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Circulatory heat sources for canine respiratory heat exchange.

We assessed the roles of the pulmonary and bronchial circulations as potential heat sources to the pulmonary airways during respiratory heat loss, by observing the changes in airstream temperature that accompanied temporary occlusion of the pulmonary or bronchial circulations. Baseline end-expiratory and end-inspiratory airstream temperatures were 35.4 +/- 0.2 degrees C (SEM) and 30.9 +/- 0.3 degrees C, respectively, among all trials. With occlusion of the lower lobe pulmonary arteries for 3 min ipsilateral end-expiratory and end-inspiratory airstream temperatures fell by 2.8 +/- 0.2 and 1.1 +/- 0.2 degrees C, respectively, during hyperpnea with room temperature air, and by 3.5 +/- 0.5 and 1.8 +/- 0.2 degrees C, respectively, during hyperpnea with frigid air. In marked contrast, interruption of the bronchial circulation for 3 min had no effect on airstream temperatures. These data indicate that under these conditions, the pulmonary circulation, but not the bronchial circulation, serves as an important local heat source for respiratory heat exchange within the pulmonary airways.

Animals↗

Airway cooling and rewarming. The second reaction sequence in exercise-induced asthma.

To determine if a relationship exists among the magnitude and rate of airway rewarming, and the severity of bronchial obstruction in thermally induced asthma, we had seven subjects perform three- to four-point stimulus response curves with isocapnic hyperventilation of frigid air with and without pretreatment with inhaled norepinephrine. The latter was employed to alter the heat supplied to the airway walls by producing vasoconstriction. 1-s forced expiratory volume (FEV1) was measured before and 5 min after the cessation of each bout of hyperpnea and before and after norepinephrine. On a separate day, the subjects repeated the above challenges while the temperatures of the airstream in the intrathoracic airways were measured. Prenorepinephrine, FEV1 progressively decreased in a stimulus response fashion as ventilation rose, while norepinephrine shifted this curve to the right. As the level of ventilation increased, the size of the temperature difference between the cooling of hyperpnea and the rewarming of recovery followed suit, and their magnitude was linearly related to the severity of bronchial narrowing. Reducing the mucosal blood supply of the airways with norepinephrine limited rewarming and attenuated the obstructive response. These data demonstrate that the airway narrowing that develops following hyperpnea and the magnitude of the thermal differences are related, and that alterations in blood supply directly affect bronchial heat flux and influence obstruction.

Adult↗

Profound accidental hypothermia in the deep South: clinical experience.

Accidental hypothermia resulting from exposure is generally associated with frigid regions and not with the more temperate areas of the South. However, we present clinical experience from two cases in which the victims of motor vehicle accidents were exposed to the elements for prolonged periods and became profoundly hypothermic. The first patient was a 21-year-old male who was ejected from, and pinned under, his vehicle for approximately four hours in -15 degrees C ambient temperature. Upon admission to the Emergency Room, the patient was unresponsive with fixed and dilated pupils and his core temperature was 25 degrees C. After a prolonged period of cardiopulmonary resuscitation, percutaneous femoral to femoral cardiopulmonary bypass (CPB) was instituted for core rewarming. After reaching 37 degrees C, the patient was removed from bypass. The patient was discharged from the hospital on the fourth postoperative day. The second patient was a 40-year-old male who was ejected from his vehicle into a stream, where he was partially submerged for several hours. Although the ambient temperature was approximately 22 degrees C, his core temperature at admission was 27 degrees C. After a positive peritoneal lavage, the patient was taken to the Operating Room and placed on percutaneous femoral to femoral CPB for core rewarming. During rewarming, an exploratory laparotomy and a splenectomy were performed. The patient was discharged from the hospital on the seventh postoperative day. These cases are unique in that both were trauma patients with suspected internal injuries which required the avoidance of anticoagulation. Therefore, both cases utilized a Carmeda-bonded circuit without systemic anticoagulation.

Accidents, Traffic↗

Hysteria: a case note study.

In a matched retrospective study, 31 patients with hysterical neurosis were compared with 31 with depressive neurosis. There were no significant differences between the groups for siblings' position, medical work, brain disease, poor marriage, frigidity, or family history of psychiatric disorder. Significantly more of the hysterics had a preceding head injury and 29% had a past history of hysteria. By the time of the study 48% had been treated for depression.

Adjustment Disorders↗

G-protein-linked signal transduction systems control development in Dictyostelium.

