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Biomedical subjects

M Peleg

Publications and source records attributed to M Peleg.

At least 55 records · Page 3Linked to original sources

Reinterpretation of microbial survival curves.

The heat inactivation of microbial spores and the mortality of vegetative cells exposed to heat or a hostile environment have been traditionally assumed to be governed by first-order reaction kinetics. The concept of thermal death time and the standard methods of calculating the safety of commercial heat preservation processes are also based on this assumption. On closer scrutiny, however, at least some of the semilogarithmic survival curves, which have been considered linear are in fact slightly curved. This curvature can have a significant effect on the thermal death time, which is determined by extrapolation. The latter can be considerably smaller or larger depending on whether the semilogarithmic survival curve has downward or an upward concavity and how the experimenter chooses to calculate decimal reduction time. There are also numerous reports of organisms whose semilogarithmic survival curves are clearly and characteristically nonlinear, and it is unlikely that these observations are all due to a mixed population or experimental artifacts, as the traditional explanation implies. An alternative explanation is that the survival curve is the cumulative form of a temporal distribution of lethal events. According to this concept each individual organism, or spore, dies, or is inactivated, at a specific time. Because there is a spectrum of heat resistance in the population--some organism or spores are destroyed sooner, or later, than others--the shape of the survival curve is determined by its distributions properties. Thus, semilogarithmic survival curves whether linear or with an upward or a downward concavity are only reflections of heat resistance distributions having a different, mode variance, and skewness, and not of mortality kinetics of different orders. The concept is demonstrated with published data on the lethal effect of heat on pathogens and spores alone and in combination with other factors such as pH or high pressure. Their different survival patterns are all described in terms of different Weibull distribution of resistances as a first approximation, although alternative distribution functions can also be used. Changes in growing or environmental condition shift the resistances distribution's mode and can also affect its spread and skewness. The presented concept does not take into account the specific mechanisms that are the cause of mortality or inactivation--it only describes their manifestation in a given microbial population. However, it is consistent with the notion that the actual destruction of a critical system or target is a probabilistic process that is due, at least in part, to the natural variability that exists in microbial populations.

Bacteria↗

Sinus floor augmentation with simultaneous implant placement in the severely atrophic maxilla.

Dental implant placement associated with augmentation of the sinus floor in the severely atrophic maxilla can be performed in 1- or 2-surgical stages, depending on the height of the residual alveolar bone. A minimum of 4 to 5 mm of residual alveolar bone height is recommended for a 1-stage surgical procedure. The present study describes a 1-stage procedure in cases where the residual alveolar bone height in the posterior maxilla was 1 to 2 mm. A total of 55 hydroxyapatite-coated dental implants were inserted in 20 grafted sinuses of 20 patients. No case presented any difficulty in achieving initial stabilization and parallelism. No perforation of the sinus membrane or clinical complications of the sinuses were evident. Prior to exposure, radiographic evaluation revealed bone consolidation and a close bone-implant relation. At second-stage surgery, there was no clinical evidence of crestal bone loss around the implants. All implants were clinically osseointegrated. All patients received fixed implant-supported prosthesis. The mean follow-up was 26.4 months (range 15 to 39 months). There was no implant loss after loading. The following surgical modifications are essential: a wide lateral window opening, the use of a bone mill to homogenize the bone graft, meticulous condensation, and clinical measurements to ensure implant parallelism.

Adult↗

Modeling microbial populations with the original and modified versions of the continuous and discrete logistic equations.

