Kuramoto, Masafumi; Ikeshima, Satoshi; Yamamoto, Kenichiro; Morita, Keisuke; Uchihara, Tomoyuki; Itouyama, Rumi; Yoshimatsu, Shinichi; Shimada, Shinya; Baba, Hideo
The double stapling technique (DST) is an intestinal reconstruction technique that has been widely adopted in anterior resection (AR) for rectal cancer. However, anastomotic leakage (AL) after the operation remains a major concern for colorectal surgeons. The sharp-angled corner of the remnant rectum that is often created by the ordinary DST can be a risk factor for AL. We have developed a new method of performing intentional oblique transection DST (IOT-DST). Using this technique, the anal side of the rectum is intentionally obliquely transected with linear staplers, and the area of the sharp-angled edge is totally punched out with a circular stapler. Between September 2015 and March 2016, we used the IOT-DST technique in the treatment of 15 consecutive rectal cancer patients and experienced no anastomosis-related complications, including leakage and stenosis. IOT-DST is easy to use and less stressful to perform than other techniques. IOT-DST has the potential to become the standard technique for AR in rectal cancer surgery.
Al-Zoubi, Nabil A.; Yaghan, Rami J.; Qandeel, Haitham A.; Mazahreh, Tagleb D.
Patient: Female, 53 Final Diagnosis: Spontaneous non-traumatic anterior tibial artery avulsion and tibio-peroneal trunk transection Symptoms: Pain Medication: — Clinical Procedure: Autogenous popliteal-tibioperoneal trunk bypass Specialty: Surgery Objective: Rare disease Background: Popliteal fossa pseudoaneurysms as a result of trauma are not uncommon. However, spontaneous pseudoaneurysms as a result of non-traumatic rupture of posterior tibial artery (PTA), anterior tibial artery (ATA), or tibioperoneal trunk (TPT) artery segment are extremely rare. We report a case of spontaneous popliteal fossa pseudoaneurysm resulting from spontaneous avulsion of the ATA and transection of the TPT. Despite a thorough workup, no underlying associated disease was found. The extreme rarity of this disease presentation prompted us to report this case. Case Report: A 53-year-old female patient presented with a 10-day history of sudden onset of non-traumatic left popliteal fossa pain and swelling. A popliteal fossa pseudoaneurysm was diagnosed by duplex ultrasound examination. Computed tomography angiography (CTA) was performed to confirm the diagnosis and to plan treatment. Surgical exploration revealed avulsion of the ATA and transection of the TPT leading to a pseudoaneurysm. Autogenous popliteal-tibioperoneal trunk bypass was performed with uneventful recovery. Conclusions: A spontaneous popliteal fossa pseudoaneurysm caused by non-traumatic ATA avulsion and complete transection of TPT is extremely rare. Yet, it can be the cause of limb loss if not recognized early and treated promptly. Awareness by the medical community will help reduce the potential morbidity associated with this condition. PMID:28123173
Olmez, A; Karabulut, K; Aydin, C; Kayaalp, C; Yilmaz, S
The objective of this study was to compare harmonic scalpel for short hepatic vein transection with conventional ligation during recipient hepatectomy with caval preservation. Sixteen patients undergoing elective living donor liver transplantation were randomized into 2 groups. We recorded number, diameter, and location of each short hepatic vein, procedure time, central venous pressure, and degree of liver failure (Child-Pugh and Model for End stage Liver Disease scores). As an end point, we observed the intraoperative and postoperative bleeding rates of the transected veins. We transected 144 veins of mean diameter of 2.6 ± 1.8 mm (range, 1-12 mm). Mean number of short hepatic veins in each person was 9 (range, 5-16). Harmonic scalpel was safe for veins with a diameter ≤ 2 mm; these veins were more prone to bleeding with conventional ligation. Bleeding rate was higher after ligation of veins in the upper half than the lower half of the cava (37% vs 21%; P = .04). Both total and per vessel procedure time did not differ between the groups. No postoperative bleeding complications occurred. Transection of veins with a diameter ≤ 2 mm by harmonic scalpel was as safe as conventional ligation. Harmonic scalpel transection of small hepatic veins (≤ 2 mm) can be even safer than conventional control by knot tying, particularly in narrow areas.
Leclerc, Betty; Loisel, François; Ferrier, Maxime; Al Sayed, Mazen; Rinckenbach, Simon; Obert, Laurent
Introduction: Anterior shoulder dislocation can be associated with vascular and neurological complications. However, axillary artery injury associated with shoulder dislocation is rare and extremely rare without bone fracture. An early diagnosis of these complications allows predicting long-term functional outcomes. Methods: This article reports the case of a 66-year-old patient who presented an anterior shoulder dislocation after a ski fall without any neurological dysfunction or pulse deficit. Results: The first reduction attempts were unsuccessful and during the new attempt, we observed a hematoma. A CT scan showed a disruption of the axillary artery and a bilateral pulmonary embolism. Conclusion: Neurovascular injury must be systematically sought before and after reduction, and a multidisciplinary approach is always necessary. PMID:28074775
Cheng, Wendan; Jing, Juehua; Wang, Zhen; Wu, Dongying; Huang, Yumin
This study aimed to assess whether Ginsenoside Rg1 (Rg1) inhibits inflammatory responses in human chondrocytes and reduces articular cartilage damage in a rat model of osteoarthritis (OA). Gene expression and protein levels of type II collagen, aggrecan, matrix metalloproteinase (MMP)-13 and cyclooxygenase-2 (COX-2) were determined in vitro by quantitative real-time-polymerase chain reaction and Western blotting. Prostaglandin E2 (PGE2) amounts in the culture medium were determined by enzyme-linked immunosorbent assay (ELISA). For in vivo assessment, a rat model of OA was generated by anterior cruciate ligament transection (ACLT). Four weeks after ACLT, Rg1 (30 or 60 mg/kg) or saline was administered by gavage once a day for eight consecutive weeks. Joint damage was analyzed by histology and immunohistochemistry. Ginsenoside Rg1 inhibited Interleukin (IL)-1β-induced chondrocyte gene and protein expressions of MMP-13, COX-2 and PGE2, and prevented type II collagen and aggrecan degradation, in a dose-dependent manner. Administration of Ginsenoside Rg1 to OA rats attenuated cartilage degeneration, and reduced type II collagen loss and MMP-13 levels. These findings demonstrated that Ginsenoside Rg1 can inhibit inflammatory responses in human chondrocytes in vitro and reduce articular cartilage damage in vivo, confirming the potential therapeutic value of Ginsenoside Rg1 in OA. PMID:28287423
Dykes, Robert W; Saddiki-Traki, Fatima; Tremblay, Nicole; Boureau, François; Morel-Fatio, X
The threshold to warming was measured at 10 sites on the anterior torso between the umbilicus and the clavicle of normal and spinal-cord transected individuals. In normal individuals, thresholds were higher on the thorax than on the abdomen. Men had higher and more variable thresholds than women. Magnitude estimations of supra-threshold stimuli showed that men offer verbal estimates of warmth that are about half of the size of the estimates given by women to the same stimuli. The psychometric function shows that in women, the sensation of warmth grows more rapidly than in men after starting from a higher initial value. After spinal-cord injury, thresholds for detection of warming were elevated. This effect was most noticeable within 8 cm of the anesthetic zone, but farther away, thresholds were still elevated but uniform as a function of distance, being about 30% higher than in normal individuals. After spinal-cord injury, the psychometric functions show that small stimuli elicit relatively large sensations and that these sensations grow more slowly with increasing skin temperatures than for normal individuals. Thus, for small warm stimuli spinal-cord-injured patients (both men and women) have a response similar to normal women but the slope of the psychometric function is flat, being similar to the slope observed for normal men.
Boyan, Barbara D.; Hyzy, Sharon L.; Pan, Qingfen; Scott, Kayla M.; Coutts, Richard D.; Healey, Robert; Schwartz, Zvi
Osteoarthritis (OA) in humans is associated with low circulating 25-hydroxyvitamin D3 [25(OH)D3]. In vitamin D replete rats, radiolabeled 24R,25-dihydroxyvitamin D3 [24R,25(OH)2D3] accumulates in articular cartilage following injection of [3H]-25(OH)D3. Previously, we showed that 24R,25(OH)2D3 blocks chondrocyte apoptosis via phospholipase D and p53, suggesting a role for 24R,25(OH)2D3 in maintaining cartilage health. We examined the ability of 24R,25(OH)2D3 to prevent degenerative changes in articular cartilage in an OA-like environment and the potential mechanisms involved. In vitro, rat articular chondrocytes were treated with IL-1β with and without 24R,25(OH)2D3 or 1α,25(OH)2D3. 24R,25(OH)2D3 but not 1α,25(OH)2D3 blocked the effects of IL-1β in a dose-dependent manner, and its effect was partially mediated through the TGF-β1 signaling pathway. In vivo, unilateral anterior cruciate ligament transections were performed in immunocompetent rats followed by intra-articular injections of 24R,25(OH)2D3 or vehicle (t = 0, 7, 14, 21 days). Tissues were harvested on day 28. Joints treated with vehicle had changes typical of OA whereas joints treated with 24R,25(OH)2D3 had less articular cartilage damage and levels of inflammatory mediators. These results indicate that 24R,25(OH)2D3 protects against OA, and suggest that it may be a therapeutic approach for preventing trauma-induced osteoarthritis. PMID:27575371
Silva, Francisco Saraiva; Yoshinari, Natalino Hajime; Castro, Rondinelle Ribeiro; Girão, Virgínia Cláudia Carneiro; Pompeu, Margarida Maria Lima; Feitosa, Judith Pessoa de Andrade; Rocha, Francisco Airton Castro
Evidence that combined glucosamine sulfate and chondroitin sulfate (Gluchon) or isolated glucosamine (Glu) modifies joint damage in osteoarthritis (OA) is still lacking. We studied joint pain and cartilage damage using the anterior cruciate ligament transection (ACLT) model. Wistar rats were subjected to ACLT of the right knee (OA) or sham operation. Groups received either Glu (500 mg/kg), Gluchon (500 mg/kg glucosamine +400 mg/kg chondroitin) or vehicle (non-treated--NT) per os starting 7 days prior to ACLT until sacrifice at 70 days. Joint pain was evaluated daily using the rat-knee joint articular incapacitation test. Structural joint damage was assessed using histology and biochemistry as the chondroitin sulfate (CS) content of cartilage by densitometry (microgram per milligram dried cartilage), comparing to standard CS. The molar weight (Mw) of the CS samples, used as a qualitative biochemical parameter, was obtained by comparing their relative mobility on a polyacrylamide gel electrophoresis to standard CS. Gluchon, but not Glu, significantly reduced joint pain (P < 0.05) compared to NT. There was an increase in CS content in the OA group (77.7 +/- 8.3 microg/mg) compared to sham (53.5 +/- 11.2 microg/mg) (P < 0.05). The CS from OA samples had higher Mw (4:62 +/- 10(4) g/mol) compared to sham (4:18 +/- 0.19 x 10(4) g/mol) (P < 0.05). Gluchon administration significantly reversed both the increases in CS content (54.4 +/- 12.1 microg/mg) and Mw (4:18 +/- 0.2 x 10(4) g/mol) as compared to NT. Isolated Glu decreased CS content though not reaching statistical significance. Cartilage histology alterations were also significantly prevented by Gluchon administration. Gluchon provides clinical (analgesia) and structural benefits in the ACLT model. This is the first demonstration that biochemical alterations occurring in parallel to histological damage in OA are prevented by Gluchon administration.
Jain, Sundeep; Sharma, Bharat; Kaushik, Mitesh; Jain, Lokendra
Introduction and Objective. Bleeding is an important complication in liver transections. To determine the safety and efficacy of Debakey forceps for liver parenchymal transection and its ergonomic advantages over clamp crushing method we analysed our data. Methods. We used Debakey crushing technique in 100 liver resections and analysed data for transection time, transfusion rate, morbidity, mortality, hospital stay, influence of different types of liver conditions, and ergonomi features of Debakey forceps. Results. Mean age, transection time and hospital stay of 100 patients were 52.38 ± 17.44 years, 63.36 ± 33.4 minutes, and 10.27 ± 5.7 days. Transection time, and hospital stay in patients with cirrhotic liver (130.4 ± 44.4 mins, 14.6 ± 5.5 days) and cholestatic liver (75.8 ± 19.7 mins, 16.5 ± 5.1 days) were significantly greater than in patients with normal liver (48.1 ± 20.1 mins, 6.7 ± 1.8 days) (P < 0.01). Transection time improved significantly with experience (first fifty versus second fifty cases-70.2 ± 31.1 mins versus 56.5 ± 34.5 mins, P < 0.04). Qualitative evaluation revealed that Debakey forceps had ergonomic advantages over Kelly clamp. Conclusions. Debakey forceps crushing technique is safe and effective for liver parenchymal transection in all kinds of liver. Transection time improves with surgeon's experience. It has ergonomic advantages over Kelly clamp and is a better choice for liver transection.
Jain, Sundeep; Sharma, Bharat; Kaushik, Mitesh; Jain, Lokendra
Introduction and Objective. Bleeding is an important complication in liver transections. To determine the safety and efficacy of Debakey forceps for liver parenchymal transection and its ergonomic advantages over clamp crushing method we analysed our data. Methods. We used Debakey crushing technique in 100 liver resections and analysed data for transection time, transfusion rate, morbidity, mortality, hospital stay, influence of different types of liver conditions, and ergonomi features of Debakey forceps. Results. Mean age, transection time and hospital stay of 100 patients were 52.38 ± 17.44 years, 63.36 ± 33.4 minutes, and 10.27 ± 5.7 days. Transection time, and hospital stay in patients with cirrhotic liver (130.4 ± 44.4 mins, 14.6 ± 5.5 days) and cholestatic liver (75.8 ± 19.7 mins, 16.5 ± 5.1 days) were significantly greater than in patients with normal liver (48.1 ± 20.1 mins, 6.7 ± 1.8 days) (P < 0.01). Transection time improved significantly with experience (first fifty versus second fifty cases—70.2 ± 31.1 mins versus 56.5 ± 34.5 mins, P < 0.04). Qualitative evaluation revealed that Debakey forceps had ergonomic advantages over Kelly clamp. Conclusions. Debakey forceps crushing technique is safe and effective for liver parenchymal transection in all kinds of liver. Transection time improves with surgeon's experience. It has ergonomic advantages over Kelly clamp and is a better choice for liver transection. PMID:25009367
Jean, Yen-Hsuan; Wen, Zhi-Hong; Chang, Yi-Chen; Lee, Herng-Sheng; Hsieh, Shih-Peng; Wu, Ching-Tang; Yeh, Chun-Chang; Wong, Chih-Shung
We previously reported increased release of the excitatory amino acid (EAA) neurotransmitters, glutamate and aspartate, during the early stage of experimental osteoarthritis (OA). Our present objective was to study the effect of intraarticular injection of hyaluronic acid (HA) on OA development, and to analyze concomitant changes in EAA levels in dialysates of anterior cruciate ligament-transected (ACLT) knee joints. OA was induced in Wistar rats by ACLT of one hindlimb; the knee of the other hindlimb was used as the sham-operated control. HA group (n = 12) were injected intraarticularly in the ACLT knee with 1 mg of HA once a week for 5 consecutive weeks, starting at 8 weeks after surgery. Saline group (n = 12) were injected as above with normal saline. The sham-operated group, underwent arthrotomy, but not ACLT, and received no treatment (n = 14). Twenty weeks after surgery, knee joint dialysates were collected by microdialysis and EAA levels assayed by high-performance liquid chromatography, and gross morphological examination and histopathological evaluation were performed on the medial femoral condyles and synovia. Rats receiving intraarticular HA injections showed a significantly lower degree of cartilage degeneration on the medial femoral condyle at both the macroscopic level and on the Mankin grading scale than rats receiving saline injections. Intraarticular HA treatment also suppressed synovitis. Moreover, glutamate and aspartate levels were significantly reduced in the HA group compared to the saline group. Intraarticular injection of HA limits articular cartilage and synovium damage and OA formation, and, in parallel, reduces EAA levels in ACLT joint dialysates. This study suggests that the underlying mechanism of the anti-inflammatory effect of HA is to inhibit glutamate and aspartate release in ACLT knee joints, which attenuates the early development of OA.
Saha, P K; Liang, G; Elkins, J M; Coimbra, A; Duong, L T; Williams, D S; Sonka, M
Osteophyte is an additional bony growth on a normal bone surface limiting or stopping motion at a deteriorating joint. Detection and quantification of osteophytes from CT images is helpful in assessing disease status as well as treatment and surgery planning. However, it is difficult to distinguish between osteophytes and healthy bones using simple thresholding or edge/texture features due to the similarity of their material composition. In this paper, we present a new method primarily based active shape model (ASM) to solve this problem and evaluate its application to anterior cruciate ligament transection (ACLT) rabbit femur model via CT imaging. The common idea behind most ASM based segmentation methods is to first build a parametric shape model from a training dataset and apply the model to find a shape instance in a target image. A common challenge with such approaches is that a diseased bone shape is significantly altered at regions with osteophyte deposition misguiding an ASM method and eventually leading to suboptimum segmentations. This difficulty is overcome using a new partial ASM method that uses bone shape over healthy regions and extrapolates it over the diseased region according to the underlying shape model. Finally, osteophytes are segmented by subtracting partial-ASM derived shape from the overall diseased shape. Also, a new semi-automatic method is presented in this paper for efficiently building a 3D shape model for an anatomic region using manual reference of a few anatomically defined fiducial landmarks that are highly reproducible on individuals. Accuracy of the method has been examined on simulated phantoms while reproducibility and sensitivity have been evaluated on CT images of 2-, 4- and 8-week post-ACLT and sham-treated rabbit femurs. Experimental results have shown that the method is highly accurate ( R2 = 0.99), reproducible (ICC = 0.97), and sensitive in detecting disease progression (p-values: 0.065,0.001 and < 0.001 for 2- vs. 4, 4
Mittelstaedt, Daniel; Kahn, David
Background Medical imaging has become an invaluable tool to diagnose damage to cartilage. Depletion of glycosaminoglycans (GAG) has been shown to be one of the early signs of cartilage degradation. In order to investigate the topographical changes in GAG concentration caused by the anterior cruciate ligament transection (ACLT) surgery in a canine model, microscopic magnetic resonance imaging (µMRI) and microscopic computed tomography (µCT) were used to measure the GAG concentration with correlation from a biochemical assay, inductively coupled plasma optical emission spectroscopy (ICP-OES), to understand where the topographical and depth-dependent changes in the GAG concentration occur. Methods This study used eight knee joints from four canines, which were examined 3 weeks after ACLT surgery. From right (n=3) and left (n=1) medial tibias of the ACLT and the contralateral side, two ex vivo specimens from each of four locations (interior, central, exterior and posterior) were imaged before and after equilibration in contrast agents. The cartilage blocks imaged using µMRI were approximately 3 mm × 5 mm and were imaged before and after eight hours submersion in a gadolinium (Gd) contrast agent with an in-plane pixel resolution of 17.6 µm2 and an image slice thickness of 1 mm. The cartilage blocks imaged using µCT were approximately 2 mm × 1 mm and were imaged before and after 24 hours submersed in ioxaglate with an isotropic voxel resolution of 13.4 µm3. ICP-OES was used to quantify the bulk GAG at each topographical location. Results The pre-contrast µMRI and µCT results did not demonstrate significant differences in GAG between the ACLT and contralateral cartilage at all topographical locations. The post-contrast µMRI and µCT results demonstrated topographically similar significant differences in GAG concentrations between the ACLT and contralateral tibia. Using µMRI, the GAG concentrations (mg/mL) were measured for the ACLT and contralateral
Özçınar, Beyza; Peker, Kıvanç Derya; Demirel, Sertaç; Yanar, Fatih; Tuncer, Koray; İğci, Abdullah
Herein, a case of intramural esophageal dissection is reported and the literature is reviewed. Intramural esophageal dissection is a rare but well described condition that is characterized by a laceration between the esophageal mucosa and submucosa but without perforation. A female patient aged 86 years was hospitalized with a diagnosis of abdominal aortic aneurysm. After placement of an aortic stent, she was started on intravenous heparin. After the procedure, the patient had retching and vomiting due to sedative drugs. On the first day after the procedure, the patient experienced sudden-onset chest pain, hematemesis, back pain and odynophagia. A hematoma was detected in the thoracic esophagus, which was opened during endoscopy and began to bleed suddenly owing to air insufflation. A false lumen was visualized within the esophagus. There was no perforation. The patient was followed up conservatively and discharged from the hospital uneventfully. In conclusion, we propose that esophageal transection, a condition that is widely regarded as relatively benign in the literature, has the potential to lead to perforation. It would be expected that most cases of esophageal transection would be managed conservatively. PMID:28149126
... Loss Surgery? A Week of Healthy Breakfasts Shyness Hepatitis KidsHealth > For Teens > Hepatitis Print A A A ... to a liver condition called hepatitis . What Is Hepatitis? The liver is one of the body's powerhouses. ...
... de los dientes Video: Getting an X-ray Hepatitis KidsHealth > For Kids > Hepatitis Print A A A ... an important digestive liquid called bile . What Is Hepatitis? Hepatitis is an inflammation (say: in-fluh-MAY- ...
Ishiguro, Yasunao; Hyodo, Masanobu; Fujiwara, Takehito; Sakuma, Yasunaru; Hojo, Nobuyuki; Mizuta, Koichi; Kawarasaki, Hideo; Lefor, Alan T; Yasuda, Yoshikazu
A 35-year-old mother was scheduled to be the living donor for liver transplantation to her second son, who suffered from biliary atresia complicated with biliary cirrhosis at the age of 2 years. The operative plan was to recover the left lateral segment of the mother’s liver for living donor transplantation. With the use of cholangiography at the time of surgery, we found the right anterior segmental duct (RASD) emptying directly into the cystic duct, and the catheter passed into the RASD. After repairing the incision in the cystic duct, transplantation was successfully performed. Her postoperative course was uneventful. Biliary anatomical variations were frequently encountered, however, this variation has very rarely been reported. If the RASD was divided, the repair would be very difficult because the duct will not dilate sufficiently in an otherwise healthy donor. Meticulous preoperative evaluation of the living donor’s biliary anatomy, especially using magnetic resonance cholangiography and careful intraoperative techniques, is important to prevent bile duct injury and avoid the risk to the healthy donor. PMID:20677347
Ishiguro, Yasunao; Hyodo, Masanobu; Fujiwara, Takehito; Sakuma, Yasunaru; Hojo, Nobuyuki; Mizuta, Koichi; Kawarasaki, Hideo; Lefor, Alan T; Yasuda, Yoshikazu
A 35-year-old mother was scheduled to be the living donor for liver transplantation to her second son, who suffered from biliary atresia complicated with biliary cirrhosis at the age of 2 years. The operative plan was to recover the left lateral segment of the mother's liver for living donor transplantation. With the use of cholangiography at the time of surgery, we found the right anterior segmental duct (RASD) emptying directly into the cystic duct, and the catheter passed into the RASD. After repairing the incision in the cystic duct, transplantation was successfully performed. Her postoperative course was uneventful. Biliary anatomical variations were frequently encountered, however, this variation has very rarely been reported. If the RASD was divided, the repair would be very difficult because the duct will not dilate sufficiently in an otherwise healthy donor. Meticulous preoperative evaluation of the living donor's biliary anatomy, especially using magnetic resonance cholangiography and careful intraoperative techniques, is important to prevent bile duct injury and avoid the risk to the healthy donor.
... clotting problems or chronic liver disease. previous continue Hepatitis B and Hepatitis C Although hep A is a ... does — through direct contact with infected body fluids. Hepatitis B and C are even more easily passed in ...
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... Issues Listen Español Text Size Email Print Share Hepatitis Page Content Article Body Hepatitis means “inflammation of ... it has been associated with drinking contaminated water. Hepatitis Viruses Type Transmission Prognosis A Fecal-oral (stool ...
Honda, Goro; Kurata, Masanao; Okuda, Yukihiro; Kobayashi, Shin; Sakamoto, Katsunori; Takahashi, Keiichi
Laparoscopic hepatectomy has rapidly evolved recently; however, laparoscopic anatomical hepatectomy has yet to become widely used, although anatomical hepatectomy is ideal, especially for curative treatment of hepatocellular carcinoma, and is widely accepted via open approach. This is because good-experienced skills, for example, exposing Glissonean pedicles and hepatic veins on the cutting plane, are required in order to perform anatomical hepatectomy via a pure laparoscopic approach. We obtained good results for various totally laparoscopic anatomical hepatectomies using the standardized techniques. We exposed the major hepatic veins from the root side by utilizing the unique view from the caudal side in the laparoscopic approach, and moved CUSA from the root side toward the peripheral side to avoid splitting the bifurcation of the hepatic vein. We performed totally laparoscopic anatomical hepatectomy for 47 patients from August, 2008, to December, 2012 (Table 1). In most types of anatomical hepatectomy, the mean blood loss was <500 ml. Conversion to open surgery was required in two patients. Postoperative complications were prolonged ascites in two, peroneal palsy in two, and biloma in one. Mortality was zero. The embedded video demonstrates totally laparoscopic right anterior sectorectomy. In conclusion, our standardized techniques make laparoscopic anatomical hepatectomy more feasible.
One of the outcomes of the recent spate of attention to environmental problems is the realization that we do not have suitable methods to census non-game species. Since marking is expensive and time-consuming, investigators have tended to look for methods that involve only visual techniques. One of the leading candidates thus becomes the line transect method. The purpose here is to briefly describe some of the available transect methods, and to comment on some aspects that may be of particular interest and importance.
Ho, C K; Yip, K T; Eng, J B; Rajan, L; Tan, B H
A 16 year-old man presented with fracture of both his femurs after a road traffic accident. Chest radiograph revealed mediastinal widening. Subsequent CT scan and arch aortogram confirmed the findings of traumatic aortic arch transection at the isthmus. He underwent successful surgical repair. High index of suspicion and prompt actions are important in managing this potentially fatal but treatable condition.
Bajaj, Mandeep S.; Kedar, Sachin; Sethi, Anita; Gupta, Vishal
Luxation of the globe is a rare event that results from severe trauma to the orbit, often causing orbital rim and wall fractures. Though associated globe rupture often necessitates enucleation, repositioning of the globe can be attempted in these cases if the globe is intact. We report a case of globe luxation and optic nerve transection with its surgical management. A 17-year-old male presented with anterior luxation of the right globe and optic nerve transection following blunt trauma to the orbit. Computerized tomography revealed an anteriorly subluxated globe with complete transection of the optic nerve and multiple fractures of the orbital walls. The orbit was explored and the globe repositioned in the orbit with reattachment of the muscles. Postoperatively, the globe was in normal position with moderate motility and excellent overall cosmesis. Though the visual prognosis in these cases is usually extremely poor and depends on the extent and duration of injury, preservation of the globe not only helps the patient recover psychologically from the trauma but also allows better cosmesis.
Shulman, Stanford T.; Madden, John D.; Esterly, John R.; Shanklin, Douglas R.
A newborn infant, delivered following mid-forceps rotation, presented with apnoea, anaesthesia below the level of the mid-neck, and flaccid quadriplegia. At necropsy there was transection of the cord, and atlanto-occipital and atlantoaxial dislocations. Cord injury usually follows breech presentation, the lesion is in the lower cervical or upper thoracic segments, and results from excessive traction. By contrast, in the rare cases following cephalic delivery, the lesion is most often in the upper cervical cord and probably results from rotational forces. PMID:5104538
Korja, Annakaisa; Heikkinen, Pekka J.; Roslov, Yuri; Ivanova, Nina; Verba, Marc; Sakoulina, Tamara
A nearly continuous, 3600 km long, NE-running North European Transect (NET) is combined from the existing deep seismic reflection data sets in the Baltic Sea (BABEL, 1600 km), Northern Finland (FIRE 4-4A, 580 km) and Barents Sea (1-AR, 1440 km;). The reflective image of the deep crust is highly dependent on the thickness of the sedimentary cover. The cover is few hundred meters in the Baltic sea, few tens of meters in the land areas and few kilometers in the Barents Sea area. In the Barents Sea area, the seismic image is dominated by the layered structure of the sedimentary basins and the middle and lower crust are poorly imaged. Therefore the Moho boundary in the Barents Sea has been determined from wide-angle reflections. Geologically the transect covers the transition from Phanerozoic Europe to Precambrian Europe and back to the Phanerozoic Barents Sea Shelf. It displays how Northern Europe grew around Baltica in several tectonic episodes involving the formation and destruction of Columbia/Hudsonland, Rodinia and Pangea supercontinents. The paleo plateboundaries are traversed by subvertical transparent zones suggesting transpressional and trantensional environments. The BABEL lines image how the core of Baltica was formed by sequential accretion of microcontinents and arc terranes at the old continental margin during the Svecofennian Orogeny ~1.9-1.8 Ga .When Baltica joined the Columbia supercontinent, new terranes were added to its southern edge in the Sveocbaltic Orogeny (~1.8 Ga). During the dispersal of the Columbia, the Baltic Sea failed rift was formed, rapakivi granitoids were intruded and sedimentary basins were developed. An extended plate margin structure has been imposed on the Rodinian (Sveconorwegian) and Pangean additions (Variscan-Caledonian). Major crustal thinning takes place along a series of subvertical faults across the Trans-European Suture Zone marking the transition from Phanerozoic to Proterozoic Europe. The FIRE lines in Northen Finland
Fractals are a useful tool for analyzing the topology of objects such as coral reefs, forest canopies, and landscapes. Transects are often studied in these contexts, and fractal dimensions computed from them. An open question is how representative a single transect is. Transects may also be used to estimate the dimensionality of a surface. Again the question of representativeness of the transect arises. These two issues are related. This note qualifies the conditions under which transect data may be considered to be representative or may be extrapolated, based on both theoretical and empirical results.
Morise, Zenichi; Kawabe, Norihiko; Tomishige, Hirokazu; Nagata, Hidetoshi; Kawase, Jin; Arakawa, Satoshi; Isetani, Masashi
Although the reports of laparoscopic major liver resection are increasing, hepatocellular carcinomas (HCCs) close to the liver hilum and/or major hepatic veins are still considered contraindications. There is virtually no report of laparoscopic liver resection (LLR) for HCC which involves the main trunk of major hepatic veins. We present our method for the procedure. We experienced 6 cases: 3 right anterior, 2 left medial, and 1 right posterior extended sectionectomies with major hepatic vein resection; tumor sizes are within 40–75 (median: 60) mm. The operating time, intraoperative blood loss, and postoperative hospital stay are within 341–603 (median: 434) min, 100–750 (300) ml, and 8–44 (18) days. There was no mortality and 1 patient developed postoperative pleural effusion. For these procedures, we propose that the steps listed below are useful, taking advantages of the laparoscopy-specific view. (1) The Glissonian pedicle of the section is encircled and clamped. (2) Liver transection on the ischemic line is performed in the caudal to cranial direction. (3) During transection, the clamped Glissonian pedicle and the peripheral part of hepatic vein are divided. (4) The root of hepatic vein is divided in the good view from caudal and dorsal direction. PMID:26448949
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Quang, Pham Xuan; Lanctot, Richard B.
We employ a line transect method to estimate the density of the common and Pacific loon in the Yukon Flats National Wildlife Refuge from aerial survey data. Line transect methods have the advantage of automatically taking into account “visibility bias” due to detectability difference of animals at different distances from the transect line. However, line transect methods must overcome two difficulties when applied to inaccurate recording of sighting distances due to high travel speeds, so that in fact only a few reliable distance class counts are available. We propose a unimodal detection function that provides an estimate of the effective area lost due to the blind strip, under the assumption that a line of perfect detection exists parallel to the transect line. The unimodal detection function can also be applied when a blind strip is absent, and in certain instances when the maximum probability of detection is less than 100%. A simple bootstrap procedure to estimate standard error is illustrated. Finally, we present results from a small set of Monte Carlo experiments.
Hepatitis A Hepatitis A Hepatitis A is a contagious viral infection that can easily affect children and adults. It is one of the most common types of hepatitis virus. Often when you hear about hepatitis A ...
Background Spinal cord transection and peripheral nerve transection cause muscle atrophy and muscle fiber type conversion. It is still unknown how spinal cord transection and peripheral nerve transection each affect the differentiation of muscle fiber type conversion mechanism and muscle atrophy. The aim of our study was to evaluate the difference of muscle weight change, muscle fiber type conversion, and Peroxisome proliferator-activated receptor-γ coactivatior-1α (PGC-1α) expression brought about by spinal cord transection and by peripheral nerve transection. Methods Twenty-four Wistar rats underwent surgery, the control rats underwent a laminectomy; the spinal cord injury group underwent a spinal cord transection; the denervation group underwent a sciatic nerve transection. The rats were harvested of the soleus muscle and the TA muscle at 0 week, 1 week and 2 weeks after surgery. Histological examination was assessed using hematoxylin and eosin (H&E) staining and immunofluorescent staing. Western blot was performed with 3 groups. Results Both sciatic nerve transection and spinal cord transection caused muscle atrophy with the effect being more severe after sciatic nerve transection. Spinal cord transection caused a reduction in the expression of both sMHC protein and PGC-1α protein in the soleus muscle. On the other hand, sciatic nerve transection produced an increase in expression of sMHC protein and PGC-1α protein in the soleus muscle. The results of the expression of PGC-1α were expected in other words muscle atrophy after sciatic nerve transection is less than after spinal cord transection, however muscle atrophy after sciatic nerve transection was more severe than after spinal cord transection. Conclusion In the conclusion, spinal cord transection diminished the expression of sMHC protein and PGC-1α protein in the soleus muscle. On the other hand, sciatic nerve transection enhanced the expression of sMHC protein and PGC-1α protein in the soleus
Briona, Lisa K; Dorsky, Richard I
Mammals fail in sensory and motor recovery following spinal cord injury due to lack of axonal regrowth below the level of injury as well as an inability to reinitiate spinal neurogenesis. However, some anamniotes including the zebrafish Danio rerio exhibit both sensory and functional recovery even after complete transection of the spinal cord. The adult zebrafish is an established model organism for studying regeneration following spinal cord injury, with sensory and motor recovery by 6 weeks post-injury. To take advantage of in vivo analysis of the regenerative process available in the transparent larval zebrafish as well as genetic tools not accessible in the adult, we use the larval zebrafish to study regeneration after spinal cord transection. Here we demonstrate a method for reproducibly and verifiably transecting the larval spinal cord. After transection, our data shows sensory recovery beginning at 2 days post-injury (dpi), with the C-bend movement detectable by 3 dpi and resumption of free swimming by 5 dpi. Thus we propose the larval zebrafish as a companion tool to the adult zebrafish for the study of recovery after spinal cord injury.
Luria, Shai; Cohen, Avraham; Safran, Ori; Firman, Shimon; Liebergall, Meir
Immune system augmentation, using the antigen glatiramer acetate (GA), which is known to affect cellular immunity, has been shown to have a positive effect on peripheral nerve regeneration. We aimed to compare the effect of GA on the regeneration of crushed versus transected nerves. Wild-type rats underwent crush or transection and repair of the sciatic nerve. They were examined 3 weeks postinjury histologically (axon count) and functionally (tibialis anterior muscle weight and footprint analysis). GA was found to augment regeneration both histologically and functionally. In the transected nerve, a significant increase in axon count distal to the injury site was seen in the GA group versus control. A similar yet statistically insignificant trend was found in the crushed nerve. Improvement was found in the footprint analysis between the GA and control groups in both crush and transected nerve groups. We found improvement in the footprint analysis in the crush versus transection group. GA was found to improve the regeneration of the peripheral nerve. Histologically, this was more pronounced in the transection injury. The discrepancy between the different functional measures examined may be explained by the distance of the reinnervated muscles evaluated from the injury site.
... Châu và vùng Thái Bình Dương Hepatitis C Hepatitis C What is hepatitis C? Hepatitis C is a viral infection that ... can cure most cases of hepatitis C. Acute hepatitis C Acute hepatitis C is a short-term ...
... Châu và vùng Thái Bình Dương Hepatitis C Hepatitis A What is hepatitis A? Hepatitis A is a viral infection that ... spreading hepatitis A to others . How common is hepatitis A? In the United States, hepatitis A has ...
... Châu và vùng Thái Bình Dương Hepatitis C Hepatitis B What is hepatitis B? Hepatitis B is a viral infection that ... to prevent spreading hepatitis B to others . Acute hepatitis B Acute hepatitis B is a short-term ...
... Public Home » For Veterans and the Public Viral Hepatitis Menu Menu Viral Hepatitis Viral Hepatitis Home For ... the Public Veterans and Public Home How is Hepatitis C Treated? Find the facts about the newest ...
... Cholangitis Wilson Disease Liver Disease A-Z Autoimmune Hepatitis What is autoimmune hepatitis? Autoimmune hepatitis is a chronic—or long lasting— ... bacteria, viruses, toxins, and medications. What causes autoimmune hepatitis? A combination of autoimmunity, environmental triggers, and a ...
... with hepatitis? How does a pregnant woman pass hepatitis B virus to her baby? If I have hepatitis B, what does my baby need so that she ... Can I breastfeed my baby if I have hepatitis B? More information on viral hepatitis What is hepatitis? ...
Cho, Hyun Suk; Hong, Hye-Suk; Park, Mee Hyun; Ha, Hong Il; Yang, Ik; Lee, Yul; Jung, Ah Young; Hwang, Ji-Young
Objective Though a number of CT findings of bowel and mesenteric injuries in blunt abdominal trauma are described in literature, no studies on the specific CT signs of a transected bowel have been published. In the present study we describe the incidence and new CT signs of bowel transection in blunt abdominal trauma. Materials and Methods We investigated the incidence of bowel transection in 513 patients admitted for blunt abdominal trauma who underwent multidetector CT (MDCT). The MDCT findings of 8 patients with a surgically proven complete bowel transection were assessed retrospectively. We report novel CT signs that are unique for transection, such as complete cutoff sign (transection of bowel loop), Janus sign (abnormal dual bowel wall enhancement, both increased and decreased), and fecal spillage. Results The incidence of bowel transection in blunt abdominal trauma was 1.56%. In eight cases of bowel transection, percentage of CT signs unique for bowel transection were as follows: complete cutoff in 8 (100%), Janus sign in 6 (100%, excluding duodenal injury), and fecal spillage in 2 (25%). The combination of complete cutoff and Janus sign were highly specific findings in patients with bowel transection. Conclusion Complete cut off and Janus sign are the unique CT findings to help detect bowel transection in blunt abdominal trauma and recognition of these findings enables an accurate and prompt diagnosis for emergency laparotomy leading to reduced mortality and morbidity. PMID:23901318
Oh, Youkeun K.; Kreinbrink, Jennifer L.; Ashton-Miller, James A.; Wojtys, Edward M.
Background: The amount of resistance provided by the ACL (anterior cruciate ligament) to axial tibial rotation remains controversial. The goal of this study was to test the primary hypotheses that ACL transection would not significantly affect tibial rotation under the large impulsive loads associated with a simulated pivot landing but would increase anterior tibial translation. Methods: Twelve cadaveric knees (mean age of donors [and standard deviation] at the time of death, 65.0 ± 10.5 years) were mounted in a custom testing apparatus to simulate a single-leg pivot landing. A compound impulsive load was applied to the distal part of the tibia with compression (∼800 N), flexion moment (∼40 N-m), and axial tibial torque (∼17 N-m) in the presence of five trans-knee muscle forces. A differential variable reluctance transducer mounted on the anteromedial aspect of the ACL measured relative strain. With the knee initially in 15° of flexion, and after five combined compression and flexion moment (baseline) loading trials, six trials were conducted with the addition of either internal or external tibial torque (internal or external loading), and then six baseline trials were performed. The ACL was then sectioned, six baseline trials were repeated, and then six trials of either the internal or the external loading condition, whichever had initially resulted in the larger relative ACL strain, were carried out. Tibiofemoral kinematics were measured optoelectronically. The results were analyzed with a nonparametric Wilcoxon signed-rank test. Results: Following ACL transection, the increase in the normalized internal tibial rotation was significant but small (0.7°/N-m ± 0.3°/N-m to 0.8°/N-m ± 0.3°/N-m, p = 0.012), while anterior tibial translation increased significantly (3.8 ± 2.9 to 7.0 ± 2.9 mm, p = 0.017). Conclusions: ACL transection leads to a small increase in internal tibial rotation, equivalent to a 13% decrease in the dynamic rotational resistance
Königsrainer, Ingmar; Nadalin, Silvio; Königsrainer, Alfred
Successful hepatic resection requires profound anatomical knowledge and delicate surgical technique. Hemihepatectomies are mostly performed after preparing the extrahepatic hilar structures within the hepatoduodenal ligament, even in benign tumours or liver metastasis.1-5. Regional extrahepatic lymphadenectomy is an oncological standard in hilar cholangiocarcinoma, intrahepatic cholangio-cellular carcinoma and hepatocellular carcinoma, whereas lymph node metastases in the hepatic hilus in patients with liver metastasis are rarely occult. Major disadvantages of these procedures are the complex preparation of the hilus with the risk of injuring contralateral structures and the possibility of bleeding from portal vein side-branches or impaired perfusion of bile ducts. We developed a technique of right hemihepatectomy or resection of the left lateral segments with intrahepatic transection of the pedicle that leaves the hepatoduodenal ligament completely untouched. 6 However, if intraoperative visualization or palpation of the ligament is suspicious for tumor infiltration or lymph node metastasis, the hilus should be explored and a lymphadenectomy performed. PMID:20101200
... your doctor may want you to get the hepatitis B vaccine (and maybe the hepatitis A vaccine, too), if you don't already have these viruses. If you have hepatitis C, you are more likely to catch hepatitis A or hepatitis B, which would cause more damage to your liver. ...
Hepatitis C Overview By Mayo Clinic Staff Hepatitis C is a viral infection that causes liver inflammation, sometimes leading to serious liver damage. The hepatitis C virus (HCV) spreads through contaminated ...
Toxic hepatitis Overview By Mayo Clinic Staff Toxic hepatitis is an inflammation of your liver in reaction to certain substances to which you're exposed. Toxic hepatitis can be caused by alcohol, chemicals, drugs or ...
Hamid, Umar Imran; Jones, James Mark
Survival following tracheoesophageal transection is uncommon. Establishing a secure airway has the highest priority in trauma management. Understanding the mechanism of the incident can be a useful adjunct in predicting the likelihood and severity of specific anatomical patterns of injuries. We discuss published literature on combined tracheoesophageal injuries after blunt neck trauma and their outcome. A search of MEDLINE for papers published regarding tracheoesophageal injury was made. The literature search identified 14 such articles referring to a total of 27 patients. Age ranged from 3-73 years. The mechanism of injury was secondary to a rope/wire in 33%, metal bar in 4% of cases and unspecified in 63%. All of the patients were managed surgically. A number of tissues were used to protect the anastomosis including pleural and sternocleidomastoid muscle flaps. There were no reported mortalities. Patients with combined tracheoesophageal injury after blunt neck trauma require acute management of airway along with concomitant occult injuries.
Anderson, D.R.; Pospahala, R.S.
Unless a correction is made, population estimates derived from a sample of belt transects will be biased if a fraction of, the individuals on the sample transects are not counted. An approach, useful for correcting this bias when sampling immotile populations using transects of a fixed width, is presented. The method assumes that a searcher's ability to find objects near the center of the transect is nearly perfect. The method utilizes a mathematical equation, estimated from the data, to represent the searcher's inability to find all objects at increasing distances from the center of the transect. An example of the analysis of data, formation of the equation, and application is presented using waterfowl nesting data collected in Colorado.
... Problems : Hepatitis B Subscribe Translate Text Size Print Hepatitis B What is Hepatitis? Hepatitis means inflammation of the liver. This condition ... our related pages, Hepatitis A and Hepatitis C . Hepatitis B and HIV About 10% of people living ...
... transaminase enzyme levels Treatment There is no specific treatment for hepatitis A. You should rest when the symptoms are ... and have not had hepatitis A or the hepatitis A vaccine. Common reasons for getting one or both of these treatments include: You live with someone who has hepatitis ...
... Week of Healthy Breakfasts Shyness Anterior Cruciate Ligament (ACL) Injuries KidsHealth > For Teens > Anterior Cruciate Ligament (ACL) ... and Recovery Coping With an ACL Injury About ACL Injuries A torn anterior cruciate ligament (ACL) is ...
Miliam, Palle B; Basse, Peter N
Anterior tarsal tunnel syndrome is a rare entrapment neuropathy of the deep peroneal nerve beneath the extensor retinaculum of the ankle. It may be rare because it is underrecognized clinically.We present a case regarding a 29-year-old man, drummer, who for one and a half year experienced clinical symptoms of anterior tarsal tunnel syndrome. A surgical decompression of the anterior tarsal tunnel was performed, and at the check three months later the symptoms where gone. One year after, there were still no symptoms.
Monteagudo, B; Cabanillas, M; de las Heras, C; Cacharrón, J M
Anterior cervical hypertrichosis was described by Trattner and coworkers in 1991. It consists of a
C, JayanthKumar B; Sampath, Deepak; N, Hanumantha Reddy; Motukuru, Vishnu
Introduction: Vascular injury associated withclosed posterior elbow dislocations is rare and it usually occurs along with open dislocation, anterior dislocation, penetrating injuries, dislocations associated with fracture. We report such a case of closed posterior elbow dislocation with complete brachial artery rupture. Case Report: A 58 years old lady sustained posterior dislocation of right elbow following a fall at home. She presented three days later with complaints of severe pain, swelling around the right elbow and numbness of fingers following a closed reduction done elsewhere. Computed graft angiography showed complete transection of brachialartery. Patient was treated with thrombectomy, right great saphenous vein graft interposition repair of brachial artery and forearm fasciotomy. Conclusion: Vascular injuries associated with posterior elbow dislocation are very rare, but high index of suspicion of arterial injury need to be thought off and repeated vascular examination during pre and post reduction stage should be done to prevent complications. PMID:27299092
During the Lake Michigan 2015 Cooperative Science and Monitoring Initiative (CSMI), eight transects situated near tributaries that present a gradient of phosphorus loads were sampled from nearshore to offshore during May, July, and September. Our objective was to evaluate associa...
Holbrook, W.; Johnson, H. P.; Kent, G.; Keranen, K. M.; Tobin, H. J.; Trehu, A. M.
The Cascadia margin is the site of active subduction, where the Juan de Fuca plate subducts under the North American plate at a rate of ~35 mm/yr. This system is of great scientific and societal interest, as it is capable of very large (Mw~9) earthquakes, creates volcanic hazards in the Cascades, and hosts periodic episodic tremor and slip (ETS) episodes. Despite evidence that the system has generated large megathrust earthquakes, limited seismicity creates large uncertainties in the position, structure, and physical state of the plate boundary. The COAST (Cascadia Open-Access Seismic Transects) project conducted an open-access, open-participation 2D seismic survey of the Cascadia subduction margin off Grays Harbor, WA, that will provide benchmark seismic images to address key scientific issues regarding the location, physical state, fluid budget, and associated methane systems of the subducting plate boundary and overlying crust. We collected seismic reflection, multibeam bathymetric, sidescan sonar, gravity, and magnetic data on the Cascadia subduction margin from the R/V Langseth in July 2012 in a high-priority GeoPRISMS corridor off Grays Harbor, Washington. The cruise was open-participation, with an organized shipboard education and training program, and the data are open-access, with immediate, full release to the community of all geophysical data. Project goals include (1) determining the location of the offshore plate boundary, (2) constraining sediment subduction and plate boundary roughness, (3) estimating pore fluid pathways, (4) determining controls on methane distribution, and (5) imaging compressional and extensional structures that may pose geohazards on the Cascadia margin. Initial observations include the following: (1) The Pleistocene accretionary wedge is well imaged and shows landward-vergent thrust faulting throughout our survey area. An outboard series of ramp-and-thrust structures gives way to a region characterized by folds that separate
... Public Home » Hepatitis C » Hepatitis C Treatment Viral Hepatitis Menu Menu Viral Hepatitis Viral Hepatitis Home For ... Enter ZIP code here Enter ZIP code here Hepatitis C Treatment for Veterans and the Public Treatment ...
... an inflammation of the liver. One type, hepatitis A, is caused by the hepatitis A virus (HAV). The disease spreads through contact with ... washed in untreated water Putting into your mouth a finger or object that came into contact with ...
... commonly used with viral hepatitis and related conditions. Web Resources American Liver Foundation A national nonprofit organization ... other liver diseases through research, education, and advocacy. Web site features a database directory of hepatitis clinical ...
Lupoid hepatitis; Chronic acute liver disease ... This form of hepatitis is an autoimmune disease . The body's immune system cannot tell the difference between healthy body tissue and harmful, outside ...
... times more infectious than HIV. Which adults need hepatitis B vaccine? Any sexually active adult who is not in ... share needles, syringes, or other drug-injection equipment. Hepatitis B vaccine is available alone or in a combination with ...
... an inflammation of the liver. One type, hepatitis C, is caused by the hepatitis C virus (HCV). It usually spreads through contact with ... childbirth. Most people who are infected with hepatitis C don't have any symptoms for years. If ...
Ogholikhan, Sina; Schwarz, Kathleen B.
Viral hepatitis is a serious health problem all over the world. However, the reduction of the morbidity and mortality due to vaccinations against hepatitis A and hepatitis B has been a major component in the overall reduction in vaccine preventable diseases. We will discuss the epidemiology, vaccine development, and post-vaccination effects of the hepatitis A and B virus. In addition, we discuss attempts to provide hepatitis D vaccine for the 350 million individuals infected with hepatitis B globally. Given the lack of a hepatitis C vaccine, the many challenges facing the production of a hepatitis C vaccine will be shown, along with current and former vaccination trials. As there is no current FDA-approved hepatitis E vaccine, we will present vaccination data that is available in the rest of the world. Finally, we will discuss the existing challenges and questions facing future endeavors for each of the hepatitis viruses, with efforts continuing to focus on dramatically reducing the morbidity and mortality associated with these serious infections of the liver. PMID:26978406
Li, Hong-Ying; Ruan, Yi-Wen; Ren, Chao-Ran; Cui, Qi; So, Kwok-Fai
Secondary degeneration occurs commonly in the central nervous system after traumatic injuries and following acute and chronic diseases, including glaucoma. A constellation of mechanisms have been shown to be associated with secondary degeneration including apoptosis, necrosis, autophagy, oxidative stress, excitotoxicity, derangements in ionic homeostasis and calcium influx. Glial cells, such as microglia, astrocytes and oligodendrocytes, have also been demonstrated to take part in the process of secondary injury. Partial optic nerve transection is a useful model which was established about 13 years ago. The merit of this model compared with other optic nerve injury models used for glaucoma study, including complete optic nerve transection model and optic nerve crush model, is the possibility to separate primary degeneration from secondary degeneration in location. Therefore, it provides a good tool for the study of secondary degeneration. This review will focus on the research progress of the mechanisms of secondary degeneration using partial optic nerve transection model. PMID:25206855
Felli, Emanuele; Vennarecci, Giovanni; Santoro, Roberto; Guglielmo, Nicola; Ettorre, Giuseppe Maria
To perform hepatic surgery a precise preoperative and intraoperative study of liver vascular supply is mandatory. Detecting vascular variations may have great importance on surgical strategy and outcome, and details of anatomy do not concern only academical knowledge but become deeply involved in practice. We present a case of unusual blood supply to the liver, the common hepatic artery was directed to the right liver and a right hepatic artery originating from the superior mesenteric artery was directed to the left liver. The right hepatic artery crossed the common hepatic artery in the proximal part of the hepatic pedicle, anterior to the portal vein. To our knowledge this type of anatomical variation has not been described before and it represents a rare finding that has to be kept in mind, especially in case of major hepatectomies and more demanding splitting liver procedures such as A.L.P.P.S., in situ split, ex situ split and living donor liver transplantation.
... Navigation Bar Home Current Issue Past Issues Feature Hepatitis Hepatitis Can Strike Anyone Past Issues / Spring 2009 Table ... from all walks of life are affected by hepatitis, especially hepatitis C, the most common form of ...
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Warwick, R; Mediratta, N; Pullan, M; Chalmers, J; Poullis, M
Aortic transection injury is a frequently fatal injury secondary to sudden deceleration. To date magnitude of deceleration is the only factor known to influence the development of an aortic transection injury. We hypothesise that different 3D geometries of the aortic arch in healthy young adult patients as a possible predisposing factor for transection injuries when undergoing sudden deceleration. We extend this to hypothesise that the direction of deceleration may be important as well. In addition we hypothesise that the stage in the cardiac cycle, which determines central aortic blood pressure, when the deceleration occurs as an important factor. We utilise known engineering principles such as Newton's second Law of motion, moment of inertia, law of Laplace, and the theory of superposition to explain our hypothesis. We present limited data to demonstrate the wide variation in aortic arch 3D geometry to explain the possible an individual's variable susceptibility to transection injuries via the principle of moment of inertia. Engineering principles suggest that 3D aortic arch geometry, direction of deceleration and stage in the cardiac cycle, in addition to the magnitude of deceleration are potentially important factors in predisposing certain individuals in a given situation to aortic transaction injuries.
Reynolds, James B.; McLain, Douglas R.
A program for plotting bathythermograph transect data on a computer (IBM 1130) printer is available from the Great Lakes Fishery Laboratory. Temperature values are printed in positions proportional to their depths and distances from shore. Contour lines are drawn manually through the plotted points.
... inflammation of the liver.” This inflammation can be caused by a wide variety of toxins, drugs, and metabolic diseases, as well as infection. There are at least 5 hepatitis viruses. Hepatitis A is contracted when a child eats food or drinks water that is contaminated with the virus or has ...
... B to come back?Should I get the hepatitis B vaccine?What are the side effects of antiviral medicines?Will my liver ever be normal again? Last Updated: October 1996 This article ... B, hepatitis virus, Interferon alpha-2b, jaundice, Lamivudine, liver ...
DiDomenico, Lawrence A; Masternick, Eric B
Compression of the deep peroneal nerve is commonly referred to as anterior tarsal tunnel syndrome. Although rare, this syndrome remains poorly diagnosed. The syndrome is characterized by pain, weakness, and sensory changes of the foot and ankle. Non-operative measures should be attempted to reduce or remove the external compression along the anterior aspect of the foot and ankle. Other options include shoe modifications, cortisone injections,and physical therapy. If conservative management fails to relieve the symptoms, surgical decompression of the entrapped nerve can be performed. The deep peroneal nerve is released from compressive forces in the entrapment site. This can be performed at the more proximal level at the extensor retinaculum or more distally at the level of the tarsal metatarsal site.
Pitzer, G; Oursin, C; Wolfensberger, M
An anterior neopharyngeal pseudodiverticulum is a mucosal pouch located between the tongue and hypopharynx due to an epiglottis-like posterior tissue band that forms after total laryngectomy. This condition has rarely been mentioned in literature. Incidence, symptoms, treatment, and possible etiologic factors were examined. Twenty post-laryngectomy patients were questioned about swallowing disorders and were examined clinically and by barium swallow. Eleven patients were found to have a pseudodiverticulum, of which 9 patients suffered from dysphagia. We found no correlation between the formation of a pseudodiverticulum and radiotherapy or post-laryngectomy complications. All symptomatic patients were treated by dissecting the posterior tissue band endoscopically with a CO2-laser, bringing complete relief of symptoms in 8 of 9 patients. Our study showed that the anterior pseudodiverticulum can be a frequent cause of dysphagia after laryngectomy. It can easily be diagnosed clinically and radiologically. Endoscopic treatment with a CO2-laser is simple and effective.
LLopis, Eva; Padrón, Mario
Anterior knee pain is a common complain in all ages athletes. It may be caused by a large variety of injuries. There is a continuum of diagnoses and most of the disorders are closely related. Repeated minor trauma and overuse play an important role for the development of lesions in Hoffa's pad, extensor mechanism, lateral and medial restrain structures or cartilage surface, however usually an increase or change of activity is referred. Although the direct relation of cartilage lesions, especially chondral, and pain is a subject of debate these lesions may be responsible of early osteoarthrosis and can determine athlete's prognosis. The anatomy and biomechanics of patellofemoral joint is complex and symptoms are often unspecific. Transient patellar dislocation has MR distinct features that provide evidence of prior dislocation and rules our complication. However, anterior knee pain more often is related to overuse and repeated minor trauma. Patella and quadriceps tendon have been also implicated in anterior knee pain, as well as lateral or medial restraint structures and Hoffa's pad. US and MR are excellent tools for the diagnosis of superficial tendons, the advantage of MR is that permits to rule out other sources of intraarticular derangements. Due to the complex anatomy and biomechanic of patellofemoral joint maltracking is not fully understood; plain films and CT allow the study of malalignment, new CT and MR kinematic studies have promising results but further studies are needed. Our purpose here is to describe how imaging techniques can be helpful in precisely defining the origin of the patient's complaint and thus improve understanding and management of these injuries.
Zhang, Guixin; Pizarro, Ivonne Vidal; Swain, Gary P.; Kang, Shin H.; Selzer, Michael E.
After spinal cord transection, lampreys recover functionally and axons regenerate. It is not known whether this is accompanied by neurogenesis. Previous studies suggested a baseline level of non-neuronal cell proliferation in the spinal cord and rhombencephalon (where most supraspinal projecting neurons are located). To determine whether cell proliferation increases after injury and whether this includes neurogenesis, larval lampreys were spinally transected and injected with BrdU at 0-3 weeks post-transection. Labeled cells were counted in the lesion site, within 0.5 mm rostral and caudal to the lesion, and in the rhombencephalon. One group of animals was processed in the winter, and a second group was processed in the summer. The number of labeled cells was greater in winter than in summer. The lesion site had the most BrdU labeling at all times, correlating with an increase in the number of cells. In the adjacent spinal cord the percentage of BrdU labeling was higher in the ependymal than in non-ependymal regions. This was also true in the rhombencephalon but only in summer. In winter, BrdU labeling was seen primarily in the subventricular and peripheral zones. Some BrdU-labeled cells were also double-labeled by antibodies to glial-specific (anti-keratin) as well as to neuron-specific (anti-Hu) antigens, indicating that both gliogenesis and neurogenesis occurred after spinal cord transection. However, the new neurons were restricted to the ependymal zone, were never labeled by anti-neurofilament antibodies, and never migrated away from the ependyma, even at 5 weeks after BrdU injection. They would appear to be CSF-contacting neurons. PMID:24151158
Lambrechts, David L.; Wellens, Francis; Vercoutere, Rik A.; De Geest, Raf
We report a case of life-threatening aortic transection with concomitant mitral papillary muscle rupture and severe lung contusion caused by a failed parachute jump. This blunt thoracic injury was treated by early stabilization with extracorporeal membrane oxygenation followed by successful delayed graft repair of the descending aorta and mitral valve replacement with a mechanical prosthesis. (Tex Heart Inst J 2003;30:65–7) PMID:12638675
... bowel movements Loss of appetite Low-grade fever Dark urine Joint pain Yellowing of the skin and ... person ingests even tiny amounts of contaminated fecal matter. The hepatitis A virus infects liver cells and ...
