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["Occult" posttraumatic lesions of the knee: can magnetic resonance substitute for diagnostic arthroscopy?].

PURPOSE: We investigated the actual role of MRI versus arthroscopy in the detection and characterization of occult bone and/or cartilage injuries in patients with previous musculoskeletal trauma of the knee, pain and severe functional impairment. Occult post-traumatic osteochondral injuries of the knee are trauma-related bone and/or cartilage damage missed at plain radiography. MATERIAL AND METHODS: We retrospectively selected 70 patients (men:women = 7:3; age range: 35 +/- 7 years) with a history of acute musculoskeletal trauma, negative conventional radiographs, pain and limited joint movements. All patients were submitted to conventional radiography, arthroscopy and MRI, the latter with 0.5 T units and T1-weighted SE. T2-weighted GE and FIR sequences with fat suppression. RESULTS AND DISCUSSION: We identified three types of occult post-traumatic injuries by morpho-topographic and signal intensity patterns: bone bruises (no. 25), subchondral (no. 33) and osteochondral (no. 35) injuries. Arthroscopy depicted 45 osteochondral and 19 chondral injuries. A bone bruise was defined as a typical subcortical area of signal loss, with various shapes, on T1-weighted images and of increased signal intensity on T2-weighted and FIR images. The cortical bone and articular cartilage were normal in all cases, while osteochondral injuries exhibited associated bone and cartilage damage with the same abnormal MR signal intensity. Sprain was the mechanism of injury in 52 cases, bruise in 12 and stress in 6. In 52 sprains (30 in valgus), the injury site was the lateral compartment in 92.3% of cases (100% in valgus), associated with meniscal damage in 73% of cases (90% in valgus) and with ligament injury in 90.4% (100% in valgus). In 12 bruises, the injury site was the lateral compartment in 58.3% of cases, the knee cap in 25% and the medial compartment in 16.7%; meniscal damage was associated in 25% of cases and ligament damage in 8.3%. In 6 stress injuries, the injury site was localized in the medial tibial condyle in 80% of cases, while meniscal and ligament tears were absent. CONCLUSIONS: After comparing MR with arthroscopic findings and reviewing the available literature, we conclude that arthroscopy permits the direct visualization of even fine articular surface changes but does not depict the subchondral bone, the most frequent site of injury detected with MRI. MRI was a very useful tool in the detection and characterization of the different types of occult bone and/or cartilage injuries and showed a statistically significant correlation between site and distribution of bone and cartilage injuries and between internal damage and trauma mechanisms. Therefore, we believe that MRI can help avoid diagnostic arthroscopy in the patients with a history of post-traumatic pain, acute articular blocks and negative radiographic findings.

Adult↗

Endophthalmitis caused by an Erwinia species.

A 14-year-old boy developed exogenous endophthalmitis presumably caused by an Erwinia species. To our knowledge, this is the firs reported case of endophthalmitis caused by an Erwinia species, which has been considered pathogenic for only the last ten years. The endophthalmitis developed after a piece of wood penetrated the patient's sclera. After removal of the foreign body, the patient received intravitreally and subconjunctivally administered gentamicin sulfate, intramuscularly administered cephaloridine, and a short course of orally administered prednisone. The patient had clinical and visual improvement.

Adolescent↗

Rabbit lung after acute smoke inhalation. Cellular responses and scanning electron microscopy.

The cellular responses in the lungs of rabbits and the morphologic features of the tracheobronchial tree by scanning electron microscopy were examined 24 hours following acute inhalation of Douglas fir wood smoke. Thermal injury to the upper airway was excluded. Injury to proximal tracheal lining cells was severe and consisted of loss of the epithelium. The changes of the epithelial barrier in the proximal major bronchi were less severe in nature. However, the alterations observed by scanning electron microscopy suggested dysfunction of the mucociliary blanket. Both cell counts of bronchoalveolar lavage fluid and morphologic findings reflected an increase in alveolar macrophage response. Smoke-exposed alveolar macrophages showed significant changes in the surface features. These findings may explain the tracheobronchitis seen clinically, and the propensity of patients to lung infection following smoke inhalation.

