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1.
APL Bioeng ; 7(1): 016108, 2023 Mar.
Article de Anglais | MEDLINE | ID: mdl-36747972

RÉSUMÉ

Conductive rubber composites are mixtures of stretchable rubber and conductive materials. They can achieve conductivity and high elasticity and are used in soft robots and wearable devices. In general, these composites exhibit high electrical resistance owing to their bonds between the fillers breaking during elongation. However, there are several types of composite materials that decrease resistance by increasing contact between the conductive materials during elongation through optimization of the shape and size of the filler. These composite materials can rapidly decrease the resistance and are expected to be applicable to switch in electric circuits and sensors. However, to use such composite materials in circuits, the electrical resistance at the time of resistance reduction must be sufficiently low to not affect the electric circuit. To achieve this, a considerable amount of filler must be mixed; however, this reduces the elasticity of the composite. Simultaneously achieving elasticity of the composite and a sufficient decrease in the resistance is challenging. This study developed a conductive rubber composite gel by mixing silicone rubber, ionic liquid, and metal filler. Consequently, the composite achieved an elongation rate of over six times and a decrease in the resistance of less than 1/105. In addition, this composite material was used as a switch circuit wherein an electric circuit is turned on and off according to elongation through a connection to a DC power source.

2.
Neurochirurgie ; 63(3): 219-226, 2017 Jun.
Article de Anglais | MEDLINE | ID: mdl-28502568

RÉSUMÉ

INTRODUCTION: Surgical resection of supratentorial cavernous angiomas located in eloquent areas poses a significant risk to the patient of postoperative neurological impairment and justifies intraoperative functional monitoring. METHODS: Multicentre retrospective series of adult patients with cavernous angiomas located within eloquent areas and treated with functional-based surgical resection according to functional boundaries under intraoperative functional cortico-subcortical monitoring under awake conditions. RESULTS: Fifty patients (18 males, mean 36.3±10.8 year-old) underwent surgical resection with intraoperative cortico-subcortical functional mapping using direct electrostimulation under awake conditions for a cavernous angioma located in eloquent areas with a mean postoperative follow-up of 21.0±21.2 months. At presentation, the cavernous angioma had previously resulted in severe impairment (neurological deficit in 34%, seizures in 70%, uncontrolled seizures in 34%, reduced Karnofsky Performance Status score of 70 or less in 24%, inability to work in 52%). Functional-based surgical resection allowed complete removal of the cavernous angioma in 98% and of the haemosiderin rim in 82%. Postoperative seizures and other complications were rare, and similarly so across all centres included in this series. Postoperatively, we found functional improvement in 84% of patients (reduced Karnofsky Performance Status score of 70 or less in 6%, uncontrolled seizures in 16%, and inability to work in 11%). CONCLUSION: Functional-based surgical resection aids the safe and complete resection of cavernous angiomas located in eloquent areas while minimizing the surgical risks. Functional mapping has to be considered in such challenging cases.


Sujet(s)
Tumeurs du cerveau/chirurgie , Hémangiome caverneux/chirurgie , Procédures de neurochirurgie , Vigilance/physiologie , Adulte , Sujet âgé , Cartographie cérébrale/méthodes , Stimulation électrique/méthodes , Femelle , Humains , Monitorage neurophysiologique peropératoire , Mâle , Adulte d'âge moyen , Neuronavigation/méthodes , Procédures de neurochirurgie/méthodes , Études rétrospectives
3.
Rev Sci Instrum ; 88(4): 045001, 2017 Apr.
Article de Anglais | MEDLINE | ID: mdl-28456262

RÉSUMÉ

In this study, we propose and demonstrate a nonmechanical compact probe for cross-sectional velocity measurement based on differential laser Doppler velocimetry. The system introduces a method that combines simultaneous multipoint measurement using spatial encoding and nonmechanical scanning of measurement points, in which spatially encoded measurement points aligned along the transverse direction are scanned in the axial direction by changing the wavelength. The use of a waveguide-type LiNbO3 phase shifter array for serrodyne frequency shifting is feasible for the system based on fiber optics with an easily handled probe. To miniaturize the probe, a multimode fiber is introduced in the receiving optics and the parameters of the lens system in the transmitting optics are optimized. For the experiment, an eight-channel probe was assembled on an aluminum plate with an 8 cm × 8 cm area size. The experimental results reveal that the cross-sectional two-dimensional velocity distribution was successfully measured using the easily handled compact probe for the first time.