... is a condition that causes temporary worsening of brain function in people with advanced liver disease. When ... travel through your body until they reach your brain, causing mental and physical symptoms of HE. Hepatic ...
... with a positive-sense, single-stranded ribonucleic acid (RNA) genome. The virus has at least 4 different ... RT-PCR) to detect the hepatitis E virus RNA in blood and/or stool; this assay requires ...
Heneghan, Michael A; Yeoman, Andrew D; Verma, Sumita; Smith, Alastair D; Longhi, Maria Serena
Autoimmune hepatitis is a disease of the hepatic parenchyma that can present in acute or chronic forms. In common with many autoimmune diseases, autoimmune hepatitis is associated with non-organ-specific antibodies in the context of hepatic autoimmunity. This dichotomy has made definition of a unifying hypothesis in the pathophysiology of the disease difficult, although data from the past 8 years have drawn attention to the role of regulatory T cells. Several triggers have been identified, and the disease arises in genetically susceptible individuals. Clinical and biochemical remission is achievable in up to 85% of cases. For the remaining patients, alternative immunosuppression strategies are an option. Liver transplantation provides an excellent outcome for patients with acute liver failure or complications of end-stage liver disease, including hepatocellular carcinoma. Variant or overlapping syndromes are worthy of consideration when unexpected disease features arise.
Doulatyari, Behnam; Basso, Stefano; Schirmer, Mario; Botter, Gianluca
Ecohydrological processes occurring within fluvial landscapes are strongly affected by natural streamflow variability. In this work the patterns of vegetation biomass in two rivers characterized by contrasting flow regimes were investigated by means of a comprehensive stochastic model which explicitly couples catchment-scale hydroclimatic processes, morphologic attributes of the river transect and in-stream bio-ecological features. The hydrologic forcing is characterized by the probability distribution (pdf) of streamflows and stages resulting from stochastic precipitation dynamics, rainfall-runoff transformation and reach scale morphologic attributes. The model proved able to reproduce the observed pdf of river flows and stages, as well as the pattern of exposure/inundation along the river transect in both regimes. Our results suggest that in persistent regimes characterized by reduced streamflow variability, mean vegetation biomass is chiefly controlled by the pattern of groundwater availability along the transect, leading to a marked transition between aquatic and terrestrial environments. Conversely, erratic regimes ensure wider aquatic-terrestrial zones in which optimal elevation ranges for species with different sensitivity to flooding and access to groundwater are separated. Patterns of mean biomass in erratic regimes were found to be more sensitive to changes in the underlying hydroclimatic conditions, notwithstanding the reduced responsiveness of the corresponding flow regimes. The framework developed highlights the important role played by streamflow regimes in shaping riverine environments, and may eventually contribute to identifying the influence of landscape, climate and morphologic features on in-stream ecological dynamics.
A northeast-southwest structural transect has been constructed across the Rocky Mountain foreland in Wyoming, a distance of about 400 mi. The line of transect begins in the northern Black Hills and traverses the northern Powder River basin, the Bighorn Mountains from Buffalo to Bonanza, the Big Horn basin from Worland to Hamilton dome, the Owl Creek Mountains, the northern Wind River basin at Maverick Springs, the Wind River Mountains to Pinedale in the Green River basin, the Moxa Arch at Big Piney and Riley Ridge, and into the thrust belt, ending at the Idaho border. In terms of a vertical and horizontal scale of 1 in. = 2000 ft, the section is about 90 ft long (i.e., the section is approximately 409 mi long). The data base for the transect includes published geologic maps, commercial photogeologic mapping, well data, and modern seismic data through critical parts of the basin areas. The data base provides an excellent found for analyzing structural relationships on both a regional and a local scale. Regional horizontal shortening of the foreland has occurred primarily through basement-involved displacements on basin-boundary megathrusts, which separate the mountain ranges from sedimentary basins, and on the smaller, intrabasin thrusts, which produced the anticlinal traps for Paleozoic oil accumulations.
McDonald, T J; Li, C; Vincent, S E; Nijland, M J
Experiments in several species indicate that the hippocampus influences hypothalamo-pituitary-adrenal (HPA) axis function. In fetal sheep, simultaneous ACTH and cortisol rises over the last 30 days of gestation peak at term and are necessary for birth. We hypothesized that if the fetal hippocampal formation is functional in late gestation, loss of hippocampal input to the HPA axis following fetal fornix transection would change gestation length in comparison to controls. At 118-121 days of gestation (dG), stereotaxic technique was used in fetal sheep to sham transect (SHAM; n = 8) or transect (FXTX; n = 6) the dorsal fornix at the level of the hippocampal commissure. No differences were found between SHAM and FXTX fetuses in daily hormone profiles over the last week of gestation or in gestation length (148.0 +/- 1.2 vs. 149.0 +/- 0.4 dG, respectively). We conclude that the fetal hippocampus is immature in late gestation and we speculate that an immature hippocampus is necessary for the loss of negative feedback control that gives rise to the long term, simultaneous increases in ACTH and cortisol that are indispensable for labor and delivery at term in sheep.
Krawczynski, K; Aggarwal, R; Kamili, S
Hepatitis E, previously known as enterically transmitted non-A, non-B hepatitis, is an infectious viral disease with clinical and morphologic features of acute hepatitis. Its causative agent, hepatitis E virus, consists of small, 32- to 34-nm diameter, icosahedral, nonenveloped particles with a single-stranded, positive-sense, 7.5-kb RNA. The virus has two main geographically distinct strains, Asian and Mexican; recently, novel isolates from nonendemic areas and a genetically related swine HEV have been described. HEV is responsible for large epidemics of acute hepatitis and a proportion of sporadic hepatitis cases in the Indian subcontinent, southeast and central Asia, the Middle East, parts of Africa, and Mexico. The virus is excreted in feces and is transmitted predominantly by fecal-oral route, usually through contaminated water. Person-to-person transmission is uncommon. Clinical attack rates are the highest among young adults. Recent evidence suggests that humans with subclinical HEV infection and animals may represent reservoirs of HEV; however, further data are needed. Diagnosis of hepatitis E is usually made by detection of specific IgM antibody, which disappears rapidly over a few months; IgG anti-HEV persists for at least a few years. Clinical illness is similar to other forms of acute viral hepatitis except in pregnant women, in whom illness is particularly severe with a high mortality rate. Subclinical and unapparent infections may occur; however, chronic infection is unknown. No specific treatment is yet available. Use of clean drinking water and proper sanitation is currently the most effective method of prevention. Passive immunization has not been proved to be effective, and recombinant vaccines for travelers to disease-endemic areas and for pregnant women currently are being developed.
Dottan, S; Levartovsky, S; Oliver, M
Pars plana anterior vitrectomy was performed in 9 patients with shallow anterior chamber after cataract extraction. Five patients had choroidal and/or ciliary body effusion (CCBE), and 4 had aphakic pupillary block (APB). Vitrectomy was performed only after medical treatment failed to restore a normal anterior chamber depth. In all patients the anterior chamber restored during surgery and remained so thereafter, although in patients with CCBE, the fundal pathology subsided days or even months later. The only surgical complication was a longstanding cystoid macular oedema in one patient. Pars plana vitrectomy would appear to have advantages over other surgical techniques, in similar circumstances.
Bedi, Asheesh; Chen, Tony; Santner, Thomas J; El-Amin, Saadiq; Kelly, Natalie H; Warren, Russell F; Maher, Suzanne A
The effects of tears of the anterior cruciate ligament on knee kinematics and contact mechanics during dynamic everyday activities, such as gait, remains unclear. The objective of this study was to characterize anterior cruciate ligament–deficient knee contact mechanics and kinematics during simulated gait. Nine human cadaveric knees were each augmented with a sensor capable of measuring dynamic normal contact stresses on the tibial plateau, mounted on a load-controlled simulator, and subjected to physiological, multidirectional, dynamic loads to mimic gait. Using a mixed model with random knee identifiers, confidence intervals were constructed for contact stress before and after anterior cruciate ligament transection at two points in the gait cycle at which axial force peaked (14% and 45% of the gait cycle). Kinematic and contact mechanics changes after anterior cruciate ligament transection were highly variable across knees. Nonetheless, a statistically significant increase in contact stress in the posterior–central aspect of the medial tibial plateau at 45% of the gait cycle was identified, the location of which corresponds to the location of degenerative changes that are frequently found in patients with chronic anterior cruciate ligament injury. The variability in the contact stress in other regions of the medial plateau at 45% of the gait cycle was partly explained by the variations in osseous geometry across the nine knees tested. At 14% of gait, there was no significant change in peak contact stress after anterior cruciate ligament transection in any of the four quadrants, and none of the possible explanatory variables showed statistical significance. Understanding the variable effect of anterior cruciate ligament injury on contact mechanics based on geometric differences in osseous anatomy is of paramount clinical importance and may be invaluable to select the best reconstruction techniques and counsel patients on their individual risk of subsequent
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Adams, D. K.; Bennett, R. A.; Perez, O. R.; Minjarez, C.; Serra, Y. L.; Quintanar, A.; Alatorre, L.; Granados, A.; Vazquez, G. E.
The need for meteorology observations in Northwest Mexico strongly motivated the North American Monsoon GPS TRANSECT Experiment 2013; however, the goals of this experiment are much broader. The GNSS/GPS technique for providing water vapor measurements has now been used for almost two decades, particularly for validation, observational studies and forecasting. These studies suggest the technique provides total column water vapor with high accuracy and with a high degree of stability over time making it very useful for many research applications over a variety of time scales. The Experiment has two principal scientific aims: (1) to address basic science questions regarding the role of water vapor fluxes in the SMO in initiating deep convection and growth into MCSs by utilizing a novel measurement technique. (2) to improve NAM operational forecasts through PWV data assimilation Broader impacts of the experiment also include strengthening the international long-term collaborative efforts between Mexico and the US focusing on the climate and meteorology of Northwest Mexico and the Southwest US. 10 GPS meteorological stations in addition to 7 existing Suominet sites (http://www.suominet.ucar.edu/) . were arranged in 3 specific transects, each with a particular observational goal. To cover the highest reaches of the SMO, a transect from Bahía de Kino to Chihuahua City was constructed providing the opportunity to evaluate convective initiation and the diurnal cycle of precipitable water vapor fields over complex terrain. The second transect along the Gulf of California (GoC) coastal plains was motivated by the need to capture of low-level moisture "gulf surges" propagating up the GoC in addition to other tropical disturbances. The third transect, Los Mochis to Badiraguato, captures the strong precipitation gradient between the GoC and the foothills of Sinaloa. We present initial results on the diurnal cycle of precipitable water vapor as a function of elevation for both
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Nemeth, Gabor; Hassan, Ziad; Berta, Andras; Modis, Laszlo
We report an anterior megalophthalmos case with decreased corneal thickness and show the findings using Scheimpflug imaging. A 25-year-old male was diagnosed with anterior megalophthalmos. In both eyes, enlarged corneal length was measured. Beside a comparatively good visual acuity, a thin but clear cornea, a fairly deep anterior chamber, and central lens opacity were found. Scheimpflug images were taken using Pentacam HR. Scheimpflug-based imaging can provide us new data at the examination of this syndrome affecting the whole anterior segment. PMID:23275220
Liu, Zhenlong; Hu, Xiaoqing; Man, Zhentao; Zhang, Jiying; Jiang, Yanfang; Ao, Yingfang
Though many surgical animal models have been used to induce osteoarthritis (OA) of the knee joint, they always open the capsule of the joint. Any surgical procedures that incises the capsule may cause inflammation, pain, and possibly altered gait. One common disadvantage of these surgically induced animal models is that they may affect the initial structures and synovial fluid in joint. These animal models may not be suitable for research into synovial fluid changes during early OA. This study aimed to create an animal model of early OA by resecting the medial collateral ligament (MCL) outside of the capsule. At 1, 2, 3, 4, 5 and 6 weeks after surgery, eight knees from each group were harvested. The joint gap was measured on posteroanterior radiographs after MCL-transection (MCLT). Gross examination and histological analysis were performed to evaluate cartilage damage to the medial femoral condyles, and knee joints were scanned using a Micro-CT system. The MCLT group experienced early stage OA from 3 to 6 weeks according to the histological scores. IL-6, MMP-1 and MMP-13 content in the synovial fluid were higher after MCLT than anterior cruciate ligament transection (ACLT) at 1 and 2 weeks. PMID:27756901
Altman, Gregory (Inventor); Kaplan, David (Inventor); Vunjak-Novakovic, Gordana (Inventor); Martin, Ivan (Inventor)
The present invention provides a method for producing an anterior cruciate ligament ex vivo. The method comprises seeding pluripotent stem cells in a three dimensional matrix, anchoring the seeded matrix by attachment to two anchors, and culturing the cells within the matrix under conditions appropriate for cell growth and regeneration, while subjecting the matrix to one or more mechanical forces via movement of one or both of the attached anchors. Bone marrow stromal cells are preferably used as the pluripotent cells in the method. Suitable matrix materials are materials to which cells can adhere, such as a gel made from collagen type I. Suitable anchor materials are materials to which the matrix can attach, such as Goinopra coral and also demineralized bone. Optimally, the mechanical forces to which the matrix is subjected mimic mechanical stimuli experienced by an anterior cruciate ligament in vivo. This is accomplished by delivering the appropriate combination of tension, compression, torsion, and shear, to the matrix. The bioengineered ligament which is produced by this method is characterized by a cellular orientation and/or matrix crimp pattern in the direction of the applied mechanical forces, and also by the production of collagen type I, collagen type III, and fibronectin proteins along the axis of mechanical load produced by the mechanical forces. Optimally, the ligament produced has fiber bundles which are arranged into a helical organization. The method for producing an anterior cruciate ligament can be adapted to produce a wide range of tissue types ex vivo by adapting the anchor size and attachment sites to reflect the size of the specific type of tissue to be produced, and also adapting the specific combination of forces applied, to mimic the mechanical stimuli experienced in vivo by the specific type of tissue to be produced. The methods of the present invention can be further modified to incorporate other stimuli experienced in vivo by the
Rivitz, S. Mitchell; Waltman, Arthur C.; Kelsey, Peter B.
Vascular injuries during laparoscopic cholecystectomy can occur in an analogous fashion to biliary injuries, with potential laceration, transection, and occlusion of blood vessels. A patient presented with symptomatic hemobilia 1 month following laparoscopic cholecystectomy and was found to have a right hepatic artery pseudoaneurysm which communicated with the common bile duct. This was successfully embolized with several embolic agents, resulting in rapid resolution of all signs and symptoms. The patient has been free of symptoms during a follow-up period of 1 year. A brief discussion of hepatic artery pseudoaneurysms is presented.
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Orozco-Gutiérrez, Mario H; Sánchez-Corona, José; García-Ortiz, José E; Castañeda-Cisneros, Gema; Dávalos-Rodríguez, Nory O; Corona-Rivera, Jorge R; García-Cruz, Diana
The non-syndromic anterior cervical hypertrichosis (OMIM N° 600457) is a genetic disorder characterized by a patch of hair at the level of the laryngeal prominence. We present a 12-year-old boy with anterior cervical hypertrichosis and mild generalized hypertrichosis. He has no neurological, ophthalmological or skeletal anomalies. The clinical follow up is 10 years.
Schnecker, Jörg; Wild, Birgit; Eloy Alves, Ricardo J.; Gentsch, Norman; Gittel, Antje; Knoltsch, Anna; Lashchinskiy, Nikolay; Mikutta, Robert; Takriti, Mounir; Richter, Andreas
Decomposition of soil organic matter (SOM) and thus carbon and nutrient cycling in soils is mediated by the activity of extracellular enzymes. The specific activities of these enzymes and their ratios to each other represent the link between the composition of soil organic matter and the nutrient demand of the microbial community. Depending on the difference between microbial nutrient demand and substrate availability, extracellular enzymes can enhance or slow down different nutrient cycles in the soil. We investigated activities of six extracellular enzymes (cellobiohydrolase, leucine-amino-peptidase, N-acetylglucosaminidase, chitotriosidase, phosphatase and phenoloxidase) in the topsoil organic horizon, topsoil mineral horizon and subsoil horizon in seven ecosystems along a 1,500 km-long North-South transect in Western Siberia. The transect included sites in the southern tundra, northern taiga, middle taiga, southern taiga, forest-steppe (in forested patches as well as in adjacent meadows) and Steppe. We found that enzyme patterns varied stronger with soil depth than between ecosystems. Differences between horizons were mainly based on the increasing ratio of oxidative enzymes to hydrolytic enzymes. Differences between sites were more pronounced in topsoil than in subsoil mineral horizons, but did not reflect the north-south transect and the related gradients in temperature and precipitation. The observed differences between sites in topsoil horizons might therefore result from differences in vegetation rather than climatic factors. The decreasing variability in the enzyme pattern with depth might also indicate that the composition of soil organic matter becomes more similar with soil depth, most likely by an increasing proportion of microbial remains compared to plant derived constituents of SOM. This also indicates, that SOM becomes less divers the more it is processed by soil microorganisms. Our findings highlight the importance of soil depth on enzyme
Piwosz, Kasia; Spich, Katarzyna; Całkiewicz, Joanna; Weydmann, Agata; Kubiszyn, Anna M; Wiktor, Józef M
Phytoflagellates <10 μm substantially contribute to the abundance, biomass and primary production in polar waters, but information on the distribution of specific groups is scarce. We applied catalysed reporter deposition-fluorescence in situ hybridization to investigate the distribution of total phytoflagellates and of eight specific groups along a 100 km transect west off Kongsfjorden (Spitsbergen) from 29 to 31 July 2010. Phytoflagellates contributed to >75% of the depth-integrated abundance and biomass of total eukaryotes <10 μm at all stations. Their depth-integrated abundance and biomass decreased along the transect from 1.5 × 10(12) cells m(-2) (6.6 × 10(12) pgC m(-2) ) at the outermost station to 1.7 × 10(10) cells m(-2) (4.7 × 10(10) pgC m(-2) ) at the innermost station. Chlorophytes contributed to the total abundance of phytoflagellates with a range from 13% to 87% (0.7-30.5 × 10(3) cells ml(-1) ), and predominated in open waters. The contribution of haptophytes was < 1-38% (10-4500 cells ml(-1) ). The other groups represented <10%. The temperature and salinity positively correlated with the total abundance of phytoflagellates, chlorophytes, haptophytes, bolidophytes and pelagophytes. Cryptophytes, pedinellids and pavlovophytes were negatively associated with the nutrient concentrations. The community composition of phytoflagellates changed along the transect, which could have implications on food web dynamics and biogeochemical cycles between the open ocean environment and Kongsfjorden investigated here.
Carbonell, Ramon; Gallart, Josep; Díaz, Jordi; Gil, Alba; Harnafi, Mimoun; Ouraini, Fadila; Ayarza, Puy; Teixell, Antonio; Arboleya, Maria Luisa; Palomeras, Imma; Levander, Alan
Two controlled-source wide angle seismic reflection experiments have been acquired recently (2010 and 2011) in northern Africa across Morocco. A lithospheric scale transect can be constructed by joining both data sets. Hence, an approximately 700 km-long seismic velocity cross section can be derived. From south-to-north the transect goes from the Sahara Platform, south of Merzouga, to Tanger in the north. The first experiment, SIMA, aimed to constrain the crustal structure across the Atlas Mountains. The Rif, the orogenic belt located just south of the coast of Alboran Sea, was the target of the second experiment, RIFSIS. In both cases 900 recording instruments (TEXANS) from the IRIS-PASSCAL instrument center were used to record the acoustic energy generated by explosion shots. In both experiments the shots consisted of 1 TM of explosives fired in ~30 m deep boreholes. Although the data quality varies from shot to shot, key seismic phases as Pg, PmP, Pn, and a few intra-crustal arrivals have been identified to constrain the velocity-depth structure along the whole transect. Forward modelling of the seismic reflection/refraction phases reveals a crust consisting of 3 layers in average. The Moho topography shows from south to north a relatively moderate crustal root beneath the High Atlas, which can reach 40-42 km depth. The crust is thicker beneath the Rif where the Moho is imaged as an asymmetric feature that locally defines a crustal root reaching depths of 50 km and suggesting a crustal imbrication. P wave velocities are rather low in the crust and upper mantle. First arrivals/reflections tomography supports the forward modelling results. Low fold wide-angle stacks obtained by using hyperbolic move-out reveals the geometry of the Moho along the entire transect. Beneath the Atlas, the moderate crustal root inferred is not isostatically consistent with the high surface elevations, hence supporting the idea of a 'mantle plume' as main contributor to the Atlas
Semprini, L.; Kruger, P.
Radon and ammonia transects, conducted at the Cerro Prieto geothermal field, involve measurement of concentration gradients at wells along lines of structural significance in the reservoir. Analysis of four transects showed radon concentrations ranging from 0.20 to 3.60 nCi/kg and ammonia concentrations from 17.6 to 59.3 mg/l. The data showed the lower concentrations in wells of lowest enthalpy fluid and the higher concentrations in wells of highest enthalpy fluid. Linear correlation analysis of the radon-enthalpy data indicated a strong relationship, with a marked influence by the two-phase conditions of the produced fluid. It appears that after phase separation in the reservoir, radon achieves radioactive equilibrium between fluid and rock, suggesting that the phase separation occurs well within the reservoir. A two-phase mixing model based on radon-enthalpy relations allows estimation of the fluid phase temperatures in the reservoir. Correlations of ammonia concentration with fluid enthalpy suggests an equilibrium partitioning model in which enrichment of ammonia correlates with higher enthalpy vapor.
VICENTINE, Fernando Pompeu Piza; GONZALEZ, Adriano Miziara; de AZEVEDO, Ramiro Anthero; BENINI, Barbara Burza; LINHARES, Marcelo Moura; LOPES-FILHO, Gaspar de Jesus; MARTINS, Jose Luiz; SALZEDAS-NETTO, Alcides Augusto
ABSTRACT Background: Surgical strategy to increase the number of liver transplants in the pediatric population is the ex-situ liver transection (reduction or split). However, it is associated with complications such as hemorrhage and leaks. The human fibrinogen and thrombin sponge is useful for improving hemostasis in liver surgery. Aim: Compare pediatric liver transplants with ex-situ liver transection (reduction or split) with or without the human fibrinogen and thrombin sponge. Methods: Was performed a prospective analysis of 21 patients submitted to liver transplantation with ex-situ liver transection with the application of the human fibrinogen and thrombin sponge in the wound area (group A) and retrospective analysis of 59 patients without the sponge (group B). Results: The characteristics of recipients and donors were similar. There were fewer reoperations due to bleeding in the wound area in group A (14.2%) compared to group B (41.7%, p=0.029). There was no difference in relation to the biliary leak (group A: 17.6%, group B: 5.1%, p=0.14). Conclusion: There was a lower number of reoperations due to bleeding of the wound area of the hepatic graft when the human fibrinogen and thrombin sponge were used. PMID:28076477
Arabi, Mohammad; Mat’hami, Abdulaziz; Said, Mohammad T.; Bulbul, Muhammad; Haddad, Maurice; Al-Kutoubi, Aghiad
Management of complex ureteric transection poses a significant clinical challenge, particularly after gunshot injuries due to marked distortion of anatomy and associated tissue loss. We report two cases of total ureteric transection due to gunshot injury successfully repaired using fluoroscopy-guided rendezvous procedure and double J stent placement. This minimally invasive approach may offer a safe and effective technique to repair complete ureteral transection and obviate the need for complex surgical procedures. PMID:26955601
For the purposes of research and/or evaluation, a society is organised into 13 basic societal functions (BSFs) within an overall Coordination and Control system. This organisation facilitates transectional descriptions of society or a component of a society for assessment at any given time across the longitudinal phases of a disaster. An assessment results in a picture or description of function(s) limited to the point in time of the assessment. Together with simultaneous assessments of the functional status of all, some, or one of the other BSFs, such assessments deliver a transectional picture of the situation of a society. Since no function operates in isolation from the other functions, information of the concomitant status of several BSFs is crucial to gain a better understanding of functional losses and of the effects and side effects of an intervention. The 13 BSFs include: (1) Public Health (dominantly preventive); (2) Medical Care (dominantly curative); (3) Water and Sanitation; (4) Shelter and Clothing; (5) Food and Nutrition; (6) Energy Supplies; (7) Public Works and Engineering; (8) Social Structure; (9) Logistics And Transportation; (10) Security; (11) Communications; (12); Economy; and (13) Education. These BSFs relate with each other through the Coordination and Control function. Many functions of the BSFs and their respective subfunctions and elements overlap (they share some common subfunctions and elements). However, for the purposes of research/evaluation, it is necessary to assign subfunctions and elements to only one of the BSFs. Just as in the practice of clinical medicine, the sum of assessments provides the transectional description of the status of each of these BSFs at a given time. From this information, compared to the pre-event description of the society, interventions are selected that are likely to meet the defined objectives and their overarching goal(s), and respective plans are developed and implemented. The effects of each
Garrick, James G.
This article presents a pragmatic approach to the definition, diagnosis, and management of anterior knee pain. Symptoms and treatment are described. Emphasis is on active involvement of the patient in the rehabilitation exercise program. (IAH)
Burnham, K.P.; Anderson, D.R.
A general mathematical theory of line transects is develoepd which supplies a framework for nonparametric density estimation based on either right angle or sighting distances. The probability of observing a point given its right angle distance (y) from the line is generalized to an arbitrary function g(y). Given only that g(O) = 1, it is shown there are nonparametric approaches to density estimation using the observed right angle distances. The model is then generalized to include sighting distances (r). Let f(y/r) be the conditional distribution of right angle distance given sighting distance. It is shown that nonparametric estimation based only on sighting distances requires we know the transformation of r given by f(O/r).
Hepatitis B is also known as serum hepatitis and is spread through blood and sexual contact. It is ... population. This photograph is an electronmicroscopic image of hepatitis B virus particles. (Image courtesy of the Centers for ...
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Toxic hepatitis ... to get liver damage. Some drugs can cause hepatitis with small doses, even if the liver breakdown ... liver. Many different drugs can cause drug-induced hepatitis. Painkillers and fever reducers that contain acetaminophen are ...
Abernethy, D A; Thomas, P K; Rud, A; King, R H
It is known that regenerating axons emerging from the proximal stump of a transected nerve are attracted towards the distal stump. It is not certain whether this neurotropic effect is on the axons themselves or whether it is on supporting cells such as Schwann cells that the axons then follow. In order to investigate this question in rats, segments of the sciatic nerve were either isolated or removed and reinserted as grafts, and then sutured into the opposing ends of double-Y silicone tubes. In these tubes, a central conduit was formed by connecting the centrally facing limb of each Y tube. The nerve segments were sutured into one of the limbs at either end. The third limbs of the Y tubes formed side arms, one of which was left open; a plug of mobilised fatty connective tissue was sutured into the other. A gap of 6 mm was left between the cut ends and the fat pads (or openings from the side arms). After 2-3 wk a significantly greater outgrowth (P < 0.001) was found to link the nerve segments than to invade the side arms. The major cell component in the outgrowth was Schwann cells, supported by fibroblasts and capillaries and surrounded by a lamellated layer of flattened fibroblasts. The growth into the side arms had a looser cellular architecture and contained considerably fewer Schwann cells. The results strongly suggest the existence of mutual attraction between emigrant Schwann cells, or possibly endoneurial fibroblasts, from the 2 cut ends of transected nerves. This conclusion has implications for the guidance of axons across gaps in nerves. It does not exclude an additional neurotropic effect from the distal stump on axons. Images Fig. 2 Fig. 3 Fig. 4 Fig. 5 Fig. 6 Fig. 7 PMID:8014117
The study was conducted along a climatic transect extending from the Judaean mountains (mean annual rainfall, 700 mm; annual mean temperature, 17 °C) to the Dead Sea (mean annual rainfall, <100 mm; annual mean temperature, 23 °C). A high correlation was found between climatic conditions and factors and processes of the ecogeomorphological system. The values of certain factors and processes, such as soluble salt content and overland flow, increase with increasing aridity, whereas those of others, such as soil organic matter content, clay content, aggregate size and stability and infiltration rate, diminish with increasing aridity. These trends express the long-term effect of the prevailing mean climatic conditions in the research stations, conditions that led to the development of various types of soil and of plant communities. It was also found that for many of the factors and processes examined, such as organic matter content, salt concentration, aggregate stability, infiltration rate and overland flow yield, the rates of change with respect to position along the transect are not linear, and that a climatic threshold value exists in the zone with a mean annual rainfall of about 300 mm and in which the P/ T ratio is about 17, which creates a sharp boundary between arid and Mediterranean ecogeomorphological systems. While in arid systems, erosion occurs mainly through physical-mechanical processes, under Mediterranean systems, it is governed mainly by chemical and biological processes. The significance of the existence of a sharp boundary between the arid and the Mediterranean zones is that even a relatively slight increase in the annual mean temperature and/or a slight decrease in the mean annual rainfall is liable to shift the boundary towards the Mediterranean zone and accelerate desertification processes.
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Ersoy, Zeynep; Araz, Coşkun; Taşkın, Duygu; Moray, Gökhan; Torgay, Adnan
Central venous catheters are used for delivering medications and parenteral nutrition, measuring hemodynamic variations, and providing long-term intravenous access. In our clinic, during liver transection using a living-liver donor, peripherally inserted central venous catheters are generally preferred because they involve a less invasive technique with a lower risk of complications. In this report, we present the case of a 36-year-old male liver donor into whom we peripherally inserted a central venous catheter from his left basilic vein. After transecting the hepatic vein, the surgeon found foreign material inside the venous lumen, which turned out to be the distal segment of the catheter.
Wilson, R.R.; Twedt, D.J.; Elliott, A.B.
We compared the efficacy of 400-m line transects and sets of three point counts at detecting avian richness and abundance in bottomland hardwood forests and intensively managed cottonwood (Populus deltoides) plantations within the Mississippi Alluvial Valley. We detected more species and more individuals on line transects than on three point counts during 218 paired surveys conducted between 24 March and 3 June, 1996 and 1997. Line transects also yielded more birds per unit of time, even though point counts yielded higher estimates of relative bird density. In structurally more-complex bottomland hardwood forests, we detected more species and individuals on line transects, but in more-open cottonwood plantations, transects surpassed point counts only at detecting species within 50 m of the observer. Species richness and total abundance of Nearctic-Neotropical migrants and temperate migrants were greater on line transects within bottomland hardwood forests. Within cottonwood plantations, however, only species richness of Nearctic-Neotropical migrants and total abundance of temperate migrants were greater on line transects. Because we compared survey techniques using the same observer, within the same forest stand on a given day, we assumed that the technique yielding greater estimates of avian species richness and total abundance per unit of effort is superior. Thus, for monitoring migration within hardwood forests of the Mississippi Alluvial Valley, we recommend using line transects instead of point counts.
Steinke, Hanno; Saito, Toshiyuki; Herrmann, Gudrun; Miyaki, Takayoshi; Hammer, Niels; Sandrock, Mara; Itoh, Masahiro; Spanel-Borowski, Katharina
Gross dissection for demonstrating anatomy of the human pelvis has traditionally involved one of two approaches, each with advantages and disadvantages. Classic hemisection in the median plane through the pelvic ring transects the visceral organs but maintains two symmetric pelvic halves. An alternative paramedial transection compromises one side…
Preprosthetic movement of anterior teeth is often performed on patients with missing anterior teeth, providing a better basis for subsequent bridgework. This can often be achieved by horizontal tooth movements of a tipping or translatory art whilst other patients present problems of a vertical nature with a deep overbite inconsistent with a healthy periodontal status. Intrusive tooth movements are needed as changes in facial height are not tolerated. The importance of understanding the biological basis for tooth movements in the planning of the biomechanics is stressed. Forces should be monitored according to the amount of general and local bone loss.
... Loss Surgery? A Week of Healthy Breakfasts Shyness Hepatitis B (HBV) KidsHealth > For Teens > Hepatitis B (HBV) A A A What's in this article? ... poisons). There are several different types of hepatitis . Hepatitis B is a type that can move from one ...
Schäfer, Imke K.; Lanny, Verena; Franke, Jörg; Eglinton, Timothy I.; Zech, Michael; Vysloužilová, Barbora; Zech, Roland
Lipid biomarkers are increasingly used to reconstruct past environmental and climate conditions. Leaf-wax-derived long-chain n-alkanes and n-alkanoic acids may have great potential for reconstructing past changes in vegetation, but the factors that affect the leaf wax distribution in fresh plant material, as well as in soils and sediments, are not yet fully understood and need further research. We systematically investigated the influence of vegetation and soil depth on leaf waxes in litter and topsoils along a European transect. The deciduous forest sites are often dominated by the n-C27 alkane and n-C28 alkanoic acid. Conifers produce few n-alkanes but show high abundances of the C24 n-alkanoic acid. Grasslands are characterized by relatively high amounts of C31 and C33 n-alkanes and C32 and C34 n-alkanoic acids. Chain length ratios thus may allow for distinguishing between different vegetation types, but caution must be exercised given the large species-specific variability in chain length patterns. An updated endmember model with the new n-alkane ratio (n-C31 + n-C33) / (n-C27 + n-C31 + n-C33) is provided to illustrate, and tentatively account for, degradation effects on n-alkanes.
Pandit, A; Wang, A; McKay, S; Ackland, T
A 32-year-old man presented with chronic closed transection of the biceps brachii of the right arm after 30 months of conservative treatment. Magnetic resonance imaging showed atrophy of both long and short heads of the biceps brachii, with a 5-cm defect secondary to proximal and distal retraction on either side of the tear. There was a similar defect in the coracobrachialis, but the triceps brachii was normal. The self-rated overall arm status was 4 out of 10 (using a visual analogue scale). Objective functional deficit was measured using a dynamometer. Forearm flexion and supination strength of each arm at 120º/s was tested. The patient had a 34% deficit (40 vs. 61 Nm) in peak torque during forearm flexion and a 22% deficit (10 vs. 12 Nm) during forearm supination. The patient could not maintain maximal torque throughout the range of motion, with an approximately 50% deficit in the later part of the range of motion. The patient underwent reconstruction of the biceps brachii using an interposition Achilles tendon allograft.
Manning, A.J.; Schoellhamer, D.H.
A 147 km longitudinal transect of flocculated cohesive sediment properties in San Francisco Bay (SFB) was conducted on June 17th, 2008. Our aim was to determine the factors that control floc settling velocity along the longitudinal axis of the estuary. The INSSEV-LF video system was used to measure floc diameters and settling velocities at 30 stations at a distance of 0.7 m above the estuary bed. Floc sizes (D) ranged from 22 μm to 639 μm and settling velocities (Ws) ranged between 0.04 mm·s− 1 and 15.8 mm·s− 1 during the longitudinal transect. Nearbed turbulent shear stresses throughout the transect duration were within the 0.2–0.5 Pa range which typically stimulates flocculation growth. The individual D–Ws–floc density plots suggest the suspended sediments encountered throughout SFB were composed of both muddy cohesive sediment and mixed sediments flocs. Mass-weighted population mean settling velocity (Wsmass) ranged from 0.5 mm·s− 1 to 10 mm·s− 1. The macrofloc and microfloc (demarcation at 160 μm) sub-populations demonstrated parameterised settling velocities which spanned nearly double the range of the sample mean settling velocities (Wsmean). The macroflocs tended to dominate the suspended mass (up to 77% of the ambient suspended solid concentration; SSC) from San Pablo Bay to Carquinez Strait (the vicinity of the turbidity maximum zone). Microfloc mass was particularly significant (typically 60–100% of the SSC) in the northern section of South Bay and most of Central Bay. The transect took eleven hours to complete and was not fully synoptic. During slack tide, larger and faster settling flocs deposited, accounting for most of the longitudinal variability. The best single predictor of settling velocity was water velocity 39 min prior to sampling, not suspended-sediment concentration or salinity. Resuspension and settling lags are likely responsible for the lagged response of settling velocity to water velocity. The distribution of
Bassi, Shikha Talwar; Dasgupta, Abhrajit
A 53-year-old man with a history of alcoholism since 10 years admitted for jaundice elsewhere developed bilateral simultaneous decrease in vision in both the eyes 4 days after admission. His best-corrected visual acuity was 20/20 in both eyes. Visual field evaluation revealed an inferior altitudinal defect in both the eyes. Optic disc appearance, visual fields, and optical coherence tomography of discs were suggestive of nonarteritic anterior ischemic optic neuropathy (NAION) in both the eyes. Liver function tests revealed elevated serum bilirubin and hepatic enzymes. He was negative for hepatitis B virus (HBV) and hepatitis C virus (HCV) infection. Abdominal ultrasound revealed no focal hepatic lesion, and carotid doppler revealed no arteriosclerosis. A diagnosis of bilateral ischemic optic neuropathy associated with alcoholic hepatitis was made. Bilateral simultaneous NAION has been previously reported in perioperative visual loss, HCV infection, and interferon treatment. This is the first case report of bilateral simultaneous NAION in alcoholic hepatitis in the absence of associated infective viral hepatitis. We explore the pathophysiology of ischemic optic neuropathy in liver disease. An early intervention to correct the risk factors leading to NAION may help in preventing this vision-threatening complication in patients with chronic liver disease. PMID:25136231
Luzo, Marcus Vinicius Malheiros; Franciozi, Carlos Eduardo da Silveira; Rezende, Fernando Cury; Gracitelli, Guilherme Conforto; Debieux, Pedro; Cohen, Moisés
This updating article on the anterior cruciate ligament (ACL) has the aim of addressing some of the most interesting current topics in this field. Within this stratified approach, it contains the following sections: ACL remnant; anterolateral ligament and combined intra and extra-articular reconstruction; fixation devices; and ACL femoral tunnel creation techniques.
Ellenberg, D; Shi, J; Jain, S; Chang, J-H; Ripps, H; Brady, S; Melhem, E R; Lakkis, F; Adamis, A; Chen, D-F; Ellis-Behnke, R; Langer, R S; Strittmatter, S M; Azar, D T
Maintenance of ocular viability is one of the major impediments to successful whole-eye transplantation. This review provides a comprehensive understanding of the current literature to help guide future studies in order to overcome this hurdle. A systematic multistage review of published literature was performed. Three specific questions were addressed: (1) Is recovery of visual function following eye transplantation greater in cold-blooded vertebrates when compared with mammals? (2) Is outer retina function following enucleation and reperfusion improved compared with enucleation alone? (3) Following optic-nerve transection, is there a correlation between retinal ganglion cell (RGC) survival and either time after transection or proximity of the transection to the globe? In a majority of the studies performed in the literature, recovery of visual function can occur after whole-eye transplantation in cold-blooded vertebrates. Following enucleation (and reperfusion), outer retinal function is maintained from 4 to 9 h. RGC survival following optic-nerve transection is inversely related to both the time since transection and the proximity of transection to the globe. Lastly, neurotrophins can increase RGC survival following optic-nerve transection. This review of the literature suggests that the use of a donor eye is feasible for whole-eye transplantation.
Berry, M; Hunter, A S; Duncan, A; Lordan, J; Kirvell, S; Tsang, W L; Butt, A M
The anterior medullary velum (AMV) of adult Wistar rats was lesioned in the midsagittal plane, transecting all decussating axons including those of the central projection of the IVth nerve. At selected times up to 200 days after transection, the degenerative and regenerative responses of axons and glia were analyzed using transmission and scanning electron microscopy and immunohistochemistry. In particular, both the capacity of oligodendrocytes to remyelinate regenerated fibers and the stability of the CNS/PNS junctional zone of the IVth nerve rootlet were documented. Transected central AMV axons exhibited four patterns of fiber regeneration in which fibers grew: rostrocaudally in the reactive paralesion neuropil (Group 1); randomly within the AMV (Group 2); into the ipsilateral IVth nerve rootlet, after turning at the lesion edge and growing recurrently through the old degenerated contralateral central trochlear nerve trajectory (Group 3); and ectopically through paralesion tears in the ependyma onto the surface of the IVth ventricle (Group 4). Group 1-3 axons regenerated unperturbed through degenerating central myelin, reactive astrocytes, oligodendrocytes, microglia, and large accumulations of hematogenous macrophages. Only Group 3 axons survived long term in significant numbers, and all became myelinated by oligodendrocytes, ultimately establishing thin sheaths with relatively normal nodal gaps and intersegmental myelin sheath lengths. Schwann cells at the CNS/PNS junction of the IVth nerve rootlet did not invade the CNS, but astrocyte processes grew across the junction into the PNS portion of the IVth nerve. The basal lamina of the junctional glia limitans remained stable throughout the experimental period.
Garrett, Robert G.
The patterns of relative variability differ by transect and horizon. The N–S transect A-horizon soils show significant between-40-km scale variability for 29 elements, with only 4 elements (Ca, Mg, Pb and Sr) showing in excess of 50% of their variability at the within-40-km and ‘at-site’ scales. In contrast, the C-horizon data demonstrate significant between-40-km scale variability for 26 elements, with 21 having in excess of 50% of their variability at the within-40-km and ‘at-site’ scales. In 36 instances, the ‘at-site’ variability is statistically significant in terms of the sample preparation and analysis variability. It is postulated that this contrast between the A- and C- horizons along the N–S transect, that is dominated by agricultural land uses, is due to the local homogenization of Ap-horizon soils by tillage reducing the ‘at-site’ variability. The spatial variability is distributed similarly between scales for the A- and C-horizon soils of the E–W transect. For all elements, there is significant variability at the within-40-km scale. Notwithstanding this, there is significant between-40-km variability for 28 and 20 of the elements in the A- and C-horizon data, respectively. The differences between the two transects are attributed to (1) geology, the N–S transect runs generally parallel to regional strikes, whereas the E–W transect runs across regional structures and lithologies; and (2) land use, with agricultural tillage dominating along the N–S transect. The spatial analysis of the transect data indicates that continental-scale maps demonstrating statistically significant patterns of geochemical variability may be prepared for many elements from data on soil samples collected on a 40 x 40 km grid or similar sampling designs resulting in a sample density of 1 site per 1600 km2.
Anderson, D.R.; Burnham, K.P.; Crain, B.R.
Gates, Marshall, and Olson (1968) investigated the line transect method of estimating grouse population densities in the case where sighting probabilities are exponential. This work is followed by a simulation study in Gates (1969). A general overview of line transect analysis is presented by Burnham and Anderson (1976). These articles all deal with the ungrouped data case. In the present article, an analysis of line transect data is formulated under the Gates framework of exponential sighting probabilities and in the context of grouped data.
Austin, Jane E.; Guntenspergen, Glenn R.; Sklebar, H. Thomas; Buhl, T.K.
Wetland basins in the Prairie Pothole Region of the U.S. are commonly modified by excavation (e.g., roadside ditches, stock dugouts), partial drainage (ditching), and diking. Differences in the distribution of modified wetlands may affect the predictive accuracy of waterfowl survey data if such wetlands are not distributed randomly in the landscape and if waterfowl are not distributed equally among them. We used data collected on thirty-eight 40-km2 plots in North Dakota to examine the distribution of modified basins relative to roadside transects and their use by five species of dabbling ducks in 1995. The 800-m-wide transects were subdivided into an inner 400-m transect, centered on the road, and the remaining outer transect area. We compared the distribution of modified and natural wetland basins among three sample areas: 1) the inner 400-m wide roadside transect area, 2) the outer transect area, and 3) the remaining area within the 40-km2 plot that was outside of the transects (outer plot). Duck use was compared between the two transect areas. The plots contained 20,582 basins, of which 88.5% were unmodified, 7.5% were excavated, 3.7% were partially drained, and 0.2% were diked. Nearly all excavated temporary (89%) and seasonal (90%) basins occurred in the inner transect area, reflecting the high proportion of basins that would be defined as roadside ditches. Excavated semipermanent basins were more evenly distributed among the outer plot and two transect widths; these basins often were dugouts but also included roadside ditches. Partially drained and diked basins also were fairly evenly distributed among the three sample areas. Semipermanent basins had greater use by mallards (Anas platyrhynchos) and northern pintails (A. acuta) when they were partially drained than when they were excavated or unmodified; pintails also had greater use of partially drained seasonal basins. Use of wetland basins by gadwall (A. strepera), blue-winged teal (A. discors), and
Two North American contributions to the Global Geoscience Transects Program, the Quebec-Maine-Gulf of Maine transect and the Great Lakes portion of the United States-Canadian Border transect, are among the first to produce digital geology in a form that can be combined with gridded gravity and aeromagnetic data. Maps of shaded relief and color-composite bandpass-filtered potential-field data combined with overlays of digitized geologic contacts and faults reveal significant new geologic information, including the relative thickness of plutons, the structure of poorly exposed or concealed magnetic units, and possible evidence for mineralized ground. -from Author
Cahill, Thomas A.; Barnes, David E.; Wuest, Leann; Gribble, David; Buscho, David; Miller, Roger S.; De la Croix, Camille
The persistent evidence of health impacts of roadway aerosols requires extensive information for urban planning to avoid putting populations at risk, especially in-fill projects. The required information must cover both highway aerosol sources as well as transport into residential areas under a variety of roadway configurations, traffic conditions, downwind vegetation, and meteorology. Such studies are difficult and expensive to do, but were easier in the past when there was a robust fine aerosol tracer uniquely tied to traffic - lead. In this report we propose and test a modern alternative, highway safety flare aerosols. Roadway safety flares on vehicles in traffic can provide very fine and ultra-fine aerosols of unique composition that can be detected quantitatively far downwind of roadways due to a lack of upwind interferences. The collection method uses inexpensive portable aerosol collection hardware and x-ray analysis protocols. The time required for each transect is typically 1 h. Side by side tests showed precision at ± 4%. We have evaluated this technique both by aerosol removal in vegetation in a wind tunnel and by tracking aerosols downwind of freeways as a function of season, highway configuration and vegetation coverage. The results show that sound walls for at-grade freeways cause freeway pollution to extend much farther downwind than standard models predict. The elevated or fill section freeway on a berm projected essentially undiluted roadway aerosols at distances well beyond 325 m, deep into residential neighborhoods. Canopy vegetation with roughly 70% cover reduced very fine and ultra-fine aerosols by up to a factor of 2 at distances up to 200 m downwind.
Sperling, Erik A.; Halverson, Galen P.; Knoll, Andrew H.; Macdonald, Francis A.; Johnston, David T.
Multiple eukaryotic clades make their first appearance in the fossil record between ~810 and 715 Ma. Molecular clock studies suggest that the origin of animal multicellularity may have been part of this broader eukaryotic radiation. Animals require oxygen to fuel their metabolism, and low oxygen levels have been hypothesized to account for the temporal lag between metazoan origins and the Cambrian radiation of large, ecologically diverse animals. Here, paleoredox conditions were investigated in the Fifteenmile Group, Ogilvie Mountains, Yukon, Canada, which hosts an 811 Ma ash horizon and spans the temporal window that captures the inferred origin and early evolution of animals. Iron-based redox proxies, redox-sensitive trace elements, organic carbon percentages and pyrite sulfur isotopes were analyzed in seven stratigraphic sections along two parallel basin transects. These data suggest that for this basin, oxygenated shelf waters overlay generally anoxic deeper waters. The anoxic water column was dominantly ferruginous, but brief periods of euxinia likely occurred. These oscillations coincide with changes in total organic carbon, suggesting euxinia was primarily driven by increased organic carbon loading. Overall, these data are consistent with proposed quantitative constraints on Proterozoic atmospheric oxygen being greater than 1% of modern levels, but less than present levels. Comparing these oxygen levels against the likely oxygen requirements of the earliest animals, both theoretical considerations and the ecology of modern oxygen-deficient settings suggest that the inferred oxygen levels in the mixed layer would not have been prohibitive to the presence of sponges, eumetazoans or bilaterians. Thus the evolution of the earliest animals was probably not limited by the low absolute oxygen levels that may have characterized Neoproterozoic oceans, although these inferred levels would constrain animals to very small sizes and low metabolic rates.
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... 38 Pensions, Bonuses, and Veterans' Relief 1 2010-07-01 2010-07-01 false Anterior poliomyelitis. 3... Specific Diseases § 3.379 Anterior poliomyelitis. If the first manifestations of acute anterior poliomyelitis present themselves in a veteran within 35 days of termination of active military service, it...
Lim, Chong Teik
Hepatic steatosis is becoming more common in Asia with prevalence becoming as common as Western countries. Concomitant Hepatitis B and hepatic steatosis is increasingly encountered in clinical practice. The interaction between the two concomitant conditions at both molecular level and clinical outcome remains to be explored. The present review is aimed at summarizing the existing literature on the complex interaction of the two-concomitant disease. PMID:28251117
Noguchi, Akio; Balasingam, Vijayabalan; Shiokawa, Yoshiaki; McMenomey, Sean O; Delashaw, Johnny B
The anterior clinoid process (ACP), located on the skull base, is a relatively small structure, although its removal provides enormous gain in facilitating the management of lesions--either tumors or aneurysms--in the paraclinoid region and upper basilar artery. The extensive surgical field gained contributes to safer exposure of the neurovascular elements in the vicinity while avoiding excessive and hazardous retraction of the brain. In this report the authors present a technically simpler avenue for performing an extradural anterior clinoidectomy after reviewing the anatomy of the ACP and its anatomical variations. Additionally, the original Dolenc procedure and its subseqtient derivatives are compared and contrasted to the authors' simpler and less laborious technique. Different clinical situations in which to use the procedure are described based on the authors' experience from 60 cases (40 aneurysm cases and 20 tumor cases) during a 4-year period.
Meerts, Sarah H.; Clark, Ann S.
Female rats exhibit a conditioned place preference (CPP) for a context paired with mating. The present experiment tested the hypothesis that the activation of the pelvic nerve mediates the reinforcing effects of mating for female rats. Rats underwent bilateral pelvic nerve or sham transection and then received paced mating, nonpaced mating or the control treatment during a CPP procedure. Pelvic nerve transection did not affect the CPP for paced or nonpaced mating. In tests of paced mating behavior, contact-return latencies following intromissions were significantly shorter in rats with pelvic nerve transection than rats with sham transections. These results show that the pathway conveying the reinforcing effects of mating stimulation does not depend on the integrity of the pelvic nerve, but that activation of the pelvic nerve contributes to the display of paced mating behavior. PMID:19485560
Anken, Ralf H.; Edelmann, Elke; Rahmann, Hinrich
Previous investigations revealed that the growth of fish inner ear otoliths (otolith size and calcium-incorporation) depends on the amplitude and the direction of gravity, suggesting the existence of a (negative) feedback mechanism. In search for the regulating unit, the vestibular nerve was transected unilaterally in neonate swordtail fish ( Xiphophorus helleri) which were subsequently incubated in the calcium-tracer alizarin-complexone. Calcium incorporation ceased on the transected head sides, indicating that calcium uptake is neurally regulated.
David, G; Barrett, J N; Barrett, E F
1. Post-transection changes in intracellular Na+ ([Na+]i) were measured in lizard peripheral axons ionophoretically injected with the Na(+)-sensitive ratiometric dye, sodium-binding benzofuran isophthalate (SBFI). 2. Following axonal transection in physiological saline [Na+]i increased to more than 100 mM in a region that quickly extended hundreds of micrometers from the transection site. This post-transection increase in [Na+]i was similar when the bath contained 5 microM tetrodotoxin, but was absent in Na(+)-free solution. Depolarization of uncut axons in 50 mM K+ produced little or no elevation of [Na+]i until veratridine was added. These results suggest that the post-transection increase in [Na+]i was due mainly to Na+ entry via the cut end, rather than via depolarization-activated Na+ channels. 3. The spatiotemporal profile of the post-transection increase in [Na+]i could be accounted for by movement of Na+ from the cut end with an apparent diffusion coefficient of 1.3 x 10(-5) cm2 s-1. 4. [Na+]i began to decline toward resting levels by 20 +/- 15 min (mean +/- S.D.) post-transection, except in regions of the axon within 160 +/- 85 microns of the transection site, where [Na+]i remained high. The boundary between axonal regions in which [Na+]i did or did not recover probably defines a locus of resealing of the axonal membrane. 5. [Na+]i returned to resting values within about 1 h after resealing, even in axonal regions where the normal transmembrane [Na+] gradient had completely dissipated. The recovery of [Na+]i was faster and reached lower levels than expected by diffusional redistribution of Na+ along the axon. Partial recovery occurred even in an isolated internode, indicating that the internodal axolemma can actively extrude Na+. Images Figure 2 Figure 4 Figure 6 PMID:9032679
Burnham, Kenneth P.
The Hayne model for line transect sampling is generalized by using an elliptical (rather than circular) flushing model for animal detection. By assuming the ration of major and minor axes lengths is constant for all animals, a model results which allows estimation of population density based directly upon sighting distances and sighting angles. The derived estimator of animal density is a generalization of the Hayne estimator for line transect sampling.
Kotb Abd-Elmabod, Sameh; Anaya-Romero, María; Phillips, Jonathan D.; Jordán, Antonio; Muñoz-Rojas, Miriam; de la Rosa, Diego
This study aims to investigate the influence of topography, soil factors and climate conditions on land degradation along topographic transects in two Mediterranean areas: Seville (southern Spain) and El-Fayoum (northern Egypt). Elevation and slope gradient information from both study sites were obtained from Shuttle Radar Topography Mission (SRTM) data, processed using ENVI 4.7. Additionally, topographic transects were developed using ArcGIS 10 software. To represent the highest variability in elevation, lithology, soil and land use in each site, one representative topographic transect from El-Fayoum and two topographic transects from Seville were selected. Soil characteristics along each of the topographic transect were obtained by mapping land surveying and laboratory analyses data. MicroLEIS DSS (Pantanal and Raizal submodels) was used to assess soil contamination with phosphorus, nitrogen, heavy metals and pesticides and water erosion vulnerability along the topographic transects for each study site using soil data, including depth, texture, drainage, carbonate content, salinity, sodium saturation, organic matter content and acidity (pH). Additionally, monthly average values of climate variables (mean temperature, maximum and minimum rainfall and number of rainy days) have been used. The results obtained by Raizal and Pantanal models suggest that lower elevation areas from transects show low vulnerability classes in both degradation processes (water erosion and soil contamination), when compared to uplands. The variation of climate conditions and soil factors along the Seville and El-Fayoum transects were responsible for the observed variability in both soil degradation processes (erosion and contamination). Key words: MicroLEIS DSS, soil degradation, soil factors, topography, DEM
Ramos, Carla Alecrim Colaço; Amaral, Fernanda Duarte; de Kikuchi, Ruy Kenji Papa; Chaves, Eduardo Marocci; de Melo, Gabriel Rivas
Long-term monitoring program of organisms is the most recommended for understanding changing processes on reefs. The video transect method presents advantages for that. Specialists state that it is important to make sure that the recorded coverage is always the same between campaigns, so that differences in results may be entirely attributed to environmental changes. This study aimed to test the capability of implementing this requirement through tracking simulation and its validity for monitoring the benthic communities of reefs using the video transect method. Ten transects 20 m long were established in Todos os Santos Bay coral reefs. Subsequent to the first transect capture, a second diver repeated the same track, simulating two different monitoring campaigns. Data were transformed and a matrix of similarity was generated using Bray-Curtis' Index. ANOSIM analysis was performed to test the similarity of the ten transects and its repetitions. The result, R = 0.08 (P = 0.928), shows that reef monitoring using video transect, the way it is described in the literature, is appropriate, but it is important to consider some premises discussed in this work.
Koide, M; Sakai, A; Iwata, Y; Sanae, T; Kunii, Y; Moriki, N; Ayusawa, Y; Seguchi, M
A 2-year-old boy with polysplenia, double outlet right ventricle after pulmonary banding and unilateral bidirectional shunt was operated on. A modified total cavopulmonary connection was done by utilization of coronary sinus as a retrograde route for the hepatic venous return. Left SVC was transected and its distal end was anastomosed to the left pulmonary artery after PA angioplasty. An equine pericardial patch was placed over the ostia of the hepatic vein and coronary sinus. Two ostia of the coronary veins were excluded from the created route. The proximal end of the left SVC was anastomosed to the inferior side of the left pulmonary artery. Postoperative course was uneventful. The postoperative angiogram showed smooth hepatic venous return through the coronary sinus and no pressure gradient was recorded between hepatic vein and pulmonary artery.
Kandekar, Rahul Vilas; Tiwari, Ajeet Ramamani; Kadam, Rahul; Adhikari, Devbrata Radhikamohan
Tubercular liver abscess is generally secondary to some other primary foci in the body, most notably pulmonary and gastrointestinal system. To find primary tubercular liver abscess is rare, with prevalence of 0.34% in patients with hepatic tuberculosis. Abscess tracking into abdominal wall from spinal and para spinal tuberculosis is known, however primary liver tuberculosis rupturing into anterior abdominal wall has been reported only twice in literature. We report a case of 43-year-old female with direct invasion of the anterior abdominal wall from an isolated tubercular parenchymal liver abscess, caused by Mycobacterium tuberculosis complex, diagnosed primarily on smear for Acid Fast Bacilli (AFB), imaging and isolated by culture and BACTEC MGIT 960 KIT. We discuss here the diagnostic dilemma, management and outcome of primary tubercular liver parenchymal abscess with direct invasion into anterior abdominal wall. PMID:28050433
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Eeson, Gareth; Karanicolas, Paul J
Operative blood loss is a major source of morbidity and even mortality for patients undergoing hepatic resection. This review discusses strategies to minimize blood loss and the utilization of allogeneic blood transfusion pertaining to oncologic hepatic surgery.
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Lhomme, Sébastien; Marion, Olivier; Abravanel, Florence; Chapuy-Regaud, Sabine; Kamar, Nassim; Izopet, Jacques
Although most hepatitis E virus (HEV) infections are asymptomatic, some can be severe, causing fulminant hepatitis and extra-hepatic manifestations, including neurological and kidney injuries. Chronic HEV infections may also occur in immunocompromised patients. This review describes how our understanding of the pathogenesis of HEV infection has progressed in recent years. PMID:27527210
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BILISOLY, ROGER L.; MCKENNA, SEAN A.
