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At least 649 records · Page 36Linked to original sources

Experimental assessment of a new mechanical endoscopic solosurgery system: Endofreeze.

BACKGROUND: The assistance received by the surgeon from support personnel during operative laparoscopy is extremely important. This includes retraction of instruments and endoscope positioning. However, human assistance is costly and often does not provide satisfaction for the surgeon. The aim of this study was to develop a mechanical arm capable of allowing easy handling and holding of laparoscopic instruments under the surgeon's control. METHODS: We designed a system, named Endofreeze, based on a particular kinematical construction that maintains an invariant point of constraint motion just above the trocar puncture site through the abdominal wall. The goal was to develop this way a highly intuitive mechanical holding system for laparoscopic instruments, with sufficient precision of action, activated by a single hand movement. We tested a couple of prototypes with different holding arms while performing cholecystectomy in phantom models with swine inserts and compared the results obtained in similar conditions using different holding and positioning systems. RESULTS: The system allows transparent and intuitive operation, and its setup is easy and quick. It may be adapted either as an instrument retractor or as an optic positioning device. Compared to different systems available or prototypes previously tested, such as AESOP 2000, ENDOASSIST, FIPS Endoarm, TISKA Endoarm, and the Martin Arm, in similar conditions, it was more intuitive, allowing shorter time for completion of surgery. CONCLUSION: Endofreeze is a new intuitive mechanical positioning system for endoscopic solo surgery. In phantom models, it demonstrated a shorter time requirement for completion of surgery when compared to other systems available. In our opinion, it represents a valid compromise between human and robotic control for conventional laparoscopic instruments.

Animals↗

Enhancement of in-vivo remineralization of approximal initial caries in man by an organic and inorganic remineralization agent.

Changes of mineral content in the approximal enamel of the teeth were determined in situ with quantitative bite-wing radiography. Geometric coincidence of the base line and control radiographs was achieved with an optical adjusting device for the X-ray tube and for exact re-location of the film to the dentition. Radiographs were evaluated with digital image-processing. To five subjects, inorganic remineralization solution containing Ca, Sr, phosphate and tartrate was applied twice a day and to another 6 persons a solution containing aminofluoride (Elmex Fluid, Gaba Int.) every third day: both for 3 weeks. There was no net mineral uptake in the 15 lesions of the inorganic group but a marked increase of mineral in the 13 lesions of the other group. Discrepancy with findings of other workers may be due to the geometry of the interdental space with long diffusion distances in the dental plaque.

Adult↗

A comparison between data analysis methods concerning particle size distributions obtained by mastication in man.

Three mixtures of chewed food particles (coarse, medium and fine) were quantified by measuring the particle sizes with an optical scanning device. The particle sizes were described by three different particle-size distributions: a cumulative volume, a volume and a number distribution. The median particle size was determined from each of the distribution functions. Suitability for characterizing a mixture of chewed food particles was tested, showing that the median particle size as obtained from a cumulative volume (or weight) distribution should be preferred. It was shown to be the most sensitive measure for characterizing mixtures of chewed food.

Calibration↗

Chronotropic effect of histamine on cultured neonatal rat heart cells.

The positive chronotropic effect (PCE) of histamine in cultured neonatal rat heart cells was monitored using a microscopic method as well as an electro-optically recording device. The action potential frequency was also measured (by means of microelectrodes). An increase in PCE was noted when histamine (from 1 X 10(-6) M to 1 X 10(-5) M) was added to the cells. However, higher concentrations (from 1 X 10(-5) M to 1 X 10(-4) M) were less effective. The PCE of histamine was reduced by pretreating the cells with antihistaminic drugs. H1-blocking agents (promethazine and mepyramine) were more potent than H2-blocking drugs (metiamide and cimetidine). In addition, the PCE of histamine was abolished when the cells were in presence of high K+ medium (26 mEq) but contraction and action potential amplitudes were increased. Our results demonstrate that these cultures respond to histamine and that this response is abolished by antihistaminic drugs thus suggesting the H1 and/or H2 receptors may be present in the neonatal rat heart cell cultures.

