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1.
Poult Sci ; 95(4): 966-73, 2016 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-26908881

RESUMEN

Partial ablation of the uropygial gland is being used in the poultry industry as a new way to enhance body performance of chickens. However, limited data are available estimating the efficacy of partial uropygialectomy (PU) to improve body organ activity. The present study evaluated the effect of partial ablation of the uropygial gland on the serum growth hormone concentration level and digestive system histology of 120 Akar Putra chickens in 5 trials with 3 replicates per trial. The experimental treatments consisted of a control treatment T1; partial ablation of the uropygial gland was applied in the T2, T3, T4, and T5 treatments at 3, 4, 5, and 6 wk of age, respectively. Feed and water were provided ad libitum. All treatment groups were provided the same diet. Venous blood samples were collected on wk 7, 10, and 12 to assay the levels of growth hormone concentration. On the last d of the experiment, 4 birds per replicate were randomly isolated and euthanized to perform the necropsy. Digestive system organs' cross sections were measured by a computerized image analyzer after being stained with haematoxylin and eosin. In comparison with the control group, surgical removal of the uropygial gland, especially at wk 3, had a greater (P<0.01) effect on the total duodenum, jejunum, and ilium wall thickness. In addition, effects (P<0.05) were observed on the wall thickness of males' cecum and colon. Moreover, the wall layers of the esophagus, proventriculus, gizzard, and rectum were not affected by the treatment. However, removing the uropygial gland showed significant impact (P<0.05) in males' growth hormone concentration level at wk 7 and (P<0.01) effects at wk 12 in both sexes. This study provides a novel and economic alternative to enhance the body performance of poultry in general and Akar Putra chickens particularly.


Asunto(s)
Pollos/anatomía & histología , Pollos/metabolismo , Glándulas Exocrinas/cirugía , Tracto Gastrointestinal/anatomía & histología , Hormona del Crecimiento/sangre , Animales , Femenino , Masculino , Distribución Aleatoria
2.
Mymensingh Med J ; 21(1): 179-83, 2012 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-22314479

RESUMEN

Ankylosing spondylitis is the most common whereas ankylosing tarsitis is the least common subgroup of juvenile onset spondyloarthritides. In our recent study a male presented with ankle joint pain and swelling with limited movements and characteristic radiological changes including; periarticular swelling, thickened heel pad, hyperostosis and reduced ankle, calcaneo-cuboid and talo-navicular joint space for ankylosing tarsitis. He also had persistent inflammatory low back pain with radiological sacroilitis satisfying the clinical features for ankylosing spondylitis. The patient was treated with different anti-inflammatory agents including intra-articular methyl-prednisolone with short-term relief. Associated back pain was improved with spine mobilizing exercise.


Asunto(s)
Espondilitis Anquilosante/complicaciones , Huesos Tarsianos/patología , Adulto , Pie/diagnóstico por imagen , Humanos , Inflamación , Masculino , Radiografía , Sacroileítis/complicaciones , Sacroileítis/diagnóstico por imagen
3.
Mymensingh Med J ; 31(4): 1202-1205, 2022 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-36189573

RESUMEN

Cough, hemoptysis, chest pain, and weight loss are classic symptoms of bronchial carcinoma. Small cell lung cancer presents late with obviously abnormal chest radiographs and with bulky, usually mediastinal lymph node involvement. Dysphagia rarely occurs in patients with bronchial carcinoma. There are many causes of dysphagia in bronchial carcinoma such as mediastinal lymphadenopathy, direct tumor invasion of the mediastinum, radiotherapy, secondary achalasia. This report presents a case of progressive dysphagia to solid foods and weight loss of a 28-year-old male, non-smoker due to subcarinal lymph node enlargement from metastatic bronchial adenocarcinoma.


Asunto(s)
Adenocarcinoma , Carcinoma Broncogénico , Trastornos de Deglución , Neoplasias Pulmonares , Linfadenopatía , Adenocarcinoma/patología , Adulto , Carcinoma Broncogénico/patología , Trastornos de Deglución/etiología , Humanos , Neoplasias Pulmonares/patología , Ganglios Linfáticos/diagnóstico por imagen , Metástasis Linfática/patología , Masculino , Mediastino , Estadificación de Neoplasias , Pérdida de Peso
4.
Mymensingh Med J ; 19(2): 290-3, 2010 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-20395928

RESUMEN

Osteopoikilosis is very rare autosomal dominant disorder of unknown etiology which is found incidentally on radiological examination. It is also known as Albers-Schonberg disease or osteopathia condensans disseminata, characterized by the presence of multiple and often symmetrical radio-dense lesion in osseous tissue. Here we report a case of osteopoikilosis in a 30 years old man presented with left hip joint pain and restricted movements. Radiological study showed typical features of osteopoikilosis. Necessary investigations were done to exclude osteoblastic metastasis, tuberous sclerosis and synovial chondromatosis. The patient was treated with pharmacological and non-pharmacological approach with significant improvement of joint pain and movements.


