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At least 379 records · Page 21Linked to original sources
PubMed2006

[Total knee arthroplasty for recent severe fracture of the proximal tibial epiphysis in the elderly subject].

PURPOSE OF THE STUDY: Bone comminution, serious cartilage damage, and the poor mechanical quality of osteoporotic bone create a difficult challenge for osteosynthesis of joint fractures in the elderly subject. Poor results with certain hip, elbow and shoulder fractures have lead certain authors to propose emergency arthroplasty in selected cases. We report our experience with four knee arthroplasties implanted for recent severe fracture of the proximal tibial epiphysis in elderly subjects. MATERIAL AND METHODS: Four independent patients aged over 75 years presented a severe comminutive fracture of the proximal epiphysis of the tibia (Three Schatzker 5, one Schatzker 4). After obtaining the patients' informed consent, early knee arthroplasty was performed. A long-stem cemented tibial piece was used on which the epiphysis was reconstructed. Implants providing support for ligament deficits were used in all cases. Immediate weight-bearing was authorized. RESULTS: Follow-up ranged from two to seven years. The IKS function score (15, 60, 100, 100) depended on the patient's general status. The IKS knee score was excellent for three knees (90, 95, 95), and fair in one (45). Re-operations were not needed in any of the patients. All x-rays showed bone healing with correctly aligned limbs (less than 2 degrees deformation). There were no lucent lines at last follow-up. DISCUSSION: Early arthroplasty for complex fractures of the proximal epiphysis of the tibia is a realistic option. Using a cemented long-stem tibial piece ensures primary stability sufficient for early weight-bearing before bone healing. Use of a constrained prosthesis, or better a hinged prosthesis, can be questioned but avoids the difficulty of ligament balance on an osteoporotic knee with a destroyed joint surface. None of the patients required reoperation and the results in terms of pain were excellent. The overall outcome depends on the general status of the patient.

Aged↗
PubMed2004

Tricarbonylrhenium(I) complexes with thiosemicarbazone derivatives of 2-acetylpyridine and 2-pyridine formamide showing two unusual coordination modes of tridentate thiosemicarbazone ligands.

[NEt(4)](2)[Re(CO)(3)Br(3)] reacts with 2-acetylpyridine phenylthiosemicarbazone (HL(1)) and 2-pyridine formamide thiosemicarbazone (HL(2)) under formation of air-stable, neutral rhenium(I) complexes of the compositions [Re(CO)(3)(L(1)-N,N,S)] and [Re(CO)(3)Br(HL(2)-N,N)]. Spectroscopic studies and X-ray crystallography show that the potentially tridentate thiosemicarbazones adopt unusual coordination modes. Whereas HL(1) deprotonates and binds to the metal in a nonplanar fashion, HL(2) acts as neutral N,N donor ligand. The bond lengths inside the chelate rings are almost uninfluenced by the overall bonding situation.

Journal Article↗
PubMed2002

Reduction of Cr(VI) and bioaccumulation of chromium by gram positive and gram negative microorganisms not previously exposed to Cr-stress.

Resistance to Cr(VI) is usually associated with its cellular exclusion, precluding enrichment techniques for the isolation of organisms accumulating Cr(VI) via bioreduction to insoluble Cr(III). A technique was developed to screen for potential Cr(VI) reduction in approx. 2000 isolates from a coastal environment, based on the non-specific reduction of selenite and tellurite to Se0 and Te0, and reduction of tetrazolium blue to insoluble blue formazan. The most promising strains were further screened in liquid culture, giving three, which were identified by 16S rRNA sequence analysis as Bacillus pumilus, Exiguobacterium aurantiacum and Pseudomonas synxantha, all of which reduced 100 microM Cr(VI) anaerobically, without growth. The respective removal of Cr(VI) was 90% and 80% by B. pumilus and E. aurantiacum after 48 h and 80% and by P. synxantha after 192 h. With the gram positive strains Cr(VI) promoted loss of flagella and, in the case of B. pumilus, lysis of some cells, but Cr was deposited as an exocellular precipitate which was identified as containing Cr and P using energy dispersive X-ray microanalysis (EDAX). This prompted the testing of Citrobacter sp. N14 (subsequently re-assigned by 16S rRNA sequence analysis and biochemical studies as a strain of Serratia) which bioprecipitates metal cation phosphates via enzymatically-liberated phosphate. This strain reduced Cr(VI) at a rate comparable to that of P. synxantha but Cr(III) was not bioprecipitated where La(III) was removed as LaPO4, even though a similar amount of phosphate was produced in the presence of Cr(III). Since B. pumilus removed most of the Cr(VI), with the formation of cell-bound CrPO4 implicated, this suggests that this strain could have future bioprocess potential.

