Sportsmedicine Forum.

A Forum For Our Readers Sportsmedicine Forum is intended to provide a sounding board for our readers. Perhaps you have a special way to treat a common medical problem, or you may want to sir your views on a controversial topic. You may object to an article that we have published, or you may want to support one.

Simultaneous measurement of local glucose utilization and blood flow in the rat brain: an autoradiographic method using two tracers labeled with carbon-14.

A simplified technique that uses two radionuclide tracers has been devised to measure local cerebral glucose utilization (ICGU) and local cerebral blood flow (ICBF) in the same rat. The method employs [14C]-2-deoxyglucose and [14C]iodoantipyrine to produce an autoradiogram before and another after extraction into chloroform of the [14C]iodoantipyrine from the brain sections. The chloroform-extracted autoradiogram yields ICGU, and the difference in tissue carbon-14 concentration between the two autoradiograms permits calculation of ICBF.

A critical evaluation of oxygen disappearance during stop flow in the gerbil brain.

The rate of oxygen disappearance from the gerbil cerebral cortex was measured during bilateral carotid artery occlusion with an oxygen microelectrode at normal tissue PO2 and under hyperbaric oxygenation. The oxygen disappearance rate (ODR) was found to be heavily dependent on the PO2 at occlusion due to the desaturation of hemoglobin-bound oxygen. When the tissue PO2 was elevated to a level high enough to saturate hemoglobin, the ODR reflected the oxygen consumption rate which was calculated to range from 1.

Effects of physiologic variations in temperature on the rate of antibiotic-induced bacterial killing.

The effects of physiologic temperature variations on antibiotic-induced killing of Escherichia coli, Pseudomonas aeruginosa, Streptococcus faecalis, and Streptococcus pneumoniae were studied. At concentrations less than or equal to four times the minimal bactericidal concentration, the activity of each of the antibiotics (gentamicin sulfate, sodium ampicillin, and chloramphenicol) against the test bacteria was influenced by changes in temperature. Only with S.

The role of bacterial interference in the increased prevalence of oropharyngeal gram-negative bacilli among alcoholics and diabetics.

The oral flora of alcoholics, diabetics, and normal control subjects were compared using an agar overlay technique to determine whether the increased prevalence of oropharyngeal gram-negative bacilli among alcoholics and diabetics exists because patients with these diseases have decreased numbers of normal inhibitory bacteria in the oropharynx. Alcoholics generally had slightly lower concentrations of inhibitory bacteria than control subjects, and diabetics had somewhat higher concentrations than control subjects. However, colonized subjects did not differ from noncolonized subjects with respect to concentrations of these inhibitory bacteria in the oropharynx.

A clinical model for decision-making.

Richard Martin's aim in this paper is to present a critical method of making ethical decisions in a medical context. He feels that such a reflective method provides the best means of making the appropriate decisions in given situations. It is based on Dr Martin's experience in applying ethical theory while collaborating with physicians in the daily course of clinical practice.

Pharyngeal colonization by gram-negative bacilli in aspiration-prone persons.

We compared the prevalence of Gram-negative bacilli in the pharyngeal flora of two groups of patients with a known predilection for Gram-negative bacillary pneumonia (chronic alcoholics and diabetics), two other groups of aspiration-prone persons with no known predilection for Gram-negative bacillary pneumonia (epileptics and narcotic addicts), and normal control subjects. Quantitative cultures of saline gargles showed pharyngeal Gram-negative bacilli to be significantly (P less than .05) more prevalent among alcoholics (35%) and diabetics (36%) but not epileptics (17%) or addicts (20%) than controls (18%).