pmid
int64 21
9.18M
| title
stringlengths 4
512
| abstract
stringlengths 2
9.99k
|
|---|---|---|
62,903
|
Indium-111-labelled leucocytes for localisation of abscesses.
|
Leucocytes from eight patients who were thought to have an abscess were labelled with indium-111 and reintroduced into the circulation. The distribution of radioactivity was followed by whole-body scanning and imaging with a gamma camera. Focal accumulation of radioactivity were observed in the lesion in the three patients with abscesses, in the lungs of a boy with bacterial endocarditis, in the knee of a woman with rheumatoid arthritis, and at the site of intramuscular injections in another patient. The use of radiolabelled cells for the detection of focal pathological processes would seem to be an important addition to conventional diagnostic methods.
|
62,946
|
Short-course chemotherapy in pulmonary tuberculosis. A controlled trial by the British Thoracic and Tuberculosis Association.
|
A rigimen of rifampicin plus isoniazid, supplemented in the first two months by ethambutol or streptomycin, was given for six, nine, twelve, or eighteen months in a controlled study of 696 patients with culture-positive pulmonary tuberculosis. The results obtained in the thirty-three months since the start of treatment when all the patients in the six-month and nine-month groups had completed at least two years and those in the twelve-month group had completed twenty-one months of post-chemotherapy follow-up revealed no relapses among patients receiving nine months chemotherapy and a 1% relapse-rate in the twelve-month group. The same regimen given for only six months resulted in a relapse-rate of 5% during the subsequent twenty-seven months. There were adverse effects with streptomycin but not with ethambutol. It is concluded that treatment with rifampicin plus isoniazid for nine months, supplemented by ethambutol in a dose of 25 mg/kg for the first two months, is now acceptable as standard chemotherapy for pulmonary tuberculosis in Britain.
|
62,945
|
Pancreatic islet-cell antibody as a marker for asymptomatic and latent diabetes and prediabetes.
|
Pancreatic islet-cell antibodies (I.C.Ab) were detected in 31 patients with organ-specific autoimmune disorders, 4 first-degree relatives of I.C.Ab-positive diabetics, and 1 apparently normal subject, none of whom had clinical evidence of diabetes. 10 of these 36 subjects were found to have diabetic glucose-tolerance tests (G.T.T.S), 4 had lag storage, and 22 had normal G.T.T.S.2 had latent diabetes, as evidenced by diabetic G.T.T.S during pregnancy and thyrotoxicosis; another 2 subsequently developed insulin-dependent diabetes (I.D.D.) Serum from 26 subjects had been stored for 1-11 yr before the G.T.T.S were done. The titres in some were shown to rise and fall over the years, while in others they remained remarkably constant. There was no correlation between the titre, change in titre or the duration of I.C.Ab or the presence of HLA-B8, BW15, or CW3 and the result of the G.T.T. In addition to acting as a marker for asymptomatic and latent diabetes and prediabetes, it seems that the presence of I.C.Ab in the serum may define a new group of potential diabetics with normal G.T.T.S. Many such subjects have one or more organ-specific autoimmune disorders (irrespective of diabetic family history), but some are first-degree relatives of I.C.Ab-positive subjects (mainly I.D.D.). About 0-5% of the general population also have I.C.Ab in their serum.
|
62,947
|
Response of protracted neonatal hypocalcaemia to 1alpha,25-dihydroxyvitamin D3.
|
Six infants with protracted hypocalcaemia (5 classed as tetany of the newborn) had a mean plasma-calcium of less than 6-4 mg/dl and raised plasma-inorganic-phosphate. Four had been hypocalcaemic for longer than 2 weeks despite treatment with low phosphate formulae and extra calcium. All the infants were treated with 1alpha,25-dihydroxyvitamin D3 (1alpha,25-(OH)2D3), usually in a dose of 0-05 mug/kg body-weight/day, administered intravenously for 5--12 days. The plasma-calcium levels began to rise within 24 h after starting 1alpha,25-(OH)2D3 treatment, increased above 7-5 mg/dl within 3 days, and reached the normal range within 8 days. Four of the infants remained normocalcaemic when 1alpha,25-(OH)2D3 was discontinued, but two infants became hypocalcaemic again and required long-term treatment. 1alpha,25-(OH)2D3 has been found safe and dependable as treatment for protracted neonatal hypocalcaemia.
|
62,948
|
Urinary infection in boys.A three-year prospective study.
|
73 boys who presented to their general practitioners over the course of one year with symptoms of urinary-tract infection and were found to have bacteriuria were referred to a three-year prospective study. This included clinical and radiological investigations and monitoring of the preputial flora and midstream-urine culture at monthyl intervals. 22 (30%) of the boys had radiological abnormalities of the urinary tract; 6 had pyelonephritic changes. Only 2 required urinary-tract surgery. Several findings of the study suggest that the natural history of the disease in boys is different from that in girls. Proteus spp.predominated as the infecting organisms. Culture of swabs from the preputial sac, and comparison with matched controls, suggested that the source of infection in boys is the prepuce or urethra rather than the bowel as in girls. Recurrence of infection, in the absence of radiological abnormality, was rare; 51 boys (70%) had no recurrence throughout the follow-up period. There was evidence that recurrence in boys is related to the persistence of gram-negative organisms in the urethra, revealed by low bacterial counts on midstream culture, and it is suggested that in boys urethral infection may be as important as bladder bacteriuria.
|
62,949
|
Effects of incubator noise on the cochlea of the newborn.
|
The possible effects of incubator noise on the hearing of premature babies have long been debated. The type of hearing loss found in 12 low-birthweight children was examined; and the variable noise level in regularly used incubators was measured. This noise, applied to guinea pigs continuously during their second week after birth, was shown histologically to destroy a proportion of the sensory cells in the cochlea. Adult guinea pigs, however, were not vulnerable in this way. The conclusion is that there is definite circumstantial evidence of the damaging effect of many incubators on the hearing of premature infants.
|
62,950
|
T-lymphocyte colonies in malignant disease.
|
T-lymphocyte colonies have been cultured in 106 subjects comprising healthy individuals and hospital inpatients as controls and patients with a wide variety of malignancies. Abnormal results were recorded in 89% of patients with malignant disease and in 23 of 24 patients with carcinomas (96%). This test may be valuable in research, and in diagnosis and monitoring of progress in malignant disease.
|
62,951
|
Chloroquine, quinine, procaine, quinidine, tricyclic antidepressants, and methylxanthines as prostaglandin agonists and antagonists.
|
Chloroquine, quanine, procaine, quinidine, clomipramine, theophylline, and caffeine have been shown to be strong prostaglandin antagonists and weak agonists. The antagonist effect is clearly demonstrable at concentrations reached in human plasma when the drugs are used therapeutically. This suggests that prostaglandins are important in several situations in which their role has hitherto been unsuspected. New approaches to the development of prostaglandin antagonists and new uses for established drugs are indicated. In a preliminary study chloroquine has been successfully used to close patent ductus arteriosus in three infants.
|
62,960
|
Mask wiggling as a potential cause of wound contamination.
|
Some operating-theatre staff have a habit of wiggling their surgical masks by moving their facial muscles. The field contamination which can result from this practice was studied. A firmly fitting, moulded, synthetic-fibre mask produced significant bacterial contamination of culture plates held beneath the mask, compared with that found on simultaneously exposed control plates placed nearby. Softer fibreglass masks produced less contamination when moved by facial muscles, and are more suitable for mask wigglers.
|
62,991
|
The incidence, importance, and prophylaxis of acute mountain sickness.
|
Acute mountain sickness (A.M.S.) and its severe complications, high-altitude pulmonary oedema (H.A.P.O.) and cerebral oedema (C.O.), were studied in 278 unacclimatised hikers at 4243 m altitude at Pheriche in the Himalayas of Nepal. The overall incidence of A.M.S. was 53%, the incidence being increased in the young and in those who flew to 2800 m, climbed fast, and spent fewer nights acclimatising en route. It was unrelated to sex, to previous altitude experience, to the load carried, and to recent respiratory infections. The severity of A.M.S. was inversely related to age (independent of rate of ascent) and the highest altitude attained, and was highly ocrrelated with speed of ascent. There were 7 cases of H.A.P.O. and 5 with the more intractable C.O. and, of these 12, 11 had flown in, 9 had spent only one night at Pheriche, and none were on acetazolamide. 11 required evacuation. Acetazolamide, compared in a double-blind study with a placebo and also compared with no tablets at all, reduced both the incidence and the severity of A.M.S. in those who flew to 2800 m but not in those who hiked up to that altitude. Prevention consists in slow ascent, rapid recognition of warning signs, and prompt descent to avoid progression.
|
62,993
|
Intrapulmonary heparin. A new procedure for anticoagulant therapy.
|
Heparin was administered by the intrapulmonary route to dogs, mice, and human volunteers. In all species, a single administration of a large quantity of heparin via the lung resulted in a prolonged state of moderate hypocoagulability (3 days in dogs, 14 days in man) due to the production of a sustained low concentration of heparin in plasma. The lengthening of clotting-time and duration of this response increased with dosage. Effective doses are above 8 mg (1300 units) per kg body-weight. Examination of the lungs, body-fluids, and tissues shows that the heparin is cleared rapidly from the lung and enters a body cellular compartment (probably the macrophages) from which it is slowly released to plasma. No evidence was found (symptomatic or on gross or histological postmortem examination) of haemorrhage or any heparin-related pathological change indicating either immediate or long-term toxic effects in the lung or other tissues. Suggestions are made for the clinical use of the unique features of anticoagulant treatment by intrapulmonary heparin.
|
62,992
|
Comparative efficacy of chloramphenicol, ampicillin, and co-trimoxazole in the treatment of typhoid fever.
