed lymphocyte culture (MLC) is poorly understood. METHOD: The alloreactivity of naive CD4+CD25+, CD4+CD25(-) and unfractionated CD4+T cells from DA rats was compared in MLC with MHC incompatible stimulator cells. The response of Lewis and PVG cells to semi-allogeneic (LewisxPVG)F1 cells and fully allogeneic stimulators were compared. Potential mechanisms of suppression were examined by blocking T cell cytokines, produced by activated CD4+CD25+T cells. RESULTS: Proliferation of CD4+CD25(-)T cells was significantly greater than unfractionated CD4+T cells to both allogeneic and syngeneic stimulator cells. CD4+CD25+T cells had no response to syngeneic stimulators and very low proliferative responses to alloantigen due to the Foxp3(-) cells. Admixing CD4+CD25+T cells with CD4+CD25(-)T cells at a ratio of 1:10 reduced the proliferation to that of unfractionated CD4+ T cells. At a ratio of 1:1 proliferation was nearly totally suppressed, IL-2, IL-4 and IL-5 mRNA induction was reduced but IFN-gamma, IL-10, TGF-beta and inducible nitric oxide (iNOS) mRNA induction was spared. The inhibition by CD4+CD25+ T cells was not due to their consumption of IL-2 nor to anti-CD25mAb that had been used to enrich the cells being releases and blocking the IL-2 receptor on CD4+CD25(-)T cells that had been activated by alloantigen and induced to express CD25. Blocking IFN-gamma, IL-10, TGF-beta, IL-5 or iNOS did not prevent CD4+CD25+T cell's inhibition of CD4+CD25( )T cell proliferation. Blocking IFN-gamma or iNOS enhanced CD4+CD25(-)T cell proliferation only in the absence of CD4+CD25+T cells. Depletion of CD4+CD25+T cells enhanced responses to syngeneic stimulator cells, but this anti-self suppression did not regulate the response to alloantigen on semi-allogeneic stimulators. CONCLUSIONS: Two independent mechanisms that control proliferation of CD4+CD25(-)T cells in MLC were identified that naive CD4+CD25+T cells mediated by cell to cell contact and not release of cytokines produced in the cultures, and that CD4+CD25(-)T cells producing IFN-gamma to induce iNOS. PMID- 18158115 TI - Survival of skin allografts is prolonged in mice with a dominant-negative H-Ras. AB - Ras is a guanine nucleotide-binding protein that plays a major role in regulating the proliferation of T cells. To investigate the mechanism of the Ras/mitogen activated protein kinase pathway, one of the downstream signal-transduction pathways of T-cell receptors, in the response to alloantigen, we performed full thickness skin grafting in the major histocompatibility complex (MHC) incompatible strain BALB/c (H-2Kd) (donor) and T-cell-specific H-Ras dominant negative (dnRas) transgenic (tg) C57BL/6 (H-2Kb) (recipient) male mice. In vitro and in vivo dnRas tg mouse T-cell proliferation and cytotoxic T lymphocyte (CTL) activity assay were also performed. The median graft survival time in control B6/wild type (wt) mouse allografts was seven days. Conversely, the dnRas tg mouse group exhibited a significant (p<0.01) prolongation of graft survival to 15 days. However, all grafts were eventually rejected after one month. Mixed lymphocyte reaction and popliteal lymph node assay revealed that T-cell proliferation was decreased in response to alloantigen, but CTL activity was not changed in the dnRas tg mice. These results suggested that Ras is essential for peripheral T lymphocytes to respond to allo-MHC antigens, and Ras may be a molecular target for controlling transplant rejection. PMID- 18158116 TI - Rapamycin-conditioned, alloantigen-pulsed dendritic cells promote indefinite survival of vascularized skin allografts in association with T regulatory cell expansion. AB - Clinically-applicable protocols that promote tolerance to vascularized skin grafts may contribute to more widespread use of composite tissue transplantation. We compared the properties of alloantigen (Ag)-pulsed, rapamycin (Rapa) conditioned and control bone marrow-derived host myeloid dendritic cells (DCs) and their potential, together with transient immunosuppression (anti-lymphocyte serum+cyclosporine), to promote long-term, vascularized skin graft survival in Lewis rats across a full MHC barrier. Both types of DCs expressed low levels of CD86, but Rapa DC expressed lower levels of MHC II and CD40 and were less stimulatory in MLR. While both Rapa and control DCs produced low levels of IL 12p70 and moderate levels of IL-6 and IL-10 following TLR ligation, Rapa DC secreted significantly lower levels of IL-6 and IL-10 in response to LPS. Donor Ag-pulsed Rapa DC, but not control DC, induced long-term skin graft survival (median survival time >133 days) when administered 7 and 14 days post-transplant. Circulating T cells in hosts with long-surviving grafts were hyporesponsive to donor alloAg stimulation, but proliferated in response to third-party stimulation and produced IFN-gamma and IL-10. When recipients of long-surviving grafts were challenged with skin grafts, donor but not third-party grafts were prolonged, suggesting underlying regulatory mechanisms. Both flow cytometry and immunohistochemical analysis revealed that donor Ag-pulsed Rapa DC infusion expanded CD4+ Foxp3+ Treg in recipients' spleens, graft-associated lymph nodes and the graft. These data demonstrate for the first time that pharmacologically modified, donor Ag-pulsed host DC administered post-transplant can promote indefinite vascularized skin graft survival, associated with Treg expansion. PMID- 18158117 TI - Tabebuia avellanedae extracts inhibit IL-2-independent T-lymphocyte activation and proliferation. AB - In order to identify new, immune modulating compounds, aqueous extracts of plants pre-selected on ethno-pharmacological knowledge were screened for inhibitory effects in an anti-CD3 driven lymphocyte proliferation assay (MTT-assay). We found for the extract of the inner bark of Tabebuia avellanedae (Tabebuia) dose dependent and reproducible inhibitory effects on lymphocyte proliferation. We further analyzed Tabebuia in flow cytometry based whole blood T-cell function assays. We found that Tabebuia inhibited dose dependent ConA stimulated T-cell proliferation. Decreased T-lymphocyte proliferation was associated with dose dependent reduction of CD25 and CD71 expression on T-lymphocytes. In contrast Tabebuia exerted no effects on cytokine expression (Il-2 and TNF-alpha) by PMA/Ionomycin stimulated T-lymphocytes. Concentrations of Tabebuia used were not toxic for lymphocytes as verified by trypan blue exclusion assay. Further experiments showed that the immune inhibitory effects by Tabebuia were not mediated by its pharmacological lead compound beta-lapachone and only observed in aqueous but not in ethanol plant extracts. PMID- 18158118 TI - The spleen's role in transplantation immunology. AB - While graft rejection has been studied for many years, recent investigations have focused on the generation and maintenance of transplantation tolerance. This review examines the role of secondary lymphoid organs, especially the spleen, characterizes the maintenance mechanism that is key to the development of tolerance and explores the implications of new strategies for inducing tolerance in transplantation. PMID- 18158119 TI - Donor bone marrow cells play a role in the prevention of accelerated graft rejection induced by semi-allogeneic spleen cells in transplantation. AB - Spleen or spleen plus bone marrow cells from (BALB/cxC57Bl/6)F1 donors were transferred into BALB/c recipients 21 days before skin or cardiac transplantation. Prolonged graft survival was observed on recipients treated with the mixture of donor-derived cells as compared to those treated with spleen cells alone. We evaluated the expression of CD45RB and CD44 by splenic CD4+ and CD8+ T cells 7 and 21 days after donor cell transfer. The populations of CD8+CD45RBlow and CD8+CD44high cells were significantly decreased in mice pre-treated with donor spleen and bone marrow cells as compared to animals treated with spleen cells only, although these cells expanded in both groups when compared to an earlier time-point. No differences were observed regarding CD4+ T cell population when recipients of donor-derived cells were compared. An enhanced production of IL-10 was observed seven days after transplantation in the supernatants of spleen cell cultures of mice treated with spleen and bone marrow cells. Taken together these data suggest that donor-derived bone marrow cells modulate the sensitization of the recipient by semi-allogeneic spleen cells in part by delaying the generation of activated/memory CD8+ T cells leading to enhanced graft survival. PMID- 18158120 TI - Combined use of myeloid-related protein 8/14 and procalcitonin as diagnostic markers for acute allograft rejection in kidney transplantation recipients. AB - The myeloid-related proteins 8 and 14 exist as a dimeric complex (MRP 8/14) and serve as early and highly specific markers for inflammatory processes, such as allograft rejection and non-viral (bacterial or fungal) infections. An elevated procalcitonin (PCT) concentration in serum also serves as a diagnostic indicator of non-viral infection. Therefore, by measuring both MRP 8/14 and PCT serum concentrations, one may be able to distinguish between acute allograft rejection and non-viral infections in non-rejection transplant recipients. Here, we investigated whether MRP 8/14 and PCT can function as prognostic (Study I) or diagnostic (Study II) markers for allograft rejection in renal transplant recipients. In Study I, the serum concentrations of MRP 8/14 and PCT during the first 2 weeks after transplantation did not differ between patients who did and did not suffer organ rejection within 1 year post-transplantation; these findings suggest that the MRP 8/14 and PCT parameters are not valid prognostic markers. However, in Study II, patients with acute rejection or non-rejection/non-viral infection groups displayed a significant increase in serum MRP 8/14 concentration, and non-rejection patients with non-viral infections only had elevation in the PCT serum concentrations. These results indicate that the combined use of MRP 8/14 and PCT serum concentrations can allow one to distinguish between allograft rejection and other inflammatory processes, such as infection. PMID- 18158121 TI - Cytokine gene polymorphism in kidney transplantation--impact of TGF-beta 1, TNF alpha and IL-6 on graft outcome. AB - Chronic allograft nephropathy (CAN) is one of the main causes of graft loss in renal transplantation. Polymorphisms with functional significance in the promoter and coding regions of cytokine genes have been suggested as a possible factor for graft rejection. The aim of this study was to investigate the impact of cytokine gene polymorphism of pro and anti-inflammatory cytokines on development of CAN in a group of renal transplant patients and donors. Eight single nucleotide polymorphisms (SNPs) including TNFA (-308), TGFB1 (cdns10, 25), IL-10 (-1082, 819, -592), IL-6 (-174) and IFNG (+874) were analyzed in 56 patients with stable graft function (SGF), 10 with CAN and 28 kidney donors by PCR-SSP method. CAN was significantly associated with the recipient TGFB1 cod10 T/T and combination of cods10, 25 T/T G/G genotypes (high producer), (p<0.05). Influence of patient's TNFA genotype correlated with high level of gene expression on the development of CAN was further demonstrated when the patients were stratified according to the HLA mismatches (HLA-DRB MMs). Additionally donor TNFA-308 G/A (high) and IL-6-174 CC (low) genotypes were increased in cases with CAN. No statistically significant differences in distribution of IL-10, IL-6 and IFNG genotypes between recipients with SGF and CAN were found. In conclusion our data suggest that the high producer genotype of profibrogenetic TGF-beta1, pro-inflammatory TNF-alpha and genetically determined low production of immunoregulatory IL-6 cytokine might be risk factors for CAN development. PMID- 18158122 TI - Dyslipidemia can reduce the immunosuppressive effects of cyclosporine. AB - AIMS: Dyslipidemia is a significant risk factor for the development of atherosclerotic disease and of chronic allograft rejection. Few data are available on the effects of dyslipidemia on the immunosuppressive action of immunosuppressive agents. We investigate the in vitro effects of lipids solution on the immunosuppressive action of cyclosporine (CsA). METHODS: Peripheral blood mononuclear cells (PBMC) were PHA or OKT3 activated in vitro with/without different concentrations of Intralipid solution (INT, range 0.5% to 15%). CsA inhibition of activation was measured after a 3 day incubation, by adding H3 thimidine. The intracellular concentration of CsA was measured by radioimmunoassay and related to the CsA inhibitory effects. RESULTS: Increasing INT concentration in the medium, CsA inhibition of PBMC activation by PHA or OKT3 was reduced from 72+/-13% to 8+/-2% and from 80+/-10% to 18+/-3%, respectively. A significant reduction of the intracellular CsA concentration was also evident with increasing INT concentrations and was related to the inhibitory activity of CsA. CONCLUSIONS: These results suggest that dyslipidemia may reduce the availability of intracellular CsA concentration to inhibit the immune activation process and may explain the relationship between dyslipidemia and chronic allograft loss. PMID- 18158124 TI - Human leukocyte antigen-G expression after kidney transplantation is associated with a reduced incidence of rejection. AB - HLA-G is a non-classic Human Leukocyte Antigen (HLA-G) Class I of low polymorphism and restricted tissue distribution that displays tolerogenic functions. In heart transplantation and in combined liver/renal allograft transplantation, the expression of HLA-G has been associated with a lower incidence of acute graft rejection episodes and absence of chronic dysfunction. Since the expression of HLA-G in renal biopsies has been investigated only in few patients who received a combined kidney and liver transplant, in this study we performed a cross-sectional study, systematically comparing the expression of HLA G in post-transplanted renal grafts, stratifying patients according to the presence or absence of rejection. PATIENTS AND METHODS: Seventy-three renal specimens (10 with acute rejection and 13 with chronic allograft nephropathy, and 50 with no signs of rejection) were immunohistochemically evaluated for HLA-G expression. RESULTS: In the group as a whole, HLA-G molecules were detected in 40 cases (54.8%). Among specimens that presented HLA-G expression, 2 out of 40 (5%) exhibited acute rejection, 2 (5%) exhibited chronic allograft nephropathy, and the remaining 36 (90%) exhibited no signs of rejection. The comparison between patients with rejection and those without rejection showed that the expression of HLA-G was significantly increased in specimens exhibiting no signs of rejection (p<0.0001). Considering only patients with acute rejection, 8 out of 10 patients showed no HLA-G expression in their kidney biopsies when compared to patients exhibiting no signs of rejection and absence of HLA-G was observed in 14 out of 50 (p=0.0032). Similarly, considering only patients with chronic allograft nephropathy, absence of HLA-G expression was observed in 11 out of 13 specimens, whereas in patients without rejection absence of HLA-G was observed in 14 out of 50 (p=0.003). Therapy with tacrolimus was significantly associated with the expression of HLA-G and a better graft prognosis. CONCLUSIONS: Our results suggest that HLA-G expression in the kidney allograft and the use of tacrolimus are associated with a lower frequency of acute renal rejection and chronic allograft nephropathy. PMID- 18158123 TI - Retransplant candidates have donor-specific antibodies that react with structurally defined HLA-DR,DQ,DP epitopes. AB - This report describes a detailed analysis how donor-specific HLA class II epitope mismatching affects antibody reactivity patterns in 75 solid organ transplant recipients with an in situ allograft and who were considered for retransplantation. Sera were tested for antibodies in a sensitive antigen-binding assay (Luminex) with single class II alleles. Their reactivity was analyzed with HLAMatchmaker, a structural matching algorithm that considers so-called eplets to define epitopes recognized by antibodies. Only 24% of the patients showed donor specific anti-DRB1 antibodies and there was a significant correlation with a low number of mismatched DRB1 eplets. This low detection rate of anti-DRB1 antibodies may also be due to allograft absorption. In contrast, antibodies to DRB3/4/5 mismatches were more common. Especially, 83% of the DRB4 (DR53) mismatches resulted in detectable antibodies against an eplet uniquely found on DR53 antigens. Donor-specific DQB mismatches led to detectable anti-DQB antibodies with a frequency of 87%. Their specificity correlated with eplets uniquely found on DQ1-4. The incidence of antibodies induced by 2-digit DQA mismatches was 64% and several eplets appeared to play a dominant role. These findings suggest that both alpha and beta chains of HLA-DQ heterodimers have immunogenic epitopes that can elicit specific antibodies. About one-third of the sera had anti-DP antibodies; they reacted primarily with two DPB eplets and an allelic pair of DPA eplets. These data demonstrate that HLA class II reactive sera display distinct specificity patterns associated with structurally defined epitopes on different HLA-D alleles. PMID- 18158125 TI - Immunological status in three patients, thirty years after living related renal transplantation: antibody production in long-term survivors. AB - There have been few studies of the immune status of long-term follow-up patients after living-donor kidney transplantation. We investigated the immune status from the immunologic and pathologic standpoint of three long surviving recipients who had received renal grafts more than 30 years earlier. Anti-HLA antibodies that had not been present before transplantation were detected in one recipient with three HLA mismatches. One recipient with identical HLA showed positive for the crossmatch test, but not for the panel reactive antibody test (PRA), thus showing that this patient had HLA antibodies against HLA minor histocompatibility antigens, etc. Only one patient with established microchimerism was stable without any antibody production. Pathologically, chronic allograft nephropathy with C4d staining suggestive of antibody-mediated rejection was observed in both patients with HLA antibodies. Physicians should clinically manage patients by always bearing in mind the presence of anti-donor antibodies during long-term regular follow-up of transplanted kidneys. PMID- 18158126 TI - Part B--microRNAs: microRNA methods. PMID- 18158128 TI - Computational analysis of small RNA cloning data. AB - Cloning and sequencing is the method of choice for small regulatory RNA identification. Using deep sequencing technologies one can now obtain up to a billion nucleotides--and tens of millions of small RNAs--from a single library. Careful computational analyses of such libraries enabled the discovery of miRNAs, rasiRNAs, piRNAs, and 21U RNAs. Given the large number of sequences that can be obtained from each individual sample, deep sequencing may soon become an alternative to oligonucleotide microarray technology for mRNA expression profiling. In this report we present the methods that we developed for the annotation and expression profiling of small RNAs obtained through large-scale sequencing. These include a fast algorithm for finding nearly perfect matches of small RNAs in sequence databases, a web-accessible software system for the annotation of small RNA libraries, and a Bayesian method for comparing small RNA expression across samples. PMID- 18158127 TI - Identification of microRNAs and other small regulatory RNAs using cDNA library sequencing. AB - Distinct classes of small RNAs, 20-32 nucleotides long, play important regulatory roles for diverse cellular processes. It is therefore important to identify and quantify small RNAs as a function of development, tissue and cell type, in normal and disease states. Here we describe methods to prepare cDNA libraries from pools of small RNAs isolated from organisms, tissues or cells. These methods enable the identification of new members or new classes of small RNAs, and they are also suitable to obtain miRNA expression profiles based on clone count frequencies. This protocol includes the use of new deep sequencing methods (454/Roche and Solexa) to facilitate the characterization of diverse sequence pools of small RNAs. PMID- 18158130 TI - Real-time PCR quantification of precursor and mature microRNA. AB - microRNAs (miRNAs) are challenging molecules to amplify by PCR because the miRNA precursor consists of a stable hairpin and the mature miRNA is roughly the size of a standard PCR primer. Despite these difficulties, successful real-time RT-PCR technologies have been developed to amplify and quantify both the precursor and mature microRNA. An overview of real-time PCR technologies developed by us to detect precursor and mature microRNAs is presented here. Protocols describe presentation of the data using relative (comparative C(T)) and absolute (standard curve) quantification. Real-time PCR assays were used to measure the time course of precursor and mature miR-155 expression in monocytes stimulated by lipopolysaccharide. Protocols are provided to configure the assays as low density PCR arrays for high throughput gene expression profiling. By profiling over 200 precursor and mature miRNAs in HL60 cells induced to differentiate with 12-O tetradecanoylphorbol-13-acetate, it was possible to identify miRNAs who's processing is regulated during differentiation. Real-time PCR has become the gold standard of nucleic acid quantification due to the specificity and sensitivity of the PCR. Technological advancements have allowed for quantification of miRNA that is of comparable quality to more traditional RNAs. PMID- 18158129 TI - Expression profiling of microRNA using oligo DNA arrays. AB - After 12 years from its first application, microarray technology has become the reference technique to monitor gene expression of thousands of genes in the same experiment. In the past few years an increasing amount of evidence showed the importance of non-coding RNA (ncRNA) in different human diseases. The microRNAs (miRNAs) are one of the groups of ncRNA. They are small RNA fragments, 19-25 nucleotides long, with a main regulatory function on both protein coding genes and non-coding RNAs. The application of microarray platforms applied to miRNA profiling determined their deregulation in virtually all human diseases that have been studied. We previously developed a custom miRNA microarray platform, and here we describe the protocol we used to work with it including the oligo design strategy, the microarray printing protocol, the target-probe hybridization and the signal detection. PMID- 18158131 TI - In situ detection of precursor and mature microRNAs in paraffin embedded, formalin fixed tissues and cell preparations. AB - The in situ detection of microRNAs (miRs) expression offers several challenges. It would be advantageous to have a method which can be used in paraffin embedded, formalin fixed tissue to be able to access the large data bank of archival material. Further, it would be helpful if one could differentiate between precursor and mature, active forms of the miR. In this review, two different methods for the in situ detection of miR in paraffin embedded, formalin fixed tissues are described. Detection of the inactive precursor miR can be accomplished by RT in situ PCR. This will allow the detection of one copy of a given pre-miR per cell. Detection of the mature form of a given miR can be accomplished with in situ hybridization with a labeled probe in which some of the nucleotides have been modified; this is referred to as a locked nucleic acid (LNA) probe. An intense signal after in situ detection with the LNA probe documents marked up-regulation of the, typically, mature miR. Further, one can easily determine the specific subcellular compartmentalization of the precursor and mature forms which may provide insight into the modulation of these important regulatory molecules and their targets. PMID- 18158133 TI - Inhibition of microRNA with antisense oligonucleotides. AB - Antisense inhibition of microRNA (miRNA) function has been an important tool for uncovering miRNA biology. Chemical modification of anti-miRNA oligonucleotides (AMOs) is necessary to improve affinity for target miRNA, stabilize the AMO to nuclease degradation, and to promote tissue uptake for in vivo delivery. Here I summarize the work done to evaluate the effectiveness of various chemically modified AMOs for use in cultured cells and rodent models, and outline important issues to consider when inhibiting miRNAs with antisense oligonucleotides. PMID- 18158132 TI - Experimental validation of miRNA targets. AB - MicroRNAs are natural, single-stranded, small RNA molecules that regulate gene expression by binding to target mRNAs and suppress its translation or initiate its degradation. In contrast to the identification and validation of many miRNA genes is the lack of experimental evidence identifying their corresponding mRNA targets. The most fundamental challenge in miRNA biology is to define the rules of miRNA target recognition. This is critical since the biological role of individual miRNAs will be dictated by the mRNAs that they regulate. Therefore, only as target mRNAs are validated will it be possible to establish commonalities that will enable more precise predictions of miRNA/mRNA interactions. Currently there is no clear agreement as to what experimental procedures should be followed to demonstrate that a given mRNA is a target of a specific miRNA. Therefore, this review outlines several methods by which to validate miRNA targets. Additionally, we propose that multiple criteria should be met before miRNA target validation should be considered "confirmed." PMID- 18158134 TI - Computational methods for analysis of cellular functions and pathways collectively targeted by differentially expressed microRNA. AB - This report presents computational methods of analysis of cellular processes, functions, and pathways affected by differentially expressed microRNA, a statistical basis of the gene enrichment analysis method, a modification of enrichment analysis method accounting for combinatorial targeting of Gene Ontology categories by multiple miRNAs and examples of the global functional profiling of predicted targets of differentially expressed miRNAs in cancer. We have also summarized an application of Ingenuity Pathway Analysis tools for in depth analysis of microRNA target sets that may be useful for the biological interpretation of microRNA profiling data. To illustrate the utility of these methods, we report the main results of our recent computational analysis of five published datasets of aberrantly expressed microRNAs in five human cancers (pancreatic cancer, breast cancer, colon cancer, lung cancer, and lymphoma). Using a combinatorial target prediction algorithm and statistical enrichment analysis, we have determined Gene Ontology categories as well as biological functions, disease categories, toxicological categories, and signaling pathways that are: targeted by multiple microRNAs; statistically significantly enriched with target genes; and known to be affected in specific cancers. Our recent computational analysis of predicted targets of co-expressed miRNAs in five human cancers suggests that co-expressed miRNAs provide systemic compensatory response to the abnormal phenotypic changes in cancer cells by targeting a broad range of functional categories and signaling pathways reportedly affected in a particular cancer. PMID- 18158136 TI - Cystic lung disease. AB - Cystic lung disease is divided into congenital and acquired lesions. Congenital cystic lung disease includes several malformations with distinct anatomical and histological features. There is significant overlap between these lesions to suggest a common pathologic mechanism for their occurrence. Congenital cystic lung lesions include cystic adenomatoid malformations, pulmonary sequestrations, congenital lobar emphysema, and peripheral bronchogenic cysts. These lesions are commonly diagnosed prenatally with high accuracy. Prenatal imaging has allowed us to better understand their natural history and devise strategies for prenatal and postnatal management. Some lesions warrant resection (even prenatally), whereas others can be managed expectantly. PMID- 18158137 TI - Pulmonary vascular malformations. AB - Pulmonary vascular malformations have historically been diagnosed in a wide range of age groups, but the extensive use of prenatal imaging studies has resulted in the majority of lesions being diagnosed in utero. Among this group of lesions, bronchopulmonary sequestrations (BPS), hybrid lesions with both congenital cystic adenomatoid malformation (CCAM) and BPS, aberrant systemic vascular anastomoses, and pulmonary arteriovenous malformations (PAVM), are the most common. The biologic behavior of these lesions and the subsequent therapy is, in large part, determined by the age of the patient at diagnosis. In the fetus, large BPS or hybrid lesions can result in fetal hydrops and in utero fetal demise. In the perinatal period, pulmonary hypoplasia from the mass effect or air trapping within the cystic component of hybrid lesions can result in life-threatening respiratory distress. In the postnatal period, communication of the lesion with the aero-digestive system can result in recurrent pneumonia. Alternatively, increased pulmonary blood flow from the systemic arterial supply can result in hemorrhage, hemoptysis, or high output cardiac failure. In addition, there have been several reports of malignant degeneration. Finally, the broad spectrum encompassed by these lesions makes classification and subsequent communication of the lesions confusing and difficult. This paper will review the components of these lesions, their associated anomalies, the diagnosis and natural history, and finally, current concepts in the management of pulmonary vascular malformations. PMID- 18158138 TI - Pediatric pulmonary tumors: primary and metastatic. AB - Pediatric pulmonary tumors are rare. There is often a significant delay in diagnosis of pulmonary tumors secondary to their rarity and nonspecific presenting physiologic and radiographic findings. A high index of suspicion in pediatric patients with recurrent or persistent pulmonary symptoms is of paramount importance in diagnosing pulmonary tumors at an early stage. Malignant pulmonary tumors are more frequently diagnosed than benign lesions, with metastatic cancers being the most common. Complete surgical resection remains the basis of therapy for primary lesions, and its role in secondary cancers is becoming more established. Adjuvant therapies are frequently employed depending on the precise tumor involved. Mortality rates vary greatly depending on tumor location, stage, and type. PMID- 18158139 TI - Minimally invasive surgery of the lung: lung biopsy, treatment of spontaneous pneumothorax, and pulmonary resection. AB - Thoracoscopy of pediatric patients has evolved from diagnostic lung biopsy to a myriad of both diagnostic and therapeutic procedures. In this chapter, we discuss those procedures related to the child's lung which are most commonly performed: lung biopsy; resection of bronchogenic cysts, pulmonary sequestrations, and pulmonary lobes; and the treatment of spontaneous pneumothorax. PMID- 18158140 TI - Respiratory failure and extracorporeal membrane oxygenation. AB - Conventional treatment of respiratory failure involves positive pressure ventilation with high concentrations of inspired oxygen. If adequate gas exchange still cannot be achieved extracorporeal membrane oxygenation (ECMO) may be an option. The general indication for ECMO for respiratory insufficiency is a reversible pulmonary disease, which cannot be managed by conventional means. ECMO is a modified heart-lung machine. Blood is withdrawn from a central vein in the patient and pumped through an artificial oxygenator back to the patient, either to a central artery (veno-arterial ECMO) or to a central vein (veno-venous ECMO). Total gas exchange can be achieved through the extracorporeal system, and the lungs do not have to be subjected to high-pressure ventilation. To date over 21,500 neonates have been treated with ECMO with an overall survival to hospital discharge of 76%. Meconium aspiration syndrome carries the highest survival (94%), whereas congenital diaphragmatic hernia on ECMO only has a survival of 52%. A total of 3500 pediatric patients (30 days to 18 years) have been treated with ECMO with a survival of 56%. Aspiration and viral pneumonia are the pediatric diagnoses with the highest survival rates. Randomized controlled studies have shown a significant advantage of ECMO with regard to survival in neonates. In the pediatric age group, nonrandomized studies have shown lower mortality in ECMO-treated patients. PMID- 18158141 TI - Respiratory infections: pneumonia, lung abscess, and empyema. AB - Pneumonia is an important clinical problem that affects children of all ages. Although effectively treated on an outpatient basis in the majority of cases, some children with respiratory infections still require hospitalization. This may be particularly true for patients with immunocompromise, for whom the lung represents the most common site of infection. Furthermore, respiratory infections represent a significant source of morbidity and mortality in this patient population. This article focuses on the clinical presentation, etiology, and treatment of childhood pneumonia, with special consideration given to the immunocompromised child. Two specific complications of pneumonia, lung abscess and empyema, are discussed. PMID- 18158142 TI - The lung and pediatric trauma. AB - Thoracic trauma is relatively frequent in children and causes considerable mortality. This is mainly due to the multiorganic nature of the trauma. The lung is more often affected even in the absence of rib fractures because of the considerable pliability of the chest wall that allows direct transfer of energy to this organ. Injuries to the heart, the aorta, the esophagus, and the diaphragm are rare. Lung contusion and laceration cause parenchymal hemorrhage and consolidation sometimes accompanied by pneumothorax and/or hemothorax. Tracheobronchial disruption is rare but life-threatening. Most traumatic lung injuries may be treated with rest, respiratory support, and eventually intercostal drainage. Large hemorrhage may require thoracotomy, and persistent pneumothorax (indicative of tracheobronchial disruption) may require intubation with fiberoptic bronchoscopic assistance and eventually reparative or ablative surgery. Adult respiratory distress syndrome is very rarely seen in children with thoracic trauma, but it remains highly lethal. PMID- 18158143 TI - Pulmonary surgery in cystic fibrosis. AB - Cystic fibrosis (CF) has a variety of pulmonary manifestations that include pneumonia, pulmonary abscess, bronchiectasis, hemoptysis, and pneumothorax. Although newer therapies have greatly improved survival of patients with CF, surgical interventions for definitive treatment of these sequelae are often required. Several reports have illustrated that, with the current advances in the perioperative treatment and care of CF patients, surgical interventions for these pulmonary manifestations may be performed safely, resulting in a greatly improved quality of life. Also, although improvements in lung transplantation offer new hope for definitive treatment of those patients with cystic fibrosis, special considerations regarding other surgical issues, such as the prevalence of gastroesophageal reflux, need to be addressed. PMID- 18158144 TI - A study in glycation of a therapeutic recombinant humanized monoclonal antibody: where it is, how it got there, and how it affects charge-based behavior. AB - The glycated form of a basic recombinant humanized monoclonal antibody (rhuMAb) was separated and quantitated by boronate affinity chromatography using optimized shielding reagents. Characterization on the isolated glycated material by peptide mapping analysis, using liquid chromatography-mass spectrometry (LC-MS) and tandem mass spectrometry (MS/MS) sequencing techniques, identified eight reactive lysine primary amine sites. The glycation reaction extent was similar among the various reactive sites, ranging from approximately 1 to 12%, and a single histidine residue separated the most and least reactive sites. Boronate chromatography run in a linear gradient mode separated