The management of peri-prosthetic infection in total joint arthroplasty.
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Anti-Bacterial Agents↗
Biomedical subjects
D Davidson
Publications and source records attributed to D Davidson.
Issues and options for the safe destruction and disposal of used injection materials.
It has long been known that the re-use of syringes can cause the spread of infections such as HIV and hepatitis. The production of disposable syringes was undertaken as a solution to the infection problem. In developing countries, however, there has been an unwanted result: the re-use and recycling of disposable syringes. One response has been "auto-disable" syringes that lock the plug and piston in place after a single use. These types of approaches, however, have resulted in greatly increased volumes of used injection materials. This is a particular problem in developing countries where contaminated medical wastes find their way into municipal garbage where people are known to scavenge and recycle. This poses obvious health risks, both in terms of direct exposure and environmental contamination. This study of issues and options for the safe destruction and disposal of used injection materials was undertaken using document analysis was to bring together and summarise approaches to the inter-related issues of "syringe re-use" and "clinical waste disposal". The authors suggest that holistic approaches to syringe use and clinical waste disposal need to be utilized in addressing the situation outlined. The focus is on technology and procedures that may be adaptable to rural areas in developing countries.
Developing Countries↗
Building mouse phenotype ontologies.
The structured description of mutant phenotypes presents a major conceptual and practical problem. A general model for generating mouse phenotype ontologies that involves combing a variety of different ontologies to better link and describe phenotypes is presented. This model is based on the Phenotype and Trait Ontology schema proposal and incorporates practical limitations and designing solutions in an attempt to model a testbed for the first phenotype ontology constructed in this manner, namely the mouse behavior phenotype ontology. We propose the application of such a model could provide curators with a powerful mechanism of annotation, mining and knowledge representation as well as achieving some level of free text disassociation.
Animals↗
Melanoma patients evaluated by four different positron emission tomography reconstruction techniques.
One hundred and nineteen patients with malignant melanoma were studied using 2-[ F]-fluoro-2-deoxy-D-glucose positron emission tomography (FDG PET). The images were reconstructed using ordered subset expectation maximization with and without attenuation correction and filtered backprojection with and without attenuation correction. The most probable draining lymph node chains were surgically explored and the tumour volume was quantified at histology. The four different reconstructions of the PET images were retrospectively graded on a five-point scale by two blind readers and compared with the tumour volume. The readers agreed within +/-1 grade 93% (529/568) of the time. Comparing the areas under the receiver operating characteristic (ROC) curves gave 0.698, 0.668, 0.694 and 0.684 for the four reconstruction techniques. The lowest value comparing any pair of the four reconstruction techniques was P=0.371. Thus, none of the reconstruction techniques gave significantly better results than any of the others. The sensitivity of detection was 85% for tumour volumes of 113 m or more (about 6 mm in diameter), but only 4% for tumours less than this size. It can be concluded that the use of attenuation correction gives aesthetically more pleasing images, but the sensitivity and specificity are not significantly improved.
Adult↗
Corn silage management: effects of hybrid, chop length, and mechanical processing on digestion and energy content.
Two experiments were conducted to evaluate the effects of chop length and mechanical processing of two hybrids of whole plant corn on digestion and energy content of the total mixed ration (TMR). The experimental designs in experiments 1 and 2 were 6 x 6 and 4 x 4 Latin squares, respectively. In the first experiment, Pioneer hybrid 3845 was harvested at three theoretical lengths of cut: 11.1, 27.8, and 39.7 mm. At each chop length, corn was harvested with and without mechanical processing using a John Deere 5830 harvester with an onboard kernel processor. In the second experiment, Pioneer hybrid Quanta was harvested at two theoretical lengths of cut: 27.8 and 39.7 mm, with and without mechanical processing. In both experiments, the increase in the theoretical length of cut of corn silage increased the average length of cut and tended to increase the percentage of particles greater than 19 mm and lower the percentage of particles between 8 and 19 mm. In experiment 1, apparent total tract dry matter, organic matter, and neutral detergent fiber (NDF) digestibilities were lower for cows fed diets containing corn silage harvested at a short chop length (11.1 mm) than for corn silage harvested at a long chop length (39.7 mm). The lower total tract digestibility of nutrients may have contributed to the lower TDN, metabolizable energy (percentage of digestible energy), and NEL concentration of diets containing the short chop length corn silage (experiment 1). In experiment 2, total tract starch digestibility was greater for cows fed medium chop (27.8 mm) corn silage diets, and total tract NDF digestibility was greater for cows fed long chop (39.7 mm) corn silage diets. The opposing effect of total tract starch and fiber digestibilities between chop lengths may have contributed to the lack of difference in energy content of the diets in experiment 2. The TDN and NEL concentrations of the processed corn silage diets were greater than the unprocessed corn silage diets in experiment 1. The increase in energy concentration for the processed corn silage diet was due to greater total tract digestibility of organic matter and ether extract. Total tract starch digestibility was greater, and total tract NDF digestibility was lower for cows fed processed corn silage diets than unprocessed corn silage diets in experiment 2. The opposing effect of total tract starch and fiber digestibilities between processed and unprocessed corn silage may have contributed to the lack of difference in energy content of the diets.