|
Two clinical trials were conducted to compare the efficacy of 3 antimicrobial agents often recommended for the treatment of typhoid fever. Chloramphenicol was more effective than parenteral ampicillin or oral co-trimoxazole (trimethaprim/sulphamethoxazole) in reducing the duration of fever. Oral chloramphenicol was more effective than parenteral chloramphenicol probably because oral doses resulted in higher blood concentrations of the drug. However, parenteral chloramphenicol was given during the initial period of acute illness, without loss of efficacy.
|
62,994
|
Plasma-fibrinogen and thromboemboli after myocardial infarction.
|
In 120 patients with myocardial infarction subsequent non-fatal thromboemboli occurred only in patients in whom plasma-fibrinogen had exceeded 750 mg/dl. It is suggested that patients at risk from thromboembolism after infarction can be identified by monitoring plasma-fibrinogen and that appropriate anticoagulation might reduce morbidity.
|
62,995
|
Treatment of neurogenic orthostatic hypotension with a monoamine oxidase inhibitor and tyramine.
|
Six patients with neurogenic orthostatic hypotension were treated with a chemical preparation of tyramine and tranylcypromine ("Parnate"), a monoamine oxidase inhibitor (M.A.O.I.). Four had autonomic failure with no other neurological deficit (idiopathic orthostatic hypotension), and in two patients other neuronal systems were also involved (Shy-Drager syndrome). Previous therapy with fludrocortisone, ephedrine, elastic garments, postural training, and, in one patient, an anti-G suit was unsatisfactory. Tyramine given orally with tranylcypromine produced a moderate rise in blood-pressure which was sustained for 2-4 hours, enabling patients to walk about without symptoms of orthostatic hypotension. Measurement of circulating adrenaline and noradrenaline during therapy suggested that release of noradrenaline caused the pressor response. In three patients there has been a pronounced improvement for 8, 20 and 30 months. In a further patient, therapy has been successful in treating the orthostatic hypotension, although his mobility has been restricted by cerebellar ataxia. In one patient a confusional state developed during treatment and therapy was stopped. The only patient in whom the drugs did not produce a pressor response had orthostatic hypotension with failure of noradrenaline release. It is suggested that the pressor response to a M.A.O.I. and tyramine should be examined in patients with neurogenic orthostatic hypotension and that this treatment should be tried in those who respond.
|
62,996
|
Fatal graft-versus-host disease following transfusion of granulocytes from normal donors.
|
A case of fatal graft-versus-host disease was seen in an adult with acute leukaemia, after transfusion of leucocytes from normal donors. This is the first reported case of graft-versus-host disease following transfusion of normal blood-products to a patient with a disease not usually associated with severe immunoincompetence. The number of lymphocytes transfused was no higher than that given when platelet concentrates are prepared from a single donor.
|
62,997
|
In-vitro monitoring of cell-mediated immunity to dinitrochlorobenzene.
|
A dinitrochlorobenzene (D.N.C.B.)/red-blood-cell conjugate inhibited migration of leucocytes which came from D.N.C.B. sensitised patients. This effect provided the basis for a rapid, sensitive, and quantitative in-vitro measure of D.N.C.B. sensitivity. Frequent serial measurement of cell-mediated immunity was possible with the test, provided D.N.C.B. sensitivity was maintained by occasional skin patch tests.
|
62,998
|
Evidence for prevention of borderline leprosy reactions by dapsone.
|
68 patients were included in a prospective study of the treatment of borderline leprosy. 34 were treated with dapsone 5 mg daily, and 34 with 50 mg daily. Reversal reactions developed in 11 of those on 5 mg daily and in 3 of those on 50 mg daily. The statistically significant difference between the two treatment groups indicates that, contrary to previous teaching, dapsone given in higher dosage does not predispose patients to reversal reactions and indeed may prevent them.
|
62,999
|
Treatment of lamellar ichthyosis and other keratinising dermatoses with an oral synthetic retinoid.
|
Thirteen patients with keratinising dermatoses were treated for 2-17 weeks with oral 13-cis retinoic acid. There was near complete clearing of the skin lesions beginning within 2 weeks of starting treatment in all five patients with lamellar ichthyosis (including two cases of non-bullous congenital ichthyosiform erythroderma), in two of the three patients with Darier's disease, and in one patient with pityriasis rubra pilaris. The patients with psoriasis and naevus comedonicus did not improve. The main form of toxicity was cheilitis. These results indicate that 13-cis retinoic acid may be more effective and is less toxic than naturally occurring retinoic acid (all-trans vitamin A acid), and that the synthetic retinoids may represent a potent new class of drugs in the treatment of cutaneous disease.
|
63,007
|
Lymphomas and animal-protein consumption.
|
Geographic comparison reveals a positive correlation between consumption of animal protein, particularly bovine protein, and lymphoma mortality. Allied observations suggest that excessive consumption of animal protein may, through antigen absorption and chronic persistent stimulation, impose considerable wear and tear on lymphoid tissue and thereby encourage malignant changes.
|
63,038
|
Vitamin-D deficiency in the osteomalacia of chronic renal failure.
|
The plasma level of 25-hydroxy-vitamin D (25-OHD) has been measured and the histological appearances of bone examined in 22 patients with stable chronic renal failure. The results show that osteomalacia occurred only in those patients with relatively low levels of 25-OHD. It is concluded that the osteomalacia of chronic renal failure results from a lack of 25-hydroxy-vitamin D3 superimposed on an existing deficiency of 1,25-dihydroxy-vitamin D3 (1,25-(OH)2D3) rather than from lack of 1,25-(OH)2D3 alone.
|
63,039
|
Occult osteomalacia amongst healthy and pregnant women in Pakistan.
|
A survey has been carried out on 206 healthy Pakistani women attending with their sick children at the paediatric outpatients department and 252 pregnant Pakistani women near term attending the antenatal clinic of the Karachi Prosgraduate Medical Centre. 12-6% of helathy women and 33% of pregnant women had biochemical abnormalities in serum calcium, phosphorus, and alkaline phosphatase which were corrected with subsequent administration of vitamin D. The absence of clinical disease has been ascribed to the supplementation received through the ultraviolet irradiation of the skin.
|
63,040
|
Influence of somatostatin on carbohydrate disposal and absorption in diabetes mellitus.
|
Infusion of somatostatin, an inhibitor of glucagon secretion, in insulin-dependent diabetics resulted in a 75-100% reduction in the blood-glucose rise after oral glucose administration, but did not improve intravenous glucose tolerance. Somatostatin reduced blood-xylose levels by 50-90% after ingestion of this pentose and delayed the peak increment in blood-xylose by 1-2 h. Similar effects on blood-xylose levels and a 30% reduction in splanchnic blood-flow were observed in normal subjects during infusion of somatostatin. Glucagon administration (3 ng per kg per min) or intraduodenal administration of xylose did not reverse somatostatin's effect on xylose tolerance. Somatostatin reduces postprandial hyperglycaemia in diabetes primarily by decreasing and/or delaying carbohydrate absorption rather than enhancing carbohydrate disposal. This effect may be mediated, in part, but a reduction in splanchnic blood-flow. These findings indicate that postprandial hyperglycaemia in diabetes is due primarily to insulin deficiency rather than glucagon excess.
|
63,041
|
The primary enzyme defect in hereditary coproporphyria.
|
The activity of coproporphyrinogen oxidase (E.C. 1.3.3.3) in cultured skin fibroblasts from three patients with hereditary coproporphyria (H.C.) was approximately half that in fibroblasts from normal subjects and patients with other types of porphyria. It is suggested that this is the primary defect in H.C., which is inherited as an autosomal dominant, and that the same abnormality is present in the liver. Consideration of the probable relative activities of the enzymes of haem biosynthesis in the liver in H.C. suggests that the acute attacks of porphyria which are its major clinical manifestation occur when the activity of uroporphyrinogen-I-synthase (E.C. 4.3.1.8) becomes rate-limiting for haem synthesis.
|
63,042
|
Herpes zoster with dysfunction of bladder and anus.
|
Herpes zoster may give rise to dysfunction of bladder and anus. Mucosal lesions have been reported, and 7 cases are described with retention, loss of sensation, or incontinence. Sacral shingles is associated with sensory loss and flaccid detrusor paralysis. Lumbar shingles may cause retention, and zoster at higher levels can also damage the spinal cord. Recovery is usually complete. The implication for schemes of bladder innervation is discussed.
|
63,043
|
Blood-cadmium in hypertensives and normotensives.
|
70 hypertensive patients and 70 controls matched for age and sex were investigated for a possible relationship between blood-cadmium and hypertension. No significant differences between the two groups were detected, although the blood-cadmium level was significantly higher in smokers as compared to non-smokers. These data do not support the hypothesis that cadmium is involved in the development of hypertension in man.
|
63,044
|
Cyclic nucleotide phosphodiesterase activity of human normal and carcinomatous lung tissue.
|
The activity of the phosphodiesterase enzyme(s) responsible for the degradation of cylic adenosine monophosphate (CA.M.P.) and cyclic guanosine monophosphate (CG.M.P. (in human normal and carcinomatous lung tissue has been investigated. Enzyme activities were 3-5 times greater in normal than in carcinomatous lung. This is compatible with the known higher concentrations of these cyclic nucleotides in normal tissues. It is suggested that cancer chemotherapy designed to block the phosphodiesterase activity, and thus promote accretion of CA.M.P and CG.M.P., may provide a means of normalising cancerous tissue. Both phosphodiesterase activities in both types of tissue were inhibited by methylxanthines at 10(-3) mol/l, but some enzyme potentiation was observed at lower concentration.
|
63,055
|
Where do all the tablets go?
|
Barium sulphate tablets, identical in size and shape to those of aspirin, were given to 98 consecutive patients during routine radiological studies of the upper gastrointestinal tract. In 57 patients the tablets remained in the oesophagus for longer than five minutes. Delay in passage of the tablets was particularly likely to occur in patients with hiatus hernia and reflux and if defects of peristalsis in the oesophagus were observed.
|
63,056
|
Wastage of pharmaceuticals.
