Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 105
Filtrar
Mais filtros

Tipo de documento
Intervalo de ano de publicação
1.
Environ Sci Technol ; 58(5): 2271-2281, 2024 Feb 06.
Artigo em Inglês | MEDLINE | ID: mdl-38270974

RESUMO

To mitigate methane emission from urban natural gas distribution systems, it is crucial to understand local leak rates and occurrence rates. To explore urban methane emissions in cities outside the U.S., where significant emissions were found previously, mobile measurements were performed in 12 cities across eight countries. The surveyed cities range from medium size, like Groningen, NL, to large size, like Toronto, CA, and London, UK. Furthermore, this survey spanned across European regions from Barcelona, ES, to Bucharest, RO. The joint analysis of all data allows us to focus on general emission behavior for cities with different infrastructure and environmental conditions. We find that all cities have a spectrum of small, medium, and large methane sources in their domain. The emission rates found follow a heavy-tailed distribution, and the top 10% of emitters account for 60-80% of total emissions, which implies that strategic repair planning could help reduce emissions quickly. Furthermore, we compare our findings with inventory estimates for urban natural gas-related methane emissions from this sector in Europe. While cities with larger reported emissions were found to generally also have larger observed emissions, we find clear discrepancies between observation-based and inventory-based emission estimates for our 12 cities.


Assuntos
Poluentes Atmosféricos , Gás Natural , Cidades , Gás Natural/análise , Metano/análise , Poluentes Atmosféricos/análise , Londres
2.
J Chem Phys ; 160(20)2024 May 28.
Artigo em Inglês | MEDLINE | ID: mdl-38785285

RESUMO

Small anionic nickel clusters with ethanol are investigated with a combination of mass-selective infrared photodissociation spectroscopy in a molecular beam and density functional theory simulations at the BLYP/6-311g(d,p) and TPSSh/def2-TZVPP level. In this context, the O-H stretching vibration of the ethanol is analyzed to obtain information about the structural motif, the geometry of the metal core, and the spin state of the clusters. For the [Ni2(EtOH)]- and [Ni3(EtOH)]- clusters, we assign quartet states of motifs with a hydrogen bond from the ethanol to the linear nickel core. The aggregation of a further ethanol molecule, yielding the [Ni3(EtOH)2]- cluster, results in the formation of a cooperative hydrogen bond network between the nickel core and the two ethanol molecules.

3.
Phys Chem Chem Phys ; 19(43): 29438-29448, 2017 Nov 08.
Artigo em Inglês | MEDLINE | ID: mdl-29077123

RESUMO

Understanding subtle aspects of photophysical behavior is the key to design and synthesize new and improved luminescent materials. We contribute to this with an in-depth photophysical characterization of the binuclear copper complex Cu(i)-NHetPHOS-tris-m-tolylphosphine (1), a member of a recently established emitter class for ultra-efficient, printed organic light-emitting diodes (OLEDs). To this end we studied 1 in solution and in solid form, i.e. neat film and KBr-pellet, by means of femtosecond time-resolved transient absorption/reflectivity, time-correlated single photon counting (TCSPC), and nanosecond time-resolved step-scan FTIR spectroscopy. Using these methods, we explore the photoinduced dynamics from ultrafast Franck-Condon state deactivation until the decay of the luminescent states. Upon photoexcitation, we observed multiexponential dynamics in both solution (e.g. acetonitrile 0.8 ps, 59 ps, 3 ns, 11-13 ns) and in solid state (e.g. neat film 0.3 ps, 35 ps, 670 ps, 0.5-1 µs, 3.5-4.5 µs) with four to five time-constants that significantly depend on the type of sample. Quantum chemical calculations at the DFT level in combination with step-scan vibrational spectroscopy provided structural information about the electronic ground state S0 and the lowest lying excited state T1, and show that the latter is populated within 1 µs after photoexcitation. We found thermally activated delayed fluorescence (TADF) for this complex, which has been suggested to be the cause for its high efficiency in printed OLED devices. The results suggest that non-radiative processes, lowering the luminescence quantum yield in solution, are active on the ns to µs timescale.

