Median-nerve neuropathy associated with chronic anterior dislocation of the lunate

Ten patients who had median-nerve neuropathy in association with chronic anterior dislocation of the lunate were managed operatively and were followed for an average of five years (range, three to eight years). The average time from the injury to the initial evaluation was twenty-one months (range, six to sixty-five months). All ten patients had pain as well as sensory and motor dysfunction in the distribution on the median nerve. Nerve-conduction-velocity studies revealed a delay in distal motor and sensory latencies in all patients; the distal motor latency averaged 12.5 milliseconds (range 5.6 to 18.6 milliseconds), and the distal sensory latency averaged 12.4 milliseconds (range, 4.8 to 16.8 milliseconds). Three patients had had a failed carpal tunnel release and needed excision of the lunate for decompression of the median nerve. In the other seven patients, three distinctive sites of nerve compression were identified: the volar and dorsal edges of the lunate and the proximal edge of the transverse carpal ligament. Excision of the osseous protuberance (excision of the lunate in three patients and a proximal-row carpectomy in four), combined with a release of the transverse carpal ligament, resulted in relief of the symptoms, functional improvement, and sensory and motor recovery in the distribution of the median nerve.     

Polycystic ovary syndrome: evidence for reduced sensitivity of the gonadotropin-releasing hormone pulse generator to inhibition by estradiol and progesterone

Plasma LH is commonly elevated in women with the polycystic ovary syndrome (PCOS), but the underlying mechanisms are uncertain. We tested the hypothesis that the elevated LH in part reflects a reduced sensitivity of the hypothalamic GnRH pulse generator to suppression by estradiol (E2) and progesterone (P). In an initial protocol, normal controls (beginning on cycle days 8-10) and women with PCOS were given E2 transdermally and P by vaginal suppository (three times daily), to achieve plasma concentrations similar to those in the midluteal phase of an ovulatory cycle, for 21 days. Blood was obtained at 10-min intervals for 12 h before and on days 5, 10, 20, and 28 (7 days after E2 and P were discontinued). LH pulse amplitude and LH pulse frequency were suppressed in both PCOS and normal controls, but LH pulse frequency fell more rapidly in controls and was lower by day 10 (P < 0.05). Based on this time course a dose-response study was performed, in which E2 in constant dosage and varying concentrations of P were administered for 7 days. Pulsatile LH release was appraised on days 1 and 7. The frequency of LH pulse secretion was reduced in controls and was lower than that in patients with PCOS on day 7 (P < 0.0001). Plasma P concentrations of 13-15 ng/mL suppressed LH pulse frequency to a similar degree in PCOS and controls. In contrast, lower concentrations (P < 10 ng/mL) were more effective in suppressing GnRH/LH pulse frequency in controls (by > 45% of basal) than in PCOS (< 40%; P < 0.01). The data indicate that E2 and P can inhibit the activity of the hypothalamic GnRH pulse generator in women with PCOS. However, higher plasma concentrations of P were required to reduce GnRH/LH pulse frequency in PCOS compared to controls, suggesting an insensitivity of the GnRH pulse generator to suppression by E2 and P. These results suggest that an abnormality in the regulation of hypothalamic GnRH secretion is present in PCOS and may be a factor in the etiology of the disorder in adolescence.     

Wind Power Energy Storage for In Situ Shale Oil Recovery With Minimal CO2 Emissions

The trillion barrel oil shale and oil sand deposits in North America offer the potential to make the less energy dependent on unreliable foreign sources. However, if these unconventional deposits were produced using existing combustion processes, substantial CO₂ emissions would be injected into air. To avoid this green house gas problem and yet produce liquid fuels, a wind powered electrothermal energy storage system is described. It stores the unpredictable intermittent wind electrical energy as thermal energy over long periods in thick fossil hydrocarbon deposits. Because thermal diffusion time is very slow in such deposits, thermal energy is effectively trapped in a defined section of the hydrocarbon deposit. This allows time for the thermal energy to convert hydrocarbons into gaseous and liquid fuels. The process is highly energy-efficient and makes available considerably more energy than was expended during the heating. In addition, the method can increase the reliability of the grid and provide a load-leveling function. The wind-powered electrothermal conversion method produces substantially less CO₂ than traditional shale oil extraction processes or renewable energy processes that employ a combustion step to produce the fuel     

Continuous annular chromatography for the separation of beet molasses

The continuous separation of a multicomponent feedstock on a rotating annular chromatograph is described. The annulus width was 12 mm, diameter 300 mm and height 1400 mm. The annulus was packed with a 420 micron ion-exchange resin in the sodium form. The feedstock separated was beet molasses which is the final syrup spun off after repeated crystallisations in the extraction of sugar. Two basic mechanisms were in operation to separate sucrose from impurities: ion exclusion and molecular sieving. A statistical approach was made to set up an experimental programme and analyse the results. Four factors were studied: feed flowrate, feed concentration, annulus rotation rate and eluent rate. Two of these, namely feed rate and eluent rate, significantly affected the response. The response was the separation achieved using the annular chromatograph between the sucrose and non-sucrose solids. A further series of experiments demonstrated the practical considerations to be made when separating beet molasses. A crystallisable product sucrose rate of 207 gh^?1 was achieved.     

