A time-domain digital cochlear model

The author presents a digital time-domain model of the human cochlea designed to represent normal auditory functioning and to allow for degradation related to auditory impairment. The model consists of the middle ear, the mechanical motion of the cochlea, and the neural transduction of the inner hair cells. The traveling waves on the cochlear partition are represented by a cascade of digital filter sections, and the cochlear micromechanics are represented by a second filter that further sharpens the excitation to the inner hair cells. The neural firing rate is determined by the sum of the outputs of multiple fibers attached to each inner hair cell, with the fiber neurons having firing characteristics representative of low- and high-spontaneous-rate fibers. The signal processing cochlear model incorporates dynamic-range compression by adjusting the Q of each cochlear filter section and second filter in response to the second-filter velocity and the averaged neural firing rate. Examples of the model response to impulse and tone-burst stimuli and to synthetic speech are presented     

Chemical synthesis and physiological activity of sulfonium analogues of platelet activating factor

Phosphatidylsulfocholine (PSC), the sulfonium analogue of phosphatidylcholine (PC), occurs naturally in some diatoms. The replacement of the −N⁺(CH₃)₃ group by a −S⁺(CH₃)₂ results in an increase in the polar head group size in PSC relative to that of PC, consistent with the observed increase in permeability of PSC bilayers towards urea. It was of interest to see whether replacement of the −N⁺(CH₃)₃ group in platelet activating factor (PAF) by an −S⁺(CH₃)₂ group leads to any change in platelet aggregation or other physiological activity. Synthesis of the sulfonium analogue of PAF was carried out by suitable modifications of known procedures. The PAF-sulfonium analogue was found to have almost the same platelet aggregating activity as PAF itself, in the concentration range 1–20 μM, but a much lower activity in the range 0.01–1 μM. The analogue had little or no effect on the platelet aggregation activity of PAF when added in the concentration range 0.01–1 μM and had about half the hypotensive activity of PAF towards hypertensive CDF male rats. The sulfonium analogue, however, was much more cytotoxic to HL-60 cells than PAF itself, in the concentration range 0–15 μM; replacement of the acetate group by a benzyl group increased the cytotoxicity to the level of that of the methoxy analogue of PAF. Thus, replacement of the −N⁺(CH₃)₃ group by a −S⁺(CH₃)₂ group in the polar head group region of PAF results in a relatively small change in its platelet aggregation activity and a decrease in its hypotensive activity, but greatly increases its antitumor activity. Based on a paper presented at the Third International Conference on Platelet-Activating Factor and Structurally Related Alkyl Ether Lipids, Tokyo, Japan, May 8–12, 1989.     

Sterols,aliphatic hydrocarbons,and fatty acids of a nonphotosynthetic diatom,Nitzschia alba

The unsaponifiable lipids and total fatty acids of a nonphotosynthetic diatom,Nitzschia alba, have been examined. The major fatty acids were found to be 14∶0, 16∶0, 18∶1, and 20∶5; small amounts of 15∶0, 16∶1, 18∶0, 18∶2, 18∶3, and 20∶4 acids also were present. The unsaponifiable lipids consisted mostly of sterols, with only traces (<0.1%) of hydrocarbons (chiefly C₁₆, C₁₈, and C₂₈ normal olefins). The sterols contained brassicasterol (major) and clionasterol (minor), as well as traces of an unidentified sterol; clionasterol was present only in glycosidically bound form.     

Lipid composition ofNeurospora crassa

The lipids ofNeurospora crassa, isolated in pure form from freeze-dried mycelium, were found to contain squalene, sterol esters, triglycerides, free fatty acids, geranylgeraniol, free sterols, carotenoids, cardiolipin, phosphatidyl ethanolamine, phosphatidyl choline, phosphatidyl serine, and phosphatidic acid. The above compounds were isolated in pure form by column and thin layer chromatography and were characterized by infrared spectroscopy and chromatographic mobilities. Fatty acid moieties were characterized by gas liquid chromatographic retention times of their methyl esters relative to those of authentic standards. The fatty acid composition of the triglycerides was found to be similar to that of phosphatidic acid, cardiolipin, and lecithin.     

