Lethal injection,autonomy and the proper ends of medicine

Gerald Dworkin has argued that it is inconsistent with the proper ends of medicine for a physician to participate in an execution by lethal injection. He does this by proposing a principle by which we are to judge whether an action is consistent with the proper ends of medicine. I argue: (a) that this principle, if valid, does not show that it is inconsistent with the proper ends of medicine for a physician to participate in an execution by lethal injection; and (b) that this principle is not valid, and this is because it mistakenly views the promotion of patient autonomy as one of the proper ends of medicine. Rather, I propose, we should view respect for a patient's autonomy as a constraint on the pursuit of the proper ends of medicine, rather than as one of the proper ends itself. With this revised understanding of the proper ends of medicine, we can conclude that it is inconsistent with the proper ends of medicine for a physician to participate in an execution by lethal injection.     

Basal cells in the mouse olfactory epithelium after axotomy: immunohistochemical and electron-microscopic studies

Summary The olfactory epithelium of mice after axotomy was investigated to clarify the stem cells of olfactory cells by double immunostaining using antikeratin (MA903) and anti-bromodeoxyuridine (BrdU) antibodies and by conventional electron microscopy. When a single dose of BrdU was given to mice 9 days after axotomy, immunostaining for BrdU was found in the globose basal cells which were negative for MA903, but not in the basal cells proper which were positive for MA903. The BrdU-immunoreactive cells increased 3-to 6-fold over the number of these cells in the controls, indicating active cell proliferation. At other postoperative days (4 and 14 days), fewer BrdU-immunoreactive cells were found. Furthermore, three pulses of BrdU resulted in numerous BrdU-immunolabelings in the globose basal cells and a few in the basal cells proper. There was no detectable difference in the number of labeled basal cells proper in operated and unoperated mice. In the electron micrographs 9 days after axotomy, the basal cells proper, flat-shaped in unoperated mice, appeared cylindrical or pyramidal in shape and the globose basal cells often lay between the basal cells proper. In unoperated controls, the globose basal cells were located above the flat-shaped basal cells proper. The results suggest that the stem cells of the olfactory cells are globose basal cells and not basal cells proper, and that the shape of basal cells proper changes in relation to the active proliferation of stem cells.     

Histochemical Localization of Several Enzymes in Early Young Embryo of Pinus tabulaeformis

Histochemical localization of adenosine triphosphatase, acid phosphatase and peroxidase in young embryo of Pinus tabulaeformis has been studied. All cells of the embryo proper showed very intense lead phosphate disposite with ATP in the Wachs- tein Meisel medium and with B-glyceropbosphate in Gomori medium. In the suspensor 1–3 suspensor cells closed to embryo proper appear blackening with both the ATP and the B-glycerophosphate, and other cells of the suspensor showed less adenosine triphosphatase and B-glyeerophosphatase. In the young embryo the peroxidase distribution may vary with the developmental stages of the young embryo, for instance cone-shaped embryo proper showed dark blue, and which peroxidase occupies only 1–2 suspensor cells closed to embryo proper. When the young embryo developed further into columnus-shape, the peroxidase was mainly distributed in regions of both the posterior part of embryo proper and just derived suspensor cells. However the anterior part of embryo proper showed slight peroxidase. The experimental results indicate that all of these enzymes mentioned above are mainly present in both the embryo proper and the connecting end of the suspensor, and that these regions show great matabolic activity. From the above mentioned observation, the possible relationship between the young embryo and near surrounding tissue during the development of embryo is discussed.     

Taximetrics study of varieties of Bidens pilosa species

Hooker (1882) has reported three varieties in Bidens pilosa species i. e., pilosa Proper, Linn. bipinnata Linn. and decomposita Wall. Clarke (1876) has included var. decomposita into B. pilosa proper. Taxonomic position of varieties pilosa proper and bipinnata is much confusing in literature. Babu (1977)has raised varieties pilosa proper and bipinnata as distinct species level into B. pilosa and B. bipinnata respectively. The present taximetric study also justified the distinction of these varieties as specific level. Hooker has reported three varieties of species B. pilosa i.e., pilosa proper Linn., bipinnata Linn., and decomposita Wall. from the Himalayan region of India. Clarke (1876) has included var. decomposita into B. pilosa proper. During taxonomic work on the family Compositae author has found that taxonomic position of var. pilosa proper and bipinnata is much confusing in literature. Babu (1977) has raised varieties pilosa proper and bipinnata as distinct species level. Looking to this discretion, it was de-eided to use taximetrics in interpreting taxonomic status of these taxa.     