Acute Disease↗

Design of improved spectral-spatial pulses for routine clinical use.

Spectral-spatial pulses (spsp pulses) selectively excite spins at spatial location z and spectral frequency (due to chemical shift and/or field inhomogeneity) v. In this work we discuss the design of improved spsp pulses for fat signal suppression. Optimal pulses are designed as optimal constant ripple FIR filters using the inverse SLR transform. Spsp pulses with thin slices are obtained by modifying the phases between subpulses, thereby eliminating unwanted magnetization lobes. Robust spsp pulses at off-center slices are obtained with a prescan calibration. These pulses are used either for selective fat saturation or for selective water excitation. It is shown that spsp pulses suppress fat signal better than conventional fat saturation pulses. Using the techniques presented in this article, we replaced all the fat saturation pulses on our systems with spsp pulses and obtained a significant improvement in image quality.

Adipose Tissue↗

Insect-plant interactions: endocrine defences.

It is the inevitable consequence of evolution that competitive species living together in a restricted space must try to exclude each other. Plants and insects are prime examples of this eternal competition, and although neither of these is in danger of extinction, their mutual defensive strategies are of compelling interest to the human race. Plant defences based on the insecticidal activity of certain of their secondary chemicals are readily apparent. Only through research into the fundamentals of insect physiology and biochemistry are more subtle defensive mechanisms revealed, linked to the disruption of the insect endocrine system. A diverse number of chemical structures are found in plants, which interfere with hormone-mediated processes in insects. Examples include: mimics of the insect's juvenile hormones such as juvabione from the balsam fir and the juvocimenes from sweet basil, which lethally disrupt insect development, and the precocenes found in Ageratum species, which act as anti-juvenile hormonal agents. The latter appear to serve as 'suicide substrates', undergoing activation into cytotoxins when acted on by specialized enzymes resident in the insect endocrine gland (corpus allatum) that is responsible for juvenile hormone biosynthesis and secretion. Consideration of these plant defensive strategies, which have been reached through aeons of evolutionary experimentation, may assist the human race in its defences against its principal competitors for food, fibre and health.

Adaptation, Biological↗

Explorative kinetic study on the thermal degradation of five wood species for applications in the archaeological field.

Differential scanning calorimetry (DSC) and thermogravimetric analysis (TG) were performed on wood samples of different essences (fir, chestnut, poplar, linden and oak) before consolidation. A kinetic analysis was applied on the two-steps decomposition processes occurring in all wood samples using either the multiheating rates Kissinger equation and the isoconversional Ozawa-Flynn-Wall method that enables the variation of activation energy to be determined as a function of the degree of reaction. Taking into account both decomposition temperature and activation energy for the first degradation step oak seems to be the less stable sample. The comparison of DSC curves performed in air with those in oxygen enables to consider the role of the partial pressure of oxygen in the mechanisms of both decompositions.

Abies↗

Body weight: its relation to tissue composition, segment distribution, and motor function. II. Development of Macaca mulatta.

The relative composition of skin, muscle, and bone and their distribution patterns throughout the body are given for a series of Macaca mulatta from 171 days conceptual age through adulthood. In terms of percent of total body weight, the musculature of these animals doubles during the firs postnatal year whereas bone and skin decrease. Regionally, the muscles of the thighs, back extensors, truncal-forelimb and upper arms increase most markedly. The thighs double and the upper arms increase whereas the trunk, hands, feet, and tail decrease. The biomechanical implications of these changes for motor development are discussed.

Age Factors↗

Abies nephrolepis leaf phenolics prevent the inhibition of gap junction intercellular communication by hydrogen peroxide in rat liver epithelial cells.