4.
Br Dent J ; 217(9): E17, 2014 Nov.
Article de Anglais | MEDLINE | ID: mdl-25377846

RÉSUMÉ

OBJECTIVES: Key reforms in England and Japan have called for greater clinical leadership from general dental practitioners to deliver improvements in the quality of care for patients. In England, the reorganisation of the National Health Service has led to the development of Local Professional Networks to ensure services are clinically led, patient and outcome focused. In Japan, the rapidly changing demographics have led to calls for general dental practitioners to become more active in meeting the emerging population health challenges. Both require engagement at a strategic and a local level. However, little is known about what is meant by clinical leadership in dentistry or what training needs exist. The aim of this study was to develop and pilot a questionnaire to understand what general dental practitioners feel is important about clinical leadership and how they rate themselves. METHODS: A 61-item questionnaire was developed from the literature, an earlier qualitative study and refined through cognitive interviews. Questionnaires were distributed to general dental practitioners across the North West of England and Tokyo, using random sequence generation. For each item, the participant had to record whether they thought the statement was an important component of clinical leadership and how they rated themselves. Both were rated using a seven-point Likert scale. Data reduction was undertaken using principal component analysis to examine for factor loadings within the questionnaire. Differences in mean scores were also used to highlight substantive differences in how general dental practitioners rated the different components of leadership and how they rated themselves. RESULTS: The response rate for the pilot was low (22.9% and 7.5% for North West and Tokyo respectively). The items that were considered to be important in leadership reduced to two components in the North West (accounting for 62.1% of the total variance): 'How to lead' and 'How not to lead'. In Tokyo, 56.4% of the total variance was explained by three components: 'Demonstrating personal qualities', 'Working with others' and 'How not to lead'. When the self-rated items were reduced, three factors were found to be important in the North West: 'Working with others', 'Setting direction' and 'Managing services' (55.1% of the variance). 'Working with others', 'Demonstrating personal qualities', 'Pragmatism', 'Setting direction' and 'Improving services' were found to be important in Tokyo (52.8% of the variance). The questionnaire items relating to integrity, team-working and having a positive attitude during difficult times were rated highly by both groups. Items relating to providing vision for team, being assertive and having a positive attitude had the greatest mean difference, suggesting possible areas of training need. CONCLUSION: The nature of the pilot study and the poor response rate makes any conclusion difficult to infer. Among those that participated, leadership was understood to be more important at a practice level rather than at a strategic level. The questionnaire should be refined further based on the results of the pilot and the data reduction.


Sujet(s)
Services de santé buccodentaire/organisation et administration , Dentistes , Leadership , Angleterre , Projets pilotes , Enquêtes et questionnaires , Tokyo
5.
Plant Biol (Stuttg) ; 16(1): 16-21, 2014 Jan.
Article de Anglais | MEDLINE | ID: mdl-23889848

RÉSUMÉ

The objectives of this work using Phaseolus vulgaris were to examine whether the light spectrum incident on mature primary leaves (PLs) is related to leaf-to-leaf systemic regulation of developing trifoliate leaves (TLs) in photosynthetic characteristics, and to investigate the relative importance of spectrum and photosynthetic photon flux density (PPFD) in light-induced systemic regulation. Systemic regulation was induced by altering PPFD and the spectrum of light incident on PLs using a shading treatment and lighting treatments including either white, blue, green or red light-emitting diodes (LEDs). Photosynthetic characteristics were evaluated by measuring the light-limited and light-saturated net photosynthetic rates and the amounts of nitrogen (N), chlorophyll (Chl) and ribulose-1,5-bisphosphate carboxylase/oxygenase (Rubisco; EC 4.1.1.39). Shading treatment on PLs decreased the amounts of N, Chl and Rubisco of TLs and tended to decrease the photosynthetic rates. However, we observed no systemic effects induced by the light spectrum on PLs in this study, except that a higher amount of Rubisco of TLs was observed when the PLs were irradiated with blue LEDs. Our results imply that photoreceptors in mature leaves have little influence on photosynthetic rates and amounts of N and Chl of developing leaves through systemic regulation, although the possibility of the action of blue light irradiation on the amount of Rubisco cannot be ruled out. Based on these results, we concluded that the light spectrum incident on mature leaves has little systemic effect on developing leaves in terms of photosynthetic characteristics and that the light-induced systemic regulation was largely accounted for by PPFD.


Sujet(s)
Lumière , Phaseolus/physiologie , Photosynthèse , Feuilles de plante/physiologie , Photons
6.
Br Dent J ; 215(10): E19, 2013 Nov.
Article de Anglais | MEDLINE | ID: mdl-24231888

RÉSUMÉ

BACKGROUND AND AIMS: Leadership has been argued to be a key component in the transformation of services in the United Kingdom and in Japan. In the UK, local professional networks have developed to provide clinician led care in dentistry; working to develop local plans to deliver improvements in the quality of care for patients. In Japan, the remuneration model for dental care has been revised with the aim to improve the service and tackle the current challenges of population health there. The aim of this study was to use semi-structured interviews and thematic analysis to explore general dental practitioners' (GDPs) understanding of the term 'leadership' and determine whether its meaning is culturally bound. METHODS: Twelve participants were sampled purposively by the research team; identifying GDPs involved in leadership roles from across Greater Manchester and Tokyo. A set of open-ended questions was developed for semi-structured interviews a priori and the interviews continued until saturation. Interviews were recorded, transcribed verbatim and codes were developed into a coding frame for thematic analysis. Representative quotations are provided in the results. RESULTS: Fourteen codes were identified according to the aims of the study and organised into five overarching themes. 'Leadership as the relationship' was more pronounced among Japanese GDPs, while 'leadership as the individual' was common in GDPs from Greater Manchester. Differences were also found in respect of education and training in leadership. Training was also considered to be important by the GDPs from Japan, while UK GDPs felt leaders were more likely to be influenced by innate qualities. The interdependence of leadership and entrepreneurship was raised by both sets of GDPs. CONCLUSION: The concept of leadership was considered to be important by GDPs from both Greater Manchester and Tokyo; leadership was seen as providing strategy and direction for a clinical team. However, cultural influences were evident in how this was conceptualised.


