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Transverse tubules from frog skeletal muscle. Purification and properties of vesicles sealed with the inside-out orientation.

Transverse tubule vesicles were isolated from frog skeletal muscle by a procedure initially described by Rosemblatt et al. (J. Biol. Chem. 256, 8140-8148 (1981)) and later modified by Hidalgo et al. (J. Biol. Chem. 258, 13937-13945 (1983]. A large fraction of the isolated vesicles (80-90%) were sealed, as indicated by the detergent induced increase in (Na+ + K+)-ATPase activity and ATP-dependent ouabain binding. To determine the orientation of the sealed vesicles binding of digoxin, a lipid soluble derivative of ouabain, was measured. The same values of ATP-dependent digoxin binding were found with or without detergents, indicating that all the vesicles that are sealed have the ATP site accessible, and hence are sealed with the cytoplasmic side-out (inside-out orientation). The transverse tubule preparation isolated from frog muscle is highly purified, as indicated by its cholesterol content and its (Na+ + K+)-ATPase activity; negligible contamination with sarcoplasmic reticulum was observed, as indicated by the protein composition and the lack of measurable Ca2+-ATPase activity of the isolated transverse tubules. High initial rates of Mg2+-ATPase activity were found, with the peculiar property of being inhibited during the course of the reaction. Addition of lysophosphatidylcholine or saponin partially prevented the inhibition of Mg2+-ATPase activity during the reaction.

Animals↗

Methods taught in dental schools for determining the posterior palatal seal region.

The following conclusions summarize the results of a survey sent to the chairperson of the removable prosthodontic department of 70 dental schools regarding the concepts and techniques taught for developing the posterior palatal seal. A combination of clinical methods was most frequently taught for locating the vibrating line. The phonation of the Ah sound was the most popular single method taught for locating the vibrating line. Seventy-five percent of the dental schools taught that there is one vibrating line per person. The posterior flexion line was related to the distal termination of the maxillary denture by dental schools that teach the concept of two vibrating lines. Most dental schools (80.4%) do not use the fovea palatinae for locating the distal termination of the maxillary denture. Most dental schools (87.5%) teach students to carve the posterior palatal seal on the maxillary master cast. Most dental schools (93.9%) take the compressibility of the palatal tissue into consideration when carving the depth of the posterior palatal seal in the maxillary master cast. The butterfly pattern was most frequently described to carve the posterior palatal seal in the maxillary master cast.

Dental Impression Technique↗

Effect of immediate dowel space preparation on the apical seal of endodontically filled teeth.

The purpose of this study was to investigate in vitro the effect of using hot endodonic pluggers for immediate dowel space preparation on the apical seal of endodontically treated teeth filled by a chloropercha technique. The results demonstrated that, when the coronal half of the root canal filling material was removed immediately after placement with pluggers, there was a loss of the apical seal and leakage in thirteen of twenty teeth. There was also leakage in thirteen of twenty teeth in which dowel spaces were not prepared. This study did not demonstrate a significant difference statistically in loss of apical seal and leakage between teeth prepared with and those without immediate dowel space preparations with pluggers using a chloropercha filling technique. Immediate preparation of the dowel spaces had no effect on the apical seal. The chloropercha technique by itself showed evidence of very high leakage when used to fill the root canal.

Chloroform↗

A new fibrin seal in primary repair of peripheral nerves.

Fibrin sealing, with or without sutures, has become a commonly used technique in human nerve grafting with clinically good results, but is seldom used in primary repair of peripheral nerves. A prospective study was designed to evaluate the incidence of dehiscence in the traditional (Tisseel Kit) and a new "ready-to-use" fibrin seal preparation (Tisseel Duo), and the outcome following fibrin sealing was compared with microsurgical repair of peripheral nerves in rats. No dehiscence was seen in the Tisseel Duo group compared with 20% in the Tisseel Kit group. The electron micrographic evaluation following regeneration showed no significant difference from the microsuture group. Tisseel Duo should therefore be used instead of the traditional fibrin seal preparation when no sutures are used, and may prove to be an alternative to microsuture of peripheral nerves.

Animals↗

Distribution of heavy metals in muscle, liver and kidney of northern fur seal (Callorhinus ursinus) caught off Sanriku, Japan and from the Pribilof Islands, Alaska.

