[A 12 hour indoor cycling marathon leads to a measurable decrease of adipose subcutaneous tissue]. / Ein 12-stunden-Indoor-Cycling-Marathon führt zu einem messbaren Abbau des subkutanen Fettgewebes.

In a 12 hour indoor cycling marathon, an athlete has lost 0.4 to 1.2 kg of body mass depending on the time of measurement. Fat mass has decreased by 0.9 kg independent of the time of measurement. Calculated skeletal muscle mass increased by 0.27 to 0.67 kg - depending on the time of measurement. Due to the specific weight of urine, a possibly minimum dehydration was objectified, whereas specific weight right after exercise and 24 h after exercise had the same value. We assume that there was a substantial loss of fat mass, since repeated measurements after exercise showed an increasingly lower body weight and a constantly lower fat mass after exercise independent of the time of measurement. Increase of calculated muscle mass is considered to be due to an intramuscular oedema. In order to confirm results obtained in a case study, a larger number of athletes would have to be analyzed. A possible oedema would have to be objectified by a bioelectrical impedance analysis.

[Fusion implants of carbon fiber reinforced plastic]. / Fusionsimplantate aus kohlenstofffaserverstärktem Kunststoff.

Carbon fiber reinforced plastics (CFRP) are used in the medical field when high mechanical strength, innovative design, and radiolucency (see spinal fusion implants) are needed. During the manufacturing process of the material CFRP carbon fibers are embedded into a resin matrix. This resin material could be thermoset (e.g., epoxy resin EPN/DDS) or thermoplastic (e.g., PEAK). CFRP is biocompatible, radiolucent, and has higher mechanical capabilities compared to other implant materials. This publication demonstrates the manufacturing process of fusion implants made of a thermoset matrix system using a fiber winding process. The material has been used clinically since 1994 for fusion implants of the cervical and lumbar spine. The results of the fusion systems CORNERSTONE-SR C (cervical) and UNION (lumbar) showed no implant-related complications. New implant systems made of this CFRP material are under investigation and are presented.

A neural network approach to the acoustic startle reflex and prepulse inhibition.

Prepulse inhibition (PPI) is the normal suppression of the startle reflex when an intense stimulus is preceded by a weak non-startling prestimulus. PPI is widely used as a model for sensorimotor gating processes and has been shown to be impaired in various neuropsychiatric disorders, including schizophrenia. We have reproduced startle-like behavior and basic PPI modifications with a neural network. The network design was constrained by the attempt (1) to use as few connections as possible and (2) to relate neuroanatomical structures to the simulated network. Performance of the network was evaluated by the behavior of the simulated motor neurons in response to prepulse and pulse stimuli presented with various lead intervals and prepulse intensities. A delayed inhibitory pathway via the pedunculopontine nucleus (PPTg) to the caudal pontine reticular nucleus was found to be a necessary but insufficient requirement to reproduce basic PPI output patterns. Additional requirements included (a) a low threshold at or below the caudal pontine reticular formation, (b) signal amplification in the inhibitory pathway and (c) prolongation of activity in the inhibitory pathway. On the grounds of the most appropriate output patterns of the simulations, we propose a mechanism of sustained activation in the PPTg due to recursive connections. Relations between stimuli, behavior (motor output) and the underlying architecture are discussed. Potentially, this modeling technique can be extended to investigate the impact of drugs and higher brain regions on PPI.

Simulator trials to determine the wear of the combination aluminium oxide ceramic-carbon fibre reinforced plastic (CFRP) used as an insert in a hip socket.

Hip simulator trials were conducted to determine the initial wear between alumina femoral heads and carbon fibre reinforced plastic (CFRP, CAPROMAN) insert in a titanium socket. A force of 2500 N and a frequency of 0.857 H were applied. Using surface and sphericity measurement techniques, the amount of wear was determined. After 500,000 cycles, the centre of the head had moved by 10 microm into the insert, and the average radius increased by 2 microm. After 1 million cycles, the additional changes were less than 1 microm. Based on an examination of retrieved implants (wear rate: 6.1 microm/year) and based on the simulator results, the combination alumina-CFRP inserts could be approved for total hip replacement.

Tribological investigations of the wear couple alumina-CFRP for total hip replacement.

Wear debris is the main reason for aseptic loosening in total hip. Most troublesome is the wear of polyethylene cups. Ceramic femoral heads were introduced about 20 years ago. The combination ceramic-on-polyethylene reduces the wear rate and the loosening rate. But cups of polyethylene are still the weakest link in a hip prosthesis. Carbon fibre reinforced plastic (CFRP) was proposed as an alternative for polyethylene. Various test were performed to study the combination metal-on-CFRP, zirconia-on-CFRP, and alumina-on-CFRP. The simulator tests showed that the wear rate of alumina-on-CFRP is in the order of 1-3 microm per year. Based on investigation of retrieved implants the wear rate is 6.3 microm per year. Based on these results the combination alumina femoral heads (Biolox-forte) and CFRP cups (Caproman) could be approved for total hip replacement.

