In situ saphenous vein bypass grafts: angiographic evaluation and interventional repair of complications

In situ saphenous vein grafts are being used with increasing frequency for bypass procedures involving the femoral and popliteal arteries. Complications of these procedures include anastomotic stenoses and persistent arteriovenous fistulae that may result in failure of the graft. Balloon angioplasty and embolotherapy with detachable balloons were employed successfully in three or four recent cases of patients with complications from in situ grafts. Tailored angiography is essential for evaluating in situ grafts, and interventional techniques are extremely useful for managing complications.     

A systemically administered neurotensin agonist blocks disruption of prepulse inhibition produced by a serotonin-2A agonist.

Prepulse inhibition (PPI) of the startle reflex can be disrupted by drugs that act as agonists at the serotonin (5-HT) 2A receptor, such as DOI, and this effect is blocked by drugs that inhibit 5-HT2A transmission. We tested the effects of systemic administration of PD149163, a neurotensin agonist, on DOI-induced disruption of PPI in Sprague-Dawley rats. PD149163 completely and dose dependently blocked the PPI deficits produced by DOI. These findings suggest that, in addition to their established ability to inhibit dopamine transmission, neurotensin agonists may also inhibit 5-HT2A transmission, a pharmacological feature associated with atypical antipsychotic drugs.     

Alcohol stimulates the release of dopamine in the ventral pallidum but not in the globus pallidus: a dual-probe microdialysis study.

The mesoaccumbens dopamine system has been hypothesized to be a common neural substrate mediating the actions of various drugs of abuse, including ethanol. However, the involvement of the mesopallidal dopamine system has received very little attention. The present study examined the effects of intraperitoneal (IP) ethanol administration on the extracellular levels of dopamine in the ventral pallidum (VP) and globus pallidus (GP) of Wistar rats. Rats were bilaterally implanted with microdialysis probes aimed at the VP and GP or nucleus accumbens (NAc) and dorsal striatum (dSTR). During microdialysis testing, rats with probes located in the VP and GP were injected IP with sterile saline or 15% (v/v) ethanol in saline at doses of 0.75, 1.5, or 2.25 g/kg. Rats with NAc and dSTR probes were injected with saline or 2.25 g/kg ethanol. The IP administration of 1.5 and 2.25 g/kg ethanol significantly (p <0.05) elevated the extracellular levels of dopamine in the VP (maximal increase: 136 and 182% of baseline, respectively) but not in the GP. No effects on extracellular dopamine levels were observed following the IP injections of 0.75 g/kg ethanol or saline. The IP administration of 2.25 g/kg ethanol significantly (p <0.05) elevated the extracellular levels of dopamine in the NAc (maximal increase: 198% of baseline) and dSTR (maximal increase: 155% of baseline). Analysis of the effects of 2.25 g/kg ethanol on dopamine release revealed greater increases in the VP, NAc, and dSTR compared to the GP. The data suggest that the mesopallidal, mesoaccumbens, and nigrostriatal dopamine systems are more sensitive to the effects of ethanol than the nigropallidal dopamine system.     

Shared care: a review of the literature

This review examines broad issues of concern regarding the primary/secondarycare interface. The main purpose was to identify areas of goodpractice which could be adapted for more general use. One ofthe most fundamental aspects identified was communication, whichis discussed in some detail. Also covered are shared prescribingand disease management. The data suggest that the most effectivesystem(s) of shared care has yet to be established. Furtherqualitative and economic evaluations are required, taking intoaccount patient preferences. Although the literature does describecertain practice exemplars, it is clear that inter- and intra-professionalcommunication continues to be a problem. Whilst informationtechnology may provide some of the solutions, it is concludedthat a culture change, which compels health professionals tomake sharing of patient information a much higher priority,is reauired. Keywords. Shared care, seamless care, hospital, general practice, family practice.     

Localization of a gene for otosclerosis to chromosome 15q25-q26

Among white adults otosclerosis is the single most common cause of hearing impairment. Although the genetics of this disease are controversial, the majority of studies indicate autosomal dominant inheritance with reduced penetrance. We studied a large multi- generational family in which otosclerosis has been inherited in an autosomal dominant pattern. Five of16 affected persons have surgically confirmed otosclerosis; the remaining nine have a conductive hearing loss but have not undergone corrective surgery. To locate the disease- causing gene we completed genetic linkage analysis using short tandem repeat polymorphisms (STRPs) distributed over the entire genome. Multipoint linkage analysis showed that only one genomic region, on chromosome 15q, generated a lod score >2.0. Additional STRPs were typed in this area, resulting in a lod score of 3.4. STRPs FES (centromeric) and D15S657 (telomeric) flank the 14. 5 cM region that contains an otosclerosis gene.      

Effects of diquat on freshwater microbial communities

A static microcosm system was used to evaluate effects of the herbicide diquat (0.3–30 mg/L) on the structure and function of naturally derived microbial communities on polyurethane foam substrates. Microbial communities were exposed to a single application of diquat and were monitored for 21 days. Effects on community structure included changes in algal cell density at diquat concentrations 0.3 mg/L (after an initial decrease in net productivity), bacterial cell density (1 mg/L diquat), and increased biomass accumulation (10 and 30 mg/L diquat). The species richness of protozoa was reduced at diquat concentrations >0.3 mg/L; protozoan species composition was progressively more dissimilar with diquat treatment. Effects on community function included inhibition of net productivity and community respiration (10 and 30 mg/L diquat), and decreased enzyme activities [alkaline phosphatase (1, 10, and 30 mg/L diquat), electron transport system (0.3 mg/L diquat), and -glucosidase (0.3 mg/L diquat)]. Both photosynthetic and nonphotosynthetic organisms were affected by diquat. Most structural and functional responses were sensitive indicators of stress. Estimated chronic toxicity values ranged from 0.3 mg/L (day 3) to 5.5 mg/L (day 21). Most microbial responses indicated that microbial community structure and function did not recover within the 21-day exposure period.     

Palmitoylation of myelin P0 protein is independent of its synthesis and parallels that of phospholipids

To determine whether the acyl chains modifying P0, the major protein of PNS myelin, turn over independently of the protein backbone, sciatic nerve slices from 10 to 65 day-old rats were incubated with a mixture of [3H]palmitic acid and [14C]amino acids, and proteins were analyzed by electrophoresis. Incorporation of [14C]amino acids into nerve P0 decreased approximately 10-fold between 10 and 65 days of age. In contrast, palmitoylation of P0, although maximal at 10 days-of age, decreased only 3-4-fold during the same period. In the same experiments, the incorporation of [3H]palmitate into the nerve and into various lipids classes diminished by a comparable extent (2.5-fold). Thus, if corrected by the uptake of the tritiated precursor, palmitoylation of P0 remains nearly constant throughout development, and it is therefore independent of protein synthesis. Preincubation of nerve slices with cycloheximide for one hour reduced the incorporation of [3H]palmitate into both P0 and phospholipids in a concentration-dependent manner. At 10 microM cycloheximide, palmitoylation of P0 was unaffected while its synthesis was still repressed, indicating that these events are uncoupled. The effect of cycloheximide on fatty acid uptake can be attributed to inhibition of the palmitoyl-CoA : lysophosphatidylcholine acyltransferase activity. Neither the distribution of palmitate between albumin and lipid membranes nor the activities of other lipid-metabolizing enzymes were affected by the inhibitor. In conclusion, these results indicate that P0 palmitoylation occurs mainly on the preexisting molecules, and it therefore constitutes a dynamic event.