The concentrations of iron, manganese, zinc, copper, cadmium, and mercury were determined in muscle, liver and kidney of 67 northern fur seals (Callorhinus ursinus) collected off Sanriku, Japan, and from the Pribilof Islands, Alaska. Almost all the elements except cadmium were highest in liver. Cadmium levels in kidney were higher than those in liver and muscle for all animals analyzed. Concentrations of mercury increased significantly with age in muscle, liver and kidney, as did iron levels in muscle and liver and cadmium levels in muscle, while manganese concentrations decreased with age in muscle and kidney. The kidney also showed decreased copper concentration with age. Cadmium concentrations of the northern fur seals in this study were higher than the other otariids, reflecting a predominantly squid diet. Concentrations of manganese and mercury were found to be higher in the fur seals caught off Sanriku than in animals from the Pribilof Islands, while those of zinc and cadmium were found to be lower. Variable concentrations of cadmium might have been attributed to those in seawaters. Discriminant analysis of heavy metal concentrations was used to identify habitat. Sixty-three of 67 animals (94%) were correctly classified using this technique. Heavy-metal concentrations in tissues may provide a useful method to elucidate the primary feeding grounds of fur seals.

Journal Article↗

Persistent organochlorine residues in northern fur seal from the Pacific coast of Japan since 1971.

The present study was conducted to determine the residue levels of persistent organochlorines such as PCB homologues, DDT and its metabolites, and HCH isomers in the ventral blubber of female northern fur seal (Callorhinus ursinus) collected off Sanriku, the Pacific coast of northern Japan, since 1971. Among the organochlorines examined, the concentrations of PCBs and DDTs were found to be high in all samples. The residue levels of these two contaminants showed a drastic reduction following maturity and then a slight increase after the retirement from pregnancy/menopause. Temporal variation of PCB and DDT residues showed maximum levels around 1976 and then decreased, whereas HCH residue levels revealed a very slow declining pattern. Considering the concentrations and compositions of the residues, the northern fur seal is likely to be exposed to organochlorine contamination deriving from global terms. In this context, continuous contamination has been foreseen with regard to PCB and HCH residues. The pattern of organochlorine residues indicated that the northern fur seal has higher metabolic capacity than Dall's porpoise, while it is comparable to those of larga seal and Steller sea lion.

Journal Article↗

Negative extrathoracic pressure ventilation--evaluation of the neck seal.

The effect of the neck seal used in the application of negative extra-thoracic pressure ventilation was studied using near infrared spectroscopy. Changes in cerebral blood volume (CBV) were monitored during discontinuation of negative pressure and during removal of the neck seal. CBV increased by 0.17 ml 100 ml brain-1 (95% CI +0.0875 to +0.481) when negative pressure was discontinued. Removal of the neck seal had no significant effect on CBV. It is concluded that the neck seal does not cause significant jugular venous occlusion.

Blood Volume Determination↗

Comparison of water seal and suction after pulmonary lobectomy: a prospective, randomized trial.

BACKGROUND: The objective of the present study was to assess whether placing chest tubes on water seal after pulmonary lobectomy reduced the duration of air leak compared with suction. METHODS: One hundred forty-five patients who underwent pulmonary lobectomy for lung cancer and with an air leak on the first postoperative day were prospectively randomly assigned to two groups: in group 1 (72 patients), chest tubes were placed on water seal on the morning of the first postoperative day; in group 2 (73 patients), chest tubes were on continuous suction (-20 cm H(2)O). Eighty percent of the patients who underwent upper lobectomy had also a pleural tent procedure. Preoperative, operative, and postoperative variables were compared between the groups. RESULTS: The two groups were evenly matched for preoperative and operative characteristics. No statistically significant differences were found between group 1 and group 2 in terms of air leak duration (6.5 versus 6.3, respectively; p = 0.9) and the incidence of prolonged air leak cases (27.8% versus 30.1%, respectively; p = 0.8). Similar results were obtained when the analysis was corrected for the length of the stapled parenchyma and the site of resection (upper and lower resections) or restricted to patients with a forced expiratory volume in 1 second less than 80% of predicted. Water seal patients had increased postoperative complications compared with suction patients (31.9% versus 17.8%, respectively; p = 0.056). CONCLUSIONS: Chest tubes placed on water seal after pulmonary lobectomy were generally well tolerated and safe; however, they did not reduce the duration of air leak or the incidence of prolonged air leak compared with suction.

Aged↗

A prospective randomized controlled trial of suction versus non-suction to the under-water seal drains following lung resection.