Animals↗

Immobilization of proteins to lipid bilayers.

Phospholipid bilayers deposited on sensor surfaces are excellent substrates for immobilizing proteins via a molecular anchor. An integrated optics sensing device was used to accurately measure the binding kinetics of proteins thus anchored. By comparing the results with measurements using proteins from which the anchor had been enzymatically removed, it was shown that the anchor accounts for essentially all the irreversible binding. The insertion of the anchor into the lipid bilayer is a spontaneous process. This method of immobilization should be widely applicable to many soluble protein molecules, to which an anchor can be attached by routine methods of molecular engineering.

Animals↗

Photosynthetic proteins for technological applications.

Photosynthetic proteins are a source of biological material well-suited to technological applications. They exhibit light-induced electron transfer across lipid membranes that can be exploited for the construction of photo-optical electrical devices. The structure and function of photosynthetic proteins differ across the photosynthetic evolutionary scale, allowing for their application in a range of technologies. Here we provide a general description of the basic and technical research in this sector and an overview of biochips and biosensors based on photochemical activity that have been developed for the bioassay of pollutants.

Bacterial Proteins↗

Capsular bag distention syndrome after combined cataract-lens implant surgery and Ahmed valve implantation.

PURPOSE: To describe the capsular bag distention syndrome after combined cataract extraction with posterior lens implant and aqueous drainage device. METHODS: Case report. RESULTS: A persistently shallow anterior chamber and low intraocular pressure developed after combined cataract extraction with posterior chamber lens implant and Ahmed aqueous drainage device. An optically empty space between the lens implant and posterior capsule was detected 18 days after surgery. The anterior chamber deepened within minutes after Nd:YAG posterior capsulotomy. CONCLUSION: The capsular bag distention syndrome needs to be included in the differential diagnosis of shallow anterior chamber with low intraocular pressure after combined cataract extraction and glaucoma valve implant surgery.

Aged↗

A new method for the computer-aided evaluation of three-dimensional changes in gypsum materials.

OBJECTIVES: The quantitative evaluation of the time- or process-dependent three-dimensional stability of dental materials is a common question in dentistry. An investigation procedure has been developed based on a CAD-surface model of a prepared upper canine, as well as a high-precision physical copy (metal master die). The specific aim of this study was to test this method's reliability. Additionally, the ability of the developed procedure to determine the three-dimensional stability of resin-reinforced gypsum master casts over time was investigated. METHODS: Ten duplicate dies of improved dental stone (esthetic-rock, dentona, Germany) were manufactured, and digitized 1, 3, 7, 28 and 56 days after pouring. A three-coordinate optical measuring device was used for the data acquisition. The three-dimensional accuracy of stone dies was determined by comparing the digitized data of the stone dies made from the metal master die to its CAD-surface model (Surfacer) Version 9.0. Imageware Inc., Ann Arbor Michigan, USA). To assess the procedure, test surfaces were created from the digitized data and compared with a reference. RESULTS: The mean deviation between the digitized point cloud and the test surface was less than 3 microm. During the 56 day examination period no significant three-dimensional changes in dimensional stability were found. SIGNIFICANCE: The procedure for the quantitative three-dimensional evaluation was shown to be suitable. Best-fit registration enabled a reliable alignment of the point cloud to the CAD-surface model. Alteration of three-dimensional accuracy over 6 weeks was insignificant and without clinical relevance.

Calcium Sulfate↗

Damage to hair follicles by normal-mode ruby laser pulses.

