The determination of calcium in biologic fluids by atomic absorption spectrophotometry is interfered with by the presence of protein, cations, and those anions that form complexes with calcium. Such interference was overcome when lanthanum was included in a 1:50 dilution of serum or urine. Recovery of calcium added to calcium-free serum was 100%. The S.D. based on double-blind duplicates was 0.22 mg./lOO ml. Excellent statistical agreement was found between the test method and each of the 2 reference methods.
Pancreas transplantation, in our successful cases, lowered glycosylated hemoglobin to normal or near-normal levels that were sustained for as long as 5 years. These results compare favorably with those in our patients on standard treatment, and also with those in similar patients on intensive control reported by others. Further effort to improve transplant methods appears to be warranted.
In isolated perfused dog hearts, myocardial concentrations of creatine phosphate (CrP) and adenosine triphosphate (ATP) decreased following a 45-min period of anoxia. After partial resuscitation by perfusion of oxygenated blood for 30 min, CrP had risen again to approximately control values but ATP concentration had fallen lower. Increased concentrations of deaminated derivatives of ATP, chiefly inosine, were found in the myocardium and in the perfusion effluent after anoxia. The myocardial inosine was still elevated after resuscitation. We conclude that the dynamic equilibrium involving breakdown and resynthesis of ATP through deamination and reamination is disturbed by periods of anoxia as carried out in these experiments and, in addition, inosine is lost by diffusion into extracellular compartments.
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