Biomedical subjects
G C Browning
Publications and source records attributed to G C Browning.
World Wide Web interface to digital imaging and communication in medicine-capable image servers.
As a trial project, the Indiana University Department of Radiology has develop[ed a low-cost manner of distributing radiological images throughout a medical environment using the World Wide Web (WWW). The interface requires the user to have a WWW-browser client, such as Netscape, running on UNIX, PC, or Macintosh platforms. A forms-based interface allows the user to query several DICOM-capable machines at the machine, patient, study, series, and image levels. Once an image transfer is initiated, images are prewindowed from 16- to 8-bits, compressed using public domain Joint Photographic Expert Group (JPEG) compression routines, transferred to the WWW client program, and decompressed and displayed using a locally selected image viewing program. At the currently implemented level of compression (75% quality), the entire fetch-transform-JPEG-display process takes 2 to 5 seconds over Ethernet, depending on the platform used.
Removal of latex glove contaminants prior to taking poly (vinylsiloxane) impressions.
Sulfur compounds found in latex gloves may be deposited on teeth and gingiva, inhibiting the setting of poly(vinylsiloxane) impression materials. The objective of this in vivo study was to screen a variety of methods to remove these contaminants. Ten patients were each tested with eight decontamination methods. Before each trial, the facial surfaces and adjacent gingiva of the maxillary central and lateral incisors were contaminated with 20 wipes of a latex glove. Decontamination methods included a 30-second rinse with mouthwash, 3% hydrogen peroxide, or air-water syringe; a 30-second toothbrush scrub with water, mouthwash, or hydrogen peroxide; a 30-second cotton pellet-Cavidry scrub; and a 30-second cleaning with a prophy cup and pumice. A 10-second water rinse followed each method except the air-water syringe and Cavidry groups. A low-viscosity poly(vinylsiloxane) impression material was then used to take an impression of the area. To test surface inhibition, the gingival, tooth, and palatal impression surfaces were wiped with cotton-tipped applicators, and the degree of inhibition was subjectively categorized by two independent investigators. Mechanical decontamination with a toothbrush or pumice was significantly more effective than was rinsing alone, regardless of the solution used.
Postoperative monitoring of CEA in the prediction of surgical outcome in colorectal cancer.
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Medical management of chronic mucosal otitis media.
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Osteosarcoma of the esophagus.
The case of a 70-year-old man who underwent esophagectomy for a large polypoid sarcoma is described. Detailed examination of the surgical specimen established a diagnosis of osteosarcoma. Although osteosarcomas of the esophagus have been described in dogs, such tumors in humans do not appear to have been previously reported.
The vestibular aqueduct and endolymphatic sac and duct in endolymphatic hydrops.
The histologic features of the endolymphatic sac and duct in 23 serially sectioned temporal bones with idiopathic or secondary endolymphatic hydrops were blindly compared with 22 randomly selected, normal temporal bones. In idiopathic hydrops, the pars rugosa of the endolymphatic sac extended out of the vestibular aqueduct into the dura in 29% of bones, compared with none of normal bones (P less than .01). In the other 71%, the pars rugosa in the vestibular aqueduct was surrounded by dura more commonly than normal. Functional studies are required to assess the relationship of these findings to hydrops. In secondary hydrops (eg, due to labyrinthitis), the endolymphatic duct was obliterated in the isthmus of the vestibular aqueduct by bone or fibrosis in seven of nine bones. Because of similar ossification and fibrosis elsewhere in the vestibular labyrinth, a direct relationship with hydrops cannot be assumed.
The effect of vagotomy and drainage on bowel habit and small-bowel flora in the immediate postoperative period.
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Surgical anatomy of the temporal bone in the chinchilla.
The chinchilla is of value in otological research for many reasons, including the surgical accessibility of the majority of structures within its temporal bone. This paper describes the anatomy of the chinchilla's temporal bone, and four surgical approaches to the labyrinth and ossicular chain, three through the bulla and the other via the external canal. No one approach reveals all the temporal bone structures, and each route is therefore more suited to some surgical procedures than others. The cochlea is particularly accessible for microsurgical procedures because it projects into the labyrinthine part of the bulla and because its bony capsule is thin. Surgery in the posterior cranial fossae is both hazardous and difficult; the hazard is bleeding from the venous sinuses which run within the occipital and temporal bones, and the difficulty is the limited access due to the intervening cerebellum and the closeness of the brain stem.