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Biomedical subjects

B M Levy

Publications and source records attributed to B M Levy.

At least 19 recordsLinked to original sources
PubMed1996

Neuropsychological significance of areas of high signal intensity on brain MRIs of children with neurofibromatosis.

Of children with neurofibromatosis (NF), 40% have a cognitive or learning impairment. Approximately 60% also have anomalous areas of high signal intensity on T2-weighted brain MRIs. The association of these hyperintensities and neuropsychological status is not fully understood. We administered a battery of neuropsychological tests and a standard clinical MRI to determine the impact of hyperintensity presence, number, and location on cognitive status in 84 children (8 to 16 years) with NF type 1. These children underwent standard clinical MRI using a GE 1.5-tesla scanner (except one child who was examined with a 1.0-tesla scanner). We conducted three types of analyses: Hyperintensity presence or absence.-Scores of children with (55%) and without hyperintensities (45%) were compared using t tests. No statistically significant differences between groups in intellectual functioning or any neuropsychological variable were found. Number of hyperintensities-The number of hyperintensity locations per child ranged from one to five (mean = 2.22). Pearson correlations revealed no significant association between the number of hyperintensities and neuropsychological performance. Location of hyperintensities-In four of the five locations studied, no statistically significant differences were found between scores of children with a hyperintensity in an area and those with one elsewhere. However, mean scores for IQ, Memory, Motor, Distractibility, and Attention domains for children with hyperintensities in the thalamus were significantly lower than scores for those with hyperintensities elsewhere. These results suggest that the simple presence or absence of hyperintensities, or their total number, is not as important as their anatomic location for detecting their relationship with neuropsychological status. Taking location into account, hyperintensities in the cerebral hemispheres, basal ganglia, brainstem, or cerebellum seem to have no impact on neuropsychological functioning, whereas hyperintensities in the thalamus do.

Adolescent↗
PubMed1990

Analysis of positive cultures from endodontically treated teeth: a retrospective study.

A study of 12,150 endodontically treated teeth from 11,797 patients in a private patient setup revealed an incidence of 10.2% positive cultures obtained just before obturation of the root canal. Streptococcal predominance was reflected by a presence of nearly 60% in the pure culture and nearly 98% in the mixed cultures. No significant changes in microbial predominance or bacterial sensitivities were detected over the 7-year period of study. Ampicillin, cephalothin, erythromycin, and penicillin were the most effective antibiotics against the viridans streptococci, the most prevalent organism in the infected teeth.

Adolescent↗
PubMed1989

Detection and characterization of interleukin-1 in human dental pulps.

Pulp tissue was obtained from clinically intact third molars and premolars, and from teeth affected by caries and periodontal disease. After incubation and homogenization, supernatants were centrifuged, sampled and assayed for lymphocyte activating factor-like activity using the thymidine-incorporated D10.G4.1 cell-line assay. Significantly higher levels of mitogenic activity were found in the pulp supernatants of symptomatic carious teeth, and in those of third molars with attendant pericoronitis, than in pulps from symptomatic and asymptomatic periodontally affected teeth and asymptomatic third molars and premolars. As both interleukin-1 (IL-1) and interleukin-2 (IL-2) may be involved in the proliferation of D10.G4.1 cells, supernatants from carious pulps were further tested for IL-2 activity using murine natural killer (NK) cells. Those that had elicited a proliferative response of D10.G4.1 cells did not enhance NK proliferation, indicating that the factor responsible for clonal replication of D10.G4.1 cells was IL-1. To confirm the presence of IL-1, immunohistochemistry using a monoclonal antibody to IL-1 was performed on frozen and paraffin-embedded sections of pulps from each group. IL-1 was immunolocalized within cells in pulps from the caries symptomatic group. The cell type producing IL-1 was further characterized as an alpha-naphthyl-acetate-esterase-positive macrophage within the connective tissue stroma of pulps from the caries symptomatic group. This novel demonstration of IL-1 and IL-1 producing cells in human dental pulp indicates the involvement of this mediator of inflammation in dental disease.

Cells, Cultured↗
PubMed1986

Lymphocyte subsets in the young and aging marmoset (Callithrix jacchus).

T lymphocytes were studied in healthy young and old marmosets (Callithrix jacchus). Data indicate that monoclonal antisera to human T lymphocyte antigens can be used to identify these cells in marmosets. Total T and suppressor T cells were lower in the older group; there were no differences in helper T or in B cells. Helper/suppressor ratios (T4/T8) were increased in the older group. Thus, immune system alternations with aging and/or immune deficiency syndromes may be studied in this animal model using available reagents.

