Lectin histochemistry of fallopian tube epithelial cells. Relation to ovum transport and ovum pickup

BACKGROUND: This study was designed to investigate whether collagen type I degradation is altered in patients with essential hypertension and whether this alteration could be related to disturbances in the serum matrix metalloproteinase pathway of collagen degradation. A second aim of the study was to assess whether some relation exists between serum markers of collagen type I degradation and left ventricular hypertrophy in hypertensive patients. METHODS AND RESULTS: We measured serum concentrations of carboxy-terminal telopeptide of collagen type I (CITP) as a marker of extracellular collagen type I degradation, of total matrix metalloproteinase-1 (MMP-1), or collagenase, of total tissue inhibitor of metalloproteinases 1 (TIMP-1), and of MMP-1/TIMP-1 complex in 37 patients with never-treated essential hypertension and in 23 normotensive control subjects. Serum concentrations of free MMP-1 and free TIMP-1 were calculated by subtracting the values of MMP-1/TIMP-1 complex from the values of total MMP-1 and total TIMP-1, respectively. Measurements were repeated in 26 hypertensive patients after 1 year of treatment with the ACE inhibitor lisinopril. Baseline free MMP-1 was decreased (P<0.001) and baseline free TIMP-1 was increased (P<0.001) in hypertensives compared with normotensives. No significant differences were observed in the baseline values of CITP between the 2 groups of subjects. Hypertensive patients with baseline left ventricular hypertrophy exhibited lower values of free MMP-1 (P<0.01) and CITP (P<0.05) and higher (P<0.001) values of free TIMP-1 than hypertensive patients without baseline left ventricular hypertrophy. Treated patients attained an increase (P<0.001) in free MMP-1 and a decrease (P<0.05) in free TIMP-1. In addition, serum CITP was increased (P<0.05) in treated hypertensives compared with normotensive subjects. CONCLUSIONS: These findings suggest that systemic extracellular degradation of collagen type I is depressed in patients with essential hypertension and can be normalized by treatment with lisinopril. A depressed degradation of collagen type I may facilitate organ fibrosis in hypertensive patients, namely, in those with left ventricular hypertrophy.     

Relationships of lipids to ovum size in amphibians

For many years, postoperative pain has been undertreated in children less than 5 years old in comparison to adults. The assessment of pain is indeed difficult in this range of age, and only the scales of hetero-evaluation are used. The guidelines for treatment are similar as in adults: systematic administration, balanced analgesia, evaluation of pain and potential adverse effects. Non opioid analgesics used are mainly paracetamol, niflumic acid and ibuprofen. Morphine remains the drug of choice among opioids; however the risk of respiratory depression in higher in infants less than 3 months old. Nalbuphine is also widely used in paediatrics. In addition, regional anaesthesia, either in single shot for minor surgery, or in continuous administration through epidural catheter for major surgery, has changed the management of postoperative pain in paediatrics.     

Possibilities in the reconstruction of bone defects

The importance of the functional unit "bone-soft-tissue" for the treatment of bone defects is discussed. A division is made between non-vascular and vascular bone transport. The individual methods are explained and their clinical significance is illustrated partly using case material. In general, the best way to fill small defects in vital soft tissue is to use cancellous autografts. For bridging longer bone defects callus distraction is the method of first choice, but in individual cases vascularized bone transfer can be taken from the iliac crest or the fibula. Homo- or heterografts should only be used in cases where no autologic bone material is available or when there is not enough.     

Effect of alumina pickup on mould flux viscosity in continuous slab casting

Abstract

Mould flux samples were taken from a continuous slab caster mould at various stages during casting sequences. These confirmed that the amount of alumina pickup reaches a steady state level within the first 40 min of casting (in agreement with a simple model of alumina pickup). The steady state level was 3–4 mass-% higher than the original alumina content of the flux. Viscosity measurements carried out on two commercial mould fluxes, with different levels of alumina added, showed that the viscosity increase as a result of a 4 mass-%increase in alumina is not likely to affect mould behaviour. Comparison of the measured viscosities with predictions from literature models showed that no single literature model corresponds consistently to the measured values.     

Ovarian abscess after ovum retrieval for in-vitro fertilization

An ovarian abscess is an uncommon surgical emergency that could be lethal. The causes of an ovarian abscess vary, and treatment thereof may unfortunately lead to an oophorectomy. In order to draw the attention of physicians to this rare entity, we present a case of ovarian abscess resulting from follicle aspiration for in-vitro fertilization. Furthermore, with correct preoperative diagnosis and prompt surgical intervention at an early stage, the affected ovary may be salvageable.     

Myopathies. Possibilities of therapy

There is still no useful form of therapy for muscle dystrophies. It is of importance not to miss the often difficult diagnosis of myositis, most inflammatory myopathies respond well to antiinflammatory therapy. Muscle disorders associated with endocrine diseases are curable by hormon replacement or correction of hormon overproduction. Myotonic muscle disease and hyper- or hypocalaemic muscle disease can be influenced positively by drug therapy.     

Possibilities of the non-invasive electrogastrography

A non-invasive method for recording the electrical activity of the gastric muscle wall is presented. Electrogastrograms (EGG) with cutaneous electrodes on the abdominal wall were recorded using an original electrogastrograph. High-quality records without cardiac artifacts allowed for identification of waves belonging to the quiescent or activity period of the migrating myoelectric complex (MMC). The amplitude of the waves of the activity period of MMC were almost twice higher than that of the waves of the quiescent period. The wave amplitude immediately after feeding increased two times and a half compared to that during fasting. The high-amplitude waves in the activity periods of MMC and after feeding in the electrogastromyograms (EGMG) of dogs corresponded to bursts of spike potentials with slow potentials, i.e. to intense gastric muscle wall contractions. The method could contribute to the diagnosis of gastric motility disturbances in clinical practice.     

Possibilities of ambulation in children with myelodysplasia]

This article reviews four reports that have addressed the efficacy of spinal instrumentation to enhance spinal fusion in patients with degenerative spondylolisthesis. These papers serve to highlight some of the common problems with interpreting and applying the clinical findings of such studies: small, nonuniform patient selection; variable instrumentation techniques; relatively brief follow-up periods (usually less than 5 years); lack of a uniform scale for clinical assessment of patients; and lack of consensus on the definition and clinical documentation of motion segment instability.     

Possibilities for rehabilitation in a county hospital

A county hospital with an infirmary surely offers the possibilities for rehabilitation as much as any other institution. Due to its manageable size, the county hospital can probably guarantee deeper personal care. The following possibilities are discussed: activating care, mental stimulation in a reality orientation program, dance and music therapy, plus the opening of the infirmary outwards, which remains a very important aspect. The rehabilitation in a county hospital can be guaranteed only by the complete cooperation between hospital internal and external medicine. An outpatient ward such as the day- and night-clinic is also a useful institution. In the future, the employment of volunteers in and outside the hospital will be of greater importance. Already now, greater efforts should be made on behalf of continued training and greater social prestige for these volunteers.