Plasma cleaning of dental instruments.

The theoretical risk of prion transmission via surgical instruments is of current public and professional concern. These concerns are further heightened by reports of the strong surface affinity of the prion protein, and that the removal of organic material by conventional sterilization is often inadequate. Recent reports of contamination on sterilized endodontic files are of particular relevance given the close contact that these instruments may make with peripheral nerve tissue. In this paper, we report the effective use of a commercial gas plasma etcher in the cleaning of endodontic files. A representative sample of cleaned, sterilized, files was screened, using scanning electron microscopy and energy-dispersive X-ray analysis, to determine the level of contamination before plasma cleaning. The files were then exposed for a short-term to a low-pressure oxygen-argon plasma, before being re-examined. In all cases, the amount of organic material (in particular that which may have comprised protein) was reduced to a level below the detection limit of the instrument. This work suggests that plasma cleaning offers a safe and effective method for decontamination of dental instruments, thus reducing the risk of iatrogenic transmission of disease during dental procedures. Furthermore, whilst this study focuses on dental files, the findings indicate that the method may be readily extended to the decontamination of general surgical instruments.

Laboratory metabolism and evaporative water loss of the aardwolf, Proteles cristatus.

We examined oxygen consumption and total evaporative water loss of aardwolves (Proteles cristatus) at temperatures within and below their thermal neutral zone during both summer and winter. During summer (December), body masses of aardwolves averaged 8.1 +/- 0.7 kg (+/-1 standard deviation). Within their thermal neutral zone, oxygen consumption was 2,194 +/- 443 mL O2 h-1, or 1,058 kJ d-1. The relationship between oxygen consumption (VO2, mL O2 h-1) and ambient temperature (Ta, degree C) below the lower critical temperature was VO2 = 6,310-178 (Ta). During winter (August), aardwolves had an average mass of 7.8 +/- 0.7 kg and a basal metabolic rate of 1,844 +/- 224 mL O2 h-1, or 889 kJ d-1. Below the thermal neutral zone, VO2 = 4,308-116 (Ta). Basal metabolic rate and the slope of the line relating oxygen consumption to ambient temperature were both significantly higher in summer than in winter. Evaporative water loss increased with air temperature for both seasons but was higher in summer than winter. Wet thermal conductance was relatively constant below the thermal neutral zone, but was significantly higher in summer (0.022 +/- 0.001 mL O2 g-1 h-1 degree C-1) than in winter (0.015 +/- 0.001 mL O2 g-1 h-1 degree C-1).

Social dynamics and the cortisol response to immobilization stress of the African wild dog, Lycaon pictus.

The aims of the study were to characterize the cortisol response to immobilization stress in African wild dogs (Lycaon pictus) and to investigate the relationship between stress and sociality in these pack-living canids. Ad lib. observations were made on a captive pack of 19 wild dogs. Individuals were classified as either dominant or subordinate. Cardinal and ordinal dominance indices were also calculated for pack members, as were three other behavioral indices. Active and passive dominance styles were distinguished. Serial blood samples were drawn from animals after chemical immobilization and again after ACTH challenge. The relationship among rank, plasma cortisol concentration, and behavioral style was investigated. When data were combined over the entire study period, there was no obvious relationship between rank and cortisol concentrations or cortisol responsiveness to immobilization stress. Instead, younger animals had higher cortisol concentrations than older ones. Age cohorts were also clearly separated on the basis of behavioral profiles. For males, these distinctions among age classes were especially apparent during the second part of the study period, when subadults occupied dominant positions in the hierarchy. Adult males maintained relatively low cortisol concentrations, despite being involved in and losing a high proportion of dominance interactions. Age-related differences in cortisol profiles of dominant individuals may be explained by differences in the style of dominance employed, with younger males using proportionately more active dominance (threats used to elicit submission). The separation of age classes according to rank, behavioral styles, and cortisol concentrations may reflect improved social skillfulness with age.

Immunocytochemical study of retinal diode laser photocoagulation in the rat.

AIM: To determine the nature of the cellular infiltrate, alterations in cell adhesion molecules, and MHC II antigen expression in the rat retina following diode laser retinal photocoagulation. METHOD: 20 normal Lister rats underwent diode laser photocoagulation of the retina. Frozen sections from eyes enucleated at 0, 1, 5, 13, and 33 days post laser were examined for T cells (R7.3), CD4 T cells (W3/25), activated CD4 T cells (OX-40), CD8 T cells (OX-8), B cells (OX-33), and macrophages (OX-42), MHC II antigen (OX-6), and E-Selectin-1, VCAM-1, and ICAM-1. RESULTS: Retinal diode laser photocoagulation stimulated a wound healing response in the outer retina and choroid. The cellular infiltrate included macrophages and activated CD4 T cells at 13 and 33 days post laser. Glial cells in the inner plexiform and inner nuclear layers expressed MHC II antigen at 24 hours only. ICAM-1 antigen was induced in RPE cells and in Muller cells in the inner retina at all time intervals post laser and intense staining for ICAM-1 was present around intraretinal migrated cells at 13 and 33 days post laser. VCAM-1 antigen expression was induced in the choroidal vascular endothelium and RPE at 13 and 33 days after laser as was E-Selectin-1 antigen expression which was also evident focally at the external limiting membrane in association with migrated cells adjacent to the burn. CONCLUSIONS: These results suggest that alterations in cell adhesion molecules may regulate the migration and activation of retinal pigment epithelium, macrophages and CD4 T cells at the outer blood-retinal barrier and choroid following diode laser photocoagulation of the normal Lister rat retina.

