Effect of diazepam treatment on metabolic indices in trained and untrained rats.

Exercise training, like diazepam, is commonly employed as a means of reducing anxiety. Both diazepam and exercise training have been shown to modify carbohydrate and lipid metabolism as well as influence calcium metabolism in skeletal muscle. As receptor binding and thereby efficacy of diazepam has been demonstrated to be modulated by the lipid environment of the receptor, and changes in calcium levels can affect a number of intracellular signalling pathways, we sought to determine if the interaction of both chronic diazepam and exercise training would modify selected metabolic indices in an animal model. For this purpose, muscle and liver glycogen, blood glucose and plasma free fatty acids (FFA) were measured in sedentary, exercise trained and exercise trained, acutely exhausted animals. Alterations in lipid and carbohydrate metabolism were observed in all experimental groups. Diazepam treatment alone exerts metabolic consequences, such as elevated muscle glycogen and plasma FFA and depressed blood glucose levels, which are similar to those observed with exercise training. When animals are acutely exercised to exhaustion, however, differences appear, including a reduced rise in plasma FFA, which suggests that long-term diazepam treatment does influence exercise metabolism, possibly as a result of effects on the sympatho-adrenal system.

The effect of diazepan and exercise training on selected biochemical and histochemical properties of rat skeletal muscle.

The effects of chronic diazepam (D) treatment and exercise training on total body mass (TBM), microsomal protein yield (MPY), calcium uptake by fragmented sarcoplasmic reticulum (SR), muscle fibre cross-sectional area, and both PFK and SDH activities were investigated in the tibialis anterior (TA), soleus (Sol), and plantaris (Plt) muscles of 50 male albino Sprague-Dawley rats. Rats were assigned randomly to control (C), sprint-trained (S), or endurance-trained (E) groups. Training was of 12 weeks duration. One-half of each group received daily intraperitoneally D doses of 5 mg kg-1 of TBM. Exercise reduced TBM (p < 0.05); increased the relative BM of the TA (E = 2.02 +/- 0.02, p < 0.01) and Plt (E = 1.15 +/- 0.02, p < 0.01; S = 1.13 +/- 0.03, p < 0.01), as well as the Ca++ uptake of the Sol SR (C = 0.08 +/- 0.02, E = 0.16 +/- 01, p < 0.05). MPY was elevated in S-Sol (C = 1.12 +/- 0.6, S = 1.52 +/- 0.1, p < 0.01). D elevated Sol MPY as well as TA PFK. S-trained animals had lower mean fibre areas than the E-trained (D-treated and untreated) animals. The elevated relative masses of TA and Plt are explained by a decreased TBM with exercise. The increased Ca++ uptake of the Sol indicates that E enhances this function, and the increased MPY probably implies an increased SR. The D could be responsible for the D-elevated Sol MPY as well as the TA PFK. El D did not reduce neuromuscular activity to a level adversely affecting oxidative enzyme activity, but in the case of PFK activity in the TA muscle, such a reduction was evident.

The effect of diazepan and exercise training on selected biochemical and histochemical properties of rat skeletal muscle

The effects of chronic diazepan (D) treatment and exercise training on total body mass (TBM), microsomal protein yield (MPY), calcium uptake by fragmented sarcoplasmic reticulum (SR), muscle fibre cross-sectional area, and both PFK and SDH activities were investigated in the tibialis anterior (TA), soleus (Sol), and plantaris (Plt) muscles of 50 male albino Sprague-Dawley rats. Rats were assigned randomly to control (C), sprint-trained (S), or endurance-trained (E) groups. Training was of 12 weeks duration. One-half of each group received daily intraperitoneally D doses of 5 mg kg(-1) of TBM. Exercise reduced TBM (p<0.05); increased the relative BM of the TA (E=2.02+0.02, p<0.01) and Plt (E=1.15+0.02, p<0.01; S=1.13+0.03, p<0.01), as well as the Ca++ uptake of the Sol SR (C=0.08+0.02, E=0.16+01, p<0.05). MPY was elevated in S-Sol (C=1.12+0.6, S=1.52+0.1, p<0.01). Delevated Sol MPY as well as TA PFK. S-trained animals had lower mean fibre areas than the E-trained (D-treated and untreated) animals. The elevated relative masses of TA and Plt are explained by a decreased TBM with exercise. The increased Ca++ uptake of the Sol indicates that E enhances this function, and the increased MPY probably implies an increased SR. The D could be responsible for the D-elevated Sol MPY as well as the TA PFK. El D did not reduce neuromuscular activity to a level adversely affecting oxidative enzyme activity, but in the case of PFK activity in the TA muscle, such a reduction was evident.

