Seven lean and five obese boys, aged 9-12 yr, exercised in four environments: 21.1, 26.7, 29.4, and 32.2 degrees C Teff. Subjects walked on a treadmill at 4.8 km/h, 5% grade for three 20-min exercise bouts separated by 5-min rest periods. Rectal temperature (Tre), skin temperature (Tsk), heart rate (HR), sweat rate, and oxygen uptake (VO2) were measured periodically throughout the session. Lean boys had lower Tre and HR than obese boys in each of the environments. Increases in Tre were significantly greater for the obese at 26.7 and 29.4 degrees C Teff. No significant differences in Tsk and sweat rate (g-m-2-h-1) were observed between lean and obese boys. Obese boys had significantly lower oxygen consumptions per kg but worked at a significantly higher percentage of VO2max than lean boys when performing submaximal work. Responses of the obese boys to exercise in the heat were similar to those of heavy prepubertal girls studied previously, except that the boys were more tolerant of exercise at 32.2 degrees C Teff than the girls. Lean boys had lower HR than lean girls in each environment, but lower Tre only at 32.2 degrees C Teff.

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Leucotactic polypeptide was isolated from follicular-conditioned incubation media by ultrafiltration and reverse-phase high performance liquid chromatography. The bioactive fraction was subjected to amino acid analysis and shown to be abundant in glycine, proline and hydroxyproline. These amino acid residues are common to repetitive sequences of alpha collagens. Synthetic collagen-like peptides composed of repeating triplets of glycine, proline and hydroxyproline (GPH x 3, GPH x 9) were active in attracting white blood cells as measured in vitro using a linear under-agarose assay. Accumulation of leucocytes within extravascular spaces of the theca interna was induced by intrafollicular injection of GPH x 3 or bacterial collagenase. Intrafollicular administration of affinity-purified GPH x 3 antibodies during the immediate preovulatory period inhibited thecal extravasation of leucocytes, but did not negate follicular rupture. However, serum concentrations of progesterone were depressed in antibody-treated animals throughout the ensuing luteal phase. This luteal defect was counteracted by injecting leucocytes into the preovulatory follicle. It is concluded that periovulatory follicles of the sheep secrete collagen-like leucotactic peptides. Once drawn into the follicle, resident inflammatory cells are apparently involved in transforming it into a fully functional corpus luteum.

The authors describe the surgical approach, findings, and 8-year follow-up in a 29-year-old woman, with severe Freeman-Sheldon syndrome, presenting with congenital blepharophimosis of both upper eyelids resulting in near-complete functional visual obstruction. To avoid possible Freeman-Sheldon syndrome-associated complications of malignant hyperthermia, difficult vascular access, and challenging endotracheal intubation, the surgery was completed under local anesthesia without sedation, and anatomical and functional correction was immediate and remained stable at 8-year follow-up. Unlike many congenital craniofacial syndromes, which frequently involve life-long impairments, important implications exist for plastic surgeons to facilitate opportunities for patients to overcome functional limitations.

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