Animal Feed↗
Corn silage management: effects of hybrid, maturity, inoculation, and mechanical processing on fermentation characteristics.
Two experiments were conducted to evaluate the effects of hybrid, maturity, mechanical processing, and inoculation of corn silage on fermentation characteristics. In experiment 1, Pioneer hybrid 3845 corn silage was harvested at three maturities (hard dough, one-third milkline, two-thirds milkline). In experiment 2, Pioneer hybrids 3845 and Quanta were harvested at three maturities (one-third milkline, two-thirds milkline, and blackline). In both experiments, corn silage was harvested at each maturity with and without mechanical processing and with and without inoculation. In experiments 1 and 2, corn silage was harvested at a theoretical length-of-cut of 6.4 and 12.7 mm, respectively. Maturity at harvest tended to have a greater impact on silage fermentation characteristics of corn silage than mechanical processing and inoculation. In experiments 1 and 2, corn silage harvested at the earliest maturity tended to have decreased dry matter content and increased water-soluble carbohydrate concentrations during the ensiling process than corn silage harvested at advanced maturities. In experiment 2, pH levels were lower for corn silage harvested at the early maturity (one-third milkline) compared with advanced maturities (two-thirds milkline and blackline) by 57 d after ensiling. The difference in pH can be explained by the greater concentration of water-soluble carbohydrates at the early maturity (one-third ML) soon after ensiling (2, 3, 6 and 10 d after ensiling) compared with advanced maturities (two-thirds ML and BL). The increased water-soluble carbohydrate concentrations in the less mature corn silage provided nutrients for bacteria to grow and produce primarily lactic acid (6, 10, and 57 d after ensiling) and some acetic acid (2, 3, 6, and 10 d after ensiling) which reduced the pH of corn silage more than at the advanced maturities. There was a slight change in silage fermentation characteristics when corn silage was inoculated with Pioneer 1132 inoculant in experiment 1. The inoculated corn silage had increased temperature, lactate and acetate concentrations, and lower water-soluble carbohydrate and pH levels compared with uninoculated corn silage. Dry matter recovery tended to be greater for processed corn silage in experiment 1, and greater for unprocessed corn silage in experiment 2. It appears that when fermentation was greater (increased temperature and lactate concentration 57 d after ensiling) the dry matter recovery was lower.
Acetic Acid↗
Factors affecting application of milk allantoin as an estimator of microbial protein flow to the duodenum under commercial conditions.
Three experiments were conducted to determine the effect of diet change, milk sampling technique, and bovine somatotropin (bST) on allantoin output in milk and the use of allantoin as a practical, noninvasive method for estimating microbial protein flow in dairy cattle. In experiment 1, four lactating Holstein cows were used in a 2 x 2 Latin square design with two treatments (ratio of forage to concentrate) and two periods. In experiment 2, six Holstein cows were used in a completely randomized design, and milk was collected by 1) a strip sample collected immediately before milking, 2) a strip sample collected 3 min from start of milking, and 3) a composite sample taken with an autosampler. In experiment three, 10 cows were used in a randomized block design to determine the effect of bST on milk allantoin. Milk samples were taken daily for 21 d, 7 d before, and 14 d after bST administration. In experiment 1, allantoin output (mmol/d) was significantly greater for cows fed the higher ratio of concentrate to forage, and there was a significant change in the amount of allantoin in milk 12 h (first subsequent milking) after a diet change. There was no difference in milk yield or dry matter intake between treatments. In experiment 2, no difference was detected in milk allantoin concentration among the three sampling methods. In experiment 3, milk yield, allantoin concentration, and total allantoin output was significantly increased after bST administration even though dry matter intake (DMI) remained unchanged. During the first 14 d following bST administration, estimates of microbial protein production derived from milk allantoin may be inaccurate due to increased milk production without an increase in DMI.
