The anorexigenic effect of adrenomedullin in Japanese quail (Coturnix japonica) involves increased proopiomelanocortin and cocaine- and amphetamine-regulated transcript mRNAs in the arcuate nucleus of the hypothalamus.

Central administration of adrenomedullin (AM), a 52-amino acid peptide, is associated with anorexigenic effects in some species, including rodents and chickens. However, the associated hypothalamic mechanisms remain unclear and it is unknown if this peptide exerts satiety-inducing effects in other avian species. The objective of this study was thus to investigate AM-induced anorexigenic effects in 7-day-old Japanese quail (Coturnix japonica). After intracerebroventricular injection of 0.3, 1.0, or 3.0 nmol of AM, quail injected with 3.0 nmol of AM ate and drank less than vehicle-injected quail at 180 min after injection. Except for the 1.0 nmol dose of AM exerting an anorexigenic effect at 90 min after injection, no other inhibitory effects on food or water intake were observed. At 60 min after injection, the AM-injected quail had more c-Fos immunoreactive cells in the arcuate nucleus (ARC) than vehicle-injected birds. In the ARC, AM injection was associated with increased proopiomelanocortin (POMC) and cocaine- and amphetamine-regulated transcript (CART) mRNAs. In conclusion, the results suggest that the anorexigenic effect of AM is possibly influenced by the synergistic effect of POMC and CART in the ARC.

Cerebral and renal phaeohyphomycosis in a dog infected with Bipolaris species.

Mycotic meningoencephalitis in dogs may manifest as a primary disease of the central nervous system or as a part of disseminated infection. Fungi belonging to the genus Bipolaris are saprophytic plant pathogens and can cause disease in humans. The authors report a case of Bipolaris infection in a dog with granulomatous meningoencephalitis, nephritis, and vasculitis. The clinical and histological features resembled those of the more common aspergillosis, thus warranting confirmation by molecular methods. Polymerase chain reaction and sequence analysis identified Bipolaris from the brain lesion, indicating its involvement in the disease. To the authors' knowledge, this is the first reported case of meningoencephalitis caused by this fungus in a domestic animal.

Collaboration with city agencies: a winning approach to community assessment.

Five graduate nursing students made a difference in the health of San Antonio citizens by conducting a community assessment as part of a standard clinical activity in their community health nursing course. The students and their professor were able to effect city-wide change for health protection and promotion through collaboration with the City of San Antonio Planning Department (CSAPD). By compiling information, linking organizations, and speaking before community groups about the importance of a fluoridated water supply, the students generated public interest and momentum, which resulted in a successful vote to add fluoride to the water supply. In addition, they were able to add to the assessment compiled by the Planning Department employees and increase the CSAPD's awareness of health concerns as an important area to assess within a community. The resulting assessment was more comprehensive than it would have been without the students' input. This use of collaboration provides a model other faculty may adopt for community assessment.

Arthroscopic localization of medial collateral ligament injury: Report of 2 cases in adults.

Injury to the medial collateral ligament has previously been assessed primarily using the clinical examination and magnetic resonance imaging. In this article, we describe an adjunct to these diagnostic tools: an arthroscopic observation to assess the specific location of the medial collateral ligament injury.

Estradiol or methoxychlor stimulates estrogen receptor (ER) expression in uteri.

The estrogenic pesticide methoxychlor (MXC) abnormally alters reproduction in rodents. The influence of MXC on expression of the estrogen receptor (ER) gene was investigated in the uterus of BALB/c mice and compared to the effect of estradiol. Uterine epithelium in control mice is devoid of ER until 5 d of life. Sesame oil, 10.0 micrograms estradiol 17 beta or 1.0 mg of base-washed 95% MXC were injected into neonates (days 1 to 4) and immature mice (days 10 to 14), after which they were sacrificed. By day 5, E or MXC induced production of nuclear ER mRNA and its translation in uterine epithelium. The mRNA was detected by in situ hybridization and ER protein by immunocytolocalization. In controls, ER was present only in stroma and myometrium. By day 15, the nuclei of uterine epithelium, stroma, and myometrium expressed the ER gene, with no apparent influence of E or MXC. Both E and MXC induce premature nuclear expression of the ER gene in neonatal uterine epithelium, without apparent change in ER gene expression between days 10 and 14 of life.