monoglycated rhuMAb from higher order glycated species and indicated that the majority ( approximately 90%) of glycated rhuMAb is monoglycated. Low-level glycation on a heavy chain lysine located within a complementarity-determining region (CDR) did not significantly affect binding activity in potency measurements. The glycated forms also behaved as slightly more acidic than the nonglycated antibody in charge based separation techniques, observable by capillary isoelectric focusing (cIEF) and ion exchange chromatography (IEC). The boronate column has significantly increased retention of aggregated rhuMAb material under separation conditions optimized for the monomer form. Recombinant protein glycation initially occurred during production in mammalian cell culture, where feed sugar and protein concentrations contribute to the total overall glycation on this antibody product. PMID- 18158145 TI - Cognitive load selectively interferes with utilitarian moral judgment. AB - Traditional theories of moral development emphasize the role of controlled cognition in mature moral judgment, while a more recent trend emphasizes intuitive and emotional processes. Here we test a dual-process theory synthesizing these perspectives. More specifically, our theory associates utilitarian moral judgment (approving of harmful actions that maximize good consequences) with controlled cognitive processes and associates non-utilitarian moral judgment with automatic emotional responses. Consistent with this theory, we find that a cognitive load manipulation selectively interferes with utilitarian judgment. This interference effect provides direct evidence for the influence of controlled cognitive processes in moral judgment, and utilitarian moral judgment more specifically. PMID- 18158146 TI - Two receptor-like kinases required together for the establishment of Arabidopsis cotyledon primordia. AB - Inter-regional signaling coordinates pattern formation in Arabidopsis thaliana embryos. However, little is known regarding the cells and molecules involved in inter-regional communication. We have characterized two related leucine-rich repeat receptor-like kinases (LRR-RLKs), RECEPTOR-LIKE PROTEIN KINASE1 (RPK1) and TOADSTOOL2 (TOAD2), which are required together for patterning the apical embryonic domain cell types that generate cotyledon primordia. Central domain protoderm patterning defects were always observed subjacent to the defective cotyledon primordia cell types in mutant embryos. In addition, RPK1-GFP and TOAD2 GFP translational fusions were both localized to the central domain protodermal cells when cotyledon primordia were first recognizable. We propose that RPK1 and TOAD2 are primarily required to maintain central domain protoderm cell fate and that the loss of this key embryonic cell type in mutant embryos results in patterning defects in other regions of the embryo including the failure to initiate cotyledon primordia. PMID- 18158147 TI - Zebrafish dlx2a contributes to hindbrain neural crest survival, is necessary for differentiation of sensory ganglia and functions with dlx1a in maturation of the arch cartilage elements. AB - The Dlx genes are expressed in a coordinate manner, establishing proximal-distal polarity within the pharyngeal arches. In zebrafish, dlx2a is expressed in the migrating cranial neural crest that contributes to the pharyngeal arches. Expression of dlx2a in the arches is subsequently followed by overlapping expression of the physically linked dlx1a gene, and of other paralogues that include dlx5a/dlx6a and dlx3b/dlx4b. To investigate the patterning and establishment of arch proximodistal polarity in zebrafish, we characterized the function of dlx2a and dlx1a, using antisense morpholino oligonucleotides (MOs). We show that embryos injected with dlx1a and dlx2a MOs exhibit reduced and dysmorphic arch cartilage elements. The combined loss of dlx1a and dlx2a causes severe arch cartilage dysmorphology, revealing a role for these genes in maturation and patterning of arch chondrogenesis. Knockdown of dlx2a affects migrating neural crest cells as evidenced by reduced expression of crestin, and sox9a transcripts, in addition to increased levels of apoptosis. During pharyngogenesis, loss of dlx2a results in aberrant barx1 expression and the absence of goosecoid transcripts in the dorsal region of the ceratohyal arch. Defects in the differentiation of ectomesenchymal derivatives, including sensory ganglia and cartilage elements, indicate a role for dlx2a in specification and maintenance of cranial neural crest. PMID- 18158148 TI - Thermodynamic analysis does not allow discrimination of agonists and antagonists at human CCK2S-receptors. AB - Studies have shown that measurement of thermodynamic parameters (enthalpy, DeltaH degrees and entropy, DeltaS degrees ) can allow discrimination of agonists and antagonists (e.g. Weiland, G.A., Minneman, K.P., Molinoff, P.B., 1979. Fundamental difference between the molecular interactions of agonists and antagonists with the beta-adrenergic receptor. Nature, 281, 114.). Recently, we found that agonists and antagonists were not thermodynamically-distinguished at cholecystokinin (CCK)2-receptors in rat cerebral cortex. However, in this study, the possibility that thermodynamic discrimination at CCK2-receptors exists but that it was not detected, could not be excluded because radioligand binding studies and functional assays were performed in different rat tissues. Therefore, we have repeated these studies using the recombinant CCK2 short isoform (CCK2S) receptor expressed in NIH3T3 cells, so that ligand affinity (pKI) and intrinsic activity (alpha) measurements could be made in exactly the same receptor system. CCK-8S but not R-L-365,260, S-L-365,260, JB95008, JB93242 or PD134,308 expressed intrinsic activity in an IP assay. The pKD of [3H]-JB93182 decreased with increasing temperature. pKI values for antagonists (R-L-365,260, S-L-365,260, JB95008) and agonists (pentagastrin, CCK-8S) were higher at 4 than at 30 degrees C. There was no effect of temperature on pKI values for the antagonists, PD134,308 and JB93242. Therefore, CCK2-receptor agonists and antagonists at human CCK2S-receptors cannot be discriminated by thermodynamic analysis. PMID- 18158149 TI - Therapeutic time window for the application of chondroitinase ABC after spinal cord injury. AB - Rats with a crush in the dorsal funiculi of the C4 segment of the spinal cord were treated with chondroitinase ABC delivered to the lateral ventricle, receiving 6 intraventricular injections on alternate days. In order to investigate the time window of efficacy of chondroitinase, treatment was begun at the time of injury or after a 2, 4 or 7 days delay. Behavioural testing over 6 weeks showed that acutely treated animals showed improved skilled forelimb reaching compared to penicillinase controls. Forelimb contact placing recovered in treated animals but not controls, and gait analysis showed recovery towards normal forelimb stride length in treated animals but not controls. Chondroitinase treated animals showed greater axon regeneration than controls. The treatment effect on contact placing, stride length and axon regeneration was not dependent on the timing of the start of treatment, but in skilled paw reaching acutely treated animals recovered better function. The area of chondroitinase ABC digestion visualized by stub antibody staining included widespread digestion around the lateral ventricles and partial digestion of cervical spinal cord white matter, but not grey matter. PMID- 18158150 TI - Trypanosoma evansi: molecular homogeneity as inferred by phenetical analysis of ribosomal internal transcribed spacers DNA of an eclectic parasite. AB - The protozoan Trypanosoma evansi is described as presenting high morphological and genetic similarities among the isolates despite its biological heterogeneity and wide geographical distribution. PCR amplification of the internal transcribed spacers of the ribosomal gene in combination with the coding region of the 5.8S ribosomal subunit further submitted to restriction enzymes digestion were carried out in DNAs extracted from 41 T. evansi strains isolated from horses, dogs, coatis and capybaras from two distinct regions of the Brazilian Pantanal. We also used one T. evansi isolate from Africa, one from Asia and one isolate of T. b. brucei from Africa. Analysis of the RFLP profiles yielded a unique "riboprinting" that does not vary intraspecifically. These results provide insights on the ribosomal gene organization of T. evansi and showed that ITS analysis by RFLP show high genetic similarity of this locus among isolates of this protozoan parasite. PMID- 18158151 TI - Local recurrence of large squamous-cell carcinoma of the esophagus after endoscopic resection. AB - BACKGROUND: A new technique, endoscopic submucosal dissection (ESD), which uses specially developed endoscopic knives, was recently developed for en bloc resection of large lesions. Despite increasing indications for endoscopic resection (ER), there are limited data available regarding the outcome of ER for lesions 20 mm or more in diameter. OBJECTIVE: To investigate the risk factors for local recurrence. DESIGN: Retrospective cohort study. SETTING: A cancer-referral center. PATIENTS: Seventy patients, who presented between September 1994 and April 2006, with a total of 78 lesions that measured 20 mm or more in diameter. MAIN OUTCOME MEASUREMENT: Local recurrence rate after ER was assessed. RESULTS: At a median follow-up of 32 months (range 12-121 months), there were 12 local recurrences (15.4%). There was no significant association between local recurrence and multiple iodine-voiding lesions, tumor size, or tumor location. The number of resections and the resection method, however, were significantly associated with local recurrence. There was no recurrence of lesions treated by en bloc resection. Lesions resected in 5 or more pieces had a significantly higher recurrence rate than lesions resected in 2 to 4 pieces. Lesions treated by EMR had a significantly higher recurrence rate than lesions treated by ESD. LIMITATIONS: Single-center retrospective analysis. CONCLUSIONS: Esophageal squamous-cell carcinoma that measured 20 mm or more in diameter should be resected en bloc by ESD. Lesions treated by resection in 5 or more pieces have a higher risk for local recurrence. PMID- 18158152 TI - Extracellular loop 3 (ECL3) and ECL3-proximal transmembrane domains VI and VII of the mesotocin and vasotocin receptors confer differential ligand selectivity and signaling activity. AB - Mesotocin (MT) and vasotocin (VT) are the nonmammalian orthologs of mammalian oxytocin (OT) and arginine vasopressin (AVP), respectively. The OT/AVP family of peptides has arisen from gene duplication but has evolved to possess high selectivity toward their cognate receptors. The process of molecular evolution of receptors to confer high selectivity to their cognate ligands, however, is poorly understood. We constructed a series of reciprocal chimeras using a pair of bullfrog MT receptor (MTR) and VT1 receptor (VT1R) DNA fragments. Among the MTR/VT1R chimeras, the MTR chimera containing a region from transmembrane domain (TMD) VI to the carboxyl-terminal tail (C-tail) of VT1R showed an increased sensitivity to VT, while a chimeric VT1R containing TMD VI to C-tail of MTR showed an increased sensitivity to MT. Further dissection of domains using additional chimeras demonstrated that the receptor with the fragment containing extracellular loop 3 (ECL3) and ECL3-proximal TMDs VI and VII of MTR increased MT selectivity. This fragment is also important for receptor conformation that permits the signaling ability of the receptor. Particularly, the amino acids Val/Ile(6.54) in TMD VI and Pro/Glu(7.29) in ECL3 appear to be involved in this activity, since double mutation of these amino acids completely blocked signaling activity while maintaining ligand binding activity. Mutations at these residues in human OT and AVP 1a receptors markedly decreased receptor signaling activity. This study provides clues for understanding molecular coevolution of the OT/AVP peptides and their receptors with regard to receptor-ligand binding and receptor signaling activity. PMID- 18158153 TI - Retinoid requirements in the reproduction of zebrafish. AB - This study examines whether retinoids are essential in the reproduction of zebrafish. Using RT-PCR, it was shown that the ovaries and testes express enzymes that synthesize and metabolize the hormone retinoic acid (RA) (raldh2 and cyp26a, respectively), and RA receptors (raraa, rarga, rxrba, rxrbb, rxrga but not rxrab). Three new isoforms of rxrba were also observed in a variety of tissues. In other experiments, zebrafish were exposed for 11 d to diethylaminobenzaldehyde (DEAB), an inhibitor of RA synthesis, or fed a retinoid deficient diet for 130 d in order to evaluate the functional requirements of retinoids in reproduction. DEAB altered cyp26a transcript numbers in the gonads, suggesting an impact on RA, and decreased the number of spawned eggs by 95%. The retinoid deficient diet decreased whole body retinoids (retinol and retinal) by 68% in females and 33% in males. Females fed the retinoid deficient diet also produced 73% fewer eggs that contained 78% less retinal than controls. Fertilization rates were not affected. These studies have shown that the RA receptors are expressed in zebrafish gonads, and RA is required for the spawning of eggs. Dietary retinoid content influences reproduction, while retinyl ester storage levels appear to be of little significance. Females were more susceptible to retinoid perturbation than males, likely due to the cost of retinal deposition in the eggs. Overall, these studies have shown retinoids play a fundamental role in the reproduction of zebrafish, and the lack of retinyl ester stores in controls that successfully spawned illustrates that we have only a limited understanding of the retinoid physiology and requirements of fish. PMID- 18158154 TI - Cryptosporidia: epicellular parasites embraced by the host cell membrane. AB - The ultrastructure of two gastric cryptosporidia, Cryptosporidium muris from experimentally infected rodents (Mastomys natalensis) and Cryptosporidium sp. 'toad' from naturally infected toads (Duttaphrynus melanostictus), was studied using electron microscopy. Observations presented herein allowed us to map ultrastructural aspects of the cryptosporidian invasion process and the origin of a parasitophorous sac. Invading parasites attach to the host cell, followed by gradual envelopment, with the host's cell membrane folds, eventually forming the parasitophorous sac. Cryptosporidian developmental stages remain epicellular during the entire life cycle. The parasite development is illustrated in detail using high resolution field emission scanning electron microscopy. This provides a new insight into the ultrastructural detail of host-parasite interactions and species-specific differences manifested in frequency of detachment of the parasitophorous sac, radial folds of the parasitophorous sac and stem-formation of the parasitised host cell. PMID- 18158155 TI - Enhancement of magnetic resonance contrast effect using ionic magnetic clusters. AB - Precise diagnosis by magnetic resonance imaging (MRI) requires sensitive magnetic resonance probes to detect low concentrations of magnetic substances. Ionic magnetic clusters (IMCs) as versatile magnetic probes were successfully synthesized for enhancing the magnetic resonance (MR) contrast effect as well as ensuring high water solubility. IMCs with various sizes were prepared by assembly of MNCs using cationic cetyltrimethylammonium bromide (CTAB) and anionic sodium dodecyl sulfate (SDS). To synthesize IMCs in the aqueous phase, magnetic nanocrystals in an organic solvent were assembled with CTAB and SDS using the nanoemulsion method, to fabricate cationic magnetic clusters (CMCs) and anionic magnetic clusters (AMCs), respectively. IMCs demonstrated ultrasensitivity by MR imaging and sufficient magnetic mobility under an external magnetic field. PMID- 18158156 TI - Effects of additives on the structure of rhamnolipid (biosurfactant): a small angle neutron scattering (SANS) study. AB - Pollution of soils and sediments by heavy metals is an environmental concern. Among the remedial techniques, soil washing is proving to be reliable. Biosurfactant rhamnolipid has shown its potential as a washing agent. In this research, small angle neutron scattering (SANS) was employed to investigate the size and morphology of rhamnolipid aggregates and micelle structure in the presence of heavy metals Cu, Zn, and Ni. The results indicate the importance of the pH of the system in the morphology of the aggregates in the rhamnolipid solution. Creation of a basic condition by addition of 1% NaOH led to the formation of large aggregates (>2000 A) + micelles with RG approximately 17 A while in the acidic environment with 1% NaCl, large polydisperse vesicles with a radius about 550-600 A were formed. The size of the aggregates in both acidic and basic condition is fine enough to ease the flow of the rhamnolipid solution through the porous media with the pore sizes as small as 200 nm. PMID- 18158157 TI - Diazotization of kynurenine by acidified nitrite secreted from indoleamine 2,3 dioxygenase-expressing myeloid dendritic cells. AB - Indoleamine 2,3-dioxygenase (IDO)-initiated tryptophan metabolism along the kynurenine (Kyn) pathway regulates T-cell responses in some dendritic cells (DC) such as plasmacytoid DC. A Kyn assay using HPLC showed that samples were frequently deproteinized with trichloroacetic acid (TCA). In the present study, bone marrow-derived myeloid DC (BMDC) were differentiated from mouse bone marrow cells with GM-CSF. CpG oligodeoxynucleotides (CpG) induced the expression of IDO protein with NO production in BMDC cultured for 24 h. The concentrations of Kyn in the culture supernatants were not increased by stimulation with CpG but rather decreased by based on the Kyn assay after deproteinization with TCA. The level of Kyn exogenously added into the cell-free culture supernatant of BMDC stimulated with CpG was severely decreased by deproteinization with TCA but not methanol, and the decrease was prevented when BMDC was stimulated with CpG in the presence of a NOS inhibitor. Under acidic conditions, Kyn reacted with nitrite produced by BMDC, and generated a new compound that was not detected by Ehrlich reagent reacting with the aromatic amino residue of Kyn. An analysis by mass spectrometry showed the new compound to be a diazotization form of Kyn. In conclusion, the deproteinization of samples by acidic treatment should be avoided for the Kyn assay when NO is produced. PMID- 18158158 TI - In vitro assessment of plant lectins with anti-pinwood nematode activity. AB - Two lectin proteins were purified from the corms of Pinellia ternata and Lycoris radiata. Both P. ternata agglutinin (PTA) protein and L. radiata agglutinin (LRA) protein formed polymers and coagulated both rabbit red blood cells and yeast cells. The two proteins were each diluted to different concentration and then mixed with pinewood nematodes, and nematode survival was measured. Results showed that the two lectin proteins showed significant levels of resistance against nematodes and the nematode population was significantly reduced, compared to PBS buffer without protein control group. The mean number of nematodes of two lectin proteins group was significantly lower than that of control group constantly throughout the assay period with differences being very significant at P<0.01 after 24 h. After 96 h, when 500 microg/ml proteins were used, nematode number significantly declined to an average of 26 (approximately 43% of the controls) and 32.2 (approximately 53.3% of the controls) nematodes at LRA and PTA protein, respectively, compared to the control group. Results also indicated that higher concentrations of protein were more toxic to the pinewood nematode. Even when the concentration was as low as 30 microg/ml, the toxic proteins retained their anti nematode activity. Furthermore, pinewood nematode was exposed to the proteins for longer, more pinewood nematodes were killed. Our results indicated the two lectin proteins both apparently have a toxic effect on the pinewood nematode that affects its survival in vitro. PMID- 18158159 TI - Repeated bottleneck transfers can lead to non-cytocidal forms of a cytopathic virus: implications for viral extinction. AB - Several biological subclones of a biological clone of foot-and-mouth disease virus (FMDV) have been subjected to many plaque-to-plaque (serial bottleneck) transfers in cell culture. At transfer 190 to 409, clones underwent a transition towards a non-cytolytic (NC) phenotype in which the virus was unable to produce plaques, representing at least a 140-fold reduction in specific infectivity relative to the parental biological clone. NC clones, however, were competent in RNA replication and established a persistent infection in cell culture without an intervening cytolytic phase. In one clone, the transition to the NC phenotype was associated with the elongation of an internal oligodenylate tract that precedes the second functional AUG translation initiation codon. The pattern of mutations and their distribution along the FMDV genome of the clones subjected to serial bottleneck transfers were compared with the pattern of mutations in FMDV clones subjected to large population passages. Both the corrected ratios of non synonymous to synonymous mutations and some specific mutations in coding and non coding regions suggest participation of positive selection during large population passages and not during bottleneck transfers. Some mutations in the clones that attained the NC phenotype were located in genomic regions affecting the capacity of FMDV to kill BHK-21 cells. The resistance to extinction of clones subjected to plaque-to-plaque transfers marks a striking contrast with regard to the ease of extinction mediated by lethal mutagenesis. The results document a major phenotypic transition of a virus as a result of serial bottleneck events. PMID- 18158160 TI - Molecular model of an alpha-helical prion protein dimer and its monomeric subunits as derived from chemical cross-linking and molecular modeling calculations. AB - Prions are the agents of a series of lethal neurodegenerative diseases. They are composed largely, if not entirely, of the host-encoded prion protein (PrP), which can exist in the cellular isoform PrP(C) and the pathological isoform PrP(Sc). The conformational change of the alpha-helical PrP(C) into beta-sheet-rich PrP(Sc) is the fundamental event of prion disease. The transition of recombinant PrP from a PrP(C)-like into a PrP(Sc)-like conformation can be induced in vitro by submicellar concentrations of SDS. An alpha-helical dimer was identified that might represent either the native state of PrP(C) or the first step from the monomeric PrP(C) to highly aggregated PrP(Sc). In the present study, the molecular structure of these dimers was analyzed by introducing covalent cross links using 1-ethyl-3-(3-dimethylaminopropyl) carbodiimide. Inter- and intramolecular bonds between directly neighboured amino groups and carboxy groups were generated. The bonds formed in PrP dimers of recombinant PrP (90-231) were identified by tryptic digestion and subsequent mass spectrometric analysis. Intra and intermolecular cross-links between N-terminal glycine and three acidic amino acid side chains in the globular part of PrP were identified, showing the N terminal amino acids (90-124) are not as flexible as known from NMR analysis. When the cross-linked sites were used as structural constraint, molecular modeling calculations yielded a structural model for PrP dimer and its monomeric subunit, including the folding of amino acids 90-124 in addition to the known structure. Molecular dynamics of the structure after release of the constraint indicated an intrinsic stability of the domain of amino acids 90-124. PMID- 18158161 TI - Sexually dimorphic changes in the amygdala in relation to delusional beliefs in first episode psychosis. AB - BACKGROUND: Few attempts have been made to examine the relationship between amygdala abnormalities and specific symptoms in psychosis. The present study explored the relationship between amygdala morphology and mood congruent and mood incongruent delusional beliefs. METHODS: Amygdala volumes were measured in 43 patients presenting with delusional beliefs in the context of their first episode of psychosis and 43 healthy volunteers matched for age and gender. RESULTS: Left greater-than-right-asymmetry of the amygdala varied as a function of gender and mood congruence of delusional beliefs, due to asymmetrical enlargement of the left amygdala in women presenting with predominantly mood incongruent delusions. However, there was no difference in amygdala volumes across groups. CONCLUSIONS: Amygdala abnormalities in women may be associated with aberrant emotional processing that could contribute to the development of mood incongruent delusional beliefs. Sexually dimorphic changes in the amygdala may contribute to differential phenotypic illness expression in men and women. PMID- 18158162 TI - Plastic bottles and moral codes. PMID- 18158163 TI - Water column monitoring near oil installations in the North Sea 2001-2004. AB - Fisheries have been vital to coastal communities around the North Sea for centuries, but this semi-enclosed sea also receives large amounts of waste. It is therefore important to monitor and control inputs of contaminants into the North Sea. Inputs of effluents from offshore oil and gas production platforms (produced water) in the Norwegian sector have been monitored through an integrated chemical and biological effects programme since 2001. The programme has used caged Atlantic cod and blue mussels. PAH tissue residues in blue mussels and PAH bile metabolites in cod have confirmed exposure to effluents, but there was variation between years. Results for a range of biological effects methods reflected exposure gradients and indicated that exposure levels were low and caused minor environmental impact at the deployment locations. There is a need to develop methods that are sufficiently sensitive to components in produced water at levels found in marine ecosystems. PMID- 18158164 TI - Temporal properties of spatial channel of processing in hemianopia. AB - The term blindsight, coined by Larry Weiskrantz, describes those discrimination abilities that can be elicited with visual stimuli restricted to the blindfield of a patient with occipital brain lesion or damaged optic radiation. Over the past 3 decades, many aspects of blindsight have been investigated including detection of basic stimulus attributes such as structure, colour and movement as well as more complex tasks such as discrimination of facial expressions and semantic processing. The neuronal mechanisms mediating blindsight rely on processing in subcortical and/or extrastriate areas. It appears that following the occipital brain damage, there is a restricted "window of processing" and stimulus parameters mainly outside this window may not lead to blindsight performance. Here we report how the restricted "window of processing" appears to have a specific spatio-temporal response profile, mainly tuned to low spatial frequencies and intermediate temporal frequencies. In addition, in a group of blindsight patients, we demonstrate that above chance detection performance is related to the target size. The findings have implications both for the reported incidence of blindsight and development of rehabilitation strategies. PMID- 18158165 TI - Environmental influences on childhood obesity: ethnic and cultural influences in context. AB - Ethnicity is associated with differences in food-related beliefs, preferences, and behaviors, and cultural influences may contribute to the higher than average risk of obesity among children and youth in U.S. ethnic minority populations. However, cultural attitudes and beliefs are not the only potential source of ethnic variation in childhood obesity prevalence and should not be studied in isolation. Demographic, socio-structural, and environmental variables must also be considered. Available evidence indicates ethnic differences along several pathways that may increase risks of obesity development during gestation, infancy, childhood and adolescence. These include above-average prevalence of obesity in adult females and of maternal diabetes during pregnancy, parental attitudes and practices that may lead to overfeeding children, above-average levels of consumption of certain high calorie foods and beverages, and inadequate physical activity. Environments with lower than average neighborhood availability of healthful foods and higher than average availability of fast food restaurants, along with exposure to ethnically targeted food marketing may contribute to reliance on high calorie foods and beverages, and these foods may be socially and culturally valued. Attitudes about and environmental contexts for physical activity are also relevant. Increasingly, it is acknowledged that individual behaviors and lifestyles, e.g. food choices or child feeding practices, are responsive to the ecological contexts in which they are practiced. Focusing attention on the fluid interactions of cultural influences with contextual factors, of recognized importance for the study of childhood undernutrition, can also lead to further understanding of how to address ethnic disparities in childhood obesity. PMID- 18158166 TI - Stress and the relative reinforcing value of food in female binge eaters. AB - The purpose of this study was to examine the independent and interactive effects of stress reactivity and binge eating (BE) status on changes in the relative reinforcing value of snack foods. The relative reinforcing value of snack foods was assessed in binge eaters and non-binge eaters across a stress-induction session (after 3-minutes of anticipation of giving a speech) or a control day (after 3-minutes of reading magazines), with order of conditions counterbalanced. Subjects were divided into four groups based on scores on the Binge Eating Scale (BES) and changes in perceived stress: Binge eaters/low stress reactivity (n=12), binge eaters/high stress reactivity (n=10), non-binge eaters/low stress reactivity (n=6), non-binge eaters/high stress reactivity (n=9). Dietary restraint, hunger, disinhibition, and hedonics were measured by self-report. Body composition was estimated by body mass index (BMI=weight in kilograms divided by height in metres squared). The relative reinforcing value of snack food was influenced differently by binge status and stress reactivity in the stress and control conditions (p<0.05). Binge eaters who reacted to stress earned more snack food points (p<0.001) in stress condition, but non-binge eaters who showed high stress reactivity earned less points for snack food in stress condition (p<0.05). This same pattern of results remained after statistically controlling for body mass index (BMI) and dietary restraint. Findings suggest that reactivity to interpersonal or ego-related stress increases the relative reinforcing value of food in binge eaters but decreases the relative reinforcing value of snack food in non-binge eaters, and these findings appear to be independent of dietary restraint and BMI. PMID- 18158167 TI - Influence of valvular insufficiency and recurrent airway obstruction on haemodynamics and therapy in warmblood horses with atrial fibrillation. AB - The aim of this study was to investigate the potential haemodynamic effects of valvular insufficiency and recurrent airway obstruction (RAO) in horses with atrial fibrillation (AF). Therefore in ten healthy horses (group 1) and 40 horses with AF a clinical examination, a lung examination, echocardiography and right heart catheterization for measurement of intracardic and pulmonary pressures were performed. According to the clinical findings the horses with AF were subdivided into 4 groups (group 2: AF; group 3: AF/valvular insufficiency; group 4: AF/RAO; group 5: AF/valvular insufficiency/RAO). Most of the horses of group 3 and 5 suffered from two valvular insufficiencies (mitral and tricuspid valve insufficiency: n=11, mitral and aortic valve insufficiency: n=2). The remaining horses showed a single mitral (n=6), tricuspid (n=2) or aortic valve insufficiency (n=1) or more than two valvular insufficiencies (n=4). In group 2 right ventricular mean pressure (RVPm) was higher than in group 1 and 4 (P<0.025); diastolic right ventricular pressure was higher than in group 1; PWP was higher than in group 1 and group 4; PDP was lower compared to group1. Compared to group1 in group 3 left atrial diameter (LA) was greater; the PAPs was higher and the PDP lower (P<0.05). In group 4 RVPm and PWP was lower compared to group 2. In group 5 LA, fractional shortening and diastolic left ventricular diameter were greater, PWP and PAPs were higher and PDP lower compared to group1. Twenty six of the 40 horses with AF (65%) were treated. Successful cardioversion to sinus rhythm occurred in 15 horses (58%). Therapy was successful in 50% of the treated horses of group 2 and 3, in 67% of the treated horses of group 4 and in 63% of the treated horses in group 5. In conclusion the presence of valvular insufficiency or RAO influences the haemodynamics of horses with AF. PMID- 18158168 TI - Response to "Non-segmented negative-strand RNA virus RNA synthesis in vivo". PMID- 18158169 TI - Comparison of focal macular cone ERGs in complete-type congenital stationary night blindness and APB-treated monkeys. AB - Focal macular cone electroretinograms (ERGs) and multifocal ERGs were recorded to study the macular function in patients with the complete-type of congenital stationary night blindness (cCSNB). The waveforms of the focal macular cone ERGs and the on- and off-responses of the multifocal ERGs in the cCSNB patients were similar to those recorded from monkey retinas treated with L-2 amino-4 phosphonobutyric acid (APB), suggesting that patients with cCSNB have a complete defect of the on-pathway even in the central retina. The results also demonstrated that there was a paradoxical positive response in the central retina of cCSNB patients, as compared to the negative full-field ERGs in the same subjects. PMID- 18158170 TI - Comparison of the removal efficiency of endocrine disrupting compounds in pilot scale sewage treatment processes. AB - The removal efficiency of endocrine disrupting compounds from effluents using pilot scale sewage treatment processes, including various treatment technologies, such as membrane bioreactors (MBR), nanofiltration (NF) and reverse osmosis (RO) for the purpose of water reuse, were estimated and compared. The calculated estrogenic activity, expressed in ng-EEQ/l, based on the concentration detected by GC/MS, and relative potencies for each target compound were compared to those measured using the E-screen assay. The removal efficiencies for nonylphenol, was within the range of 55-83% in effluents. High removal efficiencies of approximately >70% based on the detection limits were obtained for bisphenol A, E1, EE2 and genistein with each treatment processes, with the exception of E1 ( approximately 64%) using the MBR process. The measured EEQ values for the effluents from the MBR, NF and RO processes also indicated low estrogenic activities of 0.65, 0.23 and 0.05 ng-EEQ/l, respectively. These were markedly reduced values compared with the value of 1.2 ng-EEQ/l in influent. Consequently, the removals of EDCs in terms of the EEQ value from the biological and chemical determinations were sufficiently achieved by the treatment process applied in this study, especially in the cases of the NF and RO treatments. PMID- 18158171 TI - Control of sulfide in sewer systems by dosage of iron salts: comparison between theoretical and experimental results, and practical implications. AB - Removal of sulfide species from municipal sewage conveyance systems by dosage of iron salts is a relatively common practice. However, the reactions that occur between dissolved iron and sulfide species in municipal sewage media have not yet been fully quantified, and practical application relies heavily on empirical experience, which is often site specific. The aim of this work was to combine theoretical considerations and empirical observations to enable a more reliable prediction of the sulfide removal efficiency for a given dosing strategy. Two main questions were addressed, regarding the dominant sulfur species that results from the oxidation of sulfide by Fe(III) and the dominant precipitation reaction between Fe(II) and sulfide species. Comparison of