BACKGROUND: Although many temporary treatments exist for hirsutism and hypertrichosis, a practical and permanent hair removal treatment is needed. OBJECTIVE: Our purpose was to study the use of normal-mode ruby laser pulses (694 nm, 270 microseconds, 6 mm beam diameter) for hair follicle destruction by selective photothermolysis. METHODS: Histologically assessed damage in ex vivo black-haired dog skin after the use of different laser fluences was used to design a human study; 13 volunteers with brown or black hair were exposed to normal-mode ruby laser pulses at fluences of 30 to 60 J/cm2, delivered to both shaved and wax-epilated skin sites. An optical delivery device designed to maximize light delivery to the reticular dermis was used. Hair regrowth was assessed at 1, 3, and 6 months after exposure by counting terminal hairs. RESULTS: Fluence-dependent selective thermal injury to follicles was observed histologically. There was a significant delay in hair growth in all subjects at all laser-treated sites compared with the unexposed shaven and epilated control sites. At 6 months, there was significant hair loss only in the areas shaved before treatment at the highest fluence. At 6 months, four subjects had less than 50% regrowth, two of whom showed no change between 3 and 6 months. Transient pigmentary changes were observed; there was no scarring. CONCLUSION: Selective photothermolysis of hair follicles with the normal-mode ruby laser produces a growth delay consistent with induction of prolonged telogen with apparently permanent hair removal in some cases.

Animals↗

Cellular biosensing system for discovery of protein synthesis inhibitors with an electrochemical phosphate modulator to regulate the acid phosphatase gene expression of Saccharomyces cerevisiae.

A cellular biosensing system for screening protein synthesis inhibitors has been developed by linking an electrochemical phosphate modulator and matrix-immobilized yeast cells with an optical sensing device. To screen the protein synthesis inhibitors, yeast phosphatase gene regulating system has been employed by linking an electrochemical phosphate modulator. Since the yeast phosphatase gene coding gammaAPase is expressed, when the phosphate concentration in solution is lowered below the threshold, the gammaAPase production is triggered by lowering the phosphate concentration with the electrochemical phosphate modulator, and monitored continuously with the photometric device. The electrochemical phosphate modulator was assembled with matrix-immobilized yeast cells. The module could insert to ordinal cuvette to monitor the induced gammaAPase activity in an ordinal photometer. Using the system, induction profile of protein synthesis was easily observed and was affected remarkably by various protein synthesis inhibitors. This seems promising that the system can be applied for first screening process of de novo protein inhibitors. The cellular biosensing system seems promising in screening protein synthesis inhibitors.

Acid Phosphatase↗

Free flow electrophoresis device for continuous on-line separation in analytical systems. An application in biochemical detection.

A free flow electrophoresis (FFE) device was developed for continuous electrophoretic separation of charged compounds and implemented in a continuous flow biochemical detection (BCD) system. These continuous separation characteristics make FFE well suitable for online implementation in a chromatographic or flow injection analysis system, in which an additional separation step of charged compounds is desired. In a heterogeneous biochemical flow assay for the determination of biotin, an analyte zone reacts with an excess of an affinity protein. Subsequently, the free binding sites of the affinity protein react with an excess of fluorescein-labeled ligand. Free and affinity protein-bound label are separated on the FFE device prior to fluorescence detection of the separated fractions. Biotin and streptavidin were chosen as, respectively, model ligand and affinity protein. Since all the compounds that are involved possess different electrophoretic properties, quantitative analysis is performed after completely separating the fluorescent affinity complex and labeled biotin in the FFE device within 2 min. Since the device is optically transparent, the separated zones can be detected in the separation compartment, using laser-induced fluorescence. The applicability of the BCD-FFE system in combination with a HPLC separation is demonstrated in the bioanalysis of biotin in human urine at the micromole per liter level.

Biotin↗

From monomeric nanofibers to PbS nanoparticles/polymer composite nanofibers through the combined use of gamma-irradiation and gas/solid reaction.