G-protein-linked cAMP receptors play an essential role in Dictyostelium development. The cAMP receptors are proposed to have seven transmembrane domains and a cytoplasmic C-terminal region. Overexpression of the receptor in cells, when the endogenous receptor is not present, results in a 10- to 50-fold increase in cAMP-binding sites. Antisense cell lines, which lack cAMP receptors, do not enter the developmental program. Ligand-induced phosphorylation is proposed to occur on serine and threonine residues in the receptor C-terminus. The kinetics of receptor phosphorylation and dephosphorylation correlate closely with the shift of receptor mobility and the adaptation of several cAMP-induced responses. Two alpha-subunits, G-alpha-1 and G-alpha-2, have been cloned and specific antisera developed against each. Both subunits are expressed as multiple RNAs with different developmental time courses. The mutant Frigid A has a functional defect in G-alpha-2 which prevents it from entering development. We propose that G-protein-linked receptor systems will be a major component in the development of many organisms.

Amino Acid Sequence↗

Regulatory signals affecting a selective loss of mRNA in Dictyostelium discoideum.

We identified signals that affect mRNA levels complementary to a gene that is highly expressed in vegetative Dictyostelium discoideum cells. This gene has been cloned as cDNA in the plasmid pcD-D2. The level of transcripts homologous to pcD-D2 fell dramatically in strain XP55 during the aggregation stage of development when cells differentiate on agar. The level, however, did not fall simply as a result of starvation or aggregation-specific cell contact. Rather, before the level is reduced cells must be deprived of amino acids and cyclic AMP administered in amounts and at intervals in pulses to mimic cyclic AMP signal-relay in aggregation. This effect can be blocked either with cyclic AMP-S (a non-hydrolysable cyclic AMP analogue) or adenosine, both of which prevent cyclic AMP binding to the cyclic AMP cell surface receptor. It is also blocked in 'frigid' aggregation-deficient mutants HC85 and HC112 known to be defective in a G alpha protein. We conclude that the transcript level is balanced by positive nutritional signals acting against negative signals transduced in part through a cell surface cyclic AMP receptor.

Cyclic AMP↗

Freezing resistance of antifreeze-deficient larval Antarctic fish.

Antarctic notothenioids, along with many other polar marine fishes, have evolved biological antifreeze proteins (AFPs) to survive in their icy environments. The larvae of Antarctic notothenioid fish hatch into the same frigid environment inhabited by the adults, suggesting that they must also be protected by sufficient AFPs, but this has never been verified. We have determined the contribution of AFPs to the freezing resistance of the larvae of three species: Gymnodraco acuticeps, Pagothenia borchgrevinki and Pleuragramma antarcticum. Of the three, only P. borchgrevinki larvae are protected by high, adult levels of AFPs. Hatchling G. acuticeps and P. antarcticum have drastically inadequate AFP concentrations to avoid freezing at the ambient seawater temperature (-1.91 degrees C). We raised G. acuticeps larvae and measured the AFP levels in their blood for approximately 5 months post hatching. Larval serum freezing point was -1.34+/-0.04 degrees C at the time of hatch; it began to decrease only after 30 days post hatch (d.p.h.), and finally reached the adult value (-2.61+/-0.03 degrees C) by 147 d.p.h. Additionally, AFP concentrations in their intestinal fluids were very low at hatching, and did not increase with age throughout a sampling period of 84 d.p.h. Surviving in a freezing environment without adequate AFP protection suggests that other mechanisms of larval freezing resistance exist. Accordingly, we found that G. acuticeps hatchlings survived to -3.6+/-0.1 degrees C while in contact with external ice, but only survived to -1.5+/-0.0 degrees C when ice was artificially introduced into their tissues. P. antarcticum larvae were similarly resistant to organismal freezing. The gills of all three species were found to be underdeveloped at the time of hatch, minimizing the risk of ice introduction through these delicate structures. Thus, an intact integument, underdeveloped gill structures and other physical barriers to ice propagation may contribute significantly to the freezing resistance and survival of these larval fishes in the icy conditions of the Southern Ocean.

Acclimatization↗

Bronchoprotective effects of single doses of salmeterol combined with montelukast in thermally induced bronchospasm.