Effects of lensed-indirect and parabolic lighting on the satisfaction, visual health, and productivity of office workers.

A pre- and post-renovation survey evaluated the reactions of office workers to two office lighting systems: a parabolic downlighting system and a ceiling suspended, lensed-indirect uplighting system. Questionnaire data on work content, perception of ambient environmental conditions (including office lighting), work-related health symptoms, job stress, job satisfaction, and self-reported productivity, and environmental data on illumination, air temperature, and relative humidity were collected. The lensed-indirect lighting system was more favourably rated on several subjective lighting impressions scales, and for computer work workers reported fewer screen glare problems, and fewer and less frequent problems with tired eyes and eye focusing. Productivity was less hindered by the lensed-indirect lighting, and satisfaction with office lighting and ratings of lighting quality were significantly higher for this system. These reactions were not associated with any differences in levels of illumination between the lighting systems. Ratings of lighting satisfaction and lighting importance were inversely related. Overall, some two-thirds of workers indicated a preference for working under the lensed-indirect lighting system.

Distribution of ventilation and perfusion with different modes of mechanical ventilation.

We compared pulmonary gas exchange during synchronized intermittent mandatory ventilation (SIMV), pressure support ventilation (PSV), and airway pressure release ventilation (APRV). Nine subjects aged 56 to 75 yr were studied from 4 to 19 h after cardiac operations. When subjects were ready to be weaned from mechanical ventilation their ventilation-perfusion distribution was estimated using the multiple inert gas elimination technique during SIMV. The subjects then received PSV and APRV during alternating periods on a randomized basis, and the gas-exchange measurements were repeated. Vasoactive infusions and inspired oxygen fraction were held constant throughout the investigation. The results indicated that the major characteristics of the main mode of the VA/Q distributions (mean, standard deviation, and skew) were similar during all three modes. Dead space was lower during APRV (30.1 +/- 1.7% [SEM]) than during SIMV (36.2 +/- 1.5%) and PSV (37.1 +/- 2.7%) (p less than 0.05). Right-to-left shunt was significantly greater during APRV (19.9 +/- 2.3%) than during SIMV (15.4 +/- 1.7%) (p less than 0.05). Peak airway pressure (Paw) was higher during SIMV (32.8 +/- 1.3 cm H2O) than both PSV (19.4 +/- 2.1 cm H2O) and APRV (14.3 +/- 1.0 cm H2O) (p less than 0.05). Minute ventilation was lower during APRV (7.5 +/- 0.07 L/min) than during SIMV (9.4 +/- 0.6 L/min) and PSV (9.0 +/- 0.5 L/min) (p less than 0.05). Hemodynamic variables were similar during all three modes. We conclude that all three modes provide acceptable oxygenation and ventilatory support.

Precipitation of nucleic acids with poly(ethyleneimine).

Removal of nucleic acids from cell extracts is a common early step in downstream processing for protein recovery. We report on the precipitation of nucleic acids from a homogenate of Saccharomyces cerevisiae by addition of the cationic polyelectrolyte poly(ethyleneimine) (PEI), focusing on the effect of PEI dosage on particle size, protein loss, and extent of nucleic acid removal in both batch and continuous mode. Better than 95% removal of nucleic acids from yeast homogenates was achieved by means of precipitation with PEI with protein losses of approximately 15% with or without previous removal of cell debris. The coprecipitated protein is predominately large molecular weight material and exhibits both low and high isoelectric points. Such treatment does not aggregate the cell debris; size distribution of the precipitated particles from a continuous precipitator is very similar to that for protein precipitation.

Effect of carbon dioxide on the growth and form of Candida albicans.