Asunto(s)
Osteopoiquilosis/diagnóstico , Adulto , Diagnóstico Diferencial , Humanos , Masculino , Osteopoiquilosis/terapia
5.
Indian J Otolaryngol Head Neck Surg ; 71(Suppl 3): 2019-2024, 2019 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-31763286

RESUMEN

To evaluate the efficacy of oral Ivermectin, in patients suffering from nasal and nasopharyngeal myiasis. This was a prospective study, comprising 80 patients of nasal and nasopharyngeal myiasis. Patients underwent clinical examination and nasal endoscopy at the time of presentation and findings were recorded. The patients were randomly divided in two groups. In group-I the patients underwent manual extraction of the maggots after instillation of chloroform and turpentine oil mixture, whereas the group-II patients underwent manual extraction with administration of two doses (24 h apart) of oral Ivermectin (6 mg each). The patients were instructed to record the time when they noticed shedding of maggots, and evaluated for the clearance of maggots by endoscopy after 24, 48 h and 7 days after the initial examination. The mean maggot shedding time (by t test) in Group-I was 41.23 ± 4.23 h and in Group-II was 24.60 ± 3.15 h. The difference being highly significant statistically, (p = 0.0001). The endoscopic clearance of maggots (by Chi square test) between the two group of patients was also statistically significant at 24 and 48 h with p value of (p = 0.002) and (p = 0.006) respectively. Oral Ivermectin was effective in treating nasal and nasopharyngeal myiasis, in terms of early clearance, decreased morbidity and less hospital stay. We conclude that oral Ivermectin can be used as a safe and effective method for the treatment of nasal & nasopharyngeal myiasis.

6.
Environ Pollut ; 151(1): 60-6, 2008 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-17481788

RESUMEN

In the present experiment the seeds of Cicer arietinum (L.) cv. Uday were inoculated with specific Rhizobium grown in sandy loam soil and were allowed to grow for 15 days. At this stage, the seedlings were supplied with 0, 50, 100 or 150 microM of cadmium in the form of cadmium chloride and sprayed with 0.01 microM of 28-homobrassinolide (HBL) at 30-day stage. The data indicated that plant fresh and dry mass, number of nodules, their fresh and dry mass, leghemoglobin content, nitrogen and carbohydrate content in the nodules, leaf chlorophyll content, nitrate reductase and carbonic anhydrase activities decreased proportionately with the increasing concentrations of cadmium but the content of proline and the activities of catalase, peroxidase and superoxide dismutase increased. The ill effect, generated by cadmium, was overcome if the stressed plants were sprayed with HBL.


Asunto(s)
Antioxidantes/metabolismo , Cadmio/toxicidad , Colestanonas/farmacología , Cicer/metabolismo , Reguladores del Crecimiento de las Plantas/farmacología , Contaminantes del Suelo/toxicidad , Biomasa , Cadmio/antagonistas & inhibidores , Dióxido de Carbono/análisis , Dióxido de Carbono/metabolismo , Catalasa/metabolismo , Clorofila/análisis , Clorofila/metabolismo , Cicer/efectos de los fármacos , Humanos , Leghemoglobina/análisis , Leghemoglobina/metabolismo , Nitrato-Reductasa/análisis , Nitrato-Reductasa/metabolismo , Fijación del Nitrógeno/efectos de los fármacos , Peroxidasa/metabolismo , Hojas de la Planta/química , Hojas de la Planta/metabolismo , Prolina/análisis , Prolina/metabolismo , Rhizobium , Nódulos de las Raíces de las Plantas/metabolismo , Semillas , Contaminantes del Suelo/antagonistas & inhibidores , Estimulación Química , Superóxido Dismutasa/metabolismo , Simbiosis
7.
Indian J Pathol Microbiol ; 51(1): 26-9, 2008.
Artículo en Inglés | MEDLINE | ID: mdl-18417845

