Medical care as the carrot: the Red Cross in Indonesia during the war of decolonization, 1945-1950.

During the war of decolonisation in Indonesia 1945-1950, the Dutch Red Cross and the Dutch East Indies Red Cross delivered aid to sick and wounded soldiers and civilians. This was supposed to happen in cooperation with organisations including the Indonesian Red Cross, the International Committee of the Red Cross, the military health service and civilian health services. Due to lack of resources, doctors and nurses, and due to differing interests, cooperation went anything but smoothly, severely undermining medical aid. On top of that, the aid that was given turned out be a tool of propaganda for the Dutch cause. Aid was deliberately--and with Red Cross consent--used as a political-military tool in the service of Dutch national interests. In a military strategy of carrot and stick, medical care served as the carrot.

[A new Spanish enemy; the Spanish flu in the Netherlands in the period 1918-1920]. / Een nieuwe Spaanse vijand.

The Dutch example shows that there are not only differences but also several similarities between COVID-19 and the Spanish flu, although risk of infection and death toll were much higher than they are now, especially at the end of 1918. These similarities include emphasis on the importance of hand washing, prohibition of gatherings (and disregard of these rules), disruption of public life, uncertainty about the nature of the cause, praise of and warnings against ineffective medication as well as debate on use and necessity of certain measures. There is also the social context in which the disease and the measures taken to combat it are happening, with the poor paying the highest price, now as well as then.

Effects of mitotic and tubulin mutations on microtubule architecture in actively growing protoplasts of Aspergillus nidulans.

We used immunofluorescent microscopy to characterize microtubule (MT) architecture in wild-type and mutant protoplasts of Aspergillus nidulans at interphase and at mitosis. Because the visualization of MTs by immunofluorescence is technically difficult in intact hyphae of A. nidulans, we developed a method for removing the cell wall under conditions that do not perturb cell physiology, as evidenced by the fact that the resulting protoplasts undergo nuclear division at a normal rate and that cell cycle mutant phenotypes are expressed at restrictive temperature. Interphase cells exhibited an extensive network of cytoplasmic MTs. During mitosis the cytoplasmic MTs mostly disappeared and an intranuclear mitotic spindle appeared. We have previously shown that the benA 33 beta-tubulin mutation causes hyperstabilization of the mitotic spindle, and we have presented additional indirect evidence that suggested that the tubA1 and tubA4 alpha-tubulin mutations destabilize spindle MTs. In this paper, we show that the benA33 mutation increases the stability of cytoplasmic MTs as well as spindle MTs and that the tubA1 and tubA4 mutations destabilize both spindle and cytoplasmic MTs.

Head-to-tail polymerization of microtubules in vitro. Electron microscope analysis of seeded assembly.

Microtubules are polar structures, and this polarity is reflected in their biased directional growth. Following a convention established previously (G. G. Borisy, 1978, J. Mol. Biol. 124:565--570), we define the plus (+) and minus (-) ends of a microtubule as those equivalent in structural orientation to the distal and proximal ends, respectively, of the A subfiber of flagellar outer doublets. Rates of elongation were obtained for both ends using flagellar axonemes as seeds and porcine brain microtubule protein as subunits. Since the two ends of a flagellar seed are distinguishable morphologically, elongation of each end may be analyzed separately. By plotting rates of elongation at various concentrations of subunit protein, we have determined the association and dissociation rate constants for the plus and minus ends. Under our conditions at 30 degrees C, the association constants were 7.2 X 10(6) M-1 s-1 and 2.25 X 10(6) M-1 s-1 for the plus and minus ends, respectively, and the dissociation constants were 17 s-1 and 7 s-1. From these values and Wegner's equations (1976, J. Mol. Biol. 108:139--150), we identified the plus end of the microtubule as its head and calculated "s," the head-to-tail polymerization parameter. Surprisingly small values (s = 0.07 +/- 0.02) were found. The validity of models of mitosis based upon head-to-tail polymerization (Margolis et al., 1978, Nature (Lond.) 272:450--452) are discussed in light of a small value for s.

Polarity of microtubules nucleated by centrosomes and chromosomes of Chinese hamster ovary cells in vitro.

The structural and growth polarities of centrosomal and chromosomal microtubules were studied by analyzing the kinetics of growth of these microtubules and those initiated by flagellar seeds. By comparing rates of elongation of centrosomal and flagellar-seeded microtubules, we determined whether the centrosomal microtubules were free to grow at their plus ends only, minus ends ony, or at both ends. Our results show that centrosomal microtubules elongate at a rate corresponding to the addition of subunits at the plus end only. The depolymerization rate was also equivalent to that for the plus end only. Chromosomal microtubule elongation was similar to the centrosome-initiated growth. Since the data do not support the hypothesis that both ends of these spindle microtubules are able to interact with monomer in solution, then growth must occur only distal or only proximal to the organizing centers, implying tha the opposite ends in unavailable for exchange of subunits. Experiments with flagellar-seeded microtubules serving as internal controls indicated that the inactivity of the minus end could not be accounted for by a diffusible inhibitor, suggesting a structural explanation. Since there is no apparent way in which the distal ends may be capped, whereas the proximal ends are embedded in the pericentriolar cloud, we conclude that centrosomal microtubules are oriented with their plus ends distal to the site of nucleation. A similar analysis for chromosomal microtubules suggests that they too must be oriented with their plus ends distal to the site of initiation.