Bacillus↗
PubMed1989

Radiolucent foreign bodies in the hand: case report.

An unusual case of radiolucent foreign bodies (wood) in the hand is reported. Diagnosis rests on clinical suspicion and is often suggested by the injury mechanism. Management includes antibiotics, X-rays and in some instances CT scan before exploration in selected cases; re-exploration in this case 12 days after the initial operation revealed another large piece of wood, which was successfully removed. Split-skin grafting was done 10 days later, and the patient was asymptomatic with full range of motion 5 weeks after that.

Adult↗
PubMed1990

[The clinical efficacy of outpatient extracorporeal shock wave lithotripsy].

From March 1989 through December 1989, 123 patients, 9 to 78 years old, were treated by extracorporeal shock wave lithotripsy (ESWL) with the Wolf Piezolith device. Outpatient treatment was performed routinely. Anesthesia was not required in all of the patients. No analgesia or sedation was given routinely. When pyuria had been found before treatment, a course of prophylactic oral antibiotics was given. Treatment consisted of 2000 to 6000 shocks in adults. The need for re-treatment was decided on the basis of the follow up X-rays. Fragmentation into particles 5 mm in size or less occurred in 144 of the 149 renoureteral units (96.6%). Unfragmented stones were treated successfully by the combination therapy of ESWL and fiberoptic transurethral nephroureterolithotripsy (f-TUL). Of 144 renoureteral units, 3-month follow-up data are available for 96. Among the 96 units, the rate of being free of stones was 67 per cent for renal stones and 96 per cent for ureteral stones treated in situ. The over-all rate of being free of stones was 80.2 per cent. There were no significant complications. Ultrasound imaging has proved to be as effective as X-ray imaging. Outpatient ESWL with the Wolf Piezolith device is considered to be safe and efficient for the initial treatment of urinary stones. On the other hand, ESWL monotherapy is not sufficient for the treatment of complete staghorn calculi or long-term impacted ureteral calculi. We think that the combination use of ESWL and f-TUL is the most effective procedure for treatment of complicated stones.

Adolescent↗
PubMed2004

Biologic dosimetry of 188Re-HDD/lipiodol versus 131I-lipiodol therapy in patients with hepatocellular carcinoma.

