Accuracy of respiratory inductive plethysmograph in measuring tidal volume during sleep.

Respiratory inductance plethysmography (RIP) has been widely used to measure ventilation during sleep, but its accuracy in this role has not been adequately tested. We have thus examined the accuracy of the RIP by comparing tidal volume measured with RIP with that measured by a pneumotachograph in eight unrestrained normal subjects during sleep. We have also studied the effect of posture on the accuracy of the RIP. In all sleep stages the correlation between RIP tidal volume measurements and expired volume showed relatively poor correlations (mean r = 0.49-0.60), and the bias of the measurements varied widely. Changes in posture altered the correlations between the two measurements, with no systematic differences between positions. When the subjects resumed a position, the 95% confidence intervals of tidal volume measurement did not overlap the original confidence limits in that posture on 13 of 25 occasions. This study shows that the RIP does not accurately measure tidal volume during sleep in unrestrained subjects and should only be used for semiquantitative assessment of ventilation during sleep.     

Patterns of dental enamel defects at ancient Mendes, Egypt.

The dental remains of 88 individuals from Old Kingdom, First Intermediate, and Greco-Roman periods at the ancient Egyptian site of Mendes (Tell er-Rub(c)a) were examined for dental enamel hypoplasia, and the results reported here provide some of the first comparative data on enamel defects in ancient Egypt. Overall, 48% of the individuals in the sample have one or more teeth with hypoplasia, with 17% of permanent teeth and 8% of deciduous teeth affected. The permanent teeth account for 87% of the total number of affected teeth, a prevalence over deciduous teeth that is significant at alpha = 0.05. Permanent and deciduous teeth display different patterns of hypoplasia, with the former exhibiting both discrete pitting and linear furrowing, and the latter exhibiting only pits. Teeth with linear defects significantly outnumber those with pits by a factor of more than three to one. Only permanent canines display more than one lesion on a tooth, with a mean of 1.4 defects per affected tooth. Although calculation of the age of insult from lesion position is imprecise, it appears that stress episodes occurred most commonly between approximately 3-5 years of age. The presence of pits in the deciduous dentition, however, suggests that physiological stresses began in utero. There is no statistically significant difference in the frequency of enamel defects between males and females. An observed decrease in the frequency of defects from the Old Kingdom period to the subsequent First Intermediate and Greco-Roman periods is not significant at alpha = 0.05, although such a decrease is expected given epigraphic and other data that refer to prolonged drought and malnutrition in the late Old Kingdom. The calculated chi(2) value of 3.83 is significant at the 0.10 level, however, and since our sample is rather small and the magnitude of the chi-square statistic is a function of sample size, we recommend that future research investigate further the relationship between the frequency of enamel defects and the time period in which they occur.     

Low dosage progestagen as an oral contraceptive: a clinical study

A low dose of an oral progestagen (norethindrone 0.35 mg. daily) was used as a contraceptive agent in a group of 70 women. The average period of use was 16.7 months; it was over two years in 21 subjects. Eight patients withdrew from the trial because of excessive or irregular bleeding. The incidence of side effects was lower than with the combined type of contraceptive preparations. Of the six pregnancies that occurred, only two could be attributed to failure of the method.     

Reconstruction of Middle Jurassic Dinosaur-Dominated Communities from the Vertebrate Ichnofauna of the Cleveland Basin of Yorkshire,UK

Globally, skeletal remains of dinosaurs are particularly rare throughout much of the Middle Jurassic. Thus, other sources of evidence, and most importantly ichnofaunas, are important indicators of the contemporary terrestrial vertebrate communities. The outcrops of the Ravenscar Group (Aalenian—Bajocian) within the Cleveland Basin of Yorkshire, UK, which have recently been recognised as a megatracksite of global significance, provide one such major source of ichnofaunal information of this age. A comprehensive database on the variety and occurrence of dinosaur and other vertebrate traces within the Ravenscar Group has been built from a long-term and detailed study of the sequence. Thirty different and distinct morphotypes of vertebrate traces have been recognised and are being analysed and further differentiated morphometrically. Some of the morphotypes represent behavioural, preservational and perhaps ontogenetic variants of other morphotypes, but nevertheless the range of quadrupedal and bipedal prints allows an overall fauna of sauropod, stegosaurian, ornithopod and theropod dinosaurs along with crocodiles, pond turtles and fish to be reconstructed. The distribution and abundance of prints and print types within the succession shows evidence of environmental control on the behaviour and distribution of the vertebrates. Case studies highlight both the advantages and disadvantages of this type of data in reconstructing palaeocommunities.     

Characteristics of cellular structures derived by tissue culture of pre-implantation blastocysts of the pig

Tissue mechanically dissociated from blastocysts of the pig around the time of implantation were found to produce, in culture, free-floating multicellular spheroids (trophospheres) and adherent monolayer cells. Ultrastructurally the two cellular layers of the trophospheres were very similar to those of the blastocyst but the trophosphere outer layer characteristically contained very large mitochondria with a vastly expanded matrix and few cristae. Similar mitochondria were also found in the monolayer cells. Using a monoclonal antibody specific for pig trophectoderm, it was found that about 20% of the monolayer cells, and some of the spheroids expressed this trophectodermal antigen. In the latter case the antigen was present only on the surface facing the medium. The spheroids were fluid-filled and occasionally grew inside each other. The monolayer cells were predominantly uninuclear but did form a number of binucleate cells and in older cultures the occasional cell with many nuclei could be seen. The spheroids and the monolayer cells had similar glycoprotein profiles indicating that they were composed of similar cell populations. A glycoprotein of apparent molecular weight 68,000 observed in both spheres and monolayers may represent pig placental alkaline phosphatase. Both trophospheres and monolayer cells were observed to interconvert steroid precursors. It is apparent that the trophospheres share many features of the blastocyst and may thus represent a valuable model system similar to those described in other species for the investigation of their biochemical physiological and immunological properties.     

Summary of the 2000 Surgeon General's Listening Session: Toward a National Action Plan on Overweight and Obesity

Objective: To provide insight into discussions at the Surgeon General's Listening Session, “Toward a National Action Plan on Overweight and Obesity,” and to complement The Surgeon General's Call to Action to Prevent and Decrease Overweight and Obesity. Research Methods and Procedures: On December 7 and 8, 2000, representatives from federal, state, academic, and private sectors attended the Surgeon General's Listening Session and were given an opportunity to recommend what to include in a national plan to address overweight and obesity. The public was invited to comment during a corresponding public comment period. The Surgeon General's Listening Session was also broadcast on the Internet, allowing others to view the deliberations live or access the archived files. Significant discussion points from the Listening Session have been reviewed by representatives of the federal agencies and are the basis of this complementary document. Results: Examples of issues, strategies, and barriers to change are discussed within five thematic areas: schools, health care, family and community, worksite, and media. Suggested cooperative or collaborative actions for preventing and decreasing overweight and obesity are described. An annotated list of some programmatic partnerships is included. Discussion: The Surgeon General's Listening Session provided an opportunity for representatives from family and community groups, schools, the media, the health-care environment, and worksites to become partners and to unite around the common goal of preventing and decreasing overweight and obesity. The combination of approaches from these perspectives offers a rich resource of opportunity to combat the public health epidemic of overweight and obesity.