Murine thymic lymphoma is associated with a species-specific hematopoietic progenitor cell subpopulation

Many strains of laboratory mouse are uniquely susceptible to the development of T cell lymphoma/leukemia, either spontaneously or as a result of chemical or radiation exposure. In contrast, T cell leukemias or lymphomas which are relatively uncommon in human populations, are not easily induced by radiation, and are not generally associated with chemotherapy or chemical exposure. Evidence is presented to suggest that differences in the susceptibility to the development of these malignancies is related to subtle but important variations in the regulation of hematopoietic stem cell differentiation between these two species.     

Addition of potassium carbonate to continuous cultures of mixed ruminal bacteria shifts volatile fatty acids and daily production of biohydrogenation intermediates

A recent study reported a 0.4 percentage unit increase in milk fat of lactating dairy cattle when dietary K was increased from 1.2 to 2% with potassium carbonate. Because milk fat yield has been associated with ruminal production of certain conjugated linoleic acid (CLA) isomers, 2 studies were conducted to determine if increasing potassium carbonate in the rumen would alter patterns of fermentation and biohydrogenation. In experiment 1, 5 dual-flow continuous fermenters were injected just before each feeding with a 10% (wt/wt) stock potassium carbonate solution to provide the equivalent of 1.1 (K1), 2.2 (K2), and 3.3 (K3) % of diet dry matter (DM) as added K. One of the remaining fermenters received no K (K0) and the last fermenter (NaOH) was injected with adequate NaOH stock solution (10%, wt/wt) to match the pH observed for the K3 treatment. For experiment 2, 6 dual-flow continuous fermenters were used to evaluate 6 treatments arranged in a 2 × 3 factorial to examine 2 levels of soybean oil (0 and 3.64% of diet DM) and added K at 0, 1.6, and 3.3% of diet DM. In both experiments, fermenters were fed 55 to 57 g of DM/d of a typical dairy diet consisting of 1:1 forage (10% alfalfa hay and 90% corn silage) to concentrate mix in 2 equal portions at 0800 and 1630 h, and fed the respective diets for 10-d periods. Potassium carbonate addition increased pH in both experiments. Acetate:propionate ratio and pH in experiment 1 increased linearly for K0 to K3. Acetate:propionate ratio was lower for NaOH compared with K3 but the pH was the same. The trans-11 18:1 and cis-9,trans-11 CLA production rates (mg/d) increased linearly from K0 to K3, but K3 and NaOH did not differ. Production of trans-10 18:1 decreased and that of trans-10,cis-12 tended to decrease from K0 to K3, but production of trans-10,cis-12 CLA remained high for NaOH. Addition of K to the cultures in experiment 2 decreased propionate and increased acetate and acetate:propionate ratio for the 0% fat diet but not for the 3.64% fat diet. Addition of K increased stearic acid and cis-9,trans-11 CLA but decreased daily production of trans-10 C18:1 and trans-10,cis-12 CLA. The results indicate that increasing potassium carbonate in the diet shifts both fermentation and biohydrogenation pathways toward higher milk fat percentage in dairy cows, but the effects are only explained in part by elevation of pH.     

Clinical experience in temporomandibular joint arthroscopy

Clinical experience of arthroscopy in 12 temporomandibular joints with a clinical diagnosis of closed lock was described. There were 10 patients and all were females with a mean age of 31.2 years (range 20 to 59 years). The antero-lateral approach was used for entry into 11 joints. The clinical findings were adhesions (64%), fibrillation (64%), anterior displacement of disc (36%) and scuffing of the articular surface of the glenoid fossa (9%). Two of the joints that had arthrocentesis prior to arthroscopy did not show any different findings from the rest. Of the 8 patients who had pre-arthroscopy pain, 7 patients (88%) had reduction of the symptom. Three patients (38%) had complete resolution of pain. The range of mouth opening (measured as maximal incisor opening) increased in all patients two weeks following arthroscopy. The average change in maximal incisor opening was 40.3% with a range of 22% to 85%. The mean follow-up was 34 months (range 4 to 68 months).     

Right and left ventricular geometry and myocyte contractile processes with dilated cardiomyopathy: myocyte growth and beta-adrenergic responsiveness

OBJECTIVES: Comparison of the effects of supraventricular tachycardia-induced dilated cardiomyopathy on left and right ventricular isolated myocyte geometry and function. BACKGROUND: Chronic ventricular tachycardia and supraventricular tachycardia cause left ventricular dilation and dysfunction in humans. However, it is unknown whether supraventricular tachycardia-induced dilated cardiomyopathy is a homogenous process for both the left and right ventricles. METHODS: Dilated cardiomyopathy was induced by rapid atrial pacing (240 beats/min, 3 weeks) in 5 pigs. Five age- and weight-matched pigs served as controls. Ventricular mass was measured, myocyte dimensions were obtained, and isolated right and left ventricular myocyte contractile performance was evaluated at baseline and after beta-adrenergic receptor stimulation. RESULTS: With the development of dilated cardiomyopathy, there was no change in left ventricular mass. In contrast, right ventricular mass was increased, as was right ventricular myocyte cross-sectional area. In the control group, baseline right ventricular myocyte contractile function was increased compared to left ventricular myocytes. beta-adrenergic receptor stimulation increased myocyte contractile function in both left and right ventricular myocytes. With supraventricular tachycardia-induced cardiomyopathy, both left and right ventricular myocyte contractile function and beta-adrenergic responsiveness were reduced. CONCLUSIONS: This study demonstrated differences in left and right ventricular myocyte growth with supraventricular tachycardia-induced dilated cardiomyopathy and this differential growth response was associated with changes in contractile performance. Thus, in this model of cardiomyopathic disease, left and right ventricular growth and changes in contractile performance are not a homogenous process.