Sujet(s)
Attitude du personnel soignant , Culture (sociologie) , Dentistes/psychologie , Odontologie générale , Leadership , Adulte , Sujet âgé , Soins dentaires/normes , Enseignement dentaire , Angleterre , Entrepreneuriat , Femelle , Humains , Relations interprofessionnelles , Mâle , Adulte d'âge moyen , Équipe soignante , Personnalité , Rôle professionnel , Recherche qualitative , Qualité des soins de santé , Tokyo
7.
J Oral Rehabil ; 40(2): 119-29, 2013 Feb.
Article de Anglais | MEDLINE | ID: mdl-22624951

RÉSUMÉ

There are few review articles in the area of human research that focus on the interactions between occlusion and brain function. This systematic review discusses the effect of occlusion on the health of the entire body with a focus on brain function. Available relevant articles in English from 1999 to 2011 were assessed in an online database and as hard copies in libraries. The selected 19 articles were classified into the following five categories: chewing and tongue movements, clenching and grinding, occlusal splints and occlusal interference, prosthetic rehabilitation, and pain and stimulation. The relationships between the brain activity observed in the motor and sensory cortices and movements of the oral and maxillofacial area, such as those produced by gum chewing, tapping and clenching, were investigated. It was found that the sensorimotor cortex was also affected by the placement of the occlusal interference devices, splints and implant prostheses. Brain activity may change depending on the strength of the movements in the oral and maxillofacial area. Therefore, mastication and other movements stimulate the activity in the cerebral cortex and may be helpful in preventing degradation of a brain function. However, these findings must be verified by evidence gathered from more subjects.


Sujet(s)
Cortex cérébral/physiologie , Occlusion traumatique dentaire/physiopathologie , Occlusion dentaire , Mastication/physiologie , Bruxisme/physiopathologie , Prothèses dentaires , État de santé , Humains , Gouttières occlusales , Langue/physiologie , Dentalgie/physiopathologie
8.
Br J Pharmacol ; 165(4b): 1068-83, 2012 Feb.
Article de Anglais | MEDLINE | ID: mdl-21658026

RÉSUMÉ

BACKGROUND AND PURPOSE: Reduced cardiac contractility has been associated with disrupted myocardial Ca(2+) signalling. The 1,4 benzothiazepine K201 (JTV-519) acts on several Ca(2+) handling proteins and improves cardiac contractility in vivo in a variety of animal models of myocardial dysfunction. However, it is unclear whether this improvement depends on the systemic effects of K201 or if K201 reverses the effects of Ca(2+) dysregulation, regardless of the cause. EXPERIMENTAL APPROACH: The effect of K201 on cardiac mechanical function was assessed in isolated working hearts from adult rabbits, using a ventricular pressure-volume catheter. In separate experiments, the effect of K201 was investigated in hearts following pharmacologically induced Ca(2+) overload using elevated extracellular [Ca(2+) ] ([Ca(2+) ](o) ) and ß-adrenoceptor stimulation. KEY RESULTS: K201 induced a concentration-dependent decline in systolic function (peak pressure, dP/dt(max) and preload recruitable stroke work), lusitropy (reduced dP/dt(min) and increased end diastolic pressure) and stroke volume, independent of decreased heart rate. In separate experiments, mechanical function in hearts exposed to 4.5 mmol·L(-1) [Ca(2+) ](o) and 150 nmol·L(-1) isoprenaline declined until cessation of aortic flow (in 6 out of 11 hearts). However, all hearts perfused with the addition of 1 µmol·L(-1) K201 maintained aortic flow and demonstrated significantly improved peak systolic pressures, dP/dt(max) and dP/dt(min) . CONCLUSIONS AND IMPLICATIONS: K201 significantly improved mechanical function of the heart during Ca(2+) overload. This suggests that K201 can limit the detrimental effects of elevated intracellular Ca(2+) and exert beneficial effects on cardiac contractile function, independent of systemic effects previously observed in vivo.


