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Geometric analysis of potential error in using femoral intramedullary guides in total knee arthroplasty.

Proper component orientation is necessary for the long-term success of a total knee arthroplasty. Femoral component placement has used jigging systems that are based on intramedullary and extramedullary guides. The intramedullary system has been shown to foster more accurate and reproducible placement of the femoral component. This study analyzed and quantified the potential error of the intramedullary guide system. Geometric data of the human femur were obtained from radiographs of 45 cadaver femora in the anteroposterior and lateral views. The correct entry point of the intramedullary rod in the distal femur is the midaxial line of the femoral canal on anteroposterior and lateral radiographs. The position of this point in relation to the mediolateral and anteroposterior dimensions of the distal femur was calculated as a ratio. The average calculated ratios were anteroposterior, 0.53 offset medially; lateral, 0.32 offset anterior. Mathematical models were constructed to quantify the potential varus valgus and flexion extension error of the guide rods. Variables investigated were entry point location, guide rod diameter, guide rod length, and rotation. The surgeon must be cognizant of these potential sources of error to maximize the accuracy of the femoral intramedullary jigging system.

Arthroplasty, Replacement, Knee↗

Peripheral organization and central projections of the electrosensory nerves in gymnotiform fish.

The electrosensory system of weakly electric gymnotiform fish is described from the receptor distribution on the body surface to the termination of the primary afferents in the posterior lateral line lobe (PLLL). There are two types of electroreceptor(ampullary and tuberous) and a single type of lateral line mechanoreceptor (neuromast). Receptor counts in Apteronotus albifrons show that (1) neuromasts are distributed as in other teleosts; (2) ampullary receptors number 151 on one side of the head and 208 on one side of the body; (3) tuberous receptors were estimated to number 3,000-3,500 on one side of the head and 3,500-5,000 on one side of the body. The distribution of each receptor type is described. Each receptor is innervated by a single primary afferent. Electrosensory afferents have myelinated cell bodies in the ganglion of the anterior lateral line nerve (ALLN). The distribution of these ganglion cell diameters is strongly bimodal in Apteronotus and Eigenmannia: The smaller-diameter cells may be those which innervate ampullary electroreceptors, the larger-diameter tuberous electroreceptors. Transganglionic HRP transport techniques were used to determine the first-order connections of the anterior lateral line nerve in six species of gymnotiform fish. Small branches of the ALLN were labeled so as to determine the somatotopic organization in the PLLL. The PLLL is divided into four segments from medial to lateral, termed medial, centromedial, centrolateral, and lateral segments (Heiligenberg and Dye, '81). Representations of the head are found rostrally in each zone, and the trunk is mapped caudally in each zone. Thus there are four body maps in the PLLL. The medial segment receives ampullary input (Heiligenberg and Dye, '82) and maps the dorsoventral body axis mediolaterally, as does the tuberous centrolateral segment. The tuberous centromedial and lateral segments map the dorsoventral axis lateromedially. Thus the medial and centromedial segments meet belly to belly, the centromedial and centrolateral segments meet back to back, and the centrolateral and lateral segments meet belly to belly. Adjacent electrosensory maps within the PLLL are therefore always mirror images.

Afferent Pathways↗

Impairment of glutamate transport and increased vulnerability to oxidative stress in neuroblastoma SH-SY5Y cells expressing a Cu,Zn superoxide dismutase typical of familial amyotrophic lateral sclerosis.

Human neuroblastoma SH-SY5Y cells transfected with either familial amyotrophic lateral sclerosis-typical G93A mutant or wild-type copper/zinc superoxide dismutase were compared to untransfected cells in term of glutamate transport. Vmax of glutamate uptake was reduced in mutant cells, with no change in Km. No difference in EAAT1, EAAT2 and EAAT3 glutamate transporter mRNAs and immunoreactive proteins was found, suggesting that one or more transporters are functionally inactivated, possibly due to increased oxidative stress induced by the G93A mutation. Mutant cells showed a marked sensitivity to oxidants, resulting in a more pronounced reduction of glutamate uptake. Short-term antioxidant treatment did not reverse the impairment of glutamate uptake in G93A cells. Interestlingly, N-acetylcysteine was partially effective in preventing glutamate uptake reduction due to exogenous oxidative insults. Since the inhibition of the EAAT2 transporter subtype had no effect on glutamate re-uptake in this model, our study suggests an impaired function of the EAAT1/3 transporter subtypes, possibly due to oxidative inactivation, in the presence of mutant copper/zinc superoxide dismutase. Therefore, this model might prove to be a valuable tool to study the effects of mutant copper/zinc superoxide dismutase associated with amyotrophic lateral sclerosis on glutamate transport in neuronal cells, without the specific contribution of glial cells. These findings might lead to the identification of new therapeutic strategies aimed at preventing the damage associated with ALS.