|
Wastage of pharmaceuticals was studied for three months at a 520-bed hospital in Suffolk. Drugs worth 1104 pounds were brought to the pharmacy for destruction. Only 40 pounds worth could be put back into stock. It is suggested that the use of blister-packing together with conservative prescribing, supply, and suitable storage of medicines could lead to important savings of drugs discarded each year in English hospitals, which from this study were estimated to cost in excess of 1 million pounds.
|
63,093
|
[Blocking surgery for esophageal varices].
|
If it is not possible to arrest massive hemorrhage from esophageal varices within 48 h by conservative means or by endoscopic phlebosclerosation, surgery should be performed as soon as possible. In most cases a palliative operation is performed, by which irreversible shock and consequent heart failure can be avoided. The method of phlebosclerosation preferred by the authors is transection of the lower esophagus via a thoracic approach.
|
63,094
|
[Sclerosing therapy of esophageal varicosis (author's transl)].
|
As long-term results of portosystemic shunt operations for decompression of the portal hypertension are unsatisfactory, the author's therapeutic trials are directed increasingly at local treatment of varicosity. One treatment used is esophagoscopic submucosal sclerosing therapy of the esophageal wall for detachment of the varices from the surface. This method proved to be of great value in 420 patients, as the incidence of fatal recurrences of bleeding was only 12% and primary mortality was 15%. Suggested indications for endoscopic mural sclerosing are discussed. Mural sclerosing associated with transhepatic percutaneous esophageal varix sclerosis (following Lunderquist) might improve the results further in some cases.
|
63,095
|
[Surgical procedure in acute variceal hemorrhage (author's transl)].
|
The author recommends various general rules to be observed in the surgical treatment of acute variceal hemorrhage: 1. attempts to arrest the hemorrhage by conservative means are always justified in the case of variceal bleeding, but should be comprehensive, and both patient and staff should first be prepared for surgery in case it should become necessary: 2. if when the GI tract is free of blood the indications for surgery are found to be present, a shunt should be constructed at once (Crile's stage A); 3. if hemorrhage starts again after carefully monitored release of the ballons of the Sengstaken-Blakemore tube, conservative measures should be carefully applied again at once. If an experienced endoscopist is available, paravariceal sclerosing injections should be given at this point. Otherwise a shunt operation is indicated (Crile's stage B). In patients in whom liver tolerance is poor (Crile's stage C), transhoracic dissection of the esophageal varices is indicated as the only possible, definitive treatment.
|
63,096
|
[Extirpation of metastases (author's transl)].
|
Seventy-two lung and 25 liver metastases were excised after radical local removal of the primary tumor. The 5-year survival rate was 41% and the 10-year survival rate 22% for patients in whom lung metastases had been excised. After the removal of liver metastases the 5-year and 10-year survival rates were 36% and 29% respectively. It is concluded that lung or liver metastases should be excised in certain defined cases. Pathologic fractures caused by bone metastases are stabilized by palliative internal fixation. In the cases of bone metastases, cure can only be expected when they are caused by hypernephroid and thyroid carcinomas.
|
63,097
|
[Multiple-stage treatment of malignant melanoma (author's transl)].
|
The paper reports on 11 patients with very advanced melanoma, who were treated with a modified version of multiple-stage cancer therapy. No improvement in the course of the illness resulted, but survival may have been slightly prolonged.
|
63,098
|
[The effect of ear surgery to the immunologic defense system of the middle ear during chronic otitis media (author's transl)].
|
Alpha-1-antitrypsin and alpha-2-macroglobuline are very important proteinase inhibitors for the healing process in chronic otitis media, because they can inhibit numerous bacterial and leukocytic proteinases: Alpha-2-macroglobuline can block the malignant proteinases of pseudomonas aeruginosa, staphylococcus aureus and proteus vulgaris. In 58 cases in the middle ear secretion was examined and the level of alpha-1-antitrypsin and alpha-2-macroglobulin investigated pre- and postoperatively. By these investigations we could demonstrate that the postoperative level of these two inhibitors is higher than preoperatively. In a couple of cases with cholesteatoma the postoperative concentration of alpha-2-macroglobuline was nearly three times higher than prior to the tympanoplasty. We believe that one of the causes for this high inhibitor level is the liberation of alpha-2-macroglobuline by injuring blood vessels during a tympanoplasty. It is our opinion that the increase of the inhibitor level in the postoperative phase is one of the prerequisites for the healing process in chronic otitis media.
|
63,099
|
[Compression of the external carotid artery. An anatomical finding to Eagle's syndrome (author's transl)].
|
An anatomical finding to Eagle's styloid process-carotid artery syndrome is presented. The left external carotid artery of a 64-year-old male is compressed by an anomalous styloid process and by the tendon of the stylohyoid muscle. Symptoms caused by anomality of the styloid process are reported by means of literature. The histological examination of the vessel wall in the level, where it is compressed, reveals typical characteristics of early arteriosclerosis.
|
63,101
|
Neurologic disease in patients with treated Whipple's disease.
|
Four patients with Whipple's disease which had responded to antibiotic therapy, later developed neurologic disease identical to that seen in patients with Whipple's disease who died without treatment. Dementia, myoclonus, ataxia, and supranuclear ophthalmoplegia were the main neurologic features. Restarting antibiotics has been followed by stabilization of disease in all four. Two have improved. In three, the previously diagnosed and treated Whipple's disease was not considered as a possible cause of the neurologic disease until the symptoms and signs were far advanced. It is advisable to periodically evaluate all patients with Whipple's disease, even after successful treatment. Signs of neurologic disease should be considered a possible recurrence of Whipple's disease and antibiotics restarted.
|
63,104
|
Effect of inhibitors of sterol biosynthesis on growth and sexuality of Pythium and Zygorhynchus.
|
Seven commercial inhibitors of sterol biosynthesis were tested for their effect upon vegatative growth and sexuality in Pythium acanthicum and Zygorhynchus moelleri. Five compounds (SKF 525, Chlorpropamide, Tolbutamide, Benzmalacene, AY 9944) inhibited both growth and sexuality of both fungi and two (SKF 7732 and SKF 7997) were ineffective. Pythium was more sensitive to the activity of the inhibitors than was Zygorhynchus. None of the compounds tested inhibited sexuality without similarly reducing vegetative growth.
|
63,106
|
[Changes in plasma values of alpha-fetoprotein in subjects with prior acute hepatitis].
|
Plasma alpha-FP values were examined in patients with a prior acute hepatitis episode. One group had been examined during the active stage and were then seen 4-5 months after clinical cure. In the second group, the episode had occurred 2-22 yr previously. Liver performance was fully normal in all cases. No subject presented clinical or serological signs of persistence or recurrence. Values were above the normal mean +/- 2 S.D. in 10-13 cases in the first group and were pathological in 31-38 of the second. These differences were statistically significant with respect to a control series. Increased alpha-FP in acute hepatitis can be seen as the result of post-necrotic regeneration. Experimental data have shown that alpha-FP synthesis is peculiar to only a few liver cell clones. It may be deduced, therefore, that these clones are mainly concerned in the repair process and are thus present in greater numbers when it has been completed.
|
63,107
|
Prediction of fetal outcome by urinary estriol, maternal serum placental lactogen, and alpha-fetoprotein in diabetes and hepatosis of pregnancy.
|
Urinary estriol, serum placental lactogen (hPL), and alphafetoprotein (AFP) levels were investigated in singleton pregnancies of 75 diabetic women and 84 women with obstetric hepatosis. Fetal distress was demonstrated in 19 diabetic patients (25%) and in 18 cases of obstetric hepatosis (21%). Low urinary estriol correctly predicted fetal distress in 26% of the cases of diabetes and in 29% of the cases of hepatosis. False pathologic readings were found in 9% of pregnancies in either group. Diabetes was associated with higher than normal hPL levels with overlap of levels between cases with fetal distress and normal outcome. hPL levels were higher than normal and correctly predicted fetal distress in 2 of 18 cases of hepatosis (11%) with no false pathologic values. In diabetes, AFP predicted fetal distress in 2 of 4 cases in which a subsequent perinatal death occurred, and 1 additional case of fetal distress. False pathologic values were found in 4% of cases. Maternal AFP levels were normal in 2 cases of closed neural tube anomalies. In cases of hepatosis, AFP gave no information. In combination, estriol and AFP determinations gave correct information in 35% of diabetic pregnancies with pernatal morbidity or death. In hepatosis, estriol and hPL pointed out 33% of the cases of fetal distress.
|
63,108
|
Maternal serum and amniotic fluid alpha-fetoprotein as a marker of acute fetal distress in a midtrimester abortion model.
|
Maternal serum (MS) and amniotic fluid (AF) alpha-fetoprotein (alpha-FP) levels were serially determined in 18 cases of elective midtrimester abortion. Prostaglandin F2alpha (PGF2alpha) and 20% NaCl were used as the abortifacients in 2 groups of 9 patients, respectively. The time from instillation to abortion (IAT) was accurately recorded in all cases. A marked 260-600% increase in MS alpha-FP occurred prior to fetal demise in both groups. Amniotic fluid alpha-FP content remained largely unchanged for the first 6 hours following intraamniotic prostaglandin injection. A 50% INCREASE WAS OBSERVED IN THE AF alpha-FP content in the group with 20% NaCl-induced abortion (after an initial dilutionary drop). The results of this investigation confirm the value of alpha-FP in MS as a marker of impending fetal demise. This rise is not caused by a prior alpha-FP change in the AF. The data suggest a major fetomaternal transplacental route for alpha-FP.
|
63,109
|
Symptomatic degenerative joint disease. Report of a case.
|
Although degenerative joint disease is a most common type of arthritis in persons past 40 years of age, and associated with an aging process, this case has been presented as an interesting finding because of the early occurrence. Clinical symptoms, radiographic changes, and microscopic alterations were demonstrated. Conservative therapy was unable to relieve the symptoms and slow the progressive degeneration, and resolution of the subjective complaints was achieved by surgical intervention.