Wear characteristics of ceramic-on-ceramic for hip endoprostheses.

Femoral ball heads of aluminium oxide or zirconium oxide ceramics are used for total hip replacement. This application is based on their attractive tribological properties. Standard and state-of-the-art are femoral ball heads made of alumina (Al2O3) articulating against acetabular cups of polyethylene (PE-UHMW) and zirconia (Y-TZP) heads articulating against polyethylene cups. A very attractive wear couple is ceramic-on-ceramic. Some of the various ceramic combinations have been tested using the ring-on-disc method according to ISO 6474. The combination alumina/alumina was found to produce extremely low wear; catastrophic wear was found for the combinations alumina/Y-TZP and Y-TZP/Y-TZP.

D1 dopamine receptors are not expressed in human melanoma.

D1 dopamine receptor mRNA has been demonstrated in mouse melanoma cells, and the expression of these G-protein-coupled receptors in human melanoma was therefore presumed when dopamine receptor binding radiopharmaceuticals were found to be useful for the detection of metastases in whole-body scintigraphy. The aim of this study was thus to investigate if D1 dopamine receptor mRNA or protein could be directly demonstrated in melanoma cells. The presence of D1 dopamine receptor mRNA was investigated in six human melanoma cell lines from metastases using reverse transcriptase-polymerase chain reaction (RT-PCR). In addition, in vitro binding assays with the D1 dopamine receptor agonist 125I-Sch 23982 were performed in 19 melanoma metastases. No D1 dopamine receptor mRNA could be detected by RT-PCR. All melanotic metastases were found to accumulate 125I-Sch 23982, with the presence of binding sites and intensity of 125I-Sch 23982 labelling correlating to the amount of melanin present in the metastases. Two amelanotic melanomas did not accumulate 125I-Sch 23982. D1 dopamine receptors could not be detected by means of RT-PCR or in vitro binding assays in human melanomas. Detection of antagonists is best explained by non-specific binding to melanin.

[Tribological properties of carbon fiber-reinforced plastic. Experimental and clinical results]. / Tribologische Eigenschaften von kohlenstoffaserverstärktem Kunststoff (CFK). Experimentelle und klinische Ergebnisse.

Wear of the articulating components (especially PE-UHMW) of total hip endoprostheses is the most important technical factor limiting the functional lifetime. To minimize wear debris, ceramic heads, according to ISO 6474 (Al2O3), have been used, from 1969 paired with Al2O3 and since 1975 paired with PE-UHMW. Al2O3 balls articulating with cups made from CFRP have been in clinical use since 1988. Laboratory experiments and in-vivo testing showed minimized wear debris and mild biological response to wear products using CFRP (carbon fiber reinforced plastic) instead of PE-UHMW as the cup material. The articulating surfaces of retrieved ceramic heads (Al2O3-Biolox) and cementless CFRP cups (carbon fiber reinforced plastic, Caproman) were compared using sphericity measurement techniques, scanning electron microscopy (SEM) and roughness measurements (including advanced roughness parameters Rvk or Rpk according to ISO 4287). Altogether, the first results of the clinical study showed that the combination Al2O3-ball/CFRP-cup came up to the expected lower wear rates compared with the conventional combinations. The wear rates are comparable with the combination Al2O3/Al2O3 without the material-related problems of ceramic components in all ceramic combinations.

[Load bearing capacity of CFK hip prosthesis with ceramic femoral heads]. / Belastbarkeit von CFK-Hüftprothesen mit keramischen Kugelköpfen.

Wear of the articulating surfaces of mating components of total hip endoprostheses is the most important technical factor limiting the functional lifetime of the prosthesis. Biolox ceramic femoral heads have been used successfully throughout the world for more than 20 years. In vitro tests and clinical results show that the artificial modular hip joint system employing a Caproman stem and a ball made of Biolox or Biolox -forte is resistant to mechanical failure. The threshold values for burst load and cyclic load prescribed by the FDA are achieved or bettered. Clinical results support those of the in vitro tests. The femoral head made of Biolox or Biolox -forte used in combination with cups and stems made of Caproman thus complies with the required standards.

Wear characteristics of sliding pairs of zirconia (Y-TZP) for hip endoprostheses.