STUDY OBJECTIVES: Salmeterol (S) and montelukast (M) individually inhibit the obstructive consequences of thermal stimuli such as exercise and hyperventilation (HV), but there is no information on whether these drugs can interact positively. DESIGN: Randomized trial. SETTING: University teaching hospital. PARTICIPANTS: Atopic asthmatic patients with sensitivity to thermal provocations. INTERVENTIONS: Eleven asthmatic patients generated stimulus-response curves to isocapnic HV while breathing frigid air without any interventions and then after pretreatment with 42 mug of S, 10 mg of M, and the combination. The order of testing was randomly determined. MEASUREMENTS AND RESULTS: Minute ventilation (Ve) was increased in 20-L increments until FEV(1) fell >or= 15%. Measurements were obtained before and 1 h after drug administration, and then again 5 min after each bout of HV. In the nonintervention trial, the provocation commenced after the patients presented to the laboratory. In the control challenge, the mean (+/- SEM) FEV(1) decreased 24.6 +/- 1.7% from baseline. S and M both increased the mean prechallenge FEV(1) significantly (S, 10.4 +/- 1.7% [p < 0.01]; M, 4.1 +/- 1.3% [p = 0.02]; S + M, p = 0.01). The combination of S + M produced greater bronchodilatation (mean improvement, 12.4 +/- 2.3%) than M alone (p = 0.004), but not greater than S alone (p = 0.80). Both drugs blunted the obstructive response similarly (protection: M, 34.6 +/- 15.1%; S, 60 +/- 8.7%; p = 0.13). The benefits added arithmetically with the combined regimen (protection with S + M, 84.9 +/- 5.5%; p = 0.01 vs S alone; p = 0.003 vs M alone). CONCLUSION: These data indicate that the concurrent administration of single standard doses of S and M appears to provide greater protection against thermal stimuli than does either drug alone. Further experimentation will be required to ascertain whether the combination will provide additional clinical benefits to patients over those of the single agents.

Acetates↗

The 'Medea fantasy'. An unconscious determinant of psychogenic sterility.

The author begins by pointing out that myths have always been powerful vehicles for the projection of ubiquitous unconscious fantasies. Having noted the importance of certain male protagonists of the Greek myths in Freud's theories, she observes that their female counterparts exert an equal fascination and suggests that the Medea myth as recounted by Euripides can be invoked to elucidate a central unconscious fantasy found to underlie the psychogenic frigidity and sterility of several of her female patients. The manifestation of this 'Medea fantasy' is illustrated by a clinical account in which a dream is analysed. The author next summarises the Medea story as told by Euripides and attempts a psychoanalytic interpretation of it. She draws attention to features of the 'unconscious truth' inherent in the myth that were shared by all the members of her group of patients. A case history then shows how the progressive understanding and working through of the Medea fantasy led to a change in the analysand's experience of femininity and enabled her to have children. It is postulated that both early infantile sexual fantasies and repressed memories of early object-relations traumas such as maternal depression combine with ubiquitous bodily fantasies to produce the unconscious Medea fantasy.

Adult↗

Effect of treatment with bromocriptine on the size and activity of prolactin producing pituitary tumours.

Eleven consecutive patients with large prolactinomas were treated for 6 months with bromocriptine, (7.5 mg/day). Nine had invasion of the sphenoidal sinus, one a visual field defect and one a secondary trigeminal neuralgia. At the end of the treatment period 8 of the first 9 patients showed radiographical signs of bone remodelling and/or actual reduction of the tumour size. The last 2 patients had complete disappearance of their symptoms. The remissions could be observed as early as 3 weeks after the start of the treatment. Two patients suffered acute, reversible (partial in one case) episodes of loss of vision during the study. During the treatment the prolactin values decreased in all patients to an average of 1.7% of the baseline levels. There was a steep rise in the serum prolactin concentrations after withdrawal of the drug. After one month there was a plateauing at a high level, although lower than basal level. Libido and potency were restored in all 3 males studied. Two of the females experienced orgasm for the first time in their lives after some years of primary frigidity. It is concluded that bromocriptine reproducibly reduces the size of prolactinomas. This effect can be observed shortly after the beginning of the treatment and is at least partially reversible. Episodes of pituitary apoplexy may occur during the treatment of large tumours despite an otherwise favourable response.

Adult↗

[The significance of the removal of the uterus for women: a qualitative study].

OBJECTIVE: To identify the myths accepted by women about to undergo hysterectomy regarding the consequences that removal of their uterus might have on their lives. METHODS: A sample of 10 hospitalized women with surgical indication for hysterectomy was used to perform a qualitative study, with semi-structured interviews carried out during the preoperative period. A profile questionnaire was used with questions about personal features and semi-structured inquiries to facilitate deeper questioning. With authorization of the subjects, interviews were recorded and transcribed to perform a thematic analysis of the content. RESULTS: The myths most often mentioned during the interviews were: loss of femininity, frigidity, change in personality, possible change in body appearance (since they would be "hollow", "empty", "have a hole inside their belly"), interference in the affective and sexual life and the belief that their companion might change in relation to them (assuming that they would be hollow, cold, and with no sexual attraction). CONCLUSION: The interviewed women accepted a number of myths about the consequences that removal of their uterus would have on their lives. These myths are related to the social identity of the gender and to a lack of knowledge about their body its organs and functions.

