Mechanisms of the Frank-Starling phenomena studied in intact hearts.

The impact of ventricular volume on the relationship between intracellular calcium and ventricular pressure under steady-state conditions was determined in intact ferret hearts. The results reveal major quantitative differences and minor qualitative differences between these relations and those previously measured in isolated intact and skinned cardiac muscle. The importance of these differences is discussed within the context of developing a comprehensive mechanistic theory to describe load-dependence of the intact ventricle.

Future physicians' attitudes on women's reproductive rights: a survey of medical students in an American university.

The July 1989 US Supreme Court decision in Webster v Reproductive Health Services restricts both women's access to legal abortion and physicians' latitude when performing abortions. We surveyed 197 medical students at the Columbia University College of Physicians and Surgeons regarding their general attitudes toward abortion as well as their specific opinions concerning the Webster decision and the possible restriction of minors' access to abortion represented by three then undecided cases. Of those surveyed, 85.8% were pro-choice by self-description as compared with 14.2% pro-life. The antiabortion group was predominantly male (78.6%) and of Catholic background, while there were no significant gender and/or religious correlates among the pro-choice group. The majority of the respondents (83.2%) disagreed with either one or both stipulated restrictions of Webster and 81.4% did not support limiting minors' access to abortion in any way. Moreover, only 19.8% admitted to a change in general attitude toward abortion during their medical education.

Structure-function relationships in the rat brainstem subnucleus interpolaris: II. Low and high threshold trigeminal primary afferents.

Prior studies indicate that vibrissa, guard hair, hairy skin, mucosa, and nociceptive trigeminal primary afferents give rise to morphologically distinct terminal arbors in the medullary dorsal horn. The present study describes the extent to which similar structure-function relationships exist in the rostrally adjacent subnucleus interpolaris (SpVi). Seventy-three axons were physiologically characterized and visualized by standard intra-axonal HRP labeling techniques. They responded to guard hair (GH) or vibrissa (VIB) deflection; gentle pressure applied to hairy skin (HS), glabrous skin (GS), lingual mucosa (LM), or an incisor (PER); or a noxious pinch of the face (NOX). Response latencies to trigeminal ganglion shocks were equivalent for all categories with low threshold receptive fields (mean = 0.44 ms), and these were significantly shorter than those of fibers with high threshold NOX receptive fields (mean = 0.88 ms). All axons gave off transversely oriented collaterals into SpVi with rostrocaudal discontinuities in their arbors. Collaterals were topographically organized. Axons innervating the rostral mouth and face terminated medially, and those that supplied the caudal face innervated successively more lateral SpVi. The dorsal face was represented in the ventral SpVi, whereas the ventral face and mouth were represented more dorsally. This transverse topography extended largely throughout the rostrocaudal extent of SpVi. VIB, GH, GS, and LM collaterals had similar configurations with circumscribed arbors. HS, PER, and NOX arbors had a "stringy" shape without a clear terminal focus, save for the fact that PER and NOX collaterals often terminated in rostrally displaced substantia gelatinosa at the level of the caudal SpVi. Analysis of variance, considering only those data from mystacial VIB, GH, and HS fibers, indicated significant differences for all of the following measures: number of collaterals, number of boutons per collateral, arbor area, arbor circumference, and arbor circularity (form factor). A similar analysis, considering all fiber types, indicated significant differences for only the following measures: number of collaterals, arbor area, and arbor circumference. Individual group comparisons between the more heavily sampled functional categories indicated that GH afferents had significantly fewer collaterals, fewer boutons per collateral, smaller arbor area, shorter arbor circumference, and more circular arbors than those of HS axons. VIB fibers tended to fall between GH and HS afferents with respect to number of collaterals, arbor area, circumference, and circularity. The remaining functional groups were not as orderly.(ABSTRACT TRUNCATED AT 400 WORDS)