Previous work on sample design has been focused on constructing designs for samples taken at point locations. Significantly less work has been done on sample design for data collected along transects. A review of approaches to point and transect sampling design shows that transects can be considered as a sequential set of point samples. Any two sampling designs can be compared through using each one to predict the value of the quantity being measured on a fixed reference grid. The quality of a design is quantified in two ways: computing either the sum or the product of the eigenvalues of the variance matrix of the prediction error. An important aspect of this analysis is that the reduction of the mean prediction error variance (MPEV) can be calculated for any proposed sample design, including one with straight and/or meandering transects, prior to taking those samples. This reduction in variance can be used as a ''stopping rule'' to determine when enough transect sampling has been completed on the site. Two approaches for the optimization of the transect locations are presented. The first minimizes the sum of the eigenvalues of the predictive error, and the second minimizes the product of these eigenvalues. Simulated annealing is used to identify transect locations that meet either of these objectives. This algorithm is applied to a hypothetical site to determine the optimal locations of two iterations of meandering transects given a previously existing straight transect. The MPEV calculation is also used on both a hypothetical site and on data collected at the Isleta Pueblo to evaluate its potential as a stopping rule. Results show that three or four rounds of systematic sampling with straight parallel transects covering 30 percent or less of the site, can reduce the initial MPEV by as much as 90 percent. The amount of reduction in MPEV can be used as a stopping rule, but the relationship between MPEV and the results of excavation versus no
Hepatitis C virus (HCV) is a leading cause of end-stage liver disease worldwide and the most common indication for liver transplantation in the United States and Europe. HCV nearly always recurs in liver-transplanted patients, and 10 to 25% of them develop cirrhosis within 5 to 10 years. One of the strategies suggested to limit virological HCV recurrence is pretransplant antiviral treatment, but studies are warranted on the pharmacokinetics of antiviral drugs in cirrhotic patients, the benefits of fixed or escalating antiviral drug dosage schedules, the duration of the treatment, and the indications for using growth factors. Several risk factors are associated with a more aggressive recurrent HCV and early allograft failure, such as an older donor age. The relationship between immunosuppression and fibrosis progression in HCV recurrence remains uncertain. Concerning the antiviral treatment, treating established recurrent disease with a combination of interferon and ribavirin has been the mainstay of management to date, but when it is best to start and how to manage the side effects are still controversial issues. Antiviral treatment should be started once the disease has been confirmed by a biopsy when the fibrosis develops, providing that ongoing acute or chronic rejection, biliary obstruction, vascular damage, autoimmune diseases and sepsis, and any other standard contraindications for antiviral therapy, have been excluded. HCV recurrence after liver transplantation may well lead to graft failure and become an indication for retransplantation, but this is done in a relatively small number of cases, accounting for only 3 to 5% of retransplanted patients, since retransplantation is associated with much worse results than primary liver transplant procedures. We must be prepared for the fact that increasing numbers of HCV-positive recipients with allografts failing due to recurrent HCV will be asking to be retransplanted-and we do not know yet how to respond to this
Kaić, Bernard; Vilibić-Cavlek, Tatjana; Filipović, Sanja Kurecić; Nemeth-Blazić, Tatjana; Pem-Novosel, Iva; Vucina, Vesna Visekruna; Simunović, Aleksandar; Zajec, Martina; Radić, Ivan; Pavlić, Jasmina; Glamocanin, Marica; Gjenero-Margan, Ira
Understanding the country-specific epidemiology of disease, which may vary greatly among countries, is crucial for identifying the most appropriate preventive and control measures. An overview of the local epidemiology of viral hepatitis in Croatia is given in this paper. The overall prevalence of hepatitis B in Croatia is low (less than 2% HBsAg carriers in the general population). Hepatitis B incidence and prevalence began to decline significantly following the introduction of universal hepatitis B vaccination in 1999. Information on HBsAg seroprevalence is derived from routine testing of certain subpopulations (pregnant women, blood donors) and seroprevalence studies mostly targeted at high-risk populations. Universal childhood vaccination against hepatitis B remains the main preventive measure. We recommend testing for immunity one to two months after the third dose of hepatitis B vaccine for health-care workers. The incidence and prevalence of hepatitis C have also been declining in the general population. The main preventive measures are ensuring safety of blood products, prevention of drug abuse, and harm reduction programs for intravenous drug users. Hepatitis A incidence has declined dramatically since fifty years ago, when thousands of cases were reported annually. In the last five years, an average of twenty cases have been reported per year. The reduction of hepatitis A is a consequence of improved personal and community hygiene and sanitation. Hepatitis D has not been reported in Croatia. The risk of hepatitis D will get to be even smaller as the proportion of population vaccinated against hepatitis B builds up. Hepatitis E is reported only sporadically in Croatia, mostly in persons occupationally in contact with pigs and in travelers to endemic countries. In conclusion, Croatia is a low prevalence country for hepatitides A, B and C. Hepatitis D has not been reported to occur in Croatia and there are only sporadic cases of hepatitis E. Since hepatitis
Jordan, B. T.; Duncan, R. A.; Carley, T. L.
The Skagi-Snaefellsnes rift zone (SSRZ) was the focus of rifting in Iceland from ~15-7 Ma. We report on a transect of central volcanoes and isolated exposures of silicic rocks erupted from the SSRZ in northwest Iceland. The youngest system investigated is an epizonal intrusive series, gabbro to granite, at the northern end of Vididalsfjall, near the axis of the SSRZ. The granite yields an Ar/Ar plateau age of 7.03 × 0.07 Ma (all dates ×2σ), and SHRIMP 206Pb/238U zircon analysis gives an age of 6.79 × 0.35 Ma (n=15). This represents the final silicic activity in the northern SSRZ prior to abandonment at this latitude. Just east of the SSRZ is a central volcano exposed in Vatnsdalsfjall, Langadalsfjall, and Laxardalsfjoll, informally termed the southern Skagi central volcano. Ar/Ar ages for intermediate to silicic rocks in this system include a 7.62 × 0.32 Ma dacite, 7.80 × 0.07 Ma andesite, and a 7.82 × 0.04 Ma rhyolite. The rhyolite was also dated by SHRIMP zircon analysis yielding an age of 7.62 × 0.29 Ma (n=19). The Arnes central volcano is exposed on the northeastern tip of the West Fjords peninsula, east of the SSRZ. Based on correlation with nearby dated paleomagnetic surveys the age is ~12 Ma. The Hrafnfjordur central volcano further west in the West Fjords may be the oldest central volcano exposed on land in Iceland. A SHRIMP zircon age for the main dacite lava is 14.16 × 0.40 Ma (n=14). The three central volcanoes feature nearly continuous compositional spectra from basalt to a high-silica dacite or rhyolite. Extensive rhyolites occur in southern Skagi and Arnes, but with 2/3 of the system mapped, there are no true rhyolites at Hrafnfjordur; the most extensive silicic unit is a dacite lava (65-70 wt.% SiO2). Variation in Zr vs. SiO2 seems to implicate a cryptic high-silica low-Zr rhyolite magma as an end-member of mixing for some andesites at Hrafnfjordur, but Zr/Ti disproves this. The origin of most of the silicic magmas is likely by crustal
Murray, R. W.; Moran, S.; Kelly, R. P.; Kelley, K. A.; Graham, D.
data for dissolved Ti in the open Atlantic. Croot's values and our values both agree well with Orians' original analyses, which not only confirms our respective analytical approaches but also suggests that the GEOTRACES rosette system, small parts of which contain Ti, does not contaminate seawater samples for Ti. We also present data from the 2011 GEOTRACES station taken at BATS in the western Atlantic and at Station 11 from the 2010 GEOTRACES transect in the eastern Atlantic. Our profile to 2000 m (= 213 pM) is similar to that of Orians et al. (1990) to the same depth, but extends deeper to 3597 m. Unlike the deep Pacific profile of Orians et al. (1990) from Station PAPA, which extends to 3860 m and reaches a maximum of 263 pM at that depth, our BATS profile is essentially invariant with depth below 2000 m. We observe a similar deepwater distribution at Station 11, which shows an increase from 60 pM near the surface to a maximum of 180 pM at 700 m, followed perhaps by a slight decrease to 130 pM at 3300 m depth.
Vavken, Patrick; Fleming, Braden C.; Mastrangelo, Ashley N.; Machan, Jason T.; Murray, Martha M.
Purpose The objective of this study was to compare the biomechanical outcomes of a new method of anterior cruciate ligament (ACL) treatment, bio-enhanced ACL repair, with ACL reconstruction in a large animal model. Methods Twenty-four skeletally immature pigs underwent unilateral ACL transection and were randomly allocated to receive bio-enhanced ACL repair with a collagen-platelet composite, allograft (bone–patellar tendon– bone) reconstruction, or no further treatment (n = 8 for each group). The structural properties and anteroposterior laxity of the experimental and contralateral ACL-intact knees were measured 15 weeks postoperatively. All dependent variables were normalized to those of the contralateral knee and compared by use of generalized linear mixed models. Results After 15 weeks, bio-enhanced ACL repair and ACL reconstruction produced superior biomechanical outcomes to ACL transection. However, there were no significant differences between bio-enhanced ACL repair and ACL reconstruction for maximum load (P = .4745), maximum displacement (P = .4217), or linear stiffness (P = .6327). There were no significant differences between the 2 surgical techniques in anteroposterior laxity at 30° (P = .7947), 60° (P = .6270), or 90° (P = .9008). Conclusions Bio-enhanced ACL repair produced biomechanical results that were not different from ACL reconstruction in a skeletally immature, large animal model, although the variability associated with both procedures was large. Both procedures produced significantly improved results over ACL transection, showing that both were effective in this model. Clinical Relevance Bio-enhanced ACL repair may 1 day provide an alternative treatment option for ACL injury. PMID:22261137
Alam, Monzurul; Chen, Xi; Zhang, Zicong; Li, Yan; He, Jufang
A brain-machine interface (BMI) is a neuroprosthetic device that can restore motor function of individuals with paralysis. Although the feasibility of BMI control of upper-limb neuroprostheses has been demonstrated, a BMI for the restoration of lower-limb motor functions has not yet been developed. The objective of this study was to determine if gait-related information can be captured from neural activity recorded from the primary motor cortex of rats, and if this neural information can be used to stimulate paralysed hindlimb muscles after complete spinal cord transection. Neural activity was recorded from the hindlimb area of the primary motor cortex of six female Sprague Dawley rats during treadmill locomotion before and after mid-thoracic transection. Before spinal transection there was a strong association between neural activity and the step cycle. This association decreased after spinal transection. However, the locomotive state (standing vs. walking) could still be successfully decoded from neural recordings made after spinal transection. A novel BMI device was developed that processed this neural information in real-time and used it to control electrical stimulation of paralysed hindlimb muscles. This system was able to elicit hindlimb muscle contractions that mimicked forelimb stepping. We propose this lower-limb BMI as a future neuroprosthesis for human paraplegics.
Finlayson, D. M.
The crustal architecture across Phanerozoic Australia has been established from seismic data along an 1100-km-long east-west transect, the Eromanga-Brisbane Geoscience Transect. This has enabled a better understanding of deep structures and processes that have controlled the development of major sedimentary basin systems. It has shown that crustal dynamics throughout geological history have played an important role in the development of these sedimentary basins and that structures developed during the early Palaeozoic have influenced, and continue to influence, basin systems. The transect crosses three major basement provinces of the Tasman Orogenic System in eastern Australia - the Thomson, northern Lachlan, and New England Orogens. The basement geology in the transect region has, until now, been only poorly understood because it is largely obscured by the Mesozoic cover rocks of the Eromanga, Surat and Clarence-Moreton Basins. The transect interpretation has firmly identified crustal-scale ramp structures, multiple intra-crustal detachment surfaces, strike-slip fault architecture, lower-crustal magmatism/underplating, Mono remobilisation, and intra-crustal terranes in the geological reconstructions of southern Queensland. The boundaries between the orogens, the Foyleview and Burunga—Mooki Geosutures, have been identified as lithospheric-scale structures that have influenced the evolution of the Tasman Orogenic System as a whole.
Alam, Monzurul; Chen, Xi; Zhang, Zicong; Li, Yan; He, Jufang
A brain-machine interface (BMI) is a neuroprosthetic device that can restore motor function of individuals with paralysis. Although the feasibility of BMI control of upper-limb neuroprostheses has been demonstrated, a BMI for the restoration of lower-limb motor functions has not yet been developed. The objective of this study was to determine if gait-related information can be captured from neural activity recorded from the primary motor cortex of rats, and if this neural information can be used to stimulate paralysed hindlimb muscles after complete spinal cord transection. Neural activity was recorded from the hindlimb area of the primary motor cortex of six female Sprague Dawley rats during treadmill locomotion before and after mid-thoracic transection. Before spinal transection there was a strong association between neural activity and the step cycle. This association decreased after spinal transection. However, the locomotive state (standing vs. walking) could still be successfully decoded from neural recordings made after spinal transection. A novel BMI device was developed that processed this neural information in real-time and used it to control electrical stimulation of paralysed hindlimb muscles. This system was able to elicit hindlimb muscle contractions that mimicked forelimb stepping. We propose this lower-limb BMI as a future neuroprosthesis for human paraplegics. PMID:25084446
Hayashi, Hisami; Fischer, Hans
The calcification of knee ligaments is a finding noted only in a handful of case reports. The finding of an anterior cruciate ligament calcification has been reported once in the literature. Comparable studies involving the posterior cruciate ligament, medial collateral ligament and an ossicle within the anterior cruciate ligament are likewise discussed in reports of symptomatic patients. We report a case of incidentally discovered anterior cruciate ligament calcification. We discuss the likely etiology and clinical implications of this finding. PMID:27200163
Grant, John; Kirby, R. Lee
Tear of the anterior cruciate ligament is a common, serious injury. Since the long-range consequences of uncorrected anterior cruciate incompetence are better understood, and surgical and rehabilitative measures improved, early accurate diagnosis is increasingly important. Besides a careful history, diagnosis requires the use of specific physical examination methods to reproduce the symptomatic subluxation (anterior shift or internal rotation) and to assess functional performance of the knee. ImagesFig. 1Fig. 2Fig. 3 PMID:21286055
Avelino, Marcelo Coelho; Bastos, Breno Braga; Moreira de Sousa, Rafael Soares
The azygos anterior cerebral artery is a rare variant, characterized by the absence of the anterior communicating artery and the union of two proximal segments of the anterior cerebral artery, forming a single trunk and ascending through the interhemispheric fissure. The incidence in the population varies from 0.3 to 2%. The presence of occlusion for this vessel causes bifrontal infarcts, with potentially devastating functional consequences, hence the importance of recognizing this anatomical variation in imaging exams. PMID:28299225
Hudak, Paul F
Alternative networks of non-pumped wells filled with reactive media were evaluated for groundwater remediation capability. Wells were screened across the saturated zone of a simulated, unconfined aquifer with a heterogeneous hydraulic conductivity. A numerical mass transport model generated an initial contaminant plume and then simulated its movement through different networks of non-pumped wells. Two cases were investigated: (1) a linear transect of wells downgradient of the plume; and (2) a downgradient linear transect combined with a second linear transect crossing the plume's interior. Several simulations were conducted for each case to determine the smallest number of wells necessary to prevent the plume from traveling offsite. Case 2 required 11% more wells, but reduced cleanup time by 21%.
Poo, Jorge Luis; Góngora, Julieta
Hepatic perforation is an unusual complication of woman pregnancy associated with a poor outcome. A comprehensive review of epidemiology, clinical spectrum, diagnostic methods and therapeutic options is presented in this short paper.
Samim, Mohammad; Smitaman, Edward; Lawrence, David; Moukaddam, Hicham
Anterior knee pain is the most common knee complaint. It may be due to a variety of soft tissue or osseous abnormalities. Knowledge of the radiologic appearance of the abnormalities allows more accurate diagnosis of the cause of the pain including chondral abnormalities, patellar instability and dislocation, femoral trochlear dysplasia, abnormal patellar location, bipartite patella, various tendinopathies, bursal inflammation, traction apophysitis in pediatric and adolescent patients, and miscellaneous diseases including mediopatellar plica syndrome and Hoffa's disease. Radiographs are often obtained to exclude acute osseous abnormalities, such as fractures. Magnetic resonance (MR) imaging offers superior soft tissue contrast resolution and allows for more accurate evaluation of the underlying etiology and therefore may improve treatment and possible surgical planning.
Minor, E. C.; Stephens, B.
Dissolved organic matter (DOM) plays key roles in aquatic ecosystems: as an organic carbon (energy) link between terrestrial and aquatic systems, a food source for biota, a reactant in photochemical reactions, and a sunscreen/competitor for light for aquatic organisms. The composition as well as the concentration of aquatic DOM is believed to determine DOM's efficacy in these roles. The transport and alteration of DOM in river/estuarine systems are significant processes in determining the concentration and composition of DOM in the receiving lake or ocean system (especially in productive and economically important coastal regions). Therefore this study provides a preliminary comparison of the dissolved organic carbon (DOC) concentration, DOM optical properties, and chemical composition of high molecular weight DOM (HMW DOM) on two river-to-receiving-basin transects, one freshwater (St. Louis River/Lake Superior, Minnesota, USA) and the other with a salinity gradient (Elizabeth River/lower Chesapeake Bay/coastal Atlantic, Virginia, USA). Both transects share optical property ranges and general downstream trends toward lower DOC concentrations, less aromaticity, and lower molecular weight DOM, however, there is a stronger downstream decrease in DOC concentration in the saline transect. In HMW DOM, there is more retention of carboxylic signals downstream in the freshwater transect, relative to a downstream shift toward more proteinaceous material in the saline transect. These observed DOM differences most likely result from variations in biological activity, photochemistry, and ionic strength in the two transects. Ionic strength effects include in situ processes (e.g. flocculation) and interactions affecting DOM isolation and analysis.
Lu, Chengpeng; Chen, Shuai; Zhang, Ying; Su, Xiaoru; Chen, Guohao
Significant spatial variability of water fluxes may exist at the water-sediment interface in river channels and has great influence on a variety of water issues. Understanding the complicated flow systems controlling the flux exchanges along an entire river is often limited due to averaging of parameters or the small number of discrete point measurements usually used. This study investigated the spatial pattern of the hyporheic flux exchange across a river transect in China, using the heat tracing approach. This was done with measurements of temperature at high spatial resolution during a 64-h monitoring period and using the data to identify the spatial pattern of the hyporheic exchange flux with the aid of a one-dimensional conduction-advection-dispersion model (VFLUX). The threshold of neutral exchange was considered as 126 L m-2 d-1 in this study and the heat tracing results showed that the change patterns of vertical hyporheic flux varied with buried depth along the river transect; however, the hyporheic flux was not simply controlled by the streambed hydraulic conductivity and water depth in the river transect. Also, lateral flow dominated the hyporheic process within the shallow high-permeability streambed, while the vertical flow was dominant in the deep low-permeability streambed. The spatial pattern of hyporheic exchange across the river transect was naturally controlled by the heterogeneity of the streambed and the bedform of the stream cross-section. Consequently, a two-dimensional conceptual illustration of the hyporheic process across the river transect is proposed, which could be applicable to river transects of similar conditions.
Johnson, Lee F.; Peterson, David L.
The NASA Oregon Transect Ecosystem Research (OTTER) project completed a data acquisition phase. Data were acquired with several airborne imaging spectrometers. Included were the Airborne Visible and Infrared Imaging Spectrometer (AVIRIS) aboard the ER-2, the Advanced Solidstate Array Spectrometer (ASAS) aboard the C-130, and the Fluorescence Line Imager (FLI) and Compact Airborne Spectrographic Imager (CASI), both aboard light aircraft. In addition, Spectron visible and near-infrared data were acquired in transects across study areas from a low-altitude ultralight craft. Sunphotometer data were taken approximately coincident with each overflight for atmospheric correction of the aircraft data.
Song, Yang; Zhao, Yingying; Wang, Fei; Tao, Lichan; Xiao, Junjie; Yang, Changqing
Hepatic fibrosis is a leading cause of morbidity and mortality worldwide. Hepatic fibrosis is usually associated with chronic liver diseases caused by infection, drugs, metabolic disorders, or autoimmune imbalances. Effective clinical therapies are still lacking. Autophagy is a cellular process that degrades damaged organelles or protein aggregation, which participates in many pathological processes including liver diseases. Autophagy participates in hepatic fibrosis by activating hepatic stellate cells and may participate as well through influencing other fibrogenic cells. Besides that, autophagy can induce some liver diseases to develop while it may play a protective role in hepatocellular abnormal aggregates related liver diseases and reduces fibrosis. With a better understanding of the potential effects of autophagy on hepatic fibrosis, targeting autophagy might be a novel therapeutic strategy for hepatic fibrosis in the near future.
Bostan, Sezen; Yaşar, Şirin; Serdar, Zehra Aşiran; Gizlenti, Sevda
Anterior cervical hypertrichosis is a very rare form of primary localized hypertrichosis. It consists of a tuft of terminal hair on the anterior neck just above the laryngeal prominence. The etiology is still unknown. In this article, we reported a 15-year-old female patient who presented to our clinic with a complaint of hypertrichosis on the anterior aspect of the neck for the last five years. Her past medical history revealed no pathology except for vesicoureteral reflux. On the basis of clinical presentation, our patient was diagnosed with anterior cervical hypertrichosis and she was considered to be a sporadic case due to lack of other similar cases in familial history. To date, 33 patients with anterior cervical hypertrichosis have been reported. Anterior cervical hypertrichosis can be associated with other abnormalities, but it frequently presents as an isolated defect (70%). The association of vesicoureteral reflux and anterior cervical hypertrichosis which was observed in our patient might be coincidental. So far, no case of anterior cervical hypertrichosis associated with vesicoureteral reflux has been reported in the literature. PMID:27103865
Kaya, Seyda Ors; Samancılar, Ozgur; Usluer, Ozan; Acar, Tuba; Yener, Ali Galip
Cavernous hemangiomas of the anterior mediastinum is rare. We present a case of a 56-year-old male patient with a giant cavernous hemangioma of the anterior mediastinum, 18 cm in diameters, approached by left posterolateral thoracotomy. To the best of our knowledge, such a unique case has not been previously presented in the literature. PMID:26644773
Bostan, Sezen; Yaşar, Şirin; Serdar, Zehra Aşiran; Gizlenti, Sevda
Anterior cervical hypertrichosis is a very rare form of primary localized hypertrichosis. It consists of a tuft of terminal hair on the anterior neck just above the laryngeal prominence. The etiology is still unknown. In this article, we reported a 15-year-old female patient who presented to our clinic with a complaint of hypertrichosis on the anterior aspect of the neck for the last five years. Her past medical history revealed no pathology except for vesicoureteral reflux. On the basis of clinical presentation, our patient was diagnosed with anterior cervical hypertrichosis and she was considered to be a sporadic case due to lack of other similar cases in familial history. To date, 33 patients with anterior cervical hypertrichosis have been reported. Anterior cervical hypertrichosis can be associated with other abnormalities, but it frequently presents as an isolated defect (70%). The association of vesicoureteral reflux and anterior cervical hypertrichosis which was observed in our patient might be coincidental. So far, no case of anterior cervical hypertrichosis associated with vesicoureteral reflux has been reported in the literature.
Barak, Adiel; Ma-Naim, Tova; Rosner, Mordechai; Eyal, Ophir; Belkin, Michael
Continuous circular capsulorhexis (CCC) is the preferred technique for removal of the anterior capsule during cataract surgery due to this technique assuring accurate centration of the intraocular lens. During modern cataract surgery, especially with small or foldable intra ocular lenses, centration of the lens is obligatory. Radial tears at the margin of an anterior capsulotomy may be associated with the exit of at least one loop of an intraocular lens out of the capsular bag ('pea pod' effect) and its subsequent decentration. The anterior capsule is more likely to ream intact if the continuous circular capsulorhexis (CCC) technique is used. Although manual capsulorhexis is an ideal anterior capsulectomy technique for adults, many ophthalmologists are still uncomfortable with it and find it difficult to perform, especially in complicated cases such as these done behind small pupil, cataract extraction in children and pseudoexfoliation syndrome. We have developed a technique using a CO2 laser system for safe anterior capsulotomy and tested it in animal eyes.
Wright, Bruce E.; Stewart, David B.
The Bedrock Geologic Map of Maine was digitized and combined with digital geologic data for Quebec and the Gulf of Maine for the Quebec-Maine-Gulf of Maine Geologic Transect Project. This map is being combined with digital geophysical data to produce three-dimensional depictions of the subsurface geology and to produce cross sections of the Earth's crust. It is an essential component of a transect that stretches from the craton near Quebec City, Quebec, to the Atlantic Ocean Basin south of Georges Bank. The transect is part of the Global Geosciences Transect Project of the International Lithosphere Program. The Digital Line Graph format is used for storage of the digitized data. A coding scheme similar to that used for base category planimetric data was developed to assign numeric codes to the digitized geologic data. These codes were used to assign attributes to polygon and line features to describe rock type, age, name, tectonic setting of original deposition, mineralogy, and composition of igneous plutonic rocks, as well as faults and other linear features. The digital geologic data can be readily edited, rescaled, and reprojected. The attribute codes allow generalization and selective retrieval of the geologic features. The codes allow assignment of map colors based on age, lithology, or other attribute. The Digital Line Graph format is a general transfer format that is supported by many software vendors and is easily transferred between systems.
Taggart, S. James; O'Clair, Charles E.; Shirley, Thomas C.; Mondragon, Jennifer
Dungeness crabs (Cancer magister) were sampled with commercial pots and counted by scuba divers on benthic transects at eight sites near Glacier Bay, Alaska. Catch per unit of effort (CPUE) from pots was compared to the density estimates from dives to evaluate the bias and power of the two techniques. Yearly sampling was conducted in two seasons: April and September, from 1992 to 2000. Male CPUE estimates from pots were significantly lower in April than in the following September; a step-wise regression demonstrated that season accounted for more of the variation in male CPUE than did temperature. In both April and September, pot sampling was significantly biased against females. When females were categorized as ovigerous and nonovigerous, it was clear that ovigerous females accounted for the majority of the bias because pots were not biased against nonovigerous females. We compared the power of pots and dive transects in detecting trends in populations and found that pots had much higher power than dive transects. Despite their low power, the dive transects were very useful for detecting bias in our pot sampling and in identifying the optimal times of year to sample so that pot bias could be avoided.
Key, J.; Peckham, S.
The degree of error expected in the measurement of widths of sea ice leads along a single transect are examined in a probabilistic sense under assumed orientation and width distributions, where both isotropic and anisotropic lead orientations are examined. Methods are developed for estimating the distribution of 'actual' widths (measured perpendicular to the local lead orientation) knowing the 'apparent' width distribution (measured along the transect), and vice versa. The distribution of errors, defined as the difference between the actual and apparent lead width, can be estimated from the two width distributions, and all moments of this distribution can be determined. The problem is illustrated with Landsat imagery and the procedure is applied to a submarine sonar transect. Results are determined for a range of geometries, and indicate the importance of orientation information if data sampled along a transect are to be used for the description of lead geometries. While the application here is to sea ice leads, the methodology can be applied to measurements of any linear feature.
Crain, B.R.; Burnham, K.P.; Anderson, D.R.; Lake, J.L.
A nonparametric, robust density estimation method is explored for the analysis of right-angle distances from a transect line to the objects sighted. The method is based on the FOURIER series expansion of a probability density function over an interval. With only mild assumptions, a general population density estimator of wide applicability is obtained.
Famiglietti, J. S.; Rudnicki, J. W.; Rodell, M.
Surface soil moisture content exhibits a high degree of spatial and temporal variability. The purpose of this study was (a) to characterize variations in moisture content in the 0-5 cm surface soil layer along a hillslope transect by means of intensive sampling in both space and time; and (b) to make inferences regarding the environmental factors that influence this variability. Over a period of seven months, soil moisture content was measured (gravimetric method) on a near-daily basis at 10 m intervals along a 200 m downslope transect at the Rattlesnake Hill field site in Austin, Texas. Results indicate that significant variability in soil moisture content exists along the length of the transect; that variability decreases with decreasing transectmean moisture content as the hillslope dries down following rain events; and that the dominant influences on moisture content variability are dependent upon the moisture conditions on the hillslope. While topographic and soil attributes operate jointly to redistribute soil water following storm events, under wet conditions, variability in surface moisture content is most strongly influenced by porosity and hydraulic conductivity, and under dry conditions, correlations are strongest to relative elevation, aspect and clay content. Consequently, the dominant influence on soil moisture variability gradually changes from soil heterogeneity to joint control by topographic and soil properties as the transect dries following significant rain events.
Trefault, N; Krock, B; Delherbe, N; Cembella, A; Vásquez, M
Phycotoxin distribution and abundance was determined during an oceanographic expedition along a latitudinal transect of 27° extent in the southeastern Pacific Ocean, from the fjords of Tierra del Fuego Island to offshore Copiapó in the Atacama region along the Chilean coast. Plankton samples were harvested at regular intervals during the entire cruise and later analyzed by liquid chromatography coupled with tandem mass spectrometry (LC-MS/MS) for domoic acid (DA) and lipophilic toxins. Although no evident toxic algal bloom was encountered during this transect, several phycotoxin analogues from distinct toxin groups were detected. These phycotoxins included DA, the pectenotoxins PTX-2, PTX-2sa and PTX-11, dinophystoxin-1 (DTX-1) and gymnodimine (GYM), which is the first report of this latter toxin in the southeast Pacific. A region-specific and rather disjunct distribution of GYM, DA and DTX-1 was observed, whereas PTX-2, PTX-2sa and PTX-11 were more widely distributed over almost the entire transect. This work represents the first assessment of lipophilic toxins through a wide latitudinal transect of the southeastern Pacific, revealing a patchy distribution of several phycotoxins and pointing out the specific geographical distribution of the putative toxigenic organisms.
Hamilton, Thomas R.
Describes a field trip activity to measure changes in elevation across the dunes of a barrier beach, measure wind velocity along the transect line, and observe the distribution of ground cover in the study area. Discusses equipment, materials, procedures and follow-up activities for each study. (CW)
Brew, D.A.; Karl, S.M.; Barnes, D.F.; Jachens, R.C.; Ford, A.B.; Horner, R.
The 155 km wide, 310 km long Sitka Sound - Atlin Lake continent-ocean transect includes almost all the geologic, geophysical, and geotectonic elements of the Canadian Cordillera. It crosses the Chugach, Wrangellia, Alexander, Stikine, and Cache Creek terranes, the Gravina and Laberge overlap assemblages, intrusive and metamorphic belts, and neotectonic faults that bound major blocks. -from Authors
Lambrechts, David L; Wellens, Francis; Vercoutere, Rik A; De Geest, Raf
We report a case of life-threatening aortic transection with concomitant mitral papillary muscle rupture and severe lung contusion caused by a failed parachute jump. This blunt thoracic injury was treated by early stabilization with extracorporeal membrane oxygenation followed by successful delayed graft repair of the descending aorta and mitral valve replacement with a mechanical prosthesis.
Mohammadi, Rahim; Yadegarazadi, Mohammad-Javad; Amini, Keyvan
The objective of this study was to assess local effect of adrenocorticotropic hormone (ACTH) on the functional recovery of the sciatic nerve in a transection model. Sixty male healthy white Wistar rats were randomized into four experimental groups of 15 animals each: In the sham-operated group (SHAM), the sciatic nerve was exposed and manipulated. In the transected group (TC), the left sciatic nerve was transected and the cut nerve ends were fixed in the adjacent muscle. In the silicone graft group (SIL) a 10-mm defect was made and bridged using a silicone tube. The graft was filled with phosphated-buffer saline alone. In the treatment group a silicone tube (SIL/ACTH) was filled with 10 μL ACTH (0.1 mg/mL). Each group was subdivided into three subgroups of five animals each and regenerated nerve fibres were studied at 4, 8 and 12 weeks post operation. Behavioral testing, functional, gastrocnemius muscle mass and morphometric indices showed earlier regeneration of axons in SIL/ACTH than in SIL group (p < 0.05). Immunohistochemistry clearly showed more positive location of reactions to S-100 in SIL/ACTH than in SIL group. ACTH improved functional recovery and morphometric indices of sciatic nerve. This finding supports role of ACTH after peripheral nerve repair and may have clinical implications for the surgical management of patients after nerve transection.
Hariram; Mohammad, Shadab; Malkunje, Laxman R.; Singh, Nimisha; Das, Sugata; Mehta, Gagan
Ameloblastoma or adamantinoma is the rarest of the three forms of tumor of the odontogenic type. They are benign, locally aggressive neoplasms arising from ameloblasts, which typically occur at the angle of the mandible, and are often associated with an un-erupted tooth and must, therefore, be differentiated from a dentigerous cyst which will be centered on the crown. When in the maxilla (less common), they are located in the premolar region, and can extend up in the maxillary sinus. Ameloblastoma is reported to constitute about 1-3% of tumors and cysts of the jaws. The tumor is by far more common in the mandible than in the maxilla and shows predilection for various parts of the mandible in different racial groups. The relative frequency of the mandible to maxilla is reported as varying from 80-20% to 99-1%. Here, we are representing a case of ameloblastoma of anterior mandible which was considered as a rare site of occurrence. PMID:25298718
Macaulay, Alec A.; Perfetti, Dean C.; Levine, William N.
Context: Reconstruction of the anterior cruciate ligament (ACL) is a common surgical procedure; however, there is no consensus to what the best graft option is to replace the injured ACL. The main options available consist of allografts and autografts, which include patellar tendon, hamstring tendon, and quadriceps tendon autografts. Evidence Acquisition: The PubMed database was searched in August 2010 for English-language articles pertaining to ACL grafts. Results: Postoperative outcome variables were analyzed to determine similarities and differences among the different graft options. These variables include stability, strength, function, return to sports, patient satisfaction, complications, and cost. Conclusions: Both allografts and the 3 main options for autografts can provide excellent results in ACL reconstruction and lead to a high percentage of satisfied patients. However, differences exist among the graft choices. Both the similarities and the differences are important to discuss with a patient who will be undergoing ACL reconstruction so that he or she has the best information available when making a choice of graft. PMID:23016071
Rehme, C; Rübben, H; Heß, J
Complete transection of both corpora cavernosa and the urethra is a very rare condition in urology. We report the case of a 59-year-old man with complete transection of the corpora cavernosa and the urethra during a laparoscopic repair of a recurrent inguinal hernia.
Ostrand, William D.; Drew, G.S.; Suryan, R.M.; McDonald, L.L.
We compared strip transect and radio-tracking methods of determining foraging range of Black-legged Kittiwakes (Rissa tridactyla). The mean distance birds were observed from their colony determined by radio-tracking was significantly greater than the mean value calculated from strip transects. We determined that this difference was due to two sources of bias: (1) as distance from the colony increased, the area of available habitat also increased resulting in decreasing bird densities (bird spreading). Consequently, the probability of detecting birds during transect surveys also would decrease as distance from the colony increased, and (2) the maximum distance birds were observed from the colony during radio-tracking exceeded the extent of the strip transect survey. We compared the observed number of birds seen on the strip transect survey to the predictions of a model of the decreasing probability of detection due to bird spreading. Strip transect data were significantly different from modeled data; however, the field data were consistently equal to or below the model predictions, indicating a general conformity to the concept of declining detection at increasing distance. We conclude that radio-tracking data gave a more representative indication of foraging distances than did strip transect sampling. Previous studies of seabirds that have used strip transect sampling without accounting for bird spreading or the effects of study-area limitations probably underestimated foraging range.
Chen, Yi; Wang, Yu; Chen, Lu; Sun, Chenyuo; English, Arthur W.; Wolpaw, Jonathan R.; Chen, Xiang Yang
Operant conditioning of the spinal stretch reflex or its electrical analog, the H-reflex, produces spinal cord plasticity and can thereby affect motoneuron responses to primary afferent input. To explore whether this conditioning can affect the functional outcome after peripheral nerve injury, we assessed the effect of up-conditioning soleus (SOL) H-reflex on SOL and tibialis anterior (TA) function after sciatic nerve transection and repair. Sprague-Dawley rats were implanted with EMG electrodes in SOL and TA and stimulating cuffs on the posterior tibial nerve. After control data collection, the sciatic nerve was transected and repaired and the rat was exposed for 120 days to continued control data collection (TC rats) or SOL H-reflex up-conditioning (TU rats). At the end of data collection, motoneurons that had reinnervated SOL and TA were labeled retrogradely. Putative primary afferent terminals (i.e., terminals containing vesicular glutamate transporter-1 (VGLUT1)) on SOL motoneurons were studied immunohistochemically. SOL (and probably TA) background EMG activity recovered faster in TU rats than in TC rats, and the final recovered SOL H-reflex was significantly larger in TU than in TC rats. TU and TC rats had significantly fewer labeled motoneurons and higher proportions of double-labeled motoneurons than untransected rats. VGLUT1 terminals were significantly more numerous on SOL motoneurons of TU than TC rats. Combined with the larger H-reflexes in TU rats, this anatomical finding supports the hypothesis that SOL H-reflex up-conditioning strengthened primary afferent reinnervation of SOL motoneurons. These results suggest that H-reflex up-conditioning may improve functional recovery after nerve injury and repair. PMID:21123559
Chen, Yi; Wang, Yu; Chen, Lu; Sun, Chenyou; English, Arthur W; Wolpaw, Jonathan R; Chen, Xiang Yang
Operant conditioning of the spinal stretch reflex or its electrical analog, the H-reflex, produces spinal cord plasticity and can thereby affect motoneuron responses to primary afferent input. To explore whether this conditioning can affect the functional outcome after peripheral nerve injury, we assessed the effect of up-conditioning soleus (SOL) H-reflex on SOL and tibialis anterior (TA) function after sciatic nerve transection and repair. Sprague Dawley rats were implanted with EMG electrodes in SOL and TA and stimulating cuffs on the posterior tibial nerve. After control data collection, the sciatic nerve was transected and repaired and the rat was exposed for 120 d to continued control data collection (TC rats) or SOL H-reflex up-conditioning (TU rats). At the end of data collection, motoneurons that had reinnervated SOL and TA were labeled retrogradely. Putative primary afferent terminals [i.e., terminals containing vesicular glutamate transporter-1 (VGLUT1)] on SOL motoneurons were studied immunohistochemically. SOL (and probably TA) background EMG activity recovered faster in TU rats than in TC rats, and the final recovered SOL H-reflex was significantly larger in TU than in TC rats. TU and TC rats had significantly fewer labeled motoneurons and higher proportions of double-labeled motoneurons than untransected rats. VGLUT1 terminals were significantly more numerous on SOL motoneurons of TU than TC rats. Combined with the larger H-reflexes in TU rats, this anatomical finding supports the hypothesis that SOL H-reflex up-conditioning strengthened primary afferent reinnervation of SOL motoneurons. These results suggest that H-reflex up-conditioning may improve functional recovery after nerve injury and repair.
... children; HCV children; Pregnancy - hepatitis C - children; Maternal transmission - hepatitis C - children References Elisofon SA, Jonas MMF. ... Hospital, Hollywood, FL. Review provided by VeriMed Healthcare Network. Also reviewed by David ... this important distinction for online health information and services. Learn more about A.D.A. ...
Pisera, D; Candolfi, M; Navarra, S; Ferraris, J; Zaldivar, V; Jaita, G; Castro, M G; Seilicovich, A
Tissue homeostasis results from a balance between cell proliferation and cell death by apoptosis. Estradiol affects proliferation as well as apoptosis in hormone-dependent tissues. In the present study, we investigated the apoptotic response of the anterior pituitary gland to lipopolysaccharide (LPS) in cycling female rats, and the influence of estradiol in this response in ovariectomized (OVX) rats. The OVX rats were chronically estrogenized with implanted Silastic capsules containing 1 mg of 17beta-estradiol (E2). Cycling or OVX and E2-treated rats were injected with LPS (250 microg/rat ip). Apoptosis was determined by the terminal deoxynucleotidyl-mediated dUTP nick-end labeling (TUNEL) method in sections of the anterior pituitary gland and spleen. Chronic estrogenization induced apoptosis in the anterior pituitary gland. Acute endotoxemia triggered apoptosis of cells in the anterior pituitary gland of E2-treated rats but not of OVX rats. No differences were observed in the apoptotic response to LPS in spleen between OVX and E2-treated rats. The apoptotic response of the anterior pituitary to LPS was variable along the estrous cycle, being higher at proestrus than at estrus or diestrus I. Approximately 75% of the apoptotic cells were identified as lactotropes by immunofluorescence. In conclusion, our results indicate that estradiol induces apoptosis and enables the proapoptotic action of LPS in the anterior pituitary gland. Also, our study suggests that estrogens may be involved in anterior pituitary cell renewal during the estrous cycle, sensitizing lactotropes to proapoptotic stimuli.
Torok, Natalie J
Alcoholic liver disease is one of the most prevalent liver diseases worldwide, and a major cause of morbidity and mortality. Alcoholic hepatitis is a severe form of liver injury in patients with alcohol abuse, can present as an acute on chronic liver failure associated with a rapid decline in liver synthetic function, and consequent increase in mortality. Despite therapy, about 30%-50% of patients with severe alcoholic hepatitis eventually die. The pathogenic pathways that lead to the development of alcoholic hepatitis are complex and involve oxidative stress, gut dysbiosis, and dysregulation of the innate and adaptive immune system with injury to the parenchymal cells and activation of hepatic stellate cells. As accepted treatment approaches are currently limited, a better understanding of the pathophysiology would be required to generate new approaches that improve outcomes. This review focuses on recent advances in the diagnosis, pathogenesis of alcoholic hepatitis and novel treatment strategies.
Anterior open bite is a major orthodontic problem that is very difficult to treat (Fig. 1). It may not be the most frequent problem but it is a major functional problem. Quite often it is very difficult to correct an anterior open bite problem and even more difficult to treat in an adult after growth. Most of the time anterior open bite is a myofunctional problem related to a bad habit like thumb or finger sucking and/or is related to a breathing and swallowing problem. How can we understand the functional open bite problem? What are the available treatment options? This article will try to answer some of these questions.
Gandhoke, Gurpreet S; Ricks, Christian; Tempel, Zachary; Zuckerbraun, Brian; Hamilton, D Kojo; Okonkwo, David O; Kanter, Adam S
In deformity surgery, anterior lumbar interbody fusion provides excellent biomechanical support, creates a broad surface area for arthrodesis, and induces lordosis in the lower lumbar spine. Preoperative MRI, plain radiographs, and, when available, CT scan should be carefully assessed for sacral slope as it relates to pubic symphysis, position of the great vessels (especially at L4/5), disc space height, or contraindication to an anterior approach. This video demonstrates the steps in an anterior surgical procedure with minimal open exposure. The video can be found here: https://youtu.be/r3bC4_vu1hQ .
VIRAL HEPATITIS Information for Gay and Bisexual Men What is viral hepatitis? Viral hepatitis is an infection of the liver caused by ... United States, the most common types of viral hepatitis are Hepatitis A, Hepatitis B, and Hepatitis C. ...
Wilde, Jeffrey; Bedi, Asheesh; Altchek, David W.
Context: Reconstruction of the anterior cruciate ligament (ACL) is one of the most common surgical procedures, with more than 200,000 ACL tears occurring annually. Although primary ACL reconstruction is a successful operation, success rates still range from 75% to 97%. Consequently, several thousand revision ACL reconstructions are performed annually and are unfortunately associated with inferior clinical outcomes when compared with primary reconstructions. Evidence Acquisition: Data were obtained from peer-reviewed literature through a search of the PubMed database (1988-2013) as well as from textbook chapters and surgical technique papers. Study Design: Clinical review. Level of Evidence: Level 4. Results: The clinical outcomes after revision ACL reconstruction are largely based on level IV case series. Much of the existing literature is heterogenous with regard to patient populations, primary and revision surgical techniques, concomitant ligamentous injuries, and additional procedures performed at the time of the revision, which limits generalizability. Nevertheless, there is a general consensus that the outcomes for revision ACL reconstruction are inferior to primary reconstruction. Conclusion: Excellent results can be achieved with regard to graft stability, return to play, and functional knee instability but are generally inferior to primary ACL reconstruction. A staged approach with autograft reconstruction is recommended in any circumstance in which a single-stage approach results in suboptimal graft selection, tunnel position, graft fixation, or biological milieu for tendon-bone healing. Strength-of-Recommendation Taxonomy (SORT): Good results may still be achieved with regard to graft stability, return to play, and functional knee instability, but results are generally inferior to primary ACL reconstruction: Level B. PMID:25364483
A comparison of the deep structure along nine recent transects of the west margin of North America shows many important similarities and differences. Common tectonic elements identified in the deep structure along these transects include actively subducting oceanic crust, accreted oceanic/arc (or oceanic-like) lithosphere of Mesozoic through Cenozoic ages. Cenozoic accretionary prisms, Mesozoic accretionary prisms, backstops to the Mesozoic prisms, and undivided lower crust. Not all of these elements are present along all transects. In this study, nine transects, including four crossing subduction zones and five crossing transform faults, are plotted at the same scale and vertical exaggeration (V.E. 1:1), using the above scheme for identifying tectonic elements. The four subduction-zone transects contain actively subducting oceanic crust. Cenozoic accretionary prisms, and bodies of basaltic rocks accreted in the Cenozoic, including remnants of a large, oceanic plateau in the Oregon and Vancouver Island transects. Rocks of age and composition (Eocene basalt) similar to the oceanic plateau are currently subducting in southern Alaska, where they are doubled up on top of Pacific oceanic crust and have apparently created a giant asperity, or impediment to subduction. Most of the subduction-zone transects also contain Mesozoic accretionary prisms, and two of them, Vancouver Island and Alaska, also contain thick, technically underplated bodies of late Mesozoic/early Cenozoic oceanic lithosphere, interpreted as fragments of the extinct Kula plate. In the upper crust, most of the five transform-fault transects (all in California) reflect: (1) tectonic wedging of a Mesozoic accretionary prism into a backstop, which includes Mesozoic/early Cenozoic forearc rocks and Mesozoic ophiolitic/arc basement rocks: and (2) shuffling of the subduction margin of California by strike-slip faulting. In the lower crust, they may reflect migration of the Mendocino triple junction northward
Van Bambeke, F
Viral hepatitis has long been under-diagnosed. Hepatitis A is an acute disease, while patients infected by hepatitis B and hepatitis C viruses are likely to develop chronical infections and severe complications (cancer, cirrhosis). The current treatment of hepatitis B and C consists in alpha interferon (preferably under its pegylated form), in combination with ribavirin for hepatitis C. The frequent and severe adverse effects of interferon-based therapy constitute, however, a major limiting factor (reactions at the injection site, flu-like syndrome, neurological disorders, ...). For hepatitis B, two alternatives are available so far, namely lamivudine and adefovir (used as a prodrug with highe oral bioavailability).
Rychel, Amanda L.; Swalla, Billie J.
Ptychodera flava is a hemichordate whose anterior structures regenerate reproducibly from posterior trunk pieces when amputated. We characterized the cellular processes of anterior regeneration with respect to programmed cell death and cell proliferation, following wound healing. We found scattered proliferating cells at day two of regeneration using a PCNA antibody. On day four, most proliferating cells were associated with the nerve tract under the epidermis, and on day six, a small proboscis derived from proliferated cells was regenerated, and a mouth had broken though the epidermis. TUNEL detected elevated levels of apoptosis in the endoderm that began furthest away from the region of wound healing, then moved anteriorly over eight days. Posterior to anterior apoptosis is likely to remove digestive endoderm for later differentiation of pharyngeal endoderm. We hypothesize that P. flava regeneration is nerve dependent and that remodeling in the gut endoderm plays an important role in regeneration. PMID:18924231
Scott, J. B.; Clark, M.; Lopez, C. T.; Pancha, A.; Rasmussen, T.; Smith, S. B.; Thelen, W. A.; Louie, J. N.
Surveys of shallow shear velocity in the Reno, Los Angeles and Las Vegas urban areas give us information assisting in the mitigation of earthquake hazards, and in response to a damaging earthquake. The three transects (16, 60, and 15 km long respectively) were completed quickly and economically using the refraction microtremor method, providing characterizations of over 300 separate sites. Shear-wave velocity averaged over 30 m depth (Vs30) is unexpectedly smooth along all three transects, exhibiting realistic fractal dimensions of 1.5 to 1.8. For the Reno transect, which follows the Truckee River, most of the urban area shows NEHRP class C velocities. Very little of the profile shows velocities in the NEHRP class D range. Neither geological nor agricultural soil map units can serve to predict NEHRP hazard class or shallow velocities in the Reno area, aside from distinguishing between volcanic rock and sediments. Measured along the San Gabriel River, Vs30 values through Azusa and the Santa Fe Dam area are significantly higher than the NEHRP C/D range (270-555 m/s) expected from existing hazard mapping. Vs30 values in the southern 30 km of the Los Angeles transect were well within the previously expected NEHRP class D range (180-360 m/s). Measurements at Alamitos Bay were slightly above the expected NEHRP D/E range (90-270 m/s). In Las Vegas, the lowest velocities in the transect, at the NEHRP C/D boundary, are near intra-basin faults found near I-15 and Lake Mead Blvd. Velocities then rise smoothly to the middle of the NEHRP-C range near Sahara Blvd. to the south. Caliche cementation of alluvium in parts of Las Vegas elevates Vs30 values to 500-600 m/s. Vs100 values for the three transects, averaging to the 100 m depth to which most of our measurements are valid, show trends mimicking the Vs30 trends. Across all three cities our measurements correlate poorly against available USDA soil maps, geologic mapping, and hazard mapping. Surface maps do not predict the
Huang, David; Li, Yan; Tang, Maolong
The development of corneal and anterior segment optical coherence tomography (OCT) technology has advanced rapidly in recently years. The scan geometry and imaging wavelength are both important choices to make in designing anterior segment OCT systems. Rectangular scan geometry offers the least image distortion and is now used in most anterior OCT systems. The wavelength of OCT light source affects resolution and penetration. An optimal choice of the OCT imaging wavelength (840, 1,050, or 1,310 nm) depends on the application of interest. Newer generation Fourier-domain OCT technology can provide scan speed 100-1000 times faster than the time-domain technology. Various commercial anterior OCT systems are available on the market. A wide spectrum of diagnostic and surgical applications using anterior segment OCT had been investigated, including mapping of corneal and epithelial thicknesses, keratoconus screening, measuring corneal refractive power, corneal surgery planning and evaluation in LASIK, intracorneal ring implantation, assessment of angle closure glaucoma, anterior chamber biometry and intraocular lens implants, intraocular lens power calculation, and eye bank donor cornea screening.
Weinberg, L A
A deflective slide in centric relation to centric occlusion does not necessarily mean anterior condylar displacement. Its diagnosis and treatment depend on the correlation of three factors: the direction and magnitude of the mandibular slide from centric relation to centric occlusion, the change in vertical dimension of occlusion during the slide, and the position of the condyles in the fossae when the teeth are in the maximum occlusion (centric occlusion). When the change in vertical dimension almost equals to amount of slide from the deflective contact in centric relation to maximum intercuspation, very little anterior condylar displacement would be expected. Conversely, with proportionately little change in vertical dimension, more anterior condylar translation is required for a given degree of anterior slide. Examples of each type of anterior slide were related to the TMJ radiographs of the condylar position. If the direction and magnitude of the deflective occlusal contact can be correlated with the TMJ radiographs, the centric relation is "functional,'' and the clinically retruded mandibular position should be used. When this correlation does not exist, the centric relation is "dysfunctional'' and the terminal hinge position (retruded mandibular position) should not be used for restorative or corrective procedures. Examples of anterior condylar displacement were given, including deviation, with a comparison of "before'' and "after'' TMJ radiographs.
... Resources Hepatitis A Test (American Association for Clinical Chemistry) Hepatitis B Test (American Association for Clinical Chemistry) Hepatitis C Test (American Association for Clinical Chemistry) ...
Belden, Andy C.; Barch, Deanna M.; Oakberg, Timothy J.; April, Laura M.; Harms, Michael P.; Botteron, Kelly N.; Luby, Joan L.
IMPORTANCE This is the first study to date to examine volumetric alterations in the anterior insula (AI) as a potential biomarker for the course of childhood major depressive disorder (MDD). OBJECTIVES To examine whether children with a history of preschool-onset (PO) MDD show reduced AI volume, whether a specific symptom of PO MDD (pathological guilt) is related to AI volume reduction (given the known relationship between AI and guilt processing), and whether AI volumes predict subsequent likelihood of having an episode of MDD. DESIGN, SETTING, AND PARTICIPANTS In a prospective longitudinal study, 306 children (age range, 3.00–5.11 years) and caregivers completed DSM diagnostic assessments at 6 annual time points during 10 years as part of the Preschool Depression Study. Magnetic resonance imaging was completed on a subset of 145 school-age children (age range, 6.11–12.11 years). MAIN OUTCOMES AND MEASURES Whole-brain–adjusted AI volume measured using magnetic resonance imaging at school age and children’s diagnosis of MDD any time after their imaging. RESULTS Compared with children without a history of PO MDD, school-age children previously diagnosed as having PO MDD had smaller left and right AI volumes (Wilks Λ = 0.94, F2,124 = 3.37, P = .04, Cohen d = 0.23). However, the effect of PO MDD on reduced AI volumes was better explained by children’s experience of pathological guilt during preschool (Λ = 0.91, F2,120 = 6.17, P = .003, d = .30). When covarying for children’s lifetime history of MDD episodes, their experience of pathological guilt during preschool, as well as their sex and age at the time of imaging, schoolchildren’s right-side AI volume was a significant predictor of being diagnosed as having an MDD episode after imaging (odds ratio, 0.96; 95% CI, 0.01–0.75; P = .03). CONCLUSIONS AND RELEVANCE These results provide evidence that structural abnormalities in AI volume are related to the neurobiology of depressive disorders starting in
Liang, G.; Elkins, J. M.; Coimbra, A.; Duong, L. T.; Williams, D. S.; Sonka, M.; Saha, P. K.
Osteophyte is an additional bony growth on a normal bone surface limiting or stopping motion in a deteriorating joint. Detection and quantification of osteophytes from CT images is helpful in assessing disease status as well as treatment and surgery planning. However, it is difficult to segment osteophytes from healthy bones using simple thresholding or edge/texture features in CT imaging. Here, we present a new method, based on active shape model (ASM), to solve this problem and evaluate its application to ex vivo μCT images in an ACLT rabbit femur model. The common idea behind most ASM based segmentation methods is to first build a parametric shape model from a training dataset and during application, find a shape instance from the model that optimally fits to target image. However, it poses a fundamental difficulty for the current application because a diseased bone shape is significantly altered at regions with osteophyte deposition misguiding an ASM method that eventually leads to suboptimum segmentation results. Here, we introduce a new partial ASM method that uses bone shape over healthy regions and extrapolate its shape over diseased region following the underlying shape model. Once the healthy bone region is detected, osteophyte is segmented by subtracting partial-ASM derived shape from the overall diseased shape. Also, a new semi-automatic method is presented in this paper for efficiently building a 3D shape model for rabbit femur. The method has been applied to μCT images of 2-, 4-, and 8-week post ACLT and sham-treated rabbit femurs and results of reproducibility and sensitivity analyses of the new osteophyte segmentation method are presented.
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Manzano-Trovamala, F J; Guttierrez, R L; Marquez, G M; Garcia, R A; Christen, J J; Guerrero, M G
We present the first case of esophagogastric devascularization and esophagogastric transection using a stapler through laparoscopic surgery. The procedure was performed in a 71-year-old diabetic woman with alcoholic liver cirrhosis (Child-Pugh B class), portal hypertension, bleeding grade III esophageal varices, and a previous bleeding episode. The surgical technique was carried out without problems, and the patient had an excellent postoperative condition. Esophagogastric devascularization with esophageal transection using a stapler through laparoscopic surgery is a feasible technique that accomplishes the same and all objectives of the open procedure. Operative time in both methods is the same, whereas surgical trauma, inmunologic depletion, amount of transfused blood, pain, use of analgesics, and hospital stay are reduced in the laparoscopic technique.
Bergstedt, R.A.; Anderson, D.R.
We used underwater video in conjunction with the line transect method and a Fourier series estimator to make 13 independent estimates of the density of known populations of bricks lying on the bottom in shallows of Lake Huron. The pooled estimate of density (95.5 bricks per hectare) was close to the true density (89.8 per hectare), and there was no evidence of bias. Confidence intervals for the individual estimates included the true density 85% of the time instead of the nominal 95%. Our results suggest that reliable estimates of the density of objects on a lake bed can be obtained by the use of remote sensing and line transect sampling theory.
Cohen, A. H.; Mackler, S. A.; Selzer, M. E.
Axons in the larval sea lamprey can regenerate across the site of a spinal cord transection and form functioning synapses with some of their normal target neurons. The animals recover normal-appearing locomotion, but whether the regenerating axons and their synaptic connections are capable of playing a functional role during this behavior is unknown. To test this, ``fictive'' swimming was induced in the isolated spinal cord by the addition of D-glutamate to the bathing solution. Ventral root discharges of segments above and below a healed transection showed a high degree of phase-locking. This strongly suggests that the behavioral recovery is mediated by regenerated functional synaptic connections subserving intersegmental coordination of the central pattern generator for locomotion.
As a pilot study for mapping the geochemistry of North American soils, samples were collected along two continental transects extending east–west from Virginia to California, and north–south from northern Manitoba to the US–Mexican border and subjected to geochemical and mineralogical analyses. For the northern Manitoba–North Dakota segment of the north–south transect, X-ray diffraction analysis and bivariate relations indicate that geochemical properties of soil parent materials may be interpreted in terms of minerals derived from Shield and clastic sedimentary bedrock, and carbonate sedimentary bedrock terranes. The elements Cu, Zn, Ni, Cr and Ti occur primarily in silicate minerals decomposed by aqua regia, likely phyllosilicates, that preferentially concentrate in clay-sized fractions; Cr and Ti also occur in minerals decomposed only by stronger acid. Physical glacial processes affecting the distribution and concentration of carbonate minerals are significant controls on the variation of trace metal background concentrations.
Uemura, Ryu; Masaka, Kosuke; Fukui, Kotaro; Iizuka, Yoshinori; Hirabayashi, Motohiro; Motoyama, Hideaki
The sulfur stable isotopic values (δ34S) of sulfate aerosols can be used to assess oxidation pathways and contributions from various sources, such as marine biogenic sulfur, volcanoes, and sea salt. However, because of a lack of observations, the spatial distribution of δ34S values in Antarctic sulfate aerosols remains unclear. Here we present the first sulfur isotopic values from surface snow samples along a latitudinal transect in eastern Dronning Maud Land, East Antarctica. The δ34S values of sulfate showed remarkably uniform values, in the range of 14.8-16.9‰, and no significant decrease toward the inland part of the transect was noted. These results suggest that net isotopic fractionation during long-range transport is insignificant. Thus, the δ34S values can be used to infer source contributions. The δ34S values suggest that marine biogenic sulfur is the dominant source of sulfate aerosols, with a fractional contribution of 84 ± 16%.
Nickus, U.; Kuhn, M.; Novo, A.; Rossi, G. C.
The regional distribution of ion concentration and ionic load along a meridional transect in the Eastern Alps was investigated in 1993 and 1994 taking samples of the high alpine snow pack at six sites. High concentrations of atmospheric trace substances seemed to be related to high rates of snow accumulation. Zugspitze at the northern, and Caresèr Glacier at the southern margin of the Alps and Hintereisferner at the main divide had higher concentrations of sulfate and nitrate than adjacent sites. The pattern found in the ion concentrations was accentuated in the deposition rates with maximum ionic loads up to three times higher than the minima at the dry sites. Sulfate concentrations and sulfate to nitrate ratios were higher in the southern part of the transect.
