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PubMedDate not supplied

Effect of no touch isolation on survival and recurrence in curative resections for colorectal cancer.

BACKGROUND: Curative resections for colorectal cancer were studied to determine the effects of the application of bowel ligatures and the sequence of mesenteric ligation on survival and recurrence as part of the no touch isolation technique. METHODS: Records documenting the application of bowel ligatures in 2015 consecutive curative resections for colorectal cancer and the sequence of mesenteric vessel ligation in 1863 of these cases were reviewed. RESULTS: Bowel ligatures applied before tumor mobilization in curative resections for colorectal cancer consistently reduced cancer-related deaths and the incidence of distant, local, and suture line recurrences. Their impact on survival began to approach statistical significance in Dukes C colon cancers and in the overall group of colon cancers (P = .019). Early application of bowel ligatures decreased the incidence of subsequent liver metastases from 15.3% to 9.5% and systemic metastases from 18.0% to 13.0% (P <.0001). Local recurrence was reduced from 18.3% to 10.8% in Dukes B and from 28.6% to 19.3% in Dukes C cases (P = .002). The incidence of suture line recurrence was reduced from 6.8% to 0.9% in Dukes B and from 12.2% to 3.2% in Dukes C cases (P = .001). Ligating the mesenteric vessels before mobilizing the tumor did not significantly affect survival, but did increase the incidence of distant systemic metastases and of local and suture line recurrences. With early vessel ligation, systemic metastases developed in 24.5% of 813 curative resections, compared to 15.7% of 1050 cases in which vessel ligation followed tumor mobilization (P <.001). Early vessel ligation in Dukes C cancers was associated with an increase in local recurrence from 22.5% to 34.2% and in suture line recurrence from 6.9% to 18.8% (P = .0003). The correlation became greater as the stage of the cancer became more advanced. CONCLUSION: By controlling lymphatic and intraluminal dissemination of malignant cells as well as minimizing tumor manipulation, bowel ligatures help to reduce cancer-related deaths and the incidence of distant, local, and suture line recurrences. The sequence in which the mesenteric vessels were ligated did not affect survival, but did change the distribution of distant metastases and the incidence of local and suture line recurrences.

Colon↗
PubMed2002

Intraoperative touch preparation for sentinel lymph node biopsy: a 4-year experience.

BACKGROUND: The optimal technique for intraoperative pathologic examination of sentinel lymph nodes (SLNs) is still controversial. Recent small series report sensitivity between 60% and 100% for various techniques. The aim of this study was to evaluate our long-term experience with touch preparation cytology (TPC) and frozen section (FS) in the intraoperative examination of SLNs for breast cancer. METHODS: A total of 247 patients with operable breast cancer underwent an SLN biopsy for staging of the axilla. The SLN was identified by (99m)Tc-labeled sulfur colloid unfiltered dye, blue dye, or both and dissected, and then intraoperative TPC or FS and permanent section, or both, were performed. RESULTS: A total of 479 SLNs were submitted for TPC and permanent hematoxylin and eosin. A total of 68 SLNs were positive by hematoxylin and eosin; 65 SLNs were positive by TPC, with a false-negative rate of 5.8%. The sensitivity for TPC was 94.2%, with a false-positive rate of 0.2%. A total of 165 SLNs were submitted for FS, with a sensitivity of 85.7% and a specificity of 98.6%. The false-positive rate was 1.4%, with a false-negative rate of 15.8%. CONCLUSIONS: In a large series, TPC is as accurate as FS but is simpler and faster in the detection of intraoperative metastasis in SLNs for breast cancer.

Adult↗
PubMed2000

[Therapy of lichen sclerosus et atrophicus vulvae with the CO2 silk touch laser].

A 50 year old woman with distinct lichen sclerosus et atrophicus was suffering from severe genital itching, dyspareunia and increasing urinary burning. Therapy attempts with topical glucosteroids and estrogens had been without effort. Treatment with CO2 laser in silk touch mode under insufflation anesthesia to an improvement of her skin lesions and a nearly complete remission of her symptoms.

Female↗
PubMed2000

Touch-free in situ investigation of ancient Egyptian pigments.