The life histories of microbial populations, under favorable and adverse conditions, exhibit a variety of growth, decay, and fluctuation patterns. They have been described by numerous mathematical models that varies considerably in structure and number of constants. The continuous logistic equation alone and combined with itself or with its mirror image, the Fermi function, can produce many of the observed growth patterns. They include those that are traditionally described by the Gompertz equation and peaked curves, with the peak being symmetric or asymmetric narrow or wide. The shape of survival and dose response curves appears to be determined by the distribution of the resistance's to the lethal agent among the individual organisms. Thus, exponential decay and Fermian or Gompertz-type curves can be considered manifestations of skewed to the right, symmetric, and skewed to the left distributions, respectively. Because of the mathematical constraints and determinism, the original discrete logistic equation can rarely be an adequate model of real microbial populations. However, by making its proportionality constant a normal-random variate it can simulate realistic histories of fluctuating microbial populations, including scenarios of aperiodic population explosions of varying intensities of the kind found in food-poisoning episodes.

Food Microbiology↗

Measures of line jaggedness and their use in foods textural evaluation.

The jaggedness of signatures, such as the force-displacement curves of brittle cereal-based foods, can be a manifestation of physical processes. Consequently, it should be regarded as an inherent property of the system rather than noise that should be discarded. Changes in the degree of jaggedness can provide useful information on the system's performance or on how it is affected by external conditions, such as exposure to moisture. Quantitative assessment of the degree of jaggedness can be done by methods that include statistical analysis, conversion of the record into a Fourier power spectrum, and determination of its apparent fractal dimension. Most can be performed with microcomputers and commercially available software. It is recommended that the jaggedness of any experimental curve or signature be determined by at least two methods or algorithms simultaneously for mutual verification. The magnitude of any single measure of jaggedness is determined by the signature's fluctuations amplitude and frequency. While the amplitude effect can be accounted for by normalization, the frequency cannot. Consequently, only curves having about the same number of points at the pertinent interval can be meaningfully compared. There is, however, a mathematical method, at this time still empirical, that allows meaningful comparison of the jaggedness of signatures obtained at different sampling rates. When several or numerous jagged signatures are recorded simultaneously, as in the case of brittle particulates compressed in bulk, the resulting combined signature is considerably smoothed. This is primarily the result of averaging caused by mutual cancellation of peaks in different directions and reducing the relative weight of any large peak. However, there are mathematical methods, some partly empirical, that enable restoration of the jaggedness of the original signatures.

Algorithms↗

[Oral surgical procedures during anticoagulant therapy].

Minor oral surgery, in patients being treated with anticoagulant therapy, constitutes a problem for the oral and maxillofacial surgeon. 77 patients getting coumarin underwent 168 oral surgical procedures (tooth extraction, apicoectomy, crown-lengthening, excision of lesions) without lowering the dose of anticoagulant. Local hemostasis was achieved in all cases by silk suture. For tooth extraction gelfoam was used as well. In 12 patients who presented with postoperative bleeding, it was controlled in all by gauze pressure with tranexamic acid and/or biologic glue and/or surgical splinting. Postoperative bleeding was not correlated with the international normalized ratio (INR), but with degree of local inflammation. The study shows that interruption of anticoagulant therapy in such cases is not justified, and the use of tranexamic acid or biological glue can control bleeding.

Adult↗

Burkitt's lymphoma mimicking an acute dentoalveolar abscess.

Burkitt's lymphoma is a monoclonal proliferation of B lymphocytes classified histologically as a poorly differentiated lymphocytic lymphoma. The jaw and retroperitoneal structures are the most commonly involved sites. Prognosis is highly dependent on the stage of the disease. In some cases, the first manifestation of Burkitt's lymphoma is in the jaws, and symptoms may be misdiagnosed as infection. Dental radiographs can play an important role in the diagnosis. A case of a peculiar Burkitt's lymphoma involving the mandible that was misdiagnosed as an acute dentoalveolar abscess is presented.

Adolescent↗

Changing indications for tracheostomy in maxillofacial trauma.