ABNORMAL DEVELOPMENT OF THE SUSPENSOR IN AN EMBRYO-LETHAL MUTANT OF ARABIDOPSIS THALIANA

Developmental arrest of the embryo proper in aborted seeds from mutant 50B, a recessive embryo-lethal mutant of Arabidopsis thaliana, was shown to be followed by abnormal growth of the suspensor. Each of the 12 aborted seeds examined in sectioned material contained an abnormally large suspensor and an embryo proper arrested at a preglobular stage of development. Analysis of serial sections revealed that mutant suspensors contained 15–150 cells whereas wild-type suspensors were composed of only six to eight cells. Development of the mutant endosperm continued to a late nuclear or early cellular stage even in the absence of further development of the embryo proper. These results suggest that the missing gene product in mutant 50B is required for development of the embryo proper but not for continued growth of the suspensor or endosperm tissue. The pattern of abnormal development observed in this mutant provides further evidence that continued growth of the suspensor during normal development is inhibited by the developing embryo proper and that the full developmental potential of cells in the suspensor is expressed only when this inhibitory effect is removed through a mutation or experimental treatment that is lethal only to cells of the embryo proper.     

The Development of Activity of Cell Wall Bound β-Fructofuranosidase with Ripening and Senescence of Tomato Fruit

Optically active trisubstituted and tetrasubstituted cyclopentanes, with proper functional groups of proper stereochemistry as precursors for chiral synthesis of brefeldin A and prostaglandins, were prepared stereoselectively from carbohydrate.     

大车前胚乳发育的超微结构研究

采用透射电镜技术对大车前(Plantago major L.)胚乳发育的超微结构进行了研究。结果表明:(1)大车前为细胞型胚乳;初生胚乳核经一次横分裂产生1个珠孔室细胞和1个合点室细胞;珠孔室两次纵向分裂一次横向分裂形成2层8个细胞,位于上层的4个细胞发育为4个珠孔吸器,位于下层的4个细胞发育为胚乳本体;合点室细胞进行一次核分裂,发育为两核的合点吸器。(2)珠孔吸器呈管状插入珠被组织,珠孔端细胞壁加厚呈现少量分支并具有壁内突,壁内突周围细胞质里分布着大量线粒体、粗面内质网、高尔基体、质体等,细胞核与核仁明显,细胞质浓厚,代谢活动旺盛;球胚期,珠孔吸器的体积呈现最大值,珠孔吸器周围的珠被组织均被水解,形成明显的空腔。珠孔吸器从珠被组织吸收并转运营养物质至胚乳本体,参与胚乳的构建与营养物质的贮藏。球胚后期,珠孔吸器逐渐退化。(3)4个胚乳本体原始细胞具旺盛的分生能力,经不断的平周与垂周分裂增加胚乳细胞数目,使胚乳本体呈现圆球体状,并将胚包围其中;珠孔吸器、合点吸器以及珠被绒毡层吸收转运的营养物质贮存在胚乳本体;球胚后期,随着胚柄的退化,胚体周围的胚乳细胞被水解,为发育的胚所利用。(4)合点吸器的2个细胞核与核仁巨大,线粒体、质体、高尔基体、内质网主要绕核分布,液泡化明显;胚体与胚乳本体的体积增大,逐渐将合点吸器向胚珠合点部位挤压,合点吸器周围的合点组织逐渐被水解,形成巨大空腔。合点吸器自珠心组织吸收并转运营养物质至胚乳本体,参与胚乳的结构构建与营养物质的贮藏。球胚后期,合点吸器逐渐失去功能,呈现退化状态。     

Are species names proper names?

The nature of species names has been a source of controversy, and has played a role in developing ideas about the status of species, such as the species‐as‐individuals hypothesis. Some argue that species names are Millian proper names: names that have no meaning. Others have countered that species names are Millian general names that have stipulative definitions. Here I argue that species names belong to neither category. In particular, unlike Millian proper names, species names have unique referents and are connotative. Further, species names are names of intension that, unlike Millian general names, refer to specific collective entities. Because species names have unique properties not associated with Millian general or proper names, but recognizing the similarity to proper names in most respects, I propose that they be categorized as extra‐proper names.
     

