Effect of finite phosphor thickness on detective quantum efficiency.

In this paper we describe theoretically the relationship between the finite thickness of a phosphor screen and its spatial-frequency-dependent detective quantum efficiency DQE(f-). The finite thickness of the screen causes a variation in both the total number of light quanta emitted from the screen in a burst from a given x-ray interaction and in the spatial distribution of the quanta within the light burst [i.e.

Chronic pancreatitis and pancreas divisum in an infant: diagnosed by endoscopic retrograde cholangiopancreatography and treated with somatostatin analog.

We describe an infant with pancreas divisum diagnosed by endoscopic retrograde cholangiopancreatography. This infant had chronic and unremitting pancreatitis that only became amenable to surgery following the use of somatostatin analog after the usual and customary treatment for pancreatitis was ineffective.

The medi-drama as an instrument to teach doctor-patient relationships.

This paper reviews an experience of the Curriculum Development Group of the College of Family Physicians of Canada in describing the doctor-patient relationship and its value in the clinical process. It proposes the use of a medi-drama or multi-scene script encompassing a broad range of bio-psycho-social-ethical issues as a practical tool to teach the doctor-patient relationship. Principles for conducting a medi-drama are presented, as are the advantages of this experiential teaching modality.

Import of proteins into yeast mitochondria: the nuclear MAS2 gene encodes a component of the processing protease that is homologous to the MAS1-encoded subunit.

The mas2 mutant of Saccharomyces cerevisiae is temperature sensitive for import of proteins into mitochondria. To identify the lesion in this mutant, we have cloned and sequenced the wild-type MAS2 gene and determined the intracellular location of its protein product. MAS2 encodes an essential 53-kd protein that is located in the mitochondrial matrix and is homologous to the MAS1 protein, a previously identified subunit of the protease that cleaves presequences from mitochondrial precursor proteins.

Import of proteins into yeast mitochondria: the purified matrix processing protease contains two subunits which are encoded by the nuclear MAS1 and MAS2 genes.

We have purified the metalloprotease which is localized in the soluble matrix space of Saccharomyces cerevisiae mitochondria and cleaves the amino-terminal matrix-targeting sequences from imported mitochondrial precursor proteins. The enzyme consists of two loosely associated non-identical subunits of mol. wt 48,000 and 51,000, respectively.

Translation of beta-tubulin mRNA in vitro generates multiple molecular forms.

We describe the in vitro expression and characterization of the isolated beta-tubulin subunit in rabbit reticulocyte lysates and compare its assembly and chromatographic properties with that of the isolated alpha-subunit and the tubulin heterodimer. The beta-tubulin polypeptides, derived from a single chicken beta-tubulin cDNA, were found in three distinct molecular forms: a multimeric or lysate-associated form, beta I (Mr approximately 180,000); the free beta-subunit beta II (Mr approximately 55,000); and the hybrid heterodimer alpha(rabbit) beta(chick), beta III (Mr approximately 80,000-100,000). The hybrid heterodimers were 100% assembly competent, whereas beta-tubulin in the "associated" beta I and the monomeric beta II forms displayed only approximately 70 +/- 15 and 25 +/- 10% competence, respectively, in coassembly assays with bovine brain tubulin.

MAS1, a gene essential for yeast mitochondrial assembly, encodes a subunit of the mitochondrial processing protease.

We have previously described a yeast mutant (mas1) that accumulates mitochondrial precursor proteins at high temperature and is deficient in the activity of a matrix-localized protease which cleaves presequences from mitochondrial precursor proteins. We have now cloned and sequenced the wild-type MAS1 gene and found that it encodes a subunit of the mitochondrial processing protease, that it is essential for cell viability and that the protein product participates in its own cleavage during import into mitochondria. The MAS1 protein is thus the first genetically defined component of the mitochondrial protein import pathway.

Expression of a human alpha-tubulin: properties of the isolated subunit.

We examined the in vitro expression and biochemical properties of the isolated alpha subunit of tubulin both in rabbit reticulocyte lysates and in Escherichia coli extracts. Both systems produce soluble, full-length human alpha-tubulin polypeptide. When alpha-tubulin mRNA is translated in rabbit reticulocyte lysates, the isolated alpha subunit is fully functional as assayed by coassembly with bovine brain tubulin using temperature-dependent or taxol/salt assembly procedures.

Implications of caring for an aging parent.

The burden of care for the aged often falls on their adult children, who are themselves stressed by the developmental tasks of middle age. These people are frequently unprepared for the role of caregiver, in which they become parents to their own parents. The author describes the potentially turbulent effect of this role and discusses the origin of the stresses that the caregiver may experience.

Scanned-projection digital mammography.

The effectiveness of film-screen mammography is limited by tradeoffs between latitude and contrast, film granularity, and the need to increase dose when antiscatter methods are used. We are currently developing a scanned-projection digital mammography (SPDM) system to overcome these limitations. The system consists of a pair of scanning slits, a high-resolution x-ray image intensifier tube, a linear photodiode array, and a digital display.

X-ray characterisation of normal and neoplastic breast tissues.

Normal and neoplastic breast tissues have been characterised in terms of x-ray attenuation. Samples of normal fat and fibrous tissue were obtained from reduction mammoplasty and autopsy, and infiltrating duct carcinoma specimens from mastectomy and lumpectomy. A high-purity germanium spectroscopy system and a beam of 120 kV constant potential x-rays were used to determine the linear attenuation coefficient from 18 to 110 keV.