Amino Acid Transport System X-AG↗

X-ray intensity patterns from finite perfect crystals.

A theoretical study dealing with intensity interference patterns from the exit surfaces of finite perfect t x l crystals has been undertaken using the Takagi-Taupin equations and the Riemann-Green technique. Nu-meri-cal simulations have been performed for the 220 reflection in diamond allowing for different types of amplitude-modulated incoming plane waves. The effects caused by limiting the waves by a slit system are also discussed. The results show strong influence of the lateral crystal boundaries and are closely related to the geometrical region structures formed by the characteristic lines associated with the equations. In the limit of a semi-infinite crystal, the Borrmann-Lehmann interference patterns are retrieved.

Journal Article↗

Reflex sympathetic dystrophy and causalgia.

Converging lines of research suggest that RSD is a form of reflex neurogenic inflammation. Early the sympathetic nervous system appears to have an initiating and sustaining role. In later states of the illness, structural changes at the DH level seem to correlate with centralization of the process. Neuropeptides and EAAs released from thin or unmyelinated nociceptive afferents may produce both the inflammation and the suspected central sensitization of DH neurons seen in later stages of the disease. Effective treatment will follow a clearer understanding of the physiology of each stage of the disease.

Causalgia↗

Ontogenesis of prolactin receptor gene expression in the rat olfactory system: potential roles for lactogenic hormones in olfactory development.

The PRL receptor (PRLR) is expressed at very low levels in the olfactory bulb of the adult rat but is detected in abundance in the olfactory epithelium and olfactory bulb of the fetal rat in late gestation. To explore potential roles for the lactogenic hormones in olfactory differentiation and development, we have used in situ hybridization and immunohistochemistry to examine the ontogeny of PRLR gene expression in the rat olfactory system. At midgestation (embryonic day 12.5), messenger RNAs (mRNAs) encoding the long and short isoforms of the rat PRLR were detected in the medial and lateral nasal processes, the epithelial lining of the olfactory pit, and the neuroepithelium lining the cerebral ventricles in the region of the rhinencephalon. PRLR mRNA was also expressed prominently in the frontonasal mesenchyme and in mesenchymal tissue underlying the developing brain and overlying the pontine flexure in the interpeduncular fossa. The distribution of PRLR immunoreactivity was similar to that of PRLR mRNA, indicating that the PRLR gene is translated to that of PRLR mRNA, indicating that the PRLR gene is translated to lactogenic binding protein in the rat embryo in vivo. With advancing gestation, the PRLR was expressed intensely, although discontinuously, in the olfactory epithelium and was detected in the cartilage primordia of the ethmoid, sphenoid, temporal, and mandibular bones. PRLR expression in the vomeronasal organ was confined to the luminal epithelial surface. PRLR mRNA and immunoreactive protein were first detected in the olfactory bulb on embryonic day 18. PRLR expression was most intense initially in the periventricular neuroepithelium; subsequently, robust staining of the mitral and tufted cell neurons became apparent, accompanied by intense PRLR expression in the sensory neuronal cell bodies of the olfactory epithelium. By postnatal day 5, the PRLR was expressed in abundance in mitral and tufted cells of the olfactory bulb and in neuronal cell bodies of the anterior olfactory nucleus and the piriform cortex. PRLR mRNA was also detected in the mitral cells of the olfactory bulb of the lactating rat, although at levels far lower than those in the fetal or neonatal rat. The expression of the PRLR in the olfactory system of the fetal and neonatal rat implicates novel roles for the lactogenic hormones in olfactory differentiation and development and may provide new mechanisms by which the lactogens may regulate neonatal behavior and maternal-infant interactions.

Animals↗

Gap junction protein in weakly electric fish (Gymnotide): immunohistochemical localization with emphasis on structures of the electrosensory system.