UNLABELLED: One approach to treatment of primary hepatocellular carcinoma (HCC) is intraarterial injection of (131)I-lipiodol. Although clinical results have been positive, the therapy can be improved by using (188)Re instead of (131)I as the radionuclide. (188)Re is a high-energy beta-emitter, has a shorter half-life than (131)I, and has only low-intensity gamma-rays in its decay. The present study compared the cytotoxic effect of the radionuclide therapy in HCC patients treated with (131)I-lipiodol and (188)Re-4-hexadecyl 2,2,9,9-tetramethyl-4,7-diaza-1,10-decanethiol (HDD)/lipiodol. To this end, dicentric chromosomes (DCs) were scored in metaphase spreads of peripheral blood cultures. The equivalent total-body dose was deduced from the DC yields using an in vitro dose-response curve. METHODS: Twenty (131)I-lipiodol treatments and 11 (188)Re-HDD/lipiodol treatments were performed on, respectively, 16 and 7 patients with inoperable HCC. Patients received a mean activity of 1.89 GBq of (131)I-lipiodol or 3.56 GBq of (188)Re-HDD/lipiodol into the liver artery by catheterization. For each patient, a blood sample was taken during the week before therapy. A blood sample was also taken 7 and 14 d after administration for the patients treated with (131)I-lipiodol and 1 or 2 d after administration for the patients treated with (188)Re-HDD/lipiodol. RESULTS: The mean DC yield of (188)Re-HDD/lipiodol therapy (0.087 DCs per cell) was significantly lower than that of (131)I-lipiodol therapy (0.144 DCs per cell) for the administered activities. Corresponding equivalent total-body doses were 1.04 Gy for (188)Re-HDD/lipiodol and 1.46 Gy for (131)I-lipiodol. Data analysis showed that, in comparison with (131)I-lipidol, (188)Re-HDD/lipiodol yielded a smaller cytotoxic effect and a lower radiation exposure for an expected higher tumor-killing effect. CONCLUSION: (188)Re is a valuable alternative for (131)I in the treatment of HCC with radiolabeled lipiodol, and a dose escalation study for (188)Re-HDD/lipiodol therapy is warranted.

Adult↗
PubMedDate not supplied

Response to treatment with progesterone in a patient with pulmonary lymphangioleiomyomatosis.

Lymphangioleiomyomatosis (LAM) is defined as an abnormal proliferation of smooth muscles around lymphatics, venules, and brochioles. This article describes our experiences treating a 21-year-old, white female who experienced recurrent shortness of breath during air travel last year. Her episode was severe and the patient was transported to the hospital as soon as the airplane landed. Physical exam in the emergency room was significant for absent breath sounds on the right side and the chest X-ray revealed a pneumothorax. She required two chest tubes for complete lung re-expansion. Further evaluation showed an obstructive pattern and air trapping on pulmonary function tests. This patient was treated with Medroxyprogesterone acetate (MPA) for six months and subsequent pulmonary function tests revealed improvement in her condition.

Adult↗
PubMed1980

Pre-conception X-rays and childhood cancers.

An analysis of data collected during the course of the Oxford Survey of Childhood Cancer has shown that it is possible to recognize different facets of memory bias without systematic checking of individuals' records, and to make use of the biased data. The position of foetal irradiation in the aetiology of childhood cancers has been re-affirmed, but there is no support for the idea that exposure of parental gonads to diagnostic X-rays is conducive to cancer in the next generation.

Child↗
PubMed2001

Comparison of conversion factors for x-ray beams from a Philips SL15 and the NPL linear accelerator.

The National Physical Laboratory provides a megavoltage photon calibration service for secondary standard dosemeter systems in terms of absorbed dose to water using a graphite calorimeter. It is therefore necessary to evaluate factors to convert absorbed dose calibrations from graphite to water for all energies provided by the calibration service. A portable graphite calorimeter is currently being developed at the NPL for measuring absorbed dose in the radiotherapy clinic (McEwen and Duane 2000 Phys. Med. Biol. 45 3675-91) and so factors are now required to be able to convert absorbed dose calibrations from graphite to water in the clinical beam. The factors used to convert absorbed dose calibrations from graphite to water which are currently in use at the NPL were determined in previous work by Burns and Dale (1990 NPL Report RSA (EXT) 7) for all photon energies provided by the high-energy x-ray calibration service. Nutbrown et al (2000 NPL Report CIRM 37) have since re-evaluated these conversion factors using two methods. In this paper the factors to convert absorbed dose calibrations from graphite to water for two clinical beams from a Philips SL15 LINAC (6 and 10 MV) that were determined using both methods are presented and compared with values for the NPL heavily filtered beams. The results from the measurements made on the clinical machines using both methods agree within 1sigma uncertainty. The weighted average of these results agrees to within 1sigma uncertainty with results given by Burns and Dale and Nutbrown et al. The uncertainty in the determination of the graphite to water conversion factors at the 1sigma level is estimated to be 0.4%.