Aging↗
PubMed1983

Evidence that T-lymphocytes are part of the blood-brain barrier to virus dissemination.

The dissemination of a neurovirulent strain of influenza A/WSN (HON1) virus from infected lungs to brains of thymus-deficient nude and immunocompetent furred mice inoculated intranasally was compared. Nude mice were more susceptible to lethal disease following intranasal (i.n.) inoculation with A/WSN virus than furred mice based on the number of plaque-forming units (PFU) of virus required to constitute a median lethal dose (LD50). In normal mice, virus was cleared from the lungs of survivors and dissemination of virus from lung to brain was detected only rarely. Nude mice, in contrast, had frequent and early deaths with significant brain virus titers and histologic evidence of encephalitis. Adoptive immunization of recipient nude mice with suspensions of cytotoxic T-lymphocytes secondarily stimulated in vitro 24 h after i.n. challenge, reduced both brain virus titers and mortality in these animals. These data indicated that T-lymphocytes were a significant factor in preventing dissemination of neurotropic virus from lungs to the brains of infected mice.

Animals↗
PubMed1982

Pulpal effects of electrosurgery involving based and unbased cervical amalgam restorations.

The pulpal effects of electrosurgery involving unrestored enamel, cementum, calcium hydroxide-copal varnish-based restorations and unbased restorations were evaluated in extracted human teeth and posterior teeth of cynomolgus monkeys. Electrosurgery for all studies was performed with a fully rectified filtered unit under conditions of normal clinical usage. Studies in extracted human teeth measured the voltage potential generated between a reference probe in apical pulp tissue and an activated electrosurgery electrode placed on enamel, cementum, based restorations, and unbased restorations. Placement of a base reduced but did not prevent passage of electrosurgical current, and no measurable potential was associated with activated electrode contact on cementum or enamel. Studies in three cynomolgus monkeys included electrosurgery of based and unbased cervical silver amalgam restorations, electrosurgery of unrestored enamel, restored teeth not subjected to electrosurgery and teeth that were neither restored nor subjected to electrosurgery. Electrosurgery of restored teeth, regardless of the presence of a base, consistently resulted in pulpal damage characterized by an altered dentin matrix, necrosis adjacent to the cavity preparation, and a transition zone between necrotic and apparently vital pulp tissue. By 8 weeks following electrosurgery, the majority of specimens showed replacement of the odontoblastic layer and adjacent pulp tissue by dense connective tissue with areas of irregular calcification.

Animals↗
PubMed1982

Cemental annulation as an age criterion in forensic dentistry.

Intact teeth were obtained from three cadavers of known age 56, 67, and 76 years, respectively. Cross-sections 100-150 micrometers thick were taken from the roots using a diamond saw. Individual sections were stained, mounted on glass slides, and photographed on a light microscope. The usual number of years for the eruption of any particular tooth were added to the annulation count to determine the estimated age for that cadaver.

Age Determination by Teeth↗
PubMed1982

Isolation and characterization of inflammatory cells from the human periapical granuloma.

Twelve histologically-confirmed periapical granulomas were evaluated by conventional immunologic rosette assays for the presence of T-lymphocytes and complement receptor-bearing lymphocytes. A technique for dispersing the granuloma cells into suspensions was adopted to facilitate performance of the assays which were not applicable to tissue sections. Differential cell counts by an acridine orange vital dye method disclosed that the cell suspensions contained 30% macrophages, 44% lymphocytes, 15% plasma cells, and 12% neutrophils. Complement receptor-bearing cells comprised 17.9%, and T cells comprised 34.5% of the unseparated inflammatory cells. This study provides the first direct evidence of a predominance of thymic-derived lymphocytes in the lymphocyte compartment of the periapical granuloma. Analysis of the data shows that cell-mediated immunity most likely plays a role in the pathogenesis of the periapical granuloma.

Cell Count↗
PubMed1980

Cemented annulation as an age criterion in the common marmoset (Callithrix jacchus).

Teeth from 18 marmosets, seven months to 5.8 years of age, were studied histologically. A minimum of one dark and one light band comprised one cemental annulation. Age was estimated by counting the number of annulations and adding four months to premolar and eight months to canine teeth for tooth development. Cemental annulations were most consistent near the gingival border on the labial aspect of the tooth. The method will be valuable in estimating the ages of marmosets and other nonhuman primates.

Age Determination by Teeth↗