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Biomedical subjects

R G Jaeger

Publications and source records attributed to R G Jaeger.

At least 37 records · Page 2Linked to original sources

The role of coronary arteriography in demonstration of mural thrombosis after angioplasty. Insights from an experimental model.

Although intracoronary thrombosis often occurs after angioplasty and may affect its outcome, the accuracy of arteriography for identification of mural thrombi is unclear. This study analyzed the relationship between arteriographic abnormalities immediately before death and the histologic extent of thrombosis in 77 dogs submitted to balloon injury of intact left anterior descending coronary arteries. Survival time after angioplasty was 120 min. The incidence of mural thrombosis, defined on serial histologic sections, was 65.0 percent. A positive diagnosis of intracoronary thrombus at arteriography (AT+) was based on the presence of any of the following signs: filling defects, retention of contrast material, and slowed or interrupted flow. Seventeen dogs were AT+, and 60 were AT-. The overall sensitivity of arteriography was 34 percent, and the specificity was 100 percent. Even considering as significant only thrombi greater than 25.0 percent of the arterial lumen area, 11 of 27 dogs were AT- despite thrombus sizes between 27 percent and 75 percent of lumen area (sensitivity, 59 percent); arteriography consistently missed smaller thrombi (22 of 23 dogs were AT-). Arterial diameters and balloon-induced injury were similar between AT- and AT+ dogs. Scanning electron microscopy depicted a fibrin-poor thrombus in 14 of 19 AT+ dogs and a fibrin-rich thrombus in five, whereas all seven AT+ dogs had fibrin-rich thrombi. Logistic regression analysis showed a correlation between thrombus size and arteriographic positivity, whereas the presence of fibrin and slowed flow of contrast material did not independently predict positive arteriographic results. Thus, arteriography is inaccurate for identification of mural thrombosis after angioplasty, mostly because of its poor sensitivity.

Angioplasty, Balloon, Coronary↗

An electron microscopic study of dental plaque of the rat incisor.

Because rat incisors continuously erupt they provide an opportunity for the study of dental plaque at all stages of its development. The youngest plaque would be visible at the gingival margin of the tooth as it erupts, and the older plaque higher on the tooth. The ultrastructural features of these plaques were studied by transmission electron microscopy. Cocci and short rods colonized the cementum surface, forming a monolayer. The plaque had a maximum thickness of about 40 microns, with the inner third rich in fibrillar matrix and the organisms forming microcolonies perpendicular to the tooth surface. Cells were haphazardly distributed in a loose matrix on the surface of the plaque. In the area of plaque disorganization the cementum was covered by isolated groups of bacteria and the matrix had holes in it. The rat mandibular incisor may provide a unique model for study of how plaque on cementum is initially formed, matures and finally is degraded.

Animals↗

The effect of indirect trauma on the rat temporomandibular joint.

The effect of indirect trauma to the rat temporomandibular joint (TMJ) is analysed by means of an experimental model. The trauma, applied from an angle-glenoid fossa direction, produced injury of the TMJ. The histological data demonstrated that the impact could produce fractures of the glenoid fossa, but no hemarthrosis was observed. Trauma, both with or without fracture, caused proliferative changes in the TMJ. The glenoid fossa, the articular disk and the articular surface of the condyle were injured. Thickening of the articular surfaces had resulted in reduced joint space. Subsequently, remodelling changes in the condyle were found.

Animals↗

Evidence for superoxide radical-dependent coronary vasospasm after angioplasty in intact dogs.