Integrating mental health services within primary care. A Canadian program

The increasingly prominent role of the family physician in delivering mental health care can be enhanced if productive and collaborative relationships can be established with local mental health services. This paper describes a Canadian program that has achieved this by bringing mental health counselors and psychiatrists into the offices of 87 family physicians in 35 practices in a community in Southern Ontario. The paper describes the program, the activities of counselors and psychiatrists within the practices, and the administrative structures set up to coordinate these activities. Data is presented from the evaluation of the first year of the program's operation (13 practices and 45 family physicians) during which time 3085 referrals were received. The program made mental health care more available and accessible, increased continuity of care, provided additional support for the family physician, offered new opportunities for continuing education, and led to a reduced and more efficient use of other mental health services. The components of the program can be adapted to most communities.     

Effect of high-dose oral ganciclovir on didanosine disposition in human immunodeficiency virus (HIV)-positive patients

This study was designed to investigate the interaction between high-dose oral ganciclovir (6,000 mg/day) and didanosine at steady state in patients who were seropositive for human immunodeficiency virus (HIV) and cytomegalovirus (CMV) infection. The study was conducted as an open-label, randomized, three-period crossover study. Patients received (in random order) multiple oral doses of didanosine 200 mg every 12 hours alone, ganciclovir 2,000 mg every 8 hours alone, and ganciclovir 2,000 mg every 8 hours in combination with didanosine 200 mg every 12 hours. Blood and urine samples for determinations of drug concentrations were obtained on day 3 of each dose regimen. When ganciclovir was administered either before or 2 hours after didanosine, the mean increases in maximum concentration (Cmax), area under the concentration-time curve (AUC0-12), and percent excreted in urine of didanosine were 58.6% and 87.3%, 87.3% and 124%, and 100% and 153%, respectively. There were no statistically significant effects of didanosine on the steady-state pharmacokinetics of ganciclovir in the presence of didanosine, irrespective of sequence of administration. There were no significant changes in renal clearance of didanosine, suggesting that the mechanism for the interaction does not involve competition for active renal tubular secretion. The mechanism responsible for increased didanosine concentrations and percent excreted in urine during concurrent ganciclovir therapy may be a result of increased bioavailability of didanosine. However, the mechanism appears to be saturated at oral ganciclovir doses of 3 g/day.     

Refocusing the lens: epidemiologic transition theory, mortality differentials, and the AIDS pandemic

The epidemiologic transition theory presented first by Omran [Omram. A. R. (1971) The epidemiologic transition: a theory of the epidemiology of population change, Mildbank Quarterly 49(4), 509-538] was designed to explain global trends in the dynamic relationship between epidemiological phenomena and demographic change. This paper argues that universalizing this theory only partially serves to explain mortality declines over the last century and eclipses key epidemiologic differences between population subgroups based on socioeconomic status, race, and sex. This paper examines morbidity and mortality differentials between population subgroups and demonstrates important inconsistencies with the optimistic trends implied by the epidemiologic transition theory, an argument further developed using the HIV/AIDS pandemic as a case study. The paper argues that these differences should be brought from margins to center to present a more complex and comprehensive picture of how population subgroups experience epidemiologic transitions differently.     

Conceptual sorting and personality adjustment in children.

24 relatively well adjusted and 24 relatively poorly adjusted children, selected from 150 normal 6th-grade children, were compared on the Gelb-Goldstein-Weigl-Scheerer Object Sorting Test. Poorly adjusted children made significantly more inadequate sortings than well adjusted children, confirming the prediction of this study. High and average intelligence children were more adequate in their object sortings than low intelligence children. Relatively poorly adjusted children, because of lack of appropriate categories, may not be as able to reduce environmental complexity and assign meaning to events as relatively well adjusted children. High and average intelligence, at this age level, contributes to the ability to abstract and use shared properties as a grouping principle. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Acyl-acyl carrier protein as substrate of the acyltransferase of rat liver microsomes

Acyl-acyl carrier protein (acyl-ACP) can serve as well as acyl-CoA as substrate of the 1-acyl-sn-glycero-3-phosphocholine (1-acyl-GPC) acyltransferase of rat-liver microsomes. The product of the acylation with either thioester substrate is predominantly phosphatidylcholine (PC) (92–95%). The acyl-group transferred from either myristoyl-CoA or myristoyl-ACP is located at the C-2 position of the phospholipid (PL). The apparent Km values for the myristoyl-CoA and myristoyl-ACP were 46 μM and 63 μM, and the corresponding apparent Vmax values were 1.0 and 1.6 nmol/min/mg. The rate of acylation with the acyl-ACP was unaffected by the addition of free CoA-SH. These data suggest that acyl-CoA and acyl-ACP are transferred to 1-acyl-GPC by the same or similar enzyme systems.