OBJECTIVE: Practice varies as to whether or not suction is applied to under-water seal drains following lung surgery. We tested the null hypothesis that there is no difference with respect to air leak duration. METHODS: Patients undergoing thoracotomy or video assisted thoracoscopic surgery for lobectomy or wedge resection had either low-pressure suction or no suction applied to their underwater seal bottles postoperatively. Patients were allocated using minimization, a method of unbiased allocation ensuring balance between the arms of a trial with respect to known or suspected confounding factors. The trial was powered for duration of air leak. If an air leak persisted on the 7th post-operative day, the surgeon determined further management. Kaplan-Meier survival analysis of air leak duration and a log rank test were performed on an intention-to-treat basis, with observations censored at 144h (6 complete days). RESULTS: Of the 254 patients that entered the trial, data were available for analysis for 239 (123 no-suction and 116 suction). There was no significant difference in the cumulative persistence of air leaks between the two groups (P=0.62) and inspection of the Kaplan-Meier curves suggests that any difference is negligible. CONCLUSIONS: Applying suction to the underwater seal drains following lung surgery makes no difference in terms of air leak duration. In the light of this finding we have adopted a uniform policy of no suction being applied to the underwater seal, from the time of surgery, unless a specific clinical judgment is made to use it. The anticipated gains are that this will reduce work and cost and aid mobilization.

Adult↗

Scoping analyses of geochemical sealing of early cracks in a waste container and associated drip shield, Yucca Mountain, Nevada.

Early after final emplacement of the nuclear waste containers at the proposed Yucca Mountain, Nevada, high-level-waste repository, tiny cracks (less than 200 microm wide, 1 to 2 cm deep, and a few centimeters long at most) could appear in the containers and in the drip shield protecting them. Modeling calculations were performed to understand how fast those cracks could be sealed. Under dripping conditions, they are expected to be bridged with water. If cracks are located in the drip shield, any further dripping on the waste containers located underneath will be limited. If cracks are located in a container, potentially harmful radionuclides could only travel by diffusion. In addition, water-bridged cracks will be sealed through at least two processes: precipitation of calcite with minor silica following evaporative concentration of the water residing in the cracks and continuous corrosion of the crack walls. The sealing rate is calculated as the intersection of the time of emergence of the cracks, the water dripping rate, and the decreasing evaporation rate. The evaporative driving force declines as short-lived radioactive elements, having given up much of the heat affecting the repository, are progressively depleted from the waste. Depending on the crack initiation time and environmental conditions, crack sealing varies from a few tens of years to a few thousand years. Because environmental conditions in the vicinity of the cracks and at the crack scale have not been produced, a parametric method scaling drift scale conditions is used.

Calcium Carbonate↗

Secondary caries-like lesions at fissure sealings with Xeno III and Delton--an in vitro study.

OBJECTIVES: The aim of the study was to establish a bacterial based in vitro caries model to test the caries preventive effect of fissure sealants and to investigate whether a self-etching adhesive (Xeno III) used as fissure sealant is equally effective in preventing secondary caries compared to a conventional sealant (Delton) when applied on saliva contaminated and non-contaminated fissures. METHODS: Forty caries-free upper premolars were randomly divided into two groups. Group A was sealed with a conventional resin-based fissure sealant (Delton) after phosphoric acid etching. Group B was sealed with a self-etching adhesive (Xeno III) without prior etching. To simulate the clinical situation of saliva contamination, the distal part of each tooth was slightly moistened with saliva before sealant application. After thermo-cycling, the specimens were exposed to a cariogenic Streptococcus mutans biofilm in an artificial mouth model. Depths of demineralization were measured on serial sections by confocal laser scanning microscopy. If a demineralization was detected underneath the whole fissure sealing the sample was rated as 'total failure'. RESULTS: Significantly higher numbers of total failures could be found in the Xeno III group compared to the Delton group in areas without saliva contamination. On contaminated areas, no significant difference could be found. There was no significant difference regarding the depth of the primary carious lesions between groups. CONCLUSION: The study supports our recent findings that our caries model is capable to produce secondary caries-like lesions at fissure sealings. Based on the present in vitro data, it cannot be recommended to use the self-etching adhesive Xeno III solely as a fissure sealant.

Acid Etching, Dental↗

Bacterial leakage in roots filled with different medicaments and sealed with Cavit.