thermodynamic prediction obtained by an equilibrium chemistry-based computer program (MINEQL+) with experimental results obtained by dosing ferrous salts showed that the product of precipitation is FeS under all operational conditions tested. Regarding the reaction between ferric salts and sulfide species, analysis of thermodynamic data suggested that the dominant product of sulfide oxidation under typical pe/pH conditions prevailing in municipal raw wastewater is SO(4)(2-). However, comparison between sulfide removal in laboratory experiments conducted with multiple samples of raw municipal sewage with a varying composition, and the prediction of MINEQL+ showed the main sulfide oxidation product to be S(0). In order to reduce sulfide in sewage to <0.1 mgS/l a minimal molar ratio of around 1.3 Fe to 1 S should be applied when ferrous salts are used, as compared with a minimal ratio of 0.9 Fe to 1 S required when ferric salts or a mixture of ferrous and ferric salts (at a 2 Fe(III) to 1 Fe(II) ratio) are used. It appears that the high Fe to S(-II) ratios often recommended in practice can be reduced considerably by applying tight in-line control. PMID- 18158172 TI - Metallopeptidase activities in hereditary angioedema: effect of androgen prophylaxis on plasma aminopeptidase P. AB - BACKGROUND: Aminopeptidase P (APP) plays an important role in the catabolism of kinins in human plasma, mostly for des-Arg(9)-bradykinin. Impaired degradation of this active bradykinin metabolite was found to be associated with a decreased APP activity in hypertensive patients who experienced angioedema while being treated with angiotensin I-converting enzyme inhibitors. The pathophysiology of hereditary angioedema is presently attributed only to a quantitative/qualitative C1 inhibitor (CI-INH) defect with increased bradykinin release. OBJECTIVES: In the context of androgen prophylaxis, increased CI-INH function cannot fully explain protection from angioedema attacks alone because of the limited reversion of the CI-INH defects. Therefore we hypothesized that androgen prophylaxis could enhance plasma APP activity. METHODS: Patients with hereditary angioedema were investigated for plasma metallopeptidase activities responsible for kinin catabolism (APP, angiotensin I-converting enzyme, and carboxypeptidase N) and for CI-INH function in treated and untreated patients. RESULTS: APP activity was asymmetrically distributed in untreated patients (n = 147): the mean value was significantly lower than the value in a reference healthy and unmedicated population (n = 116; P < or = .001). Prophylaxis with androgen induced a significant increase in APP activity (P < or = .001), whereas it did not affect the other metallopeptidase activities. In both patient groups, APP activity showed a significant inverse relationship to disease severity (P < or = .001). CONCLUSION: In addition to the effect on circulating CI-INH levels, the increase in APP levels brought on by androgens could contribute to a more effective control of the kinin accumulation considered to be responsible for the symptoms of angioedema. PMID- 18158173 TI - Nitrative stress in refractory asthma. AB - BACKGROUND: Most asthma is mild and moderate and can be well controlled by low dose inhaled steroid with or without bronchodilators. However, 5% to 10% of patients with asthma have more troublesome disease despite using such medication. Recent reports showed that nitrative stress induced tissue remodeling in vitro, which is associated with a component of refractoriness in asthma. However, there is no report that nitrative stress is involved in refractory asthma. OBJECTIVE: The aim of this study is to evaluate whether patients with refractory asthma have more nitrative stress. METHODS: Ten healthy subjects, 10 patients with well controlled asthma, and 8 patients with refractory asthma took part in the current study. Exhaled nitric oxide, xanthine oxidase activity in the supernatant of the sputum, immunostaining for the inducible type of nitric oxide synthase, and 3 nitrotyrosine in induced sputum from the subjects were assessed. RESULTS: All nitrative markers including exhaled nitric oxide (P < .01), immunopositivities for inducible nitric oxide synthase (P < .01), xanthine oxidase activities (P < .01), and 3-nitrotyrosine (P < .01) in sputum from the refractory asthma group were enhanced compared with the well-controlled group. All these nitrative markers in the sputum had a significant negative correlation with the %FEV(1) values (P < .01). CONCLUSION: These results suggested that patients with refractory asthma have more nitrative stress in their airways compared with patients with well-controlled asthma. PMID- 18158174 TI - Intranasal corticosteroids reduce ocular symptoms of allergic rhinitis as a class effect. PMID- 18158175 TI - Mast cell-driven skin inflammation is impaired in the absence of sensory nerves. AB - BACKGROUND: Mast cells (MCs) and nerves can induce cutaneous inflammatory responses, both independently and by interacting with each other. However, little is known about the role of skin nerves and neuropeptides in the regulation of MC mediated skin inflammation, and the contribution of MCs in neurogenic inflammation is still controversial. OBJECTIVE: The aim of this study was to investigate the effects of cutaneous sensory nerves on MC-driven inflammatory responses. METHODS: Passive cutaneous anaphylaxis, a model for type I allergic skin responses, was studied in the presence or absence of sensory nerves by using a murine model of selective cutaneous denervation. RESULTS: Passive cutaneous anaphylaxis was significantly impaired in the absence of sensory nerves. This effect was not a result of an alteration of mast cell numbers in denervated skin. Moreover, IgE-mediated activation of mast cells was markedly decreased in denervated compared with normal skin. Notably, pretreatment of mice with selective antagonists of the neuropeptides substance P and/or calcitonin gene related peptide also resulted in decreased inflammatory responses after MC activation. CONCLUSION: These data suggest that sensory skin nerves augment MC driven inflammatory responses by releasing neuropeptides that increase MC degranulation. PMID- 18158176 TI - Specific oral tolerance induction in children with very severe cow's milk-induced reactions. AB - BACKGROUND: Some children allergic to cow's milk proteins (CMPs) experience exceptionally severe reactions after ingesting only trace amounts of antigen. Avoiding the food and carrying self-injectable epinephrine are the current strategies for their management. OBJECTIVE: The aim of this study was to evaluate the safety and efficacy of specific oral tolerance induction (SOTI) for children with severe CMP-induced systemic reactions. METHODS: Ninety-seven children aged 5 years or older with a history of severe allergic reactions and very high CMP specific IgE levels were selected for a double-blind, placebo-controlled food challenge. Sixty had positive test results to very small amounts of milk and were randomly divided in 2 different groups. Thirty children (group A) immediately began SOTI, whereas the remaining 30 (group B) were kept on a milk-free diet and followed for 1 year. RESULTS: After 1 year, 11 (36%) of 30 children in group A had become completely tolerant, 16 (54%) could take limited amounts of milk (5 150 mL), and 3 (10%) were not able to complete the protocol because of persistent respiratory or abdominal complaints. In group B the result of the double-blind, placebo-controlled food challenge performed after a year was positive in all 30 cases (P < .001). CONCLUSIONS: In this study SOTI was effective in a significant percentage of cases. PMID- 18158177 TI - Impact of the 1976 Tobacco Control Act in Finland on the proportion of ever daily smokers by socioeconomic status. AB - OBJECTIVE: To assess the impact of the 1976 Tobacco Control Act (TCA) on smoking initiation across socioeconomic groups. METHODS: Nationwide data from independent annual cross-sectional postal surveys in 1978-2002 in Finland. Subjects were 25 64-year-old men and women born 1926-1975 (n=68 071). Socioeconomic status was derived individually from population census data. Logistic regression was applied to assess the impact of the 1976 TCA on the prevalence of ever daily smoking in birth cohorts and socioeconomic groups. RESULTS: Clear socioeconomic differences in ever daily smoking among men and women were found. In all socioeconomic groups a declining cohort trend was observed among men whereas women showed an increasing trend in early cohorts and a declining one thereafter. A statistically significant decline in the proportion of ever daily smokers compatible with the impact of the TCA was found in all socioeconomic groups except farmers. Among women the decline was roughly similar in each socioeconomic group, while among men it varied and was most pronounced among white collar employees. CONCLUSIONS: The impact of the 1976 TCA was less pronounced among male lower socioeconomic groups. In spite of the even impact of the TCA on female smoking across socioeconomic groups, large socioeconomic disparities remain. Tobacco control policy measures specifically directed at lower socioeconomic groups are needed. PMID- 18158178 TI - Reorganization of the cerebro-cerebellar network of language production in patients with congenital left-hemispheric brain lesions. AB - Patients with congenital lesions of the left cerebral hemisphere may reorganize language functions into the right hemisphere. In these patients, language production is represented homotopically to the left-hemispheric language areas. We studied cerebellar activation in five patients with congenital lesions of the left cerebral hemisphere to assess if the language network is reorganized completely in these patients, i.e. including also cerebellar language functions. As compared to a group of controls matched for age, sex, and verbal IQ, the patients recruited an area not in the right but in the left cerebellar hemisphere. The extent of laterality of the cerebellar activation correlated significantly with the laterality of the frontal activation. We suggest that the developing brain reacts to early focal lesions in the left hemisphere with a mirror-image organization of the entire cerebro-cerebellar network engaged in speech production. PMID- 18158180 TI - 4-Hydroxynonenal-protein adducts: A reliable biomarker of lipid oxidation in liver diseases. AB - The aldehyde 4-hydroxynonenal (HNE) is a major end-product of peroxidation of membrane n-6-polyunsaturated fatty acids. Primary reactants for HNE are the amino acids cysteine, histidine and lysine, and quantitatively, proteins and peptides represent the most important group of HNE-targeted biomolecules. HNE-protein adducts actually elude the metabolism of the aldehyde, particularly active in the liver, so that they can be easily detected in the hepatic tissue itself and in peripheral blood, and quantified by using immunoassays. Since consistently detectable in various liver disease processes and well related to the intensity of necro-inflammation, HNE-protein adducts may be considered a particularly good marker of lipid oxidation during liver injury. In addition, the demonstrated adduction reaction of HNE with important signalling proteins strongly suggests a pathogenetic role for this lipid aldehyde in the progression of liver diseases. PMID- 18158179 TI - How left inferior frontal cortex participates in syntactic processing: Evidence from aphasia. AB - We report on three experiments that provide a real-time processing perspective on the poor comprehension of Broca's aphasic patients for non-canonically structured sentences. In the first experiment we presented sentences (via a Cross Modal Lexical Priming (CMLP) paradigm) to Broca's patients at a normal rate of speech. Unlike the pattern found with unimpaired control participants, we observed a general slowing of lexical activation and a concomitant delay in the formation of syntactic dependencies involving "moved" constituents and empty elements. Our second experiment presented these same sentences at a slower rate of speech. In this circumstance, Broca's patients formed syntactic dependencies as soon as they were structurally licensed (again, a different pattern from that demonstrated by the unimpaired control group). The third experiment used a sentence-picture matching paradigm to chart Broca's comprehension for non-canonically structured sentences (presented at both normal and slow rates). Here we observed significantly better scores in the slow rate condition. We discuss these findings in terms of the functional commitment of the left anterior cortical region implicated in Broca's aphasia and conclude that this region is crucially involved in the formation of syntactically-governed dependency relations, not because it supports knowledge of syntactic dependencies, but rather because it supports the real-time implementation of these specific representations by sustaining, at the least, a lexical activation rise-time parameter. PMID- 18158181 TI - Benthic infaunal communities around two artificial reefs in Mamala Bay, Oahu, Hawaii. AB - Non-fishery use of artificial reefs has been given attention in recent years. The primary concern associated with non-fishery artificial reefs is their effects to the surrounding ecosystems. This study examined the infaunal communities around two non-fishery artificial reefs (the sunken vessels YO257 and Sea Tiger) in Mamala Bay, Hawaii. Infaunal community structures at these artificial reefs were relatively similar to one at a nearly natural patch reef. A large amount of basalt gravel around YO257 associated with its deployment operation possibly had an effect on the surrounding community by increasing pore space. Polychaete assemblages were compared with existing data throughout the bay, and this revealed that the variation in sediment grain sizes and depths seemed to play some role in structuring the polychaete communities. Nevertheless, the infaunal communities around the artificial reefs were typical and within the range of natural variation in Mamala Bay, supporting their beneficial uses in ecotourism. PMID- 18158183 TI - Cellular localization of placenta-specific human endogenous retrovirus (HERV) transcripts and their possible implication in pregnancy-induced hypertension. AB - We previously investigated tissue specificity and temporal changes in expression of five human endogenous retroviruses (HERVs), including syncytin/ERVWE1 and syncytin 2. In the current study, we examined the cellular localization and quantified the transcripts of five HERVs, syncytin, syncytin 2, HERV-H7/F(XA34), HERV-Fb1, and HERV-HML6-c14, in order to elucidate their physiological and etiological roles in the placenta and in pregnancy-induced hypertension (PIH), respectively. In situ hybridization revealed trophoblast-specific transcription of all five HERVs. Consistent with a previous immunohistochemical analysis, syncytin 2 transcripts were detected only in cytotrophoblasts. All the HERVs except HERV-HML6-c14 (HML6-c14) were predominantly localized in the cytoplasm of syncytiotrophoblasts and/or cytotrophoblasts. Quantitative analysis showed that transcriptional levels of these four HERVs were lower in placentas obtained from pregnant women with PIH (n=22) than in those from normotensive pregnant women (n=87) and that the differences were statistically significant (p=0.001, 0.01, <0.001, and 0.04 for syncytin, syncytin 2, HERV-H7/F(XA34), and HERV-Fb1, respectively). In contrast to the other HERVs, HML6-c14 transcripts localized to the nucleus and the average transcriptional level of HML6-c14 was higher in PIH placentas than in control placentas from normotensive pregnant women, although the differences did not reach significance (p=0.19). These results suggest that placenta-specific HERVs may have some function in the human placenta and that their reduced expression in PIH placentas is not merely a secondary effect derived from the pathology of PIH placentas. PMID- 18158182 TI - Synthesis, characterization and chondroprotective properties of a hyaluronan thioethyl ether derivative. AB - Hyaluronan (HA), a non-sulfated glycosaminoglycan, is widely used in the clinic for viscosurgery, viscosupplementation, and treatment of osteoarthritis. Four decades of chemical modifications of HA have generated derivatives in which the biophysical and biochemical properties, as well as the rates of enzymatic degradation in vivo have been manipulated and tailored for specific clinical needs. One earlier modification adds multiple thiol groups to HA through hydrazide linkages, leading to a readily crosslinkable material for adhesion prevention and wound healing. We now describe the synthesis and chemical characterization of a novel thioethyl ether derivative of HA, HA-sulfhydryl (HASH), with a minimal tether between the HA and the thiol group. Unlike earlier thiol-modified HA derivatives, HASH cannot be readily crosslinked to form a hydrogel using either oxidative or bivalent electrophilic conditions, thus offering a unique polymeric polythiol that remains soluble. Moreover, HASH showed no cytotoxicity towards primary human fibroblasts and reduced the apoptosis rates of primary chondrocytes exposed to hydrogen peroxide in vitro. These properties foreshadow the clinical potential of HASH to moderate inflammation and to act as a chondroprotective agent in vivo. PMID- 18158184 TI - Judgments of culpability in a filicide scenario. AB - Previous research has indicated that potential jurors are likely to use personal biases, such as those based on gender and ethnicity, in their judgments of culpability of criminal defendants in addition to, or instead of, the facts of the crime. The present paper seeks to extend this literature to the crime of filicide; to examine whether male defendants are judged more harshly than female defendants, as is the case for domestic violence and sexual abuse. 214 participants were provided with a scenario of filicide in which the gender of the perpetrator, the gender of the child, and the family's social class were randomly assigned. Participants were asked to rate the culpability of the defendant in the case. Results indicated that, unlike for other violent crimes, participants did not use gender or social class biases in their judgments of criminal culpability. PMID- 18158185 TI - A sensitive method for examining whole-cell biochemical composition in single cells of filamentous fungi using synchrotron FTIR spectromicroscopy. AB - Cell function is related to cell composition. The asexual state of filamentous fungi (molds and mildews) has two main life cycle stages: vegetative hyphae for substrate colonization and nutrient acquisition, and asexual spores for survival and dispersal. Hyphal composition changes over a few tens of microns during growth and maturation; spores are different from hyphae. Most biochemical analyses are restricted to studying a few components at high spatial resolution (e.g. histochemistry) or many compounds at low spatial resolution (e.g. GC-MS). Synchrotron FTIR spectromicroscopy can be used to study fungal cell biology by fingerprinting varieties of carbohydrates, proteins, and lipids at about 6 microm spatial resolution. FTIR can distinguish fungal species and changes during hyphal growth, and reveals that even fungi grown under optimal vs mildly stressed conditions exhibit dramatic biochemical changes without obvious morphological effects. Here we compare hypha and spore composition of two fungi, Neurospora and Rhizopus. There are clear biochemical changes when Neurospora hyphae commit to spore development, during spore maturation and following germination, many of which are consistent with results from molecular genetics, but have not been shown before at high spatial resolution. Rhizopus spores develop within a fluid containing sporangium that becomes dry at maturity. Rhizopus spores had similar protein content and significantly more carbohydrate than the sporangial fluid, both of which are novel findings. PMID- 18158187 TI - Phones during consultation. PMID- 18158186 TI - Vascular endothelial growth factor as a marker of disease activity in neurotuberculosis. AB - Vascular endothelial growth factor (VEGF) is a potent angiogenesis mediator. Scant reports are available defining the role of VEGF in active and inactive tubercular meningitis (TBM) with no studies on brain tuberculoma. We quantified VEGF levels by enzyme linked immunoassay (ELISA) in cerebrospinal fluid (CSF) and serum in 20 cases each with active and inactive TBM as well as 22 cases of intraparenchymal tuberculoma. VEGF expression and microvessel angiogenesis quantification was done in 7 cases where tuberculomas were excised. Significantly increased VEGF levels in CSF were found in active TBM cases (106.0+/-50.0 pg/ml) compared to inactive TBM cases (14.7+/-10.0 pg/ml) (p<0.001). Mean serum VEGF levels in active TBM, inactive TBM and tuberculoma were 694.93+/-820.66 pg/ml, 499.61+/-238.33 pg/ml and 541.0+/-389.0 pg/ml, respectively. Immunohistochemical staining of excised tuberculoma demonstrated high expression of VEGF in granulomatous areas with intense positivity in inflammatory mononuclear cells, Langhan's giant cells as well as reactive astrocytes and fibrocytes. A strong positive correlation was observed between microvessel density and VEGF expression. Serial decrease in serum VEGF levels was observed with increasing duration of therapy in tuberculoma. We conclude that increased CSF and serum VEGF levels are a measure of activity of the disease in neurotuberculosis and its gradual decrease over a period of time is probably an indicator of therapeutic response. PMID- 18158188 TI - Coronary collaterals: the role of MCP-1 during the early phase of acute myocardial infarction. AB - BACKGROUND: The collateral growth (arteriogenesis) of an individual may vary from complete to absent during the early phase of acute myocardial infarction (AMI). However, the mechanisms underlying the large differences in the extent and adequacy of collateralization remain unclear. We hypothesized that shear stress induced activation of monocyte chemoattractant protein-1 could potently contribute to the development of coronary collaterals during the early phase of AMI. METHODS: We enrolled forty patients with AMI who did not receive reperfusion therapy within 24 h after the onset of chest pain and who also underwent coronary angiography (CAG) from 1 to 7 days after admission (mean duration: 3.6+/-2.2 days). The grades of the collateral development were angiographically defined and grouped according to the grade of collaterals as absent (score 0, n=20) or well developed (score 2, n=20) collateral circulation. The plasma concentrations of vascular endothelial growth factor (VEGF), endostatin, monocyte chemoattractant protein-1 (MCP-1), and stromal cell-derived factor-1 (SDF-1) were assessed by enzyme-linked immunosorbent assay and then these values were compared between the two groups. RESULTS: There were no differences in the demographic and angiographic characteristics except for the number of total occlusion in culprit lesion. The plasma MCP-1 levels were significantly higher in the group with well developed collateral circulation compared to the group with absent collateral circulation (262+/-216 vs. 151+/-88 pg/ml, respectively, p=0.043). However, the plasma levels of VEGF, endostatin and SDF-1 were not different on comparisons between the groups (VEGF; 369+/-377 vs. 324+/-363 pg/ml, endostatin; 1.74+/-1.71 vs. 1.49+/-1.15 ng/ml, SDF-1; 1806+/-508 vs. 2091+/-772 pg/ml, respectively). CONCLUSION: During the early phase of AMI, the plasma levels of MCP-1 were significantly increased in the patients with well-developed collateral circulation as compared to those patients with absent collateral circulation. These findings suggested that the shear stress-induced overexpression of MCP-1 contributes significantly to the development of coronary collaterals during the early phase of AMI. PMID- 18158189 TI - Relationship between mitral annular calcification and renal impairment: what is the link? PMID- 18158190 TI - Retraction of "Xue SR. Xue Y. Xue R. Carvedilol restore cardiac calcium release channel structure and function in heart failure. Int. J Cardiology. 116(2):231-5, 2007" containing plagiarised material. PMID- 18158191 TI - Prevalence and treatment of proximal left subclavian artery stenosis in patients referred for coronary artery bypass surgery. AB - The left internal mammary artery (LIMA) is currently used in most coronary artery bypass graft (CABG) surgeries due to excellent long-term patency. Left subclavian artery stenosis (SAS) proximal to the LIMA origin can cause a steal syndrome leading to myocardial ischemia or LIMA failure. We retrospectively evaluated the records of 608 consecutive patients referred for CABG at our institution between October 1, 2004 and October 1, 2006 and identified 226 patients (37%) who underwent left subclavian angiography immediately after diagnostic coronary angiography. Significant left SAS was found in 6 of those 226 patients (2.7%). Subclavian angiography did not result in any complications. All left SAS lesions were successfully stented, followed by CABG surgery (using the LIMA artery) after 22+/-7 days. Left subclavian angiography in patients referred for coronary artery bypass surgery has low risk and may identify a small proportion of patients with significant proximal left SAS. Stenting of proximal left SAS can be accomplished before CABG with low risk and excellent short-term outcomes. PMID- 18158192 TI - Overweight among rural girls in Iran: a terrifying prospects of cardiometabolic disorders. AB - This study aimed to investigate the prevalence of overweight and obesity among Iranian adolescent girls 14-17 year old in rural areas in Guilan province in 2006. A multistage sampling method was used and 1036 randomly selected school girls were studied in rural areas in Guilan-Iran. Data on age and mother's years of schooling were collected using questionnaire and body weight and height were measured. These results showed that the overall prevalence of overweight and obesity in this population was 18.6% and 5.2%, respectively. Results of logistic regression analysis showed that the risk of overweight was higher in the lower age group (OR=2.5, 95% CI 0.16-3.3). In this study, overweight was more common in girls with more educated mothers than the girls with less educated mothers (30.0% vs. 20.3% P=0.0001). In conclusion, these data indicated that overweight is highly prevalent among the rural adolescent girls and the rate is exceeding those reported in urban residents. PMID- 18158193 TI - In normal human fibroblasts variation in DSB repair capacity cannot be ascribed to radiation-induced changes in the localisation, expression or activity of major NHEJ proteins. AB - BACKGROUND AND PURPOSE: The aim of the present study was to test whether for normal human fibroblasts the variation in double-strand break (DSB) repair capacity results from radiation-induced differences in localisation, expression or activity of major non-homologous end-joining (NHEJ) proteins. MATERIALS AND METHODS: Experiments were performed with 11 normal human fibroblast strains AF01 11. NHEJ proteins were determined by Western blot and DNA-PK activity by pulldown assay. RESULTS: The four NHEJ proteins tested (Ku70, Ku80, XRCC4 and DNA-PKcs) were found to be localised almost exclusively in the nucleus with no detectable amount in the cytoplasm. This distribution was not altered upon irradiation. In non-irradiated cells the level of these proteins varied with a CV ranging between 16% and 20%, but there was no correlation with the respective cellular DSB repair capacity. Irradiation (3.5 and 15 Gy) did not alter the expression of these proteins and there was also no change in the DNA-PK activity. These results indicate that the variation in DSB repair capacity determined for these fibroblasts can be ascribed to differences neither in the localisation or expression of Ku70, Ku80 and XRCC4 nor in the activity of the DNA-PK complex induced upon irradiation. CONCLUSIONS: For normal human fibroblasts, the level or activity of NHEJ proteins measured prior to or after irradiation cannot be used to predict the DSB repair capacity or cellular radiosensitivity. PMID- 18158194 TI - Antiproton radiotherapy. AB - Antiprotons are interesting as a possible future modality in radiation therapy for the following reasons: When fast antiprotons penetrate matter, protons and antiprotons have near identical stopping powers and exhibit equal radiobiology well before the Bragg-peak. But when the antiprotons come to rest at the Bragg peak, they annihilate, releasing almost 2 GeV per antiproton-proton annihilation. Most of this energy is carried away by energetic pions, but the Bragg-peak of the antiprotons is still locally augmented with approximately 20-30 MeV per antiproton. Apart from the gain in physical dose, an increased relative biological effect also has been observed, which can be explained by the fact that some of the secondary particles from the antiproton annihilation exhibit high-LET properties. Finally, the weakly interacting energetic pions, which are leaving the target volume, may provide a real time feedback on the exact location of the annihilation peak. We have performed dosimetry experiments and investigated the radiobiological properties using the antiproton beam available at CERN, Geneva. Dosimetry experiments were carried out with ionization chambers, alanine pellets and radiochromic film. Radiobiological experiments were done with V79 WNRE Chinese hamster cells. The radiobiological experiments were repeated with protons and carbon ions at TRIUMF and GSI, respectively, for comparison. Several Monte Carlo particle transport codes were investigated and compared with our experimental data obtained at CERN. The code that matched our data best was used to generate a set of depth dose data at several energies, including secondary particle-energy spectra. This can be used as base data for a treatment planning software such as TRiP. Our findings from the CERN experiments indicate that the biological effect of antiprotons in the plateau region may be reduced by a factor of 4 for the same biological target dose in a spread-out Bragg-peak, when comparing with protons. The extension of TRiP to handle antiproton beams is currently in progress. This will enable us to perform planning studies, where the potential clinical consequences can be examined, and compared to those of other beam modalities such as protons, carbon ions, or IMRT photons. PMID- 18158195 TI - Chronic toxicity risk after radiotherapy for patients with systemic sclerosis (systemic scleroderma) or systemic lupus erythematosus: association with connective tissue disorder severity. AB - No method reliably identifies which patients with connective tissue disorders are at greatest risk of radiotherapy-related complications. Building on our prior experience, we postulated that disease severity, as measured by the number of organ systems involved, may predict chronic radiation toxicity risk. PMID- 18158196 TI - Detection of Verotoxigenic Escherichia coli O157 and O26 in food by plating methods and LAMP method: a collaborative study. AB - In order to establish a rapid and sensitive method for the detection of Verotoxigenic Escherichia coli O157 and O26, a collaborative study was conducted focusing on a comparison of the efficiency of loop-mediated amplification (LAMP) assay targeting the Verocytotoxin (also called Shiga toxin) gene, utilizing a direct plating method and a plating method with immunomagnetic separation (IMS plating method) using various agar media. In combination with enrichment with the modified EC supplemented with novobiocin, E. coli O157 was detected in most samples of ground beef and alfalfa sprouts by LAMP assay, the direct plating method and the IMS-plating method. E. coli O26 was detected in approximately 100% of the food samples by LAMP assay. However, the IMS-plating and direct plating methods recovered 80 and 50% in ground beef samples, respectively. As a result, it was demonstrated the LAMP assay is superior to the IMS-plating method. Based on these results, it appears LAMP assay is effective as a screening assay to detect E. coli O157 and O26 from positive samples. PMID- 18158197 TI - Expression of superoxide dismutase, catalase and thermostable direct hemolysin by, and growth in the presence of various nitrogen and carbon sources of heat shocked and ethanol-shocked Vibrio parahaemolyticus. AB - Vibrio parahaemolyticus 690 was subjected either to heat shock at 42 degrees C or ethanol shock in the presence of 5% ethanol. The effects of those shocks on superoxide dismutase (SOD) and catalase (CAT) activities, and thermostable direct hemolysin (TDH) production were examined. In addition, the growth behaviors of the stressed and unstressed cells of V. parahaemolyticus in the presence of various nitrogen and carbon sources were compared. Both heat shock and ethanol shock reduced the levels of SOD and CAT activities in V. parahaemolyticus. Gel activity staining assay failed to detect the expression of CAT, while one SOD enzyme with an electrophoretic mobility greater than the [Mn]SOD and [Fe]SOD of Escherichia coli was detected in the unstressed, heat-shocked and ethanol-shocked cells of V. parahaemolyticus. Heat shock for 15-60 min and ethanol shock for 45 60 min were found to enhance the synthesis of TDH. Ethanol-shocked and unstressed cells of V. parahaemolyticus grew similarly and produced similar amounts of TDH when they were grown in TSB-3% NaCl, but slower growth and less production of TDH occurred with heat-shocked cells until after 200 min of cultivation. The growth rate and maximum growth of the unstressed, heat-shocked and ethanol-shocked cells varied with the nitrogen and carbon sources used. With the same nitrogen or carbon source, the growth patterns of the ethanol-shocked and unstressed cells were similar while the heat-shocked cells exhibited an extended lag period. PMID- 18158198 TI - Effects of extracellular calcium on cell membrane resealing in sonoporation. AB - Sonoporation has been exploited as a promising strategy for intracellular drug and gene delivery. The technique uses ultrasound to generate pores on the cell membrane to allow entry of extracellular agents into the cell. Resealing of these non-specific pores is a key factor determining both the uptake and post ultrasound cell survival. This study examined the effects of extracellular Ca(2+) on membrane resealing in sonoporation, using Xenopus oocytes as a model system. The cells were exposed to tone burst ultrasound (1.06 MHz, duration 0.2 s, acoustic pressure 0.3 MPa) in the presence of 0.1% Definity at various extracellular [Ca(2+)] (0-3 mM). Sonoporation inception and resealing in a single cell were monitored in real time via the transmembrane current of the cell under voltage clamp. The time-resolved measurements of transmembrane current revealed the involvement of two or more Ca(2+) related processes with different rate constants and characteristics. Rapid resealing occurred immediately after ultrasound application followed by a much slower resealing process. Complete resealing required [Ca(2+)] above 0.54 mM. The cells resealed in 6-26 s at 1.8 mM Ca(2+), but took longer at lower concentrations, up to 58-170 s at 0.54 mM Ca(2+). PMID- 18158199 TI - Betamethasone oral mini-pulse therapy compared with topical triamcinolone acetonide (0.1%) paste in oral lichen planus: A randomized comparative study. AB - BACKGROUND: Betamethasone oral mini-pulse (OMP) therapy has been used effectively and safely in vitiligo, alopecia areata, and lichen planus. OBJECTIVE: We sought to evaluate the efficacy and safety of betamethasone OMP in patients with symptomatic moderate to severe oral lichen planus and to compare it with topical triamcinolone acetonide. METHODS: In all, 49 patients with moderate to severe oral lichen planus were randomly allocated to receive either OMP comprising 5 mg of betamethasone orally on 2 consecutive days per week (group A) or triamcinolone acetonide (0.1%) paste application thrice daily (group B), for 3 months followed by stepwise tapering during the next 3 months. Treatment response was assessed by the change in the score, which was based on the number of sites involved and the area affected. The changes in the symptoms and side effects were also recorded. Patients were followed up after treatment for 3 months to look for relapse. RESULTS: In all, 23 of 25 patients in group A and 23 of 24 patients in group B completed the study. Good to excellent response was seen in 17 of 25 (68.0%) patients in group A as compared with 16 