Studies on water and ion transport in homopteran insects: ultrastructure and cytochemistry of the cicadoid and cercopoid Malpighian tubules and filter chamber

The filter chamber is a complex junction of anterior and posterior extremities of the midgut and Malpighian tubules. The sac-like anterior extremity, or filter chamber proper, comprises two cell types. These are large cuboidal cells which secrete a mucoprotein, and extremely thin cells which have regular tubular invaginations of the basal plasma membrane. The posterior extremity of the midgut and the internal Malpighian tubules coil round the filter chamber proper. They consist of thin epithelial cells identical in ultrastructure. The basal plasma membrane in these cells is formed into leaflets. A thin cellular sheath and thick muscle layers surround the filter chamber. The filter chamber proper is lined by the mucoprotein secretion of the cuboidal cells. This secretion appears to bind potassium ions. ATPase and alkaline phosphatase cannot be detected in the filter chamber epithelia. The structure and cytochemistry of the filter chamber suggests that water flows from filter chamber proper to midgut and Malpighian tubules by passive osmosis. This may be facilitated by ion binding in the filter chamber proper and by hydrostatic pressure engendered by contraction of the muscular coat. The Malpighian tubules appear to be structurally and chemically adapted for ion secretion by active transport and possibly for reabsorption in the Malpighian duct segment.     

Studies on the Ultrastructure and Histochemistry of Plant Cuticles: The Cuticular Membrane of Agave americana L. in situ

The outer epidermal wall of Agave americana leaves was examinedin order to gain more information about the location and chemicalconstitution of the structural components. In middle aged leavesthe wall comprised six layers which were designated epicuticularwax, cuticle proper, exterior and interior cuticular layer,exterior and interior cellin wall. A lamellated structure, consistingof a series of electron translucent lamellae of uniform thicknessalternating with opaque ones of variable thickness, was observedin the thin cuticle proper on the outside of the cuticular membrane,even without heavy metal treatment. The cuticular layers underneathformed the bulk of the cuticular membrane and they also hadtwo components, an amorphous matrix permeated by a reticulumof fibrillae. Cutin, detected with osmium and with iodine/iodine-sulphuricacid–silver proteinate, was a major component of the opaquelamellae of the cuticle proper and the matrix of the cuticularlayer. Carbohydrates were absent from the cuticle proper butwere detected specifically in the fibrillae of the cuticularlayer and in the cellin wall. Pectic material seemed to be presenton both sides of the junction between cuticular membrane andcellin wall, but no discrete zone corresponding to light microscopicalobservations was detected in the electron microscope. Althoughthe lucent lamellae of the cuticle proper were tentatively ascribedto wax there was no structural or ultrahistochemical evidencefor the wax component of the cuticular layer. The various ultrahistochemicalreactions are discussed in relation to the known chemical compositionof the membrane. Agave americana L., epidermis wall, cuticular membrane, cuticle proper, cuticular layer, ultrahistochemistry, wax     

In Memoríam

The mortality rate of poliomyelitis may be reduced by early measures to prevent anoxia and its subsequent complications. Constant nursing care, early tracheotomy, the giving of oxygen, proper use of the respirator and positive pressure equipment are essential in the proper management of patients with poliomyelitis who have respiratory involvement.     

In Memoríam

The mortality rate of poliomyelitis may be reduced by early measures to prevent anoxia and its subsequent complications.Constant nursing care, early tracheotomy, the giving of oxygen, proper use of the respirator and positive pressure equipment are essential in the proper management of patients with poliomyelitis who have respiratory involvement.     

Regional differences in mRNA responses in blue mussels within the Baltic proper

Mussels (Mytilus sp.) from two regions along the permanent salinity gradient within the Baltic proper were exposed to copper (35 ppb) or petrol (0.3 mL/L) for 10 days and analyzed for mRNA expressions in gill tissue. Expression of mRNAs for the heat shock proteins HSP70 and HSP90 was significantly induced by copper, but not by petrol. For the metallothioneins MT10 and MT20, regional differences in mRNA expressions could be seen. In mussels from the northern Baltic proper, MT20 expression increased 2.8 and 3.4 times, after exposure to copper and petrol, respectively. In contrast, no change could be seen in MT20 expression for mussels from the southern Baltic proper. MT10 showed a peculiar expression not previously described. For some mussels, no expression at all was detected, some showed a weak expression and for some individuals a strong expression could be seen. For the mussels from the southern Baltic proper, the number of individuals with a strong expression of MT10 increased from 1 out of 18 (control), to 7 and 8, after exposure to copper and petrol, respectively. The results clearly show that responses vary between different regions within the Baltic proper, which emphasises the importance to study interactions between contaminants, populations and regions.     