Spread of bacteria on surfaces when cleaning with microfibre cloths.

The impact of environmental contamination on nosocomial cross-transmission is mostly unresolved and in Danish hospitals assessment of cleaning is based on visible criteria only. The use of premoistened microfibre cloths and the 16-side method have been introduced into Danish hospitals because of economic and ergonomic advantages but they have not been evaluated for applicability in hospital cleaning. Our hypothesis was that this method may spread bacteria. A surface was contaminated with bacteria (4 cfu/bacteria/cm(2)), and cleaned with a premoistened microfibre cloth folded to 16-side use. Each of 15 sterile surfaces was cleaned with a new side of the microfibre cloth; imprints were made and the experiment repeated 12 times. After cleaning, the contaminated surface imprints of microfibre cloths showed a median of 45.5 cfu/plate for E. faecalis and 2.5 cfu/plate for B. cereus. Median values from imprints from cloth sides 2-16 were between 1 and 12 cfu/plate for E. faecalis and 0 cfu/plate for B. cereus. Imprints of the contaminated surfaces were a median of 45.5 cfu/plate for E. faecalis, giving a reduction of 5.6-fold. For B. cereus the median value was 0 cfu/plate. The surface numbers 2-16 had median values between 0.5 and 7.5 for E. faecalis, which was spread to 11-15 of the 15 sterile surfaces (P<0.01). B. cereus was found in six out of 180 imprints on surfaces 2-16, all with 1 cfu/plate (non-significant). The implication is that although there was an overall reduction in bacterial counts on the contaminated surface, bacteria were spread to subsequently cleaned surfaces.

[Georg Friedrich Nicolai: war physician against war]. / Georg Friedrich Nicolai: oorlogsarts tegen oorlog.

Georg Friedrich Nicolai was a German professor and heart specialist who was one of the few who protested against the war at the beginning of World War I. As a result, he lost his job and was convicted. After the war, right-wing nationalist students and lack of support from his university superiors made it impossible for him to teach. He left Germany in 1922, never to return. In his book, Die Biologie des Krieges (The Biology of War), which was published in neutral Switzerland in 1917, he contradicted the social Darwinist idea - supported by many physicians as well - that war strengthened humanity, people and races, physically and mentally. On the contrary, he argued, war is biologically counterproductive.

Affordable techniques for fabricating large array of functional nanowires: From DNA to micellar systems.

Large arrays of aligned DNA and polymeric nanowires ranging from 20 to 100 nm in diameter are fabricated by de-wetting of patterned surfaces. Compared to other nanofabrication techniques, our approach is robust, fast and low cost. In addition, arrays of functionalized nanowires for bio/chemical applications can be simply produced at large scale.

The effects of open leaf burning on spirometric measurements in asthma.

The purpose of our study was to determine the effects of open leaf burning on asthmatic subjects. Seven subjects with known asthma of varying severity, along with three normal control subjects, were walked 0.5 mile with and without exposure on the same day, under very similar environmental conditions. An acute spirometric broncho-constrictive response was observed within 30 min of exercise with exposure to leaf burning in two of the seven asthmatic subjects. Five of the seven showed an overall drop in parameters measured. No significant change in the FEV1 was seen in the normal subjects with either protocol, nor in the asthmatic subjects during low level exercise alone. The results of our study suggest that open leaf burning under normal community-allowed conditions may represent a significant health hazard for some asthmatic subjects.

Staphylococcus aureus carriage and infections among patients in four haemo- and peritoneal-dialysis centres in Denmark. The Danish Study Group of Peritonitis in Dialysis (DASPID).

A three-month prospective surveillance study was undertaken in four dialysis centres to establish the prevalence of Staphylococcus aureus carriage in a Danish population of patients on haemodialysis (HD) or on continuous ambulatory peritoneal dialysis (CAPD). General data such as sex, age, diagnosis, number of months in dialysis, hospital and ward were registered on a precoded form. Standardized nose and four skin swabs (axillae, groins, perineum) were performed on the first day of the survey. After one and two months, nose swabs were collected. Infections were registered and cultures were sent for phage-typing together with the S. aureus strains isolated from the swabs; 59.5% of HD patients and 51.2% of CAPD patients carried S. aureus. Permanent carriage was most frequent (P < 0.00009), primarily in the nose (44.0 and 34.9%, respectively in HD and CAPD). Skin carriage alone was rare (2.4 and 4.7%). Approximately one third (36.6 and 40.7%) of infections were caused by S. aureus. Although diabetics were not significantly more frequent carriers (60.5%) than non-diabetics (55.0%), the incidence of infection was much higher (26.3% vs. 10.3%, P = 0.004). In CAPD, peritonitis and tunnel/exit-site infections predominated (81.4%), often caused by S. aureus (34.8%). More than two thirds of the infections in HD patients were related to intravascular catheterization. The most serious infection was septicaemia, in all cases due to S. aureus. S aureus infections occurred significantly more frequently among carriers (P = 0.005), and more than half the patients were infected by the same or possibly the same strain as they carried in the nose or on skin. Different regimens for the elimination of S. aureus carriage in dialysis patients are discussed. A policy for risk assessment of patients should be developed, and the elimination of S. aureus carriage before dialysis should be encouraged. Controlled trials comparing the cost-effectiveness of recommended regimens to eliminate carriage in HD/CAPD patients are needed. Nose swabs are reliable indicators of carriage in dialysis patients.

