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PubMed1994

Autoimmune connective tissue disease and connective tissue disease-like illnesses after silicone gel augmentation mammoplasty.

Since first reported in 1982, published anecdotal reports have appeared with increasing frequency of patients in whom autoimmune connective tissue diseases developed after mammary augmentation with silicone gel-filled elastomer envelope-type prostheses. Although scleroderma has been reported most often, other diagnoses have included systemic lupus erythematosus, rheumatoid arthritis, Sjögren's syndrome, and mixed connective tissue disease. Other patients have ill-defined connective tissue-like illnesses often referred to as "human adjuvant disease." The occurrence of dermatomyositis and polymyositis after silicone breast implants appears to be infrequent. We report two new cases of dermatomyositis after silicone exposure. In addition, a comprehensive review of the literature pertaining to rheumatic disease and silicone gel augmentation mammoplasty is presented to provide some perspective on this highly complicated and controversial subject.

Adult↗

PubMed1989

[Reconsideration of the bilaminar zone in the retrodiscal connective tissue of the TMJ. 2. Fibrous structure of the retrodiscal connective tissue and relation between those fibers and the disk].

The fibrous structure of the retrodiscal connective tissue was investigated histologically in order to reconfirm what Rees calls the bilaminar zone. Eleven TMJs were taken from the fresh cadavers. The sections, obtained from six materials with condyle protruded, were observed mainly. The Results were as follows: The retrodiscal area was composed of the collagen fibers originating into this area from the petrotympanic fissure, from the conjunctive area of the posterior wall of the fossa with the lateral wall of the articular cavity, and from the conjunctive area of the posterior slope of the auricular tubercle with the lateral wall of the articular cavity. In the superficial layer of the retrodiscal area, these fibers crossed each other, and a few fibers jointed with these fibers from the superficial layer of the disk and from the posterior wall of the articular fossa. The arrangement of these fibers had various directions, however most of fibers tended to run medio-laterally. The fiber bundles containing many elastic fibers ran into the retrodiscal area from the petrotympanic fissure. Although these fibers connected the most medial side of the disk with the medial side of the posterior wall of the articular fossa, they had many branches composing the retrodiscal area as stayed above. The fibers were very wavy, in spite of the protruded position of the disk. So these fibers were not considered to have a role in pulling back the disk in the retruded phase of the mouth closing. New findings as to the retrodiscal connective tissue were obtain in this research. They were different from Ree's description.

Cartilage, Articular↗

PubMed2005

Afferent and efferent connections of the dorsolateral corticoid area and a comparison with connections of the temporo-parieto-occipital area in the pigeon (Columba livia).

The dorsolateral corticoid area (CDL) in the pigeon telencephalon is a thin, superficial part of the caudal pallium adjoining the medially situated hippocampal formation. To determine the connectivity of CDL, and to distinguish CDL from the rostrally adjacent temporo-parieto-occipital area (TPO), injections of neural tracers were made into the caudal superficial pallium at various rostrocaudal levels. The results showed that injections caudal to A 6.75 (Karten and Hodos [1967] Baltimore: Johns Hopkins University Press) gave rise to reciprocal connections with subdivisions of the hippocampal formation, TPO, piriform cortex, posterior pallial amygdala, caudoventral nidopallium, densocellular part of the hyperpallium, lateral hyperpallium, frontolateral nidopallium, and lateral intermediate nidopallium. Of these, the hippocampal formation showed very strong connectivity with CDL, and projection fibers from CDL clearly separated the dorsomedial region of the hippocampal formation into lateral and medial portions. CDL projected directly to the olfactory bulb, but did not receive projections from it. In the diencephalon, CDL received efferents from a dorsal region of the medial part of the anterior dorsolateral nucleus of the thalamus, subrotundal nucleus, and internal paramedian nucleus of the thalamus. These findings suggest that CDL in the pigeon belongs to the limbic pallium and that in some respects it may be comparable to the mammalian cingulate cortex. In contrast, injections of tracers into the pallial surface at or rostral to A 7.00 showed marked differences in the pattern of both anterograde and retrograde labeling from that resulting from injections caudal to A 6.50, thereby indicating the approximate level of transition from CDL to TPO.

