Portrait of the Patient as a Young Man: An Exploration of the Use of Photographs in Hospital

The display of personal photographs in hospital is a common practice that has yet to be rigorously examined. The photographs displayed are subject to interpretation by the viewer and may lead to misunderstandings or miscommunication if clarification of meaning is not sought. This paper explores a range of possible meanings that the display of photographs in hospital may hold, based on a case study of a 15 year old boy hospitalised with a life threatening illness. Further research is needed into the actual meanings attributed to the display of photographs in hospital by patients and family members.     

Examination of Induced Sputum In the Diagnosis of Pneumocystis Carinii Pneumonia

The results of the examination of sputum induced by the inhalation of nebulized hypertonic saline in the diagnosis of Pneumocystis carinii pneumonia (PCP) are presented. In suspected cases of PCP in patients who were either HIV antibody positive or were receiving immunosuppressive therapy, 46 induced sputum specimens were stained using both Grocott's modified Gomori methenamine silver nitrate (GMS) and immunofluorescence staining. In 12 specimens P. carinii cysts were detected by both methods, in four specimens by GMS staining only and in five specimens by immunofluorescence only. The sensitivity of induced sputum examination in the detection of P. carinii cysts was increased by using both of these staining methods on each sputum specimen and the need for more invasive methods of diagnosis was reduced.     

Sacral curvature and supine posture

Sacral curvature (SC), represented by the angle between the first and the last sacral vertebrae, is a feature that differentiates the human pelvis from that of other animals. The sacral curvature was measured and studied in 14 cebids, 31 cercopithecids, 17 hylobatids, 85 pongids, 23 normal human children, 15 children with orthopedic handicaps, 49 normal adult human males, and 64 normal adult human females. Sacral curvature was minimal to nil in monkeys (mean 11.5 +/- 6 SD degrees), and moderate in apes (hylobatids, mean 16 +/- 10 SD degrees; pongids, mean 27.2 +/- 16 SD degrees). In human newborns SC is minimal, increasing progressively until adolescence, reaching a mean of 64.7 +/- 29 SD degrees in adult humans. This study investigates the different factors contributing to the formation of the sacral curvature. These factors include 1) the effect of erect posture, which tilts the upper part of the sacrum dorsally and the lower part of the sacrum ventrally, and 2) the influence of supine posture, which affects the development of the lower part of the sacrum. In addition to supine posture the levator ani, which is well developed in Homo sapiens, also affects the lower part of the sacrum and coccyx and influences its ventral orientation. Variation in SC can result from differences in onset and frequency of supine posture. This is the first time that supine posture has been shown to play a role in shaping the human pelvis, although it is as characteristic of H. sapiens as is erect posture.     

3-Amino-6-methoxy-9-(2-hydroxyethylamino) acridine: A new fluorescent dye to detect mycoplasma contamination in cell cultures

A new fluorescent acridine orange derivative, 3-amino-6-methoxy-9-(2-hydroxyethylamino) acridine (AMHA), has been applied to Hela cells in order to set up appropriate conditions for the detection of mycoplasma contaminations. Since AMHA staining reveals intensely fluorescent nuclei and slight fluorescent cytoplasm, we can visualize and localize mycoplasma contamination on each cell. In combination with a shortened Chen's staining method (1977), AMHA should allow a better detection of mycoplasma in animal cell cultures than the well established Hoechst dye.     

Successful treatment for perinephric abscess with recombinant human granulocyte colony-stimulating factor following nephrectomy in a patient of myelodysplastic syndrome: A case report

The 35-year-old man with myelodysplastic syndrome (MDS) and granulocytopenia with dry cough and high fever was eventually found to have a left perinephric abscess ofStaphylococcus aureus. He underwent left nephrectomy and drainage of perinephric space in conjunction with appropriate antibiotics. However, because of persistent granulocytopenia,Staph. aureus never cleared up with formation of only poor granulation. Recombinant human granulocyte colony-stimulating factor (G-CSF) was added to the above treatment leading to prompt improvement in granulocytopenia and emergence of the good granulation tissue. G-CSF will probably become one of the important agents in treating MDS with granulocytopenia.     

