Transcutaneous oxygen tension monitoring during vascular reconstruction.

Transcutaneous oxygen tension (TsPO2) was measured in the foot and chest of 39 patients with severe peripheral vascular disease and the Regional Perfusion Index (RPI) calculated (RPI = Foot TcPO2 divided by Chest TcPO2). TcPO2 was equivalent to RPI as a measure of ischaemia and furthermore RPI did not alter significantly when re-assessed under anaesthesia. Successful vascular reconstruction brought about an ontable rise in RPI which rose further but not significantly post-operatively.

Perioperative complications of in-situ vein bypass.

Experience with 146 in-situ vein bypass procedures for obliterative arterial disease are reviewed to determine the specific complication of the technique. Vein wall injury with the Hall valvulotome occurred in 6 patients (4%) and vein patching of a stenosed femoral vein was required in 2 patients. Residual arteriovenous fistulae occurred in 24 patients (16.

Subjective evaluation of treatment methods by patients treated for bulimia.

The authors present data obtained from telephone interviews with 35 patients who were considered recovered 12 to 15 months following treatment for bulimia. Subjects were asked to rate treatment approaches and treatment components as to their helpfulness. The results show that activities within the domain of dietitians can play an important part in the treatment of bulimia.

Limitations of urinary mutagen assays for monitoring occupational exposure to antineoplastic drugs.

The sensitivity of the Salmonella reversion test of Ames as a screen for accidental absorption of 17 antineoplastic agents by drug handlers was evaluated. Dilutions of each drug were added to agar inoculated with each of two Salmonella typhimurium strains (TA98 and TA100); control plates contained no test drug. Colonies were counted after incubation at 36 degrees C for 48 hours.

The effect of gastric partitioning on gastric emptying in morbidly obese patients.

Gastric partitioning is undertaken for morbid obesity but the mechanism by which weight loss is achieved is unclear. The effect of partitioning on gastric emptying has therefore been studied. In thirty patients with a mean weight of 124.

Effect of insulin administration on cardiac glycogen synthase and synthase phosphatase activity in rats fed diets high in protein, fat or carbohydrate.

Rats were fed a 70% carbohydrate, 70% protein, 70% fat, or a standard purified diet for 7 d to determine the effect of the diet on heart glycogen synthase response to an acute insulin challenge. Rats fed the high protein or the high fat diets, i.e.

Plasma glucose and insulin profiles in normal subjects ingesting diets of varying carbohydrate, fat, and protein content.

The 12-hr profiles of plasma glucose and insulin concentrations in 26 normal subjects ingesting a diet high in carbohydrate, protein, or fat have been determined. The diets were isocaloric and were given as three identical meals 4 hrs apart. In males the high carbohydrate diet resulted in glucose profiles similar to those obtained with the standard diet.

Effect of prolonged starvation on glycogen synthase and glycogen synthase phosphatase activity in rat heart.

Rats were fasted 24, 48 or 72 hours to determine the effect of several days without food on glycogen synthase and synthase phosphatase activity in heart. The basal percentage of synthase I decreased gradually from approximately 20% in fed animals to approximately 6% in rats starved for 72 hours. Glycogen increased progressively from 4.

Effect of protein ingestion on the glucose and insulin response to a standardized oral glucose load.

Type II diabetic subjects were given 50 g protein, 50 g glucose, or 50 g glucose with 50 g protein as a single meal in random sequence. The plasma glucose and insulin response was determined over the subsequent 5 h. The plasma glucose area above the baseline following a glucose meal was reduced 34% when protein was given with the glucose.

Glucose stimulation of heart phosphorylase phosphatase activity in vitro and in vivo.

To determine the mechanism of the glucose stimulation, glucose or glucose-6-phosphate was added to dilute heart extracts in the presence or absence of AMP. The intracellular glucose, tissue glucose-6-phosphate, and tissue AMP concentrations were also determined in 24-h starved animals given glucose; 24-h starved animals given insulin as well as diabetic starved and diabetic starved insulin-treated animals were also studied. The A0.