Recent reports suggest that carcinogenicity of hydrogen peroxide (H2O2) is implicated in inhibition of gap junction intercellular communication (GJIC), which is a cellular event associated with the tumor promotion. The present study investigated the effect of phenolics (KF) from leaves of Abies nephrolepis (Khingan fir) on inhibition of GJIC by H2O2 in WB-F344 rat liver epithelial cells. The phenolics were extracted from fresh leaves by using 80% aqueous methanol, and were analyzed mainly as catechin derivatives including epigallocatechin gallate (EGCG) and catechin itself. KF and EGCG protected the inhibition of GJIC by H2O2, whereas butylated hydroxytoluene, a commercial antioxidant, had no effect. Our results indicate that KF exhibits potential chemopreventive effects against carcinogenesis, which may be attributable to phenolics such as EGCG.

Abies↗

Collective vibrational modes in biological molecules investigated by terahertz time-domain spectroscopy.

We present well-resolved absorption spectra of biological molecules in the far-IR (FIR) spectral region recorded by terahertz time-domain spectroscopy (THz-TDS). As an illustrative example we discuss the absorption spectra of benzoic acid, its monosubstitutes salicylic acid (2-hydroxy-benzoic acid), 3- and 4-hydroxybenzoic acid, and aspirin (acetylsalicylic acid) in the spectral region between 18 and 150 cm(-1). The spectra exhibit distinct features originating from low-frequency vibrational modes caused by intra- or intermolecular collective motion and lattice modes. Due to the collective origin of the observed modes the absorption spectra are highly sensitive to the overall structure and configuration of the molecules, as well as their environment. The THz-TDS procedure can provide a direct fingerprint of the molecular structure or conformational state of a compound.

Anti-Inflammatory Agents, Non-Steroidal↗

Fast and efficient alkaline peroxide treatment to enhance the enzymatic digestibility of steam-exploded softwood substrates.

The enzymatic digestibility of steam-exploded Douglas-fir wood chips (steam exploded at 195 degrees C, 4.5 min, and 4.5% (w/w) SO(2)) was significantly improved using an optimized alkaline peroxide treatment. Best hydrolysis yields were attained when the steam-exploded material was post-treated with 1% hydrogen peroxide at pH 11.5 and 80 degrees C for 45 min. This alkaline peroxide treatment was applied directly to the water-washed, steam-exploded material eliminating the need for independent alkali treatment with 0.4% NaOH, which has been traditionally used to post-treat wood samples to try to remove residual lignin. Approximately 90% of the lignin in the original wood was solubilized by this novel procedure, leaving a cellulose-rich residue that was completely hydrolyzed within 48 h, using an enzyme loading of 10 FPU/g cellulose. About 82% of the originally available polysaccharide components of the wood could be recovered. The 18% of the carbohydrate that was not recovered was lost primarily to sugar degradation during steam explosion.

Cellulose↗

BSA treatment to enhance enzymatic hydrolysis of cellulose in lignin containing substrates.

Cellulase and bovine serum albumin (BSA) were added to Avicel cellulose and solids containing 56% cellulose and 28% lignin from dilute sulfuric acid pretreatment of corn stover. Little BSA was adsorbed on Avicel cellulose, while pretreated corn stover solids adsorbed considerable amounts of this protein. On the other hand, cellulase was highly adsorbed on both substrates. Adding a 1% concentration of BSA to dilute acid pretreated corn stover prior to enzyme addition at 15 FPU/g cellulose enhanced filter paper activity in solution by about a factor of 2 and beta-glucosidase activity in solution by about a factor of 14. Overall, these results suggested that BSA treatment reduced adsorption of cellulase and particularly beta-glucosidase on lignin. Of particular note, BSA treatment of pretreated corn stover solids prior to enzymatic hydrolysis increased 72 h glucose yields from about 82% to about 92% at a cellulase loading of 15 FPU/g cellulose or achieved about the same yield at a loading of 7.5 FPU/g cellulose. Similar improvements were also observed for enzymatic hydrolysis of ammonia fiber explosion (AFEX) pretreated corn stover and Douglas fir treated by SO(2) steam explosion and for simultaneous saccharification and fermentation (SSF) of BSA pretreated corn stover. In addition, BSA treatment prior to hydrolysis reduced the need for beta-glucosidase supplementation of SSF. The results are consistent with non-specific competitive, irreversible adsorption of BSA on lignin and identify promising strategies to reduce enzyme requirements for cellulose hydrolysis.