Some of the pigments painted on the Funerary Stele of Amenemhat (ca. 2000 B.C.) exhibited at the Egyptian Museum, Cairo and on the walls of the Tomb of Userhat (ca. 1420 B.C.), a rock-cut tomb in Thebes, Egypt, were investigated in situ using both a convenient home-made hand-held type of X-ray diffractometer and a commercial X-ray fluorescence spectrometer in a complementary way under touch-free conditions. CaCO3.3MgCO3 (huntite) was found in the white-painted parts of these two ancient monuments. An arsenic (As)-bearing phase was detected in the yellow-painted parts of the latter monument. The occurrence of huntite in Egypt has not been reported previously.

Egypt, Ancient↗
PubMed2002

Mechanosensory ion channels in charophyte cells: the response to touch and salinity stress.

Mechanosensitive (MS) ion channels are activated by mechanical stress and then transduce this information into electrical signals. These channels are involved in the growth, development and response to environmental stress in higher plants. Detailed analyses of the electrophysiology in higher plants are difficult because such plants are composed of complex tissues. The large cells of the charophytes facilitate electrophysiological measurements and allow us to study MS ion channels at the level of single cells. We draw parallels between the process of touch-perception in freshwater Chara, and the turgor-regulating response to osmotic shock in salt-tolerant Lamprothamnium. In terms of electrophysiology, these responses can be considered in three stages: (1) stimulus perception, (2) signal transmission and (3) induction of response. In Chara the first stage is due to the receptor potential (RPD), a transient depolarization with a critical threshold that triggers action potentials, which are responsible for stages (2) and (3). Receptor potentials are generated by MS ion channels. Action potentials involve a transient influx of Ca(2+) to the cytoplasm, effluxes of K(+) and Cl(-) and a temporary decrease of turgor pressure. Reducing cell turgor increases sensitivity to mechanical stimulation. In Lamprothamnium, a hypotonic shock produces an extended depolarization that resembles an extended RPD and is responsive to osmotic rather than ionic changes. Like the action potential, a critical threshold depolarization triggers Ca(2+) influx, opening of Ca(2+)-sensitive Cl(-) channels and K(+) channels; effluxes that last over an hour and result in turgor regulation. These processes show us, in primal form and at the level of single cells, how mechanoperception occurs in higher plants. Recent progress in research into the role of MS ion channels in the freshwater and salt-tolerant Characeae is reviewed and the relevance of these findings to plants in general is considered.

Cell Membrane↗
PubMed2006

Combined use of histopathology with touch smear cytology in biopsies of the larynx.

The aim of this prospective study is to evaluate the effectiveness of combined use of histopathology with cytology in biopsies of the larynx. Biopsies taken for this purpose are studied by using two different methods and the results are evaluated. One hundred and thirty-five patients with suspected malignant laryngeal lesions were examined by direct microlaryngoscopy for primary diagnosis. Each lesion was biopsied first. Subsequently touch smear cytology was obtained from the biopsies. In all cases, cytologic slides (one or two per biopsy) were screened and compared to corresponding biopsies. Lesions were categorized as benign, laryngeal intraepithelial neoplasia and malignant. Results obtained were compared with surgical samples obtained from patients who have undergone surgery. In other cases, where surgery was not applied, results of the follow-up were evaluated. In larynx biopsies the results for histopathology were as follows: sensitivity 93.9%, specificity 100% and accuracy 96.3%. The results for cytology were as follows: sensitivity 82.5%, specificity 94.5% and accuracy 87.4%. A comparison of cytologic evaluation versus histopathologic evaluation in laryngeal biopsies reveals that histopathology is superior. According to the study results, in 88.9% (120/135) of the cases the agreement between cytological and histopathological results was found. In two other cases (1.5%) cytologic evaluation contributed to the histopathologic diagnosis.

Biopsy↗
PubMedDate not supplied

Consistency of isochromosome 7q and trisomy 8 in hepatosplenic gammadelta T-cell lymphoma: detection by fluorescence In situ hybridization of a splenic touch-preparation from a pediatric patient.

Hepatosplenic gamma-delta (gammadelta) T-cell lymphoma is a rare but increasingly recognized lymphoid malignancy predominantly affecting young adult males. It is not well appreciated in the pediatric population. We report the third case of this aggressive lymphoma in a child as well as additional support for the consistency of the recently discovered cytogenetic abnormalities, isochromosome 7q and trisomy 8, which in this case were documented using fluorescence in situ hybridization (FISH) of a touch-preparation of the spleen.

