Cutaneous microflora of patients with repeated skin infections.

The microflora of normal skin in 16 patients with repeated staphylococcal and streptococcal skin infections was examined to determine whether abnormalities existed which would indicate a protective role for the indigenous flora against colonization by pathogens. Five sites-hands, feet, axilla, groin and back-were examined quantitatively and qualitatively and compared with a control group. Total populations of indigenous flora were significantly higher from patients with repeated skin infections of the back, axillae and feet.

A comprehensive radiotherapy planning system implemented in Fortran on a small interactive computer.

A suite of Fortran programs for carrying out the various dose computational aspects of radiotherapy has been developed on an enhanced RAD8 computing system. The hardward configuration of the computer is described and the main features of the programs in the suite are discussed. The include: (a) beam data input systems for use with linear accelerators and cobalt units; (b) static and rotational teletherapy planning, with computer optimization in the static planning; (c) irregular field calculations with isodose visualization; (d) interstitial calculations including routines which will reconstruct a radium needle implant in three dimensions in addition to presenting the isodose distribution in any desired plane.

Twenty-nail dystrophy of childhood.

Twenty-nail dystrophy is an idiopathic nail dystrophy that begins insidiously in early childhood. All 20 nails are uniformly affected with excessive longitudinal striations and loss of nail luster. The skin and its ectodermal derivatives are otherwise normal.

The curability of breast cancer.

The age-correlated survival rates for 982 women treated for localised breast cancer were analysed retrospectively. Analysis by size of the primary cancer showed that those with smaller cancers had a significantly higher survival rate and a significantly reduced probability of dying of cancer. Cured groups of patients were identified for all but those with the smallest tumours--2.

Effects of laboratory maintenance on the nature of surface reactive antigens of Neisseria gonorrhoeae.

The extensive in vitro cultivation methods used in propagating and maintaining gonococcal cells were found to affect their virulence, antigenicity, and ultrastructure. Adapting a laboratory-maintained strain of gonococci to animal virulence resulted in two lines of pilated cells with similar colonial morphologies. The animal-adapted cells, however, had a greater amount of extracellular pili and a more prominent peptidoglycan cell wall layer.

Oral carbenicillin treatment of uncomplicated gonorrhea in men and women.

In a prospective controlled study of 290 men and women with uncomplicated gonorrhea, carbenicillin was shown to be less than 90% effective. Positive cultures were the basis for initial diagnosis and therapeutic failure in both sexes. Carbenicillin was evaluated in three different schedules: 5gm p.

The pharmacology of burimamide and metiamide, two histamine H2-receptor antagonists.

Burimamide and metiamide are two histamine H2-receptor antagonists. Evidence is presented that indicates the competitive nature and the specificity of the antagonism. Metiamide is about ten times more potent than burimamide and is also more effective than burimamide when given orally.

Surgical treatment of hidradenitis suppurativa.

Hidradenitis suppurativa is a chronic, recurrent, suppurative inflammation of apocrine glands. Morbidity is high and serious complications may occur. A technique of surgical treatment utilizing an electrosurgical unit to provide cutting current is described.

Immunity in infection with Neisseria gonorrhoeae: duration and serological response in the chimpanzee.

Relative and absolute resistance to urethral and pharyngeal infection with Neisseria gonorrhoeae persisted for up to two years in male chimpanzees parenterally immunized with a colony type 2 gonococcal antigen. Twelve additional adult males were immunized with either a colony type 1 gonococcal antigen or a sham diluent before being challenged with the immunizing isolate of N. gonorrhoeae.

Microbial skin flora of selected cancer patients and hospital personnel.

The bacterial flora of the skin from five anatomical sites on 10 leukemia patients, 10 patients with malignant melanoma, and a control group of 10 medical personnel was examined quantitatively and qualitatively. This was done to determine whether malignant disease results in changes in skin flora and to establish carrier rates of gram-negative bacteria on the skin of personnel in hospital environments. Gram-negative bacteria were isolated more frequently (74 isolates from 100 cultures) from the skin of leukemia patients than from either patients with malignant melanoma (8 isolates from 100 cultures) or the medical personnel (9 isolates from 100 cultures).

Pharmacological evaluation of cimetidine, a new histamine H2-receptor antagonist, in healthy man.

Cimetidine, a new H2-receptor antagonist, was safely administered to eighteen healthy man by the intravenous, intraduodenal or oral route. 2 When gastric secretion was maximally stimulated by either histamine or pentagastrin, the simultaneous administration of cimetidine produced marked inhibition of both acid and pepsin secretion. 3 Cimetidine was well absorbed by mouth and had a blood half-life of 2 hours.

Trimethoprim-sulfamethoxazole in the treatment of gonorrhea: comparison with standard treatment schedules.

Several treatment regimens of trimethoprim-sulfamethoxazole (TMP-SMZ) were compared to the USPHS-recommended schedules for treatment of uncomplicated gonorrhea with ampicillin plus probenecid, tetracycline, or aqueous procaine penicillin G in both men and women. TMP-SMZ, six tablets as a single oral dose daily for 3 days, was as effective as the ampicillin or tetracycline schedules. The drug was well tolerated.

Physiological and environmental control of Gram negative bacteria on skin.

The relative importance of the environment versus the physiology of the host in the control of Gram negative bacteria on skin has been examined by two experimental designs. (I) The changes in incidence of Gram negative carriage from three skin sites in a climate controlled chamber at 35 degrees C and 90% humidity for 64 h were determined. Following 2 weeks of tetracycline treatment the above experiment was repeated.

Comparison of trimethoprim-sulfamethoxazole with penicillin and tetracycline in the treatment of uncomplicated gonorrhea in women.

In a collaborative prospective study 327 women with uncomplicated gonococcal cervicitis or proctitis were randomly assigned to one of four treatment groups: (1) aqueous procaine penicillin G, 4.8 million units IM in one session plus 1.0 g probenecide; (2) tetracycline HCI, 9 g over 4 days; (3) trimethoprim, 80 mg-sulfamethoxazole, 400 mg (TMP-SMX) six tablets once daily for 3 days; (4) TMP-SMX, six tablets wtice on 1 dat at a 6-hour interval.

Studies on the specificity of autoantibodies produced in systemic graft-vs-host disease.

Anti-erythrocyte antibodies were found in serum and on RBC of F-1 hybrid hamsters afflicted with systemic graft-vs-host (GVH) disease. These antibodies were shown to be reactive with antigenic determinants unique to hamster erythrocytes compared to heterologous erythrocytes and to non-erythrocytic hamster tissues. They fulfilled the criteria for true autoantibodies by failing to discriminate strain specificities among the domestically maintained isogenic hamster lines that were tested.