Recent advances in hepatitis research have shed new light on the etiology, pathogenesis, epidemiology and prevention of type B hepatitis infection. The so-called ‘Dane’ particle is probably the complete hepatitis B virion; its outer coat is the hepatitis B (Australia) antigen (HB Ag) and its inner core is an immunologically distinct particle. Subtypes of HB Ag (a, d, y, w and r) are useful indices for epidemiological surveys. Concepts of epidemiology have changed: type B hepatitis is transmissible by contact as well as by inoculation. The presence of HB Ag in blood is indicative of the presence of hepatitis B virus. Tests to detect antigen and use of voluntary blood donors have played a major role in the decreased incidence of post transfusion hepatitis. A special hepatitis B gammaglobulin preparation and a heat-inactivated hepatitis B vaccine have proved to be effective in preliminary studies. PMID:4219230
Kao, Huang-Kai; Cardona, Esteban; Chuang, Sheng-Hao
Traumatic peripheral nerve neurotmesis occurs frequently and functional recovery is often slow and impaired. Induced pluripotent stem cells (iPSCs) have shown much promise in recent years due to its regenerative properties similar to that of embryonic stem cells. However, the potential of iPSCs in promoting the functional recovery of a transected peripheral nerve is largely unknown. This study is the first to investigate in vivo effects of episomal iPSCs (EiPSCs) on peripheral nerve regeneration in a murine sciatic nerve transection model. Episomal iPSCs refer to iPSCs that are generated via Oct3/4-Klf4-Sox2 plasmid reprogramming instead of the conventional viral insertion techniques. It represents a relatively safer form of iPSC production without permanent transgene integration which may raise questions regarding risks of genomic mutation. A minimal number of EiPSCs were added directly to the transected nerve. Functional recovery of the EiPSC group was significantly improved compared to the negative control group when assessed via serial five-toe spread measurement and gait analysis of ankle angles. EiPSC promotion of nerve regeneration was also evident on stereographic analysis of axon density, myelin thickness, and axonal cross-sectional surface area. Most importantly, the results observed in EiPSCs are similar to that of the embryonic stem cell group. A roughly ten-fold increase in neurotrophin-3 levels was seen in EiPSCs which could have contributed to peripheral nerve regeneration and recovery. No abnormal masses or adverse effects were noted with EiPSC administration after one year of follow-up. We have hence shown that functional recovery of the transected peripheral nerve can be improved with the use of EiPSC therapy, which holds promise for the future of nerve regeneration. PMID:27736950
Fraidakis, M; Klason, T; Cheng, H; Olson, L; Spenger, C
Spinal cord transection at midthoracic level leads to an immediate loss of hindlimb motor function as well as to a progressive degeneration of descending and ascending spinal cord pathways. Thoracic spinal cord in unlesioned control rats and in rats 2 to 6 months after complete midthoracic transection were imaged in vivo using an ultrahigh-field (4.7 T) magnetic resonance spectrometer. High-resolution spin-echo and inversion-recovery pulse sequences were employed. In addition, the apparent diffusion coefficients (ADCs) in longitudinal and transverse directions of the spinal cord were determined. Anatomical MRI findings were confirmed in histological spinal cord tissue preparations. In healthy spinal cord, gray and white matter were easily discerned in proton density-weighted images. An infield resolution of max. 76 micrometers per pixel was achieved. In animals with chronic spinal cord transection changes in gray-white matter structure and contrast were observed toward the cut end. The spinal cord stumps showed a tapering off. This coincided with changes in the longitudinal/transverse ADC ratio. Fluid-filled cysts were found in most cases at the distal end of the rostral stump. The gap between the stumps contained richly vascularized scar tissue. Additional pathologic changes included intramedullary microcysts, vertebral dislocations, and in one animal compression of the spinal cord. In conclusion, MRI was found to be a useful method for in vivo investigation of anatomical and physiological changes following spinal cord transection and to estimate the degree of neural degeneration. In addition, MRI allows the description of the accurate extension of fluid spaces (e.g., cysts) and of water diffusion characteristics which cannot be achieved by other means in vivo.
Molina, R.; Bettin, D. M.; Salazar, J. F.; Villegas, J. C.
Forests might actively transport atmospheric moisture from the oceans, according to the biotic pump of atmospheric moisture (BiPAM) hypothesis. The BiPAM hypothesis appears to be supported by the fact that precipitation drops exponentially with distance from ocean along non-forested land transects, but not on their forested counterparts. Yet researchers have discussed the difficulty in defining proper transects for BiPAM studies. Previous studies calculate precipitation gradients either along linear transects maximizing distance to the ocean, or along polylines following specific atmospheric pathways (e.g., aerial rivers). In this study we analyzed precipitation gradients along curvilinear streamlines of wind in tropical South America. Wind streamlines were computed using long-term quarterly averages of meridional and zonal wind components from the ERA-Interim and NCEP/NCAR reanalyses. Total precipitation along streamlines was obtained from four data sources: TRMM, UDEL, ERA-Interim, and NCEP/NCAR. Precipitation on land versus distance from the ocean was analyzed along selected streamlines for each data source. As predicted by BiPAM, precipitation gradients did not decrease exponentially along streamlines in the vicinity of the Amazon forest, but dropped rapidly as distance from the forest increased. Remarkably, precipitation along streamlines in some areas outside the Amazon forest did not decrease exponentially either. This was possibly owing to convergence of moisture conveyed by low level jets (LLJs) in those areas (e.g., streamlines driven by the Caribbean and CHOCO jets on the Pacific coast of Colombia). Significantly, BiPAM held true even along long transects displaying strong sinuosity. In fact, the general conclusions of previous studies remain valid. Yet effects of LLJs on precipitation gradients need to be thoroughly considered in future BiPAM studies.
Anfuso, Giorgio; Bowman, Dan; Danese, Chiara; Pranzini, Enzo
Field surveys, aerial photographs, and satellite images are the most commonly employed sources of data to analyze shoreline position, which are further compared by area based analysis (ABA) or transect based analysis (TBA) methods. The former is performed by computing the mean shoreline displacement for the identified coastal segments, i.e., dividing the beach area variation by the segment length; the latter is based on the measurement of the distance between each shoreline at set points along transects. The present study compares, by means of GIS tools, the ABA and TBA methods by computing shoreline displacements recorded on two stretches of the Tuscany coast (Italy): the beaches of Punta Ala, a linear coast without shore protection structures, and the one at Follonica, which is irregular due to the presence of groins and detached breakwaters. Surveys were carried out using a differential global positioning system (DGPS) in RTK mode. For each site, a 4800-m-long coastal segment was analyzed and divided into ninety-six 50-m-long sectors for which changes were computed using both the ABA and TBA methods. Sectors were progressively joined to have a length of 100, 200, 400, and 800 m to examine how this influenced results. ABA and TBA results are highly correlated for transect distance and sector length up to 100 m at both investigated locations. If longer transects are considered, the two methods still produce good correlated data on the smooth shoreline (i.e. at Punta Ala), but correlation became significantly lower on the irregular shoreline (i.e., at Follonica).
Muhammad, Arslan; Kaminski, Michael; Tawabini, Bassam; Ramadan, Khalid Al; Babalola, Lamidi; Frontalini, Fabrizio
We surveyed living benthic foraminifera in a depth transect off western Bahrain (Arabian Gulf) with the aim of understanding the seasonal population dynamics and environmental parameters. In winter, the population was found to be highest due to the large number of rotaliids, followed by miliolids. In each season, the population was found to increase along the depth transect due to the higher number of juveniles. A strong correlation is observed between foraminiferal population and sediment grain size - the juveniles are most abundant on coarser-sandy substrate. The population decreases in the spring and is lowest in the summer. Finally, the living population recovered again in the autumn with increasing juveniles/adult ratios along the depth transect. Results of species consistency and relative abundance showed that Ammonia was consistent from the shallowest to the deepest station, whereas miliolids started appearing in the deeper stations. The average numbers of Elphidium and Peneroplis also increased along the depth transect. Another seasonal effect is that juveniles of Ammonia tepida are found during each season reflecting its reproduction throughout the year, whereas Brizalina pacifica was only found during spring and autumn. The study of environmental parameters reveals that the site is subjected to eutrophication i.e. nitrates and sulfates, however, pollution by heavy metals and hydrocarbons is not significant. An assessment of 63 heavy metals in sediment samples showed that none of the metals had concentrations higher than the internationally accepted norms, which is further confirmed by values of the Foraminiferal Deformities Index of less than 2%. Likewise, no hydrocarbons were detected in the water or sediment samples. Therefore, it is concluded that the site in Bahrain is not yet adversely affected by human development, and therefore can provide baseline information for future comparison and assessment of foraminiferal assemblages in contaminated zones
Anderson, David R.; Burnham, Kenneth P.; Lubow, Bruce C.; Thomas, L. E. N.; Corn, Paul Stephen; Medica, Philip A.; Marlow, R.W.
We examine the degree to which field observers can meet the assumptions underlying line transect sampling to monitor populations of desert tortoises (Gopherus agassizii). We present the results of 2 field trials using artificial tortoise models in 3 size classes. The trials were conducted on 2 occasions on an area south of Las Vegas, Nevada, where the density of the test population was known. In the first trials, conducted largely by experienced biologists who had been involved in tortoise surveys for many years, the density of adult tortoise models was well estimated (-3.9% bias), while the bias was higher (-20%) for subadult tortoise models. The bias for combined data was -12.0%. The bias was largely attributed to the failure to detect all tortoise models on or near the transect centerline. The second trials were conducted with a group of largely inexperienced student volunteers and used somewhat different searching methods, and the results were similar to the first trials. Estimated combined density of subadult and adult tortoise models had a negative bias (-7.3%), again attributable to failure to detect some models on or near the centerline. Experience in desert tortoise biology, either comparing the first and second trials or in the second trial with 2 experienced biologists versus 16 novices, did not have an apparent effect on the quality of the data or the accuracy of the estimates. Observer training, specific to line transect sampling, and field testing are important components of a reliable survey. Line transect sampling represents a viable method for large-scale monitoring of populations of desert tortoise; however, field protocol must be improved to assure the key assumptions are met.
Cabelguen, Jean-Marie; Chevallier, Stéphanie; Amontieva-Potapova, Ianina; Philippe, Céline
Recovery of locomotor behavior following spinal cord injury can occur spontaneously in some vertebrates, such as fish, urodele amphibians, and certain reptiles. This review provides an overview of the current status of our knowledge on the anatomical and electrophysiological changes occurring within the spinal cord that lead to, or are associated with the re-expression of locomotion in spinally-transected salamanders. A better understanding of these processes will help to devise strategies for restoring locomotor function in mammals, including humans.
McAlister, Jeffrey E; DeMill, Shyler L; Hyer, Christopher F; Berlet, Gregory C
In ankle arthroplasty, little attention has been given to intraoperative nerve injury and its postoperative sequelae. The aim of the present anatomic study was to determine the relationship of the superficial peroneal nerve to the standard anterior approach for total ankle arthroplasty. The superficial peroneal nerve was dissected in 10 below-the-knee cadaver specimens. The medial and intermediate dorsal cutaneous branches were identified. A needle was placed at the ankle joint. The following measurements were recorded: bifurcation into the medial and intermediate dorsal cutaneous branches, reference needle to the branches of the medial and intermediate superficial peroneal nerve, and the crossing branches of the medial dorsal cutaneous nerve. Two specimens (20%) had a medial dorsal cutaneous branch cross from medially to laterally. Eight specimens (80%) had a crossing branch of the medial dorsal cutaneous branch within 5 cm of the incision. No intermediate dorsal cutaneous branches were within the incision. The results from the present cadaver study suggest that during an anterior ankle approach, aberrant branches of the superficial peroneal nerve could require transection in 20% of patients at the joint level and ≤80% of patients with distal extension >35 mm from the ankle joint. The risk of injury to branches of the superficial peroneal nerve is substantial. The risk of nerve injury can be decreased with meticulous operative technique, smaller incisions, and the avoidance of aggressive retraction.
Gilmanov, Daniyar; Farneti, Pier Andrea; Miceli, Antonio; Bevilacqua, Stefano; Glauber, Mattia
The rapid development and refinement of techniques over the past decade have led to the realization that a minimally invasive approach enables aortic valve surgery to be performed with results, at the very least, equivalent to those of traditional (open) valve surgery done in experienced centres. Minimally invasive aortic valve replacement (MIAVR) has now evolved into a safe, efficient treatment option providing greater patient satisfaction and fewer complications. For rapidly ageing population of industrialized countries, aortic valve replacement (AVR) has become the most frequent heart valve surgery. However, transcatheter aortic valve implantation techniques and sutureless aortic valve prostheses recently introduced into clinical practice are challenging now the results of MIAVR in certain high surgical risk patients. Right anterior minithoracotomy results in excellent exposure and a safe conduct of AVR. The minithoracotomy is performed via the second intercostal space with a 6-7 cm long skin incision and no bone transection. After direct aortic and peripheral venous cannulation, aortic valve is exposed in a conventional manner, and further conduct of the intervention is not different from the sutureless AVR in median sternotomy. Herein, we discuss the indications, surgical technique and initial results of sutureless AVR through right anterior minithoracotomy.
Koziol, Lucie; Schmitt, Francois G.; Artigas, Felipe; Lizon, Fabrice
Oceanological processes possess important fluctuations over large ranges of spatial and temporal scales. These fluctuations are related with the turbulence of the ocean. Usually, in turbulence, one considers fixed point Eulerian measurements, or Lagrangian measurements following an elements of fluid. On the other hand, in oceanography, measurements are often done from a boat operating over a transect, where the boat is moving in the medium at a fixed speed (relative to the flow). Here the aim of our study is to consider if such moving reference frame is modifying the statistics of the measurements. For this we compare two type of measurements at high frequency: fixed point measurements, and transect measurements, where the boat is moving at a fixed speed relative to the flow. 1 Hz fluorometer measurements are considered in both cases. Measurements have been done the same day, under similar conditions. Power spectra of time series are considered, as well as local mean and variance measurements along each transect. It is found that the spectral scaling slope of the measurement is not modified, but the variance is very different, being much larger for the moving frame. Such result needs theoretical understanding and has potential important consequence regarding the measurement that are done at high frequency on moving frames in oceanography.
Manohar, Anitha; Flint, Robert D; Knudsen, Eric; Moxon, Karen A
Stereotypical locomotor movements can be made without input from the brain after a complete spinal transection. However, the restoration of functional gait requires descending modulation of spinal circuits to independently control the movement of each limb. To evaluate whether a brain-machine interface (BMI) could be used to regain conscious control over the hindlimb, rats were trained to press a pedal and the encoding of hindlimb movement was assessed using a BMI paradigm. Off-line, information encoded by neurons in the hindlimb sensorimotor cortex was assessed. Next neural population functions, or weighted representations of the neuronal activity, were used to replace the hindlimb movement as a trigger for reward in real-time (on-line decoding) in three conditions: while the animal could still press the pedal, after the pedal was removed and after a complete spinal transection. A novel representation of the motor program was learned when the animals used neural control to achieve water reward (e.g. more information was conveyed faster). After complete spinal transection, the ability of these neurons to convey information was reduced by more than 40%. However, this BMI representation was relearned over time despite a persistent reduction in the neuronal firing rate during the task. Therefore, neural control is a general feature of the motor cortex, not restricted to forelimb movements, and can be regained after spinal injury.
Bamford, Jeremy A; Putman, Charles T; Mushahwar, Vivian K
Intraspinal microstimulation (ISMS) employs electrical stimulation of the ventral grey matter to reactivate paralyzed skeletal muscle. This work evaluated the transformations in the quadriceps muscle that occurred following complete transection and chronic stimulation with ISMS or a standard nerve cuff (NCS). Stimulation was applied for 30 days, 4 h/day. Both methods induced significant increases in time-to-peak tension (ISMS 35%, NCS 25%) and half rise-time (ISMS 39%, NCS 25%) compared to intact controls (IC). Corresponding increases in type-IIA myosin heavy chain (MHC) and decreases in type-IID MHC were noted compared to IC. These results were unexpected because ISMS recruits motor units in a near-normal physiological order while NCS recruits motor units in a reversed order. Spinal cord transection and 30 days of stimulation did not alter either recruitment profile. The slope of the force recruitment curves obtained through ISMS following transection and 30 days of stimulation was similar to that obtained in intact animals, and 3.4-fold shallower than that obtained through NCS. The transformations observed in the current work are best explained by the near maximal level of motor unit recruitment, the total daily time of activity and the tonic nature of the stimulation paradigm.
Several findings obtained in recent years suggest that NGF, aside from its well-established function as a neurotrophic factor for peripheral sympathetic and sensory neurons, also has trophic influence on the cholinergic neurons of the basal forebrain. The present study assessed whether NGF was able to affect survival of central cholinergic neurons after axonal transections in adult rats. The septo-hippocampal pathway was transected unilaterally by cutting the fimbria, and animals were implanted with a cannula through which NGF or control solutions were injected intraventricularly over 4 weeks. The lesions reduced the number of large cell bodies, as visualized by Nissl staining in the medial septal nucleus and in the vertical limb of the diagonal band of Broca. Furthermore, in the same nuclei, they reduced the number of cell bodies positively stained for AChE after pretreatment with diisopropylfluorophosphate (a method known to result in reliable identification of cholinergic neurons in the septal area). On lesioned sides, the number of cholinergic cells in medial septal nucleus and the vertical limb of the diagonal band was reduced by 50 +/- 4%, as compared to the number on contralateral sides. On lesioned sides of animals chronically treated with NGF, the number of AChE-positive cells in these areas was reduced only by 12 +/- 6%, as compared to control levels. These findings suggest that fimbrial transections resulted in retrograde degeneration of cholinergic septo-hippocampal neurons and that NGF treatment strongly attenuated this lesion-induced degeneration.(ABSTRACT TRUNCATED AT 250 WORDS)
Staresinic, Mario; Petrovic, Igor; Novinscak, Tomislav; Jukic, Ivana; Pevec, Damira; Suknaic, Slaven; Kokic, Neven; Batelja, Lovorka; Brcic, Luka; Boban-Blagaic, Alenka; Zoric, Zdenka; Ivanovic, Domagoj; Ajduk, Marko; Sebecic, Bozidar; Patrlj, Leonardo; Sosa, Tomislav; Buljat, Gojko; Anic, Tomislav; Seiwerth, Sven; Sikiric, Predrag
We report complete transection of major muscle and the systemic peptide treatment that induces healing of quadriceps muscle promptly and then maintains the healing with functional restoration. Initially, stable gastric pentadecapeptide BPC 157 (GEPPPGKPADDAGLV, M.W. 1419, PL-10, PLD-116, PL 14736 Pliva, Croatia; in trials for inflammatory bowel disease; wound treatment; no toxicity reported; effective alone without carrier) also superiorly accelerates the healing of transected Achilles tendon. Regularly, quadriceps muscle completely transected transversely 1.0 cm proximal to patella presents a definitive defect that cannot be compensated in rat. BPC 157 (10 microg, 10 ng, 10 pg/kg) is given intraperitoneally, once daily; the first application 30 min posttransection, the final 24 h before sacrifice. It consistently improves muscle healing throughout the whole 72-day period. Improved are: (i) biomechanic (load of failure increased); (ii) function (walking recovery and extensor postural thrust/motor function index returned toward normal healthy values); (iii) microscopy/immunochemistry [i.e., mostly muscle fibers connect muscle segments; absent gap; significant desmin positivity for ongoing regeneration of muscle; larger myofibril diameters on both sides, distal and proximal (normal healthy rat-values reached)]; (iv) macroscopic presentation (stumps connected; subsequently, atrophy markedly attenuated; finally, presentation close to normal noninjured muscle, no postsurgery leg contracture). Thus, posttransection healing-consistently improved-may suggest this peptide therapeutic application in muscle disorders.
Fernandez, G; Fontan, F; Deville, C; Madonna, F; Thibaud, D
Direct repair of traumatic aortic isthmic transection eliminates the late complications of prosthetic graft repair. This study evaluates the long-term fate of direct aortic repair to which little attention has been paid. Among 32 patients operated upon from 1965 to 1987, 27 (84%) underwent direct repair. The tear was circumferential in 15 patients and partial in 12. Multiple traumatic lesions were present in 26 patients, including intracranial injury in 19. Partial cardiopulmonary bypass was used in 15 patients and simple aortic cross-clamping in 12. No paraplegia was observed. There were 4 deaths from associated lesions among the 14 patients operated upon for acute traumatic isthmic transection and no deaths in the others. Among the 23 survivors, 4 were lost to follow-up; the other 19 patients have excellent clinical results. Intravenous digital aortic angiography performed in 14 patients at a mean delay of 5 years 3 months showed excellent aortic reconstruction in all cases. Technically more demanding and faster than a graft interposition, direct repair is recommended as the procedure of choice in the surgical treatment of traumatic isthmic transection, particularly in young patients, the group most at risk from this lesion.
de Araújo, Maria Christina B; Santos, Paulo J P; Costa, Monica F
Although there is a consensus on the necessity of monitoring solid wastes pollution on beaches, the methods applied vary widely. Therefore, creating, testing and recommending a method that not only allows comparisons of places and periods, but also the detection of source signals, will be important to reach the objectives of the source-prevention principle. This will also allow the optimisation of time, resources, and processing of samples and data. A classification of the items found into specific categories was made according to their most probable source/use (fisheries, food packaging, hazardous, sewage/personal hygiene, beach user, general home). This study tested different widths of sampling transects to be used in the detection of plastics contamination on beaches, until all the categories were significantly represented. Each transect had its total width (50m) sub-divided into eight intervals of 0-2.5m; 2.5-5m; 5-10m; 10-15m; 15-20m; 20-30m; 30-40m; and 40-50m. The accumulated number of categories in the 50m (up to 2.5m; up to 5m and so on) was used to determine the minimal width necessary to qualitatively characterize the area regarding plastics contamination. The diversity of the categories was directly related to the area of the sampling transect. These results indicate that a significant increase in the number of categories in the first intervals tend to stabilize from 15-20m onwards.
Ahn, Hong-Sun; Hwang, Ji-Young; Kim, Min Soo; Lee, Ja-Yeon; Kim, Jong-Wan; Kim, Hyun-Soo; Shin, Ueon Sang; Knowles, Jonathan C; Kim, Hae-Won; Hyun, Jung Keun
Carbon nanotubes (CNTs), with their unique and unprecedented properties, have become very popular for the repair of tissues, particularly for those requiring electrical stimuli. Whilst most reports have demonstrated in vitro neural cell responses of the CNTs, few studies have been performed on the in vivo efficacy of CNT-interfaced biomaterials in the repair and regeneration of neural tissues. Thus, we report here for the first time the in vivo functions of CNT-interfaced nerve conduits in the regeneration of transected rat sciatic nerve. Aminated CNTs were chemically tethered onto the surface of aligned phosphate glass microfibers (PGFs) and CNT-interfaced PGFs (CNT-PGFs) were successfully placed into three-dimensional poly(L/D-lactic acid) (PLDLA) tubes. An in vitro study confirmed that neurites of dorsal root ganglion outgrew actively along the aligned CNT-PGFs and that the CNT interfacing significantly increased the maximal neurite length. Sixteen weeks after implantation of a CNT-PGF nerve conduit into the 10 mm gap of a transected rat sciatic nerve, the number of regenerating axons crossing the scaffold, the cross-sectional area of the re-innervated muscles and the electrophysiological findings were all significantly improved by the interfacing with CNTs. This first in vivo effect of using a CNT-interfaced scaffold in the regeneration process of a transected rat sciatic nerve strongly supports the potential use of CNT-interfaced PGFs at the interface between the nerve conduit and peripheral neural tissues.
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Zamora Nava, Luis Eduardo; Torre Delgadillo, Aldo
The term minimal hepatic encephalopathy (MHE) refers to the subtle changes in cognitive function, electrophysiological parameters, cerebral neurochemical/neurotransmitter homeostasis, cerebral blood flow, metabolism, and fluid homeostasis that can be observed in patients with cirrhosis who have no clinical evidence of hepatic encephalopathy; the prevalence is as high as 84% in patients with hepatic cirrhosis. Physician does generally not perceive cirrhosis complications, and neuropsychological tests and another especial measurement like evoked potentials and image studies like positron emission tomography can only make diagnosis. Diagnosis of minimal hepatic encephalopathy may have prognostic and therapeutic implications in cirrhotic patients. The present review pretends to explore the clinic, therapeutic, diagnosis and prognostic aspects of this complication.
Hwang, Jin Seop; Chough, Chung Kee; Joo, Won Il
Large anterior cervical osteophytes can occur in degeneration of the cervical spine or in diffuse idiopathic skeletal hyperostosis(DISH). Large osteophytes can produce otolaryngological symptoms such as dysphagia, dysphonia, and foreign body sensation. We describe a DISH patient with giant anterior cervical osteophyte causing chronic dysphagia and dysphonia. A 56-year-old man presented with increasing dysphagia, dysphonia, neck pain and neck stiffness. Physical examination of the neck showed a non-tender and hard mass on the left side at the level of C4-5. Radiography showed extensive ossification of anterior longitudinal ligament along the left anterolateral aspect of vertebral bodies from C2 to T1. The ossification was espe cially prominent at the level of C4-5 and linear breakage was noted at same level. Esophagogram revealed a filling defect along the pharynx and lateral displacement of the esophagus. Giant anterior cervical osteophyte was removed through the leftsided anterolateral cervical approach to the spine. Anterior cervical interbody fusion at C4-5 was followed by posterior cervical fixation using lateral mass screws from C3 to C6. After surgery, dysphagia and dysphonia improved immediately. One year later, cervical CT showed bone fusion at C4-5 bodies and no recurrence of osteophyte. DISH is a common cause of anterior cervical osteophyte leading to progressive dysphagia. Keeping this clinical entity in the differential diagnosis is important in patients with progressive neck stiffness, dysphagia or dysphonia. And surgical treatment of symptomatic anterior cervical osteophyte due to DISH should be considered with a solid fusion procedure preventing postoperative instability or osteophyte progress.
Sonnerup, B. U. O; Guo, M.
A novel method is described for reconstruction of two-dimensional current-layer structures from measurements taken by a single spacecraft traversing the layer. In its present form, the method is applicable only to 2D magnetohydrostatic structures that are passively convected past the observing spacecraft. It is tested on a magnetopause crossing of the tangential-discontinuity type by the spacecraft AMPTE/IRM. The magnetic structures recovered include a magnetic island located between two X-type nulls as well as a magnetic 'worm hole' through which a bundle of weak magnetic flux appears to connect the magnetosphere and the magnetosheath.
Hanna, S. S.; Jirsch, D. W.
Liver injuries may be due to either blunt or penetrating trauma to the thorax or abdomen. Specific treatment depends on the site and extent of hepatic injury. Following resuscitation with intravenous fluids and blood as needed, surgical therapy is directed to provide hemostasis, remove necrotic liver tissue and promote adequate external drainage in the postoperative period. While local measures are usually sufficient, complex hepatic wounds may require extensive resection and vascular ligature or repair. PMID:890631
Sharma, Suraj; Carballo, Manuel; Feld, Jordan J; Janssen, Harry L A
WHO estimates reveal that the global prevalence of viral hepatitis may be as high as 500 million, with an annual mortality rate of up to 1.3 million individuals. The majority of this global burden of disease is borne by nations of the developing world with high rates of vertical and iatrogenic transmission of HBV and HCV, as well as poor access to healthcare. In 2013, 3.2% of the global population (231 million individuals) migrated into a new host nation. Migrants predominantly originate from the developing countries of the south, into the developed economies of North America and Western Europe. This mass migration of individuals from areas of high-prevalence of viral hepatitis poses a unique challenge to the healthcare systems of the host nations. Due to a lack of universal standards for screening, vaccination and treatment of viral hepatitis, the burden of chronic liver disease and hepatocellular carcinoma continues to increase among migrant populations globally. Efforts to increase case identification and treatment among migrants have largely been limited to small outreach programs in urban centers, such that the majority of migrants with viral hepatitis continue to remain unaware of their infection. This review summarizes the data on prevalence of viral hepatitis and burden of chronic liver disease among migrants, current standards for screening and treatment of immigrants and refugees, and efforts to improve the identification and treatment of viral hepatitis among migrants.
Sinniah, M; Dimitrakakis, M; Tan, D S
Sera from one hundred and fifty nine Malaysian individuals were screened for the prevalence of delta markers. These included 15 HBsAg positive homosexuals, 16 acute hepatitis B cases, 9 chronic hepatitis B patients, 13 healthy HBsAg carriers and 106 intravenous (i.v.) drug abusers, of whom 27 were positive for HBsAg only and the rest were anti-HBc IgG positive but HBsAg negative. The prevalence of delta markers in the homosexuals was found to be 6.7%, in the HBsAg positive drug abusers 17.8%, in acute hepatitis B cases 12.5%. No evidence of delta infection was detected in healthy HBsAg carriers, chronic hepatitis B cases and HBsAg negative i.v. drug abusers. With reference to i.v. drug abusers, the prevalence of delta markers was higher in Malays (23%) than in Chinese (7%) although the latter had a higher HBsAg carrier rate. Although the HBsAg carrier rate in the homosexuals was high, their delta prevalence rate was low as compared to drug abusers. In Malaysia, as in other non-endemic regions, hepatitis delta virus transmission appeared to occur mainly via the parenteral and sexual routes. This is the first time in Malaysia that a reservoir of delta infection has been demonstrated in certain groups of the population at high risk for hepatitis B.
Friedman, Scott L.
Substantial improvements in the treatment of chronic liver disease have accelerated interest in uncovering the mechanisms underlying hepatic fibrosis and its resolution. Activation of resident hepatic stellate cells into proliferative, contractile, and fibrogenic cells in liver injury remains a dominant theme driving the field. However, several new areas of rapid progress in the past 5–10 years also have taken root, including: (1) identification of different fibrogenic populations apart from resident stellate cells, for example, portal fibroblasts, fibrocytes, and bone-marrow– derived cells, as well as cells derived from epithelial mesenchymal transition; (2) emergence of stellate cells as finely regulated determinants of hepatic inflammation and immunity; (3) elucidation of multiple pathways controlling gene expression during stellate cell activation including transcriptional, post-transcriptional, and epigenetic mechanisms; (4) recognition of disease-specific pathways of fibrogenesis; (5) re-emergence of hepatic macrophages as determinants of matrix degradation in fibrosis resolution and the importance of matrix cross-linking and scar maturation in determining reversibility; and (6) hints that hepatic stellate cells may contribute to hepatic stem cell behavior, cancer, and regeneration. Clinical and translational implications of these advances have become clear, and have begun to impact significantly on the management and outlook of patients with chronic liver disease. PMID:18471545
Marchewka, Joanna; Estevez, Inma; Vezzoli, Giuseppe; Ferrante, Valentina; Makagon, Maja M.
Currently, no animal-based protocol for on-farm welfare assessment of commercial turkeys is available. The birds’ size and flighty nature make obtaining a representative sample using traditional methods difficult. The transect walks (TW) approach provides a potential alternative for on-farm assessments of turkey welfare. We compared the TW approach with a traditional method, and data collected as the birds were moved out of the house during the load out process (L). Ten commercial 19- to 20-week-old Hybrid turkey flocks were evaluated (1 flock/house/farm). Half of the flocks were housed on farms deemed as “faring well” by the company, the other half were on “suboptimal” farms. Each house was subdivided longitudinally into 4 transects. Two observers walked the transects in random order, recording the total number of birds per transect that were immobile; lame; aggressive towards a mate; interacting with humans; with visible head, vent, or back wounds; engaging in mounting behaviors; small; featherless; dirty; sick; terminal; or dead. Flocks were re-evaluated on the same day using the individual sampling method (S), where randomly selected birds were scored as they took 10 steps. Flocks were re-assessed within 48 h of the transect evaluation, as birds were funneled out of the house during load out. Using ANOVAs we determined the effects of observers, method, management, and their interactions on proportions of turkeys per house within each category. Outcome parameters were not affected by management (P > 0.05 for all) or observer (P > 0.05 for most), but an assessment method effect was detected (P < 0.05). S differed from the 2 other methods (P < 0.05) for most parameters except aggression towards a mate, back wounds, dirty, sick, and vent wounds. Differences were not detected between data collected using TW and during L, except for dead (P = 0.0007) and immobile (P = 0.007). Results suggest that the TW method is a promising tool for on-farm turkey welfare
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Turamanlar, Ozan; Kırpıko, Oğuz; Özen, Oğuz Aslan; Değirmenci, Bumin; Akçer, Sezer; Uygur, Ramazan
The hepatic and renal veins drain into the inferior vena cava. The upper group of hepatic veins consists of three veins which extend to the posterior face of the liver to join the inferior cava. The left renal vein passes anterior to the aorta just below the origin of the superior mesenteric artery. We detected a variation in the hepatic and renal veins in a multislice CT angiogram of a nine-year-old male patient in the Radiology Department of Afyon Kocatepe University Medical School. The upper group hepatic veins normally drains into the inferior vena cava as three separate trunks, namely the right, left and middle. In our case, we found that only the right and left hepatic veins existed and the middle hepatic vein was absent. Furthermore, the left renal vein, which normally passes anterior to the abdominal aorta, was retro-aortic. Left renal vein variations are of great importance in planning retroperitoneal surgery and vascular interventions. Knowledge of a patient’s hepatic vein and renovascular anatomy and determining their variations and anomalies are of critical importance to abdominal operations, transplantations and preoperative evaluation of endovascular interventions. PMID:25206997
Wolfsen, H C; Bolen, J W; Bowen, J L; Fenster, L F
Fulminant hepatitis due to herpes simplex virus (HSV) in adults is a rare and deadly disease. We describe a 23-year-old woman with a 20-year history of Crohn's disease (CD) who was hospitalized with an acute febrile illness and diarrhea. A computed tomography (CT) scan of the abdomen demonstrated an intramural sigmoid colon abscess and multiple abscesses in the liver. Despite high-dose parenteral corticosteroids and broad-spectrum antibiotics, the patient remained acutely ill, with high fever and markedly elevated serum transaminase levels, but no jaundice. Sigmoid resection and wedge liver biopsy were performed at laparotomy. Histologic examination documented HSV-type intranuclear inclusions and inflammation with necrosis in both the sigmoid colon and liver specimens. The patient subsequently died despite parenteral acyclovir treatment. Although rare, fulminant hepatitis due to HSV simplex virus should be considered in the differential diagnosis of all patients with severe hepatitis. Of special note, the necrotizing liver lesions may be mistaken for pyogenic abscesses on CT scan.
Cisterna chyli is prone to injury in any retroperitoneal surgery. However, retroperitoneal chylous leakage is a rare complication after anterior spinal surgery. To the best of our knowledge, only ten cases have been reported in the English literature. We present a case of a 49-year-old man who had lumbar metastasis and associated radiculopathy. He had transient retroperitoneal chylous leakage after anterior tumor decompression, interbody bony fusion, and instrumental fixation from L2 to L4. The leakage stopped spontaneously after we temporarily clamped the drain tube. Intraperitoneal ascites accumulation developed thereafter due to nutritional loss and impaired hepatic reserves. We gathered ten reported cases of chylous leak after anterior thoracolumbar or lumbar spinal surgery, and categorized all these cases into two groups, depending on the integrity of diaphragm. Six patients received anterior spinal surgery without diaphragm splitting. Postoperative chylous leak stopped after conservative treatment. Another five cases received diaphragm splitting in the interim of anterior spinal surgery. Chylous leakage stopped spontaneously in four patients. The remaining one had a chylothorax secondary to postop chyloretroperitoneum. It was resolved only after surgical intervention. In view of these cases, all the chylous leakage could be spontaneously closed without complications, except for one who had a secondary chylothorax and required thoracic duct ligation and chemopleurodesis. We conclude that intraoperative diaphragm splitting or incision does not increase the risk of secondary chylothorax if it was closed tightly at the end of the surgery and the chest tube drainage properly done. PMID:17273839
Pillitteri, C A; Craig, L E
Hepatic encephalopathy has been listed as a differential for llamas displaying neurologic signs, but it has not been histopathologically described. This report details the neurologic histopathologic findings associated with 3 cases of hepatic lipidosis with concurrent neurologic signs and compares them to 3 cases of hepatic lipidosis in the absence of neurologic signs and 3 cases without hepatic lipidosis. Brain from all 3 llamas displaying neurologic signs contained Alzheimer type II cells, which were not detected in either subset of llamas without neurologic signs. Astrocytic immunohistochemical staining intensity for glial fibrillary acid protein was decreased in llamas with neurologic signs as compared to 2 of 3 llamas with hepatic lipidosis and without neurologic signs and to 2 of 3 llamas without hepatic lipidosis. Immunohistochemical staining for S100 did not vary between groups. These findings suggest that hepatic encephalopathy may be associated with hepatic lipidosis in llamas.
Huynh-Le, Phuong; Natori, Yoshihiro; Sasaki, Tomio
We studied the surgical anatomy of the anterior clinoid process (ACP) and its adjacent structures in cadaver heads. We paid special attention to the anatomical relationships between the ACP and adjacent structures to determine the surgical landmarks for safe anterior clinoidectomy. Thirty-five cadaver heads were dissected and the ACP regions were examined in 55 skull sides. We observed that in eight sides the ACP had been pneumatized from the sphenoid sinus. The caroticoclinoid foramen was revealed in only eight sides. The extra-ocular nerves ran forward to the superior orbital fissure at the inferolateral aspect of the ACP, with the oculomotor nerve being closest. The posterolateral area of the carotico-oculomotor membrane was thin and incomplete in nine sides. The study clarified the anatomical relationship between the ACP and its surrounding structures, and identified the major variations experienced. We used these to identify anatomical landmarks to assist the surgeon in the planning of a safe and effective anterior clinoidectomy.
Hieda, Masashi Toyota, Naoyuki; Kakizawa, Hideaki; Ishikawa, Masaki; Horiguchi, Jun; Ito, Katsuhide
The purpose of this study was to retrospectively analyze the frequency and anatomical pattern of the anterior branch of the left inferior phrenic artery (LIPA) arising from the right inferior phrenic artery (RIPA). Angiography of the RIPA for patients (n = 140) with hepatic malignancy was retrospectively reviewed. The frequency at which the anterior branch of the LIPA arose from the RIPA was 14.3% (20 of 140 patients [pts]). Among the three branches that may arise from the RIPA in these cases (the anterior branch of the LIPA and the anterior and posterior branches of the RIPA), the anterior branch of the LIPA was the first branch of the RIPA in 9 of 20 pts (45%), and the posterior branch of the RIPA in 11 of 20 pts (55%). The anterior branch of the LIPA ran along the ventral side of the esophagus or stomach and supplied the esophagogastric region and dome of the left diaphragm in all cases. In conclusion, the anterior branch of the LIPA arises from the RIPA at a comparatively high frequency. In embolization of the RIPA, to effectively treat and avoid possible complications, interventionalists should be aware of this potential variant anatomy.
Tate, Lloyd P.; Baines, Steven J.; Meuten, Donald J.; Stefanacci, J.
Medial and lateral aspects of both radiuses were subjected to periosteal transection of nine healthy equine foals. One site per foal was subjected to surgical periosteal transection and elevation under general anesthesia. The remaining three sites of each foal after injection of a local anesthetic received Nd:YAG contact percutaneous periosteal transection. All radiuses were evaluated radiographically prior to periosteal transection and immediately prior to euthanasia. Foals were euthanized at 3 days, 31 to 34 days, and 67 days post-periosteal transection and gross postmortem and histologic examination performed on each site. Radiographically, periosteal proliferation occurred at all the conventional surgery sites and a majority of the percutaneous laser sites by 30 days post-treatment and was present at 67 days. No limb angulations were noted to occur in any of the foals. The conclusion of the study was that Nd:YAG percutaneous laser periosteal transection was successful in producing periosteal obliteration but with a different histologic appearance than that produced by conventional surgery.
Ramakrishnan, Reshma; Shrivastava, Saurabh; Deshpande, Shrikant; Patkar, Priyanka
Dengue fever is caused by a flavivirus. This infection is endemic in the tropics and warm temperate regions of the world. Ocular manifestations of dengue fever include subconjunctival, vitreous, and retinal haemorrhages; posterior uveitis; optic neuritis; and maculopathies, haemorrhage, and oedema. However anterior ischemic optic neuropathy is a rare presentation. Optic nerve ischemia most frequently occurs at the optic nerve head, where structural crowding of nerve fibers and reduction of the vascular supply may combine to impair perfusion to a critical degree and produce optic disc oedema. Here we present a case of anterior ischemic optic neurapathy associated with dengue fever.
Ramakrishnan, Reshma; Shrivastava, Saurabh; Deshpande, Shrikant; Patkar, Priyanka
Dengue fever is caused by a flavivirus. This infection is endemic in the tropics and warm temperate regions of the world. Ocular manifestations of dengue fever include subconjunctival, vitreous, and retinal haemorrhages; posterior uveitis; optic neuritis; and maculopathies, haemorrhage, and oedema. However anterior ischemic optic neuropathy is a rare presentation. Optic nerve ischemia most frequently occurs at the optic nerve head, where structural crowding of nerve fibers and reduction of the vascular supply may combine to impair perfusion to a critical degree and produce optic disc oedema. Here we present a case of anterior ischemic optic neurapathy associated with dengue fever. PMID:27843231
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Braga, António Costa; Vasconcelos, Carlos; Braga, Jorge
Aim: The aim of this study was to review our experience with gestations in autoimmune hepatitis patients. Background: There are only limited data describing pregnancy in patients with autoimmune hepatitis. Patients and methods: Retrospective analysis of pregnancies with autoimmune hepatitis followed in Centro Hospitalar do Porto, Portugal in the last ten years. Results: We reported nine pregnancies in seven patients with autoimmune hepatitis. Two patients had documented liver cirrhosis prior to the pregnancy. In this study, 66.7% of patients were treated with azathioprine and 88.9% with prednisolone. Clinical improvements were observed in 11.1% of pregnancies and 22.2% exacerbations were diagnosed. There were six live births and two preterm deliveries (preterm delivery rate of 33%). We also report three first trimester miscarriages (early gestation miscarriage rate of 33%). There were no neonatal or maternal deaths. Conclusion: The favorable obstetric outcome is a realistic expectation in patients with autoimmune hepatitis. Tight monitoring and control of asymptomatic and unpredictable exacerbations, which are unrelated to the severity of the underlying disease, are essential to the prognosis of the current pregnancy. PMID:27458515
Bajenaru, N; Balaban, V; Săvulescu, F; Campeanu, I; Patrascu, T
Hepatic hemangiomas are benign tumors of the liver consisting of clusters of blood-filled cavities, lined by endothelial cells, fed by the hepatic artery. The vast majority of HH are asymptomatic, most often being discovered incidentally during imaging investigations for various unrelated pathologies. Typical hemangiomas, the so-called capillary hemangiomas, range from a few mm to 3 cm, do not increase in size over time and therefore are unlikely to generate future symptomatology. Small (mm-3 cm) and medium (3 cm-10 cm) hemangiomas are well-defined lesions, requiring no active treatment beside regular follow-ups. However, the so-called giant liver hemangiomas, of up to 10 cm (most commonly) and even 20+ cm in size (according to occasional reports) can, and usually will develop symptoms and complications that require prompt surgical intervention or other kind of therapy. HH belong to the class of hepatic "incidentalomas", so-called because they are diagnosed incidentally, on imaging studies performed as routine examinations or for other reasons than the evaluation of a possible liver mass. Less than half of HH present with overt clinical symptoms, consisting, most often, of upper abdominal pain (this is usually the case for large lesions, which cause the distension of Glisson's capsule). Hepatic hemangiomas require a careful diagnosis to differentiate from other focal hepatic lesions, co-occurring diagnoses are also possible.
Riedel, M.; Collett, T.; Malone, M.J.; Collett, T.S.; Mitchell, M.; Guerin, G.; Akiba, F.; Blanc-Valleron, M.; Ellis, M.; Hashimoto, Y.; Heuer, V.; Higashi, Y.; Holland, M.; Jackson, P.D.; Kaneko, M.; Kastner, M.; Kim, J.-H.; Kitajima, H.; Long, P.E.; Malinverno, A.; Myers, Gwen E.; Palekar, L.D.; Pohlman, J.; Schultheiss, P.; Teichert, B.; Torres, M.E.; Trehu, A.M.; Wang, Jingyuan; Worthmann, U.G.; Yoshioka, H.
A transect of four sites (U1325, U1326, U1327 and U1329) across the northern Cascadia margin was established during Integrated Ocean Drilling Program Expedition 311 to study the occurrence and formation of gas hydrate in accretionary complexes. In addition to the transect sites, a fifth site (U1328) was established at a cold vent with active fluid flow. The four transect sites represent different typical geological environments of gas hydrate occurrence across the northern Cascadia margin from the earliest occurrence on the westernmost first accreted ridge (Site U1326) to the eastward limit of the gas hydrate occurrence in shallower water (Site U1329). Expedition 311 complements previous gas hydrate studies along the Cascadia accretionary complex, especially ODP Leg 146 and Leg 204 by extending the aperture of the transect sampled and introducing new tools to systematically quantify the gas hydrate content of the sediments. Among the most significant findings of the expedition was the occurrence of up to 20 m thick sand-rich turbidite intervals with gas hydrate concentrations locally exceeding 50% of the pore space at Sites U1326 and U1327. Moreover, these anomalous gas hydrate intervals occur at unexpectedly shallow depths of 50-120 metres below seafloor, which is the opposite of what was expected from previous models of gas hydrate formation in accretionary complexes, where gas hydrate was predicted to be more concentrated near the base of the gas hydrate stability zone just above the bottom-simulating reflector. Gas hydrate appears to be mainly concentrated in turbidite sand layers. During Expedition 311, the visual correlation of gas hydrate with sand layers was clearly and repeatedly documented, strongly supporting the importance of grain size in controlling gas hydrate occurrence. The results from the transect sites provide evidence for a structurally complex, lithology-controlled gas hydrate environment on the northern Cascadia margin. Local shallow
Hadeen, Xennephone; Zeilinger, Gerold
The Southern Bolivian Subandes is a highly tectonically active region in the Andes since deformation began approx. 10 Ma ago. The study area is located in the Southern Bolivian Subandes southwest of Santa Cruz. Observations were taken along two transects with each being around 100 km long. They stretch from the Subandes-Interandean boundary into the Chaco Plain. The northern transect extends from Abapó in the Chaco Plain and it continues west near Vallegrande and ends just west of Pucara near La Higuera. The southern transect initiates near Charagua in the Chaco Plain. Then it continues west through Villa Vaca Guzmán and ends around 25 km west of Monteagudo. Structural and stratigraphic data were collected along the two transects. The locations of major geologic structures such as thrust faults, anticlines and synclines were mapped. The map along with the data from the two cross sections was then used to generate a 3D model of the Subandean fold and thrust belt between Abapó and Monteagudo. The cross sections were than restored to quantify the amount of shortening that had occurred over the past 10 million years. The southern transect has undergone 65 km of shortening while 50 to 80 km of shortening have transpired along the less constrain northern transect. The estimated rate of deformation averages at 8 mm/yr. The timing of deformation may differ between the two transects. Deformation may have initiated earlier or undergone at a faster rate in the northern transect than in the southern transect. It is also possible that the decollement is shallower in the western portion of the northern transect. We observe that the east propagating anticlines verge to the west. This may be due to the anticlines being cut by exposed or blind thrust faults and then rotated counterclockwise. They rotate while piggybacking on younger thrust faults that developed and propagate to the east of the anticlines. We postulate deformation continues to propagate eastward into the Chaco
Llewellyn, Carole A; White, Daniel A; Martinez-Vincente, Victor; Tarran, Glen; Smyth, Tim J
The composition and abundance of mycosporine-like amino acids (MAAs) were investigated in the surface waters along a 13,000-km meridional transect (52° N to 45° S) in the Atlantic Ocean (Atlantic Meridional Transect programme: Cruise AMT 18: 4/10/2008-10/11/2008). MAAs were ubiquitous along the transect, although the composition of the MAAs was variable. Highest concentrations were in the far south (below 40° S; MAA >1 μg L(-1)) and in north subtropical equatorial region (NER: 0-25° N; MAA up to 0.8 μg L(-1)). Highest MAA relative to chlorophyll-a occurred in the NER (MAA/chl-a ratio between 2 and 5). MAA/chl-a significantly correlated with the preceding month's mean daily UV dose and with UV-B/UV-A. In the far south, high MAA concentrations coincided with high phytoplankton biomass, high nutrients and a deep mixed layer associated with the austral spring. Here, the phytoplankton community was dominated by micro- and nano-eukaryotes. At the NER, the high MAA/chl-a coincided with low nutrient concentrations, a shallow mixed layer depth (20-70 m) and to a lesser extent to a shallow nitracline (40-90 m). Here, the phytoplankton consisted primarily of picophytoplankton (0-0.2 μm), dominated by the pico-cyanobacteria Synechococcus sp. and Prochlorococcus sp. and by the nitrogen fixing filamentous cyanobacterium Trichodesmium. The low nitrate concentrations (<0.1 μmol L(-1)) at the NER suggest that nitrogen fixation was required for MAA production. Specific MAAs could not easily be assigned to particular groups of phytoplankton and we could not rule out the possibility that MAAs were associated with symbiotic cyanobacteria contained within heterotrophic dinoflagellates or diatoms.
Dokter, Adriaan M.; Baptist, Martin J.; Ens, Bruno J.; Krijgsveld, Karen L.; van Loon, E. Emiel
Track-while-scan bird radars are widely used in ornithological studies, but often the precise detection capabilities of these systems are unknown. Quantification of radar performance is essential to avoid observational biases, which requires practical methods for validating a radar’s detection capability in specific field settings. In this study a method to quantify the detection capability of a bird radar is presented, as well a demonstration of this method in a case study. By time-referencing line-transect surveys, visually identified birds were automatically linked to individual tracks using their transect crossing time. Detection probabilities were determined as the fraction of the total set of visual observations that could be linked to radar tracks. To avoid ambiguities in assigning radar tracks to visual observations, the observer’s accuracy in determining a bird’s transect crossing time was taken into account. The accuracy was determined by examining the effect of a time lag applied to the visual observations on the number of matches found with radar tracks. Effects of flight altitude, distance, surface substrate and species size on the detection probability by the radar were quantified in a marine intertidal study area. Detection probability varied strongly with all these factors, as well as species-specific flight behaviour. The effective detection range for single birds flying at low altitude for an X-band marine radar based system was estimated at ∼1.5 km. Within this range the fraction of individual flying birds that were detected by the radar was 0.50±0.06 with a detection bias towards higher flight altitudes, larger birds and high tide situations. Besides radar validation, which we consider essential when quantification of bird numbers is important, our method of linking radar tracks to ground-truthed field observations can facilitate species-specific studies using surveillance radars. The methodology may prove equally useful for optimising
Mphale, K. M.; Dash, S. K.; Adedoyin, A.; Panda, S. K.
Sixty-year-long January-March (JFM) rainfall data from four (4) stations along the Kalahari Transect were analyzed for long-term trends and abrupt changes in rainfall regimes. On average, JFM rainfall accounts for more than 50 % of annual rainfall in the region. Mann-Kendall trend test has shown an insignificant heterogeneous trend in the seasonal rainfall of -1.097, 0.029, -0.407, and -1.327 mm/year for Maun, Ghanzi, Tsabong, and Tshane, respectively. An abrupt change in rainfall regimes in these areas was investigated and was found to occur in the year 1982 for all stations. The change is related to large-scale atmospheric circulations. Analysis of large-scale atmospheric circulations before 1982 over the region has shown the formation of a tropical low pressure convective system over the Kalahari Transect. The tropical system shifted eastward after 1982 to be centered over southeastern southern Africa with a significant reduction in rainfall over the Kalahari. A direct impact of this is the livestock-induced overgrazing which has lead to excessive removal of palatable herbaceous species thereby giving woody species, such as Accacia mellifera and Grewia flava, a competitive edge for dominance in the ecosystems. Seed production of A. mellifera depends on rainfall; therefore, abrupt changes in rainfall regimes impact livelihood and eco-tourism industry. The correlation studies between rainfall anomalies and NINO3.4 indices show a reduction in the influence of El-Niño Southern Oscillation on the Kalahari Transect rainfall after 1982.
Timoszyk, Wojciech K; Nessler, Jeff A; Acosta, Cynthia; Roy, Roland R; Edgerton, V Reggie; Reinkensmeyer, David J; de Leon, Ray
We compared the bipedal hindlimb stepping ability of untrained and trained (step-trained 6 min/day) spinal rats (mid-thoracic spinal cord transection at post-natal day 5) at different levels of body weight support on a treadmill over a 40-day period, starting at 69 days of age. A robotic device provided precise levels of body weight support and recorded hindlimb movement. We assessed stepping ability using: (1) step quantity determined from the measured hindlimb movement, (2) ordinal scales of paw placement, weight-bearing, and limb flexion, and (3) the lowest level of body weight support at which stepping was maintained. Stepping quantity and quality depended strongly on the level of support provided. Stepping ability improved with time, but only at the higher levels of weight-bearing, and independently of training. Increasing limb loading by gradually decreasing body weight support altered the spatiotemporal properties of the steps, resulting in an increase in step length and stance duration and a decrease in swing and step cycle duration. The rats progressively improved their ability to support more load before collapsing from a maximum of about 42 g ( approximately 25% of body weight) at Day 1 to 73 g ( approximately 35% of body weight) at Day 40. We conclude that the level of hindlimb loading provided to a spinally transected rat strongly influences the quantity and quality of stepping. Furthermore, the relationship between stepping ability and loading conditions changes with time after spinal cord transection and is unaltered by small amounts of step training. Finally, load-bearing failure point can be a quantitative measure of locomotor recovery following spinal cord injury, especially for severely impaired animals that cannot step unassisted.
Wild, Birgit; Schnecker, Jörg; Knoltsch, Anna; Takriti, Mounir; Mooshammer, Maria; Gentsch, Norman; Mikutta, Robert; Alves, Ricardo J Eloy; Gittel, Antje; Lashchinskiy, Nikolay; Richter, Andreas
Soil N availability is constrained by the breakdown of N-containing polymers such as proteins to oligopeptides and amino acids that can be taken up by plants and microorganisms. Excess N is released from microbial cells as ammonium (N mineralization), which in turn can serve as substrate for nitrification. According to stoichiometric theory, N mineralization and nitrification are expected to increase in relation to protein depolymerization with decreasing N limitation, and thus from higher to lower latitudes and from topsoils to subsoils. To test these hypotheses, we compared gross rates of protein depolymerization, N mineralization and nitrification (determined using 15N pool dilution assays) in organic topsoil, mineral topsoil, and mineral subsoil of seven ecosystems along a latitudinal transect in western Siberia, from tundra (67°N) to steppe (54°N). The investigated ecosystems differed strongly in N transformation rates, with highest protein depolymerization and N mineralization rates in middle and southern taiga. All N transformation rates decreased with soil depth following the decrease in organic matter content. Related to protein depolymerization, N mineralization and nitrification were significantly higher in mineral than in organic horizons, supporting a decrease in microbial N limitation with depth. In contrast, we did not find indications for a decrease in microbial N limitation from arctic to temperate ecosystems along the transect. Our findings thus challenge the perception of ubiquitous N limitation at high latitudes, but suggest a transition from N to C limitation of microorganisms with soil depth, even in high-latitude systems such as tundra and boreal forest. Key Points We compared soil N dynamics of seven ecosystems along a latitudinal transectShifts in N dynamics suggest a decrease in microbial N limitation with depthWe found no decrease in microbial N limitation from arctic to temperate zones PMID:26693204
Dokter, Adriaan M; Baptist, Martin J; Ens, Bruno J; Krijgsveld, Karen L; van Loon, E Emiel
Track-while-scan bird radars are widely used in ornithological studies, but often the precise detection capabilities of these systems are unknown. Quantification of radar performance is essential to avoid observational biases, which requires practical methods for validating a radar's detection capability in specific field settings. In this study a method to quantify the detection capability of a bird radar is presented, as well a demonstration of this method in a case study. By time-referencing line-transect surveys, visually identified birds were automatically linked to individual tracks using their transect crossing time. Detection probabilities were determined as the fraction of the total set of visual observations that could be linked to radar tracks. To avoid ambiguities in assigning radar tracks to visual observations, the observer's accuracy in determining a bird's transect crossing time was taken into account. The accuracy was determined by examining the effect of a time lag applied to the visual observations on the number of matches found with radar tracks. Effects of flight altitude, distance, surface substrate and species size on the detection probability by the radar were quantified in a marine intertidal study area. Detection probability varied strongly with all these factors, as well as species-specific flight behaviour. The effective detection range for single birds flying at low altitude for an X-band marine radar based system was estimated at ~1.5 km. Within this range the fraction of individual flying birds that were detected by the radar was 0.50 ± 0.06 with a detection bias towards higher flight altitudes, larger birds and high tide situations. Besides radar validation, which we consider essential when quantification of bird numbers is important, our method of linking radar tracks to ground-truthed field observations can facilitate species-specific studies using surveillance radars. The methodology may prove equally useful for optimising
Lança, Sara; Alves, Amanda; Vieira, Ana Isabel; Barata, José; de Freitas, João; de Carvalho, Alvaro
A clinical case of acute hepatitis in a patient undergoing an alternative medicine weight-reduction regimen is reported. Chromium polynicotinate had been ingested in combination with vegetable extracts over a 5-month period. Liver biopsy was compatible with toxic hepatitis and greatly elevated hepatic chromium levels were found (>10x normal). The clinical picture regressed following suspension of the medication.
Spengler, Erin K J; Dunkelberg, Jeffrey; Schey, Ron
Alcoholic hepatitis is an acute manifestation of alcoholic liver disease with mortality as high as 40-50% in severe cases. Patients usually have a history of prolonged alcohol abuse with or without a known history of liver disease. Although there is significant range in severity at presentation, patients with severe alcoholic hepatitis typically present with anorexia, fatigue, fever, jaundice, and ascites. The use of either pentoxifylline or corticosteroids in those with severe disease (Maddrey's discriminate function >32) has significant mortality benefit. The addition of N-acetylcysteine to corticosteroids decreases the incidences of hepatorenal syndrome, infection, and short-term mortality, but does not appear to significantly affect 6-month mortality. Nutritional support with high-calorie, high-protein diet is recommended in all patients screening positive for malnutrition. Liver transplantation for a highly selected group of patients with severe alcoholic hepatitis may be an option in the future, but is not currently recommended or available at most transplant institutions.