Adult↗

Plant and soil responses to biosolids application following forest fire.

Soil stability and revegetation is a great concern following forest wildfires. Biosolids application might enhance revegetation efforts and enhance soil stability. In May 1997, we applied Metro Wastewater Reclamation District (Denver, CO, USA) composted biosolids at rates of 0, 5, 10, 20, 40, and 80 Mg ha(-1) to a severely burned, previously forested site near Buffalo Creek, CO to improve soil C and N levels and help establish eight native, seeded grasses. The soils on the site belong to the Sphinx series (sandy-skeletal, mixed, frigid, shallow Typic Ustorthents). Vegetation and soils data were collected for four years following treatment. During the four years following treatment, total plant biomass ranged from approximately 50 to 230 g m(-2) and generally increased with increasing biosolids application. The percentage of bare ground ranged from 4 to 58% and generally decreased with increasing biosolids rate. Higher rates of biosolids application were associated with increased concentrations of N, P, and Zn in tissue of the dominant plant species, streambank wheatgrass [Elymus lanceolatus (Scribn. & J.G. Sm) Gould subsp. lanceolatus], relative to the unamended, unfertilized control. At two months following biosolids application (1997), total soil C and N at soil depths of 0 to 7.5, 7.5 to 15, and 15 to 30 cm showed significant (P < 0.05) linear increases (r2 > 0.88) as biosolids rate increased. The surface soil layer also showed this effect one year after application (1998). For Years 2 through 4 (1999-2001) following treatment, soil C and N levels declined but did not show consistent trends. The increase in productivity and cover resulting from the use of biosolids can aid in the rehabilitation of wildfire sites and reduce soil erosion in ecosystems similar to the Buffalo Creek area.

Carbon↗

Antibacterial activity of soil-bound antibiotics.

There is some concern that antibiotic residues in land-applied manure may promote the emergence of antibiotic resistant bacteria in the environment. The goal of this study was to determine whether or not soil bound antibiotics are still active against bacteria. The procedure involved sorbing various amounts of tetracycline or tylosin on two different textured soils (Webster clay loam [fine-loamy, mixed, superactive, mesic Typic Endoaquolls] and Hubbard loamy sand [sandy, mixed, frigid Entic Hapludolls]), incubating these soils with three different bacterial cultures (an antibiotic resistant strain of Salmonella sp. [Salmonella(R)], an antibiotic sensitive strain of Salmonella sp. [Salmonella(S)], and Escherichia coli ATCC 25922), and then enumerating the number of colony forming units relative to the control. Incubation was done under both static and dynamic conditions. Soil-adsorbed antibiotics were found to retain their antimicrobial properties since both antibiotics inhibited the growth of all three bacterial species. Averaged over all other factors, soil adsorbed antimicrobial activity was higher for Hubbard loamy sand than Webster clay loam, most likely due to higher affinity (higher clay content) of the Webster soil for antibiotics. Similarly, there was a greater decline in bacterial growth with tetracycline than tylsoin, likely due to greater amounts of soil-adsorbed tetracycline and also due to lower minimum inhibitory concentration of most bacteria for tetracycline than tylosin. The antimicrobial effect of tetracycline was also greater under dynamic than static growth conditions, possibly because agitation under dynamic growth conditions helped increase tetracycline desorption and/or increase contact between soil adsorbed tetracycline and bacteria. We conclude that even though antibiotics are tightly adsorbed by clay particles, they are still biologically active and may influence the selection of antibiotic resistant bacteria in the terrestrial environment.

Anti-Bacterial Agents↗

Effects of land use on soil inorganic carbon stocks in the Russian Chernozem.

Little is known about changes in soil inorganic carbon (SIC) stocks with depth and with land use in grassland ecosystems. This study was conducted to determine SIC stocks under different management regimes in the Mollisol, one of the typical soils in grasslands. Four sites were sampled: a native grassland field (not cultivated for at least 300 yr), an adjacent 50-yr continuous fallow field, a yearly cut hay field in the V.V. Alekhin Central-Chernozem Biosphere State Reserve in the Kursk region of Russia, and a continuously cropped field in the Experimental Station of the Kursk Institute of Agronomy and Soil Erosion Control. All sampled soils were classified as fine-silty, mixed, frigid Pachic Hapludolls. Significant differences occurred in SIC stocks between cultivated and grassland soil. The inorganic carbon stocks in the top 2 m were 107 Mg ha(-1) for the native grassland, 91 Mg ha(-1) for the yearly cut hay field, 242 Mg ha(-1) for the continuously cropped field, and 196 Mg ha(-1) for the 50-yr continuous fallow. The SIC was in the form of calcium carbonate and was mostly stored below the 1-m depth. The largest difference between inorganic carbon stocks was observed between the continuously cropped field and native grassland. The increase in inorganic carbon in the continuously cropped field and continuous fallow was attributed to initial cultivation and fertilization. Soil inorganic carbon in Mollisols is not accounted for in the current global carbon estimates.

