Current intracerebral haemorrhage management.

Primary intracerebral haemorrhage (ICH) refers to spontaneous bleeding from intraparenchymal vessels. It accounts for 10-20% of all strokes, with higher incidence rates amongst African and Asian populations. The major risk factors are hypertension and age.

The influence of diabetes mellitus and hyperglycaemia on stroke incidence and outcome.

Diabetes mellitus is a complex metabolic syndrome with significant effects on the systemic and cerebral vasculature. The incidence and severity of ischaemic stroke are increased by the presence of diabetes, and outcome from stroke is poorer. More than one third of patients admitted with acute stroke are hyperglycaemic at presentation.

Map positions of SFR genes in relation to other freezing-related genes of Arabidopsis thaliana.

We determined the map positions of seven SFR genes and compared them to the positions of 51 genes suspected of involvement in freezing tolerance in Arabidopsis thaliana. The SFR genes were recognized by the freezing sensitivity of mutants; the others (including 14 whose map positions we have determined) were genes whose expression is induced by low temperature, genes involved in abscisic acid (ABA) biosynthesis and perception, and genes involved in tolerance of oxidative stress. The comparison of map positions indicated a limited set of potential identities, some of which were eliminated by further mapping or by an allelism test.

Neurotransmission in the medulla mediating insular cortical and lateral hypothalamic sympathetic responses.

Previous evidence has shown sympathetic nerve responses to insular cortical (IC) stimulation are mediated by synapses within the lateral hypothalamic area (LHA) and ventrolateral medulla (VLM). The present study was aimed at determining the neurotransmitter(s) and receptor(s) involved at the synapse in the VLM. Twenty male Wistar rats were instrumented for renal nerve, arterial pressure, and heart rate recording.

Receptors in lateral hypothalamic area involved in insular cortex sympathetic responses.

Previous evidence has shown that sympathetic nerve responses to insular cortical (IC) stimulation are mediated by synapses within the lateral hypothalamic area (LHA) and ventrolateral medulla. The present study determined the receptor(s) involved at the synapse in the LHA associated with stimulation-evoked IC sympathetic responses. Twenty-seven male Wistar rats were instrumented for renal nerve activity, arterial pressure, and heart rate recording.

Planning with PRA: HIV and STD in a Nepalese mountain community.

The application of Participatory Rural Appraisal methods (PRA) to the topic of sexual health enabled us to explore key factors concerning local people's perceptions regarding HIV/AIDS and STDs and to plan collectively to address the emerging issues. Conducting the process in a gender sensitive way enabled people to feel safe enough to express their own opinions, and having gained confidence in their peer groups, to share ideas later with the whole community in a joint planning exercise. Nevertheless one group was identified as difficult to reach and whose needs could not be met in a group for reasons of confidentiality.

Insular lesion evokes autonomic effects of stroke in normotensive and hypertensive rats.

Background And Purpose: Increases in sympathetic activity and frequency of myocardial damage occur after middle cerebral artery occlusion (MCAO) in Wistar rats, while MCAO in the spontaneously hypertensive rat (SHR) decreases sympathoadrenal activity. Autonomic changes have been suggested to result from damage to the insular cortex (IC).

Methods: A lesion of the IC was made using the excitotoxin D,L-homocysteic acid (DLH; 1 mol/L), in urethane-anesthetized Wistar rats and SHRs.

Autonomic responses of the insular cortex in hypertensive and normotensive rats.

Lesion and focal cerebral ischemia of the insular cortex (IC) results in elevated renal sympathetic nerve activity (RSNA) and arterial pressure (AP) in the Wistar rat, while the opposite effect is observed in the spontaneously hypertensive rat (SHR). Acute changes in AP, heart rate (HR) and RSNA were measured in propofol-anesthetized and conscious SHR (n = 17) and Wistar rats (n = 17) during pressure injection of D,L-homocysteic acid (DLH; 100 mM) and lidocaine (LID; 20 mg/ml) into the IC. DLH injections (200 nl) into the IC of anesthetized Wistar rats resulted in a significant increase in MAP (mean change = +27 +/- 7 mmHg; P < 0.

Cardiac and sympathetic effects of middle cerebral artery occlusion in the spontaneously hypertensive rat.

Acute increases in sympathetic activity, plasma catecholamine concentrations and myocardial damage, occur following middle cerebral artery occlusion (MCAO) in Wistar rats. Hypertension is a major risk factor for stroke. The autonomic responses to MCAO in the spontaneously hypertensive (SHR) and Wistar-Kyoto (WKY) rats were therefore investigated.

Editorial.

Put human beings together with movable and immovable objects, sharp and blunt instruments and there will always be accidents. They remain the most common.

