1,065 research outputs found
Treatment of syphilis by arylarsonates
(1) The chief points about ATOXYL are its varying composition, its liability to contamination during the process of manufacture, its relative toxicity
and its liability to decomposition under various
physical and chemical conditions. Besides, there
is its injurious action on the neuro-retinal visual
apparatus. There is a conflict of opinion regarding
its value. Although it is able to modify primary,
secondary and various tertiary specific lesions, it
fails in hereditary and parasyphilitic conditions.
The fact that it sometimes succeeds where Mercury and
the Iodides have failed, is no reason why it should
be adopted as a routine mode of treatment in human
Syphilis in view of the better results obtained by
some of the newer arsenical preparations. The only
conditions where it is likely to replace Mercury are
in the various cases - already mentioned -- where that
drug is contra-indicated or cannot be tolerated.(2) SOAMIN recommends itself to us on account of
its definite chemical composition, its purity and relative non -toxicity. There is a unanimity of opinion
as to its beneficial effects in primary, secondary
and tertiary specific lesions. Authorities are also
agreed as to its failure in hereditary and parasyphilitic conditions. It certainly succeeds where Mercury
and the Iodides sometimes fail or are contra-indicated.
Very seldom does it give rise to toxic effects or to
visual disturbances. In conditions where Mercury is
contra-indicated or useless, it is likely to replace
it, and again in the Tropics where on account of the
debility caused by climatic and malarial conditions it
cannot be given. It certainly causes an increase in
weight in almost every case and acts as a tonic in
tropical debility. Its advantage over Mercury is
that it causes no salivation, stomatitis or spongy
gums. Likewise, in moderate remedial doses, it does
not cause diarrhoea, a point of great value, as compared with Mercury, in the tropics where diarrhoea is
such a prevalent disease or symptom.(3) ARSACETIN recommends itself to us on account
of its purity, marked stability and the rapid manner
in which it modifies all forms of the disease except
hereditary and parasyphilitic ones. Compared with
Soamin and Atoxyl, the weight of clinical evidence is
108.
in its favour. It does not cause neuro-retinal ocular disturbances (like Atoxyl), is relatively nontoxic, well borne and certainly indicated where Mercury is useless or contra-indicated. When possible,
it should be followed by a mercurial course, and is
indicated in tropical conditions. Under its action,
patients rapidly increase in weight and it acts indirectly as a tonic.Colonel Lambkin, in speaking of this drug and.
Soamin, said that the good results he obtained in his
cases strengthened his conviction that we had in them,
a secondary specific for Syphilis, at least from a preventive and remedial point of view. As regards
the former, he had then under his care cases with
undoubted primary specific lesions which were treated
with Soamin and which were closely observed every
week for ten months without developing any further
sign of the disease. From the remedial point of
view the good results he obtained speak for it. But
as a curative agent, it is beyond us all at present
to give a positive answer to this all -important question; time and clinical experience alone would enable us to do so. This could not be done until it
was proved beyond doubt that arylarsonates were capable of permanently expelling the spirochaetae pallida
from the system, as indicated by the patient being rendored capable of re- infection. Neisser's successful experiments on apes from this point of view justified us in hoping for this end. Until the question
as to the capability of arylarsonates bringing about
a permanent cure was fully established, he would give
Mercury after a course of treatment by arylarsonates.
Later on, the same author(2)in speaking of the arylarsonates, said that our present knowledge of the
power of these arsenical salts over Syphilis was in a very elementary stage, but he looked forward to further experience of them and improved technique leading us to that goal in the treatment of Syphilis which
had already been attained with dourine. Regarding
Arsacetin, Neisser(3)says that he has hitherto applied
the mercurial and arsacetin treatment simultaneously,
but perhaps they could be carried out alternately.(4) ARSENO-PHENYL-GLYCIN has been fully dealt
with elsewhere and it only remains for me to say that,
despite the brilliant results which follow its administration, there is no likelihood, on account of its
instability and the inconvenient form in which it is
supplied, of it ever replacing Mercury, and even other
arylarsonates like Soamin, Arsacetin, Atoxylate of
Mercury and Salvarsan in the treatment of human Syphilis.In reviewing the arylarsonates hitherto discussed and used before the introduction of Salvarsan and
Mercury Atoxylate, Colonel Lambkin said that it was
far too soon to express an opinion as to whether they
were likely to prove of permanent benefit in Syphilis
or whether they were likely to replace Mercury in
the disease, but the results were encouraging.
