Chemical models of oxidative phosphorylation

Chemical models for coupling oxidation to phosphorylation are summarized and examined both from the standpoint of organic reaction mechanisms and with respect to their relevance to mitochondria and chloroplasts. In order to accelerate the progress of our research in bioenergetics, it is suggested to focus at least as much attention on structural biochemistry as on phenomenological observations of energy-transducing membranes.     

Mass spectrometry: application in the exercise sciences

This paper outlines a computerized system for monitoring physiological functions during exercise, using a mass spectrometer for analyzing the concentration of the mixed expired air. Examples are provided illustrating the operation of this system in both research and clinical situations. The most remarkable aspect of the system is its versatility, coupled with its accuracy. While the applications reviewed in this paper are rather narrow, work has been initiated using the mass spectrometer to measure residual lung volumes by the oxygen dilution technique, cardiac output by the CO2 rebreathing technique, and total body density by the helium dilution technique. The application of the mass spectrometer into other areas most certainty will occur in the near future.     

Hematuria and sickle cell disorders

To examine the relationship between gross hematuria and sickle cell disorders, all patients admitted to Grady Memorial Hospital with the diagnosis of a sickle cell disorder during a 14-month period were reviewed. Of 115 such patients, 65% had sickle cell disease and 35% had sickle cell trait. None of the former but seven of the latter group had gross hematuria. Mean age of the seven was 30 years. Comprehensive examinations and laboratory studies showed that all were free of concomitant disease. Physical findings, diagnostic modalities, and treatment were reviewed. Findings suggest that conservative therapy (bed rest, hydration, and diuresis) is usually effective.     

Surgical management of locally recurrent rectal cancer

The surgical management of locally recurrent rectal cancer may involve major procedures and is not for the faint-hearted. Nevertheless, such treatment is preferable to chemotherapy and radiotherapy; the latter will fail over a period of months during which the patient is likely to experience intractable pain. Radical surgery offers good palliation and a better quality of life. Survival is prolonged by such operations which may be curative in up to one-third of patients. Nevertheless, surgeons must be realistic in their assessment of and discussions with patients.