Limb-body wall complex: II. Limb and spine defects.

Limb defects from 25 fetuses with limb-body wall (LBW) complex were evaluated to determine the mechanism of limb damage. The limb defects could be divided into 3 pathogenetic groups: (1) secondary to disruption of embryonic vessels and surrounding tissue (84%), (2) secondary to amniotic bands or adhesions (16%), and (3) deformation versus hemorrhage (44% with club feet), with some fetuses having more than one pathogenetic mechanism causing limb defects. The hypothesis that the majority of limb defects resulted from disruption of embryonic vessels was supported by the following findings: 96% of the LBW complex fetuses had limb defects; the lower limbs were at greater risk of damage than the upper limbs (28% rt arm, 52% lt arm, 60% rt leg, 72% lt leg); there was a distal to proximal progression of limb damage in 92% of the fetuses; statistical analysis of comparing the location of the most severe limb defect and the body wall defect did not find concordance between the side (p = 1.

Limb body wall complex: I. Pathogenesis.

Twenty-five fetuses with limb body wall complex (LBW complex) were evaluated. The diagnosis was based on two out of three of the following: exencephaly/encephalocele with facial clefts; thoraco- and/or abdominoschisis; and limb defect. Ninety-five percent (24/25) of the fetuses had associated internal structural defects.

Management of intractable pleural effusion in a dog with pleuroperitoneal shunt.

Persistent nonchylous pleural effusion followed thoracic duct ligation for chylothorax in a dog. Attempts at tetracycline pleurodesis twice failed to reduce the quantity of pleural effusion. Repeated thoracentesis caused malnutrition and hypoproteinemia.

National nutrition month: promoting the diversified role of dietitians as health care professionals.

In summary, the planning and directing of NNM activities for a large metropolitan hospital required extensive public relations efforts to assure the success of each event. NNM provided a unique opportunity for health care professionals to interact with the business community, therefore promoting a positive image of dietitians as professionals. The events, successful in promoting nutrition education, identified dietitians as nutrition experts.

Effect of estrogen on lysosomal enzyme activities in rat heart.

The activities per microgram DNA of five lysosomal enzymes [cathepsin D, cathepsin B, beta-N-acetylglucosaminidase (beta-NAG), beta-glucuronidase, and acid phosphatase] were measured in homogenates of female and male rat (Sprague-Dawley) hearts. Female rats were studied during stages of the estrous cycle and at 3 weeks after ovariectomy. Three-week-postovariectomized female rats and intact male rats were injected subcutaneously with 17 beta-estradiol-3-benzoate.

Primary choriocarcinoma of the urinary bladder in association with undifferentiated carcinoma.

A carcinoma of the urinary bladder with a distinct choriocarcinomatous component that developed in a postmenopausal woman was associated with high titers of circulating chorionic gonadotropin. The diagnosis was supported by histochemical demonstration of human chorionic gonadotropin in syncytial tumor giant cells and electron microscopic features consistent with syncytiotrophoblastic cell differentiation.

Effect of histamine and prostaglandin E2 on gastric blood flow in swine.

Gastric blood flow was measured by the radioactive microspheres entrapment technique following the IV infusions of saline solution, histamine, or prostaglandin E2 and histamine to young pigs. Pigs treated with histamine (2 micrograms/kg/minute for 60 minutes) had significantly higher blood flow to the gastric mucosa (P less than 0.025), particularly to the region of the proper gastric (fundic) glands (P less than 0.