Allantoin↗
Corn silage management: effects of hybrid, maturity, chop length, and mechanical processing on rate and extent of digestion.
Five experiments were conducted to evaluate the effects of hybrid, chop length, maturity, and mechanical processing of corn silage on dry matter and nutrient disappearance in the rumen. Corn silage that had not been dried or ground was incubated in macro in situ bags (30 x 35 cm) for 8, 16, 24,48, and 96 h. Experiments la and 2 evaluated the effects of maturity and mechanical processing for two corn silage hybrids harvested at two theoretical lengths-of-cut. Experiments 3 through 5 evaluated the effects of chop length and mechanical processing for two corn silage hybrids harvested at two-thirds milkline. The hybrid with low neutral fiber (NDF) concentrations had greater dry matter and starch disappearance than the hybrid with high NDF concentrations. The effect of chop length on nutrient disappearance was variable across experiments 3 through 5. Processing improved dry matter disappearance in experiments la, 2 (two-thirds milkline and blackline), 3, 4, and 5 at the majority of ruminal incubation timepoints. Starch disappearance was greater for unprocessed corn silage in experiment la (hard dough and two-thirds milkline) and was greater for processed corn silage in experiments 2 and 5. However, there was no consistent trend in starch disappearance between processed and unprocessed corn silage in experiments 3 and 4. This can be partially explained by the high disappearance of starch (experiment 3, > or = 98% and experiment 4, > or = 94%) by 24 h of ruminal incubation. Minimal differences were detected in NDF disappearance between processed and unprocessed corn silage across maturities. In experiments 2 and 5, crude protein disappearance was improved due to processing at some incubation timepoints. Rate of dry matter, starch (one-third milkline and two-thirds milkline), and NDF disappearance tended to increase when corn silage was mechanically processed in experiment 2. Dry matter, starch, and crude protein disappearance tended to be greater for corn silage harvested at the early maturity (one-third milkline) in experiment 2 compared with advanced maturities (two-thirds milkline and blackline). Disappearance of NDF was greater at early maturities compared with advanced maturities in experiments 1a and 2. Rate of dry matter (hybrid 3845), starch, and NDF (hybrid 3845) disappearance tended to decrease as maturity advanced from one-third milkline to blackline in experiment 2. These results suggest that the macro in situ method can be used to evaluate nutrient disappearance in the rumen.
Animals↗
Prognostic importance of lymph node tumor burden in melanoma patients staged by sentinel node biopsy.
BACKGROUND: The objective of this study was to investigate the relationship between nodal tumor burden and the outcomes of recurrence and survival in sentinel node-positive melanoma patients. METHODS: We reviewed a series of sentinel node-positive patients with primary cutaneous melanoma treated with completion lymph node dissection (CLND). Microscopic nodal tumor deposits were counted and measured with an ocular micrometer. Various measures of tumor burden and traditional melanoma prognostic indicators were studied in multivariate Cox regression models. RESULTS: Sentinel lymph node and CLND specimens were evaluated in 90 node-positive patients. The diameter of the largest lymph node tumor nodule and the total lymph node tumor volume were significant predictors of recurrence (two-sided P <.0001 for both) and survival (two-sided P =.0018 and P =.0002, respectively). A tumor deposit diameter of 3 mm was identified as the most significant cut point predictive of recurrence (P <.0001; hazard ratio, 5.18) and survival (P <.0001; hazard ratio, 5.43). The 3-year survival probability was.86 for patients with largest tumor deposit diameters of 3 mm (P <.0001). CONCLUSIONS: Microstaging of melanoma sentinel lymph node/CLND specimens by using the diameter of the largest tumor deposit is a highly significant predictor of early relapse and survival.
Adolescent↗
Corn silage management: effects of maturity, inoculation, and mechanical processing on pack density and aerobic stability.
