Critical user-configurations in mHealth design: How mHealth-app design practices come to bias design against chronically ill children and young people as mHealth users

Mobile health smartphone applications (mHealth-apps) are increasingly emerging to assist children's and young people's management of chronic conditions. However, difficulties persist in applying design approaches in mHealth projects that return apps that are useful to this group. In this article, we explore ethnographically two self-proclaimed ‘user-driven’ projects designing mHealth apps for Danish patients below the age of 18 living with, respectively, haemophilia and rheumatoid arthritis. These projects initially included the perspectives of children and young people to inform the designs, however, eventually launched the final apps for adult patients only. Through a concept of ‘critical user-configuration’, we examine the projects’ challenges with attuning the designs to children and young people and how these drove their exclusion as users of the emerging mHealth apps. Critical user-configuration draws attention to critical moments in design practices where significant shifts in user-configurations take place, shaping who can become a user. More specifically, we uncover three critical moments: where mHealth projects expand the group of prospective users; where test subjects are selected; and where data governance systems and digital health infrastructures are mobilised in the design process. Throughout these critical moments, there is a drift from user-driven to data-driven design approaches which increasingly exclude groups of users who are less datafiable – in our case children and young people. We argue that besides giving voice to minors in mHealth design processes, we need to be mindful of the design practices that become decisive for – often implicitly – who can be configured as a user.

Biofiltration of diluted landfill gas in an active loaded open-bed compost filter

Microbial oxidation in a biofilter is a treatment solution for diluted landfill gas (LFG), for instance at old landfills, where LFG recovery is no longer feasible, or from remediation systems designed to cut off laterally migrating LFG. In this study, an actively loaded open-bed compost filter, designed for the treatment of diluted LFG, was tested at an old landfill in Denmark. An 18 m³ biofilter was constructed in a 30 m³ container loaded with LFG mixed with air, in order to obtain diluted LFG. The inlet concentration of methane (CH₄) fluctuated between 4.4 and 9.2 vol% during the five tested flow campaigns, resulting in CH₄ loads of 106-794 g CH₄ m^-2 d^-1. The maximum identified CH₄ oxidation rate was 460 g m^-2 d^-1, with an overall CH₄ oxidation efficiency of 58%. Due to preferential flows, especially along the edges of the filter at the transition points between the compost and the container wall, an overall CH₄ oxidation efficiency of 100% was never achieved. However, pore gas profiles in selected areas in the filter material showed oxidation efficiencies close to 100%. The results were supported by tracer gas tests showing average oxidation efficiency in the nine measuring points of 89% at a CH₄ load of 487 ± 64 g CH₄ m^-2 d^-1.

Closing the methane mass balance for an old closed Danish landfill

In this study, a methane (CH₄) mass balance was established for Hedeland landfill. CH₄ generation rates were modelled using a multiphase first-order decay model (The Afvalzorg model) and determined at between 57 and 79 kg h^-1. The CH₄ emission rate was quantified at between 2 and 14 kg h^-1, using the tracer gas dispersion method and the CH₄ gas recovery efficiency was between 8 and 21%. At three places along the perimeter of the landfill, gas remediation systems have been installed to protect the residential houses from any risk of migrating landfill gas. About 0.76 kg h^-1 of CH₄ was extracted from these three remediation systems. Using a carbon mass balance for the lateral migrating landfill gas showed a fractional oxidation of about 78%, which corresponded to a CH₄ flux of 3.5 kg h^-1 from the three remediation systems, including the oxidised CH₄. The total lateral CH₄ flux (un-oxidised) from the total landfill perimeter was estimated at between 6.9 and 10.4 kg h^-1. CH₄ oxidation efficiency in the landfill cover soil, determined from stable carbon isotope analyses, was found to be between 12% and 92%. This resulted in an average CH₄ oxidation rate of 32 kg h^-1, using an average CH₄ emission rate of 8 kg h^-1. CH₄ surface screenings and surface flux measurements supported the hypothesis that oxidation efficiency was in the higher range and that oxidation could close the CH₄ mass balance.

