AutoCapture with Dual-Coil Leads of Implantable Cardioverter Defibrillator

AutoCapture™ (AC) can confirm ventricular capture with true bipolar single coil leads of implantable cardioverter defibrillators (ICD). The compatibility of AC with a new, true bipolar, dual-coil ICD lead needed to be evaluated. This multicenter study enrolled 46 patients (69 ± 10 years, 37 men) undergoing ICD implantation. All patients received a true bipolar, dual-coil lead. Evoked response (ER) sensitivity and AC threshold tests were performed using a pulse generator with the AC algorithm. Mean capture threshold was 0.85 ± 0.67 V, pacing impedance 612 ± 225 Ω, R wave amplitude 13.85 ± 6.17 mV, and defibrillation threshold 14.4 ± 5.1 J. AC was recommended in 45 patients (97.8%) with ER and polarization values of 14.86 ± 7.32 mV and 0.87 ± 0.69 mV, respectively. The AC algorithm was highly compatible with true bipolar, dual-coil ICD leads. An AC algorithm specifically designed for an ICD may improve the generator longevity. Further examination of AC compatibility with other leads is warranted.     

EFFECT OF SOME I.V. ANAESTHETIC AGENTS ON CANINE GASTROINTESTINAL MOTILITY

Thiopentone 20 mg kg^–1, ketamine 8 mg kg^–1 and minaxolone2 mg kg^–1 were administered to fasting greyhound dogs.Mechanical and electrical activities from stomach, duodenum,jejunum and ileum were recorded using strain gauge force transducersand implanted bipolar electrodes. Thiopentone and minaxolonecaused intense activity in the duodenum and jejunum (phase Iand phase II of the interdigestive cycle), but not the stomachor ileum. The activity following injection of thiopentone orminaxolone was prevented by premedication with either atropine0.05 mg kg^–1 or pentolinium 0.2 mg kg^–1. Ketaminehad no influence on gastrointestinal activity or the responseto thiopentone or minaxolone. None of these drugs altered thebasal electrical rhythm of the intestine     

Familial Endocrine Tumors: Case Report of Medullary Thyroid Carcinoma and Bilateral Pheochromocytoma

This report documents a case of familial medullary carcinomaof the thyroid gland with bilateral pheochromocytoma. The histogeneticaberration involved in familial endocrine tumors is discussed.     

Acute urinary retention as a result of a bladder diverticulum

An 11-month-old infant presented with acute urinary retention. He had presented 3 months earlier with complaints of an enlarging abdominal mass that was initially diagnosed as a mesenteric cyst on ultrasonography. Voiding cystourethrogram revealed a large bladder diverticulum. Bladder diverticulum should be a differential diagnosis in children, especially male, presenting with urinary retention, fever and an abdominal mass.     

Antibodies to P450IID6, SLA, PDH-E2 and BCKD-E2 in Japanese patients with chronic hepatitis

Auto-antibodies specific to various antigens in chronic hepatitis (CH) have been detected but their specificities and implications were uncertain. The aims of the present study were to investigate the frequency and the significance of seropositivity of antibodies to P450IID6 or liver/kidney microsome 1 (LKM1), soluble liver antigen (SLA), pyruvate dehydrogenase (PDH) and branched-chain keto acid dehydrogenase (BCKD) in 188 Japanese patients with different forms of CH by western blot or enzyme immunoassay (EIA). Anti-LKM1 was also measured by indirect immunofluorescent test. Anti-P450IID6 was found in 6/188 (3.2%) CH patients including 5/104 (4.8%) with hepatitis C virus (C) infection and 1/12 (8.3%) CH-C patients with antibodies to nuclear and smooth muscle antigens and hypergammaglobulinaemia (> 2.5 g/dL). This patient was the only one diagnosed with autoimmune hepatitis (AIH). All CH patients with hepatitis B (B), hepatitis non-B non-C (NBNC) and AIH were seronegative for anti-LKM1. Antibodies to soluble liver antigen were found in two of 188 (1%) patients, one with AIH and one with CH-B. Anti-BCKD-E2 but not anti-PDH-E2 was found in four patients (2.5%), one with AIH, two with CH-C, and one with NBNC. There was no obvious difference in age, sex ratio and laboratory findings in patients with or without anti-SLA and anti-BCKD-E2. Antibodies to P450IID6, SLA, PDH-E2 and BCKD-E2 are uncommon in adult CH-C, CH-B, CH-NBNC and AIH patients in Japan. Some of these patients positive for auto-antibodies appear to have autoimmune features and might require a careful follow up. The heterogeneity of these antibodies in CH preclude further justification for subtyping of AIH by the presence of the distinct auto-antibodies.     

Production and secretion of an interleukin-l-like factor is stage-dependent and correlates with spermatogonial DNA synthesis in the rat seminiferous epithelium

It has been shown previously that the intact adult rat testis produces large amounts of an interleukin-1 (IL-1)-like growth factor. The present study has investigated whether this testicular IL-1-like factor (tIL-1) is produced and secreted differentially by the fourteen stages of the seminiferous epithelial cycle in the rat testis. Seminiferous tubule segments representing defined stages were identified by transillumination-assisted microscopy and isolated by microdissection. Pooled segments were either homogenized and extracted with aqueous buffer or incubated for 24 h to produce conditioned media (CM). The recovered material was then analysed for IL-1 bioactivity in a sensitive murine thymocyte proliferation assay. When divided into four stage groups, extracts of stages II-VI, IX-XII and XIII-I showed equally high IL-1 activity whereas stage group VII-VIII showed much lower activity. More detailed analysis with 10 different stage groups showed that tIL-1 activity was undetectable in extracts of substages VIIab and VIIcd. The same pattern was seen when CM from cultured tubular segments were analysed. Labelling of seminiferous tubules with tritiated thymidine in vitro and analysis by autoradiography revealed that DNA-synthesizing spermatogonia were absent in substages VIIb and VIIc and sparse in substages VIIa and VIId. The results show that tIL-1 activity is produced in a stage-dependent manner and suggest that tIL-1 might be involved in the regulation of spermatogonial proliferation in vivo.