Three experiments were conducted to evaluate the effects of inoculation, maturity, and mechanical processing of corn silage on aerobic stability and pack density. Corn silage was stored in 20-L mini silos for the three aerobic stability experiments. Corn silage was stored in 80-L mini silos for the three pack-density experiments. The wet pack density of corn silage tended to decrease as maturity advanced in all of the pack-density experiments, and processed corn silage had a greater wet pack density compared with unprocessed corn silage in two of the three 20-L mini silo experiments. Aerobic stability, measured as the number of hours to reach 1.7 degrees C above ambient, was greater for processed corn silage in two of the three 20-L mini silo experiments, and was greater for inoculated corn silage across the three 20-L mini silo experiments. Inoculation of corn silage with lactic acid producing bacteria tended to improve aerobic stability of corn silage more than maturity and mechanical processing.
Aerobiosis↗
Corn silage management I: effects of hybrid, maturity, and mechanical processing on chemical and physical characteristics.
Two experiments were conducted to evaluate the effects of hybrid, maturity, and mechanical processing of whole plant corn on chemical and physical characteristics, particle size, pack density, and dry matter recovery. In the first experiment, hybrid 3845 whole plant corn was harvested at hard dough, one-third milkline, and two-thirds milkline with a theoretical length-of-cut of 6.4 mm. In the second experiment, hybrids 3845 and Quanta were harvested at one-third milkline, two-thirds milkline, and blackline stages of maturity with a theoretical length-of-cut of 12.7 mm. At each stage of maturity, corn was harvested with and without mechanical processing by using a John Deere 5830 harvester with an onboard kernel processor. The percentage of intact corn kernels present in unprocessed corn silage explained 62% of variation in total tract starch digestibility. As the amount of intact kernels increased, total tract starch digestibility decreased. Post-ensiled vitreousness of corn kernels within the corn silage explained 31 and 48% of the variation of total tract starch digestibility for processed and unprocessed treatments, respectively. For a given amount of vitreous starch in corn kernels, total tract starch digestibility was lower for cows fed unprocessed corn silage compared with processed corn silage. This suggests that processing corn silage disrupts the dense protein matrix within the corn kernel where starch is embedded, therefore making the starch more available for digestion. Particle size of corn silage and orts that contained corn silage was reduced when it was processed. Wet pack density was greater for processed compared with unprocessed corn silage.
Animal Feed↗
Corn silage management II: effects of hybrid, maturity, and mechanical processing on digestion and energy content.
Two experiments were conducted to evaluate the effects of maturity and mechanical processing of two hybrids of whole plant corn on starch, fiber, and ether extract digestibilities and energy content of the total mixed ration fed to lactating Holstein cows. In the first experiment, Pioneer hybrid 3845 whole plant corn was harvested at hard dough, one-third milkline, and two-thirds milkline with a theoretical length of cut of 6.4 mm. At each stage of maturity, corn was harvested with and without mechanical processing. In the second experiment, Pioneer hybrids 3845 and Quanta were harvested at one-third milkline, two-thirds milkline, and blackline stages of maturity with and without mechanical processing. The theoretical length of cut was 12.7 mm. The measured TDN and NEL concentrations were lower for diets containing processed corn silage in experiment 1 and greater for diets containing processed corn silage in experiment 2, compared with diets containing unprocessed corn silage. The lower energy content for diets containing processed corn silage in experiment 1 can be explained by the lower total tract NDF, ether extract, and CP digestibilities. The greater energy content for diets containing processed corn silage in experiment 2 can be attributed to greater total tract starch and NDF digestibilities for cows fed processed corn silage diets. In experiment 2, diets containing processed corn silage (1.59 Mcal/kg) had approximately 2.6% more energy available per kilogram of DM consumed compared with diets containing unprocessed corn silage (1.55 Mcal/kg). For hybrid Quanta in experiment 2, the TDN and NEL concentrations of diets containing corn silage harvested at two-thirds ML were greater than at other maturities.
Animal Nutritional Physiological Phenomena↗
Corn silage management III: effects of hybrid, maturity, and processing on nitrogen metabolism and ruminal fermentation.