Organic metal-salt (lead dimethacrylate (Pb(MA)2)) nanofibers are prepared, and these Pb(MA)2 monomeric nanofibers are successfully converted into PbS nanoparticles/polymer composite nanofibers through the combined use of gamma-irradiated polymerization and gas/solid reaction. The resulting composite nanofibers have excellent thermal and chemical stability, and the PbS nanoparticles (with diameters of about 4 nm) are well dispersed in the polymer-fiber matrices. This approach could also be extended to methacrylates containing other metal ions. We anticipate that this method would provide a platform for the fabrication of diverse and multifunctional polymer nanocomposite fibers, which would have potential applications in fabricating devices with optical, electric, and magnetic properties.

Journal Article↗

Reflection anisotropy spectroscopy study of the adsorption of sulfur-containing amino acids at the Au(110)/electrolyte interface.

Protein interactions with surfaces are key to understanding the behavior of implantable medical devices. The optical technique of reflection anisotropy spectroscopy (RAS) has considerable potential for the study of interactions between important biological molecules and surfaces. This study used RAS to investigate the adsorption of S amino acids onto Au(110) in a liquid environment under different conditions of potential and pH. Certain spectral features can be associated with the Au(110), as reported previously, while other features are assigned to bonds between the amino acids and the Au surface. The RA spectra are shown to be influenced by the structure of the amino acid, the solution pH, and the applied electrode potential. This work has assigned the negative feature at 2.5 eV to the Au-thiolate, bond while the positive feature at 2.5 eV is assigned to the disulfide bond. The broad spectral feature at 3.5 eV is attributed to the Au-amino interaction, while the sharper feature at slightly higher energy is associated with the Au-carboxylate interaction. Sulfur-containing amino acids are frequently found on the outside of protein molecules and could be used to anchor the protein to the surface.

Amino Acids, Sulfur↗

Potassium ion-selective optodes based on the calix[6]arene hexaester and application in human serum assay.

Plasticized PVC membranes incorporating the hexaester of calix[6]arene, potassium tetrakis(4-chlorophenyl) borate and a neutral H+-selective chromo-ionophore (ETH 5294) have been used as reversible sensing devices for optical determination of potassium ion in pH-buffer solutions. At pH 9.0, the absorbance response of the optode shows a good correlation with the theoretically derived formula in the range from 1 x 10(-6) to 1 x 10(-2) mol l(-1) potassium ion. Typical response times (t95) in the samples are 3 min, the relative standard deviation for repeated measurements being within 0.5%. The selectivity of this potassium-selective membrane allows its application for the reversible optical detection of potassium concentration in human serum samples.

Buffers↗

Numerical studies of optical switching and optical bistability phenomena of nano- or meso-size spheres.

We propose the use of numerical calculations of the optical response of nonlinear Kerr-spheres, modifying the Mie theory. As a numerical example, we use a CuCl sphere coated with a Kerr-nonlinear sphere, taking into account the excitation of the Z3-exciton. The results clearly show that optical bistable and/or optical switching devices can be realized on a nano- and meso-size scale when the real part of the dielectric constant of CuCl is negative.

Journal Article↗

A case of childhood multiple sclerosis with peripheral neuropathy.

A twelve-year-old girl with multiple sclerosis and peripheral neuropathy is reported. When nine years old, she was diagnosed as having Devic disease (optic atrophy and transverse myelitis). During the three years after onset of her illness, she suffered from three relapses and remissions of her multiple sclerosis. On the third occasion, neurological examination revealed signs of cerebellar dysfunction including ataxic gait, nystagmus and dysmetria, and absence of all tendon reflexes with muscle weakness especially on the left side. Markedly slowed conduction velocity in her ulnar nerve especially on the left and elevated CSF protein were noted. Biopsied sural nerve showed decreased density of myelinated fibers and a selective loss of large diameter fibers. Electron microscopy disclosed onion-bulb formation, myelin debris within Schwann cell cytoplasm and demyelinated axons. These findings showed demyelination and remyelination of the peripheral nervous system in this patient with multiple sclerosis. We discuss the relation of multiple sclerosis and peripheral neuropathy.

Biopsy↗