PURPOSE: Tracheostomy is one of the most common surgical procedures, but not always without complications. The purpose of this article was to reevaluate the indications of maintaining the airway with the use of tracheostomy. MATERIALS AND METHODS: A total of 399 patients with maxillofacial trauma, who were treated in the Maxillofacial Surgery Department from 1985 to 1992, were evaluated for the type of fracture and air-way problems. RESULTS: Out of the 399 patients evaluated, 13 needed a tracheostomy. Of these, 6 had had a cricothyroidotomy on arrival, 3 required tracheostomy because of impending airway obstruction, 3 because of respiratory distress, and 1 due to difficulty in intubation. CONCLUSIONS: The results of this study indicated that surgically securing the airway by tracheostomy should be revised compared to other available methods. In the era of rigid fixation of fractures and the possibility of leaving the patient with an open mouth, it is unnecessary to carry out tracheostomy for securing the airway as frequently as in the past.

Airway Obstruction↗

"Mandibular and facial reconstruction" rehabilitation of the head and neck cancer patient.

Cancer surgery and its reconstruction today can result in functional and cosmetically supportive results for most patients. Today's better understanding of malignant tumor kinetics has evolved preservative and precision extirpative surgery which has on one hand enhanced cure rates and on the other hand has preserved function and appearance in such patients. Today's reconstructive techniques have a sound basis in wound healing and bone regeneration science so as to be predictable and long lasting. We now consistently reconstruct cancer patients with minimal complications and without adding undue deformity and disability. Within just the past ten years the additional advancement of osseointegrated implants has taken functional results related to chewing force and efficiency to a higher level. These implants provide for an optimal return of eating ability to closely match those with natural dentitions. Such implants have also been taken a step further with their application to facial unit restorations. Today facial units with the excellent tissue color and consistency matches made possible by available elastic materials are worn with confidence and comfort by those who require them. The messy and ineffectual adhesives of the past have been discarded. At the time of this writing the hope for the immediate future is the availability of recombinant human BMP. As the next anticipated advance in complete cancer reconstruction it has the potential to regenerate physiologically normal bone without bone grafting. The reduction in morbidity and operating room time would be an enormous step forward, as would the applicability of reconstruction to more people at a reduced cost.

Bone Transplantation↗

On modeling changes in food and biosolids at and around their glass transition temperature range.

Temperature-induced mechanical and other changes in biosolids are regulated by three types of kinetics, depending on whether the material is in the glassy state, undergoing a transition, or fully plasticized. The transition itself can take place over a considerable temperature range, which in many food and biological systems happens to be the most pertinent to their functionality and stability. At the transition onset, the plot of stiffness vs. temperature has a downward concavity. It is reversed only at an advanced stage of plasticization after much of the stiffness has already been lost. Consequently, the WLF, Arrhenius, or any other model that implies a continuous upward concavity cannot account for changes in the transition region, and it is unsafe to use them to predict properties through extrapolation. The mechanical changes in the transition region can be described by a model with the mathematical structure of Fermi's function. Its applicability has been demonstrated with published data on a variety of foods and biosolids. Because the plot of stiffness vs. moisture, or water activity, has the same general shape as that of the stiffness vs. temperature plot, it too can be described by a model with the same mathematical format. Because moisture lowers the transition center temperature in a manner that can be described by a simple algebraic expression, the combined effects of temperature and moisture can be incorporated into a single general model. The latter can be used to create three-dimensional displays of the stiffness-temperature-moisture characteristic relationships of biosolids at and around their transition. At temperatures well above that of the transition, though, where a plot of log stiffness vs. temperature has a clear upper concavity, this model is no longer applicable, and the changes are better described by the WLF or an alternative model.

Food↗

Formation of DNA triple helices inhibits DNA unwinding by the SV40 large T-antigen helicase.