Gao, Jinbo; Hu, Zhijian; Wu, Junwei; Bai, Lishan; Chai, Xinqun
Primary hepatic carcinoid tumor is rare and poses a challenge for diagnosis and management. We presented a case of primary hepatic carcinoid tumor in a 53-year-old female with a complaint of right upper abdominal pain. Computer tomography scans revealed a hypervascular mass in segment 4 of the liver. An ultrasonography-guided biopsy showed a carcinoid tumor. No other lesions were found by the radiological investigations. Surgery resection was performed and histopathological examination revealed a primary hepatic carcinoid tumor. Three years later, recurrence was found and transcatheter arterial chemoembolization was performed. After transcatheter arterial chemoembolization, the patient has been free of symptom and had no radiological disease progression for over 6 months. Surgical resection combination with transcatheter arterial chemoembolization is effective to offer excellent palliation.
The hepatitis E virus (HEV) the causative agent of hepatitis E, is a non-enveloped RNA virus. HEV is transmitted through oral consumption of contaminated food and water According to the currently knowledge now be considered as zoonosis. The main reservoir of HEV are pigs, boars and deer. For the first time HEV was isolated from animals (pigs) in 1997 in the U.S. Genetic analysis of strains isolated from pigs showed high similarity to strains HEV isolated from humans. This was the first evidence showing that HEV is a zoonosis. Further studies have shown that occupational groups e.g. veterinarians, swine breeders with close contact to pigs have an increased risk for HEV infections. The additional evidence supported the zoonotic potential of HEV were reports of acute hepatitis E after the consumption of undercooked meat from deer and wild boar. Infection of HEV in the domestic pig and wild boar population in Europe is widespread.
Roberts, Eve A
Conjugated hyperbilirubinaemia in an infant indicates neonatal liver disease. This neonatal hepatitis syndrome has numerous possible causes, classified as infective, anatomic/structural, metabolic, genetic, neoplastic, vascular, toxic, immune and idiopathic. Any infant who is jaundiced at 2-4 weeks old needs to have the serum conjugated bilirubin measured, even if he/she looks otherwise well. If conjugated hyperbilirubinaemia is present, a methodical and comprehensive diagnostic investigation should be performed. Early diagnosis is critical for the best outcome. In particular, palliative surgery for extrahepatic biliary atresia has the best chance of success if performed before the infant is 8 weeks old. Definitive treatments available for many causes of neonatal hepatitis syndrome should be started as soon as possible. Alternatively, liver transplantation may be life saving. Supportive care, especially with attention to nutritional needs, is important for all infants with neonatal hepatitis syndrome.
Song, Jeong Eun
Hepatitis B virus (HBV) infection is a major global health problems leading to severe liver disease such as cirrhosis and hepatocellular carcinoma (HCC). HBV is a circular, partly double-stranded DNA virus with various serological markers: hepatitis B surface antigen (HBsAg) and anti-HBs, anti-HBc IgM and IgG, and hepatitis B e antigen (HBeAg) and anti-HBe. It is transmitted by sexual, parenteral and vertical route. One significant method to diminish the burden of this disease is timely diagnosis of acute, chronic and occult cases of HBV. First step of HBV diagnosis is achieved by using serological markers for detecting antigens and antibodies. In order to verify first step of diagnosis, to quantify viral load and to identify genotypes, quantitative or qualitative molecular tests are used. In this article, the serological and molecular tests for diagnosis of HBV infection will be reviewed. PMID:27761442
Saxena, Neeraj K.; Anania, Frank A.
Obesity and metabolic syndrome pose significant risk for progression of many types of chronic illnesses, including liver disease. Hormones released from adipocytes, adipocytokines, associated with obesity and metabolic syndrome, have been shown to control hepatic inflammation and fibrosis. Hepatic fibrosis is the final common pathway that can result in cirrhosis, and can ultimately require liver transplantation. Initially, two key adipocytokines, leptin and adiponectin, appeared to control many fundamental aspects of the cell and molecular biology related to hepatic fibrosis and its resolution. Leptin appears to act as a profibrogenic molecule while adiponectin possesses strong-anti-fibrotic properties. In this review, we emphasize pertinent data associated with these, and recently discovered, adipocytokines that may drive or halt the fibrogenic response in the liver. PMID:25656826
Roslov, Yu. V.; Sakoulina, T. S.
INTEGRATED MULTIDISCIPLINARY PROCESSING AND INTERPRETATION OF GEOPHYSICAL DATA ACQUIRED ON TRANSECTS IN BARENTS AND KARA SEAS Yu.V. Roslov (1), T.S. Sakoulina (1) (1 - SEVMORGEO State Geophysical Co., 36 Rosenstein St, 198095, St Petersburg, Russia, roslov @sevmorgeo.com) According to Russian arctic offshore transect program State Company Sevmorgeo in cooperation with other Russian state companies carry out multidisciplinary investigations on transects 1-AR and 2-AR in Barents and Kara Seas. Investigations include the following geophysical methods: 4C wide angle refraction/reflection profiling (WARRP), CDP seismic, airborn and/or marine gravity and magnetic. Three levels of the integration has been used on processing and interpretation stage. First, different approaches of kinematic inverse problem and tomographic reconstruction have been applied for kinematic parameters of 4C WARRP data processing. That has allowed extracting of maximum information from the data acquired. As a result stable P and S velocity models have been obtained. Second, dynamic WARRP image focused mainly on Moho boundary has been integrated with CDP image in order to improve the sedimentary layer structure. Third, seismic images have been proven with gravity and magnetic data reaching the model, which fits to observed potential fields. Also gravity and magnetic data successfully fill out information gap in the places where there is a lack of seismic data. Some original technologies of data processing have been developed in the framework of the project. Finally, within the range defined by the data processed the integrated geological-geophysical images the Kara-Barents Shelf Plate structure whole Earth crust thickness along transects 1-AR and 2-AR have been obtained. New geophysical data acquired have forced reviewing of our nderstanding of Barents region geological structure. First of all it concern to south and north Barents depressions. South Barents depression is well known as a geological
Rosenberg, L J; Lucas, J H
Neurites were transected from spinal neurons in media with normal (125 microM) or reduced NaCl (sucrose substitution). After 12 h the normal ionic environment (conditioned medium with serum) was restored. A one-factor ANOVA comparison found a significant difference in 48 h survival (P = 0.0001). Survival was highest when NaCl was reduced 50% (74% +/- 19 vs. 22% +/- 19 in normal NaCl). Na(+)- and Cl-mediated deterioration may contribute to both gray and white matter injury in CNS trauma.
Strain, George M; Waldrop, Ron D
Gastric ulcers are an important cause of morbidity and mortality in the critically ill, especially those with CNS injury. We used cervical spinal cord transection (CCT) in the rat to model these ulcers and examined the effect of core body temperature and vascular volume on gastric ulcerogenesis. Hypothermia significantly increased ulcerogenesis compared to euthermia, while maintained euthermia produced ulcer indices not different from sham surgery. Hypovolemia (10% blood volume withdrawal) significantly increased ulcerogenesis compared to hypervolemia (10% of blood volume crystalloid infusion) or sham surgery. These results support crystalloid infusion and maintenance of core body temperature in the clinical setting.
Gámez-del-Castillo, Juan Manuel; Garcés-Albir, Marina; Fernández-Moreno, María Carmen; Morera-Ocón, Francisco Javier; Villagrasa, Rosana; Sabater-Ortí, Luis
Disconnected pancreatic duct syndrome is a serious complication of acute pancreatitis which is defined by a complete discontinuity of the pancreatic duct, such that a viable side of the pancreas remains isolated from the gastrointestinal tract. This pancreatic disruption is infrequently observed in the clinical practice and its diagnostic and therapeutic management are controversial. We present an extreme case of disconnected pancreatic duct syndrome with complete duct disruption and pancreatic transection following acute pancreatitis, as well as the diagnostic and therapeutic processes carried out.
Koch, Michael; Iro, Heinrich; Bozzato, Alessandro; Zenk, Johannes
Sialendoscopy is established in the diagnostics and treatment of obstructive salivary gland diseases, but has not previously been reported in patients with injuries to Stensen's duct. Sialendoscopy assisted repair of a transected Stensen's duct in zone B is reported. The duct injury itself, its location, and its severity could be visualized and precisely assessed and allowed intraductal assessment of the ductal tissue. Rapid atraumatic dissection and also postoperative endoscopic follow-up examination with assessment of the anastomosis was provided by using the sialendoscope, which appears to be valuable for several reasons in the management of Stensen's duct trauma.
Berić, A; Light, J K
Three male and two female patients with anorgasmia and dissociated sensory loss due to an anterior spinal cord syndrome are described. Clinical, neurophysiological and quantitative sensory evaluation revealed preservation of the large fibre dorsal column functions from the lumbosacral segments with concomitant severe dysfunction or absence of the small fibre neospinothalamic mediated functions. These findings indicate a role for the spinothalamic system in orgasm.
Scanes, C G; Jeftinija, S; Glavaski-Joksimovic, A; Proudman, J; Arámburo, C; Anderson, L L
There has been extensive research of the anterior pituitary gland of livestock and poultry due to the economic (agricultural) importance of physiological processes controlled by it including reproduction, growth, lactation and stress. Moreover, farm animals can be biomedical models or useful in evolutionary/ecological research. There are for multiple sites of control of the secretion of anterior pituitary hormones. These include the potential for independent control of proliferation, differentiation, de-differentiation and/or inter-conversion cell death, expression and translation, post-translational modification (potentially generating multiple isoforms with potentially different biological activities), release with or without a specific binding protein and intra-cellular catabolism (proteolysis) of pituitary hormones. Multiple hypothalamic hypophysiotropic peptides (which may also be produced peripherally, e.g. ghrelin) influence the secretion of the anterior pituitary hormones. There is also feedback for hormones from the target endocrine glands. These control mechanisms show broadly a consistency across species and life stages; however, there are some marked differences. Examples from growth hormone, prolactin, follicle stimulating hormone and luteinizing hormone will be considered. In addition, attention will be focused on areas that have been neglected including the role of stellate cells, multiple sub-types of the major adenohypophyseal cells, functional zonation within the anterior pituitary and the role of multiple secretagogues for single hormones.
Friedland, S; Winterkorn, J M; Burde, R M
We present five patients who developed luxury perfusion following anterior ischemic optic neuropathy in whom fluorescein angiography was misinterpreted as "capillary hemangioma" or neovascularization of the disc. In each case, the segment of disc hyperemia corresponded to a spared region of visual field. Luxury perfusion represents a reparative autoregulatory reaction to ischemia.
Reddy, Swapna; Antaya, Richard J
Two unrelated Hispanic females, ages 4 and 3 years, respectively, each presented with a solitary patch of excessive terminal hair growth in the midline of the neck. This rare form of congenital localized hypertrichosis, known as anterior cervical hypertrichosis, is reported here as an isolated defect with no other underlying abnormalities.
Kagmeni, G.; Cheuteu, R.; Bilong, Y.; Wiedemann, P.
We reported a case of unusual intraocular Loa loa in a 27-year-old patient who presented with painful red eye. Biomicroscopy revealed a living and active adult worm in the anterior chamber of the right eye. After surgical extraction under local anesthesia, parasitological identification confirmed L. loa filariasis. PMID:27441005
Kagmeni, G; Cheuteu, R; Bilong, Y; Wiedemann, P
We reported a case of unusual intraocular Loa loa in a 27-year-old patient who presented with painful red eye. Biomicroscopy revealed a living and active adult worm in the anterior chamber of the right eye. After surgical extraction under local anesthesia, parasitological identification confirmed L. loa filariasis.
Anterior cervical spine surgery is an established surgical intervention for cervical degenerative disease and high success rate with excellent long-term outcomes have been reported. However, indications of surgical procedures for certain conditions are still controversial and severe complications to cause neurological dysfunction or deaths may occur. This review is focused mainly on five widely performed procedures by anterior approach for cervical degenerative disease; anterior cervical discectomy, anterior cervical discectomy and fusion, anterior cervical corpectomy and fusion, anterior cervical foraminotomy, and arthroplasty. Indications, procedures, outcomes, and complications of these surgeries are discussed. PMID:26119899
Cheung, R C; Keeffe, E B; Greenberg, H B
Hepatitis G virus (HGV) and GB virus C (GBV-C) are two newly discovered viral agents, different isolates of a positive-sense RNA virus that represents a new genus of Flaviviridae. The purpose of this review is to analyze new data that have recently been published on the epidemiology and associations between HGV and liver diseases such as posttransfusion hepatitis, acute and chronic non-A-E hepatitis, fulminant hepatitis, cryptogenic cirrhosis, and hepatocellular carcinoma. The role of HGV in coinfection with other hepatitis viruses, the response to antiviral therapy, and the impact of HGV on liver transplantation are also discussed. HGV is a transmissible blood-borne viral agent that frequently occurs as a coinfection with other hepatitis viruses due to common modes of transmission. The prevalence of HGV ranges from 0.9 to 10% among blood donors throughout the world and is found in 1.7% of volunteer blood donors in the United States. The majority of patients infected with HGV by blood transfusion do not develop chronic hepatitis, but hepatitis G viremia frequently persists without biochemical evidence of hepatitis. Serum HGV RNA has been found in 0 to 50% of patients with fulminant hepatitis of unknown etiology and 14 to 36% of patients with cryptogenic cirrhosis. The association between HGV and chronic non-A-E hepatitis remains unclear. Although HGV appears to be a hepatotrophic virus, its role in independently causing acute and chronic liver diseases remains uncertain. PMID:9265860
Göçmen, Emine Seyhan; Atalay, Yonca; Evren Kemer, Özlem; Sarıkatipoğlu, Hikmet Yavuz
A 46-year-old male patient was referred to our clinic with complaints of diplopia and esotropia in his right eye that developed after a car accident. The patient had right esotropia in primary position and abduction of the right eye was totally limited. Primary deviation was over 40 prism diopters at near and distance. The patient was diagnosed with sixth nerve palsy and 18 months after trauma, he underwent right medial rectus muscle recession. Ten months after the first operation, full-thickness tendon transposition of the superior and inferior rectus muscles (with Foster suture) was performed. On the first postoperative day, slit-lamp examination revealed corneal edema, 3+ cells in the anterior chamber and an irregular pupil. According to these findings, the diagnosis was anterior segment ischemia. Treatment with 0.1/5 mL topical dexamethasone drops (16 times/day), cyclopentolate hydrochloride drops (3 times/day) and 20 mg oral fluocortolone (3 times/day) was initiated. After 1 week of treatment, corneal edema regressed and the anterior chamber was clean. Topical and systemic steroid treatment was gradually discontinued. At postoperative 1 month, the patient was orthophoric and there were no pathologic symptoms besides the irregular pupil. Anterior segment ischemia is one of the most serious complications of strabismus surgery. Despite the fact that in most cases the only remaining sequel is an irregular pupil, serious circulation deficits could lead to phthisis bulbi. Clinical properties of anterior segment ischemia should be well recognized and in especially risky cases, preventative measures should be taken. PMID:28182149
Hantes, Michael; Raoulis, Vasilios
Background: In the last years, basic research and arthroscopic surgery, have improved our understanding of shoulder anatomy and pathology. It is a fact that arthroscopic treatment of shoulder instability has evolved considerably over the past decades. The aim of this paper is to present the variety of pathologies that should be identified and treated during shoulder arthroscopy when dealing with anterior shoulder instability cases. Methods: A review of the current literature regarding arthroscopic shoulder anatomy, anatomic variants, and arthroscopic findings in anterior shoulder instability, is presented. In addition, correlation of arthroscopic findings with physical examination and advanced imaging (CT and MRI) in order to improve our understanding in anterior shoulder instability pathology is discussed. Results: Shoulder instability represents a broad spectrum of disease and a thorough understanding of the pathoanatomy is the key for a successful treatment of the unstable shoulder. Patients can have a variety of pathologies concomitant with a traditional Bankart lesion, such as injuries of the glenoid (bony Bankart), injuries of the glenoid labrum, superiorly (SLAP) or anteroinferiorly (e.g. anterior labroligamentous periosteal sleeve avulsion, and Perthes), capsular lesions (humeral avulsion of the glenohumeral ligament), and accompanying osseous-cartilage lesions (Hill-Sachs, glenolabral articular disruption). Shoulder arthroscopy allows for a detailed visualization and a dynamic examination of all anatomic structures, identification of pathologic findings, and treatment of all concomitant lesions. Conclusion: Surgeons must be well prepared and understanding the normal anatomy of the glenohumeral joint, including its anatomic variants to seek for the possible pathologic lesions in anterior shoulder instability during shoulder arthroscopy. Patient selection criteria, improved surgical techniques, and implants available have contributed to the enhancement of
Allen, Antiño R.; Smith, G. Troy
The ability to regenerate spinal cord tissue after tail amputation has been well studied in several species of teleost fish. The present study examined proliferation and survival of cells following complete spinal cord transection rather than tail amputation in the weakly electric fish Apteronotus leptorhynchus. To quantify cell proliferation along the length of the spinal cord, fish were given a single bromodeoxyuridine (BrdU) injection immediately after spinal transection or sham surgery. Spinal transection significantly increased the density of BrdU+ cells along the entire length of the spinal cord at 1 day post transection (dpt), and most newly generated cells survived up to 14 dpt. To examine longer term survival of the newly proliferated cells, BrdU was injected for 5 days after the surgery, and fish were sacrificed 14 or 30 dpt. Spinal transection significantly increased proliferation and/or survival, as indicated by an elevated density of BrdU+ cells in the spinal cords of spinally transected compared to sham-operated and intact fish. At 14 dpt, BrdU+ cells were abundant at all levels of the spinal cord. By 30 dpt, the density of BrdU+ cells decreased at all levels of the spinal cord except at the tip of the tail. Thus, newly generated cells in the caudal-most segment of the spinal cord survived longer than those in more rostral segments. Our findings indicate that spinal cord transection stimulates widespread cellular proliferation; however, there were regional differences in the survival of the newly generated cells. PMID:23147638
Luo, W. T.; Nelson, P. N.; Li, M.-H.; Cai, J. P.; Zhang, Y. Y.; Zhang, Y. G.; Yang, S.; Wang, R. Z.; Wang, Z. W.; Wu, Y. N.; Han, X. G.; Jiang, Y.
Soil pH buffering capacity (pHBC) plays a crucial role in predicting acidification rates, yet its large-scale patterns and controls are poorly understood, especially for neutral-alkaline soils. Here, we evaluated the spatial patterns and drivers of pHBC along a 3600 km long transect (1900 km sub-transect with carbonate-containing soils and 1700 km sub-transect with non-carbonate-containing soils) across northern China. Soil pHBC was greater in the carbonate-containing soils than in the non-carbonate-containing soils. Acid addition decreased soil pH in the non-carbonate-containing soils more markedly than in the carbonate-containing soils. Within the carbonate soil sub-transect, soil pHBC was positively correlated with cation exchange capacity (CEC), carbonate content and exchangeable sodium (Na) concentration, but negatively correlated with initial pH and clay content, and not correlated with soil organic carbon (SOC) content. Within the non-carbonate sub-transect, soil pHBC was positively related to initial pH, clay content, CEC and exchangeable Na concentration, but not related to SOC content. Carbonate content was the primary determinant of pHBC in the carbonate-containing soils and CEC was the main determinant of buffering capacity in the non-carbonate-containing soils. Along the transect, soil pHBC was different in regions with different aridity index. Soil pHBC was positively related to aridity index and carbonate content across the carbonate-containing soil sub-transect. Our results indicated that mechanisms controlling pHBC differ among neutral-alkaline soils of northern China, especially between carbonate- and non-carbonate-containing soils. This understanding should be incorporated into the acidification risk assessment and landscape management in a changing world.
He, Jinjing; Li, Song; Lv, Xiangwei; Wang, Liming; Liu, Qinlong
Background The mouse model of arterialized orthotopic liver transplantation (AOLT) has played an important role in biomedical research. The available methods of sutured anastomosis for reconstruction of the hepatic artery are complicated, resulting in a high incidence of complications and failure. Therefore, we developed and evaluated a new model of AOLT in mice. Materials and methods Male inbred C57BL/6 mice were used in this study. A continuous suture approach was applied to connect the suprahepatic inferior vena cava (SHVC). The portal vein and infrahepatic inferior vena cava (IHVC) were connected according to the "two-cuff" method. The common bile duct was connected by a biliary stent. We used the stent (G3 group) or aortic trunk (G2 group) to reconstruct the hepatic artery. The patency of the hepatic artery was verified by transecting the artery near the graft after one week. The survival rate of the recipients and serum alanine aminotransferase (ALT) levels, hepatic pathologic alterations, apoptosis and necrosis were observed at one week postoperatively. Results The patency of the hepatic artery was verified in eight of ten mice in G3 and in six of ten mice in G2. The 7-day survival rate, extents of necrosis and apoptosis, and TGF-β levels were not significantly different among the three groups (P>0.05). However, the serum ALT levels and operation time were markedly lower in G3 compared with G2 or G1 (both P<0.05). Conclusions Reconstruction of the hepatic artery using a stent can be performed quickly with a high rate of patency. This model simplifies hepatic artery anastomosis and should be promoted in the field of biomedical research. PMID:26207367
Lerman, S.; Hockwin, O.
Twenty-eight fresh donor eyes (Georgia Lions Eye Bank) ranging in age from four months to 87 years were used for an in vitro study to determine the feasibility of obtaining accurate anterior chamber diameter measurements with our Scheimpflug ultraviolet-visible slitlamp densitography apparatus. The in vivo study was performed on 16 hybrid monkeys (of varying age). These data were within 0.1 mm of measurements obtained with a modified paracentesis needle specially designed to obtain such measurements. The results of the foregoing study demonstrate that the Scheimpflug slitlamp photographic analyses can provide an accurate measurement of the anterior chamber diameter without entering the globe surgically. This will enable the surgeon to determine the diameter and order an anterior chamber IOL of a specified size prior to surgery. The authors have devised an automated program to analyze the negatives and provide direct anterior chamber diameter measurements.
Gu, Xiaosi; Gao, Zhixian; Wang, Xingchao; Liu, Xun; Knight, Robert T.; Hof, Patrick R.
Empathy refers to the ability to perceive and share another person’s affective state. Much neuroimaging evidence suggests that observing others’ suffering and pain elicits activations of the anterior insular and the anterior cingulate cortices associated with subjective empathetic responses in the observer. However, these observations do not provide causal evidence for the respective roles of anterior insular and anterior cingulate cortices in empathetic pain. Therefore, whether these regions are ‘necessary’ for empathetic pain remains unknown. Herein, we examined the perception of others’ pain in patients with anterior insular cortex or anterior cingulate cortex lesions whose locations matched with the anterior insular cortex or anterior cingulate cortex clusters identified by a meta-analysis on neuroimaging studies of empathetic pain perception. Patients with focal anterior insular cortex lesions displayed decreased discrimination accuracy and prolonged reaction time when processing others’ pain explicitly and lacked a typical interference effect of empathetic pain on the performance of a pain-irrelevant task. In contrast, these deficits were not observed in patients with anterior cingulate cortex lesions. These findings reveal that only discrete anterior insular cortex lesions, but not anterior cingulate cortex lesions, result in deficits in explicit and implicit pain perception, supporting a critical role of anterior insular cortex in empathetic pain processing. Our findings have implications for a wide range of neuropsychiatric illnesses characterized by prominent deficits in higher-level social functioning. PMID:22961548
Fiore, Anthony E
Hepatitis A is caused by hepatitis A virus (HAV). Transmission occurs by the fecal-oral route, either by direct contact with an HAV-infected person or by ingestion of HAV-contaminated food or water. Foodborne or waterborne hepatitis A outbreaks are relatively uncommon in the United States. However, food handlers with hepatitis A are frequently identified, and evaluation of the need for immunoprophylaxis and implementation of control measures are a considerable burden on public health resources. In addition, HAV-contaminated food may be the source of hepatitis A for an unknown proportion of persons whose source of infection is not identified.
Kawada, Kenji; Sakai, Yoshiharu
Anastomotic leakage (AL) is one of the most devastating complications after rectal cancer surgery. The double stapling technique has greatly facilitated intestinal reconstruction especially for anastomosis after low anterior resection (LAR). Risk factor analyses for AL after open LAR have been widely reported. However, a few studies have analyzed the risk factors for AL after laparoscopic LAR. Laparoscopic rectal surgery provides an excellent operative field in a narrow pelvic space, and enables total mesorectal excision surgery and preservation of the autonomic nervous system with greater precision. However, rectal transection using a laparoscopic linear stapler is relatively difficult compared with open surgery because of the width and limited performance of the linear stapler. Moreover, laparoscopic LAR exhibits a different postoperative course compared with open LAR, which suggests that the risk factors for AL after laparoscopic LAR may also differ from those after open LAR. In this review, we will discuss the risk factors for AL after laparoscopic LAR. PMID:27433085
Kitidis, Vassilis; Brown, Ian; Hardman-Mountford, Nicholas; Lefèvre, Nathalie
We present more than 21000 observations of carbon dioxide fugacity in air and seawater (fCO2) along the Atlantic Meridional Transect (AMT) programme for the period 1995-2013. Our dataset consists of 11 southbound and 2 northbound cruises in boreal autumn and spring respectively. Our paper is primarily focused on change in the surface-ocean carbonate system during southbound cruises. We used observed fCO2 and total alkalinity (TA), derived from salinity and temperature, to estimate dissolved inorganic carbon (DIC) and pH (total scale). Using this approach, estimated pH was consistent with spectrophotometric measurements carried out on 3 of our cruises. The AMT cruises transect a range of biogeographic provinces where surface Chlorophyll a spans two orders of magnitude (mesotrophic high latitudes to oligotrophic subtropical gyres). We found that surface Chlorophyll a was negatively correlated with fCO2, but that the deep chlorophyll maximum was not a controlling variable for fCO2. Over the period 1995-2013 we estimated annual rates of change in: a) sea surface temperature of 0.01 ± 0.05 degrees C, b) fCO2 of 1.44 ± 0.84 micro-atm, c) DIC of 0.87 ± 1.02 micro-mol per kg and d) pH of -0.0013 ± 0.0009 units. Seawater fCO2 increased at the same rate as atmospheric CO2.
Jameson, Eleanor; Mann, Nicholas H; Joint, Ian; Sambles, Christine; Mühling, Martin
Viruses that infect the marine cyanobacterium Prochlorococcus have the potential to impact the growth, productivity, diversity and abundance of their hosts. In this study, changes in the microdiversity of cyanomyoviruses were investigated in 10 environmental samples taken along a North-South Atlantic Ocean transect using a myoviral-specific PCR-sequencing approach. Phylogenetic analyses of 630 viral g20 clones from this study, with 786 published g20 sequences, revealed that myoviral populations in the Atlantic Ocean had higher diversity than previously reported, with several novel putative g20 clades. Some of these clades were detected throughout the Atlantic Ocean. Multivariate statistical analyses did not reveal any significant correlations between myoviral diversity and environmental parameters, although myoviral diversity appeared to be lowest in samples collected from the north and south of the transect where Prochlorococcus diversity was also lowest. The results were correlated to the abundance and diversity of the co-occurring Prochlorococcus and Synechococcus populations, but revealed no significant correlations to either of the two potential host genera. This study provides evidence that cyanophages have extremely high and variable diversity and are distributed over large areas of the Atlantic Ocean.
Kvarven, Trond; Mjelde, Rolf; Hjelstuen, Berit Oline; Faleide, Jan Inge; Thybo, Hans; Flueh, Ernst R.; Murai, Yoshio
The inner part of the volcanic, passive Møre Margin, mid-Norway, expresses an unusual abrupt thinning from high onshore topography with a thick crust to an offshore basin with thin crystalline crust. Previous P-wave modeling of wide-angle seismic data revealed the presence of a high-velocity (7.7-8.0 km/s) body in the lower crust in this transitional region. These velocities are too high to be readily interpreted as Early Cenozoic intrusions, a model often invoked to explain lower crustal high-velocity bodies in the region. We present a Vp/Vs model, derived from the modeling of wide-angle seismic data, acquired by use of Ocean Bottom Seismograph horizontal components. The modeling suggests dominantly felsic composition of the crust. An average Vp/Vs value for the lower crustal body is modeled at 1.77, which is compatible with a mixture of continental blocks and Caledonian eclogites. The results are compiled with earlier results into a transect extending from onshore Norway to onshore Greenland. Back-stripping of the transect to Early Cenozoic indicates asymmetric conjugate magmatism related to the continental break-up. Further back-stripping to the time when most of the Caledonian mountain range had collapsed indicates that the thinning during the first phase of extension was about 25% higher for proto Norway than proto Greenland.
Hahn-Woernle, L.; Dijkstra, H. A.; Van der Woerd, H. J.
Using in situ data of upper ocean vertical mixing along a transect in the North Atlantic and a one-dimensional phytoplankton growth model, we study the sensitivity of the surface phytoplankton concentration to vertical mixing distributions. The study is divided into two parts. In the first part, the model is calibrated to the observations. The optical model parameters are determined from measurements of the light attenuation. The biological parameters are calibrated to three different reference stations with observed vertical profiles of the chlorophyll a (Chl a) concentration and the nutrient concentration. In the second part, the sensitivity of the three model calibrations to the vertical mixing is studied. Therefore measured vertical mixing profiles are applied to the model. These mixing profiles are based on the measurements along the transect and are treated as a set of possible mixing situations of the North Atlantic. Results show that shifts in vertical mixing are able to induce a transition from an upper chlorophyll maximum to a deep one and vice versa. Furthermore, a clear correlation between the surface phytoplankton concentration and the mixing induced nutrient flux is found for nutrient-limited cases. This may open up the possibility to extract characteristics of vertical mixing from satellite ocean colour data using data-assimilation methods.
Mohammadi, Rahim; Mehrtash, Moein; Nikonam, Nima; Mehrtash, Moied; Amini, Keyvan
The objective was to assess the local effect of ketoprofen on sciatic nerve regeneration and functional recovery. Eighty healthy male white Wistar rats were randomized into four experimental groups of 20 animals each: In the transected group (TC), the left sciatic nerve was transected and nerve cut ends were fixed in the adjacent muscle. In the treatment group the defect was bridged using an artery graft (AG/Keto) filled with 10 microliter ketoprofen (0.1 mg/kg). In the artery graft group (AG), the graft was filled with phosphated-buffer saline alone. In the sham-operated group (SHAM), the sciatic nerve was exposed and manipulated. Each group was subdivided into four subgroups of five animals each and regenerated nerve fibres were studied at 4, 8, 12 and 16 weeks post operation. Behavioural testing, sciatic nerve functional study, gastrocnemius muscle mass and morphometric indices showed earlier regeneration of axons in AG/Keto than in AG group (p < 0.05). Immunohistochemical study clearly showed more positive location of reactions to S-100 in AG/Keto than in AG group. When loaded in an artery graft, ketoprofen improved functional recovery and morphometric indices of the sciatic nerve. Local usage of this easily accessible therapeutic medicine is cost saving and avoids the problems associated with systemic administration.
Foo, H; Norgren, R
Previous studies indicate a role for the glossopharyngeal nerve (GL) in the detection of dietary fats. The present experiments examined the effects of bilateral glossopharyngeal nerve transections (GLx) on the intake of low (4.8%), moderate (16%), and full-fat (100%) corn oil in non-deprived, food-deprived, and water-deprived rats. The rats had access to oils, 0.3 M sucrose, and water in a gustometer that measured number of licks and latency to the first lick during brief access trials. The behavioral measures were used as indices of the amount consumed and the motivation to ingest, respectively. After baseline intakes had stabilized, the rats received GLx or sham transections (Sham) and were then re-tested. Pre and post-surgery responses were compared to determine the impact of GLx on intake and the motivation to ingest. In non-deprived rats, GLx reduced the intake of 4.8% and 16% oils and decreased the motivation to ingest these oils. In food-deprived rats, GLx prevented increases in the ingestion of 4.8% and 16% oils and in the motivation to ingest these oils. In water-deprived rats, GLx reduced the intake of 100% oil and produced a general decrease in the motivation to consume low, moderate, and full-fat emulsions. These results indicate that GL is partially involved in corn oil intake and suggest an interactive effect of oil concentration with homeostatic state.
Hackenberger, Branimir K; Jarić, Davorka; Krcmar, Stjepan
The pattern of horse fly (Diptera: Tabanidae) distribution and correlations among biodiversity, abundance, abiotic factors, and altitude were determined along a two-sided altitudinal transect. The sampling was carried out on five 3-d periods during tabanid seasonal activity. Linen canopy traps with 1-octen-3-ol as an attractant were used at 20 sampling sites along the transect. The results showed that the qualitative composition of tabanid species can be distinguished by altitude and, especially, between southeastern and northwestern mountain slopes. The peaks of horse fly species richness and abundance were indicated at middle elevations of both slopes, where horse fly distributional groups were overlapping and most rare and infrequent species were sampled. All expected species were sampled according to species accumulation curve. The canonical correlation analysis separated species and sampling sites into three clusters; two were positively correlated with the temperature and the wind but differed in sensitivity toward them, and the third cluster was correlated with the humidity. The horse fly distribution was nonhomogenous, and the distributional patterns were only partially determined by altitude and vegetation. The determining environmental variables were different for each slope: temperature and wind for the southern slope (Mediterranean climatic zone) and humidity for the northern slope (continental climatic zone).
Robinson, Carol; Poulton, Alex J.; Holligan, Patrick M.; Baker, Alex R.; Forster, Grant; Gist, Niki; Jickells, Tim D.; Malin, Gill; Upstill-Goddard, Rob; Williams, Richard G.; Woodward, E. Malcolm S.; Zubkov, Mikhail V.
The aims of the Atlantic Meridional Transect (AMT) programme [ www.amt-uk.org] are to quantify the nature and causes of ecological and biogeochemical variability in the planktonic ecosystems of the Atlantic Ocean, and to assess the effects of this variability on biological carbon cycling and air-sea exchange of radiatively active gases and aerosols. Marine and atmospheric data have been collected twice a year along a 13,500 km transect in the Atlantic Ocean between 50°N and 52°S since 1995. The cruise track enables biogeochemical measurements to be made within the poorly studied North and South Atlantic oligotrophic gyres as well as within equatorial and coastal upwelling regions. The range of ecosystems sampled during AMT has facilitated the calibration and validation of newly developed optical, microbiological, molecular and analytical techniques and provided a testbed for comparative ecology and the development of atmospheric and oceanographic models. This paper describes the rationale and methodology of the programme. Upper-ocean measurements of density, nitrate and chlorophyll a (Chl a) are presented to illustrate seasonal, inter-annual and decadal variability in hydrography. Seasonal distributions of dissolved nitrous oxide (N 2O) and methane (CH 4) are used to derive estimates of the sea-air flux of these gases in the South Atlantic Gyre. Observations made during AMT and published since 2000 are reviewed, and the key findings are highlighted. The extent to which the programme aims have been achieved is discussed and improvements for the future suggested.
Brown, Ray W; Gonzales, Chris; Hooper, Michael J; Bayat, Andrew C; Fornerette, Ashley M; McBride, Tobias J; Longoria, Thomas; Mielke, Howard W
Residential lead (Pb) contamination, resulting from decades-long use of leaded gasoline and lead-based paint, is likely to be present in soils in most urban areas. A screening level sampling effort demonstrated that Lubbock, Texas, USA, like other cities of its age and size, has areas of elevated soil Pb. This effort was based on soil sampling performed on residential, commercial and thoroughfare properties. The focus of this study was to investigate that component of soil contamination due to combustion of leaded gasoline. Soils were collected from the 1-2 cm surface layer from street-side property borders, well away from buildings that might lead to soil contamination from leaded paint chips. All samples were analyzed for Pb after a 1 M HNO(3) mild extraction to determine the amount of bioavailable Pb. Two of three transects through the city demonstrated significant trends of decreasing Pb concentrations with distance from the city center, paralleling a decrease in developed property age. Peak soil Pb concentrations outside city development was 4.9 +/- 0.6 mg/kg while the median concentration for the city was 35.4 mg/kg. Peak soil Pb concentrations in the city center ranged from 90.0 to 174.0 mg/kg and decreased exponentially to 6.0-9.0 mg/kg at the furthest terminus of the residential transects.
Li, Shiying; Liu, Qianqian; Wang, Yongjun; Gu, Yun; Liu, Dong; Wang, Chunming; Ding, Guohui; Chen, Jianping; Liu, Jie; Gu, Xiaosong
After traumatic injury, peripheral nerves can spontaneously regenerate through highly sophisticated and dynamic processes that are regulated by multiple cellular elements and molecular factors. Despite evidence of morphological changes and of expression changes of a few regulatory genes, global knowledge of gene expression changes and related biological processes during peripheral nerve injury and regeneration is still lacking. Here we aimed to profile global mRNA expression changes in proximal nerve segments of adult rats after sciatic nerve transection. According to DNA microarray analysis, the huge number of genes was differentially expressed at different time points (0.5 h-14 d) post nerve transection, exhibiting multiple distinct temporal expression patterns. The expression changes of several genes were further validated by quantitative real-time RT-PCR analysis. The gene ontology enrichment analysis was performed to decipher the biological processes involving the differentially expressed genes. Collectively, our results highlighted the dynamic change of the important biological processes and the time-dependent expression of key regulatory genes after peripheral nerve injury. Interestingly, we, for the first time, reported the presence of olfactory receptors in sciatic nerves. Hopefully, this study may provide a useful platform for deeply studying peripheral nerve injury and regeneration from a molecular-level perspective.
Ayhan, Sühan; Markal, Nilgün; Siemionow, Krzysztof; Araneo, Barbara; Siemionow, Maria
The epineurial sleeve technique for nerve repair is designed in part to protect a healing nerve from external humoral influences, but research suggests that the external factor dehydroepiandrosterone (DHEA) may actually improve nerve healing in crush injuries. To test the effect of DHEA, we injected it into the epineurial chambers created to repair transected rat sciatic nerves. In 18 control rats, the nerve was transected and repaired without DHEA treatment. Eighteen animals received subepineurial injections of propylene glycol vehicle, and 18 received subepineurial injections of about 0.2 ml DHEA. Walking-track analysis and toe-contracture measurements showed no significant differences among the three groups. At 12 weeks, the gastrocnemius muscles in the DHEA group were significantly heavier than those of untreated controls. At 6 and 12 weeks, DHEA-treated nerves had significantly more myelinated axons, larger average fiber diameter, and greater axonal cross-sectional areas in the proximal, middle, and distal sections. Myelin thickness did not differ between groups, except at 6 weeks between the DHEA and vehicle-treated groups. We conclude that subepineurial dehydroepiandrosterone treatment reduced the extent of denervation atrophy and induced an earlier onset of axonal regeneration.
Orczyk, John J; Batka, Richard; Gore, Ashleigh; Maio-Lexa, Michelena; Kulkarni, Akhil; Garraghty, Preston E
The effects of infraorbital nerve (ION) transection on gene expression in the adult female rat barrel cortex were investigated using RNA sequencing. After a 24-hour survival duration, 28 genes were differentially regulated by ION transection. Differentially expressed genes suggest microglial activity, increased retrograde ciliary transport, and a decrease in inhibition. These changes may be functionally comparable to changes in the male barrel cortex, where changes in genes related to morphology, neuronal activity, and neuronal excitability were observed. However, the patterns in changes in gene expression are vastly different between male and female rats. The results strongly caution against the practice of generalizing data from one sex to both sexes. This cautionary note has potentially profound implications for a range of research lines, including substance abuse and stress, both research domains in which subjects have been predominantly males. Future research needs to employ sex as a classification variable, as sex differences can generally be expected. Future research is also needed to confirm that changes in gene expression observed with RNA-seq correlate with changes in protein expression. J. Comp. Neurol. 525:140-150, 2017. © 2016 Wiley Periodicals, Inc.
Bennett, J.; Wetmore, C.M.
A three factor transect study was conducted to test the hypothesis that chemical elements from air emissions in the vicinity of International Falls, Minnesota could not be detected in lichens along a 24 km transect reaching into Voyageurs National Park. It was hypothesized that element concentrations in lichens would decline exponentially downwind and would reach background values at a distance before the park boundary. Four species (Cladina rangiferina, Evernia mesomorpha, Hypogymnia physodes, and Parmelia sulcata) were sampled at ten sites for 3 years and 17 chemical elements were measured. The most notable result was a curvilinear geographic trend for many elements, which decreased from International Falls and then increased towards the park. This trend was significant for many anthropogenic elements, including S, Hg, Cd, and Cr, and for all four species. This type of distribution pattern has been observed in Hypogymnia physodes in other studies downwind of a steel mill and an oil refinery. Cladina, a ground-dwelling lichen, generally had lower tissue concentrations of the elements than the three epiphytic species. Tissue concentrations over the 3 years of sampling declined an average of 12%. Sufficient evidence exists to conclude that lichen tissue element concentrations in the vicinity of International Falls may be related to local air emissions, and that an exponential decline of element concentrations downwind of the sources does not apply to this situation.
Yang, Chao; Li, Xinghan; Sun, Liang; Guo, Weihua; Tian, Weidong
Objective. The adult spinal cord of mammals contains a certain amount of neural precursor cells, but these endogenous cells have a limited capacity for replacement of lost cells after spinal cord injury. The exogenous stem cells transplantation has become a therapeutic strategy for spinal cord repairing because of their immunomodulatory and differentiation capacity. In addition, dental stem cells originating from the cranial neural crest might be candidate cell sources for neural engineering. Approach. Human dental follicle stem cells (DFSCs), stem cells from apical papilla (SCAPs) and dental pulp stem cells (DPSCs) were isolated and identified in vitro, then green GFP-labeled stem cells with pellets were transplanted into completely transected spinal cord. The functional recovery of rats and multiple neuro-regenerative mechanisms were explored. Main results. The dental stem cells, especially DFSCs, demonstrated the potential in repairing the completely transected spinal cord and promote functional recovery after injury. The major involved mechanisms were speculated below: First, dental stem cells inhibited the expression of interleukin-1β to reduce the inflammatory response; second, they inhibited the expression of ras homolog gene family member A (RhoA) to promote neurite regeneration; third, they inhibited the sulfonylurea receptor1 (SUR-1) expression to reduce progressive hemorrhagic necrosis; lastly, parts of the transplanted cells survived and differentiated into mature neurons and oligodendrocytes but not astrocyte, which is beneficial for promoting axons growth. Significance. Dental stem cells presented remarkable tissue regenerative capability after spinal cord injury through immunomodulatory, differentiation and protection capacity.
Cuenca-Abente, Federico; Assalia, Ahmad; del Genio, Gianmattia; Rogula, Tomasz; Nocca, David; Ueda, Kazuki; Gagner, Michel
Background Esophagogastric fistula following an esophagectomy for cancer is very common. One of the most important factors that leads to its development is gastric isquemia. We hypothesize that laparoscopic gastric devascularization and partial transection is a safe operation that will enhance the vascular flow of the fundus of the stomach. Method Our study included eight pigs. Each animal had two operations. In the first one, a laparoscopic gastric devascularization and mobilization took place. Vascular flow was measured previous to the procedure and immediately after it with a laser doppler (endoscopic probe). After three weeks, a second operation took place. We re-measured the vascular flow and sent a sample of gastric fundus for histopathologic evaluation. Results The gastric fundus showed signs of neovascularization after both macroscopic and microscopic evaluation. These findings correlated with laser doppler measurements. Conclusion Laparoscopic gastric devascularization and partial transection is a safe procedure that increases the vascular flow of the stomach in a three week period. This finding can have a positive impact in terms of decreasing fistula formation. PMID:18606017
Dillaway, Dylan N; Kruger, Eric L
Common gardens were established along a approximately 900 km latitudinal transect to examine factors limiting geographical distributions of boreal and temperate tree species in eastern North America. Boreal representatives were trembling aspen (Populus tremuloides Michx.) and paper birch (Betula papyrifera Marsh.), while temperate species were eastern cottonwood (Populus deltoides Bartr ex. Marsh var. deltoides) and sweetgum (Liquidambar styraciflua L.). The species were compared with respect to adjustments of leaf photosynthetic metabolism along the transect, with emphasis on temperature sensitivities of the maximum rate of ribulose bisphosphate (RuBP) carboxylation (E(V)) and regeneration (E(J)). During leaf development, the average air temperature (T(growth)) differed between the coolest and warmest gardens by 12 degrees C. Evidence of photosynthetic thermal acclimation (metabolic shifts compensating for differences in T(growth)) was generally lacking in all species. Namely, neither E(V) nor E(J) was positively related to T(growth). Correspondingly, the optimum temperature (T(opt)) of ambient photosynthesis (A(sat)) did not vary significantly with T(growth). Modest variation in T(opt) was explained by the combination of E(V) plus the slope and curvature of the parabolic temperature response of mesophyll conductance (g(m)). All in all, species differed little in photosynthetic responses to climate. Furthermore, the adaptive importance of photosynthetic thermal acclimation was overshadowed by g(m)'s influence on A(sat)'s temperature response.
Resti, M; Tucci, F; Vierucci, A
In the last years the research on viral hepatitis let to better understand the biological, molecular, immunological and epidemiologic characteristics of the viruses that are responsible for hepatitis. The first studied virus was hepatitis B virus (HBv). The scientific attention is still, today, focused on that virus since new markers of infectivity and biological importance in early diagnosis and in disease evolution have been found. The most important result in the last years in the field of viral hepatitis has been, however, the identification of agents responsible for Non-A-Non-B hepatitis. Its epidemiology and clinical importance are discussed in the present paper. Virus C is the most important parenteral agent of NANB hepatitis. Its epidemiology in at risk populations and its role in post-transfusional and cryptogenetic hepatitis are here discussed. The research of new markers of HCV infection is today considered a main goal since the role of the only marker now available is still under discussion.
Mikulis, D.J.; Costello, P.; Clouse, M.E.
Recent reports indicate that computed tomography (CT) after bolus injection of contrast material is diagnostically specific for hemangioma, replacing the need for angiography in a high percentage of patients. The authors report a unique hepatic hemangioma that showed early diffuse intense opacification by angiography and contrast-enhanced CT.
Jang, Jae Young
The goal of antiviral therapy for patients with chronic hepatitis C virus (HCV) infection is to attain a sustained virologic response (SVR), which is defined as undetectable serum HCV-RNA levels at 6 months after the cessation of treatment. Major improvements in antiviral therapy for chronic hepatitis C have occurred in the past decade. The addition of ribavirin to interferon-alfa therapy and the introduction of pegylated interferon (PEG-IFN) have substantially improved SVR rates in patients with chronic hepatitis C. The optimization of HCV therapy with PEG-IFN and ribavirin continues to evolve. Studies are ongoing that use viral kinetics to tailor therapy to an individual's antiviral response and determine the ideal length of treatment to maximize the chance of SVR. Improved SVR can be achieved with new specific inhibitors that target the HCV NS3/4A protease and the NS5B polymerase. Several long-term follow-up studies have shown that SVR, when achieved, is associated with a very low risk of virologic relapse. Furthermore, antiviral therapy can reduce the morbidity and mortality rates associated with chronic hepatitis C by reducing fibrosis progression, the incidence of cirrhosis, and hepatocellular carcinoma. PMID:21814590
... Disease Dementia Hospitalization & Palliative Care Related Topics on AIDS.gov Combating the Silent Epidemic of Viral Hepatitis: ... HIV/AIDS Care Last revised: 06/30/2015 AIDS.gov HIV/AIDS Basics • Federal Resources • Using New ...
... Disease Dementia Hospitalization & Palliative Care Related Topics on AIDS.gov Combating the Silent Epidemic of Viral Hepatitis: ... HIV/AIDS Care Last revised: 06/30/2015 AIDS.gov HIV/AIDS Basics • Federal Resources • Using New ...
Agrawal, Rupesh V; Murthy, Somasheila; Sangwan, Virender; Biswas, Jyotirmay
Uveitis is composed of a diverse group of disease entities, which in total has been estimated to cause approximately 10% of blindness. Uveitis is broadly classified into anterior, intermediate, posterior and panuveitis based on the anatomical involvement of the eye. Anterior uveitis is, however, the commonest form of uveitis with varying incidences reported in worldwide literature. Anterior uveitis can be very benign to present with but often can lead to severe morbidity if not treated appropriately. The present article will assist ophthalmologists in accurately diagnosing anterior uveitis, improving the quality of care rendered to patients with anterior uveitis, minimizing the adverse effects of anterior uveitis, developing a decision-making strategy for management of patients at risk of permanent visual loss from anterior uveitis, informing and educating patients and other healthcare practitioners about the visual complications, risk factors, and treatment options associated with anterior uveitis. PMID:20029142
De Salvatore, Sergio; Segreto, Antonio; Chiusaroli, Alessandro; Congiu, Stefano; Bizzarri, Federico
An intramyocardial left anterior descending artery can be found in up to 30% of patients undergoing coronary artery bypass graft procedures. We review the various techniques available to identify an intramyocardial left anterior descending artery.
Baradaran-Rafii, Alireza; Motevasseli, Tahmineh; Yazdizadeh, Forouzan; Karimian, Farid; Fekri, Sahba; Baradaran-Rafii, Amir
Purpose: To compare the anterior segment indices measured by two Scheimpflug camera machines; Galilei and Pentacam. Methods: In this observational case series, the anterior segment indices of myopic healthy subjects seeking for refractive surgery were measured by Pentacam and Galilei on the same day. Analyzed parameters were anterior and posterior best fit spheres (BFS), axial curvature, true corneal power, central corneal thickness (CCT), anterior chamber (AC) depth, AC volume, AC angle, and pupil diameter. Results: This study included 176 eyes of 88 participants. Mean radius of the anterior BFS was 7.79 ± 0.34 mm versus 7.75 ± 0.39 mm measured by Pentacam and Galilei, respectively (r = 0.877, P < 0.001). Corresponding values for the mean radius of posterior BFS were 6.42 ± 0.32 and 6.47 ± 0.38 mm, respectively (r = 0.879, P < 0.001). Anterior corneal mean power was 43.8 ± 1.9 diopters (D) with Pentacam and 43.8 ± 2.4 D with Galilei (r = 0.905,P < 0.001). Posterior corneal mean power was measured − 6.3 ± 0.3 and − 6.3 ± 0.4 D using Pentacam and Galilei, respectively (r = 0.873, P < 0.001). True corneal power was 43.9 ± 1.9 D with Pentacam and 43.5 ± 2.3 D with Galilei (r = 0.909, P < 0.001). CCT was 537 ± 44 and 553 ± 51 μm measured by Pentacam and Galilei, respectively (r = 0.796, P < 0.001). AC depth measurements using Pentacam and Galilei were 3.29 ± 0.4 and 3.3 ± 0.38 mm (P < 0.001), respectively; AC volume was 207 ± 50 and 129 ± 39 mm3≥ (P = 0.004), and AC angle was 39.7 ± 9.2 and 54.2 ± 5.2 degrees (P = 0.051), respectively. Average pupil diameter was measured 3.91 ± 1.77 mm by Pentacam and 3.34 ± 0.89 mm by Galilei (P = 0.018). Conclusions: There was a significant correlation between the Pentacam and Galilei in all measured parameters except AC angle, AC volume, and average pupil diameter. PMID:28299003
Buisson, Y; Meyran, M
In spite of low endemic levels in France, hepatitis A and hepatitis B remains major concerns for public health. Seroprevalence of antibodies against hepatitis A (anti-HAV), declining below 15% in the 20 years-aged subjects, highlights an increasing susceptibility to hepatitis A. Later in the life, HAV infections become more serious and expansive. Control measures against hepatitis B have nearly stopped HBV spread linked to blood transfusions and mothers to infants transmission. Now, common risk factors are first sexual exposure, then injecting drug use, especially among young people. Vaccination is recognized as the most effective process for prevention. Recombinant hepatitis B vaccines have taken the place of plasma-derived vaccines. Although non responder individuals and escape mutants of HBV may hamper vaccinal coverage, hepatitis vaccines are highly immunogenic in immunocompetent people, allowing simplified schedules and reduced HBsAg dosages for children. Inactivated HAV vaccines now licensed prove to be highly immunogenic after only one injection. Hepatitis B vaccination targeted on high risk groups remains imperative but inadequate for reducing hepatitis B occurrence. A universal hepatitis B vaccination program in childhood and early adolescence would nearly stop the spread of HBV in the populations before ten years. Likewise, hepatitis A vaccination of travelers to endemic areas, all individuals exposed to contaminations from fecal sources, and food handlers, could reduce the spread of HAV in the community but would not completely prevent outbreaks of hepatitis A. Advantages of universal immunization of babies are not proved yet. Implementation of preventive strategies first needs a comprehensive surveillance of viral hepatitis in France.
Buisson, Y; Meyran, M
In spite of low endemic levels in France, hepatitis A and hepatitis B remain major concerns for public health. Seroprevalence of antibodies against hepatitis A (anti-HAV), declining below 15% in the 20 years-aged subjects, highlights an increasing susceptibility to hepatitis A. Later in the life, HAV infections become more serious and expansive. Control measures against hepatitis B have nearly stopped HBV spread linked to blood transfusions and mothers to infants transmission. Now, common risk factors are first sexual exposure, then injecting drug use, especially among young people. Vaccination is recognized as the most effective process for prevention. Recombinant hepatitis B vaccines have taken the place of plasma-derived vaccines. Although non responder individuals and escape mutants of HBV may hamper vaccinal coverage, hepatitis vaccines are highly immunogenic in immunocompetent people, allowing simplified schedules and reduced HBsAg dosages for children. Inactivated HAV vaccines now licensed prove to be highly immunogenic after only one injection. Hepatitis B vaccination targeted on high risk groups remains imperative but inadequate for reducing hepatitis B occurrence. A universal hepatitis B vaccination program in childhood and early adolescence would nearly stop the spread of HBV in the populations before ten years. Likewise, hepatitis A vaccination of travelers to endemic areas, all individuals exposed to contaminations from fecal sources, and food handlers, could reduce the spread of HAV in the community but would not completely prevent outbreaks of hepatitis A. Advantages of universal immunization of babies are not proved yet. Implementation of preventive strategies first needs a comprehensive surveillance of viral hepatitis in France.
Lui, Tun Hing
Anterior tarsal tunnel syndrome is a rare entrapment neuropathy of the deep peroneal nerve beneath the inferior extensor retinaculum of the ankle. We report a patient with anterior tarsal tunnel syndrome who was successfully treated with endoscopic anterior tarsal tunnel release. Our endoscopic technique, because it preserves the inferior extensor retinaculum, is potentially less traumatic than traditional surgical techniques for repairing this entrapment neuropathy.
Anterior scleritis and episcleritis are a well-known presentation in tuberculosis. The case of a female patient with presumed tuberculous anterior scleritis and episcleritis is discussed in this article. Anterior segment OCT was efficient in diagnosis and evaluation of the therapeutic outcome. Antituberculosis chemotherapy was sufficient to achieve clinical remission. PMID:28348907
Elqadir, A Jamil; Shapira, J; Ziskind, K; Ram, D
Esthetic treatment of primary teeth is one of the greatest challenges to pediatric dentists. A variety of restorative options using full coverage are available for anterior primary teeth. In the last half century the emphasis on treatment of severely decayed primary teeth shifted from extraction to restoration. In the past, restorations consisted of placement of stainless steel crowns on severely decayed teeth. However, they are esthetically unacceptable today. Over the last decade parents expect a higher esthetic standard for their children's primary teeth. Thus, the restoration should provide esthetic appearance and durability in addition to restoring function. The purpose of this review is to describe the types of full coverage options for anterior primary teeth currently available.
Vuopala, K; Ignatius, J; Herva, R
Fifteen infants (11 families) with lethal arthrogryposis and anterior horn motor neuron loss are described. The clinical presentation was the fetal akinesia deformation sequence (FADS) with multiple contractures and facial anomalies. At autopsy neurogenic muscular atrophy was present in all infants. The spinal cord showed a paucity of anterior horn motor neurons in the 12 infants studied. Both male and female infants were affected. Nine cases were sporadic, whereas in two families there were three affected cases. Consanguinity between the parents was reported in one family with one affected child. This and the recurrence of the condition speak for autosomal recessive inheritance. Detailed neuropathological examination and documentation of the clinical features are needed for a better delineation of and genetic counseling for perinatally lethal arthrogryposis.
Gu, Xiaosi; Hof, Patrick R.; Friston, Karl J.; Fan, Jin
This paper reviews the foundation for a role of the human anterior insular cortex (AIC) in emotional awareness, defined as the conscious experience of emotions. We first introduce the neuroanatomical features of AIC and existing findings on emotional awareness. Using empathy, the awareness and understanding of other people’s emotional states, as a test case, we then present evidence to demonstrate: 1) AIC and anterior cingulate cortex (ACC) are commonly coactivated as revealed by a meta-analysis, 2) AIC is functionally dissociable from ACC, 3) AIC integrates stimulus-driven and top-down information, and 4) AIC is necessary for emotional awareness. We propose a model in which AIC serves two major functions: integrating bottom-up interoceptive signals with top-down predictions to generate a current awareness state and providing descending predictions to visceral systems that provide a point of reference for autonomic reflexes. We argue that AIC is critical and necessary for emotional awareness. PMID:23749500
GALVIS, Virgilio; TELLO, Alejandro; M. RANGEL, Carlos
Anterior megalophthalmos is characterized by megalocornea associated with a very broad anterior chamber and ciliary ring elongation. It is also called X-linked megalocornea. It is accompanied by early development of cataracts, zonular anomalies, and, rarely, vitreoretinal disorders. Subluxation of a cataract can occur in cataract surgery because of zonular weakness. In addition, in most patients, standard intraocular lens (IOL) decentration is a risk because of the enlarged sulcus and capsular bag. These unique circumstances make cataract surgery challenging. To date, several approaches have been developed. Implantation of a retropupillary iris-claw aphakic intraocular lens may be a good option because it is easier than suturing the IOL and can have better and more stable anatomic and visual outcomes, compared to other techniques. PMID:27350950
Chavredakis, Emmanuel; Carter, David; Bhojak, Manesh; Jenkinson, Michael D; Clark, Simon R
We present the first described case of cervical vertebral fusion associated with anterior meningocele and syringomyelia. A 45-year-old woman presented with minor trauma, and plain cervical spine radiographs highlighted a congenital deformity of the cervical vertebral bodies. She had a normal neurological examination; however, further imaging revealed a meningocele and syringomyelia. This case highlights the importance of thorough imaging investigation when presented with a congenital deformity in order to detect and prevent development of degenerative spinal cord pathologies. PMID:25923673
Lui, Tun Hing
A 76-year-old man reported right lateral heel pain 11 years after ankle arthrodesis. Clinically, there was tenderness in the right sinus tarsi and over the junction point between the talonavicular and calcaneocuboid joints. Radiographs showed that the joint spaces of the posterior subtalar joint and the talonavicular joint were preserved although there were osteophytes at both joints. Arthroscopic findings showed degeneration of the anterior subtalar and talonavicular joints. The symptoms subsided after arthroscopic debridement.