Whether they had any abortive or prophylactic effect
on the future development of the disease after inoculation, he was unable to speak except to note that
when given at an early date they delayed and modified
considerably the secondary signs of the disease and
that they had very beneficial effects on all specific
mucous ulcerations. It was well established, he
thought, that in the arylarsonates we had a second
specific for Syphilis, the importance of which could
not well be exaggerated.(5) In MERCURY ATOXYLATE we have a very potent
drug exerting both the specific actions of Atoxyl and
Mercury on the spirochaetae, both in vitro and in
corpore. It is far more potent than Calomel injections alone. If applied to suitable cases and care
taken in its administration, it is a safe drug.
Lambkin and others who have used it, prefer it to
Mercury over which it has a decided advantage in the
rapidity with which it controls the symptoms of the disease. I am of opinion that this drug will certainly displace the mercurial treatment of Syphilis.(6) SALVARSAN or Ehrlich Hata's "606" is the most
potent drug hitherto discovered and applied to the
treatment of human Syphilis in its protean aspects.
Its stability, non -toxicity, ease of administration,
rapidity of action, the fact that it does not affect
the neuro-retinal visual apparatus, all speak in its
favour. It is indicated in all forms of the disease
viz. primary, secondary, tertiary and hereditary lues,
while it has a marked effect in combating some of the
symptoms occurrinm_ in parasyphilis. It has yielded
marvellous results in alleviating the various crises
of locomotor ataxia of specific origin. With the
doses at present used, cases have been said to recur,
but Professor Herxheimer, Dr H. Isaac and others
have never seen them. Dr Leonor Michaelis found
that the recovery was absolute in a few days in most
of his cases, while Dr Gourwitsch and S. Bormann
selected cases which had been treated with the most
powerful of mercurial methods and found that the comparison of these with Arseno-benzol proved the over-whelming value of the latter.By way.of conclusion, I may say that from a personal experience of the effects produced by Salvarsan
and the reports of eminent authorities, that the drug
is absolutely superior in Syphilis to any other known
drug, and. that a single injection, in a suitable case,
will produce results obtained only after years of_
treatment with Mercury. This latter drug, however,
is not to be discarded because it seems to have been
proved that there are strains of spiroçhaetaç that
are arsenic-proof. In the same way, there are strains
that are Mercury-proof. Perhaps by using one drug
after the other we may be able to destroy all these
various strains and so bring about a permanent cure
of the disease.In spite of the pre-eminence of Salvarsan as the
best curative and prophylactic agent hitherto discovered for Syphilis, I venture to state that the
last word has not yet been spoken on the treatment of.
Syphilis
Quorum sensing architecture network in Escherichia coli virulence and pathogenesis
Escherichia coli is a Gram-negative commensal bacterium of the normal microbiota of humans and animals. However, several E. coli strains are opportunistic pathogens responsible for severe bacterial infections, including gastrointestinal and urinary tract infections. Due to the emergence of multidrug-resistant serotypes that can cause a wide spectrum of diseases, E. coli is considered one of the most troublesome human pathogens worldwide. Therefore, a more thorough understanding of its virulence control mechanisms is essential for the development of new anti-pathogenic strategies. Numerous bacteria rely on a cell density-dependent communication system known as quorum sensing (QS) to regulate several bacterial functions, including the expression of virulence factors. The QS systems described for E. coli include the orphan SdiA regulator, an autoinducer-2 (AI-2), an autoinducer-3 (AI-3) system, and indole, which allow E. coli to establish different communication processes to sense and respond to the surrounding environment. This review aims to summarise the current knowledge of the global QS network in E. coli and its influence on virulence and pathogenesis. This understanding will help to improve anti-virulence strategies with the E. coli QS network in focus. This review highlights the latest findings in the field of cell-to-cell communication systems in Escherichia coli and discusses the relevance of this complicated signalling network for the virulence and pathogenesis of this bacterium
Propagation of social representations
Based on a minimal formalism of social representations as a set of associated cognems, a simple model of propagation of representations is presented. Assuming that subjects share the constitutive cognems, the model proposes that mere focused attention on the set of cognems in the field of common conscience may replicate the pattern of representation from context into subjects, or, from subject to subject, through actualization by language, where cognems are represented by verbal signs. Limits of the model are discussed, and evolutionist perspectives are presented with the support of field data
