The cell surface of Trypanosoma musculi bloodstream forms. II. Lectin and immunologic studies

Report is given on a metabolic investigation with non-radioactive and 14C-labelled methiothepin(1-[10',11'-dihydro-8'-(methylthio)-dibenzo mean value of b,f thiepin-10'yl]-4-methyl-piperazine) in rat, dog, and man. After i.p. and oral administration of the drug to the rat, the metabolites of methiothepin were excreted fecally. In the same species, a considerable biliary secretion of the compounds has been demonstrated. In dog and in man, excreted metabolites have been found both in urine and feces after oral application of the drug. The biotransformation of methiothepin within the species investigated proceeds via hydroxylation, sulfoxidation, O-methylation, N-demethylation, N-oxidation and formation of conjugates. The large number of metabolites is due to the various sites of action within the molecule, that are accessible to in vivo oxidation. Of a large number of isolated positionally isomeric compounds, merely the basal structures could be clarified. Possibly the mode of biotransformation to which methiothepin is subjected in the organism, proves determinant for the way of excretion. In the rat, all metabolites are hydroxylated and reach the intestinal tract as conjugates with the bile. In dog and man, however, non-hydroxylated, sulfoxidized metabolites were likewise found, which were excreted mainly renally in both species.     

Cytogenetic variants in holoprosencephaly. Report of a case and review of the literature

A new infant with classical features of holoprosencephaly and multiple extracranial malformations was found to have abnormal karyotype: 47, XX, + 13. Although trisomy D has been reported in a few cases, our case is the first, to our knowledge, in which positive identification of trisomy 13 was made by banding technique in cebocephaly.     

Exercise tests before and after heart valve replacement

A simple progressive exercise test was performed before and after operation on five subjects undergoing mitral valve replacement and on five subjects undergoing aortic valve replacement. The responses of heart rate and ventilation were related to work rate )kilopond metres/min). The patients were also assessed clinically by the New York Heart Association grading and radiologically before each exercise test. The clinical grading was shown to be a poor guide to observed exercise tolerance, as the improvement noted in symptoms was not matched by the objective measurement of working capacity. Only two patients had normal exercise tolerance after surgery, although six of the ten patients claimed that they had no exertional dyspnoea after operation. The changes in simple ventilatory function tests before and after operation were generally small. We suggest that measurements of exercise tolerance before and after operation should be an essential part of heart valve replacement surgery.     

Diazepam-ketamine anaesthesia for open heart surgery "micro-mini" drip administration technique

Two hundred open heart cases anaesthetized with a combination of diazepam-ketamine using "Micro-Mini" drip administration technique were presented. The results were eminently desirable, and in the opinion of the authors are a notable improvement over other methods for all types of cardiovascular surgery including most advanced heart diseases. The advantages of this anaesthetic method for cardiovascular surgery are as follows: 1. Effects on cardiovascular system are minimal.--2. Respiratory depression is negligible.--3. There is no increase in salivation or muscle tone.--4. Induction and maintenance of anaesthesia are simple and smooth.--5. Anaesthesia can be maintained, using a high concentration of oxygen alone, by a slight increase in rate of ketamine administration whenever necessary.--6. Post-anaesthetic psychotomimetic effects are negligible.--7. Nearly 100% of patients have excellent amnesia.--8. It has a wide margin of safety.--9. This technique has proved highly acceptable to patients and surgeons. We feel ketamine should be used in small dosages continuously administered with either "Micro-Mini" drip infusion or infusion pump. Ketamine given in this fashion should be regarded as an analgesic.     

Assessment of natural attenuation via in situ reductive dechlorination of polychlorinated biphenyls in sediments of the Twelve Mile Creek arm of Lake Hartwell, SC

