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[Comparison of methods for the quantitative detection of moulds in foods. III. Comparison of different culture media for the mould plate count (author's transl)].

The mould plate count and taxonomical grouping of the mould flora of 9 moulded non-fluid foods were compared on totally 12 different media, which are commonly used for the detection of moulds.--In contrary to the bacteriological practice, moulds should only be counted on plates with 20-50 colonies, as on plates covered densely with a mixed mould flora, simple colonies are often no more detectable. Mould plate counts of all tested products were in the same range on all media with a sugar content of 1-2% (dextrose, maltose). With fruits and vegetables, less colonies were isolated on the Sugar Free Agar, Yeast Extract Agar and Aspergillus Differential Medium than on the other media. On those three media and on Plate Count Agar sporulation of many fungi was rather inhibited. On Aspergillus Differential Medium, on which Aspergillus flavus and Aspergillus parasiticus can be differentiated, no false positive colonies were to be seen.--On Malt Extract Agar with 7.5% NaCl the hydrophilic species were supressed, the xerophilic fungi were represented in greater number. The addition of 200 ppm rose bengal inhibited the growth of many fungi, but brought no rising of the colony count compared to Malt Extract Agar without rose bengal.--For the quantitive and qualitative mould plate count, Malt Extract Agar with 50 ppm Chloramphenicol and Chlortetracycline is recommended. For the detection of xerophilic moulds 7.5% NaCl should be added to that medium.--A proposition for the proceeding for the detection of moulds in foods is given.

Culture Media↗

Comparison of degrees of coronary arterial luminal narrowing determined by visual inspection of histologic sections under magnification among three independent observers and comparison to that obtained by video planimetry: an analysis of 559 five-millimeter segments of 61 coronary arteries from eleven patients.

The accuracy of determining degrees of luminal narrowing of 559 histologic sections from 61 human coronary arteries was evaluated by visual inspection under magnification (light microscopy) by three independent observers, and the results were compared to those obtained by video planimetry. With the per cent of cross-sectional area narrowing divided into four categories (0 to 25, 26 to 50, 51 to 75, and 76 to 100), both the extent of agreement between each independent observer and video planimetry, i.e., the accuracy of visual inspection under magnification and the extent of agreement among the independent observers, interobserver agreement, evaluated by the Kappa (K) statistic, were excellent. With a K value of 50 per cent indicating reasonably good agreement and values of greater than or equal to 70 per cent indicating strong agreement, the K values between the results of light microscopy and video planimetry by three observers were 61, 67, and 75 percent, respectively, and the extent of interobserver agreement was 72 per cent.

Arteriosclerosis↗

Randomised, double-blind comparison of reteplase double-bolus administration with streptokinase in acute myocardial infarction (INJECT): trial to investigate equivalence. International Joint Efficacy Comparison of Thrombolytics.

Streptokinase and alteplase are established therapies in acute myocardial infarction. Reteplase is a new thrombolytic agent that can be given as a double bolus. This trial was designed to determine whether the effect of reteplase on survival was at least equivalent (within 1% of fatality rate) to that of a standard streptokinase regimen. Patients from 208 centres in nine countries (n = 6010) with symptoms and electrocardiographic criteria consistent with acute myocardial infarction were randomised to receive double-blind either streptokinase 1.5 MU intravenously over 60 min or reteplase two boluses of 10 MU given 30 min apart. Treatment could be started up to 12 h from onset of symptoms. All patients received intravenous heparin for at least 24 h. The primary endpoint was 35-day outcome. There were 270 deaths (9.02%) in the reteplase and 285 deaths (9.53%) in the streptokinase group, a non-significant difference (95% CI -1.98% to 0.96%). Among patients who received treatment (98.8%) there were 263 deaths (8.90%) in the reteplase compared with 279 deaths (9.43%) in the streptokinase group (a difference of -0.53%). Because the upper limit of the 90% CI for this difference is 0.71%, this result shows that reteplase is at least as effective as streptokinase. In-hospital stroke rates were 1.23% for reteplase and 1.00% for streptokinase. Bleeding events were similar in the two treatment groups (0.7% reteplase, 1.0% streptokinase). The incidence of recurrent myocardial infarction was similar, but there were significantly fewer cases of atrial fibrillation, asystole, cardiac shock, heart failure, and hypotension in the reteplase group. We conclude that reteplase is an effective drug in the treatment of acute myocardial infarction. It is clinically safe, its administration is simple, and it will be a useful addition to the range of thrombolytic agents available.

Aged↗

Partial gastric resection for peptic ulcer--comparison of the effect of variant reconstructive procedures on gastric emptying, gastric acid secretion and gastrin release in the early postoperative period II. Billroth-I gastroduodenostomy and comparison versus gastroenteroanastomotic procedures.

Gastric emptying (GE) of a radiolabelled solid meal, gastric acid secretion and gastrin release was measured before and/or by 91/2 weeks postoperatively in 12 patients with partial gastric resection supplied with Billroth-I gastroduodenoanastomosis and usually (n = 10) with truncal vagotomy [B-1+(VT))]. The results obtained were compared to those derived from another study involving 14 patients with partial gastric resection supplied with a gastroenterostomy (of Roux-en-Y type in 11, and Billroth-II type in 3 subjects) and truncal vagotomy [Roux(B-II)+VT]. The B-I+(VT) procedure affected significantly neither the overall GE (the median T1/2 was 75 min before and 95 min after the surgery) nor the GE pattern-the median curve shape parameter S was 0.73 before and 1.07 after the operation. The basal and pentagastrin-stimulated gastric acid secretion was reduced by an average of 79% (from 8.6 +/- 2.5 to 1.8 +/- 0.5 mmol h-1, p < 0.05) and 77% (from 22.0 +/- 2.8 to 5.0 +/- 1.5 mmol h-1, p < 0.05) after the B-I+(VT), respectively. Moreover, after the B-I+(VT) a decrease in the fasted serum gastric concentration (78.3 +/- 17.0 before vs 62.4 +/- 6.9 ng l-1 after the surgery) and in the postprandial gastrin release (AUC0-120: 11716 +/- 2482 ng l-1 min before vs 9753 +/- 1183 ng l-1 min after the surgery) was found; the relevant differences were, however, statistically not significant. In patients with a preoperatively normal GE, a markedly slowed GE (T1/2 above the limit of the mean T1/2 +2SD in healthy controls) was found in 5 out of 8 (62%) patients after the Roux-en-Y procedure, and only in 1 out of 7 (14%) patients after the B-I or B-II procedure. With regard to the postoperative data, the Roux (B-II)+VT resulted in lower gastric acid secretion and gastrin release than the B-I+(VT) procedure but the relevant differences were statistically not significant.

Adult↗