of 24 (66.0%) in group B at 6 months. Symptom-free state was achieved in 13 of 25 (52%) patients in group A and 12 of 24 (50%) in group B. The difference in the mean scores within each group was statistically significant from the fourth week onward in group A and eighth week onward in group B, whereas in patients with erosive disease it was second and twelfth week onward, respectively. The difference in the treatment response between the two groups was statistically significant only at week 24 when reduction in severity score was more in triamcinolone group. Side effects were seen in 14 (56%) patients in group A and 6 (25%) patients in group B, which were mild and reversible. Relapse occurred in 9 of 23 (39.1%) patients in group A after 13.78 +/- 6.96 weeks as compared with 5 of 23 (21.7%) in group B after 19.20 +/- 1.79 weeks. LIMITATIONS: The study was not blinded and the change in the quality of life with treatment was not measured. CONCLUSIONS: Betamethasone OMP improves the clinical outcome in patients with moderate to severe oral lichen planus. When compared with topical triamcinolone acetonide it is equally effective but the response is earlier, especially in erosive disease. It may be a useful and convenient alternative either as a monotherapy or to achieve rapid symptomatic relief during periods of exacerbations. PMID- 18158200 TI - Angiotensin II--AT1 receptor antagonists: design, synthesis and evaluation of substituted carboxamido benzimidazole derivatives. AB - A series of 5-(alkyl and aryl)carboxamido benzimidazole derivatives had been designed, synthesized and evaluated for in vitro angiotensin II--AT1 receptor antagonism and in vivo antihypertensive activities. The pharmacological activities were inversely related to the size of alkyl and aryl substituents. It can be suggested that compounds with lower alkyl groups at 5-position of benzimidazole nucleus demonstrated potent antihypertensive activity. PMID- 18158201 TI - QSAR modeling of the interaction of flavonoids with GABA(A) receptor. AB - Experimentally assigned values to binding affinity constants of flavonoid ligands towards the benzodiazepine site of the GABA(A) receptor complex were compiled from several publications, and enabled to perform a predictive analysis based on Quantitative Structure-Activity Relationships (QSAR). The best linear model established on 78 molecular structures incorporated four molecular descriptors, selected from more than a thousand of geometrical, topological, quantum mechanical and electronic types of descriptors and calculated by Dragon software. An application of this QSAR equation was performed by estimating the binding affinities for some newly synthesized flavonoids displaying 2-,7-substitutions in the benzopyrane backbone which still do not have experimentally measured potencies. PMID- 18158202 TI - Distribution pathways of hexachlorocyclohexane isomers in a soil-plant-air system. A case study with Cynara scolymus L. and Erica sp. plants grown in a contaminated site. AB - This study focuses on the main routes of distribution and accumulation of different hexachlorocyclohexane (HCH) isomers (mainly alpha-, beta-, gamma- and delta-HCH) in a soil-plant-air system. A field assay was carried out with two plant species, Cynara scolymus L. and Erica sp., which were planted either: (i) directly in the HCH-contaminated soil; or (ii) in pots filled with uncontaminated soil, which were placed in the HCH-contaminated soil. Both plant species accumulated HCH in their tissues, with relatively higher accumulation in above ground biomass than in roots. The beta-HCH isomer was the main isomer in all plant tissues. Adsorption of HCH by the roots from contaminated soil (soil-->root pathway) and adsorption through the aerial biomass from either the surrounding air, following volatilization of the contaminant (soil-->air-->shoot pathway), and/or contact with air-suspended particles contaminated with HCH (soil particles ->shoot pathway) were the main mechanisms of accumulation. These results may have important implications for the use of plants for reducing the transfer of contaminants via the atmosphere. PMID- 18158204 TI - The impact of eutrophication on the biogeochemical cycling of mercury species in a reservoir: a case study from Hongfeng Reservoir, Guizhou, China. AB - The mercury distribution and speciation in the water column were investigated from November 2003 to September 2004. The distribution and concentrations of total mercury (THg) and particulate mercury (PHg) showed that algae had a large capacity to bind mercury in late spring (e.g. in May). It is shown that dissolved gaseous mercury (DGM) concentrations may also be affected by algae activities. The MeHg profile in the water column at a highly eutrophied site in Hongfeng Reservoir demonstrated that most of the MeHg was produced in the hypolimnion, whereas the MeHg profile pattern at another site with less eutrophication indicated that MeHg in water was largely ascribed to release from sediment. In September, the outflow of the reservoir was enriched with MeHg, which was 5.5 times higher than that in the inflows. The discharge of MeHg-concentrated water from the anoxic hypolimnion in the reservoir may pose a risk to downstream fauna. PMID- 18158203 TI - Influence of tidal regime on the distribution of trace metals in a contaminated tidal freshwater marsh soil colonized with common reed (Phragmites australis). AB - A historical input of trace metals into tidal marshes fringing the river Scheldt may be a cause for concern. Nevertheless, the specific physicochemical form, rather than the total concentration, determines the ecotoxicological risk of metals in the soil. In this study the effect of tidal regime on the distribution of trace metals in different compartments of the soil was investigated. As, Cd, Cu and Zn concentrations in sediment, pore water and in roots were determined along a depth profile. Total sediment metal concentrations were similar at different sites, reflecting pollution history. Pore water metal concentrations were generally higher under less flooded conditions (mean is (2.32+/-0.08)x10(-3) mg Cd L(-1) and (1.53+/-0.03) x 10(-3) mg Cd L(-1)). Metal concentrations associated with roots (mean is 202.47+/-2.83 mg Cd kg(-1) and 69.39+/-0.99 mg Cd kg(-1)) were up to 10 times higher than sediment (mean is 20.48+/-0.19 mg Cd kg( 1) and 20.42+/-0.21 mg Cd kg(-1)) metal concentrations and higher under dryer conditions. Despite high metal concentrations associated with roots, the major part of the metals in the marsh soil is still associated with the sediment as the overall biomass of roots is small compared to the sediment. PMID- 18158205 TI - Entrepreneurial ventures and whole-body donations: a regional perspective from the United States. AB - Human cadavers are crucial to medical science. While the debate on how to secure sufficient cadavers has focused primarily on donors' behaviors, procuring organizations' roles in increasing donations remain less explored. The United States offers a unique setting in which to examine this question since entrepreneurial ventures supplying cadavers for medical science have recently emerged alongside traditional academic-housed programs, raising both hopes and fears about their impact on whole-body donations. To assess their potential impact, an archival survey of voluntary, in-state whole-body donors to two programs procuring in the same U.S. state was conducted. The programs' specimen recipients were also analyzed. One program is academic-housed and the other is an entrepreneurial venture. Both offered equal levels of financial support to donating parties. Eighty donations and 120 specimen shipping invoices from 2005 were analyzed in each program. Donations to the two programs did not significantly differ in terms of donors' sex, marital status, maximum educational level, and estimated hourly wage. The entrepreneurial venture's donors were, however, significantly younger, more likely to be from a minority group, and more likely to have died from cancer. For-profit organizations, continuing medical training organizations, and medical device companies were more likely recipients of the entrepreneurial venture's specimens. Non-profit and academic organizations were more likely recipients of the academic-housed program's specimens. These findings suggest that although the programs procured from a somewhat similar pool of donors, they also complemented one another. The entrepreneurial program procured donations that the academic-housed program often did not attract. Specimen recipients' distinct demands partly explain these procurement behaviors. Thus, organizational efforts to meet demands seem to shape the supply. Examining organizations alongside donors might provide new answers to secure donations. PMID- 18158206 TI - Social capital and health and well-being in East Asia: a population-based study. AB - How individual-level social capital relates to adult health and well-being was examined using data from a cross-sectional interview survey in East Asia (Japan, South Korea, Singapore, five areas in Mainland China, and Taiwan) in 2002-2004. The number of self-reported somatic symptoms, subjective health satisfaction, life satisfaction and social capital indicators, as well as socio-economic status (SES), were analyzed by a logistic regression model. Adjusting for SES, social capital measured by belonging to organizations and weakness in "norms of reciprocity" were related to a greater number of self-reported somatic symptoms (p<0.001 for both). Lack of trust in organizations (p<0.001) and of a person to consult (p=0.012) were related to poor health satisfaction. Lower "interpersonal trust" (p=0.016), weakness in "norms of reciprocity" (p<0.001) and lack of trust in organizations (p<0.001) were related to poor life satisfaction. Gender inequality was observed across countries, but the relationships varied according to the health indicator. Specifically, self-reported somatic symptoms were more numerous and health satisfaction was worse in women (p<0.001), but life satisfaction was worse in men (p=0.017). The analyses provide evidence that dimensions of social capital are positively associated with self-reported somatic symptoms and overall well-being in East Asian countries. PMID- 18158207 TI - Status relations in school and their relevance for health in a life course perspective: findings from the Aberdeen children of the 1950's cohort study. AB - In the class room a hierarchical structure of social relations typically develops in which the child's position is a marker of the view of the others, i.e. the extent to which he or she is an accepted and valued member of the group. The status distribution in the school class is likely to correspond to differences in personal characteristics, including behaviours and competencies, and to generate a differential distribution of perceived expectations, treatment, resources and emotions. We argue that these phenomena constitute parts in a developmental process which, through mediators such as self-view and subsequent life choices, may affect adult health. The purpose of this paper is to study whether and how peer status is associated with self-reported health in mid-life. Data was derived from a cohort study of individuals born in Aberdeen, Scotland, between 1950 and 1956. We use information about childhood circumstances, including peer status nominations, collected in the early 1960s, and information about adult circumstances derived from a postal questionnaire carried out among more than 6,000 individuals in 2001-2003. Multivariate analyses yielded a graded association between peer status and adult health problems in the form of limiting longstanding illness and less than good self-rated health. These associations could not be explained by socioeconomic circumstances or differences in individual behaviour and cognitive score in childhood. It was rather subsequent socioeconomic career that seemed to explain the association found among men. For women, a significant association remained, suggesting alternative pathways or mechanisms. PMID- 18158208 TI - Trajectories of functional health: the 'long arm' of childhood health and socioeconomic factors. AB - Few studies have specifically examined trajectories of functional health status or estimated the extent to which they are influenced by childhood health and socioeconomic conditions. This study examines how circumstances associated with early life may shape the level and progression of functional limitations among adults at or near retirement. Employing data from the US Health and Retirement Study (HRS), it estimates latent growth curve models (LGM) of functional limitation. The results demonstrate that functional health trajectories in old age continue to be shaped by childhood health and socioeconomic circumstances. Poor childhood health and disadvantaged social origins are associated with both more functional limitations at baseline and higher rates of increase over time. This association is net of baseline adult chronic disease and socioeconomic status. While both childhood and adult factors influence the baseline level of functional limitation, only childhood health and socioeconomic status are associated with the rate of change in limitations over time. PMID- 18158209 TI - Individual-level analysis of social capital and health: a comparison of Arab and Jewish Israelis. AB - Discrepancies exist in existing research regarding the association between social capital and self-rated health, most of which has been undertaken in the developed world. The aim of this study is first to assess the levels of the various variables describing individual social capital in Jews and Arab residing in Israel, and second to assess the association between individual social capital and self-rated health in these two population groups. The data were obtained from an Israeli health interview survey (knowledge, attitudes and practices (KAP)) conducted during 2004-2005, which is based on 3,365 interviews with adult Jews and 985 adult Arabs. Social capital measures included social trust, neighborhood safety, perceived helpfulness, trust in local and national authorities and social support. Data were also obtained on self-rated health and socioeconomic and demographic variables. Multivariate logistic regression revealed that Jews reported higher levels of social trust, perceived helpfulness, trust in authorities, and social support compared to Arabs, after adjusting for demographic and socioeconomic variables. Social contacts, however, were reported more frequently in the Arab population. Neighborhood safety was similar in the two population groups. Among Jews, those reporting higher levels of individual social capital reported better self-rated health after adjusting for demographic and socioeconomic variables. Among Arabs, only those reporting higher levels of social support reported better self-rated health. In Israel, individual levels of social capital seem to be lower in the Arab minority than in the Jewish majority. Individual social capital was associated with better self-rated health mainly in the Jewish population and less so in the Arab population. Social capital factors may be associated with health to a higher extent in affluent populations with relatively high social capital and less so in low social capital and more traditional communities. More research is needed to verify these differences. PMID- 18158210 TI - The Chinese health care regulatory institutions in an era of transition. AB - The purpose of this paper is to contribute to a better understanding of Chinese health care regulation in an era of transition. It describes the major health care regulatory institutions operating currently in China and analyzes the underlying factors. The paper argues that in the transition from a planned to a market economy, the Chinese government has been employing a hybrid approach where both old and new institutions have a role in the management of emerging markets, including the health care market. This approach is consistent with the incremental reform strategy adopted by the Party-state. Although a health care regulatory framework has gradually taken shape, the framework is incomplete, with a particular lack of emphasis on professional self-regulation. In addition, its effectiveness is limited despite the existence of many regulatory institutions. In poor rural areas, the effectiveness of the regulatory framework is further undermined or distorted by the extremely difficult financial position that local governments find themselves in. The interpretations of the principle of 'rule of law' by policy makers and officials at different levels and the widespread informal network of relations between known individuals (Guanxi) play an important role in the operation of the regulatory framework. The findings of this paper reveal the complex nature of regulating health care in transitional China. PMID- 18158211 TI - Paradoxes and asymmetries of transnational networks: a comparative case study of Mexico's community-based AIDS organizations. AB - This article examines whether transnational networks reconfigure state-civil society relationships in ways that lead to civil society empowerment and increased organizational capacity to address the HIV/AIDS epidemic in Mexico. Using a comparative case study, I identify the types of transnational networks and exchanges that both help and hinder community-based HIV/AIDS organizations (CBOs) that provide AIDS prevention and treatment services in Tijuana and Mexico City. Data derive from over 50 formal interviews, organizational documents and archival records, and observation. I argue that the form and function of transnational networks is shaped by the geo-political context of local organizational fields and that, in turn, transnational networks provide innovative opportunities for civil society-state partnerships that favor some local organizations over others. Ultimately, I take apart the prevailing assumption that transnational networks are inherently good, and show how they can (re)produce inter-organizational stratification at the local level. The conclusions of this research are helpful to international health practitioners and social scientists seeking to understand how civil society's participation in transnational networks can both challenge and reproduce existing community-state power regimes and health inequities. PMID- 18158212 TI - Planning for end of life care within lay-led chronic illness self-management training: the significance of 'death awareness' and biographical context in participant accounts. AB - UK health policy dictates that Advance Care Planning (ACP), including the use of living wills, promotes choice and quality regarding end of life care for those with chronic and life-threatening conditions and it has been incorporated in self management training. This paper reports a qualitative evaluation based on in depth interviews with 31 respondents who had completed a UK-based lay-led self management course (The Expert Patients Programme), and 12 respondents who had completed the same course adapted for people who are HIV positive. We draw upon previous social research on 'death awareness' and the biographical context of illness experience and management in examining the impact of incorporating this subject within a self-management intervention. The analysis demonstrates that many participants were unprepared to face issues raised in the session with material represented as disrupting some aspects of illness adaptation and existing views about death and dying. Positioning educational material on death and dying alongside that on 'positive' self-management of illness highlights the complexities and sensitivities of planning for end of life care with implications for future educational interventions of this type. PMID- 18158213 TI - Development of a risk-based index for source water protection planning, which supports the reduction of pathogens from agricultural activity entering water resources. AB - Source water protection planning (SWPP) is an approach to prevent contamination of ground and surface water in watersheds where these resources may be abstracted for drinking or used for recreation. For SWPP the hazards within a watershed that could contribute to water contamination are identified together with the pathways that link them to the water resource. In rural areas, farms are significant potential sources of pathogens. A risk-based index can be used to support the assessment of the potential for contamination following guidelines on safety and operational efficacy of processes and practices developed as beneficial approaches to agricultural land management. Evaluation of the health risk for a target population requires knowledge of the strength of the hazard with respect to the pathogen load (massxconcentration). Manure handling and on-site wastewater treatment systems form the most important hazards, and both can comprise confined and unconfined source elements. There is also a need to understand the modification of pathogen numbers (attenuation) together with characteristics of the established pathways (surface or subsurface), which allow the movement of the contaminant species from a source to a receptor (water source). Many practices for manure management have not been fully evaluated for their impact on pathogen survival and transport in the environment. A key component is the identification of potential pathways of contaminant transport. This requires the development of a suitable digital elevation model of the watershed for surface movement and information on local groundwater aquifer systems for subsurface flows. Both require detailed soils and geological information. The pathways to surface and groundwater resources can then be identified. Details of land management, farm management practices (including animal and manure management) and agronomic practices have to be obtained, possibly from questionnaires completed by each producer within the watershed. To confirm that potential pathways are active requires some microbial source tracking. One possibility is to identify the molecular types of Escherichia coli present in each hazard on a farm. An essential part of any such index is the identification of mitigation strategies and practices that can reduce the magnitude of the hazard or block open pathways. PMID- 18158214 TI - Spinal brain-derived neurotrophic factor governs neuroplasticity and recovery from cold-hypersensitivity following dorsal rhizotomy. AB - Brain-derived neurotrophic factor (BDNF) has multiple effects on tropomyosin related receptor kinase B--(TrkB) expressing neurons, including potentiation of spinal nociceptive transmission and stimulation of axon outgrowth. BDNF is upregulated in the spinal cord following dorsal root injury (DRI), a manipulation which elicits both pain and collateral sprouting. Transection of the C7 and C8 dorsal roots (C7/8 DRI) generates cold pain in the ipsilateral forepaw which peaks at 10 days, and resolves within three weeks after injury. In the present study, we investigated the influence of chronic BDNF sequestration, by intrathecal delivery of TrkB-Fc, on the plasticity of nociceptive circuitry and resultant cold pain behaviour following spinal deafferentation. C7/8 DRI resulted in a pronounced deafferentation of the C7 dorsal horn and significant depletion of both peptidergic- and non-peptidergic nociceptive projections. While changes in GAP-43 expression revealed that endogenous BDNF was exerting an overall plasticity-promoting influence on intraspinal axons after DRI, continuous TrkB-Fc treatment stimulated sprouting of nociceptive terminals. DRI stimulated a BDNF dependent increase in the density of GABAergic interneuronal processes, as indicated by increased vesicular GABA transporter--(VGAT) and neuropeptide Y- (NPY) positive terminal densities. Finally, chronic TrkB-Fc treatment prevented cold pain resolution. These findings demonstrate that endogenous BDNF has both plasticity-promoting and plasticity-suppressing effects on the intrinsic spinal components of nociceptive circuitry, which are likely to underlie cold pain behaviour following C7/8 DRI. PMID- 18158215 TI - Molecular detection of Theileria sp. in ticks and naturally infected sheep. AB - Seven healthy sheep and 10 sheep diagnosed with piroplasmosis based on clinical signs were tested for the presence of babesiae and theileriae. Using the molecular techniques, two species of theileriae were detected and characterized. Theileria ovis was present mostly in healthy sheep and in Rhipicephalus ticks collected from infected sheep. Theileria sp. OT3 parasite was detected mostly in ill animals which represent additional evidence to the possible pathogenic nature of Theileria sp. OT3. The presence of babesiae in sheep or in ticks was not determined. The results of this study showed that ovine piroplasmosis due to Theileria is present in Southern Croatia. It was concluded that clinical diagnosis of ovine piroplasmosis should be confirmed by molecular analysis in order to identify the species of piroplasm, to select the appropriate treatment and to exclude the threat for public health. PMID- 18158216 TI - Acaricidal activity of Calea serrata (Asteraceae) on Boophilus microplus and Rhipicephalus sanguineus. AB - Calea serrata (Asteraceae) is an endemic Southern Brazilian plant species used for religious and medicinal purposes. Previous study revealed the presence of chromenes, a class of natural compounds that possess insecticidal properties. This study reports the effect of the hexane extract from the aerial parts of this plant on egg hatchability, egg production and mortality rates of newly hatched larvae of the cattle tick Boophilus microplus. Larvae of Rhipicephalus sanguineus, the brown dog tick, received the same treatment. The extract was toxic to the eggs of B. microplus and to the larvae of both B. microplus and R. sanguineus. PMID- 18158217 TI - Neospora caninum infection in Greek dairy cattle herds detected by two antibody assays in individual milk samples. AB - A survey to demonstrate the presence and the extent of Neospora caninum infection in dairy cattle was carried out in Greece. Seven hundred and seventy-seven (777) individual milk samples from all milking cows in 10 dairy herds were tested using an ELISA (p38-milk-ELISA) and immunoblot analysis. The herd prevalence was 80.0% and 100.0%, while the overall prevalence was 15.2% (ranging between 0.0% and 38.9%) and 27.9% (ranging between 3.4% and 61.6%) based on the results of the ELISA and the immunoblot test, respectively. In conclusion, N. caninum infection is present among dairy cattle in Greece, deserving more studies to determine its contribution to abortion problems in Greek dairy herds. PMID- 18158218 TI - Tobacco use among those with serious psychological distress: results from the national survey of drug use and health, 2002. AB - There have been relatively few population-based studies that have documented the extent of tobacco use among those with mental health disorders. Recently, the K6 scale, designed to assess serious psychological distress (SPD) at the population level, has been incorporated into a number of population-based health behavior surveys. The present study documented the prevalence of tobacco use products, dependence, and quit behavior among those with and without SPD utilizing the 2002 National Survey of Drug Use and Health. Results from the current study indicated that adults with SPD had greater odds of lifetime, past month, and daily use of cigarettes, cigars and pipes than adults without SPD. Common measures of nicotine dependence (e.g., Nicotine Dependence Syndrome Scale) indicated that a greater percentage of those with SPD were nicotine dependent compared to those without SPD. Lastly, quit ratios differed notably by SPD status. Among those with SPD, 29% quit or were former smokers compared to 49% of those without SPD. Findings highlight the importance of continuing to enhance public health efforts towards smoking cessation among those with mental health disorders, extensive tobacco surveillance and monitoring of tobacco trends among this group, and evaluating the extent to which this group of smokers may contribute to a hardening of the population. PMID- 18158219 TI - Neurodevelopmental and neurodegenerative diseases - is there a pathophysiological link? Attention-deficit/hyperactivity disorder and amyotrophic lateral sclerosis as examples. AB - Attention-deficit/hyperactivity disorder (ADHD), the most common neurobehavioural disorder and amyotrophic lateral sclerosis (ALS), the most common adult motoneuron disease, may be two distinct entities on first sight. This paper aims to highlight parallels concerning clinical features and neurobiology. The presence of increased physical and psychological activity and largely non progressive frontal dysfunction associated with impaired executive control and decreased attention are characteristic clinical features of both, ADHD and ALS. At the neurobiological level, there is evidence for hyperactivity in the glutamatergic system and a - potentially related - dopaminergic hypoactivity in ADHD and ALS. The clinical features of ALS resembling ADHD are particularly characteristic for the premorbid stage of the patient. Therefore, we hypothesize that clinical features of ADHD may be a risk factor for the development of ALS. This hypothesis is currently of unknown pathogenetic, but of potential future therapeutic relevance. Our hypothesis of a link between ADHD and ALS could also be considered as an example how research on neurodevelopmental diseases might influence the understanding and possibly the prevention and treatment of neurodegenerative diseases. PMID- 18158220 TI - Does dopaminergic reward system contribute to explaining comorbidity obesity and ADHD? AB - Some recent studies have reported a strong link between obesity and attention deficit/hyperactivity disorder (ADHD). However, to date, the factors underlying this newly described comorbidity are still unclear and unexplored. In the present article, we proposed that the dopamine system and implicate dopamine genes contribute to explaining the association between ADHD and obesity. The background for this hypothesis comes from studies on the association between ADHD and dopamine, as well as from investigations on dopamine in obese individuals. There is strong evidence that indicate catecholamines dopamine is very important in the pathophysiology of ADHD, as well as in the mechanism of therapeutic action of stimulant drugs. Furthermore, increasing evidence indicated that dopaminergic reward system is significantly associated with obesity. With regard to the therapeutic implications, recent studies indicate that methylphenidate (MPH) - a drug widely used for ADHD reduced overall energy intake with a selective reduction in dietary fat. Findings are consistent with a reward deficiency model of obesity whereby low brain dopamine predicts overeating and obesity, and administering agents that increase dopamine results in reduced feeding behavior. Given the above background, we hypothesize that the increased prevalence of ADHD in obese individual could be explained by the imbalance of dopaminergic reward system. PMID- 18158221 TI - Kv1.3 channel as a promising therapeutic target for acquired aplastic anemia. PMID- 18158222 TI - The delivery and antinociceptive effects of morphine and its ester prodrugs from lipid emulsions. AB - Long-acting analgesia is critical for patients suffering from long-acting pain. The purpose of this study was to develop lipid emulsions as parenteral drug delivery systems for morphine and its ester prodrugs. Morphine prodrugs with various alkyl chain lengths, including morphine propionate (MPR), morphine enanthate (MEN), and morphine decanoate (MDE), were synthesized. The prodrugs were stable against chemical hydrolysis in an aqueous solution, but were quickly hydrolyzed to the parent drug when exposed to esterase and plasma. Lipid emulsions were prepared using phosphatidylethanolamine (PE) as an emulsifier, while squalene was used as an inner oil phase. Drug release was found to be a function of the drug/prodrug lipophilicity, with a lower release rate for more lipophilic drug/prodrugs. The inclusion of morphine and its prodrugs into lipid emulsions retarded their release. Lipid emulsions, which incorporated cholesterol, generally exhibited a drug/prodrug release comparable to that of emulsions without co-emulsifiers. Pluronic F68 (PF68) further slowed down the release of morphine and its prodrugs from the emulsions. The antinociceptive activity through the parenteral administration of these emulsions was examined using a cold ethanol tail-flick study. Compared with an aqueous solution, a prolonged analgesic duration was detected after application of the drug/prodrug emulsions. Incorporation of co-emulsifiers such as PF68 and cholesterol further increased the duration of action. The combination of prodrug strategy and lipid emulsions may be practically useful for improving analgesic therapy with morphine. PMID- 18158223 TI - The zonal architecture of human articular cartilage described by T2 relaxation time in the presence of Gd-DTPA2-. AB - The depth-wise variation of T(2) relaxation time is known to reflect the collagen network architecture in cartilage, while the delayed Gadolinium Enhanced MRI of Cartilage (dGEMRIC) technique is sensitive to tissue proteoglycan (PG) concentration. As the cartilage PG content varies along the tissue depth, the depth-dependent accumulation of the contrast agent may affect the inherent T(2) of cartilage in a nonconstant manner. Therefore, T(2) and dGEMRIC are typically measured in separate MRI sessions. In the present in vitro MRI study at 9.4 T, depth-wise T(2) profiles and collagenous zone thicknesses as determined from T(2) maps in the absence and presence of Gd-DTPA(2-) (T(2) and T(2Gd), respectively) were compared in samples of intact human articular cartilage (n=65). These T(2) measures were further correlated with birefringence (BF) of polarized light microscopy (PLM) to quantify the ability of MRI to predict the properties of the collagen fibril network. The reproducibility of the T(2) measurement in the current setup was also studied. Typical tri-laminar collagen network architecture was observed both with and without Gd-DTPA(2-). The inverse of BF (1/BF) correlated significantly with both T(2) and T(2Gd) (r=0.91, slope=0.56 and r=0.90, slope=0.63), respectively. The statistically significant linear correlations between zone thicknesses as determined from T(2) and T(2Gd) were r=0.55 (slope=0.49), r=0.74 (slope=0.71) and r=0.95 (slope=0.94) for superficial, middle and deep tissue zones, respectively. Reproducibility of the T(2) measurement was worst for superficial cartilage. Consistent with PLM, T(2) and T(2Gd) measurements reveal highly similar depth-dependent information on collagen network in intact human cartilage. Thus, dGEMRIC and T(2) measurements in one MRI session are feasible for intact articular cartilage in vitro. PMID- 18158224 TI - Laterality index in functional MRI: methodological issues. AB - In functional magnetic resonance imaging (fMRI), hemispheric dominance is generally indicated by a measure called the laterality index (LI). The assessment of a meaningful LI measure depends on several methodological factors that should be taken into account when interpreting LI values or comparing between subjects. Principally, these include the nature of the quantification of left and right hemispheres contributions, localisation of volumes of interest within each hemisphere, dependency on statistical threshold, thresholding LI values, choice of activation and baseline conditions and reproducibility of LI values. This review discusses such methodological factors and the different approaches that have been suggested to deal with them. Although these factors are common to a range of fMRI domains, they are discussed here in the context of fMRI of the language system. PMID- 18158225 TI - Cerebral blood flow estimation from perfusion-weighted MRI using FT-based MMSE filtering method. AB - INTRODUCTION: Perfusion-weighted MRI can be used for estimating blood flow parameters using bolus tracking technique based on dynamic susceptibility contrast MRI. In order to extract flow parameters, several deconvolution techniques have been proposed, of which the singular value decomposition (SVD) and Fourier transform (FT)-based techniques are more popular and widely used. In this work, an FT-based method has been proposed that involves derivation of an optimal shaped filter (defined as a filter function) estimated using minimum mean squared error (MMSE) technique in the frequency domain. The proposed