Assessment of a landfill methane emission screening method using an unmanned aerial vehicle mounted thermal infrared camera - A field study

An unmanned aerial vehicle (UAV)-mounted thermal infrared (TIR) camera's ability to delineate landfill gas (LFG) emission hotspots was evaluated in a field test at two Danish landfills (Hedeland landfill and Audebo landfill). At both sites, a test area of 100 m² was established and divided into about 100 measuring points. The relationship between LFG emissions and soil surface temperatures were investigated through four to five measuring campaigns, in order to cover different atmospheric conditions along with increasing, decreasing and stable barometric pressure. For each measuring campaign, a TIR image of the test area was obtained followed by the measurement of methane (CH₄) and carbon dioxide (CO₂) emissions at each measuring point, using a static flux chamber. At the same time, soil temperatures measured on the surface, at 5 cm and 10 cm depths, were registered. At the Hedeland landfill, no relationship was found between LFG emissions and surface temperatures. In addition, CH₄ emissions were very limited, on average 0.92-4.52 g CH₄ m^-2 d^-1, and only measureable on the two days with decreasing barometric pressure. TIR images from Hedeland did not show any significant temperature differences in the test area. At the Audebo landfill, an area with slightly higher surface temperatures was found in the TIR images, and the same pattern with slightly higher temperatures was found at a depth of 10 cm. The main LFG emissions were found in the area with the higher surface temperatures. LFG emissions at Audebo were influenced significantly by changes in barometric pressure, and the average CH₄ emissions varied between 111 g m^-2 d^-1 and 314 g m^-2 d^-1, depending on whether the barometric pressure gradient had increased or decreased, respectively. The temperature differences observed in the TIR images from both landfills were limited to between 0.7 °C and 1.2 °C. The minimum observable CH₄ emission for the TIR camera to identify an emission hotspot was 150 g CH₄ m^-2 d^-1 from an area of more than 1 m².

Is negative self-referent bias an endophenotype for depression? An fMRI study of emotional self-referent words in twins at high vs. low risk of depression

BACKGROUND

Negative cognitive bias and aberrant neural processing of self-referent emotional words seem to be trait-marks of depression. However, it is unclear whether these neurocognitive changes are present in unaffected first-degree relatives and constitute an illness endophenotype.

METHODS

Fifty-three healthy, never-depressed monozygotic or dizygotic twins with a co-twin history of depression (high-risk group: n = 26) or no first-degree family history of depression (low-risk group: n = 27) underwent neurocognitive testing and functional magnetic imaging (fMRI) as part of a follow-up cohort study. Participants performed a self-referent emotional word categorisation task and free word recall task followed by a recognition task during fMRI. Participants also completed questionnaires assessing mood, personality traits and coping strategies.

RESULTS

High-risk and low-risk twins (age, mean ± SD: 40 ± 11) were well-balanced for demographic variables, mood, coping and neuroticism. High-risk twins showed lower accuracy during self-referent categorisation of emotional words independent of valence and more false recollections of negative words than low-risk twins during free recall. Functional MRI yielded no differences between high-risk and low-risk twins in retrieval-specific neural activity for positive or negative words or during the recognition of negative versus positive words within the hippocampus or prefrontal cortex.

CONCLUSIONS

The subtle display of negative recall bias is consistent with the hypothesis that self-referent negative memory bias is an endophenotype for depression. High-risk twins' lower categorisation accuracy adds to the evidence for valence-independent cognitive deficits in individuals at familial risk for depression.