Femoral ball heads made of aluminium or zirconium oxide ceramics are used for total hip replacement. This application is based on their attractive tribological properties. Standard and state-of-the-art with good wear properties are femoral ball heads made of alumina (Al2O3) articulating against polyethylene (PE-UHMW) acetabular cups (since 1974) and zirconia (Y-TZP) heads articulating against polyethylene cups (since 1986). The best tribological combinations are alumina heads articulating against alumina cups. Zirconia has better mechanical properties (for example, bending strength or fracture toughness) than alumina. Therefore R&D is going on to design zirconia acetabular cups. The wear characteristics of zirconia (Y-TZP) articulating against itself were investigated using a ring-on-disc testing device according to ISO 6474. The high wear rate emphasized that medical-grade zirconia (Y-TZP according to ISO/ DIS 13356) should not be used for acetabular cups.

Human myeloblastin (leukocyte proteinase 3): reactions with substrates, inactivators and activators in comparison with leukocyte elastase.

Human myeloblastin (leukocyte proteinase 3) shares many biochemical properties with leukocyte elastase, but rapidly loses enzymatic activity when raising the pH and/or the ionic strength of an acidic solution or when handled in glass vessels. This poses limits to kinetic experiments requiring long incubation times. After purification, myeloblastin was conveniently stored in a glycine/HCl buffer at pH 3.2, while assays were performed in sodium/potassium phosphate buffer at pH 7.0, ionic strength 0.11, in the presence of 0.05% w/v Triton X-100 and taking care to avoid any contact with glass surfaces. The kinetic parameters of leukocyte elastase and myeloblastin with peptide substrates, irreversible inactivators and glycosaminoglycans were compared under these conditions. MeO-succinyl-Lys(2-picolinoyl)Ala-Pro-Val-4-nitroanilide, an excellent substrate for leukocyte elastase, also proved to be a good substrate for myeloblastin (Km = 16 microM, kcat/Km = 30,600 M(-1)s(-1)). Inactivation of myeloblastin by 3,4-dichloroisocoumarin (ki/Ki = 6,389 M(-1)s(-1)) and MeO-Suc-Ala-Ala-Pro-Val-chloromethane (ki/Ki = 579 M(-1) S(-1)) occurred via a two-step, irreversible complexing mechanism with potencies one-half and one-fifth that of leukocyte elastase, respectively. Glycosaminoglycans such as chondroitin sulfate, dermatan sulfate and a chondroitin polysulfate, interacted with myeloblastin as non-essential activators in the presence of peptide substrates (activation up to a 6.7-fold factor) and as partial inhibitors (about 50% inhibition at saturation) in the presence of elastin. This property distinguishes myeloblastin from leukocyte elastase, which is always inhibited by glycosaminoglycans, independently of the substrate.

pH-dependent hysteretic behaviour of human myeloblastin (leucocyte proteinase 3).

Human myeloblastin (leucocyte proteinase 3) showed a very slow approach to the steady-state velocity when the pH was rapidly increased from 3.2 to 7.0. The kinetic mechanism of this hysteretic process was interpreted as a slow conformational change of myeloblastin from an inactive form at acidic pH to the active form at neutral pH. The transition between the two enzyme forms could occur spontaneously in the absence of substrates with a first-order rate constant of 0.0033 s-1. In the presence of peptide substrates activation occurred more rapidly: the observed rate constant was linearly dependent upon the substrate concentration and contained a contribution of the spontaneous as well as of the substrate-dependent process, whose second-order rate constant was characteristic of the particular substrate. This pH-dependent phenomenon of hysteresis on the part of myeloblastin, that is not manifested by the closely related leucocyte elastase, may have a physiological control function during phagocytosis by damping the rate of interconversion between enzymically inactive and active enzyme conformations.

[Biomechanics of healing of cortical autotransplants after intramedullary nailing and device removal]. / Biomechanik der Heilung kortikaler Autotransplantate nach Marknagelung und Materialentfernung.

The aim of the study was to investigate the biomechanical properties of segmental cortical autografts subjected to extracorporeal treatment. For this purpose, 12 beagle dogs were submitted to tibial osteotomy, when 25 mm-long diaphyseal segments of bone were removed and treated outside the body by autoclaving or gamma radiation (Co, 5 kGy). Subsequently, osteosynthesis involving the use of medullary nailing was performed. After 36 weeks, the dogs were killed painlessly and, after removing the nails, the tibias were tested for the biomechanical properties. In comparison with the contralateral tibia, a mean stiffness of 47% and 32% was measured for tibia treated by irradiation and autoclaving, respectively, while bending showed an increase of up to 590%. These results show the need to allow plenty of time for healing in the case of weightbearing transplants. When bealing is undisturbed, no biomechanical differences are found between proximal and distal osteotomies, although in the X-ray image the osteotomy gap (fracture line) remains visible, and scintigraphic activity persists for a longer period. This means that the radiological aspect of the former does not necessarily reflect actual biomechanical strength.

The cerebral hemispheres and neural network simulations: design considerations.