Electrotonic transmission via gap junctions appears to be essential for both the relay and integration of information in nuclear groups involved in the electrolocation and electrocommunication systems of weakly electric fish. An affinity-purified antibody against the 27 kD gap-junctional polypeptide (GJP) from rat liver was used to determine immunohistochemically the distribution of GJP-immunoreactivity (GJP-IR) in electrosensory structures and some other brain regions of the gymnotiform fish, Apteronotus leptorhynchus. At the ultrastructural level, immunolabelling with this antibody was localized, in part, to neuronal and glial gap junctions where it was assumed to recognize a junctional polypeptide. By light microscopy, the vast majority of immunoreactive elements appeared either as fine puncta or as varicosities along fibers that exhibited immunostained intervaricose segments. Diffuse immunoreactivity within cell bodies was rare, being most evident in giant relay neurons and presumptive glial cells within the pacemaker nucleus and in neurons within the posterior raphe nucleus. The distribution of punctate and fibrous GJP-IR was remarkably heterogeneous with respect to density; large areas of the forebrain and most major fiber tracts were nearly devoid of immunoreactivity, whereas concentrations of puncta delineating patches within the inferior lobe of the hypothalamus and the vagal sensory nucleus were so dense as to appear as uniform deposition of immunoperoxidase reaction product at low magnification. Some structures known to be associated with the electrosensory system, including the nucleus electrosensorius and nucleus praeeminentialis, were among the brain regions containing the highest concentrations of immunoreactivity. At the cellular level, expected patterns of GJP-IR were observed in the pacemaker nucleus, torus semicircularis, and electrosensory lateral line lobe. In each of these structures punctate immunoreactivity was seen in apposition to cell bodies or dendrites of neurons known to receive gap junction contacts. In addition, the dendrites of neurons within the prepacemaker nucleus were laden with a striking array of puncta, suggesting that interactions via gap junctions may be a significant feature of these neurons. These immunohistochemical results are consistent with previous electrophysiological and ultrastructural observations pointing to the importance of electrotonic communication in the electrosensory system of weakly electric fish, and suggest that gap junctions may also contribute to neural transmission in central nervous system related to other functions in these teleosts.(ABSTRACT TRUNCATED AT 400 WORDS)

Animals↗

Nogo signaling and non-physical injury-induced nervous system pathology.

The Nogo gene products were described first as myelin-associated inhibitors that prevent neuronal regeneration upon injury. Recent findings have also implicated Nogo in several neuronal pathologies that are not induced by physical injury. Nogo-A may be an important determinant of autoimmune demyelinating diseases, as active immunization with Nogo-A fragments attenuates the symptoms of experimental autoimmune encephalomyelitis (EAE). Nogo-A levels are elevated markedly in hippocampal neurons of patients with temporal lobe epilepsy (TLE), in brain and muscle of patients with amyotrophic lateral sclerosis (ALS), and in schizophrenic patients. Concrete evidence for a direct role of Nogo-A in the latter neuropathies is not yet available, but such a role is logically in line with new findings associated with localization of Nogo-A and Nogo-Nogo-66 receptor (NgR)-mediated signaling. We speculate on possible linkages between the effect of aberrant elevation of Nogo levels and the signaling consequences that could lead to nervous system pathology.

Amyotrophic Lateral Sclerosis↗

Electrosensory systems in the mormyrid fish, Gnathonemus petersii : special emphasis on the fast conducting pathway.

1. Rhombencephalic and mesencephalic structures involved in electroreception were investigated by electrophysiological methods in the weakly electric fish Gnathonemus petersii. 2. The existence of a synchronous response to electric field stimulation of the fish in the mesencephalic exterolateral nucleus (n.ext.-lat.mes) with 2.5-3 ms latency was confirmed. The lateral line lobe nucleus (nLLL) is identified as the rhombencephalic relay for the mesencephalic responses because of the short latency synchronous response in the nLLL obtained by threshold stimulation of the posterior lateral line nerve. Responses in both the nLLL and the n.ext.-lat.mes. appear and their amplitudes increase simultaneously with increasing stimulus intensity. 3. Comparison of latencies supports a three-neuron pathway hypothesis which also agrees well with the various functional properties described. 4. The nLLL-n.ext.-lat.mes. pathway is blocked sharply for a period of 1 ms occurring 3 ms after the electric organ discharge (EOD). This inhibitory period is phase-related to the Mesencephalic Command Associated Signal (MCAS) of Aljure (1946) ; The phase relation is such that no response is observed to the fish's own EOD. 5. Long-lasting responses of 10-12 ms duration to higher stimulation intensities were obtained in the ganglionic layer of the lateral line lobe (LLL). Intensities evoking maximal responses in the nLLL and n.ext.lat.mes. are still threshold stimulation for lateral line lobe responses. 6. Long-lasting responses (of the same order as in the LLL) to the fish' own EOD were observed in the mesencephalic lateral nucleus. Responses to artificial electric pulses were obtained only if delivered in a certain phase realtion to the MCAS. The MCAS displays a facilitating effect on the slow conducting electrosensory system. 7. Results indicate the existence in mormyrids of a double, fast and slow conducting, electrosensory system similar to that of gymnotid fish. The mormyrids can control both of these electrosensory systems by means of the MCAS, the effect of which is opposite for the same time period on the two systems.