Sujet(s)
Cardiotoniques/pharmacologie , Coeur/effets des médicaments et des substances chimiques , Thiazépines/pharmacologie , Animaux , Calcium/physiologie , Coeur/physiologie , Techniques in vitro , Mâle , Contraction myocardique/effets des médicaments et des substances chimiques , Myocytes cardiaques/effets des médicaments et des substances chimiques , Myocytes cardiaques/physiologie , Lapins , Récepteurs bêta-adrénergiques/physiologie
9.
Basic Res Cardiol ; 106(6): 1009-22, 2011 Nov.
Article de Anglais | MEDLINE | ID: mdl-21901290

RÉSUMÉ

K201 has previously been shown to reduce diastolic contractions in vivo during ß-adrenergic stimulation and elevated extracellular calcium concentration ([Ca(2+)](o)). The present study characterised the effect of K201 on electrically stimulated and spontaneous diastolic sarcoplasmic reticulum (SR)-mediated Ca(2+) release and contractile events in isolated rat cardiomyocytes during ß-adrenergic stimulation and elevated [Ca(2+)](o). Parallel experiments using confocal microscopy examined spontaneous diastolic Ca(2+) release events at an enhanced spatiotemporal resolution. 1.0 µmol/L K201 in the presence of 150 nmol/L isoproterenol (ISO) and 4.75 mmol/L [Ca(2+)](o) significantly decreased the amplitude of diastolic contractions to ~16% of control levels. The stimulated free Ca(2+) transient amplitude was significantly reduced, but stimulated cell shortening was not significantly altered. When intracellular buffering was taken into account, K201 led to an increase in action potential-induced SR Ca(2+) release. Myofilament sensitivity to Ca(2+) was not changed by K201. Confocal microscopy revealed diastolic events composed of multiple Ca(2+) waves (2-3) originating at various points along the cardiomyocyte length during each diastolic period. 1.0 µmol/L K201 significantly reduced the (a) frequency of diastolic events and (b) initiation points/diastolic interval in the remaining diastolic events to 61% and 71% of control levels respectively. 1.0 µmol/L K201 can reduce the probability of spontaneous diastolic Ca(2+) release and their associated contractions which may limit the propensity for the contractile dysfunction observed in vivo.


Sujet(s)
Calcium/métabolisme , Ventricules cardiaques/effets des médicaments et des substances chimiques , Contraction myocardique/effets des médicaments et des substances chimiques , Myocytes cardiaques/effets des médicaments et des substances chimiques , Thiazépines/pharmacologie , Potentiels d'action/effets des médicaments et des substances chimiques , Potentiels d'action/physiologie , Animaux , Diastole/effets des médicaments et des substances chimiques , Diastole/physiologie , Ventricules cardiaques/métabolisme , Mâle , Microscopie confocale , Contraction myocardique/physiologie , Myocytes cardiaques/métabolisme , Techniques de patch-clamp , Rats , Rat Wistar , Réticulum sarcoplasmique/effets des médicaments et des substances chimiques , Réticulum sarcoplasmique/métabolisme
10.
Br J Cancer ; 104(2): 376-86, 2011 Jan 18.
Article de Anglais | MEDLINE | ID: mdl-21063397

RÉSUMÉ

BACKGROUND: The aim of this study is to find a novel molecular target based on chromosomal alteration and array-based gene expression analyses in bladder cancer (BC). We investigated a cancer testis antigen, LY6K, which is located on chromosome 8q24.3. METHODS: Five BC cell lines were subjected to high-resolution array-comparative genomic hybridisation with 244 000 probes. The expression levels of LY6K mRNA were evaluated in BC cell lines and clinical BC specimens by real-time reverse transcription-PCR. The cell lines were subjected to fluorescence in situ hybridisation of LY6K. Cell viability was evaluated by cell growth, wound healing, and matrigel invasion assays. RESULTS: Typical gained loci (P<0.0001) at 6p21.33-p21.32, 8q24.3, 9q34.13, 11q13.1-q14.1, 12q13.12-q13.13, 16p13.3, and 20q11.21-q13.33 were observed in all of the cell lines. We focused on 8q24.3 locus where LY6K gene harbours, and it was the top upregulated one in the gene profile from the BC cell line. LY6K mRNA expression was significantly higher in 91 BCs than in 37 normal bladder epitheliums (P<0.0001). Fluorescence in situ hybridisation validated that the high LY6K mRNA expression was due to gene amplification in the region where the gene harbours. Cell viability assays demonstrated that significant inhibitions of cell growth, migration, and invasion occured in LY6K knock down BC cell lines; converse phenomena were observed in a stable LY6K transfectant; and LY6K knockdown of the transfectant retrieved the original phenotype from the LY6K transfectant. CONCLUSION: Upregulation of the oncogenic LY6K gene located on the gained locus at 8q24.3 may contribute BC development.


