PubMed · 4846312
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J E Kirk. 1974. Coenzyme A.. https://pubmed.ncbi.nlm.nih.gov/4846312/
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Chondrocranial development in Ascaphus truei was studied by serial sectioning and graphical reconstruction. Nine stages (21-29; 9-18 mm TL) were examined. Mesodermal cells were distinguished from ectomesenchymal (neural crest derived) cells by retained yolk granules. Ectomesenchymal parts of the chondrocranium include the suprarostrals, pila preoptica, anterior trabecula, and palatoquadrate. Mesodermal parts of the chondrocranium include the orbital cartilage, posterior trabecula, parachordal, basiotic lamina, and otic capsule. Development of the palatoquadrate is as follows. The pterygoid process first connects with the trabecula far rostrally; their fusion progresses caudally. The ascending process connects with a mesodermal bar that extends from the orbital cartilage to the otic capsule, and forms the ventral border of the dorsal trigeminal outlet. This bar is the "ascending process" of Ascaphus adults; it is a neurocranial, not palatoquadrate structure. The basal process chondrifies in an ectomesenchymal strand running from the quadrate keel to the postpalatine commissure. Later, the postpalatine commissure and basal process extend anteromedially to contact the floor of the anterior cupula of the otic capsule, creating separate foramina for the palatine and hyomandibular branches of the facial nerve. Based on these data, and on comparison with other frogs and salamanders, the anuran anterior quadratocranial commissure is homologized with the pterygoid process of salamanders, the anuran basal process (= "pseudobasal" or "hyobasal" process) with the basal process of salamanders, and the anuran otic ledge with the basitrabecular process of salamanders. The extensive similarities in palatoquadrate structure and development between frogs and salamanders, and lacking in caecilians, are not phylogenetically informative. Available information on fossil outgroups suggests that some of these similarities are primitive for Lissamphibia, whereas for others the polarity is uncertain.
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BACKGROUND: Acute changes in cerebral function after elective coronary bypass surgery is a difficult clinical problem. We carried out a multicenter study to determine the incidence and predictors of -- and the use of resources associated with -- perioperative adverse neurologic events, including cerebral injury. METHODS: In a prospective study, we evaluated 2108 patients from 24 U.S. institutions for two general categories of neurologic outcome: type I (focal injury, or stupor or coma at discharge) and type II (deterioration in intellectual function, memory deficit, or seizures). RESULTS: Adverse cerebral outcomes occurred in 129 patients (6.1 percent). A total of 3.1 percent had type I neurologic outcomes (8 died of cerebral injury, 55 had nonfatal strokes, 2 had transient ischemic attacks, and 1 had stupor), and 3.0 percent had type II outcomes (55 had deterioration of intellectual function and 8 had seizures). Patients with adverse cerebral outcomes had higher in-hospital mortality (21 percent of patients with type I outcomes died, vs. 10 percent of those with type II and 2 percent of those with no adverse cerebral outcome; P<0.001 for all comparisons), longer hospitalization (25 days with type I outcomes, 21 days with type II, and 10 days with no adverse outcome; P<0.001), and a higher rate of discharge to facilities for intermediate- or long-term care (69 percent, 39 percent, and 10 percent ; P<0.001). Predictors of type I outcomes were proximal aortic atherosclerosis, a history of neurologic disease, and older age; predictors of type II outcomes were older age, systolic hypertension on admission, pulmonary disease, and excessive consumption of alcohol. CONCLUSIONS: Adverse cerebral outcomes after coronary bypass surgery are relatively common and serious; they are associated with substantial increases in mortality, length of hospitalization, and use of intermediate- or long-term care facilities. New diagnostic and therapeutic strategies must be developed to lessen such injury.