Characteristics of action potentials in Helianthus annuus

The action potentials induced by nondamaging electrical stimuli in 16- to 22-day-old plants of Helianthus annuus were examined. Typical recordings are presented. Mean values of their amplitudes and conduction velocities in the stem, the strength-duration relation, the 'all-or-none' law and the refractory periods have been determined. The amplitude and velocity of propagation were essentially identical in the upward and downward direction, but greater in the upper than in the lower half. In 'electrically active' plants, the rheobase value is 2 V, the minimum period for stimulation is 1.8 s. and the chronaxie 2.3 s. It is noted that the excitability level between similar plants on the same day and in the same plant on different days is highly variable and undergoes periodic changes.     

Growth status of disadvantaged urban Guatemalan children of a resettled community

This paper reports the physical growth and body composition from the first year of longitudinal study of 519 Guatemalan children, and their families, from a disadvantaged urban community consisting largely of refugees of the 1976 earthquake. Four cohorts are described, composed of children of 1,3,5, and 7 years at examination. The children are smaller, weigh less, and have reduced fat stores compared either to NCHS reference data or to upper SES Guatemalan children. Stature (or length) and head circumference deviate more from reference data than do triceps or upper arm muscle circumference. Greater deviations are found in the linear dimensions of males than of females. These children are the smallest yet described from Guatemala City, though they are slightly larger than available rural samples. This suggests a continuum of environmental effects acting upon the growth of children of differing socioeconomic levels.     

窦性节律下家兔心率与在位心室肌纤维有效不应期的关系

在自然呼吸和窦性节律下,用浮置式玻璃微电极引导在体单个左心室肌纤维动作电位,作为兴奋的指标,以其 0相触发产生期前的试验刺激,测定有效不应期(ERP)。38只家兔的测定结果表明,在R-R间期为205—330ms的范围内,随着心率加快(R-R间期缩短),ERP减小,而 ERP/RR 间期增大,说明 ERP 与心率直接有关。并且,在较快的心率时,ERP 相对延长。通过相关与回归分析,制出了能够删除心率影响的校正公式。静脉注射酒石酸锑钾(50mg/kg)发现,在窦性和起搏节律下,酒石酸锑钾均能轻度延长 ERP(P<0.001)。窦性节律下的校正后值与起搏节律的测定结果完全一致。证明校正后值能够用来比较处理前后不同心率条件下,各种药物、离子及其它因素对ERP 的影响。 本文的校正公式虽然只适用于同种动物和方法,但此校正公式的制作原理也可以广泛应用到其它多种动物。     

Femur/stature ratio and estimates of stature in children.

The present study examines the relationship between femur length and stature in children between the ages of 8 and 18 years. In previous investigations, my colleagues and I reported the surprising finding that femur length bears a nearly constant relationship to stature in adult humans regardless of ethnicity or gender. This earlier study revealed that the femur/stature ratio averages 26.74% in adult humans, and that using the ratio to predict stature from femur length yields remarkably accurate estimates. The current study shows that femur/stature ratios of children between the ages of 8 and 11 differ significantly from their older counterparts. Between the ages of 12 and 18, there are no significant differences due to age in the femur/stature ratio; however, there are significant differences in this age group attributable to gender. This study also shows that the worldwide average adult femur/stature ratio does not adequately describe children in this age range. This study strongly documents the adolescent growth spurt in the femur/stature ratios of both males and females at the precise time one would expect to see the spurt occur (10-12 in females; 12-14 in males). This growth follows a nearly identical trajectory in both genders, with relative femur growth dominating before the peak years of the growth spurt, and relative stature growth dominating afterward. This accounts for the ratio's rise to maximum values just before peak growth, and its decline toward the adult ratio thereafter. These findings require us to use separate adolescent femur/stature ratios of 27.16 (females) and 27.44 (males) to estimate the stature of children between the ages of 12 and 18. Preliminary testing shows these ratios to be more accurate in estimating stature than the properly selected Trotter and Gleser adult regression equation. Use of the adolescent male ratio with the Homo erectus juvenile WT 15000 results in a lower stature estimate (157.4 cm) than previously reported. It is suggested that continued testing of the ratio occur, but that the values herein derived may be useful in routine forensic cases involving children in this age range, and with subadult paleontological specimens.