Sujet(s)
Antigènes Ly/génétique , Génome humain , Tumeurs de la vessie urinaire/génétique , Cartographie chromosomique , Protéines liées au GPI/génétique , Techniques de knock-down de gènes , Humains , Hybridation fluorescente in situ , Invasion tumorale , Métastase tumorale , ARN messager/génétique , Petit ARN interférent , RT-PCR , Tumeurs de la vessie urinaire/anatomopathologie
11.
Br J Ophthalmol ; 92(7): 896-900, 2008 Jul.
Article de Anglais | MEDLINE | ID: mdl-18511539

RÉSUMÉ

BACKGROUND/AIMS: Loss of corneal sensation results in the development of persistent corneal epithelial defects. The combination of a substance P-derived peptide (FGLM-amide) and an insulin-like growth factor-1 (IGF-1)-derived peptide (SSSR) stimulates rabbit corneal epithelial migration in vitro and rabbit corneal epithelial wound closure in vivo. The clinical efficacy of eye-drops containing FGLM-amide and SSSR for the treatment of persistent corneal epithelial defects in individuals with neurotrophic keratopathy was examined in a prospective open study. METHODS: Twenty-five consecutive patients (26 eyes) with persistent corneal epithelial defects associated with neurotrophic keratopathy were treated by administration of eye-drops containing FGLM-amide and SSSR. The course of epithelial healing was monitored by slit-lamp examination. RESULTS: Epithelial defects resurfaced completely in 19 of the 26 eyes (73%) within 4 weeks after treatment initiation. Complete resurfacing of epithelial defects was apparent in 18 of 22 (82%) or in one of four (25%) eyes without or with limbal stem cell deficiency, respectively. No adverse effects of treatment were observed in any subject. CONCLUSION: Eye-drops containing FGLM-amide and SSSR induced the rapid resurfacing of persistent epithelial defects in stem cell-positive individuals with neurotrophic keratopathy.


Sujet(s)
Maladies de la cornée/traitement médicamenteux , Oligopeptides/usage thérapeutique , Adulte , Sujet âgé , Sujet âgé de 80 ans ou plus , Cornée/innervation , Maladies de la cornée/étiologie , Maladies de la cornée/anatomopathologie , Maladies de la cornée/physiopathologie , Association médicamenteuse , Épithélium antérieur de la cornée/anatomopathologie , Femelle , Humains , Limbe de la cornée/anatomopathologie , Mâle , Adulte d'âge moyen , Oligopeptides/administration et posologie , Solutions ophtalmiques , Études prospectives , Troubles sensitifs/complications , Troubles sensitifs/traitement médicamenteux , Cellules souches/anatomopathologie , Larmes/métabolisme , Résultat thérapeutique , Acuité visuelle/effets des médicaments et des substances chimiques , Cicatrisation de plaie/effets des médicaments et des substances chimiques
12.
Cardiovasc Res ; 76(2): 236-46, 2007 Nov 01.
Article de Anglais | MEDLINE | ID: mdl-17644079

RÉSUMÉ

OBJECTIVES: The drug K201 (JTV-519) increases inotropy and suppresses arrhythmias in failing hearts, but the effects of K201 on normal hearts is unknown. METHODS: The effect of K201 on excitation-contraction (E-C) coupling in normal myocardium was studied by using voltage-clamp and intracellular Ca(2+) measurements in intact cells. Sarcoplasmic reticulum (SR) function was assessed using permeabilised cardiomyocytes. RESULTS: Acute application of <1 micromol/L K201 had no significant effect on E-C coupling. K201 at 1 micromol/L decreased Ca(2+) transient amplitude (to 83+/-7%) without affecting I(Ca,L) or the SR Ca(2+) content. At 3 micromol/L K201 caused a larger reduction of Ca(2+) transient amplitude (to 60+/-7%) with accompanying reductions in I(Ca,L) amplitude (to 66+/-8%) and SR Ca(2+) content (74+/-9%). Spontaneous SR Ca(2+) release during diastole was induced by increasing intracellular [Ca(2+)]. At 1 micromol/L K201 reduced the frequency of spontaneous Ca(2+) release. The effect of K201 on SR-mediated Ca(2+) waves and Ca(2+) sparks was examined in beta-escin-permeabilised cardiomyocytes by confocal microscopy. K201 (1 micromol/L) reduced the frequency and velocity of SR Ca(2+) waves despite no change in SR Ca(2+) content. At 3 micromol/L K201 completely abolished Ca(2+) waves and reduced the SR Ca(2+) content (to approximately 73%). K201 at 1 micromol/L reduced Ca(2+) spark amplitude and frequency. Assays specific to SR Ca(2+)-ATPase and RyR2 activity indicated that K201 inhibited both SR Ca(2+) uptake and release. CONCLUSIONS: K201 modifies E-C coupling in normal cardiomyocytes. A dual inhibitory action on SERCA and RyR2 explains the ability of K201 to suppress spontaneous diastolic Ca(2+) release during Ca(2+) overload without significantly affecting Ca(2+) transient amplitude.