Afferent Pathways↗

PubMed1978

Pattern separability and the effect of the number of connections in a random neural net with inhibitory connections.

It has been claimed that pattern separation in cerebellar cortex plays an important role in controlling movements and balance for vertebrates. A number of the neural models for cerebellar cortex have been proposed and their pattern separability has been analyzed. These results, however, only explain a part of pattern separability in random neural nets. The present paper is intended to study an extended theory of pattern separability in a new model with inhibitory connections. In addition to this, the effect of the number of connections on pattern separability is cleared up. It is also shown that the signal from the inhibitory connections has crucial importance for pattern separability.

Action Potentials↗

PubMed1991

Discordant atrioventricular connection and concordant ventriculoarterial connection in situs inversus: isolated ventricular noninversion.

A case of discordant atrioventricular (AV) connection and concordant ventriculoarterial (VA) connection (with aortomitral fibrous continuity and tricuspid pulmonary discontinuity) in situs inversus (I, D, I) is reported because of its rarity. This segmental combination with abnormally related great arteries in the absence of anomalies of venous connections and/or splenic anomalies is extremely rare.

Female↗

PubMed1999

The statistical relationship between connectivity and neural activity in fractionally connected feed-forward networks.

It is desirable to have a statistical description of neuronal connectivity in developing tractable theories on the development of biological neural networks and in designing artificial neural networks. In this paper, we bring out a relationship between the statistics of the input environment, the degree of network connectivity, and the average postsynaptic activity. These relationships are derived using simple neurons whose inputs are only feed-forward, excitatory and whose activity is a linear function of its inputs. In particular, we show that only the empirical mean of the pairwise input correlations, rather than the full matrix of all such correlations, is needed to produce an accurate estimate of the number of inputs necessary to attain a prespecified average postsynaptic activity level. Predictions from this work also include distributional aspects of connectivity and activity as shown by a combination of analysis and simulations.

Computer Simulation↗

PubMed1989

Univentricular atrioventricular connection to a dominant left ventricle with a concordant ventriculo-arterial connection.

Double inlet left ventricle with concordant ventriculo-arterial connection, first described by Holmes, is an unusual cardiac malformation which includes a right-sided rudimentary right ventricle and, frequently, subpulmonary stenosis. We have now encountered six patients, aged 1 month to 13 years, with this basic combination. In 5 cases, cross-sectional echocardiography, using parasternal, apical and subcostal views was diagnostic. Subpulmonary stenosis was seen in two of them. The sixth case shown to have atresia of the left atrioventricular valve, a concordant ventriculo-arterial connection, a left-sided rudimentary right ventricle, mild subpulmonary stenosis and a right-sided aorta. The combination of the left atrioventricular valve, left-sided rudimentary right ventricle and a concordant ventriculo-arterial connection has not, to our knowledge, been previously reported. Cross-sectional echocardiography always provided the correct morphologic diagnosis.

Adolescent↗

PubMed2001

Long-term results of relief of subaortic stenosis in univentricular atrioventricular connection with discordant ventriculoarterial connections.

BACKGROUND: We set out to examine the long-term results of relief of subaortic stenosis by enlargement of ventricular septal defect in patients with univentricular atrioventricular connection to a dominant left ventricle and discordant ventriculoarterial connections. METHODS: Twenty-four patients underwent enlargement of ventricular septal defect between 1985 and 1998 at a median age of 3.2 years (range, 3 weeks to 14 years). Ten patients were younger than 1 year of age. Eighteen had undergone previous banding of the pulmonary trunk, 9 of whom also required repair of coarctation of the aorta. The median subaortic gradient before enlargement was 46 mm Hg. Twenty-three patients had a patch to enlarge the rudimentary right ventricle. RESULTS: Five patients (21%) died in the early postoperative period. The overall survival at 1 and 3 years was 73%, and at 5 and 10 years was 68% and 60%, respectively. Complete heart block requiring insertion of a pacemaker occurred in 2 patients (8%). A Fontan operation was performed in 10 patients, 5 underwent a bidirectional Glenn procedure, and 2 required cardiac transplantation. Follow-up was complete in all survivors at a median time of 6.7 years (range, 8 months to 13 years). From the earlier part of the series, 3 patients experienced aortic insufficiency and 2 had recurrent obstruction. Factors adversely affecting survival were age younger than 1 year at operation and presence of obstruction within the aortic arch. CONCLUSIONS: Our experience shows that, in patients with univentricular atrioventricular connection to a dominant left ventricle and subaortic stenosis, enlargement of the ventricular septal defect provides satisfactory relief of obstruction except in those younger than 1 year of age, and those who have associated obstruction in the aortic arch.

