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The parents of 128 children with asthma were interviewed about their knowledge of asthma medications. Simple understanding of the modes of action of these drugs was present in only 42.2% (for beta 2-agonists), 12.1% (methylxanthines), 11.7% (cromoglycate), 0% (inhaled corticosteroids), and 3.6% (oral corticosteroids) of parents. Simple understanding of when to use these drugs was present in 13.4% (beta 2-agonists), 4% (methylxanthines), 50% (cromoglycate), 47.1% (inhaled corticosteroids), and 0% (oral corticosteroids). Some understanding of the side effects was observed in 51.6% (beta 2-agonists), 40.4% (methylxanthines), 10% (cromoglycate), 5.9% (inhaled corticosteroids), and 25% (oral corticosteroids). Poor parental knowledge about the pharmacology of asthma was underlined by the inclusion of antibiotics, antihistamines, and decongestants as medications used in asthma. This study also uncovered the continuing misuse of compound methylxanthine preparations and non-selective sympathomimetics in a small percentage of patients.

Skim-milk was fractionated by permeation chromatography on CPG-10 (300 nm) at 20 degrees C with synthetic milk serum. The elution profile, which was highly reproducible, showed 3 partly resolved peaks. On treatment with 0.1% glutaraldehyde before chromatography, a similar profile was obtained indicating no appreciable micellar dissociation during chromatography of the milk. The casein composition of the eluent fractions, determined by quantitative chromatography on hydroxyapatite, showed that 12.1% of total casein was associated with the low molecular weight peak. The micelle content of beta- and kappa-casein increased with increasing elution volume, and the alphas/kappa ratio showed a progressive diminution from 4.3 to 2.3. Large differences were found in the colloidal phosphate contents and the weight average diameters of the micelle fractions which clearly show that CPG-10 fractionates on the basis of molecular size.

Chemical analysis of the livers from four calves with GM1 gangliosidosis was negative for significantly elevated levels of glycosaminoglycans. The chemical findings confirmed morphological studies in which hepatic changes were minimal or absent. The findings were compared with the published evidence for the hepatic storage of glycosaminoglycans in human GM1 gangliosidosis.

Casein micelles of bovine skimmed milk were fractionated by permeation chromatography on porous glass (CPG-10, 50 nm followed by CPG-10, 300 nm) at 30 degrees C. Micelles were pooled in eight eluant fractions and their size distribution was determined by electron microscopy. The composition of casein in the eight fractions was determined by quantitative hydroxyapatite chromatography. Micelle size decreased progressively with increasing elution volume, and volume-to-surface average diameter ranged from 154 nm in fraction 1 to 62 nm in fraction 8. Concurrently there was a decrease in relative proportions of alpha s- and beta-caseins and a large enrichment of kappa-casein, which changed from 4.1% total casein in fraction 1 to 12.1% total casein in fraction 8. At least half the decrease in alpha s-casein proportions was attributed to the alpha s1-casein component, but the data also suggested a decline in proportions of alpha s2-casein in the smallest micelle fractions. A plot of kappa-casein fractional content versus micelle surface-to-volume ratio gave a straight line (correlation coefficient from linear regression 0.98) from which an average kappa-casein surface coverage of 1.5 m2/mg or 47.3 nm2/molecule was obtained. If a constant surface coverage for kappa-casein is assumed, the parameters of the linear equation predict that micelle voluminosity is inversely related to micelle diameter, being approximately 30% larger in fraction 8 compared to fraction 1.

A weaner ration containing carbadox at concentrations of 331 to 363 mg/kg was accidentally fed to suckling and weaned pigs in an 84 sow herd. Discarded ration was fed to 36 sows. One hundred and sixty five weaner pigs died in a 10 week period with clinical signs including refusal to eat, ill thrift, the passing of hard pelleted faeces, posterior paresis and death in seven to nine days. The surviving weaners did not thrive and some males showed poor testicular development. Sows and suckling pigs that consumed the ration also failed to thrive as did the progeny of affected sows. The main pathological finding was obliteration of the zona glomerulosa of the adrenal cortex. Increased potassium and decreased sodium concentrations in serum were the most notable and consistent biochemical findings.

Approximately 45% of asthmatic families and 47% of non-asthmatic families had consulted an alternative-medicine practitioner at some time. The most popular form of alternative medicine was chiropractic (21.1% and 26.4%, respectively), followed by homoeopathy/naturopathy (18.8% and 12.7%, respectively), acupuncture (9.4% and 10.9%, respectively), and herbal medicine (4.7% and 6.4%, respectively), while the remainder (20.3% and 11.8% respectively) was distributed among iridology, osteopathy, hypnosis, faith healing and megavitamin therapy. More families were satisfied with orthodox medicine (87.1% and 93.6%, respectively) than with alternative medicine (84.2% and 75.1%, respectively). Crosstabulation analysis of pooled data both from asthma and from non-asthma groups showed that 76.4% were satisfied both with orthodox and with alternative medicine, and 16.4% were satisfied with orthodox, but not with alternative, medicine. In contrast, only 2.7% were dissatisfied with orthodox medicine and satisfied with alternative medicine (chi2 = 9.33; P less than 0.01). These findings do not support the view that patients who use alternative medicine are those who are disgruntled with orthodox medicine.