4.
Phys Rev Lett ; 105(20): 202502, 2010 Nov 12.
Artigo em Inglês | MEDLINE | ID: mdl-21231224

RESUMO

A microscopic calculation of reaction cross sections for nucleon-nucleus scattering was performed by coupling the elastic channel to all particle-hole excitations in the target and one-nucleon pickup channels. The particle-hole states may be regarded as doorway states through which the flux flows to more complicated configurations, and subsequently to long-lived compound nucleus resonances. Target excitations for (40,48)Ca, 58Ni, 90Zr, and 144Sm were described in a random-phase framework using a Skyrme functional. Reaction cross sections obtained agreed very well with experimental data and predictions of a fitted optical potential. Couplings between inelastic states were found to be negligible, while the pickup channels contribute significantly. For the first time observed absorptions are completely accounted for by explicit channel coupling, for incident energies between 10 and 40 MeV.


Assuntos
Modelos Moleculares , Teoria Quântica , Elasticidade , Termodinâmica
5.
Science ; 285(5429): 901-6, 1999 Aug 06.
Artigo em Inglês | MEDLINE | ID: mdl-10436161

RESUMO

The functions of many open reading frames (ORFs) identified in genome-sequencing projects are unknown. New, whole-genome approaches are required to systematically determine their function. A total of 6925 Saccharomyces cerevisiae strains were constructed, by a high-throughput strategy, each with a precise deletion of one of 2026 ORFs (more than one-third of the ORFs in the genome). Of the deleted ORFs, 17 percent were essential for viability in rich medium. The phenotypes of more than 500 deletion strains were assayed in parallel. Of the deletion strains, 40 percent showed quantitative growth defects in either rich or minimal medium.


Assuntos
Deleção de Genes , Genes Essenciais , Genoma Fúngico , Fases de Leitura Aberta , Saccharomyces cerevisiae/genética , Meios de Cultura , Regulação Fúngica da Expressão Gênica , Marcação de Genes , Genes Fúngicos , Fenótipo , Reação em Cadeia da Polimerase , Recombinação Genética , Saccharomyces cerevisiae/crescimento & desenvolvimento
7.
J Clin Invest ; 54(6): 1382-94, 1974 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-4474187

RESUMO

Antibodies to a urea-trichloroacetic acid extract [hPTH-(TCA)] of human parathyroid tumors and to the synthetic NH(2)-terminal fragments of human parathyroid hormone hPTH-(1-12) and -(1-34) were developed in goats to characterize immunochemically various PTH preparations and to estimate immunoreactive PTH (iPTH) in human sera. They were quantitated on the basis of their capacity to bind [(131)I]-hPTH-(1-12), [(131)I]hPTH-(1-34) or [(131)I]bovine PTH (bPTH-(1-84)). The quality of the antibodies was assessed by reference to inhibition of their interaction with labeled peptides by synthetic hPTH comprising 34 NH(2)-terminal amino acid residues or fragments thereof [hPTH-(1-12), -(13-34), -(18-34), -(25-34), -(18-24)] or by the Sephadex G-100-purified full-length peptide hPTH-(1-84) [hPTH-(1-84)G-100]. The synthetic peptides used in this work correspond in their structure to the NH(2)-terminal amino acid sequence 1-34, as elucidated by Brewer and collaborators (1972. Proc. Natl. Acad. Sci. U. S. A.69: 3583-3588). Inhibition studies were also carried out with bPTH-(1-34) and bPTH-(1-84). Anti-hPTH-(TCA) exhibited specificities directed to determinants in the COOH-terminal and NH(2)-terminal part of hPTH-(1-84) and exhibited cross-reactivity with bPTH-(1-84). Anti-hPTH-(1-34), on the other hand, showed immunological specificities mainly directed to antigenic determinants located in the COOH-terminal half of hPTH-(1-34). In addition, some reactivity with the NH(2)-terminal hPTH-(1-12) and with the extractive full-length peptides of human and bovine origin was observed. Antibodies to hPTH-(1-12) cross-reacted with hPTH-(1-34) and -(1-84)G-100.IPTH WAS RADIOIMMUNOLOGICALLY DETERMINED IN HUMAN SERA BY THE FOLLOWING SYSTEMS: (a) [(131)I]bPTH-(1-84), anti-hPTH-(TCA) and hPTH-(1-84)G-100 as standard; (b) [(131)I]hPTH-(1-34), anti-hPTH-(1-34) and hPTH-(1-34) as standard. With system (a), COOH-terminal fragments of hPTH-(1-84) having a molecular weight of approximately 7,000 were detected, and there was an almost total discrimination of serum iPTH levels in normal and in hyperparathyroid subjects. With system (b), on the other hand, several molecular species of iPTH were detected, including a component larger than hPTH-(1-84) and others similar to hPTH-(1-84) and to a fragment co-eluting with the NH(2)-terminal fragment hPTH-(1-34). When serum iPTH was assayed in system (b), there was a large overlap of iPTH levels in control subjects and in patients with primary hyperparathyroidism.


