[Exercise testing in cardiology]. / Belastungs-EKG (Ergometrie).

Cardiac imaging plays an increasing role in exercise testing. However, exercise testing with ECG remains a classical and basic approach to analyze cardiac function and to screen for coronary artery disease. Maximal testing, i. e., terminated by exhaustion of the patient, is important to achieve a reliable diagnostic result. New parameters have been introduced such as recovery heart rate, blood pressure and functional capacity. These parameters improve risk stratification, thus, increasing prognostic power of exercise testing. General and specific quality management has still to be improved in exercise testing.

200 TW 45 fs laser based on optical parametric chirped pulse amplification.

200 TW peak power has been achieved experimentally using a Cr:forsterite master oscillator at 1250 nm, a stretcher, three optical parametrical amplifiers based on KD*P (DKDP) crystals providing 14.5 J energy in the chirped pulse at 910 nm central wavelength, and a vacuum compressor. The final parametrical amplifier and the compressor are described in detail. Scaling of such architecture to multipetawatt power is discussed.

[Syncope in a young man of Turkish origin]. / Synkope bei einem jungen Mann türkischer Herkunft.

A young male patient of Turkish origin developed a syncope after the consumption of so-called "pontic honey" from the black sea coast. Further symptoms were sinus bradycardia, hypotension and gastrointestinal problems. Intoxication caused by grayanotoxins was presumed. Complete recovery occurred within a few hours under symptomatic therapy. Intoxication due to grayanotoxins from "pontic" honey are rare in Western Europe and should be taken into consideration in patients with unexplained bradycardia and a travel history to countries of the black sea coast.

Filter immunocytology: methodologic evaluation of a new assay for the diagnosis of urothelial cancer.

OBJECTIVE: Several investigators have demonstrated the high sensitivity of immunocytology in the diagnosis of transitional cell carcinoma (TCC). A new technique, designated "filter immunocytology" (FLIC), simplifies the technique of quantitative immunocytology, considerable decreases assay time and increases the percentage of assessable specimens. STUDY DESIGN: Voided urine samples were obtained from 89 patients without evidence of TCC and from 91 patients with histologically proven TCC. The cells were transferred onto a polycarbonate membrane. Immunostaining was performed using monoclonal antibody. Due ABC 3, directed against a differentiation antigen on urothelial cells. Specimens containing > 35% positive urothelial cells were regarded as abnormal. RESULTS: Of 153 specimens 180 (85%) were assessable. The investigation of 76 specimens from control patients and 77 from patients with TCC yielded a specificity of 86% and a sensitivity of 75%, respectively. Sensitivity did not correlate with tumor grade. Despite high interobserver and intrapatient variations regarding the amount of antigen-positive cells, a concordant attribution to either "normal" or "abnormal" was made in > 95% of cases. Intraobserver variation was small and did not influence the test result. CONCLUSION: These results suggest that FLIC assay may be a valuable adjunct to conventional cytology. A careful prospective investigation appears to be worthwhile to further define the indications for this technique.

Cucumber T-complex protein. Molecular cloning, bacterial expression and characterization within a 22-S cytosolic complex in cotyledons and hypocotyls.

T-complex protein (TCP) found in mammalian cells and yeast has been proposed as cytosolic folding machinery. We report here the cloning and initial characterization of a plant TCP cDNA. CSTCP-1 cDNA prepared from mRNA of cotyledons of germinating cucumber seeds encodes a polypeptide composed of 535 amino acid residues. The 59157-Da protein exhibits only 28% identity to both TCP-1p from yeast or and its homolog in Arabidopsis thaliana. Antibodies raised against the bacterially expressed plant protein were used to analyze the intracellular localization of TCP in two different plant tissues: fat-degrading non-dividing cotyledons and meristematic hypocotyls during seed germination. Cell fractionations included differential centrifugation and sedimentation of large complexes at 23000O x g for 4h. The latter fraction was further fractionated by sedimentation velocity centrifugation. This enrichment was required to detect by Western blotting cytosolic 59-kDa species as constituents of 22-S particles. From hypocotyls, a preparation of T-complex was obtained which consisted almost exclusively of proteins in the molecular range of 57-62 kDa. Likewise, the radioactive Cucumis sativus TCP-1 synthesized from CSTCP-1 mRNA in vitro using reticulocyte lysate was shown to migrate as a 61-kDa species.

The tubulin genes of Trypanosoma cruzi.