technique has been compared with the well-established SVD technique using simulation experiments. SIMULATION METHODS: Simulation was performed in multiple steps. An arterial input function (AIF) was first defined based on a certain blood flow value. The T2* signal change was then derived from this AIF, and noise was added to the signal. Then, a unique and optimal shaped filter function Phi(f) was derived in order to obtain the best estimate of scaled residue function. One way is by minimizing the mean-squared error between the noiseless and noisy scaled residue function, i.e., using an MMSE method. The effect of low and moderate noise and distorted AIF on cerebral blood flow (CBF) estimates was obtained by using FT-based MMSE method. Results were compared with the SVD technique. In this work, SVD technique was assumed to be the standard reference deconvolution technique. RESULTS AND DISCUSSION: For low-noise condition, the FT-based technique was more stable than the SVD technique, while for moderate noise, both techniques consistently underestimated CBF. SVD technique was found to be more stable in presence of AIF distortions. However, SVD technique was found to be unstable due to AIF delay compared to the FT-based MMSE method. The shaped filter function was found to be sensitive to effect of AIF distortions. PMID- 18158226 TI - SNR and functional sensitivity of BOLD and perfusion-based fMRI using arterial spin labeling with spiral SENSE at 3 T. AB - Blood oxygenation level-dependent (BOLD) functional magnetic resonance imaging (fMRI) studies using parallel imaging to reduce the readout window have reported a loss in temporal signal-to-noise ratio (SNR) that is less than would be expected given a purely thermal noise model. In this study, the impact of parallel imaging on the noise components and functional sensitivity of both BOLD and perfusion-based fMRI data was investigated. Dual-echo arterial spin labeling data were acquired on five subjects using sensitivity encoding (SENSE), at reduction factors (R) of 1, 2 and 3. Direct recording of cardiac and respiratory activity during data acquisition enabled the retrospective removal of physiological noise. The temporal SNR of the perfusion time series closely followed the thermal noise prediction of a radicalR loss in SNR as the readout window was shortened, with temporal SNR values (relative to the R=1 data) of 0.72 and 0.56 for the R=2 and R=3 data, respectively, after accounting for physiological noise. However, the BOLD temporal SNR decreased more slowly than predicted even after accounting for physiological noise, with relative temporal SNR values of 0.80 and 0.63 for the R=2 and R=3 data, respectively. Spectral analysis revealed that the BOLD trends were dominated by low-frequency fluctuations, which were not dominant in the perfusion data due to signal processing differences. The functional sensitivity, assessed using mean F values over activated regions of interest (ROIs), followed the temporal SNR trends for the BOLD data. However, results for the perfusion data were more dependent on the threshold used for ROI selection, most likely due to the inherently low SNR of functional perfusion data. PMID- 18158227 TI - Standing on the shoulders of giants. PMID- 18158228 TI - Fifteen years of bone tumor cryosurgery: a single-center experience of 440 procedures and long-term follow-up. AB - BACKGROUND: This summary of a single center's extensive cumulative experience in bone tumor cryosurgery assesses the long-term outcome of bone conservation surgery in which adjuvant cryosurgery plays a pivotal role. MATERIALS AND METHODS: We performed 440 cryosurgical procedures between January 1988 and December 2002. Two-thirds of the series comprised a variety of primary benign aggressive and low-grade malignant lesions, and one-third were primary high-grade and metastatic bone tumors. The anatomical locations included almost every bone of the skeleton. Two methods of bone cryosurgery were used: Marcove's "open" direct-pour system using liquid nitrogen (1988-1997) and Meller's "closed" argon based system (1998 to the present). RESULTS: The study cohort consisted of 214 males and 191 females (age range 5-82 years). The median follow-up was 7 years (range 3-18). The overall local recurrence rate was 8%: fractures=1%, infections=2% and skin burns=1.3%. There were three cases of transient nerve palsies in areas other than the sacrum, and four cases of late osteoarthritis of an adjacent joint. The functional outcome for the 372 patients with no evidence of disease was almost 100% "good" and "excellent" (American Musculo-skeletal Tumor Society System). Only two patients needed secondary amputations. CONCLUSIONS: Bone cryosurgery is a safe and effective limb-, joint- and even epiphysis-sparing surgical technique in suitable types of bone tumors, temporarily or permanently obviating the need for resection surgery. PMID- 18158229 TI - Simultaneous determination of serum concentrations of levodopa, dopamine, 3-O methyldopa and alpha-methyldopa by HPLC. AB - Levodopa is the medication of choice for Parkinson's disease. The biological complexity of levodopa and of its main derivatives makes their determination important in the clinical field. The aim of this study was to develop an HPLC method for the simultaneous determination of serum concentrations of levodopa, dopamine, 3-O-methyldopa and alpha-methyldopa. We compared UV and fluorimetric detection of native and derivatised compounds. Though less sensitive than other methods, UV detection is important to exclude naturally fluorescent, interfering substances. Fluorimetric detection of derivatised compounds is more sensitive than UV detection. Since 3-O-methyldopa does not react with the derivatising agent 1,2-diphenylethylenediamine, it cannot be detected. For simultaneous determination of the four compounds after pharmacological treatment of patients we therefore advise fluorimetric detection of the native compound. PMID- 18158230 TI - Validation of the Chinese version of the EORTC colorectal cancer-specific quality of-life questionnaire module (QLQ-CR38). AB - The European Organization for Research and Treatment of Cancer colorectal cancer (CRC)-specific quality-of-life questionnaire module (QLQ-CR38) assesses health related quality of life in patients with CRC. We studied its psychometric properties and clinical validity in Hong Kong Chinese patients with CRC. The 38 items, forming functional and symptom scales, were administered to 256 Chinese patients diagnosed with CRC from a clinical oncology outpatient unit. Multitrait scaling analyses confirmed the hypothesized scale structure of the functional scales but not of the symptom scales, particularly those measuring chemotherapy side effects and gastrointestinal symptoms. The functional scales, but not the symptom scales, showed good internal consistency reliability. Convergent and divergent validity were satisfactory, as indicated by the correlations with other measures. The scales effectively differentiated between clinically distinct patient groups. As expected from a module designed to be used in conjunction with the core questionnaire, correlations between the QLQ-CR38 and the QLQ-30 are only weak to moderate. The functional scales of the Chinese version of the QLQ-CR38 show good psychometric performance and suitability for use with the QLQ-C30. Although, the results lend support to the clinical validity of the QLQ-C38, the symptom scales would benefit from further refinement to enhance their usefulness. PMID- 18158231 TI - Establishing mild, moderate, and severe scores for cancer-related symptoms: how consistent and clinically meaningful are interference-based severity cut-points? AB - Methods are presented to separate 16 frequently occurring cancer symptoms measured on 10-point symptom severity rating scales into mild, moderate, and severe categories that are clinically interpretable and significant for use in oncology practice settings. At their initial intervention contact, 588 solid tumor cancer patients undergoing chemotherapy reported severity on a standard 11 point rating scale for 16 symptoms. All reporting a one or higher were asked to rate on an 11-point scale how much the symptom interfered with enjoyment of life, relationship with others, general daily activities, and emotions. Factor analysis revealed that these items tapped into the same dimension, and the items were summed to form an interference scale. Cut-points for mild, moderate, and severe categories of symptom severity were defined by comparing the differences in interference scores corresponding to each successive increases in severity for each symptom. The cut-points differed among symptoms. Pain, fatigue, weakness, cough, difficulty remembering, and depression had lower cut-points for each category compared to other symptoms. Cut-points for each symptom were not related to site or stage of cancer, age, or gender but were associated with a global depression measure. Cut-points were related to limitations in physical function, suggesting differences in the quality of patients' lives. The resulting cut points summarize severity ratings into clinically significant and useful categories that clinicians can use to assess symptoms in their practices. PMID- 18158232 TI - What patients with cancer want to know about pain: a qualitative study. AB - Research indicates that patients feel more satisfied and obtain better health outcomes when they are able to discuss their questions with their health professionals. A better understanding of cancer patients' questions may help guide interventions to address their information needs and improve pain management. This study sought to explore and describe the questions that women with breast cancer have about pain related to cancer. Semistructured interviews were conducted with women with pain related to breast cancer or its treatment, recruited from a large teaching hospital in Toronto, Canada. Interviews were audio recorded and fully transcribed. Data saturation was reached after 18 participants were interviewed. Analysis involved the identification of themes and the development of a taxonomy of questions about pain. In total, over 200 questions concerning seven main themes were identified: (1) understanding cancer pain, (2) knowing what to expect, (3) options for pain control, (4) coping with cancer pain, (5) talking with others with cancer pain, (6) finding help managing cancer pain, and (7) describing pain. The information collected suggests that formulating and articulating questions about pain is a context-dependent, time intensive process that requires reflection, knowledge, and a good use of language. Patients have numerous and diverse questions about pain and its treatment, which may be difficult to address within the context of a typical consultation. To manage pain adequately, innovative efforts are needed to enable patients and health professionals to recognize, articulate, and answer such questions. Internet-based tools could provide some of these solutions. PMID- 18158233 TI - Approximation of state-space trajectories by locally recurrent globally feed forward neural networks. AB - The paper deals with investigating approximation abilities of a special class of discrete-time dynamic neural networks. The networks considered are called locally recurrent globally feed-forward, because they are designed with dynamic neuron models which contain inner feedbacks, but interconnections between neurons are strict feed-forward ones like in the well-known multi-layer perceptron. The paper presents analytical results showing that a locally recurrent network with two hidden layers is able to approximate a state-space trajectory produced by any Lipschitz continuous function with arbitrary accuracy. Moreover, based on these results, the network can be simplified and transformed into a more practical structure needed in real world applications. PMID- 18158234 TI - Automated classification of the behavior of rats in the forced swimming test with support vector machines. AB - The forced swimming test of rats or mice is a frequently used behavioral test to evaluate compounds for antidepressant activity in vivo. The aim of this study was to replace the human observer, needed to score and analyze the behavior of animals, by a fully automated method. For this purpose, in a first step from a video recording of each rat, an activity profile was calculated, from which subsequently a set of meaningful properties was extracted. This set was finally used to train a Support Vector Machine (SVM). Furthermore, specialized kernel functions, namely the so-called time resolved p-spectrum and modified optimal assignment kernels, were developed to calculate the similarity of activity profiles. Our method allows for a very reliable discrimination of animals treated with antidepressants of different classes (tricyclics imipramine and desipramine as well as selective serotonin reuptake inhibitor, SSRI, fluoxetine) versus a vehicle-treated group. Moreover, our technique is able to classify between tricyclic antidepressants and SSRIs. The results of this work enabled the development of an automated and highly accurate behavior classification system. PMID- 18158235 TI - The curiously suspicious: infectious disease may ameliorate an ongoing autoimmune destruction in systemic lupus erythematosus patients. AB - Systemic lupus erythematosus (SLE) is a chronic autoimmune disease, which can arise from a combination of genetic and environmental factors. In the past, infections (Epstein Barr virus, parvovirus B-19) have been indicated to play a causative role in the development of autoimmune diseases, such as SLE. On the other hand, with the emergence of the "hygiene hypothesis" infections have also shown to play a protective role in autoimmune diseases. Two case studies are presented which provide clinical evidence of SLE patients with severe, long-term disease, despite immunosuppresive therapy. The course of both diseases changed remarkably after they experienced infections with multiple microbes (bacterial, viral and fungal). Surprisingly, their clinical and laboratory signs of SLE normalized and they are now symptom-free after 5 and 3year follow-ups. The second patient has even had a normal pregnancy, which was a trigger factor for disease flare in the past. The infections presumably changed the host immune systems and the mechanisms of their protective effects are most likely multifactorial. Our cases illustrate that infections could be beneficial in SLE patients and re directing research toward novel innate-based SLE therapy should be explored. PMID- 18158236 TI - Trends in biotechnological production of fuel ethanol from different feedstocks. AB - Present work deals with the biotechnological production of fuel ethanol from different raw materials. The different technologies for producing fuel ethanol from sucrose-containing feedstocks (mainly sugar cane), starchy materials and lignocellulosic biomass are described along with the major research trends for improving them. The complexity of the biomass processing is recognized through the analysis of the different stages involved in the conversion of lignocellulosic complex into fermentable sugars. The features of fermentation processes for the three groups of studied feedstocks are discussed. Comparative indexes for the three major types of feedstocks for fuel ethanol production are presented. Finally, some concluding considerations on current research and future tendencies in the production of fuel ethanol regarding the pretreatment and biological conversion of the feedstocks are presented. PMID- 18158237 TI - Cadmium, zinc and copper biosorption mediated by Pseudomonas veronii 2E. AB - Adsorption properties of bacterial biomass were tested for Cd removal from liquid effluents. Experimental conditions (pH, time, cellular mass, volume, metal concentration) were studied to develop an efficient biosorption process with free or immobilised cells of Pseudomonas veronii 2E. Surface fixation was chosen to immobilise cells on inert surfaces including teflon membranes, silicone rubber and polyurethane foam. Biosorption experiments were carried out at 32 degrees C and controlled pH; maximal Cd(II) retention was observed at pH 7.5. The isotherm followed the Langmuir model (K(d)=0.17 mM and q(max)=0.48 mmol/g cell dry weight). Small changes in the surface negative charge of cells were observed by electrophoretic mobility experiments in presence of Cd(II). In addition, biosorption of 40% Cu(II) (pH 5 and 6.2) and 50% Zn(II) and 50% Cd(II) (pH 7.5) was observed from mixtures of Cu(II), Zn(II) and Cd(II) 0.5mM each. PMID- 18158238 TI - Evaluation of ultra- and nanofiltration for refining soluble products from rice husk xylan. AB - Liquors from water treatments of rice husks (containing soluble xylan-derived products) were processed with NF and UF membranes for concentrating and removing both monosaccharides and non-saccharide compounds. Among the commercial membranes assayed, the best results were achieved with the 4 kDa polymeric tubular ESP04 (PCI Membranes), and the 1 kDa ceramic monolithic Kerasep Nano (Novasep). Several trade-offs were identified both in membrane selection and in operating conditions. The ESP04 polymeric membrane provided the best fractionation, but lower recovery under comparable experimental conditions, while its fluxes were about half of those of the ceramic Kerasep Nano membrane. Increase in transmembrane pressure resulted in improved product recovery, at the expense of a lower purity. Additional data on product refining by coupling membrane processing with extraction and ion exchange are provided. PMID- 18158239 TI - Flocculants effect in biomass retention in a UASB reactor treating dairy manure. AB - The performance and biomass retention of an upflow anaerobic sludge bed (UASB) reactor treating liquid fraction of dairy manure has been investigated at several organic loading rates. Two identical UASB reactors were employed. The biomass of one UASB reactor (FBR) had previously been treated with a cationic polyacrylamide, the other reactor was operated as a control reactor (CR). At 3 and 2 days of HRT both reactors functioned similarly, but at 1.5 days HRT some differences were observed between both effluents. Mean COD(T) removal percentages were 83.4% and 76.5%; COD(VFA) values in effluents were 977 and 2682 mg l(-1) for the FBR and the CR respectively. The VSS initial value in both reactors was 25.66 g VSS, whereas after the experiment the quantities were 31.83 g VSS in the FBR and 23.18 g VSS in the CR reactors. Polymer addition resulted in a higher degree of biomass retention and better performance in the FBR reactor. PMID- 18158240 TI - Cyanobacteria as a biosorbent for mercuric ion. AB - The biosorption of Hg(2+) by two strains of cyanobacteria, Spirulina platensis and Aphanothece flocculosa, was studied under a batch stirred reaction system. Essential process parameters, including pH, biomass concentration, initial metal concentration, and presence of co-ions were shown to influence the Hg(2+) uptake. Hg(2+) uptake was optimal at pH 6.0 for both strains. The maximum loading capacities per gram of dry biomass were found to be 456 mg Hg(2+) for A. flocculosa and 428 mg Hg(2+) for S. platensis. At an initial concentration of 10 ppm Hg(2+), A. flocculosa was able to remove more than 98% of the mercury ion from solution. The biosorption kinetics of both strains showed that the metal uptake is bi-phasic, exhibiting a rapid initial uptake followed by a slower absorption process. The presence of dissolved Co(2+), Ni(2+), and Fe(3+) were found to play a synergistic role for Hg(2+) uptake by both strains. Regeneration of the biomass was examined by treating Hg(2+)-loaded samples with HCl and NH(4)Cl over four cycles of sorption and desorption. PMID- 18158241 TI - Pseudomonas syringae effector AvrPto blocks innate immunity by targeting receptor kinases. AB - Plants use receptor kinases, such as FLS2 and EFR, to perceive bacterial pathogens and initiate innate immunity. This immunity is often suppressed by bacterial effectors, allowing pathogen propagation. To counteract, plants have evolved disease resistance genes that detect the bacterial effectors and reinstate resistance. The Pseudomonas syringae effector AvrPto promotes infection in susceptible plants but triggers resistance in plants carrying the protein kinase Pto and the associated resistance protein Prf. Here we show that AvrPto binds receptor kinases, including Arabidopsis FLS2 and EFR and tomato LeFLS2, to block plant immune responses in the plant cell. The ability to target receptor kinases is required for the virulence function of AvrPto in plants. The FLS2 AvrPto interaction and Pto-AvrPto interaction appear to share similar sequence requirements, and Pto competes with FLS2 for AvrPto binding. The results suggest that the mechanism by which AvrPto recognizes virulence targets is linked to the evolution of Pto, which, in association with Prf, recognizes the bacterium and triggers strong resistance. PMID- 18158242 TI - Cell division requires a direct link between microtubule-bound RacGAP and Anillin in the contractile ring. AB - The mitotic microtubule array plays two primary roles in cell division. It acts as a scaffold for the congression and separation of chromosomes, and it specifies and maintains the contractile-ring position. The current model for initiation of Drosophila and mammalian cytokinesis [1-5] postulates that equatorial localization of a RhoGEF (Pbl/Ect2) by a microtubule-associated motor protein complex creates a band of activated RhoA [6], which subsequently recruits contractile-ring components such as actin, myosin, and Anillin [1-3]. Equatorial microtubules are essential for continued constriction, but how they interact with the contractile apparatus is unknown. Here, we report the first direct molecular link between the microtubule spindle and the actomyosin contractile ring. We find that the spindle-associated component, RacGAP50C, which specifies the site of cleavage [1-5], interacts directly with Anillin, an actin and myosin binding protein found in the contractile ring [7-10]. Both proteins depend on this interaction for their localization. In the absence of Anillin, the spindle associated RacGAP loses its association with the equatorial cortex, and cytokinesis fails. These results account for the long-observed dependence of cytokinesis on the continual presence of microtubules at the cortex. PMID- 18158243 TI - Anillin is a scaffold protein that links RhoA, actin, and myosin during cytokinesis. AB - Cell division after mitosis is mediated by ingression of an actomyosin-based contractile ring. The active, GTP-bound form of the small GTPase RhoA is a key regulator of contractile-ring formation. RhoA concentrates at the equatorial cell cortex at the site of the nascent cleavage furrow. During cytokinesis, RhoA is activated by its RhoGEF, ECT2. Once activated, RhoA promotes nucleation, elongation, and sliding of actin filaments through the coordinated activation of both formin proteins and myosin II motors (reviewed in [1, 2]). Anillin is a 124 kDa protein that is highly concentrated in the cleavage furrow in numerous animal cells in a pattern that resembles that of RhoA [3-7]. Although anillin contains conserved N-terminal actin and myosin binding domains and a PH domain at the C terminus, its mechanism of action during cytokinesis remains unclear. Here, we show that human anillin contains a conserved C-terminal domain that is essential for its function and localization. This domain shares homology with the RhoA binding protein Rhotekin and directly interacts with RhoA. Further, anillin is required to maintain active myosin in the equatorial plane during cytokinesis, suggesting it functions as a scaffold protein to link RhoA with the ring components actin and myosin. Although furrows can form and initiate ingression in the absence of anillin, furrows cannot form in anillin-depleted cells in which the central spindle is also disrupted, revealing that anillin can also act at an early stage of cytokinesis. PMID- 18158244 TI - Robust neuronal symmetry breaking by Ras-triggered local positive feedback. AB - Neuronal polarity is initiated by a symmetry-breaking event whereby one out of multiple minor neurites undergoes rapid outgrowth and becomes the axon [1]. Axon formation is regulated by phosphatidylinositol 3-kinase (PI3K)-related signaling elements [2-10] that drive local actin [11] and microtubule reorganization [3, 12], but the upstream signaling circuit that causes symmetry breaking and guarantees the formation of a single axon is not known. Here, we use live FRET imaging in hippocampal neurons and show that the activity of the small GTPase HRas, an upstream regulator of PI3K, markedly increases in the nascent axonal growth cone upon symmetry breaking. This local increase in HRas activity results from a positive feedback loop between HRas and PI3K, locally reinforced by vesicular transport of HRas to the axonal growth cone. Recruitment of HRas to the axonal growth cone is paralleled by a decrease in HRas concentration in the remaining neurites, suggesting that competition for a limited pool of HRas guarantees that only one axon forms. Mathematical modeling demonstrates that local positive feedback between HRas and PI3K, coupled to recruitment of a limited pool of HRas, generates robust symmetry breaking and formation of a single axon in the absence of extrinsic spatial cues. PMID- 18158245 TI - Adult male chimpanzees inherit maternal ranging patterns. AB - Space use often correlates with reproductive success [1, 2]. Individual site fidelity is ubiquitous across a variety of taxa, including birds, mammals, insects, and reptiles [3-9]. Individuals can benefit from using the same area because doing so affords access to known resources, including food and/or breeding sites. The majority of studies on site fidelity have focused upon strictly territorial species in which individuals range in well-defined, exclusive areas (e.g., [4, 9]). By comparison, the transient groups that define fission-fusion species allow for considerable flexibility in individual space use. Although there is evidence that individual space use can influence reproductive success [2], relatively little is known about individual ranging patterns in fission-fusion species. Here, we investigate three potential correlates of male site fidelity (age, habitat quality, and maternal space use) in wild chimpanzees (Pan troglodytes). We found that when alone, each male preferentially concentrated his space use near the area where his mother ranged when he was dependent. We suggest that solitary ranging allows males to avoid direct competition with conspecifics and that foraging in familiar areas maximizes foraging efficiency. These results highlight the importance of male foraging strategies in a species in which male ranging is typically explained in terms of mating access to females. PMID- 18158246 TI - The effect of walking speed on muscle function and mechanical energetics. AB - Modulating speed over a large range is important in walking, yet understanding how the neuromotor patterns adapt to the changing energetic demands of different speeds is not well understood. The purpose of this study was to identify functional and energetic adaptations in individual muscles in response to walking at faster steady-state speeds using muscle-actuated forward dynamics simulations. The simulation data were invariant with speed as to whether muscles contributed to trunk support, forward propulsion or leg swing. Trunk support (vertical acceleration) was provided primarily by the hip and knee extensors in early stance and the plantar flexors in late stance, while trunk propulsion (horizontal acceleration) was provided primarily by the soleus and rectus femoris in late stance, and these muscle contributions all systematically increased with speed. The results also highlighted the importance of initiating and controlling leg swing as there was a dramatic increase at the higher walking speeds in iliopsoas muscle work to accelerate the leg in pre- and early swing, and an increase in the biarticular hamstring muscle work to decelerate the leg in late swing. In addition, walking near self-selected speeds (1.2m/s) improves the utilization of elastic energy storage and recovery in the uniarticular ankle plantar flexors and reduces negative fiber work, when compared to faster or slower speeds. These results provide important insight into the neuromotor mechanisms underlying speed regulation in walking and provide the foundation on which to investigate the influence of walking speed on various neuromotor measures of interest in pathological populations. PMID- 18158247 TI - Novel 2-(4-methylsulfonylphenyl)pyrimidine derivatives as highly potent and specific COX-2 inhibitors. AB - New series of 2-(4-methylsulfonylphenyl) and 2-(4-sulfamoylphenyl)pyrimidines were synthesized and evaluated for their ability to inhibit cyclooxygenase-2 (COX 2). COX-1 and COX-2 inhibitory activity of these compounds was determined using purified enzyme (PE) and human whole blood (HWB) assays. Extensive structure activity relationship (SAR) work was carried out within these series, and a wide number of potent and specific COX-2 inhibitors were identified (HWB COX-2 IC(50)=2.4-0.3nM and 80- to 780-fold more selective than rofecoxib). PMID- 18158248 TI - Synthesis, analgesic, anti-inflammatory, and antimicrobial activity of some novel pyrimido[4,5-b]quinolin-4-ones. AB - Novel series of pyrimido[4,5-b]quinolines (3a-c), triazolo[4',3':1,2]pyrimido[4,5 b]-quinolines (7a-e, 9, and 14), tetrazolo[4',3':1,2]pyrimido[4,5-b]quinolin-5 one (13), [1,3]-pyrazolo[3',2':1,2]pyrimido[4,5-b]quinolines (12a and 12b), and 2 pyrazolyl-pyrimido[4,5-b]-quinolines (15, 16a, 16b, and 19) have been synthesized. Some of the new compounds were tested against various bacteria and fungi species. In addition, the analgesic and anti-inflammatory activities are reported. Compounds 8 and 9a possess high activity toward the fungi as compared with the reference drug Nystatin. The tested compounds 5 and 8 have moderate anti inflammatory activities. Moreover compounds 5, 8, 10, and 16a, have activities higher than the reference drug in peripheral analgesic activity testing, Compounds 5, 7a, 11a, and 16a have potencies as the reference drug in central analgesic activity testing. PMID- 18158249 TI - Synthesis of beta- and gamma-oxa isosteres of fosmidomycin and FR900098 as antimalarial candidates. AB - To expand the structure-activity relationships of fosmidomycin and FR900098, two potent antimalarials interfering with the MEP-pathway, we decided to replace a methylene group in beta-position of the phosphonate moiety of these leads by an oxygen atom. beta-oxa-FR900098 (11) proved equally active as the parent compound. When applied to 4-[hydroxyl(methyl)amino]-4-oxobutyl phosphonic acid, featuring a hydroxamate instead of the retrohydroxamate moiety, a beta-oxa modification yielded a derivative (13) with superior activity against the Plasmodium falciparum 3D7 strain than fosmidomycin, while a gamma-oxa modification resulted in less active derivatives. A bis(pivaloyloxymethyl)ester of phosphonate 13 proved twice as active in inhibiting cultured parasites as a similar prodrug of FR900098. PMID- 18158250 TI - Generation and expression of a minimal hybrid Ig-receptor formed between single domains from proteins L and G. AB - The Ig-binding properties of protein L from Peptostreptococcus magnus and protein G from Streptococcus have been successfully combined through the construction of a novel hybrid protein, consisting of a single Ig-binding domain from each protein. The biophysical and biochemical properties of this construct have been characterized through equilibrium and pre-equilibrium fluorescence spectroscopy, circular dichroism, isothermal titration calorimetry, affinity chromatography, and conformational stability studies using a chemical denaturant in order to examine the structure and availability of ligand binding sites in each domain. These studies show that despite the small size of the protein (Mw=16.5 kDa) each domain behaves in an independent manner with respect to the binding characteristics of the same domain in isolation. PMID- 18158251 TI - Insights into the structural variation between pentapeptide repeat proteins- crystal structure of Rfr23 from Cyanothece 51142. AB - Cyanothece sp. PCC 51142 contains 35 pentapeptide repeat proteins (PRPs), proteins that contain a minimum of eight tandem repeated five-residues (Rfr) of the general consensus sequence A[N/D]LXX. Published crystal structures of PRPs show that the tandem pentapeptide repeats adopt a type of right-handed quadrilateral beta-helix called an Rfr-fold. To characterize how structural features of Rfr-folds might vary with different amino acid sequences, the crystal structure of Cyanothece Rfr23 (174 residues) was determined at 2.4A resolution. The structure is dominated by an Rfr-fold capped at the N-terminus with a nine residue alpha-helix (M26(*)-E34). The Rfr-fold of Rfr23 contains four structural features previously unobserved in Rfr-folds. First, Rfr23 is composed entirely of type II beta-turns. Second, the pentapeptide repeats are not consecutive in the primary amino acid sequence. Instead, Rfr23 contains 24-residues protruding outside one corner of the first complete N-terminal coil of the Rfr-fold (L56 P79) (24-residue insertion). Third, a disulfide bond between C39 and C42 bridges the beta-turn between the first and second pentapeptide repeats in the first coil (disulfide bracket). NMR spectroscopy indicates that the reduction of the disulfide bracket with the addition of DTT destroys the entire Rfr-fold. Fourth, a single-residue perturbs the Rfr-fold slightly in the last coil between the C terminal two pentapeptide repeats (single-residue bulge). PMID- 18158252 TI - Total substitution of fish oil by vegetable oils in gilthead sea bream (Sparus aurata) diets: effects on hepatic Mx expression and some immune parameters. AB - The use of vegetable oils in fish nutrition has been extensively studied; and recent work has focused attention on replacing fish oil with alternative fatty acid sources and their effect on the immune system. However, little is known about the effect of these oils on immune parameters such as the fish interferon system. In this study we evaluate the effect of two vegetable oils (linseed and soybean) on gilthead sea bream Mx expression and other innate immune parameters. Experimental diets were formulated where fish oil was totally replaced by vegetable oils or for a mixture of them (50% linseed and 50% soybean). Another diet prepared with pure fish oil was used as a control. Two experiments were carried out in order to evaluate growth, feed utilization, serum alternative complement pathway activity, serum lysozyme and phagocytic activity of head kidney leucocytes as well as Mx expression in the liver. In the first experiment fish were fed with experimental diets for 6 months and then, growth and feed utilization as well as immune parameters were analyzed. In the second experiment, fish from the previous feeding trial were injected with either a sub-lethal dose of Photobacterium damselae subsp. piscicida (94/99) or a synthetic dsRNA (Poly I:C) in order to stimulate an Mx response. The results show that total substitution of fish oil by vegetable oils decreased the growth of gilthead sea bream juveniles. Furthermore, both phagocytic activity and serum alternative complement pathway activity were significantly reduced by the inclusion of either vegetable oil individually in the sea bream diets, but the diet with mixed vegetable oils had no significant effect. There was no effect on serum lysozyme levels but the basal constitutive levels of Mx transcript expression in the liver were elevated in the fish fed the vegetable oil diets. The time-course of the Mx response to injection of Poly I:C was shorter in the fish fed the fish oil diet and the fish fed the diet based on a mixture of both vegetable oils showed a faster Mx response to bacterial injection. Following stimulation with Poly I:C or PDP the fish fed the vegetable oil based diets still maintained higher basal levels of hepatic Mx expression than the fish fed the fish oil diet which returned to undetectable levels. PMID- 18158253 TI - Assessment of muscle hardness changes induced by a submaximal fatiguing isometric contraction. AB - Transient elastography consists of measuring the transverse local shear elastic modulus defined as local muscle hardness (LMH). It has previously been shown that LMH is correlated to muscle activity level during non-fatiguing contractions. The aim of this study was to