We present titrations of the human delta beta-globin gene region with DNA minor groove binders netropsin, bisnetropsin, distamycin, chromomycin and four bis-quaternary ammonium compounds in the presence of calf thymus topoisomerase II and DNase I. With increasing ligand concentration, stimulation and inhibition of enzyme activity were detected and quantitatively evaluated. Additionally we show a second type of stimulation, the appearance of strong new topoisomerase II cleavage sites at high ligand concentrations. The specific binding sites of the minor groove binders of the DNA sequence and their microscopic binding constants were determined from DNase I footprints. A binding mechanism for minor groove binders is proposed in order to explain these results especially when ligand concentration is increased.

Animals↗

PubMedDate not supplied

Neurobehavioural consequences of prenatal low level exposures to lead.

A cohort of 318 children born in three Sydney hospitals between April 1982 and March 1983 were recruited into a five year prospective study designed to investigate the relationship between low level lead exposures and neurobehavioural development. Blood samples were obtained at the time of birth, then at 6 month intervals to 4 years and then at 5 years; neurobehavioural and physical measures were taken at 6 months, 12 months and hence annually to 5 years. This paper presents some of the findings from the first three years of the study and addresses the issue of the relationship between fetal exposures to lead and child development to three years. Maternal and cord blood lead levels were in range 0-29 microgram/dl with the majority less that 15 micrograms/dl. The geometric means were, respectively, 9.1 micrograms/dl and 8.1 micrograms/dl. The analyses presented do not support the hypothesis of a relationship between maternal and cord blood lead levels in this range and developmental deficits in young children to the age of three years.

Adult↗

PubMedDate not supplied

Comorbid personality impairment in body dysmorphic disorder.

Personality impairment was evaluated in 17 body dysmorphic disorder (BDD) patients undergoing a treatment study of clomipramine versus desipramine. Semistructured interviews were administered using both categorical (Structured Clinical Interview for DSM [SCID II]) and dimensional (Dimensional Assessment of Personality Impairment [DAPI]) methods. Personality measures were also correlated with a range of clinical variables (severity of BDD and depressive symptoms, age, duration of illness, and response to treatment). A secondary aim of the study was to provide preliminary validation for the DAPI. Consistent with previous studies, BDD patients showed considerable personality pathology. By SCID II, patients met criteria for a mean of 2.53 personality disorder diagnoses; 87% of patients met criteria for at least 1 diagnosis and 53% for more than 1. Cluster C diagnoses were the most common. Mean scores for the DAPI were 2.63 (3 = mild impairment) to 6.41 (7 = severe impairment), averaging 5.26 (5 = moderate). With regard to the DAPI, the results provided preliminary evidence of good reliability and validity. Moreover, both personality measures were highly intercorrelated. Although SCID II diagnoses correlated with baseline depression (Hamilton Rating Scale for Depression [HRSD]) scores, there were few other significant correlations between personality and other clinical variables. Of note, however, treatment responders demonstrated less personality impairment than nonresponders. The finding that personality measures were highly intercorrelated but, on the whole, not well correlated with other clinical measures supports the distinct and dissociable nature of personality phenomena in BDD. Despite the small sample size, these results suggest that personality impairment appears to be significant factor in BDD and may even play a role in treatment response.

Adult↗

PubMedDate not supplied

Doppler color flow imaging in detection and mapping of left coronary artery fistula to right ventricle and atrium.

Two patients who had left coronary artery fistulas that drained into the right ventricle (case 1) and right atrium (case 2) were studied with combined two-dimensional echocardiography and Doppler color flow imaging. The origin of the fistulas from the left coronary artery, their course, and drainage sites were readily identified. These cases illustrate the enhanced identification of left coronary artery fistulas and the drainage sites with the addition of Doppler color flow imaging to two-dimensional echocardiography.

Adult↗

PubMedDate not supplied

TSH receptor in adipose cells.