Assuntos
Antígenos , Soros Imunes , Glândulas Paratireoides , Hormônio Paratireóideo/imunologia , Extratos de Tecidos/imunologia , Animais , Especificidade de Anticorpos , Reações Antígeno-Anticorpo , Antígenos de Neoplasias , Cálcio/sangue , Cromatografia , Cromatografia em Gel , Feminino , Cabras/imunologia , Humanos , Concentração de Íons de Hidrogênio , Hiperparatireoidismo/imunologia , Imunidade , Imunização , Radioisótopos do Iodo , Glândulas Paratireoides/imunologia , Hormônio Paratireóideo/metabolismo , Neoplasias das Paratireoides/imunologia , Peptídeos/análise , Peptídeos/síntese química , Ácido Tricloroacético , Ureia
8.
Z Orthop Unfall ; 153(1): 46-50, 2015 Feb.
Artigo em Alemão | MEDLINE | ID: mdl-25723580

RESUMO

BACKGROUND: Currently, short cementless femoral stems are alternative implants to treat osteoarthritis in young patients with sufficient bone quality in order to get a more proximal load transfer. The purpose of the present study was to biomechanically compare joint reconstructions resulting from implantations of a short-stemmed and a conventional hip replacement. METHODS: 100 patients (50 short-stemmed and 50 conventional) were retrospectively examined. For evaluation of biomechanical parameters standardised pre- and postoperative X-rays (pelvic AP views) were used and digitally analysed. RESULTS: The horizontal femoral off-set increased within both groups (short: 2.0 mm and conventional: 3.3 mm), with a significant increase in the conventional group. The hip centre of rotation was significantly medialised after both procedures (short: 6.0 mm and conventional: 4.2 mm). Limb length was shorter preoperatively at the arthroplasty side, but increased thereafter (short: 2.1 mm and conventional: 2.6 mm). Compared to the native contralateral side the limb length was almost equal after THA (short: 0.7 mm and conventional: 0.8 mm). CONCLUSIONS: Our study shows that an almost anatomic reconstruction of hip joint biomechanics is possible with a short-stemmed prosthesis compared to a conventional stem, regarding limb length, centre of rotation and offset.


Assuntos
Artroplastia de Quadril/instrumentação , Articulação do Quadril/diagnóstico por imagem , Articulação do Quadril/fisiopatologia , Prótese de Quadril , Osteoartrite do Quadril/fisiopatologia , Osteoartrite do Quadril/cirurgia , Artroplastia de Quadril/métodos , Análise de Falha de Equipamento , Feminino , Articulação do Quadril/cirurgia , Humanos , Masculino , Pessoa de Meia-Idade , Osteoartrite do Quadril/diagnóstico , Desenho de Prótese , Radiografia , Amplitude de Movimento Articular , Resultado do Tratamento
9.
Acta Trop ; 38(4): 427-36, 1981 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-6177227

RESUMO

Specific allergic histamine release from leucocytes, radioallergosorbent tests (RAST) and indirect fluorescent antibody tests (IFAT) were applied for immunodiagnosis of schistosomiasis in patients outside endemic area. Of 10 parasitologically verified cases--all of them exhibiting a low and irregular egg output--8 were detected by histamine release, whereas 4 patient with filariasis, 3 with trichuriasis and 31 parasitologically normal controls were negative in this respect. By a combination of the histamine release test, RAST and IFAT all 10 cases were diagnosed. RAST and IFAT applied to 29 patients with active or treated schistosomiasis were positive in 14 (48%) and 20 (69%) cases, respectively.


