Visual loss from choroidal ischemia

Six patients with visual loss showed decreased perfusion of the choroid during fluorescein angiography. The most commonly associated systemic abnormality in these patients was severe hypertension. Other associated diseases included toxemia of pregnancy, renal failure, systemic lupus erythematosus, disseminated intravascular coagulation, and thrombotic thrombocytopenic purpura. Two patients had permanently decreased vision in one or both eyes whereas the other four regained normal vision. Known anatomic and physiologic differences between the retinal and choroidal vessels explained the pronounced choroidal vascular disturbances in the presence of minimal or no observed retinal vascular abnormalities in these patients.     

Changes in cellularity, CFU-S number and chromosome aberrations in bone marrow and blood of rats after neutron and continuous gamma irradiation

Changes in the hematopoietic bone marrow of rats were observed after single wholebody neutron dose of 2 Gy and combined single neutron (2 Gy) and continuous gamma (6 Gy, daily dose rate of 0.5742 Gy) irradiation. Neutron irradiation significantly reduces the number of karyocytes in the bone marrow including CFU-S and induces the extensive cytogenetic damage. The following continuous gamma irradiation does not intensify the primary damage, but maintains the CFU-S and cellularity values at a decreased level for the whole time of irradiation. Recovery of the damage begins only after the termination of continuous irradiation; its course is similar to that after single neutron irradiation. The influence of combined effect of neutrons and gamma rays is nevertheless manifested in later periods after the irradiation by reduction in the total CFU-S number in the bone marrow.     

Developing focused wellness programs: using concept analysis to increase business value.

Concept analysis is a useful tool in providing clarity to an abstract idea as well as an objective basis for developing wellness program products, goals, and outcomes. To plan for and develop successful wellness programs, it is critical for occupational health nurses to clearly understand a program concept as applied to a particular community or population. Occupational health nurses can use the outcome measures resulting from the concept analysis process to help demonstrate the business value of their wellness programs. This concept analysis demonstrates a predominance of the performance related attributes of fitness in the scientific literature.     

6-amino-2-benzothiazole-sulfonamide. The effect of a topical carbonic anhydrase inhibitor on aqueous humor formation in the normal human eye

The carbonic anhydrase inhibitor, 6-amino-2-benzothiazolesulfonamide, formulated as a 3% suspension in a gel vehicle was instilled in one eye of 21 human subjects in a single dose study to determine its effect on aqueous dynamics. A small but statistically significant effect on aqueous humor flow was observed 2 to 7 hours after application. By 8 hours, the effect had disappeared, and intraocular pressure (IOP) measured 8 hours after application of a single dose was unchanged in these normal volunteers. The drug and its vehicle caused local side effects including irritation, hyperemia, and blurred vision. The authors wondered if multiple doses would produce a greater effect. Four subjects received up to four doses of the drug over 2 days and were restudied. Marked bulbar injection and follicular conjunctivitis, attributable to either the drug or the vehicle, developed in two of the subjects, both contact lens wearers. A milder form of bulbar injection and follicular conjunctivitis developed in a third subject, who received three doses of the drug and was not a contact lens wearer. These side effects precluded additional multiple-dose testing of this formulation of the drug, and no conclusions about the effect of the drug on aqueous flow can be drawn from this portion of the study.