Circum-Arctic mantle structure and long-wavelength topography since the Jurassic
The circum-Arctic is one of the most tectonically complex regions of the world, shaped by a history of ocean basin opening and closure since the Early Jurassic. The region is characterized by contemporaneous large-scale Cenozoic exhumation extending from Alaska to the Atlantic, but its driving force is unknown. We show that the mantle flow associated with subducted slabs of the South Anuyi, Mongol-Okhotsk, and Panthalassa oceans have imparted long-wavelength deflection on overriding plates. We identify the Jurassic-Cretaceous South Anuyi slab under present-day Greenland in seismic tomography and numerical mantle flow models. Under North America, we propose the “Farallon” slab results from Andean-style ocean-continent convergence around ~30°N and from a combination of ocean-continent and intraoceanic subduction north of 50°N. We compute circum-Arctic dynamic topography through time from subduction-driven convection models and find that slabs have imparted on average <1–16 m/Myr of dynamic subsidence across the region from at least 170 Ma to ~50 Ma. With the exception of Siberia, the main phase of circum-Arctic dynamic subsidence has been followed either by slowed subsidence or by uplift of <1–6 m/Myr on average to present day. Comparing these results to geological inferences suggest that subduction-driven dynamic topography can account for rapid Middle to Late Jurassic subsidence in the Slave Craton and North Slope (respectively, <15 and 21 m/Myr, between 170 and 130 Ma) and for dynamic subsidence (<7 m/Myr, ~170–50 Ma) followed by dynamic uplift (<6 m/Myr since 50 Ma) of the Barents Sea region. Combining detailed kinematic reconstructions with geodynamic modeling and key geological observations constitutes a powerful tool to investigate the origin of vertical motion in remote regions
Correspondence: Reply to ‘Numerical modelling of the PERM anomaly and the Emeishan large igneous province’
Tectonic plates and plate boundaries migrate substantially through time and mantle plumes are generally accepted to be mobile within the convecting mantle, but it has been proposed that large low shear velocity provinces (LLSVPs) could have been fixed and rigid for as much as 540 million years (Myr). The hypotheses of fixed and rigid LLSVPs cannot be easily tested in the absence of constraints on the past location of lowermost mantle structures. We evaluated the hypothesis9of lower mantle thermochemical structure fixity with numerical experiments. As in earlier studies, we argue that the location of lower mantle thermochemical structures has changed through time
Origin and evolution of the deep thermochemical structure beneath Eurasia
A unique structure in the Earth’s lowermost mantle, the Perm Anomaly, was recently identified beneath Eurasia. It seismologically resembles the large low-shear velocity provinces (LLSVPs) under Africa and the Pacific, but is much smaller. This challenges the current understanding of the evolution of the plate–mantle system in which plumes rise from the edges of the two LLSVPs, spatially fixed in time. New models of mantle flow over the last 230 million years reproduce the present-day structure of the lower mantle, and show a Perm-like anomaly. The anomaly formed in isolation within a closed subduction network ∼22,000 km in circumference prior to 150 million years ago before migrating ∼1,500 km westward at an average rate of 1 cm year^(−1), indicating a greater mobility of deep mantle structures than previously recognized. We hypothesize that the mobile Perm Anomaly could be linked to the Emeishan volcanics, in contrast to the previously proposed Siberian Traps
Parallel flow in Hele-Shaw cells with ferrofluids
Parallel flow in a Hele-Shaw cell occurs when two immiscible liquids flow
with relative velocity parallel to the interface between them. The interface is
unstable due to a Kelvin-Helmholtz type of instability in which fluid flow
couples with inertial effects to cause an initial small perturbation to grow.
Large amplitude disturbances form stable solitons. We consider the effects of
applied magnetic fields when one of the two fluids is a ferrofluid. The
dispersion relation governing mode growth is modified so that the magnetic
field can destabilize the interface even in the absence of inertial effects.
However, the magnetic field does not affect the speed of wave propagation for a
given wavenumber. We note that the magnetic field creates an effective
interaction between the solitons.Comment: 12 pages, Revtex, 2 figures, revised version (minor changes
Multiple cadherin extracellular repeats mediate homophilic binding and adhesion
The extracellular homophilic-binding domain of the cadherins consists of 5 cadherin repeats (EC1–EC5). Studies on cadherin specificity have implicated the NH2-terminal EC1 domain in the homophilic binding interaction, but the roles of the other extracellular cadherin (EC) domains have not been evaluated. We have undertaken a systematic analysis of the binding properties of the entire cadherin extracellular domain and the contributions of the other EC domains to homophilic binding
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