Association of Sj?gren's syndrome with HLA-B8

HLA antigens were examined by microdroplet lymphocyte cytotoxicity in 31 patients with Sj?grens syndrome. Fifty percent of 22 Causcasian patients (7 of 17 females and 4 of 5 males) had HLA-B8, as compared to 21% of 1205 controls (P=0.002). The presence of HLA-B8 was not correlated with parotid salivary flow, keratoconjunctivitis sicca, or focus score. Because of its association with a number of autoimmune diseases, including Sj?gren's syndrome, it is suggested that HLA-B8 is genetically liked to an immune response gene(s) that predisposes the individual to autoimmune phenomena. The expression of autoimmunity may be determined by infectious or environmental factors.     

Effect of amygdaloid kindling on [3H]dopamine and [14C]acetylcholine release from rat prefrontal cortex and striatal slices

The involvement of the dopaminergic (DA) systems in the control of limbic kindled seizures is ill defined. The effects of kindling on DA activity may have been overlooked in the past, because of its subtle unilateral occurrence and/or the variance of the endogenous imbalance of DA activity in normal animals. In the present study rats were screened for their endogenous DA imbalance using amphetamine-induced rotational behaviour. Electrical or sham kindling was applied in the hemisphere with the higher endogenous DA activity. Sections of the bilateral prefrontal cortex and dorsal and ventral striatum were dissected either 2 hours or 21 days after the final seizure and the electrically stimulated release of [3H]DA and [14C]acetylcholine (ACh) determined. Release was also measured in the presence of quinpirole or sulpiride to assess the activity of pre- and postsynaptic DA D2-receptors. Long-term effects of kindling consisted of facilitation of ACh release in the ventral striatum contralateral to the kindled amygdala and bilateral depression of DA release in the prefrontal cortex. Kindling therefore produced area specific changes in neurotransmitter systems giving rise to increased pro-convulsive cholinergic activity in the ventral striatum and decreased anti-convulsive dopaminergic activity in the prefrontal cortex.     

The practice of obstetrics in Mongolia

Sponsored by the US Department of State and the US Army Pacific as part of a Medical Readiness Training Exercise, 17 physicians from Tripler Army Medical Center traveled to Outer Mongolia during September 1995 to examine the practice of medicine in the country. The obstetrical care observed was delivered at Third Women's Hospital in Ulanbataar. Prenatal care in Mongolia is provided mainly by family physicians, with the family doctor visiting each pregnant patient every month for the first 5 months, increasing to weekly visits at 7 months. The patient is taken to an obstetrical or women's and children's hospital when she reaches term or goes into labor. The staff at Third Women's Hospital deliver approximately 2000 babies annually and perform approximately 1000 pregnancy terminations through sharp curettage. The cesarean section rate is reported to be 10%. The hospital has no laboratory or X-ray capability, but can send out for such tests on rare occasions. During labor, patients are fully ambulatory on an as-needed basis. Fetal monitoring is not routinely available, except for occasional auscultation, patients in labor were not given IV fluid, delivery rooms were bleak and with only antiquated equipment, lighting was poor, and gloves were reused until they were too tattered for reuse. The authors discuss their experience with 3 cesarean sections and 1 ectopic pregnancy performed while in the country.     

Differential experiences of siblings in the same family as predictors of adolescent sibling personality differences.

Examined whether the differential experience of siblings can be used to predict their personality differences in an extension of a previous study by the present author and colleagues (see record 1985-25181-001). 50 biological sibling and 98 adoptive sibling pairs (aged 12–28 yrs) completed the Sibling Inventory of Differential Experience (SIDE), a temperament survey, and questions regarding their career expectations. Results indicate that differential sibling interaction and differential peer characteristics as self-reported on the SIDE explained 6–26% of the variance in sibling personality difference scores. For example, siblings who reported more sociability as compared to their siblings also experienced more sibling closeness and more peer popularity as compared to their siblings. Comparisons between adoptive and biological siblings indicated that the SIDE relations were mediated environmentally rather than genetically. Results demonstrate that the SIDE is an effective predictor of sibling personality differences and suggest that it should prove to be a useful environmental instrument. (20 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Effect of veno-venous ultrafiltration on myocardial performance immediately after cardiac surgery in children. A prospective randomized study