Early warning-system for operation-failures in biological stages of WWTPs by on-line image analysis.

By the observation and evaluation of the microscopic picture of activated sludge samples it is possible to introduce another biological parameter additional to conventional physico-chemical parameters for the control of biological stages of waste water treatment plants. Considering the fact that parameters like floc size and floc size distribution, structure of the flocs (compact/open), shape of the flocs (round/irregular) allow perceptions of the adjusted operation conditions of the biological stages, evidence for changing operation conditions or threatening operation disturbances can be recognised. This recognition takes place at a very early phase, because the morphology of activated sludge flocs reacts very fast to changing conditions. An automatic image analysis of activated sludge floc pictures would enable the introduction of a new sum parameter to enhance operation control of aeration tanks. By a statistical evaluation of the processed sludge images several parameters can be used to describe the alteration of activated sludge flocs characteristics. With these biological parameters it is possible to detect altered operation conditions or threatening or existing operation problems at an early phase. Thus it is possible to plan suitable countermeasures. Furthermore, the microscopic picture is the only parameter, that gives important information about the structure of the activated sludge flocs and the biozenosis. In comparison with the mainly used physico-chemical parameters, that just give information about the inlet and outlet of the wastewater treatment plants, the microscopic picture is the only parameter that gives information about the biology of the wastewater treatment process. By means of this biological parameter an improved control and regulation of the biological stages of wastewater treatment plants can be obtained.

[Somatic and psychological symptoms in soldiers after military clashes and peace-keeping missions]. / Lichamelijke en psychische klachten bij militairen na oorlogshandelingen en vredesmissies.

Dutch soldiers who have participated in the peace keeping operation United Nations Transitional Authority in Cambodia (UNTAC) have reported various somatic and psychological symptoms since their return. Their symptoms show similarities to the Gulf War Syndrome. The question arises whether Gulf War Syndrome, symptoms in UNTAC soldiers and other symptoms after acts of war and peace operations are unique syndromes or comparable complaints? From an historical overview it is not plausible that new and unique syndromes will occur with each war or peace operation. On the other hand it also seems unlikely that war syndromes can be reduced to one diagnostic category. The post-Cambodia complaints may be described in four hypothetical models: the somatic start model, the psychotrauma start model, the premorbidity model and the complaints-not-related-to-Cambodia model. These models are expected to be applicable, after further validation, to other symptoms after acts of war and peace operations. Also they will provide points of application for prevention and treatment of symptoms after future wars and peace operations.

[An attempt to combine humanitarianism and pacifism. The Red Cross and the Dutch movement for international peace]. / Een poging tot samengaan van humanitarisme en pacifisme. Het Rode Kruis en de nederlandse Beweging voor Internationale Vrede.

Both the International and the Dutch Red Cross were heavily damaged by World War II. The Red Cross movement especially was blamed for its lack of care for persecuted Jews and political prisoners. To restore its reputation all kinds of initiatives were taken. Amongst these was an attempt of the Dutch Red Cross to cooperate with several pacifist movements in the Dutch Movement for International Peace and Security. It seemed a good and sensible initiative, especially in 1945, but although it was supported by international Red Cross resolutions, it failed. The DRC grew immensely in numbers in the years after 1945. With the cold war coming up the peace movement lost most of its popularity and therefore lost its attraction for the Red Cross as a partner. As in the rest of its mutual history, the attempt to humanise war did not mix with the wish to abolish it.

The reification of normalcy.

Many researchers who investigate the putative effects of violent television on normal children claim there is a lifetime sociopathic effect on many of the children who watch. There may be. But there is a prevailing assumption that because television can produce sociopathic effects in a laboratory, that it does outside the laboratory. In addition, uncritical assumptions of psychological normalcy among most viewers are so prevalent among researchers in this field that any pathological lifetime effect may be exaggerated. The incidence of psychopathology, especially among nonrandom subject samples obtained from public schools, may be higher than investigators suspect, which could lead to overestimates of pernicious effects by television on children. Because pathological children are more vulnerable to commercial television's putative sociopathic effects than are normal children, they may bias study results toward sociopathic attitudes and behaviors, thus misleading researchers into believing that television has a greater sociopathic effect on normal populations than it actually has. Those psychopathologies are reviewed and prospective remedies are suggested for helping those children cope with the possible sociopathic effects of violently oriented television.