Region and Field Level Distributions of Aster Yellows Phytoplasma in Small Grain Crops

Aster yellows (AY), a disease of small grain crops caused by aster yellows phytoplasma (AYp), produces disease symptoms similar to barley yellow dwarf (BYD). From 2003 to 2005, small grain production fields in Minnesota and North Dakota were surveyed to determine the incidences of AY and BYD. In-field spatial patterns of AY-infected plants also were investigated. Plants collected along a five-point transect line were tested for AYp using nested polymerase chain reaction (PCR) and quantitative real-time PCR assays, and extracted plant sap was tested for serotypes PAV and RPV of Barley yellow dwarf virus (BYDV) using enzyme-linked immunosorbent assays. During 2003, 2004, and 2005, AYp was detected in plants from 49, 15, and 7% of tested fields, respectively, whereas BYDV was found in plants from 2, 0, and 5% of fields, respectively. Average amplicon count number indicated an in-field spatial trend for greater incidence of AYp and increased populations of AYp in plants located near field edges, with comparably low copy numbers at transect point locations toward the direction of field center. AY is likely a common but largely undetected disease on small grain crops in the Upper Midwest.

Gene expression of lung squamous cell carcinoma reflects mode of lymph node involvement

Tumour, node, metastasis staging is essential for lung cancer management. However, similarly staged cancers may have markedly different prognoses, indicating that stage cannot completely explain tumour behaviour. While ipsilateral hilar node involvement is designated N1, the current authors hypothesised that primary tumours involving nodes by direct extension are biologically distinct from those involving nodes through lymphatic metastasis. Microarrays were used to investigate the gene expression profiles of 59 primary lung squamous cell carcinomas, comparing N0 tumours (n = 35), N1 tumours by direct extension (N1d; n = 8), and N1/N2 tumours by lymphatic metastasis (N1/N2m; n = 16). Hierarchical clustering using 125 genes differentially expressed between N0 and N1/N2m tumours found N1d tumours clustered with N0 tumours. Class prediction modelling found the expression profiles of all eight N1d tumours were more similar to N0 than to N1/N2m tumours. The present study demonstrates for the first time that N1 tumours directly invading hilar nodes are genomically different to those that metastasise via lymphatics. Independent reports suggest that tumours with direct, rather than metastatic node involvement have better outcomes. Consequently, the data suggest that there is a need to re-evaluate the N1 staging definition in lung cancer. This is relevant for prognosis prediction and also for clinical management, particularly in selecting those patients most likely to benefit from adjuvant chemotherapy.

Distribution of Phoma sclerotioides on Alfalfa and Winter Wheat Crops in the North Central United States

Brown root rot of alfalfa (Medicago sativa), caused by Phoma sclerotioides, has been reported in several states in the northern United States and in western Canada. A survey was conducted to determine the distribution of the fungus in Minnesota and Wisconsin. Isolates of the pathogen were recovered from roots of alfalfa, winter wheat, and perennial ryegrass plants. The internal transcribed spacer (ITS) 1, 5.8S, and ITS2 of the rDNA of the isolates from alfalfa and wheat were identical and matched the sequences of a P. sclerotioides isolate from Wyoming. The fungus was found to be widespread in both states and was detected in roots of alfalfa plants from 17 counties in Minnesota and 14 counties in Wisconsin using polymerase chain reaction (PCR)-based assays. A real-time PCR assay was developed that increased sensitivity of detecting the pathogen from plant tissues and soil. The isolates from alfalfa caused disease on inoculated winter wheat plants. Although the fungus was previously found associated with roots of diseased cereal and turfgrass plants, this is the first demonstration of pathogenicity of P. sclerotioides on wheat.

Conversion of proteins from a non-polarized to an apical secretory pattern in MDCK cells

Previously it was shown that fusion proteins containing the amino terminus of an apical targeted member of the serpin family fused to the corresponding carboxyl terminus of the non-polarized secreted serpin, antithrombin, are secreted mainly to the apical side of MDCK cells. The present study shows that this is neither due to the transfer of an apical sorting signal from the apically expressed proteins, since a sequence of random amino acids acts the same, nor is it due to the deletion of a conserved signal for correct targeting from the non-polarized secreted protein. Our results suggest that the polarity of secretion is determined by conformational sensitive sorting signals.