Afferent Pathways↗

Implicit learning -- explicit knowing: a role for sleep in memory system interaction.

There is evidence that sleep supports the enhancement of implicit as well as explicit memories (i.e., two memory systems that during learning normally appear to act together). Here, employing a serial reaction time task (SRTT) paradigm, we examined the question whether sleep can provide explicit knowledge on an implicitly acquired skill. At learning, young healthy subjects (n = 20) were first trained on the SRTT. Then, implicit knowledge was assessed on two test blocks, in which grammatically incorrect target positions were occasionally interspersed by the difference in reaction times between grammatically correct and incorrect target positions. To assess explicit sequence knowledge, thereafter subjects performed on a generation task in which they were explicitly instructed to predict the sequential target positions. In half the subjects, learning took place before a 9-hour retention interval filled with nocturnal sleep (sleep group), in the other half, the retention interval covered a 9-hour period of daytime wakefulness (wake group). At subsequent retesting, both testing on the generation task and the SRTT test blocks was repeated. At learning before the retention interval, subjects displayed significant implicit sequence knowledge which was comparable for the sleep and wake groups. Moreover, both groups did not display any explicit sequence knowledge as indicated by a prediction performance not differing from chance on the generation task. However, at retesting, there was a distinct gain in explicit knowledge in the subjects who had slept in the retention interval, whereas generation task performance in the wake group remained at chance level. SRTT performance in the test blocks at retesting did not indicate any further gain in skill (i.e., unchanged reaction time differences between grammatically correct and incorrect target positions) independently of whether subjects had slept or remained awake after learning. Our results indicate a selective enhancement of explicit memory formation during sleep. Because before sleep subjects only had implicit knowledge on the sequence of target transitions, these data point to an interaction between implicit and explicit memory systems during sleep-dependent off-line learning.

Adolescent↗

A morphological study of the human epipharyngeal mucosa.

The epipharynx lies between the nasal cavity and oropharynx. The mucosa of the epithelium in the human epipharynx is composed of ciliated epithelium as part of the respiratory tract, squamous epithelium as representative of the digestive system and transitional epithelium. Previous studies by Ali have shown that transitional epithelium is present in a boundary line between the epipharynx and oropharynx, with numerous islets of the epithelium also located in the lateral and dorsal walls accompanied with a patchy distribution of the ciliated and squamous epithelium. Mechanical irritation caused by the anatomical properties of the epipharynx is thought to be responsible for the morphological findings present. We studied the distribution of the three different types of epithelia in the epipharynx in ten autopsy cases. Our data revealed that they showed mosaic or an "island-like" distribution on the epipharyngeal wall and their patterns of distribution were variable in each individual.

Adult↗

Utilization of cultured human lymphoid cells for detection of humoral sensitization in prospective recipients of kidney transplants.

Prospective recipients of kidney transplants were tested for lymphocytotoxicity; from these we selected 102 sera that lacked cytotoxic antibodies against peripheral lymphocytes from at least 80 unrelated subjects. To detect humoral sensitization, we then reacted these with 17 cultured human lymphoid cell lines having different HL-A phenotypes. Cytotoxic antibodies reacting with these cultured cells were now detected in some of the sera. These antibodies were not directed against HL-A antigens, yet mediated lysis of target cells in the presence of rabbit but not of human or guinea pig complement. Furthermore, they activated the classical pathway of the rabbit complement system. Later, a significant association was found between occurrence of cytotoxic antibodies and rejection of the transplant. Thus, cultured human lymphoid cells, because of their great susceptibility to complement-mediated lysis, appear to be useful in detecting humoral sensitization in candidates for kidney grafts.

Antibody Formation↗

The subperiosteal lift.

The subperiosteal lift developed by Tessier is a technique for rejuvenating the face and emphasizing beauty. It is performed using two approaches: intraoral and bicoronal or precapillary. It entails a total subperiosteal undermining of the face beginning 2 cm over the orbits and continuing on the orbital rims, the zygomatic arches, and the malar bones. This allows total lifting of the soft tissues of the face (DMAS, deep musculo aponeurotic system). The lateral and vertical traction allows elevation of the superior two thirds of the face, eyebrows, and cheeks. Lifting pulls up from the forehead to the mandibular line. The fixation of the superficial layer of the temporal aponeurosis in traction to the upper part also has an effect on tissue elevation. The best candidates for this procedure are women in their late 30s or early 40s but can be used on those from 30 to 50 and more. It is highly specialized operation which requires substantial surgical experience both in selecting the patient and in execution.

