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Trends in alcohol-related morbidity and mortality.

Two major trends regarding alcohol use and consequences of alcohol abuse in the United States are showing significant improvement. Continued declines are evident in age-adjusted rates of liver cirrhosis mortality, and per capita alcohol consumption is at its lowest level in 15 years. Two other trends, however, are less clear. After declining in 1982 and continuing through 1984, alcohol-related morbidity--as measured by principal diagnoses listed on short-stay, community hospital discharges--showed a slight increase in 1985. Similarly, after declining every year but one since 1981, alcohol-related motor vehicle fatalities showed a significant increase in 1986. The downward trends suggest that progress is being made in efforts to reduce alcohol-related deaths and morbidity, but there are no easy explanations for any of the trends. Reductions in liver cirrhosis death rates may reflect coding changes in liver disease categories, less chronic heavy drinking, or better medical care. Lower per capita alcohol consumption may indicate the public's increased awareness of drinking risks or the aging of the U.S. population. Ironically, the recent increase in alcohol-related motor vehicle fatalities may reflect stronger enforcement of drunk driving laws and increased BAC (blood alcohol content) testing.

Accidents, Traffic

Some correlates of language deterioration in severely and profoundly retarded long-term institutionalized residents.

Progress or deterioration in language use was observed in two samples of retarded institutionalized residents. One sample was observed twice, and the other three times, at 5-year intervals. We coded change in language use as noncommunicating, regressed irregular, stable, or progressed. Change in language use was found to be related to two indicators of intellectual capacity. Central nervous system involvement may play a part in irregular or totally absent communication. Institutional policies regarding transfer of residents also affect the apparent language deficit in longer-term residents.

Age Factors

Characteristics of long-term mentally ill patients: policy implications.

This study examined the records of all psychiatric patients who were hospitalized over one year in a public sector institution. The 88 patients primarily were men, hospitalized under a penal code, Hawaiian or other ethnic minority, and unmarried. Over 74% were hospitalized under a penal code. The State is moving toward a capitated managed care environment for the seriously and persistently mentally ill. With the majority of the patients who are hospitalized under a penal code, changes in the public policy concerning their care is needed. If no changes are made, all of the existing hospital beds potentially could be filled with forensic patients.

Adult

Evolutionary changes in the genetic code.

The genetic code has been influenced by directional mutation pressure affecting the base composition of DNA, sometimes in the direction of increased GC content and at other times, in the direction of AT. Such pressure led to changes in species-specific usages of codons and tRNA anticodons, and also in amino acid assignments of codons in mitochondria and in several intact organisms. These code changes are probably recent evolutionary events. The genetic code is not 'frozen', but instead it is still evolving.

Base Sequence

The consequences of reviewing serial changes in the Minnesota code for diagnosis of acute myocardial infarction.

We investigated the effect of reviewing serial electrocardiograms (ECGs) for significance of changes in the Minnesota code, and the influence of this effect on the MONICA diagnosis of myocardial infarction (MI). We used the data from 1340 consecutive admissions to the coronary care units of our MONICA centre and we developed ECG classifications and MONICA diagnoses that were based once on the unreviewed Minnesota code and once on the reviewed code. A comparison of the two ECG classifications showed that codes for evolution of Q-waves and injury currents were much more likely to change as a result of a review (46.8%) than codes for evolution of repolarization changes (12.8%). The review of serial Minnesota codes caused a change of the MONICA diagnosis primarily in the category definite MI (10%). In a blinded clinical assessment, the cases that changed diagnosis were judged to be different from those that remained constant. It is concluded that the use of ECG classification based on unreviewed Minnesota code changes introduces heterogeneity. The significance of this effect depends on the use of the results.

Coronary Care Units

Color coding of radiographic changes over time by means of image addition.

Differences between sequential radiographs may be displayed in color if the individual radiographs are transformed into monochromatic images and then added. Information in regions where the radiographs are identical is retained whereas differences are emphasized by the color coding that comes about in a quantitative manner from the gray level values in the sequence of radiographs. By using the three additive primary colors, red, blue, and green, two or three radiographs from a sequence may be added. Every possible state of a bone disease, progression, regression, or any combination, will produce a different and specific color code. Different development cycles are described, and the color coding that appears when color image addition is performed is analyzed. The color addition technique should constitute a useful substitute or alternative to subtraction.

Alveolar Bone Loss

Interaction of silent and replacement changes in eukaryotic coding sequences.

We examined the codon usages in well-conserved and less-well-conserved regions of vertebrate protein genes and found them to be similar. Despite this similarity, there is a statistically significant decrease in codon bias in the less-well-conserved regions. Our analysis suggests that although those codon changes initially fixed under amino acid replacements tend to follow the overall codon usage pattern, they also reduce the bias in codon usage. This decrease in codon bias leads one to predict that the rate of change of synonymous codons should be greater in those regions that are less well conserved at the amino acid level than in the better-conserved regions. Our analysis supports this prediction. Furthermore, we demonstrate a significantly elevated rate of change of synonymous codons among the adjacent codons 5' to amino acid replacement positions. This provides further support for the idea that there are contextual constraints on the choice of synonymous codons in eukaryotes.

