Clinical Use of a New Mitral Disc Valve

A disc valve of new design was used successfully for the replacement of the mitral valve in patients with rheumatic mitral valve disease. This valve would appear to have the following advantages over the mitral ball valve prosthesis:• Lower left atrial pressure after replacement.• Elimination of the hazard of left ventricular outflow tract obstruction with mitral valve replacement.• Decreased incidence of thromboembolization.• Abolition of possibility of ventricular septal irritation.Despite the better outlook for this valve compared with the ball valve for mitral valve substitution, the mitral valve should always be repaired whenever feasible. Repair is possible in the majority of patients.     

Dermatopathic Lymphadenopathy—A Clinicopathologic Analysis of Lymph Node Biopsy Over a 15-Year Period

Forty cases of dermatopathic lymphadenopathy were found in a series of 906 consecutive lymph node biopsies (4.8 per cent).The histologic development and progression of the disease was correlated with the clinical state of the patient.In 35 of 40 cases the patients had active skin disease at the time of the biopsy; one of the remaining five patients had Hodgkin''s disease, one had multiple myeloma and one had secondary syphilis. In the other two, no organic cause was found.In nine cases (22.5 per cent), the histological pattern typical of dermatopathic lymphadenopathy was associated with malignant lymphoma. Except for two biopsies, which showed coexisting malignant lymphoma and dermatopathic lymphadenopathy, no histologic features were found which distinguished patients with malignant lymphoma from the remainder.While the pathogenesis of the lymph node changes remains obscure, the histologic features suggest that it is at least in part an immune response, although the nature of the responsible antigen is unknown.     

Effect of Osmotic Shock and Low Salt Concentration on Survival and Density of Bacteriophages T4B and T4Bo1

Measurements of survival and buoyant densities of bacteriophages T4B, T4Bo(1), and T4D have demonstrated the following: (a) After suspension in a concentrated salt solution, T4B and T4D are sensitive both to osmotic shock and to subsequent exposure to low monovalent salt concentrations. (b) Sensitivity of T4B to dilution from a concentrated salt solution is dependent on dilution rate, that of T4D is less dependent, and that of T4Bo(1) is independent. (c) Sensitivity of all three phages to low salt concentrations depends on initial salt concentrations to a variable extent. (d) Density gradient profiles indicate that nearly half of osmotically shocked T4B retain their DNA. Similar analysis demonstrates that few, if any, T4Bo(1) lose DNA when subjected to a treatment causing 90% loss of infectivity. (e) The effective buoyant densities of T4B and T4Bo(1) depend significantly on the dilution treatments to which the phages are subjected prior to centrifugation in CsCl gradients. These data are explicable in terms of the different relative permeabilities of the phages to water and solutes, and of alterations in the counterion distribution surrounding the DNA within the phage heads.     

Ventricular septal defect with bidirectional shunting: Mathematical considerations

Previously proposed formulae for the quantitative estimation of bidirectional shunts across ventricular septal defects require determination of the oxygen contents of mixed venous, pulmonary artery, pulmonary venous, and aortic blood. Because these formulae do not take into account the mixing of oxygenated with unoxygenated blood within the ventricles, their use must result in underestimation of shunt flows in each direction. A mathematical model for a ventricular defect is examined, in which it is assumed that mixing of blood occurs in each of six sites in the venae cavae or right atrium, right ventricle, pulmonary artery, left atrium, left ventricle, and aorta. A total of fourteen streams of blood can flow from one to another of these mixing sites. As long as complete mixing occurs in the six specified mixing sites, any degree of mixing or non-mixing of the various streams is permitted. From the equations characterizing the model, formulae are derived in which the shunt flow in each direction is expressed in terms of the oxygen contents in the six mixing sites and the fractions of blood which enter the shunt from either side without prior mixing in a ventricular mixing site. The previously reported formulae, which apply when no ventricular mixing is allowed to occur, lead to theoretical minimum values for the shunt flows in each direction. At the opposite extreme where all the shunting blood is required to mix in a ventricle before entering the shunt, formulae for maximum possible shunt flows are also obtained. The absolute values for the left-to-right and right-to-left shunt flows, which must lie somewhere between the theoretical maximum and minimum values, cannot be computed from blood gas data alone. This work was supported in part by grant HE-07563 from the National Heart Institute of the National Institutes of Health and grants-in-aid from the American and North Carolina Heart Associations and the Life Insurance Medical Research Fund. Work completed during tenure as U.S.P.H.S. post-doctoral fellow.     