Agriculture↗

Salt toxicosis in waterfowl in North Dakota.

About 150 waterfowl died and another 250 became weak and lethargic from suspected salt poisoning after using White Lake, a highly saline lake in Mountrail County, North Dakota. Frigid temperatures made fresh water unavailable, forcing the birds to ingest the saline waters with resultant toxic effects. Sick birds recovered when removed from the salt water and released into fresh water marshes. Brain sodium levels were higher in dead geese submitted for necropsy than in controls.

Animals↗

Perspectives for the development of exobiology.

In the majority of the papers dealing with the status and prospects of the development of exobiology a theoretical analysis predominates. More attention should be given to the discussion of methods and experiments carried out at the present time or planned for the near future. In investigating life in the cosmos, we attach considerable interest to detection of compounds specific to living beings, in particular, organic compounds of phosphorus, porphyrins, amino nitrogen and others. In searching for microorganisms on other planets and in interplanetary space the greatest danger is that, as a result of errors in technique, the investigator will detect earthly microorganisms which have invaded and reproduced in the nutrient mediums used. Information on the vitality of microbes detected in the ground taken in the zone of eternal frigidity, in big pieces of rock salt, in meteorites, etc. confirms these apprehensions. Initially, search for heterotrophic bacteria should be carried out, then for phototrophic, denitrifying, sulfate-reducing, nitrogen-fixing microorganisms, as well as bacteria oxydizing sulfur, iron, methane and hydrogen. Instruments for detection of cosmobionts can be based on nephelometry, potentiometry, manometry and on the use of carbon labelled compounds and added to the nutrient medium. Investigations elucidating the influence of low and high temperatures, vacuum, and radiation on living cells are possible to carry out on earth and therefore are most accessible to exobiology. They give interesting results and in some degree make it possible to approach the study of the conditions to which life would be exposed in space. The sterilization of space ships is of paramount importance for further exobiological investigations. Under space conditions microbes will not completely perish on the space ship surface and, therefore, careful sterilization is necessary. The assertion that earth microbes, having reached the lunar surface, will not be able to develop is not free of objections. To carry out sterilization so that space ships will not contain dead bodies of microbes is impossible. Therefore, the wish expressed sometimes that "carcasses" of microbes should not be conveyed onto other planets is practically unrealizable.

Containment of Biohazards↗

Female circumcision.

The letter on unsafe male circumcision by Dr. H. Gretahun (Africa Health, March 1997) brings into very clear focus the whole issue of genital mutilation. Circumcision, whether male or female, does not per se amount to genital mutilation unless performed unsafely. Female circumcision involves only reducing the rudimentary penis, the clitoris, in order to tuck it neatly and beautifully under the labia majora. When the operation involves slicing off the labia, it ceases to be circumcision. Any scar tissue formed, both in size and location, is never enough to interfere with childbirth, otherwise the Black race would have been extinct millennia ago. Orgasm is not impeded in any way or else the female population of the planet would have been 80% frigid. If an uncircumcised female exhibits greater excitability, it is to be expected; even the constant friction between the clitoris and the underpart sets off some amount of auto-arousal. African female anti-circumcision activists should stop to consider the real issues and recognize the ulterior motives of the Western world, where even males are not circumcised. They should worry more about AIDS, which the West created as a weapon against its Communist opponents using Africans as laboratory animals. Africans should be demanding compensation and free distribution of all available drugs and not condoms.

Africa↗

[Gynecological sequela of puerperal infections. 1948].

This paper is part of a symposium on puer petal infections that was presented in the 7th., Asamblea Nacional de Cirujanos. The authors review the factor and evolution and the final results in puerperal infections. (1 degree Classification of the pathogenic germ, 2 degrees Site of infection, 3 degrees Effect of the pregnancy on the genital organs, 4 degrees Means of invasion, 5 degrees Organic resistance). A final review is made considering the above mentioned factor in the gynecological pathology to which puerperal sepsis can lead, presenting synoptic charts. Finally, the gynecological processes due to the surgical treatment of the puerperal infection in relation to sterility and psychic disturbances such as frigidity ad dyspaurenia are reviewed.

Female↗