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Biomedical subjects

L M Vincent

Publications and source records attributed to L M Vincent.

At least 19 recordsLinked to original sources

Adhesion of mammalian cells to polymer surfaces: from physical chemistry of surfaces to selective adhesion on defined patterns.

The study of the adsorption of type I collagen from a solution containing Pluronic F68 has shown that the latter prevents collagen adsorption on polystyrene and does not prevent it on surface-oxidized polystyrene. This explains the control of mammalian cell adhesion by substrate surface hydrophobicity and composition of pre-conditioning solution. On that basis, selective adhesion of different types of mammalian cells (PC12 pheochromocytoma, MSC80 schwannoma, Hep G2 hepatoblastoma, rat hepatocytes) on patterned surfaces was achieved. Therefore tracks (width in the range of a few tens of microm) of reduced hydrophobicity were produced on polystyrene by photolithography and oxygen plasma treatment. After conditioning by a solution containing both Pluronic F68 and extracellular matrix protein (collagen, fibronectin), the latter adsorbed selectively on these paths thus allowing selective adhesion of the cells.

Adsorption↗

[Reflexions on the usage of information theory in biology].

For living beings, information is as fundamental as matter or energy. In this paper we show: a) inadequacies of quantitative theories of information, b) how a qualitative analysis leads to a classification of information systems and to a modelling of intercellular communication. From a quantitative point of view, the application in biology of information theories borrowed from communication techniques proved to be disappointing. These theories ignore deliberately the significance of messages, and do not give any definition of information. They refer to quantities, based upon arbitrarily defined probabilistic events. Probability is subjective. The receiver of the message needs to have 'meta-knowledge' of the events. The quantity of information depends on language, coding, and arbitrary definition of disorder. The suggested objectivity is fallacious. In common language, the word 'information' is synonymous with knowledge of order. Following common sense a message (letters, coded signals, etc.) is information just in case it is interpretable, i.e. if it fits to a previously acquired meaning (the words of an available language, etc.). The consequence is that calculation of quantities in the sense of Shannon can be used for transmissions, but it is itself meaningless (has no significance). In linguistics and semantics, information is composed of a 'signifier', a physical medium (letters, coded signals, etc.), and a 'signified' or significance. The nature of information is complex. The laws of linguistics and semantics are valid not only at the human, organismic level, but also at the cellular and molecular level. The physiology of sensations gives us many examples for application of a concept of information An electromagnetic wave of 0.7% give us the sensation of a red colour. Sensations have no physical reality. They are purely subjective. At the cellular level communication operates by means of chemical messengers (first messengers), which generally do not penetrate the plasmic membrane. Specific captors operate as transductors: external factors are converted into secondary messengers (cyclic AMP, Ca ion, etc.). Sometimes, electric signals (like depolarization waves) may also play a part in the intercellular communication. Such processes are characterized by changes in a sequence of different molecules carried by a physical signal. What is transmitted is the meaning of the message (significance) which can be memorized by the cell, providing a possible following use. At the molecular level one can find also the processes of linguistic nature. We know that the significance of a word is changed with changing the order of letters (ADD-->DAD, etc.).(ABSTRACT TRUNCATED AT 400 WORDS)

Animals↗

Traumatic laceration of the liver limited to the bare area: CT findings in 25 patients.