RESUMEN

An analysis of cases presenting as mass in nasal cavity (NC), paranasal sinuses (PNS), and nasopharynx (NP) was done over a period of 7 years in Jawaharlal Nehru Medical College, Aligarh. A provisional diagnosis was made after clinical assessment and radiological investigations, but final diagnosis was made after histopathological examination. The incidence of masses in NC, PNS, and NP was 34.3 cases per year, non-neoplastic lesions constituted 60% of these cases and their incidence was 20.7 cases per year. All the cases were carefully examined histopathologically and it was found that the region was affected by a variety of non-neoplastic lesions. Among 240 cases, 145 were non-neoplastic and 95 were neoplastic The lesions in the decreasing order of frequency were - nasal polyp, rhinoscleroma, tuberculosis, fungal infection, fibrous dysplasia, ossifying fibroma, cysts, nasal glioma, and cemento-ossifying fibroma. NP was involved by a range of neoplastic lesions; however, no non-neoplastic lesion was seen in this region.


Asunto(s)
Cavidad Nasal/patología , Nasofaringe/patología , Enfermedades Nasales/diagnóstico , Enfermedades de los Senos Paranasales/diagnóstico , Senos Paranasales/patología , Adolescente , Adulto , Niño , Preescolar , Quistes/diagnóstico , Quistes/epidemiología , Femenino , Fibroma/diagnóstico , Fibroma/epidemiología , Displasia Fibrosa Ósea/diagnóstico , Displasia Fibrosa Ósea/epidemiología , Humanos , Incidencia , India/epidemiología , Recién Nacido , Masculino , Persona de Mediana Edad , Micosis/diagnóstico , Micosis/epidemiología , Pólipos Nasales/diagnóstico , Pólipos Nasales/epidemiología , Enfermedades Nasales/epidemiología , Enfermedades de los Senos Paranasales/epidemiología , Rinoscleroma/diagnóstico , Rinoscleroma/epidemiología , Tuberculosis/diagnóstico , Tuberculosis/epidemiología
8.
Sci Rep ; 8(1): 9052, 2018 Jun 13.
Artículo en Inglés | MEDLINE | ID: mdl-29899347

RESUMEN

A fundamental challenge for surface acoustic wave (SAW) temperature sensors is the detection of small temperature changes on non-planar, often curved, surfaces. In this work, we present a new design methodology for SAW devices based on flexible substrate and bimorph material/structures, which can maximize the temperature coefficient of frequency (TCF). We performed finite element analysis simulations and obtained theoretical TCF values for SAW sensors made of ZnO thin films (~5 µm thick) coated aluminum (Al) foil and Al plate substrates with thicknesses varied from 1 to 1600 µm. Based on the simulation results, SAW devices with selected Al foil or plate thicknesses were fabricated. The experimentally measured TCF values were in excellent agreements with the simulation results. A normalized wavelength parameter (e.g., the ratio between wavelength and sample thickness, λ/h) was applied to successfully describe changes in the TCF values, and the TCF readings of the ZnO/Al SAW devices showed dramatic increases when the normalized wavelength λ/h was larger than 1. Using this design approach, we obtained the highest reported TCF value of -760 ppm/K for a SAW device made of ZnO thin film coated on Al foils (50 µm thick), thereby enabling low cost temperature sensor applications to be realized on flexible substrates.

9.
Poult Sci ; 96(6): 1767-1782, 2017 Jun 01.
Artículo en Inglés | MEDLINE | ID: mdl-28204764

RESUMEN

An experiment was carried out to estimate the meat quality characteristics of village chickens (Gallus gallus) fed diets supplemented with dry leaves of Borreria latifolia (BL) used as a potential antioxidant source in chicken feed. In this study, 252 sexed 9-week-old village chickens with mean live body weight of 1,525.4 g for males and 1,254.1 g for females were divided into 7 groups (each group 18 birds) for each sex represented in 2 experiments. The first experiment was to evaluate the antioxidant activity of BL and the effect on meat quality through a comparison with Rosmarinus officinalis (RO); hence, 3 groups were conducted and included: T1 (control), basal diet without supplementation; T2, basal diet with 1% of BL; T3, basal diet with 1% of RO. T2 and T3 significantly affect pH value, lipid oxidation, cooking loss, and overall acceptability compared to T1, while no significant difference was observed between the dietary groups in respect of drip loss, color, tenderness, fatty acid profile, and meat composition. Furthermore, a significant effect of sex on lipid oxidation, pH, yellowness, and fatty acid profile was observed. There was no significant effect of sex on WHC, tenderness, lightness, redness, and sensory evaluation. A significant influence of postmortem aging period was detected on lipid oxidation, pH, tenderness, cooking loss, and redness. The obtained result in this study revealed a significance in the interaction of herb by sex in pH parameter and between herb and sex, herb by aging period, sex by aging period, and the herb by sex by aging period interactions with regard to lipid oxidation test. The second experiment was to estimate the effect of 3 different levels of BL on meat quality. Four groups were provided and involved: T1 (control), basal diet without supplementation; T2, basal diet with 1.5% of BL; T3, basal diet with 2% of BL; and T4, basal diet with 2.5% of BL. The result of this study showed a significant effect (P < 0.05) of the dietary groups on redness value, sensory evaluation, and lipid oxidation. A significant effect of sex on fatty acid profile and lipid oxidation was detected in addition a significant effect of postmortem aging period on redness, pH, tenderness, cooking loss, and lipid oxidation was noticed. There was no significance in the interaction between herb and sex through pH test while a significance in the interaction between herb and sex, herb  × aging period, sex × aging period, and herb × sex × aging period interactions with regard to lipid oxidation was found. It can be concluded that dietary supplementation of BL improved oxidative stability and enhanced meat quality.


