Physician retirement: a case for concern in Canadian hospitals.

Mandatory retirement is being challenged on the basis of age discrimination, and physicians are not divorced from this social trend. In January 1982 legal precedent was set by the Manitoba Court of Appeal concerning the retirement policy for physicians in Canada. Currently, Canadian hospital bylaws include clauses that require a change in membership status once a physician reaches 65 years of age. The main arguments in favour of this change include easier physician manpower management, ensured public safety and, in some instances, greater productivity. The main arguments against this change include loss of income to physicians, loss of skilled manpower to the profession and adverse effects on the mental and physical health of retiring physicians. In an effort to resolve this conflict some Canadian hospitals are developing strategies for reviewing the specific privileges and responsibilities physicians will retain once they reach age 65. The medical staff of the Victoria General Hospital in Halifax, NS have addressed this issue through their annual reappointment process.     

Characterization and sequence analysis of a stable cryptic plasmid from Enterococcus faecium 226 and development of a stable cloning vector.

A small cryptic plasmid, pMBB1, isolated from Enterococcus faecium 226 was characterized. The plasmid contained an extremely stable replicon which has limited homology to the lactococcal plasmid pCI305. Sequence analysis of the replicon detected one open reading frame of 822 bp capable of encoding a 32-kDa protein. No detectable single-stranded intermediates were found for the replicon, suggesting that pMBB1 may be included in the same family as pCI305, although pCI305 exhibits a more narrow host range. A small stably maintained vector able to replicate in a variety of lactic acid bacteria, containing a large multiple cloning region, was constructed by using the pMBB1 replicon.     

Electron Microscopy Study of Reovirus Reaction Cores

A combined staining and shadowing method has been used to enhance the contrast of both reovirus cores and the RNA product that they have synthesized. After limited synthesis when all RNA strands associated with the core are nascent, many cores are observed that have more than 10 strands associated with each particle. The lengths of individual nascent mRNA molecules are not identical: many strands are extruded in the form of loops. These observations are consistent with the notion that synthesis of individual mRNA molecules occurs simultaneously at different rates at a number of different sites. The sites of extrusion are probably the 12 hollow projections located on the surface of the core.     

Distinct regulation of pHin and [Ca2+]in in human melanoma cells with different metastatic potential

We investigated whether alterations in the mechanisms involved in intracellular pH (pHⁱⁿ) and intracellular calcium ([Ca²⁺]ⁱⁿ) homeostasis are associated with the metastatic potential of poorly (A375P) and highly (C8161) metastatic human melanoma cells. We monitored pHⁱⁿ and [Ca²⁺]ⁱⁿ simultaneously, using the fluorescence of SNARF-1 and Fura-2, respectively. Our results indicated that steady-state pHⁱⁿ and [Ca²⁺]ⁱⁿ between these cell types were not significantly different. Treatment of cells with NH₄Cl resulted in larger pHⁱⁿ increases in highly than in poorly metastatic cells, suggesting that C8161 cells have a lower H⁺ buffering capacity than A375P. NH₄Cl treatment also increased [Ca²⁺]ⁱⁿ only in C8161 cells. To determine if the changes in [Ca²⁺]ⁱⁿ triggered by NH₄Cl treatment were due to alterations in either H⁺- or Ca²⁺-buffering capacity, cells were treated with the Ca²⁺-ionophore 4Br-A23187, to alter [Ca²⁺]ⁱⁿ. The magnitude of the ionophore-induced [Ca²⁺]ⁱⁿ increase was slightly greater in C8161 cells than in A375P. Moreover, A375P cells recover from the ionophore-induced [Ca²⁺]ⁱⁿ load, whereas C8161 cells did not, suggesting that A375P may exhibit distinct [Ca²⁺]ⁱⁿ regulatory mechanisms than C8161 cells, to recover from Ca²⁺ loads. Removal of extracellular Ca²⁺ ([Ca²⁺]^ex) decreased [Ca²⁺]ⁱⁿ in both cell types at the same extent. Ionophore treatment in the absence of [Ca²⁺]^ex transiently increased [Ca²⁺]ⁱⁿ in C8161, but not in A375P cells. Endoplasmic reticulum (ER) Ca²⁺-ATPase inhibitors such as cyclopiazonic acid (CPA) and thapsigargin (TG) increased steady-state [Ca²⁺]ⁱⁿ only in C8161 cells. Together, these data suggest that the contribution of intracellular Ca²⁺ stores for [Ca²⁺]ⁱⁿ homeostasis is greater in highly than in poorly metastatic cells. Bafilomycin treatment, to inhibit V-type H⁺-ATPases, corroborated our previous results that V-H⁺-ATPases are functionally expressed at the plasma membranes of highly metastatic, but not in poorly metastatic cells in and [Ca²⁺]ⁱⁿ regulatory mechanisms are present in poorly and highly metastatic human melanoma cells. J. Cell. Physiol. 176:196–205, 1998. © 1998 Wiley-Liss, Inc.     

Disintegration of Dung Pats from Cattle Treated with the Ivermectin Anthelmintic Bolus,or the Biocontrol Agent Duddingtonia flagrans

An experiment was performed during the grazing seasons of 1998, 1999 and 2000 to study the influence of the antiparasitic drug ivermectin and the nematophagous fungus Duddingtonia flagrans on cattle dung disintegration. The faeces originated from groups of animals that were part of a separate grazing experiment where different control strategies for nematode parasite infections were investigated. Each group consisted of 10 first-season grazing cattle that were either untreated, treated with the ivermectin sustained-release bolus, or fed chlamydospores of D. flagrans. Faeces were collected monthly on 4 occasions and out of pooled faeces from each group, 4 artificial 1 kg dung pats were prepared and deposited on nylon mesh on an enclosed pasture and protected from birds. The position of the new set of pats was repeated throughout the 3 years of the study. Each year, the dung pats were weighed 4, 6, 8 and 10 weeks after deposition and immediately afterwards replaced to their initial positions.

Results showed that there was no difference in faecal pat disintegration between groups. However, the time-lag between deposition and complete disintegration of the faeces varied significantly between deposition occasions. Dung pats disappeared within 2 weeks (visual observation) when subjected to heavy rainfall early after deposition, whereas an extended dry period coincided with faeces still remaining 12 months after deposition.