Cell Physiological Phenomena

Ethambutol changes the color coding of carp retinal ganglion cells reversibly.

The influence of ethambutol on retinal function was studied by recording ganglion cell responses in isolated carp retinas superfused with a Ringer solution containing different concentrations of ethambutol (0 mg/liter, 10 mg/liter, 20 mg/liter, 30 mg/liter). The results indicate that ethambutol reversibly affects color opponency, without changing the sensitivity of the underlying receptor processes. The amacrine and bipolar cells are the most likely candidates to be affected by ethambutol.

Action Potentials

Changes in the coding sequence of the H-2Dk gene of metastatic cells that might account for immunogenic abnormality of its encoded antigen.

In previous studies we have demonstrated that metastatic cells, derived from T-10 fibrosarcoma, express an immunogenically abnormal H-2Dk glycoprotein which is involved in manifesting their metastatic phenotype. In the present study we show that these cells contain a remarkably high level of H-2Dk specific mRNA. Moreover, by cloning cDNA of this gene and analyzing its nucleotide sequence, we found 4 single nucleotide changes. Two of them did not change the encoded amino acids, whereas the others resulted in two amino acid substitutions in the alpha-2 domain of the protein product that might account for its immunogenic abnormality.

Amino Acid Sequence

Centrifugal inputs enhance responses of retinal ganglion cells in the Japanese quail without changing their spatial coding properties.

Centrifugal fibers originating in the midbrain innervate the avian retina. Stimulation of the centrifugal fibers enhances the responses of ganglion cells in the retinas of both chick and pigeon. The enhanced responses have been attributed to disinhibition, a reduction of the inhibitory surround component of the receptive fields of retinal ganglion cells. We found that stimulation of the centrifugal fibers in Japanese quail enhances the responses of retinal ganglion cells to drifting sine-wave gratings over a wide range of spatial frequencies. Our results do not support the idea that centrifugal inputs selectively influence receptive field surrounds. We also found that centrifugal inputs changed the temporal response properties of retinal ganglion cells by enhancing their responses to sine-wave gratings drifting across the retina at higher temporal frequencies (> 5 Hz). The result shows that centrifugal inputs from the midbrain can enhance responses of retinal ganglion cells without affecting the center-surround organization of their receptive fields. The centrifugal modulation of retinal responses may have a role in shifting visual attention.

Animals

Stability of classification of filamentous fungi under changes in character coding strategy.

The characteristics of a number of filamentous fungal cultures were obtained from two previously published numerical taxonomic studies on Penicillium and Phoma. The coding strategies for some of the physiological and morphological properties employed in the original studies were re-examined and the data was re-coded by combining sets of characters into single ordered multistate characters. The different coding procedures were compared by generating average linkage (UPGMA) dendrograms which were in turn compared by calculating correlation coefficients between the final similarity matrices implied by these dendrograms. The character conversions had no significant effect on the final outcome of the clustering.

Mitosporic Fungi

Coding of incremental changes in skin temperature by single warm fibers in the monkey.

1. Experiments were designed to answer the question: how well does a single warm fiber innervating the glabrous skin of the monkey's hand resolve incremental changes in the intensity of near-rectangular warming pulses applied to the fiber's receptive field? 2. In these experiments the measure of the warm fiber's capacity to resolve incremental changes in the intensity of successive warming pulses was termed the discriminable stimulus increment (DSI). The DSI is defined as that incremental difference in the intensity of a pair of warming pulses that could be resolved correctly, with a probability of 0.75, by comparing the fiber's responses to these two stimuli. In the specified conditions of the experiment, DSI = 0.67 sigma delta tau/(dR/dI) where sigma delta tau is the standard deviation of the difference in responses of the fiber to pairs of stimuli, and dr/dI is the fiber's sensitivity to incremental stimulus change. (dr/dI) was experimentally determined as the mean rate of change of the fiber's responses to incremental changes in the intensity of the warming pulse. 3. The DSI, as defined above, assumes that the basis for differentiating the stimuli in each pair was that the larger response in the fiber was in each instance generated by the more intense stimulus. A more general form of the DSI was also developed and used to examine the effects on intensity resolution of different discrimination rules that the brain might use. 4. In the experimental analysis the response measure of each warm fiber was the cumulative impulse count over successively longer segments of the stimulus period. With short integration intervals the DSI was high (i.e., intensity resolution was poor), but typically the DSI fell to a plateau level within 2.0--2.5 s of the onset of the warming stimulus. 5. The DSI was measured on 23 warm fibers in Macaca nemestrina for warming pulses with intensities of 0, 2, 4, 6, and 8 degrees C, at T-base levels of 29, 34 (near normal temperature of palmar skin), and 39 degrees C. For most observations the intensity resolution possible from the responses of single warm fibers, measured over this wide variety of stimulus conditions, was less than is achieved by the human observer trained to differentiate comparable warming pulses applied to the skin of the thenar eminence.

Adaptation, Physiological