Adsorption↗

Design of highly efficient cellulase mixtures for enzymatic hydrolysis of cellulose.

An extremely highly active cellobiohydrolase (CBH IIb or Cel6B) was isolated from Chrysosporium lucknowense UV18-25 culture filtrate. The CBH IIb demonstrated the highest ability for a deep degradation of crystalline cellulose amongst a few cellobiohydrolases tested, including C. lucknowense CBH Ia, Ib, IIa, and Trichoderma reesei CBH I and II. Using purified C. lucknowense enzymes (CBH Ia, Ib, and IIb; endoglucanases II and V; beta-glucosidase, xylanase II), artificial multienzyme mixtures were reconstituted, displaying an extremely high performance in a conversion of different cellulosic substrates (Avicel, cotton, pretreated Douglas fir wood) to glucose. These mixtures were much or notably more effective in hydrolysis of the cellulosic substrates than the crude multienzyme C. lucknowense preparation and other crude cellulase samples produced by T. reesei and Penicillium verruculosum. Highly active cellulases are a key factor in bioconversion of plant lignocellulosic biomass to ethanol as an alternative to fossil fuels.

Cellulase↗

From linden flower to linden honey. Part 2: Glycosidic precursors of cyclohexa-1,3-diene-1-carboxylic acids.

The presence of two unusual, recently identified terpene acids, i.e., 4-(1-hydroxy-1-methylethyl)cyclohexa-1,3-diene-1-carboxylic acid (1) and 4-(1-methylethenyl)cyclohexa-1,3-diene-1-carboxylic acid (2), was now also confirmed in (Swiss) linden honey, after solid-phase extraction and HPLC purification. NMR Spectroscopy, in combination with UPLC/MS analysis, showed the presence of several glycosides of 1, which accounted for ca. 0.6 weight-% of the honey, as quantified by UPLC-UV. The major 'glycoside' of 1, compound 5, could be isolated and identified by 2D-NMR experiments as the corresponding beta-gentiobiosyl ester (rather than the classical compound with a glycosidic bond between an aglycone OH group and the sugar). The same diglycosides found in linden honey were also detected in linden nectar; also, chestnut and fir honeys contained these glycosides in minor quantities, but not colza, acacia, or dandelion honeys (Table 2).

Carboxylic Acids↗

Evaluation of left ventricular relaxation using the continuous-wave Doppler velocity profile of aortic regurgitation: noninvasive measurement of left ventricular negative dP/dt and time constant.

BACKGROUND: The maximal negative dP/dt [max (-)dP/dt] and time constant (T) are useful indices for evaluating left ventricular (LV) relaxation, but they require invasive procedures. HYPOTHESIS: The purpose of this study was to obtain max (-)dP/dt and T using the continuous-wave Doppler aortic regurgitation velocity curve (AR-CW) noninvasively. Using the Bernoulli equation, the AR-CW allows accurate determination of the pressure gradients (PG) between the aorta and the left ventricle. METHODS: In 10 patients with trivial to mild AR, the rising segment of the AR-CW reflecting LV pressure decrease was digitized with the cardiac image analysis system. Transpulmonary contrast-enhanced Doppler echocardiography was used in three patients to obtain intense velocity envelope. The PG curve and the firs derivative curve were reconstructed and the maximal point of the first derivative curve, which is consistent with max(-)dP/dt, was termed as maximal rate of pressure fall (maxRPF). As T (calculated according to the method of Weiss) can be obtained from T=Pm/max(-)dP/dt [Pm: LV pressure at the phase of max(-)dP/dt], we calculated T from Pm/maxRPF (Pm=dicrotic notch pressure-4Vm2) (Vm: AR velocity at the phase of maxRPF). RESULTS: The Doppler-derived maxRPF and T (TD) approximated the catheter-derived max(-)dP/dt and T (y = 0.85x + 245, r = 0.97, p < 0.001, y = 0.79x + 4, r = 0.87, p < 0.001). In addition, dobutamine echocardiography was performed in nine patients showing increased maxRPF and decreased TD, indicating improvement of LV relaxation. CONCLUSION: These Doppler-derived new indices are sufficiently useful to evaluate LV relaxation noninvasively.

