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Biomedical subjects

A S Miller

Publications and source records attributed to A S Miller.

At least 55 records · Page 3Linked to original sources
PubMed1995

The perfect pelvic pouch--what makes the difference?

The aim of this study was to determine what factors are important for the achievement of perfect anal continence after restorative proctocolectomy. One hundred patients underwent paired studies of anorectal physiology before and one year after restorative proctocolectomy with pelvic ileal reservoir (11 S, 25 J, 64 W) with stapled ileoanal anastomosis, without mucosectomy. Fifty seven patients attained perfect anal continence and were able to discriminate flatus from faeces with such confidence that they were able to release flatus safely without fear of faecal soiling. The remaining 43 patients experienced minor problems in this regard. Four factors were found to correlate significantly with a perfect functional result (median, perfect v imperfect): maximum resting anal pressure (72 v 57 cm H2O, p < 0.02), the sensory threshold in the upper and mid-anal canal (7.3 v 8.6 and 5.3 v 7.0 mA, p < 0.05 and p < 0.02), compliance of the ileal reservoir (12.4 v 7.6 ml/cm H2O, p < 0.01), and the presence of a pouch-anal inhibitory reflex (56 of 57 patients v 29 of 43 patients, p < 0.01). The quality of anal continence depends on several factors: a complaint ileal reservoir, a strong sensitive anal sphincter, and normal reflex coordination of the activities of the reservoir and the sphincter. Excellent pouch-anal coordination is obtainable irrespective of the design of the reservoir, provided that these criteria are satisfied.

Adolescent↗
PubMed1994

Peripheral odontogenic keratocyst.

The gingival cyst of the adult exhibits an epithelial lining that is essentially the same as the lateral periodontal cyst. Although the gingival cyst of the adult exhibits some morphologic variability, its lining is generally considered to be nonkeratinized. Nonetheless, rare cases of gingival cyst of the adult that exhibit a keratinized epithelial lining have been reported in the literature. There is now a growing tendency to consider this variant as a separate entity. This article describes six cases of gingival cysts that exhibit the histologic features of the odontogenic keratocyst. Evidence from this series suggests that the biologic behavior of this subset of gingival cysts is different from that of the generic gingival cyst of the adult and that the term peripheral odontogenic keratocyst more accurately describes this entity.

Adult↗
PubMed1994

Estrogen receptor assay in polymorphous low-grade adenocarcinoma and adenoid cystic carcinoma of salivary gland origin. An immunohistochemical study.

An apparent relationship between breast cancer and salivary gland cancer has been observed, and there is one report in the literature that describes estrogen receptors in normal salivary gland and salivary gland cancers. With the use of a monoclonal antibody against estrogen receptor protein and the avidin-biotin immunoperoxidase procedure, we were unable to demonstrate estrogen receptors in formalin-fixed paraffin-embedded sections of either polymorphous low-grade adenocarcinoma or adenoid cystic carcinoma of salivary gland origin.

Adenocarcinoma↗
PubMed1993

Search for correlation of radon levels and incidence of salivary gland tumors.

Studies were undertaken to determine if there is a statistical correlation between radon levels and the incidence of salivary gland tumors because of high levels of radon in Pennsylvania. In Part I of the study, the incidence of minor salivary gland tumors accessioned by Temple University, Emory University, and University of Southern California from 1986 to 1988 were correlated with average radon levels in the three locations with the use of standard statistical analyses. In Part II, the occurrence of malignant salivary gland tumors was obtained for each of the 67 counties in Pennsylvania from 1986 to 1988 and correlated statistically with radon levels and population figures in each of those counties. A statistically significant correlation between radon levels and incidence of salivary gland tumors could not be demonstrated in either case.

Air Pollutants, Radioactive↗
PubMed1993

Oral manifestations of cutaneous T-cell lymphoma. A report of eight cases.

Cutaneous T-cell lymphoma rarely involves the oral cavity. Only 14 detailed cases of oral cutaneous T-cell lymphoma have been described in the English-language literature; this report describes eight additional cases observed among 824 patients evaluated at our cutaneous T-cell lymphoma center since 1968. Oral involvement occurs late in the course of cutaneous T-cell lymphoma and usually is associated with poor prognosis; most patients die of disease complications within 3 years of the diagnosis of oral involvement.

Aged↗
PubMed1993

Eosinophilic ulcer of the oral mucosa. Report of 38 new cases with immunohistochemical observations.

Eosinophilic ulcer of the oral mucosa (traumatic eosinophilic granuloma) mimics oral cancer clinically and is occasionally misdiagnosed as lymphoma on microscopic examination. Trauma is believed to play a role in its development, but its exact pathogenesis is not known. The demographic, clinical, and histologic features of 38 previously unreported cases of eosinophilic ulcer of the oral mucosa are reviewed. Nine representative cases were studied immunohistochemically. Microscopically, the lesions contained a polymorphic inflammatory infiltrate extending deep into the submucosa, underlying muscle, and salivary glands. Numerous eosinophils and large mononuclear cells with pale nuclei and frequent mitoses were seen in all lesions. Lymphocytes, histiocytes, plasma cells, granulocytes, and mast cells were also present. Immunohistochemical stains showed that the lymphocytic infiltrate was composed predominantly of T cells. T-cell-specific antigen-presenting cells were more numerous than the non-antigen-presenting cell type. The large cells with pale nuclei stained positively only for vimentin; the possible myofibroblastic nature of these cells is discussed. Although trauma might have an etiologic role, the pathogenesis of eosinophilic ulcer of the oral mucosa is probably T cell mediated.