Calibration↗
PubMed2001

Synthesis and characterization of the dimercury(I)-linked compound [PPn]4[(Re7C(CO)21Hg)2]. Oxidative cleavage of the mercury-mercury bond leading to carbidoheptarhenate complexes of mercury(II), including [PPN][Re7C(CO)21Hg(S=C(NME2)2)].

The reaction of [PPN](3)[Re(7)C(CO)(21)] with Hg(2)(NO(3))(2).2H(2)O in dichloromethane formed the complex [PPN](4)[(Re(7)C(CO)(21)Hg)(2)] ([PPN](4)[1]), isolated in 60% yield. Analogous salts of [1](4-) with [PPh(4)](+) and [NEt(4)](+) were also prepared. The crystal structure of [PPN](4)[1] showed that two carbidoheptarhenate cores are linked by a dimercury(I) unit (d(Hg-Hg) = 2.610(4) A), with each individual mercury atom face-bridging. Oxidative cleavage of the Hg-Hg bond in [1](4-) was effected by 4-bromophenyl disulfide to form [Re(7)C(CO)(21)HgSC(6)H(4)Br](2-) ([4](2-)), by I(2) to form [Re(7)C(CO)(21)HgI](2-) ([5](2-)), and by Br(2) to form [Re(7)C(CO)(21)HgBr](2-) ([6](2-)). Oxidation of [1](4-) by ferrocenium ion (2 equiv) in the presence of tetramethylthiourea resulted in the derivative [Re(7)C(CO)(21)HgSC(NMe(2))(2)](-) ([7](-)). The molecular structure of [PPN][7] was determined by X-ray crystallography. This is the first example of a carbidoheptarhenate-mercury complex with a neutral ligand on mercury, and ligand exchange was demonstrated by displacement with triethylphosphine. Complex [7](-) can also be prepared by protonating [Re(7)C(CO)(21)HgO(2)CCH(3)](2-) in the presence of tetramethylthiourea. Cyclic voltammetry data to calibrate and compare the redox properties of compounds [1](4-) and [7](-) have been measured.

Indicators and Reagents↗
PubMed2006

X-ray micro-tomography of a coronary stent deployed in a model artery.

Coronary stents are small scaffolds routinely implanted during angioplasty procedures to re-open coronary arteries which have become narrowed by an atherosclerotic plaque. Despite the advent of drug-eluting stents to reduce restenosis (re-narrowing) after the procedure, complications still arise and mechanical factors may be partly the cause. Stents are being used in increasingly complex cases, so new forms of pre-clinical testing may be helpful in evaluating stent designs and deployment techniques. With this in mind, an in vitro experiment was conducted to evaluate the use of X-ray micro-tomography to image stents at various stages of deployment. A stent was deployed in an artificial artery while using a synchrotron X-ray source to obtain the tomography scans. A volume element (voxel) size of 5.3 microm was achieved, with a vertical field of view of 4.5mm. The imaging of the stent and artificial artery materials was better than expected, despite some attenuation artifacts and the high monochromatic beam energy used (25 keV). Experimental problems are discussed, together with recommendations for improving the technique. It is intended that this technique will be of interest to engineers and clinicians as a pre-clinical test.

Arteries↗
PubMedDate not supplied

A new strategy for the preparation of peptide-targeted radiopharmaceuticals based on an fmoc-lysine-derived single amino acid chelate (SAAC). automated solid-phase synthesis, NMR characterization, and in vitro screening of fMLF(SAAC)G and fMLF[(SAAC-Re(CO)3)+]G.

