Mechanisms involved in the intrinsic isoniazid resistance of Mycobacterium avium

Isoniazid (INH), which acts by inhibiting mycolic acid biosynthesis, is very potent against the tuberculous mycobacteria. It is about 100-fold less effective against Mycobacterium avium. This difference has often been attributed to a decreased permeability of the cell wall. We measured the rate of conversion of radiolabelled INH to 4-pyridylmethanol by whole cells and cell-free extracts and estimated the permeability barrier imposed by the cell wall to INH influx in Mycobacterium tuberculosis and M. avium. There was no significant difference in the relative permeability to INH between these two species. However, the total conversion rate in M. tuberculosis was found to be four times greater. Examination of in vitro-generated mutants revealed that the major resistance mechanism for both species is loss of the catalase-peroxidase KatG. Analysis of lipid and protein biosynthetic profiles demonstrated that the molecular target of activated INH was identical for both species. M. avium, however, formed colonies at INH concentrations inhibitory for mycolic acid biosynthesis. These mycolate-deficient M. avium exhibited altered colony morphologies, modified cell wall ultrastructure and were 10-fold more sensitive to treatment with hydrophobic antibiotics, such as rifampin. These findings may significantly impact the design of new therapeutic regimens for the treatment of infections with atypical mycobacteria.     

Prognosis in endoscopic perforans vein excision in postphlebitic syndrome

In the presence of leg ulcer endoscopic treatment is particularly indicated as it permits reliable diagnosis and treatment of incompetent perforator veins from a small incision away from the contaminated zone. Lately 3 surgeons have developed special instruments for this type of endoscopy. Hauer was the 1st to develop a specialized technique with the Wolf Company. He uses an angulated optic system and a double cautery clamp. It permits excellent vision. Sattler works with a Storz thoracoscope and specially built instruments controlled by a monitor. This means agreeable and motivating handling. Fischer uses direct vision through a Wolf or similar endoscope shaft and a set of instruments produced by Storz and Ulrich Co for him for swift, simple and reasonable treatment. Each surgeon will chose his method on the ground of his education, his special liking and his set up.     

Significance of tissue polypeptide specific antigen (TPS) in diagnosis and monitoring of treatment in ovarian cancer

BACKGROUND AND STUDY AIMS: It has recently been reported that in developed countries gastric outlet obstruction now predicts gastric malignancy. The aim of this study was to find out if this is the case in a developing country like India. PATIENTS AND METHODS: Seventy-four patients with gastric outlet obstruction underwent upper gastrointestinal endoscopy and biopsy specimens were obtained from any suspicious looking lesions or from the most distal point at which the endoscope could be positioned. RESULTS: In 56 patients (76%) the cause of the gastric outlet obstruction was malignant. On clinical and endoscopic appearance three patients were wrongly diagnosed as having malignancy when the cause, on endoscopic biopsy, was benign (tuberculosis n = 2, and immunoproliferative small intestinal disease n = 1). Twelve of the 18 patients with benign gastric outlet obstruction were managed conservatively with drugs and endoscopic balloon dilatation. CONCLUSION: Even in a developing country like India, malignancy is the commonest cause of gastric outlet obstruction and endoscopic biopsy specimens should be obtained in all patients with gastric outlet obstruction because the occasional benign lesions can be managed conservatively.     

Zum Einfluß extrazellulärer polymerer Substanzen bei der mikrobiologisch beeinflußten Korrosion

The influence of extra-cellular polymeric substances in microbiologically influenced corrosion Unexpected pitting failures in copper potable water installations have occurred in some countries (Germany, Sweden, Scotland, South-West England, Saudi-Arabia) in the mid-eighties. These failures could not be expected in a single case based on the chemical composition of the potable water. Further typical manifestation characteristics of this microbiologically influenced corrosion have been i.) an uptake of dissolved and undissolved copper species in an obsolete, non regular fashion, ii.) black layers of copper(II)-oxide on the inner tube surface, accompanied by posniakite and malachite in the pitting areas, and, iii.) the detection of extracellular polymeric substances (EPS). These EPS consist partly of polysaccharides. They could either be produced by microorganisms within the potable water installation or be transported in a dissolved or undissolved state into the installation. Consequently, they sediment on the inner surfaces of the copper tubes. The physico-chemical properties of some kinds of EPS, especially their membrane properties and their cation selectivity, play a key role in this corrosion process. This is shown exemplarily performing diffusion potential measurements and contact corrosion experiments.     

Time course of the tilorone-induced lysosomal accumulation of sulphated glycosaminoglycans in cultured fibroblasts

Dicationic amphiphilic drugs such as the immunomodulator tilorone [2,7-bis-[2-(diethylamino)ethoxy]fluoren-9-one] are accumulated in lysosomes and disturb the degradation of sulphated glycosaminoglycans (GAGs) thus leading to generalized lysosomal GAG storage (mainly dermatan sulphate) in vivo and in cultured cells. In the present study, the time course of the tilorone-induced GAG storage was determined in cultured bovine corneal fibroblasts by a radiochemical approach and by morphological examination. In contrast to the rapid lysosomal accumulation of the drug as reported previously, it took approximately 42 h to reach 50% of the GAG storage obtained after 96 h. This is thought to be due to the fact that the temporal development of storage of undigested GAGs depends on the natural delivery of GAGs towards the lysosomal apparatus.     

Evaluation of different coating systems by electrochemical methods

Corrosion protection of organic coated steel is determined by free corrosion potential measurements and impedance spectroscopy. The results are classified by means of very basic considerations and evaluation figures are developed. These electrochemical data are correlated with the extent of the corrosion for each coating system. The evaluation figures are used for ranking coating systems and this ranking is correlated with the ranking with reference to the results of standardized and exposure tests.     

Concentration-dependent changes in the latency and amplitude of somatosensory-evoked potentials by desflurane, isoflurane and sevoflurane

Despite improvement in early diagnosis, surgical techniques, and general patient care, most deaths of cancer patients result from metastases. Recent studies have revealed that cytokines produced by cancer cells or by stromal cells play an important role into development the cancer metastasis. The formation of a cancer metastasis involves several major steps: 1) extensive vascularization; 2) local invasion; 3) adherence either to capillary endothelial cells or to subendothelial basement membrane; 4) extravasation; and 5) proliferation. In colon cancer, several cytokines such as growth factors, inflammatory cytokines, and angiogenic factors have been confirmed to be involved in each step of metastasis. This paper summarizes the involvement of cytokines in the development of invasion and metastasis in colon cancer.     

An entropy-coded lattice vector quantizer for transform and subbandimage coding

A lattice-based vector quantizer (VQ) and noiseless code are proposed for transform and subband image coding. The quantization is simple to implement, and no vector codebooks need to be stored. The noiseless code enumerates lattice codevectors based on their (weighted) l(1) norm. A software implementation is able to handle lattice codebooks of size 2(256). The image coding performance is shown to be comparable or superior to the best encoding methods reported in the literature.     

A Uniform Approach for Utilizing Synergy between Inspection Technologies and Computational Methods

Emerging scanning technologies currently capture diverse data that includes geometrical and physical properties (i.e. normals, material and color). Yet, existing inspection computational methods do not satisfy industry demands. This paper proposes a new approach for inherently handling diverse data and utilizing the synergy between inspection technologies and digital processing methods. Two methods were developed: a Hierarchical Space Decomposition Model (HSDM), which sorts the sampled data, and a 3D Geometrical Bilateral Filter (3D GBF) that utilizes the diverse data. These methods provide efficient data reduction while preserving sharp features. The feasibility of this approach is demonstrated on the diverse data.