Preclinical studies with the anti-CD19-saporin immunotoxin BU12-SAPORIN for the treatment of human-B-cell tumours.

The immunotoxin BU12-SAPORIN was constructed by covalently coupling the single-chain ribosome-inactivating protein saporin to the anti-CD19 monoclonal antibody BU12 via a disulphide linker using the heterobifunctional reagent SPDP. The immunoreactivity and specificity of BU12-SAPORIN was identical to that of unmodified native BU12 antibody. BU12-SAPORIN was selectively cytotoxic in vitro in a dose-dependent manner for the CD19+ human common acute lymphoblastic leukaemia (cALL) cell line NALM-6 but exhibited no toxicity for the CD19- T-cell acute lymphoblastic leukaemia (T-ALL) cell line HSB-2. The survival of severe combined immunodeficient (SCID) mice with disseminated NALM-6 leukaemia was significantly prolonged compared with sham-treated control animals by a course of therapy with BU12-SAPORIN but not with the irrelevant anti-CD7 immunotoxin HB2-SAPORIN. BU12-SAPORIN had no therapeutic effect in SCID mice with disseminated CD19- HSB-2 leukaemia. These preclinical studies have clearly demonstrated the selective cytotoxicity of BU12-SAPORIN for CD19+ target cells both in vitro and in vivo. This, taken together with the lack of expression of the CD19 molecule by any normal life-sustaining tissue and its ubiquitous and homogeneous expression by the majority of cALL and B-NHL cells, provides the rationale for undertaking a phase I trial of systemic therapy with BU12-SAPORIN.

Handling-induced stress and mortalities in African wild dogs (Lycaon pictus).

Recently it was suggested that the handling of wild dogs (Lycaon pictus) by researchers in the Serengeti ecosystem created stress, resulting in the reactivation of latent rabies viruses in carrier animals. We present data from ongoing studies on free-ranging and captive wild dogs elsewhere in Africa which do not support this hypothesis. Cortisol profiles suggest that immobilization of wild dogs does not cause the chronic stress required for stress-reactivation of latent viruses. Furthermore, there is no evidence of handling-related mortalities in wild dogs: the survivorship of unhandled and handled free-ranging wild dogs did not differ and no captive animals died within a year of handling (immobilization and/or vaccination against rabies). We suggest that the mortalities observed in Tanzania were due to an outbreak of a disease which rabies vaccination was unable to prevent. Intensive monitoring and active management research programmes on wild dogs are essential as without these, critically endangered wild dog populations have little hope of survival.

Non-cardiac autonomic tests in diabetes: use of the galvanic skin response.

Diabetic peripheral neuropathy affects both large myelinated and small unmyelinated nerve fibres. It has been proposed that the small unmyelinated fibres, responsible for pain and temperature sense, and autonomic function, are involved early, particularly in subjects with painful symptoms, and may be important in foot ulceration. The sympathetic skin response has been used to investigate the function of small unmyelinated sympathetic fibres in the limbs of diabetic subjects. Changes in skin resistance at the fingers and toes have been measured simultaneously after a sound stimulus. These procedures were controlled using a microcomputer. Data collected from 55 diabetic subjects, randomly selected from the diabetic clinic, have been compared with results from conventional tests of large motor and sensory fibres and autonomic function. The ratio of the change in skin resistance for toes to fingers correlated with sural and posterior tibial nerve conduction velocity (correlation coefficients 0.54 and 0.42, p less than 0.001 and p less than 0.01, respectively), with the expired to inspired ratio (correlation coefficient 0.51, p less than 0.01), and inversely with vibration perception threshold in the feet (correlation coefficient 0.50, p less than 0.001). Correlation with the dark adapted pupil diameter, however, only just achieved statistical significance (correlation coefficient 0.27, p = 0.043). We propose that this simple test may elucidate the role of the peripheral autonomic system in diabetic neuropathy.

Volatile components of anal gland secretion of aardwolf (Proteles cristatus).

Volatile constituents of the anal gland secretion and of scent marks of the aardwolf were identified using dynamic solvent effect sampling, capillary gas-liquid chromatography, and mass spectrometry. Both scent marks and gland contents consisted mainly of short- to medium-chain fatty acids, a complex series of medium- and long-chain esters, indole, and hexanol. There were marked individual differences in the relative concentrations of the various components.

Treatment of massive hemoptysis by combined occlusion of pulmonary and bronchial arteries.

Massive, life-threatening hemoptysis occurred in a patient with left upper lobe bronchiectasis secondary to old tuberculosis. Selective left bronchial arteriography showed extravasation of contrast medium in the bronchiectatic area. A marked decrease in hemoptysis occurred after selective left bronchial arterial embolization. Complete cessation of bleeding followed the inflation of a Swan-Ganz balloon catheter that had been placed in the left main pulmonary artery.