|
63,110
|
[On the radio-surgery of the carcinoma of the tongue (n = 1,000) (author's transl)].
|
In the period 1931 to 1976 1,116 patients were admitted to our department--1,000 were treatable. The 5 year survival rate is 26.7% out of 975 cases with follow-up. There is a marked difference between the regions of the corpus and the radix linguae which present with different symptoms and--in relation to these--have a very different prognosis. The Ca linguae and sublinguale are without symptoms--after treatment--in 29.15%, the Ca radicis linguae in 10.5% only. The method of choice was in case of circumscribed invasion radio-surgery, in case of Radix Ca or diffusion or involvement of fixated lymphnodes irradiation with external beams: Radium, Cobalt, Betatron. 20 years ago, Wasserburger, the late leader of our departement, published the results of his investigations on data of 628 patients with Ca of the tongue. The good results which are due to a methodical approach and meticulous treatment were not equalled by another method, neither irradiation alone nor surgery. To preserve the unique homogeneity of this material we stuck to this therapy which consists in the coagulation of the tumor, interstitial implants of radium-needles in the layers adjacent to the electrocoagulation and in external radiation of the regional lymphnodes and additional chemotherapy if indicated. On january, 21st., 1976, the thousandst patient with Ca of the tongue was admitted to our departement to be treated and so continues the chain of patients which were extensively documented and are followed up in coordinative work with the ENT departement in our hospital. In summary there were 1,116 cases, 116 were too progredient to be treated.
|
63,120
|
Rheumatic diseases. 1. Differential diagnosis.
|
In a case of rheumatic disease, the patient's history and a careful physical examination should yield most of the information needed to identify the specific disorder present. A convenient classification is based on four differentiating features: number of joints affected, acuteness or chronicity of disease, absence of joint involvement, and anatomic distribution.
|
63,128
|
[New strategies in psychiatric diagnosis through the use of audio-visual technics. 2. Importance of verbal and non-verbal information for assessment of depressive patients].
|
Sections of 150 seconds duration were taken on a random basis out of TV stored interviews of day 0, 10 and 20 of a double-blind antidepressive drug trial. Not identical sections were selected for the isolated audio and video channel and for the combined presentation in such a way that for each of the 20 patients three times three parts were presented for evaluation. It was the two rater's task to rank each patient's tapes in terms of the degree of depression. They were blind regarding the day of recording the interview (day 0, 10 or 20). The best results were reached with the combined presentation of the audio-video-channel while each channel taken seperately rendered less diagnostic information. The raters evaluated the material in two different modifications: a) Video, audio and than audio-video-channel or b) audio, video and audio-video-channel. The first version (a) was evaluated in a better way than the second one with respect to the content of diagnostic information. Furthemore we found that the evaluation of the visual information became less safe if the audio presentation preceded as in version b.
|
63,129
|
Slide-tape versus lecture demonstration presentation of thermal agents in a physical therapist assistant program.
|
A slide-tape individualized method and a conventional lecture-demonstration method of teaching thermal agents to physical therapist assistant students were compared. Performance measures included clinical procedures, written tests, attitudes toward the method used, and time spent in the learning center and in the classroom laboratory. No significant differences were found between the groups on performance of clinical procedures, written tests, or attitudes. The group using the slide-tape individualized method, however, spent significantly less time in achieving satisfactory performance on written tests and in clinical procedures.
|
63,130
|
Brain metastases and possibilities of their treatment, with special reference to single-session whole-brain irradiation.
|
A brief review of methods used in the treatment of brain metastases is followed by a discussion of single-session whole-brain irradiation, with special reference to three important practical problems: (a) difficulties in evaluation of the clinical condition, and particularly the quality of survival, after treatment; (b) cerebral oedema induced by single-session whole-brain irradiation and methods to reduce it; (c) selection of patients. The tentative conclusion is that single-session whole-brain irradiation affords a possibility of palliative treatment of brain metastases.
|
63,131
|
Comparison of I-bleomycin prepared by two methods stability and pharmacokinetics in tumor-bearing mice.
|
Bleomycin, a chemotherapeutic antibiotic agent, was radio-iodinated by the ICI and chloramine-T methods; the radiochemical stabilities and pharmacokinetics of the two I-bleomycins in tumor-bearing mice were compared. The ICI preparation was more stable with respect to deiodination in vitro. Both products were sufficiently stable in vivo that high body background due to free isotope, a disadvantage of 111In- and 99mTc-bleomycin, was not encountered. Tumor uptake of the ICI preparation was constant from 2 to 24 hrs., and the tumor/blood ratio increased with time; with chloramine-T, this ratio decreased, and was less than that for ICI. The two preparations are chemically and biologically different; the ICI product is the superior tumor radiodiagnostic agent.
|
63,132
|
Abnormal fat collections in the omentum and mesocolon of children.
|
Two cases of abnormal collection of fat in the abdomen are reported. One involved the omentum, the other involved the mesocolon. Both patients had few symptoms with strikingly similar radiological findings of increased radiolucency due to fat surrounding the small bowel.
|
63,138
|
The occurrence of orcein-positive hepatocellular material in various liver diseases.
|
Liver specimens from 103 patients with various hepatic diseases and from 297 consecutive liver biopsies examined routinely were stained with orcein after oxidation of the tissue sections with potassium permanganate. Orcein-positive dark brown cytoplasmic material could be demonstrated in 27 cases with long-standing cholestasis. These patients had either primary biliary cirrhosis, the cholestatic liver disease of ulcerative colitis or chronic active hepatitis, advanced alcoholic cirrhosis or secondary biliary cirrhosis due to extrahepatic biliary obstruction. Orcein-positive material could not be demonstrated in congenital disorders of bilirubin metabolism or in hemochromatosis. Similarly, it could not be found in acute, toxic, alcoholic or chronic persistent hepatitis.
|
63,139
|
The cellular origin of motilin in the gastrointestinal tract.
|
The semithin-thin technique applied to serial resin-embedded sections, using sequential immunocytochemistry, conventional electron microscopy and silver staining, indicates that a population of enterochromaffin cells in the intestine contain, and therefore presumably synthesize and secrete, the 22-amino acid residue peptide motilin.
|
63,140
|
Differential localisation of substance P and motilin.
|
Motilin, and Substance P, have previously been shown to be present in enterochromaffin (EC) cells in the gut mucosa. By comparing a specific immunofluorescence stain for Substance P with an immunoperoxidase reaction for motilin, applied sequentially to the same tissue section, it is possible to demonstrate that the two peptides are present in different cells. It is concluded that a) at least two different types of EC cells must exist and b) these results provide further evidence for the neuroectodermal origin of the gastrointestinal APUD cells. Studies of the degranulation pattern of EC cells could help to elucidate the role of amines in the mechanism of storage and secretion of different peptides under normal and pathological conditions.
|
63,141
|
Heparin cofactor activity and antithrombin III concentration in plasma related to age and sex.
|
Heparin cofactor activity and antithrombin III (At-III) concentration were measured in plasma from 219 healthy men and 177 women. Narrow ranges for heparin cofactor activity and At-III concentration were found. The standard deviation for heparin cofactor activity in men and women was 8.6 and 10.1, respectively, for At-III concentration 10.4 and 12.5. In men, mean heparin cofactor activity and mean At-III concentration decreased significantly with increasing age. In women, mean heparin cofactor activity and mean At-III concentration tended to be lower in fertile age. Hereditary At-III deficiency was detected in one individual.
|
63,142
|
Activation of human lymphocyte subpopulations by rabbit anti-human beta2-microglobulin and by lipopolysaccharide.
|
Rabbit anti-human beta2-microglobulin (anti-beta2m) was found to increase DNA synthesis in peripheral blood lymphocytes (PBLs) and in cells from abdominal lymph nodes, spleen, tonsil, adenoid, appendix, and bone marrow. The response to anti-beta2m was highest in cells originating from abdominal lymph node, appendix, and spleen. These organs were shown to contain a high proportion of surface-Ig-positive cells. No response to anti-beta2m was seen in thymus cells or in B-cell-depleted lymphocyte populations. Lipopolysaccharide (LPS) increased DNA synthesis in spleen cells, bone marrow cells, tonsil cells, and, sometimes, in cells from abdominal lymph nodes but weakly or not at all in PBLs. To study whether anti-beta2m and LPS activated the same subpopulation of lymphocytes, cultures were exposed to both mitogens in various concentrations. The effect on DNA synthesis in spleen cells was almost additive. This may indicate that these two polyclonal B-cell activators (PBAs) stimulate mainly distinct subsets of B cells in spleen. On the other hand, these two mitogens have a synergistic effect on DNA synthesis in PBLs. Since anti-beta2m is the first described selective B-cell mitogen activating human PBLs, it might be of clinical importance in the functional characterization of lymphocyte subpopulations.
|
63,144
|
[Treatment of disseminated oro-pharyngo-laryngeal epidermoid carcinomas with a combination of methotrexate and bleomycine in small doses].
|
In the previously published series of patients with generalized head and neck epidermoid carcinoma, a high dose combination of methotrexate (MTX) (0.4 mg/kg biw. i.v.) and bleomycin (BLM) (30 mg biw. iv) produced an objective remission rate of 60% with a median duration of 9 weeks. The disappointingly short duration of the remissions was tentatively related to the short period of treatment, which was limited to 5 weeks in order to keep the cumulative dosage of BLM below 300 mg. In the present study, covering 26 patients, a lower weekly dose was adopted (BLM 15 mg, MTX 0.6 mg/kg). 13 partial remissions were obtained with a median duration of 26 weeks; in 7 cases there was no evolution, in 6 cases progression of the tumor was registered, and there was one death from hematological toxicity. The major toxicity was leuko- and thrombopenia with one toxic death. Digestive and cutaneous side effects and fever were minor. There were 2 cases of major pulmonary toxicity, one of which was lethal. In conclusion, a combination of MTX and BLM at a relatively low dosage is active in disseminated head and neck carcinoma and appears to be compatible with longer maintenance of palliation in comparison with results obtained at a high dose level.
