Secretory IgA in Urinary Tract Infections

Secretory IgA, measured by radial immunodiffusion, was compared in the urine of children with chronic and recurrent non-obstructive urinary tract infections with that in normal children. IgA, IgG, and IgM were also measured. Absent and low levels of IgA(s) were found in both groups; however, the mean levels of IgA(s) were significantly higher in the infected group compared with normals—3·3 to 0·78 mg./24 hours, respectively. Secretory IgA was found to be locally produced in the bladder. It is suggested that IgA(s) levels reflect an antibody response to infection.     

Interdependence of inoculum size and trace element supply in growth of Aspergillus oryzae

Summary Further to earlier reports indicating that the effects of inoculum size on growth of Aspergillus oryzae in synthetic media are abolished by certain trace element compositions, it has now been shown that those effects can be made more pronounced, but can also be reversed, by varying the balance of available trace elements.Addition of Ca to substrate A ₁ increases the usual effects of inoculum size whereas Cu abolishes them with a tendency for reversal.Supplementation of substrate A ₁ with suitable amounts of ethylenediaminetetraacetic acid results in a stronger inhibition of small-inoculum cultures than large ones, thus increasing the usual effects of inoculum size. These effects are reversed if the sugar of substrate A ₁ is purified by Al(OH)₃ co-precipitation method, but only if the treatment is carried out at neutral or alkaline reaction. This reversal of the phenomena is due to an almost complete absence of Zn after purification and presence of Fe in substrate A ₁.The Al(OH)₃ treatment of the sugar results in substrates so poor in Zn that addition of as little as 5 g ZnSO₄ · 7 H₂O/l has an effect. This influence, however, results in an inhibition of the growth rate, and higher concentrations of Zn are required in order to obtain stimulation with both large and small-inoculum cultures.The above-mentioned reversal of the phenomena was abolished in a substrate with slightly caramelized glucose.

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Zusammenfassung Diese Arbeit ist eine Erweiterung vorhergehender Berichte über den Einfluß der Größe der Impfmenge auf das Wachstum von Aspergillus oryzae, wo u. a. festgestellt wurde, daß die beobachteten Effekte durch bestimmte Spurenelement-Zusammensetzungen aufgehoben werden.Es wurde nun festgestellt, daß Zugabe von Ca zu Substrat A ₁ die gewohnten Effekte erhöht, während Cu diese verringert mit einer Tendenz zur Umkehrung.Werden geeignete Mengen Äthylendiamintetraessigsäure zu Substrat A ₁ zugegeben, so werden Kulturen, die aus kleiner Impfmenge erwachsen sind, stärker in ihrer Wachstumsgeschwindigkeit und maximaler Ausbeute an Mycel gehemmt als Kulturen von großer Impfdichte, was einer Verstärkung der gewohnten Effekte gleich kommt. Diese Effekte werden umgekehrt, wenn die Glucose des Substrates A ₁ durch Al(OH)₃-Fällung gereinigt wird, jedoch nur wenn diese Behandlung bei neutraler oder alkalischer Reaktion erfolgt. Diese Umkehrung ist auf nahezu vollständige Entfernung von Zn und gleichzeitige Anwesenheit von Fe in Substrat A ₁ zurückzuführen.Schon Zugabe sehr kleiner Mengen Zn (5 g ZnSO₄ · 7 H₂O/l) zum gereinigten Substrat übt eine Wirkung aus, welche aber in einer Hemmung der Wachstumsgeschwindigkeit besteht. Höhere Zn-Konzentrationen sind nötig, um das Wachstum der Kulturen von großen und kleinen Impfmengen zu fördern.Die vorerwähnte Umkehrung der Phänomene wurde aufgehoben, wenn ein Substrat mit leichter Caramelisierung der Glucose angewendet wurde.

     

Atypical Manifestations of Hyperthyroidism

Patients with hyperthyroidism usually present with symptoms of hypermetabolism with or without goitre and/or eye signs. Occasionally, however, the chief complaints are not immediately suggestive of hyperthyroidism. Patients with hyperthyroidism are described who presented with such atypical manifestations as periodic muscular paralysis, myasthenia, myopathy, encephalopathy, psychosis, angina pectoris, atrial fibrillation, heart failure without underlying heart disease, skeletal demineralization, pretibial myxedema, unilateral eye signs, and pitting edema of the ankles.     

Ventricular septal defect with bidirectional shunting: Mathematical considerations

Previously proposed formulae for the quantitative estimation of bidirectional shunts across ventricular septal defects require determination of the oxygen contents of mixed venous, pulmonary artery, pulmonary venous, and aortic blood. Because these formulae do not take into account the mixing of oxygenated with unoxygenated blood within the ventricles, their use must result in underestimation of shunt flows in each direction. A mathematical model for a ventricular defect is examined, in which it is assumed that mixing of blood occurs in each of six sites in the venae cavae or right atrium, right ventricle, pulmonary artery, left atrium, left ventricle, and aorta. A total of fourteen streams of blood can flow from one to another of these mixing sites. As long as complete mixing occurs in the six specified mixing sites, any degree of mixing or non-mixing of the various streams is permitted. From the equations characterizing the model, formulae are derived in which the shunt flow in each direction is expressed in terms of the oxygen contents in the six mixing sites and the fractions of blood which enter the shunt from either side without prior mixing in a ventricular mixing site. The previously reported formulae, which apply when no ventricular mixing is allowed to occur, lead to theoretical minimum values for the shunt flows in each direction. At the opposite extreme where all the shunting blood is required to mix in a ventricle before entering the shunt, formulae for maximum possible shunt flows are also obtained. The absolute values for the left-to-right and right-to-left shunt flows, which must lie somewhere between the theoretical maximum and minimum values, cannot be computed from blood gas data alone. This work was supported in part by grant HE-07563 from the National Heart Institute of the National Institutes of Health and grants-in-aid from the American and North Carolina Heart Associations and the Life Insurance Medical Research Fund. Work completed during tenure as U.S.P.H.S. post-doctoral fellow.     

Algorithms for efficient planning and operation of a particular FMS

This article is a detailed case study of a particular FMS that will be operational in 1989. It describes the daily planning and operating problems that will need to be addressed. The algorithms that will operate this system are presented. Given the daily changing production requirements, the algorithms begin with an aggregate planning feasibility check. Then planning, scheduling, inventory management, and breakdowns are addressed. The key problems in operating this system are tool management problems. Detailed tooling data and their analysis are presented in an appendix to address these problems.