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The Ottawa '88 meeting of the International Society for Oxygen Transport to Tissue attracted a record number of participants and presentations. We were able to avoid simultaneous sessions and still keep the scientific program to four days by using poster sessions followed by plenary debate on each poster. To paraphrase the British physicist David Bohm, we tried to avoid an ordinary discussion, in which people usually stick to a relatively fixed position and try to convince others to change. This situation does not give rise to anything creative. So, we attempted instead to establish a true dialogue in which a person may prefer and support a certain point of view, but does not hold it nonnegotiab1y. He or she is ready to listen to others with sufficient sympathy, and is also ready to change his or her own view if there is a good reason to do so. Our Society is in its "teen" years, and there are even some arguments about its exact age. Many newer members have raised questions concerning the history of the Society. For this reason, I have asked one of the "founding fathers", D. Bruley, to prepare a brief account of the birth and early history of the Society which appears on the following page.
nd The 22 meeting of the International Society on Oxygen Transport to Tissue (LS. O. T. T. ) of which this volume is the scientific proceedings, was held in Istanbul, Turkey on August 22-26, 1994. It was a historical occasion in that it was almost 200 years to the day that one of the founding fathers of oxygen research, Antoine Lavoisier, on May 8, 1794 found his early demise at the hands of the guillotine. This spirit of history set the tone of the conference and in the opening lecture the contribution that this part of the world has given to the understanding of oxygen transport to tissue was highlighted. In particular, the contribution of Galen of Pergamon (129-200) was discussed who for the first time demon strated that blood flowed through the arteries and whose view on the physiology of the circulation dominated the ancient world for well over a millennium. A forgotten chapter in the history of the circulation of the blood is the contribution made by Ibn al Nafis of Damascus (1210-1280) who for the first time described the importance of the pulmonary circulation by stating that all venous blood entering the right ventricle ofthe heart passes to the left ventricle, not through pores in the septum of the heart as had been postulated by Galen, but through the circulation of the lungs.
The 23rd annual meeting of the International Society on Oxygen Transport to Tissue took place from August 23-27, 1995, at the Station Square Sheraton along the shores of the Monongahela River where it meets with the Allegheny and Ohio Rivers to form the "Point" of the city of Pittsburgh. Pittsburgh was a convenient location for the meeting be ing between both the East and West coasts of the United States and between the Asian and European continents. It is easily accessible by air via its large international airport. In ad dition, Pittsburgh has just recently undergone a transition from the steel mills and indus tries of old to an age of computers and biotechnology as evidenced by the new Biotechnology Center of the University of Pittsburgh where a lunch and tour were pro vided for interested participants. On the tour, the participants got to see the mix of projects ranging from molecular biology to clinical projects studying membrane oxygenators, ven tricular assist devices, oxygen carriers, and more, representing the forefront of research on oxygen delivery systems to tissue.
This book comprises the proceedings from the 20th meeting of the International Symposium on Oxygen Transport to Tissue (ISOTT). This is volume 345 of a series in Advances in Experimental Medicine and Biology. The purpose is to publish the proceedings from the meeting of the ISOTT. This is an important work, providing synopses by experts in their fields of the current status of work on oxygen transport to tissue. As such, the objectives of the authors are met. The book is written for basic scientists, clinical scientists, and students with specialized interests. Each article is written by a credible author who is working on the specific topic. The quality of the book is attributable to the publication approach using photo-ready manuscripts provided by each author. The resultant differences in fonts, point size, spacing, justification, and graphics styles gives the book a lack of graphic continuity, although this is probably not important to the audience. The references are current and pertinent. The table of contents and index are adequate. The book quality is adequate. It is a logical and appropriate volume in this series. This book will serve best as a reference source for researchers. It would be a good addition to libraries. The book would probably only be of limited use for individual purchase.
First multi-year cumulation covers six years: 1965-70.
Seventeen years after the 2nd International Symposium on Oxygen Transport to Tissue, which was held in Mainz in March 1975, the local Organizing Committee and the Board of ISOTT were pleased to host the ISOTT Conference in Mainz on the Rhine again. The venue of the 20th meeting was the prestigious, fully restored Schloss Waldthausen (Waldthausen Castle) which provided a special setting for ISOTT 1992. The beautiful front view of the castle became part of the ISOTT 1992 logo. The 20th ISOTT Meeting was held in Mainz from August 26th through August 30th, 1992. The Conference attracted 200 active participants from 16 countries. The theme of this meeting emphasized oxygen transport to tumors but as in earlier meetings, essentially all aspects of oxygen transport within the body were covered as demonstrated by the manuscripts comprising this volume of the series "Oxygen Transport to Tissue". All manuscripts were reviewed. Extensive revisions were made in about 25% and modest revision in about another 30%. Because we had to compromise between the aim of rapid publication on the one hand and the need for thorough review on the other, minor errors in format and some typographical errors were not corrected. Except for some revisions, all of the original camera-ready manuscripts in this volume were prepared by the authors themselves and we greatly appreciate their cooperation.
Brain edema is found in a wide variety of clinical disorders including stroke, intracerebral haemorrhage, subarachnoid haemorrhage, head injury, brain tumors and hydrocephalus. This volume brings together clinical and basic scientists from all over the world. Their expertise in the understanding of brain edema and shifts in brain water compartments has led to a further significant step in our understanding of those diseases characterized by brain edema. This book has also drawn on the expertise of the International Advisory Board of the Brain Edema Society, who have carefully summarized each section, thus providing an easy-to-read summary of the latest advances in each subject. The book is therefore much more than a collection of papers: it represents a critical appraisal and puts each paper into modern scientific context. The greatest advances have come from the rapid development of modern imaging techniques, especially with magnetic resonance imaging (MRI). Imaging can now produce "water maps” and "metabolic profiles” that bring brain metabolism and water content right into every clinic with access to MRI. This book provides the background knowledge to understand these pathophysiological changes.
Disturbances in peripheral O extraction can be produced in dogs treated with 2 endotoxin and thereby provide an opportunity to test theories for the origin of pathological O supply dependency or to try different treatment modalities. The 2 most serious deficiency in the current animal models is the inability to mimic the increased O demand that is observed in patients at 02 delivery rates in excess of 2 normal. A particular feature of this increased O demand is that it apparently does 2 not stimulate increased 02 extraction, although the limitation in O extraction has 2 not been explored in patients by lowering 02 supply, for obvious reasons. At least two possibilities to account for increased 02 demand could be investigated in animal models, however. The amount of 02 that is utilized in extramitochondrial pathways, which is normally on the order of 10%, may be greatly increased in ARDS and sepsis by O radical formation. There is presently no information 2 concerning how much 02 might be used in this way. Another strong possibility is that mitochondrial injury, perhaps as a result of 02 radical formation, uncouples oxidative phosphorylation. Some evidence presently in the literature supports this idea [19]. Indeed, the association of increased blood lactate levels with higher than expected 02 demands makes uncoupling a very attractive hypothesis that warrants further investigation in animal models using such agents as 2,4-dinitrophenol. References 1.