Sujet(s)
Calcium/métabolisme , Contraction myocardique/effets des médicaments et des substances chimiques , Myocytes cardiaques/métabolisme , Thiazépines/pharmacologie , Animaux , Caféine/pharmacologie , Ventricules cardiaques/métabolisme , Humains , Lapins , Canal de libération du calcium du récepteur à la ryanodine/physiologie , Réticulum sarcoplasmique/métabolisme , Sarcoplasmic Reticulum Calcium-Transporting ATPases/métabolisme , Protéines de liaison au tacrolimus/métabolisme
13.
Acta Neurochir (Wien) ; 148(2): 207-12; discussion 212-3, 2006 Feb.
Article de Anglais | MEDLINE | ID: mdl-16311841

RÉSUMÉ

OBJECT: The author describes a clinical applications, procedure, and efficacy of ultrasonic bone curette (UBC) (bone-removal bar) in spinal surgery. METHODS: From July 2003 to March 2005, we operated on 98 consecutive spinal disorders by using UBC, Sonopet UST-2001; Chiari type-1 malformation (6 cases), cervical disorders (64 cases), thoracic disorders (5 cases), and lumbar disorders (23 cases). The instrument was devoid of any spinning parts, and the risk of grabbing cotton pledgets and damaging normal tissue was thereby avoided. Support from assistants for irrigation and suction was not required. FINDINGS: In this series, there were no iatrogenically induced injuries for example, direct or heat damage to surrounding soft tissues, including nerves, vessels, spinal cord, and dura matter. Considering potential complications of mechanical injuries by ultrasonic technique, intermittent usage and cotton protection during use under an operating microscope are recommended. We found that the ultrasonic device is easy to handle; however, it is time consuming for removing a large amount of bone and ossified lesions. Therefore, we recommend the combined use of this method with standard drilling. CONCLUSIONS: This system appears to be versatile, safe, and efficient in spinal surgery and could be improved by the development of a better handpiece.


Sujet(s)
Curetage/instrumentation , Procédures de neurochirurgie/instrumentation , Ostéotomie/instrumentation , Maladies du rachis/chirurgie , Rachis/chirurgie , Ultrasonothérapie/instrumentation , Sujet âgé , Malformation d'Arnold-Chiari/imagerie diagnostique , Malformation d'Arnold-Chiari/physiopathologie , Malformation d'Arnold-Chiari/chirurgie , Calcinose/physiopathologie , Calcinose/chirurgie , Curetage/effets indésirables , Curetage/méthodes , Femelle , Fièvre/prévention et contrôle , Température élevée/effets indésirables , Humains , Complications peropératoires/étiologie , Complications peropératoires/physiopathologie , Complications peropératoires/prévention et contrôle , Ligament jaune/anatomopathologie , Ligament jaune/chirurgie , Ligaments longitudinaux/anatomopathologie , Ligaments longitudinaux/chirurgie , Mâle , Adulte d'âge moyen , Procédures de neurochirurgie/effets indésirables , Procédures de neurochirurgie/méthodes , Ostéotomie/effets indésirables , Ostéotomie/méthodes , Maladies du rachis/imagerie diagnostique , Maladies du rachis/physiopathologie , Rachis/imagerie diagnostique , Rachis/anatomopathologie , Tomodensitométrie , Résultat thérapeutique , Ultrasonothérapie/effets indésirables , Ultrasonothérapie/méthodes
14.
AIDS Res Hum Retroviruses ; 20(8): 860-70, 2004 Aug.
Article de Anglais | MEDLINE | ID: mdl-15320990

RÉSUMÉ

The aim of this study was to evaluate the immunological responses induced by DNA plasmids containing HIV regulatory genes administered in combination in HIV-1-infected patients with pretreatment with highly active antiretroviral treatment (HAART). The study is a double-blind, randomized, and placebo-controlled study, including 15 asymptomatic HIV-1-infected patients on stable HAART for at least 6 months and with plasma HIV RNA levels below 50 copies/ml. Ten patients received a combination of rev, tat, and nef intramuscularly (im) at weeks 0, 4, and 16 at increasing doses giving totals of 300 (100 x 3), 900 (300 x 3), and 1800 (600 x 3) micrograms DNA. Five patients received saline in the same amounts im. Antigen-specific cytotoxic T lymphocyte (CTL) levels were preserved or increased and new T lymphocyte proliferative responses were induced in the group immunized with the HIV DNA genes. No increase in antibody levels was noted. Despite a 10-fold higher vaccine dose, patients on HAART did not respond better to vaccination compared to non-HAART patients included in a previous study where the genes were administered separately. Combining the regulatory genes rev, tat, and nef in increasing doses may reduce the anticipated augmentation of HIV-specific T cell proliferative and CTL responses. Viral suppression did not seem to further improve the initial vaccine responses of patients with comparable CD4 levels.