The effect of diazepan and exercise training on selected biochemical and histochemical properties of rat skeletal muscle

The effects of chronic diazepan (D) treatment and exercise training on total body mass (TBM), microsomal protein yield (MPY), calcium uptake by fragmented sarcoplasmic reticulum (SR), muscle fibre cross-sectional area, and both PFK and SDH activities were investigated in the tibialis anterior (TA), soleus (Sol), and plantaris (Plt) muscles of 50 male albino Sprague-Dawley rats. Rats were assigned randomly to control (C), sprint-trained (S), or endurance-trained (E) groups. Training was of 12 weeks duration. One-half of each group received daily intraperitoneally D doses of 5 mg kg(-1) of TBM. Exercise reduced TBM (p<0.05); increased the relative BM of the TA (E=2.02+0.02, p<0.01) and Plt (E=1.15+0.02, p<0.01; S=1.13+0.03, p<0.01), as well as the Ca++ uptake of the Sol SR (C=0.08+0.02, E=0.16+01, p<0.05). MPY was elevated in S-Sol (C=1.12+0.6, S=1.52+0.1, p<0.01). Delevated Sol MPY as well as TA PFK. S-trained animals had lower mean fibre areas than the E-trained (D-treated and untreated) animals. The elevated relative masses of TA and Plt are explained by a decreased TBM with exercise. The increased Ca++ uptake of the Sol indicates that E enhances this function, and the increased MPY probably implies an increased SR. The D could be responsible for the D-elevated Sol MPY as well as the TA PFK. El D did not reduce neuromuscular activity to a level adversely affecting oxidative enzyme activity, but in the case of PFK activity in the TA muscle, such a reduction was evident. (AU)

An abattoir survey of the prevalence of gastro-intestinal helminths and Stephanurus dentatus in pigs in Belize.

In an abattoir survey in Belize 137 pigs were examined for gastro-intestinal helminths and Stephanurus dentatus. Hyostrongylus rubidus, Physocephalus sexalatus, Globocephalus species and Trichostrongylus colubriformis were recorded for the first time. Ascarops strongylina, Ascaris suum, Macracanthorynchus hirudinaceus, Strongyloides ransomi, Trichuris suis, Oesophagostomum species and S. dentatus were also found. Oesophagostomum species (45%) and S. dentatus (42%) were the most prevalent. The prevalence of infection with different species was compared between pigs of different origin, breed and management. Differences were apparently due to management; most species were more common in poorly managed pigs. M. hirudinaceus and S. dentatus were used as "markers" to indicate poor management. The usual methods of faecal egg counting were found to be unreliable for the diagnosis of M. hirudinaceus infection.

Effect of vaginal bleeding in early pregnancy on outcome.

The effect of vaginal bleeding in the first half of pregnancy on fetal outcome is retrospectively analyzed in 523 cases and compared with a control group of 6706. Early-pregnancy bleeding was found to be associated with more preterm deliveries and lower birth weight. The frequency of congenital anomalies and growth-retarded infants was unaffected. Neonatal death and low Apgar scores were seen more often than expected, but stillbirth rates were not significantly increased. These data suggest that vaginal bleeding in early pregnancy is a useful indicator of risk for suboptimal outcome.

Continued pregnancy after failed first-trimester abortion.

By means of simple changes in the observation and recording process after induced first-trimester abortion, it has been possible to reduce the frequency of failed abortion to one third its former incidence. The operator is merely required to note whether the amniotic sac and fetal parts are actually seen on gross examination and flotation in fluid. This formal requirement appears to serve as an alert mechanism to ensure that women at risk will be effectively evaluated and managed.

Unwanted pregnancy. A failure of contraceptive education.

One thousand consecutive women presenting for first-trimester abortion at a free-standing clinic were interviewed with respect to contraceptive education and use. The vast majority had had some exposure to contraceptive information, yet more than half had not been using any form of contraception when conception occurred. More energy should be given to increasing women's motivation for using contraception.

Continued pregnancy after failed first trimester abortion.

Forty-six patients with unintentional continued pregnancy were detected among a series of 65,045 first trimester abortions. Patients at greatest risk are those with very early pregnancy and those with marked uterine anteversion or retroversion or with uterine anomaly. Attention to gestational duration and uterine size as related to the amount and character of the evacuated tissue, particularly stressing identification of villi and fetal tissues, may help avoid this problem.

PIP: A study of 65,045 abortions performed in 5 freestanding surgical units over 100 months time found 46 cases of incomplete abortion. Nearly 3/4 were 8 week or less pregnancies (dating from last monthly period), 20% were 6 weeks or less. Among the successfully completed abortions 44% were 8 weeks or less and 6% were less than 6 weeks. Risk of failure is 6x greater at 6 weeks than at 9 or more. The last monthly period gestational age estimation was found to be correct in 95.6% of 45 cases. Among 30 cases, 53.3% were physician misjudgements of gestational age. Anatomic reasons for failed abortion described 13 patients. Gross observation of the villi and getal parts occurred in only 22 cases and did not reveal the incomplete abortion. Pathologists should examine removed tissue and report any discrepancy to the physician. Follow-up examinations (2 weeks after operation) detected failed abortion in 22% of cases. Patients who said they still felt pregnant were ignored in 1/2 the cases. Early detection and diagnosis of failed abortion is necessary to avoid the more complex procedures required in later stages of pregnancy. One patient carried the fetus to term and delivered a normal infant.

Comparison of women seeking early and late abortion.

The differential characteristics of 697 women desiring induced abortion were studied according to when in pregnancy they presented. Age, marriage, and level of formal education were inversely related, those with greatest delay tending to be young, unmarried, and minimally educated. Religion was relevant, but generally was not. Nulliparity was only a weak correlate of delay. Contributory factors of denial, ambivalence, fear, and preceding menstrual irregularity accounted for two thirds of cases; they were uniformly distributed over the range of gestational age, but constituted the greatest proportion of reasons among those delaying decision longest. Physician delay and laboratory error accounted for all but one tenth of the remainder; they were concentrated particularly among gravidas presenting for care in the early part of the midtrimester. Fear characterized the young, poorly informed noncontraceptors, and had the greatest relative impact in protracted delays; denial was more likely to be found among older and ostensibly better informed women.