Left heart catheterization; the clinical importance of findings

Left heart catheterization using the transbronchial route to obtain pressures in the left atrium and left ventricle was used successfully in 29 cases with no mortality or morbidity. It was found to be useful in differentiating between mitral stenosis and mitral insufficiency, as well as determining the amount of aortic stenosis present when there was involvement of the aortic valve. The technique was also helpful in determining which is the predominant lesion when there is a disease of the aortic and mitral valves. In two patients in a series of 29, data obtained by left heart catheterization forestalled operation on the basis of a mistaken diagnosis of mitral stenosis when actually no mitral valvular disease was present. In another eight patients, the predominant lesion was found to be mitral stenosis rather than mitral insufficiency as it was thought to be before catheterization. In two patients, who had only systolic murmurs, catheterization revealed mitral stenosis rather than mitral insufficiency. In four patients who were thought to have mixed valvular disease, left heart catheterization showed only aortic valvular disease.     

Active sodium transport by the isolated toad bladder

Studies were made of the active ion transport by the isolated urinary bladder of the European toad, Bufo bufo, and the large American toad, Bufo marinus. The urinary bladder of the toad is a thin membrane consisting of a single layer of mucosal cells supported on a small amount of connective tissue. The bladder exhibits a characteristic transmembrane potential with the serosal surface electrically positive to the mucosal surface. Active sodium transport was demonstrated by the isolated bladder under both aerobic and anaerobic conditions. Aerobically the mean net sodium flux across the bladder wall measured with radioactive isotopes, Na²⁴ and Na²², just equalled the simultaneous short-circuit current in 42 periods each of 1 hour's duration. The electrical phenomenon exhibited by the isolated membrane was thus quantitatively accounted for solely by active transport of sodium. Anaerobically the mean net sodium flux was found to be slightly less than the short-circuit current in 21 periods of observation. The cause of this discrepancy is not known. The short-circuit current of the isolated toad bladder was regularly stimulated with pure oxytocin and vasopressin when applied to the serosal surface under aerobic and anaerobic conditions. Adrenaline failed to stimulate the short-circuit current of the toad bladder.     

Punctal density in the Ordovician orthide brachiopod Paucicrura rogata: anatomical and paleoenvironmental variation

In the orthide brachiopod Paucicrura rogata , from the Upper Ordovician of New York, the density of punctae (small perforations in the shell) increases from about 350 to about 450 per mm² of shell in the transition from shallow-water limestones to black graptolitic shales down the outer slope of the Taconic Trench. Punctal density is significantly correlated with water depth, as measured by distance downslope along individual volcanic ash layers, and by reciprocal averaging score for macroinvertebrate fossil assemblages ( p < O.01). Because punctal density increases with temperature in living brachiopods, the results suggest that water temperature increased with depth in the Taconic basin, corroborating similar conclusions based on Paucicrura's oxygen-isotopic composition. The increase in punctal density with increasing water depth may also reflect reduced shell growth rates of P. rogata in oxygen-deficient bottom waters, causing a reduction in spacing between punctae. Ontogenetic decrease of punctal density with increasing shell size reflects differential rates of puncta formation at the shell margin. □ Brachiopoda, Orthida, Ordovician, Taconic Basin, paleoceanography, paleoecology, punctae, caeca.     

Light and Electron Microscope Study of Urosporidium cannoni N. Sp., a Haplosporidian Parasite of the Polyclad Turbellarian Stylochus sp.

ABSTRACT. Urosporidium cannoni n. sp. was found in most tissues of a polyclad turbellarian associated with commercial oyster farms from eastern Moreton Bay, Australia. Mature spores had 11 to 13 episporal tails at irregular intervals around the spore wall. The spherule, prominent in development, dispersed as the spores matured. Spores were found within cysts that contained up to a few hundred spores at the same stage of development. Mature cysts occurred in groups and their masses of dark, golden spores resulted in black patches on the otherwise red-brown turbellarian. The infection may have commercial importance.     

Quassinoids Exhibit Greater Selectivity Against Plasmodium Falciparum Than Against Entamoeba Histolytica, Giardia Intestinalis Or Toxoplasma Gondii In Vitro

ABSTRACT. The in vitro activities of a series of quassinoids against Plasmodium falciparum, Entamoeba histolytica, Giardia intestinalis and Toxoplasma gondii have been compared with their in vitro cytotoxic effects against KB cells (human epidermoid carcinoma of the nasopharynx). All of the compounds tested were more toxic to KB cells than to G. intestinalis , but four (ailanthinone, bruceine D, brusatol and glaucarubinone) were slightly less toxic to KB cells than to E. histolytica. Glaucarubinone was similarly more toxic to intracellular T. gondii than to KB cells but ailanthinone was more selective (36 times more toxic to T. gondii than to KB cells). All of the compounds were more toxic to P. falciparum than to KB cells; the most selective quassinoids—glaucarubinone, bruceine D, ailanthinone and brusatoi—were found to have toxicity/activity ratios of 285, 76, 48 and 32 respectively. These results suggest that quassinoids have a selective action on P. falciparum. Further studies to elucidate the basis for this are in progress.