RESUMO
Four cases of aspergillus spondylodiscitis were treated with operative debridement and fusion. In this rarely encountered mycotic infection of the spine in immunocompromised patients rapid destruction of the intervertebral disc and vertebral bodies can occur. In advanced cases antimycotic drug therapy is thought to be ineffective and a forcing indication for surgery exists when the destruction is progressive and spinal cord compression is imminent or manifest. Spinal instrumentation can be of help in maintaining or restoring spinal stability and maintaining spinal alignment. In our four patients the aspergillus spondylodiscitis was successfully eradicated and fusion achieved. In two of three patients with a neurologic deficit, this deficit disappeared. Two patients died within 6 months after the operative treatment, due to complications related to the underlying illness. One patient was left with a subtotal paraplegia.
Assuntos
Aspergilose/cirurgia , Aspergillus/isolamento & purificação , Discite/cirurgia , Vértebras Lombares , Fusão Vertebral , Vértebras Torácicas , Adulto , Idoso , Aspergilose/diagnóstico , Aspergilose/microbiologia , Discite/diagnóstico , Discite/microbiologia , Evolução Fatal , Feminino , Humanos , Vértebras Lombares/diagnóstico por imagem , Vértebras Lombares/microbiologia , Vértebras Lombares/cirurgia , Imageamento por Ressonância Magnética , Masculino , Pessoa de Meia-Idade , Recidiva , Vértebras Torácicas/microbiologia , Vértebras Torácicas/cirurgia , Tomografia Computadorizada por Raios XRESUMO
Eighty-eight patients with articular cartilage defects in the knee were treated by perichondrial arthroplasty between 1986 and 1992. An autogenous strip of costal perichondrium was fixed in place with fibrin glue, followed by immobilisation, continuous passive motion, and partial weightbearing. The results were evaluated using the Hospital for Special Surgery Score for knee function, radiographs, arthroscopy and the patient's subjective opinion. The results after a mean follow-up of 52 months were good in 38%, fair in 8% and poor in 55%. Previous drilling or shaving of a defect, concomitant osteoarthritis, older age and a long history of complaints proved to be contraindications. Good results were seen in 91% of isolated defects. Perichondrial arthroplasty can be beneficial in the repair of cartilage defects. It will reduce symptoms in carefully selected cases, and avoid more extensive operations for osteoarthritis.
Assuntos
Artroplastia/métodos , Doenças das Cartilagens/cirurgia , Cartilagem Articular/cirurgia , Tecido Conjuntivo/transplante , Articulação do Joelho/cirurgia , Adolescente , Adulto , Doenças das Cartilagens/patologia , Cartilagem Articular/patologia , Feminino , Humanos , Articulação do Joelho/patologia , Masculino , Pessoa de Meia-Idade , Costelas , Resultado do TratamentoAssuntos
Glicoproteínas/metabolismo , Complexo de Golgi/metabolismo , Glicoproteínas de Membrana , Vírus da Estomatite Vesicular Indiana/metabolismo , Proteínas do Envelope Viral/metabolismo , Animais , Transporte Biológico , Células CHO , Fracionamento Celular , Sistema Livre de Células/metabolismo , Cricetinae , Citosol/metabolismo , Frações Subcelulares/metabolismoRESUMO
Tracking the instantaneous position of the laser guide star removes its perspective elongation thus allowing an increased separation of the laser transmitter from its telescope.
RESUMO
Sometimes it suffices to make the wave-front distortions across individual telescopes equal rather than zero. This leads to the concept of differential adaptive optics.
RESUMO
We describe the properties of the Zeiss Universal Birefringent Filter and its optical and electronic interface with the Sacramento Peak Observatory'' vacuum telescope. The instrument permits observations of solar intensities, velocities, and/or magnetic fields in rapid succession in any Fraunhofer line in the 410-700-nm wavelength region with high spectral (0.004-0.013 nm) and high spatial (~1/3 sec of arc) resolution.
RESUMO
The theory is developed for two types of narrow band filters. One is based on the Zeeman splitting of the line absorption coefficient; the other is based on the splitting of the anomalous dispersion curves in a Zeeman multiplet. The latter type filter is very similar to the Lyot-Ohman filter. It uses however the Macaluso Corbino effect instead of the linear birefringence of crystals. It is capable of giving very much narrower transmission profiles than the Lyot-Ohman filter and it has a very wide field.
RESUMO
A solar focus and seeing monitor is described which utilizes the properties of an image of the telescope objective formed after putting a knife edge next to the solar limb. In a very simple way simultaneous measurements are obtained for the telescope focus and for the image motion and blurring produced by the earth's atmosphere.