Adolescent↗
PubMed1992

Review of neural network applications in medical imaging and signal processing.

The current applications of neural networks to in vivo medical imaging and signal processing are reviewed. As is evident from the literature neural networks have already been used for a wide variety of tasks within medicine. As this trend is expected to continue this review contains a description of recent studies to provide an appreciation of the problems associated with implementing neural networks for medical imaging and signal processing.

Diagnostic Imaging↗
PubMed1992

Survey of tissue diagnostic services in U.S. dental schools - 1990.

Tissue diagnostic services in U.S. dental schools were surveyed to determine activities during 1990. Results were compared with those of similar surveys conducted in 1953, 1958, 1969, 1975, 1980, and 1985. The information gathered from this survey reveals a progressive growth and development of tissue diagnostic services. This is seen not only in the increased numbers of biopsy accessions, which increased by 37% since the last survey, but is also reflected in the diversity of services now offered by oral pathologists.

Biopsy↗
PubMed1992

Neural networks for electrical impedance tomography image characterisation.

The Southampton electrical impedance tomography (EIT) system used a Sheffield data acquisition unit and a PC based 'Harlequin' transputer card to reconstruct and display images of the distribution of internal conductivity within the thorax. The system produces real-time images relating to both cardiac and pulmonary function. As a first step towards diagnosis using these images neural nets have been applied to the identification of regions of interest in the EIT images for which some activity with time, such as ventricular ejection, is sought. This paper addresses the use of a back-projection network to identify characteristic regions within the images. The network facilitates the production of automated real-time activity plots by defining their effective extent in the images of specific organs. The application is novel within the medical imaging field as the aim is to use neural networks for real-time image analysis.

Electric Conductivity↗
PubMed1991

Amyloidosis of the oral cavity: report of five cases.

Five cases of amyloidosis involving structures in the oral cavity are reported. Three cases appeared to be secondary systemic amyloidosis, one case was the systemic form associated with multiple myeloma, and one case appeared to represent nodular or localized amyloidosis. All cases appeared in persons over 63 years of age, and the most common area of involvement was the tongue. The nature of so-called amyloid deposits in certain odontogenic tumors is discussed in light of recent knowledge of amelogenins and enamelins.

Aged↗
PubMed1990

Effect of enamel microabrasion compound on human gingiva: report of a case.

A new material to be used in the procedure of enamel microabrasion has been recently introduced. Because the compound contains hydrochloric acid, the manufacturer recommends many safety precautions, especially use of the rubber dam. This case report documents the effect of the enamel microabrasion compound on the gingiva of one human subject and verifies the need for careful handling of the material.

Adult↗
PubMed1989

The relationship between gastrin cells and bombesin-like immunoreactive nerve fibres in the gastric antral mucosa of guinea-pig, rat, dog and man.

The relationship between bombesin-like immunoreactive (bombesin-LI) nerve fibres and gastrin-LI G-cells was examined in gastric antral mucosa from guinea-pig, rat, dog and man using a double-labelling fluorescence immunohistochemical technique. The greatest density of bombesin-LI nerve fibres was found within the basal mucosa in all species and the density of innervation decreased towards the luminal surface. Most G-cells were in a band occupying approximately the middle third of the mucosa. The proportion of G-cells found within a distance of 2 microns from bombesin-LI nerve fibres was low in all species (6% in the guinea-pig, 22% in the rat, 14% in the dog, and 9% in the human). It is proposed that the neuropeptide released from bombesin-LI antral mucosal nerve fibres traverses distances of greater than several microns to reach the target G-cells. This may be achieved by passage through the mucosal microcirculation.

Adult↗
PubMed1988

Survey of tissue-diagnostic services in United States dental schools--1985.

Tissue-diagnostic services in United States dental schools were surveyed to determine activities during 1985. Results were compared with those of similar surveys conducted in 1953, 1958, 1969, 1975, and 1980. A continuing increase in the number of specimens processed has occurred, and there has been a parallel increase in the number of malignant specimens noted. The percentage of malignant specimens in relation to total specimens processed has not changed significantly.

Biopsy↗
PubMed1988

Contamination of perfused donor kidneys by starch from surgical gloves.

Starch induces a variety of inflammatory reactions in humans and may contaminate surgical procedures from surgical gloves. Using polarized microscopy and electron microscopy, the authors observed starch particles in renal perfusate and in glomeruli of perfused donor kidneys. Group 1 consisted of 10 unusable kidneys handled with standard concern of glove sterility. Eight other kidneys (Group 2) were perfused with particular attention toward avoidance of starch contamination. The gloves were rinsed five times, and the cuffs were not dipped into the perfusate. Two kidneys (Group 3), deemed unsuitable for transplantation, were perfused for 24 hours with perfusate swished with unwashed sterile gloves. Group 4 consisted of five transplant biopsies performed within one week after transplantation. Perfusates alone were also circulated through the Waters Perfusion Machine continuously for 24, 72, and 188 hours with and without the use of gloves. The number of birefringent crosses were counted in each of 25 glomeruli per specimen. Group 1 displayed a mean of 1.8 birefringent crosses per glomerulus; Group 2, 0; Group 3, 5.3; and Group 4, 4.4. Groups 1 and 3 also exhibited birefringent crosses in peripheral renal vessels. Perfusate alone, handled without gloves, showed no birefringent crosses; by contrast, perfusate handled with gloves showed numerous birefringent crosses. The authors conclude that starch from surgical gloves can enter the perfusate and lodge in glomeruli and other sites of donor kidneys. Rinsing gloves five times and avoiding contact of the perfusate with the glove cuff effectively eliminates the contamination.

Birefringence↗