Adult↗

Woodworkers' exposure to tannins.

The tannin concentration of hard- and soft-wood dust was determined in dust powder and in samples on filters. It varied from 1.6 +/- 0.3 mg g-1 (+/- SD) for fir, which is a soft wood, to 80 +/- 30 mg g-1 (+/- SD) for oak, which is a hard wood. The low detection limit of the spectrophotometric method (1.5 micrograms per sample) made the analysis possible with no interference from cellulose ester filters. In five woodworking shops the concentrations of the total dust varied from 0.2 to 20 mg m-3, while those of tannins varied from 2 to 341 micrograms m-3. As hard woods like oak or mahogany have a higher tannin concentration than soft woods, tannin concentration analysis in wood dust can be used as an indicator of exposure to hard-wood dust.

Air Pollutants, Occupational↗

Identification of fetal growth retardation by ultrasonographic estimation of total intrauterine volume.

Recent literature has suggested that total intrauterine volume (TIUV) estimation is useful fir distinguishing normal from growth-retarded fetuses. One hundred seventy-nine measurements of TIUV were obtained from the ultrasonograms taken between 21 and 40 weeks of gestation in 140 patients who delivered average birthweight babies. We constructed a mean curve for TIUV with upper and lower 2.5 and 10% tolerance limits and later evaluated the TIUV's of 16 patients with growth-retarded fetuses. Nine of these fetuses had birthweights below the fifth percentile for gestational age, and in each of these pregnancies the TIUV ultimately fell below the lower 2.5% tolerance limit.

Birth Weight↗

An automated quantitation of short echo time MRS spectra in an open source software environment: AQSES.

This paper describes a new quantitation method called AQSES for short echo time magnetic resonance spectra. This method is embedded in a software package available online from www.esat.kuleuven.be/sista/members/biomed/new/ with a graphical user interface, under an open source license, which means that the source code is freely available and easy to adapt to specific needs of the user. The quantitation problem is mathematically formulated as a separable nonlinear least-squares fitting problem, which is numerically solved using a modified variable-projection procedure. A macromolecular baseline is incorporated into the fit via nonparametric modelling, efficiently implemented using penalized splines. Unwanted components such as residual water are removed with a maximum-phase FIR filter. Constraints on the phases, dampings and frequencies of the metabolites can be imposed. AQSES has been tested on simulated MR spectra with several types of disturbance and on short echo time in vivo proton MR spectra. Results show that AQSES is robust, easy to use and very flexible.

Humans↗

Characterisation of volatile organic compounds in stemwood using solid-phase microextraction.

Solid-phase microextraction (SPME), hydrodistillation and dynamic headspace combined with GC and GC-MS were applied and compared for the analysis of volatile organic compounds (VOCs) from coniferous wood. The SPME conditions (type of fibre, size of wood sample, temperature and exposure time) were optimised, and more than 100 VOCs and semi-volatile compounds extracted and identified from the sapwood and heartwood of Norway spruce (Picea abies). The total number of mono- and sesquiterpenes eluted and identified was similar for the SPME and hydrodistillation methods, but more semi-volatile compounds were released by hydrodistillation. By applying dynamic headspace at room temperature, it was possible to analyse only the most volatile compounds. The qualitative composition of VOCs was similar in spruce sapwood and heartwood, although Z-beta-ocimene occurred only in sapwood while fenchol was present only in heartwood. SPME sampling coupled with GC, applied here to the analysis of VOCs released from stemwood of firs for the first time, is a convenient, sensitive, fast, solvent-free and simple method for the determination of wood volatiles. The technique requires much smaller sample amounts compared with hydrodistillation, and the total amount of VOCs extracted and identified is higher than that obtained by hydrodistillation or dynamic headspace. The relative ratios of the main mono- and sesquiterpenes and -terpenoids were similar using the SPME-GC and hydrodistillation methods.

Organic Chemicals↗