Sexuality and sexual health: an issue for community nurses.

Kate Butcher, health promotion worker in Calderdale, outlines the philosophy behind her work on sexual health. She argues that even in areas with a low incidence currently of people who are HIV positive, work on sexual health and sexuality by community nurses is a crucial aspect of health promotion activity.

Whose problem - A&E or general practitioner?

Accident and emergency services are demand-led with little control over the pace or workload. Many A&E departments see a large proportion of patients who do not necessarily need the skills or resources of a hospital. In a study undertaken by Bellavia and Brown it was found that, of 200 patients interviewed, 33 per cent could have been treated by their GP, and 52 percent felt their problem was not an emergency.

Possible sources of discrepancy between sphygmomanometer cuff pressure and blood pressure quantified in a collapsible-tube analogue.

This paper examines the assumption that the audible events detected as Korotkov sounds in sphygmomanometry occur when blood pressure equals arm-cuff pressure. Several effects that contribute to discrepancy between these pressures are quantified using an idealised arm-and-cuff system consisting of a thick-walled collapsible tube subject to external compression along a central part of its length. The effects studied are (1) transverse pressure difference, resulting from tissues sustaining a part of the external compression through (a) circumferential bending stiffness and (b) longitudinal curvature of the tensed localised neck at the site of initial collapse, (2) longitudinal pressure difference between upstream pressure and pressure at the collapse point due to both (a) viscous and (b) inertial pressure drop.

Engineering subtilisin and its substrates for efficient ligation of peptide bonds in aqueous solution.

Protein engineering techniques were used to construct a derivative of the serine protease subtilisin that ligates peptides efficiently in water. The subtilisin double mutant in which the catalytic Ser221 was converted to Cys (S221C) and Pro225 converted to Ala (P225A) has 10-fold higher peptide ligase activity and at least 100-fold lower amidase activity than the singly mutated thiolsubtilisin (S221C) that was previously shown to have some peptide ligase activity [Nakatsuka, T., Sasaki, T.

Production losses from mastitis: carry-over from the previous lactation.

The study examined whether elevation in SCC in the second lactation was associated with reduced milk production in the third lactation. Lactation records from 10,705 Holstein cows from 770 herds were taken from the Dairy Records Processing Center at Raleigh. Cows in the data set were selected so that no SCC test in the first lactation was elevated above a linear score of 4.

Non-cyclic photoreductive carbon fixation in photosynthesis. Light and dark transients of the glycerate-3-P special pair.

It is demonstrated that carbon fixation in photosynthesis is regulated in two kinetically coupled pathways involving the specialized pair of non-equivalent, enzyme-bound glycerate-3-P (3-PGA) molecules obtained from ribulose 1,5-bisphosphate (RuBP) carboxylation in the light. A non-cyclic pathway is suggested (reaction 2) for the direct biosynthesis of sucrose from the 3-PGA obtained from C-3, C-4 and C-5 of the six-carbon carboxylation adduct. Concomitant to the appearance of sucrose as the principal product, the Mg2+-bound 3-PGA molecule formed from C-1, C-2 and C-2' of the C6 intermediate is released and subsequently reduced in regenerating the RuBP.

Photoreductive path of carbon fixation in green plant photosynthesis. Reaction pathway of six-carbon ribulose 1,5-bisphosphate carboxylation adduct intermediate.

In this paper we examine the six-carbon intermediate pathway of ribulose 1,5-bisphosphate (RuBP) carboxylation reaction in photosynthesis. Based on the observed reactions of purified RuBP carboxylase, mechanisms are described for carbon dioxide assimilation leading to the hydrolytic splitting of the six-carbon intermediate to two enzyme-bound glycerate-3-P (3-PGA) molecules. It is concluded that, under photosynthetic conditions, the reduction of enzyme-bound NADP+ by the chlorophyll is responsible for the rapid carboxylase turnover rate given by the lifetime, tau L = 0.

Progeny tested sires compared with pedigree selected young sires.

First lactation records of 109,589 cows in 1,978 Holstein herds cooperating with three artificial insemination studs in young sire sampling were studied to compare performance of progeny of approximately the upper 15, 2, and 25% of sires, dams, and maternal grandsires for milk yield with selection differentials of +350, +2735, and +268 kg milk when the young sires entered sampling programs. The 315 young bulls were sired by 88 sires. Mean weighted Predicted Differences for sires proven through artificial insemination were 130 kg milk and 4.

Transfusion reactions reported after transfusions of red blood cells and of whole blood.

Reactions reported after transfusion of 19,126 units of whole blood and of 42,678 units of red blood cells were analysed. The reaction rate with whole blood was about two and one-half times as great as with red blood cells.