Two experiments were conducted to evaluate the effects of maturity and mechanical processing of two hybrids of whole plant corn silage on DM and OM digestibility, nitrogen metabolism, ruminal fermentation, and milk production and composition in lactating Holstein cows. In the first experiment, Pioneer hybrid 3845 whole plant corn was harvested at hard dough, one-third milkline, and two-thirds milkline with a theoretical length-of-cut of 6.4 mm. At each stage of maturity, corn was harvested with (1-mm roll clearance) and without (15.9-mm roll clearance) mechanical processing using a John Deere 5830 harvester with an on-board kernel processor. In the second experiment, Pioneer hybrids 3845 and Quanta were harvested at one-third milkline, two-thirds milkline, and blackline stages of maturity with and without mechanical processing. The theoretical length-of-cut was 12.7 mm. Total tract DM and OM digestibilities were lower for cows fed diets containing processed corn silage in experiment 1, and tended to be lower for cows fed diets containing unprocessed corn silage in experiment 2. Ruminal acetate concentrations were greater and ruminal propionate concentrations were lower 2 and 6 h after feeding for cows fed diets containing corn silage harvested at physiological maturity in experiment 2. This was due to decreased digestion of starch at advanced maturities in experiment 2. Ruminal pH tended to decline rapidly after feeding for cows fed hybrid Quanta (2 h) compared to hybrid 3845 (5 h) corn silage based diets. Ruminal acetate concentrations decreased and ruminal propionate concentrations increased 2 and 6 h after feeding for cows fed diets containing hybrid Quanta corn silage compared to hybrid 3845 corn silage. This was related to a greater starch concentration in the corn silage, greater starch intake, and increased rate of starch digestion for cows fed hybrid Quanta corn silage-based diets. Microbial nitrogen flow was lower and feed nitrogen flow was greater for cows fed diets containing hybrid Quanta corn silage. The lower microbial nitrogen flow was due to lower microbial nitrogen concentration and nonammonia nitrogen flow to the duodenum. Milk fat and protein concentrations had a strong quadratic relationship with forage NDF intake as a percentage of body weight. When forage NDF intake as a percentage of body weight dropped below 0.70%, there was a rapid decline in milk fat and protein concentrations.
Animals↗
Cryptorchidism and alopecia in cats.
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Aggression↗
Parathyroid hormone-related protein promotes quiescence and survival of serum-deprived chondrocytes by inhibiting rRNA synthesis.
Parathyroid hormone-related protein (PTHrP) was initially recognized for its ability to promote parathyroid hormone-like bioactivity in kidney, bone, and squamous epithelial cells. PTHrP is a multifunctional protein in which bioactivity is mediated by two distinct pathways. Its classic parathyroid hormone-like activity results from binding of its amino terminus to cell surface PTH1R and activation of signal transduction pathways. Another less well recognized pathway involves translocation of PTHrP to the nucleus via a mid-region bipartite nuclear targeting sequence (NTS), similar in structure and function to those found in retroviral regulatory proteins. PTHrP was identified in the nucleus of several different cell types in vivo and in vitro, where it has been implicated in cell cycle progression, cellular differentiation, and apoptosis. In previous work we showed that nuclear translocation of PTHrP enhanced the survival of serum-deprived chondrogenic cells, associated with RNA, and localized to a region of the nucleus rich in complexes of newly transcribed ribosomal RNA and protein. In this work we have used two chondrogenic cell lines, CFK2 (PTH1R+) and 27m21 (PTH1R-) to further explore mechanisms whereby PTHrP rescues immature chondrocytes from apoptosis. Endogenous PTHrP and exogenous PTHrP NTS peptide protected serum-deprived cells from apoptosis, in the presence and absence of PTH1R. The survival of cells expressing PTHrP and those treated with PTHrP NTS peptide was associated with a rapid shift into G(o)/G1 accompanied by a significant down-regulation of rRNA synthesis and a decrease in the number of actively translating polyribosome complexes. Together with our previous observations, this work predicts a role for PTHrP in modulating ribosome biogenesis and preventing chondrogenic cells from progressing through the cell cycle in an unfavorable environment.
Base Sequence↗
PTP-PEST, a scaffold protein tyrosine phosphatase, negatively regulates lymphocyte activation by targeting a unique set of substrates.