糖尿病基层卫生适宜技术示范基地建设的实践探讨

针对基层医疗机构卫生服务技术水平和服务能力相对较低的现状,论述基层卫生适宜技术示范基地建设的重要性,并介绍糖尿病基层卫生适宜技术示范基地建设的经验以及取得的成效,为今后开展卫生适宜技术推广工作提供有益的借鉴。     

The CNS midline cells coordinate proper cell cycle progression and identity determination of the Drosophila ventral neuroectoderm

The CNS midline cells, specified by the single-minded (sim) gene, are required for the proper patterning of the ventral CNS and epidermis, which are derived from the Drosophila ventral neuroectoderm. Defects in the sim mutant are characterized by the loss of the gene expression, which is required for the proper formation of the ventral neurons and epidermis, and by a decrease in the spacing of longitudinal and commissural axon tracks. Molecular and cellular mechanisms for these defects were analyzed to elucidate the precise role of the CNS midline cells in proper patterning of the ventral neuroectoderm during embryonic neurogenesis. These analyses showed that the ventral neuroectoderm in the sim mutant fails to carry out its proper formation and characteristic cell division cycle. This resulted in the loss of the dividing neuroectodermal cells that are located ventral to the CNS midline. The CNS midline cells are also required for the cell cycle-independent expression of the neural and epidermal markers. This indicates that the CNS midline cells are essential for the establishment and maintenance of the ventral epidermal and neuronal cell lineage by cell-cell interaction. On the other hand, the CNS midline cells do not cause extensive cell death in the ventral neuroectoderm. This study indicates that the CNS midline cells play important roles in the coordination of the proper cell cycle progression and the correct identity determination of the adjacent ventral neuroectoderm along the dorsoventral axis.     

Egfr/Ras pathway mediates interactions between peripodial and disc proper cells in Drosophila wing discs

All imaginal discs in Drosophila are made up of a layer of columnar epithelium or the disc proper and a layer of squamous epithelium called the peripodial membrane. Although the developmental and molecular events in columnar epithelium or the disc proper are well understood, the peripodial membrane has gained attention only recently. Using the technique of lineage tracing, we show that peripodial and disc proper cells arise from a common set of precursors cells in the embryo, and that these cells diverge in the early larval stages. However, peripodial and disc proper cells maintain a spatial relationship even after the separation of their lineages. The peripodial membrane plays a significant role during the regional subdivision of the wing disc into presumptive wing, notum and hinge. The Egfr/Ras pathway mediates this function of the peripodial membrane. These results on signaling between squamous and columnar epithelia are particularly significant in the context of in vitro studies using human cell lines that suggest a role for the Egfr/Ras pathway in metastasis and tumour progression.     

乳腺癌保乳术后局部复发的相关因素

随着保乳手术的开展及保乳病人的增多,相应出现了一些保乳术后局部复发的病例,而切缘阴性或阳性、术后全乳照射与否、年龄、病理类型、病例的选择、新辅助化疗后保乳术切除范围、SLNB(前哨淋巴结活检)等都与保乳术后局部复发有关。因此确保严格选择适应症病例、手术切缘阴性、术后全乳照射、病理类型为非EIC(广泛导管内癌成分)、新辅助化疗后手术范围的准确以及提高SLNB的准确率都可降低保乳手术的局部复发。本文在此就乳腺癌保乳术后局部复发的相关因素进行探讨。     

Initiation of bidirectional replication at the chromosomal origin is directed by the interaction between helicase and primase.

Several protein-protein interactions have been shown to be critical for proper replication fork function in Escherichia coli. These include interactions between the polymerase and the helicase, the helicase and the primase, and the primase and the polymerase. We have studied the influence of these interactions on proper initiation at oriC by using mutant primases defective in their interaction with the helicase and DNA polymerase III holoenzyme lacking the tau subunit so that it will not interact with the helicase. We show here that accurate initiation of bidirectional DNA replication from oriC is dependent on proper placement of the primers for leading strand synthesis and is thus governed primarily by the interaction between the helicase and primase.     

ANESTHETIC MORBIDITY

Anesthesia entails some risk of morbidity. This morbidity can be minimized by adequate preoperative preparation of the patient, by judicious selection and proper administration of anesthetic agents and by proper care in the early postoperative period.Properties of various anesthetic agents are discussed with regard to their systemic effects, with emphasis upon the effect on patients with impaired function of internal organs.     

What's new in surgery

Anesthesia entails some risk of morbidity. This morbidity can be minimized by adequate preoperative preparation of the patient, by judicious selection and proper administration of anesthetic agents and by proper care in the early postoperative period. Properties of various anesthetic agents are discussed with regard to their systemic effects, with emphasis upon the effect on patients with impaired function of internal organs.