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Localization of Tamm-Horsfall glycoprotein in the normal rat kidney and the effect of adrenalectomy on its localization in the hamster and rat kidney.

Immunofluorescence and immunoperoxidase techniques were used to study the localization of Tamm-Horsfall glycoprotein in the normal rat kidney. In the fluorescence microscopical preparations, the glycoprotein was observed in the thick ascending limbs of the loops of Henle and distal convoluted tubules and was thus, in general, similar to our earlier observations on the hamster and man. The situation in the maculae densae was, however, somewhat different, for in the rat the majority of them were seen to possess Tamm-Horsfall glycoprotein on the luminal surfaces of their cells and only a small proportion resembled the hamster and man in lacking it. These observations were confirmed by the immuno-electron microscope technique. Furthermore, it was shown that in the thick ascending limbs and distal convoluted tubules, Tamm-Horsfall glycoprotein is associated with the total plasma membrane systems of its cells. Thus it appears that Tamm-Horsfall glycoprotein is confined to that part of the nephron responsible for the process of urine dilution. As this function is, at least in part, regulated by adrenal cortical hormones, the effect of adrenalectomy on the distribution of the glycoprotein was studied. The results obtained showed varying degrees of disappearance of Tamm-Horsfall glycoprotein in the kidneys of adrenalectomized hamsters, initially from the distal convoluted tubules and later from the thick ascending limbs. In the rat, on the other hand, the effect of adrenalectomy on Tamm-Horsfall glycoprotein was much less pronounced, possibly due to the presence of secondary adrenal tissue. The possible physiological significance of these findings is discussed.

Adrenalectomy↗

Partial hepatectomy accelerates local tumor growth: potential roles of local cytokine activation.

BACKGROUND: Surgical excision of liver tumors represents the only curative treatment for primary and metastatic liver malignancies. It has been suspected that hepatectomy may stimulate growth of microscopic tumors. To determine whether local or systemic factors after hepatectomy are responsible for enhancement of tumor growth, the effects of hepatectomy on the experimental growth of liver or pulmonary tumors were examined. METHODS: One hour after injection of 10(6) Morris hepatoma cells into either the portal or femoral vein, which produces isolated liver and lung tumors, respectively, animals were randomized to undergo 0%, 30%, or 70% partial hepatectomy (PH). RESULTS: Animals that underwent portal injection of tumor had significantly increased liver tumor burden after PH (sham, 25 +/- 7 vs PH, 94 +/- 17; p < 0.01), whereas animals that underwent femoral injection had no change in lung tumor burden after PH. PH was associated with significantly increased levels of transforming growth factor-alpha, transforming growth factor-beta, and basic fibroblast growth factor in the liver but not in the lung. CONCLUSIONS: Changes in liver cytokine-growth factor activation may contribute to enhanced tumor growth in the liver after hepatectomy.

Animals↗

Local data for local decision making--selected counties, Connecticut, Massachusetts, and New York, 1997.

Although the delivery of clinical preventive services to adults, such as adult vaccinations and cancer and cardiovascular screening, reduces premature morbidity and mortality, such services are underused. Performance monitoring at the population level plays a critical role in supporting efforts to increase the use of clinical preventive services. However, many communities do not have the capacity to measure prevention activities. Without such information, efforts aimed at improving the county-wide or regional use of clinical preventive services must rely on state or national data. To examine the use of seven clinical preventive services among adults at the county level and to demonstrate how a population-based survey can be used to guide local prevention efforts, a community-based coalition (the Sickness Prevention Achieved through Regional Collaboration [SPARC]), in collaboration with state health departments, peer review organizations, and CDC, conducted a survey in the four-county SPARC region. This report summarizes the results of this analysis, which indicate that clinical preventive services in this region were underused despite high levels of access to medical care.

Aged↗

Comparison of the efficacy of different local anesthetics and techniques of local anesthesia in therapeutic abortions.

OBJECTIVES: The objectives of this study were to determine whether carbonated or plain lidocaine provides better pain control during abortions and to determine whether deep injections of lidocaine provide better pain control than regular injections of lidocaine. STUDY DESIGN: Phase 1 was a prospective, randomized, double-blind trial comparing 10 cm3 of 2% carbonated lidocaine with plain lidocaine. In phase 2 the plain lidocaine group in phase 1 was compared prospectively with the next group of patients, in whom a new technique of deep injection was used. A pain scale was administered by the counselor after dilatation and at the end of the procedure. RESULTS: The improvement in pain scores with carbonated lidocaine was 8%. The improvement with the deep injection technique was 25%. CONCLUSION: The improvement in pain scores with deep injection was clinically significant and is recommended.

Abortion, Induced↗