|
63,145
|
[Simultaneous combination of adriamycin, bleomycin, cyclohexyl-chloroethyl nitrosourea with dimethyl-triazeno imidazole carboxamide in the treatment of Hodgkin's lymphoma].
|
Sixteen patients with Hodgkin's (10) and non-Hodgkin's (6) lymphoma were treated by the "ABCD scheme", which is a combination of adriamycin (25-30 mg/m2 day 1), bleomycin (15 mg day 1-5), CCNU (60 mg/m2 day 1) and DIC (90-100 mg/m2 day 1-5). 15 results are evaluable and included 5 complete remissions, 5 partial remissions, 2 stabilizations, 2 progressions and 1 early death (remission rate: 66%). 45 ABCD courses were given. 8 patients received more than one course (maximum 7 courses). Toxicity was tolerable and consisted mainly of myelodepression, nausea, vomiting and muco-cutaneous alterations. Two patients died following toxicity, one from myelosuppression and the other from interstitial pulmonary fibrosis. The results suggest that this combination can be useful where the usual chemotherapy combination fails.
|
63,147
|
Centrifugal fibers to the eye in a nonavian vertebrate: source revealed by horseradish peroxidase studies.
|
A source of efferent fibers to the eye of snakes of the genus Thamnophis has been identified by the use of the retrograde transport of horseradish peroxidase. Cell bodies of the contralateral nucleus of the ventral supraoptic decussation accumulate horseradish peroxidase after intraocular but not intraorbital injections. Intraocular injections also result in anterograde transport of horseradish peroxidase to retinofugal axon terminals. Intraorbital injections result in accumulation of horseradish peroxidase in the cell bodies of the cranial nerve nuclei of extraocular muscles.
|
63,150
|
Prophylactic and therapeutic use of anticoagulants in inherited antithrombin III deficiency.
|
A family with a pronounced history of venous thrombotic disease is described. Several members were found to have reduced antithrombin III levels. Heparin cofactor activity was reduced in the antithrombin III-deficient plasma. The proposita, who presented with bilateral iliofemoral vein thrombosis early in pregnancy, was treated initially with heparin, and after the 12th week of pregnancy was maintained on oral anticoagulants until she was 38 weeks pregnant. Heparin was then given and continued throughout the delivery period and for 10 days postpartum with no evidence of recurrent thrombosis. The effect of infusing 5 units of fresh frozen plasma on the antithrombin III level and the response to heparin were minimal and short-lived. Oral anticoagulatns produced a rise in the antithrombin III level. These results demonstrate the importance of maintaining antithrombin III-deficient subjects on long-term oral anticoagulant therapy.
|
63,151
|
Immunological aspects of hepatocellular carcinoma in the guinea-pig.
|
Experimental observations were made on hepatic cancer induced with diethylnitrosamine (DEN) in guinea-pigs. Two cancer cell lines have been established in tissue culture and their antigenicity investigated. Tumour antignes were not found on normal liver cells, liver cells damaged wtih carbon tetrachloride and fetal liver cells obtained from fetuses more than 35 days old. The possibility of using immunological techniques to investigate the antigenicity of human cancer is discussed.
|
63,153
|
Expression of the cystic fibrosis genotype in cultured somatic cells.
|
Observations on the characteristics of the cell with the cystic fibrosis (CF) genotype in culture are reviewed. Although numerous and diverse abnormalities have been described, none were specific for the CF gene. The relevance of each of these abnormalities to the clinical syndrome known as CF is discussed, emphasizing that the value thus far of such cell culture research has been to learn how the CF gene influences cellular function.
|
63,157
|
Kinetics of microcolonies of cultured mammalian cells after bleomycin treatment.
|
Cultured ascites hepatoma cells of the rat were treated with 400 to 900 R of gamma rays or 25 to 100 mug/ml of bleomycin for 30 min. The cells were followed up for 133 hr and the pedigrees were analyzed. Gamma rays and 2 low doses of bleomycin gave rise to typical reproductive death in generations 1 and 2 but 100 mug of the drug produced frequent interphase death. Natural death and induced death did not follow statistical randomness suggesting an existence of weak and sensitive clones in a population.
|
63,159
|
Hexachrome modification of Movat's stain.
|
A less than three-hour hexachrome modification of Movat's pentachrome stain is described, its various steps discussed, and its principal uses in histopathology presented. The hexachrome procedure consistently yields good results, with excellent and colorful differentiation of muscle, various connective tissue components, mucinous secretions and intra-cytoplasmic structures in human and animal tissues obtained surgically or at autopsy. Alternative abbreviated procedures for muscle-connective tissue differential staining and for study of nuclear detail are also described.
|
63,160
|
The nature of mycobacterial acid-fastness.
|
Phenol is not essential to acid-fast staining, for it will occur in the absence of phenol where such lipoid-soluble basic dyes as night blue, Victoria blue B or Victoria R are used; it is essential for acid-fast staining with water soluble basic dyes such as basic fuchsin. When phenol is added to the staining solution, such water soluble basic dyes behave in effect like their lipid-soluble counterparts. The loss of mycobacterial acid-fastness with carbol-fuchsin after bromination or chromation indicates that this phenomenon is related to the presence of unsaturated lipids in the bacterial cells. Within the cells these acid-fast lipids are bound in such a way that they are easily removed from all mycobacteria by hot dilute HCl; from leprosy bacilli alone they are easily removed with hot pyridine. From the results of various blocking reactions it appears that carboxyl and especially hydroxyl groups of these cellular lipids are essential to the acid-fast reaction of mycobacteria.
|
63,158
|
Absorption of lead through the skin.
|
Absorption of lead through the skin was studied by comparing the effect produced by lead naphthenate or lead acetate solution, when coated on the skin of rats, with data obtained from subcutaneous injections of these solutions. Body weight and liver size and weight decreased in the case of rats receiving the subcutaneous dose. delta-Aminolevulinic acid dehydratase (ALA-D) in liver was decreased in all rats having been treated with lead compounds. The distribution of absorbed lead has been evaluated by assay of the lead content in brain, liver, kidney, spleen and muscle in the rats. The results of this study seem to verify that absorption of lead through the skin does occur and the findings confirm lead naphthenate to be more toxic than lead acetate.
|
63,161
|
A Bodian method for mounted frozen sections.
|
For application of the Bodian method to frozen sections, cut frozen peripheral nerve or muscle at 10 mum and mount. Fix for 4 days in 18 parts 80% ethanol, 1 part 10% formalin, and 1 part glacial acetic acid. Fix central nervous tissue in the same mixture prior to freezing and sectioning, and after mounting postfix for 4 days. Impregnate by the Bodian procedure. The results equal Bodian stains of paraffin sections. The technique is simple and reliable. The use of 10 mum frozen sections produces little artifact and allows alternate serial sections to be stained with other techniques.
|
63,167
|
Immunopathological studies of the ruptured human renal allograft.
|
The immunopathology of five cases of spontaneous allograft rupture has been studied. All kidneys were edematous on exploration and routine histological sections showed interstitial edema and mononuclear cell infiltration characteristic of acute rejection. Immunofluorescence revealed, at most, scattered vascular deposition of IgM and mild mesangial C3 deposition. These findings are compared with findings in normal kidneys and kidneys which had been hyperacutely rejected. The normal kidney showed focal afferent arteriolar and proximal mesangial stalk deposition of C3 without IgM. The kidneys of patients with hyperacute rejection showed brilliant staining for fibrin and IgM in all arterial and arteriolar walls with lesser amounts of C3 and IgG; IgM and C3 were prominent in the glomerulus. These findings suggest that mechanisms other than circulating preformed antibodies are responsible for the pathogenesis of spontaneous allograft rupture.
|
63,168
|
Absence of a serologically detectable association of murine beta2-microglobulin with the embryonic F9 antigen.
|
The association of murine beta2-microglobulin to the early embryonic F9 antigen has been investigated by indirect immunofluorescence and by radioimmunoassay. Although some cell lines carry both types of molecules, the beta2-microglobulin was not found expressed on primitive teratocarcinoma cells, where F9 antigen was primarily detected. It is concluded that the low m.w. (12,000 daltons) subunit that was reported to be associated to the F9 antigen is not the adult beta2-microglobulin.
|
63,169
|
Purification of HLA antigens from urine.
|
HLA antigens were purified from urines of kidney transplanted patients, HLA was recovered as a single peak of 45,000 mol wt that was dissociated into beta2-microglobulin and a 33,000 mol wt fraction bearing the allospecificity. The purified fractions contain carbohydrates but no lipids. Electrophoretical mobility and the relative salt concentration of eluting buffers in DEAE-Sephadex chromatography were determined for six antigens of the A locus and seven antigens of the B locus. Isolectric points of antigens A1, A2, A9, and B12 were measured. Physiochemical characteristics of HLA purified from urine appear to be similar to those of papain-solubilized cell membrane HLA. Urinary HLA was shown to originate from serum and not from renal or ureteric tissue.
|
63,175
|
[Diagnostic laparotomy and palliative surgery in jaundice caused by tumors of the pancreato-duodenal zone].
|
The remote results of palliative operations for tumors of the pancreatoduodenal zone in 266 patients were analysed. Among palliative procedures cholecysto-jejunoanastomosis was most frequently employed in the clinic. 72 patients died. An acute hepatic insufficiency and cancerous intoxication was the main cause of the mortality. It is concluded that the survival of patients postoperatively depends on tumor localization and the degree of cancerous intoxication. The construction of cholecysto-jejunoanastomosis with the Brown enteroanastomosis seems to be mostly rational.
|
63,179
|
[Several properties of one of the acid neurospecific antigens].
|
The identity of one of the acid neurospecific antigens (antigen A) and S-100 protein has been established through agar gel immunoelectrophoresis and Sephadex G-100 gelchromatography. On agar gel electrophoresis antigen A moves as 2 fractions which occupy positions of blood serum prealbumins and alpha2 globulins. Both fractions of the antigen have a molecular weight of 25000. The heterogenic nature of antigen A (protein S-100) during electrophoresis on agar gel is discussed.
