Obstetrical Caudal Anesthesia in a Community Hospital: A Satisfactory Plan

The development of a program to provide complete anesthesia coverage for obstetrics in a community hospital was undertaken as a prospective project which emphasized continuous caudal techniques. Mutually acceptable guidelines were formulated by a group of anesthesiologists and the Department of Obstetrics and Gynecology. A computerized study involving 3,500 labor patients was carried out to thoroughly evaluate the experience over 16 months. The data confirmed the feasibility, safety and wide acceptance of the program. Major complications were few and the anesthesia service to patients was excellent.     

Central actions of valproic acid in man and in experimental models of epilepsy

Valproic acid is a relatively new anticonvulsant which has been shown to be effective against generalized seizures in humans. Valproate's mechanism of action is unknown, but it is known that it interacts with gamma-aminobutyric acid, serotonin, glycine, aspartate, and cyclic nucleotides. Valproate's possible mode of action is considered further by reviewing its effects on experimental models of epilepsy and its efficacy in certain human neurological diseases which are thought to involve neurotransmitter imbalances.     

Isolation of human mononuclear cell subsets by counterflow centrifugal elutriation (CCE): II. Functional Properties of B-lymphocyte-, T-lymphocyte-, and monocyte-enriched fractions

Counterflow centrifugal elutriation (CCE), a technique which separates cells by size and density, was used to separate human peripheral blood mononuclear cells into fractions enriched for T lymphocytes, B lymphocytes, and monocytes. These morphologically and phenotypically distinct fractions were analyzed for their ability to respond in several functional assays. B-Cell-enriched fractions devoid of monocytes did not proliferate nor produce significant quantities of lymphokines in response to antigens. These B cells did proliferate to anti-IgM antibodies but not to anti-IgD antibodies. B-Cell fractions served as stimulators of the autologous mixed-lymphocyte reaction (AMLR). T-Lymphocyte fractions were unable to respond to antigen challenge, but both proliferation and lymphokine production could be restored by the addition of monocytes. Monocyte fractions produced PGE₂, displayed chemotaxis, and functioned as stimulators in the AMLR. Thus, CCE appears to be a useful technique for reproducibly obtaining highly enriched subsets of human peripheral blood mononuclear cells with unique phenotypic and functional properties. These isolated populations can consequently be used to identify the independent and collaborative roles of the cells in immunological events.     

Macronutrient intake affects reproduction of a predatory insect

Prey quality has previously been shown to affect the growth and reproduction of predatory arthropods, however relatively little is known about the specific nutrients responsible for these effects. We tested if the macronutrient content (i.e. lipid and protein) of live prey affected mate attraction, reproductive behavior, egg production and nutrient reserves of adult female praying mantids, Pseudomantis albofimbriata. Females on a high‐protein diet produced more than twice as many eggs as females on a high‐lipid diet despite being fed the same overall biomass of prey. Furthermore, the lipid and protein composition of eggs and the female body was directly related to the diet that females were fed (i.e. high lipid content on the high‐lipid diet). Even more striking was the effect of diet treatment on the number of males attracted to females – only one male was attracted to females on the high‐lipid treatment and 56 males were attracted to females on the high‐protein treatment. Although it is not unexpected that females with more eggs would attract more males, the extreme nature of this difference is certainly surprising because previous studies have shown that females with only a couple of eggs can attract multiple males. Hence, our results suggest that female pheromone production may be affected by the quality/nutritional composition of eggs rather than simply the number of eggs. We found no significant difference in any of the other behaviours measured during mating trials, including the frequency of sexual cannibalism. The positive effects of prey protein content on mate attraction and egg production suggest that praying mantids might be expected to choose more protein‐biased prey in nature or, if prey choice is limited, to have higher reproductive output or population growth in communities dominated by protein‐rich prey.     

Differences in myristic acid synthesis and in metabolic rate for P388 cells resistant to doxorubicin

Lipids extracted from doxorubicin-resistant murine leukemia cells (P388/ADR) contained greater relative amounts of myristic and palmitoleic acids than lipids from sensitive cells (P388). This was seen in both the phospholipid and neutral lipid fractions under two nutritional conditions. Correspondingly in P388/ADR cells, myristic acid comprised a greater proportion of the products of the fatty acid synthetase system, and acyl-CoA 9-desaturase activity was transiently greater than in P388. Similar alterations in myristic acid synthesis were exhibited by DC3F/AD X, N417/VP-16, and P388/AZQ30U cells but not by CHRC5 or HL60/AR cells. This alterations was independent of alterations in the P180 glycoprotein and might be linked via the myristoylation of proteins to a different mechanism of drug resistance. Doxorubicin-resistant P388/ADR cells also exhibited a much higher rate of oxidative energy production.