Addition of the non-ionic detergent Tween 20 to the serum diluent enhances anti-cardiolipin binding reactivity in an ELISA system. Maximal enhancement was obtained using a concentration of 0.05% Tween 20 in the diluent. Non-specific interactions were also considerably reduced.
Biopsy and necropsy tissue from 31 unselected patients with systemic amyloidosis, in which there was histologic evidence of liver involvement, were reviewed with reference to the location and pattern of amyloid deposition in the liver. Amyloidosis was classified into AA and AL types on the basis of immunohistochemistry and permanganate reaction of the amyloid deposits. Nineteen were categorized as AA (secondary) and 12 as AL (primary) amyloidosis. Deposition of AA amyloid was limited to the walls of vessels in the portal tract, constituting a "vascular" pattern. In AL amyloidosis, the deposits exhibited a "sinusoidal" pattern in that they were seen along hepatic sinusoids as well as in vessel walls. This difference was statistically significant (P less than .001). The histologic pattern of liver infiltration offers a valuable clue in the classification of systemic amyloidosis and provides information that may be useful in the selection of patients for therapy.
The records of the Division of Stomatology, Institute for Medical Research, Kuala Lumpur, Malaysia, were reviewed for the incidence of odontogenic keratocysts of the orthokeratinised variety, during the 20-year-period, 1967 to 1986. Nine cases were found. The clinical, histological and radiological features of these cases are reported. Many features were similar to previous reports of this entity but a peak incidence in the second decade of life, an almost even distribution in the maxilla and mandible, and a distinct predilection for the Chinese were observed. It is suggested that these features may be peculiar to Malaysians.
Five mark-release-recapture experiments with wild caught Ma. uniformis were conducted in an open swamp area at Batang Berjuntai in Selangor, 40 km from Kuala Lumpur, Malaysia, between May 1983 and January 1985. A total of 64 (0.14%) from the 45,950 females released were recaptured feeding on humans and cattle and resting in cattle-sheds. Substantially fewer (0.03% to 0.09%) females were recaptured from releases of blood-fed females than from releases of unfed females (0.20% to 0.23%). More than 70% of all recaptures were taken within a radius of 1.5 km around the point of release and the longest detected flight was 3.5 km. The mean dispersal distance for blood-fed and unfed females was 1.445 +/- 1.06 and 1.706 +/- 1.03 km, respectively. However, there was no significant difference in the overall mean dispersal of the two groups of females (p greater than 0.05). The duration of the gonotrophic cycle in the field was between 3 to 4 days. Daily survivorship estimates (0.783-0.867) based on the recapture rates of date specific marked females was comparable to that estimated vertically from the dissection of unmarked females (0.751-0.795). These experiments revealed the remarkable flying ability of Ma. uniformis and the importance of reinvasion must be recognized when control operations are restricted to small areas.
Thirty-one patients with endoscopically proven chronic gastric ulcer completed a randomised double-blind trial comparing the effects of cimetidine and placebo on ulcer healing. Seventeen patients received cimetidine 400 mg bid and 14 patients received placebo. Repeat endoscopy at six weeks showed that the ulcer had healed in 12 patients (71%) receiving cimetidine and in four patients (29%) receiving placebo (p=O.032). Non-smokers healed their ulcers better than smokers (83% vs 35%, p=O.023). The use of cimetidine was not associated with any adverse effects.
From 1973 to 1982,40 children with respiratory distress was bronchoscoped for suspected foreign body in the trachea-bronchial tree. In 31 children, foreign bodies were found and were successfully removed. The condition appeared to be confined to the early toddler group. Six children had pulmonary complications post-operatively. There was no death. A plea is made for early diagnosis and referral to lessen the likelihood of residual pulmonary damage.
Study site: University Hospital, Kuala Lumpur, Malaysia (current name: University Malaya Medical Centre)