Asunto(s)
Pollos , Carne/análisis , Rubiaceae , Alimentación Animal/análisis , Fenómenos Fisiológicos Nutricionales de los Animales , Animales , Antioxidantes/administración & dosificación , Antioxidantes/farmacología , Dieta/veterinaria , Suplementos Dietéticos , Femenino , Malasia , Masculino , Rosmarinus , Factores Sexuales
10.
Indian J Cancer ; 53(3): 372-376, 2016.
Artículo en Inglés | MEDLINE | ID: mdl-28244461

RESUMEN

BACKGROUND: Induction chemotherapy (ICT) in patients with head and neck cancer has been studied since a long time. The addition of taxanes to the cisplatin and 5-fluorouracil (5FU) (PF) regimen results in superior antitumor activity. We did this study to see the response and toxicity of ICT with cisplatin and ifosfamide followed by concurrent chemoradiotherapy (CRT) in locally advanced, unresectable squamous cell carcinoma of head and neck (SCCHN). AIMS: The aim of this study was to see the results of ICT using cisplatin and ifosfamide regimen in locally advanced unresectable SCCHN in terms of acute and chronic toxicity and response to treatment. MATERIALS AND METHODS: Patients with Stage III and IV, nonmetastatic SCCHN were enrolled in the study. They were given two cycles of ICT with cisplatin and ifosfamide followed by CRT. RESULTS: After ICT, the overall response rate (ORR) was 75.0% at the primary site and 70.0% at the nodal site. ORR for combined primary and nodal disease was observed to be 67.5%. The complete response (CR) and partial response (PR) for combined primary and nodal site were seen in 4 (10.0%) and 23 (57.5%) patients. Of 32 patients who received CRT after ICT, CR was 53.1% and PR was 31.3%. Mucositis, skin reaction, and pharyngeal and laryngeal toxicities were the most common but tolerable. CONCLUSION: ICT with cisplatin and ifosfamide gives comparable results to the standard paclitaxel, PF regimen. We conclude that this combination regimen for ICT is not only an economical alternative of taxol-based regimen but also well tolerated by the patients.


Asunto(s)
Protocolos de Quimioterapia Combinada Antineoplásica/uso terapéutico , Carcinoma de Células Escamosas/tratamiento farmacológico , Neoplasias de Cabeza y Cuello/tratamiento farmacológico , Anciano , Anciano de 80 o más Años , Carcinoma de Células Escamosas/patología , Cisplatino/administración & dosificación , Femenino , Neoplasias de Cabeza y Cuello/patología , Humanos , Ifosfamida/administración & dosificación , Quimioterapia de Inducción , Masculino , Persona de Mediana Edad , Clasificación del Tumor , Estudios Prospectivos , Carcinoma de Células Escamosas de Cabeza y Cuello
11.
Poult Sci ; 95(8): 1966-71, 2016 Aug 01.
Artículo en Inglés | MEDLINE | ID: mdl-27081194