Management and Surgical Treatment of Ruptured Intracranial Aneurysms

The advantages, methods and results of surgical intracranial obliteration of aneurysms in conjunction with the use of intracranial or neck ligation of arteries were studied in 177 patients made up of the following groups: (a) internal carotid aneurysms-48, (b) anterior cerebral-anterior communicating-37, (c) middle cerebral-20, (b) basilar-two, (e) posterior cerebral-one. The overall mortality rate was 23%. Following conservative treatment, 69 patients with subarachnoid hemorrhage without demonstrated aneurysms had a mortality rate of 30%. In this seven-year study the value of team work involving a second neurosurgeon, well-trained nursing personnel and expert anesthetists was amply demonstrated.     

THE BREEDING BIOLOGY OF THE BLACK-FACED DIOCH QUELEA QUELEA IN NIGERIA

A study of the breeding biology of Quelea quelea in Nigeria, and particularly at a large breeding colony near Lake Chad, showed that losses of eggs and young were extremely small. 95% of eggs laid hatched successfully, and 87% give rise to fledglings. Nestling deaths were density-dependent and apparently due to starvation.
The incubation period was 10 days or less. By day, eggs were heated to 34°- 37° C. by the sun; at night the females incubated. The nestlings were initially fed mainly on insects, their diet gradually changing to one of seeds—mostly of the grass Echinochloa pyramidalis . The deep body temperatures of young birds were determined. It is suggested that the nestlings left the nest after, on average, 11¹/₂ days to escape intolerable temperature conditions in the nest.
Fat reserves were accumulated by nestlings and fledglings, and were utilized when the young became independent. The adults put on fat during the incubation period and lost it during the time spent feeding nestlings.
It is concluded that the most common clutch-size of Q. quelea , which is everywhere three, corresponds to the largest number of young the parents can normally nourish. This conforms to Lack's theory on the significance of clutch-size, and gives no support to Skutch's opinion that the theory does not apply to tropical birds.     

Histochemische Aspekte bei der Azanfärbung des Knochens

Zusammenfassung In der vorliegenden Arbeit wird untersucht, in welcher Weise chemische Gruppierungen der Grund- und Kittsubstanz die Azanfärbung des lamellären Knochens beeinflussen.Es wurde dabei gezeigt, daß für die Aufnahme von Azokarmin Amino- und Iminogruppen große Bedeutung besitzen. Ihre Zerstörung führt zum Verlust der Azokarminfärbung bei 18° C undph 5,82. Mit heißen Lösungen dieses Farbstoffes vonph 2,58 hingegen (Azokarminbad bei der Azanfärbung) ist noch eine Anfärbung des Knochens herbeizuführen. Sie gelingt auch mit der erstgenannten Lösung nach Einwirkung verdünnter Säuren bei 60° C. Die Aufnahme von Azokarmin bei der Azanmethode wird daher auf eine Veränderung derKittsubstanz des Knochens durch das heiße Färbebad bezogen.Anilinblau wird ebenfalls von den Aminogruppen des Gewebes gebunden, es kann jedoch auch durch seine basischen Phenylaminogruppen eine Bindung mit sauren Gruppen des Substrats eingehen. Die Anwendung von Phosphorwolframsäure macht dem Anilinblau außerdem vermehrt basische Gruppen zugänglich. Eine vorhergehende Azokarminfärbung erlaubt daher oft noch eine Aufnahme von Anilinblau durch den Knochen. Am kollagenen Bindegewebe findet wegen der geringen Anzahl der Aminogruppen keine Hemmung durch Azokarmin statt.Mit 1 Textabbildung     

STAINED PECTIN AS SEEN IN THE ELECTRON MICROSCOPE

This paper describes electron microscopic studies on the distribution of pectin within young plant cells. Dark-grown onion roots, from 1 to 3 mm. in length, were used. In order to make the pectic substances selectively dense to electrons, they were first reacted with basic hydroxylamine. This treatment produces pectic hydroxamic acids, which in turn were treated with ferric ion to form insoluble complexes. The tissue was imbedded, sectioned, and then observed by electron microscopy. Dense deposits of iron were found in the region of the middle lamella and in a second area near the surface of the primary wall. Transverse walls of varying maturity were noted. The pectin of the more frequent, immature cross-walls, leads directly into the inner reacting layer of the axillary (longitudinal) wall. The pectin of the more mature transverse walls becomes, on the other hand, intimately associated with the middle lamella pectin of the axillary wall. It is shown that the pectin of the middle lamella represents the hot water-soluble portion of the pectic substance, while the internal layer of the axillary wall and the transverse wall pectin represent the so called residual fraction. Hot versene extraction removes essentially all electron-dense material.