Supranuclear disturbances of ocular motility in Lytico-Bodig

We found abnormal supranuclear ocular or lid motility in all of 37 patients with Lytico-Bodig (amyotrophic lateral sclerosis/parkinsonism-dementia complex). Twenty-one patients had pursuit paresis, 18 abnormal vestibulo-ocular reflex (VOR) cancellation, 15 abnormal convergence, 13 abnormal optokinetic nystagmus (OKN), 12 conjugate gaze limitation, nine nystagmus, nine saccadic paresis, and six abnormal fixation. Lid abnormalities included glabellar hyperreflexia in 21, involuntary levator inhibition in three, and blepharospasm in two. Earlier reports have indicated infrequent ocular disturbances in Lytico-Bodig, but we now find supranuclear eye and lid deficits are universal and sometimes very prominent.     

Serum dependent variability in the adherence of tumour cells to surgical sutures

Five commonly used surgical sutures were tested for their abilities to adhere tumour cells by an in vitro adherence assay. Adherence was quantified in vitro using radiolabelled tumour cells after standard incubation with a set length of the differing sutures. Tumour cells consistently adhered least to Prolene. All suture materials tested adhered significantly more tumour cells than Prolene (P less than 0.002 for chromic and less than 0.0001 for nylon, silk and Vicryl when compared with Prolene, with increasing cell numbers adhering to the sutures tested in that order). These differences in adherence were dependent upon an as yet unidentified macromolecule(s) in serum. All of the suture materials supported tumour growth in vivo after pre-incubation with tumour cells. Rapidity of in vivo tumour growth, however, correlated well with the in vitro tumour adherence characteristics of the different suture materials. The clinical significance of these findings is discussed.     

Shift in genomic RNA patterns of human rotaviruses isolated from white children in South Africa.

The molecular epidemiology of rotavirus infection in white children in Pretoria was investigated over a 2-year period. Rotavirus-positive specimens from 322 infants and young children submitted to private pathology laboratories were analysed by polyacrylamide-gel electrophoresis of the viral RNA. A predominance of long RNA profiles occurred and a temporal shift in the genomic patterns was identified. An epidemic of the classic shorter RNA profiles (suggestive of sub-group I rotaviruses) was observed in the winter of 1987, although these viruses were found less frequently than the sub-group II isolates (with a long RNA profile). Most neonatal isolates of rotaviruses exhibited a similar RNA electrophoretype, indicating that this strain of rotavirus was nosocomially acquired in different maternity units in the city.     

Age and sex differences in new and recurrent cases of guinea worm disease in Nigeria

In this population-based cross-sectional survey of the prevalence and incidence of guinea worm disease in Idere, a rural agricultural community of Oyo state in Nigeria, epidemiological data were collected by household interview of all 501 households (6527 persons, 3594 females and 2933 males). 86% of the households had at least one case. The prevalence was 32.4% in the overall population, but varied markedly by age and sex. About 10% of prevalent cases were first-time infections or new cases. Males over 19 years of age had a higher prevalence rate than adult females; however, females had a higher prevalence rate at younger ages. The prevalence in females peaked (47%) at 35 to 44 years; for males the proportion was highest (57%) at ages 45 to 54 years.     

The role of pyrazinamide in tuberculosis chemotherapy

Pyrazinamide is an antituberculosis drug synthesized in the 1950s and formerly used only as salvage therapy. Recent developments have elevated it to a central role in tuberculosis chemotherapy as the essential addition to isoniazid and rifampin which makes it possible to successfully complete treatment in six months. This is accomplished with no increase in hepatotoxicity. The only substantial side effect of this drug given at the dosage and for the duration used in these six-month regimens is a polyarthralgia which is only bothersome and not sufficient to warrant interruption of therapy. More rarely, acute gout is produced. The early history and pharmacology of this now first line antituberculosis drug are reviewed herein.     

Protein and energy relations in the broiler chicken. Chronic or acute effects of alternating protein or intermittent feeding regimens on broiler lipid metabolism

1. Broiler chickens growing from 7 to 28 d of age were given: (1) a 210 g protein/kg control diet for the entire experimental period, (2) an intermittent feeding regimen (210 g protein/kg diet for either 1 or 2 d followed by a 1 d fast), or (3) a daily change in the dietary protein level from 120 to 300 g/kg diet. Treatment variables examined were lipogenesis and glucose production in vitro, and circulating concentrations of insulin, triiodothyronine (T3) and thyroxine (T4) to determine the effects of chronic or acute dietary treatments. 2. Giving the 300 g protein/kg diet or withholding feed for 1 d decreased (P less than 0.05) lipogenesis in vitro compared with controls. 3. Giving the 120 g protein/kg diet or refeeding with a 210 g protein/kg diet for 1 or 2 d increased (P less than 0.05) lipogenesis in vitro compared with controls. Glucose production was affected in the same manner. 4. Fasting decreased (P less than 0.05) plasma insulin and T3 and increased T4. Both refeeding and a low-protein diet increased T3. Refeeding increased and a low-protein diet decreased insulin. 5. Chronic use (7-28 d of age) of either an alternating protein or intermittent feeding regimen caused greater responses compared with acute bouts (single cycle) of either of the regimens.     

Gelatinase (MMP-2 and -9) expression in gastrointestinal malignancy.

The aim of the study was to investigate expression of the active and inactive gelatinases (MMP-2 and -9) in colorectal neoplasia and gastric cancer compared with normal mucosa. A total of 53 colorectal cancers and corresponding normal mucosa were studied using gelatin zymography as well as 15 colorectal adenomas and 13 gastric cancers with corresponding normal mucosa. Overexpression of all the gelatinases occurs in both colorectal and gastric cancer, with activation of MMP-2 appearing to be a feature of the malignant phenotype. Overexpression of MMP-9 occurs in colorectal adenomas. The gelatinases are overexpressed in gastrointestinal neoplasia, suggesting that these enzymes may have an important role in tumour invasion and metastasis.     

Legionnaires' disease in South Australia, 1979-1988

Laboratory investigations supported the diagnosis of legionella pneumonia in 108 patients in South Australia over the past 10 years. Legionella pneumophila was responsible for 91 infections: the serogroup-1 strain caused 81 of these. L. pneumophila serogroup 2 was the only other strain of L. pneumophila that was isolated from patients; it caused infection in eight patients. In two patients, the serological results did not distinguish between infection with L. pneumophila serogroup 1 and serogroup 2. Legionella longbeachae serogroup 1 accounted for the remaining 17 infections. Serological tests were used to make the diagnoses in 77 cases. Legionella spp. were isolated from 24 patients and were identified in the respiratory-tract secretions of a further seven cases by direct immunofluorescence microscopy. L. longbeachae serogroup 1 first was isolated from a patient with pneumonia in South Australia in May, 1987. Since then it has been isolated from specimens from six other patients. No evidence exists for a common-source outbreak of L. longbeachae but an outbreak of Legionnaires' disease that was caused by L. pneumophila serogroup 1 occurred in South Australia in 1986.     

The fragile X marker and autism in perspective

Recent reports link the fragile X chromosome abnormality to autism, with the association ranging from 0 to 53%, but the diagnostic criteria for autism were unclear in some of the studies. The need for fragile X chromosome studies in larger populations of autistic children and adults was recognized. In this study, chromosome analyses were performed on 85 carefully diagnosed autistic males, yielding a 2.4% incidence of the fragile X abnormality. It is concluded that the incidence of the fragile X chromosome abnormality in autistic individuals is likely the same as that in the mentally retarded male population and therefore does not increase the risk for autism above that of mental retardation itself.