OBJECTIVES: This study sought to evaluate the effects of veno-venous ultrafiltration on myocardial contractility in children undergoing cardiopulmonary bypass (CPB) for repair of congenital heart defects. BACKGROUND: Ultrafiltration (UF) is currently used to diminish postoperative fluid accumulation following CPB in children. Previous reports indicate improvement in hemodynamics immediately after UF, but the mechanism of its action is unknown. METHODS: Twenty-three patients (ages 2 months to 9.1 years; 13 males, 10 females) underwent UF for 10 min after CPB. Twelve patients underwent UF immediately after CPB (Group A). They were studied: (1) before and (2) after CPB, (3) after UF, and (4) 10 min after UF. Eleven patients underwent UF 10 min after CPB (Group B). They were studied: (1) before and (2) after CPB, (3) after a 10-min delay before UF, and (4) after UF. Contractility was determined by the difference in the observed and predicted velocity of circumferential fiber shortening for the measured wall stress, using transesophageal echocardiography. Left ventricular wall thickness was also measured. RESULTS: There was significant improvement in contractility after UF in both groups (mean+/-SD, Group A: -0.28+/-0.13 to -0.01+/-0.21 circ/s, p < 0.05; Group B: -0.26+/-0.16 to -0.11+/-0.17 circ/s, p < 0.05). Myocardial thickness to cavity dimension decreased in both groups following UF (Group A: 0.19+/-0.04 to 0.14+/-0.03, p < 0.05; Group B: 0.18+/-0.04 to 0.14+/-0.03, p < 0.05). CONCLUSIONS: UF improves hemodynamics by improving contractility and possibly by reducing myocardial edema in children following cardiac surgery. Enhanced patient outcome after ultrafiltration may in part be due to these changes.     

The role of ecology in planning: Some misconceptions

Ecology has a role to play in the planning process, but this is not the same as that played by wildlife conservation. Ecological assessment and wildlife conservation evaluation are not the same, although they have frequently been assumed to be so. An attempt is made to discriminate between them and to define the of ecology as a scientifically objective discipline. The meanings of some terms used in making wildlife conservation assessments are examined.     

Euthanasia and physician-assisted suicide: attitudes and experiences of oncology patients, oncologists, and the public

BACKGROUND: Euthanasia and physician-assisted suicide are pressing public issues. We aimed to collect empirical data on these controversial interventions, particularly on the attitudes and experiences of oncology patients. METHODS: We interviewed, by telephone with vignette-style questions, 155 oncology patients, 355 oncologists, and 193 members of the public to assess their attitudes and experiences in relation to euthanasia and physician-assisted suicide. FINDINGS: About two thirds of oncology patients and the public found euthanasia and physician-assisted suicide acceptable for patients with unremitting pain. Oncology patients and the public found euthanasia and physician-assisted suicide least acceptable in vignettes involving "burden on the family" and "life viewed as meaningless". In no vignette--even for patients with unremitting pain--did a majority of oncologists find euthanasia or physician-assisted suicide ethically acceptable. Patients actually experiencing pain were more likely to find euthanasia or physician-assisted suicide unacceptable. More than a quarter of oncology patients had seriously thought about euthanasia or physician-assisted suicide and nearly 12 percent had seriously discussed these interventions with physicians or others. Patients with depression and psychological distress were significantly more likely to have seriously discussed euthanasia, hoarded drugs, or read Final Exit. More than half of oncologists had received requests for euthanasia or physician-assisted suicide. Nearly one in seven oncologists had carried out euthanasia or physician-assisted suicide. INTERPRETATION: Euthanasia and physician-assisted suicide are important issues in the care of terminally ill patients and while oncology patients experiencing pain are unlikely to desire these interventions patients with depression are more likely to request assistance in committing suicide. Patients who request such an intervention should be evaluated and, where appropriate, treated for depression before euthanasia can be discussed seriously.     

Meaningful evaluation of plastisol gelation and fusion temperatures by dynamic mechanical analysis

In most PVC plastisol processing operations, gelation and fusion characteristics of the plastisol are critically important. For example, in chemically foamed plastisols, plastisol fusion temperature and blowing agent decomposition temperature must be carefully coordinated. In rotomolded parts, rates of gelation may determine the quality of the finished parts. For plastisol products made by any process, the final fusion temperature determines the processing temperatures required to give the finished product acceptable mechanical properties. For a variety of reasons, the methods commonly used to characterize plastisol gelation and fusion (hot bar test, resin in plasticizer clear point, torque rheometer measurements, etc.) provide comparisons between plastisols but do not provide temperatures that are easily related to actual industrial processes. With dynamic mechanical analysis (DMA), one can characterize, under low shear conditions, the temperatures at which gelation begins, gelation ends, and complete fusion occurs. Additionally, it is possible to record plastisol viscosities (and other dynamic mechanical properties) over the processing temperature range. We used a multiple linear regression program to analyze the DMA data for plastisols heated from 30 to 210°C and containing either 70, 80 or 90 phr of Jayflex dihexyl phthalate (DHP) or Jaylflex di-isodecyl phthalate (DIDP). Further, we determined the plasticizer phr dependence and the reproducibility of gel and fusion temperatures given by data analyzed in this manner. Finally, for comparison, we analyzed the reproducibility of initial and final plastisol gel temperatures and fusion temperatures, which were determined by visually analyzing the DMA data for plastisols containing 70, 80, and 90 phr of Jyflex plasticizers DHP, Jayflex 77, diisononyl phthalate (DINP), and DIDP. Precise characterization of plastisol gelation and fusion behavior will, undoubtedly, facilitate substitution of plastisol ingredients as is often required by those who manufacture and process plastisols.