Taylor, T R; Dineen, R; White, B; Jaspan, T
Objectives This study included a series of middle-aged male and female patients who presented with chronic anterior hemicord dysfunction progressing to paraplegia. Imaging of anterior thoracic cord displacement by either a dural adhesion or a dural defect with associated cord herniation is presented. Methods This is a retrospective review of cases referred to a tertiary neuroscience centre over a 19-year period. Imaging series were classified by two experienced neuroradiologists against several criteria and correlated with clinical examination and/or findings at surgery. Results 16 cases were available for full review. Nine were considered to represent adhesions (four confirmed surgically) and four to represent true herniation (three confirmed surgically). In the three remaining cases the diagnosis was radiologically uncertain. Conclusion The authors propose “thoracic anterior spinal cord adhesion syndrome” as a novel term to describe this patient cohort and suggest appropriate clinicoradiological features for diagnosis. Several possible aetiologies are also suggested, with disc rupture and inflammation followed by disc resorption and dural pocket formation being a possible mechanism predisposing to herniation at the extreme end of a clinicopathological spectrum. PMID:22665931
Ren, Xiang; Wu, Peng; Wang, Liping; Geng, Mengjie; Zeng, Lingjia; Zhang, Jun; Xia, Ningshao; Lai, Shengjie; Dalton, Harry R.; Cowling, Benjamin J.
We compared the epidemiology of hepatitis A and hepatitis E cases in China from 1990–2014 to better inform policy and prevention efforts. The incidence of hepatitis A cases declined dramatically, while hepatitis E incidence increased. During 2004–2014, hepatitis E mortality rates surpassed those of hepatitis A. PMID:28098527
Bauters, Marijn; Bruneel, Stijn; Demol, Miro; Taveirne, Cys; Van Der Heyden, Dries; Boeckx, Pascal; Kearsley, Elizabeth; Cizungu, Landry; Verbeeck, Hans
Tropical forests are key actors in the global carbon cycle. Predicting future responses of these forests to global change is challenging, but important for global climate models. However, our current understanding of such responses is limited, due to the complexity of forest ecosystems and the slow dynamics that inherently form these systems. Our understanding of ecosystem ecology and functioning could greatly benefit from experimental setups including strong environmental gradients in the tropics, as found on altitudinal transects. We setup two such transects in both South-America and Africa, focussing on shifts in carbon allocation, forest structure and functional composition. By a cross-continental comparison of both transects, we will gain insight in how different or alike both tropical forests biomes are in their responses, and how universal the observed adaption mechanisms are.
Fornwall, M.; Gisiner, R.; Simmons, S. E.; Moustahfid, Hassan; Canonico, G.; Halpin, P.; Goldstein, P.; Fitch, R.; Weise, M.; Cyr, N.; Palka, D.; Price, J.; Collins, D.
The US Integrated Ocean Observing System (IOOS) has recently adopted standards for biological core variables in collaboration with the US Geological Survey/Ocean Biogeographic Information System (USGS/OBIS-USA) and other federal and non-federal partners. In this Community White Paper (CWP) we provide a process to bring into IOOS a rich new source of biological observing data, visual line transect surveys, and to establish quality data standards for visual line transect observations, an important source of at-sea bird, turtle and marine mammal observation data. The processes developed through this exercise will be useful for other similar biogeographic observing efforts, such as passive acoustic point and line transect observations, tagged animal data, and mark-recapture (photo-identification) methods. Furthermore, we suggest that the processes developed through this exercise will serve as a catalyst for broadening involvement by the larger marine biological data community within the goals and processes of IOOS.
Orczyk, John J; Sethia, Rishabh; Doster, Dominique; Garraghty, Preston E
The effects of infraorbital nerve (ION) transection on gene expression in the adult male rat barrel cortex were investigated using RNA sequencing. After a 24-hour survival duration, 98 genes were differentially regulated by ION transection. Differentially expressed genes suggest changes in neuronal activity, excitability, and morphology. The production of mRNA for neurotrophins, including brain-derived neurotrophin factor (BNDF), was decreased following ION transection. Several potassium channels showed decreased mRNA production, whereas a sodium channel (Na(V)β4) associated with burst firing showed increased mRNA production. The results may have important implications for phantom-limb pain and complex regional pain syndrome. Future experiments should determine the extent to which changes in RNA result in changes in protein expression, in addition to utilizing laser capture microdissection techniques to differentiate between neuronal and glial cells.
Ciurtin, Coziana; Stoica, Victor
Hepatitis C viral infection is accompanied by various serum alterations that could explain its molecular impact on hepatic structure and metabolic homeostasis. Recently it has been shown that adipocytokines play a pivotal role in development of hepatic steato-fibrosis, different studies giving a support of the hypothesis that the balance of adipocytokine expression is a key regulator for the progression of hepatic steatosis and fibrosis. The association between insulin resistance and hepatitis C virus genotypes and liver fibrosis stage foreshadowed that virus-induced insulin resistance may be a mechanism for fibrogenesis in chronic hepatitis C virus infection. The main importance of adipocytokine profile detection consists in the prediction of steatosis induction that has clinical relevance, being associated with advanced fibrosis and hyporesponsiveness to antiviral therapy.
Hepatitis C viral infection is accompanied by various serum alterations that could explain its molecular impact on hepatic structure and metabolic homeostasis. Recently it has been shown that adipocytokines play a pivotal role in development of hepatic steato–fibrosis, different studies giving a support of the hypothesis that the balance of adipocytokine expression is a key regulator for the progression of hepatic steatosis and fibrosis. The association between insulin resistance and hepatitis C virus genotypes and liver fibrosis stage foreshadowed that virus–induced insulin resistance may be a mechanism for fibrogenesis in chronic hepatitis C virus infection. The main importance of adipocytokine profile detection consists in the prediction of steatosis induction that has clinical relevance, being associated with advanced fibrosis and hyporesponsiveness to antiviral therapy. PMID:20108479
Cobban, W.A.; Hook, S.C.; McKinney, K.C.
Updated age assignments and new collections of molluscan fossils from lower Cenomanian through upper Campanian strata in Texas permit a much refined biostratigraphic correlation with the rocks of New Mexico and the Western Interior. Generic names of many Late Cretaceous ammonites and inoceramid bivalves from Texas are updated to permit this correlation. Strata correlated in the west-to-east transect include the lower Cenomanian Beartooth Quartzite and Sarten Sandstone of southwest New Mexico, and the Eagle Mountains Formation, Del Rio Clay, Buda Limestone, and. basal beds of the Chispa Summit, Ojinaga, and Boquillas Formations of the Texas-Mexico border area. Middle Cenomanian strata are lacking in southwestern New Mexico but are present in the lower parts of the Chispa Summit and Boquillas Formations in southwest Texas. Upper Cenomanian and lower Turonian rocks are present at many localities in New Mexico and Texas in the Mancos Shale and Chispa Summit, Ojinaga, and Boquillas Formations. Middle Turonian and younger rocks seem to be entirely nonmarine in southwestern New Mexico, but they are marine in the Rio Grande area in the Chispa. Summit, Ojinaga, and Boquillas Formations. The upper part of the Chispa Summit and Boquillas contain late Turonian fossils. Rocks of Coniacian and Santonian age are present high in the Chispa Summit, Ojinaga, and Boquillas Formations, and in the lower part of the Austin. The San Carlos, Aguja, Pen, and Austin Formations contain fossils of Campanian age. Fossils representing at least 38 Upper Cretaceous ammonite zones are present along the transect. Collections made in recent years in southwestern New Mexico and at Sierra de Cristo Rey just west of downtown El Paso, Texas, have been well treated and do not need revision. Taxonomic names and zonations published in the pre-1970 literature on the Rio Grande area of Texas have been updated. New fossil collections from the Big Bend National Park, Texas, allow for a much refined correlation
Fragoso, José M V; Levi, Taal; Oliveira, Luiz F B; Luzar, Jeffrey B; Overman, Han; Read, Jane M; Silvius, Kirsten M
Conservation of Neotropical game species must take into account the livelihood and food security needs of local human populations. Hunting management decisions should therefore rely on abundance and distribution data that are as representative as possible of true population sizes and dynamics. We simultaneously applied a commonly used encounter-based method and an infrequently used sign-based method to estimate hunted vertebrate abundance in a 48,000-km2 indigenous landscape in southern Guyana. Diurnal direct encounter data collected during three years along 216, four-kilometer -long transects consistently under-detected many diurnal and nocturnal mammal species readily detected through sign. Of 32 species analyzed, 31 were detected by both methods; however, encounters did not detect one and under-detected another 12 of the most heavily hunted species relative to sign, while sign under-detected 12 never or rarely collected species relative to encounters. The six most important game animals in the region, all ungulates, were not encountered at 11-40% of village and control sites or on 29-72% of transects where they were detected by sign. Using the sign methodology, we find that tapirs, one of the terrestrial vertebrates considered most sensitive to overexploitation, are present at many sites where they were never visually detected during distance sampling. We find that this is true for many other species as well. These high rates of under-detection suggest that behavioral changes in hunted populations may affect apparent occurrence and abundance of these populations. Accumulation curves (detection of species on transects) were much steeper for sign for 12 of 16 hunted species than for encounters, but that pattern was reversed for 12 of 16 species unhunted in our area. We conclude that collection of sign data is an efficient and effective method of monitoring hunted vertebrate populations that complements encounter and camera-trapping methods in areas impacted by
Levi, Taal; Oliveira, Luiz F. B.; Luzar, Jeffrey B.; Overman, Han; Read, Jane M.
Conservation of Neotropical game species must take into account the livelihood and food security needs of local human populations. Hunting management decisions should therefore rely on abundance and distribution data that are as representative as possible of true population sizes and dynamics. We simultaneously applied a commonly used encounter-based method and an infrequently used sign-based method to estimate hunted vertebrate abundance in a 48,000-km2 indigenous landscape in southern Guyana. Diurnal direct encounter data collected during three years along 216, four-kilometer -long transects consistently under-detected many diurnal and nocturnal mammal species readily detected through sign. Of 32 species analyzed, 31 were detected by both methods; however, encounters did not detect one and under-detected another 12 of the most heavily hunted species relative to sign, while sign under-detected 12 never or rarely collected species relative to encounters. The six most important game animals in the region, all ungulates, were not encountered at 11–40% of village and control sites or on 29–72% of transects where they were detected by sign. Using the sign methodology, we find that tapirs, one of the terrestrial vertebrates considered most sensitive to overexploitation, are present at many sites where they were never visually detected during distance sampling. We find that this is true for many other species as well. These high rates of under-detection suggest that behavioral changes in hunted populations may affect apparent occurrence and abundance of these populations. Accumulation curves (detection of species on transects) were much steeper for sign for 12 of 16 hunted species than for encounters, but that pattern was reversed for 12 of 16 species unhunted in our area. We conclude that collection of sign data is an efficient and effective method of monitoring hunted vertebrate populations that complements encounter and camera-trapping methods in areas impacted by
Carbonell, R.; Harnafi, M.; Teixell, A.; Gallart, J.; Levander, A.; Ayarza, P.; Kchikach, A.; Amrhar, M.; Charroud, M.
The plate boundary between Africa and Europe is a diffuse feature that includes a very young intra-continental Cenozoic orogenic belt, the Atlas Orogen. The Atlas is characterized by a topographic relief which can reach 4000 m; less than 20% shortening has been reported by geologic studies. The small amount of shortening does not explain the high topographic relief. Furthermore, potential field geophysical studies and previous low resolution refraction experiments report a maximum crustal thickness of 40 km. These suggesting that the orogen is out of isostatic equilibrium and that asthenospheric upwelling is needed to support the mountain load. A 700 km long deep seismic wide-angle reflection transect has been acquired by an international team to constrain the crustal thickness, topography of the Moho and the seismic velocity structure. The north-south oriented transect extends from the Sahara Desert south of Merzouga near the Algeria border, to Ceuta at the Gibraltar arc (on the north coast of Morocco) crossing the High and Middle Atlas and the Rif mountain ranges. Seismic energy released at 6 shot points generated by detonating approximately, 1 TM of explosives was recorded by ~ 900 Reftek-125a (TEXAN) seismic recorders from the IRIS-PASSCAL pool. The seismic stations were deployed with an average station spacing of 650-750 m. The 6 shot points were located within the southern part of the transect with a shot spacing of ~60-70 km. The preliminary analysis of this high resolution data reveals: a relatively high signal-to-noise ratio; and interpreted PmP reflected phase which samples the crust mantle boundary. SIMA is one component of the PICASSO research initiative. This multinational research programme that includes a series of multi-disciplinary geophysical projects (The Spanish TopoIberia and Siberia Projects; the US-Spanish-Irish PICASSO project, with participation from Germany and France). These studies are designed to develop new understanding of the
Klemperer, S. L.; Bruhn, R. L.; Miller, E. L.; Lowry, A. R.; Smith, R. B.; Lerch, D.; Gashawbeza, E.; Colgan, J.; Keranen, K.
GeoFrame seeks to provide an integrated geologic framework for EarthScope in order to better understand the "construction, stabilization, and modification of the North American continent through time", with emphasis on integration of geologic time and history with EarthScope imaging of the crust and mantle. The BRP provides an excellent region to tackle these problems, where continental crust constructed and thickened by a series of Phanerozoic events is currently being modified within the archetypal broad continental rift. Geologic and geochronologic studies across the BRP are of sufficient resolution to enable the mapping of discrete domains with distinct magmatic and extensional histories. These distinct domains are obvious targets for EarthScope imaging, to answer whether they correspond to regions of different lithospheric composition (from seismic P- and S-velocity), structure (from seismic reflectivity and receiver-function converters) and rheology (from integrated gravity, thermal and compositional studies) or represent only surficial complexities. We offer our detailed BRP geophysical transect in progress as a possible model for other GeoFrame investigations. The first controlled-source FlexArray experiment, recorded in 2004 across the NW margin of the BRP from northeastern California to north-central Nevada, was a multi-scale imaging experiment designed to answer questions arising from geologic and geochronologic studies. Results include: 1) vibroseis images of the active Surprise Valley fault to 5 km depth that help constrain rate of fault slip along the western boundary of the BRP; 2) strong lateral velocity and density contrasts ascribed to pre-extensional crustal architecture, including the Sierra Nevada batholith across NW Nevada; 3) lower crust with homogeneous P-wave velocity, Vp/Vs ratio consistent with significant mafic intrusion, and crustal thickness changes compatible with geologic estimates of extension. The many regional-scale challenges
Paz González, A.; Valcarcel Armesto, M.; Dafonte Dafonte, J.; Mirás Avalos, J. M.; da Silva Días, R.; Marinho, M. A.; de Abreu, C. A.
Spatial variability of soils in landscapes has been studied in different ways, for example in terms of soil survey reliability, soil development and erosive processes. Due to the advent of site-specific management in the 1990s, there is now an increasing interest in measuring the amount of soil variability within a field. Methods for assessing spatial variability also include use of transect techniques to sample soil sequences. On the other hand, over the past few decades fractal and multifractal models have been applied in the evaluation of the spatial variability of soil attributes. Therefore, the aim of this study was to characterize the spatial variability of general soil properties and extractable nutrients measured along a transect by means of multifractal analysis. The field work was conducted at the experimental farm of CIAM located in Mabegondo, A Coruña, Spain on a gently slope. The soil was loamy textured. Soil samples were taken at 66 points located 0.8 m apart along a transect of 52 m. Samples were analyzed for pH, organic matter content (OM), exchangeable K, Mg and Ca, exchangeable H+Al, and DTPA extractable Fe, Mn, Cu and Zn. In addition, sum of bases (SB), cation exchange capacity (CEC) and percent base saturation (V) were calculated from exchangeable cations. For all the studied statistical moments the logarithm of the normalized measures varied linearly (r2 > 0.87) with the logarithm of the measurement scale, meaning that the distribution of the measure could be considered as a fractal. The scaling properties of the soil properties studied were further characterized to determine if the scaling types was monofractal or multifractal. To this effect selected indices were calculated from the generalized dimension function, Dq. So for a distribution with a monofractal tendency values of the correlation dimension D2 and the entropy dimension, D1, become similar to the capacity dimension, D0, however D0 >D1 > D2 if the distribution has a tendency to
Yurt, Alaattin; Uçar, Kubilay; Özer, Füsun; Oran, İsmail; Arda, Nuri
Aneurysms of the complex of the anterior cerebral artery are frequently associated with anatomic variations of the circle of Willis. We describe a case of aneurysmal rupture of the anterior communicating artery, a variant of the anterior cerebral artery. The aneurysm appeared to be situated on this vessel proximal to the infered site of the AcoA. Surgery was performed at the 6th day after hemorrhage. The anterior communicating artery aneurysm was clipped. The post operative course was unventful, with complete recovery. In our case, an extremely rare variation of the proximal tract of the anterior cerebral artery, i.e. an infraoptic course of the proximal precommunicating tract under the optic nerve, with the distal A1 tract anterior to the chiasm and positioned between the optic nerves, is presented. PMID:24179361
Luo, W.; Nelson, P. N.; Li, M.-H.; Cai, J.; Zhang, Y.; Zhang, Y.; Shan, Y.; Wang, R.; Han, X.; Jiang, Y.
Soil pH buffering capacity (pHBC) plays a crucial role in predicting acidification rates, yet its large-scale patterns and controls are poorly understood, especially for neutral-alkaline soils. Here, we evaluated the spatial patterns and drivers of pHBC along a 3600 km long transect (1900 km sub-transect with carbonate containing soils and 1700 km sub-transect with non-carbonate containing soils) across northern China. Soil pHBC was greater in the carbonate containing soils than in the non-carbonate containing soils. Acid addition decreased soil pH in the non-carbonate containing soils more markedly than in the carbonate containing soils. Within the carbonate soil sub-transect, soil pHBC was positively correlated with cation exchange capacity (CEC), carbonate content and exchangeable sodium (Na) concentration, but negatively correlated with initial pH and clay content, and not correlated with soil organic carbon (SOC) content. Within the non-carbonate sub-transect, soil pHBC was positively related to initial pH, clay content, CEC and exchangeable Na concentration, but not related to SOC content. Carbonate content was the primary determinant of pHBC in the carbonate containing soils and CEC was the main determinant of buffering capacity in the non-carbonate containing soils. Soil pHBC was positively related to aridity index and carbonate content across the carbonate containing soil sub-transect. Our results indicated that mechanisms controlling pHBC differ among neutral-alkaline soils of northern China, especially between carbonate and non-carbonate containing soils, leading to different rates, risks, and impacts of acidification. This understanding should be incorporated into the acidification risk assessment and landscape management in a changing world.
Youssef, Ahmed; Yano, Yoshihiko; El-Sayed Zaki, Maysaa; Utsumi, Takako; Hayashi, Yoshitake
Hepatitis viral infection is hyperendemic in Egypt, western Asia and Africa. However, little is known about the status of hepatitis viruses among rural Egyptian children. Therefore, this study sought to examine the prevalence and characteristics of hepatitis viruses among symptomatic Egyptian children. Serological and molecular analyses of hepatitis viral infection were conducted in 33 children hospitalised at Mansoura University with symptomatic hepatic dysfunction (mean ± standard deviation age, 9.7±3.4 years; alanine aminotransferase level, 130±68 IU/ml). Eleven children (33%) were positive for anti-haemagglutination-IgM and were diagnosed with acute hepatitis A. Hepatitis B surface antigen (HBsAg) and anti‑hepatitis C virus (HCV) were detected in 9 (27%) and 7 (21%) children, respectively, indicating acute-on-chronic infection with hepatitis viruses. None of the children was positive for anti‑hepatitis B core antigen-IgM. Phylogenetic analysis confirmed that all HBVs belonged to genotype D (subgenotype D1) and that HCV belonged to genotypes 4a and 1g. HBV-DNA was detected in 9 children (27%) in the pre-S/S region and in 16 children (48%) in the core promoter/precore region. The Y134F amino acid mutation in the 'α' determinant region was detected in all of the patients. The A1762T/G1764A double mutation, and the T1846A and G1896A single mutations were common in children with occult HBV infection. In conclusion, hepatitis viral infection, including acute-on-chronic infection with HCV and HBV, is common in Egyptian children hospitalised with acute hepatitis.
Bradford, Amanda L; Forney, Karin A; Oleson, Erin M; Barlow, Jay
For biological populations that form aggregations (or clusters) of individuals, cluster size is an important parameter in line-transect abundance estimation and should be accurately measured. Cluster size in cetaceans has traditionally been represented as the total number of individuals in a group, but group size may be underestimated if group members are spatially diffuse. Groups of false killer whales (Pseudorca crassidens) can comprise numerous subgroups that are dispersed over tens of kilometers, leading to a spatial mismatch between a detected group and the theoretical framework of line-transect analysis. Three stocks of false killer whales are found within the U.S. Exclusive Economic Zone of the Hawaiian Islands (Hawaiian EEZ): an insular main Hawaiian Islands stock, a pelagic stock, and a Northwestern Hawaiian Islands (NWHI) stock. A ship-based line-transect survey of the Hawaiian EEZ was conducted in the summer and fall of 2010, resulting in six systematic-effort visual sightings of pelagic (n = 5) and NWHI (n = 1) false killer whale groups. The maximum number and spatial extent of subgroups per sighting was 18 subgroups and 35 km, respectively. These sightings were combined with data from similar previous surveys and analyzed within the conventional line-transect estimation framework. The detection function, mean cluster size, and encounter rate were estimated separately to appropriately incorporate data collected using different methods. Unlike previous line-transect analyses of cetaceans, subgroups were treated as the analytical cluster instead of groups because subgroups better conform to the specifications of line-transect theory. Bootstrap values (n = 5,000) of the line-transect parameters were randomly combined to estimate the variance of stock-specific abundance estimates. Hawai'i pelagic and NWHI false killer whales were estimated to number 1,552 (CV = 0.66; 95% CI = 479-5,030) and 552 (CV = 1.09; 95% CI = 97
Epstein, H. E.; Walker, D. A.; Raynolds, M. K.; Kelley, A. M.; Jia, G.; Ping, C.; Michaelson, G.; Leibman, M. O.; Kaarlejärvi, E.; Khomutov, A.; Kuss, P.; Moskalenko, N.; Orekhov, P.; Matyshak, G.; Forbes, B. C.; Yu, Q.
Analyses of vegetation properties along climatic gradients provide first order approximations as to how vegetation might respond to a temporally dynamic climate. Until recently, no systematic study of tundra vegetation had been conducted along bioclimatic transects that represent the full latitudinal extent of the arctic tundra biome. Since 1999, we have been collecting data on arctic tundra vegetation and soil properties along two such transects, the North American Arctic Transect (NAAT) and the Yamal Arctic Transect (YAT). The NAAT spans the arctic tundra from the Low Arctic of the North Slope of Alaska to the polar desert of Cape Isachsen on Ellef Ringnes Island in the Canadian Archipelago. The Yamal Arctic Transect located in northwest Siberia, Russia, presently ranges from the forest-tundra transition at Nadym to the High Arctic tundra on Belyy Ostrov off the north coast of the Yamal Peninsula. The summer warmth indices (SWI - sum of mean monthly temperatures greater than 0°C) range from approximately 40 °C months to 3 °C months from south to north. For largely zonal sites along these transects, we systematically collected leaf area index (LAI-2000 Plant Canopy Analyzer), normalized difference vegetation index (NDVI - PSII hand-held spectro-radiometer), and vegetation biomass (clip harvests). Site-averaged LAI ranges from 1.08 to 0 along the transects, yet can be highly variable at the landscape scale. Site-averaged NDVI ranges from 0.67 to 0.26 along the transects, and is less variable than LAI at the landscape scale. Total aboveground live biomass ranges from approximately 700 g m-2 to < 50 g m-2 along the NAAT, and from approximately 1100 g m-2 to < 400 g m-2 along the YAT (not including tree biomass at Nadym). LAI and NDVI are highly correlated logarithmically (r = 0.80) for the entire dataset. LAI is significantly related to total aboveground (live plus dead) vascular plant biomass, although there is some variability in the data (r = 0.63). NDVI is
Nazli, Yunus; Colak, Necmettin; Uras, Ismail; Komurcu, Mahmut; Cakir, Omer
Although acute elbow dislocations are common orthopedic injuries, concomitant neurovascular injury is rare. Brachial artery transection can result from open elbow dislocation and responds well to vascular repair. Rapid evaluation and a high level of suspicion are essential to facilitate immediate treatment. Delay to identify vascular injury after elbow dislocation or reduction can potentially lead to limb ischemia, and potential loss of limb. We present a case of relatively rare transection of the brachial artery, with an accompanying traumatic open elbow dislocation in a 12-year-old boy.
Taylor, B C; Winslow, R L
Flat anterior chambers were caused by varying mechanisms in 10 of 70 consecutive pseudophakic eyes operated on for retinal detachment. With iris or capsular implant fixation, three of 46 (7%) developed flat anterior chambers, and with anterior chamber lenses, the occurrence was seven of 24 (29%). Events initiating flat chambers included wound leak, pupillary block, and choroidal detachment. In eyes with flat anterior chambers, the retina could not be reattached in one case, extensive peripheral anterior synechia with persistent intraocular pressure elevation occurred in another case, and bullous keratopathy remained in two additional instances. Endothelial cell densities were obtained in eight eyes and were low on an age-related basis.
Sarver, D K
As is evident from the foregoing discussion, hepatitis A and hepatitis B are not static, passé disease. Knowledge concerning these illnesses continues to expand at a fantastic rate--all of it of extreme practical clinical significance. Most interesting is the elucidation of the etiology of the acquired immune deficiency syndrome (AIDS) and the increase this knowledge is hoped to produce on the utilization of hepatitis B vaccine. Also extremely important is the development of recombinant DNA vaccine, which will permit total circumvention of the question of AIDS and safety of the hepatitis B vaccine.
Markgraf, Vera; Baumgartner, T.R.; Bradbury, J.P.; Diaz, Henry F.; Dunbar, R.B.; Luckman, B.H.; Seltzer, G.O.; Swetnam, T.W.; Villalba, R.
Examples are presented of inter-hemispheric comparison of instrumental climate and paleoclimate proxy records from the Americas for different temporal scales. Despite a certain symmetry of seasonal precipitation patterns along the PEP I transect, decadal variability of winter precipitation shows different characteristics in terms of amplitude and frequency in both the last 100 and last 1000 years. Such differences in variability are also seen in a comparison of time series of different El Nino/Southern Oscillation proxy records from North and South America, however, these differences do not appear to affect the spatial correlation with Pacific sea surface temperature patterns. Local and regional differences in response to climate change are even more pronounced for records with lower temporal resolution, and inter-hemispheric synchroneity may or may not be indicative of the same forcing. This aspect is illustrated in an inter-hemispheric comparison of the last 1000 years of glacier variability, and of the full- and lateglacial lake level history.
Li, WenYu; Jiang, ZongFu; Xi, Fengjie; Li, Qiang; Xie, Wenke
Laser beam heat the air on the optic path, Beam-deflection optical tomography is a non-intrusive method to measure the 2-dimension temperature distribution in the transect. By means of linear Hartmann Sensor at the rate of 27kHz, the optic path was heated by a 2.7μm HF laser, continuous and high time resolution gradients of optic phase were obtained. the result of analysing and calculation showed the temperament shift in the heated beam path was not higher than 50K when the HF laser power was 9W. The experiment showed that it is a practical non-intrusive temperature shift measurement method for a small area aero-optical medium.
D'Giano, C H; Del C García, M; Pomata, H; Rabinowicz, A L
Status epilepticus (SE) represents a medical emergency that annually affects 60,000--150,000 individuals in the United States. Selective neuronal loss in vulnerable areas has been pathologically demonstrated following convulsive SE primarily affecting the limbic system, thalamus and cerebellum. Morbidity in those cases that follow refractory SE (RSE) is poorly documented. There have been anecdotal reports of surgical treatment for this condition, especially secondary to brain lesions. We report a 6-year-old patient who was in RSE for 60 days, without a brain lesion documented by MRI. The patient underwent multiple subpial transection (MST) of the sensorimotor cortex, which by ictal EEG and ictal SPECT proved to be the epileptogenic zone. We conclude that MST should be considered as an alternative treatment for refractory partial SE.
Zhang, Yudong; Peng, Bo; Wang, Shuihua; Liang, Yu-Xiang; Yang, Jiquan; So, Kwok-Fai; Yuan, Ti-Fei
Microglia are the mononuclear phagocytes with various functions in the central nervous system, and the morphologies of microglia imply the different stages and functions. In optical nerve transection model of the retina, the retrograde degeneration of retinal ganglion cells induces microglial activations to a unique morphology termed rod microglia. A few studies described the rod microglia in the cortex and retina; however, the spatial characteristic of rod microglia is not fully understood. In this study, we built a mathematical model to characterize the spatial trait of rod microglia. In addition, we developed a Matlab-based image processing pipeline that consists of log enhancement, image segmentation, mathematical morphology based cell detection, area calculation and angle analysis. This computer program provides researchers a powerful tool to quickly analyze the spatial trait of rod microglia.
Zhang, Yudong; Peng, Bo; Wang, Shuihua; Liang, Yu-Xiang; Yang, Jiquan; So, Kwok-Fai; Yuan, Ti-Fei
Microglia are the mononuclear phagocytes with various functions in the central nervous system, and the morphologies of microglia imply the different stages and functions. In optical nerve transection model of the retina, the retrograde degeneration of retinal ganglion cells induces microglial activations to a unique morphology termed rod microglia. A few studies described the rod microglia in the cortex and retina; however, the spatial characteristic of rod microglia is not fully understood. In this study, we built a mathematical model to characterize the spatial trait of rod microglia. In addition, we developed a Matlab-based image processing pipeline that consists of log enhancement, image segmentation, mathematical morphology based cell detection, area calculation and angle analysis. This computer program provides researchers a powerful tool to quickly analyze the spatial trait of rod microglia. PMID:26888347
Burnham, K.P.; Anderson, D.R.
A general mathematical theory of line transects is developed which supplies a framework for nonparametric density estimation based on either right angle or sighting distances. The probability of observing a point given its right angle distance (y) from the line is generalized to an arbitrary function g(y). Given only that g(0) = 1, it is shown there are nonparametric approaches to density estimation using the observed right angle distances. The model is then generalized to include sighting distances (r). Let f(y I r) be the conditional distribution of right angle distance given sighting distance. It is shown that nonparametric estimation based only on sighting distances requires we know the transformation of r given by f(0 I r).
Gil de la Iglesia, A.; Gallart, J.; Diaz Cusi, J.; Carbonell, R.; Levander, A.; Palomeras, I.; Harnafi, M.
In October 2011, two 300 km-long NS and EW wide-angle seismic transects were carried out in N Morocco, across main domains of Rif cordillera, in a joint effort from Spanish-Moroccan-USA scientists. Main goal of the RIFSIS survey was to achieve, for the first time, detailed crustal velocity-depth models on the southern flank of the Gibraltar Arc System. This asymmetric, arcuated system surrounding the Alboran Sea and composed by the Betic ranges on the N and the Rif cordillera on the S has undergone a complex tectonic evolution since Miocene times. Different types of evolutionary models have been proposed in the last decades, poorly constrained by the available geophysical results, specially on the southern flank, where crustal depths around 30 km have been proposed from inversion modeling of potential field datasets, in contrast with greater values up to 40 km depths and significant lateral variations from RF analysis. In the RIFSIS survey, almost 1000 Texans stations were deployed along the two profiles and 3 shots of 1 T were detonated along each one. The NS transect was extended northwards in Spain by a 75 km long segment in the Betics, and southwards it connects with an analogous profile recorded in 2010 across the Atlas Mountains (SIMA project), hence providing a 700 km long continuous seismic transect sampling the different tectonic domains. The high density of recording stations allows building up of vertical seismic sections focused on the Moho PmP reflections that reveal important variations along this transect. An extensive analysis based on travel time forward modeling has also been performed and main results are presented here. The interpreted crustal structure differentiates two sedimentary layers on top of the basement, inferred from the observed first arrivals at short offsets, followed by upper, mid and lower crustal levels constrained by reflected phases visible in the record sections. The bottom of the crust is well defined from PmP phases
Johnson, K.S. Monterey Bay Aquarium Research Inst., Pacific Grove, CA ); Berelson, W.M.; Iams, H.D.; Kilgore, T.E. ); Coale, K.H.; Coley, T.L.; Elrod, V.A.; Fairey, W.R.; Nowicki, J.L. )
The flux of manganese from continental margin sediments to the ocean was measured with a free-vehicle, benthic flux chamber in a transect across the continental shelf and upper slope of the California margin. The highest fluxes were observed on the shallow continental shelf. Manganese flux decreased linearly with bottom water oxygen concentration, and the lowest flux occurred in the oxygen minimum zone (at a depth of 600 to 1,000 meters). Although the flux of manganese from continental shelf sediments can account for the elevated concentrations observed in shallow, coastal waters, the flux from sediments that intersect the oxygen minimum cannot produce the subsurface concentration maximum of dissolved manganese that is observed in the Pacific Ocean.
Johnson, K S; Berelson, W M; Coale, K H; Coley, T L; Elrod, V A; Fairey, W R; Iams, H D; Kilgore, T E; Nowicki, J L
The flux of manganese from continental margin sediments to the ocean was measured with a free-vehicle, benthic flux chamber in a transect across the continental shelf and upper slope of the California margin. The highest fluxes were observed on the shallow continental shelf. Manganese flux decreased linearly with bottom water oxygen concentration, and the lowest fluxes occurred in the oxygen minimum zone (at a depth of 600 to 1000 meters). Although the flux of manganese from continental shelf sediments can account for the elevated concentrations observed in shallow, coastal waters, the flux from sediments that intersect the oxygen minimum cannot produce the subsurface concentration maximum of dissolved manganese that is observed in the Pacific Ocean.
Geurts, Katrien; Mwatawala, Maulid; De Meyer, Marc
The relative abundance of indigenous and invasive frugivorous fruit flies (Diptera: Tephritidae) was evaluated spatially and temporally along an altitudinal transect between 581–1650 m in the Uluguru Mountains near Morogoro, Tanzania. The polyphagous invasive fruit fly Bactrocera invadens Drew, Tsuruta, and White and the indigenous fruit fly Ceratitis rosa Karsch show a similar temporal pattern, but are largely separated spatially, with B. invadens being abundant at lower elevation and C. rosa predominant at higher elevation. The polyphagous indigenous C. cosyra (Walker) coincides with B. invadens but shows an inverse temporal pattern. The cucurbit feeders B. cucurbitae (Coquillett) and Dacus bivittatus (Bigot) show a similar temporal pattern, but the former is restricted to lower elevations. Host availability and climatic differences seem to be the determining factors to explain the differences in occurrence and abundance in time and space. PMID:22935017
Lenfest, Stephen M; Vaduva-Nemes, Andreea; Okun, Michael S
In this paper the authors aim to review Dr. Henry Head's famous and dramatic nerve sectioning experiment. They discuss the implications of his experimental approach as well as the effect his experiment had on the field of neurology. Henry Head was a prominent British neurologist who contributed greatly to the understanding of the sensory examination through an experiment in which he had his own radial nerve transected. Head carefully documented the sensory changes following the sectioning. He hypothesized the existence of two separate sensory systems: protopathic and epicritic. Head was one of the first scientists to speculate on sensory dissociation, and his writings generated both enthusiasm and controversy. Although the ethical issue of self-experimentation was raised by his bold experiment and many aspects of his investigations and conclusions have been criticized, Head undoubtedly contributed important clinical lessons to neurology. Arguably, Henry Head's greatest contribution was the realization that the neurological portion of the sensory examination was anything but straightforward.
Gamba, Cristina; Jones, Eppie R.; Teasdale, Matthew D.; McLaughlin, Russell L.; Gonzalez-Fortes, Gloria; Mattiangeli, Valeria; Domboróczki, László; Kővári, Ivett; Pap, Ildikó; Anders, Alexandra; Whittle, Alasdair; Dani, János; Raczky, Pál; Higham, Thomas F. G.; Hofreiter, Michael; Bradley, Daniel G; Pinhasi, Ron
The Great Hungarian Plain was a crossroads of cultural transformations that have shaped European prehistory. Here we analyse a 5,000-year transect of human genomes, sampled from petrous bones giving consistently excellent endogenous DNA yields, from 13 Hungarian Neolithic, Copper, Bronze and Iron Age burials including two to high (~22 × ) and seven to ~1 × coverage, to investigate the impact of these on Europe’s genetic landscape. These data suggest genomic shifts with the advent of the Neolithic, Bronze and Iron Ages, with interleaved periods of genome stability. The earliest Neolithic context genome shows a European hunter-gatherer genetic signature and a restricted ancestral population size, suggesting direct contact between cultures after the arrival of the first farmers into Europe. The latest, Iron Age, sample reveals an eastern genomic influence concordant with introduced Steppe burial rites. We observe transition towards lighter pigmentation and surprisingly, no Neolithic presence of lactase persistence. PMID:25334030
Mirshahi, Alireza; Raak, Peter; Ponto, Katharina; Stoffelns, Bernhard; Lorenz, Katrin; Scharioth, Gábor B.
Purpose. To report one-year results of phacoemulsification combined with deep sclerectomy and goniosynechiolysis ab interno for chronic glaucoma associated with peripheral anterior synechiae (PAS). Methods. We retrospectively analyzed medical charts of 16 patients (20 eyes) treated by one-site combined phacoemulsification and deep sclerectomy with goniosynechiolysis ab interno. PAS were transected by a spatula introduced into the anterior chamber through a paracentesis. To account for the correlation of right and left eyes a linear mixed model with unstructured covariance structure was calculated. Results. The mean preoperative intraocular pressure (IOP) was 20.3 ± 5.2 mmHg with 2.4 ± 1.0 medications. One year postoperatively, the mean IOP was 15.3 ± 3.3 mmHg (P = 0.004, paired t-test) with 0.6 ± 1.0 medications. A postoperative IOP of ≤21 mmHg without medication was achieved in 17 of 19 eyes (89.5%) and in 12/19 eyes (63.2%) at 3 and 12 months after surgery, respectively. In the remaining eyes (10.5% at 3 months and 36.8% at 12 months), additional medication led to an IOP ≤21 mmHg or the target pressure. No case required further glaucoma surgery. In one eye, conversion of the surgery to trabeculectomy was necessary due to Descemet's window rupture. Conclusions. With goniosynechiolysis ab interno, effective and safe nonpenetrating glaucoma surgery is possible in presence of PAS. PMID:26199738
Waghray, Abhijeet; Waghray, Nisheet; Mullen, Kevin
Hepatic encephalopathy is a reversible progressive neuropsychiatric disorder that encompasses a wide clinical spectrum. Covert hepatic encephalopathy is defined as patients with minimal hepatic encephalopathy and Grade I encephalopathy by West-Haven Criteria. Terminology such as "sub-clinical", "latent", and "minimal" appear to trivialize the disease and have been replaced by the term covert. The lack of clinical signs means that covert hepatic encephalopathy is rarely recognized or treated outside of clinical trials with options for therapy based on patients with episodic hepatic encephalopathy. This review discusses the current available options for therapy in covert hepatic encephalopathy and focuses on non-absorbable disacharides (lactulose or lactitol), antibiotics (rifaximin), probiotics/synbiotics and l-ornithine-l-aspartate.
Lopez, Annette M; Hendrickson, Robert G
Toxins such as pharmaceuticals, herbals, foods, and supplements may lead to hepatic damage. This damage may range from nonspecific symptoms in the setting of liver test abnormalities to acute hepatic failure. The majority of severe cases of toxin-induced hepatic injury are caused by acetaminophen and ethanol. The most important step in the patient evaluation is to gather an extensive history that includes toxin exposure and exclude common causes of liver dysfunction. Patients whose hepatic dysfunction progresses to acute liver failure may benefit from transfer to a transplant service for further management. Currently, the mainstay in management for most exposures is discontinuing the offending agent. This manuscript will review the incidence, pathophysiology, diagnosis and management of the different forms of toxin-induced hepatic injury and exam in-depth the most common hepatic toxins.
Khristy, Windyanne; Ali, Noore J.; Bravo, Arlene B.; de Leon, Ray; Roy, Roland R.; Zhong, Hui; London, Nik J. L.; Edgerton, V. Reggie; Tillakaratne, Niranjala J. K.
GABA signaling plays an important role in the spinal cord response to injury and subsequent motor training. Since benzodiazepines are commonly used to treat muscle spasticity in spinal cord injured subjects and the γ2 subunit of the GABAA receptor is necessary for benzodiazepine binding, this subunit may be an important factor modulating sensorimotor function after an injury. Changes in γ2 levels in muscle-specific motoneurons and surrounding astrocytes were determined ~3 months after a complete mid-thoracic spinal cord transection at P5 in non-trained and in step-trained spinal rats. Soleus (ankle extensor) and tibialis anterior (TA, ankle flexor) motor pools were identified using retrograde labeling via intramuscular injections of Fast Blue or Fluoro Gold, respectively. Lumbar spinal cord sections showed γ2 immunostaining in both soleus and TA motoneurons and astrocytes. γ2 immunoreactivity on the soma of soleus and TA motoneurons in spinal rats was differentially modulated. Compared to intact rats, spinal rats had higher levels of γ2 in TA, and lower levels in soleus motoneurons. Step training restored GABAA γ2 levels towards control values in motoneuronal pools of both muscles. In contrast, the γ2 levels were elevated in surrounding astrocytes of both motor pools in spinal rats, and step training had no further effect. Thus, motor training had a specific effect on those neurons that were directly involved with the motor task. Since the γ2 subunit is involved with GABAA receptor trafficking and synaptic clustering, it appears that this subunit could be an important component of the activity-dependent response of the spinal cord after a spinal injury. PMID:19358834
Chang, Mei-Hwei; Chen, Ding-Shinn
Hepatitis B virus (HBV) causes life-threatening liver disease. It is transmitted through a horizontal route or a mother-to-infant route, and the latter is the major route in endemic areas. Prevention of HBV infection by immunization is the best way to eliminate HBV-related diseases. The HBV vaccine is the first human vaccine using a viral antigen from infected persons, which is safe and effective. Either passive immunization by hepatitis B immunoglobulin (HBIG) or active immunization by HBV vaccine is effective, and a combination of both yields the best efficacy in preventing HBV infection. The impact of universal HBV immunization is huge, with 90%–95% effectiveness in preventing chronic HBV infection. It is the first cancer preventive vaccine with a protective efficacy against hepatocellular carcinoma (HCC) of ∼70%. Nevertheless, further effort is still needed to avoid vaccine failure and to increase the global coverage rate. PMID:25732034
Kirkham, Amy R; Jardillier, Ludwig E; Tiganescu, Ana; Pearman, John; Zubkov, Mikhail V; Scanlan, David J
Photosynthetic picoeukaryotes (PPEs) of a size < 3 µm play a crucial role in oceanic primary production. However, little is known of the structure of the PPE community over large spatial scales. Here, we investigated the distribution of various PPE classes along an Atlantic Meridional Transect sampled in boreal autumn 2004 that encompasses a range of ocean provinces (gyres, upwelling, temperate regions), using dot blot hybridization technology targeting plastid 16S rRNA gene amplicons. Two algal classes, Prymnesiophyceae and Chrysophyceae, dominated the PPE community throughout the Atlantic Ocean, over a range of water masses presenting different trophic profiles. However, these classes showed strongly complementary distributions with Chrysophyceae dominating northern temperate waters, the southern gyre and equatorial regions, while prymnesiophytes dominated the northern gyre. Phylogenetic analyses using both plastid and nuclear rRNA genes revealed a high diversity among members of both classes, including sequences contained in lineages with no close cultured counterpart. Other PPE classes were less prevalent along the transect, with members of the Cryptophyceae, Pelagophyceae and Eustigmatophyceae essentially restricted to specific regions. Multivariate statistical analyses revealed strong relationships between the distribution patterns of some of these latter PPE classes and temperature, light intensity and nutrient concentrations. Cryptophyceae, for example, were mostly found in the upwelling region and associated with higher nutrient concentrations. However, the key classes of Prymnesiophyceae and Chrysophyceae were not strongly influenced by the variables measured. Although there appeared to be a positive relationship between Chrysophyceae distribution and light intensity, the complementary distributions of these classes could not be explained by the variables recorded and this requires further explanation.
Wang, Xu; Li, Ying; He, Yan; Liang, Hong-Sheng; Liu, En-Zhong
Background Research into retinal ganglion cell (RGC) degeneration and neuroprotection after optic nerve injury has received considerable attention and the establishment of simple and effective animal models is of critical importance for future progress. Methodology/Principal Findings In the present study, the optic nerves of Wistar rats were semi-transected selectively with a novel optic nerve quantitative amputator. The variation in RGC density was observed with retro-labeled fluorogold at different time points after nerve injury. The densities of surviving RGCs in the experimental eyes at different time points were 1113.69±188.83 RGC/mm2 (the survival rate was 63.81% compared with the contralateral eye of the same animal) 1 week post surgery; 748.22±134.75 /mm2 (46.16% survival rate) 2 weeks post surgery; 505.03±118.67 /mm2 (30.52% survival rate) 4 weeks post surgery; 436.86±76.36 /mm2 (24.01% survival rate) 8 weeks post surgery; and 378.20±66.74 /mm2 (20.30% survival rate) 12 weeks post surgery. Simultaneously, we also measured the axonal distribution of optic nerve fibers; the latency and amplitude of pattern visual evoke potentials (P-VEP); and the variation in pupil diameter response to pupillary light reflex. All of these observations and profiles were consistent with post injury variation characteristics of the optic nerve. These results indicate that we effectively simulated the pathological process of primary and secondary injury after optic nerve injury. Conclusions/Significance The present quantitative transection optic nerve injury model has increased reproducibility, effectiveness and uniformity. This model is an ideal animal model to provide a foundation for researching new treatments for nerve repair after optic nerve and/or central nerve injury. PMID:22973439
González-Guzman, Adrián; Otero, Xosé Luis; Oliva, Marc; Ruiz-Fernández, Jesús; Pérez-Alberti, Augusto
The main aim of this work is studying the biogeochemistry changes occurred in the soil since glacier front until Elephant Point coast, at Shetland Islands, in Antarctic. For that, it picked up 20 samples from 10 different points. Sampling has followed a lineal transect since coast to glacier, going across 5 marine terraces, the morrenic area and going through col to reach glacier front. The terrace samples 2, 3, 4 and 5 show bryophyte vegetation forms covering a wide part of the surface however vegetation is almost nonexistent in the rest of the sampling points. The particle size, pH (pHw and pHKCl), electrical conductivity, total organic carbon (TOC), total nitrogen (TN), total Fe (TFe), Fe and Al associated with organic matter (soluble in sodium pyrophosphate, Cp), amorphous oxyhydroxides-Fe (extracted with ammonium oxalate, FeO), crystalline oxyhydroxides-Fe (extracted with sodium dithionite, FeD), bioavailable plant nutrients (soluble in Mehlich 3 extractant) and clay mineralogy were analyzed. Results obtained show the importance of the alive organism in the weathering of minerals and the contribution of these to form a more evolved soil. There are also important differences at the different zones of the lineal transect due to predominant geomorphologic forces performing in each type of area. On the third hand, current global climate change is causing glacier backward movement; this allows increasing vegetal cover and growing superior vegetation forms. In this way edaphic processes will increase and with them a leaching of nutrients which able to participate positively on closest seas, rivers and lakes.
Wadhams, Peter; Hughes, Nick; Rodrigues, JoãO.
A transect of the Arctic Ocean by the British submarine Tireless in March 2007 enabled the thickness characteristics of the ice cover to be measured during the winter immediately preceding the exceptional retreat of summer 2007. In this paper we report on mean and modal drafts, probability density functions of draft, and the frequency and depth distribution of pressure ridges, and we compare results with those from an earlier submarine cruise in winter 2004 which covered part of the same area. In the region from north of Fram Strait to Ellesmere Island (about 85°N, 0-70°W) we find no change in mean drafts between 2004 and 2007 though there is a change in ice composition, with more ridging in 2007 but a lesser modal draft. This agrees with the observations of younger ice being driven toward Fram Strait in 2007. The region north of Ellesmere Island continues to be a "redoubt" containing more thick deformed multiyear ice than any other part of the transect. In the west the submarine profiled extensively under the SEDNA ice camp at 73°N 145°W. This is in the same location as the 1976 AIDJEX ice camp and a sonar survey done by a U.S. submarine in April 1976. We found that a large decrease in mean draft had occurred (32%) over 31 years and that in 2007 the SEDNA region contained the thinnest ice of any part of the Arctic surveyed by the submarine; this was a region from which the ice completely retreated during the subsequent summer of 2007.
de Vera, Jean-Pierre; de La Torre Noetzel, Rosa; Onofri, Silvano; Ott, Sieglinde
Extremophiles are specialists which colonise special niches in these extreme environments due to there adaptation capacities attained during the evolution of life. Some examples of ex-tremophiles and their potential to deal with harsh conditions as well as the characterisation of their niches will be presented. Based on observations and results obtained in the 10th German Antarctic North Victoria Land Expedition (GANOVEX X) in the area of the Transantarctic Mountains led by the German Geosciences and Resource Research Society (BGR) and during an environment characterisation campaign of the European Alps and the Spanish Mountains "Sierra de Gredos" supported by the German Ministry of Economy and Technology (BMWi) a global transect from temperate Alpine regions to Mediterranean mountains and Polar Mountain regions can be analysed. Due to a summary of these results we are able to compare different strategies of colonisation in different habitats of the global mountain transect by cosmopolitan and endemic species as there are, the colonisation of rocks, fissures, cracks, polygon forming substrates, permafrost and glaciers. Data of UV B-, PAR-and IR-radiation measurements, humidity and temperature as well as the activity of microorganisms are accomplishing with more details the habitat characterisation and may give relevant information on probably niches for life on other planets as e.g. the planet Mars and may give answers on the question what is a habitable environment. These results will also form the basis of a series of new space experiments on satellites or on the International Space Station (ISS) and furthermore may lead to progress in probes-and rover-development for particular "hardly" accessible terrains.
Kaschner, Kristin; Quick, Nicola J.; Jewell, Rebecca; Williams, Rob; Harris, Catriona M.
Knowledge of abundance, trends and distribution of cetacean populations is needed to inform marine conservation efforts, ecosystem models and spatial planning. We compiled a geo-spatial database of published data on cetacean abundance from dedicated visual line-transect surveys and encoded >1100 abundance estimates for 47 species from 430 surveys conducted worldwide from 1975–2005. Our subsequent analyses revealed large spatial, temporal and taxonomic variability and gaps in survey coverage. With the exception of Antarctic waters, survey coverage was biased toward the northern hemisphere, especially US and northern European waters. Overall, <25% of the world's ocean surface was surveyed and only 6% had been covered frequently enough (≥5 times) to allow trend estimation. Almost half the global survey effort, defined as total area (km2) covered by all survey study areas across time, was concentrated in the Eastern Tropical Pacific (ETP). Neither the number of surveys conducted nor the survey effort had increased in recent years. Across species, an average of 10% of a species' predicted range had been covered by at least one survey, but there was considerable variation among species. With the exception of three delphinid species, <1% of all species' ranges had been covered frequently enough for trend analysis. Sperm whales emerged from our analyses as a relatively data-rich species. This is a notoriously difficult species to survey visually, and we use this as an example to illustrate the challenges of using available data from line-transect surveys for the detection of trends or for spatial planning. We propose field and analytical methods to fill in data gaps to improve cetacean conservation efforts. PMID:22984461
van der Does, M.; Korte, L.; Munday, C. I.; Brummer, G. J. A.; Stuut, J. B. W.
Every year, an estimated 140 million tons of Saharan dust are deposited in the Atlantic Ocean, which can have several direct and indirect effects on global and regional climate. For example, dust can scatter and absorb incoming and reflected solar radiation, transport nutrients and pathogens, and act as mineral ballast particles in the ocean. In order to constrain the relations between atmospheric dust and climate, submarine sediment traps at five stations along a transect across the Atlantic Ocean at 12°N were deployed, at 1200m and 3500m water depth. Samples of seven of these sediment traps, that sampled from October 2012 to November 2013, have been analyzed on particle size and dust flux. The size of the dust particles is important because it can have an effect on the positive or negative radiation balance in the atmosphere. Small particles in the high atmosphere can reflect incoming radiation and therefore potentially have a cooling effect on climate. Large particles in the lower atmosphere have the opposite effect by absorbing reflected radiation from the Earth's surface. Mineral dust also affects carbon export to the deep ocean by providing mineral ballast for organic particles, and the size of the dust particles directly relates to the downward transport velocity. Here I will present the measured grain-size distributions of first-year samples from seven sediment traps recovered from the 12°N-latitude transect as well as dust flux data. The data show seasonal variations, with finer grained dust particles during winter and spring, and coarser grained particles during summer and fall. Also a fining trend of the grain sizes of the dust particles from source (Africa) to sink (Caribbean) is observed, which is expected due to intuitive relationships between size and transport distance. The observed size of the dust particles at large distances from their source is much larger than previously assumed and applied in climate models. See: www.nioz.nl/dust
Passalacqua, H.; Gou, I. ); Truskowski, I.; Di Croce, J. )
The generation, migration and accumulation of hydrocarbons are among the most controversial problems of petroleum exploration in platform and, more especially, complex areas such as thrusted zones. The understanding of these phenomena is essential for the explorationist and is facilitated with the use of mathematical models which enable the integration and assimilation of parameters varying with time and space. In order to carry out this mathematical model an integrated synthesis is necessary. It should include stratigraphic, structural, reservoir and geochemical data. The elaboration of a geological model along a transect in the Eastern Venezuelan Basin was conducted to prepare data for the mathematical modeling application. The main results of the synthesis are: The elaboration of a reliable stratigraphic model including updated ages. A coherent structural interpretation in thrusted zones, validated by the balancing of North-South cross sections. The most relevant findings are: The identification of out-of-sequence thrusts and the involvement of the Upper Crust in the deformation processes. The elaboration of reservoir and hydrodynamic models which point out the importance of the major reservoirs. A characterization of the three different source-rocks of marine and continental origin in the Guayuta Group and Carapita Formation and the comprehension of their maturity, expulsion and migration processes with regards to the structural history. In this way the generation of 1,350 to 3,300 [times] 10[sup 9] barrels of oil has been estimated, of which 6 to 15 percent have been recognized within the transect. The final mathematical modeling, with the input of these synthetical data will be carried out with the use of the available software in the platform area. New software is presently being developed for thrusted areas.
Kaschner, Kristin; Quick, Nicola J; Jewell, Rebecca; Williams, Rob; Harris, Catriona M
Knowledge of abundance, trends and distribution of cetacean populations is needed to inform marine conservation efforts, ecosystem models and spatial planning. We compiled a geo-spatial database of published data on cetacean abundance from dedicated visual line-transect surveys and encoded >1100 abundance estimates for 47 species from 430 surveys conducted worldwide from 1975-2005. Our subsequent analyses revealed large spatial, temporal and taxonomic variability and gaps in survey coverage. With the exception of Antarctic waters, survey coverage was biased toward the northern hemisphere, especially US and northern European waters. Overall, <25% of the world's ocean surface was surveyed and only 6% had been covered frequently enough (≥ 5 times) to allow trend estimation. Almost half the global survey effort, defined as total area (km(2)) covered by all survey study areas across time, was concentrated in the Eastern Tropical Pacific (ETP). Neither the number of surveys conducted nor the survey effort had increased in recent years. Across species, an average of 10% of a species' predicted range had been covered by at least one survey, but there was considerable variation among species. With the exception of three delphinid species, <1% of all species' ranges had been covered frequently enough for trend analysis. Sperm whales emerged from our analyses as a relatively data-rich species. This is a notoriously difficult species to survey visually, and we use this as an example to illustrate the challenges of using available data from line-transect surveys for the detection of trends or for spatial planning. We propose field and analytical methods to fill in data gaps to improve cetacean conservation efforts.
Kao, T.; Shumsky, J. S.; Knudsen, E. B.; Murray, M.
Spinal cord transection silences neuronal activity in the deafferented cortex to cutaneous stimulation of the body and untreated animals show no improvement in functional outcome (weight-supported stepping) with time after lesion. However, adult rats spinalized since neonates that receive exercise therapy exhibit greater functional recovery and exhibit more cortical reorganization. This suggests that the change in the somatotopic organization of the cortex may be functionally relevant. To address this issue, we chronically implanted arrays of microwire electrodes into the infragranular layers of the hindlimb somatosensory cortex of adult rats neonatally transected at T8/T9 that received exercise training (spinalized rats) and of normal adult rats. Multiple, single neuron activity was recorded during passive sensory stimulation, when the animals were anesthetized, and during active sensorimotor stimulation during treadmill-induced locomotion when the animal was awake and free to move. Our results demonstrate that cortical neurons recorded from the spinalized rats that received exercise 1) had higher spontaneous firing rates, 2) were more likely to respond to both sensory and sensorimotor stimulations of the forelimbs, and also 3) responded with more spikes per stimulus than those recorded from normal rats, suggesting expansion of the forelimb map into the hindlimb map. During treadmill locomotion the activity of neurons recorded from neonatally spinalized rats was greater during weight-supported steps on the treadmill compared with the neuronal activity during nonweight supported steps. We hypothesize that this increased activity is related to the ability of the animal to take weight supported steps and that, therefore, these changes in cortical organization after spinal cord injury are relevant for functional recovery. PMID:21865438
Wild, Birgit; Schnecker, Jörg; Knoltsch, Anna; Takriti, Mounir; Mooshammer, Maria; Gentsch, Norman; Mikutta, Robert; Alves, Ricardo J. Eloy; Gittel, Antje; Lashchinskiy, Nikolay; Richter, Andreas
Soil N availability is constrained by the breakdown of N-containing polymers such as proteins to oligopeptides and amino acids that can be taken up by plants and microorganisms. Excess N is released from microbial cells as ammonium (N mineralization), which in turn can serve as substrate for nitrification. According to stoichiometric theory, N mineralization and nitrification are expected to increase in relation to protein depolymerization with decreasing N limitation, and thus from higher to lower latitudes and from topsoils to subsoils. To test these hypotheses, we compared gross rates of protein depolymerization, N mineralization and nitrification (determined using 15N pool dilution assays) in organic topsoil, mineral topsoil, and mineral subsoil of seven ecosystems along a latitudinal transect in western Siberia, from tundra (67°N) to steppe (54°N). The investigated ecosystems differed strongly in N transformation rates, with highest protein depolymerization and N mineralization rates in middle and southern taiga. All N transformation rates decreased with soil depth following the decrease in organic matter content. Related to protein depolymerization, N mineralization and nitrification were significantly higher in mineral than in organic horizons, supporting a decrease in microbial N limitation with depth. In contrast, we did not find indications for a decrease in microbial N limitation from arctic to temperate ecosystems along the transect. Our findings thus challenge the perception of ubiquitous N limitation at high latitudes, but suggest a transition from N to C limitation of microorganisms with soil depth, even in high-latitude systems such as tundra and boreal forest.