OBJECTIVE: The capsular extent of traumatic hepatic lacerations may be limited to the bare area of the liver--an area not covered by peritoneal reflection. In these cases, intraperitoneal bleeding may not occur, classic peritoneal findings may be absent, and results of diagnostic peritoneal lavage may be normal. We undertook a study to evaluate the frequency, CT appearance, and significance of injury of the bare area of the liver. MATERIALS AND METHODS: We retrospectively reviewed radiologic reports of 1469 hemodynamically stable trauma patients referred for abdominal CT between January 1986 and September 1992 and selected 155 patients whose CT reports indicated hepatic injury. Retrospective review of the abdominal CT scans of these 155 patients confirmed intrahepatic laceration or contusion in all of them. The study involved the 25 (16%) patients in whom the capsular extent of injury was limited to the bare area of the liver. RESULTS: In all cases, CT scans showed simple or complex lacerations involving predominantly or exclusively the posterior segment of the right hepatic lobe, with capsular extent limited to the superomedial hepatic surface. Abnormal retroperitoneal findings were present in all but two cases. Twenty-two (88%) of 25 patients had right-sided retroperitoneal hemorrhage or fluid collections; adrenal hematoma or periadrenal fluid was seen in 12 (48%) patients. Abnormal pericaval fluid collections were present in nine (36%). Only five (20%) patients had free intraperitoneal fluid. Diagnostic peritoneal lavage, performed as a correlative procedure in four patients, revealed intraabdominal hemorrhage in one, equivocal findings in one, and normal findings in two. Patients who had isolated injuries of the bare area of the liver did well clinically and were discharged after an uneventful hospital stay of an average of 3 days (range, 2-7 days). CONCLUSION: A small percentage of hemodynamically stable patients who have hepatic trauma may have lacerations that primarily involve the bare area and that are not suspected clinically or detected by diagnostic peritoneal lavage. In these patients, CT may be helpful to show the extent of liver injury, identify associated retroperitoneal abnormalities, and provide prognostic information.

Abdominal Injuries↗

Renal ultrasonographic correlates of acute pyelonephritis.

To determine the frequency and clinical significance of ultrasonographically detectable alterations in renal volume and anatomy that are associated with acute pyelonephritis, 25 women underwent renal ultrasonography during the acute phase of their illness, and 21 of these patients underwent the procedure after receiving antimicrobial therapy. One patient had a predisposing anatomic abnormality (4%; 95% confidence interval, 0-12%), and one patient each (8%; 95% confidence interval, 0-19%) experienced focal complications (an intrarenal mass and perinephric fluid collection). The kidneys of the 21 evaluable patients were acutely swollen (mean, 20%; P = .0001); one or both kidneys were enlarged by greater than or equal to 15% in 17 (81%). Acute renal enlargement was associated with protracted pretherapy symptoms (P less than .01), leukocytosis (P less than .01), focal infectious complications (P less than .01), and prolonged hospitalization (P less than .05). Thus, ultrasonographically demonstrable renal swelling characteristically occurs in women with acute pyelonephritis but is usually apparent only in retrospect. The degree of swelling correlates with selected clinical parameters, and the frequency of underlying anatomic abnormalities and focal infectious complications is low.

Acute Disease↗

Pelvic inflammatory disease. Endovaginal sonography with laparoscopic correlation.

We correlated endo-vaginal ultrasound (EVUS) results with laparoscopic findings in 16 patients with operatively confirmed acute pelvic inflammatory disease to evaluate the sensitivity and accuracy of EVUS for identification of uterine and adnexal pathology. Laparoscopy confirmed prospective sonographic abnormalities in 25 of 27 inflamed fallopian tubes (sensitivity, 93%) and in 19 of 21 ovaries with peri-ovarian inflammation (sensitivity, 90%). Overall accuracy for EVUS prediction of peri-ovarian or tubal disease was 91% and 93%, respectively. However, EVUS was less sensitive to uterine abnormalities and detected inflammatory changes in only three of 12 confirmed cases (25%). EVUS also failed to demonstrate small quantities of purulent fluid (less than 20 cc) in the pelvic cul-de-sac in six of nine cases.

Acute Disease↗

The caduceus.

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Emblems and Insignia↗

Yolk sac calcification: a sonographic finding associated with intrauterine embryonic demise in the first trimester.

Two cases of the sonographic demonstration of yolk sac calcification associated with first-trimester intrauterine embryonic demise are reported. Histologic verification was obtained in one case. Yolk sac calcification may reflect typical dystrophic changes or be more specifically related to a yolk sac calcium-binding protein. Awareness of this sonographic finding--which the authors believe to be previously undescribed--may prevent diagnostic errors.

Adolescent↗

Suspected leaking abdominal aortic aneurysm: use of sonography in the emergency room.