Anastomosis, Surgical↗

PubMed1999

Neural connections of the pontine reticular formation, which connects reciprocally with the nucleus prepositus hypoglossi in the rat.

The pontine reticular formation connected with the nucleus prepositus hypoglossi was studied in the rat using anterograde and retrograde tracer techniques. The area reciprocally connected with the nucleus prepositus hypoglossi was evident in the pontine reticular formation of the rat. The region had intensive reciprocal connections with the ipsilateral subthalamic region, the contralateral pontine reticular formation and the nucleus prepositus hypoglossi. Furthermore, it was confirmed that the region received cholinergic projections mainly from the pedunculopontine tegmental nucleus and the laterodorsal tegmental nucleus, and aminergic projections from the dopaminergic cell groups A13 and A11, noradrenergic cell groups A7, A6 and A5, and the serotoninergic B9 cell group. This region in the rat was considered to be the preoculomotor structure in the function of horizontal gaze corresponding to the paramedian pontine reticular formation in other animals.

Animals↗

PubMed2006

Metal-organic frameworks from zinc sulfite clusters, chains, and sheets: 4-connected, (3,4)-connected 3-D frameworks and 2-D arrays of catenane-like interlocking rings.

Even though open-framework solids have been made in a variety of compositions such as silicates, phosphates, germanates, borates, and phosphites, few are known that are based on trigonal-pyramidal sulfite anions. We report here the first synthetic and structural studies of metal-organic framework materials in the zinc sulfite composition. It is demonstrated here that Zn2+ and SO32- can form various neutral inorganic subunits that can be 0-D clusters, 1-D chains, or 2-D sheets. These inorganic subunits of different dimensionality can subsequently be connected into extended frameworks of higher dimensionality through bifunctional ligands. In (ZnSO3)2en, infinite corrugated ZnSO3 layers are pillared by ethylenediamine (en) molecules into a 3-D network that can be classified as a (3,4)-connected net based on tetrahedral Zn nodes and trigonal-pyramidal S nodes. In (ZnSO3)pip, infinite ZnSO3 chains are cross-linked with piperazine molecules into a 3-D framework that can be classified as 4-connected net based on tetrahedral Zn nodes only. In (ZnSO3)2(TMDPy)2, (ZnSO3)2 dimers are doubly bridged by trimethylenedipyridine molecules into an infinite chain with a string of circles. Each circle along the chain is interlocked with another circle from a chain in the perpendicular direction, creating a 2-D pattern with an infinite-square array of catenane-like units.

Molecular Structure↗

PubMed1999

Enumeration of four-connected three-dimensional nets. I. Conversion of all edges of simple three-connected two-dimensional nets into crankshaft chains.

Various topological approaches to mathematical analysis, classification and enumeration of four-connected three-dimensional (3D) nets are listed. Four-connected 3D nets are being generated systematically by conversion of edges of a vertical stack of congruent three-connected two-dimensional (2D) nets into chains. This paper describes 57 3D nets obtained by converting into crankshaft chains all edges of the simpler 2D nets in the catalog of the Consortium of Theoretical Frameworks. Atomic coordinates are given for distance-least-squares modeling in the highest space group. Nine nets occur in known structures: tridymite, Zn(2)P(2)O(8).organic, aluminophosphates AlPO-5 (International Zeolite Association Structure Commission code AFI), AlPO-8 (AEI), AlPO-11 (AEL), AlPO-25 (ATV), AlPO-41 (AFO), AlPO-54 (VFI) and AlPO-H2 (AHT).

Journal Article↗

PubMed2006

Comparison of two sterile connection devices and the effect of sterile connections on blood component quality.