Possible role of deep tubular invaginations of the plasma membrane in MHC-I trafficking

Tubules and vesicles are membrane carriers involved in traffic along the endocytic and secretory routes. The small GTPase Arf6 regulates a recycling branch of short dynamic tubular intermediates used by major histocompatibility class I (MHC-I) molecules to traffic through vesicles between endosomes and the plasma membrane. We observed that Arf6 also affects a second network of very long and stable tubules containing MHC-I, many of which correspond to deep invaginations of the plasma membrane. Treatment with wortmannin, an inhibitor of phosphatidylinositol-3-phosphate kinase, prevents formation of the short dynamic tubules while increasing the number of the long and very stable ones. Expression of NefAAAA, a mutant form of HIV Nef, increases the number of cells containing the stable tubules, and is used here as a tool to facilitate their study. Photoactivation of NefAAAA-PA-GFP demonstrates that this molecule traffics from endosomes to the tubules. Finally, live-cell imaging also shows internalization of MHC-I molecules into these tubules, suggesting that this is an additional route for MHC-I traffic.

Cholera toxin toxicity does not require functional Arf6- and dynamin-dependent endocytic pathways

Cholera toxin (CT) and related AB(5) toxins bind to glycolipids at the plasma membrane and are then transported in a retrograde manner, first to the Golgi and then to the endoplasmic reticulum (ER). In the ER, the catalytic subunit of CT is translocated into the cytosol, resulting in toxicity. Using fluorescence microscopy, we found that CT is internalized by multiple endocytic pathways. Inhibition of the clathrin-, caveolin-, or Arf6-dependent pathways by overexpression of appropriate dominant mutants had no effect on retrograde traffic of CT to the Golgi and ER, and it did not affect CT toxicity. Unexpectedly, when we blocked all three endocytic pathways at once, although fluorescent CT in the Golgi and ER became undetectable, CT-induced toxicity was largely unaffected. These results are consistent with the existence of an additional retrograde pathway used by CT to reach the ER.

HIV Nef-mediated major histocompatibility complex class I down-modulation is independent of Arf6 activity

HIV Nef has a number of important biological effects, including the down-modulation of several immunological important molecules (CD4, major histocompatibility complex [MHC] class I). Down-modulation of CD4 seems to be via clathrin-dependent endocytosis, whereas down-modulation of MHC class I remains unexplained. Several mutant proteins, including mutations in the small GTPase Arf6, have been used to probe membrane traffic pathways. One such mutant has recently been used to propose that Nef acts through Arf6 to activate the endocytosis of MHC class I. Here, we show that MHC class I down-modulation is unaffected by other Arf6 mutants that provide more specific perturbations in the GDP-GTP cycling of Arf6. Inhibition of phosphatidylinositol-3-phosphate kinase, an upstream activator of Arf6, also had no effect on the internalization step, but its activity is required to direct MHC class I to the trans-Golgi network. We conclude that the apparent Arf6 dependency of Nef-mediated MHC class I down-modulation is due to nonspecific perturbations in membrane traffic.

Serpins are apically secreted from MDCK cells independently of their raft association

It has been suggested that detergent-resistant membranes (DRMs), also known as lipid rafts, are involved in vectorial transport of proteins to the apical surface. In this report we use Madin-Darby canine kidney (MDCK) cells expressing the apically secreted C1-esterase inhibitor, the non-sorted antithrombin or chimeras of serpins to study the possible connection between DRM association and apical targeting of secretory proteins. We found newly synthesised C1-esterase inhibitor associated with DRMs in MDCK cells, whereas antithrombin was not. However, two chimeric proteins, secreted mainly from the apical membrane, do not associate with DRMs. Based on these observations we suggest that apical targeting and association with DRMs are two independent events for secretory serpins.