Previous studies have indicated that d(TC)n.d(GA)n microsatellites may serve as arrest signals for mammalian DNA replication through the ability of such sequences to form DNA triple helices and thereby inhibit replication enzymes. To further test this hypothesis, we examined the ability of d(TC)i.d(GA)i.d(TC)i triplexes to inhibit DNA unwinding in vitro by a model eukaryotic DNA helicase, the SV40 large T-antigen. DNA substrates that were able to form triplexes, and non-triplex-forming control substrates, were tested. We found that the presence of DNA triplexes, as assayed by endonuclease S1 and osmium tetroxide footprinting, significantly inhibited DNA unwinding by T-antigen. Strong inhibition was observed not only at acidic pH values, in which the triplexes were most stable, but also at physiological pH values in the range 6.9-7.2. Little or no inhibition was detected at pH 8.7. Based on these results, and on previous studies of DNA polymerases, we suggest that DNA triplexes may form in vivo and cause replication arrest through a dual inhibition of duplex unwinding by DNA helicases and of nascent strand synthesis by DNA polymerases. DNA triplexes also have the potential to inhibit recombination and repair processes in which helicases and polymerases are involved.

Antigens, Viral, Tumor↗

Darwinian evolution patterns in food products and beverages.

Although the development and survival of food products are regulated by mechanisms that bear little resemblance to those operating in the living world, their general evolutionary patterns share certain common features. These include punctuated equilibria, convergent evolution, the coevolution, the equivalence of symbiosis, and, rarely, even parasitism. The evolution of food products, like that of living organisms and other systems, is a nonlinear process. Consequently, its path can be affected not only by major events that drastically alter the environment but also by very minor events that may be unnoticeable at the time of their occurrence.

Animals↗

Tailoring texture for the elderly: theoretical aspects and technological options.

The perception of what is known as "texture" is a result of a variety of primarily mechanical and acoustical events. These are sensed by receptors of different kinds that are unevenly distributed in the sensing organ(s) (tongue, jaws, fingers) and neighboring tissues. The perceived intensity of textural properties is time dependent and can be influenced by other stimuli, notably chemical and thermal. The exact mode in which mechanical and geometrical properties are translated into perceived texture is not known. There are, however, known trends based on empirical observations, and growing understanding of the operation of individual receptors and the physiology and biomechanics of the sensation process itself. This body of knowledge can provide rational guidelines for the development of special products for the elderly and other people with special needs. For example, it is possible to increase fragility and maintain crunchiness or to make chewy foods that require a reduced effort in mastication to minimize fatigue. The technology to make such products is already in place and its future use by the food industry will depend only on marketing opportunities.

Aged↗

Fractals and foods.

Fractal geometry and related concepts have had only a very minor impact on food research. The very few reported food applications deal mainly with the characterization of the contours of agglomerated instant coffee particles, the surface morphology of treated starch particles, the microstructure of casein gels viewed as a product limited diffusion aggregation, and the jagged mechanical signatures of crunchy dry foods. Fractal geometry describes objects having morphological features that are scale invariant. A demonstration of the self-similarity of fractal objects can be found in the familiar morphology of cauliflower and broccoli, both foods. Processes regulated by nonlinear dynamics can exhibit a chaotic behavior that has fractal characteristics. Examples are mixing of viscous fluids, turbulence, crystallization, agglomeration, diffusion, and possibly food spoilage.

Chemical Phenomena↗

On the use of the WLF model in polymers and foods.

The validity of the WLF model with fixed "universal" coefficients was tested against that of the model original form with variable coefficients using published coefficients of polymers and amorphous sugars crystallization and viscosity data. The disagreement between the two versions of the model is particularly large at temperature ranges starting about 20 to 30 degrees K above the glass transition or reference temperature, excluding the former from being a model of general applicability. Because the WLF model mathematical structure entails the existence of an almost linear region near the reference temperature, establishment of its validity as a kinetic model and meaningful determination of its constants requires data spread over an extended temperature range, especially when the experimental results have a scatter.

Crystallization↗

Idiopathic submandibular abscesses in children.

Idiopathic submandibular abscesses are often observed in young children and the report concerns 31 children treated over a period of 3 years. Their origin is unknown. As all these abscesses were lymph node abscesses in the submandibular region, it is assumed that they are due to minor oral and nasal cavity traumatic lesions secondarily infected. Antibiotic treatment and surgical drainage resulted in quick resolution and recurrences were never observed.

Abscess↗