Adult↗

Analysis of vitamin E isomers in seeds and nuts with and without coupled hydrolysis by liquid chromatography and coulometric detection.

A method is described for the determination of vitamin E isomers [alpha-, (beta+gamma)- and delta-tocopherols] in seeds and nuts by reversed-phase HPLC with coulometric detection. Three methods of sample treatment were compared. The first method included alkaline hydrolysis, extraction of analytes from unsaponifiable and injection into the chromatographic system. In the second method, alkaline hydrolysis and later continuous membrane extraction of isomers were coupled with the HPLC system. The third method involved direct extraction of the analytes through a silicone membrane coupled on-line with the chromatographic system. The three methodologies used for the determination of vitamin E isomers in these samples afforded good results for alpha-tocopherol. However for (beta+gamma)- and delta-tocopherols the best results were obtained with the third method. The method without hydrolysis was the simplest one to carry out and analysis took no longer than 40 min from weighing of the samples. Accordingly, it is the method proposed.

Chromatography, Liquid↗

Class II malocclusion with maxillary protrusion from the deciduous through the mixed dentition: a longitudinal study.

The aim of this study was to analyze the skeletal characteristics of Class II malocclusion with maxillary protrusion in the deciduous dentition and to describe the growth features of this type of skeletal imbalance during the transition from the deciduous through the mixed dentition. A group of 17 subjects having skeletal Class II malocclusions in the deciduous dentition due to maxillary protrusion was compared with a control group of 30 untreated subjects with ideal occlusion at the same stage of development. Both groups were observed for the first time in the deciduous dentition (T(1)) and followed during the transition from the deciduous to the mixed dentition (T(2)). During this time no orthodontic treatment was provided. Lateral cephalograms were taken for all subjects at T(1) and T(2). A cephalometric analysis was performed based on a reference system that consisted of two perpendicular lines traced through stable basicranical structures. The results indicate that a Class II skeletal pattern due to a maxillary protrusion is established early in the deciduous dentition and remains unmodified in the transition to the mixed dentition. The maxilla appeared to be displaced forward in Class II subjects, whereas the mandibles of the Class I and Class II subjects did not show any significant differences at this stage of growth. In the passage from the deciduous through the mixed dentition, Class I and Class II subjects showed growth increments that were not significantly different from each other. Sucking habits appeared to be correlated with the skeletal maxillary protrusion.

Cephalometry↗

Unbinding transitions and phase separation of multicomponent membranes.

Multicomponent membranes in contact with another surface or wall are studied by a variety of theoretical methods and Monte Carlo simulations. The membranes contain adhesion molecules which are attracted to the wall and, thus, act as local stickers. It is shown that this system undergoes lateral phase separation leading to discontinuous unbinding transitions if the adhesion molecules are larger than the nonadhesive membrane components. This process is driven by an effective line tension which depends on the size of the stickers and arises from the interplay of shape fluctuations and sticker clusters.

Cell Adhesion Molecules↗

Acoustic communication in territorial butterflyfish: test of the sound production hypothesis.

Butterflyfishes are conspicuous members of coral reefs and well known for their visual displays during social interactions. Members of the genus Chaetodon have a unique peripheral arrangement of the anterior swim bladder that connects with the lateral line (the laterophysic connection) and in many species projects towards the inner ear. This morphology has lead to the proposal that the laterophysic connection and swim bladder system may be a specialized structure for the detection of sound. However, the relevant stimuli, receiver mechanisms and functions for these putative hearing structures were unknown because butterflyfishes were previously not recognized to produce sounds during natural behavior. We performed field experiments to test the hypothesis that Chaetodon produces sounds in natural social contexts. Acoustic and motor behaviors of the monogamous multiband butterflyfish, C. multicinctus, were evoked and recorded by placement of bottled fish into feeding territories of conspecific pairs. We demonstrate that territory defense includes the production of agonistic sounds and hydrodynamic stimuli that are associated with tail slap, jump, pelvic fin flick and dorsal-anal fin erection behaviors. In addition, grunt pulse trains were produced by bottled intruders and are tentatively interpreted to function as an alert call among pair mates. Acoustic behaviors include low frequency hydrodynamic pulses <100 Hz, sounds with peak energy from 100 Hz to 500 Hz, and a broadband high frequency click (peak frequency=3.6 kHz), which is produced only during the tail slap behavior. These results provide a biological framework for future studies to interpret the proximate function of the acoustico-lateralis sensory system, the evolution of the laterophysic mechanism and their relevance to butterflyfish social behavior.

Animal Communication↗