To determine the value of sonography in the emergent evaluation of suspected leaking abdominal aortic aneurysms, the authors examined 60 patients in the emergency department using sonography and a protocol involving advance radio notification from the ambulance; arrival of sonographic personnel and equipment in the triage room before patient arrival; and, during other triage activities, rapid sonographic evaluation of the aorta for aneurysm and of the paraaortic region for extraluminal blood. Sonographic findings were correlated with surgical results and clinical outcome. When performed under these circumstances, sonography was accurate in demonstrating presence or absence of aneurysm (98%), but its sensitivity for extraluminal blood was poor (4%). A combination of sonographic confirmation of aneurysm, abdominal pain, and unstable hemodynamic condition resulted in the correct decision to perform emergent surgery in 21 of 22 patients (95%). An abbreviated sonographic examination done in the emergency room can provide accurate, useful information about the presence of aneurysm; this procedure does not significantly delay triage of these patients.

Aorta, Abdominal↗

Ultrasound of soft tissue abnormalities of the extremities.

Ultrasound may be the preferred initial diagnostic modality for the painful swollen extremity, the palpable extremity mass, and the injured extremity. The role of ultrasound in extremity soft tissue abnormalities, including muscle hemorrhage and injury, inflammatory processes, and soft tissue neoplasms, is the subject of this review.

Abscess↗

The influence of age and gender on left ventricular response to supine exercise in asymptomatic normal subjects.

The performance of normal subjects during radionuclide ventriculography has been related to age, but the combined effects of age and sex on exercise ventricular function are not well described. We studied 55 normal volunteers, 27 men (age = 30 +/- 10 years) and 28 women (age = 33 +/- 14 years), free of chest pain syndromes, during supine rest/exercise radionuclide ventriculography performed to fatigue. Resting left ventricular ejection fraction did not differ between male and female subjects (64 +/- 5.4 vs 64 +/- 6.1; p = NS). Both the peak left ventricular ejection fraction (78 +/- 4.4 vs 72 +/- 9.2; p less than 0.001) and the change in ejection fraction with exercise (14 +/- 4.0 vs 7.9 +/- 7.0; p less than 0.001) were significantly greater in men compared to respective values in women. Regression analysis showed that sex (r = 0.51; p less than 0.001) but not age (r = -0.18; p = 0.19) was a significant predictor of change in ejection fraction with exercise. Data on left ventricular volume response to exercise, available in 43 subjects, revealed that men had a greater percentage of decline in end-systolic volume with exercise than women (-47 +/- 15 vs -24 +/- 26; p less than 0.001). It is concluded that sex exerts a significant influence on normal left ventricular response to fatigue-limited supine exercise and that the gender difference is mediated, in part, by left ventricular end-systolic volume response to exercise.

Adolescent↗

Ozone exposure increases respiratory epithelial permeability in humans.

Ozone is a respiratory irritant that has been shown to cause an increase in the permeability of the respiratory epithelium in animals. We used inhaled aerosolized 99mTc-labeled diethylene triamine pentacetic acid (99mTc-DTPA) to investigate whether human respiratory epithelial permeability is similarly affected by exposure to ozone. In a randomized, crossover double-blinded study, 8 healthy, nonsmoking young men were exposed for 2 h to purified air and 0.4 ppm ozone while performing intermittent high intensity treadmill exercise (minute ventilation = 66.8 L/min). SRaw and FVC were measured before and at the end of exposures. Seventy-five minutes after the exposures, the pulmonary clearance of 99mTc-DTPA was measured by sequential posterior lung imaging with a computer-assisted gamma camera. Ozone exposure caused respiratory symptoms in all 8 subjects and was associated with a 14 +/- 2.8% (mean +/- SEM) decrement in FVC (p less than 0.001) and a 71 +/- 22% increase in SRaw (p = 0.04). Compared with the air exposure day, 7 of the 8 subjects showed increased 99mTc-DTPA clearance after the ozone exposure, with the mean value increasing from 0.59 +/- 0.08 to 1.75 +/- 0.43%/min (p = 0.03). These data show that ozone exposure sufficient to produce decrements in the pulmonary function of human subjects also causes an increase in 99mTc-DTPA clearance.

Adult↗

Extramedullary hematopoiesis. Demonstration by transmission and emission computed tomography.

Extramedullary hematopoiesis occurring in the thorax is a well-known complication of a number of various blood dyscrasias, and its appearance with planar Tc-99m sulfur colloid marrow scintigraphy and transmission computed tomography (CT) has been described previously. The authors present a case of thoracic extramedullary hematopoiesis evaluated by CT and emission computed tomography (ECT).

Abdomen↗