Wild, Birgit; Schnecker, Jörg; Knoltsch, Anna; Takriti, Mounir; Mooshammer, Maria; Gentsch, Norman; Mikutta, Robert; Alves, Ricardo J Eloy; Gittel, Antje; Lashchinskiy, Nikolay; Richter, Andreas
Soil N availability is constrained by the breakdown of N-containing polymers such as proteins to oligopeptides and amino acids that can be taken up by plants and microorganisms. Excess N is released from microbial cells as ammonium (N mineralization), which in turn can serve as substrate for nitrification. According to stoichiometric theory, N mineralization and nitrification are expected to increase in relation to protein depolymerization with decreasing N limitation, and thus from higher to lower latitudes and from topsoils to subsoils. To test these hypotheses, we compared gross rates of protein depolymerization, N mineralization and nitrification (determined using (15)N pool dilution assays) in organic topsoil, mineral topsoil, and mineral subsoil of seven ecosystems along a latitudinal transect in western Siberia, from tundra (67°N) to steppe (54°N). The investigated ecosystems differed strongly in N transformation rates, with highest protein depolymerization and N mineralization rates in middle and southern taiga. All N transformation rates decreased with soil depth following the decrease in organic matter content. Related to protein depolymerization, N mineralization and nitrification were significantly higher in mineral than in organic horizons, supporting a decrease in microbial N limitation with depth. In contrast, we did not find indications for a decrease in microbial N limitation from arctic to temperate ecosystems along the transect. Our findings thus challenge the perception of ubiquitous N limitation at high latitudes, but suggest a transition from N to C limitation of microorganisms with soil depth, even in high-latitude systems such as tundra and boreal forest.
Fuis, G.S.; Moore, T.E.; Plafker, G.; Brocher, T.M.; Fisher, M.A.; Mooney, W.D.; Nokleberg, W.J.; Page, R.A.; Beaudoin, B.C.; Christensen, N.I.; Levander, A.R.; Lutter, W.J.; Saltus, R.W.; Ruppert, N.A.
We investigate the crustal structure and tectonic evolution of the North American continent in Alaska, where the continent has grown through magmatism, accretion, and tectonic underplating. In the 1980s and early 1990s, we conducted a geological and geophysical investigation, known as the Trans-Alaska Crustal Transect (TACT), along a 1350-km-long corridor from the Aleutian Trench to the Arctic coast. The most distinctive crustal structures and the deepest Moho along the transect are located near the Pacific and Arctic margins. Near the Pacific margin, we infer a stack of tectonically underplated oceanic layers interpreted as remnants of the extinct Kula (or Resurrection) plate. Continental Moho just north of this underplated stack is more than 55 km deep. Near the Arctic margin, the Brooks Range is underlain by large-scale duplex structures that overlie a tectonic wedge of North Slope crust and mantle. There, the Moho has been depressed to nearly 50 km depth. In contrast, the Moho of central Alaska is on average 32 km deep. In the Paleogene, tectonic underplating of Kula (or Resurrection) plate fragments overlapped in time with duplexing in the Brooks Range. Possible tectonic models linking these two regions include flat-slab subduction and an orogenic-float model. In the Neogene, the tectonics of the accreting Yakutat terrane have differed across a newly interpreted tear in the subducting Pacific oceanic lithosphere. East of the tear, Pacific oceanic lithosphere subducts steeply and alone beneath the Wrangell volcanoes, because the overlying Yakutat terrane has been left behind as underplated rocks beneath the rising St. Elias Range, in the coastal region. West of the tear, the Yakutat terrane and Pacific oceanic lithosphere subduct together at a gentle angle, and this thickened package inhibits volcanism. ?? 2008 The Geological Society of America.
Brose, M O; Tanquist, R A
The need for and use of anterior coupling in occlusal rehabilitation has been discussed. The anterior teeth can often be coupled to the posterior controls by modifying contours with selective grinding, full or partial coverage restorations, or composite. When anterior guidance is provided, the anterior teeth should harmonize with the TMJs so that the posterior teeth will disclude in excursive mandibular movements. Significant functional, esthetic, and phonetic alterations that change the anterior guidance must be carefully planned because the anterior guidance affects all excursive tooth contacts. Anterior coupling, as described, is often an overlooked entity in restorative dentistry. Evidence of its role in separating the posterior teeth, reducing parafunctional activity, and harmonizing the temporomandibular complex has been presented.
Dyson, Jessica Katharine; Waller, Julia; Turley, Andrena; Michael, Enid; Moses, Samuel; Valappil, Manoj; Hudson, Mark; Bassendine, Margaret; McPherson, Stuart
Objective Vertical transmission of the hepatitis B virus (HBV) is the commonest mode of infection and can be prevented with immunoprophylaxis of the infant and antiviral therapy in the mother. Our aim was to review a cohort of subjects with HBV in pregnancy to determine the prevalence of active disease or high HBV-DNA levels that required treatment to prevent transmission, and to review the management of mothers and infants. Methods A retrospective case-note review was conducted of all the HBV-infected pregnant women and their infants who attended the Newcastle obstetric services from 2007 to 2011. Results There were 113 pregnancies in 81 women (median age 28 years; 15% hepatitis B e antigen (HBeAg) positive) during 2007–11. 71% of mothers were first diagnosed with HBV during pregnancy. The mothers were born in 28 different countries. 69% of mothers had an HBV-DNA level less than 2000 IU/mL and 13% had HBV-DNA levels greater than 1.0×107 IU/mL so would be eligible for antiviral therapy to prevent transmission to the infant. 9% had active eAg-positive HBV and 3% had active eAg-negative HBV requiring treatment. All infants born to HBeAg-positive mothers received hepatitis B immunoglobulin (HBIG) appropriately and 76% of infants received a full HBV vaccination course. One infant born to an HBeAg-negative mother was hepatitis B surface antigen positive 1 year post-delivery. Conclusions One in six women had active HBV requiring treatment or high HBV-DNA levels that would benefit from antiviral treatment to reduce the transmission risk. HBIG was administered appropriately but completion of the vaccination course was suboptimal. PMID:24683447
This issue provides a clinical overview of hepatitis C virus, focusing on transmission, prevention, screening, diagnosis, evaluation, and treatment. The content of In the Clinic is drawn from the clinical information and education resources of the American College of Physicians (ACP), including MKSAP (Medical Knowledge and Self-Assessment Program). Annals of Internal Medicine editors develop In the Clinic in collaboration with the ACP's Medical Education and Publishing divisions and with the assistance of additional science writers and physician writers.
Zuckerman, Arie J
Although concerns about vaccine safety have increased, true adverse reactions associated with hepatitis B vaccines are few, apart from minor symptoms at the site of injection and occasionally systemic reactions. There is no evidence of an association with hepatitis B vaccination and Sudden Infant Death Syndrome, Multiple Sclerosis and the Chronic Fatigue Syndrome. Hepatitis B vaccines are safe and essential for the prevention of this important and common infection.
Zubiaurre, Leire; Zapata, Eva; Bujanda, Luis; Castillo, María; Oyarzabal, Igor; Gutiérrez-Stampa, Maria A; Cosme, Angel
Cytomegalovirus (CMV) infection in inmunocompetent hosts generally is asymptomatic or may present as a mononucleosis syndrome but rarely can lead to severe organ complications. We report a case of simultaneous hepatic and pericardic CMV infection in a 36-year old immunocompetent man. He was admitted to coronary unit with fever, chest pain radiated to shoulders, changes on electrocardiogram with diffuse ST elevation and modest laboratory elevations in the MB fraction of creatine kinase (CK-MB) of 33.77 microg/L (0.1-6.73), serum cardiac troponin T of 0.904 ng/mL (0-0.4), creatine kinase of 454 U/L (20-195) and myoglobin of 480.4 microg/L (28-72). Routine laboratory test detected an elevation of aminotransferase level: alanine aminotransferase 1445 U/L, aspartate aminotransferase 601 U/L. We ruled out other causes of hepatitis with normal results except IgM CMV. The patient was diagnosed with myopericarditis and hepatitis caused by cytomegalovirus and started symptomatic treatment with salicylic acid. In few days the laboratory findings became normal and the patient was discharged.
Tran, Tram T
Chronic hepatitis B (CHB) remains a global health problem, with disproportionately high prevalence rates approaching 10-15% in the Asian population worldwide and in Asian immigrants in the United States. Chronic infection complications, including cirrhosis and hepatocellular carcinoma, occur in 1 5-40% of infected individuals, and important recent data from the REVEAL study have suggested that, independent of other factors, high viral replication may impact long-term disease outcomes. More recent recognition of parameters for defining normal transaminases may also affect decision-making for therapy initiation. Recently, new treatment options have been effective at viral suppression, with lower rates of viral resistance compared to lamivudine. Currently, therapies for hepatitis B treatment include interferon, lamivudine, adefovir, entecavir, and telbivudine. Treatment considerations need to take into account therapy duration and risks, specifically the development of viral resistance. Recently updated guidelines and algorithms use viral replication, alanine aminotransferase levels, and severity of histologic disease as the determining factors for treatment. Therapy length is dependent on hepatitis B e antigen (HBeAg) seroconversion in HBeAg-positive CHB patients. In patients with the precore/basal core promoter HBeAg-negative CHB, the treatment goal is continued viral suppression. Future options, including new oral agents, therapeutic vaccines, and combination therapies, require further study.
van Gerven, Nicole Mf; de Boer, Ynto S; Mulder, Chris Jj; van Nieuwkerk, Carin Mj; Bouma, Gerd
To provide an update of the latest trends in epidemiology, clinical course, diagnostics, complications and treatment of auto immune hepatitis (AIH). A search of the MEDLINE database was performed using the search terms: "auto immune hepatitis", "clinical presentation", "symptoms", "signs", "diagnosis", "auto antibodies", "laboratory values", "serology", "histopathology", "histology", "genetics", "HLA genes", "non-HLA genes", "environment", "epidemiology", "prevalence", "incidence", "demographics", "complications", "HCC", "PBC", "PSC", "corticosteroid", "therapy", "treatment", "alternative treatment". English-language full-text articles and abstracts were considered. Articles included reviews, meta-analysis, prospective retrospective studies. No publication date restrictions were applied. AIH is an immune meditated progressive inflammatory liver disease that predominantly affects middle-aged females but may affect people of all ages. The clinical spectrum of AIH is wide, ranging from absent or mild symptoms to fulminant hepatic failure. The aetiology of AIH is still unknown, but is believed to occur as the consequence of an aberrant immune response towards an un-known trigger in a genetically susceptible host. In the absence of a gold standard, diagnosis is based on the combination of clinical, biochemical and histopathological criteria. Immunosuppressive treatment has been the cornerstone of treatment since the earliest description of the disease in 1950 by Waldenström. Such treatment is often successful at inducing remission and generally leads to normal life expectancy. Nevertheless, there remain significant areas of unmet aetiological a clinical needs including fundamental insight in disease pathogenesis, optimal therapy, duration of treatment and treatment alternatives in those patients unresponsive to standard treatment regimens.
Hepatitis E is a form of acute hepatitis, which is caused by infection with hepatitis E virus. The infection is transmitted primarily through fecal-oral route and the disease is highly endemic in several developing countries with opportunities for contamination of drinking water. In these areas with high endemicity, it occurs as outbreaks and as sporadic cases of acute hepatitis. The illness often resembles that associated with other hepatotropic viruses and is usually self-limiting; in some cases, the disease progresses to acute liver failure. The infection is particularly severe in pregnant women. Patients with chronic liver disease and superimposed HEV infection can present with severe liver injury, the so-called acute-on-chronic liver failure. In recent years, occasional sporadic cases with locally acquired hepatitis E have been reported from several developed countries in Europe, United States, and Asia. In these areas, in addition to acute hepatitis similar to that seen in highly endemic areas, chronic hepatitis E has been reported among immunosuppressed persons, in particular solid organ transplant recipients. HEV-infected mothers can transmit the infection to foetus, leading to premature birth, increased fetal loss and hypoglycaemia, hypothermia, and anicteric or icteric acute hepatitis in the newborns. Occasional cases with atypical non-hepatic manifestations, such as acute pancreatitis, hematological abnormalities, autoimmune phenomena, and neurological syndromes have been reported from both hyperendemic and non-endemic regions. The pathogenesis of these manifestations remains unclear.
Range, Ryan C; Wei, Zheng
Anterior signaling centers help specify and pattern the early anterior neuroectoderm (ANE) in many deuterostomes. In sea urchin the ANE is restricted to the anterior of the late blastula stage embryo, where it forms a simple neural territory comprising several types of neurons as well as the apical tuft. Here, we show that during early development, the sea urchin ANE territory separates into inner and outer regulatory domains that express the cardinal ANE transcriptional regulators FoxQ2 and Six3, respectively. FoxQ2 drives this patterning process, which is required to eliminate six3 expression from the inner domain and activate the expression of Dkk3 and sFRP1/5, two secreted Wnt modulators. Dkk3 and low expression levels of sFRP1/5 act additively to potentiate the Wnt/JNK signaling pathway governing the positioning of the ANE territory around the anterior pole, whereas high expression levels of sFRP1/5 antagonize Wnt/JNK signaling. sFRP1/5 and Dkk3 levels are rigidly maintained via autorepressive and cross-repressive interactions with Wnt signaling components and additional ANE transcription factors. Together, these data support a model in which FoxQ2 initiates an anterior patterning center that implements correct size and positions of ANE structures. Comparisons of functional and expression studies in sea urchin, hemichordate and chordate embryos reveal striking similarities among deuterostome ANE regulatory networks and the molecular mechanism that positions and defines ANE borders. These data strongly support the idea that the sea urchin embryo uses an ancient anterior patterning system that was present in the common ambulacrarian/chordate ancestor.
Irarrázaval, Sebastián; Albers, Marcio; Chao, Tom; Fu, Freddie H
The anterior cruciate ligament (ACL) is one of the more studied structures in the knee joint. It is not a tubular structure, but is much narrower in its midsubstance and broader at its ends, producing an hourglass shape. The ACL is composed of 2 functional bundles, the anteromedial and posterolateral bundles, that are named for their location of insertion on the anterior surface of the tibial plateau. Although the relative contribution in terms of total cross-sectional area of the ACL has been noted to be equal in regards to each bundle, dynamically these bundles demonstrate different properties for knee function.
Kim, Sang Bum; Lim, Jin Woo; Seo, Jeong Gook
Many complications have been reported during or after anterior cruciate ligament (ACL) reconstruction, including infection, bleeding, tibial tunnel widening, arthrofibrosis, and graft failure. However, arterial injury has been rarely reported. This paper reports a case of an anterior tibial arterial injury during bicortical tibial drilling in arthroscopic ACL reconstruction, associated with an asymptomatic occlusion of the popliteal artery. The patient had a vague pain which led to delayed diagnosis of compartment syndrome and delayed treatment with fasciotomy. All surgeons should be aware of these rare but critical complications because the results may be disastrous like muscle necrosis as in this case. PMID:26929808
Smith, Helen C.; Vacek, Pamela; Johnson, Robert J.; Slauterbeck, James R.; Hashemi, Javad; Shultz, Sandra
Context: Injuries to the anterior cruciate ligament (ACL) of the knee are immediately debilitating and can cause long-term consequences, including the early onset of osteoarthritis. It is important to have a comprehensive understanding of all possible risk factors for ACL injury to identify individuals who are at risk for future injuries and to provide an appropriate level of counseling and programs for prevention. Objective: This review, part 1 of a 2-part series, highlights what is known and still unknown regarding anatomic and neuromuscular risk factors for injury to the ACL from the current peer-reviewed literature. Data Sources: Studies were identified from MEDLINE (1951–March 2011) using the MeSH terms anterior cruciate ligament, knee injury, and risk factors. The bibliographies of relevant articles and reviews were cross-referenced to complete the search. Study Selection: Prognostic studies that utilized the case-control and prospective cohort study designs to evaluate risk factors for ACL injury were included in this review. Results: A total of 50 case-control and prospective cohort articles were included in the review, and 30 of these studies focused on neuromuscular and anatomic risk factors. Conclusions: Several anatomic and neuromuscular risk factors are associated with increased risk of suffering ACL injury—such as female sex and specific measures of bony geometry of the knee joint, including decreased intercondylar femoral notch size, decreased depth of concavity of the medial tibial plateau, increased slope of the tibial plateaus, and increased anterior-posterior knee laxity. These risk factors most likely act in combination to influence the risk of ACL injury; however, multivariate risk models that consider all the aforementioned risk factors in combination have not been established to explore this interaction. PMID:23016072
Sediment temperature was measured using submersible Onset TidbiT® recording thermistor thermometers at eelgrass (Zostera marina, Z. japonica) mid-rhizome root depth (~5 cm) at 6 stations on a transect from ~MLLW (mean lower low water) at the channel edge to near MHHW (mean higher...
Roberts, T Edward; Bridge, Thomas C; Caley, M Julian; Baird, Andrew H
Understanding patterns in species richness and diversity over environmental gradients (such as altitude and depth) is an enduring component of ecology. As most biological communities feature few common and many rare species, quantifying the presence and abundance of rare species is a crucial requirement for analysis of these patterns. Coral reefs present specific challenges for data collection, with limitations on time and site accessibility making efficiency crucial. Many commonly used methods, such as line intercept transects (LIT), are poorly suited to questions requiring the detection of rare events or species. Here, an alternative method for surveying reef-building corals is presented; the point count transect (PCT). The PCT consists of a count of coral colonies at a series of sample stations, located at regular intervals along a transect. In contrast the LIT records the proportion of each species occurring under a transect tape of a given length. The same site was surveyed using PCT and LIT to compare species richness estimates between the methods. The total number of species increased faster per individual sampled and unit of time invested using PCT. Furthermore, 41 of the 44 additional species recorded by the PCT occurred ≤ 3 times, demonstrating the increased capacity of PCT to detect rare species. PCT provides a more accurate estimate of local-scale species richness than the LIT, and is an efficient alternative method for surveying reef corals to address questions associated with alpha-diversity, and rare or incidental events.
Thompson, R.S.; Shafer, S.L.; Anderson, K.H.; Strickland, L.E.; Pelltier, R.T.; Bartlein, P.J.; Kerwin, M.W.
Ecoregion classification systems are increasingly used for policy and management decisions, particularly among conservation and natural resource managers. A number of ecoregion classification systems are currently available, with each system defining ecoregions using different classification methods and different types of data. As a result, each classification system describes a unique set of ecoregions. To help potential users choose the most appropriate ecoregion system for their particular application, we used three latitudinal transects across North America to compare the boundaries and environmental characteristics of three ecoregion classification systems [Ku??chler, World Wildlife Fund (WWF), and Bailey]. A variety of variables were used to evaluate the three systems, including woody plant species richness, normalized difference in vegetation index (NDVI), and bioclimatic variables (e.g., mean temperature of the coldest month) along each transect. Our results are dominated by geographic patterns in temperature, which are generally aligned north-south, and in moisture, which are generally aligned east-west. In the west, the dramatic changes in physiography, climate, and vegetation impose stronger controls on ecoregion boundaries than in the east. The Ku??chler system has the greatest number of ecoregions on all three transects, but does not necessarily have the highest degree of internal consistency within its ecoregions with regard to the bioclimatic and species richness data. In general, the WWF system appears to track climatic and floristic variables the best of the three systems, but not in all regions on all transects. ?? 2005 Springer Science+Business Media, Inc.
Thompson, Robert S; Shafer, Sarah L; Anderson, Katherine H; Strickland, Laura E; Pelltier, Richard T; Bartlein, Patrick J; Kerwin, Michael W
Ecoregion classification systems are increasingly used for policy and management decisions, particularly among conservation and natural resource managers. A number of ecoregion classification systems are currently available, with each system defining ecoregions using different classification methods and different types of data. As a result, each classification system describes a unique set of ecoregions. To help potential users choose the most appropriate ecoregion system for their particular application, we used three latitudinal transects across North America to compare the boundaries and environmental characteristics of three ecoregion classification systems [Küchler, World Wildlife Fund (WWF), and Bailey]. A variety of variables were used to evaluate the three systems, including woody plant species richness, normalized difference in vegetation index (NDVI), and bioclimatic variables (e.g., mean temperature of the coldest month) along each transect. Our results are dominated by geographic patterns in temperature, which are generally aligned north-south, and in moisture, which are generally aligned east-west. In the west, the dramatic changes in physiography, climate, and vegetation impose stronger controls on ecoregion boundaries than in the east. The Küchler system has the greatest number of ecoregions on all three transects, but does not necessarily have the highest degree of internal consistency within its ecoregions with regard to the bioclimatic and species richness data. In general, the WWF system appears to track climatic and floristic variables the best of the three systems, but not in all regions on all transects.
Phytoplankton, zooplankton and water quality parameters were monitored monthly along a 5-station transect in Escambia Bay (Pensacola, FL) from fall 1999 to fall 2000. To provide insight into nutrient processing in Escambia Bay and effects of grazers on phytoplankton community st...
Woodruff, L.G.; Cannon, W.F.; Eberl, D.D.; Smith, D.B.; Kilburn, J.E.; Horton, J.D.; Garrett, R.G.; Klassen, R.A.
In 2004, the US Geological Survey (USGS) and the Geological Survey of Canada (GSC) initiated a pilot study that involved collection of more than 1500 soil samples from 221 sites along two continental transects across Canada and the United States. The pilot study was designed to test and refine protocols for a soil geochemical survey of North America. The two transects crossed a wide array of soil parent materials, soil ages, climatic conditions, landforms, land covers and land uses. Sample sites were selected randomly at approximately 40-km intervals from a population defined as all soils of the continent. At each site, soils representing 0 to 5 cm depth, and the O, A, and C horizons, if present, were collected and analyzed for their near-total content of over 40 major and trace elements. Soils from 0–5 cm depth were also collected for analysis of organic compounds. Results from the transects confirm that soil samples collected at a 40-km spacing reveal coherent, continental- to subcontinental-scale geochemical and mineralogical patterns that can be correlated to aspects of underlying soil parent material, soil age and climate influence. The geochemical data also demonstrate that at the continental-scale the dominance of any of these major factors that control soil geochemistry can change across the landscape. Along both transects, soil mineralogy and geochemistry change abruptly with changes in soil parent materials. However, the chemical influence of a soil’s parent material can be obscured by changing climatic conditions. For the transects, increasing precipitation from west to east and increasing temperature from north to south affect both soil mineralogy and geochemistry because of climate effects on soil weathering and leaching, and plant productivity. Regional anomalous metal concentrations can be linked to natural variations in soil parent materials, such as high Ni and Cr in soils developed on ultramafic rocks in California or high P in soils formed on
Gage, F H; Wictorin, K; Fischer, W; Williams, L R; Varon, S; Bjorklund, A
Complete unilateral fimbria-fornix transections, including the overlying cingulate cortex, were administered to female rats. At time points from 1 day to 6 weeks, the septal-diagonal band region was examined using acetylcholinesterase histochemistry, Cresyl Violet cell staining, and choline acetyltransferase biochemistry. As early as 1 day following the transection a decrease in acetylcholinesterase positive cell body staining was observed in the medial septum; however, no loss of Nissl-stained neurons was measured in Cresyl Violet stained sections until 1 week after the lesion. Maximal loss of acetylcholinesterase-positive cells, as visualized after irreversible acetylcholinesterase inhibition, was measured at 1 week, and no further change was observed at time points up to 6 weeks after operation. The loss of acetyltransferase-positive cells was greatest in the medial septal area (-65%) and the vertical limb of the diagonal band (-55%). Little cell loss was measured in the horizontal limb of the diagonal band. This is consistent with the known projections of these cell bodies. Remaining acetylcholinesterase-positive cell bodies in the medial septum had shrunk by about 20% (measured as the diameter along the major axis). A marked neuronal cell loss (about 50%) was demonstrable in the medial septum and vertical limb of the diagonal band in the Cresyl Violet-stained sections, too. A pile-up of acetylcholinesterase-stained material was observed in the dorsal-lateral quadrant of the septal area just proximal to the lesion at 1 day following transection. This pile-up occurred in the medial septum and diagonal band area up to 1 week following the transection, and had nearly disappeared by 2 weeks post-transection. Choline acetyltransferase biochemical activity, measured in samples of whole septum, decreased significantly at 1 day but subsequently returned to control levels. By 2 weeks following transection, an increase in acetylcholinesterase-positive stained fibers was
Xiao, Bo; Zanoun, Rami R.; Carvell, George E.; Washington, Kia M.
The rodent whisker/trigeminal system, characterized by high spatial and temporal resolution, provides an experimental model for developing new therapies for improving sensory functions of damaged peripheral nerves. Here, we use controlled whisker stimulation and single-unit recordings of trigeminal ganglion cells to examine in detail the nature and time course of functional recovery of mechanoreceptive afferents following nerve transection with microsurgical repair of the infraorbital nerve (ION) branch of the trigeminal nerve in adult rats. Response measures include rapid vs. slow adaptation, firing rate, interspike intervals, latency, and angular (directional) tuning. Whisker-evoked responses, readily observable by 3 wk post-transection, recover progressively for at least the next 5 wk. All cells in transected animals, as in control cases, responded to deflections of single whiskers only, but topography within the ganglion was clearly disrupted. The time course and extent of recovery of quantitative response measures were receptor dependent. Cells displaying slowly adapting (SA) properties recovered more quickly than rapidly adapting (RA) populations, and for some response measures—notably evoked firing rates—closely approached or attained control levels by 8 wk post-transection. Angular tuning of RA cells was slightly better than control units, whereas SA tuning did not differ from control values. Nerve conduction times and refractory periods, examined separately using electrical stimulation of the ION, were slower than normal in all transected animals and poorly reflected recovery of whisker-evoked response latencies and interspike intervals. Results underscore the need for multiple therapeutic strategies that target different aspects of functional restitution following peripheral nerve injury. PMID:26792886
Serduc, Raphaël; Bouchet, Audrey; Pouyatos, Benoît; Renaud, Luc; Bräuer-Krisch, Elke; Le Duc, Géraldine; Laissue, Jean A; Bartzsch, Stefan; Coquery, Nicolas; van de Looij, Yohan
Since approximately two thirds of epileptic patients are non-eligible for surgery, local axonal fiber transections might be of particular interest for them. Micrometer to millimeter wide synchrotron-generated X-ray beamlets produced by spatial fractionation of the main beam could generate such fiber disruptions non-invasively. The aim of this work was to optimize irradiation parameters for the induction of fiber transections in the rat brain white matter by exposure to such beamlets. For this purpose, we irradiated cortex and external capsule of normal rats in the antero-posterior direction with a 4 mm×4 mm array of 25 to 1000 µm wide beamlets and entrance doses of 150 Gy to 500 Gy. Axonal fiber responses were assessed with diffusion tensor imaging and fiber tractography; myelin fibers were examined histopathologically. Our study suggests that high radiation doses (500 Gy) are required to interrupt axons and myelin sheaths. However, a radiation dose of 500 Gy delivered by wide minibeams (1000 µm) induced macroscopic brain damage, depicted by a massive loss of matter in fiber tractography maps. With the same radiation dose, the damage induced by thinner microbeams (50 to 100 µm) was limited to their paths. No macroscopic necrosis was observed in the irradiated target while overt transections of myelin were detected histopathologically. Diffusivity values were found to be significantly reduced. A radiation dose ≤ 500 Gy associated with a beamlet size of < 50 µm did not cause visible transections, neither on diffusion maps nor on sections stained for myelin. We conclude that a peak dose of 500 Gy combined with a microbeam width of 100 µm optimally induced axonal transections in the white matter of the brain.
Knudsen, Eric B.; Shumsky, Jed; Moxon, Karen A.
Physical exercise promotes neural plasticity in the brain of healthy subjects and modulates pathophysiological neural plasticity after sensorimotor loss, but the mechanisms of this action are not fully understood. After spinal cord injury, cortical reorganization can be maximized by exercising the non-affected body or the residual functions of the affected body. However, exercise per se also produces systemic changes – such as increased cardiovascular fitness, improved circulation and neuroendocrine changes – that have a great impact on brain function and plasticity. It is therefore possible that passive exercise therapies typically applied below the level of the lesion in patients with spinal cord injury could put the brain in a more plastic state and promote cortical reorganization. To directly test this hypothesis, we applied passive hindlimb bike exercise after complete thoracic transection of the spinal cord in adult rats. Using western blot analysis, we found that the level of proteins associated with plasticity – specifically ADCY1 and BDNF – increased in the somatosensory cortex of transected animals that received passive bike exercise compared to transected animals that received sham exercise. Using electrophysiological techniques, we then verified that neurons in the deafferented hindlimb cortex increased their responsiveness to tactile stimuli delivered to the forelimb in transected animals that received passive bike exercise compared to transected animals that received sham exercise. Passive exercise below the level of the lesion, therefore, promotes cortical reorganization after spinal cord injury, uncovering a brain-body interaction that does not rely on intact sensorimotor pathways connecting the exercised body parts and the brain. PMID:23349859
Levison, Ashleigh L; Lowder, Careen Y; Baynes, Kimberly M; Kaiser, Peter K; Srivastava, Sunil K
The purpose of the study was to describe the findings seen on anterior segment spectral domain optical coherence tomography (SD-OCT) in patients with anterior scleritis and determine the feasibility of using SD-OCT to image and grade the degree of scleral inflammation and monitor response to treatment. All patients underwent slit lamp examination by a uveitis specialist, and the degree of scleral inflammation was recorded. Spectral domain OCT imaging was then performed of the conjunctiva and scleral tissue using a standardized acquisition protocol. The scans were graded and compared to clinical findings. Twenty-eight patients with anterior scleritis and ten patients without ocular disease were included in the study. Seventeen of the scleritis patients were followed longitudinally. Common findings on SD-OCT in patients with active scleritis included changes in hyporeflectivity within the sclera, nodules, and visible vessels within the sclera. There was significant variation in findings on SD-OCT within each clinical grade of active scleritis. These changes on SD-OCT improved with treatment and clinical improvement. SD-OCT imaging provided various objective measures that could be used in the future to grade inflammatory activity in patients with anterior scleritis. Longitudinal imaging of patients with active scleritis demonstrated that SD-OCT may have great utility in monitoring response to treatment.
Chavanon, Mira-Lynn; Wacker, Jan; Stemmler, Gerhard
Recent research using the resting electroencephalogram (EEG) showed that posterior versus anterior theta activity (around 4-8 Hz) is consistently associated with agency, reflecting the dopaminergic core of extraversion (i.e., incentive motivation, positive emotion). Neuroimaging studies using various methodologies and experimental paradigms have converged on the anterior cingulate cortex (ACC) as a neurophysiological correlate of extraversion. The aim of the present study is integrate these lines of research by testing the hypothesis that posterior versus anterior EEG theta is at least partly based on ACC theta activity. Resting EEG data were analyzed in N = 78 healthy, male participants extremely high or low in agentic extraversion (aE). Using the low-resolution electromagnetic tomography algorithm, we localized the sources of aE-dependent intracerebral theta activity within rostral subdivisions of the ACC. The posterior versus anterior index and theta current density within the rostral ACC were significantly correlated (r = -.52), and both displayed high retest stability across 5 hr and were associated with traits from the aE spectrum. These neurophysiological correlates of aE and their possible functional significance are discussed.
Vasconcelos, Wilson; Santos, Claudinei; Ferracini, Antonio Marcos; Dejour, David
Objective: To examine the impact of residual pain on functional outcomes two years after arthroscopic anterior cruciate ligament (ACL) reconstruction and compare the types of graft used during the procedure (patellar vs. flexor). Method: A retrospective epidemiological study on 129 ACL reconstructions with a mean follow-up of 28 months was conducted. The presence, intensity and location of the anterior pain were investigated. Pain provocation tests were conducted, sensitivity was analyzed and functional scores were applied (IKDC, femoropatellar and SF-36), comparing the results with the type of graft used. Results: Anterior pain was present in 28% of patients with a mean intensity of 2.9 in 10. When pain was present, the functional scores decreased significantly. Abnormalities of knee sensitivity and gait occurred frequently with use of the patellar tendon, but there was no statistical difference regarding the presence of pain. Conclusion: The presence of anterior pain in ACL reconstructions, even if minimal, has a deleterious effect on the final outcome over the medium term. Because of the influence of graft harvesting on the presence of abnormalities of knee sensitivity and gait, choosing the graft should take into account the patient's professional and sports activities. PMID:27026984
Zhao, Jie; Lian, Xiao Feng; Hou, Tie Sheng; Ma, Hui; Chen, Zhi Ming
Between 2000 and 2004, 40 cases (average age 38, range 16-65 years) of spinal tuberculosis were treated with anterior debridement and iliac bone graft with one-stage anterior or posterior instrumentation in our unit. All patients received at least 2 weeks of regular antituberculous chemotherapy before surgery. We followed up all patients for 12-48 months (mean 22 months). Local symptoms of all patients were relieved significantly 1-3 weeks postoperatively; 23 of 25 cases (92%) with neurogical deficit had excellent or good clinical results. Erythrocyte sedimentation rates (ESR) returned from 51 mm/h to 32 mm/h (average) two weeks postoperatively. Kyphosis degrees were corrected by a mean of 16 degrees . Fusion rate of the grafting bone was 72.5% one year postoperatively and 90% two years postoperatively. Severe complications did not occur. We therefore believe that patients undergoing anterior debridement and iliac bone grafting with one-stage anterior or posterior instrumentation achieve satisfactory clinical and radiographic outcomes.
Passani, Andrea; Sframeli, Angela Tindara; Loiudice, Pasquale; Nardi, Marco
A 31-year-old healthy male underwent deep anterior lamellar keratoplasty with big-bubble technique for treatment of keratoconus in his right eye. One week after surgery, he presented with detachment of the endothelium-Descemet complex with formation of a double anterior chamber, despite the apparent absence of an intraoperative Descemet membrane rupture. A subsequent intervention with the intent to relocate the corneal graft button was not effective, because the detachment appeared again one day later. The authors hypothesized that, at the time of the stromal dissection with big bubble technique, a small amount of air penetrated into the anterior chamber, creating a false pathway through the trabecular meshwork. The aqueous humor then penetrated the graft flowing through the false pathway, causing the endothelium-Descemet detachment. The persistence of that pathway, even after the intervention of graft repositioning, caused the failure of the latter procedure and persistence of the double chamber. We decided to wait and observe. The double anterior chamber spontaneously resolved in approximately three months.
Güler, Mete; Yılmaz, Turgut
AIM To describe the results of vitrectomy and partial capsulectomy via anterior approach surgical technique in treatment of chronic postoperative endophthalmitis (CPE). METHODS Clinical records of 9 patients treated for CPE between 2006 and 2010 were reviewed retrospectively. All of these patients were treated with vitrectomy and partial capsulectomy via anterior approach. RESULTS Six of 9 patients were male. The average patients' age was (60±8.1) years. The average period between cataract extraction and onset of signs and symptoms was (3.6±1.3) weeks. The average presenting visual acuity was 0.3±0.1 and the average final post operative visual acuity was 0.7±0.2. The mean follow-up period was (28.1±8.9) weeks. In all patients, the inflammation subsided after surgery. CONCLUSION Our results suggest that anterior vitrectomy and partial capsulectomy via anterior approach may be considered as potentially useful and relatively less invasive technique to treat CPE. PMID:23550103
Romanelli, Roberto Giulio; Villa, Giorgio La; Almerigogna, Fabio; Vizzutti, Francesco; Pietro, Elena Di; Fedi, Valentina; Gentilini, Paolo; Laffi, Giacomo
In this case report we describe for the first time an association between autoimmune hepatitis (AIH) and uveitis, without any doubts about other possible etiologies, such as HCV, since all the old reports describe the association of AIH with iridocyclitis before tests for HCV-related hepatitis could be available. A 38-year-old businessman with abnormal liver function tests and hyperemia of the bulbar conjunctiva was admitted to the hospital. Six years before admission, the patient presented with persistent fever, arthralgias, conjunctival hyperemia, leukocytosis and increased ESR, referred to acute rheumatic fever. The presence of systemic diseases, most commonly associated with uveitis, was investigated without results and the patient was then treated with topical corticosteroids. His symptoms resolved. A test for anti-nuclear antibodies was positive, at a titre of 1:320, with a speckled and nucleolar staining pattern. Liver ultrasound showed mild hepatomegaly with an increased echostructure of the liver. Percutaneous liver biopsy was performed under ultrasound assistance. Histological examination showed necroinflammation over the portal, periportal and lobular areas, fibrotic portal tracts, with periportal fibrosis and occasional portal-to-portal bridgings, but intact hepatic architecture. Some hepatocytes showed barely discernible granules of hemosiderin in the lobular area. Bile ductules had not any significant morphological alterations. METAVIR score was A2-F3, according to the modified HAI grading/fibrosis staging. The patient was diagnosed to have AIH with mild activity and fibrosis and was discharged on 25 mg prednisone, entering clinical and biochemical remission, further confirming diagnosis. After discharge the patient continued to have treatment with corticosteroids as an outpatient at a dose of 5 mg. On January 2002 the patient was readmitted to the hospital. A test for anti-nuclear antibodies was positive, at a titre of 1:320, with a speckled and
Wishart, P K; Spaeth, G L; Poryzees, E M
The gonioscopic findings of 76 patients with the exfoliation syndrome were reviewed. A high frequency of narrowness of the anterior chamber (AC) angle was found (32%). 18% had angles considered occludable, and 14% had obvious angle-closure glaucoma as shown by the presence of peripheral anterior synechias (PAS). Increased pigmentation of the posterior trabecular meshwork (PTM) was noted in all cases. When this pigmentation was markedly asymmetrical, unilateral exfoliation with glaucoma was common in the more pigmented eye. In addition heavy angle pigmentation in the absence of exfoliation was noted in the fellow eye of patients with characteristic exfoliated material in the other eye. Increased pigmentation of the PTM may be the earliest detectable sign of the exfoliation syndrome (ES). The clinical significance of our estimating PTM pigmentation at the 12 o'clock position is discussed. In view of the accelerated optic nerve damage associated with the development of glaucoma secondary to ES, routine estimation of the pigmentation of the PTM at 12 o'clock is recommended in the hope of early detection of cases of otherwise inapparent ES. Images PMID:3966996
Chung, Jae Yoon; Park, Jong-Beom; Seo, Hyoung-Yeon
Anterior cervical fusion has become a standard of care for numerous pathologic conditions of the cervical spine. However, subsequent development of clinically significant disc disease at levels adjacent to fused discs is a serious long-term complication of this procedure. As more patients live longer after surgery, it is foreseeable that adjacent segment pathology (ASP) will develop in increasing numbers of patients. Also, ASP has been studied more intensively with the recent popularity of motion preservation technologies like total disc arthroplasty. The true nature and scope of ASP remains poorly understood. The etiology of ASP is most likely multifactorial. Various factors including altered biomechanical stresses, surgical disruption of soft tissue and the natural history of cervical disc disease contribute to the development of ASP. General factors associated with disc degeneration including gender, age, smoking and sports may play a role in the development of ASP. Postoperative sagittal alignment and type of surgery are also considered potential causes of ASP. Therefore, a spine surgeon must be particularly careful to avoid unnecessary disruption of the musculoligamentous structures, reduced risk of direct injury to the disc during dissection and maintain a safe margin between the plate edge and adjacent vertebrae during anterior cervical fusion. PMID:27340541
Smith, Helen C.; Vacek, Pamela; Johnson, Robert J.; Slauterbeck, James R.; Hashemi, Javad; Shultz, Sandra; Beynnon, Bruce D.
Context: Injuries to the anterior cruciate ligament (ACL) are immediately disabling and are associated with long-term consequences, such as posttraumatic osteoarthritis. It is important to have a comprehensive understanding of all possible risk factors for ACL injury to identify individuals who are at risk for future injuries and to provide an appropriate level of counseling and programs for prevention. Objective: This review, part 2 of a 2-part series, highlights what is known and still unknown regarding hormonal, genetic, cognitive function, previous injury, and extrinsic risk factors for ACL injury. Data Sources: Studies were identified from MEDLINE (1951–March 2011) using the MeSH terms anterior cruciate ligament, knee injury, and risk factors. The bibliographies of relevant articles and reviews were cross-referenced to complete the search. Study Selection: Prognostic case-control and prospective cohort study designs to evaluate risk factors for ACL injury were included in this review. Results: A total of 50 case-control and prospective cohort articles were included in parts 1 and 2. Twenty-one focused on hormonal, genetic, cognitive function, previous injury, and extrinsic risk factors. Conclusions: Several risk factors are associated with increased risk of suffering ACL injury—such as female sex, prior reconstruction of the ACL, and familial predisposition. These risk factors most likely act in combination with the anatomic factors reviewed in part 1 of this series to influence the risk of suffering ACL injury. PMID:23016083
Teshale, Eyasu H; Hu, Dale J
Hepatitis E is caused by the hepatitis E virus (HEV), the major etiologic agent of enterically transmitted non-A hepatitis worldwide. HEV is responsible for major outbreaks of acute hepatitis in developing countries, especially in many parts of Africa and Asia. The HEV is a spherical, non-enveloped, single-stranded, positive sense RNA virus that is approximately 32 nm to 34 nm in diameter and is the only member in the family Hepeviridae and genus Hepevirus. There are four distinct genotypes of HEV (genotypes 1-4). While genotype 1 is predominantly associated with large epidemics in developing countries, genotype 3 has recently emerged as a significant pathogen in developed countries. The clinical manifestations and the laboratory abnormalities of hepatitis E are not distinguishable from that caused by other hepatitis viruses. However, high mortality among pregnant women particularly during the third trimester distinguishes HEV from other causes of acute viral hepatitis. Specific etiologic diagnosis among infected cases can be made by serological testing or detection of viral nucleic acid by reverse transcription polymerase chain reaction. Although there are vaccine candidates that had been shown to be safe and efficacious in clinical trials, none are approved currently for use. There is no specific therapy for acute hepatitis E as treatment remains supportive. PMID:22216368
During the past decade there has been extraordinary progress toward the development of vaccines for the prevention of type A and type B hepatitis. The successful propagation of hepatitis A virus in cell culture in 1979 was followed by the preparation of experimental live attenuated hepatitis A vaccines that have been shown to induce antibody in marmosets and chimpanzees and protect immunized marmosets against challenge with hepatitis A virus. The first human immunization trials will begin in mid-1982. An inactivated hepatitis B vaccine that was licensed in the United States in November 1981 has been shown to be safe, immunogenic, and effective. When this vaccine becomes available for use in July 1982, it will be recommended for persons who are considered to be at increased risk of contracting hepatitis B infection. Future generations of hepatitis B vaccines may be prepared from hepatitis B surface antigen derived from DNA recombinant technology or by in vitro synthesis of HBs Ag determinants by chemical means. PMID:6295013
VandenBoer, T. C.; Edwards, K.; Ziegler, S. E.
The cycling and fate of soil organic matter, a globally significant carbon (C) reservoir, is intimately linked to the availability and form of nitrogen (N). Nitrogen inputs to remote ecosystems from the atmosphere have been accelerated by increases in agricultural fertilizer use, and fossil fuel use. Such inputs may influence the biogeochemistry of high latitude ecosystems where soil organic matter reservoirs are particularly vulnerable to climate change. The Newfoundland and Labrador Boreal Ecosystem Latitudinal Transect (NL-BELT) network has been actively monitoring C and N pools across three watershed regions spanning 47° to 53° N to understand boreal forest ecosystem responses to a warming climate. Litterfall inputs exhibited decreasing stable nitrogen isotope (d15N) values from south to north along the transect (-2, -3, and -6 ‰) and also among litter sources (deciduous > green needles > brown needles). These regional trends in d15N persist in the bryophytic biomass and throughout the soil organic horizons. Litterfall C:N increased from approximately 55 in the south to 75 in the north. In each region, C:N also exhibited consistent patterns between litterfall input types, with C:N of brown needles > deciduous > green needles. Differences between green and brown needle litterfall C:N increased along this climate gradient indicating that trees increased their N-resorption from south to north, perhaps due to increased N-limitation. Two possible phenomena could explain the trends observed: i) atmospheric N-inputs vary in quantity and composition with latitude along the transect; and/or ii) more rapid recycling of N at the most southern site reduces N-limitation relative to cooler regions. Fractionation during long-range transport of atmospheric reactive-N leads to depletion of 15N and subsequent deposition to the NL-BELT regions could explain these observations. The forms and quantities of atmospheric N-inputs are not constrained for the NL-BELT forests and
Wang, L.; Macko, S.; D'Odorico, P.; Ries, L.
Globally, savannas cover ~ 20% of the Earth's land area. Nutrients and soil moisture interactively control vegetation dynamics in many savannas although it is unclear how the relative importance of water and nutrient limitations (especially nitrogen) change with the mean climatic conditions. The Kalahari Transect (KT) in southern Africa traverses a dramatic aridity gradient (from ~ 200 mm to more than 1000 mm of mean annual precipitation (MAP), through the Republic of South Africa, Botswana, Namibia and Zambia), on relatively homogenous soils (deep Kalahari sands). This transect offers the ideal setting to study nutrient and vegetation dynamics without confounding soil effects. To improve the understanding of nitrogen and water controls on savanna vegetation, this study tested the hypothesis that the savannas in the Kalahari switch from conditions of water limitation in the dry areas to nutrient limitation in the wet areas. To this end, we conducted a large-scale stable isotope fertilization experiment using four study sites with different MAP. The transect included sites in Mongu, Zambia (MAP ~950mm), Pandamatenga, Ghanzi, and Tshane, Botswana with MAP ranging between 700 mm and 300 mm. The experimental design consisted of a randomized block design with four 21 m x 13 m plots at each site. Each plot was divided into four 10 m x 6 m subplots with 1 m buffer zone between each subplot. Four treatments (N addition, P addition, N+P addition and control) were randomly applied to the subplots. The experiment began during the dry season, in August, 2004, when 39g/m2 of Ca(NO3)2 (3.3g-N/ m2 ) was evenly applied to the N and N+P subplots, and 7.5g/m2 of Ca(H2PO4)2 (1.7g-P/m2) was applied to the P and N+P subplots, while the control subplots were left with no treatment. The N and N+P additions were enriched with 15N (Ca(15NO3)2 ) to a signature of 10.3 ‰. Before application, soil samples from two different layers (0cm and 50cm) outside the plots and foliar samples of the
Inui, Ayano; Fujisawa, Tomoo
Although the introduction of hepatitis B vaccine has been contributing to the reduction in the prevalence of hepatitis B virus (HBV) carriers worldwide, the treatment of children with chronic HBV infection is a challenge to be addressed. HBeAg seroconversion, which induces low replication of HBV, is widely accepted as the first goal of antiviral treatment in children with chronic hepatitis B. However, spontaneous HBeAg seroconversion is highly expected in children with chronic HBV infection. Therefore, the identification of children who need antiviral treatment to induce HBeAg seroconversion is essential in the management of chronic HBV infection. Guidelines and experts’ opinion show how to identify children who should be treated and how to treat them. If decompensated cirrhosis is absent, interferon-alpha is the first-line antiviral treatment. Nucleos(t)ide analogues (NAs), such as lamivudine, adefovir, entecavir and tenofovir, are also available for the treatment of children, although the approval age differs among them. If decompensated cirrhosis is present, NAs are the first-line antivirals. When the emergence of drug-resistant HBV variants is taken into consideration, entecavir (approved for age 2 years or older) and tenofovir (age 12 years or older), which have high genetic barriers, will play a central role in the treatment of HBV infection. However, the optimal duration of NA treatment and adverse events of long-term NA treatment remain unclear in children. In resource-constrained countries and regions, the financial burden of visiting hospitals, receiving routine blood examination and purchasing antiviral drugs is heavy. Moreover, there is no clear evidence that the induction of HBeAg seroconversion by antiviral treatment prevents the progression of liver disease to cirrhosis and hepatocellular carcinoma in children with chronic HBV infection. It is thus imperative to clarify the clinical impact of antiviral treatment in children with HBV infection. PMID
Elder, Benjamin D; Sankey, Eric W; Theodros, Debebe; Bydon, Mohamad; Goodwin, C Rory; Lo, Sheng-Fu; Kosztowski, Thomas A; Belzberg, Allen J; Wolinsky, Jean-Paul; Sciubba, Daniel M; Gokaslan, Ziya L; Bydon, Ali; Witham, Timothy F
Pseudarthrosis occurs after approximately 2-20% of anterior cervical discectomy and fusion (ACDF) procedures; it is unclear if posterior or anterior revision should be pursued. In this study, we retrospectively evaluate the outcomes in 22 patients with pseudarthrosis following ACDF and revision via posterior cervical fusion (PCF). Baseline demographics, preoperative symptoms, operative data, time to fusion failure, symptoms of pseudarthrosis, and revision method were assessed. Fusion outcome and clinical outcome were determined at last follow-up (LFU). Thirteen females (59%) and 9 (41%) males experienced pseudarthrosis at a median of 11 (range: 3-151)months after ACDF. Median age at index surgery was 51 (range: 33-67)years. All patients with pseudarthrosis presented with progressive neck pain, with median visual analog scale (VAS) score of 8 (range: 0-10), and/or myeloradiculopathy. Patients with pseudarthrosis <12 months compared to >12 months after index surgery were older (p=0.013), had more frequent preoperative neurological deficits (p=0.064), and lower baseline VAS scores (p=0.006). Fusion was successful after PCF in all patients, with median time to fusion of 10 (range: 2-14)months. Eighteen patients fused both anteriorly and posteriorly, two patients fused anteriorly only, and two patients fused posteriorly only. Median VAS neck score at LFU significantly improved from the time of pseudarthrosis (p=0.012). While uncommon, pseudarthrosis may occur after ACDF. All patients achieved successful fusion after subsequent posterior cervical fusion, with 91% fusing a previous anterior pseudarthrosis after posterior stabilization. Neck pain significantly improved by LFU in the majority of patients in this study.
Maslin, Jessica S; Barkana, Yaniv; Dorairaj, Syril K
Anterior segment imaging allows for an objective method of visualizing the anterior segment angle. Two of the most commonly used devices for anterior segment imaging include the anterior segment optical coherence tomography (AS-OCT) and the ultrasound biomicroscopy (UBM). AS-OCT technology has several types, including time-domain, swept-source, and spectral-domain-based configurations. We performed a literature search on PubMed for articles containing the text “anterior segment OCT,” “ultrasound biomicroscopy,” and “anterior segment imaging” since 2004, with some pertinent references before 2004 included for completeness. This review compares the advantages and disadvantages of AS-OCT and UBM, and summarizes the most recent literature regarding the importance of these devices in glaucoma diagnosis and management. These devices not only aid in visualization of the angle, but also have important postsurgical applications in bleb and tube imaging. PMID:26576519
Blasco-Perrin, Hélène; Abravanel, Florence; Blasco-Baque, Vincent; Péron, Jean Marie
Hepatitis E virus (HEV) infection is a worldwide disease. It is the first cause of acute viral hepatitis in the world with an estimated 20 million cases every year and 56 000 deaths. In developing countries, hepatitis E is a waterborne infection. In these countries, HEV genotypes 1 and 2 cause large outbreaks and affect young subjects with a significant mortality rate in pregnant women and patients with cirrhosis. In the developed countries, HEV genotypes 3 and 4 are responsible for autochthonous, sporadic hepatitis and transmission is zoonotic. HEV can cause neurological disorders and in immunocompromised patients, chronic infections. The progression of acute hepatitis E is most often mild and resolves spontaneously. Diagnostic tools include anti-HEV IgM antibodies in serum and/or viral RNA in the blood or stools by PCR. Ribavirin is used to treat chronic infection. A vaccine has been developed in China.
Caldwell, T. G.; Sweeney, M.; Bacon, S. N.; McDonald, E.
Distal alluvial fans along the margins of playas in the desert southwest, as well as the playas themselves, are subjected to severe temporal changes in groundwater levels. Soil moisture decreases with elevation above the playa floor where groundwater levels control both soil moisture and salinity. A series of measurements were conducted along transects of a wet playa (Soda Lake, California) and a dry playa (Silver Lake; California) to quantify changes in PM10) emissions, in addition to soil physical and chemical properties. The relatively high moisture content at the playa surface of Soda Lake is controlled by a perennial shallow ground water system that promotes the precipitation and wicking of evaporates and the formation of soluble salt crusts. In contrast, Silver Lake playa is underlain by a deep ground water system, therefore the playa surface remains dry throughout the year, except for unseasonably wet winters when flooding occurs of the playa surface during inundation events. Measurements were taken along linear transects across a diverse range of playa features ranging from the playa floor to distal fans using the Portable In-Situ Wind Erosion Lab (PI-SWERL), electromagnetic induction, and soil sampling. Results indicate that dust emissivity of undisturbed soils at a friction velocity (u*) of 0.56 m s-1 increases substantially at the playa fringe (3.53 ± 1.44 mg m-2 s-1) compared to the relatively higher distal alluvial fans (0.13 ± 0.08 mg m-2 s-1) and lower emission on the playa surfaces of either the silt crust of Silver Lake playa (<0.08 mg m-2 s-1) or salt crust of Soda Lake playa (<0.03 mg m-2 s-1). Soil chemistry shifts from stiff NaCl dominated salt-rich crusts on playas to hard CaSO4 gypsic-rich crusts on distal fans. The area between these landforms, the silt-rich playa fringe, is subjected to transient groundwater and surface water influx resulting in monovalent bicarbonate (HCO3-) salts which disperse clays and creates an area of high
Pérez, Luis D.; Cumbrera, Ramiro; Mato, Juan; Millán, Humberto; Tarquis, Ana M.
Spatial variability of soil properties is relevant for identifying those zones with physical degradation. In this sense, one has to face the problem of identifying the origin and distribution of spatial variability patterns (Brouder et al., 2001; Millán et al., 2012). The objective of the present work was to quantify the spatial structure of soil penetrometer resistance (PR) collected from a transect data consisted of 221 points equidistant. In each sampling, readings were obtained from 0 cm till 70 cm of depth, with an interval of 5 cm (Pérez, 2012). The study was conducted on a Vertisol (Typic Hapludert) dedicated to sugarcane (Saccharum officinarum L.) production during the last sixty years (Pérez et al., 2010). Recently, scaling approach has been applied on the determination of the scaling data properties (Tarquis et al., 2008; Millán et al., 2012; Pérez, 2012). We focus in the Hurst analysis to characterize the data variability for each depth. Previously a detrended analysis was conducted in order to better study de intrinsic variability of the series. The Hurst exponent (H) for each depth was estimated showing a characteristic pattern and differentiating PR evolution in depth. References Brouder, S., Hofmann, B., Reetz, H.F., 2001. Evaluating spatial variability of soil parameters for input management. Better Crops 85, 8-11. Millán, H; AM Tarquís, Luís D. Pérez, Juan Mato, Mario González-Posada, 2012. Spatial variability patterns of some Vertisol properties at a field scale using standardized data. Soil and Tillage Research, 120, 76-84. Pérez, Luís D. 2012. Influencia de la maquinaria agrícola sobre la variabilidad espacial de la compactación del suelo. Aplicación de la metodología geoestadística-fractal. PhD thesis, UPM (In Spanish). Pérez, Luís D., Humberto Millán, Mario González-Posada 2010. Spatial complexity of soil plow layer penetrometer resistance as influenced by sugarcane harvesting: A prefractal approach. Soil and Tillage
Nausch, Monika; Nausch, Günther
Transformation of phosphate (PO4) introduced by upwelling into the 20 m surface layer was studied four times in turn along a transect perpendicular to the coast of Namibia from August 27th to September 15th 2011. [33P]PO4 uptake rates as well as the concentrations of inorganic nutrients (PO4, NO2/3), dissolved and particulate organic phosphorus, and particulate organic carbon and nitrogen were measured and the respective stoichiometry was determined. The fate and interactions of these components are described in relation to both the distance from the coast and a calculated "pseudoage" of the water masses to get knowledge about the phosphorus dynamics during surface transport and aging of upwelled water. PO4 decreased from 1.6 μM in the upwelling cell near the coast to 0.4 μM at remote stations. The decrease in PO4 was lower than that of nitrate, resulting in a lower N:P ratio seawards (from 12-16 to 5-9). PO4 depletion was reflected only partially in increasing DOP, but not in POP concentrations. Concentrations of POP, POC and PON decreased with the distance from the coast and with "pseudoage", indicating that produced particulate matter is removed from the upper 20 m layer. A mean PO4 turnover time of 57 days, based on [33P]PO4 uptake measurements, suggested complete PO4 consumption within the transects and thus the need for an additional PO4 supply to sustain the gradient. Fast mineralisation of DOP could be one mechanism. Deduced from our bioassays, PO4 seemed to be transformed into DOP by heterotrophic bacteria which was mineralized back to PO4 within few days. Hence, our results support the hypothesis that the observed PO4 gradient in the 20 m surface layer is not only due to input in the upwelling center and locomotion to the open ocean by Ekman transport combined with utilization by phyto- and bacterioplankton. PO4 has to be provided by remineralisation and input from deeper layers probably by wind curl driven mixing processes. However, most of the
Wild, Birgit; Schnecker, Jörg; Knoltsch, Anna; Takriti, Mounir; Mooshammer, Maria; Lashchinskiy, Nikolay; Richter, Andreas
The availability of nitrogen in soils is constrained by the breakdown of N-rich organic polymers, in particular proteins. Oligo-peptides and amino acids derived from protein depolymerization are subsequently taken up by soil microorganisms, and, if nitrogen availability exceeds nitrogen demand, excess nitrogen will be released as ammonium ("nitrogen mineralization"), which then can be used as a substrate for nitrification. We here report on the dynamics of organic and mineral nitrogen along a latitudinal transect in Western Siberia (67°-54°N), from the tundra (tree growth restricted by low temperature), over three sites of coniferous forest (taiga) and two sites of forest steppe (deciduous forest and meadow), to steppe (tree growth restricted by low precipitation). For each of the seven sites, we sampled three soil horizons, and applied 15N pool dilution assays to determine gross rates of protein depolymerization, nitrogen mineralization, and nitrification. All nitrogen transformation rates were significantly correlated with carbon and nitrogen content, as well as microbial biomass, and decreased with depth from organic topsoil over mineral topsoil to mineral subsoil. The decrease with depth was stronger for protein depolymerization than for nitrogen mineralization and nitrification, i.e., ratios of mineralization or nitrification over protein depolymerization increased with depth. As both mineralization and nitrification depend on the degree of microbial nitrogen limitation, our findings suggest that microbial nitrogen limitation decreased with soil depth, possibly due to increasing energy limitation of microorganisms. Within the organic topsoil, protein depolymerization rates showed large variability between ecosystems, reaching the highest values in middle (60°N) and southern taiga (58°N), representing the most productive forests along the transect. We discuss these results with respect to differences of the biomes in climatic conditions, vegetation
Voinesco, F; Glauser, L; Kraftsik, R; Barakat-Walter, I
Conflicting actions of the exogenous thyroid hormone on regenerating peripheral nerve have been reported. These contradictory results were probably due to daily intraperitoneal injections which induce a high concentration of thyroid hormone after administration. In our present study we adapted a technique which allows a local administration of thyroid hormones in a closed system. The effect of a single and local treatment with triiodothyronine (T3) on axonal growth across a gap between sectioned ends of sciatic nerve within silicone chambers was examined in Wistar rats. After nerve transection and surgical implantation, silicone chambers were filled with either a neutral pH solution of triiodothyronine dissolved in NaOH or with sterile solvent as control. Regeneration of the nerves was examined 2 to 8 weeks following the surgery. Early regeneration (4 weeks) was studied by morphological analysis of nerves which showed a significant difference between T3-treated and control groups. Morphometric analysis revealed: (1) a significant difference in the mean diameter of myelinated axons between T3-treated nerve (phi 3.80 +/- 0.22 microns) and control (phi 3.07 +/- 0.44 microns); (2) that T3 increased significantly (1.4-fold) the number of myelinated axons that grew into the middle and distal ends of regeneration chambers; (3) that ultrastructural analysis showed significantly higher percentage of myelinated axons per total axon population in T3-treated groups (38.8 +/- 5.9%) as compared to control (16.0 +/- 2.3%); and (4) that the myelinated axons had thicker myelin sheaths. The beneficial effects of T3 on regeneration, observed at 4 weeks, were sustained over a prolonged period of time. Thus, at 8 weeks of regeneration, the number, the mean diameter of myelinated axons, and the thickness of myelin sheaths remained significantly greater in T3-treated groups. Therefore, a single and local administration of thyroid hormone at the level of the transected sciatic nerve is
Scotti, R.; Brardinoni, F.; Crosta, G. B.