The organization of the alpha- and beta-tubulin genes in the genome of Trypanosoma cruzi have been analysed by Southern blotting using tubulin probes derived from Trypanosoma brucei. The tubulin array appears to be more complex in this organism than in other members of the same family. Some tubulin genes are tightly clustered in an alternating (alpha-beta)n array with a basic repeat unit length of 4.3 kb. However, other pairs of alternating alpha- and beta-tubulin sequences appear to be physically separated from the basic group. This finding indicates that the tubulin gene cluster present in T. cruzi is less perfectly conserved than in T. brucei. T. (Herpetosoma) rangeli is similar to T. (Schizotrypanum) cruzi in its tubulin gene organization whereas most of these genes are tandemly clustered in the genome of T. (Trypanozoon) evansi, with a basic repeat unit length of 3.6 kb as previously described for T. (Trypanozoon) brucei. Two overlapping recombinant clones containing T. cruzi tubulin sequences have been isolated from a genomic cosmid library of T. cruzi epimastigotes using the T. brucei tubulin probes. Partial sequencing of the T. cruzi beta-tubulin gene has confirmed its identity and shows more than 70% homology with the sea urchin, chicken and T. b. rhodesiense beta-tubulin reported gene sequences. Analysis of tubulin gene organization through the parasite life cycle does not show evidence of major rearrangements within the repeat unit. Several T. cruzi strains and cloned lines whilst sharing the 4.3-kb tubulin repeat unit, exhibited very variable tubulin gene organization with tubulin probes. These striking differences in the organization of this structural gene among T. cruzi strains and cloned lines suggest that the heterogeneity previously reported in parasite populations may be related to a very dynamic, diploid genome.

[Morphological changes in nodes of the celiac plexus as affected by extensive abdominal surgery]. / Morfologicheskie izmeneniia v uzlakh chrevnogo spleteniia pod vliianiem krupnykh abdominal'nykh operatsii.

Experiments on 163 dogs were made to study the time course of histological and ultrastructural changes in celiac plexus nodes after resection of the two-thirds of the stomach as well as after some other large operations on the abdominal organs (economic gastric resection, cholecystectomy, resection of the small intestine). It has been demonstrated that since the first days after operation the gangliocytes and neuroglial cells of celiac plexus nodes manifested histological changes detectable at light and electron microscopy levels. These changes were largely reversible in nature despite destructive processes eventuating in the death of some gangliocytes, pericapsular gliocytes and neurolemmocytes. The most overt changes were observed towards the first week after operation, the number of neurons with reversible changes amounting to 42% and that having the signs of destruction to 9.9%. At the later stages the intensity of the histological changes was noticeably reduced. Analogous data were obtained during studies of the time course of the histological changes after other above-indicated operations. However, the intensity of the changes was substantially less than that seen after resection of the two-thirds of the stomach. The evidence obtained allows the conclusion that the pathological structural changes that develop in the celiac plexus after resection of the two-thirds of the stomach play one of the leading parts in the pathogenesis of the post-gastroresection syndrome.

[Ultrastructure of celiac plexus nodes in the dog]. / Ul'trastruktura uzlov chrevnogo spleteniia sobaki.

A normal structure of the celiac plexus nodes has been studied in 12 mature dogs. As demonstrate the results of the investigation, gangliocytes of the celiac plexus are characterized with a well developed granular cytoplasmic reticulum and a large number of Golgi complexes. In perikaryon of the gangliocytes, an essential number of mitochondria, microtubules, free ribosomes and polysomes, lysosomes, multivesicular bodies, agranular and granular vesicles and neurofilaments are found. The gangliocyte has one nucleus which occupies about 1/3 of the whole area of the cell. The nucleus is rich in chromatin. The nucleolus makes about 1/5 of the whole area of the nucleus and is intensively rich in heterochromatin. In the celiac plexus nodes amyelinated neural fibers predominate. Dendrites in the gangliocytes differ from axons by a higher electron density of their matrix and contain the same organells that does the perikaryon of the gangliocyte. Rather complex glyoneuronal interrelations are observed in the canine celiac plexus nodes. Synapses are revealed in all ganglionar zones. The axodendritic synaptic contacts predominate over the axosomatic ones.

Comparisons of pilot performance in simulated and actual flight.

Five highly experienced professional pilots performed instrument landing system approaches under simulated instrument flight conditions in a Cessna 172 airplane and in a Link-Singer GAT-1 simulator while under the influence of orally administered secobarbital (0, 100, and 200 mg). Tracking performance in two axes and airspeed control were evaluated continuously during each approach. The data from the airplane and simulator were compared. Error and RMS variability were about half as large in the simulator as in the airplane. The observed data were more strongly associated with the drug level in the simulator than in the airplane. Further, the drug-related effects were more consistent in the simulator. Improvement in performance suggestive of learning effects were seen in the simulator, but not in actual flight. It is concluded that the GAT-1 simulator is a useful and sensitive device for studies of the effects of mild stress on pilot performance, but extrapolation of simulator data to the flight environment must be approached with considerable caution.