BACKGROUND: Active oxygen species can influence vascular tone and platelet activation through a variety of mechanisms. This study assessed the role of the superoxide anion, the hydroxyl radical, and hydrogen peroxide in vasoconstriction and mural thrombosis after coronary artery angioplasty in intact dogs. METHODS AND RESULTS: Injury was induced by inflation of a balloon catheter 50 +/- 6% above baseline arterial diameter; dogs were followed for 2 hours before death. Epicardial coronary diameters at arteriography and extent of thrombus deposition at serial histological sections were analyzed in controls (n = 20) and in dogs pretreated with superoxide dismutase (SOD, a superoxide radical scavenger, n = 10); other dogs were pretreated with the hydrogen peroxide scavenger catalase (n = 8), the iron chelator deferoxamine (n = 6), or the hydroxyl radical scavenger 1,3-dimethyl-2-thiourea (n = 9). Angioplasty-induced injury was similar among groups. After angioplasty, control dogs exhibited localized and persistent vessel constriction, which was maximal at the initial 5 minutes (28.9 +/- 6.3% diameter decrease versus baseline). Corresponding arterial diameters of SOD-treated dogs were 24-69% larger (95% confidence interval, p less than 0.001) than controls at 5 minutes and, on average, 32% larger than controls thereafter (p less than 0.01). Vasoconstriction was not prevented by the other treatments. The SOD dose used accounted for inhibition of zymosan-stimulated blood cytochrome c reduction versus baseline (7 +/- 3 versus 30 +/- 6 nmol/min/10(6) cells, respectively, p = 0.003); such inhibition occurred in no other group. Prevalence of mural thrombosis was similar among all groups, but large thrombi (greater than 15% of lumen area) were absent in SOD-treated dogs, contrary to control group (p = 0.028); other groups were similar to control. In the absence of injury, SOD alone induced no change in coronary diameter, coronary blood flow, or platelet aggregation. CONCLUSIONS: These data provide evidence implicating the superoxide radical in the genesis of vasoconstriction after coronary angioplasty in vivo. Such effects seem to be independent of its conversion to hydroxyl radicals and availability of hydrogen peroxide or catalytic iron complexes.

Angiography↗

Phototactic responses of anuran amphibians to monochromatic stimuli of equal quantum intensity.

The phototactic responses of anuran amphibians to narrow-band monochromatic stimuli of equal quantum intensity were measured for the first time in eight new experiments. The unimodal spectral response, obtained from dark-adapted American toads (Bufo americanus), peaks near 626 THz of frequency (480 nm wavelength). The bimodal, U-shaped spectral response, obtained from dark-adapted tailed frogs (Ascaphus truei), has the anti-mode at about 589 THz (510 nm) and is not merely the spectral mirror-image of the unimodal response. Absolute level of the spectral stimuli of equal quantum intensity did not affect the spectral response of dark-adapted toads, but light-adaptation enhanced a component that has the same spectral peak as the visual pigment absorption spectrum of principal and single cones of the frog's retina.

Animals↗

Ontogenetic shift of spectral phototactic preferences in anuran tadpoles.

Tadpoles of three species of anurans initially had a midspectrum ("green") preference in laboratory phototactic tests, which was shown experimentally to involve a form of true color vision in one species and probably in the other two as well. During development, the preference shifted to shorter wave-lengths (higher frequencies) until a short-wavelength ("blue") preference predominated in the pre- and postmetamorphic stages and in the adults of six species tested; color vision was involved in all of these stages. The green preference of young tadpoles is ecologically adaptive, in that it directs larvae to green plants that provide food or shelter. Tadpoles observed in a pond congregated heavily in vegetated areas rather than in open water. Spectroradiometric field measurements showed that pond illumination in vegetated areas had a more highly saturated yellow-green spectral dominance compared with a desaturated white illumination in open water. During all ontogenetic stages and as adults, the animals had a preference for high illuminance of white light, which correlates with the high illumination of their habitat. Microspectrophotometric data from Liebman and Entine suggested that the green rods are active receptors in tadpoles, making unlikely Muntz's hypothesis that the ontogenetic shift in spectral preferences is due to premetamorphic maturation of these receptors. However, the visual pigments of all five types of photoreceptors shifted from vitamin A2- to vitamin A1-based chromophores during ontogeny, and the resulting shift in spectral response of the receptors might be related to the spectral shift in phototactic preferences.

Adaptation, Ocular↗

White piedra: ultrastructure and a new microecological aspect.

White piedra or trichosporosis is a superficial mycosis of the hair shaft, caused by the yeast Trichosporon beigelii; it has been found in all continents and may involve the hair of any part of the body. We report a case of white piedra on the hairs of the inguinal fold with ultrastructural studies. Transmission electron microscopy showed that the nodules have the same morphological aspects as the fungus in culture (hyphae and arthrospores) except for the presence of a cementant substance. By scanning electron microscopy the elimination of spores was seen on the nodule surface. Interestingly similar nodules were found on cotton fibres of the patient's underwear, which were also studied by scanning electron microscopy. This finding can explain therapeutic failure and demands special hygienic conditions related to clothes.

Adult↗

[Ameloblastic transformation of an odontogenic cyst].

The author relate a case of ameloblastic changing in an odontologenic cyst located in the anterior region of the mandible, in a man fifty-four years old. They comment the importance of a complete examination when someone finds a pathology.

Ameloblastoma↗