The aim of this study was to evaluate the time required by four different root canal medications coupled with the temporary filling material Cavit (ESPE, Seefeld, Germany) to prevent penetration of bacteria into the root canal. There were 145 roots prepared in a standardized manner. Four groups with 15 samples each were dressed with calcium hydroxide (Ca(OH)(2)), a 5% chlorhexidine gel (CHX), a chloromono-campherphenolic compound (ChKM), and Ledermix (LM), respectively, and sealed with Cavit. Four control groups contained identical medications but the roots were left unsealed. The 25 remaining roots served as additional controls. A standard setup for bacterial leakage studies was chosen with Staphylococcus epidermidis as test strain. Cavit application resulted in a significantly better seal compared with the unsealed groups. In the Cavit-sealed groups, all groups differed significantly from one another except for the CHX and the ChKM groups. The Ca(OH)(2) medicated roots provided the longest protection (median of 36 days), followed by the Ledermix-group (27 days) and the CHX (18 days) or ChKM groups (19 days). It may be concluded that Cavit-sealed and medicated root canals do not provide adequate protection against bacterial leakage for more than 1 month.

Anti-Infective Agents, Local↗

Polychlorinated biphenyls and chlorinated pesticides in harbor seals (Phoca vitulina concolor) from the northwestern Atlantic coast.

Concentrations of polychlorinated biphenyls (PCBs), dichlorodiphenyltrichloroethane (DDT) and its metabolites, chlordane-related compounds (CHLs), mirex, hexachlorocyclohexane isomers (HCHs), dieldrin, and hexachlorobenzene (HCB) were determined in blubber of harbor seals (Phoca vitulina concolor) from the northwestern Atlantic coast. PCBs, DDTs, and CHLs were the major persistent organochlorines in harbor seal blubber, while mirex, HCHs, dieldrin, and HCB were minor contaminants. Highest concentrations were found in the adult males, followed by the pups, yearlings, adult females, and fetuses. DDT and PCB concentrations have declined from the high levels reported in the early 1970s, but no declines were observed in our samples over the ten-year period 1991-2001. DDT/PCB ratios were indicative of a more rapid decline of DDTs than PCBs, while ratios of p,p'-DDE/DDT were indicative of a metabolic "weathering" of DDT. The population appears to be susceptible to disease outbreaks, as evidenced by a recurrence of viral epizootics since the late 1970s. The PCB burdens in these seals are similar to levels reported in seals from polluted regions of Europe and Asia, and exceed the estimated threshold levels for adverse reproductive and immune system effects in the species.

Adipose Tissue↗

Trace element concentrations in the Pacific harbor seal (Phoca vitulina richardii) in central and northern California.

To determine concentrations of trace elements (THg, MeHg, Se, and Pb) in tissues of the Pacific harbor seal (Phoca vitulina richardii), live (n=186) and dead seals (n=53) were sampled throughout central and northern California from March 2003 to January 2005. There were significant differences in THg concentrations in blood and hair based on age (p<0.001). Adult male harbor seals had greater THg concentrations in their hair than adult female harbor seals (p<0.003). THg concentrations in liver increased linearly with age and delta15N (p<0.001); whereas, MeHg concentrations in liver increased exponentially until approximately 5 years of age with an asymptote at 1.3 microg/g wet weight. MeHg expressed as a percentage of THg (%MeHg) was best described by a decay function (r2=0.796, p<0.001), decreasing to a minimum at 4 years of age. Hepatic Se increased with age and was in equimolar ratios with THg in adults; whereas, molar ratio of Se:THg in pups deviated from a 1:1 ratio. Significant differences among study locations in THg concentrations in blood and hair were not detected. Assessing the possible effect of sampling location on Hg concentrations, however, was confounded and limited by lack of equal sample sizes for basic age and sex cohorts, a common dilemma in pinniped research.

Analysis of Variance↗

Reversible reproductive control in harbour seals (Phoca vitulina) with a gonadotropin-releasing hormone agonist.