Child↗
PubMed2004

Do squirrel monkeys (Saimiri sciureus) and capuchin monkeys (Cebus apella) predict that looking leads to touching?

Squirrel monkeys (Saimiri sciureus) and capuchin monkeys (Cebus apella) were tested using an expectancy violation procedure to assess whether they use an actor's gaze direction, signaled by congruent head and eye orientation, to predict subsequent behavior. The monkeys visually habituated to a repeated sequence in which the actor (a familiar human or a puppet) looked at an object and then picked it up, but they did not react strongly when the actor looked at an object but then picked up another object. Capuchin monkeys' responses in the puppet condition were slightly more suggestive of expectancy. There was no differential responding to congruent versus incongruent look-touch sequences when familiarization trials were omitted. The weak findings contrast with a strongly positive result previously reported for tamarin monkeys. Additional evidence is required before concluding that behavior prediction based on gaze cues typifies primates; other approaches for studying how they process attention cues are indicated.

Animals↗
PubMed1980

Automated vitrectomy in eyes with vitreocorneal touch associated with corneal dysfunction.

Of the results evaluated in 17 patients who had vitrectomy for aphakic vitreocorneal touch associated with corneal edema, nine patients had satisfactory results. Factors associated with a favorable outcome were as follows: (1) early vitrectomy; (2) previtrectomy visual acuity better than 6/120 (20/400); (3) uncomplicated cataract operation and postoperative course, and (4) broken rather than intact hyaloid face. Postoperative cystoid macular edema contributed to decreased visual acuity in eight of 12 patients.

Aged↗
PubMed1989

Coronary artery bypass grafting in patients with calcified ascending aorta: aortic no-touch technique.

To perform coronary artery bypass grafting safely for patients with calcified ascending aorta, an "aortic no-touch technique," which consisted of (1) maximal utilization of in situ arterial grafts (2) fibrillatory arrest without aortic cross-clamp, (3) left ventricular venting through the right superior pulmonary vein, and (4) femoral artery perfusion, was attempted in 3 patients. All were men, aged 64, 70, and 56 years, respectively, with triple-vessel disease with severe atherosclerotic lesion in the ascending aorta. Bilateral internal mammary arteries and the right gastroepiploic artery were used in all patients. All patients survived without evidence of perioperative myocardial infarction or cerebrovascular accident.

Aged↗
PubMed1980

Controlling air traffic with touch sensitive screen.

Modern air traffic control (ATC) systems are increasingly using computer generated radar displays to present targets, target information and other general information to control personnel. On the control side the radar operator uses devices such as rolling ball, joystick, keyboard or lightpen. A laboratory demonstration of a new touch sensitive control device in a simulated ATC system is described in some detail together with results. Ergonomic advantages and design problems are also discussed.

Journal Article↗
PubMed1984

Touch domes and Merkel cells in hamster cheek pouch epithelium.

Minute dome-shaped elevations on the epithelial surface of hamster buccal pouch were counted in full-thickness whole mounts of detached pouch epithelium. Domes were examined by light and electron microscopy. Each dome consisted of thickened epithelium containing numerous Merkel cells with associated unmyelinated terminal axons. The pouch domes have structural characteristics in common with Haarscheiben, or touch domes, described in hair-bearing skin in man and other mammals and must not be confused with focal hyperplastic or precancerous lesions.

Animals↗
PubMed1981

Some contributions of touch, pressure and kinesthesis to human spatial orientation and oculomotor control.

Human spatial orientation and oculomotor control are under multimodal influence. It is not possible in the normal animal to stimulate differentially the vestibular receptors without activating other receptor systems whose activity may have a profound influence on postural control and experienced orientation. Many patterns of behavior and response that have been attributed solely to vestibular function are actually dependent wholly or in part on touch, kinesthetic, and proprioceptive stimulation.

Eye Movements↗
PubMed1995

A simple touch-down polymerase chain reaction for the detection of canine parvovirus and feline panleukopenia virus in feces.

A polymerase chain reaction (PCR) assay is described for the detection of parvovirus in feces of dogs and cats. A touch-down protocol was used which enabled the specific amplification of virion DNA from feces after a fast and simple boiling pretreatment. The sensitivity of PCR was as high as ten infectious particles per reaction which corresponds to a titer of about 10(3) infectious particles per gram of unprocessed feces. This renders the PCR about 10- to 100-fold more sensitive than electron microscopy, the standard method for parvovirus diagnosis. The very rapid and simple sample preparation recommends this PCR assay as an alternative technique for routine parvovirus diagnosis.

