Invited contribution: An objective approach to the development of short-term tests predictive of carcinogenicity

The Carcinogenicity Prediction and Battery Selection procedure was developed to address two problems: (1) the identification of highly predictive, yet cost-effective, batteries of short-term tests and (2) the objective prediction of the potential carcinogenicity of chemicals based upon the results of short-term tests even when a mixture of positive and negative results is obtained. In the present report the usefulness of the Carcinogenicity Prediction and Battery Selection procedure is demonstrated using benzo[a]pyrene, benzoin and diethylstilbestrol as examples. In addition, its applicability in the analysis of all the possible outcomes of a battery is illustrated together with an analysis of the worth of additional testing.Abbreviations B[a]P benzo[a]pyrene - CASE Computer-Automated Structure Evaluation - CPBS Carcinogenicity Prediction and Battery Selection - DEHP diethylhexylphthalate - DES diethylstilbestrol - NTA nitrilotriacetate - TCDD 2,3,7,8-tetrachlorodibenzo-p-dioxin     

Resumption of growth of heat inactivated embryonic epiphyses by grafting

Summary This communication describes a new experimental model for the study of the role of the extracellular matrix (ECM) in morphogenesis. In a preceding paper (Markson et al. 1991) we demonstrated that isolated epiphyses from femora of 6-day-old chick embryos grow during the first days in organ culture almost as well as their intact counterparts. Heating femora for 1 h at 45.2° C caused complete cessation of growth and proteoglycan biosynthesis. When the cut surface of a heat-inactivated (HI) epiphysis was brought into apposition with the cut surface of a live epiphysis and the attached pair placed in organ culture, the HI epiphysis began to grow and reached almost the same size as its live partner. The different possible interpretations of this finding are discussed. When a HI epiphysis of a certain shape (from humerus) is attached to a live epiphysis of a very different shape (from femur) and the attached pair is cultured for 6–7 days, the typical resumption of growth can be observed and the HI epiphysis that doubled or tripled its size retains its original characteristic form. The possibility that the existing infrastructure of the cartilaginous ECM directs the pattern of deposition of newly synthesized ECM by the chondroblasts is discussed, and it is suggested that stretch-activated channels participate in a process by which cells sense the topography of their ECM. Offprint requests to: F. Doljanski     

Paths to psychiatric care in Hong Kong

The pattern of psychiatric consultation in Hong Kong is examined among 226 patients at a public outpatient clinic and 56 patients at a private psychiatric clinic. The approach to psychiatric services is marked by lengthy delay during which patients get help from their family members or close friends. Arrival at the present psychiatric clinic was diverted through other medical resources, primarily Western-style medical services, and to some extent, traditional Chinese medicine. Individual routes were diverse, characterized by frequent switches among resources especially in the private sector. The nature of the patients' presenting complaints as well as the conceptualization of their initial complaints were multi-faceted, including both psychological and somatic factors. The overall consultation pattern of patients in Hong Kong is compared with other studies on Chinese and Western patients. Questions are raised for further analysis.The study was funded by the United Board for Christian Higher Education in Asia Faculty Research Grant made through Chung Chi College of The Chinese University of Hong Kong.     

Preferences in help-seeking among Chinese students

Chinese university students were asked to indicate their inclination to seek help and the resources for consultation on the 22 problems listed on the Langner Scale. Results showed that the Chinese students were generally not inclined to seek help and when they did, would most often seek help from medical doctors. However, when items were grouped in terms of clinical content, it was found that friends were predominantly preferred for psychological problems while the doctor was preferred for psychophysiological, physiological, and ambiguous problems. More female than male students tended to rely on friends and family members while the reverse pattern was found in the preference for doctors. The mental health professional was rarely cited as a resource for any of the problems. The results provide some explanation for observations made in previous studies on symptom presentation and help-seeking behavior among Chinese psychiatric patients.     

Factors associated with difference in prevalence of asthma in children from three cities in China: multicentre epidemiological survey

Objective To determine the factors associated with difference in prevalence of asthma in children in different regions of China.Design Multicentre epidemiological survey.Setting Three cities in China.Participants 10 902 schoolchildren aged 10 years.Main outcome measures Asthma and atopic symptoms, atopic sensitisation, and early and current exposure to environmental factors.Results Children from Hong Kong had a significantly higher prevalence of wheeze in the past year than those from Guangzhou and Beijing (odds ratio 1.64, 95% confidence interval 1.35 to 1.99). Factors during the first year of life and currently that were significantly associated with wheeze were cooking with gas (odds ratio 2.04, 1.34 to 3.13), foam pillows (2.58, 1.66 to 3.99), and damp housing (1.89, 1.26 to 2.83). Factors protecting against wheeze were cotton quilts and the consumption of fruit and raw vegetables.Conclusion Environmental factors and diet may explain the differences in prevalence of asthma between children living in different regions of China.     

Morphometric variation in theAlonsoa meridionalis complex (Scrophulariaceae)

Morphological field studies of 27 populations of theA. meridionalis complex were conducted in Ecuador. It is possible to distinguish four different form series by the position of the stamens in relation to the style. This trait was congruent with the overall morphometric variation, shown by the results of a canonical discriminant analysis (CDA). The taxonomy of the species complex is discussed based upon the results of the CDA. The degree of outcrossing varied in different form series, from a comparatively high degree of selfing to predominantly outcrossing, as indicated by the variation within relative to among populations. This is probably due to the varying potentials for self-deposition owing to differences in the degree of herkogamy.