Polychlorinated biphenyl (PCB)-contaminated sediment cores taken from five locations in Lake Hartwell, SC, with an increasing distance from the point source were evaluated for the presence of in situ reductive dechlorination of PCBs on the basis of a comparative congener-specific analysis of PCB distribution profiles between historical (1987) and current (1998) sediments from the same sites. A layer of 1998 sediment that was equivalent to 1987 sediment was determined by direct comparison of total PCB depth profiles after correction for any sedimentation that occurred at each location since 1987. Natural capping of contaminated sediments with the continued deposition of new sediments was observed in all locations except the one farthest from the source area. The residual PCB congeners accumulated in the field samples did not vary from site to site. Certain PCB congeners (e.g., 236-24 + 34-34, 245-25, and 23-4 CB) decreased with time and with depth along with an increase in lower chlorinated PCB congeners in all sampling locations. A similarity in distribution profiles between dechlorinated PCBs in laboratory microcosms and in the field samples was observed. These results provide supporting evidence that in situ reductive dechlorination has occurred in the Twelve Mile Creek arm of Lake Hartwell. Several sediment layers, particularlythe sites with highest PCB concentration, showed similar PCB distribution profiles between 1987 and 1998. An additional change in chlorine distribution between 1987 and 1998 at most "equivalent" depths was not observed. The ortho- and para-substituted congeners that accumulated during dechlorination of Aroclor 1254 after nearly 1 yr of incubation in the laboratory were the prominent residual products in all field samples. At a few locations and depths, evidence for dechlorination at surprisingly low concentrations (1-5 ppm) was observed. These results confirm that in situ reductive dechlorination of PCBs is operating at a very slow rate and may have been at a plateau since 1987 for certain depths and certain locations.     

Endodermal sinus tumor and embryonal carcinoma of the ovary in a 53-year-old woman

BACKGROUND: Germ cell tumors, the most common ovarian malignancies in females under the age of 21, are rare in older women. We report an unusual case of a mixed embryonal carcinoma and endodermal sinus germ cell tumor in a perimenopausal patient and review the differential diagnosis and management of these malignancies with respect to age. CASE: A 53-year-old woman complaining of irregular menses and pelvic pain was found to have a large pelvic mass and a positive pregnancy test. Subsequent investigation revealed a large left adnexal mass, and an elevated beta-HCG and alpha-AFP. At laparotomy, a mixed germ cell tumor was found. The patient was treated with multiagent chemotherapy and currently is without evidence of disease. CONCLUSION: Although rare, the diagnosis of germ cell tumor should be considered in older women presenting with a large pelvic mass. The treatment and prognosis is similar regardless of age, except that reproductive-sparing surgery is not a priority in the older patient.     

Electroretinographic analysis of ultraviolet sensitivity in juvenile and adult goldfish retinas

Electroretinographic (ERG) spectra show that juvenile goldfish have ultraviolet (UV) sensitivity but adults do not. Chromatic adaptation data suggest mediation by UV cones. ERG spectra from eye cups and spectrophotometry of lenses show that the loss of UV sensitivity with age does not result from lens changes. Our results contribute to a growing literature on UV cone mechanisms and visual development in fish.     

Misinterpretation of body sensations in panic disorder

Cognitive accounts of panic predict that panic disorder patients will be particularly prone to misinterpret autonomic sensations. Several studies have produced results consistent with this prediction, but each is open to alternative interpretation. To clarify matters, 2 studies administered the Body Sensations Interpretation Questionnaire (BSIQ) to panic patients and controls. Panic patients were more likely to interpret ambiguous autonomic sensations as signs of immediately impending physical or mental disaster and were more likely than other anxiety disorder patients and nonpatients to believe these interpretations. In a 3rd study, a brief version of the BSIQ was shown to have satisfactory test-retest reliability, to change with treatment, and to discriminate treatments that varied in their effects on panic.     

Airborne and laboratory studies of an IAGOS instrumentation package containing a modified CAPS particle extinction monitor

An evaluation of the operation and performance of a Cavity Attenuated Phase-Shift Particle Extinction Monitor (CAPS PM_ex) was performed for use on board commercial aircraft as part of the research infrastructure IAGOS (In-service Aircraft for a Global Observing System, www.iagos.org). After extensive laboratory testing, a new flow system, using mass flow controllers, was installed to maintain constant purge and sample flows under low and varying pressure conditions. The instrument was then tested for pressures as low as 200 hPa and evaluated against particle-free compressed air and CO₂. Extinction coefficients for the studied gases were in close agreement with literature values with differences between 2.2% and 8%, proving that the CAPS technology works at low pressures. The instrument's limit of detection, with respect to 3 times the variability of the background signal for the full pressure range, was 0.2 Mm^?1 for 60s integration time. During its first research aircraft operations, the IAGOS instrument prototype, composed of one CAPS PMex and one OPC, showed excellent results regarding the stability of the instruments and the potential for characterizing different aerosol types and for estimating the contribution of sub- and super-μm sized particles to aerosol light extinction.

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