Assuntos
Esquistossomose/imunologia , Adolescente , Adulto , Reações Antígeno-Anticorpo , Basófilos/imunologia , Feminino , Imunofluorescência , Liberação de Histamina , Humanos , Masculino , Pessoa de Meia-Idade , Teste de Radioalergoadsorção
10.
Arch Dermatol Res ; 278(1): 13-6, 1985.
Artigo em Inglês | MEDLINE | ID: mdl-4096525

RESUMO

Porphyria cutanea tarda (PCT) was diagnosed in 27 women aged 23-48 years (mean, 35 years) who had been under oral-hormonal-contraceptive medication for 1-18 years, in 3 women under substitutional estrogen treatment in the menopause, and in 2 men aged 65 and 76 years after estrogen treatment of prostatic carcinoma. In all patients, total urinary porphyrin excretion was elevated, with an average uro- and heptacarboxyporphyrin predominance of 88%, thus proving PCT. Of the patients, 84% showed a significant decrease of erythrocyte uroporphyrinogen-decarboxylase (UD; EC 4.1.1.37) activity to approximately 50% of control levels suggesting a hereditary predisposition for the development of a chronic hepatic porphyria. Estrogens and alcohol are capable of reducing hepatic UD activity. Women with hereditary red cell UD deficiency may be regarded as predisposed to PCT when under estrogen intake, especially in combination with the potentiating influence of alcohol and chronic liver disease. Normal erythrocyte UD values in patients with additive alcohol consumption may implicate a stronger inhibitory effect for alcohol on UD, suggesting a merely toxic form of chronic hepatic porphyria.


Assuntos
Carboxiliases/deficiência , Anticoncepcionais Orais Hormonais/efeitos adversos , Porfirias/etiologia , Uroporfirinogênio Descarboxilase/deficiência , Adulto , Idoso , Feminino , Humanos , Ferro/fisiologia , Hepatopatias/etiologia , Masculino , Pessoa de Meia-Idade , Dermatopatias/etiologia
11.
Mutat Res ; 411(1): 45-86, 1998 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-9675241

RESUMO

We review 23 studies on the potential genotoxicity of electric and magnetic fields that have appeared in the published literature since our 1993 review of 55 published studies (McCann et al., Mutat. Res. 297 (1993) 61-95) and six additional studies published prior to 1993, which were not previously reviewed. As in our previous review, internal electric fields present in media (for in vitro experiments) and in the torso (for in vivo experiments) were estimated. Individual experiments are evaluated using basic data quality criteria. The potential for genotoxicity of electric and magnetic fields is discussed in light of the significant body of genotoxicity data that now exists. Three unsuccessful attempts to replicate previously reported positive results have appeared since our previous review. We conclude that, in spite of the 34 studies reviewed in this and our previous publication that report positive genotoxic effects, none satisfy all of three basic conditions: independent reproducibility, consistency with the scientific knowledge base, and completeness according to basic data quality criteria. As we discuss, these criteria are satisfied for several groups of negative studies in several exposure categories (ELF magnetic fields, 150 microT-5 mT, combined ELF electric and ELF magnetic fields, approx. 0.2 mT, 240 mV/m, and static magnetic fields, 1-3.7 T). The evidence reviewed here strengthens the conclusion of our previous review, that the preponderance of evidence suggests that ELF electric or magnetic fields do not have genotoxic potential. Nevertheless, a pool of positive results remains, which have not yet been tested by independent replication. Among the 12 studies reviewed here, which report statistically significant or suggestive positive results, we point particularly to results from five laboratories [J. Miyakoshi, N. Yamagishi, S. Ohtsu, K. Mohri, H. Takebe, Increase in hypoxanthine-guanine phosphoribosyl transferase gene mutations by exposure to high-density 50-Hz magnetic fields, Mutat. Res. 349 (1996) 109-114; J. Miyakoshi, K. Kitagawa, H. Takebe, Mutation induction by high-density, 50-Hz magnetic fields in human MeWo cells exposed in the DNA synthesis phase, Int. J. Radiat. Biol. 71 (1997) 75-79; H. Lai. N.P. Singh, Acute exposure to a 60-Hz magnetic field increases DNA strand breaks in rat brain cells, Bioelectromagnetics, 18 (1997) 156-165; H. Lai, N.P. Singh, Melatonin and N-tert-butyl-alpha-phenylnitrone block 60-Hz magnetic field-induced DNA single and double strand breaks in rat brain cells, J. Pineal Res. 22 (1997) 152-162; T. Koana, M. Ikehata, M. Nakagawa, Estimation of genetic effects of a static magnetic field by a somatic cell test using mutagen-sensitive mutants of Drosophila melanogaster, Bioelectrochem. Bioenergetics 36 (1995) 95-100; F.L. Tabrah, H.F. Mower, S. Batkin, P.B. Greenwood, Enhanced mutagenic effect of a 60-Hz time-varying magnetic field on numbers of azide-induced TA100 revertant colonies, Bioelectromagnetics 15 (1994) 85-93; S. Tofani, A. Ferrara, L. Anglesio, G. Gilli, Evidence for genotoxic effects of resonant ELF magnetic fields, Bioelectrochem. Bioenergetics, 36 (1995) 9-13], which satisfy most basic data quality criteria and may be of interest.