RESUMEN

This study evaluated the effect of partial uropygialectomy (PU) on carcass traits of male and female Akar Putra chickens. Sixty chicks of each sex were evenly distributed into 5 treatment groups with 3 replicates per group containing 4 males and 4 females each, and reared for 12 wk. Homogeneity of the groups was satisfied with regard to the parity. Experimental treatments consisted of a control treatment (T1), and partial ablation of the uropygial gland was applied on the second, third, fourth, and fifth treatments at 3, 4, 5, and 6 wk of age, respectively. The chickens were fed ad libitum the same diets (1 to 13 d: starter; 14 d to slaughter: finisher). On the last d of the experiment, 12 birds were randomly selected from each treatment group (2 males and 2 females per replicate) and slaughtered to determine carcass characteristics, which included carcass weight, dressing percentage with or without eating giblets, and the relative weights of heart, liver, gizzard, thighs, wings, breast, back, and neck. From the results of the study, it was shown that the partial ablation of the uropygial gland at all ages had certain dependent effects concerning some carcass parameters, as shown by higher breast and back relative weights in males and breast relative weight in females. As a consequence, a positive effect also was noticed regarding the carcass morphology in terms of the increase in dressing percentage with or without eating giblets thus leading to an increase in the body weight and carcass weight. Furthermore, the best result was obtained in the second treatment when PU was applied at 3 wk of age compared with other experimental groups. Moreover, the current study provides a novel and economic alternative to enhance the body performance of poultry in general and Akar Putra chicken particularly.


Asunto(s)
Pollos , Carne/normas , Glándulas Sebáceas/cirugía , Crianza de Animales Domésticos , Animales , Pollos/cirugía , Femenino , Calidad de los Alimentos , Masculino
12.
Neurology ; 49(1): 223-9, 1997 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-9222194

RESUMEN

We described four patients with Bell's palsy and blepharospasm and evaluated potential mechanisms that may be responsible for an apparent association between the two disorders. Eyelid movements in spontaneous blinks were studied by the search coil technique in patients with this novel disorder. Kinematic analyses documented bilateral eyelid spasm subsequent to unilateral Bell's palsy. The temporal interval between the onset of palsy and onset of blepharospasm was highly variable (weeks to > 20 years). Changes in the relationship between spontaneous blink peak velocity and amplitude, the main sequence, shared features previously found in uncomplicated Bell's palsy and blepharospasm patients. Furthermore, as in patients with typical Bell's palsy and idiopathic blepharospasm, both normal blinks and spasms were conjugate in spite of interocular differences in blink amplitude/peak velocity. We suggest that there is a correlation between the eyelid palsy and subsequent blepharospasm, and have designated this potentially new disease entity as Bell's palsy-induced blepharospasm. We propose a two-stage model for Bell's palsy-induced blepharospasm in which blink adaptive systems may produce the maladaptive consequence of eyelid spasms.


Asunto(s)
Blefaroespasmo/etiología , Parálisis Facial/complicaciones , Adulto , Blefaroespasmo/fisiopatología , Parpadeo/fisiología , Parálisis Facial/fisiopatología , Femenino , Humanos , Persona de Mediana Edad
13.
Invest Ophthalmol Vis Sci ; 38(1): 92-9, 1997 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-9008634

RESUMEN

PURPOSE: The authors analyzed eyelid kinematics in normal aging subjects to test the hypothesis that eyelid movements exhibit age-related changes and that blink disorders prevalent among the elderly, in turn, represent an outcome of normal aging processes. METHODS: The electromagnetic search coil technique was used to study blinks in normal human subjects for each decade from 40 to 89 years. Blink metrics (amplitude, peak velocity, and duration), main sequence relationships, and conjugacy were assessed. RESULTS: Mean amplitude and peak velocity of blinks decreased with age for spontaneous blinks and, to a lesser extent, for voluntary blinks. Some but not all, of this decline could be attributed to a peripheral phenomenon, narrowed palpebral fissure width. The spontaneous blink down phase main sequence slope also declined with age. By contrast, blink rate and the coordination of movements of the two eyelids--blink conjugacy--exhibited no change. CONCLUSIONS: These data demonstrate that disorders of blink systems typically seen in persons 50 years of age or older occur on a background of normal age-dependent changes in eyelid kinematics. Alterations in main sequence slope imply the operation of central adaptive systems during aging. Reduction in main sequence slope is interpreted as a reduction in aggregate orbicularis oculi motoneuron activity. Such a central neurologic adjustment in the motor output of blink systems may serve to compensate for an age-related increase in blink reflex excitability. Compensatory reduction in the main sequence relationship may offset a potentially hyperexcitable blink reflex, thereby reducing the likelihood of disorders such as blepharospasm. The authors conclude that although there are changes in the kinematics of blinking with age, such changes do not necessarily predispose an aging population to eyelid motility disorders.


