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We have used epidural SCS for pain control during the past 65 years. An analysis of our records revealed 67 consecutive patients diagnosed as having RSD before undergoing SCS. Eight of the 67 patients had undergone previous ablative sympathectomy. All 67 patients experienced relief of pain after trial stimulation and had their systems permanently implanted.

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The reaction of anaphylaxia with desensibilization on guinea pigs and the method of double diffusion in agar gel were used to study the antigenic composition of the rat skeletal muscles 8, 7 and 85 days after their cross sections were connected with polyurethane glue and silk.

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The results suggest that leptomeningeal fibrosis is not the only pathoanatomic basis of increased R(out) and/or B-wave activity in patients with NPH and that various degenerative changes in the parenchyma may be responsible for the altered cerebrospinal fluid dynamics characteristic of NPH. The purpose of this study was to determine the efficacy of spinal cord stimulation (SCS) in patients with symptoms of reflex sympathetic dystrophy (RSD), a disabling clinical condition with significant consequences of morbidity and loss of productivity.

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It is shown that in the postoperative period, besides antigens similar to those of the normal muscles, other antigens which may belong to stage-specific ones appears in the fraction of soluble proteins.

The radiobiology was characterized by in vivo irradiation of rat liver, dog liver, and dog brain. The animals were killed at varying intervals of time, and histological examinations were performed. Rats and dogs that were killed weeks to months after liver irradiation tended to have sharply demarcated lesions. Liver enzyme levels, measured serially in the dogs, did not give evidence of chronic inflammation.

Eight patients reported excellent pain relief, and four patients described good results. SCS is an effective treatment for the pain of RSD, including recurrent pain after ablative sympathectomy. The low morbidity of this procedure and its efficacy in patients with refractory pain related to RSD suggest that SCS is superior to ablative sympathectomy in the management of RSD.

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On the other hand, upon introduction of an amino acids mixture imitating the Swedish preparation Vamin, which includes all essential and non-essential amino acids (except for glutamine and asparagine) in proportion as found in the egg white the urea increment values turned out to be inferior than on administration of a mixture containing from among essential amino acids only arginine and histidine, and from among non-essential ones-glycine and glutamic acid. The urea increment was also lower following combined introduction of an amino acids mixture together with an energy-producing (calorific) material, than when the latter was fed on prior to introduction of the mixture.

This pattern is reflected primarily by the adoption of additional programs and new provisions designed to raise benefit levels, provide flexibility in retirement practices, expand coverage, and cope with demographic changes, inflationary trends, and growing costs.

The totality of findings suggests that as to its sensitivity to the composition of the parenterally introduced nutritional mixture and, possibly, dietary regimen-the urea increment is in no way inferior to the cumbersome, and difficulty realizable under clinical conditions method of nitrogen balance as a criterion for the efficacy of parenteral nutrition and deserves a detailed study as regards its clinical application. In a synopsis theoretical and experimental problems of the parenteral nutrition are discussed.

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