Sujet(s)
Vaccins contre le SIDA/immunologie , Infections à VIH/immunologie , Infections à VIH/thérapie , VIH-1 (Virus de l'Immunodéficience Humaine de type 1) , Vaccins à ADN/immunologie , Vaccins contre le SIDA/administration et posologie , Agents antiVIH/usage thérapeutique , Antigènes viraux/biosynthèse , Thérapie antirétrovirale hautement active , Méthode en double aveugle , Gènes viraux , VIH-1 (Virus de l'Immunodéficience Humaine de type 1)/génétique , VIH-1 (Virus de l'Immunodéficience Humaine de type 1)/immunologie , Humains , Vaccins à ADN/administration et posologie , Charge virale
15.
Chemosphere ; 45(8): 1129-37, 2001 Dec.
Article de Anglais | MEDLINE | ID: mdl-11695626

RÉSUMÉ

Total diet study (TDS) samples of 14 food groups from 16 locations in Japan, collected in 1999 and 2000, were analyzed for polychlorinated dibenzo-p-dioxins (PCDDs), dibenzofurans (PCDFs), and dioxin-like polychlorinated biphenyls (dioxin-like PCBs) to estimate the update of daily intake of these contaminants from food. The mean daily intake of toxic equivalency (TEQ) for an adult weighing 50 kg, calculated at non-detected isomer concentrations equal to zero (ND = 0), was estimated to be 2.25 pg TEQ/kg b.w./day. When non-detected isomer concentrations are assumed to be equal to half of the limits of detection (ND = 1/2 LOD), the mean daily intake was estimated to be 3.22 pg TEQ/kg b.w./day. These values were below the tolerable daily intake (TDI) of 4 pg TEQ/kg b.w. for PCDD/Fs and dioxin-like PCBs set in Japan. In both the estimates, the mean daily intakes were highest from fish and shellfish (76.9% at ND = 0 and 53.9% at ND = 1/2 LOD of the total TEQs), followed by those from meat and eggs (15.5% at ND = 0 and 11.7% at ND = 1/2 LOD of the total TEQs). Congener specific data revealed that these total TEQ levels were dominated by 1,2,3,7,8-PeCDD, 2,3,4,7,8-PeCDF and 3,3',4,4',5-PeCB in each case (71.7% at ND = 0 and 63.1% at ND = 1/2 LOD of the total TEQs). The dioxin-like PCBs (non-ortho and mono-ortho PCBs) accounted for about 50% of these total TEQs. These data will be very useful in the risk assessment of PCDD/Fs and dioxin-like PCBs from food in Japan.


Sujet(s)
Benzofuranes/analyse , Régime alimentaire , Exposition environnementale , Polluants environnementaux/analyse , Contamination des aliments , Polychlorobiphényles/analyse , Dibenzodioxines polychlorées/analogues et dérivés , Dibenzodioxines polychlorées/analyse , Adulte , Benzofuranes/pharmacocinétique , Dibenzofuranes polychlorés , Polluants environnementaux/pharmacocinétique , Humains , Japon , Polychlorobiphényles/pharmacocinétique , Dibenzodioxines polychlorées/pharmacocinétique , Appréciation des risques
16.
Shokuhin Eiseigaku Zasshi ; 42(1): 18-23, 2001 Feb.
Article de Japonais | MEDLINE | ID: mdl-11383152

RÉSUMÉ

The daily dietary intake of aluminum was estimated through a total diet study from 1996 to 1998. In ten institutes, total diet study samples were prepared and their aluminum concentration was determined. The average daily intake of aluminum was 3.5 mg and the range was 1.8-8.4 mg. The validity of the analytical result was supported by analyses of certified reference materials.


Sujet(s)
Aluminium/analyse , Analyse d'aliment/méthodes , Régime alimentaire , Études multicentriques comme sujet
17.
Res Exp Med (Berl) ; 200(2): 77-92, 2001 Jan.
Article de Anglais | MEDLINE | ID: mdl-11271515

RÉSUMÉ

The localization of annexin V, a calcium binding protein, was immunochemically and immunohistologically studied in experimental rat glomerulonephritis using annexin V polyclonal antibody. Plasma and urinary annexin V levels were measured by a sandwich enzyme-linked immunosorbent assay (ELISA). Urinary annexin V level, which was correlated with urinary L-lactate dehydrogenase activity, N-acetyl-beta-D-glucosaminidase activity and protein level, increased time-dependently after the injection of nephritogenic antigen (bovine glomerular basement membrane), progressively increasing to attain a peak level at 4 weeks of 51.5 +/- 11.3 ng/h. However, plasma annexin V level showed no increase during the study period. Normal kidneys showed strong staining for annexin V in distal tubules, being particularly strong in tubules of the inner stripe of the outer medulla, but could not be detected in proximal tubules. Annexin V was seen in visceral epithelial cells. Bowman's capsule of the glomerulus, the vascular endothelium of arterioles and interlobular arteries, and vascular smooth muscle. In nephritis, the lumen of distal tubules and the luminal cell membrane were deeply stained, with leakage of annexin V being observed from tubular cells. In the present study, renal annexin V was markedly excreted into urine, and its urinary level reflected the severity of damage of renal tissue and the progression of nephritis. These changes of annexin V in the distal tubule and visceral epithelial cells may be of significance in cell injury of the kidney.