describe how LMH and muscle activity level change during a submaximal fatiguing constant-torque protocol. Changes in gastrocnemius medialis LMH and in surface electromyographic activities (sEMG) of plantar flexors induced by a submaximal isometric plantar flexion (40% of the maximal isometric torque) until exhaustion were quantified. During the contraction, sEMG of each muscle increased (P<0.001) whereas LMH remained constant (P>0.05). Active LMH assessed during the contraction did not parallel muscle activity level changes during this type of submaximal fatigue protocol. Interestingly, LMH at rest assessed in passive conditions was higher prior to the fatiguing effort (P<0.05), rather than that assessed immediately after. Muscle and tendon viscous behaviors could imply a creep phenomenon during a prolonged isometric contraction, and our results in LMH at rest could indicate that this phenomenon induces changes in muscle intrinsic mechanical properties. Further studies are needed to examine whether it could have an influence on muscle activity levels during the contraction. PMID- 18158254 TI - Time-frequency discriminant analysis of MEG signals. AB - This paper introduces a novel statistical method that can identify relevant time frequency features in brain signals to distinguish between groups. The feature of interest is the spectrum which characterizes the distribution of a given signal's variance (or power) across frequency oscillations. Brain signals are generally nonstationary in that the distribution of the signals' power across frequency changes over time. The classical Fourier analysis is not formally suitable for time series signals with time-varying spectra. This paper utilizes the SLEX (Smooth Localized Complex EXponentials) basis function to capture the transient features of brain signals. The SLEX basis consists of a set of localized orthogonal Fourier-like waveforms with a built-in mechanism for representing localized spectral features. The best basis is first chosen that maximizes group dissimilarity in the time-varying spectra. However, not all spectral features extracted from the best basis may be useful for discrimination and classification purpose. A thresholding scheme is further developed to remove irrelevant features from the best basis to improve accuracy for classification. In simulations the proposed SLEX-thresholding discriminant method was able to consistently identify the most discriminant time-frequency features and was able to correctly classify signals at a high rate. The method was then applied to magnetoencephalographic data from a standard paired-click paradigm. Discrimination between individuals with schizophrenia and a healthy comparison group confirmed the utility of the method. PMID- 18158255 TI - Measuring structural complexity in brain images. AB - An information theory based formalism for medical image analysis proposed in Young et al. [Young, K., Chen, Y., Kornak, J., Matson G. B., Schuff, N., 2005. Summarizing Complexity in High Dimensions, Phys. Rev. Lett. 94 098701-1] is described and used to estimate image complexity measures as a means of generating interpretable summary information. An analysis of anatomical brain MRI data exhibiting cortical thinning, currently considered to be a sensitive early biomarker for neurodegenerative diseases, is used to illustrate the method. Though requiring no previous assumptions about the detailed shape of the cortex or other brain structures, the method performed comparably (sensitivity=0.91) to direct cortical thickness estimation techniques (sensitivity=0.93) at separating populations in a data set designed specifically to test the cortical thickness estimation algorithms. The results illustrate that the complexity estimation method, though general, is capable of providing interpretable diagnostic information. PMID- 18158256 TI - Seizure control and pharmacokinetics of antiepileptic drugs in pregnant women with epilepsy. AB - The main concerns associated with epilepsy during pregnancy consist of maternal and fetal risks from uncontrolled seizures, and harmful effects of the treatment on the development of the offspring. Although seizure control is maintained in the majority, worsening occurs in a fraction of childbearing women with epilepsy. As multiple factors associated with pregnancy may have a negative impact on epilepsy, a careful analysis of the situation should be performed in those who deteriorate. Emotional and behavioural influence, including insufficient sleep and treatment non-compliance, as well as physical factors, such as emesis and pelvic distortion, should receive attention. The serum concentrations of almost all antiepileptic drugs decrease during pregnancy, particularly those which are metabolised by glucuronidation. The inter-individual variability is pronounced. In highly protein-bound drugs, such as phenytoin and valproate, unbound drug is less affected than total concentrations. Lamotrigine and levetiracetam concentrations may decrease by more than 50% in the course of pregnancy; monohydroxyoxcarbazepine by up to 30-40%. Appropriate clinical follow-up tailored to individual needs and supported by therapeutic drug monitoring should be performed in pregnant women with epilepsy. Education concerning reproductive issues is an essential part of the epilepsy service to fertile women. PMID- 18158257 TI - Non-invasive microscopy of tip-growing root hairs as a tool for study of dynamic and cytoskeleton-based vesicle trafficking. AB - The techniques of live cell imaging by electronic light microscopy and confocal microscopy were used to analyse the cytoarchitecture, organelle dynamics and membrane trafficking in living root hairs of Arabidopsis thaliana and Medicago sativa. We focused on the motility of vesicles in the tip of growing root hairs, the internalisation of plasma membrane by endocytosis and the fate of endocytic compartments. Vesicles as well as their trafficking to and contact with the plasma membrane were visualised in the tip of root hairs. We showed rapid endocytosis using a pulse treatment with lipophillic FM dyes in growing root hairs. Endocytosis was active at the very tip and labelled endocytic membranes progressed further down the endocytic network through dynamic compartments merging with the vacuole by their fusion with highly dynamic tonoplast. PMID- 18158258 TI - Cloning and expression of the tubulin genes in barley. AB - Tubulins are encoded by small gene families in plants. Based on the barley EST collection, cDNAs for alpha-, beta-, and gamma-tubulins were selected. Five genes for alpha-tubulin, eight newly identified beta-tubulin sequences and one gamma tubulin gene were found to be expressed in barley. In silico analysis of relative abundance of the distinct tubulin sequences among ESTs derived from different libraries revealed that the various tubulin genes differed in their level of expression, and to some extent were tissue specific. PMID- 18158260 TI - Twenty years with the Swedvasc Registry. PMID- 18158261 TI - Isotropic filtering using polyhedral phase cycles: application to singlet state NMR. AB - A technique is described for filtering out the components of an NMR signal that have passed through an isotropic spin order term. The method involves a coordinated cycle of three radiofrequency phase angles, where two of the phases correspond to the polar angles describing the vertices of a regular polyhedron, and the third angle is stepped around a circle. The most economical isotropic filtering scheme involves a 12-step phase cycle based on tetrahedral symmetry. The method is used to filter out NMR signals that have passed through singlet populations in a solution NMR experiment. PMID- 18158259 TI - Mycobacterial phenolic glycolipid virulence factor biosynthesis: mechanism and small-molecule inhibition of polyketide chain initiation. AB - Phenolic glycolipids (PGLs) are polyketide-derived virulence factors produced by Mycobacterium tuberculosis, M. leprae, and other mycobacterial pathogens. We have combined bioinformatic, genetic, biochemical, and chemical biology approaches to illuminate the mechanism of chain initiation required for assembly of the p hydroxyphenyl-polyketide moiety of PGLs. Our studies have led to the identification of a stand-alone, didomain initiation module, FadD22, comprised of a p-hydroxybenzoic acid adenylation domain and an aroyl carrier protein domain. FadD22 forms an acyl-S-enzyme covalent intermediate in the p-hydroxyphenyl polyketide chain assembly line. We also used this information to develop a small molecule inhibitor of PGL biosynthesis. Overall, these studies provide insights into the biosynthesis of an important group of small-molecule mycobacterial virulence factors and support the feasibility of targeting PGL biosynthesis to develop new drugs to treat mycobacterial infections. PMID- 18158262 TI - In vivo and in vitro comparison of densitometers in the NOREPOS study. AB - The purpose of this study was to assess the agreement of in vivo hip scans on 3 densitometers (1 GE Lunar DPX-IQ and 2 GE Lunar Prodigy scanners) and to evaluate whether the European Spine Phantom (ESP) was able to reproduce the in vivo variability. Sixteen subjects had 3 repeated scans (with repositioning) on each densitometer, and the ESP was measured on each densitometer at least 40 times. Mean differences between hip scans on the Prodigy scanners were small and insignificant, and the in vivo results were not significantly different from the in vitro results. Bland and Altman plots showed no systematic differences between the Prodigy scanners over the range of bone mineral density (BMD). On the other hand, differences between Prodigy and DPX-IQ changed systematically over the range of BMD. The ESP did not fully reproduce the in vivo difference between Prodigy and DPX-IQ. In conclusion, the ESP is a valid substitute when assessing agreement between Prodigy scanners. However, when assessing agreement between different types of scanners, substitution of in vivo with in vitro measurements should be made with caution. PMID- 18158263 TI - Reproducibility and sources of variability in radiographic texture analysis of densitometric calcaneal images. AB - Radiographic texture analysis (RTA) is a computerized analysis of the spatial pattern of radiographic images used as a way of evaluating bone structure. We have shown that RTA performed on high-resolution heel images obtained using a portable densitometer differentiates subjects with and without osteoporotic fractures. In the present study, short-term precision of RTA was examined on densitometric heel images obtained from 33 subjects scanned 8 times each, with 3 observers placing a region of interest (ROI) 3 times on each image. The long-term precision was examined on images obtained from 10 subjects 3 times on each of 3 days separated by 1 week, with 2 observers placing an ROI on each image. The RTA features examined included the root mean square (RMS) variation, a measure of the contrast between the light and dark areas of the image, the first moment of the power spectrum, a measure of the spatial frequency of the trabecular pattern, and Minkowski fractal (MINK), a measure of roughness/smoothness of the trabecular pattern. The precision of the RTA features expressed as coefficient of variation ranged between the lowest of 0.5-0.7% for MINK and the highest of 14-16% for RMS. The short- and long-term precision was similar, and was not significantly influenced by repositioning and rescanning, or by ROI placement by the same or different observers. Significant sources of variability of RTA were the between subject differences and differences between regions of the heel, but not differences due to repositioning, rescanning in the same position, or ROI placement by the same or different observers. We conclude that technical aspects of image acquisition and processing are adequate to allow further development of RTA of the densitometric images for clinical application as a method for noninvasive assessment of bone structure. PMID- 18158264 TI - Vertebral fracture diagnosis in the multinational BONE study of oral ibandronate: quality management in radiology. AB - A multicenter trial has established the antifracture efficacy of oral daily (2.5mg) as well as intermittent (20mg every other day for 12 doses every 3 mo) ibandronate in women with postmenopausal osteoporosis. As diagnostic spinal radiographs for this trial were read at 2 centers, the study protocol included rigorous procedures for diagnosis of morphometric vertebral fractures. These included standardized qualitative and morphometric assessment methods for diagnosing vertebral osteoporotic fractures and consensus cross-validation procedures for maximizing fracture diagnostic accuracy and consistency between the 2 radiographic reading centers. Using these stringent measures, the between center discrepancy in the diagnosis of prevalent fractures was only 8%. Furthermore, after cross-validation, discrepancy in the final diagnosis of incident fractures between centers was found for only 4 patients, resulting in a net gain of only 2 fractures in the trial. This meticulous methodology provided a highly effective means of identifying vertebral fractures and recruiting the trial population in which to assess the efficacy of ibandronate in postmenopausal osteoporosis. PMID- 18158265 TI - Monitoring bone growth using quantitative ultrasound in comparison with DXA and pQCT. AB - Quantitative ultrasound (QUS) is a safe, inexpensive, and nonradiation method for bone density assessment. QUS correlates with, and predicts fragility fractures comparable to, dual-energy X-ray absorptiometry (DXA)-derived bone mineral density (BMD) in postmenopausal women. However, its validity in monitoring bone growth in children is not well understood. Two hundred and fifty-eight 10-13 yr pubertal girls and 9 37-43 yr adults without diseases or history of medications known to affect bone metabolism were included in the 2-yr prospective study. Calcaneal broadband ultrasound attenuation (cBUA) was assessed using QUS-2 (Quidel, Santa Clara, CA), speed of sound of tibial shaft (tSOS) using Omnisense (Sunlight Technologies, Israel), apparent volumetric BMD (vBMD) of tibial shaft using peripheral quantitative computed tomography (pQCT; XCT2000, Stratec), and femoral neck (FN) and lumbar spine 2-4 (LS) areal BMD (aBMD) using DXA (Prodigy, GE). Over the 2 yr in girls, FN and LS aBMD showed the largest increases (17+/-8% and 20+/-8%, respectively), followed by tibial vBMD and cBUA (10+/-5% and 9+/-9%, respectively). There was no apparent change in tSOS (2+/-3%). The increase in FN and LS aBMD attenuated 48% and 40%, respectively, after adjustment of the change in body size. The change of cBUA correlated significantly with change in tibial vBMD and FN and LS aBMD (r=0.24-0.40). At the matched location, tSOS correlated only with cortical vBMD, not with cortical thickness, apparent vBMD, or bone size. The long-term reproducibility, assessed using the concordance correlation coefficient of young adults' pre-post measurements, was substantially lower in tSOS than cBUA, tibial vBMD, FN, and LS aBMD (0.65 vs 0.97, 0.95, 0.98, and 0.96; p<0.05). The transverse transmission method-derived calcaneal BUA, but not the axial transmission method-derived SOS, is comparable to DXA and pQCT for monitoring bone densitometric change in pubertal girls. The role of QUS in fracture-risk prediction in children and adolescents needs further investigation. PMID- 18158266 TI - Physiological energetics of the ascidian Styela clava in relation to body size and temperature. AB - The ascidian Styela clava is widely distributed in northern China and is thought to be important in the functioning of estuarine systems. This ascidian may experience highly variable physiological conditions, and its physiological responses to these are of interest considering its ecological role. This study presents data on the physiological parameters in relation to body size and temperature (12-28 degrees C) of S. clava. Respiration, excretion, feces, ingestion and absorption energy were positive related to size and its mass exponents (b-values) varied from 0.2930 to 0.7488. Respiration energy increased with increasing, but critical values were found at 20 degrees C for energy of ingestion and absorption, while 24 degrees C for energy in feces and excretion. At the range of 16-24 degrees C, the scope for growth, gross and net growth efficiencies of ascidians increased with increasing temperature. The energy budget equations of different sized ascidians were obtained at different temperatures. Excretion energy shared a minimal fraction in ingestion energy (1.30-2.47%), the ratios of feces energy and respiration energy to ingestion energy were 46.53-64.27% and 10.26-80.75%, respectively. The physiological data obtained in the present study indicated that S. clava could adjust its energy budget according to the environment and its physiological conditions to meet their nutritional and energetic demands. In the range of experimental temperature (12-28 degrees C), 16-20 degrees C was suitable for the rearing of S. clava to achieve optimum development, while deficient metabolic adjustment induced a negative scope for growth of S. clava at 28 degrees C. PMID- 18158268 TI - Role of beta adrenergic receptor polymorphisms in heart failure: systematic review and meta-analysis. AB - Heart Failure (HF) is a common disorder associated with substantial morbidity and mortality. beta adrenergic receptors (betaAR) are the primary pathway through which cardiac function is influenced. Chronic beta(1)AR activation is implicated in the pathogenesis of HF and betaAR blockade improves survival in left ventricular systolic dysfunction. Common functional polymorphisms in beta adrenergic receptor genes (ADRB) have been associated with HF phenotypes, and with pharmacogenetic interaction with beta adrenergic receptor blockers (beta blockers). However, these associations have not been consistently replicated. The evidence for ADRB variant involvement in pathogenesis, progression and response to beta blockers in HF is reviewed. In addition, a meta-analysis of three studies analysing the effect of ADRB1 Arg389Gly polymorphism on left ventricular remodelling with the use of beta blockers, demonstrating a 5% improvement in left ventricular ejection fraction in Arg389 homozygotes, is presented. There is now accumulating molecular evidence for a different functional response to beta blockers associated with this polymorphism. In the future, confirmed genotypic associations may enable patients to be identified who are either at greater risk of developing HF, whose HF may rapidly progress, or who are unlikely to benefit from beta blockers, and such patients may benefit from targeted aggressive therapy. PMID- 18158267 TI - Crystal structure of Bacillus stearothermophilus UvrA provides insight into ATP modulated dimerization, UvrB interaction, and DNA binding. AB - The nucleotide excision repair pathway corrects many structurally unrelated DNA lesions. Damage recognition in bacteria is performed by UvrA, a member of the ABC ATPase superfamily whose functional form is a dimer with four nucleotide-binding domains (NBDs), two per protomer. In the 3.2 A structure of UvrA from Bacillus stearothermophilus, we observe that the nucleotide-binding sites are formed in an intramolecular fashion and are not at the dimer interface as is typically found in other ABC ATPases. UvrA also harbors two unique domains; we show that one of these is required for interaction with UvrB, its partner in lesion recognition. In addition, UvrA contains three zinc modules, the number and ligand sphere of which differ from previously published models. Structural analysis, biochemical experiments, surface electrostatics, and sequence conservation form the basis for models of ATP-modulated dimerization, UvrA-UvrB interaction, and DNA binding during the search for lesions. PMID- 18158269 TI - Implementing recommendations arising from confidential enquiries into maternal deaths. AB - Implementing recommendations is a complex process involving all levels of health care. Effecting change in the health system can be broadly divided into four areas: policy, administration, clinical practice and training. Changes at the policy level require advocacy by lobby groups, as these changes are mainly political in nature. Changes at administrative level require a diversion of resources, and a clear policy framework must be in place within which the health administrator can work. Changes to clinical practice refer mainly changes in protocols of managing patients. The essential elements to change clinical practice include on-site, face-to-face teaching by a senior clinician; ineffective methods are lectures and memorandums on guidelines for practice posted to clinicians. Training refers to ensuring there are appropriate curricula for healthcare workers. Recommendations should also be phrased in such a way that targets can be established. These targets should be measurable and then be measured. PMID- 18158270 TI - Quality-of-life trajectories in epilepsy: a review of the literature. AB - The potential psychosocial sequelae of epilepsy are well-documented, but it cannot be assumed that trajectories for quality of life (QOL) of people with epilepsy will inevitably follow its clinical course. In this article, we draw on available literature to suggest likely QOL trajectories associated with epilepsy and the broad range of disease-, patient-, and other-focused factors that appear important in determining them. We conclude that both the likely shape and time frame for QOL trajectories associated with particular clinical scenarios can be delineated, but that their shape can be altered by a much wider range of factors than those represented as epilepsy disease progression. We identify contributory factors currently relatively unexplored and highlight implications for treatment and areas for future research. PMID- 18158271 TI - Health-related quality of life of children with epilepsy in Hong Kong: how does it compare with that of youth with epilepsy in Canada? AB - OBJECTIVE: The primary aim of our study was to compare the health-related quality of life (HRQL) of children with epilepsy in Hong Kong with that of children with epilepsy in Canada, and to explore possible factors affecting these findings. A second interest was to determine agreement between proxy reports and self-ratings among children with epilepsy in Hong Kong, compare these with findings in Canada, and identify factors that influence the concordance. METHODS: Child self-report and parent-proxy questionnaires on an epilepsy-specific HRQL measure, appropriately translated and validated in Chinese, were administered to 266 Hong Kong children and their parents. An unpaired t test was used to compare the scores with published results from 381 Canadian children and their parents, who used the original English version of the measure. Demographic characteristics of the two groups were compared using t tests, chi2 tests, and Fisher's exact tests. Agreement between parents' and children's scores was evaluated with intraclass correlation coefficients (ICCs) and standardized response means (SRMs). The total HRQL score differences between parents and children in Hong Kong were compared with those in Canada using an unpaired t test. Factors that might affect the parent-child score difference were studied using Pearson correlation analysis, chi2 test, and analysis of variance. Factors studied included: sex, current age, age at diagnosis, duration of epilepsy, number of antiepileptic drugs used, type of seizure, seizure severity, cognition of the child, the type of school attended, presence of neurological problems, presence of behavioral problems, recent health care usage, education and employment status of both parents, housing status of the family, and relationship of the proxy respondent to the child. RESULTS: (1) In contrast to the Canadian sample, Hong Kong children with epilepsy were older (P<0.01), had a longer duration of epilepsy (P<0.01) and less severe seizures (P<0.01), and were more likely to attend normal schools (P<0.01). Children in Hong Kong reported more interpersonal/social difficulties (P<0.01), more worries (P<0.01), and more secrecy about their epilepsy (P<0.01). Parents in Hong Kong believed that their children perceived more worries (P<0.01) and were more secretive about their epilepsy (P<0.01). (2) Moderate to good agreement between parent-proxy response scores and child self-report scores was demonstrated (ICC=0.50-0.69, SRM=0.19-0.33). The total HRQL score differences between parent and child in Hong Kong were not different from those in Canada. None of the factors studied were related to the parent-child score difference. CONCLUSIONS: Youth with epilepsy in Hong Kong and their parents reported poorer quality of life than children with epilepsy in Canada. Further studies are necessary to identify the determinants of HRQL in children with epilepsy in different cultures. Acceptable agreement between the two ratings suggests that proxy reports can be used when child self-reports cannot be obtained. PMID- 18158272 TI - Ethical and regulatory issues related to pregnancy registries and their outcomes. AB - Pregnancy registries should be devised so that the interests of science, society, and the individual are all considered. For example, there may be ethical issues that relate to how women are chosen to participate in the registry and how informed consent is obtained. In most cases, consent is required for both the mother and the infant. Some institutional review boards will require that consent be obtained by someone other than the woman's physician. Once data are obtained, there may be an issue as to when results should be released. Options are to release data when there is the first indication of a concerning finding, thereby potentially preventing exposure in the largest number of women, versus waiting until the finding is absolutely confirmed. In a related issue, there are questions of when and how regulatory agencies should change labeling based on findings. PMID- 18158273 TI - Differential effect of side of temporal lobe epilepsy on lateralization of hippocampal, temporolateral, and inferior frontal activation patterns during a verbal episodic memory task. AB - The encoding of verbal stimuli elicits left-lateralized activation patterns within the medial temporal lobes in healthy adults. In our study, patients with left- and right-sided temporal lobe epilepsy (LTLE, RTLE) were investigated during the encoding and retrieval of word-pair associates using functional magnetic resonance imaging. Functional asymmetry of activation patterns in hippocampal, inferior frontal, and temporolateral neocortical areas associated with language functions was analyzed. Hippocampal activation patterns in patients with LTLE were more right-lateralized than those in patients with RTLE (P<0.05). There were no group differences with respect to lateralization in frontal or temporolateral regions of interest (ROIs). For both groups, frontal cortical activation patterns were significantly more left-lateralized than hippocampal patterns (P<0.05). For patients with LTLE, there was a strong trend toward a difference in functional asymmetry between the temporolateral and hippocampal ROIs (P=0.059). A graded effect of epileptic activity on laterality of the different regional activation patterns is discussed. PMID- 18158274 TI - Effects of phosphine on the neural regulation of gas exchange in Periplaneta americana. AB - Phosphine is used for fumigating stored commodities, however an understanding of the physiological response to phosphine in insects is limited. Here we show how the central pattern generator for ventilation in the central nervous system (CNS) responds to phosphine and influences normal resting gas exchange. Using the American cockroach, Periplaneta americana, that perform discontinuous gas exchange (DGE) at rest, we simultaneously measure ventilatory nervous output from the intact CNS, VCO(2) and water loss from live specimens. Exposure to 800 ppm phosphine at 25 degrees C for 2 h (n=13) during recording did not cause any mortality or obvious sub-lethal effects. Within 60 s of introducing phosphine into the air flow, all animals showed a distinct CNS response accompanied by a burst release of CO(2). The initial ventilatory response to phosphine displaced DGE and was typically followed by low, stable and continuous CO(2) output. CNS output was highest and most orderly under normoxic conditions during DGE. Phosphine caused a series of ventilatory CNS spikes preceding almost complete cessation of CNS output. Minimal CNS output was maintained during the 2 h normoxic recovery period and DGE was not reinstated. VCO(2) was slightly reduced and water loss significantly lower during the recovery period compared with those rates prior to phosphine exposure. A phosphine narcosis effect is rejected based on animals remaining alert at all times during exposure. PMID- 18158275 TI - Comparing and consolidating two heuristic metaschemas. AB - A metaschema is an Abstraction Network of the UMLS's Semantic Network (SN) obtained from a connected partition into its collections of semantic types. A metaschema can support comprehension, visualization and navigation of the SN. In this paper, a methodology is presented to evaluate and compare two given metaschemas, based on their structural properties. This methodology was applied to the top-down metaschema and the bottom-up metaschema, derived from two studies involving two groups of UMLS experts. By the Cronbach alpha estimate, the bottom up metaschema is reliable, while the top-down metaschema is not. An algorithm was designed to yield a consolidated metaschema enjoying the best and avoiding the worst of the two given metaschemas. The consolidation algorithm was applied to the above two metaschemas, The resulting consolidated metaschema has better structural properties than either of the two metaschemas and better supports user orientation visualization, and navigation of the Semantic Network. PMID- 18158276 TI - Dorsal approach to excision of a deep palmar tumour. PMID- 18158277 TI - Allogeneic split-skin grafting in stem cell transplanted patients. AB - SUMMARY: We present a unique case of a bone marrow stem cell transplanted (BMT) patient with cutaneous chronic Graft versus Host Disease (cGvHD) who underwent successful allogeneic split-thickness skin graft (STSG) transplantation. BMT had previously been carried out due to myelodysplasia and non-Hodgkin's lymphoma of the patient. Pre-BMT human leucocyte antigen (HLA)-typing had revealed identity between the donor and the recipient, who were siblings (not twins). Complete donor chimaerism was achieved. The recipient developed severe cGvHD with ichthyosis-like dryness and scleroderma. A folliculitis evolved to a full thickness ulceration on the entire scalp. From the femoral region of the donating sister a STSG was harvested under local analgesia and transplanted without analgesia to the prepared scalp ulcer of the recipient. The result was full and permanent take of the allogeneic STSG (follow up: three years). Allogeneic skin grafts are known to be acutely rejected. Successful allogeneic STSG has only been reported in sporadic cases of identical twins (isotransplantation). This case is the first to demonstrate what works in theory: the immune system of a stem cell transplanted patient with 100% or mixed stable donor chimaerism will not recognise skin from the stem cell donor as foreign. Due to advances in haematology, the number of BMT patients and their long-term survival is expected to increase. cGvHD, predisposing to skin problems and ulcerations, complicates up to 70% of cases of BMT. In BMT patients with cGvHD and large skin defects, allogeneic STSC from the BMT donor seems to be a safe alternative for permanent coverage. PMID- 18158278 TI - Antiphospholipid syndrome--a rare cause of free flap thrombosis in perforator flap breast reconstruction. PMID- 18158279 TI - Limb salvage in malignant tumours of the upper limb using vascularised fibula. AB - INTRODUCTION: Modern reconstructive techniques can prevent amputation in most cases of malignant musculoskeletal tumours. The free fibula has emerged as the primary method of bridging long bone gaps during limb salvage. METHODS: Limb salvage was attempted in 23 patients (15 males and eight females) aged 17-57 years. The tumour was located in the humerus in 18 patients, radius in four patients and the metacarpals in one patient. Osteogenic sarcoma was the most common tumour (11 cases) followed by Ewing's sarcoma in six patients. After neoadjuvant chemotherapy, MRI was repeated and resectability assessed. Wide local excision was performed and the bony defect bridged by free fibulae. RESULTS: All the flaps survived. The average length of defect reconstructed was 18 cm and the average time for bone union was 7 months. At a minimum follow up of 12 months, 21 patients were alive and disease free. One patient required amputation due to recurrence and one died of metastatic disease. Secondary surgery was needed in eight patients (five tendon transfers, two latissimus dorsi flap readjustments and one bone graft). Overall patient satisfaction was high with 21/23 patients having a useful limb. CONCLUSION: Limb salvage in the upper limb using vascularised fibula in patients with malignant musculoskeletal tumours can result in good tumour control along with reasonable limb function. PMID- 18158280 TI - Similar prevalence of founder BRCA1 and BRCA2 mutations among Ashkenazi and non Ashkenazi men with breast cancer: evidence from 261 cases in Israel, 1976-1999. AB - To evaluate the potential contribution of mutations in the BRCA1 and BRCA2 genes to male breast cancer (MBC), we expanded a previous study to screen a total of 261 Israeli men diagnosed with breast carcinoma. A total of 21 BRCA2 6174delT and 8 BRCA1 185delAG mutations were found. Similar frequencies of BRCA1 and BRCA2 mutation carriers were found among Ashkenazi (12.8%) and non-Ashkenazi Jews (9.1%). The combined prevalence of BRCA1/BRCA2 founder mutations among Ashkenazi Jewish men is slightly higher than for women, due to a higher frequency of BRCA2 mutations. PMID- 18158281 TI - Genetic loci affecting bone structure and strength in inbred COP and DA rats. AB - Previous studies have shown that the Copenhagen 2331 (COP) and Dark Agouti (DA) rats have significant differences in bone structure and strength despite their similar body mass. Thus, these inbred rat strains may provide a unique resource to identify the genetics underlying the phenotypic variation in bone fragility. A sample of 828 (405 males and 423 females) COPxDA F2 progeny had extensive phenotyping for bone structure measures including cortical bone area and polar moment of inertia at the femur midshaft and total, cortical and trabecular bone areas, for the lumbar vertebra 5 (L5). Bone strength phenotypes included ultimate force, stiffness and work to failure of femur and L5. These skeletal phenotypes were measured using peripheral quantitative computed tomography (pQCT) and mechanical testing. A whole-genome screen was conducted in the F2 rats, using microsatellite markers spaced at approximately 20 cM intervals. Genetic marker maps were generated from the F2 data and used for genome-wide linkage analyses to detect linkage to the bone structure and strength phenotypes. Permutation testing was employed to obtain the thresholds for genome-wide significance (p<0.01). Significant QTL for femur structure and strength were identified on chromosome (Chr) 1 with a maximum LOD score of 33.5; evidence of linkage was found in both the male and female rats. In addition, Chrs 6, 7, 10, 13, 15 and 18 were linked to femur midshaft structure. QTL linked to femur strength were identified on Chrs 5 and 10. For L5 vertebrae, Chrs 2, 16, and 18 harbored QTL for cortical structure and trabecular structure for L5 was linked to Chrs 1, 7, 12, and 18. One female-specific QTL for femur ultimate force was identified on Chr 5, and two male-specific QTL for L5 cortical area were found on Chrs 2 and 18. Our study demonstrates strong evidence of linkage for bone structure and strength to multiple rat chromosomes. PMID- 18158282 TI - Multiple immunoenzyme staining: methods and visualizations for the observation with spectral imaging. AB - Several staining concepts and color combinations exist to perform successful double immunoenzyme staining on human tissue specimens. Most of these concepts are based on differences between both primary antibodies: animal species, mouse Ig isotype or IgG subclasses, conjugates, or concentrations. Traditionally, double immunoenzyme