Asunto(s)
Envejecimiento/fisiología , Parpadeo/fisiología , Párpados/fisiología , Adulto , Anciano , Anciano de 80 o más Años , Campos Electromagnéticos , Femenino , Humanos , Masculino , Persona de Mediana Edad , Músculos Oculomotores/fisiología
14.
Invest Ophthalmol Vis Sci ; 36(12): 2482-91, 1995 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-7591638

RESUMEN

PURPOSE: To study the clinical, histopathologic, and immunologic responses to Staphylococcus aureus endophthalmitis in rats. METHODS: Experimental Lewis rats received an intravitreal injection of viable S. aureus (65 organisms), and control rats received sterile saline. The clinical scores, cellular infiltrate, delayed hypersensitivity reaction in skin tests, and serum and vitreous enzyme-linked immunosorbent assay titers of immunoglobulin (Ig) M, IgG, and IgA to ribitol teichoic acid (RTA), the major antigenic determinant of S. aureus cell wall, were measured and compared on days 3, 7, 10, 14, 21, and 30. The differences were statistically assessed using Mann-Whitney nonparametric t-tests and analysis of variance. RESULTS: The red reflex was abolished in the majority of rats between days 3 and 21. Ocular inflammation resolved by day 30. The vitreous of eyes injected with S. aureus showed bacterial growth on days 3 and 7, followed by a decrease in numbers on days 10 and 14 and disappearance on days 21 and 30. In the vitreous, a peak neutrophil count was observed at day 3 that rapidly declined by day 7. The number of lymphocytes and plasma cells peaked on day 3 but declined more slowly. Plasma cells and Mott cells were seen on days 10 and 14, suggesting intraocular antibody production. IgM titers to RTA increased progressively in serum and vitreous, reached a peak on day 21, and declined on day 30. A weak IgG but absent IgA response to RTA was observed in serum and vitreous. S. aureus endophthalmitis was not associated with delayed hypersensitivity to the bacteria in skin tests. CONCLUSIONS: S. aureus endophthalmitis is associated with the infiltration of neutrophils, lymphocytes, monocytes, and plasma cells in vitreous. Neutrophils, the predominant infiltrating cells, may be involved in bactericidal activity and opsonophagocytosis. In rat staphylococcal endophthalmitis, IgM rather than IgG may be the protective antibody.


Asunto(s)
Endoftalmitis/inmunología , Infecciones Bacterianas del Ojo/inmunología , Infecciones Estafilocócicas/inmunología , Animales , Anticuerpos Antibacterianos/análisis , Quimiotaxis de Leucocito , Recuento de Colonia Microbiana , Endoftalmitis/microbiología , Endoftalmitis/patología , Ensayo de Inmunoadsorción Enzimática , Infecciones Bacterianas del Ojo/microbiología , Infecciones Bacterianas del Ojo/patología , Femenino , Hipersensibilidad Tardía/inmunología , Leucocitos/inmunología , Ratas , Ratas Endogámicas Lew , Infecciones Estafilocócicas/microbiología , Infecciones Estafilocócicas/patología , Staphylococcus aureus/crecimiento & desarrollo , Ácidos Teicoicos/inmunología , Cuerpo Vítreo/inmunología , Cuerpo Vítreo/microbiología , Cuerpo Vítreo/patología
15.
Arch Ophthalmol ; 115(5): 631-6, 1997 May.
Artículo en Inglés | MEDLINE | ID: mdl-9152131

RESUMEN

OBJECTIVE: To investigate eyelid movements in patients with benign essential blepharospasm (BEB), with an emphasis on the characterization of the kinematics of normal and spastic blinks, assessment of interocular differences, and further delineation of the role of adaptive blink mechanisms in eyelid movement disorders. PATIENTS AND METHODS: The electromagnetic search coil technique was used to record the metrics of blinks bilaterally in 5 patients with untreated BEB. Eyelid kinematics and the main-sequence (peak velocity vs amplitude) relationships were analyzed. RESULTS: Patients with BEB exhibited a decrease in blink amplitude and peak velocity. Moreover, the main-sequence slope was decreased bilaterally. Spasms were bilateral and relatively conjugate. There was no change in the coordination of normal blinking across the 2 eyelids. CONCLUSIONS: These data demonstrate the operation of the adaptive regulation of blinking in an eyelid movement disorder. The findings suggest that the adaptive regulation of blink is a bilateral event. Blink-adaptive control systems can act on the blink reflex excitability and main-sequence relationships, changing these either together or independently. The hyperexcitable blink reflex of BEB is met by what is believed to be an adaptive decrease in the main-sequence slope that would decrease the strength of debilitating spasms. Collectively, these data extend the knowledge of the pathophysiology of BEB and, perhaps more important, establish the role of blink system plasticity in eyelid movement disorders.