Although there have been reports supporting the presence of the TSH receptor (TSHR) in human adipose tissue, these findings are still not universally accepted. Contributing to the controversy is a paucity of data about the physiological role the TSH receptor might play in adipose cells. In addition to mature lipid-filled adipocytes, adipose tissue also harbors a pool of specialized, fibroblast-like preadipocytes within the stromal-vascular compartment. Upon appropriate induction, preadipocytes can either differentiate into adipocytes or undergo apoptosis. Since TSHR has been detected in preadipocytes and adipocytes, its potential impact on adipose tissue function may relate to differentiation stage-specific cellular properties.

Adipocytes↗

PubMedDate not supplied

Nurses' attitudes toward organ donation: an Australian perspective.

Australia's rate of organ donation, which has shown a continuing downward trend, is among the lowest in the developed world. Research has demonstrated that nurses' attitudes and behaviors are important functions in organ donation, particularly retrieval. This study investigated the attitudes and knowledge levels about organ donation of paediatric nurses in a large metropolitan children's hospital and nurses in two rural hospitals. The results highlight the role that critical care nurses and advanced practice nurses need to play in improving levels of organ donation.

Attitude of Health Personnel↗

PubMedDate not supplied

Sequence specific modulation of DNA restriction enzyme cleavage by minor groove binders.

The inhibition of restriction endonuclease cleavage by a series of bisquaternary ammonium derivatives (BQA-derivatives) which bind to the minor groove of DNA has been studied. The derivatives considered included six sequence-selective binders (SN 6570, SN 6999, SN 6050, SN 6132, SN 6131 and SN 18071) and four non-specific binders (SN 6113, SN 5754, SN 6324 and SN 4094) and can be distinguished by their activity on restriction endonucleases. Digestion experiments with pUC19 DNA were monitored electrophoretically using the transition of the covalently closed circular (ccc) DNA into the linear double stranded (lds) one. Only the sequence-specific binders inhibit the cleavage activity of restriction endonucleases EcoRI, SspI and DraI with four and six dAdT-base pairs within their restriction sites, while the activity of SalI and BamHI with less than four dAdT-sequences was unaffected. In contrast, the non-specific binding ligands were incapable of suppressing enzyme digestion. The inhibition of the restriction endonuclease PvuII indicates that ligand binding in close vicinity to the cleavage sites is also involved in the enzyme inhibition. The dAdT-content in proximity to the palindromic sequences of three DraI cutting sites in pUC19 DNA explains why the derivative SN 6053 protects these sequences in different manners. Gel shift experiments indicated that BQA-derivatives inhibit the DNA-enzyme complex formation if the ligand was added to the DNA before the enzyme. In contrast, complex formation between DNA and enzyme remained unchanged when the enzyme was added first.

Deoxyribonucleases, Type II Site-Specific↗

PubMedDate not supplied

Computer-generated dot maps as an epidemiologic tool: investigating an outbreak of toxoplasmosis.

We used computer-generated dot maps to examine the spatial distribution of 94 Toxoplasma gondii infections associated with an outbreak in British Columbia, Canada. The incidence among patients served by one water distribution system was 3.52 times that of patients served by other sources. Acute T. gondii infection among 3, 812 pregnant women was associated with the incriminated distribution system.

Acute Disease↗

PubMedDate not supplied

An outbreak of mumps among young adults in Vancouver, British Columbia, associated with 'rave' parties.

UNLABELLED: In early 1997 an unexpectedly high number of cases of mumps was reported in Vancouver, British Columbia. METHODS: A case control study was conducted to address four objectives: 1) Describe the outbreak and the population at risk, 2) examine the impact of mumps on this population, 3) identify personal risk factors for infection, and 4) test the hypothesis that social gatherings, 'rave' parties in particular, were a risk factor in this outbreak. RESULTS: Mumps infection was associated with: attending a rave party [OR = 17; 95% CI: 2.7-710], residing in Vancouver [OR = 3.7; 95% CI: 1.4-10], and contact with a person with mumps [OR = 13; 95% CI: 2-552], during the 'exposure' period. Vaccine effectiveness, ascertained by self-reported immunization status, was 80% [95% CI: 29%-96%]. CONCLUSIONS: Attendance at rave parties was associated with mumps infection during this outbreak. Many persons aged 17-40 may remain susceptible to mumps; in BC these persons are eligible for one dose of MMR and should be encouraged to be vaccinated.

Adolescent↗