staining has used chromogens selected to provide maximum color contrast when observed with the unaided eye. Unfortunately, visually good color combinations always include at least one diffuse chromogen, because of the paucity of appropriate chromogen colors. This situation is drastically changed with the use of spectral imaging, where multicolor microscopy can be unmixed in individual images based on their spectral characteristics. Spectral unmixing can be performed even up to quadruple immunoenzyme staining. This work contains practical suggestions for immunoenzyme double staining procedures for some frequently encountered primary antibody combinations: rabbit-mouse, goat-mouse, mouse-mouse, and rabbit-rabbit. The suggested protocols are all suitable for a classical red-brown color combination plus blue nuclear counterstain that is composed of peroxidase activity (diaminobenzidine tetrahydrochloride), alkaline phosphatase activity (Liquid Permanent Red), and hematoxylin, respectively. Although the red and brown chromogens do not contrast very well visually, they both show a crisp localization and can be perfectly unmixed by spectral imaging. PMID- 18158283 TI - Calsyntenins are secretory granule proteins in anterior pituitary gland and pancreatic islet alpha cells. AB - Calsyntenins are members of the cadherin superfamily of cell adhesion molecules. They are present in postsynaptic membranes of excitatory neurons and in vesicles in transit to neuronal growth cones. In the current study, calsyntenin-1 (CST-1) and calsyntenin-3 (CST-3) were identified by mass spectrometric analysis (LC MS/MS) of integral membrane proteins from highly enriched secretory granule preparations from bovine anterior pituitary gland. Immunofluorescence microscopy on thin frozen sections of rat pituitary revealed that CST-1 was present only in gonadotropes where it colocalized with follicle-stimulating hormone in secretory granules. In contrast, CST-3 was present not only in gonadotrope secretory granules but also in those of somatotropes and thyrotropes. Neither protein was detected in mammatropes. In addition, CST-1 was also localized to the glucagon containing secretory granules of alpha cells in the pancreatic islets of Langerhans. Results indicate that calsyntenins function outside the nervous system and potentially are modulators of endocrine function. PMID- 18158284 TI - Expression of aquaporin 9 in rat liver and efferent ducts of the male reproductive system after neonatal diethylstilbestrol exposure. AB - Aquaporins (AQP) have important solute transport functions in many tissues including the epididymal efferent ducts (ED) and in the liver. We investigated the effect of neonatal exposure to diethylstilbestrol (DES) on AQP9 expressions in the ED and in the liver of rats. DES was administered from day 2 to day 20 postnatally at a dose of 4,8 microg/day, and AQP9 protein and mRNA were measured by immunoblotting and real-time PCR, respectively, along with immunohistochemistry. DES caused hepatic downregulation of AQP9 at both the protein and mRNA level; however, decreased AQP9 labeling was only observed in the periportal zone. In the ED, AQP9 protein expression was increased in the DES treated animals by 300% that could be ascribed to a widening of the ED lumen, whereas no difference was observed in AQP9 mRNA expression. Immunohistochemical findings revealed that AQP9 expression was confined to the epithelial cells of the ED. In conclusion, neonatal DES exposure appears to upregulate AQP9 channels in the ED in male rats, whereas a downregulation in the hepatic expression was observed, particularly in the periacinous area. PMID- 18158285 TI - Dimerization by a cytokine receptor is necessary for constitutive activation of JAK2V617F. AB - The majority of the BCR-ABL-negative myeloproliferative disorders express the mutant JAK2, JAK2V617F. Previously we showed that constitutive activation of this oncogenic JAK2 mutant in Ba/F3 or 32D cells requires coexpression of a cognate homodimeric cytokine receptor, such as the EpoR. However, overexpression of JAK2V617F in Ba/F3 cells renders them cytokine-independent for growth in the absence of an exogenous cytokine receptor. Here, we demonstrated that JAK2V617F domains required for receptor association are essential for cytokine-independent growth by overexpressed JAK2V617F, suggesting JAK2V617F is binding to an unknown endogenous cytokine receptor(s) for its activation. We further showed that disruption of EpoR dimerization by coexpressing a truncated EpoR disrupted JAK2V617F-mediated transformation, indicating that EpoR dimerization plays an essential role in the activation of JAK2V617F. Interestingly, coexpression of JAK2V617F with EpoR mutants that retain JAK2 binding but are defective in mediating Epo-dependent JAK2 activation due to mutations in a conserved juxtamembrane motif does lead to cytokine-independent activation of JAK2V617F. Overall, these findings confirm that JAK2V617F requires binding to a dimerized cytokine receptor for its activation, and that the key EpoR juxtamembrane regulatory motif essential for Epo-dependent JAK2 activation is not essential for the activation of JAK2V617F. The structure of the activated JAK2V617F is thus likely to be different from that of the activated wild-type JAK2, raising the possibility of developing a specifically targeted therapy for myeloproliferative disorders. PMID- 18158286 TI - Substrate specificity of platypus venom L-to-D-peptide isomerase. AB - The L-to-D-peptide isomerase from the venom of the platypus (Ornithorhyncus anatinus) is the first such enzyme to be reported for a mammal. In delineating its catalytic mechanism and broader roles in the animal, its substrate specificity was explored. We used N-terminal segments of defensin-like peptides DLP-2 and DLP-4 and natriuretic peptide OvCNP from the venom as substrates. The DLP analogues IMFsrs and ImFsrs (srs is a solubilizing chain; lowercase letters denote D-amino acid) were effective substrates for the isomerase; it appears to recognize the N-terminal tripeptide sequence Ile-Xaa-Phe-. A suite of 26 mutants of these hexapeptides was synthesized by replacing the second residue (Met) with another amino acid, viz. Ala, alpha-aminobutyric acid, Ile, Leu, Lys, norleucine, Phe, Tyr, and Val. It was shown that mutant peptides incorporating norleucine and Phe are substrates and exhibit L- or D-amino acid isomerization, but mutant peptides that contain residues with shorter, beta-branched or long side chains with polar terminal groups, viz. Ala, alpha-aminobutyric acid, Ile, Val, Leu, Lys, and Tyr, respectively, are not substrates. It was demonstrated that at least three N-terminal amino acid residues are absolutely essential for L-to-D isomerization; furthermore, the third amino acid must be a Phe residue. None of the hexapeptides based on LLH, the first three residues of OvCNP, were substrates. A consistent 2-base mechanism is proposed for the isomerization; abstraction of a proton by 1 base is concomitant with delivery of a proton by the conjugate acid of a second base. PMID- 18158287 TI - Characterization of a protein phosphatase 2A holoenzyme that dephosphorylates the clathrin adaptors AP-1 and AP-2. AB - The AP-2 complex is a key factor in the formation of endocytic clathrin-coated vesicles (CCVs). AP-2 sorts and packages cargo membrane proteins into CCVs, binds the coat protein clathrin, and recruits numerous other factors to the site of vesicle formation. Structural information on the AP-2 complex and biochemical work have allowed understanding its function on the molecular level, and recent studies showed that cycles of phosphorylation are key steps in the regulation of AP-2 function. The complex is phosphorylated on both large subunits (alpha- and beta2-adaptins) as well as at a single threonine residue (Thr-156) of the medium subunit mu2. Phosphorylation of mu2 is necessary for efficient cargo recruitment, whereas the functional context of the large subunit phosphorylation is unknown. Here, we show that the subunit phosphorylation of AP-2 exhibits striking differences, with calculated half-lives of <1 min for mu2, approximately 25 min for beta2, and approximately 70 min for alpha. We were also able to purify a phosphatase that dephosphorylates the mu2 subunit. The enzyme is a member of the protein phosphatase 2A family and composed of a catalytic Cbeta subunit, a scaffolding Abeta subunit, and a regulatory Balpha subunit. RNA interference knock down of the latter subunit in HeLa cells resulted in increased levels of phosphorylated adaptors and altered endocytosis, showing that a specific PP2A holoenzyme is an important regulatory enzyme in CCV-mediated transport. PMID- 18158288 TI - Tumor suppressor LATS1 is a negative regulator of oncogene YAP. AB - LATS (large tumor suppressor) or warts is a Ser/Thr kinase that belongs to the Ndr/LATS subfamily of AGC (protein kinase A/PKG/PKC) kinases. It is a tumor suppressor gene originally isolated from Drosophila and recently isolated from mice and humans. Drosophila or mice mutant for LATS develop tumors in various tissues. Recent studies in Drosophila demonstrate that LATS is a central player of an emerging tumor suppressor pathway called the Hippo-LATS/Warts pathway that suppresses tumor growth by regulating cell proliferation, cell growth, and cell death. Although tremendous progress has been made toward understanding the roles of LATS in tumorigenesis, the kinase substrates of LATS or downstream target proteins mediating LATS function remain largely unknown. In this study, we have provided convincing evidence that the LATS1 tumor suppressor can bind to and phosphorylate transcription regulator and oncogene YAP in vitro and in vivo. We have also identified HX(R/H/K)XX(S/T) as the consensus phosphorylation sequence for LATS/Ndr kinase substrates. Significantly, we have discovered that LATS1 inactivates YAP oncogenic function by suppressing its transcription regulation of cellular genes via sequestration of YAP in the cytoplasm after phosphorylation of YAP. Finally, by using microarray analysis, we have also identified many oncogenes or tumor suppressor genes up-regulated or down-regulated by YAP. These research findings will have profound impacts on our understanding of the molecular mechanism of the LATS tumor suppressor and the emerging Hippo LATS/Warts pathway. PMID- 18158289 TI - One-year clinical outcomes with abciximab vs. placebo in patients with non-ST segment elevation acute coronary syndromes undergoing percutaneous coronary intervention after pre-treatment with clopidogrel: results of the ISAR-REACT 2 randomized trial. AB - AIMS: The aim of this study is to investigate whether the benefit of abciximab in patients with non-ST-segment elevation acute coronary syndromes (NSTE-ACSs) undergoing percutaneous coronary intervention (PCI) after pre-treatment with 600 mg clopidogrel is sustained at 1 year. METHODS AND RESULTS: We performed 1-year follow-up of 2022 high-risk patients with NSTE-ACS undergoing urgent PCI, who were randomized to abciximab or placebo after pre-treatment with 600 mg clopidogrel in the Intracoronary Stenting and Antithrombotic Regimen: Rapid Early Action for Coronary Treatment 2 trial. The combined incidence of death, myocardial infarction, or target vessel revascularization at 1 year was the primary outcome analysis. At 1 year, the primary outcome was reached in 23.3% of patients allocated to abciximab vs. 28.0% of patients allocated to placebo [relative risk (RR) 0.80, 95% confidence interval (CI) 0.67-0.95, P = 0.012]. The combined incidence of death or myocardial infarction was 11.6% in patients allocated to abciximab vs. 15.3% in patients allocated to placebo (RR 0.74, 95% CI 0.59-0.94, P = 0.015). CONCLUSION: In high-risk patients with NSTE-ACS undergoing a PCI after pre-treatment with 600 mg clopidogrel, adverse events occurred less frequently with abciximab and the early benefit was maintained at 1 year after administration. PMID- 18158290 TI - What are the trade-offs between one-cell and two-cell biopsies of preimplantation embryos? PMID- 18158291 TI - Structured exercise training programme versus hypocaloric hyperproteic diet in obese polycystic ovary syndrome patients with anovulatory infertility: a 24-week pilot study. AB - BACKGROUND: Lifestyle modifications are successfully employed to treat obese and overweight women with polycystic ovary syndrome (PCOS). The aims of the current pilot study were (i) to compare the efficacy on reproductive functions of a structured exercise training (SET) programme with a diet programme in obese PCOS patients and (ii) to study their clinical, hormonal and metabolic effects to elucidate potentially different mechanisms of action. METHODS: Forty obese PCOS patients with anovulatory infertility underwent a SET programme (SET group, n = 20) and a hypocaloric hyperproteic diet (diet group, n = 20). Clinical, hormonal and metabolic data were assessed at baseline, and at 12- and 24-week follow-ups. Primary endpoint was cumulative pregnancy rate. RESULTS: The two groups had similar demographic, anthropometric and biochemical parameters. After intervention, a significant improvement in menstrual cycles and fertility was noted in both groups, with no differences between groups. The frequency of menses and the ovulation rate were significantly (P < 0.05) higher in the SET group than in diet group but the increased cumulative pregnancy rate was not significant. Body weight, body mass index, waist circumference, insulin resistance indexes and serum levels of sex hormone-binding globulin, androstenedione and dehydroepiandrosterone sulphate changed significantly (P < 0.05) from baseline and were significantly different (P < 0.05) between the two groups. CONCLUSIONS: Both SET and diet interventions improve fertility in obese PCOS patients with anovulatory infertility. We hypothesize that in both interventions an improvement in insulin sensitivity is the pivotal factor involved in the restoration of ovarian function but potentially acting through different mechanisms. PMID- 18158292 TI - Chronically ill Australians' satisfaction with accessibility and patient centredness. AB - OBJECTIVE: To evaluate the association of characteristics of patients and general practices with patient assessment of quality of care. DESIGN: Cross-sectional multi-practice study using the general practice assessment survey. SETTING: General practices in Australia. PARTICIPANTS: Ninety-six general practices and 7505 chronic illness patients aged >or=18 years. MAIN OUTCOME MEASURES: Access of care and patient-centredness. RESULTS: Two factors were identified in factor analysis: 'Access of care' and 'Patient-centredness'. Multilevel regression analysis showed significant associations between patients' assessments and patient and practice characteristics. Patients from smaller practices (one to three general practitioners) reported better access to care compared with larger practices. Patients from urban areas were more satisfied with patient-centredness than those from rural areas. Self-reported health status and age had a positive and home ownership, employment and education, and patients from non-English speaking countries a negative relationship with both scores. Females were more satisfied with patient-centredness. CONCLUSIONS: Patient assessments of quality of care and patient-centredness were strongly associated with practice and patient characteristics. This has important implications for interpreting assessments of the quality of primary care, and for policy and practice measures designed to improve this. PMID- 18158293 TI - The decision to perform Caesarean section in Russia. AB - BACKGROUND: Clinical practice in Russia is set out in a series of centralized guidelines. However, many of these guidelines are not supported by evidence and, despite their existence, there is considerable unexplained variation in practice. This study examines the decision to recommend a Caesarean section, an intervention for which there is a solid evidence base, but whose use varies considerably among facilities in Russia. AIM: To identify the factors that Russian obstetricians take into account when recommending a Caesarean section. METHODS: Conjoint analysis. Ninety-two obstetricians from three regions were asked to state whether they would recommend a Caesarean section in each of 30 vignettes (including three for validation) combining 10 medical, social and organizational factors previously identified as contributing to the decision to intervene, including some absolute indications to intervene or not to, on the basis of international evidence. RESULTS: Checks for consistency within ratings by individuals gave no cause for concern. However, there was a wide variation in the probability of intervening among obstetricians, with six recommending intervention in only one scenario and one in 27 scenarios. Some factors were consistent with evidence but others were not, such as myopia or previous abortions. INTERVENTION: was more likely at 11 p.m. than at noon. Male obstetricians were more likely to intervene than females. CONCLUSION: This study highlights the importance of understanding clinical decision-making in Russia as a prelude to changing it. PMID- 18158294 TI - Safety in home care: a broadened perspective of patient safety. AB - BACKGROUND: Home care is the most rapidly growing segment of the Canadian healthcare system. Overwhelmingly, research on patient safety has been conducted within institutional settings, resulting in a significant knowledge gap about safety in homecare. Given the dramatic increase in the amount, acuity and complexity of health care being provided in the home and community, it is essential to develop our understanding of safety in this sector. OBJECTIVE: The objective of this paper is to describe the landscape of safety in home care in Canada. METHOD: This pan-Canadian initiative included three phases: a literature review, 20 key informant interviews and an invitational roundtable. Data were synthesized using a content analysis approach. RESULTS: Patient safety is a failure of systems rather than of humans; there are many change processes required to create safe environments; organizational culture and workplace factors are critical. Patients have a key role to play in their care and thus must be part of the patient safety discourse. Themes central to safety in home care are: the inextricably linked relationships and communication among clients/families and caregivers/providers; unregulated and uncontrolled settings, autonomy and isolation; the multidimensionality of safety (physical, emotional, social, functional); a diminishing focus on prevention, health promotion and chronic care; challenges of human resources and maintenance of competence. CONCLUSION: Addressing safety in home care and mitigating the risks presents unique challenges and requires a major rethink of underlying institutionally oriented assumptions and guiding frameworks. PMID- 18158295 TI - Perceptions of preventable medical errors in Alberta, Canada. AB - OBJECTIVE: (i) To compare public perceptions of the frequency, responsibility, causes and solutions for preventable medical errors for persons who report and do not report having experienced a preventable medical error while receiving healthcare services in Alberta, Canada. (ii) To describe public opinion about confidentiality and disclosure of preventable medical error. (iii) To examine the relationship between reporting preventable medical error and perceived quality of the healthcare system. METHODS: Population-based telephone survey. Households selected by random digit dialing and individual in household selected by most recent birthday. Province of Alberta, Canada. Representative sample of adult Albertans (N = 1500). Public perceptions of the frequency, responsibility, causes and solutions for preventable medical error; opinions about confidentiality and disclosure; perceived quality of the healthcare system. RESULTS: Five hundred and fifty-nine (37.3%; 95% CI 34.8-39.8%) of 1500 respondents reported that they or a family member had ever experienced a preventable medical error while receiving health care in Alberta, Canada. Respondents who reported a preventable medical error were more likely to believe that preventable medical errors occur with greater frequency, were less likely to think that their doctor would tell them if a preventable medical error was made in their care, and tended to rate the quality of the healthcare system less favourably. CONCLUSION: This paper provides healthcare managers and policymakers with insight into the public's perceptions of preventable medical error and may facilitate the development of strategies to improve patient safety, public confidence and public satisfaction with the healthcare system. PMID- 18158296 TI - The microRNA.org resource: targets and expression. AB - MicroRNA.org (http://www.microrna.org) is a comprehensive resource of microRNA target predictions and expression profiles. Target predictions are based on a development of the miRanda algorithm which incorporates current biological knowledge on target rules and on the use of an up-to-date compendium of mammalian microRNAs. MicroRNA expression profiles are derived from a comprehensive sequencing project of a large set of mammalian tissues and cell lines of normal and disease origin. Using an improved graphical interface, a user can explore (i) the set of genes that are potentially regulated by a particular microRNA, (ii) the implied cooperativity of multiple microRNAs on a particular mRNA and (iii) microRNA expression profiles in various tissues. To facilitate future updates and development, the microRNA.org database structure and software architecture is flexibly designed to incorporate new expression and target discoveries. The web resource provides users with functional information about the growing number of microRNAs and their interaction with target genes in many species and facilitates novel discoveries in microRNA gene regulation. PMID- 18158297 TI - RegulonDB (version 6.0): gene regulation model of Escherichia coli K-12 beyond transcription, active (experimental) annotated promoters and Textpresso navigation. AB - RegulonDB (http://regulondb.ccg.unam.mx/) is the primary reference database offering curated knowledge of the transcriptional regulatory network of Escherichia coli K12, currently the best-known electronically encoded database of the genetic regulatory network of any free-living organism. This paper summarizes the improvements, new biology and new features available in version 6.0. Curation of original literature is, from now on, up to date for every new release. All the objects are supported by their corresponding evidences, now classified as strong or weak. Transcription factors are classified by origin of their effectors and by gene ontology class. We have now computational predictions for sigma(54) and five different promoter types of the sigma(70) family, as well as their corresponding 10 and -35 boxes. In addition to those curated from the literature, we added about 300 experimentally mapped promoters coming from our own high-throughput mapping efforts. RegulonDB v.6.0 now expands beyond transcription initiation, including RNA regulatory elements, specifically riboswitches, attenuators and small RNAs, with their known associated targets. The data can be accessed through overviews of correlations about gene regulation. RegulonDB associated original literature, together with more than 4000 curation notes, can now be searched with the Textpresso text mining engine. PMID- 18158298 TI - MIPS: analysis and annotation of genome information in 2007. AB - The Munich Information Center for Protein Sequences (MIPS-GSF, Neuherberg, Germany) combines automatic processing of large amounts of sequences with manual annotation of selected model genomes. Due to the massive growth of the available data, the depth of annotation varies widely between independent databases. Also, the criteria for the transfer of information from known to orthologous sequences are diverse. To cope with the task of global in-depth genome annotation has become unfeasible. Therefore, our efforts are dedicated to three levels of annotation: (i) the curation of selected genomes, in particular from fungal and plant taxa (e.g. CYGD, MNCDB, MatDB), (ii) the comprehensive, consistent, automatic annotation employing exhaustive methods for the computation of sequence similarities and sequence-related attributes as well as the classification of individual sequences (SIMAP, PEDANT and FunCat) and (iii) the compilation of manually curated databases for protein interactions based on scrutinized information from the literature to serve as an accepted set of reliable annotated interaction data (MPACT, MPPI, CORUM). All databases and tools described as well as the detailed descriptions of our projects can be accessed through the MIPS web server (http://mips.gsf.de). PMID- 18158299 TI - The Mouse Genome Database (MGD): mouse biology and model systems. AB - The Mouse Genome Database, (MGD, http://www.informatics.jax.org/), integrates genetic, genomic and phenotypic information about the laboratory mouse, a primary animal model for studying human biology and disease. MGD data content includes comprehensive characterization of genes and their functions, standardized descriptions of mouse phenotypes, extensive integration of DNA and protein sequence data, normalized representation of genome and genome variant information including comparative data on mammalian genes. Data within MGD are obtained from diverse sources including manual curation of the biomedical literature, direct contributions from individual investigator's laboratories and major informatics resource centers such as Ensembl, UniProt and NCBI. MGD collaborates with the bioinformatics community on the development of data and semantic standards such as the Gene Ontology (GO) and the Mammalian Phenotype (MP) Ontology. MGD provides a data-mining platform that enables the development of translational research hypotheses based on comparative genotype, phenotype and functional analyses. Both web-based querying and computational access to data are provided. Recent improvements in MGD described here include the association of gene trap data with mouse genes and a new batch query capability for customized data access and retrieval. PMID- 18158300 TI - A conserved U-rich RNA region implicated in regulation of translation in Plasmodium female gametocytes. AB - Translational repression (TR) plays an important role in post-transcriptional regulation of gene expression and embryonic development in metazoans. TR also regulates the expression of a subset of the cytoplasmic mRNA population during development of fertilized female gametes of the unicellular malaria parasite, Plasmodium spp. which results in the formation of a polar and motile form, the ookinete. We report the conserved and sex-specific regulatory role of either the 3'- or 5'-UTR of a subset of translationally repressed mRNA species as shown by almost complete inhibition of expression of a GFP reporter protein in the female gametocyte. A U-rich, TR-associated element, identified previously in the 3'-UTR of TR-associated transcripts, played an essential role in mediating TR and a similar region could be found in the 5'-UTR shown in this study to be active in TR. The silencing effect of this 5'-UTR was shown to be independent of its position relative to its ORF, as transposition to a location 3' of the ORF did not affect TR. These results demonstrate for the first time in a unicellular organism that the 5' or the 3'-UTR of TR-associated transcripts play an important and conserved role in mediating TR in female gametocytes. PMID- 18158301 TI - G-quadruplex preferentially forms at the very 3' end of vertebrate telomeric DNA. AB - Human chromosome ends are protected with kilobases repeats of TTAGGG. Telomere DNA shortens at replication. This shortening in most tumor cells is compensated by telomerase that adds telomere repeats to the 3' end of the G-rich telomere strand. Four TTAGGG repeats can fold into G-quadruplex that is a poor substrate for telomerase. This property has been suggested to regulate telomerase activity in vivo and telomerase inhibition via G-quadruplex stabilization is considered a therapeutic strategy against cancer. Theoretically G-quadruplex can form anywhere along the long G-rich strand. Where G-quadruplex forms determines whether the 3' telomere end is accessible to telomerase and may have implications in other functions telomere plays. We investigated G-quadruplex formation at different positions by DMS footprinting and exonuclease hydrolysis. We show that G quadruplex preferentially forms at the very 3' end than at internal positions. This property provides a molecular basis for telomerase inhibition by G quadruplex formation. Moreover, it may also regulate those processes that depend on the structure of the very 3' telomere end, for instance, the alternative lengthening of telomere mechanism, telomere T-loop formation, telomere end protection and the replication of bulky telomere DNA. Therefore, targeting telomere G-quadruplex may influence more telomere functions than simply inhibiting telomerase. PMID- 18158302 TI - Characterization of a ribonuclease III-like protein required for cleavage of the pre-rRNA in the 3'ETS in Arabidopsis. AB - Ribonuclease III (RNaseIII) is responsible for processing and maturation of RNA precursors into functional rRNA, mRNA and other small RNA. In contrast to bacterial and yeast cells, higher eukaryotes contain at least three classes of RNaseIII, including class IV or dicer-like proteins. Here, we describe the functional characterization of AtRTL2, an Arabidopsis thaliana RNaseIII-like protein that belongs to a small family of genes distinct from the dicer family. We demonstrate that AtRTL2 is required for 3'external transcribed spacer (ETS) cleavage of the pre-rRNA in vivo. AtRTL2 localizes in the nucleus and cytoplasm, a nuclear export signal (NES) in the N-terminal sequence probably controlling AtRTL2 cellular localization. The modeled 3D structure of the RNaseIII domain of AtRTL2 is similar to the bacterial RNaseIII domain, suggesting a comparable catalytic mechanism. However, unlike bacterial RNaseIII, the AtRTL2 protein forms a highly salt-resistant homodimer that is only disrupted on treatment with DTT. These data indicate that AtRTL2 may use a dimeric mechanism to cleave double stranded RNA, but unlike bacterial or yeast RNase III proteins, AtRTL2 forms homodimers through formation of disulfide bonds, suggesting that redox conditions may operate to regulate the activity of RNaseIII. PMID- 18158303 TI - Structural insights into RNA-dependent eukaryal and archaeal selenocysteine formation. AB - The micronutrient selenium is present in proteins as selenocysteine (Sec). In eukaryotes and archaea, Sec is formed in a tRNA-dependent conversion of O phosphoserine (Sep) by O-phosphoseryl-tRNA:selenocysteinyl-tRNA synthase (SepSecS). Here, we present the crystal structure of Methanococcus maripaludis SepSecS complexed with PLP at 2.5 A resolution. SepSecS, a member of the Fold Type I PLP enzyme family, forms an (alpha2)2 homotetramer through its N-terminal extension. The active site lies on the dimer interface with each monomer contributing essential residues. In contrast to other Fold Type I PLP enzymes, Asn247 in SepSecS replaces the conserved Asp in binding the pyridinium nitrogen of PLP. A structural comparison with Escherichia coli selenocysteine lyase allowed construction of a model of Sep binding to the SepSecS catalytic site. Mutations of three conserved active site arginines (Arg72, Arg94, Arg307), protruding from the neighboring subunit, led to loss of in vivo and in vitro activity. The lack of active site cysteines demonstrates that a perselenide is not involved in SepSecS-catalyzed Sec formation; instead, the conserved arginines may facilitate the selenation reaction. Structural phylogeny shows that SepSecS evolved early in the history of PLP enzymes, and indicates that tRNA-dependent Sec formation is a primordial process. PMID- 18158304 TI - Antagonism of microRNA-122 in mice by systemically administered LNA-antimiR leads to up-regulation of a large set of predicted target mRNAs in the liver. AB - MicroRNA-122 (miR-122) is an abundant liver-specific miRNA, implicated in fatty acid and cholesterol metabolism as well as hepatitis C viral replication. Here, we report that a systemically administered 16-nt, unconjugated LNA (locked nucleic acid)-antimiR oligonucleotide complementary to the 5' end of miR-122 leads to specific, dose-dependent silencing of miR-122 and shows no hepatotoxicity in mice. Antagonism of miR-122 is due to formation of stable heteroduplexes between the LNA-antimiR and miR-122 as detected by northern analysis. Fluorescence in situ hybridization demonstrated uptake of the LNA antimiR in mouse liver cells, which was accompanied by markedly reduced hybridization signals for mature miR-122 in treated mice. Functional antagonism of miR-122 was inferred from a low cholesterol phenotype and de-repression within 24 h of 199 liver mRNAs showing significant enrichment for miR-122 seed matches in their 3' UTRs. Expression profiling extended to 3 weeks after the last LNA antimiR dose revealed that most of the changes in liver gene expression were normalized to saline control levels coinciding with normalized miR-122 and plasma cholesterol levels. Combined, these data suggest that miRNA antagonists comprised of LNA are valuable tools for identifying miRNA targets in vivo and for studying the biological role of miRNAs and miRNA-associated gene-regulatory networks in a physiological context. PMID- 18158305 TI - Comprehensive features of natural and in vitro selected GNRA tetraloop-binding receptors. AB - Specific recognitions of GNRA tetraloops by small helical receptors are among the most widespread long-range packing interactions in large ribozymes. However, in contrast to GYRA and GAAA tetraloops, very few GNRA/receptor interactions have yet been identified to involve GGAA tetraloops in nature. A novel in vitro selection scheme based on a rigid self-assembling tectoRNA scaffold designed for isolation of intermolecular interactions with A-minor motifs has yielded new GGAA tetraloop-binding receptors with affinity in the nanomolar range. One of the selected receptors is a novel 12 nt RNA motif, (CCUGUG ... AUCUGG), that recognizes GGAA tetraloop hairpin with a remarkable specificity and affinity. Its physical and chemical characteristics are comparable to those of the well-studied '11nt' GAAA tetraloop receptor motif. A second less specific motif (CCCAGCCC ... GAUAGGG) binds GGRA tetraloops and appears to be related to group IC3 tetraloop receptors. Mutational, thermodynamic and comparative structural analysis suggests that natural and in vitro selected GNRA receptors can essentially be grouped in two major classes of GNRA binders. New insights about the evolution, recognition and structural modularity of GNRA and A-minor RNA-RNA interactions are proposed. PMID- 18158306 TI - Anthocyanin inhibits propidium iodide DNA fluorescence in Euphorbia pulcherrima: implications for genome size variation and flow cytometry. AB - BACKGROUND: Measuring genome size by flow cytometry assumes direct proportionality between nuclear DNA staining and DNA amount. By 1997 it was recognized that secondary metabolites may affect DNA staining, thereby causing inaccuracy. Here experiments are reported with poinsettia (Euphorbia pulcherrima) with green leaves and red bracts rich in phenolics. METHODS: DNA content was estimated as fluorescence of propidium iodide (PI)-stained nuclei of poinsettia and/or pea (Pisum sativum) using flow cytometry. Tissue was chopped, or two tissues co-chopped, in Galbraith buffer alone or with six concentrations of cyanidin-3-rutinoside (a cyanidin-3-rhamnoglucoside contributing to red coloration in poinsettia). KEY RESULTS: There were large differences in PI staining (35-70 %) between 2C nuclei from green leaf and red bract tissue in poinsettia. These largely disappeared when pea leaflets were co-chopped with poinsettia tissue as an internal standard. However, smaller (2.8-6.9 %) differences remained, and red bracts gave significantly lower 1C genome size estimates (1.69-1.76 pg) than green leaves (1.81 pg). Chopping pea or poinsettia tissue in buffer with 0-200 microm cyanidin-3-rutinoside showed that the effects of natural inhibitors in red bracts of poinsettia on PI staining were largely reproduced in a dose-dependent way by this anthocyanin. CONCLUSIONS: Given their near-ubiquitous distribution, many suspected roles and known affects on DNA staining, anthocyanins are a potent, potential cause