BACKGROUND: Sterile connection devices (SCDs) are used to connect pieces of polyvinylchloride tubing between blood bag systems. After observing a slight decrease in inner diameter of tubing welded with the CompoDock S2 SCD, the effect of welded tubing on storage characteristics of white blood cell (WBC)-reduced red blood cells (RBCs) and platelet (PLT) concentrates was studied. Welds were made with Terumo SCD (T-SCD) or CompoDock S2, and unwelded tubing served as reference. STUDY DESIGN AND METHODS: Three WBC-reduced RBC units or 3 PLT concentrates were pooled and divided to prevent donor-dependent differences. The units were transferred 10 times over (1) tubing with a T-SCD weld, (2) a CompoDock S2 weld, or (3) unwelded tubing. RBCs were stored for 42 days and free hemoglobin (Hb) was measured; PLT concentrates were stored for 8 days and CD62P expression was measured, as markers for blood component quality (n = 10 paired experiments). RESULTS: WBC-reduced RBC units had similar hemolysis at the end of storage: 0.47 +/- 0.28, 0.47 +/- 0.35, and 0.49 +/- 0.38 percent of total Hb, for tubing with a T-SCD weld, a CompoDock S2 weld, or no weld, respectively (not significant). CD62P expression of stored WBC-reduced PLT concentrates was not significantly different between the groups: 20.3 +/- 5.1, 19.8 +/- 5.1, and 22.3 +/- 9.8 percent for tubing with a T-SCD weld, a CompoDock S2 weld, or no weld, respectively. CONCLUSION: The quality of blood components, measured as RBC hemolysis and platelet CD62P expression, is not adversely affected by the presence of a sterile connection in the tubing, made by either the CompoDock S2 or the T-SCD.

Blood Preservation↗

PubMed1990

"Meaning" connections and causal connections in the human sciences: the poverty of hermeneutic philosophy.

In much of psychoanalytic theory and therapy, Freud repeatedly inferred a causal connection between thematically kindred events by relying on the kinship between their thematic contents. This paper strongly endorses his search for causal explanations. But it argues in detail that (1) his causal inferences from thematic connections rest on an important fallacy, which undermines major etiologic conclusions in psychoanalysis; (2) a related, weighty inferential error is damaging to the Freudian theory of transference, when it infers the pathogenic role of an early childhood scenario from the thematic reenactment (recapitulation) of that scenario in the adult patient's interactions with the analyst, and with other people. Both arguments draw on subject matter in psychoanalysis, physics, evolutionary biology, common-sense psychology, history, and medicine to arrive at a fundamental caveat for all of the sciences: Even when the thematic kinship (or so-called "meaning connection") between events is indeed of very high degree, this fact itself does not license the inference of a causal linkage between these events. A corollary of this result is that we must reject the accusation of Karl Jaspers and the hermeneutic philosophers that Freud's own conception of the psychoanalytic enterprise suffered from a "scientistic self-misunderstanding."

Defense Mechanisms↗

PubMed2000

Atrial double potentials associated with the elimination of the electrical connection between the coronary sinus (CS) and the left atrium in two cases of Wolff-Parkinson-White syndrome with a CS-connected accessory pathway.

A curious retrograde conduction in connection with the coronary sinus (CS) musculature was observed in 2 patients. After the failed ablation procedure, the atrial electrogram during ventricular pacing presented double potentials, the first component of which was sharp and with an activation sequence that was the same before ablation (CS distal to proximal). The second component of the double potentials was dull and had a decremental property; its activation sequence was in reverse (proximal to distal). In both cases, the first component disappeared after successful ablation. These findings suggest that the first component was the CS electrogram conducted over the accessory pathway and the second component was the left atrial electrogram conducted through the inter-atrial septum. The separation of each electrogram is probably the result of a block between the accessory pathway connected to the CS musculature and the left atrium. These are unusual cases of an accessory pathway connected to the CS musculature, which separates the left atrial myocardium at the distal portion from the ostium.

Adult↗

PubMed1978

[Nuclei of the mammillary bodies and their fiber connections in cattle (Bos taurus var. domesticus). 2. Fiber connections of the mammillary bodies in cattle].

