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A sentence in discourse may appear in the passive voice to emphasize the logical object rather than the logical subject when it is thematically more important. Two experiments are reported that explore the impact of this textual function of voice on sentence memory. The first experiment required subjects to listen to prose passages and then recall them. Sentences were recalled predominantly in the active voice regardless of voice or thematic focus in the prose passage, showing that the English-language bias for the active voice was a more important determinant of sentence reconstruction than was the experiment manipulation of thematic context. The second experiment required subjects to listen to or read either prose passages or lists of unrelated sentences and then to try to recognize "key" sentences that were either unchanged or changed lexically, semantically, or in voice. Recognition, both overall and specifically for voice, was better for sentences that were read than for those that were heard, and recognition for semantic change was consistently higher than for any other. Only when passages were read was there evidence in support of a thematic textual influence on memory for sentence voice.

Our paper addresses, as did a recent study by Greenwood et al. (1977), the question of differential right vs. left hemispheric involvement in REM-sleep dreaming. A male subject with extensive lesioning of the right hemisphere and consequent contralateral homonymous hemianopia was studied for 2 nights in a sleep laboratory where a dream report was collected following each of 6 awakenings from REM sleep. The subject's dream reports were typically sequential and narrative in form, but were lacking specifically in continuous visual imagery. The occasional visual images that appeared in the subject's dreams were described as fragmentary and static in nature. The subject also was unable to perform waking tasks requiring the kinematic representation of extrapersonal space. These observations support the hypotheses that dream narratives may derive from different neurocognitive sources than do the specifically visual realizations of those narratives, and that the visual mediation of dream experience may depend on right-hemispheric processing. Differences between our findings and those of Greenwood et al. may be attributable to differences in dream interview technique.

Calcitonin gene-related peptide, a 37-amino-acid neuropeptide, has been shown to be widely distributed in periadventitial nerves throughout the cardiovascular system, particularly in association with coronary arteries. In vivo and in vitro studies have demonstrated that calcitonin gene-related peptide possesses potent vasodilator properties. Circulating calcitonin gene-related peptide is derived primarily from periadventitial nerves, though its systemic and regional hemodynamic effects are unknown. In this study, systemic and regional hemodynamics were determined by the radioactive microsphere technique prior to and following the intravenous administration of 65-pmol and 2.2-nmol doses of calcitonin gene-related peptide and vehicle to three groups of conscious, unrestrained rats. Vehicle administration did not change any systemic or regional organ hemodynamic parameter determined. In contrast, 65 pmol and 2.2 nmol of calcitonin gene-related peptide significantly decreased mean blood pressure and total peripheral resistance and increased heart rate in a dose-dependent manner, while only slightly increasing cardiac output. Both 65-pmol and 2.2-nmol doses of calcitonin gene-related peptide significantly increased blood flow (percentage of cardiac output) to the heart. There was no difference in blood flow to the heart between the two doses. In addition, the 2.2-nmol dose of calcitonin gene-related peptide significantly increased blood flow to the stomach, liver, and skin and decreased it to the brain, kidneys, and spleen. In conclusion, calcitonin gene-related peptide infusion decreases blood pressure in a dose-dependent manner primarily by peripheral vasodilation. In addition, calcitonin gene-related peptide selectively changes regional organ blood flow, particularly to cause coronary vasodilation.(ABSTRACT TRUNCATED AT 250 WORDS)

The in vitro chemosensitivity of a human lung cancer cell line to hydroxyurea (HU) was measured, and concentrations of 1 mM HU effected 99% inhibition of cell growth. Therefore, infusions designed to achieve serum levels of over 1 mM HU were assessed by escalating doses of hydroxyurea (HU) administered by continuous i.v. infusion at 3-weekly intervals in 18 patients with lung cancer. Dose increments from 24 g in 24 h to 48 g in 48 h were achieved. The dose-limiting toxicity at 48 g in 48 h was myelosuppression. Oral administration of HU did not result in sustained levels comparable to those achieved with continuous infusion. Two patients showed evidence of radiological response after three courses of treatment. Serum HU profiles were monitored after administration i.v. in 26 courses and after administration p.o. in 5 courses of treatment. A mean serum level of greater than 1 mM was achieved by 6 h and then maintained during treatment. The standard error of the mean area under the curve showed an overall 5% variation. HU can be given in doses up to 48 g in 48 h 3-weekly with manageable tissue and bone marrow toxicity, and the in vivo blood levels attained are equal to those necessary for effective cell inhibition in an appropriate in vitro model. This schedule provides a basis for combination studies with other cytotoxics or for use of HU as a DNA repair inhibitor.