The variability of glacier response to atmospheric temperature rise in different topo-climatic settings is still matter of debate. To address this question in the Central Italian Alps we compile a post-LIA (Little Ice Age) multitemporal glacier inventory (1860-1954-1990-2003-2007) along a latitudinal transect that originates north of the continental divide in the Livigno mountains, and extends south through the Disgrazia and Orobie ranges, encompassing continental-to-maritime climatic settings. In these sub-regions we examine area change of 111 glaciers. Overall, total glacierized area has declined from 34.1 to 10.1 km2, with a substantial increase in the number of small glaciers due to fragmentation. Average annual decrease (AAD) in glacier area has risen of about an order of magnitude from 1860-1990 (Livigno: 0.45; Orobie: 0.42; and Disgrazia: 0.39 % a-1) to 1990-2007 (Livigno: 3.08; Orobie: 2.44; and Disgrazia: 2.27 % a-1). This ranking changes when considering glaciers <0.5 km2 only (i.e., we remove the confounding caused by large glaciers in Disgrazia), so that post-1990 AAD follows the latitudinal gradient and Orobie glaciers stand out (Livigno: 4.07; Disgrazia: 3.57; and Orobie: 2.47 % a-1). More recent (2007-2013) field-based mass balances in three selected small glaciers confirm post-1990 trends showing consistent highest retreat in continental Livigno and minimal area loss in maritime Orobie, with Disgrazia displaying a transitional behaviour. We argue that the recent resilience of glaciers in Orobie is a consequence of their decoupling from synoptic atmospheric temperature trends. A decoupling that arises from the combination of local topographic configuration (i.e., deep, north-facing cirques) and high winter precipitation, which ensures high snow-avalanche supply, as well as high summer shading and sheltering. Our hypothesis is further supported by the lack of correlations between glacier change and glacier attributes in Orobie, as well by the higher
Scotti, R.; Brardinoni, F.; Crosta, G. B.
The variability of glacier response to atmospheric temperature rise in different topo-climatic settings is still a matter of debate. To address this question in the Central Italian Alps, we compile a post-LIA (Little Ice Age) multitemporal glacier inventory (1860-1954-1990-2003-2007) along a latitudinal transect that originates north of the continental divide in the Livigno Mountains and extends south through the Disgrazia and Orobie ranges, encompassing continental-to-maritime climatic settings. In these sub-regions, we examine the area change of 111 glaciers. Overall, the total glacierized area has declined from 34.1 to 10.1 km2, with a substantial increase in the number of small glaciers due to fragmentation. The average annual decrease (AAD) in glacier area has risen by about 1 order of magnitude from 1860-1990 (Livigno: 0.45; Orobie: 0.42; and Disgrazia: 0.39 % a-1) to 1990-2007 (Livigno: 3.08; Orobie: 2.44; and Disgrazia: 2.27 % a-1). This ranking changes when considering glaciers smaller than 0.5 km2 only (i.e., we remove the confounding caused by large glaciers in Disgrazia), so that post-1990 AAD follows the latitudinal gradient and Orobie glaciers stand out (Livigno: 4.07; Disgrazia: 3.57; and Orobie: 2.47 % a-1). More recent (2007-2013) field-based mass balances in three selected small glaciers confirm post-1990 trends showing the consistently highest retreat in continental Livigno and minimal area loss in maritime Orobie, with Disgrazia displaying transitional behavior. We argue that the recent resilience of glaciers in Orobie is a consequence of their decoupling from synoptic atmospheric temperature trends, a decoupling that arises from the combination of local topographic configuration (i.e., deep, north-facing cirques) and high winter precipitation, which ensures high snow-avalanche supply, as well as high summer shading and sheltering. Our hypothesis is further supported by the lack of correlations between glacier change and glacier attributes in
Trey, H.; Cooper, A. K.; Pellis, G.; Della, Vedova B.; Cochrane, G.; Brancolini, Giuliano; Makris, J.
In 1994, the ACRUP (Antarctic Crustal Profile) project recorded a 670-km-long geophysical transect across the southern Ross Sea to study the velocity and density structure of the crust and uppermost mantle of the West Antarctic rift system. Ray-trace modeling of P- and S-waves recorded on 47 ocean bottom seismograph (OBS) records, with strong seismic arrivals from airgun shots to distances of up to 120 km, show that crustal velocities and geometries vary significantly along the transect. The three major sedimentary basins (early-rift grabens), the Victoria Land Basin, the Central Trough and the Eastern Basin are underlain by highly extended crust and shallow mantle (minimum depth of about 16 km). Beneath the adjacent basement highs, Coulman High and Central High, Moho deepens, and lies at a depth of 21 and 24 km, respectively. Crustal layers have P-wave velocities that range from 5.8 to 7.0 km/s and S-wave velocities from 3.6 to 4.2 km/s. A distinct reflection (PiP) is observed on numerous OBS from an intra-crustal boundary between the upper and lower crust at a depth of about 10 to 12 km. Local zones of high velocities and inferred high densities are observed and modeled in the crust under the axes of the three major sedimentary basins. These zones, which are also marked by positive gravity anomalies, may be places where mafic dikes and sills pervade the crust. We postulate that there has been differential crustal extension across the West Antarctic rift system, with greatest extension beneath the early-rift grabens. The large amount of crustal stretching below the major rift basins may reflect the existence of deep crustal suture zones which initiated in an early stage of the rifting, defined areas of crustal weakness and thereby enhanced stress focussing followed by intense crustal thinning in these areas. The ACRUP data are consistent with the prior concept that most extension and basin down-faulting occurred in the Ross Sea during late Mesozoic time, with
Krueger, Martin; Straaten, Nontje; Mazzini, Adriano
The Lusi eruption represents one of the largest ongoing sedimentary hosted geothermal systems. This eruption started in 2006 following to a 6.3 M earthquake that stroke Java Island. Since then it has been spewing boiling mud from a central crater with peaks reaching 180.000 m3 per day. Today an area of about 8 km2 is covered by locally dried mud breccia where a network of hundreds of satellite seeping pools is active. Numerous investigations focused on the study of offshore microbial colonies that commonly thrive at offshore methane seeps and mud volcanoes, however very little has been done for onshore seeping structures. Lusi represents a unique opportunity to complete a comprehensive study of onshore microbial communities fed by the seepage of CH4 and CO2 as well as of heavier liquid hydrocarbons originating from several km below the surface. We conducted a sampling campaign at the Lusi site collecting samples of fresh mud close to the erupting crater using a remote controlled drone. In addition we completed a transect towards outer parts of the crater to collect older, weathered samples for comparison. In all samples active microorganisms were present. The highest activities for CO2 and CH4 production as well as for CH4 oxidation and hydrocarbon degradation were observed in medium-age mud samples collected roughly in the middle of the transect. Rates for aerobic methane oxidation were high, as was the potential of the microbial communities to degrade hydrocarbons (oils, alkanes, BTEX tested). The data suggests a transition of microbial populations from an anaerobic, hydrocarbon-driven metabolism in fresher samples from center or from small seeps to more generalistic, aerobic microbial communities in older, more consolidated sediments. Currently, the microbial communities in the different sediment samples are analyzed using quantitative PCR and T-RFLP combined with MiSeq sequencing. This study represents an initial step to better understand onshore seepage
Bernal, Astrid Del Pilar Ardila; Loures, Paulo; Calle, Juan Cristóbal Ospina; Cunha, Beatriz; Córdoba, Juan Camilo
We report a case of an aneurysm of the right hepatic artery and its multidisciplinary management by general surgery, endoscopy and radiology services. Being a case of extremely low incidence, it is important to show its diagnostic and therapeutic approach. RESUMO Relatamos um caso de aneurisma da artéria hepática direita conduzido de forma multidisciplinar pelos Serviços de Cirurgia Geral, Endoscopia e Radiologia. Em se tratando de caso de incidência baixíssima, é importante mostrar o enfoque diagnóstico e terapêutico usado em seu manejo.
Singh, Varun Kumar; Vargaonkar, Gauresh Shantaram
Winging of scapula occurs most commonly due to injury to long thoracic nerve supplying serratus anterior muscle. Traumatic injury to serratus anterior muscle itself is very rare. We reported a case of traumatic winging of scapula due to tear of serratus anterior muscle in a 19-year-old male. Winging was present in neutral position and in extension of right shoulder joint but not on "push on wall" test. Patient was managed conservatively and achieved satisfactory result.
De Virgiliis, S; Frau, F; Sanna, G; Turco, M P; Figus, A L; Cornacchia, G; Cao, A
Maternal transmission of hepatitis B virus infection in relation to the hepatitis B e antigen/antibody system and serum hepatitis B virus-DNA were evaluated. Results indicate that hepatitis B virus-DNA analysis can identify hepatitis B serum antigen positive mothers who may transmit infection to their offspring. Images Figure PMID:3970570
Oktay, Veysel; Coskun, Ugur; Yildiz, Ahmet; Gurmen, Tevfik
Acute coronary syndromes in patients with presence of ST-segment elevation in the anterior precordial leads indicates left anterior descending coronary artery occlusion. However, anterior ST-segment elevation has also been described in right ventricular myocardial infarction and is thought to be due to right coronary artery (RCA) occlusion. We present a rare case of isolated RVMI presenting with anterior ST-segment elevation due to proximal occlusion of a right coronary artery that was treated by primary coronary angioplasty. Primary coronary angioplasty and stenting of this artery was performed resulting in resolution of the chest pain and ST- segment elevation. PMID:27190867
Cauduro, Ricardo Salles; Ferraz, Caroline do Amaral; Morales, Maira Saad Ávila; Garcia, Patricia Novita; Lopes, Yara Cristina; Souza, Paulo Henrique; Allemann, Norma
Purpose. Application of anterior segment optical coherence (AS-OCT) in pediatric ophthalmology. Methods. Retrospective clinical study case series of 26 eyes of 19 pediatric patients throughout a 21-month period, presenting anterior segment pathologies, were submitted to AS-OCT examination (OCT Visante, 1310 nm, Zeiss), noncontact technique, no sedation requirement. Results. AS-OCT images were obtained from 19 patients (range: 2 months to 12 years). Clinical diagnosis of anterior segment abnormalities included cornea disease (n = 7), congenital anterior segment conditions (n = 10), ocular trauma (n = 1), anterior segment surgeries (n = 2), iridocorneal angle abnormalities (n = 4), intermediate uveitis (n = 2). The most common OCT findings were corneal hyperreflectivity and thickening (n = 15), shallow anterior chamber with iris-lens diaphragm anterior displacement (n = 4), atypical corneal curvature (n = 4), corneal thinning (n = 4), peripheral synechiae with angle closure (n = 3), increased anterior chamber depth (n = 2), and proximal portion of glaucoma drainage tube (n = 2). Conclusion. In the present study, noncontact AS-OCT demonstrated to be a feasible technique to evaluate the anterior segment providing anatomic details and useful to clarify diagnosis in the pediatric population. PMID:22934156
Glenn, Andrea L.; Yang, Yaling; Raine, Adrian; Colletti, Patrick
Functional imaging studies of psychopathy have demonstrated reduced activity in the anterior cingulate, yet it is unclear whether this region is structurally impaired. In this study, we used structural MRI to examine whether volumetric differences exist in the anterior cingulate between psychopathic (n=24) and control (n=24) male participants. We found no group differences in the volume of the anterior cingulate or its dorsal and ventral subregions. Our findings call into question whether the anterior cingulate is impaired in psychopathy, or whether previous findings of reduced activity may result from reduced input from other deficient regions. PMID:20630717
Lui, Tun Hing
The tibialis anterior tendon bursa is located between the tibialis anterior tendon and the medial cuneiform bone and close to the tendon insertion. Bursitis can occur as a result of excessive local friction, infection, arthritides, or direct trauma. Endoscopic resection of the bursa is indicated in case of symptomatic bursitis that is not responding to conservative treatment or infection is suspected. It is contraindicated if there is skin infection at the portal sites. The purpose of this technical note is to describe a minimally invasive approach of endoscopic resection of the tibialis anterior tendon bursa through anterior tibial tendoscopy.
Ehsan, Siddique Akhtar; Carbonell, Ramon; Simancas, Jose Fernando; Martinez Poyatos, David; Azor, Antonio; Ayarza, Puy; Storti, Fabrizio
A composite lithospheric cross section which is composed by data from controlled source multiseismic experiments strongly constrains the lithospheric structure of southwestern Iberia. The data includes coincident normal incidence and wide-angle profiles along an, approximately, 550 km long transect. This transect goes across, from North-to-South, the major tectonic zones that build up Southwestern part of the Iberian Peninsula (the Central Iberian Zone -CIZ-, the Ossa-Morena Zone -OMZ- and the South Portuguese Zone -SPZ-). The knowledge provided by these datasets constitutes the base to develop multidisciplinary models of the lithosphere. The multichannel deep seismic high resolution (60-90 fold) profiles, IBERSEIS & ALCUDIA were acquired in summer 2001 and 2007 are about 300 and 250 km long respectively. The transects image 20 s (TWTT), about 70 km depth. To address the crust and upper mantle structural relationships a reassessment of the normal incidence seismic reflection transect ALCUDIA has been carried out. We revised the key processing steps and applied advance analysis on the ALCUDIA transect with the aim to improve the signal to noise ratio especially in the deep parts and to produce a depth migrated image. The velocity model generated through wide-angle seismic survey (2003) was used to convert IBERSEIS time migrated stack image into depth. The new data processing flow provide better structural constraints on the shallow and deep structures as the current images reveal indentation features which strongly suggest horizontal tectonics. The ALCUDIA transect shows slightly less reflective upper crust about 13 km thick decoupled from the comparatively reflective lower crust. The reflectivity of the lower crust is continuous, high amplitude, horizontal and parallel though evidences of deformation are present as flat-ramp-flat geometry on the northeastern portion and a "Crocodile structure" wedging into the upper mantle on the southwestern portion of the ALCUDIA
Keramida, Georgia; Hunter, James; Peters, Adrien Michael
Hepatic steatosis is associated with obesity and insulin resistance. Whether hepatic glucose utilization rate (glucose phosphorylation rate; MRglu) is increased in steatosis and/or obesity is uncertain. Our aim was to determine the separate relationships of steatosis and obesity with MRglu. Sixty patients referred for routine PET/CT had dynamic PET imaging over the abdomen for 30 min post-injection of F-18-fluorodeoxyglucose (FDG), followed by Patlak–Rutland graphical analysis of the liver using abdominal aorta for arterial input signal. The plot gradient was divided by the intercept to give hepatic FDG clearance normalized to hepatic FDG distribution volume (ml/min per 100 ml) and multiplied by blood glucose to give hepatic MRglu (μmol/min per 100 ml). Hepatic steatosis was defined as CT density of ≤40 HU measured from the 60 min whole body routine PET/CT and obesity as body mass index of ≥30 kg/m2. Hepatic MRglu was higher in patients with steatosis (3.3±1.3 μmol/min per 100 ml) than those without (1.7±1.2 μmol/min per 100 ml; P<0.001) but there was no significant difference between obese (2.5±1.6 μmol/min per 100 ml) and non-obese patients (2.1±1.3 μmol/min per 100 ml). MRglu was increased in obese patients only if they had steatosis. Non-obese patients with steatosis still had increased MRglu. There was no association between MRglu and chemotherapy history. We conclude that MRglu is increased in hepatic steatosis probably through insulin resistance, hyperinsulinaemia and up-regulation of hepatic hexokinase, irrespective of obesity. PMID:27653524
Ren, Liqian; Li, Jing; Bi, Yuhai; Chen, Can; Zhang, Dabing; Liu, Wenjun
This article describes the nomenclature, history and genetic evolution of duck hepatitis A virus, and updates the epidemiology, clinical symptom and surveillances of duck virus hepatitis A. It also summarizes the present status and progress of duck virus hepatitis A and illustrated the necessity and urgency of its research, which provides rationale for the control of duck hepatitis A virus disease in China.
... viral hepatitis. Viral hepatitis is inflammation of the liver, and can cause a lifetime of health issues for people who contract it. Hepatitis B and C viruses are the cause of a growing number of new liver cancer cases and liver transplants. In the United States, hepatitis is a leading infectious cause...
Schüller, J.; Kroiss, A.; Dinstl, K.
Hepatic artery chemotherapy was given to 36 patients, using totally implantable devices consisting of a port and external pump. Twenty-seven patients had inoperable liver metastases of colorectal origin. The infusion system was inserted by laparotomy into the hepatic artery via the gastroduodenal artery. There was no operative mortality. Thirteen infusion systems could not be used for chemotherapy due to dislodgement, early death and lack of follow-up. FUdR was infused every two weeks. There were minor local complications like thrombosis of the system and dislodgement of the port. Toxic effects could be managed by reducing the dose. Response to chemotherapy was evaluated by survival, clinical condition, CEA, ultrasound and CT six months after onset of arterial chemotherapy. Ten/twenty-three patients (43%) responded to therapy, eight of them died on the average 19 months after initial chemotherapy. Six patients were non-responders, seven had stable disease. Five/ten patients developed extrahepatic metastases. Mean survival time was 13.1 months, mean interval until relapse 10.6 months. PMID:2149279
Xie, Hongjian; Yang, Wen; Chen, Jianghai; Zhang, Jinxiang; Lu, Xiaochen; Zhao, Xiaobo; Huang, Kun; Li, Huili; Chang, Panpan; Wang, Zheng; Wang, Lin
Peripheral nerve gap defects lead to significant loss of sensory or motor function. Tissue engineering has become an important alternative to nerve repair. Sericin, a major component of silk, is a natural protein whose value in tissue engineering has just begun to be explored. Here, the first time use of sericin in vivo is reported as a long-term implant for peripheral nerve regeneration. A sericin nerve guidance conduit is designed and fabricated. This conduit is highly porous with mechanical strength matching peripheral nerve tissue. It supports Schwann cell proliferation and is capable of up-regulating the transcription of glial cell derived neurotrophic factor and nerve growth factor in Schwann cells. The sericin conduit wrapped with a silicone conduit (sericin/silicone double conduits) is used for bridging repair of a 5 mm gap in a rat sciatic nerve transection model. The sericin/silicone double conduits achieve functional recovery comparable to that of autologous nerve grafting as evidenced by drastically improved nerve function and morphology. Importantly, this improvement is mainly attributed to the sericin conduit as the silicone conduit alone only produces marginal functional recovery. This sericin/silicone-double-conduit strategy offers an efficient and valuable alternative to autologous nerve grafting for repairing damaged peripheral nerve.
Lohmann, Rainer; Klanova, Jana; Pribylova, Petra; Liskova, Hana; Yonis, Shifra; Bollinger, Kevyn
Surface water and atmospheric samples were collected across the tropical Atlantic Ocean on a transect of the R/V Endeavor in summer 2009 and analyzed for polycyclic aromatic hydrocarbons (PAHs). Across the entire tropical Atlantic Ocean, phenanthrene displayed on average highest dissolved concentrations (170 pg L(-1)), followed by pyrene (70 pg L(-1)) and fluoranthene (30 pg L(-1)). The Amazon plume was characterized by elevated dissolved concentrations of phenanthrene and benzo(g,h,i)fluoranthene. The warm eddy that we accidentally sampled at 66° W displayed highest concentrations of PAHs across the entire cruise, with phenanthrene, pyrene, and fluoranthrene all >1 ng L(-1). After having crossed the warm core, concentrations decreased back to previous levels. Samples taken in the Gulf Stream were below detection limit for all parent PAHs, implying very efficient removal processes. Dissolved dimethylphenanthrenes were frequently detected in the samples from the southern hemisphere, the Amazon plume, and in samples characteristic of the Gulf Stream and the U.S. East Coast. Atmospheric concentrations were dominated by gas-phase fluoranthene, pyrene, phenanthrene, and retene. Air-water gradients indicated that PAHs are mostly undergoing net deposition across the tropical Atlantic Ocean, with conditions closer to equilibrium off the U.S. East Coast and in Rhode Island Sound.
Rehermann, María Inés; Marichal, Nicolás; Russo, Raúl E.; Trujillo-Cenóz, Omar
This paper provides the first evidence that fresh water turtles are able to reconnect their completely transected spinal cord leading to some degree of recovery of the motor functions lost after injury. Videographic analysis showed that some turtles (5 out of 11) surviving more than 20 days after injury were able to initiate stepping locomotion. However the stepping movements were slower than those of normal animals and swimming patterns were not restored. Even though just 45% of the injured turtles recovered their stepping patterns, all showed axonal sprouting beyond the lesion site. Immunocytochemical and electron microscope images revealed the occurrence of regrowing axons crossing the severed region. A major contingent of the axons reconnecting the cord originated from sensory neurons lying in dorsal ganglia adjacent to the lesion site. The axons bridging the damaged region traveled on a cellular scaffold consisting of BLBP and GFAP positive cells and processes. Serotonergic varicose nerve fibers and endings were found at early stages of the healing process at the epicenter of the lesion. Interestingly, the glial scar commonly found in the damaged central nervous system of mammals was absent. In contrast GFAP and BLBP positive processes were found running parallel to the main axis of the cord accompanying the crossing axons. PMID:19418545
Vedenin, A.; Budaeva, N.; Mokievsky, V.; Pantke, C.; Soltwedel, T.; Gebruk, A.
Spatial distribution patterns of benthic organisms are the focus of various faunal marine studies. However, data on horizontal and bathymetric distribution of the deep-sea macrofauna are still scattered and incomplete, and conclusions are usually based on a low number of samples. Spatial distribution of benthic macrofauna was studied based on the material collected during the RV Polarstern expedition ARK-XXVII/2 in July 2012. Eleven stations along the latitudinal transect at the LTER (Long-Term Ecological Research) observatory HAUSGARTEN in the Fram Strait were taken at depths of about 2.3-2.7 km. Macrofauna was obtained using the box corer. A half core (0.125 m2) was taken at each station and four subcores (0.03 m2) were taken from each core and used for the quantitative analysis. The results suggest that a single, highly variable community with the dominance of polychaetes Galathowenia fragilis and Myriochele heeri inhabits the studied area. No latitudinal gradient in the community was revealed. The prevalence of a spatial variability in the community structure at a scale larger than the full sample per station (0.125 m2) was detected. Several abundant taxa (e.g. the polychaetes Prionospio sp. and Galathowenia fragilis) tend to form patches within a full sample.
Jurado, Elena; Dijkstra, Henk A.; van der Woerd, Hans; Brussaard, Corina
The study of turbulence occurring at the smallest scales, in the energy dissipation range, is required when evaluating interrelations between turbulent mixing and phytoplankton distribution. To derive microturbulent parameters, microstructure profiler surveys, consisting in high resolution temperature, salinity or velocity vertical profiles have been performed in localized regions of the open ocean. However, they are very localized and based on few datasets, difficult to extrapolate to other regions due to the dependence on the local background conditions. During the STRATIPHYT-I cruise (July-August 2009) from Las Palmas (Gran Canaria) to Reykjavik (Iceland), high resolution measurements of both turbulent mixing (with a Self Contained Autonomous Micro Profiler, SCAMP) and phytoplankton have been carried out in the top 100 m of the ocean. With these data, the gradient from a more stratified, warmer surface water tropical environment to a less stratified subpolar ocean environment is covered. Adding up a total of 15 stations and 148 profiles, it constitutes the most extensive dataset of directly derived vertical mixing coefficients in a latitudinal transect of the Northeast Atlantic. In the presentation, the focus is on the explanation of the changes in turbulent mixing along the cruise section, recalling in its latitudinal gradient and presenting parameters that can further help to evaluate effects in the phytoplankton distribution. Side issues such as the encountered disagreement between heat and density eddy diffusivities and an analysis of the main source of instabilities through GOTM model and an internal wave analysis, are also treated in detail.
Cox, C.; Humphrey, N.; Harper, J.
On the Greenland ice sheet, a significant quantity of surface melt water refreezes within the firn creating uncertainty in surface mass balance estimates. This refreezing has the potential to buffer seasonal runoff to future increases in melting, but direct measurement of the process remains difficult. We present a method for quantifying refreezing at point locations using in situ firn temperature observations. A time series of sub-hourly firn temperature profiles were collected over the course of two melt seasons from 2007 to 2009 along a transect of 11 sites in the accumulation zone of Greenland. Seasonal changes in temperature profiles combined with heat flux estimates based on high temporal resolution temperature gradients, enable us to isolate the heat released by refreezing using conservation of energy. Our method is verified from winter data when no refreezing takes place, and uncertainty is estimated using a monte carlo technique. Results provide additional evidence of a significant amount of refreezing taking place at depths greater than 1 m and that runoff begins to occur above the ELA. Near the runoff limit, lateral migration of melt water significantly complicates the relationship between total surface melt and total refreezing.
Ronca, Sandra; Ramond, Jean-Baptiste; Jones, Brian E.; Seely, Mary; Cowan, Don A.
The sand dunes and inter-dune zones of the hyper-arid central Namib Desert represent heterogeneous soil habitats. As little is known about their indigenous edaphic bacterial communities, we aimed to evaluate their diversity and factors of assembly and hypothesized that soil physicochemistry gradients would strongly shape dune/interdune communities. We sampled a total of 125 samples from 5 parallel dune/interdune transects and characterized 21 physico-chemical edaphic parameters coupled with 16S rRNA gene bacterial community fingerprinting using T-RFLP and 454 pyrosequencing. Multivariate analyses of T-RFLP data showed significantly different bacterial communities, related to physico-chemical gradients, in four distinct dune habitats: the dune top, slope, base and interdune zones. Pyrosequencing of 16S rRNA gene amplicon sets showed that each dune zone presented a unique phylogenetic profile, suggesting a high degree of environmental selection. The combined results strongly infer that habitat filtering is an important factor shaping Namib Desert dune bacterial communities, with habitat stability, soil texture and mineral and nutrient contents being the main environmental drivers of bacterial community structures. PMID:26388839
Boon, Alex; Broquet, Gregoire; Clifford, Debbie; Chevallier, Frederic; Butterfield, David
Cities are important sources of carbon dioxide (CO2) and methane (CH4). Anthropogenic CO2 is released in the combustion of fossil fuels for heating, electricity and transport. The major sources of CH4 in city environments are natural gas leakage, landfill sites and transport emissions. Monitoring of urban greenhouse gas concentrations is crucial for cities aiming to reduce emissions through measures such as changes to the transport infrastructure and green planning. We present measurements of CO2 and CH4 concentrations using Cavity Ring-Down Spectroscopy (CRDS) at four sites located in and around London, UK. Two sites were located in the inner city, one in the suburban fringe and the fourth in a rural location close to the city. This study was funded by Astrium Services Ltd as part of a pilot scheme to monitor city-scale GHG emissions and presented a unique opportunity to study changes in greenhouse gas concentrations across an urban to rural 'transect'. The CHIMERE chemistry-transport model is used to estimate CO2 and CH4 concentrations throughout the four month measurement period during the summer of 2012. Comparisons are made between the measured and modelled CO2 and CH4 concentrations and the representativity of the study sites for future urban greenhouse gas monitoring is considered. This study also examines the ability of a variety of measurement and modelling techniques to partition anthropogenic and biogenic CO2 sources.
Liang, Xi-Bin; Luo, Yong; Liu, Xian-Yu; Lu, Jun; Li, Feng-Qiao; Wang, Qian; Wang, Xiao-Min; Han, Ji-Sheng
Low and high frequency electro-acupuncture (EA) stimulation was used in rats that had been lesioned by medial forebrain bundle transection. Behavioral tests showed that both low and high frequency EA stimulation significantly reduced the amphetamine-induced rotation 2 weeks after the lesion but only high frequency EA improved the rotational behavior at 4 weeks. Analysis of the dopamine content in the striatum did not show any significant change after EA. In situ hybridization showed that high frequency EA stimulation up-regulated the glial cell line-derived neurotrophic factor (GDNF) mRNA in both sides of the globus pallidus, while low frequency EA only affected the unlesioned side. It suggests that the retrograde nourishment of GDNF to the dopaminergic neurons and the balanced activity of different nuclei in the basal ganglia circuit after EA may contribute to the behavioral improvement in these rats, which might be the factors that underlie the effectiveness of EA in the treatment of Parkinson's disease.
Receiver functions from a temporary deployment of 25 broadband stations along a north-south transect through Central Australia are used to retrieve crustal and uppermost mantle structural constraints from a combination of different methods. Using H-K stacking as well as receiver function inversion, overall thick crust with significant thickness variation along the profile (40 to ≥ 55 km) is found. Bulk crustal vp/vs values are largely in the felsic to intermediate range, with the southernmost stations on the Gawler Craton exhibiting higher values in excess of 1.8. A common conversion point (CCP) stacking profile shows three major discontinuities of the crust-mantle boundary: (1) a two-sided Moho downwarp beneath the Musgrave Province, which has previously been associated with the Neoproterozoic to early Cambrian Petermann Orogeny, (2) a Moho offset along the Redbank Shear Zone further north attributed to the Middle to Late Paleozoic Alice Springs Orogeny, and (3) another Moho offset further north, located at the boundary between the Davenport and Warramunga Provinces, which has not been imaged before. In all cases, the difference in crustal thickness between the two sides of the offset is > 8-10 km. Unlike the two southern Moho offsets, the northernmost one does not coincide with a prominent gravity anomaly. Its location and the absence of known reactivation events in the region make it likely that it belongs to a Proterozoic suture zone that marks a previously unknown block boundary within the North Australian Craton.
Wallschlaeger, D.; Desai, M.V.M.; Spengler, M.; Wilken, R.D.
A novel mercury-specific sequential extraction procedure (SEP) for the assessment of mercury (Hg) speciation in soils and sediments, with emphasis on studying the interaction between Hg and organic matter (OM), was developed and tested. It was applied to determine Hg speciation in floodplain topsoils and surface sediments along the Hg-contaminated part of the river Elbe, and to simultaneously derive some information on the (re)mobilization potentials for Hg from these matrices. The majority of the total Hg in the ecosystem today is bound in the floodplains, which also still geographically reflect the historic emission record. Most of the Hg in both matrices is bound strongly to OM, suggesting low availability. However, distinct differences between Hg speciation in the floodplain soils and sediments were also discovered. Mercury deposited in the floodplains shows speciation patterns that indicate stronger fixation compared with Hg in the sediments. This difference is attributed to the association of Hg with larger quantities of OM, which presumably also has higher molecular weight (MW). By comparison, Hg in the sediments was distributed among weaker binding forms, which are more likely to liberate Hg. Particularly, sediments showed a total lack of sulfidic binding forms for Hg. Pronounced geographical trends were detected in the Hg speciation along the river transect, with a general downstream shift from weaker to stronger binding forms, probably due to increased association with OM. These studies indicate that Hg speciation in riverine ecosystems is dynamic and reflects the chemical mechanisms underlying (bio) geochemical processes like distribution and transport.
Nehrt, Ashley; Hamann, Kristin; Ouyang, Hui; Shi, Riyi
The integrity of the neuronal membrane is critical for its function as well as survival, and ineffective repair of damaged membranes may be one of the key factors underlying the neuronal degeneration and overall functional loss that occurs after spinal cord injury and traumatic brain injury. Previously, we showed that polyethylene glycol (PEG) can reseal axonal membranes following compression in isolated guinea pig spinal cord white matter. We now report that 10 mM PEG can also significantly enhance membrane resealing following transection in the clinically relevant conditions of low extracellular Ca(2+) and low temperature. Such beneficial effects were demonstrated both functionally, through membrane potential measured by double sucrose gap apparatus, and anatomically, through horseradish peroxidase and tetramethyl rhodamine dextran dye exclusion assays. We further noted that axons with small diameters preferentially benefited from PEG-mediated axolemmal resealing. Using atomic force microscopy, we further showed that PEG can effectively reduce neuronal membrane surface tension. We hypothesize that PEG may promote axolemmal resealing by increasing membrane line tension and reducing membrane tension, thus creating conditions more favorable to membrane resealing. In summary, these studies suggest that PEG is effective under the clinically relevant conditions of low Ca(2+) and temperature, and thus has the potential to be used in combination with other more established interventions in spinal cord and traumatic brain injury.
Sautter, L. R.; Sancho, G.
Active participation in independent research that begins with data collection at sea has been shown to significantly increase undergraduate interest toward pursuing a career in ocean science. Thirty-five undergraduate students have recently enrolled in one of four NSF-sponsored Transect Programs at the College of Charleston. Each multi-disciplinary program consisted of an intensive 5-day research cruise, followed by a rigorous semester Oceanographic Research course in which students learned laboratory techniques for analyzing the biological, physical and geological samples collected. Students also conducted individual research, presented their results at both a poster and oral session, and prepared a manuscript following journal guidelines. Students showed significant comprehension of their research results and interest in continuing their research. Student applications to jobs, graduate schools, scholarships and internships have shown greater than 90% acceptance rate. The program's next phase will include expansion to numerous institutions in the southeast and elsewhere, coordinating with coastal and ocean observatory networks while training a new generation of oceanographers.
Sheng, Wenping; Yu, Guirui; Jiang, Chunming; Yan, Junhua; Liu, Yunfen; Wang, Silong; Wang, Bing; Zhang, Junhui; Wang, Chuankuan; Zhou, Mei; Jia, Bingrui
The nitrogen (N) deposition fluxes were investigated in eight typical forest ecosystems along the North-South Transect of Eastern China (NSTEC; based on the ChinaFLUX network) by ion-exchange resin (IER) columns from May 2008 to April 2009. Our results demonstrated that the method of IER columns was both labor cost saving and reliable for measuring dissolved inorganic nitrogen (DIN) deposition at the remote forest stations. The deposition of DIN in the throughfall ranged from 1.3 to 29.5 kg N ha(-1) a(-1), increasing from north to south along NSTEC. The relatively high average ratio of ammonium to nitrate in deposition (1.83) indicated that the N deposition along the NSTEC in China mostly originated in farming and animal husbandry rather than in industry and vehicle activities. For seasonal variability, the DIN deposition showed a single peak in the growing season in the northern part of NSTEC, while, in the southern part, it exhibited double-peaks in the early spring and the mid-summer, respectively. On the annual scale, the DIN deposition variations of the eight sites could be mainly explained by precipitation and the distances from forest stations to provincial capital cities.
Tang, I-Hsiung; Murakami, Dean M.; Fuller, Charles A.
The suprachiasmatic nucleus (SCN), the circadian pacemaker, receives photic input directly from the retina to synchronize the pacemaker to the environment. Additionally, the intergeniculate leaflet (IGL), which innervates the SCN, is known to modulate the retinal photic input to the SCN. To further understand the role of the IGL in mediating the photic input to the SCN, this study examined the effects of unilateral optic nerve transection (UONx) on the photic response of the SCN and IGL in adult and neonatal hamsters. UONx led to an overall reduction in light-induced c-Fos expression in the SCN and IGL. The c-Fos expression was greater in the SCN ipsilateral to the remaining eye, despite a symmetrically bilateral retinohypothalamic tract projection as revealed by intraocular injection of horseradish peroxidase. In contrast, UONx led to a greater c-Fos expression in the contralateral IGL. The contralateral IGL of UONx animals also revealed more neuropeptide Y-immunoreactive neurons, while the ipsilateral SCN of these animals exhibited a denser neuropeptide Y terminal field. The neonates with UONx showed a similar pattern with a slight compensation of the photic-induced c-Fos in the SCN. This study suggests that the IGL may have an ipsilateral inhibitory effect in mediating retinal photic input to the SCN.
Johnson, Lee F.; Baret, Frederic; Peterson, David L.
The Oregon Transect Ecosystem Research (OTTER) project involves the collection of a variety of remotely-sensed and in situ measurements for characterization of forest biophysical and biochemical parameters. The project includes nine study plots located along an environmental gradient in west-central Oregon, extending from the Pacific coast inland approximately 300km. These plots represent a broad range in ecosystem structure and function. Within the OTTER project, the sensitivity of the Airborne Visible/Infrared Imaging Spectrometer (AVIRIS) signal to absorption by foliar biochemicals is being examined. AVIRIS data were acquired over all plots in conjunction with the four OTTER Multi-sensor Aircraft Campaigns spanning the growing season. Foilage samples were gathered during each campaign for biochemical determination (at Ames Research Center), to estimate stand-level constituency at each plot. Directional-hemispheric leaf reflectance throughout the 400-2400nm region was measured in the laboratory as an aid to interpreting concurrent AVIRIS data. Obtaining leaf spectra in this manner reduces or eliminates the confounding influences of atmosphere, canopy architecture, and reflectance by woody components, understory, and exposed soils which are present in airborne observations. These laboratory spectra were compared to simulated spectra derived by inverting the PROSPECT leaf-level canopy reflectance derived from AVIRIS data by use of the LOWTRAN-7 atmospheric radiative-transfer model.
Hammond, D. E.; Charette, M. A.; Moore, W. S.; Henderson, P.; Sanial, V.; Kipp, L. E.; Anderson, R. F.
227Ac (22 yr half life) diffuses from sediment and is mixed vertically and horizontally as it decays, providing a distribution that can be used to infer transport rates for other solutes in the deep ocean. Profiles were collected during the fall of 2013 at 19 stations along the US Peru-Tahiti GEOTRACES transect by pumping water through acrylic cartridges impregnated with MnO2, to trap both Ac and Ra. Because extraction efficiency has been found to vary in past efforts, two cartridges were deployed in series to allow estimation of extraction efficiency for each sample. While analytical work is still in progress, an analysis of preliminary results indicates several features of interest: 1. Cartridge extraction efficiency (based on 25 replicates) for Ac was approximately 0.7±0.1, quite good given the high pump rate through the fibers (~6.5 L/min). 2. Profiles showed an increase toward the bottom from activities of ~0.3 dpm/m3 at 2000 m (close to expected 231Pa parent activity) to >0.9 dpm/m3 near the bottom. 3. Some isolated maxima appear near 2500 m, west of the East Pacific Rise, which may represent modest input of Ac from hydrothermal sources. In addition to dissolved Ac, there is particulate Ac associated with the Fe rich neutrally buoyant plume particles. Estimation of transport rates will be done once the analyses are completed.
Hsu, Shih-Tien; Yao, Chun-Hsu; Hsu, Yuan-Man; Lin, Jia-Horng; Chen, Yung-Hsiang; Chen, Yueh-Sheng
Recent studies describe taxol as a candidate treatment for promoting central nerve regeneration. However, taxol has serious side effects including peripheral neurotoxicity, and little information is known about the effect of taxol on peripheral nerve regeneration. We investigated the effects of taxol on regeneration in a rat sciatic nerve transection model. Rats were divided into four groups (n = 10): normal saline (i.p.) as the control, Cremophor EL vehicle, and 2 or 6 mg/kg of taxol in the Cremophor EL solution (four times in day-2, 4, 6, and 8), respectively. We evaluated neuronal electrophysiology, animal behaviour, neuronal connectivity, macrophage infiltration, location and expression levels of calcitonin gene-related peptide (CGRP), and expression levels of both nerve growth factors and immunoregulatory factors. In the high-dose taxol group (6 mg/kg), neuronal electrophysiological function was significantly impaired. Licking latencies were significantly changed while motor coordination was unaffected. Neuronal connectivity, macrophage density, and expression levels of CGRP was dramatically reduced. Expression levels of nerve growth factors and immunoregulatory factors was also reduced, while it was increased in the low-dose taxol group (2 mg/kg). These results indicate that taxol can modulate local inflammatory conditions, impair nerve regeneration, and impede recovery of a severe peripheral nerve injury. PMID:28181572
Coakley, B.; Kristoffersen, Y.; Hopper, J.; Arthun, T.; Berge, H.; Brass, G.; Breien, H.; Bruvoll, V.; Dove, D.; Grindheim, E.; Henkart, P.; Ivanova, N.; Ludvigsen, F.; Monsen, K.; Reynoso-Peralta, W.; White, D.
During the late Summer of 2005, when the pack ice was at its annual minimum, the US Coast Guard icebreaker Healy undertook a research cruise across the Arctic Ocean. During this cruise, the ship collected continuous multi-beam bathymetry, sub-bottom profiler and gravity anomaly data. As ice conditions permitted, multi-channel seismic reflection and refraction data were collected. The source consisted of two 250 cubic inch airguns. The shots were received by a 200-300 m long streamer (16 to 24 channels) and more than 200 sonobuoy deployments. This cruise crossed all of the major basins and ridges that compose the Arctic Ocean. Ice conditions permitted acquisition of seismic reflection transects over the Chukchi Borderland and Mendeleev Ridge. More difficult ice conditions curtailed seismic work on Alpha Ridge. After rendezvous with the Swedish icebreaker Oden on the western flank of the Alpha Ridge, it was possible to collect MCS data through relatively heavy pack. These operations enabled collection of MCS data in the Makarov Basin and on Lomonosov Ridge. Continuing through the pole, additional data were collected over the Gakkel Ridge and the Yermak Plateau. Data collected in the Amerasian Basin show a pervasive mantled sedimentary layer, consistent with tectonic inactivity of this basin. Some locations lack this layer, suggesting localized erosion by bottom currents. Data collected in the Eurasian Basin will be used to study tectonics of the Gakkel Ridge and the Yermak Plateau.
Ronca, Sandra; Ramond, Jean-Baptiste; Jones, Brian E; Seely, Mary; Cowan, Don A
The sand dunes and inter-dune zones of the hyper-arid central Namib Desert represent heterogeneous soil habitats. As little is known about their indigenous edaphic bacterial communities, we aimed to evaluate their diversity and factors of assembly and hypothesized that soil physicochemistry gradients would strongly shape dune/interdune communities. We sampled a total of 125 samples from 5 parallel dune/interdune transects and characterized 21 physico-chemical edaphic parameters coupled with 16S rRNA gene bacterial community fingerprinting using T-RFLP and 454 pyrosequencing. Multivariate analyses of T-RFLP data showed significantly different bacterial communities, related to physico-chemical gradients, in four distinct dune habitats: the dune top, slope, base and interdune zones. Pyrosequencing of 16S rRNA gene amplicon sets showed that each dune zone presented a unique phylogenetic profile, suggesting a high degree of environmental selection. The combined results strongly infer that habitat filtering is an important factor shaping Namib Desert dune bacterial communities, with habitat stability, soil texture and mineral and nutrient contents being the main environmental drivers of bacterial community structures.
Xu, Chungui; Bai, Lili; Chen, Yuhong; Fan, Chengming; Hu, Zanmin; Xu, Hailin; Jiang, Baoguo
Defensins are small cationic peptides that constitute the first line of defense against pathogens and are involved in immune regulation. In this study, their role in peripheral nerve regeneration was investigated. Rat sciatic nerves were transected and the two nerve stumps were bridged by a chitin conduit with a gap of 5mm between the stumps. The animals were injected intramuscularly with mutated rabbit neutrophil peptide 1 (defensin mNP-1), the positive control nerve growth factor (NGF) or the negative control saline, for 7 consecutive days after repair. After 6 weeks, the sciatic functional index (SFI), MNCV (motor nerve conductive velocity) and morphological parameters including myelinated fiber amounts, fiber diameter, axon diameter, myelin thickness and G-ratio were measured. Compared to the SFI of saline group, the NGF and mNP-1 groups had an increase of 18.3% and 18.8%, respectively. The numbers of myelinated fibers in the distal nerve of NGF and mNP-1 groups were 1.45- and 1.32-fold higher than in the saline group. The MNCVs of NGF and mNP-1 groups were 7.3 and 4.4 times of that of saline group. Fiber diameter, axon diameter, myelin thickness and G-ratio in the NGF and mNP-1 groups were also significantly higher than those of saline group. Our results demonstrate that, like NGF, the defensin mNP-1 can promote regeneration after a peripheral nerve cut.
Goldstein, H.L.; Reynolds, R.L.; Reheis, M.C.; Yount, J.C.; Neff, J.C.
Aeolian dust strongly influences ecology and landscape geochemistry over large areas that span several desert ecosystems of the southwestern United States. This study evaluates spatial and temporal variations and trends of the physical and chemical properties of dust in the southwestern United States by examining dust deposited in natural depressions on high isolated surfaces along a transect from the Mojave Desert to the central Colorado Plateau. Aeolian dust is recognized in these depressions on the basis of textural, chemical, isotopic, and mineralogical characteristics and comparisons of those characteristics to the underlying bedrock units. Spatial and temporal trends suggest that although local dust sources are important to the accumulated material in these depressions, Mojave Desert dust sources may also contribute. Depth trends in the depressions suggest that Mojave sources may have contributed more dust to the Colorado Plateau recently than in the past. These interpretations point to the important roles of far-traveled aeolian dust for landscape geochemistry and imply future changes to soil geochemistry under changing conditions in far-distant dust source areas. Copyright 2008 by the American Geophysical Union.
Merewether, E.A. )
Cretaceous sedimentary rocks in the Laramide basins of the middle Rocky Mountains include 16,600 ft (5060 m) of predominantly siliciclastic strata in the thrust-belt of northern Utah and 7800 ft (2380 m) of mainly siliciclastic and calcareous strata near the craton in east central Wyoming. Regional changes in the thickness of the strata indicate that crustal subsidence during the Cretaceous was generally greatest in northern Utah and western Wyoming where it was associated with tectonic and sediment loading. However, the considerable thickness of uppermost Cretaceous nonmarine beds in several other areas reflects pronounced basin subsidence during early stages of the Laramide orogeny. In a transect from northern Utah to east-central Wyoming, based on outcrop sections, borehole logs, and chronostratigraphic data, Cretaceous rocks grade northeastward from mainly fluvial and nearshore marine synorogenic conglomerate, sandstone, mudstone, coal, and bentonite to mostly nearshore and offshore marine sandstone, mudstone, calcareous shale, and bentonite. Lateral changes in the lithofacies and in the extent of enclosed unconformities indicate marine transgressions and regressions that were effected by structural deformation, sedimentation, and eustatic events. Significant unconformities have been found at the base of the Cretaceous strata, at two horizons within beds of Albian age, at two horizons within rocks of Cenomanian and Turonian ages, at one horizon within Coniacian strata, and at two horizons within Campanian beds. Most of these unconformities are either flooding surfaces or sequence boundaries.
Chvatal, Stacie A.; Macpherson, Jane M.; Torres-Oviedo, Gelsy
Although cats that have been spinalized can also be trained to stand and step with full weight support, directionally appropriate long-latency responses to perturbations are impaired, suggesting that these behaviors are mediated by distinct neural mechanisms. However, it remains unclear whether these responses reflect an attenuated postural response using the appropriate muscular coordination patterns for balance or are due to fundamentally different neural mechanisms such as increased muscular cocontraction or short-latency stretch responses. Here we used muscle synergy analysis on previously collected data to identify whether there are changes in the spatial organization of muscle activity for balance within an animal after spinalization. We hypothesized that the modular organization of muscle activity for balance control is disrupted by spinal cord transection. In each of four animals, muscle synergies were extracted from postural muscle activity both before and after spinalization with nonnegative matrix factorization. Muscle synergy number was reduced after spinalization in three animals and increased in one animal. However, muscle synergy structure was greatly altered after spinalization with reduced direction tuning, suggesting little consistent organization of muscle activity. Furthermore, muscle synergy recruitment was correlated to subsequent force production in the intact but not spinalized condition. Our results demonstrate that the modular structure of sensorimotor feedback responses for balance control is severely disrupted after spinalization, suggesting that the muscle synergies for balance control are not accessible by spinal circuits alone. Moreover, we demonstrate that spinal mechanisms underlying weight support are distinct from brain stem mechanisms underlying directional balance control. PMID:23803327
Gier, Jessica; Sommer, Stefan; Löscher, Carolin R.; Dale, Andrew W.; Schmitz, Ruth A.; Treude, Tina
The potential coupling of nitrogen (N2) fixation and sulfate reduction (SR) was explored in sediments of the Peruvian oxygen minimum zone (OMZ). Sediment samples were retrieved by a multiple corer at six stations along a depth transect (70-1025 m water depth) at 12° S, covering anoxic and hypoxic bottom water conditions. Benthic N2 fixation, determined by the acetylene reduction assay, was detected at all sites, with highest rates between 70 and 253 m and lower rates at greater depth. SR rates decreased with increasing water depth. N2 fixation and SR overlapped in sediments, suggesting a potential coupling of both processes. However, a weak positive correlation of their activity distribution was detected by principle component analysis. A potential link between N2 fixation and sulfate-reducing bacteria was indicated by the molecular analysis of nifH genes. Detected nifH sequences clustered with the sulfate-reducing bacteria Desulfonema limicola at the 253 m station. However, nifH sequences of other stations clustered with uncultured organisms, Gammaproteobacteria, and Firmicutes (Clostridia) rather than with known sulfate reducers. The principle component analysis revealed that benthic N2 fixation in the Peruvian OMZ is controlled by organic matter (positive) and free sulfide (negative). No correlation was found between N2 fixation and ammonium concentrations (even at levels > 2022 µM). N2 fixation rates in the Peruvian OMZ sediments were in the same range as those measured in other organic-rich sediments.
Brusca, Richard C; Wiens, John F; Meyer, Wallace M; Eble, Jeff; Franklin, Kim; Overpeck, Jonathan T; Moore, Wendy
Models analyzing how Southwestern plant communities will respond to climate change predict that increases in temperature will lead to upward elevational shifts of montane species. We tested this hypothesis by reexamining Robert Whittaker's 1963 plant transect in the Santa Catalina Mountains of southern Arizona, finding that this process is already well underway. Our survey, five decades after Whittaker's, reveals large changes in the elevational ranges of common montane plants, while mean annual rainfall has decreased over the past 20 years, and mean annual temperatures increased 0.25°C/decade from 1949 to 2011 in the Tucson Basin. Although elevational changes in species are individualistic, significant overall upward movement of the lower elevation boundaries, and elevational range contractions, have occurred. This is the first documentation of significant upward shifts of lower elevation range boundaries in Southwestern montane plant species over decadal time, confirming that previous hypotheses are correct in their prediction that mountain communities in the Southwest will be strongly impacted by warming, and that the Southwest is already experiencing a rapid vegetation change. PMID:24223270
Patel, Ishan; Companioni, Rafael Ching; Bansal, Raghav; Vyas, Neil; Catalano, Carmine; Aron, Joshua; Walfish, Aaron
A 32-year-old immigrant man presented with new onset jaundice. His past medical history was significant for type 2 diabetes mellitus, hypertension, and hyperlipidemia. His initial laboratory finding and liver biopsy were suggestive of autoimmune hepatitis (AIH). The plan was to start steroids pending negative results for viral serology, but it came back positive for hepatitis E virus. The patient's liver function test and clinical condition improved significantly on conservative management over a period of 1 month. Therefore, we suggest testing for hepatitis E especially in immigrants or recent travelers to endemic areas who presents with clinical features suggestive of AIH. PMID:27987286
Paschos, Nikolaos K
Anterior cruciate ligament (ACL) injury is a traumatic event that can lead to significant functional impairment and inability to participate in high-level sports-related activities. ACL reconstruction is considered the treatment of choice for symptomatic ACL-deficient patients and can assist in full functional recovery. Furthermore, ACL reconstruction restores ligamentous stability to normal, and, therefore, can potentially fully reinstate kinematics of the knee joint. As a consequence, the natural history of ACL injury could be potentially reversed via ACL reconstruction. Evidence from the literature is controversial regarding the effectiveness of ACL reconstruction in preventing the development of knee cartilage degeneration. This editorial aims to present recent high-level evidence in an attempt to answer whether ACL injury inevitably leads to osteoarthritis and whether ACL reconstruction can prevent this development or not. PMID:28361013
Steinmann, Scott P; Wood, Michael B
Serratus anterior paralysis can result in winging of the scapula and weakness of arm elevation. The etiology of the condition is injury to the long thoracic nerve. There are many proposed causes of long thoracic nerve injury including acute trauma, Parsonage-Turner syndrome, or viral illness. The long length of the long thoracic nerve makes it prone to compression injury along the chest wall. Most patients recover nerve function with conservative treatment. In those in whom nerve function fails to recover, surgical treatment involving pectoralis major transfer may be beneficial. In this study 9 patients underwent pectoralis major transfer with a fascia lata extension graft. The symptoms of most were improved, with correction of the winging and improved movement in the affected shoulder.
Graffi, Shmuel; Tiosano, Beatrice; Ben Cnaan, Ran; Bahir, Jonathan; Naftali, Modi
Introduction. We present a case of a metallic foreign body embedded in the anterior chamber angle. After standing in close proximity to a construction worker breaking a tile, a 26-year-old woman using soft contact lens for the correction of mild myopia presented to emergency department for evaluation of a foreign body sensation of her right eye. Methods and Results. Diagnosis was confirmed by gonioscopic examination and a noncontrast CT scan of head and orbits. The foreign body was removed by an external approach without utilizing a magnet. The patient's final outcome was favorable. Discussion. The above is a rare clinical situation, which is impossible to detect on slit-lamp examination without a gonioscopic view. Proper imaging and a specific management are mandatory in order to achieve favorable outcome. PMID:23091762
Graffi, Shmuel; Tiosano, Beatrice; Ben Cnaan, Ran; Bahir, Jonathan; Naftali, Modi
Introduction. We present a case of a metallic foreign body embedded in the anterior chamber angle. After standing in close proximity to a construction worker breaking a tile, a 26-year-old woman using soft contact lens for the correction of mild myopia presented to emergency department for evaluation of a foreign body sensation of her right eye. Methods and Results. Diagnosis was confirmed by gonioscopic examination and a noncontrast CT scan of head and orbits. The foreign body was removed by an external approach without utilizing a magnet. The patient's final outcome was favorable. Discussion. The above is a rare clinical situation, which is impossible to detect on slit-lamp examination without a gonioscopic view. Proper imaging and a specific management are mandatory in order to achieve favorable outcome.
Ge, Xiu-Hong; Liu, Shuai-Shuai; Shan, Hu-Sheng; Wang, Zhi-Min; Li, Qian-Wen
Haemangiopericytoma (HPC) is a rare vascular tumor with borderline malignancy, considerable histological variability, and unpredictable clinical and biological behavior. HPC can present a diagnostic challenge because of its indeterminate clinical, radiological, and pathological features. HPC generally presents in adulthood and is equally frequent in both sexes. HPC can arise in any site in the body as a slowly growing and painless mass. The precise cell type origin of HPC is uncertain. One third of HPCs occur in the head and neck areas. Exceptional cases of hemangioblastoma arising outside the head and neck areas have been reported, but little is known about their clinicopathologic and immunohistochemical features. This study reports on a case of a large sacro-anterior HPC in a 65-year-old male.
Berardelli, A; Hallett, M
The shortening reaction of tibialis anterior was observed in 6 of 25 normal subjects, in 6 of 40 patients with upper motor neuron syndromes, and in 11 of 17 patients with Parkinson's disease. The latency of the shortening reaction was comparable with that of the latter part of the long-latency stretch reflexes. The magnitude of the shortening reaction increased with the velocity of the movement that produced it and increased with background voluntary force of plantar flexion in all but the patients with Parkinson's disease. It was not affected by vibration in the patients with Parkinson's disease. The presence of the shortening reaction was not correlated with the clinical impression of increased tone.
Gresham, Malia S.; Shen, Steven; Zhang, Yi J.; Gallagher, Kelly
Oncogenic osteomalacia (OO) is an uncommon but treatable cause of osteomalacia related to tumor production of FGF23, usually caused by benign mesenchymal neoplasms. Paranasal sinus glomangiomas are a rare cause of OO, with only one previously reported case. Here we describe a second case (first reported in English) of paranasal sinus glomangioma-induced osteomalacia in a 42-year-old man. He presented with weakness and multiple spontaneous fractures, and was found to have an ethmoid sinus glomangioma with intracranial extension. The tumor was removed via endoscopic endonasal approach to the anterior skull base, which resulted in complete resolution of symptoms and no further evidence of disease 1 year postoperatively. PMID:28180054
Kelly, Robert G
In 2001, three research groups described a previously unrecognized population of progenitor cells in pharyngeal mesoderm that gives rise to myocardium at the arterial pole of the heart. In the last 4 years, the major importance of the cellular contribution of pharyngeal mesoderm to normal and pathologic heart development has become apparent. Lineage-tracing experiments have defined the extent to which pharyngeal progenitor cells colonize the heart, revealing a contribution to venous, as well as arterial, pole myocardium; in addition, major molecular inroads have been made into understanding gene regulation in pharyngeal myocardial progenitor cells, implicating forkhead, Gata, LIM homeodomain, MEF2, SMAD, and T-box transcription factors. The key role of the anterior heart field during normal heart development is underscored by the demonstration that both direct and indirect perturbation of myocardial progenitor cells in pharyngeal mesoderm result in congenital heart disease.
Stucken, Charlton; Garras, David N.; Shaner, Julie L.; Cohen, Steven B.
Context: Anterior cruciate ligament (ACL) reconstruction is a safe, common, and effective method of restoring stability to the knee after injury, but evolving techniques of reconstruction carry inherent risk. Infection after ACL reconstruction, while rare, carries a high morbidity, potentially resulting in a poor clinical outcome. Evidence Acquisition: Data were obtained from previously published peer-reviewed literature through a search of the entire PubMed database (up to December 2012) as well as from textbook chapters. Results: Treatment with culture-specific antibiotics and debridement with graft retention is recommended as initial treatment, but with persistent infection, consideration should be given to graft removal. Graft type likely has no effect on infection rates. Conclusion: The early diagnosis of infection and appropriate treatment are necessary to avoid the complications of articular cartilage damage and arthrofibrosis. PMID:24427432