A tridentate single amino acid chelate (SAAC) derived from N-alpha-Fmoc-l-lysine was incorporated within a short peptide sequence using an automated peptide synthesizer. Novel derivatives of the chemotactic peptide fMLF were prepared such that the SAAC and its Re complex were selectively placed between a terminal glycine amino acid and the targeting fMLF sequence. The products, which were synthesized in parallel, were characterized by mass spectrometry and multi-NMR spectroscopy. The latter technique demonstrated that the structures of the targeting portions of the peptides are the same in the SAAC and Re-SAAC derivatives. The affinities of the reported compounds for the formyl peptide receptor were subsequently determined using flow cytometry and were found to be comparable to that of the parent peptide. The results of this work demonstrate the feasibility and numerous benefits of using the SAAC system to prepare peptide-targeted Tc(I) and Re(I) radiopharmaceuticals.

Algorithms↗
PubMed2005

Preparation, crystal structure and magnetic properties of the high-pressure phase MnReO4 with a wolframite-type structure.

The ternary oxide MnReO(4), manganese rhenium oxide, has been synthesized under a high pressure of 5.5 GPa at 1473 K and its crystal structure has been determined by single-crystal X-ray diffraction. MnReO(4) crystallizes in a wolframite-type structure with average bond lengths of Re-O = 1.935 and Mn-O = 2.160 A that are in good agreement with the ionic radii of Re(6+) and Mn(2+). The magnetic properties of MnReO(4) have been studied by SQUID measurements, revealing magnetic ordering below 275 (10) K and a weak ferromagnetic component of the ordered magnetic structure.

Crystallography, X-Ray↗
PubMed2005

High-pressure syntheses of alpha-RE2B4O9 (RE = Sm, Ho), with a structure type displaying edge-sharing BO4 tetrahedra.

The compounds alpha-RE2B4O9, with RE = Sm (disamarium tetraborate) and Ho (diholmium tetraborate), were synthesized under conditions of high pressure and high temperature in a Walker-type multianvil apparatus, at 7.5 GPa and 1323 K for alpha-Sm2B4O9 and at 10 GPa and 1323 K for alpha-Ho2B4O9. The crystal structures were determined from single-crystal X-ray diffraction data collected at room temperature. The structures are isotypic with the already known alpha-RE2B4O9 (RE = Eu-Dy) phases, displaying the new structural motif of edge-sharing BO4 tetrahedra next to the known motif of corner-sharing BO4 tetrahedra. As the end members of this isotypic series, the two title compounds mark the borders of the stability field of the appearance of edge-sharing BO4 tetrahedra.

Journal Article↗
PubMed1984

The re-establishment of hypersensitive cells in the crypts of irradiated mouse intestine.

Within 3-6 h of small doses of radiation (gamma-rays) the number of dead cells (apoptotic cells) in the crypts of the small intestine reaches peak values. These return to normal levels only after times later than 1 day. After higher doses elevated levels of cell death persist for longer times. The dead cells first occur most frequently at the lower positions of the crypt (median value for the distribution of apoptotic fragments is about cell position 6). At later times more dead cells are observed at higher positions. Two doses of radiation separated by various time intervals have been used to investigate when after irradiation the cell population susceptible to acute cell death is re-established. Dead cells were scored 3 or 6 h after the second dose. The yield of dead cells after two doses represents the sum of the dead cells produced by, and persisting from, the first dose and new apoptotic cells induced by the second dose. Since the temporal and dose-dependence aspects of the dead-cell yield after the first dose alone is known, the additional dead cells attributable to the second dose alone can be determined by subtraction. Within 1-2 days of small doses (0.5 Gy) the sensitive cells, recognized histologically as apoptotic cells, are re-established at the base of the crypt (around cell position 6). After higher doses (9.0 Gy) they are not re-established until about the fourth day after irradiation. Even in the enlarged regenerating crypts the sensitive cells are found at the same position at the crypt base. It has been estimated that the crypt contains five or six cells that are susceptible to low doses (0.5 Gy) (hypersensitive cells) and up to a total of only seven or eight susceptible cells that can be induced by any dose to enter the sequence of changes implicit in apoptosis. Between 4 and 10 days after an initial irradiation of 9.0 Gy the total number of susceptible cells increased from seven to eight to about 10 to 13 per crypt.

Animals↗