The effect of CO2 on the growth of 31 strains of Candida albicans was studied in serum and in a defined medium containing urea, ammonium chloride, asparagine, glutamine or acetamide as the nitrogen source. CO2 10% enhanced the mycelial growth of all strains when the medium contained an appropriate constituent to mediate its effects. The effect of CO2 was most clearly demonstrated at 30 degrees C when it induced a characteristic growth form consisting of a single swollen blastospore giving rise to a long, unbranched mycelial tube with few secondary blastospores; in atmospheric concentrations of CO2 only blastospore growth occurred. Growth in the blastospore form was more rapid in CO2 10% than in air. Bicarbonate ions had no effect on mycelium formation. The result suggest that the induction of germ-tubes and mycelial growth is essentially a physical phenomenon caused by the intracellular accumulation of CO2 in limited nutrient conditions, a view consistent with other reported laboratory and clinical findings.

Improvements in the technique of spinal subarachnoid recirculatory perfusion.

With 14C-labeled dextran as the tracer, studies of the original configuration of spinal recirculatory perfusion and the original model for data analysis demonstrated that this approach does not yield acceptable accuracy in determining cerebrospinal fluid (CSF) formation (Fcsf) and absorption (Acsf) rates. A significant component of this error was due to the fact that the method of data analysis used originally is not based on a realistic mathematical model of the system. A more realistic mathematical model resulted in two simultaneous differential equations that did not have simple analytical solutions and, therefore, could not be used easily for data analysis. By computer simulation, a comparison of the more realistic model with the original model demonstrated that, under ideal conditions, there was a 10% error inherent in the original data analysis method. In the experimental setting, the magnitude of this inherent error is probably 20%. There were three other major problems with the original system: (a) one could not tell when enough data had been collected to ensure convergence of the data analysis algorithm; (b) calibration of the syringe pump in the external circuit was not accurate for short infusion periods; and (c) the presence of the syringe in the external circuit unnecessarily lengthened the period of nonhomogeneous mixing. A new system configuration and new data analysis methods have been developed. In the new system, the syringe is removed from the external circuit and intracranial pressure is controlled by infusion from a separate reservoir where the pressure head is maintained at any desired level by feedback control. Spectrophotometry is used to measure tracer concentration in the external circuit. Data collection and analysis are fully automated under computer control so that, during an experimental run, the investigators are updated at 1- to 2-second intervals as to the convergence of the data analysis routine. Data analysis methods for the new system are superior to previous methods because the models are realistic and no extrapolation is required. In addition, all of the data during the initial period of nonhomogeneous mixing are used to calculate Fcsf and Acsf. With the new system and a simple phantom of the CSF system, the mean error in finding Acsf was 1.7 +/- 1.2% for 27 determinations covering a wide range of absorption rates. Fcsf could be determined to within 0.001 ml/minute. In up to six sequential pressure plateaus, the magnitude of error did not increase with each subsequent run.(ABSTRACT TRUNCATED AT 400 WORDS)

The acid end-products of glucose metabolism of oral and other haemophili.

The acids produced in broth culture by various species of oral haemophili and by stock strains of capsulated and other haemophili were identified and measured by gas-liquid chromatography. Succinic acid was the major acid end-product of all strains, with acetic acid also being regularly produced but in smaller amounts. A stock strain, Haemophilus parainfluenzae NCTC 4101, produced less succinic acid than other strains of haemophili. Strain NCTC 4101 possessed all the enzymes of the tricarboxylic acid cycle, as previously reported, but in the other haemophili examined only succinic dehydrogenase, fumarase and malate dehydrogenase could be detected. No other enzymes of the tricarboxylic acid cycle were detected and isocitrate lyase, malate synthase and pyruvate carboxylase were also absent. Phosphoenolpyruvate-carboxylase was present in all strains. A partial tricarboxylic acid cycle and marked malate dehydrogenase activity appear to be characteristic of haemophili. The pathway to succinate in haemophili appears to be via carboxylation of phosphoenolpyruvate to oxalacetate and thence via malate and fumarate. The results of tracer studies on a single oral strain of H. parainfluenzae using various labelled substrates were in keeping with this proposed metabolic pathway.

Aspects of the pathogenicity of some oral and other haemophili.