|
63,182
|
[New polymerase gene in pancytopenia (author's transl)].
|
Increasing evidence has accumulated that the direct assay of reverse transcriptase in human blood cells is of value in the diagnosis of leukaemia. The isolation and characterization of this enzyme has shown that it possesses remarkable similarities to the DNA-polymerase of the RNA-tumour virus of simian sarcoma. Hence, leukaemic cells in humans are thought to possess a virus-related gene, namely, reverse transcriptase. Various clinical reports have established the presence of this enzyme in blood cells, not only in the case of morphologically-proven malignant change, but also in cases classified as non-leukaemic from the morphological picture, such as acute leukaemia in remission and in the pre-leukaemic state. In confirmation and augmentation of earlier views we now report on the presence of reverse transcriptase in a patient with pancytopenia, who subsequently developed acute leukaemia i.e. isolation of the enzyme occurred in the pre-leukaemic state.
|
63,183
|
[Malignant disease of the paranasal sinuses (author's transl)].
|
During the period 1931 to 1974 167 men and 97 women with tumours of the maxilla or of the paranasal sinuses were treated at the Department of Radiotherapy and Oncology, Lainz Hospital. The peak incidence is found in the age group 51 to 70 years. The survival rate is determined by the extent of spread of the tumour. Cases in which the malignant process is still localized in the mucosa, without infiltration of the adjacent bony structures, have a good prognosis and so have the early cases of all tumours of the paranasal sinuses (Stage T1 and T2, according to Schwab) with a 5-year survival rate of 59.3%. Of the late cases (stage T3 and T4), however, no more than 20% survive for 5 years. In sarcomas there is no difference in survival rate between early and late cases because of their natural tendency to systemic spread. The 5-year survival rate is 33% in each group. Chemotherapy of these malignant tumours with Bleomycin appears promising, with a reduction of even massive infiltrations of the osseous structures in squamous cell carcinomas. However, there is no evidence as yet of any increase in 5-year survival rate with this type of therapy.
|
63,189
|
[Cytodiagnosis of the synovial fluid].
|
In a survey in a general part the differential-diagnostic approach in the establishment of cytological findings of the arthrocentesis for the judgment of the normal and pathologically changed synovial fluid are described. Especially the differential-diagnostic possibilities by constellations of the findings from determination of the total number of leucocytes, the differential cell picture and the determination of the individual signs characteristic for a disease are demonstrated. A special part deals with the assessment of the cytologic findings of the arthrocentesis for the diagnosis, the local and general judgment of the activity and the judgment of the therapeutic success of medicamentous and operative measures in rheumatoid arthritis with the help of the cytology of the puncture of a joint.
|
63,190
|
[Studies on the antigenicity of variously preserved skin].
|
The authors have investigated a model of second-set-rejection after allo-transplantation of chemically preserved skin by different methods. The relative increase of weight of regional lymph nodes as well as the production of lymphocytotoxic antibodies served as additioned indicators of senzitation. All regimes of preservation used in this model of second-set-rejection have been responsable for a decrease in antigenity. The results are discussed with regard to recent publications.
|
63,195
|
[Demonstration of antibodies to salmonella-R-antigens in sera of patients suffering from salmonelloses (author's transl)].
|
The extent of hemagglutinating antibody titers against Salmonella R-lipopolysaccharides in 189 sera of 119 human beings suffering from various salmonelloses was estimated. When compared to serum specimens of 137 healthy persons a significant rise in the number of Ra- and Rb2-titer containing sera was observed. It was further found that titers directed against chemotypes Ra, Rb2 and Rc were significantly enhanced in height when compared to the control group. Sera of healthy persons and patients did not show significant differences in Rd1-, Rd2- and Re-titers, respecively. The results indicate that the innermost part of the LPS core in Salmonella S-forms is considerably less (or even none) immunogenic in respect to antibody formation. R-titers in sera from patients suffering from salmonelloses as well as from healthy persons were predominantly directed against Ra-, Rb2- or Rc-LPS structures; the Ra-titer being the most frequent one in both groups. More detailed analyses on sera from patients suffering from salmonelloses revealed a somewhat lower content of R-titers in the early stage of infection. Furthermore in typhoid fever changes in the height of Ra-titers paralled the usual course of O-titers and in gastroenteritic infections the course of illness, respectively. The immunogenicity of the LPS core, however, was less expressed than that of the O-polysaccharides as revealed from a comparison in extent and height of R- and O-titers. Frequently the salmonelloses sera showed titers against several R-antigens. In such cases Ra-titers mostly occurred either together with Rb2-titers alone or concomitantly with both Rb2- and Rc-titers. In absorption experiments it could be demonstrated that two types of antibodies had been formed, those directed against terminal sugar residues in R-lipopolysaccharides and others with specificties against internal partial structures of the core.
|
63,196
|
The unfortunate role of precedent in bacteriology. II. Unrelated serological specificities of the polysaccharides from S. typhi and S. gallinarum sharing factors 9.12.
|
Tube and agar-gel precipitations of antigens isolated from S. typhi and S. gallinarum against homologous and heterologous rabbit antisera showed that the polysaccharides of these Salmonellae, sharing factors 9.12 do not cross-react. Thus, the serological analyses prove that sugars can not be related to factors in the Kauffmann-White scheme. The cross-reacting antigens from these Salmonellae of serogroup D are the free proteins and the proteinic moieties of their somatic antigens.
|
63,197
|
Sh. dysenteriae serotypes2,4,8-immunochemistry and phage receptor activity.
|
Among three analyzed serotypes of Shigella dysenteriae, namely, the serotypes 2,4 and 8, the serotype 2 proved to be a strong immunogen in rabbits, inducing anti-polysaccharide antibodies as well as antiprotein antibodies in all the animals. In contrast, the serotypes 4 and 8 were weak immunogens and among the rabbits some have synthesized only anti-proteins while others had antibodies against the somatic conjugate. Aside from the somatic antigens, large amounts of proteins were isolated from all the strains; however, the numerous determinants of these proteins were proven with the help of a serum to proteins from Sh. sonnei. The polysaccharides were specific for the serotype. The sensitivity of Sh. dysenteriae strains to phage P1 and the phage receptor actigity of different bacterial extracts were examined. By using the phage receptor neutralization test, it was possible to demonstrate that the receptor substance is a common component present in the lipopolysaccharide. The nature of neutralization has been discussed.
|
63,198
|
[Measurement of exhaust gases of cars in the neighbourhood of roads (author's transl)].
|
Air samples were collected in plastic bags simultaneously at various measuring points in the close range of streets. When examining the various bag materials, Teflon bags showed the smallest deviations in direct analyses and in analyses of up to two hours after the drawing of samples. The following methods were used for the analysis of the air samples collected in the bags: coulometry for CO and SO2, chemiluminescence for NO/NO2, chromotropic acid for CH2O and flame ionization for hydrocarbon. The various components were measured close to a highway and near streets in residential and business areas.
|
63,193
|
[Air pollution by motor vehicles along the freeways].
|
Total mass particulates and benzopyrenes have been determined to evaluate the specific pollution by vehicles on a section (6 km) of a highway. The traffic density generated an increase of 30% mass particulates in nighttime and 44% during daylight. Concentrations of benzopyrenes in air have doubled compared to the period before traffic.
|
63,199
|
[Detection of alkylating air pollutants (author's transl)].
|
Occupational toxicological observations made during the last few years have shown that the respiratory intake of certain alkylating compounds entails a major carcinogenic risk even at concentrations below 1 ppm. Such inhalation carcinogens can also stem from photochemical and spontaneous chemical reactions in the atmosphere and not merely from direct emissions. For the examination of air samples for alkylating activities simple colorimetric test methods are available. Some of them must be considerably modified and matched to the reaction of the various alkylating compounds. In this manner colour reactions of, in part, high selectivity are obtained: thus, for example, carcinogenic alpha halogen ether can be detected in concentrations of 10 ng/ml test solution. By the use of sensitive colorimetric methods of analysis it was possible to fractionate the alkylating activity found in the exhaust gases of automobiles. It is now possible to enrich certain compounds, which react positively to the colour test, and to purify them for further chemical characterization.
|
63,201
|
[Several developmental disorders in children with schizophrenia].
|
The authors discusses some unclear and insufficiently studied problems related to early infantile autism, regress of development and underdevelopment of schizophrenic children. The basis of early infantile autism is most likely a peculiar disturbance of development due to constitutional, organic and psychogenic factors. In most of the cases this syndrome is connected with the schizophrenic process. The majority of psychiatrists in the Soviet Union consider lowering to a more early level of development as a regress of development in child schizophrenia symptoms. The clinical picture of retarded development in childhood schizophrenia depends upon the age of the onset of the disease and the degree of progressiveness of the process. Depending upon these criteria it is possible to distinguish retarded development, resembling oligophrenia and phenomena of psychophysical infantilism.
|
63,202
|
The haematopoietic supraneural organ of adult, sexually immature river lampreys (Lampetra fluviatilis [L.] Gray) with particular reference to azurophil leucocytes.
|
The haematopoietic tissue in the supraneural organ of the freshwater river lamprey (Lampetra fluviatilis L. Gray) was studied in sexually immature animals. Besides erythro- and granulopoietic elements, macrophages, reticular cells, fibroblasts and glycogen-rich fat cells were seen. Developing granulocytes of the lamprey contain one type of azurophil granules originating from small cytoplasmic (Golgi) vesicles. The lamprey's azurophil granulocytes seem to be homologous with those of fishes. However, the granulocytes of fishes, studied thus far, show granules with only one type of inclusion, whereas in lamprey the granulocyte inclusions are variable in size and shape. Thus, lamprey granulocytes are, in this respect, reminiscent of similar cells of higher vertebrates. The PAS and alkaline phosphatase reactions, common markers of vertebrate neutrophil leucocytes, are very weak in the haematopoietic tissue granulocytes of the lamprey, and intense in the blood cells of the same animal. Lamprey granulocytes, similarly to the granulocytes of Chondrostei and Elasmobranchiata, do not stain with peroxidase, naphthol-AS-D-chloroacetate esterase and sudan black B. The haematopoietic tissue contains a relatively high number of degenerated granulocytes.