Plasma clearance of inulin (Cin), 99mTc-DTPA (CDTPA), and urographic contrast media (CCM) were determined simultaneously in 31 patients with varying levels of renal function evaluated in the setting of affiliated cardiac and renal transplantation programs. Cin and CDTPA were calculated from the ratio of simultaneously measured plasma concentration and urine excretion rate of these test agents (UxV/P). CCM was derived from x-ray fluorescence measurement of plasma iodine (PI) content following intravenous injection of 50 ml of nonionic, low-osmolar contrast media (180 mg I/ml). Urine collections were not required for CCM determinations. No adverse reactions attributable to CM occurred in any patient, and follow-up serum-creatinine values did not differ significantly from prestudy levels. CCM determined from the rate of decline in PI between 3 hr and 4 hr following administration of contrast media ("slope-intercept" technique) [Ccm-SI] correlated closely with corresponding levels of Cin (r = .86, P less than 0.0001). and CDTPA (r = 0.89, P less than 0.0001). Mean CCM-SI/Cin and CCM-SI/CDTPA ratios for the entire study cohort were 1.09 +/- 0.06 and 1.08 +/- 0.06, respectively. CCM-SI determinations also correlated well with CCM levels derived from a single measurement of PI ("single sample" technique) made at 3 hr following injection of contrast media (r = 0.94, P less than 0.0001). Both CCM-SI and CCM determined by the "single sample" method (CCM-3 degrees SS) tended to overestimate Cin and CDTPA, however, when the latter were less than 20 ml/min/1.73 m2 (mean CCM-SI/Cin and Ccm-3 degrees SS/Cin ratios 1.36 +/- 0.14 and 1.95 +/- 1.0, respectively. Reproducibility was evaluated by paired comparison of 3-hr vs. 4-hr "single sample" CCM determinations (r = 0.99, P less than 0.0001). In addition, analysis of the variation in iodine content between duplicate specimens obtained at each of these time intervals revealed a mean ratio of 1.0 +/- 0.01 (P = NS vs. identity). Contrast clearance determination utilizing the slope-intercept method is accurate, safe, pragmatic, and more precise than serum-creatinine and endogenous-creatinine clearance for measurement of renal function in clinical transplantation.

This study was undertaken to determine the systemic and regional hemodynamic effects of long-term dietary calcium supplementation in mineralocorticoid (DOC)-salt hypertension. Systemic and regional hemodynamic measurements were determined by the radioactive microsphere technique in conscious and unrestrained rats (kidneys intact) with DOC-salt-induced hypertension that were pair-fed either a normal calcium (0.6% by weight, n = 12) or a calcium-supplemented (high-calcium) diet (2.5% by weight, n = 12). After 7 to 8 weeks, there were no differences in weight, heart rate, or cardiac output between the two groups. In contrast, the high-calcium rats had a significantly lower mean blood pressure (125 +/- 4 mm Hg, mean +/- SEM) than the normal calcium rats (143 +/- 5 mm Hg); this finding appeared to result predominantly from a reduction in total peripheral resistance. The high-calcium rats had a higher renal blood flow (7.8 +/- 0.5% vs. 6.2 +/- 0.4% cardiac output; p less than 0.05) and lower renal (14.3 +/- 1 vs. 19.3 +/- 2 mm Hg/min/ml/g tissue; p less than 0.05) and jejunal vascular resistance than did the normal calcium rats. Two additional identical groups of normal calcium-and high-calcium-DOC-salt rats (n = 12 each) were also studied. In these rats, serum-ionized calcium decreased significantly (p less than 0.05) from baseline in both groups. Urinary sodium increased in both groups but did not differ significantly. In conclusion, dietary calcium supplementation attenuates the rise in peripheral vascular resistance that accompanies DOC-salt hypertension. This attenuated resistance appears to be relatively selective and is noted particularly in the renal vasculature.