Sujet(s)
Annexine A5/métabolisme , Glomérulonéphrite/métabolisme , Rein/métabolisme , Animaux , Technique de Western , Test ELISA , Glomérulonéphrite/anatomopathologie , Rein/anatomopathologie , Rats
18.
Analyst ; 126(11): 2061-5, 2001 Nov.
Article de Anglais | MEDLINE | ID: mdl-11763092

RÉSUMÉ

The aim of this paper is to compare the reliability of two approaches to estimate the 95% confidence intervals of linear calibration in real situations. One is the statistical approach, which is well known in statistics, and the other is the probabilistic approach, which is based on a theory to predict the precision of instrumental analyses mainly from signal and noise, called FUMI (Function of Mutual Information) theory. The high-performance liquid chromatographic determination of quisalofop and maltose is taken as an example. Calibration lines obtained under the same experimental conditions are superimposed on the 95% confidence intervals to investigate whether the resulting confidence intervals can include all the calibration lines reasonably. A pair of 95% confidence intervals (upper and lower limits) can be calculated from each calibration line, but varies from calibration line to calibration line, although obtained under the same experimental conditions. The variability and reliability of the 95% intervals are also examined.


Sujet(s)
Calibrage , Chromatographie en phase liquide à haute performance/statistiques et données numériques , Intervalles de confiance , Maltose/analyse , Probabilité , Reproductibilité des résultats
19.
J Infect Dis ; 182(5): 1511-4, 2000 Nov.
Article de Anglais | MEDLINE | ID: mdl-11023474

RÉSUMÉ

Of 21,791 pregnant women screened in Tottori Prefecture, Japan, 127 (0.58%) were positive for anti-hepatitis C virus (HCV) antibody and 84 (0.39%) were positive for HCV RNA. Of 84 children followed up for at least 6 months, 7 (8%) were infected. All of them were born to 26 mothers with a high virus load (HVL; >/=2.5x106 RNA copies/mL [27%]), compared with 0 of 58 children born to non-HVL mothers (P<.001). Because all the infected children were vaginally delivered, the infection rate among 16 vaginally delivered children born to the HVL mothers was as high as 44%. The prevalence of anti-NS4 antibody in the mothers with an infectious HVL was significantly lower than that in the mothers with a noninfectious HVL (P=.048). Analysis of our results suggests that maternal HVL, vaginal delivery, and negative anti-NS4 antibody are significant risk factors for the mother-to-child transmission of HCV.


Sujet(s)
Anticorps de l'hépatite C/sang , Hépatite C/transmission , Transmission verticale de maladie infectieuse , ARN viral/analyse , Protéines virales non structurales/immunologie , Accouchement (procédure) , Femelle , Hépatite C/virologie , Humains , Grossesse , Études prospectives , Facteurs de risque
20.
J Cell Biol ; 150(3): 553-66, 2000 Aug 07.
Article de Anglais | MEDLINE | ID: mdl-10931867

RÉSUMÉ

To learn how nebulin functions in the assembly and maintenance of I-Z-I bands, MYC- and GFP- tagged nebulin fragments were expressed in primary cultured skeletal myotubes. Their sites of incorporation were visualized by double staining with anti-MYC, antibodies to myofibrillar proteins, and FITC- or rhodamine phalloidin. Contrary to expectations based on in vitro binding studies, none of the nebulin fragments expressed in maturing myotubes were incorporated selectively into I-band approximately 1.0-micrometer F-alpha-actin-containing thin filaments. Four of the MYC/COOH-terminal nebulin fragments were incorporated exclusively into periodic approximately 0.1-micrometer Z-bands. Whereas both anti-MYC and Rho-phalloidin stained intra-Z-band F-alpha-actin oligomers, only the latter stained the pointed ends of the polarized approximately 1.0-micrometer thin filaments. Z-band incorporation was independent of the nebulin COOH-terminal Ser or SH3 domains. In vitro cosedimentation studies also demonstrated that nebulin SH3 fragments did not bind to F-alpha-actin or alpha-actinin. The remaining six fragments were not incorporated into Z-bands, but were incorporated (a) diffusely throughout the sarcoplasm and into (b) fibrils/patches of varying lengths and widths nested among normal striated myofibrils. Over time, presumably in response to the mediation of muscle-specific homeostatic controls, many of the ectopic MYC-positive structures were resorbed. None of the tagged nebulin fragments behaved as dominant negatives; they neither blocked the assembly nor induced the disassembly of mature striated myofibrils. Moreover, they were not cytotoxic in myotubes, as they were in the fibroblasts and presumptive myoblasts in the same cultures.


Sujet(s)
Protéines du muscle/isolement et purification , Muscles squelettiques/ultrastructure , Actinine/métabolisme , Actines/métabolisme , Animaux , Différenciation cellulaire , Embryon de poulet , Colorants fluorescents , Protéines du muscle/génétique , Protéines du muscle/métabolisme , Fragments peptidiques/génétique , Fragments peptidiques/isolement et purification , Fragments peptidiques/métabolisme , Phalloïdine , Liaison aux protéines , Protéines proto-oncogènes c-myc/génétique , Protéines proto-oncogènes c-myc/métabolisme , Protéines de fusion recombinantes/métabolisme , Coloration et marquage , Domaine d'homologie SRC
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