We compared the attitudes of parents of 128 asthmatic children with those of 110 control children. The majority of both groups of parents had negative perceptions of the impact of asthma on children, but control parents were significantly more pessimistic. Control parents were also significantly more pessimistic than asthma parents about the impact of asthma on family lifestyle and relationships. In contrast, both groups were remarkably concordant in their ambivalence towards compliance with medication, recognising the necessity and efficacy of drug therapy, and yet worried about its long term effects on children. Both groups were also concordant in their readiness to give up household pets but not cigarette smoking for the sake of asthmatic children. Physician awareness of parental and community perceptions of childhood asthma may contribute to improved compliance with medications.

A tuberculin testing trial in cattle was carried out in the Republic of Ireland to compare the specificity for bovine tuberculosis of a human purified protein derivative (PPD) tuberculin (Weybridge) with that of a bovine PPD (Rotterdam), and to determine whether discrimination between specific and non-specific reactions to mammalian tuberculin is better with doses of tuberculins smaller than those traditonally used for testing cattle. Tests were carried out in 510 cattle, 395 of which were shown by post mortem examination to be tuberculous and 115 non-tuberculous. Three dilutions at five-fold intervals of both mammalian tuberculins were used together with two dose levels of avian tuberculin PPD (Weybridge), and all reactions were measured both by increase in skin fold thickness and by diameter of induration. In the environment of this trial, the bovine PPD was shown to be more specific for bovine tuberculosis than the human PPD, and particularly in differentiating from "skin tuberculosis". There was no indication of greater specificity at lower doses of tuberculin. Measurement of induration diameter proved a satisfactory alternative method of reading tuberculin reactions in cattle under field conditions.

Narratives of illness in medical records and case presentations in teaching hospitals say surprisingly little about an important matter: what patients understand and feel. Nowadays, medical narratives tend to neglect or objectify subjective experience, including symptoms. Such narratives concentrate, in the manner of chronicles, on events in the exterior, objective world rather than the interior world of the sick. Medical students and physicians will construct more balanced accounts of human illness once they envision these accounts as "story", a form of narrative that traditionally accesses subjective experience as well as objective events. One can effectively begin the process of transforming medical chronicles into stories simply by asking patients what they know and how they feel about their situation and by documenting the response, using some of the patient's words, in the history of present illness. These actions will identify and preserve important information, facilitate empathy in all care givers who hear or read the history, and signal to everyone the physician's serious interest in patients as persons. Getting the voice of the patient into the history of present illness will not only help to right the medical record, but also help to right the relationship of physician and patient.

Permeation chromatography on porous glass was carried out with skim milk at 20 or 30 degrees C using CPG-10 (50 nm) or a dual column system of CPG-10 (50 nm) followed by CPG-10 (300 nm). On columns of CPG-10 (50 nm) casein micelles were eluted at the void volume and were rapidly and efficiently resolved from non-micellar protein without micelle dissociation. The dual column system resulted in the additional resolution of the micelles into different size ranges. Examination of the resolved micelle fractions by electron microscopy showed a gradual decrease of weight average diameter (Dw) from 228.4 nm in the void volume fraction to 86.3 nm in the smallest micelle fraction. The translucent upper layer of a micelle sediment obtained by ultracentrifugation of skim milk at 30 degrees C consisted of casein aggregates intermediate in size between monomeric protein and the bulk micelle fraction as shown by its elution behaviour on CPG-10 (50 nm). These aggregates were enriched more than 2-fold with kappa-casein relative to skim milk, were devoid of alpha S2-casein and had an estimated value of Dw of 33 nm. The ultracentrifugate serum contained approximately 2.5% of total milk casein which had the elution characteristics of monomeric protein on CPG-10 (50 nm). It was concluded that the translucent sediment consisted of the smallest micelle fraction of skim milk and represented the minimum size range for casein polymerization in the natural milk environment. Overall, the results show that porous glass chromatography is an effective and convenient tool for the isolation and study of casein micelles.

Late-onset of disturbed vision is a clinical feature of bovine GM1 gangliosidosis. Studies on eight affected calves showed that ocular lesions were confined to the retinae and optic nerves. Myriad tiny white spots were visible by ophthalmic examination of the fundus. These spots were related to protuberances on the vitreal surface caused by distended retinal ganglion cells. The perikaryons of these were packed with dense aggregates of membranous cytoplasmic bodies (MCBs). Similar MCBs were present in the perikaryons of amacrine cells in the inner nuclear layer of the retina. Wallerian degeneration was present in the optic nerves. The lesions were compared with those described in gangliosidosis in man, cats, pigs and dogs. It is suggested that examination of the fundus is a useful clinical procedure in the diagnosis of bovine GM1 gangliosidosis.

An outbreak of LI infection in a group of free range horses is described. Three of 4 horses displayed signs of CNS disturbance and 2 of these died after illnesses ranging from 2-12 days duration. In both cases a variable degree of viral polioencephalomyelitis was observed. A virus antigenically indistinguishable from a reference strain of LI virus was isolated from the brain and cervical cord of a 3 y.o. draft mare. Serum samples obtained from 3 of the horses contained HI, CF, precipitating and neutralising antibodies to LI virus, with a rise in antibody titre being demonstrated in 2 animals.