Ultrastructural identification and localization of climbing fiber terminals in the fastigial nucleus of the cat

Following injections of 3H-leucine and 35S-methionine in the caudal half of the medial accessory olive, labeled climbing fibers were found contralateral to the injection site in the sagittal A-zone of the cerebellar vermis and in the fastigial nucleus. Labeling in the fastigial nucleus was analyzed with ultrastructural autoradiography. Labeled boutons of climbing fibers were found in the neuropil but never on somata. They contain spherical vesicles and occasionally some dense core vesicles in an electron-lucent matrix. The terminals of climbing fiber collaterals in the fastigial nucleus resemble climbing fiber terminals in the molecular layer with respect to their internal ultrastructural characteristics.     

Right-sided valvular infective endocarditis. A clinicopathological study of 29 patients

Out of 29 patients with right-sided infective endocarditis 13 had associated congenital heart disease and none was a drug addict. Staphylococcus aureus was the commonest organism isolated. The tricuspid valve was infected twice as commonly as the pulmonary valve. Only 11 out of the 29 patients had valvular infection potentially amenable to surgical therapy at the time of death. Ring abscesses were present in 10 patients.     

Eosinophilia-myalgia syndrome with fasciitis and interstitial myositis after L-tryptophan administration]

We describe a 53-year-old women with eosinophilia-myalgia syndrome who suddenly developed severe persistent myalgias of her arms, legs, back, and shoulder after a 5-month period of daily L-tryptophan ingestion, associated with fever, progressive stenocardia and left-sided congestive heart failure. Laboratory tests showed a leukocytosis of 11.2/nl with 3.14/nl eosinophils and an elevated erythrocyte sedimentation rate. There was a marked, predominantly proximal sclerosis of her arms, legs and trunk with a brownish discoloration. The skin of her arms and legs appeared dimpled (peau d'orange). Findings of the electrophysiological examinations were consistent with sensory neuropathy and myositis. Remarkable fasciitis and interstitial myositis were present in a biopsy specimen (from skin to muscle) taken from her thigh. However, eosinophilic infiltrates were rare. Angiography revealed an apical obstructive cardiomyopathy. In this paper, we describe the clinical findings, the course over 2 years, as well as the therapeutic management. Furthermore, the most important differential diagnoses are discussed and the literature is reviewed with special attention given to more recent pathogenic insights into this newly recognized multisystem disease.     

Counterphase dichoptic flicker is seen as its own second harmonic

If a patternless field is modulated sinusoidally in time so that the luminance change in one eye is in counterphase to that in the other, the resulting flicker appears faster than if the modulation to both eyes has the same phase. If observers set the frequency and the amplitude of a comparison in-phase field so that it matches a neighbouring counterphase field, modulated at, say, 2.5 x its threshold, they set the frequency to twice the counterphase frequency, and the amplitude to a value that is, for a given frequency, a constant ratio of the modulation of the counterphase field. Counterphase stimulation thus appears to cause an internal second-harmonic signal. However, it is not possible to cancel this by adding a second harmonic component to the stimulus.     

Comparison of propofol induction with thiopentone or methohexitone in short outpatient general anaesthesia

The per- and post-operative characteristics of three different i.v. anaesthetic induction agents were studied double-blindly in 75 patients admitted for outpatient gynaecological dilatation and curettage. All the patients were premedicated with midazolam 0.1 mg/kg i.m. Induction started with alfentanil 0.015 mg/kg i.v. 60 s before either: propofol 2.2 mg/kg i.v., or thiopentone 4.0 mg/kg i.v., or methohexitone 2.0 mg/kg i.v. All the patients received 66% nitrous oxide in oxygen. The propofol patients were significantly better relaxed and had a higher incidence of hypotension during the procedure. The methohexitone patients had higher pulse rates and a higher frequency of hiccups during the procedure. Propofol induction resulted in a faster awakening of the patients and a better recovery function compared with methohexitone for the first 15 min and compared with thiopentone for the first 240 min after the procedure. Postoperative side-effects were less frequent in the thiopentone group, and minor abdominal pain was significantly more frequent in the propofol group. There was no significant difference between the groups for any variable after 240 min postoperatively.     

Clinical evaluation of preventive and class-I composite resin restorations.

This study was initiated in 1986 in response to increased interest in restorative procedures favoring preservation of tooth substance and in the search for alternatives to dental amalgams. Eighty-seven preventive resin restorations in permanent molars and 35 occlusal composite resin restorations in primary molars (limited size) and 13 in premolars were followed up for 2 years. They were placed by a large number of operators, mainly dental students under supervision, and rated by five calibrated instructors in accordance with an internationally accepted system for the evaluation of the clinical performance of dental materials. One composite resin (Occlusin) was used. A survival model was used to calculate the cumulative theoretical number of successful treatments of children who had dropped out. For none of the 6 clinical variables was the success rate lower than 91%, and only 3 of 26 failures were of a nature requiring remake or correction. The failures occurred, with a few exceptions, during the 1st year of observation. The two types of restoration have thus proved to be efficient treatments fulfilling all reasonable requirements in modern operative dentistry.