Asunto(s)
Adaptación Fisiológica/fisiología , Blefaroespasmo/fisiopatología , Parpadeo/fisiología , Párpados/fisiología , Adulto , Anciano , Electrofisiología , Femenino , Humanos , Masculino , Persona de Mediana Edad
16.
Surv Ophthalmol ; 46(2): 172-84, 2001.
Artículo en Inglés | MEDLINE | ID: mdl-11578650

RESUMEN

Surgeons must decide on the type of anesthesia to use when performing cataract surgery. These "viewpoints" articles provide a well-balanced discussion offering the pros and cons of both topical anesthesia and retrobulbar/peribulbar injection. Dr. Dutton gives an overview of both techniques, focusing on relevant orbital anatomy. Drs. Hassan, Edelhauser and Kim, review the various types of topical anesthesia currently in use, and Drs. Spriggs and Broocker examine retrobulbar and peribulbar injections. Both techniques are associated with advantages and risks, so each surgeon must decide which technique is best suited for his or her own practice.


Asunto(s)
Anestesia Local/métodos , Extracción de Catarata , Ojo/anatomía & histología , Órbita/anatomía & histología , Humanos
17.
J Bone Joint Surg Am ; 82(4): 498-504, 2000 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-10761940

RESUMEN

BACKGROUND: There has been limited acceptance of shoulder ultrasonography by orthopaedic surgeons in the United States. The purpose of this retrospective study was to determine the diagnostic performance of high-resolution ultrasonography compared with arthroscopic examination for the detection and characterization of rotator cuff tears. METHODS: One hundred consecutive shoulders in ninety-eight patients with shoulder pain who had undergone preoperative ultrasonography and subsequent arthroscopy were identified. The arthroscopic diagnosis was a full-thickness rotator cuff tear in sixty-five shoulders, a partial-thickness tear in fifteen, rotator cuff tendinitis in twelve, frozen shoulder in four, arthrosis of the acromioclavicular joint in two, and a superior labral tear and calcific bursitis in one shoulder each. All ultrasonographic reports were reviewed for the presence or absence of a rotator cuff tear and a biceps tendon rupture or dislocation. All arthroscopic examinations were performed according to a standardized operative procedure. The size and extent of the tear and the status of the biceps tendon were recorded for all shoulders. The findings on ultrasonography and arthroscopy then were compared for each parameter. RESULTS: Ultrasonography correctly identified all sixty-five full-thickness rotator cuff tears (a sensitivity of 100 percent). There were seventeen true-negative and three false-positive ultrasonograms (a specificity of 85 percent). The overall accuracy was 96 percent. The size of the tear on transverse measurement was correctly predicted in 86 percent of the shoulders with a full-thickness tear. Ultrasonography detected a tear in ten of fifteen shoulders with a partial-thickness tear that was diagnosed on arthroscopy. Five of six dislocations and seven of eleven ruptures of the biceps tendon were identified correctly. CONCLUSIONS: Ultrasonography was highly accurate for detecting full-thickness rotator cuff tears, characterizing their extent, and visualizing dislocations of the biceps tendon. It was less sensitive for detecting partial-thickness rotator cuff tears and ruptures of the biceps tendon.


Asunto(s)
Lesiones del Manguito de los Rotadores , Manguito de los Rotadores/diagnóstico por imagen , Dolor de Hombro/etiología , Artroscopía , Femenino , Humanos , Masculino , Persona de Mediana Edad , Rotura , Sensibilidad y Especificidad , Traumatismos de los Tendones/diagnóstico , Traumatismos de los Tendones/diagnóstico por imagen , Traumatismos de los Tendones/cirugía , Ultrasonografía
18.
Spine (Phila Pa 1976) ; 23(14): 1566-71, 1998 Jul 15.
Artículo en Inglés | MEDLINE | ID: mdl-9682313

RESUMEN

STUDY DESIGN: This was a retrospective review of 223 consecutive cases (1986-1996) from one institution where 759 thoracolumbar and lumbar pedicle screws were used in the treatment of various pediatric spinal disorders in patients less than 18 years of age. OBJECTIVES: To determine the incidence of short- and long-term (> 2 years follow-up) complications in this group of patients-specifically, complications related to instrumentation and those directly attributable to pedicle screws in these pediatric patients. SUMMARY OF BACKGROUND DATA: Although much has been written regarding the use of pedicle screws in the adult population, no published study has examined complication rates with regard to thoracolumbar and lumbar pedicle screws placed for pediatric spinal disorders. METHODS: A retrospective review of 223 consecutive cases involving 759 pedicle screws placed for a variety of pediatric spinal disorders was performed. Complications were divided into short term and long term (> 2 years follow-up) and into those relating to instrumentation and those relating to pedicle screws specifically. RESULTS: Short-term complication occurred in 5 patients (2.2%) for a total of 17 screws ultimately removed. Only two of these patients had screws removed for lumbar radicular complaints. No residual sequellae resulted. No long-term (> 2 years postoperative) complications were noted. CONCLUSION: Low short- and long-term complication rates specific for pediatric pedicle screws suggests that for properly trained spinal surgeons, pedicle screws fixation in the pediatric population can be performed safely to treat a variety of spinal disorders.