Assuntos
Campos Eletromagnéticos/efeitos adversos , Testes de Mutagenicidade/tendências , Mutagênicos/toxicidade , Animais , Células Cultivadas , Cromossomos/genética , Cromossomos/efeitos da radiação , Reparo do DNA , Raios gama/efeitos adversos , Humanos , Linfócitos/efeitos da radiação , Testes para Micronúcleos , Salmonella/genética , Raios Ultravioleta/efeitos adversos , Raios X/efeitos adversos
12.
Mutat Res ; 297(1): 61-95, 1993 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-7686274

RESUMO

55 published articles were identified which reported results of tests of ELF (extremely low frequency) or static electric or magnetic fields for genotoxic effects. The biological assays used spanned a wide range, including microbial systems, plants, Drosophila, mammalian and human cells in vitro and in vivo. Experimental results were grouped into four exposure categories: ELF Electric; ELF Magnetic; Static Electric; and Static Magnetic. The internal electric fields present in media (for in vitro experiments) and in the torso and extremities (for in vivo experiments) were estimated, providing an index of comparison. All experiments were critically analyzed with respect to basic data quality criteria. Experiments within each exposure category were then compared to determine if results reinforced or contradicted one another. The preponderance of evidence suggests that neither ELF nor static electric or magnetic fields have a clearly demonstrated potential to cause genotoxic effects. However, there may be genotoxic activity from exposure under conditions where phenomena auxiliary to an electric field, such as spark discharges, electrical shocks, or corona can occur. In addition, two unconfirmed reports suggest the genotoxic potential of certain chemical mutagens or ionizing radiation may be affected by co-exposure to electric or magnetic fields. Certain exposure categories are not represented or are under-represented by tests in some genotoxicity test systems that are usually included in minimal test batteries as specified by EPA for chemicals. It is suggested that consideration be given to whether additional genotoxicity testing is warranted to fill these gaps.


Assuntos
Campos Eletromagnéticos/efeitos adversos , Mutação , Animais , Dano ao DNA , Reparo do DNA , Humanos , Testes de Mutagenicidade , Plantas/genética , Plantas/efeitos da radiação
13.
J Comp Pathol ; 103(3): 301-6, 1990 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-2175319

RESUMO

The MacIntyre strain of Herpes simplex virus type 1 was inoculated intraperitoneally into young male mice. Immunohistochemical detection of the virus antigen demonstrated the passage of virus from the gastro-intestinal myenteric plexus towards the brain and its distribution within the areas of brain related to the principal nuclei of the vagus nerve. Selective trapping of the virus in the autonomic nerves and subsequent localization of antigen behind the blood-brain barrier may prevent therapeutic effects of agents tested in this model.