The conclusions concerning hemispheric specializations based on neural network simulations, which were previously reported by Kosslyn, Chabris, Marsolek, and Koenig (1992), are shown not to be valid. Differences in network performance on tasks said to be "categorical" and "coordinate spatial" in nature were due to imbalances in the input stimuli and cannot, in principle, be related to differences in performance on such tasks in human subjects. The use of truth tables and correlation coefficients in the design of neural networks is discussed.

[Preservation and sterilization of cortical bone--biomechanical studies of the rat]. / Konservierung und Sterilisation von Kortikalis--biomechanische Untersuchungen an der Ratte.

The biomechanical properties of cryopreserved, autoclaved, irradiated and chemically treated cortical bone harvested from rat tibiae were evaluated in three-point bending. Biomechanical parameters (maximum bending load, deflection, failure energy and stiffness) are not altered by cryopreservation (-70 degrees C, 28 days) or irradiation with doses of 1 kGy or 5 kGy. The maximum bending load of autoclaved (134 degrees C, 3 min) or irradiated (25 kGy) cortical bone is reduced to 82% and 74% compared that of controls tested immediately after death (100% = 74.4 +/- 6.6 N). Extension of the autoclaving time from 3 to 5 min or irradiation with 50 kGy diminishes the bending load (28% after autoclaving, 48% after irradiation), deflection and failure energy. Stiffness is altered by autoclaving only. If a sterilization process is combined with deep freezing, better biomechanical values are obtained by sterilizing the bone before deep freezing than vice versa. The bending loads for autoclaving and irradiation before deep freezing are 68.8 +/- 9.4 N and 50.8 +/- 7.9 N, as against 51.7 +/- 2.7 N and 43.1 +/- 3.9 N for autoclaving and irradiation of previously cryopreserved bone. Whereas treating bone with tetrahydrofurane does not alter its biomechanical behavior, 80% ethanol leads to a reduction of structural properties.

[Experimental studies of the biomechanical properties of hollow nails and solid nails for interlocking intramedullary nailing in the dog]. / Experimentelle Untersuchungen über die biomechanischen Eigenschaften von Hohlnägeln und Vollnägeln zur verriegelbaren Marknagelung am Hund.

Since locked intramedullary nailing of the tibia in dogs was followed by material failure of the conventional slotted hollow nails within days, special solid nails were developed and tested with respect to their mechanical properties. There was a clear advantage of the solid nails over the hollow nails in terms of bending resistance and yield force. In animal experiments--even in long-term experiments over nine months--no case of material failure occurred with the solid nails. The high torsional and bending resistance of the solid nails suggests the use of a mechanical device which, as our experience shows, permits reliable interlocking without the need for an image intensifier, that is to say, without radiation exposure.

Hemispheric cooperation in visuospatial rotations: evidence for a manipulation role for the left hemisphere and a reference role for the right hemisphere.

A survey of mental rotation strategies in 210 normal subjects showed a strong tendency for right-handers to prefer rotating an object on the right and vice versa for left-handers. The differential functioning of the cerebral hemispheres during mental rotation was then assessed in 42 subjects by means of tachistoscopic presentation of two geometrical figures separately to the left and right visual fields--one of which was gravitationally stable and the other unstable. Performance was better when the unstable object was presented to the right visual field and the stable object to the left. This finding is interpreted as indicating more efficient hemispheric cooperation when the active manipulation of a mental image is performed by the left hemisphere, while the reference role is carried out by the right hemisphere.

[Biomechanical studies of change in the patellar tendon after transplant removal]. / Biomechanische Untersuchungen zur Veränderung der Patellarsehne nach Transplantatentnahme.

The reconstruction of the anterior cruciate ligament deficient knee with the patellar tendon is the "gold standard". Dislocation of the patella, rupture of the patellar tendon and fracture of the patella were reported to occur. In this biomechanical investigation on the changes of the patellar tendon following harvesting of a graft, 51 sheep knee underwent destructive testing at t0 (n = 11), 4 weeks p.op. (n = 5), 3 months p.op. (n = 14), 6 months p.op. (n = 15), and 12 months p.op. (n = 6). Harvesting of a graft produces a stiffness and strength of the patellar tendon of 50-70% of normal. There was no significant change of free patellar tendon length up to 12 months p.op. The cross-sectional area is definitely increased (p < 0.05). The tensile stress is always above normal, nevertheless the strength shows a massive decline until 6 months p.op. and does not regain normal strength by one year p.op. Stiffness shows comparable biomechanical pattern like tensile stress. There are time-dependent changes, the structural weakness is compensated by an increase of cross-sectional area. There is no restitution of the patellar tendon ad integrum, the remainder is a defect with scar tissue and alterated biomechanical properties. Revision surgery using the same host patellar tendon cannot be recommended.