|
63,204
|
The effect of hypothyroidism on the female genital tract of gerbils (Meriones hurrianae jerdon).
|
The effects of hypothyroidism on the female genital tract of gerbils have been studied. Hypothyroidism was produced by (a) surgical ablation, and (b) pharmacological suppression of the gland. Hypothyroidism resulted in atrophic ovaries. Follivular development was severely arrested, with most of the follicles showing atresia. Distinct effects were produced upon the uterine physiology. Uterine regression was conspicuous in thyroidectomized females. Hypothyroidism resulted in a decreased RNA, protein, sialic acid and glycogen concentration of the uterus. Vaginal RNA, protein and sialic acid contents were low after thyroidectomy. The vaginal cytology showed a constant pattern of its cells, i.e. dioestrous. L-thyroxine treatment restores the biochemical changes of uterus and vagina to subnormal levels in thyroidectomized animals. It is concluded that hypothyroidism affected the weight, cytology and biochemistry of the female genital tract of gerbils.
|
63,208
|
Effects of small doses of L-thyroxine and triiodo-L-thyronine on pituitary LH content of thyroidectomized rats.
|
Pituitary LH was studied by means of a specific radioimmunoassay (RIA) in male rats at different time intervals after thyroidectomy (T), and in rats which were T at least 30 days before and were then treated with different doses of L-thyroxine or triiodo-L-thyronine. A decrease in the pituitary LH of the T animals, with respect to the intact age-paired controls, was demonstrable from 13 days after the operation, when total pituitary LH content was taken into consideration, or from 5 days after T, when the LH concentration (mug/mg pituitary) was considered. Doses of thyroid hormones lower than the daily maintenance dose for the rat produced very little effect on the pituitary LH levels of T animals. However, a single dose of 1.75 mug of T4 or 0.2 mug of T3 (doses approximately equivalent to the T4 and T3 maintenance dose for T rats) induced such a rapid and intense increase in the pituitary LH content that it no longer differed from that of the intact age-paired controls by 12 hours. Surprisingly, 5.0 mug of T4 and 1.0 mug of T3 did not produce any increase in the pituitary LH content of T rats.
|
63,209
|
Diurnal variations of plasma and pituitary thyrotrophin in adult male and female rats.
|
Male and female rats fed a low iodine diet for 20 days were used to study the diurnal variations in resting levels of plasma and pituitary TSH concentration using a highly sensitive radioimmunoassay. Sex differences in the fluctuations in plasma TSH levels and in amount of TSH in the pituitary gland were observed. The daily fluctuations of plasma TSH were characterized by two peaks that occurred in males at 6 a.m. and at 3 p.m. while in females the peaks were delayed until 9 a.m. and 7:30 p.m. Moreover, in the females the morning and the afternoon peaks were of the same intensity while in the males the afternoon peak that occurred just before the onset of darkness was much greater than the morning peak. There was a fall in TSH content of the pituitary in the male rats at 6 a.m. and also in the afternoon just before the onset of darkness. Thus, the diurnal variations in the plasma and pituitary TSH levels were related in male rats. In the females, however, the pituitary TSH concentration did not reflect the changes observed in the plasma TSH levels. The level of plasma PBI did not appear to be responsible for the fluctuations in plasma TSH concentration. It is suggested that the main mechanism for the control of the circadian rhythm of TSH might be related to a high activity at night.
|
63,207
|
Sudanophilia in exfoliated urothelial cells.
|
Cytoplasmic lipid globules colorable by Oil Red O of varying numbers, size and random distribution were encountered in the majority of normal, abnormal and malignant urothelial cells of the urinary sediments fixed by formaldehyde. Small cytoplasmic lipid globules and the diffuse sudanophilia of the finely dispersed lipids which paralleled the cyanophilia in the homologous cells were considered indicators of the functional status of well preserved urothelial cells; medium and large lipid globules were a sign of advanced necrobiosis. Demonstration of cytoplasmic lipids was not found a reliable discriminatory guide in the differential diagnosis of malignancy of the urothelium.
|
63,210
|
Immunopathogenic mechanisms in tissue damage.
|
Our knowledge on immunopathogenic damage is derived from multiple different sources: experiments in vitro, experiments in vivo, clinical observations, and observations using material from multiple different animal species including man. If we want to analyse an immunological process suspected of causing tissue damage we have critically to evaluate the mechanism of immunologically specific initiating factors and the mechanisms of non-specific mediating factors. It is necessary to have clear information on the identity of the antigen, the location of the antigen, the identity of antibody, the location of antibody and similar information on specifically reactive lymphocytes. With this information in mind it is possible to hypothesize upon mechanisms, which can be responsible for the immunologically specific initiation of immuno-pathogenic damage. The non-specific mediating systems, which are the actual inducers of functional or structural tissue damage, are triggered by the specific, initial immune reaction. These systems comprise for instance complement, coagulation, granulocyte and macrophage lysozomes and function, chemotaxis, the mast cell system, phagocytosis etc. The overall picture of non-specific mediation of tissue damage is extremely complex, since it really makes it necessary to investigate and describe not only these systems but also their co-existence and interaction. Knowledge of immunopathogenic mechanisms in clinical disorders in man is still resting mainly upon analogies and assumptions, although progress is taking place. It is essential to ask the right questions and critically to evaluate the answers. Thereby the understanding of immunopathogenesis in diabetes mellitus and other clinical disorders shall gradually improve.
|
63,211
|
Insulin--anti-insulin complexes.
|
When guinea pig antibodies (ab) bind insulin (ag), they can make complexes of different sizes. We propose the following model: In ab excess: (see article) Intermediate: (see article) In ag excess: (see article). An insulin molecule acts as a bivalent antigen, although more than two different antigenic determinants may be present. In vivo the large C II type disappears more rapidly from the blood than does the C I. The C II binds to complement factor C1q, whilst C I and C III do not. In sera from insulin treated patients we found C I and C III. The lack of lattice formation, due to the bivalency, may explain the difficulty in obtaining precipitation. The different complexes may influence calculations of antibody concentrations and affinity constants of the binding sites. The in vivo effects and possible clinical effects of antibodies to insulin may depend on the type of complex formed. Possibly, prevailing C II formation tends to cause large insulin requirements, although C II may seldomly be detected in the blood, because of rappid trapping. The immune complexes could affect the progression of angiopathy a) by interfering with insulin metabolism and control of diabetes, and b) by complement activation (mainly C II) and trapping in the vascular bed.
|
63,212
|
HLA factors and immune function.
|
The HLA system is the major histocompatibility system (MHS) in man and contains a variety of closely linked genes, which control a large number of alloantigens, some complement components, and certain immune responses. The alloantigens are of three different kinds: (i) so-called "classical" or serologically detectable (SD) antigens which are present on all nucleated cells and controlled by genes of at least three different loci; (ii) MLC (= mixed lymphocyte culture = LD = lymphocyte dependent) antigens which are as yet only recognizable by in vitro culture assays; (iii) Ia (= immune-associated) antigens which (like MLC antigens) primarily are present on B lymphocytes and which can be detected serologically. Our knowledge of immune-response (Ir) determinants in man is as yet rather limited but by inference from studies of MHS in mice, guinea-pigs, and rhesus monkeys it is almost certain that HLA contains such genes. Immune response genes control in a dominant way the ability to respond specifically with IgG antibody production and cell-mediated immunity to certain specific antigens. Ir genes are closely linked to the MLC and Ia genes. They seem to be particularly important for immune responses involving T lymphocyte function (including T-B cell cooperation), and it seems likely that they code for "antibody-like", carrier-specific immune receptors on T cells. Evidence that HLA contains Ir determinants derives from the observations (i) that a variety of "immunopathic" disorders are associated with HLA factors; (ii) that ragweed hayfever seems to be inherited with certain HLA types within families; and (iii) that the occurrence of anti-adrenal antibodies is associated with HLA in Addison's disease. Autoimmune thyreoiditis is controlled by the MHS in mice and chickens, and in analogy, Graves' disease is associated with HLA in man.
|
63,213
|
Application of alcian blue in the electron microscopic study of mouse and human cerebral cortex nerve cells.
|
Alcian blue is a cationic dye which has been used in the histochemical field for the demonstration of polyanions especially carboxylated and sulphated. The results obtained in neurons when this dye was applied to human and mouse cerebral cortex and studied with the electron microscope are the object of the present report. The CNS of normal adult mice was fixed by vascular perfusion with 2% glutaraldehyde-0.1 M sodium cacodylate-0.1 M sucrose at pH = 6.8 followed by the same fixative with the addition of 0.5% alcian blue. After perfusion, brain cortex was taken out, sectioned into small blocks and immersed in a fresh similar mixture and subsequently in OSO4. Blocks were dehydrated and embedded in araldite. Ultrathin sections were doubly stained with uranyl and lead salts. Human brain cortex taken from patients with cerebral edema was fixed by immersion with 6.5% glutaraldehyde-0.1 M sodium phosphate, pH = 7.4 followed by embedding in warm agar and sectioning in slices of 30 mum thickness which were impregnated by immersion in a mixture of 1% alcian blue-acetate buffer-3% glutaraldehyde at pH = 3.5 for 9 to 15 h at 4 degrees C and subsequently immersed in 1% buffered OSO4-0.1 M sucrose, pH = 7.4 for 2 h at 4 degrees S. Sections were dehydrated and embedded in araldite. Ultrathin sections were doubly stained by uranyl and lead salts. We have denominated the complete procedure in both instances GABOUL technique. The submicroscopic study of both tissues, at nerve cells, revealed the presence of an electron dense homogeneous substance thoroughly dispersed at the hyaloplasmic matrix of perikarya, processes and even synaptic endings. This substance was more evident around free and attached ribosomes, GOLGI apparatus, complex vesicles, dense bodies, microtubules, subsurface cisternae and synaptic vesicles. Canaliculi of endoplasmic reticulum and even the perinuclear cistern also showed a moderate content. It is suggested that this electron dense substance, being alcianophilic, has a polyanionic character and thus may partially correspond to acid polysaccharides since these compounds have already been previously confirmed in such neurons by biochemical and light microscope histochemical techniques.