The pathogenicity of the predominantly non-capsulated, V-factor requiring haemophili that are commonly recovered from oral infections has been explored by studies of their endotoxins and infectivity as compared with those of Haemophilus influenzae. Similar yields of endotoxin (2.40-2.59% w/w) were obtained from all the haemophili examined except H. haemolyticus (1.61% w/w). The lipopolysaccharide (LPS) extracts all contained heptoses but not 2-keto-3-deoxyoctonate (KDO). The fatty acid compositions of the lipid-A fractions were essentially similar but comprised 76% of the LPS in the H. influenzae type d strain tested and only 20% in the H. influenzae type b strain and some strains of H. parainfluenzae. All extracts contained arachidic acid, which may be unique to haemophili. The endotoxins from all strains produced characteristic pyrogenic and polymorph effects in rabbits. The endotoxins from the pharyngeal X- and V-factor-requiring strains had LD50 values for actinomycin-D-sensitised mice of 2.4-2.7 micrograms/kg, and were about eight times more potent than those from the oral V-factor-requiring strains (LD50 values 17.2-22.4 micrograms/ml). Approximately ten thousand times more free endotoxin was detected in broth cultures of H. influenzae type b than in those of oral haemophili, and this greater endotoxin release was not associated with a greater degree of autolysis. Endotoxin release from viable cells may be important in the pathogenicity of this organism. H. influenzae type b was much more potent in producing infection in chambers implanted subcutaneously in guinea pigs than were oral strains of haemophili; only 10 type b organisms were required, compared with 9 X 10(5) of H. parainfluenzae. However, in infections maintained for 90 days, the numbers of haemophili--c. 10(7)/ml of chamber fluid--were similar for all the test strains. Thus, although the oral haemophili lack special attributes of invasiveness and resistance to host defences, they are not devoid of pathogenic potential and, if allowed to proliferate, may become an important element in an infection.

Benign intracranial hypertension in pregnancy: current diagnostic and therapeutic approach.

Four cases of benign intracranial hypertension (BIH) in pregnancy are presented. Literature regarding this rare entity is reviewed. Various diagnostic and therapeutic approaches in the management of BIH are described, with special emphasis on the newer neurodiagnostic and neurosurgical approaches. Guidelines have been suggested in diagnosing and managing this syndrome in pregnancy.

A follow-up study of the geographic distribution of selected malignancies among Kentucky residents, 1969-1976.

A study of 533 brain tumors, 339 lung tumors, and 299 breast tumors was made in a contiguous six-county area of Kentucky to determine if a previous clustering of brain tumors with a rate 3.37 times the state rate still existed. No significant difference in incidence by age, sex, or race could be found between this six-county area and the entire state. It was therefore concluded that either the original study constituted a statistical artifact, or that the factors responsible for the initial observed increase are no longer operative.

Gangliosides and other lipid micelles. A study of amine binding by a dialysis/fluorescence method.

The binding of serotonin to bovine adrenal medulla gangliosides (BAMG), bovine brain gangliosides (BBG), and BBG-synthetic lecithin mixed micelles has been demonstrated by a rapid technique using fluorescence monitoring of dialysis rates. BAMG micelles bound 0.10 mM serotonin at about half the efficiency of BBG micelles having the same sialic acid concentration (0.50 mM) in water. In water, the effect of BBG micelles was essentially identical to that of mixed micelles containing the same quantity of BBG. Ca2+ (1.20 mM), however, cancelled the effect of the mixed micelles on serotonin dialysis and reduced the effect of BBG micelles to about one quarter of that observed in water. These and other observations are related to earlier studies and to neurochemical processes which may involve gangliosides.

Occurrence of haemophili in dental plaque and their association with neuraminidase activity.

The mean concentration of haemophili in 31 specimens of plaque was 1.23 times 10(6) per milligram or approximately 4.4% of the viable bacteria present. Occurrence of different species was similar to saliva with Haemophilus parainfluenzae constituting 87.8%. Most haemophili produced neuraminidase and appeared to be primarily responsible for the small amounts of this enzyme in plaque.