Assuntos
Abdome/microbiologia , Encéfalo/microbiologia , Simplexvirus/crescimento & desenvolvimento , Nervo Vago/microbiologia , Animais , Masculino , Camundongos , Camundongos Endogâmicos BALB C
14.
Med Eng Phys ; 16(1): 75-81, 1994 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-8162270

RESUMO

In vivo bone behaviour predictions with respect to altered loading conditions, implants, and endoprostheses are highly desirable to avoid untoward effects such as implant loosening and breakage. This knowledge does not relate only to the result but also to the mechanisms of bone adaptation and bone growth. Since bone growth is assumed to be determined essentially by the loading history, the morphology of the human femoral midshaft region was analysed to extract those loading cases responsible for the actual cross-sectional geometry. This was achieved by the application of computer-aided optimization (CAO), a procedure supplementing a finite element analysis which allows for simulation of adaptive bone growth. A simulated load was applied to a cylinder, and the resulting changes in geometry were compared with the geometry of three ex vivo samples. Apparently, standard loading cases alone (axial loading, bending, torsion), or at consecutive or simultaneous application, did not yield the characteristic morphology of the femoral shaft region. Only the introduction of the adductor muscle force in various combinations with other standard loadings resulted in femoral mid-shaft geometries comparable with the ex vivo specimens.


Assuntos
Remodelação Óssea , Fêmur/anatomia & histologia , Estresse Mecânico , Desenvolvimento Ósseo , Simulação por Computador , Fêmur/fisiologia , Humanos , Contração Muscular , Pressão , Anormalidade Torcional
15.
Artigo em Inglês | MEDLINE | ID: mdl-23719696

RESUMO

Invarioms are aspherical atomic scattering factors that enable structure refinement of more accurate and more precise geometries than refinements with the conventional independent atom model (IAM). The use of single-crystal X-ray diffraction data of a resolution better than sin θ/λ = 0.6 Å(-1) (or d = 0.83 Å) is recommended. The invariom scattering-factor database contains transferable pseudoatom parameters of the Hansen-Coppens multipole model and associated local atomic coordinate systems. Parameters were derived from geometry optimizations of suitable model compounds, whose IUPAC names are also contained in the database. Correct scattering-factor assignment and orientation reproduces molecular electron density to a good approximation. Molecular properties can hence be derived directly from the electron-density model. Coverage of chemical environments in the invariom database has been extended from the original amino acids, proteins and nucleic acid structures to many other environments encountered in organic chemistry. With over 2750 entries it now covers a wide sample of general organic chemistry involving the elements H, C, N and O, and to a lesser extent F, Si, S, P and Cl. With respect to the earlier version of the database, the main modification concerns scattering-factor notation. Modifications improve ease of use and success rates of automatic geometry-based scattering-factor assignment, especially in condensed hetero-aromatic ring systems, making the approach well suited to replace the IAM for structures of organic molecules.

16.
Z Orthop Unfall ; 151(5): 497-502, 2013 Oct.
Artigo em Alemão | MEDLINE | ID: mdl-24129720

RESUMO

BACKGROUND: The design and the surgical technique of the Silent Micro Hip™ are different compared to other hip stems due to a conical shape for fixation within the metaphyseal femur. The purpose of the present study was to evaluate hip joint biomechanics of the Silent Micro Hip™ in comparison to other implants. Implant-specific differences are highlighted. MATERIAL AND METHOD: 150 consecutive patients (each group 50 Silent Micro Hip™, Nanos™ and SL-Plus™ MIA) were analysed retrospectively. For evaluation of biomechanical parameters pre- and postoperative X-rays (pelvic AP views) were used. RESULTS: The horizontal femoral offset and the limb length showed no significant difference between the Silent Micro Hip™ and the Nanos™ or SL-Plus™ MIA stem at the reconstructed hip. An almost anatomic reconstruction of hip joint biomechanics was reached with all three types of implants. CONCLUSIONS: The Silent Micro Hip™ allows for almost anatomic reconstruction of hip joint biomechanics. Short-term results support the bone-preserving reconstruction with a proximal femoral load transfer. Further studies on the mid- and long-term outcomes are ongoing.


