Stranger in Turkey

The author, a professor of nephrology, reports some impressions of his 7-year stay in Turkey. He worked at the Ege University in Izmir, traditionally one of the most 'western' cities. He and his wife, who gave unpaid assistance to dialysis patients, attempted to integrate into Turkish society as fully as possible. They traversed the country in weekends and holidays and introduced as many Dutch guests as they could to the unique archeological treasures, the magnificent nature and the extremely friendly population. Work at the university focused increasingly on cultivating a critical attitude with regard to the self, society and the trends and commercialization of medicine in Turkey and in the rest of the world. Self-reliance, also, had to be strengthened. Although this contravened the authority-based Turkish educational system, the efforts were clearly appreciated and even stirred enthusiasm in many of the younger people. There is no doubt that a foreign worker is regarded much more favourable in Turkey than in the Netherlands.     

Effect of mechanical treatment on healing after third molar extraction

The aim of this study was to determine the effect of subgingival scaling and root planing on healing of the distal surface of second molars following extraction of third molars. Twenty-eight patients with contralateral erupted third molars and pocket depths greater than or equal to 3 mm on the distal surface of the second molars participated in this study. Measurements of supragingival bacterial plaque, bleeding on probing, pocket depth, and relative attachment level were performed at baseline and 2 months after treatment. Extraction of contralateral third molars was carried out simultaneously. The experimental site received thorough scaling and root planing of the distal surface of the second molar, while the control site received extraction alone. Experimental sites showed significant improvement in all clinical parameters assessed compared to the control sites. In conclusion, periodontal lesions on the distal of second molars can be significantly improved following scaling and root planing after extraction of third molars.     

Structural and Mechanical Properties Changes of Ethylene‐α‐olefin Copolymer Blends Induced by Thermal Treatments and Composition

Summary: Blends of single‐site catalysed ethylene‐α‐butene (C₄VLDPE) and ethylene‐α‐octene (C₈VLDPE) copolymers were prepared by melt extrusion. The phase morphology, thermal and mechanical properties of the blends have been investigated by differential scanning calorimetry (DSC), scanning electron microscopy (SEM), tensile test and dynamic mechanical analysis (DMA). Depending on the composition and thermal history, significant differences in structure and behaviour were found. It was also found that some degree of co‐crystallization occurred for quenched blends; whereas most of the oven slowly cooled blends showed two well‐defined melting peaks, indicating that the slow cooling favoured partial segregation of the fractions with different degrees of branching to form two morphologies. Moreover, SEM revealed morphology of the thinner crystals distributed in‐between the thicker sheaf‐like crystals for the slowly cooled blends with 20–50% C₈VLDPE. Therefore, the synergism in mechanical properties for the blends with 20–50% C₈VLDPE is due to a combination of larger crystal size, more complete phase separation and interfacial interaction produced by the segregation effect of the slow cooling treatment. DMA studies showed that the storage modulus increased as the addition of C₈VLDPE and modulus for the slowly cooled blends are about twice those measured for the quenched ones, indicating higher stiffness of the blends. The smooth shift of β relaxation temperature with addition of C₈VLDPE for both sets of blends confirmed the miscibility in the amorphous phase.

SEM image of the C₄VLDPE‐C₈VLDPE (50/50) blend after oven slow cooling treatment.     

Investigation of Trypanothione Reductase as a Drug Target in Trypanosoma brucei

There is an urgent need for new drugs for the treatment of tropical parasitic diseases such as human African trypanosomiasis, which is caused by Trypanosoma brucei. The enzyme trypanothione reductase (TryR) is a potential drug target within these organisms. Herein we report the screening of a 62 000 compound library against T. brucei TryR. Further work was undertaken to optimise potency and selectivity of two novel‐compound series arising from the enzymatic and whole parasite screens and mammalian cell counterscreens. Both of these series, containing either a quinoline or pyrimidinopyrazine scaffold, yielded low micromolar inhibitors of the enzyme and growth of the parasite. The challenges of inhibiting TryR with druglike molecules is discussed.     

Automated Toxaphene Quantitation by GC/MS

Toxaphene is a complex mixture of at least 600 hexa- to decachlorinated bornanes and bornenes, which was used as an insecticide from the late 1950s to the early 1980s. Like PCBs and other environmentally persistent organochlorine pesticides, toxaphene is ubiquitous in the environment. Toxaphene's complex composition makes its accurate quantitation difficult. We report here an automatic, gas chromatographic mass spectrometry method (using electron capture negative ionization) that is precise and fast. This method is implemented by a small QBasic program that compares peak area ratios to the predicted chlorine isotopic ion ratios. This method decreases the time required for analysis while maintaining precise quantitation. The method is verified with standard and unknown samples contaminated with various amounts of other organochlorine pesticide interferents.     

Antimicrobial activity in the skin of the channel catfish Ictalurus punctatus: characterization of broad-spectrum histone-like antimicrobial proteins

BACKGROUND: A major reduction in the energy demand of the myocardium results from the electromechanical arrest, and cooling contributes to a lesser degree to this reduction. It is from this assumption that strategies of myocardial protection, utilizing warm blood cardioplegic induction, followed by cold cardioplegia with terminal warm reperfusion before removal of the aortic cross clamp, became established as optimal myocardial protection. Continuous normothermic perfusion 'closed the loop' by avoiding myocardial ischemia and linking warm induction and terminal reperfusion. A series of laboratory and clinical data confirmed the benefits of warm heart surgery on myocardial function and metabolism. The disadvantages of continuous warm blood cardioplegia including disturbance of the operative field, led surgeons to administer warm hyperkalaemic blood intermittently as a new cardioplegic strategy. METHODS: This review examines the laboratory and clinical data with reference to the intermittent warm blood cardioplegia, to establish its experimental basis and place in clinical practice. CONCLUSIONS: Experimental observation and clinical application have established intermittent warm blood cardioplegia as a practical, effective and cheap myocardial protection technique, particularly with reference to coronary artery surgery.     

New protein genetic studies in six Amazonian Indian populations

A total of 732 individuals affiliated with six Amazonian Indian populations were variously studied in relation to 26 protein genetic systems. Eleven of them were found to be monomorphic in these groups, in accordance with previous investigations. Similarities and dissimilarities (the latter involving the Rh, Duffy, haptoglobin and transferrin systems) were observed in relation to earlier investigations in four of these populations (Galibi, Palikour, Mundurucu and Tenharim). A dimeric, cathodal variant of albumin was found among two Galibi subjects, and the fairly common occurrence of CP* ACAY among some South American Indian populations was confirmed. The results in the six populations were compared with those from 29 others. When relationships are searched for among tribes of the same linguistic group, the factor that seems to be most influential is geographical localization, an exception being the pattern observed among the Cayapo subgroups. The latter shows genetic differences of the same level of magnitude as those observed among Ge-speaking tribes.