A model of the nucleotide-binding site in tubulin.

Tubulin uses GTP to regulate microtubule assembly and is thought to be a member of a class of GDP/GTP-binding proteins (G-proteins) as defined by Hughes [(1983) Febs Lett. 164, 1-8]. How tubulin is structurally related to G-proteins is not known.

On the transfer of integral proteins into membranes.

We have earlier proposed a molecular mechanism for the translocation of hydrophilic proteins across membranes that accounts for the experimental facts and meets the restrictions that we stipulate for such a mechanism. In particular, the restrictions are that translocation occurs by successive segments of the polypeptide chain and that the ionic groups of the polypeptide remain in contact with water throughout the translocation process. The evidence indicates that the transfer of integral proteins into membranes very likely uses the same molecular machinery as does the translocation of hydrophilic proteins across membranes.

On the translocation of proteins across membranes.

Many proteins of intracellular organelles are first synthesized in the cytoplasm and are then specifically transferred across the membranes of the organelles. On the assumption that these transfers all occur by the same basic mechanism, we enumerate the rather stringent requirements that the mechanism must satisfy. A unitary molecular mechanism is then proposed that meets these requirements.

Patients' attitudes to the relevance of nonmedical problems in family medicine care.

A questionnaire was designed to document middle-aged patients' attitudes toward their family physicians' approach to their problems of daily living. Middle-aged patients were studied because they face numerous adaptational challenges and receive substantial medical care. Almost 90 percent of 116 patients interviewed indicated that they wanted to be asked about nonmedical problems as measured by life events, with this preference being more common among those under 55 years of age.

Microtubule assembly is dependent on a cluster of basic residues in alpha-tubulin.

Previous studies have shown that tubulin, a major protein component of the microtubule, is rendered assembly incompetent when a highly reactive lysine residue (HRL) in the alpha polypeptide of tubulin dimer is reductively methylated [cf. Sherman, G., Rosenberry, T.

Anthropomorphic radiologic phantoms.

A technique is being developed for the design and fabrication of anthropomorphic phantoms for diagnostic x-ray imaging. Anatomic information extracted from actual patient radiographs is incorporated into the phantoms using computer image processing and computer-assisted machining methods. In this paper, the technique is described as applied to a breast phantom, and preliminary images that closely mimic human anatomy on radiographs are shown.

Factors influencing doctors' awareness of the life problems of middle-aged patients.

Because individuals who deal effectively with life events may be healthier, doctors may need to be aware of the important events in their patients' lives. This study was designed to document the actual level of awareness that 20 community family practitioners had of their middle-aged patients' life events. A total of 116 patients completed a life events questionnaire when they visited their family doctors.

A yeast mutant temperature-sensitive for mitochondrial assembly is deficient in a mitochondrial protease activity that cleaves imported precursor polypeptides.

We have previously described two yeast mutants which, at elevated temperature, stop growing and accumulate precursors to several imported mitochondrial proteins. We now show that one of these mutants (mas 1) is deficient in a matrix-located protease activity which cleaves the pre-sequences from mitochondrial precursor proteins. Isolated mas 1 mitochondria catalyze oxidative phosphorylation, exhibit respiratory control and import mitochondrial precursor polypeptides, but are defective in removing transient pre-sequences from imported precursors.

Dual-energy mammography: initial experimental results.

Dual-energy x-ray techniques may be able to enhance the detectability of calcifications in mammographic examinations by removing the background "clutter" caused by contrast between adipose and glandular tissue. This hypothesis is examined experimentally by implementation of dual-energy imaging on a prototype digital scanned projection radiography system developed in our laboratory. A model of the propagation of signal and noise in dual-energy processing for a given radiation dose is validated by measurements from phantom images.

Theoretical optimization of dual-energy x-ray imaging with application to mammography.

Detection of a target object in a radiological image is often impeded by an obscuring background "clutter" resulting from the contrast between various materials in the neighborhood of the target. Dual-energy techniques can reduce or remove this clutter. In order for the target to be detectable in the image after dual-energy processing, the signal-to-noise ratio (SNR), defined as the difference between the target and the background divided by the photon noise in the difference, must exceed some threshold.

Signal-to-noise properties of mammographic film-screen systems.

The signal-to-noise ratio (SNR) and the detective quantum efficiency (DQE) have been experimentally determined as a function of spatial frequency for several mammographic film-screen systems. These two parameters were determined from our measurements of noise power spectra and sensitometric properties of each system along with modulation transfer function (MTF) data for the screens which were obtained from others. From the noise power spectra, it was found that film noise contributes significantly to the total noise of mammographic film-screen systems, comprising 30%-50% of the total noise at 1 cycle/mm and as much as 75% at 5 cycles/mm.

Sources of primary health care for women in an urban centre.

Family or general practitioners and obstetrician-gynecologists have the opportunity to provide primary health care to women. Who actually gives this care in a large urban setting was the focus of this study. In the Montreal area 297 women were asked by telephone whether they had an obstetrician-gynecologist and whether they would see another type of doctor for a cold that was not getting better.

Two nuclear mutations that block mitochondrial protein import in yeast.

We isolated two yeast mutants that are temperature-sensitive for import of mitochondrial proteins. Each strain contains a single mutation that results in arrest of growth and accumulation of precursor to the beta subunit of the mitochondrial F1-ATPase after incubation at 37 degrees C. These lesions (mas1 and mas2) are nonallelic and recessive.