Animals↗
PubMed1991

Computerized image analysis of full-hand touch plates: a method for quantification of surface bacteria on hands and the effect of antimicrobial agents.

A method is described for quantification of the bacterial flora on the hand surface. Computer-assisted image analysis of bacterial growth of large full-hand touch plates provides a quantifiable measure of the bacterial flora on the hand surface. Image analysis pixel intensity values showed a significant correlation (P less than 0.0001) with colony forming unit values determined by the glove juice method. Image analysis of impressions from hands treated with various antimicrobial agents in detergent bases showed that 4% chlorhexidine gluconate produces a 96% reduction after a 30 s washing and 98% reduction after a 3 min washing while 7.5% povidone-iodine and 1% triclosan produce a 77% and 70% reduction after 3 min respectively, and 70% isopropanol produces a 98% reduction after a 30 s wash.

Adult↗
PubMed1985

Trust, talk and touch in Balkan folk healing.

Broadly based in long-term anthropological fieldwork in the Balkans (in Serbia, Macedonia and Bulgaria), this discussion of folk healing techniques illustrates how convergence in the patient/practitioner relationship is of prime importance in effecting a positive outcome. Sumadija in central Serbia is selected as an example, and treatment for erysipelas, a common health problem which villagers call 'the red wind', is described and analyzed. Against a sociocultural background in which the collective wisdom of the past is retained and transmitted orally to contemporary healers, especially to the bajalica, or conjurer who heals with words, it is shown how shared communicative modes of trust, talk and touch are essential to the ritual psychomancy by which the treatment 'works'. Also considered are the ritual roles of women in this patriarchal society and peasants' perceptions of folk pharmacology as being extraneous to the eventual cure. Connections between cultural responses and physiological responses as manifested in the villages are suggested as counterparts of Western symptomatic treatments related to behavior modification.

Attitude to Health↗
PubMed2006

Crossmodal change blindness between vision and touch.

Change blindness is the name given to people's inability to detect changes introduced between two consecutively-presented scenes when they are separated by a distractor that masks the transients that are typically associated with change. Change blindness has been reported within vision, audition, and touch, but has never before been investigated when successive patterns are presented to different sensory modalities. In the study reported here, we investigated change detection performance when the two to-be-compared stimulus patterns were presented in the same sensory modality (i.e., both visual or both tactile) and when one stimulus pattern was tactile while the other was presented visually or vice versa. The two to-be-compared patterns were presented consecutively, separated by an empty interval, or else separated by a masked interval. In the latter case, the masked interval could either be tactile or visual. The first experiment investigated visual-tactile and tactile-visual change detection performance. The results showed that in the absence of masking, participants detected changes in position accurately, despite the fact that the two to-be-compared displays were presented in different sensory modalities. Furthermore, when a mask was presented between the two to-be-compared displays, crossmodal change blindness was elicited no matter whether the mask was visual or tactile. The results of two further experiments showed that performance was better overall in the unimodal (visual or tactile) conditions than in the crossmodal conditions. These results suggest that certain of the processes underlying change blindness are multisensory in nature. We discuss these findings in relation to recent claims regarding the crossmodal nature of spatial attention.

Adult↗
PubMed2005

Touch imprint cytology of core needle biopsy specimens: a useful method for immediate reporting of symptomatic breast lesions.

AIMS: The aim of this study was to determine the diagnostic value and accuracy of touch imprint cytology (TIC) of core needle biopsy (CNB) specimens in predicting the final benign or malignant histology in patients presenting with symptomatic breast lesions. METHODS: One hundred and twenty-eight patients underwent CNB under ultrasonographic guidance with subsequent TIC preparation. TIC results were correlated with the histology of the core or the surgical resection specimen. RESULTS: The 128 lesions analysed included 106 malignancies and 22 benign lesions. TIC accurately predicted the final histology in 96.7% of cases, with a sensitivity of 96.2% and a specificity of 100%. CONCLUSIONS: The routine use of TIC to complement CNB can provide an immediate and reliable cytological diagnosis of symptomatic breast lesions. The potential use of this technique in a breast clinic setting may help allay patient anxiety and expedite the planning of further surgical management.

Adult↗