Apical and non-polarized secretion of serpins from MDCK cells

Corticosteroid binding globulin, a member of the serpin family, was previously shown to be secreted mainly apically from MDCK cells in an N-glycan independent manner [Larsen et al. (1999) FEBS Lett. 451, 19-22]. Apart from N-glycosylation, serpins are not known to carry any other posttranslational modifications, suggesting the presence of a proteinaceous apical sorting signal. In the present study we have expressed four other members of the serpin family: alpha1-antitrypsin, C1 inhibitor, plasminogen activator inhibitor-1 and antithrombin in MDCK cells. Tight monolayers of transfected cells were grown on filters and the amounts of recombinantly expressed serpins in the apical and the basolateral media were determined. alpha1-Antitrypsin and C1 inhibitor were found mainly in the apical medium whereas plasminogen activator inhibitor-1 and antithrombin were found in roughly equal amounts in the apical and basolateral media. Control experiments showed that all four serpins are transported along the exocytotic pathway in an uncomplicated way that does not involve transcytosis or differences in stability on the two sides of the cells. We conclude that some members of the serpin family including corticosteroid binding globulin, alpha1-antitrypsin and C1 inhibitor are secreted mainly apically from MDCK cells whereas plasminogen activator inhibitor-1 and antithrombin are secreted in a non-polarized manner.

Pax gene diversity in the basal cnidarian Acropora millepora (Cnidaria, Anthozoa): implications for the evolution of the Pax gene family

Pax genes encode a family of transcription factors, many of which play key roles in animal embryonic development but whose evolutionary relationships and ancestral functions are unclear. To address these issues, we are characterizing the Pax gene complement of the coral Acropora millepora, an anthozoan cnidarian. As the simplest animals at the tissue level of organization, cnidarians occupy a key position in animal evolution, and the Anthozoa are the basal class within this diverse phylum. We have identified four Pax genes in Acropora: two (Pax-Aam and Pax-Bam) are orthologs of genes identified in other cnidarians; the others (Pax-Cam and Pax-Dam) are unique to Acropora. Pax-Aam may be orthologous with Drosophila Pox neuro, and Pax-Bam clearly belongs to the Pax-2/5/8 class. The Pax-Bam Paired domain binds specifically and preferentially to Pax-2/5/8 binding sites. The recently identified Acropora gene Pax-Dam belongs to the Pax-3/7 class. Clearly, substantial diversification of the Pax family occurred before the Cnidaria/higher Metazoa split. The fourth Acropora Pax gene, Pax-Cam, may correspond to the ancestral vertebrate Pax gene and most closely resembles Pax-6. The expression pattern of Pax-Cam, in putative neurons, is consistent with an ancestral role of the Pax family in neural differentiation and patterning. We have determined the genomic structure of each Acropora Pax gene and show that some splice sites are shared both between the coral genes and between these and Pax genes in triploblastic metazoans. Together, these data support the monophyly of the Pax family and indicate ancient origins of several introns.

N-glycans are not the signal for apical sorting of corticosteroid binding globulin in MDCK cells

It has been suggested that N-glycans act as a general sorting signal for secretory proteins in MDCK cells [Scheiffele et al. (1995) Nature 378, 96-98]. Human corticosteroid binding globulin contains six consensus sites for N-glycosylation and is known to be secreted to the apical side of MDCK cells. Our results show that wild-type corticosteroid binding globulin is N-glycosylated when it is recombinantly expressed in MDCK cells. Six mutants, each lacking one of the N-glycosylation sites, and a mutant lacking all six N-glycosylation sites were also secreted to the apical side of MDCK cells in a polarized manner. Thus, the N-glycans on corticosteroid binding globulin do not act as an apical sorting signal in MDCK cells.

Aging and episodic memory: are elderly adults less likely to make connections between target and contextual information?