1. In the present information the course of fibre pathways which are connected with the mammillary body of the cattle is described in 14 series of brains (6 frontal, 4 sagittal, 4 horizontal series, stained by the combined cell-fibre-method after KLUVER and BARRERA and by the method for myelined fibres after HEIDENHAIN). 2. The mammillary body of cattle is connected with four main fibre systems. These are the fornix and the mamillary peduncle as well as the mamillo-thalamic and the mamillo-tegmental tracts. 3. The fornix system first of all represents a rich myelined fibre connection between the hippocampus and the mamillary body. But also fornix fibres entering the poor-myelined regions of the hypothalamus and the mesencephalon have been demonstrated. 4. The mamillary peduncle ascending from the mesencephalon can be traced to the lateral mamillary nucleus. 5. The mamillo-thalamic tract of cattle has its origin in the mamillary body with the mamillotegmental tract associated to a common principal mamillary tract and passes to the complex of the anterior nucleus of the thalamus, while the mamillo-tegmental tract branching off from it curves into the mesencephalon.

Animals↗

PubMed1987

[Study of the connections of supposed diencephalic connections of the limbic system of the lizard using the technic of axonal transport of horseradish peroxidase].

Connections of the anterior thalamic (n. dorsolateralis anterior, n. dorsomedialis) and habenular nuclei in lizards Ophisaurus apodus were studied by means of HRP administration into these nuclei. It was shown that all nuclei have overlapping locations of afferent sources (basotelencephalic structures, nuclei of anterior and hippocampal commissures, lateral area of the hypothalamus, superior raphe nucleus) and overlapping projectional zones (mammillary complex, ventral tegmental area). Besides common connections, specific ones for separate nuclei were revealed: for n. dorsolateralis anterior-reciprocal connection with dorsolateral hypothalamic nucleus, for habenular nuclei-projection to the interpeduncular nucleus, for n. dorsomedialis-projection to the dorsal hypothalamic area. No mammillary afferents were found for the anterior thalamic nuclei. All the nuclei studied are considered as diencephalic relay links of pathways which can be compared with dorsal (for habenular nuclei) and ventral (for anterior thalamic nuclei) pathways of the limbic system in mammals.

Animals↗

PubMed1993

Plasminogen activators and plasminogen activator inhibitors in connective tissues and connective tissue cells: influence of the neuropeptide substance P on expression.

Tissue segments isolated from ligament, epiligament, and synovial tissues from mature female New Zealand White Rabbits were demonstrated to constitutively secrete a plasminogen activator. Several tissues were also observed to constitutively secrete a plasminogen activator inhibitor which was detected in the form of a PA-PAI complex. Heterogeneity was observed in PA and PAI activity between the different connective tissues. Heterogeneity also existed between and within the medial collateral (MCL), lateral collateral (LCL), and the anterior cruciate (ACL) ligaments. In addition to the differences in constitutive expression of PA and PAI activity, differences in the responsiveness to the neuropeptide substance P (10(-5)-10(-9) M) were also detected. This responsiveness to substance P was displayed by an increase in PA and PAI activity in the conditioned medium. The pattern of responsiveness reflected the degree of innervation of these tissues. That is, synovium and epiligament tissue were the most responsive tissues to substance P while the MCL, LCL and ACL were less responsive to the neuropeptide. Parallel results were obtained using cell culture with fibroblasts isolated from the above mentioned tissues. That is, the pattern of responsiveness was similar between cells and tissue segments. More specifically, cells isolated from both synovium and epiligament increased their both their PA (slightly) and PAI activity following exposure to substance P. This was demonstrated at both the protein and RNA level. Thus, cells within a tissue maintain their phenotype when removed from their three-dimensional matrix. These results are unique in demonstrating that normal ligament and synovial cells and tissue respond to substance P by altering the expression of PA and PAI activity. This investigation further supports the concept that innervation may be important in normal connective tissue function.

Animals↗

PubMed2003

[Connective tissue metabolic parameters in differential diagnosis of infiltrative pulmonary tuberculosis and pneumonia in patients with signs of connective tissue dysplasia].

Connective tissue dysplasia is a systemic process that modifies the clinical picture and course of an acquired pathology. To search additional criteria for differential diagnosis, connective tissue metabolic parameters were studied in patients with infiltrative pulmonary tuberculosis and nosocomial pneumonia. A significant excess of the parameters of free urinary oxyproline and serum glycosaminoglycans was found in patients with infiltrative pulmonary tuberculosis.

Connective Tissue↗