|
63,215
|
[Therapy evaluation in rheumatology with an electronic data processing system].
|
A system for the evaluation of therapeutical effects in rheumatic diseases is presented. This system permits a calculation of two indices: i.e. rheuma-number and "Masszahl" (= only measured values such as range of motion in degrees) which lend themselves to statistical treatment. The result of standardized physical joint examination of patients is recorded on two mark-pages, specially developed for documentation of joint status. The data recorded on the two-mark-pages are then entered into the computer by means of a mark-page-reader. On the basis of these data, the computer, upon the basis of a program specially developed for this purpose, automatically calculates the corresponding amount of negative-points, which parallels the severity of the joint changes, i.e. the rheuma-number ("Rheumazahl"). Separately listed at the end of the status-outprint is the "Masszahl", which is part of the rheuma-number and comprises the measured values (for example, the range of motion measured in degrees). The practicability of this system is demonstrated on the basis of the results of a double-blind-comparison of two antirheumatic-corticosteroid-combinations and an open study with immuno-suppressives in patinets with rheumatoid arthritis.
|
63,214
|
Improved periodic acid-silver methenamine staining procedure for electron microscopy.
|
Mucosubstances can be stained for electron micrsocopy with silver methenamine after periodic acid oxidation in ultrathin Epon sections mounted on nickel grids. The grids are transferred from a solution to another during the staining procedure conveniently in a container made of polyvinyl chloride plastic. This staining procedure is easy to perform and gives reproducible results. It is especially suitable for simultaneous handling of a large number of grids.
|
63,205
|
Oat-cell bronchial carcinoma. Identification of cells in pleural fluid.
|
An analysis is made of the accuracy of diagnosing oat-cell (small cell) carcinoma of the lung from the cytology of pleural fluid. All the material over a 22-year period has been reviewed. Air-dried smears were used, stained with May-Grünwald-Giemsa. Of 91 cases in which oat-cells were specified in the written report, 90 were either proved histologically to have oat-cell or anaplastic bronchial carcinoma, or else had clinical findings consistent with that diagnosis and were registered as having bronchial carcinoma at death. There was one false positive, and no false suspicious reports. Cytologic diagnosis of this tumor type has, therefore, been no less reliable than would be expected from a histologist examining a surgical biopsy of infiltrated tissue. Of 49 consecutive cases histologically proved to have oat-cell carcinoma, and with pleural effusions examined in this laboratory, 21 showed no malignant cells (43 per cent false negative). Diagnostic features and causes of error are discussed, as well as the advantage of air-dried smears over the standard Papanicolaou method for the detection of this cell type.
|
63,218
|
General health screening of four-year-olds in a Swedish county. IV. An analysis of the effectiveness of the psychological examination program.
|
Since 1969, 4-year-olds in the County of Uppsala have been offered extensive health screening at the Child Health Centres. In 1969 and 1970 a total of 3810 children underwent the screening procedure. The psychological screening instrument consisted of a questionnaire (to be answered by the parents), an interview of the parents, a psychomotor examination and an observation of the child's behaviour. 156 (4.1%) 4-year-olds were referred to a specialist team for investigation and decision concerning treatment. In the present study the effectiveness of the psychological screening instrument was assessed by its sensitivity, specificity and predictive value. The sensitivity was found to amount to a maximum of 0.73. The specificity was estimated to be 0.98-0.99, and the positive predictive value to 0.67. The authors consider the effectiveness to be sufficiently high to motivate continuation of the screening procedure for detection of psychological problems in pre-school age. Efforts should be made, however, to further improve the effectiveness.
|
63,216
|
Nerve fibers in the human organ of Corti.
|
In the human cochlea, the following characteristics of nerve fiber arrangements were observed. 1. Where there was only the basilar fiber in the tunnel of Corti, the internal and tunnel spiral bundle were not observed. In such cases, the number of nerve fibers in the external spiral bundle was small. 2. In the tunnel of Corti, the basilar fibers (afferent) took a course at the base and crossing the tunnel slanting to the basal end. 3. The medial fibers were present with the internal spiral bundle and tunnel spiral bundle. These fibers are possibly efferent. 4. The external spiral bundle increases its fiber count when internal and tunnel spiral bundles were present in the organ of Corti. 5. The external spiral bundle was composed of the basilar and medial fibers. The former were less and the latter much more numerous in the bundle. 6. 85-90% of the afferent fibers went to the internal hair cells, while the remainder went to the external hair cells. 7. The nerve fibers were found in the organ of Corti lateral to the external spiral bundles. The fibers were running in the Hensen's and Claudius' cell area. 8. In some cases medial fibers showed a torpedo-like deformity in the tunnel of Corti. When this was observed, it was found distributed throughout the entire cochlea. Hearing disorders due to this pathology of the efferent fiber was suggested.
|
63,219
|
Selective loss of blood group antigens during wound healing.
|
Frozen sections of healing wounds of the oral mucosa of 3 rhesus monkeys were examined by a double layer immunofluorescent technic for the presence of blood B-like antigens. Antigen activity was present in normal epithelium and in the epithelial outgrowth into the wounds but was absent from the outgrowth following treatment with lipid solvents. This finding suggests that glycoprotein but not glycolipid associated antigen is lost from the surface of epithelial cells during wound healing, a pattern of selective loss which may reflect a difference between regenerative and neoplastic lesions.
|
63,217
|
Microscopy of tonsillar smears and sections in tonsillar gonorrhoea.
|
Microscopy of methylene-blue and Gram-stained smears from the tonsillar surface and an immunofluorescence (IF) test were carried out for 130 patients, 129 with genital and/or anal gonorrhoea, 27 of whom also had tonsillar gonorrhoea. One patient had only tonsillar gonorrhoea. 5 of the 28 patients with tonsillar gonorrhoea had acute tonsillitis and for these, agreement was found between culture, light microscopy and IF test, while only 5 of the remaining 23 patients had positive microscopy. Among the 102 patients who did not have tonsillar gonorrhoea a few false-positive light microscopies and IF tests were found. Microscopy of haematoxylin-eosin stained sections of 8 tonsils from 4 patients with recurrent tonsillitis and tonsillar gonorrhoea showed subacute tonsillitis. Methylene-blue and Gram-stained sections revealed gram-negative diplococci morphologically similar to gonococci. The bacteria were located in the superficial layers of the mucous membrane (frequently intracellularly in leukocytes) and occasionally in cellular debris in the crypts.
|
63,220
|
Fibrinoid necrosis of the epithelial cells of the skin.
|
It has been shown in previous studies that fibrinoid necrosis not only occurs in connective tissue and in vessel walls, but can also be observed in the liver cells under special conditions and can also be provoked experimentally. It was observed in the present study that certain dermatoses (cases of the herpes group, erythema multiforme, drug eruptions, Lyell's toxic epidermal necrolysis, pityriasis lichenoides acuta, and skin affected by UV-rays) were associated with "eosinophilic necrosis" in the epithelial cells which morphologically corresponded to the fibrinoid necrosis of the connective tissue and of the liver cells described previously. Besides toxic, infectious and septic conditions, circulatory disturbances (hypoxia, anoxia) appear to have a special significance. Observations by way of the light and fluorescence microscope revealed the characteristics of keratin variants and precursors in some necrobiotic cells which influence the peculiar properties of fibrinoid necrosis of the skin epithelia. The role of the mixed paraproteins is emphasized and reference is made to the role of a mixed paraprotein ("keratofibrinoid") which is formed in the course of the regressive process and to which the morphological changes may be attributed.
|
63,221
|
Five new Escherichia coli K antigens, K95, K96, K97, K98 and K100.
|
Five Escherichia coli strains were established as antigenic test strains for five new polysaccharide K antigens: K95, K96, K97, K98 and K100. K95 to K98 served already as test strains of O antigens O75, O77, O81 and O107 respectively. F147, which is test strain of K100, had O antigen O75.
|
63,222
|
The impact of HLA-A, B or HLA-D identity on the MIF production in MLC.
|
The relative influence on MIF release in MLC of different parts of the HLA region was studied in 1) MLCs between cells from HLA-A and B identical (probably HLA-D unidentical) unrelated persons and 2) MLCs between cells from HLA-D identical, HLA-A and B unidentical unrelated persons. It was found that the HLA-D part of the region has the major effect on the MIF production. Studies of MIF activity in supernatants from mitomycin treated cultures lent some evidence to the hypothesis that there is an extreme linkage disequilibrium between the HLA-D alleles and hypothetical separate MIF alleles. Examination of families with crossover between the HLA-A, B and HLA-D part of the region is required for confirmation of these findings.
|
63,223
|
Study of substances related to carcinoembryonic antigens, CEA-NCA and association with alpha1-antichymotrypsin.
|
The alpha-protein which we previously detected in PCA extracts of malignant tumours, normal tissues, sera and other body fluids has been further tested. The alpha-protein was identified by immunological methods as alpha1-antichymotrypsin. Experiments by crossed immunoelectrophoresis showed that this protein cross-reacts with the betaE-protein found in the PCA extracts. The betaE-protein shows heterogeneity in molecular size, electrophoretic mobility and it has been demonstrated that it shares antigenic determinants with the CEA or betaI-molecule. Cross-reaction between betaE and other glycoproteins found in the PCA extract of normal or malignant tissue or serum was not detected.
|
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.