Reproductive control in captive pinnipeds is an important management subject for many facilities. To date reproductive control in harbour seals (Phoca vitulina) has been achieved using anti-androgens, progestagen preparations, castration, and physical separation of the sexes. The harbour seal group at the seal station in Friedrichskoog, Germany consists of three mature females (all >10 years), one older mature male (13 years of age in 2000) and one male who reached maturity during the study (3 years of age in 2000). In 2000 the older mature male received for the first time a 3-month depot injection of a gonadotropin-releasing hormone agonist (buserelin acetetate, 9.9 mg) by subcutaneous injection. This male was subsequently given the gonadotropin-releasing hormone agonist in 2001, 2004 and 2005. The younger male reached maturity during the investigation and received burserelin for the first time in 2004 and again in 2005. No pups were born in 2001, 2002, 2005 or 2006. No reproductive control was performed in 2002 and 2003, resulting in three newborns in 2003 and 2004. Serum levels of testosterone were measured by a routine liquid chromatography coupled with mass spectometry. Pre-burserelin testosterone levels varied between 0.02 and 2.18 ng/ml. Post-burserelin levels were under the detection limit except for the first year of the investigation. No behavioural changes such as changes in social ranking and no clinical side effects were observed. This study shows that the gonadotropin-releasing hormone agonist, burserelin acetate, can be used for reversible reproductive control in harbour seals without observed side effects or detrimental behavioural changes.

Animals↗

Microleakage evaluation of intraorifice sealing materials in endodontically treated teeth.

OBJECTIVE: Evaluate intraorifice sealing materials Cavit, Vitremer, and Flow-It for the prevention of coronal microleakage in root-canal treatment. STUDY DESIGN: Root-canal treatment was performed on 80 extracted human molars. Three millimeters of coronal gutta-percha was removed from the coronal aspect of the root canal and replaced with one of the 3 filling materials. After thermocycling (5 degrees C to 55 degrees C) and 5 days of immersion in dye, the teeth were cleared for stereomicroscope evaluation for evidence of dye penetration into the sealing material and along canal walls. RESULTS: All groups showed dye penetration into the root canal. Cavit sealed significantly better than the other groups (P < .01), preventing the coronal leakage in 90% of the specimens. Flow-It exhibited the highest leakage (65% of specimens) and did not differ significantly from the Vitremer group, which showed dye penetration in 55% of specimens. CONCLUSION: Cavit sealed significantly better than Vitremer and Flow-It when used as intraorifice filling materials.

Calcium Sulfate↗

Subclavian artery puncture repair with Angio-Seal deployment.

BACKGROUND: Inadvertent placement of a port-a-catheter in an artery during central venous cannulation is rare and can result in devastating complications. Although traditional closure devices have been employed as prompt and adequate treatment, more innovative devices such as collagen plugs are being studied for their efficacy. CASE: We report a case involving a 63-year-old woman who was treated with chemotherapy for recurrent metastatic uterine leiomyosarcoma. During port-a-catheter placement, puncture of the subclavian artery occurred. Vascular surgery and interventional radiology consultation was obtained, wherein an Angio-Seal device was used to seal the exit from the subclavian artery. Angio-Seal placement was successful and the patient has since become clinically stable and was then discharged. CONCLUSION: Subclavian artery puncture is rare but can occur due to the close proximity between the subclavian artery and vein. Prompt vascular surgery and radiology consultation is necessary. Although traditional manual compression and closure devices have been effective at restoring hemostasis, collagen seals or plugs may be more viable to treat this precarious situation.

Catheterization, Central Venous↗

Tissue sealing.

The tissue adhesive property of fibrinogen was first described 60 years ago. However, it was not until the availability of concentrated plasma fibrinogen and bovine thrombin that the use of fibrin sealants in surgical practice became widespread. Today, fibrin sealants are used for tissue sealing across a range of surgical procedures, including cardiothoracic, gastrointestinal, neurosurgery, and vascular surgery. Tissue sealing with fibrin sealant reduces perioperative hemorrhage and controls blood loss from cut surfaces of tissues that are difficult to suture. The use of fibrin sealants can also reduce perioperative and postoperative complications by reducing fluid leakage, air leakage, and by preventing fistulae formation. Fibrin sealants have a unique physiologic action, and the resulting fibrin clot is fully degraded by the body's natural wound healing process. The range of surgeries and types of procedure that incorporate the use of fibrin sealants in tissue sealing is expanding. As commercially prepared fibrin sealants become more widely available, the number of patients and surgeons benefiting from improved surgical outcomes is also set to increase. This article reviews the areas of surgery within which fibrin sealants are currently used to assist tissue sealing and highlights the improved surgical outcomes, such as reduced blood loss, operative time, and postoperative complications.

Fibrin Tissue Adhesive↗