Biomedical subjects
Publications and source records attributed to J L Fox.
A synopsis of the types of vascular clips (malleable clips, screw clips, and spring clips) used by neurosurgeons during this century is presented. A review of the pertinent literature is included.
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The model given in this report and the rotating disk method provide a useful combination in the study of dental enamel and hydroxyapatite dissolution kinetics. The present approach is a significant improvement over earlier studies, and both the ionic activity product that governs the dissolution reaction and the apparent surface dissolution reaction rate constant may be simultaneously obtained. Thus, these investigations have established the baseline for the dissolution rate studies under sink conditions. Concurrent studies, under conditions where the acidic buffer mediums are partially saturated with respect to hydroxyapatite have shown another dissolution site for hydroxyapatite that operates at a higher ionic activity product but has a much smaller apparent surface reaction rate constant. This has raised the question of whether the presence of this second site may interfere with the proper theoretical analysis of the experimental results obtained under sink conditions. A preliminary analysis of the two-site model has shown that the dissolution kinetics of hydroxyapatite under sink conditions is almost completely governed by the sink condition site (KHAP = 10(-124.5), k' = 174) established in this report. The difference between the predicted dissolution rate for the one-site model and the two-site model are generally of the order of 4 to 5% where the experiments are conducted under sink conditions and over the range of variables covered in the present study.
Three patients with occlusive cerebrovascular disease were evaluated for possible extracranial-intracranial arterial anastomosis. Cerebral angiography repeated at a later date revealed disappearance of the initial vascular stenosis or occlusion and development of extensive collateral circulation. It was concluded in these cases that surgical revascularization would not improve upon natural revascularization. Repeated angiography provides information of value to the physician who must make a decision about such surgical treatment.
This study was prepared with the objective of directing the attention of the medical community to advances during the last decade in the operative treatment of cerebral ischemia, intracranial aneurysms, and cerebral and spinal vascular malformations. The requirements for specialized personnel, facilities, and instrumentation are detailed for those who are unfamiliar with the complexities of microneurosurgery. The importance of adequate training in the intricacies of extracranial-intracranial anastomotic procedures is stressed. Reported results of this operation are discussed. It is anticipated that a recently organized cooperative study will provide the data necessary for evaluation of long term benefits. Attention is given to grading the clinical status of patients with intracranial aneurysms in advance of surgery and the importance of operating upon good risk patients. How to manage the relatively large numbers of poor risk patients with aneurysms unsuitable for immediate operation is discussed. Sophisticated radiological procedures utilized in the diagnosis, management, and evaluation of therapy are described. The role and significance of properly administered anesthesia are discussed in relation to the performance of complicated and time-consuming microsurgery on the brain and spinal cord. The study group has tried to present this material objectively and to urge those individuals working in this difficult field to acquire the special skills and instrumentation of microneurosurgery, to implement the "team-of-experts" concept in the operating room, and to enlist the support of related disciplines.
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Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.