There is increasing interest in elucidating the mechanisms involved in the negative regulation of lymphocyte activation. Herein, we show that the cytosolic protein tyrosine phosphatase PTP-PEST is expressed abundantly in a wide variety of haemopoietic cell types, including B cells and T cells. In a model B-cell line, PTP-PEST was found to be constitutively associated with several signalling molecules, including Shc, paxillin, Csk and Cas. The interaction between Shc and PTP-PEST was augmented further by antigen receptor stimulation. Overexpression studies, antisense experiments and structure-function analyses provided evidence that PTP-PEST is an efficient negative regulator of lymphocyte activation. This function correlated with the ability of PTP-PEST to induce dephosphorylation of Shc, Pyk2, Fak and Cas, and inactivate the Ras pathway. Taken together, these data suggest that PTP-PEST is a novel and unique component of the inhibitory signalling machinery in lymphocytes.
Adaptor Proteins, Signal Transducing↗
Alterations in the sensing and transport of phosphate and calcium by differentiating chondrocytes.
During endochondral bone formation and fracture healing, cells committed to chondrogenesis undergo a temporally restricted program of differentiation that is characterized by sequential changes in their phenotype and gene expression. This results in the manufacture, remodeling, and mineralization of a cartilage template on which bone is laid down. Articular chondrocytes undergo a similar but restricted differentiation program that does not proceed to mineralization, except in pathologic conditions such as osteoarthritis. The pathogenesis of disorders of cartilage development and metabolism, including osteochondrodysplasia, fracture non-union, and osteoarthritis remain poorly defined. We used the CFK2 model to examine the potential roles of phosphate and calcium ions in the regulatory pathways that mediate chondrogenesis and cartilage maturation. Differentiation was monitored over a 4-week period using a combination of morphological, biochemical, and molecular markers that have been characterized in vivo and in vitro. CFK2 cells expressed the type III sodium-dependent phosphate transporters Glvr-1 and Ram-1, as well as a calcium-sensing mechanism. Regulated expression and activity of Glvr-1 by extracellular phosphate and parathyroid hormone-related protein was restricted to an early stage of CFK2 differentiation, as evidenced by expression of type II collagen, proteoglycan, and Ihh. On the other hand, regulated expression and activity of a calcium-sensing receptor by extracellular calcium was most evident after 2 weeks of differentiation, concomitant with an increase in type X collagen expression, alkaline phosphatase activity and parathyroid hormone/parathyroid hormone-related protein receptor expression. On the basis of these temporally restricted changes in the sensing and transport of phosphate and calcium, we predict that extracellular phosphate plays a role in the commitment of chondrogenic cells to differentiation, whereas extracellular calcium plays a role at a later stage in their differentiation program.
Alkaline Phosphatase↗
NF-kappa B activation in tumor necrosis factor alpha-stimulated neutrophils is mediated by protein kinase Cdelta. Correlation to nuclear Ikappa Balpha.
The transcription factor NF-kappaB is critical for the expression of multiple genes involved in inflammatory responses and apoptosis. However, the signal transduction pathways regulating NF-kappaB activation in human neutrophils in response to stimulation with tumor necrosis factor-alpha (TNFalpha) are undefined. Since recent studies implicated activation of NF-kappaB as well as protein kinase C-delta (PKCdelta) in neutrophil apoptosis, we investigated involvement of PKCdelta in the activation of NF-kappaB in TNFalpha-stimulated neutrophils. Specific inhibition of PKCdelta by rottlerin prevented IkappaBalpha degradation and NF-kappaB activation in TNFalpha-stimulated neutrophils. This regulation of NF-kappaB activation by PKCdelta was specific only for TNFalpha signaling, since lipopolysaccharide- or interleukin-1beta-induced NF-kappaB activation and IkappaBalpha degradation were not inhibited by rottlerin. In addition, we show that in human neutrophils, but not monocytes, IkappaBalpha localizes in significant amounts in the nucleus of unstimulated cells, and the amount of IkappaBalpha in the nucleus, as well as in the cytoplasm, correlates with the NF-kappaB DNA binding. These results suggest that in human neutrophils, the presence of IkappaBalpha in the nucleus may function as a safeguard against initiation of NF-kappaB dependent transcription of pro-inflammatory and anti-apoptotic genes, and represents a distinct and novel mechanism of NF-kappaB regulation.
Acetophenones↗