The hypothesis that elderly individuals are less likely than young adults to connect target and contextual information was tested. Young and elderly adults were presented with a number of slides, each of which contained a word superimposed in the center of a background picture of a landscape or cityscape. Half of the subjects were told to remember the words and half were told to remember the word-and-background pairs. All subjects were then tested for their recognition memory of the word-and-background pairs. The results indicate that elderly adults have greater difficulty than young adults remembering the connections between words and background pictures but that this occurs whether the pictures are target information or contextual information. Therefore, the results of this study provide no support for the notion that elderly adults have a specific contextual encoding deficit.

Processing yields and meat flavor of broilers fed a mixture of narasin and nicarbazin as an anticoccidial agent

Processed yields (percent hot carcass) and cooked meat flavor of broilers fed 100 ppm of an anticoccidial agent (a mixture of 50 ppm narasin and 50 ppm nicarbazin) were compared with yields of birds fed a ration without the anticoccidial agent. Broilers were processed at 7 wk of age (49 days) after a 4-day withdrawal from the anticoccidial agent for the treated birds. The flavor of meat was evaluated by a 12-member sensory panel. Meat was either deep fat-fried or oven roasted. Sensory evaluations were made on freshly cooked samples and on cooked meat refrigerated for 24 h and reheated. The anticoccidial agent did not produce a difference (P greater than .05) in the hot carcass yields of the broilers as compared with control birds fed the nonmedicated diet. Analyses of triangle test data for flavor evaluations by two statistical methods indicated that there were no detectable differences (P greater than .05) in flavor between broilers fed the anticoccidial agent in the diet and those fed the control diet.

Analysis of the terminator region after the deoCABD operon of Escherichia coli K-12 using a new class of single copy number operon-fusion vectors

We describe the construction of low copy number operon-fusion vectors, and use one of these vectors for the cloning and transcriptional analysis of the terminator region after the deo operon of Escherichia coli K-12. The new vectors are miniderivatives of plasmid R1 containing the parB stability locus of this plasmid and the lac genes as a selectable marker. Since the copy number of the vectors is only one per genome-equivalent at temperatures below 37 degrees C this system is ideally suited for isolation and characterization of transcriptional and translational signals from E. coli. Our results show that a very strong terminator (deot), which resembles Rho-independent terminators, is located 60 bp downstream from the fourth structural gene of the deo operon. This confirms that deoD is the last gene in the operon. In addition, we have identified a new promoter just after the deot terminator and a short DNA sequence that is able to reduce lacZ expression by 85% when inserted between the deoP2 promoter and the lac genes.

Long-range cooperativity between gene regulatory sequences in a prokaryote

Regulation of transcription initiation by proteins binding at DNA sequences some distance from the promoter region itself seems to be a general phenomenon in both eukaryotes and prokaryotes. Proteins bound to an enhancer site in eukaryotes can turn on a distant gene, whereas efficient repression of some prokaryotic genes such as the gal, ara and deo operons of Escherichia coli, requires the presence of two operator sites, separated by 110, 200 and 600 base pairs (bp) respectively. In the deo operon, which encodes nucleoside catabolizing enzymes, we have shown that efficient and cooperative repression can be obtained when the distance between the two sites ranges from 224 to 997 bp. Here, we report that transcription initiation can be regulated from an operator site placed 1 to 5 kilobases (kb) downstream of the deoP2 promoter (and downstream of the transcribed gene), and present the first experimental data for prokaryotic regulation at distances greater than 1 kb. Our results support the model of DNA loop formation as a common regulatory mechanism explaining both some prokaryotic regulation and the action of eukaryotic enhancers.