Asunto(s)
Tornillos Óseos/efectos adversos , Vértebras Lumbares/cirugía , Vértebras Torácicas/cirugía , Adolescente , Niño , Femenino , Humanos , Masculino , Complicaciones Posoperatorias/epidemiología , Estudios Retrospectivos , Enfermedades de la Columna Vertebral/cirugía
19.
Curr Eye Res ; 16(10): 1036-43, 1997 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-9330856

RESUMEN

PURPOSE: To investigate the clinical, histopathologic and immunologic responses to Staphylococcus epidermidis endophthalmitis in a rat model. METHODS: Experimental rats received an intravitreal injection of viable S. epidermidis (7000 organisms), while control rats received sterile saline. The clinical scores, cellular infiltrate in vitreous, and levels of serum and vitreous IgM, IgG and IgA to glycerol teichoic acid (GTA), the major antigenic determinant of S. epidermidis cell wall, were all measured from day 1 to day 30 after injection. RESULTS: The ocular inflammation was largely resolved by day 14. The red reflex was abolished in 50% of rats between days 3 and 10. The bacteria were cleared from the vitreous by day 7. In vitreous, the neutrophils peaked at day 1 and decreased by day 7, and plasma cells were seen between days 1 and 3. Presence of B cells (CD45+/CD3-) was confirmed by flow cytometric analysis of pooled vitreous humor. IgM and IgG but not IgA antibodies to GTA were found in vitreous of injected eyes. The peak of anti-GTA IgM was observed in vitreous of S. epidermidis-infected rats on day 1 and declined by day 7. In contrast to vitreous antibodies, serum anti-GTA IgM antibodies were significantly elevated throughout the course of S. epidermidis endophthalmitis. A weak IgG but no IgA response were observed in serum. Anti-GTA antibodies were also found in low level in normal sera but not in normal vitreous. CONCLUSIONS: The vitreous antibodies may be involved in neutrophil-mediated opsonophagocytosis leading to 'spontaneous sterility' of the bacteria, and may play a role in the immunopathogenesis of staphylococcal endophthalmitis in the rat.


Asunto(s)
Endoftalmitis/inmunología , Infecciones Bacterianas del Ojo/inmunología , Infecciones Estafilocócicas/inmunología , Staphylococcus epidermidis/fisiología , Animales , Segmento Anterior del Ojo/patología , Anticuerpos Antibacterianos/análisis , Linfocitos B/inmunología , Recuento de Colonia Microbiana , Endoftalmitis/microbiología , Endoftalmitis/patología , Ensayo de Inmunoadsorción Enzimática , Epítopos/inmunología , Infecciones Bacterianas del Ojo/etiología , Infecciones Bacterianas del Ojo/patología , Femenino , Citometría de Flujo , Ratas , Ratas Endogámicas Lew , Infecciones Estafilocócicas/etiología , Infecciones Estafilocócicas/patología , Ácidos Teicoicos/inmunología , Cuerpo Vítreo/inmunología , Cuerpo Vítreo/microbiología
20.
Indian J Med Res ; 94: 156-60, 1991 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-1879890

RESUMEN

The central auditory toxicity of sisomicin was studied in guineapigs administered sisomicin (135 mg/kg body weight) sc for 10 days. Total lipids, phospholipids and cholesterol were estimated in the pons, inferior colliculus, medial geniculate body and auditory cortex. While the total lipids were increased in a non-preferential manner in all the regions studied, phospholipids and cholesterol levels registered no change. This study suggests the possible central auditory toxicity following sisomicin administration.


Asunto(s)
Vías Auditivas/efectos de los fármacos , Lípidos/análisis , Sisomicina/toxicidad , Animales , Corteza Auditiva/efectos de los fármacos , Colesterol/análisis , Evaluación Preclínica de Medicamentos , Cuerpos Geniculados/efectos de los fármacos , Cobayas , Colículos Inferiores/efectos de los fármacos , Masculino , Fosfolípidos/análisis , Puente/efectos de los fármacos
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