IS VECURONIUM A LONG-ACTING NEUROMUSCULAR BLOCKING AGENT IN NEONATES AND INFANTS?

Vecuronium was used as the only neuromuscular blocking agentin 81 paediatric patients (neonates to adolescents) during fentanyland nitrous oxide anaesthesia. The thenar electromyogram wasused to monitor neuromuscular blockade. Neonates and infantshad a mean requirement of vecuronium 105 µg kg^–1during the first 1 h of anaesthesia, to establish and maintain90–98% neuromuscular blockade, compared with a mean requirementof 217 µg kg^–1 for children aged 3–10 yr (P< 0.05). Vecuronium 100 and 150 µg kg^–1 maintainedneuromuscular blockade > 90% for 59 and 110 min, respectively,in neonates and infants, but only for 18 and 38 min in childrenand for 37 and 68 min in adolescents (P < 0.05). Vecuroniummay be regarded as a long-acting neuromuscular blocking agentin patients aged less than 1 yr. Present address: Department of Anaesthesia, Royal Children'sHospital, Flemington Road, Parkville, Victoria 3052, Australia.     

Evaluation of anti-C1q capture assay for detecting circulating immune complexes and comparison with polyethylene glycol-immunoglobulin G, C1q-binding, and Raji cell methods.

An anti-C1q capture method kit (C1q-immunoglobulin G [IgG]) (Ortho Diagnostics, Inc., Raritan, N.J.) for measuring circulating immune complexes (CIC) was evaluated. The kit showed poor diagnostic sensitivity (P less than 0.005) for identifying CIC in patients with systemic lupus, rheumatoid arthritis, and bacterial endocarditis, as compared with polyethylene glycol-IgG and Raji cell tests (12, 24, and 24 positive, respectively, of 31 patients). Of the patients who were positive with the C1q-IgG test, 25% showed discrepancies when their results were compared with the polyethylene glycol-IgG and C1q-binding test results. Gel filtration chromatography of two of these discrepant sera showed the only peak of C1q-IgG activity to be associated with monomeric IgG (molecular weight, less than 200,000). We concluded that the kit method may be measuring substances other than CIC in some sera, because molecules of C1q attached to IgG should exhibit a molecular weight of greater than 500,000.     

Lectin histochemistry of embryonal carcinoma

Histological tissue sections of human testicular embryonal carcinoma from 13 patients and of a xenograft tumour in nude mice, as well as cell lines of human embryonal carcinoma, were investigated with eight different lectins to characterize the distribution of glycoconjugates in embryonal carcinoma. In all cases the malignant cells showed binding with Con A, WGA and RCA I conjugates, whereas other lectins were bound to some, but never to all, tumour cells in each group, revealing the heterogeneity of the malignant cells. A polarization of cancer cells was shown particularly with WGA and RCA I labelling, which was most intense on the luminal borders of the carcinoma cells, where pseudotubular structures were formed. The sugar staining properties were retained in cell culture and in the xenograft tumour. Regardless of the germ cell origin, embryonal carcinoma cells differed from normal germ cells. The distribution of glycoconjugates was also different from that of testicular carcinoma-in-situ germ cells, which share morphological features and the pattern of glycosylation with seminoma cells. However, the similarities in lectin binding pattern of seminomas and embryonal carcinomas suggest the close relationship between the two types of testicular malignancy, without excluding the possibility that embryonal carcinomas were derived from seminomas. Although lectins seem to be less important for differential diagnostic use in testicular cancer, our findings showed the usefulness of lectin histochemistry for characterization of embryonal carcinoma.     

Effects of inorganic and triethyl lead and inorganic mercury on the voltage activated calcium channel of Aplysia neurons.

Using conventional two electrode voltage clamp techniques we have studied the effects of Pb2+, triethyl lead (TEL) and Hg2+ on voltage-activated calcium channels of Aplysia neurons and found that all three metals are potent inhibitors at micromolar concentrations. However, the time course of current reduction or block and its reversibility vary when comparing Pb2+ to TEL and Hg2+. With application of Pb2+ the calcium current decreases immediately and a steady state is reached within three to seven minutes, depending upon the concentration of Pb2+ (IC50 = 61 microM). The block was easily reversed upon wash out of Pb2+ with a time course similar to that of onset. Perfusion with either TEL (5 to 50 microM) or Hg2+ (5 to 200 microM) resulted only in a small reduction of current when the substances reached the cell membrane but with clear reduction within 2 min. The decrease continued at about the same speed for the total duration of the application. Upon washing there was no recovery of the response. At the onset of washing the rate of current decline stopped for several minutes, but then the current continued to decline at a slower rate in the absence of toxicant. Our data suggest that Pb2+ acts by a direct and reversible blockade of the calcium channel. In contrast TEL and Hg2+ act slowly and irreversibly to block calcium channels at concentrations which do not greatly affect membrane potential or resistance. In spite of the slow time course these substances are probably acting directly on the calcium channel.     

Application of Microencapsulation Technology to Improve the Stability of Citral in Rodent Diets

Application of Microencapsulation Technology to Improve theStability of Citral in Rodent Diets. KUHN., G. O., MCCAMPBELL,P., SLNGMASTER, G., ARNESON, D. W., AND JAMESON, C. W. (1991).Fundam. Appl. Toxicol. 17, 635–640. Citral is a widelyused flavoring and scenting agent which is employed in numerousfood, industrial, and household products. Although the currentregulatory status of citral lists it as a GRAS chemical on theFDA list, the chemical is a reactive beta-substituted vinylaldehyde that has been shown to induce irritations of skin andmucous membranes, and to exhibit a dose-dependent teratogeniceffect on embryos of white leghorn chickens. Because of thesefactors, citral was nominated by the National Toxicology Programfor carcinogenesis study. Stability studies of dose formulationsof citral (0.02%) in NIH-07 rodent diet indicated a loss of41% of the citral after 1 day in a rat cage, due mainly to volatilityand reactivity with diet components. The chemical was subsequentlymicroencapsulated using a shell medium of food-grade modifiedcornstarch and sucrose, and then formulated into NIH-07 diet(0.02%) for various stability studies. Results after 7 daysin a rat cage showed 95% retention of chemical; diet that hadbeen stored 21 days retained 95% at 5°C storage and 89%at room temperature. An assessment of the purity of the citralin the microcapsules indicated that total impurities increasedfrom 0.7% in the neat chemical to 1.1% in the encapsulated chemical.     

The relationship of low-back pain, work history, work environment, and stress. A retrospective cross-sectional study of 38- to 64-year-old women

The association between low-back pain (LBP) and different work factors was investigated in a retrospective cross-sectional study of a random sample of 1,760 38- to 64-year-old women. The life-time incidence of LBP was 66% and the prevalence was 35%. In a univariate analysis, eight work variables correlated to LBP viz. more forward bending, more lifting, more standing, more monotonous work, dissatisfaction with the work tasks, dissatisfaction with the work environment, a higher degree of worry, and fatigue at the end of the work day. In a covariate analysis, however, only the three psychological variables remained directly associated to LBP viz. dissatisfaction with the work environment, a higher degree of worry, and fatigue at the end of the work day.