Is postextrasystolic potentiation dependent on Starling's law? Biplane angiographic studies in normal subjects

The cineangiograms of 26 normal subjects were analyzed to study the effect of Starling's mechanism on postextrasystolic potentiation. The end-diastolic volumes (single plane and biplane) of the left ventricle were similar in the regular sinus beat before an extrasystole and sequential sinus beats after an extrasystole. However, the ejection fraction, mean normalized systolic ejection rate, mean velocity of fiber shortening and long-axis shortening were consistently larger in the first sinus beat after an extrasystole. We conclude that postextrasystolic potentiation is independent of left ventricular end-diastolic volume in normal human hearts and the compensatory pause after an extrasystole does not result in increased end-diastolic volume.     

Antibody-mediated suppression of grafted lymphoma. IV. Influence of time of tumor residency in vivo and tumor size upon the effectiveness of suppression by syngeneic antibody

In the suppression of the growth of a mouse lymphoma 6C3HED by antibody, the effectiveness of antibody in suppressing growing or established tumor cells and comparable number of freshly injected tumor cells is quantitatively similar. The effectiveness of antibody diminishes markedly when the number of tumor cells per mouse reaches the level of 10(6) due to the development of a macrophage shortage. At the 10(5) tumor cells level, antibody-mediated suppression takes place in an optimal manner and between 10(5) and 10(4) tumor cell numbers, the amount of antibody required to suppress 50% of the tumor cells is directly proportional to the number of tumor cells suppressed.     

The cost of auditing outpatient records

When patient records are to be auditied in a program designed to assess the quality of medical care rendered, careful consideration must be given to the cost of the system implemented. Structured data collection and a defined treatment plan are advantageous in facilitating the use of nonphysicians for the majority of the audit. A system using checklists to ensure adequate recording of subjective and objective data and a defined treatment plan for a common symptom complex were implemented by physicians and physician's assistants with a patient load averaging more than 1,000 patient contacts per week in a general medical clinic at Duke University Medical Center. Audit was subsequently accomplished at a cost of 96 cents per record. To reduce this cost, more efficient methods of selecting records for audit should be developed.     

Comparison of the effect of carbon monoxide and of hypoxic hypoxia. I. In vivo metabolism, distribution and action of hexobarbital

1. The biosynthesis of cholesterol was studied, by using various precursors, in rats subjected to several dietary regimes. 2. The use of 3H2O as a substrate to demonstrate differences in cholesterogenesis under various conditions was validated by using rats fed on cholesterol or cholestyramine. Cholesterol feeding resulted in decreased cholesterogenesis, whereas cholestyramine caused an increase. 3. With acetate as precursor, the biosynthesis of both digitonin-precipitable sterol and fatty acids was increased in vitro in response to a meal. 4. In rats fed ad libitum, hepatic cholesterogenesis was increased at midnight relative to mid-morning as measured by using acetate precursor in vitro. However, no such difference was found by using 3H2O in vivo. 5. The lipogenic response was measured in meal-fed rats by using 3H2O or octanoate in vivo. In contrast with findings with acetate in vitro, no postprandial stimulation of cholesterogenesis was seen with either 3H2O or octanoate as precursor, whereas fatty acid biosynthesis from either substrate was increased. 6. These findings are discussed with respect to current theories about the circadian rhythm of cholesterogenesis. Such theories are based on experiments using isolated enzyme measurements or non-physiological precursors such as acetate. 7. It is considered that results obtained with 3H2O give an accurate representation of cholesterogenesis under various conditions, and it is therefore suggested that hepatic cholesterogenesis in rats is not subjected to the same degree of diurnal rhythm as has previously been believed.     

Photoperiodic control of antler cycles in deer. III. Decreasing versus increasing day lengths

Deer were exposed for three years to photoperiods which increased or decreased two hours every four months, starting at 4L/20D or 20L/4D, respectively. Under both sets of conditions, antlers were repeatedly shed and replaced, usually in synchrony with every other time the day lengths were changed. On decreasing days, antler cycles were omitted as the photoperiod passed the equinox (12L/12D). On increasing days, the equinoctial photoperiod induced prolonged episodes of antler growth. The tendency for the antler replacement cycle to lock onto alternate changes in artificial photoperiods is consistent with the seasonal growth of antlers every other time the day lengths change in the natural environment. It is suggested that antler replacement is triggered neither by shortening nor lengthening days, but by the alternation of such changes irrespective of the direction of the shift in the photoperiod.     

The effects of chronic morphine administration upon a modified Sidman avoidance schedule that utilizes response-independent shock

Six male squirrel monkeys were subjected to a Sidman nondiscriminated avoidance schedule (R-S, S-S-20 sec) that superimposed 3-min conditioned stimuli (CS) unavoidable shock pairings upon the ongoing avoidance behavior. Five of the 6 animals demonstrated facilitated avoidance response rates during the CS, while one animal demonstrated suppressed rates during the CS. Morphine sulfate (0.5, 1.0, 2.0, 3.0, 4.0 mg/kg) altered these patterns, causing the suppressor to facilitate, while the facilitators demonstrated reduced levels of response elevation during the aversive CS. Morphine also led to a reliable reduction in overall response rate and an increase in the number of shocks received. No consistent drug effects were noted with regard to general motor activity. These results were interpreted to suggest that a potent analgesic agent, such as morphine, was able to reduce the level of fear motivation normally generated by the aversive CS. Since changes in relative rate during the aversive CS were quite reliable both within and between animals, it was suggested that this behavioral schedule might prove useful in assaying the fear-reducing qualities of a variety of drugs. A cautionary note, however, indicated that other explanations, most notably, a rate dependent hypothesis, could account for the data without assuming the level of fear was altered.     

Automatic monitoring of deposition conditions during rf sputtering of dielectric materials

Modern optics often require dielectric thin films of precisely controlled optical indices. One method of producing such films is by rf sputtering at extremely low deposition rates (～0·1 μh^?1). Thermal and plasma instabilities occur during the deposition process (often > 10 h duration) and the sputtering system therefore requires continuous monitoring to ensure appropriate corrective action.The objective of this paper is to examine the technology involved in developing supervision circuitry to monitor the parameters of a conventional commercially available rf sputtering system employed in the fabrication of high optical quality dielectric films for integrated-optics applications. The techniques used have overcome the difficulties of operating analogue circuitry in a high rf noise environment.A novel reflection-interferometer, enabling continuous monitoring of sputtered film thickness in a close spaced target-substrate system, was developed. The design has been shown to possess enhanced alignment tolerance, particularly for high refractive index films.