of significant error variation in genome size estimations for many plant tissues and taxa. This has important implications of wide practical and theoretical significance. When choosing genome size calibration standards it seems prudent to select materials producing little or no anthocyanin. Reviewing the literature identifies clear examples in which claims of intraspecific variation in genome size are probably artefacts caused by natural variation in anthocyanin levels or correlated with environmental factors known to induce variation in pigmentation. PMID- 18158307 TI - Genome size and GC content evolution of Festuca: ancestral expansion and subsequent reduction. AB - BACKGROUND AND AIMS: Plant evolution is well known to be frequently associated with remarkable changes in genome size and composition; however, the knowledge of long-term evolutionary dynamics of these processes still remains very limited. Here a study is made of the fine dynamics of quantitative genome evolution in Festuca (fescue), the largest genus in Poaceae (grasses). METHODS: Using flow cytometry (PI, DAPI), measurements were made of DNA content (2C-value), monoploid genome size (Cx-value), average chromosome size (C/n-value) and cytosine + guanine (GC) content of 101 Festuca taxa and 14 of their close relatives. The results were compared with the existing phylogeny based on ITS and trnL-F sequences. KEY RESULTS: The divergence of the fescue lineage from related Poeae was predated by about a 2-fold monoploid genome and chromosome size enlargement, and apparent GC content enrichment. The backward reduction of these parameters, running parallel in both main evolutionary lineages of fine-leaved and broad leaved fescues, appears to diverge among the existing species groups. The most dramatic reductions are associated with the most recently and rapidly evolving groups which, in combination with recent intraspecific genome size variability, indicate that the reduction process is probably ongoing and evolutionarily young. This dynamics may be a consequence of GC-rich retrotransposon proliferation and removal. Polyploids derived from parents with a large genome size and high GC content (mostly allopolyploids) had smaller Cx- and C/n-values and only slightly deviated from parental GC content, whereas polyploids derived from parents with small genome and low GC content (mostly autopolyploids) generally had a markedly increased GC content and slightly higher Cx- and C/n-values. CONCLUSIONS: The present study indicates the high potential of general quantitative characters of the genome for understanding the long-term processes of genome evolution, testing evolutionary hypotheses and their usefulness for large-scale genomic projects. Taken together, the results suggest that there is an evolutionary advantage for small genomes in Festuca. PMID- 18158309 TI - Differential aggregation and functional impairment induced by polyalanine expansions in FOXL2, a transcription factor involved in cranio-facial and ovarian development. AB - Polyalanine (polyAla) tract expansions have been associated with an increasing number of human diseases. Here, we have undertaken a functional study of the effects of polyAla expansions in the context of the transcription factor FOXL2, involved in cranio-facial and ovarian development. Using two cellular models, we show that FOXL2 polyAla expansions lead to protein mislocalization and aggregation in a length-dependent manner. The fraction of cells containing cytoplasmic staining displays a sigmoidal relationship with respect to the length of the polyAla tract, suggesting the existence of a threshold length above which protein mislocalization occurs. The existence of such a threshold might be rationalized if we consider that the longer the polyAla tract is, the higher its tendency to misfolding or to inducing spurious interactions with cytoplasmic components. To study the intranuclear dynamics of polyAla-expanded FOXL2, we performed fluorescence recovery after photobleaching experiments. The most unexpected result concerned the pathogenic protein containing 19 Ala residues in the run, which was virtually immobile, although this variant does not present a classical aggregation pattern. Luciferase assays and real time RT-PCR of many potential target genes showed that polyAla expansions induce different losses of activity according to the target promoters tested. We provide molecular explanations for these findings. Although our main focus is the mechanisms of pathogenesis of polyAla-expanded proteins, we discuss the potential relevance of polyAla length variation in micro- and macroevolution because polyAla-containing proteins tend to be transcription factors. PMID- 18158310 TI - Changes in heparan sulfate are associated with delayed wound repair, altered cell migration, adhesion and contractility in the galactosyltransferase I (beta4GalT 7) deficient form of Ehlers-Danlos syndrome. AB - Reduced activity of beta4-galactosyltransferase 7 (beta4GalT-7), an enzyme involved in synthesizing the glycosaminoglycan linkage region of proteoglycans, is associated with the progeroid form of Ehlers-Danlos syndrome (EDS). In the invertebrates Drosophila melanogaster and Caenorhabditis elegans, mutations in beta4GalT-7 affect biosynthesis of heparan sulfate (HS), a modulator of several biological processes relevant to wound repair. We have analyzed structural alterations of HS and their functional consequences in human beta4GalT-7 Arg270Cys mutant EDS and control fibroblasts. HS disaccharide analysis by reversed phase ion-pairing chromatography revealed a reduced sulfation degree of HS paralleled by altered immunostaining patterns for the phage-display anti-HS antibodies HS4E4 and RB4EA12 in beta4GalT-7 mutant fibroblasts. Real-time PCR analysis of 44 genes involved in glycosaminoglycan biosynthesis indicated that the structural alterations in HS were not caused by differential regulation at the transcriptional level. Scratch wound closure was delayed in beta4GalT-7 deficient cells, which could be mimicked by enzymatic removal of HS in control cells. siRNA-mediated knockdown of beta4GalT-7 expression induced morphological changes in control fibroblasts which suggested altered cell-matrix interactions. Adhesion of beta4GalT-7 deficient cells to fibronectin was increased while actin stress fiber formation was impaired relative to control cells. Also collagen gel contraction was delayed in the beta4GalT-7 mutants which showed a reduced formation of pseudopodia and filopodia, less efficient penetration of the collagen gels and a diminished formation of collagen suprastructures. Our study suggests an HS-dependent basic mechanism behind the altered wound repair phenotype of beta4GalT-7-deficient EDS patients. PMID- 18158311 TI - Effect of chest compressions on the time taken to insert airway devices in a manikin. AB - BACKGROUND: Resuscitation guidelines recommend that chest compressions should continue throughout attempts to place airway devices. Few data support the use of the tracheal tube over supraglottic airway devices (SADs) during cardiopulmonary arrest. This study was designed to evaluate the speed with which different airway devices could be placed with and without interrupting chest compressions. METHODS: Forty volunteer doctors regularly involved in cardiopulmonary resuscitation (CPR) were timed inserting four different airway devices [tracheal tube (TT), LMA Classic (cLMA), LMA ProSeal (PLMA), and igel] into a manikin, with and without stopping chest compressions. RESULTS: Chest compressions delayed the placement of the TT only (3.3 s, P<0.0001). Comparison of the speed of insertion of the different airway devices during CPR enabled ranking of the devices: igel (fastest), PLMA (second), and TT and cLMA (joint slowest). The igel was inserted approximately 50% faster than the other devices. Doctors who had previously inserted more than 50 tracheal tubes were significantly faster at intubating the trachea, but no faster at inserting SADs. CONCLUSIONS: Our results show that continuing chest compressions has a minor effect on time for tracheal intubation and until clear human data are available the recommendation to intubate without interrupting CPR is therefore justified. The PLMA and igel (SADs with a gastric drain tube) were both faster to insert than the cLMA and offer additional benefits. They should be considered for use in CPR. PMID- 18158312 TI - Effects of colloid and crystalloid solutions on endogenous activation of fibrinolysis and resistance of polymerized fibrin to recombinant tissue plasminogen activator added ex vivo. AB - BACKGROUND: The study was conducted to explore the effects of colloid and crystalloid solutions on activation of fibrinolysis during orthopaedic surgery and to determine whether fluids facilitate clot dissolution at a particular fibrinolytic activity. METHODS: Tissue-type plasminogen activator (t-PA) and plasminogen activator inhibitor-1 (PAI-1) were measured in plasma samples of 66 orthopaedic patients randomly receiving gelatin solution, hydroxyethyl starch (HES) (130/0.4), or exclusively Ringer's lactate solution. Plasma obtained before induction of anaesthesia (undiluted) and at the end of surgery (diluted) was exposed to recombinant tissue plasminogen activator (r-tPA) in vitro and analysed by modified thrombelastography (ROTEM). RESULTS: There were similar changes in t PA and PAI-1 concentrations in the gelatin, HES, and Ringer's lactate groups. When compared with the effect of r-tPA on undiluted plasma samples, the presence of colloids prompted faster clot dissolution than did Ringer's lactate solution. Lysis index at 30 min decreased significantly [median (min/max); P vs Ringer's lactate solution] to 43 (1/82)% (P=0.007), 14 (3/70)% (P<0.001), and 91 (34/97)%, lysis onset time decreased to 1269 (1054/1743) s (P=0.007), 972 (490/1565) s (P<0.001), and 1970 (1260/2165) s, and lysis time to 2469 (1586/3303) s (P=0.019), 2002 (1569/3600) s (P=0.006), and 3012 (2017/3600) s in the gelatin, HES, and Ringer's lactate groups, respectively. CONCLUSIONS: The type of i.v. fluid used does not influence endogenously occurring fibrinolytic activity in patients undergoing major orthopaedic surgery. However, during hyperfibrinolysis, the presence of HES or gelatin solution facilitates clot disintegration to a greater extent than Ringer's lactate solution, because the weaker clots formed with colloids dissolve faster. PMID- 18158314 TI - Evidence behind the WHO guidelines: hospital care for children: what are the risks of formula feeding in children of HIV-infected mothers? PMID- 18158315 TI - Reduced error-related activation in two anterior cingulate circuits is related to impaired performance in schizophrenia. AB - To perform well on any challenging task, it is necessary to evaluate your performance so that you can learn from errors. Recent theoretical and experimental work suggests that the neural sequellae of error commission in a dorsal anterior cingulate circuit index a type of contingency- or reinforcement based learning, while activation in a rostral anterior cingulate circuit reflects appraisal of the affective or motivational significance of errors. Patients with schizophrenia show rigid, perseverative behaviour that is not optimally responsive to outcome. Findings of reduced anterior cingulate cortex (ACC) activity during error commission in schizophrenia suggest that difficulties in evaluating and modifying behaviour in response to errors may contribute to behavioural rigidity. Using event-related functional MRI and an antisaccade paradigm with concurrent monitoring of eye position, the present study examined error-related activation and its relation to task performance in the anatomic components of two ACC circuits that are theorized to make distinct contributions to error processing. Eighteen chronic-medicated schizophrenia patients and 15 healthy controls participated. Compared to controls, patients showed increased antisaccade error rates and decreased error-related activation in the reinforcement learning network--dorsal ACC, striatum and brainstem (possibly substantia nigra)--and also in the affective appraisal network--rostral ACC, insula and amygdala. These reductions remained when the effects of antipsychotic medication dose and error rate were statistically controlled. Activation in these networks was inversely related to error rate in both patient and control groups, but the slope of this relation was shallower in patients (i.e. across participants with schizophrenia, decrements in error rate were associated with smaller decrements in activation). This indicates that the blunted neural response to errors in schizophrenia was not simply a reflection of more frequent errors. Our findings demonstrate a blunted response to error commission that is associated with worse performance in two ACC circuits in schizophrenia. In the dACC circuit, the blunted response may reflect deficient modification of prepotent stimulus-response mappings in response to errors, and in the rACC network it may reflect diminished concern regarding behavioural outcomes. However, despite these deficits and in the absence of external feedback regarding errors, patients corrected their errors as frequently as controls suggesting intact error recognition and ability to institute corrective action. Impairments in evaluating and learning from errors in schizophrenia may contribute to behaviour that is rigid and perseverative rather than optimally guided by outcomes, and may compromise performance across a wide range of tasks. PMID- 18158316 TI - Clinical and neuropathologic features of progressive supranuclear palsy with severe pallido-nigro-luysial degeneration and axonal dystrophy. AB - Pallido-nigro-luysial atrophy (PNLA) is a rare disorder that in many cases has histopathological features similar to progressive supranuclear palsy (PSP). In a pathological series of over 400 cases of PSP, eight cases were noted to have features similar to those described in PNLA, including severe atrophy and neuronal loss in the globus pallidus, substantia nigra and subthalamic nucleus, in addition to many axonal spheroids in the globus pallidus and substantia nigra. These eight cases of PSP-PNLA were compared to 11 typical PSP cases with quantitative neuropathologic indices and assessment of demographics, clinical features and the timing of clinical features. PSP-PNLA cases were younger, had longer disease duration and more often were not initially diagnosed with PSP; in the end, they did not differ from PSP with respect to any major clinical feature. The clinical course of PSP-PNLA, however, was different, with earlier gait abnormalities and difficulty with handwriting, but later falls, rigidity and dysphagia than PSP. Pathologically, the same types of lesions were detected in both PSP and PSP-PNLA, but there were differences in the distribution and density of tau-pathology, with less tau-pathology in motor cortex, striatum, pontine nuclei and cerebellum in PSP-PNLA. These clinical and pathological findings suggest that PSP-PNLA should be considered a variant of PSP. PMID- 18158317 TI - OPA1 mutations induce mitochondrial DNA instability and optic atrophy 'plus' phenotypes. AB - Mutations in OPA1, a dynamin-related GTPase involved in mitochondrial fusion, cristae organization and control of apoptosis, have been linked to non-syndromic optic neuropathy transmitted as an autosomal-dominant trait (DOA). We here report on eight patients from six independent families showing that mutations in the OPA1 gene can also be responsible for a syndromic form of DOA associated with sensorineural deafness, ataxia, axonal sensory-motor polyneuropathy, chronic progressive external ophthalmoplegia and mitochondrial myopathy with cytochrome c oxidase negative and Ragged Red Fibres. Most remarkably, we demonstrate that these patients all harboured multiple deletions of mitochondrial DNA (mtDNA) in their skeletal muscle, thus revealing an unrecognized role of the OPA1 protein in mtDNA stability. The five OPA1 mutations associated with these DOA 'plus' phenotypes were all mis-sense point mutations affecting highly conserved amino acid positions and the nuclear genes previously known to induce mtDNA multiple deletions such as POLG1, PEO1 (Twinkle) and SLC25A4 (ANT1) were ruled out. Our results show that certain OPA1 mutations exert a dominant negative effect responsible for multi-systemic disease, closely related to classical mitochondrial cytopathies, by a mechanism involving mtDNA instability. PMID- 18158318 TI - Regulation of liver regeneration and hepatocarcinogenesis by suppressor of cytokine signaling 3. AB - Suppressor of cytokine signaling 3 (SOCS3) down-regulates several signaling pathways in multiple cell types, and previous data suggest that SOCS3 may shut off cytokine activation at the early stages of liver regeneration (Campbell, J.S., L. Prichard, F. Schaper, J. Schmitz, A. Stephenson-Famy, M.E. Rosenfeld, G.M. Argast, P.C. Heinrich, and N. Fausto. 2001.J. Clin. Invest. 107:1285-1292). We developed Socs3 hepatocyte-specific knockout (Socs3 h-KO) mice to directly study the role of SOCS3 during liver regeneration after a two-thirds partial hepatectomy (PH). Socs3 h-KO mice demonstrate marked enhancement of DNA replication and liver weight restoration after PH in comparison with littermate controls. Without SOCS3, signal transducer and activator of transcription 3 (STAT3) phosphorylation is prolonged, and activation of the mitogenic extracellular signal-regulated kinase 1/2 (ERK1/2) is enhanced after PH. In vitro, we show that SOCS3 deficiency enhances hepatocyte proliferation in association with enhanced STAT3 and ERK activation after epidermal growth factor or interleukin 6 stimulation. Microarray analyses show that SOCS3 modulates a distinct set of genes, which fall into diverse physiological categories, after PH. Using a model of chemical-induced carcinogenesis, we found that Socs3 h-KO mice develop hepatocellular carcinoma at an accelerated rate. By acting on cytokines and multiple proliferative pathways, SOCS3 modulates both physiological and neoplastic proliferative processes in the liver and may act as a tumor suppressor. PMID- 18158319 TI - Regulation of cellular zinc balance as a potential mechanism of EVER-mediated protection against pathogenesis by cutaneous oncogenic human papillomaviruses. AB - Epidermodysplasia verruciformis (EV) is a genodermatosis associated with skin cancers that results from a selective susceptibility to related human papillomaviruses (EV HPV). Invalidating mutations in either of two genes (EVER1 and EVER2) with unknown functions cause most EV cases. We report that EVER1 and EVER2 proteins form a complex and interact with the zinc transporter 1 (ZnT-1), as shown by yeast two-hybrid screening, GST pull-down, and immunoprecipitation experiments. In keratinocytes, EVER and ZnT-1 proteins do not influence intracellular zinc concentration, but do affect intracellular zinc distribution. EVER2 was found to inhibit free zinc influx to nucleoli. Keratinocytes with a mutated EVER2 grew faster than wild-type keratinocytes. In transiently and stably transfected HaCaT cells, EVER and ZnT-1 down-regulated transcription factors stimulated by zinc (MTF-1) or cytokines (c-Jun and Elk), as detected with luciferase assays. To get some insight into the control of EV HPV infection, we searched for interaction between EVER and ZnT-1 and oncoproteins of cutaneous (HPV5) and genital (HPV16) genotypes. HPV16 E5 protein binds to EVER and ZnT-1 and blocks their negative regulation. The lack of a functional E5 protein encoded by EV HPV genome may account for host restriction of these viruses. PMID- 18158320 TI - Syndecan-4 protects against osteopontin-mediated acute hepatic injury by masking functional domains of osteopontin. AB - Osteopontin (OPN) is a T helper type 1 immunoregulatory cytokine that plays a critical role in various inflammatory disorders. OPN exerts proinflammatory reactions through interaction with integrin receptors. OPN function can be modulated by protease digestion. However, the molecular mechanisms that regulate OPN function in vivo have not been elucidated. There are two putative heparin binding domains (HBDs) within the OPN molecule, which may bind both heparin and heparin-like glycosaminoglycans such as syndecan. We show that expression of OPN and syndecan-4 is significantly up-regulated after concanavalin-A (ConA) injection. Syndecan-4 binds to one of the HBDs of OPN, which overlaps with the thrombin cleavage site of OPN. When OPN is associated with syndecan-4, syndecan-4 masks both the thrombin cleavage and the integrin binding sites within OPN. Importantly, syndecan-4-deficient (Syn4KO) mice are more susceptible to hepatic injury, and the thrombin-cleaved form of OPN is significantly elevated in Syn4KO mice as compared with wild-type mice after ConA injection. Finally, we demonstrate that administration of purified syndecan-4 protects mice from ConA induced hepatic injury. Thus, syndecan-4 is a critical intrinsic regulator of inflammatory reactions via its effects on OPN function and is a potential novel therapeutic tool for treating inflammatory diseases. PMID- 18158322 TI - Integration of horizontally transferred genes into regulatory interaction networks takes many million years. AB - Adaptation of bacteria to new or changing environments is often associated with the uptake of foreign genes through horizontal gene transfer. However, it has remained unclear how (and how fast) new genes are integrated into their host's cellular networks. Combining the regulatory and protein interaction networks of Escherichia coli with comparative genomics tools, we provide the first systematic analysis of this issue. Genes transferred recently have fewer interaction partners compared to nontransferred genes in both regulatory and protein interaction networks. Thus, horizontally transferred genes involved in complex regulatory and protein-protein interactions are rarely favored by selection. Only few protein-protein interactions are gained after the initial integration of genes following the transfer event. In contrast, transferred genes are gradually integrated into the regulatory network of their host over evolutionary time. During adaptation to the host cellular environment, horizontally transferred genes recruit existing transcription factors of the host, reflected in the fast evolutionary rates of the cis-regulatory regions of transferred genes. Further, genes resulting from increasingly ancient transfer events show increasing numbers of transcriptional regulators as well as improved coregulation with interacting proteins. Fine-tuned integration of horizontally transferred genes into the regulatory network spans more than 8-22 million years and encompasses accelerated evolution of regulatory regions, stabilization of protein-protein interactions, and changes in codon usage. PMID- 18158323 TI - Reevaluation of the cox1 group I intron in Araceae and angiosperms indicates a history dominated by loss rather than horizontal transfer. AB - The origin and modes of transmission of introns remain matters of much debate. Previous studies of the group I intron in the angiosperm cox1 gene inferred frequent angiosperm-to-angiosperm horizontal transmission of the intron from apparent incongruence between intron phylogenies and angiosperm phylogenies, patchy distribution of the intron among angiosperms, and differences between cox1 exonic coconversion tracts (the first 22 nt downstream of where the intron inserted). We analyzed the cox1 gene in 179 angiosperms, 110 of them containing the intron (intron(+)) and 69 lacking it (intron(-)). Our taxon sampling in Araceae is especially dense to test hypotheses about vertical and horizontal intron transmission put forward by Cho and Palmer (1999. Multiple acquisitions via horizontal transfer of a group I intron in the mitochondrial coxl gene during evolution of the Araceae family. Mol Biol Evol. 16:1155-1165). Maximum likelihood trees of Araceae cox1 introns, and also of all angiosperm cox1 introns, are largely congruent with known phylogenetic relationships in these taxa. The exceptions can be explained by low signal in the intron and long-branch attraction among a few taxa with high mitochondrial substitution rates. Analysis of the 179 coconversion tracts reveals 20 types of tracts (11 of them only found in single species, all involving silent substitutions). The distribution of these tracts on the angiosperm phylogeny shows a common ancestral type, characterizing most intron(+) and some intron(-) angiosperms, and several derivative tract types arising from gradual back mutation of the coconverted nucleotides. Molecular clock dating of small intron(+) and intron(-) sister clades suggests that coconversion tracts have persisted for 70 Myr in Araceae, whose cox1 sequences evolve comparatively slowly. Sequence similarity among the 110 introns ranges from 91% to identical, whereas putative homologs from fungi are highly different, but sampling in fungi is still sparse. Together, these results suggest that the cox1 intron entered angiosperms once, has largely or entirely been transmitted vertically, and has been lost numerous times, with coconversion tract footprints providing unreliable signal of former intron presence. PMID- 18158324 TI - Effect of neighborhood exposures on changes in weight among women in Cebu, Philippines (1983-2002). AB - The authors aimed to identify the contributions of community factors to weight change in a cohort of women from Metropolitan Cebu, Philippines, between 1983 and 2002. The authors created a three-level random-intercept model to see whether mean body mass index (BMI; weight (kg)/height (m)(2)) varied by individual- and cluster-level variables and identified community characteristics associated with changes in BMI among 2,952 nonpregnant women. The average BMI among women living in places with four public amenities (telephones, electricity, mail delivery, and newspapers) was 0.16 kg/m(2) (95% confidence interval: 0.07, 0.26) higher than that of women living in places with fewer than three amenities. An increase in population density of 10,000 persons per km(2) was associated with a BMI increase of 0.09 kg/m(2) (95% confidence interval: 0.05, 0.13). A model with interactions revealed that the effect of population density increased significantly over time. These findings confirm earlier observations that in low-income countries, obesity starts among the wealthiest communities. Secondary and tertiary prevention policies designed to reduce obesity should be implemented in the most economically developed areas first. Primary prevention would be most needed in less developed areas, where the obesity epidemic is just beginning. PMID- 18158321 TI - Initiation of the adaptive immune response to Mycobacterium tuberculosis depends on antigen production in the local lymph node, not the lungs. AB - The onset of the adaptive immune response to Mycobacterium tuberculosis is delayed compared with that of other infections or immunization, and allows the bacterial population in the lungs to expand markedly during the preimmune phase of infection. We used adoptive transfer of M. tuberculosis Ag85B-specific CD4(+) T cells to determine that the delayed adaptive response is caused by a delay in initial activation of CD4(+) T cells, which occurs earliest in the local lung draining mediastinal lymph node. We also found that initial activation of Ag85B specific T cells depends on production of antigen by bacteria in the lymph node, despite the presence of 100-fold more bacteria in the lungs. Although dendritic cells have been found to transport M. tuberculosis from the lungs to the local lymph node, airway administration of LPS did not accelerate transport of bacteria to the lymph node and did not accelerate activation of Ag85B-specific T cells. These results indicate that delayed initial activation of CD4(+) T cells in tuberculosis is caused by the presence of the bacteria in a compartment that cannot be mobilized from the lungs to the lymph node, where initial T cell activation occurs. PMID- 18158325 TI - Studying the neurobiology of social interaction with transcranial direct current stimulation--the example of punishing unfairness. AB - Studying social behavior often requires the simultaneous interaction of many subjects. As yet, however, no painless, noninvasive brain stimulation tool existed that allowed the simultaneous affection of brain processes in many interacting subjects. Here we show that transcranial direct current stimulation (tDCS) can overcome these limits. We apply right prefrontal cathodal tDCS and show that subjects' propensity to punish unfair behavior is reduced significantly. PMID- 18158326 TI - The expression of contextual fear conditioning involves activation of an NMDA receptor-nitric oxide pathway in the medial prefrontal cortex. AB - The ventral portion of medial prefrontal cortex (vMPFC) is involved in contextual fear-conditioning expression in rats. In the present study, we investigated the role of local N-methyl-D-aspartic acid (NMDA) glutamate receptors and nitric oxide (NO) in vMPFC on the behavioral (freezing) and cardiovascular (increase of arterial pressure and heart rate) responses of rats exposed to a context fear conditioning. The results showed that both freezing and cardiovascular responses to contextual fear conditioning were reduced by bilateral administration of NMDA receptor antagonist LY235959 (4 nmol/200 nL) into the vMPFC before reexposition to conditioned chamber. Bilateral inhibition of neuronal NO synthase (nNOS) by local vMPFC administration of the N omega-propyl-L-arginine (N-propyl, 0.04 nmol/200 nL) or the NO scavenger carboxy-PTIO (1 nmol/200 nL) caused similar results, inhibiting the fear responses. We also investigated the effects of inhibiting glutamate- and NO-mediated neurotransmission in the vMPFC at the time of aversive context exposure on reexposure to the same context. It was observed that the 1st exposure results in a significant attenuation of the fear responses on reexposure in vehicle-treated animals, which was not modified by the drugs. The present results suggest that a vMPFC NMDA-NO pathway may play an important role on expression of contextual fear conditioning. PMID- 18158327 TI - A novel insertion pathway of mitochondrial outer membrane proteins with multiple transmembrane segments. AB - The central channel Tom40 of the preprotein translocase of outer membrane (TOM) complex is thought to be responsible for the import of virtually all preproteins synthesized outside the mitochondria. In this study, we analyze the topogenesis of the peripheral benzodiazepine receptor (PBR), which integrates into the mitochondrial outer membrane (MOM) through five hydrophobic transmembrane segments (TMSs) and functions in cholesterol import into the inner membrane. Analyses of in vitro and in vivo import into TOM component-depleted mitochondria reveal that PBR import (1) depends on the import receptor Tom70 but requires neither the Tom20 and Tom22 import receptors nor the import channel Tom40, (2) shares the post-Tom70 pathway with the C-tail-anchored proteins, and (3) requires factors of the mitochondrial intermembrane space. Furthermore, membrane integration of mitofusins and mitochondrial ubiquitin ligase, the MOM proteins with two and four TMSs, respectively, proceeds through the same initial pathway. These findings reveal a previously unidentified pathway of the membrane integration of MOM proteins with multiple TMSs. PMID- 18158329 TI - Type I phosphatidylinositol 4-phosphate 5-kinase controls neutrophil polarity and directional movement. AB - Directional cell movement in response to external chemical gradients requires establishment of front-rear asymmetry, which distinguishes an up-gradient protrusive leading edge, where Rac-induced F-actin polymerization takes place, and a down-gradient retractile tail (uropod in leukocytes), where RhoA-mediated actomyosin contraction occurs. The signals that govern this spatial and functional asymmetry are not entirely understood. We show that the human type I phosphatidylinositol 4-phosphate 5-kinase isoform beta (PIPKIbeta) has a role in organizing signaling at the cell rear. We found that PIPKIbeta polarized at the uropod of neutrophil-differentiated HL60 cells. PIPKIbeta localization was independent of its lipid kinase activity, but required the 83 C-terminal amino acids, which are not homologous to other PIPKI isoforms. The PIPKIbeta C terminus interacted with EBP50 (4.1-ezrin-radixin-moesin (ERM)-binding phosphoprotein 50), which enabled further interactions with ERM proteins and the Rho-GDP dissociation inhibitor (RhoGDI). Knockdown of PIPKIbeta with siRNA inhibited cell polarization and impaired cell directionality during dHL60 chemotaxis, suggesting a role for PIPKIbeta in these processes. PMID- 18158328 TI - Sequential roles for myosin-X in BMP6-dependent filopodial extension, migration, and activation of BMP receptors. AB - Endothelial cell migration is an important step during angiogenesis, and its dysregulation contributes to aberrant neovascularization. The bone morphogenetic proteins (BMPs) are potent stimulators of cell migration and angiogenesis. Using microarray analyses, we find that myosin-X (Myo10) is a BMP target gene. In endothelial cells, BMP6-induced Myo10 localizes in filopodia, and BMP-dependent filopodial assembly decreases when Myo10 expression is reduced. Likewise, cellular alignment and directional migration induced by BMP6 are Myo10 dependent. Surprisingly, we find that Myo10 and BMP6 receptor ALK6 colocalize in a BMP6 dependent fashion. ALK6 translocates into filopodia after BMP6 stimulation, and both ALK6 and Myo10 possess intrafilopodial motility. Additionally, Myo10 is required for BMP6-dependent Smad activation, indicating that in addition to its function in filopodial assembly, Myo10 also participates in a requisite amplification loop for BMP signaling. Our data indicate that Myo10 is required to guide endothelial migration toward BMP6 gradients via the regulation of filopodial function and amplification of BMP signals. PMID- 18158330 TI - Local cortical pulling-force repression switches centrosomal centration and posterior displacement in C. elegans. AB - Centrosome positioning is actively regulated by forces acting on microtubules radiating from the centrosomes. Two mechanisms, center-directed and polarized cortical pulling, are major contributors to the successive centering and posteriorly displacing migrations of the centrosomes in single-cell-stage Caenorhabditis elegans. In this study, we analyze the spatial distribution of the forces acting on the centrosomes to examine the mechanism that switches centrosomal migration from centering to displacing. We clarify the spatial distribution of the forces using image processing to measure the micrometer-scale movements of the centrosomes. The changes in distribution show that polarized cortical pulling functions during centering migration. The polarized cortical pulling force directed posteriorly is repressed predominantly in the lateral regions during centering migration and is derepressed during posteriorly displacing migration. Computer simulations show that this local repression of cortical pulling force is sufficient for switching between centering and displacing migration. Local regulation of cortical pulling might be a mechanism conserved for the precise temporal regulation of centrosomal dynamic positioning. PMID- 18158331 TI - PR-Set7-dependent lysine methylation ensures genome replication and stability through S phase. AB - PR-Set7/SET8 is a histone H4-lysine 20 methyltransferase required for normal cell proliferation. However, the exact functions of this enzyme remain to be determined. In this study, we show that human PR-Set7 functions during S phase to regulate cellular proliferation. PR-Set7 associates with replication foci and maintains the bulk of H4-K20 mono- and trimethylation. Consistent with a function in chromosome dynamics during S phase, inhibition of PR-Set7 methyltransferase activity by small hairpin RNA causes a replicative stress characterized by alterations in replication fork velocity and origin firing. This stress is accompanied by massive induction of DNA strand breaks followed by a robust DNA damage response. The DNA damage response includes the activation of ataxia telangiectasia mutated and ataxia telangiectasia related kinase-mediated pathways, which, in turn, leads to p53-mediated growth arrest to avoid aberrant chromosome behavior after improper DNA replication. Collectively, these data indicate that PR-Set7-dependent lysine methylation during S phase is an essential posttranslational mechanism that ensures genome replication and stability.