Growth, feed conversions, and yields of turkey parts of three strains of hen turkeys as influenced by age

Effects of age on the growth, feed to gain ratios, individual part weights, and yields of hen turkeys were determined weekly from ages 12 to 21 weeks. Two hundred birds from each of three strains (A, B, and C) were processed. All three strains of hen turkeys continued to gain weight throughout the study. During the 12 to 21-week-old period birds grew from an average of 4.76 kg to 9.17 kg, while the cumulative feed to gain ratios went from 1.97 to 2.94. Strain B consistently weighed more than Strains A and C for the duration of the study. Weights of all parts increased as hens grew larger. However, the parts' proportion of total weight changed. Percentages of breast, breast muscle, and fat increase, while percentages of wing, drumstick, and skin decreased. Breast, breast muscle, and fat yields increased from 32.8 to 35.9%, 23.8 to 28.0%, and 1.7 to 5.1%, respectively. Both wing and drumstick percentages declined from approximately 14.0 to 12.0%. Thigh, thigh muscle, and shell percentages varied, but ended near their starting levels, of 14.8, 10.5, and 21.8%, respectively. At 21 weeks of age the hen turkeys were still gaining body weight. Breast weight--both actual and percentages--were still increasing.

Nucleotide sequence of the CytR regulatory gene of E. coli K-12

We have determined the nucleotide sequence of the cytR gene, which codes for the Cyt repressor (CytR). The coding region consists of 1023 or 1029 bp. The subunits of CytR are thus predicted to consist of 341 or 343 residues. It is shown that the N-terminal segment of the polypeptide is structurally similar to the DNA-binding region of known DNA-binding proteins. In addition, there exists an exceptionally high amino acid sequence homology between CytR and the Gal repressor, indicating a common origin of evolution.

Comparison of two lighting regimens and drinker cleaning programmes on the performance and incidence of leg abnormalities in turkey males

Turkey males subjected to a low intensity step-down (LISD) lighting programme showed significantly heavier body weights after 20 weeks of age and significantly better feed conversions after 14 weeks of age compared with males reared in a high intensity step-up lighting (HISU) programme. Although both nonchilled and chilled carcase weights were higher, the dressing percentages were lower for males of the LISD lighting regimen. Males of the HISU lighting programme had significantly fewer leg abnormalities, shorter tarso-metatarsi, lighter drumstick weights, and lighter tibia weights. Males on the HISU lighting programme from 15 to 19 weeks of age had larger testes; however, after 20 weeks of age they were larger in males on the LISD lighting regimen. Cleaning and disinfecting the drinking troughs daily rather than weekly had no effect on any production variable measured.

A randomized trial of iohexol versus amidotrizoate in endoscopic retrograde pancreatography

To evaluate whether a low-osmolar contrast medium could decrease hyperamylasemia after endoscopic retrograde pancreatography, a prospective randomized double-blind trial of 54 consecutive patients with suspected pancreatic disease referred for endoscopic retrograde pancreatography was performed. The low-osmolar contrast medium iohexol and high-osmolar amidotrizoate were used. No statistically significant differences with regard to rise in pancreatic-type amylase, pain reaction, or diagnostic information were found. No case of acute pancreatitis was observed.

Low-copy-number plasmid-cloning vectors amplifiable by derepression of an inserted foreign promoter

By insertion of a DNA fragment, containing the phage lambda pR promoter and the pM-promoted cI857 allele of the lambda repressor gene, in plasmid R1 upstream of the replication control genes, cloning vectors have been constructed which are present in one copy per chromosome at temperatures below 37 degrees C, and which display uncontrolled replication at 42 degrees C. Derivatives have been made which carry the R1 par region, stabilizing the plasmid at low temperature when grown in the absence of selection pressure. Cells harbouring these plasmids stop growing after 1-2 h incubation at 42 degrees C, and at this time 50% of the total DNA in the cells is plasmid DNA corresponding to more than 1000 plasmid molecules per cell. Concomitant with plasmid amplification at the high temperature, synthesis of plasmid-coded gene products is amplified, and these vectors can therefore be utilized for obtaining greatly enhanced yields of gene products that may be detrimental to the host cell when present in large amounts.