Synthesis and bioreductive potential of a mono N-oxide derivative of the alkylating agent chlorambucil

Chlorambucil N-oxide (CHLN-O) was synthesized and evaluated for in vitro bioreductive antitumor activity. A time-dependent hypoxic differential was observed when EMT6 cells were exposed to CHLN-O in the presence of rat liver microsomes and reducing equivalents. The cytotoxicity of the N-oxide was potentiated under hypoxia, and augmented further by a combination of low pH and hypoxia. Metabolic studies were also undertaken, which utilized previously described HPLC methodology for the analysis of CHLN-O loss from biological fluids. These demonstrated the requirement for microsomal enzymes and reducing equivalents, and also illustrated the time-dependent manner of CHLN-O loss from isolated microsomal preparations.     

The effect of dyshemoglobins on pulse oximetry: Part I, Theoretical approach and Part II, Experimental results using an in vitro test system

Pulse oximeters are known to be inaccurate in the presence of elevated concentrations of carboxyhemoglobin and methemoglobin. This paper attempts to alleviate some of the confusion that exists between fractional and functional saturation, and to clarify the comparison of each with SpO2. A series of theoretical relationships between pulse oximeter reading (SpO2) and actual oxygen saturation (both fractional and functional) is derived using simple absorption theory. The theoretical relationships are checked using an experimental in vitro test system. This consists of a blood circuit containing a model finger, capable of simulating the pulsatile transmission signals through a real finger. Theoretical predictions and experimental results are compared and are found to agree well in the presence of carboxyhemoglobin, but less well with methemoglobin. Possible reasons are discussed.     

Influence of communication during the distant phase of the 1996 republican presidential primary campaign

This study examines the influence of five communication modalities on voters' perceptions of candidates during what Popkin terms 'the distant phase' of the presidential primary campaign. During the final week of the New Hampshire primary campaign, researchers surveyed 315 prospective votes in four states whose primaries followed New Hampshire's by 1, 2, 4, and 5 weeks. The results revealed that political talk radio exerted the greatest influence on voters' perceptions of Bob Dole and considerable impact on perceptions of Steve Forbes. In addition, prospective voters' conversations with other people, television news, and candidate spots (only for Forbes) exerted modest influence on voters' perceptions of Republican candidates.     

Local tissue necrosis after appendicitis in pregnancy (author's transl)

A local necrosis of the abdominal wall in the previous appendectomy scar was observed in a Gravida 3 at 32 weeks gestation following appendectomy for acute appendicitis. The findings and the clinical course were suspicious of a condition resembling local Shwartzman Phenomenon.