Assuntos
Articulação do Quadril/fisiopatologia , Articulação do Quadril/cirurgia , Prótese de Quadril , Tratamentos com Preservação do Órgão/métodos , Osteoartrite do Quadril/fisiopatologia , Osteoartrite do Quadril/cirurgia , Amplitude de Movimento Articular , Artroplastia de Quadril/instrumentação , Artroplastia de Quadril/métodos , Análise de Falha de Equipamento , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Miniaturização , Tratamentos com Preservação do Órgão/instrumentação , Osteoartrite do Quadril/patologia , Desenho de Prótese , Resultado do Tratamento
17.
Z Orthop Unfall ; 151(3): 296-301, 2013 Jun.
Artigo em Alemão | MEDLINE | ID: mdl-23696161

RESUMO

INTRODUCTION: The chronic lateral epicondylitis (EHR) as a common pathology of the elbow is often associated with posterolateral rotatory instability of the elbow (PLRI). After evaluation of intra-articular pathology by prior diagnostic arthroscopy, we aimed to build patient groups regarding the stability of the elbow joint. In patients with a stable elbow joint, open surgery with a debridement to the origin of the common extensor tendon and transosseous refixation was performed. Patients with relevant posterolateral rotatory instability, however, underwent an additional LUCL complex stabilisation using triceps tendon graft besides debridement as mentioned above. The purpose of this study was to evaluate and compare the clinical functional outcome between these groups. MATERIAL AND METHODS: 101 patients were included in our study. Arthroscopies were first performed on all patients to identify intra-articular pathological changes. In 26 patients with stable elbows, open surgery with debridement to the origin of the common extensor tendon and transosseous refixation was performed. For the other 75 patients who were found presenting a relevant posterolateral rotatory instability, a stabilisation of the LUCL in addition to the open procedure mentioned above was performed. Examinations and questionnaires were used for retrospective evaluation at follow-up. RESULTS: Both groups of patients revealed significant improvement in pain relief and elbow function. We observed no significant difference between the two methods concerning clinical and functional outcome. CONCLUSION: We recommend diagnostic arthroscopy with assessment of stability prior to the open performance to offer a more reliable evidence for surgical technique selection and therefore to achieve a better clinical outcome.


Assuntos
Artroscopia/estatística & dados numéricos , Desbridamento/estatística & dados numéricos , Satisfação do Paciente/estatística & dados numéricos , Procedimentos de Cirurgia Plástica/estatística & dados numéricos , Transferência Tendinosa/estatística & dados numéricos , Cotovelo de Tenista/epidemiologia , Cotovelo de Tenista/cirurgia , Adulto , Idoso , Terapia Combinada/estatística & dados numéricos , Feminino , Alemanha/epidemiologia , Humanos , Masculino , Pessoa de Meia-Idade , Prevalência , Recuperação de Função Fisiológica , Estudos Retrospectivos , Fatores de Risco , Cotovelo de Tenista/diagnóstico , Resultado do Tratamento , Adulto Jovem
18.
J Ultrason ; 13(52): 73-81, 2013 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-26675994

RESUMO

Sentinel lymph nodes are the first lymph nodes in the region that receive lymphatic drainage from a primary tumor. The detection or exclusion of sentinel lymph node micrometastases is critical in the staging of cancer, especially breast cancer and melanoma because it directly affects patient's prognosis and surgical management. Currently, intraoperative sentinel lymph node biopsies using blue dye and radioisotopes are the method of choice for the detection of sentinel lymph node with high identification rate. In contrast, conventional ultrasound is not capable of detecting sentinel lymph nodes in most cases. Contrast enhanced ultrasound with contrast specific imaging modes has been used for the evaluation and diagnostic work-up of peripherally located suspected lymphadenopathy. The method allows for real-time analysis of all vascular phases and the visualization of intranodal focal "avascular" areas that represent necrosis or deposits of neoplastic cells. In recent years, a number of animal and human studies showed that contrast enhanced ultrasound can be also used for the detection of sentinel lymph node, and may become a potential application in clinical routine. Several contrast agents have been used in those studies, including albumin solution, hydroxyethylated starch, SonoVue(®), Sonazoid(®) and Definity(®). This review summarizes the current knowledge about the use of ultrasound techniques in detection and evaluation of sentinel lymph node.

SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA