RESUMO
Developmental dysplasia of the hip (DDH) is a common condition predisposing to osteoarthritis (OA). Especially since DDH is best identified and treated in infancy before bones ossify, there is surprisingly a near-complete absence of literature examining mechanical behavior of infant dysplastic hips. We sought to identify current practice in finite element modeling (FEM) of DDH, to inform future modeling of infant dysplastic hips. We performed multi-database systematic review using PRISMA criteria. Abstracts (n = 126) fulfilling inclusion criteria were screened for methodological quality, and results were analyzed and summarized for eligible articles (n = 12). The majority of the studies modeled human adult dysplastic hips. Two studies focused on etiology of DDH through simulating mechanobiological growth of prenatal hips; we found no FEM-based studies in infants or children. Finite element models used either patient-specific geometry or idealized average geometry. Diversities in choice of material properties, boundary conditions, and loading scenarios were found in the finite-element models. FEM of adult dysplastic hips demonstrated generally smaller cartilage contact area in dysplastic hips than in normal joints. Contact pressure (CP) may be higher or lower in dysplastic hips depending on joint geometry and mechanical contribution of labrum (Lb). FEM of mechanobiological growth of prenatal hip joints revealed evidence for effects of the joint mechanical environment on formation of coxa valga, asymmetrically shallow acetabulum and malformed femoral head associated with DDH. Future modeling informed by the results of this review may yield valuable insights into optimal treatment of DDH, and into how and why OA develops early in DDH.
Assuntos
Luxação Congênita de Quadril/fisiopatologia , Articulação do Quadril/fisiopatologia , Fenômenos Biomecânicos , Coxa Valga , Análise de Elementos Finitos , Luxação Congênita de Quadril/embriologia , Articulação do Quadril/embriologia , Humanos , Recém-NascidoAssuntos
Anquilose/patologia , Dente Molar/patologia , Dente Decíduo/patologia , Pré-Escolar , Humanos , MasculinoRESUMO
An agar medium, LL-agar (lactate-lead acetate) was designed to selectively differentiate members of the genus Pectinatus (S. Y. Lee, M. S. Mabee, and N. O. Jangaard, Int. J. Syst. Bacteriol. 28:582-594, 1978; S. Y. Lee, M. S. Mabee, N. O. Jangaard, and E. K. Horiuchi, J. Inst. Brew. 86:28-30, 1980) from other brewery microorganisms. Selectivity was achieved by the use of sodium lactate as the sole source of carbon and phenylethyl alcohol as an inhibitor for aerobic gram-negative bacteria and yeast. Differentiation was established by the introduction of lead acetate into the medium, which reacted with the H(2)S liberated by Pectinatus and resulted in a blackening of the Pectinatus colonies while the other brewery organisms, when present, remained white. In combination with the Lee tube (J. E. Ogg, S. Y. Lee, and B. J. Ogg, Can. J. Microbiol. 25:987-990, 1979) and this medium, isolation of Pectinatus organisms from beer samples was accomplished with convenience and simplicity.
RESUMO
The rehabilitation of 132 patients with functioning grafts six months to ten years post transplantation was examined by review of self-report questionnaires. The patients were divided into three groups according to when they underwent transplantation. Results showed 62 per cent of patients in group A (transplant received between July 1, 1973 and December 31, 1973), 69 per cent in group B (transplant received between January 1, 1971 and June 30, 1973), and 90 per cent in group C (transplant received between January 1, 1964 and December 31, 1970) were productively active in July 1974. Nearly all attained productively active rehabilitation scores by twelve months, but one-third reported they were functioning at a lower level than before their illness, and a significant number of patients with physically strenuous jobs before illness acquired sedentary jobs post transplantation.
Assuntos
Transplante de Rim , Reabilitação , Atividades Cotidianas , Adulto , Feminino , Humanos , Masculino , Massachusetts , Pessoa de Meia-Idade , Reabilitação Vocacional , Fatores de Tempo , Transplante HomólogoRESUMO
The distribution and metabolism of [(14)C]aflatoxin B(1) in chicken tissues were further investigated. Previously dried and frozen ethyl acetate extracts of liver, heart, gizzard, breast, leg, blood, and fecal samples were obtained from either layer or broiler chickens fed subclinical levels of [(14)C]aflatoxin B(1). Treatment of these extracts with either carboxypeptidase A, leucine aminopeptidase, pepsin, or trypsin revealed that an average of 50% of the (14)C detected in the acetate extracts was a liberated peptide (or amino acid) conjugate of [(14)C]aflatoxin B(2a). When a prepared standard of B(2a) was made by incubation of B(1) with cold dilute aqueous HCl, the R(f) values and absorbance maxima were identical with those of the tissue extracts after enzymatic treatment.
Assuntos
Aflatoxinas/metabolismo , Galinhas/metabolismo , Contaminação de Alimentos , Acetatos , Animais , Biotransformação , Carboxipeptidases/metabolismo , Clorofórmio , Dieta , Fezes/análise , Moela das Aves/metabolismo , Leucil Aminopeptidase/metabolismo , Fígado/metabolismo , Músculos/metabolismo , Miocárdio/metabolismo , Pepsina A/metabolismo , Solventes , Tripsina/metabolismoRESUMO
The effects of administering low levels of aflatoxin B(1)-(14)C by crop intubation daily for 14 days to broiler chickens were determined. Studies on the distribution of (14)C in the blood, selected organs, tissues, and excreta were conducted. No toxic effects were observed in broiler chickens during the 14 days of the experiment. The broiler chickens excreted 90.64% of the (14)C administered. Of the (14)C retained, 11.04, 9.83, 4.30, 12.52, 31.66, and 30.63% were detected in the blood, liver, heart, gizzard, breast, and leg, respectively. Chemical assay of those samples demonstrating radioactivity revealed that 81.2% of the radioactivity in these substrates was not extractable by classical extraction procedures while approximately 10% was extractable. Treatment of aqueous extracts for conjugated steroids by treatments with beta-glucuronidase revealed that 31.5% of the (14)C detected in the aqueous extract was a liberated glucuronide conjugate of aflatoxin M(1)-(14)C.