The effect of galactose on systemic hemodynamics and blood flow rate of Walker 256 carcinomas and several normal tissues of unanesthetized, unrestrained female Sprague-Dawley rats was measured, using the radioactive microsphere technique, prior to and at 30 and 60 min after galactose administration (6 g/kg body weight, i.v.). Whereas heart rate remained unchanged following injection, cardiac output (CO) and cardiac index decreased by 35% (P less than 0.05). Mean arterial pressure immediately decreased during the injection but then increased reaching a value 10% (P less than 0.05) above the baseline 30 min following injection. Stroke volume (SV) decreased by 30% (P less than 0.05) and total peripheral resistance increased by 65% (P less than 0.05). Redistribution of blood flow, expressed as %CO, among normal tissues was seen to the brain, kidneys, liver, jejunum, and hindlimb muscle and away from the pancreas, stomach, and skin. Changes in %CO to the spleen, colon, forelimb muscle, and peritumor tissue were not significant. Blood flow rate in most normal tissues either decreased or remained constant following injection. An exception was in the liver where blood flow significantly increased. Blood flow significantly decreased in the tumor (approximately 60%) and this reduction in blood flow was larger than the reduction in CO. These results suggest that (a) the effect of galactose on systemic hemodynamics and blood flow rate are similar to those produced by glucose; (b) reduction in blood flow rate in tumors is due to both systemic and local effects; and (c) changes in blood flow to normal tissues should not be disregarded when using galactose in combination with hyperthermia and/or chemotherapy for cancer treatment.

Depression is a universal experience, which affects approximately 15 percent of the population at any one time. Depression can be conceptualized as occurring on a continuum from first-level transitory to middle-level to severe-level depression. It involves an alteration in mood characterized by feelings of sadness and loss of interest or pleasure in all, or almost all, the client's usual activities and pastimes. Alterations in thought, motor activity, somatic sensations, and social relationships are also associated with depression. Severe depression can also be associated with delusional thought patterns. Finally, depression can vary in length of duration; it can be transitory and short-lived or ongoing and chronic. Assessment of individual, family, and community factors is important in identifying the factors relevant to planning individualized care for the depressed client and his/her family. Nursing diagnosis includes problems of low self-esteem, feelings of despondency, suicidal thoughts/impulses, and vegetative signs of depression. Nursing interventions are guided by certain principles, and are best evaluated when expected client behaviors have been projected. In conclusion, the overwhelming majority of those who experience depression recover and achieve a higher level of wellness than before the depression; that is, if they use the opportunity to develop a more realistic view of self, others, and their world relationships.

Dental caries prevalence, distribution and site of attack were in broad agreement with previous reports for Mediaeval Scots, namely that caries was principally a disease of adult life and showed a different location distribution from that of modern caries. The findings reinforce evidence that caries prevalence in Scotland was lower than in England at that period. It is suggested that reliable estimates of caries prevalence can best be made by noting: (i) individual caries experience, (ii) lesion location by tooth type and area of attack, (iii) the number of carious teeth of each type as a percentage of teeth of that type present.

Extensive tooth wear is the normal finding in human skeletal remains uncovered in Britain prior to the 18th century. There is little evidence as to the aetiological factors involved in this wear and this article is a suggestion as to a possible causative agent. It is one that appears to have been overlooked in the literature so far.

Two strains of the true slime mold Didymium nigripes form distinctive plaques when their spores are plated clonally. Strain C6 gives rise to plaques surrounded by large plasmodia. Plaques of strain A20 at first contain only amoebas, the formation of plasmodia being delayed; and strain A20 is resistant to cycloheximide. Plasmodia of C6 and A20 were fused, and at intervals the fused plasmodia were cut into segments and each segment was permitted to fruit. The resulting spores were plated clonally and the plaques scored as C6-type or A20-type. When equal-sized C6 and A20 plasmodia were fused, the A20 characteristic of delayed plasmodium formation disappeared with time so that after 8 hours few A20 plaques could be recovered even from the A20 side of the fused plasmodium. When the ratio between sizes of C6 and A20 plasmodia to be fused was varied, similar results were obtained. The A20 characteristic did not disappear until fruiting.